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FAQ

ACNE
What causes acne?
There are 4 major causes of acne:

1 –Excess sebum (‘oil’) production
2-Overgrowth of bacteria on the skin
3-Hyperkeratinization (irregular/ineffective shedding of dead skin cells)
4- Inflammation

Where can Acne occur?

On the face, neck, back and shoulders

Are there risk factors to developing acne?
1 - Age (Teens and women during pregnancy/menstruation),
2 - Certain medications (lithium/corticosteroids/androgens),
3 - Incorrect cosmetics,
4 - Family history of acne,
5 - Diet rich in carbohydrates and refined sugars.

Are there different types of acne?

1 - Inflammatory (Papules, Nodules, Pimples, Cysts)
2 - Non-inflammatory lesions (comedones such as whiteheads and blackheads)

What treatments are available to treat acne?

Depending on the specific nature and cause of the acne, medication/diet/facial products or treatments will be advised.

EXCESSIVE SWEATING

What amount of sweating is normal?

The sweat produced by our bodies varies amongst individuals. Some people sweat more than others. The amount of sweat produced is also dependent on physical activity and heat exposure. If you produce a lot of sweat when you are NOT exercising then this may mean you have ‘excessive sweating’. If you produce a lot of sweat when you are nervous or stressed this may also mean that you have ‘excessive sweating’. Excessive sweating usually occurs in the axilla (arm pits), hands and feet.

How can this be treated?

These areas can be treated with topical antiperspirants which are available at most retail stores. A more effective and longer term solution is the use of BOTOX injections. Surgical excision of the involved sweat glands is also an option.

How does BOTOX work to decrease sweating?

BOTOX is a temporary muscle relaxant and thereby weakens the small muscles that are overactive around the sweat glands. The gland is then no longer able to excrete so much sweat.

Does this make you stop sweating all together?

No, BOTOX treatments only decrease the amount of sweat excreted by your sweat glands so you will still be able to sweat.

Does this treatment make you start sweating more in other areas of your body?

No, BOTOX only works where is has been injected and will only affect the sweat glands in that area.

How long does this treatment last?

It takes about 8-12 months for your full sweat gland activity to recur.

Is it painful?

No, but because many small injections are administered, the area can be quite sensitive. It is usually advised that when treating excessive sweating in the axilla (arm pits) a topical anaesthetic cream should be applied about an hour before the treatment.

How long does such a procedure take?

It takes 30-45 min.
HAIR LOSS (Alopecia)

What causes hair loss?

There are many reasons for hair loss. Hair loss can be divided into the following types:
1 –Androgenic Alopecia ( Male/Female Pattern Baldness) – This type of hair loss is usually hereditary and related to ‘over sensitive’ hair follicles. Abnormalities in dihydrotestosterone levels are thought to contribute to its occurrence.
2 – Alopecia Areata – This type is hair loss is usually auto-immune in nature. It can be more prevalent in conditions such as thyroid disorders, vitiligo and diabetes. This type of hair loss usually responds well treatment.
3 – Scarring Alopecia – Certain medical conditions cause scarring/damaging of the hair follicles. These conditions include Scleroderma and Lupus.
4 – Anagen Effluvium – This type of hair loss can occur due to chemotherapy. Growth-phase hair is affected with this type of hair loss.
6 – Telogen Effluvium – This type of hair loss occurs in the resting- phase of the hair cycle. It is caused by hormonal changes, intense emotional stress, short or long term illness, changes in diet and certain medication.

Can hair loss be treated?

Generally, yes.
Most cases of hair loss are due to an underlying cause. If this cause is addressed then the hair will grow back. There are many products available to wash and treat the scalp to stimulate hair growth.
One of the more successful non-surgical treatments is PRP and mesotherapy. Surgical hair implants are also very successful.

How does PRP cause hair to grow?

PRP contains a lot of growth factors that stimulate the hair follicle to grow. The increased blood supply to the scalp caused by the multiple small injections is also thought to play a role in hair growth stimulation.

It is painful?

Treatments of the scalp can be very sensitive and the application of a topical anaesthetic an hour before the treatment is advised.

How long does such a procedure take?

About 30-45 min
HAND REJUVENATION

What types of treatments are used to rejuvenate the hands?

A combination of superficial and deep treatments is usually advised. Deep treatments include Dermal fillers and Mesotherapy. Superficial treatments include Chemical peels and meso-roller.

Is this a ‘once-off’ treatment?

No, for best results follow treatments are advised.
HYPERPIGMENTATION

What is Hyperpigmentation?

Hyperpigmentation is the presence of dark, pigmented areas on the face or body.

What causes Hyperpigmentation?

There are many causes.

How is this treated?

The causative factors need to be identified and addressed for proper treatment. Once this is completed then a series of treatments aimed at reducing pigmentation and preventing development of further pigmentation is advised.

What types of treatments are available?

There are many types of treatments available to treat hyperpigmentation. Superficial pigmentation can be very successfully treated with Chemical peels, topical preparations and sunblock.
Deeper pigmentation usually requires stronger Chemical peels of laser/photo dynamic therapy.
LIP AUGMENTATION

Will it look unnatural?

When the natural shape and lines of the lips are respected the results are subtle and very flattering.

What products are used fill or augment the lips?

Generally Dermal Fillers are used.

Is it painful?

The lips and mouth are very sensitive areas and a topical anaesthetic is mostly used prior to treatment.

Will my lips look worse once I stop or discontinue treatments?

No, if the correct Dermal Filler is used the lips will return to their appearance before treatments were started.

How long does one treatment last?

Treatment with a Dermal Filler lasts about 6-12 months.

How long does such a procedure take?

It takes about 30-45 min.
SAGGING, THIN SKIN

What can be done about Sagging, thin skin?

Depending on the severity of the skin sagging surgical or non-surgical treatments may be advised.

What are the non-surgical options?

Mesotherapy, PRP, Laser/Photo rejuvenation and Dermal Fillers can all be used to treat sagging, thin skin.
SUNKEN EYES

What can be done to make my eyes appear less sunken and old?

Treating the eye are involves a combination of treatments.
Dermal Fillers – Restore volume
Mesotherapy/PRP – Restores skin tone and texture
Laser/Photo dynamic therapy – Rejuvenates and firms loose skin.
DYNAMIC WRINKLES

What is Dynamic Wrinkles?

These are wrinkles on the skin caused primarily by the underlying muscle. The skin wrinkles due to muscle contraction or relaxation

What is the best treatment for these wrinkles?

Generally BOTOX is used to relax the underlying muscles so that the skin appears smoother and less wrinkles. When the wrinkles have become quite deeply set, Dermal Fillers may also be used to lift them out.

How can I prevent Dynamic wrinkles from becoming more prominent?

Regular BOTOX treatments keep the underlying muscle relaxed and thus the skin remains smoother for longer.
WINKLES ‘PAPER CREPE’

What causes ‘Paper Crepe’ wrinkles?

Generally loss of skin moisture and tone contributes to this type of wrinkle.
BOTOX

What is BOTOX?

BOTOX is a COSMETIC medication that is made from Botulin (a bacterial byproduct). This causes temporary muscle ‘relaxation’

What is it used for?

1 – Strabismus (squint or abnormal alignment of the eye muscles).
2 – Muscle stiffness in children and adults with for example cerebral palsy
3 – Wrinkles of the face and neck. The muscles of facial expression cause expressive/dynamic wrinkles. These muscles are relaxed with BOTOX making wrinkles caused by these muscles to appear much less prominent.
4 – Excessive sweating – arm pits (axilla), feet and hands.

Is it safe?

It has been used for over 50 years to treat Strabismus (squint or abnormal alignment of the eye muscles) It has been used for more than 20 years to treat stiff muscles in children and adults with cerebral palsy. It has been used worldwide for more than 20 years in the Aesthetics industry to cause temporary relaxation of facial muscles to reduce the wrinkles caused by them.

Is anesthesia used for the Botox procedure?

Anesthesia is typically not used with Botox injections. Most people tolerate the injections without need of an anaesthetic.

Is it painful?

BOTOX is a very tolerable procedure resulting in minimal discomfort. A burning sensation may be experienced around the injection site during the procedure.

What are the side effects of BOTOX?

Most commonly a mild headache is experienced for 1-2 days after a BOTOX treatment. Misplaced injections can affect unintended muscle groups.

How long does it last?

It takes about 3 to 4 months for the body to completely metabolize the product. The muscles are then able to strongly contract and the resulting wrinkles will re-appear.

If you stop using BOTOX do you look worse than before you started?

Not at all. On the contrary, you will have ‘prevented’ wrinkle formation for the period during which the BOTOX was active. So once you stop, you will start to look the way you did BEFORE you started BOTOX.

Can anyone use BOTOX?

Generally yes. Men and women can be safely treated.
There are some exclusions:
1 - Pregnancy & Breastfeeding
2 – Age younger than 20 years and older than 65 years
3 - Certain muscular disorders such as Eaton-Lambert Syndrome or Myasthenia Gravis.

How long does a procedure take?

Approximately 15-30min

Is there any ‘down-time’?

No, normal activities can be resumed immediately after the procedure. Depending on the areas treated some caution might be advised regarding direct manipulation of the area treated or physical exercise for a 4 hour period after the treatment.
CHEMICAL PEELS

What is a ‘chemical peel’?

A chemical peel can be defined as the application of a solution to the skin that causes exfoliation or removal of the upper layer/‘dead’ cells of the skin. This reveals the smoother and less wrinkled deeper layers of the skin.

What are ‘Chemical Peels’ used for?

It is used to rejuvenate the skin. Once the old, ‘dead’ layer of skin cells are removed, the new and fresh young layer of skin is exposed. This new layer absorbs daily cosmetics, creams and serums much better resulting in healthier looking skin.
1 – Hyperpigmentation to ’lift up’ pigmentation,
2 – Clears congestion caused by acne
3 - Lightens and smoothes scar tissue/stretch marks
4 – Hand rejuvenation
5 – Décolletage rejuvenation

Is it safe?

If performed for the correct reason and performed correctly it is a very safe and effective procedure.

Is anaesthesia or numbing necessary before the procedure?

Not for superficial chemical peels. Some of the stronger or ‘deeper’ chemical peels require some pain relief, but these are generally performed in theatre under anaesthesia.

Is it painful?

No, a mild tingling or itching sensation is experienced while the product is on the skin.

What are the side effects of ‘Chemical Peels’?

Chemical peels that are performed incorrectly can exfoliate too deep resulting in a very sensitive skin that can lead to worsening of pigmentation. These complications should never occur but nonetheless are easily treated.

How long does it last?

The deeper the Chemical peel the longer the treatment intervals are. But for best results and to maintain the effect repetitive treatments are advised.

Can anyone use Chemical peels?

Generally yes, the type of Chemical peel may vary depending on the specific needs of the person.

How long does a procedure take?

The procedure takes about 15-45 minutes depending on which product is used.

Is there any ‘down-time’?

This depends on the type of Chemical peel used. The most superficial peels leave the skin slightly red for a couple of hours and then appear smooth, rejuvenated and fresh. The deeper peels can take up to 2 weeks to heal resulting in a much less wrinkled and finer toned skin texture.

Are all ‘Chemical Peels’ the same?

No, there are many different types of chemical peels. They are classified into superficial, medium and deep peels. The deeper the peel, the more aggressive the result and generally the more recovery time is needed. There are also different types of peels in each group of superficial, medium and deep.
DERMAL FILLERS

What are ‘dermal fillers’?

Dermal fillers are aesthetic products used to create volume and stimulate the skin’s own rejuvenating capacity. It is generally a gel-like substance that is injected into areas on the face, neck and hands that require firming and tightening of the skin.

What areas can be treated with Dermal Fillers?

Dermal Fillers provide very good results for wrinkles around the mouth. It enhances cheekbones and jaw-lines and can be used to treat dull, ‘sunken’ looking eyes. Many people have fillers placed in the back of their hands to rejuvenate the skin and minimize the look of tendons and veins. Dermal Fillers are also used to enhance lips giving a fuller, more voluptuous and plump look.

Is it safe?

Modern dermal fillers are extensively tested and cause minimal side effects if used correctly.

Is anesthesia or pain relief required for Dermal Fillers?

A topical anaesthetic cream can be applied to the areas being treated.

What are the side effects?

Temporary bruising and swelling are most common.

Can anyone use fillers?

There are very few contra-indications to filler use and most men and women can benefit from it.

Are there different types of Dermal Fillers?

Yes, they differ in viscosity and can be very fluid to very firm and gel-like. Different types of Dermal Fillers treat different areas and conditions.

Is it permanent?

No, it takes about 6- 18 months for the body to completely metabolize the product. This depends on the area treated and the type of product used. Some Dermal Fillers are still present under the skin many years after the treatment maintaining skin hydration and continued rejuvenation.
EYE REJUVENATION

What is eye rejuvenation?

This is a specific treatment combination to revive sunken, dull looking eyes. It comprises Dermal fillers, Mesotherapy and PRP. Photo rejuvenation can also be used.

What results can one expect from eye rejuvenation?

Skin around the eyes becomes firmer and smoother. The eyes appear less hollow than before. Discolouration below the eyes can be improved.

Is it safe?

Treatments around the eyes are always more risky. There are many blood vessels and nerves which can be injured during the procedure. But if performed correctly and the correct product is used, the risk becomes minimal.

Is anaesthesia or numbing necessary before the procedure?

The sensitive eye area is best treated after the application of a local anaesthetic cream such as Emla or Topla. The cream should be applied about 30min before the procedure.

Is it painful?

The procedures around the eyes are generally performed after the application of a local anaesthetic cream. Some people tolerate the procedures without any analgesia.

How long does it last?

The eye rejuvenation effects are best maintained by repeating the procedure once to twice a year.

Can anyone be treated?

Generally most people can be treated with such a regime. Your doctor will decide on a combination of treatments best suited to your skin condition and needs.

How long does a procedure take?

It takes about 30-45min depending on what combination of treatments is used.

Is there any ‘down-time’?

Generally not, some bruising might occur but most people are able to resume normal activities right after the procedure.

Why treat the skin around the eyes?

The delicate skin around the eyes quickly show the signs of ageing: Volume loss, hyperpigmentation, loss of elasticity and a ‘hollow’ appearing eye.
MESOTHERAPY

What is mesotherapy?

Mesotherapy is an injection technique used to deliver certain medications or serums into the layers of the skin. This results in a dramatic anti-ageing effect by improving skin texture, smoothing out fine lines and wrinkles and brightening the complexion.

What is needle-less mesotherapy?

This procedure uses either a galvanic current or more superficial ‘meso-roller’ to simulate the effects of mesotherapy. It is not regarded as equally effective but does result in a good anti-ageing effect.

Is it safe?

It is a safe procedure when used correctly and skin is properly cleaned prior to treatment.

What is mesotherapy used for?

Mesotherapy is used to treat fine lines and wrinkles, rough skin texture, uneven pigmentation, discolouration around the eyes, alopecia (hair loss) and skin rejuvenation.

How many treatments are needed?

When starting mesotherapy is it recommended having 3 to 4 sessions at 4 weekly intervals. There after a maintenance session once to twice a year is recommended. Depending on what condition is treated the schedule may vary.

Is it painful?

Mesotherapy is performed after the application of a local anaesthetic cream such as Topla or Emla. The procedure involves multiple small injections into the skin which can be sensitive to some people.

How does Mesotherapy work?

Mesotherapy as a technique is based on the theory that multiple small injuries to the skin stimulates the skin’s fibroblasts (a component cell in the skin) to produce more collagen and elastin. The body tries to ‘correct’ these injuries by stepping up the production of its natural healing processes. This results in firmer, tighter skin and stronger connective tissue underlying the skin.
PRP TREATMENTS (VAMPIRE FACIAL)

What does PRP mean?

P-Platelet R-Rich P-Plasma

What is it?

PRP treatments are a type of mesotherapy that uses YOUR OWN BLOOD. Certain blood elements are extracted out of your own blood (while you wait – takes about 10min) and then re-injected into the skin.

What is it used for?

Scars, burn wounds, sun damaged skin, pigmentation, fine lines and wrinkles, sports injuries such as muscle sprains/tears, acute and chronic arthritis and skin rejuvenation on the hands and décolleté.
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