At IMAGE Institute, we conceive wellness as an integrated system. The health of the human body depends on a complex balance between structure, function, and energy. It is within this holistic vision that our cupping therapy treatment in Milano finds its highest expression. This ancient therapeutic technique, now supported by growing scientific validation, is a pillar in our advanced aesthetics and longevity pathways. We employ it as part of a synergistic protocol that unites the wisdom of traditional Eastern medicine with the most advanced Western methodologies, to promote drainage, tissue recovery, and deep energetic rebalancing. Cupping Therapy: What Is It For? Cupping therapy serves to stimulate and awaken the body's physiological systems. By applying controlled decompression (or suction) to the skin, the technique acts on multiple levels. Primarily, it creates a blood influx (hyperemia) to the treated area. This increased blood flow brings fresh oxygen and nutrients, accelerating tissue repair processes and the removal of metabolic waste. It acts powerfully on the lymphatic system, promoting the drainage of excess fluids and toxins. It is also renowned for its ability to release adhesions in connective tissue (fascia) and relax deep musculature. Therefore, its field of application is vast: from sports recovery to treatment of cellulite imperfections, from chronic pain management to improving water retention. How Cupping Therapy Is Practiced: Techniques and Tools Used The practice of cupping therapy has evolved. Although the traditional "fire" technique (where a flame creates the vacuum in a glass cup) is still used, the modern approach employs more precise and safer instruments. At IMAGE Institute, we use an advanced device, the Linfodrainer , which allows rhythmic and controlled aspiration. This enables us to modulate the intensity and frequency of suction, personalizing the treatment with extreme precision based on patient sensitivity and therapeutic objectives. There are different application methods: Technique Description Main Objective Static Cupping (Fixed) Cups are positioned on specific points (e.g., trigger points, acupuncture points) and left in place for several minutes. Release deep muscle knots, treat localized pain, stimulate energetic points. Dynamic Cupping (Gliding) After applying oil, the cup is glided over the skin surface while maintaining controlled suction. Work on connective tissue (fascia), release adhesions, promote lymphatic drainage over extended areas. Our approach unites the mapping of energetic meridians from Eastern tradition with Western physiological precision, guaranteeing a treatment that acts both on the symptom (e.g., water retention) and on systemic balance. Benefits of Cupping on the Back The back is one of the areas that benefits most from cupping therapy. Postural tensions, hours spent at a desk, intense training, or accumulated stress manifest as stiffness, contractures, and pain. Cupping acts as a "reverse massage": instead of compressing muscles with pressure, it lifts them. This lifting breaks down muscle knots (trigger points), releases "stuck" connective fascia, and increases blood flow, relieving pressure. Patients report an immediate sensation of lightness, a reduction in lower back pain, and greater flexibility. It is a fundamental treatment for those suffering from chronic back pain, dorsal stiffness, or widespread muscle pain. Application Areas of Cupping in Regenerative Medicine The versatility of cupping makes it a key component in our Longevity and functional recovery programs. We do not consider it just a massage for muscle relaxation, but a true therapeutic act that prepares the body for regeneration. The main application areas include: Cervical Area: It is extremely effective in relieving tension in the neck and shoulders, often the cause of tension headaches and stiffness. Lower Limbs (Legs and Glutes): Here cupping expresses its maximum aesthetic and functional potential. It is one of our treatments of choice for cellulite and water retention. It stimulates lymphatic drainage incomparably, combats leg heaviness, and improves tissue oxygenation, making skin more toned and elastic. Face: Facial cupping (performed with specific cups and very gentle suction) is an excellent treatment to decongest, drain (treating bags and edema), and stimulate collagen. Abdomen: Can be used to promote visceral mobility and support digestive function, in line with a holistic approach to health. At IMAGE Institute, the effectiveness of cupping is amplified by its integration into synergistic protocols. For example, combining it with bioresonance allows working simultaneously on the physical-draining plane and on the bio-energetic one. This integrated approach to cupping unites Eastern rebalancing with Western aesthetic efficacy, offering a personalized experience. Precautions and Contraindications of Cupping Therapy Although cupping therapy is a safe and widely tolerated procedure, specific precautions exist. The treatment is not recommended in the presence of open skin lesions, acute dermatitis, infections, or severe capillary fragility in the area to be treated. Caution is necessary in patients taking anticoagulant medications or with coagulation disorders. Cupping is also generally contraindicated during pregnancy. After the session, circular marks that may appear (ecchymosis) are a normal physiological reaction due to blood influx and are not painful. They disappear spontaneously within a period ranging from 2 to 7 days. It is essential, as indicated in our protocols, to hydrate abundantly after treatment to facilitate the elimination of toxins released into circulation by the lymphatic system. Experiences and Testimonials: Cupping Results at IMAGE Institute Patients who turn to IMAGE Institute for cupping often seek a solution to problems that have persisted for some time, such as chronic leg heaviness or muscle stiffness refractory to other treatments. The experiences of our patients confirm the effectiveness of our integrated approach. Athletes and sports enthusiasts appreciate the speed of muscle recovery, while those following our aesthetic pathways notice a tangible improvement in skin texture and a visible reduction in cellulite imperfections. The most common feedback is the sensation of "lightness," both physical (reduced leg swelling) and mental, deriving from the energetic rebalancing promoted by the synergy of techniques. The results are not only aesthetic, but translate into deep wellness and renewed vitality. Frequently Asked Questions (FAQ) What Are the Benefits of Cupping? The main benefits include deep muscle relaxation, reduction of pain and inflammation, improved blood circulation, and a powerful draining effect on the lymphatic system. It is effective for treating muscle stiffness, pain (such as back and neck pain), and imperfections such as cellulite and water retention. How Long Does the Effect of Cupping Last? The effect of muscle relief and lightness is often immediate. For lasting benefits, especially in treating cellulite or chronic pain, a cycle of sessions is recommended. The efficacy is cumulative: the more sessions performed, the more results consolidate over time. Is Cupping Painful? The treatment is not considered painful. The suction creates a "pulling" sensation on the skin that most patients find relaxing. There may be slight discomfort only in cases of highly inflamed or contracted tissue. The circular marks that may appear after static sessions are not painful and disappear within a few days. How Much Does a Cupping Session Cost? The cost of a cupping session depends on the personalized therapeutic pathway. At IMAGE Institute, cupping is often integrated into complex protocols that may include other technologies, such as Bioresonance, to maximize results. A precise plan is defined during the initial consultation with our specialists.

Facial expressions are the reflection of our emotions, but over time, repeated muscle movements can mark the skin, creating expression lines. At IMAGE REGENERATIVE, we conceive aesthetic medicine as a balance between enhancing individual beauty and proactive prevention. Treatment with botulinum toxin is a fundamental clinical tool in this journey. We offer a customized approach that respects the uniqueness of each face, using advanced protocols such as Classic Botox , Baby Botox , and Microbotox . These treatments are ideal for those who wish to prevent the first signs of aging, maintaining a fresh face for longer, and are perfect for improving already evident expression lines. If you are looking for a professional Botox treatment in Milano , at our facial aesthetic medicine center the goal is to achieve a fresh and rested appearance, never unnatural. Botox: What It Is and How It Works Botox is the best-known commercial name for botulinum toxin type A, a purified protein with a neuromodulating function. It is important to clarify a common misconception: botulinum is not a filler, it does not "inflate" or fill facial volumes. Its mechanism of action is highly specific and is based on the temporary inhibition of acetylcholine release, the neurotransmitter that commands muscle contraction. When injected in minimal and controlled doses into specific muscles, botulinum modulates their activity, reducing contraction. This muscular relaxation allows the overlying skin to smooth out. Consequently, dynamic wrinkles, those caused by movement (such as frowning or smiling), are visibly reduced. This mechanism offers a powerful preventive advantage. By preventing excessive and repeated contraction, botulinum prevents the "breakdown" of collagen fibers in the dermis, delaying the transformation of dynamic wrinkles into static wrinkles (grooves visible even at rest). Type of Treatment Main Indications Main Result Classic Botox Already evident or marked expression lines (forehead, glabella, eyes). Visible smoothing and rejuvenating effect on signs of aging. Baby Botox Prevention of first wrinkles, fine lines, young patients. "Soft", preventive and very natural effect, ideal for those who wish to preserve facial expressions. Microbotox Enlarged pores, shiny or oily skin, irregular skin texture. Improves overall skin quality, brightness and compactness, without blocking main muscles. The Botulinum Application Process: Step by Step Entrusting yourself to experienced professionals is the first step to ensure a safe and effective result. At IMAGE REGENERATIVE, the treatment follows a rigorous clinical protocol to ensure comfort and precision. Specialist Consultation: Everything begins with an in-depth facial analysis. Our specialist physician evaluates the patient's muscle mimicry, skin quality and discusses desired goals. At this stage, the best approach is decided, establishing whether to proceed with a classic Botox for marked wrinkles, a preventive Baby Botox or a Microbotox to improve skin texture. Preparation and Mapping: The area to be treated is cleansed and disinfected. The physician asks the patient to perform specific expressions (such as frowning or raising eyebrows) to precisely identify injection points. These points are mapped on the face to ensure a symmetrical and natural treatment. Injection: The procedure is quick, lasting approximately 15-20 minutes. Using very fine micro-needles, the physician injects minimal amounts of botulinum toxin directly into the target muscles. The perceived discomfort is minimal. Post-Treatment Instructions: Immediately after the session, it is possible to resume normal daily activities. Slight redness may appear at the injection points, which disappears within a few minutes. We recommend avoiding intense physical activity, direct sun exposure or manipulation of the treated area for the following 24 hours. Botox Efficacy on Face, Eyes and Forehead: Results and Clinical Studies The efficacy of botulinum is scientifically documented by decades of clinical studies, which attest to its high safety profile and patient satisfaction. It is one of the most performed aesthetic medicine treatments in the world, approved by major international regulatory bodies (such as FDA and AIFA). The areas where treatment offers the most evident results are those of the upper third of the face: Forehead Wrinkles: The horizontal lines that appear when eyebrows are raised. Glabellar Wrinkles: The vertical furrows ("number 11") that form between the eyebrows when frowning. Periocular Wrinkles (Crow's Feet): The radial lines that form at the sides of the eyes when smiling. Beyond these classic uses, at IMAGE REGENERATIVE we apply advanced protocols such as Microbotox (or Mesobotox). This advanced technique involves more superficial injections that, by relaxing micro-muscle contractions, visibly improve skin texture, reduce enlarged pores and increase overall facial brightness. Recovery Time and Duration of Botox Effects One of the most frequent questions concerns timing. Botulinum is a non -surgical procedure with zero recovery time. Results are not immediate. The action of botulinum toxin begins to manifest after approximately 48 hours (2-3 days) from the injection. The effect intensifies progressively, reaching its maximum peak of muscle relaxation and wrinkle smoothing after approximately 10-15 days. The duration of results is subjective, but on average ranges between 4 and 6 months. As months pass, the muscle gradually resumes its normal contractility and wrinkles begin to reappear. It is possible to repeat the treatment regularly to maintain a consistent result and enhance the preventive effect over time. Possible Side Effects and How to Manage Them Treatment with botulinum toxin is extremely safe when performed by qualified medical personnel with certified products. The most common side effects are mild and transient, such as small bruises or a slight headache in the hours following the injection. More serious complications, such as asymmetry or eyelid ptosis (temporary lowering of the eyelid), are rare and almost always related to incorrect dosage or injection at incorrect anatomical points. Choosing an experienced professional, with deep knowledge of facial anatomy, is the main guarantee to avoid unwanted results. A qualified physician knows how to dose the product to achieve a relaxed and fresh expression, avoiding the "frozen" or "mephistophelian" look. Should a patient present with the results of a poorly executed treatment performed elsewhere, an experienced physician can evaluate strategies to rebalance the face or manage the situation until the natural resolution of the effect. Final Considerations: Is Botox the Right Solution for You? Botulinum represents an excellent and safe solution for anyone, man or woman, who wishes to reduce signs of aging caused by facial expressions or act preventively. If your goal is to reduce forehead wrinkles, those between the eyebrows or crow's feet, while maintaining a natural appearance and harmonious expressiveness, botulinum is probably the indicated treatment. The key to a successful result lies in personalization: a "tailored" treatment by an experienced physician who knows how to enhance your uniqueness without altering it. The first step to discover if this path is right for you is a specialist consultation. Frequently Asked Questions (FAQ) When does the effect of Botox begin to show? The first effects of treatment begin to be visible after approximately 48 hours (2-3 days) from the session. The result intensifies in the following days, reaching its maximum efficacy and stability after approximately 10-15 days. Does Botox eliminate wrinkles? Botox works by relaxing the muscles responsible for dynamic wrinkles (those formed by movement, such as crow's feet when smiling). These wrinkles are temporarily reduced or eliminated. It also prevents dynamic wrinkles from becoming static wrinkles (grooves visible even at rest). If static wrinkles are already deep, Botox reduces them, but for optimal results it may be necessary to integrate it with regenerative or biostimulating treatments. What is the difference between Botox and Baby Botox? Baby Botox uses the same botulinum toxin as the classic treatment, but in micro-doses. It is a lighter approach, ideal for young patients who wish to prevent the formation of first wrinkles or for those seeking an extremely soft and natural result, reducing fine lines without completely eliminating movement. Is Botox treatment painful? The procedure is generally well tolerated and not considered painful. Extremely fine needles are used and injections are very quick. Most patients experience only a slight and momentary discomfort, similar to a small pinch.

Water retention, a feeling of heaviness in the legs, and cellulite are extremely common conditions, often linked to a sedentary lifestyle, hormonal imbalances, or metabolic changes. Addressing these issues requires an approach that goes beyond the surface. At Image Institute, we integrate scientifically validated treatments into our body reshaping programs that work in synergy with the body’s physiology. Calco Verde in Milan is one of these a natural yet technologically advanced treatment based on thermal and botanical principles, which we use to enhance weight management and cellulite treatments, ensuring visible results and a deep sense of wellbeing. Calco Verde: an innovative approach to regenerative medicine Most aesthetic treatments focus solely on visible imperfections, neglecting the biological context in which they appear. Calco Verde , on the other hand, acts as a true tissue preparator , optimizing the cellular environment and supporting the principles of regenerative medicine. At our clinic, we don’t consider it a simple body wrap, but an essential biostimulating treatment . It is formulated with 100% natural ingredients — mainly vegetable gypsum (a bi-hydrated calcium sulfate) and pure botanical actives such as rosemary essential oil . Its function is to prepare the skin and underlying tissues to receive deeper medical treatments. It improves vascularization and promotes powerful drainage, essential to cleanse the extracellular matrix. A “clean” and well-oxygenated tissue responds exponentially better to regenerative therapies, maximizing the efficacy of technologies such as shock waves or radiofrequency . The scientific principles behind Calco Verde The effectiveness of Calco Verde is not magical but purely physiological. It relies on two precise scientific mechanisms acting in synergy: osmotic action and vascular gymnastics . The treatment involves applying a compound that, once spread on the skin, follows a precise thermal sequence: cold, hot, cold . Phase 1 (Initial Cold): upon application, the cast induces superficial vasoconstriction. Phase 2 (Intense Heat): the gypsum starts its thermal reaction, generating endogenous heat lasting about 20–25 minutes. This heat causes deep vasodilation, drawing oxygenated blood into the tissues. Phase 3 (Final Cooling): the cast cools and hardens, triggering a second, intense vasoconstriction. This alternation creates passive vascular gymnastics , acting as a powerful natural pump. At the same time, the hardening of the gypsum generates an osmotic effect that literally “draws out” excess fluids and toxins from the tissues (edema) and pushes them toward the lymphatic system for elimination. How Calco Verde is applied in weight-management therapies Within weight-management programs — such as our personalized medical slimming plan. Calco Verde plays a strategic role. When the body begins to lose weight, especially by mobilizing fat reserves, it releases toxins and metabolic waste previously stored in adipose tissue. This process can overload the lymphatic system, leading to water retention, inflammation, and bloating, which can mask the real progress achieved through diet. Calco Verde acts as a powerful detoxifying and draining support . By helping the body eliminate fluids and toxins more effectively, it accelerates deflation and improves tissue metabolism. Patients not only see faster results on the scale and in the mirror but also experience a sensation of lightness that enhances motivation to continue the program. Benefits of Calco Verde for cellulite and wellbeing Calco Verde is a key ally in treating cellulite, particularly the edematous type (characterized by fluid retention). Its main benefits include: Draining action: visibly reduces swelling and water retention. Detoxifying action: helps cleanse tissues of metabolic waste. Toning action: the tightening effect of the gypsum and the stimulation of microcirculation make the skin immediately firmer and more compact. Immediate wellbeing: relieves the feeling of “heavy legs.” At Image Institute, the true potential of Calco Verde emerges when combined with our advanced aesthetic technologies. We create integrated protocols in which Calco Verde acts as an amplifier: Synergy with Shock Waves: Shock Waves break fibrotic nodules of cellulite. Calco Verde , applied afterwards, is essential for draining the released inflammatory fluids and catabolites, accelerating the resolution of the imperfection. Synergy with Radiofrequency (Diathermy): Diathermy stimulates collagen production in the deeper layers. Calco Verde works on the surface, improving oxygenation and skin texture for a complete toning effect — both deep and superficial. This integration allows cellulite and skin laxity to be addressed on all fronts, optimizing the outcome of each session. Therapeutic Synergy Table Goal Primary Treatment (Deep Action) Synergistic Action of Calco Verde (Draining / Toning) Reduction of Fibrous Cellulite Shock Waves (breaking fibrotic nodules) Draining of inflammatory fluids and toxins released Skin Laxity (Toning) Diathermy (deep collagen stimulation) Improved microcirculation and oxygenation; surface tightening Weight Management & Detox Medical Slimming Program (metabolism) Elimination of metabolic waste and reduced water retention Edema and Heavy Legs Calco Verde (Main Focus) Vascular gymnastics (Cold-Hot-Cold) to reactivate venous and lymphatic flow Success stories and patient testimonials with Calco Verde In our clinical programs, we observe the effectiveness of this integrated approach daily. Patients who successfully complete their personalized medical slimming program often achieve significant volume loss but may experience reduced skin tone and persistent swelling in the lower limbs. Adding a cycle of Calco Verde treatments combined with radiofrequency sessions has helped redefine the silhouette harmoniously, restoring skin firmness and resolving edema. Another frequent case involves patients with resistant edematous cellulite and a persistent sensation of heaviness. By combining Shock Waves (for the fibrotic component) and Calco Verde (for the fluid component), patients report an almost immediate improvement in leg lightness and a visible reduction of the “orange peel” appearance within a few weeks. The future of Calco Verde in regenerative medical practice The future of body reshaping lies in integrated, safe, and non-invasive protocols. Calco Verde perfectly embodies this philosophy: it combines the efficacy of natural principles (phytotherapy and thermotherapy) with the precision of a medical protocol. It is not a “temporary fix,” but a true biostimulator that retrains the vascular and lymphatic systems. Within the Longevity Programs of Image Institute, Calco Verde is a key tool to maintain healthy, detoxified, and responsive tissues. Preparing the biological “terrain” is the first step to ensure that any regenerative or aesthetic therapy performs at its maximum potential. FAQ – Frequently Asked Questions What is Calco Verde? Calco Verde is a 100% natural aesthetic treatment made from vegetable gypsum (calcium sulfate) and botanical actives such as rosemary essential oil . It is applied to the body — mainly the legs, abdomen, and buttocks — where, as it hardens, it performs a powerful draining and toning action. What are the benefits of Calco Verde? Calco Verde is primarily recommended to counteract water retention , cellulite (especially edematous), and the sensation of heavy legs . It has a detoxifying action, improves microcirculation, and provides an immediate tightening effect, leaving the skin visibly firmer and smoother. What is Calco Therapy? Calco Therapy is the treatment using Calco Verde to stimulate passive vascular gymnastics . By leveraging a controlled thermal sequence (cold–hot–cold) and osmotic action, the therapy actively pumps out excess fluids and toxins from tissues toward the lymphatic system for elimination. Is Calco Verde enough on its own to eliminate cellulite? Calco Verde is extremely effective in treating the liquid component of cellulite (retention and edema) and improving skin appearance. For more structured cellulite (fibrotic or adipose), the best and longest-lasting results are achieved when integrated into a medical protocol that includes technologies such as Shock Waves or Radiofrequency (Diathermy) — as we do at Image Institute .

Under-eye filler treatment is among the most requested aesthetic procedures to refresh one’s gaze and reduce signs of fatigue. However, as with any medical procedure, it’s essential to be aware of potential complications. One of these although not dangerous but aesthetically unpleasant is the Tyndall effect . At Image Regenerative Clinic, under the scientific direction of Professor Carlo Tremolada, we place the utmost attention on safety and the harmony of results. We deal daily with the complexities of regenerative and aesthetic medicine, offering advanced solutions both for those who wish to enhance their appearance and for those who need to correct the outcomes of previous treatments. What Is the Tyndall Effect in Fillers and How It Manifests The Tyndall effect is an optical phenomenon that occurs when a hyaluronic acid–based filler is injected too superficially into the thin skin of the under-eye area. When light passes through the skin and strikes the gel particles, it scatters, creating an unsightly bluish or grayish discoloration similar to a persistent bruise. It is important to distinguish it from a common post-treatment hematoma. While a bruise is caused by a small blood leak and fades within a few days, changing color (from purple to yellow/green), the Tyndall effect does not resolve spontaneously and may persist for months, sometimes for the entire duration of the filler. This abnormal pigmentation makes the gaze appear tired and aged, effectively undermining the purpose of the initial treatment. Main Causes of the Tyndall Effect in Aesthetic Treatments The occurrence of the Tyndall effect is not random; it is linked to well-defined factors that every skilled practitioner knows and can prevent. The main causes include: Superficial injection: The most common cause. The skin of the lower eyelid is the thinnest in the body. If hyaluronic acid filler is placed just beneath the surface, its transparency interacts with light, producing the characteristic discoloration. Type of filler used: Not all fillers are the same. Products with smaller or less cross-linked particles, while smoother, may be more prone to this effect if not injected at the correct depth. Excessive amount of product: Overcorrection or injecting too much filler in such a delicate area increases the risk that part of the product will sit too superficially. Patient anatomy: Individuals with very thin, fair skin may be more predisposed to developing the Tyndall effect, even with a correctly performed injection. Identifying the Symptoms: When to Be Concerned Recognizing the Tyndall effect is the first step to treating it effectively. It is often mistaken for swelling or a bruise, but there are key differences. While it poses no health risk, the aesthetic impac, if unmanaged, can cause significant distress. Key differences: Characteristic Tyndall Effect Bruise (Hematoma) Swelling (Edema) Color Bluish, grayish, purplish Purple, bluish turning green/yellow Usually colorless, sometimes red Onset Gradual; may appear days or weeks later Immediate or within hours Immediate or within hours Duration Persistent; does not resolve spontaneously Resolves within 7–14 days Fades within a few days Sensation Generally painless May be sore or tender Feels tight or full A much rarer and more serious complication—not to be confused with the Tyndall effect—is filler-induced ischemia , which presents with acute pain, skin blanching, and requires immediate medical attention. Preventive Strategies for Post-Filler Swelling Under the Eyes Prevention is the most effective strategy. Choosing a practitioner with in-depth knowledge of facial anatomy and extensive experience in treating the delicate periocular area is crucial. An experienced doctor will know how to: Choose the right product: Select a hyaluronic acid filler specifically designed for the under-eye area, with the appropriate density and elasticity. Apply the correct technique: Inject at the right depth—typically supraperiosteal (in contact with the orbital bone)—to avoid visibility through the thin skin. Use the proper dosage: Proceed conservatively, using the minimum amount necessary to achieve a natural correction and avoid overfilling. Treatment Options to Correct the Tyndall Effect When the Tyndall effect has already occurred, waiting for the filler to dissolve naturally is not a practical solution—it can take many months. The most effective and safest solution is the use of hyaluronidase , an enzyme capable of selectively dissolving hyaluronic acid. At Image Regenerative Clinic, we manage this complication with the utmost precision. Hyaluronidase injections are performed under ultrasound guidance , allowing us to visualize the filler’s exact position in real time and inject the enzyme precisely where needed. Ultrasound guidance ensures that only the superficial deposit causing the Tyndall effect is dissolved, preserving the deeper, correctly placed filler and minimizing any risk to surrounding tissues. The result: a return to normal appearance within hours, in total safety. When to See a Professional: Guidelines and Advice If you notice persistent discoloration in an area treated with filler, do not underestimate it. Consult an experienced practitioner—ideally at a clinic specializing in the management of filler complications. At Image Regenerative Clinic, our philosophy is rooted in regenerative medicine. For periocular rejuvenation, we offer a superior alternative that completely eliminates the risk of the Tyndall effect: Lipogems® treatment. This patented method, developed by Professor Tremolada, uses micro-fragmented adipose tissue taken from the patient’s own body. Unlike synthetic fillers, Lipogems® is not a transparent gel but a living biological tissue that regenerates the skin from within—restoring natural volume and improving skin quality. Because it is autologous tissue and not a gel, it cannot cause light diffusion leading to the Tyndall effect, making it the safest and most natural solution for harmonious eye rejuvenation. Frequently Asked Questions (FAQ) What are the side effects of under-eye filler? The most common side effects are temporary: swelling, mild bruising, and redness at the injection site. Less frequent but more persistent complications include nodules, asymmetries, and the Tyndall effect. Severe complications—such as vascular occlusion—are extremely rare when performed by an experienced physician. What causes swelling under the eyes after filler? Post-filler edema is a common reaction due to injection trauma and the hygroscopic nature of hyaluronic acid, which attracts water. It usually resolves within a few days. Persistent or delayed swelling may be related to inflammation or impaired lymphatic drainage and requires medical evaluation. What damage can filler cause to the face? If performed by unqualified personnel, filler can cause aesthetic damage such as asymmetry, nodules, granulomas (chronic inflammatory reactions), or the Tyndall effect. The most serious, though rare, risk is intravascular injection (ischemia), which can lead to skin necrosis or, in exceptional cases, blindness if vessels supplying the eye are affected. What are the side effects of hyaluronidase? Hyaluronidase is generally safe. The most common side effects are mild and temporary: redness, swelling, or small bruises at the injection site. In rare cases, allergic reactions may occur; for this reason, a small skin test is routinely performed before full treatment to rule out this risk.

Cellulite is a widespread condition that affects most women, regardless of body shape. It appears with the characteristic “orange peel” texture, resulting from altered microcirculation and inflammation of the subcutaneous adipose tissue. To address it effectively, one must go beyond the surface. At Image Regenerative Clinic, we have developed advanced protocols that integrate the most effective technologies for body contouring. Among these, shockwave therapy stands out as one of the most scientifically validated and effective non-invasive solutions to treat cellulite, visibly improving both the appearance and the health of the skin. Shockwave Therapy: What It Is and How It Works Shockwaves are high-energy acoustic waves originally developed in urology for treating kidney stones, later finding remarkable applications in aesthetic medicine. This technology transmits sonic impulses into the tissues, generating deep mechanical stimulation that reactivates the body’s natural regenerative processes. During treatment, a specific handpiece is moved over the targeted area, releasing these energetic waves. The action goes beyond the surface, reaching the deeper layers of the dermis and connective tissue. To maximize effectiveness, our protocol includes the V-ACTOR system , a complementary technology that uses high-frequency vibrations to enhance lymphatic drainage and promote deep muscular relaxation, making the treatment even more comfortable and effective. Eliminating and Reducing Cellulite with Shockwave Therapy: What to Expect It’s important to approach the treatment with realistic expectations. Shockwave therapy does not “erase” cellulite in a single session — it triggers a progressive and visible improvement process. The goal is a significant reduction of irregularities and an overall improvement in skin quality. During the session, you’ll feel sensations similar to a deep, energetic massage with light pressure impulses on the treated area. The treatment is generally well tolerated; mild discomfort may occur only in areas where cellulite is more edematous or nodular, but this tends to diminish with each session as inflammation subsides. Our approach combines medical and therapeutic expertise: after a thorough clinical assessment, a tailor-made protocol is defined, often treating the entire leg first before focusing on critical zones to ensure a complete and personalized action. Benefits of Shockwave Therapy in Cellulite Treatment The effectiveness of shockwave therapy comes from its multi-level action , providing both visible and lasting benefits. This treatment goes beyond a temporary aesthetic effect — it promotes genuine tissue regeneration . The main benefits include: Improved microcirculation: Acoustic waves stimulate vascularization, increasing oxygen and nutrient supply while promoting toxin elimination. Lymphatic system stimulation: The treatment supports efficient drainage of excess fluids, reducing swelling, water retention, and leg heaviness. Regenerative action: Mechanical stimulation activates fibroblasts to produce new collagen and elastin, resulting in visibly firmer, smoother, and more elastic skin. Reduction of adipose tissue: Shockwaves help break down the fibrous septa that trap fat cells, reducing nodules typical of cellulite and smoothing the skin. What to Expect During a Shockwave Therapy Session A session at Image Regenerative Clinic is comfortable and non-invasive . The treatment lasts between 30 and 50 minutes, depending on the area treated, about 30 minutes for localized areas and up to 50 minutes for the whole leg. The patient is positioned comfortably, and a conductive gel is applied to ensure proper transmission of the acoustic waves. How many sessions are needed? While initial improvements may be visible after just a few applications, a complete and long-lasting result typically requires a cycle of 8 to 10 sessions , scheduled weekly or bi-weekly according to the clinical picture. After each treatment, drinking plenty of water is essential to promote diuresis and the elimination of mobilized fluids. Expected Results: When and How Improvements Appear The results of shockwave therapy are progressive . After the first 3–4 sessions, many patients notice smoother skin and reduced heaviness in the legs. As the treatment cycle continues, the “orange peel” appearance visibly diminishes, especially on the thighs and buttocks. Clinical studies confirm the effectiveness of this technology, showing an average reduction in leg circumference of about 3 cm every two sessions and a satisfaction rate exceeding 89% . The improvement in skin firmness, due to new collagen production, continues in the weeks following the end of the treatment cycle. Expected Benefit Indicative Timing Final Result Improved Drainage and Lightness After 2–3 sessions Significant reduction in swelling and water retention. Smoother Skin Texture After 4–5 sessions Noticeable reduction of “orange peel” appearance. Increased Firmness From the 6th session onward Visibly firmer and more elastic skin. Circumference Reduction Progressive during the cycle More defined and reshaped silhouette. Comparison Between Shockwave Therapy and Other Anti-Cellulite Treatments Shockwave therapy is highly effective on its own, but its results can be exponentially enhanced when integrated into a comprehensive protocol. At Image Regenerative Clinic, our strength lies in combining different methods to create synergistic, customized programs . Depending on the initial diagnosis, shockwave therapy can be combined with: Mesotherapy and Ozone-Oxygen Therapy: To deliver draining or lipolytic substances and improve oxygenation, addressing the root causes of cellulite. Diathermy and Coolwaves®: To combine the mechanical action of shockwaves with deep heat that stimulates collagen, or selective microwaves that target fat cells. Cupping Therapy and TRAP Phlebotherapy: To enhance lymphatic drainage, boost microcirculation, and treat capillary fragility. Bioresonance Therapy: To rebalance cellular energy and optimize the body’s response to treatments. Medical Weight-Loss Program: For those needing a comprehensive approach including weight reduction, shockwave therapy supports body contouring and skin tone maintenance. This holistic method allows us to target cellulite from multiple angles, ensuring superior and longer-lasting results compared to single-modality treatments. Frequently Asked Questions (FAQ) How many shockwave sessions are needed for cellulite? For optimal and lasting results, a cycle of at least 8–10 sessions is recommended. The frequency, usually weekly or bi-weekly, is determined during the initial consultation based on the patient’s clinical assessment. How do shockwaves work on cellulite? Shockwaves act through a triple mechanism , mechanical, chemical, and biological. They reduce the fibrotic bands typical of cellulite, stimulate both blood and lymphatic microcirculation, and activate fibroblasts to produce new collagen and elastin. The result is smoother skin, better drainage, and improved tone. When are results visible? The first improvements, such as lighter legs and smoother skin, can be felt after 3–4 sessions . More visible results, including reduced cellulite and firmer skin, consolidate by the end of the treatment cycle and continue to improve over the following weeks. What should be avoided after shockwave therapy? There are no specific contraindications after treatment. It’s recommended to drink plenty of water in the hours following each session to help the body eliminate mobilized fluids and toxins. Maintaining a healthy lifestyle helps preserve and enhance results over time.

In the field of regenerative aesthetic medicine, the search for visibly younger, firmer and more even skin is a constant. At Image Regenerative Clinic in Milan, we combine clinical excellence with the most advanced technologies to offer solutions that do not simply correct but deeply regenerate. Among these, skin resurfacing techniques such as photorejuvenation with fractional ablative CO2 laser stand out as some of the most effective and well-established treatments to counteract the signs of aging, scars and skin imperfections, giving the face a renewed and radiant appearance. What is Photorejuvenation with Fractional Ablative CO2 Laser Photorejuvenation with fractional ablative CO2 laser is a high-level aesthetic dermatology procedure considered the gold standard for the intensive treatment of deep wrinkles, scars including acne scars, sunspots and skin laxity. But what do these terms actually mean Ablative indicates that the laser works by vaporizing a very thin superficial layer of the epidermis. This action removes damaged and aged cells, stimulating a deep skin renewal process. Fractional is where the real innovation lies. Unlike older ablative lasers that treated the entire skin surface with a long and complex recovery, fractional technology creates thousands of micro-columns of vaporization alternating with healthy and intact skin tissue. This fragmentation of the laser beam allows much faster and safer healing, since the surrounding healthy skin accelerates regeneration. This treatment offers a powerful and targeted solution, ideal for those who desire a significant and lasting result, restructuring the very architecture of the skin. How the Fractional Ablative CO2 Laser Works The principle behind the CO2 laser lies in the interaction between light energy and the water contained in the skin cells. The laser beam, with a specific wavelength, is absorbed by the water present in the epidermis and dermis, causing a controlled and instant vaporization of the targeted cells. This process triggers a dual biological reaction which represents the heart of skin regeneration. Superficial Action The removal of the outermost layer of the skin eliminates spots, keratoses and imperfections, promoting the formation of a smoother, healthier and more even-toned new epidermis. Deep Action The heat generated by the micro-columns of vaporization penetrates the dermis, stimulating the activity of fibroblasts. These cells are the body’s natural factories responsible for producing new collagen and elastin. The neocollagenesis induced by the treatment progressively increases the density, firmness and elasticity of the skin in the following months, creating a natural and lasting lifting effect. In summary, the fractional CO2 laser does not only smooth the surface but activates a profound process of self-repair and rejuvenation that works from the inside out. Benefits of Photorejuvenation with CO2 Laser Choosing a photorejuvenation program with CO2 laser means opting for a deep and multifactorial skin transformation. Guided by the experience of our medical team, this treatment offers a series of visible and concrete benefits that make it one of the most appreciated and requested anti-aging procedures. The main benefits include Benefit Description Dramatic Reduction of Wrinkles Exceptionally effective on deep wrinkles such as perioral “barcode”, periocular “crow’s feet” and forehead lines. Improvement of Scars Produces remarkable results on acne, surgical or post-traumatic scars by smoothing the skin and making it more even. Correction of Pigmentation Effectively removes sunspots, age spots and other forms of hyperpigmentation, evening out the skin tone. Natural Lifting Effect The powerful collagen stimulation results in a visible tightening effect, redefining facial contours and combating laxity. Improved Skin Texture Enlarged pores are minimized and the skin appears smoother, finer and more compact. The precision of the fractional CO2 laser makes it particularly suitable for treating delicate areas where signs of aging are most visible. Rejuvenation of the eye contour, for example, greatly benefits from this technology, which allows the skin of the lower eyelids to be firmed and fine wrinkles to be reduced, restoring freshness and openness to the gaze. Similarly, the perioral area, often marked by vertical wrinkles, can be treated very effectively for a younger and more defined smile. Procedure and What to Expect During Treatment Facing a laser treatment requires awareness and trust. At Image Regenerative Clinic, every journey begins with a personalized aesthetic consultation to assess indications, define objectives and explain every stage of the process. The procedure is carried out in a structured way to ensure comfort and safety. Phase Preparation The area to be treated is carefully cleansed and an anesthetic cream is applied for about 45–60 minutes to minimize any discomfort during the session. Treatment The doctor proceeds by passing the laser handpiece over the area of interest. The duration varies from 20 to 40 minutes depending on the extension of the treated area. During this phase, an intense feeling of heat and tingling may be perceived. Post-treatment At the end of the session, the skin will appear red and warm, similar to a strong sunburn. Specific soothing and moisturizing creams are applied to provide relief and protect the skin. Expected Results and Post-Treatment Advice The post-treatment phase is crucial for optimal healing and to maximize results. The skin will go through a visible renewal process. In the first 2–3 days redness will be intense, followed by a peeling phase lasting about 5–7 days. The results are progressive, not immediate. After one week the skin will already appear fresher and smoother, but the real improvement will manifest in the following 3–6 months, the time needed for fibroblasts to produce new collagen. To ensure perfect healing Hydration and cleansing Use only gentle cleansers and the soothing and repairing creams prescribed by the doctor. Absolute sun protection Avoid direct sun exposure for at least 30–40 days and apply daily sun protection with SPF 50 even indoors. This is the most important rule to prevent post-inflammatory hyperpigmentation. Avoid irritating agents Suspend the use of exfoliating products scrubs and acids or alcohol-based formulations until complete healing. Patience and trust Follow the medical team’s instructions and wait confidently for the regenerative process to unfold for a result that will reward your patience. FAQ What should I do after a CO2 laser facial treatment After a CO2 laser treatment, it is essential to protect the skin from the sun with SPF 50 for at least one month, even indoors. Keep the skin constantly hydrated with the soothing creams prescribed by the doctor, avoid exposure to heat sources such as saunas and do not use exfoliating or aggressive products until complete healing. Is CO2 laser treatment painful During the treatment you may feel warmth and tingling. To minimize discomfort, a topical anesthetic is applied about an hour before the session, making the procedure well tolerated for most patients. How many recovery days are needed after treatment The social downtime, that is the period in which the skin is visibly red and in the exfoliation phase, lasts about 5–7 days. After this period, it is possible to resume normal activities, continuing to apply careful sun protection. Who is the ideal candidate for photorejuvenation with CO2 laser The ideal candidate is someone who shows evident signs of skin aging such as marked wrinkles and laxity, acne scars or sunspots. It is important to be in good health and have realistic expectations regarding the results. A preliminary medical consultation is essential to determine suitability for the treatment.

Large pores and oily skin are common concerns that affect both men and women of all ages, giving the face a heavy appearance and an uneven texture. While proper daily skincare is essential, it is often not enough to resolve the issue at its root. At Istituto Image, we address these conditions through an integrated medical-scientific approach. Among the most effective solutions we use is the HydraFacial , an advanced facial treatment that deeply cleanses, removes impurities, and promotes cellular renewal, visibly improving skin texture. Our goal is to go beyond superficial treatment by offering personalized solutions that act on the underlying causes of the issue, restoring healthy, smooth, and naturally matte skin. Main Causes of Large Pores and Oily Skin Understanding the underlying causes of large pores and oily skin is the first step toward identifying the most effective treatment path. These imperfections are often the result of a complex interaction between genetic factors and personal habits. The primary cause is almost always excess sebum production , the oily substance that protects our skin. When sebaceous glands are overactive, the excess sebum accumulates inside the pores, mixing with dead cells and impurities. This blockage causes physical dilation of the pore, making it more visible. The skin then appears shiny, especially in the “T-zone” (forehead, nose, and chin), where the glands are most concentrated. Several factors can contribute to this condition: Genetic predisposition: The size of the pores and the activity of the sebaceous glands are largely determined by our DNA. Hormonal imbalances: Hormonal fluctuations, common during adolescence but also in adulthood, can trigger overproduction of sebum. Skin aging: Over time, the skin loses elasticity and collagen. This structural loss causes the pore walls to “collapse,” making them appear larger. Unprotected sun exposure: UV rays damage collagen and thicken the skin’s surface layer, contributing to clogging and pore dilation. Inadequate skincare: Using products that are too harsh or, conversely, too occlusive can disrupt the skin’s delicate balance, worsening the issue. Skin Diagnosis and Evaluation at Istituto Image Every treatment journey at Istituto Image begins with attentive listening and in-depth analysis. Our personalized regenerative skin analysis is a comprehensive diagnostic process conducted by an aesthetic doctor that goes beyond a simple visual examination. We use advanced diagnostic technologies to create a true “skin ID,” analyzing its health at the cellular level. During the consultation, we precisely assess parameters such as skin texture, elasticity, hydration and sebum levels, and pore structure. This detailed mapping allows us to understand not only the visible concern but also its biological and functional causes. Only through such accurate diagnosis can we design a truly tailored therapeutic program , integrating the most suitable technologies to stimulate the skin’s natural self-repair processes and achieve lasting, visible results. Innovative Regenerative Remedies for Enlarged Pores on Face and Nose To effectively improve the appearance of large pores, especially in critical areas such as the face and nose, regenerative medicine offers cutting-edge technological solutions. Our focus is on deep dermal stimulation to promote new collagen production, improve elasticity, and visibly “tighten” pore size. Laser therapy is one of the most effective and versatile options. Depending on individual needs, we develop customized protocols that may include: Fractional Laser (e.g., Fraxel): This technology creates micro-columns of heat in the dermis, leaving the surrounding tissue intact. The resulting natural healing process stimulates strong collagen production, improving skin texture and reducing pore size with minimal downtime. Fractional CO₂ Laser: Considered the gold standard for skin resurfacing, ideal for very large pores and thickened skin. It acts more intensively by removing damaged superficial layers and stimulating deep regeneration for a long-lasting smoothing and tightening effect. Laser Toning (e.g., Q-Switched): An innovative and gentle technique that uses very low-energy pulses to stimulate dermal collagen without downtime, gradually improving texture and uniformity. Alongside laser therapy, other regenerative treatments deliver excellent results. Microneedle radiofrequency (e.g., Vivace) combines the mechanical stimulation of microneedling with the heat of radiofrequency, triggering powerful collagen regeneration at multiple depths for firmer skin and less visible pores. Personalized Aesthetic Solutions for Less Shiny Skin Controlling excess sebum and shine, especially on the nose and forehead, is essential for achieving an even complexion. At Istituto Image, we integrate treatments that purify and rebalance the skin without being aggressive. Our signature treatment is the Pure Facial , an advanced three-phase protocol that targets excess sebum, impurities, and uneven texture. It combines regenerative thermoionization for antibacterial action, oxygen therapy for soothing and purifying effects, and a white clay mask for deep sebum regulation. Another cornerstone treatment is HydraFacial , the evolution of facial cleansing. Through gentle hydradermabrasion, it extracts impurities and excess sebum from the pores while simultaneously infusing customized serums that hydrate and rebalance oily skin. For a targeted reduction in sebaceous activity, Gold Microinfusion is an extraordinary solution. Using fine gold micro-needles, it delivers a personalized cocktail of actives that can include microdoses of botulinum toxin, helping reduce gland activity and minimize shine. Treatment Main Goal Specific Action Ideal For Laser Therapy Reduction of Large Pores Deep collagen stimulation, skin resurfacing. Irregular texture, visible pores, signs of aging. Pure Facial Sebum Control Purifying, antibacterial, and sebum-regulating action. Shiny skin, impurities, excess sebum. HydraFacial Cleansing & Rebalancing Impurity extraction, hydration, infusion of targeted serums. All skin types, clogged pores, dull complexion. Gold Microinfusion Radiance & Texture Infusion of active ingredients to reduce sebum and pores. Sensitive skin, enlarged pores, overall shine. The Importance of Daily Skincare to Maintain Results To consolidate and extend the benefits achieved through professional treatments, it’s essential to adopt a proper, personalized daily skincare routine. Home maintenance is a cornerstone of our approach, as well-cared-for skin responds better to therapies and maintains results longer. Our specialists provide precise guidelines, including: Proper Cleansing: Use a gentle cleanser morning and evening, formulated for oily skin but non-aggressive. Ingredients like salicylic acid help keep pores clear without over-drying, which could trigger reactive sebum production. Light Hydration: Even oily skin needs hydration. Choose “oil-free” and non-comedogenic creams or serums to nourish without clogging pores. Controlled Exfoliation: Regular use (once or twice a week) of chemical exfoliants with AHA or BHA acids promotes cellular renewal and prevents impurity buildup. Daily Sun Protection: Applying SPF 50+ daily is non-negotiable. It protects against UV damage, prevents skin thickening, and helps maintain the results of laser and brightening treatments. Testimonials and Success Stories at Istituto Image The transformation of our patients’ skin is the greatest testament to the effectiveness of our approach. Many turn to us after years of trying cosmetic solutions that promised miracles but never truly solved the problem. One emblematic case is that of a 40-year-old professional with combination skin characterized by large pores in the T-zone and persistent shine that made her uncomfortable during meetings and professional events. After a thorough Regenerative Analysis, we designed a combined program: an initial cycle of fractional laser treatments to target texture and pore size, followed by HydraFacial sessions to keep the skin purified and hydrated. Already after the first treatment cycle, the patient noticed visibly smoother skin, less noticeable pores, and a matte complexion lasting all day. Today, with periodic maintenance and targeted skincare, she manages her skin with confidence and ease. These success stories confirm that a personalized medical approach is the real key to tangible and lasting results. Frequently Asked Questions (FAQ) What is the best treatment for large pores? There isn’t one single “best” treatment, as the most effective solution depends on the cause, skin type, and severity of the condition. Treatments such as fractional lasers (e.g., Fraxel, CO₂), microneedle radiofrequency, and chemical peels are highly effective because they stimulate collagen production, improving skin texture and firmness. A specialist consultation is essential to determine the most appropriate path. Can large pores be permanently eliminated? It’s important to clarify that pores are an anatomical structure of the skin and cannot be “eliminated” permanently. However, their appearance and size can be visibly reduced. Regenerative medical and laser treatments can provide stable, long-lasting results, but they must be supported by consistent daily skincare and sun protection to maintain firm, refined skin. Which acid helps minimize pores? The most effective acids for improving the appearance of large pores are chemical exfoliants . Salicylic acid (a BHA) is oil-soluble, so it penetrates pores and removes excess sebum and impurities. Glycolic acid (an AHA) works on the surface, promoting cellular renewal and making the skin smoother and more even. Both contribute to refining the skin’s texture. How can I shrink facial pores? A combined approach is necessary to visibly tighten pores. First, keep the skin clean using specific cleansers and exfoliants to prevent sebum buildup. Second, undergo professional treatments such as laser therapy, peels, or microneedle radiofrequency to stimulate collagen and elastin, which “support” the pore walls, making them less visible. Finally, use daily sun protection to prevent loss of skin elasticity.

The desire to see a fresher, more rested, and firmer face is common. Over time, the skin loses elasticity, contours become less defined, and signs of aging become more visible. Facelift surgery has long been one of the most effective ways to counter these effects. However, traditional surgery often comes with concerns about invasiveness, recovery time, and the naturalness of the results. At Image Regenerative Clinic , we have redefined the concept of lifting by taking it to a higher level — combining the finest surgical precision with the most advanced regenerative science. We offer a comprehensive pathway that does not merely “tighten” the skin, but regenerates it from within — delivering results that are harmonious, long-lasting, and, above all, authentic. Facelift: What It Is and How It Works A facelift, or rhytidectomy, is an aesthetic surgical procedure that repositions the tissues of the face and neck, removing excess skin to correct sagging and deep wrinkles. The goal is to restore a more youthful and defined appearance. Our approach, however, goes further. The Regenerative Facelift , developed by Professor Carlo Tremolada , integrates the surgical procedure with the innovative Lipogems® technology . This patented method does more than mechanically reposition the tissues — it introduces a powerful biological stimulus. During the procedure, a small amount of the patient’s own adipose tissue is harvested, processed with the Lipogems® system to purify and activate it, and then re-injected into strategic areas of the face. This tissue is rich in mesenchymal cells and growth factors that act deeply to: Stimulate the production of new collagen and elastin, improving the skin’s quality, firmness, and elasticity. Naturally restore lost facial volume, without the “puffy” effect typical of synthetic fillers. Enhance vascularization and overall skin health. The result is a dual action : an immediate lifting that redefines contours and a regenerative process that improves the skin from within, with benefits that continue to evolve over time. Preparing for a Facelift: Consultation and Planning Every rejuvenation journey begins with an in-depth consultation and meticulous planning. The first appointment at Image Regenerative Clinic is a key step during which our team of specialists, led by Prof. Tremolada, carefully listens to your expectations and evaluates the unique features of your face. A comprehensive analysis is performed — assessing facial structure, skin quality, degree of laxity, and volume distribution. This allows us to design a tailor-made surgical plan , defining the most suitable facelift technique and identifying where the regenerative Lipogems® tissue graft will deliver the greatest benefit. Transparency is essential: we will discuss expected results, recovery times, and every detail of the process to build trust and ensure peace of mind. The Day of the Surgery: What Happens at the Clinic On the day of your Regenerative Facelift, you will be welcomed into a comfortable and safe environment designed to guarantee privacy and professionalism. The surgery, which lasts about four hours, is performed under local anesthesia with sedation or general anesthesia, depending on the plan agreed upon. The procedure unfolds in two key phases: Lipogems® Harvesting and Processing: A small amount of adipose tissue is collected from a donor site (such as the abdomen or flanks) and processed in the operating room using our patented system. Surgical Lifting and Regenerative Grafting: The surgeon performs precise incisions, strategically hidden along natural facial folds (hairline, around the ears), to reposition muscular and cutaneous structures. The processed Lipogems® tissue is then grafted to regenerate and restore natural volume in targeted areas. Thanks to this regenerative approach, the natural anti-inflammatory action of Lipogems® helps minimize surgical trauma and promotes faster healing. Post-Operative Recovery: Convalescence and Healing One of the most common concerns about facelifts is recovery time. Thanks to the regenerative approach, healing is faster. The anti-inflammatory properties of Lipogems® significantly reduce postoperative swelling. In the first few days, moderate swelling — especially in the cheeks — and some bruising are normal. Our protocol includes close follow-up visits (on day 2, 4, and 7) to monitor healing and remove sutures. To further speed up recovery, we recommend facial lymphatic drainage sessions performed by our specialized therapists to help eliminate excess fluids. Most patients return to normal social activities within 10–15 days , a much shorter time compared to traditional facelifts. Feature Traditional Facelift Regenerative Facelift with Lipogems® Main Goal Tissue repositioning, removal of excess skin. Repositioning + Biological tissue regeneration. Skin Quality Does not improve intrinsic skin structure. Enhances elasticity, tone, and radiance through collagen stimulation. Volumizing Effect Absent; may cause a “hollow” appearance. Naturally restores lost volume using autologous tissue. Recovery Time Longer, with more swelling and bruising. Reduced, thanks to Lipogems®’ anti-inflammatory action. Duration of Results Good, but subject to natural aging. Longer-lasting, with progressive improvement for up to two years. Naturalness Risk of a “pulled” look if not executed perfectly. Extremely natural outcome preserving facial harmony. Visible Results: Facelift Before and After The results of a regenerative facelift can be appreciated on two levels. Immediately after the initial recovery phase, the face appears lifted, contours are more defined, and the overall look is refreshed — this is the “before and after” contrast. However, the true added value emerges in the following months: the “after” continues to improve over time. The skin becomes visibly more radiant, firm, and elastic. Fine lines fade, and the face regains vitality derived not from mechanical tension but from true biological regeneration . The final result is an authentic rejuvenation that enhances your natural features without altering your expressions. How to Maintain the Results of a Facelift A regenerative facelift is a valuable investment in your well-being. To maximize and prolong the benefits, it’s essential to adopt healthy habits: Sun Protection: UV exposure is the leading cause of skin aging. Daily use of broad-spectrum sunscreen is essential. Proper Skincare: Following a personalized skincare routine with high-quality products recommended by our specialists nourishes and protects the skin. Healthy Lifestyle: A balanced diet, proper hydration, and avoiding smoking help maintain youthful, vital skin. Maintenance Treatments: Non-invasive procedures such as biorevitalization or HydraFacial® can be scheduled to sustain results over time. Choosing Image Regenerative Clinic for your facelift means opting for excellence , where science, expertise, and aesthetic vision come together to achieve results that exceed expectations. FAQ How long does swelling last after a facelift? Swelling is a normal reaction that peaks within the first 2–3 days. Thanks to the Lipogems® regenerative technique, edema is reduced and largely resolves within 7–10 days. Mild residual swelling may persist for a few weeks. What is the post-operative course of a facelift? Recovery includes a few days of rest. Sutures are removed within a week. Social activities are usually resumed after 10–15 days. At our clinic, medical follow-ups and lymphatic drainage sessions are part of the recovery program. How can swelling be reduced after a facelift? To minimize swelling, it’s recommended to sleep with the head slightly elevated, apply cold compresses (as instructed by your surgeon), and undergo manual lymphatic drainage sessions. A low-salt diet and adequate hydration also help. Is a facelift painful? The procedure is performed under anesthesia, so no pain is felt during surgery. Postoperatively, discomfort is mild and easily managed with common pain relievers prescribed by the doctor. Most patients describe the sensation as “tightness” rather than real pain.

This is why we offer aesthetic and regenerative medicine programs that integrate the most advanced technologies with a profound understanding of skin biology. Among the various methodologies, thermotherapy in Milan, offered by Istituto Image, represents one of the most effective and versatile solutions for those who wish to naturally and lastingly improve the appearance of their skin. This treatment, based on the therapeutic use of heat, stimulates the body’s internal regenerative mechanisms, delivering visible results without being invasive. Thermotherapy: What Is It? Principles and Applications Thermotherapy is a therapeutic method that exploits the biological effects of heat to treat a wide range of skin concerns and conditions. At our clinic, we use an advanced form of thermotherapy known as diathermy , a cutting-edge treatment that employs electromagnetic energy to generate heat directly within the tissues (endogenous heat). This principle sets it apart from traditional techniques that apply heat externally. The energy is delivered through specific handpieces that operate in two complementary modes, allowing for deep, targeted action. The choice of mode depends on the treatment goals and the nature of the tissue involved. Resistive Mode : Ideal for acting on high-resistance tissues such as adipose tissue, bones, tendons, and cartilage. The non-insulated electrode concentrates heat deep within the tissue, making it effective for treating fat deposits as well as for rehabilitative applications. Capacitive Mode : The insulated electrode allows heat to focus on more superficial areas, primarily targeting soft tissues such as the dermis, muscles, and vascular and lymphatic systems. This is the preferred choice for improving skin quality and muscle tone. During treatment, our therapists precisely follow the Langer’s lines —the skin’s natural tension lines—to maximize effectiveness while respecting skin physiology. The Benefits of Thermotherapy in Aesthetic Medicine Diathermy is a cornerstone of our face and body rejuvenation programs, thanks to its ability to trigger a virtuous biological response. Controlled, deep heat acts as a powerful biostimulant, providing progressive and concrete benefits. Its main advantage is the direct stimulation of fibroblasts—the cells responsible for producing collagen and elastin. This translates into visible improvements in skin tone, firmness, and elasticity. From the very first session, patients may notice a subtle lifting effect due to the immediate contraction of existing collagen fibers. Applications include: Face : softens wrinkles, redefines contours, and combats skin laxity. Body : an excellent ally against cellulite, fluid retention, and swelling—particularly effective on legs, abdomen, and arms. The thermal effect also enhances oxygenation and microcirculation, promoting fluid and toxin drainage, while leaving the skin healthier and more radiant. How Does Thermotherapy Work for Muscle or Cervical Contractures? Beyond its well-known aesthetic benefits, diathermy also offers significant therapeutic effects, especially in the treatment of musculoskeletal pain. Thanks to its analgesic and anti-inflammatory properties, it is highly effective for those suffering from contractures, muscle tension, and localized pain. The endogenous heat generated by diathermy works on several levels: Enhances vascularization : Improves blood and oxygen supply to inflamed tissues, accelerating healing and reducing inflammation. Relaxes muscles : Helps release tension and contractures, reducing stiffness and improving mobility. Acts on nerve endings : Produces a sedative effect on pain, providing progressive and lasting relief without the use of medication. This makes it particularly suitable for conditions such as neck pain, lower back pain, sciatica, tendinitis, and joint trauma, supporting the functional recovery of tissues. Indications and Contraindications of Thermotherapy Diathermy is a safe, versatile treatment, but like any medical procedure, it has specific indications and contraindications, carefully assessed during the initial consultation. Transparency is a core value, ensuring every patient begins their therapeutic journey with clarity and trust. Main Treatment Areas Main Contraindications Wrinkles and Skin Laxity – Face, Neck, Décolleté, Arms Pregnancy Cellulite and Water Retention – Legs, Buttocks, Abdomen Pacemakers Dull, Sagging Skin – Face and Body Severe cardiac or vascular conditions Contractures and Muscle Pain – Back, Neck, Shoulders, Limbs Active skin infections or lesions Swelling and Heaviness – Legs and Ankles Ongoing tumors or oncological conditions Tips to Maximize Thermotherapy Results Diathermy delivers excellent results, but its effectiveness reaches its peak within a personalized, integrated protocol. At Istituto Image, every treatment is part of a holistic pathway toward patient well-being. For this reason, diathermy is often combined with other methods to create powerful synergies. For instance: In our personalized medical weight-loss program , diathermy is essential to tone tissues that may lose elasticity during weight reduction, ensuring a firmer and more defined silhouette. To combat cellulite and localized fat, diathermy can be preceded by Shockwave Therapy , which prepares tissues for enhanced receptivity, and followed by draining or lipolytic mesotherapy sessions for targeted action. Technologies such as Coolwaves® can work in synergy for body contouring, while manual treatments like lymphatic drainage or cupping therapy enhance detox and draining effects, helping eliminate excess fluids. To maintain long-term benefits, we recommend following our specialists’ advice, staying well-hydrated, and adopting a healthy, active lifestyle. Thermotherapy at Istituto Image: Our Specialized Offering At Istituto Image, every treatment journey begins with a personalized regenerative analysis —an in-depth clinical evaluation performed by our medical team. This allows us to fully understand each patient’s unique needs and build a tailor-made protocol, where diathermy integrates with other cutting-edge technologies. Our approach is both scientific and holistic: we don’t just treat aesthetic concerns, but work to restore the biological balance of tissues. The expertise of our team, guided by the scientific vision of Professor Carlo Tremolada , along with state-of-the-art equipment, guarantees safety, comfort, and real results. Choosing diathermy treatment at our institute means placing your trust in an excellence of regenerative medicine—for well-being that can be both seen and felt. Contact Istituto Image today and book your regenerative analysis. Let’s begin your journey to well-being together! FAQ What is thermotherapy used for? Thermotherapy stimulates the body’s regenerative processes through heat. In aesthetic medicine, it is used to tone the skin, reduce wrinkles and cellulite, and improve circulation. In therapeutic applications, it relieves muscle pain, contractures, and inflammation. What is heat therapy used for? Heat therapy generates a controlled increase in tissue temperature to achieve specific benefits. It enhances blood flow, promotes oxygenation and toxin elimination, stimulates collagen production for firmer skin, and relaxes contracted muscle fibers with an analgesic effect. What kinds of pain does heat relieve? Heat is especially effective for relieving muscle and joint pain. It is recommended for contractures, neck tension, lower back pain, menstrual pain, and joint stiffness. It relaxes muscles, improves circulation, and reduces pain perception. How much does thermotherapy cost? The cost of a thermotherapy (diathermy) program varies, as it depends on the personalized treatment plan established during consultation. Factors include the number of sessions required, the size of the treatment areas, and any combination with other synergistic technologies. To receive a detailed, tailored quote, we recommend booking a consultation with our specialists.

At Istituto Image, we see aesthetic medicine as a journey towards harmony and wellbeing, where every procedure is designed to enhance the uniqueness of the face without altering its essence. Among our cutting-edge solutions, we offer blepharoplasty in Milan with Lipogems, ideal for those wishing to correct imperfections such as drooping eyelids, combining surgical excellence with the most advanced regenerative medicine techniques. Our goal is to restore freshness and vitality to the gaze, with natural, long-lasting results and an optimized recovery. Drooping Eyelids: What Are They? Causes and Symptoms Drooping eyelids, technically known as eyelid ptosis, occur when the upper eyelid lowers, partially or fully covering the pupil. This condition can give the face a permanently tired, sad, or aged appearance, even when one feels full of energy. The main causes are linked to the natural aging process. Over time, the skin loses elasticity and tone due to reduced collagen production, and the muscles that support the eyelid tend to weaken. Other factors can also contribute or accelerate this process: Genetic factors: A family predisposition may affect the structure and firmness of the periocular area. Lifestyle: Excessive sun exposure without protection, smoking, and unhealthy habits can accelerate skin aging. Traumatic or pathological causes: In rarer cases, ptosis may result from trauma or specific medical conditions. Symptoms are not just aesthetic. Many people feel heaviness in the eyes and, in more severe cases, experience an actual reduction in the upper visual field, interfering with daily activities such as reading or driving. When Should You Consider Surgery for Drooping Eyelids? The decision to undergo surgery for drooping eyelids is personal and arises when the condition starts to negatively affect quality of life, both functionally and psychologically. It is time to consider correction when: The visual field is limited: If you must tilt your head back or raise your eyebrows to see properly, surgery becomes functional, improving vision. Appearance no longer reflects how you feel: When the mirror shows a tired, aged image that doesn’t match your inner vitality, correction can restore confidence and self-esteem. Psychological discomfort becomes significant: Feeling uneasy when interacting with others or avoiding eye contact signals a deeper impact on emotional wellbeing. Non-surgical remedies are no longer enough: When creams and non-invasive aesthetic treatments fail to achieve the desired effect, surgery becomes the most effective and lasting solution. Blepharoplasty: Plastic Surgery for Drooping Eyelids Blepharoplasty is the gold-standard surgical procedure for correcting drooping eyelids—a refined surgery that rejuvenates the gaze with natural, harmonious results. The operation consists of the precise removal of excess skin and, if necessary, herniated fat forming under-eye bags, through incisions hidden in the natural eyelid folds, leaving scars virtually invisible. At Istituto Image, we have elevated this surgery to the next level by creating Regenerative Blepharoplasty . Under the guidance of Professor Carlo Tremolada, we integrate surgical precision with the innovative Lipogems® technology. During the same session, a small amount of the patient’s adipose tissue is harvested, processed with the patented Lipogems® system, and injected into the periocular area. This regenerative graft brings extraordinary benefits: Improves the quality and elasticity of the thin eyelid skin. Restores natural volume lost with aging, effectively addressing dark circles and tear troughs. Thanks to powerful anti-inflammatory properties, reduces swelling and speeds up healing. For selected cases, the pathway may be complemented with laser therapy to further enhance skin texture and reduce fine wrinkles, achieving a comprehensive rejuvenation of the gaze. What to Expect During Post-Surgery Recovery Recovery after blepharoplasty is usually well tolerated and quick. In the first 48–72 hours, mild swelling and bruising are normal and can be managed with cold compresses. Thanks to the regenerative Lipogems® approach, our patients benefit from accelerated healing, with significantly reduced swelling and discomfort. Stitches are typically removed after 5–7 days. Returning to social activities is usually possible after 10–14 days, while intense physical activity should wait around one month. The final results settle and become fully visible after a few months, revealing a more open, refreshed, and rested gaze. Useful Tips to Maintain Surgical Results Blepharoplasty provides very long-lasting results, often lasting 10–15 years. However, the natural aging process continues. To preserve the freshness of your gaze over time, we recommend adopting some good habits: Sun Protection: Daily use of a high-SPF sunscreen around the eye area is the most important step to prevent photoaging. Proper Skincare: Using specific eye-contour products rich in antioxidants, peptides, and hyaluronic acid helps keep skin hydrated and elastic. Healthy Lifestyle: Avoiding smoking, following a balanced diet, and ensuring proper sleep are crucial factors for skin health. Maintenance Treatments: Non-invasive procedures such as biorevitalization, light peels, or radiofrequency can be scheduled to maintain skin quality and extend results. Why Choose istitutoimage.it for Your Aesthetic Medicine Procedure Choosing Istituto Image for the correction of drooping eyelids means relying on a center of excellence that combines medical expertise, technological innovation, and a philosophy centered on natural results. Our offer stands out for: A Unique Regenerative Approach: We are pioneers in integrating blepharoplasty with Lipogems® technology, a method that not only corrects but regenerates tissues, ensuring superior results and faster recovery. Maximum Surgical Expertise: Our team, led by Professor Carlo Tremolada, holds dual specialization in plastic and maxillofacial surgery, ensuring deep anatomical knowledge of the face for safe and precise procedures. Natural, Personalized Results: Each procedure is tailor-made for the patient, with the goal of refreshing the gaze while preserving expression and identity. Comprehensive Care: From the first consultation to post-operative follow-up, our dedicated team provides care, attention, and support at every stage. Drooping eyelids may make you look tired, but they do not define who you are. At Istituto Image, we don’t just correct an imperfection: with our exclusive Regenerative Blepharoplasty with Lipogems® , we regenerate tissues to restore a fresh, open gaze in perfect harmony with your face. It’s time to see yourself again as you truly feel. Book a consultation with our surgeons and discover how we can rejuvenate your eyes with natural, long-lasting results. FAQ How can you lift a drooping eyelid? For an effective and lasting lift, surgical blepharoplasty is the most recommended solution. For mild cases, non-surgical alternatives such as radiofrequency, fractional lasers, or thread lifts can offer temporary improvement. How many years younger can blepharoplasty make you look? It is not possible to define an exact number of years, but blepharoplasty significantly rejuvenates the gaze. It eliminates a tired, heavy look, giving the face a fresher, more rested, and more vibrant expression that can make you appear several years younger overall. Is blepharoplasty dangerous? Like any surgery, blepharoplasty carries risks, but when performed by a specialized, qualified plastic surgeon in a suitable facility, it is considered extremely safe with a very low complication rate. What are the non-surgical remedies for drooping eyelids? For mild eyelid laxity, non-surgical remedies include microneedle radiofrequency, laser resurfacing, micro-focused ultrasound, and thread lifts. These methods stimulate collagen production and provide a moderate, temporary lifting effect. What is the best treatment for drooping eyelids? The “best” treatment depends on the degree of ptosis. For mild to moderate sagging, non-surgical options may provide good results. For more severe cases with significant excess skin, blepharoplasty remains the gold standard, offering the most effective, complete, and long-lasting outcome. What can you do instead of blepharoplasty? As an alternative to surgical blepharoplasty, early sagging can be addressed with treatments like fractional laser, microneedle radiofrequency, or thread lifts. These approaches can improve skin firmness and provide a mild lifting effect, but cannot replace the effectiveness of surgery in cases of significant skin excess.

At IMAGE REGENERATIVE we offer an integrated and scientific approach to address the problem of swollen legs. We understand that this condition goes beyond aesthetic concerns, impacting quality of life. Among our most effective treatments are oxygen ozone therapy and three-dimensional phlebotherapy , targeted solutions that help improve circulation and reduce inflammation. For this reason, we have developed personalized protocols that combine accurate diagnosis with the most advanced aesthetic and regenerative medicine technologies. Our goal is to act on the deep causes of inflammation and water retention, to restore lightness, wellness and a more harmonious silhouette. Common Causes of Swollen Legs: What You Need to Know The sensation of heavy and swollen legs, technically known as edema, is a widespread condition that can manifest sporadically or chronically. But why do legs swell? Swelling is the result of fluid accumulation in the interstitial space, that is between the cells of tissues. This phenomenon can be triggered by a multitude of factors, which is essential to understand in order to intervene in a targeted manner. The main causes include: Venous insufficiency: This is one of the most common causes. The valves inside the veins, which should push blood toward the heart, lose efficiency. Blood stagnates in the lower limbs, increasing pressure on capillaries and causing fluid leakage into tissues. Lymphatic system dysfunction: The lymphatic system is responsible for draining excess fluids. When its functionality is compromised (lymphedema), this drainage slows down, leading to lymph accumulation. Sedentary lifestyle: Spending many hours sitting or standing in the same position prevents the calf muscle pump from aiding venous circulation, promoting fluid stagnation. Hormonal factors: Hormonal variations during the menstrual cycle, pregnancy or menopause can increase the tendency to water retention. Improper nutrition: A diet high in salt promotes fluid retention in the body, aggravating swelling. Heat and humidity: High summer temperatures cause vasodilation that can worsen venous and lymphatic stagnation. Systemic diseases: In some cases, swollen legs can be a symptom of more serious medical conditions affecting the heart, kidneys or liver. For this reason, medical diagnosis is always the fundamental first step. Diagnosis: How to Identify Leg Inflammation Identifying the exact cause of swelling is crucial to define the most effective treatment protocol. At IMAGE REGENERATIVE, the process always begins with an accurate Personalized Regenerative Analysis . The diagnostic phase is structured in several stages: Diagnostic Phase Description Medical History and Physical Examination The specialist physician collects the patient's medical history, analyzing symptoms, lifestyle and habits. During the visit, they evaluate the consistency of the swelling, the presence of pain and the condition of the skin. A simple test consists of pressing a finger on the swollen area: if an indentation remains (pitting sign), it is edema rich in fluids. Color Doppler Ultrasound This is the reference diagnostic examination for evaluating the health of the circulatory system. It allows analysis of blood flow in veins and arteries, identifying any problems with venous insufficiency or the presence of thrombi. Functional Assessment In some cases, we use technologies such as bioresonance for an analysis of the body's energetic and cellular state, identifying imbalances that can contribute to water retention and inflammation. Remedies to Reduce and Relieve Leg Swelling Once the cause is understood, it is possible to act with a combined strategy of good daily habits and professional treatments. The simplest and most effective remedies for immediate relief include regular physical activity to reactivate the muscle pump, elevating legs at the end of the day to promote venous return and applying cold water jets to stimulate vasoconstriction. However, when these measures are not enough, it is necessary to move to targeted treatments. Manual lymphatic drainage is a specific massage technique that gently stimulates the lymphatic system, helping to mobilize stagnant fluids and effectively reduce edema. Effective Medical Treatments for Swollen Legs When swelling is related to a circulatory problem or chronic inflammation, regenerative medicine offers advanced solutions that act directly on the cause. Three-Dimensional Regenerative Phlebotherapy (TRAP): This treatment is the solution of choice for venous insufficiency. Through injections of a regenerating solution, vein walls are strengthened, restoring their functionality and improving circulation in a lasting way. It is an approach that does not just eliminate visible capillaries, but treats the entire venous network, drastically reducing swelling and the sensation of heaviness. Oxygen Ozone Therapy : This therapy has powerful anti-inflammatory properties and improves tissue oxygenation. Infiltrations of an oxygen and ozone mixture reactivate microcirculation, counteract inflammation and are very effective in treating swollen legs, cellulite and heaviness. Aesthetic Medicine Protocols to Combat Inflammation For a complete result that also improves the aesthetic appearance of the skin, we integrate medical treatments with advanced aesthetic protocols that work in synergy to drain, tone and reshape. Diathermy (Thermotherapy) : By generating endogenous heat, this treatment intensely stimulates microcirculation and lymphatic drainage, making it ideal for counteracting water retention and swelling. Shock Waves : Acoustic waves improve circulation, stimulate cellular metabolism and promote drainage, with a visible reduction of swelling and cellulite imperfections. Body Mesotherapy : Consists of microinjections of personalized cocktails based on draining and vasoprotective substances that act directly in problem areas to eliminate excess fluids. Cupping Therapy: This ancient technique, performed with modern devices, creates a rhythmic suction on the skin that powerfully stimulates lymphatic drainage, effectively acting on retention and cellulite. Green Cast: A 100% natural treatment that uses a sequential thermal action (cold-hot-cold) to activate a true vascular gymnastics, promoting drainage and giving an immediate sensation of lightness. Practical Tips to Prevent Water Retention Prevention is the best ally against swollen legs. Integrating these simple habits into your daily routine can make a big difference. It is important to move regularly : even just getting up from the desk every hour or taking short walks helps reactivate circulation. It is also essential to drink plenty of water , as hydration promotes diuresis and toxin elimination. Another crucial aspect concerns diet care : it is advisable to reduce salt and packaged food consumption, favoring instead fruits and vegetables rich in potassium and antioxidants. A good habit to adopt is to elevate the legs at the end of the day, lying down for 15-20 minutes with legs elevated above the heart. It is equally important to avoid direct heat sources , not exposing legs to sun, saunas or hot sand baths for extended periods. Finally, pay attention to wearing comfortable clothing , as clothing and shoes that are too tight can obstruct circulation. Stop living with swelling. Trust our expertise to restore wellness and harmony to your legs. Book your Personalized Regenerative Analysis and discover the path tailored for you. FAQ How to reduce inflammation in swollen legs? To reduce inflammation in swollen legs it is useful to combine home remedies (such as elevating legs and applying cold compresses) with professional treatments. Techniques such as lymphatic drainage, Oxygen Ozone Therapy and Diathermy are very effective in reducing inflammation and stimulating drainage of excess fluids. How to reduce leg inflammation? To reduce inflammation it is necessary to act on the causes. Improving circulation with physical activity and medical treatments such as TRAP Phlebotherapy is essential. In parallel, therapies such as Oxygen Ozone Therapy have a direct anti-inflammatory action on tissues. How to reduce inflammation in leg tissues? To reduce inflammation in tissues at a deep level, it is necessary to improve oxygenation and promote elimination of metabolic waste. Treatments such as Diathermy and Shock Waves stimulate cellular metabolism and microcirculation, helping tissues regenerate and reduce inflammatory state. What are the most effective remedies for draining legs at home? The most effective home remedies include: elevating legs above heart level for at least 15 minutes per day, applying cold water jets from ankles upward, performing self-draining massage starting from the feet and moving up toward the knees, and staying well hydrated by drinking plenty of water.

At Image Regenerative Clinic, we believe that turning 50 marks a stage of renewed awareness and radiance. However, the skin often tells a different story, showing the signs of time more evidently. This is why we offer an approach to aesthetic medicine that goes beyond simply correcting wrinkles: a true journey of deep regeneration. Among the most innovative treatments, we propose Lipogems® for the Face , a solution that stimulates the skin’s natural rejuvenation processes. Our goal is to awaken the biological vitality of the skin through integrated scientific protocols that restore tone, firmness, and radiance for authentic rejuvenation, while respecting the unique harmony of every face. The Importance of Personalized Diagnosis At 50, the skin of the face has complex and highly individual needs. Factors such as genetics, lifestyle, and hormonal changes related to menopause cause a loss of collagen, volume, and hydration in different ways and at different times. For this reason, a “one-size-fits-all” approach is bound to fail. The first essential step is a personalized regenerative analysis . At our Institute, every journey begins with an in-depth medical evaluation that, through advanced diagnostic technologies, maps the skin’s health. We analyze crucial parameters such as dermal thickness, the degree of solar elastosis, volume loss, and the quality of the subcutaneous adipose tissue. This precise diagnosis allows us to create a tailor-made therapeutic plan—a true rejuvenation program that targets what is really needed, ensuring effective and natural results. Non-Invasive Treatments for Facial Rejuvenation To start and maintain a rejuvenation journey over time, there are non-invasive treatments that work by stimulating the skin from within, improving its quality and structure. Type of Biostimulant How It Works Results and Main Indications Advanced Biostimulants (Sculptra® & Radiesse®) Actively stimulate fibroblasts to produce new collagen, triggering a gradual and natural rejuvenation process. The result is visibly denser, firmer skin with long-lasting effects. Ideal for counteracting skin laxity and redefining facial contours. Biostimulating Peel (PRX-T33) Stimulates the dermis in depth without causing the aggressive exfoliation typical of traditional peels. Improves skin texture, brightness, and tone, with the major advantage of having zero downtime. Polynucleotides Regenerate the skin at a cellular level, acting specifically on delicate and hard-to-treat areas. Perfect for the eye contour, they improve elasticity and reduce fine lines without altering or overfilling natural facial volumes. Advanced Technologies for Rejuvenation at 50 For a powerful impact capable of producing significant and visible rejuvenation, an integrated approach combining the most effective technologies of regenerative medicine is essential. Our annual skin regeneration program is built on this synergy. Fractional CO₂ Laser : The gold standard for skin resurfacing. It works by creating micro-columns of heat that stimulate abundant collagen production—ideal for treating deep wrinkles, irregular texture, and scars. Photobiomodulation Therapy (Kleresca®) : A non-invasive technology that uses fluorescent light energy to activate skin repair mechanisms at a cellular level. It increases collagen production by up to 400%, reduces inflammation, and improves conditions such as rosacea, giving skin a healthier and younger appearance. Lipogems® for the Face : Patented by Prof. Carlo Tremolada, this technology is at the heart of our regenerative approach. It harnesses the potential of mesenchymal cells present in one’s own adipose tissue. A small amount of fat is harvested, processed, and re-injected into the face. Lipogems® not only restores lost volume naturally and permanently but also regenerates the skin biologically, improving thickness, color, and quality in a way no other treatment can match. For an overview, we have summarized the main options in a comparative table to help guide the choice of the most suitable pathway. Tips for Maintaining Beautiful Skin Aesthetic medicine treatments deliver extraordinary results, but to maintain them over time, adopting a proper daily routine is essential. A consistent beauty routine is key to firming the skin, preventing sagging, and keeping it visibly more toned and radiant. Skincare is the first fundamental pillar: after 50, the skin needs powerful active ingredients, so it is important to prioritize serums and creams with retinoids for cell renewal, peptides for firmness, vitamin C as a strong antioxidant, and hyaluronic acid for hydration. Equally crucial is daily sun protection : UV rays are the main cause of skin aging, making SPF 50+ indispensable every day, even in winter and in the city. Nutrition and hydration play a vital role: drink at least 1.5–2 liters of water per day and follow a diet rich in antioxidants (berries, leafy greens), healthy fats (salmon, avocado, nuts), and lean proteins that provide the building blocks for collagen production. Finally, lifestyle has a decisive impact: smoking and poor-quality sleep drastically accelerate aging. Getting enough rest and, if possible, avoiding smoking are among the greatest gifts you can give your skin. How to Choose the Right Aesthetic Medicine Clinic Entrusting your face to a professional is an important decision. For a rejuvenation journey at 50, it is crucial to choose a clinic that offers: High Medical Expertise : Ensure treatments are performed by specialist doctors with in-depth knowledge of facial anatomy and the technologies they use. A Personalized Approach : Be wary of “one-size-fits-all” solutions. An excellence-driven clinic, like Image Regenerative Clinic, builds every treatment on a scientific and individual diagnosis. Cutting-Edge Technologies : The presence of advanced, clinically tested technologies (lasers, biostimulants, regenerative therapies) is a clear indicator of quality and safety. A Regenerative Philosophy : Choose a clinic that aims to improve your skin’s long-term health, promoting natural, harmonious results rather than artificial, temporary corrections. At 50, your skin has complex needs that require an excellence-based approach. At Image Regenerative Clinic, we go beyond standard treatments. Through precise diagnosis, we design integrated protocols that combine the most powerful regenerative technologies, from Fractional CO₂ Laser to the groundbreaking Lipogems®. Trust those who place science at the service of your beauty. Contact us for an in-depth medical consultation and discover which of our advanced solutions is best suited for you. FAQ What are the secrets to having a beautiful face at 50? The secrets lie in an integrated approach: a personalized medical diagnosis, a treatment plan combining biostimulation and regenerative technologies (such as lasers and Lipogems®), daily skincare with powerful actives (retinoids, vitamin C), and a healthy lifestyle. How can I rejuvenate my face quickly? For a quick boost before an event, treatments like HydraFacial® or Gold Microinfusion provide instant radiance. For a more intensive, deeper rejuvenation, a fractional CO₂ laser treatment delivers significant results in a relatively short time, although it requires a few days of recovery. Is it possible to lift the face without surgery? Yes, there are several highly effective non-surgical lifting techniques. Thread lifts provide immediate mechanical lifting and stimulate collagen. Technologies like microneedling with radiofrequency and microfocused ultrasound tighten tissues deeply, gradually redefining facial contours. What type of serum should be used at 50? At 50, serums with concentrated active ingredients are ideal. In the morning, use a Vitamin C serum for antioxidant and brightening effects. In the evening, opt for a retinol- or peptide-based serum to stimulate cell renewal and collagen production. A hyaluronic acid serum can be used both morning and evening for deep hydration. How can I take 10 years off my face? “Taking 10 years off” is an achievable goal through an integrated full-face approach . This combines treating skin laxity, restoring lost volume (with fillers or Lipogems®), improving skin quality (with lasers and biostimulants), and relaxing expression lines. Such a comprehensive method restores a significantly younger and more refreshed appearance.

Vertical wrinkles marking the lip contour, commonly known as “barcode lines,” are among the most disliked blemishes, as they give the face a tired and severe appearance. At Istituto Image, we address this imperfection as both a challenge to correct and an opportunity to regenerate the skin in depth. Our philosophy is based on an approach that combines the most advanced techniques of aesthetic medicine, such as hyaluronic acid fillers and excellence regenerative protocols (Lipogems), to restore the smile’s natural harmony and freshness. Lip contour wrinkles: causes and characteristics The “barcode” lip contour consists of thin vertical wrinkles that form on the upper lip skin and, sometimes, on the lower lip as well. Their appearance is a multifactorial process, linked both to intrinsic aging and external factors. Over the years, the skin naturally loses collagen, elastin, and hyaluronic acid — the three pillars that give it tone, elasticity, and hydration. This structural thinning makes the skin more vulnerable to facial movements. The orbicularis oris muscle, which we constantly use to speak, smile, or drink, contracts repeatedly and marks the weakened skin, creating these fine lines. To this natural process, additional factors may accelerate and worsen the condition: Cigarette smoking: Nicotine compromises microcirculation and tissue oxygenation, while the very act of inhaling accentuates perioral muscle contraction. Sun exposure: Photodamage degrades collagen and elastin fibers, accelerating the loss of tone. Genetic factors: Individual predisposition plays a role in the early onset and severity of this imperfection. Dehydration: Poorly hydrated skin is less elastic and more prone to wrinkling. Understanding these causes is the first step toward defining a treatment strategy that not only fills wrinkles but also improves the overall quality of the skin. The importance of hyaluronic acid in aesthetic medicine Hyaluronic acid is an extraordinary molecule, naturally present in our body, particularly in the dermis. Its function is to bind and retain large amounts of water, acting as a true hydration reservoir that keeps the skin plump, elastic, and firm. In aesthetic medicine, the use of synthetic, biocompatible, and fully resorbable hyaluronic acid has been a true revolution. Fillers based on this molecule allow targeted and safe interventions to restore lost volume, correct asymmetries, and, of course, fill wrinkles. Its importance lies in its ability to provide natural, harmonious results without altering facial features. It is not a foreign body but a support that helps the skin regain its original structure, with an extremely high safety profile. How hyaluronic acid acts on lip contour wrinkles When a hyaluronic acid filler is injected to correct “barcode” lines, its action is dual and synergistic: Mechanical filling effect: the gel is precisely positioned in the wrinkle groove, lifting it from the inside and making the skin surface immediately smoother and more uniform. Biological added value: hyaluronic acid triggers deep hydration and biostimulation. By attracting water into tissues, it visibly improves skin hydration and plumpness. At the same time, its presence stimulates fibroblasts — the cells responsible for producing new collagen and elastin. This means that even after the filler is reabsorbed, the skin will maintain a stronger, more resilient structure, slowing the future reappearance of wrinkles. Parameter Average value / range Average onset age 35–45 years (earlier in smokers and individuals heavily exposed to the sun) Typical wrinkle depth 0.2 – 1 mm Percentage of smoker patients 60% of treated cases Average recovery time post-filler 24–48 hours for normal social activities Average duration of effect 6–12 months (longer when combined with regenerative protocols such as Lipogems) The treatment procedure with hyaluronic acid at Istituto Image At Istituto Image, every treatment begins with a personalized regenerative analysis. This medical consultation phase is crucial to understand the unique characteristics of the patient’s skin, the depth of wrinkles, and individual expectations. Only through accurate diagnosis can a truly tailored therapeutic plan be defined. The infiltration procedure is minimally invasive and performed on an outpatient basis. After applying a numbing cream to ensure maximum comfort, the physician proceeds with micro-injections of hyaluronic acid, using ultra-fine needles or microcannulas to distribute the product evenly and precisely. What sets our approach apart is our ability to integrate different methodologies for superior regenerative results. For deeper wrinkles and overall rejuvenation of the area, we often combine the filler with advanced technological treatments. The combination of laser therapies, such as fractional CO2 Laser, and Lipogems® technology represents the most advanced frontier of regenerative medicine. The laser acts on the surface, smoothing the skin and stimulating superficial collagen, while Lipogems® — a micro-fragmented adipose tissue harvested from the patient — works in depth, regenerating dermal structure thanks to its high concentration of mesenchymal cells. This synergy erases wrinkles and transforms skin quality, ensuring longer-lasting and natural results. Benefits and expected results of hyaluronic acid treatment A targeted treatment for lip contour wrinkles provides benefits beyond simple filling, contributing to overall rejuvenation of the smile and the lower third of the face. Main benefits include: Immediate and natural results: Wrinkles are immediately softened, with an effect that preserves facial expressiveness and harmony. Improved skin quality: Skin becomes more hydrated, firm, and elastic thanks to collagen stimulation. Effective prevention: The treatment slows down the formation of new wrinkles, acting as a true anti-aging therapy. Safety and biocompatibility: Hyaluronic acid is safe and completely resorbable. Prolonged duration: Filler effects last on average 6–12 months, but biostimulation benefits are longer-lasting. Post-treatment advice to maintain results over time To maximize treatment duration and effectiveness, it is essential to adopt certain good habits. Within 24–48 hours after injections, it is recommended to avoid exposure to intense heat sources such as saunas or tanning lamps, as well as refrain from intense physical activity. In the long term, a proper skincare routine including hydrating serums and daily sun protection (SPF 50+) is crucial to protect the skin from photodamage. Quitting smoking and maintaining excellent hydration by drinking plenty of water are simple but powerful gestures to preserve the skin’s beauty and health, prolonging the benefits achieved. Why settle for just filling a wrinkle when you can regenerate the skin in depth? At Istituto Image, our scientific approach integrates hyaluronic acid fillers with excellence protocols such as CO2 Laser and Lipogems® to guarantee not only immediate but visibly longer-lasting results. Choose a solution that treats the skin and prevents future aging. Contact us for an in-depth medical consultation and discover how our integrated method can transform your lip contour. FAQ How can I fill wrinkles around the lips? The most direct and effective method is the use of hyaluronic acid fillers, which fill the wrinkle groove and hydrate tissues. For more complete and long-lasting results, at Istituto Image we combine fillers with regenerative technologies such as CO2 Laser and Lipogems®, which improve skin quality from within. How long does hyaluronic acid last on the lips? The duration of lip contour fillers is subjective and depends on individual metabolism and lifestyle, but on average the volumizing and smoothing effect lasts 6 to 12 months. The benefits related to collagen biostimulation with Lipogems, however, are longer lasting. How to eliminate “barcode lines” around the lips? The most effective approach is multifactorial. Hyaluronic acid fillers provide immediate correction. For deeper regenerative action, treatments such as fractional laser, chemical peels, and especially Lipogems® technology stimulate new collagen production, improving skin texture and tone in the long term. How much does it cost to remove wrinkles around the mouth? The cost of treatment varies and depends on the type and amount of product used, as well as any combination with other technologies. To define a therapeutic plan and a personalized estimate, a specialist consultation with one of our aesthetic physicians is essential, who will recommend the most suitable strategy for your specific needs.

Reading time: 5 min The Era of Invisible Aesthetics Precision Aesthetic Medicine: The New Luxury Is Invisible There’s a new kind of beauty that doesn’t shout, doesn’t alter faces, doesn’t transform. But it makes itself known. It’s that kind of beauty that leaves no visible trace, except for a subtle sense of freshness. That almost imperceptible detail that makes someone say, “you look well,” even if they can’t quite explain why. A new light in your eyes, a more defined jawline, skin that’s inexplicably smoother. This is the age of undetectable beauty , and it’s rewriting all the rules. Today, the real revolution isn’t looking “done”, it’s looking untouched. And that’s no small feat. Because behind that “you can’t tell” there’s everything: precise medical strategy, calibrated treatments, expert hands, and an aesthetic that no longer chases youth but enhances harmony. Refinement Is Couture Aesthetic medicine has become subtle, technical, intelligent. It speaks the language of nuance: soft fillers, microbotox , skinboosters , fractional lasers , radiofrequency set to glow. No overfilled cheeks, no frozen faces. Just healthier skin, cleaner contours, a face that remains itself, only updated, optimized, and almost imperceptibly enhanced. Even surgery has evolved. Today’s facelifts no longer “pull”,they reposition, sculpt, rebalance. Faces aren’t reshaped, they’re refined in their natural beauty. It’s called the beautification facelift , and it’s designed for those who aren’t chasing youth, but simply want to look better. The result? No tight expressions, no noses that belong to someone else, no catwalk cheekbones. Just a new aesthetic coherence, tailored like a couture garment. Preventive Treatments & Slow Aging: The New Frontier In parallel, a new generation of patients, often very young, is emerging. They don’t wait for time to leave its mark; they act early. Not out of fear of aging, but to preserve, prevent, and nurture their aesthetic capital with foresight. It’s the philosophy of slow aging , which rejects the anxiety of time and embraces constant, discreet, intelligent care. Today, taking care of yourself isn’t a vanity, it’s awareness. And those who start early do so with the lightness of someone who’s understood a simple truth: beauty isn’t chased, it’s built, patiently. Yes, Men Too If you think this only concerns women, you’re at least five seasons behind. The number of men turning to aesthetic medicine, with clear goals and high expectations, grows every year. And no, it’s not just about a bit of botox on the forehead. Men today want defined jawlines, brighter eyes, better skin. But above all, they want to never look “tweaked.” They prefer quick, invisible treatments with immediate social return: hair fillers for the scalp, masculine yet structural fillers, discreet lower-face lifts, under-eye rejuvenation, and microtoxin sessions with pinpoint precision. And while it used to be women who brought them to the clinic, today they book on their own. They want results, not labels. And they want them now. Italian Women vs. The Rest of the World: Who Really Gets It? And so the question becomes inevitable: are Italian women keeping up? Or are they still… a little provincial? The answer is more nuanced than it seems. Yes, Italian women are doing it. Absolutely. But they’re doing it quietly, with the elegance of someone who wants to look impeccable, without ever appearing artificial. While in cities like London, Dubai, and New York aesthetic treatments are proudly posted on Instagram or shared in podcasts, here they’re whispered among friends, booked under aliases, done over a lunch break with coats on and sunglasses down. It’s an aesthetic of understatement, of seamless perfection, of results that “you don’t see, but you feel.” A culture of retouching as a private, refined, never-showy act. But undeniably present. Image: The (Not-So-Secret) Secret Behind the City’s Most Beautiful Faces And it’s in this context that Image Regenerative Clinic has been moving with grace and consistency for years. We’ve always believed in authentic, personal, refined beauty. Our protocols don’t transform; they accompany, enhance, and elevate what already exists. We believe in the power of prevention, in the value of restraint, and in quality that doesn’t need to shout. It’s no coincidence that more and more international patients choose us as their go-to clinic in Milan. Women (and men) arriving from Zurich, London, Dubai, Los Angeles. They seek discretion—but also excellence. They seek expert hands, a tailor-made aesthetic, an ethical yet contemporary approach. They seek a place that feels like home, even when they’re here to care for themselves. And they find it here, at Image. Where beauty is never loud, but always recognizable. Where the future of aesthetics is already happening. And where true youth is not an effect—but a process. Lipogems®: The Science of Regenerative Beauty But the real game changer lies in our regenerative soul. Lipogems® , the patented technology by Prof. Carlo Tremolada, is now recognized as one of the most advanced and safest tools in the slow aging landscape. It’s a patented medical system that produces microfragmented adipose tissue rich in regenerative cells, using the patient’s own fat, without enzymes. A smart biological micro-graft capable of stimulating tissue regeneration, improving skin quality, and visibly slowing the signs of aging, without altering facial identity or expression. This is our best kept secret : a scientific, natural approach that doesn’t fill, but regenerates. That doesn’t chase youth through shortcuts, but rebuilds it from within, at the cellular level. And that’s where the real reverse aging revolution begins. Book a personalized consultation at Image Milano and discover how regenerative aesthetic medicine can enhance your natural beauty.

Reading time: 4 minutes By Dr. Alice Magri, Specialist in Maxillofacial Surgery at Image Regenerative Clinic In recent years, the concept of beauty has evolved. More and more people are seeking visible yet natural results, effective treatments that respect the skin, smart and non-invasive solutions. This is the foundation of our philosophy: enhancing authentic beauty through personalized, regenerative, and integrated programs. And today, I want to tell you about an innovation that perfectly reflects this approach: the professional peeling by Alumier MD. What is Alumier MD and why I recommend it Alumier MD is much more than a simple peel. It’s a scientifically formulated treatment that combines high-performance active ingredients with a tailor-made skincare philosophy. Each peel is customized based on the patient’s skin type, sensitivity, and aesthetic goals, making it the ideal component of a complete regenerative journey. Unlike traditional peels, Alumier MD doesn’t attack the skin but guides it through a controlled process of exfoliation and cellular renewal. The skin appears firmer, brighter, and more even. And that’s the key: visible yet never artificial results. A synergistic treatment with advanced technologies and injectables One of the aspects we most appreciate about Alumier MD is its perfect compatibility with other advanced aesthetic treatments. In our clinical practice, we like to work in a multi-focus way, combining different technologies in synergistic sessions, always respecting the physiology and harmony of the face. Here are some combinations we often recommend to our patients: Fractional radiofrequency with microneedles: enhances skin firmness and structure by stimulating deep collagen production. When combined with Alumier MD peeling, you get a dual effect: surface renewal and deep tissue regeneration. Fractional CO₂ laser: ideal for scars, enlarged pores, and uneven texture. Pre-treating the skin with Alumier enhances responsiveness, reduces downtime, and optimizes final results. Injectable treatments (biostimulators, skinboosters, soft fillers): while Alumier MD’s active ingredients even out tone and refine texture, injectables restore targeted volume and hydration, always maintaining a natural look. This type of combined, gentle, and targeted approach defines our philosophy: achieving visible but never excessive results. The natural look is not a compromise, but an ambitious goal that requires expertise, a holistic vision, and the smart use of cutting-edge technologies. Summer? The best time to prepare... for autumn Many people believe aesthetic treatments should be paused during summer. We, instead, believe that summer preparation is the perfect springboard to enter autumn with stronger, more receptive, and balanced skin. A light protocol with modulated peels like Alumier MD, paired with biostimulating and non-photosensitizing treatments, allows skin to remain active and healthy even in the warmer months, avoiding the "forced pause" effects that often lead to skin deterioration. It’s a smart approach: starting in summer with gentle, progressive treatments means you can intensify in autumn with lasers, radiofrequencies, and more energizing protocols, on skin that’s already regenerated, firm, and ready to respond better. In this way, results are multiplied and consolidated over time. A beauty built around you The Alumier MD peel fits perfectly into personalized skin regeneration programs. It’s ideal: as a preparatory step for medical or laser treatments as maintenance for those already on a regenerative protocol as a targeted solution to improve tone, pigmentation, fine lines, texture, and radiance Each program is tailor-made, assessing not only skin condition but also lifestyle, habits, and personal goals. Healthy skin is skin that regenerates The Alumier MD peel is not just an aesthetic treatment. It’s a choice for prevention and wellness, a conscious gesture to care for your skin over time by stimulating cell turnover, fighting oxidative damage, and boosting collagen production. Choosing a protocol that integrates peeling + technologies + soft injectables means enhancing your skin from multiple angles—in a respectful, modern, and scientifically grounded way. And above all, it means choosing a beauty that evolves with you, authentically. If you too want to rediscover healthier, firmer, and more radiant skin—without altering your natural beauty—come visit us at the clinic. Together, we’ll build your personalized program. Dr. Alice Magri Specialist in Maxillofacial Surgery Expert in Regenerative Aesthetic Medicine Image Regenerative Clinic – Milan

There is a special energy that comes with this time of the year: spring. The first rays of sunshine warm the skin, the air is filled with the scent of renewal and lightness, and as nature awakens, we naturally feel the desire for freshness, radiance, and vitality. It is the season when we long to refresh ourselves, to shed the signs of winter fatigue, and to rediscover a more relaxed and serene face. And this is precisely the ideal time for a treatment that naturally revitalizes and enhances facial harmony: Botox. Springtime for Your Face: Why Is Botox the Perfect Treatment for This Season? Just as spring is the season of renewal, Botox is the treatment that allows the face to blossom, freeing itself from tension and the tired expressions that winter has left behind. After months of cold weather, dull skin, and features marked by stress and fatigue, the desire for lightness translates into the need for a brighter, more refreshed, and youthful appearance. This is where Botox comes into play—it not only smooths expression lines but also restores harmony and energy to the face, reflecting the fresh vitality of spring. Over 6 million people worldwide choose Botox each year, with more than 300,000 procedures annually in Italy alone. It is not just a trend but a conscious choice for those who want to take care of their appearance wisely. Why wait for wrinkles to deepen when they can be prevented naturally? Smoother Skin, a Lighter Mood: Botox Is Also Good for the Mind If spring is the season of positivity, Botox is its perfect ally. Scientific studies show that Botox not only improves aesthetics but also has a direct impact on emotional well-being. By reducing frown lines and tense expressions, the brain receives fewer stress signals. A study published in the Journal of Psychiatric Research confirmed that patients treated with Botox in the area between the eyebrows experienced a significant reduction in depressive symptoms, thanks to the facial feedback mechanism. Imagine the feeling of lightness on a spring day, when the sun kisses your skin and the blue sky fills you with good vibes. That’s exactly how Botox works for your face: it removes tension, relaxes expressions, and makes you look as refreshed and at peace as you feel when breathing in the crisp April air. Not Just One Technique: Botox Is an Art, Not Just a Treatment Just as every spring has its own unique shades, Botox can be applied in different ways. It’s not about "freezing" the face but enhancing it naturally. There are customized approaches like Baby Botox , which uses micro-doses for an ultra-natural effect, ideal for those who want to start prevention while maintaining full facial expressiveness. Every face needs a tailored treatment, and only an expert doctor can enhance it with the right balance. The Areas Where Botox Can Awaken Your Beauty Just as spring brings nature to life in every little detail, Botox can be applied in different facial areas to restore harmony and radiance : Spring Means Safety and Lightness: Botox Is Safe, But Experience Matters Just as you trust professionals for the best skincare treatments in spring, Botox should only be entrusted to experienced doctors. Incorrect application can lead to unnatural results, such as asymmetry or stiffness, while a well-executed treatment is only noticeable in the freshness and harmony of the face. Botox is not a one-size-fits-all procedure—it is an art of precision. Only those with deep knowledge of facial anatomy and a refined aesthetic sense can deliver the perfect outcome. An Intelligent Choice for Both Men and Women: Why Wait? Spring is the season of renewal—why not refresh your face as well? Botox is a smart choice for both women and men , as a fresh and relaxed look conveys well-being, confidence, and positivity. More and more professionals are turning to aesthetic medicine to improve their appearance in a discreet and refined way. Conclusion: Let Go of the Myths and Let Your Face Blossom Spring teaches us that beauty is a balance between freshness and harmony. When performed by skilled hands, Botox does not alter your features but enhances your natural expressions, making you look younger, more radiant, and relaxed. If you’ve had doubts or hesitations until now, ask yourself: how important is it for you to look as vibrant as you feel inside? Now you have two choices: keep waiting, or give your skin the freshness and glow it deserves. What will you choose? 🌸

A device that combines microneedling and radiofrequency for skin regeneration, wrinkle reduction, texture improvement, and scar revision. By Dr. Fabrizio David, aesthetic physician at Image Regenerative Clinic. Mechanism of Action Vivace is a radiofrequency microneedle system that stimulates neocollagenesis through dermal-epidermal renovation. The device combines controlled microtrauma with precise thermal modulation both at the tip and along the needle. The procedure preserves epidermal and melanocyte integrity, preventing post-inflammatory hyperpigmentation. Clinical Indications The treatment is indicated for superficial and deep wrinkles, skin porosity, and post-acne scarring. It induces immediate tissue tightening with increased tissue tonicity and reduced erythema, with progressive results over time. Therapeutic Protocol Three annual sessions at 45-day intervals are recommended. The treatment is viable in all seasons, including on tanned skin and dark phototypes. The created microchannels facilitate transdermal absorption of active ingredients such as vitamins, polynucleotides, and botulinum toxin, enhancing their therapeutic efficacy.

To combat cellulite and significantly reduce orange-peel skin appearance. To improve skin tone through polynucleotides. Or to enhance microcirculation with ozone. Mesotherapy is a multifunctional technique for addressing various coexisting conditions. The optimal time to begin treatment isn't just before summer, but especially after returning from vacation. Insights from Dr. Fabrizio David, aesthetic physician at Image Regenerative Clinic. What is Mesotherapy? Mesotherapy involves injecting therapeutic substances through very fine needles into the treatment area. For legs and body treatments, these substances typically include lipolytic cocktails for localized fat deposits, anti-lipodystrophic agents for cellulite, or polynucleotides to restore elasticity to particularly dehydrated and wrinkled skin. The painless injections are administered at multiple points spaced half a centimeter apart. What conditions does Mesotherapy address? Mesotherapy non-invasively treats and improves common lower limb conditions, including orange-peel skin texture, cellulite, and water retention. When performed as localized oxygen-ozone therapy, it also addresses capillary visibility and microcirculation weakness. Why does Image recommend Mesotherapy? Mesotherapy should be viewed as a year-round maintenance routine rather than just a pre-summer treatment. Perfect legs aren't seasonal: they result from consistent care throughout the year. Post-summer is particularly crucial, when vacation benefits are still visible and maintaining results is easier. If summer indulgences have occurred, it's the ideal time for corrective treatment. Notably, mesotherapy can be combined with other treatments, and results are significantly enhanced within structured protocols. Our Skinny Legs program exemplifies this approach, combining shock wave sessions, targeted mesotherapy for edematous-fibro-sclerotic panniculopathy, and oxygen-ozone therapy.

Skin longevity means protecting the skin from premature aging and maintaining healthy skin at any age. Image Regenerative Clinic experts provide guidance against sun spots and premature sun-induced aging. Here are recommendations from Dr. Caterina Bristot, a leading expert in both acne treatment and laser procedures for dyschromia, hyperpigmentation, and wrinkles, and Dr. Paolo Salentina, who specializes in innovative aesthetic medicine injection procedures. Sun spots and premature aging wrinkles: what to do? The only way to prevent them is to protect the skin from sun exposure. Always. This is especially important during periods when the desire for perfect tanning often leads to mistakes. Image experts are unanimous about using high SPF sunscreens and physical barriers. Proper protection Direct sun exposure to the face should be avoided. While this goes against popular trends, it's the only genuine way to prevent UV-related damage. Protection should be very high, preferably total coverage. 'I always recommend using physical barriers as well,' Dr. Bristot emphasizes. 'A wide-brimmed hat that shades the neck and décolletage, areas often susceptible to sun spots and texture changes due to improper exposure.' Treatments to prepare skin for tanning 'A series of weekly biorevitalization treatments in the month before departure is highly recommended to ensure greater skin hydration and consequently a more aesthetic and, most importantly, safer tan,' recommends Dr. Salentina. Post-vacation treatment planning Biorevitalization. This should be the first treatment after vacation: it rehydrates the skin from within following exposure to light, sun, wind, salt water effects, and dietary stress common during holidays. The revitalizing complex can be customized with amino acids and polynucleotides for enhanced efficacy, supporting skin renewal by stimulating cellular turnover and fibroblast production of collagen and elastin. Intense Pulsed Light for skin rejuvenation. Another highly effective treatment for addressing sun-induced skin texture changes and discoloration, particularly effective against blue capillaries that often appear after the summer season. Lightening peels and PRX T33 peel. These treatments can be performed in conjunction with other methodologies.

Two innovative aesthetic medicine treatments utilize botulinum toxin in differentiated ways: one to stimulate collagenesis and lift, the other to prevent wrinkle formation through gentle muscle relaxation. Dr. Paolo Salentina, physician at Image Regenerative Clinic and aesthetic medicine professor at the University of Pavia, explains these treatments. What are Microbotox and Babybotox? Microbotox and Babybotox are two distinct methodologies. Microbotulinum involves injecting botulinum toxin into the dermis rather than the muscle, as in traditional botox. It is administered through mesotherapy using a specialized device with millimetric microneedles that allows treatment of the entire face, including contours, periocular area, and neck, without bruising risk, as the toxin remains superficial and doesn't affect musculature. Babybotox is traditional botulinum injection into muscle, but with a preventive approach, aiming not to correct existing wrinkles in the upper third of the face but to relax the area sufficiently to prevent their formation. What are the effects of Microbotox? Microbotox energetically stimulates fibroblasts, which are responsible for collagen and elastin production, increasing these substances throughout the face, including the delicate periocular region. The result is revitalized, regenerated, smoother, and redensified skin, particularly noticeable along the jawline and facial contours. Multiple clinical studies demonstrate botulinum's efficacy in the dermis, beyond its known muscular action. This dual action yields results in both skin texture and muscle relaxation. What are the results of Babybotox? Babybotox is indicated for patients between 20 and 35 years who wish to prevent expression lines in the upper third of the face. The preventive approach helps avoid more invasive corrections in the future. The treatment involves specific dilution and reduced dosages, targeting the superficial muscle layer. The effect is subtle yet effective: patients won't notice dramatic changes, but achieve a more rested appearance and natural expression that maintains over time. Clinical Considerations It's important to note that treatment indication doesn't solely depend on age but on individual clinical assessment. A mature patient might benefit from Babybotox if significant wrinkles haven't developed, while a younger patient with marked expressions might require traditional botulinum. The safety and efficacy of both treatments are supported by clinical evidence but require thorough professional evaluation and proper patient selection. The minimum age for treatment is 18 years, and each case is evaluated individually considering anatomy, facial expressions, and patient objectives.

We discuss this topic with Dr. Caterina Bristot, general medicine specialist and laser therapy expert at Image Regenerative Clinic. How do lasers work for pores? Lasers emit intense, focused light that can interact with skin tissues in various ways. Depending on the laser type and settings, the laser can produce different effects, including reducing pore dilation and improving skin appearance, without damaging the dermis. What are the laser options for pore treatment? Several laser types are used for treating enlarged pores, which can also address other skin conditions such as melasma, rosacea, and sun spots. Among the most effective are non-ablative fractional laser, fractional CO2 laser, and Nd:YAG laser, each with specific indications and mechanisms of action. Which laser is most effective? The selection of the most suitable laser depends on various factors, including the type of skin condition, skin phototype, and patient characteristics and expectations. It's important to note that not all laser treatments are suitable for everyone. Therefore, we recommend specific laser types and treatments only after our physicians conduct a thorough personalized assessment. What to expect from laser treatment? The sensation during laser treatment varies depending on the laser type used. In some cases, local anesthetic may be necessary to alleviate heat discomfort and burning sensation, which is also mitigated by cold air flow associated with the laser beam spot. Post-treatment effects may include redness, swelling, and a warming sensation on the skin, typically mild and short-lived. Laser treatment results are gradual and may require multiple sessions to become visible. However, in most cases, patients achieve significant improvement in skin texture and reduction in enlarged pores within 3-6 sessions, depending on the laser type.

The philosophy of regenerative medicine can be summarized in one imperative: naturalness. Even in facial lifting, it is possible to achieve natural and lasting results, respecting the anatomy and proportions of one's face, rejuvenating the skin through cells and regenerative factors of the Lipogems system. How can a facelift be natural? We discuss this with Professor Carlo Tremolada, Scientific Director of Image Regenerative Clinic and creator of the Lipogems system. Facial aging signs depend on various factors: sun exposure damage, lifestyle, physiological loss of skin tone and volume, and chronological age. If the first signs of aging are not addressed early with regenerative and bio-stimulating treatments and fillers, the skin may appear older than one's actual age. This occurs because skin can naturally self-regenerate and self-repair until it can no longer repair cellular damage, making aging inevitable. However, regenerative medicine allows us to harness the body's natural regeneration processes in a controlled manner: the concept of regeneration itself is not new to the organism, which already possesses mechanisms for repair and renewal. When facial skin can no longer repair itself, tissues sag and deep folds and wrinkles form, intervention with a lift may become necessary, which, through Lipogems regenerative medicine and surgery, transforms into a regenerative procedure. Regenerative Facelift: What does it entail? In terms of final results, the regenerative facelift combines the effects of surgical face and neck lifting with ongoing regenerative action, rejuvenating the skin and providing a naturally healthier, more rested, younger appearance while respecting facial features. Fat Cryopreservation: Planning for Future Health Fat harvested with the Lipogems system can be cryopreserved for regenerative use in the first Italian Lipobank authorized by the National Transplant Center and the Regional Transplant Center of Emilia Romagna. Through adipose tissue cryopreservation and thawing technology, meeting the highest internationally certified safety and sterility standards (TUV), the fat maintains all its regenerative cells intact for up to 6 years after harvesting.

What is regenerative breast aesthetic surgery? A depleted breast can be rejuvenated and volume-enhanced through the Lipogems method, either as a support to conventional mastopexy procedures or as a standalone treatment. Regenerative breast aesthetic surgery is a surgical technique that utilizes the regenerative properties of microfragmented autologous fat. The procedure can be incorporated into all types of breast surgery (augmentation, lift, and reduction). Microfragmented adipose tissue processed using the Lipogems method can also be used independently from traditional surgery to restore volume, improve skin texture (stretch marks), or rejuvenate pre-existing breast augmentation. What is the Lipogems method? The Lipogems method represents a significant advancement over traditional lipofilling. Autologous fat is harvested from the patient under local anesthesia using microcannulas, then microfragmented and infiltrated into the breast subcutaneous tissue through minimally invasive injections. The procedure ensures minimal volume loss and prevents irregularities and hardening typically associated with traditional lipofilling. Advantages of Lipogems Technology The primary advantages include tissue structure preservation, maintaining adipose tissue integrity and its vascular network. The presence of mesenchymal stem cells in the processed tissue promotes tissue regeneration and repair. The procedure is minimally invasive, safe, and can be performed in an outpatient setting.

Our face is exposed to judgments and indirect glances daily. Many elements capture the observer's attention; among these, lips play a fundamental role, leading to increasingly frequent requests for aesthetic enhancement. Proportions and Harmonies to Maintain The physician's task is to assess form and proportions, along with their relationship to: perioral soft tissues, facial skeleton, and dental arches that support and project the lips. Morphologically, in static position, the lower lip appears fuller and more voluminous than the upper lip, which should be defined with a slight eversion of the Cupid's bow and filtral ridges, maintaining an appropriate skin portion length not exceeding 20 millimeters. Regarding dynamics, an aesthetically pleasing smile reveals the entire dental crown of the upper teeth (in women, 1-2 millimeters of gingival exposure is acceptable) and minimal or no exposure of lower dental crowns. A proper analysis must consider these morphological criteria, current condition, patient expectations, and feasibility. Patient Requests and Desires Lip volume decreases with age; however, younger patients often request volume enhancement, while mature patients seek restoration of definition and firmness. Resorbable fillers are our tool to meet these requests with harmonious and natural results in both smiling and static positions, thanks to their high tissue integration properties. These products characteristically have a limited duration. Lipogems Technique for Natural and Long-lasting Results For perfectly natural and permanent results, autologous adipose tissue grafting processed with Lipogems technology is an option. Lipogems technology preserves adipose tissue structure and its mesenchymal stem cell component, ensuring optimal integration and tissue regeneration. The infiltration is non-invasive, performed with fine needles or microcannulas, and typically well-tolerated by patients. For perioral care, besides resorbable fillers, we utilize biostimulants, peels, and lasers to improve skin tone, smooth fine wrinkles, and enhance texture. When Surgery is Necessary Vertical lip excess can be corrected with a minor procedure under local anesthesia (lip-lift). Additionally, outpatient removal (usually partial) of non-resorbable products previously injected for lip enhancement that have caused asymmetries and deformities over time is possible. Natural Results Respecting Anatomy The ultimate goal of any lip treatment must be a natural result that respects facial anatomy and expressiveness, ensuring harmony and balance with the patient's other facial features.

Summer is approaching, and the question remains the same: how to achieve toned and slim legs before swimsuit season? The solution lies in an integrated approach combining a healthy lifestyle with advanced medical-aesthetic treatments. While maintaining a proper low-sodium diet rich in fruits and vegetables, adequate hydration, and regular physical activity is essential, Image The Urban Medi Spa has developed a specific protocol combining three scientifically validated treatments for enhanced results. 1. Storz® Shock Wave Therapy: Acoustic waves stimulate natural repair processes through mechanotransduction. This process promotes blood circulation, dilation, and reconstruction of the venous-lymphatic microcirculatory system vessels. Cell membranes become temporarily more permeable, optimizing metabolic exchanges and reducing oxidative stress, resulting in firmer and more compact tissue. 2. Mesotherapy: Given the multifactorial etiology of PEFS (Edematous-Fibro-Sclerotic Panniculopathy), mesotherapy treatment comprises various substances injected into the mid-dermis, providing trophic action on microcirculation and promoting drainage, lipolysis, revitalization, and firmness of connective tissues. 3. Oxygen Ozone Therapy: This therapy improves blood circulation and cellular oxygenation, accelerating the body's repair mechanisms. It is particularly effective in treating cellulite caused by water retention and circulatory insufficiency, visibly reducing the orange-peel effect. The synergy of these three treatments constitutes the Perfect Legs Protocol, specifically designed to address cellulite in its various manifestations. The protocol targets the accumulation of fluids and fatty acids that compromise microcirculation in specific areas such as hips, thighs, and buttocks. For more information and personalized consultations, contact 02-76280736.

Sun exposure during summer months has increased cutaneous stress, causing a drastic loss of hydration and an increase in free radicals. How can we address and prevent the consequent aging process? Here are the 3 most effective treatments to counteract the effects of sun exposure: 1. Antioxidant treatments that neutralize free radicals and restore natural skin balance 2. Biostimulation protocols to stimulate collagen and elastin production 3. Intensive hydrating treatments to restore the damaged hydrolipidic film For more information or to evaluate the effects of sun exposure on your skin, call 02 781628

Summer. Suitcase almost packed. Destination sun. On one side, the cellulite concern that lingers in every woman's mind, on the other, the risk of photo-aging damage and returning from vacation with tired, dehydrated skin, nullifying all the effort made throughout the year for impeccable skin appearance. Image The Urban Medi Spa recommends continuing self-care during this crucial pre-departure period with two essential treatments. 'Due to their speed and efficacy, these are the most requested treatments during this period,' explains Dr. Beltrami. Anti-cellulite Leg Treatment To prevent the so-called orange peel effect and significantly reduce water retention, mesotherapy cocktail is ideal, utilizing a mix of homeopathic medications selected according to the patient's characteristics and cellulite level. Since panniculopathy results from various factors, the medications target microcirculation, fluid drainage, and adipose tissue metabolism. The mesotherapy cocktail is particularly indicated during this time of year as it develops an improvement and maintenance function for legs before and after summer. The treatment typically requires 6-8 weekly sessions for optimal results. Anti-aging Facial Treatment And for the face? While using protective creams is essential to defend the skin from UV rays, it might not be sufficient. The recommendation to prepare skin for sun exposure and maintain it youthful and hydrated afterward is biorevitalization, a natural treatment that counteracts photo-aging damage. 'Considering patient requests, I recommend two closely scheduled biorevitalization sessions before departure and one follow-up session upon return from vacation, to provide the epidermis with a youthful, luminous, and hydrated appearance,' states Dr. Salentina. For more information, contact 02-781628.

Post-vacation skin concerns often include increased photosensitivity, dehydration, and compromised barrier function. Environmental factors such as sun exposure, changes in climate, and travel-related stress can impact skin homeostasis. Professional dermatological assessment and appropriate skincare protocols can help restore optimal skin condition and address any vacation-induced dermatological issues.

What are the skin needs for face and body in September? "After vacation, when it's still warm, facial and body skin needs to recover the elasticity that light, air, sun, and salt water may have diminished," says Dr. Alice Sara Magri, maxillofacial surgeon on Professor Tremolada's team at Image Regenerative Clinic Milan. "Depending on individual cases and needs, it's necessary to consider the most appropriate strategy for replenishing hydration and restoring skin firmness." Recommended Medical Aesthetic Treatments for Face and Body "The basic post-vacation treatment is definitely HydraFacial," explains Dr. Magri. "This is a non-invasive advanced aesthetic method that acts as hydro-dermabrasion through a vacuum-effect handpiece: when passed over the face, it purifies and deeply cleanses while promoting cellular regeneration by stimulating fibroblasts, the cells responsible for collagen and elastin production." The session lasts 35-45 minutes, and the result is immediately visible with more luminous, firm, and hydrated skin. Regarding aesthetic medicine treatments, both non-photosensitizing but bio-stimulating peels, such as mandelic acid or PRX T33, and vitamin skin booster cycles are excellent for the face. Peels are applied or massaged, while skin boosters are injected across the entire face surface using very fine needles that deliver active ingredients deeply. The session takes approximately 20-30 minutes, and post-vacation, a cycle of 3-5 treatments at 10-15 day intervals is recommended, followed by monthly maintenance sessions. Sun exposure should be avoided the day after all mentioned procedures. For the body, the most indicated aesthetic treatment is lymphatic drainage and toning massages, with a cycle of at least five weekly sessions. Regarding aesthetic medicine, phlebotherapy with antioxidant substances is recommended, such as GSH or glutathione infusions - a powerful natural antioxidant that combats free radicals. The procedure takes about ten minutes, with no side effects or downtime. Treatments to Avoid at Summer's End Lasers and photosensitizing peels, such as glycolic acid treatments, are not recommended as sun exposure in the weeks following treatment can cause skin pigmentation. It's important to remember that sun exposure can occur even during normal outdoor daily activities. Consultation by Dr. Alice Sara Magri, maxillofacial surgeon on Professor Tremolada's team at Image Regenerative Clinic Milan (www.istitutoimage.it)

Dr. Salentina was invited as a speaker at the International Congress of Aesthetic Medicine Agorà 2016, presenting a report on non-surgical lifting with type A botulinum toxin. Botulinum Toxin and Eyebrow Morphology A meticulous treatment plan with botulinum toxin allows modification of eyebrow curve morphology. Eyebrows serve an important aesthetic function, with a primary role in facial expression. In aesthetic medicine, botulinum toxin represents the primary methodology for achieving eye area rejuvenation. Personalized Therapeutic Approach With botulinum toxin, it is possible to define a precise correction plan for eyebrow morphology, addressing each individual component. The treatment is personalized based on specific anatomical regions requiring modification, always respecting the patient's natural anatomy. Dr. Salentina's philosophy emphasizes maintaining naturalness and aesthetic balance as absolute priorities in treatment. For more information: 02 76280736 info@istitutoimage.com

Winter climate and high-altitude sun exposure are adversaries to skin health Mountain sun exposure presents an additional risk factor as radiation distance is shorter and snow reflection further amplifies its intensity. Windburn Solutions 1. Creams and Makeup To minimize damage, frequent nourishment with structured creams is essential, providing sufficient lipids to enhance skin barrier function. High SPF sunscreens must be applied multiple times daily. Regarding makeup, fluid and creamy products are preferable to powder-based formulations. 2. Aesthetic Medicine Which aesthetic medical treatments can help? All techniques capable of increasing hydration reserves, replenishing the depleted moisture barrier. Post-winter vacation, I recommend patients undergo revitalization treatments with latest-generation natural hyaluronic acid, administered every 7-15 days for 4-5 sessions. A more intensive approach involves using denser hyaluronic acid in a single session, repeated every 2-3 months. This methodology renourishes the skin to both limit described damage and maintain the effects and benefits of pre-winter treatments.

Hair removal (along with cellulite) is everyone's concern. This becomes even more significant as summer approaches and the desire to wear dresses and short skirts increases exponentially compared to other seasons. The Past The most common hair removal methods are waxing, razor, depilatory cream, tweezers, or electric epilators. However, these methods are all characterized by temporary results, with hair regrowth occurring within 2-4 weeks after removal. The Concept of Photoepilation In recent years, long-term hair removal systems such as medical lasers and intense pulsed light devices have become increasingly established, basing their efficacy on photoepilation. Photoepilation is a process based on selective photothermolysis, whereby light is selectively absorbed by the melanin contained in the hair, which consequently reaches high temperatures and damages the hair follicle. The practical consequence of photoepilation is a long-lasting reduction in hair count and overall slower regrowth, particularly evident and effective when the targeted hair diameter is large. Since photoepilation is only effective during the hair growth phase (anagen phase), multiple sessions are necessary for optimal results. A cycle of 5 to 10 treatments, depending on the treated area and individual characteristics, ensures aesthetically satisfactory results. Photoepilation with laser or intense pulsed light is indicated not only for the removal of unwanted hair but also for treating specific conditions such as hypertrichosis, hirsutism, and folliculitis. Assessment is Important Before undergoing photoepilation treatment, an assessment by a qualified physician is necessary to evaluate the person's phototype, hair characteristics (color, shaft diameter, and hair density) and establish the correct device settings calibrated for the individual patient. The assessment also includes analyzing potential contraindications such as pregnancy, active dermatological conditions, or use of photosensitizing medications.

Botulinum toxin, when used correctly, possesses extraordinary preventive efficacy even in the absence of wrinkles and is therefore a powerful preventive tool for younger patients when administered in small doses. A presentation by Dr. Salentina at the International Congress of Aesthetic Medicine in 2012 titled "Botulinum toxin: wrinkle prevention in young patients aged 20 to 40" introduced this highly innovative message, as botulinum had for years been considered a treatment reserved for patients with existing wrinkles. Recent news from the prestigious American Society for Aesthetic Plastic Surgery, supporting Dr. Salentina's thesis, confirms botulinum toxin as a powerful preventive treatment for younger patients, even in the absence of aging signs. Botulinum toxin works by selectively relaxing the facial muscles responsible for the formation of dynamic wrinkles. This early intervention can effectively delay the formation of permanent static wrinkles, offering a preventive approach to skin care. This demonstrates how botulinum toxin, in expert hands, is not only safe but possesses extraordinary capabilities for rejuvenation and prevention of skin aging.

Hand skin is particularly sensitive and ages approximately ten times faster than body skin. Like the face, hands are continuously exposed to external factors and often reveal our true age due to typically receiving less cosmetic attention. Lipogems is an advanced system that harnesses the regenerative potential of adipose tissue. The processing mechanism activates mesenchymal stem cells which, when injected into tissues, progressively improve tone, elasticity, and trophism. The treatment benefits hands through a minimally invasive procedure using micro-cannulas. This helps address skin thinning and gradual skeletal appearance of the dorsal area, common signs of hand aging. The procedure involves harvesting a small amount of adipose tissue, processing it through the Lipogems system to preserve vital tissue structures and cellular components, and precisely injecting the processed fat into the hand area. Results typically develop over several weeks as the tissue regenerates.

It's the latest celebrity trend. From Jennifer Aniston and Gwyneth Paltrow to Lady Gaga, celebrities are choosing cupping therapy to relax their bodies and more. Cupping therapy is based on an ancient Oriental medicine technique and aims to address aesthetic and postural issues. The technique works on the same points as acupuncture by creating pressure differentials on various parts of the body. How does cupping therapy work? The cups used are made of plastic or glass and have a diameter of approximately five centimeters. Positioned at specific points on the body, they improve blood circulation through the created suction effect. Various methods are used, either hot or cold, to make them adhere to the body. From static application, where cups remain fixed in position, to dynamic application where cups glide along the chosen area with the aid of oils. The benefits of cupping therapy The decompression caused by the cups is beneficial for muscles, especially in cases of muscular pain, as it promotes toxin elimination and tissue reoxygenation. Cups are also used to combat cellulite and localized fat as they promote fluid drainage and stimulate lymphatic circulation. This process helps improve local metabolism and tissue regeneration. Psychophysical well-being This technique is frequently used for relaxation as it stimulates meridians, releasing energy flows throughout the body. The stimulation of specific points can contribute to the release of endorphins, which have a natural analgesic and relaxing effect.

Hydration is the key factor in achieving healthy skin and uniform tanning. Here are the treatments recommended by Image Regenerative Clinic specialists before summer vacation. Facial Treatments Hydrafacial: hydrodermabrasion treatment that combines deep cleansing and intense hydration in a single session. The protocol visibly improves skin texture and diminishes fine lines through deep exfoliation and nourishment. Skinbooster: medical-aesthetic procedure involving superficial microinjections of hyaluronic acid, vitamins, and minerals. The treatment is indicated for face, neck, décolleté, and hands, offering protection against photoaging and deep hydration. Botulinum toxin: botulinum treatment offers dual pre-vacation benefits: relaxing expression lines for a rested appearance and preventing the formation of uneven marks during tanning. Body Treatments CoolSculpting: non-invasive cryolipolysis technology that enables selective reduction of up to 26% of localized adipose tissue per session. It represents an effective alternative to traditional liposuction, with measurable and documentable results. Laser hair removal: particularly indicated for areas not exposed to the sun such as underarms and bikini area. The treatment ensures lasting results and can be safely performed during the pre-vacation period.

Schedule a skinbooster session to prepare your epidermis for the summer season. Complimentary face-body beauty consultation with our experts in September. For radiant skin, a holiday gift from Image Regenerative Clinic. Skinbooster is an aesthetic medicine treatment involving micro-injections of stabilized non-cross-linked hyaluronic acid, providing deep and lasting dermal hydration. This treatment significantly improves skin elasticity and luminosity, optimally preparing it for sun exposure.

Coolsculpting is a technology that selectively reduces fat deposits, so effectively that it is considered the premier non-surgical alternative to liposuction. The results are measurable in centimeters. Dr. Claudio Carenzio, aesthetic surgeon at Image Regenerative Clinic, recently interviewed by Vanity Fair, explains this technology. What is CoolSculpting? CoolSculpting is a device that selectively reduces fat deposits by targeting adipose cells through a biological process called cryolipolysis, literally cold (cryo) that destroys (lysis) fat (lipo). When subjected to thermal stress (between -11° and -13°C), adipose cells undergo crystallization and are subsequently eliminated through apoptosis (programmed cell death). It is an exceptional method because it enables measurable reduction of localized adiposity in centimeters, visible after the first month. Furthermore, the adipose cells will not return, and the final result will remain stable over time, although a balanced diet is recommended to support the treatment and, most importantly, as a fundamental rule for one's health. Is CoolSculpting truly comparable to liposuction in terms of results? It is considered the non-surgical alternative to this procedure. It enables permanent and gradual removal of excess fat. As previously noted, CoolSculpting is highly specific and only targets the areas of concern, determined with the physician during the assessment. On average, a single session is sufficient to reduce up to 27% of fat in the treated area. How is the session performed? First, the device must only be operated by medical personnel. During the session, after applying a protective gel sheet saturated with fructose to prevent burns, special suction applicators are positioned to aspirate target tissues, cooling and crystallizing fat cells at sub-zero temperatures between -11° and -13°C. Skin, nerves, and muscles remain unaffected. After the procedure (duration varies from 30 minutes to an hour depending on the treatment area), patients may experience temporary tingling. When the device is turned off, the specialist performs vigorous massage to break down the frozen fat cells into particles, which are then eliminated by the body through the lymphatic system. Patients can immediately return to normal activities after the session. Which areas can be treated? CoolSculpting is a highly specific technology that exclusively targets fat deposits, identified with the physician during the preliminary consultation. Its specificity allows treatment of fat deposits in all body areas, particularly those where fat typically accumulates persistently. The procedure is also highly appreciated by men for treating love handles and offers various programs and applicators for different needs (CoolCurve+, CoolFit, CoolCore, CoolMini, CoolSmooth). What differentiates CoolSculpting from similar methodologies? The advantage of original CoolSculpting by Allergan Aesthetics is its 2010 FDA (Food and Drug Administration) certification, the agency that monitors the safety of food, drugs, and medical devices. Additionally, regarding safety, it differs from other technologies because the cold is precisely controlled and does not cause necrosis. Have additional questions? Contact us and Dr. Carenzio will respond with all the information.

(1) Tone and Hydration (2) Volume and Natural Appearance (3) Perfect Contour (4) Lip Lift

Contouring, redefinition, and liquid mandibular contouring are increasingly discussed procedures. This treatment essentially provides a more defined appearance to the lower third of the face. The concept focuses on emphasizing the jawline, restoring its continuity, and enhancing its definition. How? Through the use of dermal fillers or, preferably, autologous fat transfer. Both approaches employ a combined injection and cannula technique to enhance the chin-border line and mandibular angle. In lipofilling procedures, Lipogems technology is utilized to preserve adipose tissue integrity and its regenerative properties. Who is it for? The treatment is suitable for both male and female patients, carefully balanced according to patient desires and requirements. In men, it translates to masculinization, while in women, it provides definition and a lifting effect. Post-treatment precautions? As with any injectable procedure, patients should avoid intense physical activity and prolonged sun exposure for 2-3 days. Normal daily activities can be resumed immediately. Session duration? The treatment is performed in a standard 45-minute session, following a medical consultation to confirm treatment indication.

Dr. Salentina explains his approach to achieving natural results in aesthetic medicine. Dr. Salentina explains his approach to achieving natural results in aesthetic medicine.

Melasma presents as brown patches or flat spots with irregular borders, darker than the skin tone, affecting the cheeks, temples, both sides of the forehead, upper lip, nose, and sometimes even the chest. It primarily affects darker phototypes, particularly olive complexions characteristic of Mediterranean countries, as well as those with family history. It is exclusively a cosmetic condition that often causes discomfort and embarrassment. Why Do Dark Spots Form? The etiology remains largely unknown, but it is hypothesized that excessive hormonal stimulation increases melanocyte activity, compromising their functionality and inducing overproduction of melanin transfer to keratinocytes in the basal layer or dermal macrophages. This results in the characteristic hyperpigmentation of dark spots. Due to its hormonal relationship, melasma is frequently associated with prolonged oral contraceptive use, irregular menstrual cycles due to estrogen imbalances, and pregnancy - hence its alternative names chloasma or pregnancy mask. However, despite the idiopathic nature of this condition, certain factors and behaviors can significantly exacerbate it. UV exposure, for example, intensifies hyperpigmentation: melasma tends to worsen, and in some cases initially appear, in individuals with frequent sun exposure or those who repeatedly expose themselves with insufficient or no protection. Other aggravating factors include autoimmune thyroid diseases and the use of certain photosensitizing medications such as hydantoin for epilepsy. While melasma tends to resolve spontaneously after pregnancy or discontinuation of oral contraceptives, in all other cases, systematic treatment is necessary for elimination, particularly as it tends to recur over time. Effective Solutions and Treatments At the forefront of tailored protocol development, Image Regenerative Clinic specialists have developed various combined therapeutic regimens for maximum efficacy. Treatment options always include customized topical home therapy formulated specifically for the patient, combined with one or more therapeutic modalities. Depending on the case, sessions range from 1 to 10 and can be performed throughout the year. (*) by Mathilde Bonetti, with consultation from Dr. Caterina Bristot

Couperose is a condition affecting facial skin, primarily localized in the nose and cheek areas. It manifests as telangiectasias - small reddish venules - sometimes accompanied by itching and burning sensations. The primary cause is poor elasticity of smaller blood vessels which, under external stimuli (intense heat, solar radiation, strong emotions, temperature changes, certain foods), undergo dilation resulting in unsightly reddish spots and venous patterns on the face. Individuals most predisposed to developing Couperose are those with fair and thin skin, as well as those with dry skin. Menopausal women are particularly susceptible due to hormonal changes that can cause alterations in microcirculation. While Couperose is not hazardous to health, it is a chronic condition that, if untreated, may progress to a more severe clinical presentation known as Rosacea. This condition is characterized by the appearance of telangiectasias, papules, and acneiform pustules in the central facial region. Treat Couperose with Latest Laser and Intense Pulsed Light Technology Couperose and telangiectasias can be treated with both Intense Pulsed Light (IPL) and latest-generation laser technology (Synchro FT laser). Both treatments are painless and allow immediate return to daily activities. Treatment with IPL or Laser can be performed year-round, maintaining a minimum one-month interval from the last or next direct sun exposure. Prevention To counter this condition, it is important to avoid direct heat sources, solar radiation, and significant temperature variations. Additionally, certain foods should be avoided while others that provide protective action for superficial capillaries should be incorporated. Schedule a consultation with Dr. Bristot, expert in laser therapy and light-based treatments.

The Gifts Continue... Take advantage of Image Regenerative Clinic's special opening hours on December 27-28 and January 2-4. Receive a 20% discount on all aesthetic medicine treatments and consultations during these dates. Final Treatments Before New Year? With our special opening hours on Thursday December 27 and Friday December 28, you can prepare for the new year with enhanced confidence. Schedule your preferred treatment or aesthetic medicine consultation with a 20% discount. Start 2019 Exceptionally? With our extended hours on Wednesday January 2, Thursday January 3, and Friday January 4, begin 2019 with optimal results. The 20% discount applies to all aesthetic medicine treatments and consultations during these dates as well. How Does the Promotion Work? It's straightforward. Contact us at 02 76280736 to schedule a treatment or aesthetic medicine consultation between December 27, 2018, and January 4, 2019. You will receive a 20% discount on the procedure. Terms and Conditions

Carbon Peel Laser is a non-invasive, completely painless laser treatment that effectively addresses specific cutaneous imperfections without side effects, downtime, and with immediate results. Using a unique liquid carbon formulation applied to the face in conjunction with Q-Switch Laser technology, the procedure exfoliates the skin, cleanses and minimizes pores, reduces sebum production, and improves skin texture and luminosity. With its unique two-step approach, the QSW laser maximizes carbon peel efficacy through distinct laser emission modes, enabling physicians to perform precise and efficient treatment. While suitable for all skin types, it is particularly indicated for combination or oily skin, enlarged pores, blackheads, and dull skin texture. Technology Carbon Peel Laser utilizes a Deka Laser platform. The system employs a state-of-the-art laser combining two Nd:YAG pulse modes: Q-SW and Free Running. Operating at 1064nm wavelength with collimated light handpiece, the Carbon Peel Laser optimizes the medical properties of carbon. The procedure begins with applying an activated liquid carbon layer to the face. The black gel acts as an artificial exogenous chromophore, enhancing photoacoustic and photothermal effects in the treated area. Once the gel penetrates the pores, the laser passes over the active carbon layer, heating and destroying particles on the skin surface and within pores, producing immediate skin resurfacing effects. Mechanism of Action The 1064nm laser-assisted carbon peel protocol is executed in two steps using a collimated light applicator, employing two distinct laser modes: FR and Q-Switch mode. Two-Step Approach During the first pass, the FR laser gently heats the cream's water molecules, enabling carbon to bind with surface debris and penetrate deeply into pores. In the second pass, a rapid QSW wavelength breaks carbon molecules into infinitesimal particles. The 1064nm wavelength is highly absorbed by these particles, resulting in carbon destruction and removal of dead cells, sebum, and bound impurities. Thermal Effect Benefits Beyond skin resurfacing and deep exfoliation, the collimated laser beam creates controlled thermal damage at the dermo-epidermal barrier. The thermal effect reduces pore size, contracts pilosebaceous glands leading to decreased sebum production, and stimulates collagen production. Quick, Painless 30-Minute Treatment Carbon Peel Laser is one of the most effective methods for deep skin cleansing and regeneration. The combination of laser technology with the clinical properties of medical-grade carbon delivers superior and visible facial cleansing results. The treatment's speed and absence of side effects make Carbon Peel Laser suitable for any time of year, including lunch break procedures.

The Celebrity Treatment Skin whitening infusions consist of intravenous administration of two natural antioxidants - Glutathione and Vitamin C - which provide significant skin lightening and regenerative effects. These specifically formulated infusions result in lighter, more luminous, and regenerated skin. The most notable results are observed in darker phototypes and Asian skin types. Glutathione and Vitamin C: Regeneration and Whitening Glutathione is an antioxidant naturally produced by the human body. Its primary function is to purify the liver and protect organs from free radical damage. When administered intravenously, glutathione acts as a skin whitening agent by inhibiting tyrosinase, the enzyme responsible for melanin production. Additionally, intravenous glutathione enhances its regenerative properties at the cutaneous level, increasing physiological skin regeneration in synergy with Lipogems Beauty, Laser Genesis, and Laser Toning. Vitamin C, a naturally occurring vitamin, demonstrates lightening and antioxidant properties when administered intravenously. What to Expect Intravenous administration enables significantly higher absorption of Glutathione and Vitamin C compared to oral intake. This makes Skin Whitening Infusions the most effective and safe treatment for lightening skin tone and regenerating skin cells. The treatment is safe with no known side effects and is particularly effective for individuals with darker complexions. Treatment Day The skin lightening session typically lasts 20 minutes and is performed on an outpatient basis. The treatment can be combined with other procedures such as Laser Toning (for spots and discoloration), Laser Genesis (for pores and skin tone), and particularly Lipogems Beauty. The latter is the primary treatment in the Image regeneration protocol, producing continuous improvement with results that enhance for up to 2 years and synergize with all treatments.

Facial shape is determined by the combination of skeletal structure, muscular components, and soft tissues (skin, subcutaneous tissue, and fat pads). Each plays a distinct role in defining facial contours. Specifically, the various characteristics of these elements and their relationship contribute to making the lower third of the face either square or oval. This appearance is typical in Asian patients but also manifests in Caucasian patients with characteristic dento-skeletal conformation or those with significant activity of the extrinsic masticatory muscles, to which the masseter muscle belongs. While surgical intervention is required in the first two cases, botulinum toxin is effective in softening facial features through a simple outpatient procedure. Treatment Day and Initial Results The treatment consists of small injections on each side of the masseter muscle. After the procedure, patients can immediately resume social activities with the only restriction being to avoid chewy foods in the days following the injections. Volume reduction occurs progressively, and a follow-up appointment at 1 month post-treatment allows for any necessary touch-ups. Duration of Masseter Botulinum Results The effect persists for 4-6 months, and repeated treatments can extend the duration until result maintenance. This widely recognized procedure can also be used in cases of bruxism and, when combined with orthodontic/gnathological treatment, provides noticeable patient benefits. Clinical evaluation will identify patient issues and determine the appropriate treatment path.

ORASER® CELLULITE CONTROL: Cellulite Management / Post-Lipolysis Oraser® Cellulite Control is clinically tested to reduce and prevent visible signs of cellulite. An innovative blend of ingredients works throughout the day to reduce the appearance of cellulite. This anti-cellulite cream visibly smooths skin while providing a slimming effect ideal for hips, thighs, and buttocks. FOAMACLEANSE®: Gentle Cleansing Foam for All Skin Types This gentle foam is designed to remove impurities from clogged pores, leaving skin fresh, clean, and hydrated. Formulated for all skin types, it contains a potent antioxidant blend to protect skin from harmful environmental exposure. Suitable for all skin concerns: dry skin, rosacea, acne, blackheads, and even cystic acne. OSSENTIAL® ADVANCED RADICAL NIGHT REPAIR: Anti-aging Formula with 1% Retinol Concentration Ossential® Advanced Radical Night Repair contains skin defenders targeting multiple signs of aging. Formulated with 1% retinol concentration that addresses UV-damaged and aging skin more effectively than other anti-aging products. This skin repair serum offers the highest concentration of retinol available in over-the-counter products. It is formulated to even skin color and tone, recommended as the first step in hyperpigmentation treatment. The blend of retinol, melanin inhibitors, and antioxidants is released to rapidly enhance skin quality and tone. AKNETROL®: Acne Treatment with 10% Benzoyl Peroxide This powerful acne-fighting formula helps control oily skin, neutralize bacteria on the skin, and prevent future breakouts. Enhanced cell turnover promotes exfoliation to mitigate bacterial proliferation and clear clogged pores. OSSENTIAL® C-BRIGHT SERUM: 10% Vitamin C Ossential® C-Bright Serum delivers a potent dose of pure, stabilized vitamin C to brighten and restratify skin. Ascorbic acid, the purest form of vitamin C, and tetrahexyldecyl ascorbate, a vitamin C ester, help promote more uniform skin tone. This water-free formula self-activates upon contact with skin's natural water content, maximizing exfoliation and brightening effects, revealing radiant and even skin. Antioxidant vitamin E and coenzyme Q-10 protect against environmental damage. Skin lipid fillers maintain balanced skin barrier and soften skin texture. This vitamin C serum also helps minimize the appearance of fine lines and wrinkles. Restoracalm® Soothing Recovery Cream Formulated for all skin types, particularly sensitive skin, to calm irritation. Soothes and provides relief for sensitive and compromised skin, reduces the appearance of redness and irritation, restores and helps strengthen the skin's protective barrier.

We consult Dr. Salentina, one of the leading experts in botulinum toxin treatments (professor of aesthetic medicine at the University of Pavia and expert member of AITEB - Italian Society of Botulinum Toxin) to reveal some professional insights. Dr. Salentina, does botulinum toxin affect wrinkles or facial expression? It actually affects both. However, I always emphasize to my patients that I prefer to focus on enhancing facial expression, as minor wrinkles on a fresh, rested face can sometimes add naturalness. Could you explain how it works on facial expression? In the upper third of the face, there exists a balance between depressor and elevator muscles. The physician acts as a specialist, precisely modulating the equilibrium between these muscle groups as needed. What are the results? Patients who previously complained of a fatigued and heavy appearance can achieve a more relaxed, bright, and refreshed look through the selective inhibition of depressor muscles with botulinum toxin. Is it suitable for summer treatment? There are no seasonal contraindications, only minor precautions to follow in the days immediately after treatment. During summer months, facial muscles controlling eye and brow movement are particularly active due to sun exposure. Botulinum toxin remains the most reliable method for reducing these contractions, resulting in a more relaxed appearance. At what age can treatment begin? Botulinum toxin can be used preventatively in patients between 20 and 40 years old. As I have advocated since 2012 (AGORA - International Congress of Aesthetic Medicine) and as confirmed by the American Society for Aesthetic Plastic Surgery, botulinum toxin can be utilized as a preventative treatment for younger patients, even before signs of aging appear. This demonstrates that botulinum toxin, when administered by experienced practitioners, is both safe and effective for rejuvenation.

What is CoolSculpting? CoolSculpting is a non-surgical procedure for subcutaneous adipose tissue reduction. It operates on the principle of controlled cooling of cells to eliminate fat deposits. This mechanism achieves an effective reduction of approximately 20-25% of fat cells without damaging the overlying skin or surrounding structures, inducing cell death (apoptosis) with proven, visible, and lasting results. Typically, in adulthood, body changes occur through increases or decreases in adipose cell volume; CoolSculpting determines the numerical elimination of a percentage of these cells, ensuring fewer cells subject to dimensional changes in the treated area in the future. Treatment areas include thighs, abdomen and flanks, arms, and submental region, with handpiece size and shape varying based on thorough clinical assessment. Clinical Consultation As with any medical treatment, the clinical consultation is essential, including anamnestic evaluation, assessment of patient expectations, and collection of necessary data to develop the appropriate therapeutic path. It's crucial to establish treatment eligibility and create an individualized treatment plan tailored to the patient's specific objectives. Some patients may require multiple sessions or treatment of multiple areas with CoolSculpting. During consultation, the physician will indicate which areas can/should be treated and how many treatments will be necessary to optimize results. The CoolSculpting Treatment The procedure begins with a preparation phase where the physician marks the treatment areas (previously agreed upon during consultation) and verifies the exact handpiece position using a template. Following this, the installation phase begins with handpiece application and securing with elastic bands on the cutaneous area, where a protective gel/patch is applied to reduce any adhesion risks between the plate and tissues. The CoolSculpting procedure then commences, exerting suction force to ensure safe and precise controlled cooling of fat cells beneath the tissue held in the handpiece. The treated adipose cells are crystallized (frozen) and then physiologically eliminated, resulting in long-term results. The final phase consists of handpiece removal followed by manual massage for several minutes. The effective treatment duration is 35-60 minutes per treated area. Side Effects and Results Unlike invasive procedures such as liposuction, the CoolSculpting procedure presents minimal side effects. Following treatment, temporary redness, swelling, burning, possible chemosis, and in some cases tingling, itching, or reduced skin sensitivity may occur. These effects are temporary and generally resolve within days or weeks, without affecting normal social life. The CoolSculpting procedure is completely non-surgical and typically allows immediate return to normal work and daily activities. Results become visible after 3 weeks, with progressive improvement over the following 2-3 months and continuous modeling of the treated area. The session can be repeated after six months according to the protocol established with the physician or if further reduction of fat accumulation is desired.

"Beauty is eternity gazing at itself in a mirror; And we are eternity, And we are the mirror." - Khalil Gibran - Daily, our physicians encounter patients seeking to improve their physical appearance and correct perceived imperfections. In some cases, patients may have a distorted self-image, leading to non-acceptance and obsessive thoughts about their defects, whether real or imagined. The term dysmorphophobia (from Greek dys-morphe: distorted form and phobos: fear) literally means fear of distorted form. This disorder was first described in 1886 by Enrico Morselli, an Italian physician and psychiatrist. How does this phobic condition manifest? This disorder manifests as a distorted self-perception and completely altered aesthetic perception of one's body or specific body parts. Often, this pathology may be accompanied by other behavioral conditions such as avoidant personality disorder, antisocial personality disorder, borderline disorder, narcissism, and obsessive-phobic disorder. Individuals with dysmorphophobia constantly believe themselves to be unattractive, and over time, this phobia evolves into a conviction where the individual transitions from fearing something (being unattractive) to complete identification with that fear. In severe cases, affected individuals experience constant depression, anxiety, and feelings of unattractiveness, believing that 'beauty' could change everything. Self-perception and perception of others The progression moves from self-improvement to correction or concealment, yet the outcome remains constant: perpetual dissatisfaction, regardless of interventions. The core issue lies in self-perception, which remains far from acceptable. This perception affects not only the view of unacceptable body parts but manifests as a terror of becoming unattractive and aging. Those who consider themselves unattractive tend to perceive others as beautiful, initiating a projection mechanism where they see in others what they feel they lack. The positive aspects remain unassimilated, viewed as external, distant, and unattainable. Consequently, dysmorphophobic individuals compulsively seek cosmetic surgery, which invariably leads to disappointing results. In reality, for those fearing unattractiveness, the surgical outcome is secondary to the expectation that the phobia itself will be eliminated. Perception and self-esteem This demonstrates that inner distress is independent of physical appearance but exists as a separate phenomenon. The core issue involves self-esteem, based on self-perception across five crucial areas of daily life: social, academic, professional, familial, aesthetic-corporal, intellectual, and cultural. Severe cases may present alterations in visual and proprioceptive perceptions, affecting body representation, movement, and proportions, potentially progressing to delusional states with psychotic features. In acute cases, these symptoms may develop into schizophrenia or identity disorders, including gender identity disorder, dissociative disorder, body integrity disorder, or body dysmorphia associated with apotemnophilia, where individuals develop such intense hatred for a perceived imperfect (or alien) body part that they seek to conceal or remove it.

Practical advice to remember before sun exposure. With the holiday season approaching, the prevention of damage caused by improper sun exposure becomes increasingly relevant. The sun is a valuable resource for our organism, as it aids in vitamin D metabolism. However, solar radiation, particularly ultraviolet (UV) rays, can cause solar burns that many researchers consider a risk factor for cutaneous melanoma and other skin cancers such as epitheliomas. This significant risk factor is compounded by the undeniable photoaging caused by sun exposure. Protection It is essential to develop the habit of using high-protection sunscreens from an early age. These should be applied multiple times daily in adequate quantities, regardless of water exposure. Not all sunscreens are equivalent: research has made available high-protection sunscreens with chemical and physical filters that are also cosmetically appealing. Common Misconceptions Sun protection must be applied even on tanned skin, as pre-existing tan offers some but insufficient protection against solar radiation damage. Additionally, UVA tanning beds used before sun exposure do not provide protection against solar damage. Prevention It is important to note that the primary 'anti-wrinkle treatment' and prevention of age-related sun spots is sun protection from an early age. Therefore, the use of sunglasses, hats, and high-protection sunscreens from adolescence is essential for maintaining toned and radiant skin beyond middle age.

Dual Wavelength Technology for Younger, Wrinkle-Free and Spot-Free Skin The innovative Fraxel Dual Laser utilizes two distinct wavelengths based on the patient's dermatological concerns: the 1550 nm Erbium fiber laser and the 1927 nm Thulium fiber laser. This integrated system operates simultaneously at both deep dermal and superficial epidermal levels, addressing dermal restructuring and epidermal imperfections (dyschromia, actinic keratosis). Ideal for Face, Neck, Décolleté and Hands Fraxel Dual Laser treatment is optimal for patients seeking cutaneous regeneration to repair chrono and photo-aging damage in various body areas. The fractional laser treatment is particularly effective for rejuvenating the skin of the face, neck, décolleté, and hands. It can complement or consolidate results from other treatments such as peeling, fillers, revitalization, or surgical procedures like lifting, blepharoplasty, and Lipogems. Additionally, it proves highly effective in reducing post-acne scarring, improving skin texture, and minimizing enlarged pores. How Fraxel Dual Laser Treatment Works Following a thorough patient assessment and skin analysis, the physician determines which wavelength(s) to utilize. A topical anesthetic is applied pre-treatment to minimize patient discomfort during laser emission. Post-treatment, patients may experience mild burning sensation similar to sunburn, typically subsiding within two hours. Skin remodeling begins 24 hours post-treatment, characterized by increased tensile strength (tightening effect) and initiation of collagen fiber production. Post-Treatment Effects and Guidelines Unlike ablative resurfacing lasers, Fraxel laser delivers powerful stimulation with minimal post-treatment sequelae (erythema, moderate edema), resolving within days. Strict adherence to physician guidelines is crucial during the healing phase to prevent adverse effects. Post-treatment care includes applying high-factor sunscreen (SPF 50+) twice daily and maintaining adequate hydration. Initial healing reveals immediately improved skin texture and luminosity. Phenotypic changes develop over 3-6 months, proportional to the number of treatments received. Clinical studies indicate a minimum of 3-4 treatments at 15-30 day intervals, depending on the condition being treated.

A hydrating treatment that provides wellness and vitality for your skin Hydrating, gentle, painless The Vital Skinbooster injectable treatment is ideal following prolonged summer sun exposure. This gentle and painless procedure is recommended to restore optimal hydration, improve firmness, luminosity, and smoothness to the skin of face, neck, décolletage, and hands, while diminishing signs of chronological and photoaging. Hyaluronic Acid Microdeposits The Biorevitalization technique using Restylane Vital Skinbooster involves multiple subdermal injections of hyaluronic acid microdeposits across the face, particularly targeting areas most affected by chronological aging. While not a volumizing treatment, its formula nourishes the skin and stimulates collagen neoproduction by dermal fibroblasts, restoring vigor and renewed freshness to the skin. Protocol and Maintenance To optimize results, the recommended initial protocol consists of 4 treatments at 20-day intervals. Maintenance can be achieved with treatments every 3-4 months. However, the initial protocol may be repeated if the skin becomes dehydrated or stressed. Additionally, patients with acne scarring can experience notable improvements in skin texture and firmness with Vital Skinbooster treatment. A revitalizing treatment for damaged and stressed skin. Vital Skinbooster is strongly indicated for preparing the skin against oxidative stress caused by seasonal climate changes during autumn and winter.

How can one achieve a more rested facial appearance and eliminate signs of aging and fatigue? Botulinum Toxin for Glabellar, Periocular, and Frontal Regions The objective is to achieve natural results with a fresher, more rested appearance through various available options. We divide the face into two parts: the upper third comprises the forehead, temples, lateral periorbital region, and the middle and lower thirds. For relaxing frontal and glabellar wrinkles, we have an extremely effective tool: botulinum toxin. By reducing mobility in the forehead, glabellar, and lateral periorbital regions, wrinkles in these areas can be naturally smoothed. Treatment zones can be selected based on necessity, addressing existing wrinkles or acting preventively in areas prone to wrinkle formation. Skinboosters for Hydration and Revitalization of the Lower Two-Thirds of the Face For the remaining facial areas, deep skin hydration can be achieved using Skinboosters, biostimulants containing hyaluronic acid, to reduce fine superficial wrinkles. Hyaluronic acid, naturally present in our body but degrading over time, is administered as minimally cross-linked formulations that bind water molecules, providing deep hydration and resulting in firmer, more luminous skin. Treatment typically requires three monthly sessions followed by maintenance every 3-4 months. Volume Restoration with Hyaluronic Acid Another option is facial bio-remodeling using a combination of partially cross-linked and free hyaluronic acid to reshape specific facial regions: zygomatic area, perilabial region, and mandibular angle. This treatment provides minimal volume restoration of age-related loss while deeply hydrating the skin. Injection points are selected at bone landmarks that support facial soft tissues. Results remain completely natural without altering patient features. However, both hyaluronic acid and botulinum toxin effects are temporary. How can we achieve more stable, long-term results? Lipogems Beauty for Long-Lasting Results Our institute's gold standard is the use of micro-fragmented autologous adipose tissue: Lipogems. This consists of mechanically processed, washed, and filtered adipose tissue. Unlike botulinum toxin and hyaluronic acid, Lipogems allows injection of our own cells where repair is needed. Adipose tissue contains a high percentage of stem cells capable of natural tissue repair and regeneration. Facial application of Lipogems provides subtle volume restoration and intensive revitalization: stem cells improve facial skin texture, enhancing tone and elasticity with natural, radiant results that continue improving for up to two years. Volumetric Effects of Lipogems and Complementary Treatments Lipogems' volumetric effect can address lower eyelid bags, temporal hollowing, perilabial and chin area wrinkles, improve jawline definition, and correct minor surface imperfections through its regenerative properties. Synergistic use of botulinum toxin remains beneficial for upper facial wrinkles. The result is a supremely natural effect that improves during the initial months post-treatment, effectively reversing signs of aging. Subsequent treatments, such as additional revitalization or laser procedures, demonstrate enhanced efficacy due to Lipogems' long-lasting regenerative effects.

Dr. Paolo Salentina, one of the leading experts in botulinum toxin administration, addresses several misconceptions about the effects of this substance, helping us establish parameters for its safe and effective use. 1. Botulinum toxin is toxic and can cause botulism: FALSE Botulism is a food-borne illness (not a risk associated with aesthetic treatment). The botulinum toxin used for facial treatments has a localized action in treated areas, and toxic effects would require dozens more vials than the single vial used in aesthetic medicine. This demonstrates its absolute safety profile, higher than many other pharmaceutical products. 2. Botulinum toxin hasn't been sufficiently tested: FALSE Like all pharmaceuticals, botulinum toxin has undergone rigorous clinical trials, with thousands of published articles and research papers in international scientific literature confirming it as one of the most predictable and safe medications. It is also used in other medical specialties at higher doses than in aesthetics, including pediatric applications. 3. Botulinum toxin paralyzes all muscles: FALSE Botulinum toxin is a protein injected precisely into muscles in minute doses using an ultra-fine needle, temporarily reducing specific muscle contractions. An experienced physician can administer this treatment selectively and moderately. 4. I can't know what's being injected: FALSE Currently, only three legal products are marketed by qualified medical companies: Allergan's Vistabex, Galderma's Azzalure, and Merz's Bocouture. Be wary of low-cost treatments, especially those priced below material costs. Treatment with products other than these three is risky. Only trust qualified physicians for botulinum toxin administration and verify the product used. Reputable physicians will always provide consent forms including the product's batch number. 5. Continued botulinum toxin use will eventually worsen appearance: FALSE On the contrary, botulinum toxin has proven preventive benefits. Scientific evidence shows patients receiving appropriate treatment (approximately three times annually) start from an improved aesthetic baseline each time. When properly administered, it prevents muscles from exercising their negative effects on facial expression and wrinkle formation. 6. Botulinum toxin causes excessive swelling: FALSE The overly 'puffy' appearance sometimes observed results from incorrect use of dermal fillers, not botulinum toxin protein. 7. Botulinum toxin is permanent: FALSE Effects are always temporary, lasting an average of 4-6 months. 8. The effect is unnatural and fake: IT DEPENDS Botulinum toxin effects are fully adjustable. As with other aesthetic treatments, natural-looking results depend on the physician's expertise and judgment rather than the product itself. It's crucial for physicians to know when to decline treatment: avoiding too-frequent sessions and maintaining positive expressions, even if it means keeping some wrinkles. When properly administered, the goal isn't to eliminate all wrinkles but to achieve a refreshed, relaxed appearance while reducing signs of fatigue.

Dr. Salentina, you are known for refusing many patient requests, is this true? It happens frequently that patients request results that don't align with my concept of moderate and natural outcomes. I always decline these requests. Other times, they request treatments too close together, and I explain that respecting appropriate intervals is essential for achieving adequate results. What drives you to say no? I don't want to leave my 'signature' on work I don't believe in. I disapprove of visible and unnatural results, and prefer to select patients with more refined and moderate aesthetic preferences that align with my concept of 'beauty'. Do patients whose procedures you refuse feel disappointed? Certainly they do. Some have even offered to pay higher fees to get what they want: that's definitely not what I'm interested in. Sometimes, the same patients I refused have later thanked me. Over the years, I've managed to select my patient base carefully. I aim to be a guide who can advise and direct them toward a healthy anti-aging journey.

Autumn inevitably brings signs of prolonged sun exposure and high temperatures from previous months, resulting in often uneven reduction of facial pigmentation with skin appearing dull and dehydrated. Prevention and proper attention to photo/chrono-aging therefore lies in our ability to intervene timely through 5 key points of wellness that I consistently communicate to my patients: Cleansing, Hydration, and Stimulation When meeting a patient for the first time, I emphasize that healthy skin is primarily clean and hydrated skin; daily home care routines are the foundation for maintaining proper hydration balance. However, these often prove insufficient and should be complemented with periodic professional deep cleansing treatments using professional equipment that removes impurities and enables enhanced absorption of active concentrates and hyaluronic acid administered during treatment. Hyaluronic acid itself is a source of significant hydration and stimulation, two fundamental elements in combating tissue aging. This product, injected according to individual protocols, improves skin elasticity, providing luminosity and firmness to prevent sagging and hypotonia. Tone and Regeneration With advancing age, there is a progressive inversion of tissue layer thickness and tone, resulting in altered facial oval shape with disruption of normal mandibular contouring lines and malar prominences. Before this occurs, intervention is possible through deep dermal restructuring and, where necessary, volume restoration using products designed to reconstruct deficient regions. Sometimes the defect perceived by the patient may reflect an intrinsic skeletal deficit, and in such cases, the clinical consultation becomes crucial as the optimal result isn't merely wrinkle elimination but achieving anatomical balance, avoiding distortions and unnatural appearances that negatively draw attention. Intervention should not be delayed; consistency is key in slowing aging to postpone more invasive procedures. In addition to traditional fillers, processed and injected adipose tissue assists in this goal, utilizing its capabilities not only for volumetric enhancement but also its regenerative potential, which has become integral in managing and preventing aging processes, finding its niche in facial aesthetics. My Perspective Each patient is unique in terms of age, habits, and anatomical characteristics. I emphasize that my core principle remains maintaining a natural look, embracing the ideal of wellness alongside enhancement of personal aesthetics. "It's not necessary to change when you like yourself, but this shouldn't lead to a passive approach toward passing time."

Each skin type has distinct composition and characteristics, requiring specialized care whether it is oily, dry, or combination. While it's true that each skin type is different, it's equally true that distinguishing between them isn't always straightforward. Monitoring skin condition is essential and preventative, especially as summer approaches with increased sun exposure and associated UV radiation risks. That's why until July, Image specialist physicians are available to perform comprehensive skin analysis using innovative Dermacheck and Skinscope instruments. These analyses will help identify your skin characteristics, reveal imperfections and sun damage, areas of uneven texture, and the degree of dermal desquamation, indicating both suitable and unsuitable products and treatments for your specific skin type. Call 02 781628 to schedule your skin analysis. Prepare for summer with informed awareness.

With the arrival of warmer weather and initial sun exposure, there is an increasing desire for a golden, uniform, and natural tan. However, this also brings a dramatic increase in the risk of melasma. Preventive measures and dermatological examinations are essential. Our commitment to skin care and prevention has led us to expand our team with the expertise of Dr. Cristina Pellegrini, a specialist in dermatology and venereology. We asked Dr. Pellegrini for advice on preventing skin cancers. Her response: "Use a quality sunscreen and reapply it frequently, approximately every 2 hours. Use SPF 50 or higher protection. The sunscreen prevents solar burns while still allowing for even tanning without erythema." Dr. Pellegrini consults at Istituto Image every Tuesday. To schedule your dermatological consultation, call 02 781628.

Photo-damaged or dry skin? It's time to intervene with the hydrolift action of VISCODERM and ENERPEEL! Hyaluronic acid is a naturally occurring sugar in the human body, whose primary function is maintaining proper tissue hydration through its intrinsic capacity to bind significant quantities of water. Hyaluronic acid represents a fundamental component of the extracellular matrix in most tissues, particularly the skin. First, skin rejuvenation... Viscoderm, composed of hyaluronic acid, intervenes in the physiological aging process of the skin, whose effects include the thickening of the stratum corneum (causing roughness and reduced skin luminosity) and the alteration of dermal elastic fibers, leading to the development of skin wrinkles. Hyaluronic acid, with its viscoelastic and hydrating properties, acts by rehydrating tissues and maintaining hydration at an adequate level. This creates optimal conditions for preventing and counteracting the cutaneous aging process, promoting progressive tissue remodeling with subsequent corrective effects on cutaneous scarring. ...then tissue regeneration Chemical peeling (ENERPEEL range) is a treatment used to stimulate cellular renewal. It involves the controlled application of a chemical agent to the skin that promotes deep exfoliation and improves skin texture. Peeling is the ideal treatment for those seeking to improve superficial wrinkles, acne scars, cutaneous pigmentation of various origins, active acne, and general skin surface irregularities. The treatment is also perfect for restoring luminosity and smoothness to skin damaged by sun exposure, pollution, and stress. Protocol for damaged skin An initial cycle of three treatment sessions is recommended, with one-week intervals between sessions, followed by optional monthly maintenance sessions.

Why in Winter? Winter represents the ideal period for certain medical-aesthetic treatments that might not be as effective during other times of the year. Eliminating wrinkles, spots, and discoloration with Fraxel Dual laser, removing unwanted hair with Alexandrite laser, and more. Cold and icy winds can dehydrate facial skin and thin the lipid film, necessitating revitalization with hyaluronic acid. Wrinkles, Spots, Scars: Why Fraxel Dual Laser? Winter months are ideal for rejuvenating the skin of face, neck, décolleté, and hands with Fraxel Dual Laser. Following treatment, sun exposure must be avoided, and high-factor protection (50+) must be applied at least twice daily. Clinical studies recommend a cycle of 3-4 treatments every 15-30 days depending on the condition being addressed. To avoid adverse effects, it is crucial to carefully follow medical instructions, particularly during the sensitive skin healing phase. Permanent Hair Removal: Why Alexandrite? Scientific studies have proven that Alexandrite lasers are the most effective for permanent hair removal. The laser enables optimal results with fewer sessions. Istituto Image uses the Cynosure Apogee+, the gold standard for permanent hair removal, ensuring no repeated treatments are necessary: besides being fast and effective, it features a skin cooling system that reduces burning sensation compared to other devices. The laser beam, with its 755-nanometer wavelength, targets the melanin within the hair. By concentrating energy exclusively on the bulbs, it enables selective elimination of hair and follicle. Perfect Hydration: Why Vitamins? During winter months, low temperatures and cold air contact with facial and hand skin often leads to dehydration. Through hyaluronic acid contained in vitamins, deep skin rehydration is possible, repairing dermal tissue. Beyond hydrating tissues, hyaluronic acid provides greater elasticity, diminishes superficial wrinkles, and slows the physiological aging process. Through small painless injections, naturally produced hyaluronic acid levels are restored. *Medical consultation is required before any treatment. Results vary by patient. The physician will recommend the most appropriate treatment.

Microinfusion is an innovative biorevitalization treatment that has become a well-known secret among Hollywood celebrities due to its non-invasive nature and immediate glowing effect. As a highly advanced aesthetic medicine technique, Microinfusion enables the administration of a personalized cocktail containing super-hydrating, revitalizing, and anti-aging skinboosters that are applied uniformly and painlessly through a specialized device. An evolved version of injectable treatments, the Microinfusion technique is the ultimate personalized facial treatment that addresses various skin concerns of the face, neck, décolleté, and hands through non-invasive infusion of micro-droplets of the physician-formulated mixture, using a CE-marked and FDA-approved proprietary vial. Who is Microinfusion Technique biorevitalization suitable for? It is suitable for anyone seeking to improve their skin quality for enhanced firmness, luminosity, and youthful appearance. It is indicated for younger patients desiring preventive hydrating/stimulating treatment with minimal discomfort and near-immediate recovery. It is also appropriate for patients experienced with aesthetic medicine and surgery, utilizing different concentrations of skinboosters for effective anti-aging and antioxidant treatment. What is the Microinfusion Cocktail? The treatment utilizes a vial containing a customized cocktail of ingredients including hyaluronic acid, vitamins, antioxidants, and botulinum toxin, specifically formulated for each patient. The combination varies according to individual needs. Once selected, these ingredients are mixed and infiltrated into the face (including sensitive areas like eyelids), neck, and décolleté. The hyaluronic acid, formulated in an extremely fluid state, plumps the skin by attracting and retaining hydration in the treated area, without the volumizing effect of dermal fillers. What results can you expect and how long do they last? Post-treatment, the skin appears slightly reddened and sensitive, but within an hour, it becomes luminous and firm due to the effects of vitamins and hyaluronic acid. The benefits of botulinum toxin and collagen stimulation through microinfusion develop over days and weeks. The procedure can be repeated and combined with other treatments for optimized long-term results. Sessions vary with intervals of 1 to 4 months based on the physician-formulated cocktail. Post-treatment care includes using sun protection, avoiding makeup for 24 hours, and refraining from exfoliating treatments or chemical peels. This technique effectively delivers luminosity, firmness, plumpness, and anti-aging benefits within the Healthy Attitude concept. What is the cost and treatment frequency? Costs range from 250 to 650 euros based on the formulation determined and agreed upon during medical consultation; this also determines the treatment frequency (every 2 to 6 months).

Obsessive Body Monitoring These individuals perceive themselves as unattractive and view certain body parts as deformed and unacceptable. This leads to significant distress and obsessive body monitoring behaviors (excessive grooming, constant reassurance seeking, social isolation, disruption of daily activities). Unfortunately, any interventions performed on these patients' perceived defects, whether dermatological, aesthetic medicine, or surgical procedures, are never sufficient: frustration persists and often increases due to constant disappointment. Clinical Manifestations of Dysmorphia Patients exhibit constant intrusive thoughts about their appearance, compulsive mirror-checking behaviors, continuous comparisons with others, and obsessive reassurance-seeking. Predominant emotions include intense anxiety, shame, depression, and social isolation. This condition is particularly connected to emotional affects and the perception of beauty as a fundamental need. Adolescence, a crucial period of physical and psychological identity redefinition, represents the most vulnerable age group. Dysmorphia: Potential Risks and Prevention Without timely specific treatment, body dysmorphic disorder can lead to severe deterioration in quality of life, numerous family and occupational problems, and comorbidity with other psychiatric disorders such as major depression, obsessive-compulsive disorder, social phobia, and sometimes eating disorders or substance abuse. Physically, the obsession with eliminating perceived defects can lead to avoidable health risks (for example, in cases of invasive cosmetic surgery) or result in truly unacceptable outcomes that only worsen the overall situation. Psychotherapy can be highly beneficial in overcoming body dysmorphic disorder, but should always be used in conjunction with pharmacological treatment rather than as a sole intervention. Therapeutic Approach How does Image approach this issue? Image is a clinic with years of experience in aesthetic and regenerative surgery, treating patients with diverse needs: from those seeking minor treatments to those requiring more complex surgical interventions. Our physicians, serious and competent professionals, evaluate each situation following thorough medical history and consultation. If the dysmorphic patient's request can be partially addressed (in cases of evident defects), they may intervene, but without excess, as even after correcting obvious defects, this type of patient likely won't be satisfied. Therefore, a skilled physician must also have the ability to say no when necessary.

November presents an optimal period for initiating permanent hair removal treatments. The reduced sun exposure during this season minimizes the risk of post-treatment hyperpigmentation and allows for more effective results. Professional laser and IPL treatments can be safely administered during this time, targeting the hair follicles while the skin is at its natural tone. Patients considering permanent hair removal solutions can benefit from starting their treatment series during the autumn months to achieve optimal results by summer.

Let's discover the 7 treatments available at Image to achieve a perfect smile: 1. Hyaluronic Acid Hyaluronic acid fillers provide a more youthful, radiant, and fresh facial appearance. The treatment restores and enhances facial volumes, reduces wrinkles with natural results, hydrates the skin, and prevents signs of cutaneous aging. It can also increase the volume of thin lips or redefine their contour naturally. 2. Botulinum Toxin Increasingly used as a preventive measure against wrinkle formation, botulinum toxin can be utilized to better define lip contours and reduce perioral wrinkles. It is also effective in treating marionette lines, the lines that extend downward from the corners of the mouth, which can give the face a sad expression. 3. Vitamins Biorevitalization is a preventive anti-aging therapy that improves skin tone, elasticity, and deep hydration. Painless micro-injections deliver hyaluronic acid fragments, which activate fibroblasts, and amino acids, precursors to reticular collagen and elastin. 4. Fraxel Dual Laser For perioral region care, in addition to resorbable fillers and botulinum toxin, we utilize lasers that perfect skin tone, smooth minor wrinkles, and even out texture. With its dual laser fiber in a single system, the Fraxel Dual laser enables the most effective non-ablative skin rejuvenation treatment. 5. Regenerative Medicine: Lipogems For a perfectly natural and permanent result, autologous adipose tissue grafting processed with Lipogems technology can be employed. The infiltration is non-invasive, performed with fine needles or microcannulas, and is typically well-tolerated by patients. The Lipogems system preserves adipose tissue integrity and its vascular network, ensuring a high concentration of mesenchymal stem cells that promote tissue regeneration. 6. Surgery: Lip-Lift Vertical lip excess can be corrected with a minor procedure performed under local anesthesia. This surgical-aesthetic procedure involves removing a small portion of skin at the border between the anatomical subunits of the lip and nose. The excision design allows the incision to be perfectly concealed in the natural groove separating the upper lip and nose. 7. Filler Removal The dissolution of non-resorbable fillers involves correcting previous errors due to applications of non-resorbable substances.

Autumn is the ideal time to regenerate skin with laser treatments and eliminate all imperfections accentuated by summer sun exposure. A laser for every need: dyschromia, hyperpigmentation, melasma, enlarged pores, volume loss, and wrinkles. Fraxel Dual Laser, dual wavelength: Fraxel Dual 1927 laser for reducing summer-induced dyschromia and hyperpigmentation. 1550 for improving tone, dermal structure, texture, and pores (deteriorated during summer). Duration: 1 hour Recommended sessions: 3 Interval: 30 days Downtime: 6 days (redness and minor crusting) Result: dual effect Synergistic treatments: Hydrafacial Laser Toning with 1064 Q-Switched Korean method For controlling and treating melasma, which is difficult to manage and typically worsens during summer. Laser Toning Duration: 30 min Recommended sessions: 5 Interval: 7 days Downtime: none Result: attenuation and control Synergistic treatments: specific oral topical therapy, tranexamic acid injections, mandelic acid peel. Carbon Peel Laser Removes superficial dead cells accumulated during summer and enhances skin luminosity and radiance. Carbon Peel Duration: 30 min Recommended sessions: 3 Interval: 7 days Downtime: none Result: reduces pore size and deep cleanses the face Synergistic treatments: specific oral topical therapy, tranexamic acid injections, mandelic acid peel. Laser Genesis For smoothing skin texture, reducing summer-enlarged pores, increasing tone, and rejuvenating skin appearance. By penetrating deeply, it stimulates production of new collagen fibers, elastic fibers, and fibroblasts, resulting in significant texture improvement. Laser Genesis Duration: 30 min Recommended sessions: 6 Interval: 14 days Downtime: none Result: texture improvement Synergistic treatments: Hydrafacial, tranexamic acid injections, mandelic acid peel

Pigmented lesions from chrono and photo-aging are cutaneous spots that appear with advancing age, particularly in body regions most exposed to solar radiation. Other skin spots have different origins and may be present at birth or appear following pregnancies. The Q-Switched laser can generate laser emissions with very short pulses that selectively target skin spots. Objective? Selective removal of spots in short time periods Who is it for? For all patients presenting with skin spots identified as benign cutaneous lesions by the physician. The type of spot must be treatable with Q-Switched laser, such as: - Solar and senile lentigines - Post-inflammatory hyperpigmentation - Epidermal melasma - Pigmented seborrheic keratoses - Epidermal nevi The treatment requires a preliminary medical evaluation to determine patient eligibility and the most appropriate therapeutic protocol. The procedure is outpatient-based and generally requires multiple sessions spaced 3-4 weeks apart.

Ready to enjoy your well-deserved rest and go on vacation? Always remember sun protection, starting with SPF 50+ on face and décolleté. It should be applied multiple times daily, before and after swimming. While it won't completely prevent tanning, it will prevent skin discoloration, burns, and loss of essential proteins like collagen and elastin that provide skin elasticity, and prevent skin cancers. Don't forget to protect the rest of the body by applying at least SPF 30+ protection multiple times throughout the day. Skin must be kept clean with thorough cleansing. During summer, allow skin to breathe and avoid occlusive creams that promote comedone formation. A Hydrafacial treatment before departure is ideal for establishing the foundation for radiant skin from day one of vacation. Hydration is essential for health and a fresh appearance: minimum 1.5 liters of water daily, preferably more, as both heat and air conditioning can dehydrate skin. Fresh fruits and vegetables help replenish vitamins and fluids. Restore lost minerals through a balanced diet, supplemented with mineral supplements if necessary. What about facial care? For those who furrow their brow in sunlight and wish to avoid distinct tan lines on the glabella (bridge of the nose), eye area, and forehead, we recommend botulinum toxin injections to reduce muscle contraction and relax expression lines. Treatment is recommended at least 1 week before departure. With botulinum toxin, specific treatment points can be selected to achieve varying degrees of muscle relaxation. Upon returning from vacation, maintain the radiant appearance achieved through relaxation by continuing adequate hydration, maintaining proper skincare and cleansing routines, and scheduling another Hydrafacial and Skinbooster treatment to tone the face.

If it's true that 'looking at hands is enough to understand a person' (Quote A. Castronuovo, Se mi guardo fuori), it's essential to provide our patients with appropriate information and tools to care for and preserve their youthfulness, vitality, and well-being. Hands hold an often underestimated social importance, being the absolute symbol of gestures and non-verbal communication, a seal of elegance and sensuality inherent to every woman. Chrono and photoaging, combined with pollution and other irritating agents, contribute to the progressive process of cutaneous elastosis in hands, making them thin, deeply marked by furrows and dyschromia, with evident and accentuated venous vascular patterns - characteristics typical of skin aging. Medical-surgical aesthetic treatments aim to correct both cutaneous alterations secondary to epidermal damage (hyperchromic age spots) and the progressive hypotrophy of soft tissues responsible for tone and trophism of the dorsal hands. What treatments are available? During winter months, I recommend at least three consecutive sessions of Fraxel Dual Laser to progressively improve and eliminate superficial dyschromia and keratotic lesions. The combined wavelengths simultaneously stimulate dermal fibroblast activity with progressive increase in new collagen production. Vital Skinbooster biostimulation is a treatment aimed at providing deep hydration and improving skin tone and elasticity through activation and perceptible increase in collagen and elastin neosynthesis by fibroblasts. Generally, I recommend a cycle of three treatments repeated every 3 weeks to optimize results. These treatments can be alternated with laser therapy for enhanced synergistic effect and greater impact. Lipogems Hands: The Gold Standard for Hand Rejuvenation A unique therapeutic step with unparalleled efficacy, based on our body's self-repair and self-regenerative capacity, is Lipogems Hands: with a small fat harvest under local anesthesia and sedation, it's possible to obtain homogeneous, fluid adipose tissue that's highly manageable like a filler, with high regenerative potential. The infiltration of 5 to 10 cc of Lipogems in the dorsum of each hand can activate cellular renewal that promotes spectacular hand rejuvenation. Each medical-surgical treatment or combination thereof must be adapted to the most suitable program for each individual patient. While awaiting the personalized hands-care program, it's important to emphasize adequate and constant photoprotection of hands to slow down signs of aging.

On Wednesday, June 5th, Image Regenerative Clinic presents the highly anticipated Coolsculpting Open Day. During the event, you can meet our physicians, with the special participation of Prof. Carlo Tremolada, and discover all aspects of non-surgical liposuction. What is Coolsculpting? The Coolsculpting procedure utilizes cryolipolysis technology: it eliminates fat safely and effectively (the only FDA-approved method), without surgery or recovery time. Using controlled cooling to -11°C, Coolsculpting technology selectively targets subcutaneous fat deposits in an effective and painless manner. The treatment is particularly effective for the following anatomical areas: abdomen, flanks, inner and outer thighs, arms, submental area, and subscapular region. Results are visible within 3 weeks post-treatment, with maximum benefits achieved within 2-3 months. Coolsculpting is a non-invasive treatment that enables effective reduction of localized adiposity. It is completely safe and painless, leaves no scars, and requires no anesthesia. The procedure is ideal for both individuals who have started their body contouring journey later and those who need to address fat deposits resistant to physical activity and diet.

Botulinum toxin treatments can be safely administered during summer months with proper post-procedure care. Patients should avoid direct sun exposure and maintain adequate skin protection following treatment. The efficacy and duration of neurotoxin effects remain consistent regardless of season when administered by qualified medical professionals.

Senile and solar pigmented lesions are skin spots that develop with age, particularly on areas of the body most exposed to sunlight. Other skin spots have different origins and may be present at birth or appear following pregnancy. Q-Switched laser technology generates very short pulse laser emissions that selectively interact with skin pigmentation, removing them to provide effective and rapid results. Who is it for? For individuals with skin spots that have been clearly identified as benign by a physician. The spots must be of a type treatable with laser, such as lentigines, freckles, nevus of Ito and Ota, melasma, and post-pregnancy pigmentation. Pre-treatment preparation Avoid sun exposure or tanning beds on the treatment area for at least one month prior, using high-protection sunscreen. Number of treatments required This treatment may require one to several sessions depending on the nature of skin pigmentation. Session duration Each session lasts a few minutes, depending on the number and extent of pigmented areas. Is the treatment painful? The treatment is virtually painless, with only a slight tingling sensation. For the first 10 minutes post-treatment, patients may experience mild discomfort that quickly subsides without requiring medication. Post-treatment care Post-treatment redness may occur in the treated area, subsiding within hours. The treated spot may darken for about one to two weeks. Avoid applying cosmetics and hot water to the treated area for two to three days. Patients must protect the treated area with sunscreen for at least 4-6 weeks post-treatment. Expected results Depending on the type of pigmentation treated, improvement or removal can be observed within 2 to 4 weeks after each session. Treated areas exposed to sunlight must be adequately protected to delay new pigmentation formation. How Q-switched laser technology works Q-Switched laser technology, through very short duration pulses, selectively interacts with skin pigmentation for effective and rapid results. The treatment specifically targets melanin. This skin pigment can deposit in different ways, creating various types of spots. The Q-Switched laser beam selectively destroys the pigment without damaging surrounding structures. Tattoos and Q-switched laser For the same reason, Q-Switched laser technology can treat black and red tattoos. The number of sessions varies from 5 to 10, depending on the desired level of lightening, extent, and type of pigment.

The RRT protocol (Reduction - Reshaping - Toning) is an exclusive method developed by the Medical Spa at Image Regenerative Clinic, implementing a comprehensive approach beyond standard aesthetic treatments through a multidisciplinary team of physicians and specialists. The program focuses on reducing fat mass, reshaping, and toning lean mass, beginning with a thorough medical and nutritional assessment, including dietary recommendations for home care, followed by a personalized treatment regimen. Maximum Efficacy for Complete Body Contouring A comprehensive protocol, adaptable and customizable to each individual, utilizing a holistic approach targeting both body and mind. The treatment integrates advanced technologies including Lipo-Laser for lipid mobilization and lymphatic drainage, LED and Kotz Waves for lipid oxidation and muscle toning, and Coolsculpting for cryolipolysis. The protocol also encompasses massage therapy, drainage treatments, osteopathy sessions, personalized nutrition plans, and fitness consultation. Guaranteed Results The initial two-hour medical evaluation includes body composition analysis through Bioelectrical Impedance Analysis. This non-invasive examination precisely determines the distribution of fat mass, lean mass, bone mass, and total body water, enabling optimization of the therapeutic approach. The RRT protocol is applicable for both general and localized weight reduction, proving effective in treating resistant localized adiposity and specific aesthetic concerns, offering a non-surgical alternative.

Dr. Salentina, interviewed by Good Living, provides advice on achieving perfect, kissable lips. "Thirty minutes, less than a lunch break. That's the time needed to correct imperfections, define and add volume to lips." Forget about the "overfilled lips" of the past; today's treatments utilize new-generation restructuring and revitalizing injectable materials that can safely deliver sexy and natural-looking lips in just over half an hour. The temptation to try is strong, especially since the effect is reversible: hyaluronic acid filler reabsorbs after 4-6 months, achieving the "enhanced but undetectable" result. Natural and Reversible "Lip procedures, one of the focal points of facial beauty, are among the most requested in aesthetic medicine," explains Dr. Paolo Salentina. "While full, well-defined lips symbolize femininity and sensuality, thin and poorly defined lips give the face a tired and aged appearance. Treatments can address lip volume, shape, or contour, aim to improve tone and hydration, or correct fine lines. All this is achieved with maximum safety and certainty that the filler will naturally reabsorb after several months. Unlike before, what matters today is naturalness - achieving moderate and discrete results guided not by fashion trends but by facial harmony and respect for well-defined forms and proportions." Parameters of Beauty The reference is to specific anatomical parameters that define ideal lips and should be respected. "The upper lip," explains Salentina, "should be slightly longer and less everted than the lower one, with an 18-20mm nose-to-mouth distance, and volume should gradually decrease from the center to the sides of the mouth." Sometimes requests stem from congenital defects, other times from natural aging changes. "In many cases, I treat not just the lips but the surrounding area, addressing lines above the lip border (barcode lines) or folds at the corners of the mouth (marionette lines) that give the face a tired and sad appearance." In these cases, the intervention has an additional benefit: helping the patient smile again.

Functional Therapy: The Key to Maintaining Therapeutic Benefits People seek osteopathic treatment daily for musculoskeletal disorders, visceral and digestive issues, pain and related symptoms, postural dysfunction, physical and mental stress-related pain, pre or post-treatment of orthopedic conditions, and functional therapies for postural and functional optimization. This comprehensive approach requires interaction between osteopathy and other relevant healthcare professionals. Through specific evaluation, we can identify factors currently disrupting the patient's homeostasis and organismal adaptation. Through osteopathic assessment and medical history review, patients can be directed toward the most appropriate therapeutic pathway. During this time of year, common issues include winter-related conditions: cold and temperature fluctuations often increase muscle fatigue, weakened immune system leads to colds and influenza-related illnesses, holiday overindulgence causes general heaviness and abdominal bloating, winter sports-related musculoskeletal pain, and return to work often causes stress and systemic overload. Fundamentals for Restoring Optimal Functionality The osteopath aims to rebalance the organism by restoring full body structural functionality through manual medicine, utilizing manipulations, fascial techniques, muscle energy techniques, visceral and cranial approaches, joint pumping, lymphatic techniques, and others. These methods target endoceptor receptor systems, neuromotor units, and fascial cellular structure, sometimes employing tools such as scraping therapy implements, fibrolysis instruments for scar tissue, and cupping therapy. Maintaining Long-term Benefits Beyond healthy lifestyle habits and following Image medical team's recommendations, patient-specific mobility and strengthening exercises play a crucial role. When performed consistently, these exercises can modify posture, achieve proper joint alignment through symmetric muscle activation, maintain therapeutic benefits through neuromuscular and analgesic effects, and establish a foundation for physical activity. Face your days at 100% capacity with maximum energy, prevent more serious conditions, and ensure your body's structural functionality to fully embrace every moment of nature's greatest gift - life!

Current Trends in Breast Surgery According to SICPRE (Italian Society of Plastic Reconstructive and Aesthetic Surgery) statistics, breast-related procedures occupy three of the top five most requested cosmetic surgeries. The most common procedures include breast augmentation, rhinoplasty, and breast reduction. Breast augmentation continues to be one of the most sought-after aesthetic surgeries, followed by breast lift (mastopexy) and breast reduction procedures. Integrated Aesthetic and Reconstructive Surgery at Image The Urban Medi Spa Image The Urban Medi Spa specializes in integrating aesthetic and reconstructive surgical techniques, achieving optimal results while maintaining natural anatomical harmony. Under Prof. Tremolada's leadership, the clinic employs a holistic approach, considering both psychological and medical aspects of patient care. The facility maintains high safety standards through advanced technology and experienced specialists. Lipogems: Advanced Alternative to Traditional Surgery As the first center of excellence in regenerative medicine, Image The Urban Medi Spa offers Lipogems technology, developed by Prof. Carlo Tremolada. This innovative treatment accelerates natural tissue regeneration and repair processes through preserved adipose tissue structure and concentrated mesenchymal stem cells. Lipogems represents an evolution in fat transfer procedures and can be utilized for breast enhancement, either as a standalone treatment or as a complement to surgical procedures such as augmentation or mastopexy. The technology maintains tissue structural integrity while harnessing the regenerative properties of adipose-derived stem cells and growth factors.

While Epiphany takes away all holidays, Alexandrite laser hair removal effectively eliminates unwanted hair, removing it from the root and solving one of the most common aesthetic concerns. For both men and women, the guarantee offered by laser hair removal at Image is compelling: permanently eliminating unwanted hair without resorting to uncomfortable and ineffective treatments that only appear more economical. The new Cynosure Apogee+ laser, one of Image The Urban Medi Spa's flagship treatments, addresses this need. Hair Follicle Targeting During Growth Phase Cynosure Apogee+ is an Alexandrite laser that targets the hair follicle directly during its growth phase (Anagen phase), enabling greater efficacy as this is precisely when new cells, melanocytes, form and generate hair growth at approximately 1 cm per month. Treatment effectiveness depends on the amount of light energy absorbed by melanin, the substance that gives hair its dark color. During this phase, with high melanin concentration in the hair follicle, greater energy absorption results in more effective treatment. Variable Spot Size for Customized Treatment Cynosure Apogee+ offers numerous options: variable spot size enables perfect customization based on hair and skin type, while reducing treatment duration. Large spot sizes can cover extensive body areas in a single session. Through consistent use of this device and a cycle of 4-8 treatments for optimal aesthetic results, patients experience overall hair growth reduction, with 79% permanent hair elimination after just 3 sessions. The Only Medical-Grade Laser Cynosure Apogee+ is the only medical-grade laser, indicated for treating pigmented skin lesions, including solar lentigines and age spots. Prior to phototherapy, consultation with a qualified physician is essential to evaluate patient phototype, hair characteristics (color, shaft diameter, and density), and determine appropriate device settings calibrated for individual patients. Image The Urban Medi Spa's expert medical team, in collaboration with professional therapists, develops customized protocols ensuring overall wellness and harmony beyond aesthetic improvements. Practical Information • Required sessions: 4-6 sessions, varying by area and hair/skin type. Results visible after first session. • Treatment duration: 20-40 minutes average, depending on treatment area. • Treatable areas: All body areas for men and women, including legs, face (upper lip), arms, bikini area, underarms, back, and abdomen. • Efficacy: Permanent hair elimination in treated areas.

Istituto Image in Milan has acquired two new technologies: the Deka Synchro FT laser and the Quanta System Asset laser. These are latest-generation lasers that utilize Nd:YAG technology versatility to enhance treatment efficacy for numerous skin conditions. Deka Synchro FT Laser Through the combination of long and short pulse Nd:YAG laser with the FT pulsed light handpiece, the versatile Synchro FT enables a comprehensive range of dermatological and aesthetic treatments: from hair removal for all phototypes to vascular and pigmented lesion treatment, and skin rejuvenation. Synchro FT allows physicians to select the most effective wavelength, define pulse shape, and set the most suitable spot size for each treatment type, ensuring greater safety and reducing the risk of dermal damage or adverse effects on patient skin. Synchro FT Laser Indications The 1064 LP vascular laser is specifically indicated for treating varicose veins, lower limb telangiectasia, facial vascular lesions, and couperose. The integrated pulsed light is particularly effective for skin photo-rejuvenation, solar lentigines treatment, and active acne. Quanta System Asset Laser The Q-Switched Nd:YAG laser technology, powerful and compact, offers high performance and flexibility. With wavelength variability from 1064 nm to 532 nm, it effectively removes both black and colored tattoos (including blue, red, orange, and purple). It is also excellent for removing dermal and epidermal pigmented lesions, treating melasma, and addressing sun-induced hyperpigmentation. Asset Laser Indications The 1064 Q-Switched laser is particularly effective for dark and black tattoo removal, while the 532 nm mode is optimal for red and orange tattoo treatment. Both wavelengths are indicated for benign pigmented lesions, with particular efficacy on melasma and solar lentigines.

Prepare for Summer: Maximize Your Antioxidant Intake! Multiple scientific studies demonstrate the involvement of oxidative stress in the pathophysiology of premature aging, particularly at the cutaneous level. The skin, being the most extensive and vulnerable organ, is most susceptible to the harmful effects of various environmental factors that can promote the production of reactive oxygen species (ROS). These factors consequently lead to the development of multiple cutaneous conditions and aesthetic concerns (e.g., wrinkles, hyperpigmentation, skin tumors, etc.). The extent of damage caused by these free radicals depends not only on the nature and quantity of the species involved but also on the bioavailability of antioxidants in the skin. Among the major factors capable of generating high quantities of oxidizing species, ultraviolet radiation plays a primary role. UV rays can attack all molecular components of the skin. Specifically, ROS generated following UV irradiation readily react with multiple proximate molecules and structures (carbohydrates, lipids, proteins, nucleic acids), damaging them and often compromising their function. Furthermore, by reacting with other molecules, they can self-propagate by transforming the targets themselves into free radicals, triggering chain reactions that can cause extensive damage to the dermis and epidermis. This explains why UV rays and free radicals constitute the most significant factors in cutaneous damage. How Can We Defend Against Oxidative Stress? Protection against the harmful effects of ROS primarily relies on antioxidants: substances normally present in cells that can prevent or slow their formation. However, with advancing age, radical generation exceeds the defensive capacity of antioxidant systems, and ROS toxicity begins to manifest, causing significant damage. Hence, it becomes important to supplement antioxidant defenses with particularly effective substances in counteracting oxidative stress, such as glutathione, vitamin C, vitamin E, vitamin A, beta-carotene, lycopene, polyphenols, and certain trace elements like zinc, copper, selenium, etc. For this purpose, patients preparing for sun exposure are strongly advised to undergo a series of antioxidant infiltrations that enrich and nourish the dermis, aiding in defense against free radicals, preventing or mitigating signs of skin aging while providing elasticity, tone, hydration, and firmness. This protocol involves small, painless injections into the superficial dermis of the face, neck, décolleté, and hands, and is suitable for all skin types and patients of all ages.

Counteracting the subtle and progressive signs of skin aging while maintaining a strict natural look is an increasingly sought-after goal for patients who wish to harmoniously enhance their appearance. Hydration, firmness, improved soft tissue consistency, and skin luminosity enhance the harmony of facial expression while preserving the natural characteristics unique to each individual. Our new revitalizing treatment is called Viscoderm Hydrobooster, an innovative stabilized hyaluronic acid unique in reducing and counteracting the effects of skin aging through dermal hydration restoration and tissue biorestruction. Hydrobooster offers additional benefits: its uniqueness lies in combining the typical characteristics of hyaluronic acid-based revitalizing treatments with a mechanical action of stretching surface imperfections, called Hydrostretching. Furthermore, characterized by low rigidity and viscosity and high deformability, Hydrobooster integrates perfectly into tissues and can be injected at various depths according to medical indication. Due to these multiple characteristics, Hydrobooster can be used on delicate and dynamic areas such as periocular, perioral, and forehead regions to reduce wrinkles through hydrostretching effect. Microinjections can be performed with ultra-fine needles (33 gauge), resulting in excellent patient acceptance and compliance. Hydrobooster: Recommended Protocol The recommended protocol involves repeating the treatment 2 months after the initial session and continuing maintenance with treatments every 6 months. Following these guidelines, it is possible to slow down the skin aging process and wrinkle formation naturally and harmoniously while maintaining facial expressiveness. The treatment is minimally painful and generally does not cause significant discomfort for patients. The use of ice and fine needles reduces the risk of bruising, which typically resolves within a week. In preparation for summer and the associated solar damage and free radicals that particularly affect facial skin, we recommend starting the hydrating and revitalizing treatment with Hydrobooster immediately to adequately prepare the skin for sun exposure.

Wellbeing means feeling comfortable with oneself and others. However, during summer or stressful situations, sweating often increases to the point of causing discomfort that affects relationships or, in severe cases, leads to social isolation. The skin of our body contains millions of sweat-regulating glands (eccrine and apocrine). Certain body areas have a higher concentration of these sweat glands (head, axillary cavity, palms, and soles of feet) which can produce excessive amounts of sweat. These glands can be inhibited with simple botulinum toxin injections for an average period of six months, effectively treating hyperhidrosis (excessive sweating). Hyperhidrosis can be classified into three main types: Triggered by emotional stress. Related to medication use, fever, or physiological conditions (such as menopause). Associated with organic pathologies. The first type, once confirmed through medical consultation and thorough medical history, responds well to botulinum toxin treatment. In other cases, management should be referred to the primary care physician as treatment with botulinum toxin may not be appropriate. The procedure consists of an outpatient session where the treatment area is prepared and mapped using a simple test that highlights zones with the highest gland concentration. After thorough cleansing and disinfection, multiple superficial micro-injections are administered using a fine needle, which inhibit sweat release within days without posing any risk to the patient, who can immediately return to daily activities. When treating palmar and/or plantar areas, temporary numbness/soreness may occur for a few hours, occasional minor bruising at injection sites that self-resolves, and minimal swelling that subsides within hours.

Summer has arrived, vacations are planned, and the first weekend getaways have already begun. Whether at the beach or in the mountains, we seek the sun. However, we know that the sun that warms and tans us creates irreversible skin damage, visible both in the short and long term. 6 Essential Tips Stay hydrated - drinking water is the first fundamental step. At least 1.5 liters, preferably more. Include plenty of fresh fruits and vegetables. Replenish lost minerals through a balanced diet, potentially supplemented with mineral supplements. Protect your skin from sun exposure using high SPF protection, starting from 50+ for the face. Sunscreen should be reapplied multiple times daily. While it won't completely prevent tanning, it will prevent skin discoloration, burns, and loss of essential proteins like collagen and elastin that provide skin elasticity, and prevent skin cancers. Remember to protect the entire body by applying at least SPF 30+ multiple times daily. Cleanse your skin. Summer increases perspiration, and clogging pores with heavy creams and foundation promotes comedones and pustules. Proper cleansing and using light, non-occlusive creams is essential. A pre-vacation Hydrafacial with deep facial cleansing helps prepare for vacation with radiant skin. Despite adequate hydration, skin may appear depleted and less toned in summer. This can be prevented with Skinbooster injections for deep hydration. We utilize a range from extremely light products for young, fine skin to rich formulations that deeply hydrate and nourish. Optimal timing is one session 10 days before vacation and another upon returning to address pre and post-sun exposure. For those who furrow their brow in sunlight and dislike uneven tanning around the glabella (nose bridge), eye contour, and forehead, we recommend botulinum toxin injections to reduce muscle contraction and relax expression lines. Treatment is advised at least 1 week before departure.

A fundamental aspect of our genome to understand and accept is that genetic traits determine the essential lifestyle aspects we should maintain throughout the year, consistently and carefully, as revealed through DNA testing. With summer approaching, along with various events featuring junky food and alcohol, our genome will not grant any exemptions. A timely genetic test is the only viable method to understand ourselves and potentially decide which elements to avoid, preventing weeks of excess from undermining a year's worth of effort. We appear to have become serial hamburger consumers. Finding one without a cheese layer is improbable. That cheese layer contains lactose, a specific sugar that, when interacting with the intestinal microbiome of an intolerant individual, causes significant discomfort. DNA Test: Watch the Carbohydrates Unique fruits, wine, pasta... A carbohydrate load that some individuals may struggle to manage, potentially increasing the risk of obesity and diabetes. Healthy fats might be more suitable in these individuals' diets... These hypotheses can be definitively confirmed through a simple saliva sample in DNA testing. No More Inflammation Our DNA is part of an even larger puzzle, and moderation is likely the best approach. Inflammation (localized adiposity results from an inflamed body working less efficiently and more slowly, accumulating fat) won't occur based on how much we eat, but what we eat. Therefore, DNA testing is currently the only viable solution: simple, fast, and effective. Through DNAMedico at Istituto Image, it's now possible to decode our genome to obtain crucial information about our genetic predisposition to various nutrient metabolism patterns.

An Additional Tool to Combat Orange Peel Skin Anti-cellulite massage is performed by combining various manual techniques. The objective is to combine mechanical-biochemical effects to achieve toning, drainage, and improved superficial and deep circulation to reduce orange peel skin appearance and alleviate lower limb heaviness typical during warm seasons. Anti-cellulite Massage: Phase 1 The massage is performed on the entire lower limbs, gluteal area, and trochanteric region, with possible extension to hips and abdomen. To combat cellulite, manual techniques progress from superficial to deep, increasing the treatment area temperature and promoting cellular exchange. Anti-cellulite Massage: Phase 2 The second phase focuses on mobilizing excess fluids toward main lymphatic and venous pathways. Rhythmic and deep effleurage techniques drain toxins and metabolic waste from subcutaneous and fascial layers. Effectiveness is achieved through the therapist's hand positioning and gravity assistance. The limb may be elevated during treatment to enhance fluid displacement and prevent stagnation. Anti-cellulite Massage: Phase 3 For Enhanced Effectiveness... The basal metabolism of massaged tissues remains accelerated post-treatment, especially when combined with physical exercise, proper nutrition, and professional cream application. To maintain continuous biochemical effects, daily application of a professional cream such as Zein Obagi Cellulite Control is recommended during the treatment period. Anti-cellulite massage is effective for early stages of cellulite and can be combined with other specific treatments such as shock waves and oxygen-ozone therapy, providing both therapeutic and relaxation benefits. Recommended Treatment Cycle For optimal results, two massages per week are recommended, complemented with home application of Zein Obagi Cellulite Control cream.

Smooths, reduces pores, increases tone, can be performed in summer Laser Genesis is a YAG Laser renowned for its ability to smooth skin texture, reduce pore size, increase tone, and rejuvenate skin appearance. Laser Genesis penetrates deeply and can stimulate the production of new collagen fibers, elastic fibers, and fibroblasts, resulting in significant texture improvement. Laser Genesis is a non-invasive, advanced, and technologically cutting-edge laser treatment. For optimal results, multiple sessions are recommended with 1-2 week intervals depending on the clinical case. Pore reduction and increased skin tone are visible after the first 4 weeks, and benefits persist for up to 12 weeks after the final treatment. Laser Genesis is often performed in combination with Laser Toning during the same session. Laser Genesis FAQ How many sessions are needed? The number of sessions is determined by various factors, particularly the initial clinical condition (such as pore size and distribution, initial laxity, age). On average, 6 sessions are necessary for highly satisfactory results. However, in more challenging cases, up to 10 sessions with two-week intervals may be recommended. Is the treatment painful? The procedure is painless, lasts 30 minutes, and anesthetic is not required. What sensation can be felt during treatment? Laser Genesis is a 100% painless, non-invasive procedure and anesthetic is not necessary. Many people describe the treatment as relaxing. The sensation is described as warmth and mild tingling. Does Laser Genesis have side effects? Laser Genesis has no side effects. Mild redness may persist for a few hours post-treatment. The procedure is safe with no downtime. Makeup can be applied immediately after the laser treatment, and normal daily activities can be resumed. When should I expect to see results? Most patients begin to see results 3-6 weeks after the first treatment. This interval is due to the cellular regeneration time of dermal cells, fibroblasts, collagen, and elastic fibers. However, initial improvements may be visible after the first two treatments. How long will results last? The longevity of results varies from patient to patient. Most patients report maintenance of results for up to 12 months after the treatment cycle.

Today we want to explore anti-cellulite mesotherapy and specifically a new product at our disposal. We discuss this with Dr. Salentina. What is cellulite? How to combat cellulite? To combat cellulite, it is essential to adopt a healthy and balanced lifestyle and implement a multi-step strategy. All steps are important: from nutrition to exercise, including the application of body creams. An integrated approach combining different therapeutic methodologies offers the best results. Mesotherapy Treatment Given the multifactorial causes of cellulite, mesotherapy treatment consists of different substances delivered to the mid-dermis through micro-injections. The aim is to generate a trophic action on microcirculation, promote drainage, lipolysis, and strengthen connective tissues. What is new about this mesotherapy? This is the first injectable device specifically indicated for cellulite treatment. It works by removing extracellular toxic agents deposited due to microcirculation alterations, which are a contributing factor in the genesis of cellulite. Can areas with laxity and sagging also be treated? In this case, I typically combine the action of polynucleotides, which interact with the dermal matrix increasing collagen release. My experience is not limited to common areas such as abdomen and gluteal regions but has extended with excellent results to toning inner arms, breasts, inner thighs, knees, and other areas.

Beyond Outfits With less than a month until Milan Women's Fashion Week Fall/Winter 18/19, industry professionals face significant challenges during this highly anticipated week. While clothing takes center stage during this event-packed period, aesthetic appearance requires equal attention. Here are our medical team's recommendations for optimal preparation to arrive at Fashion Week with a rejuvenated, relaxed appearance. Botox: Optimal Timing Fashion week preparation creates considerable stress, with extensive pre-event workload. We recommend scheduling Botulinum toxin treatment at least 20 days in advance for a more refreshed appearance. While the neurotoxin takes 4 days to take effect, minimal ecchymosis may appear in the initial hours post-treatment. Given the overlapping commitments, advanced preparation is essential. Pure and Optimally Hydrated Skin This forms the foundation of any treatment plan. HydraFacial provides deep skin purification and maximum hydration. For enhanced dermal hydration, we recommend initiating a Skinbooster treatment series: providing regenerative stimulus to facial skin. The recommended protocol includes 2 gentle, painless sessions scheduled 2 weeks apart, enhancing skin luminosity and texture in the face, neck, décolleté, and hands. Alternatively, consider 2 Profhilo sessions for volumizing and remodeling effects. Last-Minute Treatments During fashion week's demanding schedule, time for self-care becomes limited. For those who've completed preliminary treatments, maintenance procedures can maximize results efficiently before each event. HydraFacial Express: Rapid facial cleansing and hyperhydration available hours before important evening events. Oxygen Treatment: Vaporized oxygen and vitamin complex application for immediate luminosity, optional combination with HydraFacial Express. Stress and Fatigue Management Oxygen-Ozone Therapy provides enhanced energy, ideal for tissue oxygenation and reducing fatigue, stress, and chronic exhaustion. Post-Fashion Week recovery benefits from professional therapeutic massage, promoting muscle relaxation and improving circulation.

10 essential facts about treating acne with Acne Shots 1. Acne shots are not meant to completely replace your topical treatments Consider Acne Shots as an emergency treatment for sudden breakouts. The treatment leads to the disappearance of the treated pimple within 2-3 days. The treatment does not replace ongoing home therapy, which should therefore be continued. 2. They are not suitable for all types of acne Acne shots are primarily used for inflamed active pimples and acne, and are not indicated for treating blackheads. The latter must be treated with Acne-Hydrafacial and specific complementary treatments. 3. Results. Fast Acne shots work by reducing inflammation of the enlarged pimple. Once injected, the medication begins working the same day: within 24-48 hours, you will see significant improvement in treated pimples, with some cysts almost completely reduced. 4. Perfect for sudden breakouts before important events Do you have a sudden pimple and an important event coming up? If so, you still have time to book an appointment with one of our physicians. Swelling can be reduced before the big day thanks to the anti-inflammatory properties of acne shots. 5. Acne shots can help prevent scarring If you are prone to acne scarring, a small injection can help reduce the likelihood of developing an unsightly mark or post-inflammatory scar. Acne shots are even more effective when administered before the pimple has time to fully develop. 6. In rare cases, a mark may remain Overdosing or deep injection can cause atrophy of the cutaneous or subcutaneous tissue and lead to a depression in the injected area. While superficial depressions tend to resolve, larger depressions can last much longer and may require filler assistance to restore the area. 7. Quick and painless treatment Afraid of needles? You shouldn't fear acne shots. They can actually help your skin and make you feel much better, providing relief for those swollen and painful pimples that are likely causing you discomfort. 8. No blood or pus involved If you have the bad habit of popping pimples, you might think acne shots would be equally painful. You're wrong! The procedure is clean and absolutely tolerable. 9. The needles aren't that big Here's another reason not to fear acne shots: the needles are very fine. Dr. Bristot uses what are known as 'micro-needles'. 10. Acne shots: not just for the face Not just facial acne. If you're struggling with chest or back acne, acne shots can be a solution for these areas as well.

Dr. Salentina, Professor at the Master's in Aesthetic Medicine at the University of Pavia and member of the Final Examination Committee, evaluates students prior to diploma conferral. Final Examination Day and Closing Ceremony "Serving as a Professor represents a significant achievement for me: the opportunity to teach what I am most passionate about - Aesthetic Medicine." "I hope to have contributed to training new aesthetic physicians who respect the concept of harmonious and natural beauty that I have always aimed to convey. Above all, I hope to have instilled in them more passion than mere information." The Master's in Aesthetic Medicine at the University of Pavia is an advanced educational program that prepares physicians to implement the latest technologies and methodologies in medical aesthetics, with emphasis on patient safety and natural results. The course includes practical training on innovative techniques such as the Lipogems system for regenerative treatment using autologous adipose tissue.

Cryolipo: Perfect without surgery Eliminate fat by freezing it: Coolsculpting by Zeltiq is the leading non-surgical treatment for eliminating stubborn fat deposits resistant to diet and exercise. Coolsculpting is a quick, safe, and painless procedure that uses controlled cooling to trigger programmed cell death. Treatment Areas Through controlled cooling, CoolSculpting technology selectively, effectively, and gently targets subcutaneous fat deposits . Ideal for abdomen, flanks, saddlebags, inner thighs, inner knees, arms, and double chin. Cells exposed to cooling crystallize and undergo cell death (apoptosis). After treatment, the body naturally processes the fat , eliminating dead cells and giving the body a more toned, sculpted appearance. Proven, Visible, and Long-lasting Results Coolsculpting results are scientifically proven, visible, long-lasting, and noticeable from the first application. Treatments are quick: 30-60 minutes and require no anesthesia. Cryolipolysis requires no recovery time : normal activities can be resumed immediately after treatment. Skinny legs: Eliminating cellulite 1. Storz Shock Wave Therapy: Shock waves enable the body to repair itself naturally. The acoustic stimulus produced by shock waves transforms into a biochemical activity called "mechano-transduction," which stimulates blood circulation and allows for dilation and reconstruction of microcirculatory vessels. Tissue cell membranes become permeable, helping cells exchange elements with their environment, enabling more efficient waste elimination through the lymphatic system, and reducing tissue oxidative stress. Results: more toned, compact, and elastic tissues .

When discussing aesthetic surgery, we should first explain the etymology of certain interconnected terms related to beauty. Beauty The combination of qualities perceived through the 5 senses that evoke pleasant sensations. Projection A defense mechanism involving the displacement of one's feelings, characteristics, or parts of self onto other objects or persons. Self-perception The concept we have of ourselves. Self-esteem The collective evaluative judgments an individual makes about themselves. Aesthetica Derives from the Greek word 'aisthesis' meaning sensation and 'aisthanomei' meaning targeted perception of sense. Beauty and Aesthetic Surgery Initially, aesthetics was a branch of philosophy concerned with aspects of knowledge relating to sensory perception, natural and artistic beauty, and gesture judgment. Each individual has their own way of perceiving reality and their body image. Patients considering surgical intervention often ask their physician about post-operative outcomes, self-recognition, and potential psychological adjustments. Aesthetic Surgery to Enhance Self-esteem Following aesthetic surgery, patients undergo a reprocessing of their internalized self-image, producing significant psychological effects. The desire to enhance beauty stems from its association with success and fulfillment in social and emotional life. A positive self-image leads to increased self-confidence and improved relationships. External form modifications profoundly alter the subjective perception of psychological and physical self. The integration of one's new image manifests externally as increased self-esteem and enhanced positive worldview. Physical well-being facilitates connection with true psychological beauty, and the authentic concept of beauty transcends fashion, emphasizing the importance of harmony and proportion in form.