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How to tighten your skin with collagen, diet and skin rejuvenation treatments.

The skin's natural aging with a focus on collagen loss, elasticity and skin quality over time.

The elasticity of the skin changes over the years and changes in the face are one of the most common signs of the skin's natural aging. Many people experience that the skin gradually loses its elasticity, firmness and elasticity, which can lead to a less defined jawline, lack of volume in the cheeks and a reduction in facial features. Fortunately, there are now several effective methods to treat sagging skin on the face, both through proper nutrition, healthy lifestyle habits and modern collagen-stimulating treatments.

If you want to tighten your skin without surgery, it's important to understand why your skin becomes saggy and what measures can actually strengthen your skin's structure in the long term. In this guide, we'll go over the causes of sagging facial skin, how collagen production affects skin firmness, and what treatments can help you maintain youthful skin for longer.

Why does the skin on your face become loose?

Sagging facial skin occurs when the production of collagen, elastin and hyaluronic acid gradually decreases. These substances act as the skin's natural support structure and help keep it feeling firm, hydrated and elastic.
Aging is the most common cause, but several factors can accelerate the development of sagging skin:
  • Genetic
  • Hormonal changes
  • Sun damage
  • Smoking
  • Stress
  • Sleep deprivation
  • Weight changes
  • Nutritional deficiencies
Many people start to notice the first signs after the age of 30 as the body's natural collagen production gradually decreases.

Common signs of sagging facial skin

  • Sagging skin along the jawline
  • Hamster bags
  • Less pronounced cheekbones
  • Lost facial volume
  • Sagging cheeks
  • Heavy eyelids
  • Sagging skin on the neck
  • Deeper nasolabial folds
  • Tired and aged facial profile

Skin aging begins with decreased collagen production

When we talk about sagging skin on the face, it's basically about changes in the skin's supporting tissue. Collagen is the protein that gives the skin its strength and firmness, while elastin allows the skin to return to its original shape after movement and facial expressions.
From around the age of 25, collagen production gradually decreases each year. At the same time, existing collagen breaks down faster than the body can replace it. This leads to the skin becoming thinner, less elastic and more prone to sagging.
To slow down this process, the body needs the right nutrients, sufficient recovery and, if necessary, collagen-stimulating treatments that help the skin rebuild its structure.

Diet that strengthens the skin from within and stimulates collagen

Many people focus on skincare products, but skin quality is built primarily from within. A nutritious diet can provide the body with the building blocks needed to support collagen production and improve skin firmness.

Protein for stronger skin

Collagen is made up of amino acids, making protein one of the most important sources of nutrients for skin health.
Good sources of protein include:
  • Fish
  • Egg
  • Chicken
  • Turkey
  • Legumes
  • Dairy products

Antioxidants protect collagen

Antioxidants help protect skin cells against oxidative stress that can otherwise break down collagen and elastin.
Please eat:
  • Blueberry
  • Raspberry
  • Pomegranate
  • Broccoli
  • Spinach
  • Paprika

Healthy fats for skin elasticity

Omega-3 fatty acids can help maintain skin suppleness and reduce inflammation.
Good sources are:
  • Salmon
  • Mackerel
  • sardines
  • Chia seeds
  • Walnuts
  • Avokado

Treatments for sagging facial skin without surgery

Modern treatments can stimulate the skin's natural collagen production and improve skin firmness without surgery.

Laser Genesis for skin tightening

Laser Genesis is a popular treatment for sagging facial skin because it stimulates collagen formation deep down.
The treatment can improve:
  • Skin elasticity
  • Fine lines
  • Pore ​​size
  • Skin texture
  • Skin radiance

XEO+ IPL and laser treatment

IPL and laser treatment are used to treat:
  • Sun damage
  • Pigment spots
  • Redness
  • Uneven skin tone
  • Early signs of aging
At the same time, the skin's natural collagen production is stimulated.

Microneedling

Microneedling creates microscopic channels in the skin that activate the body's own healing process and increase the formation of new collagen and elastin.
Links for those who want to read more:

Injection treatments for volume, moisture and skin quality

As we age, the changes in our face are not just about the skin. Over time, the amount of fatty tissue, hyaluronic acid and collagen in our face also decreases, which can affect facial volume, contours and skin hydration.
Many people experience their face looking more tired even though the skin itself is still relatively healthy. Loss of volume is often a major cause of sagging cheeks, a less defined jawline, and lines around the mouth and nose becoming more prominent.

Moisturizing injection treatments for skin rejuvenation

An important part of modern skin rejuvenation is strengthening the quality of the skin from the inside. Moisturizing injection treatments can help to:
  • Deep hydration of the skin
  • Improved skin elasticity
  • Increased luster
  • Improved skin texture
  • Stronger skin barrier
  • Even skin tone
By adding moisture-binding substances, the skin's natural processes are stimulated and the skin is better able to maintain its elasticity and vitality.
These treatments are especially popular for people who experience dry skin, dull skin, fine lines, or early signs of skin aging.

Volume treatments for the natural contours of the face

As you age, the natural fat deposits in your face decrease. This can lead to:
  • Sunken cheeks
  • Loss of facial volume
  • Less defined jawline
  • Deeper nasolabial folds
  • Clearer puppet lines
  • A tired or older expression
Volumizing injections are used to restore lost structure and balance to the face. The aim is not to change the appearance but to restore the support that naturally diminishes with age.
When the treatment is carried out with a natural and restrained approach, the results can be:
  • Harmonious facial contours
  • Improved proportions
  • More youthful facial structure
  • Increased supportive effect for the skin
  • Natural results with maintained facial expressions

The combination gives the best results

Today's most successful facial rejuvenation strategy is often based on a combination of:
  • Hälsosam kost
  • Good sleep and recovery
  • Collagen-stimulating treatments
  • Medical skin care
  • Laser treatment and IPL
  • Moisturizing injection treatments
  • Volume-preserving or volume-restoring treatments
By working on multiple levels simultaneously, the skin's quality, structure, elasticity and volume can be optimized over time. The goal is not to stop aging, but to preserve healthy, strong and prosperous skin for as long as possible.

When is surgery an option for sagging facial skin?

When sagging facial skin becomes more pronounced, skin rejuvenation treatments may have limited effect. Surgical options may then be considered.

Eyelid surgery

Blepharoplasty is effective for:
  • Heavy eyelids
  • Drooping eyelids
  • Visual field effects
  • Tired appearance

Neck lift

Neck lift can improve the contour of the neck and reduce the appearance of sagging skin by adapting to individual anatomical conditions.

Facelift

In cases of more extensive skin excess and tissue changes, a facelift is often the most effective treatment to restore the natural contours and firmness of the face.
Links to more information:

Summary: How to treat sagging facial skin

Sagging facial skin is primarily caused by decreased collagen production, decreased elasticity, and natural changes in the skin's supporting tissues. By prioritizing a nutritious diet, good sleep, stress management, and daily sun protection, you can slow down skin aging and strengthen your skin from within.
Collagen-stimulating treatments such as Laser Genesis, IPL, microneedling can contribute to firmer skin, improved skin texture and increased radiance.

By combining deep hydration, stimulation of the skin's natural collagen production and restoration of lost volume, injection treatments can contribute to improved skin quality, increased elasticity and a more balanced and vital expression.
For more extensive changes, eyelid surgery, neck lift or facelift may be current options.
Treating sagging facial skin is not about stopping aging, but about giving the skin the best possible conditions to maintain its strength, quality and natural beauty throughout life.

Advanced Skin Rejuvenation for Pigmentation Spots, Redness and Age Marks

XEO+ IPL treats pigment spots, rosacea, redness and sun damage. Effective skin rejuvenation with natural and long-lasting results.

XEO+ IPL and Laser Genesis

XEO+ IPL is an advanced treatment for skin rejuvenation, pigment spots, redness, rosacea and sun damage. On Elite Clinic In Beauty, we use XEO+ IPL together with Laser Genesis to improve skin tone, texture and radiance.

Are you looking for an effective treatment for age spots, redness, rosacea, sun damage or fine lines ? With XEO+ IPL and Laser Genesis® you can improve skin quality, reduce visible skin changes and stimulate collagen production for smoother, clearer and more youthful skin.

On Elite Clinic We offer advanced beauty skin rejuvenation with XEO+ IPL and Laser Genesis, a combination treatment that treats both the skin's surface and deeper layers for natural and long-lasting results.


What is XEO+ IPL and Laser Genesis?

XEO+ IPL and Laser Genesis is a medically developed laser and light treatment that combines two advanced technologies to effectively treat several common skin problems simultaneously.

The treatment is suitable for those who want to improve skin structure, reduce visible signs of aging and achieve a more even skin tone without surgery or a long recovery time.

Limelight IPL for pigment spots and redness

Limelight IPL uses intense pulsed light to treat:

  • Pigment spots
  • Age spots
  • Sun damage
  • Rosacea
  • Facial redness
  • Visible blood vessels
  • Uneven skin tone

The light pulses are absorbed by pigments and vessels in the skin, helping the body break down discolorations and create clearer skin.

Laser Genesis for skin rejuvenation and collagen stimulation

Laser Genesis works deeper into the skin where the heat energy stimulates the production of collagen and elastin.

The treatment can improve:

  • Fine lines
  • Wrinkles
  • Enlarged pores
  • Skin texture
  • Acne scars
  • Skin firmness
  • Skin radiance

The result is smoother, stronger and more youthful skin with improved elasticity.


What can XEO+ IPL and Laser Genesis treat?

XEO+ IPL and Laser Genesis is particularly effective for:
  • Pigment spots
  • Sun-damaged skin
  • Age spots
  • Rosacea
  • Diffuse redness
  • Superficial blood vessels
  • Visible capillaries
  • Uneven skin tone
  • Enlarged pores
  • Fine lines
  • Early wrinkles
  • Dull skin
  • Lost luster
  • Acne
  • Acne scars
  • Skin rejuvenation of the face, neck and décolleté

Benefits of XEO+ IPL and Laser Genesis

One of the biggest advantages of XEO+ IPL and Laser Genesis is that multiple skin problems can be treated during the same treatment series.

Benefits of the treatment

  • Non-surgical skin rejuvenation
  • Natural collagen stimulation
  • Minimal downtime
  • Effective against pigment spots and redness
  • Improved skin texture
  • Increased resilience and elasticity
  • Suitable for most skin types
  • Natural results
  • Short recovery time

Results after XEO+ IPL and Laser Genesis

After a series of treatments with XEO+ IPL and Laser Genesis Many patients experience:
  • Even skin tone
  • Reduced age spots
  • Less redness
  • Fewer visible blood vessels
  • Improved skin texture
  • Less visible pores
  • Increased collagen production
  • Firmer skin
  • Increased luster
  • Softer fine lines
Results continue to develop for several weeks after treatment as the skin's natural collagen production increases.

How does a treatment with XEO+ IPL and Laser Genesis work?

Each treatment is individually tailored based on skin type, skin condition and treatment goals.
XEO+ is equipped with advanced cooling technology that makes the treatment comfortable and gentle. A treatment usually takes between 30 and 60 minutes depending on the treatment area.

Recovery after XEO+ IPL and Laser Genesis

The treatment has minimal recovery time.
After treatment, the skin may be:
  • Slight redness
  • Warm for a few hours
  • Slightly swollen
Pigment spots may temporarily darken before gradually disappearing through the skin's natural renewal process.
Most people can return to work and social activities the same day.

Aftercare after XEO+ IPL and Laser Genesis

For best results, we recommend:
  • SPF 50 daily
  • Avoid direct sun exposure
  • Avoid tanning beds
  • Using moisturizing skincare
  • Avoid retinol and exfoliating acids for 5–7 days
  • Follow the therapist's recommendations
Good sun protection helps maintain the results and protects the skin against new pigment changes.

Why choose Elite Clinic Beauty for XEO+ IPL and Laser Genesis?

On Elite Clinic Beauty we work with advanced medical skin care and professional skin rejuvenation. Our treatments are tailored to each patient's needs to create natural, safe and long-term results.
XEO+ IPL and Laser Genesis is an excellent choice for those who want to reduce age spots, treat redness, improve skin texture and achieve healthier skin with increased radiance.
Book your consultation at Elite Clinic Beauty and discover the benefits of XEO+ IPL and Laser Genesis for skin rejuvenation and skin improvement.

Scars after plastic surgery – what can you expect?

Medical tattooing is an option for people who want to reduce the visibility of self-harm scars. Through individually tailored pigmentation, the scars can become less prominent and blend better into the skin.Frequently asked questions about scars after plastic surgery

How long does it take for a scar to fade?

Most scars mature over 12-18 months. After that, many scars continue to improve and fade gradually. In some cases, scar healing can take even longer depending on individual factors and the location of the scar.

Can scars be completely removed?

No. All surgical incisions leave some form of scar. However, with modern plastic surgery and proper scar treatment, we can create good conditions for the scar to be as discreet as possible.

Does laser help with scars?

Yes. Laser scar treatment can reduce redness, improve skin texture, and make the scar less prominent. However, the best laser for you will depend on the appearance and maturity of the scar.

This is how we create the best possible conditions for a nice scar

One of the most common questions before a plastic surgery operation is:
“Will I get a scar?”
The answer is simple: Yes. All surgical procedures that involve an incision in the skin leave some form of scar. However, there is much we can do to optimize healing and create the best possible conditions for the scar to be narrow, flat, pale and discreet.
How a scar develops after surgery is influenced by several factors:
  • Surgeon's technique
  • The location of the scar on the body
  • Stress and tension in the skin
  • Individual and genetic conditions
  • Aftercare and scar treatment
The goal is not to promise an invisible scar. Instead, we strive to give each patient the best possible conditions for a beautifully healed result.

A beautiful scar begins during surgery

The foundation for good scar healing is already laid in the operating room.
Surgical precision is not only about placing the incision in the right place, but also about handling the tissue as gently as possible. In addition, wound closure plays a crucial role in the final outcome.
When we suture the wound in several layers, we can distribute the tension in the deeper tissues instead of putting direct stress on the skin. This reduces the risk of the scar becoming wide or stretched.
This is a central principle in modern plastic surgery and preventive scar treatment.

Why do some scars heal better than others?

All areas of the body have different conditions for healing.
For example, surgical scars on the face often heal very well thanks to good blood circulation and relatively low stress on the skin.
In areas such as:
  • The sternum
  • The shoulders
  • Upper back
  • The chest
However, there is a greater risk that scars will become red, wide or raised.
At the same time, genetic factors play an important role, which is why two people who undergo the exact same surgery can have completely different scar results.

How does scar healing occur after surgery?

The inflammation phase

Immediately after surgery, the body's natural wound healing process starts.
During this first phase:
  • The body stops the bleeding
  • The body clears away bacteria and damaged tissue
  • The repair process begins
It is therefore important to follow our instructions regarding wound care, showering and hygiene to reduce the risk of complications.

The proliferation phase

After a few weeks, the body begins to form new collagen.
During this period, it is common for the scar to become:
  • RED
  • Fast
  • Thicker
  • Something elevated
This does not normally mean that something has gone wrong. On the contrary, this is a natural part of the body's healing process.

The maturation phase

After that, the healing enters the maturation phase.
During this period, the body gradually reorganizes the collagen. As a result, the scar usually becomes:
  • Softer
  • Flatter
  • Bleacher
This process can last 12-18 months and sometimes even longer.

Taping and silicone treatment of scars

Once the wound has healed sufficiently, we often begin active scar treatment.

Scar taping

Tape, such as Micropore, can help to:
  • Reduce skin traction
  • Relieve the scar
  • Improve healing conditions

Silicone tape and silicone gel

In addition, we often use silicone-based products for scar treatment.
Silicone treatment is one of the most well-documented methods for preventing and treating hypertrophic scars.
The benefits include that silicone can:
  • Reduce redness
  • Reduce raised scars
  • Help the skin maintain the correct moisture balance
  • Improve scar structure over time
We adapt the choice between tape and silicone individually based on the type of surgery, skin type and how healing progresses.

When should a problematic scar be treated?

In the past, people often waited until the scar had fully matured before starting treatment.
Today, however, we know that early action often yields better results.
Signs that a scar should be evaluated include:
  • Severe redness
  • Itching
  • Pain
  • Thickening
  • Raised areas
  • Continued active scar growth
If these symptoms occur, we can, for example, treat the scar with cortisone injections, laser or other modern treatment methods.

Laser treatment of scars – a modern and effective method

Laser treatment has become an important tool in modern scar treatment.
We use different types of lasers depending on the problems we want to treat.

Vascular lasers

Vascular lasers primarily help to:
  • Reduce redness
  • Treat visible blood vessels
  • Calm active scars

Fractional laser

Fractional laser can:
  • Improve skin texture
  • Reduce unevenness
  • Stimulate new collagen formation
  • Improve scar quality
We always adapt the laser treatment to the appearance of the scar, its maturity and the patient's individual conditions.

Microneedling for scars

In selected cases, we use microneedling to improve the skin's structure and stimulate the body's natural healing process.
The treatment is mainly suitable for:
  • Irregular scars
  • Structural skin changes
  • Improvement of skin quality after healing
At the same time, the right timing is crucial to achieving the best possible results.

Medical tattooing and scar camouflage

Even a well-healed scar can sometimes be lighter than the surrounding skin.
When the scar is fully mature, usually after a year or more, medical tattooing or scar camouflage may be an option.
By matching the area to the surrounding skin color, we can:
  • Reduce visible color differences
  • Make the scar less prominent
  • Further improve the cosmetic result
This does not affect the healing itself but serves as a final aesthetic step when the scar is stable.

Our philosophy regarding scar treatment after plastic surgery

We do not view scar treatment as a single measure. Instead, we view it as a process that begins even before surgery and continues throughout the healing process.

Our treatment strategy

Careful surgery → Unloaded suturing → Individual wound care → Tape or silicone → Regular follow-up → Laser treatment if necessary → Medical tattooing when the scar is fully mature
We can never guarantee that a scar will be completely invisible. However, through experienced surgical technique, modern scar treatment and careful follow-up, we can give each scar the best possible chance to become flat, pale and discreet.

What is laser treatment? A guide to modern skin care and skin rejuvenation. 

Laser treatment is today one of the most effective and scientifically proven methods in advanced skin care. With modern laser technology, you can treat everything from pigment spots, rosacea and visible blood vessels to acne scars, skin texture and signs of aging.

On Elite Clinic We work with medically advanced laser technology where each treatment is adapted to skin type, skin condition and individual goals.

What is laser?

Laser is concentrated light with a specific wavelength that is directed at a selected target in the skin. Depending on the type of laser used, the treatment can affect:

  • Pigment spots
  • Redness and vessels
  • Rosacea
  • Acne and acne scars
  • Skin structure
  • Enlarged pores
  • Sun-damaged skin
  • Collagen production
  • Unwanted hair growth

The goal is to improve the quality of the skin without affecting the surrounding tissue more than necessary.

How does laser treatment work?

Each laser is developed for a specific purpose. When the laser light hits the skin, the energy is absorbed by a selected structure, such as pigment, blood vessels or water in the skin tissue.

The body then starts a natural repair process that can:

  • Break down pigments
  • Reduce blood vessels and redness
  • Stimulate new collagen formation
  • Improve skin elasticity
  • Even out skin tone and texture

That is why lasers are used for both medical and aesthetic skin treatments.

What can be treated with laser?

Laser against pigment spots

Pigment changes often occur as a result of sun damage, hormonal changes or inflammation in the skin. With the right laser technique, pigment spots can be gradually reduced for a more even skin tone.

Common conditions:

  • Sunspots
  • Age spots
  • Post-inflammatory pigmentation
  • Some types of melasma

Laser for rosacea and redness

Vascular lasers are used to reduce:

  • Diffuse redness
  • Rosacea
  • Superficial blood vessels
  • Broken vessel wall

Many patients experience a clear improvement after just a few treatments.

Laser for skin rejuvenation

One of the most sought-after treatments today is laser skin rejuvenation.

By stimulating the skin's own collagen production, you can improve:

  • Skin elasticity
  • Fine lines
  • Pore ​​size
  • Skin texture
  • Luster

At Elite Clinic We use Laser Genesis for patients who want to work long-term with skin quality and a natural age-well result.

Is laser treatment safe?

Laser is an advanced medical treatment that requires in-depth knowledge of skin anatomy, healing processes and different skin types.

When performed by trained personnel after medical assessment, laser is a very safe method. However, improperly performed treatments can increase the risk of:

  • Burns
  • Pigment changes
  • Scarring
  • Prolonged redness

Therefore, the choice of clinic and therapist is crucial for both safety and results.

Who is suitable for laser treatment?

Most healthy people can undergo laser treatment after an individual consultation.

Before treatment, an assessment is always made of:

  • Skin type
  • Skin conditions
  • Medical history
  • Drug
  • Sun habits
  • Expectations for results

A professional analysis is the basis for a safe and effective treatment plan.

Laser treatment at Elite Clinic Beauty in Gothenburg

On Elite Clinic We combine medical expertise with the latest technology in aesthetic skin care. Our focus is not only on treating individual skin problems but on long-term improvement of skin health, quality and the aging process.

Want to know which laser treatment is right for you? Book a consultation and we will help you find the right treatment based on your skin and your goals.

Read more about our Laser treatments

Laser treatment is used to treat pigment spots, veins, acne, scars and unwanted hair growth.

Advanced laser treatment for skin rejuvenation

Laser Facial - Collagen structure

ECB Laser Facials offers laser treatment in Gothenburg for those who want to improve skin quality, radiance and skin rejuvenation.

By combining advanced laser technology with collagen stimulation and clinically proven skin care protocols, the treatments can work on multiple levels of the skin. At the same time, the treatments work both superficially and deep in the skin. This gives you a more precise and safe result.

Results you can expect

The treatments help you improve:
  • Skin texture
  • Skin tone
  • Luster
  • Skin quality
Therefore, the treatment is an effective choice for those who want to improve skin quality over time.

Who is laser treatment suitable for?

ECB Laser Facials are suitable for those who want to improve their skin in a controlled and effective way.
For example, you can use the treatments to:
  • Improve skin radiance and get more glow
  • Stimulate collagen and work on skin rejuvenation
  • Reduce pores, uneven skin texture and fine lines
  • Strengthen the skin and improve skin quality
  • For example, reducing pores, uneven skin texture and fine lines
At the same time, each treatment is individually adapted to your skin type. This means you get a result that is both safe and tailored. In addition, the treatments are suitable for both those who want to prevent and treat the signs of aging on the skin.

Laser treatment in Gothenburg – our treatments

Here are some of our most requested treatments:

ECB Signature – An effective laser treatment that improves skin quality and structure.
At the same time, the skin's radiance increases.

Glow To Go – A quick treatment that provides instant glow and hydration.
Perfect when you want fast results, but still effective skin care.

Glass Skin – Focuses on maximum radiance and even skin tone.
Therefore, it is suitable for those who want to achieve clear and moisturized skin.

ECB Collagen Lift– Stimulates collagen production and makes the skin firmer.
In addition, skin elasticity improves over time.

ECB Ultimate Rejuvenation – An advanced laser treatment for deep skin rejuvenation.
In the long term, it provides a clear improvement in the skin's structure.

ECB Precision Correct – Targeted treatment for pigmentation and uneven skin tone.
This makes the skin's appearance more balanced.

ECB Calm & Clear – Gentle treatment for sensitive skin and redness.
At the same time, the skin calms down and regains its balance.

Soft CO₂ Skin Renewal Fractional laser that improves pores and fine lines.
In addition, the skin's structure is refined.

Skin Preparation Infusion – Prepares the skin for laser treatment.
This means you get better and more even results.

  • In addition, the skin's radiance is improved.
  • At the same time, the skin's structure is strengthened.
  • Therefore, the treatment is suitable for many skin types.

Consultation and personal treatment plan

Are you unsure which treatment is right for you?
Then we recommend that you book a consultation.
There you get:
  • An individual skin analysis
  • A medical assessment
  • A personalized treatment plan

Book laser treatment

Acne and Acne Scars – Dermatologists and Skin Therapists

Treatment of acne and acne scars – a holistic medical approach

How we work


Individualized acne treatment

  • Medical preparations such as azelaic acid, adapalene, antibiotics, or isotretinoin
  • Medical skin care and chemical peels
  • Combination therapies that provide faster and more sustainable results
At the same time, the team follows up on your treatment regularly. If necessary, we adjust the plan to optimize the results over time.

Treatment of acne scars

  • Fractional laser
  • Microneedling with radio frequency (RF)
  • Collagen-stimulating treatments
By combining these methods, we stimulate the skin's own healing process, thereby improving both structure and skin quality step by step.

That's why our specialist team delivers better results

Because acne and acne scars are complex conditions, multiple skills are required. Therefore, working dermatologists, doctors and skin therapists together throughout the entire treatment process.
This means we can:
  • make the correct diagnosis immediately
  • choose the right treatment from the start
  • continuously adapt treatment
This way you get a safer treatment and a more sustainable result.

Book a consultation