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What is Botulinum Toxin?

Botulinum toxin type A (BOTOX®, or VISTABEL®) is used for treating frown lines, eye lines (crow's feet), forehead furrows, lip lines, neck lines, and down turned mouths.

- Frown lines
- Eye lines (crow's feet)
- Forehead furrows
- Lip lines
- Neck lines
- Down-turned mouths.

It can also be used for preventing excessive perspiration in under arms and hands (Hyperhidrosis).

How does it work?

The injections temporarily relax facial muscles, helping reduce the muscle contractions causing lines and wrinkles and ultimately helping the skin to repair.

After an initial consultation our doctors will assess the severity of the muscle contractions causing the lines and wrinkles of the area to be treated, and then carefully administer a few tiny injections of Botulinum toxin. This is a very quick procedure taking 15 – 20mins.

Botulinum toxin take a few days to penetrate the muscle. The results vary from person to person, but one would expect the results to last around 4-5 months.

Is it safe?

It is safe, quick and uncomplicated. The injection can be combined with other treatments such as dermal fillers (e.g. Restylane® and Perlane) to give you the look you desire, and just to ensure you are totally satisfied with your new look we offer you a free follow-up consultation.

Is a local anaesthetic necessary?

No. It is generally regarded as pain-free, with most people only experiencing a mild temporary discomfort. There may be a little bruising or swelling around the injections' sites, easily covered by makeup, and which naturally resolves over a few days.

Are the results immediate?

It starts to work from about 2-3 days, and maximum effect can be seen after about 2 weeks.

Will it leave me expressionless ?

No. Our doctors are trained to ensure that the correct amount of the toxin used is specific to each individual need.

How much do treatments costs?

It starts to work from about 2-3 days, and maximum effect can be seen after about 2 weeks.

Will it leave me expressionless ?

Treatment prices start from £195. This includes a free follow-up consultation to ensure you are totally satisfied with your new look.

BOTOX® is a registered trade mark of Allergan Inc.

FAQ's: Dermal Fillers/ Rejuvenation

What are Dermal Fillers?

Most of the dermal fillers we use ( such as Restylane and Juvederm ) are made from Hyaluronic acid which is a natural substance that is found throughout the body, which, for example, gives volume to the skin and lubricates the joints. Therefore, as a natural substance it is less likely to produce any allergic reactions.

Sculptra is made from poly-L-lactic acid, used in procedures for more than 25 years, it is biocompatible and biodegradable.

How is it administered?

Different injection techniques are used depending on the type of filler and the area being treated.

Using a fine needle our doctors inject small amounts of the gel directly into the skin, which lifts the wrinkle to the level of the surrounding skin, or enhances the contours/volume of the lips to the desired level.

There is also what is known as 'mesotherapy' technique whereby a small needle is 'bounced' across the skin introducing small amounts of gel creating a radiant, glowing, youthful skin - smoothing superficial wrinkles.

How long does it last?

Generally for about 6-9 months, however, some dermal fillers such as Sculptra last for up to 2 years.

Are there any side effects?

Immediately after, the treatment site can be slightly swollen and red, which normally settles in 1-2 days. Very occasionally patients can suffer some bruising at the injection site.

Are there any long term problems?

No. As it is completely natural the gel will dissolve over time.

Are the injections painful?

The injections are regarded as relatively painless, although lip enhancements can be quite uncomfortable and we would suggest using a local anaesthetic beforehand.

Can it be used with BOTOX®?

Yes, sometimes to create the best effect they can be used together.


FAQ's - Sculptra

How many treatments will I need?

Usually 2 or 3 treatments are required and the results should be noticeable after approximately six weeks.

How long does is last?

Clinical studies have shown that the results of Sculptra can last for more than 3 years

Are they any side effects?

The most common side effect includes bleeding, tenderness or pain, redness, bruising or swelling at the site of injection. These side effects generally resolve in 2-6 days. One possible delayed side effect with Sculptra can be small bumps under the skin in the treated area. These small bumps may not be visible, and you may notice them only when you press in the treated skin. These bumps tend to happen within the first 6 to 12 months after the first treatment. Occasionally these bumps go away on their own. Visible bumps, sometimes associated with redness or colour change to the treated area have also been reported.

Are they any side effects?

The most common side effect includes bleeding, tenderness or pain, redness, bruising or swelling at the site of injection. These side effects generally resolve in 2-6 days. One possible delayed side effect with Sculptra can be small bumps under the skin in the treated area. These small bumps may not be visible, and you may notice them only when you press in the treated skin. These bumps tend to happen within the first 6 to 12 months after the first treatment. Occasionally these bumps go away on their own. Visible bumps, sometimes associated with redness or colour change to the treated area have also been reported.

FAQ's - Photorejuvenation

How much of a difference will I see after the treatment?

Please click here to take a look at our gallery of Before & After photos

What is Intense pulsed light laser treatment?

IPL produces an intense, but gentle burst of light that is especially optimized to treat a particular target lesion in the skin. The light is absorbed only by the target lesion being treated. PhotoRejuvenation is a treatment breakthrough that can correct a variety of benign skin conditions, such as facial skin imperfections, the signs of aging, birthmarks, unsightly small veins and other blemishes. It is safe, non-invasive and virtually painless.

What types of unsightly veins can be treated with the IPL System?

Many IPL systems are equipped with two different light technologies, making it the treatment of choice for both the blue type of thread veins, and discolored clusters, commonly called "spider veins" that are near the skin's surface. These veins respond to the precise energy level and wavelength of light that is used. A small pulse of light travels through the skin, and is absorbed by the blood within the vein. The resulting heat coagulates or clots the blood, and destroys the function of the vein. This process does not affect the surrounding tissue. Over time, the vein is absorbed by the body and disappears from sight.

How is IPL used to treat benign vascular lesions?

The face has an extensive network of veins and tiny blood vessels called capillaries. Over time, aging, trauma, sun exposure and certain lifestyle factors cause a them to become more prominent or break - these breakages appear as red streaks, spider veins, or blotches on the skin. The IPL treatment destroys capillaries and excess blood that has leaked into the skin without harming surrounding tissue. Overtime, the capillary is reabsorbed by the body and disappears.

How does laser resurfacing treat fine lines and wrinkles?

IPL can be used to treat fine lines, wrinkles, scars, dark spots and other skin irregularities, layer by layer. This process also stimulates the formation of dermal collagen to improve elasticity and support for the skin.

Are there any side effects?

Treatments should lead to complete disappearance of selected target lesions without scarring. Side effects are very rare, but as with any procedure, the skill of the laser surgeon is paramount. Occasionally, however, patients may encounter a temporary brown discoloration of the skin for some weeks after treatment.

How is the PhotoRejuvenation procedure performed?

A cold gel is usually applied to the area to be treated, and you will be given dark glasses to protect your eyes from the bright light. The smooth glass surface of the IPL handpiece is gently applied to your skin and pulses of light are applied. You may feel a slight sting, like the snapping of a rubber band. Treatment is generally administered in a series of procedures.

FAQ's - Hair removal

How does the Intense Pulsed Light system work?

The energy from the light source is taken up by the pigments (melanin and Haemoglobin) in the skin, hairs and blood vessels. Selective filtration makes the energy uptake specific for melanin (600 to 950 nanometres) or haemoglobin (530 to 950 nanometres); thus the system can be used for hair removal, vascular lesions and pigmented lesions. Hair removal is accomplished by the generation of heat from light in the melanin which is then transferred to the hair follicle (root). Pulse times of this applied light have been chosen to destroy the hair follicle by heating for at least 1millisecond (one thousandth of a second) to 70 degrees centigrade.

Why is gel used?

It is necessary to apply a thin layer of gel to the skin prior to treatment to assure an optimal optical transmission of light from the applicator to the skin.

How is the treatment carried out?

The Applicator (hand piece) is placed in contact with the skin surface and the light pulsed through it onto the skin. The applicator is then moved to the neighbouring area and the process is repeated.

Who can be treated?

Hair removal: Dark hairs are most easily treated due to the large concentration of dark melanin in these, which gives maximum absorption and conversion of light energy to heat. Very fair hair has less melanin and consequently less heat is produced making it slightly less certain of permanent destruction of the hair follicles. Grey (white) hair has almost no melanin and cannot be efficiently treated. The upper skin layer, of the epidermis, also contains melanin and the concentration increases when the skin is exposed to UV light. It is therefore necessary to treat dark skinned and tanned individuals with less energy to avoid generation of excess heat and pain in the skin. The Pulsar computer has pre-programmed treatment suggestions for different hair and pigment types.

Does it hurt?

As the light energy is absorbed by the pigments (melanin and haemoglobin), the pain depends upon the concentration of melanin in the epidermis and the hairs combined. Consequently it hurts more in dark skinned people and those with dense, dark hairs. No anaesthesia is required and most patients describe the pain as moderate and acceptable (as if a rubber band is snapped against the skin).

Does the patient need to shave prior to treatment?

Hairs should be 1 to 2mm long when the patient comes in for treatment so it is possible to mark out the treatment area. Long hairs take up the energy and prevent all of it reaching the hair follicle. Therefore hair is trimmed just before treatment for maximum transmission of the energy. If the hair is normally shaved and can be seen when shaven then patients can shave right up to the day of treatment although plucking and bleaching should not be done. By avoiding epilation and waxing 4 weeks before treatment it ensures as many follicles as possible contain a hair and thus can be destroyed by the light.

Why do hairs 'grow' after treatment?

Contrary to other treatments, hairs are not vaporised by the Pulsar treatment the hair follicles are killed by the heat but the hairs remain in the skin and often become attached to the epidermis. They will fall out after 1 to 3 weeks as the epidermis is renewed. During this period it will seem that the hairs are growing as they are pushed out by the epidermis.

How can you tell if the treatment has worked ?

After treatment the hairs are often loose within the follicle and can easily be pulled out with tweezers. A red ring around each follicle is often seen a few minutes after treatment. These two things are good indications that sufficient heating of the follicles has taken place. Unfortunately they are not always seen and we have seen many patients with successful treatment results without the post-treatment signs.

What are the side effects?

The visible light is completely safe so no special precautions are needed apart from glasses for the brightness. The skin of some patients becomes quite red immediately after treatment and very rarely small blisters as from excessive sun exposure can occur. However, most patients experience no side effects at all and the described skin reactions above usually disappear within hours to a few days.

How many treatments are necessary?

Only hair in the growth phase can be treated. The number of hairs in this phase varies from 10 to 70% depending on the body site. The lengths of the growth cycles also vary. For most patients up to four treatments is enough with two to three months interval are sufficient to remove virtually all hairs. After the first treatment most patients get a significant reduction in hair density also new grown hairs tend to become finer. It is important to know that the first treatment is believed to synchronise the anagen (growth) phase of the non-anagen hairs. This may cause what seems to be regrowth but which is actually just the sleeping hairs starting to grow at the same time (new growth). This in turn makes the next treatment(s) more effective.

How do I prepare for treatment?

Patients should avoid tanning 1 month ahead of and during the entire treatment scenario to avoid excessive discomfort from excessive light absorption in the epidermis.

Immediately after the treatment the skin is particularly sensitive to UV light and strong sunlight should be avoided for 4-5 days.

How long does treatment take?

The facial treatment usually takes 10 minutes whereas both legs or an entire back use to take approximately 1.5 to 2 hours using our new 22sqcm head this is now achieved in around 20min.

Is it permanent?

Most authorities would agree that using current laser and light technology it is possible to permanently remove hair. Histology studies have found destroyed and denatured hair follicle cells post treatment.

FAQ's - Chemical Peels

What is A Chemical Peel?

A Chemical peel is most commonly performed for cosmetic reasons, to enhance appearance and self-confidence. Chemical peel therapy may be performed in conjunction with other treatments. However a chemical peel is not a substitute for a facelift, and does not prevent or slow the ageing process.

Chemical peeling uses a chemical solution in order to improve the skin’s appearance. It can reduce or eliminate fine lines under the eyes and around the mouth, correct uneven skin pigmentation, treat acne and soften the appearance of scars caused by acne. The procedure can also reduce the appearance of wrinkles caused by sun damage as well as skin blemishes common with age and heredity. Chemical peels can be performed on the face, hands and all other body areas.

What Conditions Can Improve With Treatment?

Age and Liver Spots (Lentigines) usually categorised by flat, brown areas with round edges usually found on the face, hands, back and feet. They are age-related and photo-ageing related, and have nothing to do with the liver. While they are unsightly, they are not usually dangerous. Solar keratosis and Hyper-pigmented areas due to hormonal changes and photo damage.

What is TCA?

Trichloroacetic acid (TCA) can be successful in the effective treatment of:

- Reduction of smooth fine surface wrinkles
- Reduction of superficial blemishes
- Correction of pigment problems
- Reduction of Acne/Acne Scarring

Anaesthesia is not required for TCA peels. Two or more TCA peels may be required over several courses to obtain the desired improvements.

TCA Peel patients are advised to avoid sun exposure and to use a sun protection cream (minimum SPF 30) for several weeks following treatment. Failure to comply with this recommendation may produce some unintended colour changes in the skin.

Skin Preparation may be required on darker skin tones and hyper-pigmented areas. This involves using a bleach and blend cream two weeks prior to TCA Peels. People with Active Acne also require skin preparation with the purifying cream two weeks prior to TCA Peels.

How is Treatment Administered?

The procedure involves a chemical solution that is applied to the skin. The solution causes the layer of skin to separate and peel off. The new regenerated skin underneath is usually smoother, less wrinkled and more even in both tone and colour than the old skin.

How Long Will the Treatment Take?

Typically the skin is first thoroughly cleansed. Then one of our doctors will carefully apply the TCA solution. You may feel a slight stinging sensation as the peel solution is applied, but the feeling will quickly pass.

A full face TCA peel usually takes no more than 15 minutes. Each course duration is four weeks with one peel each week. Two or more courses of TCA peels may be needed to obtain the desired result, and may be spaced out over several months.

How Can I Find Out if I Am A Candidate For Treatment?

If you would like to learn more about available cosmetic options, and find out if TCA peel treatment might work for you, please call and arrange an appointment for a free consultation with one of our doctors.

Are There Any Medical Exclusions?

Pregnant or breastfeeding women should wait to be treated. If you have a history of cold sores, you should inform the doctor prior to the procedure. You may be better suited to an alternative treatment or product. The practitioner will review your medical history with you during your initial consultation prior to administering any treatment.

During you initial consultation it is important that you discuss your expectations with one of our doctors. Don’t hesitate to ask any questions or express any concerns that you may have. You will be able to ask any treatment related questions and the practitioner will explain the planned procedure in detail, including the risks and benefits, the recovery period, and the costs.

FAQ's - Microdermabrasion

What skin problems can Microdermabrasion treat?

Microdermabrasion is a gentle treatment causing minimal damage to the surface of the skin. Results are subtle and include a freshening in the appearance and improvement in the texture of the skin, and a reduction in the appearance of fine lines or wrinkles.

Depending on your problems and expectations, we may recommend that you combine this procedure with other treatments in order to enhance results. Microdermabrasion is not suitable for deeper wrinkles and scars, deep hyperpigmentation problems or broken veins in the skin.

What happens during the treatment and how long will it take to recover?

Your first discussion with a practitioner should clearly set out your expectations and what our practitioner thinks will happen to your skin as a result of microdermabrasion. The skin is usually cleaned prior to treatment, and you will be provided with pads to protect your eyes from any stray crystals as the wand of the microdermabrasion machine is passed over the skin in smooth, stroking movements. Crystals are directed onto the face and then immediately “vacuumed” away, along with the loosened skin particles. All the waste goes into a separate, closed container to make sure that there is no risk of contamination from dead skin products. The crystals are not re-used.

Treatment usually takes around 30 minutes. Most clients find that they can return to work immediately after treatment. To gain maximum benefit we recommend that this procedure be repeated every one or weeks for a series of at least three sessions. Maintenance treatments can then be scheduled every three or four months or as required.

Does it hurt and what could go wrong?

The treatment is usually painless and doesn’t irritate the skin greatly. All clients will experience some tightness and redness of the skin, which may last for an hour or two in the area treated. Most clients see Microdermabrasion as a relaxing 30mins with a skilled clinician after completing a Botox or Filler treatment.

Who should not have Microdermabrasion treatment?

This treatment is generally suitable for all skin types. Clients not suitable are those who have any active skin infections (such as cold sores); a history of problems with skin healing; or those who have taken isotretinoin within the last 12 months.