Port-Wine stains are red or purple marks, often on the face. They are caused by a localised area of abnormal blood vessels.
Treatment of port-wine stains with lasers can give good or excellent results. At Cheshire Lasers we find 4 to 10 treatments are needed to achieve results. The number of treatments required depends on the size, the colour and the response of the birth mark to the treatment. Camouflage creams such as lycogel are also an alternative treatment.
Here is an example of a Port-Wine Stain Reduction treatment performed at Cheshire Lasers Clinic.
Treatment works best the younger you are, at Cheshire Lasers most of the clients we have treated so far have been in their 30s and 40s and we have still had good to excellent results. Treatments tend to work less well in adults who have had a port-wine stain for many years and it has become bumpy and raised.
Treatment tends to work best on smaller port-wine stains of the face and less well on the arms and legs. Generally, the paler the port-wine stain, the greater the chance of excellent results with less treatments.
The laser or IPL treatment can cause an unpleasant stinging. Treatments are given about 4 to 6 weeks apart. There may be pain, bruising and swelling over the treated area for a while after each session.
What is a Port-Wine Stain?
A port-wine stain is a red or purple mark on the skin. It is usually present from birth. About 3 in 1000 babies are born with a port-wine stain. Most occur on the face but any area of the skin can be affected. Port-wine stains affect males and females equally. They are not hereditary.
What do Port-Wine Stains look like?
Port-wine stains vary in size from a few millimetres across to many centimetres. Their colour can vary from pale red to deep purple. If left untreated, port-wine stains tend to darken over the years as the blood flow through them becomes more sluggish. The overlying skin is smooth and flat at first. By middle age the overlying skin can become thickened and lumpy (a ‘cobblestone’ appearance).
What causes Port-Wine Stains?
A port-wine stain is a localised blood vessel problem. The tiny blood vessels (capillaries) in port-wine stains remain dilated (wide). It is like a permanent localised blush. The reason why this occurs is thought to be due to a damaged or faulty nerve supply to the affected tiny blood vessels. The nerve impulses that make the blood vessels narrower are lost so they then stay wide all the time.
What are the symptoms of Port-Wine Stains?
Apart from their appearance, no other symptoms or problems occur in most cases. However, about 1 in 10 babies born with a port-wine stain on the face have problems of the eye or brain. * Eye problems may develop if the port-wine stain is on the eyelid area. If a child has a port-wine stain next to an eye then an eye specialist will normally check the child regularly until they are adult. * Brain abnormalities are an uncommon association with port-wine stains of the face. This is due to extensive blood vessel abnormalities in the brain, (The Sturge-Weber syndrome), Epilepsy and other problems may then develop. The majority of children with port-wine stains do not have these complications.
Ultraformer III is the latest non-surgical technology using High-Intensity Focused Ultrasound (HIFU) and Micro-Macro Focused Ultrasound (MMFU) it delivers safe, non-invasive face, neck and body lifting treatments.
Ultraformer III is not only good for skin lifting and tightening; it also helps with lines, wrinkles, pores, skin tone, and laxity.
How does Ultraformer III work?
Ultraformer is a revolutionary skin-lifting and tightening treatment that uses the gentle, safe, time-tested energy of ultrasound at a micro-focused level to create a powerful energy.
The Ultraformer reduces the fatty deposits in the jowl and jawline area, which pull the face down. It also stimulates the growth of new collagen over time, which strengthens and tones your skin from deep within, creating a lifting and a tightening effect.
Ultraformer III results excel the most when treating the jowl, jawline and neck. At Cheshire Lasers, we highly recommend this Ultraformer for tightening up the jawline, to reduce sagging jowls and neck. It is especially effective in people who have heavy jowls.
The Ultraformer III can also be used to treat other areas of the body including; the abdomen, buttocks, upper arms and knees. The therapist can select various attachments to suit the skin in the treatment area.
How long does the Ultraformer Jowl treatment take?
Ultraformer has a fast shooting speed, which means a jowl or jawline treatment takes only 40 minutes. The upper neck and jowl area treated together can take about an hour.
How many Ultraformer treatments will I need?
One treatment is often enough for most people; however, you may require a second one for the best results.
A second treatment will usually be carried out around five months later.
The results can last up to a year and sometimes can last 18 months. Most people arrange another treatment when the results start to wear off.
When will I start to see the results of Ultraformer?
Some people can see results immediately after a jowl/jawline Ultraformer treatment. This is due to heat stimulation during the treatment, which can make your skin look more rejuvenated, fresher, tighter and firmer.
The ultimate results develop 60 to 100 days after the treatment when the collagen regeneration becomes noticeable. As collagen production can be ongoing, most patients will continue to see the effects of treatment improve sometime after the session.
Is Ultraformer treatment painful?
During the treatment, you will feel warm pulses of ultrasound energy deep under the skin, which causes the collagen and muscle layers to contract. Some people may find this uncomfortable, but others report no pain with the treatment at all. Some people will need to take some simple painkillers before the treatment; however, this depends on the pain sensitivity level of each individual, the area to be treated and the size of the area to be treated.
What is the recovery time for Ultraformer treatments?
You can go back to work and routine life immediately after the treatment.
Does Ultraformer have any side effects?
Heat levels created by the Ultraformer device are not damaging to the surrounding tissue, as it only targets the treated area. The energy is delivered to the deeper levels of the skin, and not to the upper layers. This means there should be no visible signs on the skin’s surface after the procedure.
The most frequently reported side effects are:
Swelling
Redness
Tingling of the skin
Tenderness
Bruising
The only other noticeable effects will be lifting and tightening.
There may be slight redness for up to an hour or so following the treatment.
A small percentage of patients may have slight swelling, tingling or tenderness to touch over the treated area, but these are mild and tend to last no more than a few days.
Bruising can occur and is usually minor but can be more severe, especially in people who are prone to bruising.
A small proportion of people may experience slight tingling or tenderness in the area treated for several weeks as the growth of new collagen occurs.
Is Ultraformer safe?
Ultrasound technology has been used by medical professionals for scans including pregnancy scans as well as other indications for over 50 years.
Ultraformer has been cleared by the Korean FDA after demonstrating safety in clinical studies. Tens of thousands of treatments have been performed worldwide without any significant adverse events.
Can I receive Botox and fillers in addition to Ultraformer treatments?
Yes you can; however, we usually advise you have the Ultraformer treatment a month before you have any injectable treatments if they are in the same area.
In the past, Ultraformer treatments could not be carried out directly over fillers injected in the previous three months. It is now believed that it is safe to treat over fillers. However, we recommend a consultation with Dr Johnson first to make sure you are suitable. She can assess your face, what fillers you have had and where, and then decide on the best treatment plan for you.
You can have Botox on the same day if you are having the treatments in different areas. If the treatments are for the same area, we normally recommend you leave a 2-week window between treatments.
The procedure was quick and painless with instant results. Immediately my skin was tighter and brighter. No downtime was needed whatsoever, I applied makeup and returned to work the next day. Friends and work colleagues all commented on how well and fresh I looked…this was only after a day or so after the treatment. Over the following months, the appearance of my skin kept improving and my cheek areas became more ‘plump’ and my forehead tighter. The results from the full face treatment for me lasted around 10-11 months. I would highly recommend the ultra former procedure. Carrie S.
After 12 years of trying to smooth out my jawline, I have at last received a treatment which is totally amazing. A facelift, threads and expensive treatments for jowls had not helped at all. At Cheshire Lasers I was treated with the ULTRAFORMER 3 HIFU Jawline treatment and immediately noticed a difference. After 3 months the results were even more obvious and still progressing. I am delighted with my profile and can highly recommend this procedure for a great confidence boost. Lynda M aged 63.
CACI Micro-current lifts and rejuvenates working on the muscles and tissue. A one-off treatment will feel good but results will be seen after a course of treatments. It can be carefully combined with other therapies or used by itself. It is suitable for Men and Women.
At Cheshire Lasers we use a brand new 2015 CACI machine with the latest patented technology to deliver what CACI call a Non Surgical Facelift. We offer a wide range of popular CACI treatments including the popular Jowl Lift and CACI Eye Revive.
Softens and reduces the appearance of wrinkles and fine lines
Encourages collagen production to plump tissue
Lifts sagging muscles
Tones flabby or sunken areas
Tightens and reduces open pores
Improves colour and texture of the skin
Reduces puffiness and dark circles under eyes
Gives youthful appearance to the skin
Takes 10 to 12 sessions over 5 to 6 weeks and then just monthly sessions to maintain
Completely safe
Is the CACI Micro-current treatment effective?
Yes – although results will vary depending on the nature of your skin, tissue and muscles. For the younger person or the person with good facial structure, Micro-current is a work out for the facial muscles and in hand with regular skin care will help to delay the ageing process.
For those whose features are already beginning to slacken then the Micro-current will remind the muscles what they should be doing, whether the muscles need to relax such as on the forehead and frown lines, or need to tighten such as the cheeks, brows and neck.
Over time, the treatment will help to promote collagen production and will stimulate tissue and muscle mass, essential to the anti-ageing process.
It will not eliminate creases or deep wrinkles but will soften them. Although Micro-current is often referred to as the Non Surgical Facelift, in practice it has a natural effect with comments such as “you look great”, “you look five years younger”, “have you had your hair done”, and “have you been on holiday?” Just like working out in the gym, you will need to have maintenance treatments in order to keep the gains made.
How does CACI Micro-current work?
Micro-current was originally used in the medical world to treat Bell’s Palsy. It was used to restore muscle tone by applying tiny Micro-current electrical impulses to the affected muscles. It is now being increasingly used for a variety of uses including promoting soft tissue repair.
As we grow older our facial muscles naturally start to lose tone and elasticity making us look older.
Micro-current treatments apply tiny pulses of energy through cotton tipped probes into the tissue and muscle and out again to the other cotton tipped probe. The muscle is either stretched or squeezed as the energy passes through. The tiny current stimulates the Golgi mechanism, or brain, of the muscle to remind it what it used to do. As with any muscle work, it takes a number of sessions for the results to build up and stay. As well as affecting the muscle structure, the Micro-current stimulates the collagen production and generally helps with the skin tone.
Why have a CACI Micro-current treatment?
Following over 20 years of research and development CACI International offer a solution to combat this loss of muscle tone using CACI Micro-current facial toning therapy.
CACI uses a unique combination of specific waveforms and ultra low frequencies that work in harmony with the body’s own bio-electrical field, transmits tiny electrical impulses and signals that have been documented to stimulate muscle tone and enhance skin tissue.
CACI uses a unique bio-feedback mechanism that automatically adjusts the micro-current output delivered according to each client’s bio-electrical field.
This proven technology is available in thousands of aesthetic clinics as it is a painless, effective treatment, commonly referred to as “facial toning” or “the Non Surgical Facelift”.
What does a CACI Micro-current treatment involve?
At Cheshire Lasers, our CACI Micro-current treatments include an express facial, beginning with a thorough cleanse. We then apply a thin layer of Micro-current gel. The CACI machine then delivers the treatment energy using two sets of probes that stretch or tighten the muscles. You may feel the tugging and pulling from these actions and will soon grow used to them. You may end up sleeping and feeling incredibly relaxed! We will treat each area several times. You might feel a small sensation from the current but likely only around the upper lip when it could be like a tingling. You may sometimes have an interesting flashing when working around the eyes, although these have never yet been migraine-inducing. If you have metal fillings, you may taste the metal in your mouth when working on the outside of your cheeks!
We will remove the gel and cleanse your face once again before applying serums, moisturiser and an SPF chosen especially for your skin. For the first treatment allow an extra 20 minutes to perform a consultation and to take photographs.
Treatment sessions vary from 15 to 70 minutes, depending on the treatment you have.
We will take Photographs at the beginning and end of the treatment course for comparison. We never use photos without your consent.
Am I suitable for CACI Micro-current treatment?
Yes, Micro-current is suitable for most individuals, for all ages from 30s through to 70s however results will very much depend on the individual.
Most people can have this treatment with the usual exceptions such as pregnancy; skin thinning medications such as Roaccutane; cancer; epilepsy; thrombosis; or a pacemaker or any rhythmic heart device fitted.
Wait at least two weeks after any Botox or filler treatments.
Wait a week after skin peels, although you can book a skin peel or a microdermabrasion straight after Microcurrent.
Simple fillings and dental implants are usually not a problem, but metalwork inserted following facial fractures and metal braces can be a problem, and we can discuss this.
What should I expect after a CACI treatment?
Your skin may be pinkish for a short time after treatment but this will subside quickly. Normal activities can proceed immediately and no special after care is required except to drink extra water to aid the lymph clearage which will have been stimulated by the treatment. Your face may feel tighter or firmer and these effects will be less noticeable after a few treatments as this will become the norm. Your skin texture will improve and if you wear make-up you may find it applies better or that you may want to wear less.
How many CACI treatments are necessary?
Generally a course of 10 to 12 treatments are recommended with two a week, at least 24 hours apart, for about 5 to 6 weeks.
After a course of CACI facial toning treatments facial contours will look lifted and toned.
A monthly top up treatment is then recommended to maintain results.
What does a CACI Micro-current treatment feel like?
The treatment feels curious at first and then you will soon settle in to relaxing and enjoying it and then feeling energised and rejuvenated. At first you may feel skeptical that anything is actually happening but by the time the first treatment is completed you will feel for yourself. Sometimes it can be a bit tingly in places and we can discuss this. Some older clients may have very thin or tight skin round the temples and we will adapt the treatment as necessary to be comfortable.
Are there any side effects?
Side effects are extremely rare and can include erythema (redness) but will disappear within a few hours.
Consultation Procedure before treatment
You must undergo a consultation with one of our CACI-trained aestheticians to obtain details about your medical history and confirm your suitability for treatment. Before proceeding with treatment, you will also be asked to complete a consent form.
The following changes make us prone to skin wrinkles:
Excessive facial expressions/smoking create dynamic lines in the stratum corneum and then the dermis
Epidermal cell turnover reduces so the very top layer “the stratum corneum” is present for longer subject to the causes of ageing
The stratum corneum layer becomes more dehydrated so the lines show more
The dermis the supportive structure underneath becomes thin, less vascular and loses collagen.
The fat layer under the dermis reduces.
Facial Expressions
Facial expressions such as pursing the lips cause dynamic lines. These lines are usually seen in people that smoke due to the repetitive movements from the act of smoking. However, smoking also causes other physiological changes making smokers more prone to wrinkles all over.
Interestingly facial expression lines are often are seen around the mouth in non-smokers who have the habit of repeatedly using the muscles for their facial expressions.
Epidermal Cell Changes
The epidermis is the very top layer of skin which acts as a protective barrier. The lowest layer is the “Stratum Basale” this is where new skin cells are made. New skin cells get pushed closer and closer to the skin surface as more cells are made and over time they mature and become flatter and harder due to the keratin within them. When they reach the top layers they die and are eventually shed into the environment. As a result, these cells are found in dust throughout your home.
With age, this epidermal turnover slows down. Cell renewal time is the time a new cell takes to travel from the lowest layer of the epidermis the “Stratum Basale” to the top layer the “Stratum Corneum” and then shed off the skin.
Cell renewal time changes as we age:
Babies – 14 days
Teenagers – 21 – 28 days
Middle age – 28 – 42 days
50 and up – 45 – 90 days
That means that as we age, the top layer of skin cells forming the stratum corneum are around for a lot longer. These cells have been shown to become more dehydrated with age and have been exposed to more movement and environmental factors.
These changes mean the skin is more prone to developing wrinkles and once they develop they can be harder to treat.
Some people have a thicker stratum corneum layer and these people often need treating differently to those with a thin more hydrated stratum corneum.
Dermal Changes
The dermis the supportive structure underneath the stratum corneum becomes thin, less vascular and loses collagen with age.
The dermal thickness decreases by about 20% and the blood flow reduced by about 60%. Fibroblast activity decreases which leads to a drop in collagen synthesis. The collagen content of the dermis decreases by 1% per year throughout adult life.
The collagen remaining is less effective and loses its ability to regain its shape after deformation and also holds a lot less water.
Research has shown that wrinkles appear not so much due to the degeneration of elastin fibres, as previously thought, but also due to a decrease in the water-holding collagen and mucopolysaccharides.
Sebaceous glands produce less oil as you age. Men are fortunate and don’t experience much of a decrease until their 80s. Women gradually produce less oil beginning after menopause. This can make it harder to keep the skin moist, resulting in dryness and itchiness.
Changes in the connective tissue reduce the skin’s strength and elasticity. This is known as elastosis. It is more noticeable in sun-exposed areas (solar elastosis). Elastosis produces the leathery, weather-beaten appearance common to farmers, sailors, and others who spend a large amount of time outdoors.
Changes in the Hypodermis
The hypodermis consists mainly of fat and acts as an insulator and shock absorber. With age, there is a loss of subcutaneous fat and the skin becomes thinner and less resistant to trauma. The reduced volume of subcutaneous fat means the role of the hypodermis in limiting conductive heat loss is impaired.
When it comes to ageing the loss of fat means you lose the mattress like effect of the fat which plumps the skin out giving it a smooth appearance. As the fat goes the skin is then sat on muscle and other underlying structures which can appear wrinkly.
The mouth is an area which develops lines and wrinkles due to fat loss. This is much more common in women as they gradually lose all the fat around the mouth, whereas men are often more fortunate and keep a layer of fat. Hence why women develop lip lines a lot earlier than men.
Many serums and creams designed for the eye area can treat and or prevent eye wrinkles.
The ingredients to look out for are:
Retinol.
Antioxidants
Patented peptides.
AHAs
Hyaluronic acid / B5 serum
Retinol
Retinol helps prevent fine lines as well as smooth the ones you’ve got. By stimulating your collagen and new cell turnover, it reduces collagen breakdown and stimulates the cells to work faster to create fresh, bright, non-wrinkled skin.
It takes a few months of consistent regular use to see any impact on your lines. You will probably experience some redness, dryness, and flakiness within the first month or two of use.
To help reduce the side effects, you can start slowly and use a retinol one night a week for one week, twice a week for two weeks, three times a week for three weeks, and then every other day until you can tolerate it and also get results. Then you need to continue for, well, life !!
A gentle retinol will cause less reaction but fewer results; stronger retinols will give better results but more reaction. This can be annoying, but you must persevere for anti-ageing results. Stronger retinols are only available from clinics like Cheshire Lasers. You will be advised how to use the product, and support is provided to help you achieve results.
Some people are highly responsive to retinol, while others require high-strength products to achieve results.
Due to the strength of these products, we cannot sell them online. They are only available in the clinic after a consultation with one of our Aestheticians.
Antioxidants
Antioxidants control / prevent free-radicals. Free-radicals are the main reason for skin damage created by sun exposure, smoking, alcohol and other environmental factors. You can prevent free radical damage by consuming more antioxidants in your diet, usually found in fruits or vegetables deep in colour. Applying an antioxidant serum can also make a big difference.
Antioxidant products contain vitamin C, vitamin E and Nicotinamide (vitamin B3) which is now considered to be one of the most potent antioxidants, possibly more effective than vitamin C.
Peptides are found in many effective anti-ageing skin care products. While there is no singular, miracle ingredient that will give you those instant, youthful results we all wish for, peptides are an extremely important ingredient to look for in your wrinkle fighting creams, serums, and under eye products.
Peptides are short chains of amino acids, the building blocks of proteins. Amino acids are small allowing them to penetrate the outer layer of our skin and send signals to our cells to stimulate them to function.
AHAs are alpha hydroxy acids, sometimes referred to as fruit acids. They can also be derived from nuts and milk:
They include:
glycolic acid, derived from sugar cane
lactic acid, derived from milk
mandelic acid, derived from bitter almonds
citric acid, naturally found in citrus fruit but derived from many fruit and vegetables
tartaric acid, derived from grapes
malic acid, derived from apples and pears
AHAs work by exfoliating the top layer of skin, allowing newer, healthier skin cells to show through. They are particularly useful in dry skin and may help to diminish the appearance of wrinkles.
Studies have shown that AHAs may also stimulate collagen production and reduce the changes caused by the sun damaging the skin.
Newer, more exciting products are PHAs. They are similaAHA’sAHA’s in that they perform the same role of exfoliation, but unAHA’sAHA’sAHPHA’sPHA’s are gentler on the skin, causing less irrit,awhich ison so common to many alpha hydroxy acids. A great product to use under the eye. Gluconolactone is a powerful antioxidant and is the multi-tasker of all Polyhydroxy Acids.
Hyaluronic acid / B5 serums are a great way to reduce fine lines under the eyes. The particles act like a sponge pulling in water from the air to plump, hydrate and smooth your skin. They are lightweight, ultra-hydrating and work immediately with no irritation. The results are temporary, and the product needs to be used daily to maintain the effect.
Our favourite hyaluronic acid b5 serum is : Medik8 Hydr8 B5 Serum
It may not be an eye product, but it is great for rehydrating the skin under the eye area.
The Obagi Nu-Derm System is a prescription-only skincare system which accelerates skin cell turnover. The system penetrates deep to improve pigmentation and damage in all layers of the skin.
Dr Teri Johnson provides the consultations for the Obagi Nu-derm System at Cheshire Lasers as the tretamnet has to be prescribed. She can advise you which regime would suit you best and also give you advice and support throughout the treatment.
The Obagi Nu-Derm System optimises skin functions at the cellular level to help it look and act younger and healthier. The active ingredients trigger a cascade of actions that:
Promotes new skin cells on the surface, resulting in smoother skin and reduced lines and wrinkles
Reduces uneven pigmentation found in freckles, melasma and age spots and prevents the formation of new pigmentation
Promotes uniform distribution of cells at the deep layers improving skin structure and evening tone
Boosts collagen and elastin production for firmer and resilient skin with fewer lines and wrinkles
Improves circulation and nutrient supply for natural hydration and healthy glowing skin
The Nu-Derm system includes:
Obagi Gentle Cleanser – a soap-free cleanser for all skin types, especially sensitive and dry skin or Obagi Foaming Gel Cleanser – for oily to normal skin types, thoroughly cleans away impurities and make-up.
Obagi Toner – uses a natural astringent that regulates the skin’s PH in order to make it more open to hydroquinone penetration.
Obagi Clear – its main active ingredient is 4% hydroquinone; it blocks the production of melanin, thus reducing hyperpigmentation problems caused by excessive peeling.
Obagi Exfoderm – its main active ingredient is a mild acid called phytic acid – it makes normal to dry skin peel even further or Obagi Exfoderm Forte – another exfoliating product based on AHA’s – glycolic and lactic acids; it’s designed to increase penetration of hydroquinone in normal to oily skin.
Obagi Blender – the product has 4% hydroquinone and is mixed with a tretinoin-based cream.
Obagi Hydrate
Obagi SunShield protects against UVA rays linked to deep, premature ageing as well as UVB responsible for burning.
How do I use the Nu-Derm system?
Prepare the skin by cleansing and toning:
Cleansing and toning makes your skin more receptive to the correction process.
Apply the cleanser recommended by us either GENTLE CLEANSER 1 or FOAMING GEL 1- to wet skin, rinse with lukewarm water and gently pat dry. Avoid rubbing the skin with a towel.
TONER 2 -Apply to entire face with a cotton ball or cotton square, avoiding the eye area.
Correct Repairs damage to the skin’s surface, correcting hyper-pigmentation (sun and age spots) and uneven skin tone while smoothing skin roughness.
CLEAR 3 – Apply Clear evenly on the entire face, extending to the hairline.
EXFODERM or EXFODERM FORTE 4 Apply evenly over entire face, avoiding the eye area. Wait until the cream is absorbed.
Stimulate Damage to the deeper skin layers is repaired. Skin elasticity is restored by enhancing the production of collagen and elastin.
BLENDER and TRETINOIN Apply 1/2 gram of Blender mixed with the prescribed amount of tretinoin. Apply evenly on the entire face, extending to the hairline. 5 (Rx only)
Protect Prevent further damage from harmful UVA and UVB rays.
Apply SunShield
Note: Prolonged sun exposure should be avoided for the first month.
What happens during the Obagi Nu-Derm Treatment?
You can expect to experience four phases as you transform into a healthier, younger-looking appearance. The length of time between the phases will vary based on age, skin type, amount of damage and compliance.
Initial phase
the damaged top layer of skin is replaced by a new layer of fresh, healthy skin cells. This process takes approximately 6 weeks.
During this phase, you can expect to experience one or more of these symptoms:
freckles, age spots and dark patches begin fading
exfoliation and flaking
redness and dryness
wrinkles and acne may look worse temporarily
These reactions are indications that the treatment is working. It is absolutely necessary to stay with the program to see these results.
Stimulation Phase
6 to 12 weeks. You begin to notice significant improvements in your skin. New skin cells continue reaching the surface and the production of collagen and elastin increases. Expect to notice:
wrinkles begin to reduce
tightening of pores
further lightening of freckles, age spots and dark patches
subsiding redness and flaking
Healthy Glow
12 to 18 weeks. In this phase, your friends will begin to notice your skin. Your skin will look and act younger and healthier. Your skin is:
firmer and more resilient
more even colour and tone
smooth and naturally hydrated
Will I Need Maintenance after the Obagi Treatment?
To keep your skin looking and acting younger and healthier, you will want to continue to use the Obagi Nu-Derm System to maintain the improved results you have achieved. By continuing with a maintenance protocol, you can expect to:
Maintain healthier, younger looking skin for a lifetime
Prevent future damage
Improve anti-ageing effects
How much does The Obagi Nu-Derm System Cost?
A consultation and skin analysis with Rachael and Dr Teri Johnson will cost £50, but this will be deducted from the cost of your treatment package if you decide to use the Obagi Nuderm system.
The prices bellow are a rough estimate please Contact Cheshire Lasers here for an up tp date price for Obagi Nu-derm?
The small starter kit costs £400
This includes your first tube of tretinoin prescribed by Dr Johnson and the Obagi hydrate moisturiser.
It will also include two free follow-up appointments to review your progress and advise you on using your products. These appointments are scheduled two weeks and 6-8 weeks after starting the regime. Further consultations will also be arranged if you continue to use the treatment, and we will also advise you about going on to maintenance.
It includes:
Cleanser 2.0 oz.
Toner 2.0 oz.
Clear 2.0 oz.
Exfoderm or Forte 1.0 oz.
Blender 1.0 oz.
Hydrate 1.7oz
Tretinoin 20g
The larger kit will cost £600
This includes the first tube of presciption tretinoin.
It will also include three free follow-up appointments to review your progress and advise you on using your products. These appointments are two weeks and 6-8 weeks after starting the regime and a final consultation to advise you about going on to maintenance.
Cleanser 6.7 fl oz
Toner 6.7 fl oz
Clear 2 oz
Exfoderm or Forte 2 oz
Blender 2 oz
Hydrate 1.7 oz
Tretinoin 20g
We also provide telephone advice seven days a week.
You will need to purchase further products later on during the programme, and we will give you advice about the prices at the time of your consultation.
At Cheshire Lasers, we have a wide rang of treatments for skin rejuvenation.
Cheshire Lasers uses the Intense Pulsed Light ( IPL) system for skin rejuvenation when there are brown spots (pigmentation) or redness caused by thread veins.
Pulsed light quickly removes brown and thread veins and stimulates the production of new collagen.
At Cheshire Lasers, we us a Lynton Aqs System made by Lynton Lasers a local company from Holmes Chapel with a fantastic reputation.
IPL Skin Rejuvenation Consultation Procedure
Prior to any treatment our Level 4 Laser Technician will provide a full consultation. The consultation identifies your expectations and provides a complete explanation of the treatment. A medical history is taken to confirm suitability for treatment. If you wish to proceed, written informed consent is obtained, and a test patch is performed to confirm there are no adverse skin reactions to the light.
How does Intense Pulsed Light work?
Intense pulsed light systems release precisely controlled short pulses of filtered light that stimulate the fibroblast cells within the skin that produce collagen and elastin. This improves the radiancy and tightness of the skin, controlling enlarged pores, and giving a more uniform complexion.
What does an IPL Skin Rejuvenation Treatment involve?
After cleaning the skin a mild, we will apply a gentle skin peel to remove the top layers of dead skin.
To protect your eyes, you will need to wear goggles.
We will apply a layer of cool gel to the treatment area to guide the light into the skin.
The light applicator is placed onto the skin, and a quick light pulse is released. The applicator is then moved to the neighbouring area, which is repeated until the entire area is treated. The chilled gel is removed, and the area is cooled.
Am I suitable for treatment?
This treatment is only suitable for lighter skin tones.
At the bottom of this page, we list other skin rejuvenation treatments which we can discuss if you have a darker skin tone.
We can not recommend treatment if you have the following conditions:
pregnant or breastfeeding
infections on the skin
broken, angry inflamed skin
light-sensitive medication or medical conditions
medications that make skin delicate and sensitive to injury
recent sun exposure or planned sun exposure up to 4 weeks after treatment
keloid scarring
How Does the treatment feel?
You will not need anaesthesia for this treatment. Most patients describe the discomfort as moderate and acceptable and liken it to a quick pinprick.
Is IPL Skin Rejuvenation safe?
The skin of some patients becomes quite red after treatment. Very rarely the skin may become lighter or darker, or small blisters may form. However, most patients experience little or no side effects and any skin reaction usually disappears within a few hours.
What should I expect after the treatment?
Redness and a slight warming sensation are normal after treatment. We will cool the skin to ease these symptoms. You may see a darkening of any pigmented spots before they flake off, leading to an evening of skin tone. Skin tightening should increase over the following months as new collagen is regenerates within the dermis. Some patients notice a slight swelling over the cheekbones, which may last for up to 72 hours.
How many treatments are necessary?
Treatments should be every four weeks; you may need up to 6 treatments for maximum results.
After this, we recommend top-up sessions to maintain the results.
How long does each treatment take?
A facial treatment usually takes about 30 – 45 minutes.
Alternative Skin Rejuvenation Treatments
At Cheshire Lasers, we offer a range of treatments for skin Rejuvenation. IPL Treatment is the treatment of choice if you have vessels or patches of pigmentation you want to target.
Other excellent skin rejuvenation options include:
No part of the body will tell the story of your age more readily than your hands. The hands suffer environmental damage, and often have less protection than the rest of your body. Dryness, poor skin texture, age spots, uneven skin tone, visible veins, fine lines and wrinkles can all add to the general age appearance of your hands.
Want to know a person’s real age? Just look at their hands.
The natural fat cushion that we’re born with under the skin of the hands begins to lessen in our late twenties and early 30’s. By the time most of us hit 50, all the structures in the hand show up – the tendons, bones and veins.
Help is at Hand
Dr Teri Johnson and her team have been performing hand rejuvenation treatments since 2008. Over the years, they have tried and tested various treatments.
Hand Rejuvenation Treatments can address various concerns and include injectable and non-injectable treatments.
Non Injectable Hand Rejuvenation Treatments
Chemical Peels
Peels are great for fading age spots, smoothing the skin texture, and stimulating new collagen production in the upper skin layers. At Cheshire Lasers Clinic, our favourite treatment for hands is the BioRePeel with TCA. The BioRePeel has a bio-stimulating, revitalising & peeling-like effect. A single treatment often delivers a visible improvement, but for best results, we recommend a course of three every 7 to 10 days.
Microneedling
Microneedling uses tiny needles to create micro-injuries in the skin, stimulating collagen production and improving skin texture and tone. This treatment also is known for its ability to improve skin texture and can lead to a subtle improvement in pigmentation. At Cheshire Lasers, we use the EDS (Electronic Dermastamp) treatment.
Radiofrequency Microneedling
Radiofrequency microneedling combines the skin-renewing benefits of microneedling with the skin-tightening effects of radiofrequency energy. The result is a more effective treatment for improving collagen production, skin texture and firmness. Cheshire Lasers uses Dermaforce to deliver controlled heat energy deep into the skin through tiny needles. This stimulates more collagen production, often with less downtime than microneedling alone.
CACI Hand Rejuvenation
Using advanced microcurrent technology, CACI targets skin cells in the hands, stimulating collagen and elastin production. This non-invasive procedure tones, hydrates and firms the skin, reducing wrinkles and revealing smoother, younger-looking skin.
It’s also important to consider topical treatment when rejuvenating the hands. Retinoids, vitamin C serums, and moisturizers containing ingredients like glycolic acid or niacinamide can help improve the appearance of the hands over time by boosting collagen production and reducing signs of ageing. Regularly applying hand creams containing sunscreen can help prevent further sun damage and protect the hands from ageing.
Injectable Hand Rejuvenation Treatments
Injectable hand rejuvenation treatments involve injecting products into the skin to create volume in the skin, increase hydration or stimulate collagen production. Most treatments have an effect on all three of these.
The following treatments have all been shown to rejuvenate the hands:
Dermal Fillers: Dermal fillers, such as hyaluronic acid, plump up thin skin, give hydration, and minimise the appearance of wrinkles and veins.
Collagen Stimulators: Radiesse, Ellanse and Sculptra all stimulate collagen, creating firmer, tighter, plumper skin.
Skin Boosters:Restylane Vital, Profhilo, and Sunekos are examples of skin boosters they stimulate collagen and elastin production as well as hydrate the skin.
Polynucleotides: Made from DNA, stimulate fibroblasts to create collagen and elastin; they also stimulate hydration and have an antioxidant effect.
It’s important to consult with a qualified dermatologist or cosmetic surgeon to determine the most suitable treatment options based on individual needs, skin type, and desired outcomes.
Combination Treatments:
Often, a combination of treatments may be recommended to achieve the best results. For example, combining dermal fillers with laser therapy or chemical peels can address multiple concerns simultaneously and provide more comprehensive rejuvenation.
Examples of Hand Rejuvenation Treatments.
Restylane Vital Skin Boosters
Restylane Vital Skin Boosters contains small molecules of hyaluronic acid filler. When injected under the skin, it improves skin elasticity and deep dermal hydration. By moisturising from within it diminishes the fine crepey lines to give a plump and hydrated appearance.
An initial, intense treatment usually comprises three sessions, 3-4 weeks apart. Each treatment involves a series of very fine micro-injections however Dr Teri is now using a cannula more often for this treatment.
Typically, a maintenance treatment would be required after around 3-4 months.
Advantages:
Restylane Vital remains in the skin for about 4-8 months if not longer. It attracts water for skin hydration and improves skin texture while volumising the skin to help reduce the appearance of unsightly veins and tendons.
It can be dissolved by hyaluronidase.
Disadvantages:
3 treatments are usually required, and regular maintenance every 3-4 months to keep the effect.
Bruising is very common if injected with a needle.
Radiesse was launched in 2000 and is FDA approved. It is a non permanent Dermal Filler that contains calcium and phosphate based micro spheres. When injected under the skin micro spheres stimulate your skin to produce new collagen. It is, therefore, more commonly regarded as a collagen stimulator.
The product is injected directly into the skin with a cannula and then firmly massaged to ensure even coverage.
Radiesse gives an immediate improvement due to the presence of the filler. Over a few months, the results reduce slightly as the filler degrades. The results improve again as collagen production occurs creating a volume effect and an improvement in skin texture.
This treatment is great for volume loss to help cover veins and tendons in the hands.
You may only need one treatment. Although if you have older hands or hands with significant volume loss you may need a second treatment.
Advantages:
Typically, results last around 12 months.
You will need a maintenance treatment 9-15 months.
Disadvantages:
This product is not ideal for you if you have thin skin.
Radiesse filler is firm, so you need to apply strong, vigorous massage after treatment to reduce the risk of lumps after treatment.
The product does not give as much hydration.
Profhilo is a revolutionary injectable product based on hyaluronic acid (HA). After injection, it slowly breaks down so it remains in the skin for up to 28 days. While in place, it stimulates the body’s processes for regenerating skin tissue. It hydrates the skin and stimulates all four types of collagen and elastin. Hence, is why we call it a ‘bio-rejuvenator’ or ‘bio-revitaliser’.
Most people need two treatments one month apart. Older skin or extremely delicate thin skin prone to tearing may need a third.
You will need a maintenance treatment after 4-6 months for best results.
Advantages:
It degrades quickly, which often suits people who like minimally invasive natural treatments.
Treatments are easy and quick and take only 15 to 20 minutes.
The treatment is the best for thin, crepey, delicate skin.
Disadvantages:
The hydration effect creates some volumisation of the skin. However, this is often insufficient to cover visible veins and tendons due to fat loss under the skin.
Aliaxin SR is made by IBSA the same company that makes the revolutionary Profhilo. It contains 3 different hyaluronic acid molecules. One of which is the same as the one in Profhilo. The other two act more like a filler designed to hydrate, plump and volumise the skin.
Aliaxin SR is injected in the hands with a cannula. Gentle to moderate massage is then required to make sure the product is distributed evenly in the tissues.
You need one or two treatments for best results, one month apart.
If you have very thin skin a Profhilo treatment is recommended first.
You will need a maintenance treatment after around 6 months for best results.
Advantages:
This product is the best of all worlds, collagen stimulation in the skin itself to improve texture, elasticity. However it also gives volumisation, to plump and hydrated the skin due to the hyaluronic acid filler component.
Disadvantages:
You need to massage after treatment. Massage is not always possible in elderly frail skin unless this is improved first.
The Masseter Muscle is located at the angle of the Jaw.
This muscle can be overactive and enlarged in some people and can lead to the folwing concerns:
masculine facial appearance
headaches
teeth grinding
temporomandibular joint disorder /syndrome
At Cheshire Lasers our Aesthetic Doctors and Nurses are trained to treat the masseter with Botulinum Toxin ( Botox) to improve the appearance of the jawline.
Jaw Muscle Reduction for Masseter Hypertrophy
A strong, square jawline is often desirable in men and is seen as a sign of masculinity. Women with the same strong jawline can find this less desirable and may seek a softer, more feminised shape to their face. Asian females are particularly prone to this facial feature, and changing the shape of the face from a square to a more attractive oval shape is becoming more popular now.
Botulinum Toxin is an effective treatment for relaxing and weakening the Masseter Muscle, resulting in a softer Jaw angle.
Teeth Grinding / Bruxism
People who grind and clench their teeth usually do this at night. This condition is known as Bruxism and can cause a lot of distressing symptoms.
These symptoms include, but are not limited to;
headaches
aching of the jaw on waking
damage and flattening of the teeth and the need for extensive corrective dental work.
These people often develop enlarged muscles on the side of the face (giving a square shape to the face) and problems with the jaw joint (Mandibular Joint – or TMJ).
Traditionally dentists would treat this with a splint worn in the mouth at night. However, this is usually a temporary solution and can not always prevent excessive grinding/clenching once the splint is worn.
Botulinum Toxin is a safe and effective way to improve tteeth grinding.
People with large Masseter Muscles (used for chewing/clenching and grinding) sometimes develop square jaws.
Botulinum Toxin injected into the Masseter Muscle can relieve Temporomandibular Jaw Disorder and any associated tension and pain caused by this condition. This treatment is fantastic for relieving pain and tenderness in the temporomandibular joint. It can improve the pain suffered whilst eating and reduce headaches and stress caused by this disorder.
What Treatments are available at Cheshire Lasers?
At Cheshire Lasers our Aesthetic Doctors and Nurses can treat overactive masseters with Botulinum Toxin ( Botox) to improve the cosmetic effects.
What to expect during a Masseter Botox Treatment
The treatment involves the injection of precise quantities of Botox into the body of the masseter muscle. Depending on the size of the muscle it may involve three or four injections on each side. Masseter Botox injections are a little uncomfortable but are not panfull.
The treatment can take around 20 in total but the appointment time is longer. This allows time you your assessment, time to discuss your concerns and the likely outcome and to discuss the risks and benefits of the treatment.
When do the results of Masseter Botox kick in?
The results of Botox in the Masseter is not instant. Botox starts to work at 2 weeks and it as at this time the muscle becomed wekaer and work less effectively. The masseter muscle then takes another 4-6 weeks to reduce in size. Once the masster is smaller in appearance the jawline looks softer in appearance.
The results of a single treatment can last up to 4 – 6 months,
How many Botox Treatments with I need?
Masseter Botox usually needs to be repeated every 4-6 months to achieve the best result. With regular treatments, the masseter muscle tends to get smaller delivering a slimer jawline appearance.
The treatment frequency can reduce with time as the muscle continues to reduce in size (atrophy).
For those seeking this treatment for pain relief, a single treatment can result in a permanent change to muscle and a long-lasting reduction in clenching and grinding. However this often depends on the reason for the problem and some people need further treatments to maintain the results.
Does Masseter Botox cause Ageing or Sagging.
A large jawline can be a benefit and can sometime delay some of the signs of ageing. In younger patients with elastic sking Botox to the masseter rarely causes sagging.
In older patients reducing the size of the masseter can cause volume loss in the treated are and the skin can therfore appear to sag. This could be interpreted as ageing but it is just due to somple volume loss. If you do develop any sagging this can reverse in time if you stop having the treatment.
During your consultation this will be discussed with you to allow you to decide understand the pros and cons of the treatment.
Who Performs Masseter Botox at Cheshire Lasers?
The following medical practitioners perform Masseter Botox for cosmetic reasons:
Click on their name to view their prices and availability.
Cheshire Lasers Aftercare Advice after Masseter Botox
Avoid Makeup for 12 hours after treatment
Gently move the treatment areas by frowning, smiling and lifting the eyebrows to optimise your results
Avoid strenuous physical activity for 2 days, this includes Horse ridding.
Do not rub or massage the treatment areas as this may increase the risk of complications by spreading the product
Try not to take alcohol, aspirin and ibuprofen for 24 hours as they can increase the risk of bruising and swelling
To reduce the risk of complications, do not undertake activities that my disturb the treated area for up to 2 weeks. Things to consider a risk include:
Facial massage
Eyebrow waxing
Eyelash extensions
Saunas
Microblading
Facial Treatments such as Radiofrequency, Hydrafacial, Microdermabrasion and CACI
At Cheshire Lasers, Dr Teri Johnson performs CarboxyTherapy using our Rioblush machine.
What is CarboxyTherapy?
Rioblush Carboxy Therapy is a safe, minimally-invasive, all-natural medical procedure that involves injecting carbon dioxide into the tissues.
What does CarboxyTherapy Treat?
At Cheshire Lasers, we use CarboxyTherapy to treat stretch marks and cellulite on the body.
We also treat fine lines around eyes and mouth, dark under-eye circles and the face, neck, and decolletage for rejuvenation.
How does CarboxyTherapy work?
As we age, blood circulation in the dermis reduces; this means less oxygen gets to the cells. As a result, new cell and collagen production slow down over time, and in some cases stops altogether.
Every cell in our body releases carbon dioxide as a waste product. Our red blood cells take this carbon dioxide to the lungs where it leaves the body. These red blood cells also deliver oxygen to our cells. They release the oxygen molecules when they encounter carbon dioxide in the tissues.
Injecting natural carbon dioxide gas under the skin tricks the body into believing it needs more oxygen. This kick starts your body’s natural restorative processes, increasing blood flow. The oxygenation of the areas increases stimulating accelerated healing, new collagen and cell growth.
Clinical studies have shown CarboxyTherapy stimulates skin and dermal rejuvenation and also destroys fat cells.
What happens during CarboxyTherapy treatment?
Carboxytherapy involves multiple small injections with a very thin needle. Medical-grade carbon dioxide gas is injected, at a temperature and rate dictated by the problem and your pain threshold.
How long does it take?
Treatment can take from 5 minutes to 30 minutes. The time will depend on the size of the area, and how uncomfortable you find it.
Is CarboxyTherapy painfull?
Some patients may experience mild discomfort, slight burning, itching, or a tingling sensation. However other people may find it more painful. The Rioblush Carboxy Therapy system can heat the carbon dioxide gas, which improves the discomfort.
As the treatment continues, you may experience a warm sensation around the treatment area.
How long is the recovery time after the treatment?
The treatment requires no recovery time.
Swelling and redness are often seen after treatment, but these usually go after a few minutes or a few hours. It is common to develop some small bruises after the treatment.
We advise you to avoid strenuous activity, bathing, swimming, saunas for 4 hours after treatment.
Contraindications to CarboxyTherapy
This safe procedure has a few contraindications
Pregnancy
Severe Anaemia
Active Skin / Tissue Infections
Any condition or medication (e.g. Apixiban or Aspirin) that thins the blood is a relative contraindication.
How many sessions will I need?
Most conditions require an average of 6 and 12 treatments. Each person is unique, so some people may see slight improvements after the first treatment. However, usually, it takes up to one month for the body to properly react to the process.
How long will the benefits last?
The results for stretch marks can be permanent.
For cellulite and skin rejuvenation treatments, you will require maintenance treatments every few months to maintain the benefits.
