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Articles Index - Skin Rejuvenation

Virtually PAIN FREE treatments. Call and ask!

Metamorphosis Medical Center is delighted to now offer
VI Peel!
This peel contains a synergistic blend of powerful ingredients for a variety of skin types. This peel improves tone, texture, and clarity. Of skin. It reduces or eliminates age spots, addresses hyperpigmentation, and softens fine  and wrinkles.  This. Peel is an excellent choice for healthier, firmer, more youthful skin.  This self-neutralizing peel provides dramatic results with virtually no pain,no skin preparation and minimal downtime.
Call to make your appointment today


Enter a game-changing new injectable solution called Kybella. The first injectable substance that the FDA has approved to treat submental fat, Kybella is designed to dissolve stubborn under-the-chin fat. 

What exactly is Kybella? Also known as ATX-101, Kybella was created using a synthetic version of deoxycholic acid. This substance is normally found in the human body, where it emulsifies dietary fat. The Kybella formulation disables the cell membrane – the walls of the cell – and thus the general cohesion of it. Once the fat cell has been disabled, it is safely flushed out of the system over time. Removing a large number of fat cells reduces an area in volume.

Patients respond well and are typically very satisfied with this cutting-edge new treatment. Along with experiencing a reduction in submental fat, they feel better about their appearance and less self-conscious in regard to weight and the aging process.

In total, an in-office Kybella treatment usually only requires 15 to 20 minutes to perform. During treatments, the patient’s submental fat cells are targeted using precise injections. The number of injections required varies.

Typically, results can be seen after an average of two to four Kybella treatment sessions. Sometimes up to six are required to reach full results. Patients will wait one month between each session. Usually, after the patient’s desired degree of change has been reached, no more treatments will be necessary.

After treatment, some patients have experienced a degree of bruising, swelling, and/or numbness. This is temporary and will fade soon.
Spider Vein Removal

What is sclerotherapy?
Sclerotherapy is a medical procedure used to treat varicose veins and “spider veins.” During sclerotherapy, Dr. Vierregger injects a solution directly into the affected vein. The solution irritates the lining of the vessel, causing it to swell and stick together. Over time, the vessel turns into scar tissue that fades from view. Sclerotherapy is a well-proven procedure and has been used since the 1930s.

How is sclerotherapy done?
Sclerotherapy is performed in our doctor’s office. The treatment area is cleansed. The solution is injected directly into the blood vessel, using very fine needles. The number of veins injected in one session is variable, depending on the size and location of the veins, and the patient’s overall medical condition.
How successful is sclerotherapy in treating varicose and spider veins?
Sclerotherapy works well for most patients. It is estimated that as many as 50 percent to 80 percent of injected veins may be eliminated with each injection session. A few (less than 10 percent) of the people who have sclerotherapy do not respond to the injections at all. In these instances, different solutions or a different method, such as laser therapy, may be tried.
In general, spider veins respond to treatment in 3 to 6 weeks, and larger veins respond in 3 to 4 months. If the veins respond to the treatment, usually they will not reappear. However, new veins may appear over time. If needed, you may return for injections.

How will I know if I am a candidate for sclerotherapy?
Before the procedure, you will have an initial consultation with Dr. Vierregger who will evaluate your eligibility for sclerotherapy.
You are not eligible for sclerotherapy if you are pregnant, breastfeeding, or are bedridden. You must wait at least three months after delivery before you can be considered for this procedure. You can have sclerotherapy if you take birth control pills. If you have had a blood clot in the past, your eligibility will be determined on an individual basis, and will depend on the extremity and the cause of the clot.

Veins that are potentially usable for future surgical bypass procedures (such as the saphenous vein for coronary artery bypass graft surgery) will generally not be considered for injection, unless they are already deemed unusable.

Botox is a proven and popular, safe and highly effective treatment for reducing the appearance of wrinkles, forehead lines, crow’s feet, and furrows.

A smooth gel filler instantly smooths away unwanted facial wrinkles and folds for up to one year.



As we age our ability to regenerate new skin cells and collagen diminishes. Years of trauma to our skin leaves a lasting mark, contributing to aging factors such as scarring, pigmentation, fine lines, and overall pore size and texture. There are a wide away of effective methods to treat and rejuvenate your skin from laser based treatments, chemical peels and finally micro-needling. Micro-needling is a method of introducing a controlled wound into the skin triggering a release of natural growth factors, new collagen & elastin. This process causes much less damage to the epidermis than dermal rolling and other ablative treatments, which helps to protect the new skin cell growth providing for quicker healing and a much higher success rate for overall and longer lasting results.
What is automated micro-needling and the collagen pin?
Automated Micro-Needling (also known as Percutaneous Collagen Induction Therapy or PCIT) is a new innovation in aesthetic medicine for the treatment of fine lines, acne scars and improvement of the skin’s overall appearance. During this procedure, tiny needles are used to create controlled micro-injuries to the skin in order to produce collagen and elastin. A topical serum is also applied to clean skin (in most cases your practitioner will use a hyaluronic acid) this soothing product is chosen to help the Collagen P.I.N. Safety Micro-needle Cartridge glide smoothly across the skin’s surface while delivering the mechanical injury necessary to bring about the necessary change, and simultaneously delivering Hyaluronic Acid (HA) – the building blocks for healthy new skin – deep into the skin. The skin’s repair process results in a thicker dermis with the appearance of softer wrinkles. Automated micro-needling also creates superficial micro-channels which allow topical serums, and creams to be absorbed more effectively into the skin.
How is collagen pin different?
Micro-needling rollers are the previous generation of needling devices. One of the many drawbacks is that dermal rollers have a fixed needle or penetration depth (i.e. 0.5mm) which is not very conducive when treating an area like the face which requires different depths due to the thickness of skin tissue, which varies in depth tremendously depending on the area being treated. Therefore, having a fixed needle depth or penetration level is a huge drawback when trying to customize a treatment for consistency. Collagen P.I.N. ™ has an adjustable needle depth that allows your skincare provider to vary the depth of penetration throughout the entire treatment. This will allow the medical provider to properly address the specific needs of thinner skin on your lower eyelids, crow’s feet, and forehead. Additionally where the tissue is thicker in other areas like the upper lip, cheeks (due to fat pads), neck, and décolletage, the necessary adjustments can easily be treated with 1 needle tip instead of 5 or 6 needle rollers.

What will happen during your collagen pin treatment?
When you arrive your skin will be cleansed and a topic anesthetic will be applied 30 minutes prior to your treatment. Your anesthetic will then be removed and your skin will be cleansed again to make sure there is nothing on your skin prior to treatment. A sterile needle-tip containing 36 tiny micro-needles is attached to the Collagen P.I.N. Your skincare professional will apply a thin layer of topical Hyaluronic serum to your skin and select the appropriate treatment depth based on your unique needs. Next, in a single motion, the Collagen P.I.N. will be gently glided across the skin in one direction until the entire treatment area has been covered. This results in thousands of microscopic channels throughout the entire treatment area. The repair process, Collagen Induction Therapy, begins almost immediately. Fibroblasts – the cells that synthesize new collagen – are active for up to as much as one year after just one Collagen P.I.N. treatment. Depending on your specific needs additional serums may be added. Your practitioner will select the appropriate needle depth and number of passes required to properly treat your concerns based upon your individual skin health and skin regimen.

Clinical Effects:
skin tightening, lifting, rejuvenating
acne scar remodeling
fine wrinkle reduction
stretch mark flattening and smoothing
traumatic scar remodeling

Treatment Features:
topical numbing cream applied prior to treatment to minimize discomfort
anti-aging serum is applied during the treatment to enhance effects
aftercare regimen is prescribed, including recommended sun protection


Very thick or keloid type scars require more than resurfacing. Injection of the above medication into the scar causes it to shrink and flatten. Dermapen resurfacing after this helps to blur the texture and color of the scar