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Frequently Asked Questions

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A. Mesotherapy is a technique of injecting a small amount of a customized mixture of conventional pharmaceutical or homeopathic medications, vitamins, minerals, amino acids and enzymes into the mesoderm – or middle layer of skin. These very small doses of the substances are administered using tiny needles in specific areas depending on the condition being treated. Mesotherapy is used to treat a broad range of illnesses and pain conditions. This minimally invasive approach has shown successful results in many areas: sports injuries, hair regrowth, alopecia, and cosmetic treatments. [Return to Top]

Q. On what areas of the body can cosmetic Mesotherapy be used?

A. Mesotherapy may be used for cellulite, body fat reduction, body sculpturing and weight loss, facial rejuvenation (mesolift, mesoglow), and eye fat pads. 
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Q. How does mesotherapy reduce cellulite?

A. This skin condition affects over 90% of females regardless of their weight or age. The lumpy and dimpled appearance of the skin that usually appears on the hips, buttocks, legs, and midsection is the result of connective tissue bands (septae) that hold down areas of the skin and trapping the fat, while other areas bulge outward, thereby resulting in the undesirable "orange peel" appearance. The mesotherapy formula is based on the grade of cellulite found. There are four stages of cellulite, each of which may require a different treatment:

Stage 0: No visible cellulite, even when skin is pinched.
Stage 1: No visible cellulite when standing or lying down; however, cellulite can be seen when skin is pinched.
Stage 2: Visible cellulite when standing, but not when lying down.
Stage 3: Visible cellulite when standing or lying down.

The blend of medications are delivered to the cellulite sites without needles using the needle-less Ultrapeel Transderm System or by Standard injections. The injected customized blend of drugs interacts with the fat cell, encouraging the cell to release the fat within and allowing it to be burned as fuel. It also improves blood flow and lymphatic drainage of the target area, removes the fibrotic, connective tissue bands, and melts the excess of fat deposits. This results in a significant reduction of the "orange peel" skin appearance and in the loss of inches from the treated areas. Because cellulite is a chronic condition, the mesotherapy process of correcting it may require ten to fifteen (10 – 15) sessions. [Return to Top]

Q. Can it achieve the same results as liposuction?

A. For females and males who have an accumulation of fat in unwanted areas, mesotherapy is a non-invasive alternative to liposuction. However, the technique is not a complete replacement for liposuction. Mesotherapy is a suitable alternative for small area sculpturing or as an option for patients who may be not good surgical candidates for liposuction. The fat-burning mesotherapy injections can successfully reduce fat deposits from hips, thighs, waist, love handles, back, abdomen, arms, and double chins (or any other area where your body has unwanted pockets of fat).

Both males and females who are simultaneously engaged in a comprehensive system of diet, exercise, nutritional supplementation and hormone balancing will achieve the greatest benefit.  [Return to Top]

Q. What is meant by body sculpting?

A. Cosmetic contouring of the abdomen, face, neck, back, bra-lines, legs, thighs, and hands can be achieved with mesotherapy injections. Vitamins and amino acids are delivered to the desired body site either by using the Needle-less Ultrapeel Transderm System or injection using standard syringes to tighten sagging skin while additional mesotherapy medications are used to remove areas of fat, thereby restoring a more youthful and athletic appearance of the body without downtime from work. Based on individual requirements, the physician will select a formula that is injected under the skin where it will slowly diffuse into the fat and produce fat breakdown. Where successful, visible results measured in inches are usually achieved within 4 weeks and the treatments are long lasting when combined with exercise and a healthy lifestyle. The number of required treatments will vary.  [Return to Top]

Q. Can mesotherapy be used for facial rejuvenation?

A. The mesolift is a mesotherapy approach to treat aging, sagging, and wrinkling of the skin involving the face and neck. It is also used to retard the progression of wrinkling and to rejuvenate ashen complexions. Mesotherapy helps to shrink fat from under the neck, remove free radical damage, and tighten loose skin. The effects rejuvenate the face, eyelids, and neck without the unnatural appearance and painful recovery of surgical alternatives.  [Return to Top]

Q. Can mesotherapy be used to remove eye fat pads?

A. Mesotherapy has proven successful for reduction of the fat or puffy areas found beneath the eyes (the "tired" look). It can usually delay, or avoid, the need for future surgery of fat pads (lower eyelid blepharoplasty) and the possible complications associated with the surgery.  [Return to Top]

Q. How is Mesotherapy performed?

A. Standard Needle Technique
The standard mesotherapy technique must be done by a licensed physician who has received proper training in performing mesotherapy procedures. Using a fine needle (similar to the type used for Botox injections), the physician injects into the mesoderm the specific formula selected to treat your condition. The needles penetrate the body at only a very small depth. The number of injections and strength of each medication treatment is determined on an individual basis. Generally, patients require one treatment every ten to fourteen (10 – 14) days depending on the location and size of the area being treated. The injections are made at small distances (1 inch intervals along the affected area) and in small doses per treatment.

In some patients a technique of “multi-pricking” is used where a number of quick, very superficial injections are made at a specific site. “Multi-pricking” is performed by hand or by using a specially designed gun delivery system. Following the injections, the fat is emulsified (broken down) into fatty acids and burned off as energy and otherwise metabolized. The mesotherapy injections are performed by hand or using a specially designed gun delivery system.

The time frame between treatments, combined with small doses per session, provide the opportunity to observe and monitor its effects. The typical mesotherapy microinjection session is time-consuming and may require over one hundred pricks to cover the area being treated. As a result, patient apprehension is a frequent occurrence and for those with a low threshold for pain, a topical anesthetic skin cream must be used. Another serious drawback of the mesotherapy procedure using needles is the appearance of countless red pricks on the skin of the treated areas following the injections. The skin of the treated areas becomes hot and red and the myriad of red spots are frequently associated with minimal bleeding (each representing a microinjection site.) The patient usually refers to the appearance of the skin as being bitten by "one hundred mosquitoes."

Needle Free Mesotherapy
The needle free mesotherapy injection system is known as the Ultrapeel Transderm Ionto System. It provides a non-invasive effective and comfortable alternative to the mesotherapy injections. It is the only system that is FDA cleared for the transdermal delivery of the mesotherapy drugs into the body with no need of either injections or syringes.

How the Ultrapeel Transderm Ionto System works - It uses microdermabrasion to exfoliate the stratum corneum allowing Dermoelectroporation Technology to make the ionic drug solutions enter the dermis by means of low energy, electrical pulses.

Benefits of the Ultrapeel Transderm Ionto System - It provides a non invasive option to injections that may help minimize skin trauma, pain associated with needles and allow all Clients scared by syringes to minimize concern over possible infectious disease hazards.

Length of each treatment - It varies depending on the specific needs of the client. Normally Transderm Delivery is not a very long procedure. There is no downtime.

Discomfort during the treatment - For very sensitive skin types, at the very beginning, a very mild scratching sensation may be experienced. This disappears during the treatment. Also, the vibration feature on Ultrapeel Transderm Ionto System minimizes the electrical pulses perception resulting in a very pleasant experience. [Return to Top]

Q. Are there any side effects?

A. When mesotherapy is performed using needles and syringes to inject the medications, the majority of the patients will experience minimal discomfort. Some patients may feel minimal local pain, a minor burning sensation for a few hours, and temporary bruising. Itching and soreness may be experienced for a few days. Like any other injectable product, an allergic reaction may occur in some patients. The procedure is performed in the office and takes minutes to complete.

The introduction of the mesotherapy without needles technology has eliminated the majority of the side effects frequently seen with the standard mesotherapy needle approach. [Return to Top]

Q. How many treatments are required before I see results?

A.  It depends on the patient's body and the extent of the fat/cellulite/skin to be treated. Some patients see results after one treatment session while most patients require three to five (3 - 5) treatments to notice results. Often the patient’s clothing will become looser and the patient will appear thinner. Mesotherapy is more about losing inches than losing large amounts of weight. Some patients may require five to fifteen (5 – 15) treatments, and sometimes more.

Proper dietary lifestyle and nutritional supplementation are essential to achieve the best long-term results. Because aging is a dynamic process that cannot be stopped, mesotherapy injections are useful in preventing against the ravages of aging. Maintenance treatments of the face, neck, arms, and hands may be needed two to four (2 – 4) times a year. [Return to Top]

Q. Can I go back to work after treatment?

A. Yes. This office procedure takes less than 30 minutes per session and requires little preparation or recovery time. No heavy bandage or compression girdles are required. [Return to Top]

Q. How often can treatments be done?

A. In general, once every ten to fourteen days. [Return to Top]

Q. Are there any restrictions?

A. General restrictions vary depending upon the area(s) and the condition that was treated.
  » Avoid vigorous exercise for forty-eight (48) hours.
  » Avoid hot showers for six to eight (6 – 8) hours.
  » Avoid application of makeup four (4) hours.
  » Use loose clothing around the area treated immediately following the injections. [Return to Top]

Q. Will the fat that was removed from the treated areas return?

A. Mesotherapy removes the fat from the fat cell without destroying it. This helps your skin regain its natural appearance. If you gain weight after having mesotherapy, the fat will simply return to the treated area. The failure rate of mesotherapy has shown to be low (8%). Exercise and diet in addition to mesotherapy have shown the best long-term results. [Return to Top]

Q. Who is a candidate for mesotherapy?

A. Healthy males and females are candidates for mesotherapy. Pregnant women, those with insulin dependent diabetes, severe heart disease, history of stroke or ischemic attack, recent cancer, cutaneous lesions, allergies to mesotherapy components, or those who are taking blood thinning medications, are not candidates for mesotherapy. [Return to Top]

Q. Is mesotherapy different from liposuction?

A. Yes. Mesotherapy is a non-surgical medical treatment. Mesotherapy removes the fat from the fat cell, where liposuction removes the entire fat cell. Liposuction is a surgical procedure that requires anesthesia (local, regional, or general). Mesotherapy does not require anesthesia nor recovery time.

However, mesotherapy is not a replacement for liposuction. Mesotherapy is applicable for the reduction of small areas of unwanted fat spots, cellulite and skin rejuvenation. Mesotherapy is best suited for men and women who are not excessively overweight but, instead, have certain problem areas with stubborn fat that can no longer be reduced by diet and exercise. These patients want liposuction but are hesitant to undergo a surgical procedure. The downside with mesotherapy is mainly that the results are gradual when compared with the immediate results that liposuction offers.

Mesotherapy has shown excellent results to smoothen and reduce uneven fat spots that may persist after liposuction, thereby avoiding the need for additional touch-up liposuction procedures. Mesotherapy and liposuction are not competitive procedures but, rather, they complement each other. In our experience, mesotherapy injections have shown great results when combined with liposuction. Mesotherapy is an excellent initial alternative to liposuction for minor to medium body sculpting of specific areas of the body such as the stomach, upper arms, thighs, chin, hips, and so forth.  [Return to Top]


Cautionary Note

You should ask the physician if s/he performs both mesotherapy and liposuction procedures, how many of these procedures s/he has performed, and the results. If the physician performs only mesotherapy or only liposuction, then you should be concerned about a possible bias the physician may have towards the technique s/he performs and may subsequently not receive the most appropriate treatment for your condition (fat reduction, cellulite removal, or skin rejuvenation). 
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