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NON INVASIVE SURGICAL OPTIONS
Chemical Peels, Dermabrasion, Restylane and Juvederm, Sculptra, Radiesse and BOTOX
 Chemical Peels are a chemical solution, usually TCA (trichloroacetic acid) which is applied to the skin,causing the skin to blister and peel off over a period of 5-10 days. As the treated skin peels off, new more fresh skin replaces it.Chemical peels are a suitable procedure for facial rejuvenation and diminishing the effects of sun damage.Works best on fair , thin skin with superficial wrinkles.
Chemical peeling involves the careful application of a chemical exfoliant to the epidermis skin specifically for the removal of superficial lesion and blemishes and thus to improve the texture of the skin. Various acids and basic chemical agents can be used for this purpose. The nature of the compound, the concentration of the chemical and the length of time it is in skin contact together determine the level of skin penetration and the level of peeling. Our Specialists generally only use and recommend light and medium peeling procedures as these are safe, and require no downtime. Usually a series of peels will be recommended to achieve a clinically pleasing result. What are AHA Acids?
Alpha hydroxy acids (commonly referred to as Glycolic Acid) are found in plants and food such as citrus fruits, apples, grapes, sugar cane and sour milk. The acid breaks the intracellular bonds of the epidermis and accelerates the sloughing of the superficial dead skin cells of the epidermis. Lactic acid and glycolic acids are the two most common AHA acids found in skin care products. This peel is considered a light peel and patients will require multiple treatments to see results.
What is Trichloracetic Acid?
 Trichloroacetic acid (TCA) can be used in many concentrations, but it is most commonly used for medium-depth peeling. TCA is a stronger chemical than the AHA acids. TCA acid will penetrate the skin much faster and deeper producing quicker and more dramatic results. Fine surface wrinkles, superficial blemishes and pigment problems are commonly treated with TCA. Clients may require more than one peel to achieve the desired results.
Commonly asked questions about Chemical Peels Does it hurt?
AHA and TCA peels does provide some patient discomfort. You will experience a slight stinging to the skin when the chemical is applied to your skin. Your skin is exposed to the chemical for approximately 2-3 minutes.
Who can benefit from this treatment?
Most people who have sun damage such as multiple solar keratosis, pigmentation abnormalities, certain types of acne, and fine wrinkling might benefit from a chemical peel. Peels are often used to treat fine lines under the eyes and around the mouth. Wrinkles caused by sun damage, aging, and hereditary factors can often be reduced with this procedure.
What is the procedure like?
After cleansing the skin to remove oils, the peeling agent is carefully applied. Within minutes, there is a very warm sensation that feels like sunburn. This lasts for a few minutes and is rapidly relieved by the application of cool compresses. In rare instances, there may be some swelling, especially around the eyes for the first two days, but discomfort is minimal. By the third or fourth day, the skin has a tight feeling and will begin to exfoliate. Your new skin will be smoother and more toned. The process usually takes at least 5-7 days
Microdermabrasion is a less invasive procedure and post treatment response is associated with a rosy ness to the skin and a slightly stimulating sensation which may last for a few hours.
How much improvement will I have?
The amount of improvement is individual and depends on the initial condition of the patient's skin. Maximum improvement of damaged skin and wrinkling ranges from 50%-85% and, although 100% percent improvement is not possible, most patients view the results as dramatic
Dermabrasion is a scraping of the top layers of the skin.This procedure softens edges of surface irregularities,including fine wrinkles and acne scars,especially around the mouth.The results are permanent, however new wrinkles may form as skin ages.
You're a good candidate for dermabrasion or dermaplaning if you have:  - Skin damaged from the sun
- Skin that has taken on a yellowish or gray color from ultraviolet rays
- Wrinkles around the mouth, eyes and cheeks
- Brown spots or liver spots
- Chicken pox scars
- Isolated, raised scars Scars from an injury
- Scars from previous surgery
- Deeply pitted acne scars
Dermabrasion and dermaplaning may also be preferred by people with slightly darker skin when treating small areas, since they may be less likely to result in a change in color in those areas. They can enhance your appearance and your self-confidence, but neither treatment will remove all scars and flaws or prevent aging.
Men and women of all ages, from young people to older adults, can benefit from dermabrasion and dermaplaning. SKIN FILLERS
 What is Dermal Filler?
Dermal fillers are used to soften and contour lines, folds, and wrinkles. The most commonly used dermal fillers are Collagen based or Hyaluronic based. The solution is injected into the skin to add volume and create a more youthful appearance.
Are There Many Different Types of Dermal Fillers?
Various dermal fillers can be used to immediately soften fine lines, wrinkles and skin folds. These fillers can also be used to mould and contour the face. Special preparations of these fillers can also be used to enhance lip volume and to improve the mouth shape. The most commonly used fillers are cross-linked hyaluronic acid gel preparations specifically manufactured and designed for this purpose. These hyaluronic acid fillers are not permanent, will be slowly absorbed and will last 6-9 months before needing some repeat procedure.
Some fillers are even longer lasting but also have slow onset effect. Specifically Sculptra® is such a filler. This particular preparation is inserted/injected into the skin over 3 sessions and may take a further few months before full dermal effect is achieved. However the results of this treatment will last for several years.
Is the procedure painful? 
There is some discomfort. The product is injected into the skin with a very fine needle and patients are treated with a topical aesthetic to numb the area to be injected.
Can something go wrong?
The dermal fillers that demonstrate consistent safety for the last 20 years are the non-permanent dermal fillers such as Restylane and Juvederm. There are some risks that is involve whenever a patients is exposed to any foreign product but the risks associated with the selected group of dermal fillers that we have discussed are minimal. At the time of your consultation, your clinician will discuss the risks associated with each product.
 Sculptra has been used internationally since 1999 in an estimated 150,000 patients and in more than 30 countries with such great success that it has been called the "liquid face lift. This non-invasive treatment corrects the deepest of creases and wrinkles with long-term results using a biodegradable material called "poly-L-lactic acid". Studies have shown that Sculptra's potency can even correct lip atrophy, a condition that causes facial fat loss. Sculptra does not require skin testing prior to use and it may be safely combined with other favourite facial treatments such as Botox and Restylane, to give you an immediate improvement while the long-term effects of Sculptra are being produced.
Is Sculptra Safe? 
Poly-L-lactic acid: A synthetic material that is biocompatible (Biocompatible: A material that does not harm the body) and bioabsorbable (easily broken down by the body) and has been used for over 25 years in dissolvable stitches, soft tissue implants and other implants.
Will I see immediate results?
No. At your first treatment visit it may appear that SCULPTRA worked immediately. That is because of swelling from the injections and the water used to dilute SCULPTRA. In a few days, when the swelling goes down and the water is absorbed by your body, you may look as you did before your treatment. SCULPTRA takes time to gradually correct the depression in your skin. Your health care provider will see you again in a few weeks to decide if you need more SCULPTRA injections.
 Restylane is a dermal filler that restores volume to the skin, giving a smoother, more youthful appearance. Restores volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). After your treatment, you might have some redness or swelling. This will normally last less than seven days. Sunbathing and cold outdoor activities should be avoided until any redness or swelling disappear. If you are pregnant, breastfeeding, or under 18, you shouldn't use Restylane. Results last between 4-6 months.
Is Restylane Safe?  More than 6 million treatments have been carried out since the launch of Restylane in 1996. Some common injection-related reactions might occur after a Restylane injection; they typically resolve spontaneously within one or two days after injection. These reactions include redness, swelling, pain, itching, bruising or tenderness at the injection site. Inflammatory reactions may last for up to two weeks in rare cases. After a lip enhancement, your lips may be swollen for several days.
Restylane should not be used in or near skin sites where there are or have been active skin disease, inflammation or related conditions. Nor should it be injected into an area where a permanent implant has been placed. Restylane has not been tested in pregnant or breast-feeding women.
Will I see immediate results? Restylane revitalizes and plumps up the skin, instantly diminishing the appearance of lines and giving a softer look.
 Juvéderm injectable gel is a gel consisting of hyaluronic acid. Hyaluronic acid is a naturally occurring substance in your skin that helps to add volume and hydration. Therfore no allergy test is necessary before treatment. The smooth consistency gel helps to instantly restore your skin's volume and smooth away facial wrinkles and folds, like your "smile lines" or nasolabial folds-the creases that run from the bottom of your nose to the corners of your mouth. It is also used with much success for lip augmentation A Juvéderm treatment takes about 20-30 minutes and results are immediate. Plus, there's minimal recovery or downtime. Results last 4-6 months. 
Is Juvéderm safe? Side effects, if any, are usually mild and may include temporary injection sight redness, swelling, pain/tenderness, firmness, swelling, lumps/bumps, and bruising. Will I see immediate results? Yes, results are immediate  Perlane is injectable cosmetic dermal filler that has been used to soften wrinkles and facial lines of individuals. It is also a popular filler for lip augmentation, facial depressions, and facial scarring. It can be used in both sexes.
Perlane is made from non-animal stabilized hyaluronic acid gel. Perlane is a non animal product and does not pose any risk of allergies. Hyaluronic acid is a resilient chemical and can easily adjust and mold to the facial contours. Unlike other dermal fillers, no prior skin testing is required prior to the injection of Perlane. 
Is Perlane safe? Perlane is generally a safe product. Because it is made up of hyaluronic acid (Which is also a normal component of the human nobody) the skin does not react adversely to the product. Reports of allergy or granuloma formation are rare. Will I see immediate results? Results are immediate
 Radiesse fills acne scars and wrinkles,including frown lines and smile lines. It is composed of a synthetic compound. It is does not require allergy testing and can be injected in a simple office procedure.
Sculptra is a long lasting filler used to fill sunken areas of the face,as well stimulate new collagen growth.It is made from Poly-L-lactic acid. Results will last up to a year. 
Is Radiesse Safe? Yes, there are no known side effects Will I see immediate results? Yes results are immediate  Botox ® is a chemical produced by the Clostridium Botulinum bacteria. Botox is a protein derivative of the toxin, which, when injected into a muscle causes it to become weakened or inactivated. It stops the muscle from functioning by blocking neuromuscular transmission i.e. stops the chemical messages from the nerve to the muscle.
How long has Botox® been used?
Colostridium Botulinum has been used safely for over 20 years for the treatment of teret syndrome (continuous squinting of the eye). The product has been used in a variety of other therapeutic applications such as Spasmodic Neck, Writers Cramp, and Cerebral Palsy to name but a few.
How is Botox® used for lines and wrinkles?
By using facial muscles repeatedly throughout our lifetime, the skin is creased in areas of greatest use. The aging process causes the slow down of collagen and elastin production in the skin so that as we get older these areas of over use become damaged and the lines become permanent. By reducing movement of muscles in these areas, the skin stops being creased and is allowed to recover causing the lines to soften or even fade away.
What happens during the treatment? 
The process takes about 10 to 15 minutes. The practitioner will ask you to use certain muscles of the face to observe how they work. An extremely fine needle is used to inject Botox® into the appropriate area. The injections may cause some swelling and redness, which will resolve itself in 2 to 4 hours.
Is the result immediate?
The treatment will take effect after 7 to 14 days.
How long will the result last?
The treatment will last for approximately three to four months on most individuals.
Are there any side effects?
Side effects of this treatment are rare. Occasionally, patients may experience a temporary drooping of the eyelid. This result is very rare and will resolve itself within a few weeks. In extremely rare cases, patients can develop an allergy to the treatment or some patients may not respond to the treatment
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