Provided Medical Services

Consultation and treatment of a wide range of dermatologic diseases and skin conditions:
Professor Manal Bosseila is willing to discuss a wide range of treatment options, including products and procedures. She will work with you to find the best way to respect your needs and produce the best results. Chronic skin conditions may be very hard to cure, but they can certainly be managed through lifestyle habits and maintained professional, medical treatments.

Patients are examined and evaluated for the stage of their acne. Medical treatment is prescribed and you will be closely monitored.
For acne patients a mild chemical peel is used every 3 weeks to improve your active acne lesions, as it controls excessive oil production, un-blocks pores and reduces the bacterial inflammation.
If you have acne with post-inflammatory hyperpigmentation a lightening peel is used every 4 weeks for 3 sessions.
For cases of severe acne with scarring, you will receive treatment with microneedling technique, using a device called “dermapen collagen inductor” to improve localized acne scarring.
If you have severe or extensive scarring after acne lesions, you will need laser sessions using fractional Erbium-Yag Laser. At each session 3 passes of the laser will be used for the whole face to ensure proper treatment of all affected areas. You have to stay away from the sun for 1 week. Results will be evident after 3 weeks and skin toning will improve up to 2 months after the session.

• Do you have any freckles, skin tags, brown spots, nodules or moles?
• Do you check them regularly?
• Have you noticed any change in shape, size or colour or developed any new ones?
If you have any pigmented skin lesion on your trunk or palms and soles or even under your nails, come for an imaging technique, which will take only 10 minutes. Dermoscopy is a new non-invasive method that increases the diagnostic accuracy of moles and skin cancer. It also provides the possibility to monitor any mole changes over time.
Dermoscopy is a diagnostic tool is to identify cutaneous “risk lesions” that should be closely monitored or biopsied. Services include a personalized patient skin examination combined with direct magnified (up to 10x) clinical imaging of “risk lesions” as well as dermatoscopic (epiluminescent) imaging. It allows to check deeper structures, which would be impossible to examine with the naked eye. A written dermoscopy medical report is issued to the referring physician. The dermoscopy report includes a summary of all examination findings. Pictures taken at one visit may be compared with the appearance of the lesion at the next visit.
Dermoscopy, as an adjunct to a careful clinical skin examination, has been shown to decrease the frequency of clinically worrisome skin lesion excisions….saving patients an invasive procedure.

➢ Botox Cosmetic
Botox injections are noted primarily for the ability to reduce the appearance of some facial wrinkles. Lines and wrinkles happen when we frown, smile or laugh. This happens when muscles in our face contract into folds of skin (forms dynamic wrinkles). By time theses wrinkles and lines become deeper and more permanent.
I you feel you look too serious, unrested or frowning, you can easily improve this appearance by getting Botox injections of the
● horizontal forehead wrinkles,
● frown lines between eyebrows,
● crow’s feet lines and laugh lines,
● platysmal neck bands,
● excessive sweating of the palms and underarms,
Now you can easily erase these lines without surgery, scars and recovery time using Botox. Botox is the most popular cosmetic procedure in the world. Its use started in 1992 in USA and became FDA approved since 2002.
You will look rested for 5-6 months, as it leads to a temporary reduction of muscle activity.
➢ Botox for Hyperhidrosis
If you have excess sweating of the axilla causing you embarrassment, you can have both axillae injected with Botox to decrease release of acetyl-choline from cells, you will enjoy having a dry odorless axilla for up to 8 months, with no need for continuous application of medication or operation.
Advantages of Botox
● no down time,
● minimal risk,
● Effects are reversible.

As we age, our faces naturally lose subcutaneous fat. To supplement this loss and reduce signs of aging, various types of fillers can be injected beneath the skin. Filler injections are a cosmetic treatment used to smooth wrinkles or pitted scars in the skin, usually on the face. They are also used to make the lips fuller. When injected under the skin, a filler raises up that area. Dermal fillers help to diminish facial lines and restore volume and fullness in the face.
The different fillers offer a broad range of alternatives tailored for your individual needs. All products work to naturally enhance facial features, giving a long-lasting, yet non-permanent results. With the newest generation of fillers, fillers lead to lifting of the skin, not only giving it volume.
Combined with a local anaesthetic, dermal fillers are injected into the skin to give your face a natural volume, leaving your skin completely hydrated and youthful.
Fillers are also used to restore volume for thinned out hands, with diminished appearance of veins and improved skin tone and luster.
Advantages:
Results are immediately seen and compared to previous appearance.
Main risk is skin bruising
No downtime

Chemical peels remove damaged outer layers of skin on the face to smooth texture, reduce scarring, and remove blemishes and signs of photoageing to produce healthy, glowing skin. There are different types of chemical peels ranging from mild to strong.
Which peel is used is tailored to your needs and the expected results combined with the amount of permissible down time. Peels can be combined with other procedures for a younger look.
Chemical peels are performed on the face, back or axillae. They can help reduce:
• certain types of acne
• mild scarring
• sun spots, freckles
• dark patches due to pregnancy or taking birth control pills (melasma)
• postinflammatory hyperpigmentation
To optimize the results, you will use preparatory creams at home for 10 days before the session. The session will last for about 15 minutes. You will observe peeling during the coming few days, which is maximum on the 3rd or 4th day. Decreased exposure to the sun is mandatory after the procedure.
Session are repeated every 3 or 4 weeks according to the type of peel and the skin condition. However, each session will show its positive results.

Mesotherapy is a non-invasive treatment which helps to stimulate collagen and boost hydration. It is a series of mini-injections which consist of vitamins and Hyaluronic acid.
This medical procedure was developed in France by Dr. Michel Pistor in the early 1950’s and was given formal recognition by the French Academy of Medicine in 1987.
The technique for Mesotherapy involves the injection of substances to stimulate the mesoderm to improve multiple medical and aesthetic conditions. The types of compounds injected into the mesoderm during Mesotherapy depend upon the disease process that is being treated. Natural plant extracts as well as traditional pharmacologic agents are used for the treatments.
Mesotherapy treatments are typically given once every 10 days for skin glow, for skin brown spots and for hair regrowth.
Mesotherapy is also used for dissolving localized areas of fat as well as cellulite reduction. For injection lipolysis the treatments may be given less frequently, such as once every two weeks, or once per month. Most patients notice improvement in only a few sessions. You will notice definite cellulite reduction and an improved, smoother appearance to your thighs.

The latest trend for thread lifting is the usage of Polydioxanone (PDO) threads which is absorbed by the skin after several months. At the same time, this process stimulates and induces collagen production over the course of about 4 months, with the effects lasting for up to 18 months.

Although one cannot compare the degree of lift achieved by surgery, with the correct selection of patients a very respectable alternative to surgery can be achieved in under an hour. Cog threads are most effective for jawline lifting and slimming.

Cog threads are essentially mono threads with barbs to hook to the underside of the skin. The barbs form a support structure that lifts the sagging tissue. Unlike mono threads, cog threads do not need anchoring points. Collagen formation can also occur around the threads and their barbs. It’s dissolved by the body over time, 4-6 months, but stimulates intense healing on the way.

Local anaesthetic is injected first. The thread is then inserted through this puncture with a special cannula and it grips under the skin into deeper tissue. The thread itself is reasonably fine but the barbs grip the tissue. Up to 4 threads can be inserted through one entry site.

It is mainly used for

·        Midface lift

• Lower face jowls and skin laxity of the lower face.

With barbed PDO threads you must expect bruising and swelling for between 7-10 days.

If you have chronic hair fall or your skin complexion feels dull, you can benefit from sessions of “platelet rich plasma PRP” injection.
Usage of platelet rich plasma (PRP) in aesthetic medicine is a new concept. It can be used to treat acne, scarring, hair fall, and it is also effective for skin rejuvenation and tightening around the eyes. PRP contains concentrated growth factors, which stimulate proliferation of fibroblasts and keratinocytes producing collagen and keratin, respectively. Within a few weeks the skin will start to look rested, and radiant. Hair fall will stop and new hair growth is stimulated.
The entire process takes less than 15 minutes and increases the concentration of platelets and growth factors up to roughly 5-fold, along with an inherent rise in human stem cell proliferation due to exposure to concentrated platelets up to 10 times above native levels.
As an initial treatment strategy, up to 3 injections may be given within a 6-month time frame. These are usually performed 2 to 3 weeks apart. PRP is to be used in conjunction with the regular application of topical treatment, as skin rejuvenating creams or hair growth stimulating lotions.
Technique:
To prepare PRP, a small amount of blood is drawn from the patient’s arm. The blood is then placed in a centrifuge that spins at high speed and separates the platelets from the rest of the blood components. A dermapen with needles is used to stimulate the skin and open up channels for the PRP to infiltrate the dermis. The process is painless if sufficient topical anesthesia is applied. Because the patient’s blood is used, there is no risk of a transmissible infection and a low risk of allergic reaction.
Post treatment: Minimal swelling, bruising, and redness for the initial 12 to 24 hours are expected. A tiny bruise at the needlestick site may be visible for 2 to 3 days.