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Varicose eczema occurs in around 10% of people who have varicose veins.  It often starts with dryness of the skin which causes itching.  As the eczma develops the skin becomes more itch and irritated with a flaky or scaly red rash or dermatitis.

The varicose eczema typically lies over the varicose vein itself and usually presents on the lower leg but can affect other areas of the body in some individuals.  The most common area for the eczema is on the shin or calf.

Varicose eczema can be treated with topical corticosteroid creams but this does not solve the problem.

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Why wear them?

Flight sox are recommended for anyone flying for over four hours as there is a well documented increase in DVT (deep vein thrombosis) on long haul flights.  Flight socks significantly reduce the risk of DVT as they aid the return of venous blood from the lower legs to the heart.

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Juvederm is a dermal filler manufactured by Allergan who also make Botox®.

Juvederm has a range of dermal fillers such as Refine, Ultra, UltraPlus and Voluma.  Basically these products vary in their viscosity so that the finer versions such as Refuine and Ultra are used for fine lines and the more viscous Ultra Plus and Voluma are used more for volumising to restore a more youthful shape to the face.

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Body of two halves?

Many women complain that they have a body of two halves – usually a trim upper body and a plumper lower body – variations of the classic “pear shaped” body.  This is typically genetic due to having fat cells in the lower half of the body which preferentially attract fat.  This results in the lower half of the body putting weight on first and being the hardest area to take weight off, often despite reasonable diet and good exercise levels.

Liposuction or liposculpture is ideal for this type of figure as we are literally able to sculpture the body by removing fat from the troublesome areas to enable women to buy clothes off the rack – often for the firsttime in their lives

How do I find a good clinic that I can trust for Botox® and Dermal Fillers?

Botox® and dermal fillers can provide the most natural pleasing results or they can simply look wrong.  It often depends on the aesthetic eye of your practitioner and his or her expertise and training. Choose a clinic which has medically qualified Dr’s and Nurses, who are experienced in a wide range of treatment options, and trained to advanced levels. All doctors at Palm Clinic are Fellows of the New Zealand College of Appearance Medicine (NZCAM) and Dr John Barrett, the medical director of Palm Clinic was the Foundation President of NZCAM.

Botox® and Dysport are Prescription Medicines containing 100 units of clostridium botulinum Type A toxin complex for injection. It is used for the treatment of severe frown lines of the face. It should be administered only by trained medical professionals. Arrange a consultation to discuss the benefits/risks of this procedure in appearance medicine. Cautions: people with defective neuromuscular transmission disorders, presence of infection at site of injection, glaucoma, pregnancy and lactation. Possible side effects include headaches, pain, burning or redness at injection site, local muscle weakness including drooping eyelids, lack of feeling and nausea. If you have side effects or concerns speak to a doctor. A charge applies. Note: Botox® and Dysport treatment lasts about 4 months and after this time further courses of treatment could be necessary. Arrange a consultation to discuss your own situation.

1 Benedetto A. The Cosmetic Uses of Botulinum toxin type A. Int J Dermatol 1999, 38:6641.655

I’m interested in Botox, but injections into my face sounds scary.

Botox® is a natural, purified protein. It is not only used for cosmetic purposes, but also for many purely medical uses. For example it is used in much higher doses very safely, even in young children with cerebral palsy, with wonderful results.

Botox® will relax the specific facial muscles that cause the lines and wrinkles that are formed during facial expressions.

At Palm Clinic, Botox® is injected by experienced “Advanced Level” medically trained Doctors and Nurses. A very small, very fine needle is used. Each little injection will sting for a few seconds. It takes 2-3 days for Botox® to start to take effect, and 1-2 weeks to see the full effect.

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Before and after dermal fillers

Individual results may vary.

Botox® is used to relax specific facial muscles that cause the lines and wrinkles that are formed during facial expressions. These will become deeper with age, until they are everlasting, even when you are not smiling or frowning, or pursing your lips. Botox® is a natural, purified protein. It is not the poison botulism.

Dermal fillers are used to restore the volume and structure to ones skin. As we age there is the natural result of thinning of the skin, skin volume reduction, and loss of bone & muscle volume.

Everyone is different. The aim of treatment at Palm Clinic is to advise you upon the best treatment for you to look “good for your age, but relevant for your age”. To look “really good, not different”.

Botox® and Dysport are Prescription Medicines containing 100 units of clostridium botulinum Type A toxin complex for injection. It is used for the treatment of severe frown lines of the face. It should be administered only by trained medical professionals. Arrange a consultation to discuss the benefits/risks of this procedure in appearance medicine. Cautions: people with defective neuromuscular transmission disorders, presence of infection at site of injection, glaucoma, pregnancy and lactation. Possible side effects include headaches, pain, burning or redness at injection site, local muscle weakness including drooping eyelids, lack of feeling and nausea. If you have side effects or concerns speak to a doctor. A charge applies. Note: Botox® and Dysport treatment lasts about 4 months and after this time further courses of treatment could be necessary. Arrange a consultation to discuss your own situation.

1 Benedetto A. The Cosmetic Uses of Botulinum toxin type A. Int J Dermatol 1999, 38:6641.655

Facial Veins and Redness

I’m a Man with lots of Red Veins On My Nose and Cheeks

You are not the only one. Many men have a profusion of veins, broken capillaries and general redness to their noses and cheeks. These will often lead others to think you drink too much, when you are just a “glass or two a day” social drinker. This redness and the veins are easily treated by laser or IPL by our experienced medically trained staff at Palm Clinic. It is very unlikely that you will have to take any time off work at all. Facial veins and redness can not only be unsightly and unwanted, but can also feel very uncomfortable for some.

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While not common (up to 10% in some reported studies), long haul flights ie. those over 4 hours, can increase any individual’s risk of developing a DVT. This is particularly so if someone is over 60 years of age, has significant medical problems, is pregnant, is using oestrogen containing medications or has varicose vein disease.

Another simple method of helping to reduce this risk, apart from drinking plenty of non-alcoholic and caffeine-free beverages and frequently getting up to walk around, is to wear compression hosiery. There is no evidence that Aspirin protects against developing a DVT.

Palm clinic offers a full range of comfortable, affordable flight socks that our experienced team will fit for you.

Whilst many Asian clinics advertise in New Zealand, what many New Zealanders do not realise is that New Zealand is often a destination for cosmetic medical tourists.  At Palm Clinic we have many clients who seek treatment for liposuction, varicose vein treatments, Botox®, dermal fillers and laser treatments.  Such clients have come from Asia, Australia, Tahiti, UK and USA because New Zealand practitioners are acknowledged as being well trained and often at the forefront of cosmetic medical treatments.  Also our treatments compare favourably on a cost basis with other countries and can represent particularly good value for those from Australia, UK and USA.

Botox® and Dysport are Prescription Medicines containing 100 units of clostridium botulinum Type A toxin complex for injection. It is used for the treatment of severe frown lines of the face. It should be administered only by trained medical professionals. Arrange a consultation to discuss the benefits/risks of this procedure in appearance medicine. Cautions: people with defective neuromuscular transmission disorders, presence of infection at site of injection, glaucoma, pregnancy and lactation. Possible side effects include headaches, pain, burning or redness at injection site, local muscle weakness including drooping eyelids, lack of feeling and nausea. If you have side effects or concerns speak to a doctor. A charge applies. Note: Botox® and Dysport treatment lasts about 4 months and after this time further courses of treatment could be necessary. Arrange a consultation to discuss your own situation.

1 Benedetto A. The Cosmetic Uses of Botulinum toxin type A. Int J Dermatol 1999, 38:6641.655

Consulatation at Palm Clinic with Dr Sam Dunn

Why Palm Clinic?

Our highly skilled medical team treat you with care and understanding.

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Botox®  is a prescription medicine for the treatment of frown lines, horizontal forehead lines and crow’s feet round the eyes. Botox® has risks and benefits. Ask your doctor if Botox® is right for you. If you have side effects, see your doctor. You will need to pay for Botox® and clinic fees will apply. For details on precautions & side effects consult your healthcare professional or the Consumer Medicine Information (CMI) at www.medsafe.govt.nz. Botox® treatment lasts about 4 months and further courses of treatment may be necessary. Should only be administered by trained medical professionals.(Contains botulinum toxin A 50,100 & 200 units). Allergan (NZ) Limited, Auckland.

Juvederm Ultra™ & Juvederm Ultra Plus™ are medical devices Class III for the filling of medium size and deep facial wrinkles by injection into the skin and for creating definition and volume in the lips. Contains 24mg/mL. cross-linked hyaluronic acid. Juvederm has risks and benefits. Cautions: Use in an area that has been treated with another dermal filler, people with autoimmune disease, or who are pregnant, breastfeeding, under 18 years of age or have an increased susceptibility to keloid formation and hypertrophic scarring. People on blood thinning medicines. Possible side effects: injection site inflammatory reactions (redness/swelling, itching/pain on pressure) induration or nodules; discolouration; weak filling effect. If you have side effects or concerns speak to your doctor. Product and treatment costs will apply. Note: Juvederm treatment lasts about 12-24 months. For product information check with your doctor or product information at Allergan (NZ) Limited, Auckland.