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Botox Delays the Brow Ageing Process

Consultant plastic surgeon Rajiv Grover confirmed that the long-term use of Botulinum Toxin (Botox) delays the ageing process in the upper face.

The study came about after Grover carried out several consultations with patients seeking a second facelift (some years after having the first with a different surgeon) and began to notice differences between those who had used Botulinum Toxin over several years and those who had not.

Patients who had been receiving Botulinum Toxin injections consistently since their first facelift were far less likely to require a brow lift than those who had not, however, there were no significant differences in the bottom halves of their faces regardless of whether or not they had used Dermal Fillers in the cheek, jowls or neck.

This initial anecdotal evidence led Grover to carry out a formal study on 68 patients who had requested a secondary facelift following a previous one some years earlier. Out of these 68 patients, 24 had received Botulinum Toxin treatment regularly for over nine years.

Grover assessed the effects of ageing on the forehead and brow in three ways:

The height of the brow itself above the pupil of the eye was measured
Digital imaging software from Canfield USA to measure how much the brow had dropped with age by analysing pictures from youth and comparing these with current pictures
The need for a surgical brow lift, as a measure of the ageing process.

What did the study show?

The study reported that the patients who had received over nine years of regular Botulinum Toxin had significantly higher brows than those who had not, with an average difference of over 3mm.

The photograph analysis backed this up, finding that the inevitable drop in brow height caused by gravity and muscle movement during the ageing process was on average significantly smaller in the patients who had received Botulinum Toxin, indicating an alteration of the ageing process.

These results meant that Grover thought fewer of the Botulinum Toxin-treated patients needed a surgical browlift at the time of their facelift surgery than the Non-Botulinum Toxin group. In fact, only two of 24 Botulinum Toxin treated patients (8%) received a brow lift, compared with 24 out of the 44 remaining Non-Botulinum Toxin group (54%).

“This is the first study of its kind to look at the anatomical effects on the ageing process from long-term use of Botulinum Toxin,” said Grover. “By rebalancing the facial muscles it appears that Botulinum Toxin reduces the changes of drooping of the forehead and brow seen with ageing. The aim of this study is not to recommend that people take Botulinum Toxin in a long-term fashion but it is important that surgeons analyse in a scientific way what the long-term effects of treatment are in order improve safety for our patients.”

Find out more about Botox and how it works here.

Find out who performs Botox Treatments at Cheshire Lasers here.

Hair Loss Treatments

Hair loss treatment has changed considerably over the past few years, with many different options available and other exciting new treatments on the horizon. The specialists working at Cheshire Lasers Clinic provide several methods for improving the effects of hair loss.
Here at Cheshire Lasers, we understand that losing your hair can be a very sensitive and difficult subject to discuss. It is essential that you find the right clinic for your treatment, but most importantly, the right treatment that meets your needs with someone you can trust.

Scalp Micropigmentation

Scalp Micropigmentation is a non-surgical, cosmetic solution for males and females suffering from hair loss and thinning hair. Micropigmentation is used to create the illusion of real hair. At Cheshire Lasers, this treatment is carried out by our associate Helena Fryer. Helena’s Before and After results are extremely impressive.

The treatment not only gives her clients the look of a full head of hair again but really helps to build their self-confidence.

Consultations with Helena are free of charge.

You can find out more about this treatment and view her before and after images here.

PRP Dracula Therapy

PRP Therapy is a natural, modern method for treating hair loss. It is a safe, non-surgical procedure with significant results. It is an injectable treatment which uses the patient’s plasma containing active growth factors to promote hair growth. These growth factors may help hair grow or, at a minimum, slow down hair loss. The result leaves the patient with fuller, healthier-looking hair.

The number of treatments will depend on the patient’s hair condition, the amount of hair loss that needs treating and the desired result. Generally, most people need four to six treatments at four-week intervals. Significant hair growth begins at six months and continues after that. Determining factors are the amount and cause of hair loss.

Overall, patient satisfaction is high, with this treatment receiving an average rating of seven out of 10. Patients are advised to consider repeat treatments in intervals of six to 12 months to maintain their hair restoration progress.

PRP Treatment for hair loss is performed by Aesthetic Nurse Moira. You can view more information about her treatments and prices here.

Silhouette Soft Thread Lifts

What is SILHOUETTE SOFT®?

Silhouette Soft® is a new technology with a double lifting and regenerating
effect through the action of re-absorbable sutures with bidirectional cones.
Made in the USA, Silhouette Soft® was developed on the back of 6 years of experience of using suspension sutures with cones in reconstructive and aesthetic surgery.

They consist of Poly-L-Lactic acid ( PLLA) and glycolic acids. These components are totally re-absorbable in 18-24 months.

How do Silhouette Soft Threads work?

Two actions:

A lift action for immediate yet discreet results: the physician can redefine the area by lifting the tissue.

A volume action occurs gradually due to PLLA stimulating collagen giving further rejuvenation.

Silhouette Soft is the only product on the aesthetic market that combines these two actions.

What does the Treatment involve?

The procedure takes thirty to sixty minutes under local anaesthetic. One or more sutures may be necessary, depending on the treatment area.

SILHOUETTE SOFT® can be used as a stand-alone treatment or with fillers and botulinum toxin.

Which area can the Threads Treat?

Facial contour – jawline, cheeks and malar area.
Eyebrows.
Neck.

Why is Silhouette Soft so innovative?

Immediate but natural lift effect in addition to a progressive volume action.
Progressive recovery of natural collagen.
The procedure takes just 30 min under local anaesthetic at the doctor’s practice.
Non-invasive
No incisions
Quick return to professional and social life.
The components are entirely re-absorbable.
Can correct flabbiness in the mandible area, neck, malar area
Can improve dropping eyebrows
The effect lasts up to 18 months.

The ideal patient is 30 to 60, without excessively loose skin or severe ptosis.

How much is Silhouette Soft Treatment?

The cost depends on how many threads you need we recommend a consultation for an assessment to determine if you are suitable and the costs involved.

Threads are not available at Cheshire Lasers. However, we usually recommend Patricia Goodwin, who practises in North Wales and Wrexham, for this treatment.

What Causes Skin Wrinkles?

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.

Radiesse Hand Rejuvenation

Dr Teri Johnson performs Radiesse Hand Rejuvenation at Cheshire Lasers Clinic.

She also performs a range of other hand rejuvenation treatments which you can read about here.

Radiesse can help to improve ageing hands where loss of fat and thin skin has resulted in a bony appearance and unsightly veins.

What is Radiesse and how does it work?

Radiesse is a Dermal Filler launched in the UK in 2004. It is made up of tiny beads of calcium hydroxylapatite (CaHa). CaHa has been safely used in the body for many years. Radiesse is not a permanent filler, the average effect lasting around 12 months depending on the client and the area treated.
Once injected into your skin, the smooth and spherical CaHA particles form a ‘scaffold’ which stimulates your own cells to produce collagen. The gel carrier dissolves within a few months and are completely metabolised by the body, leaving only the new collagen structure.

What happens during the Radiesse Hand Rejuvenation Treatment?

Dr Teri Johnson will perform a consultation and will discuss what you hope to achieve from the treatment and tell you whether or not these results are achievable. Your medical history will be taken, to ensure that there are no reasons why you shouldn’t have the treatment.

A cannula is used to deposit droplets of the Radiesse gel in the skin evenly over both hand to ensure the hands are equally covered.
Each hand takes about twenty minutes to treat. The hands are then thoroughly massaged firmly to ensure even spread of the Radiesse gel.

What should I expect after treatment?

You can return to work the following day after this procedure. However please avoid exposing your hands to any chemicals or dirty environments where the injection sites could be exposed to irritation or infection. Protection such as gloves would help reduce any adverse exposure.

You may have a few small bruises on your hands for a day or two afterwards.

With clean hands, massage your hands for a few days after treatment. This will ensure the Radiesse is distributed evenly.

How Safe is a Radiesse Hand Rejuvenation treatment?

There are few reported side effects from clinical trials and actual usage of this product. Common injection-related reactions may occur, such as swelling, pain, itching, discolouration and tenderness at the injection site.
Some lumpiness at the injection site can rarely occur.

How much is a Radiesse Hand Rejuvenation treatment ?

£400 – 1.5ml of Radiesse 1/2 each side.

How many treatments will I require ?

The number of treatments usually depends on your age. It also depends on how your hands have aged and the results you want to achieve.

The following is a guide:

55+ you most likely need 2 treatments for a good result 4-6 weeks apart.
45 a single treatment is usual enough.
45 – 55 the amount varies depending on the individual.

https://www.youtube.com/watch?v=MMikYsBM7XA





Before a Radiesse hand treatment	After a Radiesse treatment.

Semi Permanent MakeUp

Semi permanent cosmetics is an advanced form of cosmetic tattooing and is similar to conventional tattooing but the pigment is not implanted as deep.

The equipment used is much quieter and less traumatic to the skin.

The pigments used are designed to naturally blend with your skin.

The most popular procedures are:

eyebrows

Great treatment for people who have

over plucked their eyebrows
had chemotherapy
alopecia
suffered with hair loss
people who regularly need to use a brow pencil for sparse eyebrows.

The technique used creates a natural hair stroke design which will instantly give lift and emphasis to the eyes.

eyelash enhancement

An ideal treatment if you want to:

give the appearance of thicker lashes
have more definition
improve the shape of your eyes
give the illusion of eyelashes ( beneficial for alopecia patients )

This treatment is great for people with poor vision or an unsteady hand. It is also popular with busy people who don’t have time to apply make up daily.

The technique is created in the natural lash line to give the appearance of thicker lashes, bigger eyes and it can enhance the colour of the eyes. The colour can be tailored to suit you and you can choose anything from a subtle touch of colour to a more obvious thick eye liner appearance.

lip line and lip blush

This procedure is fabulous and gives definition to the shape of the lips that might have been lost due to the ageing process or to create symmetry.

The lip blush technique is more advanced than the lip liner technique and makes the lips look more natural. The lip line is tattooed on and shaded into the natural lip.

Semi Permanent Makeup helps you to look well groomed and attractive whether you have just got out of bed, been to the gym or been swimming.

You will save time applying makeup and enhance and correct your natural appearance.

frequently asked questions

How long does Semi Permanent Makeup last?

Natural rejuvenation of the skin and exposure to uv light will fade the pigments used in Semi Permanent Cosmetics.

The lighter the shade of pigments used the quicker it fades.

We recommend a colour boost procedure every 12 – 18mths to keep you Semi Permanent Makeup looking fresh and as good as new.

Does it hurt?

Semi Permanent Makeup is no more painful than having your eyebrows tweezed.

The Nouveau Contour procedure uses sophisticated equipment that eliminates distress. Some clients have been know to fall asleep during their procedure.

How long does the procedure take?

The procedure will take up to two hours depending on the individual and the treatment they want.

Who can’t have Semi Permanent Makeup?

Patients who have immune disorders such as Systemic lupus erythematosus, keloid or hypertrophic scars, HIV, TB, tumours, growths or cysts.

Clients who have had chemotherapy need to wait until their antibodies are back to normal.

Clients need to wait 6 months after:

Roacutance
Retin A
Steroid treatments
Chemical peels
Laser

2 weeks after using aha preparations.

When applied by a professionally skilled technician, permanent cosmetic makeup can achieve life- changing, confidence boosting results. The technique is simple safe and will enhance your natural beauty.

The folllowing treatemnts are available at Cheshire Lasers:
Eyebrows
Eyeliner
Lipliner/Blushed Lips
Beauty Marks
Breast And Areola/Nipple
Tattoo following surgery

These treatments are provided Jacqui Rostron from Holmes Chapel who visits our clinic regulalrly to perform her treatments.

Find out more about them, their services and prices here:

Find out more about Jacqui Rostron here.

To book a consultation or treatment please contact the clinic

Xela Rederm Redermalization

Xela Rederm Redermalization treatments are no longer available at Cheshire Lasers we now provide Polynucleotides and skin booster treatments.

Whats is Xela Rederm?

Xela Rederm is a Redermalization treatment from the Hyalual® Institute. Xela Rederm introduces hyaluronic acid and succinate into your skin cells and provides a powerful visual anti-age effect and a long-term result. Effectiveness of this new generation injectable anti-age product is proven by clinical studies, which show the dramatic improvement in the appearance of your skin.

To understand the Redermalization treatment you need to understand the causes of ageing which include:

Dehydration of the skin.
The effect of free radicals on the skin.
The slowing down of metabolic processes that in turn slows down the production of collagen in the skin.

Redermalization is the process of injecting a mixture of Hyaluronic Acid and Sodium Succinate using a special technique, to rejuvenate the skin.

Hyaluronic acid is known for its hydrating properties, which addresses the first cause of ageing.

Succinic Acid blocks free radicals and has the effect of an antioxidant with powerful restorative properties, addressing the second cause of ageing. It also stimulates the production of collagen and elastin at a cellular level, which addresses the third cause of ageing.
Succinic Acid has further been clinically proven to reduce pigmentation, making this an excellent treatment for improving pigmentation as well.

Redermalization aims to re-organise as well as stimulate the production of collagen and elastin fibres – and in so doing results in skin renewal. Other injectable treatments target the tissue just beneath the skin – whereas Xela Rederm is injected directly into the skin itself – treating the actual problem rather than just plumping from below.

What are the benefits of Redermalization ?

More youthful looking Skin
Improved complexion
Improved elasticity
Reduction of wrinkle depth and length
Skin lifting
Improved skin tone and appearance of pigmentation
Improved Hydration
Acne scarring and Stretch-mark improvement

Which areas can Redermalization treat ?

Face, neck and décolletage.
Hand rejuvenation.
Body: sagging skin of the stomach and buttocks.
Scars and stretch marks.

What does a Redermalization treatment involve ?

We apply numbing cream to reduce any discomfort.

We then injects the Xela Rederm into the skin using multiple tiny injections.

After treatment we apply a hydrating WOW mask.

For optimal results you will need 3-6 treatments with 2-3 weeks between each session. The amount will dependent on your skin quality.

What occurs after the treatment ?

After the treatment, very small bumps are visible where the product was injected. These bumps dissapear over a few hours once the products is absorbed into the deeper layers of the skin. The result is plumper, firmer and more hydrated skin. Apart from the bumps, there may be some mild redness and a chance of some small bruises.

What are the side effects ?

Most side effects are mild or moderate in nature and usually last less than 7 days . The most common side effects include it a temporary bumps under the skin, bruising, pain tenderness , swelling, itching and discolouration.

Contraindications for treatment

Pregnant women
Breastfeeding mothers
Hypersensitivity reaction to HA or any other injectable cosmetic dermal filler
Severe allergies
Active cold sores

Here is a quick summary about Redermalization:

Hypoallergenic and safe with high biocompatibility
Best Results 3-6 Treatments
Duration of Results 6-8 Months
Treatment Recovery 1-2 Days
Risks & Complications Bruising
Anaesthetic Topical
Procedure Time 30 to 60 Mins
Back To Work Next Day