Lifting Without Cutting #3: Ellacor w/ Dr. Jason Pozner

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Welcome to Park Avenue
Plastic Surgery Class,

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a podcast where we explore controversies
and breaking issues in plastic surgery.

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I'm your co-host, Doreen Wu,

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a clinical assistant at Bass
Plastic Surgery in New York City.

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I'm excited to be here with Dr. Lawrence
Bass, Park Avenue plastic surgeon,

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educator and technology innovator.
This is episode three in our series,

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Lifting Without Cutting,

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where we explore nonsurgical options
for skin laxity in the face and neck.

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In today's episode, we
are discussing Ellacor.

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So far in this series we've talked
about energy treatments and minimally

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invasive procedures.
What's on the agenda today?

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Today we're talking about another
local anesthesia treatment that's

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minimally invasive.

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It aims to remove a
portion of the loose or lax

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skin in the face by micro coring the skin

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in a facelift or neck lift.

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The surgeon disconnects the skin from
its underneath attachments and tailors

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out the excess Ellacor

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removes skin by punching
out tiny cylinders of skin.

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The concept is that as these
multiple small excisions heal,

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the total cross-sectional
area of the skin is reduced.

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So some of that laxity or
looseness is eliminated.

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That sounds like a totally different
approach compared to what we've talked

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about before.

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Absolutely. It's a very
innovative approach.

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It was conceptualized originally
by a dermatologist named Rox

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Anderson, who was the
source for this concept,

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and Anderson is the
director of the Wellman Labs

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of Photo Medicine at the
Massachusetts General Hospital.

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It's a joint laboratory between
Harvard Medical School and MIT.

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And Anderson has really been the author
of many of the most innovative modern

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technologies in light-based therapy,

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energy-based treatments that
we've seen over the last 30 years.

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This technology was recently
introduced in August of

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2021,

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so it's a little less than two
years old at this point in time.

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And I brought an expert and a
previous guest on the podcast to

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share his experience.

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He was an early adopter of the technology
who now has extensive experience using

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it. My friend and
colleague, Dr. Jason Pozner,

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is a board certified plastic
surgeon in Boca Raton, Florida,

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and he has extensive
experience with lasers,

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energy-based devices,

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and extensive experience with the Ellacor.

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Thanks for having me on,
Larry. Thanks, Doreen.

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Welcome back. Dr. Pozner.
Thank you for coming on again.

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So tell us a little more about what
Ellacor is and how it has evolved.

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Okay, let's a couple of
disclaimers first. So first of all,

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I did invest a little
money in this company,

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so maybe I'm going to say some
fork things that are wrong,

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but I doubt that. And secondly,

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the other inventor of this
technology was Jay Austin,

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who is the chairman of plastic
surgery at Mass General.

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So they're considered the co-founders
of this company, both the two of them.

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So it's interesting you had a plastic
surgeon and a dermatologist inventing

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this. And also disclaimer,

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we did two of the FDA studies
for this company and also I was a

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reviewer first part of this study
that got submitted to the FDA.

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So that's my disclaimers for Ellacor.

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We did actually, I think the
first study for them, Larry,

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a long time ago at our office,

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we tattooed a one by one square on
10 patients and then we took out

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10% of the skin and then a month
later we measured it, the tattoo,

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and then we did a facelift and looked
at histology and the skin shrank 10,

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we took out 10% and the skin shrank 10%.

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Pretty cool in an interesting direction
pretty much this way as you would expect

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in the lines. And then also the histology
showed nice new skin with no scar.

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So this was an important part
of how the technology had to be

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kind of parsed out how the playing field
had to be defined before you got to

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clinical study in patients
questions like how

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big a core can you take
without leaving a scar?

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How much space has to be between
them? How is it going to heal?

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What treatment is needed
as part of the healing?

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Not all of these questions are a hundred
percent answered before a clinical

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trial or even now that it's
approved and on the market.

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But a lot was learned along the way.

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And it's sort of a benchmark
of a lot of the Wellman Labs

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innovations that they're going to be very

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carefully scientifically researched
and there's going to be a lot of

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outcome data in the clinical study.

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They're not going to be backdoored
into FDA approval with a tissue heating

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indication or something like that.

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They're going to get an
approval specifically for the

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kind of improvement
they're looking to obtain.

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And interesting you mentioned that
because the predicate study for this was,

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and Rox did a study where they did
different size holes and the goal

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was to see, okay,

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what size hole leads to a scar and
what size hole leads to no scar.

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And in general, when the hole was less
than half a millimeter in diameter,

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there was no scar. And when the hole
was bigger than half a millimeter,

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there was a higher incidence of scar.

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So that's why the Ellacor needles
are just under half a millimeter.

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They're about the size inside
diameter of a 22 gauge needle,

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four 20 microns, so 0.4 millimeters.

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So pretty cool.

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So based on our discussion so far,

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I think I'm starting to grasp the concept
of what the treatment is trying to

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accomplish. Let's talk more
about the process itself.

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Can you tell me more about
how it is done, step-by-step?

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Sure. I had this done myself.

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So the first thing is when you're sticking
needles all the way through your skin

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and you're doing a lot of these needles,
you can imagine this is going to hurt,

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right? It's going to hurt. So
you need to block the face.

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So a topical anesthetic that you might
use for another procedure is not going to

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cut it with this. So we block the face
for this. So when we've done them,

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and we've done quite a
few at this point over 70.

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So if I'm doing your face and we'll
talk about face to neck and face,

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I do nerve blocks, so infraorbital
blocks, mental blocks, a little here,

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a little here that will
block about this much.

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And then we put some local anesthesia
infiltration in the lateral cheeks and in

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the neck. And then we wait
about 10 minutes or so.

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And most of the patients get,

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we give them Pro-Nox and sometimes a
little sedative just for the needle

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process. That can be a little
discomforting putting the needles in.

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But once the needles are in,

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you could do basically anything you
want and they don't feel anything.

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And then we do the procedure,

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which is using this sort of sewing
machine on the face to remove cores.

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And if you do a kind of a max
effect on the face and neck,

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you'll take out with this
device, 24,000 cores.

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That's a lot of cores in one sitting.
And that takes about 25 minutes.

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A thousand cores a minute.

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Wow. Okay.

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And I know you've had this procedure
done because I've seen you doing the

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procedure on yourself on Instagram.

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Yeah. It was bloody, Barry called
me up, one of our cook friends said,

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it's too bloody, take that off. And we
got 3000 hits overnight. So I left it on.

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It was pretty good. It was no pain,
no pain. And once the blocks were in,

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so I've had four treatments actually.

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So I had three done by my junior associate
and one I was waiting for him and he

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was late, so I did it myself. I
liked the one I did myself the best.

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Kind of weird to block your own face,

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but it's pretty easy to do the procedure
on yourself. It didn't feel a thing.

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It was really numb. And then everyone
wants to know, does it hurt afterwards?

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Nothing. Not even a Tylenol. One
of the procedures, I went home,

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I did my Peloton, took a shower and
that it went to work the next day.

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So it's a little messy
looking the next day,

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but everyone seems to heal within
72 hours with very little bruising.

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And I mean literally I was out to
dinner the next night after my first one

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treatment, and I worked
actually after every one.

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And you kind of briefly
touched on these big questions,

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but I'll just ask them formally.

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So what do you look like at
the end of the treatment?

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What does the recovery look like and how
long do you have to stay out of sight?

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So when you first finish, and
I have pictures if you want to,

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I can send you some pictures
of what I look like.

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I was a bloody mess when I
first finished, but blood stops.

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So I washed my face and then five
minutes later after I washed my face,

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I looked pink, a little
red and a couple of areas,

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might've had a little drop of
blood or so for a couple of hours.

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But I was good enough to go
home and work out that day.

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Probably wouldn't want to
go to dinner that night,

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but the next day you don't look
too bad, you've had something done,

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you'll see some marks on your
face, but you can definitely,

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I would say most people would stay home
with the next day and not go to work

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unless you work in this arena and you
want everybody to see what you've done.

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I did my significant other on a Friday
night at six o'clock and she was in the

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gym on Sunday with makeup on at noon.
So 36 hours later she was good to go.

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So I think between that 36 to 48
hours, you're looking pretty good.

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And what type of aftercare is needed?

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So it's interesting you ask that because
in the beginning everyone was putting

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lots of stuff on there.

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And I think the problem is when you
put stuff on there like creams and

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ointments,

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it gets in the holes and I think it can
cause the holes not to close properly

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because sometimes some of the studies
showed the holes closing in 10 minutes,

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but when I looked at it took a couple
of hours when I dipped serial photos.

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So our current regimen, which
may not be the same next week,

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is do nothing for two days,

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soap and water and a little peroxide
if there's some blood after two days,

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mild moisturizer for five more days
and then resume your normal skincare at

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seven days. That's our current regimen.

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Now at one point they were
talking about elastic bandage

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on the skin, pull the holes,
close, things like that.

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So is that out the window at this point?

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I think if you're doing a small area
like a jowl, like Suzy Kilmer test,

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do a little area, put a
little Tegaderm on there,

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but if you try to do your whole face,

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there's no way that's going to stay on
your face. There's no way on an arm.

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We've actually done some off
face treatments with this,

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and we do try to directionally
close them because it's easy,

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but there's no way that we've found,
we've done a lot of work on this,

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but there's no way to close those holes.

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We actually even contemplated
some elastomers that you
put on your face and you

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heat it and it shrinks
to kind of get there.

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But so far we haven't come up with
any good way to close the holes.

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Now in the original study by Rox Anderson,

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he did directionally close the holes
and he saw better closure of his holes

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when he used a piece of Tegaderm. And
that was actually done with a laser.

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He used the Sciton ProFractional
with a two 50 millimeter hole and did

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Tegaderm on it and showed
directional closer.

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That was a predicate for this company.

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It sounds like there's some commitment
to recovery there, but not a whole lot.

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Now I'm wondering how much improvement
do you get from this procedure?

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What does your experience say about how
much improvement is obtained and what

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features are addressed?

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So I think the best area you're going
to see results is the jowls because I

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think the holes look really good on the
face and the cores look really good.

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And we've seen the best
results on the jowls.

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We thought the neck would be really good,

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but I think that the cores actually
are not coming out as good on the neck.

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I think we're still working through some
of those technical issues on how to get

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better cores out because we
found sometimes the cores
get stuck and they don't

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come out too much. And in that case,

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you just have an expensive microneedling
device instead of a device that

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actually takes out cores.

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But what we found on the face
is the cores are really good.

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So the issue of features is still
something I'd like to touch on a

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little bit because I've
seen a number of before and

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after pictures and the
intent is about treating

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laxity or loose skin or redundant skin.

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But a lot of the pictures
that I've seen focus on

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demonstrating improvement
in wrinkles and skin surface

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features.

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So what do you think it does?

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Is it predominantly a
loose skin treatment?

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Is it predominantly a laxity treatment?

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Alright, in my mind,

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this is a skin tightening device for
the FDA though it's a wrinkle reduction

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device because in order
to get through the FDA,

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the FDA put them in the microneedling
category and they had approved two point

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wrinkle reduction and that's why I was
looking at a bunch of pictures as part of

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the FDA study to grade them.

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So that's why it's approved
for wrinkle reduction,

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but it is a tightening device.

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That was just how the FDA
mandated them to get approval.

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00:13:37,420 --> 00:13:41,860
Okay. I understand sometimes
there's a regulatory challenge and

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certain groups at FDA use
certain standard benchmarks

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00:13:47,981 --> 00:13:52,830
to evaluate a technology that

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00:13:52,831 --> 00:13:57,640
they've pigeonholed in a
certain category and they

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feel it's only fair to hold a new
technology to the same standards if it

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00:14:02,561 --> 00:14:03,400
relates.

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00:14:03,880 --> 00:14:07,750
But what kind of data
has been generated to

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00:14:07,780 --> 00:14:12,400
demonstrate laxity
changes before and after

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00:14:12,401 --> 00:14:13,234
treatment?

236
00:14:13,690 --> 00:14:15,490
I don't think they approach that yet.

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00:14:15,640 --> 00:14:19,000
I think that that's an area that
absolutely needs to be studied.

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00:14:19,390 --> 00:14:23,500
I think this is sort of the time when
the device hasn't really been readily

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00:14:23,501 --> 00:14:25,240
available only for the last six months.

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00:14:25,241 --> 00:14:27,430
Even though it was approved
a year and a half ago,

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00:14:27,940 --> 00:14:31,510
it was only people gotten people's hands
the last six months except for a very,

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00:14:31,520 --> 00:14:36,340
very select few and they just treated
limited areas. So now that it's out there,

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00:14:36,341 --> 00:14:38,080
I think they're accumulating data.

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00:14:38,530 --> 00:14:41,740
One of the studies I'd love to see is
that we've been doing Vectra photos,

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00:14:42,130 --> 00:14:44,620
3D photos on all our patients,

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00:14:44,621 --> 00:14:48,130
so we'll have an idea of how much
lifting we can get. And again,

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00:14:48,131 --> 00:14:50,830
we've seen the best results in the
jowl area as a tightening device.

248
00:14:51,710 --> 00:14:53,180
Right. I guess in the neck

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00:14:54,890 --> 00:14:59,390
it's harder to get the cores out because
you don't have as firm and stable a

250
00:14:59,400 --> 00:15:04,220
substrate to press against like
the facial muscles and bones

251
00:15:04,430 --> 00:15:07,100
give you a pretty firm platform

252
00:15:08,780 --> 00:15:11,840
to make the coring against.

253
00:15:12,710 --> 00:15:16,190
Is the coring largely from rotation

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00:15:17,710 --> 00:15:19,940
of the needles or is it from pressure?

255
00:15:20,150 --> 00:15:23,060
Good question. No,
unfortunately the answer is no.

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00:15:23,061 --> 00:15:25,760
I wish they had rotation because listen,

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00:15:25,761 --> 00:15:27,560
Dr. Bass and I have
done a lot of biopsies.

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00:15:27,710 --> 00:15:30,350
So the way you do a biopsy is you
put this in the skin and you turn it,

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00:15:30,740 --> 00:15:34,040
and that's how you get a core.
This thing is a sewing machine.

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It puts a needle in and there's a little
suction attached to the needle and

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00:15:38,241 --> 00:15:42,620
there's also some suction around the
base and then the base helps to stabilize

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00:15:42,630 --> 00:15:46,250
the skin. And then the needle goes like
this and there's suction in the needle.

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So it goes in and sucks it out.

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00:15:48,500 --> 00:15:52,460
And I've tried everything on the neck
like pulling as hard as I can and I just

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can't. Some areas, you get some good
cores, but the face you get great cores,

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the neck,

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00:15:56,271 --> 00:15:59,900
we're still working through that and
I've tried various anesthesia including

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tumescent. It's not so easy.
I think that's a challenge.

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I think we'll work through it and there
are some alternative technologies that

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will be coming out that
might be competitors to this
that might do a better job

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to core through other areas.

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00:16:13,610 --> 00:16:15,980
Another crucial question
for you, Dr. Pozner.

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Is Ellacor a one and done treatment
or do I need to do a series?

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00:16:20,510 --> 00:16:21,530
The answer is I don't know.

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00:16:22,580 --> 00:16:25,610
And currently we're selling it to
patients as an individual treatment,

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but many of 'em are getting
multiple treatments.

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00:16:29,150 --> 00:16:30,860
The FDA study was two treatments.

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00:16:30,861 --> 00:16:35,630
I've had four and many
patients are getting a second

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00:16:35,631 --> 00:16:39,260
one. And the answer is, we haven't done
a good study saying how many you need.

280
00:16:39,290 --> 00:16:41,210
But in my mind, the
more you do, the better.

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00:16:41,960 --> 00:16:46,910
Yeah. I think it's obviously going
to be a question of stage of aging

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00:16:46,911 --> 00:16:51,080
or severity of laxity. If you
only have a little touch laxity,

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00:16:51,890 --> 00:16:55,880
you may get enough improvement in
one treatment that you're done.

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00:16:55,890 --> 00:16:56,850
If you're a little bit older,

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00:16:58,570 --> 00:17:03,530
you want to chase a little bit more of
what's there because a little more is

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00:17:03,531 --> 00:17:06,530
there and more treatments may be needed.

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00:17:08,030 --> 00:17:09,440
I guess the question is,

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00:17:11,080 --> 00:17:14,450
since the FDA study was two treatments,

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00:17:14,690 --> 00:17:17,900
is that fundamentally
how it's being marketed?

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00:17:18,230 --> 00:17:19,850
And with two treatments,

291
00:17:19,880 --> 00:17:23,510
will the average patient get
an obvious visible improvement?

292
00:17:24,140 --> 00:17:28,790
Because if the answer is yes, then
okay, that's a fair representation.

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00:17:29,300 --> 00:17:34,250
But if you improve but you
don't really see it until you

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00:17:34,251 --> 00:17:35,570
do a bunch more,

295
00:17:36,560 --> 00:17:41,330
then you start to feel like it has
to be represented more like a series.

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00:17:41,660 --> 00:17:45,740
But it sounds like the data clearly
showed improvement with the two treatments

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00:17:45,741 --> 00:17:47,060
in the FDA study.

298
00:17:47,360 --> 00:17:50,100
For wrinkles and those
patients are older. I mean,

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00:17:50,101 --> 00:17:54,330
I look at this as a treatment where you
might have a younger patient in their

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00:17:54,331 --> 00:17:57,840
forties and you do this once a year
and maybe by the time you get to your

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00:17:57,841 --> 00:18:02,820
fifties you don't ever need a facelift
because you're progressively tightening

302
00:18:03,060 --> 00:18:04,380
over time. I mean,

303
00:18:04,390 --> 00:18:08,010
that's the holy grail that Dr. Bass and
I have talked about for a hundred years.

304
00:18:08,011 --> 00:18:10,710
The holy grail of plastic surgery
is non-surgical tightening,

305
00:18:11,160 --> 00:18:13,860
and this is the next latest
greatest step towards that.

306
00:18:14,190 --> 00:18:17,520
I don't think we can take an older patient
that needs a facelift and give them a

307
00:18:17,521 --> 00:18:20,490
facelift result yet
maybe soon, but not yet.

308
00:18:21,510 --> 00:18:24,450
Yeah, and there's another component here.

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00:18:24,810 --> 00:18:28,290
It is multifactorial what
features you're addressing.

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00:18:28,291 --> 00:18:32,610
And a lot of treatments we do
are like that. So for example,

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00:18:32,611 --> 00:18:35,520
when we did laser
resurfacing in the old days,

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00:18:35,521 --> 00:18:40,290
the big CO2 laser peels in the mid 1990s,

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00:18:41,070 --> 00:18:45,990
well people's skin would always be a
little bit tighter and their wrinkles

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00:18:45,991 --> 00:18:50,730
would be nicely erased. So while
you're getting your wrinkles erased,

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00:18:51,060 --> 00:18:54,900
you're always happy if you get a
little tightening, sure you'll take it.

316
00:18:55,350 --> 00:19:00,300
I never thought that was a good reason
to do a laser peel solely for the

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00:19:00,330 --> 00:19:03,990
tightening, but we're happy
to get that added benefit.

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00:19:04,860 --> 00:19:08,730
So I guess my question about Ellacor is

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00:19:09,690 --> 00:19:14,340
the improvement mostly about wrinkles
where we have all kinds of options to

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00:19:14,341 --> 00:19:19,200
chase it depending on severity, is
it mostly about laxity improvement?

321
00:19:19,680 --> 00:19:21,420
What's the mix?

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00:19:21,870 --> 00:19:23,430
I mean, I don't sell this for wrinkles.

323
00:19:23,431 --> 00:19:25,440
I think we have far
better wrinkle technology.

324
00:19:25,441 --> 00:19:29,430
I would rather burn your face off with
a laser with an Erbium laser and get a

325
00:19:29,440 --> 00:19:31,260
consistent result. I mean, Dr. Bass,

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00:19:31,270 --> 00:19:34,800
we've done thousands of these over our
lifetimes. We know we can get a result.

327
00:19:36,570 --> 00:19:40,620
I think you meant to say you
would rather precisely ablate a

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00:19:41,190 --> 00:19:46,170
very controlled portion of
surface epidermis and dermis

329
00:19:47,070 --> 00:19:50,790
in the quest of facing
wrinkles in your patients.

330
00:19:50,820 --> 00:19:54,090
The older I get, the blunter I get,
I tell 'em on the laser patients,

331
00:19:54,390 --> 00:19:57,360
you'll be great for Halloween for a
couple of days. And you know what?

332
00:19:57,840 --> 00:20:02,640
The blunter I am the more they appreciate
it. That's how, it's interesting.

333
00:20:02,641 --> 00:20:04,350
We're getting old. It
doesn't matter what we say.

334
00:20:05,040 --> 00:20:06,180
No, I think it matters.

335
00:20:06,190 --> 00:20:11,190
But I think patients appreciate being
told the real deal and hearing things in

336
00:20:11,191 --> 00:20:11,971
a forthright way.

337
00:20:11,971 --> 00:20:16,410
There's so much hype and so much
noise in the aesthetic marketplace

338
00:20:16,710 --> 00:20:21,450
that hearing a little dose
of the truth is really a good

339
00:20:21,451 --> 00:20:22,284
thing.

340
00:20:22,980 --> 00:20:25,170
I agree. And we joke around with that,

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00:20:25,180 --> 00:20:29,820
but our precision lasers that ablate
dermis and epidermis and can create a

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00:20:29,821 --> 00:20:33,330
controlled second degree burn. We've
done these for 20 something years.

343
00:20:33,331 --> 00:20:35,550
We can get predictable, beautiful results,

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00:20:35,880 --> 00:20:38,970
and basically we're burning your face
off for a couple of days and it heals

345
00:20:38,971 --> 00:20:41,820
beautifully. But those
things get rid of wrinkles.

346
00:20:41,821 --> 00:20:45,090
I don't consider them the tightening
agents. This is a tightening agent.

347
00:20:45,390 --> 00:20:48,460
That's how I would sell it to the
patient. I sell it as a tightening agent.

348
00:20:48,820 --> 00:20:49,151
And remember,

349
00:20:49,151 --> 00:20:53,290
there's another patient
that had a facelift and you
had a facelift in the past,

350
00:20:53,291 --> 00:20:54,400
and you're a little older now,

351
00:20:54,880 --> 00:20:58,420
and maybe you're a little lax because
facelifts don't stay tight forever.

352
00:20:59,260 --> 00:21:02,230
And unless we make them look like the
joker right away and nobody wants to look

353
00:21:02,231 --> 00:21:05,740
like the joker. So these
areas, especially the jowls,

354
00:21:05,741 --> 00:21:07,210
tend to relax a little bit.

355
00:21:07,211 --> 00:21:10,870
So that's a great thing to do on a
post facelift patient is to do a little

356
00:21:10,870 --> 00:21:11,620
Ellacor on them.

357
00:21:12,320 --> 00:21:15,820
They tighten up very nicely for that
and they won't need a second facelift.

358
00:21:17,350 --> 00:21:20,470
And who else would you say is an
ideal candidate for this procedure?

359
00:21:21,400 --> 00:21:24,010
I think young patients looking
to improve their laxity.

360
00:21:24,011 --> 00:21:28,270
Bald plastic surgeons who can't hide
facelift scars are also good candidates,

361
00:21:31,180 --> 00:21:31,820
really anyone.

362
00:21:31,820 --> 00:21:35,980
But I think to the older patient who's
90 years old with a lot of laxity,

363
00:21:36,670 --> 00:21:40,990
I always think of lasers and other
energy devices as I do my part and the

364
00:21:40,991 --> 00:21:44,620
patient has to do their part. Even though
you're taking out some of their skin,

365
00:21:44,621 --> 00:21:49,300
I think some of the older patients
can't do their part to heal properly,

366
00:21:49,450 --> 00:21:52,390
so they may not tighten as much
as someone who's Doreen's age.

367
00:21:53,770 --> 00:21:55,900
And lastly, as we wrap up Dr. Pozner,

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00:21:55,901 --> 00:21:59,590
what takeaways would you
leave our listeners with if
you bottom line it for me,

369
00:21:59,591 --> 00:22:03,430
what should they know about Ellacor
versus other nonsurgical alternatives?

370
00:22:03,970 --> 00:22:08,500
I think Ellacor is probably the best of
the non-surgical tightening devices in

371
00:22:08,501 --> 00:22:10,090
2023 that we have.

372
00:22:10,450 --> 00:22:13,660
But there's a little bit of downtime and
there's a little pain from the needles.

373
00:22:13,661 --> 00:22:17,200
And if you're looking for a lunchtime
procedure that you can go out to have a

374
00:22:17,201 --> 00:22:19,000
martini right away, that's not it.

375
00:22:19,300 --> 00:22:23,230
But if you don't mind staying home for
36 hours, you will get a great result.

376
00:22:23,231 --> 00:22:26,770
I still think this is the best bet
for 2023 for non-surgical tightening.

377
00:22:27,580 --> 00:22:29,560
And Dr. Bass, would you
like to add any takeaways?

378
00:22:30,400 --> 00:22:34,150
So as we mentioned, this technology
and Dr. Pozner pointed out,

379
00:22:34,151 --> 00:22:38,560
even though we're close to two
years since it's been FDA approved,

380
00:22:38,561 --> 00:22:42,850
it hasn't been widely
available until six months ago.

381
00:22:43,780 --> 00:22:46,900
So we're really learning
about indications,

382
00:22:47,410 --> 00:22:52,060
a lot of data being accumulated
about outcomes and what treatment

383
00:22:52,070 --> 00:22:56,740
techniques get patients through this
as quickly and easily as possible.

384
00:22:56,950 --> 00:23:01,750
So this will continue to refine
as we learn about this technology

385
00:23:01,751 --> 00:23:04,060
and as the technology evolves,

386
00:23:04,450 --> 00:23:09,250
it's a great option for patients with
the right indication and the right

387
00:23:09,251 --> 00:23:14,080
stage of aging. So like everything in
plastic surgery and aesthetic medicine,

388
00:23:14,081 --> 00:23:18,940
if you use it for what it's good
for and don't force it to try to

389
00:23:18,941 --> 00:23:21,190
do what it's not really designed to do,

390
00:23:21,550 --> 00:23:25,000
you tend to get the advertised results.

391
00:23:26,650 --> 00:23:31,540
We're still waiting on
how to do the neck maybe a

392
00:23:31,541 --> 00:23:36,430
little bit better and looking
at specific outcome data about

393
00:23:36,440 --> 00:23:41,410
laxity because the current indication
is for treatment of moderate to

394
00:23:41,411 --> 00:23:44,950
severe wrinkles in the mid to lower face.

395
00:23:46,130 --> 00:23:50,270
So I'd like to thank Dr. Pozner
for joining us again. As always,

396
00:23:51,350 --> 00:23:56,210
his experience and his ability to be very

397
00:23:56,211 --> 00:24:01,040
well-informed about the latest in
technology and to share with us in

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00:24:01,050 --> 00:24:05,870
an entertaining way continues
to be unparalleled. So Jason,

399
00:24:06,230 --> 00:24:07,063
thank you.

400
00:24:10,040 --> 00:24:13,820
Thank you Dr. Pozner for joining us
today and sharing your cutting edge

401
00:24:13,821 --> 00:24:15,830
firsthand experience with Ellacor.

402
00:24:17,480 --> 00:24:21,170
Thank you for listening to the Park
Avenue Plastic Surgery Class podcast.

403
00:24:21,590 --> 00:24:23,090
Follow us on Apple Podcasts,

404
00:24:23,120 --> 00:24:25,220
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405
00:24:25,640 --> 00:24:28,730
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406
00:24:28,731 --> 00:24:32,240
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407
00:24:32,241 --> 00:24:33,860
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408
00:24:33,860 --> 00:24:37,570
Send us an email at podcast@drbass.net
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409
00:24:38,690 --> 00:24:38,840
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