Chehire cosmetic Treatments

Expert Cosmetic Solutions in the heart of Cheshire.

Cheshire Cosmetic performs a variety of anti-ageing and rejuvenation treatments including Botox®, Restylane®, Perlane®, Sub-Q®, Juvederm®, Sculptra™, Chemical skin peels, Laser & IPL, Radiofrequency skin tightening, Dermaroller™ and the renowned Obagi® Medical Skin Transformation System

1. Cosmetic
Medicine

2. 8 years cosmetic medical experience
British Association Cosmetic Doctors
Diploma of Cosmetic Medicine
Over 7000 cosmetic procedures
Dr Raj Acquilla

3. Laser & IPL
Minor surgery
Vasectomy
Cosmetic Dentistry
Botox
Dermal fillers
Chemical Peels
Cosmeceuticals
Services

4. What Is Beauty?

5. Symmetry
Proportion
Sexual dimorphism
Youthfulness
Visual focal points

6. Facial Ageing
Skin
Muscle
Fat
Bone
Teeth

7. Skin
Collagen + elastin - firm elastic texture
Melanin - even tone and pigmentation
Rapid skin cell cycle - fresh complexion
Bone
High density - providing architecture / projection
Muscle
Less powerful -
no pleating of
skin
Fat
Pads in
mid-face provide
volume / lift
The Youthful Face

8. Bone
Lower density = reduced support and projection
Fat
Loss and migration of
fat pads = sagging +
jowls
Muscle
More powerful -
pleating of skin =
wrinkles
Skin
Loss of collagen + elastin = lines + folds
Melanin - uneven tone and pigmentation
Slow skin cell cycle - dull irregular complexion
The Ageing Face

9. Facial Ageing
Skin
Pigmentation - Chemical peels, Laser, Drugs
Lines + folds - Dermal fillers
Skin cell cycle - Tretinoin 0.05%
Wrinkle relaxing - Botox®
Support and contouring - Juvederm Voluma®,
Sculptra™
Volume replacement - Dermal fillers, Sculptra™

10. Common Treatment Areas

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Excellent safety record
3 million treatments per year worldwide
Licence in USA 1997 and UK 2006
Developed in 70-80s to treat blepharospasm and
strabismus
Botox

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Botox® blocks ‘signals’ between nerve ending
and target muscle

How Does Botox Work?

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Before & After

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Common areas = frown / forehead / crows feet
A few tiny injections into facial muscles using a very
fine needle
No local anaesthetic required - discomfort is minimal

Takes 10 mins to perform - no downtime necessary
•Noticeable wrinkle reduction in 3-5 days
Botox Treatment

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AVOID very strenuous physical
activity
AVOID lying flat or bending down
excessively
AVOID alcohol, aspirin and
ibuprofen for 24 hours
DO gently
exercise the
treatment areas
DO NOT rub or massage the
treatment areas
Botox Aftercare

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•Small area of redness at treatment site lasting 2-3
hours - common
•Bruising / swelling of treatment area - less common
•Dull heavy sensation +/- occasional headache - less
common
•Ptosis (droop) of eyebrow or eyelid - rare
•Double vision - very rare
Possible Side Effects

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Certain antibiotics (e.g.. erythromycin)
Known allergy to ingredients
Breast feeding
Pregnancy
Diseases of muscle weakness (e.g. Myasthenia Gravis)
Bleeding disorders or anticoagulants
Contraindications

18. Dermal Fillers

19. Hyaluronic Acid
Stabilised by cross
linking
Tissue tailored
Non animal - no need
for skin testing
Safe - cosmetic use
since 1987
Natural polysaccharide
(sugar)
70% of extracellular space
Intensely hydrophilic
(attracts water)
Manufactured by sterile
bacteria

20. Juvederm Ultra®
US launch 2006
FDA license in 2007
UK since Jan 2008
Soft clear homogenous
gel
Natural results - no
particles
Gentle treatment -
contains lidocaine
Long lasting - up to 12
months

21. Juvederm® Ultra Treatment
Local anaesthetic cream to increase comfort
Gel injected into skin via fine gauge needle
Injection sites massaged to promote even
integration into tissue

22. Juvederm® Ultra Treatment
Tissue expansion associated with slight burning /
stinging sensation
Immediate results noticed but may be exaggerated
due to swelling
Procedure takes around 30 minutes to complete
Results last 9-12m

23. Juvederm® Ultra
Aftercare
DO NOT apply make up or
creams for at least 6 hours
Consider top-up treatment at 2-4 weeks if required
DO NOT expose the
treatment areas to extreme
heat (e.g. sunbeds / sauna) for
at least 2 weeks
DO gently massage
the treatment areas for
up to 2 weeks

24. •Immediate redness,
swelling, burning and
itching around the
treatment site are common
•Bruising and swelling
lasting up to 2 weeks are
less common
•Cold sores may rarely erupt
following lip augmentation
•Tissue infection / abcess is rare
•Granuloma (tissue nodules) are
very rare
•Tissue necrosis (sores) is very
rare
•Hypersensitivity / allergy is very
rare
Possible Side Effects

25. Contraindications
History of severe allergy or anaphylaxis
Pregnancy / breast feeding
Anticoagulant and immunosuppressant drugs
Known bruising or bleeding disorders

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Laser & IPL
Lynton Lumina Q
Laser Photorejuvenation
Vascular & Pigmented lesions
Thread & Varicose veins
Hair & Tattoo removal

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What is Laser and IPL?
LASER (Light Amplification by Stimulation of
Radiation) = monochromatic, coherant, collimated
light
IPL (Intense Pulsed Light) = broad spectrum, non-
coherant, divergent light

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Laser & IPL produce various
wavelengths of light which target:
Haemoglobin (blood vessels)
Collagen (skin photorejuvenation)
Melanin (hair and pigmented skin lesions)
Ink & Dye (tattoos)

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PHOTOREJUVENATION

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LINES & WRINKLES

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ACNE

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SKIN TIGHTENING

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SCARRING

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HAIR REMOVAL

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VARICOSE VEINS

36. 36Tattoo Removal

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Laser Treatment
Skin patch test 28 days before treatment
Protective eye goggles
Laser handpiece applied to skin
Feels like an ‘elastic band flick’
Treatment area looks red / sunburned
3-6 treatments at 6 weekly intervals
Sun avoidance / SPF > 30 for 4 weeks

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Redness and warmth (COMMON)
Blisters and swelling (LESS COMMON)
Burning and itching (LESS COMMON)
Post inflammatory pigmentation (RARE)
Infection and scarring (VERY RARE)
Laser Side Effects

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Who Should Avoid Laser?
Pregnancy and breast feeding
Diabetes or immunosuppression
History of skin cancer or keloid scarring
Recent or planned sun exposure < 4 weeks

40. Contact Cheshire Cosmetic for more
information
Cheshire Cosmetic Ltd
Kingsmead Medical Centre
Regency Way
Kingsmead
Cheshire
CW9 8UW
Appointments : 01606 544535
Fax : [phone]
Email : [email protected]
http://cheshire-cosmetic.co.uk/home.php