Mole checks

Written by Dr John Barrett on Tuesday, 31 July 2012. Posted in General

Skin Cancer Checks

Skin Cancer photos.

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 for Improved Skin Texture

Written by Dr John Barrett on Friday, 27 July 2012. Posted in Laser Treatments

Fraxel Laser for Improved Skin Texture

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

Hips and Waist Liposculpture

Written by Dr John Barrett on Thursday, 26 July 2012. Posted in Liposuction

Hip and waist liposuction

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.

Abdomen and Waist Liposuction

Written by Dr John Barrett on Thursday, 26 July 2012. Posted in Liposuction

Abdomen and Waist Liposuction

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.

Dermatoscopy Course

Written by Dr Sam Dunn on Thursday, 26 July 2012. Posted in General

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 and Aurora IPL

Written by Clare Gallie RN on Tuesday, 12 June 2012. Posted in IPL

Facial Veins and Aurora IPL

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.

Fraxel Laser for Melasma and Skin Texture

Written by Dr John Barrett on Monday, 11 June 2012. Posted in Laser Treatments

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.

Love My Thighs

Written by Dr John Barrett on Tuesday, 29 May 2012. Posted in Liposuction

Liposuction of thighs

Love My Thighs

Testimonial:  Here are some of my thoughts about the procedure;

I had liposculpture of my thighs at Palm Clinic with Dr John Barrett because I had been self-conscious about the disfiguring "saddlebags" that were there. The discomfort of recovery was minimal and I have been so pleased with the results. I now can wear tights, jeans, jodhpurs and shorts without a second thought. I feel my body looks in proportion now, whereas before I was a definite pear shape. I am grateful to have had this procedure because its very pleasant to now be so content with my appearance.

By the way, yesterday evening out of nowhere the guy I am dating told me he loves my legs... they are perfect.... This is great to hear, I could not stand my upper legs all my adult life but now I am fine with them and I can believe compliments like this.

Thanks again for your excellent work!

Tips for Preventing DVT

Written by Dr John Barrett on Thursday, 17 May 2012. Posted in Vein Treatments

Sitting and DVT

Prevention of DVT (deep vein thrombosis) mainly involves using the foot pump and calf muscle pump to stimulate blood flow through the deep veins.

Blood is taken down to the feet through arteries and taken back to the lungs and heart via veins.  About 90% of the venous blood is returned via the deep veins which are situated inside the calf and thigh muscles. 

The foot pump involves squeezing of blood through a complicated venous plexus in the foot and the blood is then further squeezed towards the heart via calf and thigh muscle action on the deep veins.

When we sit for long periods the foot pump and calf muscle pump are inactive and this can lead to pooling of the blood (venous stasis) which in turn can cause a DVT.  In a worst case scenario a piece of the blood clot (thrombus) can break off and block the main arteries to the lungs causing a pulmonary embolus (PE).  A small PE may not even be noticed but a large PE can cause dramatic symptoms of severe chest pain, shortness of breath or coughing blood.  In these circumstances a PE could be fatal so you need to get urgent attention by dialling 111.

Although small DVT's are quite common and usually don't cause symptoms, larger DVT's can cause calf or thigh pain and swelling of the leg.  These symptoms should always be checked by ultrasound.

DVT's are more likely if you have long periods of sitting eg long car travel or long flights over 4 hours duration or if you have had recent surgery or a prolonged illness requiring bed rest.  If you have had a DVT before or a superficial thrombophlebitis you may be at greater risk of a further DVT. It is worth having a thrombophilia screen if your doctor is concerned about a strong family history of DVT.

Prevention of DVT's can include:

1. wearing class 1 or 2 compression hosiery.

2. working the foot and calf to stimulate venous return.

3. getting up and walking around regularly if you are sitting for long periods.

4. keeping well hydrated on flights and avoid alcohol on flights.

5. the foot pump works better in people who do not have flat feet or high arches.  If you suffer from these problems a good orthotic device will improve venous return.

6. varicose veins may increase the liklihood of DVT so having your varicose veins treated may be a good long term solution.

7.  there is no evidence that aspirin reduces the risk of DVT

Liposuction and Pregnancy

Written by Dr John Barrett on Friday, 27 April 2012. Posted in Liposuction

I am often asked if liposuction should be performed before or after a planned pregnancy.  There is no golden rule but if you have concerns about a particular area of your body prior to a planned pregnancy it is very reasonable to treat it with liposculpture beforehand.

With liposculpture we are removing fat cells which cannot be replaced so any gains made from the procedure will be permanent. 

Of course you will put on weight in the next pregnancy but you should be able to return to your pre- pregnant contour more easily after the liposculpture as there are less fat cells in the problem areas.

If you are planning pregnancy and want to have liposuction beforehand you will need to ensure that adequate contraception is in place as you must not have the procedure performed if you are pregnant and for about 2-3 months after the procedure to allow a full recovery.

Acne Scars and Fraxel Laser

Written by Dr John Barrett on Thursday, 26 April 2012. Posted in Laser Treatments

Acne Scars and Fraxel Laser

Acne scars improve significantly with Fraxel laser which is the best treatment we have found for this distressing problem says Dr John Barrett of Palm Clinic.

Fraxel is a fractionated resurfacing laser which is capable of partially replacing the acne scars with new skin with significantly improved skin texture.  If necessary this can be combined with dermal fillers to lift the deeper depressed acne scars and at Palm Clinic we also have the Aspect range of skin products, IPL, facials, peels plus lightwave therapy and microdermabrasion for maintenance of you acne prone skin.

Varicose Vein Testimonial at Palm Clinic

Written by Dr John Barrett on Friday, 20 April 2012. Posted in Varicose Veins

"I am sure most people approach varicose vein treatment with some trepidation - I certainly did!. Well my experience with Palm Clinic means that you needn't worry. Right from the first visit I was impressed with the complete service at Palm Clinic, and working in the health industry I have high expectations. You can't miss the investment in the latest equipment and hi-tech facilities but it is the people that stand out. Clearly the team are complete professionals however it is their personable, engaging nature which made trips to Palm Clinic a pleasure which was unexpected. You can tell the team get on well and enjoy their job, and the interaction with their clients - to me a sign of a well oiled team. I personally appreciated their very attentive approach - there was a lot of follow up to make sure that my treatment was completed as expected. I felt in safe hands and recommend them without hesitation. Thanks team - at every level the service was superb."

Glenn.

Liposuction Testimonials

Written by Dr John Barrett on Friday, 20 April 2012. Posted in Liposuction

My confidence and youth is back!  After having put on alot of weight in my pregnancies I was left with a bad "muffin top" and a large amount of excess fat on my hips which I could not shift with either weight loss or exercise. All clothes which I bought were always a size to two sizes bigger than what I actually needed to try and disguise the fat around my stomach and hips and I had taken to wearing a tight lycra singlet everyday to try to hide the rolls. After I came to see John and spoke to him about having liposuction on both my abdomen and hips I was very excited at the thought of being able to have my pre-children figure back and being able to finally buy clothes that fitted me properly! Now here I am 5 months later and I feel fantastic and the results are even better than I could have imagined! The team at the Palm Clinic were friendly and professional and I felt confident every step of the way. A huge thank you to John and the Palm Clinic team for giving me back my confidence and youth!!!    Tina

Tummy and hips Liposuction

"I had liposculpture on my abdomen and hips earlier this year and the results were truly amazing. They say that the truth is in the pudding, in my case it was with my clothes. I was a size 14 - 16 and now I am a size 10 - 12 and I am really enjoying purchasing my new clothes for the new me. John Barrett and his team were absolutely wonderful too."

Testimonial for Breast Reduction by Liposuction

Approaching forty years of age I finally decided that it was time to investigate breast reduction procedures. Since my teens I have been plagued with various health symptoms relating to large breasts. Back ache, neck ache, sweat rashes, breathlesness, poor posture and problems with clothes fitting properly. I had completed my family and my days of breastfeeding were well and truly over. I had recently gone through the stress of a cancer scare and felt that life was too short to continue with the discomfort brought on by large breasts on a medium frame. It was time to investigate the procedures available.

Breast liposuction v breast surgery.

I wanted the results but I did not want to put my body or mind through the invasive breast reduction surgery. I decided to make an appointment with Dr John Barrett at the Palm Clinic in Auckland and discuss breast liposuction.I was delighted when after examining my breasts and taking photographs he told me I was an excellent candidate for breast liposuction. Within two weeks I had booked the procedure. Dr. Barrett and his wonderful team of nurses took all the necessary steps to ensure that I was comfortable before, during and after the procedure.It is just over two months since the procedure and I feel wonderful. The benefits to my health have been amazing. I was a DD cup and now I am able to wear a C cup. I feel very comfortable for the first time in many years. I feel more confident about my body and happier in myself. Thank you Dr. Barrett I would not hesitate to recommend breast liposuction to females who live with the day to day discomfort that large breasts can bring.

Testimonials

Written by Dr John Barrett on Friday, 20 April 2012. Posted in General

Botox, Dermal Fillers and Laser Testimonials

Here are some of the many testimonials received from clients of Palm Clinic.

"I am very happy indeed with the treatment I had. What made all the difference was the wonderful Doctor I saw, who explained everything so well, and made such good explanations suggestions as to the treatments available."  SB Age 49

"Just to say a big thank you to you for my treatments. I am really please with the results and feel fantastic. Look forward to my next visit. I so appreciate the input for Dr Sarah Hart and Dr Sam Dunn as well. Thanks so much again."  KT

"I am thrilled with the laser treatment results." DM Age 45

 "Having the dermal filler was so easy and looks so natural, it’s like magic!" SD Age 45

 “After treatment I now don’t look tired all the time, my make-up looks better as no creases. It has made me feel better with everything, especially at stressful situations at work. It’s been really good, I love it!”  LV Age 36

ELOS to face and neck for facial redness and pigmentation. “My face looks fantastic, I had no idea your IPL could do such a wonderful treatment. Thank you so very much.”  BN Age 54

Elos TO FACIAL PIGMENT:  “I am so pleased and amazed at how well the treatment is working’.

“Oh my goodness, the Botox result is fantastic. Thank you Clare. I can’t believe how well it works”.  FT Age 40

ELOS to pigmentation & uneven colouring. “It’s fantastic, I’m absolutely thrilled. My skin looks amazing, and much smoother”.  JD Age 56

Fraxel treatment to severe melasma pigmentation and Dermal Filler:  “I just wanted to let you know I couldn’t be happier all thanks to the Fraxel, and then also the Dermal Fillers, thank you so much.”  SH Age 20+

“Fantastic results thank you. After a few days of your treatment serums the redness to the skin on my neck and chest has gone down a lot, and the skin is so much smoother”. JL

"You’ve given me exactly the Botox results I wanted, wonderful, thank you”  CM Age 45

“I just wanted to tell you how lovely it was to received a phone call from you after my treatment, even though I am a long standing client of Palm Clinic.”  JC Age 70

After just one Fraxel Laser Treatment to Melasma:  “Now I have beautiful clear skin with only the very smallest sign of melasma, I am really, really happy with the results. When I look closely I can see a very faint shadow, but otherwise all the melasma has all gone. I don’t need to wear make up all the time which is great”. Thank you so much!  HP Age 49

"Everyone should come to Palm Clinic for their Botox and Fillers. If only people knew that Botox and Fillers don’t have to make you look like those overdone women in magazines. Who is advising them?! They should go to Palm Clinic, you make everyone look so lovely and natural." KP Age 46

"What she did was absolutely brilliant, so good I can’t even see where the problem was! I’m so glad I came to Palm Clinic."   A.L. Age 60+

Treat Your Varicose Veins over Autumn and Winter

Written by Dr John Barrett on Tuesday, 17 April 2012. Posted in Varicose Veins

Laser Treatments for Varicose Veins

Varicose Veins treated with Laser

Autumn and Winter are a great time to treat varicose veins as it can take a few months for the legs to settle down and look great fro Spring and Summer.

Wearing compression hosiery for two weeks is a requirement of treatment for varicose veins and these are best tolerated in the cooler months.

At Palm Clinic we specialise in treating varicose veins without surgery.  The most modern techniques of endovenous laser ablation and ultrasound guided sclerotherapy are used.  Most medical insurers cover the procedure where there is medical necessity.  Palm Clinic is an affiliated provider to Southern Cross HealthCare for the treatment of varicose veins which means we can process all your claims without having to ring for prior approval. Other insurers like Tower, Unimed and Sovereign also cover the procedure.