Facial Treatments

Aluma Skin Tightening

Turn back the clock and gently reverse the aging process

Introducing ALUMA Skin Tightening Treatments

Skin tightening treatments with our latest state of the art devices turn back the clock and gently reverse the aging process. Virtually painless, with minimal risk and no downtime, skin tightening treatments reduce fine lines and wrinkles, tighten the skin and improve aged and sun-aged skin.

How does Skin Tightening work?

The skin tightening system deposits heat deep in the skin without affecting the skin’s surface. Therapeutic radio frequency energy is deposited deep in the dermis creating a uniform, contained zone of heat. As the collagen in heated above 60◦C, it denatures, and the fibril contracts and thickens. In the months following treatment, the body’s natural wound-healing processes result in the generation of new collagen and dermal remodelling. As new, “younger” structured collagen is laid down, the skin looks tighter, firmer and more youthful.

Is the treatment suitable for me?

The skin tightening treatments available are suitable for all skin tones and hair colours. Anyone wanting to treat mild-to-moderate wrinkles and achieve smoother skin can be treated.

How long does the treatment take?

Treatment time varies from 15 minutes to 1 hour dependant on the size of the area and you can return to normal activity immediately. A series of treatments are recommended for best results. Although some improvement will be seen within a month to a few months, the skin should continue to improve for several months after treatment as new collagen is generated. During treatment, most patients report a gentle warming sensation.

Botox

Eliminates wrinkles without surgery

Botox® injections are the fastest growing cosmetic procedure in the anti-aging industry, according to the American Society for Aesthetic Plastic Surgery (ASAPS).

The beauty of Botox® is that it reduces or eliminates wrinkles without surgery, no sedation or anesthesia is required and the effects are customizable to each patient’s individual requirements, facial anatomy and muscular structure.

A few drops of Botox® are injected with a tiny needle into the muscle that creates a wrinkle or frown line. When injected into a muscle, Botox® blocks impulses from the nerve to the muscle. By selectively interfering with the underlying muscle’s ability to contract, existing lines are smoothed out.

Is Botox suitable for me?

The procedure is suitable for men and women although the specific risks and suitability for each person can only be determined at the time of consultation with our Medical Aesthetic Practitioner. Botox® may be less effective for people aged 60 and over.

When will I see results?

Within 5 – 7 days of the treatment you should start to see an improvement in your lines. The result will be assessed after 1 week at your follow up consultation. Botox® lasts for up to 4 months although patients report that Botox® lasts longer with repeated treatments.

Is Botox safe?

Discomfort is usually minimal and brief. Most patients compare the sensation to a pin–prick and treatment takes less than 10 minutes. You may resume normal activity immediately but exercise and massage should be avoided for 24 hours after treatment.

How can I benefit from Botox?

Botox can also be used to treat Hyperhidrosis (excessive sweating) of the feet, hands and armpits, and can also assist in the treatment of Migraine Headaches.

Chemical Peels

Chemical peels work well for both men and women, at any age and are the ideal treatment for anyone who wants to restore a more youthful, healthy glow to their skin. Everything from sun exposure and aging to acne and clogged pores can leave you with uneven skin tone, fine lines, scarring and a lacklustre complexion. If you want your skin to look smoother, younger and most importantly, vibrant, a chemical peel can make a significant difference. These increase cell turnover, improve hyperpigmentation and help improve melasma, a really tough problem to fix.

Easy Phytic Skin Peel

The ideal lunch time pick me up skin peel.

This is a superficial strength peel. This means that it only takes the surface layer of skin away. This peel promotes a slow release of the medication for continuous penetration of the skin. This is ideal for people who do not want to peel. The peel works as an exfoliation technique, promoting stimulation of healthy skin without the obvious signs of exfoliation.

The peel acts as a deep exfoliate eliminating the surface layer of skin that has been damaged by many different factors such as sun exposure, wind, pollution or smoking

Acne is an ever growing problem with fatty foods and sugary drinks being the main catalyst. This peel is ideal for tackling the problem of acne that normal face washes and cleansing regimes cannot deal with. The peel is especially popular for teenage acne. As the peel only takes the top layer of skin away it unblocks the skin that is affected by acne and effectively helps the acne to improve.

Indications: Early photo aging, dry skin, superficial melasma, teenagers’ skin problems.

Skin Tech: TriChloroacetic Acid (TCA) Peels

Trichloracetic acid (TCA) peels are considered medium-depth peels. They reach slightlydeeper into the skin than alpha hydroxy acid (AHA) peels–and thus often produce stronger results.

These peels also have the advantage of being suitable for most skin types, including darker-toned skin. To avoid discoloration, however, people with dark brown skin need to follow a pre-treatment protocol that may include treating the skin with alpha hydroxy acids (AHAs) first. (Your physician will explain this process to you during your consultation.)

The Treatment

TCA peels generally takes 15 to 30 minutes. The exact length of treatment will depend on how many “coats” of the acid are applied to your skin. First, your skin will be cleansed and degreased. Then the acid will be applied. As soon as the acid has reached the intended depth, your physician will apply a neutralizing solution.

You’ll experience a slight stinging sensation during the 2 to 3 minutes the solution remains on your skin. Your physician may use ice water or a fan to reduce any discomfort. If a high concentration of acid is being used, you may also be given a medication for pain or anxiety

Indications: Photo ageing and its consequences, acne and post acne pigmentation problems (melasma, chloasma, postinflamatory hyperpigmentation) ichtyosis, keratoses and letigines.

Dermapen 4MD

Advanced Skin Needling Innovations

DermaPen is a medical device intended to stimulate the skin for natural collagen and elastin induction. It helps with the absorption of active ingredients, skin tightening, lifting and rejuvenation, improves wrinkles and fine lines to name but a few. DermaPen is ideal for the treatment and prevention of premature aging of areas such as the eyes and mouth.

Is Dermapen safe?

DermaPen is much safer and more effective in piercing the skin than traditional skin needling Rollers, because of its unique vertical needling technology. It has a superior effect on collagen and elastin rejuvenation. Active ingredients are directly supplied to the deeper layers of the skin.

How is the procedure performed?

DermaPen’s multi-speed and adjustable needle depths allows the needles to pierce the skin’s layers at 90 degrees and increases the effectiveness of treatments by increasing the absorption of products. On the other hand, it reduces pain and patient downtime.

Which areas can be treated?

DermaPen can effectively treat hard-to-reach places (e.g. around the eyes, nose, and lips). Because of the vertical delivery, the needles can easily penetrate scar tissue.

DermaPen promotes scar-less healing and natural collagen reproduction, similar to fractional laser treatments, IPL, laser resurfacing, and chemical peels, but without the side effects and downtime.

How many treatments are required?

6 treatments are required spaced 1 month apart in order to observe significant results.

De-pigmentation Treatment

A safe treatment to improve the appearance of skin blemishes and pigmentation

Depigmentation treatment with Dermamelan, results in the improvement of skin blemishes and pigmentation with a very high safety margin. The Depigmentation treatment’s principal action is the elimination of melanin patches on the face (melasma and chloasma). The Depigmentation treatment involves a very versatile, dynamic process which is easily adapted to the needs of each individual patient. The Depigmentation Treatment works by blocking the process that causes hyperpigmentation.

Treatment Advantages and Benefits

The Depigmentation treatment offers a series of major advantages and benefits compared with other types of depigmentation products found in the market:

  • Very effective in all types of melasma
  • Rapid and easy depigmenting action
  • Compatible with ALL skin types (Fitzpatrick I – VI)
  • Light peeling effect
  • Rejuvenates the skin
  • Treatment can be used all year round
  • Beneficial for acne patients
  • Does not contain TCA
  • High safety margin
  • Does not contain hydro quinine

When can I expect to see results?

In 99% of the cases, the disappearance of the blemishes improves by 95%…ONE WEEK after starting the Depigmentation treatment, a noticeable significant improvement of the skin is observed! The reduction of the treated blemish is detected and the appearance of new luminous and rejuvenated skin is present.

Dermal Fillers

A popular non-surgical technique to combat the signs of aging

Dermal Fillers have become increasingly popular as a non-surgical technique to combat the signs of aging. Dr Niemann makes use of Allergan’s Juvederm® Range of Fillers namely Juvederm® Ultra, Juvederm® Hydrate and Juvederm® Voluma, which are injected under the skin to smooth lines, wrinkles and folds, shaping facial contours and sculpting lips. Dermal Fillers are made from a variety of natural and/or synthetic materials and vary in viscosity and effect.

What are dermal fillers?

Non-permanent or resorbable fillers have emerged as the products of choice amongst both doctors and patients and feature either one or more of the following key ingredients:

Hyaluronic Acid

A naturally occurring polysaccharide found in all living organisms and is therefore highly biocompatible, safe and effective. Found in the following brands Juvederm® and Restalyne®.

Collagen

The structural building block for connective tissue in the body which provides support and strength to skin, bone, tendons and organs found in brands such as Evolence®. The injected material fills in missing collagen, raising and smoothing out depressions.

The appropriate pain prevention measures are taken by our Aesthetic Practitioner in the form of a local anaesthetic cream being applied or the administering of a nerve block.

How long does the treatment take?

The treatment time can vary between 30 minutes to 1 hour and may leave the treated area a little swollen and tender for 24 hours.

What results can I expect?

Dermal fillers are made from a variety of materials and as such, results last for anything between 3 – 18 months depending on the product, the area treated and the amount used. Results also depend on a patient’s skin type and facial structure, life style and own perception.

Are there any side effects?

Side effects include slight swelling and bruising of the treated area in some patients. Dr Niemann’s patients have the added advantage of being able to combine Filler treatments with appropriate pre and post treatments with the Omnilux™ Revive and Plus Programme, the incidence of side effects is minimised dramatically with this combination treatment. In addition, this programme will ensure that the effectiveness of dermal fillers is enhanced and prolonged and that the skin will simultaneously be rejuvenated.

Fractional Laser Resurfacing

A fast, office-based procedure that yields remarkable, long-lasting results

Our skin changes over time, losing its youthful look and giving way to brown spots, wrinkles and laxity. In recent years there have been a growing number of aesthetic procedures available to treat the skin.

Active FX – the result of the latest advances in laser technology, is a new procedure that yields remarkable, long-lasting results with just one treatment. A fast, office-based procedure with minimal patient downtime, ActiveFX™ is your single treatment solution for beautiful, younger looking skin.

Active FX™ is ideal for you if you:

  • Have a busy lifestyle or cannot be away from work for a long time.
  • Want noticeable results with minimal downtime
  • Want to treat dyschromia, fine lines, wrinkles and skin laxity

What is ActiveFX Laser?

ActiveFX™ is a fractional laser procedure performed in a single treatment with minimal patient downtime. During the procedure, a high energy beam of laser light is used to smooth out lines, wrinkles and scars, remove brown spots and other irregularities and tighten the skin. It also stimulates formation of new underlying collagen to continue improvement over time. With fractional laser treatment, only a fraction of the skin’s surface is treated by the laser, leaving small “bridges” of untouched skin. This technique makes the healing process much faster and enables you to get back to normal activities sooner.

How is the procedure performed?

The procedure is performed in Dr Niemann’s Aesthetic Practice and most patients say they feel warmth similar to sunburn during the treatment. With the use of customised appropriate pain management such as the use of a short acting sedation, local aesthesia and the use of the Zimmer Cooler, the treatment is made as comfortable as possible. The use of Omnilux™ Photodynamic Therapy pre and post ActiveFX™ treatment not only assists in the healing process but also improves results. With a gentle washing and moisturizing regimen, your skin will begin to flake off within 2 days. After about 3 – 5 days, your doctor will probably allow you to wear make-up. Pinkness should be gone approximately 1 week after the treatment.

ActiveFX™ treatment produces a dramatic effect on the skin:

  • Causes immediate skin tightening
  • Reduces wrinkles and fine lines, and softens deeper frown lines
  • Noticeably improves skin tone and texture
  • Stimulates new collagen formation and plumps the skin
  • Restores the skin to a healthy youthful looking state

What results can I expect?

The results of ActiveFX™ laser treatment are long-term and with proper sun protection, can be enjoyed for many years. Most effects of the treatment become visible right away, whereas others, such as new collagen formation, which leads to continued inner tightening, build up gradually and become more evident over time. Therefore, most people look even better 3 -5 months after the procedure.

Fraxel Dual

How does a Fraxel DUAL 1550/1927 treatment work?

Fraxel DUAL 1550/1927 laser treatment targets aging and sun-damaged skin with microscopic laser columns that penetrate deep into your skin to expedite your body’s remodeling of collagen. And since the laser treats only a fraction of tissue at a time, it leaves the surrounding tissue intact, which promotes very rapid healing. Fraxel DUAL 1550/1927 treatment resurfaces your skin by stimulating the growth of new, healthy skin cells from the inside out.

What are the benefits of Fraxel DUAL 1550/1927 treatments?

  • Smoother, fresher, younger-looking looking skin
  • Improved tone and texture
  • Erasing of unwanted brown spots
  • Reduced fine lines and wrinkles around the eyes
  • Improved appearance of acne scars and surgical scars

What side effects can I expect after a Fraxel DUAL 1550/1927 treatment and how long will they last?

Swelling and redness are the most common side effects from a Fraxel DUAL 1550/1927 treatment. Any swelling is typically minimal and subsides within a day or two, and any redness typically fades within a few days. Other temporary side effects may include minor itching, dry skin, peeling or flaking, and a bronzed skin appearance. There is a limited risk of infection, hyperpigmentation, or scarring. The intensity and duration of side effects depend on the aggressiveness of a treatment and on your particular healing characteristics.

What should I expect after a Fraxel DUAL 1550/1927 treatment?

During the first 24 hours after a treatment, your skin may feel as though it is sunburned, and it will appear pink or red. You can wear make-up to reduce the sunburned appearance. Your skin will naturally bronze over the next week or two, and as you continue treatment, the sunburned-to-bronzed appearance will repeat. As with a sunburn, your skin will flake and exfoliate normally. Use a moisturizer to reduce the appearance of dry flakes.


Intense Pulsed Light

A non-invasive treatment leaving your skin smoother, clearer, brighter and “younger”

Falling under the broad category of photo-rejuvenation, intense pulsed light is a non-invasive treatment that treats skin damage without disruption of the skin’s surface.

Which areas can be treated?

IPL is particularly effective for the treatment of pigmented and vascular lesions. IPL can simultaneously treat a wide range of facial concerns safely and effectively, leaving your skin smoother, clearer, brighter and “younger”. These include the signs of photo-aging or sun damage, birthmarks, unwanted hair, unsightly small veins, broken capillaries, benign brown pigment, age spots, mottled pigmentation, poikiloderma and other blemishes.

How is the procedure performed?

A cold gel is usually applied to the area to be treated, and the smooth glass surface of the Lumenis One IPL hand piece is gently applied to the affected area/s and pulses of light are applied. The light energy is transformed into heat energy which affects the chromophore in the target tissue. The target is fragmented and absorbed without damaging the surrounding tissue, leaving the skin smooth and rejuvenated.

IPL can be tailored to meet your individual condition and skin type and offer superior results and patient satisfaction.

How many treatments are required?

4 – 6 treatments are recommended to achieve the desired effect and a further treatment every six months may be necessary to maintain the effect. To further enhance the effects of Skin Rejuvenation, a Microdermabrasion treatment with the UltraPeel II is recommended 2 weeks post each IPL treatment.

What can I expect from my treatment?

The treatment may feel like a slight sting of a snapping elastic band. By incorporating the use of our Zimmer Cooler with each treatment we are able to dramatically reduce the discomfort and inflammation experienced with this treatment. Although seldom required an aesthetic cream may be applied or appropriate pain management is administered by our Aesthetic Practitioner. All areas of the face and body can be treated with Intense Pulsed Light.

Mesotherapy

A minimally invasive procedure to rejuvenate aging skin and treat cellulite

Mesotherapy is a minimally invasive procedure that was pioneered by a French physician in 1952 and integrated into traditional medicine in the mid 80's.

Micro-injections of conventional medicines, vitamins, minerals and amino acids are directed into the mesoderm (middle layer of skin) to rejuvenate aging skin, for spot weight reduction or for the treatment of cellulite. The treatment is suitable for all skin types and tones.

Dr Niemann prefers Filorga NCTF® 135 HA, an anti-aging mesotherapy product range composed of 53+1 active ingredients that enable poly revitalization and deep hydration of skins lacking brightness, tonus, elasticity or firmness.

For Skin Rejuvenation – Mesoglow

Mesotherapy is a highly effective and painfree rejuvenating treatment that can tone and tighten sagging skin on the face, neck and chest. The combination of ingredients nourishes the skin, promotes the production of collagen and elastin, inhibits melanin and regulates microcirculation. The effect is not permanent thus maintenance may be needed every three months.

For Body Contouring

For those patients seeking weight loss, Mesotherapy is a revolutionary and essential tool. In blocking the signals of fat accumulation simultaneously triggering the release of stored fat it modifies the biology of the fat cell. Treatment can be targeted at the most problematic areas (saddlebags, hips, thighs, waist, love handles, back and chin).

For Cellulite Reduction

Cellulite affects the majority of women and is caused by poor circulation, fat herniation, a weakening of connective tissues, lymphatic congestion and hormonal imbalances. Mesotherapy can assist in correcting this problem by improving circulation, strengthening connective tissues, and dissolving excess fat.

When treating the face, 1 treatment every 2 weeks for a total of 4-6 sessions with maintenance every 3 months is recommended and for body contouring or cellulite, 10 treatments over 20 weeks.

Microdermabrasion

A painless treatment to improve the appearance of scars and acne

With UltraPeel Anti-aging Rejuvenating Skin Treatment

During microdermabrasion or MDA as it is often referred to, the outermost surface of the skin is partially or completely removed by the light abrasion. The procedure is not painful and requires no anaesthetic.

This treatment has been known to improve the appearance of scars and is also used for the treatment of acne as well as for overall improvement in the skin’s texture and appearance.

Combination treatments

At Dr Niemann’s Aesthetic practice clients enjoy the benefits of a recommended MDA treatment with the UltraPeel II 2 weeks post IPL and laser treatments. This improves the overall results of the laser or light based treatment.

How many treatments are required?

A course of 4 – 6 treatments spaced 1 month apart is recommended for skin rejuvenation. For acne and scars, it is essential that the area is assessed by Dr Niemann prior to treatment.

Are there any side efefcts?

Mild redness may occur post treatment, depending on the aggressiveness of the treatment. Please feel free to contact us with any questions you may have.

Omnilux Light Therapy

Turn back the clock on visible signs of aging with OMNILUX™ light therapy

Photodynamic light therapy is recognized by centers of excellence throughout the world as an important new weapon in the treatment of oncological and non-oncological conditions.

Omnilux™ was developed after 12 years of extensive medical research. Omnilux™ Light Therapy induces photo modulation by photon absorption, whereas lasers and IPL cause photothermolysis.

What is Photo modulation?

Cells within the body contain receptors that naturally absorb light. When the body is exposed to light, these receptors absorb the light waves. This absorption stimulates a normal cellular process that otherwise occurs naturally within the cell. Light therapy merely accelerates this process making the cell more efficient.

What conditions can be treated?

With the use of the different Omnilux™ Revive and Plus lamps we are able to treat conditions such as acne, skin rejuvenation and to also assist in wound healing.

How many treatments are required?

For best results a series of 20 minute treatments is recommended dependant on the condition being treated.

Silhouette Soft®

What is Silhouette Soft® ?

A technological innovation serving rejuvenation

When women are asked what they consider their two main signs of facial ageing, the answer is invariably loss of skin tone causing sagging of facial contours and the appearance of wrinkles, fine lines and creases.

This phenomenon, which worsens with age and the menopause, is due to the loss of collagen, the protein found in all structures of the body, especially the skin, and which ensures the cohesion, elasticity and regeneration of tissue. With age, collagen diminishes and the skin becomes less firm and saggier. The face also loses fats (becoming more skeletal), becoming hollow on the sides, and heaviness accumulates under the chin, and the lower cheeks.

Solutions exist, but choices have to be made: either to restore volume, using targeted injections, or to tighten the skin, by means of more invasive interventions…

"THE FACE IS REDEFINED, VOLUME RESTORED, AND THE EFFECTS OF AGEING SIGNIFICANTLY REDUCED."

How does Silhouette Soft® work?

The Silhouette Soft® double action

Combatting the effects of ageing above all means restoring smoother and more toned skin, but also a more shapely face. To meet this dual requirement, SILHOUETTE SOFT® combines two effects : lifting and regenerating.

The lifting effect is immediate and discreet as it is the result of compressing and elevating tissue at the time of adjusting the suture. After inserting the suture, the doctor applies slight pressure on the treated area. In this way, the doctor reshapes the surface of the skin and makes it visibly smoother.

The regenerative effect is gradual and natural : polylactic acid (PLA), the principal component of SILHOUETTE SOFT® is a polymer known in the medical field for many years (suture thread, orthopaedic pins, screws and nails for bone fractures are all made from PLA). It is because this polymer is particularly biocompatible with human beings, and also completely biodegradable, that such applications have been developed. Once the suture is applied, the polylactic acid acts on the deeper layers of the skin and helps increase the volume of saggy areas, restoring shapeliness to the face gradually and perfectly naturally.

VISIA® Complexion Analysis

Seeing is believing with the VISIA® Complexion Analysis

An innovative screening device which is used extensively in Dr Niemann’s Aesthetic Practice. This incredible device assists us in dramatically illustrating the damaging effects of excessive sun exposure to the skin. This new innovation also enables us to track our patients’ treatment progress and improvement in their scores after the relevant recommended treatments have been completed.

Upon your first visit to Dr Niemann’s Aesthetic Practice, it is recommended that one undergoes a detailed VISIA® Analysis. This will not only provide you with detailed information pertaining your individual skin’s needs but will also provide you with an informative session of all our Aesthetic Treatments on offer.

How does the VISIA System work?

The VISIA® Complexion Analysis System is a self contained unit that captures multi-spectral photos of the face, examining the complexion for wrinkles, spots, pores, evenness (colour variation in the skin tone), porphyrins (evidence of bacteria in pores), and UV spots (characteristic of photo-damage, typically from over exposure to the sun) as well as grading skin features relative to other users of the same sex, age and skin type. The system automatically generates measurable values for skin features that previously could only be evaluated subjectively.

An additional feature of the VISIA® system which is available at Dr Niemann’s Aesthetic Practice, is its Mirror Rejuvenation software, which magically simulates the effects of aging, Botox®, dermal fillers, laser procedures, microdermabrasion, peels and other skin rejuvenation therapies. It quickly and easily shows the benefits of aesthetic services while clearly establishing reasonable patient expectations.

The VISIA® Complexion Analysis is an absolute must for all clients embarking on an aesthetic treatment journey.