Medical Skin Therapy

Dr Bianca Le Feuvre is a GP with a special interest in aesthetic medicine. She spent seven years working at The Renewal Institute (Skin Renewal), becoming skilled in the field of aesthetic medicine and anti-aging. In this sphere Dr Bianca earned a reputation as both an artist in her ability to envision the best version of her clients, but also in a range of treatments and injection techniques; from microneedling to dermal fillers.

In a field as young and dynamic as Aesthetic Medicine, Dr Bianca found herself on the forefront of a wave of exciting applications for medical Botox, including the treatment of chronic migraines, tension headaches, excessive sweating, jaw clenching and teeth grinding.

Dr Bianca is a member of the Health Professional Council of South Africa and the  Aesthetic and Anti-aging Medicine Society of South Africa. She is currently enrolled in the Advanced Diploma in Aesthetic Medicine. In 2009, she achieved her Diploma in Mental Health from the Colleges of Medicine South Africa.

Despite having a flare and passion for her work Dr Bianca filters her approach through a holistic lens. She is a firm believer that beauty is unsustainable unless laid on a foundation of health.

Dr Bianca is married to Jono and together they have 3 beautiful children.

(incl. Vitamin C / skin resurfacing)

The skin is punctured by sterile needles to make 1300 holes per second at different depths to produce wound healing. This leads to skin tightening, natural collagen induction and rejuvenation of the skin. Serums can penetrate the dermis through the holes to improve the effect. The Micropen causes less trauma than traditional rollers, reducing pain and discomfort
and disposable needles eliminate the risk of cross infection.

This is a tested and proven method that combines mechanical and cosmetic treatments to rejuvenate the skin. The roller is responsible for collagen induction and excellent rejuvenation.

How does it work?
Using fractional technology, micro channels are created deep in the skin, stimulating growth factors but also allowing for deep penetration of topical growth factors and antioxidants serums.

Ageing signs, acne and surgical scars, pigmentation, and enlarged pores.

– Stimulates the production of new collagen and elastin
– Results in smoother, firmer and younger looking skin
– Does not involve injections and therefore allergic reactions and side-effects are unlikely
– Reduces wrinkles and fine lines
– Improves stretch marks and hair regeneration

What can be treated?
– Reduction of lines and wrinkles
– Skin texture and pore refinement
– Increased skin firmness
– Reduction in superficial scarring
– Improvement of discolouration and hyperpigmentation

Is it painful?
It is generally a well-tolerated treatment by most; however we do recommend the use of an over-the-counter topical anesthetic, to be applied 30 minutes prior to treatment.

The skin may appear red and feel sensitive for 2 – 3 days post treatment.

A series of 6 treatments is advisable, 4-6 weeks apart. A variety of serums is used to address the specific problem.

A Hyaluronic acid filler is injected for a natural, long lasting effect. It is designed to replace loss of volume due to sagging, to erase wrinkles, to augment lips, to induce collagen and to restore the 3D contour of the face.

Tightening threads is a treatment that involves the use of PDO, polydioxanone, absorbable sutures that are inserted into the deeper parts of the skin, providing a smooth, tightening and natural lifting effect. This treatment can be used on the face and neck.

There are various thread lengths that are used to tighten loose and sagging skin areas. The absorbable suture dissolves in a natural manner over a course of 6–18 months.

During this time the body undergoes a bio stimulating process by producing its own collagen around the dissolving threads to form a supportive natural scaffold in the treated area.

This results in a firmer, smoother and brighter looking skin, with fewer wrinkles and an improvement in the skin’s overall texture and youthfulness.

The PDO threading treatment is well tolerated by patients, and there is no need for anaesthesia, although a topical anaesthetic can be applied beforehand if the client would so wish. The treatment is now the latest anti-ageing skin
treatment available in South Africa.

It is a natural purified protein that is used to temporarily relax facial muscles that cause wrinkles and lines. It is very effective for frown lines and crow’s feet around the eyes.

Botox Injections

Your face shows all of your emotions. And a lifetime of emotions means that your facial muscles cause lines and wrinkles. We can correct these with injections of Botox. Early treatment can prevent skin lines and wrinkles from developing.

Botox injections reduce and prevent:

  • “Frown lines” between the eyebrows
  • “Worry lines” on the forehead
  • “Squint lines” beside the eyes
  • “Bunny lines” on the nose
  • “Smoker’s lines” around the mouth

How does it work?

Botox blocks the nerve impulses that lead to muscle contraction. With the facial muscles relaxed, wrinkles soften within days. Repeating the injections at three to four month intervals keeps the muscles relaxed and prevents the lines from returning.

How is it administered?

The injections take just a few minutes to perform with a tiny (31 gauge) needle that causes little discomfort.

What side-effects can occur?

Bleeding can occur from the injection sites. To minimize this risk, do not take aspirin for at least a week before your injections. Tenderness or a small bump at the injection site may occur. If so, this usually resolves in 24-48 hours. Muscle weakness can result in temporary eyebrow depression and/or headache.


Myth 1 – Injecting Botox is like putting poison in your body.

It is true that Botox is a purified protein derived from the Clostridium Botulini bacteria. This protein is by definition a toxin because in its raw state, it produces the disease Botulism that paralyses muscles affecting breathing and is potentially fatal. However Botox has successfully purified this toxin to make it safe for medical use; Botox stays and exerts its effect where it is injected.

It is helpful to know that anything, even poison when used in the right situation can become medicine as in the case of chemotherapy medicine that is mostly toxins. Anything can become poison if used inappropriately like in the case of Panadol overdose. We should not jump to the conclusion that Botox is poisonous just because it is a toxin but step back to see how it is being used and how it has helped those who have received it.

Myth 2 – Botox will build up in your body as you inject more and more.

Botox is a naturally obtained neurotoxin and is fully biodegradable. In fact, our blood contains the enzyme to break down this toxin. Botox results only lasts 3-6 months that is the time our bodies take to breakdown the toxin and get rid of it.

If we inject Botox in the recommended time interval which is longer than 3 months, the toxin will not build up in our bodies. Rarely do people develop a strong immunity to Botox and break down the toxin even faster than normal. Botox becomes ineffective for such people as the results wear off too fast.

Myth 3 – Botox can cause permanent paralysis of your muscle.

As mentioned before, our bodies break down Botox so it is not possible to cause permanent paralysis. However the effects can be prolonged if there are other concomitant factors such as Myasthenia Gravis.

Myth 4 – I’m too young for Botox. It is for old people only.

You can have Botox injections when there is a need and it has nothing to do with age. Some people do not develop significant wrinkles till their forties (those lucky ones with good genes) but others already have bad frown lines or forehead lines in their early twenties. You should consider Botox especially if you have wrinkles when you are young because those wrinkles will only worsen as you age.

Some people inject Botox as a preventive measure before their wrinkles become obvious. The earlier the wrinkles are treated, the better the long term results.
Myth 5 – Once you have started Botox, the condition will get worse when you stop.

This is a common scare tactic to stop people from trying Botox. It is not possible for your skin condition to be worse than before the Botox treatment. In the worst case scenario, you get back to where you first started. In practice however, people get so used to their “wrinkleless refreshed” look that when the effects of the Botox wear off, they get the impression that they are ageing rapidly. The fact is that they are merely going back to the pre-treated state that they may have forgotten.

More often, people still look better than their original state because the Botox has changed their facial habits somewhat, for e.g., frowning less because they have forgotten how to frown.

Myth 6 – Botox can cause the face to be crooked and deformed.

Botox can have the disastrous outcomes of unequal facial symmetry and even functional difficulty. However this is due to wrong injection sites and wrong dosage. Botox is merely a tool and how the product turns out really depends on the craftsman. It is highly recommended that one should get experienced Botox users to inject the Botox.

Myth 7 – Botox makes you look artificial and frozen.

This bad public image was passed down throughout the years when Botox was first introduced. At that time, it was thought that no wrinkles meant good results and so doctors were trying to stop all wrinkle forming muscles from moving. The current approach is now to soften and diminish wrinkles but not to remove them totally. The aim now is to have a refreshed and youthful look with intact natural facial expressions.

A successful Botox treatment is one that no one suspects you had it done.

Indicative pricing only which will be finalized after a consultation/treatment

Consultation* R230
Botox R70 /unit
Frown Lines / Laughter lines / Crow’s Feet
Horizontal lines on Forehead
Face Fillers including Cheeks, Smile Lines, Frown & Lips
Skin Needling
PDO Threading – Face, Neck & Decollete
* Fee will fall away with proceeding of procedure