Dr. Gaston Dumais, M.D. Dermatologist - a.b.l.s., l.m.c.c., c.r.s.c., c.s.p.q., f.r.c.p. (c) - Diplomate of the American Board of Laser Surgery (1986)

Other Treatments

What Are These Different Non-Surgical Procedures?

The medical section of our consultation office treats skin diseases that cannot be diagnosed or treated by your physician and takes care also of the cosmetic medical treatments of sun-damage skin: wrinkles, furrows, creases and depressed scars.

Injections of biodegradable temporary fillers

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

Restylane and Juvéderm are synthetic derived materials (allergy unknown to these 2 products).

Sculptra is also a hyaluronic acid known as poly-L-lactic acid. Sculptra is a volume creator to rebuild the lost supportive underlying facial structure.

Radiesse is non allergenic because this product is a normal constituent of bone. Most patients treated should look for a correction lasting 8 to 10 months.

Usually two successive sessions are needed to obtain a full correction (Hyaluronic acid: Restylane, Restylane "Finelines", Perlane, Juvéderm Plus, Ultra and Finelines). However Sculptra may require additional sessions of treatment to obtain the desired result.

Injection of a more permanent non-degradable filler

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

Botox: Cosmetic

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

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

Superficial Chemical Peelings

It consists in the application of an acid product to peel the surface of the skin to treat mild sun-damaged, light wrinkling and irregular pigmentation. Most superficial chemical peelings are done with fruity glycolic acid. Other chemical peeling agents are also used.

Microdermabrasion: MegaPeel and SilkPeel

Dermatologists have numerous ways of removing skin imperfection, including facial wrinkling, pigmentary changes, fine scarring and bumpy irregularities that appear on the surface of the skin. In general, for laser resurfacing, C02 and/or Erbium:YAG conventional, or preferable, fractional lasers are used for deeper scars and wrinkles, while Microdermabrasion (MegaPeel or SilkPeel) is used for more superficial skin irregularities. Chemical peels (Glycolic acid) can be used to treat even finer irregularities on the skin’s surface.

The process of cell renewal is a natural process that slows with age and exposition to our environment. Microdermabrasion is the most natural way to evenly and safely exfoliate the skin without chemicals or lasers. It can be used to treat superficial irregularities in the texture of the skin, very fine wrinkles and very superficial scaring.

Two types of microdermabrasion are available in our office. Conventionel microdermabrasion (MegaPeel), which consists in sanding (buffing) the skin with small microscopic crystals made of aluminum oxide and microdermabrasion with a diamond head (SilkPeel) combined with a simultaneous infusion of a specific topical solution, to treat active skin diseases according to the type of skin diseases we are treated. Changes are cumulative and most microdermabrasion procedures are repeated at ten day or two week intervals. Six to eight sessions are usually suggested for optimal results. There is little down time associated with this procedure, because after each treatment there is minimal redness of the skin that which usually subsides within 30 minutes to one day depending on the depth of the procedure and the type of apparatus used. The procedure erases epidermal layers at varying depths in a controlled manner. It mechanically alters the epidermis leaving a skin fresh and smooth.

Microdermabrasion can treat any of the following conditions: Aging and sun damaged skin, enlarged pores, Acne: black and white heads, Very superficial acne scarring and some, skin pigmentation marks. However we prefer to use the SilkPeel microdermabrasion apparatus to treat skin active diseases such as acne and acneic rosacea and to treat pigmented marks and Aging and sun damaged skin for patients who have sensitive and thin skin.

A series of Microdermabrasion will improve sun damaged skin: fine lines, pigmentation problems, uneven, dull and lifeless complexion, as well as enlarged pores and superficial scars.

All types of skin, light or dark may be treated by Microdermabrasion

Cosmetic Sclerotherapy

Sclerotherapy is a technique to remove small vessels of the skin of the lower extremities. These vessels are often nicknamed telangiectasis, superficial varicosities, venous stars, spider veins. Sclerotherapy involves injecting a minute quantity of a sclerosing solution inside the vein, using a very small needle. One must note that the Candela Vbeam pulsed dye laser, Sciton and Luminis YAG and LaserScope Aura KTP lasers are also a natural complement to sclerotherapy of lower extremities to treat effectively small vessels the diameter of which is less than five millimeters.