Dr Wade Merchant has just launched a Redermalization at Legs eleven Green Point, a new innovative medical aesthetic procedure designed to hydrate, repair and revive skin.
We asked Dr Wade to answer the most commonly asked questions about this novel technique.
What is Redermalization?
Redermalization is the process of injecting a mixture of Hyaluronic acid and Sodium Succinate using a special technique, to rejuvenate the skin.
These ingredients stimulate renewal of the deepest layer of the skin known as the dermis (re-derma-lization). Aging, skin conditions and trauma to the skin can all result in a disorganised structure of the dermal layer. Also, when skin ages it loses its ability to produce normal amounts of collagen and elastin – which normally help to keep the skin supple and tight.
Redermalization aims to re-organise as well as stimulate production of collagen and elastin fibres – and in so doing results in skin renewal. Other injectable treatments target the tissue just beneath the skin – whereas Xela Rederm is injected directly into the skin itself – treating the actual problem rather than just plumping from below.
Which skin types and conditions can be treated?
- Young, healthy skin where age prevention is important.
- Aging skin that requires an improvement in texture and a reduction in fine lines.
- Acne scarring and stretch marks.
- Lifting effect – sagging skin can be toned using Redermalization.
- Pigmentation – when used in conjunction with skin care products, pigmentation can be improved.
Which areas can be treated?
- Face, neck and décolletage.
- Hand rejuvenation.
- Body: sagging skin of the stomach and buttocks.
- Scars and stretch marks.
This patient received 3 treatments of Redermalization
How many treatments are advised?
Studies show that 3 treatments, each a month apart, result in the most beneficial effects. That said, if someone is merely looking for a skin boost then 1 treatment can still be beneficial to skin health.
How much does it cost?
Everyone is different, but for the most part to treat the whole face, 2ml of product is needed. 2ml of Xela Rederm currently costs R3000 (other hyaluronic acid based injectables cost around R5000 to R6000 for 2ml of product). Body treatments and scars may require more or less product – which can be determined after a consultation.
What results can I expect?
Patients have reported an improvement in overall skin quality with an increase in skin tightness and elasticity and improved hydration and texture of the skin. Results continue to improve over time with maximum results being seen at about 3 months after the end of the treatment course.
What is the downtime?
Anaesthetic cream is applied to numb the face during the procedure. Directly after the treatment there will be very small bumps where the product has been injected. These bumps look almost like an insect bite – they last for around 36 hours and then disappear completely when they are absorbed into the deeper layers of the skin, leaving the skin plumper, firmer and more hydrated. Besides the bumps, there may be some mild redness and with any injection there is always the chance a small bruise – which can be covered with concealer.
Rederm treatment of the Eye and Cheek areas
How does it work?
Redermalization targets the skin itself by stimulating collagen as well as elastin to be produced.
Xela Rederm contains both Hyaluronic Acid as well as Sodium Succinate to have an added effect on skin aging:
Hyaluronic Acid (HA) is a water holding molecule found within the skin. It is a polysaccharide that is found throughout our bodies and 50% of it is found within our skin. It helps to support the substance (extracellular matrix) between our skin cells and it can hold 1000 times its weight in water – so it is great for providing moisture as well as plumping dehydrated skin. Also, when HA is injected into the skin it stimulates the fibroblasts (specialised skin cells) to produce collagen – which soften wrinkles, fills scars and further plumps the skin.
Sodium Succinate is a naturally occurring acid that has a role to play in the citric acid cycle (an energy production process in all living organisms). It is also has a powerful anti-oxidant effect by blocking free-radicle damage to the skin. Studies have demonstrated that Hyaluronic acid combined with Sodium Succinate results in a far higher degree of elastin production than HA alone. As Sodium Succinate is powerful anti-oxidant, it can limit the effect of pigmentation by blocking the free-radicle pigmentation pathways.
Sodium Succinate regulates cell process’s and is an efficient anti-oxidant.
I have heard that it can help with pigmentation, is that true?
Pigmentation is a very complex problem – one single treatment cannot cure it. So, from a medical aesthetics perspective, pigmentation is best treated using a combination of treatments and at home skin care products in order to protect, prevent and treat the current pigment within the skin.
The melanocyte is the cell that produces pigment (melanin = dark spots) – this can be lessened using specific treatments.
Redermalization can help with pigmentation in the following ways:
Hyaluronic acid has been shown to stimulate immune cells called macrophages via the CD44 tyrosinase kinase receptor. These cells then engulf (eat) and destroy pigment granules. Also, a product of the breakdown of HA called acetylglucosamine is a tyrosinase enzyme blocker. When tyrosinase is blocked, the melanin pigment cannot be formed.
Sodium Succinate has ability to bond with the copper that is found within the tyrosinase enzyme. When this happens, the enzyme does not function properly and pigment (melanin) cannot be formed. Sodium Succinate is also a weak acid with anti-oxidant effects – blocking the pigmentary effect of free-radicles.
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