16 september 2014€¦ · 05/06/2013 · botox usually used in the upper face a gentle wrinkle...

16th September 2014

Brigstock Skin & Laser CentreBe Proud Of Your Skin

Botox and Fillers

Tretinoin

Collagen Stimulation

Hair removal

Diet

Dr. Nilu Vajpeyi

BSc, MBBS, MRCGP, DPD


That’s better!


Botox

Usually used in the upper faceA gentle wrinkle relaxer taken from

naturePrevents wrinkle progressionQuick – ComfortableNo downtime Lasts for monthsDramatic improvements


Safety

Used on millions of patients for 20 years

Very safe –safer than aspirin

Local treatment – not filtered by the liver or kidneys

Is used to treat muscle spasms

Licensed for use on 2 year olds


How does Botox work?

Is a muscle relaxant

Prevents wrinkle progression

Can be used in conjunction with other anti-ageing treatments


How does Botox work?

Relaxes the muscles which causes the wrinkles formed by movement

Also prevents formation of new wrinkles

Fillers can be used in conjunction for additional reduction of the wrinkles at rest (crush damage)


How Botox works


Botox is absorbed by the nerve root that supplies the overactive muscle

How Botox works


Once inside cell botox releases a substance called acetylcholine

This is what stops the nerve from activating the muscle

What happens as the botox wears off?

After several months the nerves re-grow and the muscle resumes activity

Subsequent treatments last longer as a result of muscle weakening

It takes 7-10 days for results to appear after 1st treatment


How Botox works


The nerve begins to grow a new contact point with the muscle

How Botox works


New nerve muscle junction begins to work and the wrinkles returns

It is now time to retreat

Botox Results

Regular use prevents further wrinkle progression

Cannot remove crush damage (wrinkles at rest)

Can sometimes relieve headaches

95% satisfaction rates


How long do the effects last? 1st treatments average 3 monthsSubsequent treatments average 4- 6

monthsMuscle strength varies in different

people and therefore the longevityLongevity can be increased in

subsequent sessions by increasing dosage


Side effects?


Most people do not experience any apart from the effects of the injection

Pin point bleeding – very brief

Slight tenderness at injection sight

Transient swelling – very brief insect bite size

Slight bruising – easily concealed

Local infection – highly unlikely

After your treatment

7 – 10 days to see the full effects

Best practice to have a follow up appointment 2 weeks following treatment

Call anytime if you are worried or have any concerns


Before and after


Dermal Fillers, Wrinkles, Lips and

Volume Loss


What are dermal fillers made of?

Normally hyaluronic acid gel

Naturally occurring substance in our skin

Synthesised in laboratories


How do they work?

Injected into the skin underneath the wrinkle or in an area of volume loss

Results normally last 4 – 8 months

8 point face lift


Who cannot be treated?

People with severe allergies

People with bleeding disorders

Very few people


Treatments

30 – 60 minutes

Wrinkles – mild swelling 1-2 days

Lips – mild swelling 1-2 days


Before and after



Possible treatment options

Shehla Habib


Tretinoin

Derivative of Vitamin A


Tretinoin is used for

Acne

Comedones/ blackheads

Sun-damage

Wrinkles


How Tretinoin works

Works at a cellular level

Thickens layer of skin

Stimulates collagen

Increase cell turnover

Increases blood flowBrigstock Skin & Laser Centre

Be Proud Of Your Skin

How Tretinoin works


Tretinoin: the benefitsFewer wrinkles

Controls Acne

Tighter Pores

Reduces Sun-damage

Improves skin texture and elasticity


Tretinoin: Obagi skin care system

What is ObagiObagi Nu Derm

Skin Rejuvenation system

Obagi and Tretinoin


Tretinoin: Be Proud of Your Skin


‘We believe that you should be proud of your skin therefore we recommend everybody over the age of 30 should be using Tretinoin’

Rozina Hassan Kabani

RN, BSc, MEd


Ways of stimulating collagen metabolism


Prevention


Lifestyle Factors:

Smoking

Excessive sun exposure

Air pollution

Prevention


Diet:

Vitamin C

Amino Acids

Mineral copper

Nuts, raisins, kidney beans, lobster, oysters

Prevention


Exercise:

Thickens skin

Increases blood flow

Oxygen & nutrients

Human growth hormone

Collagen stimulation


Dermal abrasion: Micro-dermabrasion:

Non-Surgical

Skin exfoliation

Stimulation



Micro-needling: Derma rollers

Stimulates regeneration

Natural repair

Smoother, brighter, healthier

Derma roller




Dermal fillers

Smoothes out fine lines

Stimulates collagen regeneration



Laser/ IPL

Eliminates blemishes

Stimulates collagen regeneration

IPL: Intense Pulsed Light


Heats the dermal layers stimulating collagen

No downtime/ recovery time

Also gets rid of pigmentation and thread veins

Before and after


Varsha Nagar


Hair removal history

Since Palaeolithic times

Flint, seashells or blades

Laser & IPL technology developed

Better, faster and now virtually pain free

Today: shaving, Epilation, waxing, sugaring, threading, tweezing


Electrolysis


Permanent Individual hairsFace & Body Insertion of

needleElectric currentHas improved over

the years

Electrolysis


Benefits Disadvantages

Permanent Slow

Treats Grey hair Painful

Treats blond and light hairs

Risk of scarring

Laser


Light

Amplification by

Stimulated

Emission of

Radiation

Early Laser


Laser Wavelength Skin Type

Ruby 750 nm 1, 2

Alexandrite 590 – 1200 nm 1, 2, 3

Diode 800 nm 1, 2, 3, 4, 5

Nd Yag 1064 nm 5, 6

IPL 515 -1200 nm 1, 2, 3, 4

Soprano XL


Diode

Permanent Hair reduction

All skin types

Virtually painless

IPL: Intense pulsed light


Faster – no gel Feels like a pinch More control

Thin, thick hairs Skin colours

Also treats: Thread veins Pigmentation Rejuvenation

Future of Lasers

Full body Treatment

Blond/ white hair

Reduced side effects

Home Lasers


Christian Lyons

BEng MSc


Madeline LemonNovember 2012: March 2013:


How did Madeline Lemon improve her skin?

She cut out:

Sugar

Soy

Dairy

All grains

…especially wheatBrigstock Skin & Laser Centre

Be Proud Of Your Skin

Why you care about your skin?

Indication of Health

Longevity

Look Good – Feel Good


Key biological mechanisms in ageing

Oxidative stress – free radicals

Glycation

Advanced Glycation End-products (AGEs)

Inflammation

Ageing hormones

Telomere Lengthening


Key dietary habits to reduce ageing


Reduce Consumption of:

Increase Consumption of:

Sugar Fats and Protein

Carbohydrates Vegetables

Fast intermittently

Eat less sugar & starchy foods


Reduces Increases

Oxidative stress Insulin sensitivity less pro-ageing stress hormones (cortisol) collagen break down

Glycation

Inflammation

Telomere shortening

Eat more protein

Your body’s building block

Little capacity to store protein

Your body cannot produce some essential amino acids


Fats & Lipids

High intake of fats = increased skin elasticity

Component of your cells membranes

Omega-3 fatty acid

Monounsaturated fats


Avoid highly processed Omega-6 rich fats

SunflowerGrape-seed SafflowerCorn SoybeanWheat


Eat more vegetables


Intermittent fasting

Levels of autophagy

Insulin sensitivity

Human Growth Hormone


Is it worth it? No Sugar No Bread No rice No pasta No Food No fun?


Longer healthier & more beautiful lives

80/20 Rule

Breakfast – green smoothie – chia seeds

Lunch – Salad

Dinner – Protein

Fast once a week


For more information or to book your appointment:

0208 683 6730

[email protected]


16 september 2014€¦ · 05/06/2013 · botox usually used in the upper face a gentle wrinkle...

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