Tuesday, 1 November 2011
Rosacea is a common condition. Often there is lack of awareness but there is no need to suffer in silence.
Thursday, 28 July 2011
Here we discuss some common types of lumps and bumps and treatment options.
Saturday, 9 July 2011
If you have wanted blepahroplaty [ eyelid surgery ] we can now do this laser eyelift avoiding downtime and cost of expensive operation.
Wednesday, 8 June 2011
Why do fillers frequently look so false?
risks of going under the needle-"You’ve seen this face – it’s everywhere. There’s something muzzle-like about the nose and mouth. The lips are taut and bulbous, and a little wonky when she smiles. In extreme cases, the cheeks sit like ping pong balls under spongy skin, eyes peering out of puffy sockets.
The “pillow face”, our current answer to the 1990s wind-tunnel look, is down to dermal fillers. These semi-permanent gels are injected into the lips, cheeks and the lines between the nose and the mouth in a bid for youthful plumpness. Trouble is, the result is often not eternal youth, but a face like a water-retentive lion....."
Dermal fillers can give impressive results but they have to be done for right diagnosis, right product has to be used in right amount and in the right place.
So there we have it, results from dermal fillers depend entirely on your practitioner. Next time you ask for price of a syringe of Restylane-please do consider this. Ask for before and afters and if you see lots of pillow faces you have the option to walk away!
What is wrong with the alternatives that have been suggested in this article?
I am surprised by some of the suggested alternatives and outline my concerns with each of these here-
This is a technique of injection of multiple ingredients and there are no standard formulations. You don't know what is being injected and results are not as good as standard cosmetic procedures such as botox, fillers, lasers & radiofrequency.
This is a procedure involving injection of patients own blood cells into the skin. Again this has been tried in various forms for last many years. This reminds me of Isolagen which was a procedure involving taking patients own cells and injecting them. Majority of patients spent thousands of pounds but were very disappointed with the results and eventually it was withdrawn. My advice-don't be a guinea pig. There are lots of tried and tested products out there and these work very well.
The old-fashioned facelift
Agreed, this can't be beaten for skin tightening. But, this only tightens loose skin, you may need a combination with fillers for restoring lost volume or you might get the dreaded wind-tunnel look. One more important point-no true skin rejuvenation takes place with a face lift, unlike laser resurfacing where true skin rejuvenation occurs.
What can I say, I like radiesse but this is a type of dermal filler. So, to say avoid dermal fillers but try radiesse instead does not make sense.
Let me know what you think and you can find out more about these procedures on our website-
Natural look with dermal fillers
Laser skin rejuvenation
Search Engine Submission - AddMe
Saturday, 28 May 2011
Friday, 27 May 2011
Summer is upon us and unfortunately higher temperatures mean worsening of sweating issues for some of us. If you suffer from increased underarm sweating, worry about sweating through your clothes, work in close contact with others or in hot conditions or have to make public presentations
then you may consider treatment.
Generalised sweating can be due to certain medical conditions but often sweating just affects underarms, most commonly affected area without any underlying problems. If underarm sweating is significantly interfering with your daily activities and anti-perspirants have not worked, you may be a candidate for botulinum toxin type A treatment.
Often patients have tried various over-the-counter products
or stronger antiperspirants prescribed by the GP. One very simple and highly
effective treatment option is botulinum toxin injection treatment which can
result in dryness for up to one year or more. It takes only a few minutes and
almost all of our patients have it once a year. The alternatives are surgical
options or to do nothing. Lack of awareness can be a problem as we often see
patients who have suffered for years with this crippling condition. They are
delighted by the results from such a simple, quick and painless procedure.
If you would like to find out more please log on to www.coltishallclinic.co.uk. o
r call 0800 0430737.
Saturday, 23 April 2011
Monday, 14 March 2011
Last week has been particularly hectic for me. I have used plenty of hyalase. This is an enzyme which is used to dissolve hyaluronic acid based fillers. I had to dissolve fillers done elsewhere as patients were not happy with the results. This may be due to various reasons but it illustrates the point which I have been trying to make. Unless there is a good reason not to use hyaluronic acid, it is always my first choice. I also prefer restylane range of fillers as these have unmatched safety data with more than 12 million treatments carried out worldwide.
OK, there are cheaper fillers available but I want to be absolutely sure that I am using the best product.
It gives me flexibility to reverse or modify the effects if there is a problem-and it is very rare to have to do this but it is nice to know that it is possible.
Permanent fillers can cause problems which are difficult to rectify. A filler that looks good today may look unsightly few years down the line, what will you do if you don't like it then?
Then there are bio stimulatory fillers which can also cause granulomas. This can occur many months or years after the treatment. Some doctors use fat but hyaluronic acid fillers are readily available, cheaper and one does not need to extract fat from somewhere! Also what happens if you gain weight in the future- the filler will become fat too!
I am not suggesting that there is no place for fat or permanent fillers or indeed bio-stimulatory fillers. I am sure some doctors are pretty good at doing these and get great results. I just think that there are simple and better options available and as aesthetic treatments are elective treatments we must try to minimise chance of things going wrong.
Sunday, 6 February 2011
Numerous treatments are available but laser and light based treatments are the gold-standard treatment options. Commonly used lasers are ktp and pulse dye lasers for red veins and nd-yag lasers for blue veins. The smaller wavelength lasers work well on superficial spider veins whereas, the longer wavelength lasers are effective for the ablation of slightly deeper and larger veins. Pulse duration must also be matched to vessel size; the larger the vessel diameter, the longer is the pulse duration required to treat the vessel.
Recently intense pulsed light devices have gained popularity. Unlike lasers, IPL devices produce a broadband light and effectively target a number of cosmetic concerns such as brown/ black pigmentation and red and blue vessels simultaneously. IPLs also tend to have larger spot sizes and purpura [bruising] is not a required endpoint as is the case with certain lasers. Patients see gradual but very noticeable improvements with complexion blending and brightening achieving photo rejuvenation of the skin.