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Naz Keshwani
Medical Director , F.A.A.F.P.
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- Laser Treatments
- Blue-U Acne Treament
- Harmony 360 Laser Rejuvenation
- Laser Hair Removal
- Nail Fungus Treatments
- PhotoFacial for treating age spots
- Pixel Skin Resurfacing
- Pulsed Skin Tightening Treatment
- SELPHYL – Natural PRFM Skin Treatment
- Spider & Varicose Vein Treatments
- Tattoo Removal
- Teeth Whitening – Beyond WhiteSpa
- Procedures
- Weight Control
- Injectables
- Hormone Treatments
- Mon-Fri 9am-6pm
- Sat 9am-1pm
- 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
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.
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
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.
- Glycolic Acid Peel
- Salicylic Acid Peel
- Lactic Acid Peel
- TCA Peel
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.
A. The FootLaser procedure takes about 30 minutes.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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).
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
