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Everything you need to know about Varicoseveins

Everything you need to know about Varicoseveins

Snapshot

COST: £1,000-£3,000 PER SESSION
TREATMENT TIME: AROUND 1 HOUR
LONGEVITY: PERMANENT FOR AFFECTED VEINS
RECOVERY TIME: AROUND 3 WEEKS

Everything you need to know about Varicose Veins

What are Varicose Veins?

Varicose veins are swollen veins that appear blue or purple in colour and often look twisted or lumpy. They are treated by sealing or eliminating diseased veins and redirecting blood flow to healthy veins to improve circulation throughout your body. 

Why do people have Varicose Veins treatment?

People choose to have varicose vein treatment to improve the appearance of the veins and relieve the aching pain and discomfort caused by the varicose veins.

Am I a good candidate?

If you believe your veins are getting dark purple or blue in colour, and appear twisted and bulging, then varicose veins treatment may be appropriate for you.

What are my options?

There are a number of non surgical treatments for varicose veins which seal the problem veins, but only surgery can fully remove problem veins.

In endovenous Laser Treatment, a thin tube (a laser thread) is inserted into the vein through a small cut. The laser probe heats the vein from the inside, causing it to close.

In radiofrequency ablation, a thin tube is inserted into the vein above or below the knee. The tube delivers radiofrequency energy to the vein wall causing it to collapse and seal shut.

In sclerotherapy, a glycerin like solution is injected into the affected vein to close it completely, so that it no longer carries blood.

What should I look out for?

Varicose Veins are relatively low risk in the hands of a good medical practitioner. Serious complications are rare.

Other risks specific to varicose veins surgery are outlined below:

  • Deep vein thrombosis
  • Discolouration of the skin
  • Scarring.
Everything you need to know about Spiderveins

Everything you need to know about Spiderveins

Snapshot

COST: £200-£400 PER SESSION
TREATMENT TIME: 30 MINUTES – 1 HOUR
LONGEVITY: AROUND 3 – 6 MONTHS
RECOVERY TIME: NO DOWNTIME

Everything you need to know about Spider Veins

What are Spider Veins?

Spider veins are dilated or stretched blood vessels that have a branching pattern. Spider vein treatments are used to treat the affected veins and erase them from the skin. 

Why do people have Spider Veins treatment?

People choose to have spider vein treatment to improve the appearance of spider veins.

Am I a good candidate?

If you have visible veins on your legs, thighs or face that have a branching or weblike pattern, then you may want to consider spider vein treatment.

However, it is very important that you are in good health, have a positive attitude and realistic expectations, before undergoing this procedure.

Another important consideration is that you should not be pregnant and you should not have a history of blood clot formation.

What are my options?

Spider Veins are relatively low risk in the hands of a good medical practitioner. Serious complications are rare.

Other risks specific to spider veins surgery are outlined below:

  • Deep vein thrombosis
  • Discolouration of the skin.

What should I look out for?

All surgical procedures have some degree of risk. Fortunately, significant complications from a eyelid surgery are infrequent. Risk specific to eyelid surgery is outlined below:

  • Scarring
Everything you need to know about Dermal Fillers

Everything you need to know about Dermal Fillers

Snapshot

COST: £150-£300 PER SESSION
TREATMENT TIME: UNDER 1 HOUR
LONGEVITY: 6-12 MONTHS FOR HA FILLERS
RECOVERY TIME: NO DOWNTIME
POPULARITY: 10+ MILLION GLOBAL PROCEDURES IN 2017
FIND DOCTORSClick Here

Everything you need to know about Dermal Fillers

What is Dermal Fillers?

Fillers, or Dermal Fillers, are injections used to fill out wrinkles and creases in the skin, and to increase the volume and definition of the lips and cheeks.

Why do people have Dermal Fillers?

People choose to have dermal filler treatment to add volume, alter the contours of the face, and/ or to fill in wrinkles. Most common sites for dermal fillers are Glabellar wrinkles (or the Elevens refer to the lines and creases between the eyebrows), tear trough (areas under our eyes), cheek volume, lip volume, marionette lines (also known as nasolabial folds or laugh lines are creases or folds that run vertically from the corners of the mouth down to the chin) and chin wrinkles.

Ultimately, most people see dermal fillers as a way to get a fuller, smoother and more youthful appearance, resulting in an external look which matches with how they feel inside.

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How much does it cost?

The cost in the UK usually cost around £150 – £300 per session. Click here to find medical practitioners and their treatment prices.

What are the key drivers for Dermal Fillers cost?

The cost for dermal filler treatments can widely vary depending on the medical practitioner’s experience, the geographic location, and the amount and brand of product used.

Generally, higher medical practitioner’s experience and location in an area with a high cost of living, would generally mean higher costs. At the same time, higher experience may translate into lesser risks for you.

Dermal fillers are administered with a syringe to various areas of the body, primarily the head, face and neck. The number, location and depth of the injections depend largely on the desired results. As such the cost of the treatment varies depending on the number of areas treated, volume of product used and time taken.

Am I a good candidate?

If you believe you have lines or wrinkles around your mouth, eyes or forehead, or would like to enhance the volume in areas such as the cheeks, jaw line or lips or you have scars and depressions in the skin resulting from acne, injury or congenital imperfections, then you may want to consider dermal fillers.

However, if you are pregnant or breastfeeding, it is not advisable to have filler injections since the effects on the baby aren’t known.

What are my options?

Filler treatment takes only a few minutes and doesn’t require anaesthesia though some fillers contain a local anaesthetic like lidocaine to enhance comfort. The results are visible immediately following the procedure and can be temporary, semi-permanent, or permanent.

Temporary Fillers

These are Collagen-Based Fillers (Collagen is a naturally occurring protein that adds strength and structure to the skin), or Hyaluronic Acid-Based Fillers (Hyaluronic Acid is a naturally occurring substance and primarily used to promote fullness and volume) or Calcium Hydroxyapatite Based (Calcium Hydroxylapatitea is also naturally occurring material and is usually found in bones). Effects of collagen fillers last from 2-4 months and HA fillers last from 6-12 months

Semi-Permanent Fillers

These typically contain thicker substances, such as the biodegradable synthetic filler known as poly-L-lactic acid. These types of soft tissue fillers are used to treat deeper facial lines, and the results last for 12-18 months.

Permanent Fillers

These are made of polymethylmethacrylate (PMMA), which are microspheres that are not absorbed by the body. The filler also contains collagen and is only recommended for thick-skin areas such as the nasolabial folds. It is not recommended for any areas around the eyes or for the lips. The results last for up to five or more years.

HA Fillers are most common. Popular HA fillers include Juvederm, Restylane, Belotero, Teosyal and Vivacy. Popular non-HA fillers include Radiesse and Sculptra.

How long does the procedure take?

The procedure usually takes less than 1 hour depending on the number of sreas treated.

Is Dermal Fillers painful?

Dermal filler treatment is generally not painful as its a quick procedure and some fillers even contain a local anaesthetic like lidocaine to enhance comfort. However, if you have any prolonged pain and swelling this could be a sign of infection or an allergic reaction. If you notice any sign of this, you should contact your doctor.

Are there any risks I should look out for?

Although all procedures have some degree of risk, dermal filler injections are relatively low risk in the hands of a good medical practitioner. The most common side effects are scarring and infection. In rare instances, patients may experience:

  • Blocked blood vessels in the face, which can cause tissue death and permanent blindness,
  • The filler moving away from the intended treatment area, which may need to be removed using surgery,
  • A lumpy appearance under the skin, which might need to be treated with surgery or medicine

How do I find a medical practitioner I can trust for my dermal filler treatment?

Non-surgical is not non-medical, and hence it is essential that you find an appropriately educated, trained and experienced healthcare professional for your treatment. Dermal filler injections are relatively low risk in the hands of a good medical practitioner.

  • Qualifications: There are no prescribed minimum qualifications for dermal filler treatment providers. However, make sure the treatment is provided by a suitably qualified medical practitioner, such as a doctor, dentist, or nurse prescriber. You should avoid practitioners who have no training or have only completed a short training course.
  • Experience: Make sure your doctor is experienced in dermal filler treatments. The field of cosmetic medical treatments is rapidly advancing, whether it is the latest treatment techniques, products or services, an experienced doctor is the best way to ensure comfort, safety, and satisfaction.
  • Connection: You are putting your trust in another individual and that means you need to find a practitioner that makes you feel in safe hands. Personality and respect is key, make sure you have a strong connection with your practitioner and that they listen to you and give honest, open advice in good measure.

We can help you find a medical practitioner you can trust. Click here to get started.

Would I be required to do anything prior to the procedure?

In the weeks before your injections, you’ll be asked to avoid taking certain medications, such as aspirin, that could cause bruising. Be sure to inform your physician of any medicines you are taking. Your doctor may ask you to stop smoking before the procedure. Regardless of the type of procedure to be performed, hydration is very important before and after treatment for safe recovery.

What is the recovery like?

You will likely see the results of your injections immediately following the procedure. You may experience swelling or minimal bruising in the area of the injection, which usually disappears within a week.

Aftercare is vital when it comes to your wellbeing and achieving the very best result, so stick to these rules and you’ll thank us later:

  • To help alleviate swelling you can apply ice for the first 45 minutes after the injection and continue to do this on and off for an additional hour or so
  • Keep your head elevated for the first night (sleeping on your back with extra pillows) to prevent additional swelling
  • Avoid touching the treated area for at least 6 hours. Refrain from massaging the lip – the injected product can be malleable so make sure any issues are resolved with your practitioner
  • Make up should be avoided for at least six hours after treatment
  • Avoid blood thinners for 2 days after treatment as these can increase the risk of bruising and swelling
  • Until the initial swelling has subsided, do not expose the treated area to intense heat (e.g. sunbathing, sauna) or extreme cold.
  • Refrain from taking aspirin as this can increase bruising
  • Avoid alcohol and excessive caffeine for at least 24 hours after treatment
  • Your doctor may advise you to avoid wearing hats or other headgear for the first few days.

How long do the results last?

The results are visible immediately following the procedure and generally last anywhere from three to eighteen months for non-permanent fillers and upto five or more years for permanent fillers.

Are dermal fillers same as Botulinum toxin?

Botulinum toxin relaxes the muscles while dermal fillers add volume. Generally, Botulinum toxin has been used to erase wrinkles above the nose, while dermal fillers have been used to fill wrinkles below the nose.

Lymphoedema – Management and Treatment

Lymphoedema – Management and Treatment

We continue our mission to empower patients during their reconstructive and cosmetic treatment journey by giving you the detail you need to make the informed decision that’s right for you.

This week we focus on Lymphoedema, a debilitating chronic condition ….

What is it?
Lymph-oedema or Lymphoedema, as it is commonly known, is a long-term condition where the lymph nodes get blocked by a build-up of excess fluids in the body. It causes severe swelling, usually in legs and/or arms but can sometimes also affect other parts of the body – head, genitals or chest.

Lymphoedema can make movement quite difficult and painful. It can often lead to disfigurement and disability. Although it is generally not life threatening, if left untreated or poorly treated, it can sometimes result in infections which can prove to be fatal.

Why does it occur?
There are two types of Lymphoedema – primary and secondary Lymphoedema – which have different causes. Primary Lymphoedema is usually caused by genetic mutations. Secondary Lymphoedema is most commonly caused by the removal of lymph nodes or their getting damaged as part of cancer treatment. Chemotherapy or radiation can also block the lymphatic vessels, thus causing Lymphoedema. 

What should I look out for?
An early diagnosis is critical for efficient management of Lymphoedema. You should contact your doctor if you notice any of the following:

  • Swelling in part or all of your arm(s) or leg(s), including fingers/toes,
  • Painful and/or restricted motion in the affected area
  • Recurring infections
  • Unusual tingling or numbness in the affected area.

What are my options?
As with everything else, for Lymphoedema also, precaution is better that cure. To reduce the risk, it’s important to:

  • Maintain healthy body weight
  • Keep active and exercise regularly
  • Do not ignore any signs of infections
  • Be careful to protect and take care if your skin especially while travelling to tropical or subtropical regions.

Lymphoedema is a condition that develops over time and it is relatively easy to spot and manage the early symptoms. Some of the most effective measures are

  • Lymphatic massage with hot oils. Olive oil and rosemary oil are particularly beneficial.
  • Warm water soak improves circulation, reduces swelling and can help manage pain. You can add lavender, rosemary and sage for enhanced relief
  • Ginger tea is excellent in Lymphoedema management as it is both, anti-inflammatory and highly astringent.
  • Compression bandages can complement exercise by moving fluid out of the affected limb and minimising further build-up

Although the above can help manage and reduce the symptoms and pain of Lymphoedema, they cannot treat this condition. As award-winning Plastic and Reconstructive Surgeon and one of UK’s leading expert on Lymphoedema Mr Damir Kosutic says, “As our understanding of this disease improves, and as advances in microsurgery take place, we are better able to surgically treat Lymphoedema. Depending on the stage and type, it can be treated with either Lymph node transplant or Targeted Liposuction.”

Lymph node transplant: The transplant involves harvest of lymph nodes with their blood supply and their transfer into Lymphoedema affected upper or lower limb. Once transplanted, lymph nodes will act as a sponge to collect excess fluid and will reduce the volume of Lymphoedema-affected extremity permanently-without the need to wear compressive garments any more.

Targeted Liposuction: The accumulation of fat is a significant feature of Lymphoedema swelling. Liposuction is where a thin tube is inserted through small cuts (incisions) in the skin to suck fat out of tissue. It can be used to remove excess fat from an affected limb to help reduce its size. 

How much time does the surgery and recovery take?
While Liposuction is performed with an overnight stay only, lymph node transplant requires 4-7 days of hospital stay. Recovery time is up to 6 weeks and results can be permanent, depending on patients compliance.

How much does the surgery cost?
Cost of Targeted Liposuction varies between £5,500-6,500 while Lymph node transplant can vary between £13,000-18,500, depending on complexity.

Head on over to nowme.co.uk and book your consultation with Mr Damir Kosutic now to explore whether the surgery could be the right solution for you.

Everything you need to know about Botulinum Toxin

Everything you need to know about Botulinum Toxin

Snapshot

COST: £150-£350 per session
TREATMENT TIME: UNDER 30 MINUTES
LONGEVITY: AROUND 3-6 MONTHS
RECOVERY TIME: NO DOWNTIME
POPULARITY: ~20 MILLION GLOBAL PROCEDURES IN 2017
FIND DOCTORSClick Here

Everything you need to know about Botulinum Toxin

What is Botulinum Toxin?

Cosmetic botulinum toxin injection blocks the nerve signals that cause muscles to contract thereby relaxing and smoothening the look of lines and wrinkles. These treatments are often called Botox, though it is important to know that Botox is one of the many available branded forms of botulinum toxins. Botulinum toxin is made from a toxin produced by the bacterium Clostridium botulinum. It is used in small doses to treat health and cosmetic conditions.

Why do people have Botulinum Toxin treatment?

People choose to have cosmetic botulinum toxin treatment to relax or smooth the looks of lines and wrinkles and/ or to balance facial asymmetry and relax tight neck bands. Most common sites for botulinum toxin injections are between the brows, crows-feet around the eyes, and horizontal forehead creases.

Botulinum toxin injection is also used medically to reduce perspiration and to treat migraine headaches and muscle spasticity. The cosmetic use of botulinum toxin injections is to get a smoother and more youthful appearance, resulting in an external look which matches with how they feel inside.

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How much does it cost?

The cost in the UK is usually between £150 – £350 per session.

What are the key drivers for botulinum toxin cost?

The cost for botulinum toxin can widely vary depending on the doctor’s experience, the geographic location and the amount and brand of product used.

Generally, higher doctor experience and location in an area with a high cost of living, would generally mean higher costs. At the same time, higher experience may translate into lesser risks for you.

Botulinum toxin is administered with a syringe to various areas on the head, face and neck, including between the brows, crows-feet around the eyes, and horizontal forehead creases. The number, location and depth of the injections depend largely on the desired results. As such the cost of the treatment varies depending on the number of areas treated, volume of product used and time taken.

Am I a good candidate?

If you believe you have deep lines between your eyes that make you look tired, angry, or upset, or your facial expressions cause wrinkles in and around your eyes and forehead, and/ or there is asymmetry in your eyebrows or face that can be corrected by relaxing a muscle, then you may want to consider Botulinum toxin treatment.

However, if you are pregnant or breastfeeding, it is not advisable to have Botulinum toxin injections since the effects on the baby aren’t known.

What are my options?

Botulinum toxin treatment takes only a few minutes and doesn’t require anesthesia. It is injected with a fine needle into specific muscles with only minor discomfort. In the UK, popular brands of botulinum toxin injections are Botox, Bocouture and Dysport.

How long does the treatment take?

The treatment time is usually less than 30mins depending on the number of areas treated.

Is Botulinum Toxin painful?

The needles used are short and thin and the injections are usually painless. The number of injections will depend on the outcome you desire. Short-lasting swelling, and minimal redness and bleeding will likely occur as a result of your procedure.

How do I find a doctor I can trust for botulinum toxin?

Non-surgical is not non-medical, and hence it is essential that you find an appropriately educated, trained and experienced healthcare professional for your treatment. Botulinium toxin injections are relatively low risk in the hands of a good medical practitioner.

  • Qualifications: Botulinum toxin can only be prescribed in a face-to-face meeting by a qualified medical practitioner, such as a doctor, dentist, or nurse prescriber. The person prescribing botulinum toxin is responsible for making sure it’s given safely. You should make sure that you get the injection either from the prescriber directly or through a qualified and experienced practitioner under their supervision. You should avoid practitioners who have no training or have only completed a short training course.
  • Experience: Make sure your doctor is experienced in Botulinium toxin treatments. The field of cosmetic medical treatments is rapidly advancing, whether it is the latest treatment techniques, products or services, an experienced doctor is the best way to ensure comfort, safety, and satisfaction.
  • Connection: You are putting your trust in another individual and that means you need to find a practitioner that makes you feel in safe hands. Personality and respect is key, make sure you have a strong connection with your practitioner and that they listen to you and give honest, open advice in good measure.

We can help you find a medical practitioner you can trust. Click here to get started.

Would I be required to do anything prior this treatment?

Botulinum toxin injections are generally a low-risk and do not require the intensive screening of a surgical procedure, however you should  disclose a full medical history and inform of any medications you are currently using to your plastic surgeon. Regardless of the type of procedure to be performed, hydration is very important before and after treatment for safe recovery. Your doctor or injector may ask you to stop smoking at least six weeks before your procedure.

What is the recovery like?

After the injections you can return to your regular activities immediately; however, strenuous activity is discouraged for the remainder of the day. Swelling and redness that occur at the time of injections usually resolve quickly. Any bruising that might occur post-treatment will usually resolve over 1 or two weeks.

Aftercare is vital when it comes to your wellbeing and achieving the very best result, so stick to these rules and you’ll thanks us later:

Immediately After Treatment:

  • The most important one…keep your face upright for 2 hours after treatment to allow the results to settle naturally. Try not to rub or massage the injected area during this time
  • No saunas, sun beds or hot baths/showers for 2 hours after treatment

For Ultimate Wellbeing:

  • Give yourself a break and avoid strenuous exercise for 24 hours after treatment
  • Ideally avoid excessive caffeine and alcohol for 24 hours after treatment. Alcohol can thin the blood increasing the risk of bruising so stick to the soft drinks if you can
  • Keep it clean and avoid applying make up for an hour after treatment. However, if you can’t wait, mineral make up can be worn straight away
  • Avoid having a facial for at least 24 hours after treatment to prevent any disruption to your treatment’s effect

How long do the results last?

It generally takes about three to five days before the injections take effect, and up to two weeks for the full effect to be seen. Results last anywhere from 3-6 months, depending on your age, skin condition and habits. If you want to maintain the effect, you’ll need regular follow-up injections. 

Is Botulinum toxin same as fillers?

Botulinum toxin relaxes the muscles while dermal fillers add volume. Generally, Botulinum toxin has been used to erase wrinkles above the nose, while dermal fillers have been used to fill wrinkles below the nose.

Can plastic surgery cure migraines?

Can plastic surgery cure migraines?

6 million people suffer from migraines in the UK, with an estimated 190,000 migraine attacks experienced every day in England! Pounding headaches, nausea and sensitivity to light are just some of the symptoms that make life harder for those of us who suffer.

However, an innovative surgical treatment could be the solution to help tackle this debilitating condition. This week we speak to Mr Damir Kosutic, an award-winning Plastic and Reconstructive Surgeon and a specialist in the field of ‘Migraine Surgery’ about the condition and this valuable procedure.

What is a migraine?
In its basic form, a migraine is a severe headache that is often felt as a throbbing or pounding pain affecting one side of the head, most often temple or forehead. However, for many, this is accompanied by other severe symptoms including nausea or sickness and sensitivity to light or sound. For some, there are warning signs before a migraine kicks in, for others the pain descends without any pre-warning. 

How is it caused?
The cause of a migraine is a hotly debated topic! Genetics and temporary changes in the chemicals, nerves and blood vessels in the brain have all been noted as potential causes. Even some common types of food like chocolate or cheese are known to trigger attacks in many patients.  However, within the field of cosmetic surgery, it has become clear that there is a direct correlation between the anatomy of certain sensory nerves in the face and neck and migraine triggers. For many patients who undergo certain procedures like brow lifts or Botox, we can see a substantial reduction in headaches and migraine episodes. This would suggest that migraine pain is caused by irritation of these sensory nerves by dilated vessels or muscles under tension. These nerves become irritated when surrounding tissues apply pressure, the result is a pounding headache. 

What is migraine surgery?
Migraine surgery is an innovative new procedure that seeks to reduce or eliminate the frequency and severity of headaches by releasing the compression of these trigger nerves, either by blocking the pain signals or by correcting the tissue surrounding the nerves themselves.

Surgery is tailored to the individual patient based on their specific trigger points. Working with you, your surgeon can identify the most common trigger sites and ensure the procedure focuses on these. The trigger area may be:

  • Frontal: when you get pain above your eyes or forehead, or
  • Temporal: where you feel pain over your temples, or
  • Rhinogenic: where pain can be felt behind the eyes and inside your nose, or
  • Occipital: where the pain radiates around your skull to behind your eyes.

For some, it is a combination of these sites that come together to create an intense migraine.

Surgery is performed as a day case under local or (usually) general anaesthesia and usually takes one to two hours. Surgery may take longer for patients with multiple migraine triggers and particularly if they are on different areas of the head. It is important to note that the surgery is not on the brain and the surgeon does not remove or go through the skull bones. Most scars in this procedure are well hidden and aesthetically pleasing.

How do I recover?
Most patients will need to spend two days relaxing post treatment to heal. For two weeks after treatment, patients should ensure they do not exert themselves too much by avoiding intense exercise. It will take 1-2 weeks for wound to heal. Most patients are able to return to their usual activities in the same time frame. 

Who is it for?
In the first instance, you need to be diagnosed with migraine. Not all headaches are migraines but if you have been diagnosed with migraine and you have not had relief from your prescribed medications, you may arrange a consultation with a Plastic and Reconstructive surgeon with special interest in this field, to discuss the surgical option. Your surgeon will discuss your treatment goals, medical history, severity and frequency of your migraines and treatment history so far. They may arrange some imaging to obtain more information and plan surgery more accurately. If you have had botulinum toxin injections (such as Botox) in the past and if they have provided you relief, that bodes well for your candidature for migraine surgery.

How much does it cost?
Costs will vary depending on the trigger areas requiring treatment, however prices start at £2,500 and would not exceed £5,500 for most difficult cases.

If you suffer from migraines and are eager to find relief, head on over to nowme.co.uk and book your consultation with Mr Damir Kosutic now to explore whether the surgery could be the right solution for you.