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MSI Resurfacing
(Rejuvenation) PEEL
The Art of Non Surgical
Skin Rejuvenation
By
Prof Osama B Moawad
MSI Anti-aging Program
The First step for
any successful anti-
aging program is to
diagnose the skin
problems (dark
spots, red spots,
pimples, scars,
wrinkles or skin
folds) What is the problem ?
MSI- Diagnostic Tools
Wood’s light
Polarized Light
Dermatoscopy
Video Dermatosopy
Venoscope
Wood’s Light is essential to
detect skin Pigmentation in
photoaging
Polarized Light
Polarized Light is used to detect red and
dark skin spots
Abnormalities of Hair, Nail and skin thousands times
Video-Dermatoscopy
White Heads
Black Heads
To Detect Blood Vessels Is a mole Harmless?
Veinscope Dermatoscope
MSI Skin Rejuvenation Program?
What Is
It is a comprehensive Non Surgical skin care program that
uses the state of art in aesthetic medicine tailored to your
condition , need and expectation
Local Therapy
Skin Care
Products
Oxygen
Therapy
Meso-lifts
Dermal Fillers
Botox
Non Ablative
Treatment
Laser
Light
Radiofrequency
Ultrasound
Ablative
Treatment
Ablative CO2
Fractional
Ablative CO2
Laser
Medium
Depth
Chemical Peel
Dermabrasion
Minimally ablative
PDT
Superficial
chemical Peel
Diamond Peel
Minimally Ablative
FR CO2
Surgical
Treatment
Lifts
Tucks
HT
Liposuction
Fat Transfer
Steam
Ultrasonophoresis
Diamond Peel
Laser, Light, RF
Mesolift, Vampire Face
Lift
Chemical Peels
Fractional CO2 Laser
MSI Anti-aging Program
Aging Wrinkles
Moderate
Skin Laxity
Dark Spots Red Spots Active Acne
Distensible
Scars
Stretch Marks
Am I a Good Candidate?
How Should I Prepare?
One month preparation with tailored MSI skin care products with or
without Dermal Roller especially in Dark Skinned Patients
Cleanser
Moisturizer
Retinoids
Anti-oxidants
Growth -Factors
Anti-Acne
Whitening
Home Skin Care Products
Before
During
After
Before
During
After
• Free dead cells, dirt, and
bacteria
• It moisture and softens.
• Eliminate Toxins
• Stimulate blood circulation
• Open pores
• Better absorption of skin
care products
Ultra-sonophoresis
Deep Skin Cleansing
Diamond or Crystal Peel
Removes 35% of stratum corneum and dead cells.
Accelerate skin renewal and enhance collagen production reducing fine
wrinkles and superficial scars and pigmentation
Superficial
Chemical Peel
Minimal Ablative Resurfacing
Minimally Ablative superficial chemical peel
Salicylic Acid Peel
Acne Excoriee
Salicylic Acid Peel
Comedon Extraction
Blackheads are not caused
by dirt, sweat and poor
hygiene (this is a myth that
people spread) but are
caused by the formation of
a plug in pores due to
abnormal skin cell growth
which gets oxidized by
sunlight and turns black.
Comedone Extraction
Manual Needling, Skin Rolling,
Micro-needling or Derma Pen
Dermal roller is used for those suffering from open
pores, acne scars, fine wrinkles, stretch marks and
even hair-loss
Mesotherapy / Meso-lift
Vitamines:
2. Amino acids:
3. Minerals:
4. Coenzymes:
5. Nucleic acids: DNA, RNA…
6. Cytokines: EGF, bFGF
7. Peptide: Copper Peptide
PLATELETS RICH PLASMA
Meso-Botox
Wake Up Skin !!!!!!!!!!
Removing Injured collagen and elastic fibers and stimulates
new Collagen and elastic fibers synthesis by local, surgical
or energy based devices
Non Ablative Skin Rejuvenation
Delivers the laser/light/RF/Ultrasound energy
through skin to reverse the signs of aging skin
Vascular
Pigmented
IPL
Mid Infra red
Lasers
• Pulsed KTP 532
• Pulsed dye 585
• LP PDL 595nm
• 532nm (ns)
• 1064nm (ns, usec )
• Elos
• Photorejuvenation
• Nd:YAG 1064nm &
• 1320nm
• Diode 1450
• Erubium glass 1540
• Early photodamage with fine lines
• Atrophic scars (Acne or others)
• Patients who don’t desire ablative laser
treatment/downtime
• As maintenance after successful ablative
resurfacing
• Modest Expectation
• Tolerate Multiple treatments
Indications of Non Ablative
Skin Resurfacing
Photodynamic Therapy
Photosensitizer
Red light
Infra-red
light
LED Laser IPL
Soft Laser Peel
Light Emitted Diode(LED)
Red LED for
Photo-rejuvenation
Blue LED
of Acne
Activates skin cells with pulses of low-level, non-coherent
and non-thermal light energy
Photo-Rejuvenation-Elight or ELOS
Improvement in telangiectasia, pigmentation , pores sizes
and overall skin texture
Photo-Rejuvenation
Improvement in telangiectasia, pigmentation , pores sizes
and overall skin texture
Selective Non
Ablative
LASER:
Pigmented
Skin Laser
Age spots
532nmQ-switch Nd YAG
Pigmented Laser Surgery
Pigmented Laser Surgery
532nmQ-switch Nd YAGFreckles
Pigmented Laser Surgery
Lentigens 532nmQ-switch Nd YAG
Pigmented Laser Surgery
Pigmented Laser Surgery
DPN 532nmQ-switch Nd YAG
Pigmented Laser Surgery
Pigmented Laser Surgery
Periorbital Darkening
Selective Non Ablative LASER
Vascular Laser Surgery
Facial Telangiectasia
Vascular Laser Surgery
Vascular Laser Surgery
Facial Erythema
Longer wavelengths 1320nm,1450nm and1540nm lasers using water
as a chromophore demonstrated mild but reproducible improvement
in wrinkles reduction
Non Ablative Laser Skin Rejuvenation
Acne Scars
Non Ablative Laser Skin Resurfacing
Longer wavelengths 1320nm,1450nm and1540nm lasers using water
as a chromophore demonstrated mild but reproducible improvement
in wrinkles reduction
NON SURGICAL SKIN TIGHTENING
Generating local heat in the tissue by high frequency
electrical current.
Radiofrequency
Monopolar Bipolar Fractional Tripolar Dual
Who will benefit from Radio-lift?
Patient with Mild to Moderate skin
changes
Patient with Modest Expectation
Patient afraid from surgery
Patient too young for it
Patients who are poor surgical candidate
Significant clinical improvement of skin tightening and wrinkles reduction
Significant improvement in skin tightening and
reduction in the nasolabial folds
Radiolift: Non Surgical Skin Tightening
Radiolift: Non Surgical Skin Tightening
Radiolift: Non Surgical Skin Tightening
Radio-lift: Skin Tightening
Non Surgical Neck Lift
Dermabrasion
Chemical Peel
Ablative Laser
Ablative Skin Resurfacing (Rejuvenation)
Spot Dermabrasion
It is effective procedure for the treatment of photodamage, acne
scarring, and scarring from surgery or trauma
Spot Dermabrasion
Acne Scars
One Week Post Op2 days Post Op
Stage III TCA
Medium Depth TCA Peel
Medium Depth TCA Peel + PRP
Medium Depth TCA Peel + PRP
Medium Depth TCA Peel
Post Acne
Freckles
Medium Depth TCA Peel
CROSS TCA Peel
Acne and chicken pox scars
CROSS TCA 50%
Acne Scars
Ablative CO2 Laser Resurfacing
Acne Scars
Ablative Laser Skin Resurfacing
Ablative Laser Skin Resurfacing
Ablative Laser Skin Resurfacing
Acquired Moles
Ablative Laser Skin Resurfacing
Ablative Radiosurgery
DPN
Thermally alter a fractions of the skin , leaving intervening areas of
normal skin untouched giving results similar to ablative laser
resurfacing in less down time
Fractional Laser Skin Resurfacing
Ablative Fractional Laser Skin Resurfacing
Ablative Fractional Laser Skin Resurfacing
Fractional Ablative Laser Resurfacing
Ablative Fractional Laser Resurfacing +PRP
Ablative Fractional Laser Resurfacing+ PRP
Ablative Fractional Laser Skin Resurfacing+ PRP
Faster healing time and fewer side effects on the expense of degree of
improvement in photo-damage when compared with ablative CO2
It is time to dive into your skin
Transdermal Drug Delivery System
No needle mesotherapy or Electroporation
It creates spaces (pores) between the cells that allow the passage of
active ingredients (anti-acne, whitening) painlessly
No needle mesotherapy or Electroporation
It creates spaces (pores) between the cells that allow the passage of
active ingredients (anti-acne, whitening) painlessly
No needle mesotherapy or Electroporation
No needle mesotherapy or Electroporation
Post inflammatory
hyperpigmenation
No needle mesotherapy or Electroporation
MSI Skin Rejuvenation Program
It time to Sooth, Calm and Moisturize
and Apply Sunblock
Oxygen Therapy
• Reduce the effects of aging by
actually nourishing the skin with
essential vitamins, minerals,
amino acids, enzymes, and pure
oxygen.
• It can be used post surgery to
speed healing process.
Are made to suit different skin
types (e.g., oily or dry), and
different skincare goals or
needs (e.g., moisturizing,
cleansing, exfoliating).
Facial Masks
Photo-Rejuvenation
A non-ablative procedure that
activates skin cells with pulses
of low-level, non-coherent and
non-thermal light energy. LED
red helps to calm the skin after
cosmetic procedures
LED
Facial Erythema
LED
Facial Erythema
LED
Botox
FILLERS
Threads
Fat
The Art of Liquid Face Lift
Botox
 BoNTA-ONA; Botox, Botox Cosmetic,
Allergan, Vistabel, Vistabex
What to Inject?
Where to inject?
Glabella (frown
Lines )
Supraciliary
wrinkles
Crow’s feet
Bunny Lines
Lip and Perioral
Nasolabial fold
Dimpled chin
Forehead
Nefertiti
Neck (platysma)
B
Forehead
A
B
Glabella or Frown Lines
A
B
Bunny Lines or Nasal Wrinkles
A
B
A Chemical Brow Lift
AB
Chemical Brow Lift
AB
Crow’s Feet
Lower Eyelids Wrinkles and Widening Eye
Aperture
1-BTX Smoothens Inferior Wrinkles
2-Widens Eye Aperture
3-Treat Dennie Morgan Folds
B
Widening Eye Aperture
MedicalRhinoplasty
2U-4U on the nasal
spine deep injection
often with fillers at
nasolabial fold
Droop Nose
Tip
•Surgery
•Botox
•Fillers
Upper Lip Wrinkles
Rosebud Mouth
1-U at Four Points 1.5cm Away from the Corner of the Mouth
Superficial at the vermillion. Treat the lower lip on the same
session. Better in Combination with Filler and Resurfacing
Contouring of the Lower Face
1-5 sites total 18U-30U IM with 30 gauge needle
With volumizing filler at mid face
1-Hyper trophy of Masseter Muscle
Not an MSI patient
Nefertiti Face Lift
2-3 BTX along and
under each mandible
and to Upper part of
the post platysmal
band for a totoal of
15-20 U each side
Neck Enhancement
Platysmal Bands
By
Prof. Osama B Moawad
The Fact is as we Age…….
To Revers Ageing
We have to fill the volume loss and remove the fat excess
What to Fill (Volume Surgery)
Fat
Transfer
Autologus
Plenty
Low cost
?Permanent
Permanent
Fillers
Expensive
Unforgivable
Immune
Reaction
Temporary
Fillers
Expensive
Superficial
Temporary
Non Living
Implants
Hard
Non
dynamic
Gaunt Look
Filler is deposited Superficially
Fat is Deposited Deep…….
Unlike other fillers successful fat grafting is
“grafting” of Living Tissue.
Filler
Fat
Wrinkles
Soft
Tissue
defect
While synthetic fillers can smooth out wrinkles and folds (superficial),
it cannot restore fullness (deep)
The Art of Liquid
Face Lift
Dermal Fillers
What to Inject?
FDA Approved Fillers
12/18/2009
MSI Rejuvenation
130
Where to Inject?
Dermal Fillers
Eye Bags
Dermal Fillers
B
Post Blepharoplasty
Dermal Fillers
Dark Circles
Dermal Fillers
Buccal Recess
Dermal Fillers
Dermal Fillers
Non Surgical Nose Job
Dermal Fillers
Non Surgical Nose Job
B
Aging Lips
Lip Augmentation
B
Lip Augmentation
Ageing Hands
Dermal Fillers
AB
Acne Scars
Dermal Fillers
By
Prof. Osama B Moawad
A
A
A
Acne Scars
12/17/2009Acne Scar
153
Acne Scars
Thread Fat Lift
It is time to Relax…………..
Patient
Instructions
The patient is given post procedural instructions
according to his tailored program
Sun Protection is a Must!!!!!
Retinoids
AntioxidantsGrowth
factors
Cytokines
Estrogen
Whitening
Moisturizer
Home Skin Care Products
MSI Skin
Rejuvenation
Program is
A High Tech
Comprehensive
Age Reversing
Program Tailored
to your Needs
and Goals

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