The skin is the largest organ of the body and is certainly the most visible. It is continually repairing itself and maintaining its status, even though constantly exposed to the elements.

Ageing of the skin is divided into extrinsic ageing - which encompasses photo-ageing and the damage caused by various toxins such as alcohol, drugs and smoking - and intrinsic ageing, which refers to the breakdown of DNA at a chromosomal level, with a resultant loss of structure of the skin.

Ageing decreases antioxidant activity. It promotes a reduction in SOD (super oxide dimutase) and catalase, as well as leaving energy cell repair and renewal diminished and antioxidant enzymes less available. Dehydration is the most prominent, yet easily corrected, cause of accelerated ageing, particularly of the skin. An intake of two litres of water per day, and the exclusion of diuretics, such as coffee, will slow down ageing.

Sunlight damage to the skin can be avoided with the use of SPF factor 30 and a high dose of oral antioxidants. Astaxanthins, with vitamins A, C and E, are also protective.

Skin ageing is accelerated by sun exposure, cigarette smoke, environmental toxins, poor diet, excess alcohol consumption, stress and lack of sleep. One way of counteracting these risk factors is to ensure the diet is rich in fruit and vegetables, increase the intake of antioxidants, as well as direct topical application of antioxidants.

Antioxidants with a low molecular weight, especially vitamins C and E, and and alpha-lipoic acid, exert protective effects to help combat free radical damage. Topical vitamin C esters and vitamin E prevent oxidative damage.

When applied topically, alpha-lipoic acid turns off messenger nuclear factor kappa B (NF-kB) and decreases glycation and pore size, resulting in the decrease of facial lines. Liposome delivery technology ensures a better application to the inner layers of skin. Internal nourishment for patients can be listed in nine steps:

   1. Eliminate processed foods from the diet, including high sodium, sugar and saturated fats.
   2. Eat fruits, berries, vegetables, whole grains, nuts and seeds, as well as small amounts of protein.
   3. Drink two litres of water per day.
   4. Avoid fried foods and barbequed meats.
   5. Limit the intake of alcohol to one or two units daily.
   6. Eat food fich in antioxidants, such as peppers, berries, spinach and cruciate vegetables (cabbage, cauliflower, and brocolli).
   7. Take vitamin/mineral supplements.
   8. EFPs, omega 3s, oily fish, walnut oil, hemp seed oil and perilla oil. If eczema is present, use evening primrose or borage oil.
   9. Take vitamin D3, 400IU per day.

Recommendations

Sunscreen -the most powerful and effective anti-ageing cream is a sunscreen. While UVB radiation causes mottled pigmentation, it is the UVA rays that penetrate deeper into the dermis and account more for degradation of collagen, leading to the production of wrinkling and telangiectasia. A sunscreen that has an SPF of 30 or higher, combined with a high UVA filter (graded by a five-star system) is recommended. There are numerous sunscreen formulations offering high protection but are light enough to be cosmetically acceptable.

Topical retinoids -the first report on the anti-ageing properties of topical retinoic acid (tretinoin) was published in 1986; by the early 1990s, it had received FDA approval for photoageing of the skin. Newer topical retinods have been tested, but retinoic acid appears to be the best retinoid for anti-ageing. This compound is a prescription item in most countries, and so cosmetic companies use retinol, a precursor, in their formulations. Retinol is about one-tenth the strength of retinoic acid.

Glycolic acid -this compound improves skin dyspigmentation, softens and moisturises dry skin and, with continued use, increases collagen, elastin and glycosaminoglycan production, leading to increased dermal hydration and thickness.

Vitamin C - this is a co-factor for the production of collagen.

A good skin prescription involves the four main compounds applied topically. Retinoids are best applied at night. The daily use of a sunscreen, even in the winter months, will prevent further damage to the skin and allow regeneration.

An anti-ageing regime commenced early in life will have more of a preventative rather that corrective role, with little immediate improvement seen, and should be considered as an investment in the future.

Vitamin C preparation will be available shortly at
Medical Cosmetic and Spa 

Embarrassing Bodies, Channel 4 on Wednesday 27th May featured three treatments that are carried out at Medical Cosmetic Service - IPL Hair Removal, Acne Treatment and Treatment for Hyperhidrosis (excessive sweating) using Botox.

If you would like further information on these treatments then please call the Medical Cosmetic and Spa on 0845 226 1344

Vitamin C Facial Lotion C 20

We currently have a beautiful morning cream available at the Medical Cosmetic and Spa - a Vitamin C Facial Lotion. 20% in an absorbable form (oil-soluble ascorbyl palmitate) associated with 6% glycolic acid, green tea, vitamins E and A and grapeseed extract. To our knowledge the highest concentration of anti-oxidants currently available. pH 3.8. The lotion will stimulate collagen and elastin formation; antioxidants protect and repair skin from sun and pollution damage. The cost for 30ml is just £30.

The Vitamin C Facial Lotion is an excellent make-up base and well tolerated by all skin types. Product should last for approx. two months. Signs of skin recovery are visible after two weeks use.

If you would like to order, then please call the Medical Cosmetic and Spa on 0845 226 1344.

Article in Body & Soul, The Times (Saturday February 20th 2010) by Anna Blundy

..... I have had Botox four times in the past three years. It doesn't make you good-looking if you're not, but nor does it make you look weird if you don't have too much. Yes, celebrities such as Amanda Holden do look a bit odd, but they have probably had other things done too and, let's face it, most of us would rather look like them odd than like ourselves normal.....

Basically, Botox has a mini face-lift effect and makes me look immediately brighter and younger. I haven't ended up with those weird, archy eyebrows of popular myth and it's far less painful than going to a beauty salon to be plucked or waxed.

In fact........ I didn't feel the 20 or so tiny injections around my forehead and eyes at all. It takes five or ten minutes, leaves you unmarked (though after one appointment in Italy some of the jabs did bleed for a few seconds) and I feel incredibly safe. Rich and famous women have been having Botox for about 15 years - it filtered down to the likes of me only quite recently.

Quotes from 'The Botox-ed.....'

Are you concerned about dark rings under the eyes, wrinkled and loose skin of the upper and lower eyelids?  Are your eyebrows beginning to droop and make you look sad all the time?  Well, the new Fractional Eyelift has arrived!  Using the latest fractional laser resurfacing technology, Dr. Bruce Katz has pioneered this new procedure which is safe and effective with minimal downtime.  It improves dark rings and wrinkles, tightens upper and lower eyelid skin and helps to elevate drooping eyebrows.  It has a good number of the benefits of a surgical eyelift without the risks and downtime.  The only problem it doesnt address is bulging fat pads.  As metal eye shields are used during the procedure, there is no risk of injury to the eyes.  Only a numbing cream is applied to the eyelids for anaesthesia and three to five sessions are recommended at 2-3 week intervals. 

With fractional laser resurfacing, the laser beam is broken into microscopic columns of laser light.  When the beams strike, they leave normal surrounding skin areas intact so the outcome is very quick healing.  These columns of laser light take away old, damaged collagen and elastic fibres so that new fresh tissue can grow into these channels.  As this occurs, wrinkles and pigmentation are removed, skin tightens and the eyelids are rejuvenated.   A recent study in over 300 patients showed consistent and very impressive results. 

Dr Alison Duncan uses a different laser machine

but her technique is the same as that of Dr Bruce Katz (see below)  

If you are interested in the Fractional Eyelift, please call for an

appointment with Dr Alison Duncan on 0845 226 1344

 

      Fractional Eyelift using Pixel Before and After Photos