How Ultherapy PRIME® Delivers Personalised Skin Lifting with Real-Time Imaging At Ozhean Zoey Medical & Aesthetic Clinic.
Ultherapy Prime is an innovative skin rejuvenation treatment that tackles early signs of ageing skin by stimulating collagen and elastin production.
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In recent years, minimally-invasive aesthetic treatments have become increasingly popular among those looking to achieve a younger-looking appearance without having to go under the knife. Among these options, Ultherapy Prime has gained recognition for being a surgical alternative for skin tightening, achieving a V-shaped face, and minimising fine lines and wrinkles.
As we age, our skin naturally loses collagen and elastin, leading to wrinkles, and reduced elasticity. Ultherapy Prime counters these effects by delivering ultrasound energy deep beneath the skin’s surface. This process, known as neocollagenesis, stimulates the production of new collagen, and reinforces existing skin structures.
In this article, we’ll look into the ins-and-outs of Ultherapy Prime, the technology behind it, and how it helps us achieve a younger and refined-looking skin.
Ultherapy Prime is a non-invasive skin treatment that uses microfocused ultrasound technology to stimulate collagen production in targeted areas. It is designed to lift, and tighten the skin, addressing concerns like sagging, fine lines, and wrinkles. While based on the principles of standard Ultherapy, Ultherapy Prime has been refined to cater to smaller, delicate treatment zones with precision and enhanced ultrasound visualisation.
The treatment focuses on areas such as the neck, under the chin, and around the eyes. These regions often exhibit early signs of ageing, making them ideal for this targeted approach to address the following concerns:
Unlike broader treatments, Ultherapy Prime’s emphasis on smaller zones allows for customised care that fits each patient’s unique facial structure, and needs.
The key difference between Ultherapy Prime, and its predecessor lies in its adaptability and enhanced visualisation of the deeper structures of the skin for a more targeted treatment. By delivering energy at optimal depths, the treatment stimulates collagen production, which gradually restores firmness and elasticity over time.
Whether addressing the neck, chin, or sensitive areas around the eyes, Ultherapy Prime offers a tailored solution for those seeking to enhance their skin’s resilience. Its precise application ensures minimal downtime and long-lasting results, making it a popular choice for individuals aiming to maintain a youthful yet natural look.
Ultherapy Prime utilises microfocused ultrasound technology to target the foundational layers of the skin without disturbing its surface. This technology delivers ultrasound energy to specific depths, where it generates heat. The controlled thermal effect initiates the body’s natural regenerative process, stimulating the production of collagen.
For an extensive treatment, Ultherapy Prime can access and treat various layers of the skin, such as:
The epidermis is the outermost layer of the skin, while the dermis is the layer located underneath it. Treating this area boosts collagen production to improve elasticity while reducing fine lines and wrinkles.
The SMAS layer is the foundational layer of facial muscles and connective tissues. Ultherapy is unique in having the ultrasound energy target this layer, which is typically targeted in surgical facelifts to lift and tighten the facial structure.
The subcutaneous layer, or hypodermis, is the deepest layer of the skin, often made of fat and connective tissue. Targeting this layer helps further contour and tighten the skin.
The treatment begins with the practitioner marking the targeted areas, such as the neck, under the chin, or around the eyes. A specialised ultrasound device is then used to visualise the layers beneath the skin, ensuring precision in energy delivery.
By focusing energy at optimal depths, the procedure triggers collagen renewal in the areas most affected by ageing and laxity. Over the following weeks, and months, this new collagen tightens and lifts the skin, gradually improving firmness and reducing the appearance of fine lines.
The role of collagen stimulation in this process is crucial and Ultherapy Prime functions on the science behind our body’s natural ability to heal. As we age, the natural production of collagen diminishes, leading to signs of skin laxity, and wrinkles. Ultherapy Prime counteracts this by activating collagen synthesis at a cellular level. This not only provides immediate tightening but also ensures ongoing improvements as collagen rebuilds overtime.
By focusing on smaller, delicate treatment zones, Ultherapy Prime offers a tailored solution for addressing early signs of ageing. Its precise application allows practitioners to customise treatments based on individual facial structures and aesthetic goals. Patients benefit from a non-invasive procedure with no downtime, making it a convenient option for those with busy lifestyles.
Caption: Ultherapy Prime is able to treat a multitude of skin concerns such as skin laxity, fine lines, and wrinkles.
ALT-text: ultherapy prime treatment.
The treatment targets mild to moderate skin laxity, and early signs of ageing, as per the list below:
Be that as it may, Ultherapy Prime delivers optimal results for individuals aged 25 years old, and older, particularly those noticing initial changes in skin firmness. This is because most individuals begin to experience signs of ageing skin at 25 years old [1]. Additionally, the treatment is highly accessible for a wide range of skin types, and tones. However, it does come with a caveat that there are no active skin conditions or underlying health concerns.
Before the procedure, you will have an initial consultation with our skilled and Ultherapy SPT-trained aesthetic doctors to assess your suitability for the treatment. During this session, your skin will be evaluated thoroughly, and your medical history reviewed to ensure there are no contraindications. You will also have the opportunity to discuss your goals, and ask any questions about the procedure.
Once our aesthetic doctors have obtained all the necessary information, we will schedule a treatment date to kickstart your skin journey.
On the day of the treatment, your skin will be cleansed to remove any dirt, and impurities that can jeopardise the outcome of the treatment. As such, it is advisable to attend the appointment with a bare face. Additionally, our aesthetic doctor will apply a topical numbing cream to minimise discomfort during the session. The treatment generally entails:
Ultherapy Prime is a safe, and straightforward procedure that typically lasts between 60 to 90 minutes. The duration depends heavily on the size of the treatment area. While smaller areas may require less time, larger or multiple areas might require a longer duration. Be that as it may, most of our patients can resume their regular activities immediately after the treatment.
Following the treatment, some patients may notice subtle improvements in their skin within a few weeks and your skin’s appearance will continue to improve over time. The full effects are typically observed 2 to 3 months as the body’s natural healing processes take place. This gradual transformation is due to the stimulation of collagen production, which rebuilds, and strengthens the skin from within.
The results are not instantaneous but evolve steadily, offering a natural enhancement that becomes more noticeable with time. For some individuals, these improvements may continue for up to 6 months, reflecting the ongoing collagen regeneration.
Nevertheless, collagen plays a pivotal role in the regeneration process [2], helping the skin to regain firmness, and elasticity. As the newly formed collagen integrates into the skin, you may notice smoother skin texture, a lifted appearance, and reduced signs of ageing. This gradual improvement ensures that the outcome looks natural, and blends seamlessly with your features.
Although uncommon, most individuals experience minimal post-treatment side effects. These side effects may include mild redness, or swelling, which subsides within a few hours to a day. Additionally, some may also feel a slight tingling, or tightness in the treated areas, indicating that the underlying collagen stimulation process is underway. It is important to remember that these side effects are temporary, and will not interfere significantly with your daily activities.
To ensure optimal results and maintain the benefits of the treatment:
We understand that our patients are always looking for their money’s worth when looking for effective solutions to ageing skin. By adhering to these guidelines, you can enhance the longevity of the results, and ensure your skin remains rejuvenated, and vibrant.
It goes without saying that when considering any aesthetic procedure, it is important to be aware of the potential side effects, and recovery expectations. This is essential as it aids in making an informed decision. Even though Ultherapy Prime is generally well-tolerated, some individuals may experience mild, and temporary side effects. These can include:
Despite potential side effects, Ultherapy is an FDA-approved [3] minimally-invasive treatment. This indicates that the treatment has met rigorous safety, and efficacy standards, thereby underscoring its reliability when performed under appropriate conditions by qualified practitioners.
Speaking of qualified practitioners, it is imperative to choose an accredited clinic with skilled, and experienced aesthetic doctors. A trained aesthetic doctor tailors the treatment to your skin type, and needs, ensuring the procedure is carried out safely, and comfortably. This inherently lowers the risk of potential side effects.
The cost of an Ultherapy Prime treatment largely depends on your current skin condition (how many shots required), the area(s) being treated and your desired results.
| Treatment Area | Larger areas such as the full face, and neck naturally require more time, energy, and resources during the procedure. For instance, treating the entire face involves covering multiple layers of skin to achieve uniform lifting, and tightening, which can increase the cost. As such, the size, and complexity of the target area directly correlate with the cost of your treatment. |
| Provider Experience | The expertise of the aesthetic doctors administering Ultherapy Prime significantly impacts the cost. Clinics with highly experienced providers may charge more because their skill ensures precision, safety, and optimal results. Patients often seek practitioners with a proven track record or specialised training in minimally-invasive treatments, recognising that experience can minimise risks, and maximise effectiveness. |
| Technology Used | While all Ultherapy devices must adhere to strict regulatory standards, certain clinics may offer different technologies within the system to enhance patient comfort. These could include pain-minimisation features or other accompanying treatments. Such added benefits may increase the price. However, these technologies can also improve the overall experience, and ensure accurate results, justifying the additional cost for some patients. |
| Additional Services | Comprehensive care often extends beyond the procedure itself. Clinics that provide pre-treatment consultations, detailed skin assessments, and post-treatment follow-up appointments may charge a premium for this holistic approach. These additional services ensure a tailored treatment plan, address individual skin concerns, and monitor recovery and outcomes, enhancing the overall patient experience. While these add-ons may increase the upfront cost, they contribute to the treatment's value and effectiveness. |
By understanding these variables that contribute to the price of Ultherapy Prime will help you make an informed decision. Although the prices differ from one clinic to another, at Ozhean Clinic, the cost of an Ultherapy Prime treatment is $1750.
It goes without saying that Ultherapy Prime is a cost-effective choice for many individuals seeking skin lifting and tightening with effective results. In fact, the results typically last 12 to18 months, making it a worthwhile investment since most people only require treatment once a year. Compared to procedures requiring more frequent maintenance, Ultherapy Prime offers value through its longevity, and minimal downtime.
Ultherapy Prime offers a unique, non-invasive solution for skin tightening, and lifting, delivering long-lasting results with minimal downtime. Its ability to stimulate natural collagen production makes it a reliable choice for maintaining youthful skin.
While it may be tempting to choose the most cost-effective option, it is crucial to consider the value of expertise, and care you will receive. As such, opting for a qualified clinic, and a practitioner with a proven track record ensures your treatment is tailored to your specific skin concerns and goals.
Book a consultation today to explore how Ultherapy Prime can help you achieve lasting, natural-looking results.
No, Ultherapy Prime is not painful. However, during the treatment, you might feel a warm, tingling sensation as the ultrasound energy is delivered beneath your skin. Many patients find the procedure manageable, and well-tolerable.
No, there is no downtime. Ultherapy Prime is often referred to as a “lunchtime treatment” because of this convenience, allowing you to undergo the procedure and resume your daily activities right after; an ideal option for those with busy schedules.
Some patients notice an initial lift immediately after the session, but results will continue to improve over the next 2 to 3 months as your collagen rebuilds, giving you a natural-looking, lifted and tightened appearance.
With proper care, the results can last up to a year or more. Your skin’s natural ageing process will determine when you might want a follow-up treatment to maintain the effects.
For most people, a single session on an annual basis is enough to achieve results. However, your doctor will assess your unique needs, and recommend what would be best for you.
Ultherapy Prime focuses on stimulating your body’s natural collagen production to lift, and tighten the skin from within. Unlike Botox, which temporarily relaxes muscles, or lasers that target the skin’s surface, Ultherapy Prime works deeper to enhance firmness and rejuvenation over time.
Ultherapy Prime builds on the success of traditional Ultherapy by offering a more tailored, and comfortable experience. It is designed to suit a wider range of patients, providing optimal results with enhanced precision. Here is a breakdown of how Ultherapy Prime is more innovative than its predecessor:
| ENHANCED REFRESH RATE | Ultherapy Prime’s enhanced refresh rate delivers real-time imaging, allowing for smoother, and more precise treatments. |
| 10X FASTER PROCESSING | With significantly faster processing speed, procedures are quicker, enabling real-time data analysis to help your doctor deliver ultrasound energy safely, and accurately to where it’s needed most. |
| IMPROVED STABILITY | The Supreme HIFU system ensures consistent energy output throughout your session, enhancing overall treatment stability. |
| 35% LARGER SCREEN | A larger display offers enhanced visualisation, providing your doctor with improved clarity for precise targeting and increased treatment accuracy. |
| 2X LARGER ULTRASOUND FIELD | Doubling the visible ultrasound area minimises visual noise, enhances imaging clarity, and supports effective evaluation of the treatment zone for safer and optimal results. |
An Ultherapy session typically lasts between 60 to 90 minutes, depending on the area being treated.
Who should refrain from undergoing Ultherapy Prime?
Patients will the following condition are advised to steer clear of the treatment:
Patients with extensive metal implants around the treatment areas.
References
Non-invasive aesthetic treatments have gained popularity around the world for their ability to rejuvenate skin without the need for surgery. Among these treatments, Ultherapy stands out for its non-surgical facelift capabilities, using ultrasound technology [1] to tighten and lift the skin. In Singapore, Ultherapy is a popular choice due to its proven results, minimal downtime, and the growing demand for non-invasive beauty solutions. This treatment is becoming common among men and women alike.
As we age, our skin gradually loses its elasticity due to a decrease in collagen and elastin production, which are essential proteins that keep the skin firm and supple. Factors such as UV exposure, gravity, and lifestyle choices like smoking can accelerate this process, leading to sagging skin, wrinkles, and fine lines.
Ultherapy addresses these concerns by using ultrasound energy to stimulate collagen production in the deeper layers of the skin. This non-invasive treatment helps tighten and lift sagging skin, resulting in a more youthful and refreshed appearance without the need for surgery that requires downtime for healing and recovery.
Ultherapy is a FDA-approved non-invasive skin tightening procedure that originated in the United States of America. It uses ultrasound energy to lift and tone the skin. The treatment focuses on the deeper layers beneath the skin's surface, stimulating the production of collagen, which helps to improve skin elasticity and firmness.
Collagen production [2] is crucial for maintaining skin elasticity and firmness. As collagen levels increase, the skin's structure is strengthened, leading to improved skin tone and texture. This enhancement results in a more even, youthful appearance, as collagen helps to reduce fine lines, wrinkles, and sagging. Additionally, increased collagen can improve skin hydration and plumpness, further enhancing the overall radiance and smoothness of the skin. By stimulating collagen production, treatments like Ultherapy promote healthier, firmer, and tighter skin.
The Ultherapy process results in a gradual, natural-looking lift, with improvements typically visible within two to three months. It effectively targets signs of aging such as sagging skin, wrinkles, and loss of elasticity. The treatment delivers ultrasound energy to deeper tissues without harming the surface, promoting a gradual, natural-looking lift over time. It's commonly used on areas such as the face, neck, and décolletage to combat signs of aging. This distinguishes it from other skin tightening treatments like radiofrequency (RF) and laser treatments, which primarily target the skin's surface. Ultherapy can safely heat deeper layers of the skin (up to 4.5mm) of at least 60 degrees to stimulate collagen regeneration that lasts up to a year.
Ultherapy uses patented DeepSee visualization technology to provide real-time imaging of the skin’s layers during the procedure. This allows the doctor to precisely target the ultrasound energy to the optimal depths for effective treatment. By using this imaging technology, the treatment can be more accurately tailored to each patient’s specific needs, improving overall outcomes and safety.
Ultherapy allows doctors to see beneath the skin's surface and deliver ultrasound energy to targeted tissue layers, avoiding bones and blood vessels. This precise approach enables them to identify the areas that will respond best to treatment and customise a plan tailored to each individual's facial anatomy. This ensures effective and personalised results for skin tightening and lifting.
Pre-Treatment Consultation: Before you start the procedure, the first step is to book a consultation with a certified practitioner, such as a dermatologist or aesthetic doctor. This is essential to determine if Ultherapy is suitable for your skin type and concerns. During this session, your doctor will assess your skin and discuss the desired outcomes as well as your treatment goals.
The Procedure: The Ultherapy session involves the doctor using an ultrasound device to deliver focused energy into the skin. The procedure typically takes 60-90 minutes, depending on the treatment area. Patients might experience mild discomfort as the ultrasound energy is delivered, but this is generally well-tolerated.
Post-Treatment Care: After the procedure, there may be some redness and swelling, which typically subsides within a few hours. Most patients can resume normal activities immediately. It’s recommended to avoid sun exposure and apply sunscreen to protect the treated areas.
Suitable candidates for Ultherapy are typically individuals with mild to moderate skin laxity who notice sagging skin, wrinkles, or a loss of firmness, particularly in areas such as the face, neck, and décolletage. Ideal candidates are often in their 30s to 60s, seeking a non-surgical option to improve skin tightness and lift. It's also suitable for those looking to maintain youthful skin and delay more invasive procedures. However, Ultherapy is not ideal for individuals with severe skin laxity or certain medical conditions affecting the skin.
Combining Ultherapy with other treatments can enhance overall results and address skin concerns, especially for those with multiple skin concerns such as scarring, pigmentation, and dull skin tones.
Planning a combined treatment approach involves consulting with an experienced specialist to customise a plan tailored to your skin's needs.
The cost of Ultherapy in Singapore varies depending on the treatment area and the number of sessions required. On average, the cost for the Ultherapy treatment starts from SGD 1,799. Larger areas like the full face and neck are more expensive compared to smaller regions like the brow. Some clinics offer financing options or payment plans, but Ultherapy is generally not covered by insurance as it is a cosmetic procedure.
For more accurate pricing specific to your treatment goals, please book a consultation to speak with our doctors.
When choosing a clinic for Ultherapy, look for certifications, awards, and qualifications to ensure the procedure is performed by a trained professional. Check patient reviews and testimonials to gauge the clinic's reputation and experience. During the consultation, ask questions about the doctor’s experience, the technology used, and what results you can realistically expect.
For aesthetic treatments such as Ultherapy, it’s best to consult with doctors who are result-oriented and have consistently achieved a high patient satisfaction rate. At Ozhean Zoey, our comprehensive treatment approach combines Ultherapy with other collagen-stimulating treatments for a synergistic effect. As such, we are able to achieve a longer-lasting lift. Plus, we have customised protocol based on individual needs to achieve the best possible lift.
As experience is invaluable when it comes to administering treatments such as Ultherapy, our patients can rest easy knowing that we have over 20 years of combined experience with thousands of cases performed. As experts in aesthetics, our doctors are specially trained by Korean dermatologists. We were also rewarded with the Gold Award by Merz Aesthetics for being one of the highest users of Ultherapy in Singapore.
Success stories and before-and-after photos can also provide insight into what Ultherapy can achieve. Many patients report a noticeable lift and improvement in skin texture, with results that look natural and last up to a year or more. Before-and-after photos can show the effectiveness of Ultherapy in addressing sagging skin and wrinkles.
To view our portfolio of results, please WhatsApp us at +65 8849 7764.
Ultherapy is a clinically proven non-invasive treatment for skin tightening and lifting, offering progressive and long-lasting results with minimal downtime. If you’re considering this treatment, seek professional advice to determine if Ultherapy is right for you and to develop a personalised treatment plan.
For more information on Ultherapy and to book a consultation in Singapore, visit Ozhean Zoey.
Typically, 60-90 minutes, depending on the area.
Some patients experience mild discomfort during the procedure, but it is generally well-tolerated.
Some lifting can be seen immediately, with full results appearing over 2-3 months.
Results can last up to a year or more, depending on individual factors.
Minor redness and swelling are common but typically subside within a few hours.
Yes, Ultherapy is generally considered safe when performed by a qualified doctor. It has been FDA-cleared for its safety and effectiveness. The procedure is non-invasive and has minimal downtime.
Results typically begin to appear within two to three months after treatment, with optimal results visible at around six months as collagen continues to develop.
Many patients achieve their desired results with just one treatment. However, some may opt for additional sessions depending on their individual needs and goals.
A survey in 2019 indicated that 30-35% of Singaporean women between the age range of 35-44 are concerned about wrinkles and sagging skin. The younger population, those in their 20s have also been presenting an increased interest in anti-ageing initiatives to best preserve their youth. With the added popularity of collagen banking, we often receive multiple queries on the broad range of collagen injectables offered at Ozhean Zoey Medical and Aesthetic Clinic. A recurring pattern we have identified is patients with decision fatigue and confusion about the right collagen stimulator for them. Thus, this article will bring you the clarity you seek.
In our previous articles, we have determined:
Collagen creams will not improve your collagen production, they may serve as a protective barrier at most. Additionally, there is no definitive conclusion that consuming collagen supplements will improve collagen production at the dermal level. When compared to our scientifically-curated injectables solution, these alternatives may be significantly slower in achieving the results you seek or may completely falter.
It is important to note that one injectable is not superior to the other. When approaching our team of experts we will evaluate various aspects of your life before proposing a treatment. What may be suitable for one patient, will not necessarily be the right solution for you. This is why consultation is arguably the most important aspect of our service at Ozhean Zoey Medical and Aesthetic Clinic.
The overarching goal of injectables stimulate collagen growth in your skin. The methodology of how they work varies but ultimately the aim is to catalyse the activity of fibroblasts, cannibalise free radicals, and improve the metabolic activity of cells.
There are a few variables to weigh in when deciding which collagen injectable is best suited for you.
Below are some factors of consideration:
Conditions such as obesity, endometriosis, inflammatory arthritis, and diabetes cause high levels of inflammation in the body. Patients with inflammatory health problems have high collagen turnover. In these health situations, you may consider opting for collagen injectables that have anti-inflammatory properties such as Rejuran. Additionally, Rejuran can also be used with other treatments, particularly in cases where post-inflammatory hyperpigmentation (PIH) is persistent.
Your oestrogen levels directly impact collagen production in your body. It also explains why menopausal women look more aged than women of reproductive age. Lower estrogen in younger women may be due to various health conditions such as autoimmune disease, conditions impacting pituitary glands and hypothalamic amenorrhea. If patients are diagnosed with one of these health conditions, injectibles such as Zoey Skin may go a long way in preserving your youth. This concoction of Rejuran, Hyaluronic Acid, and Butolinum will halt the formation of wrinkles, encourage healing and reparation in your skin, and aid in hydration support.
Sometimes, lifestyle factors can be the primary cause of rapid skin ageing. These may include poor sleep quality and behaviours such as smoking and excess alcohol consumption. These may be especially true for patients with unpredictable work hours and frequent exposure to high-stress environments. Symptoms include dull skin, persistent scars, and an overall change in complexion. If you believe your skin health has been impacted by lifestyle factors, Nucleofill may be the best solution for you. Nucleofill also comes with the added advantage of different concentrations, so you can opt for the strength that matches the severity of your skin condition.
“I do not smoke, I eat a healthy diet, and have no health issues, why is my skin ageing so rapidly?”. If you are taken aback by sudden signs of ageing in your skin, it is possible that you are just genetically predisposed to collagen loss. Studies have also found that some races are more predisposed to skin ageing than others. When dealing with genetic predisposition, you may attempt the prevention route with Profhilo especially if signs of presentation of ageing are new. However, if signs of ageing such as wrinkles and fine lines have formed over a long period of time, you may decide between Liquid PCL or BTX (botulinum) to significantly reduce signs of ageing and add volume to your facial structure.
Sometimes previous skin conditions such as cystic acne may be the cause of the aged appearance of your skin instead of direct loss of collagen. In these situations, Juvelook would be an appropriate solution to manage the aged appearance of your skin. Another targeted skin issue is deep wrinkles forming at thicker skin areas of the face such as the temples and neck. In these particular conditions, Lenisna would be the more appropriate solution for these areas.
As you may have comprehended by now, each injectable has its’ own strength with the capability to address whichever main concerns you might have. It is important to note that this is merely a surface-level guide to making a decision. Upon consultation, your doctor will be able to identify the exact cause of an ageing appearance (whether it is one or more factors) and prescribe the best treatment solution. At Ozhean Zoey Medical and Aesthetic Clinic, we strive in making sure treatments are inclusive and comprehensive for patients from all walks of life.
If you have any questions or concerns, drop us a message or book a consultation. We will be happy to address any other inquiries or doubts you may have.
Prevention is always better than cure, and this rings especially true in aesthetics today. This is why aestheticians and patients worldwide are uttering a new buzzword: Collagen banking.
As you might imagine, collagen banking is about saving the exhaustible collagen in our skin, and preventing the collagen loss that inevitably occurs with age. Collagen banking is also known as prejuvenation.
In the past, many would wait till they saw their first wrinkle before looking at ways to rejuvenate the skin. But as a result of the widespread proliferation of skincare knowledge and advancing technology, younger individuals in their 20s and 30s are now just as serious as older clients about protecting their youthful glow.
If you’re a young individual who would like to maintain a healthy, refreshed, and natural complexion for longer, prejuvenation is your answer. Read on to find out about what collagen banking is, and the treatments available for you.
While the focus has long been on staving off ageing, we are now becoming more interested in maintaining youth.
Prejuvenation, or collagen banking, is different from rejuvenation in that the former means “to prevent the loss of youth”, while the latter means “to make young again”[1].
Prejuvenation involves a series of thoughtfully planned steps that are meant to impede the loss of collagen, and prevent the symptoms associated with aged skin, such as fine lines, wrinkles, and brown spots.
Most importantly, collagen banking is meant to be started early on in life. The sooner one begins, the less damage they will have incurred; it is more effective to prevent rather than treat the signs of ageing.
Firstly, we all have finite amounts of collagen in our bodies, and largely, once lost, it cannot be recovered[2].
With time, and external stressors such as pollution, stress, sun exposure, and toxins, our bodies ability to produce collagen starts to deplete in adulthood. Upon hitting the age of 20, a person will start to produce about 1%[3] less collagen in their skin each year thereafter. Therefore, investing in your skin while it’s healthy is crucial.
The effects of collagen loss are incremental – as soon as their 30s or 40s, people finally start to notice obvious signs of ageing in the form of wrinkles, saggy skin, dryness, and an overall loss of vitality in their faces.
Prejuvenation can be carried out in ways both big and small:
At Ozhean Zoey Aesthetics, we include the use of buffered saline in our Botox treatments – this helps dilute botox solution and consequently reduces the pain and discomfort that comes with the injection.
In Korea, dermatologists now prefer collagen stimulator treatments like Juvelook over traditional HA fillers like Rejuran, largely due to its longer lasting results.
This highly viscoelastic gel improves skin by:
Fun fact: Nucleofill is derived from biocompatible salmon DNA which offers the skin a younger, healthier appearance.
Juvelook is a collagen skinbooster that contains two very important ingredients for anti-aging – HA and PDLA.
As a hybrid filler, it offers the immediate filling effect of HA and the long-term collagen stimulation of PDLA, which is found in other collagen biostimulators like Sculptra.
Juvelook is prized for its patented ultrafine PDLA and HA molecule technology, which enables intense collagen production stimulation and offers extremely natural-looking results.
Juvelook also:
The anti-ageing effects of Juvelook can last for around two years, which is significantly longer than the effects of other fillers like Profhilo, Lidocaine, and Salmon DNA.
|
JUVELOOK (PDLLA) |
SCULPTRA (PLLA) | |
| Structure | Outside - Round form Inside - Network structure | Outside - Cristal(sharp) Inside - Tightly packed structure |
| Degree of lactic acid secretion | Mid | Strong |
| Strength | Smooth | Stiff |
| Target Area | Sub-Q Dermis | Sub-Q |
| Target Treatment | Volume augmentation Skin rejuvenation | Volume augmentation |
A thread lift is a procedure whereby temporary sutures are used to produce a distinct and visible skin lift. Instead of removing a client's loose facial skin surgically, skin is instead stitched up and suspended. As such, threadlifts are a great option for those who would like to look more youthful without going through surgery.
While a thread lift yields stronger results out of all the skin lifting treatments available (it is, after all, the closest non-surgical alternative to a facelift), it does come with more pain and invasiveness than an injectable such as Juvelook.
If you’re in your 20s to 30s and would like to protect the collagen in your skin, my suggestion is to opt for Juvelook first. Juvelook can delay the need for a threadlift for many years, and is a more feasible step to take.
When the time for a threadlift comes, OZ threadlifts will work just fine. They are:
If you have any questions, I’m more than happy to answer them. Feel free to drop me a message.
A recent American survey1 reported that millennials aged 25-35 are more worried about ageing than their mothers and grandmothers, with the average individual starting an anti-ageing regime as early as 26 years old.
The same sentiment applies for those in Singapore.
The earlier need to stave off signs of ageing is thought to be attributed to how millennials place utmost importance on looking good – social media and pop culture now demands everyday individuals to look good from all angles. And while this information isn’t groundbreaking per se, it shows us that our approach to ageing, as with body image, has changed drastically from one generation to the next.
Read: Why muscle building treatments don’t work
But are you tackling ageing correctly, or worse, wasting money? In this article, we’ll address the common mistakes that both young and mature clients make when it comes to anti ageing treatments, and talk about the solutions available in Singapore today.
Fact is, almost every aesthetic treatment can be considered an anti-ageing treatment, as the overall goal of such treatments is mostly to look better and younger. And while a naturally lifted face or enhanced jawline —think botox, threadlifts, HIFU— might contribute to a more youthful look, congruent treatments must be done to improve skin from within.
As aged skin is often a result of poor skin quality and loss of collagen due to factors such as age, smoking, and lifestyles, anti ageing treatments often begin with inducing collagen production and maintaining that. One cannot simply threadlift their way to revitalised youth.
Dare I also say by starting on collagen biostimulation treatments early, you can prevent the need for treatments like botox and fillers in future.
Many individuals tend to opt for skinboosters or HA fillers first, as one of the most obvious signs of youthful skin is glowy, hydrated complexion. But let’s not forget beyond a pristine facade, volume and elasticity also play a huge role in a youthful visage.
When someone looks older than they wish to due to volume depletion, I nudge them toward collagen biostimulators instead. This is because HA fillers can add volume to certain parts of the face only to a certain point; adding more might result in overfilling.
Collagen biostimulators achieve their anti-ageing goals by directly regenerating collagen in your skin and imparting more substance and shape. For example, Ellansé works to quickly replace lost volume, whilst more robust fillers like Sculptra gradually add fullness to gaunt areas of one’s face.
Both are great, but allow me to introduce two new innovative biostimulator treatments, Nucleofill and Gouri.
Nucleofill was formulated in Italy, whilst Gouri was created by a Korean company that specialises in biopolymer (natural polymers produced by our cells) technology. Both treatments are aimed at improving collagen production in the skin, and are low risk and suitable for all skin types.
As the newest technology in biostimulation, Nucleofill is a polynucleotide-based injectable gel specifically designed for natural face shaping and remodelling.
This highly viscoelastic gel improves skin by:
Fun fact: Nucleofill is derived from biocompatible salmon DNA which offers the skin a younger, healthier appearance.
Gouri is a 100% liquid type PCL injectable from Korea.
Gouri is used for long term skin firming, tightening and distinct wrinkle reduction.
Here’s why Gouri is an excellent anti-ageing solution:
|
Nucleofill |
Gouri | |
| What it is | An innovative biotechnology that contains polynucleotides which stimulate the skin and ensure long-lasting skin hydration and firming. | A solubilised active and biodegradable polymer injectable that enables collegenesis and
rejuvenation without the use of microparticles. |
| Composition | Gel 2.5% polynucleotides, with pH values of 6.8 to 7.5, and viscosity of 48 to 65 Pa*s. | Fully liquid. 21% PCL, or only PCL. |
| How long does it take for results to show? | Roughly 10 to 20 minutes following treatment. | Clients normally see their first visual results within 1 to 2 weeks following treatment. |
| Longevity of results | Results are long-term and last at least 6 months. | Results vary from person to person. As PCL is a high molecular material, the body usually takes 6 to 12 months to degrade it. |
| Risks involved | There are no serious side effects, making Nucleofill an effective and safe treatment for all skin types1. | Excluding extremely rare cases, the PCL-based filler presents disruptively low risk2 compared to other fillers. |
| Recommended protocol | After 3 sessions, additional treatments in 15 to 30 day intervals are recommended for continuous, long-lasting, and effective results. | After 3 sessions, an additional 1 to 2 treatments administered in intervals of 4 weeks, or 3 to 6 months are recommended for optimal results. |
Due to the natures of Nucleofill and Gouri, the risk of overfilling, or pillow face syndrome is significantly lowered. These two treatments also present little to no risk, and are known to be consistently long-lasting treatments with a gradual anti-aging effect.
As such, individuals who undergo either Nucleofill or Gouri can expect to experience the following breakthroughs with their skin:
When combined, they address aging issues on different layers of the face and therefore completely rejuvenate the face.
While Nucleofill and Gouri can be compatible with other mesotherapy products, we recommend waiting at least a month before and after undergoing other treatments like HA fillers and other cross-linked materials.
With Gouri, you can apply non-crosslinked skin boosters or Botoxs. However, do not mix any other products with GOURI. Overall, we would also suggest against mixing Gouri with other products.
Furthermore, as patients usually see long-lasting results and are satisfied with what they see, it’s unlikely that they’ll need supplementary treatments, unless they have specific concerns like acne scars or pigmentation.
When it comes to maintaining your youth, don’t wait till it’s too late. Prevent, not cure!
Let my team help you restore your youth and stop ageing in its tracks.
Dr. Park Ji-Youn is the founder and managing director of the Ozhean group. As a board certified dermatologist, she has published more than 30 scientific papers on dermatology, and is the creator of Ozhean’s SKIN FIT program, which was conceived in 2015, and continues to successfully retain 80% of its original customers.
Touted by Vogue as a top beauty trend for 2022, skinimalism is a spartan approach that involves stripping back skincare and make-up routines in order to let one’s real skin shine. This can be done in a number of ways, such as reducing the number of skincare products you use or simply packing less foundation onto the skin.
As a result, patients are now seeking low-maintenance treatments that carry more longevity. Likewise, the aesthetic industry’s focus has also shifted from restoring the look of one’s skin to improving skin health from deep within.
Think treatments that allow your body to slow down the ageing process naturally through collagen biostimulation.
In this article, we’ll talk about the treatments you should be looking at, especially in light of anti-ageing, skin safety, and looking your best from within – all aboard the skinimalism bus!
Biostimulation1 is an injective therapy that’s aimed at boosting the anabolic functions of dermal fibroblasts to obtain skin improvement.
Sounds confusing? Don’t worry. Let’s break it down:
When we speak of collagen biostimulators, they can be explained simply as non-invasive treatments that work to stimulate your own collagen production, correcting signs of ageing such as loss of elasticity.
As such, biostimulation offers individuals a quick, safe, and effective way of achieving youthful, firmer skin. This is where Nucleofill comes in.
As one of the newest technologies in biostimulation, Nucleofill is a polynucleotide-based injectable gel that is specifically designed to revive dull and tired skin.
By stimulating deeper layers and dermal fibroblasts of our skin, this highly viscoelastic gel effectively improves the quality of skin by:
As such, clients who’ve undergone Nucleofill treatment can expect to experience these long-lasting results:
Additionally, Nucleofill, which was formulated in Italy, is well-known for its safety: Not only is it derived from bio-compatible salmon DNA which offers the skin a younger, healthier appearance, it is also suitable for all skin types.
At Ozhean Zoey, we utilise a safe 5-point injection technique to target our clients’ key tissues for optimal biostimulation and collagen production.
While dermal fillers work to boost hyaluronic acid levels to enhance and volumise skin, biostimulators boost the collagen levels in the skin to improve its long-term tone, texture, and overall health.
For example, hyaluronic acid (HA) fillers plump skin because hyaluronic acid attracts water, which immediately hydrates the skin. But while HA has been known to boost collagen in the skin, it is not nearly as effective as biostimulators.
Here are some other ways that Nucleofill differs from other treatments available today:
|
Treatment |
Nucleofill |
HA fillers |
Ellansé |
Sculptra |
|
What it is |
Nucleofill is an innovative biotechnology that contains polynucleotides which stimulate the skin. |
Hyaluronic acid (HA) is a substance that’s found in our skin. HA fillers help attract water to voluminise the skin. |
As a non-HA filler, it contains Poly-Caprolactone (PCL) microspheres suspended in a gel-carrier made up of Carboxymethycellulose (CMC). |
Sculptra contains poly-L-lactic acid (PLLA), which is a biocompatible synthetic that stimulates collagen production. |
|
Results |
- Youthful look - Vibrant complexion - Natural filling - Face lifting - Face shaping - Improved tone, texture and elasticity - Skin improvement is significant and notable |
- HA is hydrophilic (tends to mix with, dissolve in, or be wetted by water), and while it helps to plump skin, may also cause puffiness after filling. |
- Volumising and Collagen-stimulating effects - Skin improvement is significant and notable |
- Natural shaping - Face lifting |
|
Length of results |
Results are long-term and last at least 6 months. Treatment needs to be repeated thrice, and every 15 to 30 days to be continuous, long-lasting, and effective. |
Results last anywhere between 9 to 24 months. |
Results can be long-lasting, but it is difficult to predict final outcomes. Initially, results may also decline before increasing. |
Results are long-lasting, as with Nucleofill. Some prefer Sculptra over Ellanse as the results are gradual and more discreet. |
|
Treatment cost in Singapore |
Low (compared to Ellanse) |
Medium (depending on volume) |
High |
High |
|
Potential side effects |
There are no serious side effects, making Nucleofilll an effective and safe treatment for all skin types2. |
The most common adverse effects include tenderness, bruising, and swelling. These side effects typically resolve naturally within 2 weeks. |
Like HA fillers, side effects of Ellansé include bruising and tenderness3. |
While extremely rare, side effects can include granulomas, scarring and discolouration, nodules, and lumps. |
If you’re looking to regenerate your skin tissues and skin from within, and are looking for more than a quick glow up, Nucleofill is an effective solution for correcting fine lines, wrinkles, and loss of elasticity. I especially recommend it for mature individuals who wish to regain their collagen levels and youthfulness.
Additionally, Nucleofill is an effective solution for anyone who suffers from:
If you’re already on a low maintenance anti-ageing regime, Nucleofill would be the perfect complement.
Remember, skin health is a cornerstone of one’s beauty – you’re never too young to start on an anti-ageing routine!
Dr. Park Ji-Youn is the founder and managing director of the Ozhean group. As a board certified dermatologist, she has published more than 30 scientific papers on dermatology, and is the creator of Ozhean’s SKIN FIT program, which was conceived in 2015, and continues to successfully retain 80% of its original customers.
Goodness knows there are countless slimming treatments and supplements available today in Singapore, and while we all know that variety is the spice of life, I’m afraid that our current industry –great clinics and practitioners notwithstanding– is also home to many questionable characters and technologies.
In September 20161, an 85-year-old woman settled a lawsuit against a popular slimming centre, in which she sought a full refund and damages over a $400,000 weight-loss package. On top of being ineffective, her treatment had caused her diarrhoea, a skin rash, and pus discharge.
Just last year, a woman was justly jailed2 for cheating victims of over $630,000 worth of beauty packages.
It’s hardly rocket science: Many slimming treatments and crash diets offered today are scams, and even if they seem to produce initial results, often, weight loss is only temporary and will bounce back.
One of the reasons for this is that too many “professionals” are not upfront about what type of weight is lost in their “guaranteed” results. What clients really want is fat loss, as water loss is hardly permanent, and muscle loss can actually be detrimental to health in the long term.
The cold, hard, truth: Losing weight is hard work
The truth is that losing weight is hard work, and requires a multi-pronged approach. I’ve said this before to my dearest clients, and I will say this again: Diet, lifestyle, exercise, and proper fat removal treatments are all crucial in achieving the body you desire.
I know how hard it is for many to commit to the time and effort required to lose weight consistently. One aspect of eating well for a better body is to be aware of the amount of calories you’re putting in your body. And this is not an easy task – as studies3 go, even healthcare professionals get their calorie counts terribly wrong.
With the above said, weight loss can be an uplifting and life changing journey, if you’re willing to embark on it. As a health and beauty professional, I always remind my clients that the work starts with them FIRST. Fat removal treatments are not the be-all and end-all of achieving the body you desire – but they can be an integral part of the process for sure.
We can’t spot-reduce fat, so even after dropping some overall body fat, some people may find that certain areas such as their belly, armpit, or thighs remain largely unchanged. Worse still, others who have achieved significant progress losing large amounts of body fat might become skinny fat and left with excess skin.
You also want to make sure you’re losing fat and not weight just for the sake of it – weight loss from water weight does not count!
Read to find out the difference between fat loss vs weight loss.
In summary, you want to lose weight the smart way – through dropping your body fat levels, and if you’re feeling it, some fat removal treatments or skin tightening technology (think stretchmarks and cellulite removal) could help complete your dream body.
Ozhean Zoey’s fat freezing technology aids clients in achieving the bodies they want via non-invasive fat removal treatments that are scientifically backed4:
In 2012, Cryolipolysis received FDA clearance for love handles, abdomen, and thighs. The efficiency of the treatment method on fat reduction without physical damage to surrounding tissue has been clinically proven. The procedure is effective in reducing adipose tissue, and also offers high patient satisfaction. Here are some of its other benefits:
Apart from Cryolipolysis, we also utilise treatments such as Agnes Fat Melt and Shockwave, Vacuum & Multipolar Radiofrequency to tighten, rejuvenate, and firm treated skin, giving our clients an even leaner and sculpted look after their fat removal treatments.
Struggling with cellulite? Here’s why losing more weight isn’t the solution.
While the full flushing out of treated fat cells may take up to six months, the odds of fat cells returning after treatment are slim to zero. Patients are strictly advised to maintain a healthy diet and lifestyle to support their fat removal treatment.
The journey might be hard, but it is so worth it. And with the right knowledge, mindset, and help, it is 100% achievable. If you’re just getting started, contact us today for the guidance that you need. We look forward to helping you succeed at achieving your dream body!
Dr. Park Ji-Youn is the founder and managing director of the Ozhean group. As a board certified dermatologist, she has published more than 30 scientific papers on dermatology, and is the creator of Ozhean’s SKIN FIT program, which was conceived in 2015, and continues to successfully retain 80% of its original customers.
It’s been 20 years since Singaporean actress Andrea De Cruz’s furore with slimming pills, which left her with liver failure and almost death. You’d think that consumers today would be wary of products that promise quick and immediate fixes, but it seems not – many are still falling for countless weight loss scams that promise to speed up your metabolism and more, as confirmed by CNA1.
One of these products even claims to be "15 times more effective” on stubborn fat, with "results guaranteed within one to five days".
To a professional, these claims are obviously nonsensical.
Even outside of consumables, the “get slim fast” scam pervading Singapore today has made its way through other facets, such as slimming massages, body wraps, steam treatments and vibrating belts alike.
All these treatments promise instant results, but the only real thing they have in common is that they help lose water, which unlike fat, is promptly regained. If you’re losing weight at a rapid pace without being on a hypocaloric diet, it’s very likely that you’re losing water weight instead of achieving actual weight loss, which comes from losing fat.
Want to lose fat and slim down for the long-term? Here’s the lowdown on what to look out for.
The human body is made up of about 60%2 water. Even fat cells contain roughly 10% water; suffice to say, water and hydration levels can greatly affect our body weight.
When your body undergoes a state of dehydration (through activities like alcohol consumption, sweating, water fasts), your tissues, fat and intestines easily lose water. Hence, it is not uncommon to experience a drop in weight, a smaller waist circumference and even smaller fat bulges.
Fun fact: did you know you can easily lose two pints’ worth of water just from 15-20 minutes in the sauna?
That’s a whole lot of water weight – and something many slimming centres take advantage of to produce “instant weight loss” and “instant slimming effects”. But this weight loss is gained back the minute you replenish your body with hydration, and can take as fast as 45 minutes3.
The bottom line: Rapid weight loss and slimming effects from slimming treatments that cause dehydration are only temporary and not meant to be permanent. The only real way to lose fat is through a caloric deficit.
A calorie deficit occurs when you consume fewer calories than your body burns.
How big of a deficit over a consistent period of time will determine how fast you lose weight; but in general a deficit of 200-500 calories is enough to accumulate steady fat loss without feeling hungry and lethargic all the time.
All literature and clinical studies have proven that a caloric deficit is the only way to achieve meaningful long term weight loss. When trying to lose weight, you should always focus on fat loss or losing visceral fat (fat located within the gut and intestinal organs). This significantly influences the body to look more attractive and healthier.
Fat removal treatments focus on the removal or destruction of fat cells thus causing a reduction of fat or fat loss in the treated area.
Yes, diet will have a big impact on the overall success of your slimming journey – but fat removal treatments can assist and even accelerate this process, provided the client is strict with their diet and exercise regime.
For example, this 2012 study4 which evaluated long term fat loss in liposuction shows while the number of fat cells remained stable and low at treated areas, they actually increased in other areas of the body. In other words, fat redistribution is possible especially if current dietary and activity habits continue.
So the gist is: Have your diet and exercise habits in place, and they will greatly enhance the aesthetic results of your fat loss treatments.
Our team deliberately chooses fat removal treatments that are centred around clinic research and medically proven results. Let us help you achieve and maintain your desired body!
Dr. Park Ji-Youn is the founder and managing director of the Ozhean group. As a board certified dermatologist, she has published more than 30 scientific papers on dermatology, and is the creator of Ozhean’s SKIN FIT program, which was conceived in 2015, and continues to successfully retain 80% of its original customers.
References
In 2019, the K-beauty trend1 that reigned supreme was glass skin. The main goal of glass skin is simple but crazily unattainable: Look so radiant and dewy that your skin becomes almost reflective, or mirror-like.
That all changed in 2020, when the simpler trend of cream skin took over, and the focus shifted from radiant and dewy to soft and supple. The cream skin trend also pared down the complicated steps of glass skin skincare, which is a big reason why it gained such wild popularity in Singapore and the rest of the world.
But whether it’s glass skin or cream skin, Korean skincare trends continue to revolve around the same thing: Attain the perfect, poreless, porcelain skin that Korean actresses seem to have. As a Korean aesthetic clinic, we can vouch for the fact that skin whitening remains one of the top goals amongst our clients.
Before I move on, I’d like to stress that skin bleaching is different from skin whitening. While the former involves severe changes in skin tone and colour, skin whitening, especially in the context of Korean beauty standards, speaks to perfecting to the overall texture and health of skin, and is designed to help women achieve bright and luminous skin, no matter their place on the Fitzpatrick scale.
While the demand for skin whitening (or bleaching) remains strong, the procedures and products involved, however, have earned bad reputations due to cases of highly dangerous and unregulated skincare products and services being available in worldwide markets.
Some skin whitening or bleaching products have been found to be closely linked2 to health problems such as kidney failure, blood poisoning and cancer3. It is for this reason that many countries, such as Australia, Japan, and Singapore, have banned the use of toxic bleaching agents in skincare products (thank goodness!)
On that note, are there products out there that are safe to use for skin whitening? Let’s take a closer look.
While research states that using intravenous glutathione (whitening drips) to lighten skin brings countless adverse effects4, including the toxic harming of the nervous system, kidney and liver failure, and Stevens Johnson syndrome, there are those who still choose to do it, whether it’s out of ignorance or stubbornness.
Oral whitening supplements are yet another solution, and consist of options such as oral carotenoids (aka. the crystal tomato), glutathione, melatonin, Polypodium leucotomos hydrophilic extract, procyanidin, and tranexamic acid. Initial findings for the treatment of hyperpigmentation seem promising, and such oral treatments do appear safe for now.
However, the plain truth is, even dermatologists are behind when it comes to understanding the properties, risks, and efficacy of treatments and products in the market today.
At Ozhean Zoey, we use a combination of safe and effective treatments to help our clients achieve the skin they dream of. Here are a few examples of the help that we offer:
I personally really like the De:H Brightening Ampoule: This topical whitening product contains Sea Buckthorn, and Vitamins C and E, which are excellent antioxidants (hello, anti-aging effects!) It also contains VHTN complex, which is an active whitening formula that:
Topical glutathione is safe5 to use, and combined with LDM electrophoresis mode, is best applied after Secret RF for the reduction of pigmentation, and enhancement of melasma whitening effects.
The Curas Laser in long pulse mode helps target hyperpigmentation in the deeper layers of the skin.
This laser treatment targets both superficial melanin in the epidermis, and haemoglobin. It reduces blood vessels so as to lessen skin redness and achieve overall brightening of the skin. The Proyellow Laser is great for achieving the aforementioned glass skin effect. Many of our clients love how their skin just glows after treatment!
The Pico Laser targets superficial pigments better with a photoacoustic effect, and is a risk-free treatment that lessens fine lines and wrinkles, reduces pigmentation and scarring, boosts collagen production and tightens the skin, and can even remove tattoos.
If you’re looking to improve the thickness of your skin, and would like to create a healthy and deep skin environment, Secret RF is a great choice as it significantly enhances the efficacies of lasers when attempting to whiten the skin.
LDM treatment uses dual-frequency ultrasound to deliver waves of energy to the connective tissue of the skin. This does an amazing bunch of things, like improve skin health, decrease inflammation and redness, and offer the healthy, glowy skin that everyone hankers after.
Apart from the above methods, we also have a lineup of other whitening treatments that specifically target melanin and haemoglobin.
These treatments effectively deal with melanin hyperpigmentation, and also efficiently decreases redness in the skin, which enhances skin whitening effects. Best part? Our treatments are suitable for even the most sensitive parts of the body.
Glass skin is not just for K-pop stars - you can achieve it too with the right treatment method and with a doctor who understands your skin type. Let 2022 be the year of clear skin!
Dr. Park Ji-Youn is the founder and managing director of the Ozhean group. As a board certified dermatologist, she has published more than 30 scientific papers on dermatology, and is the creator of Ozhean’s SKIN FIT program, which was conceived in 2015, and continues to successfully retain 80% of its original customers.
References