ENVIRON – Face & Body

ABOUT ENVIRON

About Environ Ionzyme DF II Technology

About Environ Ionzyme DF II Technology

The Environ Ionzyme® DF Machine utilises two sophisticated technologies: low-frequency Sonophoresis (sound waves) and pulsed Iontophoresis (electric current). This dual electro-sonic technology creates minute channels in the skin, effectively facilitating the delivery of essential nutrients directly to the areas where they are most needed.

Unparalleled Product Penetration

This pioneering and unique technology remains unmatched for enabling enhanced product absorption. Scientifically proven and patented, the Ionzyme® DF Machine allows for up to 40 times greater penetration of active serums, which are specifically selected for each treatment, offering faster and more effective results.

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How the Ionzyme® DF Machine Works

Sonophoresis: Utilises low-frequency sound waves to create cavitations within the lipid bilayers of the skin, thereby enhancing the absorption of products.

Iontophoresis: Employs an electrical current to alter the skin’s resistance, further enabling product absorption. This process also harnesses the principle of ionisation; the active ingredients in the products possess a polarity (positive or negative), and by aligning the machine’s polarity with that of the product, a pushing action is generated, driving the product deeper into the skin.

Both modalities can be used independently or in combination, depending on treatment requirements.

The treatment is suitable for the face and neck, with the option to focus on specific areas of concern.

Serums are infused into the skin with the aid of either an Alginate Mask or Haize Gauze.

Each treatment is tailored to address the client’s individual skincare concerns.

The session concludes with the application of an eye cream, serum, moisturiser, and, where appropriate, sun protection.

Skin Concerns Addressed

  1. Fine lines and wrinkles
  2. Skin Laxity
  3. Dehydration
  4. Sensitive skin
  5. Pigmentation & Sun damage
  6. Blemish-Prone Skin
  7. Body Toning

Additional Information

  1. Environ recommends an initial course of 8 to 10 weekly treatments to commence the skin’s rejuvenation process. After achieving the desired results, monthly maintenance treatments are advised, which may be full sessions or shorter, targeted treatments.
  2. For optimal results, it is recommended to use the suggested skincare products for at least two weeks prior to beginning a course of treatments. While not mandatory, this step can support the achievement of your skincare objectives.
  3. We recommend booking our AI Skin Health Analysis before starting your treatment plan. This includes a customised report detailing solutions, planning for long-term goals, and tracking your progress throughout the course.

ENVIRON FACIALS

Environ – AI Skin Health Analysis & Consultation

  • 60 min
  • £50

A pre-treatment consultation & AI Skin Health Analysis holds equal significance to the actual aesthetic procedure. Clients are strongly encouraged to participate in the Skin Assessment, informal discussions about their skin and home skincare products. It provides an opportunity to gain a deeper understanding of your skin condition, discuss your concerns, provide you with an opportunity to ask questions and foster a professional relationship ensuring that all concerns are addressed and expectations are clearly established.

Drawing upon her extensive experience, Rashida will note your individual needs and objectives, discusses any specific concerns, explores desired outcomes, and then recommends a personalised treatment plan tailored to your requirements.

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Environ – AI Skin Health Analysis & Consultation

Importantly, the consultation fee is entirely redeemable against the cost of any aesthetic treatment, provided the treatment is completed within 4 weeks of the initial consultation.

Environ Essential Facial

Environ Essential Facial

  • 90 min
  • £130

Environ’s pioneering Dual Electro-Sonic DF Technology sets a benchmark in professional skincare. This advanced system combines Low Frequency Sonophoresis with pulsed Iontophoresis to ensure the effective delivery of expertly formulated ingredients to address the underlying causes of your skin concerns. Each facial treatment is meticulously curated to target a range of specific issues:

  1. Skin Sensitivity
  2. Pigmentation & Sun Damage
  3. Dryness & Dehydration
  4. Signs of Ageing
  5. Dull Skin – loss of Radiance
  6. Blemishes Breakouts
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This ensures that every session is tailored to deliver exceptional and visible results for your unique needs.

The treatments are designed to be convenient and effective, with no associated downtime, allowing you to resume your daily activities immediately afterwards.

For optimal results, a course of 6, 8 or 10 sessions is typically recommended depending on your skin goals, with each session spaced 3 to 4 weeks apart. For those seeking the full transformative benefits, a Package for 6 sessions is available, providing a comprehensive solution to help you achieve your desired skin outcomes.

Environ + Smart Pro Dual Tech Microneedling – Face & Neck

  • 120 min
  • £295

Environ’s Dual Electro-Sonic DF Technology is combined with Smart Pro Dual Microneedling for a bespoke treatment. Every session is tailored to deliver exceptional and visible results for your unique needs. The treatment is designed to be effective, with no associated downtime, allowing you to resume your daily activities immediately afterwards.

This unique combination sets a benchmark in professional skincare with advanced systems to ensure the effective delivery of expertly formulated ingredients to address the underlying causes of your skin concerns. Each facial treatment is meticulously curated to target a range of specific issues:

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Environ + Smart Pro Dual Tech Microneedling – Face & Neck
  1. Skin Sensitivity
  2. Pigmentation & Sun Damage
  3. Dryness & Dehydration
  4. Signs of Ageing
  5. Dull Skin – loss of Radiance
  6. Blemishes  Breakouts

For optimal results, a course of 4 sessions is typically recommended depending on your skin goals, with each session spaced 4 weeks apart. For those seeking the full transformative benefits, a Package for 4 sessions is available, providing a comprehensive solution to help you achieve your desired skin outcomes.

Each treatment includes the following home care products to support skin recovery and optimise results:

Environ Tri-Peptide Complex – Avance DFP312® Elixir

This multifunctional serum contains a powerful combination of peptides that may result in skin looking radiantly even and luminous, as well as resiliently younger for longer. It helps to reduce the damaging effects of UV radiation and pollution on the skin. Assists in maintaining the appearance of a more radiantly youthful and even complexion and improves skin’s overall tone, texture and appearance by helping to minimise the visible signs of ageing.

Environ Focus-On Facial

Environ Focus-On Facial

  • 50 min
  • £65

Environ’s pioneering Dual Electro-Sonic DF Technology sets a benchmark in professional skincare. This advanced system combines Low Frequency Sonophoresis with pulsed Iontophoresis to ensure the effective delivery of essential skincare nutrients, targeting the specific areas where your skin needs them most.

Targeted Skincare Solutions

By addressing individual skincare concerns directly, this treatment is particularly well-suited for those with limited time. Each session is tailored to target a designated area only, allowing for a focused approach to achieving optimal results. Treatments are priced per area, so clients may select their preferred focus for each session.

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Select Your Focus-On-Area for Treatment:

  1. Upper Face: Forehead & Eyes
  2. Lower Face: Cheeks, Mouth, Chin & Jawline
  3. Body Area: Neck & Décolletage

Course Structure & Results

There is no downtime associated with this procedure, enabling clients to resume their daily activities immediately. For best results, a series of 8 to 10 sessions is recommended, spaced weekly, to fully experience the transformative benefits of the treatment. A dedicated package for 8 sessions is available for those seeking comprehensive improvement.

Environ TCA Cool Peel Facial

  • 90 min
  • £130

Environ’s Cool Peel Technology represents a breakthrough in non-invasive skin rejuvenation treatments. Developed by Environ’s Founder and renowned Plastic Surgeon, Dr. Des Fernandes, this advanced system is designed to safely and gently refine the skin’s appearance while promoting long-term benefits.

The treatment works by stimulating the production of Growth Factors, which are essential for skin renewal and repair. As a result, the skin is effectively refined, revived, and brightened, all with minimal downtime. Clients can expect lasting improvements in skin texture, clarity, and radiance.

This gentle yet powerful peel is suitable for addressing a wide range of skin concerns, including problematic skin, wrinkles, fine lines, rosacea, rough or uneven texture, uneven skin tone, and dry or dehydrated skin. Its versatility makes it an excellent option for those seeking targeted results without the inconvenience of significant recovery time.

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Environ TCA Cool Peel Facial

There is no downtime associated with the Environ Cool Peel Facial, allowing clients to return to their regular activities immediately after treatment.

For optimal results, it is recommended to undergo a series of 6 to 8 sessions, spaced 3 to 4 weeks apart. A dedicated package for 6 sessions is available for those looking to achieve comprehensive and transformative improvements to their skin.

Environ Vibrant C Micro Peel Facial

Environ Vibrant C Micro Peel Facial

  • 75 min
  • £110

Our Concentrated Vitamin C Infused Peel is meticulously prepared fresh prior to each application, ensuring maximum freshness and potency. Vitamin C is a vital ingredient for achieving optimal skin health, renowned for its ability to enhance skin vibrancy, even out skin tone, and refine texture.

This treatment is expertly suited to address concerns such as sun damage, pigmentation irregularities, and signs of ageing in mature skin. Each session is completed with an LED Skin Light Therapy, complemented by a personalised selection of skincare products specifically tailored to meet your skin’s unique requirements.

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There is no downtime following the procedure, allowing you to resume your daily activities straight away. For best results, a course of 6 to 12 sessions is recommended, with treatments spaced approximately 3 to 4 weeks apart. For those seeking comprehensive improvement, a dedicated package of 6 sessions is available to experience the full transformative benefits of this peel.

ENVIRON BODY TREATMENTS

About Environ Shape Refine

About Environ Shape Refine

Environ’s Dual Electro-Sonic DF Technology in conjunction with potent active ingredients to improve the functioning of the adipocyte, inhibits its inflammatory signals, promote the synthesis of dermal fibres (elastin & collagen), for a firmer and more toned skin. The treatment also focuses on smoothing the appearance of cellulite – the “orange peel” look too. The treatment is particularly effective for common areas of concern such as the buttocks and thighs, but can also be tailored to target other parts of the body such as the tummy and upper arms.

To achieve the best possible results, we recommend a dedicated programme consisting exclusively of a course of 10 sessions, scheduled weekly. This structured approach ensures that you benefit fully from the advanced technology and its capabilities. As part of the package, a detailed outline of any additional features included to help maximise your treatment outcomes is shown below.

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Weekly Treatment Protocol

Each week, clients will receive a targeted treatment utilising the Dual Electro-Sonic DF Technology in combination with potent active ingredients. This approach is specifically designed to help smooth the appearance of cellulite, commonly known as “orange peel” skin, with a particular focus on the buttocks and thighs. The advanced technology is equally effective for other body areas, including the tummy and upper arms.

Course of 10 Treatment Protocols – Session Breakdown Guideline

  1. First Session:AOX Gentle Exfoliating Body Peel, carefully applied to the chosen treatment area to prepare the skin for the course ahead.
  2. Second & Subsequent Sessions:This marks the start of the weekly sequence within the 10 treatment package, building on the foundation established in the first appointment.
  3. Final Session:Upon completion of all 10 treatments, the final appointment concludes with a Complimentary LED XPERT Light Therapy Treatment to enhance and prolong the results achieved throughout the course.

Personalised Treatment Planning

The session breakdown outlined above serves as a general guideline for what is included in a course comprising 10 treatment sessions. However, your specific treatment plan will be discussed in detail and tailored to your individual needs, ensuring that the approach is adapted to deliver the best possible results for you.

Maintenance Sessions

For clients who have completed the full programme, maintenance sessions are available to help sustain the results achieved. This allows individuals to continue their progress by booking a Single Session of Environ’s Dual Electro-Sonic DF Technology as an ongoing maintenance treatment.

Single & Maintenance Session Exclusions

Please note that the following items are NOT included as part of your maintenance sessions:

  1. Body Peel
  2. LED XPERT Light Therapy

Should you wish to include any of these, they can be added to your session but will be charged accordingly.

Environ Body Shape Refine - Consultation

  • 60 min
  • £50

A pre-treatment consultation holds equal significance to the actual aesthetic procedure. It provides an opportunity to gain a deeper understanding of your skin condition, discuss your concerns, provide you with an opportunity to ask questions and foster a professional relationship ensuring that all concerns are addressed and expectations are clearly established.

Drawing upon her extensive experience, Rashida will note your individual needs and objectives, discusses any specific concerns, explores desired outcomes, and then recommends a personalised treatment plan tailored to your requirements.

Book Treatment book
Environ Body Shape Refine - Consultation

Importantly, the consultation fee is entirely redeemable against the cost of any body treatment, provided the treatment is completed within 4 weeks of the initial consultation.

The Dual Electro-Sonic DF Technology, when used in conjunction with potent active ingredients, is specifically designed to smooth the appearance of cellulite, also known as “orange peel” skin. This treatment is particularly effective for the buttocks and thighs, but its advanced approach also delivers noticeable improvements for other areas such as the tummy and upper arms.

Course Structure

To ensure the best possible results, the treatment is exclusively available as a dedicated course comprising 10 sessions, scheduled once per week. This structured, package-based approach is intended to maximise the benefits of the technology, providing consistent and targeted care throughout the programme.

Package Inclusions

Enrolling in the 10-session course grants access to several additional features, all included as part of the package. These added elements are designed to further enhance your outcome, ensuring a comprehensive and supportive treatment journey.

Consultation Fee Redemption

Please note that the consultation fee is redeemable against the cost of the course if you choose to book the full 12-session package within four weeks of your initial consultation.

Environ Shape Refine – Upper Arms

Environ Shape Refine – Upper Arms

  • 75 min
  • £65

Environ’s Dual Electro-Sonic DF Technology in conjunction with potent active ingredients to improve the functioning of the adipocyte, inhibits its inflammatory signals, promote the synthesis of dermal fibres (elastin & collagen), for a firmer and more toned skin. The treatment also focuses on upper arms.

Single & Maintenance Session Exclusions

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Please note that the following items are NOT included as part of your maintenance sessions:

  1. Body Peel
  2. LED XPERT Light Therapy

Should you wish to include any of these, they can be added to your session but will be charged accordingly.

Environ Shape Refine – Upper Arms – Course of 10

  • 75 min
  • £700

Course of 10 Treatmetns includes the following:

  1. 1 x AOX Gentle Exfoliating Peel
  2. 10 x Treatment Sessions
  3. 1 x LED XPERT Light Therapy

Weekly Treatment Protocol

Each week, clients will receive a targeted treatment utilising the Dual Electro-Sonic DF Technology in combination with potent active ingredients. This approach is specifically designed to help skin laxity in the Upper Arm area.

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Environ Shape Refine – Upper Arms – Course of 10

Maintenance Sessions

For clients who have completed the full programme, maintenance sessions are available to help sustain the results achieved. This allows individuals to continue their progress by booking a Single Session of Environ’s Dual Electro-Sonic DF Technology as an ongoing maintenance treatment

Single & Maintenance Session Exclusions

Please note that the following items are NOT included as part of your maintenance sessions:

  1. Body Peel
  2. LED XPERT Light Therapy

Should you wish to include any of these, they can be added to your session but will be charged accordingly.

Environ Shape Refine – Upper Arms – Course of 10

Environ Shape Refine – Upper Arms – Course of 10

  • 75 min
  • £700

Course of 10 Treatmetns includes the following:

  1. 1 x AOX Gentle Exfoliating Peel
  2. 10 x Treatment Sessions
  3. 1 x LED XPERT Light Therapy

Weekly Treatment Protocol

Each week, clients will receive a targeted treatment utilising the Dual Electro-Sonic DF Technology in combination with potent active ingredients. This approach is specifically designed to help skin laxity in the Upper Arm area.

Maintenance Sessions

For clients who have completed the full programme, maintenance sessions are available to help sustain the results achieved. This allows individuals to continue their progress by booking a Single Session of Environ’s Dual Electro-Sonic DF Technology as an ongoing maintenance treatment

Book Treatment book

Single & Maintenance Session Exclusions

Please note that the following items are NOT included as part of your maintenance sessions:

  1. Body Peel
  2. LED XPERT Light Therapy

Should you wish to include any of these, they can be added to your session but will be charged accordingly.

Environ Shape Refine – Stomach

  • 75 min
  • £70

Environ’s Dual Electro-Sonic DF Technology in conjunction with potent active ingredients to improve the functioning of the adipocyte, inhibits its inflammatory signals, promote the synthesis of dermal fibres (elastin & collagen), for a firmer and more toned skin. The treatment also focuses on the stomach.

Single & Maintenance Session Exclusions

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Environ Shape Refine – Stomach

Please note that the following items are NOT included as part of your maintenance sessions:

  1. Body Peel
  2. LED XPERT Light Therapy

Should you wish to include any of these, they can be added to your session but will be charged accordingly.

Environ Shape Refine – Stomach – Course of 10

Environ Shape Refine – Stomach – Course of 10

  • 75 min
  • £750

Course of 10 Treatmetns includes the following:

  1. 1 x AOX Gentle Exfoliating Peel
  2. 10 x Treatment Sessions
  3. 1 x LED XPERT Light Therapy

Weekly Treatment Protocol

Each week, clients will receive a targeted treatment utilising the Dual Electro-Sonic DF Technology in combination with potent active ingredients. This approach is specifically designed to help skin laxity in the Stomach area.

Book Treatment book

Maintenance Sessions

For clients who have completed the full programme, maintenance sessions are available to help sustain the results achieved. This allows individuals to continue their progress by booking a Single Session of Environ’s Dual Electro-Sonic DF Technology as an ongoing maintenance treatment

Single & Maintenance Session Exclusions

Please note that the following items are NOT included as part of your maintenance sessions:

  1. Body Peel
  2. LED XPERT Light Therapy

Should you wish to include any of these, they can be added to your session but will be charged accordingly.

Environ Shape Refine – Thighs (Back)

  • 75 min
  • £ 75

Environ’s Dual Electro-Sonic DF Technology in conjunction with potent active ingredients to improve the functioning of the adipocyte, inhibits its inflammatory signals, promote the synthesis of dermal fibres (elastin & collagen), for a firmer and more toned skin. The treatment also focuses on  the Thighs (Back).

Single & Maintenance Session Exclusions

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Environ Shape Refine – Thighs (Back)

Please note that the following items are NOT included as part of your maintenance sessions:

  1. Body Peel
  2. LED XPERT Light Therapy

Should you wish to include any of these, they can be added to your session but will be charged accordingly.

Environ Shape Refine – Thighs (Back) – Course of 10

Environ Shape Refine – Thighs (Back) – Course of 10

  • 75 min
  • £800

Course of 10 Treatmetns includes the following:

  1. 1 x AOX Gentle Exfoliating Peel
  2. 10 x Treatment Sessions
  3. 1 x LED XPERT Light Therapy

Weekly Treatment Protocol

Each week, clients will receive a targeted treatment utilising the Dual Electro-Sonic DF Technology in combination with potent active ingredients. This approach is specifically designed to help skin laxity in the Thighs (Back) area.

Book Treatment book

Maintenance Sessions

For clients who have completed the full programme, maintenance sessions are available to help sustain the results achieved. This allows individuals to continue their progress by booking a Single Session of Environ’s Dual Electro-Sonic DF Technology as an ongoing maintenance treatment

Single & Maintenance Session Exclusions

Please note that the following items are NOT included as part of your maintenance sessions:

  1. Body Peel
  2. LED XPERT Light Therapy

Should you wish to include any of these, they can be added to your session but will be charged accordingly.

Environ Shape Refine – Thighs (Back) & Buttocks

  • 75 min
  • £90

Environ’s Dual Electro-Sonic DF Technology in conjunction with potent active ingredients to improve the functioning of the adipocyte, inhibits its inflammatory signals, promote the synthesis of dermal fibres (elastin & collagen), for a firmer and more toned skin. The treatment also focuses on upper arms.

Single & Maintenance Session Exclusions

Book Treatment book
Environ Shape Refine – Thighs (Back) & Buttocks

Please note that the following items are NOT included as part of your maintenance sessions:

  1. Body Peel
  2. LED XPERT Light Therapy

Should you wish to include any of these, they can be added to your session but will be charged accordingly.

Environ Shape Refine – Thighs (Back) & Buttocks – Course of 10

Environ Shape Refine – Thighs (Back) & Buttocks – Course of 10

  • 75 min
  • £950

Course of 10 Treatmetns includes the following:

  1. 1 x AOX Gentle Exfoliating Peel
  2. 10 x Treatment Sessions
  3. 1 x LED XPERT Light Therapy

Weekly Treatment Protocol

Each week, clients will receive a targeted treatment utilising the Dual Electro-Sonic DF Technology in combination with potent active ingredients. This approach is specifically designed to help skin laxity in the Upper Arm area.

Book Treatment book

Maintenance Sessions

For clients who have completed the full programme, maintenance sessions are available to help sustain the results achieved. This allows individuals to continue their progress by booking a Single Session of Environ’s Dual Electro-Sonic DF Technology as an ongoing maintenance treatment

Single & Maintenance Session Exclusions

Please note that the following items are NOT included as part of your maintenance sessions:

  1. Body Peel
  2. LED XPERT Light Therapy

Should you wish to include any of these, they can be added to your session but will be charged accordingly.

ADD ON - LED XPERT Light Therapy – Body Treatment

  • 30 min
  • £50

The efficacy of our LED Xpert Light Skin Therapy is not limited to being an add-on to facial treatments. This advanced therapy option is also available as a standalone treatment, allowing clients to benefit from the rejuvenating effects of pure monochromatic LED light independently. The LED Xpert system provides broad, uniform coverage suitable for various areas of the body, including the face, neck, décolletage, back, abdomen, thighs, flanks, and hands.

The system’s dual segments enable personalised treatment, making it possible to address multiple skin concerns simultaneously, such as targeting dark spots and wrinkles in different areas during a single session. This flexible approach ensures clients can experience significant improvements in their skin’s health and appearance, whether incorporated into a broader facial treatment or as a focused, standalone session.

 

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ADD ON - LED XPERT Light Therapy – Body Treatment

Each LED comprises four distinct diodes emitting targeted wavelengths the treatment is customised to provide unique skin benefits, from stimulating collagen production and reducing inflammation to targeting acne and hyperpigmentation.

ADD ON - AOX Gentle Exfoliating Body Peel

ADD ON - AOX Gentle Exfoliating Body Peel

  • 60 min
  • £50

The AOX Gentle Exfoliating Peel is a superficial chemical peel that has been carefully formulated using pharmaceutical-grade ingredients. This advanced treatment is designed to provide an effective solution for skin renewal and rejuvenation, helping to refresh and revitalise the skin’s appearance.
Pricing
Price is per area. Pricing will vary according to the size of the area being treated. The starting price for this treatment is £50. Exact treatment costs will be discussed with you during your appointment, ensuring you have a clear understanding of the fees involved before your session begins.

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Area for treatment:

  1. Knees
  2. Elbows
  3. Hands
  4. Underarms
  5. Inner Thighs
  6. Buttocks
  7. Back Acne/Chest Acne (Bacne.
  8. Body Scars

This peel is appropriate for all skin types and can be scheduled throughout the entire year. There is no downtime associated with the treatment, allowing clients to resume their daily activities immediately.

For optimal results, a course of 6 sessions is recommended, with each session spaced 2 weeks apart.

LED Xpert Light Skin Therapy - Face & Neck Treatment

  • 45 min
  • £85

The efficacy of our LED Xpert Light Skin Therapy is not limited to being an add-on to facial treatments. This advanced therapy option is also available as a standalone treatment, allowing clients to benefit from the rejuvenating effects of pure monochromatic LED light independently. The LED Xpert system provides broad, uniform coverage suitable for various areas of the body, including the face, neck, décolletage, back, abdomen, thighs, flanks, and hands.

 

The system’s dual segments enable personalised treatment, making it possible to address multiple skin concerns simultaneously, such as targeting dark spots and wrinkles in different areas during a single session. This flexible approach ensures clients can experience significant improvements in their skin’s health and appearance, whether incorporated into a broader facial treatment or as a focused, standalone session.

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LED Xpert Light Skin Therapy - Face & Neck Treatment

Each LED comprises four distinct diodes emitting targeted wavelengths the treatment is customised to provide unique skin benefits, from stimulating collagen production and reducing inflammation to targeting acne and hyperpigmentation.

LED Xpert Light Skin Therapy - Face | Neck  & Hand Treatment

LED Xpert Light Skin Therapy - Face | Neck & Hand Treatment

  • 60 min
  • £95

The efficacy of our LED Xpert Light Skin Therapy is not limited to being an add-on to facial treatments. This advanced therapy option is also available as a standalone treatment, allowing clients to benefit from the rejuvenating effects of pure monochromatic LED light independently. The LED Xpert system provides broad, uniform coverage suitable for various areas of the body, including the face, neck, décolletage, back, abdomen, thighs, flanks, and hands.

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The system’s dual segments enable personalised treatment, making it possible to address multiple skin concerns simultaneously, such as targeting dark spots and wrinkles in different areas during a single session. This flexible approach ensures clients can experience significant improvements in their skin’s health and appearance, whether incorporated into a broader facial treatment or as a focused, standalone session.

Each LED comprises four distinct diodes emitting targeted wavelengths the treatment is customised to provide unique skin benefits, from stimulating collagen production and reducing inflammation to targeting acne and hyperpigmentation.

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