CosmeticDoctor.ie was established in 2006. CosmeticDoctor.ie provide a wide range of non-surgical cosmetic treatments from laser hair removal, laser thread vein removal, BBL, Moxi, Halo, anti-wrinkle injections, Hydrafacial and dermal filler treatments.

University of Greenwich University of Hertfordshire University of Wales, Cardiff University College Dublin University College Dublin Loreto College Mullinga

Dr. Fay completed her medical training in University College Dublin in 1999. Dr. Lisa Fay is a vocationally trained GP obtaining her MRCGP (Membership in General Practice) in Edinburgh, Scotland in 2003 and works full time in the field of aesthetic medicine.

Dr Lisa Fay is the founder and Medical Director of Cosmetic Doctor. She has over 19 years of clinical experience and has been performing aesthetic treatments for over 15 years.

Dr Lisa Fay

Dr. Lisa Fay

Obagi

Profhilo

Juvederm

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Aesthetician or cosmetologist

Dermatologist

Doctor or Physician

Cynosure Elite laser

Profect Photography System

Hydrafacial

University College Dublin in 1999 privately trained with Dr. Herve Raspaldo as well as Arthur swift, Dr. Zein Obagi and Dr. Koen De Boulle

The most commonly used fillers today are non-permanent and consist of hyaluronic acid, a naturally occurring molecule found in skin, joints and in the eyes.  Several brands of hyaluronic acid filler are available.  They all comprise a clear, soft, sterile gel that is injected into the skin or beneath the skin to soften lines, contour facial features, or add volume.  Fillers may be injected under local anaesthesia, and results can last about 6-18 months.

Fillers

A peeling treatment that uses lasers, such as carbon dioxide and erbium lasers, to remove the outer skin layers precisely. The type of laser and settings used determine how the skin peels and heals. Laser skin resurfacing is used to reduce sun damage, pigmentation, and fine wrinkles. The treatment usually requires some form of anaesthesia and special skin care during the healing period after the treatment.

Laser skin resurfacing

A skin resurfacing or peeling treatment that uses chemicals, usually special acids, to remove the top layer of skin. A chemical peel is indicated to treat pigmentation, sun damage, acne, or fine wrinkles. The depth of peel, results, and recovery period depend on which chemical is used during the peel. Chemical peels can be superficial, medium depth, or deep peels. Peeling agents include salicylic acid, azelaic acid, glycolic acid and trichloroacetic acid (TCA).

Chemical peel

Lasers are powerful devices that emit light at certain wavelengths in order to have an effect on tissues in the skin or body. Ablative lasers vaporise or peel skin. Non-ablative lasers usually heat skin without peeling. Lasers can heat collagen effectively, causing improvement in texture, tightness and pores. Lasers can be used to rejuvenate by treating blood vessels, removing hair, stimulating biological processes or peeling the outer, unwanted layers of skin or tissue.

Laser rejuvenation

Microneedling is a treatment where numerous tiny needles penetrate the skin to stimulate collagen, resulting in tighter skin with fewer lines and improved texture. The needles are small, usually up to three millimetres in length, and arranged on a device such as a stamping tool, pen, or roller. Local anaesthesia may be used to numb the skin before microneedling is performed. The skin can appear pink after the treatment, which may be repeated several times for best results.

Microneedling

Vascular lasers can treat variety of conditions including dilated or unsightly blood vessels. The lasers employ a specific wavelength of light the targets the blood in blood vessels, heating the vessels and effectively destroying them. Vascular lasers include pulsed-dye lasers and NdYAG lasers.  They can be used for conditions such as leg telangiectasias or “broken veins”.  A number of treatments may be required for optimum results.   

Vascular laser

Lasers use a specific wavelength of light to exhibit their effects. The wavelength determines the target for that specific laser. Most lasers are designed to heat and destroy a specific target and leave surrounding tissue untouched and undamaged. Lasers can peel skin, remove hair, rejuvenate skin, treat vascular conditions and remove pigmentation and tattoos. Various safety protocols are required when lasers are used, such as eye protection with goggles or eye shields.

Laser

This is a blood product that is prepared by spinning a whole blood sample in a centrifuge in a special syringe. The blood separates into different components, including plasma rich in platelets, cell fragments that release growth factors. The gold-coloured platelet-rich plasma is used to rejuvenate tissues such as skin or hair, usually by injecting it in small droplets.

Platelet-rich plasma (PRP)

The device is used to remove the outer layer of skin using plasma. Plasma is a form of matter generated when atoms in gas molecules, such as nitrogen, lose their electrons and become positive ions. Although a plasma device is not a laser, it can have similar applications, such as tightening skin or removing fine lines. Plasma devices may remove the top layer of skin, resulting in a some downtime during healing.

Plasma skin rejuvenation

Using lasers designed to specifically target the pigment in hair so that the hair follicle is destroyed selectively. Laser hair removal is most effective on dark hair, particularly when the skin is fair. Darker skin types can also be treated effectively using lasers with a long pulse width. Typically, several treatments are required for permanent hair reduction. Lasers for hair removal vary in their wavelength, power, and methods for cooling the skin during treatment.

Laser hair removal

A treatment that improves the skin’s condition using gentle techniques such as massage, exfoliation, the application of topicals, and masks. Numerous types of facials are available to improve hydration, smoothness, and radiance. Some devices are used in addition to manual techniques during skin facials, with tips that provide suction, peeling, and moisturising. There is usually little or no downtime after skin facials.

Skin facial

The peeling away of the outer layer of dead skin cells on the skin’s outermost layer. Most microdermabrasion devices use tiny particles, diamond-tipped grits, or patented tips to gently blast or scrape away the epidermal cells. Microdermabrasion is designed to give an instant smoothing effect, although a course of several treatments is often recommended to give better results over time. The skin may be pink after treatment but this usually resolves quickly.

Microdermabrasion

Nose fillers are used to change the contour of the nose slightly. This is a delicate area that should only be injected by experienced medical professionals in select cases. Fillers, usually hyaluronic acid, are placed to make the nose appear straighter or sometimes modify the tip to enhance the profile.

Nose fillers

A series of small injections of a purified neurotoxin that temporarily blocks nerve impulses to muscles or other tissues, causing the muscles to relax.  When muscles relax, the overlying skin moves less, effectively reducing wrinkles.  Botulinum toxin injections can be strategically placed for various other indications, including rejuvenation of the upper and lower face, reducing sweating, and medical conditions such as migraine. The effects usually wear off after a few months.

Botox

Aging frequently involves midface volume loss, so adding volume using fillers like hyaluronic acid can restore youthful traits. Midface fillers can help reduce undereye shadows, improve face shape, and even provide a subtle lift to the lower face. Midface fillers placed over the zygomatic bones can also help define the cheekbones. Hyaluronic acid fillers are usually placed deep in the tissues and can give visible results for 12-18 months.

Midface fillers

Fillers such as hyaluronic acid or calcium hydroxylapatite are often used to make the jawline more defined or sharper. The fillers are placed either under the skin or on the jawbone to provide instant results. Depending on the filler and volume used as well as the placement, they can last about 6-18 months. If there is too much sagging or heaviness, other lifting or tightening treatments may be more appropriate.

Jawline fillers

Fillers placed in the delicate area around the eyes to reduce hollowing and a sunken appearance. Usually, it involves placing tiny threads of hyaluronic acid using blunt-tipped cannulas in order to augment the soft tissues. This restores the appearance of fullness and reduces shadows. A careful assessment by an expert provider is important before any proposed treatment.

Periorbital fillers

These fillers are placed using either needles or cannulas to add volume, shape and definition to facial features. The can reduce shadows, improve proportions, balance facial features and increase attractiveness. Facial contouring fillers are predominantly non-permanent biocompatible substances like hyaluronic acid fillers that last several months to years.

Facial contouring fillers

Fillers like hyaluronic acid consist or a clear gel that can be injected into the upper layers (dermis) of the skin to eliminate or reduce wrinkles, add volume, and give structural support to certain features.  These clear, biocompatible sterile gels are the most commonly used fillers and results last approximately 6-12 months. Many dermal filler brands contain local anaesthesia to reduce discomfort.

Dermal fillers

Lip enhancement using lip fillers use hyaluronic acid gels to improve definition of the lip borders, enhance volume, or both. They can be tailored depending on the desired look. After topical or injectable numbing of the area, the filler is injected carefully giving instant results. Lip fillers can also improve symmetry and balance facial proportions. Lip fillers can be topped-up or even dissolved if reversible hyaluronic acid products are used.

Lip fillers

A few injections typically placed immediately above the upper lip to relax the muscle slightly. A botox lip flip is used alone or in combination with fillers to evert or show more of the top lip, giving a fuller appearance.  Results can take 10-14 days and last 2-4 months.  When the orbicularis oris muscle is relaxed in this way, the appearance of vertical lip lines or “smoker’s lines” may also improve.

Botox lip flip

The benefit of using hyaluronic acid fillers is that they can be dissolved using an enzyme called hyaluronidase. Hyaluronidase rapidly dissolves cross-linked hyaluronic acid gel if it is targeted correctly.  Speak with a medical professional if you feel you need to remove hyaluronic acid fillers. A skin test may be recommended prior to the injections.

Dissolve fillers

Strengthening the chin with fillers can improve facial proportions and angles by forward-projection on the profile view. Usually non-permanent fillers are placed using a needle or cannula on the bone or under the skin. For fine lines on the chin and dimpling, fillers are injected in the skin or botox is used to relax the underlying muscles. The results of contouring the chin with fillers can last over a year.

Chin fillers

These are gels (not fillers) consisting of natural molecules that stimulate collagen and elastic production, improve skin hydration, and provide skin regeneration by improving blood supply and through their antioxidant properties. They are injected in droplets into the upper layers of skin and can different formulations are designed to treat facial skin, delicate skin around the eyes, or skin on the body. They can improve skin firmness and reduce wrinkles.

Polynucleotides

Hyaluronic acid fillers can be placed under the eyes in select cases to lift out the tissues, softening tear trough shadows and smoothing the junction between the eyelid and the cheek. Usually a small cannula is used to place tiny volumes beneath the muscle in this delicate area. This should be performed by expert injectors because it is an unforgiving area to treat. Results can last several months or even years.

Undereye fillers

These are gels consisting of hyaluronic acid molecules that are powerful hydrators of skin. Injected into the upper layer of skin, HA skin boosters attract water and provide an instant plumping effect. The skin typically appears more radiant and glowing, with a reduction in fine lines. Ideal for dull, dry skin, Skin boosters with HA usually require maintenance treatments for ongoing benefits. Although they are not fillers, they can be used in combination with many other treatments including fillers.

Skin boosters (HA)

Using a non-ablative laser, the skin is resurfaced without vaporizing the outer layer of skin during the treatment. The wavelength of non-ablative lasers allows them to heat and destroy channels of tissue in the upper layers of skin whilst preserving the epidermis. The recovery is shorter compared to an ablative laser, and there is no raw surface immediately after the treatment. Non-ablative laser resurfacing usually requires a course of treatments for best results and is used for improving skin texture, pigmentation, and scarring.

Non-ablative laser resurfacing

Photorejuvenation is the general term used to describe light devices that improve skin quality, texture, redness, and pigmented spots like freckles and sun damage. Typically, powerful lights are used with a broad spectrum, unlike lasers.  Devices vary hugely in their power and sophistication, with some being more effective, safer, and versatile in different skin types. Most devices facilitate different handpieces or different filters to modify the band of light being emitted to optimise results for various skin concerns.

Photorejuvenation

Technologies that use either one wavelength or a band of light to target blood vessels and redness in or under the skin. Depending on the condition being treated and your skin type, settings can be adjusted to selectively target the vessels and reduce or clear them over a course of treatments. After-effects include redness, mild swelling, or bruising. This can be discussed with your treatment provider beforehand.

Vascular laser or light

Consultation

Fillers like hyaluronic acid or calcium hydroxylapatite can be used to plump the tissues in the back of the hands. As we age, we lose fat under the skin, making the veins and tendons more prominent. Soft tissue augmentation with fillers restores youthful fullness. They are usually placed through tiny punctures and blunt-tipped cannulas. Hand fillers can be used in conjunction with other anti-aging hand treatments like lasers for skin rejuvenation.

Dr. Lisa Fay

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