Do you think that the reflection you see in the mirror each morning matches the way you feel? Many patients wish that there was a safe, easy and quick way to get rid of their fine wrinkles, irregular pigmentation and large pores. Fortunately, our advanced technologies enable us to treat these skin imperfections safely, easily and effectively.
Botox Injections
Botoxinjections are a diluted form of botulism which is injected into facial muscles to weaken the muscles that form wrinkles.
The History of Botox
Botulinum toxins were first researched in the late 1960s to treat neurological disorders. Botox was first approved by the FDA in 1989 to treat eye muscle disorders (blepharospasm, uncontrollable blinking, and strabismus, crossed eyes). In April 2002, the FDA approved the drug for wrinkle reduction. Subsequently it was approved to use for hyperhydrosis of underarms.
What kind of wrinkles do Botox injections treat?
Wrinkles that are caused by muscle contraction, such as frown lines, crow's feet, forehead creases, and neck bands can be safely and successfully treated with Botox.
What to expect at your initial visit.
You will be asked to contract the facial muscles (frowning, squinting) that affect the area to be treated. This will help your surgeon determine the best location for the botox injection.
The botox injection is normally injected directly into the muscle with a tiny needle. Results of botox injections are normally seen within a few days. The results generally last 4-6 months and require occasional touch ups. There is generally no recovery period after a botox injection. You can go directly back to your normal activities.
Safety and Side Effects.
Botox® is proven to be safe and effective. Over the past 20 years, Botulinum Toxin Type A has been evaluated in more than 200 studies. There are no documented systemic complications associated with Botox® injections. Botox® has been widely used for more than 11 years with over 1 million people.
2.
FILLER INJECTIONS
Filler materials are gel that is injected into the skin in order to add volume to lips and lift up wrinkles and folds. Restylane/ Perlane/ Juvederm consists of hyaluronic acid, which is a natural substance already present in your body that provides volume and fullness to the skin. Once in the skin, fillers work by creating volume.
Are Restylane/ Juvebderm FDA approved?
The U.S. Food and Drug Administration (FDA) has approved Restylane(R) & Juvederm, an injection for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds, the lines between the nose and mouth. Restylane & Juvederm are the only FDA-approved dermal fillers made of a biodegradable non-animal stabilized hyaluronic acid (NASHA™).
Which areas of the face can be treated with fillers?
Fillers can be used for smoothing out folds and wrinkles, lip enhancements and shaping facial contours. The most common areas are the glabellar lines (between the eyebrows), the nasolabial folds (from the root of the nose to the angle of the mouth) and the lips, although other sites can also be treated. Very superficial or very deep wrinkles may be difficult to correct.
What will I look like after the treatment?
Immediately after the treatment, you can expect slight redness, swelling, tenderness or an itching sensation in the treated area. This is a normal result of the injection. The discomfort is temporary and generally disappears in a few days. After a lip treatment, the lips may become swollen and look somewhat uneven. This can persist for a few days (up to a week).
Are there any side-effects associated with fillers?
Injection-related reactions such as swelling, redness and tenderness might occur. Other types of reactions are very rare, but about 1 in 2000 treated patients have experienced localized reactions thought to be of a hypersensitive nature. These have usually consisted of swelling or redness at the injection site, sometimes affecting the surrounding tissues.
How long do the results last?
It has been shown in clinical trials that Restylane is effective for up to six months, but individual results may vary.
Advances in your treatment options have continued to improve, from dermabrasion and chemical peels to CO2 and ERBIUM laser skin resurfacing. With dermabrasion, layers of skin are actually sanded away. A chemical peel uses acid solution to burn away layers of skin. Today, lasers give surgeons infinitely more control, making skin resurfacing safer and more predictable. However, laser skin resurfacing still exfoliates the protective outer layer of skin, which may require bandages and a somewhat lengthy recovery period.
3.
PHOTO FACIAL REJUVENATION
Photofacial Rejuvenation was designed to combat the effects of aging and damaged skin in a softer, gentler way. Using the laser system, your doctor gently delivers precise amounts of light energy through your skin's surface. Treatments are spaced out at three week intervals. The energy is delivered at specific settings for each treatment to maximize your results.
The light energy stimulates the production of collagen. As the new collagen forms, it softens the appearance of aging skin. Fine lines and wrinkles are decreased.
How many Treatments will I need?
Depending on the area treated, there will be a series of five to eight treatments. Treatments usually take from 15 to 30 minutes and are administered in the doctor's office.
4.
MESOTHERAPY
Mesotherapy, a medical procedure developed in France by Dr. Michel Pistor was given formal recognition by the French Academy of Medicine in 1987. Approximately 60,000 patients in France receive Mesotherapy treatments annually for a variety of reasons including pain management, sports medicine, cellulite elimination, body sculpting, facial and neck skin rejuvenation and as a treatment for hair loss. Mesotherapy is the practice of using microinjections of medications into the mesoderm or middle layer of skin for various skin treatment.
Mesotherapy treatment for hair loss
Hair re-growth for thinning hair is now possible for women and men using mesotherapy.
Mesotherapy, a technique of tiny microinjection, places hair stimulating solutions and vitamins into the scalp at the hair follicle - this is superior to topical application of remedies which sit on the scalp and do not reach the hair follicle.
Hair re-growth mesotherapy works for women and men with stress related hair thinning, age related hair loss, post pregnancy hair loss, male pattern hair loss Peri-menopausal and menopausal hair loss.
Hair re-growth mesotherapy is much more effective than topical applications, and is much more convenient: the scalp with thinning hair receives tiny microinjections every week for 1 month, then twice a month for one month & then once a month for 4 months, then on an "as needed" basis. There are no messy squeeze bottles or sprays to remember twice a day, and the results are much, much better.
Mesotherapy replaces the vitamins and minerals that the body loses as we age. The medication in mesotherapy treatment causes an increase in blood circulation to the scalp area and stimulates the hair follicles. Small amounts of specially formulated FDA-approved medications are injected under the skin very close to the hair follicles. These medications deliver long-acting neutralizing effects on the DHT (dehydrotestosterone) hormone, which causes hair loss, allowing hair to grow.
5.
FACIAL REJUVENATION
Mesotherapy skin rejuvenation infuses the dermis with potent vitamins and antioxidants to rejuvenate and revitalize the skin. People who have had a Mesolift describe their skin as firm, radiant, youthful and glowing.
It is a comprehensive programme of non-surgical facial lifting and contouring as well as proving to be powerful combination in conjunction with non reticulated hyaluronic acid or skin rejuvenation.
Mesotherapy benefits
Improved skin texture Reduction in fine lines and pores Stimutes collagen production Anti-ageing
What are the formulas?
Vit Jal Revitalizing (hyluronic acid)- 1 treatment every fortnight Idebae – 1 treatment per week X 4 sessions 1 treatment per fortnight X 2 1 treatment monthly X 4 months MesoLIFT- Glycolic acid, silicium, antioxidant- 1 tretament per fortnight X 4 1 treatment per month X 3 1 treatment every 2 months X 6 * Restylane Vital- 1 treatment 4 weeks apart X 2
Maintaninenece depending on skin response
6.
LIPODISSOVE
It is a method designed to treat localized fat deposits in the body.It has been scientifically proven to break down the fat cell walls. The fat is dissolved into liquid and eliminated from the body. Treatment session: 5 sessions per body area every fortnight Indications: Localized fat deposit tummy, love handles & chin For patient who cannot undergo Liposuction for various reason
Contarindications for Mesotherapy:
Pregnancy Insulin dependent Diabetics History of strokes Hisotry of recent cancer History of blood clots Patients on multiple medciations from heart disease
What are the techniques?
Manual technique Meso Gun Nappage Papules Linear technique Topical aneasthetic or Local anaesthesia
Mesotherapy skin rejuvenation infuses the dermis with potent vitamins and antioxidants to rejuvenate and revitalize the skin. People who have had a Mesolift describe their skin as firm, radiant, youthful and glowing.
It is a comprehensive programme of non-surgical facial lifting and contouring as well as proving to be powerful combination in conjunction with non reticulated hyaluronic acid or skin rejuvenation.
Botoxinjections are a diluted form of botulism which is injected into facial muscles to weaken the muscles that form wrinkles.
The History of Botox
Botulinum toxins were first researched in the late 1960s to treat neurological disorders. Botox was first approved by the FDA in 1989 to treat eye muscle disorders (blepharospasm, uncontrollable blinking, and strabismus, crossed eyes). In April 2002, the FDA approved the drug for wrinkle reduction. Subsequently it was approved to use for hyperhydrosis of underarms.
What kind of wrinkles do Botox injections treat?
Wrinkles that are caused by muscle contraction, such as frown lines, crow's feet, forehead creases, and neck bands can be safely and successfully treated with Botox.
What to expect at your initial visit.
You will be asked to contract the facial muscles (frowning, squinting) that affect the area to be treated. This will help your surgeon determine the best location for the botox injection.
The botox injection is normally injected directly into the muscle with a tiny needle. Results of botox injections are normally seen within a few days. The results generally last 4-6 months and require occasional touch ups. There is generally no recovery period after a botox injection. You can go directly back to your normal activities.
Safety and Side Effects.
Botox® is proven to be safe and effective. Over the past 20 years, Botulinum Toxin Type A has been evaluated in more than 200 studies. There are no documented systemic complications associated with Botox® injections. Botox® has been widely used for more than 11 years with over 1 million people.
In this technique fat cells are used to improve deep grooves, wrinkles on the face particularly side of nose and mouth, cheek bones to rejuvenate the face.
Eyelid Pearl Fat Grafts
Fat tissue of the size of small pearls (3-5 mm in diameter) may be harvested from distant donor sites (most typically from the fat around the belly button or beneath the pubic hair) and grafted into the eye socket to augment overlying areas of eyelid hollowness. Depending upon the severity of the volume deficiency, a variable quantity of pearls is implanted. This technique results in better uptake of fat cells.
Filler materials are gel that is injected into the skin in order to add volume to lips and lift up wrinkles and folds. Restylane/ Perlane/ Juvederm consists of hyaluronic acid, which is a natural substance already present in your body that provides volume and fullness to the skin. Once in the skin, fillers work by creating volume.
Are Restylane/ Juvebderm FDA approved?
The U.S. Food and Drug Administration (FDA) has approved Restylane(R) & Juvederm, an injection for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds, the lines between the nose and mouth. Restylane & Juvederm are the only FDA-approved dermal fillers made of a biodegradable non-animal stabilized hyaluronic acid (NASHA™).
Which areas of the face can be treated with fillers?
Fillers can be used for smoothing out folds and wrinkles, lip enhancements and shaping facial contours. The most common areas are the glabellar lines (between the eyebrows), the nasolabial folds (from the root of the nose to the angle of the mouth) and the lips, although other sites can also be treated. Very superficial or very deep wrinkles may be difficult to correct.
What will I look like after the treatment?
Immediately after the treatment, you can expect slight redness, swelling, tenderness or an itching sensation in the treated area. This is a normal result of the injection. The discomfort is temporary and generally disappears in a few days. After a lip treatment, the lips may become swollen and look somewhat uneven. This can persist for a few days (up to a week).
Are there any side-effects associated with fillers?
Injection-related reactions such as swelling, redness and tenderness might occur. Other types of reactions are very rare, but about 1 in 2000 treated patients have experienced localized reactions thought to be of a hypersensitive nature. These have usually consisted of swelling or redness at the injection site, sometimes affecting the surrounding tissues.
How long do the results last?
It has been shown in clinical trials that Restylane is effective for up to six months, but individual results may vary.
Advances in your treatment options have continued to improve, from dermabrasion and chemical peels to CO2 and ERBIUM laser skin resurfacing. With dermabrasion, layers of skin are actually sanded away. A chemical peel uses acid solution to burn away layers of skin. Today, lasers give surgeons infinitely more control, making skin resurfacing safer and more predictable. However, laser skin resurfacing still exfoliates the protective outer layer of skin, which may require bandages and a somewhat lengthy recovery period.
Full, luscious lips have always been sought after, regardless of age. A plump pout is considered to be a sign of youth and an icon of sensuality.
Lip Augmentation is the procedure which uses synthetic or biological products or surgical restructuring to enhance the lips in many ways. Augmentation can be achieved by many procedures, some better than others. At this time and moment there is no filler material that can be considered ideal that would be soft, pliable and permanent, yet removable, inexpensive and cause NO complications in any patient. However, doctors try their best with what is available.
Lip augmentation is good for persons with small, deflated lips, asymmetry, reconstructive needs, dropping or sagging upper lip, lack of color, wrinkling from smoking or aging and other complaints.
There are a number of filler materials used:
Lip implants:
Injectables:
Advanta
Artecoll
AlloDerm
Aquamid
Dermis grafts
Bio-Alcamid
Fascia Grafts
Bovine Collagen
Gore-Tex
Human Collagen
SoftForm
Particulated Dermis
Tendon Grafts
Perlane/Restylane
UltraSoft
Porcine Collagen
Plus a few more
and many, many more...
Hyaluronic acid (Restylane, Perlane, Juvederm) is our choice that may last 6-8 months. However it can last longer in the authors’ hand.
Fat injection is also a good option and can give a permanent enlargement.
Mesotherapy, a medical procedure developed in France by Dr. Michel Pistor was given formal recognition by the French Academy of Medicine in 1987. Approximately 60,000 patients in France receive Mesotherapy treatments annually for a variety of reasons including pain management, sports medicine, cellulite elimination, body sculpting, facial and neck skin rejuvenation and as a treatment for hair loss. Mesotherapy is the practice of using microinjections of medications into the mesoderm or middle layer of skin for various skin treatment.
Mesotherapy treatment for hair loss
Hair re-growth for thinning hair is now possible for women and men using mesotherapy.
Mesotherapy, a technique of tiny microinjection, places hair stimulating solutions and vitamins into the scalp at the hair follicle - this is superior to topical application of remedies which sit on the scalp and do not reach the hair follicle.
Hair re-growth mesotherapy works for women and men with stress related hair thinning, age related hair loss, post pregnancy hair loss, male pattern hair loss Peri-menopausal and menopausal hair loss.
Hair re-growth mesotherapy is much more effective than topical applications, and is much more convenient: the scalp with thinning hair receives tiny microinjections every week for 1 month, then twice a month for one month & then once a month for 4 months, then on an "as needed" basis. There are no messy squeeze bottles or sprays to remember twice a day, and the results are much, much better.
Mesotherapy replaces the vitamins and minerals that the body loses as we age. The medication in mesotherapy treatment causes an increase in blood circulation to the scalp area and stimulates the hair follicles. Small amounts of specially formulated FDA-approved medications are injected under the skin very close to the hair follicles. These medications deliver long-acting neutralizing effects on the DHT (dehydrotestosterone) hormone, which causes hair loss, allowing hair to grow.
Mesotherapy benefits
Improved skin texture Reduction in fine lines and pores Stimutes collagen production Anti-ageing
What are the formulas?
Vit Jal Revitalizing (hyluronic acid)- 1 treatment every fortnight Idebae – 1 treatment per week X 4 sessions 1 treatment per fortnight X 2 1 treatment monthly X 4 months MesoLIFT- Glycolic acid, silicium, antioxidant- 1 tretament per fortnight X 4 1 treatment per month X 3 1 treatment every 2 months X 6 * Restylane Vital- 1 treatment 4 weeks apart X 2
Photofacial Rejuvenation was designed to combat the effects of aging and damaged skin in a softer, gentler way. Using the laser system, your doctor gently delivers precise amounts of light energy through your skin's surface. Treatments are spaced out at three week intervals. The energy is delivered at specific settings for each treatment to maximize your results
The light energy stimulates the production of collagen. As the new collagen forms, it softens the appearance of aging skin. Fine lines and wrinkles are decreased.
How many Treatments will I need?
Depending on the area treated, there will be a series of five to eight treatments. Treatments usually take from 15 to 30 minutes and are administered in the doctor's office.
Lasers are a new modality for the rapid, gentle removal of unwanted hair. Lasers are not for everyone, and their proper use requires great expertise. Consumers contemplating laser hair removal require education to properly evaluate if and where to have laser hair removal performed.
Fractional photothermolysis is a new approach to laser technology that can treat a number of conditions with minimal downtime. The mechanism of action for fractional photothermolysis is the targeted treatment of millions of microscopic areas of thermal damage, with the adjacent tissue left untreated. This healthy untreated tissue surrounding the treatment areas expedites healing and re-epithelialization of the treatment areas.
The technology is used to treat photo-damaged skin on the neck, chest, arms, legs and hands, as well as the face. Other indications are acne scars, melasma, rhytids and dyschromia,.
The risk of scarring with fractional photothermolysisis much less than it is with traditional ablative techniques when used off the face
The absolute requirement is that one's hair must be darker than the surrounding skin. Tanned patients with light hair are not candidates. Tanned patients with dark hair should wait until their tan fades before they are treated.
2.
Influence of skin color on laser hair removal
Light skin makes laser hair removal easier to perform. Fewer treatments are required, and better, faster results are obtained. People with darker skin can be treated, but results are slower, more sessions are required, and greater expertise is required on the part of the laser center. Laser hair removal must be individualized for each patient.
3.
Influence of hair color on laser hair removal.
Dark hair absorbs more laser energy and is easier to treat. Coarse dark hair responds the best to laser treatment. Light hair is more difficult to treat. Blonde or red hair is very difficult to treat. Multiple treatment sessions are required, and results are variable.
4.
Laser hair removal requires multiple treatments.
Although one laser session can produce long-term hair removal, as a rule multiple treatment sessions are necessary to obtain optimal results. In large part this is due to the fact that laser hair removal is most effective for hair which is in the anagen phase (growth phase of hair). Since hair grows in cycles, not all of the hairs are in anagen at any given time. Additional sessions are necessary to catch all of the hairs when they are in anagen.
5.
What areas can be treated?
Any area, except adjacent to the eye, where there is excess hair. The most common areas requested are the face, upper lip, neck, chest, periareolar, underarms, back, abdomen, bikini line, and legs.
6.
About permanent hair reduction by laser.
Waxing, shaving, and plucking all produce hair removal which is temporary. Several of the newer lasers have clearly documented that there is permanent hair reduction after each treatment. The FDA has approved several lasers for permanent hair reduction, and more results with additional lasers are pending. The results tend to be additive, i.e. more treatments lead to greater degrees of permanent hair reduction. For any given patient results cannot be precisely predicted. Results can be variable, even with the best lasers.
7.
Adverse treatment reactions
Pigmentary change of the skin treated can occur, including either dark or light areas. Pigmentary changes may persist for months, but are almost always temporary. They are very rare in patients with fair skin who are untanned. Blisters and burns are rare but occasionally occur, particularly in patients with dark skin.
8.
Beta-Carotene and laser hair removal.
Beta Carotene, found in carrots, vitamin A supplements, squash, and other vegetables, is deposited in the skin, producing a subtle orange or yellow color in the skin. This pigment absorbs laser energy, preventing it from reaching the hair follicle, and increasing the absorption of laser energy in the skin. Beta carotene persists for months after ingestion. Patients interested in the best results from laser hair removal will benefit from discontinuation of the use of all forms of beta carotene.
Photofacial Rejuvenation was designed to combat the effects of aging and damaged skin in a softer, gentler way. Using the laser system, your doctor gently delivers precise amounts of light energy through your skin's surface. Treatments are spaced out at three week intervals. The energy is delivered at specific settings for each treatment to maximize your results. The light energy stimulates the production of collagen. As the new collagen forms, it softens the appearance of aging skin. Fine lines and wrinkles are decreased.
HOW MANY TREATMENTS WILL I NEED?
Depending on the area treated, there will be a series of five to eight treatments. Treatments usually take from 15 to 30 minutes and are administered in the doctor's office.
Improved skin texture
Improved skin texture