a consumer guide to life-enhancing procedures …...many of us also lose volume in the orbits of our...

RejuvenationcosmeticA CONSUMER GUIDE TO LIFE-ENHANCING PROCEDURES FOR HEALTHY LIVING

FALL 2014

Produced by the Calgary Herald’s Special Projects department

SKIN REJUVENATION• Certified BOTOX® injectors since 1996• Tissue fillers – RESTYLANE, JUVÉDERM®, VOLUMA®,

LIP AUGMENTATION, ESTHELIS• SOFTLIFT™

• VOLULIFT™

• ACCENT – fat melting, cellulite, body contouring

• LASER-GENESIS Laser peels• IPL Photorejuvenation for brown pigment, age spots, rosacea• OBAGI / SKIN TX / VIVIER / PERRICONE / ALYRIA / PRODERM• Retin A, VITALIZE, TCA or glycolic facial peels• LATISSE®

• Microdermabrasion

• Anti-aging / Anti-pigment skin care• TITAN skin tightening• ULTRASHAPE (fat melting)• SmartXide DOT - Laser resurfacing• PIXEL – Wrinkles• SPIDER & VARICOSE VEINS (facial, body & legs)

Saving face... Naturally!One day you wake up, look at yourself in the mirror and suddenly you feel aged or tired and want to do something to change the way you appear.Rejuvenation is a process that goes beyond the odd wrinkle, one has to look at the face 3 dimensional, the shape, texture and elasticity needs to be addressedand how it all works together to create a new, refreshed you. At Calgary Vein and Laser we recognize that rejuvenation is not about botox and fillers, butneeds to include return of fullness to the face, relaxation of expressive muscles and improvement of skin quality.Enhance shape and volume: When we are younger we have an upside down triangle, the cheeks are the base of the triangle and it goes down to a point atthe chin. As we age, the triangle reverses. Fillers reverse this change. Most fillers used today are hyaluronic-acid based. Hyaluronic acid is one of the maincomponents of the skin, so by using a filler made of the same substance you can minimize reactions and enable the filler to blend in very naturally with theskin. These products are reversible, predictable and reliable which makes them safe. A treatment with fillers will last up to a year. Fillers smooth the static linesat rest while botox, a neuromodulator, deals with action lines. Botox binds itself to the nerves that fire the muscle. This results in a weaker muscle, weakercontraction and lines of expression begin to fade. Both of these technologies have been safely used for over 15 years.Tighten skin elasticity: As we get older, the skin loses elasticity. Infrared, radio frequency and ultrasound energy can be used to tighten the collagen fibres,stimulate new collagen, making skin less saggy and ultimately give a lift to the tissue. Titan, infrared energy, is an effective treatment with no down time.Improve colour: Brown spots that commonly appear on the skin as we age can be improved dramatically with topical skin care, peels and Intense Pulse Light.IPL can be very beneficial for the dischromia of skin colour, both red and brown, and improve texture resulting in rejuvenation. Fractionated laser resurfacingis highly effective for removal of sun damage spots but can offer dramatic improvements with wrinkles, pores, improves laxity and skin tones. SmartXide laserhas been a great adjunct to our practice. Downtime is variable and results are natural.Lifestyle: Use of broad spectrum sunscreen protects from UVA and UVB. UVB makes our outer skin burn or tan but UVA penetrates deeper into the skin andcauses premature aging and skin cancer. Sun protection factor needs to be at least 30 with regular reapplication as needed. Remember, you may not tanthrough a window but your skin can damage. Ultra violet protection is also available in clothing and hats, read the label, the tighter the weave the better theblock. NEVER use a tanning bed!Skin care is important to keep your skin in a healthy state. Exfoliants, antioxidants, collagen growth factors can make your skin glow. Foods high inantioxidants may also help reverse and prevent skin cancers. A regular exercise program improves the circulation to the skin.At Calgary Vein and Laser, Drs. Ron Young and Lilly Wouters along with their team of skilled technicians will help you find a solution for what is best for you.Take your first step towards a youthful and fresh appearance!

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• Skin•Moles• Body Shaping• Rosacea, facial vessels

Also providing solutions for:

Serving Calgary since 1993

• Hair Loss• Hair removal•Wrinkles• Scars

• Skin Tags• Cellulite• Brown Pigment• Sun Damage

BEFORE AFTER

Cosmetic RejuvenationCosmetic Rejuvenation is published twice a year by the Calgary Herald’s Special Projects department. Fall publication date: Oct. 4, 2014.

CO-ORDINATORDarren Oleksyn

CONTRIBUTORSRachel Naud, Karen Durrie, Joel Schlesinger, Jacqueline Louie

DESIGNDarren Oleksyn and Charlene Kolesnik

PHOTOSThinkstock

SALES INQUIRIESt: 403-235-7168e: [email protected]

This content was developed by the Calgary Herald’s Special Projects department in collaboration with advertisers to promote awareness of this topic for commercial purposes. The Calgary Herald’s editorial department had no involvement in the creation of this content.

04 NO STRINGS ATTACHEDGive your face a lift without need of a scalpel.

FEATURES

06 MORE THAN JUST ARTWORKTattoos offer a great way to disguise injuries and boost your look.

12 CLEARING THE SKIN’S ROAD MAPHow to zap away varicose and spider veins.

13

14

SWEAT-FREE BODYBUILDINGSurgery lets men get great pecs without ever entering a gym.

BANISHING IRKSOME ACNEThe irritating skin condition can be addressed.

17

15

16

NO SURGERY REQUIREDHow to attack fatty deposits without breaking the skin.

HELPING MEN MEASURE UPCanadian doctor became a leader in penile-lengthening surgery.

SMOOTHING THE BUMPSCellulite affects all body types, but there are treatments.

INSIDE

PAGE 3COSMETIC REJUVENATION FALL 2014

18 COLUMNDr. Andrei Metelitsa on how science can help keep you looking young.

COSMETIC REJUVENATION FALL 2014

COVER


NO STRINGS ATTACHEDLooking to give your skin a lift without going under the knife? Rachel Naud investigates the options

M any aging Calgarians can be grouped into four categories: the wrinklers, the sinkers, the saggers and the sun damaged.

It’s not our fault, really. Father Time isn’t exactly on our side when it comes to aging.

Remember those full, round cheeks? As we age, we lose fat volume in our faces and those once chubby cheeks develop a flat triangular groove as we get older.

Many of us also lose volume in the orbits of our eyes that result in eye circles that may or may not be dark in appearance, leaving us looking tired and weary.

We also lose volume in our lips and other areas of the face, which causes the face to fall and contributes to the appearance of lip lines and the deep brackets that appear at the sides of the mouth.

Moreover, when we are young we have an abundance of the structural protein collagen in our skin. Not only is it plentiful, but it’s tightly coiled, much like a Slinky right out of the box. However, from the age of 20 or so we start losing collagen at a rate of approximately one per cent to two per cent per year.

As we get older, not only do we have less collagen, but the collagen that remains becomes more loosely bound. We also lose elastin in our skin. The loss of collagen and elastin are major factors that contribute to sagging.

While genetics play a role, so do factors such as environment and lifestyle. Diet and exposure to toxins such as cigarette smoke can speed things up or slow them down, too. But the biggest culprit to premature aging is excessive sun exposure. Too much ultraviolet radiation can destroy collagen and elastin, resulting in wrinkles. It can also cause sun spots and flushing of the skin. This uneven pigmentation and texture further contributes to the appearance of aging skin.

But it’s not all bad news. Even if Father Time isn’t on our sides, the cosmetic industry is. Today, there are more procedures than ever to help lift and tighten aging faces and necks. And, even better, many don’t require a scalpel.

“A few years ago surgery was the only option,” says Roberta Segar, a certified laser specialist and the treatment director at Skinpossible Laser & Light

Solutions in Calgary. “Advancements in technology provide alternatives that are less expensive with no need for downtime, few risks of complications and no risk that you will look like anybody except yourself … only better.”

This is what patients want, says Dr. Louis Grondin, medical director at Calgary’s Sante Cosmetic Laser & Vein Centre, who adds that the patients at Sante often come in with concerns that include the formation of fine lines and wrinkles, drying skin and sagging, as well as the formation of brown spots (hyper pigmentation).

“When these signs of aging arise, they can have a powerful erosive effect on our self-perception,” says Grondin.

That’s why more people than ever are turning to non-invasive cosmetic procedures to turn back the hands of time. Technological advances have made the fight against aging an easier battle to win.

“It will take time to prove it out, but it is quite possible that if we start with a 40-year-old, we could potentially keep him or her looking 40 when they are 60,” says Segar.

“Of course, we can never make a 60-year-old look 40 again, so the key is to start while you are still young.”

How? Skin-tightening procedures are all about causing controlled injury to the skin to trigger a healing response that will produce collagen.

“Simplifying this as much as possible, the greater the injury, the more dramatic and long-lasting the result will likely be,” Segar says.

There are many options available for patients who want to rejuvenate, lift and tighten. Here are a few:

LASERS: Results from laser treatments vary greatly depending on the type of laser used and the anticipated downtime. With both lasers and light, the depth of penetration is limited to approximately one millimetre, but the energy is delivered precisely.

“Depending on the technology used, a single minimally invasive treatment with a laser such as a CO2 (carbon dioxide) or an Erbium YAG can dramatically smooth and tighten skin,” says Segar. “A series of three

to five treatments with light-based devices such as Titan and SkinTyte can result is superficial tightening of the dermis. All can unquestionably freshen a patient’s ap-pearance.”

Grondin uses fractioned CO2 lasers to treat aging skin, including non-ablative fractional lasers and frac-tional erbium laser resurfacing. During a non-ablative fractional laser treatment, a laser beam is divided into thousands of tiny treatment columns that target only a portion of the skin. Non-ablative lasers do not destroy the treated tissue, whereas ablative treatments utilize controlled tissue vaporization.

With Fractional Erbium Laser resurfacing short, concentrated pulsating beams of light are directed at the affected skin in a very precise manner. The erbium laser vaporizes superficial, damaged skin cells with minimal burning of surrounding tissue.

“Once the skin is damaged and shows wrinkles, brown spots, and has lost its lustre, the skin may need to be resur-faced with fractionated laser technology,” says Grondin. “These laser treatments effectively remove sun-induced structural damage to the skin.”

RADIO FREQUENCY: This technology uses bulk heating and methods of delivering the energy to the tissue for a firming effect; mainly a maintenance effect against gravity. The depth of penetration is not consistent or precise.

“Temperatures high enough to cause skin tightening will usually be concentrated at 1.5 to 2 mms and up to 3.5 mm with some technologies,” says Segar. “The various approaches produce a range of temperatures.”

ULTHERA: This patented device uses focused ultrasound to cause precise injury. Ultherapy treatments can be customized to penetrate to 1.5 mm, 3 mm, 4.5 mm or all three depths in a single treatment.

“Ulthera’s ability to penetrate deep enough to injure the … muscle under the dermis puts it in a league of its own,” says Segar. “It is the only device that has received FDA clearance for a ‘lift’ indication.”


Jody Stoski remembers the 6-foot-4 soldier who accessed her expertise in cosmetic tattooing.

“He burned his eyebrows off in an accident in the military. This big burly guy kept a brow pencil in his pocket, and was very self-conscious. He’s thrown it out now and has a new lease on life,” Stoski says.

Although many are familiar with cosmetic tattooing for permanent makeup such as eyeliner or lip colour, it has a wider variety of applications. It can be employed to camouflage scarring, hair loss, wrinkles and even to re-pigment nipples and areolae after post-mastectomy breast reconstruction.

Stoski owns Cinnamon Girl Clinic. She trained first as a makeup artist, working commercially in film and television, before receiving training in cosmetic tattoo artistry.

She sees clients for everything from permanent eyeliner to cosmetic correction of cleft lips.

“We get people for many things that stop at the plastic surgeon’s office that they can’t go any further with. It often gets turned over to us to put final touches on those areas.”

Stoski employs a disposable, manual tool to create strokes that mimic natural hair for brows and scalps, and says the result looks completely natural and undetectable compared to real hair.

“We have people that have lost hair through chemotherapy or alopecia. They provide a picture of what they looked like before. It’s about recreating a feature on someone so they feel normal again.”

Eyebrows are the most common procedure Stoski does, followed closely by eyeliner — these are the “biggest real estate spots” on female faces, she says, that can make them look vibrant and young.

The procedure requires no preparation. For breastwork, artists typically speak with

oncologists first to ensure the client is ready. There is not any downtime, and medical

ointment is the only real aftercare required.Stoski prefers to go with the most conservative

version of colour first, then clients can see her for a second session for adjustments on tattoo colour or shape.

Dr. Kirk Barber, a Calgary dermatologist, also employs cosmetic tattooing in his practice, under the name of Pink Permanent Ink Clinic. Maria Wu is the micropigmentation specialist at the clinic.

Wu, who is trained by the American Academy of Micropigmentation, works on brows and handles scar coverage, hair replacement and pigment replacement on people of any colour who have vitiligo — a disease that causes the skin to lose colour.

Cosmetic tattooing is markedly different from the kind of work you would find at a tattoo studio, Barber says.

“It does use an iron-oxide pigment put into the skin, but that’s where the similarity ends and begins. By that, I mean it’s permanent in that there will probably always be some ink present, but the likelihood of it lasting a lifetime is pretty low. The colours fade over time, and people need to have them refreshed over the years.”

Barber says the success or failure of cosmetic tattooing is very dependent on the operator, and because it is unregulated, people considering the procedure should research the skill, training and artfulness of the person performing it, as well as the environment in which it is being done.

“What we have done within my practice is medicalize. We use standard inks from reliable sources, sterilization of tools, proper lighting, proper training and certification,” he says.

“It’s like being a painter. It’s truly an art, and success is dependent on the artist.”

MORE THAN JUST ARTWORKTattoos go beyond skulls and butterflies. Karen Durrie looks at how ink can fill out eyebrows and disguise injuries

BODY

When Skinpossible opened in 2009 it onlyhad one treatment room. In 2011 it expandedto three treatment rooms. Now the little clinic inthe country has outgrown its space again. Skin-possible will soon be relocating to a glamorousnew facility within the city of Calgary. The newlocation, which will open in the late fall, will have�� did this happen?

“By offering award-winning treatments,” an-swers Roberta Segar, Treatment Director atSkinpossible, “and by doing a very good jobat delivering those treatments,” she explains.�� do a better job to make the trip worthwhile. Wedo strive to excel at customer service, but we canonly be as good as our technology,” she insists.Skinpossible`s two most popular treatments,

Coolsculpting and Ultherapy, are unquestion-ably good technology. Both are NewBeautyaward-winners as best-in-class. Ulthera hasrecognized Skinpossible as the top Ultherapytreatment provider in all of Canada. Coolsculpt-ing has recognized Skinpossible as a PreferredTreatment Provider in Alberta. When asked toelaborate, Roberta is happy to oblige. “I reallydon`t mean to sound boastful, but we performa lot of these two treatments for a reason,” shesays. “Not only do they work, but they work well.”Coolsculpting, the non-invasive treatment

that freezes away fat, is the #1 body-contouring�� Medical School, it is a safe alternative to surgicallipolysis for people who are predisposed to stub-born pockets of fat despite maintaining a healthybodyweight. Examples of this would be fat on theouter thighs known as saddlebags or fat on the�� handles. Coolsculpting can also be a solution formoderately overweight individuals who retain faton the abdomen. Off-label areas that can alsobe treated with Coolsculpting include back fat,manboobs, inner thighs, and arms. Results, justas in surgical liposuction, are permanent.��

offer Dual-Sculpting,” Roberta says. “This allowsus to deliver treatments in half the time because

two machines allows us to treat two areas of thebody at the same time. I might be boasting alittle bit now,” she says with a smile.Skinpossible`s other award-winning treatment,

Ultherapy, is the new gold-standard at non-inva-sive skin tightening and the only FDA approvedtechnology for skin lifting. “It`s not facelift re-sults,” explains Roberta, “but it is as close asyou can get to a facelift without going under theknife,” she claims. Ultherapy is clinically provento tighten the skin on the neck, jawline, and brow.It is also used to treat skin on the body.Skinpossible is a private full-service medical

aesthetics clinic with the exquisite ambience ofa spa in a country setting. “Many of our patientshave expressed disappointment upon learningwe will be relocating to the city,” Roberta informs.“I want to take this opportunity to assure every-one that the new location in Chaparral Valley willbe equally beautiful and offer the same degreeof privacy.”Skinpossible operates under the medical di-

rection of Dr. James Kennedy, MD, FRCSC.

Howdida smallmedical-aesthetics clinicin the rural community ofDeWintonbecomeanaward-winning clinic?

Coolsculpting Permanent Fat Reduction | Picosure Tattoo Removal | Ultherapy Skin Lifting and Tightening | Botox | FillersCO2 Laser Skin Resurfacing | Dedicated Acne Clinic | Acne Scars | Photorejuvenation - Reds and Brown Spots | Medical PeelsUltrashape Body Contouring | Laser Nail Fungus Removal | Laser Hair Removal - All Skin Types | Spider Veins - Face or LegsCelazome medical skincare | Tizo SPFs | Colorescience | Latisse Eyelash Enhancer | Skin Analysis Consultations

Find out what’s possibleSkinpossible.ca

Call to book your free consultation403.938.1112

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PAGE 8 COSMETIC REJUVENATION FALL 2014

WHAT MEN WANT

Cosmetics aren’t just for women anymore. In fact, the number of men undergoing cosmetic procedures has increased dramatically. According to the American Society for Aesthetic Plastic Surgery (no Canadian stats are available), the number of cosmetic procedures for men increased by more than 273 per cent from 1997 to 2013.

The most common procedures include breast reduction for gyneco-mastia (an enlarging of gland tissue in the male breast), blepharoplasty (to fix sagging eyelids), liposuction, face/neck lifts and non-invasive injectables.

Dr. Brad Mechor MD FRCSCRhinology - Rhinoplasty

Aesthetic & RevisionRhinoplasty Surgery

Surgeon performedAesthetic injections• Xeomin / Botox• Enteis / Juvederm• ZO Skincare• Balloon Sinuplasty

Fellow member of theCanadian Academy of Facial Plastic

and Reconstructive Surgery

(403)270-8060www.drmechor.com

SUGAR NOT SO SWEET FOR THE SKIN

If your expanding waistline isn’t enough to drop the sugar addiction, this might do it: sugar is aging you. How? When sugar binds to a protein or fat in the bloodstream, a process called glycation, it creates a byproduct called an advanced glycation end product (AGE).

The glycation process dam-ages proteins and collagen in the skin, which can eventually lead to sagging and wrinkles.


SOLE SACRIFICE

For some, there’s no more sacred bond than that between a woman and her shoes. And despite the pain and damage these shoes can inflict, women will do almost anything to put their best feet forward ... including surgery.

Cosmetic foot treatments are growing in popu-larity and can include the injection of hyaluronic acid into the bottoms of feet to alleviate foot pain. Surgeries include the shortening of toes, to correct a hammertoe or corns, and the lengthening of toes if one toe is shorter than normal.

BELOW THE BELT BEAUTY

Women are turning to labiaplasty to increase their confidence and feel sexier. The procedure can reduce either the labia minora or labia majora lips (inner and outer vaginal lips). It can help women who feel bulky in pants or bathing suits to the point where they won’t wear any revealing clothing.

It’s also popular with active ath-letes or triathletes who complain of rubbing with biking or running. Moreover, labia fat grafting, a pro-cedure that involves removing fat cells from the lower abdomen, hips or lower back and injecting the skin of the mons pubis and labia majora, can give the pelvic triangle a much more youthful and soft appearance.

— Briefs compiled by Rachel Naud

FREEZING AWAY WRINKLES

It’s not just a funny term for someone who’s had too much work done. Freeze Therapy is a recent innovation in the cosmetic industry that’s used to treat wrinkles. The therapy freezes the nerves that power facial muscles, causing an effect similar to Botox, an injection that causes temporary paralysis of muscles. Although freeze therapy is in its early stages, research has shown its effects can last several months.

The latest in medical laser and skin & body rejuvenation for he and she.Dr. Wendy Tink & Dr. Patricia Connick - 803, 10 Discovery Ridge Hill SW Calgary Phone . 403.237.8428 . viverejuvenation.com

st in medical laser and skin & body rejuvenation for he and she.d l l d k & b d f h d h. Patricia Connick - 803, 10 Discovery Ridge Hill SW Calgary Phone . 403.237.8428 . viverejuvenation.com

Autumn 2014FRAXEL® . CUTERA® . BOTOX® . JUVEDERM® . UltraShape®V3 . Facials & Body Wraps . Vivierskin® . SkinCeuticals® . Latisse® . glo•minerals™

VAMPIRE FACIALS SUCK UP DOLLARS

Remember Kim Kardashian’s bloody face? The image, which went viral last year, is hard to forget. The pic that had us all seeing red could be why the popularity of vampire facials increased by 800 per cent in 2013.

The procedure starts when a small amount of blood is extracted from the patient. The blood is then spun in a centrifuge to separate the part that’s filled with platelets, the plasma, from the blood cells. The platelet-rich plasma is then injected into the face.

The ARTAS system representsthe least invasive of all hairtransplant techniques, withdown-time as little as one tothree days (as compared to upto several weeks for the ‘strip’transplant procedure) allowingyou to quickly resume your busydaily schedule (usually with noovert indication that you have hadthe procedure done).

A local anesthetic will be used andmost patients will experience littlediscomfort during the outpatientprocedure. You’ll be awake andalert, you may choose to listento music or watch a movie duringthe procedure and there will betime for breaks. Post procedurediscomfort is minimal, with mostpatients reporting little to nopost-procedure pain. Thiscompares to strip surgery, whereswelling, scalp numbness, scalptightness and lingering pain areoften experienced.

As each hair is removedindividually with roboticprecision, no stitches areneeded and the scalp retainsits natural appearance. As ascalpel-free procedure, thereis no unsightly linear scarringof the donor site associatedwith the strip method whichnecessitates longerhairstyles to conceal.

Single-hair and follicular unitgrafts produce natural appearingresults (unlike “pluggy” hair graftsthat are often produced by manualtransplant techniques).

Robotic precision harvestingminimizes follicle ‘shock’ andgraft transection rates by up to75% as compared to manual stripsurgery. Because a greater num-ber of healthy, intact follicles aremore likely to survive, thrive andproduce hair, most patients seeimproved new hair growth in lesstime.

Robotic harvesting reducesthe procedure time on thepart of the physician, whichin turn can reduce theprocedure cost to the patient.

Quick Recovery ComfortableNo UnsightlyLinear Scar

Natural Look Better Growth in Less Time Cost Effective

There are many reasons patients viewthe ARTAS procedure as the treatment of choice:THE ®

ARTASADVANTAGE

The older, traditional form of hair transplantation iscalled Follicular Unit Transplantation (FUT), or morecommonly, “strip” surgery.

In a “strip” surgery, a surgeon uses a scalpel toremove a large piece of scalp from the back of thehead.

This invasive process requires stitches to close thewound. The strip of scalp is given to a group oftechnicians who then manually dissect each individualfollicular unit (a process that is not only inefficient, butoften damages a large number of the follicles).

How is the ARTASprocedure different fromolder hair transplantationmethods?

For years, hair transplant treatments have been known forbeing time consuming, ineffective, and leaving visiblescarring.

The new ARTAS robotic hair transplant technologychanges everything.

There are many reasons patients viewthe

1 2

4 5 6

3

Want to learn more?Book your complimentary,no-obligation consultation at(403) 245-8008 or visitsantemedical.ca.

The ARTAS system representsthe least invasive of all hairtransplant techniques, withdown-time as little as one tothree days (as compared to upto several weeks for the ‘strip’transplant procedure) allowingyou to quickly resume your busydaily schedule (usually with noovert indication that you have hadthe procedure done).

A local anesthetic will be used andmost patients will experience littlediscomfort during the outpatientprocedure. You’ll be awake andalert, you may choose to listento music or watch a movie duringthe procedure and there will betime for breaks. Post procedurediscomfort is minimal, with mostpatients reporting little to nopost-procedure pain. Thiscompares to strip surgery, whereswelling, scalp numbness, scalptightness and lingering pain areoften experienced.

As each hair is removedindividually with roboticprecision, no stitches areneeded and the scalp retainsits natural appearance. As ascalpel-free procedure, thereis no unsightly linear scarringof the donor site associatedwith the strip method whichnecessitates longerhairstyles to conceal.

Single-hair and follicular unitgrafts produce natural appearingresults (unlike “pluggy” hair graftsthat are often produced by manualtransplant techniques).

Robotic precision harvestingminimizes follicle ‘shock’ andgraft transection rates by up to75% as compared to manual stripsurgery. Because a greater num-ber of healthy, intact follicles aremore likely to survive, thrive andproduce hair, most patients seeimproved new hair growth in lesstime.

Robotic harvesting reducesthe procedure time on thepart of the physician, whichin turn can reduce theprocedure cost to the patient.

Quick Recovery ComfortableNo UnsightlyLinear Scar

Natural Look Better Growth in Less Time Cost Effective

There are many reasons patients viewthe ARTAS procedure as the treatment of choice:THE ®

ARTASADVANTAGE

The older, traditional form of hair transplantation iscalled Follicular Unit Transplantation (FUT), or morecommonly, “strip” surgery.

In a “strip” surgery, a surgeon uses a scalpel toremove a large piece of scalp from the back of thehead.

This invasive process requires stitches to close thewound. The strip of scalp is given to a group oftechnicians who then manually dissect each individualfollicular unit (a process that is not only inefficient, butoften damages a large number of the follicles).

How is the ARTASprocedure different fromolder hair transplantationmethods?

For years, hair transplant treatments have been known forbeing time consuming, ineffective, and leaving visiblescarring.

The new ARTAS robotic hair transplant technologychanges everything.

There are many reasons patients viewthe

1 2

4 5 6

3

Want to learn more?Book your complimentary,no-obligation consultation at(403) 245-8008 or visitsantemedical.ca.

ADVERTISEMENT

CLEARING THE SKIN’S ROAD MAPSTired of watching spider and varicose veins weave their web? Karen Durrie learns how they can be zapped away

VEINS

PAGE 12 COSMETIC REJUVENATION FALL 2014

They may crawl up your legs, redden your nose, or look like little “road maps” on parts of your body.

They’re veins, and there are a number of proce-dures that can zap the offending blue or red vessels into virtually nothing.

For varicose and spider veins, sclerotherapy is considered the gold standard of treatment.

Ultrasound-guided sclerotherapy uses injections of foam or liquid solutions that collapse and close diseased veins.

Varicose veins are deformed, enlarged, superficial veins whose walls have stretched, causing blood flow to slow. Symptoms include pain, swelling, aching, burning, tingling, itching and leg restlessness. Cosmetically, legs appear bulgy and mapped with visible purple veins.

Spider veins are really just tiny varicose veins, red or blue in colour, and closer to the skin’s surface.

Both men and women can develop varicose veins, and genetics, lifestyle, hormones and aging are major factors in their appearance.

Dr. Lily Wouters, a physician with Young & Wouters Calgary Vein and Laser, typically takes a medical history and does a full assessment of a patient’s veins before proceeding with treatment.

“They may come in and are only concerned about a spider vein, but we assess in case there is a larger vein they don’t notice. We diagnose and sit down to make a treatment plan. This varies depending on whether there are big veins or only small cosmetic ones. One person might need two treatments and another might need six,” Wouters says.

She then gives a cost estimate and a time frame. If more than one sclerotherapy session is needed, the treatments are typically one month apart, but patients can see and feel the difference after just one visit, she says.

For smaller veins, Wouters also uses laser therapies that heat the insides of veins and shuts them down.

Sclerotherapy must be performed by medically trained practitioners, while laser treatments have less-stringent rules and can be performed at non-medical facilities such as spas.

Wouters suggests lifestyle tweaks as a way to keep vein disorders at bay.

“I encourage exercise — walking. It doesn’t have to be fancy. Keep to your ideal weight, and especial-ly with a standing job, wear compression stockings, which I have on all the time,” she says.

Varicose veins are progressive and can get worse over time, causing complications such as aching, fatigue, swelling, blood clots and ulcers.

At Vive Rejuvenation Laser Clinic, smaller cosmetic veins on the face and body are effectively eradicated using laser treatments, specifically the ND YAG wavelength laser, which can treat both lighter and darker skin tones.

It also treats superficial red and blue veins, telangiectasia, hemangiomas, port wine stains and spider veins.

“The advantage is no needle pokes, and the laser is only interested in the hemoglobin in the blood vessel, so it’s not affecting the surrounding tissue,” says Angela Robertshaw, managing director at Vive.

Smaller red and blue veins are heated up, co-agulated, the walls of the vessel close in, and then the vein slowly breaks up and is reabsorbed by the body’s system.

A topical anesthetic is usually used, and there can be some bruising and tenderness afterward, which clears quickly. Followup appointments are necessary to observe vein changes or to have additional treatments.

“Facial veins are very quick and easy to treat, and absorb quicker, because they are smaller,” Robertshaw says.

Vive prices treatments based on how much time each procedure takes.

SWEAT-FREE BODYBUILDING Joel Schlesinger looks at the ways men can pump themselves up without visiting a smelly gym

BODY

PAGE 13COSMETIC REJUVENATION FALL 2014

Women do it, so why not men? Breast augmentation surgery is a plain Jane

cosmetic procedure these days. Virtually every cosmetic plastic surgery practice offers and performs it regularly.

But pectoral implant procedures, the male version of breast augmentation, are rare.

That’s likely a function of supply and demand, says Dr. Jerome Edelstein, a plastic surgeon with Edelstein Cosmetic in Ontario.

The fact is not many men seek the procedure involving silicone implants inserted under the pectoral muscle.

Edelstein is one of the few in Canada to offer the pectoral implants at his Toronto practice, performing a few procedures a year.

“It’s usually a younger male under 40, who, for whatever reason, feels his pecs are underdeveloped and he can’t get them to where he wants them to be through working out,” says Edelstein, also head for plastic surgery at Humber River Regional Hospital.

“It’s quite a good procedure.”While facelifts, nose jobs, tummy tucks and breast implants

are commonplace at North American cosmetic surgical centres, muscle-implant surgery tends to be much less common.

Calgary plastic surgeon Dr. Greg Waslen says no surgical practice that he knows of performs pectoral implant surgery in the city because few men are interested in this purely cosmetic procedure that does not actually add muscle mass or increase strength.

Yet, although muscle augmentation surgeries — including buttock, calf and bicep implants — may seem like a new frontier of cosmetic surgery, these types of procedures have been available for several years. It’s just that they’re not widely marketed by cosmetic surgeons because they’re not in high demand compared to other procedures such as breast augmentation, says Dr. Lloyd Carlsen, with Cosmetic Surgery Hospital in Toronto.

Carlsen, a pioneer in calf implant procedures, performed his first such surgery — one of about 730 — in 1972.

“I’ve never advertised that I do it,” he says. But word of mouth gets around.

Although most of his patients are women, Carlsen says he has performed a few calf implant procedures on men, mostly bodybuilders.

“About two-thirds of the procedures are cosmetic,” he says, adding the remainder are patients with deformities.

Despite the fact Carlsen is one of the most renowned surgeons performing the procedure, even he says it makes up only a very small fraction of his practice. It’s the same for Edelstein, who has never bothered to offer the other ones, such as bicep and calf augmentation, because demand is low.

But Edelstein does often perform an abdominal procedure for patients seeking a six-pack stomach — only it doesn’t involve muscle implants.

“It’s called abdominal etching,” he says. “You have people who are in reasonably good shape, but their stomach muscles are not really that well defined, so you can actually mark out where their six-pack would be and go in with a liposuction cannula and remove fat judiciously to create a six-pack for them.”

As for gluteal implant procedures, most patients are women seeking a Kim Kardashian-like booty. But Edelstein adds that more women are instead opting for an alternative called the “Brazilian butt lift.”

“What you do is liposuction as much fat as you can from everywhere else and you put it into the butt.”

And while all these procedures add bulk to a person’s physique, there’s one thing they don’t do.

“They’re certainly not going to make you any stronger,” he says.

That has to be done the old fash-ioned way: pumping iron instead of getting pumped up with silicone.


BANISHING IRKSOME ACNEThere are treatments to get rid of the irritating skin condition. Rachel Naud explains the options

SKIN

For some Calgarians, acne isn’t an adolescent problem that ends after the teen years. Thankfully,

adult acne comes with some treatments that are more powerful than the over-the-counter solutions we used in days

gone by.Acne is caused by the

overproduction of sebum, an oily

substance created by

sebaceous glands to lubricate the skin. Sebum flows from the glands toward the skin’s surface through hair follicles. Sometimes dead skin cells and excess sebum block these follicles, spurring the growth of bacteria and leading to whiteheads or blackheads.

As well, an excess of sebum can break through the wall of the follicle and seep into the nearby skin tissues, creating pustules.

While hormones are mostly to blame for adolescent acne, the acne that oc-curs in adults often has a different source, says Kirsten Patterson, medical esthetician at FACES Beauty is Power in Calgary.

“The type of acne that an adult can have is usually less than a teenage suffers from,” she says.

“Adult acne can also be caused by other factors like cosmetics, certain drugs, humidity, hormonal changes and sweating.”

To win the fight against adult acne, Dr. Louis Grondin, medical director at Calgary’s Sante Cosmetic Laser & Vein Centre, says the clinic focuses on helping to keep the sebum pores open.

“Particularly in climates like Calgary’s, this is a crucial step to reduce acne pimple, nodule and cyst formation,”

says Grondin, who advises daily exfoliation with a topical retinoic

acid. He says it is an excellent pore cleanser and has a strong

anti-inflammatory effect on acne breakouts.

For a stronger solution,

Grondin says salicylic acid and Jessner peels, as well as ultra-superficial ablative and Q-switch lasers, have a debris-cleansing effect on sebaceous pores that can help rid acne.

Patterson says staff at FACES Beauty is Power use smooth-beam lasers to effectively treat acne. The laser is attracted to the oil in the dermis. It destroys the oil and dries the acne from the inside out.

“We also have an acne program that includes cleaning of the skin, as well as a possible physician-grade peel added for those with lots of congestion under-neath the skin.”

Sometimes acne can cause scarring, which most commonly happens after a cyst fills with sebaceous oil bacteria and ruptures into the dermis. The outcome is loss of tissue as collagen is destroyed.

“Skin overlying the collapse of the area is provided no support and there-fore the depression starts in the skin,” says Patterson.

“This often leaves a jagged ice-pick scar, as well as different marks from also picking at the acne.”

At Sante, treatment for acne scarring often involves a combination of non-ablative fractionated and ablative lasers as well as peels and de-pigmenting skin care.

“We also strongly recommend a well-balanced diet rich in anti-oxidants and omega-3 fatty acids, which is useful in supporting the skin’s ability to rebuild itself and heal without inflammation,” says Grondin.


NO SURGERY REQUIREDKaren Durrie discovers how new technologies can cut down fatty deposits without surgery

Looking to fine-tune your figure? A number of cosmetic procedures make it possible to sculpt and refine diet- and exercise-resistant fatty areas

without surgery. One of the most popular treatments on the

market today is Ultrashape, which uses focused sound waves to break up fat cells.

“It’s been around since 2000, so it’s a tried- and-true, safe, non-invasive treatment,” says Angela Robertshaw, managing director of Vive Rejuvenation Laser Clinic.

“What we know is, across North America and internationally, people want a non-surgical way of keeping their bodies contoured.

“They are less interested in having surgery, which has more risk and more recovery.”

Using the Ultrashape V3 machine, practitioners use a hand-piece to deliver pulsed, focused ultrasound to break apart fat cells in trouble areas, including flanks, hips, inner and outer thighs, upper arms, above the knees, and the abdomen.

There is minimal discomfort, Robertshaw says, and typically after a series of three treatments spaced from two weeks to one month apart, clients will see between one to two inches — sometimes more — of fat loss in treated areas.

“It’s minimal recovery time, no wound healing, and you can get up and go back to work, home or even to the gym,” Robertshaw says.

Ultrashape permanently destroys targeted fat cells. They are then metabolized by the liver and flushed out by the body’s natural systems.

It’s important to note that body shaping procedures work best on people who are not overweight — they should usually be within their ideal weight by a handful of pounds.

For Ultrashape, Robertshaw says clients with a body mass index (BMI) of below 30 are ideal.

Because Ultrashape uses radio frequency waves, there is also a skin-tightening effect from heating the collagen layer under the skin.

“The area gets smaller, firmer and smoother,” says Robertshaw.

Sante Spa offers several non-invasive treatments to refine and contour the body.

At the spa location, Sante offers LPG lipomassage, which is ideal for treating cellulite. Mechanical roller heads massage and relax connective tissue to enhance circulation, resulting in a smoother appearance.

“It’s good for legs and buttocks in particular, and is generally done in a series, with a consultation first

to evaluate if you are good candidate. It’s good for people within five to 10 pounds of their goal weight, so it’s for refinement, not weight loss,” says Amanda Preece, marketing director for Sante Cosmetic Laser and Vein Centre.

The number of lipomassage treatments needed for optimal results varies depending on the individual.

CoolSculpting is another non-invasive treatment. Controlled cooling is applied using a handheld vacuum applicator device, which extracts heat from fat cells, cooling them down and crystallizing them, leaving surface skin and tissue unaffected. The crystallized cells die and are then eliminated from the body permanently.

Results are seen after one session, with the most dramatic results visible after several sessions, and within two to four months. CoolSculpting can be used anywhere there is stubborn body bulging, including love handles, muffin tops and abdomens.

Mesotherapy injections are another way to target fatty tissue under the chin, abdomen, love handles, bra folds, arms, thighs and knees. The solution injected through a fine needle to targeted areas breaks down and reduces fat cells gradually over a number of sessions.

BODY


HELPING MEN MEASURE UPJoel Schlesinger shares the story of the Canadian doctor who helped popularize penile-lengthening surgery

MEN

Here’s the long and the short about penile lengthening surgery.

Or more precisely, it really starts with Dr. Dao-Chou Long, a Chinese plastic surgeon, and Dr. Robert Stubbs, a Canadian one.

More than 20 years ago, Stubbs met Long while visiting Beijing for a conference. Long had pioneered a procedure that had for a long time been thought to be too risky, and for that matter, likely impracticable: surgery to lengthen a flaccid penis.

Yet unlike an array of countless devices, herbal concoctions and other dubious treatments that have claimed to increase the size of a man’s member, but didn’t actually work, Long had indeed done the impossible. He had developed a procedure that added a few centimetres to the length of a penis.

And Stubbs was intrigued.“I heard about Long through research I’d been doing

because plastic surgeons work in that area for reconstruc-tion,” says Stubbs, an Ontario-based plastic surgeon, now retired.

“I sort of knew it was being done for cosmetic reasons.”

Stubbs came back from China in 1993 and decided to add the procedure to his practice. And he set out to do it the right way, under the supervision of a top urologist in Toronto and the College of Physicians and Surgeons of Ontario.

He performed hundreds of successful procedures over four years, and published his findings in the Canadian Journal of Plastic Surgery in 1997.

“It was the most hit on scientific medical paper of any journal on the Internet at the time,” he says.

Although several other surgeons specializing in gender reassignment and reconstruction surgery offer other types of phalloplasty procedures, Stubbs was among a handful of specialists to perform the cosmetic procedure.

Phallus augmentation “is done less frequently and the most vocal proponent of this procedure is Dr. Stubbs in Toronto,” says Dr. Kenneth Wilson with the Canadian Society of Plastic Surgeons.

While other North American plastic surgeons offer the cosmetic procedure, including Dr. Cameron Bowman in Vancouver (one of the few in Canada), most follow the technique Stubbs learned from Long and then refined.

Like Long, Stubbs’ technique involves cutting the superficial ligament at the base of the penis, which allows it to hang lower.

“You can get about two inches by cutting this ligament, and it gives a four-inch man a feeling he’s one of the guys,” says Stubbs.

To improve the outcome, Stubbs developed a post- operative regimen involving weights that are attached to the penis.

Although the procedure isn’t exceedingly complex, it’s not without risks and involves a lot of “hand-holding,” he says.

“I wrote the cookbook on how to do it, and if you can read, you can do the operation, but what many doctors didn’t understand is they had to also look after the patient, and men can be babies.”

Even screening patients could be stressful. Stubbs says he received death threats after turning down would-be patients. And while he enjoyed the challenge of develop-

ing and perfecting the procedure, it took its toll. “Winning and fighting was a phenomenal high,”

he says about surgery.“It’s like a drug — your own endorphins kick, but afterward your body pays for it.”

So, after performing more than 550 procedures, he decided to retire seven years ago. However, that hasn’t slowed demand for his services. Even today, Stubbs still gets many emails from desperate men, and he tries to let them down gently.

“If it is a past patient or a serious inquiry, I just say sorry and I am retired,” Stubbs says.

“If it is frivolous, such as someone who wants another four inches for a six-inch penis, I don’t even bother replying.”


SMOOTHING THE BUMPSThere are methods to attack the cottage cheese-looking scourge of cellulite, Rachel Naud learns

SKIN

Cellulite is one of life’s biggest frustrations.

While cellulite can be caused by factors such as a poor diet, dehydra-tion, slow metabolism and excessive body fat, the truth is even the fittest Calgarians can be inflicted with the bumpy, cottage-cheese-like substance on their buttocks, legs and thighs.

That’s why many people are looking to cosmetic procedures to get rid of cellulite and achieve the smooth skin they desire.

“This current generation is more focused on personal appearance, looking good and therefore feeling better compared to previous generations,” says Dr. Tom Woo of Calgary’s Laser Rejuvenation Clinic and Spa.

“Looking your best will optimize your chances for life’s opportunities.”

Cellulite is the contraction of the vertical bands that separate the fat lob-ules — it almost looks like a stitched mattress. It is fat beneath the skin that appears bumpy because it pushes against connective tissue, causing the skin above it to pucker.

Over-the-counter creams are a popular option for people who don’t want to commit to anything invasive or don’t have the budget to undergo a procedure, says Woo.

“The most popular cream is amino-phylline,” explains Woo. “This is a drug used for asthma, but is applied in the form of a cream.”

The downside? The cream has minimal effect on the blood vessels and no studies have confirmed its effectiveness, Woo says.

Medi-spas also offer treatments such as Endermologie.

“This technique uses rollers and suction to physically cause stretching of those vertical fibres,” says Dr. Woo.

“Treatments last days and upkeep involves treatments every two weeks or so.”

More invasive procedures include liposuction and mesotherapy. Although the former doesn’t offer the greatest results in the fight against cellulite, it is effective in fat removal. This can help very overweight patients who might have fat bulging out between the vertical fibres.

Mesotherapy involves injecting medications such as vitamins and amino acids under the skin to break down the fat and the vertical fibres.

“Results can be long-lasting, but not everyone has a positive effect,” warns Woo.

“Studies have been equivocal, some show mesotherapy is effective, and some studies marginal. Patients can have treatments every three months to upkeep their results.”

Lastly, Velashape is one of the most effective treatments for cellulite. The technique combines mechanical massage with a vacuum, infrared light energy and bi-polar radiofrequency (sort of an invis-ible laser).

“Vacuum and specially designed rollers for the mechanical massage smooth out the skin to facilitate safe and efficient heat energy delivery,” says Woo.

“The net result increases the metabolism of stored energy, increases lymphatic drainage and reduces or shrinks the size of the actual fat cells and fat chambers. This results in smoothing and cellulite reduction.”


The allure of new procedures continues to bring innovations into the field of cosmetic medicine.

It is well known that the process of aging is a natural and inevitable part of life. Regardless of one’s genetic predisposition, our skin undergoes very predictable deterioration changes that are commonly influenced by the environment.

In addition to smoking and stress, cumulative exposure to sunlight, referred to as photo-aging, is the most significant contributor to aging.

I am therefore a huge proponent of preventive medicine that includes sun protection and good skin hygiene. However, many of our patients visit the office when the aging process has already begun and more definitive treatments are needed.

When faced with all of the plausible treatments that are available today, one of the key questions our patients ask is whether their results will look “natural.” This question, reflective of a dark shadow around cosmetic procedures, is driven by a number of well-known celebrities who have undergone extensive and very obvious cosmetic enhancements that, unfortunately, detract from their natural beauty and inevitably diminish their appearance.

Understandably, while our new patients want to look more youthful and refreshed, they may also be worried about whether their results will be unnaturally obvious. Such discreetness is even more important to our male patients, who represent a rapidly growing proportion of our clientele.

Luckily, most of our modern cosmetic procedures are non-invasive, have minimal downtime and are able to produce effective, yet very subtle results.

With the widespread availability of Botox and Dysport, the dubbed “frozen look,” in which a person is unable to show any aspect of expression, creates a negative connotation that inhibits many possible patients from pursuing such procedures.

But if done properly, such procedures should prevent colleagues and friends from fully realizing the reasons behind one’s youthful appearance. Newer techniques that can be incorporated, even among our younger patients in

their 30s, ensure that lines are diminished while still allowing patients to express emotions on their face.

As our patients age, cosmetic fillers such as Juvederm and Restylane are typically used to address the loss of fullness and volume, often in the regions of the mid-face and jowls.

Proper placement of such injectables that takes into consideration a patient’s facial features is absolutely critical and can produce very subtle results, generating a more relaxed and rejuvenated face. After all, not many would seek out a dermatologist and request abnormally large duck lips or large, full cheeks that, in some way, were misperceived in the past to reflect youthfulness and attractiveness.

Similarly, when it comes to laser procedures, which are often designed to eliminate brown spots, improve skin texture or diminish facial vessels, safety is another important concern.

Luckily, most of the innovations that have led to laser procedures are not only extremely effective, but also usually require a minimal recovery, often between one and three days of mild downtime. As well, the permanent side- effects, which often haunted previous technologies, are now almost non-existent.

Once again, ensuring with a high level of certainty that the end result is better than the original blemish is the overall principle of modern cosmetic medicine.

In essence, the future of cosmetic medicine remains bright, so we can stay youthful in a natural, safe and cost-effective manner.

BEATING THE AGING GAMEThe fountain of youth might not exist, but Dr. Andrei Metelitsa says there are ways to keep looking young

COLUMN

Dr. Andrei Metelitsa is co-director of the Institute for Skin Advancement and clinical associate professor at the University of Calgary. He is a board-certified dermatologist in Canada and the U.S., having pursued an additional fellowship in lasers and cosmetics with world-renowned faculties from Harvard and Yale universities. He has authored a dermatology book as well as more than 40 book chapters and articles.

For anyone who wants to improve their quality of life through the semi-permanent application

of eyebrows, eyeliner, lip liner and areolae, Cinnamon Girl Clinic is here to help.

“Whether you’re looking to regain your confidence by hav-ing eyebrows once again, or simply want to save time in your morning routine, we can assist,” says Cinnamon Girl Clinic owner Jody Stoski, an international speaker and American Academy of Micro-pigmentation panel expert.

Cinnamon Girl Clinic, which recently opened an indepen-dent location in the Bow River Professional Building in northwest Calgary, provides both cosmetic and medical tattooing services for clients of all ages.

“In addition to having the largest cli-ent portfolio for micropigmentation in

the region, our clients repeatedly com-ment on our approachable and accom-modating service,” Stoski says.

We are not cosmetic generalists. Our clinic is focused on only providing micropigmentat ion services and as such our clients are in the most capable hands, from consultation through to post-care support and maintenance.

Stoski, with more than 20 years of experience as a makeup artist, is passionate about making people feel great about them-selves. She has operated Cinnamon Girl Clinic in Calgary for the past seven years.

“The tattooing I do does not look like tattooing. My main goal is for no one to know you had it done,” she says.

For more information, call 403-288-BROW (2769) or visit www.cinnamongirlclinic.ca

Proud Member and Panel Expert of theAmerican Academy of Micropigmentation

Lip Tattoos Eyebrow Tattoos Eyeliner Tattoos Medical Tattoos

403-288-BROW (2769)#348, 4411 16th Ave NW

email [email protected]

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Building confidence is an artCinnamon Girl Clinic prides itself on creating beautiful and natural looking cosmetic and medical tattoos

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MEDICAL FITNESS COSMETIC MEDICINE & CORPORATE HEALTH

Botox® Cosmetic • Fillers • Selphyl® • CoolSculpting®Skin Tightening • Intense Pulsed Light • Latisse®

Microdermabrasion • Chemical PeelsFractional Non-Ablative Skin Resurfacing

403.538.8881 INLIV.COM

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Inspiring Amazing Lives: These three words pulse throughthe elegant, modern facility at INLIV Full Circle Health. Every day,INLIV helps clients eat better, manage stress more efficiently, andtrain smarter, all while addressing any number of medical conditions.Considering all of this, it only seems fitting that they assist in themaintenance of the largest human organ: the skin.

Doctors Wendy Smeltzer and Christine Pezarro lead the CosmeticMedicine department at INLIV. Along their sides are registered nursesNadia Zinchuk and Monica Grewal, who collectively form the highlyexperienced and knowledgeable INLIV Cosmetic team.

INLIV offers a multitude of treatments and procedures includingBotox®, fillers, skin resurfacing, laser treaments, skin tightening andbody sculpting, to name a few. Clients can rest assured that they are insafe hands, as all injectable services are offered by INLIV’s experiencedphysicians, and technology services (such as CoolSculpting®, lasertreatments and Thermage®) are performed by a registered nurse.INLIV also offers skin screening performed by a board certifieddermatologist for detection and prevention of skin cancers.

Before each appointment, the Cosmetic team takes time to assess thepatient’s personal needs and create a customized, innovative programto help the patient achieve optimal results. At all times, the team isworking towards the patient’s cosmetic goals and overall well-being asthe team takes pride in its exceptional standard of care. Dr. Smeltzersays, “We offer medical aesthetics treatments, but our ultimate goalis to look after the whole person. We want to create a warm andcompassionate, personalized experience and have our clients leavingcomfortable and confident in their own beautiful skin.

Clients will be sure to leave INLIV reflecting how they feel on theinside – outside, and inspired to live a truly, amazing life.

Photo by Trish Tanner

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a consumer guide to life-enhancing procedures …...many of us also lose volume in the orbits of our...

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