Chehire cosmetic Treatments

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

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Excellent safety record3 million treatments per year worldwideLicence in USA 1997 and UK 2006

Developed in 70-80s to treat blepharospasm and strabismus

Botox

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Botox® blocks ‘signals’ between nerve

ending and target muscle

How Does Botox Work?

13Before & After

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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

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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

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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

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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

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Laser & IPLLynton Lumina Q

Laser PhotorejuvenationVascular & Pigmented lesionsThread & Varicose veinsHair & Tattoo removal

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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

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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

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ACNE

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SKIN TIGHTENING

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SCARRING

34HAIR REMOVAL

35VARICOSE VEINS

36Tattoo Removal

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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

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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

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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