Collagen Stimulation Therapy (CST)

The founder of leading skincare brand Environ, Dr Des Fernandes, is the pioneer of skin needling and developed this treatment in 1997 as an alternative to aggressive lasers and peels, as these treatments compromise the skin. He therefore wanted something that could naturally induce your own collagen and elastin to restore a youthful skin and generate all over skin health.

Collagen Stimulation Therapy™ harnesses the body’s natural powers of healing to smooth the skin and achieve incredible results. This cutting-edge treatment is especially effective for addressing the visible signs of ageing, as well as acne scarring, slackened skin, stretch marks, uneven skin tone and dilated blood vessels.

For best results we recommend a course of either 6 or 12 treatments along with an appropriate home-care plan devised by your therapist to include topical products and collagen boosting vitamin supplements.


  • Frequently Asked Questions


    What does the CST treatment involve and how long will it take?

    The whole process takes about 2 ½ hours. Firstly we will numb the skin using a topical anaesthetic. After approx 45 minutes we will remove the anaesthetic and begin the needling. Our needling devices vary from a roller with 1mm needle depth as well as a 1.5mm focused device which is for deeper scarring, lines and around the eyes. As we glide the roller over the skin the needles will penetrate into the dermis and cause a micro trauma on the skin. This micro trauma tricks the skin into natural healing mode and floods the area with collagen and elastin, not any type of collagen and elastin this is type 1 collagen, the sacred words if you want a more youthful skin. After we’ve rolled, we clean the skin and perform an environ facial using peptides and vitamin A. You will be given a peptide serum to continue using at home.

    What is the downtime?

    After the treatment you’ll stay a little pink for that day and the next, luckily you can apply mineral makeup the next day, and a few days later you will go dry and a little flaky, but by day 5 the skin is looking normal and by day 7 starting to glow. The real wow results take about 6-12 months to come through but it is worth the wait as your skin will look plump, smooth and healthy. Not only that, but the results can last years.

    How many treatments will I need and how far apart?

    This is hard to say as all skins are different. Typically we recommend a course of 6 treatments one week apart. Depending on the individual skin concern it may be necessary to repeat a course of 6 immediately after. We recommend our clients do a full course of 6 CST treatments yearly to maintain skin health and results. The treatments are performed weekly to maximise collagen production and ensure optimal results.

    What home care should I be on if undergoing a course of CST?

    Your skin needs to be acclimatised to vitamin A for at least 3 weeks before commencing treatment. Ideally the higher level vitamin A the better. Environs Skin Essentia or Youth Essentia range is our preferred programme. A peptide rich homecare is also necessary to enhance results. Mineral makeup, SPF and collagen boosting skin supplements are also recommended. Daily use of a product penetrant enhancing tool such as the Roll CIT will also enhance your results.

    Does CST hurt?

    The application of topical anaesthetic ensures the treatment is as comfortable as possible however some areas are more sensitive than others. Generally we treat each area until you feel like we need to move on. By the end of the treatment your skin will feel a little warm.

    How much does is cost?

    The first session is €300 and the next five are €199 each.


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