Monday, April 28, 2014

Naturopathic doctor in Toronto, Mesotherapy training institute - On Chemical Peels, Reveal and Refresh

this is a great article to share, especially with your clients
Chemical Peels and Your Skin

Chemical peels can improve the skin's appearance. In this treatment, a chemical solution is applied to the skin, which makes it "blister" and eventually peel off. The new skin is usually smoother and less wrinkled than the old skin.

Renew The Look, Feel, and Health Of Your Skin

Most peels, especially those that are AHA or glycolic acid based,  create an even and controlled shedding of several layers of skin cells. This allows new layers to be exposed and produces a "fresh" appearance to the skin. In addition, new cells and collagen are stimulated, creating a more even skin tone.

The Glycolic acid peel is effective for use by men and women of any skin type, age or color.

Skin Peeling will help improve
skin appearance in all of the following conditions:

Fine Lines - smooths and softens lines and wrinkles. This includes laughter lines, crow's feet, brow lines, and crepey skin.
Acne Scar - a proven acne scar treatment that reduces and fades reddened acne scars, dark acne scars, and blemishes.
Sun Damage - reverses & removes photo-aged and sun-damaged outer skin layers.
Age Spots - lightens and removes dark spots, and blotches from your skin.
Blackheads - opens blocked pores eliminating blackheads & whiteheads, and smoothes rough skin.
Uneven Skin Tone - lightens and brightens your skin revealing a more even colored skin tone.
Large Pores - reduces the size, look, and appearance of large pores.
Hyper-pigmentation - reduces and improves the look of darkened skin patches and blemishes.

Chemical peels can be done on the face, neck, or hands. They can be used to:
Reduce fine lines under the eyes and around the mouth
Treat wrinkles caused by sun damage and aging
Improve the appearance of mild scars
Treat certain types of acne
Reduce age spots, freckles, and dark patches (melasma) due to pregnancy or taking birth control pills
Improve the look and feel of skin
Areas of sun damage may improve after chemical peeling.
After a chemical peel, skin is temporarily more sensitive to the sun, so wear sunscreen every day. It should say "broad-spectrum" on the label, meaning it protects against the sun's UVA and UVB rays. Limit your time in the sun, especially between the hours of 10 a.m. and 2 p.m., and wear a wide-brimmed hat.

How does the Peel work?
Peels accelerate your natural cell renewal rate and causes your skin to produce a controlled inflammation and also growth factors,  natural substances that help skin cells to survive and flourish.

One of the major benefits of peeling is that causes these cells to move forward from deep in the skin towards the surface. As these cells move forward collagen fibers are strengthened, excessive oiliness is normalized, follicles that have been blocked by cellular debris are uncovered, rough textured skin will look smoother and shallow lines are softened. Your skin will be noticeably clearer, smoother and younger looking.

Who Is a Good Candidate For a Chemical Peel?
Generally, fair-skinned and light-haired patients are better candidates for chemical peels. If you have darker skin, you may also have good results, depending upon the type of problem being treated. But you also may be more likely to have an uneven skin tone after the procedure.
Skin sags, bulges, and more severe wrinkles do not respond well to chemical peels. They may need other kinds of cosmetic surgical procedures.
Before You Get a Chemical Peel
Tell your doctor if you have any history of scarring, cold sores that keep coming back, or facial X-rays.
Before you get a chemical peel, your doctor may ask you to stop taking certain drugs and prepare your skin by using other medications, such as Retin-A. The naturopathic doctor may also prescribe antibiotics or antiviral drugs.
Work with your doctor to determine the depth of your peel. This decision depends upon the condition of your skin and your goals for treatment.
Ask your doctor in advance whether you will need to have someone drive you home after your peel.

How Chemical Peels Are Done
You can get a chemical peel in a doctor's office. It's an outpatient procedure, meaning there's no overnight stay.
The professional who does your peel will first clean your skin thoroughly. Then he or she will apply one or more chemical solutions -- such as glycolic acid, trichloroacetic acid, salicylic acid, lactic acid, or -- to small areas of your skin. That creates a controlled wound, letting  new skin take its place.
During a chemical peel, most people feel a burning sensation that lasts about five to ten minutes, followed by a stinging sensation. Putting cool compresses on the skin may ease that stinging. You may need pain medication during or after a deeper peel.

What To Expect After the Chemical Peel
Depending upon the type of chemical peel, a reaction similar to sunburn occurs following the procedure. Peeling usually involves redness followed by scaling that ends within three to seven days. Mild peels may be repeated at one to four-week intervals until you get the look you're after.
Medium-depth and deep peeling may result in swelling as well as blisters that may break, crust, turn brown, and peel off over a period of seven to 14 days. Medium-depth peels may be repeated in six to 12 months, if necessary.
After treatment, you may need bandages for several days on part or all of the skin that was treated.
You'll need to avoid the sun for several months after a chemical peel since your new skin will be fragile.
Possible Complications
Some skin types are more likely to develop a temporary or permanent color change in the skin after a chemical peel. Taking birth control pills, subsequent pregnancy, or a family history of brownish discolouration on the face may make that more likely.
There is a low risk of scarring in certain areas of the face. Some people may be more likely to scar. If scarring does happen, it can usually be treated with good results.

For people with a history of herpes outbreaks, there is a small risk of reactivating cold sores. Your doctor can prescribe medication to prevent or treat that.

Wednesday, April 23, 2014


Scroll down for my secret protocol that gives my patient’s amazing results.

Looking for a tool to get you amazing clinical results and have happier clients?  Are you are looking for something specific for the dark circles under the eyes; for sagging skin, or to improve circulation in your stubborn cellulite patients?  Carboxy therapy, is the solution. As a stand alone therapy or as a compliment to your custom treatment strategy this is a MUST have service or offering.

I have used this service in practice now for a number of years, I find it an invaluable adjunctive therapy to my mesotherapy treatments; originally I came across it in Milan with Plastic Surgeon, Dr. Frasca, MD; my training in the technique is from the European Society of Aesthetics and Antiaging .

 A number of articles, written expect that carboxy therapy eventually will become more popular by maintaining natural expressions than compared to Botox skin aging treatment.

Aging can reduce blood circulation, which means less oxygen gets to the cells. As a result, the process of creating new cells slows or even stops. Injecting carbon dioxide gas under the skin tricks the body into believing it needs more oxygen, presumably resulting in an increase in blood flow and cell growth [Carboxytherapy is also believed to also have a lipolysis effect (breaks down fat cells)

Also, the therapy is a  maybe even a better target for weight loss procedure compared to liposuction. Carbox therapy provides a better or complementary treatment to liposuction for the treatment of persistent skin irregularity.

Medically, carbon dioxide therapy provides treatment for diabetic ulcers, psoriasis.

The cost for the therapy varies based on the number of areas treated and can be from $40 - $150 per session.
A strategy is usually 6-sessions spaced weekly, if used on its own;

Now, here is the clinical pearl I promised.  My best results are by alternating mesotherapy treatments; I have seen tremendous success as a follow up treatment after cavitation or ultrasound-lipotherapy, see my previous blog post on this.

Maintenance sessions are recommended after six months, and as usual we take the opportunity to coach our clients on healthy lifestyle and nutrition to help prolong the duration between follow-up treatment.

Side effects of carbon dioxide therapy minimal: Possible bruising on the injection site (red and puffy), cracking sensation of the skin, and moderate or low pain. This helped by cooling the skin or by applying an anesthetic cream. The degree of pain in each injection site is equivalent to level of pain experienced during electrolysis.

Just like the precautions for any injection technique, following treatment , it is not recommend the injection site be emerged in water for four hours. This also means to avoid baths, saunas, and swimming. Also, patients should avoid strenuous physical activity for two hours.

No long term side effects have been noted during the past seventy years carboxy therapy treated aging skin.

If you want to know more about any of these special techniques and how you can make them a reality in your practice, please contact the Institute for training; visit our website at or call us in Toronto, Ontario at 416-656-8100.

Sunday, April 20, 2014

Skin Essentials from Toronto Mesotherapy Training Institute : Keeping the skin healthy and hydrated is not difficult

Here is a great article to share  
(even with all the "sciency" stuff in it) 
Our skin contains natural ingredients that protect it and keep it hydrated. These substances form the outermost layer of the skin (the stratum corneum). When the functioning of this outer shell is disrupted, our skin loses water. Dry skin is a common problem that is tricky to resolve. But why does our skin become dry?

We wash too often, use highly alkaline soaps and expose ourselves to excessively dry air from heating and cooling devices. Often we lead a lifestyle that does not allow the skin to follow its natural regeneration cycles. 
We know that hydrated skin is essential for the epidermis, most especially its outer protective layer, to retain its structure and function properly. When its barrier function is altered, the skin loses water and shrivels like a leaf, which is when we notice discomfort and even itchiness. In short, the skin dries out.

The skin, a tissue in constant motion
Skin tissue is like a fabric that is constantly being woven and unravelled. The outermost layer, the epidermis, whose average thickness is only 0.5 mm, protects the skin from the external aggressions that often remove moisture. Necessary to regenerate the skin periodically are essential living cells in the epidermis called keratinocytes. These cells weave the threads of the stratum corneum.

This is how the process unfolds. The keratinocytes develop and multiply in the deepest layer of the epidermis (the basal layer). They then move up to a more superficial layer, called the stratum spinosum, where they mature and mix with fats packaged in little bags called lamellar granules, containing free fatty acids, ceramides and cholesterol. These granules occupy the space between the keratinocytes and bind them together. Held together in this way, the keratinocytes progress to the outermost layer of the epidermis (the stratum corneum).

Bricks and mortar
The skin that we see is, in fact, the keratinocytes at the end of their trip: when they reach the skin surface they die. Their skeletal remains form the bricks of the protective layer. These dead cells, which play a crucial role in keeping the skin hydrated, are continually shed by the skin.

The whole keratinocyte cycle, from birth to death, is known as the bricks-and-mortar cycle. The dead keratinocytes are the bricks and the lipids (fats) form the mortar. Between them they build the skin’s retaining wall: bricks without cement or cement without bricks alone are not enough.

This skin layer is regenerated every 30 days in young people and every 50 days (or more) in older people. The skin becomes dry when the keratinocytes fail to multiply or mature properly, when they do so too slowly or when the lipids (the mortar) fail to keep the bricks together.

NOW the heavy science

Natural moisturizing factor (NMF)
Before they reach the outer layer, keratinocytes produce a molecule essential for skin hydration, called filaggrin, which binds to the keratin fibres containing keratinocytes and prevents moisture from seeping through the skin. When filaggrin has completed its task, it breaks down into the amino acids that make up its structure.

This degraded filaggrin forms part of natural moisturizing factor (NMF), a group of substances that binds to water molecules to keep the skin hydrated. This “physiological cosmetic” is also composed of lipids (fat) in emulsion, water from sweat, lactic acid, pyrrolidone carboxylic acid (PCA) and urocanic acid.

Water in the skin
The three elements that act as moisture retainers in the epidermis – moistening the skin and preventing the entry of harmful substances – are the dead keratinocytes, the lipids that hold them together and the natural moisturizing factor resulting from degraded filaggrin. When the skin’s barrier function fails, its equilibrium is lost; consequently it fails to retain water and the result is dryness and irritation.

Keeping the skin healthy and hydrated is not difficult if these tips are followed:

1. Shower in warm water using soaps or gels with a pH of less than 5.5.
2. Gently dry the body and apply a moisturizer all over while the skin is still damp, my favorite here is coconut oil, argan or shea butter

Our skin asks for gentleness, moderation and constant care. When it comes to hydration, its delicate balance hangs by a thread.