Silhouette

Subcision is carried out under local anaesthetic, making the procedure painless. Bruising and slight swelling are normal for the first 10 days. Post-treatment drainage with Parvaneh Ayati speeds up resorption. The results are visible immediately (smoothing of the dimpling) and improve at 4 to 8 weeks. Injecting CAHA or Sculptra PLLA after the subcision fills the released spaces and prevents the fibrous adherences from reforming.

Cryolipolysis destroys adipocytes with cold, ideal for well defined pads. Accent Prime combines ultrasound (fat destruction) + radiofrequency (skin tightening), ideal where fat AND slackened skin coexist. Cryolipolysis treats the volume alone, Accent Prime treats volume + skin quality at once. For an isolated pad on firm skin: cryolipolysis. For volume + laxity: Accent Prime.

BodySkin is the only technology that treats three components at once: muscle + fat + skin. EMS triggers supramaximal contractions (the equivalent of 30,000 contractions in 30 min) that build the muscle and burn the adjacent fat. RF tightens the skin at the same time. Clinical results: up to +25% muscle mass and -30% local fat. Ideal for patients who lack muscle tone as well as having localised fat.

Maderotherapy is above all effective as a complement. On its own it mobilises the fat deposits and stimulates drainage, but it does not destroy adipocytes. Combined with cryolipolysis or Accent Prime (destruction of the fat cells), it optimises drainage after destruction and refines the contours. It is the ideal finishing treatment: the technologies destroy, maderotherapy drains and reshapes.

No, stretch marks never disappear completely: they are dermal scars. But their visibility can be reduced by 50 to 80% depending on their age and the treatment. Red (recent) stretch marks respond excellently to Legato III and the Red Light Bed. White (mature) stretch marks call for Legato III + Skinage 1550 for deep restructuring, completed by dermopigmentation to even out the colour. The earlier red stretch marks are addressed, the better the result.

Legato III is unique in its triple action within a single session. The ablative phase (fractional microplasma radiofrequency) creates micro-wells with no risk of hyperpigmentation. The thermal phase heats the deep dermis, pushing the fibroblasts to produce new collagen and elastin. The sonophoresis phase delivers powerful active ingredients into the micro-wells. That combination treats every phototype, reshapes in depth and gives visible results from the first session.

Every type can be treated. Atrophic scars (acne, chickenpox): Morpheus 8 + exosomes for filling + Skinage 1550 for restructuring. Mature surgical scars: Legato III for deep reshaping + Parvaneh Ayati’s osteopathy to release the adherences. Hypertrophic or keloid scars: Legato III for flattening + Red Light Bed. Dyschromic scars: laser restructuring + dermopigmentation. Scars with deep fibrosis: Parvaneh Ayati’s osteopathy + Legato III.

The earlier the intervention, the fewer complications settle in. The first 72 hours are critical: that is when swelling forms, fibrosis begins to organise and adherences are born. Parvaneh Ayati’s drainage from day 1 prevents those formations, the HBOT chamber oxygenates tissues in deficit, and the Red Light Bed immediately stimulates the production of quality collagen. Waiting two weeks to start follow-up means letting fibrosis settle in: it will then be far harder to treat.

The HBOT chamber saturates the tissues with pure oxygen under pressure. After surgery, the operated tissues are short of oxygen because of inflammation and swelling. Hyperoxygenation speeds up the resorption of swelling, reduces inflammation, improves cellular metabolism and gives the fibroblasts the energy to produce quality collagen. By encouraging fast, organised healing, it prevents excessive fibrosis. Intensive protocol: 1 session a day in the first week, then 2 to 3 a week.

Surgery puts the body under intense metabolic stress: the tissues consume massive quantities of nutrients to repair. Vitamin therapy brings the essential elements directly: vitamin C (collagen synthesis), zinc (healing), vitamin A (cell renewal), vitamin E (antioxidant protection), omega-3 (anti-inflammatory) and the amino acids proline and lysine (the bricks of collagen). Without those nutrients in sufficient quantity, healing is slowed and the result compromised.

Surgery repairs the deep structures but does not treat the skin that covers them. At month 3, primary healing is complete, the swelling has resorbed and the tissues have stabilised: the skin is ready to be treated. Volnewmer (density), Morpheus 8 (regeneration), Legato III (scars), PLLA and CAHA injections (biostimulation) and skinboosters (hydration) restructure skin quality to reveal the surgical result fully. That phase is often overlooked but it makes all the difference.

Absolutely, and it is even recommended. Cellulite and localised fat often coexist on the same areas (thighs, buttocks, stomach). A combined protocol treats both at once: Accent Prime (fat destruction + firmness) + subcision (cellulite fibrosis) + BodySkin (muscle toning) + maderotherapy (drainage and reshaping). The global approach gives a more harmonious result than an isolated treatment.

Parvaneh Ayati works at several levels of the silhouette journey. After surgery: lymphatic drainage from day 1, prevention of fibrosis and adherences, reduced swelling. For mature scars: release of deep adherences, softening of established fibrosis, improved tissue mobility. For recent scars: softening of the underlying fibrous tissue and improved local circulation. Her specialist manual approach, combined with the clinic’s technologies, optimises the response to treatment and speeds up recovery at every stage of the journey.