Breast reduction for men

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

Liposuction for Gynaecomastia

Liposuction for male breast

The male chest is a common area of concern for men.  Many men have a problem called gynaecomastia which prersents as early as puberty and can be related to a nubbin of breast tissue.  More commonly though the "moobs" are formed by excess fat in the chest caused by the fat cells in that area preferentially attracting fat.  So for many men the chest is the first area to put weight on and the last area for fat to go during exercise and diet.

Liposuction or liposculpture are the best ways of treating this condition.  Under a special type of local anaesthetic the fat is suctioned out of the chest leaving a contour which more closely follows the pectoral muscles resulting in a more masculine and toned appearance.

Breast reduction without scars

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

Breast Reduction by Liposuction

Breast reduction by liposuction

Put off breast reduction by the thought of scarring?  With liposuction at Palm Clinic, breast reduction can be achieved without any visible scars.

Liposuction to reduce the size of the breasts is achieved through two tiny holes under the breast and one in the armpit.  You can achieve significant cup size reduction by suctioning the excess fat from the breast.  By taking the weight off, the breast is also lifted giving a more perky look to the breast.

Breast reduction by liposuction is very well tolerated and the majority of my patients return to work within three days.  A special breast garment is worn for 4-5 days then a sports bra without an underwire for the next 6 weeks.

Any assymetry of the breast can be corrected at the same time.

Fraxel Skin Resurfacing – What is it, and why should I go to Palm Clinic?

Written by Clare Gallie RN on Monday, 12 March 2012. Posted in Laser Treatments

Fraxel Skin Resurfacing – What is it, and why should I go to Palm Clinic?

Palm Clinic has over 6 years of experience of using the Fraxel laser
system, being the first medical clinic in New Zealand to be using Fraxel.
Our clinic consists of highly trained and experienced Doctors and Nurses, and Skin Care Therapist.  

Fraxel is the original and extensively researched fractional laser
treatment. It was developed & is approved by the FDA in the USA.
Palm Clinic’s Fraxel is registered with MedSafe New Zealand.

Fraxel re:fine® treatment—for prevention and maintenance
The most gentle option, Fraxel re:fine treatment is a cosmetic
procedure that treats minor skin damage, preventing the signs
of aging so you can maintain a youthful look. What it treats: fine
lines around the eyes, age spots/sunspots, pigment irregularities
and uneven skin tone.

    Fraxel re:store® treatment—for mild to severe skin damage
    The original and most popular Fraxel treatment, Fraxel re:store
    treatment can resurface damaged skin and uncover the skin of
    your youth—all with minimal impact on your daily routine. What it
    treats: wrinkles around the eyes, acne scars, surgical scars, age
    spots/sunspots, melasma and Actinic Keratoses.

    The Fraxel re:store Dual – for both superficial and deeper
    treatments at the same time. This wavelength laser was
    engineered to treat across both superficial and deeper conditions
    at the same time, on all skin types and anywhere on the body.
    What it treats: As above, treating the same conditions as per
    the Refine and Restore treatments, but a smaller percentage of
    both treatments at the same time. After treatment, swelling may be
    more evident than Fraxel re-fine or re:store.



When do the results appear , and how long do they last?

The results are both immediate and progressive. Soon after
the treatment, your skin will feel softer and smoother, look
brighter and show a more even skin tone. The next 3 to 6
months will bring more improvement as the deeper layers of
the skin continue to create new collagen. Results are long
lasting, depending on your lifestyle, age, skin condition and
skincare regime.

To gain the most advantage after your Fraxel treatments &
for the long term, we suggest you follow a quality and active
skincare regime after treatments are complete.

“Getting Old Can Wait!”

Written by Clare Gallie RN on Wednesday, 22 February 2012. Posted in Appearance Treatments

On your face, as you age those youthful cheeks begin to drop, and local fat deposits shrink.  This leads to increasing laxity and depth to the lines around your mouth area and jaw line. Plus, all those happy days in the sun in your younger years will be rewarding you with increasingly uneven skin tone, poor skin texture and blotchy pigmentation patches.


For a makeover within a month, a combination of treatments can transform your face within a month:

Dermal Fillers and Botox after which you’ll see instant results, plus an active skincare serums or skin peels, and a couple of medical grade IPL or gentle laser treatments can take years off your age. 


Add to that the simplest and free treatment for added beauty is to have

early nights and early dinners.  To ensure you are resting (and rejuvenating) rather than digesting – and you’ll wake up to a much fresher, more youthful face in the mirror.

“I am so glad I am now seeing a younger man – but he’s the same one I married!”

Written by Clare Gallie RN on Monday, 20 February 2012. Posted in Appearance Treatments

If you saw the article in the February 2012 issue of The Australian Women’s Weekly magazine you’ll know what I mean.


More and more men every year are approaching Palm Clinic to undergo simple and effective treatments that can be done within a lunch hour.  Yes, Botox and Dermal Fillers are very popular with our male clients.  Very few men have ever looked after their skin, and most have pigmentation spots and red veins to their noses after the age of 50.  A simple medical grade IPL treatment will treat these issues so effectively that these men wonder why on earth they have left it so long to have it done.

Are you bothered by annoying skin lumps and bumps but don't want them surgically cut out?

Written by Dr Robyn Baker on Thursday, 26 January 2012. Posted in General

Here at Palm Clinic we are able to offer the removal of such benign skin lesions by
using and alternative device called Surgitron.

Under local anaesthetic the lesion is "shaved" off instead of being cut out, so no
stitches are required!

If you have any such lumps or bumps give us a call and we can see you for a

Not wanting that rosy red Rudolph nose this Christmas?

Written by Dr Robyn Baker on Thursday, 22 December 2011. Posted in Laser Treatments

Rosacea is a common skin problem for many people and is often exacerbated by
alcohol and the heat of summer.

Palm Clinic offers the most up to date laser treatments using Aurora and Coolglide for
those annoying thread veins on the nose and face.

Contact one of our friendly staff for an appointment.

State of the Art Training

Written by Dr Sarah Hart on Tuesday, 06 December 2011. Posted in Appearance Treatments

Dr Sarah Hart

I have recently returned from the Australian Society of Aesthetic Plastic Surgery's (ASAPS) Non Surgical Symposium in Sydney. This is my last international conference in a busy year which has seen me travel to Brisbane, Melbourne, Hobart, Queenstown and the Phillipines (to learn new techniques from the world's top injectors and plastic surgeons), and to Melbourne, Sydney, Brisbane, the Gold Coast and Christchurch (to train other doctors in these techniques). I am still not quite sure how I managed to fit it all in!

The highlight of the ASAPS symposium was the Injecting Masterclass and Anatomy Workshop where we were privileged to spend an entire day before the conference at Macquarie University working with cadavers. Although this may sound distasteful, it was conducted in a most sensitive and respectful manner and is the best way to gain detailed facial anatomical understanding of the latest dermal filler and Botox techniques. It was an inspiring time for me and I am looking forward to sharing the knowledge I gained with the doctors at Palm Clinic and around NZ.

Treatment for Aging Hands

Written by Dr Sarah Hart on Friday, 02 December 2011. Posted in Appearance Treatments

Treatment for Aging Hands

Hands suffer from aging just like the rest of the body and we are noticing an increasing number of people opting for treatments to rejuvenate this noticeable part of the body. As we age the veins and tendons on the hands become more visible due to loss of substance under the skin. We can restore the volume easily using dermal fillers made with hyaluranon, such as Juvederm. With one simple treatment the veins become less prominent. Skin condition also improves due to the nourishing and hydrating effect of the dermal filler on the skin.

Day Stay Hospital Accreditation

Written by Dr John Barrett on Thursday, 01 December 2011. Posted in General

Palm Clinic has recently completed an organisation wide survey by DAA Group Ltd for day stay hospital accreditation which has been awarded until November 2015.  Although this applies to all treatments provided at Palm Clinic it is particularly applicable to liposuction, endovenous laser ablation and ultrasound guided sclerotherapy for varicose veins and skin cancer surgery.

The following were assessed and passed:

Clinical Function

Standard 1.1: Consumers/patients are provided with high quality care throughout the care delivery process

Standard 1.2: The organisation provides care and services that achieve effective outcomes.

Standard 1.3: The organisation provides safe care and services.

Standard 1.4: The organisation is sensitive to the diverse needs of individual consumers/patients.

Support Function

Standard 2.1:  The governing body leads the organisation in its commitment to improving performance and ensures the effective management of corporate and clinical risks.

Standard 2.2:  Human resources management supports quality health care, a competent workforce and a satisfying working environment for staff.

Standard 2.3:  Information management systems enable the organisations goals to be met.

Standard 2.4:  The organisation encourages and adequately governs the conduct of health and medical research to improve the safety and quality of health care.

Corporate Function

Standard 3.1:  The governing body leads the organisation's strategic direction to ensure the provision of quality, safe services.

Standard 3.2:  The organisation maintains a safe environment for employees, consumers/patients and visitors.

One better than a Facial

Written by Dr Sarah Hart on Thursday, 01 December 2011. Posted in Appearance Treatments

Blueberry Enzyme Exfoliation

Suitable for all skins, especially when your skin is feeling dull, tired and congested.  Performed by our highly trained beauty therapist, Lynette Alack, this is fantastic just before a special occasion.  Combining the potent antioxidant of Blueberry enzymes and the power of lactic acid, this deep exfoliating yet gentle treatment is designed to brighten, hydrate and clean out your pores.  Your skin will feel polished and alive, creating a healthy complexion.

The perfect step up from a facial                           $100

Course of 3 - every 2 weeks is recommended for ongoing results      $260

What causes varicose veins?

Written by Dr John Barrett on Thursday, 10 November 2011. Posted in Varicose Veins

What causes varicose veins?

We don't know exactly what causes varicose veins but we know that the wall of the main saphenous veins becomes weakened leading to the one way valves in the veins becoming damaged.  This in turn causes blood to fall down with gravity and pool in the veins which stretches them further. 

There appears to be a strong genetic link such that people with varicose veins commonly have a family history.  We also know that people with jobs that involve prolonged standing and straining tend to be over represented in the varicose vein population.

For many people the veins are just a visual problem but most people with varicose veins eventually get symptoms such as aching, throbbing, tired legs, cramps, restless legs, itching, heat, sweling of the feet and ankles, varicose eczema orvaricose ulcers.

Fortunately varicose veins are easily treated by non surgical techniques such as laser and injections.  Such treatments are generally covered by insurance.  Palm Clinic is an affiliated provider to Southern Cross for the non surgical management of varicose veins where medical necessity applies.

Asymmetrical breasts

Written by Dr John Barrett on Tuesday, 01 November 2011. Posted in Liposuction

Uneven breasts treated with liposuction

Asymmetrical breasts

Asymmetrical breasts are surprisingly common.  Very few women have perfectly symmetrical breasts but some women have a large discrepancy in size which causes problems with fitting standard bras.  For many women with very asymmetrical breasts it can be embarrassing in new relationships.

The answer to uneven breasts may be as simple as breast reduction of the larger breast by liposuction or reducing the size of both breasts if they are both large but unequal in size.  This is achieved by measuring each breast before liposuction and removing the differnce from the larger breast before making further equal reduction to both breasts.

In the photo you can see that I have reduced the size of both breasts but by taking more off the left breast they are now nearly equal in size and both have lifted significantly because of the reduction in weight of the breasts.

Skin check by dermascope?

on Tuesday, 01 November 2011. Posted in General

Malignant Melanoma

Malignant melanoma

What is the best way of detecting and monitoring for skin cancers?  The Australasian skin cancer guidelines suggest that a full skin and mole check by an experienced doctor using dermoscopy is the best way to thoroughly review your skin and detect early skin cancers.

Serial photographs such as mole map are clearly useful for detecting change in a mole but dermoscopy shows very early changes in pigmented lesions.  The earlier a melanoma is detected (before it thickens) the better the prognosis. 

Our recommendation is to have an annual skin check particularly if you have a past history or family history of skin cancer.

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.

Skin and Veins - Affiliated Providers Southern Cross

Written by Dr John Barrett on Thursday, 20 October 2011. Posted in Vein Treatments

Palm Clinic has been an affiliated provider for Southern Cross Healthcare since 2002 for varicose veins treatment where medical necessity criteria apply.


Palm Clinic is now an Affiliated Provider to Southern Cross Health Society for skin cancer treatment, skin biopsies, and skin cancer surgery. Medical necessity criteria apply.

Any suspicious lesions detected by dermatoscopy will be biopsied. Actinic keratoses or irritated seborrhoeic keratoses will be treated with liquid nitrogen or in the case of AK's with Efudix or equivalent skin creams.

Skin cancers including BCC, SCC and melanoma will be treated with appropriate skin surgery.