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Spotlight on Mesotherapy



Mesotherapy involves microinjections of a serum containing vitamins, minerals and proteins into the deeper layers of the skin called the mesoderm.

The serum feeds the rapidly dividing skin cells in the mesoderm. This helps promote growth of new, healthy skin and hair cells and help increase collagen and elastin production which has an anti ageing effect.

Mesotherapy is an extremely versatile treatment. Different ingredients are added to the cocktails of nutrients and proteins to treat different skin and hair problems.

Mesotherapy is greatly increasing in popularity in the UK, and although it is not a new treatment, it has been practiced for many years in Europe and South America.

What can mesotherapy treat?

Skin rejuvenation 

Face, hands and décolletage

Hair rejuvenation

Like treating other areas, tiny injections of a serum are placed into the scalp to feed the hair follicles the nutrients they need to grow and increase blood supply.

Cellulite reduction

Lytic enzymes to breakdown fat cells are added to the serum to help reduce cellulite in stubborn areas. To achieve the optimal effect, this treatment is best combined with regular exercise and a healthy, balanced diet.

Mesotherapy in a nutshell….

    Relatively pain free especially if numbing creams are applied to the skin beforehand.

    Natural ingredients = natural results

    No downtime

    Lasting results

    Perfect anti ageing recipe when combined with anti ageing injectables; botox and fillers and skin peels.

In summary, mesotherapy involves injecting a cocktail of vitamins, minerals and proteins into the areas of the skin that is most needed.




Myths About Botox



Botox freezes your face 

When injected into muscles, Botox works by temporarily relaxing facial muscles to smooth out lines and wrinkles. So yes, this can can cause cause reduced movement as a side effect, but the “frozen look” can easily be avoided by taking a more gradual approach to the injections. In other words, using smaller, to gently reduce lines and give a more natural look and still maintaining facial expressions.

Botox is painful

Talking about botox typically takes much longer than the procedure itself! It involves a small injections with a tiny needle. Patients typically describe it feeling similar to a wasp sting at worst.

Botox builds up in the body

Some patients are concerned that thee is an accumulative effect of botox, that it stays around in the body over time. This is not true. Like any other protein, it is gradually broken down the body over time. in most cases this can take three to six months, which is the time it take for the botox effects to gradually reduces which signals the time for your next treatment.

Botox wears off = face drops

This is certainly not true. Some clients are concerned that there will be a sudden change in their appearance once their botox treatment wears off. 

It is important to remember here the uses of botox:

Botox injections can be used correct existing or static lines facial lines and wrinkles.

Botox injections can also be used as an anti-ageing treatment to help prevent lines and wrinkles developing as we age.

So ultimately botox presses pause on the ageing process, so your face will not suddenly rebound back to your pre treatment wrinkles. In most cases the lines and wrinkles will be reduced which will be boosted further by your next treatment.




Changing Faces



CHANGING FACES

I believe facial rejuvenation is all about optimisation; improving a person’s existing features so they look better not different.

DOs

When I ask clients about what they want to achieve from their treatment, the following answers always reoccur;

  To look more youthful

  To look fresher

  To look natural

  To look healthier

DON’Ts

The things they don’t want are;

  Frozen face

  Duck lips

  Pointy eyebrows

  Drooping eyebrows

  Dramatic change or “give away that they have had something done”.

BALANCE

To achieve DOs and avoid the DONT’s its all about BALANCE.

It’s important to take the time to carry a thorough facial assessment.

In my opinion the first rule of facial aesthetics is to RESPECT ANATOMY.

You don’t want to work against a person’s natural facial structure. You need to recognise it and work with it. This way you will optimise the existing facial features and create subtle changes which have a big impact.

RESTING B**** FACE


As well as achieving cosmetic results, such as lip enhancement and wrinkle reduction, there are many people who feel unhappy with their resting facial expression. For example; people report they are always look sad or moody, and their “resting facial expression” does not actually reflect the way they are actually feeling and can convey the wrong impression to others.

For example;

Dark, sunken eyes and downturned mouth convey the look of sadness.

Heavy, pronounced frown lines convey stress and anger.

A combination of all of the above gives a more severe resting expression with loss of a youthful glow.

How to fix it

Combinations of anti-wrinkle injections using botox and dermal fillers can successfully softened unwanted and lines and wrinkles, and add volume to areas where skin is sagging and lacks plumpness.

As an injector, my main priorities are to reduce and soften unwanted lines and wrinkles whilst maintaining fluidity of facial expression. In other words avoiding the overly frozen look which is the main give away of a botox treatment.

The key things for me are maintaining a natural, spontaneous smile and free movement of the eyebrows. In this way, you can still move your face and express yourself normally but your resting facial expressions are softened.

Looking better typically makes us feel better. In an indirect way, using anti-wrinkle injections as an anti-ageing treatment help to bridge the gap between the way we really feel and the facial image we project.

After all, there is no beauty without expression!

 




Skincare Sins



1.    Sleeping with make up 

We have all been guilty of climbing into bed without taking our makeup off after a night out or long day at work. So what is the harm? Well it’s so important fully cleanse your skin, not only to remove your make up, but also to remove the toxins that have built up during the day. Pollution, smoke, car fumes to name a few; all create an invisible film on the surface of our skin. These chemicals lead to the generation of free radicals which damage skin cell DNA. This is the leading cause of pre-mature skin ageing because it prevents skin cells dividing and repairing themselves, and damages the collagen that gives our skin its plumpness and elasticity.

Overnight makeup becomes impacted in the skin pores which clogs and stretches them. This causes to inflammation in the skin follicles which can lead to infection and spot formation. The pores also become stretched and dilated, with time; they lose their ability to spring back, so the pores look bigger permanently.

2.    Not wearing sunscreen

Even in cooler climates, like the UK, where sunny days are a rarity, our skin still gets exposed to UV radiation every day. The effects of UV rays on our skin in the number one cause of premature skin ageing. Once in contact with the skin, the UV rays trigger a free radical cascade which leads to intracellular damage to skin cells. This stops them growing and repairing themselves, and also damages collagen. It is important to wear sunscreen everyday to put a barrier to protect the skin from harmful UV rays. A broad spectrum sunscreen is best as it protects against UVA and UVB rays.  SPF 50 is ideal. It is also really important to have a separate sunscreen rather than one combined with foundations or moisturisers.

3.    Using face wipes

Although quick and easy to use, face wipes are not ideal for cleansing your skin. Nothing beats washing your face with a cleanser to fully remove make up, dirt and pollution from the skin surface.

Wipes simply spread the grime around without effectively removing it.

They also leave a residue on the skin which can actually irritate the skin and prevent serums and moisturisers being absorbed properly.

4.    Using Too Much Product

Less is more when it comes to applying skin care products. It’s tempting to layer on more product in attempt to boost or speed up the desired effects. Not only is this wasteful but it can actually overload the skin; clogging pores and in some causes causing congestion, inflammation and triggering break outs. A “pea-sized” amount of product is usually sufficient.

5.    Not moisturising oily skin

Just because your skin is oily doesn’t mean it does need moisture. All skin types need to be moisturised, it is just the type of moisturiser to use is different. Not moisturising oily skin can may it oilier, by triggering an “oil purge” which is a surge in oil production when the skin is dry and dehydrated. Invest in a moisturiser which will keep your oil levels in balance at the same time as giving your skin the moisture it needs. Remember moisturisers hydrate the skin by adding water, not oil.

6.    Not cleaning your make up brushes

You wouldn’t wear the same clothes day in day out without washing them, so why would you apply make up every day with the same make up brushes without cleaning them?

Used makeup brushes are the perfect breeding ground for bacteria. The bacteria multiply on your make brush ready to be applied to your skin the next time you use them. The bacteria can then cause redness, congestion and trigger breakouts. 

Invest in a makeup cleansing spray/solution which is quick and easy to use, so it becomes a daily part of your beauty regime.  Not only does it keep your brushes clean, keep your skin healthy, it also improves application of your makeup and makes it last longer.

7.    Over Exfoliating

This may be surprising, but over exfoliating can actually cause more harm than good. Yes, exfoliation is essential part of your skin care routine, but over doing it can cause problems that many people are unaware of. The problem lies in using multiple products that exfoliate the skin, along with different techniques that also exfoliate the skin. For example; using facial scrubs which contain beads to remove dead skin cells, followed by serums or moisturisers containing ingredients like alpha hydroxy acids, AHA which chemically exfoliate the skin surface. When this is combined with salon/clinic based treatments such as microdermabrasion and skin peels, the level of exfoliation is excessive. This removes too much of the skin’s protective barrier can lead to skin inflammation, irritation, increased sensitivity and increased photo-sensitivity. All modes of exfoliation have their place; however, it is important to mindful about the frequency and space between treatments to avoid unnecessary skin irritation.

8.    Using the wrong products for your skin type

When it comes to choosing your skin care products the first step is understanding your skin type. Typically people buy products based on recommendations from others, although this may not be bad advice, it is important to remember, what is perfect for your mum or your best friend may not be best suited to your skin. 

Identifying whether your skin is dry, oily or combination is the basic understanding you need. It is also important to consider what your skin is sensitive to, what causes breakouts and what types of products have led to skin improvements in the past. Take the time to book in for a skin analysis/consultation to fully understand your skin type and tailor your skin care regime based on this.

9.    Not getting enough sleep

Sleep is the time when your body repairs and regenerates itself. Skin cells are some of the most actively dividing cells in the body and the majority of their activity takes place while you’re asleep.

Lack of quality sleep on a regular basis increases your levels of the stress hormone cortisol. Cortisol causes inflammation throughout the body. It can trigger flare ups in pre-existing, inflammatory skin conditions like acne and psoriasis. 

Cortisol also increases the breakdown down of collagen. Collagen fibres are an essential part the matrix found in the dermis of the skin which it gives it volume and elasticity. Collagen breakdown occurs naturally as part of the ageing process and leads to the formation of lines and wrinkles. Therefore increased levels of cortisol can lead to pre- mature ageing.

10.    Poor diet

Not getting your five a day deprives your skin of essential vitamin and minerals. Eating a diet high in fruits and vegetables provides an excellent source of anti-oxidants, like vitamin C and Vitamin E which are needed for skin health and as well as anti-ageing benefits.

Diets high in sugar also can cause pre-mature ageing by increasing collagen breakdown.

Diets high in refined sugar and dairy products have also been shown to cause flare ups in skin conditions like acne.




Love Your Lips



Lips are recognised as the facial feature that signify true beauty.

Our lips and our smile are often the first thing we notice about people.

Whether is fullness, definition or a natural enhancement the perfect pout can be achieved using dermal fillers.

What can be achieved?

Well that depends on what you want….so dermal fillers can:

      Add volume to the body of lips

      Contour and define the outline of the lips

      Enhance the cupids bow

    Reduce peri oral (smokers lines) on the upper lip




What you should know 

Like many aesthetic treatments, there are many myths surrounding lip enhancement which understandably can make us cautious.

The most common question I am asked in my clinic is related to the fear of ending up with a “trout pout”. The main thing to note is that dermal fillers have moved on a lot over recent years which make those dreaded outcomes a thing of the past.

Dermal fillers are safe and effective and very versatile products. They contain hyalronic acid which naturally occurs in the dermis of the skin. It is an essential part of the collagen framework in our skin which gives skin volume and plumpness. Unfortunately, as we age our skin loses HA which is a key event in the ageing process which we try to prevent using dermal fillers to add or replace volume where it has been lost.

In the past dermal fillers contain less natural products and could be much semi-permanent or permanent.

Dermal fillers containing HA last approximately 6-9 months. They gradually get broken down over time.

What to expect post lip filler treatment

Lips have an excellent blood supply so bruising is quite common. That said the blood vessels and the needle are both small so the bruise will be too.

The bruising can last approximately a week and will fade gradually with time.

Arnica is great to help reduce the bruising, as is icing the lip before and after treatment.

Lips are very sensitive so some degree of swelling is inevitable. Again, this will reduce over time and can last 1-2 weeks.

Dos and don’ts

You can massage the area post treatment. This is useful if there are any little bumps. Try not to touch the area excessively though.

Avoid saunas, steam rooms etc.

No make up for at least 8 hours. Mineral makeup is best.

Arnica tablets/ cream can help to reduce bruising.

If you have worries or questions just pick up the phone and ask your practitioner.

Lip augmentation is a really popular and effective treatment and the results speak for themselves    







Alcohol and your skin



It’s the time of year to enjoy the festivities of Christmas and New Year, which for many of us inevitability involves over indulging on food and alcohol.

But over doing the it on the booze can affect the way we look tomorrow and it the future……………


Alcohol speeds up the ageing process.

The driving force behind increased skin ageing is dehydration. 

Alcohol has a diuretic effect on the body. It blocks the production of the anti-diuretic hormone vasopressin, which means your kidneys work extra hard to remove water from the body. So the more you drink, the more you wee, the more dehydrated your body gets.

Your skin is the biggest organ in the body. It needs water to remain soft and supple. Dehydration leads to skin dryness. 

It also deprives the collagen matrix in the deeper layers of the skin of water, which leads to the formation of lines and wrinkles.

Alcohol causes bloating

Alcohol causes vasodilation of blood vessels. This means blood vessels can leak fluid into the surrounding tissues, in the particular the skin of the cheeks and eyelids. This can cause that puffy look the morning after.

Alcohol causes redness & flushing

Vasodilation of blood vessels also causes increased blood flow to the skin’s surface, leaving it looking red and flushed.

Regularly drinking large quantities of alcohol can lead to more long lasting problems with redness. The veins can become permanently enlarged which can lead to thread vein formation and a permanently flushed appearance.

Alcohol makes existing skin problems worst

Alcohol is proven to have a role in the skin disorder, rosacea, it causes redness, blushing and flushing.

The dehydrating effects of alcohol also exacerbates dry skin conditions such as eczema and psoriasis.

Alcohol causes red eyes

In the same way alcohol causes blood vessels in the skin to dilate, it has the same effect on the small blood vessels in the eyes.

It leaves your eyes looking red and bloodshot.

Alcohol causes cellulite

The toxins in alcohol and its dehydrating effect can also speed up the formation of cellulite.

Beat the hangover

It’s nice to enjoy a drink, especially at this time of year. The key to drinking safely and sensibly is MODERATION.

Here are some simple tips to balance having fun and responsible drinking (and beat a horrible hangover!)

1. Eat

Drinking on an empty stomach is never a good idea. Food slows the absorption of alcohol into the blood stream. It acts like a sponge to stop you getting drunk too quickly.

2. Drink water

Making sure you are well hydrated before you start drinking will help slow the dehydrating effects of the alcohol.

Drinking a glass of water between alcoholic drinks will help balance dehydrating effects whilst you are out. Not only will stop you getting drunk too quickly, it will help reduce the likelihood of a hangover and puffiness the next day.

3. Don’t mix your drinks

Mixing drinks is a recipe for a killer hangover but subjecting your body with a cocktail of different toxins to process which is a nightmare for your liver and kidneys to tackle.

4. Opt for clear drinks

Lighter coloured alcohols like, vodka and gin, have fewer chemicals that can make hangovers worst.

5. Wash your make up off.

After a boozy night the last job is wash your make up off. Taking a few extra moments to do this pays off in the morning when the hangover kicks in.

Don’t forget to moisturise too, this will help the dehydration of your skin and will help reduce puffiness.






Skin Peel Season



Skin Peels

Chemical skin peels are popular and effective skin rejuvenation treatment.

There are a wide variety of skin peels available which can be used to treat many skin problems and conditions.

How do they work?


Skin peels contain different chemical ingredients which when applied to skin, results in exfoliation. Exfoliation removes dead skin cells, blocked pores and excess oil to reveal a new surface of fresh skin cells to give a balanced, revitalised complexion.

Depending of the active chemical ingredient used different layers of the skin can be penetrated. Mild exfoliation targets very superficial layer of the skin, the epidermis, medium exfoliation penetrates to the mid dermis, whilst deep exfoliation reaches the deep dermis.

What can skin peels treat?


Skin peels are an effective cosmetic treatment for:

  •     Mild lines and wrinkles
  •     Mild acne scars
  •     Skin pigmentation
  •     Uneven skin tone
  •     Blocked pores  and stubborn blackheads
  •     Reduce excessive oil production temporarily.




Types of skin peels

Mild/ Superficial

How? Targets the most superficial layer of the skin, the epidermis.

Active ingredients -  Glycolic acid (AHA)

                                    Salicylic acid (BHA)

                                    Low strength TCA (Trichloroacetic acid)


What does it treat?


  •     Mild lines and wrinkles
  •     Mild skin hyperpigmentation
  •     Mild acne scarring
  •     Acne active – reduces blackheads, helps to unblock  pores and temporarily reduce excessive oil production.
  •     Mild sun damage

For optimal results – course of skin peels combined with microdermabrasion.

Side effects:

Very rare

Mild tingling/stinging during and after the treatment.

Hyperpigmentation can occur. To reduce this problem it essential to avoid the sun and wear sunscreen daily.

Medium skin peels


How?

When applied to the skin a medium strength peel penetrates down through the epidermis to reach the top layer of the dermis, known as the papillary dermis.

Active ingredients


Trichloroacetic acid (TCA). TCA is a stronger peeling agent. It commonly used in concentrations up to 35%, or in combination with glycolic acid to minimise the risk of side effects.

What do medium skin peels treat?

    Moderate lines and wrinkles
    Deeper scars
    Pigmentation problems

Deep skin peels

How?

Deep skin peels use phenol which is a strong chemical which penetrates down to the dermis, the deepest layer of the skin.

This peel must be performed by a medically trained person, in a clinical area with heart monitoring as phenol can very occasionally cause irregular heartbeats.

Active ingredient

Phenol

What do deep skin peels treat?


    Deep lines and wrinkles
    Sun damage
    Deep scars.





Sinful Sugar



Sugar gets a lot of bad press. We all know the basics; that sugar is associated with weight gain, tooth decay and health problems such as type two diabetes and obesity. Sugar can also have other negative effects on the body, especially in speeding up the ageing process.

Refined sugars are the culprit. They can be found in processed foods such as cakes, chocolates and biscuits. They can also be hidden in other processed foods where you may not necessarily expect to find them such as sauces, soups and ready meals.

The problem is that sugar is just empty calories which give us energy but no other nutritional value.

In fact, a diet high in refined sugar sugars can actually leave us feeling low in energy. This is because refined sugars give our bodies an unnatural surge in sugar levels which is then followed a rapid drop. This leaves us feeling fatigued and listless.




Energy is best sourced from slow release carbohydrates like wholegrains, pulses and fruit and vegetables. Energy is released in a slower, steadier fashion which keeps sugar levels and, in turn insulin levels, stable. Keeping your blood sugar levels in a steady state avoids the sugar hit and inevitable sugar cravings that can follow.

Reducing your sugar intake is associated with many health benefits including:

    weight loss
    reduced risk of type II diabetes
    improved dental hygiene and reduced tooth decay.

As well as improving our general health, reducing our sugar intake has great skin enhancing and anti ageing effects.

The process behind the harmful effects of sugar is glycation. This occurs when the sugar circulating in the blood stream attaches to proteins and causes them damage.

Collagen and elastin are two proteins which are extremely vulnerable to glycation. Collagen is an essential building block in the support framework of our skin. Elastin gives skin recoil, which allows it to return back to normal following facial expression. When collagen and elastin are damaged by glycation it becomes less flexible and resilient and it becomes rigid and heavy.

The skin begins to sag, loses it youthful plumpness and wrinkles begin to develop.

To add to the damage, aged skin, lacking collagen is more exposed to further damage from UV rays, pollution and other environmental factors.

The advantages of a sugar free diet greatly outweigh the short- term satisfaction of a sugar hit. I’m a firm believer of everything in moderation. However, in the case of refined sugars, if you can remove them and replace them with healthier alternatives, you can still satisfy a sweet tooth without the expense of your health and ageing your skin.




Feed your face



Outer beauty starts with inner health. When it comes to skin care, anti ageing and wellness, diet is the fundamental factor that underpins all of the above.

When we think about improving our health, improving our diet is often one of our first thoughts. Whether our goal is to lose weight or simply eat more healthily, changing our diet and sticking to it in the long term is a challenge.

Before attempting to make changes to our diet and eating behaviours, I think we should first take a step back and actually look at what we are eating on a day-to -day basis. Hectic lifestyles, eating on the go and missing meals means that sometimes we can deviate from our diet plans despite our best intentions.

It is also worth reflecting on the effect certain foods have on you.
For example, for many years I have suffered with acne. I never thought about how what I ate could affect my skin. This was until I cut out dairy for a short period as I had come to the conclusion that it was making me bloated. The result was as I had hoped; my bloating reduced when I was dairy free, but I also had the unexpected side effect that my skin improved dramatically at the same time. After years of eating dairy, I never recognised the link that flare-ups in my skin were often linked to times when overindulged in dairy without a second thought.

Based on my own experience, I think anyone wanting to improve their skin, health and wellbeing, should take the time to understand how foods affect them.

Everything in moderation is mantra to embrace. All too often in a quest to lose weight, we exclude essential components of our diet to meet our short-term goals. This is counterproductive for our skin, inner health and maintaining a stable, healthy weight in the long term.

Fad diets offer a quick fix at best. Adopting a healthy, balanced diet combined with regular and varied exercise is the only way to meet our goals and maintain them.

Certain food groups, now frequently referred to as superfoods, contain key nutrients which have unique properties to heal and promote physical health and optimise wellness. Many of which have a significant impact on our skin. I’ve put together a summary which shows which vitamins and minerals help improve certain skin conditions.


Antioxidants
Foods high in antioxidants protect the skin from free radical damage that causes ageing.

Foods high in anti oxidants include; berries, strawberries, blueberries, blackberries, Acai berries.



Red beans such as kidney beans and pinto beans are also rich in anti oxidants. Their skins are packed with flavonoids such as anthocyanin which have anti oxidant and anti-inflammatory properties.

Collagen stimulating
Vitamins C and E are collagen stimulating vitamins. They are found in citrus fruits.



Vitamin A is essential for skin health. It can be found in yogurt, cheese, many fruits and vegetables.

Anti inflammatory

Skin conditions such as acne, rosacea, psoriasis and eczema are all driven by inflammation. Anti inflammatory foods include salmon, mackerel, spinach, broccoli and flaxseed.




The ultimate anti inflammatory food is turmeric. Add a teaspoon to dishes or juices.




Anti-acne

Foods rich in anti inflammatory properties can help stabilise spot prone skin. Zinc and selenium levels are often low in people with acne. Boost your levels with brazil nuts, eggs and oysters.




Take home points…..

In summary diet has a great influence on our skin, inner health and general wellness. Diet and nutrition is vast and interesting topic. To avoid getting bogged down with too many details this is my diet shortlist to remember……..

Drink WATER – 2 litres per day does the job. Keep a bottle with you and sip it throughout the day.




We all NEED FAT.

Avoid saturated fats. Opt for “good fats” like polyunsaturated fats which contain essential fatty acids like omega 3. Adopting the Mediterranean style of eating and choosing extra virgin olive oil, flaxseed oil, and oily fish like salmon, mackerel, and sardines is a great way to achieve this.




EXERCISE

Exercise is essential for physical strength, toned body, mental wellbeing and glowing skin. Don’t forgot, to exercise to our optimum potential we need energy. Energy comes from carbohydrates. So don’t cut out the carbs completely. Opt for low GI options like brown breads, wholegrains and wholewheat pasta.




EAT WELL BE HAPPY

And remember, life is boring if we restrict ourselves too much. Be happy and make sure you treat yourself every once in a while :)






Beginners Botox



People often ask me when is the right time to start having Botox. Assuming the client is not too young, there is no recommended age to start, so ultimately the choice is yours.

Your suitability for anti-ageing treatments such as Botox is based on your skin type, the degree your skin has aged and what you want achieve. Skin type, genetics and environmental factors such as smoking, sun exposure and skin care all influence the
rate our skin ages.

Dynamic lines on your forehead, frown and around your eyes occur naturally with facial expressions.

As we get older, the effects of ageing mean that these lines become static, so they are present all the time regardless of whether we are frowning, smiling or lifting our eyebrows. These lines are now wrinkles so treatment with Botox would be corrective rather than preventive.

Like all aspects of anti ageing, prevention is better than cure.

It’s only natural to be a little apprehensive before having a cosmetic treatment for the first time. Our fears are reinforced with media images of overly frozen faces which promote the misconception that this is the only outcome of Botox injections. It is important to remember that the result of the treatment with Botox is dose dependent; the more Botox injected the more frozen the look. Preventive Botox uses smaller doses so you can still retain movement and achieve a more natural look.
This tends to be my approach.

Opting for preventive Botox in “baby doses” is a good way of stopping lines of expression becoming permanent wrinkles.

Botox isn’t the only option. Skin peels and mesotherapy are other anti ageing treatments to consider too. Remember Botox acts on the muscle below the skin, not on the skin itself. Combining preventive Botox injections with treatments such as skin peels and mesotherapy which improve the skin health on the surface, gives you the best of both worlds.