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147 products
147 products
Exopeptide Serum is a concentrated anti-aging facial serum with a redensifying effect, specifically designed for women at every stage of menopause as part of mesoestetic's woman care solutions line. Peptides stimulate collagen and elastin synthesis to firm the skin and improve its texture and quality, Aloe vera exosomes promote redensification and deep hydration, and resveratrol adds powerful antioxidant support - while nasturtium and ginkgo biloba extracts enhance elasticity, luminosity and revitalization. It visibly reduces facial redness, and its texture and tolerability make it suitable even for delicate areas such as the neck and décolleté. Clinically studied, and ideal for maintaining and enhancing results after professional facial treatments.
Benefits
- Redensifies and firms menopausal skin
- Improves texture, elasticity and overall skin quality
- Visibly reduces facial redness
- Revitalizing effect with enhanced luminosity
- Gentle enough for neck and décolleté
- Ideal for maintaining results after professional treatments
Active Ingredients
- Aloe Vera Exosomes: Promote redensification and deeply hydrate the skin
- Ginkgo Biloba & Nasturtium Extracts: Enhance elasticity, luminosity and revitalization
- Peptides: Stimulate collagen and elastin synthesis, firm the skin and support repair
- Resveratrol: A powerful antioxidant that supports collagen and elastin synthesis
Exopeptide Cream is a redensifying facial cream with a plumping and lifting effect, developed for women at every stage of menopause within mesoestetic's woman care solutions line. Its nutritive formula with epigenetic action compensates the loss of lipids and reinforces the barrier function altered during menopause, while Aloe vera exosomes promote redensification and deep hydration, peptides support collagen and elastin synthesis, and postbiotic and antioxidant actives restore skin balance and comfort. Clinically studied in women at every stage of menopause, it visibly improves density, nourishment and comfort in drier or sensitised skin.
Benefits
- Redensifies with a plumping, lifting effect
- Compensates lipid loss during menopause
- Reinforces the altered skin barrier function
- Intensive nourishment for drier, sensitised skin
- Postbiotic and antioxidant actives restore balance
- Clinically studied in women at every stage of menopause
Active Ingredients
- Aloe Vera Exosomes: Promote redensification, regeneration and deep hydration
- Peptides: Stimulate collagen and elastin synthesis and support skin repair
- Postbiotics: Support the balance of the skin altered during menopause
- Resveratrol: A powerful antioxidant that supports collagen and elastin synthesis
A gentle yet effective cleanser tailored for normal, dry, and sensitive skin types. Super Soft Cleanser removes makeup and impurities without disrupting the skin’s natural lipid balance. Infused with nourishing oils and botanical extracts, it leaves the skin feeling soft, clean, and comforted. This vegan and paraben-free formula is suitable even for removing eye makeup.
Benefits
- Cleanses while preserving the skin's natural moisture barrier
- Removes impurities and makeup gently
- Supports skin nourishment with botanical oils
- Non-irritating and safe for sensitive areas
Active Ingredients
- Avocado Oil: Rich in fatty acids to restore skin lipids
- Calendula Extract: Calms and reduces visible irritation
- Jojoba Oil: Moisturizes and strengthens the skin’s protective barrier
TIME CONTROL RetiNight Essence from Dr. Med Schrammek’s Vitality Range is a revitalizing night serum designed to support skin regeneration during the overnight repair cycle. With a blend of skin-renewing peptides, botanical oils, and retinoid alternatives, this intensive formula helps reduce visible signs of aging such as wrinkle depth and volume while improving elasticity. It absorbs quickly into the skin, promoting a smoother, firmer, and more refreshed appearance by morning. Dermatologically approved and free from parabens, silicones, and artificial colorants, it is suitable for all skin types seeking an advanced nighttime solution.
Benefits
- Visibly softens deep-set wrinkles and refines skin texture overnight
- Supports collagen regeneration to improve elasticity and firmness
- Delivers intense hydration to maintain skin suppleness during sleep
- Strengthens the skin barrier with nutrient-rich botanical oils
- Promotes overnight renewal for a smoother, fresher complexion by morning
- Formulated without parabens, silicones, mineral oil, or artificial colorants
Active Ingredients
- Aquaxyl®: A moisture-balancing complex that reinforces the skin barrier and optimizes hydration by enhancing natural water reserves and limiting water loss.
- Camellia Oil: Rich in oleic acid and antioxidants, this lightweight oil helps soften and protect skin while improving elasticity.
- Matrixyl® 3000: A peptide-based compound known to reduce wrinkle depth and stimulate collagen production for smoother skin.
- Rosemary Extract: Offers calming, antioxidant support that helps protect skin from oxidative stress and irritation.
- Vitamin A (Retinyl Palmitate): Encourages cell turnover and helps reduce the look of fine lines and uneven skin texture.
- Vitanol® BIO: A plant-based retinol alternative that promotes cellular renewal with reduced risk of irritation, ideal for sensitive or mature skin.
TIME CONTROL Day Cream from Dr. Med Schrammek’s Vitality Range is an advanced anti-aging moisturizer designed to restore firmness and radiance. Formulated with a potent blend of peptides, nourishing oils, and antioxidants, this cream helps revitalize the skin’s structural matrix while reinforcing its natural barrier. The skin appears smoother and more resilient, with visibly improved elasticity and reduced signs of aging. Suitable for all skin types, it delivers long-lasting hydration and protection against environmental stressors without the use of parabens, mineral oils, or artificial colorants.
Benefits
- Visibly enhances skin elasticity and resilience for a firmer appearance
- Peptide complex supports collagen renewal and tissue regeneration
- Nutrient-rich oils replenish lipids for improved suppleness and comfort
- Antioxidants help counteract free radical damage from environmental exposure
- Helps refine skin texture and tone for a smoother, more even complexion
- Free from mineral oil, parabens, PEG-derivatives, and colorants
Active Ingredients
- Avocado Oil: Rich in essential fatty acids and vitamins A, D, and E, this botanical oil nourishes and softens the skin while reinforcing its moisture barrier.
- Matrixyl® 3000: A peptide blend that supports skin repair by stimulating collagen production, reducing the appearance of wrinkles over time.
- Milk Thistle: Contains silymarin, a powerful antioxidant known to protect against oxidative stress and promote skin clarity.
- Niacinamide (Vitamin B3): Enhances skin tone and texture, reduces the look of fine lines, and supports barrier function.
- Rosemary Extract: Offers antimicrobial and antioxidant properties to soothe the skin and prevent environmental damage.
- Vitamin E: A well-known antioxidant that helps neutralize free radicals and maintain skin hydration.
Mesoprotech Anti-Ageing Facial Sun Mist SPF50+
13.000 KWD
Unit price perMesoprotech Anti-Ageing Facial Sun Mist SPF50+
13.000 KWD
Unit price perMesoprotech Anti-Ageing Facial Sun Mist SPF 50+ delivers very high photoprotection in an ultra-light, transparent mist that sprays evenly with no need to rub in, making reapplication effortless throughout the day, even over makeup. Beyond its broad-spectrum filters against UVB, UVA, visible light (HEV) and infrared radiation (IR), its anti-aging action with Collagen Pro-47 protects and increases the presence of high-quality collagen in the skin, while vitamin E defends against free radicals. Water-resistant, with an invisible finish for all skin types.
Benefits
- Very high SPF 50+ protection against UVB, UVA, HEV and IR
- Transparent mist applies evenly without rubbing, even over makeup
- Anti-aging action that protects and boosts high-quality collagen
- Antioxidant defence against free radicals
- Water-resistant with an invisible, weightless finish
Active Ingredients
- Collagen Pro-47: Protects and increases the presence of high-quality collagen in the skin
- Mesoprotech® Complex: Broad-spectrum filter system against UVB, UVA, HEV and IR radiation
- Vitamin E: Antioxidant that neutralises free radicals generated by sun exposure
Age Element Anti-Wrinkle Concentrate
27.000 KWD
Unit price perAge Element Anti-Wrinkle Concentrate
27.000 KWD
Unit price perAge Element Anti-Wrinkle Concentrate is a concentrated serum with an intensive regenerating action on wrinkles and expression lines. Formulated for thin, mature skin with loss of facial volume, it combines plant-based retinol, biopeptides and the epigenetic [meso]epigen System™ to stimulate endogenous collagen production, renew dermal fibres and retexturise the surface. Its lightweight texture absorbs quickly and layers under any Age Element treatment cream, so wrinkles appear intensively smoothed and the skin looks firmer and plumper.
Benefits
- Intensive regenerating action on wrinkles and expression lines
- Stimulates endogenous collagen and renews dermal fibres
- Retexturises and smooths the skin surface
- Lightweight serum that layers under any treatment cream
- Skin looks firmer, plumper and more youthful
Active Ingredients
- [meso]epigen System™: An epigenetic complex that activates the production of growth factors and targets the accelerators of skin aging
- Biopeptides: Protect and regenerate the dermal structure, relaxing expression lines
- Ectoin: A protective molecule that defends the skin from environmental stress and supports repair
- Hyaluronic Acid: Attracts and retains moisture to plump the skin and soften dehydration lines
- Bakuchiol: A plant-derived retinol alternative that retexturises the skin and stimulates regeneration to smooth even deep wrinkles
Lifting & Firming Routine Pack is a complete anti-aging routine designed for skin concerned with flaccidity, loss of facial contour definition, dehydration and premature aging. It combines a cleansing phase, antioxidant care, multi-level hydration, a targeted treatment cream and facial massage into one coordinated ritual built on mesoestetic's epigenetic active ingredients.
What's Included
- Brightening Foam (100 ml): Revitalising cleansing foam with glycolic acid that refines texture while respecting the skin's balance
- AOX Ferulic (15 ml): Ultra-advanced antioxidant concentrate with anti-aging and brightening action
- HA Densimatrix minisize (5 ml): Multi-form hyaluronic acid concentrate with moisturising, repulping and filling action
- Age Element Firming Cream (50 ml): Improves the look of elasticity and redefines the facial oval for a firmer appearance
- Dual Facial Massager Roller: Promotes absorption of actives, activates microcirculation, and tones and revitalises
Benefits
- Improves the look of elasticity and firmness
- Redefines the facial oval for a lifted appearance
- Multi-level hydration improves suppleness and comfort
- Antioxidant protection against premature aging signs
- Includes a facial roller to boost absorption and leave a toned, revitalised look
Active Ingredients
- Ferulic Acid: Antioxidant support that protects from external aggressors and promotes a brighter complexion
- Glycolic Acid: Gently exfoliates the surface to refine texture and improve radiance
- Hyaluronic Acid: Attracts and retains moisture to plump the skin and reduce dehydration lines
- [meso]epigen System™: Supports visible skin renewal and targets aging signs driven by environmental and lifestyle stressors
- Lupine Extract: Supports firmness and elasticity for a more toned, resilient appearance
- Peptides: Improve the appearance of firmness, smoothness and visible aging signs over time
Brightening Active C Serum is a concentrated solution designed to target pigmentation irregularities and reveal a more even, radiant complexion. Its advanced dual vitamin C system, supported by niacinamide and antioxidants, helps reduce dark spots and prevent future discoloration.
Benefits
- Visibly brightens uneven skin tone
- Reduces existing pigmentation and prevents new spots
- Supports smoother, refined skin texture
- Protects against oxidative stress and environmental damage
- Lightweight, fast-absorbing formula with precise pipette application
Active Ingredients
- Azeloglycina®: A derivative of azelaic acid that helps reduce melanin production and improves skin clarity
- Niacinamide: Strengthens the skin barrier, reduces inflammation, and enhances tone uniformity
- Urea: A natural moisturizing factor that increases water content in the upper layers of the skin
- Vitamin C (Sodium Ascorbyl Phosphate and Ascorbyl Glucoside): Brightens, firms, and protects skin from oxidative damage
- Vitamin E (Tocopheryl Acetate): Reinforces antioxidant defense and stabilizes vitamin C activity
Clear Skin Silver Fluid by Dr. Med Schrammek is a lightweight, anti-bacterial day fluid developed to target the key causes of blemishes and skin imbalance. Featuring Microsilver BG™, kaolin, and lactic acid, it helps reduce breakouts, refine pores, and control oil while maintaining skin hydration. Its non-comedogenic formula supports a smoother, clearer complexion without tightness or irritation. Free from fragrances, parabens, mineral oils, and colorants, it is ideal for sensitive, blemish-prone skin.
Benefits
- Helps prevent new breakouts by targeting acne-causing bacteria
- Minimizes excess oil and provides a long-lasting mattifying effect
- Refines pore appearance and smooths skin texture
- Moisturizes without clogging pores or causing shine
- Free from comedogenic ingredients, perfumes, and colorants
Active Ingredients
- Microsilver BG™: A highly pure form of silver that offers anti-bacterial protection and helps reduce inflammation in acne-prone skin.
- Algae Extract (Sebum Regulator): Marine botanicals that regulate oil production and support a clearer complexion.
- Aloe Vera: Hydrates and soothes while calming irritated skin and reducing redness.
- Kaolin: A natural clay that absorbs excess sebum and refines the skin surface for a matte finish.
- Lactic Acid: Gently exfoliates to help unclog pores and smooth uneven texture.
Skinretin 1% is a professional-use night cream with 1% pure retinol, developed as an aid before and after medical-aesthetic treatments. Applied ahead of a professional protocol it stimulates renewal and prepares the skin for intensive or retinol-based treatments; applied afterwards it enhances renewal to optimise the results obtained. Its high-strength formula visibly smooths deep wrinkles, improves density and tone, and regenerates, brightens and revitalises the skin, while centella asiatica, panthenol, aloe and vitamin E soothe and protect. Suitable for all skin types except the most reactive and sensitive.
Benefits
- 1% pure retinol for maximum professional-grade renewal
- Prepares the skin before intensive or retinol-based treatments
- Optimises results after professional protocols
- Visibly smooths deep wrinkles and improves density
- Soothing actives maintain comfort during use
Active Ingredients
- Aloe Vera: Calms and hydrates to offset retinol dryness
- Centella Asiatica: Asiatic and madecassic acids repair and support the barrier
- Panthenol: Pro-vitamin B5 that soothes and improves tolerance
- Retinol 1%: High-strength pure retinol that stimulates deep renewal and cell turnover
- Vitamin E: Antioxidant protection against environmental aggressors
Pure Renewing Mask is an intensive purifying mask that exfoliates and cleans the pore to prevent and reduce imperfections in combination, oily and blemish-prone skin. Its multi-action formula combines the keratolytic, anti-blemish synergy of salicylic acid, mandelic acid and sodium lepargilate with the oil-absorbing power of white clay and a modulable mechanical exfoliation with biodegradable cellulose particles. A Lactobacillus Ferment postbiotic balances the microbiota to preserve the barrier, and Urban D-tox removes pollution particles and reduces the oxidative stress that accelerates aging.
Benefits
- Keratolytic, comedolytic and anti-blemish action
- White clay absorbs excess oil and reduces shine
- Modulable mechanical exfoliation with biodegradable particles
- Postbiotic balances the microbiota and preserves the barrier
- Anti-pollution action against particulates and oxidative stress
Active Ingredients
- Cellulose Particles: Biodegradable particles for modulable mechanical exfoliation that unclogs and refines pores
- Lactobacillus Ferment: Postbiotic that balances the microbiota and strengthens the barrier
- Mandelic Acid: Gentle AHA with antibacterial, refining action
- Salicylic Acid: BHA that penetrates the pore to unclog and reduce blemishes
- Sodium Lepargilate: Azelaic derivative with comedolytic and anti-blemish action
- Urban D-tox: Biotechnological active that removes pollutants and reduces oxidative stress
- White Clay: Kaolin that absorbs excess sebum and mattifies
Rosea Calm Cream is a light, fast-absorbing special care cream for sensitive, reddened skin prone to couperose. The vasoactive Biophytex® plant complex strengthens capillaries and reduces the look of redness and visible small veins, while the three-level Defensil® complex calms irritation. Vitamin C supports collagen and smooths, and mineral pigments of zinc oxide and titanium dioxide gently conceal redness for a more even complexion. Moisture-binding care eases feelings of tautness, with grape seed oil and centella asiatica supporting the skin's defense against environmental influences.
Benefits
- Reduces local redness and calms the skin
- Combats the look of visible small veins on the face
- Conceals redness for a more even skin appearance
- Moisturizes and diminishes feelings of tautness
- Absorbs quickly and protects against environmental influences
- Free from mineral oil, PEG derivatives, parabens and fragrance
Active Ingredients
- Biophytex®: A vasoactive plant complex with butcher's broom, calendula, liquorice root and horse chestnut that strengthens capillaries and reduces redness
- Centella Asiatica: Supports skin regeneration and comfort
- Defensil®: A three-level soothing complex with echium oil and balloon vine that calms irritation and itching
- Grape Seed Oil: A protective emollient rich in linoleic acid that supports the skin barrier
- Vitamin C: Antioxidant support that promotes collagen and smooths the skin
- Zinc Oxide & Titanium Dioxide: Anti-inflammatory mineral pigments that visually neutralize redness
Green Peel Home Care Essential Set is the post-treatment aftercare kit that completes the GREEN PEEL® Herbal Peeling Treatment for normal to dry skin. Home products after a GREEN PEEL® have a decisive impact on the outcome: they calm the skin, prolong the action of the herbs, supply nourishing and barrier-building actives, and protect during the peeling phase. Herbal Care Lotion cleanses without water, Special Care Cream mixed with Blemish Balm soothes and covers while the skin renews, and Optimum Protection Cream SPF30 shields the fresh skin from the sun. The Blemish Balm is included in the shade selected.
What's Included
- Herbal Care Lotion (50 ml): Water-free cleansing lotion with herbal extracts that refreshes and calms the skin after the peeling
- Special Care Cream (15 ml): Nourishing care cream for normal to dry skin that soothes, protects and rebuilds the barrier
- Blemish Balm (15 ml): Antibacterial, calming and covering balm that evens the complexion during the peeling phase, in the shade selected
- Optimum Protection Cream SPF30 (75 ml): Daily sun protection that shields renewing skin from UV damage
Benefits
- Completes the GREEN PEEL® Herbal Peeling Treatment at home
- Calms the skin and prolongs the action of the herbs
- Strengthens the barrier and supplies nourishing actives
- Covers and evens the complexion during the peeling phase
- Protects renewing skin from the sun
Hydra Maximum Day Cream from Dr. Med Schrammek’s Hydrating Range is a lightweight, fast-absorbing moisturizer formulated to deeply hydrate and protect dry skin. Its integrated MoistureLab Technology provides moisture layer by layer, from the deep epidermis to the skin’s surface, for a beautiful-looking complexion. The non-greasy texture makes it ideal for daily use, even under makeup or for men. It is free from mineral oil, parabens, PEG-containing emulsifiers, and silicone, making it suitable for sensitive or dry skin types in need of daily hydration and protection.
Benefits
- Provides long-lasting moisture and supports natural hydration balance
- Helps to store moisture and protect the skin with valuable natural oils
- Delivers a fresh, energized complexion with lightweight wear
- Protects against environmental stress and oxidative damage
- Free from parabens, silicones, and PEG emulsifiers
Active Ingredients
- Hydranov P: Restructuring and moisturizing; activates the skin’s own hyaluron.
- Ectoine: Cell-protecting and regenerating.
- Hyaluronic Acid: Moisture-binding; improves elasticity.
- Pentavitin®: Moisturizing and moisture-binding.
- Shea Butter: Regenerating and skin-soothing.
Sensiderm Cleansing Solution by Dr. Med Schrammek is a 3-in-1 cleanser, toner, and eye make-up remover developed for sensitive, reactive skin. Powered by micellar technology, this ultra-mild liquid effortlessly lifts away makeup and impurities without the need for rinsing. The formula is enriched with skin-soothing ingredients that help calm and strengthen the skin’s barrier. With a minimalist ingredient profile free from alcohol, preservatives, fragrance, and colorants, it's a gentle yet effective cleansing solution. Ideal even when water quality is poor or for use on-the-go.
Benefits
- Combines cleansing, toning, and makeup removal in one step
- Micellar technology captures dirt and makeup without harsh rubbing
- Ideal for sensitive skin and for use without tap water
- Maintains skin’s hydration and comfort after cleansing
- Fragrance-free and preservative-free for excellent tolerance
- Compact, no-rinse format perfect for travel or daily simplicity
Active Ingredients
- Allantoin: A skin-soothing agent that supports healing and reduces discomfort associated with dryness and sensitivity.
- Niacinamide (Vitamin B3): Strengthens the skin barrier, balances sebum production, and helps minimize irritation.
- Antioxidants: Offer protection from environmental aggressors while promoting a calm, balanced complexion.
Global Defense Cream from Dr. Med Schrammek’s Vitality Range is a multi-action day cream developed to guard skin against environmental stressors and photoaging. With SPF 20 and advanced infrared protection, it forms a broad-spectrum defense shield that helps reduce heat-induced collagen breakdown and oxidative stress. The formula works on multiple levels to reinforce the skin’s natural repair functions while enhancing hydration. Lightweight yet effective, it is suitable for all skin types and free from mineral oils, parabens, colorants, PEG-derivatives, and nanofilters.
Benefits
- Shields skin from UV and infrared rays to minimize premature aging
- Supports the skin's defense mechanisms with antioxidant-rich ingredients
- Helps reduce heat-triggered collagen degradation caused by IR exposure
- Boosts hydration while reinforcing skin’s natural moisture barrier
- Promotes smoother texture and resilience against environmental damage
- Formulated without parabens, PEGs, mineral oil, or artificial colorants
Active Ingredients
- Elix-IR™: A botanical active derived from Knotgrass extract that targets infrared-induced skin aging by inhibiting MMPs and preserving dermal structure.
- Grape Extract: Packed with resveratrol and polyphenols, it helps neutralize oxidative stress and strengthen the skin’s natural antioxidant defenses.
- Hyaluronic Acid: A moisture-binding molecule that enhances hydration, plumps the skin, and reduces the appearance of fine lines.
- Vitamin A (Retinyl Palmitate): Supports cell turnover and helps improve skin texture while addressing early signs of aging.
- Vitamin E (Tocopheryl Acetate): An antioxidant that protects skin from free radicals and helps maintain barrier integrity.
This ultra-absorbent hand cream combines nourishing botanical oils with hydrating hyaluronic acid to soften and restore dry, stressed hands. Its non-greasy formula strengthens the skin barrier while offering antioxidant and calming benefits. Perfect for daily care or on-the-go use.
Benefits
- Deeply hydrates dry, rough hands and cuticles.
- Strengthens the skin barrier to resist external stressors.
- Helps reduce signs of aging such as fine lines and dullness.
- Light, fast-absorbing texture with no greasy residue.
- Free from parabens, silicones, PEGs, and artificial colors.
Active Ingredients
- Hyaluronic Acid: A humectant that draws moisture into the skin, improving softness and elasticity.
- Olive Oil: Rich in antioxidants and essential fatty acids, it nourishes and protects skin from dryness and oxidative stress.
- Shea Butter: A soothing emollient that promotes regeneration and protects against environmental aggressors.
TIME CONTROL Intense Lifting Ampoules are a powerful bi-phase anti-aging solution designed to combat the appearance of deep wrinkles and enhance skin firmness. This dual-phase formula blends oil and serum to restore essential lipids, deliver hydration, and promote collagen production for visibly firmer, smoother skin.
Benefits
- Improves elasticity and visibly smooths fine lines
- Boosts collagen synthesis for a lifted appearance
- Restores skin's lipid balance and barrier function
- Delivers intensive hydration and nourishment
- Conveniently packaged for travel and daily use
Active Ingredients
- Aquaxyl®: A patented sugar-based complex that reinforces the skin barrier and increases moisture retention
- Collaxyl™: A regenerative peptide that supports dermal structure and reduces wrinkle depth
- Hyaluronic Acid: Provides long-lasting hydration and plumps the skin for a firmer look
- Matrixyl™ Synthe’6™: Stimulates production of six essential components of the skin matrix for smoother skin texture
- Syn®-Ake: A synthetic peptide inspired by snake venom that helps relax facial muscles and reduce expression lines
- Vitanol® BIO: A natural alternative to retinol that promotes cell renewal with high skin tolerance
Specially developed for sensitive skin around the eyes, Sensiderm Eye Balm gently reduces dark circles, puffiness, and fine lines. Its mild yet effective formula strengthens the delicate eye contour without perfumes, silicones, or colorants. Designed to lift the upper eyelids while soothing irritation, it delivers comfort and visible results with every application.
Benefits
- Reduces crow’s feet, puffiness, and dark circles
- Visibly lifts and firms the eye area
- Comforts irritated and sensitive skin
- Formulated without fragrance, parabens, or artificial color
Active Ingredients
- Eyéfective™: Targets puffiness and signs of fatigue
- Centella Asiatica: Soothes and supports collagen
- Eyebright: Calms the eye area and reduces swelling
- Oléoactif®: Enhances firmness and elasticity
- Vitamin E: Protects against environmental damage
