Artecoll®
Defy the years with lasting beauty

Surgical Procedures

Asian Eyes
Blepharoplasty
Body Sculpting for Men
Breast Augmentation
Breast Lift
Browlift
Chemical Peels
Chin & Cheek Implants
Endoscopic Surgery
Eyelids
Facelift
Facial Liposuction
Forehead Lift
Laser Eyelid Surgery
Laser Skin Resurfacing
Lip Lift
Liposuction
Love Handles
Malar Implants
Male Breast Reduction
Midface Lift
Minimal Incision Surgery
• Browlift
• Facial Surgery
• Breast Augmentation
Moles
Neck Lift
Neck Rejuvenation
Nose Reshaping
Rhinoplasty
Rhytidectomy
Septorhinoplasty
Tummy Tuck
Ultrasonic Liposuction
• External
• Internal

Non-Surgical Procedures

Accent - Body Reshaping
Accent - Cellulite
Accent - Skin Tightening
Acne Scars
Artecoll Implants
Artesense
Blue Light
Botox Injections
Cellulite
Collagen Injections
ContourThreads
Cooltouch Laser
Dermalive/Deep
Endermologie
Epilight Hair Removal
Erbium Laser
Evolence
Facial Rejuvenation
Facial Threading
• FeatherLift
• ContourThreads
Fat Transfer
FeatherLift
Fractional Skin Resurfacing
Fraxel
Hair Removal
Hand Rejuvenation
Hylaform Injections
Juvéderm
Laser Liposculpture
Laser Wrinkle Removal
Lip Enhancement
Mesotherapy
Microdermabrasion
MicroLaserPeel
Myotonology
Obagi Skin Care
Photo Facial
Rejuvenation
Radiesse
Restylane Injections
Scars & Stretchmarks
Skin Tx
Spot Removal
Tattoo Removal
Thermescent Skin
Treatments
Thermage
ThermaLift
UltraShape-Men
UltraShape-Women
VelaSmooth
Visia Complexion Analysis

Affordable prices

Located in beautiful downtown Toronto

Excellent hotels, restaurants, shopping and entertainment nearby

Airports nearby, limousine service available

Public transportation at doorstep

Free parking at clinic

Map

Dr. Middleton's Suggestions

Latest state-of-the-art procedures

Operating and recovery rooms on-site

Local, twilight and general anaesthesia

Overnight nursing care available

Friendly staff

Highly qualified doctors and nurses

Quality care, privacy and comfort

In the Media

See Video of
Dr. Middleton
& Clinic

PMMA (polymethyl methacrylate) was first discovered in Germany in 1902 by the chemist O. Röhm and was patented in 1928. The first medical use of PMMA was in 1936 as dental prostheses. It has since been extensively used in a variety of medical procedures, notably as bone replacement of the jaw and hip.

Artecoll® - Breakthrough soft tissue augmentation technology

• PMMA (polymethyl methacrylate) microspheres.
• Suspension polymerization for absolutely round and smooth surfaces.
• Uniform PMMA microsphere diameter of 32-40 µ
• Blended with partly denatured 3.5% collagen (non-sensitizing atelo-collagen) and 0.3% lidocaine for reduction of post-treatment discomfort.

Artecoll® - Innovative technology with a proven history

• PMMA medical use as implants dates back to 1936.
• Common medical uses of PMMA include bone cement (Palacos® and others), dentures, artificial eye lenses, pacemakers (Lucite@, Palavit® and others).
• First use for tissue augmentation in 1989.
• More than 100,000 men and women around the world have been successfully treated with Artecoll over the past 10 years.

LONG LASTING YOUTHFUL SKIN IS NO LONGER JUST A DREAM

Artecoll - Unique technology, simple application

• Injection should be strictly deep dermal, via the tunneling technique.
• Although an intradermal test injection may be considered, it is not strictly necessary due to the extremely low incidence of sensitivity (<0.1%).
• Artecoll's collagen vehicle is degraded normally within 1-3 months.
• PMMA microspheres are naturally encapsulated (within 2-4 months) through the formation of connective tissue, preventing migration.
• The skin defect is naturally filled by the body's own collagen tissue, encapsulating and anchoring the PMMA microspheres.

Artecoll - Many practical applications

• Filling folds and wrinkles of the face.
• Augmentation of the lips.
• Correction of irregularities of the nose.
• Correction of acne scars.
• Augmentation of the nipple.

MAKING THEIR DREAMS OF YOUTHFUL SKIN A LASTING REALITY

Artecoll - Satisfying, long-lasting youthful skin

• 89.5% of patients satisfied with cosmetic results.
• Virtually 100% of patients had objective improvement upon post-operative review.
• Most patients required only one (62%) or two (24%) applications.
• Unlike collagen and hyaluronic acid, Artecoll maintains its cosmetic results for years.
• Your patients' smiles will be your best advertisement.

Artecoll - The results sell themselves

• Long-lasting results imply`

DREAM NO LONGER

YOU CAN HAVE YOUTHFUL LOOKING SKIN AGAIN

YOU CAN REVERSE TIME WITH ARTECOLL:

• A simple procedure.
• Medically proven to be safe and effective.
• Artecoll has been used with more than 100,000 patients over the last 10 years.
• Nine out of ten patients say they're satisfied with how they now look.
• Results are considered long-lasting; there's no need to continually retreat as with most other procedures.

Before	After
Before	After

WITH ARTECOLL, THERE'S MORE THAT YOU CAN DO:

• Fill folds and wrinkles on the face, primarily the forehead and around the nose and mouth.
• Augment the lips.
• Correct irregularities of the nose.
• Correct acne scars.
• Other appropriate skin defects.

ONLY ONE TREATMENT DEFIES TIME

L0NG - LASTING YOUTHFUL SKIN
USUALLY TAKES JUST ONE OR TWO TREATMENTS

THE METHOD IS SIMPLE, EASY AND VIRTUALLY PAIN-FREE.

• A series of tiny injections under the skins' surface.
• Artecoll is mainly composed of tiny beads (microspheres) of PMMA that remain in place indefinitely. Artecoll fills the gaps, raising the skin to its normal height.
• The procedure is done in the doctor's office. Over time (2-3 months), your body will permanently anchor Artecoll for a long-lasting effect.

Implantation of Artecoll using the tunneling technique

WHAT TO EXPECT DURING AND AFTER TREATMENT.

• Artecoll contains an anaesthetic that works at the injection site to minimize post-treatment discomfort.
• There may be some minor swelling, redness, tenderness or itching, lasting for a short time.
• Artecoll has an excellent safety record with less than 0.1% incidence of sensitivity reactions.

WITH ARTECOLL, LONG-LASTING YOUTHFUL SKIN IS NO LONGER JUST A DREAM

Differences you'll appreciate

• An inert and totally biocompatible substance for long-lasting correction of wrinkles and other skin defects.
• Easily administered under normal in-office conditions.
• Extremely high levels of patient satisfaction.
• Minimal side effects compared to collagen and other treatments.*
• Advantageous and economical for both you and your patient.

*Less than 0.1% sensitivity has been reported. Slight redness and swelling may be prenent for 1-2 days.

References:

1. Hertzog B. J Med Esth and Chir Derm, 1996; 24: 253-257
2. Lemperle G, et al. Plast Reconstr Surg 1995; 96: 627-634
3. Artecoll HPB-approved Product Description, Candem Pharma Inc.

POST-TREATMENT INSTRUCTIONS FOR ARTECOLL PATIENTS

Artecoll is an injectable implant used to treat static facial lines, enlarge lips, fill in facial imperfections, and diminish nasal labial folds. The product is permanent.

Artecoll is purchased by the syringe and the amount required depends on the degree of correction required. This can usually be determined by Dr. Middleton. It is important to remember that the complete effect of the implant will not be apparent for up to three months. If you desire further correction, you must wait for that amount of time before booking another appointment to purchase additional Artecoll. No follow-up is otherwise required.

There is no sedation or local anesthetic required and patients are able to resume normal activities immediately after their treatment. The effects of the topical anesthetic applied to the treated areas are temporary and sensation will return within an hour of the treatment.

After your Artecoll treatment some redness or swelling may occur. This can be treated with ice and will last from a few hours to a few days. Bruising, while infrequent, usually lasts 1-2 days, although this varies from patient to patient. Again, ice can be applied should bruising occur. In order to minimize the risks of lumps developing, it is important to massage the implant for a few minutes every few hours for the first couple of days after your injection. This will help to ensure that it remains soft and evenly spread throughout the treated area. It is possible that after the swelling has gone down, the results of the injection may seem to diminish. This is a normal occurrence resulting from the collagen component of the Artecoll being reabsorbed by your body. The desired results will be evident over the next few months as your body manufactures your own collagen capsules around the individual particles of the injected polymethylmethacrylate contained within the Artecoll.

William G. Middleton, B.Sc., M.D., F.R.C.S. (C) Cosmetic and Facial Surgery "Advanced Treatments to correct nature's imperfections"
	A specialist in the field of facial and cosmetic surgery since 1985, Dr.William Middleton offers his patients a wide variety of surgical and nonsurgical options to enhance the way they look. "A natural result, that's what I aim for," adds Dr. Middleton, "cosmetic surgery that doesn't leave you looking plastic." A private on-site surgical suite is available as well as confidential consultations assisted by registered nurses providing you with quality care, privacy and comfort.
Call today for an appointment: 416-966-3223 OR Click Here to book a consultation Advanced Laser and Cosmetic Centre 120 Spadina Rd. Toronto, Ontario, Canada M5R 2T8 p.416-966-3223 f.416-966-1994 Email us at: info@middletoncosmetic.com