They are injected in the dermis using a very fine needle in order to raise depressions to the level of the surrounding skin by filling in the lines and wrinkles just under the surface of the skin. These biodegradable products are used on all types of wrinkles, facial creases and scars, mostly on superficial lesions.

Collagen: is a bovine derived material. Two skin tests prior to collagen injections are required on account of possible allergy to the American-made collagen (1-2%).

CosmoDerm: is a human derived material. No skin test is required, non allergenic.

Restylane: is a synthetic product (no known allergy).

Usually two successive sessions are needed to obtain a full correction (collagen: Zyderm-1, Zyderm-2, Zyplast, CosmoDerm; hyaluronic acid: Restylane, Restylane "Fine Lines", Perlane).

Implants are inserted below the surface of the skin in order to fill the hollow furrow and give some bulkiness. These non-degradable products are used for the treatment of deep facial furrows and scars.

Artecoll consists of microspheres suspended in a solution of collagen. It is used as an injectable micro-implant. Prior to injections, one skin test is required on account of possible allergy to this German-made collagen (rare). If optimal correction is not achieved after the Artecoll initial implant, the treatment can be repeated 10 weeks later.

Dermalive and Dermadeep consist of acrylic hydrogel flexible particles in a solution of hyaluronic acid of non-animal origin, thus test free. They are injected into the proper skin layer in order to create volume. One or two extra sessions are usually all that is required to give results that last for several years.

The diluted toxin is injected directly into the muscles of the superior area of the face. These muscles are responsible for the frown lines of the forehead, rhytides of the periorbital and intersuperciliary (glabellar) areas. (www.botox.com) - BotoxCosmetic

Botox is also use to treat hyperhidrosis (excessive sweating) of axillae (armpits), hands and feet.

It consists in the application of an acid product to peel the surface of the skin to treat mild sun-damaged, light wrinkling and irregular pigmentation. Most superficial chemical peelings are done with fruity (glycolic acid Neostrata or Reversa AHA) and medium peels are performed with 20% or 35% trichloroacetic solution (TCA). Other chemical peeling agents are also used.

Microdermabrasion involves sanding the skin with small microscopic crystals made of aluminum oxide. A special instrument, MegaPeel, passes the crystals over the surface of the skin and then removes them quickly to buff superficial skin irregularities. Changes are cumulative and most microdermabrasion procedures are repeated at ten day or two weeks intervals. Six to eight sessions are usually suggested for optimal results. There is little down time associated with this procedure, because after each treatment there is minimal redness of the skin that which usually subsides within 30 minutes to one day depending on the depth of the procedure (the number of passes). A series of MegaPeels will improve: acne scarring and some other types of scarring, fine lines, moderate wrinkles, enlarged pores, pigmentation problems and uneven tones, dull, lifeless and sun damaged skin

Sclerotherapy is a technique to remove small vessels of the skin of the lower extremities. These vessels are often nicknamed telangiectasis, superficial varicosities, venous stars, spider veins. Sclerotherapy involves injecting a minute quantity of a sclerosing solution inside the vein, using a very small needle. One must note that the Candela Vbeam, Sciton Profile/ClearScan™ Nd :YAG Lumenis ONE™ Multi-Spot Nd:YAG and Aura KTP lasers are also a natural complement to sclerotherapy of lower extremities to treat effectively small vessels the diameter of which is less than five millimeters.