Elements — Serpentine Dermatology

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Elements

YOUR SKIN IS ALWAYS DOING SOMETHING NEW (AND SO ARE WE!)

Janine Mendes-Franco

When it comes to non-surgical facial rejuvenation, dermal fillers and bio-stimulators have become increasingly popular for achieving natural-looking youthful results. Of course, each treatment comes with its own unique properties and benefits – here’s how to understand the differences so you can make an informed choice. 

The go-to lip filler

Revanesse® Kiss™+ is specifically designed for lip augmentation, enhancing lip volume, defining shape, and even smoothing fine lines around the mouth. Its low to medium viscosity means that there are no lumps or bumps. Rather, it’s a smooth hyaluronic acid (HA) gel that beautifully plumps the area into which it is injected. 

  • Benefits Natural-looking fullness, results that last from nine months to a year, and minimal swelling.

  • What to expect A quick, in-office treatment with little to no downtime. Expect some mild swelling and bruising, though these typically subside within a few days.

  • Is it for you? If you are looking to achieve plumper, more youthful lips with a soft and natural feel, then yes! It’s so important to pick the correct filler, especially for lips – and this one gives us the ability to smooth out any lines, creating a beautifully hydrated effect. 

The cheek & mid-face lifter

Juvederm Voluma, an ultra-thin HA filler, is perfect for smoothing out fine lines and restoring lost volume in the cheeks and mid-facial region, including “snookers lines” – those fine wrinkles that form around the mouth.

  • Benefits Adds structure and lift, restores youthful contours, and lasts anywhere from 18 to 24 months.

  • What to expect A quick treatment with immediately visible results. Mild swelling and tenderness may occur, but subsides within a week.

  • Is it for you? Yes, if you are experiencing volume loss in the mid-face area or are looking for a subtle but noticeable lift.

The collagen booster 

Unlike traditional fillers, Sculptra is a bio-stimulator, which means it boosts collagen and elastin which providing some volume to the mid-face – great news for anyone 30+, which is when we start to lose collagen. Made from poly-L-lactic acid (PLLA), instead of providing instant volume, it works by stimulating collagen production, gradually improving skin texture and firmness over time.

  • Benefits Long-lasting collagen stimulation and natural-looking results that improve over several months, creating firmer, more youthful-looking skin.

  • What to expect Multiple treatments may be needed, as results develop gradually over three to six months and lasting up to two years. There is minimal downtime and you can see results after as little as two sessions.

  • Is it for you? If you are experiencing significant volume loss and skin laxity, or you have deep wrinkles, this treatment is a great way to achieve gradual, long-lasting rejuvenation.

Remember, each of these treatments serves a different purpose, so consulting with our team can help you determine which option aligns best with your aesthetic goals.

NEW LIFE FOR YOUR SKIN AT EVERY AGE

Janine Mendes-Franco

You know how certain people just have that glow and you wonder how they do it? We’re letting you in on some secrets…  

20s – Build a strong foundation

Now is the time to establish solid skincare habits that will serve you well in the decades to come.

  • Use sunscreen Being this close to the equator is no joke! Use an SPF of 30 or higher every day to prevent premature ageing and hyperpigmentation. Hats, sunglasses, and UV-protective clothing also help minimise sun damage.

  • Hydrate Drink plenty of water and use a lightweight, non-comedogenic moisturiser to keep your skin looking plump. Our Oxygeneo facials are also great at keeping hydration locked in!

  • Exfoliate A mild exfoliant twice a week – glycolic acid does the job nicely – helps remove dead skin cells and prevent clogged pores. Our VI Peels are also very effective at exfoliation and skin firming.

  • Eat well A healthy diet that includes plenty of fresh fruits, vegetables, and omega-rich foods will keep your skin glowing.

30s – Guard your glow

As you step wholeheartedly into adulthood, this is the perfect decade in which to refine your routine.

  • Introduce antioxidants Serums with Vitamin C help fight environmental damage and brighten your skin. See if our AnteAGE products are right for you, go over the counter, or try any of our SkinCeuticals serums.

  • Prioritise eye care If those dreaded dark circles and puffiness start to show up, start using an eye cream with caffeine or peptides.

  • Upgrade your moisturiser As collagen production slows, switch to a richer moisturiser to maintain elasticity.

  • Get regular facials At this stage, facials become less of a luxury and more of a necessity, so make regular appointments to keep your skin refreshed and balanced.

40s & 50s – Embrace the power of anti-ageing

Your skin may become drier and start to show signs of ageing, so hydration and targeted treatments are crucial.

  • Rev up the retinol This powerhouse ingredient boosts collagen and reduces fine lines.

  • Select hydrating oils and serums Consider adding hyaluronic acid and facial oils to your regimen.

  • Don’t neglect your neck Regularly apply sunscreen and moisturiser to your neck and hands to prevent sun damage and help keep those vulnerable areas supple. 

  • Manage stress Exercise and mindfulness practices like yoga help keep stress at bay and make sure your skin stays vibrant.

60s & beyond – Grow and flow 

With the right care, you can still maintain a healthy complexion, even as you age.

  • Embrace the extras Hydration is critical for mature skin, so opt for cream-based cleansers, thick moisturisers, and hydrating masks.

  • Repair your skin barrier Ingredients like ceramides and peptides help strengthen ageing skin. Our CO2RE laser also yields excellent results. 

  • Go gentle Avoid harsh scrubs and strong acids; instead, choose nourishing, soothing ingredients.

  • Celebrate your skin Your skin has been with you through all the ups and downs of life — be grateful! A positive mindset and an achievable self-care routine can make all the difference in how you feel and look.

No matter your age, beautiful skin starts with healthy habits, so if you need us to help you refresh your skincare routine, we’re just a call away

THE TOP 3 THINGS WE WANT YOU TO KNOW ABOUT HEALTHY SKIN

Janine Mendes-Franco

We’re not about gatekeeping — the aim of our newsletter has always been to educate and empower you to advocate for your own skin health. In that spirit, here are some useful skin tips…

Dr. Tonya Abraham-Ali, Dermatologist 

“Being a dermatologist for nearly two decades has been an incredibly rewarding experience — and during that time I’ve learned two crucial lessons that everyone should know:

  1. Dermatology isn’t just about cosmetics. A common misconception is that we only focus on aesthetic concerns, but in reality, we often play a key role in diagnosing serious medical conditions. Many diseases – Lupus is just one example – first manifest through skin symptoms, making dermatologists the first line of defense in detecting underlying health issues.

  2. Speaking of misconceptions, skin cancer screenings are essential for everyone – not just those with fair skin. I’ve unfortunately lost patients to skin cancers that could have been easily prevented with earlier detection. Regular screenings can save lives. 

Skin health is a window that offers me and my patients a view of their overall well-being, a perspective that continues to shape my approach to professional care.”

Robyn Stauble, Medical Aesthetician 

“When I think of healthy skin, the thing that will always come first on my list is sun protection. Sunblock is critical in preventing premature ageing and skin cancers, and it also goes a long way in maintaining healthy skin!

No matter how many skincare products and treatments we invest in to help us achieve more youthful skin, it all comes down to using sunblock – and using it properly. That is always my first line of defence. 

Sunblock shields our skin from harmful ultraviolet (UV) rays that have the power to break down collagen and elastin, which leads to wrinkles and other signs of premature ageing. Sun exposure can also contribute to uneven skin tone, as it can cause us to develop sun spots and patches of hyperpigmentation. UV ray exposure often plays a role in the development of skin cancers as well. If we want youthful skin — and just as importantly, healthy skin — we must use sunblock. 

To really get the full benefits of sunblock, though, we must use it correctly. Many people do not realise that sunblock needs to be reapplied every two hours to be effective — and it must be used even on overcast days, since UV rays penetrate through clouds, windows, etc. 

One last tip: make sure your sunscreen is broad spectrum, over 30 SPF and is formulated to protect against  both UVA and UVB rays.” 

Mikaili Hamel-Smith, Aesthetic Nurse 

“The concept of ‘less is more’ in skincare is so important — especially now, with the barrage of trending products on social media. Simplifying your routine can help you understand and cater to your skin's specific needs. By reducing the number of products you use, you’re actually in a better position to identify which products benefit your skin and which might be causing irritation or breakouts. 

Our skin is continually changing due to factors like age, environment, and lifestyle, so what worked for you a few years ago may no longer give you the same results today. Everyone's skin is unique, after all – what works for influencers or friends may not be compatible with your individual skin type or concerns. 

Instead of following trends, listen to your skin's signals and focus on creating a routine specifically tailored to you. So try using a minimal number of products at a time, observing how your skin reacts, and adjusting accordingly to find the right balance.” 

EVER HEARD OF BIOLOGICS? HERE’S WHY YOU SHOULD…

Janine Mendes-Franco

As the incidence of autoimmune diseases trends upwards, people living with conditions like alopecia, vitiligo, psoriasis, and psoriatic and rheumatoid arthritis – searching for relief from debilitating symptoms – have grappled with serious side effects from prescribed medications. 

More targeted treatment 

Enter biologics — advanced therapies made from living cells. Unlike conventional drugs, which tend to broadly suppress the immune system, biologics operate in a highly targeted manner. With autoimmune diseases, they block the pathways that trigger your body to attack healthy cells, thereby inhibiting progression of the condition. Simply put, they’ve been a game changer. 

By precisely honing in on the molecules involved in the inflammatory process, biologics can help keep symptoms under control while reducing the risk of widespread immune suppression. As with any drug, biologics have better responses in some patients — and this may also change along the journey. Everything is balance, so this may require switching to something else, especially when you consider that biologics are complex to make, and often expensive. 

JAK inhibitors also producing results 

One option comes in the form of Janus kinase (JAK) inhibitors. JAKs are proteins that help your body’s cells communicate with each other. Think of them like a messenger — but in the case of autoimmune diseases, they’re getting the instructions mixed up. Like biologics, JAK inhibitors have had great success in treating autoimmune diseases and other inflammatory conditions such as: 

  • Alopecia Areata: This sudden hair loss occurs when the immune system attacks hair follicles. 

  • Vitiligo: This condition causes the immune system to destroy melanocytes — the cells responsible for skin colour.

  • Psoriasis: Rapid skin cell growth causes thick, scaly patches that are often painful and itchy. 

  • Rheumatoid and Psoriatic Arthritis: These painful conditions affect the joints.

While they both modulate the immune system to treat autoimmune conditions, they do so in different ways. In some cases, they might even be used in combination, depending on the patient’s needs and the specific condition being treated. 

By blocking the inflammatory signals and pathways that cause such conditions, these two families of drugs are working wonders in easing symptoms, improving functionality and enhancing the quality of people’s lives. But don’t take out word for it — hear about their real-world impact from one of our patients…

R, psoriasis patient 

I was prescribed the biologic drug Skyrizi by Dr. Tonya Abraham for the treatment of psoriasis, and to say that it was a complete success is an understatement. I was first diagnosed with psoriasis when I was sixteen. It was extremely difficult for me to accept, because I spent most of my weekends at the beach. My self-confidence was very low and I was in a deep depression, even though I hid it well. 

Over the years, I have tried many types of treatments – from herbal teas and acupuncture to every type of cream and soap available. Very few relieved the itching and redness, and those that did wouldn’t last very long once my body got accustomed to it. 

Then, earlier this year, Dr. Abraham prescribed this treatment to me. I have to admit I was a bit skeptical – not because I didn’t trust her, but because I’ve had so many disappointments over a 28-year period. I decided I would take her counsel and try the treatment.

This treatment did for me what all the others couldn’t.

Four months later, I couldn’t be happier! My advice to those affected is trust your doctor and trust the science. Skyrizi has my vote – every day!

If you are struggling with an autoimmune condition (or undiagnosed symptoms that might suggest this as a possibility), come in and see us. We will assess your particular situation and devise a personalised treatment plan as the condition dictates. 

As these innovative classes of drugs evolve, they will continue to provide breakthroughs in autoimmune disease management, safely and effectively.

CARNIVAL STARTS AT THE GREENHOUSE

Janine Mendes-Franco

Trinidad and Tobago Carnival is a high-energy, non-stop celebration of music, movement, and vibrant expression. Whether you're gearing up for the road, hitting every fête, or simply want to feel your best, incorporating key wellness treatments into your pre-Carnival routine can make all the difference. 

From boosting circulation to reducing bloating, here are our top three treatments that will have you glowing, energised, and ready to break free!

1. Lymphatic drainage massage 

Detox and de-bloat with this therapeutic massage designed to reduce swelling by encouraging the natural flow of lymph fluid. 

Carnival benefits

  • Reduces bloating and fluid retention, so you feel lighter and more comfortable in your costume.

  • Amps up muscle definition to further highlight all your gym gains.

  • Enhances circulation, giving your skin a healthy, radiant glow.

  • Supports immune function, helping you stay strong through long nights and high-energy days.

  • Aids in post-fête, J’ouvert, and Monday and Tuesday recovery by flushing out toxins and minimising soreness.

2. IV Therapy

Get an instant hydration and energy boost with this quick and effective way to deliver essential vitamins and minerals directly into your bloodstream.

Carnival benefits

  • Provides rapid hydration, helping you stay refreshed and energised.

  • Delivers essential nutrients to combat fatigue and boost vitality.

  • Enhances recovery, reducing post-fête lethargy.

  • Strengthens your immune system, keeping you feeling your best throughout the season.

3. Facial acupuncture 

Get camera-ready with this rejuvenating treatment that enhances your natural glow while supporting overall wellness and reducing head and jaw tension.

Carnival benefits

  • Promotes a plump, radiant complexion for a fresh, glowing look.

  • Relieves stress and promotes relaxation of the facial muscles.

  • Stimulates collagen production, helping to smooth fine lines and enhance skin elasticity.

  • Supports overall energy balance, keeping you feeling refreshed and revitalised.

Discover more Greenhouse treatments that will leave you feeling fresh and rejuvenated; call us at  687-1425 to find out more and make a booking.