Botulinum toxin is a substance produced by the bacterium Clostridium botulinum. At first it was used in ophthalmology and neurology. That’s when it was discovered the toxin could be used to diminish wrinkles and stop sweating. The amount of applied substance in cosmetology is 1000 times lower than the toxic dosage. The actual effect of botulinum toxin consists of the blockage of nerve-endings; the muscle is de-nerved and no nerve impulses can affect the area. It is practically “numb,” although over time the muscle does regain its nerve impulses. The effect of botulinum toxin is not permanent.
Botulinum toxin is an out-patient procedure that takes several minutes. The actual application takes 5-10 minutes. It is performed without anesthesia but the treated area may be cooled with a frozen compress. The solution is applied with a thin needle under the skin in the specific wrinkled area.
Following your botulinum toxin application, you should not lie down for four hours after the procedure. This is so the toxin won’t, for example, get in the eyes and perhaps cause drooping eyelids. The patient should also not wear cosmetics, visit a solarium, receive a massage, etc.
The effect of the substance after the first application lasts approximately three months, after the second one around half a year and after the third application approximately 9-12 months. The more the substance is applied the longer the effect lasts. However, the effect of botulinum toxin can’t be guaranteed for more than a year. Many clients return once a year, or even better, learn not to use specific muscles and therefore the period between the treatments is prolonged. Botulinum toxin application in the same area is not recommended more than twice a year (except in the first year.) In case of very deep wrinkles or defected collagen fibers, total wrinkle removal cannot be expected, but only a wrinkle reduction. Here it is possible to combine the botulinum toxin with a suitable filling material, for example collagen or hyaluronic acid.
The results of the treatment appear after three to six days. The skin is visibly relaxed and the wrinkles are shallower. The effect is optimal after fourteen days, and lasts three to four months. The more frequently the treatment is repeated, the longer the effect (from six to nine months.)
Hyaluronic acid is found in the intercellular matrix of the skin of all mammals. Its main function is to retain water, thereby maintaining space between the cells for their metabolism and protecting the skin against the harmful effects of free radicals.
Hyaluronic acid is used as an injectable filler in aesthetic dermatology to eliminate wrinkles, strengthen skin and increase its flexibility. It supports the formation of new collagen fibers.
Some of the risks are mild redness or tenderness may appear around injection sites. In exceptional cases clients who suffer from cold sores may experience mild herpes symptoms. When a high-quality preparation and experienced specialist are selected side effects rarely occur.
The doctor applies the product to the skin using a thin needle or cannula. The slight burning sensation this causes disappears immediately after the substance has been applied. The skin is desensitized with cream at sensitive places, like the lips.
The result of the treatment– smooth skin and fuller lips – can be seen immediately. Although the skin may be slightly swollen directly after the treatment, the swelling disappears within one or two days. The body completely decomposes the filler within six to twelve months, at which point the effect of the treatment disappears. However, the treatment can be repeated without difficulty.
Other types of dermal fillers include collagen synthesis inducers and calcium hydroxyapatite, and its use depends on the patient needs.
Medical microneedling is a modern method based on the natural, self-recovering disposition of skin. The treatment uses a special application machine with very fine microneedles that create thousands of delicate and shallow punctures in the skin. These tiny punctures then trigger a natural, self-healing reaction which stimulates the creation of collagen and elastin. The consequent formation of small channels in the skin aides in hydration and allows nutritive substances to penetrate into deeper layers so that they are absorbed more effectively. This process of skin being filled up from the inside results in a younger look.
An advantage of this treatment is its short healing time. After treatment, the skin will temporarily become red in color, similar to the after-effects of sunbathing. This redness disappears within 24 hours, and the skin will become completely healed between 48 and 72 hours. The skin renewal process will continue for several months afterward, during which the creation of new collagen will continue, and the skin will become even smoother and more elastic. Medical microneedling is suitable for all skin types. For long-lasting effects, it is ideal to repeat the treatment several times. Patients will often undertake a “maintenance” treatment once a year, though it can be repeated at any time.
Mesotherapy is an all-natural treatment that supports the formation of collagen and new cells, stretches the skin and reduces superficial wrinkles. Mesotherapy is also used to treat cellulite. Mesotherapy is a minimally invasive procedure that involves micro-injections of healing solutions into the middle layer of skin (so-called mesoderm) to the depth of approximately 4 mm. The healing solutions mostly contain high concentrations of vitamins, amino acids and coenzymes. These substances significantly enhance skin regeneration. If the skin is too dry or if fine wrinkles are to be smoothed, the solution is combined with hyaluronic acid, which forms one of the fundamental elements of the skin’s structure. Its application intensively hydrates and subsequently stretches and consolidates the skin’s profile. Even medium-deep wrinkles of the neck, lower neck or arms can be smoothed. I perform the procedure manually or using a special applicator. Also, we determine the specific procedure and the exact composition of the healing solution according to the skin’s age and state
Chemical peeling is a quick and effective procedure used to rejuvenate and regenerate the skin of the face, neck and lower neck. It can also be used on the skin of the back of the arms and the back. The procedure is suitable for just about anyone who is looking for a quick improvement in their skin appearance, the smoothing of wrinkles or repairing skin damaged by sun. The procedure lasts several minutes; a peeling solution of a variety of substances is used, most often hydroxyl acid. During the treatment the surgeon applies the solution to the face with a small brush. The skin’s own regeneration is visible immediately following the procedure.
Based on the depth of the damaged skin and also according to the chosen concentration and length of application we divide peels into three categories: light, medium-deep and deep.
Redermalization and injectable moisturizer
Injectable moisturizers are intended to make your skin look and feel better, but don’t change the shape, volume or muscle movement of your face. Injectable skin boosters are becoming one the most booked treatments up and down the land.
Injectable moisturizers and skin boosters are generally hyaluronic acid based solutions that are injected into the skin to improve the appearance of skin on your face, neck, décolletage and hands. They provide optimal results due to their ability to work from the inside out, awakening cells within the ‘power center’ of your skin to replenish, revive and rejuvenate.
One of the principal advantages is the reduction of the fine wrinkles and creating a redermalization of the surface. This technique can also be used for acne scars, hands, neckline, décolletage, arms and knees, improving the texture, firminess-turgidity and overall skin appearance.
Carboxytherapy is a new technique based on the curing properties of carbon dioxide. It can have a rejuvenation effect and is used to rid the skin of a variety of imperfections. Carboxytherapy works by injecting carbon dioxide under the skin and into the areas needing treatment. There it will improve local tissue metabolism, circulation and skin regeneration. Carboxytherapy is a non-surgical alternative, without any negative side effects, to help to improve dark circles, cellulitis, stretchmarks, scars pigmentation and localized fat accumulation.
Polarized light therapy
Light therapy including low level laser as a coherent source of light and polarized UV free polychromatic noncoherent light therapy (e.g. Bioptron light therapy systems) have been proposed as nonaggressive, safe and cost effective therapeutic option for the treatment of several musculoskeletal disorders and skin conditions . The Bioptron Light Therapy System is a device with an optical unit emitting light that is similar to a part of the electromagnetic spectrum produced by the sun but with no UV radiation. The light emitted by Bioptron light therapy system can be characterized as polarized (its waves oscillate on parallel planes), polychromatic (wavelength: 480-3400 nm), incoherent (out of phase light, unlike laser light) and low energy light. These different wavelengths (480-3400nm) of BIOPTRON light therapy devices penetrate the skin at different depths triggering and enhancing a variety of cellular processes with beneficial physiological effects; including resolution of inflammation and activation of the immune system, mitochondria activation, reduction of pain intensity, wound healing and tissue repair vasodilatation and increased local and systemic circulation.
Bioptron light has so-called bio-stimulative effects: When applied to the skin, it stimulates generation of collagen, elastin among others light-sensitive intracellular biomolecules. This initiates cellular chain reactions and also triggers secondary responses not only limited to the treated skin area but can affect the whole body.
Deep ultrasonic facial
During an ultrasonic facial, high level sound wave technology is used to penetrate deep below the surface of the skin promoting cellular renewal and repair, toning muscles, increasing blood circulation, encouraging lymphatic drainage, combating puffiness and swelling and improving skin care product penetration.
The main goal of this procedure is to do a deep cleaning of the face; removing dead skin, blackheads and comedones. This treatment needs to be combined by other procedures to treat the acne.
DrPimplePoper(R) comedone and blackhead extraction
Using certified medical grade tools, we can do a deep treatment of acne under highly secure and sterile conditions. This treatment needs to be combined by other procedures to control the acne and seborrheic activity.
In my practice we include in home treatments with retinoid and antibiotic ointments to improve the skin complexion and control the acne.
Cryosurgery is a highly effective treatment for a broad range of benign skin problems and is best suited for use in patients with light skin and for treatment of lesions in most non–hair-bearing areas of the body. Spray methods include the timed spot freeze technique, the rotary or spiral pattern, and the paintbrush method. Benign skin lesions that are suitable for freezing include actinic keratosis, solar lentigo, seborrheic keratosis, viral wart, molluscum contagiosum, and dermatofibroma. Advantages of this treatment include a short preparation time, low risk of infection, and minimal wound care. Potential side effects include bleeding, blister formation, headache, hair loss, and hypopigmentation, but rarely scarring. Skin lesions often can be treated in a single session, although some require several treatments.