Itchy legs?

It could be varicose veins

Itchy legs are a common symptom and there are of course a myriad of possibilities.  People with dry skin will often have itchy legs and allergies and dermatitis can be a cause as well.  However a large percentage of people with varicose veins have itchy legs and this may be the cause in the absence of other obvious reasons.  Sometimes the itch is related to varicose eczema which is a dermatitis specifically caused by the poor venous circulation associated with varicose veins.

If you have itchy legs and varicose veins, the itch will typically disappear once the veins are treated. At Palm Clinic we use non surgical methods to treat varicose veins like endovenous laser ablation and ultrasound guided sclerotherapy which are walk in/ walk out treatments.

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Before and after Fraxel Dual laser for sun damaged face

Fraxel Dual

Treat your sun damaged skin!

Finally the solution to reversing all that damage the sun has done to your skin this summer. Sun exposure over time causes brown pigment marks on our face/hands/ chest and ruins the elasticity and texture of our skin leaving it dull, with fine lines and open pores. Our new Fraxel Dual can significantly improve both problems in the one treatment! This treatment is best done in Autumn and Winter so now's the ideal time to come to Palm Clinic for a consultation to get the process started.

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Liquid Facelift

Want to shave years off without looking like you've had work done? The lunchtime procedure dubbed the 'liquid facelift' involves using dermal fillers like Juvederm to replace volume in cheeks that have lost their fullness over time. It re-creates cheekbones, improves the texture of the skin and gives a lift to lax skin in the jowl/ mouth area. The beauty of this treatment is you look healthier and refreshed but you still look like you... just younger.

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Botox for Migraines

Migraine is a complex problem and there are many lifestyle and medication options available which are best discussed with your general practitioner.   If you have tried most options and are still suffering from regular migraines you may want to consider Botox.  It is still unclear why Botox improves migraines and it does not work for everyone but for many migraine sufferers it provides up to 4 months relief which can be life changing.  Although this is not yet an approved registered use of Botox in New Zealand it can be used with your signed consent and I have successfully treated many migraine sufferers with Botox over the last 10-15 years.

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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Aching or tired legs?

Aching or tired legs are such a common symptom that many people feel it is normal at the end of a long day on their feet.  In fact, normal legs with good arterial and venous circulation shouldn't cause such symptoms and this is very often a sign of chronic venous insufficiency which usually means you have varicose veins which are not always visible on the skin surface.  If your symptoms of aching and tired legs are significant and there may be other symptoms like ankle swelling, itchy skin on the lower legs, restless legs then it is a good idea to see a phlebologist (vein doctor) and arrange for an ultrasound scan of the lower legs.

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Cankles

Cankles

Liposculpture for calves and ankles

"Cankles" is such a terrible term but this is what woman call their calves and ankles when they are disproportionately large compared to the rest of their body.  Such women feel so badly about their situation that they won't even wear shorts or skirts.

The good news is that fat calves and ankles are easily treated with liposculpture which removes the excess fat.  It is important when removing fat with liposuction in this area that the patient is able to be rotated frequently to ensure a three dimensional reduction in fat which is sculptured and smooth. That is why Palm Clinic in Auckland uses the liposcultpure technique.

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Ultrasound map before treating varicose veins

Is ultrasound necessary?

An ultrasound map of your deep and superficial veins is an essential component of making an accurate diagnosis of the extent of your varicose veins.  The Duplex ultrasound gives an accurate picture of the flow within the veins, excludes any problems with deep vein thrombosis (DVT) or superficial thrombosis (STP).  The ultrasound also determines what would be the best way to treat your varicose veins with laser, injections or surgery.

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Before and after liposuction

Tummy tuck or liposuction?

Most men and women are suitable for liposuction or liposculpture to improve the abdomen.  However those who have very loose skin and particularly those with an overhang would benefit from tummy tuck (abdominoplasty).

At Palm Clinic our liposuction surgeon Dr John Barrett will give non biased advice as to which is the best treatment for you.  If liposuction or liposculpture is right for you it will be performed by Dr Barrett.  If a tummy tuck is the better option he will refer you to a plastic surgeon.

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Phlebology Chairman for NZ

Dr John Barrett inaugural Chairman

Dr John Barrett of Palm Clinic was appointed the inaugural Chairman of the New Zealand Faculty of the Australasian College of Phlebology at the last ACP meeting.

Phlebology is the medical term for vein treatments which can involve varicose veins, spider veins, deep vein thrombosis management and vascular malformations.

Dr Barrett will be responsible for ensuring the training programme for NZ trainees meets their requirements and the high standards of the ACP.

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Moobs

Moobs

Male chest reduction

Many men complain of "Man Boobs" or "Moobs" which in our outdoor focused, body conscious and beach going Kiwi culture becomes a hugely distressing problem. Often our male friends may be less than helpful in teasing sufferers of this  condition which is also called Gynaecomastia.

While in male adolescence this problem is usually due to hormonal influences and will in the main resolve over time in the adult male this is not the case and surgical intervention is the most effective treatment.

Continue reading

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

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