Is your Cosmetic Injector qualified?

Dr Patenaude Winnipeg Botox Injector

It’s not uncommon for people to be unaware of the educational requirements of cosmetic medical professionals to be able to preform treatments such as Botox, Dysport and Dermal Fillers. With the increasing trend in salons, spas and other medical business’s now offering cosmetic injections it is in the consumer/patients’ best interest to be informed of their cosmetic injectors credentials prior to selecting a clinic for treatment.

It is best your injector be a Medical Doctor. No weekend courses can replace a full-fledged Specialty Fellowship with years of training in advanced facial anatomy and cosmetic injections. You should always ask your provider how experienced they are in the Cosmetic Medicine field. Where did they do their training? For how many years? Do they continue to be educated on new treatments, technologies and advanced techniques?

Before having any cosmetic procedure, your treatment provider should inform you with an in-depth consultation regarding the treatment you are seeking and review all options available to you. You should be asked to provide a brief medical history outlining any previous treatments you have had, any allergies or medications you may be taking that potentially may contraindicate treatment.

It is important to remember that Cosmetic Injections are medical treatments. There is always the possibility of an adverse reaction or side effect occurring. In most cases it is common things such as swelling or bruising. However, extremely rare complications can occur which may require immediate medical treatment. Is your treatment facility equipped to deal with a complication? You want to make sure that the place you select is medically equipped and educated on how to handle an adverse reaction.

You should also consider the hygiene of the facility your treatment is being administered. Does the place appear clean enough? Does the injector follow standard sterilization procedures? Are needles/cannulas disposed of correctly? This may not be the case at some salons or spas.

Dr. Amanda Patenaude is Board Certified as an Internal Medicine Specialist with a fellowship in Autoimmune & Autoimmune Skin Diseases. She is expertly trained with over 14 years experience in cosmetic procedures and surgeries. She is an associate physician of the National Society of Cosmetic Physicians and holds certification in neuromodular treatments (Dysport/Botox) and facial fillers (Restylane, Emervel & Juvederm).

Call us today to schedule your complimentary cosmetic consultation with Dr. Amanda Patenaude 204-894-7486.

What is the Best Moisturizer for Dry Skin?

dry-skin-moisturizerDuring the winter months, your skin needs all the moisture it can get. There are plenty of ways to protect your skin from the elements, and practicing the following can help you keep your skin supple all season long. Dry skin be gone!

1. Use oil-based moisturizer: During the winter months, low humidity levels can steal the moisture right off of your skin. To replace what’s been lost to the elements, opt for an oil-based moisturizer. Oils are better able to adhere to your skin, providing longer-lasting moisture that can benefit you all day long. Look for non-comedogenic oil moisturizers, as these won’t clog up your pores.

2. Watch your shower habits: When it’s chilly outside, it’s tempting to hop in the shower and turn the water up to the highest temperature possible. Avoid giving into this temptation, and instead opt for lukewarm showers. Hot water washes away your skin’s natural oils, leaving your body and face dry and irritated. Also be sure to keep your showers short; the longer you stand under that running water, the more apt your skin is to dry out.

3. Blot your skin: When you’re drying off from a shower or after washing your face, be sure to blot your skin gently with a towel—don’t rub it! Rubbing a towel against your skin can cause friction that strips away your skin’s essential oils. Gently pat your skin dry instead and avoid tugging whenever possible.

Acne Scar Treatment in Winnipeg

There are several acne scar treatment options that range from at home Medical Grade topical retinol acne scar removal products to professionally administered acne scar laser procedures. While patience is important, the key to reducing acne scarring is to be proactive.

An important step in treating acne scars is to first reduce active acne, which is essential in order to limit continued acne scarring. Specialist, Dr. Amanda Patenaude can tailor a skin treatment for acne regimen for you using a number of effective acne treatments.  Although certain scar removal treatments can be started as soon as acne is resolved, it is better to wait to allow your skin to start the healing process to minimize the number and frequency of treatments. However, waiting too long can be problematic as it allows old acne scars to become fully remodeled and healed.

Since approximately 95% of acne sufferers end up with permanent acne scarring that causes both hyperpigmentation (brown and red marks) and pitted scars, its impact, emotionally and psychologically, is substantial: acne scarring is a risk factor for suicide and is linked to poor self-esteem, depression, anxiety, embarrassment, anger, and even unemployment.

Acne scar treatment Winnipeg

Different types of acne scars;

Acne scars are not all the same. There are four different types, each classified in terms of appearance:

1. Boxcar Scars: These are round or square skin depressions, typically with sharp edges

2. Icepick Scars: Appear similar to puncture marks within the skin

3. Hypertrophic Scars: These are raised/textured scars that are firm to the touch

4. Rolling Scars: Wide and shallow skin indentations, typically round in appearance

Acne scar removal treatment

Medical grade topical retinol skin care regimens

A proper Medical grade skin care regimen is essential to improving the overall health, texture and tones of the skin. Typically used in tandem with other treatments, our medical grade skin care products optimize and prolong the benefits of our acne scarring treatments including fractional laser scar treatment, dermal fillers, and subcision.

Dr. Patenaude recommends an advanced skin care line backed by science, committed to the highest, medical grade formulation standards. Zo Obagi acne products not only fight and prevent acne, but they also help improve the skin’s acne scarring by lightening dark spots, evening skin tone, and firming complexions.

ZO Obagi Retinol skin care uses a 1.0% concentration of retinol. For retinol to be topically effective, it must reach a concentration of at least 0.6% in the skin. Currently the strongest over the counter retinol products available are at a concentration of 0.21%. By “layering” retinol, ZO Obagi Retinol Skin Health program delivers the optimal amount of retinol to the skin creating a clearer, smoother, tighter, firmer skin texture after only a few weeks of daily use.

Treatment for scars (acne scars)

Although topical products can help reduce discoloration (redness and hyperpigmentation) and scar appearance, professional treatments at a medical office may be necessary for more aggressive or stubborn scars.

Acne scar laser treatment

Fractional resurfacing Lasers can treat both discoloration and texture issues stemming from acne scarring. SkinRhümMD’s MCL30 laser, for example, is a great acne scar laser removal treatment for addressing raised scars while also stimulating collagen synthesis to decrease the appearance of a scar with minimal downtime.

Dermal Fillers

Soft tissue dermal fillers, such as Restylane, can help to reduce the visible appearance of deep acne scars. However, since fillers absorb into the skin over time they will require upkeep in for the form of maintenance treatments about every 12-18 months.


Micro-needling or Selphyl treatments (also known as Collagen Induction Therapy) creates small channels in the skin to help stimulate collagen synthesis. This leads to formation of new tissue and releases the skin’s natural growth factors which promote scar and hyperpigmentation repair and healing over the course of 3-5 treatments.


For more severe acne scarring, a surgical procedure called subcision can be performed by your skin specialist, which consists of inserting a needle to help break up scar tissue to reduce atrophic (or bowed down) appearance of skin.

SkinRhümMD offers the most advanced acne scar laser treatment and medical grade skin care regimens for the treatment of scars under the supervision of Skin Specialist, Dr. Amanda Patenaude. If you would like to find out which facial scar treatment would be beneficial for your skin, schedule a complimentary consultation with our knowledgable experienced laser technician today. 204-894-7486 or contact us today.


Why you should have regular IPL Photofacial treatments

One of the most common cosmetic treatments for the face is the IPL photofacial treatment. There are many IPL photofacial benefits including the reduction of sun spots, age spots, hyperpigmentation, facial vessels & facial redness.

You will be able to notice improvement in your skin tones after just one treatment. However, a series of 3-5 treatments every 4-6 weeks will help you to fully achieve your desired results.

Most patients notice minimal downtime after this treatment. Post treatment you may experience mild swelling, slight facial redness, bruising and a temporary darkening of the pigmentation while it is peeling off over the next week or so.

The majority of patients tend to start treatments on the facial area but once they start to see the amazing results they tend to have other areas treated including the neck, chest, arms and hands.

IPL Photofacial treatment for pigmentation

Brown spots on the skin (known as “sun spots” or “age spots”) occur over time due to skin cells called melanocytes. These cells have the potential to cause pigmentation on the skin, and things like age and chronic sun exposure cause these melanocytes to produce pigment.

IPL laser for hyperpigmentation helps treat these brown spots by selectively heating up the pigment (but leaving the surrounding tissue alone and unharmed), then lifting that heated, “damaged” area to the surface of the skin where it is removed by the body’s natural exfoliation process.  The brown spots that have been effectively treated typically will get darker initially over the next 24 hours, then slowly fade away over the next 1-2 weeks.

IPL Photofacial blog in Winnipeg

IPL laser for rosacea

Rosacea is a chronic, inflammatory skin condition which primarily affects the face. Unlike a temporary flush, the redness remains for extended periods of time if left untreated, could become more persistent and pronounced.

Symptoms of rosacea include uncontrollable blushing or flushing, persistent redness, raised papules/pimples with accompanied stinging or burning, visible blood vessels, thickening of the skin and bloodshot eyes.

The IPL for rosacea treatment device emits a range of light waves which are attracted to the hemoglobin in your blood vessels. This controlled injuy triggers the body’s natural response to break down and remove the damaged broken capillaries and vessels, replacing the problem area with fresh new clearer skin cells.

IPL Photofacial for Rosacea in Winnipeg

SkinRhümMD uses the newest most advanced IPL laser machine under the supervision of Skin Specialist, Dr. Amanda Patenaude. If you would like to find out if photorejuventation IPL laser treatments would be beneficial for your skin, schedule a complimentary consultation with our knowledgable experienced laser technician today. 204-894-7486 or contact us through our website.

What is Retinol?

Retinol is derived from vitamin A and is most commonly used as an anti-ageing ingredient. It has been proven to reduce the appearance of wrinkles, pigmentation and acne as well as smooth skin texture.

How does it work?

Retinol promotes skin cell turnover, which forces the damaged surface cells to slough off, allowing the new healthy cells to emerge while simultaneously stimulating the production of collagen to diminish the appearance of fine lines and wrinkles. Zo Obagi Radical Night Repair contains 1% retinol—a natural form of Vitamin A—it replaces what the skin has lost over time which is the ability to stimulate the retinoid-receptor found on every cell.

Over time sunlight and the ageing process damage collagen fibers and elastin (a protein in the skin that maintains the strength and firmness of the skin). Retinol works to protect your skin from these harmful free radicals, repairing damaged cells and building collagen.

Collagen regeneration



Although it is important to note, that the benefits of retinol can only occur after prolonged regular use as it is (unfortunately) not an overnight sensation.


How should it be used?

It is important to keep in mind that during the first few weeks of use most skin types will suffer from some varying form of irritation. Symptoms include redness, dryness, peeling and an overall tight feeling, while your skin gets use to this ingredient. This is when you know that the retinol is working for you.


It is recommended to use a 1% retinol-focused product (such as Zo Obagi Radical Night Repair or Brightenex), just once a week to start, and then very gradually build up to daily usage. Additionally, make sure to include this 1% retinol along with a full Zo Obagi skin care regimen including a 0.5% Zo Obagi retinol Day Cream (Daily Power Defense) and minimum 30spf oil free product such as the ZO oclipse sunscreen & primer for the best overall results and improvement in your skin and also to protect the skin while new skin is coming to the top of the surface.

Long-term regular use of retinol will provide the skin with the vital nutrients it needs to be healthier and less reactive to the environment. Products with high concentrations of retinol will cause peeling, and make your skin more vulnerable to UV rays, so be sure to wear a full spectrum sun protection as mentioned above!


Healthy Skin


If you are interested in scheduling a complimentary consultation to find out how SkinRhümMD’s personalized Zo Obagi Retinol skin care regimens can benefit your skin call us at 204-894-7486.

What’s the difference between Botox/Dysport & Fillers?

SkinRhümMD patients often ask this question. There are a lot of misconceptions when it comes to cosmetic injectables. People wanting Botox in their lips and Fillers in their forehead. Patients often assume the 2 are the same and can be used interchangeably.  Here’s an easy tip for you to distinguish between Botox/Dysport and Fillers.  Botox or Dysport relaxes muscles to soften lines while Fillers (such as Juvederm, Perlane & Restylane) restore volume or fill folds and deeper wrinkles.

There are 2 types of wrinkles in the face and these variations of lines and folds require different forms of treatment. The 2 main types are;


Dynamic Wrinkles:

Facial creases and wrinkles, such as crows feet, forehead lines and frown lines, are caused with repetitive expressive muscle movements. Over time the consistent squinting, frowning & smiling can leave you with deep lines.

Static Wrinkles:

These lines are visible when your face is relaxed. These wrinkles and facial fold’s result from a loss of skin elasticity.  As we age the collagen in our skin breaks down and is slower to form, leaving the tissues to become lax.

Botox and Dysport are great for these dynamic wrinkles because they relax the facial muscles causing the “angry lines” or “11’s” inbetween the eyes, crows feet and forehead lines. If you can no longer make these facial expressions over time the unwanted fine lines and creases will continue to soften and fade leaving you with a natural, smooth, youthful looking appearance.

Fillers, which are a synthetic Hyaluronic Acid, work amazing for filling in static wrinkles. These folds are the result of volume loss.  Fillers fill these facial areas (such as the smile lines, jowels, cheeks, temples)  of lost volume safely and naturally.

Botox, Dysport & Fillers are extremely preventative. With regular ongoing treatments (Botox or Dysport every 3-4 months & Fillers every 12-18 months) your lines and wrinkles will become much less deep and possibly even totally disappear. In some cases Fillers may even stimulate your own bodies collagen to form. The more routinely you have treatments the longer your results will last.

These options are safe and offer highly predictable natural looking results. If you are interested in scheduling a complimentary consultation to find out if Botox, Dysport or Fillers are right for you call us at 204-894-7486.


When is the last time you exfoliated your skin?  In our twenties our skin sheds itself about every 25-30 days but as the skin ages, the rate of skin cell turnover slows down, leaving a dull, uneven, rough complexion.  Regular exfoliation is necessary to maintain clear healthy radiant skin.

Exfoliation includes the removal of the dead skin cells on the skin’s surface.  Exfoliating the skin to unclog old make-up, dirt and oil build up will help to reduce acne breakouts and improve the penetration of your other skin products.

Exfoliation can be performed in two ways, mechanically or chemically;

Mechanical exfoliation

Mechanical exfoliation can be achieved at home using mildly abrasive scrubs, such as Zo Obagi Exfoliating Polish daily or more aggressively with medical microdermabrasion treatments in the office.  Microdermabrasion treatments will quickly remove large amounts of dead skin to deliver exceptionally smooth, deeply cleansed skin with little to no downtime.

Chemical exfoliation

Chemical exfoliation involves using products, such as Zo Obagi Glycogent, that contain special kinds of lactic and/or glycolic acids to dissolve and remove the dead skin cells while simultaneously stimulating new skin cell renewal without manually scrubbing.  Medical grade .5% and 1% retinol products, such as Zo Obagi Radical Night Repair, will also promote skin cell turn over helping to shed the outer layer of dead skin cells.

The cross section of the skin in the image below shows the benefits of regular exfoliation.

exfoliation before and after

Skin specialists have found that the benefits of exfoliating are even greater during the winter months, as dry skin cells are more concentrated on the surface of the skin due to lower humidity levels.  These are important to remove in order to bring fresh skin to the surface.

Dr. Patenaude highly recommends the following 2 medical grade exfoliation products to keep your skin looking its brightest.

Zo Obagi Exfoliating Polish is good for all skin types.  Round magnesium crystals exfoliate dead skin cells, increase epidermal turnover and create a clearer, smoother, more even-toned complexion.  It helps to exfoliate dead skin and allows for better absorption of other products.

Zo Obagi Glycogent exfoliation accelerator is engineered to help reduce inflammation and prevent future damage.  Active ingredients enhance cell turnover and help correct skin discoloration.  Potent glycolic and lactic acid complex provides skin surface renewal. Anti-inflammatory properties help minimize the appearance of irritated skin.

Exfoliation is an important step in your skin care routine to help expose the younger-looking skin below the surface. If done consistently, you can improve your skin’s texture, minimize breakouts and help stimulate the production of new cells and collagen. If you want healthy and glowing skin, you need to exfoliate.

If you are interested in reviewing your exfoliating options with SkinRhümMD call us to schedule your complimentary consultation at 204-894-7486.

The Benefits Of Vitamin C Serum On The Skin

We have all heard about the benefits of vitamin C, additionally known as ascorbic acid, when it comes to warding off colds and flu’s but vitamin C serum is also the key to the production of collagen, a protein that aids in the growth of cells and blood vessels which gives skin its firmness and Vitamin C Serum For Facestrength.  vitamin C serum also helps your skin repair itself, providing potent antioxidant protection from free radical damage that causes premature aging.

About Zo Medical C-Bright 10% Vitamin C Serum

Enter Zo Medical C-Bright 10% Vitamin C Serum, this formula provides a high dose of vitamin C that is stabilized to brighten, plump and re-texturize the skin.  C-Bright Vitamin C Serum uses the power of pure vitamin C to rapidly exfoliate the skin’s surface simultaneously going beneath the skin to prevent new melamin pigment (brown spots) from forming.

Benefits of Zo Medical C-Bright 10% Vitamin C Serum

Environmental factors such as the sun, pollution and oxygen are compromising your skin’s health every day.  Taking vitamin C orally can enhance the effectiveness of sunscreens applied to your skin for protection from the sun’s harmful UV rays. It does this by decreasing cell damage and helping the healing process of bodily wounds and corrupted skin.Vitamin C Serum Zo Medical

Using Zo Medical C-Bright 10% Vitamin C Serum

Vitamin C eaten in the form of citrus fruits, green leafy vegetables, strawberries, papaya, broccoli as well as topical daily application with Zo Obagi C Bright Vitamin C Serum help to defend against these harmful triggers that cause inflammation, fine lines and brown spots.  An overall brighter skin tone and reduction in lines and wrinkles occurs over time with the use of topical vitamin C serum products at high medical concentrations.

If you are interested in finding out more about the benefits of vitamin C serums call SkinRhümMD today to schedule your complimentary consultation at 204-894-7486.

Laser Hair Removal Vs. Waxing

Over time, laser hair removal has become the gold standard for removing unwanted hair.  Between the plucking and shaving, threading & waxing, what is the most efficient long term solution to this de-fuzzing problem that so many of us deal with on a daily basis? Waxing is one of the more traditional methods for removing hair, but with so many people now turning to laser hair removal as a solution to the problem, what are the advantages of laser hair removal over waxing?  And is it more effective than waxing?

Long Term results of Laser Hair Removal vs. Waxing:

Waxing may produce a more immediate effect in reducing the hair you are currently seeing but it does not slow down hair laser-hair-removal-vs-waxinggrowth or eliminate it.  It is only a temporary solution resulting in a few weeks without hair growth which will eventually recur.

Laser hair removal offers a more permanent long lasting solution. The laser hair removal treatment causes permanent changes to the hair follicles which results in hair regrowth becoming less, lighter, finer & sparser. Be aware, however, that your body is always producing new hair follicles, so you will require several treatments before you experience these long term results.

Cost-Effectiveness of Laser Hair Removal vs. Waxing:

Laser hair removal is more expensive in the short term, however in the long run; you will be saving a huge sum of money. Having regular waxing treatments over the course of a year can build up quite the hefty bill.  After enough laser treatments, you will no longer experience regular regrowth and therefore will only require an extremely minimal amount of touch up treatments to maintain your desired results for years to come.

Laser Hair Removal is Virtually Painless Compared to Waxing:

Everyone knows that waxing can be extremely painful. Laser hair removal treatments are far less invasive than waxing.  Waxing pulls hair out from the roots, leaving unsightly red marks and possible scarring.  Hair removal lasers are considerably less painful and as the regrowth becomes sparser, it is virtually painless.

If you would like to find out more about Laser Hair Removal from Dr. Patenaude and our staff with over 10 years of experience, call SkinRhümMD to schedule a complimentary consultation at 204-894-7486.