Restless legs can be really distressing.

They usually happen in the evening and can make sleeping really difficult. It feels like you don't know where to put the legs and they can be associated with a twitchy feeling so that the legs need to be moved frequently. The cause is not known and is probably multi factorial. Magnesium deficiency can be relevant for some people.

Of interest to Palm Clinic we have noted that many of our varicose veins patients also have restless legs and following treatment of the varicose veins with endovenous laser ablation (EVLA) or ultrasound guided sclerotherapy (UGS), the restless legs syndrome has improved with treatment of the varicose veins.

Been looking for an effective treatment for stretch marks? Look no further.

Fraxel laser works by causing ‘controlled damage’ to the outer layers of the skin. This stimulates a healing process, the end product being collagen and elastin.

Collagen and elastin help the skin look soft and smooth again. Fraxel laser is used to improve texture and tightness of skin on the face, neck, decolletage and hands, to reduce acne scarring and also for stretch marks.

Excessive sweating is a common problem that you no longer have to put up with.

I had BOTOX treatment to my palms to treat hyperhidrosis (excessive sweating). I had suffered with this for years, especially over the summer months. I'm delighted with the results... and noticed recently that I can now leave my hands on the black reception desk at Palm Clinic and not leave wet marks behind- the bench test!

Botox works by blocking the message from the nerve to the sweat gland, thereby inhibiting sweating. The results for excessive sweating can last up to one year. Another popular area for treatment is the armpits.

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

International Vein Meeting in Monaco

Dr John Barrett from Palm Clinic has been invited to give a presentation at the UIP (Union Internationale Phlebologie) meeting in Monaco at the end of August. He will also act as moderator for two of the UIP sessions.

Dr Barrett is a recognised leader in the non surgical management of varicose veins and has published papers in Dermatologic Surgery Journal and a chapter in a benchmark textbook on Foam Ultrasound Guided Sclerotherapy edited by Dr John Bergan, President of the American College of Phlebology.

A surgical facelift relies on tightening the underlying structure of the face and removing excess skin.

What is more important however is replacing the lost volume. Look at anyone in their youth and they have a fullness to their face particularly noticeable in younger woman with high cheekbones.

As we age we lose fat from the cheek area often revealing a flatness in the mid-face and the tell tale wrinkles and lines under and around the eyes. This area in particular benefits from volumising with dermal fillers.