Coolsculpting - Sometimes in our life we decide to take control of our body shape and aim to reverse the lumps and bumps of fat acquired during puberty, pregnancy, absent-mindedness and other times of physical change. Age and hormonal changes can make it difficult to shift these areas without becoming uncomfortably thin. All languages have names for these areas, suggesting it is a world-wide phenomenon and desire to rid them from our bodies! Love handles, muffin tops, banana fat (under the bottom) and bingo wings are all terms that we are familiar with and may start using of ourselves. The Coolsculpt device is FDA approved to permanently remove stubborn fat from the body by literally freezing it away. No injections, no surgery and no scars. Many fat-freezing devices are available but Coolsculpt has been proven to work and to be safe, so safe that the whole body can be treated within a day. The number of treatments that you will need depends on the amount of fat that needs to go. Coolsculpt is a treatment for pockets of stubborn fat, not generalised obesity. However even people with generalise fat storage have stubborn lumps and bumps which can be treated once a diet and exercise routine is installed to control the weight problem. In this way moral can be maintained and a good overall result can be achieved even in very large people. At the first consultation we will give you an estimate of how many treatments are recommended; maybe one, two or three per area. The frequency of the treatments depends on your needs; we can repeat the treatment from after four weeks. Each area takes about an hour to treat. There are various head sizes available, we will select the best one for your body shape. One large head will treat the same amount of fat as two small heads, although some areas will respond better with two small heads. For this reason we keep the charges comparable between large and small so that we select the best treatment option for you. Afterwards the area can be swollen and tender. Some people experience weird sensations such as pinching or stabbing a few days after the treatment. If this is intolerable we can prescribe painkillers stronger than over the counter medicines for those few days. After a few days the swelling subsides and the results begin to show. Best results are achieved after three months, maximised of course by your own efforts.
Mole, Warts, Skin Tags And Warts Removal
Dermatoscopy The dermatoscope is a hand held magnifying lamp that magnifies the lesion by ten and gives us a bird's eye view of the skin from top to bottom. Lesions have a very specific pattern which enables us to decide pretty much there and then what it is. An image can be taken for future reference or for a second opinion. The dermatoscope is a very handy device that can give you an instant diagnosis and minimise the need for a skin biopsy. It will give us the confidence to remove non- malignant lesions if you feel they are unattractive. The lesion will be sent to histology to confirm the diagnosis. Dr Elisabeth Dancey has completed her minor skin surgery course with the PCDS and will remove any simple lesions. More complicated or suspicious lesions will be referred back to your GP. Minor surgery is not always available on the NHS as they concentrate on malignant lesions. Some trusts have a policy of not removing benign lesions at all. Understandable in these straightened times but some lesions are simply not attractive. As we get older more lesions tend to develop. Whilst women ask for them to be removed themselves, it is often the wives that remark upon the lesions on their men folk. Most lesions can be shaved off using a scalpel. The area to be removed is first numbed with local anaesthetic, then the lesion removed. Any bleeding that ensues is immediately stopped with the cautery device which also tends to make the skin shrink, reducing the size of the scar. A dressing is applied which needs to remain for a week. The area heals gradually over the next few weeks and will leave a small scar. It can be a bit painful for a while once the anaesthetic wears off. The area will need to be kept clean and dry for a week. We apply water proof-plasters. Actinic Keratosis This is the medical term for the dry scaly spots that appear on sun exposed areas of the face. The sooner they are treated the better as a very small percentage may turn into something nasty. Cryotherapy is recommended for AKs once diagnosed with the dermatoscope. Seborrheic Keratosis These, too, may be caused by the sun and develop on the face and body after about the age of 50. They are brown and scaly and can look alarming. A quick check with the dermatoscope reveals their characteristic harmless features. Small ones can be removed with cryotherapy; larger ones need to be shaved off as a shave excision. Skin tags These can appear in areas of constant trauma (under the bra strap, the neckline and armpits), but frequently for no apparent reason. They are not nasty but unattractive and many people feel happier without them. They can be easily removed with the Radiolase device or shave excision, depending on their size. Warts and Verrucae These are viral infections of the skin. Eventually the body develops immunity to them and finally fights them off, but this can take many years. Warts can be removed with minor surgery, the laser or cryotherapy, depending on their size and position. First of all the hard skin is removed, then they are zapped by whichever energy device we feel is the best. Verrucae are warts on the sole of the foot but are pressed into the skin by constant pressure. There, too, can be treated by removing the excess hard skin then zapping them with the laser. Cryotherapy This is an age-old technique that freezes the lesion causing it to die and drop off. We use the Cryopen because it has a small jet of liquid nitrogen and can treat small areas with little damage to the surrounding skin. Many people are familiar with the bubbling canister of dry ice lurking in the corner, but the cryopen uses small canisters of nitrogen to achieve results. It is clean, quick and pain free. The areas treated become quite brown then drop off about ten days later. Cryotherapy is used for brown spots on the face and hands, warts and actinic keratosis.
Platelet Rich Plasma (prp)
This is the most exciting treatment that we offer in that it appears to be able to reverse the effects of age on the tissues of the face, in fact any treatment area. Plasma therapy was developed to repair injured and inflamed tendons, periodontal areas and other parts of the body that can be slow to heal. Now we use it on the face to revitalise all the tissues; skin, fat pads, muscle and most excitingly, the bone. The key to a successful treatment is how the blood and platelets are treated during the extraction process. The vital growth factors are held within the fragile platelets. Rupture or activation of the platelets too early in the process means that the growth factors will start to degrade and be less active. We use the PROTEAL system (a trade-marked process) that preserves the integrity of the platelets right up to the injection. Some growth factors are found in the plasma itself. Many systems separate the platelets from the plasma, use the platelet rich plasma (PRP) then discard the plasma that is poor in platelets (platelet poor plasma). Many good growth factors are thrown away in this process. This is why we use all of the plasma that has been harvested. The reality is that we are still learning about the science and developing the technique. This is one of the most exciting areas of medicine. We can use our own plasma to heal ourselves. Furthermore the tissues are so intelligent that they respond only as necessary, according to our personal blueprint held in our DNA. PRP can be injected anywhere to achieve rejuvenation. Scars, however old, respond well. The delicate eye area responds well to PRP, likewise skin quality. The number of treatments depends on the condition of the skin or underlying tissues. A young person who wishes to maintain their looks might just need one treatment per year. Three treatments one month apart are recommended for most people. Maintain the results with a yearly treatment. Plasma can be administered with fillers at the same treatment in order to achieve instant volume and rejuvenation. Plasma aids healing from fractional resurfacing, Dermaroller and other invasive methods of rejuvenation. Wherever you need healing, think plasma. The treatment is not painful although numbing cream is available. It is administered with a fine needle. It swells a bit afterwards and can bruise occasionally. The best results are seen three months after the treatment. People will just say that you look well. Plasma can also be used for acne scars, post-operative and burn scars. It can be used for tendinitis, muscle injuries and in fact anywhere that requires repair and regeneration.
These appear as reddish-purple flares of veins visible just under the skin. Sometimes they appear after pregnancy, although the fact that we are upright seems to be the major cause. Sun exposure can play a part, as can standing, genetic factors and excess body weight. These can be treated by microsclerotherapy, a longstanding technique that involves injecting a medicine directly into the vein to stick them together from the inside. It's a bit like injecting glue into a hosepipe. Most people require three treatments spaced two weeks then four weeks apart. The results normally last for many years. Whilst most little veins are amenable to treatment, some veins are fed by a bigger, sometimes varicose vein. In this case treatment of the larger vein may be the only way to deal with the smaller ones, in which case we can refer you to a specialist.
Cosmelan Treatment Before and After
Cosmelan/Dermamelan 1 and 2 Cosmelan 1 is a peel that is suitable for all skin types. Most classic peels are on and off within a matter of minutes, but Cosmelan 1 is a mask that is applied to the face. Over the next 8 - 10 hours the pigment stabilising and peeling agents in the mask permeate gently through the skin, reaching the deep layers and the pigment cells. The pigment stabilising agents, all plant extracts, ensure that there is no rebound hyperpigmentation during the peeling phase. This would otherwise be a risk in darker skins. The peeling agents separate the pigmented upper layers from the new skin underneath and the peeling starts the next day. The skin will be red and peeling over the next four to five days during which a recovery cream is applied. The initial phase of peeling and removal of pigment is followed by the maintenance phase. This is where Cosmelan 2 cream comes in. This is a more mild form of Cosmelan 1 and ensures that the pigment cells are completely stabilised and that no further pigmentation develops. Cosmelan 2 should be continued for up to a year in order to achieve best results. The pigment cells will eventually forget to make excess pigment when treated with Cosmelan 1 and 2 and with UV avoidance, which should be as strict as possible in the first year. You don't have to go through the full Cosmelan treatment with its attendant down time. Gentle peeling will remove the uppermost layers of pigmented skin and when combined with Cosmelan 2 will achieve similar results but just take a bit longer. Cosmelan 2 cream alone will also achieve results and is useful for smaller patches of light pigmentation.
V Soft Threading Demonstration
PDO threads originate from the Far East, mostly South Korea. They are specialists at micro-engineering and their threads are based on PDO (polydioxanone) used as surgical sutures for over thirty years. These, too, dissolve after eight months, generating new collagen throughout that period. The Korean system has been used to make round oriental faces into longer, heart-shaped European ones and to make the large round heavy low face more angular, more pointed. We have adapted the technique for use on faces of all shapes and sizes and use the V Soft brand which has a CE mark. V Soft will achieve a subtle lift of the low face, adding generalised volume and refreshing the complexion. The threads can be concentrated around any problem area so are very versatile. They can be used for the whole face or certain areas such as the neck, mid-face or forehead. They can revitalise a previous face lift and complete a Silhouette Soft lift. Barbed threads are now available. These PDO threads include a unidirectional barb in their design that holds onto the tissues allowing both lift and volume. They fall between the simple PDO threads and Silhouette in their lifting capacity and are recommended for the forehead, cheeks and neck. They can be incorporated into a standard V soft treatment or a Silhouette treatment. The exciting aspect of threading is that they are all compatible and can be used in one treatment or over a period of time. The advantage is one of cost, simplicity in insertion and procedure time.
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