Whether you are interested in cosmetic enhancement or anti-aging treatments, we will offer you a complimentary consultation. During the consultation we will advise you on what procedure will yield optimum results based on what you wish to achieve.


Wrinkles develop over time due to a number of factors: collagen breakdown, hormonal losses, cellular changes, damage by free radicals and muscle movement etc.  Although you may follow strict skin regimens and avoid sun exposure you cannot completely avoid muscle contraction that cause creases in the skin over time.


Our facial muscles contract every time we show expression. When we raise our eyebrows in astonishment or bring them together during times of anger, we use facial muscles. As these muscles contract, the overlying skin creases and over time these lines become more pronounced causing wrinkles.


At Dr. Pugen's Clinical and Aesthetic Medicine, we use a purified protein generated by the clostridium botulinum bacterium which blocks the nerve responsible for muscle activity. It is a non-permanent procedure which decreases frown lines by reducing muscle contractions. The treatment typically lasts up to four months.


The number of units depends on the treatment area and can be professionally assessed through our complimentary consultation.




Dermal fillers are a great option for treating creases by providing volume under the skin. Those used at Dr. Pugen's Clinical and Aesthetic Medicine Clinic, all consist exclusively of naturally occurring hyaluronic acid which is present in the human body.  When injected, your body does not consider them as foreign components therefore they present a very good safety profile.


Hyaluronic acid has the ability to attract and bind water molecules to maintain volume naturally.  It is used to smooth out wrinkles, restore volume, enhance facial contours and augment lips.  Restylane™ and Perlane™ are non-animal based dermal fillers which are used and recognized worldwide. The main difference between the two is that the hyaluronic acid molecules are larger with Perlane™ allowing this product to lift and fill deeper creases and folds.


Esthélis is the only highly cross-linked gel that requires less product to generate a natural, effective and long-lasting result.  This peerless capacity is the result of the cohesive and polydensified matrix.  Monophasic polydensified injectables are the way of the future without granulomas or cordon effects.


The type of product which may best suit your needs may be determined through a complimentary consultation with us. The substance is injected with the use of a fine needle; the results are instantaneous.  Visit us for....


                  • lip volume enhancement
                  • redefining the contours of your lips
                  • crow’s-feet
                  • facial outlines
                  • naso-labial furrows
                  • glabellar lines
                  • peri-oral wrinkles
                  • lip commissures
                  • forehead wrinkles






Dr. Pugen's Anti-Aging Clinic

Clinical and Aesthetic Medicine

G1-3215 Hwy 7 East, Markham, ON L3R 3P3

OFFICE: (905) 475-9433

FACSIMILE: (905) 470-6214


Copyright ©2016 Dr. Gregory Pugen

This website is for informational purposes only and is not a substitute for medical advice, diagnosis or treatment.