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139 Remuera Road, Auckland

Tips for Preventing DVT

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

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

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

"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."


Liposuction Testimonials

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.


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

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.

Breast reduction for men

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

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.

“Getting Old Can Wait!”

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!”

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?

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

State of the Art Training

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.