VASERshape Frequently Asked Questions. How does the body get rid of the fat after a VASERshape treatment?

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1 How does VASER Shape work? VASERshape Frequently Asked Questions The VASER Shape uses dual head ultrasound to target the unwanted fat directly underneath the skin. The ultrasound waves produce a "cavitational effect" over the tissue to promote fat loss. This means that the variable pressure of the ultrasound produces microbubbles that disrupt the fat cells. It only attacks the unwanted fat deposit, leaving the adjacent structures such as skin, blood vessels, nerves and connective tissue intact. How does the body get rid of the fat after a VASERshape treatment? VASER Shape's unique ultrasound treatment breaks the membranes of the fat cells and the fat cells burst. The content of the fat cells are then removed through the body's detoxification system and flushed away. What makes the VASER Shape treatment so unique? VASER Shape is noninvasive and shrinks the fatty layer of the treated areas without anesthesia and surgery. It is safe because the surrounding blood vessels, nerves and connective tissues are not damaged. The treatment is not painful; patients experience a warm sensation and has no unpleasant side effects or after effects. It is effective because the fat reduction is visible, sometimes immediately after a treatment, and it is measurable. Who can undergo this method? Mostly any person who is interested in reducing unwanted fat. To insure that you are a suitable candidate a consultation is required. VASER Shape was developed to help men and women who have a desire to reduce body fat. The treatment is not a substitute for regular exercise and healthy eating. What body areas can be treated? The treatment can be performed on several areas of the body. The most popular areas are: Upper and lower abdomen Outer thighs/"saddle bags" Upper arms Knees Flanks/Love Handles Inner thighs Buttocks Lower legs (countouring calf lines)

2 How long is a treatment and how often should they be replaced? One session takes less than 1 hour. The treatments are done approximately once a week for each treatment area. A series of 6 to 10 treatments is usually recommended depending on the size of the treated area and the desired end result. What kind of care is required after the treatment? There is no downtime. After the treatment, one can immediately return to his/her daily routine. You should not have any pain or discomfort after the treatment. It is recommended to maintain adequate hydration before and after the treatment. What is the advantage of the VASER Shape over diet alone? The approach is different. With a diet, you can reduce non-specific weight, which is often appropriate and needed. The problem areas, however, you often cannot get rid of with diet alone. Therefore, VASER-shape is the solution. It selectively removes stubborn fat deposits, thus, giving you a better body contour. In addition, the skin tightens along with the fat reduction, so puckering and sagging improves as well. What should I expect during a VASER Shape treatment and what does it feel like? We will first assess your body to discuss the treatment with you to make sure you are a good candidate for VASER Shape. We will then treat the desired area with the dual-head ultrasound hand piece, and you will feel a warming of the skin in the area being treated. We will monitor your skin throughout the treatment, achieving and maintaining appropriate treatment temperature through the skin and underlying treated area. Are the results permanent after the VASER Shape treatment? The reduction in fat should be long-lasting as long as one maintains a healthy diet and lifestyle and does not gain any significant weight.

3 Botox/Injectables Frequently Asked Questions Is Botox safe? Is Botox FDA approved? Botox (Botulinum Toxin Type A) has been used in medicine for almost 30 years and provides over 180 medical uses. There are approximately 2300 published studies about it, making it one of the most widely researched medicines in the world. Botox is FDA approved in the United States and approved in more than 80 other countries outside the United States. Is Botox Painful? No. Most patients report very little discomfort. They describe it feeling like a mosquito bite or like squeezing a pimple. Is the procedure for Dermal Fillers painful? The discomfort is minimal. It also depends upon the area being treated. The good news is dermal fillers are prepared with lidocaine (a numbing agent). A topical numbing agent and/or ice, can be applied to the treatment area 10 minutes prior to your procedure to help reduce discomfort. Who should NOT use Botox? Women who are pregnant, women who are breast-feeding, and people who are taking certain antibiotics, have neuromuscular disorders, individuals with medical conditions that lower the body's immune response, or individuals undergoing therapy that is immunosuppressive, or have an allergy to BOTOX - should not have injections. What is the Difference between Botox and Dermal fillers? The easiest way to visualize the difference between Botox and Dermal Fillers is to think of mountains and valleys. Botox smoothes out mountains and prevents them from being pushed together, while Dermal Fillers fill in the valleys. Can Botox and Dermal Fillers be used in combination at the same Treatment? Botox and Dermal Fillers are very often used in combination with each other and at the same treatment. Depending on the desired outcome this combination can actually achieve the best results.

4 I want to have an Aesthetic Treatment, but I don't want anyone to know. Is my Secret safe with you? Are my Procedures Confidential? Yes. Your treatment regimen is absolutely confidential. We have lots of clients that love their results but don t want to share it with anyone, for example co-workers, or even their spouse. We are completely committed to ensuring your privacy. We comply with HIPPA to ensure that your medical records and treatment history are confidential. We also ensure our staff do not disclose or discuss you, or your treatments with anyone else, either inside or outside of our office. Rejuv takes privacy very seriously. Will I look unnatural after my Treatment? At Rejuv we strive for a natural looking result by making subtle improvements. Friends and family members may comment that you look more refreshed or relaxed, but treatments will not radically alter your appearance. You will look just like yourself, but better. If I just had a Chemical Peel or Laser treatment, do I need to wait before I have an Aesthetic Injectable treatment? If you recently had a laser treatment or chemical peel, it is recommended to wait at least one week before an aesthetic injectable treatment; or until the area is fully healed and the skin is completely back to normal. A VI Peel or Glycolic Glow peel AFTER an injectable treatment however, is a perfect addition to improve your skin's overall texture, clarity and glow. I am still unsure if this is the right Procedure for me. We invite you to come in and visit one of our Aesthetic Injector Specialists. Consultations are complimentary and confidential. Our staff is very caring and will answer all your questions, show you before and after photographs and explain each procedure to you. You can decide together if aesthetic treatments are right for you, and which aesthetic treatment would be the best. When I come in for a Complimentary Consultation, is it possible to go forward with my Treatment at the same Appointment? We allow enough time for you to have a thorough and professional Consultation. In most cases we will also have enough time to go forward with your desired treatment plan during that appointment.

5 What is Medical Micro-Needling? Micro-Needling Frequently Asked Questions For skin micro-needling, we use an electric skin needling device made especially for this purpose. The device is a pen shaped studded with 12 very fine needles. It is a medical device used in micro needling to break down old scar tissue and to stimulate skin cells to proliferate. This cell multiplication results in the formation of new tissue layers of elastin and collagen fibers as well as in new capillaries for an improved blood supply. What conditions can be treated or improved with Medical Micro-Needling? Mild to moderate acne scarring; any new or old scars Fine lines and wrinkles; Loose, lax skin; Skin texture and pore size Stretch marks How does Medical Micro-Needling work? The device slides along the skin, penetrating the upper layers of the skin to a depth of up to 2mm to create numerous tiny needle wounds. The procedure prompts the body to respond through the creation of new collagen and elastin fibers. In response to the stimulus, the skin plumps and thickens, reducing the appearance of scars, and fine lines and wrinkles. What does the procedure involve? The skin is cleaned and numbing cream may be applied to lessen discomfort. For better results we use a collagen-stimulating product like Hyaluronic Acid, Vitamin-C serum or skin lightener for pigmentation during the procedure. A small handheld pen like device with a sterile, disposable tip with 12 tiny needles is then used to pierce the skin. Our needling pen s multispeed and adjustable needle depth allow needles to pierce the skin s layer at 90 degrees and increase the absorption of products. After the treatment, soothing Vitamin-C serum or Hyaluronic acid are used to hydrate, heal and protect the skin. What will I look like after the treatment? Most people will experience redness and mild swelling in a similar way as mild sunburn for hours and there may be minimal pin-point bleeding and/or bruising. Within a week or two, you will notice that your skin is smoother and more radiant looking but the full effects won t be seen until a few months later. What is the down time after Medical Micro-Needling treatment?

6 The inflammatory reaction of the skin is extremely short and fades significantly within hours from redness to pinkish that may last for 12 to 48 hours. In order to reduce visible redness, we recommend hyaluronic acid after the procedure, and to protect the skin with zinc based sunblock. The use of mineral makeup is recommended after procedure. What are the benefits of Medical Micro-Needling? Dramatically increases the effectiveness and penetration of active ingredients in topical preparation Stimulates circulation and collagen production Medical grade titanium needles makes it non-allergenic to human tissue Cost effective compared to other resurfacing procedures Can be performed on all skin types, including ethnic skin It can be used on all areas of the scalp, face, body including fragile skin like around eyes, mouth and neck What effects does the Medical Micro-Needling have on the skin? Improves skin texture and reduces the appearance of wrinkles Stimulates tissue regeneration Disfiguring scars, especially acne scars can be improved as new collagen fibers elevate the depressed scar tissue with the periphery skin Pore size reduction Improves the appearance of stretch marks Is Medical Micro-Needling painful? Prior to the treatment, numbing cream can be applied to minimize pain that is felt during the procedure. Can Micro-Needling be performed on any skin color? Medical Micro-needling is safe to use on all skin types and all skin colors. There is no risk of post-inflammatory hyper-pigmentation. How many treatments do I need and how often can Medical Micro Micro-Needling procedures be repeated?

7 Micro-needling can be safely repeated every 4-6 weeks until you achieve the desired results. For collagen induction we recommend to start with 3 treatments, but with a minimum separation time of 4 to 6 weeks between treatments. For scar reduction an average of 3 to 6 treatments are recommended. The number of treatments required will depend on how each individual responds to the treatments, and the extent of the damage at the beginning Microneedling can be used on all skin parts of the body (neck, décolleté, arms, legs, etc). Most people will begin to see results after the very first appointment. Any risks of post-op infections? Since the tiny pricking channels close within one hour, and provided the procedure is done under clinical conditions, post-op infections are extremely unlikely. What should I avoid on my skin after treatment? To ensure the right healing environment, for 2-3 days do not use AHA s (glycolic Acid), retinol, acidic or active ingredients. Exposure to sun should also be avoided or zinc based sunblock should be used. What are the side effects of the Medical Micro-Needling procedure? There are virtually no negative side effects, and none have ever been reported in over 150,000 procedures performed worldwide. Am I a candidate for the Medical Micro- Needling? Medical micro-needling can be safely performed on all skin types and all skin colors. As the epidermis and in particular, melanocytes in the basal area are left intact. There is minimal risk of pigment change or post inflammatory hyper-pigmentation. Skin micro-needling can treat sensitive and fragile areas that are difficult to treat with other procedures. These areas include the eyes, the neck and the back of the hands. However, it is not suitable for patients who: Have a used Accutane (isotretinoin) within the last three months Have open wounds, cuts or abrasions on the skin Have had radiation treatment to the skin within the last year Have any kind of current skin infection, condition, herpes simplex in the area to be treated Are pregnant or breast feeding Have any history of keloid or hypertrophic scars or poor wound healing How much does the treatment cost?

8 This is assessed on a complimentary consultation. A treatment is mapped out for each client and the cost can be assessed at this time. This is based on a client s unique requirements and the result that is desired. Medical Micro-Needling may be combined with other treatments as a package and the overall cost will be discussed during our complimentary consultation.

9 Will a chemical peel help my skin? Chemical Peel Frequently Asked Questions A chemical peel is a procedure that rejuvenates skin. Most individuals find benefit from the application of glycolic acid. In almost all cases, patients will notice a improved vitality of skin. How long does it take to have a chemical peel? About thirty minutes in total, hence it has often been referred to as "the lunch time peel". Can I go right back to work? In most cases, work or other normal activities may be resumed immediately. Is a chemical peel painful? No. There is a mild degree of "tingling" or a slightly itchy sensation while the glycolic acid is in contact with the skin. Upon neutralizing the peel, the skin feels fresh and smooth without discomfort. Can I go out into the sun after having a chemical peel? You may go outside, but sunscreen must be worn for at least a few days after the peel as your skin will likely be a little more sensitive to sun exposure. How many chemical peels should I have and how often is it recommended? Many individuals find that a peel performed every four to six weeks gives optimal results. Glycolic acid peels complement the regular use of other products such as glycolic acid containing preparations that can be used on a regular basis at home. The short term exposure of a higher concentration of glycolic acid on a periodic basis helps maintain skin health and appearance. Will a chemical peel remove deep lines or wrinkles? A glycolic acid peel will not remove deep lines. Laser resurfacing is recommended in most cases where wrinkles are advanced. However, a peel will often improve the tone, texture, smoothness and appearance of skin.

10 ReFirme Skin Tightening Frequently Asked Questions What is the ReFirme Skin Tightening procedure? The ReFirme ST (Skin Tightening) procedure combines safe and effective levels of infrared light and bipolar radiofrequency energies to remodel the dermal layer of the skin by stimulating new collagen growth. Both laser and radiofrequency have been used separately for decades in medicine and surgery, but the ST exclusively combines infrared light and bipolar radiofrequency energy for ideal treatment outcomes with a very low risk of side effects and virtually no down time. What can I expect from ReFirme Skin Tightening treatments? The ReFirme Skin Tightening can improve skin laxity and sagginess of the face, neck and some body areas such as the abdomen and upper arms. Skin texture can also be smoothed out by the tightening and firming effect of the treatment. This is a non-invasive procedure and most clients leave the clinic with only slight pinkness or no pinkness at all. You can return to your daily activities immediately. Please wear sunscreen of SPF 30 or higher. How many treatments are required? Typically 3-5 treatments are recommended for optimal results. Follow up treatments are also recommended 1-2 times a year. How often are treatments done? Treatment sessions are typically 2 to 4 weeks apart. How long does each treatment take? Each treatment session typically takes 30 minutes to 1 hour. Does the treatment hurt? No, the ReFirme ST procedure is well tolerated by most clients without any anesthetic. The treatment tip is chilled so it provides contact cooling to the skin surface for added comfort. Who should be treated with the ReFirme Skin Tightening? All skin colors can be treated with the ST for laxity, sagginess, loss of elasticity, or textural irregularities. Treatment can be done on the face, neck, abdomen and upper arms.

11 What are the possible side effects? There is a possibility of short term side effects after the procedure such as slight redness, mild blistering or bruising.

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