Botulinum Toxin is a purified natural protein that relaxes facial muscles by blocking nerve impulses. Relaxing specific muscles in the face through injections of the Botulinum Toxin formula reduces facial lines caused by frowning and creates smoother skin, fewer wrinkles, and a more relaxed appearance. Botulinum Toxin works best in the upper third of the face: frown lines between the eyebrows, horizontal bands of wrinkles across the forehead, and crow’s feet at the corners of the eye. Botulinum Toxin can also be used to soften or erase lines around the mouth, to sculpt the face by raising one or both eyebrows, as well as to smooth vertical and horizontal neck lines by relaxing the platysmal (neck) muscles.
Botulinum Toxin may also be useful for migraine headaches, excessive sweating, and eye and neck muscle spasms.
No recovery time is needed. You can return to work or your daily activities right away. Effects are usually seen within a few days and reach maximum benefit by fourteen days following injection. It is important to remember that Botulinum Toxin is not a permanent solution for troubling wrinkles because the effects are not permanent. For many patients, however, the effects have been quite dramatic. Although individual results vary, the results achieved from a single treatment usually last three to six months. You will notice a gradual fading of the effects. To maintain the effects, treatments are usually required two to three times a year. Botulinum Toxin Cosmetic treatment may be repeated indefinitely. Currently Botulinum Toxin has been used safely for over twenty years worldwide. Acceptable safety in long-term treatment has been well established.
As we age, our skin begins to lose its fullness, and sagging, wrinkling and hollowing occur. These changes and other effects of aging can be improved through the use of injectable fillers. These treatments, often made from collagen, hyaluronic acid gel and other natural substances, are injected directly into the skin to restore fullness and smooth out wrinkles and other fine lines. The injected substance supports the skin and restores the volume lost over time. Many of the specific treatments have been approved by the FDA and are considered safe procedures with little to no side effects.
Types of fillers commonly used:
A naturally occurring protein found in human skin, hyaluronic acid has now replaced collagen as the current state of the art in soft tissue fillers. There is no risk of allergic reaction, and hyaluronic acid products typically last much longer than collagen before they are harmlessly reabsorbed by the body. However, it gives long-lasting results because as some of the hyaluronic acid is absorbed, the remaining amount retains its volume by binding water. This allows hyaluronic acid to give long-lasting results that remain nearly constant for the entire period.
Radiesse® This dermal filler is made of a synthetic substance of calcium hydroxylapatite, but there have been no allergic reactions associated with it. Most patients can return to normal activities the next day. One of the advantages of Radiesse® is that it can last up to three years.
• Facial folds and wrinkles : Dermal fillers are an excellent complement to Botulinum Toxin injections because they correct a different type of wrinkle.
• Restoring facial volume : As we age, our face naturally loses volume and what fat we have is often displaced by gravity. This gives the face a wan, tired appearance. Dermal fillers can be used to fill in areas that have lost volume, restoring a youthful fullness to your face.
• Lip augmentation : The lips also tend to lose volume as we age, which is especially important to women. Thin lips can create an older, sterner appearance. Dermal fillers are great treatment for restoring volume to lips.
• Facial reshaping : Some people do not have the facial shape they desire, and in many cases this can be at least partly corrected with dermal fillers, which can give the appearance of higher cheekbones or a stronger chin. The only common side effect of injectable fillers is swelling at the injection sites which can last 1-3 days, and is not something that everyone experiences. You may be aware of the filler at first, but this will pass quickly. As soon as the swelling goes down, the results of your treatment will be apparent. Your wrinkles, folds, and hollows will be significantly reduced. They may even be erased. Your results should last for about six months or more depending on the type of filler used and its placement up- to two years.
Platelet Rich Plasma (PRP) is a by-product of blood (plasma) that is rich in platelets. Platelet Rich Plasma (PRP) contains various growth factors that can be used to enhance healing and provide a matrix to stimulate collagen deposition for volume enhancement and potential improvement in skin quality and contour. PRP has a very high concentration of growth factors that help stimulate skin rejuvenation and restore volume due to atrophy and aging.
During the office procedure a small amount of your own blood is drawn out via the IV. This blood is then placed in the PRP centrifuge machine and spun down. In less than fifteen minutes, the PRP is formed and ready to use to be injected into the skin for rejuvenation after a topical anesthetic is placed on the skin. When PRP is injected into the skin, it accelerates the normal healing process by stimulating collagen formation, revascularization and repair.
This process brings long lasting rejuvenation without side effects. Results usually become apparent within 15 days of treatment.
Its advantages are that it promotes local tissue growth and repair, stimulates regeneration to eliminate wrinkles, is safe since it is made from one’s own blood and is an office procedure.
PRP is recommended for any age groups at different frequencies:
Age 30 – 40 years: In this age category the main aim is rejuvenation and prevention of collagen degradation and re- stimulation of new collagen and elastin production, thus attempting to slow down the ageing process. One treatment every 2 years is sufficient.
Age 40 – 50 years: In this age category the aim is rejuvenation and to attempt reversal of the ageing process which is more difficult. More re-stimulation of collagen and elastin production is necessary. The initial treatment should be followed by a second treatment 2-6 months later and a third treatment 9 months after the second treatment. Follow-up ‘maintenance’ treatments may be necessary every 12-18 months.
Age 30 – 40 years: In this age category the main aim is rejuvenation and prevention of collagen degradation and re- stimulation of new collagen and elastin production, thus attempting to slow down the ageing process. One treatment every 2 years is sufficient.
Age 50+ years: In this age category the aim is rejuvenation and to attempt more intense reversal of the ageing process. The initial treatment should be followed by a second treatment 2-6 months later and a third treatment 6 months after the second treatment. Follow-up ‘maintenance’ treatments may be necessary every 12 months
Chemical peels have long been used as skin rejuvenation procedures. In the right hands, chemical peels can safely address many common facial concerns, including wrinkles, uneven skin coloration, and a dull complexion. Depending on the severity of the problem the peel is designed to address, you can often see results immediately with little or no recovery necessary.
A chemical peel involves the application of medical acids to remove the damaged skin layers in order to produce more youthful appearance. A healing response to the peel can also triggers new collagen formation so the skin appears tighter and more elastic.
Chemical peels are most commonly used on the face, but can be used on other body areas such as the chest, back, shoulders and arms to eliminate lines, freckles, or age spots. Patients with more extensive sun damage on the legs can also be treated with chemical peels.
Chemical peels have been found to be a powerful complement to other skin treatments, leading to numerous innovations in what is known as combination therapy.
Theoretically, chemical peels can be combined with any light, laser, or skin therapy.
The most popular combinations include:
• Thermage skin tightening non-surgical radiofrequency treatment to tighten and lift sagging skin
We offer a range of chemical peels at AlShunnar Plastic Surgery that effectively treat sun damage, age spots, uneven pigmentation, acne scars and blemishes, fine lines, and wrinkles. Our highly trained and experienced professionals will analyze your skin and choose the appropriate peel for your skin type and personal needs. These peels are performed in our office and result in exfoliation of the outer layers of your facial skin. The healing time depends on the depth of the peel. As a rule, the deeper the peel, the longer the recovery time. In all cases, avoid sun exposure immediately after a chemical peel and use sun block during the healing process since the new skin is fragile and more susceptible to injury.
With superficial peels, you should be able to resume your normal daily activities immediately following your procedure, including the application of makeup and sunscreen. Within minutes to days, depending on the type of peel chosen, you will notice that the treated area is more smooth with less wrinkles, having a more youthful appearance. Your newly rejuvenated skin should have a healthy glow and appear soft and supple. With deeper peels, you will go through a process of shedding and healing that should be complete seven to ten days following your peel. At this time you will notice a marked improvement in the quality of your facial skin.
The Jan Marini Glycolic Peel
The Jan Marini peel is a glycolic acid peel system that provides controlled and predictable removal of surface skin cells, stimulating skin renewal to improve the appearance of the skin.
You will notice a difference in your skin texture immediately. The procedure is fast and convenient, taking only about fifteen minutes to half an hour. And with virtually no recovery time, you can be back to your normal routine the same day. There is no significant pain or discomfort or need for anaesthesia.
It takes usually 4-6 treatments at three to four week intervals to achieve the desired effect. All body areas appear to respond well to treatment with glycolic acid; however, the arms, hands, neck and chest all improve at a slower rate than the face. Some redness is temporary and normal and may be covered with makeup.
Melanin Control System® (MCS)
One of the major causes of skin photo-aging and pigmentation are caused by excessive sun exposure which stimulate melanocytes to produce excess melanin. MCS works nicely on all skin types to accelerate the turnover of skin cells, remove lesions, restore elasticity and helps to improve the true moisturizing characteristics of the skin. MCS is a professional treatment intended for treating aging skins or those which display pigmentation issues such as photo-ageing, chrono-ageing, melasma/chloasma, residual pigmentation and seborrhoeic skin. It stimulates the fibroblast and therefore the collagen and elastin that maintain the young and elastic skin. It is very effective in reducing age spots, freckles and dark pigmentation due to pregnancy or taking birth control pills (melasma or Chloasmas). It also treats wrinkles caused by sun damage, aging and hereditary factors in the face as well as body. In addition, it helps in the control of different types of acne and improves the look and feel of skin that is dull in texture and colour.
This peel reverses the effects of sun damage, environmental factors, and time, to enhance your skin’s natural beauty. The Vi Peel has been developed as a unique product which gives patients dramatic results without the pain and lengthy recovery time that comes with similar procedures. The Vi Peel does more than remove visibly damaged skin. It uses the synergy of all available and known modes of action of various acids to produce a multitude of positive effects. It tackles skin problems at the cellular level rather than just burning skin off. Thanks to the concerted actions of its many acids and Vitamins, it will help erase fine lines and wrinkles, shrink enlarged pores and build collagen and elastin which tighten skin. It is extremely effective in practically eliminating hyper pigmentation including melasma, the most difficult pigmentation issue to address. The VI Peel also provides excellent results for patients with acne. Its benefits also include that it is safe for all skin types and ethnicities, is the only peel safe to use on the eye area, neck, chest and hands, does not require preconditioning, is virtually discomfort free and there is little downtime. For an optimum result, the Vi Peel can be incorporated into a maintenance program and performed every six months.
Laser hair removal at AlShunnar Plastic Surgery is a medical procedure that uses our Lightsheer® Duet laser (high speed permanent hair reduction) to remove unwanted hair from specific areas of your body. During this procedure, the laser sends a pulsating beam of light that passes through your skin to individual hair follicles. The intense heat of the laser damages the hair follicle, which inhibits future hair growth.
Several sessions may be necessary, since the laser treatment only effects hair follicles in the growth stage. Your hair moves through several phases over the course of several months, so laser treatments spaced apart can destroy all the follicles. Typically, three to five treatments are necessary to experience optimal results. Depending on your skin color, hair color, and area treated, you should see between 50-80% reductions in hair in the treated area, with darker hairs responding more often to treatment. The areas that respond best to treatment are the bikini and the underarm, while the chin and back respond less well.
AlShunnar Plastic Surgery offers laser hair removal services for these areas of the body :
• Upper Lip
Laser hair removal works most effectively on patients with light skin and dark hair. But even people with dark skin can have laser hair removal. When performed correctly, laser hair removal slows hair growth, but it does not guarantee permanent removal. Periodic maintenance treatments may be needed to keep the hair from growing again.
Although dark-skinned individuals can be treated, people with blonde or grey hairs that lack melanin can be very hard to treat. These hairs may need to be removed with an alternate method.
At AlShunnar Plastic Surgery, we offer a wide range of non-surgical services to help you rejuvenate your skin and maintain a healthy, youthful appearance. A scientific approach to skin care that includes prevention and maintenance in addition to treatment of the damaging effects of sun exposure. Our highly trained and experienced professionals will analyze your skin and formulate a personalized program to rejuvenate your facial skin and restore it to its natural beauty. We also offer a range of medical grade skin products to help with a home maintenance program.
To keep your skin its healthiest, it is best to get periodic deep cleanings. Deep cleanings of the skin involve removing the outer dead layers of skin to expose the fresher, living skin below. This is known as exfoliation and microdermabrasion is an excellent tool for this. Microdermabrasion is a good treatment for acne-prone individuals, those who desire a deep cleaning for healthy skin, and people with dull-looking skin. It removes skin by buffing it with a stream of fine crystals. Air pressure drives the crystals at the skin at a very high velocity, and the same pressure creates a vacuum that draws the crystals away. The process will remove a very thin layer of skin, less than a thousandth of an inch thick. This outer layer consists of dead skin that has lost the luster of living tissue and has suffered damage from the sun and other exposure. It also contains contaminants, pollutants, and dirt that clog pores and damage skin.
Microdermabrasion takes less than an hour, and because it is minimally invasive you can go back to work right away with your skin looking healthy and glowing, but not red or irritated. Acne and skin dullness can be reduced with microdermabrasion. Some people see a reduction in skin discoloration, fine wrinkling, and scaly skin after a regular treatment program. Some of the benefits of microdermabrasion are not visible, though. Microdermabrasion prepares your skin to receive topical nutrients, and combining the procedure with a recommended skin care regimen can deepen and lengthen the results you see from microdermabrasion.
Thermage® is a safe and effective procedure that stimulates your skin to produce more and better collagen, which makes it tighter and healthier-looking. Collagen is the major building block of the skin. This protein helps the skin to be tight and elastic, meaning that it returns to its shape after pulled or otherwise deformed. Collagen-rich skin resists wrinkling, is thicker, and appears more youthful. Thermage® uses a unique form of radio frequency (RF) energy to simultaneously tighten existing collagen and stimulate the skin to produce more collagen. The result is tightened skin producing a kind of “lift” without a single incision. With minimal treatment discomfort and no recovery, tighter, smoother skin, an overall more youthful appearance can be achieved. The energy is delivered through a hand-piece directly applied to the skin heating the deeper layers causing tightness and simultaneously cooling the skin for comfort. The addition of the new CPT hand-piece allows the heat to be more evenly distributed across the treatment area, permitting the Thermage® CPT system to heat four times more tissue to therapeutic temperatures than rival technologies and thus significantly increasing its effectiveness.
Thermage® is effective on:
• The Eyes – treating upper and lower eyelids to reduce hooding and fine lines, tightening creppy skin as well as lifting of the brow line
• The Face – smoothing and tightening sagging skin, smoothing fine lines and wrinkles and helping define the jawline and lip. Addresses loose jowls and “turkey neck”
• The Body – helping contour loose skin and smooth bulges. Treating wrinkles, creppy or sagging skin on the tummy, knees, arms, legs, hands or buttocks example after weight loss or pregnancy. Effective on cellulite.
After treatment the skin may be slightly red, but most people resume regular activities immediately after treatment. There is no recovery time or special follow-up care. The results may appear immediately but usually, measurable tightening and contouring appear gradually in the 2 to 6 months post treatment. Results can last years depending on the skin's condition and ageing process.
While Thermage® cannot produce the same level of effects as a surgical facelift, it often produces visible results that for many people are well worth the tradeoff of a non-surgical procedure with no recovery.
CoolSculpting® is a quick and painless procedure that cools fat cells and destroys them resulting in fat reduction in the targeted areas of the stomach, abdomen and other areas.
CoolSculpting® is a revolutionary, non-invasive way to eliminate unwanted fat bulges. It is the first FDA-approved device that destroys fat cells without surgery and it delivers safe and effective results.
The science behind CoolSculpting®, called Cryolipolysis™, was developed by dermatologists at Harvard Medical School. Their research demonstrated that fat cells are naturally more sensitive to the effects of cold. By using advanced tissue cooling technology, CoolSculpting® can destroy fat cells through a controlled cooling process leaving the surrounding tissues unharmed. For properly selected patients, the CoolSculpting® procedure resulted in a noticeable, natural-looking fat reduction in targeted areas without the need for needles, incisions, anesthesia, or recovery-time. After a virtually painless procedure, clinical improvement is evident within 2 to 4 months.
Additional treatments can be performed to attain additional fat destruction. After the treatment, normal activities can be resumed immediately– there is no recovery time. Common areas for non-surgical Zeltiq fat removal include belly, flanks, back, saddle bags and thighs.
VelaShape® is a non-invasive body contouring treatment for circumferential and cellulite reduction*. VelaShape enables you to safely achieve a toned, contoured and well shaped body in typcially 3 treatment sessions (single treatment protocol is also available); making you look and feel more youthful. VelaShape provides dramatic results without downtime or significant discomfort.
The elōs technology combination of infrared light, coupled radio frequency energy rollers and vacuum causes deep heating of the fat cells, their surrounding connective tissue and the underlying dermal collagen ﬁbers. This type of efficient heating and vacuum stimulate the growth of new and better collagen and elastin which results in localized reduction in skin laxity, body volume and an overall improvement in skin structure and texture.
Velashape III helps to remove excess body fat and treating cellulite from problem areas such as the abdomen, thighs, arms, buttocks. Muffin top and chin.
Treatment is safe and effective for all skin types and colors. There are no reported short or long-term health effects.
Most patients ﬁnd VelaShape III comfortable – like a warm deep tissue massage. The treatment is designed to accommodate your sensitivity and comfort level
VelaShape III is a no-downtime treatment, though it’s normal to experience a warm sensation in the treatment area or notice that it looks a little pink for a few hours after the procedure. You should be able to return to your regular activities right away.
The combination of microneedles and radiofrequency leads to substantial improvement in skin quality and texture. The procedure involves penetration of microneedles into the dermis to deliver high-tensioned radiofrequency pulse into the targeted tissue. This results in the body’s own production of elastin and collagen fibres, making skin firmer and healthier.
The microneedles are driven directly into the skin at a certain depth, and radiofrequency energy is then released inside of the skin. This gives a more uniformed deep tissue heating that will stimulate new collagen fibers production. The needle tip contains 25 very small gold needles acting as an internal conductor. In cases of acne, the RF energy kills the bacteria responsible for the lesions and shrinks the sebaceous gland.
Fractional Radio Frequency Microneedles Treatment is effective for:
• Acne and acne scars
• Wrinkles & Fine lines
• Open pores
• Stretch marks and skin laxity
• Scars of all types
The treatment area is numbed for 30 minutes before starting. The procedure would take approximately 20-30 minutes to do depending on the area and pain threshold. Immediately after the procedure, the treated area is warm, red and swollen. After 2 days the needle marks will disappear.
After a few treatments you will see a noticeable difference, it will help both improve wrinkles and appearance of the skin by tightening, rejuvenating, reducing pore size and minimizing scars.
Intradermal Pigmentation is a revolutionary method of applying micro insertions of natural hypo-allergenic pigments into the dermal layer of the skin. This state-of-the-art technique is medically proven and specifically designed to be completely safe. Micro-pigmentation is a procedure that offers new options and new hope to many patients. Even though it is ‘permanent’, it ages gracefully and softens as new cells are produced in the pigmented area.
Intradermal pigmentation is used for a variety of permanent cosmetic enhancements such as permanent eyebrows, eyeliner and lip liner/ colour. Other permanent cosmetic procedures include vitiligo, stretch mark and scar camouflage, areola restoration, hairline enhancement and more.
The eyebrows are the most important feature of the face and give the face an entire lift. We can improve brows that are too small, don't have enough hair, are uneven, that have no arch, half a brow, droopy on the ends, or no brows at all. Permanent brow color gives a very natural look. One can create and shape brows to frame the face by blending colours to match hair tones. Enjoy fuller brows without a pencil, it does not wash off when swimming, golfing or playing tennis etc. We want to give brows that accent your looks, not distract from them. Filling in the brows and using hair stimulation can both look good and it can look like a soft brow with nice definition. We have performed many brow procedures with the "fill-in" technique on clients ranging in ages from 18 to 90 years.
Create thicker looking lashes by applying color to the base of the lash line or a thicker liner can also be achieved depending on the needs of the client. A subtle natural look or a bold defined line can be created in any color. Permanent Eyeliner is wonderful for women who cannot tolerate regular eye make-up. Permanent makeup never smears. Small amounts of pigment are applied at the base of the lash line making lashes look fuller. A solid line, small dots, or a soft 'smudged' look can be achieved. It's important to bring out a person's eye color. During the consultation, the client can express what she feels would benefit her, and thereby, this enables us to give her what she really wants. Permanent Eyeliner gives you the option of not wearing additional make-up and looking great or adding to it for a more made-up look.
Application of lip liner can correct asymmetry and add definition and fullness. Full lip color can appear as a soft lipstick or as natural as a newborn baby’s lips. This procedure can give someone who has small lips a nice fuller shape to their lips or a bow where one didn't exist or show before. One can also use a natural colour to enhance the lips or almost any colour the client desires.
Patients with surgical scars can be re-pigmented to restore natural skin tones.
Cancer patients undergoing breast reconstruction can greatly benefit from areola colour restoration.
Before and after pictures can be viewed during a free consultation with our permanent makeup expert.