Medspa Services

One of the primary goals of any aesthetic procedure is to restore aged or otherwise injured structures to a rejuvenated and youthful appearance. In many respects, quality breast surgery is as much a product of intelligent preoperative preparation and planning as it is a sound technical skill. Breast implants continue to evolve; we now have shaped, highly cohesive implants with a high fill ratio. The technique of autologous fat-graft injection to the breast is applied to correct breast asymmetry, breast deformities; breast reconstruction; trauma-damaged tissues, explanation of deformity for the improvement of soft-tissue coverage of breast implants, and the aesthetic enhancement of the bust. Although breast reduction is often performed to address medical issues, patients who do not have the symptoms of macromastia (large breasts) can still pursue breast reduction as an aesthetic procedure. With liposuction, from thirty to fifty percent of breast volume can be removed with good elevation, along with reduction of the size of the areola without post-surgical wound side effects or the disfiguring inverted T-shaped scar.


In today’s active, outdoor lifestyle, it is not just time that is aging us anymore. Sun exposure damages the skin, breaking down cells, hardening lines, and leaving freckles and blemishes daily. Coupled with dehydration, stress, anxiety, and exposure to smoke and pollution, it is no surprise that people are looking for ways to make their skin look younger and more revitalized. The meso-lift is a Mesotherapy approach to treat aging, sun-damaged and wrinkling skin involving the face and neck.


This minimally invasive treatment delivers vitamins, minerals, and amino acids directly into the skin to nourish and rejuvenate, promote collagen and elastin production, and stimulate your metabolism. Mesohair is used for hair loss both in men and women. A tiny amount of active ingredients of minoxidil, finasteride together with all vitamins and trace elements are injected via microinjection needles into the mesoderm of bald areas—platelet-rich plasma or (PRP) or nano-fat (meso-fat) microinjection is performed subcutaneously above the galea and in proximity to the hair bulb, which is the region where stem cells exist. more


Minimally invasive tightening and lifting skin procedures give natural results with minimal risk and recovery time. Monopolar radiofrequency delivers a high-frequency electric current—tissue resistance to electrical current results in volumetric heating to the deep dermis and underlying tissue. The resulting heat leads to immediate collagen contraction and a delayed wound healing response, with new collagen formation up to 4 to 6 months post-treatment. The FDA initially approved monopolar radiofrequency (RF) devices to treat periorbital wrinkles.


Since then, they have been used to treat laxity of the forehead, cheeks, nasolabial folds, marionette, lines, jawline, and neck. Although the results of RF are not as dramatic as a facelift, over 90% of patients obtain noticeable tightening of the treated areas, and it never looks “pulled.” Another benefit of radiofrequency is its ability to reduce fat and tighten the skin by directing energy to target collagen. For example, a patient with flabby upper arms may have more loose skin than fat in this area. In this instance, Prof Moawad might use radiofrequency to tighten the skin and remove excess fat. However, if he determines that there is fat in an area, he will remove the fat first and then tighten the skin afterward. “Radiofrequency is a very versatile procedure that can be used on any area of the body – from large areas like the abdomen to minimal areas like the chin – with the same degree of success. more


Approximately 85% of post-pubertal woman has a form of cellulite. The term cellulite refers to the ‘orange peel,’ ‘mattress,’ or ‘dimpling’ appearance on the thighs, buttocks, and sometimes lower abdomen and upper parts of the arms of otherwise healthy women. This appearance is much more common in women than in men because of differences in how fat, muscle, and connective tissue are distributed in men’s and women’s skin. Although rarely observed in men, those men presenting with cellulite are commonly deficient in male hormones.


The lumpiness of cellulite is caused by fat deposits that push and distort the connective tissues beneath the skin, leading to characteristic changes in the appearance of the skin. The causes of cellulite are not well understood. Theories include genetics, circulatory problems, inflammation, hormonal disturbances, tight clothing, and lifestyle factors. Although being overweight is not a prerequisite for cellulite, excess body fat makes cellulite more visible. The aging process can worsen the appearance of cellulite, as skin loses elasticity and is less able to resist irregular tension created by the fibrous bands. Despite many treatments available—all of which claim to work somehow—few do work, and many works with unpredictable results. The new minimally invasive techniques of power liposuction (without suction) and fat transfer are rewarding to achieve acceptable results. more


Electroporation or (no-needle mesotherapy) device seeks to do the same as injection mesotherapy, such as skin rejuvenation, whitening, acne, hair re-growth, localized fat reduction, and cellulite treatment. It delivers a particular waveform that ionizes the molecules in the active ingredients used in the treatment and creates tiny channels in the skin for the elements to travel down. It uses a pulsed low-frequency current, whose intensity is adjusted by the operator.


Ingredients in water-soluble molecules permeate the skin’s natural lipid barrier and then cascade through the tissue beneath via minute channels to penetrate the surface up to 9 -10cms and introduce 90% of the active ingredients being administered. This pain-free option is said to offer a practical mesotherapy alternative for needle-phobic. more


Photo-rejuvenation encompasses many procedures using light or laser-based technology to reverse the effects of photoaging. Non-ablative photo-rejuvenation refers to the controlled use of thermal energy to carry out skin rejuvenation without disturbing the overlying epidermis and with minimal to no downtime. Currently employed non-ablative modalities include primarily intense pulsed light (IPL), visible wavelengths including 585nm pulsed dye laser (PDL), and 532 nm green light (KTP laser). Different infrared wavelengths with water as the target are used for dermal remodeling collagen. The primary mechanism of action is thermal injury, either by heating the dermis to stimulate fibroblast proliferation or by heating blood vessels for photocoagulation. The newest way to deliver these wavelengths is by fractionating the dose.


The theory of photo-modulation is the non-thermal mechanism, representing a fundamental change in thinking. This novel approach to photoaging uses non-thermal light treatments to regulate the activity of cells and not invoke thermal wound healing mechanisms. The two types of Photo-facial (foto-facial) or Photo-rejuvenation are available are the Intense-Pulsed Light (IPL) and the Light-Emitting Diode (LED) treatments; however, to get the results you hope to do, it’s essential to understand the difference between these facial rejuvenation technologies before you book an appointment. Your best bet for minor skin problems is to schedule an LED (often called a Non-IPL) treatment, and for more severe conditions, you’ll book to IPL.more

Fat Reduction

The biggest challenge with non-invasive body shaping is the patient choice with all before mentioned technologies; results seem gradual, and “improvements can be subtle,” and there’s the need for repeat and maintenance treatments to consider.” Prof. Moawad. At MSI, we combine vacuüm, monopolar radio Frequency, ultrasound cavitation, and red Light to make sure the remaining adipose tissue (fat cell membrane) explodes and forces the removal of triglycerides as a tightening of the skin. The sub-dermis, where cellulite is found, is heated by the ultra-power monopolar radiofrequency waves, which cause a tightening and slimming appearance on cellulite tissues. This combination instantly shortens original collagen fibers, resulting in the presence of lifted and tightened skin, fragile adipocytes are stimulated to release fat into the bloodstream, and the formation of new collagen and elastin fibers are produced over a few months(3-6months), increasing the tightening of the skin.


Most importantly, we cannot achieve the results of surgery. Prof Moawad added that radiofrequency, cryolipolysis, and ultrasound are external devices that affect the fat layer’s surface. They need multiple treatment sessions (typically four courses) to produce the best results. These non-invasive procedures are not meant to replace tumescent liposuction for fat removal. Tumescent liposuction is a controlled, precise procedure since the external devices must have a “wait-and-see” approach in which the dermatologist will check how the fat responds. more

Stretch Marks

Many things change after you have a baby: schedules, sleep time, and a sense of freedom, to name a few. Along with that, there are many physical changes you’ll see. Chief among them are stretch marks. Stretch marks or striae are a form of scarring on the skin with an off-color hue. Stretch Marks are the result of the dermal tear, which over time may diminish, but will not disappear completely. Stretch marks are often the result of the rapid stretching of the skin associated with rapid growth or weight changes. Stretch marks may also be influenced by hormonal changes associated with puberty, pregnancy, bodybuilding, hormonal replacement therapy, etc.


Stretch marks form during pregnancy, usually during the last trimester. It generally appears on the belly and commonly on the breasts, thighs, hips, lower back, and buttocks. To treat red stretch marks, clinicians may consider the PDL, 1,064-nm Nd: YAG laser, and 532-nm KTP laser, which would likely improve red stretch marks’ redness (vascular component). Recently, several emerging treatment modalities, including fractionated micro-needling RF, ultrasound, and PRP and micro-needling, have reported good clinical improvement of stretch marks. Stretch marks prevention and treatment stay a clinical challenge. Physicians should set realistic expectations with patients seeking stretch marks treatment and inform patients that the appearance and texture of stretch marks may improve but will not completely resolve to be an integral part of setting these expectations.more

Skin Care Products

There is a demand for compounded pharmaceuticals in dermatology because they can offer medications for patients that are not commercially available. Cosmeceuticals can be cleansers, toners, moisturizers, serums, and masques with active ingredients such as retinoids, alpha-hydroxy acids, polyhydroxy acids, skin lightening, antiacne, growth factors, peptides, and vitamins. Medically based skincare products target three cellular components that contribute to aged skin: keratinocytes, melanocytes, and fibroblasts. Instituting the correct routine will slow the progression of aging and work toward reversing the extrinsic and intrinsic aging changes.


In aesthetic practice, using cosmeceuticals in combination with cosmetic procedures is a new treatment ideal for skin rejuvenation. Pre-treatment with cosmeceuticals can prime the skin for procedures, and post-treatment can reduce complications. Patients with conditions such as rosacea, eczema, seborrhea, and acne require specially selected products that enhance skin appearance without irritating their underlying conditions.more