Dr Gabriela Casabona from Ocean Clinic invented the latest "HEAT" concept -Highly Effective Aesthetic Treatment in aesthetic medicine treatments and anti-ageing cosmetics.

Dr Gabriela Casabona is a medical doctor! She is an expert in skin cancer surgery and anti-ageing procedures. 

Read here an exclusive interview with Dr Gabriela Casabona. She is a scientist, medical doctor, wife and mother of six. MEET the Dr Gabriela Casabona!

What is HEAT? Examples on how' Highly Effective Aesthetic Treatment' is applied in aesthetic treatments at Ocean Clinic, Marbella by Dr. Gabriela Casabona.

'HEAT' is a concept created to make the best choices for an individual patient, using the least amount of product to achieve the best results in the shortest amount of time - thus making the treatments as highly effective as possible.

• HEAT and Injectable fillers
• HEAT and Biostimulators
• HEAT and Ultherapy
• HEAT and Neuromodulators
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Heat stands for' Highly Effective Aesthetic Treatment', which is of course always the aim - however we administer a treatment, whatever that treatment is, we want the results to be the most effective possible.

Dr Gabriela Casabona, head of the aesthetic department, Ocean Clinic, Marbella, says:

"Throughout my career I have learnt to recognize that many products can be delivered using the same device; a cannula to administer a filler for example, but if you do not study and understand the behaviour of each product inside the body, how it reacts, where it is positioned, the layer at which you administer it, etc. you can end up using much more product, achieve the same results maybe, but with a far less effective outcome. So HEAT, for me, means that I know exactly where my target is, how my product will behave once inside the treatment area, and how to get the best use of the product using the least amount possible within the least amount of time possible (least number of sessions, least amount of product administered and achieve the best results)." 

Dr Gabriela Casabona from Ocean Clinic Marbella Madrid . Here: 

                                       Ocean Clinic appointment link     

                                        with Dr Gabriela Casabona or

                                       with one of our plastic surgeons.

HEAT and Injectable fillers

To illustrate how to apply the HEAT concept within her practice, Gabriela explained that if, for example, she was setting out to achieve projection of the zygoma area (cheekbone area) using fillers, she would opt for injecting a bolus - the cannula is placed at a deeper layer and kept still while the filler is administered, to achieve a static 'bolus' of product which keeps its shape and position - "if I want to save product and create the optimum effect, I need to locate the exact layer and use the right amount of product to create a perfect bolus and achieve the right amount of projection. If I were to use the retrograde technique (instead of a bolus) - this is where the filler is injected in traces, small amounts over an area as the cannula moves - the same amount of projection would not be achievable using the same amount of product, it would need much more", she explains.

 HEAT and Injectable fillers

HEAT and bio stimulators

When it comes to biostimulators, another example of applying the HEAT concept is that some biostimulators accumulate in an area and create volume - but if we want a rejuvenation/regeneration effect in the tissue, we need the product to spread, we don't want an accumulation, we want to rejuvenate the whole area. To know which product to select for which area, and how to apply it most effectively is vital to the HEAT concept.

HEAT and Ultherapy

If a patient was undergoing Ultherapy to achieve a non-invasive facelift, the practitioner would analyze and target the SMAS (Sub-Muscular Aponeurotic System) - a thin layer of strong connective tissue on the face. The SMAS is vital in anti-aging medicine as it is probably the most important support structure of the face. It surrounds and connects to both deeper tissue and the muscles that are responsible for our facial expressions. "I have to target the whole fascia system, the SMAS, and the skin. If I don't use an ultrasound to locate the SMAS I will assume that a patient's will lie at around 4.5mm, if she actually had her SMAS located at 3mm, for example, then I would have gone in too deep, administered the energy at a level where the result would not be as effective as at the correct level. When I look at the result, it won't be as good as if I had gone to the correct target to achieve lifting", says Dr Gabriela Casabona.

HEAT and Neuromodulators

When we inject neuromodulators there are two main decisions: where we inject to be most effective and how much product to apply. For best longevity my neuromoduator needs to be injected into the muscle.

At Ocean Clinic Marbella we apply the HEAT concept, mapping our patients with USG. This means we can define precisely where the muscle is and how deep to inject - this aids in choosing the right needle and points at which to inject.

This gives a better effect with less risk of heavy forehead or misplacements of points with the need for touch ups.

Ocean Clinic Marbella Madrid Zürich

*Dr Gabriela Casabona is the Director of Clinical Research & Medical for Ocean Clinic Marbella Madrid's Aesthetic and skin cancer departments.