Methods & devices — how they work, the procedure, who should not have them
Each method explains the mechanism, procedure, risks and who it is not suitable for — so you understand before you decide.
Aesthetic Medicine
BAP Technique (Bio Aesthetic Points) with HA for Skin Restructuring: 5 Points on Each Side of the Face, Mechanism, and Suitable Candidates
BAP injects high-concentration HA products, thermally cross-linked (without chemicals) into 5 anatomical points on each side of the face to diffuse and stimulate collagen and elastin extensively. It improves skin firmness, elasticity, and quality without shaping.
Mesotherapy (microneedling with nutrient therapy): mechanism, commonly used ingredients, treatment regimen, and limitations.
Mesotherapy delivers a mixture of nutrients (non-crosslinked HA, vitamins, minerals, amino acids, peptides) into the superficial layer of the skin using micro-needling to improve hydration, brightness, and skin texture. The effects accumulate over the course of the treatment regimen.
Skin Booster (HA Hydration Injection): Mechanism, Differences from Filler and Meso, Treatment Course, and Suitable Candidates Skin boosters are a revolutionary treatment in the field of aesthetic medicine, primarily using hyaluronic acid (HA) to deeply hydrate and rejuvenate the skin. **Mechanism:** Skin boosters work by injecting a specially formulated hyaluronic acid solution into the skin's dermis layer. This process enhances skin hydration, elasticity, and overall texture by attracting and retaining moisture. Unlike traditional fillers, which add volume to specific areas, skin boosters provide a more uniform hydration throughout the skin. **Differences from Filler and Meso:** - **Filler:** Dermal fillers are designed to add volume and contour to specific areas of the face, such as cheeks or lips. They typically contain thicker formulations of hyaluronic acid and are used for sculpting and enhancing facial features. - **Meso:** Mesotherapy involves injecting a cocktail of vitamins, enzymes, and other substances into the skin to rejuvenate and tighten. While mesotherapy focuses on delivering nutrients, skin boosters primarily aim to hydrate and improve skin texture through HA. **Treatment Course:** A typical skin booster treatment involves a series of sessions, usually spaced a few weeks apart. Most patients see optimal results after 2 to 3 sessions, with effects lasting for several months. Maintenance treatments may be recommended to sustain hydration and skin quality. **Suitable Candidates:** Skin boosters are ideal for individuals seeking to improve skin hydration, elasticity, and overall appearance. They are particularly beneficial for those with dry, dehydrated skin, early signs of aging, or those looking to enhance their skin's natural glow. However, a consultation with a qualified practitioner is essential to determine individual suitability and tailor the treatment plan accordingly.
Skin booster is a low-viscosity HA with minimal cross-linking, injected in micro-doses into the dermis to provide hydration from within and stimulate collagen production lightly. It does not create volume; instead, it improves skin smoothness, brightness, fine wrinkles, and dehydration.
HA Fillers: Mechanism, Injection Areas, Hardness Selection, Vascular Safety, and Dissolving Agents
HA Filler is a cross-linked hyaluronic acid gel injected into the skin or just above the bone to restore volume, contour (chin, nose, cheeks, lips), and fill static wrinkles. It gradually dissolves over 6–18 months and has a dissolving agent available if needed.
Botulinum toxin (Botox): mechanism, injection areas, individualized dosing, risks, and who should avoid injections.
Botulinum toxin relaxes the muscles that cause dynamic wrinkles (forehead, frown lines, crow's feet) or overactive muscles (masseter, chin). The effects appear within 5–14 days and last for 3–4 months.
Non-Invasive HIFU Facelift: Mechanism of Action, Real Results, and Ideal Candidates
HIFU delivers focused ultrasound energy to the SMAS and deep dermal layers, creating thermal points that stimulate collagen contraction and regeneration—improving firmness for mild to moderate skin laxity with zero downtime; results are moderate and require maintenance.
Laser toning (Pastelle Q-switched Nd:YAG): treatment for melasma, dark spots, freckles, and uneven skin tone
The Q-switched Nd:YAG laser delivers ultra-short pulses to shatter pigment particles within the skin. In low-energy toning mode over multiple sessions, it lightens melasma and deep hyperpigmentation; at higher energy levels, it removes freckles and brown spots in just a few sessions.
PRP (Platelet-Rich Plasma): Supportive Role in Atrophic Scar Treatment and Skin Recovery
PRP is separated from your own blood and is rich in growth factors that promote wound healing. In acne scar treatment, PRP serves as a supplementary step following microneedling, laser therapy, or subcision—it is not a standalone scar-filling procedure.
Acne Treatment
Medical-grade acne extraction: how it differs from spa extractions, the sterilization process, and which types of acne should not be extracted.
Extracting comedones and 'ripe' acne in a sterile environment, using the correct tools and appropriate pressure — to enhance medication absorption and reduce post-inflammatory hyperpigmentation. Deep inflammatory acne, cystic acne, and nodules should not be squeezed.
Chemical Peels (Biological Skin Renewal) for Acne, Hyperpigmentation, and Dull Skin: Types of Acids, Depth, Procedure, and Who Should Avoid It
Acid peels with controlled concentration and pH are used to remove dead skin cells and stimulate regeneration: salicylic acid for acne and oily skin, glycolic acid for dull skin, and low-concentration TCA for pigmentation and texture issues. The depth of the peel determines its effectiveness and downtime.
Subcision: Releasing Fibrous Bands for Rolling Acne Scars
Subcision uses a specialized needle inserted beneath the skin to release the fibrous bands tethering the scar base down—a core step for rolling scars, often combined with laser or microneedling to smooth the skin surface afterward.
TCA CROSS for Atrophic Scar Treatment: Deep Focal Technique for Ice Pick Scars
TCA CROSS delivers high-concentration acid directly to the base of each scar to stimulate regeneration from the bottom up—a technique specifically used for deep ice-pick and boxcar scars that surface lasers cannot reach.
Microneedling: How Effective Is It for Atrophic Acne Scars and When Is It Not Enough?
Microneedling creates thousands of micro-injuries to stimulate natural collagen production—minimally invasive, offering fast recovery, and ideal for shallow pitted scars and rough skin texture. For deeper scars, microneedling alone is often insufficient and requires combination treatments.
RF Microneedling for Scar Treatment and Skin Tightening: How It Differs from Traditional Microneedling
RF microneedling delivers radiofrequency energy through micro-needles deep into the dermal layer, stimulating collagen production with minimal surface disruption—making it ideal for deep pitted scars, thick skin, hyperpigmentation-prone skin, and enlarged pores.
Fractional CO2 Laser for Atrophic Scars: Mechanism, Procedure, Suitable Candidates, and Contraindications
Fractional CO2 laser creates thousands of microscopic, controlled micro-injuries to stimulate the skin's natural collagen regeneration, elevating the base of depressed scars. It is effective for shallow to moderate boxcar and rolling scars; multiple sessions and strict sun protection are required.
Rhinoplasty
Rib Cartilage Rhinoplasty: When It's Needed, Advantages, Disadvantages, and the Cartilage Harvesting Process Rib cartilage rhinoplasty is a surgical procedure that involves using the patient's own rib cartilage to reshape the nose. This technique is often considered in specific situations. **When It's Needed:** - Severe nasal deformities or structural issues that cannot be corrected with other materials. - Revision rhinoplasty cases where previous surgeries have not achieved the desired results. - Patients requiring significant augmentation or support for the nasal structure. **Advantages:** - Biocompatibility: Using the patient's own tissue reduces the risk of rejection. - Durability: Rib cartilage provides strong support and can maintain its shape over time. - Versatility: It can be sculpted to achieve the desired nasal contour. **Disadvantages:** - Surgical complexity: The procedure is more invasive and requires a longer recovery time. - Potential complications: Risks include infection, bleeding, and pain at the donor site. - Visible scarring: The incision made to harvest the rib cartilage may leave a scar. **Cartilage Harvesting Process:** 1. Anesthesia: The patient is placed under general anesthesia for comfort during the procedure. 2. Incision: A small incision is made on the chest to access the rib cartilage. 3. Harvesting: A portion of the rib cartilage is carefully removed. 4. Closure: The incision is closed with sutures, and the harvested cartilage is prepared for use in the rhinoplasty. This technique is a valuable option for specific cases, providing a natural and effective solution for nasal reconstruction.
Costal cartilage is an autologous material that is sufficient in quantity and rigidity to reconstruct the nasal framework in complex cases: revision rhinoplasty, contracted noses, and noses that require significant lengthening. It is not the default choice for simple primary rhinoplasty.
Nasal Wing Reduction (Alar Base Resection): Techniques, Who Needs It, Incision Locations, and Risks of Asymmetrical Nostrils
Nose wing reduction involves removing excess skin and soft tissue at the base of the nostrils or the nasal floor to create a slimmer appearance and balanced nostrils. Although it is a minor procedure, it can be challenging to correct if too much is removed — the principle is to cut just enough.
Nose Revision Surgery (Second Rhinoplasty): When It's Necessary, Challenges Compared to the First Time, and the Process at BonBoz Clinic Nose revision surgery, or secondary rhinoplasty, is performed when the initial rhinoplasty did not achieve the desired results or when complications arise. This procedure may be necessary for various reasons, including aesthetic concerns, functional issues, or dissatisfaction with the previous outcome. The challenges of a revision rhinoplasty can be greater than those of the first surgery. Scar tissue from the initial procedure can complicate the surgery, making it more difficult for the surgeon to achieve the desired shape and function. Additionally, the surgeon must carefully assess the existing nasal structure to avoid further complications. At BonBoz Clinic, the process for nose revision surgery begins with a thorough consultation. During this consultation, our experienced surgeons will evaluate your nasal anatomy, discuss your concerns, and outline a personalized surgical plan. The procedure typically involves the following steps: 1. **Consultation**: Discuss your goals and concerns with our specialists. 2. **Pre-operative Assessment**: A detailed examination and imaging may be conducted to plan the surgery. 3. **Surgery**: Performed under anesthesia, the surgeon will carefully revise the nasal structure, addressing any issues from the previous surgery. 4. **Recovery**: Post-operative care instructions will be provided to ensure a smooth recovery process. At BonBoz Clinic, we prioritize patient safety and satisfaction, ensuring that each revision surgery is tailored to meet your individual needs.
Secondary rhinoplasty addresses issues from a previous nose surgery, such as asymmetry, visible implants, redness, contraction, infection, or an unsatisfactory shape. It is more challenging than the first surgery due to scar tissue, thin skin, and the use of autologous cartilage.
Comprehensive structural rhinoplasty: rebuilding the nasal framework with autologous cartilage — for complex cases and revision rhinoplasty
Full structural rhinoplasty completely rebuilds the nasal bone and cartilage framework using autologous cartilage (septal, ear, or rib): lengthening short noses, projecting bulbous tips, and correcting failed previous surgeries. The procedure takes longer to perform and requires extended recovery time along with a highly experienced surgeon—in return, it resolves complex cases that other techniques cannot handle.
Semi-structural rhinoplasty: bridge augmentation + tip refinement while preserving the underlying framework — when is it the right choice?
Semi-structural rhinoplasty elevates the nasal dorsum using artificial implants while reinforcing the columella and reshaping the nasal tip with autologous cartilage, all while preserving the natural nasal foundation. In terms of invasiveness, recovery time, and cost, this technique sits right between cartilage-grafted and full-structural rhinoplasty.
Cartilage-shielded rhinoplasty: synthetic implant + autologous cartilage tip graft — who is it for and what are its limitations?
Dorsal augmentation using synthetic implants combined with tip coverage using ear cartilage (or Megaderm) to prevent skin tension at the nasal tip — a popular technique for low nasal bridges with a relatively well-formed tip and moderate skin thickness. This method cannot correct a bulbous, short, or upturned nasal tip.