Acne scarring

Acne scarring

Fraxel Dual is the best treatment

There is currently no better treatment for acne scarring than Fraxel Dual.  This is a fractional resurfacing laser which has minimal downtime and significantly reduces acne scarring and improves the texture of skin and reduces pore size. 

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Flying and ankle swelling (oedema)

Is it varicose veins? Do you suffer from swollen, puffy feet and ankles whenever you fly long haul?

Flying and ankle swelling (oedema) commonly occur in people with underlying varicose veins.

The valves inside the veins do not work properly and this is exacerbated by prolonged sitting.

Activating the calf muscle pump by getting up and walking or doing in-flight leg exercises can help but the wearing of Compression Stockings is the most efficient way of helping reduce leg swelling (oedema).

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Australasian College of Cosmetic Surgery Conference Hobart

Palm Clinic attends ACCS conference Hobart April 2011

The Australasian College of Cosmetic Surgery held its annual scientific conference in Hobart, Tasmania in April. Palm Clinic was represented by Dr John Barrett and Dr Sam Dunn. We are pleased to report that Palm Clinic is offering all services at the forefront of cosmetic surgery. As always a few fine tuning tips were useful particularly regarding volumising of the face with dermal fillers, and liposculpture.

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Visible Hand Veins?

Dermal fillers for more youthful hands

Many women hate the appearance of visible hand veins or hands that look bony.  This occurs because of loss of fat on the backs of the hands or because of translucent skin.  Both issues are easily treated with dermal fillers such as Juvederm.  The fillers provide volume which makes the hands appear younger and masks the unsightly veins.

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Pillow face?

Wrinkles worse on one side of the face?

Ever wondered why you have more wrinkles on one side of the face?  Over many years of sleeping on one side of the face (usually facing away from your partner) the lines become entrenched and noticeably different to the other side.

You can try sleeping on the other side of the bed or sleep with support for the neck so that you tend to sleep in a neutral position.

Failing that the lines can be treated with dermal fillers and volumising.

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What is the cost of liposuction?

The costs of liposuction vary enormously depending on a number of factors:

1.  Your weight and height.

2.  The area you want to have treated. This is really important because liposuction can vary between small intricate areas through to large surface areas like the abdomen, hips and inner thighs for example.

3.  Whether a general anaesthetic is required - I use the tumescent (local) anaesthetic technique which does not carry the GA cost.

4.  Whether the procedure is carried out as a day stay procedure or not.  All my procedures are half day only so there is no additional hospital cost.

Because of these variables I like to quote the cost of liposculpture at the initial consultation so I can give you an accurate cost rather than a guess over the phone.  For those who live outside Auckland I can provide an estimate of cost if you send photos to This email address is being protected from spambots. You need JavaScript enabled to view it.

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Varicose skin changes

Varicose eczema and varicose ulcers

Brown pigmentation of the skin, swelling (oedema) and dry, flaky or itchy skin (eczema/dermatitis), are all signs of damage to the skin of the leg from varicose vein disease.  In the advanced stages of varicose veins the skin can break down completely and cause a varicose ulcer.

Varicose eczema tends to be very resistant to treatment with usual steroid creams.  Varicose ulcers require frequent specialised dressings, correction with compression hosiery and take months to heal.  If the varicose veins are treated these problems will resolve relatively quickly.

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Forehead crinkling?

This is an area best approached conservatively. The transverse lines across your forehead are formed by repeated raising of your eyebrows over many years. BOTOX works best in this area and acts by softening the elevation of the brows. Obviously a strong dose here, while eliminating the lines may rob you of your ability to raise your eyebrows and thereby your expression. This is a look we often see on celebrities in the States. The key to treating the forehead is to tailor the dose for the individual, to soften the lines but retain expression!

Botox and Dysport are Prescription Medicines containing 100 units of clostridium botulinum Type A toxin complex for injection. It is used for the treatment of severe frown lines of the face. It should be administered only by trained medical professionals. Arrange a consultation to discuss the benefits/risks of this procedure in appearance medicine. Cautions: people with defective neuromuscular transmission disorders, presence of infection at site of injection, glaucoma, pregnancy and lactation. Possible side effects include headaches, pain, burning or redness at injection site, local muscle weakness including drooping eyelids, lack of feeling and nausea. If you have side effects or concerns speak to a doctor. A charge applies. Note: Botox and Dysport treatment lasts about 4 months and after this time further courses of treatment could be necessary. Arrange a consultation to discuss your own situation.

1 Benedetto A. The Cosmetic Uses of Botulinum toxin type A. Int J Dermatol 1999, 38:6641.655

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Natural lip enhancement

This is an area we really enjoy treating. Just like your hands or your eyes, no two set of lips are the same, so you can't apply a cookie-cutter approach. We sometimes see results of the 'one size fits all' lip treatment and are disappointed because this will put many off dermal fillers thinking this is all they can achieve. At Palm Clinic we're all about natural results. In the lips this means hydrating and subtly augmenting the lips without them looking "done".

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No Sweat with Botox

Put an end to excessive perspiration with Botox.  One treatment typically lasts 9 months and can relieve you of the anxiety of excess sweating.  Contact our experienced Botox doctors at Palm Clinic in Auckland - it's literally no sweat.  The annual cost of Botox for excessive sweating is around $1400 and in our experience over many years there are no side effects.

Botox and Dysport are Prescription Medicines containing 100 units of clostridium botulinum Type A toxin complex for injection. It is used for the treatment of severe frown lines of the face. It should be administered only by trained medical professionals. Arrange a consultation to discuss the benefits/risks of this procedure in appearance medicine. Cautions: people with defective neuromuscular transmission disorders, presence of infection at site of injection, glaucoma, pregnancy and lactation. Possible side effects include headaches, pain, burning or redness at injection site, local muscle weakness including drooping eyelids, lack of feeling and nausea. If you have side effects or concerns speak to a doctor. A charge applies. Note: Botox and Dysport treatment lasts about 4 months and after this time further courses of treatment could be necessary. Arrange a consultation to discuss your own situation.

1 Benedetto A. The Cosmetic Uses of Botulinum toxin type A. Int J Dermatol 1999, 38:6641.655

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Consulatation at Palm Clinic with Dr Sam DunnConsulatation at Palm Clinic with Dr Sam Dunn

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Please note that individual results may vary from patient to patient, and the information provided on our website is only a guidance to the possible results.