Victoria's premier medical aesthetic clinic - Vancouver Island BC
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reserve your place now- Conditions
- Acne
- Acne scarring
- Actinic keratosis
- Age related facial changes
- Brown spots, melasma, freckles, sunspots
- Crows' feet and frown lines
- Dry or rough skin
- Excess fat
- Excessive sweating
- Headaches and back pain
- Lax skin
- Loss of lip volume
- Not enough / too short eyelashes
- Redness and rosacea
- Sun damage
- Unsightly veins
- Unwanted hair
- Wrinkles and lines
- Wrinkled or spotted hands
- Treatments
- 3D - The Total Approach
- BOTOX® Cosmetic
- BOTOX® Therapeutic
- Chemical peels
- Cosmeceuticals
- eCO2® fractional laser
- Fillers
- Hand Rejuvenation
- HydraFacial®
- Laser Genesis
- Latisse
- Laser hair removal
- Laser vein therapy
- Lip enhancement
- Lipotherapy - body sculpting
- Mosaic® fractional laser
- Pearl®
- Photodynamic therapy
- IPL Photorejuvenation
- Sclerotherapy
- Soft Lift™
- Titan®
- Ulthera®
Condition: Age Related Facial Changes
What are Age Related Facial Changes?
The naturally-occurring age related facial changes can be grouped into 3 categories- Deflation, Deterioration and Descent.
Deflation happens as a result of the bone structure diminishing and shifting at varying degrees and the fat pockets in the face (cheeks for example) also shrink.
Deterioration of the skin becomes apparent when we age. It is due to the effects of the sun, the fact that the skin becomes thinner and loses its strength, hydration and elasticity. Brown spots can appear as can the appearance of small veins and large pores. The skin loses its smoothness and youthful glow due to the inefficient shedding of old dead cells from the surface of the skin, and an uneven texture can appear.
Descent of the fat around the cheeks and lower face gravitates downward and, since the skin is thinner and less elastic, folds can appear-particularly directed downwards from the corners of the mouth (marionette lines) and between the cheeks and the upper lip area.
The facial “triangle of youth” where there once was a narrower lower face has now been transformed by age into a “squarer” visage.
What treatments are available to treat Age Related Changes?
The Rosenthal Clinic offers numerous ways to effectively treat Age Related Changes. The best course of action can only really be established with a personal consultation to determine any relevant medical factors and timescales that may affect choice of treatment.
To ask about a consultation call 250 380 2600, or
Send us a message- Learn about the available treatments
- Choose a treatment here
Treatment: Botox Cosmetic
What is BOTOX Cosmetic?
It is a highly refined protein that has been used cosmetically for many years to treat lines and wrinkles. Worldwide it has been safely used by millions of people. It causes temporary paralysis of the muscles that cause facial wrinkles and lines.
There is no downtime and you can continue with daily activities immediately after treatment. This is the most popular non-surgical cosmetic treatment being used in North America today.
What can BOTOX do?
It can temporarily reduce or eliminate the lines caused by making the same expression thousands of times. As we age, these overused facial muscles create frown lines, forehead creases, crow’s feet, neck folds and chin creases. BOTOX® temporarily blocks the nerve impulses so that the treated muscles relax, causing a reduction or elimination of the lines or wrinkles. With repeated treatments the collagen in the treated areas remodels, giving rise to a smoother, more pleasing appearance.
BOTOX® can be used to reverse the signs of aging produced by these active muscles and it can also help younger people by preventing the creases that characterize an older face. If dynamic wrinkles and lines are starting to make you look older or more negative, BOTOX® can restore the rested and confident appearance you desire.
Frequently Asked Questions
How does it work?
Within hours of being injected, the BOTOX® protein enters the nerve endings that stimulate the muscles. After several days, BOTOX® prevents the release of a substance called acetylcholine at the neuromuscular junction which signals muscle contraction. This is a temporary condition which reverses after the effect of BOTOX® wears off. Sensory nerve endings are not negatively affected so there is no numbness or abnormal sensation in the area treated.
What areas can be treated?
- Frown lines
- Creases between the eyebrows
- Horizontal forehead lines
- Crow’s feet
- Upper lip winkles (“smokers’ lines”) can be lessened
- Dimpling on the chin
- Poorly defined jaw line
- Drooping of corners of the mouth
- Lines on the neck – thick vertical cords and horizontal “necklace lines”
- Lines between the breasts
Who should not be treated?
People with rare neurological disorders such as myasthenia gravis and those who have Eaton-Lambert syndrome should not be treated. Women who are pregnant or are breast feeding should not be treated, nor should those with an allergy to albumin or penicillamine.
What happens at the treatment appointment?
You will be asked to fill out a brief medical history and you will have a discussion with Dr. Rosenthal regarding the areas to be treated. Photos will be taken and the treatment area will be cleansed before the injections. Ice will be applied prior to injection and immediately after.
How long does each treatment take?
10 – 30 minutes depending on the number of injections. You can return to work or other activities immediately after.
How will I look after treatment?
Most people can walk out without any visible signs of having been treated, unless a small bruise develops.
Is it painful?
Most people find it almost painless since very tiny needles are used. No anaesthetic is required, but the skin may be pre-cooled prior to injection. All injections are done by Dr. Rosenthal.
How often?
The treatment allows for natural movement and the effect starts after 1 – 5 days and peaks in about 2 – 4 weeks. The results can last 3 – 6 months or longer. After which the effect can gradually wear off allowing the wrinkles to return, unless another BOTOX® treatment is done. When it is used to combat excessive sweating it usually lasts 8 – 12 months. Higher doses may last longer and with repeated treatments the duration of the effect may be increased.
Are there risks?
There are usually no permanent problems or side effects. Temporary side effects include occasional bruising at the injection site and when the eyebrows are treated eyelid droop very occasionally occurs. Eyelid droop can last 2 -4 weeks and can be treated with special eye drops.
Long-term effects?
There are usually no long-term side effects, allergic reactions, or other health hazards. When the muscles are relaxed the lack of movement (frowning) prevents disruption of the collagen alignment and the skin remains smoother longer. Some patients have been receiving BOTOX® injections for more than 10 years without problems.
Can BOTOX® be used with fillers?
BOTOX relaxes the muscles which cause many facial lines and unwanted facial expressions. We use fillers such as Restylane®, Juvederm®, Teosyal® for lip enhancement, to eliminate creases and lines, restore volume in the cheeks and to correct defects including acne scarring. Sometimes BOTOX is used in combination with fillers – for example when treating deep frown lines or wrinkles around the lips.
BOTOX can also be used in conjunction with chemical peels, laser therapy, injection of fillers and cosmetic surgery to prevent or delay the development of new wrinkles and the need for repeat treatments.
The uses of BOTOX® can in some cases delay or eliminate the need for a surgical procedure (facelift, brow lift or neck lift). If you have had a face lift, BOTOX® can prolong and enhance the benefits of surgery by reducing the muscle activity that might undo the surgeon’s fine work.
Does BOTOX work for all kinds of wrinkles and skin lines?
Not all facial wrinkles and folds are related to the activity of the underlying muscles. These deep creases and skin folds are the ones still visible when the skin is lightly stretched with your fingers. These ‘static’ wrinkles are made worse by sun exposure, the natural aging or maturing process and by smoking but they can be helped by the use of fillers and other available treatments such as Laser Genesis, and Titan, eCO2 and Mosaic fractional lasers and Pearl.
Before & After photos for Botox
Face at rest before Botox
Face at rest after Botox
Face frowning before Botox
Face frowning after Botox
Face before and after Botox cosmetic treatment.
Crow's Feet before Botox
Crow's Feet after Botox
Before Botox and Filler
After Botox and Filler
Before Botox and Filler
2 Weeks After Botox and Filler
Before Botox and Filler
After Botox and Filler
Before Botox Cheek Reduction
After Botox Cheek Reduction
Send us a messageWant to know more, or ask about a consultation?
Please call 250 380 2600, or send us a message.
Treatment: eCO2 Fractional Laser
What is eCO2® Fractional Laser and how does it work?
The eCO2 Fractional Laser is a state of the art laser system using a technology that breaks up the carbon dioxide laser beam into many finer beams ( micro-fractions) that result in a minimally invasive procedure to the surface of the skin that leaves areas of the skin intact so they will assist in fast recovery. This fractional laser can give astonishing results in only one treatment. You can now easily and with minimal downtime regain that youthful look. The treatment stimulates new collagen production and shrinks the skin.
What are the uses for the eCO2® Fractional Laser?
The eCO2 can show an astonishing improvement in fine lines and wrinkles (crow’s feet is a good example), the effects of sun-damage, discolouration, small veins and skin laxity. This laser is very effective in the removal of scars including acne scars that may have persisted for many years. Skin tags and some other pigmented lesions are also easily treated with the eCO2. Improvement in texture of the skin can be amazing.
Frequently Asked Questions
How long does a treatment take?
It takes about an hour after the topical anaesthetic is put on.
Who does the treatment?
All eCO2 Fractional Laser treatments are done by Dr. Gillian Rosenthal with the assistance of a laser technician.
Is the eCO2 treatment painful?
Prior to the treatment we will take every step to ensure that you are comfortable during the procedure. We take extra care to ensure that you will be comfortable during the treatment and afterwards. We will provide you with post-treatment care instructions.
How can I tell if the eCO2 is the right treatment?
We do not give these treatments without a consultation with Dr.Rosenthal. She will carefully examine your skin to determine if this is the best treatment to achieve your goals. Alternative treatment options will be outlined. If you decide to have the eCO2 treatment you will then be given pre-treatment instructions and also be made aware of the post-treatment procedures.
What will I look like immediately after treatment?
You will look red and swollen. By the 5th day post treatment the swelling will have diminished and the redness minimized. After 72 hours you can apply makeup to minimize the redness. Many clients arrange their eCO2 treatment for a Thursday or Friday to minimize the potential of time off work. The post-treatment care that we advise will help to minimize the symptoms and as part of the treatment we will book an appointment for you to return after a few days so that we may monitor your progress.
When will I see results?
After about a week you will see changes that will continue to be enhanced over the next 6 months. You should within a week feel that your facial skin is tighter, that the surface is smoother and that wrinkles and sun damage have either gone or been minimized. The timing and extent of the results is totally dependent on the individual being treated, the extent of the treatment that was done and the following of our after care instructions.
eCO2 in the news?
http://www.youtube.com/watch?v=Xaq2omkqNNQ
or for acne sufferers
http://www.youtube.com/user/lasermania8
Before & After photos for eCO2 treatment
Photos courtesy of J. David Holcomb, M.D.
eco2 single treatment
Photos courtesy of J. David Holcomb, M.D.
Before and after eco2
Rejuvenation using eco2 Laser
Photos courtesy of J. David Holcomb, M.D.
Before eCO2 acne treatment
after eCO2 acne treatment
Before eCO2 and Soft Lift treatment
after eCO2 and Soft Lift treatment
Before MOSAIC and eCO2 treatment
after MOSAIC and eCO2 treatment
Before eCO2 treatment
after eCO2 treatment
Send us a messageWant to know more, or ask about a consultation?
Please call 250 380 2600, or send us a message.
Treatment: Fillers
What are Fillers?
There are a variety of fillers that are available for use in restoring the loss in volume due to aging, the reduction or elimination of lines and the enhancement of facial features such as the chin. We use several types of fillers. Those consisting of hyaluronic acid which is a product occuring naturally in the skin. These re-volumize the area treated and they may also induce some degree of stimulation of collagen production in the area treated. We also use Sculptra™ and Radiesse™ that depend on the significant production by the fibroblasts in your skin of new collagen. Fillers are most commonly used in the face and hands.
The overall result is the reduction or elimination of lines and folds and a restoration of more youthful contours as the hollowed areas are refilled. See the section on Soft Lift™ which uses fillers to provide amazing results in obtaining an immediate youthful fresh look that will take years off your appearance.
Dr. Rosenthal is a physician that has been especially trained in the process of using fillers. Many of your clients remark on her attention to detail, her artistic 'eye' in regaining a youthful look, her experience and overall skill.
What's involved with Fillers?
At your free consultation we will examine your skin and facial structure to determine whether fillers will be beneficial to enhancing your appearance. We may recommend other treatments in conjunction with fillers. At the time of the consultation we will discuss with you your treatment goals and provide you with an estimate of the cost of the treatments.
We use non-permanent facial fillers composed of cross-linked hyaluronic acid - Restylane®, Juvederm® and Teosyal®. The cross-linking ensures prolonged stability of the filler. By holding water, the gel hydrates and gives volume to the skin. In time, the hyaluronic gel particles are slowly absorbed and replaced by water. When totally absorbed, the gel disappears-unnoticed by the body.
Juvederm® Voluma® is the latest product produced by Allergan (also the maker of BOTOX). Voluma® is used for optimal lift and re-shaping can last up to 18 months.
Frequently Asked Questions
How long does a treatment take?
On average, each treatment takes about 45 minutes.
Are Filler treatments painful?
Previously the Injection of fillers required the use of either a topical numbing cream or injection of a local anaesthetic to make the procedure more comfortable. Now the filler is pre-mixed with anaesthetic (freezing) to ensure that the procedure is comfortable. Filler is injected, using a tiny needle, into each target area.
The side effects can include localized temporary bruising and swelling, both of which can be reduced by the use of cooling before and after treatment. Prior to the procedure, Dr. Rosenthal will discuss the process and side effects. At that time you may ask any questions that you may have.
How long do Filler treatments last?
Studies have shown that hyaluronic acid fillers can last 9 – 12 months. They tend to last longer when they are injected deeper into the skin to restore volume. In these situations, although a small “top up” may be needed after one year but the treatment can be very durable- lasting several years. For lip rejuvenation and enhancement and in the treatment of areas subject to considerable movement of muscles the effect lasts for a shorter period but can be enhanced by combining the filler with a BOTOX treatment.
Sculptra® can last more than 2 years, and Radiesse® can last over 1 year.
What will I look like immediately after treatment?
You will be able to immediately appreciate the effect of the filler. There may be mild redness and minor bruising but this should quickly resolve.
When will I see results?
Results are instantaneous.
Are Filler treatments safe?
Hyaluronic acid (HA) is made in the laboratory by a bacterial fermentation process. It is highly purified material and hence allergic reactions rarely occur. Pre-testing is not required. As HA represents a durable form of a natural constituent of the skin and other parts of our body, it is very well tolerated and readily incorporated into the surrounding tissues. HA can provide a very natural smooth appearance to the skin. Radiesse® has been used medically for many years and is extremely safe and biocompatible.
Are there any side effects?
Mild bruising which can be minimized through the use of cooling before and after the procedure. There can be transient redness, swelling, itching or discomfort and with lip injections the swelling can last for longer periods. If you have suffered from cold sores, antiviral medication will be provided to prevent cold sores from breaking out in the treatment area. The use of fillers should be deferred if your skin is actively infected, or if you are pregnant or breast feeding.
Before & after Filler photos
Before Filler treatment
After Filler treatment
Before Filler treatment
After Filler treatment
Before Filler treatment
After Filler treatment
Before Filler treatment
After Filler treatment
Before Filler treatment
After Filler treatment
Before Filler treatment
After Filler treatment
Before Filler treatment
After Filler treatment
Before Filler treatment
After Filler treatment
Before Filler treatment
After Filler treatment
Before Non-Surgical Lift and eCO2
After Non-Surgical Lift and eCO2
Before Botox and Filler
After Botox and Filler
Before Botox and Filler
2 Weeks After Botox and Filler
Before Botox and Filler
After Botox and Filler
Before Lip Enhancement and Non-Surgical Face Lift
After Lip Enhancement and Non-Surgical Face Lift
Before Non-Surgical Lift
After Non-Surgical Lift
Before Lip Enhancement and Non-Surgical Lift
After Lip Enhancement and Non-Surgical Lift
Send us a messageWant to know more, or ask about a consultation?
Please call 250 380 2600, or send us a message.
Treatment: Chemical Peels
What is a chemical peel and how does it work?
It is an effective, yet safe and gentle, approach to improving the appearance of your skin. Peels can be used to treat fine lines, weathered skin, acne, acne scarring, brown spots and enlarged pores, freckles, sun spots, age spots and even melasma.
Peels can also be used to jump start your skin care regimen, as a stand-alone treatment or in combination with other more powerful treatments such as Laser Genesis®, IPL, TITAN®, eCO2 or Mosaic fractional laser therapy.
Chemical peels work on the top layer of the skin, loosening the glue that holds the dead skin cells together. With the peeling process, unwanted pigment is shed and healthy new epidermal cells are stimulated to grow. New collagen fibres in the underlying dermis are created, causing the skin to feel firmer.
What types of chemical peels are available?
Vitalize® Peels that combine the benefits of alpha- and beta- hydroxy acids with resorcinol - which has been in use for over 100 years - and Retinol deliver an effective result with a minimum of downtime.
Medique® peels combine four alpha hydroxyl acids with two beta hydroxy acids thereby reducing the stinging and irritation associated with other peels. The peels are available at different strengths allowing us to carefully control the depth of the treatment. This peel immediately stimulates peeling and you can leave the treatment 'peeled' and looking bronzed.
Dermaceutic peels contain AHA and BHA, particularly glycolic acid, which is the smallest molecule in fruit acid. For medium peels, the most commonly used agent is TCA. Dermaceutic peels come in three types that are used for various conditions. These very effective peels are packaged with pre and post care products.
Dermaceutic gentle peels are perfect for the busy person who wants effective results with no down-time. With a Dermaceutic gentle peel, you will improve the texture and luminescence of your skin as well as reduce fine lines and pigmentation, increase hydration and decrease open pores. All this with a simple procedure with no down-time!
Dermaceutic de-pigmentation peels are perfect for the busy person who wants quick results with little or no down-time. With a Dermaceutic de-pigmentation peel, melasma and deeper skin marks will be reduced.
A Dermaceutic rejuvenation peel is a simple procedure with very low down-time. A rejuvenation peel is recommended for advanced signs of sun damage and ageing of the skin such as loss of elasticity, scars, wrinkles or a smokers complexion. With a Dermaceutic rejuvenation peel, you will improve the texture and luminescence of your skin as well as stimulate cell renewal, reduce lines and wrinkles and delay skin ageing.
Can anyone have a chemical peel?
Peels are not used if you are taking Accutane (or have taken it in the past year). It is also recommended to abstain from peels for women who are pregnant or nursing, and those with certain systemic allergies. During your consultation you will be asked to complete a health questionnaire. There may be other situations where chemical peels should not be used.
You must be sure to protect yourself from the sun for at least a month after treatment.
How effective are chemical peels?
An improvement can be expected in the texture of the skin through a reduction in fine lines and a decrease in the appearance of pore size. The unwanted brown pigmentation fades. The skin will appear smoother and more evenly coloured, creating a youthful glow. Acne blemishes will diminish and acne scarring may be less apparent.
Frequently Asked Questions
What can be treated with Chemical Peels?
- Fine lines
- Weathered skin
- Acne
- Acne scarring
- Brown spots and enlarged pores
- Freckles
- Sun spots
- Age spots
- Melasma.
How long does each treatment take?
Each treatment takes approximately 20 minutes. There may be temporary redness or discolouration which can easily be covered by make up. You will be able to immediately return to your everyday activities.
How will I look after treatment?
If you had a Vitalize® Peel, over the next few days mild flaking of the skin may develop, which can be concealed by the application of moisturizer. The amount of peeling depends on your skin type and may vary from treatment to treatment. A Vitalize® Peel will deliver a deeper longer lasting effect.
If you had a Medique® peel, all of the "peeling" has taken place and you may appear slightly bronzed after treatment.
If you had a Dermaceutic rejuvenation peel there may be some down time dependent on the type of peel that you select.
Is it painful?
During the treatment you may experience a mild tingling and warmth for 1 to 3 minutes and this is minimized through the use of cooling.
How many Chemical Peels will I need?
The number of peels required depends on the condition of your skin and the nature of the problems being treated. For maximum benefit we may recommend a series of 6 peels at intervals of approximately 3 weeks. However, some people notice a dramatic improvement after only 1 treatment.
The best results are achieved by combining peels with Laser Genesis®, IPL, TITAN® and our customized skin care program.
Before & After photos for Chemical Peels
Before Chemical Peel
After Chemical Peel
Before Chemical Peel
After Chemical Peel
Before Chemical Peel
After Chemical Peel
Chemical Peel treatments
Send us a messageWant to know more, or ask about a consultation?
Please call 250 380 2600, or send us a message.
Treatment: Cosmeceuticals
What are Cosmeceuticals
Cosmeceuticals is a term that describes the product as being a ‘marriage of a cosmetic and a pharmaceutical’. The cosmeceuticals products can confer the benefit of the medicinal ingredient as opposed to a cosmetic, which is by definition designed only to enhance or in some cases disguise, features of the face and skin. The Rosenthal Clinic sells a range of cosmeceuticals to augment the treatment that we offer
In answer to your skin program or any concerns that you may have, our staff can advise you on the contents of a particular product and how the product can be of benefit to you.
The products that we sell are generally available only from physicians or Medical Aesthetic Clinics such as ours and are not available in retail stores. We suggest that you call and speak to one of our Cosmeticians about your needs or concerns and we encourage you to book a free consultation to find out more.
Our product lines include Obagi™, Vivier™, Skin Medica™, Elta™, Celazome®, and ProDerm™.
The products that we have carefully chosen are ones that have sufficient levels of active ingredients, are stable and have the ability to penetrate the skin barrier.
We have products for all skin types - oily, dry and sensitive. We can offer you cosmeceutical treatments to assist with the management of aging skin, wrinkles, enlarged pores, acne and rosacea. A treatment could include moisturizers and hydrators, cleansers and toner, anti-aging and rejuvenation products and sun protection.
We also offer lines of mineral make-up by ColoreScience and Glo Minerals.
Our staff includes trained cosmeticians who have an abundance of knowledge and experience in helping you choose the right product for your skin care needs.
Send us a messageWant to know more, or ask about a consultation?
Please call 250 380 2600, or send us a message.
Treatment: HydraFacial
What is HydraFacial
This new technology offers deep cleansing, exfoliating, extracting and antioxidant dermal-infusion all in one easy step. For softer smoother skin that will again have that youthful glow, this low cost treatment is also available with diamond Microdermabrasion to further enhance your appearance. It efficiently treats oily acne prone skin with clogged pores. HydraFacial™ also repairs and fights aging skin with infusion of TNS Serums.
HydraFacial is the way to rapidly improve your facial appearance through the treatments that are available exclusively in Victoria at The Rosenthal Clinic. HydraFacial is a low cost yet effective treatment
Frequently asked questions
Where can I see the HydraFacial process in action?
HydraFacial features on the ABC 7 LA News channel
view the clip on youtube
How does HydraFacial work?
All microderm abrasion systems work like using sandpaper on your face. HydraFacial is the only system that gently defoliates your skin while at the same time infusing into the skin serums that will improve the texture and tone of your skin.
What are the results with HydraFacial?
You will immediately see that the appearance of fine lines and pores will be minimized. Unwanted facial pigmentation will be reduced and there will be a restoration of that youthful glow to your skin. There can be benefits for aging skin with the infusion of anti-oxidants and collagen stimulating TNS serum during the HydraFacial treatment.
Before & After photos for Hydrafacial
Before Hydrafacial treatment
After Hydrafacial treatment
Before Hydrafacial treatment
After Hydrafacial treatment
Send us a messageWant to know more, or ask about a consultation?
Please call 250 380 2600, or send us a message.
Treatment: 3D
What is the 3D Total Approach
As we grow older, minor imperfections can turn into multi-layered problems. We use the latest XEO® laser system taking a 3 dimensional approach to skin rejuvenation – resulting in noticeably improved skin tone, texture, and tightness.
We can treat the skin at 3 different depths using 3 different techniques – IPL, Laser Genesis and Titan®.
Each type of treatment is available on an individual basis; however, their combined use will yield great results with no down time and minimum discomfort.
Intelligent Pulsed Light (IPL)
Acting at the uppermost level of the dermis, IPL treats redness and rosacea, removes age spots, freckles and dilated facial blood vessels and improves skin tone. After a series of treatments the skin glows.
Laser Genesis®
Laser Genesis® is a very comfortable treatment that targets the middle layer of the dermis. This is a laser treatment that stimulates collagen formation, resulting in an improvement in skin texture and a reduction in fine lines and wrinkles. It also treats redness and acne scars and can reduce pore size.
TITAN®
Penetrating still deeper into the dermis, TITAN® uses infrared energy to cause contraction of existing collagen, resulting in an immediate tightening of the loose skin. Over the next 6 months TITAN® stimulates an increased level of collagen formation and the treatment continues to produce a sustained firming effect.
Send us a messageWant to know more, or ask about a consultation?
Please call 250 380 2600, or send us a message.
Treatment: Laser Genesis
What is it Laser Genesis®
Laser Genesis® skin therapy is an innovative, technologically advanced method to promote vibrant and healthy-looking skin in men and women.
Now you can have a youthful appearance by treating those conditions that are typically associated with premature signs of aging and sun damage such as: excessive redness, large pores, uneven texture, fine-lines and wrinkles.
The Laser Genesis procedure has been scientifically proven to produce new collagen, improving uneven skin texture and the appearance of scars, including those resulting from acne.
3D – the total approach to impressive change
As we grow older, minor imperfections can turn into multi-layered problems. We use the latest XEO® laser system taking a 3 dimensional approach to skin rejuvenation – resulting in noticeably improved skin tone, texture, and tightness. We can treat the skin at 3 different depths using 3 different techniques – IPL, Laser Genesis and Titan.
Each type of treatment is available on an individual basis; however, when used together the treatments can achieve outstanding results including firmer, glowing skin. This is an exciting new approach to non-ablative skin rejuvenation.
Frequently Asked Questions
What can you expect?
The Laser Genesis procedure utilizes non-invasive laser technology which safely, discretely and effectively treats fine lines and wrinkles, diffuse redness, large pores, uneven skin texture and scars. With our Cutera XEO laser you can expect to see subtle yet consistent results after each treatment, without side effects. Treatments can be performed in a relaxed, comfortable manner without the use of topical anesthetics or gel.
How does Laser Genesis work?
By gently heating the upper dermis well below your skin's surface, Laser Genesis stimulates collagen regrowth. Additional heat is generated in dilated capillaries to reduce redness.
How many treatments will I need?
The treatment results are often subtle. On average, you may require four to six treatments in order to achieve optimal results. Every patient's condition and needs vary. The results and number of treatments you can expect will be assessed at your consultation.
Is Laser Genesis painful?
No. Most people experience a pleasant warming sensation, so relaxing that some have been known to fall asleep during the treatment.
What kind of textural improvements can you expect?
Over the course of four to five treatments, Laser Genesis can help restore the skin's youthful glow and appearance by smoothing out uneven texture caused by aging, sun damage or scars. You will see a more even, healthy complexion as large pores are reduced in size, and minor imperfections are diminished. The individual treatment results are subtle, but the overall effect of multiple treatments can be quite dramatic.
Before & After photos for Laser Genesis
Before Laser genesis procedure to treat age related changes
Final results, 3 weeks after Laser genesis procedure to treat age related changes
Before Laser Genesist reatment
Photo courtesy of Steven Ross, DO
Weatherford, TX
After Laser Genesis treatment
Photo courtesy of Steven Ross, DO
Weatherford, TX
Before Laser Genesis treatment
After Laser Genesis treatment
Before Laser Genesis treatment
Photo courtesy of Bruce Russell, MD
Beaverton, OR
After Laser Genesis treatment
Photo courtesy of Bruce Russell, MD
Beaverton, OR
Send us a messageWant to know more, or ask about a consultation?
Please call 250 380 2600, or send us a message.
Treatment: Mosaic®
What is Mosaic Fractional Laser
The Mosaic Fractional Laser is a state of the art laser system using Controlled Chaos Technology which in effect causes multiple microscopic lasers being applied to the skin in random sequence, in a fashion not unlike spray painting.
This fractional laser can give astonishing results. You can now easily and with minimal downtime regain that youthful look. The treatment stimulates new collagen production and restores that youthful glow to your skin.
Now you can have a youthful appearance by treating those conditions that are typically associated with premature signs of aging and sun damage such as: excessive redness, large pores, uneven texture, fine-lines and wrinkles.
What are the uses for Mosaic
The Mosaic can show an astonishing improvement in fine lines and wrinkles around areas such as the eyes and mouth. The treatment can correct uneven skin colour, minimize the effects of sun-damage, reduce pore size and can substantially improve overall skin texture. This laser will also improve – by diminishing the appearance of scarring from either acne or surgical procedures.
Frequently Asked Questions
How long does a treatment take?
It takes about an hour after the topical anaesthetic is put on.
Are Mosaic treatments painful?
Prior to the treatment you will receive treatment to ensure that you are not uncomfortable during the laser procedure. Typically all that is needed is topical numbing crème and ibuprofen. We take extra care to ensure that you will be comfortable during the treatment and afterwards. We will provide you with post-treatment care instructions and will also schedule a follow up visit to chart your progress.
How many treatments will I need?
After your first treatment you may see a very positive change, but for best longer lasting results you will require about 3 treatments. In the case of deep acne scarring you may require 5 treatments.
What areas of the body can be treated?
You can have treatment on the face, neck, décolleté, hands, arms, abdomen and scars – on most places.
How will I look after Mosaic treatments?
Your facial appearance will be red and swollen – somewhat like sunburn. This can be covered with make-up. You can return to you regular routine or work the next day. Within 48 hours your skin will undergo ‘bronzing’ and there will be shedding of flakes. When this is completed your skin will be smooth and glowing. The changes are completely natural and while you may receive remarks about how good your skin looks, there will be no evidence that a laser procedure has been done other than an improvement in your appearance. The collagen production that is stimulated by the treatment continues for 6 -12 months, so you will continue to see additional subtle changes.
Before & After photos for Mosaic Fractional Laser
Before Mosaic to treat surgical scars
After Mosaic to treat surgical scars
Before Mosaic treatment
After 4 Mosaic treatments
Before Mosaic treatment
After Mosaic treatment for skin tightening
Before Mosaic treatment
After Mosaic to improve skin texture
Send us a messageWant to know more, or ask about a consultation?
Please call 250 380 2600, or send us a message.
Treatment: Soft Lift
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What is TITAN®
TITAN is a safe, non-surgical procedure which uses infrared light to tighten skin and help to reverse the signs of aging. The treatment heats the dermis, causing contraction of collagen fibres while ongoing cooling protects the epidermis. This procedure results in the production of increased amounts of new collagen leaving you with firmer, younger-looking skin. You will see immediate results from what has been called the ‘lunchtime face lift’. However, several months later you will benefit from increases in the level of collagen and elastin fibres, giving the skin more strength, a firmer feel and more elasticity or tightness.
What can TITAN do and how does it work?
The TITAN procedure uses a blended infrared light source to reverse the signs of aging by a significant heating of the dermis. This essentially tricks the body into repairing the skin by creating new collagen. The skin contracts from the applied heat, producing an immediate tightening effect. Following the treatment, collagen and elastin production is stimulated and will continue at an increased level over approximately the next 6 months, which further improves the appearance of the skin.
The infrared light source delivers uniform, even heating to the dermal layer of the skin to a depth of 2.5 mm. After pre-cooling the treatment area, continuous cooling is used to protect the skin during treatment. The heat profile provides immediate collagen contraction which leads to long-term collagen rebuilding. As heat spreads from the treatment area, post-cooling protects the epidermis.
Frequently Asked Questions
What areas can be treated?
The TITAN procedure treats lax and redundant skin throughout the body. The most frequent areas treated are the abdomen, thighs, and arms as well as facial areas where it can be used to lift and tighten skin on the face and neck.
Are there risks?
The TITAN procedure utilizes a blend of invisible frequencies of light that is designed to heat the dermal layer of the skin while protecting the epidermis. After treatment it is common to see either no surface irritation or some mild redness or irritation that resolves very quickly. The procedure is virtually painless, cost-effective and non-surgical; a treatment that safely and effectively delivers a more youthful appearance
Is it painful?
The laser pulse if often described as “a wave of heat that gradually increases during the 5 – 7 second pulse of the TITAN”. The TITAN laser is equipped with a skin cooling system which allows for continuous cooling of the epidermis to avoid discomfort during treatment. Our patients also choose TITAN since it does not require the use of pain relieving medications – this is unlike Thermage® treatments which can be extremely painful.
When will I see results?
Some people see results immediately. Often you will begin to see tightening in the treated area about 3 weeks following treatment and improvements can continue up to 6 months after treatment.
What areas are most often treated?
TITAN treatments are used on the upper face to tighten the forehead and bring about a subtle but effective lifting of the eyebrows. On the lower face and neck loose skin can be firmed, resulting in a tighter jaw line, reduction of folds and sagging skin on the neck. Loose abdominal skin resulting from child bearing can be firmed up by TITAN, as can sagging skin on the upper arms. Hands readily show the effects of aging. TITAN can firm up the loose skin and when combined with Laser Genesis® (to improve skin texture) and IPL (to remove undesirable brown spots) the results can be quite dramatic.
Who can be treated?
The best candidates are in their 40s to 50s, an age when we are beginning to have some reduction in skin elasticity. TITAN is also ideal for someone in their 30s or 40s who is ready to augment their beauty regimen with a non-invasive procedure that yields subtle yet noticeable results. Without significant pain or downtime, it can erase years and achieve a more vibrant and refreshed look. The procedure is appropriate for you if you have noticed that your face and neck are not as taut as they once were or if you are a new mother and your tummy isn’t as tight and smooth as it used to be, or if you have experienced weight loss and need to tighten loose skin. TITAN procedure delivers remarkable skin tightening results without the downtime, scars or excessive costs associated with surgical procedures.
3D – the total approach to impressive change Correcting Age-Related Changes to the skin
As we grow older, minor imperfections can turn into multi-layered problems. We use the latest XEO® laser system, which takes a 3 dimensional approach to skin rejuvenation – resulting in noticeably improved skin tone, texture, and tightness. We can treat the skin at 3 different depths using 3 different techniques – IPL, Laser Genesis® and TITAN®. Each type of treatment is available on an individual basis; however, when used together the treatments can achieve outstanding results including firmer, glowing skin.
This is an exciting new approach to non-ablative skin rejuvenation.
Before & After photos for TITAN
Before TITAN procedure
Photos courtesy of Bruce Russell, MD
After TITAN procedure
Photos courtesy of Bruce Russell, MD
Before TITAN procedure
Photos courtesy of Don Groot, MD
After TITAN procedure
Photos courtesy of Don Groot, MD
Titan treatment for eyebrow lift
Send us a messageWant to know more, or ask about a consultation?
Please call 250 380 2600, or send us a message.
Treatment: Pearl®
What is Pearl®
Pearl is the “one laser to choose” to renew your skin’s surface with quick, visible results. Pearl treats fine lines on the face and neck, uneven skin texture and light & dark spots caused by sun damage.
What is Pearl® and how does it work?
The Pearl laser replaces the entire top sun-damaged layer of skin with new healthy skin. Simultaneously, it sends heat to deeper layers of the skin stimulating new collagen growth, filling out and decreasing fine lines and wrinkles. New collagen growth continues for 4 to 6 weeks post-treatment. The combination of new skin and decreased wrinkles results in a healthier, more youthful appearance.
Unlike “fractional” treatments, Pearl treats the entire face, minimizing the number of required treatments. Typically, only 1-2 treatments are necessary to renew your skin.
During a Pearl treatment, the top layer of the skin is treated with pulses of light. The Pearl laser is guided over the skin, gently removing the top layer of the epidermis and heating a layer of tissue below it. A natural protective dressing is formed on the skin’s surface. After 3-4 days, the protective dressing peels off revealing new, healthy, vibrant skin underneath.
Frequently Asked Questions
What areas can be treated?
Pearl will smooth the skin’s texture, as well as soften fine lines and wrinkles, on the face, neck, upper chest and hands.
Is it painful?
The treatment takes approximately 10-15 minutes for a full face. The treatment feels like a series of brief pinches.
What is “social” downtime with Pearl®?
Downtime is the time spent recovering from a procedure. With “social” downtime, you can continue your normal daily activities. However, you may not wish to attend important social events because after a Pearl treatment your face will appear pink/red for 3-4 days.
Who can be treated with Pearl®?
Patients of any age with sun damage, uneven skin texture and fine lines and wrinkles can benefit from Pearl treatments; however, the most common age group seeking treatment is 25-60.
What can I expect after the treatment?
After treatment, the skin will look like it is sunburned. Ointment will be applied on the skin to keep it moist. The skin will need to be kept moist for 3–4 days. Since you cannot wear sunscreen during this time, you will need to wear protective clothing and limit sun exposure for a few days following the treatment. You are free to wear make-up starting on day 3. After 3-4 days, the top layer of skin peels off revealing new, healthy, vibrant skin underneath.
How many treatments are recommended?
Many patients experience excellent results after one treatment. Others may want a second treatment for best results.
When will I see results?
You will see noticeable results on day 3 or 4, when the superficial tissue has peeled off, leaving fresh, new, healthy skin underneath.
How does Pearl compare to other “like” laser treatments?
Pearl offers the most effective treatment to address fine lines & wrinkles, sun damaged skin and uneven texture without wound care and the extended downtime required with traditional Erbium and CO2 laser procedures.
Today’s fractionated technologies treat only small portions of the face during each treatment. Typically, 3 treatments, each with 4-6 days of downtime and spaced a month apart, are required to treat the face.
Is there FDA clearance for the Pearl laser?
Yes, FDA clearance was received in March 2007 for Pearl for skin resurfacing and the treatment of wrinkles. Pearl is used primarily on the face but has also been used on the neck, upper chest and hands.
Before & After photos for Pearl®
Before Pearl® procedure
Photos courtesy of Maritza Perez, MD<
After Pearl® procedure
Photos courtesy of Maritza Perez, MD
Before Pearl® procedure
Photos courtesy of Maritza Perez, MD
After Pearl® procedure
Photos courtesy of Maritza Perez, MD
Before Pearl® procedure
Photos courtesy of Maritza Perez, MD
After Pearl® procedure
Photos courtesy of Maritza Perez, MD
Before Pearl® procedure
Photos courtesy of Leonardo Rasi, MD
After Pearl® procedure
Photos courtesy of Leonardo Rasi, MD
Before Pearl® procedure
Photos courtesy of Amy Foreman Taub, MD
After Pearl® procedure
Photos courtesy of Amy Foreman Taub, MD
Before Pearl® procedure
After Pearl® procedure
Send us a messageWant to know more, or ask about a consultation?
Please call 250 380 2600, or send us a message.
Treatment: Photorejuvenation
What is IPL Photorejuvenation (IPL stands for Intelligent Pulsed Light)
This is a non-invasive treatment that erases skin damage without disrupting the skin surface. There is no downtime associated with this treatment. Compared with the earlier generation of IPL devices, the light source has been optimized for effective treatment while increasing comfort, safety and results. It can safely and effectively treat a wide variety of skin conditions simultaneously: freckles, brown spots and mottled pigmentation, redness, rosacea, small broken blood vessels, sun damaged aging skin and fine lines and wrinkles
What does IPL Photorejuvenation do?
The visible light delivered by the IPL procedure is selectively absorbed by the pigmented spots and red areas on your skin. Following each treatment the brown pigment gradually rises to the surface of the skin and flakes off. Dilated blood vessels in the skin disappear. With repeated treatments, collagen formation is stimulated, bringing about improvements in skin texture and the lessening of fine lines and wrinkles. It smoothes the skin by erasing the effects of sun damage while at the same time creating a youthful glow.
Frequently Asked Questions
What can I expect?
IPL is an innovative way to quickly, safely and comfortably improve your skin's texture, tone and colour. It can be used to treat your face, chest, arms and hands, without gel or topical anesthetics. Signs of sun damage and age spots will usually flake off after one or two treatments, leaving clearer, younger-looking skin.
How many treatments will I need?
The treatment results are often subtle. On average, you may require four to six treatments in order to achieve optimal results. Every patient's condition and needs vary. The results and number of treatments you can expect will be assessed at your consultation.
What does IPL Photorejuvenation feel like?
When the handpiece is placed on your skin, it will feel cool and comfortable. When the pulse of light is delivered, you may feel a mild, brief pinching sensation.
When will I see results with IPL Photorejuvenation?
Many patients see significant improvement within two to three weeks of treatment. Your complexion will be clearer and younger-looking. However, your final result may not be apparent for a month or more.
How many IPL Photorejuvenation treatments will I need?
Typically, one or two treatments are sufficient to see dramatic improvement in skin colour. Additional treatments may be required for very large or dark spots, densely freckled areas, or excessively sun-damaged skin. We recommend 5 treatments for the reduction of fine lines and wrinkles and a marked improvement in skin texture.
How long will the results last?
Over time due to sun exposure new spots may appear. These can be removed with further treatments. We recommend the liberal application of full spectrum sunscreen of SPF 30 or greater and reducing sun exposure.
In treating sun damage, why use Levulan® in conjunction with IPL Photorejuvenation?
While IPL by itself is effective in reducing overall sun damage, by combining the IPL treatment with Levulan® there is an increased level of improvement. You will see an even greater cosmetic benefit with each treatment – reduced pore size, more even coloured tone, smoother texture and restoration of a youthful, rejuvenated look.
How does IPL Photorejuvenation work as part of 3D – the total approach?
As we grow older, minor imperfections can turn into multi-layered problems. We use the latest XEO® laser system, which takes a 3 dimensional approach to skin rejuvenation – resulting in noticeably improved skin tone, texture, and tightness. We can treat the skin at 3 different depths using 3 different techniques – IPL, Laser Genesis® and TITAN®. Each type of treatment is available on an individual basis; however, when used together the treatments can achieve outstanding results including firmer, glowing skin.
This is an exciting new approach to non-ablative skin rejuvenation.
Before & After photos for IPL Photorejuvenation
Before treatment for Rosacea
Photo courtesy of David Goldberg, MD
After treatment for Rosacea
Photo courtesy of David Goldberg, MD
Before Photorejuvenation treatment
Photo courtesy of Maurice Adatto, MD
5 weeks after 1 treatment
Photo courtesy of Maurice Adatto, MD
Before Photorejuvenation treatment
Photo courtesy of Maurice Adatto, MD
2 weeks after 1 treatment
Photo courtesy of Maurice Adatto, MD
Brown Spots
Before Photorejuvenation treatment
Brown Spots
After Photorejuvenation treatment
Send us a messageWant to know more, or ask about a consultation?
Please call 250 380 2600, or send us a message.
Treatment: Lip Enhancement
What is lip rejuvenation and enhancement?
Lips reduce in size and definition with age due to the loss of volume. As well, changes in the face that cause the downturned corners of the mouth also can be associated with the appearance of the lips. Lines above the lip begin to appear.
Most of the changes can be corrected and if you wish the lips can be enhanced in size and shape- we call this lip enhancement. Lip enhancement or reshaping the lips to their original fullness and the elimination of the downward turned corners of the mouth requires careful attention to this very important aspect of your visage. Dr. Rosenthal has done numerous lip enhancements and rejuvenation and her artistry, care and expertise will be both appreciated during the procedure and when you view the final results. Many clients comment on the subtle and natural good looking result.?
Frequently Asked Questions
How is lip rejuvenation and enhancement done?
Fillers are used to re-inflate the lips and fillers are also used to correct the downturned corners of the mouth.
Is lip rejuvenation and enhancement painful?
The combination of topical anaesthetic – a cream that numbs the skin is applied prior to the procedure, and the mixing of a local anaesthetic with the filler ensures that the procedure is performed without pain.
How long does it take?
The entire procedure takes between 30 and 60 minutes.
What is the social downtime with lip rejuvenation and enhancement?
Lips will always swell when fillers are injected. This swelling is temporary and usually recedes within 24 hours. Dr. Rosenthal will use techniques that will ensure that swelling is kept to a minimum. However, the swelling may be noticeable.
Before & After photos for lip rejuvenation
Before lip enhancement
After lip enhancement
Before lip enhancement
After lip enhancement
Before lip enhancement
After lip enhancement
Before lip enhancement
After lip enhancement
Before Lip Enhancement and Non-Surgical Face Lift
After Lip Enhancement and Non-Surgical Face Lift
Before Lip Enhancement and Non-Surgical Lift
After Lip Enhancement and Non-Surgical Lift
Send us a messageWant to know more, or ask about a consultation?
Please call 250 380 2600, or send us a message.
- Conditions
- Acne
- Acne scarring
- Actinic keratosis
- Age related facial changes
- Brown spots, melasma, freckles, sunspots
- Crows' feet and frown lines
- Dry or rough skin
- Excess fat
- Excessive sweating
- Headaches and back pain
- Lax skin
- Loss of lip volume
- Not enough / too short eye lashes
- Redness and rosacea
- Sun damage
- Unsightly veins
- Unwanted hair
- Wrinkles and lines
- Wrinkled or spotted hands
The Rosenthal Clinic 203, 4450 Chatterton Way, Victoria, BC, V8X 5J2 | Tel: 250-380-2600 |Fax: 250-380-1631 | Email:
Material available on this website is for the purposes of information and is not for the purpose of providing medical advice.
copyright© 2012 The Rosenthal Medical Aesthetics Clinic Inc. Victoria BC, Canada