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Chehire cosmetic Treatments


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Expert Cosmetic Solutions in the heart of Cheshire.

Cheshire Cosmetic performs a variety of anti-ageing and rejuvenation treatments including Botox®, Restylane®, Perlane®, Sub-Q®, Juvederm®, Sculptra™, Chemical skin peels, Laser & IPL, Radiofrequency skin tightening, Dermaroller™ and the renowned Obagi® Medical Skin Transformation System

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Chehire cosmetic Treatments

  1. 1. Cosmetic Medicine
  2. 2. <ul><li>8 years cosmetic medical experience </li></ul><ul><li>British Association Cosmetic Doctors </li></ul><ul><li>Diploma of Cosmetic Medicine </li></ul><ul><li>Over 7000 cosmetic procedures </li></ul>Dr Raj Acquilla
  3. 3. <ul><li>Laser & IPL </li></ul><ul><li>Minor surgery </li></ul><ul><li>Vasectomy </li></ul><ul><li>Cosmetic Dentistry </li></ul><ul><li>Botox </li></ul><ul><li>Dermal fillers </li></ul><ul><li>Chemical Peels </li></ul><ul><li>Cosmeceuticals </li></ul>Services
  4. 4. What Is Beauty?
  5. 5. Visual focal points <ul><li>Symmetry </li></ul><ul><li>Proportion </li></ul><ul><li>Sexual dimorphism </li></ul><ul><li>Youthfulness </li></ul>
  6. 6. Facial Ageing <ul><li>Skin </li></ul><ul><li>Muscle </li></ul><ul><li>Fat </li></ul><ul><li>Bone </li></ul><ul><li>Teeth </li></ul>
  7. 7. Skin Collagen + elastin - firm elastic texture Melanin - even tone and pigmentation Rapid skin cell cycle - fresh complexion Bone High density - providing architecture / projection Muscle Less powerful - no pleating of skin Fat Pads in mid-face provide volume / lift The Youthful Face
  8. 8. Bone Lower density = reduced support and projection Fat Loss and migration of fat pads = sagging + jowls Muscle More powerful - pleating of skin = wrinkles Skin Loss of collagen + elastin = lines + folds Melanin - uneven tone and pigmentation Slow skin cell cycle - dull irregular complexion The Ageing Face
  9. 9. Facial Ageing <ul><li>Skin </li></ul><ul><li>Pigmentation - Chemical peels, Laser, Drugs </li></ul><ul><li>Lines + folds - Dermal fillers </li></ul><ul><li>Skin cell cycle - Tretinoin 0.05% </li></ul><ul><li>Wrinkle relaxing - Botox® </li></ul><ul><li>Support and contouring - Juvederm Voluma®, Sculptra™ </li></ul><ul><li>Volume replacement - Dermal fillers , Sculptra ™ </li></ul>
  10. 10. Common Treatment Areas
  11. 11. <ul><li>Excellent safety record </li></ul><ul><li>3 million treatments per year worldwide </li></ul><ul><li>Licence in USA 1997 and UK 2006 </li></ul><ul><li>Developed in 70-80s to treat blepharospasm and strabismus </li></ul>Botox
  12. 12. <ul><li>Botox® blocks ‘signals’ between nerve ending and target muscle </li></ul>How Does Botox Work?
  13. 13. Before & After
  14. 14. <ul><li>Common areas = frown / forehead / crows feet </li></ul><ul><li>A few tiny injections into facial muscles using a very </li></ul><ul><li>fine needle </li></ul><ul><li>No local anaesthetic required - discomfort is minimal </li></ul><ul><li>Takes 10 mins to perform - no downtime necessary </li></ul><ul><li>Noticeable wrinkle reduction in 3-5 days </li></ul>Botox Treatment
  15. 15. <ul><li>AVOID very strenuous physical activity </li></ul><ul><li>AVOID lying flat or bending down excessively </li></ul><ul><li>AVOID alcohol, aspirin and ibuprofen for 24 hours </li></ul><ul><li>DO gently exercise the treatment areas </li></ul>Botox Aftercare <ul><li>DO NOT rub or massage the treatment areas </li></ul>
  16. 16. <ul><li>Small area of redness at treatment site lasting 2-3 hours - common </li></ul><ul><li>Bruising / swelling of treatment area - less common </li></ul><ul><li>Dull heavy sensation +/- occasional headache - less common </li></ul><ul><li>Ptosis (droop) of eyebrow or eyelid - rare </li></ul><ul><li>Double vision - very rare </li></ul>Possible Side Effects
  17. 17. <ul><li>Certain antibiotics (e.g.. erythromycin) </li></ul><ul><li>Known allergy to ingredients </li></ul><ul><li>Breast feeding </li></ul><ul><li>Pregnancy </li></ul><ul><li>Diseases of muscle weakness (e.g. Myasthenia Gravis) </li></ul><ul><li>Bleeding disorders or anticoagulants </li></ul>Contraindications
  18. 18. Dermal Fillers
  19. 19. Hyaluronic Acid <ul><li>Stabilised by cross linking </li></ul><ul><li>Tissue tailored </li></ul><ul><li>Non animal - no need for skin testing </li></ul><ul><li>Safe - cosmetic use since 1987 </li></ul><ul><li>Natural polysaccharide (sugar) </li></ul><ul><li>70% of extracellular space </li></ul><ul><li>Intensely hydrophilic (attracts water) </li></ul><ul><li>Manufactured by sterile bacteria </li></ul>
  20. 20. Juvederm Ultra ® <ul><li>US launch 2006 </li></ul><ul><li>FDA license in 2007 </li></ul><ul><li>UK since Jan 2008 </li></ul><ul><li>Soft clear homogenous gel </li></ul><ul><li>Natural results - no particles </li></ul><ul><li>Gentle treatment - contains lidocaine </li></ul><ul><li>Long lasting - up to 12 months </li></ul>
  21. 21. Juvederm ® Ultra Treatment <ul><li>Local anaesthetic cream to increase comfort </li></ul><ul><li>Gel injected into skin via fine gauge needle </li></ul><ul><li>Injection sites massaged to promote even integration into tissue </li></ul>
  22. 22. Juvederm ® Ultra Treatment <ul><li>Tissue expansion associated with slight burning / stinging sensation </li></ul><ul><li>Immediate results noticed but may be exaggerated due to swelling </li></ul><ul><li>Procedure takes around 30 minutes to complete </li></ul><ul><li>Results last 9-12m </li></ul>
  23. 23. Juvederm ® Ultra Aftercare <ul><li>DO NOT apply make up or creams for at least 6 hours </li></ul><ul><li>Consider top-up treatment at 2-4 weeks if required </li></ul><ul><li>DO NOT expose the treatment areas to extreme heat (e.g. sunbeds / sauna) for at least 2 weeks </li></ul><ul><li>DO gently massage the treatment areas for up to 2 weeks </li></ul>
  24. 24. <ul><li>Immediate redness, swelling, burning and itching around the treatment site are common </li></ul><ul><li>Bruising and swelling lasting up to 2 weeks are less common </li></ul><ul><li>Cold sores may rarely erupt following lip augmentation </li></ul><ul><li>Tissue infection / abcess is rare </li></ul><ul><li>Granuloma (tissue nodules) are very rare </li></ul><ul><li>Tissue necrosis (sores) is very rare </li></ul><ul><li>Hypersensitivity / allergy is very rare </li></ul>Possible Side Effects
  25. 25. Contraindications <ul><li>History of severe allergy or anaphylaxis </li></ul><ul><li>Pregnancy / breast feeding </li></ul><ul><li>Anticoagulant and immunosuppressant drugs </li></ul><ul><li>Known bruising or bleeding disorders </li></ul>
  26. 26. Laser & IPL Lynton Lumina Q Laser Photorejuvenation Vascular & Pigmented lesions Thread & Varicose veins Hair & Tattoo removal
  27. 27. What is Laser and IPL? LASER (Light Amplification by Stimulation of Radiation) = monochromatic, coherant, collimated light IPL (Intense Pulsed Light) = broad spectrum, non-coherant, divergent light
  28. 28. Laser & IPL produce various wavelengths of light which target: Haemoglobin (blood vessels) Collagen (skin photorejuvenation) Melanin (hair and pigmented skin lesions) Ink & Dye (tattoos)
  30. 30. LINES & WRINKLES
  31. 31. ACNE
  33. 33. SCARRING
  34. 34. HAIR REMOVAL
  36. 36. Tattoo Removal
  37. 37. Laser Treatment Skin patch test 28 days before treatment Protective eye goggles Laser handpiece applied to skin Feels like an ‘elastic band flick’ Treatment area looks red / sunburned 3-6 treatments at 6 weekly intervals Sun avoidance / SPF > 30 for 4 weeks
  38. 38. Redness and warmth (COMMON) Blisters and swelling (LESS COMMON) Burning and itching (LESS COMMON) Post inflammatory pigmentation (RARE) Infection and scarring (VERY RARE) Laser Side Effects
  39. 39. Who Should Avoid Laser? Pregnancy and breast feeding Diabetes or immunosuppression History of skin cancer or keloid scarring Recent or planned sun exposure < 4 weeks
  40. 40. Contact Cheshire Cosmetic for more information Cheshire Cosmetic Ltd Kingsmead Medical Centre Regency Way Kingsmead Cheshire CW9 8UW Appointments : 01606 544535 Fax : 01606 333540 Email : [email_address]