DR ALEK NIKOLIC

DR ALEK NIKOLIC Dr Alek Nikolic & Aesthetic Facial Enhancement™ ~ Botox® and Dermal Fillers Welcome to our page.

We hope that you will find our page informative and educational in an unbiased and factual way. DR ALEK Nikolic has aesthetic medical practices in both Cape Town and London and has been responsible for training numerous General Practitioners, Dentists and specialists, at entry, intermediate, and advanced levels. DR ALEK Nikolic is Allergan’s appointed advanced trainer for Botox® and Dermal Fillers

and has been appointed by Allergan International as the Local Country Ambassador (LCA) for South Africa and Africa. He has lectured nationally and has co presented lectures and demonstrated live patient injecting techniques with international lecturers such as Dr Frederick Bern (Plastic Surgeon, Sweden), Dr Greg Wahl (Dermatologist, Germany), and Dr Koenraad De Boulle (Dermatologist, Belgium). DR ALEK Nikolic has a special interest in Botox®, Dermal Fillers, glycolic acid chemical peels, salicylic acid chemical peels, mandelic acid peels and Syneron elos light based (IPL/Bi-Polar Radiofrequency and Infrared/Bi-Polar Radiofrequency) and non-ablative laser treatments.

How long does melasma treatment actually take?✔️Most people begin to see measurable improvement after six to eight weeks...
24/08/2026

How long does melasma treatment actually take?
✔️Most people begin to see measurable improvement after six to eight weeks of a structured protocol
✔️Meaningful, visible fading typically takes three to six months
Deeper dermal melasma responds more slowly than superficial pigmentation
✔️Mixed-type melasma often improves in layers, with epidermal pigmentation responding first
✔️Setting accurate expectations from the outset prevents the frustration that leads people to abandon protocols too early.

A skin assessment sets realistic expectations for your specific skin.
Read the full timeline for melasma treatment in our latest article.
https://bit.ly/4wAFF7u

Educational content from Dr Alek Nikolic Practice at dralek.co.za

Your pigmentation might look worse in week three. That is not always a bad sign.✔️The first four weeks of a protocol are...
21/08/2026

Your pigmentation might look worse in week three. That is not always a bad sign.
✔️The first four weeks of a protocol are rarely when meaningful visual improvement appears
✔️Mild sensitivity or a temporary increase in redness can occur as active ingredients begin working
✔️This reflects older, pigmented cells being brought to the surface before they shed
✔️Stopping a protocol at week three is one of the most common reasons treatment fails to deliver

If you are ever uncertain whether a change is normal adjustment, a check-in with your clinician is always the right call.

Guidance through every stage of your protocol starts with a consultation.
Learn what to expect in the early weeks of your protocol in our full article. https://bit.ly/4q3uVfG

Educational content from Dr Alek Nikolic Practice at dralek.co.za

Sunscreen every morning is the baseline, not the ceiling.✔️Broad-spectrum SPF 50+ needs reapplication every two hours du...
20/08/2026

Sunscreen every morning is the baseline, not the ceiling.
✔️Broad-spectrum SPF 50+ needs reapplication every two hours during outdoor exposure
✔️Visible light, not only UV, can also stimulate melanin production in melasma-prone skin
✔️Tinted physical sunscreens containing iron oxides offer additional protection against visible light
✔️Heat from sun exposure, hot showers or vigorous exercise can independently trigger melanocyte activity

No combination of peels and homecare will hold its improvement if UV protection is inconsistent.
UV avoidance is discussed and reviewed at every appointment.

Read our full guide to UV avoidance for melasma-prone skin. https://bit.ly/4wAFF7u

Educational content from Dr Alek Nikolic Practice at dralek.co.za

Not every dark mark is melasma.✔️Sun-induced pigmentation tends to have sharper borders and sits in the skin's more supe...
19/08/2026

Not every dark mark is melasma.
✔️Sun-induced pigmentation tends to have sharper borders and sits in the skin's more superficial layers
✔️Post-inflammatory marks follow the shape of a previous injury, such as an old breakout, rather than a symmetrical pattern
✔️Post-inflammatory hyperpigmentation is often self-limiting and can fade with time and sun protection
✔️Distinguishing between the two visually can be genuinely difficult without objective diagnostic tools

Getting this distinction right changes which treatment approach is appropriate.

A detailed consultation identifies exactly what you are dealing with.

Read the full comparison between sun damage and post-inflammatory marks in our latest article. https://bit.ly/45CNzRY

Educational content from Dr Alek Nikolic Practice at dralek.co.za

What happens between your appointments matters as much as the appointment itself.✔️Pigmentation peels performed in clini...
14/08/2026

What happens between your appointments matters as much as the appointment itself.

✔️Pigmentation peels performed in clinic accelerate surface cell turnover, fading epidermal pigmentation and priming the skin for what comes next
✔️Prescription-grade homecare keeps melanocyte activity suppressed in the intervals between visits
✔️Active ingredients used are determined by your skin assessment, not by what happens to be available over the counter
✔️The two work together, and the protocol only functions when both are in place

This is one of the most overlooked parts of effective pigmentation management.
A consultation includes a homecare plan tailored to your skin.

Read more about how clinic treatment and homecare work together in our latest article: https://bit.ly/4wAFF7u

Educational content from Dr Alek Nikolic Practice at dralek.co.za

Improvement can be happening beneath the surface before you ever see it.⚫VISIA skin analysis reveals subsurface pigmenta...
13/08/2026

Improvement can be happening beneath the surface before you ever see it.

⚫VISIA skin analysis reveals subsurface pigmentation that standard photography cannot detect
⚫A protocol targeting deeper pigmentation may show measurable subsurface change weeks before any visible shift
⚫VISIA provides a quantified baseline and a comparable data point at each review
⚫This removes the subjectivity that makes self-assessment so unreliable

Objective tracking tells a more accurate story than the mirror does.

VISIA tracking is part of every pigmentation protocol here.

See how VISIA tracks progress beneath the surface in our latest article - https://bit.ly/4q3uVfG

Educational content from Dr Alek Nikolic Practice at dralek.co.za

Three things feed melasma, and sunscreen alone only addresses one of them.✔️Hormonal influence sensitises melanocytes, m...
12/08/2026

Three things feed melasma, and sunscreen alone only addresses one of them.

✔️Hormonal influence sensitises melanocytes, making them more reactive to other triggers
✔️UV exposure directly stimulates melanin production, and in melasma-prone skin the response is disproportionate
✔️Inflammation from heat, friction or aggressive treatments can also trigger pigmentation flares
✔️A protocol needs to account for all three drivers, not just the most visible one

This is why melasma requires a measured, calibrated approach rather than the most aggressive option available.

Understanding your specific triggers shapes your treatment plan.

Discover all three melasma triggers in detail in our latest article: https://bit.ly/4wAFF7u

Educational content from Dr Alek Nikolic Practice at dralek.co.za

Not every dark mark is melasma.✔️Sun-induced pigmentation tends to have sharper borders and sits in the skin's more supe...
10/08/2026

Not every dark mark is melasma.

✔️Sun-induced pigmentation tends to have sharper borders and sits in the skin's more superficial layers
✔️Post-inflammatory marks follow the shape of a previous injury, such as an old breakout, rather than a symmetrical pattern
✔️Post-inflammatory hyperpigmentation is often self-limiting and can fade with time and sun protection
✔️Distinguishing between the two visually can be genuinely difficult without objective diagnostic tools

Getting this distinction right changes which treatment approach is appropriate.
A skin assessment identifies exactly what you are dealing with.

Read the full comparison between sun damage and post-inflammatory marks in our latest article. https://bit.ly/45CNzRY

Educational content from Dr Alek Nikolic Practice at dralek.co.za

One product will never do what a protocol can.✔️Chemical peels accelerate epidermal cell turnover and improve how well a...
09/08/2026

One product will never do what a protocol can.

✔️Chemical peels accelerate epidermal cell turnover and improve how well active ingredients pe*****te afterwards
✔️Microneedling with Dermapen 4 creates micro-channels that markedly improve absorption of a topical depigmentation solution
✔️Prescription-grade homecare consolidates the work done in clinic between appointments
✔️Clinic treatment without homecare underdelivers, and homecare without clinic treatment underdelivers too

The protocol only works as designed when all elements are in place together.

A tailored protocol is designed around your specific assessment findings.

Explore how each part of the protocol works together in our latest article - https://bit.ly/4q3uVfG

Educational content from Dr Alek Nikolic Practice at dralek.co.za

Symmetrical patches on both cheeks? That pattern tells us something.✔️Melasma typically appears as symmetrical patches a...
07/08/2026

Symmetrical patches on both cheeks? That pattern tells us something.

✔️Melasma typically appears as symmetrical patches across the cheeks, upper lip, forehead and chin
✔️It is driven primarily by hormonal influence, UV exposure and genetic predisposition
✔️It often emerges or worsens during pregnancy or while using hormonal contraception
✔️Even heat, not only UV light, can trigger a melasma flare

Recognising this pattern is one of the clearest early clues to accurate diagnosis.
A detailed assessment confirms what your skin is showing.

Learn more about melasma patterns in our full article on pigmentation types - https://bit.ly/45CNzRY

Educational content from Dr Alek Nikolic Practice at dralek.co.za

Address

33 Piers Road Chelsea Village
Cape Town
7800

Opening Hours

Monday 09:30 - 17:30
Tuesday 09:30 - 17:30
Wednesday 09:30 - 17:30
Thursday 09:30 - 17:30
Friday 09:30 - 17:30

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