What it is?

Anti-ageing is the term used to prevent or minimise the appearance of the aging process. 


  • Fine lines, creases and wrinkles on the skin, sagging or loss of elasticity and volume in the skin. The symptoms differ as the individual gradually ages.  For example in 30 year olds collogen and elastin are getting weaker forming fine lines specifically around the lip and eye area. These lines are also apparent depending on the individuals facial expressions such as developing lines on the forehead or brow. The elastin support for the lymph glands also weakens in a person thirties which can cause puffiness around the eyes and a dullness in skin comlexion.
  • FORTIES – The lymphatic system slows down significantly, the lymphnoids do not drain toxins effectivley as proviously causing puffiness in the cheeks and eyes. The skin produces less sebum, which means less protection for the skin. The body produces less oestrogen causing sagging in the neck and chest area. Also as part of the aging process increasing fat depoists and celluite develop around the hips and thighs. 


  • The aging process is caused by intrinisc factors which cannot be controlled, intrinsic factors are a natural part f the aging procross. Alternativly Extrinisic factors are caused by lifestyle and environmental factors and can exhasibate the aging process. Intrinisc factors include developing fine lines, losing elasticity in the skin, dull apperance of skin complextion. Extrinic factors include sun damage, protect your skin from the sun every day. Every time you get a tan, you prematurely age your skin. Smoking greatly speeds up how quickly skin ages. It causes wrinkles and a dull, sallow complexion. repetitive facial expressions. When you make a facial expression, you contract the underlying muscles. If you repeatedly contract the same muscles for many years, these lines become permanent. Wearing sunglasses can help reduce lines caused by squinting. 
  • Nutrition, studies suggest that eating fresh fruits and vegetables may help prevent damage that leads to premature skin aging. Findings from research studies also suggest that a diet containing lots of sugar or other refined carbohydrates can accelerate aging. 
  • Drink plenty of water, hydrate the skin, flush the body. Alcohol is rough on the skin. It dehydrates the skin, and in time, damages the skin. This can make us look older. 
  • Exercise most days of the week. Findings from a few studies suggest that moderate exercise can improve circulation and boost the immune system. This, in turn, may give the skin a more-youthful appearance. 
  • Cleanse your skin gently, irritating your skin with scrubbing accelerates skin aging. Gentle washing helps to remove pollution, makeup, and other substances without irritating your skin.
  • Wash your face twice a day and after sweating heavily. Perspiration, especially when wearing a hat or helmet, irritates the skin, so you want to wash your skin as soon as possible after sweating.
  • Apply a facial moisturizer every day. Moisturizer traps water in our skin, giving it a more youthful appearance. 
  • Stop using skin care products that sting or burn. When your skin burns or stings, it means your skin is irritated. Irritating your skin can make it look older.


Amber LED light therapy
About treatment
Amber light therapy is also sometimes referred to as yellow or orange light therapy. It encompasses the range of wavelengths from 570 nm to 620 nm.

Amber light has quite a shallow skin penetration but is effective in the treatment of skin issues involving redness, such as spider veins. Though it is not typically used for tissue healing or collagen/elastin production, where it excels is in the treatment of problems such as sun damage. It is often considered to be an ideal therapy for sensitive skin, as its therapy is calming and soothing.

Amber light therapy is frequently recommended as a drug-free alternative treatment for skin redness and flushing, irritation, rosacea, UV radiation damage, and reducing the appearance of the tiny blood vessels on the nose and face. It helps to flush waste from the skin, boost lymphatic flow, and increase cellular growth.”

Alpha Hydroxy Acids
About treatment
AHA-containing products cause exfoliation or shedding of the surface skin. The extent of exfoliation depends on the type and concentration of the AHA, its pH, and other ingredients in the product. Products containing AHAs are marketed for a variety of purposes, such as smoothing fine lines and surface wrinkles, improving skin texture and tone, unblocking and cleansing pores, and improving skin condition in general. Sometimes AHAs are used in cosmetics for other purposes, such as to adjust the pH (the degree of acidity or alkalinity).       

Alpha hydroxy acids are a group of natural acids found in foods. Alpha hydroxy acids include citric acid (found in citrus fruits), glycolic acid (found in sugar cane), lactic acid (found in sour milk), malic acid (found in apples), tartaric acid (found in grapes), and others.

Alpha hydroxy acids seem to work by removing the top layers of dead skin cells. They can also increase the thickness of deeper layers of skin, promoting firmness.

Ablative laser
About treatment
With advances in laser technology, it is now possible to significantly improve aged or sun-damaged skin. Ablative laser skin resurfacing is one of the most effective cosmetic procedures for improving aging skin.

The procedure works by delivering an intense wavelength of light to the skin, which removes the outer layers of aged or sun damaged skin. In addition, the laser stimulates the underlying skin, resulting in collagen formation and an improvement in wrinkles. As the lasered skin heals following the procedure, new skin forms that is smoother and tighter.

Ablative lasers are used to treat:

  • Fine to moderate wrinkles
  • Liver spots or age spots
  • Uneven skin tone
  • Sun-damaged skin
  • Acne or chickenpox scars

It is important to note that laser resurfacing cannot remove deep wrinkles or excessive or sagging skin. In addition, the effects aren’t permanent because as you age, you continue to develop wrinkles. Repeated treatments may be necessary.

Ablative laser resurfacing is usually performed in your dermatologic surgeon’s office. Before the procedure, your face will be thoroughly cleaned. The areas to be treated will be numbed with a local anesthetic to help reduce pain. You may also be given a sedative to help you relax.

You will wear protective eye shields during the procedure to protect your eyes. Your doctor will hold your skin taut while the laser is fired. The intense heat from the laser causes just the right amount of controlled damage to the small targeted area of skin. This removes aged or sun-damaged skin and at the same time, encourages healthy collagen to grow in its place.

Ablative laser resurfacing typically takes between 30 minutes and two hours, depending on the technique used and the size of the area treated.


  • After laser resurfacing, an ointment and dressing will be applied to your skin. Your face will be covered with a mask bandage for a few days.
  • Your skin will look and feel as though it is severely sunburned. It may be raw, oozing and have significant drainage for up to two weeks following laser resurfacing. You will be instructed on how to care for your skin during the initial healing process. It is important not to pick or scratch at the skin while it is healing.
  • You may experience pain, tingling, burning and itching. You may use pain medicine and ice packs to relieve your pain.
  • Remain at home and avoid strenuous activity. It is important to complete the antiviral medication that the doctor has given you to reduce the chance of infection. You will need to have multiple follow-up appointments so your doctor can monitor your recovery.
  • It typically takes two to four weeks for your skin to completely heal. After about two weeks, new skin grows and covers the wounds. The skin can remain pink and red for many months after the procedures; however most patients can use makeup to cover the skin color after about two weeks.
  • It is critical to minimize excessive direct sun exposure and use proper sun protection following laser resurfacing. Too much sun may cause permanent irregular coloration in your facial skin.

About treatment
Botox is a drug made from a toxin produced by the bacterium Clostridium botulinum. It’s the same toxin that causes a life-threatening type of food poisoning called botulism. Doctors use it in small doses to treat health problems, including :

  • Temporary smoothing of facial wrinkles and improving your appearance
  • Severe underarm sweating
  • Cervical dystonia – a neurological disorder that causes severe neck and shoulder muscle contractions
  • Blepharospasm – uncontrollable blinking
  • Strabismus – misaligned eyes
  • Chronic migraine
  • Overactive bladder

Botox injections work by weakening or paralyzing certain muscles or by blocking certain nerves. The effects last about three to twelve months, depending on what you are treating. The most common side effects are pain, swelling, or bruising at the injection site. You could also have flu-like symptoms, headache, and upset stomach. Injections in the face may also cause temporary drooping eyelids. You should not use Botox if you are pregnant or breastfeeding.  BOTOX is a prescription medicine that is injected into muscles and used:

  • to treat overactive bladder symptoms such as a strong need to urinate with leaking or wetting accidents (urge urinary incontinence), a strong need to urinate right away (urgency), and urinating often (frequency) in adults when another type of medicine (anticholinergic) does not work well enough or cannot be taken.
  • to treat leakage of urine (incontinence) in adults with overactive bladder due to neurologic disease when another type of medicine (anticholinergic) does not work well enough or cannot be taken.
  • to prevent headaches in adults with chronic migraine who have 15 or more days each month with headache lasting 4 or more hours each day.
  • to treat increased muscle stiffness in elbow, wrist, and finger muscles in adults with upper limb spasticity.
  • to treat increased muscle stiffness in ankle and toe muscles in adults with lower limb spasticity.
  • to treat the abnormal head position and neck pain that happens with cervical dystonia (CD) in adults.
  • to treat certain types of eye muscle problems (strabismus) or abnormal spasm of the eyelids (blepharospasm) in people 12 years and older.

BOTOX is also injected into the skin to treat the symptoms of severe underarm sweating (severe primary axillary hyperhidrosis) when medicines used on the skin (topical) do not work well enough.

Botox cosmetic
About treatment
BOTOX Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults for a short period of time (temporary).

BOTOX Cosmetic is a prescription medicine that is injected into the area around the side of the eyes to improve the look of crow’s feet lines in adults for a short period of time (temporary).

You may receive treatment for frown lines and crow’s feet lines at the same time.

During the Botox Procedure
The patient is placed in a somewhat raised position on the exam table, and the areas to be injected are cleansed with a nonalcohol cleanser, such as Hibiclens or Betadine. Some physicians will apply a topical anesthetic, such as EMLA cream or some alternative, at this time. The Botox is then injected into the desired areas. Typical injection patterns include about four or five areas on each side of the forehead and two or three areas on either eye area. More areas can be injected by skilled physicians, depending on the type of wrinkles and the desired effect for the patient. It is common for pressure to be applied if an area seems to be bleeding after the injection. While ice is sometimes applied beforehand for comfort reasons, direct pressure is much more effective than ice for control of bleeding and bruising.

After the Botox Procedure
After the injections, the patient will usually lay upright or semiupright on the exam table for about two to five minutes to make sure he or she feels good after the procedure, and then the patient should avoid lying down for two to four hours. If bruising is a concern, it will be important for the patient to avoid taking aspirin or related products, such as ibuprofen (Advil, Motrin) or naproxen (Aleve), if possible after the procedure to keep bruising to a minimum.

There are many physicians who encourage their patients to either work the area several times during the next several days or, alternatively, to not use the affected muscles during the next several days. Many practitioners do not tell the patients to do anything in particular other than to avoid strenuous activity for several hours afterwards because of an increased risk of bruising.

About treatment
Dermadeep is semi-permanent filler composed of a suspension of flexible and non-resorbable fragments of Acrylic Hydrogel (Water based gel) in a sterile solution of hyaluronic acid of a non-animal origin. Hyaluronic acid is a substance which is naturally present in the dermis (the thick layer of our skin) and gradually disappears with age.

Once Dermadeep is injected approximately 40% of the injected material is retained semi-permanently in the dermis. The hyaluronic acid (which constitutes 60% of the injected material) disappears within a few weeks, which gives the Acrylic Hydrogel particles time to be evenly distributed throughout the dermis. When injected into the subcutaneous fat (the layer of fat underneath the skin), Dermadeep creates volume to your face and raises the skin where skin folds and wrinkles have appeared. During the three months following the injection, these particles are surrounded by new collagen fibres produced by your own body which complete the augmentation of the treated area. Dermadeep is famous for cheek augmentation, remodelling of the chin contour and filling skin folds like the naso-labial folds and pronounced wrinkles.

The effect of Dermadeep usually lasts between 12 to 18 months; sometimes the effect may last longer or shorter depending on your body’s natural process of forming new collagen around the implanted material, the area treated and the volume injected. If necessary retouching is made 3 months after the initial injection.

During your procedure, Dr. Metwally starts by marking the areas that need to be filled. Then he proceeds by injecting the filler. After that he applies pressure to the area and massages it a bit to ensure the proper distribution of the filler. 

After your procedure, you will notice that the injected area may be a bit red. Early lumpiness may occur and can be removed by massaging the lumpy area while applying pressure to it. On the 2nd day you will notice that your face has swollen, this swelling subsides gradually over the following 3 days. In rare cases especially with candidates with fair skin colour, a tiny blue spot the size of the needle hole may occur this can easily be covered with make up and disappears within 3 to 5 days. No pain killer or antibiotic will be prescribed to you and you may resume your normal activities immediately after your procedure is completed.

Muscle relaxant- Reloxin
Treatment used for
Reloxin is another name for dysport 

About treatment
Dermagen is a revolutionary concept in skin care, meticulously developed by Fusion Laboratories. Its scientific formula, which contains Glutathione, Collagen and Co Enzyme Q10, is specially designed to stimulate the body’s circulatory system while nourishing and revitalising your skin.

Dermagen is specifically formulated to :

  • Detoxify the skin
  • Treat certain skin disorders
  • Enhance skin clarity
  • Improve skin tone and elasticity
  • Reduce visible signs of ageing

One capsule taken daily activates your skin’s metabolism through the delivery of essential vitamins, minerals and antioxidants.

Dermal filler
About treatment
Dermal fillers are a non-invasive treatment used to restore youth and volume to the face. As we age, our skin begins to lose its elasticity and natural hydration. This, combined with the effects of gravity, can lead to lines, wrinkles and sagging of the skin.

Fillers are an excellent treatment to restore volume and plumpness to lips, chin, cheeks, the jawline, the area under the eyes, and even the nose. In some cases, fillers can be used to improve the appearance of scars.

Dermal fillers are fast and easy. They are administered via tiny injections and the results are visible instantly. Filler injections are quick and simple, and provide instant results with a minimal amount of discomfort and downtime.

Treatment used for 
How Does Treatment with Dermal Filler Work?

Dermal fillers are gels that consist of a substance that mimics what is naturally found under the skin.

After a consultation with your expert physician during which your goals and expectations will be thoroughly discussed, your doctor will lay out your treatment plan. Your procedure will then begin. A numbing cream will be applied to the treatment area and you will wait about 30 minutes for it to take effect.

A tiny needle will be used to inject the filler into the targeted areas. Your physician may apply ice at the same time to minimize bruising. Between treatment areas or sides of your face, your physician may give you the opportunity to examine your face in the mirror. Your input can be used to guide the procedure as it progresses.

We all want to look and feel our best and dermal fillers offer a simple and painless way to knock years off your appearance. The natural gel is completely safe, and actually encourages the skin to produce more collagen to restore a youthful appearance.

Dermal fillers are gels that consist of a substance that mimics what is naturally found under the skin.

After a consultation with your expert physician during which your goals and expectations will be thoroughly discussed, your doctor will lay out your treatment plan. Your procedure will then begin. A numbing cream will be applied to the treatment area and you will wait about 30 minutes for it to take effect.

A tiny needle will be used to inject the filler into the targeted areas. Your physician may apply ice at the same time to minimize bruising. Between treatment areas or sides of your face, your physician may give you the opportunity to examine your face in the mirror. Your input can be used to guide the procedure as it progresses.

We all want to look and feel our best and dermal fillers offer a simple and painless way to knock years off your appearance. The natural gel is completely safe, and actually encourages the skin to produce more collagen to restore a youthful appearance.

Immediately following your treatment you can return to your normal daily activities. There is no downtime associated with this non-surgical procedure.

About treatment
Dermalive is basically a new hyaluronic gel that is thick enough to enhance your cheekbones, fill out the deep nose-to-mouth lines, inverted scars, and make weak chins look more pronounced. Dermalive can last for up to several years. There is finally a solution that is designed to fill in wrinkles and skin defects effectively.

First of all, Dermalive is not made from animal products. This means that you should not worry about any allergies. A pre-test will not be required before an injection. Secondly, Dermalive has a very long life. It takes several years instead of a few months. Finally, the targeted application is made possible with the presence of an ideal vector or carrier in the form of hyaluronic acid.

Dermalive meets all safety, efficiency, and reliability standards that are set by the EEC. Dermalive is available to everyone. If you are on your quest to reducing the visible effects of ageing and reducing slight imperfections then Dermalive is right for you.

Treatment used for 
Dermalive is perfect for correcting deep wrinkles like deep smile lines, deep creases that are found around your nose and around your mouth, frown creases, lip outlines, depressed scars, augmentation of the soft tissues on your cheek, augmentation of soft tissue on your lips, acne scarring, frown lines, flat lips, wrinkled lips, glabellar lines, laughter lines, and the fine lines around the mouth.

Dermalive is injected into the inner layers of the dermis where wrinkles are treated. The acrylic hydrogel and the hyaluronic acid gel in Dermalive forms a capsule that restores the volume of your skin, reduces the wrinkles on your face, redefines the lip contours of your cheek and chin area, and increases the volume of your cheek and chin area

The capsule does not disappear completely, unlike resorbable implants, because the hydrogel particles are maintained in the dermis. This produces a longer-lasting effect. The hyaluronic acid content is 60% of the volume of Dermalive and it is similar to what it is present in organisms without any dissolvable traces.

Right after the treatment, the acrylic hydrogel particles will remain huddled together surrounded by the connective tissue capsules, which will stay there until complete integration into the dermis is accomplished.

It will take around four to eight weeks for the collagen fibres to form and go through micro-vascularisation. This is the development of the blood vessels that are present. The natural texture of the dermis is reproduced around these particles and then they eventually integrate indefinitely into the treated area.

The whole absorption process will take several months to finish. The acrylic hydrogel particles are maintained at the injection site and they provide effects that last for a long time. The hyaluronic acid will provide the acrylic hydrogel with smooth and calm integration. It will take around two to three sessions in order to come up with the best results that will last for a long time.

About treatment
Dermaplaning is a simple and safe procedure for exfoliating the epidermis and ridding the skin of fine vellus hair (peach fuzz). It has been used for many years, but many estheticians don’t even know it exists, and certainly, many don’t use it. (Editor’s note: Skin care professionals must make sure dermaplaning is within their scope of practice before doing the procedure.)

For a complete list of state boards with contact information, log on to www.​SkinInc.​com/​education/​statelic­ensing. When patients hear the word dermaplaning, they quickly associate the term with the procedure known as dermabrasion, and won’t even consider it as a possible treatment.

Dermabrasion is a medical procedure in which the skin is abraded down to the dermis using a whisklike device. There are many complications associated with dermabrasion, including infections and scarring, which is why it is not commonly used anymore. Dermaplaning, on the other hand, is a simple shaving of the epidermis.

Because dermaplaning is a quick procedure with few to no adverse effects, it has quickly gained popularity among cosmetic medical providers across the country. Using a scalpel and a delicate touch, the provider simply abrades the surface of the skin using light feathering strokes. This is a great treatment to offer to patients who are pregnant or nursing who want a deep exfoliation, but are not allowed to use peeling agents on their skin because of the risk that the chemicals will be absorbed into the blood stream, and may be transferred to the fetus or the child. It is also a first choice for patients who have excess vellus hair on the skin. This hair often causes a buildup of dirt and oils in the follicles, so removing the hair gives the patient healthier looking skin.

Although merely an old wives’ tale, many patients are often concerned that the hair will grow back heavier and darker after dermaplaning. This is not the case. As long as the hair is superficial vellus hair, it will grow back at the same rate and texture as before the treatment.

– See more at:

Treatment used for 
Dermatologist: A physician who specializes in the diagnosis and treatment of skin problems.

About treatment

  • Dysport is an injection containing abobotulinumtoxinA (Botulinum toxin type A). AbobotulinumtoxinA is made from the bacteria that causes botulism. Botulinum toxin blocks nerve activity in the muscles, causing a temporary reduction in muscle activity.
  • Dysport is used to treat cervical dystonia (severe spasms in the neck muscles).
  • Dysport is also used to treat muscle spasms (stiffness) in the upper limbs (elbows, wrists, fingers) or lower limbs (ankles, toes).
  • Dysport is also used to temporarily lessen the appearance of facial wrinkles.


  • Dysport is injected into a muscle. A doctor, nurse, or other healthcare provider will give you this injection. Botulinum toxin injections should be given only by a trained medical professional, even when used for cosmetic purposes.
  • Dysport injections should be spaced at least 3 months apart.
  • Your injection may be given into more than one area at a time, depending on the condition being treated.
  • The effects of a Dysport injection are temporary. Your symptoms may return completely within 3 months after an injection. After repeat injections, it may take less and less time before your symptoms return, especially if your body develops antibodies to the botulinum toxin.
  • Do not seek botulinum toxin injections from more than one medical professional at a time. If you switch healthcare providers, be sure to tell your new provider how long it has been since your last botulinum toxin injection.
  • Using Dysport more often than prescribed will not make it more effective and may result in serious side effects.


  • There is no downtime or recovery period needed after Dysport treatment, and you may return to work and normal daily activities immediately. Redness and swelling at the injection site may occur, however this will typically resolve within a few hours.
  • Avoiding NSAIDs before and immediately after Dysport treatment will help you avoid bruising, but should bruising occur, it will resolve completely within a few weeks depending on how quickly your body heals.
  • Additionally, rubbing the injection site, participating in vigorous exercise and any movement that causes blood to rush to the head should be avoided for the remainder of the day following your Dysport treatment.
  • Dysport results are initially visible within a few days following treatment, however it may take one to two weeks to see the full effects of your Dysport injections.

Botulinum Toxin – Type A
About treatment

  • OnabotulinumtoxinA (Botox), also called botulinum toxin type A, is made from the bacteria that causes botulism. Botulinum toxin blocks nerve activity in the muscles, causing a temporary reduction in muscle activity.
  • Botox is used to treat cervical dystonia (severe spasms in the neck muscles), muscle spasms in the arms and hands, and severe underarm sweating (hyperhidrosis).
  • Botox is also used to treat certain eye muscle conditions caused by nerve disorders. This includes uncontrolled blinking or spasm of the eyelids, and a condition in which the eyes do not point in the same direction.
  • Botox Cosmetic is used to temporarily lessen the appearance of facial wrinkles.
  • Botox may also be used for other purposes not listed in this medication guide.

Botulinum Toxin – Type B
About treatment
The effects of botulinum toxin type b may spread from the injection site to other areas of the body, causing symptoms of a serious condition called botulism.

These symptoms have been reported hours to weeks after patients have received botulinum toxin type b. Symptoms may include ;

  • loss of strength
  • muscle weakness
  • double or blurred vision
  • drooping eyelids
  • hoarseness
  • loss of voice
  • loss of bladder control
  • or trouble speaking, breathing, or swallowing.

The risk may be greater in children being treated for spasticity (muscle spasms), but these symptoms may also occur in adults. Contact your doctor right away if these symptoms occur.

Severe and sometimes fatal breathing or swallowing problems have been reported. The risk may be greater in patients who already have breathing or swallowing problems. Tell your doctor if you have or are at risk of developing breathing or swallowing problems. Reducing the severity of abnormal head position and neck pain associated with a certain neck problem (cervical dystonia). It may also be used for other conditions as determined by your doctor.

Botulinum toxin type b is a neurotoxin. It works by blocking nerve impulses to the muscles, temporarily paralyzing the muscle.

Bovine Collagen
About treatment
Bovine collagen is also known as bovine cartilage or beef collagen. Gelatin is a form of hydrolyzed beef collagen, which means it’s essentially a part of broken-down collagen. Where does bovine collagen come from? It’s a naturally occurring protein found in the cartilage, bones and hides of cows. This type of collagen is very similar to what we have in our bodies and provides a healthy dose of types I and III collagen.

Type I collagen and type III collagen are the major components of skin, hair, nails, muscles, tendons, ligaments, bones, gums, teeth, eyes and blood vessels. Together, types I and III collagen make up more than 90 percent of the collagen in our bodies.

Bovine collagen is rich in the amino acid glycine, which is necessary for building healthy DNA and RNA strands. These are the essential genetic building blocks for properly functioning body cells. Glycine is also one of the three amino acids that form creatine. Creatine is known to support, promote healthy muscle growth and aid in energy production during workouts.

Last but not least, bovine collagen also provides the amino acid proline. Proline plays a critical role in the body’s ability to produce its own collagen.

Hydrolyzed beef collagen was produced as a food supplement after scientists learned to break the long chain triple helix protein into shorter pieces and then separate the three helices from each other. The resulting short individual peptides make up hydrolyzed collagen. (1)

Excel HR
About treatment
Say Goodbye to Shaving

Keeping up with unwanted hair is an annoyance for both women and men. How much precious time have you spent shaving and trimming? Fortunately, with the help of advanced technology, you can spend less time grooming and more on what really matters. excel HR™ is next generation premium laser hair removal technology, delivering unmatched results for all skin and hair types.

How does Laser Hair Removal work?

The science of laser hair removal is rooted in targeting the melanin, or pigmentation, in your hair. The process targets the melanin in the hair follicle, deactivating the root to inhibit further growth. During treatment, The excel HR™ Laser dually provides contact cooling to protect the surrounding tissue. This allows for the most aggressive treatment without adverse side effects. Who can excelHR™ help?

excel HR™ can be performed on anyone and any area of the body. This advanced procedure efficiently removes hair for women and men of all skin (even tanned) and hair types (fine or coarse). Commonly requested treatment areas include underarms, legs, bikini, as well as, men’s chest and back.

What makes excelHR™ different from other laser hair removal technologies?

excel HR™ surpasses many other systems with its powerful ability to eliminate both fine and coarse hair for all skin types.

How many treatments does it take?

The total number of treatments varies based on the area being treated and the hair’s growth stage. The hair undergoes 3 cycles during the growth process. The anagen stage, when the hair is actually growing, is the only time we can treat it. Each area of the body can take anywhere from 6-12 weeks to reach the anagen phase again. This requires a series of sessions. Typically, we recommend 6-8 treatments spaced 8-12 weeks apart in order to effectively treat hair in the growth stage. Adhering to the schedule your provider recommends will ensure optimal results.

About treatment
Dermabrasion is a technique that uses a wire brush or a diamond wheel with rough edges (called a burr or fraise) to remove the upper layers of the skin. The brush or burr rotates rapidly, taking off and leveling (abrading or planing) the top layers of the skin. This process injures or wounds the skin and causes it to bleed. As the wound heals, new skin grows to replace the damaged skin that was removed during dermabrasion.

Things that affect the depth of the resurfacing include how coarse the burr or brush is, how quickly it rotates, how much pressure is applied and for how long, and the condition and features of your skin.

  • The face is the most common site for treatment, but other areas of the skin can be treated this way. Dermabrasion is used most often to improve the appearance of acne scars and fine lines around the mouth. It also may be used to treat an enlarged nose (rhinophyma ) caused by rosacea, an inflammatory skin condition. Dermabrasion is used to treat damage and defects in the upper layers of the skin, such as:1
  • Acne scars. Removing and improving the appearance of acne scars are the most common uses for dermabrasion.
  • Scars caused by surgery or trauma, if they are not deep.
  • Superficial skin growths, such as rhinophyma. In rare cases, dermabrasion may be used to treat small cysts, epidermal nevi, some basal cell skin cancers, or Bowen’s disease.
  • Tattoos (rarely). There are better ways to remove tattoos (such as with laser resurfacing).
  • Colour changes in the skin (solar lentigines or melasma). Chemical peels or laser resurfacing are used more commonly than dermabrasion for these problems.
  • Fine lines and wrinkles around the mouth.

The areas to be treated are cleaned and marked. A local anesthetic (such as lidocaine) is usually used to numb the skin before treatment, and ice packs are applied to the skin for up to 30 minutes. A freezing (cryogenic) spray may sometimes be used to harden the skin for deeper abrasions if the anesthetic and ice packs do not make the skin firm enough. For deep abrasions, or if the entire face is going to be treated, you may need stronger anesthesia, pain killers, sedation, or general anesthesia.

One small area at a time is treated. The freezing spray (if needed) is applied for a few seconds and then the rotating burr or brush is used to take off the top layers of skin. Gauze is used to stop any bleeding, and the area is covered with a clean dressing or ointment.

Dermabrasion is almost always done in your doctor’s office or on an outpatient basis.


  • Your recovery and healing time after dermabrasion depends on the size and depth of the area that was treated. Someone who has a full-face dermabrasion, for example, will have a longer recovery time than someone who has just a small area of skin treated. Deeper abrasions take longer to heal.
  • In general, regrowth of skin occurs in 5 to 8 days. This new skin is a pink or red colour, which usually fades in 6 to 12 weeks. Until then, your normal skin tones can be achieved using makeup.
  • Many people have little or no pain and can get back to their regular activities soon after the procedure. Some people need pain relievers. If swelling occurs, a corticosteroid such as prednisone may be used to reduce the swelling.
  • Proper care of the treated area while the skin is healing is extremely important. This involves: Cleansing the skin several times a day to avoid infection and to get rid of the crusting that sometimes occurs.
  • Changing the ointment or dressing on the wound to keep the area moist and to promote healing.
  • Avoiding sun exposure and, after peeling has stopped, using sunscreen every day. New skin is more susceptible to sun damage.
  • You may be given an antiviral drug called acyclovir to prevent infection if you have a history of infection with the herpes simplex virus.
  • Several follow-up visits to your doctor may be needed to monitor the skin’s healing and regrowth and to identify and treat early signs of infection or other complications.

Hyaluronic acid
About treatment
Hyaluronic acid is a substance that is naturally present in the human body. It is found in the highest concentrations in fluids in the eyes and joints. The hyaluronic acid that is used as medicine is extracted from rooster combs or made by bacteria in the laboratory.

  • People take hyaluronic acid for various joint disorders, including osteoarthritis. It can be taken by mouth or injected into the affected joint by a healthcare professional.
  • The FDA has approved the use of hyaluronic acid during certain eye surgeries including cataract removal, corneal transplantation, and repair of a detached retina and other eye injuries. It is injected into the eye during the procedure to help replace natural fluids.
  • Hyaluronic acid is also used as a lip filler in plastic surgery.
  • Some people apply hyaluronic acid to the skin for healing wounds, burns, skin ulcers, and as a moisturizer.
  • There is also a lot of interest in using hyaluronic acid to prevent the effects of aging. In fact, hyaluronic acid has been promoted as a “fountain of youth.” However, there is no evidence to support the claim that taking it by mouth or applying it to the skin can prevent changes associated with aging.

How does it work?

Hyaluronic acid works by acting as a cushion and lubricant in the joints and other tissues. In addition, it might affect the way the body responds to injury.

Hyaluronic acid – based fillers
About treatment
If you want to reduce facial wrinkles and lines, hyaluronic acid may be a good choice as a dermal filler because of its compatibility with the human body. In fact, this substance is found in almost every single living thing. In humans, it acts as a network that transfers essential nutrients from the bloodstream to skin cells.

Hyaluronic acid is a natural substance found in your body. High concentrations are found in soft connective tissues and in the fluid surrounding your eyes. It’s also in some cartilage and joint fluids, as well as skin tissue. It is extracted and reformulated and now has become one of the most popular kinds of injectable fillers.If the term sounds familiar, it’s because the same substance is often injected into the aching joints of people with arthritis to ease pain and provide extra cushioning.

Brand names include:

  • Captique
  • Esthélis
  • Elevess
  • Hylaform
  • Juvéderm
  • Perlane
  • Prevelle
  • Puragen
  • Restylane

Hyaluronic acid is not derived from animal sources.When this gel is injected, it acts like an inflated cushion to support facial structures and tissues that may have lost volume or elasticity due to normal aging. It also brings water to the surface of skin to keep it looking fresh and supple.In the last few decades, various synthetic forms of hyaluronic acid have been developed and used to correct disorders in the fields of rheumatology, ophthalmology and wound repair. More recently, synthetic forms of hyaluronic acid are being manufactured for use in face augmentation.

About treatment
Hyaluronidase is used for:

  • Increasing the absorption of other injected medicines or fluids.

Hyaluronidase is a protein enzyme. It works by causing rapid spreading of injected fluid into the body, which increases the absorption of injected fluids. Problems after dermal filler which can be treated with Hyaluronidase / Hyalase:

  • Lumps/ bumps of dermal filler: Hyalase / hyaluronidase can be injected to dissolve the lump of dermal filler product
  • Unevenness of dermal filler: Hylase /hyaluronidase can be injected to even out and smooth the appearance of dermal filler
  • Infections: With an infection related to dermal filler injection, hyalase /hylauronidase should be used (if the filler was h********* a*** type) See my dermal filler infection protocol #
  • Blue appearance under the skin due to dermal filler (Tyndall Effect): This will resolve with treatment with hyaluronidase / hyalase
  • Asymmetry of dermal filler: This can be treated with hyalase / hyaluronidase  being injected into the larger side to bring the size down to match the other side
  • Overtreatment with dermal filler: This can be treated with hyalase / hylauronidase.
  • Filler placed in the wrong area: This can be treated
  • Vascular events relating to dermal filler injection: If an artery / arteriole is blocked during a dermal filler treatment, causing blood supply to the skin to be compromised. Hyalase / hylauronidase should be injected immediately to attempt to prevent skin necrosis in the area.

Procedure for injection of hyalase. The skin will be cleaned with chlorhexidine twice. The first dose for treatment will be a smaller dose to avoid allergies (which are more prevalent at higher doses) Pressure will be applied to the area after injection with a gauze. The patient will notice a reduction of the dermal filler within 1-2 days. The patient should be reviewed at 1-2 weeks (all swelling must have resolved from the previous hyalase injection) Second injection of hyalase is a similar procedure except a higher dose may be used.

About treatment

  • HYDRELLE is FDA-approved for injection into the mid to deep dermis for the correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).
  • ELEVESS is CE-marked for use in the correction of soft tissue contour deficiencies, such as wrinkles, folds, and acne scars as well as for enhancing the appearance of lips.
  • ELEVESS and HYDRELLE are the same product. HYDRELLE is the trade name utilized solely in the United States, while ELEVESS is the trade name used in the rest of the world.
  • For additional details and information about the product, please refer to the Instructions for Use that are included in the product’s packaging.

What is Hydrelle? 

Hydrelle is the first FDA-approved hyaluronic acid (HA) filler to contain the anesthetic lidocaine providing you a more comfortable in-office experience with immediate and long-lasting results. Hydrelle is a technologically advanced formulation that is clinically proven to be safe and effective. It delivers the highest concentration of hyaluronic acid, which is found naturally in your body. One syringe can improve the appearance of your wrinkles and can last up to a year.* Hydrelle is an affordable wrinkle treatment option for long-lasting results and potentially fewer facial injections.

What is Hyaluronic Acid? 

HA is a form of sugar that is a natural component of healthy and hydrated skin. HA functions like a matrix to hold together collagen and elastin. When injected into the skin, it attracts water and provides volume to smooth and soften the look of wrinkles.

How Does Hydrelle Work? 

Hydrelle is a soft, malleable injectable gel designed to reduce facial wrinkles. Hydrelle immediately adds a natural fullness and reduces the unwanted wrinkles that make us look older than we feel.

Cost Effective Results You will Love 

Because Hydrelle with lidocaine is so concentrated, frequently a single syringe is all you need to treat smile lines. Often 50% less filler material is needed compared to other HA fillers, representing huge cost savings for you. Fewer syringes may be needed to achieve the results you desire.

How Long Does Hydrelle Last? 

Unlike other fillers that require multiple syringes and re-treatments, Hydrelle can last up to a year. Talk to Dr. Gabriel Chiu to discuss your specific needs and expectations.

What Should I Expect? 

Since everyone’s skin is unique, some patients may experience temporary redness, swelling or bruising. These symptoms normally disappear in a few days. No skin-testing is necessary, but Hydrelle is not for patients with sulfite allergies (i.e. red wine, dried fruit, etc.) Hydrelle is FDA-approved for moderate to severe facial lines and wrinkles, such as nasolabial folds.

Are Hydrelle Treatments Expensive? 

Pricing is comparable to other HA fillers. However, Hydrelle with lidocaine can be much more affordable, because it’s long-lasting and often requires fewer syringes compared to other HA fillers.

Treatment used for 

  • ELEVESS is an injectable dermal filler used to correct facial lines and wrinkles. It is made of a high concentration, cross-linked hyaluronic acid (HA), a natural and vital component of healthy and hydrated skin. Age and sun exposure lead to decreased production of hyaluronic acid, resulting in decreased volume in the face and the appearance of wrinkles.
  • ELEVESS (with the trade name HYDRELLE® in the United States) was the first FDA-approved dermal filler to incorporate the anesthetic lidocaine for improved patient comfort.
  • ELEVESS contains no collagen or animal products, which reduces the risk of negative reactions.
  • The ELEVESS Advantage
  • Non-animal sourced HA dermal filler
  • Long-lasting, natural looking results
  • Ergonomic syringe supports small 30g needle
  • Greater patient comfort due to the use of lidocaine
  • Indications

Photos will be taken.If it is possible to use a needle to remove dermal filler, then this option is preferable to hyalase / hyaluronidase treatment and this will be performed. Also with asymmetries, if the addition of product will give a better cosmetic result, then this will be discussed.If it is possible to use a needle to remove dermal filler, then this option is preferable to hyalase / hyaluronidase treatment and this will be performed. Also with asymmetries, if the addition of product will give a better cosmetic result, then this will be discussed.

Hydrafacial – cleans, exfoliates, hydrates, protects skin, rejuvenation
About treatment
The HydraFacial™ treatment is a new breakthrough in aesthetic technology. It takes its name from the root word Hydrate; “to cause to take up moisture”. This ability to moisturize the skin separates the HydraFacial™ from all other skin resurfacing procedures. The HydraFacial™ treatment removes dead skin cells and extracts impurities while simultaneously bathing the new skin with cleansing, hydrating and moisturizing serums. The treatment is soothing, refreshing, non-irritating and immediately effective.

Hydration is the foundation of healthy, radiant skin. Irritation of the skin has been proven to increase signs of aging. The HydraFacial™ is a hydrating and non-irritating treatment. Am I a candidate for this treatment? The HydraFacial™ treatment is designed for all skin types. Even the most sensitive skin easily tolerates the HydraFacial™ treatment. Your physician or skincare professional may choose specific treatment serums and/or customize the treatment for your unique skin conditions and needs. Consult your physician or skincare professional for a skin evaluation and sensitivity test.


The HydraFacial™ treatment is a fast, efficient treatment that takes as little as 15 minutes. The treatment is often described as a feeling like “”a cool paintbrush moving over the face””. You may put on make-up and return to your normal activities right after the treatment since there is no downtime.


Many people report seeing visible skin refinement and an even, radiant skin tone after just one treatment. The smooth results and hydration may last 5 to 7 days or even longer. 1 treatment per month is recommened for improving the appearance of fine lines, wrinkles, hyperpigmentation, acne and oily skin. Continued HydraFacial™ treatments are highly recommended to maintain results.

You may put on make-up and return to your normal activities right after the treatment since there is no downtime.

About treatment

  • Silskin® is a permanent filler made using sterile, colourless silicone oil. No skin test is required.
  • It is currently approved by the FDA for treating rare eye complaints. 
  • SilSkin has been granted pre-market approval to conduct clinical trials for cosmetic use.
  • Possible applications include facial augmentation including lips, cheeks and undereyes.
  • Lines and wrinkles are softened, and lips can be plumped.
  • If its safety can be assured Silskin is an exciting development, because a course of 6-8 injections would cause a permanent improvement, unlike, for example, Radiesse® which degrades over about 2 years.
  • There may be safety advantages to products that degrade, as the foreign cells are removed from the body
  • The theory behind Silskin is that injected silicon oils cause the body to create a protective shell of a fibrous tissue capsule around the tiny droplets, much as a pearl is formed in an oyster around a grain of sand.
  • Problems could occur if the oil enters a cell.
  • As of Q3 2006 not FDA approved for cosmetic use, though SilSkin has been granted pre-market approval to conduct clinical trials.

About treatment

What is Retin-A?

  • Retin-A (tretinoin) is a form of vitamin A that helps the skin renew itself.
  • The Retin-A and Avita brands of tretinoin are used to treat acne. The Renova brand of tretinoin is used to reduce the appearance of fine wrinkles and mottled skin discolouration, and to make rough facial skin feel smoother.
  • Retin-A may also be used for purposes not listed in this medication guide.

Important information :

When using Retin-A avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Retin-A can make your skin more sensitive to sunlight and sunburn may result. Use sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun. Avoid getting Retin-A in your eyes, mouth, and nose, or on your lips. If it does get into any of these areas, wash with water. Do not use Retin-A on sunburned, windburned, dry, chapped, irritated, or broken skin. Also, avoid using this medication in wounds or on areas of eczema. Wait until these conditions have healed before using Retin-A.

OTC Medication Use In Pregnancy: Wise or Worrisome?

Use this medication for as many days as it has been prescribed for you even if you think it is not working. It may take weeks or months of use before you notice improvement in your skin. If you are using Retin-A to treat acne, your condition may get slightly worse for a short time when you first start using the medication. Call your doctor if skin irritation becomes severe or if your acne does not improve within 8 to 12 weeks.

Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

How should I use Retin-A?

  • Use Retin-A exactly as your doctor has prescribed it for you. Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.
  • Do not take by mouth. Retin-A is for use only on the skin. Do not use this medicine on open wounds or on sunburned, windburned, dry, chapped, or irritated skin.
  • Using more medicine or applying it more often than prescribed will not make it work any faster, and may increase side effects.
  • Wash your hands before and after applying Retin-A. Then, wash your skin with a mild soap and dry gently. Wait 20 to 30 minutes before applying medication; it is important for skin to be completely dry in order to minimize possible irritation
  • Do not wash the treated area for at least 1 hour after applying Retin-A. Avoid the use of other skin products on the treated area for at least 1 hour following application of Retin-A.
  • Keep the medication away from the corners of the nose, mouth, eyes and open wounds.
  • Applying an excessive amount of Retin-A gel may result in “pilling” of the medication. If this occurs, use a thinner layer of gel with the next application.
  • Retin-A should be used as part of a complete skin care program that includes avoiding sunlight and using an effective sunscreen and protective clothing.
  • Use this medication for the full prescribed length of time, even if you think it is not working.
  • It may take up to several weeks before you notice improvement in your skin. Keep using the medication as directed and tell your doctor if your symptoms do not improve. When using Retin-A to treat acne, your condition may get slightly worse for a short time when you first start using the medication.
  • Call your doctor if skin irritation becomes severe or if your acne does not improve within 8 to 12 weeks.
  • Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.
  • Retin-A gel is flammable. Do not use near high heat or open flame. Do not smoke until the gel has completely dried on your skin. Keep tube tightly closed.

Retin-A side effects :

  • Get emergency medical help if you have any signs of an allergic reaction to Retin-A: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
  • Stop using Retin-A and call your doctor at once if you have:
    • severe burning, stinging, or irritation of treated skin
    • severe redness, swelling, blistering, peeling, or crusting
  • Your skin may be more sensitive to weather extremes such as cold and wind while using this medicine.
  • Common Retin-A side effects may include:
    • mild warmth or stinging where the medicine was applied or changes in color of treated skin.

PICO laser
About treatment
PicoSure is the first of a new generation of aesthetic lasers that don’t rely solely on heat to burn or melt away unwanted tattoo ink or melanin, the pigment that causes dark spots in your skin.

Instead, PicoSure engineers used cutting edge physics and medical science to help practitioners treat patients in a new way. Instead of building up heat, PicoSure delivers energy so rapidly (in trillionths of a second) that tiny particles that make up pigment and tattoo ink vibrate and shatter, without burning surrounding tissue. Less heat means less tissue damage and discomfort.

Even more impressively, PicoSure’s revolutionary technology is designed to harness the body’s natural healing processes to restore youthful skin in ways never before possible. Using proprietary Focus lens technology, PicoSure effectively converts the laser energy into gentle pressure waves that activate Cell Signaling, the body’s natural communication processes and one of the most exciting medical discoveries in recent history.

Recent discoveries have begun to reveal the secret language of the body and how cells talk to each other to keep us healthy. Known as cell signaling, this biological communication occurs when cells are injured and release proteins, which are then detected by surrounding cells to trigger a healing response. PicoSure’s PressureWave™ technology uses a unique wavelength of light (755nm) and a specialized lens to convert laser energy into gentle pressure. This pressure squeezes cells, activating the natural cell signaling processes that create new collagen and elastin without burning or damaging the skin. The Focus Lens Array delivers 20x the energy density of a normal PicoSure pulse to begin activating cell signaling. Intra-epidermal Laser Induced Optical Breakdowns (LIOBs) form and cause pressure waves that propagate into the dermis, triggering pressure injuries to activate cells. Cell signaling initiates an enhanced inflammatory healing response that leads to increased collagen and elastin and ultimately revitalizes skin.


  • After treatment, most patients experience only 1-3 hours of minor swelling and redness. Because PicoSure doesn’t burn and damage the surface of the skin, make-up, moisturizes and sunscreens may be applied immediately following treatment.
  • With PicoSure, reducing unwanted wrinkles, acne scars and pigment is more convenient than ever before. Fast, gentle treatments mean you don’t need to disrupt your busy life to achieve real improvements.
  • Minimal swelling or redness—just 1–3 hours
  • No need to cover up
  • No need to miss work or leisure activitiesOther lasers promise to treat wrinkles, acne scars and blemishes. But only PicoSure and its PressureWave technology can deliver impressive results without the inconvenience, pain and downtime of other procedures.
  • With PicoSure, there’s no special prep and procedures typically take about 10-15 minutes. Most people experience no pain and describe treatments as feeling like the snapping of a rubber band, but your treatment provider may offer numbing cream to minimize any possible discomfort.

filler – Puragen
About treatment
Puragen™ is a non-animal based hyaluronic acid gel that is injected and intended to smooth lines, banish wrinkles, plump lips or fill depressions and scars.

Treatments are designed by the manufacturer to last a minimum of 6 – 8 months, and can last much longer; with clinical studies indicating as much as 1 year. Lip enhancements may not last quite as long though.

The length of time Puragen™ will last depends on various factors such as the structure of your skin, lifestyle, age, treatment area, and the injection technique of the practitioner.

Transient erythema (redness), swelling, pain, itching, discoloration or tenderness at the implant site. Typically resolution is spontaneous, within one or two days after injection into the skin.

Filler – Silikon 1000
About treatment
Silikon® 1000 is a medical-grade pure form of silicone. Silikon® 1000 is FDA Approved only for treatment in retinal detachment; however, Silikon® 1000 has been used by Cosmetic Physicians as an injectable filler for 30 years with good results. It was the first injectable filler ever used and if done correctly, comes with minimal to no risk.

Silikon® 1000 provides a very natural-looking permanent solution. The secret to a great result is utilizing the microdroplet technique, where very small quantities (.01cc) of Silikon® 1000 are injected into an area with a limit of 1cc total, and treatments spaced over one month. Using Silikon® 1000 in this fashion prevents complications and is essential for an excellent result.

Your body forms collagen around Silikon® 1000 and eventually the desired look is maintained. The amount of collagen formed depends upon your own body’s sensitivity to Silikon® 1000. No skin test is required.


Oleh Slupchynskyj uses a small needle to administer Silikon® 1000 utilizing the microdroplet technique to the specified facial area. Most patients remark that there is a minimal discomfort comparing the sensation to a bug bite. No sedation for anesthetic is required and you resume normal activities immediately. There is no downtime.

Filler – Sculptra
About treatment
Sculptra Aesthetic is made with biocompatible, biodegradable, synthetic material called poly-L-lactic acid, which is gradually and naturally absorbed by the body and helps to rebuild lost collagen through a series of treatments administered by a trained specialist.

The specialist injects treatment within the deep dermis, where strands of collagen support your skin’s structure. Over time, Sculptra Aesthetic helps the body reproduce lost collagen. On average, three injection appointments are needed over a period of a few months. The number of injection appointments and the number of injections per appointment vary from person to person, depending on how much collagen has been lost.

Filler -Radiesse
About treatment
What is it?
The Radiesse Injectable Implant (Radiesse) is a white, sterile, injectable implant. Radiesse is a dermal filler that can increase volume in the back of the hand to reduce the appearance of veins and tendons due to volume loss. Radiesse consists of synthetic calcium hydroxylapatite particles suspended in a gel containing sterile water, glycerin and sodium carboxymethylcellulose.

How does it work? A doctor (dermatologist or plastic surgeon) injects Radiesse under the skin on the back of the hand (not the palm) to plump the skin. Radiesse adds volume to lessen the visibility of veins and tendons in the hand due to loss of volume.

When is it used? This new approval expands the approved uses for Radiesse to include improvement in the appearance in the back of the hand due to volume loss. This device is used in adults over the age of 21.

What will it accomplish? Radiesse temporarily improves the appearance of the back of the hand by adding volume to lessen the visibility of veins and tendons due to loss of volume. In a clinical study, patients needed one or two treatments with multiple injections to achieve the best outcome. The results may last up to one year.

Side effects of Radiesse include:

  • Bruising
  • Swelling
  • Redness
  • Itching
  • Pain/Tenderness
  • Hematoma
  • Bumps/Lumps
  • Difficulty in performing activities/stiffness
  • Loss of sensation

About treatment
Restylane is a clear gel formulation of hyaluronic acid that is specifically formulated to act like your body’s own naturally produced hyaluronic acid, helping to visibly correct moderate to severe facial wrinkles and folds, including the lines from your nose to the corners of your mouth (nasolabial folds or laugh lines), the corners of the mouth and marionette lines — the area that extends downward from the corners of the mouth to the jawline.

Additionally, Restylane and Restylane® Silk are FDA-approved for lip enhancement in patients over the age of 21, and are uniquely formulated to give your lips fullness and definition.

Restylane SubQ
About treatment
Restylane Sub Q is considered to be a long lasting dermal filler, and is one of the longest lasting fillers of its kind currently available in the UK. It is however, not a permanent procedure and to keep the results up you will require repeat procedures. The amount of time that the results of your Restylane Sub Q treatment will last for depends largely on the treatment area and your own body, but after the average duration period is over the hyaluronic acid within the product will naturally and harmlessly break down in the body and leave you looking as you did before. Restylane Sub Q will not leave any marks or difference in the treatment areas after it has broken down.

Restylane touch
About treatment
Restylane Touch is a treatment for very fine lines. Often, these occur on the upper lip, in the crow’s feet and on the forehead. Treatments usually last for about six months and should be done twice annually.

Restylne Lyft
About treatment
What is it?
Restylane Lyft with Lidocaine is a hyaluronic acid gel that is injected into moderate to severe facial folds and wrinkles. It may also be injected into the cheek to temporarily correct age-related volume loss in patients over the age of 21. This product also contains a small amount of a local anesthetic (lidocaine) to help to reduce the pain of the injection.

How does it work? A doctor (dermatologist or plastic surgeon) injects Restylane Lyft with Lidocaine into the facial tissue underneath the wrinkle and/or the cheek. The product works by temporarily adding volume to the injection area.

When is it used? Restylane Lyft with Lidocaine is used in patients with moderate to severe facial folds and wrinkles, or in patients over the age of 21 who have age-related volume loss. 

What will it accomplish? Restylane Lyft with Lidocaine may help smooth the appearance of moderate to severe smile lines (nasolabial folds). It also may improve the visual appearance of cheek fullness. The side-effects of Restylane Lyft with Lidocaine include:

  • lumps at the injection site
  • redness
  • swelling
  • pain
  • tenderness
  • itching 

Filler – Artecoll
About treatment
Artecoll® has been approved and distributed in many countries around the world by Rofil Medical since 1994. U.S. based Artes Medical, which owns all worldwide patents and trademarks related to its injectable microsphere technology, was founded in 1999 in order to conduct U.S. FDA clinical trials and manufacture and market an FDA approved version of the product worldwide, this is now known as ArteFill®.

Many attempts have been made during past decades to fill wrinkles or scars with biological or artificial implants. Most biological materials are however, reabsorbed within 1 year, and synthetic materials, until recently, showed side effects like migration, granuloma formation, late allergic reaction and other unwanted material behaviour.

  • The use of PMMA in the medical field has been common practice since 1945. PMMA is applied in dental prostheses, hip implants, bone cement, intra-ocular lenses, repair material for cranio-facial surgery as well as many other medical devices.
  • The chemical inertness and biocompatibility of PMMA has been positively discussed in many scientific articles.
  • Animal experiments with PMMA microspheres were undertaken in 1985 at the University of Frankfurt, to prove the biocompatibility of the material.
  • Since 1994 Artecoll®, which contains PMMA has been implanted in more than 200,000 patients worldwide.
  • This is not a commonly used filler in the U.K. as most practitioners still prefer to use non-permanent, resorbable fillers.
  • Generic name
  • 80% bovine dermal collagen plus 20% PMMA microspheres (30-40 microns).

How is it made?

From cow skins (collagen) and polymethyl and methacrylate beads (PMMA).

Is a skin test required before treatment?

Yes. Four weeks prior to the procedure, Collagen Test Implant is administered intradermally into the forearm to determine if a patient has a sensitivity to the implants. Ninety-seven percent (97%) of men and women tested can be treated with bovine collagen.

Is it temporary or permanent?


Artecoll® is injected subdermally. The volume to be implanted depends on the depth and size of the skin defect or wrinkle.

After the procedure, the collagen vehicle will be degraded by the body within 1–3 months. All microspheres will be totally encapsulated by a fine fibrous capsule with minimal inflammatory reaction. This connective tissue holds Artecoll®s acrylate balls in place indefinitely and the process will be completed within 2 – 4 months after injection. As the microspheres of Artecoll® are non-biodegradable and too large to migrate, the resulting tissue augmentation is long-lasting, if not permanent.

CO2 and radio frequency combined action total rejuvenation (smartXide) dot\rf therapy
About treatment
SmartXide2 DOT/RF: Combined Action, Total Rejuvenation

DEKA has developed an innovative and exclusive configuration designed for aesthetic medicine and dermatological surgery. The equipment is called Smartxide2 DOT/RF and introduces for the first time the combined action of CO2 laser with radiofrequency (RF). 

SmartXide2 corrects skin imperfections and counteracts the effects of aging, such as wrinkles and flabbiness, by exerting a unique action on the tissues with effective stimulation of neocollagenesis. It is also ideal for areas hitherto considered untreatable such as the neck, décolleté and periocular area.

DEKA, world leader in the development of advanced laser systems, concentrated the results of thirty years of know-how into the technological advancements of the SmartXide2. The CO2, laser source with exclusive PSD® (Pulse Shape Design) technology, achieves performance levels never attained before in dermatological applications. The therapeutic action selectively reaches surface tissues and deeper areas, ensuring maximum reliability in controlling the application, with minimum thermal damage and extremely rapid recovery times for patients. In line with the ongoing quest for innovation, DEKA paves the way towards a new multidisciplinary, avant-garde laser system.

Filler – ArteFill
About treatment
Articoll has PMMA which is not only a collagen stimulant but also a dermal filler in itself which helps firms a skin, reducing any apparent fine lines immediately. The natural collagen is readily produced to replace the dermal filler as it degrades over time making the results last much longer with relatively permanent effects.

Articoll is an injectable filler that are injected into the highly specific areas of the face such as nasolobial folds or fine lines. Because of its immediate and relatively permanent effects, this shall be administered by a highly specialized doctor. A typical Artefill treatment only takes about 15-30 minutes.

However, Articoll is not an over-the-night treatment, so you cannot expect the results in just the first use. Although you may see a firmer skin immediately after receiving a treatment because of its dermal filler composition. Most of the times, patients need two treatments to reach full correction. Generally, the number of treatments you might require would depend on the depth of your folds and wrinkles.

For now FDA has only approved its use for the nasolobial folds.

About treatment
BELOTERO BALANCE is a prescription injection that is approved to temporarily smooth out and fill in moderate to- severe nasolabial folds (the folds or wrinkles that go from the side of the nose to the corner of the mouth).

Introduction of BELOTERO BALANCE into the vasculature may lead to embolization, occlusion of the vessels, ischemia, or infarction. Take extra care when injecting soft tissue fillers, for example inject the product slowly and apply the least amount of pressure necessary. Rare but serious adverse events associated with the intravascular injection of soft tissue fillers in the face have been reported and include temporary or permanent vision impairment, blindness, cerebral ischemia or cerebral hemorrhage, leading to stroke, skin necrosis, and damage to underlying facial structures. Immediately stop the injection if a patient exhibits any of the following symptoms, including changes in vision, signs of a stroke, blanching of the skin, or unusual pain during or shortly after the procedure. Patients should receive prompt medical attention and possibly evaluation by an appropriate health care practitioner specialist should an intravascular injection occur.

As with all events that involve an injection through the skin, there is a risk of infection. Laser treatments or chemical peels or any other treatments that affect the skin can increase the risk of infection. Do not use BELOTERO BALANCE if you have a skin inflammation or a skin infection. Do not use until the infection is healed.

Patients getting BELOTERO BALANCE may have an injection site reaction. These reactions can include inflammation and usually last less than seven days.

For approximately 24 hours after treatment, avoid:

  • strenuous activity
  • extensive sun or heat exposure
  • aspirin or non-steroidal anti-inflammatory drugs
  • alcoholic beverages

Exposure to any of the above can cause temporary redness, swelling, and/or itching at the injection site.

It is not known how BELOTERO BALANCE will work in areas of the face other than the smile lines. It is not known how BELOTERO BALANCE will work in women who are pregnant or breastfeeding or people who are less than 21 years of age.

About treatment
What is Captique?

  • Captique has been withdrawn from the U.S. market.
  • Captique is used for the correction of moderate to severe facial wrinkles such as the smile lines that appear between your nose and mouth, or the marionette lines that turn down the corners of your mouth.
  • Captique is injected just below the surface of the skin in order to temporarily correct wrinkles. Captique adds volume to the skin, smoothing lines and wrinkles and the treatment results are immediate. Over time, the gel will gradually break down and be naturally absorbed by your body.

After the initial treatment, an additional treatment of Captique gel may be necessary to achieve the desired level of correction. The need for an additional treatment will vary from patient to patient.

About treatment
“ELEVESS™ is an FDA-approved injectable dermal filler for the aesthetic treatment of facial wrinkles and folds.

What is ELEVESS?

It is available in the EU, Canada, Chile, and Peru although product indications for use differ for each geographic region. Please refer to the product Instructions for Use (Package Insert) for further information and detail.

Long-lasting natural effects, combined with patient comfort and ease of use are key benefits of ELEVESS. It was the first FDA-approved hyaluronic acid-based dermal filler to include an anesthetic (lidocaine) in its formulation, greatly increasing patient comfort during, and after, the injection procedure. Additional benefits of ELEVESS include: the highest available concentration of HA and a unique patented HA cross-linker in the formulation (for greater durability), an ergonomically designed syringe (for ease of handling) and unique properties that allow easy injection through a very thin (30G) needle to minimize discomfort to patients.

ELEVESS™, like other dermal fillers, is injected directly into patients’ skin; however ELEVESS is the first FDA-approved HA-based dermal filler to include the anesthetic lidocaine, greatly reducing injection pain and increasing patient comfort.

Long-lasting*, more natural effects are the result of a unique, patented hyaluronic acid cross-linker and the highest concentration of HA of any available dermal filler.

Additional benefits of ELEVESS include an ergonomically designed syringe for ease of handling and unique properties that allow for easy injection through a very thin (30G) needle to minimize patient discomfort.

filler – Evolence
About treatment
What is the most important information I should know about Evolence?

  • Evolence was withdrawn from the U.S. market in November of 2009.
  • The U.S. Food and Drug Administration approved Evolence, a collagen-based structural dermal filler for the correction of moderate to deep facial wrinkles and folds, such as nasolabial folds, in June of 2008.
  • Patients with known hypersensitivity to any collagen products or planning to undergo desensitization injections to porcine products should not use Evolence, as these injections can contain porcine collagen.
  • Evolence is injected into the mid-to-deep dermis. The most common side effects of Evolence injections are usually injection-site related and include mild swelling, redness, and pain. Other rare side effects include the development of small areas of firmness under the skin at the treated sites that may be noticed when the areas are pressed upon.

filler – Zyderm / Zyplast
About treatment
Zyderm® and Zyplast® implants, introduced in the early 1980s, remain the most widely used, safe, and effective choices for smoothing lines, wrinkles, scars, and for defining the lip border.

  • More than 1 million treatments in over 40 countries have been administered with Zyderm® and Zyplast® implants.
  • From 2011 this product is no longer generally available in the U.K. as use declined due to the introduction of newer fillers that do not require a patch test prior to treatment.
  • Generic name
  • Bovine dermal collagen plus 0.3% lignocaine.

How is it made?

From cow skins.

Is a skin test required before treatment?

Yes. Four weeks prior to the procedure, Collagen Test Implant is administered intradermally into the volar forearm to determine if a patient has a sensitivity to the implants. Ninety-seven percent (97%) of men and women tested can be treated with Zyderm® and Zyplast® implants.

Is it temporary or permanent?

Collagen is completely broken down within the skin over a period of months, eventually leaving no trace of the filler.

About treatment
Ultherapy is the only non-invasive procedure FDA-cleared to lift skin on the neck, under the chin and on the eyebrow. Now also FDA-cleared to improve the appearance of lines and wrinkles on the décolletage, Ultherapy can help you achieve a fresher, more youthful look from your brow to your chest!

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Ultherapy harnesses the power of ultrasound to transform the brow, chin, neck and chest. Ultrasound, of course, has been used safely throughout the medical field for more than 50 years—and Ultherapy has been established as safe and effective in clinical studies and in over half a million treatments worldwide.

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Unlike lasers, radio frequency, surgery and other technologies, non-surgical Ultherapy bypasses the surface of the skin to deliver the right amount of ultrasound energy at the right depths and the right temperature. This energy triggers a natural response under the skin, jumpstarting the regenerative process that produces fresh, new collagen.

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Some patients see an initial effect right after their treatment, but the real results appear over 2−3 months as new collagen works to lift and tighten skin on the neck, chin and brow as well as smooth skin on the chest. While Ultherapy won’t duplicate the results of a facelift, it’s a clinically proven non-invasive alternative for those not ready for surgery—and can even be an option for patients who wish to extend the effects of cosmetic surgery.

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After cleansing the skin and identifying the specific areas to be treated, your Ultherapy practitioner will apply the ultrasound gel and place the smooth treatment applicator against your skin. Next, your provider will use Ultherapy’s ultrasound imaging to first see deep within the skin to determine optimal placement of the treatment energy, and then deliver the focused ultrasound energy beneath the skin’s surface.

During the treatment delivery, you will feel tiny amounts of energy being deposited to precise depths, indicating that the collagen-building process has been initiated.

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After Your Treatment

With Ultherapy, there is no downtime! You can return to your normal activities immediately after your procedure without any post-treatment restrictions or requirements.

Your skin might appear flushed at first, but the redness should disappear within a few hours. Some patients experience slight swelling, tingling or tenderness to the touch, but these are mild and temporary in nature.

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Trichloroacetic TCA
About treatment
TRICHLOROACETIC ACID is a strong acid used as a protein precipitant in clinical chemistry and also as a caustic for removing warts.

Trichloracetic acid (TCA) peels are considered medium-depth peels. They reach slightly deeper into the skin than alpha hydroxy acid (AHA) peels–and thus often produce stronger results.

These peels also have the advantage of being suitable for most skin types, including darker-toned skin. To avoid discoloration, however, people with dark brown skin need to follow a pre-treatment protocol that may include treating the skin with alpha hydroxy acids (AHAs) first. (Your physician will explain this process to you during your consultation.) How Does a TCA Peel Work?

TCA is a skin-resurfacing treatment: it removes dead skin cells, uncovering a “new” layer of skin that appears smoother and more vibrant. As a result, it softens fine lines, minimizes superficial “age” spots and other skin discolorations, and generally improves the tone and texture of your skin. TCA peels are also very popular for diminishing the appearance of acne scars.

More than one TCA treatment may be recommended. Treatments are usually spaced 2 to 3 months apart. To increase their effectiveness, these peels are often combined with other skin-rejuvenating treatments, such as microdermabrasion.

The Treatment
TCA peels generally takes 15 to 30 minutes. The exact length of treatment will depend on how many “coats” of the acid are applied to your skin. First, your skin will be cleansed and degreased. Then the acid will be applied. As soon as the acid has reached the intended depth, your physician will apply a neutralizing solution.

You’ll experience a slight stinging sensation during the 2 to 3 minutes the solution remains on your skin. Your physician may use ice water or a fan to reduce any discomfort. If a high concentration of acid is being used, you may also be given a medication for pain or anxiety

Side Effects
You’ll probably want to set aside several days to recover from a TCA treatment. Immediately after the procedure, you can expect some skin irritation, redness and swelling. Within a few days, your skin will tighten and darken–and then begin to crack and peel for the next 4 to 7 days–at which point the tighter, smoother and more youthful-looking layer of skin will emerge.

Because your skin’s newly formed layer will be temporarily more susceptible to sunburn, you’ll need to protect it with an effective sunscreen for several weeks. TCA is a strong chemical that can transform the appearance of your skin, but it should be administered only by a skilled and experienced physician.

filler – Sculptra
About treatment
Being popularly used for cosmetic purposes since as long as 1999 in Europe, known by the New-Fill. Made from poly-L-lactic acid, a synthetic yet safe material that has been used over decades for cosmetic Sculptra Aesthetic purposes, Sculptra was officially approved in 2004 for those struck with diseases like HIV positive. This filler was initially used to add volume to those parts of the face with facial fat loss, a severe medical condition also known as lipoatrophy. But with time, dermatologists researched on its other uses to successfully counter unattractive signs of aging. Some typical signs of aging are wrinkles and fine-lines, dehydrated and loose skin that looks like bags under the eyes.

After observing its overwhelming and long-lasting results, Sculptra soon became surgeons and dermatologists favorite to counter signs of aging by helping plump up the skin and reduce fine lines and wrinkles.

There is a very essential protein called collagen that is produced naturally under the skin, responsible for retention of sufficient water and regulation of blood to keep the skin hydrated and from falling loose. Sculptra is injected deep into the skin which boosts up the production of collagen that might have stopped producing over time. Thus making your skin look more youthful and firm. Sculptra is not over-the-night treatment, this too takes its fair share of time to show results, though, it might show immediate effects on some skins, for others it takes a typical time of few months after receiving the treatment of 4-6 weeks apart.

Although, Sculptra is not recommended for those with highly sensitive skins or allergies.

Periocular lifting (smartXide)
About treatment
SmartXide2 corrects skin imperfections and counteracts the effects of aging, such as wrinkles and  abbiness, by exerting a unique action on the tissues with effective stimulation of neocollagenesis.

It is also ideal for areas hitherto considered untreatable such as the neck, décolleté and periocular area. Periorbital rejuvenation is one of the most important areas of rejuvenation of the aging face. The eye area is important in contact between individuals, with eye-to-eye communication occurring in approximately 80% of all interactions. The orbital area conveys information on general health and impressions regarding individual health, fatigue, interest, and emotion. For many individuals with limited budgets or limited interest in facial rejuvenation, the eye area is the focus of facial rejuvenation surgery.

Pure PRP – anti aging
About treatment
What is Platelet-Rich Plasma?

Platelet-Rich Plasma (PRP) therapy is another example of a medical technique that is being used to improve the skin using the natural, healing components of the body. This treatment is also known as a Vampire Facelift. 

This treatment has been used for many years to help heal wounds and encourage quicker healing, for example in athletes suffering from sports injuries. Tiger Woods, the world’s number one golfer, used PRP therapy to recover quickly from knee surgery. PRP also has a long history in the treatment of surgical recovery, bone cancer, ulcers, and torn ligaments, and there have been reported successes in a large variety of other conditions. 

In recent years, PRP therapy was introduced as a method of rejuvenation for the skin, helping to accelerate normal cell renewal and healing processes by stimulating collagen formation, revascularization (increasing blood supply) and repair. Using your own blood means that there is no risk of adverse reactions to the treatment. PRP can also be used as a ‘natural filler’ to help restore volume where necessary.

How is the treatment performed?

The PRP treatment involves drawing your own blood from the veins in your arm. This blood is then placed in a centrifuge, which spins at high speed to separate the platelets from the other blood components.  The platelet-rich plasma is then injected into the face in multiple injections. Each injection helps to spread the PRP into all areas of the face, while causing a small damage to encourage rejuvenation. PRP can also be used to rejuvenate the neck, decolletage and hands. PRP is also successfully being used as a hair loss remedy.


You can see the benefits of the treatment from the second week, although repeat treatments are necessary for best results. A package of 6 treatments at 1 monthly intervals will give you excellent results. Results are gradual and the skin will continue to improve as the process of renewal can go on for up to a year after the treatment. A combination therapy together with fractional laser treatments can help to further improve and accelerate the rate of rejuvenation.

About treatment
What is it?

Juvéderm Voluma XC is a sterile, biodegradable, viscoelastic gel implant. It consists of crosslinked hyaluronic acid produced by Streptococcus equi bacteria, formulated to a concentration of 20 mg/mL with 0.3% lidocaine.

How does it work? 

Juvéderm Voluma XC is injected into facial tissue to temporarily restore volume and fullness to the areas of the mid-face, which include the cheeks and nearby regions confined to the middle portion of the face.

When is it used? 

Juvéderm Voluma XC is used by a doctor in areas of the mid-face to correct age-related volume loss. The gel temporarily adds volume and fullness to the face in adults over the age of 21.

What will it accomplish? 

Juvéderm Voluma XC temporarily reverses signs of age-related volume loss in the mid-face. In the clinical study, 86% of subjects had an improvement in their cheek fullness 6 months, and the results lasted up to 2 years in a majority of subjects. Most subjects also experienced moderate tenderness, swelling, firmness and/or lumps and bumps at the injection site which generally lasted 2 to 4 weeks.

Light Stim – LED light therapy blue light – acne/ amber- builds collegen electain/ red circulation
About treatment
LightStim patented LED Light Therapy is the most effective and affordable technology for achieving healthy and youthful skin. It is soothing, painless, and can be used on all skin types to diminish fine lines and wrinkles. In just minutes a day you can firm and tone aged or tired skin, reduce the appearance of pore size, smooth texture, increase elasticity and recapture your radiant glow.

Give yourself the beautiful skin you deserve.

LightStim uses LED light therapy to deliver light energy in a similar way plants absorb light energy from the sun. LightStim emits UV-free, beneficial light rays that energize cells and stimulate the body’s natural process to build new proteins and regenerate cells. Each LightStim product is composed of different wavelengths, or colors of light. When this beneficial light is applied directly to the skin it can help to increase collagen and elastin production, reduce inflammation, speed healing, increase circulation, and destroy acne bacteria.

Lumecca – IPL skin rejuvenation
About treatment
Lumecca uses intense pulsed light (IPL) to selectively target and treat skin conditions through selective photothermolysis. Optimized for light and dark skin, Lumecca increases the potential for clinicians to treat a variety of skin types and conditions ranging from facial pigmentation, superficial vessels, skin texture and/or photo-damage.

Non- ablative laser
About treatment
What is non-ablative laser rejuvenation?

Non-ablative skin rejuvenation uses a laser to improve the appearance of wrinkles, brown spots and minor scars by creating heat in the skin without injuring the surface of the skin. The heat generated by the laser promotes collagen production which causes the skin to tighten and look young and healthy. Nonablative lasers often are fractionated so they deliver heat into the skin through thousands of tiny, deep columns known as microthermal treatment zones with intervening normal untreated skin. The fractional approach allows the skin to heal much faster than if the entire area was treated. This approach lessens the recovery period and reduces the number of complications that can occur. Multiple sessions are needed in most cases.

What can I expect after having had non-ablative laser rejuvenation?

  • Recovery time following the procedure is minimal. Improvement is gradual and can take several months to take full effect. In some cases, a series of treatments may be necessary.
  • Most patients can return to work immediately after the procedure.
  • Redness caused by the treatment can be camouflaged by makeup without any negative effects.
  • The treatment area should be kept well moisturized.
  • Patients should avoid sleeping on the treated area to prevent prolonged swelling.
  • Cold compresses can be applied to alleviate pain.
  • Sun exposure should be avoided after the treatment. Broad spectrum sunscreens of at least SPF 30 should be applied daily.

Filler – Perlane
About treatment
Perlane, a mid-dermal filler is generated by a streptococcus specie for bacteria for the correction of signs of aging such as fine lines and wrinkles, nasolobial folds and has also been used for long lip augmentation.  It’s a member of the Restylane family of products. With time, or with aging, skin might stop the production of Hyaluronic acid, a natural substance which is responsible for maintaining volume under the skin. As a result of which skin loses volume and folds and wrinkles start forming up.

Approved by FDA in 2007, Perlane is a hyaluronic acid filler product very much like Restylane. It’s just that the gel particles in Perlane are larger than those composed by Restylane. This gives additional ability to Perlane to lift and fill the targeted areas of injection. Hence, Perlane is more suitable for the correction of moderate to severe facial folds and wrinkles. Though in 6 months, its natural ingredients effects starts to fade.

Perlane Injections FYI :

Perlane is a hyaluronic acid filler which is a natural substance that might have stopped being produced resulting in skin losing its vital moisture. The three-dimensional gel particles found in Perlane are hydrophilic molecules. These particles bind with water molecules to enhance sufficient volume for as long Perlane sustains.


  • Perlane comes in injectable fillers that are injected deep into the dermis and superficial layer under the skin. Ultrafine needles are used by the professionals to avoid any bruises or rashes to the skin. Doctors may recommend numbing liniments before commencing with the treatment to avoid any discomfort.
  • Its hyaluronic gel particles add volume restoring surface contour in nasolobial folds and wrinkles. The effect of Perlane has been clinically proven to persist for up to 6 months.
  • Since Perlane is a mid-dermal filler, it can be used with combination with other hyaluronic fillers each of a different layer under the skin depending upon the inclemency of the folds and wrinkles.
  • To settle down any possible swelling after the treatment, cold compressing is advised immediately.

filler – Prevelle Silk
About treatment
Prevelle Silk is an injectable dermal filler used to treat moderate to severe wrinkles and facial folds. This is one of the newer injectable soft tissue fillers that was approved by the FDA in March 2008. It consists of a clear gel containing hyaluronic acid, which occurs naturally in the body to hydrate and cushion the skin. Once injected, the gel plumps the skin, smoothing away creases. One of the major differences between Prevelle Silk and other hyaluronic acid-based formulas is that the injection contains Lidocaine, which numbs the skin leading to a more comfortable treatment process.

The treatment session usually lasts 30 minutes to an hour and takes place in the doctor’s office. Prevelle Silk contains lidocaine, a local anesthetic to reduce discomfort at the time of injection. Because the anesthetic is contained within the injection itself, no local or topical anesthesia is required prior to treatment. The number of injections needed depends on the area being treated and the depth of the wrinkle. Using a tiny needle, the doctor injects the gel into the targeted facial fold.

After treatment, many patients return to work immediately. There are no bandages required, and side effects are mild. Some patients undergo a ‘touch-up’ visit for further correction one to two weeks after the initial injection, although other patients find this unnecessary. Over time, the injected Prevelle will be broken down by the body and the wrinkles will reappear. Because of this, treatment is required every 3 to 6 months to maintain the results.

Collagen injections
About treatment
Collagen injections give your skin a plumper, smoother appearance. Although collagen is the best known filler, there are many other substances doctors can use to plump up your skin, including fat from your own body and synthetic materials. Below you will find a detailed explanation of how collagen works, followed by a list of other injectable fillers your doctor may recommend.

To understand collagen, you should first understand your skin.

Skin consists of three layers: the epidermis, dermis, and subcutaneous tissue (hypodermis). The upper-most layer, known as the epidermis, controls the loss of water from cells and tissue. Without this protective barrier, the body would quickly dehydrate.

Just below the epidermis lies the second layer, the dermis. The dermis, although it contains blood vessels, nerves and hair follicles, is primarily made up of a protein called “”collagen.”” This protein forms a network of fibers that provides a framework for the growth of cells and blood vessels. Because it is the primary component of the dermis, collagen acts as the support structure for the skin. The hypodermis is a layer of fat and connective tissue that contains larger blood vessels and nerves. It also hosts sweat glands, fat, and collagen cells. The hypodermis is responsible for conserving your body’s heat and protecting your vital inner organs.

Ultra-former micro and macro focused ultrasound system. Face and body lifting tightening contouring
About treatment
Ultraformer is the premium multi-functional ultrasound device with 7 calibrated cartridge depths the Ultraformer is a world leader in lifting and tightening.

Offering eye, face and neck lifting and body tightening in one system. What makes the Ultraformer II & III stand out is that it can be calibrated to target various skin layers to elicit both an immediate and long-lasting lifting and tightening effect.

The Micro-Focused Ultrasound energy delivers high peak power consistently and is designed to lay wider thermal zones when used in body mode.

Ultraformer advantages include faster shot and treatment speed, less discomfort associated with treatments, better efficacy, user friendly design and interface, automatic hand piece recognition, shot count information function and voice control function.

The Ultraformer is easy to incorporate to a new or existing aesthetic practice, and can be used in conjunction with other treatment modalities. And since there is no downtime, patients can go in for a “lunchtime treatment” and go back to their normal routine afterwards.

XEO nd:yag, Er:ysgg;  
About treatment
XEO offers up to three clinically proven laser and light-based modules, customizable at any time, to best match any practice with any patient demographic. From offering maintenance care to corrective procedures, XEO positions practices to expand as their patient population and needs grow.

truPulse™ Nd:YAG Laser
Treat a broad range of conditions with the wavelength that CUTERA knows better than anyone. truPulse™ Nd:YAG is optimized for efficient hair removal, treatment of vascular lesions on face and body, and offers the no downtime, highly popular Laser Genesis™ procedure for skin revitalization.

Intense Pulsed Light (IPL)
CUTERA’s broad menu of intense pulsed light options provide a full range of treatments for the signs of aging. In addition to hair removal, XEO + IPL can diminish the appearance of fine lines and wrinkles, dyschromia and provide deep dermal heating.

Er:YSGG Laser
CUTERA’s ablative skin resurfacing solution provides the perfect combination of heat with ablation, delivered fractionally or full field. Experience XEO + Er:YSGG’s take on superficial skin imperfections.

Treatment used for 

  • Rosacea
  • Angiomas
  • Port Wine Stains (PWS)
  • Venous Lakes
  • Facial Veins
  • Leg Veins
  • Poikiloderma
  • Inflammatory Acne
  • Lentigines
  • Freckles
  • DPNs
  • Age/Brown Spots
  • Skin Tags
  • Acne Scars
  • Scar Reduction
  • Wrinkles
  • Warts
  • Dermal Heating
  • Hair Removal

Threading – facial
Treatment used for 

  • This procedure is suitable for both men and women.
  • Facial Threading was designed to reduce early signs of facial ageing and help achieve a more youthful appearance.

This procedure is less invasive than a facelift, faster and lower cost. It involves using threads made from polypropylene that have evenly spaced tiny barbs the length of the thread. Once inserted under the skin, the threads are fixated in the direction that lifts the sagging tissues of the brow, face and neck. Over the next 3 – 6 months approximately, your collagen encapsulates and contracts around each thread. This leads to more lift.

The practitioner will assess the individual to determine the suitability for the threading procedure. Degrees of threading depends on the suitability of each individual to achieve an optimal result. Where excess skin exists a more extensive procedure is required

Threading procedures address the gravity and are aimed at adding support to the face. The procedure is a simple and convenient way to elevate sagging tissue, in the cheeks and mid-face and can soften the appearance of jowling.

An incision biocompatible with your body is made directly above each ear hidden in the hairline.  The barbed stitch is made of permanent polypropylene stitches with fine cogs that can grab the loose tissue and help hold it in place. Threads are anchored at the incision site, are minimally invasive and leave no telltale signs of surgery.  There are no visible scars. This can help produce a younger appearance with the added benefit of removing some loose skin.

Risks and Complications 

Risks include an allergic reaction to the anaesthetic, hematoma, seroma, infection, palpability of the APTOS thread line.  Sometimes a thread end may poke through the skin, if this should happen contact your doctor immediately. Do not attempt to reinsert the thread yourself at any time.  Dislodging of the thread may occur resulting in a lopsided or crooked result (asymmetry)

Quick recovery with little downtime required.


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