26/08/2011 | Summer 2011

Our summer newsletter is a little later than usual as we’ve had a busy summer in our new Essex Clinic. As we start to prepare for the autumn let’s take a look at what we’ve been up to.

What's New?

V is for lift! The latest non surgical face lift

The V Lift is a new concept from Merz Aesthetics involving lifting without surgery. It is an innovative technique using Radiesse® for lifting, volumising and contouring.

The ageing process is a fairly complex one and can vary greatly from person to person. We have to understand the various facets of ageing in order to address the outward symptoms which include folds, sagging contours and loss of volume to mention a few.

We often refer to the ‘beauty triangle’ which reverses as we age leading to sinking cheeks, uneven contour of the jaw line and loss of volume particularly in the upper face and temples. In younger faces the widest point is seen across the cheeks and tapering down to the chin giving us our imaginary triangle. However as we age the width across the cheeks decreases and the jaw line becomes less defined leaving it as the widest point and so the ‘triangle’ alters.

When surgical facelifts are performed surgeons have to be familiar with what are known as convexities and vectors of pull. This allows them to tighten muscles and skin in their natural direction of lift and so avoiding what has become commonly known as the ‘wind tunnel’ look seen in many high profile celebrities. A better understanding of these vectors has allowed surgeons to achieve more natural results which are far more aesthetically pleasing.

This same principal has been applied to the new V Lift technique giving shape and definition, reversing the beauty triangle back to its original position. By placing the product in the correct position, both for lifting and restoration of volume, the jaw line can be sharpened, cheeks lifted, temples restored, as well as increased collagen formation, tone and suppleness achieved.

Before V- Lift After V-Lift

Before V- Lift

After V- Lift

“I introduced a surgical lifting technique into the UK several years ago known as the Thread lift” explains Dr Glancey. “This involves surgically introducing threads under the skin to lift the facial contours. The V Lift has many similarities with the Thread lift procedure with the obvious advantage of being non surgical. With the V Lift we are placing ‘threads’ of Radiesse® along the same vectors that we would with the surgical Thread lift, anchoring them to the upper part of the face. At the same time we can then create volume working like a sculptor to achieve a 3 dimensional restoration, eliminating as I mentioned before the ‘wind tunnel’ effect. I believe my surgical background really helps with the intricacies of this new procedure and I can combine my knowledge both as a surgeon and aesthetic Doctor”.

“I have completed several V Lifts and I am very excited with the results” comments Dr Glancey.

“Improved techniques and better understanding of the ageing face have long shown us that simply filling a line will not restore an ageing face back to a younger one. However in skilled hands this rejuvenation can be achieved naturally and without surgery and this is something my patients want”.

The latest treatments for the neck and lower face.

The neck and lower face is difficult to treat with injectables and, more often than not surgery is the best option. However many of our patients are not keen to have surgery so we are always looking with interest at new non surgical options that can really deliver results comparable to surgery. Over the summer we have looked at two new procedures that are the latest to hit the market and give our verdict on each. 


ePrime

Recently we were invited to try ePrime the new skin tightening device that is being hailed as the ‘next big thing’ for neck and lower face.

Using Radio Frequency, ePrime claims to improve skin laxity and tighten the lower face and neck so we were keen to try it on our own patients and see if it lived up to the hype.

The ePrime device inserts five pairs of very fine, electrically isolated, bi-polar Radio Frequency (RF) microneedles 1-2 mm into the skin automatically from a hand piece. Individual zones of thermal injury are created between each pair of needles as Radio frequency (RF) energy is delivered into the deeper parts of the skin for a specific period of time at predetermined temperature settings.

Specialised sensors inserted in each of the needles measures the skin temperature ensuring consistency and predictability as well as optimal target temperatures.

The resulting thermal injury to the deeper parts of the skin causes the body's naturally occurring cascade of healing responses to be initiated, ultimately resulting in both new collagen and new elastin production which helps increase the thickness of the skin, whilst also improving the elasticity and firmness of the skin.

Due to the precision of the technology deployed, treatment variability is eliminated and the patient's individual healing is assured.

“The technology sounds promising and the procedure is backed up with some encouraging clinical studies” explains Dr Glancey.

“The treatment results can take up to 6 months and so far we have completed a 3 month assessment with rather disappointing results” . We will update you in the Autumn newsletter and give you our final feedback.


iGuide

A new minimally invasive procedure known as the ‘iGuide’ is proving very successful at treating the neck and jaw area.

Dr Glancey comments “I estimate that I get around 5 enquiries a week regarding the neck area. Non surgical procedures for the face are highly successful at rejuvenation and with so many different treatment options there is something that suits everyone. But for the neck area, and in particular the neck line, there are few non- surgical treatment options and the best option up until now has been surgery. However, when I recommend this option to my patients they are reluctant due to the thought of scarring and risks associated with surgical procedures.”

The iGuide neck lift procedure could be the alternative to surgery. It has been developed by a leading Plastic surgeon Dr Greg Mueller, from Los Angeles. It involves the placement of threads in a mesh like fashion, a little bit like lacing up a corset, under the jaw line to bring about tightening and lifting.

“I have long been a great advocate of the use of threads for rejuvenation and lifting” explains Dr Glancey, who is well known for the Thread lift procedure.

“The concept is simple, specialised threads are positioned in such a way to create tightening and in turn collagen synthesis which will thicken and strengthen the skin giving the desired outcome of a firmer, more youthful neckline without scarring.”

The incisionless procedure can be performed on the neck, face and brow with half the recovery time of traditional surgery.

Dr Glancey has completed several procedures using the new technique and is monitoring the results, so watch this space.


FACE Conference

FACE Conference 2011In June we attended the FACE conference 2011. The event coincided with the 10th anniversary of the BACD (British Association of Cosmetic Doctors) which was held at Jewell in Covent Garden. The highlight of the three day event was a spectacular Ball in the Science Museum, so it was a busy weekend.

The event, as always, was well attended and attracted guest speakers from around the world. The conference is divided into two sections, medical and business. The business section was chaired by Wendy Lewis a leading expert on cosmetic surgery. The speakers gave a fascinating overview of the aesthetics industry in the current economic climate.

I found one study, conducted online by Harris Interactive in October 2010 of more than 2,900 women aged 18+ from France, Italy, Spain, Russia and the United Kingdom who have experience with, or interest in, using facial injectable treatments of dermal fillers and/or botulinum toxin, very surprising with some intriguing results. Here are some of the statistics from this study for women in the UK:

UK women who have had aesthetic procedures feel most beautiful when…

I am wearing a great outfit (39%)
I am in love (39%)
I am well-rested (32%)
After I exercise (24%)
After a great date (24%)
I have had a successful day at work or school (22%)
After I became a mother (15%)
After I have an aesthetic procedure (29%)

How do British women define beauty?

Healthy skin (71%)
Confidence (69%)
Beautiful hair (64%)
But age doesn’t matter
Only 1 in 4 women (24%) attribute beauty to youth

Do women in the UK feel beautiful?

Only 50% of UK women agree with the phrase "I feel beautiful”
Russian women feel the most beautiful at 88%
Italian (69%) and French (65%) women have similar attitudes
Almost 3 of 4 Spanish women (72%) agree with that statement

How do British women feel about ageing?

80% of UK women believe that it is possible to stay attractive and beautiful despite fading youth
63% of UK women said that they feel more confident as they age
82% of UK women want to continue to improve their looks as they age

How do British women want to look?

65% of British women admit that they don’t mind looking their age so long as they didn’t look older than they actually are, compared to 86% of surveyed women in France
83% of UK women say they just want to look radiant and rested, compared to 94% of French women

How do British women want to look?

What areas of their BODY do they want to change or improve?

stomach or abdomen (50%)
overall weight (44%)
legs (42%)

What aspects of their FACE do they like to change or improve?

sagging skin (34%)
skin imperfections (32%)
teeth or smile  (29%)
69%
of British women believe beauty is under everyone’s control and can be shaped or enhanced

How do British women feel about Beauty & The Syringe?

75% of women in the UK believe it is acceptable for women to invest in aesthetic procedures to enhance their beauty

Starting Young

26.0 The age that women in the UK reported having their first botulinum toxin injection 
26.2 The age that women report having their first dermal filler injection

39.9 The age that women in FRANCE reported having their first botulinum toxin injection 
39.8 The age that women report having their first dermal filler injection

What do British women forego in order to get a Facial Injectable Treatment?

Women in the UK are most likely to buy fewer or cheaper groceries than any other country (41%)
33%
of women in France felt the same way
24% of Italian and Spanish women agreed to that statement
18% of Russian women also buy fewer or cheaper groceries

Thoughts on wrinkles

72% of British women say that women should be honest with other women if they have had aesthetic procedures to enhance their appearance unlike Russia where only 55% admit it
The most common excuse UK women use when they don’t want to admit a facial injectable treatment is: “I got new make-up” or  “I have been exercising”
66%
of UK women have already recommended treatments to a friend

Women in the UK

  • are eager to continue improving their looks as they age

  • consider aesthetic treatments as an acceptable means to enhance their beauty

  • are the youngest to start facial injectables across Europe

  • would make sacrifes to attain their beauty best

Conclusion it‘s not really about looking younger – it is about looking great for your age!

Source:Harris Interactive in October 2010


New clinic is a great success

Our move to our new Essex Clinic in April went extremely well and without a hitch!

We have settled in and patients are commenting on the lovely building and extra privacy that the new Clinic provides.

In 2012 we are looking to have more practitioners offering a variety of services so we will keep you up to date.

Glancey Medical Clinic - The Grove, Essex

Join us on Facebook and Twitter for more updates.

 

Prepare for the winter treatments

While we are all enjoying the lovely weather don’t forget to start planning for next year. Winter treatments and courses of treatments that should be considered include;

Chemical peels; it is extremely important to prepare the skin 6 weeks prior to a peel with topical creams. The recovery time following a chemical peel is between 7-10 days, therefore careful planning of social events and work activities is crucial. Exposure to Ultra Violet light during the peeling process is best avoided and can be detrimental to the results so we always advise that a peel is completed in the winter months.

Sclerotherapy; this treatment for leg veins and thread veins is highly successful but more often than not patients request treatment in early spring just as the tights come off, but unfortunately this is not the best time to start the treatment. The treatment usually requires 3-5 sessions spaced on average 8 weeks apart and the treatment area will look worse before it looks better. The treatments success depends on several factors but crucially the aftercare is vital. This requires the patients to wear support tights for up to 2 weeks following the procedure. It’s for this reason that the procedure is much better suited to the winter months and patients typically start around the end of September and have gorgeous legs the following summer. 
 

Master Class in Paris with Q-Med

In April we were invited to Q-Med’s new training academy for advanced aesthetic training in Paris for a master class in soft restoration techniques using an innovative new concept using a blunt cannula. The soft restoration method is a new skin revitalisation method where the face is viewed as a whole as opposed to just focussing on individual folds and creases. The volume is reconstructed giving softer contours and more importantly a softer, natural rejuvenation.

The technique uses the range of Restylane products but the difference in how it’s administered. Instead of using a conventional needle a blunt cannula is used. This may sound even scarier than a needle but it really isn’t. A cannula can be likened to a long, thin straw and the end is blunt. This has several advantages over a conventional needle. Firstly the injection technique is relatively painless compared to injection with a needle. A small opening is made in the skin and the cannula is inserted. This enables the Doctor to have only one entry point unlike a needle which involves multiple punctures. With the cannula being blunt there is less risk of bruising as it simply ‘pushes’ aside blood vessels rather than piercing them.

Karen Sargeant, Practice Manager for Glancey Medical, tried out the new cannula and this is what she had to say. “I am always a little apprehensive before I have fillers and apart from the obvious concern of the pain my main concern is bruising so I was keen to try the cannula method with its promise of ‘no bruising’. It certainly lived up to expectations on the pain rating. I would say the pain if measured on a scale of 1-10 with 1 being no pain was about a 2. I hardly felt the injection and had no discomfort at all which was fabulous. So the big question was did I bruise? Unfortunately I did but only at the entry site and as this was in a concealed area it wasn’t so bad. I did have more swelling than I would normally have with a needle injection but again this wasn’t too much of a problem. Overall I really liked the cannula however I don’t think it offers guarantees against bruising but is certainly great for the needle phobic patient. “

The Nip & Tuck Low-down Direct From Our Surgeons

Jonathan BrittoJonathan Britto and Raj Ragoowansi have been working with Glancey Medical for over 5 years, offering surgical procedures which complement our aesthetic treatments. With the wealth of experience they bring we can give our patients the very best advice and treatment options.

In this month’s Newsletter Jonathan discusses the difficulties associated with the lower eye area.  

What’s new in bespoke midfacial rejuvenation?

We are always looking to complement facial injectable treatments, such as Botox and filler treatments, with skin rejuvenation techniques such as chemical peels, and where appropriate, surgical techniques. It is now well established that the visible effects of facial ageing result from a change in volume and direction of pull (vector) in different parts of the face. In the brow and lower face, there is a loss of tone and ‘droopiness’– leading to features such as brow heaviness and ‘droop’, and in the lower face, jowls along the jawline.

Facial ageing is clearly seen as a result of volume loss in the midface and around the outside of the eyes. Comparison images of mothers in their 70’s with their own daughters in their 40’s clearly demonstrate loss of volume in the upper cheek, tear trough and across the upper eyelid and outer corner.

Whilst facial re-contouring, Botox and the tear trough procedures can help balance the volume loss, the area immediately under the lid is extremely tricky to treat and often surgical solutions are the best option, where harmony and a comprehensive flowing result is required from eyelids to cheek and brow. There is an intricate muscular anatomy from brow to eyelids to cheek, and three important fad pads – retroseptal, SOOF, and malar fat - are key to lower eyelid and cheek aesthetics.

Extended lower eyelid blepharoplasty techniques (with a hidden scar under the eyelash line) are used to balance these three key fat pads to produce a smooth curve from eyelash line to cheek. This provides a combined ‘transblepharoplasty mid facelift’ and is a very powerful tool in surgical rejuvenation of the mid face. Two examples are shown, which indicate surgical volume balance across the eyelid and cheek/mid facelift with no visible scars.

Before Lower Blepharoplasty Operation After Lower Blepharoplasty Operation
Before Lower Blepharoplasty After Lower Blepharoplasty

Before (left) and After (right) lower blepharoplasty on different patients,
Jonathan Britto Consultant Plastic Surgeon

For more information on this or other surgical procedures please contact Glancey Medical Associates on 0870 4585 483 or enquiries@glanceymedical.co.uk.

And now to look forward...

The world of aesthetics is constantly evolving and new and exciting procedures are hitting the market at a rapid speed to meet the demands of an educated public that really ‘gets’ the benefits of ‘little and often’ procedures to stay looking fresh and rejuvenated. As the study by Harris Interactive featured in our FACE Conference article shows, British women want to look great for their age and not 20 years younger. One of our mantras is ‘maintaining faces, not changing faces’ and by really understanding what women want we can make a difference. So looking forward we will continue to look at new innovations and bring you all the latest news.

Enjoy the rest of the summer!

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