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Frances Furlong of Perfect Skin won this years Best clinical Plexr result 2017, she was awarded her certificate at a celebration dinner in Marylebone London

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Here is this month’s latest article from Perfect Skin

IMG_4852This month I will focus on tips on how to care for your skin in the next few months where the heat and sun can really change how our skin behaves, how to prevent break outs and sun damage are the two main issues that so many of my clients complain about in the summer.

Prevent Breakouts

Change your sunscreen by looking out for oil free labels, I particularly recommend Heliocare SPF 50 which has a unique oil free dry touch, that feels and smells amazing, you won’t want to leave the house without it. It contains UVA and UVB filters and a powerful antioxidant which helps to repair skin.

Peel Away

Twice a month I suggest coming to the clinic for a salicylic/glycolic based acid peel. It clears up dulling, dead skin cells, which not only helps even out any discolouration, but also draws excess oil out of the pores and leaves skin less shiny. In addition a good daily cleanser like Inspira med prime cleanser helps to clean the skin deeply, kills bacteria and smooths the skin. For those needing extra support with blemish control Obaji Te pads are a quick and effective way of doing a mini at home peel, these powerful pads are great on holiday too and are part of my must have skin care products.

Trade in Foundation

I switch to daily moisturiser serum with gradual self-tanner vita liberata is an amazing light weight serum that doesn’t clog the pores. Heliocare also do an SPF 50 colour tint in three shades which acts like a foundation so helps to give coverage, protection and a light formula which does not make your skin oily.

Prevent Pigmentation

My two favourite anti pigment tools in the summer is a daily topical vitamin C like Obaji Brightalive or C bright, or Auriga vitamin c serum, used in conjunction with an SPF protector means your are preventing new Pigmentation forming which means less repairing treatments in the Autumn!

Mesotherapy glow peels

I have created a bespoke light peel combined with anti ageing, vitamin and antioxidant solutions which are injected into the face, neck and décolletage. The combination of the two equals to a smoother, fresher rejuvenated summer skin glow.

Stop volatile skin conditions like Rosacea by using Obaji Rozatrol cream which helps to keep symptoms at bay, decreasing excessive redness, irritation and pimples associated with the condition.

Treatment of the month

Hyperhydrosis

- Sweating is necessary to control body temperature during times of exercise and in warm/hot surroundings, and is a normal response to a rise in temperature or anxiety.

- Sweating is regulated by the sympathetic nervous system. In about 1% of the population, this system is revved-up and works at a very high level, causing sweating to occur.
- It can occur in many different areas of the body, and the condition is known as Hyperhydrosis, which means ‘excessive sweating’. It affects both sexes equally, and all races.

is not a temporary condition. Many people who suffer from it have suffered for many years, often from childhood or sometimes from adolescents.
Wetness and staining of clothes is a constant worry for those sweating from the under arm area. Loneliness, depression and decreased confidence are all factors to consider also.

Some people will be using specific deodorants and medications from the GP which can help, however muscle relaxing injections can inhibit sweat glands and decrease excessive sweating.

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This is the result from Plexr soft surgery for under eye bags, incredibly this client only had a single session and his results at 12 weeks post speak for them selves!! Contact us to see how Plexr treatments could benefit you.

The moment you interact with someone, you look into the eyes. Eyes are the most expressive element of personality, tell a lot about you and are considered the mirror of the soul. The most common facial complaint from potential aesthetic clients is that they ‘look tired’ or they are concerned with heavy eyelids or puffy dark under eyes. This month I will focus on some of the most common problems and how they can be dealt with.

When we’re feeling a little Fatigued we are battling those pesky dark shadows under our eyes.
But why do we get dark circles under our eyes when we’re tired?
it’s important to note that dark circles and eye-bags are two separate things, although they often appear in tandem!

Dark circles are down to genes as much as lack of sleep
-The skin underneath your eyes is thin and covers muscles, fatty tissue and blood vessels. Dark circles are the result of light being reflected back from blood vessels sitting just below the skin’s surface.

-How dark that area is has a lot to do with skin colour and thickness.

why are they more prominent when you’re tired, it’s because your blood vessels increase in size.!

Daily tips to help dark circles

-Limit your salt intake
-Apply your concealer in a triangle under your eye rather than along the dark
- use a daily vitamin c serum under the eyes and an spf protector
-Nothing beats 8 hours sleep a night, exercise and a good diet
- take antihistamines and allergy nose sprays as allergies will worsen the under eye area
- FACT – Gravity will also affect the skin under the eyes in time, causing tissue to droop a little.

Eye treatment options -

Problem

Deep lines and creases around the outer eye often referred to as Crows feet : they are the fine lines and wrinkles around our eyes. For the most part they’re caused by sun exposure, but certain lifestyle habits like smoking can make them worse. Years and years of smiling and squinting can also play a part in how they’re formed.

Solution

Muscle relaxing injections placed correctly really help to reduce the heavy smiling and squinting action that contributes to the formation of the lines. In some case a light dermal filler injection may be beneficial as a stand alone treatment or in conjunction with muscle relaxing treatments.

Problem

Hollow sunken eyes, this is when you can see a hollow ring under the lower eye. Hollow eyes are caused by the loss of orbital fat in the lower eyelids,” in many client’s I see they often have a darker tone to the skin which exaggerates and highlights the problem More so.

Treatment
A good hayaluronic acid based dermal filler injected deeply can really help, in some cases choosing a product with additional depigmenting agents will help. Using a daily vitamin c or vitamin a based product can help to lighten and thicken the delicate under eye area skin as it is very thin naturally.

Problem

Under eye bags As you age, the tissue structures and muscles supporting your eyelids weaken. The skin may start to sag, and fat that is normally confined to the area around the eye (orbit) can move into the area below your eyes. Also, the space below your eyes can accumulate fluid, making the under-eye area appear puffy or swollen. Several factors can lead to this, including:

Fluid retention due to changes in weather (for example, hot, humid days), hormone levels or eating salty foods
Not getting enough sleep
Allergies or dermatitis, especially if puffiness is accompanied by redness and itching
Heredity — under-eye bags can run in families
Also can be an indication of thyroid disease.

Treatment

Lower blephoplasty Surgery is a good solution to help resolve these problems. However many of my clients would not consider surgery or are too frightened . I am now able to provide them with a non surgical softer approach to help- PLEXR , which is giving amazing results.

Problem

Sagging loose upper eyelid skin, a common problem in many individuals Eyelid drooping is excess sagging of the upper eylid. The edge of the upper eyelid may be lower than it should be (ptosis) or there may be excess baggy skin in the upper eyelid (dermatochalasis). Eyelid drooping is often a combination of both conditions.

Treatment

Again surgical upper blephoplasty is a good choice, but if it’s not for you then again Plexr soft surgery treatments could be for you, normally 1-2 sessions are required and results can last around two years.

Problem

Slight puffiness and first signs of under eye ageing or darker skin

Treatment
Perfect skins bespoke tired eye treatment consists of mesotherapy injections of vitamins and anti ageing solutions in conjunction with derma pen to strengthen and tighten the delicate skinIMG_9149

This month is the final article of the skin deep issue series, since writing the pieces on scars and rosacea there has been an overwhelming response with clients contacting me with regards to
helping these stressful skin conditions. There is no doubt that the condition acne is equally as emotionally hard for the sufferer. It’s a myth that only teenagers get spots. While 90 per cent of teens experience acne (the medical term for spots), half continue to be affected as adults. The symptoms of acne in adults are similar to those in teenagers, and include blackheads and
whiteheads, inflamed spots, pustules and cysts.

What Causes Acne?

To understand acne, you need to know how your skin works. The pores in your skin contain oil glands. When you hit puberty, there’s an increase in sex hormones called androgens. The excess hormones cause your oil glands to become overactive, enlarge, and produce too much oil, or
sebum. When there’s too much sebum, the pores or hair follicles become blocked with skin cells. The increase in oil also results in an overgrowth of bacteria called Propionibacterium acnes.
-Hormonal changes related to birth control pills, menstrual periods, and pregnancy can trigger acne
- Other external acne triggers include heavy face creams and cosmetics, hair dyes, and greasy hair products – all of which can increase blockage of pores! Your genetics
– if your parents or grandparents struggled with acne, you might do too.
-Smoking – especially for older people.
-Being stressed.
-Using the wrong skincare products for your skin type.

Types of Acne Lesions

If blocked pores become infected or inflamed, a pimple – a raised red spot with a white centre – forms. If the pore clogs, closes, and then bulges, you have a whitehead. A blackhead occurs when the pore clogs, stays open, and the top has a blackish appearance due to oxidation or exposure to air. When bacteria grow in the blocked pore, a pustule may appear, meaning the pimple becomes red and inflamed. Cysts form when the blockage and inflammation deep inside pores produce large, painful lumps beneath the skin’s surface.

Additional Acne Triggers

Clothing that rubs your skin may also worsen acne, especially on the back and chest. So can heavy sweating during exercise, and hot, humid climates. Stress is known to trigger increased oil production, which is why many teens have a new crop of pimples during exam times and adults going through emotional times in their lives.

What is the Treatment for Acne?

The treatment usually depends on how serious the problem is. For instance, if you have an
occasional inflamed pimple, you may use daily skincare products. I can’t stress enough the
importance of hygiene, using warm water twice a day with an antibacterial wash suitable for acne prone skin and superficial scarring like glycolic acid or glycolic/salicylic wash it helps to renew and refine the skin and deeply cleans the pores and soaks up excessive sebum on the skin
surface.

Glycolic acid
Retinoids (medications that come from vitamin A)
Salicylic acid
Various fruit acids
Benzoyl peroxide reduces oil production and has antibacterial properties. But use it carefully, as it might leave your skin dry and flaky. Try to use it just before bedtime.
Antibiotics
Skin peeling in clinic
Plexr

What can you do yourself to help?

There are also measures you can take yourself to help ease spots:

Clean up your diet– Research has found that high-dairy, high-glycaemic index diets may be linked to acne. Try basing your diet on complex carbs like whole grains, fruit and vegetables, and reduce your dairy intake – try alternatives such as calcium-enriched soya milk.

Take skin-supporting supplements – studies have shown that people with acne might have low
levels of zinc. Increase levels in your diet by eating more zinc-rich foods, such as seafood, meat and quinoa, or take a supplement.

Cut stress – Try relaxation techniques such as yoga, or simply taking time out to read or go for a walk can be effectiveIMG_9546

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Introducing the new Plexr treatment, amazing results without surgery……

Rosacea is an inflammatory skin disorder, often referred to as ‘the curse of the celts’ as it predominantly effects Celtic skin types. It generally effects the cheek area chin and nose . It is a multifactorial condition that is greatly influenced by sebum in the skin, hormonal fluctuations, genetics and lifestyle.

Rosacea causes a range of symptoms, although not everyone will experience them all.
Most people with rosacea have periods when their symptoms are particularly troublesome, followed by periods when their symptoms are less so.

The main symptoms of rosacea include:

-flushing
-persistent facial redness
-visible blood vessels
-papulex and pustules
-thickened skin

Other symptoms associated with rosacea include:

-sensitive skin – burning, itching, stinging and pain
dry, rough skin
-raised red patches (plaques) on your skin
-facial swelling (lymphoedema)

Permanent damage to the face (scarring) almost never occurs in rosacea, so it can be managed and repaired with specialist help.

Factors for rosacea triggers are sun exposure, hot humid weather, emotional stress, wind, heavy exercise, alcohol, hot baths, cold weather, spicy foods, certain skin care products that contribute to excessive oil. As you can see extremes of anything can effect the person. It is not realistic to expect avoidance of some or all of these activities so it is crucial when I am assessing patients that I personalise a treatment plan for them in terms of in clinic treatments, home care maintenance and extra support and guidance especially when going on holidays .

The diagnosis for those suffering with this painful and embarrassing issue is that it is a disease of the sebaceous glands, patients often have a trigger in the early thirties due to a surge in subum production and growth in the sebaceous glands.

Typically, sebaceous glands produce excessive amounts of very destructive oil and an altered chemical composition can tat leads to inflamed sore skin, pustules, bulbous areas such as rhinophyma ( ballooning of the nose) inflammation in the cutaneous tissue due to a surplus of oil weakens the skin barrier function.

It is essential that proper creams are given speciafically to help mange the condition, I particularly get good results for my clients with obaji rozatrol for daily use, it helps to relieve the visible symptoms and it normalises skin by reducing excess oil, which ultimately leads to inflammation, in extreme conditions I will prescribe topical creams. It is very important to advise clients to protect there skin daily with a good spf protector.as it is widely documented that the premier trigger of rosacea in 81% of patients , however 88% of rosacea suffered when applying sunscreen daily report a decrease in flare ups.

Sadly for rosacea suffered this is a chronic life long disorder that requires management, support and empathy

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IMG_6908IMG_6908IMG_6889People with skin problems are at high risk of developing psychological problems, and they can linger even after the skin gets better. Skin disorders rarely kill people, but they have a huge impact on all aspects of an individuals life. Major depression can occur as a result of chronic skin conditions , with suicidal thoughts as another consequence. Skin problems that effect our faces or visible scars are often more problematic whilst some would argue that trying to improve your appearance, skin disorder or scarring is vain. You need to take into account t that body image accounts for one quarter to a third of a persons self esteem, and self esteem is a major influence on overall psychological health. Therefore ones appearance has a huge impact on psycho.ogicalhealth. Three part series on skin issues part 1, scars, part 2, rosacea and part 3 acne.

Scars

A scar is a mark that is left on the skin after a wound or an injury to the surface of the skin has healed. They are very common and most people have at least one on their body and are part of the natural healing process

How do scars form?
When the skin is wounded and there is a break in the body’s tissues, the body produces more of a protein called collagen, as part of the healing process. Collagen builds up where the tissue has been damaged, helping to heal and strengthen the wound.
For a period of about three months or longer, new collagen continues to form and blood supply increases, causing the scar to become raised, lumpy and red. Some collagen then breaks down at the site of the wound, the blood supply reduces and the scar gradually becomes smoother, softer and paler.

Types of scars and possible treatments

1- Flat, pale scars – these are the most common type of scar and are due to the body’s natural healing process. Initially, they may be red or dark and raised after the wound has healed, but will become paler and flatter naturally over time. This can take up to two years.
Some laser and intense pulsed light treatments can help reduce the redness and improve the healing

2- Hypertrophic scars – red, raised scars that form along a wound and can remain this way for a number of years.
Again laser, intense pulsed light, dermal pen treatments can help lessen the appearance, keeping the scar moist also helps.

3-Keloid scars – these are caused by an excess of scar tissue produced at the site of the wound, where the scar grows beyond the boundaries of the original wound, even after it has healed.

Dermal pen treatments can really help , also keloid scar gels available on prescription

4-Pitted (atrophic or “ice-pick”) scars – these have a sunken appearance.

Good results with dermal filler, dermal pen, chemical peeling and certain types of lasers.

5- Contracture scars – these are caused by the skin shrinking and tightening, usually after a burn, which can restrict movement.
SpeciAlist gel bandages and in recent years hydrating dermal filler droplets to soften the skin can really help

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MEET FRANCES FURLONG