Dr. Anjalee Gupta M.D., C.C.F.P

Meet Nurse Cristina

Cristina Amorim is a Cosmetic Nurse Specialist with 18+ of diverse nursing experience. Cristina has worked in several nursing roles which include medical-surgical nursing and mental health and psychiatry. Cristina has a nursing diploma from Humber College and a Bachelor of Nursing Sciences from Ryerson University. Cristina has a specialty certification in Medical Esthetics from Centennial College and has completed various labs, courses and training in the field of Cosmetic Injectables which include dermal fillers, neuromodulators, platelet-rich plasma and micro-needling.

Cristina is a member of the College of Nurses of Ontario (CNO). Cristina has a keen artistic eye. She strives to help her clients achieve a natural and rejuvenated appearance while supporting a healthy level of confidence.

In utilizing her expertise, professionalism and down to earth approach she can develop and perfect the techniques and approaches that are custom-tailored to each client

NEUROTOXIN (BOTOX® / Dysport®)

What is botulinum toxin type A?

The cosmetic form of botulinum toxin is a popular injectable that temporarily reduces or eliminates facial fine lines and wrinkles. The most commonly treated areas are frown lines, forehead creases, crow’s feet near the eyes. Several other areas have been treated such as thick bands in the neck, thick jaw muscles, lip lines, and gummy smiles.

Botulinum toxin is a purified substance that’s derived from bacteria. Injections of botulinum toxin blocks the nerve signals to the muscle in which it was injected. Without a signal, the muscle is not able to contract. The end result is diminished unwanted facial wrinkles or appearance. Commonly known types of botulinum toxin type A injections include Botox®, Dysport®, and Xeomin®.

Botulinum toxin can be used to

Smooth crow’s feet, forehead furrows, frown lines, lip lines, and bunny lines
Diminish neck bands
Improve the appearance of skin dimpling of the chin
Lift the corners of the mouth
Soften a square jawline
Correct a gummy smile

The FDA has approved the use of Botox® for the frown lines and crow’s feet, while Dysport® and Xeomin® are approved for frown lines only. All other uses are considered “off label.”

Procedure

Injections of botulinum toxin may seem like a simple procedure to you since it’s just a few shots. But it’s actually both an art and science that only an experienced healthcare professional should do.

There are 43 muscles in your face and it’s vital that the person who performs botulinum toxin injections understands and pinpoints the correct spots to optimize your treatment.

A very thin needle is used to inject small amounts of botulinum toxin into specific muscles. By carefully choosing specific muscles, your healthcare provider weakens only the wrinkle-producing muscles, preserving your natural facial expressions.

Botulinum toxin treatment injections usually take less than 15 minutes.

The number of injections you need will depend on your facial features and the extent of your wrinkles. Crow’s feet, for example, usually demand two to three injections. Furrows above your brow could take five or more.

Recovery

There is no downtime or recovery time for botulinum toxin injections.

Results

You may notice results within a few days, but it can take up to 2 weeks to see the full effect. This improvement typically lasts about three to four months.

Cost: 9 per unit

DERMAL FILLERS

Dermal fillers help to diminish facial lines and restore volume and fullness in the face.

As we age, our faces naturally lose subcutaneous fat. The facial muscles are then working closer to the skin surface, so smile lines and crow’s feet become more apparent.

The facial skin also stretches a bit, adding to this loss of facial volume. Other factors that affect the facial skin include sun exposure, heredity, and lifestyle.

What dermal fillers can do

Plump thin lips
Enhance shallow contours
Soften facial creases and wrinkles
Improve the appearance of recessed scars
Reconstruct contour deformities in the face
Decrease or remove the shadow of the lower lids

Dermal fillers can be very helpful in those with early signs of aging, or as a value-added part of facial rejuvenation surgery.

What dermal fillers can’t do?

For some patients, surgery such as a facelift, brow lift or eye lift may be the best approach. Nonsurgical rejuvenation treatments, such as soft tissue fillers, cannot achieve the same results but may help delay the time when consideration of a facelift becomes appropriate. It is important to remember that dermal fillers are temporary treatments for facial aging and that ongoing treatments will be needed for long-term results.

Cost: 500 per syringe

Platelet Rich Plasma

In recent years, PRP has become a “trending therapy” in aesthetic medicine. Practitioners are using the natural healing properties of platelets to improve the appearance and overall health of the skin.

PRP is derived from the patient’s own blood and may contain growth factors that increase collagen production.

Platelet-rich plasma (PRP) can be combined with collagen induction therapy (microneedling) treatment in the form of dermatologic autologous blood therapy. It can be applied topically to the entire treatment area during and after collagen induction therapy treatments (Vampire Facial) or injected intradermally to scars.

Vampire Facial

Platelet-rich plasma (PRP) can be combined with collagen induction therapy (microneedling) treatment in the form of dermatologic autologous blood therapy. It can be applied topically to the entire treatment area during and microneedling treatments

Hair Restoration

PRP (platelet-rich plasma) therapy for hair loss is a three-step medical treatment in which a person’s blood is drawn, processed, and then injected into the scalp.
Some in the medical community think that PRP injections trigger natural hair growth and maintain it by increasing blood supply to the hair follicle and increasing the thickness of the hair shaft.

PRP therapy process

PRP therapy is a three-step process. Most PRP therapy requires three treatments 4–6 weeks apart.

Maintenance treatments are required every 4–6 months.

Step 1

Your blood is drawn — typically from your arm — and put into a centrifuge (a machine that spins rapidly to separate fluids of different densities).

Step 2

After about 10 minutes in the centrifuge, your blood will have separated into three layers:

    • platelet-poor plasma
    • platelet-rich plasma
    • red blood cells

Step 3

The platelet-rich plasma is drawn up into a syringe and then injected into areas of the scalp that need increased hair growth

Cost: 500 per treatment or 1200 for 3

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