Q & A’s

I’ve read  about natural hormone therapy using bio-identical hormones   and I’m interested in  going  down this route rather than taking  HRT for my menopausal symptoms  which make me feel old and lethargic– can you tell me more?
After the age of 40, our endocrine system, and its various glands, start slowing down their production of hormones, the chemical messengers that tell our various body parts and organs what to do .This means less testosterone,   progesterone  and oestrogen  so balancing and augmenting these with  natural hormone therapy or bio-identical  hormones, as they are known  can often  help the body  return to a more youthful state, improving health and energy and treating other distressing  menopausal symptoms. Bio-identical hormones are plant derived  and are identical in structure to those found in the human body . Bu you  will  need a well managed  supervised programme and blood and urine tests to check your personal hormone levels before they can be prescribed.   Unfortunately, this service is not available on the  NHS, but there are many private clinics specialising in hormone therapy The prescriptions are only available privately so  you will have to pay for an initial  consultation and tests and then for monthly prescriptions. First , do check with your doctor to see if this route is suitable for you as there are many other   HRT therapies  now available. If you are still keen to go this route do contact us  as we can give you further information on doctors specialising in this area.
Is there is a non-invasive  treatment to tighten ‘down below? I’ve noticed bladder weakness recently and I’m sometimes too embarrassed to  go out. I don’t want surgery.
All women experience some degree of laxity in the skin or tissues and as we get older, the onset of the menopause, can also leave its mark on the vagina .In some case, the loss of tone can  lead to discomfort, and accidental bladder leaks making many women self conscious . ThermiVa is the latest   breakthrough treatment for vaginal rejuvenation and can help women regain and restore their confidence  The non-surgical procedure uses controlled radiofrequency energy to gently heat tissue via specially designed disposable wand applicator, restoring tightness to vaginal canal. It’s a quick painless treatment and many women notice a difference immediately after one treatment but you may need up to three treatments a month apart . Results last up one year -for more information  and to see if this is right for you  see thermiva.uk
I’ ve got a wedding  soon  and  I’m looking a little jaded. Is there a  one-off  facial that really delivers results?  I don’t want injectables or a treatment  that has too much downtime.
There are  many new hi-tech facials  which can deliver healthy radiant skin, boost collagen production and soften lines and wrinkles all without surgery or using needles. Most , however, like a laser facial or Hydrafacial  need a course of  at least three treatments every  three to four weeks to really see an improvement in skin tone.  But for a  speedy one treatment  which delivers great results try The LA facial. Actress Sarah Parish is a huge fan of this new cutting edge treatment which uses  the very latest technology – dual modality  Fractional and Thermal radio frequency to product visible results – improved skin tone, lifted  features, softer lines and wrinkles in one 90 minute session . It’s totally painless and feels like a warm massage and the therapist will concentrate on problems areas.   You’ll have two to three days of redness which can be easily covered up  so have the treatment around a week to two weeks before your event to look perfect on the big day. Expect to pay around £150 and the facial is available from selected clinics around the UK. Call 0333 577 5570 for more details.
My friend has just returned from the USA and said she developed  Margarita sunburn? What is this?
This is a skin condition called phytophotodermatitis, which happens when oil from some plants or citrus fruits, commonly lime (hence the Margarita tag), grapefruit and some oranges, gets on the skin and is then exposed to UV light. This can cause a chemical burn reaction, resulting in stinging blisters and hyperpigmentation which can take weeks to fade. All skin types can be affected. To avoid, always wash hands and skin if you are eating or handling citrus fruits, especially limes, in the sun and wear sun protection at all times.
I’m thinking of having sclerotherapy to treat the spider veins on my thighs and legs but do I have to stay out of the sun after treatment? Also I always seem to get swollen legs in the summer or after flying – any tips?
You normally have to wear c,ompression tights for up to three weeks after treatment ,every day,  so yes you can go out in the sun as long as you have your compression garments on – and that can be very  uncomfortable.  Our advice is to wait until the Autumn to have this procedure and in the meantime use a good cover up cream or a fake tan  such as Calze Spray On Tights  (£16 marksandspencer.com)to disguise leg veins. As for swollen legs, try and eat a clean diet that is low or free from inflammatory foods such as salt and alcohol which can lead to water retention. Foods rich in omega 3 oils such as salmon are a natural anti –inflammatory and drink plenty of water to stay hydrated. Keep legs elevated when sitting, don’t sit with crossed legs   and soak feet in cool water to depuff ankles. Legology Exfo-Lite Stimulating Salts for Legs (£43 for five sachets. Liberty.co.uk) is a two salt scrub combining sea salt with detoxifying Himalayan pink salts  which help stimulate the lymph for deep draining to  help contour, lighten and energise legs. Apply to dry skin before a shower or bath.
I always get red bumps after waxing and hair removal. What causes them and what’s the solution?
These little bumps are often ingrown hairs. To banish then without irritation use a solution like Skin Doctors Ingrow Go Lotion (£11.39 boots.com) nightly to help free and prevent the ingrown hairs. The solution contains salicylic acid; glycerin and glycolic acid to clean out and purify the affected pore, reducing red spots and exfoliating the dead skin making the ingrown hairs pop out easily. It’s perfect for legs, under arms and the bikini line. Best tip is to use for several days before waxing to lift ingrown hairs or wait at least 12 hours after waxing before applying.
STAY SAFE
New standards for doctors carrying out cosmetic procedures designed to help drive up standards in the cosmetic surgery come into force this month. The new guidelines cover all procedures from breast augmentation to Botox  and are there to protect patients Later this year the RCS will also launch a new certification scheme, allowing patients to more easily search for a surgeon who has the necessary skill and experience to perform the procedure they are considering. In the meantime, stay safe and know the rules- or for full details visit the GMC website.
*Do not have any cosmetic treatments which are on a special offer, like two for one  or  are discounted if you have multiple treatments. There should be no  inducements whatsoever.
*You must have a minimum two-week cooling off period before undergoing any surgery so you do not feel rushed or pressured.
*When you go for a consultation make sure you are well informed on all details of the procedure, including risks and downtime and are given written information about any procedures.
*Always  ask about  aftercare, continuity of care must be provided so patients know whom to contact if they experience any complications and full details of any medicines or implants being used must be made readily available.
* Details of all UK doctors, including any specialisms they have, are published on the GMC’s online List of Registered Medical Practitioners
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