Archive for category Non-invasive Surgery

The Lunchtime Lift with the New Thermage CPT – Now available at COSMED


Thermage is a proven, unique radio-frequency treatment that can help tighten sagging or loose skin, naturally giving you a dramatically smoother, sleeker and younger look and feel.

Aging affects us all – the way we act, the way we feel, and definitely the way we look. But with Thermage, you can have a say in the way aging affects your skin – and maybe even get back to the way you looked not so long ago.

Thermage is a proven, unique radio-frequency treatment that can help tighten sagging or loose skin, naturally giving you a dramatically smoother, sleeker and younger look and feel.

Thermage works in just one treatment with no down time and delivers a change that is never drastic-looking.  It’s you, just younger looking and more confident.


Thermage is effective on:

  • The Face– smoothing and tightening sagging skin, smoothing fine lines and wrinkles and helping define the jawline and lip. Addresses loose jowls and “turkey neck”.
  • The Body – helping contour loose skin and smooth bulges, and also cellulite.
  • The Eyes – treating upper and lower eyelids to reduce hooding and fine lines as well as lifting of the brow line.

Thermage treatments are all about energy – focusing radio-frequency energy to kick start the body’s own natural renewal process. Like most smart technologies, the process is relatively simple – it’s a combination of heat energy to treat deep tissue, and cooling effects, to protect the skin surface and deliver better patient comfort. And our latest evolution of Thermage includes patented Comfort Pulse Technology (CPT) – gentle vibrations and interspersed cooling that make your Thermage treatment even more comfortable, so more energy and heat can be delivered than the older ThermaCool and NXT models, achieving better results.

Unlike many other procedures, Thermage treatment delivers results in a single treatment for most patients. In fact, when it comes to skin tightening and contouring with little to no downtime, Thermage is one of the only non-invasive treatment procedures on the market. Unlike surgery, there is no pre-procedure preparation such as blood work or fasting. And there is no special care required after treatment, aside from basic skin maintenance and sunscreens as part of a regular skincare regimen. Since the Thermage procedure has no downtime, most patients return to their regular activities immediately following treatment. Some patients exhibit a temporary redness or minor swelling after treatment, but this usually goes away within 24 hours.

Thermage Mexico

When lotions and potions are not enough and surgery is too much, Thermage is a safe, effective solution.

Some people want the dramatic results of surgery. Others want the more subtle, natural, gradual results of a non-invasive treatment with no downtime. This is where Thermage succeeds, delivering improved skin tone, texture and tightness.

When lotions and potions are not enough and surgery is too much, Thermage is a safe, effective solution.

Visible results may be immediate, and they may appear over time in the course of your body’s natural collagen rebuilding process. For most patients, measurable tightening and contouring appear gradually in the two to six months following a single treatment session. Results can last years depending on your skin condition and aging process.

What is the cost of Thermage CPT?

Prices in the US vary per area but on average, you can expect to pay $2300+ for Face & Neck Thermage, $2500+ for Body or Cellulite and $1800 for eyes.  However, at COSMED Plastic Surgery Center in Mexico, you can save hundreds on the exact same procedure.


This is the right time of the year for your Lunchtime Lift with the Thermage CPT treatment, so you can look amazing and enjoy the results for these holidays and Spring break! At COSMED we want to spoil you, so hurry! Face and neck treatments will start at $1,500 USD and will be good thru 2012 (regular $1,800 USD). Remember that it could also be combined with ThermaFrax on the same day visit. If body or eyes are your main concern, ask about our body and eye treatments. To book your Thermage Appointment visit or call 1-877-235-1968.


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Which Chemical Peel is Right For You?

chemical peels

Mild chemical peeling also is popular with younger people. Some people in their 20s and 30s opt for a mild chemical peel to prevent signs of aging from appearing too early.

If you want to diminish fine lines and wrinkles, skin discoloration, a dull complexion or rough skin, your dermatologist may recommend a cosmetic procedure called a chemical peel. For this procedure, medical grade substances (derived from sugar cane, milk, tomato, aspirin) are applied on the skin, peeling away many visible signs of aging on the face, hands, neck, and chest. After the skin heals, fewer wrinkles, less discoloration, and improved texture may be seen. Chemical peeling also is popular with younger people. Some people in their 20s and 30s opt for a mild chemical peel to prevent signs of aging from appearing too early. Acne sufferers may find that chemical peeling helps keep their skin clear. Most of the peels performed are superficial or medium, well tolerated, and with little healing time.

What to Expect Before a Chemical Peel: Choosing The Appropriate Peel

A consultation is essential. Your dermatologist will take a complete medical history. Be sure to tell the dermatologist if you are prone to cold sores, have had a cosmetic procedure in the past, scar easily or have ever had a type of raised scar known as a keloid, took isotretinoin (a prescription medication used to treat severe acne) or pregnant. These can have a tremendous effect on what you see after a chemical peel.

After the consultation and a physical exam that includes a close look at your skin, the dermatologist will tell you if a chemical peel will help diminish the signs of aging that concern you and if a chemical peel is right for you. If a chemical peel is appropriate, one of our CosMed Signature peels will be recommended:

Peels from CosMed Plastic Surgery Center in Mexico

Signature Peels from CosMed Plastic Surgery Center in Mexico

Most medium and deep chemical peels require pre-peel skin care (oral and topical). Usually prescribed for 2 to 4 weeks before the peel, this skin-care plan helps the peel deliver the best results and reduce potential side effects.

What to Expect During a Chemical Peel

Superficial and medium-depth peels are performed in the office. A deep peel is performed in the operation room. General anesthesia (puts the patient to sleep) and monitoring equipment for the heart and lungs may be necessary only for deep peels.

Before applying the peel, the skin is prepped. Once the skin is ready, the dermatologist quickly and evenly applies the peel. As the peel works, the dermatologist watches the skin carefully so that the peel can be stopped and removed at the appropriate time. A tolerable stinging or burning sensation is normal and expected for a couple of minutes, which is ameliorated with air from a fan. After the peel, cool compresses or thermal water may be applied to help soothe the skin. These are usually not necessary for a superficial peel. A mild lotion or cream and sunscreen may be applied after a superficial or medium-depth peel to help soothe the skin, and then you are ready to go. You can restart your skin care regimen 5-10 days after the peel or as directed by the doctor.


Dr. de la Fuente

Dr. de la Fuente

CosMed’s dermatologist Dr. de la Fuente is a skin expert. He has presented and published scientific articles available at PubMed, Journal of the American Academy of Dermatolgy, Skin and Aging, Clinical and Experimental Dermatology and many more. He also serves as a Dermatology Professor at School of Medicine in Tijuana.

To learn more or schedule your appointment, visit

Click here for more non-surgical ways to rejuvenate your skin available at CosMed’s Medi-Spa

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Grab your Friends for a Fabulous Day of Beauty at COSMED

Now is the perfect time to gather up your favorite friends and plan a private BOTOX or Fraxel Party at COSMED Plastic Surgery Center in Mexico. When you bring a group of 6 friends, we’ll arrange a private shuttle to pick you up from the San Diego / Tijuana border and escort you to COSMED, located in the new, state-of-the-art VIDA Wellness & Beauty Institute, just 20 minutes outside San Diego, California.

When you schedule a group trip to COSMED, we’ll also provide a free skin analysis and vitamin C treatment for everyone in your group. Plus, as the group organizer, you’ll be entitled to 1 free area of BOTOX for yourself!  Learn more about COSMED’s Medi-Spa services, then call us direct to ask about special group rates and transportation options available. 1-877-235-1968

Call COSMED for group pricing on our Medi-Spa Services 1-877-235-1968

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New Anti-Aging Trend: ThermaFrax Non-Surgical Rejuvenation

ThermaFrax provides both skin tightening and skin resurfacing with beautiful results.

Dermatologist, Dr. de la Fuente is excited to announce the latest non-surgical rejuvenation procedure now available at the COSMED Medi-Spa in  Mexico

All over the world, people dream of staying young and beautiful. There is an abundant supply of age-defying products and treatments in the market that all aim to fight, or at least delay the signs of aging. As one of the newest anti-aging treatments, ThermaFrax provides both skin tightening and skin resurfacing, with beautiful results. With little downtime, it is the perfect procedure for patients on the go. Below is more information about this popular new anti-aging treatment.

What is ThermaFrax?

ThermaFrax is the combination of Thermage Face and Fraxel laser, which are non-surgical rejuvenation treatments. Thermage tightens and lifts the skin by encouraging the development of new collagen, while Fraxel laser treatments take care of erasing signs of aging from the skin’s surface, improving wrinkles, skin texture, pores, scars and brown spot, targeting a specific area by dividing a laser beam into a thousand microscopic dots. Both treatments are FDA-approved procedures and have undergone extensive testing with clinical case studies.

What to expect?

ThermaFrax allows a patient to come in, have their procedure done, and then return to work with little downtime. Typically, patients see redness for a couple of days much like a sunburn, and then a tan and/or dry skin appearance which lasts 3-4 days. Results can last for years.

ThermaFrax is the combination of Thermage Face and Fraxel laser, which are non-surgical rejuvenation treatments.

Which treatment goes first?

The first part of the treatment involves Thermage Face, which heats the deepest layers of the skin to tighten existing collagen and stimulate new collagen growth. It also makes the skin look slightly pink. The procedure may take 60-90 minutes. Then, the second part of the procedure is Fraxel, which uses a laser treatment to activate advanced skin rejuvenation. A numbing ointment is applied on the face for 60 minutes, and then the laser treatment is done in 15-20 minutes. Fraxel is the accepted gold standard for treating acne scars, periorbital wrinkles, and for skin resurfacing procedures on the face, neck, chest and hands, resulting in smoother skin texture with little downtime.

When are the results going to be visible?

It is important to mention that even the treatment works quickly, it is not an instant fix. You will see gradual changes, but over time these changes will blow you away. Natural looking results appear over time in the course of your body’s collagen rebuilding process, usually after the first month of ThermaFrax.

Is ThermaFrax right for you?

Patients suffering from pigmentation issues, age spots, acne scarring, fine lines, and mild to moderate loose or sagging skin on the face and neck are all great candidates. Also, patients that are still not candidates for a face or necklift, patients that don’t want surgery, or patients that have no time for a “downtime”. It’s also safe for use on ALL skin types.

Aside from the face and neck, ThermaFrax can also be used to treat other parts of the body (ThermaFrax Body), like stretch marks, which also improve and become less visible.

It is always advisable to consult one of our doctors to make sure that ThermaFrax suits your skin and expectations. Inquire today about the ThermaFrax procedure at or call  1-877-235-1968


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Facial Rejuvenation: Solving the Puzzle on How to Turn Back Time

COSMED’s  Team Approach to Beauty & Well-Being helps Solve the Puzzle on How to Turn Back Time with Facial Rejuvenation.

Face lift, Neck Lift Before and After Photos

Photo 1: Before Surgery   Photo 2: After Face and Neck lift Photo 3: After Dermabrasion, Lip Augmentation and Fat Transfer.  Total Facial Rejuvenation with CosMed took approximately 6 months.

Ever since one of our patients was featured in New You Magazine for her incredible “Looking the Way you Feel” plastic surgery success story, we’ve been getting a lot questions about how exactly the doctors at CosMed Clinic were able to turn back the time, and give Roberta a younger look, that matched the way she felt on the inside.  CosMed’s team approach to facial rejuvenation produced incredible results for this 67 year old patient.

Below is a list of the facial rejuvenation procedures she had done  with board certified plastic surgeon Dr. Quiroz and dermatologist Dr. de la Fuente at CosMed Plastic Surgery Center in Mexico.

Step 1: Full face and neck lift
One of the first places to notice effects of aging is the face and neck. The effects of gravity, sun exposure, free radicals, weight loss and daily stress can become visible in the form of deep creases between the nose and mouth, slack jaw line, and fat deposits in the neck. A facelift can turn back time and improve/reduce the effects of aging. By tightening underlying facial muscles and removing areas of excess fat, CosMed’s medical doctors can help you achieve a more youthful and naturally refreshed look.

Step 2: Dermabrasion around the upper and lower lips
Dermabrasion helps to smooth the skin around the mouth and, in the process, removes fine wrinkles.

Step 3: Lip Augmentation with her own fat vs. a synthetic filler
To enhance contour and give the face a more youthful look, we do a procedure called fat grafting or fat transfer with stem cells. Fat is removed by liposuction from elsewhere on your body, appropriately prepared and then injected into the desired area. While synthetic fillers may be advised in certain areas from some patients, we felt that using her own fat would provide the best and most natural results.

reduce wrinkles around lipsStep 4 Fraxel re:store laser full face
Fraxel can remove years from your appearance with no additional surgery required. The revolutionary Fraxel re:store™ laser treatment improves skin tone, reduces discoloration, wrinkles and fine lines resulting in an overall smoother skin texture.

Fraxel re:store laser treatment uses points of light to precisely treat thousands of microscopic areas of your skin. The treatment penetrates deep into the skin to remove old, damaged skin cells, stimulates your body’s own natural healing process, and replaces the cells with fresh, glowing, healthy skin. Because the technology is so precise, Fraxel re:store treatment works not only on the face, but also on delicate skin areas like the neck, chest and hands. Fraxel re:storetreatment delivers dramatic results, fast healing and maximum safety. Safe and effective, the Fraxel re:store laser is cleared by the FDA and has undergone extensive testing in the lab and out in the field.

reduce wrinkles around eyes

Step 5: Maintenace skin care with Tri Retinol Complex, Ultra Sheer Moisturizer, TNS Illuminating eye cream and Sunscreen SPF30 from Skin Medica

Ongoing maintenance with high quality skin care products is important for keeping skin beautiful. We developed a regimen specifically for Roberta to help her maintain her new youthful look.

Beyond the cost saving benefits of having plastic surgery in Mexico, CosMed’s  wholestic approach to beauty and well-being allows the highest quality analysis from medical professionals including plastic surgeons as well as a dermatologist in order to achieve the best possible results.

Have more questions about these procedures? Ready to book your own consultation with CosMed? Get started by by filling out the Free, Online Virtual Consultation form, or contact CosMed directly through our web site

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New Trends in Non Invasive Treatments and Anti-Aging for 2012

By Dr. Alberto de la Fuente 

New Trends in Non Invasive Treatments and Anti-Aging for 2012

I just returned from the 2012 American Academy of Dermatology Annual Meeting. At the event, some new promissory treatments and technologies were introduced. Some of them show really nice results on the short term, while others lack long term benefits. As a safety and ethical policy to our CosMed patients, we only have devices and technology that have demonstrated beneficial results. We will not recommend a treatment just because it is the newest or trendiest thing on the market. We also know that just because a treatment is more expensive, it does not mean it is necessarily better. With that said, I would like to share some of the new and trending anti-aging technologies which everyone will be talking about soon. Please contact me directly if you’d like more information on any of these new procedures, or to find out if the treatment is right for you.

Ultherapy is a new type of non-surgical, non-invasive procedure for the face that uses ultrasound and the body’s own natural healing process to lift, tone, and tighten loose skin. It stimulates the deep structural support layers of the skin—including those typically addressed in a surgical facelift—without disturbing the surface of the skin. Results will unfold over the course of 2-3 months.

CoolSculpting, not really new but trendy, uses a targeted cooling process that kills the fat cells underneath the skin, literally freezing them to the point of elimination. Only fat cells are frozen. Your healthy skin cells remain healthy. Once crystalized, the fat cells die and are naturally eliminated from your body. You may start to see changes as quickly as three weeks after your treatment, and will experience the most dramatic results after two months. But your body will still flush out fat cells and continues doing so for up to four to six months after treatment.

In the same field of body contour and fat loss, Liposonix uses high-intensity focused ultrasound energy to permanently destroy targeted subcutaneous fat and deliver uniform. It gets rid of targeted fat around the waistline (abdomen and love handles) without surgery. The average waistline reduction after just a single one-hour treatment is about 1 inch (2.5 cm). Results are typically seen in 8 to 12 weeks (which is the time needed for the body to naturally process the treated fat). It is important to mention that it is not liposuction or surgery, is not a replacement for a healthy lifestyle and exercise, and is not a way to lose weight.

Zerona is a new body contouring diode laser procedure to effectively remove excess fat without the negative side effects associated with surgical methods. It utilizes cold laser technology which has been shown to emulsify fat and allow it to move to interstitial space. Although this technology was originally utilized to help assist tumescent liposuction procedures, it was found that the cold laser treatment alone helped patients to reduce inches from their waist, hip and thighs. There is no need to wear compression garments or bandage, and since there is no pain, there is no need for anesthesia.Some can see results after only a few treatment sessions as their clothes fit more loosely. Many actually see the difference after 4-6 sessions.

Fractional radiofrequency is a procedure that involves penetration of insulated microneedles into the dermis to deliver a high-tensioned radiofrequency pulse (heat) into the targeted tissue. This brings about the production of elastin and collagen fibers, making the skin firmer and healthier. This treatment could be more aggressive, invasive and with more side effects than classic radiofrequency (Thermage) which spares the microneedles, and obviously the pain.

New fractional lasers like Fraxel Dual, which uses a novel 1927 nm Thulium laser to target more superficial skin problems like dark spots, but mainly pre malignant lesions and with less downtime. A new option for patients suffering from hair loss is Fraxel re:store 1550. Even this laser is not really new, but its application on hair loss is. Recent studies showed that this laser could help in hair regrowth after 4-5 treatmens every 2 weeks, giving more hair density and thickness, both in women and men. Also the Clear + Brilliant laser which is a new anti-aging technology to treat and prevent signs of aging with no downtime, specially for younger patients, producing a visibly illuminated skin tone, a soft and smoother texture, an improved tone and radiance, and also a reduction in the appearance of pores. Also fractional lasers are now used as a medication delivery method instead of needles and syringes, especially for treating scars and nail fungal infections.

The trending in non invasive facial and neck procedures is now the combination of lasers and skin tightening devices, like the Thermage and Fraxel or “ThermaFrax”. Studies have demonstrated superior results that could last longer when combined together, especially in young patients, but this doesn’t means this could be a face or necklift substitute. Thermage delivers radiofrequency energy to the deeper dermis and subcutaneous layers of your skin to stimulate new collagen growth and tighten and contour the skin. Fraxel laser skin treatment resurfaces your outer skin layers, the dermis and epidermis, to smooth the skin surface and erase unwanted brown spots and wrinkles. This results in the enhancing of the skin tightening, texture, tone and the duration of the results. Thermage continues showing good results with just one session, as compared to other radiofrequency technologies in which more than one treatment are needed.

Talking about nail infections, the traditional vascular Nd:YAG 1064 nm laser has also demonstrated acceptable results for treating toenail fungal diseases in patients that are not candidates for oral medication or are only partially responding to it, with an average of 30-40% improvement. This was so new, that the regimen of frequency and dosage are still under investigation.

Finally, also robotics are getting into the medical aesthetic field, the ARTAS system is an interactive, computer assisted system utilizing image-guidance to enhance the quality of hair follicle harvesting. It has the potential to solve most of the technical challenges inherent in the manual follicular unit extraction technique. The system is operated under the direction of a physician, and includes an interactive, image-guided robotic arm, special imaging technologies, small dermal punches and a computer interface. After the system is positioned over the patient’s donor area of the scalp, it is capable of identifying and harvesting follicular units. The follicular units are stored until they are implanted into the patient’s recipient area using current manual techniques.

As for today, these are the latest updates for anti-aging and non invasive treatments. As soon as new technologies are launched into the market, we will keep you informed and updated about their indications and beneficial results, and also if they will be available at CosMed.


Dr. Alberto de la Fuente García, M.D

Dr. Alberto de la Fuente García, M.D

Dr. Alberto de la Fuente García, M.D. is a Dermatologist experienced in both clinical and cosmetic Dermatology. Contact Dr. de la Fuente or visit to learn more about the best procedures to improve your skin.

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Can Botox Actually Improve your Mood?

Studies have shown that using Botox to relax frown lines can actually relieve major depression.

According to a recent article in Medscape, studies have shown that when Botulinum, also know as Botox,  is used to relax frown lines, it can actually relieve major depression.

According to the March 2012 article,  “a single injection of botulinum neurotoxin into the glabellar muscle of the forehead to relieve frown lines appears to lead to strong and sustained improvement of the depression.”

Tillmann Kruger, MD, Associate Professor in the Department of Psychiatry, Social Psychiatry and Psychotherapy at Hannover Medical School in Hannover, Germany, reported at the 20th European Congress of Psychiatry that these findings support the concept that facial musculature not only expresses mood states but also affects mood.

Dr. Kruger explained that frowning expresses negative emotions such as anger, fear, or sadness. A facial feedback hypothesis says that the frown itself reinforces negative emotions, with the implication that suppressing frowning will help to relieve the negative emotions.

“The theory is pretty old, and it says that many or most of the emotions we have develop somewhere in the brain, and some of them are expressed in your face, for example…and this is again received and sent back to the central nervous system by this proprioceptive feedback,” he told Medscape Medical News.

More about Botox

Botulinum toxin, otherwise known as Botox, is a popular non-surgical injection that can temporarily reduce or eliminate frown lines, forehead creases, crow’s feet, and other unwanted facial lines. Botox is effective because the toxin blocks nerve impulses, which temporarily paralyzes the muscles that cause wrinkles. The result is a refreshed and youthful appearance. The effects of Botox have also been proven to relieve migraine headaches, excessive sweating, and muscle spasms in the neck and eyes.

To find out if Botox is right for you, contact the COSMED Plastic Surgery Center to schedule a consultation with a board certified plastic surgeon or dermatologist.

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