The Best in Aging Review: Future Proof Survey is a comprehensive appraisal of what leading specialists deem to be the best products, treatments, and services available for healthy aging. The survey is completed voluntarily by medical specialists and professionals who review the products and services they use and those they believe Longevity readers need to know about.

This is not an awards project, but a review of what the industry experts who participated deem to be most innovative, cost-effective, and results-driven in their respective categories. In some categories, specialists have chosen not to name a brand, but have instead specified ingredients or therapies. In these instances, we omit any mention of brands.

Each category was evaluated according to the following criteria:

1. Proven, consistent delivery;
2. Customer satisfaction;
3. Value for investment;
4. Relevance and appropriateness;
5. Innovation;
6. Problem-solving abilities; and
7. Sustainability as an aging solution

Longevity received over 350 reviews from over 30 industry professionals. Not all comments are listed; quotes have been selected across the survey categories. What’s important to note is that the products and services listed have been approved by the specialists who took part.

Best In Aging Beauty Survey

Scar treatments

1. Scar Science

“This is a topical product that helps to improve the outcome of a scar. It does this by trying to ensure collagen maturation, encouraging moisture and hydration, controlling inflammation, and delivering physical support.” – Dr Dilshaad Asmal

2. Kelo-Cote Advanced Formula Scar Gel

“Silicone-based products are deemed the first-line, gold-standard therapy for scar management. The Kelo-Cote Advanced Formula Scar Gel is a patented, transparent, silicone gel scar treatment for improving the appearance of scars, and it can also be used to prevent abnormal scar formation from surgery or other wounds.” – Dr Tarryn Jacobs

3. SkinCeuticals Advanced Scar Control

“A highly concentrated silicone scar gel backed by science. Invisible, velvety texture forms an occlusive protective barrier over the scar. Sunscreen can be applied on top of it.” – Dr Ian Webster

Acne

1. Eau Thermale Avène Cleanance Women Smoothing Night Cream

“This is specifically formulated for adult female acne. Thanks to retinaldehyde, skin cell turnover is increased, and so blemishes are prevented. Other ingredients in the formulation exfoliate and mattify skin.” – Dr Tarryn Jacobs

2. Obagi CLENZIderm Pore Therapy

“With the correct amount of salicylic acid, the Obagi CLENZIderm Pore Therapy provides an excellent amount to prevent dryness of the skin, but still control the sebum on the surface of the skin.” – Dr Nooren-Nisa Moti

3. La Roche-Posay Effaclar Cleansing Foaming Gel

“While being excellent as a consumer product for managing acne, La Roche-Posay Effaclar Cleansing Foaming Gel is gentle enough not to irritate any underlying sensitive skin disorder.” – Dr Sian Hartshorne

Eczema

1. La Roche-Posay Lipikar Baume AP+M

“Microresyl supports the skin microbiome, while it has shea butter as an emollient and niacinamide, which is a beautiful anti-inflammatory ingredient. The La Roche-Posay Lipikar Baume AP+M is occlusive, so it prevents transepidermal water loss (water loss through the skin). The balm dries nice and quickly.” – Dr Vanessa Lapiner

2. Epizone E

“This product has no water content and therefore needs no added preservatives. Use as a wash and a moisturizer for dry, eczema-prone skin.” – Dr Sian Hartshorne

3. SBR Lipocream

“This moisturizer restores and maintains skin barrier function. It’s a lipid-rich moisturizer that adds in the prevention of dry skin, and helps to treat sensitive, irritated and inflamed skin too. It’s fragrance-free and doesn’t contain colorants.” – Dr Dilshaad Asmal

Psoriasis

1. ISDIN Psorisdin Control Shampoo

“The itching and flaking of scalp psoriasis can be a serious struggle for those affected. I like to recommend this, because it has urea and salicylic acid, to control those symptoms. It’s also pleasant to use, with no odor, as compared to other psoriasis shampoos on the market.” – Dr Tarryn Jacobs

2. Epizone A with LPC

“Old-fashioned tar-based cream, which is known as a treatment for skin psoriasis.” – Dr Sian Hartshorne

3. R Lactin Lotion

“This contains 10% lactic acid and is useful to apply to scaly areas to smooth the skin to allow for better penetration of the active ingredients to target psoriasis.” – Dr Vanessa Lapiner

Cleansers

1. iS Clinical Cleansing Complex

“iS Clinical Cleansing Complex is a gel cleanser with lovely soothing ingredients such as white willow bark, green tea, chamomile, centella asiatica, together with glycerin to hydrate the skin.” – Dr Vanessa Lapiner

2. root4 Cleansing Elixir

“This cleanser is packed with science-based ingredients such as hyaluronic acid, lactic acid, and prebiotics. The soothing gel texture and emerald-green color also offer a wonderful sensory experience.” – Dr Tarryn Jacobs

3. Optiphi facial cleanser

“A wonderful gentle wash, even though it contains salicylic acid. Your skin feels rejuvenated after use.” – Dr Dilshaad Asmal

Exfoliators

1. NeoStrata Glycolic Microdermabrasion Polish

“NeoStrata Glycolic Microdermabrasion Polish is a dual physical and chemical exfoliating home treatment to revitalize the skin, for a polished, radiant appearance.” – Dr Ian Webster

2. Cetaphil Extra Gentle Daily Scrub

“The Cetaphil Extra Gentle Daily Scrub is gentle enough not to cause abrasion and irritation of the skin.” – Dr Nooren-Nisa Moti

3. DermaQuest Mini Pumpkin Mask

“DermaQuest Mini Pumpkin Mask is an enzymatic mask with pumpkin pulp together with alpha hydroxy acids – lactic and mandelic acids – to exfoliate.” – Dr Tarryn Jacobs

Moisturizers

1. SkinCeuticals Phyto A+ Brightening Treatment

“Pigmentary changes are a major part of skin aging. This is a lightweight, oil-free corrective moisturizer. The formulation, containing azelaic acid, alpha arbutin, and botanical ingredients, has been clinically proven to improve pigmentation and skin radiance.” – Dr Ian Webster

2. Obagi Retivance Skin Rejuvenating Complex

“The Obagi Retivance Skin Rejuvenating Complex contains retinaldehyde, which is a retinoid that increases the cell turnover cycle, lightens pigmentation, and boosts collagen production, together with lipid-soluble vitamin C, vitamin E and shea butter to nourish the skin and counteract the drying-out effects of the retinaldehyde. It also contains Chamomilla recutita (Matricaria) Flower Extract to soothe inflammation and prevent inflamm-aging.” – Dr Vanessa Lapiner

3. OptoDerm Revive Day/Night Cream

“A wonderfully moisturizing cream for dry skin, packed with potent anti-aging ingredients.” – Dr Sian Hartshorne

Serums

1. SkinCeuticals CE Ferulic

“SkinCeuticals CE Ferulic is an advanced daytime antioxidant that provides superior environmental protection. It provides double protection against the sun when used together with a sunscreen.” – Dr Ian Webster

2. Eucerin Hyaluronic Filler Vitamin C Booster

“A new offering from Eucerin, providing powerful, clinically proven antioxidant protection at an affordable price point. I like that it’s also combined with hyaluronic acid, an ingredient that can plump up wrinkles.” – Dr Tarryn Jacobs

3. Endocare Radiance C Ferulic Edafence Serum

“Endocare Radiance C Ferulic Edafence Serum is a fast-absorbing serum that protects the skin from oxidative damage, and boosts collagen and cellular regeneration to provide firmer and radiant-looking skin. It contains vitamin C, vitamin E, ferulic acid and growth factors that enhance cellular activity to form collagen, and a boost of hyaluronic acid.” – Dr Dilshaad Asmal

Eye cream

1. SkinCeuticals Age Interrupter Eye Cream

“Packed with wonderful firming, anti-aging ingredients.” – Dr Sian Hartshorne

2. Institut Esthederm Intensive Hyaluronic Eye Serum

“Institut Esthederm Intensive Hyaluronic Eye Serum intensively moisturizes under-eye skin and plumps fine lines. The unique precision applicator gives a cooling effect and is useful for gently massaging in the product.” – Dr Tarryn Jacobs

3. ISDIN Isdinceutics K-OX Eyes

“ISDIN Isdinceutics K-OX Eyes contains vitamin K, which is a fantastic ingredient to reduce redness and broken blood vessels around the eyes, together with peptides and hyaluronic acid. I love its unique applicator, which provides a gentle lymphatic drainage as you apply the product.” – Dr Vanessa Lapiner

Suncare

1. Heliocare 360 Airgel SPF 50+

“The Heliocare 360 Airgel SPF 50+ works on repairing the damaged DNA of the skin, protects the skin from the sun’s rays, and has anti-aging properties. It’s an ultra-light foaming mousse that is easily absorbed. It offers antioxidant protection too.” – Dr Dilshaad Asmal

2. Colorescience Face Shield Flex (Medium)

“The Colorescience Face Shield Flex protects not only against UV rays, but blue light as well. It’s a hydrating, all-mineral tinted sunscreen that is skin-tone adapting. It provides buildable coverage and does a great job of evening out skin tone upon application.” – Dr Tarryn Jacobs

3. La Roche-Posay Anthelios Invisible Fluid SPF50+

“It has an ultra-light, moisturizing texture that is instantly absorbed into the skin, without being sticky. The non-greasy, invisible finish is suitable for normal, combination or oily skin types with any skin sensitivities.” – Dr Temi Awotedu

Body moisturizers

1. Eucerin Original Extra Thick Creme

“A fantastic moisturizer that is occlusive, with ingredients such as petrolatum, mineral oil and lanolin, while still being creamy and not too sticky.” – Dr Vanessa Lapiner

2. Lamelle Serra Body Lotion

“It contains soothing, moisturizing ingredients, particularly Ceramide-P, which creates a lipid layer similar to normal human skin. It absorbs quickly, without a greasy after-feel.” – Dr Ian Webster

3. CeraVe Moisturizing Cream

“CeraVe Moisturizing Cream is a non-greasy, fast-absorbing moisturizing cream. It contains ceramides, hyaluronic acid, and glycerin. This powerhouse of a moisturizer releases moisturizing ingredients throughout the day and night, and plays a great supportive role in the protection of the skin barrier function.” – Dr Dilshaad Asmal

Skincare regime recommended to support elective aesthetic surgery

• Dermaceutic Foamer 5 – A gentle daily facial wash that removes dead cells and impurities, giving you a radiant complexion.
• Dermaceutic Lightceutic – A skin-toning night cream that evens out skin tone and contributes to skin radiance.
• Dermaceutic Hyal Ceutic or Regen Ceutic – A daily moisturizer (depending on skin type). – Dr Nicolette Landman

South African skincare brands to look out for

1. Environ

“A globally recognized professional skincare brand that has been created to maintain healthy skin. It is a medical-grade brand containing vitamin A and antioxidants that can be used by most skin types.” – Dr Dilshaad Asmal

2. root4

“Recently launched root4 is a very welcome addition to the South African skincare market. Its unique, science-based formulations contain meticulously considered, multifunctional ingredients to cover a range of skin concerns.” – Dr Tarryn Jacobs

3. Lamelle

A South African skincare company that develops evidence-based products for various skin concerns and skin types, at a competitive price. – Dr Ian Webster

South African facial creams to support esthetic treatments

1. Optiphi’s Delta Post-Stress Serum

“A soothing lightweight serum targeting redness, irritation and excessive heat in the skin, as well as rebuilding damaged skin elements. It reduces the onset of post-inflammatory hyperpigmentation and UV-damage, and boosts the skin’s energy reserves. Great for use post-care after laser treatments.” – Dr Herman van Rooyen

2. Lamelle Re-Firm Serum

“Uses the unique and revolutionary technology of a stem cell conditioning medium to elicit incredible results.” – Dr Cara Dumin

3. DNA Epinew Stem Cell Elixir

“Helps to regenerate the skin by increasing skin turnover, and improves skin firmness.” – Dr Nafeesah Wadvalla

Eco-friendly skincare brands to look out for

1. La Roche-Posay

“Their focus is not only on eco-friendly products and packaging, but also on community support programs.” – Dr Sian Hartshorne

2. Huxley

“Contemporary skincare brand from South Korea. The key ingredient in all their products is prickly pear seed oil, desert cactus, which has been certified as a safe ingredient by Eco-Cert. All products are vegan-friendly, dermatologically tested and hypoallergenic.” – Dr Ian Webster

3. REN

“This company has gone zero-waste (even their caps are recyclable).” – Dr Vanessa Lapiner

International face creams to support esthetic treatments

1. iS Clinical Sheald Recovery Balm

“iS Clinical Sheald Recovery Balm is an absolute must after treatments. It dramatically rehydrates and soothes compromised skin with its moisture-rich formula. The curative botanicals relieve the discomfort of dry, distressed and post-procedure skin.” – Dr Renske van der Walt

2. NeoStrata Skin Active Range

“This is my gold-standard medical cosmeceutical range. There is Matrix Support for the day and Cellular Restoration or Dermal Replenish for the night. NeoStrata products are based on science and evidence-based medicine. Every ingredient is clinically proven to work. Not just a moisturizer, Skin Active lives up to its name by actively reversing the aging process.” – Dr Debbie Norval

3. Biologique Recherche Le Grand Crème

“A world-renowned treatment cream that helps to treat a number of aging concerns, making it an overall favorite. It combats fine lines, wrinkles and dark spots, protects the skin against moisture loss, and is firming and regenerating. This product helps to treat these factors by switching off the genes involved in the aging process.” – Dr Anushka Reddy

Shampoos and conditioners for colored hair

1. L’Oréal Vitamino Colour Treatment System

“It’s essential for the upkeep of your demi-permanent colour. It softens and conditions the hair, without stripping away the color. It also protects against color wearing out as a result of the sun’s rays.” – Tshireletso Yvonne Diogo

2. Kérastase Chroma Absolu

“The Kérastase Chroma Absolu consists of five products for different hair textures (fine, medium and coarse). The main aim of these products is to reduce hair porosity, preventing color fade, while maintaining and extending your color for as long as possible. The products are so luxurious and have an amazing fragrance. They’re ideal for keeping your hair in excellent condition.” – Shelene Shaer

Shampoos and conditioners for ethnic hair

1. L’Oréal Professionnel Curl Expression Range

“It’s very moisturizing, containing plant-based humectants that hold onto water, hydrating dry hair. Cleanse shampoo is an anti-residue product ideal for preventing product build-up on the scalp and hair, without stripping or damaging the hair. An Intense moisturizing shampoo and Intense moisture masque give intensive hydration. The products are sulfate-, paraben- and silicone-free. It leaves your hair super-soft, frizz-free, and silky, with a healthy shine and easy to detangle.” – Shelene Shaer

2. TRESemmé Botanics Range

“Primary ingredients are coconut oil and aloe vera. Coconut oil is a natural moisturizer that is essential for kinks, coils and curly hair textures. Aloe vera contains the proteolytic enzyme that repairs dead skin cells on the scalp, thereby treating dandruff. It’s also a natural conditioner that adds shine as it smooths the hair.” – Tshireletso Yvonne Diogo

Foundation

1. MAC Studio Fix

“MAC Studio Fix includes SPF15, which is essential in our African climate. Plus, the range offers maximum coverage without caking, catering to a wide palette of skin tones.” – Tshireletso Yvonne Diogo

2. Clarins Skin Illusion Velvet Foundation

“Clarins Skin Illusion Velvet Foundation has a light texture that gives a very natural, matte finish and stays on nicely throughout the day. Just the right amount of coverage and makes it my go-to foundation.” – Shelene Shaer

Hand creams

1. Elizabeth Arden Eight Hour Cream Intensive Moisturizing Hand Treatment

“Elizabeth Arden Eight Hour Cream Intensive Moisturizing Hand Treatment is proficient all year round. A light application in the summer, and one that is more generous, to see your skin moisturized even in the thick of the highveld winter. It’s versatile, since it can be used as elbow, heel, and lip balm as well. Talk about value for money.” – Tshireletso Yvonne Diogo

2. Jo Malone Hand Cream

“Jo Malone Hand Cream is rich and nourishing, which gives me the relief I need from dry, sensitized skin, and I love the subtle fragrance. Best of all, it doesn’t leave a greasy residue.” – Shelene Shaer

Facial treatments to look out for

1. ELEMIS BIOTEC Facial

“With a unique synergy of three targeted stimuli – technology, touch and actives – ELEMIS BIOTEC delivers immediate, visible and longer-lasting results. One machine delivers seven super-charged facials, powered by five treatment technologies, each targeting a client’s specific skin needs, for uncompromising results and client experience.” – Jackie Armitage

2. Dermaclinical Hydrating Glow Treatment

“I love having Dermaclinical’s hydrating glow treatment. It’s a great way to rejuvenate and resurface the skin. It consists of a mild or level 1 peel and Hyaluronic Sheet Mask, which softens and brightens my skin, without any extreme side-effects or downtime.” – Shelene Shaer

3. Cryotherapy

“Invest in a gadget such as Foreo or Cosmetic Ice Globes, or simply grab an ice cube from your fridge. The cold objects applied to your face stimulate blood circulation and relax veins, thereby improving skin cell functions. Look for Aliso Beauty Cryo Face Tools, MonétBeauty Ice Globes, or visit a reputable spa to purchase.” – Tshireletso Yvonne Diogo

Integrative Medicine

 

Detox treatments

Intermittent fasting

“Intermittent fasting lowers body fat percentage and, with that, detoxifies the body. Choose a minimum of a 12-hour overnight fast, longer if you can manage. This is a highly effective way to detoxify slowly and consistently. For those who take their health seriously, eliminate alcohol, sugar, gluten, dairy, caffeine and refined foods for three weeks, and you have an excellent detoxification program.” – Dr Joanne Pautz

Supplements for immune support

1. Vitamin D

“There is considerable scientific evidence that shows how optimum levels of vitamin D are beneficial to the immune system, bone health, mood disturbances, cancer and hormonal imbalances.” – Dr Hema Kalan

2. Mineralife Daily Multiple

“Mineralife Daily Multiple is a well-absorbed multivitamin, multi-mineral, all-in-one nutritional support.” – Dr Leah Murray

3. Engystol by Heel

“Engystol by Heel is a scientifically proven homeopathic immune booster that will not interfere with any other medication, and can be used from birth to old age, during pregnancy and breastfeeding.” – Dr Joanne Pautz

Supplements for detox

1. Glutathione by Coyne

“Glutathione supports kidney and liver function. However, if taken orally, it doesn’t enter the bloodstream and reach the cells. The liposomal coating in this product gets the glutathione to the cells, removing toxins, chemicals and carcinogens.” – Dr Joanne Pautz

2. DNA Biopharm Derma-Psor

* voted by Dr Leah Murray

Containing both milk thistle and turmeric, the capsules help to support liver health, and, in doing so, ensure the detoxication process. – Longevity

3. Turmeric

“Most patients suffer from inflammation, obesity, and other chronic diseases. By adding turmeric to your normal detox supplements, you accelerate healing on so many levels.” – Dr Hema Kalan

Supplements for bone health

1. AlgaeCal

“Apart from calcium, there are other minerals essential for bone health. Algae is a plant protein that alkalinizes the system, which is good for bone and overall health.” – Dr Hema Kalan

2. Marecamin

“An organic calcium and mineral supplement derived from seagrass thallophyta. Each capsule contains 400mg of organic calcium, along with an array of other organic minerals, including magnesium, zinc, copper, iron, boron, selenium, and other trace elements.” – Dr Joanne Pautz

3. Willow Bone Build

* voted by Dr Leah Murray

Containing a blend of zinc, calcium, vitamin K2, manganese and boron, these supplements serve to support healthy bones and cartilage. – Longevity

Supplements for digestive and gut health

1. Metagenics UltraFlora Balance

“Most people aren’t consuming enough fiber-rich foods, which feed the microbiome. Once the microbiome is optimized, many other health issues seem to get better without any further intervention.” – Dr Hema Kalan

2. Xymogen Candicidal

“Botanical antimicrobial for SIBO/Candidiasis.” – Dr Leah Murray

3. Himalaya Triphala

“Himalaya Triphala is an organic Ayurvedic blend that eases sluggish digestive tracts, flushes out toxins, combats bloating and reduces food sensitivities.” – Dr Joanne Pautz

Supplements for energy and vitality

1. Himalaya Ashvagandha

“Ashvagandha, or Withania, helps with mental and physical fatigue, especially if your tiredness is related to stress. A rejuvenating tonic, building strength and immunity.” – Dr Joanne Pautz

2. DNA Biopharm Adrenal-Fast

“Excellent adaptogen combo.” – Dr Leah Murray

Supplements for essential fatty acids

1. Coyne Healthcare Purest Omega 3 Wild Alaskan Fish Oil

“Clean, well preserved.” – Dr Leah Murray

2. Metagenics OmegaGenics EPA-DHA 720 Capsules

* voted by Dr Hema Kalan

Packed with a highly concentrated and purified blend of fish oils, Metagenics OmegaGenics EPA-DHA 720 Capsules help boost both body and brain health. – Longevity

3. Your Wellbeing Omega-3 Marine Oil Extract

“It’s in the superior triglyceride form, rather than the less-desirable ethyl ester form. Rest assured that all toxins and heavy metals have been removed.” – Dr Joanne Pautz

Supplements for multivitamins

1. Metagenics PhytoMulti with Iron

“Metagenics PhytoMulti with Iron contains superior-quality, highly concentrated phytonutrients, vitamins, and minerals, including activated forms of vitamin B12 and folic acid. With science-based efficacy and an option to purchase it “with iron” or “without iron”, this is an intelligent supplement”. – Dr Joanne Pautz

Supplements for enzymes

1. Xymozyme

“Xymozyme is a comprehensive list of digestive enzymes that is also suitable for those who are plant-based or have sensitive tummies.” – Dr Hema Kalan

2. SpectraZyme Complete by Metagenics

“SpectraZyme Complete by Metagenics is designed to support healthy digestion across a variety of pH ranges. It helps to prevent esophageal reflux, gas and bloating associated with poor digestive function.” – Dr Joanne Pautz

Supplements for hair, skin and nails

1. Great Lakes Collagen

“Hydrolyzed collagen, made with pasture-raised kosher beef, nearly tasteless, colorless, odorless and easily digested. Promoting strong nails, healthy hair and better skin elasticity, with anti-aging benefits. It won’t congeal in cold liquids. Gluten-free, GMO-free, no added MSG.” – Dr Joanne Pautz

2. Beauty Caps by Viridian and Your Wellbeing Flaxseed Oil Caps

“This combination has even helped patients with eczema, aging skin and burns, by working from within the body.” – Dr Hema Kalan

Supplements for fitness

1. The Real Thing Astaxanthin

“The ultimate all-natural antioxidant and anti-inflammatory everyone should be taking.” – Jenni Rivett

2. Centrum Multivitamin

“Centrum Multivitamin is my choice, due to its coverage of vitamins and minerals.” – Lotte Hamm

3. Wazoogles Superfood

“Plant-based protein.” – Sandra Leyck
R549

NON-INVASIVE TREATMENTS

Innovative aesthetic treatments

1. Profhilo

“Newly available in South Africa, but tried and tested in Europe, this hyaluronic acid-based bio-remodeler is a safe, easy and effective way to improve skin health, for those seeing signs of aging.” – Dr Cara Duminy

2. The Endymed Pro

“The Endymed Pro Uses 3deep technology, which is a new sophisticated way to control RF energy in the tissue, by forcing energy to the depth of the dermis with minimum heat on the surface. Clinical experience with the Endymed Pro shows consistent non-surgical skin tightening, contouring and skin resurfacing. An added benefit is that acne, melasma and rosacea are improved, as the gold-plated needles deliver heat, which reduces inflammation and shrinks tiny vessels in the skin. Endymed RF Microneedling can be used for the face, neck and body, and treats all skin types.” – Dr Maureen Allem

3. Sculptra

“This innovative treatment has been around for a while, but is only recently available in South Africa. Known as a biostimulator, it’s well known for its ability to stimulate collagen production. It helps to tighten and lift lax skin, and also to fill out the buttocks and cellulite.” – Dr Anushka Reddy
From R8 000 per vial

Popular treatments

1. Botulinum Toxin Type A

“Worldwide, it’s the top esthetic, minimally invasive procedure.” – Dr Cobus Van Niekerk

2. Fraxel Laser

“Fraxel Laser targets damaged skin with microscopic laser columns that penetrate deep into the skin. Only a fraction of the skin is treated at a time, leaving surrounding tissue untouched, thereby promoting rapid healing. Fraxel is effective on fine lines and wrinkles, acne scars, pigmentation and sun damage.” – Dr Farheen Ghoor

3. Lumecca

“Lumecca offers powerful Intense Pulsed Light (IPL) to treat vascular and pigmented lesions. It operates using photo-thermolysis, which provides a photo-facial through the delivery of light treatment. It’s often used as a single-session treatment for sun-exposed skin areas, which most commonly include the face, neck, décolletage, legs, hands and arms. Results have been shown for age spots, sun damage, port wine stains, spider veins, redness and freckles, and skin pigmentation.”

“Lumecca can be used on all areas of the body. However, it’s limited to lighter skin tones, as it may cause hypopigmentation in darker skin. It emits wavelengths of light at a specific range. These are delivered in pulses that resemble flashes of white light. Targets within the skin absorb the light, heat up, and are destroyed due to the thermal energy. The typical Lumecca IPL targets are melanin (causing brown pigmented lesions) and oxyhemoglobin in blood vessels (which appear red). The heat and vibration stimulate natural collagen production, resulting in skin that looks smoother and firmer, with smaller pores. Due to the higher peak power delivered, large spot size and high pulse repetition rate, it allows for fewer treatments.” – Dr Renske van der Walt

Recommended treatments

1. Biostimulators

“The overfilled “pillow-face” look is totally out of fashion. There is now a move towards skin quality with collagen and elastin production, with a more natural firming and strengthening of the skin. There are many biostimulators to choose from, depending on budget and individual patient needs: from mesotherapy solutions to highly concentrated HA injectables (Profhilo), non-HA biostimulators containing calcium hydroxyapatite (eg Radiesse or HArmonyCA), and medical polymers such as Poly-L-Lactic acid and polycaprolactone (eg Ellansé and Sculptra). The non-HA biostimulators are injected in the lateral aspects of the face, such as the temples, pre-auricular area and jawline, thus firming and lifting laterally, and not volumising the mid-face.” – Dr Debbie Norval

2. Microneedling

“Proven, consistent delivery and customer satisfaction.” – Dr Zama Tladi

3. Fillers

“For lifting and sculpting. A treatment in young patients to enhance their feature and to prevent aging. Used in more mature patients to improve sagging and replace lost volume.” – Dr Nicole Kanaris

Treatments for fine lines and wrinkles

1. Botulinum Toxin A

“This is a neurotoxin that binds to nerve endings, preventing the release of a neurotransmitter compound required for that muscle to contract. This, in turn, inhibits muscular contraction, so creases are not formed. An added benefit is that sebum production is also decreased in the treated area. The existing lines are softened even more as the muscle bulk progressively decreases due to non-use, and the habit of frowning is inhibited. Botulinum Toxin A is the primary tool to resolve dynamic wrinkle issues (lines formed due to muscle activity, eg frowning), and will have some effect on static wrinkles (lines visible regardless of muscle action). Injectable neurotoxins will not change crepey or sagging skin. On the face, it’s used on the forehead, between the eyebrows, crow’s feet, upper-lip barcode lines, bunny lines and peach-pip chin dimples. It’s also used on the chewing muscles for teeth grinding and platysmal neck bands (“turkey neck”).” – Dr Renske van der Walt

2. Ablative Fractional Laser Treatments (Pearl Fractional/ Fusion and CO2 Fractional)

“These laser treatments provide full epidermal renewal, improving pigment texture, pore size and fine lines. They also provide fractional ablative treatments for deep wrinkles, acne scars and sun damage – plumping and firming the skin to create a more youthful look. Together, these treatments offer a unique solution for deep and full coverage, with minimum downtime.” – Dr Maureen Allem

3. Neurotoxin Injections and Dermal Fillers

“Patients appreciate the quick and desirable results one can achieve with these injectables, for various esthetic and medical indications.” – Dr Herman van Rooyen

Treatments for sagging

1. Sculptra

“This treatment helps to boost collagen production, naturally firming the skin over a three-month period. Three sessions are necessary to achieve optimum results.” – Dr Anushka Reddy

2. Thread Lifting

“Threads are a good non-surgical, minimally invasive option for the treatment of facial sagging.” – Dr Nafeesah Wadvalla

3. Mid-Face Volumising Dermal Fillers

“Mid-face volumizing dermal fillers are a great way to address facial sagging, by giving a more lifted, volumized look. Not only will the skin look healthier, but static lines and nasolabial folds will be smoothed out, to give a rejuvenated appearance. The patient will see a noticeable difference immediately after treatment, and will continue to see improvements over the next few weeks, when the hyaluronic acid has really had a chance to work its magic.” – Dr Herman van Rooyen

Treatments for eye bags

1. Lipolytic Injections

“Eye bags are treated with tiny injections of a lipolytic solution containing Fe, vitamin C and lidocaine, which slowly starts dissolving the fat pockets responsible for the eye bag. Four to eight treatments are needed, spaced two weeks apart. The beauty of this treatment is that there is only minor swelling of the treated area, which subsides overnight.” – Maureen Allem

2. Tear Trough Fillers with Hyperdilute Radiesse

“This treatment uses a blend of Radiesse (recently available in South Africa) with saline to produce the perfect consistency for filling deep tear troughs, without causing Tyndall. The white product color also helps to disguise dark pigmentation that may be present around the eye.” – Dr Anushka Reddy

3. Laser Blepharoplasty with the Alma Harmony iPixel Erbium

“Hanging eyelids or flabby skin around the eyes can be tightened and lifted by means of the Erbium Pixel-laser, a fractionated laser that stimulates fibroblasts to produce new collagen. The technique of this laser treatment is adjusted to the thin skin of the eyelids and around the eyes. As such, eye bags can be fought, dark circles under the eyes are diminished, and overhanging eyelids are lifted, for a natural look with minimum downtime.” – Dr Herman van Rooyen

Treatments for lips

1. Lips Soft by Fillmed

“Lip fillers are injections of hyaluronic acid that add volume and definition to your lips. I like Lips Soft by Fillmed, for a natural, hydrated result, and for definition.” – Dr Nafeesah Wadvalla
Pricing per individual patient

2. Restylane Kysse

“Lips lose volume, color and elasticity with age. Restylane Kysse is a lip filler that adds volume, smooths upper lip lines and enhances lip colour, leaving you with soft, natural-looking, velvety lips.” – Dr Farheen Ghoor

3. Hyaluronic Acid Fillers

“Hyaluronic acid fillers are not only used to create fuller plumper lips, but can also be injected into lips at lower doses, to hydrate lips and also improve the color of the lips.” – Dr Firdaus Ismail

Treatments for stubborn fat pockets

1. Zeltiq Coolsculpting

“Unfortunately, many people are still left with stubborn fat pockets after working hard to get into shape. Coolsculpting is the treatment of choice for love handles, muffin tops, bra bulges, post-baby belly fat aprons, bingo wings, inner/outer thighs, man-boobs, and the fat roll under the buttocks (banana roll). Coolsculpting is the only FDA-approved non-surgical method of removing fat cells through cryolipolysis (killing fat cells by freezing them) and contouring the body. Results have shown up to a 40% (average of 20%) reduction of fat cells in treated areas.” – Dr Renske van der Walt

2. Ceccarelli

“This is a physiological solution containing iron and vitamin C. It causes fat cells to die prematurely (in a process called apoptosis), and the lymphatic system gently removes the fat cells over the course of a few weeks. There is no downtime, apart from a temporary ache at the time of injection. There is no pain, swelling, redness or inflammation, like one gets with deoxycholate and phosphatidylcholine, which work by emulsifying fat cells.” – Dr Debbie Norval

3. Cooltech Cryolipo Fat Freezing

“Cooltech Cryolipo Fat Freezing, often referred to as the safer alternative to liposuction, is a body-contouring treatment. The goal of Cryolipo is to remodel the shape of the body by removing and improving stubborn bulges and pockets of resistant fat. There is no downtime”. – Dr Maureen Allem

Cellulite

1. VelaShape

“This treatment has proved to be effective in smoothing over cellulite, by increasing blood circulation, promoting lymphatic drainage from the tissues, while tightening and firming the skin.” – Dr Anushka Reddy

2. InMode BodyFX

“InMode BodyFX is a non-invasive body-contouring cellulite treatment that uses suction-coupled radio frequency (RF) thermal energy, combined with emission of high-voltage ultra-short-pulse-duration RF to ablate fat cells. The handheld device treats the targeted area by suctioning up a small area of skin and fat. A single RF pulse heats the suctioned area to the required temperature, and thereafter a second RF pulse is sent in to destroy the targeted fat cells.”

“The fat molecules are broken down and the skin is tightened. The body flushes away the broken-down fat tissue over the next weeks. InMode BodyFX improves the appearance of cellulite, dimpled skin and loss of abdominal skin elasticity. It can also be used in problematic stubborn fatty-tissue areas such as love handles, hips, thighs, the neck, arms and knees. Patients may experience some redness, swelling and pain localized to the treatment area for a day or two, with no downtime.” – Dr Renske van der Walt

3. Cellfina

“Physically breaks the fibrous bands in the skin.” – Dr Cobus van Niekerk

Treatments for unwanted hair

1. CoolGlide Nd:Yag

“It uses long-pulsed Nd:Yag laser technology for safe and effective hair removal for all skin types, including tanned skin.” – Dr Maureen Allem

2. Soprano ICE from Alma

“The diode laser provides a complete and effective semi-permanent laser hair-removal solution. By incorporating multiple laser wavelengths and technologies, Soprano ICE allows practitioners to treat the widest range of patients and hair types all year round, administer treatments quickly and comfortably, and achieve the best possible clinical results.” – Dr Herman van Rooyen

3. Candela GentleMax Pro Laser (Alexandrite 755nm)

“This FDA-approved wavelength-specific laser targets the pigment (melanin) in the hair follicle during its first hair-growth phase. The laser energy destroys the follicle on impact. Alexandrite is scientifically proven to be an effective laser to remove dark hair on light skin tones. This laser also eliminates age spots and brown pigmentation, reduces fine lines and rejuvenates the skin. The Candela range of lasers uses epidermal cooling for maximum comfort and safety. Hair removal usually requires six to eight sessions.” – Dr Debbie Norval

SURGERIES

Innovative surgeries

1. Ergonomic Breast Implant Augmentations

“The use of ergonomic breast implants gives a natural feel and look to breast augmentations.” – Dr Nicolette Landman

2. Arm lift (Brachioplasty)

“Caused by a variety of factors, such as weight fluctuations, genetics and general aging, the appearance of under-arm wings, or sagging skin under the upper arm, is embarrassing for some people. Your plastic surgeon can tighten skin, smooth out supportive tissue, remove excess fat and restore the definition of your upper-arm region by performing a brachioplasty (arm lift). The results of the surgery are almost immediately visible, and will be long-lasting if you follow a healthy lifestyle and maintain your weight.” – Dr Kamlen Pillay

Popular elective surgical procedures

1. Cleft Lip/Cleft Palate/Cleft Nose

“A cleft palate or lip occurs very early in a child’s prenatal development, and is a birth condition that can, luckily, be treated, providing children with the opportunity to lead a normal life. The exact reasons for these conditions are unknown, but they’re not as uncommon as one would think. A cleft, or gap, in the child’s palate is due to the tissue in the roof not joining completely, while a cleft lip is a physical separation, leaving an opening or gap in the upper lip. In some cases, this extends to the nose, causing what is known as a cleft nose, where the displacement of cartilage can appear as a flattening nose.”

“Through important and intricate surgery, an experienced plastic surgeon will reconnect the muscles around the mouth for a cleft lip, and carefully reposition the tissue and muscles around the palate cleft to rebuild the roof of the mouth. Cases of a cleft nose are a bit more specialized, and one should trust a surgeon with cleft rhinoplasty experience for optimum results. In extreme cases, more than one surgery would be required, and in many cases, it may be difficult to complete these until growth has finished. This surgery, however, is worth it, if you consider how a repaired cleft, lip or nose can help your child to lead a happy and healthy life.”– Dr Kamlen Pillay

2. Breast Augmentations

“Boosting confidence and femininity.” – Dr Nicolette Landman

Recommended elective surgical procedures

1. Abdominoplasty

“Returning and improving your pre-pregnancy figure.” – Dr Nicolette Landman

2. Gynecomastia

“Male breast-reduction surgery is currently the most effective way to treat gynecomastia. Sometimes weight loss in itself is not enough, due to an accompanying increase in glandular tissues and excess skin. The surgeon could opt for a specialized liposuction procedure to remove fat or, alternatively, where required, could remove tissues surgically through excision. It’s a safe procedure for men of all ages and is also effective in treating puffy nipples.” – Dr Kamlen Pillay

Popular non-invasive treatments

1. Skinboosters

“Skinboosters can improve the quality and hydration of your skin. Botox – for that rested, vacation look.” – Dr Nicolette Landman

2. Emsculpt

“Emsculpt helps patients to build muscle and sculpt their bodies, non-invasively. It can also be used for an entirely non-invasive buttock-toning treatment. Muscles shape the body, and Emsculpt may thus speed up the fitness journeys of your patients and help them to reach their body goals.”

“Emsculpt is based on HIFEM, high-intensity focused electromagnetic energy. A single Emsculpt session causes thousands of powerful muscle contractions, which are extremely important in improving the tone and strength of the muscles. These induced muscle contractions are very intense, and the muscle tissue is thus forced to adapt to such extreme conditions. The muscle tissue responds by deep remodeling of its inner structure, which results in muscle-building and body-sculpting.” – Dr Kamlen Pillay

Dental health

Dental products

1. Colgate Dental Tape

“Colgate Dental Tape doesn’t fray like regular floss, and it’s coated with fluoride, to reduce cavity formation between your teeth.” – Dr Melisha Moodley

2. Aquaflosser

“To clean between your teeth when flossing is tricky. It’s great for patients with bridges, implants and braces.” – Dr Zak Schabort

3. Kindbrush Bamboo Toothbrush

“A pretty bamboo toothbrush, designed with a small head to clean hard-to-reach areas, and a flat bottom to stand its ground.” – Dr Riaz Wadvalla

Innovative dental procedures

1. 3D-Digital X-Ray (CBCT Imaging)

“In 2022 in my practise, 3D-digital X-ray (CBCT imaging) has been a game-changer for endodontic (root-canal) treatment and implant placement. It allows me to serve and benefit my patients in more innovative ways, by offering more state-of-the-art dental technologies.” – Dr Riaz Wadvall

2. Artificial Intelligence

“AI not only allows practitioners to improve diagnostics, but it’s also used in modern orthodontics and in computerized dentistry. As the field of AI is expanding rapidly, more and more practises are incorporating these technologies. Most practises do not charge extra for the use of AI.” – Dr Zak Schabort

3. Dental Lasers

“Specialized lasers are used to perform multiple dental procedures with less discomfort and in a more efficient way. These lasers can be used to whiten teeth, for gum contouring, tooth decay removal, and to promote healing after dental surgery.” – Dr Melisha Moodley

Procedures for chipped or broken teeth

1. 3D Zirconia Veneers

“The 3D Zirconia has a much more natural outcome than the Zirconia previously. Porcelain, ceramic or 3D Zirconia veneers are the best long-term solution, as they’re durable and also stain-resistant.” – Dr Zak Schabort

2. Crowns

“Minor tooth fracture: A dental practitioner can repair these fractures with filling materials. In most cases, a tooth-colored filling material is used to make the repaired area look as natural and esthetically pleasing as possible.”

“Moderate fracture: If a large portion of tooth structure has been lost or damaged, a dental crown would need to be placed over the tooth. Dental crowns are used to protect the remaining tooth structure and take the pressure of biting forces. A post/special pin may also be placed into the tooth to provide extra support.”

“Severe fracture: A complete fracture of the tooth, where no other dental procedures can be performed successfully, would result in the extraction of the tooth from the jaw.” – Dr Melisha Moodley

Teeth whitening

1. Zoom Teeth Whitening by Philips

“My favorite teeth-whitening method is Zoom Teeth Whitening by Philips. Best results are achieved when a dental professional performs an in-chair/in-clinic Zoom Whitening procedure, followed by customized bleaching trays for home use, to maintain the whitening results.” – Dr Riaz Wadvalla

2. In-chair Light-Activated Tooth Whitening

“Hydrogen peroxide or carbamide peroxide is applied to the teeth, and an LED light is used from a chair-side lamp. The LED light heats up the gel, speeding up the chemical reaction that whitens teeth and removes stains. Take-home trays are provided for at-home maintenance.” – Dr Melisha Moodley