Be YOUng | BeYOUtiful
Tell us a little about your background and specialities.
I’ve been a practicing dermatologist since 2002. At this time I was awarded board certification in my home country of Brazil. As a resident, I went to US to do some rotations and spent 6 months in UCSD and UMASSMED learning about lasers, liposuction, cosmetic dermatology, and skin cancer surgery. This opened both my heart and my eyes expanding my horizons.
For the first 10 years of my career, I dedicated myself to cosmetic dermatology and worked as a collaborating professor in the University ABC for 6 years. After which I decided to pursue my dream of being a skin cancer specialist and did one year of derm. surgery, 1 year of MOHS surgery (special method to treat skin cancer) abroad (Argentina and US- Houston) 1 year of MOHS surgery in the University of Sao Paulo Brazil allowing me to be recognised as a MOHS surgeon, after those 2 years, as I wanted to be able to reconstruct my own surgical cases I specialised in plastic surgery of the face and oculoplastic reconstruction skills. I was then working part time in a public hospital treating skin cancer only and in my clinic for 18 years focussing mainly on cosmetic Dermatology with a small amount of skin cancer care. Alongside that, I love to publish not only scientific articles but chapters of books as well and also teach in established events such as AMWC, IMCAS or for pharmaceutical companies such as Merz; Allergan;, Dermapen; Mesoestetic.
What types of treatments do you perform in your practice?
Everything! I would say I am a specialist in finding the right combination to improve the skin look and highlighting the natural, beautiful and unique features of each client. My most common treatments are: Fillers, biostimulators, MFU-V (ulthera), threads and BTX-A. When there is a skin quality problem involved, then micro-needling with PRP-PRF, ablative RF and co2 lasers are my favourites.
Which combination of surgical procedures yield consistenty positive results?
It depends on 3 things: the condition (ex naso labial fold) , the self-perception - how the person views themselves, the expectation (how far you want to improve), the complexities added (skin quality / menopause / tabagism) and the severity (the grade of the condition mild or severe).
All these factors demonstrate to me how complex a nasolabial fold is allowing me to correctly recommend-EX. mild one can be treated with filler alone in a young person, a severe one has to be treated in more than one region ( cheeks and nlf) with at least 2 types of procedures ( MFU-V plus biostimulators and filler HA in NLF for example)
What’s the most common issue your patients come to you for help with?
Sagginess of the lateral face or jowling, and lip enhancement
What’s your philosophy on patient care?
Three things : 1- to know your patient: to know what they expect, and to evaluate complexities involved (skin quality, menopause, quality of life)
2- Understand which combination will give them the fastest and most economically suitable result
3- Plan Maintenance not only for the condition but overall skin quality.
What would you say is the biggest cause of ageing skin?
Poor nutrition
What age do you recommend to start anti-ageing treatments?
Controlling what you eat from an early age. I would urge teenagers to take care of their skin quality. If you have a good skin quality you age more slowly.
Nowadays, Botox and fillers are normal practice for people in their early thirties… would this prevent or postpone a surgery such as a facelift?
Definitely, but it’s important and very often underestimated to take in to consideration the patient’s skin quality. If the skin is not good when you use fillers is like blowing a balloon, you must put more air every time it deflates and if the skin is not good next time you will have to put more and more air and will end up with the balloon effect. Using a lot of product, lasting a very short time and ending up with unnatural results.
When it comes to facial rejuvenation, what can one expect on a first consultation?
I will discuss the potential patient’s concerns, explaining my opinions and in the instance of a skin problem I will advise on how to improve it first in harmony with the treatment I propose. I’ll also explain about the maintenance.
What are the basic non-invasive facial treatments everyone needs to improve overall skin quality?
* Good nutrition
* Detox in some cases
* Vitamins in some cases
* Good cleaning from time to time
* Use acids (alpha hydroxy or retinol) to
improve the cell turn over
Ocean Clinic, Av. Ramón y Cajal, 7, 29601 Marbella
951 77 55 18 | oceanclinic.net | @ocean_clinic