Fashion for shifting time

 am accepting more and more patients who have broken something. That is why I recommend them the utmost caution, especially at the stage of choosing the place of the procedure - says Marek Wasiluk, the owner of the modern triclinium medicine center.

Fast development, new methods, devices. Will science finally stop time?

Of course, only it will look a bit different than we imagine. I do not anticipate performing miracles at will, because aging is not a tongue that can be taken and after the case. This chronic illness. Immediate rejuvenation effect can only be achieved by camouflaging. It is not permanent and is often not natural. Something more, or real rejuvenation, will always be a process spread over time. The future of aesthetic medicine? More and more perfect methods of systematically forcing tissues for natural regeneration.

Women, however, do not like to wait.

Nobody likes it, but more and more often we realize that in the case of aesthetic medicine, sometimes it is worth waiting. Regeneration is a trend of the last few years. Why? Such methods are safe and give very natural results. Botox or hyaluronic acid camouflage, but thanks to regeneration the skin not only looks younger - it becomes younger. We look less than our record would indicate, but no one will tell us: "You're done." There is always something new in aesthetic fashion, currently, for example, it is fashionable to back up time using HIFU, or ultrasound. However, let us remember not to succumb to fashion, because the fashion is gone.

And news? Something interesting has appeared on the market today?

In the case of novelties I am always careful. The news is cool because it is new, but often after a while it turns out that the news was not worth the trouble. Example? Plasma, in my opinion the greatest occupation of recent years. Whether the method works is well visible after the prices of equipment needed for its use change. The first plasma generating devices were sold for 60,000 zł; at the moment - for 5,000 zł. This is a flagship example, but unfortunately not the only one.

Is there any - like in music - an evergreen? Something that is good and works despite the passage of time?

CO2 ablation CO2 laser. It has been used on the aesthetic medicine market for almost 15 years. This method is old but irreplaceable. The golden standard in terms of improving the quality of the skin. After the surgery, you have to spend some time at home, but the effects are definitely worth the sacrifice. Of course, as with any method, I recommend caution. In unsuitable hands it can be a very dangerous device, because the fractional laser treatment is strong. In addition, it is one of the treatments that it is better not to perform in the summer, because it makes the skin sensitive for a long time.

You may be biased. Apparently you especially like lasers.

I like it because I appreciate it, but I'm not biased. Evidence? Another thing that worked well and will not be forced out of the market for a long time is the botulinum toxin. In fact, there is nothing else that would work on the muscles. This is one of those treatments that you can do in the summer. And it's good to do just then, because it's a time when mimic wrinkles are easier to make - eg when we squint in the sun.

Botox, toxin. It does not sound good.

This is one of the first methods used on a large scale in aesthetic medicine. If the product is of good quality and the treatment is performed by a professional doctor, Botox is one of the safer treatments. It does not give virtually complications, and certainly does not have permanent complications. Unfortunately, many people associate the word "toxin" badly. I had a patient, 36 years old. From the threshold, she complained: everything, but not Botox. And I explained that it is a good solution at this age. As a prophylactic agent.

And hyaluronic acid?

Hyaluronic acid is today the absolute number 1 in Poland. This creates a certain danger. There is a large variety of acids on the market, not always of good quality. This in combination with the increasing number of cabinet offices or pseudonymists struggling for the client gives the temptation to reach for cheaper, often unproven, acids. Effects? Problems related to unprofessional use of acid or due to poor quality of acid appear more and more often.

How much of the market is - in your opinion - places that are better to avoid?

I would say that three-quarters of the market are places to be considered if we think about a truly effective aesthetic medicine, i.e. medium and highly invasive treatments. I myself accept more and more people who have broken something. What they come with often requires long-term treatment, and it is not always possible to restore the skin to its original appearance. And although I deal with aesthetic medicine over 10 years, I have been specializing in the treatment of complications for more than six years, it still can surprise me with the "atypical" complications caused by either bravado or even stupidity. The aesthetic medicine market is a bit like the Wild West. Unfortunately, this is a big problem for the patient - how to find a reliable doctor and place.

Is it everywhere or only with us?

Everywhere. The difference is that in the USA or in the UK the consequences of errors are better accounted for. Someone who decides to perform a breakneck procedure, knows that for possible mistakes can pay off debts for the rest of his life. With us, the consequences most often spread on the bones. It's easier to risk in Poland. Fortunately, people are increasingly aware of this and are more and more cautious about choosing offers.

Why do Polish women resort to aesthetic medicine treatments? Is it the pressure to be like a colored newspaper, or more and more of us just take care of ourselves?

Pressure is a fashion that appears from time to time. There are a lot of them, because it is a market where it is easy to create a trend for relatively little money. There have always been and will be two types of clients: conscious and those who are under pressure. The former is more and more. Under the pressure of fashion are usually 20-year-olds, but today even 25-year-olds come to me asking for a specific treatment, but asking: what to do to get a good aging? And this is the right attitude. By the way, it is a good time to plan treatment, which does not mean to perform a series of treatments. The aging process begins after the age of 25. At such an early stage, I often recommend only a control visit for a year, I advise on lifestyle and diet. Possibly a very delicate procedure, once or twice a year.

Everything for ladies. And something for men?

The same as for women - maybe except for the correction of the bust. Gentlemen come more often, mainly men in their thirties. The elders, of course, too. These in turn can be divided into two groups. The gentlemen from the first come brought by their wife or at her instigation. Gentlemen on the other - because they just found a new, usually 20 years younger partner.

Are you? The doctor treats himself?

Rarely, according to the old proverb, "a shoemaker walks in the hole shoes". I do small things, fractional laser, RF microneedle, and platelet rich plasma. Without injecting fillers! I've always looked less than I really was. It used to be a big problem because friends said I looked too young to be a serious specialist. Today, when I finally look appropriate, I do not want to spoil it.