Victoria's premier medical aesthetic clinic - Vancouver Island BC
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- 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: Lax skin
What is lax skin?
As we age elastin in the skin is reduced and along with a reduction in the amount of collagen and moisture-holding proteins in the skin a loosening and stretching of the skin occurs. While this is a natural process the results are sagging loose skin along with folds and wrinkles.
The effects of photo aging or sun damage speed up this natural process of chronological aging of the skin. Sun damage can be minimized by the daily use of a good sunscreen and carefully chosen skin products containing retinoids and vitamin C. The effects of constant exposure to the sun are cumulative but not apparent at first.
What treatments are available for lax skin?
The Rosenthal Clinic offers numerous ways to effectively treat lax skin. 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: 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: 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: Soft Lift™
What is Soft Lift™
It is a revolutionary approach to obtaining fast amazing results in restoring that youthful look.
No longer do you even have to contemplate surgical procedures to regain a youthful and fresh appearance. At The Rosenthal Clinic, Dr. Gillian Rosenthal has carried out many Soft Lift procedures on people who want an immediate non-invasive way to shed years from their appearance.
As we age subtle changes to our face continuously take place. These natural changes of loss of volume which we term deflation, and the downward shift of fat and tissue result in folds, lines, wrinkles, sagging skin and thinning of the lips.
Soft Lift; is done using BOTOX® to reduce or eliminate lines. Juvederm® filler is used to replace the loss of volume by re-sculpting while actually “lifting” the face. The effect gained from re-inflating the cheek areas alone can be astonishing as you see it immediately happen and the lines and folds literally disappear. The change can be made gradually if you require a not so dramatic change. During the treatment it is essential that you interact with Dr. Rosenthal to ensure that you gain the look that you alone can define.
Frequently Asked Questions
Is Soft Lift painful?
Care will be taken to ensure that you will be comfortable and that pain is almost non-existent when performing Soft Lift. BOTOX® injections are usually done without any numbing gel and are described as “only a short pinching of the skin”. Fillers that are combined with local anaesthetic are used after the application of numbing gel and the majority of our clients find the procedure to be pain-free.
What is the social downtime with Soft Lift?
For most clients they simply return to their normal activities. We advise against vigorous activity within 3 weeks of BOTOX® injection and we recommend that for 3 nights that you do not sleep on your sides to avoid displacing the product. You may receive other instructions as to post-treatment care.
Soft Lift procedures can sometimes produce minor amounts of bruising. If this happens we can apply either your makeup or our own line of mineral makeup. The bruising usually goes away within a week. Swelling can also occur and while typical the swelling is usually modest and quickly recedes.
How long will Soft Lift treatments last?
Soft Lift will last a considerable time but it is not permanent. The fillers used can last for up to a year – dependent on the treatment location. At that time a “top up” can be done. This usually required only a fraction of the amount of the product previously injected.
It has been noted that usually the implant is very stable after the second injection and may not need further treatment for a long period of time. The BOTOX® may have a shorter duration but the treatment can easily be repeated.
Before & After photos for Soft Lift
Before Soft Lift treatment
After Soft Lift treatment
Before Soft Lift treatment
After Soft Lift treatment
Before Soft Lift treatment
After Soft Lift treatment
Before Soft Lift treatment
After Soft Lift treatment
Before eCO2 and Soft Lift treatment
after eCO2 and Soft Lift treatment
Before Soft Lift treatment
After Soft Lift treatment
Before Soft Lift treatment
After Soft Lift treatment
Before Correction of Downturned mouth
Using Juvederm™ Filler
After Correction of Downturned mouth
Using Juvederm™ Filler
Send us a messageWant to know more, or ask about a consultation?
Please call 250 380 2600, or send us a message.
Treatment: Titan®
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: 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: Ulthera®
What is Ultherapy?
Ultherapy - a treatment using Ulthera® is a non invasive and effective therapy that utilizes intense focused ultrasound. It is the same ultrasound technology that has been safely used for over 50 years for medical imaging. Skin laxity which is a normal result of aging and gravity is a very common complaint. Until recently the usual remedy was surgical but due to the recent innovations in technology non invasive solutions can now also be quite effective. There isn't a replacement for the dramatic effects of surgery, but Ultherapy offers a natural, 'no downtime' approach to noticeably improving lax skin. Without harming the outer layer of the skin Ultherapy penetrates deeply below the surface firming, lifting and tightening the skin.
How does it work?
Intense focused ultrasound penetrates deeply within the facial tissues producing energy and heat at a precise depth. Ultherapy enables the sound waves to be directed not only into the skin but deep under the skin to the same tissues that are addressed during a surgical face lift. Gentle heat to the tissue lifts and tightens loose skin without cutting or disrupting the surface of the skin. Besides the visible effects of lifting and tightening, there is also an invisible result from Ultherapy with the creation of new collagen, which helps the skin maintain its youthfulness.
Can Ultherapy be used on all areas?
BUltherapy can be used anywhere on the face and neck. A full facial treatment is most effective; however treatments to specific areas such as to lift the brow can produce great results. One of the first effects of gravity is that the brows descend, and the eyes start to appear smaller. Ultherapy will lift the brow, which in turn reduces the excess skin on the lids, opens up the eyes and gives a more refreshed appearance.
Frequently Asked Questions
Am I suitable for Ultherapy?
All skin types can be treated. Good candidates for Ultherapy are healthy but with the skin starting to sag or feel less firm. Ultherapy does not require any preparation for treatment.
How long does the treatment take?
The treatment can take from 30 minutes to an hour and there is no down time. You can immediately return to your day to day routine.
How long will it be until I see results?
Immediately after treatment most will see a noticeable improvement however the full effect will not be seen until at least 30 to 60 days after treatment as the collagen and tissues respond to the treatment. The effect can be long lasting. Many clients will have firmer and tighter skin with the added benefits of increased tone and a more youthful appearance.
How will I look after the treatment?
Immediately after the treatment you may see some redness that typically resolves in a few hours.
Do I need more than one treatment?
Most clients will experience visible results after only one treatment.
How long will the results last?
Since your skin will continue to age, over time you may wish to have further treatments to maintain the improvements gained from the first treatment. We recommend that after one year we reassess and compare to the results achieved.
Is Ultherapy safe?
Ultrasound energy has been medically used for more than 50 years. Common side effects can include redness and mild tenderness which usually only last a few hours. Less common side effects are mild bruising and swelling.
Before & After photos for Ultherapy
Pre-treatment
Post Treatment: 90 Days
Pre-treatment
Post Treatment: 120 Days
Pre-treatment
Post Treatment: 120 Days
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