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MSI Skin Resurfacing
(Rejuvenating) PEEL
Prof. Osama B Moawad
Before-MSI Peel
The First step for successful Peel
is to diagnose the skin problems
(dark spots, red spots, pimples,
scars, wrinkles or skin folds with
advanced diagnostic Tools and
tailor it with patients needs
What is the problem ?
MSI- Advanced Diagnostic Tools
Wood’s light
Polarized Light
Dermatoscopy
Video Dermatosopy
Venoscope
Wood’s Light is essential to
detect skin Pigmentation in
photoaging
Polarized Light
Polarized Light is used to detect red and dark skin spots
Video Dermatoscopy enlarge abnormalities of
hair, nail and skin thousands times
Video-Dermatoscope
White Heads
Black
Heads
To Detect
Blood Vessels
facilitates the decision
whether a mole is harmless or
suspicious
Aging
Wrinkles
Moderate Skin Laxity
Dark Spots
Red Spots
Active Acne
Distensible Scars
Stretch Marks
Who will
Benefit
from MSI
Peel?
MSI-Peel
Skin Preparation
The patient is instructed to use MSI skin care products prescribed at home with or without the
use of Dermal Roller to enhance skin penetration of active ingredients to achieve better
results. Skin preparation may take one month
Whitening
Anti-Acne
Cytokines
Growth Factors
Antioxidants
Retinoids
Moisturizer
Cleanser
Home Skin Care Products
Before
During
After
MSI Peel
Whether you are trying to look
your best for job interviews or just
get attention, MSI Peel is the way
to go
MSI Peel is a
comprehensive skin
care program that uses
the state of art in
aesthetic medicine.
It is tailored exactly to
your skin condition,
need and expectation.
Ultrasonophoresis
Diamond or Crystal Peel
Superficial
Chemical Peel
Minimal Ablative Resurfacing
Salicylic Acid Peel
Comedon Extraction
Blackheads are not caused by
dirt, sweat and poor hygiene
(this is a myth that people
spread) but are caused by
the formation of a plug in
pores due to abnormal skin
cell growth which gets
oxidized by sunlight and
turns black.
Non Surgical Treatment of Aging
Energy Based Skin Resurfacing
(Rejuvenation)
What doctors trying to do is to give a wake up call to your skin first by removing
Injured collagen and elastic fibers ,then stimulate your fibroblast to synthesis
new extracellular proteins. Mainly we can do that with locally, surgically and
with help of energy based devices. These procedures target both intrinsic and
extrinsic types of aging
Wake Up Skin !!!!!!!!!!
Non Ablative Skin Resurfacing
Non ablative techniques were designed to use a
revolutionary process that delivers the
laser/light/RF/Ultrasound energy through your skin’s
surface, to reverse the signs of aging skin
• Early photodamage with fine lines
• Atrophic scars (Acne or others)
• Patients who don’t desire ablative laser
treatment/downtime
• As maintenance after successful ablative
resurfacing
• Modest Expectation
• Tolerate Multiple treatments
Indications of Non Ablative
Skin Resurfacing
Vascular
Pigmented
IPL
Mid Infra red
Lasers
• Pulsed KTP 532
• Pulsed dye 585
• LP PDL 595nm
• 532nm (ns)
• 1064nm (ns, usec )
• Elos
• Photorejuvenation
• Nd:YAG 1064nm &
• 1320nm
• Diode 1450
• Erubium glass 1540
Selective Non
Ablative
LASER:
Pigmented
Skin Laser
Age spots
Pigmented Laser Surgery
532nmQ-switch Nd YAG
Pigmented Laser Surgery
532nmQ-switch Nd YAG
Freckles
Pigmented Laser Surgery
532nmQ-switch Nd YAG
Freckles
Pigmented Laser Surgery
532nmQ-switch Nd YAG
Lentigens
Pigmented Laser Surgery
532nmQ-switch Nd YAG
DPN 532nmQ-switch Nd YAG
Pigmented Laser Surgery
Periorbital Darkening
532nmQ-switch Nd YAG
Selective Non Ablative LASER
Facial Telangiectasia
Facial Telangiectasia
Vascular Laser Surgery
Long Pulsed 1064nm
Facial Telangiectasia
Vascular Laser Surgery
Vascular Laser Surgery
Long Pulsed 1064nm
Acne Rosacea
Vascular Laser Surgery
Pulsed Dye Laser 595nm
Light Emitted Diode(LED)
Red LED for
Photo-rejuvenation
Blue LED
of Acne
Photosensitizer
Light Red light
Infra-red
light
LED Laser IPL
Photodynamic Therapy (PDT)
Soft Laser Peel
Improvement in telangiectasia, pigmentation , pores sizes and overall skin texture
Type I Skin Rejuvenation
Photo-Rejuvenation-Elight or ELOS
Type I Skin Rejuvenation
Improvement in diffuse redness, telangiectasia, pigmentation , pores
sizes and overall skin texture
Photo-Rejuvenation-Elight or ELOS
Non Ablative Laser Skin Resurfacing
To over come shortcomings of light and visible lasers a longer wavelengths 1320nm,1450nm and1540nm in
the infra red part of EM were invented . These lasers used water as a chromophore demonstrated mild but
reproducible improvement in clinical wrinkles reduction
Type II Skin Rejuvenation
Non Ablative Laser Skin Resurfacing
Type II Skin Rejuvenation
Non Ablative Laser Skin Resurfacing
Type I& II Skin Rejuvenation
Acne Scars
Type II Skin Rejuvenation
Non Ablative Laser Skin Resurfacing
Non Surgical Skin Tightening (Radio-Lift)
Radio lift is a method of physical
therapy that involves generating
local heat in the tissue by high
frequency electrical current. It is
FDA approved
Erythema and immediate
tightening
Radiolift: When Should I Stop?
Tightening
Lifting
Body Contouring
Cellulite treatment
Active Acne
Atrophic distensible Scars
Who will Benefit from Non Surgical lifts?
Surgical vs Non Surgical Skin Tightening
Patient with Mild to Moderate skin
changes
Patient with Modest Expectation
Patient afraid from surgery
Patient too young for it
Patients who are poor surgical candidate
Significant clinical improvement of skin tightening and wrinkles reduction
Significant improvement in skin tightening and
reduction in the nasolabial folds
Radiolift: Non Surgical Skin Tightening
Radiolift: Non Surgical Skin Tightening
Radiolift: Non Surgical Skin Tightening
Radiolift: Non Surgical Skin Tightening
Radiolift: Non Surgical Skin Tightening
Radio-lift: Skin Tightening
Mesotherapy / Meso-lift
Vitamines:
2. Amino acids:
3. Minerals:
4. Coenzymes:
5. Nucleic acids: DNA, RNA…
6. Cytokines: EGF, bFGF
7. Peptide: Copper Peptide
MesoBotox(Mesolift)
Dermal Rollers
PLATELETS RICH PLASMA
Oxygen Therapy
Oxygen skin care treatment can
reduce the effects of aging by
actually nourishing the skin with
essential vitamins, minerals, amino
acids, enzymes, and pure oxygen. It
can be used post chemical peel or for
use both before and after facial
surgery due to the ability of oxygen
to speed the healing process.
Dermabrasion
Chemical Peel
Ablative Laser
Ablative Skin Resurfacing (Rejuvenation)
Ablative Skin Resurfacing (Rejuvenation)
Medium Depth TCA Peel
CROSS TCA Peel
Skin Pigmentation
Medium Depth TCA Peel
Medium Depth TCA Peel
Medium Depth TCA Peel
Spot Dermabrasion
It is effective procedure for the treatment of photodamage, acne
scarring, and scarring from surgery or trauma
Ablative Laser Skin Resurfacing
Ablative
CO2 Laser
Superficial
Ablative
Non
ablative
Fractional
Ablative FR
CO2
Ablative Sup.Ablative
Fractional Non
Ablative
Fractional
Ablative
Ablative Laser Skin
Resurfacing
Ablative Laser skin resurfacing (LSR) remains the gold standard for the treatment
of severe wrinkles and sun-damaged skin, offering unsurpassable results.
Not An MSI Photo
The concept behind this approach is to thermally alter a fraction of the skin ,
leaving intervening areas of normal skin untouched similar to ablative laser
resurfacing the areas of thermally ablated tissue are repopulated by fibroblast
activity of neo-collagenesis and epidermal stem cell reproduction
Fractional Skin Resurfacing
Fractional Ablative Laser Resurfacing
As compared to ablative resurfacing fractional resurfacing results in faster and
fewer side effects on the expense of improvement in wrinkle reduction and
photo-damage when compared with ablative CO2
Fractional Ablative Laser Resurfacing
Fractional Ablative Laser Resurfacing
Fractional Ablative Laser Resurfacing
MSI Peel
It time to Sooth, Calm and
Moisturize and Apply Sunblock
Facial Masks
There are different kinds of masks
for different purposes: deep
cleansing, healing hyper-
pigmentation; brightening, for a
gradual illumination of the skin
tone.
These different forms are made to
suit different skin types (e.g., oily
or dry), and different skincare
goals or needs (e.g., moisturizing,
cleansing, exfoliating).
No needle mesotherapy or Electroporation creates spaces (pores) between the cells that allow the
passage of active ingredients according to the skin condition of less than 40.000 Dalton (anti-acne,
whitening or resurfacing topical agent. It is a painless procedure that feel like massage
Photo-Rejuvenation: RED LED
Light emiting diodes or( LED) is a non-ablative procedure that activates skin cells with pulses of low-level, non-
coherent and non-thermal light energy. LED red helps to calm the skin
MSI Peel
Before and After Photos
Dark Spots
Removal
Mild Acne Scars
MSI Peel
After Peel
Patient
Instructions
The patient is given
post procedural
instructions according
to his tailored program
Retinoids
AntioxidantsGrowth
factors
Cytokines
Estrogen
Whitening
Moisturizer
The patient is instructed to
use MSI skin care products
prescribed at home with or
without the use of Dermal
Roller to enhance skin
penetration of active
ingredients to achieve better
results
Home Skin Care Products
MSI PEEL
Compliment Procedures
Forehead
Glabella (frown Lines )
Supraciliary wrinkles
Crow’s feet
Bunny Lines
Lip and Perioral
Nasolabial fold
Dimpled chin
Nefertiti
Neck (platysmal band)
Botox
Botox
Botox
Dermal Filler
Injectable Liquid Implants
MSI PEEL
Conclusion
Local
Non Ablative
Minimal Ablative
Ablative FR CO2
It includes steaming, ultra-
sonophoresis , diamond or
crystal peel , masks, lasers,
light, and mesolift, vampire
face lift radiofrequency ,
chemical peel, and Ablative
Fractional CO2 Laser. We
increase the penetration of
active skin ingredients
deeply into the skin with,
mesotherapy,
electroporation, dermal
roller and oxygen therapy
Afterwards, we sooth,
calm and moisturize
and treat the skin
with help of topicals,
ultrasound,
radiofrequency , or
RED LED exposure
MSI Peel
MSI Peel
It is a High Tech Comprehensive Age Reversing Peel
tailored to your need and goal

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