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Skin Health - Part A - Nutrition

foodphoto1-320pxI have seen numerous clients over the years whose skin (and health) is being affected by what they eat. The skin is an organ, like the brain and heart, and so needs good food to nourish it. This is especially true because the skin is the largest organ in the human body. When it is stretched out it averages two square metres and makes up around 15% of your total weight. In today’s column I will address what you should be eating for skin health and to help slow down ageing. In the next Chandler Clinic column I’ll discuss what not to eat for your skin. There are other important things, apart from food, that the skin needs to be healthy and I’ll address those in the following columns.

What to eat

Fruits and vegetables
Fruits and vegetables (especially vegetables) are essential in your diet, not just for skin health, but for many reasons. They are rich in antioxidants (e.g. vitamin C) which mop up damaging molecules called free radicals. Free radicals can harm skin (and other) cells leading to premature aging. In addition, the fibre in vegetables is essential for preventing blood sugar swings that prematurely age skin. The average American diet consists of only 5% vegetables and fruit (we kiwis are a bit better but not much!). The correct percentage for health is at least 50% of your plate should be vegetables. For those of you who only eat one or two types of vegetables, good on you for eating some instead of none, but variety is the key here. Think of a rainbow of vegetable colours on your plate, at least over the course of the day if not at every meal. An example of a rainbow of vegetables is strawberries, carrots, grapefruit, spinach, blueberries.

Carbohydrates
Carbohydrates (aka carbs) provide the main fuel source for skin cells. Carbs are found in most foods but there are bad and good carbs. An example of a bad carb would be standard table sugar or even excessive fruit (more than 2-3 pieces/day). Examples of good carbs are wholemeal bread/pasta, vegetables and fruit (less than 2 pieces fruit/day), breakfast cereals, rice, peas, lentils, and milk.

Fats
Good fats (Omega-3 fatty acids) such as those found in wild salmon, avocado’s, eggs, and certain nuts (e.g. walnuts) help maintain the skin barrier so that pollutants and toxins are kept out. Good fats are also essential food for making new skin cells, reducing inflammation (damage) in the skin, reducing sun (UV) damage and aging.

Minerals
Minerals such as zinc and selenium are important for skin health also. Zinc stabilizes skin cells, is involved in growing new cells and lastly helps to reduce the effect of those damaging free radicals mentioned above. Zinc can be found in oysters, red meat and poultry mainly but other sources include nuts, beans, fortified breakfast cereals, some other seafood’s (e.g. lobster), whole grains, and dairy products. Selenium helps to protect the skin from free radical and UV damage. Selenium is found in most protein containing foods, e.g. seafood, peas and beans (legumes), lean meat, eggs, seeds, nuts (especially Brazil nuts), and soy.

Organic foods
Organic food are better in many ways. They contain more antioxidants than non-organic food and they are not sprayed with chemicals, e.g. pesticides that damage our skin (and body). Organic (grass fed, free range) meats contain at least 7 times more good fats (omega 3-fats) than bad fats (most omega 6 fats) compared to factory farmed meat. Factory meat also contains hormones that can create havoc in our skin (and body). If you have to eat food that isn’t organic then try to peel your fruit and vegetables and remove fat from meat and limit your intake of it.
In order to learn about nutrition and lifestyle changes that benefit your skin and health in general talk to the team at The Chandler Clinic for professional medical advice. Also look out in the next 2 weeks for an exciting announcement from The Chandler Clinic Team.

 

Skin Health - Part B - Nutrition

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As I said in my last column our skin (and health) is affected by what we eat and we looked at what to eat. Your skin counts for around 15% of your body weight so needs nourishing as much as the rest of your body. In today’s column I will address what you should definitely NOT be eating in order to maintain good skin health and help slow down ageing.

What not to eat

Carbs
Simple carbs such as sugar are very inflammatory (damaging) and create free radicals (those nasty, damaging chemicals we mentioned in our last column. Sugar sticks to and breaks down collagen and elastin. Collagen and elastin are our wrinkle fighting friends as they help keep skin elastic, soft and youthful.

Fats
Excess bad fats e.g. vegetable fats such as corn and sunflower oil not only are bad for are health but also reduce collagen and elastin production in our skin. This makes your skin loose and dull looking. Bad fats also are very inflammatory (damaging) to your skin in general. The trans fats often found in margarines and junk food, can reduce the hydration of the skin leading to more wrinkles.

Dairy
Some people find dairy can make their acne worse. This is because milk can be full of growth hormones and growth factors that remain intact even after all the processing of milk, such as pasteurization. These hormones and growth factors also badly affect insulin (our sugar processing hormone), and increase oil production and inflammation.

Non-organic foods
Lastly, organic food is the best and safest food to eat. The chemicals that are added (e.g. hormones that are fed to cows) or sprayed onto our foods (e.g. pesticides on vegetables) add to the damage that our skin sustains every day. Try to limit non-organic food. If you have to eat food that isn’t organic, then try to peel your fruit and vegetables and remove fat from meat and limit your intake of it. Organic meat contains much more good fat than bad fat but the opposite is true for factory farmed meat. 
In order to learn about nutrition and lifestyle changes that benefit your skin and health in general talk to the team at The Chandler Clinic for professional medical advice. Look out in the next 2 weeks for an exciting announcement from The Chandler Clinic Team.

The ‘How to’ of foundation and Colour Matching.

Last month we talked about psychodermatology.  This month we’ll change track and talk about how to optimise your foundation.  Foundation is the cosmetic base you use to cover blemishes and even out your complexion so that you have a uniform surface on which to apply the rest of your makeup.  In my clinic we see a significant number of people with various skin conditions and have numerous solutions for all skin problems, one of which is medical quality makeup to disguise these skin problems whilst they are being treated.  Foundation, as its name suggests, is the first step in makeup application.  Wrong foundation can look obvious and unnatural so it’s important to use the right shade.  Let’s now look at how to choose the right foundation.

Understand your undertone. Before trying to choose a foundation, it’s best to determine a few things about your skin, such as your undertone. While the surface of your skin can change colour because of many things, such as exposure to the elements or acne, your undertone will always stay the same. Therefore, determining your undertone will help you choose the right foundation colour. In general, people fall into one of three undertones:

  • Cool, which means your skin is more blue, red, or pink.
  • Warm, which means your skin is more golden, yellow, or peach.
  • Neutral, which means your skin will have a combination of cool and warm colours.

Determine your undertone.There are a few tests you can use to determine your undertone. The tests involve assessing your hair and eye colour, what colours you look best in, how you react to the sun.  

  • Naturally black, brown, or blonde hair combined with green, grey, or blue eyes is an indication of a cool undertone. Hazel, brown, or amber eyes combined with naturally black, auburn, or strawberry blonde hair indicates a warm undertone.
  • People who are cool will tend to turn pink or burn easily in the sun, while people who are warm will bronze or tan in the sun.

Knowing your skin type.While knowing if you have dry or oily skin won’t help you pick a foundation shade, it will help you choose the right type of foundation. Skin can be oily, dry, or combination, and you can have normal or sensitive skin.

  • Choose a matte finish pressed base or oil-free liquid if you have oily skin.
  • Choose a mineral loose powder if you have dry skin.
  • Choose a triple milled powder if you have sensitive skin.  (Triple milling is a process used to refine particles to the absolute optimal size so they lay better on the skin for a better coverage).
  • Choose a foundation that offers full or medium coverage if you have an uneven complexion and want to cover most of your skin. Otherwise, look for a foundation that offers partial or sheer coverage if you have a fairly even complexion and want a more natural look.
  • It’s always a good idea to buy foundation that has a sun protection factor SPF, because this will provide a small measure of protection against damaging UVA and UVB rays.

Final tips. The best foundation is the one that disappears into your skin. Foundation isn’t supposed to be seen, it’s supposed to provide an even canvas on which to work. Test on your jawline to determine which foundation blends in best with your skin. This is the foundation shade that will best cover blemishes and redness while still looking natural. For advice applying makeup or for a colour match see the professional makeup team at the Chandler Clinic.

Psychodermatology

Hopefully, the change of clocks didn’t affect you too much!  It’s a topical time to talk about this month’s topic. Last month we talked about ways to slow down ageing. This month we’re going to discuss ‘Psychodermatology’. Dr Karen Mallin, lecturer in the departments of psychiatry and dermatology at the University of Miami, USA, gives the best explanation of this field of medicine. "Psychodermatogy addresses the impact of an individual's emotion as it relates to the skin." In a nutshell this means that the state of our mind affects our skin. You may have heard of the phrase ‘mind-body’ link, well, how our mind affects our skin (and vice versa) is one example of this.Let’s look at how this works. "The skin and mind are connected on many different levels. The skin contains a huge number of nerve endings. Our emotions trigger the release of many nerve signals in the brain.  These signals can travel to the skin (and other parts of your body) and conversely nerve signals in the skin travel to the brain.  A well-known example of this is the ‘butterflies’ we get in our stomach when we are nervous or anxious.  Another example is that during exam time stress, many students will

Let’s look at how this works. "The skin and mind are connected on many different levels. The skin contains a huge number of nerve endings.  Our emotions trigger the release of many nerve signals in the brain. These signals can travel to the skin (and other parts of your body) and conversely nerve signals in the skin travel to the brain. A well-known example of this is the ‘butterflies’ we get in our stomach when we are nervous or anxious. Another example is that during exam time stress, many students will suffer with acne. Research shows that at least 30% of all dermatology patients have an underlying psychological problem.

Good dermatologists have gradually been embracing a more integrated (blended) approach with other fields of medicine such as psychology, psychiatry, and even complementary medicine. This integrated approach encourages doctors to try alternative treatment possibilities (instead of or as well as the usual medications/creams they prescribe). These treatments can include antidepressants, relaxation therapy, or counseling. It is thought that these additional treatments and management strategies can help alleviate the mood problems that cause or result from skin problems.

Mindfulness is one of these management strategies and is a really important one for managing the stress that is caused by or is causing skin conditions.  Mindfulness is an amazing technique that helps us be more aware of what we are doing and thinking.  It has multiple benefits and there is fantastic research showing its benefits for depression, anxiety and many other medical conditions. There are also many resources on Mindfulness, from introductory books such as the ‘Frazzled’ book by Ruby Wax all the way up to full residential courses. An example of how Mindfulness helps in skin conditions is by making us more aware of what our hands are doing.  Often patients with skin conditions will itch their skin without even being aware they are itching. By being mindful about what their hands are doing, patients are much more able to refrain from itching. Mindfulness is one of the techniques that I use with my Wellness patients and it is extremely satisfying to see the benefits they gain.

I’ll finish this month’s column with an extremely useful Mindfulness tool.  Whenever you feel a bit ‘frazzled’ S.T.O.P. This stands for Stop, Take a breath, Open and Observe (your thoughts), Proceed mindfully. Have a great month.

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All you need to know about your skin Part 5

All you need to know about your skin Part 5-Slow down!! (skin ageing that is!)

Last month we talked about the dangers of sugar on your skin. This month we’ll look at how to slow down and potentially reverse the signs of skin ageing.

  1. Protect your skin from the sun EVERY day. Sun protection is essential whatever you are doing, at the beach, nipping around town and even at work.  Most workplaces will not have UV protection on their windows.  You can protect your skin by covering with clothing, using sunscreen that is broad-spectrum, SPF 30, and water-resistant and to some degree by seeking shade. Apply sunscreen every day to all skin not covered by clothing.  The SLIP (on clothing and into shade), SLOP (on sunscreen), SLAP (on a hat) and WRAP (some sunglasses on) mantra should help you remember all this.
  2. Apply self-tanner rather than get a tan. Tanning from the sun, or tanning beds all emit harmful UV rays that accelerate how quickly your skin ages.  The only safe way to tan is from self-tanning products.
  3. If you smoke, stop. Smoking greatly speeds up how quickly skin ages. It causes wrinkles and a dull, sallow complexion.  As a reminder see the twin photos on this page.
  4. Try to minimise repetitive facial expressions (such as frowning). Every time you make a facial expression, you contract underlying muscles. If you repeatedly contract the same muscles for many years, these lines become permanent. Wearing sunglasses can help reduce lines around the eyes caused by squinting.
  5. Eat a healthy diet. Scientific studies suggest that eating vegetables may help prevent damage that causes premature skin aging. Also, as mentioned in last month’s column, a diet containing lots of sugar and other refined carbohydrates can accelerate aging.  Eat no more than 5-7 teaspoons of added sugar per day.
  6. Reduce your alcohol intake. Alcohol dehydrates your skin, and eventually, damages the skin, causing lines and other signs of ageing.
  7. Exercise at least 6 days per week. Scientific studies suggest that moderate exercise can improve circulation and boost immunity. Both of these can make the skin look more youthful.
  8. Be gentle with your skin. We covered this in Part 2 but just to remind you-Scrubbing your skin clean can irritate it, which accelerates skin aging. Gentle washing and then patting dry helps to remove pollution, makeup, and other substances.
  9. Wash your face twice a day and after sweating. Perspiration, especially when wearing a hat or helmet, irritates the skin; so wash your skin as soon as possible after sweating.
  10. Apply a medical quality, natural facial moisturizer every day. Moisturizer traps water in our skin, making it appear more youthful.  Medical quality moisturisers also stimulate skin rejuvenation which helps slow down, and if using medical quality serums, can reverse ageing.
  11. Stop using skin care products that damage your skin.  A lot of skin care ranges contain chemicals that damage your skin.  The most well known example is SLS (sodium lauryl sulphate), which is also found in floor cleaners!  Damaged, irritated skin ages faster.  Also beware ranges that are advertised by celebrities, they are being paid to do so!
  12. Reduce stress. There is a new field of medicine called psychodermatology. This medical specialty studies how our emotional state affects our skin and how to reduce these stress related skin diseases by managing the underlying cause.

Next month we’ll look at psychodermatology in more depth.  Stress has a huge impact on our bodies and it’s worth exploring it in more detail.  In the meantime relax and unwind in the knowledge that The Chandler Clinic team are your local skin experts.

All you need to know about your skin - Part 4

February 2016 Column - © By Dr Tracy Chandler

Last month I was selected to be an Expert on the I QUIT SUGAR Expert Panel.  This groundbreaking lifestyle program has over a million followers worldwide and has helped nearly 1.2 million people worldwide quit sugar.  It was started by the New York Times bestseller Sarah Wilson 4 years ago and has grown exponentially since then.

You might be wondering what on earth this has to do with skin but sugar ages your skin!  “No way!” is most peoples’ response. Yep your chocolate chip cookie and even your salad dressing is not just making your hips bigger but also putting lines on your face!  “How does that work?” is always the next question.  Lets look at the science in a nutshell.

The ‘sciency’ bit

Sugar causes cross-linking (joining) of collagen fibers, which makes the collagen unable to repair itself. Sugar also affects the elastin part of our skin making it less elastic, which also cause wrinkles.  The effect of sugar in the skin is made even worse when it is exposed to UV light. Also, simple carbohydrates, e.g. refined sugar, soft drinks, white bread, cause insulin (a hormone in our blood) to rapidly rise.  Insulin triggers inflammation in multiple parts of your body, including in your skin.  This inflammation speeds up ageing.

Sugar can also worsen acne and rosacea. The more sugar you eat, the greater your chance of developing insulin resistance.  Insulin resistance can result in excess hair growth (hirsutism) and dark patches on the skin of the neck and body creases.

In addition the type of collagen in your skin is affected by how much sugar is in your diet.  The type of collagen you have is important in how resistant your skin is to forming lines.  Type III collagen is the longest lasting and most stable. Sugar turns type III collagen into the more delicate type I collagen which leads to more lines.  Sugar also joins to protein to make products called ‘AGEs’ which stop your body's natural antioxidants working.  This makes you even more at risk of sun damage.

How to quit (or cut back) on the sweet stuff

It's not easy to cut outsugartotally as whole grains, fruits, and vegetables turn to sugar when digested. Reducing addedsugar as a first step will be a big help. We should eat less than 6-8 teaspoons of added sugar per day, which is how much is in one 333ml can of Coca-Cola. Most New Zealanders consume 37 teaspoons per day of addedsugar, which is around 465 calories.  Sugar is hidden in foodunder many different names, e.g. barley malt, corn syrup, dextrose, fruit juice concentrate, maltose, maple syrup, and molasses.  Absolutely avoid high fructose corn syrup (HFCS) as it makes more AGEs than other types of sugar.

It’s not all bad though, reducing (or even better, quitting) sugar will have multiple health benefits and will save you money because ‘Real’ food is cheaper.  I’ll talk more about food and your skin later on this year.  In the meantime, see the experts at The Chandler Clinic for a holistic approach to your skin problems.  Next month we’ll look at ways to slow down and repair skin ageing.

All you need to know about your skin - Part 3

January 2016 Column - By Dr Tracy Chandler

Happy new year! Although it’s been quoted that only 8-20% of people achieve their new years resolutions, a mindfulness approach and a belief in yourself will increase your chances. Let 2016 be the start of great skin as well as a great new year for you. This month’s column is the science behind skin ageing and is part 3 of all you need to know about your skin.

Although we humans have made many advances in medicine we cannot stop the natural aging process. However we can slow down skin ageing. The secrets to this will be revealed in next month’s column.
There are two types of skin aging, ‘intrinsic’ and ‘extrinsic’. Our genes control when these changes occur. The medical term for this type of aging is ‘intrinsic aging’.

Intrinsic aging is controlled by our genes (those things we inherit from our parents). Our genes cause accumulation of dangerous forms of oxygen, skin cells to get older, and decreased oxygen and ‘food’ supply to cells. Specifically, as you age, your skin:

  • Becomes thinner, flatter and more delicate.
  • Produces less oil.
  • Contains less pigment (melanin) cells.
  • Contains less water in the outer (stratum corneum) layer.
  • Produces new cells more slowly in the middle (epidermal) layer.
  • Has less blood supply in the deeper (dermal) layer.
  • Contains less of the hydrating molecule (hyaluronic acid).
  • Produces less collagen.  The collagen that we do have becomes damaged by sugar in our body.
  • Has less fat under it, especially on our face, hands and feet.  The fat pads, under the skin, also migrate downwards.  Unfortunately, fat increases under the skin on your thighs, waist and abdomen!
  • Is more at risk of skin cancer, because ageing suppresses your immune system.

Also:

  • Your facial bones lose volume.
  • Hair becomes thinner and grey.

The other type of aging is ‘extrinsic aging’.  It is caused by our environment and lifestyle choices.  The major environmental and lifestyle cause of skin ageing is UV light from the sun or sun-beds.  Other causes include:

  • Stress
  • Smoking
  • Repetitive facial expressions such as frowning or squinting (in the sun)
  • Alcohol
  • Poor diet
  • Lack of exercise
  • Roughly treating your skin, e.g. when cleaning your skin
  • Not cleaning sweat off your skin
  • Not using good skin-care products
  • Using irritating products on your skin

Don’t panic!  There are ways to slow down and even repair the effects of extrinsic ageing on your skin.  Next month in ‘Part 4 of all you need to know about your skin’ we talk about ways to slow down and repair skin ageing.  In the meantime, see the expert team at The Chandler Clinic for professional advice on how to slow down and repair skin ageing.

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The effect of smoking on the skin can be seen in this photo of twins.  You guessed it, the smoking twin is on the right and the non-smoker is on the left.

Your skin is your body's largest and fastest-growing organ - Part 2

Welcome to part 2 of this series on your body's largest organ-the skin. This month we reveal the secrets to taking care of your skin. Investing time into caring for your skin means you will be rewarded with a bright, healthy skin barrier that feels great and ages slower.

Specifically the steps to caring for your skin are as follows:

  1. Use a gentle, non-abrasive cleanser that does not contain alcohol or other nasty additives.
  2. Wet your face with lukewarm water and use your fingertips to apply the cleanser. Using a washcloth, mesh sponge, or anything other than your fingertips can irritate your skin.
  3. Resist the temptation to scrub your skin because scrubbing irritates the skin. One of the most common causes of skin problems that I see are people over-cleaning their skin or using face scrubs.
  4. Rinse with lukewarm water and pat dry with a soft towel.
  5. Apply a good medical quality skin serum and/or moisturiser. Be gentle when applying any cream around your eyes so you do not pull too hard on this delicate skin.
  6. Next, use a natural medical quality sunblock SPF 30 to limit UV damage. Sunblock needs to be used year round (including on cloudy days) and even when indoors (unless your windows are UV tinted).
  7. Limit washing your face to once in the morning and once at night, as well as after sweating heavily. Perspiration, especially when wearing a hat or helmet, irritates the skin. Wash your skin as soon as possible after sweating.
  8. Cover any breaks in your skin to prevent the spread of infection. Treat any skin problems as soon as possible by seeing your dermatologist or GP.
  9. Take up stress reducing strategies such as meditation, mindfulness, and exercise. Stress plays havoc with your skin (as well as the rest of your body!)

In summary looking after your skin means you need to:

Keep it clean.
Protect it from the sun.
Care for it when it gets damaged.
Reduce stress

Next month we'll look at the ageing process and how it affects your skin. In the meantime speak to the expert team at The Chandler Clinic for professional skin care advice.

 

Your skin is your body's largest and fastest-growing organ

skin-diagramWow, what an incredible spring so far. I wrote this last week, when the temperature in Timaru was 27 and in Melbourne was 17! The warm weather reminded me of how amazing our skin is at regulating our body’s temperature regardless of the outside temperature. So, for the next few columns, we’re going to celebrate your wonderful skin by discovering amazing skin facts and how best to care for it.

Your skin is your body's largest and fastest-growing organ. Your skin keeps all your insides in, and unless it's damaged, keeps germs and water out. It helps you stay warm when it's cold, and cool when it's hot. Your skin is made up of three main layers-the epidermis, dermis and hypodermis.

The epidermis is the top layer and is super thin in some parts (your eyelids) and thicker in others (the bottoms of your feet). The epidermis is the layer of skin in charge of:

  • Making new skin cells: This happens at the bottom of the epidermis. The skin cells travel up to the top layer and flake off, about a month after they form.
  • Giving skin its color: The epidermis makes melanin, which is what gives your skin its color.
  • Protecting your body: The epidermis has special cells that are part of your immune system and help you stay healthy.

The dermis is the middle layer of skin. It's much thicker and does the following:

  • Makes sweat: Sweat glands in the dermis make sweat, which comes out of your pores. Sweating keeps you cool and helps you remove unnecessary products.
  • Gives you sensation: Nerve endings in the dermis help you feel things. These nerve endings send signals to your brain, so you know if something hurts, is itchy or feels nice when you touch it.
  • Grows hair: The dermis is where you'll find the root of each hair in your skin. Each root attaches to a tiny muscle that tightens and gives you ‘goose bumps’ when you are cold or scared.
  • Makes oil: Another gland in your skin makes oil. The oil keeps your skin soft, smooth and waterproof. Sometimes the glands make too much oil and cause acne.
  • Brings blood to your skin: Blood feeds your skin and takes unnecessary products away.

The bottom layer of skin is the subcutaneous fat layer. This layer plays an important role in your body by:

  • Attaching the dermis to your muscles and bones: This layer has special connecting tissue that attaches the dermis to your muscles and bones.
  • Helping the blood vessels and nerve cells: Blood vessels and nerve cells in the dermis get bigger and travel to the rest of your body from here.
  • Controlling your body temperature: The subcutaneous fat is the layer that helps keep your body from getting too warm or too cold.
  • Storing your fat: This fat pads your muscles and bones and protects them from bumps and falls.

Next month-more fascinating facts on your amazing skin!

The professional Chandler Clinic team are your skin experts. See us today for all your medical skin care and skin solutions.

NZSCM Conference 2015 - Highlights part 2

Last month you may remember I was lucky enough to attend the state of the art 2015 NZ Society of Cosmetic Medicine Conference with a host of world leading Cosmetic Medicine experts. In last months column I summarised Microbotox; Platelet Rich Plamsa for joint and tendon problems, skin and hair rejuvenation and scarring and stretch marks; and nurse injectors. In this second of two columns I’ll summarise the rest of the ground-breaking and improved treatment options in cosmetic and regenerative medicine.

Skin cancer: One of the biggest shocks of the conference is that, latest statistics show that just 11 per cent of us use sunscreen daily and more than three-quarters of people get sunburnt more than once a year. Also, alarmingly, 1 in 3 people still want a tan from the sun! That's despite NZ skin cancer rates being the highest in the world with around 67,000 new skin cancers per year. A recent study of 1,621 Australians found that regular sunscreen use reduces the incidence of melanoma (the most dangerous form of skin cancer) by 50-73 percent! There are few other things you can do that will reduce your risk of any cancer by such a huge percentage. Some people worry that sunscreen will reduce their Vitamin D levels. However trusted research shows that regular sunscreen doesn’t reduce vitamin D as our bodies can only make a certain amount of vitamin D from the sun. After reaching this limit (within minutes), further sun has an opposite effect, breaking down vitamin D into inactive chemicals. As well as skin cancer the sun also causes early ageing, such as wrinkles, age spots and ugly scaly skin lesions. These skin lesions can be treated but this can be costly and involve multiple visits. As always, prevention is better than cure.
One presenter highlighted how hard it is to accurately diagnose skin cancers. Even specialist dermatologists are only able to accurately diagnose certain types of skin cancer 40% of the time. The solution offered by the speaker (and advice I often give) is that it is better to biopsy skin lesions to be certain. It is a simple, relatively painless procedure that takes the guesswork out. This is because the biopsy sample is sent to the lab for a definite diagnosis. Lastly, regarding skin cancer, a great study mentioned at the conference showed that oral Vitamin B3 (niacinamide), helps to lower the incidence of some skin cancers. See us for expert diagnosis and treatment of skin lesions and for your B3 (and other) supplements.

Face shaping: There were a large number of speakers from Asia, who highlighted the desire of their Asian and European patients to achieve a more heart shaped face. I’ve personally had many clients that prefer a more heart shaped face. Shaping faces can be done naturally and relatively non-invasively.

"See the expert team at The Chandler Clinic for your professional and natural cosmetic medicine and skin cancer diagnosis and treatments.

ChandlerClinic-Moles-0011

ABOVE: Melanoma./ This lesion is clearly not benign. Is it however a basal cell carinoma or melanoma? Once again there is significant asymmetry of colour and structure with prominent blue-white structures (asterisks), It is difficult to decide wheter a pigment network is present or not (arrows).

Dermoscopy is a fantastic tool and shows so much more detail about moles/freckles than naked eye examination alone can, as you can see in the photos below. Dermoscopy makes it 15 times more likely a melanoma will be correctly diagnosed and gives a 42% reduction in unnecessary biopsy/excisions. Make your appointment with Dr Tracy Chandler today for your dermoscopy appointment and be reassured about your moles and freckles.

NZSCM Conference 2015 - Highlights

Last week I was lucky enough to attend the state of the art 2015 NZ Society of Cosmetic Medicine Conference with a host of world leading Cosmetic Medicine experts. In this first of two columns I’ll summarise what’s new and improved in this area of medicine. Next month I'll finish off the highlights of this ground-breaking conference.

My favourite conference update was learning about MICROBOTOX. Microbotox is a treatment that involves spreading tiny amounts of super-diluted botox over a wide area of the face. This shrink pores and broken blood vessels (spider-veins) which cause uneven skin texture and colour. Therefore Microbotox gives an all over improvement in skin texture and appearance, thus refining your skin. Ask us how Microbotox can help you today!

Platelet Rich Plasma (PRP) which is my favourite treatment currently is proving immensely popular with athletes also. Top ranking athletes such as golfer Tiger Woods, tennis players Rafael Nadal and Maria Sharapova have used PRP for joint or ligament problems. Additionally, closer to home, all Aussie football league players have PRP injected into their joints and/or ligaments to prevent and heal damage. This is a great example of how powerful PRP and other stem cell therapies (e.g. bone marrow transplants) are.

The field of stem cell research is hugely expanding with around 4000 plus trials in progress currently. These trials include everything from growing new organs (e.g. hearts) all the way to skin rejuvenation, stretch mark softening and scar repair. The days of implanting artificial products in your face such as silicone or peeling off layers of skin with old fashioned skin peels will soon be over. Learn about state of the art stem cell therapies from us today.

Nurse injectors: There was plenty of talk about the problem of nurse injectors working un-supervised and with little training. This relates to nurses working in satellite clinics in smaller towns. The main issue is that their patients have less comeback if anything was to go wrong. There are plenty of great Cosmetic Medicine nurses working alongside doctors under a direct supervision arrangement. This means the nurse is working in the same building with their doctor supervisor who is available for advice and support.

If you have a Cosmetic Medicine treatment, you can be reassured by seeing a doctor who has undergone the NZ Society of Cosmetic Medicine (NZSCM) training program or a nurse who is directly supervised by one in the same clinic. Having undergone myself one of the first NZSCM training programs 10 years ago, I can testify to the extensive and thorough training required. Not only is this required initially but NZSCM doctors like myself have to undergo 3 yearly accreditation visits. NZSCM also requires that their doctors are full Fellows of the NZ College of General Practitioners, i.e. are fully approved and licensed GPs. So in a nutshell if you see a NZSCM doctor you are having a treatment by someone who has at least 4 years training and experience.

Next month the conference highlights include the latest on skin cancer. Talk to the experts at The Chandler Clinic for expert and up to date cosmetic medicine solutions.

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PRP for hair loss before and after

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Laser Hair Removal ‘The Bare Facts'

Body hair has been subject to fashion and the influence of celebrities even since the Middle Ages with European women in the 1500’s abandoning hair removal when the queen of France in the 1500s, objected to it. There are many forms of hair removal, for example shaving, creams, plucking, waxing and IPL/Laser.  In this month’s column we’ll have a look at Laser versus IPL (machine treatments).

The Advantages of using Laser over IPL for hair removal

  • Lasers are far more precise and selectively target dark, coarse hair while leaving the surrounding areas undamaged.
  • Each laser pulse takes a fraction of a second and can treat several hairs at a time so treatments are quicker.
  • Laser settings can be adjusted to suit your specific skin tone and hair colour, whereas IPLscan cause burn on darker skin types if not used correctly.

Laser technology is simply much more effective, and achieves substantially better results with most clients achieving optimal results of permanent hair removal of 80% or greater after 4-8 treatments. IPL’s do however have an important place in the treatment of skin. IPL provides good results for skin problems such as superficial pigmentation, redness and capillaries but is less effective than Laser for hair removal. In addition, IPL is not suitable for darker skin.

How does ELOS LASER get rid of my hair?

The ELOS laser uses gentle light and electric energies to damage the hair follicle and prevent it from growing hair.

Is treatment with ELOS LASER safe?

Treatment is very safe for the skin. There are many advances in the ELOS technology that make it one of the safest hair removal systems available for all skin colours. There are no long-term health hazards from light or electric energies used in the ELOS. Both have been used for decades in medicine, surgery, and aesthetics without adversity. There are hundreds of different IPL and Laser machines on the market, ranging in price from $3000 to $200,000 and you definitely get what you pay for.  Generally the best quality machines are found in medical clinics. The Chandler Clinic has the only genuine Laser hair removal device in South Canterbury.  Do not get fooled by advertising for cheap laser hair removal because it is cheap for a reason. Many clients come to us after these "too-good-to-be-true" deals, with burns and untreated hairs. To ensure your treatment is safe and effective make sure your IPL/Laser practitioner is a Fellow of the New Zealand Society of Cosmetic Medicine (FNZSCM) or directly supervised by one.

What kind of results can I expect from ELOS LASER treatment?

Each ELOS treatment results in less hair coming back.  Also hair grows progressively lighter in colour, finer, and slower-growing with each treatment. It takes more than 1 treatment to affect all the follicles growing in an area. Most people achieve satisfactory clearance after 4-8 treatments, but individual results vary depending on medical and genetic factors

How frequently do I need treatments?

The treatments are usually performed every 6 to 12 weeks, Treatments take from 15-60 minutes depending on the size of the area being treated.  There is minimal downtime and most treatments can be done in a lunch break.

Does the treatment hurt?

The sensation is often described as “hot pinch”, or “snapping”feeling which only lasts for a fraction of a second, and you may feel warmth or a tingling sensation for a short time afterward.

What happens after each treatment?

Temporary pinkness in the skin lasts a very short time. The treated area will “shed”some hairs over the next 3-4 weeks, and you may experience a period of hairlessness in the area while you wait for your next treatment.

What areas can be treated?

Anywhere!

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Balding, thinning hair - Part 2

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Last months column introduced the common problem of hair loss. This month I’ll go into more details about your options. Treating hair loss involves three things:

1. Stop doing all the things that are causing hair loss, i.e.:

  • Don’t smokeor stop if you do. It’s all bad!-Bad for your hair, health, skin etc., etc.
  • Eat to save your hair (and maybe your life). Bad diets cause high insulin (hormone) levels. Insulin causes a surge in the hormone called testosterone in the blood (even in women). Excess testosterone is rapidly converted to another hormone called Dihydrotestosterone (DHT). DHT causes hair loss, acne and the growth of excess facial and body hair (in men and women).
  • Your belly accelerates hair loss. Too much insulin (from bad diets) also forces belly fat to suck in nutrients and expand. As they get bigger they cause insulin resistance. You then need to release more insulin in order to control your sugar levels. More insulin equals more DHT and less hair.
  • Minimise stress and think positively. Stress aggravates hair loss mainly by increasing cortisol (a stress hormone).

2. Take specific treatment directed to the cause or causes of your hair loss.

  • Oral Finasteride inhibits DHT (the hormone that causes hair loss).
  • Topical MINOXIDIL wakes up dormant (sleeping) hair follicles and thickens and darkens fine pale hairs.
  • Ketoconazole shampoo as it blocks the effect of DHT on the hair follicle.
  • Take supplements to support hair growth. Osmosis Harmonised water, Saw palmetto, Beta sitosterol, Pygeum africanum , Zinc, Silica, Manganese, Iodine, B6, Biotin, Niacin, Pantothenic Acid, B12, Folate or folinic acid, PABA Vitamin (Tocotrienols), Cysteine, Taurine, Fish protein and carbohydrate extract.

3. Use other measures known to improve your hair.

  • Avoid supplements that harm hair health, e.g. whey protein.
  • Red light therapy.
  • Skin Needling. This treatment releases growth factors that wake up dormant hairs and making hair thicker and darker.
  • Cosmetic options include: applying keratin fibres, scalp painting products, thickening conditioners, hairsprays and other products, hair extensions, hairpieces, wigs.
  • Botox and Platelet Rich Plasma (PRP). PRP produce high levels of growth factors, the little messengers that tell the healing cells to do their thing.

Combination treatments are always more effective than the same treatments used alone.

  • Give treatments long enough before you decide whether they work or not. Hair grows about 1cm a month. It can take 6-12 months to be sure you are responding.
  • Remember it can be hard to tell if there is any improvement as our memories are not 100%. Make sure you take good photos.
  • Start now. Combination treatment is excellent at preserving hair and slow and weak at re-growing it–so don’t leave it too long.

The above treatments are the most effective, proven treatments. Other treatments fall into two categories, less effective and no effect at all. The treatments that do nothing at all are too numerous to list here so be careful what you buy/commit to. A consultation by a reputable doctor trained in diagnosing different types of hair loss and prescribing treatments for your particular type of hair loss is essential to ensure your best chance of success. See The Chandler Clinic team now.

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NZ Laser Training in the Media

Ruth couldn't believe it when she found an IPL home use kit for sale at a popular department store, so she took this story to the media..

Added: 7:35PM Monday June 08, 2015
Source: Seven Sharp
Huge struggle to police the booming IPL and laser hair removal industry.

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We all know that the market is flooded with IPL machines and even Lasers which can be brought into NZ without any regulations, but did you know that now you can walk into a store and purchase a basic IPL machine without even being asked any questions? What this means for industry: People making the choice to try these devices will mean that they might be coming back into clinics with potential burns, blisters or just complaining of no results. The wavelength used is only 475nm, and the maximum fluence (energy) created is only a mere 5 joules, this combined with the fact the treatment window is very small means it would be underpowered and time consuming to use for hair reduction. It does work though... HOW?  - As long as the client is still using the device, the hair shaft will be weakened and the hair will fall out, unfortunately what people wont discover is that underpowered IPL or Laser devices actually contribute to 'LIH' - Light induced hypertrichosis, or stimulated hair growth.  If you missed seeing Seven Sharp, you can watch the Media Clip with Reporter Erin Conroy and Ruth's story here: READ AN ARTICLE ON THIS.

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Balding, thinning, hair

DRTracyChandler-PRP-DSC08104Hair loss can affect both men and women.  Because this is such a common problem with multiple causes and treatments, I’ll talk about this topic over the next two columns.  For men being bald can have a certain macho chic and confidence overshadows how much hair you have on your head. However, we all know first impressions count. A bald man, according to research, is generally labelled as older, less healthy and less sexually attractive than a similar man with a full head of hair. In the USA and UK few bald men have been elected to a major office (and none have made president) since the arrival of television. The US Vice President (Joe Biden) is open about having once had a hair transplant.

Hair loss in women is much more complicated than in men, with many possible causes. This is why a consultation with a doctor who specialises in this problem is essential.
The good news is that there has never been a better time to be losing your hair. Proven prescription treatments remain available. Skin needling now has solid clinical evidence behind it. Also new treatments such as Platelet Rich Plasma (PRP) have emerged as effective treatments.

If you’re not ready for a thin number one cut then your options are:

  1. Hair transplant ($5000-$15000). Rapid results (it takes six months for the transplanted hair to recover and grow) but a permanent scar at the back of your head which is visible if you shave your head. Maintenance procedures are necessary.
  2. Coverups and wig systems (up to $5200).
  3. Medical treatment. This is the only solution aimed at treating the actual hair loss.

Medical treatments

Studies show that a combination of medical treatments will at the very least slow down your hair loss. For greater than 90% of people hair loss stops and regrows. Regularly using a prescribed and organised treatment regime gives better results than using individual treatments sporadically. The amount of hair regrowth varies from person to person but studies have shown results in the range of 5% up to as much as 120% more hair.  However remember that even if you only get 5% hair growth this is better than losing hair, which is what happens if you do nothing.

Ageing related hair loss is a chronic condition and treatment is long term. There is no cure, only treatments to slow or stop hair loss, maintain hair and regrow hair. If you stop treatment you go back to losing your hair. Hair loss treatment is not like a course of antibiotics but more like being on a blood pressure tablet or like brushing your teeth every day. We shave, dye our hair, use sunscreen and go to the gym, so it’s not that big a deal to use hair loss treatment.

Treating hair loss involves three things:

  1. Stop doing all the things that are causing the hair loss, e.g. smoking, high sugar diet.
  2. Take specific treatment directed to the cause or causes of your hair loss.
  3. Use other measures known to improve your hair.

Finally, for The 14 top tips to slow, stop or reverse age related hair loss-stay tuned to next month’s column or make a consultation today with Dr Tracy Chandler.

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Thinning hair, scars, stretch marks, ageing skin etc?-Platelet Rich Plasma does it all-You have youth in your blood!

DRTracyChandler-PRP-DSC08104In last months’ column I talked about Dermastamp®, available for the first time in the South Island at The Chandler Clinic. Another exciting development is the availability of Platelet Rich Plasma (PRP) for the first time in Mid- and South Canterbury and North Otago. Kardashian fans will already have heard of the use of PRP when Kim had her ‘Vampire’ facelift. Well, PRP has now made it from Hollywood to Timaru. PRP uses the amazing regenerative properties of your own blood to solve a range of problems including:

  • Skin ageing including fine lines and wrinkles
  • Hair thinning in men and women
  • Scarring and stretch marks
  • Tired and dry skin, skin laxity
  • Pigmentation
  • Large pores
  • Overall texture and tone improvement
  • People looking for a natural treatment

This means PRP treatment can solve multiple problems:

  • Regeneration of thinning hair
  • Revitalisation of damaged skin
  • Improved skin colour, elasticity, tone, thickness and pore size
  • Remodelling of collagen in scars, and stretch marks
  • Long-term smoothing of fine lines and wrinkles
  • Faster healing following cosmetic treatments e.g. laser skin treatment and dermal needling

What is PRP? PRP stands for Platelet Rich Plasma which is the clear fluid (plasma) part of your blood that contains a high concentration of platelets (your clotting factors). These platelets release Growth Factors which help regenerate and revitalise your damaged skin, stimulate hair growth, reduce fine lines and improve skin texture.

How does it work? Direct injection of your own PRP into your skin supports and helps accelerate tissue regeneration and repair. Your PRP releases growth factors which:

  • Stimulate collagen production
  • Activate stem cells. Stem cells are the master cells of the body which can develop into any of the body's cells, leading to regeneration
  • Stimulate new blood vessels to provide nutrients to the new cells

What does PRP involve and how does it feel? Preparing your PRP is quick and easy. A small amount (10mls) of blood is collected from you in specially designed tubes which are then spun for 5-10 minutes. During spinning, a gel within the tubes separates your PRP from other unnecessary cells within the blood. Your PRP is then ready for application. Depending on your particular requirements, it can be applied:

  • As small superficial injections using a very fine (acupuncture sized) needle
  • As deeper injections using a type of blunt painless needle called a cannula
  • In combination with other treatments like Dermastamp®

Because PRP can be done after the application of a numbing cream the treatment is usually comfortable.

What happens after? After your treatment your skin will feel warm and slightly tight. You will have a pink glow as if you had been in a cold wind. This glow can be covered with makeup after one to four hours and has usually faded by the next day. Small bruises and minor swelling is also possible but usually the swelling is gone the next day and any minor bruising can be covered with makeup.

How many treatments does it take? Usually three treatments every 4 to 6 weeks are recommended with one off top up treatments every 12-18 months. For those having PRP for thinnig hair, top ups are usually more often and possibly every 6-12 months.

Is it safe?  Because PRP uses your own blood, there is no risk of reactions or contamination. PRP is great for everyone and combined with Dermastamp® achieves results that last. In next months’ column I’ll describe the benefits of combining Dermastamp® and PRP together to further enhance your results. Youth really is in your blood!

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Dermastamp for skin and hair

Hair loss, scarring, tired skin, stretch marks? - Dermastamp does it all and more!

CHANDLER-BA-Stomach-MEDICAL-150323-webABOVE: Before and after one
Dermastamp® treatment
In the first of two columns introducing new treatments I will describe Dermastamp. For the first time in the South Island the revolutionary and effective treatment, Dermastamp® is available. Dermastamp® skin needling is a medical treatment that is highly effective for:

  • Stretch marks
  • Hair Loss Therapy
  • Pore size reduction
  • Scar reduction including acne scars
  • Skin rejuvenation
  • Collagen induction
  • Fine lines/wrinkles
  • Pigmentation
  • Skin Tightening
  • Platelet Rich Plasma Therapy

What is Dermastamp®?

The Dermastamp® is a vibrational stamping device, unlike a manual handheld roller. Dermastamp® produces thousands of micro-infusion channels in the skin. Each channel stimulates the skin to regenerate collagen, promote tissue stimulation and repair itself. This is unlike any heat based technology as there is no skin burning. This means recovery is quick and downtime is minimal. The side effects are dramatically reduced and the risk, virtually zero.

Dermal rolling is a similar treatment and has been around for many years but is now outdated thanks to the revolutionary Dermastamp®. The most significant difference is that it is a far more comfortable procedure. The design of the treatment wand means it is far more flexible, making those hard-to-treat areas like lips, scalp and eyes a lot easier to reach, plus the needle length can be adjusted at any stage during a treatment to suit the area being treated. Dermastamp® also utilises INFUSE-AS-YOU-GO technology to instantly infuse anti-ageing ingredients deep into the skin to give it an instant hit of stimulation. This makes the treatment more effective and more even.

How is Dermastamp Performed and does it hurt? The skin is cleaned, sterilised and numbed to ensure comfort. The Dermastamp® tip glides over your skin creating infusion channels. Although Dermastamp® is a form of skin needling the actual needles are a lot smaller than those used for acupuncture. The treatment usually takes around 1.5 hours in total.

Can it be performed on any skin colour? Since we are not using heat, Dermastamp® can be used on any skin colour and skin type.

How long before I see results? This takes time as new collagen is formed, new skin cells are generated and blood supply is enhanced. Although improvements in texture can be seen quicker, it can take up to six weeks before visible signs of regeneration and repair are seen. This process will continue over the following months, providing you with a natural and long lasting enhancement.

How often can I have the Dermastamp®? Normally one Dermastamp® procedure every six weeks with a total of three treatments. Results normally last six to twelve months with one off top up treatments from then on, as desired. Depending on your particular skin complaint it may be necessary to increase the number of treatments required.

Is there any downtime? There is mild redness and occasionally slight puffiness that fades significantly within hours. It is possible to apply makeup an hour later. A slight flaking for a few days is also possible but is usually not noticeable. To reduce visible redness, we apply healing products.

You’re going to love this revolutionary and effective treatment! As the only clinic in the South Island with Dermastamp®, The Chandler Clinic will ensure you get the best possible results in the safest and most comfortable way. Look out next month as we introduce another amazing new treatment-Platelet Rich Plasma. This is a technique that uses the healing power of your own blood to regenerate your skin and hair follicles.

Combining this revolutionary treatment with Dermastamp® gives even greater results. The secret to youth is in your blood!

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Botox® - The pain, mood and sweating treatment!

iStock 000008396357SmallBotox® - Also a treatment for pain, mood, and sweating etc…!

In the second of two columns looking at other Botox benefits, let’s look at the use of Botox for depression; muscle spasm (including overactive bladder); muscle pain (including chronic low back pain); nerve pain (including post-shingles nerve pain); excess sweating; wound healing; tremor; and migraines/tension headaches. Although Botox mainly relaxes muscles it also is thought to interrupt pain signals.

  • Depression
    Depression is a disabling and common problem. A prominent professor, at the American Psychiatric Associations’ 2014 conference explains how Botox can help in depression- "Our emotions are expressed by facial muscles, which in turn send feedback signals to the brain to reinforce those emotions. Treating facial muscles with botulinum toxin [Botox] interrupts this cycle". In addition, a positive side effect is a reduction in frown lines.
  • Muscle spasm
    Muscle spasm can cause squints, blepharospasm (overactive forced eye closure), overactive bladder, anal fissures, and is also seen in children with cerebral palsy. Botox relaxes muscles and so can help with all these problems.
  • Pain
    There is good evidence that Botox can help with muscle pain. Specifically, studies have mainly been done on patients with chronic low back pain from muscular causes. It will not work for all causes of low back pain and so a thorough examination is essential to assess if Botox is right for you. Botox can also help with pain from other causes such as plantar fasciitis (heel pain) or the nerve pain that can occur after a bout of shingles.
  • Excess sweating
    This is a common and embarrassing problem. People I have treated with Botox for this problem have gone from being anxious, and unconfident to being relaxed, and confident. Botox usually provides 6-12 months reduction in sweating. It can also be used for sweaty palms, leading to confidence when shaking hands.
  • Wound healing
    Wounds of the face (whether caused by surgery or trauma) can cause unsightly scars. This is particularly true of scars in the more mobile areas of the face such as the forehead, as the muscles in this area pull on the edges of the wound. All studies show Botox to be effective and safe for reducing the chance of unsightly scars by relaxing the muscles around the wound.
  • Tremor
    Benign essential tremor is a common problem and easily treated with Botox.
  • Migraines/tension headaches
    There is two theories as to why Botox helps with migraines and muscle tension. One is that it relaxes the muscles that can lead to these problems. The second is that Botox interrupts the pain signals. However it works, the relief from these problems is amazing. I have had clients who are on multiple medications and seen multiple specialists obtain relief from years of suffering.

As you can see, Botox has many uses. All of which provide an overall confidence boost. Next month we’ll look at an exciting new treatment that, for the first time ever, is now available in the South Island!

The fastest & safest medical hair removal technology is here!

CC Elos Ad 100x150-150217F-armpit-BABEFORE & AFTER elōs™ Hair removal treatment. Results may varyThe elōs™ DSL high speed hair removal is a breakthrough in the removal of ALL colours of hair!

And with its large spot size and its fast pulse rate – there is no hair removal technology that can beat the elōs™DSL in speed. Smooth, hair-free skin can be yours - with hair removal technology that is safer, faster, and more effective than any other hair removal treatment available. Most clients achieve permanent hair removal of 80% or greater after 4-8 treatments with this simple walk in – walk out procedure. Ask about our hair removal packages.

What our clients are saying ”I was told that because my skin is dark, I can't do hair removal treatments. With elōs™ it was possible and the hair never came back.” - A.L.

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Botox-Other areas of the face and neck

ChandlerClinic-TracyChandlerAs mentioned in previous Botox columns, Botox can help to prevent lines appearing in the first place. If you already have lines Botox prevents them from getting deeper. This is true of areas all over the face and neck. The most common areas I treat with Botox are lines in and around the frown, forehead and eyes. However, other areas of the face can be refreshed with Botox. The best thing about treating these other areas is that they often require very little Botox making them a very affordable way to rejuvenate the face.

‘Botox Brow Lift/Shape’
I often see people who wish to have their brows lifted. They may wish to have higher brows, brow-shaping or less baggy upper eyelids. Baggy upper eyelids can hinder our vision, make us look tired, and cause our mascara to end up on our upper eyelid. Botox can achieve a refreshing overall look by simply and easily lifting the brows. Virtually any shape can be achieved. For example a feminine flare of the outer part of the eyebrow is achievable and can be as subtle as you wish. The result is a natural enhancement that can delay the need for eyelift surgery.

‘Bunny lines’ ‘Bunny lines’ are lines either side of the top of the nose that are caused by squinting or sniffing. These can be treated with very little Botox in one or two spots either side of the nose.

The ‘Paula Ryan’ Lift Paula Ryan is reported to like Botox to her jaw line which she finds gives a lift as good as a face lift. The muscle in the neck that pulls down the lower face can be relaxed by Botox leading to a lift. A Botox face lift can delay or even prevent the need for a surgical face-lift for those considering this.

The ‘happy’ mouth As we get older our mouth corners turn down making us appear unhappy even if we are not. Botox in this area causes the mouth corners to lift up. This can turn a sad expression into a happier look that better reflects how we feel.

Lip lines Lines around the mouth appear in most people over time and again can be relaxed by Botox. Smoking, animated talking, drinking out of sipper bottles, genetics and skincare are all causes. The added advantage of Botox here is that it can help to give the appearance of a slightly fuller lip.

Neck lines The lines around the neck can also be easily treated with Botox to rejuvenate the neck. A persons’ age can often be given away by the appearance of their neck if they only concentrate on rejuvenating their face. Treating the neck with Botox allows the improvements in the face to flow on into the neck.

‘Gummy smile’ Some people when they smile show a lot of upper gum which they feel gives them a ‘horsey’ appearance. A small amount of Botox either side of the nostrils can easily turn a gummy smile into a more natural smile.

‘Popply chin’ Some clients come to me because they feel they have a dimply chin. A small amount of Botox here will smooth the appearance of the chin.

As you can see Botox has many uses. All of which provide an overall refreshment to our appearance. This can lead to great confidence that usually improves our interaction with others and our outlook on life.

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ABOVE: BEFORE & AFTER Botulinum treatment when trying to frown - Results may vary

 

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