8 years of Botox® and Fillers. These photos show one of my lovely patients (you’ll recognise her from the video on our home page) aged 46 when she first started coming to me, compared with a recent photo aged 54. She’s had no surgery, only Botox® and dermal fillers. That’s right, she’s 54 in the photo on the right. I think she looks fresher and more vibrant now than 8 years ago, and wonderfully natural.

Dr Karl A Ekbom proposed venous disease as a cause of restless leg syndrome (RLS) in 1944. A study by CA Hayes et al from north Texas in 2008 examined the effect of endovenous laser ablation (EVLA) treatment in patients with concurrent restless leg syndrome and duplex ultrasound proven superficial venous insufficiency (SVI).

Saddlebags and Buttocks Liposuction

This young women had 3500ml of fat removed from the buttocks and outer thighs.  She had a body of two halves with a very slim upper body and pear shaped lower body.

Liposculpture has enabled a much more pleasing body contour in the naked and clothed state.

She is booked in for liposuction for the inner thighs which will better balance the body.

Rosacea (pronounced “rose ay shah”) is a common skin condition usually seen on the face. It often first appears as a general redness on the nose and cheeks, and sometimes on the forehead or chin. Many sufferers will blush easily. Rosacea comes and goes, but if left untreated it can develop into a perpetual skin redness with feelings of burning, stinging and irritation. Pimple-like bumps called acne rosacea may develop, and in severe cases the nose skin may become swollen and bumpy (rhinophyma).

Dr John Barrett has performed 900 cases of liposuction at Palm Clinic.  All cases have been performed under a special type of local anaesthetic called tumescent anaesthesia.  When performed this way we call the procedure liposculpture.

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.

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. 

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.

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.

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