http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast Advice for patients from patients Tue, 07 Sep 2010 09:57:16 +0000 en hourly 1 http://wordpress.org/?v=abc ©Adrian Richards andy@wireworldmedia.co.uk (Adrian Richards) andy@wireworldmedia.co.uk(Adrian Richards) 1440 cosmetic surgery, face lift, breast augmentation Advice for patients from patients Real, honest and personal experiences of cosmetic surgery. Award winning cosmetic surgeon Adrian Richards talks to patients, surgeons, support staff and industry experts to give you the inside track on what to expect before, during and after a cosmetic surgery procedure. Learn from other patients experiences and find out if cosmetic surgery is right for you. Adrian Richards Adrian Richards andy@wireworldmedia.co.uk No no http://media2.wireworldmedia.co.uk/Aurora/artwork300.jpg http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast 144 144 http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/2009/07/19-dermal-fillers-summary-and-non-facial-indications/ http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/2009/07/19-dermal-fillers-summary-and-non-facial-indications/#comments Wed, 01 Jul 2009 10:09:20 +0000 Andy White http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/?p=126 http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/2009/07/19-dermal-fillers-summary-and-non-facial-indications/feed/ 0 3:18 Dermal fillers such as Restylane, Perlane and Juvederm are used to soften wrinkles and other facial lines. Aurorarsquo;s nurse specialist Libby Stewart discusses the sites ... Dermal fillers such as Restylane, Perlane and Juvederm are used to soften wrinkles and other facial lines. Aurorarsquo;s nurse specialist Libby Stewart discusses the sites where they are best used in the face and other areas of the body. Hello this is Libby Steward here from Aurora Clinics the Aesthetic Nurse Practitioner. I just wanted to summarise really some of the things that wersquo;ve talked about regarding dermal fillers. So, the dermal fillers are an injectable treatment of a hyaluronic acid gel to help correct the appearance of static lines in the face, the hands or the deacute;colletage area or they can be used to replace volume loss either in the cheeks or perhaps in the oral commissure areas here. There are choices of product on the market, we favour the Allergan range here at the clinic but we do hold a variety of different products and if yoursquo;ve been used to using one product at a clinic I'm sure that we can find something that will be suitable for you. The hyaluronic acids do come in various strengths and textures of gel, so our choice of product will be guided by where wersquo;re actually going to use the product. We might use something that has a different formulation around the mouth or an area where product breaks down very quickly because of greater vasculature or greater expression where that movement will actually break down products more quickly, we might use something of a deeper grade and more robust nature for the cheeks or for these areas here which need a little bit more bolstering. The very fine lines that we can address on the face we might use a different product again, and something different perhaps again here for the nasal labial lines. The duration of these products are dependent on the thickness, where we place them and the depth that theyrsquo;re placed within the skin. Your practitioner will advise you on this but they will all last between six months and a year, depending on the factors that wersquo;ve just gone over. So most people are suitable for treatment with hyaluronic acid fillers, they can be used in conjunction with lots of other procedures. Theyrsquo;re really very good used in conjunction with a face life where perhaps wersquo;ve removed excess skin but need to restore some volume so we could use the hyaluronic acids for that. Theyrsquo;re also very good in combination with wrinkle reducing injections like the Botox injections where the muscle movement is ceased from those injections but perhaps a crease still remains, so hyaluronic acid is the way to go there. And because hyaluronic acid is a very hydrophilic substance that means it draws moisture towards itself, it's really very good for use in the deacute;colletage in the fine lines here, and also in the back of the hands for restoring plumpness and firmness to the skin. So I hope that answers most of your questions on hyaluronic acid fillers but if there is anything else that we can help you with please do call us here at the clinic on 01844 214 362 or via the website. Thank you very much. Cosmetic,Procedure,Information,Videocast,,dermal,fillers,,non,surgical Adrian Richards no No http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/2009/06/18-dermal-fillers-aftercare-advice/ http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/2009/06/18-dermal-fillers-aftercare-advice/#comments Fri, 26 Jun 2009 14:02:35 +0000 Andy White http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/?p=124 http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/2009/06/18-dermal-fillers-aftercare-advice/feed/ 0 2:20 Dermal fillers such as Restylane, Perlane and Juvederm are used to soften wrinkles and other facial lines. Aurorarsquo;s nurse specialist Libby Stewart explains what ... Dermal fillers such as Restylane, Perlane and Juvederm are used to soften wrinkles and other facial lines. Aurorarsquo;s nurse specialist Libby Stewart explains what to expect following treatment and advises on the best way to achieve the best result for you. Hello this is Libby Stewart the Nurse Practitioner here at Aurora Clinics. What will happen following your treatment with dermal fillers? Well immediately following your treatment we will take some more pictures so that we can see the immediate result. As I explained on the previous video about how we take photographs as a baseline when you come to see us and you will be able to see the improvement in your static lines immediately following treatment. Now, sometimes depending on how much of the product we have used, and the product is actually delivered by a syringe like this one here, so sometimes it takes more than one syringe to actually achieve the perfect correction so we may use more than one syringe in the one treatment or you might be invited to come back at a later date just to layer another syringe on top so we have the perfect correction for you. Therersquo;s nothing much to do following your treatment. We do ask you to avoid extreme facial expressions and alcohol and putting on your makeup for up to 12 hours. This gives the product time to settle in place and the not putting on of makeup just really helps to prevent any infection which may be caused due to makeup going into the very, very fine puncture that the needle would have made. For two weeks following your treatment we would ask you not to have saunas and solariums and to avoid extremes of temperature, again just to give the product the best chance of maintaining that really nice long-lasting correction for you. Treatments will last between six months, nine months, twelve months, depending on the areas that wersquo;ve put them and the grade of product that wersquo;ve used and the actual sort of weight of the product wersquo;ve used to correct the line that you wanted removing or indeed the volume correction and so any time that yoursquo;d like to come back to clinic to have a follow on appointment wersquo;d be very happy to see you. You can arrange these on our clinic number of 01844 214 362 or via the website. Thank you. Cosmetic,Procedure,Information,Videocast,,dermal,fillers,,non,surgical Adrian Richards no No http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/2009/06/17-dermal-fillers-preparation-and-what-to-expect-during-treatment/ http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/2009/06/17-dermal-fillers-preparation-and-what-to-expect-during-treatment/#comments Fri, 26 Jun 2009 13:59:04 +0000 Andy White http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/?p=122 http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/2009/06/17-dermal-fillers-preparation-and-what-to-expect-during-treatment/feed/ 0 3:13 Dermal fillers such as Restylane, Perlane and Juvederm are used to soften wrinkles and other facial lines. Aurorarsquo;s nurse specialist Libby Stewart explains what to ... Dermal fillers such as Restylane, Perlane and Juvederm are used to soften wrinkles and other facial lines. Aurorarsquo;s nurse specialist Libby Stewart explains what to expect during treatment and how you will feel immediately afterwards. Hello my namersquo;s Libby I'm Aesthetic Nurse Practitioner here at Aurora Clinics and wersquo;re talking a bit about dermal fillers. In this little section of the video I wanted to explain what happens before treatment and what to expect during treatment. Your first consultation with the clinic wersquo;ll take a complete medical history from you and like I said in the first video most people are suitable for treatment. We will also take some photographs of you so that we have a baseline to gauge the result of your treatment which is immediate. There is no specific preparation that you need do before you come to clinic for the treatment. The treatment time is a very short treatment, it takes about 15 to 20 minutes to perform the procedure although your appointment time is obviously longer as we put some anaesthetic cream on your face or other areas that we can treat which are perhaps backs of the hands to improve aging, and the deacute;colletage area, but local aesthetic cream is applied and we wait for about 20 minutes for that to work. The procedure itself, you will be sitting on a bed and wersquo;ll clean the face with a product such as Witch Hazel, something to clean the skin and make sure there is no bacteria so to minimise infection during the procedure. The procedure itself is performed by the introduction of a very fine needle underneath the skin and a very slow injection of a colourless smooth homogenised gel which does lift a line so that we have immediate results. Following the application of the gel the product is sometimes massaged into place, not always, it just depends on the depth of the line in the product that wersquo;re using, but sometimes a little massage is required and following that we would sooth your skin by applying a cream such as Oraderm which is a vitamin K cream which helps prevents any bruising which might be caused. Bruising is very minimal but we are introducing a product into the skin with a fine needle so a little redness and bruising can be expected in some people. Really that is the extent of the treatment, immediate, fast and long-lasting. It will last about anything between six months and twelve months depending on the area we place it. A little maybe shorter lifespan if we inject around the mouth or areas of very sort of high movement or vasculature, but a very good treatment and with immediate long-lasting results. Thank you for watching the video. If you would like any more information the telephone number to call is 01844 214 362 or please enquire via our website address. Thank you. Cosmetic,Procedure,Information,Videocast,,dermal,fillers,,non,surgical Adrian Richards no No http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/2009/06/16-dermal-fillers-where-can-they-be-used/ http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/2009/06/16-dermal-fillers-where-can-they-be-used/#comments Fri, 26 Jun 2009 13:55:42 +0000 Andy White http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/?p=120 http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/2009/06/16-dermal-fillers-where-can-they-be-used/feed/ 0 3:08 Dermal fillers such as Restylane, Perlane and Juvederm are used to soften wrinkles and other facial lines. Aurorarsquo;s nurse specialist Libby Stewart explains that they ... Dermal fillers such as Restylane, Perlane and Juvederm are used to soften wrinkles and other facial lines. Aurorarsquo;s nurse specialist Libby Stewart explains that they are often used on the face to soften mouth to nose lines and marionette lines which come downwards away from the corner of the mouth. Hello my namersquo;s Libby Stewart I'm Aesthetic Nurse Practitioner here at Aurora Clinics. So who is suitable for treatment with dermal filler and where would you expect dermal fillers to be placed? Well the who is quite simple. Most people are suitable for treatment with a dermal filler. Obviously treatments have never been approved in ladies who are expecting babies so we have no data to support that and wouldnrsquo;t treat anyone who was pregnant. There are certain auto-immune diseases and people with recurrent sore throats etc that we would keep an eye on, but these are not particularly contra-indicated and we would discuss this when taking your medical history during your consultation. The treatments are perfectly safe as we are using a natural product which is biodegradable and would only expect to last in the body for about nine to twelve months. It is something which the body is able to break down quite naturally, and whilst perhaps this might not seem great if you have to keep getting your treatment done every year, it does mean that you get a nice fresh result and ideas of beauty changes, and your face changes around it, the hyaluronic acid filler only stays in place whilst it is suitable for that particular area. Most people who present at clinic are concerned about the lines that come between the nose and the mouth here which are called the nasal labial lines. These are the ones which really sort of show the sign of ageing first as we lose our fat pads here underneath our cheeks and that skin has nowhere to go but downwards and can cause that very deep crevasse there and those fill out very nicely with hyaluronic acid fillers and really produce a very startlingly good result which is immediate to see. Other places that we can use the hyaluronic acid in the face are the areas here which are called the oral commissures where we have the volume loss here that again is created by the aging face, and this can be padded out to the natural volume that was apparent in the more youthful face. Lines which ladies really hate are the ones going between the corners of the lips here down towards the jaw which are called the marionette lines, which give the appearance of a sort of puppet-like face, and with a little more volume in here and the relieving of the creases here really do help restore that balance. Fillers can be used to restore volume in places like the cheeks where perhaps you want more volume than you used too have in that part, so we can use it for creating a sculptured look as well as just re-creating what you had before. If you would like any more information on this please contact us here at the clinic on 01844 214 362 or via the website. Thank you. Cosmetic,Procedure,Information,Videocast,,dermal,fillers,,non,surgical Adrian Richards no No http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/2009/06/15-dermal-fillers-what-are-they-and-what-brands-we-use/ http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/2009/06/15-dermal-fillers-what-are-they-and-what-brands-we-use/#comments Fri, 26 Jun 2009 13:51:17 +0000 Andy White http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/?p=118 http://www.aurora-clinics.co.uk/cosmetic-surgery-podcast/2009/06/15-dermal-fillers-what-are-they-and-what-brands-we-use/feed/ 0 2:38 Dermal fillers such as Restylane, Perlane and Juvederm are used to soften wrinkles and other facial lines. Aurorarsquo;s nurse specialist Libby Stewart describes how the ... Dermal fillers such as Restylane, Perlane and Juvederm are used to soften wrinkles and other facial lines. Aurorarsquo;s nurse specialist Libby Stewart describes how the gels are made and discussed the benefits of individual brands. Hello I'm Libby Stewart one of the Nurse Practitioners here at Aurora Clinics. People have heard of dermal fillers but theyrsquo;re not quite sure what they are perhaps. So what are dermal fillers and what choices do you have when choosing a dermal filler? A dermal filler is an injectable treatment of a gel which is placed underneath a static line or wrinkle to either improve the appearance of the wrinkle or perhaps to replace volume that has been lost in the aging face. There are many types of fillers on the market, but here at Aurora we prefer to use the fillers from the Allergan range, you may have seen some advertisements in the press recently for the Juveacute;derm range which is the latest in the range, or the very dependable Hydrafil range that was the forerunner to Juveacute;derm. These fillers are made from something called hyaluronic acid. Theyrsquo;re a natural based substance which is common to all tissue types. Trees, plants, animals, humans all have hyaluronic acid and it is this hyaluronic acid that is responsible for the hydration and soft moving of our skin, our eyes, our joints, so it is something that is essential to us but its production does decrease as we age. Its natural life is very short-lived in the body so even if we were to inject pure hyaluronic acid it wouldnrsquo;t last for very long, so it has to be stabilised in a gel, and the basic choice between products comes between the carrier gels that hold the hyaluronic acid. The Allergan range is a smooth homogenous gel which goes underneath. Other companies have gels which are based on particular products which hold their shape and give their longevity, but the Allergan range has formulated a matrix approach which helps to maintain the volume underneath the line once it has been corrected. So that is the main choices between whether we would use one brand or another, but that would be assessed according to your needs and your desired outcome at your consultation with your practitioner. If you have any questions on dermal fillers please contact us here at the clinic, wersquo;re on 01844 214 362 and we can also be contacted via the website. Thank you. Cosmetic,Procedure,Information,Videocast,,dermal,fillers,,non,surgical Adrian Richards no No