AESTHETIC DERMATOLOGY

AESTHETIC TREATMENT

PEELING

It is a treatment which consists of exfoliating the skin to obtain some epidermic or dermic regeneration or both. Peelings can be mechanical (like the ones using diamond tips) or chemical (using creams, masks or liquids) for which chemical or enzymatic substances are used. The choice of products are related to the doctor’s evaluation and the objectives sought. It can be prescribed for patients suffering from acne, photo damage, mild or medium wrinkles, skin spots or for those skins lacking illumination and freshness. • Duration of the session: Between 10 and 20 minutes, depending on the peeling to be performed. • Benefits: Preventative effect for wrinkles and aging cases. A fresher skin with renewed cells. One of the objectives is to reduce the incipient wrinkles and furrows, dilated pores, scars and fight acne and its consequences. • Post treatment: The patient will be able to return to their ordinary activities after the treatment, taking into account that the skin will be slightly red for some hours and will slightly peel 48 hours later. After a week, the appearance of the skin treated changes and the smoothness really improves.
MICRODERMOABRASIÓN
It is a treatment which enables the skin to look healthier, fresher and with more elasticity. It is a non-invasive procedure which consists of mechanical microdermabrasion by means of abrasive heads covered with small diamonds which remove the dead cells in the upper coat of the skin. In this way, cellular regeneration and the production of collagen are stimulated providing more skin elasticity and tone. • Duration of the session: It usually takes about 10 minutes. It can be associated with some peeling to power the rejuvenating effect. • Benefits: Non-invasive treatment which causes the loss of skin impurities. It can be applied to the face and other parts of the body such as the back, the arms, the elbows, the legs among others. • Post treatment: You can go back to your ordinary activities immediately.
ACNE

Acne usually appears in adolescence but its consequences can be lifelong. For each type of acne there is a specific treatment. For comedones (black or white heads) and milia cysts, we perform removals and drainages followed by superficial or medium deep peelings. Depending on the scars (depressed, atrophic), it is possible to do a subsicion procedure (with the needle’s blade introduced under the scar, the collagen bundles which pull it downwards are cut). This ambulatory procedure stimulates the production of collagen which also increases with the addition of hyaluronic acid (Restylane, Belotero, Art filler, Princess). In some special cases, surgical lasers such as Erbium or CO2 are recommended.
MESOTHERAPY
Mesoterapia
Mesotherapy is performed by means of superficial microinjections to prevent face aging, improve wrinkles and flaccidity and to get some global revitalization of the skin. The active principles or substances will depend on the patient’s aesthetical needs. Some medications administered have a tightening action powering the production of collagen (laureth, sodium pyruvate, conjoctyl), others improve microcirculation and activate cell regeneration. • Duration of the session: about 20 minutes. • Benefits: It makes it possible to maintain the tone of the skin homogeneous and prevents the appearance of pigmentations. It reduces the micro wrinkles. The result is a smother, firmer, healthier and brighter skin and the tone of your skin will become more homogeneous with fewer small pigmentary alterations. • Post treatment: It is possible to return to your daily life immediately. The use of sunscreen is recommended and avoid direct sun exposure. There may be some small bruises which are reabsorbed spontaneously in 2 or 3 days.
INTENSE PULSED LIGHT
Dermatitis
This treatment makes it possible to blur the different tones which appear in the skin as a consequence of aging and sun exposure. It is generally used in the face, neck, neckline and back of the hand. The procedure involves the application of an intense light beam which specifically treats the dark pigmentations of vascular origin and the sun spots. It also reduces the size of the pores and the depth of the wrinkles and helps generate new collagen in the dermis. Also improves or eliminates the spots caused by the sun. • Duration of the session: about 30 minutes. • Benefits: It enhance the formation of collagen to improve the quality of the skin. It unifies the colour and vascular spiders and telangiectasias (dilated vessels) disappear. It improves the fine lines and erythematous scars produced by acne or surgical procedures. It reduces the size of the pores giving a good looking appearance and smoothness. • Post treatment: Depending on the number of spots or dilated vessels in the area treated, the following day it will be possible to notice some swelling which will disappear 48 hours after the treatment. The spots will disappear within a week. It is possible to return to your usual life using make up 72 hours after the procedure.
BOTULINUM TOXIN

In comparison to facial fillers, the botulinum toxin, better known as Botox, Dysport or Xeomin, is not a filler but a relaxant which is directly injected into the dynamic, wrinkle generating muscle. The expression lines are the ones around the eyes and the eyebrow. The aesthetic consequence is the disappearance of the wrinkles. The biological effect is temporary and lasts around 3 months. The wrinkles reappear more softly after 4 or 5 months. Botox, Dysport and Xeomin are fully reversible treatments. • Duration of the session: about 20 minutes. • Benefits: The results are immediate and at the same time provide a noticeable improvement of the skin. Botox illuminates the way you look and the skin appears radiant. The face looks more relaxed, rejuvenated and nice with a natural look. • Post treatment: It allows you to return to your daily life immediately. It is advisable not to lie down in the first 4 hours after the application or to rub the area.
TREATMENT OF FACE WRINKLES
Rellenos de arrugas y depresiones
This treatment is customized and harmonic. It is important to respect the balance between the shades and lights of the different faces. Previously set or fix treatments are useless. On the contrary, the derm specialist has to optimize the different procedures in order to obtain harmony in each patient’s face. The most important is how natural the result is. Within the non-surgical resources, we can take advantage of the best of the botulinum toxin. (Botox, Xeomin, Dysport) for the upper third of the face. Hyaluronic acid fillers (Restylane, Belotero, Princess, and Art filler), PDO traction and lifting threads, rejuvenating or tightening mesotherapy are generally performed in the medium or lower third of the face, neck and neckline. To improve the texture, pigmentation and superficial wrinkles in the skin, it is possible to apply different types of superficial or medium depth peeling, pixeled 1064 QS lasers (non-surgical), the PRP (Platelet Rich Plasma), and skin booster (restylane vital).
NIR (Near Infra Red)
Mediante la aplicación de calor en altas dosis el colágeno dérmico se tensa y estimula su neoformación. Las capas superficiales no sufren ninguna alteración porque se la protege con un refrigerante. Es un complemento no quirúrgico para devolver el marco facial o la tensión en las áreas fláccidas de los muslos o brazos o abdomen.
LASER NO ABLATIVO

La tecnología del Laser 1064 QS Pixel permite tratar las arrugas superficiales de la piel y los poros dilatados suavizándolos. Es un procedimiento indoloro y de inmediata recuperación.

TREATMENTS – AESTHETIC DERMATOLOGY

THREADS LIFTS
It is a regenerative technique with some lifting effect based on the implant of multiple mini polydioxanone threads. These threads lifts are biocompatible and totally reabsorbed in 3 months, generating and stimulating your own collagen. This treatment rejuvenates, improves your wrinkles and skin laxity from the inside, producing a lifting effect by stimulating in a natural way your own collagen production. • Duration of the session: The procedure is painless with local anaesthesia in 40 minutes to 1 hour. • Benefits: Threads provide some natural improvement of the skin with a lifting effect in the area treated, stimulating the production of collagen in the dermis, preventing laxity and attacking it. It can be applied easily and quickly by means of an ambulatory technique. The duration of its effect varies between 12 and 18 months according to the type of skin, age and each person’s response. • Post treatment: It is a safe, quick, almost painless treatment. It enables the immediate reintegration to your ordinary life.
BOTULINUM TOXIN
In comparison to facial fillers, the botulinum toxin, better known as Botox, Dysport or Xeomin, is not a filler but a relaxant which is directly injected into the dynamic, wrinkle generating muscle. The expression lines are the ones around the eyes and the eyebrow. The aesthetic consequence is the disappearance of the wrinkles. The biological effect is temporary and lasts around 3 months. The wrinkles reappear more softly after 4 or 5 months. Botox, Dysport and Xeomin are fully reversible treatments. • Duration of the session: about 20 minutes. • Benefits: The results are immediate and at the same time provide a noticeable improvement of the skin. Botox illuminates the way you look and the skin appears radiant. The face looks more relaxed, rejuvenated and nice with a natural look. • Post treatment: It allows you to return to your daily life immediately. It is advisable not to lie down in the first 4 hours after the application or to rub the area.
MICRODERMOABBRASION WITH DIAMOND TIPS AND EXFOLIATION
It is a treatment which enables the skin to look healthier, fresher and with more elasticity. It is a non-invasive procedure which consists of mechanical microdermabrasion by means of abrasive heads covered with small diamonds which remove the dead cells in the upper coat of the skin. In this way, cellular regeneration and the production of collagen are stimulated providing more skin elasticity and tone. • Duration of the session: It usually takes about 10 minutes. It can be associated with some peeling to power the rejuvenating effect. • Benefits: Non-invasive treatment which causes the loss of skin impurities. It can be applied to the face and other parts of the body such as the back, the arms, the elbows, the legs among others. • Post treatment: You can go back to your ordinary activities immediately.
SPIDERS, TELANGIECTASIAS AND ROSACEA
This treatment is intended to eliminate spiders, telangiectasias and reddish patches which are characteristic of rosacea and couperose (chronic sun damage) in the face, neck and neckline. It is also very efficient in the nevus rubi (red or blue moles), haemangiomas in the whole body and in all kinds of skins. Venous lake lips get excellent results. It is a non-surgical alternative which makes it possible to go back to the daily activities immediately. It is possible to use an IPL dye (Alma Laser) or a KTP Laser or a 1064 QS Laser (Alma Laser). • Duration of the session: 10 minutes. • Benefits: This alternative can be used all over the body, including the most sensitive areas such as the face, the neckline, the back of the hands and the lips. It can be applied on all kinds of skins. • Post treatment: No bandage or cream is necessary and it is possible to resume usual activities immediately.
NIR OR FACIAL RADIOFREQUENCY FOR CUTANEOUS FLACCIDITY
This treatment is also known as “non-surgical lifting” because it fights wrinkles and sagging defining the oval of the face and tensing the double chin obtaining some firm, tense and soft skin. The NIR (Near InfraRed by Alma Laser) heats the tissue by infrared light being more powerful that the commercial radiofrequency devices. It is useful for moderate to mild degrees, recovering skin strength in the face and neck. It produces 2 things: the first is in the medium term, it makes the treated area firmer stimulating the collagen and the second in the long term, reducing the progression of the tissue flabbiness on account of the aging process. • Duration of the session: 30 minutes. • Benefits: It is not necessary to rest for a time, it is possible to continue with your usual activities immediately. It works on all kinds of skins (no matter the colour or the suntan). It is a non-invasive, non-surgical treatment without injections. It can be done at any time during the year. • Post treatment: 3 session every 21 to 30 days.
LIPS FILLING
Lips filling can be done to give more body and volume when they are too thin and aged. It can also be used to return the line of the red upper lip associated with wrinkles like in a barcode. In this way, the lip recovers its shape and turgor and the rouge does not filter to the lip wrinkles. Usually, hyaluronic acid, a substance naturally produced by the body and located mainly in the skin, is injected. Its function is to retain water, providing hydration and volume. • Duration of the session: 20 minutes. • Benefits: It is a non-surgical procedure which does not require time to rest afterwards. It is performed under local anaesthetic similar to the one used in dentistry. • Post Treatment: It is possible to return to normal life immediately, taking into account that as in any other procedure with an injection, there may be some local discomfort, a small bruise or swelling which disappear within 48 hours.
PLATELET RICH PLASMA (PRP)
With this treatment your skin will look younger, brighter and tighter and with fewer wrinkles immediately after the treatment and during the following months. The platelet-rich plasma helps to slow down the skin aging process with resources from your own body by means of cell regeneration. • Duration of the session: about 1 hour. • Benefits: Rejuvenation and skin tightness with a plasma preparation taken from the own patient. This treatment is recommended from 30 years old onwards, since it is the age when the skin starts to lose its regeneration power or simply when the aging signs are visible. • Post treatment: There may be some dots in the area because it is a treatment using injections and they will disappear after a few hours.
SKIN BOOSTER
Microinjections with unreticulated hyaluronic acid are applied to the face or neckline to induce a deep hydration of the skin. Besides, this hyaluronic acid (Restylane Vital) stimulates the formation of the skin’s natural collagen. It is not a filler but a booster of skin hydration and vitality. • Duration of the session: about 20 minutes. • Benefits: Deep hydration of sun damaged, polluted or brightless skins. Improvement of fine lines. • Post treatment: It is possible to retake ordinary activities immediately. It is advisable to apply sunscreen and avoid direct sun exposure. There may be bruises caused by the punctures in the face, neck or neckline.
TATTOOS
The procedure indicated for tattoos that patients wish to get removed partly or as a whole is with 1064 QS pixeled laser or the KTP 532 (Alma laser). It will depend on the pigment in the tattoo and the type of laser to use. • Duration of the session: Between 20 and 30 minutes according to the size of the tattoo. • Benefits: There is 1 session every 45 days. The number of sessions necessary (6 to 8 sessions on average) depends on the size, colour and part of the body where the tattoo is. • Post treatment: It is possible to return to your normal daily life immediately. It is advisable to use sunscreens and avoid exposure to the direct sun. There may appear some scabs which will disappear together with the pigment of the tattoo between 10 and 15 days.
ROSACEA
When a red face is an anaesthetic problem and the quality of life gets worse, there is some therapeutical solution. Persistent erythema and telangiectasias (dilated vessels) in the cheeks and chin react very well to 2 to 3 IPL dye (Alma Laser) or KTP 532 (Alma Laser) sessions.
FACIAL FILLERS
Botox, Dysport
LFacial fillers are all those products used to give volume to the face or to correct the effects of aging (wrinkles, deep furrows). In general, Hyaluronic acid or Calcium Hydroxyapatite are used. Those products are biocompatible materials which are used to correct wrinkles and furrows or to give volume to certain areas such as the lips, cheeks or temples, providing more harmony to the face and giving back lost volume. • Duration of the session: Between 20 and 40 minutes. • Benefits: It enables modelling that part of the face the patient wishes to highlight (cheekbones, lips, cheeks). It improves the skin texture which appears softer and brighter. It reduces wrinkles and expression lines. The treatment is quick, efficient and safe. • Post treatment: It is a minimally invasive technique which enables the patient to go back to social life and work the next day. There may be some bruises in the area injected which can be covered with make up the next day. At the same time, it is advisable not to expose to the sun in the next few days.
PULSED LIGHT
This treatment makes it possible to blur the different tones which appear in the skin as a consequence of aging and sun exposure. It is generally used in the face, neck, neckline and back of the hand. The procedure involves the application of an intense light beam which specifically treats the dark pigmentations of vascular origin and the sun spots. It also reduces the size of the pores and the depth of the wrinkles and helps generate new collagen in the dermis. Also improves or eliminates the spots caused by the sun. • Duration of the session: about 30 minutes. • Benefits: It enhance the formation of collagen to improve the quality of the skin. It unifies the colour and vascular spiders and telangiectasias (dilated vessels) disappear. It improves the fine lines and erythematous scars produced by acne or surgical procedures. It reduces the size of the pores giving a good looking appearance and smoothness. • Post treatment: Depending on the number of spots or dilated vessels in the area treated, the following day it will be possible to notice some swelling which will disappear 48 hours after the treatment. The spots will disappear within a week. It is possible to return to your usual life using make up 72 hours after the procedure.
PHOTOREJUVENATION
A treatment which makes it possible to eliminate the skin spots, improving its texture and quality. It softens fine lines, age spots and pigmentation due to sun exposure. It is done with laser technology or state-of-the-art IPL (Intense Pulse Laser) (Alma Laser). • Duration of the session: On the face it can take about 30 minutes. • Benefits: It is a quick, non-invasive treatment with a quick recovery. Apart from the face, the neck and the neckline it can be used in any part of the body making it possible to obtain some skin rejuvenation. • Post treatment: It is advisable not to expose to the sun for about 2 weeks before the treatment and until one month after the treatment because the skin must be as white as possible. The spots disappear within a week. It is possible to wear make-up and sun creams. It may be necessary to apply two procedures one month apart.
EXPRESSION LINES: EYEBROW, FOREHEAD WRINKLES AND CROW’S FEET
This treatment produces the relaxation of the muscles in the forehead, the eyebrow and crow’s feet temporarily. It is a non-surgical alternative to fight the expression lines temporarily because the effect disappears between 4 and 5 months after the application. After the treatment, it will be possible to observe a fresh face, softening the wrinkles and delaying the appearance of new expression lines. The objective is to get a harmonious face and with natural gestures. Usually, we use Botox, Dysport or Xeomin (botulinum toxins authorized by the FDA and the ANMAT). In the case of deep wrinkles, we add the application of fillers such as Hyaluronic acid (Restylane, Princess, Filorga Art filler, Belotero) to reduce the depth of the wrinkles or furrows. • Duration of the session: 20 minutes. • Benefits: The muscles of the forehead, the eyebrow and the crow’s feet are relaxed temporarily, showing a fresh and renewed face and delaying the appearance of new expression lines. • Post treatment: Physical activity must be avoided and wait a minimum of 4 hours to lie down, but it is possible to go back to your routine immediately. There may be some localized discomfort, some bruise or swelling in the area of the injection which later disappears. The recommended frequency for this treatment is 3 times a year for relaxation and once a year for filling.
UNDER-EYE CIRCLES AND PUFFINESS
Depending on the clinical condition, it is possible to perform procedures to treat hyperpigmentation of the under-eye circles using 1064 QS pixel laser (Alma Laser) which can also be used for the fine lines in the lower eyelid and crow’s feet. When the depression of the eyelid bag is too marked, it can be filled with Hyaluronic acid. But when the skin is redundant in the upper eyelid, a plastic surgery is needed. These treatments are combined with specific creams with cosmeceutical action. • Duration of the session: 20 minutes approximately. • Benefits: It is a non-surgical alternative. • Post treatment: Six to 8 sessions at a time every 15 or 30 days are recommended. Daily activities can be resumed immediately.
FILLERS AND IMPLANTS FOR WRINKLES AND FURROWS
Non-surgical alternative without anaesthetics with different products to fill different wrinkles or furrows in the different parts of the face: eye bags, tear drop valley, nasolabial furrows, peribucal, forehead, eyebrow, crow’s feet and temples. Lips contouring and filling with hyaluronic acid to increase volume. Cheekbones and chin modelling. Rhinoplasty to improve your nose profile, filling the back and the tip. In general different densities of Hyaluronic acid is used to treat superficial wrinkles and give volume to the deeper ones (Restylane, Belotero, Art Filler, Princess). • Duration of the session: 20 minutes. • Benefits: It is possible to return to your usual activities immediately because it is not necessary to rest. • Post treatment: the treatment can last between 1 and 2 years according to the product used and area treated. There may be some localized discomfort, a slight bruise or swelling as with any other procedure with a needle.
RHINOMODELATION
A treatment to improve your nose profile filling the back and the tip. It is a procedure which can be done at the consulting room using a needle or cannula with hyaluronic acid filling. It must be performed by highly experienced professionals since the area has plenty of vessels. • Duration of the session: 30 minutes. • Benefits: Non-surgical alternative which makes it possible to return to your ordinary life immediately since it is not necessary to rest. • Post Treatment: The efficiency of the treatment lasts between 1 and 2 years. There may be some local discomfort afterwards or small bruises or swelling because of the use of a syringe.
FACIAL AND CORPORAL MESOTHERAPY
Mesotherapy is performed by means of superficial microinjections to prevent face aging, improve wrinkles and flaccidity and to get some global revitalization of the skin. The active principles or substances will depend on the patient’s aesthetical needs. Some medications administered have a tightening action powering the production of collagen (laureth, sodium pyruvate, conjoctyl), others improve microcirculation and activate cell regeneration. • Duration of the session: about 20 minutes. • Benefits: It makes it possible to maintain the tone of the skin homogeneous and prevents the appearance of pigmentations. It reduces the micro wrinkles. The result is a smother, firmer, healthier and brighter skin and the tone of your skin will become more homogeneous with fewer small pigmentary alterations. • Post treatment: It is possible to return to your daily life immediately. The use of sunscreen is recommended and avoid direct sun exposure. There may be some small bruises which are reabsorbed spontaneously in 2 or 3 days.
FILLERS AND IMPLANTS FOR WRINKLES AND FURROWS
Non-surgical alternative without anaesthetics with different products to fill different wrinkles or furrows in the different parts of the face: eye bags, tear drop valley, nasolabial furrows, peribucal, forehead, eyebrow, crow’s feet and temples. Lips contouring and filling with hyaluronic acid to increase volume. Cheekbones and chin modelling. Rhinoplasty to improve your nose profile, filling the back and the tip. In general different densities of Hyaluronic acid is used to treat superficial wrinkles and give volume to the deeper ones (Restylane, Belotero, Art Filler, Princess). • Duration of the session: 20 minutes. • Benefits: It is possible to return to your usual activities immediately because it is not necessary to rest. • Post treatment: the treatment can last between 1 and 2 years according to the product used and area treated. There may be some localized discomfort, a slight bruise or swelling as with any other procedure with a needle.
FACIAL, NECK AND ARMS FLABBINESS
Before resorting to lifting surgery, we have many non-surgical options to be able to improve skin flabbiness. The NIR (NearInfraRed) treatment is recommended because with the use of heat, the tightening collagen of the skin is activated. It is also possible to use the lifting and traction PDO threads. The sessions are programmed on a monthly basis.
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