Closed, sad, tired eyes… sagging eyelids significantly affect the perception of our face and its expressions. While blepharoplasty is considered the surgical procedure of choice for treating eyelid ptosis (sagging), there is now an excellent non-invasive option for patients with milder sagging or who are not ready to undergo surgery: Plasma Lift.

( After two Plasma Pen Plexr sessions. N.B. These photos are published for information only in order to provide information on the nature of the intervention. They do not constitute a guarantee of results.)


What is Plasma Lift?

The Plasma Pen Plexr uses radio frequency technology to firm and rejuvenate the skin. The pen-shaped device produces controlled energy that, upon contact with the skin, triggers a visible tightening and smoothing effect. The treatment is effective wherever there is a problem of skin laxity. The most commonly treated areas are the upper eyelids, lower eyelids, frown lines, crow’s feet and neck fine lines. Beyond the remarkable effects, the benefits associated with this technology are significant: the recovery is fast, the treatment does not require social eviction and it leaves no scars.


How does the treatment work?

An anesthetic cream is first applied to the treated area to minimize discomfort. The pen is precisely oriented to make several small dots, a few millimeters apart, on the surface of the eyelid. This step takes about 10 minutes per side. Once the treatment is completed, the skin appears red and swollen for 48 to 72 hours. A special care protocol is prescribed to optimize healing.


The tightening effect is immediate, but it is necessary to wait a few weeks before seeing the full results. Each session allows a retraction of about 2 mm of skin. Two to three sessions, spaced four weeks apart, are typically recommended. The effects of Plasma Lift are long lasting, but do not prevent subsequent natural sagging. Periodic maintenance over the years are required to help maintain the results over time.


For more information on Plasma Lift or to make an appointment with one of our medical assistants for a free consultation, contact us at 514-739-7444 or complete our appointment form.

I hate my double chin. Is there a solution?

The lower part of the face can be the source of many complexes. The jaw, chin and neck are areas that are especially vulnerable to the effects of time, weight fluctuations and gravity. The accumulation of fat and sagging skin can cause “bags” or inelegant bulges that weigh down and age the outline of the face. Genetics also plays an important role. Fortunately, aesthetic medicine can now offer several efficient solutions.


Belkyra® Injections

Belkyra® injections are an interesting option to remove fat under the chin without having to use liposuction. The compound used, deoxycholic acid, is already naturally present in the body. When it is injected in a targeted manner, it destroys fat cells and visibly improves the tonicity of the face. Two to three sessions are usually needed. Results can be observed gradually, and they are permanent.

More info on Belkyra


Liquid lift

As we get older, our face tends to flatten and lose its definition. The liquid lift makes it possible to correct this sagging by restructuring the lost volumes. The intervention consists of injecting hyaluronic acid in a precise dosage and mapping. Each injection area corresponds to an indication: lifting the cheekbones, reducing the hollows, strengthening a receding chin, accentuating the definition of the jawline… The lifting effect is immediate and lasts for about 18 months.

More info on Liquid Lift


Radiofrequency (RF)

Radiofrequency has proven its efficiency in treating sagging skin. The energy, distributed on the level of the dermis by means of very fine needles, stimulates the production of fibers and collagen. This process visibly reduces jowls, redefines the oval of the face and smooths out the skin of the neck. Two or three sessions may be recommended.

More info on Radiofrequency


These different techniques may be used independently or together in order to provide a more global and lasting improvement. At MédIME, our treatment plans are developed after a careful assessment of the face in motion and at rest. Our protocols are customized according to the needs and motivations of each patient.

For more information on double chin treatments or to make an appointment with one of our medical assistants for a free consultation, contact us at 514-739-7444 or complete our form to make an appointment.

Question from a patient: I have an important event in a few weeks. Where should we inject first?

Answer from Dr. Tremblay: The choice of an area to treat depends on your anatomy, your age, the aspects of your appearance that you wish to improve and the time we have before your event. Several options are possible, each offering visible results in only one session.

The forehead, the glabella, and the crow’s feet: Almost all my patients complain of looking tired. Yet, neuromodulator injections can do wonders to relax drawn features, open the eyes, attenuate the wrinkles, and obtain a more rested appearance. Patients should allow 10 to 14 days for an optimal result.

The lips: A small quantity of hyaluronic acid, strategically injected, can make a remarkable difference. It is not a matter of volumizing in a disproportionate manner, but to redefine the outline of the mouth, balance the proportions, fill in the small lines and subtly repulp the lips. The labial injections’ results are immediate and last several months.

The outlines: One of my favorite rejuvenation techniques is without a doubt the “liquid lift”. The treatment consists in injecting small doses of hyaluronic acid in the periphery of the face to redistribute the volumes, and retighten the skin, improve the oval and better define the angle of the jaw. All of it for the purpose of creating a more balanced and harmonious appearance. The lifting effect is instantaneously noticeable with an action duration of 18 to 24 months.

No matter the injected area, it is preferable to make an appointment at least two weeks before a special occasion, both to benefit from the full efficiency of the treatment and to allow the eventual small hematomas to disappear. Mostly, it is important to entrust your face to an experienced injector who will know how to choose the right technique, the right product, and the appropriate dosage.


For more information on injections or to make an appointment with one of our medical assistants for a free consultation, contact us at 514-739-7444 or complete our form to make an appointment.

It is often said that a person’s neck and cleavage betray their age, is this true and why?

Dr. Tremblay: I would say that this reality can be true, but it does not have to be.

This mismatch between the face and the neck or décolleté occurs when a person performs corrective and preventive anti-aging treatments on the face but neglects to pay attention to the area just below it over the years. It is therefore imperative to include the neck and décolleté areas in our care plan in order to maintain consistency and harmony.


How can premature aging of the neck and cleavage be prevented?

Dr. Tremblay: Prevention begins first and foremost with a good daily routine. Cleansing, exfoliation, serum with antioxidants and peptides, moisturizing and sun protection are the essentials. Some anti-aging products are specially designed to meet the needs of this sensitive skin area. For those who want an immediate “glow” effect, the BelaMD professional skin care product is ideal for enhancing the face, neck and décolleté.


What treatments are available to rejuvenate the neck and décolleté?

Dr. Tremblay:  Botox injections in the neck can reduce horizontal wrinkles and improve the tone and definition of the neck. This fast and convalescence-free treatment is often referred to as the “Nefertiti lift”.

Hyaluronic acid injections such as Juvederm and Teosyal in the form of a “liquid lift” are used to tighten the lower face and reduce neck sagging. Visible results occur immediately and continue to improve over 2 to 4 weeks. For women, the aim is to soften the oval of the face and for men to define or accentuate the shape of the jawline.

Microneedling-Radiofrequency (MRF) is another technology that targets the needs of the neck and décolleté.  This device induces skin tightening and stimulates the production of collagen in the superficial and deep dermis. This technique combines well with Botox and hyaluronic acid injections for optimal results.

Finally, laser treatments for pigment spots and skin texture provide advanced restorative benefits to repair sun damage. But we are not there yet. More on that in the fall.


Until then, enjoy your summer. Get out in the fresh air, exercise, reconnect and celebrate with family and friends.

See you soon at MedIME!

Dr. JF Tremblay

Microneedling with radio frequency is an innovative procedure combining traditional microneedling with the energy of radio frequency to improve the quality and firmness of the skin.


The RF energy (radio frequency) is transmitted by small gold-plated needles. Other than the known benefits associated with microneedling, radio frequency also provides energy deep in the dermis, causing a firming of the skin, reducing the size of pores and scars. The energy of radio frequency induces heat that provokes a tightening of the skin, as well as stimulate the production of collagen and elastin.


Microneedling RF Question #1 : Who can benefit from microneedling RF treatments?

Answer by Dr Tremblay: Microneedling RF treatments are suggested for patients with a loss of skin density and firmness. With time, skin gets thinner due to the loss of collagen and elastin, the two principal constituents of the dermis, which result in a thinner and less plump skin. Microneedling stimulates the production of new collagen, which makes the skin denser, firmer, and more resistant.

Other conditions can also benefit from microneedling RF treatments. Acne scars and white stretch marks can also be improved. Microneedling RF makes the skin more resistant by increasing its thickness and density.


Microneedling RF Question #2 : How does a session of microneedling RF take place?

 Answer by Dr Tremblay: Before treatment, skin is deeply cleansed and an anesthetic cream is applied. As microneedles penetrate the skin, we apply an anesthetic cream to the zone to be treated.  The microneedling RF treatment is of a 45 to 60 minute duration depending on the zone to treat. The treatment is easy to receive and should cause little or no discomfort.


Microneedling RF Question #3 : Is there a period of recovery after the microneedling RF treatment?

 Answer by Dr Tremblay: Unlike microneedling treatments without radio frequency that require a period of recovery, the microneedling RF treatment penetrates deep and does not leave redness on the surface that lasts more than 24 hours. The skin can seem dryer and rougher for up to 1 week. A rich hyaluronic acid treatment cream with densifying agents is recommended for the days following treatment.


Microneedling RF Question #4 : How many sessions are required?

Answer by Dr Tremblay: A full treatment includes 3 sessions done at 2 or 3-week intervals. We then recommend one session per year to maintain the results obtained from the initial treatment.


Microneedling RF Question #5 : How quickly can we expect results?

Answer by Dr Tremblay: Results are visible gradually and are optimal after 8 to 12 weeks. Since treatment is done in the deep layers of the skin, we will notice a better quality of the skin, but especially a more toned skin. We can also combine this treatment with the V2 Injector Beauty Booster to improve the density of the dermis and give the skin a smoother and more hydrated appearance.

For the treatment of stretch marks and acne scars, we often combine different procedures for optimal results. As each case is unique, we commend a consultation in order to suggest the best treatment plan for you.


Microneedling RF treatments are available at MédIME. Please make an appointment today for a free personalized consultation.

Pigmentation spots and skin tone irregularities are common concerns of people who come for a consultation for the improvement of their skin’s appearance.

Hyperpigmentation has multiple causes and can be difficult to treat. People often inquire with us after many unsuccessful attempts at eliminating the pigmentation and can be reluctant to seek a professional treatment. Understanding the underlying causes and predisposition factors to hyperpigmentation will help evaluate each situation and prevent the return of pigmentation spots. The initial consultation will help determine the exact cause of hyperpigmentation in order to establish efficient treatment protocols for each patient.

Treating pigmentation spots – Question 1 : What are the different types of hyperpigmentation?

Dr. Tremblay’s answer: There are 3 main types of hyperpigmentation.

  1. Post-inflammation hyperpigmentation happens when there is inflammation of the skin. This type of hyperpigmentation often occurs with acne, rosacea, and facial swelling conditions.


  1. Melasma, also known as chloasma, is very common and more specifically with darker skins. Melasma appears as a larger ambiguous dark spot and is one of the skin diseases that is most difficult to treat. The symptoms of Melasma include darker and irregular patches often located on the cheekbones, forehead, or upper lip. These patches generally develop progressively over time. People with light brown skin that is exposed to intense sunlight are more susceptible to develop this type of hyperpigmentation. During the treatment of this condition it is important to avoid UV rays which contribute to the development of melasma and can also cause the production of pigment. Melasma is a common skin disease in pregnant women, women taking oral contraceptives, or women undergoing hormonal treatments.


  1. Solar lentigines, also known as sun spots, are light brown to dark brown macules that appear on the face, shoulders, chest, forearms, and hands. Lighter skins are more affected by solar lentigines, but they can be found on all phototypes. Solar lentigines do not disappear on their own. Actinic keratosis and pre-cancerous skin cells caused by ultraviolet rays are other forms of damage caused by the sun. Actinic keratosis appears as scaly lesions on the surface of the skin and can be light, dark, pink or red. They appear and disappear. They generally aren’t life threatening, but it is important that actinic keratosis be diagnosed and treated early on. Certain prescribed topical medications or liquid nitrogen and photodynamic therapy are used to eliminate pre-cancerous lesions.


Treating pigmentation spots – Question 2 : What are the treatment options for hyperpigmentation?

Dr. Tremblay’s answer: For post inflammation hyperpigmentation often found in darker skins, the erbium Pixel laser is most appropriate. Since it is not a pulsed light wavelength laser, it is safe for darker skins. The Pixel creates micro-perforation at the epidermis level which allows the excess pigment to evacuate to the surface of the skin through these channels. The skin naturally eliminates the pigment found on the surface of the skin through cellular regeneration.

Melasma is treated with a combination of Pixel laser and topical application products with anti-inflammatory properties, topical vitamin C, retinol, as well as a large spectrum solar protection.

Solar lentigo is treated with intense pulsed light (IPL) lasers such as the IPL M22, the most recent generation of IPL, much more efficient and that leaves little to no redness after treatment. Often, the YAG Enlighten laser is used in combination with the IPL to treat deeper spots. The combination of the two technologies allows for better results in terms of treatment of solar lentigines by treating the older pigmentation spots that are deposited deeper in the skin as well as the more recent spots on the skin surface.

To even skin tone and treat more recent pigmentation spots, the Pico Genesis is the technology of choice. It unifies the tone, provides a lot of glow and gets rid of skin tone irregularities. We often suggest it for younger patients who wish to find a more uniform skin tone after having abused of the sun a bit too much.


Treating pigmentation spots – Question 3 : Are the treatments painful?

Dr. Tremblay’s answer: Most treatments for pigmentation spots cause little to no pain.  A slight tingle, pinching or a sensation of heat can be felt during treatment. After the session, you can feel as if you have a slight sunburn for the first few hours. It is important to note that the pigmentation spots can darken a bit during the first few days and then gradually exfoliate themselves from the skin over about 1 week.


Treating pigmentation spots – Question 4 : What can we do to prevent dark spots?

Dr. Tremblay’s answer: During the treatment of hyperpigmentation, the best treatment is a preventive approach, using topical antioxidants and a daily use of a large spectrum sunscreen.


All the treatments for dark spots are available at MédIME.

Book an appointment now for a free personalized consultation by calling at 514-739-7444 or by filling out the appointment form.


In this newsletter article, we are addressing acne scars and stretchmarks together as they share several clinical similarities and treatment options.

A stretchmark is a type of scar that occurs in the superficial and deep dermis due to excessive and rapid stretching of the skin. They occur most commonly during pregnancy as well as during rapid growth or weight gain in adolescence or in bodybuilders.

Stretchmarks are classically linear and can occur anywhere on the body although most commonly on thighs, hips, stomach, breasts, shoulders and upper arms.

Early onset stretchmarks are inflammatory and tend to be red or purplish in color. Mature stretchmarks turn white and typically show a wrinkled surface.

Acne scars result also from injury to the dermis. Depending on patient’s skin and type of acne lesions, some scars are atrophic (depressed) while others are hypertrophic (dome-shaped). Different treatment options are available to treat both types of acne scars.


Question 1: Is there a way of preventing acne scars and stretchmarks?

Dr Tremblay: Rapid medical intervention to treat acne lesions is the best way to prevent acne scars. The use of appropriate skin care products combined with topical or oral medications promotes faster and better healing of acne lesions and thereby prevents scarring.

The prevention of stretchmarks is more complex as several factors come into play and identifying patients who are at risk of developing them is very difficult.  The use of cream and gels containing active ingredients such as retinol, peptides, allantoin and centelline help promote better healing and minimize the extent of skin tissue damage.


Question 2: What are the technologies that you consider most effective to treat acne scars and stretchmarks?

Dr Tremblay: At MédIME, we have the privilege of having several laser and light technologies that we use alone or in combination to best address every patient’s specific condition. Fractional radiofrequency, microneedling RF, fractional erbium and fractional CO2 are technologies that target collagen repair, skin pore tightening and skin retexturing. Injections of hyaluronic acid are also useful to correct deep volume loss and improve facial contour.

Regarding stretchmarks, early onset red and inflammatory lesions are best addressed with a combination of vascular laser and topical skin care products. Mature white and wrinkled stretchmark are treated with fractional technologies to improve texture and color.


Question 3 : How early should we be treating scars once they appear?

Dr Tremblay: In the case of acne scars, the initial priority is to stop acne lesion formation to control the damage. Once the condition is under control, reparative laser treatment can be initiated immediately. Regarding stretchmarks, early intervention while they are still red and inflammatory yields best results although more mature stretchmarks still improve significantly with fractional lasers.

In summary, the treatment of acne scars and stretchmarks requires a customized approach based on the patient’s own very specific condition. During your consultation with us at MédIME, Dr Jean-Francois Tremblay dermatologist and our skin care specialist team will assess your condition and design for you a customized treatment plan.


To book an appointment for a personal evaluation of your needs, please contact us at 514 739-7444 or complete our online form by following this link:



Formerly marginal, cosmetic treatments for men are now much more integrated into their lifestyle as well as physical activity and good nutrition. More and more professionally active men are interested by medical aesthetic.  In 2015, male patients represent not less than 40% of the patients at MédIME.


Masculine aesthetic medicine Question #1: Do men visit you for the same reasons as women?

Dr Tremblay: Since the founding of the clinic 11 years ago, I have definitely seen changing trends among our patients. Men are seeking for quick, effective, accurate and simple treatments.  However, having a healthy, rested and relaxed appearance as well as slowing down the effects of aging on the face and body are the most common demands in both men and women.  Studies show that men with healthy looking skin have more confidence and inspire more confidence.  


Masculine aesthetic medicine Question #2: What are men most common aesthetic concerns in men?

Dr Tremblay: There are procedures that are popular among men and procedures that require a specific approach for men. Surprisingly, some cosmetic concerns are more relevant to male patients. Excessive body hair is a common complaint. Many men use laser hair removal to remedy the situation. Laser hair removal is the second most popular aesthetic procedure in men after botulinum toxin injections.


Masculine aesthetic medicine Question #3: What other treatments are more specific to men?

Dr Tremblay: The treatment of hyperhidrosis or excessive sweating of the hands, feet and armpits is also a popular procedure among male patients. The treatment consists of botulinum toxin injections to reduce perspiration with long lasting benefits.

Body shaping and refining using non- invasive technologies like ultrasonic devices founded in the Ultra Shape laser are also very trendy among male patients. Usually men are good candidates because of their tendency to develop abdominal fat deposits. It is important to ensure that the excess intra- abdominal fat is not visceral fat, which does not respond to treatment.  A common barrier to body contouring treatments in men is their lack of familiarity with the treatments. Men tend to be more skeptical thus a clear, detailed and honest explanation quoting modest but real results are key to dealing with male patients.

Although rosacea is a common condition seen on both women and men, treatment of redness, inflammation, rosacea and dilated blood vessels is one of the most common reasons for men to consult.  A higher density of blood vessels of the face may make men more likely to develop rosacea. VBeam vascular laser treatments are very effective to find a more uniform complexion and healthier skin.


Masculine aesthetic medicine Question #4: What interventions require a specific approach for men?

Dr Tremblay: Botox or filler injections to maintain a more youthful appearance are popular amongst men we see at MédIME and require a specific approach due to differences in desired results and their anatomical differences. Successful treatments require specific and detailed knowledge of the male anatomy so as not to feminize the face. Also injection treatments provide quick fixes benefits but also long-term preventive effects and our male patients see these as an investment in their quality of life such as exercise and diet.


Men treatments are available at MédIME. Book an appointment today for a personalized consultation


Dry Skin? Itchiness, tightness, flaking, roughness, redness, eczema are dry skin symptoms which tend to increase during the winter season.

Heating and very cold temperatures reduce the ambient humidity and so the skin is found in a state of water loss. Some minor changes to your beauty routine can help to soothe the skin significantly.

Dr. Tremblay, dermatologist, medical director at MédIME Institut de Médecine Esthétique answers the most common questions about skin hydration.

Dry skin – 5 Tips about Skin Hydration

Dry Skin Question #1: When is it better to hydrate?

Dr Tremblay: Immediately out of the shower or bath. Indeed, the long, hot showers remove the skin’s moisture and protective oils. We should limit showers to a maximum of ten minutes and keep the water as cool as possible to limit the loss of oils that dries out the skin. Of course, in times of extreme cold, it’s easier said than done. Then I suggest locking moisture in the skin by applying a cream or lotion within three minutes out of the shower or bath.


Dry Skin Question #2: Which ingredients should be in our moisturizers?

Dr Tremblay: The secret to keeping a healthy skin during the winter months is to prevent water loss of the protective barrier of the skin. When the skin loses water, it dries out, becomes itchy and irritated. The best way to strengthen and protect the protective barrier of the skin is to use daily creams containing humectants ingredients such as ceramides, hyaluronic acid and oats. We must also avoid soaps, cleansers and removers containing drying ingredients but instead opt for alcohol-free mild detergents and moisturizers.


Dry Skin Question #3: I feel my skin dryer after shaving, is this normal?

Dr Tremblay: Shaving can actually irritate dry skin. While shaving the hair, it removes the natural oils from the skin. It is therefore preferable to use another method of hair removal if the skin is particularly dry, especially in winter. This is a good time of year to try laser hair removal.


Dry Skin Question #4: My lips are really dry, cracked and chapped, what can I do?

Dr Tremblay: First, we must resist the temptation to lick and bite lips which can aggravate dry lips.  The ideal is to also moisturize with a cream or lip balm. Special attention must be taken when buying lip products sold without prescription because many contain ingredients that can dry your lips more, which will force you to re-apply again and again. Prefer a lip balm or cream that contains beeswax, shea butter, coconut butter, sweet almond oil and other more natural ingredients. It is also shown that hyaluronic acid lip injections help moisturize from the inside out making them softer, smoother and plumped.


Dry Skin Question #5: My feet are so dry, they itch and it keeps me awake at night, what can I do?

Dr Tremblay: Basic vitamin E creams that can be found everywhere are effective if used every day. Also, urea is one of the most moisturizing ingredients especially if applied at bedtime followed with cotton socks for the entire night.

To learn how MédIME can help you treat your dry skin, take an appointment today for a free consultation.

, Lip injections – Dr Tremblay answers your questions

Luscious full lips and a well defined lip contour are characteristics associated with beauty and youth. However, as time pass by, lips become thinner smaller and flatter leaving a severe and older look on the overall appearance of the face.

Many women think of hyaluronic acid injections to regain younger lips but have questions about the procedure.

We came up with a list of the 5 most frequently asked questions about lip injections and asked Dr. Tremblay, dermatololgue , Medical Director at MédIME , Aesthetic Medicine Institute.

Lip injections – the 5 most frequently asked questions

Question Lip injections #1: Is it possible to avoid the appearance of over injected lips?

Indeed, the most successful lip injections are those that are subtle enough that the people we know are wondering what we changed without being able to guess what it is exactly. These injections must still be sufficiently visible so that you notice the change that makes you feel better about your appearance. We must also take the time to choose who will inject our lips to avoid ending up with three-dimensional lips over-injected lips.  Lip injection is an art, a real one. You should therefore deal with an experienced, competent and qualified injector, one that has a clear understanding of your desires and your needs and who has a global view of your face to fully adapt your lips to your entire face.


Question Lip injections #2: Are hyaluronic acid products safe?

Yes. Hyaluronic acid based products offer the most natural look. Hyaluronic acid is a naturally occurring sugar in our body. It draws water to create this fleshy aspect, this effect of young, well moisturize lips.  Hyaluronic acid is the most widely accepted and used filler on the market because of its purity, its safety and its non-permanent and absorbable qualities.


Question Lip injections #3: Is it possible to maintain a natural appearance ? 

Indeed, the anatomy of your lips is unique. We are all unique in our morphology. The shape, size, proportion of our lips, the way we talk, smile and our expressive labial habits are unique. Lip injection treatments must consider this uniqueness in order to avoid ending up with pre-designed, one-size fits all lips.  A skilled, artistic, analytical injector takes the time to evaluate your face as a whole so that you are satisfied with your lips and above all to avoid the feeling of having imported lips that don’t fit our features.


Question Lip injections #4: Are lip injections risky? 

No. These are the most common filler injections. For added comfort during injection, the addition of lidocaine to the products is proven effective. Of course, it is also possible to apply some numbing cream prior to treatment to minimize discomfort. Attention to details and the delicacy of the injector make a noticeable difference in the experience of lip injections.  However, even if all precautions are taken, it is still possible to observe some swelling and bruises after treatment. This is quite normal and spontaneously disappears within hours or days after injection.


Question Lip injections #5: Is it possible to adjust and correct injection lip?

Yes. During the free of charge follow-up visit, 2-3 weeks after all the injections, it is possible to completely or partially dissolve hyaluronic acid. Dr. Tremblay finds it necessary to offer this service to ensure his patients satisfaction and to make corrections if necessary.


More info about Lip injections

Lip injections are available at MédIME.

At MédIME, we advocate a natural approach and are listening to your expectations in order to offer a tailor-made treatment that will ensure your satisfaction.

To find out more about Lip injections, come visit us by booking your free of charge consultation.

Phone: 514 739-7444


You have questions about Lip injections?

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