A more beautiful you

We offer this collection of articles to assist you in better understanding cosmetic medicine and how it can help you through various procedures to attain a more youthful and fresher look through the removal of facial wrinkles and lines acquired with normal ageing. {tag_name}

IMPROVE SKIN QUALITY WITH BOTOX INJECTIONS

Website Admin - Sunday, November 29, 2015

Recent research has shown that a common management strategy for facial lines can also improve skin quality. BOTOX is a muscle relaxing injection used for many years to lighten the lines caused on the face by the action of the underlying muscles. It is great for lines in the frown area above the nose, the crows feet to the sides of the eyes and in the forehead.

In their paper from Toronto, Drs James Bonaparte and David Ellis showed that BOTOX treatments led to definite improvements in skin stretchiness and elasticity (how the skin bounced back from stretching). The effect lasted 4 months after each injection and was reproducible with ongoing treatments. Details of their study can be found here

http://cosmedmd.blogspot.com.au/2015/05/new-research-discovers-skin-boosting.html#more 

BOTOX is a safe and trusted management strategy for facial lines and now to improve skin quality.

Facial Volume Restoration Through Dermal Fillers

Dr Simon Carter - Tuesday, August 25, 2015

With ageing facial volume is lost, particularly around the cheeks, eyes and jowls. Wrinkle formation follows. Facial volume can be easily restored with a filler gel made of Hyaluronic acid (HA). Hyaluronic acid is a natural substance (a complex sugar) that stabilises the skin structure, attracts and binds water, and contributes to the elastic properties of the skin that allow it to remain tight. Injections of Hyaluronic acid into the skin are thought to replenish its natural support structures damaged by aging. HA is commonly used to restore facial volume in areas such as the cheeks and the lips and to fill wrinkles.

Over time, fillers are gradually and naturally degraded in the human body. Depending on the filler used, the effect generally lasts for between six and nine months and in some circumstances longer. Follow-up treatments are needed to maintain the effects of cosmetic fillers. Sometimes a “refinementtreatment is needed soon after a session to make small adjustments.

Usually a local anaesthetic injection will be administered thought a very fine needle before the injection of the filler. This will ensure a comfortable experience. The filler itself also often contains local anaesthetic. Your doctor will inform you exactly which filler has been prescribed for your treatment and how it will be used.

It is important to enter all cosmetic treatments with realistic expectations. Your doctor is the best source of guidance for what can be expected from your treatment.

Any management strategy for volume restoration and wrinkle management must include a quality skin care regime, avoidance of excessive sun and pollution exposure and avoiding smoking. Wrinkles can also be managed in some circumstances with chemical peels, laser and IPL (intense pulsed light). Each of these are used in specific clinical conditions. Your doctor is the best source of information.

You should avoid taking any medicine or supplements that might increase your chance of bruising or bleeding for a week before and a day after your treatment. The commonest offenders are Aspirin, Anti- inflammatory medication, Vitamin E and Fish Oil. Please consult your usual practitioner regarding regular medication to be sure it is safe to withhold.

After your treatment with fillers you should avoid the following to maximize your benefit:

  • Avoid prolonged exposure to sunlight, UV light, freezing temperatures or using saunas, Turkish baths or facial waxing for two weeks
  • Avoid massaging and/or putting pressure on the injection  for a few days

Injections of fillers can cause some of the risks listed below. Although the risk of developing a serious complication is small, your doctor will monitor you closely, and, should a complication occur you should contact them so they can use their best medical judgment to do whatever is necessary to treat the problem.

Risks associated with the use of fillers include pain, redness, swelling, bruising, tenderness or itching sensation in the treated area. These common side effects typically resolve within a few days. Occasional cases of bumps and pimples, sometimes accompanied by redness, may occur a few days to a few weeks after the injection.  These common side effects are temporary and generally disappear spontaneously in a few days. Very rare cases of reversible discolouration at the injection sites and allergic reaction have also been described after Hyaluronic acid injections. In addition, rare cases of infection and abscess (hard and swollen sore that may contain pus), granuloma (small accumulation of tissue) and blocking of blood vessels causing damage to surrounding skin have been reported. If you experience any inflammatory or other reactions that last more than 1 week, you should notify your doctor immediately. If necessary, appropriate treatment may be prescribed.

If you have previously had a filler treatment (permanent or non-permanent) you should notify your doctor prior to receiving further treatment. The possibility of unknown risks exists. The safety of fillers for use during pregnancy, in breastfeeding females or in patients under 18 years has not been established and therefore they should not be used under these circumstances. Please notify your doctor if you have epilepsy, porphyria (enzyme disorder), any allergies (including hypersensitivity to hyaluronic acid or lignocaine), an autoimmune disease, a tendency to develop keloid scarring or are taking any medications (including anti-coagulant treatment or aspirin), herbal or vitamin supplements.  Injection treatments are best avoided if there is local skin infection in the area to be treated.

Muscle Relaxing Injections

Dr Simon Carter - Tuesday, August 25, 2015

Muscle  relaxing  injections  have  been  used  for  more  than  a  decade  in  children  and  adults  to  treat therapeutic conditions such as involuntary facial muscle spasms and double vision due to eye muscle imbalances.

Their use in Cosmetic Medicine has become widespread over the last 10 years. It is a simple treatment, which is safe and effective. Many facial wrinkles are caused by the action of the underlying muscles of facial expression. Over time these wrinkles become deeper and more ingrained. The appearance of many of these wrinkles can be substantially improved by subtly weakening the responsible muscles. This does not need to result in total freezing of the face and removal of facial expression as untreated muscles continue to function normally. Tiny injections into the muscles improves existing wrinkles and can prevent new ones forming.

After an injection into a muscle it begins to weaken in 2-­‐3 days and maximal effect is at around 14 days. Occasionally refinement treatments are needed at 14 days to further improve the outcome. The amount of muscle weakens is determined by many factors including the dose and the depth of the injection. The effect usually lasts around 4 months but can be for a longer or shorter period. The muscle regains normal function after this time.

Re-­‐treatment with further doses is required to maintain muscle weakness. It is advisable to re-­‐treat before the prior dose has entirely worn off. Typical re-­‐treatment interval is 3 months.

Over a period of repeated injections the muscles become weaker and treatments can often be reduced or even ceased.

It is important to enter all cosmetic treatments with realistic expectations. Your doctor is the best source of guidance for what can be expected from your treatment.

There are no alternate treatments that achieve the same effect as these injections.

Side effects and complications are usually minimal. Your doctor will monitor you closely, and, should a complication occur you should contact them so they can use their best medical judgment to manage the problem.

Occasionally, headache, slight swelling, bruising, pain, burning or tenderness may  occur  after  injection. There have been rare reports of infection and allergic reaction. An adjacent muscle may be weakened for several weeks after an injection, which may cause a temporary drooping of the eyelid or an eyebrow. Very rarely there can be drooping of the corner of the mouth, double vision of difficulty swallowing. This could last 2-­‐3 weeks. Systemic side effects have been described rarely. They include nausea and flu-­‐like symptoms.

Injections should be avoided in patients who are pregnant, breastfeeding and in those with neurologic disease (like myasthenia gravis or motor neurone disease) or glaucoma. You also shouldn’t be using certain antibiotics when you are having these injections. Injection treatments are best avoided if there is local skin infection in the area to be treated. Make sure your doctor knows about any allergies you may have.

You should avoid taking any medicine or supplements that might increase your chance of bruising or bleeding for a week before and a day after your treatment. The commonest offenders are Aspirin, Anti-­‐ inflammatory medication, Vitamin E and Fish Oil. Please consult your usual practitioner regarding regular medication to be sure it is safe to withhold.

After your injections you should do the following to maximize your benefit:

  • Exercise the injected muscles every 10 minutes for 4 hours
  • Avoid massage and rubbing the treated area
  • Avoid lying face down or other direct facial pressure for 24 hours
  • Avoid strenuous exercise, facials and facial waxing for 24 hours
  • Avoid excessive sun exposure and solarium use for 24 hours

A Skin Management Program is Essential to Good Complexion

Greg Tomkins - Tuesday, August 25, 2015

Managing the texture, pigmentation and lucency of your skin is easily as important to your aesthetic outcome as more specific management strategies like wrinkle injections. The use of physician only cosmaceuticals in an individualized prescription will ensure maximal benefit from all management strategies.

Like all good skincare regimes, we begin with cleansing of makeup, dirt and oils and . If acne or skin infection is an issue restoration of skin pH to normal topical antiseptics are included. If there is irregular pigmentation or the skin is naturally dark a mild bleaching agent may be added. This is important to reduce the risk of post inflammatory hyperpigmentation, a patchy increase in pigmentation that can rarely occur after treatment of these skin types.

Vitamin A derivatives are included to stimulate collagen formation and blood flow.

These components are all used twice a day.

The morning regime also includes exfoliation to remove dead superficial cells and improve skin luminescence and is rounded off by adding sunscreen and makeup if desired.

Before undertaking a cosmetic treatment, your doctor may suggest you undertake a period of intense skin conditioning – usually for 4 to 6 weeks. Conditioning your skin for this period optimizes your response to your cosmetic treatment. Your skin cells are rejuvenated and ready to respond. This minimizes your chance of adverse outcomes like patchy pigmentation changes or scarring.

When you begin prescription skin management or during intensive skin conditioning your skin can be expected to be dry and you should use an Aloe Vera based moisturizer regularly. Expected side effects of the treatment are redness, burning, burning and flaking. They are caused by the combination of the exfolient and the vitamin A cream. If required you can take a 3 day break from these components of the program.

Extra care must be taken if you have acute facial dermatitis, cold sores, if you are on oral steroid medication or have taken Roaccutane in the last 6 months – please notify your doctor. Do not use prescription facial care if you are pregnant or breast-feeding. 



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