Liquid Facelift -Part 2

The eye area

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The eye area is a main personality feature of a person so we don’t want to freeze all emotion here. Treatment must be subtle enhancing the natural beauty and also remaining with what is age appropriate. The skin around the eye is thin and prone to ageing due to loss of elasticity, bone and collagen in this area. Fine wrinkles and pigmentation appear. Thin skin under the eye appears darker as the muscles and veins around the area are more visible.

Fine wrinkles are treated using botox for the crow’s feet to open up the eye and soften wrinkles and a very fine dermal filler to fill and soften the wrinkles. The deep hollow under the eye called the tear trough area is filled to plump the area stopping that hallowed look as the area is not sunken and dark as it is rejuvenated making a person look less tired and old.

The tear trough

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The eyebrow and temporal region are also treated with dermal filler to lift the eyebrow and to fill the hollow in the temporal region that ages us.

I use a fine dermal filler and also use a micro- cannula to prevent bruising. A micro-cannula is like a long thin blunt needle. As it is blunt it doesn’t cut through the blood vessels, keeping them intact and thus not bleeding out giving you a bruise.  A sound horrific but it really isn’t. (I’ve treated myself and many patients using this technique.) It may be slightly uncomfortable; luckily the under eye area is easy to anaesthetise using local anaesthetic so you don’t have to feel any discomfort whatsoever.

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Hyaluronic acid dermal fillers

Dermal fillers (hyaluronic acid) are hygroscopic meaning they attract water. Once injected into your collagen cells they attract water to fill up and thereby plump your collagen cell. Dermal fillers also stretch the microscopic fibroblsts which are the precursor to collagen cells and thus collagen is then produced. Very clever little things – hyaluronic acid cells !! Remember to like my page

hyaluronic acid compoundhyaluronic acid gel

 

The mid face area is a very much overlooked area where a subtle cheek bone lift will take approximately 5 years off one’s look, yet being so subtle that people will not know quite what you’ve done. This is the most overlooked treatment area. When a patient looks in the mirror they generally see the nasolabial lines around the mouth. These are however caused by loss of fat from the cheek bone and eye area. The fat descends and literally falls over a natural ligament around the mouth (the naso labial lines). There is also loss of bone from the cheek and eye area as it degenerates as we age. Hence when we look in the mirror, this is what we see – deep lines around the mouth.

 

The ageing face

The ageing face

Mid face ageing is a dead give-away as to a person’s age – yet is the most under treated area in South Africa. In Europe and the states, this is fast growing to be one of the most popular dermal filler treatments. The muscles keeping the fat pads in place become thin and stretch with age also contributing to the descent of our cheek fat pads.

The technique used for mid face and tear trough dermal filler is quite an advanced technique and you should seek out an experienced practitioner. For mid face, a special measuring technique is employed so I know exactly where the filler needs to be inserted. Remember to like my page: Dr Stasi botha

A very thick volumous filler is used as this area and generally takes 1 ml of filler minimum per side. It is more costly than your general fillers; however I keep the price as low as possible. The filler generally lasts one year to 18 months depending on the individual. I usually advise having retreatment at one year so you don’t lose all the effects of the filler.

 

The lower face is generally also a dead give-away of age as with botox the upper third of the face can look 10 years younger than the lower third. A neat trick: treating the mid – third takes the eye’s focus to the mid face; away from the lower third giving the illusion of a much younger face.

So besides the obvious face lift what can we do.

Quite a bit

Nasolablai Lines

Marionette lines

Vital – fine filler made up of small micro particles that can draw water 10 x it’s own weight into the collagen cells, making wrinkles smoother softer and less evident.

Fill the lips

Straighten the jaw line

MICRONEEDLE MICRONEEDLE MICRONEEDLE

This in conjunction with Restylane Vital which plumps those very fine lines it really rejuvenates the entire mouth area.

All is not lost

And remember…. A face lift cannot give you the volume that filler’s can give you; neither can a filler lift the way surgery can, but in conjunction the two go hand in hand. It’s a personal choice at the end of the day.

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LIQUID FACELIFT

LIQUID FACELIFT – Part 1

Need a little lift? This month we’ll be discussing : “The liquid facelift” – a mini make-over with botox and dermal fillers

Botox

Firstly for that just had a holiday relaxed refreshed look I inject botox into the frown, forehead, crow’s feet and also into the bunny lines on the nose  to relax the muscles and hence soften the lines. For those that have just joined us: botox or Botulinum Toxin A is a protein and neuorotoxin produced by the bacterium Clostridium botulinum. These bacteria release a neurotoxin protein which causes paralysis of the muscles which allows the muscles to relax which gives the appearance that wrinkles have softened or disappeared.

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Botox is such a superb anti-ageing and wrinkle treatment. It is extremely preventative as it stops muscle movement so the muscles can’t cause those little crinkle wrinkle lines – especially the worry one’s. Even if you only have it twice a year you will still see the anti-ageing effects. Don’t forget to “Like” my page please and share too if you find anything interesting! @ Dr Stasi Botha

Fillers

For a natural aesthetic result, fillers are incorporated into areas that have lost fat, muscle and general elasticity of tissue. Fillers can fill in wrinkles but they are especially fabulous for areas where volume loss has occurred. They can literally be placed anywhere i.e. around the eye, the cheek bone area, around the mouth and even along the jaw line.

The liquid face-lift is a costly procedure so I generally advocate that treatments be spaced a few months apart so treatment is then affordable, less down time is required as bruising may occur and also so that you don’t have that “just done look”

placement of fillers

Firstly for that just had a holiday relaxed refreshed look I inject botox into the frown, forehead, crow’s feet and also into the bunny lines to relax the muscles and hence softening the lines. For those that have just joined us botox or Botulinum Toxin A a protein and neuorotoxin produced by the bacterium Clostridium botulinum. These bacteria release a neurotoxin protein which causes paralysis of the muscles which allows the muscles to relax which gives the appearance that wrinkles have softened or disappeared.

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Acne Scars

This month we’ll be discussing scars. A difficult but treatable condition. People with acne or trauma scars may be very self conscious, shy or suffer from a low self-esteem. Acne scarring in particular has devastating psychological effects on teenagers especially
Treating a scar takes a very long time to treat but the rewards are worth the effort. Unfortunately it is very difficult to totally eradicate them; however they can be made to be much less visible to the naked eye.
Inflamed acne must be treated as soon as possible otherwise scar damage may be severe and difficult to treat. The old adage always applies that prevention is better than cure. A dermatologist should be sought out at this stage and treatment started without delay. If this is not possible, a visit to your local gp will help with prescription antibiotics until the dermatologist can be seen.
A good skin care regimen aimed particularly to acne prone oily skins is recommended to be incorporated into your daily regimen. Examples of such products are excuvience/neostrata, cetaphil, eucerin and most of the big cosmetic houses carry a range for acne prone skin.

How does a scar form?
The wound healing process goes through 3 stages:

1) Inflammation
2) Granulation/scar formation
3) Matrix remodelling – where the outer surface of the skin is broken down, into the outer surface of the scar. The skin has a decrease in elasticity which is why the scar is tight. There is also a decrease in blood flow hence the white colour of a scar towards the end of the healing period.
Some acne patients are predisposed to scar formation due to a stronger inflammatory reaction at the gland that produces the acne, while other patients may never develop a scar at all. It has also been shown that the inflammatory process is slower in those that don’t develop scars. It is so important for early intervention to be implemented and treatment initiated to stop the inflammatory process.
Scars can be pitted and shallow or stick out like a keloid scar.
Pitted scars are classified into:

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1) Ice pick – majority of patients, looks like a tooth pick piercing hole.
2) Box car – 20 -30% of acne scars. Occurs on temple area as an oval angular depression and is muh wider than an ice pick scar
3) Rolling scars – uncommon – seen as a shallow depression with change of light

Hypertrophic or raised scars:Typically pink, raised and firm and is thick with collagen and are within the border of the original injury.

Keloid scarring: very large and extend beyond the border of the original wound. These scars are unfortunately more common in darker skins.

Treatment is a multi approach embodying various methods.
Firstly : Prevention , prevention prevention.
At this stage usually ruaccutane, antibiotics and topical retinoids are used to prevent scarring. Use of silicone gel has proven effective for prevention of scars, especially hypertrophic or keloid.
Treatment options include:
• Chemical peels
• Dermabrasion
• Microneedling
• Dermal fillers
• Laser treatment – ablative and non-ablative
• Surgery
• Dermal grafting
Combination treatments are generally used. In my practice I use a very effective combination of chemical peels, microneedling, subcision and dermal fillers especially with ice pick scars with very effective results. Treatment can take from 6 to 10 appointments for scarring but usually after the third appointment patients start to see visible results and leave the rooms feeling more confident and satisfied with their skins. Call my rooms for a free consultation 011 616 4040
Chemical peels:
1)Glycolic acid: for mild acne scars. Approximtely 6 treatments every 2 weeks increasing from 20 – 70%
2) Salicylic acid: best for Indian and African skins. Excellent for blemishes and macular scarring. 5-6 treatments very 3 – 4 weeks
3) Tca: medium depth peel, 6 treatments 4 weeks apartand can only be used in lighter skin types

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Subcision for acne scar treatment:
This involves using a needle or cannula to break the fibrous bands that holds down the scar to the deeper layers of the tissue so the scar literally pops up. We use this technique with wrinkles too!! We break the band that holds down the wrinkle so it is released thus giving it a soft appearance.The depression is lifted and normal collagen is formed from underneath.
This needs to be repeated until the scar has relevelled. Once this occurs resurfacing treatments such as microneedling/ lasers can be used to improve skin texture.

Fillers:
Very useful for depressed scars. They attract water into the collagen cells and raise the skin of the scar to the surface and give a smoother look. My preference is to use hyaluronic acid fillers. The procedure needs to be repeated yearly
Microneedling:

dermapen

microneedling depths

A handheld handpiece that vibrates with needles which make puncture wounds. This stimulates the healing process that finally results in new collagen production. This is a superb treatment for scarring and anti-ageing as thickening of skin and a dramatic increase in new collagen and elastin fibres are seen. This procedure actually produces new fibroblasts which are the small cells that produce collagen. Remarkable – a treatment that uses your own body to produce new skin… Like? The full effects are seen at 3 months due to deposit of new collagen.

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Microneedling creates a natural response to wound healing and making of new skin. A microscopic injury is created to initiate the wound healing cascade. The skin becomes tighter, firmer and smoother with natural colour formation. As a very narrow channel is created approximately 4 cell width thick a closed wound is produced and not a scar.

For very severe scarring, laser CO2 abaltion is required. This is an expensive procedure and may require more than one treatment. Be careful when choosing your laser clinic carefully to ensure that they are reputable.
Hope you enjoyed this month’s topic. xx

DR STASI BOTHA SEPTEMBER 2013 NEWSLETTER: BEST SPRING TREATMENTS!

WELCOME!

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This month on my newsletter I want to talk about all the treatments and the procedures that will make you look even more amazing and ready for summer! I will talk about teeth whitening, dermal fillers, Botox and microneedling.

I have spoken about these topics before on my Facebook page and my blog but I thought that since the warmer months are here and we all want to undergo a little bit of a makeover, why not do a recap for you to know what options are available to your to look your best!?

I hope you enjoy this newsletter and as always, remember that my Facebook and Google + pages are very resourceful when it comes to the treatments and procedures I offer so make sure to pay them a visit and share the info with those around you!

Lastly, if you want to know more about all the treatments I offer or if you wish to book an appointment, please do not hesitate to phone (011) 616 4040 or 072 712 3994!

LASER TEETH WHITENING

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One of the first things that people notice in a person when they meet you for the first time is your smile. First impressions last so maybe you should ask yourself if your yellow teeth make you self-conscious.

LASER TEETH WHITENING
While the latest laser technology is relatively inexpensive, the professional whitening gel procedure is the most cost effective option and does not damage your teeth.

In order to extend the longevity of newly whitened teeth, I highly recommend that you follow the instructions below.

  • At-home follow-up or maintenance whitening – implemented immediately or performed as infrequently as twice / three- / four times a year, depending on your habits
  • Avoiding dark-coloured foods and beverages for at least 2 days after whitening.
  • Whenever possible, sipping dark-coloured beverages with a straw.
  • Practicing excellent oral hygiene – brushing and flossing after meals and at bedtime.
  • Using a whitening toothpaste

HOW LONG DOES TEETH WHITENING TAKE?
The procedure takes a total of 2 hours and includes:

  • A general assessment of the teeth, viability of whitening and pointing out any problematic areas.
  • A professional cleaning of the teeth done by a dental professional
  • Preparation of the teeth, enclosing of all the soft tissue and possible sensitive / problematic areas on the teeth
  • 4 sessions of 15 minutes each – exposure under the laser!
  • Post whitening instructions
  • An at home post whitening maintenance kit, to maintain your white teeth

DERMAL FILLERS

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Now I want to talk about the use of dermal fillers at my practice. They make for very effective, safe and reliable treatments with long-term results and a very high patient satisfaction rate.

With dermal fillers I can:

    • Smooth away facial lines and wrinkles
    • Create fuller lips
    • Shape facial contours, such as cheeks and chin
    • In more recent times I use dermal fillers to revitalize the skin

The most common treatment areas for dermal fillers:

  • Nose to mouth lines (the nasolabial folds)
  • Between the eyebrows (the glabella lines)
  • Lips (adding volume and shape)
  • Cheek augmentation
  • Skin rejuvenation

Dermal filler skin rejuvenation treatments are effective in reversing the damage caused by photo-aging particularly in those difficult to treat areas that ‘give away’ your age, such as:

    •  Neck
    • Décolletage
    • Backs of your hands.

And of course everyone wants to have young and beautiful looking skin all year long but especially in summer, when you show more skin than usual, it can be a really great asset!

Lip fillers will usually last 6-9 months while nose and mouth areas are expected to last 9-12 months. The dermal filler is gradually broken down and absorbed by the body. If no further top-up treatments are done the wrinkles and lines will return to their previous appearance.

BOTOX

Now I would like to talk about Botulinum toxin, which, I am sure, you have heard of before? Maybe you’ve already had Botulinum Toxin (Botox®, Dysport) before or know someone who has?

With this product, I can:

  • Soften wrinkles
  • Reshape eyebrows
  • Reshape lips
  • Treat excessive sweating
  • Reshape the nose

The most common area of treatment is frown lines of the forehead. But Botulinum toxin may also be used to treat numerous areas including:

    • Smokers lines
    • Crow’s feet
    • Nasal reshaping
    • Excessive sweating
    • Migraines

The list is continually growing and I will continue to study new techniques and applications to keep you at the forefront of modern aesthetic medicine.
If you could wish for an aesthetic treatment where and what would it be?

Although the results are easily visible, a Botulinum toxin treatment will not radically change your appearance or make you look as if you “had work done.” The muscle activity that causes wrinkles is simply reduced.

There is no recovery period and no down-time after a Botulinum toxin treatment. You can go directly back to your normal activities, which is so convenient for you to squeeze an appointment in your busy schedule!

The Botulinum toxin will wear off in an estimated four months, and returning patients can be in and out within minutes. Great news to maintain the younger looking you.

SKIN NEEDLING

Have you ever heard of skin needling? It is a great rejuvenating procedure that I offer at my Bedfordview practice. I will tell you what it is, who it is for and how it can transform your skin.

You can also book a skin needling treatment with me at Bedfordview. This treatment combines well with Chemical Peels too for ultimate skin rejuvenation.

Microneedling, also known as Facial Mesotherapy and Collagen Induction Therapy (CIT) involves using a digital hand-piece infused with multiple, fine-pointed needles on the skin’s surface to stimulate its own regenerative properties and rejuvenate it.

Some techniques also involve handheld needling, but as technology develops so too does technique. At my practice I utilise the latest Vee Way needling technology.

Mesotherapy can be defined as a series of micro-injections of a cocktail of vitamins, serums, medication or amino acids into the middle dermal layer of the skin. Its purpose is to heal and reverse skin ageing and damage.

When small amounts of serums are injected into the skin, via needling techniques, the blood flow automatically increases to the treated area. This increases nutrition and oxygen to the site. This also improves lymphatic drainage and removes toxins in the skin.

NOTE: This technique can also be effective when treating cellulite.

During the Microneedling session, I use a sterile needle grouping and mechanically stimulate the epidermis and the top layer of the dermis. This, in turns, tells your brain to send collagen to the injured site in order to repair it.  This signal creates an abundance of collagen, which will plump up the injured area.

What is left after a needling session? Softer, yet tighter skin.
Your wrinkles, acne scars and other depressed areas will be a lot less noticeable. As an added benefit to skin needling the efficiency of serums and moisturizers is increased as they can now penetrate deeper.

The most exciting element to skin needling is that your skin’s production of new collagen continues for up to 12 months after the procedure.

That’s it for my September newsletter; I hope you found it informative and are now looking even more forward to the warm summer months!

Remember to check follow my Facebook page and do not hesitate to phone my rooms on (011) 616 4040 to book an appointment or find out more about the treatments and procedures I offer.

DR STASI BOTHA’S MAY NEWSLETTER: AFTERCARE

 WELCOME TO MY MAY NEWSLETTER! 

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This month I thought it would be interesting for me to talk about aftercare and how to make sure you take the right steps when it comes to recovering after an aesthetic treatment.

As your physician, I cannot stress enough the importance of protecting and soothing your skin after a session at my practice. Whether you came for Botox, dermal fillers, Skin needling or Fraxel, you need to know exactly what to do once you leave my rooms in order to maintain beautiful, long lasting results.

Of course, after your treatment I will give you all these recommendations again and will guide you through the aftercare process. I will answer any questions and make sure you know exactly how to proceed once you get home.

Remember to visit my Facebook page regularly; this is where I post about all the procedures and treatments I offer and also where you will find out about any specials I may run!

I hope you enjoy what follows!

→After Fraxel

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After your Fraxel Laser treatment, you should clean the treated area by washing with non-allergic cleansers that are soap-free but you should not clean the area more than twice daily. After you have washed the area, it is recommended you pat it dry lightly.

This patting is also great advice for after a shower. Try it, you’ll see what a difference it makes to your skin.

Do not rub the treated area after the Fraxel treatment as it may irritate the treated skin.

There is no need to take time off work after a Fraxel treatment but there will be 2 to 3 days of redness and in some cases you might experience some swelling, which can be covered with makeup. This is completely normal and of short duration.

Knowing that you can be back in the social world within a day gives you great confidence in the procedure.

It is important that you keep the treated areas moisturized by using creams and moisturisers that I will recommend. I will explain how to use these creams, how often to apply them and for how long.
After a Fraxel treatment, it is important that you eat and sleep well in order to ensure the best recovery and results possible.

I always advise my patients to apply large amounts of SPF and make sure they stay out of the sun. If you have to go in the sun, you will need to make sure that the treated area is well covered. Sunblock must be applied hourly and a hat must be worn.

SPF should be part of your daily anti-ageing routine too, sunblock actually only lasts for one hour, therefore you should apply it often.

→After Skin needling

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It is very important for you to avoid direct exposure to sun rays for at least 4 days after the procedure. But I will still ask you to wear a high quality SPF for more protection.

This is because of the damage caused by the needling, and additional sun damage will delay the healing process. This is why winter is also a great time for micro-needling, because the sun is not so harsh.

Carefully following my guidelines is very important as it will prevent any skin damage. You must keep in mind that a good healing is a process that cannot be rushed or overlooked as it would counteract the benefits of the actual procedure.

After the micro-needling, I need you to avoid the use of sensitizing drugs or skin cosmetics or cosmetics that contain mineral oils, Vaseline, lanoline, petroleum or acids. It is also important to avoid steam bath or sauna the first day after the treatment. Make up and after-shave (because men love micro-needling too) cannot be applied within the first two days post treatment.

→After Botox

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Botox is a popular procedure at my practice that most patients enjoy without any complications. However, it is always good to be reminded that after the injections you may notice some small red dots and bumps which usually fade after a few hours. Minor bruising may occur and last a few days.

It is still very important that you follow my instructions for BOTOX® after care to help ensure that you achieve optimal results.

After a Botulinum toxin session, some patients like to apply a lightweight cold compress to the treated area for a few minutes after the procedure. Even though the injections are not painful per-se, you may still want to get some immediate relief in order to be as comfortable as possible.

If you make sure to carefully follow my instructions, your recovery after Botox will be quick and pleasant. You will be able to resume normal activities immediately after the treatment.

Nonetheless, I usually advise my patients to wait 24 hours before taking part in any strenuous activity i.e. gym or cardio sessions. I also recommend that you avoid lying down for four to five hours following the treatment and that you avoid touching the treated area.

We just want the Botulinum Toxin to settle down. It does take a few days for the treatment to take effect and these tips assist with more accurate results.

→After Dermal Fillers

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Like with any other procedures, there are some risks. With dermal fillers, there is a small possibility of allergic reaction. There is usually localised redness and swelling that can last a day or two.

Should this be the case, a simple script for antihistamines will do, but this is a very rare occurrence.

Bruising is a more common side effect after dermal filler injections which can last up to a 5 days. But together during the consultation we will go over the possible risks and complications. I want you to feel as comfortable and confident as possible.

If you do bruise we do have great medical make-up available in the shape of Oxygenetics, which we can match with your skin tone.

Healing time varies from person to person, however, so some may experience redness and swelling slightly longer than others but overall the recovery and healing process after dermal filler injections is quick and easy.

There should never be any healing side-effect that cannot be covered by well placed make-up, and this is why dermal fillers are proving so popular.

I usually advise my patients to avoid touching and massaging the product situated in the treated area for the first 24 hours after their dermal filler injections as this could disturb the dermal filler gel and impair the results.

Of course this can be difficult, but the advice is to be aware of your treatment area. These are simple tips to prolong the life of your result.

As part of the dermal filler aftercare procedure, it is also advisable to use a cold pack as needed to reduce swelling and redness at the injection site. With the use of cannulas bruising and swelling is reduced, but should you swell a cold pack will do nothing to the result, but will get you out and about again.

A cold pack will be available at the time of treatment.

Remember to follow me on Facebook and “Like” my page. This is where you will find all the updates and news about the treatments and procedures I offer at my practice.