Mesotherapy

Mesotherapy is a minimally invasive procedure in which active substances are delivered directly into the superficial layer of the skin through micro-injections or using microneedle devices. This way, the ingredients reach where they are needed, rather than being applied only to the skin's surface.

Depending on the aim, the blends used may contain non-cross-linked hyaluronic acid, vitamins, amino acids, minerals or antioxidants. The doctor chooses the appropriate product after assessing the skin. At Detalii Med in Baia Mare, mesotherapy is carried out by Dr Greta Jurj, specialist in dermatology and venereology, working in aesthetic dermatology.

Mesotherapy may be recommended for adults who have:

• dehydrated, dull or tired-looking skin;
• fine lines and a slight loss of elasticity;
• uneven skin texture;
• a need for a maintenance treatment for the face, neck, décolletage or the backs of the hands.

In some cases, mesotherapy is also used on the scalp as a complementary treatment for certain forms of hair loss, once the cause has been established at the dermatology consultation. The procedure is not recommended during pregnancy and breastfeeding, where there are infections, active cold sores or inflamed lesions in the area to be treated, in people allergic to any component of the product and, depending on the case, in bleeding disorders or during anticoagulant treatment.

Mesotherapy can improve the hydration, brightness and texture of the skin, and the complexion may look more rested. Fine lines may become less visible. The effect is usually subtle and builds gradually over a course of sessions.

The procedure does not add volume, does not correct deep wrinkles and does not lift lax skin. For such concerns, other treatments may be more suitable, such as fillers, botulinum toxin or surgery. Results vary from person to person, and for some indications the scientific evidence is limited, which the doctor discusses openly with the patient.

At the consultation, the doctor examines the skin and discusses what the patient would like to improve. Medical history, allergies, current medicines, a tendency to bruise, episodes of cold sores and previous aesthetic treatments are all important.

The doctor then chooses the type of product, the technique and the number of sessions, and explains realistic results, possible side effects and aftercare. Mesotherapy is sometimes combined with other procedures, such as peels or skin boosters, in an individually agreed plan. The patient signs the informed consent form before treatment.

The session takes place in the consulting room and usually lasts 30–45 minutes. The skin is cleansed and disinfected, then the doctor administers the product through numerous superficial micro-injections spread evenly over the treated area, or using a microneedle technique. Finally, the skin is cleansed and a soothing mask or cream may be applied.

Mesotherapy is usually done as a course, for example three to five sessions at intervals of one to four weeks, depending on the product and the aim. Maintenance sessions can then be scheduled.

Most patients tolerate the procedure well. For greater comfort, an anaesthetic cream may be applied to the area about 20–30 minutes beforehand. The sensation during the session is generally one of fine pricks.

After the session, there may be redness, small bumps at the injection points and sometimes bruising. These usually settle within a few hours to two or three days. The patient can usually return to their activities the same day.

Usual recommendations:

• no make-up for the first 12–24 hours;
• avoid saunas, swimming pools, strenuous exercise and sun exposure for one to two days;
• use a sunscreen daily.

Mesotherapy is generally a safe procedure when carried out by a doctor, with authorised products and under sterile conditions. Common side effects are mild and temporary: redness, swelling, bruising, itching or local tenderness.

Less often, there may be allergic reactions, infection, a flare-up of cold sores, small lumps or temporary changes in skin colour. The patient should contact the doctor if redness or swelling increases, or if there is severe pain, local warmth or discharge.

After the first sessions, the skin may look more hydrated and brighter. Improvements in texture and elasticity are usually seen gradually, towards the end of the course.

The effect generally lasts for several months and depends on age, skin condition, sun exposure and daily skincare. To maintain the result, the doctor may recommend maintenance sessions, usually every few months.

Mesotherapy is a gentle method of revitalising the skin, with a gradual effect and a quick return to usual activities. It does not replace volume or lifting treatments, but it can be part of a skincare plan. At Detalii Med in Baia Mare, Dr Greta Jurj decides at the consultation whether mesotherapy is suitable and which product and session schedule are recommended.