TOPIC: HA injectable Phalloplasty - for safety

Thank you so much, doc. Your openess is difficult to matc - even worldwide. It\'s so good you\'re on this forum.

Sexbeast, what is kybella?

Dr qates ia the man he is very helful honest and supportive ...

I agree that Dr. Oates is a prolific poster of genuinely helpful and insightful content. My only gripe is his lack of pics and videos. It\'s perfectly understandable patients not wanting to have there procedures published online, however, it is absurdly easy to simply crop both pictures and video in a manner that simply focuses on the procedure, and not the person. The matter of privacy becomes moot. There are countless doctors who do this. After all, this is the information age! For Pete\'s sake, it\'s 2016, and videos of procedures are the norm. If you\'re going to claim to have a superior technique, there should be no reason why you can\'t publish it, as to benefit and advance the entire industry. Here\'s an example of a doctor that has a very specific technique, which he shares for all to see, and benefit from:

chester wrote: I agree that Dr. Oates is a prolific poster of genuinely helpful and insightful content. My only gripe is his lack of pics and videos. It\'s perfectly understandable patients not wanting to have there procedures published online, however, it is absurdly easy to simply crop both pictures and video in a manner that simply focuses on the procedure, and not the person. The matter of privacy becomes moot. There are countless doctors who do this. After all, this is the information age! For Pete\'s sake, it\'s 2016, and videos of procedures are the norm. If you\'re going to claim to have a superior technique, there should be no reason why you can\'t publish it, as to benefit and advance the entire industry. Here\'s an example of a doctor that has a very specific technique, which he shares for all to see, and benefit from:

Hi Chester,

We just videoed another procedure yesterday and will edit and post soon.

Thanks for addressing this, Dr. We look forward to seeing the video, and learning more about your technique.

jogfit
I had 5 coolsculpting treatments to treat fat on my chest, to very little effect. Zero fat reduction. I did hear is not as effective on the chest but you at least would think that there would be some fat loss.

Chester, thanks for this report. I have yet to see someone who has done it to report anything positive about it. I was considering it because of the \"no downtime\" but am now sceptical. Thanks again ...

Im  interested in hearing about the \"horror stories\" caused by this product. So you know what you can expect as a worst case scenario.

the best way to explain kybella is to show u the website, i myself have had it twice. it\'s indication is for the fat pad under the chin but off lable use is how practitioners make more money, just like like botox\'s indication was for the glabella but of course we stick it all over the face.
www.mykybella.com/?cid=sem_goo_43700010244379676

docs  r debulking with the cool sculpt and then fine tuning with the kybella

There are so many horror stories about it on the web. I\'d prefer to take my cue from this board. So far, Dr Oates says it\'s good, sexbeast says it\'s great (maybe fine-tuned with kybella) but chester had no effect though it\'s known not to be so effective on the chest. Things are looking up. I\'m hoping that in just a few days I could have voluma and coolsculpting all done to justify my round-trip to Australia ...

Jogift, its supposedly reverseible, so have ppl had permanent problems after \"removing\" it? 

 cool sculpt freezes fat which is great, the problem is that it also can freeze healthy tissue as well. some people talk of a numb sensation for months afterwards but as it is with any medical procedure there can be complications. personally in my opinion there r certain body parts that respond better than others. as invasive a liposuction is i would go for the lipo with larger areas, sure there is more down time and can have more complications but it\'s one and done.

Did we want to start another thread on Coolsculpting?

But I agree with Sexbeast\'s comments.

smalljay wrote: Hi Dr. Oates,

I was hoping to pick your brain about the very high costs of HA. I\'m not talking about your prices per say (I don\'t even know them). But in general. I\'ve looked in the USA, Mexico and the UK for price points - for my penis but also for other areas of my body. I was quoted at well over $400 per cc. So for the penis, if I wanted a good long lasting HA it was gonna cost me like $5700 for a temporary result. My questions for you are:- Why is HA so expensive? Is this just a high markup by doctors or is it more to do with the wholesale price?- Do you foresee HA ever getting cheaper in the future due to any factor, such as production becoming cheaper/easier? Or is the high price of HA here to stay?- How do doctors in Europe/Mexico offer 150cc/ml+ of Macrolane for breast enlargement and only charge 3000 euros? How can they possibly afford to give away that many CC\'s of Macrolane for like $25 per cc? Meanwhile if you ask for Macrolane in the penis, you\'ll be charged over $300 per cc. I guess that takes into account the skill needed to apply it to the penis, but still. The markup on Macrolane (the cheapest HA) must be very high if breast enlargements can be done so cheaply.

Thanks for all the info you\'re providing us,
Smalljay

I think there are a number of things to it.

HA - in Australia - is just expensive to buy ($ 160 - 300/ml depending on the brand and level of discount the doctor get proportional to volume). We have never had macrolane. Sure I could buy it for $10/ml off the internet but that would be illegal, unethical and very short sighted as it is likely to be a disaster.

I have a relatively high cost practice and if dont markup by 100% would lose money.

But as our volume is going up and the manufacturers are taking notice of what we are doing the possibility for greater discounts are arising. We are looking at using \"Ultimate\" by Teosyal. Teosyal are probably about #3 HA brand after Alergan\'s Juverderm and Galdera\'s Restylane ranges. teosyal claim that Ultimate is the longest lasting HA on the market. So we are interested. Also maybe they have more to gain by being linked to Calibre than Allergan has. And Ultimate does come in a 3 ml syringe - better chance of per ml discount.

As I am essentially the only person/clinic offering this in Australia we dont have any competition. But, no doubt, someone will jump onto this soon and the only way to \'compete\' with our experience will to be cheaper.

Eventually I will do training in other countries and train 10+ doctors in a course and then there will be doctors everywhere offering Calibre. It is coming.