Four Sisters Aesthetic Medicine is an authorized reseller of Environ® Skin Care and purchases directly from DermaConcepts®, the exclusive official distributor for Environ® Skin Care in the United States. These Environ® products are manufactured in Environ's own factory in South Africa, tested by independent labs for safety and efficacy, Swiss Vitamin Institute approved, formulated with the highest grade pharmaceutical ingredients, and packaged in protective packaging from heat, light and air. Due to the potency and varying strengths of Environ® Skin Care products, a skin consultation by a trained skin care professional is required before purchasing.