Category: Aesthetic Blog

Women’s Health or Wyeth’s Wealth?

By Dr. Dima Ali M.D.

One of the biggest topics in women’s health is the huge controversy surrounding Hormone Replacement Therapy (HRT).  In general, Bioidential Hormone Relacement Therapy (BHRT) refers to the replacement of hormones that diminish with aging to restore a physiologic equilibrium.  When done under the supervision of a qualified physician well trained in HRT, it can really improve the quality of life.

The big controversy began around 2002 when the Women’s Health Initiative (WHI), a multi-center study of menopausal women, was discontinued.  The researchers stopped the study when they found an increased risk of invasive breast cancer and coronary heart disease that outweighed the benefits from the hormone replacement therapy. This immediately became sensationalized by the media followed by droves of women calling their doctor’s offices panicked about their risk of being on the hormones.  What the media did not tell the public at the time was that the WHI study was based on the use of oral, synthetic hormones rather than bioidential hormones.

By definition, bioidentical hormones mimic the chemical structure of hormones that the human body makes naturally. The term “bioidentical” indicates that the chemical structure of the replacement hormone is essentially identical to that of the natural human hormone. Therefore, it is metabolically processed in much the same way resulting in greater bio-availability and more effective utilization by the human body with less side effects than traditional HRT.  The main reason for this is that oral HRT are metabolized by the liver causing hypertension, elevated cholesterol and even an increase in clotting factors and strokes.

Endocrinologists and Anti-Aging physicians have been prescribing BHRT safely for decades.  In fact, reports that date back as far as the 1900s show evidence that compounded creams were being made from human urine! Among the many benefits women derive from using BHRT include:  fewer side effects than with synthetic hormones, improved cholesterol levels, decreased risk of endometrial and breast cancer, reduced hot flashes and vaginal dryness, better sleep, mood and concentration; and increased libido (I think this one is the reason I get so many “thank you” cards from patients…).

So the main argument boils down to Big Capitalistic Pharmaceutical Company vs. Small Compounding Pharmacy; Synthetic Mare derived Hormones vs. Natual, plant derived hormones that mimic Mother Nature and the human physiologic state.

Laboratory testing is essential to the safe and scientific application of anti-aging BHRT.  This is another very important fact that has been kept from the public.  Physicians qualified to prescribe BHRT closely monitor their patients when administering treatment and modify/titrate the personalized prescriptions as needed.  It’s not “one size fits all.”  Each patient’s hormone cream is customized to replenish what they are lacking based on specific laboratory testing.  It’s the same concept as a diabetic patient on insulin that has routine blood glucose checks.

As research data increases, this dilemma will become history.  Pharmaceutical giants will eventually recognize the error of their ways and, in true capitalistic style, will likely come up with a “very expensive, designer” BHRT themselves.

The bottom line is:  BHRT is safe and effective.  It enhances quality of life and diminishes age related morbidity.

BHRT, hormone therapy, pellets

Love Your Sex Life with ThermiVA

Good sex is good. But why settle for less than amazing, pain free sex? A recent study shows that 1 in 3 women experience pain during sexual intercourse. So if you think you are alone, think again. The good news is there’s a high-tech, pain free solution with ThermiVa.

What is ThermiVa?
ThermiVa is a non-surgical vaginal rejuvenation procedure that treats a series of conditions such as vaginal dryness, vaginal pain, sexual dissatisfaction, and loss of confidence. These conditions can be caused by aging, child birth or genetics. It has helped many of our patients feel “new” again, and has actually changed their lives. These treatments can help treat the external and internal area of the vagina making it a complete make-over for your feminine wellness.

How does it work?
Treatments use radiofrequency energy to gently heat tissue to reclaim, restore and revive feminine wellness, without discomfort or downtime. ThermiVa uses a special wand applicator which may be applied externally to labia and vulvar tissues to restore normal tissue tone and function. The specially designed hand-piece also delivers radio-frequency energy inside the vagina to revive atrophic tissue and other structures.

Benefits of ThermiVa
• Rejuvenates and tightens vaginal tissue
• Enhances sex life (as reported by our patients)
• A series of 3 quick, non-surgical outpatient treatments
• There’s no downtime. Patients can resume regular activities immediately
• Anesthesia is not required as it is painless and patients experience no discomfort

Dr. Dima Ali is a ThermiVa expert and an early adopter of the procedure.

feminine wellness, monalisa lift, thermiva, vaginal rejuvenation, vaginoplasty, viveve

Put Your Best Face Forward With Sculptra

First impressions count. Sometimes, they count a lot. You want how awesome you feel on the inside to be portrayed by your face and your body. So why not do everything in your power to make sure you put your best face forward and knock it right out of the park with Sculptra® Aesthetic.

What is Sculptra?

Sculptra Aesthetic is a long-lasting, FDA-approved dermal filler that helps to gradually replace lost collagen which is an underlying cause of the appearance of facial aging. It is used to fill in shallow to deep wrinkles as well as facial folds. It can also be used as a filler for the gluteal region to replace lost volume and increase area size.
Why Sculptra?

For starters, Sculptra stimulates your body’s natural collagen production helping to minimize the appearance of wrinkles and restoring facial volume for a more natural look. Secondly, results can last up to two years (or more) giving it an added advantage over other products on the market.
How does it work?

As a poly-L-lactic acid (PLLA) collagen stimulator, Sculptra Aesthetic works to diminish facial wrinkles by helping to restore the deep, underlying structure of the skin. Unlike other fillers, Sculptra is injected deep within the dermis. As it absorbs over time, it helps to rebuild collagen production by gradually rebuilding collagen strands, which, in turn, helps to restore facial volume and diminish the appearance of wrinkles.

Benefits of Sculptra Aesthetic
• FDA-approved dermal filler
• Restores lost facial volume
• Diminishes the appearance of wrinkles and facial folds
• Provides long-lasting results
• Delivers a natural, youthful appearance

So, make your best first impression. Look as good on the outside and you feel on the inside. Now is the best time to do everything in your power to make sure you put your best face forward.

Balance Life Out With Bio-Identical Hormone Treatment

Bio-Identical Hormone Therapy (BHRT) is an anti-aging treatment that is used to treat hormone deficiencies and imbalances. It has been used since the late 1930s and is considered as one of the most natural ways to deliver hormones to the body because the hormones are structurally and biologically identical to the body’s own.

Why Is It Needed?
The stress that most of us feel from our daily routine is actually due to the lack of circulating cortisol in our blood stream. Cortisol is the stress hormone that is secreted from the adrenal glands atop our kidneys. When production doesn’t meet the demand our bodies need, we start to have some signs and symptoms of adrenal fatigue. These range from chronic fatigue, lack of concentration, carbohydrate cravings, anxiety attacks, inability to sleep and the inability to lose weight (especially the lower abdominal area) no matter how hard you work out to name a few.

When our bodies don’t have enough cortisol we start to “rob Peter to pay Paul.” The parent hormone to cortisol and our sex hormones is DHEA. When our adrenal glands request more DHEA to make cortisol, we have a decrease in the amount of essential sex hormones.

When we have a decrease in our sex hormones, the symptoms can be both obvious and subtle. We can start to experience mood swings, agitation, trouble sleeping, mind racing at night, carbohydrate cravings, decreased sex drive, painful sex, vaginal dryness, and more. With proper testing and a detailed history, we are able to stop and even reverse these symptoms using bio-identical hormone therapy and nutritional supplements.

How does it work?
BHRT pellets are typically inserted into the subcutaneous layer of the gluteal or abdominal muscles and function to supplement any hormonal deficiencies. The potency of the pellets are drawn on by the body over time and each BHRT treatment can last between 3-6 months based on individual needs.

Is it safe?
Dr. Dima has been administering BHRT since 1998 and in her experience, it is safe when administered and monitored by a qualified healthcare professional. Studies demonstrate the use of BHRT has slowed and even stopped certain conditions such as osteoporosis, coronary artery disease and Alzheimer’s Disease.

anti-aging, BHRT, hormone therapy, pellets

Love Your Skin with UltraShape Power & Venus Legacy

5, 4, 3, 2, 1! And so it begins. The beginning of a new year; a fresh start; an unwritten chapter and a chance to smash your goals and make all your dreams come true. If you’re  like the rest of us, those goals include some form of healthy resolutions – sleep more, get fit, eat better, relieve stress, travel more, etc. The goal that is almost always on everyone’s list is to lose weight and get fit. You can do both with the combination of UltraShape Power and Venus Legacy.

Let’s Talk About UltraShape Power

UltraShape® Power is the first and only FDA-cleared, non-invasive body shaping procedure to use safe, focused, pulsed ultrasound energy to selectively and permanently destroy fat cells. It is the gold standard in non-invasive body contouring treatments.

So how does it work?

Unlike other fat-reduction procedures, UltraShape does not use heat or freeze fat.  UltraShape Power uses gentle ultrasound energy that destroys fat cells in your body which are then released as triglycerides, processed through the liver and flushed naturally from the body.

What is Venus Legacy?

Venus Legacy is a non-surgical, anti-aging treatment used to increase skin tightening, reduce circumference, decrease cellulite and improve the appearance of stretch marks. As we age, our bodies produce less collagen causing skin to appear dull and lose elasticity. Add weight loss to the equation and you run the risk of saggy skin. Venus Legacy to the rescue!

So how does it work?

It uses radio-frequency technology to stimulate collagen production by heating the deeper layer of tissue under the skin. The treatment is a 20-minute outpatient procedure, very comfortable and has no downtime.

Combining the power of Venus Legacy for skin tightening and UltraShape Power for permanent fat reduction is a win-win! Get rid of unwanted body fat, reduce the appearance of cellulite and stretch marks and tighten sagging skin at the same time. Now, that’s a great way to jump-start your New Year healthy resolutions.

Skin Moles 101

You wake up one morning and find that there something pesky on your skin. You think nothing of it initially and some time goes by. It must be some kind of bruise but you don’t remember bumping into anything. Meh. It’ll go away on its own. Fast forward to a week or two later, you check again and that pesky thing is still there. Sound familiar?

Moles occur on the skin’s surface when pigment-producing cells cluster together forming a concentration instead of spreading out like they are supposed to. They are very common and sometimes people may have several of them. Moles come in different shapes and sizes ranging from flat to raised to an actual growth on the skin. Typically, moles are harmless. However, you should immediately get them checked if you notice any changes in color or appearance.

Types of Moles

Congenital Moles

Otherwise known as birthmarks, these are moles that you are born with. They can range in size and color. Some birthmarks can be removed with cosmetic or aesthetic surgery.


Common or Acquired Moles

As the name suggests, these moles are acquired or appear after birth and can appear anywhere on the skin’s surface.


Atypical Moles aka Dysplatic Nevi

These moles are irregular in appearance, shape and color. They can appear any on the body but are usually found in torso area. They have a tendency to occur more in fair-skinned individuals.


Causes of New Moles

Science isn’t exactly sure what causes new moles in adults – whether cancerous melanomas or benign. There’s extensive research on melanomas but not a lot on benign moles. Some studies point to genetic mutation as the likely culprit. In a 2015 research study, reports show that genetic mutations of the BRAF gene were present in 78 percent of benign acquired moles.

New moles may occur as a result of:

  • Aging
  • Family history of atypical moles
  • Genetic mutations
  • Fair skin and light/red hair
  • A reaction to drugs that suppress your immune system
  • A reaction to other drugs, such as some antibiotics, hormones, or antidepressants
  • Sunburn/sun exposure or tanning bed use

Moles that occur in adulthood are more likely to become cancerous. A 2017 review of case studies found that 70.9 percent of melanomas arose from a new mole. If you’re an adult with a new mole, it’s important to have it checked by your doctor or a dermatologist.

What To Look For:

Use this quick melanoma guide developed by the American Academy of Dermatology to check your moles:

  • Asymmetrical Each half of the mole is different.
  • Border. The mole has irregular borders.
  • Color. The mole has changed color or has many or mixed colors.
  • Diameter. The mole gets larger — more than 1/4 inch in diameter.
  • Evolving. The mole keeps changing in size, color, shape, or thickness.

Bottom line – conduct regular self-checks on your skin. If you notice anything unusual such as change in size, color, pain or secretion, see your physician immediately.

To book a complimentary consult to see Dr. Dima, call 703.787.9866.

mole removal, skincare

Pucker Up With Restylane Silk

Full lips and lip augmentation are all the rage now. The “Kylie effect” is in full swing and everybody (well almost everyone) wants in on the action. But how big is too big? What filler is best used?  Should you go with a doctor or nurse practioner as your provider? So pucker up (pun intended) and let’s get started.

Research. Research. Research.

Before you go to your first appointment, do your research. Browse the internet, ask friends and people you know about their experience, look up before and after photos. The internet is a great place to find information on the different fillers (Restylane, Voluma, Juvederm etc) available on the market today and compare treatment cost.

Determine How Big You Want To Go

Do you want va-va-voom lips or are you more of a natural fullness kind of person? This is an important question to answer before your appointment. It will help you guide the provider in the direction you want to go and ensure you are happy with your results.

Set Realistic Expectations

Be honest with yourself and set realistic goals. The best way is to begin gradually and incrementally go from there.

Set A Budget

The cost of fillers can range anywhere from $400 and upwards depending on whether a doctor or nurse practioner administers the treatment. Side bar – ensure that whoever performs the procedure is board certified. Keep in mind that most fillers on the market today are hyaluronic acid-based and will be absorbed by the body over time. In other words, there’s upkeep involved to maintain your look.


At WellMedica, we prefer Restylane for patients who want lips that look natural and not overdone. Restylane® Silk is the first FDA-approved product specifically designed for lip augmentation and the smoothing of wrinkles around the mouth in patients 21 years of age and older.

If you’re interested in plumping up your lips for that perfect pucker, call 703.787.9866 to book a complementary consultation with Dr. Dima Ali.

Big Lips, botox, fuller lips, injectables, juvederm, Lip Augmentation, lip filler, restylane, voluma

Unwrap A Slimmer You with UltraShape Power

The holiday season brings a lot of joy and excitement. With the crisp winter air, the aroma of gingerbread and mulled wine wafting through the air, and jolly cheers all around, the holiday is definitely a festive season. Along with the festivities, also comes quite a bit of hustle and bustle with lots of hosting or attending parties, visiting friends and family as well rounding up the work year. It also a time when you want to look your best while making all these appearances. But let’s face it – in between enjoying all the holiday delicacies and fun-filled activities, who really has the time (or wants) to exercise? Well, UltraShape Power is exactly what you need.

UltraShape Power is the first and only FDA-cleared, non-invasive body shaping procedure to use focused, pulsed ultrasound energy to selectively destroy fat cells. It is the gold standard in non-invasive body contouring treatments.

So how does UltraShape Power work?

Unlike other fat-reduction procedures, UltraShape® does not use heat or freeze fat. UltraShape® Power uses gentle ultrasound energy that destroys fat cells in your body which are then released as triglycerides, processed through the liver and flushed naturally from the body. It doesn’t damage any surrounding tissue, nerves or muscles.

What is treatment like?

For optimal results, a series of 3 quick and painless, 45-minute treatments spaced two weeks apart are recommended. This gives your body time to flush out destroyed fat cells in between sessions. Plus, you can drop up to 2 dress sizes!

Are there any side effects?

No. Besides destroying fat cells, UltraShape® Power is gentle and doesn’t damage any surrounding tissue, nerves or muscles.

How long does it last?

The fat cells that are treated are destroyed and cannot grow back. However, it is important to maintain a healthy lifestyle to sustain results and so that fat cells in untreated areas do not increase.

So this holiday season, instead of worrying about looking good in your little black dress or fitted tuxedo jacket, let your hair down and let UltraShape® Power do the heavy lifting for you.

ab exercise, body contouring, flat tummy, liposuction, mommy makeover, non-surgical fat loss, permanent fat reduction, slimmer thighs, thigh exercises, thigh fat, tummy tuck, ultrashape, UltraShape Power, weight loss

Genveve for Urinary Incontinence image

Geneveve for Urinary Incontinence

Urinary incontinence is somewhat of a taboo subject. People have it but many are embarrassed to talk about it. They assume it’s hereditary or a part of the aging process and therefore a lifelong ailment. The good news is, it’s neither, and most cases can be reversed with treatment. Let’s dive in!

So what is Urinary Incontinence?

Urinary incontinence basically means the loss of bladder control. It can appear in the form of leaking when you sneeze or cough or the immediate, pressing urge to use the bathroom. Urinary incontinence is not only a physical condition – it can take an emotional, social and psychological toll as well.

Types of UI

Stress Urinary Incontinence

This is perhaps the most common type of UI. It is caused by weak pelvic floor muscles that have stretched over time.

Overactive Bladder or Urge Incontinence

Overactive Bladder is another common type of UI. As its name suggests, it is the urgent need to empty your bladder, sometimes before you have a chance to get to the bathroom. Your brain signals your bladder to empty itself out, even when it isn’t full. That’s what causes the constant “urge” to go.

Functional Incontinence

This is occurs when a mental or physical condition prevents you from getting to the toilet in time. For example, a broken limb can delay  your ability to remove your pants in time.

Mixed Incontinence

Experiencing more than one type of urinary incontinence.


When to see a Doctor

  • Causes you to restrict your daily activities or social life
  • Is indicative of an underlying problem
  • Causes related injury (falls, bumps, etc.) while rushing to the toilet


Schedule My Consultation

Women experiencing urinary incontinence need not suffer anymore! The FDA has approved Geneveve – a non-surgical, outpatient, vaginal rejuvenation treatment – to treat urinary incontinence. What’s more, it is also an aesthetic procedure to that rejuvenates vaginal tissue. Win, win! Geneveve stimulates the body’s own renewal response to gradually restore healthy collagen and give soft tissue a youthful tone resiliency. To learn more about the Geneveve treatment for urinary incontinence, please call our office at 703.940.9787 or visit our office at 1801 Robert Fulton Drive Ste 540, Reston VA 20191.

ThermiVa VS MonaLisa Touch

Why We Prefer ThermiVa Over MonaLisa Touch

Currently, on the market today there are a large number of different non-surgical vaginal rejuvenation technologies including ThermiVa, FemiLift, MonaLisa Touch, Geneveve, and more.  Many of our patients come to us asking which procedure is the best and most effective.  This is a complicated question that includes several different factors.  Keep reading to learn which treatment Dr. Dima recommends for you!

Continue reading

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  • Geneveve
  • Belotero Balance
  • Allergan
  • AMA
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  • Botox Cosmetic
  • Syneron Candela
  • GW School of Medicine
  • Derma Sculpt
  • Juvederm
  • Latisse
  • Selphyl
  • Gentle Lase pro
  • V Beam
  • Absorbable PDO Threads Trainings
  • Restylane
  • Sculptra
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  • Galderma
  • Ultra Shape Power
  • Venus Concept
  • American Academy of Cosmetic Surgery
  • Cynosure
  • Medicis
  • bellafill
  • Anazao Health
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  • True Health
  • Genova
  • Metagenics
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