CosmeticSTEM CELLS

Skin aging takes place on a cellular level so it makes sense to fight those changes at the same level – that’s where regenerative therapies like PRP, ADSC’s, exosomes and umbilical growth factors come into play.

Platelet rich plasma (PRP) uses growth factors in your own blood to signal your skin’s stem cells. PRP is made after collecting a small amount of blood from the patient and then spinning it down to isolate the potent growth factors found within the platelets. All of our cosmetic regenerative therapies at Docere Medicine use PRP.

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At Docere Medical, we take skin rejuvenation very seriously and offer our patients
several different options for creating youthful, healthy, glowing skin using the
power of regenerative medicine.

PLATELET RICH PLASMA
(PRP) HAS BEEN SHOWN
IN CLINICAL STUDIES TO…

  • Increase collagen production
    in skin
  • Improve wound healing and
    health of skin
  • Improve the appearance of
    fine lines and wrinkles
  • Decrease appearance of
    dark circles and hyperpigmentation
  • Improve texture and firmness of skin
  • Improve blood supply to the skin

Adipose Derived Stem Cells (ADSC’s), obtained from the patient’s own fat by a mini-liposuction procedure, can be added to the PRP to further enhance skin rejuvenation. Adipose Derived Stem Cells are rich in Mesenchymal Stem Cells, which have the ability to bring about diverse regenerative changes in the skin.

STUDIES IN SKIN REJUVENATION SHOW STEM CELLS, EXOSOMES and GROWTH FACTORS CAN…

  • Increase collagen production
  • Improve blood flow to the skin
  • Provide photo-protection to the skin
    (protects again damaging UV rays)
  • Improve skin hydration and decrease
    water evaporation seen with aging
  • Increase the thickness and density of
    the skin dermis
  • Improve wound healing and appearance
    of scars

Our skin rejuvenation procedures are done in our
office with topical numbing cream given prior to
the procedure.

CONTACT DOCERE MEDICAL

or call us (435) 604-0438

BEFORE AND AFTER

six months of stem cell

PRAISE FROM OUR PATIENTS

“Dr. Amy B Killen not only has the best rapper name ever, she’s also an excellent doctor. She has treated me several times and I’ve seen noticeable results. My wife has also had hugely positive changes after treatment with Dr. Killen.

Dave Asprey,

“I had a great experience with Dr. Killen and have recommended her to several friends and family members.”

Ben Greenfield, Aurthor / Fitness Trainer

“I’ve had some great results from having the stem cell procedure. People tell me that I look younger and I never get tired of hearing that”

Stephan Spencer, Author

References

Amirkhani, Mohammad Amir et al, Rejuvenation of facial skin and improvement in dhte dermal architecture by transplantation of autologcous stromal vascular fraction: a clinical study. BioImpacts. 2016; 6(3): 149–154. 10.15171/bi.2016.21

Charles-de-Sá L, et al. Antiaging treatment of the facial skin by fat graft and adipose-derived stem cells. Plast Reconstr Surg. 2015;135:999–1009. [PubMed]

Kim WS, et al, Protective role of adiposederived stem cells and their soluble factors in photoaging. Arch Dermatol Res. 2011;301:329–36. [PubMed]

Rubina K, Adipose stromal cells stimulate angiogenesis via promoting progenitorvcell differentiation, secretion of angiogenic factors, and enhancing vessel maturation. Tissue Eng Part A. 2009;15:2039–50. [PubMed]

Lee SH, et al. Paracrine effects of adiposederived stem cells on keratinocytes and dermal fibroblasts. Ann Dermatol. 2012;24:136–43. [PMC free article][PubMed]

Song SY, et al. Determination of adipose-derived stem cell application on photo-aged fibroblasts, based on paracrine function. Cytotherapy. 2011;13:378–84. doi: 10.3109/14653249.2010.530650. [PubMed] [Cross Ref]

Shamban AT. Current and new treatments of photodamaged skin. Facial Plast Surg. 2009;25:337–46. doi: 10.1055/s-0029-1243083. [PubMed] [Cross Ref]

Kim DW, et al. Adipose-derived stem cells inhibit epidermal melanocytes through an interleukin-6-mediated mechanism. Plast Reconstr Surg. 2014;134:470–80. [PubMed]

Atalay S, Coruh A, Deniz K. Stromal vascular fraction improves deep partial thickness burn wound healing. Burns. 2014;40:1375–83. [PubMed]

FREQUENTLY ASKED

Questions

The following are the most commonly asked questions at Docere Medical. If, after reading, you have any additional questions that we did not cover here, please feel to contact us at any time!

Is stem cell therapy a "miracle cure"?

No. While stem cell therapy shows promise in the rapidly growing body of scientific data, it has not been scientifically proven to be effective. Based on full-time stem cell therapy experience since 2014, we are very careful to only treat patients that we think we have a chance of helping. Namely; patients who are in overall good health who wish to improve the health of their skin, hair and sexual organs using the healing power of their own bodies. We do not treat any systemic disease at all. While we have helped many people, there are people we have treated that we have not helped at all. Our experience is that overall, we help more people than we don't help, but there is nothing about stem cell therapy that is either a "miracle" or a "cure".

What are the risks of the procedures?

There are very few risks involved. You are certain to be sore for a few days after the procedure, but that is a side effect, not a risk. Temporary bruising, redness and swelling are common after Dr Killen's procedures but generally improve within a week. Infection is a serious risk, but is extremely rare. The biggest risk of these therapies is that they won't help your condition, however, performed properly, they will not make your condition worse.

Does insurance cover these procedures?

Short answer: no. Long answer: stem cell therapy and PRP are considered experimental procedures. While some insurance companies will pay for platelet rich plasma or bone marrow aspirate concentrate when used by a surgeon in conjunction with certain orthopedic surgeries, they generally do not pay when used as an injection. For this reason, Docere Medical has a 'payment at the time of service' policy.

Do the Stem Cells come from my bone marrow, from my fat, or from both?

Upon establishing that you are indeed a candidate for treatment, we will decide whether to harvest stem cells from your bone marrow (BMAC), from your fat (ADSC), or from both. Most of our patients at Docere Medical opt to use stem cells from fat for their procedures. PLEASE NOTE - due to changes in the regulatory environment, we plan to totally discontinue the use of ADSC by November, 2020.

Clearly, if you have too little subcutaneous fat to consider lipoaspiration, then ADSC is not an option and we will opt instead for BMAC alone or for not using any of your own stem cells. If you have a history of bone or blood cancer, we opt for ADSC suspended in platelet rich plasma.

In addition to stem cells, Docere Medicine uses Platelet Rich Plasma (PRP) in most of our procedures. We are also able to use Exosomes and Polycyte (growth factors from umbilical cords), often in combination with PRP and stem cells, although Exosomes, Polycyte, and PRP can also be used alone in patient's not wishing to have their own stem cells harvested.

Do you have an Anesthesiologist so I can sleep through the whole thing?

Yes. We contract with board certified anesthesiologists to offer our patients 'deep sedation'. Deep sedation uses much gentler medications than general anesthesia, but you are very much asleep, you don't feel anything, and you don't remember anything afterward. It is the same type of sedation used for colonoscopies or dental procedures. It is our experience that we get better outcomes when people sleep through it. As such, our prices are structured so that sedation is included in the cost of treatment; you are not required to be sedated, but you are paying for it, so why not do it?

How many treatments will I want to do and how often will I receive them?

Results vary, and unfortunately we don't help everyone. Based on our overall experience, at the one-year mark after an ADSC/BMAC treatment, some of our patients are still going strong with major improvement and do not request a second treatment at that time. Others have had mild improvement and may request a second treatment. Once we get people where they want to be, most people require tune-up treatments every two to six years. Some of our patients are "non-responders" and have no improvement at all. Factors include patient health/habits, adherence to post-treatment guidelines, and severity of the condition.

Additionally, many patients have seen benefit from following up their stem cell procedure with PRP injections. If patients choose to use PRP injections afterwards to further activate stem cells, we recommend waiting 4-6 weeks in between treatments.

How soon might I notice improvement?

These therapies are intended to stimulate the growth and repair tissues. Typically, patients notice improvement after four to eight weeks and continue to notice continual improvement months after the treatment. Hair procedures often take longer to see results, as much as 6 months in some people.

How will I feel immediately after the treatment?

After the procedure, you will have localized soreness and discomfort, especially after lipoaspiration. Injections in the hair, face and sexual organs may cause mild discomfort for a few days but symptoms are generally mild. Most patients find over-the-counter medications and rest sufficient to help with the pain.

Facial rejuvenation procedures leave skin red and moderately swollen. Bruising is also possible, especially around the eyes and mouth. Post-procedure ointments and recommendations on skincare will be provided. Arnica and Bromelian creams may also help with bruising. Patients are allowed to wear make-up the day after the procedure and must wear sunblock daily for 3 months to avoid hyperpigmentation.

Sexual optimization patients may feel swelling and mild discomfort in the genitalia for a few days. Patients will be provided with devices for home use to encourage blood flow and further improve healing. These devices are generally used in the three months following the procedure.

Are the results permanent?

Unless you are a vampire, nothing in this life is permanent. The treatments we offer are intended to reverse tissue damage and degenerative changes and turn back the hands of time, but they do not stop the hands of time. Whether you need follow up therapies will largely be determined by your general health and rate of aging, as well as your response to the initial treatment. Most people require tune-up treatments every two to four years.

(New question): Can I do stem cell facial rejuvenation if I also do Botox, fillers or other facial treatments?

Yes! If you are using neurotoxins like, such as Botox, or fillers (such as Juvederm or Restylane), you will just want to make sure there is a 2-week period of time between when you receive those injections and when you have your stem cell facial procedure. Dr Killen is also able to do Botox and fillers in certain patients on the day of the stem cell procedure, but this would need to be discussed with her ahead of time.

When it comes to other medical facial treatments, such as lasers and radiofrequency therapies, you'll want to discuss the timing with us, but in general you'll be fine to do any procedures within a month of your stem cell facial rejuvenation.

(new question): If I have had a hair transplant, can I still do stem cell hair injections?

Yes. Absolutely. In fact, many hair transplant physicians are using regenerative products during the hair transplant to help the grafts take better.

What Guarantee do I have that will be satisfied with the results?

None. We are happy to report that our overall patient satisfaction rate is very high. We grow almost entirely by word-of-mouth referrals from satisfied patients. We help more people than we don't help, but we don't help everyone. We have found that the severity of the condition is much less of a predictor of the clinical outcome than is the overall health of the person being treated. If you're unhealthy, it is entirely possible that your stem cells don't function properly. We have observed that we tend to have inferior outcomes in people who are smokers, heavy drinkers, heavy narcotic users, diabetics, have uncontrolled hypertension, sleep apnea, lousy diets, and who have a negative outlook on life.

What recommendations do you make to optimize the outcome of Stem Cell Therapy?

Mostly common sense: wholesome diet, regular exercise, quality sleep, fulfilling interpersonal relationships, avoidance of smoking and heavy alcohol consumption. Dr. Killen also recommends beginning Neo40 nitric oxide supplement at least 2 weeks before the procedure.

Other therapies that are known to increase the health and activity of stem cells and production of nitric oxide, such as hyperbaric oxygen therapy and pulsed electrical magnetic field therapy (PEMF) may also be useful. Low level light therapy (red light therapy) can also be useful as an after-treatment therapy to help with bruising and swelling.

We also ask our patients to avoid the use of NSAIDS (such as Ibuprofen, Naproxen, or Aspirin) and steroids in the two weeks before the procedure. Limiting use of blood thinning supplements, such as fish oil/omega 3 fatty acids and Gingko Biloba, is also encouraged.