FAQ
General

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Q. What are your hours of operation? What days of the week are you open?
A.

  • Mon-Fri 9am-6pm
  • Sat 9am-1pm
Q. How much does a consultation cost?
A. Consultations at Med-Cure Anti-Aging are FREE of charge and will include a personalized plan for your body’s success.
Photofacial

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Q. What is a Photofacial?
A. Photofacial is a series of light-based treatments that reduces imperfections on the surface of the skin. These imperfections include brown spots, freckles, red spots, sun damage and facial vessels.
Q. How long will the results of a Photofacial last?
A. The results of a Photofacial will last for months to years. We strongly recommend sun block and sun avoidance as much as possible to preserve the results.
Q. Will being out in the sun ruin a Photofacial?
A. Sunlight is what causes most of the damage to our skin. The more sun you get, the more damage will recur. There is simply no such thing as a healthy tan.
Q. What skin imperfections can a Photofacial address?
A. Imperfections that are commonly treated with a Photofacial include: freckles, red spots, age spots, broken blood vessels, spider veins and uneven skin color.
Q. How many Photofacial treatments will I need?
A. Fair-skinned individuals with mild to moderate damage generally get a very good result with three to five treatments. Individuals with moderate to severe sun damage may benefit from more than five Photofacial treatments. Once the initial series of Photofacial treatments are completed, clients may benefit from occasional repeat Photofacial treatments to maintain the results as much as possible.
Q. Are there any side effects associated with Photofacials?
A. Yes. After each treatment, freckles on the face tend to get very dark. Over the next several days to weeks these dark freckles flake off, leaving a much improved appearance. There may also be some pinkness or redness and swelling that resolves within hours to a few days. On a rare occasion, the client may experience a blister.
Q. What does a PhotoFacial treat?
A.

  • Broken Capillaries
  • Sun and Smoke Damage
  • Veins
  • Mild Acne Scars
  • Enlarged Pores
  • Dull Complexions
  • Uneven Pigmentation
  • Pigmented Freckles and Age spots
  • Red Flushing skin
  • Rosacea & Redness
  • Liver Spots
  • Fine lines & Wrinkles
Artefill

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Q. What is Artefill?

A. If you want a long lasting filler that you can have confidence in, then you are ready for Artefill®. A.simple, in-office procedure that stands the test of time is all that is required.

If you’ve used temporary dermal fillers in the past, then you know that they are eventually absorbed by your body and require frequent repeat injections to maintain the results you’ve come to love.

Artefill is different. The unique microspheres within Artefill are not absorbed by the body and provides the support your skin needs for natural, long-lasting results.

Q. How does Artefill compare?

A. Temporary Dermal Fillers are made of different kinds of natural or synthetic materials that are eventually absorbed by your body. As a result, wrinkle correction only lasts a few months and requires frequent repeat injections typically 3-9 months following the initial treatment.

Artefill is different. The unique microspheres within Artefill are not absorbed by your body and therfore provides the support your skin needs for long lasting results. Get the confidence you deserve with the dermal filler that provides long lasting, natural looking results. Artefill is the lasting solution.

  • Artefill treatment improves over the course of several months and stands the test of time
  • Excellent safety profile
  • Simple, in-office procedure
  • You will see the results immediately and be able to return to your normal daily activities
Q. Is Artefill right for me?
A. Artefill is the ideal solution if you love the wrinkle correction you get from temporary fillers but do not want to keep returning for repeat treatments. To determine if you are candidate for Artefill, contact your physician to review your medical history and the benefits of the procedure. A collagen skin test is a prerequisite for all patients being considered for Artefill.
Q. How does Artefill work to correct wrinkles?

A. First, the collagen in Artefill visibly corrects the wrinkles then the microspheres provide the support your skin needs for long-lasting, natural feeling wrinkle correction.

To insure you are not allergic to the collagen or anesthetic in Artefill, a skin test must be administered by your physician prior to the initial treatment or approximately four (4) weeks ahead of time.

Chemical Peels

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Q. What are chemical peels?
A. Chemical peels reduce or eliminate fine lines, acne scars, sun damage, and other skin imperfections. There are several types of chemical peels, each designated for different types and degrees of skin problems:

  • Glycolic Acid Peel
  • Salicylic Acid Peel
  • Lactic Acid Peel
  • TCA Peel
Q. What are the different types of chemical peels?
A. Glycolic Acid, Salicylic Acid and Lactic Acid are considered light peels for all skin types. TCA Peels are a stronger kind of peel.
Q. Which type of chemical peel is right for me?
A. Only a qualified expert can determine which type of skin peel is appropriate for you. Several factors such as pigmentation of the skin and condition of the skin to be treated are looked at in order to achieve your desired result. Come in today for your Free Consultation and our skin care experts can explain the pros of our Dr. K Chemical Peels.
Q. Are chemical peels painful?

A. In general, you may feel a mild stinging sensation during a light or medium chemical peel. Deep peels are only done by plastic surgeons or dermatologists.

Q. How long is the recovery period?
A. Mild peels require virtually no recovery time though the skin may be slightly irritated after the peel. You can return to your normal daily activities immediately after treatment.
Q. Can chemical peels be performed on the body?
A. For body chemical peels they are typically comprised of a combination of TCA and Glycolic acid. The solution for body chemical peels is formulated to be stronger than the solution for facial skin peels.
Q. Are chemical peels good for stretch marks?
A. Yes, chemical peels can also be used on the body to minimize stretch marks.
Nail Fungus Treatments

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Q. Is this covered by my insurance?
A. This procedure is considered aesthetic and therefore health insurance does not provide coverage. However, you can apply for credit at the top of our website.
Q. When can I paint my nails or have a pedicure?
A. You can apply polish immediately after the treatment. It is important to remove all nail polish and nail decorations the day before your treatment.
Q. Will the fungus come back?
A. The infection improves following one treatment and typically the provider will recommend care techniques to reduce recurrence of the infection. There is a chance of reinfection because the fungus is present everywhere in the environment.
Q. How long does the procedure take?

A. The FootLaser procedure takes about 30 minutes.

Q. Is there a recovery period?
A. No; just walk in and walk out.
Q. Is the procedure painful?
A. Most people feel no pain. Some people feel a warming sensation and very few feel a pinprick.
Q. How does it work?
A. The laser light passes through the toenail without causing damage to the nail or the surrounding skin. At the time of the procedure, the toenail will not become instantly clear, it takes time to grow out.
Tattoo Removal

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Q. Will the tattoo completely disappear?
A. Yes. Greater than 95% fading of the tattoo may be accomplished. However, it is important to know that there are many types of tattoo inks in use worldwide today, none of which are regulated by the FDA. Not knowing which tattoo ink was used, or how deeply it was applied, makes it impossible of us to predict the degree of removal on any given tattoo.
Q. What type of post-treatment care is necessary?
A. Occasionally, there will be pinpoint bleeding associated with the treatment. The treated area should be kept clean. A shower can be taken the next day, although the treatment area should never be scrubbed. If a scab forms it is vital that you do not pick it or scratch it.
Q. How many treatments will it take to remove a tattoo?
A. On average, professional tattoos require 4-8 treatments, while amateur tattoos require 2-4 treatments, all spaced approximately 6-8 weeks apart. The number of treatments depends on the amount and type of ink used as well as the depth of the ink in the skin.
Q. Do all colors of ink disappear as well?

A. Dark (blue, black) and red inks will resolve the best. Oranges and purples usually fade as well. Green and yellow inks are the most difficult to remove, and additional treatments are needed to produce significant fading.

Q. Is the process painful?
A. The laser emits light in very short pulses. The impact of the energy from the powerful pulse of light is similar to the snap of a small rubber band on the skin. The majority of patients do not require anesthesia.
Q. How far apart are the treatments?
A. This is a slow process. A minimum of 6 weeks is necessary between each treatment. Your body needs times to break down the tattoo ink pigments after each laser treatment.
Q. What will happen after the treatment?
A. After the treatment, you may feel a slight sunburn sensation for a few days and have some redness for a few weeks. It is necessary to use anti-bacterial ointment and bandaging the treated area. Avoid the sun, as your skin will be extra sensitive to sun damage.
Thermage

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Q. What is the Thermage procedure?
A. Thermage is a safe, non-invasive, radiofrequency (RF) cosmetic procedure that’s clinically proven to help smooth, tighten and contour skin for an overall younger looking appearance. The treatment delivers natural looking results with little to no downtime—on all skin colors, on and off the face, all in a single procedure.
Q. What does the Thermage procedure feel like?
A. Each time the treatment device touches your skin, you’ll feel a brief cooling sensation, followed by a deep but brief heating sensation, followed by another cooling sensation. The heating sensation is a sign that the deep layers of your skin are reaching effective temperatures for tightening. Throughout the procedure, your physician will ask for feedback on the level of heat sensation to help balance your comfort with maximum results.
Q. When do the results appear, and how long do they last?
A. Visible results may be immediate, and they may appear over time in the course of your body’s natural collagen rebuilding process. For most patients, measurable tightening and contouring appear gradually in the two to six months following a single treatment session. Results can last years depending on your skin condition and aging process.
Q. How do Thermage results compare with those of other treatments?

A. Some people want the dramatic results of surgery. Others want the more subtle, gradual results of a non-invasive treatment with no downtime. This is where Thermage succeeds, delivering improved skin tone, texture and tightness. When lotions and potions are not enough and surgery is too much, Thermage is a safe, effective solution.

Q. How is Thermage technology different from other tightening procedures?
A. Unlike some other procedures, Thermage involves no surgery, no injections and little to no downtime, and Thermage works on all skin colors—on and off the face. While laser treatments and other radiofrequency procedures also tighten skin, no other treatment heats as deeply as Thermage. By heating the innermost layers of skin, Thermage is the most effective at tightening collagen and stimulating the formation of new collagen, which results in tighter skin and an overall younger looking appearance.
Q. How does Thermage treatment work?
A. Thermage uses radiofrequency technology to heat the deep, collagen rich layers of your skin. The heat helps tighten existing collagen and stimulate the formation of new collagen, which reduces sagging, renews contours, and improves the smoothness and texture of the skin’s surface.
Q. Is there any special preparation or follow-up regime?
A. No. Unlike surgery, there is no pre-procedure preparation such as blood work or fasting. And there is no special care required after treatment, aside from basic skin maintenance and sunscreens as part of a regular skincare regimen. Since the Thermage procedure has little to no downtime, most patients return to their regular activities immediately following treatment. Some patients exhibit a temporary redness or minor swelling after treatment, but this usually goes away within 24 hours.
Q. How long is the treatment?
A. Thermage treatments average about 45 minutes for the face and up to an hour and a half for other parts of the body, depending on the size, location and condition of the area to be treated. Since Thermage is a short procedure and a single treatment, it fits into your busy lifestyle.
Q. How many treatments will I need?
A. Unlike many laser procedures requiring four or more sessions, Thermage treatment delivers results in a single treatment for most patients. In fact, when it comes to skin tightening and contouring with little to no downtime, Thermage is the only single treatment, non-invasive procedure on the market.
Q. What conditions does Thermage treat?
A. On the face, Thermage can treat sagging skin, loose jowls, lack of definition in the jaw line, sagging neck skin (“turkey neck”), wrinkles and fine lines, and lack of definition in the lips. Around the eyes, Thermage can treat under eye bags, hooding, rough texture on the eyelids, wrinkles and fine lines, and other contributors to tired looking eyes. Elsewhere on the body, Thermage can treat wrinkled, crepey, sagging or bulging skin as well as the appearance of cellulite.
Q. What parts of the body does Thermage treat?
A. Thermage procedures can effectively and safely treat skin on most body parts, including the face, eyes, lips, tummy, arms, hands, thighs and buttocks. Thermage can also temporarily reduce the appearance of cellulite.
Q. What FDA clearances does Thermage have?
A. Thermage is FDA cleared for the non-invasive treatment of wrinkles and temporary improvement in the appearance of cellulite. In addition, Thermage is the first and only system to receive FDA clearance for non-invasive eyelid treatments.
Zerona® Lipo Laser

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Q. How does Zerona® work?
A. Through clinical studies it has been demonstrated that the Zerona® low level laser stimulates the fat cell to emulsify (liquefy) the fat within the cell. Then the liquefied fat moves from inside the cell through a temporary pore formed in the cell membrane to outside the cell where it is in the interstitial space until absorbed by the lymphatic system. This results in millions of fat cells becoming smaller so inches are reduced off the waist, hips and thighs. The fat cells are not injured in any way by this process.
Q. What can I expect at my appointments?
A. You can expect 40 minutes to relax, read or do absolutely nothing. The Zerona® treatment is completely painless. There is no heat or any sensation whatsoever while being treated. Each treatment you will be met by your physician or technician who will position the laser at the desired areas of the body, he/she will step out for 20 minutes while the front of your body is treated and then will return to reset for the backside of your body for an additional 20 minutes. After you are done you can get back to your normal activities immediately with absolutely no downtime, nor pain, swelling or any discomfort. This is a symptom –free process except for losing unwanted inches.
Q. What happens if I miss an appointment?
A. It is not recommended that you miss an appointment. Prior to starting the Zerona® treatment, it is important that you are committed to the recommended lifestyle protocol which includes at least 6 treatments, every other day for 40 minutes and not to exceed 72 hours between treatments. If more than 72 hours intervenes, some of the fat may be uptaken by the fat cells again.
Q. How is it different than liposuction?

A. Liposuction is an invasive procedure that removes the entire area of fat cells from deposits beneath the skin using a hollow stainless steel tube (called a cannula) with the assistance of a powerful vacuum. Liposuction can be accomplished either with the use of general anesthesia, or with IV sedation, or totally by local anesthesia. In contrast, the Zerona® treatment is a 100% non-invasive that uses a low level laser applied externally to stimulate the fat cell and emulsify and release fat. There is no use of anesthesia, nor any pain, gels, creams, numbing agents, needles and no downtime.

Q. How is it different from other “non-invasive” body slimming techniques?
A. The Zerona® laser is the only completely safe and effective non-invasive treatment for body slimming on the market today. There is no possibility of injury. No technician will be pushing on you or using any device against your body. You simply lay beneath the Zerona® lights.
Q. Is there any downtime?
A. Absolutely ZERO downtime. During the treatment you will feel no discomfort, no anesthesia will be used and you can assume normal activities immediately following each treatment.
Q. Are there any limitations to what I can do if I’m using Zerona®?
A. No. During the 2 week treatment period you can continue your normal activities. It is strongly recommended that you commit to and follow the treatment protocol: stay hydrated (8-10 glasses of water a day), continue to eat healthy and exercise (walk at least 30 minutes a day) and abstain from alcohol and caffeine. Alcohol and caffeine interfere with the lymphatic process to remove fat and metabolize it which can decrease your results.
Q. What areas of the body can I use Zerona® on?
A. The Zerona® treatment can be used effectively on essentially every part of the body where localized fat deposits exist that are resistant to diet and exercise. Most patients start with treating the waist, hips and thighs which can all be targeted in 1 treatment. Other areas include upper arms, bra-line fat, inner knees, back fat and buttocks.
Q. Is it covered by insurance?
A. No, Zerona® treatments are considered elective and are not covered by insurance.
Q. Is it safe?
A. Yes, there is no risk involved in using the Zerona® low-level laser therapy and it is considered a safe alternative to invasive procedures such as tumescent liposuction and lipodissolve and other non-invasive devices like the Accent, VelaShape, and Thermage ,which rely on heating the tissue and can cause discomfort. None of these have the proven data showing how fat cell size is reduced like the Zerona®. The Zerona® treatment is 100% non-invasive and causes no bruising, scaring and zero downtime. During the treatment you will feel no discomfort, no anesthesia will be used and you can assume normal activities immediately following each treatment.
Q. Is it safe if I have a medical condition such as diabetes?
A. Yes, with two exceptions. If you are pregnant or think you may be pregnant, Zerona® should not be used. Additionally, if you have a pacemaker, this treatment may not be for you. There are no known detrimental risks but potential unknown risks may exist. Zerona® may not be as effective on patients with diabetes or thyroid disorders where the metabolic system is potentially impaired.
Q. Are there any side affects?
A. No. The treatment process is completely non-invasive and there are absolutely no side effects beyond loss of inches and fat.
Q. How long has the Zerona® laser been used?
A. The Zerona® has been used in studies since 2008 and has been used by physicians in practice since early 2009. The same Erchonia® Low Level Laser technology has been used to safely assist with tumescent liposuction since 2001 as it is proven to cause fat to be released from fat cells immediately prior to liposuction surgery. From this important experience, the Zerona® technique was developed for effective, totally non-invasive body slimming.
Q. Is it effective?
A. Yes, with the Zerona® treatment and by following the recommended guidelines for success, we saw an average loss of 3.64 inches reported in our clinical trial on the waist, hips, and thighs.
Q. How long do results last?
A. By maintaining a healthy diet and exercise you can expect long-term results. Zerona® is especially ideal for 2 types of people: those that are already following a healthy diet and lifestyle and want to remove localized pockets of fat or drop body fat % OR those who want to use the Zerona® and the recommended lifestyle protocol to “jump start” their slimming efforts as motivation for maintaining a healthier and slimmer lifestyle.
Q. Can I do the procedure multiple times? And how soon after my last treatment can I do a second treatment?
A. Yes, with additional treatments you can expect to see improved results. You can start an additional series of Zerona® treatments immediately following your last treatment. Speak to your technician or physician about any discount programs that may apply.
Q. How soon after pregnancy can I do it?
A. It is recommended that you wait until after your last postpartum visit with your doctor (usually 6 weeks after birth) to begin your Zerona® treatment. It is not recommended if you are breast feeding.
Q. How long does it take to begin seeing results?
A. Some can see results after only a few treatment sessions as their clothes fit more loosely. Many actually see the difference after 4-6 sessions. Family and friends often notice the difference, too, within the 2 week Zerona® program.
Q. Is everyone a good candidate for the Zerona® treatment?
A. Most are good candidates. Even people who are not overweight can lose inches. Be sure to discuss your health background with your physician and ask any questions about your particular areas of concern.
Botox

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Q. How does BOTOX® Cosmetic work?
A. BOTOX® Cosmetic is injected directly into the muscles of those stubborn frown lines between your brows that form over time as a result of muscle activity. It works by blocking the transmission of nerve impulses to the injected muscles; this reduces the activity of the muscles that cause those persistent lines to form.
Q. What exactly is BOTOX® Cosmetic?
A. BOTOX® Cosmetic is a purified protein produced by the Clostridium botulinum bacterium. It is a nonsurgical, physician-administered treatment that can temporarily reduce moderate to severe frown lines between the brows in people 18 to 65 years of age. During treatment, very low doses of BOTOX® Cosmetic are administered via a few tiny injections directly into the muscles that cause those stubborn lines between the brows. The treatment is usually done in about 10 minutes, and no recovery time is needed. Within days, you may see an improvement that can last up to 4 months. Results may vary.
Q. Do treatment results differ?
A. To get the best results, it’s important to go to a doctor who is experienced in administering BOTOX® Cosmetic. Dr. Keshwani of Med-Cure Anti-Aging has over 20 years of experience. Choose from any of his 7 locations and schedule your free consultation today.
Q. Is BOTOX® Cosmetic affordable?
A. For Aesthetic Plastic Surgery survey, BOTOX® Cosmetic is one of the low-entry-cost facial aesthetic procedures in the United States. Consult your doctor for further information.
Q. What will happen to the frown lines between my brows if I choose not to continue treatments?
A. If you do not continue treatments, the moderate to severe frown lines between your brows will gradually look like they did before treatment.
Q. Will I still be able to make facial expressions?

A. Although the results are visible, a treatment with BOTOX® Cosmetic will not radically change your facial appearance or make you look as if you “had work done.” The muscle activity that causes frown lines between the brows is simply reduced, so you can still frown or look surprised without the wrinkles and creases between your brows.

Q. What are the possible side effects of BOTOX® Cosmetic?
A. BOTOX® Cosmetic can cause serious side effects. See “what is the most important information I should know about BOTOX® Cosmetic?” in Medication Guide. Other side effects of BOTOX® Cosmetic include: dry mouth, discomfort or pain at the injection site, tiredness, headache, neck pain, and eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, and dry eyes. Symptoms of an allergic reaction to BOTOX®Cosmetic may include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.
Q. Is there anything I need to tell my doctor?
A. Dr. Keshwani should know of all your medical conditions, including if you have a disease that affects your muscles and nerves (such as amyotrophic lateral sclerosis – ALS or Lou Gehrig’s disease – myasthenia gravis or Lambert-Eaton syndrome). Tell your doctor about any and all prescription and nonprescription medicines, vitamins, and herbal products.
Q. Is treatment with BOTOX® Cosmetic painful?
A. Discomfort is usually minimal and brief. Prior to injecting, your physician may choose to numb the area with a cold pack or anesthetic cream. The entire procedure takes approximately 10 minutes. Many people are in and out of the physician’s office without downtime following BOTOX® Cosmetic treatment.
Q. How long does BOTOX® Cosmetic last?
A. Results from treatment with BOTOX® Cosmetic can last for up to 4 months. If you discontinue treatment, the frown lines between your brows gradually will look like they did before treatment.
Q. When will I see results from a BOTOX® Cosmetic treatment?
A. Within days, you may see a marked improvement in the moderate to severe frown lines between your brows. Lines continue to improve for up to a month, and results can last for up to 4 months. In clinical trials, nearly 90% of men and women rated the improvement in their appearance as moderate to better 1 month after treatment. Results may vary.
Dysport

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Q. Are there any side effects and risks with Dysport?

A. Along with its desired effects, treatments can cause unwanted effects. This does not happen very often. The most common side effects are temporary soreness or mild bruising around the injection site. Some people may experience a slight headache that lasts for several hours after treatment; it is safe to take a mild pain killer to relieve this.

In a very small percentage of cases there can be a complication called “ptosis” (a drooping eyelid) which may last a few days or up to 4 weeks. Rarely, an allergic reaction can cause a skin rash or “flu like” symptoms. Tell your doctor if you experience any troublesome side effects.

You should not have Dysport treatment while you are pregnant or breastfeeding, or at all if you have a neuromuscular disease.

Q. Who can benefit from Dysport?

A. Deeply etched frown lines affect not just your appearance, but also your self-esteem and even your choice of career. Dysport can help you look younger, more relaxed and in control – for around the same price per month as a cut and colour by your hairdresser.

Many people with frown lines can benefit from Dysport– and it can work as well for men as it does for women. In fact many men are already experiencing the benefits of a younger, more relaxed looking appearance that Dysport can provide. Discuss with your specialist about the benefits of Dysport for you.

Q. How is Dysport used?

A. Tiny amounts of Dysport are injected directly into the facial muscles underlying the frown lines. It usually takes three to five small, almost painless injections between the eyebrows for an effective treatment. No local anaesthetic is usually required but if you are concered your doctor can numb the skin over the area before injecting. You can expect treatment to take around 10-20 minutes.

Over the next few days, the muscles gradually relax. You probably won’t notice it happening – you’ll just become aware that you can’t contract your frown muscles. But because you can still blink normally and raise your eyebrows, you will not look unnatural. Rather, you can enjoy a more youthful appearance while maintaining a natural expression.

Q. What exactly is Dysport?

A. Dysport is a protein extracted from the bacterium Clostridium botulinum. The protein was initially used for the treatment of motor disorders and various kinds of involuntary muscular spasms, including cerebral palsy. It was further developed to treat a wide variety of neuromuscular disorders, for which it is licensed in over 60 countries.

In New Zealand, Dysport now has registration approval under the Medicines Act for the treatment of frown lines and for excessive sweating under the armpits.

Q. What can Dysport do for you?

A. Whenever you laugh, frown, concentrate or squint into the sun, your facial muscles contract and your skin creases. As you get older your skin loses its elasticity and those creases deepen into lines that become permanently etched on your face. Frown lines between your eyes can become particularly noticeable at a relatively young age, making you look angry or worried even when you’re not.

By temporarily immobilising the muscles you use to frown, Dysport can smooth out those lines, restoring a more youthful, less stressed expression to your face. Because you will be physically unable to frown after treatment, you may even lose the urge to frown. The lasting effect of treatment with Dysport can differ between individuals after which further courses of treatment may be necessary. Speak with your specialist about the results you can expect with Dysport.

Many people find after several treatements that they don’t need another one for longer, because they have “unlearned” the habit of frowning or squinting that originally led to the development of these lines.

Juvederm

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Q. Can people with different skin tones/colors be treated with JUVÉDERM®?
A. Yes. In fact, JUVÉDERM® injectable gel is the first FDA-approved hyaluronic acid dermal filler that has proven its safety and effectiveness in persons of color. Studies with JUVÉDERM® showed no increased risk of hyperpigmentation or hypertrophic scarring in patients of color.
Q. What are the possible side effects of JUVÉDERM® injectable gel?
A. Most side effects are mild or moderate in nature, and their duration is short lasting (7 days or less). The most common side effects include, but are not limited to, temporary injections site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin injection procedures there is a risk of infection.
Q. How long do results last?

A. JUVÉDERM® is the ONLY hyaluronic acid (HA) filler FDA approved to last up to 1 year.* Talk to your healthcare professional about JUVÉDERM® today—so you can start seeing results!

*JUVÉDERM® is indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).

Q. Does the correction last forever?
A. No. Correction is temporary; therefore, touch-up injections as well as repeat injections are usually needed to maintain optimal corrections.
Q. What kind of doctor can provide treatment with JUVÉDERM® injectable gel?
A. Any authorized healthcare professional can administer JUVÉDERM®injectable gel, but dermatologists, plastic surgeons, ophthalmologists, otolaryngologists (ear, nose, and throat doctors), or physicians specializing in cosmetic procedures are generally more experienced.
Q. How long does treatment usually take?
A. The injection process takes only about 15 minutes. You’ll also need to allow time to consult with your doctor prior to treatment.
Q. Is treatment with JUVÉDERM® injectable gel painful?
A. Injections may cause some discomfort during and after the injection. The smooth consistency gel of JUVÉDERM® allows your doctor to administer it easily and smoothly. And, JUVÉDERM® is injected directly into the skin using a fine needle to reduce injection discomfort. Your doctor may choose to numb (anesthetize) the treatment area to further minimize discomfort.
Q. What will treatment with JUVÉDERM® injectable gel accomplish?
A. JUVÉDERM® injectable gel will help to smooth moderate to severe facial wrinkles and folds. Most patients need one treatment to achieve optimal wrinkle smoothing. And one treatment could smooth your lines and wrinkles for up to 1 year. Ask your doctor what you should expect from your initial treatment and when they would recommend rescheduling another appointment.
Q. How is JUVÉDERM® injectable gel used in treatment?
A. Your healthcare provider eases JUVÉDERM® injectable gel into the skin using a fine needle to temporarily fill in and augment the treatment area and smooth moderate to severe facial wrinkles and folds such as “smile lines” or “parentheses” (nasolabial folds) and “marionette lines” (oral commissures).JUVÉDERM® temporarily adds volume to the skin and may give the appearance of a smoother surface.
Q. What is cross-linked hyaluronic acid?
A. “Uncross-linked” hyaluronic acid in its natural form is in a liquid state. “Cross-linking” is the process through which hyaluronic acid is made into a gel product that can be injected into the skin for long-lasting results.
Q. What is hyaluronic acid?
A. Hyaluronic acid is a naturally occurring substance found in all mammals that helps to hydrate and add volume to your skin. In addition to its use as an aesthetic treatment, hyaluronic acid has also been used for more than 20 years for injection into arthritic joints to aid movement as well as for eye surgeries and wound repair.
Q. What makes JUVÉDERM® different from other dermal fillers?

A. JUVÉDERM® is the ONLY hyaluronic acid (HA) filler FDA approved to last up to 1 year.* Our unique manufacturing process provides a high concentration of cross-linked hyaluronic acid for long-lasting results. It also works to create a smooth consistency gel that flows easily into the skin and provides a smooth, natural look and feel. All other hyaluronic acid dermal fillers currently on the market are made of granular consistency gels. And,JUVÉDERM® is the first hyaluronic acid dermal filler that has demonstrated its safety and effectiveness in persons of color.

*JUVÉDERM® is indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).

Q. Why does JUVÉDERM® come in two formulations?
A. JUVÉDERM® injectable gel is available in two formulations to allow your healthcare professional to tailor treatment to your unique needs. JUVÉDERM®Ultra provides versatility in contouring and volumizing facial wrinkles and folds.JUVÉDERM® Ultra Plus is a more robust formulation for volumizing and correcting deeper folds and wrinkles.
Q. What is JUVÉDERM® indicated for?
A. JUVÉDERM® Ultra and JUVÉDERM® Ultra Plus injectable gels are indicated for injection into the mid to deep dermis (below the outer layer of skin) for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds (the creases running from the bottom of your nose to the corners of your mouth, aka smile lines or parentheses).
Q. What does JUVÉDERM® do?
A. JUVÉDERM® injectable gel temporarily adds volume to facial tissue and restores a smoother appearance to the face.
Q. What is JUVÉDERM®?

A. JUVÉDERM® is the only HA filller with FDA approval to last up to one year.* Ask your physician how you can get long-lasting results with JUVÉDERM®.JUVÉDERM® injectable gel is a “next-generation” smooth consistency geldermal filler that helps to instantly restore your skin’s volume and smooth away facial wrinkles and folds like your “smile lines” or “parentheses” (nasolabial folds—the creases that run from the bottom of your nose to the corners of your mouth). JUVÉDERM® comes in two formulations—JUVÉDERM® Ultra andJUVÉDERM® Ultra Plus.

*JUVÉDERM® is indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).

Laser Hair Removal

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Q. How does the LightSheer Diode Laser System work?
A. The system emits near-infrared laser light that is absorbed by the pigment located in the hair follicle. The laser is pulsed, or turned on, for only a fraction of a second. The duration of each pulse is just long enough to damage the follicle, while the system’s unique, patented contact-cooling handpiece, the ChillTip, helps protect the skin by conductive cooling during the laser energy delivery.
Q. What advantages does the LightSheer have over other laser hair removal systems?
A. The LightSheer Diode Laser System was designed from the ground up for laser hair removal, so it has the wavelength, fluence, pulse width, and active epidermal cooling system—the ChillTip ideally suited for laser hair removal. The system is small, compact, and (in some models) portable, so it fits well into virtually every type of existing practices. The system’s solid state construction makes it durable; it’s state-of-the-art user interface makes it easy to use. Finally, Lumenis has been in the business of making medical and cosmetic lasers for more than 30 years, so we’ve been able to develop unparalleled service and support—from our extensive training and practice building resources to our stand-alone systems’ 24-hour replacement service (not available everywhere in the world). No other hair removal system offers the same combination of product excellence and customer service and support.
Q. Why should I use the LightSheer Diode Laser System rather than the methods I’ve been using for years?
A. The LightSheer Diode Laser System’s design provides for enhanced comfort during treatment, minimal risk of infection, speed and accuracy. Since the system uses a unique cooling handpiece, it minimizes skin irritation that other methods may create. Since it is non-invasive (no needles to penetrate the skin), the risk of introducing bacteria into the skin is reduced. Because the system is fast, it allows for larger areas to be treated, considerably increasing the efficiency of the hair removal process, which allows more patients to be treated during a typical day. Finally, the LightSheer Diode Laser is a precise instrument that can be adjusted to damage only the hair follicle while minimally affecting the surrounding skin.
Q. Does the LightSheer work on tanned or different skin colors?
A. The LightSheer diode laser system safely and effectively treats all skin types (Fitzpatrick Skin Types I-VI) as well as tanned skin. For darker skin types and people with tans, appropriate fluences are generally lower and appropriate pulse widths are generally longer to prevent damage to the epidermis. Using the appropriate treatment parameters, however, people with all skin types can benefit from laser hair removal with the LightSheer.
Q. Are the Results Permanent?
A. The LightSheer laser has been cleared by the FDA for hair removal and permanent hair reduction on all skin types and tanned skin. To achieve a satisfactory level of clearance, 3-5 treatments are typically required.
Latisse

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Q. What is LATISSE® (bimatoprost ophthalmic solution) 0.03%?
A. LATISSE® solution is a prescription treatment for hypotrichosis used to grow eyelashes, making them longer, thicker and darker.
Q. What is hypotrichosis of the eyelashes?
A. Hypotrichosis is another name for having inadequate or not enough eyelashes.
Q. How does LATISSE® work?
A. LATISSE® is believed to affect the growth (anagen) phase of the eyelash hair cycle in two ways: first, it increases the length of this phase; and second, it increases the number of hairs in this growth phase. The exact way it works is unknown.
Q. How do I apply LATISSE®?
A. LATISSE® solution is a once-a-day treatment you apply yourself each evening to the base of the upper eyelashes. DO NOT APPLY in your eye or to the lower lid because excess hair growth outside the treatment area may occur.
Q. How soon will I see results?
A. LATISSE® users may see results at 8 weeks with full results at 12 to 16 weeks. The growth is gradual, overnight, over time.
Q. Is LATISSE® a replacement for mascara?
A. No, LATISSE® does not work in place of mascara. LATISSE® is a solution treatment for inadequate or not enough lashes and requires a prescription from a doctor. However, mascara can be used on your eyelashes in addition to LATISSE®.
Q. Is LATISSE® (bimatoprost ophthalmic solution) 0.03% different from nonprescription products that indicate eyelash growth?
A. LATISSE® solution is the first and only prescription treatment approved by the FDA for inadequate or not having enough eyelashes, growing them longer, fuller and darker.
Q. What if I forget to apply one night? Or a few nights?
A. If you miss an application or a few, don’t try to catch up. Just apply the LATISSE® treatment the next evening and stay on schedule.
Q. What happens if I stop using LATISSE®?
A. If you stop using LATISSE®, your eyelashes are expected to return to their previous appearance over several weeks to months.
Q. What are the possible side effects of LATISSE®?
A. The most common side effects after using LATISSE® solution are an itching sensation in the eyes and/or eye redness. This was reported in approximately 4% of patients. LATISSE® solution may cause other less common side effects which typically occur on the skin close to where LATISSE® is applied, or in the eyes. These include skin darkening, eye irritation, dryness of the eyes, and redness of the eyelids. If you develop a new ocular condition (e.g., trauma or infection), experience a sudden decrease in visual acuity, have ocular surgery, or develop any ocular reactions, particularly conjunctivitis and eyelid reactions, you should immediately seek your physician’s advice concerning the continued use of LATISSE® solution.
Q. Are there any special warnings associated with LATISSE® use?
A. LATISSE® solution is intended for use on the skin of the upper eyelid margins at the base of the eyelashes. Refer to the illustration below. DO NOT APPLY to the lower eyelid. If you are using LUMIGAN® or other products in the same class for elevated intraocular pressure (IOP), or if you have a history of abnormal IOP, you should only use LATISSE® under the close supervision of your physician. LATISSE® use may cause darkening of the eyelid skin which may be reversible. LATISSE® use may also cause increased brown pigmentation of the colored part of the eye which is likely to be permanent. It is possible for hair growth to occur in other areas of your skin that LATISSE® frequently touches. Any excess solution outside the upper eyelid margin should be blotted with a tissue or other absorbent material to reduce the chance of this from happening. It is also possible for a difference in eyelash length, thickness, fullness, pigmentation, number of eyelash hairs, and/or direction of eyelash growth to occur between eyes. These differences, should they occur, will usually go away if you stop using LATISSE®.
Q. What should I do if I wear contact lenses?
A. Contact lenses should be removed prior to application of LATISSE® and may be reinserted 15 minutes following its administration.
Q. What should I do if I get LATISSE® in my eye?
A. LATISSE® solution is an ophthalmic drug product. If any gets into the eye, it is not expected to cause harm. The eye should not be rinsed.
Q. Who should NOT use LATISSE®?
A. Do not use LATISSE® solution if you are allergic to one of its ingredients.
Q. What are the ingredients in LATISSE®?

A. Active ingredient: bimatoprost

Inactive ingredients: benzalkonium chloride; sodium chloride; sodium phosphate, dibasic; citric acid; and purified water. Sodium hydroxide and/or hydrochloric acid may be added to adjust pH. The pH during its shelf life ranges from 6.8 — 7.8.

Q. What is skin hyperpigmentation?
A. This is a common, usually harmless condition in which areas of skin become darker than the surrounding skin color. This occurs when there is an increase in the melanin, the brown pigment that produces normal skin color, in the skin. Skin hyperpigmentation is a possible side effect of LATISSE®, but may be reversible after discontinuation of the product.
Q. What is elevated intraocular pressure (IOP)?
A. This is a condition where the pressure inside the eye is higher than normal. LATISSE® may decrease IOP. So talk to your doctor if you are using IOP-lowering medications. Concurrent administration of LATISSE® and certain IOP-lowering medications in ocular hypertensive patients should be closely monitored for changes in intraocular pressure.
Q. What should I do if I experience eye redness?
A. Eye redness may occur immediately after use. Consult your doctor if the redness persists or you notice other symptoms as well. If you develop a new eye condition (e.g. trauma or infection), experience a sudden decrease in visual acuity, have eye surgery, or develop any eye reactions, particularly conjunctivitis and eyelid reactions, you should immediately seek your physician’s advice concerning the continued use of LATISSE®.
Q. Could LATISSE® cause the color of my eyes to change?
A. Increased brown iris pigmentation has occurred when the same formulation of bimatoprost ophthalmic solution was instilled directly into the eye to treat elevated intraocular pressure/glaucoma. Although iris pigmentation was not reported in clinical studies with LATISSE®, patients should be advised about the potential for increased brown iris pigmentation which is likely to be permanent.
Q. Why do the directions say to only apply LATISSE® solution to the base of the upper eyelashes?
A. A clinical trial of LATISSE® was conducted on patients who applied the product to the base of their upper lashes only. Do not apply in your eye or to the lower lid. There is the potential for hair growth to occur in areas where LATISSE® solution comes in repeated contact with the skin surface. It is important to apply LATISSE® only to the skin of the upper eyelid margin at the base of the eyelashes using the accompanying sterile applicators, and to carefully blot any excess LATISSE® from the eyelid margin to avoid it running onto the cheek or other skin areas.
Q. What should I do if I experience eye itching?
A. Eye itching may occur immediately after use. Consult your doctor if the itching persists or you notice other symptoms as well. If you develop a new eye condition (e.g. trauma or infection), experience a sudden decrease in visual acuity, have eye surgery, or develop any eye reactions, particularly conjunctivitis and eyelid reactions, you should immediately seek your physician’s advice concerning the continued use of LATISSE®.
Perlane

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Q. What should I call my doctor about after the treatment?

A. Most side effects like bruising, swelling, pain, tenderness, redness, and itching will usually go away within a week. Call your doctor if you have persistent problems beyond 14 days. Blisters or skin sores may signal that you are having a recurrent herpes infection that should be treated.

You can develop an infection that should be treated with antibiotics. If you experience redness, tenderness, and pain that does not go away you should call Dr. Keshwani and explain any problems you may be having.

Q. How much do Perlane® treatments cost?
A. Perlane® is a customized procedure based on your specific needs, so the cost will vary from patient to patient. In general, the cost of Perlane® is comparable to the cost of similar procedures. Because Perlane® is long lasting, it may prove to be very economical over the long term. Please ask Dr. Keshwani or one of our skin care technicians to give you an estimate of the cost during your free consultation.
Q. Do the injections hurt?
A. Perlane® is injected directly into the skin in tiny amounts by an ultrafine needle. To help maximize your comfort, you should discuss the use of numbing medicines with your doctor before treatment.
Q. What should patients do prior to treatment?
A. Perlane® requires no pretesting, but you should take a few precautions before being treated. Avoid using St. John’s Wort, high doses of Vitamin E supplements, aspirin, and other non-steroidal anti-inflammatory medications, such as ibuprofen prior to treatment, because these may increase bruising or bleeding at the injection site. Also, if you have previously suffered from facial cold sores, discuss this with Dr. Keshwani. He may consider prescribing a medication to minimize recurrence.
Q. What are the major side effects?

A. Rarely, the doctor may inadvertently inject the product into a blood vessel, which can cause injury to the blood supply and damage to the skin.

No worries – Dr. Keshwani is board certified and has been administering injections since 1982.

Rarely, a few people have developed infections of the gel that must be treated with antibiotics or other treatment. Infection of the gel may be hard to treat, but will always go away when the gel is absorbed.

Q. What are some risks that may be experienced?

A. As with all procedures like this, the injection of Perlane® carries a theoretical risk of infection and formation of scar tissue. The safety and effectiveness of Perlane® have not been established in the treatment of lips, in nursing mothers, and in patients under 18 or over 65 years of age. Perlane®use in nursing could harm you or the nursing child.

The use of Perlane® in African-American patients can result in hyperpigmentation (darkening of skin color), which may take several weeks to correct. If you have had herpes before, an injection can cause the herpes to come back. The safety of Perlane® used with other skin therapies such as laser, mechanical or chemical peeling, and hair removal has not been established. The use of Perlane® in these skin therapies may not work or they may damage your skin.

You should avoid exposing the area(s) treated with Perlane® to excessive sun or UV lamps, and extreme heat and cold until any redness or swelling has disappeared.

Q. What are some warnings to consider?

A. The use of Perlane® at sites with skin sores, pimples, rashes, hives, cysts, or infections should be postponed until healing is complete. Use of Perlane® in these instances could delay healing or make your skin problems worse. You may experience skin discoloration (bruising), swelling, redness, tenderness, pain, itching, or small lumps in the area where you are injected. If any of these events occur, the majority usually last less than seven days.

If any symptom lasts longer than two weeks, call Dr. Keshwani. Inflammatory papules (red or swollen small bumps) may rarely occur. You may need antibiotics to treat them.

Q. Who should not use Perlane® (Contraindications)?
A. Perlane® should not be used by people with previous bad allergies (particularly to certain microorganisms known as gram positive bacteria), to drugs that have required in-hospital treatment, or in people with bleeding disorders. Perlane® should not be injected anywhere except the skin or just under the skin.
Q. How long does Perlane® last?
A. Perlane® is injected into the skin with an ultrafine needle. It plumps the skin to smooth away wrinkles and folds. Perlane®’s water-loving nature attracts and binds water molecules to help maintain volume. Perlane® is composed of hyaluronic acid, a natural substance that already exists in the body. The hyaluronic acid in Perlane® is a crystal clear gel that is chemically cross-linked (the long chemical strands are tied together) to delay breakdown by skin enzymes. Perlane® is nonanimal-based and free from animal protein. This quality prevents disease transmission. Allergy pretesting is not necessary.
Q. How does Perlane® work?
A. Perlane® is injected into the skin with an ultrafine needle. It plumps the skin to smooth away wrinkles and folds. Perlane®’s water-loving nature attracts and binds water molecules to help maintain volume. Perlane® is composed of hyaluronic acid, a natural substance that already exists in the body. The hyaluronic acid in Perlane® is a crystal clear gel that is chemically cross-linked (the long chemical strands are tied together) to delay breakdown by skin enzymes. Perlane® is nonanimal-based and free from animal protein. This quality prevents disease transmission. Allergy pretesting is not necessary.
Q. What is Perlane® used for?
A. Perlane® is used to smooth moderate to severe facial folds and wrinkles such as the lines from the nose to the corners of the mouth (nasolabial folds). Perlane® generally lasts for about 6 months. It has been found to be a safe dermal filler that restores volume and fullness to the skin.
Permanent Make-Up

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Q. What is permanent makeup?
A. It is the micro-implantation of coloring pigments into the skin for aesthetic purposes–to enhance, contour and outline facial features. It is also a valuable procedure for camouflaging scars, burns, skin pigmentation variances caused by vitiligo, correcting some facial irregularities or to further enhance facial rejuvenation and post-operative treatments.
Q. Is permanent makeup similar to tattooing?
A. It has some of the same qualities, yet it is very different. Only specialists in micro-pigmentation can perform this procedure on the face; tattoo artists cannot. We use only the techniques, tools and pigments that are specially designed for micro-pigmentation procedures making it safe, sterile and painless. Permanent makeup clinicians also use effective topical anesthetics that are not allowed for use by tattoo artists. They also use instruments that are much more delicate in design that provides natural-looking results.
Q. Is permanent makeup a safe procedure?
A. The procedures are only performed under sterile conditions. Only disposable needles are used. There are no long-term side effects; short-term effects may include some redness, swelling and tenderness. There are no known allergic reactions to pigments. Allergy tests are always performed on our clients before treatment by injecting a tiny bit of pigment into the hairline.
Q. Is there any discomfort associated with the procedure?
A. Topical gel-like anesthetics are applied to the area being worked upon which significantly block pain. Most patients report little or no discomfort.
Q. How long does the procedure take to complete?
A. The average time required for a procedure is between 1 to 2 hours.
Q. What kind of healing time is involved? Is any care required after the procedure?
A. Some swelling and redness can be expected for 24 hours following the procedure. A cold compress helps to reduce any swelling around the eye area. The treated area must be kept clean. No makeup should be applied for several days. Some skin peeling and lightening of the applied color is normal. If any additional adjustments are desired, these will be made during your follow-up appointment. Regular routines usually can be resumed immediately after the procedure. However, swimming or vigorous exercise should be avoided for a few days. Normal healing times is between 4 to 7 days.
Q. How are we different from other permanent makeup specialists?
A. We specialize in giving clients a truly natural look. Our clients’ safety and satisfaction is our top priority. We use federally approved superior pigments as coloring agents. Our micro-pigmentation instruments are patented, specially designed for safe and effective permanent makeup application. We use fine brushes to artfully create the look our clients seek. For instance, eyebrows are recreated with fine lines simulating feathered hair and contoured into a natural-looking arch. Above all, Med-Cure Anti-Aging is committed to providing the best service, care and desired results to every client.
Q. How long does permanent make-up last?
A. Gradual fading can be expected for all micro-pigmentation procedures. This varies among individuals and is dependent on the specific shade used in the procedure. Most colors last 3 to 5 years, although some may not fade for as long as 10 years. Periodic touch-ups are recommended to maintain the desired look. You can also choose to change colors of your permanent makeup. For instance, a nude lipcolor can be modified to a peachy pink; or a brown eyeliner to a black or navy hue.
Prevelle Silk

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Q. What is Prevelle Silk?
A. PREVELLE Silk is a colorless hyaluronic acid gel that contains a small quantity of a local anesthetic (lidocaine) to provide pain relief at the injection site. Hyaluronic acid is a natural substance found in the human body, which moisturizes (hydrates) and cushions the skin. PREVELLE Silk is naturally broken down by your body over time. Skin testing is not required.
Q. How is Prevelle Silk used?
A. PREVELLE Silk is injected into facial skin, using a very fine needle, for correction of moderate to severe wrinkles and folds (e.g. areas around the nose and the mouth). The gel plumps the skin to smooth away wrinkles and folds. Your healthcare professional will work with you to develop a treatment program to meet your individual needs.
Q. Do the injections hurt?
A. In general, patients may experience varying levels of discomfort. However, PREVELLE Silk contains lidocaine that helps reduce injection site pain. In a clinical study, 87% of patients experienced significant pain relief at the time of injection with PREVELLE Silk. Your healthcare professional may choose additional anesthetic to further minimize discomfort.
Q. What did the clinical studies show?
A. PREVELLE Silk was studied in 45 patients who were injected with PREVELLE Silk on one side of the face and Captique, another hyaluronic dermal filler, on the other side of the face. Local symptoms were reported in diaries for 14 days by the study patients. Most symptoms were mild and went away within 3 days. In the clinical study, 69% (29) of the 42 patients who responded to the questionnaire preferred treatment with PREVELLE Silk over Captique. Of these 29 patients, 97% (28) preferred PREVELLE Silk because it was less painful.
Q. How often will I require treatment?
A. After the initial injection an additional treatment, or touch up, may be needed 1 to 2 weeks later to achieve the desired level of correction. Over time PREVELLE Silk will be broken down naturally by your body, which is why you may want repeat treatments. In general, repeat treatments are needed within 3 to 6 months to maintain the desired result, but the timing of additional treatment varies from person to person.
Restylane

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Q. What is RESTYLANE?
A. Restylane, which is non-animal, improves the resilience and youthful contours of your skin and its ability to counter the effects of gravity, time, wind and weather. Restylane plays an important role giving volume to the skin, shape to the eyes and elasticity to the joints. Restylane, composed of Hyaluronic acid, is found naturally in your skin and other tissues. Hyaluronic acid has a chemical structure similar in many ways to sugar and is identical in all species and in all tissue types, making Restylane a very safe product for you.
Q. What can be treated?
A. Each of us has natural lines that can be improved. Restylane can be used to give you a long-lasting and natural beauty lift: smoothing wrinkles and folds, and giving your mouth a fuller, more sensuous appearance. The hyaluronic acid in RESTYLANE is non-animal. Please contact us today for a free consultation.
Q. How is a Restylane treatment done?
A. During treatment the crystal-clear gel is injected into the skin in tiny amounts with a very thin needle. The gel then gives natural volume and smoothes out the wrinkles.
Q. Does it hurt?
A. For wrinkle treatments no pain relief is generally necessary, however it can be easily arranged at your request. When enhancing the lips, pain relief in the form of a local anaesthetic is often used.
Q. How soon will I see the results?
A. The results of RESTYLANE can be seen immediately.
Q. What is the CE-number of RESTYLANE?
A. The CE-number is the same for all Q-MED Esthetics products is CE 0562. This is the number of the notified body. A notified body is an institution which issues the CE-certificate, i.e. gives the CE-mark for products approved for sale within the EU. The CE-mark means that the product fulfils the demands set out in the EU directive.
Q. How was RESTYLANE developed?
A. Dr. Bengt Ågerup, and the company Q-Med in Uppsala, Sweden, succeeded in developing a way of using a Non-Animal, Stabilized, Hyaluronic Acid to replace the loss of volume in the skin after many years of research. The first application, RESTYLANE, was launched in 1996. Prior to this, only collagen made from cow hide and hyaluronic acid made from rooster combs were available.
Q. What is hyaluronic acid?
A. Restylane, composed of Hyaluronic acid, is found naturally in your skin and other tissues and is not of animal or human origin. Hyaluronic acid has a chemical structure similar in many ways to sugar and is identical in all species and in all tissue types, making Restylane a very safe product for you.
Q. What are the contents of RESTYLANE?
A. RESTYLANE consists of 20 mg/ml of stabilized hyaluronic acid and physiological sodium chloride solution with a pH of 7. All RESTYLANE products are clear, transparent and viscous gels. The only difference between the products is the size of the gel particles. In contrast to other similar products, the hyaluronic acid in RESTYLANE is not produced from animals. This means that there is no risk of disease being transmitted or allergic reactions being elicited if you are sensitive to common foods, such as beef, chicken and eggs.
Q. How will my skin look if I do not get follow-up treatments?
A. The results will gradually disappear and your skin will eventually look like it did before the treatment. Receiving follow-up injections will help to maintain RESTYLANE correction.
Q. Does RESTYLANE get stiffer in cold weather? What happens in the sun?
A. You should not expose the treated area to intense heat (e.g. in a solarium or by sunbathing) or extreme cold for the first few days after the treatment in order to avoid the risk of inflammation as the area has been disturbed. However, once RESTYLANE has integrated into the body, it will adjust to your normal body temperature.
Q. How long does the effect of a RESTYLANE treatment last?
A. The length of time a RESTYLANE treatment lasts depends on the individual and many factors, including the structure of the skin, lifestyle, age, the degree of desired perfection and the injection technique used by the practitioner. Clinical experience indicates that touch-up and follow-up treatment will add to the duration. In general, follow-up treatment for lines, wrinkles and folds is needed after 6-12 months and 6 months after lip enhancement.
Q. Can RESTYLANE be used during pregnancy or lactation?
A. There has been no reported testing for use of RESTYLANE during pregnancy or lactation.
Q. Can patients with allergies of different kinds be more sensitive to RESTYLANE?
A. So far we have seen no connection between patients with allergies and patients that report a reaction to RESTYLANE.
Q. Can RESTYLANE be used if I have undergone laser treatment or chemical peeling?
A. Yes, but it is recommended that you wait until the treated area is totally healed and the skin has normalized (normally 4 – 6 weeks).
Q. Why do the lips sometimes become very swollen immediately after a RESTYLANE treatment?
A. Unfortunately, we do not yet know the cause of this but we have no reason to believe that this is an immunological reaction. The swelling is normally gone within a week after injection into the lips.
Q. Are there any side-effects?

A. The rate of reactions to RESTYLANE is very low. However, after RESTYLANE treatment, some common injection-related reactions are possible. Possible reactions to RESTYLANE are swelling, redness, pain, itching, discoloration and tenderness at the site of injection. These reactions typically resolve within a few days after injection into the skin and within a week after injection into the lips.

1 in 2000 treated patients experienced localized reactions, which were thought to be of a hypersensitive nature. These reactions usually consisted of swelling at the injection site, sometimes affecting the surrounding tissues. Redness, tenderness and rarely acne-like formations were also reported. These reactions either started a few days after the RESTYLANE injection or within two to four weeks after RESTYLANE injection. The reactions were generally described as mild to moderate and self-limiting with a two-week average duration. Please consult your practitioner for more information about these products.

Q. Do I need to have a skin test?
A. No, the results of several studies and experience from over 700,000 treatments indicates that a skintest is not necessary.
Q. Is RESTYLANE safe?
A. After the injection some common injection-related reactions may occur, such as swelling, redness, pain, itching, discoloration and tenderness at the implant site. They typically resolve spontaneously within one to two dasy after injection into the skin. Other types of reactions are very rare, but aboy one in every 2,000 treated patients have experienced localized reactions thought to be of a hypersensitivity nature. These have usually consisted of swelling at the implant site, sometimes affecting the surrounding tissues. Redness, tenderness and rearely acne-like formations have also been reported. These reactions have either started a few days after injection or after a delay of two to four weeks and have generally been described as mild to moderate and self-limiting, with an average duration of two weeks. For more information, please consult your practitioner.
Q. What should I consider before I have a RESTYLANE treatment?
A. Look in the mirror and decide which result you are expecting. Communicate your expectations to your physician before the treatment and ask him or her what is possible.
Q. How can I get RESTYLANE treatment?
A. Please contact us today for a free consultation about treatment using RESTYLANE. We will answer your questions to help you reach a decision. Because skin test is needed, you may qualify to have the treatment performed immediately following your consultation.
Q. Can RESTYLANE replace surgical procedures?
A. No, however, RESTYLANE is sometimes used in conjunction with surgery to help fill out wrinkles that cannot be removed by surgery.
Q. Can RESTYLANE be removed?
A. No, however, RESTYLANE dissolves naturally with time. You can choose to have the treatment done in steps if you feel uncertain about the desired result.
Q. What should I bear in mind after my treatment with RESTYLANE?
A. During the first 48 hours after your treatment, do not massage or rub the treated area. If you have had a lip enhancement, avoid puckering your lips for the first two days after the treatment. Until the initial swelling and redness have resolved, do not expose the treated area to intense heat (e.g. in a solarium or by sunbathing) or extreme cold.
Q. What will I look like after the treatment?
A. Immediately after the treatment you can expect slight redness and swelling. This is a normal result of the injection. The inconvenience is temporary and generally disappears in a day or two. If the inconvenience continues or if other reactions occur, please contact your physician. The initial swelling after lip treatment may last longer. Some patients experience swelling for about a week and the lips can look somewhat uneven during this time. This means that the result directly after the treatment should not be looked upon as the final result.
Q. How long will the treatment session take?
A. In general a treatment takes 30 minutes. The time can differ somewhat, depending on the correction to be performed.
Teeth Whitening

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Q. Who should undergo the BEYOND™ WhiteSpa® Select treatment?
A. The BEYOND™ WhiteSpa® Select treatment provides dramatic results for anyone who wants to whiten their teeth. This includes people with teeth that have been stained by smoking or by substances such as coffee or tea. It also whitens teeth stained by tetracycline, speckled by fluoride, or hereditary discoloration.
Q. Who cannot undergo the BEYOND™ WhiteSpa® Select treatment?

A. The BEYOND™ WhiteSpa® Select treatment is contraindicated for clients who are pregnant or lactating.

The treatment is also contraindicated for children under the age of 16.

Additionally, any clients with known allergies to hydrogen peroxide or glycols should not undergo the treatment. Allergic reactions to the BEYOND™ WhiteSpa® Select treatment are rare, however if the client was previously unaware of his or her allergy and has had a reaction to the treatment (usually evidenced by blistering along the gum line and/or swelling of the lips and gums), the client should contact his or her general practitioner immediately for treatment.

Q. How white will my teeth get?
A. After undergoing whitening with the BEYOND™ WhiteSpa® Select System, teeth shades can brighten between five to 14 shades, with an average improvement of eight shades on the BEYOND™ WhiteSpa® Select Whitening Shade Guide. Although individual results will depend on how discolored the teeth were originally, the end result will be white, shiny teeth.
Q. How long will the whitening last?
A. This varies from person to person and depends on your diet and lifestyle, but the effects usually last for about two years. Periodic touch-up treatments are recommended for clients who frequently consume coffee or other staining foods and drinks or for those that use tobacco products.
Q. Is it safe?
A. Yes, scientific research has shown that the active ingredients in the BEYOND™ WhiteSpa® Select Whitening Gel are effective and safe for cosmetic tooth whitening. The dental community has used these ingredients in performing teeth whitening for years. The BEYOND™ WhiteSpa® Select Whitening Gel does not change or damage the structure of the teeth; it merely makes them appear white and shiny.
Q. How long does the treatment take?
A. The BEYOND™ WhiteSpa® Select treatment consists of three, 20 minute applications of whitening gel and light. It is usually recommended that you have these three sessions done in a single one-hour session so that you can walk away from the treatment with a dramatically whiter smile. However, if you don’t have enough time to do one hour all at once, or would prefer to split up the treatment for other reasons, talk to your aesthetician about your preference for this.
Q. How often can I have the treatment done?

A. This depends on what kind of whitening results you want to see from the whitening treatment. If you want to see additional whitening results from the treatment, you can talk to your aesthetician about coming back in about a week after the first treatment for an additional touch-up treatment (either one or two more 20 minute sessions). Keep in mind that there is a greater risk of sensitivity from performing a touch-up treatment so soon after the initial treatment, but this is transient and will pass within 24-48 hours.

Many clients prefer to do a touch-up session after about three months. Again, the entire treatment is not recommended, but an additional 20 or 40 minute touch-up can help to maintain your shiny, white smile. Talk to your aesthetician about his or her recommendations for maintaining your brightest smile. Other options to explore include at-home whitening maintenance with the e-Bright® Tooth Whitening Accelerator Home Edition.

Q. If I have veneers, bonding, or caps, will this treatment still whiten my teeth?
As with all cosmetic teeth whitening treatments, this treatment is only effective on natural teeth. If your dental work is visible when you smile, you should discuss your appropriate recourse for matching these items with your surrounding enamel with your dental professional. Please also note that the BEYOND™ WhiteSpa® Select treatment will not damage any existing dental work.
Q. What is the difference between BEYOND™ WhiteSpa® Select and the other light-accelerated cosmetic teeth whitening systems that I see in the mall and other spas/salons?

A. The BEYOND™ WhiteSpa® Select system uses real power whitening technology. The foundation of our technology is the use of a powerful halogen light source. Clinical trials have determined that halogen light sources produce significantly superior whitening results than both LED and plasma arc lights, making BEYOND™ WhiteSpa® Select the most powerful cosmetic teeth whitening system currently available.

There are also several systems in the cosmetic teeth whitening market that use ultraviolet (UV) light as the source of their light acceleration technology. Not only are UV lights not as effective as halogen lights, the client’s exposure to UV light during the whitening treatment should be minimized, not maximized through direct, unfiltered exposure.

BEYOND™ WhiteSpa® Select contains an advanced filtration system designed to remove all harmful heat and UV light. Light from the BEYOND™ WhiteSpa® Select Whitening Accelerator is filtered through over 12,000 optical fibers and 30 layers of coated optical glass before accelerating the whitening process. With this system in place, BEYOND™ WhiteSpa® Select delivers the most intense, tailored beam of blue light of any cosmetic system on the market without the risk of UV exposure and the hypersensitivity associated with other whitening systems.

Further to that, our gentle, enamel-sale 6% hydrogen peroxide whitening gel is specially formulated to produce optimal whitening results in the shortest amount of time, while minimizing sensitivity and leaving the teeth with a glossy shine following the treatment.

Q. What is the difference between BEYOND™ WhiteSpa® Select and other teeth whitening products that I see for sale over-the-counter?
A. The advantage of whitening your teeth with the BEYOND™ WhiteSpa® Select system is that you can achieve the same whitening results that would take you multiple treatments and many days (even weeks!) to achieve at home with other non-light accelerated, over-the-counter whitening products. The concept is the same: using a hydrogen peroxide-based whitening gel to remove stains from your teeth – but the advantage of the BEYOND™ WhiteSpa® Select system is that this process has been accelerated to product the same results in only one hour.
Q. Will my teeth be sensitive during or after the treatment?
A. BEYOND™ WhiteSpa® Select’s whitening gel is a very gentle, over-the-counter strength, 6% hydrogen peroxide gel. Most clients experience no pain or sensitivity during or after the treatment. However, a very small percentage of clients may feel some minor tooth sensitivity, especially if he or she consumes very cold or hot foods or drinks within a few hours after the treatment. Therefore it is recommended that clients avoid consuming extremely hot or cold food or beverages for the first 24 hours following the treatment.
Q. What is the difference between BEYOND™ WhiteSpa® Select and tooth whitening performed in the dental office?
A. The BEYOND™ WhiteSpa® Select system is a 60 minute treatment and is designed for use by aesthetic professionals in the beauty salon and spa industry. BEYOND™ WhiteSpa® Select uses a 6% hydrogen peroxide over-the-counter strength whitening gel, whereas most in-office whitening systems use 25-35% hydrogen peroxide gels. Treatment times are longer with the BEYOND™ WhiteSpa® Select system than dental office systems because of the difference in whitening gel strengths. However, BEYOND™ has taken care to ensure that the light technology is the same; providing you with a professional-grade whitening treatment that offers less risk of sensitivity and the benefit of being performed in a comfortable, familiar setting.
Q. What’s the difference between hydrogen peroxide and carbamide peroxide?

A. The two most common active ingredients in teeth whitening are hydrogen peroxide and carbamide peroxide (sometimes called urea peroxide). While the two are very closely related, there are several differences that should be highlighted in explaining why certain manufacturers use hydrogen peroxide and others use carbamide peroxide.

Hydrogen peroxide is “pure” hydrogen peroxide. In other words, it is not combined with any other chemicals. During use, it breaks down into water and oxygen while penetrating through the tooth enamel and breaking apart the longer carbon chain molecules that cause visible stains in the teeth. This oxidizing process is what causes the “whitening” effect.

Carbamide peroxide is hydrogen peroxide dissolved in urea crystals. As a result of the combination of hydrogen peroxide and urea, it is less powerful, weight by weight, than “pure” hydrogen peroxide. Although carbamide peroxide still has hydrogen peroxide as the active ingredient, it has to undergo one more step before it can whiten. This extra step means that carbamide peroxide will act more slowly and will need to be on the teeth for longer.

Hydrogen peroxide is highly reactive and is effective for only about 30-60 minutes once it has been released from its suspended phase. By adding urea, it becomes more stable and can be stored for longer periods. However, it only releases about 50% of its active ingredient in the first two hours. The rest is released over the next 4 to 6 hours.

In general, hydrogen peroxide products are used for short daytime use and carbamide peroxide is used for longer overnight periods. In order to provide the most rapid and effective whitening treatment, all BEYOND™ whitening gels contain hydrogen peroxide as the active ingredient. This shortens our treatment times, but it also means that following the proper storage instructions for the whitening gels is very important.