cosmetic surgery practitioner the face of your youth

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                                                              ThE dAILy TELEgRAph
                                         Choosing The righT
                                 The ulTimaTe mini guide To

                               the face of your youth
02   ulTimaTe CosmeTiC TreaTmenTs   an indePendenT suPPlemenT ProduCed BY lYonsdoWn media grouP
                                                                 Choosing the
                                                                           righT pracTiTioner
                                                                           There are many respecTed pracTiTioners who perform
                                                                           rejuvenaTion using medical aesTheTic (non-surgical)
                                                                           Techniques buT finding a really good one can be
                                                                           confusing. however, here are a few Tips To help you
                                                                           wiTh your choice...

                                                              Qualified?                                                     • ask about what forms of anaesthesia are available and
                                                              Check that the practitioner is medically qualified and         which form is most appropriate.

    04         moving from cream to
               needle. dermal fillers could
                                                              specialist trained.                                            • Think about your own experiences, for example,
                                                                                                                             the level of pain relief you require when undergoing
                                                              • Check the practitioner's healthcare Commission               dental treatment. it is important that the practitioner is
               revolutionise your appearance.
                                                              certificate, which lists the services that they are licensed   sympathetic to your pain relief requirements.
                                                              for. registered practitioners, approved by the healthcare
                                                              Commission, must show they meet safety and quality             expeCtations
    06         simple health boosts in your
                                                              standards.                                                     during the consultation your expectations of the
                                                              • The practitioner must be medically qualified, e.g. a         treatment should also be discussed. is the effect sought
                                                              registered nurse, doctor, dentist or surgeon. You need         achievable? more importantly, is it desirable? how long
                                                              to know that he/she has received specialist training, is       will the effects last? how much is the treatment going

    08         The ultimate mini guide to
               cosmetic surgery.
                                                              familiar with the technique and is successfully carrying
                                                              out the procedure regularly.
                                                                                                                             to cost?
                                                                                                                             • reducing lines caused by deep folds may require
                                                              • Certificates providing qualification and training details    several visits to achieve the desired effect.
                                                              may be displayed in the clinic. also ask for details of        • ask to see before and after treatment photographs.
                                                              their professional indemnity insurance.

    12         expert panel.
                                                              • if receiving your treatment in your home, check that
                                                              the practitioner has a special licence and is insured to
                                                                                                                             during the consultation, you should also discuss the
               six experts talk about their
                                                              carry out the procedure in a home environment.                 aftercare you may need.
               treatments and surgeries.

                                                              environment                                                    • ask if written information is provided about what to
    14         Beauty at what cost?                           There is a growing trend for “treatment parties” but
                                                              receiving medical aesthetic treatments whilst under the
                                                                                                                             expect after treatment and what you can and cannot
                                                                                                                             do. it is good professional practice to be offered a
               The BaCd discuss the new
               techniques to help you                         influence of alcohol is undesirable, as is the associated      post treatment checklist and an emergency telephone
               achieve a natural smile makeover               peer pressure.                                                 number to call if you have reason to become concerned
                                                                                                                             about reactions to your treatment.
                                                              • The surroundings should be hygienic and clean.
                                                              • it is not unreasonable to ask the clinician to open any      finally
                                                              sealed sterilized packs, containing syringes and needles       Be wary of flashy websites, glossy mailers, brochures,
  Bradley scheffer,
                                                              for your treatment, in front of you. This demonstrates         and adverts promising discounts and bargains! These
  CREATIVE DIRECTOR:                                          that the practitioner considers your safety of utmost          are not the most reliable ways to choose the right
  andy sweetman,                         importance. it also ensures that you can see the name of       practitioner for your medical aesthetic procedures.
                                                              the product being used.
                                                              • ask yourself if you feel comfortable with the
  Yanina stachura,
                                                              practitioner. do you feel that he/she can be trusted and
  PRODUCTION MANAGER:                                         do you feel confident about being treated?
  nikki dudley,
                                                              reputable practitioners will offer you a consultation                    useful addresses:
                                                              prior to treatment to discuss your requirements and
                                                              expectations. You too should have the opportunity to                     British Association of Aesthetic
                                                              ask lots of questions. There should be a “cooling-off”                   Plastic Surgeons (BAAPS)
 LYONSDOWN MEDIA GROUP, DEPHNA HOUSE                          period for you to consider the treatment fully.                          The royal College of surgeons,
 24-26 ARCADIA AVENUE, LONDON, N3 2JU                                                                                                  35 lincoln’s inn Fields,
                                                              • expect practitioners to ask you questions about your                   london WC2a 3Pn
 T: 08449 360 226                                             medical history. They need to know if you are allergic                   Tel: 020 7405 2234
 W:                                       to any medicines, if you have a history of allergy or cold     
 E:                                      sores, or if you are pregnant or breast feeding.
                                                              • Written information should be provided about the                       British Association of Dermatologists
                                                              medical aesthetic procedure and the products to be                       19 Fitzroy square, london W1T 6eh
 uCT is fully protected by copyright, reproduction            used. ask for the product brochures so you can find                      Tel: 020 7383 0266
 without permission is strictly forbidden. The publisher,     out more about the manufacturing company, what                 
 editor and authors accept no responsibility in respect of
                                                              substances constitute the product and if any clinical
 any products, goods or services that may be advertised
 or referred to in this issue or for any errors, omissions,   research or studies have been carried out.                               British Association of Cosmetic Doctors
 misstatements or mistakes in any such advertisements         • The consultation should also include discussion about        
 or references.                                               possible complications and side-effects.

an indePendenT suPPlemenT ProduCed BY lYonsdoWn media grouP                                                                                 ulTimaTe CosmeTiC TreaTmenTs            03
   Moving from
                                                                                                                                DR EMERSON ANSWERS THE qUESTIONS
                                                                                                                                WE ALL WANT TO ASk:

                                                                                                                                q: WHAT ARE DERMAL fILLERS?
                                                                                                                                a: dermal fillers are substances that are
                                                                                                                                   injected below the surface of the skin to

                   cream                                                                                                           fill in lines and wrinkles and add volume to
                                                                                                                                   the cheeks and chin for a more natural and

                   To needle
                                                                                                                                   youthful appearance.

                                                                                                                                q: WHAT TyPES Of fILLER ARE THERE?
                   aT a cerTain poinT in our lives – beTween mid 30s To laTe 40s                                                a: dermal fillers can be temporary, semi-
                   – skin creams and early nighTs no longer seem able To work                                                      permanent or permanent. many doctors are
                                                                                                                                   wary about using permanent fillers as they
                   Their magic for many of us. now, a new soluTion has arrived in
                                                                                                                                   are more prone to complications, and are
                   dermal fillers.                                                                                                 difficult to reverse.

                                                                                                                                q: HOW DO TEMPORARy fILLERS WORk?

W       hat makes the ageing process even more
        depressing is that we still feel young on the
        inside. it’s just our wrinkly foreheads and
deepening nose to mouth lines that leave our self-
confidence in tatters.
                                                            “fillers are used
                                                            To sofTen Tell-Tale
                                                            ageing lines”
                                                                                                                                a: By using a series of small injections just
                                                                                                                                   under the skin, the product will fill lines and
                                                                                                                                   wrinkles, which will naturally be reabsorbed
                                                                                                                                   into the skin over the course of 3 – 9
  so, do we fork out on yet another skin cream, full of
pseudo-science promises, or do we book in for a full        dr emerson says: “We have seen a huge increase in the               q: WILL I NEED MORE THAN ONE TyPE
on face-lift? Thankfully many of us are waking up to        number of cosmetic treatments performed at the clinic                  Of fILLER?
the fact that there is a middle ground. non-surgical        over the past two years. unlike skin creams, botulinum              a: all fillers come in different thickness. a
cosmetic treatments are ideal for women who believe         toxin and a tried and tested filler, such as restylane,                thicker filler is more effective to plump the
surgery is one step too far. no longer considered           can deliver action to the dermis where it is needed to                 lips, smooth deeper lines and add volume
extreme and the preserve of film stars and celebrities,     deliver noticeable benefits.”                                          and contouring to areas such as the cheeks
these treatments are now mainstream.                           he adds: “hyaluronic acid, which is found in several                and chin. Thinner fillers are used to reduce
  Consultant dermatologist dr russell emerson, of           fillers, plays a huge role in anti-aging because it not                fainter, less noticeable lines.
hove skin Clinic, thinks we are deluding ourselves if       only plumps out wrinkles but it adds suppleness and
we believe that skin creams can live up to all their        softness to the skin. it is a natural substance found in            q: HOW SAfE ARE fILLERS?
promises.                                                   the skin which boosts the skin’s hydration system which             a: Temporary fillers without animal proteins,
  “There is only so much a cream can do as it doesn’t       encourages the production of collagen.”                                allergens or chemicals are safe. But recently
penetrate the dermal layers. Creams sit on the surface         dr emerson agrees that it is a big step for women                   there has been a surge of new fillers coming
of the skin and although they are important for             to make the leap between face creams and cosmetic                      into the market but a lot of these have
conditioning and sun protection, they are not going to      treatments but believes that in the hands of an                        far less research behind them, apart from
turn the clock back.”                                       experienced cosmetic medical practitioner, botulinum                   restylane which has over 12 years of clinical
  Five star creams full of hi-tech ingredients definitely   toxin and fillers are a good middle ground.                            experience and extensive clinical data to
don’t come cheap either. some of the “super” serums            “dermal fillers can be temporary, semi-permanent                    prove that it is safe and effective.
can cost several hundred pounds. even those on more         or permanent. many doctors are wary about
modest budgets are spending a significant amount each       using permanent fillers as they are more prone to                   q: WHAT ARE THE RISkS?
month on anti-agers.                                        complications, and are difficult to reverse. also                   a: side effects are rare. There can be a small
  non-surgical treatments are becoming not only more        remember your looks will change over the years, what                   amount of bruising and swelling, plus a little
accessible but more affordable too.                         looks good in your 30s, may look silly in your 50s.”                   redness where the needle has been injected.
                                                               he says: “Fillers are used to soften tell-tale ageing               also, badly administered fillers can cause
                                                                  lines such as nose to mouth lines and for plumping               unevenness but as long as a temporary filler
                                                                          areas such as the cheeks to provide a non-               is used, any adverse results will disappear.
even the most expensive                                                       surgical mid face lift which restores
creams have limited effects
                                                                                shape to the mid face to give a more            q: HOW LONG WILL My APPOINTMENT BE
                                                                                  refreshed look.”                                 AND WILL IT HURT?
                                                                                       dr emerson believes a good               a: Your appointment will be around 30
                                                                                     practitioner-patient relationship             minutes. The actual injections only take
                                                                                       and realistic patient expectations          a couple of minutes but the bulk of the
                                                                                        are critical for obtaining                 time will be spent talking through the
                                                                                         optimum results with cosmetic             patient’s expectations and concerns. a
                                                                                         treatments.                               local anaesthetic cream will be applied to
                                                                                            he says: “most of the                  numb the area, which may feel slightly
                                                                                          patients i see ask lots of               uncomfortable when injected.
                                                                                          questions, especially about
                                                                                          the safety aspects. i explain to      q: CAN I GO STRAIGHT BACk TO WORk?
                                                                                         them the most important thing          a: You can, but it would be advisable to go
                                                                                         is that a reputable product with          home after the treatment. Your face may
                                                                                        a proven safety track record is            feel a little sore and tender.
                                                                                        used and that an experienced
                                                                                      cosmetic medical practitioner             q: WHAT WILL HAPPEN If I STOP USING
                                                                                     administers it. Then the chances              fILLERS – WILL I SUDDENLy GO BACk TO
                                                                                    of the procedure not meeting the               LOOkING OLDER OVERNIGHT?
                                                                                  patients’ expectations are minimal.           a: no. most fillers are absorbed into the body
                                                                                most product websites now include a                gradually and disposed of naturally. The
                                                                             local practitioner finder service, which is a         process will be gradual.
                                                                         good starting point.”

 04      ulTimaTe CosmeTiC TreaTmenTs                                                                                   an indePendenT suPPlemenT ProduCed BY lYonsdoWn media grouP
          Ultrasonic fat busting gets better, and without a cut!
          New to the UK - Liposonix

                                              How many times have you followed an exercise                 Ideal candidate:
                                             programme with the goal of shifting a few inches              Men or women with a BMI of 30 or less (not for obese patients)
                                            from your hips only to find that your boobs lose half a        – must have at least 2cm fat on the target area
                                            cup size instead? Help is now at hand with the latest          How does it work?
                                           targeted fat-busting, Liposonix ultrasound, from Europe.        Great for sculpting bellies, waists, love handles and thighs. This
                                              Liposonix challenges all other non-invasive fat removal      high intensity focused ultrasound (HIFU) hits the fat at a deeper
                                          systems. The real ‘lunchtime fix’, this procedure can            level than other more superficial body-sculpting devices. Fat
                                          be performed quickly with no cuts, minimal discomfort            cells are destroyed via a process termed ‘thermal coagulation’
                                          (nerves are unaffected), no anaesthetic and no downtime.         with residual debris collected by the body’s macrophage
                                          Sound waves are delivered at high intensity and frequency        (scavenger) cells, this is eventually further broken down and
                                          essentially blasting and killing carefully targeted fat cells    excreted by the liver.
                                           whilst surrounding tissues, skin surface and underlying           Over 1800 people have tried Liposonix experiencing an
                                           organs are left untouched.                                      average of 2.0cm circumferential loss with the results improving
                                               Leading consultant plastic surgeon Ms Angelica Kavouni      over 3-6months as the surrounding tissue packs down reducing
                                            FRCS EBOPRAS says: “Until now non-invasive ultrasonic          volume; some even experienced a 4-8cm reduction.
                                             fat removal devices have somewhat under performed due         Does it hurt?
                                              to their reliance on relatively low energy frequencies.      Experiences can vary but generally patients may experience
                                               Liposonix is different in that it delivers energy at a      cold, prickling, tingling, warmth and mild to moderate discomfort
                                                much higher level, offering cosmetic surgeons a real       Cost:
                                                alternative to surgical fat removal.”                      From £1800.00 depending on size of area to be treated – only
                                                    Angelica adds: “We are very excited to be one of       one treatment required
                                                   the first UK clinics to invest in this new generation
                                                    body sculpting device. It is great news for the
                     Liposonix utilises              patient as it actually works (!), keeps costs down                              Free consultation with Ms Kavouni
                     a 2MHZ transducer
                                                       and involves no downtime; for us it means we                                  for Lyonsdown readers:
                     compared to lower
                     frequency Ultrashape                 can accurately target stubborn fat pockets                                 Call : 020 7486 9040
                     which utilises a                       within the comfort of our clinic.”                                       Email :
                     0.2MHZ transducer                                                                                               Visit :

an indePendenT suPPlemenT ProduCed BY lYonsdoWn media grouP                                                                          ulTimaTe CosmeTiC TreaTmenTs          05
                                                    in your                                             Saying no to hair loss
Simple                                              handbag                                             ofTen seen as a problem for men, sTaTisTics show ThaT

health                                               proTecTing
                                                                                                        an increasing number of women also suffer from
                                                                                                        hair loss.

                                                     yourself againsT
                                                     healTh problems
                                                     needn’T be a
                                                                                                      F        orty percent of women have
                                                                                                               visible hair loss by the time they
                                                                                                               are aged 40, according to the
                                                                                                      american academy of dermatology.
                                                                                                      Causes of hair loss vary, though it is
                                                                                                                                                    by transplanting small grafts very close
                                                                                                                                                    together. Today, hair is transplanted
                                                                                                                                                    in groups of 1- 4 hairs and as it grows
                                                                                                                                                    naturally, gives the hair transplants a
                                                                                                                                                    natural appearance.
                                                                                                      often the result of our genetic make-             The most popular method of
                                                                                                      up and an imbalance of the male sex           transplantation is the strip harvesting

A        n estimated 70,000 premature
         deaths in the uK could be
         avoided each year if diets
matched nutritional guidelines on
the consumption of fruit, vegetables,
                                                body from harmful free radicals and
                                                helping to protect against chronic
                                                diseases. in particular, cherries are
                                                one of the few known food sources
                                                                                                      hormones (androgen) - specifically
                                                                                                      the hormone, dihydrotestosterone
                                                                                                      (dhT). hair loss can also be linked to
                                                                                                      malnutrition, stress, illness, pregnancy
                                                                                                                                                    method, which has the possibility
                                                                                                                                                    of transplanting up to 3,000 grafts
                                                                                                                                                    in one convenient session. in this
                                                                                                                                                    procedure, there is a fine strip of hair
                                                of melatonin, a potent antioxidant                    and dermatological scalp disorders.           extracted from the donor area, which
salt, saturated fat and sugar. roughly          produced naturally by the body’s                         There are many options for sufferers       is then dissected into individual grafts
1 in 7 British children are very obese.         pineal gland that helps regulate                      looking to regain their confidence            containing 1-4 hairs and transplanted
overweight children are likely to grow          biorhythm and natural sleep patterns.                 and a head of hair, however, hair             into the bald or thinning area. This will
into overweight adults, with a higher              so how can we get some of this                     transplantation is the only permanent         only leave a very fine scar in the donor
risk of serious health problems like            goodness into our lifestyles easily?                  solution. The process sees hair moved         area that is always covered with hair.
diabetes, heart problems and cancer.            The department of health says a                       from one area of the body (usually the            salvar Bjornsson, a senior consultant
   The Food standards agency’s main             150ml smoothie or fruit juice counts                  back of the head, referred to as ‘the         at nu/hart hair clinic explains, “even
tips for eating well are: a) base meals         as 1 portion of your fruit and veg.                   donor area’) and transferred to the           though the strip harvesting method is
on starchy foods; b) eat lots of fruit          Buy blended fruit juices or juice from                thinning or balding area (‘the recipient      the best procedure for most patients,
and vegetables; c) eat more fish; d)            concentrate or alternatively, create                  site’). The transferred hair is genetically   it’s important to evaluate every case
cut down on saturated fat and sugar;            your own! one example of a juice                      programmed to grow for the rest of            individually. The consultant has to take
e) try to eat less salt - no more than          booster is Cherryactive Concentrate.                  one’s lifetime; maintaining its own           into consideration the number of grafts
6g a day; f) get active and try to be           John Carey, director of Cherryactive                  characteristics such as colour, texture       needed, the texture and type of hair, the
a healthy weight; g) drink plenty of            ltd says, “Cherryactive Concentrate                   and growth rate.                              density of the donor area and so forth,
water and h) don’t skip breakfast.              is made from 100% carefully selected                     Furthermore, innovative techniques         but the client’s expectations and how
   some changes are easier to make              montmorency cherries, with no                         have since been developed that achieve        they can be met are the most important
than others. For example, simply put            added sugars, preservatives or other                  natural results and accelerate healing        issues to address.”
less salt into your cooking, or try using       additives. recent tests have shown
fish in a meal rather than chicken or           that it is packed with antioxidants
beef. have a glass of water instead of          – in fact just 30ml contains more
that extra coffee and put less sugar on         antioxidants than 20 average fruit ‘n’
your cereal or in your tea.                     veg portions!”
   one of the simplest methods,                    other ideas include mixing fruit with
‘5 fruit and veg a day’, is often               cereal, yogurt, salads or pancakes. For
ignored. some may find it boring                the sweet toothed individual, have
or inconvenient cramming so much                muffins or cookies with fruit pieces,
fruit and veg into their everyday               instead of chocolate. Take dried fruit
diet. Yet such a huge source of                 for a handy snack at work or the gym.
goodness shouldn’t be sidelined. Fruit             all in all, making small changes to
and vegetables of contain diverse               your lifestyle could have a significant
mixtures of phytonutrients (protective          effect on your health and wellbeing.
plant compounds), which can act as              so why not shake things up a little?
powerful antioxidants, protecting the

                      and Delicious!
                      A recent study has discovered that a 30ml shot of a
                      delicious cherry concentrate from award-winning company, CherryActive,
                      has greater antioxidant power than 20 average portions of fruit and veg*!
                      CherryActive Concentrate is made from carefully-selected Montmorency
                      cherries, uniquely-processed to harness and preserve their potent antioxidants.
                      CherryActive counts towards your five-a-day target of varied fruit and veg and
                      contains no added sugars, preservatives or other additives.
                      Mix CherryActive with water to make a delicious cherry juice or add to a
                      favourite fruit juice, smoothie or natural yoghurt. Great for adults and kids alike!
                      Buy CherryActive from or call 08451 705705. Also
                      available from health food stores (please contact us to find a stockist near you).

                      * 8260 ORAC units for 30ml CherryActive Concentrate v 1790 ORAC units
                        for 5 average portions fruit and veg (source: Brunswick Labs, USA)

06      ulTimaTe CosmeTiC TreaTmenTs                                                                                               an indePendenT suPPlemenT ProduCed BY lYonsdoWn media grouP
                                             skin treatment
                                             Cutting-edge laser technology capable of dramatically
                                             enhancing skin in a single treatment has been unveiled in the UK.
                                          The ‘Fraxel re:pair’ laser - to treat wrinkles, irregular texture, age and sun spots and acne scarring - is now
                                          available for the first time in the UK by Bristol based consultant plastic surgeon Simon Lee in his Lifestyle
                                          Surgery clinic.
                                             It is Fraxel’s brand new and best ever laser. It not only tightens aged and damaged skin, but may also avoid the
                                          need for a future facelift as it prevents loose skin from forming - with a typical treatment requiring only a twenty minute
                                          single session.
                                             The Fraxel’s accuracy and speed is increased by combining the effectiveness of traditional CO2 laser resurfacing with innovative
                                          technology which fractionates the laser beam. By ‘fractionating’ the laser beam with the use of an integrated computer scanner,
                                          it produces thousands of tiny but deep columns of treatment to minute sections of the skin. Just as it may be necessary to alter a
                                          photograph pixel by pixel to maintain its quality, the same is applied here to the skin.
                                             This brand new type of selective treatment is the first that can penetrate the full thickness of the skin regenerating collagen
                                          throughout its thickness- the protein that gives structure and support to the skin - whilst leaving much of the skin’s surface
                                              unaffected. The skin then heals much faster compared to other treatments that have to treat the entire area but only have a
                                                   superficial effect. The healing time is quicker the result the best ever!!
                                                        Typical patients are men and women spanning a wide age range - from those in their young twenties wishing to reduce
                                                       acne scarring to anyone in an older age group wanting to resurface skin and reduce wrinkles. Following the procedure
   Lifestyle Surgery is a centre                         patients are able to return to routine activities in 3 to 5 days.
   of excellence; offering a high standard of                Lifestyle Surgery was pioneered by leading consultant plastic surgeon, Simon Lee, whose experience spans over 12
   personalised care and specialising in facial            years working in some of the world’s leading hospitals. Simon says: “Fraxel re:pair is the biggest step forward in skin
   plastic surgery, cosmetic breast surgery and
   body sculpting.                                         resurfacing for more than 30 years. What appeals to many patients I treat with this is how adaptable it is to their often
                                                           busy lifestyles. Patients get outstanding results in a single session with fast recovery.”
   For more information
   on a Fraxel laser treatment,                               “Key to the new Fraxel laser’s success is its ability to improve on and almost eradicate the unwanted effects
   fact sheets and healing times, visit:                   of the traditional CO2 method. For example, CO2 alone has been shown to have a high risk of scarring and
   www.lifestylesurgerycom/fraxel-bristol.htm             hypopigmentation - loss of skin colour; something which is not a problem with this new combined technique. It is also
   or telephone: +44 (0)117 904 1311 or
   email:                  the only laser technique with FDA approval to treat all the ageing effects of the sun.”

an indePendenT suPPlemenT ProduCed BY lYonsdoWn media grouP                                                                                  ulTimaTe CosmeTiC TreaTmenTs              07
                                                           hooded eyelids?
                                                                                                                             The ultimate mini

                                                    Muscle relaxing injections
                                            will help brighten up the eye area
                                            by reducing crow’s feet wrinkles.
                                                             Lasts 3-6 months
                                                              Costs from £250
                                                         Upper eyelid lift/upper
                                            will remove excess skin hanging
                                                 over the upper eyelid that is a
                                                  common first sign of ageing.
                                              A simple procedure that can be
                                           performed under local anaesthetic
                                              with the scar hidden in the eye        drooping flat eyebrows?                    nose Job                                deep nose to mouth
                                                                         socket.                          heaVy lids?           non-inVasiVe                            lines?
                                                               Lasts 5 years+                          non-inVasiVe             Flat noses can be dealt with            non-inVasiVe
                                                            Costs from £3000                 Muscle relaxing injections         using Radiesse. It can build            Dermal fillers like
                                                                                    Tried and tested, muscle relaxing           up the bridge of the nose               Restylane, Perlane,
                                                   eyebags, dark circles                  injections will help to lift the      very effectively. Previous              Juvederm and Radiesse.
                                                                non-inVasiVe            eyebrows, ‘opening’ the upper           botched jobs can also be                Lasts 8-12 months
                                               Tear Trough filling can disguise                    face. In experienced         disguised.                              Costs from £450
                                             hollows and shadows under the            hands the eyebrows can be left            Lasts 12 months                         inVasiVe
                                                 eyes with a small injection of          with natural movement and a            Costs from £650                         Mid Face Endotine lift
                                                                hyaluronic acid.                              lovely arch.      inVasiVe                                Revolutionary devices
                                              Mesotherapy with homeopathic                           Lasts 3-6 months           Rhinoplasty                             used to pull back a sagging
                                                 injections straight into the fat                     Costs from £300           Functional or cosmetic                  mid face.
                                                     pockets can also improve                                   inVasiVe        rhinoplasty is a procedure              Lasts 3-5 years
                                             the appearance quite effectively.                     Endoscopic brow lift         to be performed with care.              Costs from £4000
                                                          Lasts 12-18 months                 The endoscope is a small           Computer imaging helps
                                                              Costs from £450        camera placed under the skin. It           you to make up your mind.
                                                                      inVasiVe         has revolutionised the brow lift         Lasts a lifetime                        boobs too small?
                        bat ears?                                                     reducing scarring and hair loss.          Costs from £4500                        non-inVasiVe
                     non-inVasiVe               Lower eyebag removal/lower
                                              blepharoplasty. Fat bags can be                  In experienced hands it                                                  Macrolane can be injected
     Some believe that ears can be                                                     gives a natural lift, avoiding the                                               into the breasts to achieve a
      strapped to the head in some                  removed invisibly from the
                                            inside – ask your surgeon for the             permanently surprised look.                                                   one cup increase. Safe with
      attempt to train them to sit to                                                                   Lasts 7 years+                                                  predictable results, a great
   the head but only in the first few            ‘transconjunctival approach’.
                                                                 Lasts 5 years+                      Costs from £4500                                                   solution for women not keen on
                      months of life!                                                                                                                                   having surgery.
                                                     Costs from £3000-£4000
                          inVasiVe                                                                                                                                      Lasts 12-16 months
                           Otoplasty                                                                                                                                    Costs from £3000
  Performed under local or general                                                                                                                                      inVasiVe
 anaesthetic, this simple procedure                                                                                                                                     Breast Augmentation
     can make such a difference to                                                                                                                                      Implants can now be tailored
       how you feel about yourself.                                                                                                                                     for each individual, still the most
                     Lasts a lifetime                                                                                                                                   popular cosmetic intervention.
                  Costs from £3000                                                                                                                                      Lasts a lifetime
                                                                                                                                                                        Costs from £4500
                                                                                                                                                                        boobs too big or droopy?
               Jowls and loss of                                                                                                                                        Mastopexy and/or breast
              Jaw line definition                                                                                                        flat cheek bones?              reduction
                       non-inVasiVe                                                                                                      non-inVasiVe                   The ‘lollipop’ incision is an
                               Sculptra                                                                                                  SubQ – injectable filler for   efficient way to reduce and/or
     Not a filler as such but instead                                                                                                    fuller cheek bones.            uplift a breast. With minimal
      stimulates soft tissue growth                                                                                                      Lasts 12 months                scarring.
    and collagen production to give                                                                                                      Costs from £600                Reclaim the perky boobs of
               the face extra padding                                                                                                    inVasiVe                       your 20’s!
             which ‘lifts’ and tightens.                                                                                                 Sillhouette cheek lifts are    Lasts 5 years+
    Lasts 2 years+ with one top up                 loose neck skin?                                                                      the new generation thread      Costs from £5000
                      Costs from £500                   turkey neck?                                                                     lifts that can be performed
                             inVasiVe                    double chin?                                                                    with sedation.                 man boobs?
   Short Scar Facelift is an effective                   non-inVasiVe                                                                    Lasts 3 years+                 Gynaecomastia correction with
way to lift the mid to lower face and                  Neck endotine lift                                                                Costs from £3000               removal or liposuction allows
 a heavy jowl. This modern surgical                 Less invasive than a                                                                                                you to wear tight T-shirts again!
  technique is very popular for both              full neck lift, endotine                                                                                              Lasts a lifetime
             men and women in their            devices can draw back                                                                                                    Costs from £4000
                         40’s and 50’s.            loose skin with small
                        Lasts 5 years+          incisions hidden in the
                    Costs from £5000                               hairline.
                                                         Lasts 3-5 years
                                                      Costs from £3000
                                                                  Neck lift
            arms haVe no shape                  Removes excess skin,
                           or tone?               tightens muscles and
                      non-inVasiVe               improves the jaw line.                                                                                                      hands announcing
         Straight to the gym for you!          Can be combined with                                                                                                          your age?
                            inVasiVe                    neck liposuction.                                                                                                    non-inVasiVe
                  Vaser liposelection          Lasts around 7 years+                                                                                                         Sculptra injections
                Great for small areas                 Costs from £5500                                                                                                       This innovative injectable
                 of fat removal it can                                                                                                                                       soft tissue stimulant can
              help to sculpt the arms                                                                                                                                        help plump out the hands
         establishing a toned shape.                                                                                                                                         disguising enlarged veins.
                Lasts around 5 years                                                                                                                                         Lasts 2 years
                   Costs from £3500                                                                                                                                          Costs from £500

                embarrassed by                                                                                                                                               Restylane Vital
                         batwings?                                                                                                                                           Small injections of hyaluronic
                   Arm lift is ideal for                                                                                                                                     acid replenishes the skin,
                removing loose skin.                                                                                                                                         improving elasticity and tone.
                   Scarring can be a                                                                                                                                         Lasts 6-12 months
             problem as the incision                                                                                                                                         Costs from £300
            is usually from armpit to                                                                                                                                        inVasiVe
             elbow however, shorter                                                                                                                                          Fat transfer to hands is done
          scar arm lift is appropriate                                                                                                                                       under anaesthetic. It requires
                for some individuals.                                                                                                                                        a relative fat abundance in
              Lasts around 5 years+                                                                                                                                          your thighs or tummy!
                   Costs from £3500                                                                                                                                          Lasts permanently but may
                                                                                                                                                                             require top-ups.
                                                                                                                                                                             Costs from £3500
08      ulTimaTe CosmeTiC TreaTmenTs                                                                                            an indePendenT suPPlemenT ProduCed BY lYonsdoWn media grouP
guide to

                                                                              The number of cosmetic procedures seems
                                                                              to grow daily and it can be more than
                                                                              confusing trying to make sense of all the
                                                                              invasive and non-invasive options.
                                                                              We asked plastic surgeon Angelica
                                                                              Kavouni to help us outline the most
                                                                              popular and cutting edge techniques.
        crêpy skin on your chest?
        sun damage?
        Fraxel laser                                                                  belly neVer recoVered
        Can boost collagen growth in                                                  after babies?
        the chest skin.                                                               non-inVasiVe
        Lasts 2 years                                                                 Regular exercise regime in conjunction with
        Costs from £900 per session                                                   a healthy dietary plan.                           loose thigh skin?
        Sculptra injections                                                           inVasiVe                                          Thighlift removes excess skin
        This innovative injectable                                                    Mini tummy tuck is suitable for those             and fat. Scarring can be a problem
        soft tissue stimulant can help                                                without too much excess abdominal fat.            as the incision starts in the groin
        plump out the chest disguising                                                Minimal scar is hidden in the bikini line.        and ends at the knee. Usually for
        wrinkled skin.                                                                Lasts indefinitely or until the next              those who have lost a huge amount
        Lasts 2 years                                                                 pregnancy or weight gain                          of weight very quickly.
        Costs from £500                                                               Costs from £3500                                  Lasts until next period of weight gain
                                                                                                                                        Costs from £4500
        bothered by one or two            excess fat on the thighs,                   ugly c-section scar that you
        inVerted nipples?                 knees and/or calVes?                        can neVer disguise?                               dull skin, flat texture,
        Nipple correction can put         Tired of trying to hide shapeless           C-section scar revision can thin                  pigmentation and sun damage
        paid to the embarrassment         legs and ankles?                            and tidy up an unsightly scar.                    non-inVasiVe
        caused by inverted nipples.       non-inVasiVe                                Lasts indefinitely or until the next              Fraxel laser
        Can be performed under local      Mesotherapy involves injections             pregnancy or weight gain                          With minimal ‘downtime’, this
        anaesthetic.                      of homeopathic solutions that can           Costs from £3000                                  state-of-the-art laser is becoming
        Lasts a lifetime                  help to smooth the appearance of                                                              increasingly popular for its skin
        Costs from £1500                  cellulite and firm the skin.                loose abdominal skin after big                    resurfacing and anti-ageing effects.
                                          Lasts around 3-6 months                     weight loss/multiple pregnancies?                 Can be applied on neck and chest.
                                          Costs from £150, needs 4-6                  Full tummy tuck will tighten the abdominal        Lasts 3 years
                                          treatments                                  muscle wall, remove excess fat and skin.          Costs from £900 per session
        hate your weak chin?              inVasiVe                                    Large hip to hip scar that is hidden in the
        is it out of proportion           Vaser liposelection targets areas           bikini line.                                      Chemical TCA peels are the oldest and
        with your other facial            of fat which melts and is removed           Lasts indefinitely or until the next              most effective treatment for skin
        features?                         with a suction cannula. This                pregnancy or weight gain                          resurfacing. Be prepared to shed your
        non-inVasiVe                      sophisticated laser technique               Costs from £5000                                  skin for 5-7 days! Can be applied
        SubQ or Radiesse injections       reduces pain, recovery time and                                                               almost anywhere... face, neck, hands
        give definition to a weak chin.   bruising.                                   belly button tidy up                              and chest.
        Lasts 12 months                   Lasts until next period of weight           Umbilicoplasty can be done                        Lasts 3 years
        Costs from £650                   gain                                        under local anaesthetic, from an                  Costs from £800
        inVasiVe                          Costs from £3500                            outie to an innie!
        A chin implant can define the                                                 Lasts indefinitely or until the next
        area giving more balance to                                                   pregnancy                                         has your bum lost its curVe?
        the face. Often performed in                                                  Costs from £2000                                  enVy J-lo’s genetic luck?
        conjunction with rhinoplasty.                                                                                                   non-inVasiVe
        Lasts a lifetime                                                              excess fat on the abdomen or loVe                 Macrolane can be injected into the
        Costs from £3500                                                              handles                                           buttocks to improve the shape and
                                                                                      non-inVasiVe                                      natural curve.
                                                                                      Mesotherapy involves injections of                Lasts 12-16 months
                                                                                      homeopathic solutions that can help to            Costs from £3000
                                                                                      smooth the appearance of cellulite and            inVasiVe
                                                                                      firm the skin.                                    Fat transfer can help to boost the
                                                                                      Lasts around 3-6 months                           fullness of the buttocks. Initially
                                                                                      Costs from £150, needs 4-6 treatments             expect a larger volume to be inserted
                                                                                      inVasiVe                                          than required as there are some fat
                                                                                      Vaser liposelection targets areas of fat          losses soon after implantation.
                                                                                      which melts and is removed with a suction         Lasts permanently but may require
                                                                                      cannula. This sophisticated laser technique       top-ups.
                                                                                      reduces pain, recovery time and bruising.         Costs from £3500
                                                                                      Lasts until next period of weight gain
                                                                                      Costs from £3500

      Contact: Angelica kavouni for further information at                                       |    020 7486 9040
an indePendenT suPPlemenT ProduCed BY lYonsdoWn media grouP                                                                          ulTimaTe CosmeTiC TreaTmenTs                09
   Reclaiming the face
            of your youTh
            Nikki DuDley discusses The conTinuing search for The
            definiTive anTi-ageing and menopause producT.
                                                                                                                                     ingredients which they see as potentially

E        very so often, a promising ageing
         or menopause treatment comes
         along, causing huge excitement.
This was demonstrated by the cases
of two Boots products, no7 Protect &
                                              to establish a good skincare routine as
                                              early as possible and review it regularly
                                              throughout life to make sure you are
                                              using the most suitable products for your
                                              skin type, your age and your budget. The
                                                                                          iT is viTal To
                                                                                          esTablish a
                                                                                          good skincare
                                                                                                                                     ‘harmful’, for example parabens which
                                                                                                                                     are commonly used as preservatives.
                                                                                                                                        an example of a more natural product
                                                                                                                                     is Flexitol naturals skin nourishing oil.
                                                                                                                                     steve mcgowan, national sales and
Perfect Beauty serum in 2007 and Tri-         credit crunch dictates that we should not   rouTine                                    marketing manager for uK distributor
aktiline wrinkle filler cream in 2009. in     be wasting our budget on the wrong                                                     m&a Pharmachem says, “Young-
both these instances, customers stripped      lotions, potions, creams and serums!        elizabeth King recommends that             looking skin is well-nourished and
the stock from the shelves and those who        The main point to remember when           skin suffering the consequences of         properly hydrated. Flexitol naturals
missed out had to go on a waiting list for    considering a suitable anti-ageing          menopause, like pigmentation, increased    skin nourishing oil is packed with plant
the next shipment.                            cream or regenerating serum is the          sensitivity and dryness, can be greatly    extracts and essential oils which have
   We know that, with age, skin becomes       ingredients. research has shown retinol     helped with products like dr.hauschka’s    been carefully chosen and formulated
thinner and wrinkles appear as cell           to be effective, but not all skins react    intensive Treatment 05. With the support   to give skin the nourishment it needs
renewal slows and we lose some of the         well to it and products sold in the         of the precious ingredients, silver and    to help fight signs of ageing. it is free
collagen which helps keep it looking          high street may contain only a small        ruby, they work to regenerate the          from preservatives and presented in
plump and firm. elizabeth King,               amount. additionally, some creams have      skin, help balance the blood circulation   an atomiser which delivers a fine spray
Principal of Training and development         water based or moisture enhancing           and restore the moisture balance. dr.      on to the skin. a trial carried out in
for dr.hauschka skin Care, explains           elements. These include Fatty acid          hauschka’s regenerating serum is rich      australia has shown that the oil can
that therefore, how we touch our skin         supplements, which can enhance your         in moisture-giving and anti-oxidant        have remarkable results in improving the
becomes very important with age.              skin’s capabilities to absorb water.        ingredients like, Quince seed extract,     appearance of blemishes such as scars,
‘Because the skin is often thinner and        Furthermore, hydrophilic agents prevent     red Clover and Clover Blossom honey.       stretch marks and uneven skin tone.”
more sensitive, avoid products that           water loss from cells and maintain the      The serum gives the skin the ability to       so next time you’re shopping for anti-
involve harsh rubbing and scrubbing           skin’s barrier function. other important    regenerate itself and noticeably refines   ageing skincare, ensure you’ve done
movements. instead, use gentle press          ingredients in anti-ageing products         the complexion.                            your research and are spending your
and roll movements when cleansing. use        include antioxidants, peptides and ahas.       another trend is towards natural        hard-earned cash on well-formulated
warm and cool compresses in your                                                          and/or organic products as consumers       products which will suit your skin – and
cleansing routine. This exercises the skin                                                are becoming more concerned about          your budget.
by constantly increasing blood and lymph
flow. as a result, nutrients are delivered
effectively to the skin cells.’
   all of this illustrates that it is vital

  10     ulTimaTe CosmeTiC TreaTmenTs                                                                              an indePendenT suPPlemenT ProduCed BY lYonsdoWn media grouP
   What’s new in cosmetic
   eyelid surgery?
   E       yelid surgery (blepharoplasty)
           continues to be a very popular
           cosmetic procedure and is one
   of the most effective ways of providing
   facial cosmetic enhancement. usually a
                                               is often marked by the loss of fat and
                                               volume in the face, so although the
                                               procedure may reduce wrinkles, it has
                                               become increasingly evident that the
                                               undue removal of tissue may not be the
   relatively minor operation, it provides     most effective method for producing a
   patients with a rejuvenated appearance.     full and youthful appearance. in order to
                                               address some of the shortcomings of the
   WhaT iT does                                traditional procedures, new methods are
   upper eyelid surgery (upper                 being utilised.
   blepharoplasty), can rejuvenate puffy,
   sagging or tired-looking eyes by            VoluMe enhancing uPPer eyelid                                                            BeTTer Techniques, naTural
   removing or redistributing excess fat,      surgery                       technique, which involves two incisions.                   resulTs
   skin and muscle. it may be performed for    For the upper eyelid, a new volume          The first accesses the fat deposits from     as we consider the true effects of ageing,
   purely cosmetic reasons, or to improve      enhancing technique has been developed      the inside surface of the eyelid (trans-     it becomes increasingly evident that a
   sight by lifting droopy eyelids out of      that preserves the muscle and fat around    conjunctival blepharoplasty) and is          “less is more” approach is the preferred
   the field of vision. lower eyelid surgery   the eyes, restores fullness, and improves   followed by a second incision below          route for cosmetic surgery. recent
   (lower blepharoplasty), helps rejuvenate    lid crease definition. maintaining the      the lashes to address any external issues    progress in surgical techniques has made
   lower eyelids by removing or relocating     balance between fat and tissue, this        related to loose and wrinkled skin.          it possible to retain tissue volumes and
   excess fat bulging beneath the eyes, and    approach resolves the issues surrounding      although the dual access technique         focus on delivering natural aesthetics.
   where indicated, tightening loose or        the effects of further ageing.              may take longer to perform, it creates       although, undoubtedly progress will
   sagging tissue such as the skin, muscle     Furthermore, the procedure can also be      less scarring and improves the surgeon’s     continue to be made, the current level
   and eyelid rim. The results are softened    adapted to individual patient needs, such   ability to evaluate levels of fat removal.   of development in this area means that
   wrinkles, tightened skin and improved       as for the correction of lid asymmetries.   more important, accessing the eyelid         plastic surgeons capable of performing
   eyelid function.                                                                        from the inside means it is possible         these high precision techniques can now
                                               Muscle-conserVing loWer                     to maintain the structural integrity         provide some satisfying results.
   WhaT’s neW                                  eyelid surgery - The dual                   of the eye muscle and keep its nerve
   Traditionally, eyelid surgery is performed  access Technique                            supply intact. it is a minimally invasive    By Jesper sorensen, Md, Phd
   through the removal of skin, muscle        For the lower eyelid, there is a new         procedure, with little down time that        aestetic and reconstructive Plastic
   and/or fat. however, an aged appearance method known as the dual access eyelid          delivers long-lasting natural results.       surgeon,

an indePendenT suPPlemenT ProduCed BY lYonsdoWn media grouP                                                                             ulTimaTe CosmeTiC TreaTmenTs          11
             what the experts say...

          DR DEBORAH MCMANNERS                                                   MR PAUL E BANWELL                                                  DR STEPHEN ROBERTSON
                 fIELDS Of INTEREST:                                             FrCs(eng) FrCs(Plast)                                                 fIELDS Of INTEREST:
   Facial sculptress – non surgical face lifting and                              fIELD Of INTEREST:                                         non surgical, anti-ageing treatments and
          rejuvenation for men and women                                 Consultant Plastic & Cosmetic surgeon                               procedures to enhance the face and body

Dr Deborah McManners clearly loves her job - looking              quality assurance in cosmetic surgery                                 Dr Robertson has nearly two decades of experience in
radiant and line free, she is a wonderful example of today’s      Mr Paul Banwell FRCS(Plast), a Consultant Plastic Surgeon             Cosmetic Medicine having progressed from a background
sophisticated approach to beauty and wellbeing.                   in the South East and a member of the British Association             in Dermatology, to using Collagen and early skin regimes
   With a packed diary, Dr Deborah is both hugely                 of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS)             in 1990, and then onto Cosmetic and Laser Medicine.
knowledgeable as well as approachable. “We all want to            and the British Association of Aesthetic Plastic Surgeons             Having established his first full-time clinic in 1993, Dr
look the best we can. People who visit my clinics want            (BAAPS) believes that any patient considering cosmetic                Robertson, as Clinical Director of Cameleon Clinics, has two
to improve the quality of their skin, as well as to tackle        treatments should first look on the BAPRAS or BAAPS                   full-time clinics, (Watford & Southampton), three satellite
established lines.” With non-surgical approaches such as          website for their nearest surgeon. “I would recommend                 clinics, (Bournemouth, Jersey & Windsor), and one overseas
dermal fillers, she produces wonderful results with very little   patients seek a consultation with a fully-accredited plastic          clinic, (Barbados).
downtime. With skin peels and light-based treatments, Dr          surgeon for an unbiaised, balanced opinion of the cosmetic               The staff at all his clinics are informed and welcoming,
Deborah can also rejuvenate your skin.                            treatments available and the expected outcomes.”                      offering a high level of personal service in ambient
   Dr Deborah performs non-surgical face lifts and facial            Patients should also ensure that their treatments are              surroundings. All telephone enquiries receive the same
sculpting with tremendous results. She explains that              carried out in accredited establishments such as hospitals            friendly service.
as women get older, there is a gradual change from a              from the BMI, Spire, Nuffield Health or Ramsay Groups                    Clinics are lead by Dr Robertson who sees all clients
feminine heart-shaped face to a squarer outline. “One             – names synonymous with quality and the highest levels                personally for any advanced techniques.
of the most satisfying procedures is the restoration of a         of care. Mr Banwell explains: “For instance, the McIndoe                 His portfolio of treatments include muscle relaxing
feminine profile and the delight that my patients feel.           Surgical Centre (part of the BMI group) in East Grinstead is          injections, Dermal fillers (Restylane®, Juvederm®,
Likewise, if a man has been concerned that his chin is not        the largest Cosmetic Surgery Centre in the UK and offers a            Sculptra®, Radiesse®), Lip enhancement (Softline®,
a strong feature then I can improve this for him.”                huge range of cosmetic surgery services.”                             Restylane®, Juvederm®); Macrolane® breast
   “Making a real difference to acne scarring and blemishes          When asked if the credit crunch has affected referrals,            enhancement, Fraxel® laser for skin resurfacing, advanced
dramatically boosts self confidence and for some of               he says “Whilst there is still a huge demand for cosmetic             laser lipolysis, and radiofrequency using Thermage® or
my patients treatment has completely turned their lives           surgery, there is no doubt that patients are being cautious.          Radiage®.
around.” The Queen of lip treatments, Dr Deborah also             However, breast augmentation, liposuction and tummy                      In addition, his personally trained and experienced staff
creates beautiful lips to achieve a sophisticated and             tucks are still extremely popular as are many of the non-             offer microdermabrasion, chemical peels and skin care
natural look.                                                     surgical treatments including skin health treatments,                 regimes , IPL (Intense Pulsed Light) for hair removal, red
   Her informative approach allows consideration of your          prescriptive chemical peels, microdermabrasion, IPL, PDT,             vein removal and pigment removal, Ruby laser and YAG
priorities, expectations and budget. Dr Deborah offers a          Botox and Dermal Fillers”. He adds, “Patients seem even               laser treatments.
complete service and will develop a plan that will leave you      more interested now in the concept of Skin Health and the                Dr Robertson aims to produce optimal and consistent
feeling and looking instantly better.                             relationship with excessive sun exposure. Many patients               results using established treatments and procedures and
   With state of the art light based treatment, she will          are now realising that using sun protection factors (SPFs)            is also involved in using new innovative techniques having
effectively remove unsightly thread veins on your legs,           and medical-grade skin care regimes can actually reduce               first established their efficacy and safety.
ready for the summer. Or you can see the years roll away,         pigmentation, blemishes and fine lines as well as guard                  His motto is that treatments should be safe, effective and
along with the effects of late nights, smoking and too            against skin cancer.” Initially a sceptic regarding so-called         incur minimal downtime.
much sun. Say goodbye to age spots, sun spots, spider             cosmeceuticals, Mr Banwell is now a firm advocate of                     Dr Robertson strongly believes in achieving professional
veins, wrinkles and rosacea.                                      medical grade skin care and he has seen first-hand some               not commercial results and his recipe for success is to aim
   The first UK female doctor to become a Registered              of the excellent results obtained as part of a long-term              to achieve what the client wants and not what he sees as
Naturopath, she advises on all aspects of healthy living          strategy. “The innovative and cutting-edge Rationale skin             a quick fix. In this way his clientele continues to grow by
and many of her patients will successfully lose several           care products from Australia have been a huge success                 personal recommendation.
stones in weight.                                                 with my patients” explains Mr Banwell. “For instance,                    Dr Robertson is a founder member of British Association
   As author of “The Ultimate Holistic Health Book” she           niacinamide is a unique immune protectant which also                  of Cosmetic Doctors (BACD) and is a former member
also writes regular magazine columns focusing on Medical          helps with pigmentation due to sun damage and ageing.”                of ESCAD (European Society of Cosmetic & Aesthetic
Aesthetics and healthy living. To plan a programme of                Another potential up and coming non-surgical treatment             Dermatology). His clinics are registered with the appropriate
treatments, book a no-obligation, free consultation to get        for facial (and body) rejuvenation is Indiba. This celebrity-         authorities.
yourself on a path of self improvement, contact one of her        endorsed treatment has a variety of indications and utilises
clinics now.                                                      similar technology to that used in the rehabilitation of
   Dr Deborah McManners runs clinics in Regents Park              professional sportsmen. “We have been very impressed
- Central London, Blackheath, kent and Surrey.                    with the early results and patients love it!”

              08708 502050                                                    0845 2600261                                                            0844 8009707                                                         

  12      ulTimaTe CosmeTiC TreaTmenTs                                                                                            an indePendenT suPPlemenT ProduCed BY lYonsdoWn media grouP
                    six exPerTs TalK aBouT Their TreaTmenTs and surgeries.

               MS ANGELICA kAVOUNI                                                  MR A. JEyA PRAkASH                                                    DR RITA RAkUS
                   md FrCs eBoPras                                                     ms FrCs (ed)                                                            mBBs
                   fIELD Of INTEREST:                                               fIELDS Of INTEREST:                                                 fIELDS Of INTEREST:
                 Cosmetic Plastic surgeon                              Consultant Cosmetic and Plastic surgeon, age                               Facial and Body Thermage®,
                                                                      management Consultant (healthy ageing Clinic)                    Fraxel®, liposonix®, macrolane® and injectables

On the UK’s specialist register and member of EBOPRAS, Ms          Mr Prakash has specialised in aesthetic surgery for the past       With over 15 years of aesthetic experience in all aspects of
Angelica Kavouni has become one of Britain’s most requested        20 years and is widely regarded as a leading expert in his         non-surgical facial and body rejuvenation, Dr Rita Rakus
female cosmetic surgeons. As seen on Ch4’s Embarrassing            field. He is an innovator in cosmetic procedures, techniques       MBBS provides the very latest treatments in her highly
Bodies and named in Tatler’s top UK plastic surgeon list, an       and technology, with a particular interest in non-invasive Age     prestigious Knightsbridge clinic.
increasing number of women seek Angelica for female body           Management. He has been in the public eye through many                Dr Rakus has over 15 years of aesthetic experience and
contouring of all varieties from straight forward liposculpting    articles and television appearances and yet, prides himself on     aims to provide the highest level of expertise in rejuvenation
to the ‘Yummy Mummy’ package involving any type of breast          the fact that 90% of his patients are personal references.         by way of facial line reduction and lip enhancement using
enhancement with tummy tuck and labiaplasty. Passionate                His ethos is one of being a ‘safe surgeon’ working to          dermal injectables (Restylane®, Perlane®, Restylane LIPP®
about non-invasive anti-ageing, her ethos of “I practice what I     achieve ‘a natural look’. Whilst clients may have a clear         and Juvederm Ultra®), muscle inhibitor treatments plus
preach” means women all over the country also trust her with        vision of what they want to achieve through their surgery,        facial peeling and microdermabrasion for skin rejuvenation.
all their skin rejuvenation needs.                                  Mr Prakash guides each patient through all the appropriate        IPL laser treatments are available for hair removal and skin
   Angelica believes it is important to offer her patients the      options, always careful to ensure that expectations remain        rejuvenation plus sclerotherapy for leg veins. Velasmooth
best and most natural looking outcome possible and to               realistic. An experienced and ethical surgeon, his satisfied      treatments for cellulite, Thermage® using radio frequency
this end, readily embraces new techniques and procedures.           patients attest to his skill and artistic sense in surgical and   (RF) for facial and body contouring and cellulite, Fraxel®
For example, she firmly believes in minimal access surgery          nonsurgical cosmetic procedures.                                  laser for skin rejuvenation are also provided together with
with minimal scarring, which finds her fully utilising the             Mr Prakash specialises in all face and body cosmetic           Smartlipo® or Vaser® for the removal of subcutaneous fat
endoscope; producing subtle yet effective results for short         surgery, including Breast Augmentation, Breast Reduction          using laser assisted technology. New LipoSonix® is also
scar face and brow lift.                                            and Uplift, Endoscopic Brow Lift, Cheek and Face Lift,            available using high frequency focused ultrasound for the
   Understanding how women want to look, Angelica’s firm            Lower Face and Neck Lift, Laser Blepharoplasty, Cheek/            removal of abdominal fat and Macrolane® injections for
ideas regarding female body contouring has uncovered a              Chin Implants, Buttock Augmentation, Abdominoplasty,              breast reshaping are also part of her extensive portfolio of
passion for all aspects of body sculpture; blending several new     Liposculpture and Rhinoplasty.                                    non-surgical treatments.
generation fat removal devices to achieve that perfect result.         For those people who are actively interested in gradual,          A founding member and a Fellow of the British
   Angelica says: “There has been much hype over recent             graceful and healthy aging with maximum functionality,            Association of Cosmetic Doctors (BACD), she is renowned
years with many fat removal systems promising the earth             Mr Prakash has introduced his very popular Healthy Ageing         for her work within aesthetic medicine and is known as the
but not really coming through with good results; after all          Clinic. This clinic provides the client with a comprehensive      ‘London Lip Queen’ in recognition of her superb, but subtle
effective fat removal with minimum downtime is a main               tailor-made program combining nutrition, supplements,             results. Dr Rakus has also appeared on many TV shows e.g.
goal for all plastic surgeons. I use three devices that perform     exercise, stress management, skin care, and if required,          ‘Under the Knife’ (ITV), ‘Lunch-Hour Facelift’ (C4) and ’10
incredibly well and I offer my patients a choice according to       aesthetic non-surgical/surgical procedures. The clinic is         Years Younger’ (C4). As a field leader she is also involved
their perceived problem, as each machine has its own unique         founded on the principles of preventive medicine and              in training other doctors and setting standards in this
applications.”                                                      endeavours to meet the growing needs of those who are             extremely specialist field of medicine.
   Angelica offers:                                                 interested in improving and preserving their good health.            She is regularly featured in many media articles and is
Vaser Liposelection™ - General anaesthetic with reduced             Mr Prakash has been in this field for the last 7 years and        the 5th busiest practitioner internationally in Thermage®
downtime of around 10 days. Patented ultrasonic technology          regularly attends and presents at various International Age       treatments, often combining Thermage®, Fraxel®,
from Vaser™ enables body fat to be melted before removal            Management Symposiums, keeping abreast of the latest              Liposonix®, Smartlipo®, Vaser® and Macrolane®
by gentle suction having less of a traumatic effect on              developments.                                                     to achieve the maximum results in facial and body
surrounding tissues. Effective for moderate fat removal.               In addition to cosmetic surgery, there are other less          enhancements for her patients.
Smartlipo MPX™ - Local anaesthetic with 2-4 days                    permanent methods of keeping that ‘youthful look’. Along             Dr Rakus’s state-of-the art clinic is situated opposite
downtime. Powerful dual laser technology gives instant results      with the more conventional application of fillers and muscle      Harrods Store.
(thanks to the new suction adaptor) that continue to improve        relaxing injections, Mr Prakash offers the famous ‘non-              For further information on the above treatments and
over a few weeks with the added, important benefit of skin          surgical facelift’ [courtesy of a new breed of injectables        the full range of services available including dermal fillers,
tightening. Great for arms, thighs and bellies.                     of which Juvederm Ultra is the ‘New King’] and facial re-         muscle relaxant injections, IPL, anti-cellulite and laser hair
Liposonix™ - Completely non-invasive with no downtime.              shaping with muscle relaxing injections.                          removal services please contact as follows:
Sound waves are delivered at high intensity and frequency              For the past 10 years, Mr Prakash has routinely trained
essentially blasting and destroying carefully targeted fat cells    many doctors in both laser and non-surgical procedures. He
whilst surrounding tissues, skin surface and underlying organs      is also actively involved in the research of facial aesthetics
are left untouched. Great for stubborn pockets of fat.              medicine and stem cell therapy for anti-ageing.

            0207 486 9040                                                         0207 224 1622                                                0207 460 7324
     129 Harley Street, London                                          Professional Cosmetic Surgery                                 34a Hans Road, Knightsbridge,                                       112 Harley Street, London, W1G 7JQ                                            London SW3 1RW

an indePendenT suPPlemenT ProduCed BY lYonsdoWn media grouP                                                                                       ulTimaTe CosmeTiC TreaTmenTs                13
Beauty at what cost?
wiTh The crediT crunch in full swing, financial cosTs are on everyone’s
mind. leT’s for a momenT Think abouT healTh cosTs. we wanT maximum
resulTs wiTh minimum risk.
say’s Dr. Manrina rhoDe, MeMBer of the British acaDeMy of cosMetic Dentistry.

C      onventional cosmetic dental procedures meant
       needles and painful drilling leaving teeth like
       stumps. however, these days a beautiful smile
can be achieved with no injections and no drills.
Below i’ve illustrated various treatments, which can
                                                            smoothed off to restore shape, form and vitality to a

                                                            3. implants
                                                            missing teeth previously were replaced by dentures
                                                                                                                         lingual braces are gold braces made specifically for
                                                                                                                         you that fit onto the inside of your teeth so are also
                                                                                                                         invisible to everyone else.

                                                                                                                         5. poRCelain veneeRs
help you achieve a beautiful natural looking smile.         that would need to be taken out to sleep and can be          Porcelain veneers are the ultimate in beautifully
                                                            difficult to eat in or bridges that can mean cutting         shaped, white teeth. a veneer is a thin layer of
1. Whitening                                                down healthy teeth.                                          porcelain made to fit over the front surface of a tooth.
although whitening is the least invasive cosmetic           implants now provide the option of a new tooth               These are now available contact lens thin, forming
procedure available, it is important to visit a properly    without causing any damage to the surrounding teeth.         perfect, natural looking smiles.
qualified dentist to ensure your whitening treatment                                                                     everyone loves a beautiful smile and new advances
is tailored to your personal needs. You can find a          4. invisiBle and RemovaBle BRaCes                            in cosmetic dentistry have made it possible to have
properly trained dentist in your area by visiting the       invisalign and Clear step are invisible removable            a natural new smile pain free. it is important to
BaCd website.                                               braces. They both use a series of clear aligners (that are   remember that no procedure is risk-free, so it is
Whitening treatments can be carried out with a              custom-moulded to fit you), which gradually reposition       important to find a dentist properly trained in cosmetic
Professional home Kit or in-surgery Power light. This       your teeth into a smile you’ll be proud of.                  dental procedures.
leaves lighter, brighter, healthier looking smiles.         The inman aligner is a new technology removable
                                                            brace that straightens teeth quicker than other              visit WWW.BaCd.Com to find a dentist
2. Bonding/ Re-ContouRing                                   methods and at a lower cost. it is a single brace with a     in youR loCal aRea.
These procedures are used to close gaps or re-form          thin clear bar across the front, that quickly straightens
broken/chipped/malformed teeth. a piece of composite        the front teeth (in 4-16 weeks) with very little
is bonded to the tooth surface or excess tooth is           adjustment needed from the dentist.

Can your bite and jaws really
affecT your whole body funcTion?
By Dr. Justin Glaister

A       s human beings, our nervous systems are
        programmed to ensure we can bring our teeth
        together to be able to eat. in evolutionary
terms, it is survival of the fittest.
  now imagine, as is the case with up to 80% of the
                                                            to be the most powerful, legal, sports enhancement
                                                            device seen in sport.
                                                               The oso device is an orthopaedic appliance worn
                                                            on the upper or lower teeth. it is created by nerve
                                                            stimulation which relaxes the muscles of the head,
                                                                                                                         wearing the appliance, such as helping those with long
                                                                                                                         standing injuries return to being active. even glaister
                                                                                                                         himself, self-treated his own two prolapsed discs that
                                                                                                                         had been previously diagnosed as needing surgery.
                                                                                                                           up until now the device has only been made
population; that you have a mis-aligned bite. This          neck and back. When worn The oso maintains this              available to uK`s sporting elite but sproule and
can be caused by a host of factors very early in life       newly found relaxed muscular position.                       glaister began training the first crop of uK dentists in
e.g.: forceps delivery, breathing issues as a child e.g.:      The benefits of this include gains in muscular            december 2008 and January 2009, in order to make
tonsil/adenoid problems, whiplash injuries, tooth loss      recruitment resulting in more power and strength,            the appliance more readily available.
to name but a few.                                          marked increases in flexibility and range of movement,
  The response to this mis-aligned bite is that our         improved balance and core stability, and due to the
advanced nervous systems will adapt and instruct the        resultant decreased stored muscular tension in the
muscles of the head and neck to drag the jaw into           body – the oso athletic can aid in recovery and
this mis-aligned bite every time we swallow or chew         prevent injury.
because once again – we need to be able to eat to              These dramatic results have not been lost on the
survive.                                                    elite of uK sport including golf, rugby, boxing and
  The resultant tension created in the muscles of           athletics. many have turned to the pairing of dr Justin
the head, neck, back has significant knock-on effects       glaister and his partner Chuck sproule to give them a
throughout the rest of the body, such as muscular           significant competitive edge.
fatigue which limits active performance and adversely          The real key to improving performance is the
affects our posture, headaches, dizziness, neck/            compounding effect i.e.: the oso appliance can
shoulder/back pain, numbness in hands/fingers/arms,         improve performance by 20-35% but significantly,
increased risk of injury etc.                               when used in tandem with sproule`s advanced tension
  in answer to this problem an unlikely union between       relieving techniques, it does this every time you enter
a uK neuromuscular dentist and a Canadian fitness           the gym.
expert has created “The oso athletic” appliance                in addition to the sporting benefits of the oso
                                                                                                                                                                  perfect alignment
(optimum sporting orthopaedics), which could prove          athletic, there are significant lifestyle benefits to

14     ulTimaTe CosmeTiC TreaTmenTs                                                                                  an indePendenT suPPlemenT ProduCed BY lYonsdoWn media grouP
                                                               Luxury and passion for
                                                               beauTiful smiles aT
                                                               lund osler
                                                                By Monica Porter

   I        t wasn’t that long ago that Brits were
            renowned for their lousy teeth. We saw
            nothing wrong with sporting a set of crooked,
   stained gnashers - so much more natural-looking than
   those uniformly perfect hollywood smiles!
                                                             and bred – one is struck by his passion for his work. in
                                                             fact it’s hard to stop him from enthusing about every
                                                             detail of it. he speaks of the advanced dental courses
                                                             he has taken in the u.s. to enhance his expertise, as
                                                             well as the years of valuable experience he gained in
                                                                                                                              “of course, we’re already carrying out our
                                                                                                                           treatments with state-of-the-art technology,” he
                                                                                                                           remarks, “such as ozone therapy and air abrasion to
                                                                                                                           deal with decay, high-end oral cameras to view inside
                                                                                                                           the mouth, computer imaging to visualise a patient’s
      Thankfully, our attitude has changed and most of us    the nhs. and he explains his revolutionary concept of         treatment options, laser therapy for gum re-sculpting,
   now recognise the value of having attractive, healthy     creating ultra-classy dental clinics with settings to rival   low-radiation digital x-rays. But through our growing
   teeth and a winning smile. This sea change in public      the most stylish restaurants and hair salons (the idea is     range of non-surgical, non-invasive techniques, we’re
   perception has been brought about largely by the          to get away from the old image of dental surgeries as         going even more ‘natural’. increasingly, the emphasis
   efforts of one dedicated dentist – dr. surinder hundle,   austere places associated with pain).                         is on subtle procedures instead of heavy-handed ones,
   who, little over a decade ago, opened the uK’s first         “aesthetics and good health must go together,” he          and using products made of natural materials and
   specialist clinic for aesthetic dentistry.                says. “i don’t believe in providing merely a superficial      ingredients - for instance, we’re about to introduce a
      Today there are numerous cosmetic dentistry centres    ‘fix’ to clients wanting to improve the appearance            new 100% natural toothpaste with the power to heal
   throughout the country, but surinder’s four lund          of their teeth, but in a total approach to personal           unhealthy gums.”
   osler clinics (three in london and one in manchester)     grooming. one must cover every aspect - teeth, gums,             surinder’s type of advanced aesthetic dentistry will
   are still in the forefront with their cutting-edge        skin, hair, muscle condition, general fitness, nutrition,     never be available on the nhs; it is too costly. But as
   technologies and holistically integrated treatments.      mental relaxation – to create overall well-being.” he         he points out, not illogically: “People pay thousands of
   They continue to refine the art of the ‘dental face-      aims to bring all these varied disciplines and therapies      pounds for a car which loses value from the moment
   lift’, the smile make-over which can change people’s      together under one roof at his new ‘medi-spa’, due to         you drive it out of the showroom. But acquiring
   personal and professional lives. What’s more, surinder    open in london at the end of the year.                        an attractive smile and thus changing the way the
   himself has become the uK’s first ‘celebrity dentist’        For his part, surinder still works as a six-days-a-week,   world sees you – and the way you see yourself – is an
   through appearances on many radio and TV shows            hands-on practitioner of aesthetic dentistry, with an         investment that never loses its value. it could make all
   – in particular the long-running Channel Four series      international clientele. he is excited at the way his         the difference to whether or not you achieve your life’s
   10 Years Younger, on which he rejuvenates lucky           field is developing, as we near the end of the first          goals. and how do you put a price on that?”
   participants with his dental make-overs.                  decade of the 21st century, and he intends to stay in
      Chatting to surinder – a 42-year-old londoner, born    the vanguard.

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