Beauty Uncovered Autumn Issue 2021

B R IN G IN G THE WOR LD O F AESTH E TI C M E DI CI N E TO YO U

Fillers for Men

Talking male tweakments

Skin Tightening

Needle Phobia

Defining radiofrequency microneedling

How to face the fear

The Secrets to Confidence

Positive mindsets with Katie Piper

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A. MENARINI FARMACEUTICA INTERNAZIONALE SRL Menarini House, Mercury Park, Wycombe Lane, Wooburn Green Buckinghamshire, HP10 0HH Incorporated in Italy with Limited Liability Branch registered in England No BR016024 Tel: 01628 856400 Email: info@relifecompany.co.uk

PP-RL-UK-0155 Date of prep: July 2021 GB20064

Welcome to the world of aesthetic medicine…

Acting Editor Shannon Kilgariff

It’s terrifying how easy it is to become an ‘aesthetic practitioner’ and perform treatments like dermal fillers or botulinum toxin. In fact, it’s perfectly legal for you to book a one-day training course tomorrow and inject your friend with dermal filler the next day. Yes – it’s that easy! While this could seem appealing, when you consider that such treatments can cause skin death, scarring or even blindness, it might make you think again…

PHOTOGRAPHY: DAN KENNEDY

Thankfully, these complications are extremely rare when performed by highly trained, registered healthcare professionals. That’s why most other countries have strict rules in place whereby only medical professionals can perform these kinds of tweakments. It’s pretty different to the UK, where it’s a free-for-all, and most people amongst the public don’t even realise it!

If you’re thinking of having a tweak, it’s important to do your research and be confident you have chosen a highly trained and responsible practitioner who knows how to deal with the possible side effects. At Beyond Beauty, we will only endorse registered medical professionals – check out our Reputable Organisations page to help you choose the right practitioner.

Now, we can bang on about treatment dangers, terrible results and botched jobs, or we can show you the positive side to the industry, which is what Beyond Beauty is all about! We hope to debunk some of the myths associated with having a little tweak and promote some of the positive results that can be achieved, not just helping to improve your insecurities, but to revolutionise the way you feel about how you look. Speaking about confidence, we are delighted to feature the truly inspirational Katie Piper on our front cover this month. She told us about her valuable tips for inner positivity and confidence ahead of her exciting new book launch – have a read on p.32!

Don’t forget that Beyond Beauty is a quarterly magazine – to sign up to receive it every three months, head to our website and if you’d like to watch weekly interviews with the UK’s leading practitioners, follow us on Instagram @beyondbeauty_mag!

As well as subscribing to the magazine, you can meet the experts and trial treatments out in real life at our fabulous event – Beyond Beauty Live – happening in 2022 on May 7 & 8 in London – stay tuned for all the details!

On the Cover 32

The Secrets to Positivity and Confidence Inspiring positive mindsets with best-selling international author, presenter, inspirational speaker, and charity founder Katie Piper

Every issue 6 24 42 56

Don’t miss our next four issues – subscribe now for just £20!

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61 63

Ask the Experts A myth-buster masterclass Wellness & Psychology A look at the causes and effects of needle phobia How Will You Age? Skin anatomy and treatment approaches to ageing Recipe A nut roast to help the symptoms of premenstrual syndrome from within Our Top Picks BB’s book, podcast and TV show recommendations Reputable Organisations The companies that put safety first in aesthetics

Contents

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Top Products 13

Need to Know Products The newest skincare, devices & aesthetic treatments

Real-life Stories

Treatments

20

8

44 54

Treating Acne with Medical-grade Skincare and Peels A former skincare novice seeks help for her ongoing cystic acne Press the Refresh Button How a two-hour eyelid surgery can rejuvenate your eyes and combat ageing Women In Business Four entrepreneurs offer their top tips on running a successful business

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18 22 41 46 47 50 51 60

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Defining Radiofrequency Microneedling How this skin-tightening treatment can help turn back the clock Perk Up Your Buttocks Find out how dermal filler can safely enhance your buttock area Ten Things to Know Get glowing skin with HydraFacial hydra-dermabrasion Did You Know You can reverse HA dermal filler treatments?

The New Way to Boost Your Skin This Autumn Improving the signs of photoageing Tweakments for Men Dermal fillers to help improve the signs of ageing Rejuvenating The Male Face ‘Zoom Face’ has had an impact on our self-esteem and men are no exception!

Lightening Dark Under-eyes The best treatments for under-eye circles in darker skin tones Rejuvenating Your Skin With Laser Reduce wrinkles and skin irregularities with laser facials

Skincare 27 38 58

Exploring Retinol in Skincare Why you should consider retinol in your skincare regime How To: Dry Brush Discover dry brushing for skin and lymphatic benefits Reviewing Results The Beyond Beauty team put skin supplements to the test

ASK THE EXPERTS

Myth-Buster Masterclass Three expert practitioners debunk some of the most common misconceptions in aesthetics

Dr Uche Aniagwu, aesthetic practitioner, Dr Uche Ltd, London IG: @drucheacademy

Miss Jonquille Chantrey, aesthetic surgeon, Øne Aesthetic Studio, Cheshire and London Selfridges IG: @drjonquillechantrey

Mary White, nurse prescriber, Outline Clinic, Worcestershire IG: @outline_clinic

“It’s a good idea to get my fillers from a discount site”

“I can’t have laser treatment if I have black skin”

NURSE WHITE SAYS:

DR ANIAGWU SAYS:

Usually if it’s too good to be true, then it probably is. For a dermal filler to be offered cheaply, something crucial needs to be missing! Cheap fillers are an indicator that the product probably hasn’t gone through the stringent and robust clinical trials which well-known brands would have, or the practitioner is not as skilled and experienced as many others out there are. Both of these factors can put you at a higher risk of experiencing complications from your procedure.

When you’re researching for a practitioner, make sure you question whether the product has been tested properly and if it’s CE marked, which ensures the product conforms with the health, safety and environmental standards in the EU. You should only seek a practitioner who is medically qualified and registered with their relevant professional bodies. You also need to consider if the practitioner has medical indemnity insurance and public liability insurance. I have seen dermal fillers advertised from as little as £39 per syringe, but I would say a minimum of £250 per syringe is correct (but this can be more if you are based in London).

Remember the practitioner is making a profit from this, so it informs you that the original price of the filler must be very low as well as the price the practitioner puts on their experience and skill.

It is true that in the not-too-distant past it was a relatively risky business to have laser hair removal or skin resurfacing if you had dark skin. However, times have changed, and laser technology has massively improved. Now, not all lasers are equally built, and lasers such as Nd:YAG are safer for darker skin types compared to CO2 lasers. Nonetheless, the combination of laser advancement, good preparatory routines and highly trained medically qualified practitioners means having laser treatment on black skin need not be a ‘no go’!

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MISS CHANTREY SAYS: Actually, you can! But there can be a higher risk of side effects, such as burns and pigmentation changes. Your practitioner will assess your skin type and behaviour, looking at the pigmentation and melanocyte (melanin-producing cells) function on the skin before laser for all patients.

People with darker skin types do need careful management but there are laser modalities which these patients can have. A bespoke skincare regime as well as patch testing is important before and after laser to optimise outcomes and reduce adverse events and complications.

ASK THE EXPERTS

“Sun exposure will improve my acne” NURSE WHITE SAYS: I hear this one all the time! Patients often feel that their skin looks better once they’ve been exposed to the sun. A tan helps to disguise flare-ups on the skin; however, the red marks are simply being masked by the tan.

We offer in-clinic treatments based on intense red and blue light for acne sufferers. Exposure to the sun increases the amount of visible blue light to the skin, which kills P. acnes bacteria.

The blue light kills the bacteria, which stops the spread of existing spots, however it is not a cure. Treatments such as peels, prescription topical creams, certain medical facials, and blue light therapy are all good weapons in the arsenal against acne. Seek guidance from a dermatologist who has experience in treating acne concerns, as these treatments may not work and you might need to be prescribed oral medication.

And remember – the sun causes wrinkles, damage to DNA in skin cells which causes skin cancer, as well as other issues such as pigmentation. Don’t forget to always wear SPF 50 – there are plenty available for oilier skin types which will not make the problem worse!

“I need to have surgery to fix my nose bump” MISS CHANTREY SAYS: With the innovative techniques available now, the nose can be treated to reduce prominent bumps and appear straighter, the tip can be gently lifted, and the overall balance of the profile can be improved, all without surgery! The common procedure for this is dermal fillers, but botulinum toxin (known as toxin or by its brand name Botox) and threads can also be used. It is vital to remember three key elements when booking a treatment:

1) There are chances of complications occurring through the use of fillers, such as tissue

"I have seen dermal fillers advertised from as little as £39 per syringe, but really you should not be paying less than £250" Nurse Mary White

necrosis (skin death), scarring and blindness, but if you go to a highly trained and qualified medical practitioner, the chances are reduced.

2) This is a specialised area, so an advanced level of expertise is extremely important.

Choose a highly qualified medical practitioner with a lot of experience in treating this area.

3) Some people won’t benefit from dermal fillers or other non-surgical interventions and surgery will be the only way to help your concern. Your medical practitioner should have comprehensive knowledge to advise you which approach is best.

“Face cream can work for the eyes and vice versa” DR ANIAGWU SAYS: I hear this question asked a lot and the answer is generally no! Face creams and eye creams are seeking to tackle different issues. For example, face creams which are aimed at locking in moisture and improving the firmness of the skin may not have the same aim as an eye cream that can improve dark circles. Despite this, the face and eye creams which target the same complaints are not interchangeable. This comes down to the differing strength in formula.

Remember that the skin around the eyes is the thinnest part of the body and therefore what is often good for the face is too strong for the eyes, and what is suitable for the eyes will often be too weak for the face.

HAVE YOU GOT A QUESTION FOR THE EXPERTS?

Drop us an email via hello@beyondbeauty.com or DM us on Instagram @beyondbeauty_mag

INTERVIEW: ELLIE HOLDEN

beyondbeauty.co.uk

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R FM FACTS

Defining Radiofrequency Microneedling How this 30-minute celebrity-loved skin-tightening treatment can help turn back the clock You’ve probably heard of Judy Murray’s latest skin revamp, which she says has taken 10 years off her appearance without surgery! She’s recently had the Morpheus8 treatment – a type of radiofrequency microneedling procedure that has also been endorsed by many other celebrities including Kim Kardashian, Paula Abdul, January Jones, Kelly Dodd and Michelle Money. It’s a procedure that cleverly treats wrinkles and tightens the skin at the same time and with many new radiofrequency microneedling treatments emerging, the experts say it’s set to be the next big aesthetic trend!

What is radiofrequency microneedling?

Radiofrequency microneedling – also called RFM – cleverly utilises two completely different procedures into one double whammy of a treatment with the benefits of both.

Aesthetic nurse prescriber Eve Bird explains, “Microneedling uses exceptionally fine sterile needles to puncture the skin multiple times in a controlled way.” This promotes collagen production to fix these wounds, prompting better skin quality, she says.

The radiofrequency element adds energy waves to the process. ENT, head and neck surgical doctor Mr Rishi Mandavia says, “It works by heating the dermis layer of the skin at specific temperatures and depths, which has been found to stimulate significant amounts of collagen, elastin and hyaluronic acid.” These are the essential building blocks of the skin, he explains, keeping it looking vibrant and youthful.

What’s the science?

According to nurse Bird, the science behind RFM is simple. “We know that when the surface of the skin is broken with microneedling, our immune system kicks into ‘wound healing’ action. In very basic terms there are three phases to this process,” she says.

These are:

1. Inflammatory phase: during this stage inflammation controls bleeding and prevents infection, damaged cells and bacteria are removed.

2. Proliferation phase: growth factors activate fibroblasts – the most common type of cell found in connective tissue – to rebuild, replicate and produce collagen and elastin.

3. Remodelling phase: the collagen matures and strengthens, tightening and lifting the skin.

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“The beautiful aspect of this treatment is that it’s all you! The treatment stimulates your own natural collagen, elastin and hyaluronic acid and so achieves a very natural rejuvenation” Mr Rishi Mandavia

RFM FACTS

Mr Rishi Mandavia, ENT, head and neck surgical doctor, Managing director Dr Tatiana Aesthetic Dermatology Clinic, London IG: @dr_tatiana_clinic

Eve Bird,

aesthetic nurse prescriber, Botastic Medispa, Anlaby IG: @botastic_medispa

The addition of radiofrequency to this process helps strengthen the collagen and speed up wound healing. “In combination, we are effectively tricking the human body to grow new healthy skin!” nurse Bird says.

treatment than some others available, says Mr Mandavia, adding, “The beautiful aspect of this treatment is that it’s all you! The treatment stimulates your own natural collagen, elastin and hyaluronic acid and so achieves a very natural rejuvenation.”

How can this treatment benefit you?

Are there any risks to getting RFM treatment?

RFM technology can be used across the face and body – pretty much on any skin surface such as the hands, neck, décolletage, and face. Mr Mandavia says, “It can improve concerns like fine lines, wrinkles, textural issues, enlarged pores, acne scarring, sagging skin, traumatic scarring, stretch marks, dehydrated skin and even rosacea.” People of all skin colours can also benefit, which is a big misconception about this treatment, he says.

Several sessions may be needed, depending on the treatment area and type of device used. Your aesthetic practitioner should take before and after images so that together you can monitor the progress of your skin’s journey.

Nurse Bird notes, “One treatment is great for basic skin rejuvenation and improving skin texture and people comment that their makeup sits nicer, skin glows and appears plumper.

Repeated treatments are required for treating concerns like acne scarring and stretch marks.”

It’s important to note that the results will not be instant and will instead be noticeable after a month or two, explains nurse Bird, which will gradually improve over time. This is because it takes time for the wound healing process to complete.

The positive to this is that RFM is seen as a more ‘natural’

According to nurse Bird and Mr Mandavia, RFM is a very safe, low-risk treatment and all patients would have a medical consultation prior to discuss their past medical history, medication, and allergies to ensure they are suitable for treatment.

“Complications and side effects are exceedingly rare,” nurse Bird reiterates, but adds there are considerations to be mindful of.

“One treatment is great for basic skin rejuvenation and improving skin texture and people comment that their makeup sits nicer, skin glows and appears plumper" Nurse Eve Bird

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R FM FACTS

“RFM works by heating the dermis layer of the skin at specific temperatures and depths, which has been found to stimulate significant amounts of collagen, elastin and hyaluronic acid” Mr Rishi Mandavia

Mr Mandavia explains, “Common side effects include various levels of pain, which the practitioner will be able to manage, redness and sometimes bruising, but these usually settle in a few days. Rare risks include infection, hyperpigmentation (skin becomes darker) hypopigmentation (skin becomes lighter) and burns, which is why it’s important to seek an experienced practitioner, so they know how to both prevent and manage these.”

How do you choose a RFM provider?

Before

After

25-year-old Asian patient with acne scars before and 12 weeks after six Endymed Intensif treatments spaced three weeks apart. After image shows improvement of acne scars and skin texture. Images supplied by nurse Eve Bird of Botastic Medispa.

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What brands are available?

As mentioned, Morpheus8 is one well-known brand, but there are many others available that utilise similar technology. These include: Fractora, Infini, Intensif, INTRAcel, Potenza, Profound and Secret RF. Nurse Bird uses Morpheus8 and Intensif in her clinic, while Mr Mandavia uses Morpheus8, Profound and SecretPRO, which is a new device that also incorporates a CO2 laser for enhanced results. Ask your practitioner what device they choose and how it might be able to help your individual skin concerns.

How much does treatment cost?

Pricing for these treatments are very much dependent on the level of experience of the practitioner, the clinic's location, the device chosen, the number of sessions and the area being treated. As an example, for the full-face, Mr Mandavia charges from £1,150, while nurse Bird charges £1,000 for a course of three sessions.

Before

After

70-year-old patient before and 10 weeks after two Morpheus8 treatments. After image shows improvement of lines, wrinkles and the skin has been tightened. Images supplied by Mr Rishi Mandavia of the Dr Tatiana Aesthetic Dermatology Clinic.

PHOTOGRAPHY: VISIBLE BY HANNAH WORDS: SHANNON KILGARIFF

Although rare, as the treatment can cause side effects, you should always do your research before booking an appointment.

“As the aesthetic sector is unregulated there is nothing to stop anyone getting hold of a RFM machine and performing treatments, so look for a clinic that is nurse, doctor or dentist led as these practitioners are governed by a regulatory body,” says nurse Bird, adding, “These practitioners have a responsibility to make sure the therapists they supervise are appropriately trained and practice in a safe and ethical way.” Mr Mandavia advises to ensure you select a practitioner that has good experience using RFM, with lots of

their own before and after images that they can show you and is confident in managing complications (even though they are rare).

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P RO D UCT LAUN CHES

NEED TO KNOW PRODUCTS The latest skincare, devices, aesthetic treatments, and techniques making their way to a clinic near you!

Skincare

Croma farewell

ESHO lip care range

Heliocare sun protection

A serum is an important step in any skincare routine to moisturise and hydrate the skin.

The new Croma farewell serums aim to improve elasticity and plump the skin to reduce fine lines and wrinkles. There are five serums tailored to different skin types and facial concerns, including sensitive skin, puffy eyes, ageing skin, oily and acne prone skin, as well as dry skin.

Are you looking for an alternative to lip fillers?

The new lip care range by celebrity practitioner Dr Tijion Esho offers four lip treatments to suit a variety of lip concerns. Products include PAUSE; a lip plumper to add volume and prolong the effects of lip fillers, SCULPT; an enhancing lip serum to accentuate your lip shape plus COAT; ideal for dry cracked lips, and DRENCH; a hydrator for your lips.

With three new SPFs from Heliocare, there are no excuses not to apply sun protection all year round! The Pigment Solution Fluid helps to prevent and correct hyperpigmentation caused by sun damage. The Age Active aims to correct visible signs of ageing such as fine lines and a dull complexion whilst the MD AK Fluid includes powerful antioxidants helping to prevent scaling on the skin (keratosis).

iS Clinical SPF

Meder Beauty Science Circa-Night

To continue to prevent the signs of ageing following summer, try the PerfecTint Powder SPF 40. It provides UVA/UVB protection, defends against wrinkles and photoageing, and improves skin hydration as well as optimising collagen in the skin. This product has a built-in application brush to make it easier to apply as well as two refill cartridges in five shades to suit a range of skin tones.

Sleep deprivation happens to all of us at some point in our lives. This new night cream aims to align the skin’s metabolism to prevent any stress-related changes and premature ageing.

Ingredients include natural soy peptides to restore collagen to the skin, shea butter to moisturise and restore natural production whilst vitamin B5 reduces irritation to the skin during your sleep. beyondbeauty.co.uk

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VENUS WILLIAMS

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Confidence

takes shape

info.uk@venusconcept.com +44 877 226 0510 www.venusconcept.com *Venus Bliss™ is CE Marked as a comprehensive approach leading to body contouring via fat reduction and circumferential reduction in Europe. Temporary increase of skin tightening is an indication for use in Canada and Europe. In the U.S., Venus Bliss™ is cleared by the FDA for non-invasive lipolysis of the abdomen and flanks with the diode laser applicators, and temporary reduction in the appearance of cellulite with the (MP)2 applicator

P RO D UCT LAUN CHES

Medik8 50+ sunscreen

mesoestetic moisturising range

PCA Hyaluronic Acid Overnight Mask

Sunscreen is a must-have product, and not just on sunny days! This new sunscreen has been formulated to deliver protection in a daily moisturiser format which is suitable for all skin tones. Within the sunscreen, blueberry seed oil offers protection from blue light to aid against hyperpigmentation and free radical damage, whilst marrubium extract vulgare (a flowering plant in the mint family) aims to prevent loss of collagen and elastin.

Are you experiencing dehydrated and dry skin? mesoestetic has unveiled a new moisturising range to add that muchneeded hydration back into your skin!

Products include: the hydravital mask, the hydra-vital light gel-cream, the ha densimatrix and the hydra-vital factor k cream. The range contains hyaluronic acid for hydration, antioxidant and antipollution ingredients to protect the skin’s barrier, and vitamin E to prevent skin ageing.

Applying a mask while you sleep is the perfect way to give your skin some intensive hydration. The PCA Skin Hyaluronic Acid Overnight Mask aims to boost the skin’s radiance and luminosity, whilst soothing, hydrating and rejuvenating the skin overnight. The hyaluronic acid aims to penetrate through the skin to deliver deeper moisturisation and reduce wrinkles. A great addition to your bedtime routine!

Revision Skincare D.E.J. eye cream

SkinCeuticals Oil Shield SPF

NeoStrata Brightening Peel

The eyes are one of the most important features of the face and can often be one of the first to show signs of ageing. The D.E.J. eye cream is formulated to be applied on the upper eyelid and create the appearance of more lifted, firmer and smoother skin around the eyes. This product aims to visibly reduce the appearance of wrinkles, redness and hooding around the eye area whilst also keeping it hydrated.

Sun protection can sometimes give a greasy and oily feel to the skin once applied which can be off-putting, when applying to the body. This new Oil Shield UV Defense SPF 50 gives a dry-touch finish to the skin. The sunscreen provides optimal protection against harmful UVA and UVB rays throughout the day, whilst containing silica to absorb excess oil, which is ideal for use under makeup.

Looking for an at-home skin treatment? The new Enlighten Dual Acid Brightening Peel aims to improve the texture and uneven skin tone for a more, radiant complexion.

With a high concentration of glycolic and polyhydroxy acids for exfoliation, the peel aims to maximise radiance results from the comfort of your home. Speak to a medical practitioner about adding an at-home peel into your skincare regime.

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In-clinic treatments

Dermapen 4 microneedling

LABthetics chemical peels

Light emitting diode (LED) can be a good alternative to invasive procedures. The Cube Light LED device has six different wavelengths of light to help improve skin concerns such as spots, sun damage, redness, rosacea, hair loss, and fine lines and wrinkles. This device aims to stimulate the skin’s natural rejuvenation with little discomfort or recovery time. The low energy emitted means it is suitable for all skin types.

The production of collagen and elastin in the skin reduces as we age, but microneedling can help with this ageing concern. This new microneedling device Dermapen 4 stimulates the skin to produce new collagen, plumping up and tightening the appearance of enlarged pores, improving the appearance of problematic breakouts, and reducing acne scarring, whilst also being able to treat stretch marks.

As we approach the colder months, chemical peels are a great treatment option for your skin as avoiding direct sunlight is a must.

The salicylic acid 10% aims to treat acne, reduce pore size, and help acne scarring. The Jessner peel can dry out active acne, reduce wrinkles, and improve the appearance of sun damaged, acne prone skin. Extra care should be taken for those with darker skin, so speak to your medical aesthetic practitioner to ensure this option is suitable for you.

Revanesse dermal fillers

SmartXide Punto CO2 laser

STYLAGE Lips Plus

Dermal fillers are constantly evolving and the newest brand to hit the UK after being popular in the US and Canada is Revanesse.

There are four different fillers in the range.

Kiss to enhance the border of the lips; Ultra to fill and lift the lips, temples, and lines around the mouth; Contour to lift and volumise the cheeks, chin and jawline; and Shape to give projection to the cheeks and jawline.

Remember to seek a consultation from a registered medical professional.

Skin resurfacing procedures are a great way to combat visible signs of ageing to your skin. This CO2 laser is ideal for skin rejuvenation and it can help concerns including scarring, surface pigmentation and deep wrinkles. It can also treat delicate areas such as the neck and eyelids. CO2 technology can reach surface tissues and deeper areas of the skin, ensuring minimal thermal damage to the body whilst reducing downtime.

Looking to plump and shape your lips?

VIVACY has developed a new lip filler to achieve fuller yet natural results. This filler provides softness to the lips, whilst producing more volume and contour.

Medium to large lip types would be best suited to this lip filler for added volumisation without looking stretched or overfilled. Speak to a qualified medical practitioner about the best filler for your lip type! beyondbeauty.co.uk

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WORDS: ELLIE HOLDEN

Cube Light LED

I N THE CLI N I C

P ER K U P YOU R B U T TOC KS We’re not sure if you’ve noticed, but big bums are IN right now. Curves have become all the rage, and since 2015 the number of buttock procedures performed globally has grown by 77.6%, according to a recent survey by the International Society of Aesthetic Plastic Surgery. Whether it’s down to the Kardashian effect or social media, there’s no doubt that it’s a huge trend and topic of conversation right now.

Unfortunately, the desire for a bigger bum has led to many women opting for cosmetic surgery, with the Brazilian Butt Lift being a very sought-after procedure.

This refers to a surgical procedure in which a patient is placed under anaesthetic and fat is moved from one part of the body to another. While it can give the patient desirable results, according to the American Society of Plastic Surgeons the infamous procedure has a fatality rate of 1 in 3,000, as it can lead to a fat embolism (fat that causes a blockage of blood flow) in the heart or lungs. This is the largest fatality rate of all aesthetic procedures!

Dr Sabika Karim, aesthetic practitioner, Thankfully, aesthetic medicine Skin Medical, Northwood IG: @drsabikakarim is constantly developing, and there now exist some non-invasive alternatives that prove much less risky and can still give effective results, with little downtime. We spoke to aesthetic practitioner Dr Sabika Karim who gave us the lowdown on how you can achieve a perkier posterior without putting yourself through surgery.

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What are your butt shaping options?

Many of Dr Karim’s patients have presented to her clinic seeking safer, non-surgical alternatives for buttock enlargements. She says, “There are many treatment options aside from surgery that we can offer patients. While energy-based devices, such as muscle stimulation or radiofrequency, can help with the treatment of fat pockets, muscle tone and improving skin quality and texture, for volume enhancement, the only non-surgical option is injection with dermal fillers. However, a lot of patients that come to my clinic are completely unaware that you can even get filler in the body!”

She explains that hyaluronic acid (HA) fillers are a common treatment for this area, with the results typically lasting for six to 12 months. The newest product on the market is Lanluma, which is Dr Karim’s product of choice. Rather than using hyaluronic acid, it is a poly-l-lactic acid (PLLA) filler approved for injecting both the face and the body.

How PLLA works Hyaluronic acid is a substance produced by our body and can be found between the layers of our skin. While PLLA is also an injectable gel, it instead contains special microspheres which are recognised as foreign bodies, tricking the skin into producing more collagen.

PLLA is a synthetic polymer derived from the alpha hydroxy acid family, which is not harmful to living tissue, is biodegradable, doesn’t provoke an immune response, and has a long history of safe use, explains Dr Karim.

She adds, “In particular, Lanluma has been CE marked for body contouring and use in the buttock, meaning it conforms to EU health, safety and environmental

I N THE CLI N I C

regulations. PLLA can be injected to stimulate cells to produce collagen, meaning results improve over a period of time. This gives long-lasting results to my patients, in excess of two years.” There is little recovery time following the procedure and the patient can sleep and sit down with little issue, notes Dr Karim, although there will be slight soreness and sensitivity for a few days.

What should you expect in a consultation?

The consultation is key to any aesthetic procedure, Dr Karim emphasises. “In addition to the usual patient demographics and previous medical, surgical and aesthetic history, it is important to establish a rapport with the patient to make them feel comfortable,” she says, adding, “One key question that I ask all patients is the precipitating reason for coming to me. It is usually a milestone birthday, an important work or social event or even a picture on social media. I then ask the patient to complete a Body Dysmorphic Disorder questionnaire to establish whether treatment is appropriate and being done for the right reasons, or whether they are experiencing a psychological condition which affects the way they view themselves.”

Dr Karim notes that she then discusses the various treatment options available, and finds that most of her patients want reshaping, lifting and skin improvement, all of which can be delivered non-surgically with PLLA. She adds that the normal protocol is to send the patient home after the initial consultation with written information on the procedure, the product, side effects, possible complications and a treatment plan including cost and number of sessions. This enables them to think about whether the procedure is what they really want, and then they can come back in a few weeks if it is. Treatment prices start from around £2,000 depending on the concern and the area treated. Dr Karim explains that non-surgical buttock augmentation is suitable for men and women aged 20-60 with a BMI of 18.5-25, who are of a stable weight, follow a healthy lifestyle, and who require one or more of the following: • Change in the shape of the buttocks • Lifting of the buttocks • Increased volume of the buttocks • Improved skin texture • Improved appearance of cellulite in the buttocks Before

Dr Karim notes that treating the buttocks with filler can have a huge impact on self-esteem. She says, “It gives people confidence to wear tighter clothing, wear a bikini, and to be in front of their partner naked. I had one patient who used to wear padded underwear all the time because she felt so self-conscious about the way her body looked when she went out, and wouldn’t be seen without them on. When I saw her for her latest follow-up, I thought she was still wearing them because of how great her bottom looked, but it was actually just the results of the treatment! She was so thrilled that she could finally feel confident enough to not wear padding and embrace her body as it is!”

Finding the right practitioner As with any aesthetic treatment, buttock filler comes with a potential for complications, despite being a safer alternative to surgical treatment. Dr Karim explains, “Potential side effects include injection-site complications such as bleeding, pain, hardening of soft tissue, and swelling around the treated area. Any of those in moderation are expected and nothing to be concerned about!"

She adds, "There is also a risk of infection, inflammation, bruising, bleeding, raised scarring, inflamed skin, broken blood vessels, raised skin tissue and growths of abnormal tissue. Complications specifically related to Lanluma include nodules or a material becoming implanted in the body.”

Because of these potential side effects, Dr Karim emphasises the importance of going to a reputable and medically qualified practitioner who is registered with their regulatory body. “It is also so important for all patients to ensure that the products the practitioner is using have been approved and specifically certified for use on the body/that particular area, so patients should always conduct thorough research before undergoing any treatment,” she says.

Dr Karim adds that asking for before and after imagery from the practitioner is also a great way to see the results they can achieve, although these shouldn't form the basis of your decision.

After

After photo is six weeks following one treatment using 4mls of Lanluma X, showing an improvement in skin texture and volume.

Images courtesy of Dr Karim.

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INTERVIEW: HOLLY CARVER

This 36-year-old requested a non-surgical buttock enhancement to improve shape so she could feel more comfortable in tight dresses and leggings. She has a BMI of 22.3 and a healthy lifestyle.

What are the results?

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REAL-LIFE STORY

Treating Acne with Medical-grade Skincare and Peels A former skincare novice seeks help for her ongoing cystic acne

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livia Jarvis, now 22, had been suffering from cystic acne since she was 15 years old. “I struggled with acne on my forehead and cheeks, mainly due to hormones but also stress,” explains Olivia, “I tried everything to get rid of it, from changing my diet, to medication, and nothing worked.”

A self-confessed skincare novice, Olivia admits, “I had a very poor skincare regime at the time, and I didn’t understand how to properly remove makeup. I also found out that some foods could trigger a breakout, like dairy and sugar so tried to remove these from my diet, but it didn’t help.” By 18, Olivia had been struggling with acne for three years. She moved away from home to university, but this exciting time was marred by Olivia’s feelings about her skin. “I felt very low,” Olivia reveals, “I wouldn’t leave my room at university, and I would call in sick to work as my skin was just so bad. I felt like people were talking to my skin and not to me, which made me feel really self-conscious.”

She also felt isolated, Olivia says, “I avoided going to social events, and would cake my face in makeup to try and disguise my spots, which ultimately made my skin worse!”

Skin worries Acne is one of the most common skincare disorders in the UK and according to the NHS, it affects roughly 95% of people aged 11 to 30, and about 3% of adults over 35. The British Association of Dermatologists explain that there are multiple reasons for acne which occurs when over-sensitive sebaceous glands produce too much oil and the lining of the pores thicken trapping dead skin cells, which mix and plug the pores. Did you know that the blackhead turns black due to oxidisation, not dirt?

With her skin impacting her daily life, clearly something needed to budge, so Olivia began exploring ways to improve her acne. “I tried

everything from going on the combined oral contraceptive pill, changing my diet, and taking prescribed Roaccutane (a medication called isotretinoin that is used for severe acne). I also tried to tackle my skincare regime, but over the years I found high street skincare products would just aggravate my sensitive skin,” says Olivia, adding, “Often I’d try something and think it was working, only to find after a few weeks that it didn’t solve my skin troubles. Nothing was helping.”

Tackling acne Years of marked, painful skin and no luck with products or medication were really starting to take its toll on Olivia. During the first lockdown last year, Olivia reached out to SarahLouise Aesthetics after seeing some of the clinic’s skin transformations online. SarahLouise Aesthetics was opened by nurse prescriber Sarah Donaldson in 2016 in Greater Manchester.

“When I first met Olivia, she was experiencing a painful and distressing flareup of cystic acne,” says nurse Donaldson, “I knew a robust at-home skincare regime combined with some in-clinic chemical peels could help, and Olivia’s story emphasises how instrumental medical-grade skincare is at targeting the appearance of complex skin conditions.”

Nurse Donaldson suggested medical-grade skincare (also known as cosmeceuticals) which means the ingredients are more active compared to those in regular skincare brands. “We used only medicalgrade skincare and professional skin treatments due to the incredible results in the past, without the need for pharmaceutical intervention or the use of multi-modality treatments,” explains nurse nurse Donaldson. “The products we use are from the AlumierMD range, and we use these as they ensure we can carefully create a personalised treatment plan, handpicked for each individual patient and they are

Olivia’s at-home skincare regime

Purifying Gel Cleanser (morning and evening) 20

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Acne Balancing Serum (morning)

Everactive C&E + Peptide (morning)

Sheer Hydration Broad Spectrum SPF 40 (morning)

Retinol Resurfacing Serum 0.5 (evening)

HydraLight Moisturiser (evening)

REAL-LIFE STORY

only available through medical and aesthetic practitioners.”

Olivia thought she would give this treatment approach a try. “I was at a loose end, I felt like I’d tried everything,” explains Olivia, “AlumierMD was my last resort. I had tried so many skincare products with no results, so I didn’t expect much.”

Seeing results Olivia was placed on a strict at-home skincare regime morning and evening and had three in-clinic AlumierMD chemical peel treatments at four-week intervals. “When I first started using the home products, my skin had a few days of being really dry and flaky,” explains Olivia, “However, after only a week I noticed a huge change in my skin! I couldn’t believe that after trying so many different things to no avail, I was finally seeing results!”

Olivia was thrilled with the results of her new skincare regime, “My overall complexion has changed dramatically. A lot of people have commented on how much my skin has improved, my scars have reduced, and my complexion is glowing. I recently ran out of my moisturiser from the AlumierMD range and used a different daytime moisturiser and I had a flare up, so that’s really interesting!”

The chemical peel The chemical peel used on Olivia’s skin was the AlumierMD Radiant 20/10, which is a mixture of BHA (beta hydroxy acid) and Before

Before

Olivia’s skin when she presented to the clinic seeking help for her acne.

AHA (alpha hydroxy acid) formulation, containing salicylic acid and lactic acid. As we know, says nurse Donaldson, “Salicylic acid is great for acne prone skin as it enables deep exfoliation to unblock the pores and reduce the sebum that may be inhibiting healthy skin turnover.”

Prepping the skin prior to a chemical peel is really important says nurse Donaldson, and it’s vital to stop using any retinol products a few days before (read more about this on p.27!). “We prepped Olivia’s skin with home skincare that contained milder strengths of these acids,” adds nurse Donaldson, “To make sure her skin tolerated the peels well.”

A new regime As a former skincare novice, Olivia is now in the routine of using her skincare products every day and night. “At the moment I wake up, wash my face with cold water and apply the SPF. I work out, shower and cleanse my face with the gel cleanser, apply the acne balancing serum and the SPF again, then makeup, but a lot less than before!”

The biggest improvement isn’t how she looks, but how she feels. “I have so much more confidence in my skin, and I’m so relieved to have found something that suits my sensitive skin type,” says Olivia.

“My advice for people experiencing issues with their skin would be to take advice from an experienced dermatologist or aesthetic practitioner and focus on the things you can do to try and help your skin, and not worry about the things you can’t,” she adds.

After

After

Olivia’s skin three months after treatment using AlumierMD skincare and having three chemical peels. After photo shows improvement of cystic acne.

Practitioner perspective with the required acids, including the gold standard salicylic acid. We also used a 0.5% retinol and an exfoliator in Olivia’s skincare regime, and it was this combination of key ingredients that has improved her overall skin tone, texture and complexion and has allowed her to live a more balanced and confident life wearing minimal makeup.

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WORDS: LEONIE HELM

Sarah Donaldson, aesthetic nurse and director at SarahLouise Aesthetics, Greater Manchester IG: @slamedicalclinic

Acne can be a difficult skin condition to treat, and often many patients try several different treatment approaches before they find what works for them.

Olivia’s skin responded well to the medical-grade skincare due to its gentle and non-irritant formulation, which enabled us to resolve her redness and inflammation whilst targeting the underlying infection

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PARTN E RS H I P

10 Things to Know About HydraFacial How to get glowing skin with hydra-dermabrasion

You may have heard the term ‘HydraFacial’ being thrown around in the skin and beauty world, but do you know what a real HydraFacial™ actually involves? Or why it has quickly become such a renowned and well-loved treatment amongst celebrities and skin gurus everywhere?

We spoke to aesthetic practitioner Dr Rita Rakus to get the lowdown on everything you need to know about the treatment.

Dr Rakus has more than 25 years of experience in aesthetic medicine and is a leader in 5-star service, as well as being well-versed in the latest state-of-the-art technology and advanced techniques in aesthetics. Even better is that she is a Dr Rita Rakus leading provider of HydraFacial treatments! aesthetic practitioner, Dr Rakus Clinic, London Here are her top 10 things you should know IG: @drritarakus_ about HydraFacial…

1.

2.

There are six steps to success HydraFacial is a multi-step treatment. A full Deluxe HydraFacial includes a detoxing Lymphatic Drainage step with glass suction tubes, which improves circulation of the lymphatic system and helps eliminate toxins. The next step involves a deep cleanse and peel, using gentle chemical exfoliation to resurface the skin. Next is everyone’s favourite step where you will undergo painless extractions, whilst simultaneously receiving intense moisturising serums during the extraction and hydration phase.

During the second half of the treatment, the skin is fused and protected after being saturated with antioxidants and peptides for a maximised glow. Then finally you’ll be rejuvenated with red and infrared LED light to reduce redness and stimulate collagen production.

3.

It’s a treatment for everyone One of the best things about HydraFacial is that it’s available for everyone and can be personalised as needed to target any additional concerns! HydraFacial is suitable for all skin types and skin tones and can address a huge range of skincare needs. The treatment can help improve fine lines and wrinkles, elasticity, firmness, tone, dullness, skin texture, pigmentation, oily and congested skin, enlarged pores and more…

4.

The treatment can benefit more than just the face Contrary to the name HydraFacial, it’s not just a facial!

The treatment can be done nearly anywhere on the body from your back to your arms, legs, and décolletage.

HydraFacial’s newest exciting treatment specifically focuses on the scalp! Called HydraFacial Keravive™, it is a scalp health treatment designed to cleanse, exfoliate, nourish, and hydrate the scalp for healthier and fullerlooking hair for all skin and hair types.

5.

You can have bespoke and personalised treatment plans The great thing about HydraFacial is its ability to be personalised to suit a range of skin concerns to maximise results. There are a multitude of ways HydraFacial can be tailored to your specific skin care needs. You can select from a powerful range of high potency boosters, some of which have been carefully formulated by HydraFacial themselves, whereas others were created in partnership with well-known brands such as ZO, Circadia, Nassiff MD and Murad. The treatment can be further customised with a selection of extraction tips for varying levels of exfoliation.

It is a ‘hydra-dermabrasion’ skin health treatment HydraFacial is the original ‘hydra-dermabrasion’ skin health treatment. The treatment uses unique, patented Vortex-Fusion technology, which involves spiral designed tips in conjunction with a proprietary vacuum to easily dislodge and remove impurities, while simultaneously delivering hydrating serums.

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PARTN E RS H I P

"HydraFacial is suitable for all skin types and skin tones and can address a huge range skincare needs" Dr Rita Rakus

6.

You don’t need to worry about downtime HydraFacial is a painless and non-invasive treatment and you can go straight back to your regular activities immediately after.

Most people find it relaxing and enjoyable! Depending on the sensitivity of your skin you may experience slight tingling during certain steps of the treatment, and the suction levels can be adjusted if needed during the extraction phase.

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Expect instant results After just one treatment you will notice an instant glow and healthier, hydrated looking skin. As well as seeing the results for yourself in the mirror, at the end of your HydraFacial, you can see your ‘gunkie’ jar filled with all the blackheads, dead skin, gunk and grime that’s been hiding deep in your skin. Even people with strict skincare regimes can’t believe how much gunk actually comes out of their skin!

9.

A series of treatments will be of most benefit Multiple treatments will work in conjunction with each other, and you will notice improved hydration, minimised pigmentation, an overall brighter complexion and a reduced appearance of fine lines and wrinkles. Pricing can vary depending on your location and the treatment protocol or any additional add-ons. However, a signature 30-minute treatment can range anywhere between £95-£150. A deluxe or platinum experience on the other hand, can range anywhere from £130-£200+ and usually takes 45-75 minutes. It’s recommended to invest in a course of six or 12 HydraFacial treatments to experience maximum results and receive reduced treatment prices with better value for money vs. a one-off treatment. A monthly treatment matches the cycle of the skin and helps to reveal new nourished skin on a regular basis.

10. You can find HydraFacial everywhere!

With more than 800 qualified authorised skin clinics and providers offering HydraFacial across the UK, you are pretty much guaranteed to find one near you! Find your nearest authenticated clinic by scanning the QR code!

This advertorial was reviewed and funded by HydraFacial™

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WORDS: LEONIE HELM

7.

It plays well with others!

HydraFacial is a game changer as a stand-alone treatment but it’s also the perfect way to enhance the results of other aesthetic or beauty treatments and therapies. Some of the best treatments you can combine with HydraFacial include ablative fractional lasers or energy-based devices such as radiofrequency, ultrasound or intense pulsed light.

Other treatments like microneedling, dermaplaning and LED therapy also offer maximised results with a combined HydraFacial protocol. Combination treatments are often ideal for individuals with skin conditions such as blemishes or hyperpigmentation or even those looking just for a more comprehensive skincare journey!

8.

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WELLNESS

PSYCHOLOGY

Managing Needle Phobia A look at the causes and effects of needle phobia and how you can beat it

Needle phobia affects roughly 10% of the population according to the NHS, and it can prevent many people from seeking out injectable treatments that could increase their confidence and reduce the effects of ageing.

The COVID-19 vaccine rollout has brought needle phobia back into the foreground, and here we talk to registered mental health nurse prescriber Claire Newman, and dentist and aesthetic practitioner Dr Heather Muir about needle fear and phobia, and what to do if you’re a sufferer.

What is needle phobia?

Needle phobia – known by the medical name trypanophobia – is a type of anxiety disorder which results in an extreme fear of medical procedures involving injections or hypodermic needles. It is an extremely common phobia according to the NHS, but the good news is there are ways to help! As nurse Newman says, “I find that a fear or a strong dislike of needles is actually quite common, but with a considerate consultation with a patient who might be wanting cosmetic injections to find out what we can do to help, we can almost always find a way.”

It’s important to establish the difference between a phobia and a fear. Many people dislike needles, but as Anixety UK notes on its website, ‘Once that fear becomes persistent, excessive and unreasonable, then that fear becomes a phobia.’

The NHS defines a phobia as, ‘An overwhelming and debilitating fear of an object, place, situation, feeling or animal’. They define a fear as, ‘An emotional response to a real or perceived threat’. For example, a person might have a fear of needles, but it does not interfere with their daily life.

A phobia is similar to a fear, but with one key difference: the anxiety a person with a phobia experiences is so strong that it interferes with their quality of life.

What causes a fear or dislike of needles?

According to Guy’s and St Thomas’ Hospital, needle phobia is often a result of a negative childhood association with needles. Dr Muir says, “I have often found that if a patient

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Claire Newman, aesthetic nurse prescriber, Soft Touch Aesthetics, Sawbridgeworth IG: @soft_touch_aesthetics

Dr Heather Muir, dentist & aesthetic practitioner, Your Face Aesthetics, Uddingston IG: @your_face_aesthetics

has an intense dislike of needles, it’s usually related to a dental experience as a child, which, as a dentist is paritally my fault!”

She adds, “It can be quite traumatic to have an injection in your mouth at any age, but particularly in children as they don’t fully understand what’s going on.” People who have had a traumatic experience with needles are then left with that bad memory, she says, explaining, “This can manifest immediately or over time, into an intense fear or true phobia, if left untreated.”

When nurse Newman consults her patients, she says it’s useful to gain an understanding of their fears. “If a patient tells me they have a fear of needles, I will talk to them about the

"If a patient tells me they have a fear of needles, I will talk to them about the origins of their fear" Nurse Claire Newman

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WELLNESS

PSYCHOLOGY

origins of their fear, and what exactly it is about the treatment that worries them. This is because a lot of the time, I have found that it is a fear of not knowing what’s going to happen, whether it will hurt, whether they’ll like the results, or if there will be any complications, rather than a true fear of needles.”

How can you deal with a fear of needles?

If your fear of needles is in fact a debilitating phobia which is significantly affecting your life, then it may be worth talking to you GP about what they can do to help. Just as every person is different, every phobia is different and mental health charities like Anxiety UK have lots of information on the different medical treatments for needle phobia. Experts from the organisation recommend cognitive behavioral therapy (CBT) as the most effective treatment for phobias. It works on understanding the link between negative thoughts and mood, giving the patient the power to take control of their emotions and change the way they behave. Other recommendations from Anxiety UK include: counselling, compassion focused therapy, relaxation techniques to help with panic attacks, medication in conjunction with other treatments, and hypnotherapy.

What can aesthetic practitioners do to make you feel more comfortable?

What needle-free alternatives are there?

If your journey to becoming comfortable with needles is ongoing, or you really don’t think injectables are for you, then there are a number of effective needleless aesthetic treatments available. “If a patient comes in with extensive facial volume loss, the best and most effective treatment we can offer is going to involve a needle,” says Dr Muir, adding, “But other treatments like radiofrequency can also be a benefit, and patients can also talk to a practitioner about light emitting diode therapy, laser treatments, chemical skin peels, or even just a really comprehensive skincare regime. All these things can make a big difference, without a needle in sight!”

Remember, if you want to address the signs of ageing, or enhance your skin quality or appearance, talk to a highly qualified and experienced, registered medical professional to discuss how their treatments might be able to help.

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PHOTOGRAPHY: VISIBLE BY HANNAH WORDS: INTERVIEW: LEONIELEONIE HELM HELM

A fear or phobia of needles can prevent many people from seeking out aesthetic treatments like botulinum toxin (commonly known as the brand name Botox) or dermal fillers, which may have a positive impact on confidence and self-esteem. Dr Muir comments, “Many patients come to me looking for solutions to improve their lines and wrinkles.

Injectable treatments are a good option as they have excellent results which are often instant or seen after just a couple of days, but many people do have a fear of needles, which can prevent them from seeing me.” However, Dr Muir says she has never had a patient who she hasn’t been able to treat due to needle phobia.

All good practitioners will sit you down for a full medical consultation before any treatment, she explains, and this is the perfect time to talk openly about your fears and dislikes so they can tailor the treatment to your individual needs.

Nurse Newman tries to make the patient’s environment as relaxing as possible, focusing on mental wellbeing and breathing exercises. “I have relaxing music in the background and depending on their anxiety levels, I may turn it up slightly and get them to focus on pleasant thoughts like laying on a beach, feeling the warm sun on their skin and listening to the sound of the sea,” she explains. Dr Muir uses distraction techniques to great success, “I use a vibration tool which I’ve found works really well. For example, when I’m injecting botulinum toxin into a patient who dislikes needles, I put the vibration tool near the injection area and this makes the brain focus on the stronger feeling. Very few patients say stop once the treatment has started!”

Nurse Newman seconds this technique, “I have a stress ball called Mr Smiley! I also give patients lots of reassurance and ask them whether they want a warning that the needle is going in; some do and some would rather not know! I also say ‘you’re going to feel a scratch’, rather than ‘something sharp’, as I’ve found this can decrease anxiety.”

Hypnotherapy has also been used as a successful way to treat a fear of needles, says Dr Muir. “It works on the perceived trauma and helps you manage it. As well as the hypnosis itself, patients are also taught self-regulatory techniques like breathing and calming exercises. I’ve found that if a patient has worked on controlling their breathing and can take steps to calm themselves down, treatments can proceed really effectively,” she explains. If the patient isn’t open to hypnotherapy or other therapy options, then Dr Muir says, “I can talk to them about pain medications or topical anaesthetic. I use LMX 4 topical anaesthetic cream to numb the specific area.”

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S KINCAR E

Exploring Retinol in Skincare

Why you should consider incorporating retinol into your skincare regime

M

ost of us have heard of the beauty buzzword retinol. It’s often touted as one of the most transformative skincare ingredients out there.

Yet, it remains one of the most misunderstood. If incorporated correctly into our skincare regime, retinol has the ability to increase cell turnover, brighten skin tone, improve the appearance of skin firmness, fine lines and wrinkles, and can also improve the ageing effects of sun damage.

As with all skincare products, there are things that work for us and things that don’t, so we spoke to consultant dermatologist Dr Helen Robertshaw to get the lowdown on all things retinol!

your skin. Over-the-counter retinol is commonly found in serums, eye creams and night moisturisers and they usually range from 0.01% to 0.03% for a low strength, 0.01% to 0.04% for a moderate strength and 0.03% to 1% for a high strength.

“When it comes to retinoids, you can only get a prescription such as Tretinoin,” says Dr Robertshaw. She suggests seeking the advice of your GP or an aesthetic practitioner who may propose starting with a low strength retinol and working your way up, getting your skin use to retinol and seeing how it reacts.

What is retinol?

Dr Helen Robertshaw, consultant dermatologist, Southface Dermatology Clinic, Dorset IG: @southfacedermatology

Retinol is a specific type of retinoid (vitamin A derivative) which is common in lots of skincare products, explains Dr Robertshaw.

“Over-the-counter products usually contain retinol, which is a weaker form of retinoid, while retinoids usually refer to stronger prescription level drugs like Tretinoin,” she says.

How does retinol help your skin?

According to Dr Robertshaw, retinol is a widely available product these days which can be easily incorporated into your daily skincare regime and produce really effective results, “As well as counteracting the signs of ageing by minimising fine lines and wrinkles, retinol and other retinoids are also used to treat acne, blackheads, clogged pores, and pigmentation issues,” she adds. “Retinol increases cell turnover and boosts collagen and the mild exfoliation makes the skin look brighter, while stimulating the blood vessels and helping with pigmentation,” explains Dr Robertshaw.

What strength do you need?

There are various strengths of retinol products on the market, and it’s important to know which strength will work best for

When should you start using retinol?

Retinol can be used on any skin tone, male or female at any time in your life! For rejuvenation effects, Dr Robertshaw recommends incorporating retinol into your regime at around the age of 30, or it can be effective for those who suffer from acne and blocked pores from teenage years. It should be applied at night, Dr Robertshaw recommends, explaining, “Retinol makes your skin more sensitive to UV rays and is also broken down by the

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rays, making it less effective, so it’s best to apply at night and always remember to wear sunscreen during the day to stay protected!”

When will you start to see benefits?

“The time it takes to see the effects of retinol depends on its strength,” says Dr Robertshaw, explaining, “With stronger products, a reduction in fine lines, wrinkles or pigmentation can be seen within three to six months. With weaker retinols and retinoids, it usually takes six to 12 months to see good effects, and these benefits will increase with time, so make sure you stick with it!”

Are there any side effects or considerations?

What can’t this ingredient improve?

Under the guidance of a skincare specialist, stronger retinols and prescription retinoids can have impressive effects on wrinkles and the signs of ageing, says Dr Robertshaw, explaining, “However, a deep fold in the skin or severe acne scarring will need specialist in-clinic treatments. If you have any concerns that might require more advanced treatments, talk to a registered aesthetic medical practitioner to discuss possible options.”

WORDS: LEONIE HELM

Retinols work by increasing cell turnover, which can cause an initial dryness that improves as you continue to use it, Dr Robertshaw says, adding, “If your skin is getting really irritated, reduce the amount you use to every other day. It is a myth that it thins the skin – it actually increases the thickness of the skin, but reduces the dead skin cells on the surface, making the skin brighter.”

Retinol doesn’t work for all skin types and it’s important to speak to your practitioner if you have a skin condition like eczema or dermatitis before you use it. “For any skin types that are dry and sensitive, it is sensible to start with a weaker strength and see how you go. Some people find it isn’t for them,” says Dr Robertshaw, adding, “It’s best to avoid certain products when using retinol, particularly other exfoliants like glycolic acid and other acids, as they could strip the skin too much and leave it sensitive.”

It’s also important to note that you should stop using both prescription and over-the-counter retinoids a few

days before treatments like chemical peels, lasers, or microdermabrasion because they have the ability to strip the top layers of the skin, which can make it more sensitive to these types of treatments, and irritation can occur. “It can make it difficult for the treating practitioner to control the depth of the peel, for example,” says Dr Robertshaw, adding, “You can resume using retinols or retinoids approximately a week after treatment.”

The use of any retinoid is also not recommended while pregnant, says Dr Robertshaw, explaining, “It has the potential to harm a foetus so always speak to your practitioner if you regularly use a retinoid product and you’re thinking of getting pregnant.”

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I THOUGHT LOSING WEIGHT WAS ABOUT WILLPOWER TURNS OUT, IT’S ABOUT SCIENCE There is more to weight than just diet and exercise Nearly 2/3rds of adults in the UK are estimated to be overweight. But, for something that is so common, it is often misunderstood, both by those who experience it and those who don’t.

Why do people carry excess weight?

It’s a common myth that excess weight is caused by a combination of eating too much and exercising too little, and that people who struggle to maintain a healthy weight just lack willpower. But the fact is, it’s just not that simple. Healthy eating and physical activity are important, but they may not be enough for some people to control their weight. There are many other factors that play a big part. For example:

Our behaviour Sleep, stress and our day-to-day lifestyle can all affect our appetite, eating habits and activity levels, which in turn can contribute to our weight.

What are the benefits of weight loss?

The really good news is that even relatively modest amounts of weight loss can lead to significant benefits and help to optimise your current and future health. Excess weight can have a significant impact on quality of life.

Areas affected by weight include:

Our genes 40% to 70% of the causes of high levels of excess weight can be attributed to your genes. A person’s genes determine how much environmental factors may impact their weight.

Our appetite signals The body makes hormones, or messengers, that control body functions, such as appetite, digestion, and metabolism. When people who are overweight lose weight, appetite signals are affected.

Self-esteem

Skin health

Acid reflux

Back and joint pain

Metabolic health

Mood disorders

Immune function

Gout

Stress incontinence

Our environment Things like how easy it is for us to access healthy foods, some medications and our living and social environments are all examples of factors that can affect our ability to manage our weight.

UK21OB00151. Date of preparation: September 2021.

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E XCLUS I VE I N S I GHT

The Secrets to Positivity and Confidence Inspiring positive mindsets with best-selling international author, presenter, inspirational speaker and charity founder Katie Piper

Despite what happened, the 37-year-old has rebuilt her life, overcome the hardest of challenges, and grown into one of the UK’s most inspirational leaders in positivity and confidence. Her passion for helping others shines through everything that she does, from her charitable work to her hopeful affirmations.

Here, she shares her secrets to a positive and confident outlook on life with Beyond Beauty, and discusses the other exciting things she has been up to.

PHOTOGRAPHY: DAN KENNEDY

Katie Piper’s story is an inspiration to all that hear it. You will have heard about her experience surviving an acid attack in March 2008, resulting in major damage to her face and blindness in one eye. At just 24 she had a huge journey ahead of her, facing 400 surgeries to help correct her facial injuries and vision.

Positive mindsets and confidence How do you stay confident and optimistic?

I think everyone needs to find their own ‘tools’. For example, what makes me feel confident is exercise, feeling healthy, having my hair done, wearing a pair of heels, and spending time working or with my girlfriends. Some of these may sound like ‘vain’, external things, but that’s not the reality. Those are just my tools to feel positive and good about myself.

I have written extensively on confidence, and I literally have a book called Confidence The Secret. I also have Confidence, The Journal because writing has always helped me, and many, many others as writing things down can really help you to process your emotions and put things in perspective. Society teaches us how we should feel and what should work, but the reality is, it’s all personal. What makes me feel confident won’t work for the next person, but that’s OK. Beauty is inside, and everyone should surround themselves with others who believe the same, and bring them light, not darkness.

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“Our superpower is that we are different, and no one else can be YOU”

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Scan the QR code to WIN, WIN, WIN!

How do you approach the bad days?

Of course, I still have bad days – I am human, and it isn’t realistic to be positive 24/7. When I have a bad day, firstly I tell myself it’s only a day, and tomorrow I’m likely to feel lighter, and more positive.

Secondly, I know what helps me to feel happier – writing, reading, exercising. When I feel down I go for a run, and I will ALWAYS feel better after a run, I feel free!

What challenges have you faced in the pandemic world and how have you kept your chin up?

It was hard during lockdown to have perspective, and we were all going through the unknown together – it was a scary time. Lockdown was mostly me at home with my family – my two little girls and my husband. Home-schooling the girls was really tough, but I enjoyed having such special, close time with them. We really went back to basics with our ‘fun times’ – baking, arts, crafts, playing dress-up, playing board games – honestly they are memories I’ll treasure forever. For me, my family, and many of my social media followers, it was very important to have that daily, and regular dose of calm and positivity. My online community also really helped me stay positive during such an uncertain time!

How did your pandemic experiences turn into you releasing your new book?

At the start of lockdown I began to do daily readings of quotes, poems, or my thoughts via Instagram – they were daily affirmations which went on naturally for months. It gave me purpose every day when I was feeling low. When I stopped gradually, I received hundreds of messages asking for me to start them back up, with people saying how much I had helped them through the difficult and dark days.

I knew I had to put all of this into a book, or something easily accessible, so these people could get hold of this every day, for that little lift they need. This is how A Little Bit Of Faith was born. It’s a book of reflection, positivity, and hope – regardless of what faith you are. I’m also working on a book for children to be released in early 2023 – I can’t give out any details yet but watch this space, I’m very excited about it!

Beauty, charity and wellbeing Can you tell us about your work with people suffering from disfiguring injuries, conditions and differences?

If you have known difference and felt difference, internally or externally, you are charged to be more aware of what others are going through. I strive to support and raise awareness of suffering across the board. I want to empower others to do the same and feel confident and happy in their own skin. Our superpower is that we are different, and no one else can be YOU. The Katie Piper Foundation (KPF) is a charity which supports burns and scar survivors. We have been operating for more

A Little Bit of Faith by Katie Piper (SPCK Publishing, RRP £14.99) is available now. Scan the QR code to enter into the draw to win one of 3 free copies!

“Beauty is inside, and everyone should surround themselves with others who believe the same, and bring them light – not darkness!” beyondbeauty.co.uk

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Enhancing Knowledge | Building Trust | Promoting Positivity

Your go-to event for cosmetic surgery, aesthetic beauty and beyond Beyond Beauty Live will be the first event of its kind connecting you to the world of medical aesthetics. Taking place on 7 & 8 May 2022, the event will allow you to discover new products and treatments, watch live demonstrations, and find out about the hottest technology and trends. This two-day event will empower you to make safe and ethical choices to finalise your all-important decision of choosing the right treatment for you.

You will leave this unmissable event with knowledge, exclusive insights and the ultimate goody bag!

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EX CLUS I VE INSIGH T

than 10 years now and two years ago we opened the UK’s first burns rehab centre. The KPF has now supported thousands of survivors – and it’s one of my proudest achievements and legacies. COVID-19 was a difficult time for many charities, including mine, so we are currently working hard on fundraising initiatives. In fact, I just ran a 10k race in aid of the KPF!

I always deep clean my skin every night – it’s a full process. I would never sleep in my makeup, I have too much respect for my skin! I need to really look after my face – it’s been through a lot and I have makeup on for work most days. When I’m not working I go makeup free to let my skin breath as much as possible. At the moment, I am using the La Roche-Posay Toleriane range for sensitive skin – it’s brilliant.

You’ve presented lots of shows that relate to the aesthetics industry, like Bodyshockers, and met so many people who have had treatments to better their lives. What’s your advice to people who are considering having a treatment?

This is very personal, and I would never give medical advice, but as I’ve said, our value in life is because we are different, and we have a story to tell. Using difficult experiences to help shape us can be magical. Whether medical or aesthetic, naturally each person needs to do their research and come to the right decision for them. Research, research, research!

Do you have any daily health or wellbeing rituals?

Overall, I am a healthy person, but balance is key – my guilty pleasures are a gin and tonic or a bar of Dairy Milk!

What’s your most important piece of advice to others?

Worry is a total waste of time. It doesn’t change anything! All it does it steal your joy and keep you very busy doing nothing.

Katie on the T V and radio

You recently became a panellist on Loose Women on ITV, congratulations! Tell us more about this and what else you’re currently up to in the TV space?

The people I have interviewed are all brilliant, and I can honestly say that. My most recent guest was Ed Jackson, a former rugby player who was paralysed by jumping in a pool – his life was changed overnight. Another amazing episode was Sue Hunter, who was diagnosed with HIV at the age of 47, and her story of survival and strength. I’ve had some brilliant guests over the years such as Matt Haig, Fearne Cotton, Maggie Oliver, Jessica Ennis-Hill, Craig David, Giovanna Fletcher, Dr Alex George, Paloma Faith and Jameela Jamil – it’s been wonderful to hear these people open up to me and my listeners.

Tell me about the future, and what other interesting things are you currently up to?

It’s been a bit of a rollercoaster recently, with the release of Little Bit Of Faith and the launch of my bedding collection with Bedeck in September, presenting Loose Women on ITV and Songs of Praise on the BBC, as well as my Extraordinary People Podcast and featuring on BBC Radio 2. I’ve also released a beauty range at Superdrug and I’m continuing my charity work, which is so important to me and to other burns and scar survivors. The real future for me is happiness!

To find out more about Katie’s projects follow her on Instagram @katiepiper_

What is your podcast ‘Extraordinary People’ about?

I started this podcast when podcasts weren’t really that popular – but I knew how big they were set to become. Its purpose is to tell the stories of extraordinary people and give them a well-deserved platform. I am so proud of the podcast – we are in our fourth series and are award-winning – it’s such a passion project and I am very proud of it. beyondbeauty.co.uk

INTERVIEW: SHANNON KILGARIFF

Thank you so much – honestly, it’s a real pinch me moment!

I’ve always loved the show and enjoyed being a guest on Loose Women so it’s a real joy to be on the panel. I look forward to more exciting shows and lively debates!

I also love being a presenter on BBC Songs of Praise. I am a Christian, so this is a natural role for me and speaking to others with faith and hearing their stories is something I really enjoy doing.

PHOTOGRAPHY: DAN KENNEDY

What does your current beauty regime entail?

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ASK THE EXPERTS

How To: Dry Brush

Have you ever heard the term ‘dry brushing’? You might think it has to do with your hair, but it is actually used for your body! Dry brushing is similar to a massage for your body, but with a bristle brush, however there are many added benefits. If you’re interested in improving your lymphatic system, helping the appearance of cellulite on your body or for some added exfoliation, then dry brushing is something you should know about.

The technique has been practiced for hundreds of centuries by many cultures, including the Egyptians, Greeks, Romans and Native Americans. It is commonly used nowadays within women’s beauty routines and is gaining popularity amongst celebrities such as Gwyneth Paltrow, Miranda Kerr and Elle Macpherson.

To find out more about brushing techniques, we spoke to aesthetic practitioner Dr Galyna Selezneva – someone well-versed and experienced in body contouring treatments – who told us all about the many benefits it can have!

Why should I dry brush?

Dry brushing is great for improving the lymphatic system in your body.

The lymphatic system is where the body flushes out toxins, waste, and other unwanted debris, so dry brushing helps to stimulate the system and enhance the detoxification process. After body contouring or fat freezing treatments, dry brushing is a great technique to enhance your results as it removes the retained water content in your body.

Another benefit of dry brushing is improving the appearance of cellulite Dr Galyna Selezneva, on the body. Cellulite can make the skin appear dimpled or lumpy, but aesthetic practitioner, Dr Rita Rakus Clinic, dry brushing can ensure the skin appears tighter and increases blood London IG: @dr_galyna flow. The appearance of pimples, dimples and bloating can also be diminished through dry brushing as it decreases the water retention in your body which contributes to these factors.

Exfoliation is another key benefit of dry brushing! It helps to remove dead skin cells through mechanical exfoliation (using the dry brush) by applying motions on the skin.

This is especially beneficial for back exfoliation as you can buy dry brushes with long handles to reach your back comfortably.

Where do I begin with dry brushing?

You can purchase this from any beauty store and depending on your budget you can buy a dry brush for £5 from your local Boots or £200 from Net-A-Porter! Dry 38

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ASK THE EXPERTS

"For a beginner, I would recommend a simple, affordable dry brush and just begin" Dr Galyna Selezneva

"Cellulite can make the skin appear dimpled or lumpy, but dry brushing can ensure the skin appears tighter and increases blood flow" Dr Galyna Selezneva

brushes can vary in quality with some bristles being made from goat-hair, cactus or natural. The handles can come in differing sizes or be travel-friendly, whilst some are vegan and cruelty-free, so it depends on the type of brush quality you are looking for. For a beginner, I would recommend a simple, affordable dry brush and just give it a go!. If you’re busy thinking of which dry brush to buy, you are already delaying the process and missing out on its benefit.

You should always dry brush before having a shower as your skin is more sensitive after applying hot water to it. To effectively dry brush, you need to brush upwards towards your lymphatic nodules which are situated behind your knees, in your groin, around your abdomen, in your armpits and around your neckline.

Begin at the ankles and dry brush in long, smooth strikes, up to your knees. You don’t need to press hard on the brush itself, just be gentle! Remember to brush the sides, outside and inside of your body. Perform circular motions on your buttocks and stomach area, but long strikes elsewhere on your body. If your dry brush has a long handle, then you can use this for your back!

A common mistake people make is getting a bit too enthusiastic and applying too much pressure to their brush. By doing this, you can create little lacerations (tearing or splitting) on the skin, so be careful of this!

How long does dry brushing take?

Dry brushing does not take long at all! I would say that between two and five minutes is a sufficient amount for a beginner. It is recommended you dry brush daily or at least between two and three times a week. You need to dry brush for a couple of weeks in order to see sustainable results, but as it’s only two minutes, everyone can easily fit this into their daily routine! Personally, I dry brush three to four times a week.

Any further advice for dry brushing?

After dry brushing, apply a good moisturiser all over the body. A lot of people forget to moisturise their body as the main focus tends to be on the face, but the body is just as important. I recommend everyone to begin dry brushing soon, it is accessible for everyone! Your skin will remain smooth for many years to come, and you will start to notice improvements, especially when you wake up in the mornings! If you continue to feel concerns with the way your body looks, seek a qualified medical practitioner to help and give advice on the most suitable treatment options for you.

INTERVIEW: ELLIE HOLDEN

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Reversing Dermal Fillers

Beyond Beauty explains why some people are choosing to remove their dermal fillers and how it works There are many reasons why we might want to reverse our hyaluronic acid (HA) dermal fillers. Maybe we don’t like the way they look anymore, maybe trends have changed, or perhaps the result is less than ideal. Plump, fuller lips for instance were a defining beauty trend of the 2010s, but arguably one of the common trends being reported by aesthetic practitioners in recent years is a move towards a more ‘natural’ look.

For those regretting having dermal fillers, have had adverse side effects, or maybe just fancy a more natural appearance, aesthetic practitioner Dr Beatriz Molina says it is possible to get your fillers removed. But how difficult is it? Are there any risks? And how does it work?

What exactly are HA dermal fillers?

To understand how HA fillers are removed, we first need to understand exactly what filler is. “Hyaluronic acid is injected into strategic areas to plump and volumise the face, helping to reduce the appearance of fine lines and wrinkles,” says Dr Molina. Most fillers are made up of naturally occurring HA, a hydrating wonder ingredient that can hold up to 1,000 times its own weight in water, helping to plump and hydrate areas of the face. The results are immediate but temporary, and the filler naturally breaks down in the body over time, lasting anywhere between three and 24 months.

Why might you want to reverse your fillers?

You might want to reverse your filler because the result is too obvious, and beauty trends are moving towards a desire for a more natural look, Dr Molina suggests. However, she says most filler reversals are a result of complications which have left patients with lumps or asymmetry. “In rare cases, too much Dr Beatriz Molina, filler might be injected, leading to uneven or aesthetic practitioner, Medikas clinics, Bristol, undesirable results. Allergic reactions are also Somerset possible, but the most serious complication IG: @medikas.medispa is a vascular occlusion,” explains Dr Molina, adding, “This is extremely rare and is the result of the injection of filler into an artery, leading to a reduction of blood flow that can cause cell death or potentially blindness if not reversed immediately.”

How does the reversal process work?

While your body will naturally break down the HA dermal filler, injections of a prescription medication called hyaluronidase will remove or ‘dissolve’ them much faster. Hyaluronidase is a naturally occurring type of protein found in the body. It is an enzyme that breaks down HA and has long been used to increase the absorption of medications into body tissues. “The enzyme catalyses the dissolution of the filler, reversing any effects within about 48 hours,” explains to Dr Molina. “With the ever-increasing popularity of HA fillers, hyaluronidase has become an essential drug in clinics, and practitioners are required to know how to administer it properly,” she adds. Prices start from approximately £250 and the process of injection lasts about five minutes.

Are there any risks or side effects?

No aesthetic treatment is completely risk free, and Dr Molina says “It’s important that you don’t view hyaluronidase injections as an ‘easy fix’ treatment. Take it seriously, getting and dissolving dermal fillers is a medical procedure. There is a small risk of an allergic reaction to hyaluronidase, so it is important your practitioner is a fully qualified prescriber and can deal with complications like anaphylactic shock – they should always have an emergency kit nearby,” she adds. Bruising and swelling are not uncommon after dissolving your fillers, Dr Molina says, “You should take it easy for a couple of days, with no swimming, saunas and strenuous exercise for roughly 48 hours.” Dr Molina also emphasises it is important to remember that it’s not recommended to get further dermal fillers until at least two weeks after your hyaluronidase treatment to ensure your body has properly healed.

Who should dissolve my fillers?

All responsible medical practitioners will have hyaluronidase on hand to dissolve fillers if any complications occur, so your treating practitioner should always be your first point of call.

Dr Molina says, “From my experience, the fillers I see that need reversing are usually complications caused by unqualified non-medical practitioners.” Dr Molina therefore recommends patients always see a registered healthcare professional, such as one on the GMC, NMC and GDC register so they are best equipped to both prevent and manage complications.

beyondbeauty.co.uk

WORDS: LEONIE HELM

Where can filler be removed?

Dr Molina says HA filler can be removed from any area it is injected, with lips and below the eyes being the most common. “The eye area is a tricky one to treat due to the thinness of the skin,” explains Dr Molina, adding, “It’s very easy for an inexperienced practitioner to make a mistake in this area. I see a lot of patients who have ended up with unsatisfactory results with under-eye fillers and have just

been living with it because they didn’t realise they can have them removed!”

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AN ATO M Y FO CUS

How Will You Age? Discover how your skin ages and what can be done about it!

Professor Firas Al-Niaimi, consultant dermatologist and aesthetic practitioner, Dr Firas Al-Niaimi, London IG: @drfirasalniaimi_

WHAT ARE THE DIFFERENT LAYERS OF THE SKIN? There are three layers to facial skin anatomy: the epidermis, the dermis and the hypodermis. The epidermis is the outermost layer of the skin, which renews every four to six weeks. This is because it’s constantly shedding dead skin cells from the top layer and replacing them with new healthy cells that grow in lower layers. As well as this, it is home to your pores, which allow oil and sweat to escape. Below this we come to the dermis, where you will find collagen and elastin, the two proteins necessary for skin health because they offer support and elasticity, underpinning the structure of skin that we see.

Beneath the dermis is the hypodermis, the innermost layer of the skin, which consists largely of fat. This is the part of your face which provides the main structural support for the skin and connects it to your muscles and bones which lie underneath.

HOW DOES THE SKIN AGE? There are two ways that our face ages: intrinsic/internal ageing and external ageing. Intrinsic ageing is something dependent on our genes and biological clock, and as we get older, we follow a natural ageing process that of course has an impact on the way we look. This tends to occur in the hypodermis where we get a decline in bone mass, bone retrusion, thinning of the muscles, and downward migration of the fat, which causes sagging and volume loss. This cannot be prevented, but it can be treated.

External ageing, which refers to the changes of the outer layer of the skin, is the type of facial ageing that we can prevent and control. Here, the skin can become dry, lacklustre, and pigmented as a result of external aggressors like pollution and UV rays, smoking, poor diet, or even through illness.

WHAT CAN WE DO TO HELP PREVENT SKIN AGEING? As mentioned, there’s only so much that we can do. We can’t stop our biological clock and we all have to age! But, in terms of external ageing, there are actions we can put in place to look after it and prevent the skin from showing obvious signs. Using the correct skincare is essential in order to protect and nourish the skin. I always recommend that my patients use a minimum of SPF 30 all year round regardless of the weather, and then go up to SPF 50 if they need protection from the sun/sunburn. It’s also important to use antioxidants. These are substances that help protect the skin’s surface from oxidative damage caused by free radicals and environmental aggressors. Existing signs of ageing can be improved by using retinols, a form of vitamin A, (which you can read all about on page 27!) as these can renew and enhance collagen production, and improve texture.

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"Using correct skincare is essential to protect and nourish the skin" Professor Firas Al-Niaimi

AN ATO M Y FO CUS

1 2 3 4 5 6

Skin Anatomy & Treatments 1.

2.

3.

4.

A healthy balanced diet, lowered sugar intake, and an exercise regime can also help improve your skin texture and prevent dryness.

5.

6.

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INTERVIEW: HOLLY CARVER

As well as skincare, there are non-invasive aesthetic procedures that can help tackle visible signs of ageing.

For example, microneedling and laser treatments can be used to increase collagen, skin thickness, and improve pigmentation; dermal fillers help to replace hyaluronic acid and increase volume loss; and chemical peels can create a smoother, less wrinkled appearance. While there isn’t much we can do in regards to ageing in the hypodermis, we can of course use botulinum toxin to relax the muscles, which in turn helps to prevent or reduce the appearance of wrinkles.

Fibroblast A type of cell in connective tissue which produces collagen, elastin and support the extracellular matrix Treatment: Retinols, microneedling, and fractional laser treatment, to help stimulate production of collagen Collagen The main structural protein in the dermis Treatment: Fractional laser treatments to stimulate production as well as microneedling and retinols Elastin A protein allowing the skin to resume its shape after stretching or contracting Treatment: Energy-based devices stimulate production Hyaluronic acid (HA) A natural substance that retains tissue water in the skin Treatment: Dermal fillers, moisturisers containing low molecular levels of HA Fat cells Cells that are primarily composed of adipose tissue, specialised in storing energy as fat Treatment: Fat transfer from elsewhere on the body, dermal fillers (fat cannot be stimulated but rather replaced) Muscles Controls of facial movement Treatment: Botulinum toxin to relax the muscles

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REAL-LIFE STORY

PRESS THE REFRESH BUTTON

Discover how a two-hour eyelid surgery can rejuvenate your eyes and combat signs of ageing The eyes are one of the most important features of the face and show the first signs of ageing for many people. As a result of the COVID-19 pandemic and the ongoing compulsory mask wearing, people started to notice their eyes more, turning to cosmetic procedures to help combat visible signs of ageing.

Last year, 352,112 blepharoplasty (surgical repair or reconstruction of an eyelid) procedures took place, resulting it in becoming the second most popular surgery performed in the US. While there are numerous non-surgical options available, from lasers to dermal fillers, surgery can be a permanent and long-lasting option. As we learn from 51-year-old Claire, undergoing extended upper eyelid blepharoplasty with brow support can give a subtle, yet refreshed look.

how the surgery would go,” Claire states.

During the consultation, Miss Murthy took Claire’s before images through a 3D Vectra imaging system which can assess the expected results of the procedure, allowing Claire to see a three-dimensional image of her eyes and the likely result. She recalls, “It was very impressive that they could do this so quickly with your images and show you the areas which needed attention. I was given all the information and consent forms after the consultation to read through at my own leisure. A Zoom meeting was organised the day before my surgery with Miss Murthy who talked me through the procedure in detail and what I could expect on the day.”

Claire before and six weeks after extended upper eyelid blepharoplasty with brow support. Results show a more lifted and refreshed upper eyelid. Images courtesy of Miss Rachna Murthy.

Before

A permanent decision Working in an aesthetic clinic, Claire has experienced aesthetic procedures previously, such as dermal fillers and botulinum toxin treatments. But this time, she was after a procedure which would be more permanent and last for up to 10 years for her upper eyelid. Claire’s identical twin sister had an upper eyelid blepharoplasty (a procedure to remove excess skin to enhance or create an eyelid crease) in 2016, and she had always admired the results, which she believes still look amazing today! Claire explains, “Having the procedure myself was always something I had thought about. I believed that the surgery was a good investment in my appearance in terms of holding back the years.

With the constant lockdowns occurring and interrupting people’s filler schedules, I thought it would be good to have a procedure which was permanent and subtle but make a huge difference to my eye area.”

Claire’s friend Julia was also interested in having an extended upper eyelid blepharoplasty and they ended up undergoing the procedure on the same day. She adds, “Julia was good friends with Professor Jonathan Roos, also a consultant ophthalmologist, oculoplastic aesthetic and reconstructive surgeon, who works alongside Miss Rachna Murthy. It was through this connection that I met Miss Murthy and as soon as I met her, I was really impressed with her professionalism and felt I was in safe hands.”

Looking to the future During the hour-long consultation, and examination of the eyes and eyelids, Miss Murthy asked Claire about her facial concerns, what she liked and didn’t like, as well as outlining the surgical process clearly.

“I had read about the procedure beforehand and knew other people who had also had the surgery done, so I knew what I was getting myself into. Miss Murthy left me feeling confident of her ability and 44

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After

A great experience On the day of her surgery, Claire arrived at FaceRestoration at Harley Street, London at 9am. Miss Murthy prescribed a prescription-only tablet to be taken the day before to minimise bruising as well as benzodiazepine one hour pre-op to reduce the sting of the needle and to take the edge off the anaesthetic. Numbing eye drops were administered to Claire’s eyes to ensure no stinging and another to last the duration of the surgery. Miss Murthy spent 15 minutes marking up Claire’s face to measure how much surplus skin to remove, correct any asymmetry in the eyelid crease and to the upper brow bone.

Claire closed her eyes, and Miss Murthy used local anaesthetic to

"It is a real investment, but it is a surgery which has results lasting for up to 10 years" Claire, 51

REAL-LIFE STORY

numb the eyelids and brow area using a very fine needle to inject under the skin with a minimal number of entry points to reduce bruising and discomfort during the surgery. By doing this, Miss Murthy explains that this controls bleeding, ensures the surgery is less painful and reduces post-op swelling.

By using local anaesthetic, Claire immediately after her extended Miss Murthy could assess upper eyelid blepharoplasty with one pad removed. Image courtesy of Claire.

Claire in her natural state and with eyelid movement; it was important to be able to ensure the eyelid position and contour were perfect with the eyes open and closed and for the eyes to remain protected. The procedure involved surgically removing any surplus skin which had been marked and addressing any bulging fat pads in the inner corner of the eyelid. Miss Murthy outlined that this is caused by the septum in the eyelid (a thin membrane which holds the fat behind the eyeball) becoming stretched through ageing. Miss Murthy strengthened the septum, sculpted the fat and muscle, and removed the surplus skin.

Music was played in the background whilst using aromatherapy to keep Claire calm. She reflects, “It was a great day, I enjoyed the whole procedure! There was no pain at all, and even though you are conscious of what is happening, you are sedated as well.

Throughout the procedure, Professor Roos and Miss Murthy, who work together, were telling me exactly what they were doing so I was well-aware.” Miss Murthy completed the procedure by stitching the area using dissolvable individual stitches.

In total, the surgery took around an hour and a half. Both eyes were covered with pads to reduce the swelling. Claire then stayed with Miss Murthy for an hour after the procedure to allow the dressing to control immediate post-op swelling. One pad was removed before she went home to allow her to see, whilst the other was to stay on overnight. The next morning, Claire was able to remove the other dressing.

An easy recovery Claire was given Purifeyes, an eye-safe, high purity hypochlorous cleansing spray which Miss Murthy personally developed with Clinical Health Technologies for the care of her patients' eye area.

Claire 12 days post-surgery with her stitches removed. Image courtesy of Claire.

The spray aims to keep the eyelid clean and can be used across the whole face and on the stitches. She says, “The spray was really nice to use. It was a way to refresh and cleanse your face whilst having the stitches. I still use it even now!” As well as the spray, Claire was also given a chloramphenicol ointment to be applied onto the eyelid to prevent scarring. Claire’s stitches were removed 12 days later with another follow-up appointment booked in at six weeks post-procedure. “I was lucky with my recovery as the day after my surgery, another lockdown happened. Prior to this, I would have been trying to work out which day I would be returning to work, however this wasn’t a problem anymore, so the recovery time was very stress-free. I’m a very active person so I was out walking my dog and doing things literally the next day,” she adds.

A refreshed result Speaking to Claire eight months after the procedure, she is thrilled with the results. She comments, “I’m so happy with the way the surgery turned out! It is fantastic! It feels so nice to put on makeup and for the makeup to stay where it is meant to. I find that I don’t need to wear as much, and eyeliner is such a joy to apply to my eyelids now.”

For anyone interested in getting the surgery themselves, Claire says, “Just go ahead and do it! It is a real investment, but it is a surgery which has results lasting for up to 10 years. People spend money on facials and face creams which are all great, but this is something which is for the long-haul. Miss Murthy was amazing and I adored her.”

Practitioner perspective Claire wanted to have this surgery as it was affecting the way she perceived herself, and she was a good example that you didn’t need to wait until the eyes become too hooded to get the procedure done. I was pleased to deliver the results Claire wished for. Listening to the patient’s requirements and delivering this is what makes a successful procedure. At my clinic, bilateral upper eyelid blepharoplasty is from £3,500, which includes the pre-operative room, facility fees, prescription drugs, two follow-up appointments and for me and Jonathan to be looking after you together.

beyondbeauty.co.uk

INTERVIEW: ELLIE HOLDEN

Miss Rachna Murthy, consultant oculoplastic and aesthetic surgeon, FaceRestoration, London IG: @drrachna_murthy

The eye area is a critical feature for showing emotion and expressions on the face. This procedure can give immediate effects and a result lasting at least 10 years. I personally believe this procedure is an extension of a ‘tweakment’ – if you are going to get a procedure done then you should choose something which will reverse the changes without causing too much destruction. An oculoplastic surgeon will have years of training followed by specialised training in oculoplastics only. They will assess the eyes before and after surgery, anticipating eye problems whilst ensuring the safety of your eyes.

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PARTN E RS H I P

T H E N E W WAY T O BOOST YOUR SKIN THIS AUTUMN

How to boost your skin from the inside out and treat the signs of photoageing following summer Up to 90% of the ageing signs on your skin stem from the effects of sun damage.

The sun, although glorious to enjoy whilst on holiday, enhances the breakdown of collagen in your skin, creating fine lines and wrinkles as well as dehydrating the skin and causing uneven pigmentation and texture. This is known as photoageing – the change in structure, appearance, and function of the skin after ongoing exposure to harmful light rays with advancing age.

So, what can be done? Emma Chan is one of the first practitioners in the UK and Ireland to use the new skin boosting product BELOTERO® Revive combined with Ultherapy®. Here she provides her ways to combat external ageing factors like sun damage, and ‘boost’ your skin from the inside out.

Collagen boosting with Ultherapy® Endorsed by model and TV presenter Tess Daly, Ultherapy® is a non-invasive treatment that utilises ultrasound technology to stimulate new collagen and elastin production. “It generates a thermal effect under the skin,” explains nurse Chan, adding, “This effect essentially jump-starts your body’s own process to create fresh, new collagen. Collagen works to give skin its youthfulness by keeping it firm and toned. As we age, and with sun damage, collagen breaks down, and the result is a loss of skin strength and Emma Chan, aesthetic nurse prescriber, elasticity. That’s where Ultherapy® steps in to lift and sculpt the Emma Chan Medical Aesthetics, Lancashire face, neck and décolletage.”

IG: @emmachan_ It is the only non-invasive treatment of its kind that is cleared by the medicalaesthetics Food and Drug Administration in the US and CE marked. In most cases, a single treatment can last for more than one year and there is minimal downtime, so you can usually get back to your regular activities straight away.

Hydration hit with BELOTERO® Revive This skin revitaliser is a hyaluronic acid gel with glycerol that works beneath the skin to improve skin hydration, reduce redness and roughness and minimise the appearance of fine lines. Nurse Chan says, “It is injected in tiny deposits just under the skin and is an excellent choice for anyone showing signs of sun damage or who wants to improve their skin’s appearance without drastic volume changes. It provides a natural-looking, enhanced skin look.” The BELOTERO® Revive treatment regimen consists of one to three sessions, depending upon the severity of symptoms, every four weeks, and results last up to nine months.

The treatment has high patient satisfaction, nurse Emma Chan says. Out of 21 patients who were treated with BELOTERO® Revive, 86% rated themselves as having an improved aesthetic outcome at six months, and 90% would recommend the product to a friend!

Before

After

Before

After

Combine for enhanced results "Together, this is an excellent combination for anyone looking for subtle skin improvements that work over time to improve skin quality.

Ultherapy® stimulates the gradual production of collagen and elastin deep within the skin, which acts as a scaffolding to support beautiful lifted and refined contours; while BELOTERO® Revive starts to hydrate the skin immediately after treatment, smoothing the skin and improving elasticity and firmness over time," nurse Chan says. She adds that she has so far seen excellent results with her patients. “When combining the treatments, I recommend Ultherapy® first, followed by the course of BELOTERO® Revive after two weeks. This enables the Ultherapy’s® collagen stimulation to occur and work in the deeper skin tissues, while the BELOTERO® Revive treatments target the skin closer to the surface.”

Of course, be sure to further prevent the effects of sun damage by applying sun protection all year round. Nurse Chan advises, “The best way to prevent sun damage is to use a broad-spectrum SPF a minimum of SPF 30. A good quality product will contain a combination of filters to absorb and deflect the sun’s rays. In addition, reducing your sun exposure and wearing a hat all help.”

How to find a practitioner Pricing for Ultherapy® starts at £500 and BELOTERO® Revive is from £350.

Treatments may not be suitable for every person and your practitioner will go through your medical history to ensure the treatment is right for you, as well as the potential side effects.

This advertorial was sponsored by Merz Aesthetics UK and Ireland Before and six months after three treatments of BELOTERO® Revive showing improvements in skin quality and fine lines due to photoageing

Before and one year after treatment with Ultherapy® showing improvements in skin quality, tightness and facial contouring

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M-MA-UKI-1515 Date of preparation August 2021

WORDS: SHANNON KILGARIFF

To find a BELOTERO® Revive practitioner, go to www.belotero.co.uk and to find a Ultherapy® practitioner, go to www.ultherapy.co.uk

M A LE FO CUS

TWEAKING THE MALE FAC E

“Do other men do this, or am I the only one?“ According to aesthetic practitioner Dr Tahera Bhojani-Lynch, this is a sentence she hears almost every day in her clinic. Aesthetic treatments are something that have always been largely associated with women, and although there have been a growing number of men interested in treatments over the last decade, statistics from the American Society of Plastic Surgeons indicate that men still only make up 8% of all aesthetic procedures. There are many reasons behind this, notes dentist and aesthetic practitioner Dr MJ Rowland-Warmann, including a negative stigma and the fear of looking over-done. So, if you’re a man considering an aesthetic treatment but are nervous to make the first move, or there’s a man in your life whose confidence could benefit from having a procedure, Beyond Beauty finds out how you can get subtle and natural looking results.!

Breaking stereotypes Dr Rowland-Warmann has found that due to this lack of conversation, men who come to her for treatment are often worried about how they’ll be perceived. She comments, “Aesthetics is a very taboo topic for men still. The phrase ‘if any of my beyondbeauty.co.uk

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Dr Tahera BhojaniLynch, ophthalmologist The Laser and Light Clinic, Loughborough IG: @officialdrtahera

Dr MJ RowlandWarmann, aesthetic practitioner Smileworks, Liverpool IG: @dr_mj_smileworks

M A LE FO CUS

mates knew I’m doing this they’d rip into me’ has been said to me quite a lot, whereas women seem to worry less about this.”

She adds that she has many different types of men present to her clinic, and there is no set demographic for who gets filler. She notes, “People shouldn’t assume that ‘manly’ men don’t get work done – everyone does! Would I say I have more gay guys or straight guys? Or more younger guys than older guys? I honestly couldn’t tell you. I have such a variety of male patients, and everyone comes in with different wants and needs. For example, a lot of men in their 20s and 30s come in to get a more defined jawline, whereas the older generation will come in for tear trough or cheek filler because they just want a bit of rejuvenation.”

One of the main problems surrounding men and aesthetic treatments is that it’s something that never gets spoken about, says Dr Bhojani-Lynch. She comments, “I had one man leave my treatment room and come running straight back, because he couldn’t believe he’d seen another man in the waiting room. He thought he was the only one! You can imagine his surprise when I told him I treat at least one man a day. If men understood that other men do have these treatments, they wouldn’t feel as embarrassed!”

Consultation options Both practitioners note that the initial consultation is a common cause of concern for a lot of male patients, but it’s not as scary as people might think! Dr Bhojani-Lynch comments, “Unless it’s a clinic branded just for men, there’s this misconception that aesthetic practices are an environment for women. So, before men walk in, there’s a degree of apprehension. I think they often wonder whether it will make them less masculine to be entering this space. Generally speaking, alpha males like to project themselves as strong people, and when you come into a clinic,

you’re essentially admitting there’s an insecurity. Showing vulnerability is something that they don’t like.”

However, scheduling a consultation can be a good way for men to enhance their understanding of aesthetics and shouldn’t be something they shy away from, says Dr Rowland-Warmann. “Men are afraid to make the first move because they don’t know what to expect,” she comments, “They don’t know whether they’ll be poked or prodded, if they’ll be embarrassed, or if they’ll be given a treatment plan that costs them loads of money. But consultations are important because they help to set expectations, and give an indication of what the end result will be. It gives the patient an opportunity to talk about what they want to achieve, be talked through the appropriate science, and given a treatment plan completely tailored to each individual case. I find that men need a bit more explanation during a consultation because they like to know exactly how the science works before they make their decisions, and having it explained in these terms can make it seem less feminine and more neutral. Aesthetics is just science and medicine – what’s so girly about that?”

For those that really hate the thought of coming into the clinic straight away, Dr Bhojani-Lynch adds that online consultations have become a lot more common-place since COVID-19. She says, “While virtual consultations started as something to fill the gap in lockdown, a lot of practices are still offering this as an option, so it can be a great way for men to make that initial contact and discuss their concerns without feeling self-conscious or judged. All you have to do is speak via something like Zoom, and if men don’t like it then they’re still in the comfort of their own home when it ends.”

Dr Bhojani-Lynch adds that after this initial consultation a rapport with the practitioner will hopefully have been built up, helping to dispel the worries of having to enter the clinic for the treatment.

What results can be achieved?

Case study 1

Case study 2

Before

After

Patient before and after 6ml of Ellansé dermal filler. After image shows a squarer and more defined jawline. Image courtesy of Dr Rowland-Warmann.

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Before

After

Patient before and after 1.2ml of RHA 4 in the cheekbones, 1ml Redensity 2 in the under-eyes, and 1ml Ellansé in the jawline. Images courtesy of Dr Bhojani-Lynch.

beyondbeauty.co.uk

M A LE FO CUS

that sharpness associated with male attractiveness. When treating a man, you never want to be adding too much volume or making anything bigger. If the practitioner would treat a male face the same way they would a woman’s, they shouldn’t be treating male faces.”

"There are so many men who have had their faces correctly treated and look extremely smart and very natural" Dr Tahera Bhojani-Lynch

If masculinity isn't the aim...

While it’s the aim of a lot of male patients to appear more stereotypically masculine, this doesn’t apply to everyone.

Dr Rowland-Warmann notes, “There are men out there who want to look more feminine, and that’s totally fine! The purpose of this isn’t to tell men how they should look, but to let them know that they have options. Getting dermal filler doesn’t automatically mean men will end up looking one certain way, and it’s completely up to the individual in question what final result you want to go for. If a man wants rounded cheekbones and a small jawline, they should go for it! But patients should always make sure exactly what they want is communicated to, and understood by, the practitioner in question.”

Results can look natural!

Choose what's right for you

So, the consultation is over – but what will the treatment results be like?

Dr Bhojani-Lynch notes that men should view getting an aesthetic procedure as a form of self-care, similar to how they would see going to the gym or buying new clothes.

She says, “Wanting to look good is universally acceptable, whether you’re a man or a woman, white or black, big or small. Getting an aesthetic treatment is just part of wanting to look good! Of course, that’s not to say every man HAS to have a treatment to be attractive, but if there’s something you’re insecure or worried about, don’t put off going for a consultation because you’re worried about seeming feminine. Dermal fillers can achieve some really great things, and having a bit of work done is absolutely nothing to feel ashamed about.” She adds that of course dermal fillers aren’t for all men. "You should always consider the potential side effects and also that there are loads of other treatments that might be better suited to you!" she adds.

Dr Bhojani-Lynch comments that another reason men can often be hesitant about getting facial fillers is the fear of looking too feminised. She says, “There is a bit of a misconception that getting fillers will make you look womanly. Unfortunately, this is because the male celebrities in the media who we know have had work done have usually lost their defining masculine features. This leads people to think ‘well if someone with that much money ends up looking bad then it obviously can’t be done correctly!’ But that just isn’t the case. There are so many men who have had their faces correctly treated and look extremely smart and very natural. The problem with these patients is that because it’s been done so well, nobody realises they’ve had any procedures at all!”

To avoid being treated in a way that makes the male face look feminised, Dr Bhojani-Lynch reminds patients not to rely on before and after images when choosing their practitioner.

Instead, she emphasises that going to a qualified medical practitioner who has extensive experience treating male patients is important. This is because the knowledge behind the differences in male and female anatomy is integral to a successful aesthetic treatment. She explains, “Male and female faces are structured completely differently, and to treat men successfully the practitioner has to understand this. Generally, women’s cheeks curve, their chins are more pointed and the brows are more arched. The space between the width of the cheeks and the jaw is smaller for men which makes the face squarer, while women have wider cheeks and a lower face that is narrower in comparison. So, if you give a man rounded cheeks, for example, he’ll lose

Dr Rowland-Warmann also emphasises the positive impact that dermal fillers can have on day-to-day lives. She says, “The notion that aesthetic treatments can change lives isn’t just something that comes from women. I hear it from my male patients too, and it really can make a substantial difference. These deliberate changes to the face can bring about so much joy, and their quality of life changes dramatically. My favourite reaction was actually the other day when one of my male patients looked in the mirror after treatment and said ‘wow… NOW I would date me!’ You can’t underestimate how much a little bit of soft tissue filler really means! So, if men are considering getting a treatment, I can’t recommend it enough.”

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WORDS: HOLLY CARVER

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PARTN E RS H I P

REJUVENATING THE MALE FACE It’s no secret that ‘Zoom Face’ has had an impact on our self-esteem and men are no exception!

Over the last year there has been a particular increase in people requesting aesthetic treatments, something that has been put down to the ‘Zoom Boom’ – a lockdown phenomenon in which video calls created a growing amount of facial insecurity. Men have also been impacted, with the British Association of Aesthetic Plastic Surgeons noting that a third of its members saw an increase in men seeking virtual consultations.1 The American Society of Plastic Surgeons also reported that patient demand for non-surgical skin tightening with little downtime has increased 600% in the past 15 years.2, As a result, radiofrequency is becoming a growing solution. But what exactly is it?

What is radiofrequency?

European board-certified surgeon Dr Yannis Alexandrides says one of the most popular treatments for men in his clinic, 111 Harley Street, is the radiofrequency device Thermage FLX®. “Many of my male patients wish to address crow’s feet and fine lines on the forehead and around the eyes, so it’s a great treatment for those who want to turn back the clock with little to no recovery time,” he explains.3 Radiofrequency is a non-invasive treatment which uses a fluctuating electric current to create heat, which gets delivered at specific temperatures to the tissues in your body. This controlled heat helps to stimulate your body to produce new collagen.4 Collagen is a natural protein in your body which gives it firmness, however once we enter our late 20s and early 30s, our collagen production starts to decline every year.5 That’s why treatments like radiofrequency which promotes collagen production can have such great results for firmer, tighter looking skin!

What can you expect during treatment?

After a thorough consultation, the practitioner will cleanse your face and then attach a return pad to your back in order to neutralise the electrical current, explains Dr Alexandrides. He continues, “We will then transfer a marking grid to the areas to be treated, which we will use as a map to identify the number of passes required.

Using the hand-held radiofrequency device, we then start to target these specific areas for a session that takes from 30-90 minutes (depending on the areas treated). Many patients report the feeling of a hot stone massage. This heat can be turned up or down according to the individual.” Patients may notice a difference to the skin immediately afterwards, but over the course of weeks there will also be a gradual improvement.6 The results of the treatment last for approximately one to two years.

Before

Before and after pictures after one session using Thermage FLX®. The image shows an improvement in the periorbital area. Photo courtesy of Dr. Mary P. Lupo (Dermatologist, USA).

How does Thermage FLX® work?

Dr Alexandrides explains that Thermage FLX® is a non-invasive monopolar radiofrequency system that targets the tissue under the skin, at a deeper level. He says, “Thermage FLX® produces a heating action and causes the skin to contract and tighten. The collagen production is also triggered, and over about six months, Dr Yannis Alexandrides plastic surgeon new collagen grows to tighten the skin 111 Harley Street, London IG: @dryannisofficial further.6 He explains that the treatment is different to the many other radiofrequency devices on the market because the output of energy is high, meaning you only need one treatment to see results.6

Patients can expect to pay approximately £1,600 for one treatment. To find your nearest clinic that offers Thermage FLX®, head to www.thermage.co.uk

REFERENCES 1. BAAPS, Zoom Boom” members survey, 2020 2. Dayan E, Burns AJ, Rohrich RJ, Theodorou S. The Use of Radiofrequency in Aesthetic Surgery.

Plast Reconstr Surg Glob Open. 2020 Aug 17;8(8):e2861.

3. M. Fritz and al. Radiofrequency treatment for middle and lower face. Arch Facial Plast Surg. NovDec 2004;6(6):370-3.

4. B. D Zelickson, et al. Histological and ultrastructural evaluation of the effects of a radiofrequencybased non-ablative dermal remodelling device: a pilot study. Arch Dermatol. 2004 Feb;140(2):204-9.

5. Ganceviciene R, Liakou AI, Theodoridis A, Makrantonaki E, Zouboulis CC. Skin anti-aging strategies. Dermatoendocrinol. 2012;4(3)308-319.

6. R. Fitzpatrick et al. Multicenter study of noninvasive radiofrequency for periorbital tissue tightening. Lasers Surg Med. 2003;33(4):232-42.

Who is suitable for the treatment?

“The treatment is suitable for a wide array of male patients and can be applied to any skin types including skin of colour,”2 explains Dr Alexandrides. However, “Thermage FLX® cannot be performed on everyone, and patients should speak to their practitioner who will determine if they are suitable," he adds.

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After

This advertorial was written and supplied by Thermage FLX®. ®/™ are trademarks of Bausch Health Companies Inc. or its affiliates. ©2021 Bausch Health Companies Inc.or its affiliates.

THR.0028.EU.21 Thermage FLX® is a medical device CE 0344 (DEKRA). Please read the Instructions for Use (IFU) for important product use and safety information.

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ASK THE EXPERTS

Lightening Dark Under-eye Circles Discover the best treatments for improving under-eye circles in darker skin tones Looking tired is a common aesthetic concern, and dark under-eye circles are a big contributing factor. While they can affect people of all ethnicities, they are often more noticeable in people with darker skin tones. According to aesthetic practitioner Dr Stephen Humble, who regularly treats patients of different ethnicities, this is due to them having a higher concentration of melanin (a natural skin pigment), which can accentuate any underlying hollowness and hyperpigmentation. The best treatment for dark circles differs between different skin tones, so Beyond Beauty spoke to Dr Humble about some of the main causes of dark circles around the eye and found out what the solutions are for darker skin.

of time in the skin cycle (the process where a new skin cell is formed and works its way up to the surface of the skin) takes to complete. While it’s effective, long-term or incorrect use can be damaging. One or two pea sized amounts should be sufficient for the entire face.”

Other tyrosinase inhibitors include kojic acid, arbutin and azelaic acid, which aren’t as strong as hydroquinone and may potentially be used over longer periods of time in patients that require ongoing treatment to prevent pigmentation returning, adds Dr Humble. Antioxidants such as vitamin C, ferulic acid, retinols, and phloretin are also very useful in helping hyperpigmentation, and can also stimulate collagen and elastin production to help plump any volume loss.

Tear trough deformity Your tear trough is the deep crease between your lower eyelid and upper cheek. Tear trough deformity refers to volume loss beneath the eye, which is caused by fat loss as we age. In non-severe cases it can be effectively treated using hyaluronic acid dermal fillers, which can be administered with Dr Stephen Humble, either a needle or cannula, explains aesthetic practitioner, Dr Humble. “My personal preference is to use Hedox Clinic, London IG: @hedoxclinic a cannula (a blunt type of needle) for skin of colour patients, because they are less likely to cause any bruising, which may appear particularly dark in skin of colour,” he adds, “The best candidates for tear trough fillers are those who don’t already experience puffiness under their eyes.”

In severe cases, Dr Humble notes that the tear trough may need to be treated using surgical techniques, but this is typically used for older patients which will be determined by your practitioner.

Before

After

This 56-year-old patient had 1ml of a dermal filler called Teosyal Redensity 2, which was injected into the tear trough to improve the appearance of the under-eye area. Image courtesy of Dr Humble.

Hyperpigmentation Hyperpigmentation refers to a condition in which patches of skin become darker in colour than the normal surrounding skin. This is more noticeable in patients with skin of colour, explains Dr Humble.

“Naturally, darker skin tones tend not to experience sunburn like those with light skin, and as such, especially during childhood, may not have necessarily had a natural prompt to wear SPF,” he says, stating that this is one reason why SPF is still important for these individuals.

“Also, many people with skin of colour have connections with hot countries and may have spent time living there or visiting regularly, thus increasing their cumulative exposure to UV light, which is one of the main causes of hyperpigmentation,” Dr Humble says.

The main treatment for hyperpigmentation in skin of colour is topical therapy, mainly skincare and eye creams containing tyrosinase inhibitors, explains Dr Humble. He says, “Tyrosinase inhibitors are what we can use to lighten the skin. The most effective and well-known tyrosinase inhibitor for skin of colour is hydroquinone. The treatment typically requires at least three months’ duration due to the length

Other options…

Other non-surgical options that can be used to treat dark circles in skin of colour include: platelet-rich plasma therapy (where a small amount of a person’s blood is taken, processed, and then injected back into their body to stimulate healing), lasers, radiofrequency devices, and superficial chemical peels. Dr Humble adds, “Not all types of lasers or peels are suitable for dark skin types, as they may cause excess hyperpigmentation, so it is important to be assessed and treated by a qualified medical practitioner who is able to determine the best treatment for you individually. If done correctly, or in combination with other treatments, cautious use of either of these methods can help produce good results.”

WORDS: HOLLY CARVER beyondbeauty.co.uk

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Pioneer and leader in non-invasive radiofrequency-based skin tightening treatments

Tighten and smooth the skin on your face, around 1,2 the eyes and on the body in one session

NO SURGERY OR INJECTIONS

A SINGLE TREATMENT

FAST AND COMFORTABLE 3

Thermage is non-invasive.

No cutting or needle is required.

One quick treatment (30 to 90 minutes depending on the treatment area) can deliver outstanding results for most patients.1,2

A short, comfortable procedure that delivers maximum results.1,3

LITTLE TO NO DOWNTIME4

IMMEDIATE AND LASTING RESULTS

MULTIPLE TREATMENT AREAS

®

Return to your activity immediately after the procedure.

The results are immediately visible and improve over time.1,2

Treats wrinkles and loose skin on the face, around the eyes and on the body.

Thermage FLX® is the latest generation of monopolar radiofrequency developed to meet your needs in a personalized way, with improved patient comfort** and safety5.

To find a clinic and find out if Thermage® is right for you, visit: www.thermage.co.uk * Sales data. ** All comparisons are made with Thermage CPT® 1. E. Finzi, A. Spangler. Multipass vector (mpave) technique with nonablative radiofrequency to treat facial and neck laxity. Dermatol Surg. 2005 Aug;31(8 Pt 1):916-22. 2. R. Fitzpatrick et al. Multicenter study of noninvasive radiofrequency for periorbital tissue tightening. Lasers Surg Med. 2003;33(4):232-42. 3. Solta Medical, 2009. Report on Gazelle Clinical Study 09100-GA-T ‘Validation of the Thermage 3.0 cm2 STC and DC Frame Tips,Comfort Software and Vibration Handpiece on the Face and Thighs’ (#09-019ER). Bothell. 4. M. Fritz et al. Radiofrequency treatment for middle and lower face. Arch Facial Plast Surg. Nov-Dec 2004;6(6):370-3.

5. Consensus Recommendations for 4th Generation Non-Microneedling Monopolar Radiofrequency for Skin Tightening: A Delphi Consensus Panel.

J Drugs Dermatol. 2020 Jan 1;19(1):20-26.

Please read the User Manual / Instructions for Use (IFU) for further details on the risks associated with these Medical Devices.

Thermage FLX® is a Medical Device CE 0344. Thermage® CPT is a Medical Device CE 0197 /™ are trademarks of Bausch Health Companies Inc. or its affiliates. ©2021 Bausch Health Companies Inc.or its affiliates. THR.0023.UK.21

®

IF Follow us on @ThermageEurope

BE AN ORIGINAL.

I N THE CLI N I C

Women In Business Four entrepreneurs offer their top tips on running a successful business Setting up your own business can be intimidating. However, being your own boss has the potential to be incredibly rewarding. Long days, inevitable setbacks, and a lot of hard work are required so we spoke to four leading aesthetic practitioners and clinic owners to get you the best advice on running your own business!

A multi-clinic owner in Ireland spills the beans on business Aesthetic nurse Anna Gunning has been a business owner for 15 years, founding The Laser and Skin Clinics, an award-winning group of three cosmetic clinics specialising in non-surgical aesthetic treatments. She is also head trainer and co-founder of Cosmed Aesthetic Training Academy.

Background I graduated as a nurse in Ireland in 1994 and spent 10 years nursing across London and the Middle East before getting into the world of aesthetics through working at The Harley Medical Group. I had acne as a teenager, and I liked the idea of getting into aesthetics to help people like my younger self.

I realised there was a gap in the market in Ireland and decided to open my first clinic in my hometown of Mullingar in 2005.

Marketing yourself My marketing strategy was very much word of mouth, and I built up my reputation by buying the best devices I could afford, doing as much training and attending as many events as possible and becoming a bit of a jack of all trades, so I could give my patients the best possible results and service.

I think for most businesses, great photography is a really useful way of getting yourself out there and building a reputation. In the beginning, I relied heavily on leaflet dropping and local newspaper adverts, and I’ve also found radio a really useful tool. Over the last four years my internal marketing team has organised national radio advertising campaigns across Ireland reaching two million people, so it’s now a constant in my marketing strategy and is a good option for all business owners to consider.

Choosing the right team By the time I opened my second business, I had definitely learnt a few things!

I’ve always been organised, but I was a complete novice when it came to business, and I had to learn the essential importance of needing strict systems in place and high-quality training for all members of staff – I really can’t stress enough the importance of a good receptionist! Make sure your staff members have diverse experience and relevant qualifications and train them to have an in-depth knowledge on all aspects of your business. I also spend a lot of time 54

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talking to all my staff to make sure everyone is happy; communication really is key here. Every team member gets a monthly one-to-one session to talk about any challenges, what’s been going really well and what the next month is going to look like. If you put time and care into your staff, you’ll get a lot back.

Work life balance Never neglect your work life balance! Both when you’re starting out and when you’ve got an established successful business, it can be really easy to burn the candle at both ends and forget to make time for yourself.

Get up early and take a moment to yourself before you start your long day. Meditate, go for a walk, do some yoga, or even just make sure you have a really good, nutritious breakfast. You’ll feel a lot less hard done by when you get home at 9pm!

If I could only tell you one thing…

Don’t rush into hiring people! Take time building your perfect team as they are the backbone of your business.

Easy to hire, hard to fire!

"A successful business requires having the best team around you, from your receptionist to your suppliers" Dr Linea Strachan

I N THE CLI N I C

Work life balance Finding the perfect work life balance is probably the hardest thing about running your own business. If you don’t take time for yourself you can end up burning out and making yourself ill, which is the worst thing you can do as a business owner, meaning you have to take time off that could have been avoided. I love animals – I have five dogs and a horse – and they force me to get out, even when I don’t want to.

If I could only tell you one thing…

Follow your passion and the rest will fall into place.

Dynamic duo tell us how they made it Dr Victoria Manning and Dr Charlotte Woodward set up River Aesthetics in Bournemouth nearly 10 years ago with the aim of helping patients restore their inner confidence. Dr Manning and Dr Woodward also run River Aesthetics Academy, training other practitioners in thread lifting and dermal fillers.

Business owner and aesthetic practitioner shares her top business tips

Background

Dr Linea Strachan is the owner of Dr Linea Aesthetics and the Dr Linea Training Academy, training other medical practitioners in advanced aesthetic treatments.

We had been working independently in aesthetics for more than 10 years when we met. as GPs. We both shared the same ethos of delivering natural treatments to empower our patients to be the best version of themselves.

We were juggling our two full-time GP jobs and felt we weren’t giving 100% to either side, so we gave up working for the NHS to focus on the growth of our clinic!

Background

Marketing yourself

I originally trained as a dentist and used to work in a dental practice, but I really wanted to set up a lovely clinic dedicated to giving patients a great customer experience and the highest quality aesthetic treatments.

So, I gradually reduced my dentistry days and started my own clinic.

Customer referral is a great way to build a reputation, which is why great customer service is paramount. I’ve found that refer a friend promotions work really well. Definitely check out all relevant conferences to your business and industry, and if they have a business section, you’ll always take away nuggets of good practice, such as new marketing tips. They can also be great networking opportunities with like-minded businesses.

A good customer relationship management system (CRM) is important from the outset so you can have a central place where you store all client and prospect data and track client interactions. It will enable you to manage relationships with you clients and help the business grow.

Marketing yourself I really didn’t know much about the business and marketing side, so I had to learn along the way. We marketed ourselves mainly through Google Ads and social media, word of mouth is also great so it’s really important to offer the best customer service so people will recommend your business to their friends and families and leave great reviews.

I went on a lot of courses, webinars, signed up to a load of relevant newsletters and attended events.

I thought, if I can learn just one thing from each resource, it’s worth it.

A successful business requires having the best team around you, from your receptionist to your suppliers.

Make sure you have a comprehensive hiring process to select the best individuals with the best training, experience, and knowledge, and make sure you look after them! Team building days and supporting their training all help to make staff feel valued and show a commitment to their personal development.

Staffing is a big issue, not only financially, but emotionally. Finding the right staff with the right ethos, customer service skills and the same passion as you can be tricky. Focusing on staff wellbeing and team building can improve performance and job satisfaction, which can reduce staff turnover. If you support your staff and use positive reinforcement, they will want to turn up to work on a Monday and do their best.

Work life balance We were talking about our work life balance recently as the COVID-19 pandemic has really brought home how important life is. Owning a business isn’t a nine to five job, it intrudes into your personal life and can affect your family life and downtime. Make adequate time in the day for admin and have a cut-off point and stick to it.

If we could only tell you one thing…

Don’t give up! Once you find something you love to do, become the best at it and continue to learn. beyondbeauty.co.uk

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INTERVIEW: LEONIE HELM

Choosing the right team

Choosing the right team

R E CIPE

HELPING PMS FROM WITHIN Nutritionist, hair loss consultant and bio-energetics practitioner Simone Thomas explains the connection between a healthy diet and premenstrual syndrome and presents a delicious recipe to get you on the right track

W

omen’s health issues are a difficult and often embarrassing topic to discuss openly.

PMS – premenstrual syndrome – is commonly joked or laughed about, but the symptoms can actually be quite severe and debilitating for many women. PMS refers to a combination of symptoms that may arise one to two weeks before menstruation begins. Research shows, that up to 90% of women of reproductive age experience several premenstrual symptoms varying from mild to severe, and according to the National Association for Premenstrual Syndromes more than 150 symptoms have been identified!

Some of these include headaches, moodiness, bloating, aching, and more as well as problematic mental or emotional changes.

Isn’t it great being a woman?

Lifestyle changes to help PMS It’s still unclear what actually causes PMS, according to Simone Thomas. She explains, “It appears that some women’s symptoms are caused by an imbalance of hormones such as progesterone and oestrogen during the menstrual cycle.

Genetics is another factor, and deficiencies of certain chemicals like serotonin and dopamine in the brain appear to contribute to PMS as well.” Simone adds that although some women can benefit from seeing a healthcare professional, lifestyle factors may also help. She says, “A well-balanced diet, regular exercise, dietary supplements, and lifestyle changes (implementing stress reduction techniques like yoga) can help support your body and mind for good overall health.”

When it comes to helping PMS, Simone says, “Alcohol and caffeine should be avoided because these substances can reduce blood flow by making blood vessels narrow, and this can worsen symptoms like cramping. Furthermore, caffeine intake increases sugar cravings and decreases vitamin B, zinc, and potassium levels. It is important to limit the intake of salty foods as well, as they can worsen bloating by causing the body to retain water. Smoking should also be avoided as this tends to worsen PMS symptoms.”

A positive diet There are various vitamins and minerals you should aim to include in your daily diet that can contribute to helping PMS, according to Simone. “The body needs vitamin B2 to convert 56

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B6 into its active form, and healthy levels of B6 improves the body’s regulation of sex hormones. Vitamin B12 heightens mood, vitamin D eases cramping by regulating calcium absorption, and vitamin E has anti-inflammatory activity that can help reduce PMS symptoms.”

Simone adds that minerals such as calcium can lessen period pain, ease headaches, and reduce mood swings. “Magnesium meanwhile can reduce breast tenderness, and zinc can enhance the production of prostaglandins (fatty chemicals in the body) that promote hormonal balance. In addition, co-enzyme Q10 boosts energy levels and omega fatty acids help target hormonal imbalances,” she explains.

Excellent sources of these nutrients include: fresh fruits and vegetables, oily fish, sunflower seeds, peanuts, potatoes, pasta, and wholegrains. “Incorporating these strategies into your daily routine can contribute to helping you overcome frustrating PMS symptoms,” Simone suggests.

Of course, lifestyle changes may only go so far and will not always help your symptoms. Those suffering with moderate to severe PMS are advised to visit their GP.

Simone’s nut roast Just hearing the term ‘nut roast’ can cause some people to run a mile. To many, it can seem uninspiring and bland, but Simone assures us that this delicious recipe is guaranteed to be enjoyed by all – even meat lovers! For someone suffering from PMS, it can be the perfect comfort food, without negative health effects. “The great combination of mouth-watering flavours and textures (like cranberries and dried fruits) makes this roast not only filling, but also delicious. This nut roast takes less than one hour to prepare and is packed with antioxidants and fibre, which are great for your health!” she says.

The best part is that you can easily freeze whatever you don’t eat and save it for another day, Simone explains, adding, “I usually make two, so I have one in the freezer for when those rainy summer days come (which seems to be a lot at the moment) and I fancy a roast with a nice glass of red wine. For those like me with kids, this is a huge hit – my two boys love this with lots of gravy, Yorkshire puddings and broccoli.”

RECIPE

Ingredients (serves 6)

• • • • • • • • • • • • • • • • • • • •

Method

1. Preheat the oven to 180°C and line a loaf tin with baking parchment.

2. Heat 3tbsp of olive oil in a large pan, add the onion, leeks, garlic and carrot and simmer for 10 minutes over a medium heat.

3. Add the chickpeas, chestnuts, nuts, cranberries, apricots, and vegetarian stock and cook for three more minutes. Set aside to cool.

4. Stir in the breadcrumbs, balsamic vinegar, nutmeg, thyme, sage leaves, eggs and cheese and season with salt and pepper.

5. Stir to mix well.

6. Spoon the mixture into previously prepared loaf tin and bake for 50 minutes.

7. Remove it from the oven, decorate with thyme leaves and let the roast cool

3tbsp olive oil 1 red onion, finely chopped 100g leeks finely chopped 3 garlic cloves, minced 1 carrot, cut into small cubes 100g canned chickpeas 180g chestnuts, finely chopped 100g mixed nuts, chopped 30g dried cranberries, chopped 30g dried apricots, chopped 100ml vegetarian stock 100g breadcrumbs 2tbsp balsamic vinegar 1tsp nutmeg 1tsp thyme 3 sage leaves 2 eggs, beaten 100g cheddar cheese, grated Salt and pepper to season Thyme leaves to decorate (optional)

Additional recipes that can help hair, skin, health and general wellbeing, as well as the Simone Thomas Award Winning Wellness Plans, can be found online – Simone Thomas Wellness NutriHome. Use code BEAUTY20 for 20% off your first purchase.

slightly before serving.

Share your Nut Roast creations on Instagram... @beyondbeauty_mag & @SimoneThomasWellness

WORDS: SHANNON KILGARIFF

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B B E XP E R IE NC ES

Reviewing The Beyond Beauty team put

FACE3

Gold Collagen

Event manager Courtney

Marketing manager Katie

Supplement: FACE3 Skinbooster and FACE3 Skinrepair Collagen Drinks

Supplement: Gold Collagen Multidose 40+

Formula: • Pansy extract to provide softening to the skin and regulate sebum • Sea buckthorn aims to moisturise the skin and heal agerelated damage • Hyaluronic acid and vitamin C to promote new collagen production

Formula: • Biotin, which contributes to the maintenance of skin, hair and energy yielding metabolism • Borage oil, an essential fatty acid helping with inflammation linked to ageing • Hyaluronic acid, which provides moisture retention, leaving skin looking plump and hydrated • Marine hydrolysed collagen to support the skin and help preserve firmness and elasticity

Review: The biggest change for me was to my hair and nails.

Typically, I have brittle nails which would break easily, however, since taking the supplement, my nails have been strong for six weeks. My skin was more consistent with less breakouts throughout the three months of taking the supplement. I found my skin had a better tone with less blotchiness. I would continue taking the supplement in the future.

Review: After three months of taking the supplement, I noticed that my skin felt hydrated and moisturised throughout the whole day. The supplement comes in a liquid format in a bottle that I kept in the fridge and added a teaspoon to my water every morning. I would strongly recommend this supplement to friends and family.

Bonus: My hair has grown and is shinier which I have loved since taking the supplement.

Bonus: The taste of the supplement was refreshing and tasted a bit peachy, which I enjoyed!

Where to buy: You can find the supplement on the Trimedica website: www.trimedica.co.uk

Where to buy: You can find the supplement on the Gold Collagen website: www.gold-collagen.com

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B B E XP E R IE NC ES

Results

supplements to the test

Medical-Up

Totally Derma

Sales executive Chloe

Business development manager Jude

Supplement: Re-Collagen

Supplement: Totally Derma Nutraceutical Collagen Supplement

Formula: • Amino acids such as glycine, proline and hydroxyproline aim to stimulate synthesis of collagen • Vitamin C and E along with hyaluronic acid and silica to strengthen hair, nails and skin • Hyaluronic acid to maintain moisture retention on the skin and promote wound healing processes

Formula: • Arthred collagen formula to maintain and promote collagen and cartilage tissue throughout the body • Hyaluronic acid to hydrate the skin and support collagen and elastin within the skin • Grape seed extract, an antioxidant to boost collagen development and help the renewal of skin cells Review: It was my first time trying a full three-month course of a supplement, so I was excited to add it into my daily skincare regime. I noticed that my skin felt softer and not as dry as it usually is. I could see a clear difference in my hair and nails as well as feeling brighter in the mornings! I am super happy with the overall results.

Bonus: The supplement is plant-based so is suitable for both vegans and vegetarians, so anyone can use it.

Bonus: I loved that the supplement was sugar free, so it is great if you are trying to steer clear of consuming a lot of sugar.

Where to buy: Products from Medical-Up are only available for purchase through a clinic. To find the one closest to you, visit the Medical-Up website: www.medical-up.co.uk

Where to buy: Products from Totally Derma are only available through a clinic. To find the one closest to you, visit the Totally Derma website: www.totallyderma.com

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INTERVIEW: ELLIE HOLDEN

Review: Since using the supplement, I have noticed a huge difference in how my skin looks. My skin is usually dry and dehydrated but I now have a healthy glow – my skin looks firmer, and my nails are stronger. I’ve also received a lot of compliments on how long and thick my hair looks - it’s grown a lot more quickly than it used to since using the supplement over the last three months.

PARTN E RS H I P

REJUVENATING YOUR SKIN WITH LASER Reduce facial wrinkles and skin irregularities by getting a laser facial When you hear the word ‘facial’, you probably don’t think of ‘lasers’. Instead, you probably think of a beauty treatment which uses various skincare products to freshen up the face. However, laser facials do exist, and they can target deeper layers of your skin to rejuvenate and address common concerns such as pigmentation, fine lines, and more!

How a laser facial works Lasers work by delivering strong beams of light into the skin and stimulating the cells that are in the deeper layers, waking up the skin cells to produce more collagen, something which depletes by 1-2% every year from our mid 20s, causing us to look older and accentuate our skin concerns.

While traditional laser treatments use photothermal (light and heat) action, skin rejuvenation can be achieved using a photomechanical (light) effect, through ultra-short pulses (flashes of light). These short pulses of micro-fine laser light reach deeply into different layers of the skin, treating the support structure. The body’s natural healing process then gets rid of older, damaged tissue and rebuilds it with fresh, new collagen and elastin, creating a plumper, healthier, and more youthful appearance.

Try the PicoSure laser facial One type of laser facial treatment is PicoSure. Although the treatment is most commonly used on the face, the device can also be used to treat the neck, décolletage and hands, and each session last approximately 30-60 minutes. Depending on the patient, two or three sessions may be needed to achieve optimal results, and these will be spaced apart by three or four weeks.

However, everyone’s skin is different, and your treatment provider will be able to give you a bespoke personalised plan. The main results of the treatment are boosted elasticity and collagen, clearer complexion, reduced pigmentation and smoothing of fine wrinkles.

The thought of a laser facial can sound quite intimidating, but most people who undergo the treatment experience no pain and describe treatments as feeling like the snapping of a rubber band, Before

and they’re really pleased with the results. Your treatment provider may offer numbing cream to minimise discomfort. Although it may not be as relaxing as the facials you’re used to in a beauty salon, it will be better for your skin in the long-term!

After the facial, most patients experience only one to three hours of minor swelling and redness. Because the PicoSure laser doesn’t burn or damage the surface of the skin you can resume your usual skincare routine and wear makeup immediately after the treatment. Maintenance for the treatment will typically be needed every three to six months.

Practitioner perspectives

Dr Asif Hussein aesthetic practitioner, Dr H Consult, London and Surrey IG: @drhconsult

Miss Sherina Balaratnam surgeon and cosmetic doctor, S-Thetics, Beaconsfield IG: @sthetics_clinic

While some lasers aren’t suitable for darker skin types, Dr Asif Hussein explains that the key difference with PicoSure is that it’s not a heat-based laser. He comments, “This means that whether you have the lightest or darkest skin types you can be effectively treated by a laser facial. PicoSure also targets pigmentation concerns like freckles, sunspots, and other discolouration, without disrupting your natural overall skin tone.”

In Miss Sherina Balaratnam’s experience, the PicoSure offers a comfortable experience for patients. She says, “Unlike most other lasers, PicoSure doesn’t use heat to stimulate skin, so you can have a highly targeted PicoSure facial with less discomfort or downtime. Afterwards you will reap the benefits of a smoother and more even-looking complexion.”

After

Patients can expect to pay £300 for one PicoSure treatment.

To find your nearest PicoSure provider scan the QR code.

This advertorial was reviewed and funded by Cynosure

Patient before and three months after three PicoSure laser facial sessions. Results show an improvement in wrinkles, texture and pigmentation.

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WORDS: HOLLY CARVER

BB RECOMMENDS

OUR TOP PICKS

Discover the books, podcasts and TV shows worth your attention

The Mid-Point Reaching middle-age can cause some people to have what’s known as a ‘mid-life crisis’ and seek change and new challenges. British TV presenter Gabby Logan talks to well-known faces about their own midlife challenges and expectations, drawing advice from sleep gurus, nutritionists and doctors specialising in hormone treatment. Past guests have included Ruby Wax, Rio Ferdinand and Tess Daly. You can listen to Season 3 for free on Spotify now!

Sparking Joy with Marie Kondo

An Insider’s Guide to Cosmetic Surgery If you are thinking of having cosmetic surgery but not sure of the ins and outs, then An Insider’s Guide to Cosmetic Surgery is a great beginner’s guide! It’s written by cosmetic surgery coach and nurse prescriber Isobel Wood, who has more than 30 years of experience and has worked as a practice nurse to some of London’s most illustrious plastic surgeons, assisting with nursing care, treatment and education to patients. Her step-by-step guide will take you through how and what to look for in a surgeon, through to questions to ask in your consultation and how to plan your post-op recovery. You can purchase the book now through Amazon for £12.99!

Aesthetic Medicine Uncovered Beyond Beauty is the perfect resource to read all about the exciting and real-life stories within the aesthetics specialty, but what about listening to it? Aesthetic Medicine Uncovered – The Patient Perspective is produced by aesthetic clinic Clinetix discusses topics including advice for patients in their 30s and 40s, safety in aesthetics and natural lip augmentation. You can listen now on Spotify!

You Do You: How to Be Who You Are by Sarah Knight It can be difficult to put time aside to focus on yourself, especially with busy schedules, commitments, socialising with friends and family. You Do You helps you shake off those expectations and start looking out for number one.

Discussing careers, finances, and health, Knight details her own mistakes and embarrassing scenarios in a quest to ‘do her’. You can buy the book now through Amazon and other bookshops from £11.

Headspace Headspace enables you to introduce mindfulness and meditation skills into your busy schedule, direct from the experts. The app helps you release tension with at-home workouts and 28-day mindful fitness courses. Download the app for a seven-day free trial through the App Store or Google Play. You can watch a range of Headspace episodes on Netflix to learn more.

Do you find it hard to declutter your belongings or do you think you might be a hoarder? In her new Netflix series, Marie Kondo applies the KonMari Method to businesses and relationships.

Throughout the process, viewers can step into Marie’s own home, meet her family and get a glimpse into how she sparks joy in her life. You can watch the show now on Netflix.

Our top fellows to follow @drtapanp – aesthetic practitioner who also features in 10 Years Younger in 10 Days! @carolinehirons – follow for skincare tips, tricks and recommendations @lisa_snowdon – weekly IGTVs on the menopause and self-care @trinnywoodall – talks all things fashion, skincare and makeup

YOUR TOP PICKS If you have any recommendations that you think we need to try out, send your review to the Beyond Beauty team at hello@beyondbeauty.com WORDS: ELLIE HOLDEN

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Game Time!

Search for top treatments

by Teoxane!

Where are we?!

• Teoxane • Hyaluronic Acid • Dermal Filler • RHA Serum • Advanced Filler • Deep Repair Balm

SCAN ME

Scan to find out what Teoxane dermal filler is right for you!

This advertorial was written and funded by Teoxane UK

teoxanetreatments.co.uk

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DISCLAIMER: The editor and the publisher do not necessarily agree with the views expressed by contributors and advertisers, nor do they accept responsibility for any errors in the transmission of the subject matter in this publication. In all matters, the editor’s decision is final.

Reputable Organisations The companies and associations that put safety first in aesthetics The non-surgical aesthetics industry is completely unregulated in the UK. Virtually anyone is allowed to perform cosmetic treatments such as dermal fillers and toxin after just a short day of training, which can put you at risk.

While it’s not compulsory for aesthetic practitioners to be a member of any of the groups detailed below, knowing they are can give you some reassurance that the practitioner you have chosen to have treatment with is working to high standards and aims to put your safety first. A number of the groups have advised the Government on regulation and are spear-heading campaigns to improve aesthetic practice.

A note from us…

There are many organisations that do great work to support the aesthetic specialty, while others may have questionable motives. All those listed here have been selected by the Beyond Beauty team following long-standing trusted relationships.

Of course, Beyond Beauty and the organisations mentioned cannot guarantee that members associated with them comply with all standards set, so those seeking aesthetic treatment are always encouraged to do their own thorough research before choosing a practitioner.

We would always encourage you to undergo injectable aesthetic treatment with a medical practitioner who has appropriate insurance cover. To ensure your practitioner is medicallyqualified and does not have any restrictions on their practice, you should look them up on the relevant regulatory body register. These include the General Medical Council, the Nursing and Midwifery Council, the General Dental Council and the General Pharmaceutical Council.

FOR MORE INFO ON EACH GROUP VISIT WWW.BEYONDBEAUTY.CO.UK

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