Dr Bunar

Aesthetic Medicine is a medical discipline that deals with the construction and reconstruction of individual psycho-physical balance.

Biostimulation

Biostimulacija je stimuliranje biološkog materijala u koži u koju se ubrizgava lijek ili CO2, čime se stimulira proizvodnja vlastitog kolagena. Biostimulacija usporava proces starenja, poboljšava svježinu, elastičnost i napetost kože.

Ionmagnum

The Ion Magnum is an advanced fitness system that rapidly burns fat and delivers the benefits of an intense, professional workout without the pain, physical exertion or inconvenience of conventional exercise.

Oligoscan

Oligoscan je revolucionarna metoda za mjerenje oligoelemenata i intoksikacije teškim metalima. Omogućava brzu i preciznu analizu stanja oligoelemenata i teških metala u tkivima.

First Examination

The examination takes about an hour

In the corrective phase the program relies exclusively on official methods and techniques: medical, surgical, kinesiotherapeutical, thermal and cosmetic. It is a life quality medicine that best interprets what World Health Organisation has been saying for years: health is not just the absence of the disease but also psychophysical well-being.

In the preventive phase doctors teach how to "familiarize and accept" inherited physical structures, to protect and "guide" them to the rules of hygiene of life: food, physical, psychological - behavioral and cosmetology rules.

Biological years estimates, prevention of aging disorders, and psychophysical capacity enhancement are the essential goals for the health of well-being, where perfect psyche and body efficiency becomes decisive for improving the quality of life.

In essence, it is medicine for the quality of life, for health as an expression of psychophysical well-being. This is primarily preventative and then corrective medicine.

Aesthetic medicine is a branch of medicine that works in the area of prevention and correction of aesthetic problems that can eventually lead to the appearance of various pathologies or psycho-physical disorders

Diagnostic approach consists of body and facial examination

BODY EXAMINATION

• Traditional anamnesis, and targeted anamnesis of aesthetic medicine,
• Classical patient examination,

• Psychological Survey - series of tests inserted into conversation in order to define the global psychological aspect of the patient),
• morphoanthropometric assessment: getting acquainted with the past body weight of the patient, ideal body weight, lean mass, total water in the body through the use of various methods of body composition analysis such as plichometry and impedance measurement, which enable the establishment of possible goals in relation to body weight and based on this the application of appropriate local treatments. This evaluation can be used to prescribe a diet plan and restore metabolism and body weight to normal.
• Postural evaluation: to find the possible disturbances of the body's position in relation to the surface we rely on, in a static or dynamic situation, through direct observation and using the podoscope.
• Physical Capacity Evaluation: To measure the capacity of a person to perform a certain activity. The maximum use of oxygen, strength and articulation flexibility is estimated using a goniometer.
• Angiologic evaluation- doppler probe 7.50 mgh.
• Ultrasound: Ultrasonic examination of skin and subcutaneous tissue for precise cellular diagnosis, differentiation of cellulite from thickness, and collagen control in deeper parts of the skin.

MEASUREMENT OF FACIAL SKIN PARAMETERS

Skin measurements are done with devices that were created in a laboratory for dermatological research. In the late 1970s,

Ramette and Bartoletti formulated the first protocol for skin chek-up (temperature, sebometry, corneometry, pH meters, lactic acid test, dermographism) and latest, a skin-proof print that allows a three-dimensional skin image.
Evaluation of pHis done with the electrode and the result of this measurement should show the acidity of the skin.
The amount of fat on the surface of the skin is determined by the sebometer. The "Sebometer" device is used. The measurement time is 30 seconds and it is controlled by the chronometer in the appliance. Normal values of sebometry in the forehead area are between 100 - 200; in the cheekbone area they are between 60 - 160 and in the chin are they are between 60 - 100.
Corneometrydetermines the hydration (moisture) of the skin. The instrument "Corneometer" is used. Normal values of hydration vary from 95 to 105.
A15% lactic acid test(Ramette test) can confirm the diagnosis of sensitive skin. Dermographism is useful to determine the degree of hyperreactivity of the skin.

FACIAL SKIN EXAMINATION

It begins with anamnesis related to general hygiene in life, possible skin pathology, drug use, subjective skin sensation and the like.

An objective skin examination is performed with the ordinary eye and use of cold light, as well as using the Wood lamp.

The general inspection evaluates the color and possible presence of elementary lesions. Targeted inspection refers to the color, luminosity and possibly presence of comedones, microcysts, stains, cuperosis (reddening with enlarged blood vessels found on the face, especially in people with light skin), rosacea, wrinkles, skin depression (scarring), scars from acne, desquamation (rash and peeling).

Wood's lamp allows to see the presence of comedones (yellow or orange depending on the degree of fat oxidation), hyperpigmentation that cannot be seen with the naked eye, flakes (in dermatology Wood's lamp is used to confirm the diagnosis of vitiligo, psoriasis and pitiriasis versicolor).

Examination by touch and palpation according to the correct methodology of traditional medicine allows for examination of smoothness, fatness, granulosis, roughness, thickening, elasticity and skin stretch.

For a differential diagnosis of pigment lesions, dermatoscopy with epiluminescence is used, a non-invasive technique that allows the pigment to be tested inside and outside the cell.

WHEN SHOULD THIS ASSESSMENT BE MADE?

At any age, skin condition assessment is very important for determining proper cosmetics; which aims to prevent the signs of time occurring on the skin, in particular those related to atmospheric phenomena.

It would be better to make a judgment in the younger years, after puberty, to get earlier knowledge of the skin type, its defense, thus realizing a hygienic - preventive program on time. The second time when this evaluation should be made is menopause when fat production is reduced because of hormonal reasons; that is the ideal time to look at and possibly modify cosmetic protection. An examination should be made every two years in younger years, in order to pass into an annual control during and after menopause. With the help of a questionnaire, clinical examination and parameter value measurements allow a personalized cosmetology education program according to biotype and skin phototype; care, protecting and maintaining the skin in good condition with personalized cosmetics that, according to the EU definition, has this function.