Episode 68: MyEllevate – What is it? Who is a Candidate? Is this real?

Episode 68: MyEllevate – What is it? Who is a Candidate? Is this real?

MyEllevate is one of the newest minimally invasive treatments for neck rejuvenation. The treatment is often done in combination with neck liposuction and Renuvion (J-Plasma) for the ultimate results. MyEllevate is a light-guided suture suspension system for neck rejuvenation. This allows the neck bands to be released and the excess skin to be treated. This not only improves the neck, but it also helps enhance the jawline! The beauty of the treatment is that it avoids any incisions and scarring!

Transcript

 

Dr. Johnny Franco: Welcome back to Plastic Surgery Untold, the greatest podcast in the world as voted by us and by my mom. Today we’re gonna talk about something called MyEllevate. So, anyone who’s been watching Dr. Weinfeld or my Instagram stuff, you know, you’ve seen it. As a plastic surgeon, we’ve been doing a lot of these. We want to share our excitement. Not everybody’s a perfect candidate for it, but there are some people that are. And so, we’re gonna get into that, and really kind of what it is, this suture suspension system that we’re going to share with you all.

 

Dr. Adam Weinfeld: Laser-guided.

 

Dr. Johnny Franco: Laser light guided exactly, yes. I mean, who doesn’t want a laser beam?

 

(Laughter)

 

Travis Osborne: I was also gonna say, cue the Dr. Evil, laser beam.

 

Dr. Johnny Franco: But before we do that, let’s go around the room. Let’s talk about our celebrity infamous cast here, if you will. Some fall more into one category than the other but celebrities get us started here.

 

Travis Osborne: I appreciate that.

 

Dr. Johnny Franco: We’ll let you decide which category he’s in.

 

Travis Osborne: Yeah, right. What’s up y’all good to be back. What is new in our life? So, my wife @yourtrendytherapist originally, which is now branched into @yourdementiatherapist, is completely in full fledge business mode. She started her business, Your Dementia Therapist helping caregivers and families that are caring for a loved one that has dementia. She’s putting together — she’s finishing up her courses. And she’s been, you know, hitting social media and Pinterest and all the platforms really hard with educational tips and whatnot. But we had a viral video.

 

Dr. Adam Weinfeld: Oh, nice.

 

Travis Osborne: Of course, I mean, you knew that because you watch…

 

Dr. Johnny Franco: Often viewers loved it or what?

 

Travis Osborne: Exactly…

 

(Laughter)

 

Travis Osborne: You know, I was — I was playing, when we make these videos. She asks me to play the part of the guy with dementia and my name is Bob in the videos. So, Bob was having trouble…

 

Dr. Johnny Franco: So many things I want to say but continue.

 

Dr. Adam Weinfeld: Should we continue this as Bob or…

 

(Laughter)

 

Travis Osborne: Exactly.

 

Dr. Johnny Franco: He can’t remember.

 

Travis Osborne: Yeah, I can’t. So, she was showing how to change a patient or a person living with dementia without taking their shorts off but you can change the brief underneath. And she posted this, like, how to change these people on a hack, and all of a sudden, she wakes up, was like, oh my god, this video has like 200,000 views.

Unlike her other videos at the time, it had like, you know, 2,000 or 3,000 and all of a sudden, like followers, just start pouring in and messages for all these people and it was like, this is within a week’s time, just the power the internet man, it was wild. So, if you’re out there and you want to see me playing a guy with dementia named Bob or if you want to see her stuff at Your Dimension Therapist, check it out.

 

Dr. Adam Weinfeld: And she’s changing your brief?

 

Travis Osborne: She is and all you could see…

 

Dr. Adam Weinfeld: Yeah, does this ever happen as not Bob?

 

(Laughter)

 

Travis Osborne: Yeah, well there’s been a couple of times.

 

(Laughter)

 

Travis Osborne: You know, in the picture or in the video all you see is kind of looking down at my ankles and she’s showing how to manipulate the brief and everything and people just kept commenting about the calves and I’ve got to say thank you to Johnny Franco. These calves were implanted by yours truly.

 

(Laughter)

 

Travis Osborne: My Johnny drama, for all your entourage fans out there.

 

Dr. Johnny Franco: That’s awesome. Dr. Weinfeld, what’s going on with you?

 

Dr. Adam Weinfeld: Tough to top that. Yeah, I mean, it’s crazy to call it a break in the weather. But to just have days that are below 100 is fantastic. So…

 

Travis Osborne: You mean below 105?

 

Dr. Adam Weinfeld:  Yeah, it’s 105, yeah. So the upper 90s are so pleasant. I love it.

 

Dr. Johnny Franco: Chris?

 

Dr. Chris Micallef: So, not too much. I just keep up for the weekend to Austin celebrating my wedding anniversary today.

 

Dr. Johnny Franco: We appreciate your wife sharing a little bit of…

 

Travis Osborne: Congratulations.

 

Dr. Johnny Franco: …your guy’s time with us. So, thank you.

 

Dr. Chris Micallef: Appreciate it. Eight years, survived, you know, otherwise, that’s about it. Just hanging out.

 

Dr. Johnny Franco: Sean, what about you, getting settled here in Austin? How are things?

 

Dr. Sean Arredondo: Getting settled in Austin, we were able to take a break for a couple of days, headed to wine countries for about a day and a half in Fredericksburg.

 

Dr. Chris Micallef: Nice.

 

Dr. Sean Arredondo: So, you know, who doesn’t like being driven around drinking a bunch of wine?

 

(Laughter)

 

Dr. Chris Micallef: Okay, what do you think of wine country?

 

Dr. Sean Arredondo: Oh, I’ve been there before.

 

Dr. Chris Micallef: Okay.

 

Dr. Sean Arredondo: Yeah, I went there for a very — when we were first started dating couple of years in. And so, it was awesome to go back because it just exploded.

 

Dr. Chris Micallef: Yeah, it really has.

 

Dr. Adam Weinfeld: It’s the second most visited wine region in the states after Napa Valley.

 

Dr. Johnny Franco: Wow! Great.

 

Dr. Adam Weinfeld: The Fredericksburg Chamber of Commerce should be sponsoring us now.

 

(Laughter)

 

Dr. Johnny Franco: They should. A little fun fact for you. You actually grew up in San Antonio. Correct? 

 

Dr. Sean Arredondo: I did. I grew up in Leon Springs. It’s just a little town right on the edge of San Antonio. And, you know, it’s really great to come back because all these good memories, you know, going back to wine country, it’s just like, oh, yeah, I’m home. It’s fantastic.

 

Dr. Johnny Franco: Well, let’s jump into MyEllevate and maybe Dr. Weinfeld can talk us a little bit through what it actually is, and then we can get into whether you’d be a good candidate for it or not.

 

Dr. Adam Weinfeld: Yeah. Are you asking if I’m a good candidate?

 

(Laughter)

 

Dr. Johnny Franco: Well, if his schedule ever lightens up, I actually want him to do it on here…

 

Dr. Adam Weinfeld: Yeah.

 

Dr. Johnny Franco: …I got a little bit for those of you watching us on YouTube, I got a little bit of an extra neck here and I also needed it combined with a lipo, but we’ll get into that.

 

Dr. Adam Weinfeld: Yeah, so the CliffsNotes version of this is that the MyEllevate process, it comes as a kit. And basically, it’s a wand, really a very thin wand that has little lights on either end of it. And those lights on the end of this wand, allow us to know where that particular one is beneath the skin. So that we make sure as we’re passing the wand beneath the skin, we’re at the appropriate level.

Now, what is attached to that wand? Well, there’s a nonabsorbable, very thin surgical thread or suture that is on that wand. And what you do is you pass the wand underneath the skin, in the first step of the process, and by looping it back and forth around the platysma muscle, and using it kind of almost like a saw, you can saw across the first centimeter or two of the platysma muscle, which is a muscle underneath the skin that envelops the neck, and you’re able to break up a specific part of the platysma that causes bands in the neck as we age.

So that’s one part of the process, then the second part of the process is weaving that thread back and forth around the neck and anchoring it to thick tissue that exists behind our ears. And by doing that, and then tightening the suture very precisely, we’re able to suspend and elevate the neck tissues to enhance that cervical mental angle. And essentially to give that appearance of a more defined neck and more defined jawline. And this all — it’s wonderful because it all can be done without having to go to sleep. Sorry, Travis.

 

(Crosstalk)

 

Dr. Johnny Franco: …Celebrity anesthesia, better for everybody.

 

Travis Osborne: How am I gonna make this payment?

 

Dr. Adam Weinfeld: Yeah, And then, one other quick sort of comment to make is that this is often combined with some liposuction, and potentially with some skin shrinkage technology. In our particular case, it’s the purple power, Renuvion J-Plasma, which we’re not supposed to say I guess, but said anyway,

 

(Laughter)

 

Dr. Johnny Franco: I mean, and if we’re gonna take all the — because that was a phenomenal summary because I think people get a little confused what the process is. And I think you hit on some of the super key points or one that you know, it’s great because it’s percutaneous. Like there are no true incisions in this, it’s a few little…

 

Dr. Adam Weinfeld: …needle pokes.

 

Dr. Johnny Franco: …tiny little poke holes, and then it’s just kind of anchor in the stew. It’s really, the key to the design and the right candidate for this in terms of setting up that suspension system. The light guide, makes sure that we’re in the perfect placement of that and then treats each of these elements. Maybe we’ll start with the first one, which is cutting these platysma bands because I think that that alone is a huge one of creating that angle. It’s something that bothers a lot of our patients that are maybe super young and definitely not in the face-neck lift region yet.

 

Dr. Adam Weinfeld: Yeah, again, this really is and thinking about candidates for the procedure. It’s really a procedure for a patient who has some laxity in their neck tissues. They’ve lost definition, at that angle that we would like to see a sharp angle that exists between the chin all the way down to let’s say Adam’s apple. There should be a break there, a sharp break, that helps define the distinction between the neck and the face. And so, the MyEllevate allows you to tackle that. But the candidates for this really need to be a patient who doesn’t have excessive howling and don’t have a lot of dissent in the face.

So it’s a patient who hasn’t quite yet got to the point where they need a facelift combined with a neck lift, but really just need a little extra oomph to the contour of their neck. So you know, you’re looking at patients, you know, even as young as in their 20s, certainly 30s and the 40s I think when you start to wander into the 50s you have to ask, is there a different, perhaps slightly more involved procedure, one that involves general anesthesia maybe.

 

Travis Osborne: Now we’re talking.

 

Dr. Adam Weinfeld: Yeah, that they would benefit from.

 

Dr. Johnny Franco: This has been great because it was — we did another one recently last week and one of our nurse injectors came to have a better understanding so she could help guide our patients and it’s funny because the patient we did was actually someone who looks great from the jaw up just because she’s done a good job with, you know, fillers, other things, not quite ready for a big surgery in her life yet. But just lost a little bit of weight and had a little bit here and her biggest thing is she just wanted more of a defined jawline.

But at some point, you’ve done as much as you can do with fillers to your — what you’re talking about. And you just need to get rid of that loose skin because from the jawline up, she looked great from down, it just was a little bit lose down, so she didn’t have that nice sharp right angle of her jawline. And so, it’s interesting because if you’re looking for more of that sharp transition, sometimes, you know, it’s jawline filler, but sometimes you actually got to pull that skin a little bit tighter to show off that nice framework that you’ve either have naturally, or you’ve maybe had a little bit of help.

 

Dr. Adam Weinfeld: Yeah, absolutely.

 

Dr. Johnny Franco:  And then freeing those muscles, because there’s a lot of times and if Sean or Chris will jump in here in a second – lipo is great, but lipo only gets you to the point where those muscles, and we’re talking about the tummy and the neck. So if we don’t address those muscles, we can only get rid of that fat but then we’re dependent on a few other things.

 

Dr. Sean Arredondo: Right and before, I don’t know of another way to release those platysma bands without making an incision and doing a bigger surgery under general anesthesia, which carries more risk, more scar, you know, so I think this is a great like we were talking about, gray zone, like it fills that gap that existed in our abilities.

 

Dr. Johnny Franco: And the thing with like neck lipo and we touched a little bit on that purple power stuff is there’s definitely some patients who do great with just a little bit of neck lipo, you’re in your 20s, you just got a little fullness, you still got great skin that’s gonna shrink up. The one, you know, we do a ton of lipo in our practice, I love it. But the only thing that’s a little frustrating is that we can’t absolutely control how much that skin is going to shrink back. So this takes a little bit of the guesswork out of in the neck of just hoping that skin is going to shrink back after lipo.

Also too, even if it shrinks back to where your muscles are hanging down. That may be the roadblock.

 

Dr. Adam Weinfeld: Yeah, absolutely. And it’s worth maybe talking briefly about those platysmal bands…

 

Dr. Johnny Franco: Yeah.

 

Dr. Adam Weinfeld: …because it’s important to understand the anatomy of it. Everyone has these broad, flat muscles, thin flat, but broad muscles that extend all the way down from the lower face down past the collarbones. And when we’re young, those muscles are really tied into the deeper structures of the neck, you know, the deeper muscles by these ligaments. But as we age, those muscles shorten, they contract and those ligaments become lax. And there’s –it’s like a tight clothesline that gets pulled away from the actual deeper structures of the neck, and it happens in some particular areas centrally. And then also, we see it laterally.

But the ones that are located centrally are the ones that end up being really noticeable, especially when people are talking and immediately moving their necks. And it just takes away from, you know, a beautiful younger neck with a nice crisp cervical mental angle. And as Sean was saying, it’s very difficult to address those antecedents to having MyEllevate because of the fact that you really would have to do a larger procedure potentially under general anesthesia. Yes, Travis…

 

(Laughter)

 

Dr. Adam Weinfeld: And so now, we have the ability really to just cut through those bands. So essentially, it’s like a tight band, a muscle that’s too short, and we’re able to just gently cut through the centimeter or two that is involved in creating this clothesline that’s pulled away and drags the skin out. And it’s just a wonderful addition to minimally invasive neck contouring.

 

Dr. Johnny Franco: How would you guys, just to kind of take a step back, how would you just guide someone or what’s kind of your decision path that to help patients know what they need, you know, from lipo, such on the neck to lipo plus maybe like a Renuvion J-Plasma, some type of energy base to a MyEllevate to a combination of those, and then going on to full face and neck lift.

So I don’t know if you guys have a few things in terms of like, what you look for a lipo, who you might add some energy too, and then what would push you to MyEllevate and then who you’re like, “Hey, look, if we really need to get you a great result, we kind of need to do the whole thing”. Do you guys have maybe some ideas of how people would decide or how you guys decide where to guide people?

 

Dr. Chris Micallef:  You know, it’s certainly multifactorial, I tend to, you know, look at things from a fullness perspective…

 

Dr. Johnny Franco: Okay.

 

Dr. Chris Micallef: …how full is their neck, that then determines whether or not I need any liposuction, I look at skin quality overall, to determine and age a combination of that with age to determine, are they going to actually have some that necessary retraction of the skin postoperatively.

If they kind of fall somewhere in the middle, then I potentially consider them for MyEllevate where I’m a little bit concerned that they’re not going to have the appropriate retraction and may not have the most predictable results. Because that’s the nice thing with MyEllevate, now, you really can predict the results by ensuring that you get that acute cervical mental angle.

And then, like Dr. Weinfeld said here just a few minutes ago if they have signs of facial aging, facial descent, jowling, these are people then that we start talking about facelift, neck lift.

 

Dr. Johnny Franco: I’ve never done in MyEllevate where I haven’t combined it with at least some liposuction because I think most of us can thin out a little bit. I know Adam has combined his — some of his MyEllevates with Renuvion just to try and help with some of that skin texture tightness stuff and seems like you kind of belt suspenders almost to the neck. Would you say that that’s kind of fair?

 

Dr. Adam Weinfeld: Yeah, I agree. And also, part of the reason I did that too in some of the patients that I’ve worked with is that they were a little bit on the upper end of the age spectrum. And so, we just kind of know scientifically that their skin may not have that same tendency to really get, you know, kind of use its own integrity to pull back and help follow that the thread that suspending the muscles. And so, it was, as you said, a belt and suspenders kind of situation.

 

Dr. Johnny Franco: What are the other big questions, I’d love to get your guys thoughts about this, is a cost for some of this? And, you know, I guess in my mind, you know, it’s definitely a little bit cheaper for sure, because we don’t have to deal with celebrity anesthesia, it’s a win for everybody.

 

Travis Osborne: I’m real.

 

(Laughter)

 

Dr. Johnny Franco: In my mind, the biggest advantage of MyEllevate, lipo, Renuvion, you know, some of these technologies and advances is not even from a costing, but more from a minimal incision, minimal downtime, type perspective. And I’d love to see if you guys feel the same way or what your thoughts are about that.

 

Dr. Chris Micallef: Yeah, it’s really nice these procedures — some of these procedures, like MyEllevate, or lipo, or Renuvion, these are just procedures, you can come into our office and get these done. But these are also nice because they can be combined with other procedures if we’re in the operating room. Thank you, Travis, and asleep under general anesthesia. But the nice thing is, a lot of these procedures you can come in, and most of these procedures are less than an hour. And you can go home with minimal downtime and minimal swelling.

I do personally, and I’m sure we all do, put people in compression after these procedures to ensure that they have more predictable results. But other than that, they can go about their day.

 

Dr. Johnny Franco: Yeah, I mean, there’s some risk of bruising and those types of things are hard to hide. But you know, we do put them into the neck braces as you do as well, just to help with some of that swelling, especially with the lipo, and so forth like that to get everything to shrink down. But really nice, because some people don’t want to go under anesthesia, some people want to, you know, just don’t want that dramatic of a procedure.

The other great part in it, for some of us and my hair, is thinning a little but, you know, in a lot of people, we try to hide our facelift incisions back in the hairline, around the ear, for some of us that are losing a little bit more hair, it’s harder to hide some of these.

And so, when you have an option that can help just tighten up some of that with some tiny little spots that you’re never gonna see, I think that’s a real, you know, a big step for a lot of people that are a little nervous about the incision still, and maybe not to the degree where they have to do that.

 

Dr. Adam Weinfeld: Yeah, a couple of random sort of comments about this. One is, this really is a procedure where you can do it on a Friday, and probably both feel and look the way you want to look go to work on Monday. I think that’s a reasonable thing to say, it’s not a guarantee. And I really don’t like to overstate how rapidly someone can recover. But I have seen it. So I believe it, is a possibility – a strong possibility.

 

Dr. Johnny Franco: We don’t have to fight people more to be like, “Hey, you can’t go to the club after you leave the office. And they’re like, “I got happier plans at six”, it’s like, that’s cool. Tell them to send you a phone call.

 

Dr. Adam Weinfeld: Best to have someone drive you to visit and back. Another thing too is the degree to which patients really seem to not have pain. I know that in many of our patients, we only gave them Tylenol, they only use Tylenol at home. And they really didn’t require much more. I had one patient ask for a couple of narcotic pain pills afterward. But I think, both she and I agreed that three was all that was needed. I don’t even know that she took that.

So, it really impressed me in that regard. And then you do all of that — all of that ease, but without sacrificing a really impressive result. You know, it is an impressive result, especially given how easy the recovery is. And you know, but it isn’t — in many ways. It’s not a substitute for a neck lift, and certainly not for a facelift in someone who really has a lot of facial aging.

So, as with any particular procedure in plastic, cosmetic surgery, it’s really about patient selection. But I think a lot of patients again out there who are in there — let’s say the upper 20s, certainly in their 30s and their 40s who really just want a better definition to really their neckline and to the angle between their jaw and their neck. This is a great operation for them. I am careful to say this, because if you guys remember at the beginning I said, “A patient who has jowling may not be the best candidate for this.”

So first of all, what is jowling? Jowling is where it’s essentially, you know, anatomically, what has happened is the cheeks, the fat that makes up the cheeks has slid down the face a little bit. And the bottom of it, the nadir of that triangle of fat comes to rest over the jaw line and obscures it, it’s, you know, essentially fat pockets, if you will, over the jawline, that breaks up a crisp jawline.

And if you have, — if one has a lot of that, then clearly MyEllevate is not going to solve that. But given that in many of the patients that we’ve done MyEllevate on, we have combined it with liposuction, and in some of them with Renuvion. If one is really careful, you can do some liposuction to those jowls in a very specific and direct way, in combination with potentially the Renuvion and certainly in combination with MyEllevate. And you can turn a patient who may have just been on the fence on the border of whether they were or weren’t a good candidate, maybe leaning a little bit not to being a good candidate, because of the jowling.

You can really convert that to a candidate, that is actually a really good one and will have a really nice result, especially if they understand that there may be little areas where there is some residual jowl that we may have to come back and do a little bit of micro liposuction with afterward. But the patient who was, sort of my index patient for applying this strategy, this principle — she’s been very happy as have I been with her results.

 

Dr. Johnny Franco: I agree with all that. I think it’s making sure that expectations are real. I think in the right people, this is great. I feel like this whole jaw neckline is really over this zoom FaceTime virtual world that we live in now has really taken on a life of its own. And we’ve talked about a few different things. I think everything from the neck lipo, obviously, to MyEllevate to face and neck lift, do jawline filler to chin implants, which is another topic we’re gonna get to one of these days. I think that’s an underutilized and underrecognized, you know, part of this. But it’s funny how all of that kind of comes together to get into a great spot for all of this.

One of the questions, you know, that a lot of people ask, and I think that the answer is very similar to face and neck lift. I would love to get your guys’ thoughts is. How long is this going to last? And what would what would you guys say to someone who asked that question?

 

Dr. Chris Micallef: So in general, I typically say that they should see benefit from a process like MyElevate or liposuction with Renuvion, or something along these lines, what we call minimally invasive contouring for at least five years, but sometimes up to up to 10.

I think a lot of it has to do with where they are on the spectrum of age. Certainly, if you’re at the higher end of the spectrum, you likely are going to only have results for five, maybe six years. And then at that point, you potentially need something a little bit more invasive.

 

Dr. Johnny Franco: It is funny because I always used to say, you know, these procedures turn back the clock at the time, they don’t stop it. And so, there’s definitely things that we do that make this last longer or shorter. As we get older, the up and down yo-yo diet, and I’m the worst. So, I’m not casting any stones, it’s not good for this because your skin — as you get older just doesn’t recoil like it used to. I said that to a patient recently who were doing MyEllevate and they’re like, “Well, I’ve never had a neck this good before.” So, you’re not really turning back…

 

(Laughter)

 

Dr. Adam Weinfeld: Transporting to a different dimension. Yeah.

 

Dr. Johnny Franco: So, I may have to adjust my statements because to her point. I’m glad she was that happy. But she’s like, “I’ve never had a neck this good so you didn’t turn back time…

 

(Laughter)

 

Dr. Adam Weinfeld: And there is that whole concept though, of slowing down the clock too. So, you turn it back and you slow it down. And by slowing it down, what we’re saying is that you may potentially age more slowly in the neck, because one, you’ve put this permanent suture there that is supporting both the skin and the muscle. But also, that process of doing the liposuction and even in addition to that, the Renuvion allows the body or triggers the body to lay down additional collagen to really help glue everything in place, create firmness that might have not been there since the patient was in their teens and really creating structures that are stronger than they would have otherwise been and slowing down the clock.

 

Dr. Johnny France: I love this because I put my, just like we were talking about you put your mom in your shoes when you’re doing fat transfer the butt which was weird, but that’s cool.

 

(Laughter)

 

(Crosstalk)

 

Dr. Johnny Franco: I put myself in this because I personally would love a better neckline, and jawline. I’m not — I just don’t see in the next year or two if face and neck lift in my own future but something like this where I could do it on a Friday. Be back on Monday. See a nice difference for this. I’ve got a little fullness that could be sucked and then, I’d feel like I’m in a point where my skin probably wouldn’t shrink back as much as I would hope like, this is something super interesting to me. And like, when Doctor Weinfeld and I were talking about whether to bring this on. We did a lot of research. We talked about it probably eight or nine times before we made the decision. And I feel like that’s the big litmus test for us is, is this something we would personally do ourselves or do to someone that we care about? And they both felt like the answer was yes.

 

Dr. Adam Weinfeld: Oh, absolutely, no hesitation.

 

Dr. Sean Arredondo: Does it make sense conceptually, and then what’s your sort of risk-reward sort of benefit there? High reward, you know, if patients said, my neck has never looked this good.

 

Dr. Chris Micallef: This really did fill that gap between face and neck lift and liposuction. We really didn’t have anything in between previously.

 

Dr. Johnny Franco: A hundred percent agree. That was a huge thing for us, just like, this was a blaring gap in our practice. And not just for us, I think in a lot of practices out there where it didn’t fall into one. And I think some people, you know, if all you have is a hammer, then…

 

(Crosstalk)

 

Travis Osborne: I was just about to say, this is, you know, we talk about it all the time. You know, if your toolbox is only full of a hammer, how are you going to screw something in? How are you going to cut, you know, cut a piece of wood? Like you just don’t have those tools available? And this just added…

 

(Crosstalk)

 

Dr. Johnny Franco: Because then you could’ve cut the boxers because you couldn’t take off the pants…

 

(Laughter)

 

(Crosstalk)

 

Dr. Johnny Franco: …they didn’t watch the hack, they didn’t watch it.

 

Travis Osborne: Exactly.

 

Dr. Adam Weinfeld: That would be totally viral?

 

Travis Osborne: Oh, yeah, absolutely.

 

Dr. Johnny Franco: I don’t want to minimize this. I do think that the discomfort is very minimal. We do the vast majority of these in the office, no question, there are times that maybe somebody’s getting a quad bleph, some facial fat grafting, and MyEllevate, that’s a very common combination with some of this. And let me say, hey, it’s a little bit more than I want to do. And then we can put them to sleep. So, people always have that option. We discuss that with them. I think we help you work through this, to make sure that you’re someone who’s going to tolerate this very well. I think people love the idea that they don’t have the anesthesia side effects, they feel great. They are maybe a little sore but other than that, they’re kind of going. It’s definitely us fighting them a little bit more like, “Hey, I know you feel great, but don’t overdo it”.

 

Dr. Chris Micallef: We just did have our procedure done.

 

Dr. Johnny Franco:  Exactly. And part of what you said, you know, wanting these results to last is taking care of this for the first couple of weeks. It doesn’t mean you can’t go to a movie with a loved one or dinner or something. But you know, not the time to start upside-down yoga.

 

Travis Osborne: Yeah, that’s right.

 

Dr. Johnny Franco: I don’t know that I’d ever do upside-down yoga, I won’t get back up.

 

Travis Osborne: I’ll bring you with me.

 

Dr. Chris Micallef: That will definitely go viral.

 

Dr. Johnny Franco: What other key point take homes would you guys want to leave people with MyEllevate? Because I think it’s super exciting to me. I think it’s got to be the right patient. I think like anything else, Eon, Botox other stuff. And there are people — particularly the people who are unhappy or people who weren’t good candidates, to begin with.

 

Dr. Adam Weinfeld: Please. Yeah.

 

Dr. Chris Micallef: I was just gonna say, you know, I think everything comes down to patient selection and setting patient expectations. At the end of the day, if the expectations of the patient are appropriate, and the selection was appropriate, then I think you’re gonna end up with a happy patient at the end of the day.

And secondarily, all I want to say is, I did have one of these procedures done in the last few months. And so, for neck contouring, and I can tell you that you dramatically change the facial appearance when you can define the neck.

 

Dr. Johnny Franco: And it’s one of those things that doesn’t change your face into looking like somebody else. It just — I mean, I feel like you just feel like you have a better version of your own self.

 

Dr. Adam Weinfeld: Yeah, it kind of reveals the face.

 

(Crosstalk)

 

Dr. Adam Weinfeld: So another way of putting it, thank you,

 

Dr. Johnny Franco: Because the last thing is that it will leave people with this recovery, we’ve talked about, usually pretty quick, not a lot of downtime, especially if people can have some flexibility work from home, especially if you don’t have the anesthesia for not having to take pain pills, because that’s typically what we tell people, you know, “Don’t make any important decisions while you’re on this”, definitely still want to give it a good chance to heal.

There is a little bit of bunching because basically we’re working all that skin out towards the ears and hiding it in a similar place where we would hide our incisions for a facelift.

 

Dr. Adam Weinfeld: Yeah, but it’s so impressive how that disappears within a week.

 

Dr. Johnny Franco: So quickly. And I think this really has to do with releasing some of those muscles and, you know, this suture suspension that really causes this trampoline effect, because you still have skin there, but the portion that hangs down, that doesn’t define the jawline is really pulled up into a spot because it’s not the excess amount of skin there. It’s the position of that skin, and now it’s pulled into a position that’s highlighting that jawline.

 

Dr. Adam Weinfeld: One quick thing too, I should say, because we talked about cutting a muscle and that might sound scary to people who are listening to this. But really, this is a broad muscle and we’re perhaps altering about maybe 15% of it at most, and it’s a muscle that in some way doesn’t really serve a significant function. It’s a muscle that’s almost vestigial. You know, it’s sort of, you know, it might have made sense in the past, but it doesn’t make sense for us as modern-day human beings. And so really, I don’t think a patient has to be worried about hearing about cutting a muscle. It’s really, I would totally not let that be a deciding factor.

 

Dr. Sean Arredondo:  Well, we’re releasing a muscle, a part of the muscle that’s not really doing its job.

 

Dr. Adam Weinfeld:  Yeah. doing the wrong job absolutely. Yeah.

 

Dr. Johnny Franco: I guess behind the nugget that I leave people and we alluded to it is you can actually do MyEllevate in combination with liposuction Renuvion a little purple power and skin tightening — really be done in about an hour and a half. Go home the same day. Netflix and chill. Probably gonna be doing a lot more Netflix and chilling…

 

(Crosstalk)

 

Dr. Adam Weinfeld: You’ve gotta be careful with the chill part.

 

Dr. Chris Micallef: Don’t chill too much.

 

Dr. Sean Arredondo: Keep it below 100.

 

Dr. Johnny Franco: Any quotes of the day, celebrity?

 

Travis Osborne: I do.

 

Dr. Johnny Franco: Feel free, I’d let you do anything today.

 

Travis Osborne: I know, right? I do. Yeah, I didn’t get to put people to sleep for this one. Although I will say I have done a couple of these with you guys under general anesthesia and the results that you see immediately are pretty profound. That’s like, I’m the most layman in the room when it comes to seeing the actual result and its pretty awe-inspiring. But yeah, I’ve got one from Pablo Picasso right here. “The meaning of life is to find your gift. The purpose of life is to give it away”.

 

Dr. Adam Weinfeld:  Oh, wow. All right, you can text me that one, also.

 

Travis Osborne: I’ll send you that one too.

 

Dr. Johnny Franco: Guys, that’s a deep one.

 

Travis Osborne: Right, it is. I want to set up a texting service to send our listeners a quote of the day.

 

Dr. Adam Weinfeld: Dude, you’re totally on a role, that was awesome.

 

Dr. Sean Arredondo: A coffee table book is more online, I think.

 

Travis Osborne: I like that, I like that.

 

Dr. Johnny Franco: Yeah.

 

Travis Osborne: Pictures of us, just reading the quotes.

 

(Laughter)

 

Dr. Johnny Franco: I’d like to thank everyone for joining us today. Plastic Surgeon Untold, you can download us anywhere you get your favorite podcast, Pandora, Spotify, iTunes. You can also see us on YouTube if you’d like to actually see us. We’ll be sharing some of our clips on our Instagram as well. So, thank you everybody for joining us. We’ll see you guys soon. Bye.

 

Travis Osborne: Bye.

 

All: Bye.

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