By using a full dose of Botox® the crows feet on this woman have been completely removed.  Not everyone wants all the crows feet removed but in this age group it does provide a more youthful appearance. 

Older women prefer to have some crows feet visible as this is a more natural look in the post 40 age group.  We achieve this by using a smaller dose of Botox® targeted to specific muscles to allow some lines to remain but reducing the overall wrinkling when smiling.

The difference between stiockings bought over the counter and those bought at a specialist centre is the compression.  Over the counter stockings will often not state what compression they provide or it will be less than 15mmHg.  Specialist center stockings will provide a compression of 15-20mmHg for Class 1 stockings or 20-30mmHg for Class 2.  The mmHg stands for millimetres of mercury and is the same pressure used to measure blood pressure.  TED stockins (white) are often used in the hospital after surgery.  These provide support but not as strong compression as a Class 1 or 2 stocking.

An ultrasound map will show if your leg veins are competent and working correctly or incompetent and allowing blood to flow the wrong way.  Using grey scale ultrasound we can access the size, location and tortuosity of your veins. 

Liposuction for body contouring. This women has had liposculpture under tumescent anaesthetic for her tummy, hips, outer and inner thighs and inside knees.

Most people associate varicose veins with ageing however at Palm Clinic we have treated varicose veins in teens with patients as young as 15 years old.

Varicose veins are largely a genetic condition however there are lifestyle factors that can contribute to their early onset. Below we discuss risk factors for teen varicose veins as well as how to manage these through lifestyle changes and varicose vein treatment.

Endovenous Laser AblationTreatment or EVLA is the latest non-surgical technique for treating varicose veins and has been available at Palm Clinic since 2004.

EVLA was first devised by Dr Min in the USA in 2001 and studies demonstrate very high closure rates in excess of 95% at 5 years.

This is a considerable improvement over surgery or sclerotherapy injections alone. EVLA is especially useful for large varicose veins but there is a requirement that the vein is straight. We can confirm this during your Ultrasound or duplex map.

Liposuction as sculpture for body contouring. Tumescent liposuction refers to the special type of local anaesthetic used called tumescent anaesthesia (TMA).  Tumescent anesthetic was developed by Dr Jeffrey Klein in 1987 and it revolutionised liposuction.

We’ve known for a while that ‘volumising’ the cheeks, or placing dermal filler in the cheeks can lift the lower face. This procedure is known as the ‘liquid facelift’. It can achieve a beautiful natural lifting of the marionette lines and jowls, simply by filling the areas of the cheeks that have lost fullness over time.

Surgitron- a quick, safe and easy way to fix moles of cosmetic concern. A lot of people have moles on their face and body they’re not happy with. Surgitron is a great way to get rid of moles, with the smallest possible risk of leaving a scar. The secret is to shave the mole off, rather than cut it out, as in the traditional technique. This means less damage to the skin, and thereby less risk of a scar.

Laser for Varicose Veins. Endovenous Laser Ablation (EVLA) is a popular minimally invasive treatment for varicose veins. D. Carradice and colleagues (British Journal of Surgery vol 98; April 2011) performed a study comparing clinical effectiveness of surgery and EVLA. 280 patients were randomised into equal groups having either surgery or EVLA. All patients had primary, one sided, symptomatic varicose veins with isolated saphenofemoral junction incompetence.