Surgical Treatments
Significantly increases production of collogen by the skin, facilitating natural repair and growth.
The unique Surgical Roll-CIT® represents a revolutionary approach to anti-ageing through natural processes. Designed by Dr Des Fernandes, the Surgical Roll-CIT® is the result of extensive research and development at the Environ® laboratories in South Africa. Treatment by a surgeon using the Surgical Roll-CIT® facilitates and stimulates your skin's natural repair and growth processes without causing permanent epidermal damage.
Product Overview
- PCI needling (Percutaneous Collagen Induction)
- The procedure improves scars by significantly increasing the production of natural collagen.
Advantages
The achievement of Purcutaneous Collagen Induction through once-off or repeated treatments using the Environ® Surgical Roll-CIT® can typically result in the following:
- Deep lines and wrinkles are softenedM
- Skin is thickened, tightened and elasticity restored
- Burn damage is reduced
- Keloid and acne scarring is diminished
- Pigmentation marks are lightened
- The disappearance of dilated blood vessels is encouraged
- A natural response is induced
- Healing period is minimal (+/- one week)
- Procedure is cost-effective
- Treatment is suited to all skin types (including laser-resurfaced skin)
- No permanent damage is caused
- Safely repeatable for maximum results
- No sun-sensitivity is induced
- All areas of the face, neck and body can be treated
- The instrument may be stored on your behalf for re-use
Maximum benefits may be achieved through complementary self-treatment with the Environ® Cosmetic Roll-CIT® and the appropriate Environ® skin-care range(s) (or other medically approved skin-products with high vitamin A, C and anti-oxidant contents)
Product Description
The unique Environ® Surgical Roll-CIT® represents a revolutionary approach to anti-ageing through natural processes. Unlike laser resurfacing which destroys the tissues of the papillary and reticular dermis, treatment with the Environ® Surgical Roll-CIT® relies on a more physiological method of inducing production of collagen and elastin. Through the process of PCI* Needling, collagen production is significantly stimulated without causing permanent epidermal damage.
Unlike the 1mm Environ® Medical Roll-CIT, treatment using 3mm Surgical Roll-CIT® must be conducted by a surgeon or trained surgical assistant in a sterilised environment. The advantage of the Surgical Roll-CIT®, however, is that it is a once-off treatment with significantly deeper penetration and is even more effective at softening deep lines and wrinkles and reducing burn damage, keloid scarring and pigmentation marks. *percutaneous collagen induction.
PCI-needling using the Environ Surgical Roll-CIT® causes microscopic breaks in the blood vessels deep below the surface layer of the skin. The needle only penetrates through the epidermis and does not remove it, so the epidermis is only cleft and will rapidly heal. This injury, minute as it might seem, does cause some temporary localised damage and bleeding.
Percutaneous induction of collagen results from the natural response to wounding of the skin. Platelets are released that contribute to the forming of blood clots. In turn, these platelets release a series of growth factors which promote the production of collagen and elastin in the skin. Each tiny wound goes through the three classic phases of wound healing; Inflammation, Proliferation (tissue formation), and Tissue remodelling. The needle pricks penetrate about 1.5 mm into the dermis and start up the inflammation phase. Tiny blood vessels are ruptured so blood cells and serum enter the surrounding tissue.
A complex chemical cascade determines the formation of a clot, vascular permeability, the attraction for leucocytes, and fibroblasts are recruited into the wounded area. Platelets cause clotting and release chemotactic factors like Platelet Derived Growth Factor (PDGF), transforming growth factor, and Fibroblast growth factor (FGF) that initiate an invasion of other platelets, leucocytes and fibroblasts. Collagen type III is gradually replaced by Collagen I over a period of a year or more.
This gives increased tensile strength. The metallo-proteinases are essential for the conversion process. This happens at a microscopic level and the related chain of events should be aided wherever possible to promote sufficient increases in elastin and collagen production in order to tighten and smoothen the skin as much as possible.
Directions
Through a process referred to as PCI*-needling, the function of the Surgical Roll-CIT® is to stimulate the natural production of collagen, elastin and other growth factors in the skin. This is achieved under general or local anesthesia by creating temporary channels deep into the dermis of your skin. These channels increase production of collagen-inducing growth factors.



