Filler Dissolving and Complications management with Ultrasound

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Although not all injectors use ultrasound guidance, our expert Physician Dr. Fahad Alam finds it to be an invaluable tool for several reasons.
By incorporating ultrasound into his practice for filler injections, filler dissolving and complications he prioritizes:
Less Risk
Although we can never guarantee zero risk, ultrasound helps to reduce the chance of unintended vascular injections, prioritizing patient safety.
More Precision
Achieving precise depth for optimal and natural-looking results.
Peace of Mind
Real-time visualization ensures accuracy and minimizes potential risks.
Customized Treatment
Tailoring treatments to individual anatomy, enhancing overall outcomes
Reduced Discomfort
Implementing controlled injections for a more comfortable patient experience
Complication Management
In the rare case that an adverse or unintended event does occur, ultrasound visualization can assist with rapid diagnosis and treatment of the problem.
Embracing ultrasound guidance isn't about criticizing other approaches—it's about adopting the best practices available to deliver exceptional care and results for every patient.

About Dr. Fahad Alam

Dr. Fahad Alam is an Assistant Professor, Anesthesiologist and medical education researcher at Sunnybrook Health Sciences Centre and the University of Toronto. He is also a Hyperbaric Medicine Physician at Restore Hyperbaric Oxygen & Medical Centre. 

As an ultrasound guided cosmetic injector, a significant portion of Dr. Fahad Alam’s practice involves managing complications. Leveraging expertise as a hyperbaric physician adds a unique dimension to his approach. Beyond enhancing aesthetic features, he is dedicated to ensuring a safe and comprehensive experience for his clients. 

What does an appointment entail?

Consultation with Dr. Fahad:  If you’ve experienced unsatisfactory results, filler migration, or complications from dermal or lip fillers, or Sculptra granulomas, and you would like to discuss your treatment options with Dr. Alam, this appointment is for you. Please note this appointment does not involve scanning the area using ultrasound technology. 
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Complication Management and Filler Dissolving Treatment: This appointment is for individuals experiencing complications from filler treatments or are looking to get their existing fillers dissolved. During this session, Dr. Alam will utilize real-time ultrasound technology to scan the area(s) of concern and develop a treatment plan. If time permits, Dr. Alam may also administer hyaluronidase treatment to the area to dissolve the filler. Pricing is determined based on the number of areas being scanned and treated.
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Embracing ultrasound guidance isn't about criticizing other approaches—it's about adopting the best practices available to deliver exceptional care and results for every patient.
At Integra Skinlab, Dr. Alam employs Ultrasound technology to address the following additional areas of concern:

Sculptra Granulomas

A rare inflammatory reaction to Sculptra injections, resulting in small nodules around the injection site.

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XCellaris Pro (Microneedling for hair)

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About

XCellaris Pro (Microneedling for hair)

XCellaris Pro is a cutting-edge hair growth restoration system that creates the right conditions to decelerate hair loss and strengthen the hair structure. Developed by Dermaroller®, the treatment combines professional in-clinic procedures with take-home products that translate into a healthier scalp and thicker hair follicles.

XCellaris Pro is similar to microneedling and is unlike any other topical hair loss solution. This procedure creates thousands of micro-wounds in the scalp, allowing nutrients to penetrate deep into the skin which facilitates absorption of active ingredients that stimulate hair growth.

This procedure is designed to work effectively against otherwise difficult-to-treat conditions such as Alopecia Areata (patchy hair loss) and androgenic alopecia (male pattern baldness).

Frequently Asked Questions

Post-treatment care

You likely know of vascular lesions as “spider veins” (clinically called Telangiectasia), which are often located near the surface of the skin and appear as fine or matted pink or red lines. In general, vascular lesions are pigmented lesions that appear on the skin resulting from a variety of reasons, such as aging, sun exposure, overuse of steroid creams, rosacea and port-wine stains.

What areas can be treated with XCellaris Pro?

XCellaris Pro treatment is specifically for hair growth on the head.

What results can I expect?

Significant hair growth results can be seen in 6-8 weeks with this treatment

How much time does it take to perform the procedure?

Treatment time is approximately 1 hour.

How many sessions are required for optimal results?

For optimal results x8 sessions, 4 weeks apart is recommended.

XCellaris Pro (Microneedling for hair)

XCellaris Pro is a cutting-edge hair growth restoration system that creates the right conditions to decelerate hair loss and strengthen the hair structure. Developed by Dermaroller®, the treatment combines professional in-clinic procedures with take-home products that translate into a healthier scalp and thicker hair follicles.

XCellaris Pro is similar to microneedling and is unlike any other topical hair loss solution. This procedure creates thousands of micro-wounds in the scalp, allowing nutrients to penetrate deep into the skin which facilitates absorption of active ingredients that stimulate hair growth.

This procedure is designed to work effectively against otherwise difficult-to-treat conditions such as Alopecia Areata (patchy hair loss) and androgenic alopecia (male pattern baldness).

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Dermal Fillers using Ultrasound Guidance

Our expertise lies in ultrasound-guided treatments that not only help address concerns but also boosts your self-assurance.

Using ultrasound technology imaging in real-time to guide the injectables ensures a more precise and natural-looking result, while minimizing the risk of complications.

Before and After Pictures

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Lift and Bright

The key to graceful aging combines Radio frequency skin tightening with Skin rejuvenation, ideal for brightening and correcting skin tone while sculpting and contouring. This treatment encourages the skin to heal itself by replacing damaged collagen fibers with new ones under the skin revealing firmer, younger looking skin.

Benefits of Radio Frequency and Skin rejuvenation:

  • Can treat hands, neck, decollete and face to target sun spots and wrinkles
  • Improves appearance of lines and wrinkles & reduces signs of aging
  • Improves health of skin affected by sun exposure and environmental pollution 
  • Reduces appearance of pigmentation and sun damage
  • Tightens and improves skin laxity
  • Short and effective sessions 
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Porcelain Facial

Catered for overall skin rejuvenation and signs of photoaging using fractional skin resurfacing to produce fresh younger looking skin to treat face, neck, decollete and hands. The laser helps to shed off the old problematic areas on the top layer of the skin revealing improved texture, wrinkling & spots with an overall renewed radiance.

Benefits of Skin rejuvenation and Fractional Resurfacing:

  • Treats acne scarring & pigmentation
  • Smoothes fine lines and wrinkles
  • Replaces old damaged cells with new healthy ones
  • Adapts to patients needs by adjusting depth and strength 
  • Combats a variety of skin issues at once
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Glow Up Facial

Experience a detailed skin analysis, double cleanse with steam, extractions (if needed), customized mask, hot towel aromatherapy, rejuvenating massage, and revitalizing serums. This 60-minute session deep cleanses, unclogs pores, and leaves you with radiant, hydrated skin.

Benefits: Boost Circulation and Hydration .

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Glow to Go (Express 'Lunchtime' Facial)

Glow to GO Facial: This 30-minute facial includes a cleanse, dermaplaning, custom mask, hot towel aromatherapy, and finishing serums. It targets dryness, dullness, fine lines, and acne scarring, leaving you refreshed and glowing. (Please come with no makeup).

Benefits: Rejuvenate and Brighten, Ideal for Busy Schedules.

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Power Glow

This 75-minute indulgence treats dullness, fine lines, and congestion. Get a skin analysis and enjoy a double cleanse with steam, extractions (if needed), dermaplaning, customized mask, hot towel aromatherapy, lymphatic drainage massage, and nourishing serums for soft, glowing skin.

Benefits:  Treat Dullness and Fine Lines

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Men’s Facial

Tailored for men, this 60-minute facial features a deep double cleanse with steam, extractions and decongestion, dermaplaning or beard line-up, custom mask, rejuvenating massage, serums, and finishing products. It addresses dryness, dullness, congestion, and rejuvenates the skin.

Benefits: Combat Dryness and Dullness.

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PRE AND POST-CARE PROTOCOL

Pre-Treatment:

  • Avoid Accutane in the six months prior to beginning your treatment sessions.
  • Do not use topical agents that may increase the sensitivity of your skin such as retinoids, exfoliants, topical antibiotics or acids 5-7 days prior to your treatment.
  • Do not take anti-inflammatory medications such as ibuprofen, Motrin, or Advil for at least 3 days prior to your microneedling session. These will interfere with the natural inflammatory process that is critical for your skin rejuvenation.
  • Avoid IPL/Laser procedures, unprotected sun exposure, or sunburn for at least 1 week prior to your procedure.
  • Avoid excessive sun or heat exposure. 

3 DAYS BEFORE Treatment: 

  • Avoid topical products such as Tretinoin (Retin-A), Retinols, Retinoids, Glycolic Acid, Alpha Hydroxy Acid, Salicylic Acid, or other “anti-aging”, “acne”, and “bleaching” products. Also AVOID waxing, bleaching, tweezing, or the use of hair removal cream on the area to be treated. 
  • Avoid excessive sun exposure and wear a broad-spectrum sunscreen daily of SPF 30 or higher.

Post-Treatment:

  • Continue to avoid aspirin, Advil, Motrin, Ibuprofen, Naproxen, Voltaren and other anti-inflammatory medications for 3 days after your procedure.
  • Avoid excessive sun exposure, including tanning booths, and wear a broad-spectrum sunscreen daily of SPF 30 or higher. 
  • Avoid warm environments (i.e., hot tubs, jacuzzis, steam rooms, hot yoga, saunas, etc.) for 3 days post treatment. 

For best results: It is recommended to have a minimum of 3 treatments, 4 weeks apart for maximum benefit.

FREQUENTLY ASKED QUESTIONS

Post-treatment care

You likely know of vascular lesions as “spider veins” (clinically called Telangiectasia), which are often located near the surface of the skin and appear as fine or matted pink or red lines. In general, vascular lesions are pigmented lesions that appear on the skin resulting from a variety of reasons, such as aging, sun exposure, overuse of steroid creams, rosacea and port-wine stains.

What areas can be treated with XCellaris Pro?

XCellaris Pro treatment is specifically for hair growth on the head.

What results can I expect?

Significant hair growth results can be seen in 6-8 weeks with this treatment

How much time does it take to perform the procedure?

Treatment time is approximately 1 hour.

How many sessions are required for optimal results?

For optimal results x8 sessions, 4 weeks apart is recommended.

OUR PRICING
LASER HAIR REMOVAL
Summer Sale
1 Session
Package of 3
10% Discount
Package of 6
15% Discount
Package of 8
20% Discount
Neck and Beard Line
$80
$216
$240
$408
480
$512
640
Buttocks
$115
$112
$310
$587
$690
$736
$920
Neck
$75
$75
$225
$383
$450
$480
$600
Beard Line
$55
$55
$165
$238
$280
$352
$440
Full Legs
$535
$594
$660
$1,122
$954
$1,408
$1760
Half Legs
$110
$110
$330
$561
$660
$704
$563
Full Back
$200
$200
$600
$1,020
$867
$1,280
$1600
Half Back
$120
$120
$360
$612
$720
$768
$960
Abdomen
$85
$229
$255
$433
$510
$544
$680
Brazilian
$267
$297
$330
$561
$660
$704
$880
Bikini Line
$158
$175
$195
$331
$281
$416
$520
Underarms
$65
$175
$175
$331
$390
$416
$520
Small Body (Areola, Navel Line, Hands/Feet)
$50
$135
$150
$255
$300
$320
$400
Half Arms
$170
$189
$189
$357
$420
$448
$358
Full Arms
$243
$270
$270
$510
$600
$640
$512
Face - 1 Area (Cheeks/Side of Face or Upper Lip or Chin)
$50
$50
$150
$255
$300
$320
$256
Nape
$60
$60
$180
$306
$360
$384
$480
Full Chest
$135
$135
$405
$688
$585
$864
$1080
Full Face
$100
$270
$300
$510
$434
$640
$800
Face - 2 Areas (Chin/Cheeks, Both Ears)
$55
$148
$148
$280
$330
$352
$282

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