ALL YOUR QUESTIONS ANSWERED

EXPRESS YOURSELF MARCH 19 

Even though I am fairly slim, I’ve developed a double chin. I have heard about a new injection to treat it. Is it safe and does it work?

Double chins usually appear when a layer of fat hangs low around the jaw, forms a deep wrinkle, which makes it look like you have a second, and sometimes even a third, chin. It’s usually down to ageing as it can appear in slim as well as overweight people and it’s estimated around seven out of 10 people are concerned about this issue. The new injection you mentioned is called ATX -101 and is a specially formulated chemical designed to kill off fat cells under the skin and dissolve a double chin over a couple of days. The treatment, best suited for people with good skin tone is not available in the UK yet but reports suggest it will be available early summer with costs expected to be similar to a Botox treatment, around £200-£300

In the meantime, other successful methods for dealing with a double chin include laser liposuction or a mini neck lift using Silhouette soft sutures to lift the lower part of the face. £1800,with down time around 3/5 days.

If the jowls are a heavy Necktite may be the answer as it removes excess fat and tightens the skin internally. Down time is usually around a week with results not completely visible until six months later as new collagen is formed.  £3500 http://harleystreetskinclinic.com/necktite/

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I’ve lost volume in my face am thinking of have some filler but am worried about ending up with a pillow face

The puffy look has given fillers a bad name, which happens when a doctor injects too much product especially in a patient who has lost too much facial volume. They try to fill up the face like a balloon when actually a facelift would give better results. Another option for you could be new dermal filler called Ellanse a semi – permanent filler. It immediately corrects wrinkles, hollows and folds but also stimulates the body’s own collagen which continues for up to two years. So give longer-lasting results. Treatments cost from £350 Make sure you see an expert who can advise the best procedure for you.http://harleystreetskinclinic.com/dermal-fillers/

 

I’ve developed a moustache. I’ve tried plucking and waxing, which are both painful and doesn’t really give good results. A friend suggested shaving it

At a pinch, yes you can shave it and this sometimes exfoliates the area too, but it is not permanent and no, the hairs won’t grow back thicker or darker.  Laser hair removal would work permanently as it destroys the root of the hair though it can be a little painful, a bit like being pinged with an elastic band and may take up to six sessions. Call 0207 436 4441 to book a consultation now. http://harleystreetskinclinic.com/ipl-treatments/

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The tops of my arms are very saggy. I’ve seriously thought about having an arm lift but am horrified at the scar that’s left after the operation. Is there anything else that can be done?

Loose skin on the upper arms is mostly a sign of ageing and sun damage, though weight and hormone fluctuations will also affect the shape and tone of your upper arms.  But we can understand why you don’t want surgery which leaves an   unsightly scar running from the armpit to the elbow. Usually, the question is would you be able to wear sleeveless tops with the scarring? After a year or so the scars do fade and a good surgeon will hide them on the inner arm so they don’t show when your arms are down.

A good alternative is BodyTite which can reduce and reshape upper arms. It’s a minimally invasive procedure using laser technology to suck out excess fat, and then shrink and tighten the skin. You’ll have to wear a compression garment for a few weeks after but you’ll see immediate results, with best results after six months but the good thing is there’s no scarring. and as long as a sensible diet is maintained after treatment the results are permanent – cost is from £1,500.  http://harleystreetskinclinic.com/bodytite/

Alternatively depending how much loose skin you have, a lunchtime treatment called Fractora Firm which uses Radio Frequency can tone and tighten skin as well as stimulate production of collagen and is especially good for lax upper arm skin. Six to eight weekly 60-minute sessions recommended from £300 per treatment.

http://harleystreetskinclinic.com/fractora/

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My cheeks light up when I eat spicy foods or if I have a cup of tea or drink a glass of wine. Is there any thing I can do?

It sounds as if you had rosacea when you develop a butterfly shaped redness across the cheeks and nose, especially after eating or drinking certain foods. It affects around one in 10 Britons mostly women over 30. People with rosacea produce an overload of a chemical called cathelicidin, which leaves skin inflamed.

A very good treatment for rosacea is a topical cream called Metronidazole that you can get from your doctor. Efracea, an antibiotic, has also been formulated especially for rosacea. At the clinic, PDT (Photodynamic Therapy) helps reduces redness and kills bacteria, also IPL (intense pulsed light) can also zap the tiny blood vessels and educe the redness considerably. You also need to use gentle skincare and always wear a sunscreen

http://harleystreetskinclinic.com/rosacea/

I developed brown patches over on my forehead my cheeks and across my top lip after a sunny holiday Make up won’t cover them   – what can I do?

A good product to treat sun-damaged skin is called VI Derm a tretinoin based cream, also containing vitamin C and E which works by resurfacing skin and renewing the texture. You usually start to see results after two weeks, though you usually need a 12 to 18 week course before the pigment completely fades. The cream is only available from a skin specialist. /dermatologist who may also prescribe oral treatment depending on the condition of your skin.

 

I’ve really baggy underneath my eyes I don’t want surgery

You may be able to use laser to tighten the skin however sometimes the only thing to do with very baggy eyes is surgery, called a lower blepharoplasty. It is often carried out using local anesthetic and it’s not as painful or as extreme as it sounds it costs around £2600 with two weeks down time.http://harleystreetskinclinic.com/surgical-blepharoplasty/

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I’m 60 and have suddenly developed skin tags along the neck and chest. I went to the doctors who said they are nothing to worry about but they look unsightly and with summer coming I’m concerned about their appearance?

Skin tags are tiny balls of tissue and can appear anywhere on the body. Overweight and older people get them most often.  Tags (along with many other skin blemishes like milia (small white bumps) and cherry anigiomas (red spots)) are no longer treated by many doctors on the NHS who dismiss them as a cosmetic irritation, but some may offer to snip or burn them off. Alternatively there is a quick treatment called Cosmetic Radio Frequency  which can deal with skin tags in a quick one-off treatment During the procedure, a surgical electrode emits radio-waves that glide through tissue safely and precisely without the use of pressure. The ‘cutting’ effect happens as the radio-waves cause the tissue being treated to disintegrate and split apart as if it had been cut by a razor sharp blade. The results are permanent and  there are no cuts or stitches. Also, a only the lesion itself is removed there is very little damage to the surrounding tissue allowing rapid healing and minimising the risk of scarring.  From £350 http://harleystreetskinclinic.com/cosmetic-radio-surgery/

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