Aesthetic Medicine

Vampire Facial

Vampire Facial is a procedure intended to rejuvenate the skin through the use of microneedling and Platelet Rich Plasma. Animal and human studies have demonstrated the regenerative effects of PRP on the skin reducing wrinkles and scars. The use of PRP as an add-on to our FDA cleared class II SkinPen device for microneedling enhances the results and speed the recovery through scarless healing. This is a procedure intended to enhance the effects of micronnedling in treating acne scars, fine lines wrinkles and large pores revitalizing the facial tissue to bring out the glow of a healthy brilliant complexion. All our microneeding procedures are done exclusively with SkinPen.

The first legally marketed and FDA cleared microneedling device in the US, SkinPen uses a disposable cartridge to deliver a precise depth of treatment though the use of fourteen medical grade stainless steel acupuncture needles within the cartridge. SkinPen has demonstrated to be safe and effective. This class II medical device has been in the market since 2013, free of clinically significant adverse events since its introduction. The device is designed to cut the risk of cross contamination through an ultrasonically sealed body, the single use lock-out cartridge and the disposable BioSheath®.

The Procedure takes about 80 minutes. It begins by drawing blood and followed by with a deep cleansing of the face and an assessment of the areas of thickness scarring and fine lines. Photographic consented documentation is obtained ahead of time. You will be asked to point any areas of concern and a thorough discussion of the goals and expectations will follow. A numbing cream will be applied through a gentle facial massage while your blood sample is being processed. Once the PRP is prepared the micro needling procedures will be performed in two phases, a superficial one with gliding solution and the second one with PRP. You should expect transient redness and irritation the first 24 hours. Microchannels created during the procedure are expected to remain open immediately after the microneedling procedures therefore it is recommended that the treatment area is treated as an open wound for the first 24 hrs. The area should remain clean, sun exposure and exercise should be avoided. It will look like a sunburn for the first 24-48 hours followed by a nice glow and smoothness noticeable after the fourth day. You may resume the use of your routine skin care and makeup seven days after the procedure. After a week, enjoy the glow and smoothness of a revitalized skin. The full effect is seen within three weeks. Repeated sessions every 6 weeks may be required for the treatment of deep scars and lines. A SkinPen device is only sold to a licensed physician.

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Vampire Face-Lift

The Vampire Face-Lift is a detailed cosmetic procedure used to treat the lines, folds and facial wrinkles that produce a collapsed facial complexion. Over time skin and subcutaneous tissue loose volume. The result is decreased firmness, decreased elasticity, and the lack of a plump fresh appearance due to thinning of the skin and subcutaneous tissue (atrophy). The Vampire Face-lift addresses the lack of volume and the changes of aging through the use of PRP. The procedure is done using a sculpting process derived from facial contour modeling which leads to a natural shape.The Vampire Facelift is not a substitute for a surgical facelift performed by a board certified plastic surgeon.

It offer the option of facial rejuvenation to the patients with shallow to moderately deep wrinkles without overlapping skin. The procedure addresses the loss of volume in the cheek area by the use of autologous PRP. It also addresses the loss of volume and thinning of the lips with a combination of injectables with a specific method. The use of autologous PRP serves the delivery of platelet derived growth factor, vascular endothelial growth factor, epidermal growth factor, insulin-like growth factor fibrin, fibronectin and vitronectin, all naturally produced rejuvenating factors when applied at concentrations above the baseline physiologic level. The injection of autologous PRP alone is an option in patients with shallow just perceptible wrinkles.

The procedure takes one to two hours and it begins with the application of a numbing cream. Photographic consented documentation is obtained ahead of time. You will be asked to point any areas of concern and a thorough discussion of the goals and expectations will follow. The skin of the face is then treated following our aseptic protocol. Your blood sample will be processed using a Magellan Autologous Platelet Separator system while the anesthetic is allowed to work. We use a Magellan Autologous Platelet separator system with an FDA cleared single use kit to ensure a platelet concentration at least five times over the patient’s baseline and , a benchmark for safety and efficacy. The pattern of injection will be dictated with real time feedback from you. A detailed pattern is used and modified according to the specific areas identified bay you in consultation with Dr. Sepulveda. The area should remain clean, sun exposure and exercise should be avoided. Bruising and swelling at the area of injection is temporary. Expect a nice glow and smoothness once the swelling goes down usually noticeable after the fourth day. You may resume the use of your routine skin care and makeup seven days after the procedure. After a week, enjoy the glow and smoothness of a revitalized skin. Side effects are temporary swelling, redness, headache, drowsiness and sensitivity on injection sites. These side effects are temporary and minimized by the anti-inflammatory effect of the PRP. The procedure may be repeated in a timeline of one to two years.

Vampire Hair Restoration

Hair loss, thinning of the hair and decreased hair density are frequent symptoms associated to menopause. Two thirds of women report one of these symptoms, a problem that it is not loved by the use of hormone replacement therapy. The clinical manifestation of these abnormalities in the health of the forming units of hair is known as alopecia. There are different types of alopecia, androgenetic alopecia, alopecia aerata and cicatricial alopecia. The most common type of alopecia in women is androgenetic alopecia. Recent scientific evidence through meta-analysis, a well proven method to examine efficacy and safety of medical interventions has shown the success of platelet rich plasma (PRP) in the treatment of androgenetic alopecia. Activated platelets in PRP promote tissue pair and encourage hair growth with scarless healing. The addition of microneedling to direct injection has added improved efficacy in the treatment of androgenetic alopecia in women by enhancing the delivery of growth factors into the hair follicle, promoting cell survival and increasing vascularity to the hair unit.
In the case of alopecia aerata (complete hair loss in segmental areas) the treatment with PRP has proven superior to the injection of steroids. In cases of cicatricial alopecia the success of PRP is less proven with individual case reports showing success. A basic laboratory evaluation along with a clinical exam will elucidate the type of alopecia and the expected results with the use of PRP.

The procedure takes one to two hours and it begins with the application of a numbing cream. Photographic documentation is used before the beginning of the procedure. An aesthetic block is required to minimize pain and discomfort. Your blood sample will be processed using a Magellan Autologous Platelet Separator system while the anesthetic is allowed to work. We use a Magellan Autologous Platelet separator system with an FDA cleared single use kit to ensure a platelet concentration at least five times over the patient’s baseline and , a benchmark for safety and efficacy. Additional anesthetic with a small needle is commonly required before the injections are administered. Once an adequate anesthetic block is obtained the PRP is injected in a grid composed of tiny segments. At completion of the subdermal injections the scalp is then treated following our aseptic protocol with our FDA cleared microneedling device and a portion of your PRP. Common side effects are temporary swelling, redness, headache, drowsiness and scalp sensitivity. These side effects are temporary and minimized by the anti-inflammatory effect of the PRP. The procedure may be repeated in a timeline of one to three months while using our medication and hair care protocol.

Microneedling with SkinPen

Our Vampire Facial microneeding procedures are done exclusively with SkinPen. The first legally marketed and FDA cleared microneedling device in the US, SkinPen uses a disposable cartridge to deliver a precise depth of treatment though the use of fourteen medical grade stainless steel acupuncture needles within the cartridge. SkinPen has demonstrated to be safe and effective. This class II medical device has been in the market since 2013, free of clinically significant adverse events since its introduction. The device is designed to cut the risk of cross contamination through an ultrasonically sealed body, the single use lock-out cartridge and the disposable BioSheath®.

As we age the production of collagen decreases producing a lax skin. Microneedling works by increasing skin thickness, increasing collagens and reducing inflammation and elastinSkinPen is indicated for the treatment of acne scars producing a 90% improvement of acne scars at 6 months. SkinPen induces scarless healing and collagen production through controlled depth microinjuries. A microneedling procedure is done with the use of a numbing cream without hyaluronic acid or Vitamin C serum. We avoid these products when using microneedling as they can elicit the formation of foreign body granulomas. The procedure takes about one hour. You should expect transient redness and irritation the first 24 hours. Microchannels created during the procedure are expected to remain open immediately after the microneedling procedures therefore it is recommended that the treatment area is treated as an open wound for the first 24 hrs. The area should remain clean, sun exposure and exercise should be avoided. No sweating or sun exposure for 72 hrs. It will look like a sunburn for the first 24-48 hours followed by a nice glow and smoothness noticeable after the fourth day. The product has been integrated into our practice based on its efficacy, safety and tolerability. SkinPen can be used in all skin types. Patients on the medication Accutane should be off the medication for at least six months before being treated with SkinPen. Post-procedure care is paramount for best results. Our office will provide you with instructions on strategies to reduce inflammation, restore moisture and support tissue remodeling. Patients should not use fragrances including essential oils or scents used in parfumes. Any product using formaldehyde preservatives, Propylene glycol or silicones such as dimethicone must be avoided. A SkinPen device is only sold to a licensed physician.

Non-surgical Vampire Breast-Lift

The Vampire Breast Lift® is a non-surgical cosmetic procedure intended to modify the shape of the cleavage area of the breast. The procedure is used to treat the gap typically seen after the use of breast implants in the cleavage area. The Procedure is safe and consists in the injection of platelet-rich plasma (PRP) extracted from your own blood back into the area of the breast cleveage with the purpose of restoring symmetry and roundness resulting in a fuller youthful look.

In selected cases the Vampire Breast-lift can include the treatment of inverted nipples and the treatment of stretch marks, sun-wrinkles and scars in the breast. The procedure is particularly useful in treating patients with a rippling effect after a breast augmentation procedure. The procedure can be done in breast treated with and without implants as well as on breast treated with surgical reduction and surgical lifts. The Vampire Breast-lift does not change the size of the breast. Although the injection is not in the breast tissue itself a normal mammogram is required before being considered a candidate for the procedure.

There is no pain with the procedure which is done with the use of a numbing cream. The results are demonstrated immediately after the injection in the pre and post procedure pictures. Expect the full effect in six to eight weeks. There is no downtime with the procedure which takes about one hour. There are no reported adverse events but expect some redness and swelling in the treated area for the first 24 hours. The results last in average 18 mo. Finally, a Vampire Breast-Lift is not a substitute for a surgical breast-lift, a breast augmentation or the placement of breast implants performed by a board certified plastic surgeon. The Vampire Breast-lift is an excellent procedure to enhance the appearance of a well done cosmetic or reconstructive breast procedure. Only members of the Vampire Breast-lift Provider Group are licensed to perform the procedure.

 Cellulite and Stretch Marks

Minimally invasive, Morpheous8 uses micro-needling and radio frequency to stimulate collagen and elastin production deep within your skin and retexture the skin. It breaks up scar tissue and fibrous tissue to improve cellulite and stretchmarks. You will notice firmer skin with better elasticity and fast results.
The best part is you will notice results within just a few days! As your skin heals, you’ll see noticeable improvements, the most noticeable after a few weeks. You will enjoy smoother, firmer skin with more even skin tones.

As technology advances, there are more treatments and procedures been approved for the reduction of cellulite. This gives rise to the questions what is the best way to get rid of it? Dr. Sepulveda considers Subcision the best way to reduce the appearance of dimpled skin.
Subcision is a simple surgical technique that has ben used for more than 20 years in the treatment of cellulite. This treatment is considered by many to be the best way to get rid of cellulite because it treats the primary structural cause dimpling. Dr. Sepulveda combined subcision with Morpheous8

Let’s face it, our busy schedules don’t allow much downtime! As an outpatient office procedure, most patient are back to work the day after treatment. Redness from the treatment quickly fades, usually within hours, leaving you with results you can see!
Now that you know why Subcision is considered the best way to get rid of cellulite, why wait any longer to improve your skin’s appearance? Schedule a consultation with Dr. Sepulveda today to take the first step toward archiving the smoother, sleeker skin you’ve always wanted.

Platelet Rich Plasma (PRP) – O-Shot and P Shot.

The Orgasm Shot® (O-Shot®) procedure is a very specific method of using blood-derived growth factors to rejuvenate the vagina to help relieve women with urinary incontinence and sex problems.

Follow this link to learn more!

Morpheus8 Procedure

Morpheus8 is a safe and effective minimally invasive modular RF fractional solution for full body subdermal adipose remodeling.

Follow this link to learn more!

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Skin Tightening Procedure for the Neck and Face.

Why Morpheus8 Microneedling is the Best Skin Tightening Procedure for the Neck and Face.
If you think a facelift is the only way to turn back the clock, think again! Rejuvenate your look with non-surgical Morpheous8.

Patient Feedback

Sarah J.

I would highly recommend Dr. Sepulveda in Miami. He is caring, compassionate, and an excellent surgeon. Last year he performed surgery on me for a prolapse bladder and every step of the way went very well. If you are in need of surgery for the above issue schedule an appointment with Dr. Sepulveda, you will be extremely happy. Do Not Hesitate!  

Jessica R.

  I have been a patient of Dr. Sepulveda in Miami for the last year. He is simply the best. Most concerned doctor I’ve ever met. He’s polite, kind and knowledgeable. I am so blessed to have him as my doctor. I also had a cosmetic procedure done an O-Shot for urinary incontinence it worked wonders. I no longer wake up at night to use the restroom. I was very satisfied with all aspects of the procedure.  

Ashley O.

  He definitely exceeded my expectations, and I am very pleased with my results after having the designer reduction labiaplasty surgery. Definitely exceeded my expectations, and I am not ashamed of my body anymore. Dr. Sepulveda is amazing and wants the best for her patients. Today is my 9 days after surgery. I feel well and very very happy with my decision. It looks beautiful. I recommend Dr. Sepulveda in Miami one hundred percent!  

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