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    • Hormonal Pigmentation/Melasma

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    Melasma, also known as hormonal pigmentation, is a considerable problem for South African women. It is a chronic skin condition that occurs on the face in the form of brown patches and is a dynamic (active) condition that needs lifelong management.

    Skin Renewal Tip

    • Consult one of our Health Renewal Doctors to discuss hormone balancing treatment options.
    • Certain medical conditions are key players in your overall health and are the root cause of your pigmentation problems.
    • Failure to address these conditions will lead to failure of your Hormonal Pigment treatment plan and ALSO lead to chronic disease.
    • Avoid sun exposure to your face, neck and décolleté and wear a protective hat when outdoors for extended periods to further block these rays.
    • Use a broad-spectrum sunscreen with SPF 30+ to block the UVA rays every day to help prevent melasma/hormonal pigmentation
    • In addition your sunscreen you should also apply an anti oxidants such as Vit C, Vit E , Ferulic and Phloretin to protect against infra red A
    • At least 5 mls/1 teaspoon of sunscreen should be applied daily to the face, neck and décolleté twice a day to prevent melasma/hormonal pigmentation
    • Taking an oral anti oxidant supplement such as Ovelle or Heliocare daily is clinically proven to raise one's level of resistance to the sun and also helps to reduce the melanin content in the skin down the line.
    • A daily high dose of 4000 mg of MSM per day will increase intra cellular Glutathione and help reduce pigmentation in the skin
    • As melasma is a dynamic condition and needs to be managed daily and indefinitely, one day of unintentional sun burn can set you back.
    • At Skin Renewal we recommend that you avoid hot baths, Bikram Yoga, steam saunas, tanning beds and dry saunas as they can cause excessive inflammation and may aggravate hormonal pigmentation.
    • A perfect antidote to dull, pigmented skin in the winter months is one of Skin Renewal's signature facial: the Brightening mesoglow facial with transdermal brightening agents. This pampering facial is a four-in-one treatment and is exciting everyone who tries it out as its versatile, suits everyone and leaves skin tighter, brighter, younger and fresher.
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    Frequently Asked Questions

    • 1

      What is the cause of increased pigmentation and darkening of the skin?

      Read More

      There are many possible causes of pigmentation disorders, which are marked by changes in melanin, the pigment in skin.These may include progesterone (the Mirena), photosensitizing medications, thyroid dysfunction, stress and dysbiosis.

      There's overwhelming evidence that certain medical conditions are key players in your overall health and are the root cause of your pigmentation problems. Failure to address these conditions will lead to failure of your Hormonal Pigment treatment plan and ALSO lead to chronic disease.

      Melasma is more prevalent in darker-complexioned individuals though persons of any race can be affected due to the intense sun exposure in South Africa. This condition is seen most frequently in young women from the age of 28 years but can also be seen in men.

      At Skin, Body, Health Renewal, we treat all our patients holistically by dealing with all the issues that may be responsible for their initial presentation of hormonal pigmentation/ melasma at Skin Renewal. After obtaining a thorough history from our patients to exclude medical conditions that could be aggravating the hormonal pigmentation, we include ESSENTIAL supplements into our Hormonal Pigmentation treatment packages for optimal pigmentation treatments and health.

    • 2

      How is skin colour produced?

      Read More

      The short answer is that melanin-its amount, quality, and distribution- creates human skin colour. The slightly longer answer is that melanin is produced within melanosomes, organelles located in the cytoplasm of melanocytes (skin cells in the basal layer of your epidermis). The number of melanocytes in human skin is the same in people of all races; in darker-skinned individuals, though, the melanosomes are larger and contain more melanin. Once melanin is produced, melanosomes migrate to the melanocytes' dendrite tips, where they come into contact with keratinocytes, skin cells closer to the surface of the epidermis. The final stage of the pigmentation process, however, wherein melanin is transferred from the melanocytes to keratinocytes, is still poorly understood.

    • 3

      What is hormonal pigmentation, also known as melasma?

      Read More

      Melasma, also known as hormonal pigmentation, is a considerable problem for South African women. It is a chronic skin condition that occurs on the face in the form of brown patches and is a dynamic (active) condition that needs lifelong management. Its incidence is much higher in Asian and darker-skinned individuals than in fair-skinned people.

    • 4

      What is the cause of Hormonal pigmentation/Melasma?

      Read More
      • In many cases, a direct relationship with female hormonal activity appears to be present because it occurs with pregnancy and with the use of oral contraceptive pills and HRT/ hormone replacement therapy. However, unopposed oestrogen may also be an underlying factor and thus it is essential that the cause of this unopposed oestrogen is identified. If these underlying conditions are not addressed, any pigmentation treatments are doomed for failure and the pigmentation will return. At Skin Renewal, all consultations are holistic and get to the root cause of the problem be it acne, Rosacea or hormonal pigmentation. Even our anti aging consultations are treated holistically.
      • The pathophysiology of melasma is uncertain. In many cases, a direct relationship with female hormonal activity appears to be present because it occurs with pregnancy and with the use of oral contraceptive pills and HRT/ hormone replacement therapy.
      • After pregnancy Melasma (chloasma) or pigmentation usually clears within a few months of delivery but may persist indefinitely.
      • Any change in hormonal status with higher levels of estrogen is thought to trigger and aggravate the condition (i.e. birth control pills and pregnancy).Discontinuing the use of contraceptives rarely clears the pigmentation and it may last for many years after discontinuation.
      • However many women without these risk factors also develop.
      • Other factors that may be implicated are progesterone (the Mirena),
      • photosensitizing medications such as tetracyclines or anti psychotic medication or medical conditions such as mild ovarian or thyroid dysfunction and dysbiosis, thus it is important to consult with a Skin Renewal doctor to diagnose the cause of Hormonal pigmentation/ Melasma.
      • Other possible causes could probably include genetic predisposition and exposure to ultraviolet light. visible light which emits infra red A ( sunlight , TVs, computer screens, fluorescent lights, hair dryers, clay ovens) and excessive heat which causes inflammation ( such as saunas and steam baths).
      • Stress may also produce certain hormones that worsen melasma.
      • UVA rays are a stimulant for melanin (brown pigmentation) to develop on the skin, and unfortunately can even penetrate through car window glass.
      • Any activities that cause intense heat to the face ( from steam showers, hot closed environments, sitting on the beach even under cover and with full sun protection, etc) causes inflammation which is a powerful stimulator of melanin.
      • Melasma is more prevalent in darker-complexioned individuals though persons of any race can be affected due to the intense sun exposure in South Africa.
    • 5

      What appearance does Hormonal pigmentation/Melasma have?

      Read More

      Pigmentation disorders such as melasma or chloasma (during pregnancy) arise from increased melanin in the lower layers of the skin and increased free melanin in the skin. Hormonal pigmentation is usually brown with a non-distinct border, and is usually found symmetrically on the face or jawline . Melasma can appear on the central facial areas such as the cheeks, moustache, and forehead areas. Melasma affects both men and women, though it is more frequent in women (up to 30% may be affected) and usually starts to appear from the age of 28 years onwards.

    • 6

      Where does Melasma appear on the face?

      Read More
      • Centro Facial (forehead),
      • Malar (cheekbones) and
      • Mandibular (jawline).
    • 7

      ​What are the different types of Melasma? (This describes how deep the pigment is in the skin and how to treat it)

      Read More
      • Epidermal melasma is the most common form and is easily treated with a combination of superficial chemical peels, Limelight or Photo Genesis procedures.
      • Dermal melasma: If the melanin has leached into the dermis, this is known as dermal melasma. The deeper the pigment is and the more difficult it is to treat. Dermal melasmas not treated with superficial peels and is best treated with mid dermal peels such as a Skin Renewal's 3 D peel, Cosmelan, Dermamelan or injected mesotherapy with Tranexamic acid to penetrate into the dermis to reach the pigment.
      • Mixed Epidermal-Dermal melasma is a combination of the above and is treated the same way as dermal melasma.
    • 8

      ​How do I get started?

      Read More

      Make an appointment to consult with your Skin Renewal Doctor and he/ she will assist you in determining your risk factors for pigmentation and how best to prevent any problems or conditions that you may be susceptible to.

    • 9

      Why should one consult with a Skin Renewal doctor to assess your pigmentation?

      Read More

      At Skin, Body, Health Renewal, we treat all our patients holistically by dealing with all the issues that may be responsible for their initial presentation. One should consult with Skin Renewal doctor to rule out the possibility of an underlying systemic health disorder that requires medical treatment. There's overwhelming evidence that certain medical conditions are key players in your overall health and are the root cause of your pigmentation problems. Failure to address these conditions may lead to failure of your Hormonal Pigment treatment plan and ALSO lead to chronic disease.

      Your Skin Renewal doctor will conduct a physical examination, examining the location, distribution, color, and appearance of the areas of increased pigmentation. Ask your Skin Renewal doctor to look at your skin with a Wood's light- a type of black light -which is available at all Skin Renewal clinics - or the Visia Complexion analyser

      Your Skin Renewal doctor will also evaluate whether external factors, such as hormones, medications, chemical exposure, or other environmental influences could have contributed to the increased deposition of pigment in the skin. Furthermore, the practitioner will make note of any prior history of pigmentation disorder and its treatment.

      We also include ESSENTIAL supplements into our Hormonal Pigmentation treatment packages for optimal pigmentation treatments and health. Schedule an appointment with one of our experienced Skin Renewal doctors to find out what underlying medical condition/ s could be aggravating your melasma/ hormonal pigmentation

    • 10

      What can you expect during your consultation for pigmentation at Skin Renewal?

      Read More

      The initial medical consultation at Skin Renewal will be approximately 30 minutes. A thorough evaluation will be done by your Skin Renewal doctor, who will identify underlying conditions and lifestyle habits that may be aggravating your condition.

      If you think you are not affected by pigmentation, ask your Skin Renewal doctor to look at your skin with a Wood's light - a type of black light -which is available at all Skin Renewal clinics - or the Visia Complexion analyser. Our patients are always shocked by the as-yet-invisible dark spots that these lamps reveal. The Skin Renewal doctor will decide on a treatment plan or depending on:

      • how long you have had hormonal pigmentation?
      • If the Hormonal pigmentation/ melasma has been present or more than 2 years it may be more difficult to improve
      • what medications you are taking
      • previous treatment failures or successes
      • whether dermal pigment is present.
      • After the Woods lamp analysis, deeper dermal pigment can be identified and an appropriate treatment schedule can be prescribed
      • your Skin type. Deeper/more aggressive skin peels and IPL/Lime Light procedures cannot be done on darker skin types 5 and 6
      • your expectations and budget restraints
      • your occupation/sporting/recreational activities
    • 11

      How is hormonal pigmentation/melasma managed at Skin Renewal?

      Read More
      • A thorough evaluation will be done by your Skin Renewal doctor, who will identify conditions and lifestyle habits that may be aggravating your condition.
      • Hormonal pigmentation/ Melasma is a dynamic, chronic condition which has to have ongoing management by applying a pigment inhibitor daily. We have numerous Prescription and non prescription topical Brightening / pigmentation products at Skin Renewal.
      • Without the strict avoidance of sunlight and the continued use of home topicals mentioned above to downregulate the enzymes responsible for making pigment , potentially successful treatments for melasma and pigmentation are doomed to fail.
      • To prevent increased Hormonal Pigmentation and PIH (Post inflammatory Hyperpigmentation) before and after any peel or IPL procedure, pretreatment for a period of 2 to 4 weeks is recommended to downregulate the enzymes responsible for making pigment
      • Our superficial peeling treatment of choice at Skin Renewal is the Beta Melanostop peel which is a 4 peeling combination of salicylic acid, rescorcinol, phytic and azelaic acid combined with a transdermal brightening mesotherapy
      • Prescription skin-bleaching agents are extremely helpful in brightening melasma and maintaining skin-brightening improvements and may be prescribed by our Skin Renewal doctors
      • In addition, THE CONTINUED USE OF RECOMMENDED PIGMENTATION PRODUCTS IS MANDATORY AFTER ANY PEEL / IPL procedure .
      • SPF of 50 MUST be applied twice daily
      • Any laser procedure such as fractional laser that causes excessive redness and inflammation should be avoided as there may be aggressive rebound hormonal pigmentation a few weeks/ months later especially if NO post treatment depigmentation products are prescribed
      • At Skin Renewal we recommend that you avoid hot baths, Bikram Yoga, steam saunas, tanning beds and dry saunas as they can cause excessive inflammation and may aggravate hormonal pigmentation
      • At Skin Renewal we are pleased to introduce Skin Brightening IV infusions for pigmentation. See below
    • 12

      What other Skin Renewal Brightening agents may be prescribed for you by the Skin Renewal doctors?

      Read More

      Many all-natural, topical skin-brightening agents have been found to be quite beneficial in brightening hyperpigmented areas of the skin. These include alpha arbutin, as well as kojic acid, azelaic acid nicotinamide and Liquorice root (Glycyrrhiza glabra).

      Topical applications of natural, fruit-derived alpha-hydroxy acids, including glycolic acid, have been extremely beneficial in combination with the aforementioned bleaching agents. For enhanced results, these products should be used in conjunction with exfoliation treatments such as peels and transdermal pigment brightening Mesotherapy.

      The following is a list of skin care ingredients to AVOID due to worsening melasma pigmentation and dark spots.

      oestradiol, oestrogen, genistein ,black cohosh, chasteberry, hops, red clever, soy, wild yams.

    • 13

      ​Why are certain hormonal pigmentation conditions so difficult to resolve?

      Read More
      • If the underlying condition is not identified and managed, then the pigmentation will return and suboptimal treatment can be expected. That is why it is important to,attend a skin clinic that treats you holistically.
      • Pigmentation present for more than 2 years may be more resistant to treatment as dermal pigment may be present and this may need transdermal therapy with TA (Tranexamic acid) or deeper peels Cosmelan or Dermamelan depigmentation treatments which are suitable on all Skin Renewal types.
      • Dermal pigment is caused by the melanocyte distributing pigment/ melanin into the dermis instead of the epidermis.
      • This dermal pigment may take longer to resolve than epidermal pigment . The source of the dermal pigment is the epidermis so if the epidermis can be prevented from making melanin for long periods with home topicals and peel/ depigmentation treatments such as a series of superficial peels, Cosmelan and Dermamelan, the dermal pigment will not replenish and will slowly resolve..but this may take months.
      • Normal SPF sunblock protect against UVA and UVB but NOT AGAINST infra red A.
      • Without the strict avoidance of sunlight and the continued use of home topicals mentioned above to downregulate the enzymes responsible for making pigment , potentially successful treatments for melasma and pigmentation are doomed to fail.
    • 14

      What is infra red A ?

      Read More
      • infra red A , a relatively new discovery, is a deep dermal ray which causes accelerated ageing
      • Infra red A is found in ANY visible light that emits heat such as sunlight, computer screens, fluorescent lights, heaters and even hair dryers
      • Normal SPF 50 sunblock protects against UVA and UVB but does NOT protect AGAINST infra red A.
      • One is only 56 % protected with a good SPF 50 sunblock
      • If one applies a topical anti oxidant such a Vit C, Vit E , Ferulic and Phloretin, 96 % sun protection can be achieved
      • Only topical antioxidants such as Vit C, Vit E , Ferulic and Phloretin can protect against infra red A
    • 15

      ​How do the oral anti oxidants such as Ovelle and Heliocare protect one's Skin internally?

      Read More
      • For continued sun protection and to maintain results, oral supplements such as Ovelle( Pycnogenol®) or Heliocare( Polypodium Leucotomas ) together with MSM with Vit C can be taken orally to increase ones resistance to the sun
      • In addition Pycnogenol and Polypodium Leucotomas are powerful anti oxidants that stop the enzyme that breaks down collagen( MMP) and protect against infra red A, which is present in the light from sun exposure, computer screens, fluorescent lights etc
    • 16

      How do we manage resistant Hormonal pigmentation/ Melasma at Skin Renewal?

      Read More
      • A thorough evaluation / medical history will be taken at the initial consultation to ensure that all causes of Melasma are addressed.
      • After a series of 4 to 6 in office medical peel treatments combined with home topicals, the topical products need to be applied indefinitely and one of the above mentioned topicals is recommended. These can be alternated over time.
      • If there no improvement after the 6th treatment then we usually recommend that a Health Renewal consult with one of our integrative doctors to exclude medical causes of pigmentation. This may also include a course of Skin Renewal brightening intra venous infusions with Glutathione .. See below
      • In addition, if there no improvement after the 6th treatment of superficial peels and topical products, Cosmelan or Dermamelan or Injected Tranexamic acid mesotherapy treatments are recommended to treat dermal melasma and PIH which has been present for more than 2 yrs
      • If the melanin has leached into the dermis, this is known as dermal melasma
      • The Laser Genesis procedure can be done in all skin types as it targets dermal pigment by heating up the melanophage ( which contains the melanin) trapped in the and aids the "release" of the trapped dermal pigment so it can move up to the epidermis where it can be exfoliated with normal epidermal renewal. Laser genesis also "polishes" the skin and improves fine lines, wrinkles , pores and texture.
      • For all peels prescription creams such as Retin A or retinols must be stopped stop 3 days before each treatment and restarted 3 days after the peeling process.
    • 17

      ​What new innovative skin brightening INFUSIONS are available at Skin Renewal Renewal?

      Read More

      At Skin Renewal we are pleased to announce our new breakthrough in skin brightening and Cellular Defense: An intra venous infusion of a combination of powerful anti-oxidants such as glutathione delivered with vitamins and fluids to hydrate the skin and reduce melanin production in all our pigmentation afflicted patients. After a series of treatments a lighter fairer skin tone may result. Glutathione is an extremely effective antioxidant comprised of three essential amino acids. It plays a major role in helping your liver detoxify harmful chemicals by binding to the toxins, facilitating their easy elimination. The body produces glutathione naturally, and research has shown healthy intake of Vitamin C boosts its production. If glutathione levels are normal, the body’s ability to fight neurological disorders like Parkinson’s disease is strong. If they are low, you are susceptible to a revolving door of conditions.

    • 18

      Why is Glutathione called the "master anti oxidant" as every system in the body is affected by the Glutathione system, including

      Read More
      • the immune system,
      • the gastrointestinal system
      • the nervous system

      Glutathione is a tripeptide (made of 3 amino acids) that is produced in the body in small amounts. Glutathione is an extremely effective antioxidant, which as we know means that it reduces free radicals in the body reactive oxygen compounds. It has also been shown to bind to toxic substances in the body and assist in flushing them out of the system. Glutathione is also an important player in the synthesis and repair of DNA, protein synthesis, and enzyme activation.

      As you can see, glutathione should be an important part of any supplementation regimen. These benefits can be received through fairly reasonable dosages of Glutathione, making it an excellent addition to any supplementation regimen. At higher dosages, glutathione may also be effective at brightening skin.

      There are few other factors which are predictive of our life expectancy as is our level of cellular glutathione. Glutathione levels in our cells are predictive of how long we will live. Glutathione is called the “Master Antioxidant” without it other important anti-oxidants such as Vitamin C and E cannot do their job adequately to protect your body against disease. No other anti-oxidant is as important to overall health as glutathione. It is the regulator and regenerator of immune cells and the most valuable detoxifying agent in the human body. Low levels are associated with hepatic dysfunction, immune dysfunction, cardiac disease, premature aging, and death. Glutathione is water soluble, and easily destroyed by the body systems.

    • 19

      Why are intra venous infusions Glutathione better than oral supplementation for Skin Brightening?

      Read More

      The only downside to glutathione supplementation is that when taken orally, the gastrointestinal system breaks much of the glutathione down into its 3 component amino acids before it can be absorbed into the system. This means that you must take much more glutathione than the effective dose to make sure that you are getting a sufficient amount into the system. This is where IV Glutathione supplementation comes into play. By taking glutathione intravenously it is possible to get the supplement directly into the body in its original form, bypassing any of the degrading processes associated with oral supplementation.

      For skin Brightening, this would seem to be the only reasonable method. Attempting to take a sufficient amount of glutathione for skin whitening through oral supplementation is wasteful and may be ineffective due to the breakdown of the digestive system. IV Glutathione for skin whitening has been used in China and Japan for many years to assist women with brightening their skin.

    • 20

      ​How often should one have an IV glutathione Multivitamin Therapy?

      Read More

      For skin Brightening, it is recommended to have IV infusions twice a week in the first month in order to get the full benefit. After this period, infusions can be done weekly until your desired skin tone and results are achieved. Thereafter a session every month to maintain results

    • 21

      ​How does MSM benefit Melasma, Skin, Nails, Hair and Connective issue?

      Read More

      MSM is a powerful activator of the powerful anti oxidant Glutathione . MSM may facilitate the break up of pigmentation in the skin/ dermis as it a natural detoxifier of the lipofuscin / lipopolysaccharides/ brown pigment in the skin .

      MSM contains sulphur which is necessary for the production of new cells and plays an essential part in the synthesis of collagen and keratin, vital protein substances that are needed to make and maintain hair, nails and skin. Hair and nails grow faster and stronger with good levels of sulphur. This compound is also responsible for the flexible bonds between cells and helps to block the cross-linking of collagen, an effect responsible for the appearance of wrinkles and aging skin.

      Sulfur helps the body to form keratin, the protein that makes up the main part of the outermost layers of your hair and nails. It is a tough, fibrous protein that is very resilient to the effects of damaging chemicals and other harmful agents. Each strand of hair has its own keratin supply, which is stored in the root. Sulfur is also contained in biotin, a B vitamin that is essential for shiny hair and strong nails. You may be interested to know that the natural inclination of hair to be straight or curly is maintained in part by the sulfur amino acids. MSM benefits dry scalp and hair and improves nail growth and benefits your cuticles and nails.

      Acne, including rosacea has been shown to respond favourably to MSM in studies, sulphur has also been found to enhance wound repair. MSM acts to keep the skin's cells and the tissue soft. Keeping the skin soft ensures that it remains elastic enough to allow stretching and movement without damage. Smooth, flexible skin is less prone to wrinkles and dry flakiness. It even helps stretch marks. MSM benefits the skin and internal organs.

    • 22

      ​What are new pigmentation peptides developments in the treatment of Melasma/ Hormonal pigmentation?

      Read More

      1. Lamelle's Luminesce, an advanced pigmentation program which addresses hyper-pigmentation by reducing melanin at several points in its production, as opposed to just one point as with other treatments. Luminesce uses groundbreaking peptide technology (Oligopeptide 34) for treating pigmentation .

      2. Brighter Concentrate by Lamelle has Oligopeptide 34 plus 3 new novel pigmentation peptides added to the formula which offers excellent results in combating epidermal and post inflammatory hyper- pigmentation ( PIH).

      An added benefit is that the combination of peptides used in the range offers anti-ageing benefits to the skin as they stimulate collagen producing cells. By adding the supplement Ovelle or Heliocare, the melasma will be reduced further by 37% within 4 to 6 weeks of use.

      3. Lumixyl Brightening System is a revolutionary multi-faceted system that dramatically improves the appearance of hyperpigmentation tolerably and without the side effects associated with prescription Hydroquinone or retinoids. An innovation in skin brightening technology, Lumixyl Brightening System uses a decapeptide to target existing hyperpigmentation and to prevent its recurrence. Lumixyl products are proven to be powerful but gentle on skin. Lumixyl is ideal for all skin types.

      The following is a list of skin care ingredients to USE if you have Melasma;

      arbutin, bearberry, cucumber extract, hydroquinone, kojic acid, licorice extract, magnesium ascorbyl phosphate, mulberry extract, niacinamide, retinol, resorcinol, beta hydroxyl acid, vitamin c, oligopeptide 34,

    • 23

      What other forms of pigmentation conditions are there ?

      Read More
      • The most common localized pigmentation disorder affecting the skin are ephelides, more commonly known as freckles. Freckles appear as flat brown pigmentation in sun-exposed areas, usually on the face. They are much more common in fair-skinned individuals, and a propensity to have freckles is an inheritable condition. The degree of pigmentation in the skin changes according to the amount of ultraviolet light exposure, so that freckles usually darken in the summer and lighten in the winter.
      • Another very common skin disorder is known Post Inflammatory Hyperpigmentation PIH . The underlying mechanism is unclear, but may involve inflammatory mediators such as prostaglandins and leukotrienes. While the causes and clinical presentation of post-inflammatory hyperpigmentation can vary, they are usually secondary to a traumatic incident to the affected area of the skin such as acne, dermatitis, eczema or any form of inflammation of the skin. Sun exposure can worsen this condition. Topical therapies and treatments as mentioned above in combination with sunblock may help this condition
      • Solar lentigos/sun spots appear as brown lesions (about 1 centimeter in diameter), typically on the face and hands. Both acute and chronic UV exposure can cause lentigos. While they rarely appear on patients under fifty, they are not caused by age -- sun-protected skin is not affected, even in elderly patients. Solar lentigos are completely preventable with sun avoidance and daily sunscreen use. Finally, whether solar lentigos are treated or untreated, patients should undergo routine skin exams, as they may be at greater risk for skin cancer.

    There are many possible causes of pigmentation disorders, which are marked by changes in melanin, the pigment in skin.These may include progesterone (the Mirena), photosensitizing medications, thyroid dysfunction, stress and dysbiosis.

    There's overwhelming evidence that certain medical conditions are key players in your overall health and are the root cause of your pigmentation problems. Failure to address these conditions will lead to failure of your Hormonal Pigment treatment plan and ALSO lead to chronic disease.

    Melasma is more prevalent in darker-complexioned individuals though persons of any race can be affected due to the intense sun exposure in South Africa. This condition is seen most frequently in young women from the age of 28 years but can also be seen in men.

    At Skin, Body, Health Renewal, we treat all our patients holistically by dealing with all the issues that may be responsible for their initial presentation of hormonal pigmentation/ melasma at Skin Renewal. After obtaining a thorough history from our patients to exclude medical conditions that could be aggravating the hormonal pigmentation, we include ESSENTIAL supplements into our Hormonal Pigmentation treatment packages for optimal pigmentation treatments and health.

    The short answer is that melanin-its amount, quality, and distribution- creates human skin colour. The slightly longer answer is that melanin is produced within melanosomes, organelles located in the cytoplasm of melanocytes (skin cells in the basal layer of your epidermis). The number of melanocytes in human skin is the same in people of all races; in darker-skinned individuals, though, the melanosomes are larger and contain more melanin. Once melanin is produced, melanosomes migrate to the melanocytes' dendrite tips, where they come into contact with keratinocytes, skin cells closer to the surface of the epidermis. The final stage of the pigmentation process, however, wherein melanin is transferred from the melanocytes to keratinocytes, is still poorly understood.

    Melasma, also known as hormonal pigmentation, is a considerable problem for South African women. It is a chronic skin condition that occurs on the face in the form of brown patches and is a dynamic (active) condition that needs lifelong management. Its incidence is much higher in Asian and darker-skinned individuals than in fair-skinned people.

    • In many cases, a direct relationship with female hormonal activity appears to be present because it occurs with pregnancy and with the use of oral contraceptive pills and HRT/ hormone replacement therapy. However, unopposed oestrogen may also be an underlying factor and thus it is essential that the cause of this unopposed oestrogen is identified. If these underlying conditions are not addressed, any pigmentation treatments are doomed for failure and the pigmentation will return. At Skin Renewal, all consultations are holistic and get to the root cause of the problem be it acne, Rosacea or hormonal pigmentation. Even our anti aging consultations are treated holistically.
    • The pathophysiology of melasma is uncertain. In many cases, a direct relationship with female hormonal activity appears to be present because it occurs with pregnancy and with the use of oral contraceptive pills and HRT/ hormone replacement therapy.
    • After pregnancy Melasma (chloasma) or pigmentation usually clears within a few months of delivery but may persist indefinitely.
    • Any change in hormonal status with higher levels of estrogen is thought to trigger and aggravate the condition (i.e. birth control pills and pregnancy).Discontinuing the use of contraceptives rarely clears the pigmentation and it may last for many years after discontinuation.
    • However many women without these risk factors also develop.
    • Other factors that may be implicated are progesterone (the Mirena),
    • photosensitizing medications such as tetracyclines or anti psychotic medication or medical conditions such as mild ovarian or thyroid dysfunction and dysbiosis, thus it is important to consult with a Skin Renewal doctor to diagnose the cause of Hormonal pigmentation/ Melasma.
    • Other possible causes could probably include genetic predisposition and exposure to ultraviolet light. visible light which emits infra red A ( sunlight , TVs, computer screens, fluorescent lights, hair dryers, clay ovens) and excessive heat which causes inflammation ( such as saunas and steam baths).
    • Stress may also produce certain hormones that worsen melasma.
    • UVA rays are a stimulant for melanin (brown pigmentation) to develop on the skin, and unfortunately can even penetrate through car window glass.
    • Any activities that cause intense heat to the face ( from steam showers, hot closed environments, sitting on the beach even under cover and with full sun protection, etc) causes inflammation which is a powerful stimulator of melanin.
    • Melasma is more prevalent in darker-complexioned individuals though persons of any race can be affected due to the intense sun exposure in South Africa.

    Pigmentation disorders such as melasma or chloasma (during pregnancy) arise from increased melanin in the lower layers of the skin and increased free melanin in the skin. Hormonal pigmentation is usually brown with a non-distinct border, and is usually found symmetrically on the face or jawline . Melasma can appear on the central facial areas such as the cheeks, moustache, and forehead areas. Melasma affects both men and women, though it is more frequent in women (up to 30% may be affected) and usually starts to appear from the age of 28 years onwards.

    • Centro Facial (forehead),
    • Malar (cheekbones) and
    • Mandibular (jawline).
    • Epidermal melasma is the most common form and is easily treated with a combination of superficial chemical peels, Limelight or Photo Genesis procedures.
    • Dermal melasma: If the melanin has leached into the dermis, this is known as dermal melasma. The deeper the pigment is and the more difficult it is to treat. Dermal melasmas not treated with superficial peels and is best treated with mid dermal peels such as a Skin Renewal's 3 D peel, Cosmelan, Dermamelan or injected mesotherapy with Tranexamic acid to penetrate into the dermis to reach the pigment.
    • Mixed Epidermal-Dermal melasma is a combination of the above and is treated the same way as dermal melasma.

    Make an appointment to consult with your Skin Renewal Doctor and he/ she will assist you in determining your risk factors for pigmentation and how best to prevent any problems or conditions that you may be susceptible to.

    At Skin, Body, Health Renewal, we treat all our patients holistically by dealing with all the issues that may be responsible for their initial presentation. One should consult with Skin Renewal doctor to rule out the possibility of an underlying systemic health disorder that requires medical treatment. There's overwhelming evidence that certain medical conditions are key players in your overall health and are the root cause of your pigmentation problems. Failure to address these conditions may lead to failure of your Hormonal Pigment treatment plan and ALSO lead to chronic disease.

    Your Skin Renewal doctor will conduct a physical examination, examining the location, distribution, color, and appearance of the areas of increased pigmentation. Ask your Skin Renewal doctor to look at your skin with a Wood's light- a type of black light -which is available at all Skin Renewal clinics - or the Visia Complexion analyser

    Your Skin Renewal doctor will also evaluate whether external factors, such as hormones, medications, chemical exposure, or other environmental influences could have contributed to the increased deposition of pigment in the skin. Furthermore, the practitioner will make note of any prior history of pigmentation disorder and its treatment.

    We also include ESSENTIAL supplements into our Hormonal Pigmentation treatment packages for optimal pigmentation treatments and health. Schedule an appointment with one of our experienced Skin Renewal doctors to find out what underlying medical condition/ s could be aggravating your melasma/ hormonal pigmentation

    The initial medical consultation at Skin Renewal will be approximately 30 minutes. A thorough evaluation will be done by your Skin Renewal doctor, who will identify underlying conditions and lifestyle habits that may be aggravating your condition.

    If you think you are not affected by pigmentation, ask your Skin Renewal doctor to look at your skin with a Wood's light - a type of black light -which is available at all Skin Renewal clinics - or the Visia Complexion analyser. Our patients are always shocked by the as-yet-invisible dark spots that these lamps reveal. The Skin Renewal doctor will decide on a treatment plan or depending on:

    • how long you have had hormonal pigmentation?
    • If the Hormonal pigmentation/ melasma has been present or more than 2 years it may be more difficult to improve
    • what medications you are taking
    • previous treatment failures or successes
    • whether dermal pigment is present.
    • After the Woods lamp analysis, deeper dermal pigment can be identified and an appropriate treatment schedule can be prescribed
    • your Skin type. Deeper/more aggressive skin peels and IPL/Lime Light procedures cannot be done on darker skin types 5 and 6
    • your expectations and budget restraints
    • your occupation/sporting/recreational activities
    • A thorough evaluation will be done by your Skin Renewal doctor, who will identify conditions and lifestyle habits that may be aggravating your condition.
    • Hormonal pigmentation/ Melasma is a dynamic, chronic condition which has to have ongoing management by applying a pigment inhibitor daily. We have numerous Prescription and non prescription topical Brightening / pigmentation products at Skin Renewal.
    • Without the strict avoidance of sunlight and the continued use of home topicals mentioned above to downregulate the enzymes responsible for making pigment , potentially successful treatments for melasma and pigmentation are doomed to fail.
    • To prevent increased Hormonal Pigmentation and PIH (Post inflammatory Hyperpigmentation) before and after any peel or IPL procedure, pretreatment for a period of 2 to 4 weeks is recommended to downregulate the enzymes responsible for making pigment
    • Our superficial peeling treatment of choice at Skin Renewal is the Beta Melanostop peel which is a 4 peeling combination of salicylic acid, rescorcinol, phytic and azelaic acid combined with a transdermal brightening mesotherapy
    • Prescription skin-bleaching agents are extremely helpful in brightening melasma and maintaining skin-brightening improvements and may be prescribed by our Skin Renewal doctors
    • In addition, THE CONTINUED USE OF RECOMMENDED PIGMENTATION PRODUCTS IS MANDATORY AFTER ANY PEEL / IPL procedure .
    • SPF of 50 MUST be applied twice daily
    • Any laser procedure such as fractional laser that causes excessive redness and inflammation should be avoided as there may be aggressive rebound hormonal pigmentation a few weeks/ months later especially if NO post treatment depigmentation products are prescribed
    • At Skin Renewal we recommend that you avoid hot baths, Bikram Yoga, steam saunas, tanning beds and dry saunas as they can cause excessive inflammation and may aggravate hormonal pigmentation
    • At Skin Renewal we are pleased to introduce Skin Brightening IV infusions for pigmentation. See below

    Many all-natural, topical skin-brightening agents have been found to be quite beneficial in brightening hyperpigmented areas of the skin. These include alpha arbutin, as well as kojic acid, azelaic acid nicotinamide and Liquorice root (Glycyrrhiza glabra).

    Topical applications of natural, fruit-derived alpha-hydroxy acids, including glycolic acid, have been extremely beneficial in combination with the aforementioned bleaching agents. For enhanced results, these products should be used in conjunction with exfoliation treatments such as peels and transdermal pigment brightening Mesotherapy.

    The following is a list of skin care ingredients to AVOID due to worsening melasma pigmentation and dark spots.

    oestradiol, oestrogen, genistein ,black cohosh, chasteberry, hops, red clever, soy, wild yams.

    • If the underlying condition is not identified and managed, then the pigmentation will return and suboptimal treatment can be expected. That is why it is important to,attend a skin clinic that treats you holistically.
    • Pigmentation present for more than 2 years may be more resistant to treatment as dermal pigment may be present and this may need transdermal therapy with TA (Tranexamic acid) or deeper peels Cosmelan or Dermamelan depigmentation treatments which are suitable on all Skin Renewal types.
    • Dermal pigment is caused by the melanocyte distributing pigment/ melanin into the dermis instead of the epidermis.
    • This dermal pigment may take longer to resolve than epidermal pigment . The source of the dermal pigment is the epidermis so if the epidermis can be prevented from making melanin for long periods with home topicals and peel/ depigmentation treatments such as a series of superficial peels, Cosmelan and Dermamelan, the dermal pigment will not replenish and will slowly resolve..but this may take months.
    • Normal SPF sunblock protect against UVA and UVB but NOT AGAINST infra red A.
    • Without the strict avoidance of sunlight and the continued use of home topicals mentioned above to downregulate the enzymes responsible for making pigment , potentially successful treatments for melasma and pigmentation are doomed to fail.
    • infra red A , a relatively new discovery, is a deep dermal ray which causes accelerated ageing
    • Infra red A is found in ANY visible light that emits heat such as sunlight, computer screens, fluorescent lights, heaters and even hair dryers
    • Normal SPF 50 sunblock protects against UVA and UVB but does NOT protect AGAINST infra red A.
    • One is only 56 % protected with a good SPF 50 sunblock
    • If one applies a topical anti oxidant such a Vit C, Vit E , Ferulic and Phloretin, 96 % sun protection can be achieved
    • Only topical antioxidants such as Vit C, Vit E , Ferulic and Phloretin can protect against infra red A
    • For continued sun protection and to maintain results, oral supplements such as Ovelle( Pycnogenol®) or Heliocare( Polypodium Leucotomas ) together with MSM with Vit C can be taken orally to increase ones resistance to the sun
    • In addition Pycnogenol and Polypodium Leucotomas are powerful anti oxidants that stop the enzyme that breaks down collagen( MMP) and protect against infra red A, which is present in the light from sun exposure, computer screens, fluorescent lights etc
    • A thorough evaluation / medical history will be taken at the initial consultation to ensure that all causes of Melasma are addressed.
    • After a series of 4 to 6 in office medical peel treatments combined with home topicals, the topical products need to be applied indefinitely and one of the above mentioned topicals is recommended. These can be alternated over time.
    • If there no improvement after the 6th treatment then we usually recommend that a Health Renewal consult with one of our integrative doctors to exclude medical causes of pigmentation. This may also include a course of Skin Renewal brightening intra venous infusions with Glutathione .. See below
    • In addition, if there no improvement after the 6th treatment of superficial peels and topical products, Cosmelan or Dermamelan or Injected Tranexamic acid mesotherapy treatments are recommended to treat dermal melasma and PIH which has been present for more than 2 yrs
    • If the melanin has leached into the dermis, this is known as dermal melasma
    • The Laser Genesis procedure can be done in all skin types as it targets dermal pigment by heating up the melanophage ( which contains the melanin) trapped in the and aids the "release" of the trapped dermal pigment so it can move up to the epidermis where it can be exfoliated with normal epidermal renewal. Laser genesis also "polishes" the skin and improves fine lines, wrinkles , pores and texture.
    • For all peels prescription creams such as Retin A or retinols must be stopped stop 3 days before each treatment and restarted 3 days after the peeling process.

    At Skin Renewal we are pleased to announce our new breakthrough in skin brightening and Cellular Defense: An intra venous infusion of a combination of powerful anti-oxidants such as glutathione delivered with vitamins and fluids to hydrate the skin and reduce melanin production in all our pigmentation afflicted patients. After a series of treatments a lighter fairer skin tone may result. Glutathione is an extremely effective antioxidant comprised of three essential amino acids. It plays a major role in helping your liver detoxify harmful chemicals by binding to the toxins, facilitating their easy elimination. The body produces glutathione naturally, and research has shown healthy intake of Vitamin C boosts its production. If glutathione levels are normal, the body’s ability to fight neurological disorders like Parkinson’s disease is strong. If they are low, you are susceptible to a revolving door of conditions.

    • the immune system,
    • the gastrointestinal system
    • the nervous system

    Glutathione is a tripeptide (made of 3 amino acids) that is produced in the body in small amounts. Glutathione is an extremely effective antioxidant, which as we know means that it reduces free radicals in the body reactive oxygen compounds. It has also been shown to bind to toxic substances in the body and assist in flushing them out of the system. Glutathione is also an important player in the synthesis and repair of DNA, protein synthesis, and enzyme activation.

    As you can see, glutathione should be an important part of any supplementation regimen. These benefits can be received through fairly reasonable dosages of Glutathione, making it an excellent addition to any supplementation regimen. At higher dosages, glutathione may also be effective at brightening skin.

    There are few other factors which are predictive of our life expectancy as is our level of cellular glutathione. Glutathione levels in our cells are predictive of how long we will live. Glutathione is called the “Master Antioxidant” without it other important anti-oxidants such as Vitamin C and E cannot do their job adequately to protect your body against disease. No other anti-oxidant is as important to overall health as glutathione. It is the regulator and regenerator of immune cells and the most valuable detoxifying agent in the human body. Low levels are associated with hepatic dysfunction, immune dysfunction, cardiac disease, premature aging, and death. Glutathione is water soluble, and easily destroyed by the body systems.

    The only downside to glutathione supplementation is that when taken orally, the gastrointestinal system breaks much of the glutathione down into its 3 component amino acids before it can be absorbed into the system. This means that you must take much more glutathione than the effective dose to make sure that you are getting a sufficient amount into the system. This is where IV Glutathione supplementation comes into play. By taking glutathione intravenously it is possible to get the supplement directly into the body in its original form, bypassing any of the degrading processes associated with oral supplementation.

    For skin Brightening, this would seem to be the only reasonable method. Attempting to take a sufficient amount of glutathione for skin whitening through oral supplementation is wasteful and may be ineffective due to the breakdown of the digestive system. IV Glutathione for skin whitening has been used in China and Japan for many years to assist women with brightening their skin.

    For skin Brightening, it is recommended to have IV infusions twice a week in the first month in order to get the full benefit. After this period, infusions can be done weekly until your desired skin tone and results are achieved. Thereafter a session every month to maintain results

    MSM is a powerful activator of the powerful anti oxidant Glutathione . MSM may facilitate the break up of pigmentation in the skin/ dermis as it a natural detoxifier of the lipofuscin / lipopolysaccharides/ brown pigment in the skin .

    MSM contains sulphur which is necessary for the production of new cells and plays an essential part in the synthesis of collagen and keratin, vital protein substances that are needed to make and maintain hair, nails and skin. Hair and nails grow faster and stronger with good levels of sulphur. This compound is also responsible for the flexible bonds between cells and helps to block the cross-linking of collagen, an effect responsible for the appearance of wrinkles and aging skin.

    Sulfur helps the body to form keratin, the protein that makes up the main part of the outermost layers of your hair and nails. It is a tough, fibrous protein that is very resilient to the effects of damaging chemicals and other harmful agents. Each strand of hair has its own keratin supply, which is stored in the root. Sulfur is also contained in biotin, a B vitamin that is essential for shiny hair and strong nails. You may be interested to know that the natural inclination of hair to be straight or curly is maintained in part by the sulfur amino acids. MSM benefits dry scalp and hair and improves nail growth and benefits your cuticles and nails.

    Acne, including rosacea has been shown to respond favourably to MSM in studies, sulphur has also been found to enhance wound repair. MSM acts to keep the skin's cells and the tissue soft. Keeping the skin soft ensures that it remains elastic enough to allow stretching and movement without damage. Smooth, flexible skin is less prone to wrinkles and dry flakiness. It even helps stretch marks. MSM benefits the skin and internal organs.

    1. Lamelle's Luminesce, an advanced pigmentation program which addresses hyper-pigmentation by reducing melanin at several points in its production, as opposed to just one point as with other treatments. Luminesce uses groundbreaking peptide technology (Oligopeptide 34) for treating pigmentation .

    2. Brighter Concentrate by Lamelle has Oligopeptide 34 plus 3 new novel pigmentation peptides added to the formula which offers excellent results in combating epidermal and post inflammatory hyper- pigmentation ( PIH).

    An added benefit is that the combination of peptides used in the range offers anti-ageing benefits to the skin as they stimulate collagen producing cells. By adding the supplement Ovelle or Heliocare, the melasma will be reduced further by 37% within 4 to 6 weeks of use.

    3. Lumixyl Brightening System is a revolutionary multi-faceted system that dramatically improves the appearance of hyperpigmentation tolerably and without the side effects associated with prescription Hydroquinone or retinoids. An innovation in skin brightening technology, Lumixyl Brightening System uses a decapeptide to target existing hyperpigmentation and to prevent its recurrence. Lumixyl products are proven to be powerful but gentle on skin. Lumixyl is ideal for all skin types.

    The following is a list of skin care ingredients to USE if you have Melasma;

    arbutin, bearberry, cucumber extract, hydroquinone, kojic acid, licorice extract, magnesium ascorbyl phosphate, mulberry extract, niacinamide, retinol, resorcinol, beta hydroxyl acid, vitamin c, oligopeptide 34,

    • The most common localized pigmentation disorder affecting the skin are ephelides, more commonly known as freckles. Freckles appear as flat brown pigmentation in sun-exposed areas, usually on the face. They are much more common in fair-skinned individuals, and a propensity to have freckles is an inheritable condition. The degree of pigmentation in the skin changes according to the amount of ultraviolet light exposure, so that freckles usually darken in the summer and lighten in the winter.
    • Another very common skin disorder is known Post Inflammatory Hyperpigmentation PIH . The underlying mechanism is unclear, but may involve inflammatory mediators such as prostaglandins and leukotrienes. While the causes and clinical presentation of post-inflammatory hyperpigmentation can vary, they are usually secondary to a traumatic incident to the affected area of the skin such as acne, dermatitis, eczema or any form of inflammation of the skin. Sun exposure can worsen this condition. Topical therapies and treatments as mentioned above in combination with sunblock may help this condition
    • Solar lentigos/sun spots appear as brown lesions (about 1 centimeter in diameter), typically on the face and hands. Both acute and chronic UV exposure can cause lentigos. While they rarely appear on patients under fifty, they are not caused by age -- sun-protected skin is not affected, even in elderly patients. Solar lentigos are completely preventable with sun avoidance and daily sunscreen use. Finally, whether solar lentigos are treated or untreated, patients should undergo routine skin exams, as they may be at greater risk for skin cancer.

    Reviews

    See all reviews
    Review -Bianca an asset!
    Reviewed on 1 September 2018 by Anonymous
    Skin Renewal Morningside Sandton
    Azelan Chemical Peel

    Bianca is excellent. She is patient with my skin and gives great beauty advise. Truely an asset to the team.

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    Review -Dermapen, Limelight, Skin Peels
    Reviewed on 24 August 2018 by Anonymous
    Skin Renewal Constantia
    Dermapen Skin Needling

    I have been having dermapen and skin peel treatments with Bernice at Constantia Branch for some time now. Bernice has a magical touch and all my treatments have been extremely relaxing and time well spent. Bernice is professional, knowledgeable and keeps me updated on other skin treatments and products that will compliment my skin type. I highly recommend her and will continue having her as my skin therapist for my pigmentation problems.

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    Review -Excellent Service
    Reviewed on 14 August 2018 by Anonymous
    Skin Renewal Bedfordview

    Dr Zander restored my confidence with Skin Renewal. He is passionate about making sure the client achieves the desired results possible.

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    Review -Mrs South Africa Top 25 Finalist: Pigmentation
    Reviewed on 13 August 2018 by Sharlene Correia
    Skin Renewal Illovo Sandton

    I met with one of the doctors last week who did a skin analysis and have prescribed four products that I should use on my skin to improve the dryness. I have had to prepare my skin with these products this past week for my next consultation where I will be going in for a light peel. I am quite excited as she said this will bring new cell generation to the surface and help with the pigmentation that I developed when I was pregnant.

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    Review -Treated by Bernice
    Reviewed on 7 August 2018 by Anonymous
    Skin Renewal Constantia
    Laser Genesis™ Rejuvenation

    I always feel safe and taken care of. At all times knowledgeable, tolerant, she procures confidence and peace. And results? Great as usual. Many Thanks!

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    Review -Excellent service at Skin Renewal Umhlanga
    Reviewed on 4 August 2018 by Anonymous
    Skin Renewal Umhlanga
    Radiance Peel

    Skin Renewal Umhlanga not only makes you feel comfortable and welcomed but offers you a wide range of treatments and products. The staff are all highly experienced and equipped to offer the best advice. After only a few sessions of the Radiance peels, I have noticed a change in my skin tone and texture. I have no doubt that by the end of my treatment, I would have achieved exactly what I sought out to.

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    Review -Professional, thorough, attentive and careful
    Reviewed on 21 July 2018 by Amy Wessels
    Skin Renewal Constantia
    Laser Genesis™ Rejuvenation

    Bernice has been my 3rd therapist at the Renewal Institute over the past 1,5 years I've been having treatment. She is by far the best of all characteristics in the heading of this review, of all the treatments I do here. She has also been the most caring about the sustainability of my treatments, by suggesting only the most needed products for my skin. This is the best investment of mine, and Bernice is instrumental in making it so. She is the best.

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    Review -Face Pigmentation
    Reviewed on 7 July 2018 by Lulu Khumalo
    Skin Renewal Bedfordview
    Cosmelan Depigmentation

    Well it was my first time to come and know more about my pigmentation on my face. I was so scared that maybe they will say there is nothing that they can do

    because I have been like this for a very long time. But surprisingly the staff was excellent. Starting from the reception to the Dr. Will recommend Bedfrodview to everyone.

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    Review -Wonderful experience
    Reviewed on 5 July 2018 by Anonymous
    Skin Renewal Constantia
    Laser Genesis™ Rejuvenation

    Thank you so much for the treatment. It's always a wonderful experience to come to the Constantia branch. The staff are always friendly and professional.

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    Review -Perfection!
    Reviewed on 28 June 2018 by Anonymous
    Skin Renewal Fourways
    Limelight™

    Perfection!!! Very happy with my treatments. Beverly is very professional, helpful and friendly. Won't go anywhere else.

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    Review -Pigmentation Treatment
    Reviewed on 20 June 2018 by Anonymous
    Skin Renewal Fourways
    Fraxel ® DUAL laser

    Professional experience, Bev informed me of the whole process and even during the treatment. Results have been amazing and would recommend the treatment to anyone with pigmentation or any other skin issues.

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    Review -Lovely Bernice
    Reviewed on 18 June 2018 by Anonymous
    Skin Renewal Constantia
    Exilis Elite

    I have been so grateful to have received the expert care and gentle treatment offered to me by Bernice over the last few months. Her treatments have been top class and together with Dr Taryn, Bernice has devised an expert plan to deal with my problem areas. I finally feel that I am achieving the results I have been aiming for. Thank you Bernice, for being empathetic, gentle, thorough and professional.

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    Review -Compliments Angelique Rademeyer
    Reviewed on 6 June 2018 by Mohaila Moletsame

    I am writing this letter to extend my heartiest compliments to Angelique Rademeyer, she is an excellent therapist. I am very happy with my treatments and product selection. I look forward to the journey ahead with Angelique Rademeyer. From a very satisfied client.

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    Review -Compliments “Angelique Rademeyer”
    Reviewed on 6 June 2018 by Mohaila Moletsane
    Skin Renewal Illovo Sandton
    Melanostop

    I am writing this letter to extend my heartiest compliments to Angelique Rademeyer, she is an excellent therapist. I am very happy with my treatments and product selections. I look forward to the journey ahead. From a very satisfied client.

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    Review -Compliments to Angelique Rademeyer
    Reviewed on 6 June 2018 by Mohaila Moletsame
    Skin Renewal Illovo Sandton
    Radiance Peel

    I am writing this review to extend my heartiest compliments to Angelique, she is an excellent therapist. I am very happy with my treatmnets and product selection. I look forward to the journy ahead with her. From a very satisfied client.

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    Review -Bernice’s Service
    Reviewed on 23 May 2018 by Anonymous
    Skin Renewal Constantia
    Fraxel ® DUAL laser

    In the short two months' time, I've been coming to Bernice, my skin has already visibly improved. Her knowledge, skill and professionalism are matched by her kindness, patience and ability to explain the many different treatments available. She inspire trust and I look forward to each appointment, not only because I will see results, but also because she treats me like a friend who she genuinely cares about. Thank you!

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    Review -Professional skin care at its best
    Reviewed on 21 May 2018 by Anonymous
    Skin Renewal Constantia
    Laser Genesis™ Rejuvenation

    Bernice is very professional. I have been with several treatments with Bernice and she always makes me feel comfortable and relaxed. She is very knowledgeable about the different treatments Skin Renewal offers and I regularly follow her advise when buying new products. My skin always feels great after treatments. I would recommend this investment in skin care to anyone and I would definitely recommend Bernice as a therapist.

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    Review -Life Changing
    Reviewed on 21 April 2018 by Catherine Newton
    Skin Renewal Parkhurst

    From the time I arrive, greeted by David to the beautiful atmosphere and professional beauticians and skin specialists, its a beautiful place of tranquillity. The treatments are individually packaged for specific needs to keep a woman feeling beautiful inside and outwardly radiant.

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    Review -Amazing Progress
    Reviewed on 7 March 2018 by S. N.
    Skin Renewal Bedfordview

    From the time I began the treatment, I had no courage for not seeing any progress on my face. Therefore, at a later stage, I have seen an amazing progress though its taking place steadily. My pigmentation is steadily getting removed rather than getting lighter. I am inspired by the small portion I see and I believe time heals, that is, I have to be patient for excellent results.

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    Review -Bernice is a star
    Reviewed on 1 March 2018 by Anonymous
    Skin Renewal Constantia

    Brilliant, caring, professional service received throughout my time with her. I have never been one for "regular" facial treatments until I met Bernice. She is very knowledgeable and passionate about what she does and always took a lot of care explaining exactly what the treatments involved and what could be expected. She gently introduced me to new treatments and opened my mind to trying new things.

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    Review -Best spa and skin place ever
    Reviewed on 16 February 2018 by Genevieve Edwards
    Skin Renewal Illovo Sandton

    I have been coming to Skin Renewal since Aug 2010. I will never, ever go anywhere else. Every treatment over the last years has been beyond brilliant and keeps me being a loyal customer. My skin at 35 years looks 10 years younger. Thanks my Carmen and team. Lots of love.

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    Review -Excellent service from Nurse
    Reviewed on 10 September 2017 by Fazlin Swanepoel
    Skin Renewal Fourways
    About IV Infusion

    I would like to commend the nurses at Fourways on her excellent service. She is professional, knowledgeable and caring. I would definitely recommend her services.

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    Review -Welcoming, friendly staff
    Reviewed on 3 June 2016 by B.S from West Rand
    Skin Renewal West Rand
    Mesotherapy

    The therapist Sharon is professional, informative and experienced. She was welcoming, friendly and went out of her way to assist me. Thank you, Sharon, you made my consultation a pleasurable experience.

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    Review -Excellent service!
    Reviewed on 22 December 2015 by Stefan Enslin
    Skin Renewal Illovo Sandton
    Limelight™

    I have been to many treatments before. Absolutely love the treatments at Illovo and the way everything is explained in detail. Well done to an awesome branch.

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    Review -Amazing experience!
    Reviewed on 14 December 2015 by Danielle Douglas
    Skin Renewal Cape Quarter
    TCA Chemical Peels

    Melissa is always friendly and 100% punctual, she also takes the time to make it a lovely and relaxing experience. I never feel rushed, the atmosphere is calm and tranquil. She has never hurt me and I she will often ask how my experience is. I thoroughly enjoy my treatments with her. She is both extremely knowledgeable and efficient in all she recommends and does!

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    Review -​I have been coming here for years!
    Reviewed on 26 November 2015 by Chauke
    Skin Renewal Parkhurst
    Cosmelan Depigmentation

    I have been coming here for years now and been with Kelly throughout. I am very pleased with her work and have been seeing great results as well. She is professional as well as really relaxed, calm and makes the experience really special all the time.

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    Review -Relaxed environment, friendly and efficient staff!
    Reviewed on 5 November 2015 by Faheema Khan
    Skin Renewal Parkhurst
    3 D Skin Rejuvenation™

    My skin feels much smoother. It has a natural glow and my moisturisers absorb quicker. The therapist had always been informative and explained all the treatments prior to them beginning. Relaxed environment, friendly and efficient staff!

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    Review -Absolutely love the results!
    Reviewed on 2 November 2015 by C.H from Cape Quarter
    Skin Renewal Cape Quarter
    Fraxel ® DUAL laser

    I absolutely love the results from all various treatments I have been receiving. I feel and look 10 years younger. Melissa is unbelievably knowledgeable and I trust her with my skin 100%. She is brilliant!

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    Review -Fabulous personality!
    Reviewed on 28 October 2015 by Lenske van den Berg
    Skin Renewal Cape Quarter
    Intense Peels & Laser Peels

    Melissa is an amazing therapist with a wealth of knowledge and fabulous personality to boot. My skin is showing great improvement and Melissa is great with recommending what I need. My monthly visits here are a real treat!

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    Review -Consistent Professional Excellence!
    Reviewed on 26 October 2015 by Sorina Oberholzer
    Skin Renewal Cape Quarter
    Cosmelan Depigmentation

    Melissa is highly personable and extremely professional. I trust her skill and recommendations implicitly and I am comfortable around her (she also happen to be one of my favourite people all round). She delivers consistently high treatment standards!

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    Review -Absolutely professional!
    Reviewed on 22 October 2015 by Harriet Smith
    Skin Renewal Willowbridge

    The therapists are absolutely professional in their jobs. I would highly recommend her and have been satisfied with her treatments and advise throughout my time at Skin Renewal Willowbridge.

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    Review -Definitely recommend Skin Renewal for the best treatments!
    Reviewed on 16 October 2015 by A.G From Brooklyn
    Skin Renewal Brooklyn
    3D Peel

    Staff always friendly and polite. Always willing to help move an appointment around. I have already recommended Skin Renewal to a few of my friends.

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    Review -Warm and welcoming atmosphere!
    Reviewed on 6 September 2015 by Tebogo Mathebula
    Skin Renewal Brooklyn
    Beta Hydroxy Peels

    Warm and welcoming reception. My therapist Landa takes me through all the steps of the treatment to make me comfortable. She is a pleasure to work with and has a great personality! Best wishes.

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    Review -Thanks Skin Renewal, you guys rock!
    Reviewed on 3 July 2015 by Minki Witbooi
    Skin Renewal Cape Quarter
    Dermamelan Depigmentation

    I visited Skin Renewal to seek help for my pigmentation. The doctor explained everything step by step. The staff is friendly and kind. I really see improvement on my face. My therapist Melissa is just amazing. I can't wait to see the end results. Thanks Skin Renewal, you guys rock!

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    Review -People comment on how good my skin looks
    Reviewed on 14 April 2015 by Michelle Davias
    Skin Renewal Illovo Sandton
    Dermamelan Depigmentation

    My battle with severe pigmentation has been for several years - I went to every doctor, dermatologist, plastic surgeon available to me. I have done Fraxel, to name a few, all these treatments would only cause slight improvement and then a month or two later it would come back in some way darker than it originally was. Doctor Allem has been my saving grace. I wish I came to her sooner, she is a power house of knowledge on all issues, specially relating to pigmentation and ageing. People comment on how nice my skin is looking and ask what I have done. I would only recommend Dr Allem and her branches. I cannot express my thanks to her enough.

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    Review -Pigmentation
    Reviewed on 30 March 2015 by Barbara Mtetwa
    Skin Renewal Fourways
    Dermamelan Depigmentation

    I am so pleased with the treatment I received. My face has become much better in the last 6 weeks. Looking forward to seeing you when I get Back from Overseas.

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    Review -Pigmentation Treatment
    Reviewed on 13 February 2015 by Ros September
    Skin Renewal Claremont
    3D Peel

    Good service from Heather and the Claremont Team. I Enjoyed being educated on the products and the process of my treatment.

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    Review -Bernice is fantastic!
    Reviewed on 15 December 2014 by Lindi Swanepoel
    Skin Renewal Stellenbosch

    Bernice adopts treatments to my individual needs to treat my pigmentation through various peels & facials. Her caring attitude always makes me feel special. She is exceptionally perceptive as to what products I need and can afford.

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    Review -Overall good service
    Reviewed on 31 October 2014 by Lindsey Fouldien
    Skin Renewal Fourways
    3 D Skin Rejuvenation™

    The therapists does my skin renewal treatments. She is very knowledgeable, helpful, excellent service.

    Overall experience: I cancelled appointment possibly because it was a birthday facial and not chargeable??? Overall good service.

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    Review -Love my time spent at Constantia
    Reviewed on 30 October 2014 by Anansa Pillay
    Skin Renewal Constantia
    Photo Dynamic Therapy PDT

    Constantia has amazing therapists, they are the best I've ever had: extremely professional and knowledgeable. I always love my time spent at Skin Renewal Constantia. They know exactly how to make a woman feel great about their skin. She, and the treatments, deliver amazing results.

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    Review -Awesome treatment
    Reviewed on 27 September 2014 by Charmaine Kazamula
    Skin Renewal Illovo Sandton
    Melanostop

    Angie has been treating my skin for a few years now and each treatment thus far has been awesome. Extremely friendly and good to my skin.

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    Review -The Facilities are fabulous
    Reviewed on 27 September 2014 by Samantha Greensmith
    Skin Renewal Fourways
    Limelight™

    The facilities are fabulous and the staff very friendly. My therapist took the time to explain what I should expect and took great care to accommodate my schedule.

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    Review -Treatment has really worked out amazing results!
    Reviewed on 27 September 2014 by J.P. from Skin Renewal Fourways
    Skin Renewal Fourways
    3 D Skin Rejuvenation™

    Nicole is very understanding and explains everything really well. Loving all the products and home care advice.

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    Review -Always feel like money well spent
    Reviewed on 26 September 2014 by Annalize van der Waal
    Skin Renewal Fourways
    3 D Skin Rejuvenation™

    The venue is superb, always spotless and fresh with everything working well. The staff is friendly and professional. Liezel is superb, always friendly with an amazing soft touch. I trust her advice. I always feel like my money was well spent coming here.

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    Review -The change in my skin is Great!
    Reviewed on 26 September 2014 by Kena Setshogoe
    Skin Renewal Fourways
    3 D Skin Rejuvenation™

    The therapist is very knowledgeable and provides consistent feedback on how the treatment works, what to expect during the session and how the skin will react post and in between sessions. Having had only 2 out 6 sessions so far, I am beginning to see a positive difference. My skin looks and feels firmer, the dark patches are fading and I feel great.

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    Review -Great therapist and treatment
    Reviewed on 25 September 2014 by N.M from Skin Renewal Irene
    Skin Renewal Irene
    Beta Hydroxy Peels

    Landa has been my therapist since I started treatments at Skin Renewal. Her service is excellent and she is always friendly and makes you feel comfortable. She is very professional in what she does and knows what she is doing.

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    Review -Happy with Treatments
    Reviewed on 24 September 2014 by Tryphina Ntholeng
    Skin Renewal Fourways
    Melanostop

    Consultant was very good and she explained the treatment in advance and also when it was done, she also explained what I should expect.

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    Review -Amazing Service
    Reviewed on 23 September 2014 by Tarryn - Lee Lottering
    Skin Renewal Fourways
    Limelight™

    I am amazed by the service I got from all the Skin Renewal therapists. They have been very professional and guided me on the best products and treatments for the problems I currently experience.

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    Review -I would recommend you anytime!
    Reviewed on 23 September 2014 by L. B from Skin Renewal Fourways
    Skin Renewal Fourways
    3 D Skin Rejuvenation™

    I have had a pleasant experience with my treatments at Skin Renewal Fourways. My therapist is always so friendly and makes me feel comfortable at all times. My results have been great. I would recommend them anytime.

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    Review -Friendly therapists
    Reviewed on 20 September 2014 by JW from Irene de Wet
    Skin Renewal Irene
    3 D Skin Rejuvenation™

    Landa my therapist is always friendly and asks about my personal life. She is genuinely concerned about my condition. Always friendly

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    Review -professional service
    Reviewed on 19 September 2014 by MDK from Fourways
    Skin Renewal Fourways

    Treatment has been most professional. I look forward to seeing results after the 4th treatment.

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    Review -Relaxed and friendly atmosphere
    Reviewed on 19 September 2014 by M. I from Skin Renewal Fourways
    Skin Renewal Fourways
    Beta Hydroxy Peels

    Liezel is always professional and cordial. Have known her level of expertise for years now. She is "firm"and "gentle" and explains the process. The atmosphere at the clinic/salon is relaxed and friendly as well with happy smiley faces,. I am anxious to see the end results after I have completed my 6-8 treatments. Crossing fingers that it has been money well spent.

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    Review -Helpful & supportive!
    Reviewed on 19 September 2014 by Z. T from Parkhurst Tengimgene
    Skin Renewal Parkhurst
    Dermapen Skin Needling

    Very helpful and the advice I get I will apply to my whole family. The continuous support from the team is amazing.

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    Review -Thank you!!
    Reviewed on 18 September 2014 by Ipeleng Selele
    Skin Renewal Parkhurst
    Laser Genesis™ Rejuvenation

    I am very pleased about the service and professionalism. My skin is looking radiant and healthy again. She is truly great and professional and proactive!

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    Review -First treatment experience
    Reviewed on 18 September 2014 by Ayesha Gani
    Skin Renewal Irene
    3 D Skin Rejuvenation™

    Landa is a good therapist, she definitely made me feel calm and collected before my first treatment. Keep up the good work!

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    Review -My overall experience was great!
    Reviewed on 18 September 2014 by Pauline Rathbone
    Skin Renewal Irene
    3D Peel

    The treatment and possible "after effects" was explained furthermore, Landa is very professional and made me feel comfortable at all times.

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    Review -I am free!!
    Reviewed on 18 September 2014 by NM from Skin Renewal Fourways
    Skin Renewal Fourways
    Beta Hydroxy Peels

    First thing you will feel warm like you are at home. They listen to you and they will give you their love. Importantly they make sure that you have the best health possible. They can help to balance your hormones. My face was really bad, anything that I used on my face was too strong for me. My face was itchy and red, now I am free!

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    Review -Uiterse bekwame hande!
    Reviewed on 15 September 2014 by Anonymous
    Skin Renewal Stellenbosch
    Laser Genesis™ Rejuvenation

    Baie professioneel, vriendelik en gee goeie raad vir my vel. Tammy probeer nie allerande onnodige produkte aan mens verkoop nie, maar gee die gevoel dat jy is in bekwame hande. Ek is 'n uiters tevrede klient.

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    Review -Very Impressed
    Reviewed on 15 September 2014 by MG from Skin Renewal Fourways
    Skin Renewal Fourways
    3D Peel

    Liezel is a very professional and I appreciate her honesty and have never felt that I'm just a patient she wants to make money out of. I also really appreciate her accommodating the difficult hours I ask for and her understanding when I'm late. The facility is very clean and calming an I enjoy it here.

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    Review -Extremely welcoming doctors and staff
    Reviewed on 13 September 2014 by Craig Frazer
    Skin Renewal Bedfordview
    3 D Skin Rejuvenation™

    The staff and Doctors are extremely welcoming and friendly, caring and professional. The procedure is thoroughly explained to you as well as the explaining of the procedure precautions of what to do and what not to do.

    I will and have recommended Skin Body Renewal to friends and colleagues.

    Thank you.

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    Review -Great Treatment
    Reviewed on 13 September 2014 by Robyn de Keijzen
    Skin Renewal Fourways
    Beta Hydroxy Peels

    I have been coming here for about 2 years. I have always been very happy with the results and Beverley is fantastic.

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    Review -“I always feel welcome and at home”
    Reviewed on 13 September 2014 by A. M. from Skin Renewal Parkhurst
    Skin Renewal Parkhurst
    Anti Ageing Mesoglow Facial

    The team is always professional and friendly. They always makes me feel welcome and at home. The therapist knows the products well and always explains the treatments. She has given me good advice since I started to see her and my skin has really improved. I always look forward to my monthly appointment. Thank you!

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    Review -Best investment ever made
    Reviewed on 13 September 2014 by Anonymous
    Skin Renewal Fourways
    Limelight™

    Making the decision to invest in proactive skin care was the best decision I have made. You can invest in clothes, but the decision to invest in your skin lasts forever. The preventative treatments have made huge improvements to my skin and confidence.

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    Review -Excellent service
    Reviewed on 12 September 2014 by CL from Skin Renewal Parkhurst
    Skin Renewal Parkhurst
    Mesotherapy

    Skin Renewal always delivers excellent service, both in terms of treatment and skin care advice. Therapists are very well trained, and quality of their service is always consistent.

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    Review -No Pain, No Gain!
    Reviewed on 12 September 2014 by Hayley Blake
    Skin Renewal Fourways
    Limelight™

    Therapist takes great care to talk, soothe and forewarn throughout treatment. Always very attentive, sensitive and caring.

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    Review -Expert advice given at Morningside
    Reviewed on 11 September 2014 by Anonymous
    Skin Renewal Morningside Sandton
    3 D Skin Rejuvenation™

    Expert advice and tailor-made treatments and trained professional therapists. They have a genuine concern and do their best for their clients' needs. Money well spent.

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    Review -Werklik Uitstekende Diens
    Reviewed on 9 September 2014 by Anonymous
    Skin Renewal Stellenbosch
    Photo Dynamic Therapy PDT

    Tammy lewer werklik uitstekende diens. Ek weet ek kan haar raad vra vir enige iets, en indien sy nie dadelik 'n antwoord vir my het nie sal sy altyd gaan uitvind. Sy laat my baie op my gemak voel en ek sien altyd uit na my behandelings by haar. Sy is voorwaar 'n aanwins vir Skin Renewal.

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    Review -Friendly and well explained
    Reviewed on 5 September 2014 by Carolyn
    Skin Renewal Fourways
    3 D Skin Rejuvenation™

    Great! Friendly yet not overly so, treatment is good and Nicole explains everything well.

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    Review -Look forward to our appointments!
    Reviewed on 4 September 2014 by Elicia Ramushu
    Skin Renewal Illovo Sandton
    Mesotherapy

    Angie is brilliant. She is always professional, friendly and takes interest in her clients. I look forward to our appointments!

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    Review -Always pleasant and happy to see them…
    Reviewed on 3 September 2014 by Anne Phasha
    Skin Renewal Fourways

    I have worked with Dr Lestonn and Liezel and wish to say that they have been excellent with treatments on both my face and neck. They are always pleasant and happy to see the client.

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    Review -Absolutely care to my comfort…
    Reviewed on 3 September 2014 by Sarah Chalmers
    Skin Renewal Fourways
    Limelight™

    Very proffessional and attentive staff! Complete transparency with prices and pay absolute care as to my comfort during treatments.

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    Review -Skin Renewal Review
    Reviewed on 1 September 2014 by Mala Govender
    Skin Renewal Bedfordview
    3 D Skin Rejuvenation™

    Customer service is excellent. Always willing to assist when required. Time frame with regard to Feedback is excellent. The therapist is excellent, friendly always willing to assist when required. Enjoy my session with her. Makes me feel as if I am at home.

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    Review -I can see the difference on my skin
    Reviewed on 29 August 2014 by Winnie Ndlovu
    Skin Renewal Bedfordview
    3 D Skin Rejuvenation™

    I can see the difference on my skin after only two sessions. Very happy with the results so far and the treatment I'm getting at skin renewal.

    Thank you very much.

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    Review -Excellent service
    Reviewed on 27 August 2014 by Daphne Hartney
    Skin Renewal Bedfordview

    Friendly, helpful staff.

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    Review -I love the treatments
    Reviewed on 26 August 2014 by Fortunate Dube
    Skin Renewal Bedfordview

    I Love that all treatments that have been done on my face, have made a huge change to my skin! Not much breakouts any more and improved discoloration.

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    Review -Excellent service and treatment
    Reviewed on 18 June 2014 by Anonymous
    Skin Renewal Irene
    Carboxytherapy

    I would like to thank Ilona Swart for her excellent service and treatment. Ilona is always warm, friendly, efficient and punctual at each appointment I attend with her. Her knowledge is exceptional and her service is world class. She makes every visit to the Irene branch an experience to treasure! Thank you Ilona!

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    Review -Compliments
    Reviewed on 2 March 2014 by S.R. from Skin Renewal Irene
    Skin Renewal Irene
    Beta Hydroxy Peels

    I have had the best skin Renewal experience since my 1st visit. The staff are amazing. Dr is kind and patient, Alex keeps me on time and up to date with my appointments, Natasha is sweet, welcoming and keeps the house in order. Last but not least is my therapist Landa, she is awesome, warm hearted and is always keeping me calm and stable during my treatments... They are a splendid family.

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