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. |
Radiesse® – The Collagen-Stimulating Filler
What is Radiesse®?
Radiesse® is a next-generation dermal filler that does more than just fill, it stimulates your body’s own natural collagen for long-lasting skin rejuvenation and volume restoration. It’s ideal for patients looking for natural-looking, long-term results without an overfilled or artificial appearance.
How Does It Work?
Radiesse® is made of calcium hydroxylapatite (CaHA) microspheres suspended in a smooth gel carrier.
- Immediate results: The gel adds volume instantly, smoothing
moderate to severe wrinkles and folds. - Collagen stimulation: Over time, the CaHA microspheres
stimulate your skin’s natural collagen production, improving
skin quality, elasticity, and firmness. - Once the gel is absorbed, your own collagen takes its place,
creating a long-lasting, natural lift.
Where Can Radiesse Be Used?
Mid- and lower face:
- Marionette lines
- Nasolabial folds
- Pre-jowl sulcus
- Chin and jawline contouring
Hands:
- Restores volume and reduces visible veins and tendons
Neck and décolletage (hyperdiluted Radiesse):
- Improves skin texture, crepiness, and firmness
What is Hyperdiluted Radiesse?
When diluted with saline and lidocaine, Radiesse can be used as a
biostimulatory skin booster rather than a volumizer. This technique:
- Improves skin tone and texture
- Enhances firmness and elasticity
- Is ideal for the neck, arms, thighs, abdomen, and buttocks
How Long Does It Last?
Radiesse delivers immediate volume and collagen stimulation that can last:
- 12–18 months in most areas
- Up to 2 years in some patients
Touch-ups or maintenance treatments may be needed annually or as recommended.
What Makes Radiesse Unique?
- Dual-action: Instant volume + long-term collagen boost
- Natural feel: Smooth, lifted skin with no puffiness
- Long-lasting: Outperforms most HA fillers in duration
- Non-allergenic: CaHA is biocompatible and well tolerated.
What to Expect During Treatment
- Quick procedure (30–45 minutes)
- Minimal discomfort, thanks to lidocaine in the formula
- Mild swelling or bruising may occur, usually resolving in a few days
- Results are visible immediately, with continued improvement over weeks
Is Radiesse Right for You?
Radiesse is ideal for:
- Adults with volume loss, facial sagging, or skin laxity
- Patients seeking natural results and longer-term solutions
- People who want skin quality improvements without surgery
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.