Since its Canadian introduction at MédIME in June 2017, the V2 Injector Beauty Booster has rapidly become one of the most popular treatments at the clinic.

Nicknamed the “V2” by us, this treatment aims to plump and rejuvenate the skin by giving it a glowing and hydrated appearance. This technology is for all skin types and produces rapid results without requiring recovery time.

The V2 injector device is used to inject micro-drops of Teosyal Redensity I into the skin. This hyaluronic acid-based product with essential amino acids, vitamins, minerals, and antioxidants induces a deep hydration of the skin and stimulates the creation of collagen, elastic fibers and glycosaminoglycanes. The treated skin develops a plumper and firmer dermis which gives the skin a smoother texture. The dermis density also provides a more luminous and healthy-looking skin tone.

During a treatment with the V2 Injector Beauty Booster , an anesthetic cream is applied on the skin before the treatment to maximize client comfort. The micro-injection treatment lasts from 30 to 45 minutes depending on the treated surface. A standard treatment protocol requires 3 treatment sessions completed at a 2-week interval. In general, the skin is red and lightly inflamed for at least 24 hours. A cream rich in hyaluronic acid is applied to the skin on the days following treatment and patients can go back to their regular activities and wear makeup the day following treatment.

The benefits appear rapidly from the first session and continue to develop during the following weeks.

It should be noted that the V2 Injector Beauty Booster  aims to prevent and correct aging, but also repair the skin from acne scars. This treatment does not make the skin sensitive to sunlight and is appropriate for all skin types, including dark skin.

Dr. Tremblay has also developed protocols that are unique to MédIME for which we combine the V2 in a restructuring injection treatment plan with hyaluronic acid like Juvéderm, Restylane and Teosyal, or with Endymed Microneedling RF and Ematrix, in order to provide more globally optimal results.

To obtain more information about the V2 Injector Beauty Booster  treatment offered at MédIME, call us today at 514-739-7444 for a free personalized evaluation. 

 

 

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.

 

Dr Tremblay is proud to act as a spokesperson for The Rosacea Society of Canada. For over 15 years he has treated hundreds of patients yearly, afflicted with this condition which has a major impact on skin health and quality of life.

Dr Jean-François Tremblay completed his specialization in dermatology in California before acquiring an over specialization in laser surgery. Owner of the MédIME clinic situated in the Mount-Royal Sanctuary for 15 years, Dr Tremblay has had the opportunity to treat thousands of clients affected by rosacea. His expertise will be used for the democratization of rosacea within the Canadian population.

Rosacea affects 3 million Canadian ages 30 to 50 years old. It is a common skin disease, benign but chronic, and often hereditary. Women seem to be more affected than men, but severity is more pronounced in men.

Rosacea often begins around the age of 30 years old, even if people report always having had sensitive skin, subject to redness, during their childhood and their teens. Rosacea is a chronic disease that is characterized by facial redness and evolves in successive waves. The redness will diffuse itself progressively, with an affectation of the epidermis that can be more or less vivid. The faster we react, the higher the chances of treating it easily.

There are 4 stages of rosacea.

Stage 1 of rosacea

During abrupt temperature shifts, after drinking wine or eating spicy foods, redness appears suddenly on the face and neck, along with sensations of heat. The skin returns to a normal state after approximately 30 minutes. The skin is more reactive to products than before and skincare products can cause redness, sensations of heat, and tingling. People often claim to be “allergic” to everything.

Stage 2 of rosacea

The skin becomes more and more sensitive and reactive. Redness is now diffused particularly in the area of the cheeks and the nose. The redness is now permanent. We can also observe dilated capillaries, characteristic of the couperose. Flushing of the affected areas, accentuating the redness, also occurs.

Stage 3 of rosacea

Eruptions of bumps on inflamed areas begin. These bumps are not acne, but small red indurated bumps. These are what we call papulopustules. They have a tendency to flare-up in the same areas repeatedly, especially in early development.  They can disappear without treatment and then return. These are waves that evolve progressively and can have periods of remission. They can spread to the whole face.

The skin is struggling, rather dry, and becomes intolerant to many cosmetic products, notably oily cosmetics.

If a dermatologist has not been consulted, it is important to do so at this stage to avoid evolution to a more severe stage that will be longer to treat.

Stage 4 of rosacea

At this stage, the dermatosis takes a difficult turn on the aesthetic level. The nose can have an augmented volume, redness, and the skin pores are dilated. This later stage mainly affects men over 50 years old.

Rosacea Treatments

Luckily, treatments are available and effective for rosacea. The treatment of rosacea begins with solar protection and the adoption of a skincare routine that is adapted to the condition. Certain medications can be prescribed to treat the inflammation and the bumps. The Vbeam laser targets vascular lesions and contributes to reversing the evolution of rosacea. The Vbeam, a technologically advanced pulsed dye laser, utilizing yellow light, is used for treating many skin inflammation conditions such as rosacea. Its light beam is absorbed by red blood cells contained in blood vessels running near the surface of the skin. Heating of the blood vessels results in their destruction within a few weeks.

The duration of a treatment session varies between 5 and 30 minutes depending on the zone to treat, and 1 to 4 sessions can be necessary depending on the stage of the rosacea. A consultation will be required before your first treatment to determine the number of sessions required.

If you think you are afflicted with rosacea, you can request a free consultation at MédIME with one of our consultants by calling 514 739-7444 or by completing the appointment form.

This fall season, MédIME is proud to offer you different treatment options for brown spots and skin hyperpigmentation on face, décolleté and hands. The best treatment option for you depends on your type brown spots, their location on the body and their severity.

MédIME treatment plans for brown spots and skin pigmentation

MédIME medical peels

To address dull skin complexion as well as brown spots left behind after the warm season, Vivierpeels and Intraceutical HA infusion treatments are best suited to restore your skin in a progressive and gentle manner. This relaxing 45 minutes long treatment is fast acting and requires no recovery time.

For more information visit: Intraceuticals

MédIME Laser Treatments

Three different laser technologies are being offered for brown spots and pigmentation. The best option is based on your native skin color and type of pigmentary problem.

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  • Photorejuvenation IPL M22, this technology is our preferred choice to address skin color evenness and get rid of sunspots. This treatment plan requires an average of 2 to 3 treatments over a period of 4 to 6 weeks. Sun spots become slightly darker following the treatment and gently fade away afterward.
  • The new nano/picosecond Enlighten laser technology is the most powerful to get rid of deep and stubborn pigmented lesions. This same technology is also used to get rid of tattoos. This treatment plan requires an average of 2 sessions over a period of 4 to 6 weeks. All skin types including brown and black skin can be treated safely and effectively with this laser.
  • Last but not least, our fractional erbium laser is used as a 2-in-1 option to address both skin color and texture. This treatment alone provides complete skin rejuvenation. Patients with brown spots and scars caused by acne can also greatly benefit from this treatment. It is also the treatment of choice for pigment issues in black and brown skin.

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Note:  At MédIME, all pigmented lesions are assessed by Dr Jean-François Tremblay dermatologist prior to treatment to identify abnormal or suspicious lesions prior to starting a treatment plan.

Best product for brown spots and skin pigmentation

Vanessa’s pick : SkinTX Clarité 4skin-tx-clarite-4

This product made of hydroquinone 4% is very effective to quickly lighten brown spots. It can be used on all skin types without exception. This night treatment requires a sunscreen to protect the skin during the day.

 

For more information on the treatment of sunspots and pigmentation, please contact us at 514-739-7444 or fill up the form for a free personalized professional evaluation.

Seasonal weather changes in Canada are notoriously challenging for our skin. Surviving the transition between summer and fall requires wardrobe changes and so it goes with the way we “dress up” our skin. Doctor Jean-François Tremblay, dermatologist, explains in this newsletter why moisturizers are so important in maintaining your skin’s health and beauty.

Why moisturize your skin?

Reason #1: To Maintain good-looking skin

Dehydrated skin invariably has dull-colored complexion as well as becoming rough in texture. Dry skin also tends to look older and more wrinkled than it actually is. The best choice of moisturizer for your skin depends on your skin type. For dry skin individuals, a richer formulation containing ceramides and waterproofing molecules should be considered. For oily skin or acne-prone individuals, oil-free gels or fluids with matifying components are preferred.

 

Reason # 2 to moisturize your skin : To maintain healthy skin

Several skin medical conditions can be adversely affected by dehydration. Eczema, psoriasis, rosacea and acne are four common examples. Eczema and rosacea almost invariably flare up due to skin dryness and restoring normal skin moisture is an essential part of the treatment. Several acne patients have a tendency to “overdry” their skin using harsh cleansers and drying medicated products. This behavior results in more inflammation and a higher risk of staining and scarring of the skin. Maintaining normal skin hydratation in acne has been shown to improve response to medications including topical vitamin A, benzoyl peroxide and Accutane.

 

Reason # 3 to moisturize your skin : To prevent skin aging

Several scientific studies have shown that chronic skin dryness promotes premature aging and wrinkling. Under dry conditions, dermal collagen production and repair is diminished or shut down. The use of moisturizers containing ceramides, hyaluronic acid and peptides have been to stimulate dermal collagen production and restore youthful skin.

 

Reason # 4 to moisturize your skin : To improve the efficacy of laser treatments and therapeutic topical skin care products.

Recovery time and results after laser treatment are significantly improved with optimal skin hydration. For instance, fading of brown spots after IPL photorejuvenation can be twice faster using a moisturizer containing water-binding molecule such as glycolic acid. Active ingredients found in therapeutic creams such as vitamin A and C, growth factors and peptides penetrate more readily in well hydrated skin. In very dry and flaky skin, the use of an exfoliating moisturizer can also improve water and active ingredient absorption.

 

Best products to moisturize your skin

Here are MédIME staff best product recommendation

Micheline’s pick: SkinMedica HA5ha5_pump_front

This super silky fluid lotion contains 5 hyaluronic acid molecules that moisturize, soothe and reduce fine lines instantly. In addition, HA5 restores the natural protective barrier of the skin making it more resistant to extreme temperatures. His long-lasting action locks in moisture for 8 hours.

 

Marie-Johanne’s pick: VivierSkin Ultra Hydrating Maskmasque-ultra-hydratant-vivier

The VivierSkin Ultra Hydrating Mask is perfect to moisturize and protect dry skin. Its creamy texture is a real moisturizing bath that quenches the skin and brings comfort and suppleness. Rich extracts of shea butter, vitamin E, sweet almond and pumpkin seed leave the skin smooth, firm and reveal its radiance. During cold weather, the mask can be used as a day and night cream for a feeling of extreme comfort. Winter is just around the corner, make sure to get this mask to prevent dryness and dehydration.

Now that summer is over, it is time to address the adverse effects the sun left on our skin. Sunlight contains ultraviolet (UV) rays that heat and damage your collagen and elastin.

UVB (think B for burn) are of shorter length and reach the surface of the skin, resulting in redness and sunburns. Contrary to popular belief, sunburn is not the only sun damage on the skin.

UVA rays (think A for aging) are longer and penetrate deep into the skin, damage cells and are responsible for wrinkles, uneven skin tone , dryness and other signs of aging.

Here are ways to repair skin damage caused by the sun

 

Sun damage: uneven complexion, age spots, brown spots, solar lentigines

Solutions: intense pulsed light lasers (IPL) or Pixel lasers to gradually get rid of brown spots.

Cost: $ 250 or more per treatment according to the treatment area – 3 to 5 sessions may be needed depending on the severity of the condition

 

Sun damage: redness, blotchiness, rosacea

Solutions: Vbeam pulsed dye laser targets blood vessels to reduce redness

Cost: $ 250 or more per treatment according to the treatment area – 1 to 5 sessions may be needed depending on the severity of the condition

 

Sun damage: wrinkles and fine lines, sagging, thickened skin

Solutions: radiofrequency and laser surfacing such as Endymed microneedling and CO2 fractional laser that induce tightening and skin repair

Cost: $ 700 to $ 1,200 per treatment depending on the severity of the condition – 1 to 3 sessions may be needed

 

 

 

Sun damage: dilated, enlarged skin pores

Solutions: eMatrix radiofrequency laser acting on the skin surface and reducing pores by refining the skin texture

Cost: $ 700 per treatment – 3 sessions may be needed

 

Treatments to repair sun damage on the skin are available at MédIME.  Book an appointment now for an evaluation of your condition.