Post on 22-Nov-2014
description
Cosmetic Medicine
8 years cosmetic medical experienceBritish Association Cosmetic DoctorsDiploma of Cosmetic MedicineOver 7000 cosmetic procedures
Dr Raj Acquilla
Laser & IPLMinor surgeryVasectomyCosmetic Dentistry
BotoxDermal fillersChemical PeelsCosmeceuticals
Services
What Is Beauty?
SymmetryProportionSexual dimorphismYouthfulness
Visual focal points
Facial Ageing
SkinMuscleFatBoneTeeth
Skin Collagen + elastin - firm elastic textureMelanin - even tone and pigmentationRapid skin cell cycle - fresh complexion
Bone High density - providing architecture / projection
Muscle Less powerful - no pleating of
skin
Fat Pads in
mid-face provide volume / lift
The Youthful Face
BoneLower density = reduced support and projection
FatLoss and migration
of fat pads = sagging + jowls
MuscleMore powerful -
pleating of skin = wrinkles
Skin Loss of collagen + elastin = lines + foldsMelanin - uneven tone and pigmentation
Slow skin cell cycle - dull irregular complexion
The Ageing Face
Facial AgeingSkin
Pigmentation - Chemical peels, Laser, Drugs Lines + folds - Dermal fillers Skin cell cycle - Tretinoin 0.05%Wrinkle relaxing - Botox®Support and contouring - Juvederm
Voluma®, Sculptra™Volume replacement - Dermal fillers,
Sculptra™
Common Treatment Areas
11
Excellent safety record3 million treatments per year worldwideLicence in USA 1997 and UK 2006
Developed in 70-80s to treat blepharospasm and strabismus
Botox
12
Botox® blocks ‘signals’ between nerve
ending and target muscle
How Does Botox Work?
13Before & After
14
Common areas = frown / forehead / crows feetA few tiny injections into facial muscles using a
very fine needle
No local anaesthetic required - discomfort is minimal
Takes 10 mins to perform - no downtime necessary
Noticeable wrinkle reduction in 3-5 daysBotox Treatment
15
AVOID very strenuous physical activity
AVOID lying flat or bending down excessively
AVOID alcohol, aspirin and ibuprofen for 24 hours
DO gently exercise the treatment areas
DO NOT rub or massage the treatment areas
Botox Aftercare
16
Small area of redness at treatment site lasting 2-3 hours - common
•Bruising / swelling of treatment area - less common
•Dull heavy sensation +/- occasional headache - less common
•Ptosis (droop) of eyebrow or eyelid - rare•Double vision - very rare
Possible Side Effects
17
Certain antibiotics (e.g.. erythromycin)Known allergy to ingredientsBreast feeding
Pregnancy
Diseases of muscle weakness (e.g. Myasthenia Gravis)Bleeding disorders or anticoagulants
Contraindications
Dermal Fillers
Hyaluronic Acid
Stabilised by cross linkingTissue tailoredNon animal - no
need for skin testingSafe - cosmetic use
since 1987
Natural polysaccharide (sugar)70% of extracellular
spaceIntensely hydrophilic
(attracts water)Manufactured by sterile
bacteria
Juvederm Ultra®
US launch 2006FDA license in 2007UK since Jan 2008Soft clear
homogenous gel
Natural results - no particlesGentle treatment -
contains lidocaineLong lasting - up to
12 months
Juvederm® Ultra Treatment
Local anaesthetic cream to increase comfort
Gel injected into skin via fine gauge needleInjection sites massaged to promote even
integration into tissue
Juvederm® Ultra Treatment
Tissue expansion associated with slight burning / stinging sensation
Immediate results noticed but may be exaggerated due to swelling
Procedure takes around 30 minutes to complete
Results last 9-12m
Juvederm® Ultra Aftercare
DO NOT apply make up or creams for at least 6 hours
Consider top-up treatment at 2-4 weeks if required
DO NOT expose the treatment areas to extreme heat (e.g. sunbeds / sauna) for at least 2 weeks
DO gently massage the treatment areas for up to 2 weeks
Immediate redness, swelling, burning and itching around the treatment site are common
•Bruising and swelling lasting up to 2 weeks are less common
Cold sores may rarely erupt following lip augmentationTissue infection / abcess is
rare•Granuloma (tissue nodules)
are very rare •Tissue necrosis (sores) is
very rare•Hypersensitivity / allergy is
very rare
Possible Side Effects
Contraindications
History of severe allergy or anaphylaxis
Pregnancy / breast feeding
Anticoagulant and immunosuppressant drugs
Known bruising or bleeding disorders
26
Laser & IPLLynton Lumina Q
Laser PhotorejuvenationVascular & Pigmented lesionsThread & Varicose veinsHair & Tattoo removal
27
What is Laser and IPL?LASER (Light Amplification by Stimulation of Radiation) = monochromatic, coherant, collimated lightIPL (Intense Pulsed Light) = broad spectrum, non-coherant, divergent light
28
Laser & IPL produce various wavelengths of light which
target:Haemoglobin (blood vessels)Collagen (skin photorejuvenation)Melanin (hair and pigmented skin lesions)Ink & Dye (tattoos)
29PHOTOREJUVENATION
30LINES & WRINKLES
31
ACNE
32
SKIN TIGHTENING
33
SCARRING
34HAIR REMOVAL
35VARICOSE VEINS
36Tattoo Removal
37
Laser TreatmentSkin patch test 28 days before treatmentProtective eye gogglesLaser handpiece applied to skinFeels like an ‘elastic band flick’ Treatment area looks red / sunburned3-6 treatments at 6 weekly intervalsSun avoidance / SPF > 30 for 4 weeks
38
Redness and warmth (COMMON)Blisters and swelling (LESS COMMON)Burning and itching (LESS COMMON)Post inflammatory pigmentation (RARE)Infection and scarring (VERY RARE)
Laser Side Effects
39
Who Should Avoid Laser?Pregnancy and breast feedingDiabetes or immunosuppressionHistory of skin cancer or keloid scarringRecent or planned sun exposure < 4 weeks
Contact Cheshire Cosmetic for more information
Cheshire Cosmetic LtdKingsmead Medical Centre
Regency WayKingsmeadCheshireCW9 8UW
Appointments : 01606 544535Fax : 01606 333540
Email : info@cheshire-cosmetic.co.ukhttp://cheshire-cosmetic.co.uk/home.php