Dr Sentene Goosen Aesthetics & Anti-ageing Treatments in Nelspruit

At our Nelspruit-based aesthetic clinic, Dr Sentene Goosen offers targeted anti-ageing treatments, ranging from anti-wrinkle injections and hyaluronic acid fillers to medical-grade chemical peels, to support natural-looking rejuvenation and long-term skin health.

1. Anti-ageing Injections

(Neuromodulators)

What they are & how they work

Anti-ageing injections, commonly Botox®, Dysport®, or Xeomin®, are forms of botulinum toxin type A. When precisely injected into facial muscles, they block the release of the neurotransmitter acetylcholine, temporarily weakening the muscle. This reduces dynamic wrinkles caused by repetitive expressions like frowning or squinting over a period of 3–6 months

Dr Goosen’s natural approach

While some clinics aim for a ‘frozen face,’ Dr Goosen prioritises a refreshed, natural result. Her goal is to enhance your features, softening crow’s feet or forehead lines, without compromising expressiveness or character.

Why choose a qualified injector?

  • Immediate improvement within days, with full outcomes in 1–2 weeks
  • Proven safety and reliability under medical supervision
  • Reduced risk of over-treatment and resistance (when dosed appropriately)

2. Skinboosters

We use premium, hyaluronic acid-based dermal fillers, like Radiesse®-based products. Radiesse is not an HA-based filler; it is a biostimulator, here we can put SkinVive™, to restore volume, sculpt contours, and improve hydration. These fillers work by integrating into the dermis, attracting and retaining water, which:

 

  • Smooths wrinkles
  • Rehydrates sagging tissue
  • Restores youthful contours in lips, cheeks, jawline, and tear
    troughs
  • Skinboosters also stimulate the body’s own fibroblasts (cells
    responsible for producing elastin and collagen) to improve skin
    quality.

As a naturally occurring substance, hyaluronic acid is biocompatible and safely metabolised over 6 – 18 months. Our approach focuses on subtle enhancement for a refreshed, balanced appearance.

SkinVive™ by Juvéderm® is a microdroplet hyaluronic acid (HA) injectable recently approved by the FDA for skin hydration and smoothness , and it’s the first and only HA intradermal injection for improving skin quality rather than contour or volume.

Mechanism of Action of SkinVive™

1. Hyaluronic Acid-Based Skin Hydration

SkinVive™ contains low-concentration, stabilized hyaluronic acid (15 mg/mL), formulated to:

  • Bind water molecules in the dermis
  • Improve skin hydration, elasticity, and glow
  • Create a plumping effect at the micro-level (not
    volumizing like traditional HA fillers)
  • Decrease transepidermal water loss (TEWL).

2. Intradermal Microdroplet Delivery

Injected as microdroplets (0.01–0.02 mL) into the mid to deep dermis, spaced 0.5 – 1 cm apart, across treatment areas like cheeks. Unlike volumizing fillers, SkinVive™:

  • Stays intradermal and does not integrate into deeper
    tissue
  • Doesn’t alter facial contours or volume

3. Skin Quality Remodeling

Induces biophysical changes by:

  • Improving dermal hydration
  • Reducing fine lines and roughness
  • Enhancing light reflection (skin glow or radiance)
  • Promoting smoother skin texture

4. Crosslinked HA for Longevity

SkinVive™ uses a low degree of Vycross® crosslinking, ensuring:

  • Prolonged hydration effect (up to 6 months)
  • Minimal swelling or stiffness
  • Natural feel in mobile areas like the midface

5. No Volumization or Lifting

  • It is not intended to restore facial volume, contour, or shape.
  • The effect is purely skin quality improvement, sometimes referred to as “injectable moisturizer” or “skin booster.”

Key Properties of SkinVive™

Feature Description
HA Concentration 15 mg/mL (non-animal, stabilized)
Injection Plane Mid to deep dermis
Needle 32G ½ inch needle
Areas Treated Cheeks (FDA-approved), off-label: neck, hands
Duration ~6 months
Onset of Effect 2–4 weeks post-injection

Comparison: SkinVive™ vs. Traditional Fillers

Feature SkinVive™
 Traditional Fillers
Goal Skin quality Volume restoration/lifting
Depth Mid to deep dermis Deep dermis / Supraperiosteal
Dose Microdroplets (≤0.02 mL) Bolus/linear threading
Areas  Surface glow/fine lines Contour cheeks, lips, etc.

Sculptra®

The Collagen-Stimulating Skin Booster

What is Sculptra®?

Sculptra® is an advanced collagen biostimulator designed to gradually restore facial volume, improve skin quality, and support firmer, healthier-looking skin over time. Unlike traditional dermal fillers that simply add volume, Sculptra® works by stimulating your body’s own natural collagen production for subtle, long-lasting rejuvenation.

At our aesthetic practice in Nelspruit, Sculptra® treatments are ideal for patients looking for natural-looking rejuvenation without an overfilled or artificial appearance.

    How Does It Work?

    Sculptra® contains poly-L-lactic acid (PLLA), a biocompatible and biodegradable collagen stimulator that has been safely used in medical applications for many years. Once injected beneath the skin, it gradually stimulates fibroblasts to rebuild lost collagen and restore skin structure over time.

    • Gradual rejuvenation: Results develop progressively as collagen production increases
    • Improved skin structure: Enhances firmness, elasticity, and skin density
    • Natural-looking results: Creates subtle volume restoration without puffiness
    • Long-term collagen support: Continues improving the skin for months after treatment

    Unlike traditional fillers, Sculptra® works beneath the surface to improve the skin’s underlying foundation rather than simply filling lines.

      Where Can Sculptra® Be Used?

      Face:

      • Cheeks and mid-face volume loss
      • Nasolabial folds
      • Marionette lines
      • Jawline definition
      • Temples
      • Chin support
      • General facial skin laxity

      Body and skin rejuvenation:

      • Neck and décolletage
      • Arms
      • Abdomen
      • Buttocks
      • Thighs
      • Hands

      What Makes Sculptra® Different?

      Sculptra® is classified as a biostimulator rather than a traditional filler. This means it encourages your body to rebuild its own collagen naturally over time.

      Benefits include:

      • Gradual, natural-looking enhancement
      • Improved skin texture and firmness
      • Long-lasting collagen regeneration
      • No “overfilled” appearance
      • Supports healthier, stronger skin structure
      • Results that continue improving over several months

      Many patients choose Sculptra® because the outcome looks refreshed and natural rather than obviously “done.”

        Sculptra® is particularly effective for patients experiencing collagen loss, skin thinning, sagging, or age-related volume depletion.

        How Long Does Sculptra® Last?

        Sculptra® results develop gradually over several weeks as new collagen forms within the skin.

        • Initial improvement may be seen within 4–6 weeks
        • Full results typically develop over 3–6 months
        • Results can last up to 2 years or longer in some patients
        • Most patients require a series of treatments for optimal results

        Maintenance treatments may be recommended depending on your skin condition, age, and treatment goals.

        What to Expect During Treatment

        • Treatment typically takes 30–60 minutes
        • Local anaesthetic is usually included for improved comfort
        • Mild swelling, tenderness, or bruising may occur temporarily
        • Normal activities can usually be resumed shortly after treatment
        • Your practitioner will advise on post-treatment massage and aftercare

        Because Sculptra® works gradually, improvements appear progressively and naturally over time rather than immediately.

        Is Sculptra® Right for You?

        Sculptra® may be suitable for:

        • Adults experiencing facial volume loss or skin laxity
        • Patients wanting gradual, natural-looking rejuvenation
        • Individuals seeking collagen stimulation rather than traditional fillers
        • Patients wanting longer-lasting skin quality improvement
        • Those looking to improve skin firmness and texture without surgery

        At our medical aesthetic practice in Nelspruit, Sculptra® treatments are tailored to each patient’s facial anatomy, skin quality, and long-term aesthetic goals to ensure balanced, natural-looking results.

        3.Medical-Grade Chemical Peels

        What sets them apart

        Medical-grade chemical peels are professional treatments using high-potency acids (AHAs, BHAs, TCA, phenol) to exfoliate deeper skin layers under medical supervision. Day-spa peels typically contain low-concentration AHAs only suitable for surface brightening.

        Why deeper peels are more effective

        • Target stubborn conditions: pigmentation, acne scarring, sun damage
        • Stimulate collagen production and cellular renewal
        • Offer significant results within weeks, with predictable healing timelines

        Personalised care pathway

        Before treatment, skin health is evaluated to choose an appropriate peel level. Post-peel care and sun protection are essential to ensure healing and long-term skin benefits.

        Why Choose Us in Nelspruit?

        • Clinically Certified & Medically Supervised: All procedures are performed by a qualified GP with specialist aesthetic training.
        • Focus on Natural Results: Emphasis on maintaining expressions and enhancing individual features.
        • Evidence-Based Practices: Utilising FDA-approved products and current clinical protocols.

        Whether you’re starting preventative anti-ageing care, restoring loss of structural volume, or addressing skin texture and pigmentation, Dr Goosen provides professional, medically sound treatments tailored to your skin’s unique needs.