Summary

The variety of spa equipment reflects the preference and experience of Prof Moawad, the medical director and owner of MSI. Professor Moawad and his qualified team offer MSI medical spa services. Services include; microdermabrasion, medical facials, photorejuvenation, cellulite treatment, radiofrequency, non-surgical skin tightening, non-surgical fat reduction, mesotherapy, and stretch marks improvement. More invasive procedures such as resurfacing, sclerotherapy, liposuction, fat transfer, and other laser-assisted treatments like tattoo removal are discussed in cosmetic dermatology.

skin-rejuvenation-mesotherapy-injections

In today’s active, outdoor lifestyle, it is not just time that is aging us anymore. Sun exposure damages the skin, breaking down cells, hardening lines, and leaving freckles and blemishes every day. Coupled with dehydration, stress anxiety, and exposure to smoke and pollution, it is no surprise that people are looking for ways to make their skin look younger and more revitalized. The Mesolift is a Mesotherapy approach to treat aging, sun-damaged, and wrinkling of the skin involving the face and neck. This minimally invasive treatment delivers vitamins, minerals, and amino acids directly into the skin to nourish and rejuvenate, promote the production of collagen and elastin, and stimulate your metabolism. Mesohair is used for hair loss both in men and women. A tiny amount of active ingredients of minoxidil, finasteride together with all vitamins and trace elements are injected via microinjection needles into the mesoderm of bald areas—platelet-rich plasma or (PRP) or nanofat (mesofat) microinjection is performed subcutaneously above the galea and in proximity to the hair bulb, which is the region where stem cells exist.

photorejuvenation-skin-treatment

Photo-rejuvenation encompasses many procedures using light or laser-based technology to reverse the effects of photoaging. Non-ablative photo-rejuvenation refers to the controlled use of thermal energy to carry out skin rejuvenation without disturbing the overlying epidermis and with minimal to no downtime. Currently employed non-ablative modalities include primarily intense pulsed light (IPL), visible wavelengths including 585nm pulsed dye laser (PDL), and 532 nm green light (KTP laser). Different infrared wavelengths with water as the target are used for remodeling dermal collagen. The primary mechanism of action is thermal injury either by heating the dermis to stimulate fibroblast proliferation or by heating blood vessels for photocoagulation. The newest way to deliver these wavelengths is by fractionating the dose. The non-thermal mechanism, which represents a fundamental change in thinking, is the theory of photo-modulation. This novel approach to photoaging uses non-thermal light treatments to regulate the activity of cells and not to invoke thermal wound healing mechanisms. The two types of Photo-facial (foto-facial) or Photo-rejuvenation are available are the Intense-Pulsed Light (IPL) and the Light-Emitting Diode (LED) treatments; however, to get the results you hope to do, it’s essential to understand the difference between these facial rejuvenation technologies before you book an appointment. Your best bet for minor skin problems is to schedule an LED (often called a Non-IPL) treatment, and for more severe conditions, you’ll book to IPL.

radiofrequency-skin-treatment

Minimally invasive procedures to tighten and lift skin give natural results with minimal risk and recovery time. Monopolar radiofrequency deliver a high-frequency electric current—tissue resistance to electrical current, results in volumetric heating to the deep dermis and underlying tissue. The resulting heat leads to immediate collagen contraction and a delayed wound healing response, with new collagen formation up to 4 to 6-month post-treatment. The FDA initially approved monopolar radiofrequency (RF) devices to treat periorbital wrinkles. Since then, they have been used to treat laxity of the forehead, cheeks, nasolabial folds, marionette, lines, jawline, and neck. Although the results of RF are not as dramatic as a facelift, over 90% of patients obtain noticeable tightening of the treated areas, and it never looks “pulled.” Another benefit of radiofrequency is its ability to reduce fat and tighten the skin by directing energy to target collagen. For example, a patient with flabby upper arms may have more loose skin than fat in this area. In this instance, Prof Moawad might use radiofrequency to tighten the skin first and then remove excess fat. However, if he determines that there is fat mainly in an area, he will remove the fat first and then tighten the skin afterward. “Radiofrequency is a very versatile procedure that can be used on any area of the body – from large areas like the abdomen to minimal areas such as the chin – with the same degree of success.

nonsurgical-fat-reduction

The biggest challenge with non-invasive body shaping is the patient choice with all before mentioned technologies results seem gradual, and “improvements can be subtle,” and there’s the need for repeat and maintenance treatments to consider as well.” added Prof. Moawad.  At MSI, we combine vacuüm, monopolar radio Frequency, ultrasound cavitation, and red Light to make sure the remaining adipose tissue (fat cell membrane) explode and forces the removal of triglycerides as well as a tightening of the skin. The sub-dermis, where cellulite is found, is heated by the ultra-power monopolar radiofrequency waves, which cause a tightening and slimming appearance on cellulite tissues. This combination ensures instantly shortens original collagen fibers, resulting in the presence of lifted and tightened skin, fragile adipocytes are stimulated to release fat into the bloodstream, and the formation of new collagen and elastin fibers are produced over few months(3-6months), increasing the tightening of the skin. Most importantly, we cannot, however, achieve the results of surgery. Prof Moawad added that radiofrequency, cryolipolysis, and ultrasound are external devices that affect the fat layer’s surface. They need multiple treatment sessions (typically four courses) to produce the best results. These non-invasive procedures are not meant to replace tumescent liposuction for fat removal. Tumescent liposuction is a controlled, precise procedure since the external devices must have a “wait-and-see” approach in which the dermatologist will check how the fat is responding.

cellulite-skin-treatment

The term cellulite refers to the ‘orange peel,’ ‘mattress,’ or ‘dimpling’ appearance on the thighs, buttocks, and sometimes lower abdomen and upper parts of the arms of otherwise healthy women. Approximately 85% of post-pubertal woman has a form of cellulite. This appearance is much more common in women than in men because of differences in how fat, muscle, and connective tissue are distributed in men’s and women’s skin. Although rarely observed in men, those men presenting with cellulite are commonly deficient in male hormones. The lumpiness of cellulite is caused by fat deposits that push and distort the connective tissues beneath the skin, leading to characteristic changes in the appearance of the skin. The causes of cellulite are not well understood. Theories include genetics, circulatory problems, inflammation, hormonal disturbances, tight clothing, and lifestyle factors. Although being overweight is not a prerequisite for cellulite, excess body fat makes cellulite more visible. The aging process can worsen the appearance of cellulite, as skin loses elasticity and is less able to resist irregular tension created by the fibrous bands. Despite many treatments available—all of which claim to work somehow—few actually do work, and many works with unpredictable results. The new minimally invasive techniques of power liposuction (without suction) and fat transfer are rewarding to achieve acceptable results.

stretch-marks-treatment

Many things change after you have a baby: schedules, sleep time, and a sense of freedom, to name a few. Along with, there are many physical changes you’ll see. Chief among them is stretch marks. Stretch marks or striae are a form of scarring on the skin with an off-color hue. Stretch Marks are the result of the dermal tear, which over time may diminish, but will not disappear completely. Stretch marks are often the result of the rapid stretching of the skin associated with rapid growth or rapid weight changes. Stretch marks may also be influenced by hormonal changes associated with puberty, pregnancy, bodybuilding, hormonal replacement therapy, etc. Stretch marks formed during pregnancy, usually during the last trimester. It generally appears on the belly and commonly on the breasts, thighs, hips, lower back, and buttocks. For the treatment of red stretch marks, clinicians may consider the PDL, 1,064-nm Nd: YAG laser, and 532-nm KTP laser, which would likely improve the redness (vascular component) of red stretch marks. Recently, several emerging treatment modalities, including fractionated micro-needling RF, ultrasound, and PRP and micro-needling, have reported good clinical improvement of stretch marks. Stretch marks prevention and treatment stay a clinical challenge. Physicians should set realistic expectations with patients seeking stretch marks treatment and informing patients that the appearance and texture of stretch marks may improve but will not completely resolve to be an integral part of setting these expectations.

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