Below Knee Compression Hosiery
Good news for patients having varicose vein treatment at Palm Clinic. At a recent Australasian College of Phlebology Conference Professor Jean-Francois Uhl from France presented work in regards to compression therapy for chronic venous disorders and in particular after treatment of varicose veins.
There is no additional benefit in wearing compression hosiery to thigh level. Palm Clinic is now recommending below knee Class 2 compression hosiery following varicose vein treatment with Endovenous Laser Ablation (EVLA) and Ultrasound Guided Sclerotherapy (UGS).
We continue to stock full length hose with both open and closed toes for those who prefer them. There is no disadvantage clinically wearing the longer compression stockings but most people feel more comfortable in below knee stockings.
The main reason the stockings are worn after varicose vein treatment is to lower the small risk of deep vein thrombosis following treatment.
What are Growth Factors?
GF’s are proteins comprised of critical information or instructions that regulate cellular activity of skin cells. Topical growth factors are instrumental in the skin’s natural ability to repair damage caused by the effects of aging.
TNS Essential Serum is a skin care product which has 10 published clinical studies proven to improve the appearance of fine lines and wrinkles by 30%. Coarse wrinkles by 44%, textural roughness by 89% and UV-induced redness by 50%.
We're excited to announce that Latisse has been officially launched in NZ on 1st August!
We have been able to supply Latisse as an 'off-label' medication for the last 2 years, and we love it! It has the longest history and safety profile of the lash-enhancers, and is the only product of its type to be approved by the FDA. The only changes that will affect you with Latisse officially launched is that the price has reduced and it can now be advertised so you might start seeing a whole lot more information about it.
Latisse gives you thicker, longer, darker lashes by stimulating lash growth and is applied every day on the upper lid eyelashes. You will need a consultation with a doctor as it is a prescription medicine but your initial appointment will be with Lynette Alack, our Beauty Therapist or with Clare Gallie, one of our registered nurses. Once they have explained everything to you one of our experienced appearance medicine physicians will check it is suitable for you before prescribing it.
In the photograph this patient has been using Latisse for a year but she reached this degree of result within sixteen weeks.
This man with large varicose veins sought treatment because he had symptoms of sore aching legs and restless legs syndrome as well as severe cramps.
He had varicose veins in both great saphenous veins and both small saphenous veins which were assessed by a comprehensive Duplex ultrsound examination and then treated with a combination of endovenous laser ablation and ultrasound guided sclerotherapy. These are walk in/walk out treatments and he has been absolutely delighted with complete resolution of his symptoms and the major cosmetic improvement.
Rosacea is a skin condition of unknown cause. The symptoms can range from repeated intense flushing, dry flaky skin, often with small lumps and may resemble acne. The cheeks are generally cherry red due to actinic or photo-damage to the underlying blood vessels.
These dilated “broken” blood vessels are most likely caused by UV-A light that leads to the destruction of the collagen support around the blood vessels the result of chronic photo-degradation of both vitamin A and C.
To begin, we must address the chronic deficiency of vitamin A in the skin that has been a major contributor to the problem. Generally, the use of a skin-care range containing vitamin A and C with antioxidants will be sufficient treatment for mild cases of rosacea, but it may take several months before the skin is comfortable. In more severe or resistant cases a Benefit or Timeless (vitamin A) peel is recommended.
If these treatments are unable to fully control the rosacea we can reduce the facial redness with IPL treatments.
As we age, the cells that manufacture the skins supportive structures begin to slow down. Environmental damage from the suns rays speed up this process and produce free radicals that damage the skin and the cells that synthesize collagen and elastin.
Using a combination of different lights delivered at different times we are able to stimulate these cells that help counteract the effects of ageing.
Lightwave Therapy uses a combination of pure, visible red light and invisible infra red light to stimulate natural processes in deeper skin tissue. After a course of Lightwave combination Therapy clients notice a softening of fine lines and wrinkles, improved skin tone and super smooth skin.
Lightwave Therapy treatment immediately after Fraxel, laser or chemical peel is found to reduce pain, reduces the side effects and speeds up the time your tissue takes to regenerate. This means that you recover much quicker and the overall response is improved.
Some people never have any symptoms from their varicose veins but for most they will eventually cause one or more of the following...
Abdominoplasty or liposculpture
Dr John Barrett of Palm Clinic discusses the process on deciding whether it is better to have a tummy tuck or liposuction.
The main indication for liposuction is to remove unwanted fat to produce a more youthful contour whereas the main indication for a tummy tuck (abdominoplasty) is to remove excess skin and this is often combined with liposuction to remove unwanted fat at the same time.
The risk profile for the two procedures is significantly different. A tummy tuck is a relatively major procedure with significant downtime and produces a very large scar running across the lower abdomen from hip to hip, plus around the belly button (umbilicus) which is generally repositioned. Liposuction or liposculpture by comparison is a relatively minor procedure and most clients can return to work within three days and there is seldom any visible scarring from liposuction after a few months. There are risks for both procedures which would be discussed in depth at an initial consultation.
For those patients with a large overhang (pannus) or very poor skin tone a tummy tuck would clearly give a better result. For those with a small overhang and/or moderate to good skin tone liposuction will generally give a good enough result to warrant avoiding the tummy tuck procedure.
It is important to assess patient expectations before deciding on which procedure would be appropriate and I typically use the Palm Clinic before and after gallery to explain likely outcomes for the individual being consulted.
You can see in the accompanying abdomen before and after photos that this lady has a very large overhang and the best result for her would have been obtained by a tummy tuck but she did not want the added risk, cost or downtime so elected to have liposuction alone and was extremely pleased with the outcome.
If you press Continue Reading you will see the other before and after abdomen liposculpture shows a women with very good skin tone and an excellent result was achieved by liposuction alone. For further results please view Palm Clinics liposuction photo gallery.
Skin Cancer Checks
Winter time means our skin is well covered with clothing and we have generally forgotten about the deleterious effects of the sun. The UV damage that stimulates skin cancer change has been shown to be worse in our younger years and the resultant cancerous change typically takes many years to appear.
Melanoma typically arises as a result of a genetic tendency although a sub type called melanoma in situ arises as a direct result of sun exposure. Normal benign moles (naevi) can undergo malignant change to form melanomas and the usual ABCD (Assymetry, irregular Border, Colour change and Diameter >6mm) signs should be watched for.
Most other skin cancers reflect the degree of UV damage particularly when we are vulnerable as children and young adults. The first sign of UV damage on the skin is generally small scaley patches on the face and other sun exposed areas of the body. These are actinic keratoses (AK's) or solar keratoses and they tend to go through cycles of heaping up keratin causing the scaley patch which often comes off or is picked off leaving the skin smooth for a while until the keratin builds up again. AK's are a precancerous lesion which may change to skin cancer if left unattended. It is a good idea to have your skin checked if you are getting this type of problem particularly if they are multiple areas on the face or scalp.
For those who have a BCC or SCC or melanoma previously they are at significantly increased risk of a new skin cancer and should have regular skin checks.
Fraxel laser can dramatically improve skin texture and is particularly useful where there is acne scarring. There is downtime of 2-3 days during which the face can be a little swollen and the skin will look red for a few days. The redness and swelling is reduced by our lightwave treatments at Palm Clinic
Liposuction to the waist involves treating the hips and underbra area to improve contour and create a more youthful waist. The so called muffin tops are created by fat in the hip region so treating this area makes wearing jeans and slacks much more comfortable.
Using liposculpture I removed 1600ml of fat from this patient's abdomen, waist and hips resulting in a much more youthful figure which has made a profound difference to her style of clothing and the way she feels about her body image. I have also treated her inner thighs with liposuction resulting in less rubbing together of the upper thighs.
The Doctors at Palm Clinic recently attended a dermatoscopy course to hone our skills at detecting skin cancers. With New Zealand having amongst the highest rates of skin cancers in the world, it's important that we, as clinicians are excellent at detecting skin cancer early. The course, run through the University of Queensland, is internationally recognised, and covers dermatoscopy and advanced surgical management of Skin Cancer. Dermatoscopy allows early skin cancer changes to be detected long before these changes are visible to the naked eye.
We were lucky to gain Dr. Martin Denby last year, who works exclusively in detecting and treating Skin Cancer at Palm Clinic. He is working towards his Masters in Skin Cancer
We highly recommend having a full body skin check once per year if you have had high sun exposure, sun burn or a family history of skin cancer. Much like a warrant of fitness on your car, it's a way to check for potential problems that may not be visible to you before they become major ones.
Palm Clinic is an Affiliated Provider to Southern Cross Health Society for skin cancer treatment, skin biopsies, and skin cancer surgery. Medical necessity criteria apply.
Facial veins are a common problem for men and women. At Palm Clinic we treat facial veins and rosacea with either Aurora (combined IPL and radiofrequency) or Coolglide 1064 NdYag laser or a combination of both.
The initial reaction is some facial flushing and the veins can turn a little dark if they are large but within 2-3 weeks the veins fade.
You may need between 1-5 treatments depending on the severity of the problem with an average of 2-3 treatmments being the norm.
In this case the veins are more of a birthmark quality but show excellent clearance with Aurora.
Melasma and skin textural issues were resolved for this patient with Fraxel Dual Laser.
Fraxel works by punching tiny microscopic holes in the skin which are then repaired with new skin. The hyperactive melanocytes that cause melasma are replaced with melanocytes that do not produce so much melanin.
Melasma is a complex condition and results will vary considerably from patient to patient. At Palm Clinic we have seen some excellent results for melasma with the Fraxel Dual Laser but in some cases the results have not been as good. It is critical that the skin is protected from UV light before and after treatment and any hormonal issues need to be stabilised before treatment.