Botulinum toxin 






Hyaluronic acid 










Bichectomy










Mesotherapy









Appointment Whatsapp 
Costa Rica 



Complications



· Inflammatory reactions (redness, edema, erythema, etc.) that may be associated with itching and pain.  

These reactions can last a few hours, days, and sometimes up to a week.

 · Bruising in the area.

· Hardening, staining and little effect on the site. 

· Patients should report all side reactions that persist for more than a week as soon as possible. 

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88765843

CONTRAINDICATIONS
Pdo threads 



· Should not be used in:
- Patients with a tendency to develop hypertrophic scarring.

- Patients with a history of autoimmune disease

- Patients with bleeding disorders

- Patients who have diseases associated with Streptococci

- Pregnant or lactating women

- Children

-It should not be placed in areas with inflammatory or infectious problems.

-It should not be used in association with a treatment such as laser therapy, chemical peeling, or dermabrasion.

- Anticougulated patient Warfarin Plavix

- Only over 18 years
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88765843
Indications


• Do not take aspirin or high doses of vitamin C the week before the injection.

• Do not use makeup for 24 hours afterwards. 

• Avoid prolonged exposure to sunlight, UV light.

• Do not use saunas or steam baths for two weeks afterwards.

• Do not massage on the face. 

• Don't buy Hot.


Dr James Montiel 
WhatsApp 
88765843

Real case Pdo threads 
Frown

Patient wants to improve the brow.
I think I'm angry. But that is not my personality.


Image 1. 
Very strong expression line.


Picture 2.
Almost 1 month later. Post threads


Picture 3.
An improvement is observed. Waiting for the formation of new collagen.

conclusion 

Patient must first put botox at 22 days or 1 month and the next step is done the Pdo threads


Dr James Montiel
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88765843
PDO threads case 


Image 1.
Front view


Picture 2.
Left side view



Picture 3. 
Right side view


Patient underwent full face pdo thread. Invisible touch.

Improving your appearance

conclusion 

If it can be improved by combining pdo threads, botox and hyaluronic acid.


Dr James Montiel
Whatsapp
88765843
Gallery Case
  Pdo Threads


When do we see results?

The results are natural and progressive, and, in general, the definitive effect can be observed in three weeks, continuously improving until reaching three months.

 the duration of the procedure is about 30 minutes while the reabsorption time of the threads is 6 months and the optimal duration of results is 12 to 18 months.



Dr James Montiel 
WhatsApp
 88765843

When do we see results

When do we see results?

The results are natural and progressive, and, in general, the definitive effect can be observed in three weeks, continuously improving until reaching three months.

 the duration of the procedure is about 30 minutes while the reabsorption time of the threads is 6 months and the optimal duration of results is 12 to 18 months.

How the Pdo Threads are placed



The technique is totally individualized for each patient depending on the age, the appearance and the degree of flaccidity, but in a standard session 10-20 threads are usually inserted.

They are applied through a very fine needle-cannula that is inserted in a plane through the subcutaneous cellular tissue and when removed, the strand is taut without the need for anchoring.


Rejuvenate from the inside out by stimulating the skin to form new collagen, in addition to fibroblasts. That is one of the biggest advantages, the threads favor the formation of collagen, which is responsible for the firmness of the skin. The result?Brighter, more elastic skin.


Pdo threads

Facial flaccidity is one of the problems that most worries men and women, who seek to achieve a well-defined face, as far as possible, the signs of the passage of time.




It is a revolutionary facial rejuvenation technique that stimulates the internal tissues to firm the skin and correct sagging.


The magic threads have their origin in Japan and have been used as a cardiac suture material for a long time, which has been able to contrast their safety and it is proven that they do not produce rejection or allergies as they are antimicrobial and bioabsorbable. The yarn material is Polydioxanone and is reabsorbed after 4 to 6 months.

What does it consist of? “The tension threads manage to return collagen and improve the skin's texture with a very simple and safe procedure. It is about making a kind of mesh, a network of crossed threads that hold the facial tissue.



 They are very fine threads of a reabsorbable and biocompatible material, polydioxanone, which has been used for years in cardiac surgery.

One of the main advantages of this 'magic' product is that there are practically no allergies or rejections. Furthermore, it is undetectable to palpation and sight, and only needs medium-term maintenance. The results, natural and in harmony with the patient's physiognomy, are observed from its application.

Why are they magical? These threads made of polydioxanone (PDO) material are known as magic threads since, as we said, the material from which they are made is capable of forming support tissue naturally by producing collagen and fibroblasts around the inserted thread that tighten and redensify the skin .

Are there any kind of side effects?
The most common side effects that can be associated are: redness at the insertion points, slight edema in the area, bruising if any capillary breaks and temporary pain that will disappear within 2 to 6 days.

Who is it for?

Patients who want to prevent, repair and / or improve flaccidity. They can be combined with other treatments, such as botulinum toxin (botox) and fillers (hyaluronic acid).


It is a treatment that should be avoided by all those who are susceptible to developing keloid scar, infection and / or acute inflammation at the implantation site.

The main indications are: elevation of the cheeks, recovery of the facial oval, improvement of nasolabial folds, puppet lines, wrinkles around the eyes and barcode.

Mesotherapy protocol 

For optimal results, stipulated days must be met to see results. Apart from diet and exercise. 

We need proof of the application dates. 




You must choose a day of the week and continue it for a minimum of 8 sessions to a maximum of 16 sessions. Simultaneously lymphatic drainage massages.

Example to follow:

Sem1: Monday-Meso Thursday-Massage
Sem2: Monday-Meso Thursday-Massage
Sem3: Monday-Meso Thursday-Massage
Sem4: Monday-Meso Thursday-Massage
Sem5: Monday-Meso Thursday-Massage
Sem6: Monday-Meso Thursday-Massage
Sem7: Monday-Meso Thursday-Massage
Sem8: Monday-Meso Thursday-Massage

The changes are evaluated and it is decided to continue for 8 more sessions depending on each person.


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Dr James Montiel 
88765843
Complications 

· Inflammatory reactions (redness, edema, erythema, etc.) that may be associated with itching, pain due to the pressure that can occur during the injection. These reactions can last a few hours, days, and sometimes up to a week. · Local bleeding or bruising in the injected area.

· Hardening, staining and little effect at the injection site. 

· Patients should report all side reactions that persist for more than a week as soon as possible.

Dermobes cocktail. Click here 

More info whatsapp 
88765843

How should my face go for the date
 of mesotherapy 


• Wash your face before the appointment
• No makeup.
• Do not cream.
• Do not apply sunscreen to the face area.
• Face clean of infections.
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88765843
Indications


• Avoid taking aspirin or high doses of vitamin C the week before the injection.

• Do not use makeup for 24 hours after Mesotherapy.

• Avoid prolonged exposure to sunlight, UV light, cold temperatures or use saunas or steam baths during two treatments.

• Do not massage on the face. 

More info 
88765843
CONTRAINDICATIONS



· Should not be used in:
- Patients with a tendency to develop hypertrophic scarring.

- Patients with a history of autoimmune disease

- Patients with bleeding disorders

- Patients who have diseases associated with Streptococci

- Pregnant or lactating women

- Children

-It should not be injected into areas with inflammatory or infectious problems.

-It should not be used in association with a treatment such as laser therapy, chemical peeling, or dermabrasion.

- Anticougulated patient Warfarin Plavix

- Only over 18 years
More info 
88765843

Where the double chin mesotherapy is applied



It is a technique that although using needles is not as painful as if we were going to have surgery, so it is an excellent option if you want results in a short time, without so much pain and without greater risks than minor bruises in the area. from the injections and some pain that will decrease with medication.



More info whatsapp
88765843