3 posts tagged “restylane”

The number of clients having medical cosmetic treatments is increasing each year. Much of this is due to more affordable procedures as well as increased awareness and knowledge. Not only is demand for the more well known treatments such as Botox and dermal fillers increasing, but there is considerable demand in the number of clients requesting treatments to rejuvenate the hands and the décolleté.

These areas are often neglected and whilst most women are now very aware of the risks of sun damage to their faces, they often neglect their hands, neck and chest. Many of our clients complain that their faces look great, but their age is given away by their hands, neck and chests.

Dr Lucy Glancey recalls one of her patients proudly showing her new 4 carat diamond ring, a present for her 60th birthday and she commented that life wasn’t fair! “How so?” I asked, “Well just as you are able to afford a huge diamond ring your hands look so aged that you are embarrassed to show them off.”

“These types of comments have prompted cosmetic Doctors to look at rejuvenation procedures available and develop new techniques” says Dr Glancey. “First and foremost we ensure that our patients protect these areas from the sun by using a good sun protection of at least an SPF of 30. Most of us are so careful about putting sun block on our faces, but how many remember the neck and décolleté? While driving in the car on a sunny day our hands are exposed to the sun light and if unprotected can become pigmented. While in our twenties and early thirties we get a nice even chocolate tan which looks attractive, later on in life our sun damaged melanocytres tend to produce patchy pigment which results in ‘sun spots’. The natural ageing process also causes our hands to lose fat and again this can give a very aged look. The décolleté can be easily damaged by spraying perfume on the neck and chest area and then exposing it to the sunlight. This causes a photosensitive response and increases the ageing process. As we sleep the décolleté can become ‘squashed’ and particularly in larger breasted ladies. This produces the lines and wrinkles running up from the breast as well as creepy looking skin. The hands, neck and décolleté are areas of the body that ladies like to be able to show off and therefore they are looking for effective anti ageing treatments.”

There are various procedures for hand rejuvenation and one of the more drastic ways is to remove the veins on the back of the hands. Because of the loss of fat the veins become more prominent so rather than this drastic approach it is better to replace this lost volume. “Another reason why we do not like to remove the veins” says Dr Glancey “is because the veins can be life savers and should you collapse on the street you may need the intravenous access”.

One way of replacing the volume in the hands is by redistributing the patients’ own fat. Autologous fat transfer can be performed with a device called Lipivage. A small amount of fat is harvested from areas such as the inner thighs, tummy or knees. The fat is then ‘washed’ and then immediately injected back into the treatment area. The patients are required to wear bandages for a few days after the procedure and there may be some bruising. However, once this has all settled the hands look beautifully plump and rejuvenated.

A disadvantage of this technique as with any procedure involving the patients own fat is that the body may metabolise it quickly and therefore we cannot predict how long the effects will last. An alternative to using fat is to replace the volume using synthetic soft tissue filler. A technique known as Mesotherapy which involves multiple injections used to plump up the hands and décolleté with a product that re-hydrates and replaces hyaluronic acid. A new product called Restylane Vital® can be used in both the hands and the décolleté area over three sessions. Dr Glancey comments “we are getting really nice results which can last from 6 months to a year.”

Restylane Vital® a crystal clear gel which is injected into the dermis to moisturise the patients own skin from within. The active ingredient, hyaluronic acid, is found naturally in the body, but its production decreases with time. Restylane Vital® stimulates skin cell activity to increase the production of collagen and elastin, so hands and the décolleté looks plump and youthful.

Another procedure that can be very effective on these areas is Intense Pulsed Light. This treatment modality not only rejuvenates the skin, but eliminates any pigment such as age spots and broken capillaries. “A typical condition that patients complain about on their neck and décolleté” says Dr Glancey “is telangiectasia and poiklioderma. This condition is characterised by matted broken capillaries either side of the neck and across the chest. Intense Pulsed Light will target the dilated capillaries as well as any sun spots. Another great advantage of using IPL is that is stimulates collagen production and when combined with Mesotherapy the results are fantastic.”

If you require further information about Mesotherapy or have any other questions please visit www.cosmeticclinics.co.uk or www.glanceymedical.co.uk

There are a lot of dermal fillers on the market at the moment and we have decided we would compare some of the market leaders; or rather the differences in what they are composed of, rather than specifically choose products themselves (as many are fairly similar).

So what are the 2 differing types we are going to compare? Hyaluronic Acid and Polylactic Acid, the former being used in products such as Restylane and Juvederm the latter in Sculptra.

Hyaluronic Acid Gel is the main component in many dermal fillers and, just like Polylactic Acid, offers excellent results. It is an injectable gel that offers immediate results to the treated area. The gel lifts folds and wrinkles and is perfect for nasolabial (nose to mouth) folds, frown lines, fine lines and wrinkles, tear troughs, hands and the neck and cleavage areas. Hyaluronic acid dermal fillers are perfect for lips and lip lines as well.

As stated the results show immediately, and it offers a very natural looking results. It has very little if any side-effects associated with it but does have some minor after-effects such as minor redness, swelling and possible bruising. It normally requires one or two treatments to get the desired results, and they will normally last around 4 – 12 months depending which brand of filler is used. Fillers such as Restylane and Juvederm are proceeding in around to £200 to £1000 mark.

Sculptra uses the suspension of polylactic acid to achieve its results, this involves the acid being released in the desired are over time and in turn this causes the stimulation of new collagen. This means the effects are not immediate but instead they improve over several weeks. However as it stimulates new collagen formation in the skin it means it looks completely natural.

Like hyaluronic acid, polylactic acid suspension is perfect for all facial areas, hands, neck and cleavage areas, but it is not suited to lips or lip lines. However Dr Tanqueray of Mulberry House believes that Sculptra offers a more comprehensive approach as it allows him to look at the face as a whole and restore volume in a more general and balanced way, so it may not be as good for lips, but is arguably the better option otherwise.

Again there are little to no side-effect associated with this treatment and the side effects really only include possible bruising as a common factor. It normally requires 2-4 treatments for the best results and costs start at £400 and go up to around the £2000 mark. However this treatment tends to last 18 months to around 2 years, making it a much longer term solution.

Both of these dermal fillers can actually be used together to give outstanding results were needed and both are available from Mulberry House Clinic.

With another year over, we though we'd have a look back at those cosmetic procedures and treatments that were the most popular during 2008.

No. 1: BOTOX (Botulinum toxin) maintains the top slot.

Botox is most commonly used as a treatment for frown lines on the forehead, though it is also an effective treatment for wrinkles, crow’s feet and neck bands as well. Botox is very popular with many celebrities.

No. 2: The Restylane family of treatments continues as market leader and our favoured choice of dermal filler.

Restylane is an injectable treatment that contains hyaluron gel. The treatment help restore volume to the skin, provide lift and smooth away and soften facial lines. He procedure involves I injecting the Restylane compound into the desired areas in the face.

No. 3: Laser Treatments – these still offer the best results for hair removal, thread-veins and sunspots.

There are many laser treatments available. They range from hair removal and skin rejuvenation to treating leg and facial veins, acne scarring and Rosacea

No. 4: Facial peels and microdermabrasion - wonderful ways of freshening and brightening the skin without any disruption.

Microdermabrasion is a popular cosmetic procedure used to treat conditions such as fine lines and wrinkles, age spots, blotchy skin and blemishes and acne scarring among other things.

Chemical Peels and facial peels are used to remove the outer layer of skin. This makes the skin fresher, removes some sunspots and rough scaly patches, and reduces freckles and irregular pigmentation. It also reduces fine wrinkles.

Big movers up the charts in 2008 have been Sculptra, and OBAGI Nu-Derm prescription skincare and we predict that these will see a continuing increase in popularity during 2009.

You can read our previous article on Sculptra here.

One to watch for 2009! – Vavelta is a new treatment for scarring and skin rejuvenation. We are focussing on its use in scarring and are already seeing good results.

For more information on any of these cosmetic treatments contact Mulberry House Clinic on 01604 702630 or visit www.lasertreatmentsnorthampton.co.uk