Friday, 8 October 2010

Do your hands give your age away?

Most of us look after our faces very well, but our hands take a lot of abuse and most of us pay little attention to their care and protection. They are subjected to cumulative sun exposure and wear and tear just like the skin on our face, neck, and décolleté. The skin on the hands also tends to be thin and sun damage causes brown spots, slackening, and wrinkling. These textural changes cause visible signs of ageing. Wearing a hand cream with SPF 25 and occasional exfoliation helps prevent some of this damage, but there are many effective treatments to help correct it. You can have a combination of treatments to reverse visible imperfections or pick and choose a treatment to best address the concerns that you have.

For discoloration, tone, and texture, a course of intense pulsed light treatments can help significantly over time. IPL treatments from Lumenis, for example, used to treat the hands address the effects of photoaging and sun damage without downtime. Brown discoloration will be lightened with each session. If deeper pigmented spots are your main concern, lasers such as the Q-switched Nd: YAG or alexandrite laser can lighten them more effectively. If you have sun damage generally, then we recommend a fractional CO2 laser peel for global improvement with a little downtime which can be customised to your needs.
Restylane vital is also commonly used for hand rejuvenation. Three sessions at monthly intervals can provide dramatic results as shown here.
If you are after a maintenance treatment and next step up from hand creams then a course of gentle chemical peels and or diamond microdermabrasion is all you need.

Monday, 20 September 2010

Fractional eyelift - a non-surgical alternative to blepharoplasty!

I am convinced- Surgery is taking great strides, we now have a full-face transplant surgery.
The future in facial and body aesthetics is non-surgical. Most people today prefer a quick, no downtime procedure rather than risk anesthesia and downtime associated with surgery.
Certainly our CO2 lasers are capable of providing great results for skin tightening. I have achieved a great degree of skin tightening in neck and eyelid areas. You can read more about fractional eyelift here

Sunday, 15 August 2010

BRIC dominate cosmetic surgery and non surgical procedures

I am sure you have heard about BRIC. Whilst we were all worried about the recession in the west, BRIC [that is Brazil, Russia, India & China] economies were roaring ahead.
Now it seems they have overtaken most western economies except the USA when it comes to cosmetic surgery and non surgical treatments.

Recent figures released by The International Society of Aesthetic Plastic Surgery (ISAPS) revealed a new hierarchy of countries with the most surgical and non surgical cosmetic procedures. 1st is USA , 2nd China, 3rd Brazil and  4th India.  Russia is at no 12 and UK is at 17.

The popularity of surgical procedures varied by country with Brazil, the United States, China, Mexico, India and Japan the dominant countries for the top five procedures.

The countries where non surgical procedures were performed were dominated by the United States, Brazil, Mexico and China and to a lesser extent by Japan, Hungary, South Korea, India and Germany.

The top five non surgical procedures are: toxins or neuromodulators injections (Botox, Dysport) (32.7%), hyaluronic acid injections (20.1%), laser hair removal (13.1%), autologous fat injections (5.9%) and IPL Laser treatment (4.4%).

Most popular surgical procedures were  liposuction representing 18.8% of all, followed by breast augmentation at 17%, and blepharoplasty (upper or lower eyelid lift) at 13.5%, rhinoplasty (nose reshaping) at 9.4% and abdominoplasty ("Tummy Tuck") at 7.3%.

What stands out is that more Non surgical than Surgical procedures were performed. This data relates to plastic surgeons. Recent figures also show us that vast majority of Non surgical procedures are performed by non plastic surgeons. So we can reasonably conclude that Non surgical procedures are rising at a much faster rate than cosmetic surgical procedures.
See how this compares to our experience.

Wednesday, 11 August 2010

Don't hide those legs because of Spider Veins, Varicose veins or Thread Veins


Spider and thread veins are a common problem worldwide. These are not only of cosmetic concern but can be medically important as they can cause achy and tired legs specially in the evenings after a days work.

Abnormal leg veins are more common in women who often suffer in silence. But it does not have to be this way. Often the first step is to be aware that there are excellent non-surgical treatments available for treatment of this condition.

US FDA approved Asclera [Polidocanol]

Varicose veins can be an embarrassing condition that causes patients to avoid shorts and outdoor activities. Recently, the US FDA approved Asclera (polidocanol) injections for the treatment of varicose veins.

The FDA has approved Asclera to close spider veins (tiny leg veins less than 1 millimeter in diameter) and reticular veins (those that are 1 to 3 millimeters in diameter). Asclera acts by damaging the cell lining of blood vessels. This causes the blood vessel to close, and it is eventually replaced by fibrous tissue.

Dr Gheyi has been using this medicine for last 4.5 years with excellent results. Another medicine that he uses is fibrovein which is approved in the UK. This is a further testimonial that we use safe and effective treatments in our clinic.

So what other cutting edge treatments can we offer for treatment of Leg veins, thread veins and spider veins?

For those of us who prefer not to have injections of mdicines or for those patients where we think laser is likely to offer a better solution we can offer three different state-of-the-art laser treatments.

find out more about laser treatments here

read a patients experience of leg vein treatments here

read patient testimonials here

Monday, 12 July 2010

Laser Tattoo Removal

Is your Tattoo stopping you from moving forward in life?

Would you like to have it removed in a painless, scar less way with the latest technology?

Look no further…the answer is right here….

In many parts of the world greater than 15% of adults have tattoos. It is estimated that 50% of those receiving tattoos will want to have them removed within 10 years of their application. Tattoos can have negative associations and can be a hindrance in obtaining certain jobs. Whatever the reason, the best technology for tattoo removal in now available.

Coltishall Cosmetic Clinic have announced the arrival of a new high powered laser.
“The last few years have been very exciting for us and we have continued to invest in training and education and to add new services to our treatment menu”, says practice manager Trish. “We already have 4 different IPLs and 2 different lasers in addition to light emitting diodes and diamond microdermabrasion. Now we have added a Q-switched Nd-Yag laser ‘ the gold-standard tattoo removal laser’ which will help us not only remove tattoos, but also treat people with deeper pigmentation and sun spots”.

What methods of Tattoo Removal are available?

We must stress that older methods of tattoo removal are now outdated and have been replaced by better technology. These methods included dermabrasion, chemical peels, destruction of tattoo ink by various forms of injectable substances.

Why are older Tattoo Removal methods not recommended?

Older methods used to remove the part of skin with the tattoo! The results were less than desirable due to scarring. Whilst surgical excision may have a role in some smaller tattoos, older methods of tattoo removal cause unacceptable scarring and poor cosmetic outcome.

Why are Q switched Tattoo Removal lasers so good?

Q switched lasers produce very high powered and short nanosecond [one billionth of a second] pulses of light that shatter and disperse pigment particles without damaging the skin. Consequently ink particles are removed and surrounding skin is not damages. This dramatically reduces the risk of scarring.

Is the Laser Tattoo Removal treatment painful?

We use a local anaesthetic to numb the skin so our patients do not find the treatment painful.

Is the Laser Tattoo Removal treatment permanent?

Yes. Dr Sanjay Gheyi MBBS MS FRCS FP Cert. BCAAM, Medical Director and Laser Surgeon of Coltishall Cosmetic Clinic has many years experience with IPL and lasers. He has received one to one training from pioneers of laser technology in USA & Italy and has reproduced excellent results in his clinic. He specialises in ‘no downtime’ gentle laser facials to more invasive laser resurfacing procedures and ‘knifeless’ laser surgery for lumps, bumps and skin tags in addition to botox, dermal fillers and leg vein treatments.

For Laser Tattoo or pigment removal contact Coltishall Cosmetic Clinic on 0800 0430737 or

Tuesday, 29 June 2010

Lunch time laser facial

Sometimes I hear people ask-

I don't really have much time- can I have a quick treatment without any down time or signs of having had a facial or a laser treatment and still see results? or....

I would love to have a laser treatment but I have dark skin, can I still have a laser treatment? I have heard that laser is only suitable for fair skin! or......
I do not wish to have cosmetic treatments but would like to slow down skin ageing and look fresher! not necessarily younger. or....

I tried laser/ IPL / creams/ chemical peels for my skin pigment but nothing worked. Can you suggest something?

Well, if any of these apply to you then consider our Q yag laser facial

We are impressed with it and you too can take advantage. Watch a treatment video and call us or use our appointment form to book your experience

Monday, 28 June 2010

Laser hair removal just got better

My aim is to offer best technology to my patients and clients. They come not only from Norwich or Norfolk but but also surrounding counties of lincolnshire, cambridgeshire and Suffolk.
OK I perform most of my laser hair removals myself rather than delegate it to most junior staff members. Why?
Because I believe that this is perhaps the most important & difficult treatment to do well and it takes experience to do it correctly. Low energy and it will not work, higher energy and you get side effects. It is a delicate balance.
Then there is the technology. No one machine works best for everyone. Hence we have invested in what I believe to be the best technology out there for laser hair removal. Often we see the same old technology being repackaged and introduced as 'latest advance in laser hair removal'. Well, it is not, it is a marketing technique. I am yet to see a true technological breakthrough that outperforms the time tested Alexandrite laser for laser hair removal on fair skin.
Then there are some IPLs which can do a fair job but these are not the best. Sometimes these are combined with RF energy but I do not believe that this combination offers any advantages. If you search the internet for 'laser hair removal' the majority of search results will indicate IPL rather then true laser and a few will claim IPL is better or latest! No, it is not. I can tell you as I use both.
So what machines do I use in our clinic-
IPL 645-1200nm
IPL 695-1200nm
Nd-yag 1064nm
Alexandrite 755mm
Q switched Nd-yag 1064nm
How do we choose- we consider your skin type, hair type and body area to treat and then decide which machine will work best for you. You do need to have a proper consultation for laser hair removal. This is not a salon service. This is a medical service and we see people who can have medical reasons for hair growth and further testing or issues may need to be considered.
What about the pain and speed! It is not painful, sensation is just like snap from a rubber band. A cool gel is used with IPL and cool spray with our laser which is incredibly fast and allows us to treat a full back or lower or upper legs in under 40minutes. It is very safe and offers unmatched results.
More information and treatment video here