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Mesotherapy is done by injecting hyaluronic acid just below the surface of the skin in two or three sessions and at intervals of 15 to 20 days.

 

The skin is hydrated, its tone and elasticity are improved, resulting in a natural and healthy glow on the face, neck, décolleté and back of the hands.

The skin contains an important moisturizing factor, called hyaluronic acid, which prevents it from drying out. Over the years, however, the levels of hyaluronic acid decrease, resulting in the skin looking dull, with fine wrinkles and reduced elasticity. This process is most evident on the face, neck, décolleté and hands.

Topical creams can temporarily hydrate the skin's surface, but cannot provide and maintain the deep hydration needed to maintain its elasticity and healthy glow.

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Hyaluronic acid (HA) is a very powerful moisturizer, drawing 1000 times its weight in moisture (water) from the surrounding environment. HA is naturally produced by our skin to help with hydration, but unfortunately in smaller and smaller amounts as we age. This is one of the main reasons that we notice our skin feeling dry as the years go by.

Hyaluronic acid can also act as a mesotherapy. In this case it does not fill in deep wrinkles but hydrates the skin deeply so that the skin looks and feels more elastic, younger and secondarily helps to fade fine lines. A Juvederm ® treatment deeply hydrates the skin. Juvederm ® Hydrate micro-injections are proven to give the skin smoothness, brightness and hydration: Your skin's healthy glow is restored.
Application is particularly beneficial on areas such as the face, neck and back of the hands. It is also a fantastic treatment for premature crow's feet and smokey lines around the lips, areas that are traditionally very difficult to treat with traditional fillers.

Before & After Treatment

You can see the course of each treatment in the slider below. By pressing the arrows at the bottom you can see the result per session

First session
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First session

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Third session

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problima me idrwta botoxThe BOTOX can give very great relief to this very important problem.

Excessive sweating occurs even at rest, but is significantly enhanced during physical activity and psychological stress.

The problem is not alone aesthetic, but also creates Psychological problems the sufferer also has social problems (difficulty shaking hands during palmar hyperhidrosis creates professional problems, difficulty during written exams, etc.).

In primary hyperhidrosis, its mechanism of action botox it is the interruption of the nerve impulse that reaches the sweat glands and instructs them to produce sweat. It should be noted that the app botox in such situations it prevents excessive sweating and not the normal production of sweat.

Before treatment hyperhidrosis with botox is preceded by mapping of the area with a starch-iodine test. With this test, the sweating area is colored black. Botox is then injected intradermally as painlessly as possible. Hyperhidrosis treatment with botox is the treatment of choice for immediate reduction to disappearance of sweating, while the patient immediately returns to his activities.

Prior to the application, there must have been a check for pathological causes of secondary hyperhidrosis such as hyperthyroidism and pheochromocytoma. In these cases, the pathological cause should be corrected and then the primary hyperhidrosis should be treated.

The good results of the application last for 6 months.

Before & After Treatment

You can see the course of each treatment in the slider below. By pressing the arrows at the bottom you can see the result per session

First session
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First session

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Second session

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Third session

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They appear most often on the forehead, cheeks, nose, jaw and very often on the upper lip

The main cause is chronic exposure to the sun, usually without protection.

What is Melasma?

Melasma appears as "spots" on the skin, of a lighter or darker brown color. Their size can vary from a small dark spot, to a large discoloration that covers almost the entire face.
They appear most often on the forehead, cheeks, nose, jaw and very often on the upper lip

Why do panades appear

The causes for the appearance of these damages are several:

  • The main cause is chronic exposure to the sun, usually without protection.
  • Pregnancy, changes in hormone levels (estrogen, progesterone), clearly play a special role in the presence of discoloration.
  • Melasma appears to have a hereditary predisposition. A large percentage of patients report the occurrence of similar lesions in other family members.
  • Taking medication also predisposes. Taking contraceptives is more often associated. Cortisone, anti-seizure drugs, some antibiotics, isotretinoin, etc. are also to blame.
  • Finally, we must mention the causes of these damages and the use of aromatic soaps and cosmetics that can also cause a type of phototoxic melasma.

Before & After Treatment

You can see the course of each treatment in the slider below. By pressing the arrows at the bottom you can see the result per session

First session
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First session

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Second session

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Third session

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Which people do panades prefer?

Women have the "misfortune" of developing lesions much more often than men.
In a recent study it is reported that one in four women and one in twenty men can present these unsightly spots.
The most frequently affected ages are between twenty and forty, without of course excluding younger or older ages.
Dark-skinned people of Mediterranean and Asian origin (skin phototype 3 and 4) are more susceptible than Anglo-Saxons, in whom the condition is rare.

It is very important to know how deep a panada is. This is because this knowledge plays an important role in its treatment.
These damages are classified into three types.

  1. Type 1: epidermal. The lesion here is superficial, has clear borders, is brown in color and responds well to treatment.
  2. Type 2: mixed. Melasma of this type has an intermediate depth, dark brown color, not always clear borders and relative response to treatment.
  3. Type 3: leathery. Here the lesion is deeper, has indistinct boundaries, and is deep dark brown to black in color. This type is difficult to respond to treatment.

Melasma is a chronic lesion with periodic remissions and exacerbations. It usually worsens in the summer months. Just as the appearance of melissa is slow, so the cure also seems to be delayed. The gradual disappearance of spots is based on the correct treatment regimen, different for each skin type.

  • Proper and thorough sun protection. The use of broad-spectrum sunscreen with a high protection index, SPF 30 and above, is essential.
  • The sunscreen must be applied to all photo-exposed areas of the skin 20-30 minutes before exposure to the sun, for whatever reason we leave our house. In the summer months we need to renew the sunscreen approximately every two hours if we remain exposed to the sun.
  • People with melasma can also use make-up with sunscreen. A hat with a brim increases the protection of the face from the sun.
  • If possible, it is recommended to discontinue medications associated with melasma.
  • Beware of scented soaps and cosmetics that can potentially cause a problem.
  • Modern dermatology has at its disposal three categories of treatment, where the doctor will choose the most appropriate one for each individual patient.
  • In summary, and without forgetting that "there are no diseases but patients", i.e. everyone must be treated accordingly, we will mention the means of treatment.

The creams used in the treatment of melasma are given by the dermatologist and used at home.
Depending on the depth of the damage, simple depigmenting creams or combined depigmenting formulations, which contain hydroquinone, tretinoin, azelaic and kojic acid, in specific concentrations, can be administered.
Hydroquinone is a common substance in the treatment of melasma. It acts with a specialized mechanism, inhibiting the production of melanin in the skin. It can be in the form of a cream, lotion, gel or liquid. Bleaching creams that are given without a doctor's prescription usually have low percentages of this active substance.
Azelaic acid is also effective in treating melasma, without causing serious side effects. If redness, itching or peeling occurs, it usually subsides within about fifteen days.
Tretinoin is another substance used to treat ringworm, usually in combination with hydroquinone and azelaic acid. These combined creams are sometimes called triple creams.
Kojic acid is also considered one of the most active whitening substances, without presenting any particular side effects.
These preparations are used for a period of time determined by the doctor and usually for the most powerful creams we avoid using them in the summer months, because they cause photosensitivity, i.e. skin irritation.
Serums containing vitamin C, in cases of limited surface freckles, also have a depigmentation effect and give a glow to the skin.
During pregnancy and breastfeeding, the use of these substances is prohibited.
Also, keep in mind that in some cases of acne due to pregnancy or related to hormonal causes, they may go away on their own. For this reason, in these cases it is good to be a little patient.

These treatments are done in the doctor's office and will require one or more sessions depending on the damage. The peelings, for which we use salicylic, glycolic and trichloroacetic acid. The choice of substance will depend on the phototype of the patient, i.e. the color of his skin and the type of melasma.

In this case, special machines are used, where again depending on the damage we can cause micro or macro exfoliation. In dermabrasion we achieve exfoliation and regeneration of the epidermis.
However, we must be aware that the deeper the damage, the deeper and stronger the exfoliation will be, and the chances of irritation, redness, peeling after the treatment are high.

Different types of lasers such as Fraxel, Alexandrite, Q-Switched Nd Yag have also been used in the treatment of melasma. Depending on the case, a different reaction and response has been observed. In most cases, a combined treatment with whitening medicinal creams is necessary, which are used both as a preparation, but also in the intervals between the laser sessions.

First we must clarify that Botox does not replace hyaluronic acid and hyaluronic acid cannot replace Botox. Their use is different: Botox is used to fight wrinkles on the upper part of the face (forehead, mid-frown and crow's feet) by relaxing the muscles that produce these wrinkles.

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Hyaluronic acid is used for deep wrinkles (furrows) in the lower half of the face (nasolabial) as well as for improving the contour and increasing the volume of the lips, as well as to replenish the volume of the face that has been lost due to the passage of time and of gravity".

Why combine the two treatments?

On the one hand, to effectively treat the whole face in terms of anti-aging.

On the other hand, the combination of botox with hyaluronic increases the lifespan of the hyaluronic! This is due to the restriction of muscle movement with Botox.

Before & After Treatment

You can see the course of each treatment in the slider below. By pressing the arrows at the bottom you can see the result per session

First session
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First session

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Second session

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"I consider Botox a magical treatment, because it offers a fresh and relaxed expression to the face. It does not betray our tiredness no matter how many hours a day we work and this is the irreplaceable part of the Botox treatment. Of course, it can also be combined with other treatments for an even better result, such as hyaluronic acid for filling wrinkles, autologous mesotherapy and any type of surface treatment."

The result is achieved gradually, so there is no lack of relaxation in the area. Usually 3 sessions are required (with a maximum of 6 sessions) which take place every 6 weeks. The cost of each session is 80 euros.

For an even better result we suggest the above lipolysis treatment to combined with Strikecell surface mesotherapy which impart hydration, firming and radiance to the overall improvement of the skin's surface. Recommended scheme of 3 sessions, which take place per month. Cost of each treatment 50 euros.

But it's important to remember that just like liposuction, injections only treat fat. They will not heal excess skin, so the skin in the area must have enough elasticity to bounce back after the fat is dissolved.

Before undergoing deoxycholic acid treatments, the doctor must evaluate and determine if the problem is the fat deposition and that by removing it there will be no problem with skin laxity (patients who do not have good breaking, elasticity and recovery on their skin are not good candidates for the treatment).

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From aging in the eye area to restoring a youthful look

In our everyday life, our facial expressions largely include the area around the eyes. Over time and as the skin's elasticity limit has been exceeded, permanent wrinkles are established which are now visible even at rest, i.e. when the face is expressionless. Heredity plays a primary role as people with thin and dry skin will develop expressive resting wrinkles much faster (the elasticity limit of the skin is very low) but our DNA also determines the anatomy of the area (eg people with strong periocular muscles or strong muscles in the mid-frown area will face periocular wrinkles faster).

Heredity plays the main role in their appearance "dark circles" that affect many patients and in most cases are familial (seen in several family members), while other factors are considered secondary (daily skin care habits, sun exposure).

In the anatomical changes that occur as we age

is the loss of volume in the periocular area and especially in the area of the lower eyelid furrow, inside and under the eye called "valley of tears the tear trough" because there the tears run parallel to our nose. The loss of volume is due to the gradual loss of adipose tissue and while it does not contain pigment it gives the image of "dark circles" due to shading

Volume loss is also seen in the temporal area which affects as it causes the tail of the brow to droop. Also the decrease in skin moisture and elasticity levels will lead to the appearance of fine lines which first become apparent under the eyes where the skin is thinner, but also wrinkles around the eyes in the area known as "crow's foot".

Daily skin care with the application of anti-aging creams, whitening or moisturizing creams specific to the peri-ocular area also plays an important role in the outcome of aging in the peri-ocular area.

Finally, exposure to the sun, especially without protection (sunglasses, sunscreens) enhances the skin aging process on the whole face (photoaging) but especially in the peri-ocular area where the skin is most sensitive

Even dietary factors and smoking play a role in the premature aging of the skin in general and in particular the peri-ocular area.

BOTOX application to correct crow's feet and fine wrinkles under the eye.

Botulinum toxin is the treatment of choice for correcting wrinkles located around the eyes in the area known as "crow's foot". When we have managed to intervene in time before these wrinkles become too deep (because as long as we postpone the treatment and the function of the expressive muscles of the area is prolonged, these wrinkles deepen) the restoration is complete only with the application of botulinum toxin. If they are very deep, we will have a 50-70% improvement with the application of botulinum toxin and if we want an even better result, we will have to supplement with the application of hyaluronic acid.

Before & After Treatment

You can see the course of each treatment in the slider below. By pressing the arrows at the bottom you can see the result per session

First session
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First session

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Second session

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Third session

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Hyaluronic application for correction in the peri-ocular area.

Volume loss in this area is mainly due to fat loss. Fat is what fills the eye socket, supports and keeps the skin in the area firm. This loss becomes particularly evident in the area inside and under the eye called the tear trough. The loss of volume results in the appearance of fine wrinkles, the appearance or worsening of "dark circles" as well as the creation of a "bag" in the area under the eye (here we should make a differential diagnosis with cases where the bag is due to lymphatic stasis and fluid retention or in some persons the accumulation of fat in the area)

Also the shape of the eye socket changes as we grow older as the bones of the eye socket area resorb and recede which gives the impression that the eye is coming in backwards (unfortunately we cannot intervene in these bone changes).

Placement of injectable hyaluronic acid in the area helps restore lost volume by immediately correcting the fine wrinkles and his "tear trough". It also significantly reduces the appearance of "black circles" and "bags» in the under-eye area

Also the correction with special hyaluronic acid and adding volume to the cheekbones ("apples") it significantly corrects fine wrinkles around the eyes, while there is also the benefit of correcting the nasolabial fold and the sagging seen in the contour of the lower jaw.

In addition, in the event that the wrinkles in the "crow's feet" area are particularly deep and the application of botulinum toxin cannot provide a complete correction, the additional correction with hyaluronic acid offers the maximum possible result.

By applying botulinum toxin in the mid-frow area (between the eyebrows), in addition to correcting the two vertical wrinkles known as "frown wrinkles", we also achieve a correction of the central degree (head) of the eyebrow. By applying botulinum toxin to end (tail) of the eyebrow we achieve recovery of this area. Finally, with small corrections in the upper part of the forehead, in addition to the treatment of horizontal wrinkles ("wrinkles of denial"), we also achieve a lifting of the central division "body of the eyebrow". To further improve the shape of the eyebrow we can correct it loss of volume of the temporal region with the use of special hyaluronic acid. Finally, a special application on the forehead threads PDO they can also contribute to lifting the eyebrow

The PRP (Platelet Rich Plasma) treatment is based on the use of the patient's own growth factors which are released from the platelets contained in the blood. The growth factors stimulate the skin's fibroblasts to produce collagen and elastin, thus providing skin tightening and thicker, quality skin. Skin cells are also activated in the production of endogenous hyaluronic acid, which retains water molecules, offering hydration to the skin. In addition, they reactivate the adult dormant stem cells of the area, activate the proliferation of cells in the area, resulting in better perfusion of the area

The PRP treatment is done by injection but can accompany and complement a minimally invasive method of microtrauma which is done in the periocular area (microneedling, fractional laser CO2, PDO threads, PLEXR) giving even better results in the application (due to the growth factors) and offering a lot faster recovery times.

The fractional CO2 laser in fractional use makes a selective scan of the entire surface of the skin which we want to improve by creating "microthermal therapeutic zones". It stimulates collagen production and at the same time is a very strong stimulus for skin renewal. A new, better quality skin is achieved, with fewer imperfections and signs of aging such as wrinkles.

In addition, it is advantageous as a treatment over medium and deep chemical peels because it has a much shorter recovery time. On the contrary, deep chemical peels have a much longer recovery time, greater discomfort for the patient, while the result immediately after application is often frightening.

This particular treatment is also enhanced as a result and has faster recovery times when combined in the same session with autologous mesotherapy prp which is injected into the same area

Non-surgical blepharoplasty can be used to rejuvenate and instantly tighten the skin around the eye area, improving the appearance of the skin, shrinking unsightly "bags" and lifting and "opening" the eye. It is a suitable treatment for people with excess skin on the eyelids who want to avoid surgical blepharoplasty.

"Plasma" blepharoplasty treatment works by creating a series of microzones of injury (tiny dots on the skin), which cause an immediate contraction and tightening of the skin fibers to create a lifting, remodeling and rejuvenation ) action. The effect of plasma technology is limited to the surface cells of the skin called "keratinocytes", without damaging the underlying tissues.

This particular treatment is also enhanced as a result and has faster recovery times when combined in the same session with autologous mesotherapy prp which is injected into the same area

As with any treatment, a thorough consultation with your doctor should be done to see if this is the right solution for you.

In this application we use fully absorbable monofilaments or screw PDO threadsshort length with very fine needle, due to the fact that the skin of the area is very thin with very rich vascularity. These threads are placed in such a way as to form a mesh that supports the periocular area which is constantly under the influence of forces from the muscles during expressiveness. In addition, these threads with the process of "foreign body reaction" cause the skin to produce its own collagen and elastic fibers which surround the thread that was placed and strengthen it. In this way, the initial anatomical support of the area is strengthened by the thread.

H application of threads grid support PDO in periocular area offers important additional improvement as well longer duration of effect in the initial application of botulinum toxin and hyaluronic acid.

Also, we apply the support threads as monotherapy in cases where they do not wish to apply botulinum toxin or hyaluronic acid, in which case we offer significant anatomical support to the area with the threads.

With a special application on the forehead, PDO threads can also contribute to the lifting of the eyebrow

Thread application can also be combined with application autologous PRP mesotherapy which significantly enhances the therapeutic effect.

The problem of "dark circles" (medically called primary periocular hyperplasia) is mainly due to hereditary factors and is more common in people with very thin skin, almost transparent skin on the lower eyelids, without enough subcutaneous fat combined with increased subcutaneous vascularity. The result is to distinguish the subcutaneous plexus of vessels, imparting a dark blue-purple hue to the skin which translates to a distressed, "sleepless", sad or aged appearance. Of course, when someone doesn't get enough sleep, the problem gets worse, because there isn't good blood circulation in the area. The same happens on "period" days. So we suggest adequate sleep (ideally the patient should sleep with the head slightly raised to facilitate the drainage of lymph-fluids from the area of the lower eyelids) and proper diet (avoidance of salt, foods rich in antioxidant agents and adequate water intake), smoking cessationreasonable use of alcohol combined with the therapeutic interventions we can do to help:

Autologous mesotherapy PRP: PRP therapy is based on the use of the patient's own growth factors which are released from the platelets contained in the blood. The growth factors stimulate the fibroblasts of the skin to produce collagen and elastin, thus offering skin tightening and a thicker and better quality. Skin cells are also activated in the production of endogenous hyaluronic acid, which retains water molecules, offering hydration to the skin. The thicker and quality skin makes the skin vessels less visible resulting in an improvement in the image of dark circles. The PRP treatment is done by injection but can accompany and complement a minimally invasive method of microtrauma which is done in the periocular area (microneedling, fractional laser CO2, PDO threads, PLEXR) giving even better results in the application (due to the growth factors) and offering a lot faster recovery times.

Heterogeneous mesotherapy: Mesotherapy is an effective way to remove dark circles from the eyes. It improves the texture of the skin so we infuse substances like caffeine and ginko biloba, which provide hydration and lighten the dark tone. In another treatment protocol we use vitamin C in combination with DMAE and hydrating hyaluronic acid. Complete protocols require 4-6 treatment sessions. It is good to have a consultation session beforehand to decide which protocol is most suitable for each patient.

Hydrating Hyaluronic Acid: A very effective treatment is the use of injectable hyaluronic acid in the area of the lower eyelids. This hydrates the skin, which thickens and increases the distance of the skin from the vessels in the area, thus changing the shading of the lower eyelid. The result is usually impressive, but at least three treatment sessions are required.

FraxPeel: This combination application is the latest in the field of piles. The micro trauma that creates the microneedling creates "gateways" for the chemical peel which achieves a much better penetration into the skin. So we can use milder peels which are completely safe, have very controlled exfoliation and very little skin irritation after application, can be done even in the summer months and have no recovery-recovery time, which with this combined application penetrate deeper and they have a much better effect similar to that of very strong chemical peelings. The peels we use are usually citric (derived from lemon) or combined citrate-mandelic (derived from bitter almond)

H application of threads grid support PDO in periocular area offers important additional improvement as well longer duration of effect in the initial application of botulinum toxin and hyaluronic acid.

Also, we apply the support threads as monotherapy in cases where they do not wish to apply botulinum toxin or hyaluronic acid, in which case we offer significant anatomical support to the area with the threads.

With a special application on the forehead, PDO threads can also contribute to the lifting of the eyebrow

Thread application can also be combined with application autologous PRP mesotherapy which significantly enhances the therapeutic effect.

These creams contain whitening substances with hydroquinone being the strongest of them (but it is irritating to the skin and its use should be avoided during the sunny months). Other whitening substances are azelaic acid, kojic acid, while it may also contain vitamin C. The whitening effect contributes significantly to the treatment of dark circles. The use of the whitening cream can precede the minimally invasive microtrauma treatments (microneedling, fractional laser CO2, PDO threads, PLEXR) preparing the area for the treatment and then its use continues in the intervals of the invasive treatments. We start re-using the cream when the irritation from the invasive treatment has passed (after 5-7 days). When there is sunshine, sunscreen should be used in the morning

There are cases where dark circles are due to dermatological diseases. One chronic atopic eczema in the area of the eyelids it causes itching and repeated rubbing on the delicate skin of the area causes hyperpigmentation due to pigment deposition (hemoglobin which is released from injured skin capillaries when we rub our eyes). The same causes one irritant or allergic contact dermatitis in the eyelid area which is usually due to cosmetics (here to emphasize the importance of removing make-up every night with specialized make-up remover products). In these cases, our main concern is the treatment of the dermatological condition that causes the problem, followed by the improvement of the aesthetic problem

Other pathological causes include: anemias , hormonal changes-premenstrual syndrome or menopause (which are manifested by edemas, i.e. swelling of the eyelids). The eye allergies (eg conjunctivitis) As well as dry eye cause increased friction in the area by the patient resulting in pigment deposition. Also diseases related to the nose such as chronic allergic rhinitis, sinusitis, crooked diaphragm they cause chronic congestion due to poor drainage of tears in the nose resulting in venous congestion and the eyelids appearing puffy and black from insufficient oxygenation. In all these cases, the main goal is to treat the primary pathogenic cause.

Autologous mesotherapy PRP: PRP therapy is based on the use of the patient's own growth factors which are released from the platelets contained in the blood. The growth factors stimulate the fibroblasts of the skin to produce collagen and elastin, thus offering skin tightening and a thicker and better quality. Skin cells are also activated in the production of endogenous hyaluronic acid, which retains water molecules, offering hydration to the skin. The thicker and quality skin makes the skin vessels less visible resulting in an improvement in the image of dark circles. The PRP treatment is done by injection but can accompany and complement a minimally invasive method of microtrauma which is done in the periocular area (microneedling, fractional laser CO2, PDO threads, PLEXR) giving even better results in the application (due to the growth factors) and offering a lot faster recovery times.

Heterogeneous mesotherapy: Mesotherapy is an effective way to remove dark circles from the eyes. It improves the texture of the skin so we infuse substances like caffeine and ginko biloba, which provide hydration and lighten the dark tone. In another treatment protocol we use vitamin C in combination with DMAE and hydrating hyaluronic acid. Complete protocols require 4-6 treatment sessions. It is good to have a consultation session beforehand to decide which protocol is most suitable for each patient.

Hydrating Hyaluronic Acid: A very effective treatment is the use of injectable hyaluronic acid in the area of the lower eyelids. This hydrates the skin, which thickens and increases the distance of the skin from the vessels in the area, thus changing the shading of the lower eyelid. The result is usually impressive, but at least three treatment sessions are required.

FraxPeel: This combination application is the latest in the field of piles. The micro trauma that creates the microneedling creates "gateways" for the chemical peel which achieves a much better penetration into the skin. So we can use milder peels which are completely safe, have very controlled exfoliation and very little skin irritation after application, can be done even in the summer months and have no recovery-recovery time, which with this combined application penetrate deeper and they have a much better effect similar to that of very strong chemical peelings. The peels we use are usually citric (derived from lemon) or combined citrate-mandelic (derived from bitter almond)

H application of threads grid support PDO in periocular area offers important additional improvement as well longer duration of effect in the initial application of botulinum toxin and hyaluronic acid.

Also, we apply the support threads as monotherapy in cases where they do not wish to apply botulinum toxin or hyaluronic acid, in which case we offer significant anatomical support to the area with the threads.

With a special application on the forehead, PDO threads can also contribute to the lifting of the eyebrow

Thread application can also be combined with application autologous PRP mesotherapy which significantly enhances the therapeutic effect.

These creams contain topical retinoids (retinol, adapalene, tretinoin, tazarotene) which are derivatives of vitamin A with proven value in skin renewal and antiaging. Another alternative are the creams that contain them fruit acids (AHA, BHA) which cause a mild peeling renewing the skin in the area.

But useful ingredients are the Vitamin C that gives shine, vitamin K to combat dark circles, the coenzyme Q10 which has an antioxidant effect, hyaluronic acid which hydrates, the caffeine to stimulate and stimulate microcirculation, aloe for soothing action, chamomile for anti-inflammatory action, gingo biloba to enhance microcirculation.

Before the minimally invasive microtrauma treatments (microneedling, fractional laser CO2, PDO threads, PLEXR) we stop the treatment with retinoid or acid fruit creams. We start re-using the cream when the irritation from the invasive treatment has passed (after 5-7 days).

When there is sunshine, sunscreen should be used in the morning

There are cases where dark circles are due to dermatological diseases. One chronic atopic eczema in the area of the eyelids it causes itching and repeated rubbing on the delicate skin of the area causes hyperpigmentation due to pigment deposition (hemoglobin which is released from injured skin capillaries when we rub our eyes). The same causes one irritant or allergic contact dermatitis in the eyelid area which is usually due to cosmetics (here to emphasize the importance of removing make-up every night with specialized make-up remover products). In these cases, our main concern is the treatment of the dermatological condition that causes the problem, followed by the improvement of the aesthetic problem

Other pathological causes include: anemias , hormonal changes-premenstrual syndrome or menopause (which are manifested by edemas, i.e. swelling of the eyelids). The eye allergies (eg conjunctivitis) As well as dry eye cause increased friction in the area by the patient resulting in pigment deposition. Also diseases related to the nose such as chronic allergic rhinitis, sinusitis, crooked diaphragm they cause chronic congestion due to poor drainage of tears in the nose resulting in venous congestion and the eyelids appearing puffy and black from insufficient oxygenation. In all these cases, the main goal is to treat the primary pathogenic cause.

Autologous mesotherapy PRP: PRP therapy is based on the use of the patient's own growth factors which are released from the platelets contained in the blood. The growth factors stimulate the fibroblasts of the skin to produce collagen and elastin, thus offering skin tightening and a thicker and better quality. Skin cells are also activated in the production of endogenous hyaluronic acid, which retains water molecules, offering hydration to the skin. The thicker and quality skin makes the skin vessels less visible resulting in an improvement in the image of dark circles. The PRP treatment is done by injection but can accompany and complement a minimally invasive method of microtrauma which is done in the periocular area (microneedling, fractional laser CO2, PDO threads, PLEXR) giving even better results in the application (due to the growth factors) and offering a lot faster recovery times.

Heterogeneous mesotherapy: Mesotherapy is an effective way to remove dark circles from the eyes. It improves the texture of the skin so we infuse substances like caffeine and ginko biloba, which provide hydration and lighten the dark tone. In another treatment protocol we use vitamin C in combination with DMAE and hydrating hyaluronic acid. Complete protocols require 4-6 treatment sessions. It is good to have a consultation session beforehand to decide which protocol is most suitable for each patient.

Hydrating Hyaluronic Acid: A very effective treatment is the use of injectable hyaluronic acid in the area of the lower eyelids. This hydrates the skin, which thickens and increases the distance of the skin from the vessels in the area, thus changing the shading of the lower eyelid. The result is usually impressive, but at least three treatment sessions are required.

FraxPeel: This combination application is the latest in the field of piles. The micro trauma that creates the microneedling creates "gateways" for the chemical peel which achieves a much better penetration into the skin. So we can use milder peels which are completely safe, have very controlled exfoliation and very little skin irritation after application, can be done even in the summer months and have no recovery-recovery time, which with this combined application penetrate deeper and they have a much better effect similar to that of very strong chemical peelings. The peels we use are usually citric (derived from lemon) or combined citrate-mandelic (derived from bitter almond)

H application of threads grid support PDO in periocular area offers important additional improvement as well longer duration of effect in the initial application of botulinum toxin and hyaluronic acid.

Also, we apply the support threads as monotherapy in cases where they do not wish to apply botulinum toxin or hyaluronic acid, in which case we offer significant anatomical support to the area with the threads.

With a special application on the forehead, PDO threads can also contribute to the lifting of the eyebrow

Thread application can also be combined with application autologous PRP mesotherapy which significantly enhances the therapeutic effect.

THE EPIfactor® is a bioidentical epidermal growth factor. It is a protein with the main property of activating fibroblasts. Fibroblasts produce collagen and elastin, giving the skin regeneration and firmness. In this cream, the patient's own growth factors obtained through the procedure are incorporated and survive autologous PRP mesotherapy. The growth factors of PRP further activate the skin fibroblasts and additionally the skin cells to produce their own endogenous hyaluronic which retains water and provides deep hydration to the skin

The application of the autologous cream is recommended in the intervals between the injection treatments in order to enhance and prolong the results of the applications of botulinum toxin, hyaluronic acid, threads and autologous PRP mesotherapy.

AUTOLOGOUS MESOTHERAPY (PRP) combined with PDO threads for support mesh in the neck area

PRP is a treatment based on the growth factors contained in the platelets in our blood. These growth factors are injected into our skin both with a special mesotherapy gun (mesogun) and through the guides of the threads that form the support network. With this method we introduce the growth factors exactly at the point where we placed the threads and in this way we strengthen the action of the threads. The result is the enhancement of collagen production by the skin's fibroblasts with subsequent improvement in the quality and texture of the skin as well as tightening. Usually 3 sessions are required over a period of 6 months. Cost per session 140-180 euros depending on the number of threads

Heterogeneous mesotherapy for tightening, moisturizing and brightening the skin of the neck

We import injected with a special mesotherapy gun (mesogun) the mesotherapy cocktail. This contains low molecular weight hyaluronic acid, peptides, amino acids and vitamins. Hyaluronic deeply moisturizes the skin because it is an adsorbent molecule that absorbs water. In this way, the texture, elasticity and firmness of the skin are improved. Vitamins, peptides and amino acids nourish the skin and give it a glow. Usually 3 sessions are required over a period of 3 months. Cost per session 50 euros

Injectable liposuction mesotherapy for correction of double chin and facial contour

We do deep liposuction mesotherapy with the powerful liposuction deoxycolate. We correct fat deposition in the double chin as well as fat deposition that alters the contour of the face. Usually 3 sessions are required every 6 weeks. Cost per session 80 euros

Before & After Treatment

You can see the course of each treatment in the slider below. By pressing the arrows at the bottom you can see the result per session

First session
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First session

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First session
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Second session

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Third session

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Autologous antiaging cream (prp)

It contains growth factors from our platelets (PRP). In addition to its moisturizing and firming effect, it continues the beneficial effect of autologous mesotherapy at home. Cost 60 euros

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The advanced method FUE (Follicular Unit Extraction) essentially pioneers the method of extracting and transporting hair follicles. In the old FUT-STRIP method, a strip of skin is taken from the donor area which is then separated into individual hair follicles. In contrast, in the FUE method, individual hair follicles are initially taken from the donor (occipital) area, which are then also transplanted individually to the recipient thinning area (frontal and/or parietal area).

Technique of the operation with fue:

Stage 1

After the preparation of the patient, the local anesthesia is performed.

Stage 2

The doctor carefully selects and takes the hair follicles one by one from scattered parts of the donor area.

Stage 3

The doctor, after careful planning, creates the sockets of the hair follicles in the recipient area, in which the hair follicles will be transplanted). The holes are small so as not to disturb the microcirculation and perfusion of the recipient area, thus ensuring the necessary conditions for the nourishment of growth and growth of new hairs.

Stage 4

The stage of placement (implantation) of the hair follicles is from a technical point of view the most demanding of the procedure. The follicles are implanted in the sockets of the recipient area together with the connective tissue that surrounds them: those containing a hair are placed along the frontal line (hairline) – forming indentations and protrusions just like the natural growth – while follicles with 2, 3 or 4 hairs cover the area of thinning as we move towards the interior of the scalp.Services

With this technique (FUE), the following advantages are presented:

  • Linear scars are not created in the donor area
  • The healing time in the donor area is minimized
  • No restriction is placed on vigorous physical activity after surgery
  • It can also be applied to young people who have very tight skin on the scalp (reduced elasticity)
  • Allows hair follicles with finer hairs to be taken from the nape area to restore hair growth on the frontal forehead line or eyebrows
  • It provides the possibility of extracting hair follicles from other parts of the body (beard, chest, back) although taking from the occipital region of the scalp is always preferable.

Before & After Treatment

You can see the course of each treatment in the slider below. By pressing the arrows at the bottom you can see the result per session

First session
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First session

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Second session

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Eyebrow restoration with the fue transplant method

Eyebrow restoration with hair follicle implantation concerns people who suffer from a congenital lack of eyebrows, or want to cover scars from accidents or burns, or even have excessive thinning of eyebrows due to waxing or due to age. Also, simply for aesthetic reasons, someone may desire a fuller and younger eyebrow...

Patients who prefer the FUE method fall into one or more of the following categories:

  • Those who want to shave their head or have short hair up to 1cm.
  • Those who want up to 1200 cuttings
  • Those who do not have sufficient elasticity in the skin of the scalp so that a strip can be taken
  • Patients who have poor skin healing and create ugly scars
  • Patients who already have a scar in the donor area from a previous strip graft application
  • Those who consider FUE as a more modern technique
  • Those who want to expand the potential of their donor area (combination of FUE & STRIP)
  • Those who are afraid of very invasive hair transplant procedures
  • Patients looking for the most painless transplant procedure

The complications of the FUE technique are:

  • The complications of hair transplantation is more frequent in FUT – STRIP implantation, due to the more invasive nature of the technique.

    In FUE implantation are minimal and include:

    • Local folliculitis in the recipient site (<0.3%) which is easily treated with application of antiseptic shampoo and antibiotic lotion for one week
    • Facial swelling mainly of the forehead that resolves in 1 to 2 days (<1%), easily treated with small doses of cortisone
    • "Shock loss" after implantation, which is not a complication but is completely expected. It is prevented by the continued use of minoxidil, which we generally recommend to continue using for reasons of stabilization and inhibition of the progression of androgenetic alopecia

The hair transplant operation with the FUE technique takes several hours due to the special process of individual capture and placement of the hair follicles hair follicle by hair follicle with the special tool.

After hair transplantation you are able to return to your activities in a short time. There are cases - always depending on the type of profession - that the return to work is even carried out the day after the operation. The doctor informs individually and gives specific instructions & directions according to the profession & activities of each interested party.

The hair transplant doctor will check the donor & recipient area and after providing you with the necessary post-operative instructions verbally and in writing, you return home.

The new hair grows normally immediately after its transplantation and in 3-5 months the first results start to be seen, which are completed after 10 months. It is important to emphasize that usually a significant percentage (20%-80%) of the transplanted hair gradually falls out after the operation, but this phenomenon is considered completely normal since new hair grows in its place. Transplanted hair grows like other hair and stays forever. They are washed, cut, combed, they are subject to any kind of hairdressing process and they are no different from the rest of the hair

The treatment of androgenetic alopecia (i.e. the cause of hair loss) with the help of stem cells is still in the stage of clinical trials. More than 3,500 clinical trials with stem cells for various conditions are underway, involving patients whose problems have not responded to conventional treatments. Nevertheless, no center that makes applications for the treatment of alopecia can promise guaranteed results, as these vary from patient to patient.

The sure thing is stem cell therapy is autologous, i.e. it is done with the body's own elements and absolutely safe. Also, stem cell therapy does not limit the possibilities for future hair transplantation. The hair follicles (hairs) in the donor occipital region remain unaffected, so stem cell therapy it can precede and delay a transplant.

In still other cases, stem cell therapy can be done years after the transplant in case the donor area is insufficient to give us new hair follicles, for repeated complementary transplantation.

The difficulties with stem cell therapy are:

  • Their proper placement in the area of thinning - as it is impossible to completely predetermine the direction in which the new hairs will grow
  • Determination of the density of new hair growth

On the contrary, during implantation-transplantation, the doctor precisely determines the direction of the hair he implants and has control over the distribution of hair follicles at correct distances in the area.

With hair follicle cloning through stem cell therapy, it is not possible to accurately predict the percentage of hair follicles that will grow, nor to ensure uniform density.

Before & After Treatment

You can see the course of each treatment in the slider below. By pressing the arrows at the bottom you can see the result per session

First session
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First session

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First session
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Second session

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Services

Also, no one can guarantee that the new hairs will follow the normal life cycle of the remaining hairs in the area, nor that they will stay forever like the hairs we implant which come from the occiput, which is not hormonally affected. We should also mention that, for hair follicle cloning to be approved in the future, it will have to be completely safe. This means that the cultivation of the stem cells should be done in specially accredited laboratories, which significantly increases the cost of the treatment.

A review of clinical studies shows that at a research level the creation of new hairs from cells of the papilla of the hair follicle (i.e. the root of the hair) has been achieved, however, there is still no clinical application in this. Also, in January 2014, the leading scientific journal "Nature" published a clinical study in which, from differentiated adult skin cells, epithelial stem cells were created from which new hair follicles can also arise(!). Even in this, however, there is no clinical application to date.

A recent publication of February 2016, in the leading scientific journal "Science" entitled "Aging, Alopecia and Stem Cells", refers to the investigation of the biochemical and genetic mechanism by which the cyclic activation and cessation of hair follicle stem cells occurs. Stem Cells) during the anagen phase (i.e. when the hair grows) and the telogen (i.e. the resting phase of the hair) by protein factors such as Wnt (activation) and BMP (pause). Their research shows that alopecia is affected both by endogenous factors - such as the aging of the body's cells - and by exogenous environmental factors.

In conclusion,  stem cell therapy cannot yet replace hair transplant-implantation which redistributes existing hair follicles without creating new ones, however it provides a guaranteed and permanent result. The scientific interest in stem cell therapies is very promising, so it is expected to give us in the near future viable treatments by creating new hair follicles, which will be an unlimited source of new hair.

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Autologous mesotherapy (prp) in the treatment of alopecia-hair loss

The PRP is plasma containing more than 300-350,000 platelets/uL. It is isolated by the process of centrifugation, after taking a small amount of blood from the patient (20 to 40 ml).

The PRP treatment (Platelet Rich Plasma) is based on using growth factors released by platelets contained in our blood (we cause the release of growth factors from platelets using a special activator solution). These growth factors are natural components of our body. It's about proteins which are contained in platelets with capacity to they enhance regeneration and regeneration of tissues that malfunction or have suffered some damage. Growth factors reactivate dormant adult stem cells of the area (with the ultimate goal of creating new hair follicles), activate the proliferation of cells in the area resulting in better circulation of the scalp area.

The first results which are immediately noticeable are the improvement of the quality of the hair.

It is observed empowerment, larger diameter (thickening) and length in the hair that we already have on our scalp. In this way, our head looks "fuller" as each hair has more volume and shine and health!

PRP hair loss treatment can be applied to men and women with androgenetic alopecia (hair loss tendency due to heredity). The Results of the method is absolutely natural, while there are no side effects since the body's own blood is used (autologous procedure).

In addition the treatment can be applied preventively, as prevents the further hair loss, while strengthens the existing ones.

It combines perfectly with the existing ones established and effective treatments that we have for her androgenetic alopecia such as using minoxidil topical solution or foam or using oral finasteride.

THE application of the method it is good to is repeated every 4-6 weeks during the first year and thereafter once a year for maintenance of the result.

Before & After Treatment

You can see the course of each treatment in the slider below. By pressing the arrows at the bottom you can see the result per session

First session
01

First session

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Second session

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Third session

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The most severe form of acne is characterized by inflamed cysts located deeper in the skin. If this form of acne is not treated in time and correctly, there is a serious risk of leaving scars in the form of dimples (dimples) on the skin of the face and trunk. These are also called acne scars.


Acne scars (similar to those of chicken pox) have the peculiarity of being under the skin and pulling the skin down, resulting in a dimple.

For the effective treatment of acne scars, the solution and destruction of this scar-fibrosis that is inside the skin must be done and then help the regeneration of the skin in the area to have the best possible aesthetic restoration. We achieve this with methods of photodynamic therapy, microneedling, fractional RF, fractional laser CO2, peelings

In some cases, after the internal acne scar has been destroyed with one of the destructive methods mentioned above (microneedling, fractional RF, fractional laser CO2), for an even better aesthetic result, we can place a hyaluronic implant under the scar to fill the gap created due to atrophy and to correct the unevenness of the skin. Hyaluronic acid is an absorbable material so it will need to be re-applied after about 9-12 months. This particular method is indicated for the treatment of soft and deep acne scars. The use of non-absorbable materials such as silicone is avoided because it can cause many adverse effects.

Before & After Treatment

You can see the course of each treatment in the slider below. By pressing the arrows at the bottom you can see the result per session

First session
01

First session

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First session
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Second session

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Third session

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Acne Scars & Types

 

Atrophic scars with tissue loss. Depending on their morphology, they are distinguished into

  1. Ice pick scars: They are narrow but deep with sharp lips and appear to have been created like the sharp indentation caused by an ice pick in the ice. They present a great degree of difficulty in dealing with them
  2. Boxcar: They are wide and more rounded like pits while they can be continuous like train cars (Boxcar). They can be deep or shallow and
  3. Rolling: They are wavy and we perceive this as a result on the surface of the skin.

The above three forms of acne scars may coexist on the patient's face or trunk (mainly back or chest)

Hypertrophic scars or keloid with excess tissue during healing.

Fortunately, they are rarer. Their formation is observed in people who have a predisposition to the creation of hypertrophic scars and keloids. In these individuals, it is particularly important to prevent the formation of scars by immediately starting systemic treatment. From the moment the hypertrophic scars are formed, we follow treatment with intralesional steroid injections and cryotherapy.

Prevention to avoid the appearance of acne scars is only the timely and effective treatment of the cystic form of acne. In these cases, if the age of the patient allows it and if there is no possibility of pregnancy, we prefer treatment with isotretinoin.

The procedure is done with a special device in the form of a pen or roller. With this technique, minimal injury is caused to the skin with the micronails (the depth to which the application will be made 0.25mm-0.5mm-1-2mm is determined by the depth and type of scars), no peeling (peeling) is caused after the application despite a small and transient erythema (redness) and the return to daily activities is immediate. The treatment is completed by the immediate application of autologous PRP mesotherapy. This provides the growth factors that have been released from the patient's blood (from the platelets). In addition to destroying the scars, the microneedlings offer an entrance to introduce these growth factors deeper into the skin at the exact point where we want skin regeneration to begin. In this way, we achieve better quality regeneration of the skin in the following weeks as well as rapid recovery immediately after application. To complete the treatment, 4-5 sessions spaced 4-6 weeks apart are required. Treating acne scars with this protocol can be followed even during the summer months

It is a device that works with radio frequencies that penetrate deep into the skin (0.5-2.0mm) and produce energy (thermal stimulation) that causes a minimal and controlled injury to "break" the scars inside the skin. This method does not cause exfoliation (peeling) and has an immediate return to daily activities. The treatment is completed by the immediate application of autologous PRP mesotherapy. This provides the growth factors that have been released from the patient's blood (from the platelets). The micro-trauma that fractional RF causes in addition to the destruction of scars offers an entry point for the introduction of these growth factors deeper into the skin at the exact point where we wish to initiate skin regeneration. In this way, we achieve better quality regeneration of the skin in the following weeks as well as rapid recovery immediately after application. The method is effective in moderate and severe forms of acne scars. To complete the treatment, 3-4 sessions spaced 4-6 weeks apart are required. The treatment of acne scars with this protocol can be followed even during the summer months because there is no risk of hyperpigmentation.

It is a surgical laser that has the ability to penetrate the skin deeper and deal with even difficult cases of acne scars. The advantage of the fractional laser is that it scans the skin causing sublimation and exfoliation in microscopic zones of the skin, but leaving the intermediate zones free, so we have faster healing. The treatment is completed by the immediate application of autologous PRP mesotherapy. This provides the growth factors that have been released from the patient's blood (from the platelets). The minor trauma that causes the fractional Laser CO2 in addition to destroying the scars it offers an entry point to introduce these growth factors deeper into the skin at the exact point where we want skin regeneration to begin. In this way, we achieve better quality regeneration of the skin in the following weeks as well as rapid recovery in the following days immediately after application. The return to daily activities is immediate, but special skin care is required during the first days, which is treated with moisturizing-regenerating and sunscreen creams, while the use of cover-up make-up is also allowed. To complete the treatment, 2-3 sessions spaced approximately 8-12 weeks apart are required. Treatment of acne scars with this protocol is avoided during the summer months

The procedure is done with a special device in the form of a pen or roller. With this technique, minimal injury is caused to the skin with the microneedles (the application depth of 0.25mm-0.5mm-1-2mm is determined by the depth and type of scars) and the return to daily activities is immediate. The treatment is completed by the immediate application of a chemical peel. Microneedles in addition to scar destruction offer an entrance to introduce the peel deeper into the skin at the exact point where we wish to destroy the scar and begin skin regeneration. In this case, we choose azelaic acid peels in combination with salicylic acid, which become more effective in the fraxpeel application because they become more penetrating. But we can also use AHA glycolic acid peels or in cases where we are looking for the whitening of discolorations (spots) that may have been left after acne, we can add mandelic and citric acid peels. In the case of deep acne scars, we also use TCA peeling, which causes exfoliation of the skin and smoothing of the appearance of the acne scars, but requires longer recovery-regeneration times of the skin and is avoided during the summer months with sunshine.

It is done with a special machine that shoots microcrystals (microdemabration) onto the outer layers of the skin (epidermis). In this way, it achieves the breakdown of the old stratum corneum and the mechanical detachment of dead cells (peeling), softening the texture of the skin and reducing the depth of acne scars. The result of this removal is that new healthy skin cells come outwards and the skin acquires softness, the deep cleansing of the skin, the hyperemia of the skin (due to the improvement of blood circulation) and in the long term after repeated sessions the fibroblasts of the skin are activated for the production of collagen-elastin with a significant contribution to anti-aging.
Exfoliating with microcrystals prepares the soil for the most effective application of chemical exfoliation. In this case, azelaic acid peels combined with salicylic acid are preferred, which become more effective in the combined application. In the case of very deep acne scars, we also use TCA peeling, which causes exfoliation of the skin and smoothing of the appearance of the acne scars, but requires longer recovery-regeneration times of the skin and is avoided during the summer months with sunshine.

With a special Q-Switched Nd Yag laser which is the same laser we do and removal of other hyperpigmented lesions such as tattoos

The treatment is very well tolerated and is done with a simple application of xylocaine cream half an hour before the application