LIVE TO 100 WITH DR HILARY JONES
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Live to 100 with Dr Hilary Jones
Your 68-page beauty guide
Be Healthy in
PAMPERING • TR EATMENTS BEAUTY • COS METIC SURGERY
A GUIDE TO HEALTH TOURISM
What Weight Loss Method
Live Longer My Way!
is Right for You?
With Me, Dr Hilary Jones D I A B E TE S
A LLERG I E S
H E A RT H E A LTH
SPRING 2018 | £3.99 ISSN 1758-597X
D ENTA L C A R E
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Product users reported after using the products within the range for 8 weeks:4 99% of product users agreed helps soothe irritations 98% of product users agreed diminishes visibility of the pores 98% of product users agreed improves skin complexion 94% of product users agreed absorbs excess sebum 91% of product users agreed is long-lasting and mattifying 91% of product users agreed visibily reduces the appearance of blemishes 94% of product users agreed regular use helps prevent new blemishes from appearing, helps reduce dark marks and provides visibly clearer skin1,2 1) Clinical grading, lesion count, n = 40 females and males (12–44 years) with acne-prone skin, application once daily on the face in the evening for 8 weeks, BDF data on file. (2) Product in use test, n = 80 females (15–40 years) with acne-prone skin, test period 8 weeks, BDF data on file.  Self-grading on a 10-stepscale -: n=37 females and males (18-35 years, mean age 26.2), with acne-prone skin, application of product twice daily in the morning and in the evening for 8 weeks, BDF data on file.  Product in use test, n=80 females (15-40 years) with acne-prone skin, test period 8 weeks, BDF data on file
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Chasing Health & Wellbeing
This issue of Live to 100 focuses on the importance of eating well, taking care of our bodies through exercise and spotting the signs of ill health
Images: REX FEATURES
elcome to another issue of Live to 100, the magazine dedicated to inspiring people to lead healthier lives. As we embark into 2018, it’s important to take a minute to think about the health of our nation. Even though life expectancy has increased—mostly due to advancements in healthcare and better knowledge of various conditions—many serious, chronic concerns still remain today. Obesity and diabetes figures are both on the rise. With our health service so stretched, it’s crucial we take our health into our own hands and promote self-care. Whether that is watching calorie intake, exercising more, spending time outdoors or attending important health checks when they’re due, we can all endeavour to start 2018 the right way—by prioritising our precious physical and mental health. This jam-packed issue of Live to 100 takes a look at the most common chronic conditions and how to manage them, the major food groups and the road to a strong, healthy heart.
The complete fertility and pregnancy guide enclosed within these pages will provide knowledge, advice and support for individuals wishing to conceive. And—for the first time ever— an exclusive medical tourism section will give you the facts and figures and all you need to know about receiving medical care abroad. We hope that in the following pages you’ll find the right inspiration and motivation to turn 2018 into your healthiest year yet. •
DR HILARY JONES Guest Editor www.drhilaryjones.com
Live to 100 with Dr Hilary Jones | 5
10 THE YEAR OF GOOD HEALTH
Britain’s favourite TV doctor, Dr Hilary Jones, talks with Annalisa D’Alessio about the NHS, obesity and the key screenings everyone should be doing
Fitness & Nutrition
18 WHAT DIET IS RIGHT FOR YOU?
With obesity rates rising in the UK, it has become more important than ever to take control of our eating habits
20 EXPLORING THE FOOD GROUPS All the food we consume comprises of four main nutrient groups: carbohydrates, protein, fibre and fat
22 PROBIOTICS & YOUR GUT
What are probiotics and how can they benefit your health?
24 CHOOSING FREE-FROM FOODS Is it possible to have a well-rounded diet with a food allergy or intolerance?
28 GET INTO GEAR
We divulge the multiple benefits of cycling to motivate you to get into gear this year
30 FITNESS CLASS CHECKLIST
Read our easy gym workout guide for the complete fitness routine
32 GIVE YOURSELF A BODY MOT
Your body needs regular maintenance. Give yourself an MOT with our handy tips
34 IMMUNISATIONS FOR EVERY AGE We provide the ultimate checklist of the vaccinations that are offered by the NHS 6 | LIVE TO 100 WITH DR HILARY JONES
36 OUT OF THE ORDINARY
We explore complementary and alternative medical treatments
38 ALLERGIES: SYMPTOMS, TRIGGERS & EARLY EXPOSURE Allergies affect one in four people, but can early exposure help to reduce the climbing rates of allergy sufferers?
41 THE SKIN YOU'RE IN
Skin comes into contact with germs and toxins—how can we keep it in top shape?
48 TROUBLESHOOTING HAIR
PROBLEMS Live to 100 takes a look at common hair issues and how to solve them
51 SLEEP TIGHT
We investigate the vast benefits of sleep and how our sleeping habits can be improved celebrityangels.co.uk
Mum & Baby
69 FERTILITY & PREGNANCY
Trying to conceive isn’t as easy as it may first appear, but there are positive steps you can take to improve your chances
78 ALL YOU NEED TO KNOW ABOUT IVF In vitro fertilisation is one of the many options available to help couples with fertility problems have a baby
83 CHOOSING ADOPTION
Whether you’ve decided to adopt following infertility or merely want to expand your family, the commitment is momentous
85 WATCHING CLOSELY
20 54 SAFEGUARDING ORAL HEALTH
Good oral health can boost selfconfidence and contribute to overall physical wellbeing
56 THE HUMAN GENOME &
OUR HEALTH We can now learn more about our health and how to prevent diseases than ever before
58 7 WAYS TO AVOID CANCER Experts estimate that over four in 10 cancer cases can be prevented 62 THE ROAD TO A HEALTHY HEART The health of your heart is hugely dependent on the lifestyle you lead
66 KEEP CALM AND DEFIBRILLATE
When cardiac arrest strikes, it is vital that we act fast. But how many of us would know exactly what to do?
Keeping an eye on your little one— whether they’re in or out of the womb— is essential for safeguarding their health
86 PLAY DATE
Parents are prioritising literacy and numeracy skills over their children’s playtime—but could this be damaging?
89 SAFETY FIRST
Appropriate car seats are imperative for your child’s safety while travelling
91 RELIEVING BACK PAIN
According to Arthritis UK, about onethird of adults living in Britain are affected by back pain
94 COMMON ORTHOPAEDIC CONDITIONS We uncover today’s most common orthopaedic complaints and their treatments
97 LOSING SIGHT OF EYE HEALTH
Poor eye health can have a profoundly negative impact on our general health
LIVE TO 100 WITH DR HILARY JONES | 7
UNDERSTANDING DIABETES Gathering the right information on what diabetes is, the risks involved and what to expect is key to managing it
HEALTH TOURISM IN... SWITZERLAND Switzerland is a sought-after destination for affluent health tourists
COMMON CHRONIC CONDITIONS We unearth the psychological and physical effects of suffering from some of the most common chronic conditions
HEALTH TOURISM IN...CYPRUS This country has a lot to offer tourists— including private medical care
A WEIGHTY DECISION Deciding to undergo any weight loss procedure is a monumental commitment
HEALTH TOURISM IN...NORWAY Norway is a surprising option for patients in search of high quality medical treatments
THE M WORD Though it is an inevitable natural process, the menopause can be a time of deep anxiety and distress THE INS & OUTS OF HEALTH INSURANCE Nowadays, insuring our home and car is a no-brainer…why should our health be any different?
PROTECTING YOUR LOVED ONES Life insurance is an important part of financial planning
AFFAIRS IN ORDER Sorting out your will in good time is crucial whatever your age
Medical Tourism AN INTRO TO HEALTH TOURISM We provide some facts and stats to educate those who are looking to travel overseas for their healthcare requirements
BEAUTY TREATMENTS 149
THE RIGHT SPA TREATMENT FOR YOU We take a look at the various treatments on offer at beauty salons and spas
ALL NATURAL THE ORIGINAL Green PeelTM HERBAL PEELING TREATMENT offers an alternative to chemical face peels
SAVING FACE The first tell-tale signs of ageing typically occur in our mid-30s, but is there anything we can do to prevent the early onset of unsightly wrinkles before then?
ON THE HUNT FOR PERFECT SKIN A solid beauty routine can help keep skin smooth, firm and healthy, but common skin problems can occur anyway
SKINCARE MENU Using the right products for your skin type is imperative
HEALTH TOURISM IN...CROATIA We investigate Croatia’s growing potential for medical tourism
HEALTH TOURISM IN...GREECE With rising private healthcare costs in the UK driving patients to seek treatment abroad, what does Greece have to offer?
LUSCIOUS LOCKS The quest for full, shiny hair is a lifelong one—read on for the best salon treatments for healthy tresses
ALL AFLUTTER Considering lash extensions? We give you the run-down on this treatment
8 | LIVE TO 100 WITH DR HILARY JONES
Images: Shutterstock; 123rf
celebrity PUBLISHER & CEO Kevin Harrington EDITOR Annalisa D'Alessio
SUB EDITOR Kayley Loveridge
188 DEFINE YOUR FEATURES
FEATURES WRITER Phoebe Ollerearnshaw
The results of face sculpting can be achieved in a variety of ways
191 EYES MATTER
An effective procedure, laser eye surgery can make individuals less dependent on glasses and contact lenses
192 WHO'S HAD WHAT?
We shine a light on some of the most popular surgical and nonsurgical cosmetic procedures among celebrities
195 THE BREAST DECISION
NON-SURGICAL PROCEDURES 172
AVOID A BOTCHED JOB We speak with the national register of accredited practitioners, Save Face, about the lack of legislation in the non-surgical cosmetic industry NON-SURGICAL WEIGHT LOSS ALTERNATIVES We guide you on some of the most innovative ways to reduce fat without the worry of invasive surgery
BANISH VARICOSE VEINS Varicose veins can be damaging to your skin and self-esteem
THE PERFECT POUT Lip enhancements have never been safer, more affordable or accessible
There are various reasons why women may wish to undergo breast augmentation procedures
198 DAZZLING SMILE
We explore cosmetic dentistry, uncovering what this industry has to offer
200 LET'S FACE IT
Facelifts are among the most popular cosmetic surgery procedures in the UK for both men and women
203 COSMETIC SURGERY AFTERCARE Cosmetic surgery patients can play an active role in their recovery
208 PRODUCTS & SERVICES
Our pick of the best products and services that will help you lead a healthy lifestyle
ART EDITOR Friyan Mehta
EDITORIAL ASSISTANT Maria Mellor PRODUCTION DIRECTOR Joanna Harrington PRODUCTION COORDINATORS Chloe Adegoke Joel Simpson OFFICE COORDINATOR Adam Linard-Stevens PUBLISHED BY Celebrity Angels Â© 2018 all rights reserved
Live to 100 with Dr Hilary Jones Celebrity Angels Suite 2, 143 Caledonian Road, London, N1 0SL Tel: 020 7871 1000 Fax: 020 7022 1694 For sales enquiries call: 020 7871 1000 All material in Live to 100 with Dr Hilary Jones is wholly copyright and reproduction without the written permission of the publisher is strictly forbidden. The views expressed in this publication are entirely those of the authors and do not necessarily represent those of Celebrity Angels. The information in this publication is carefully researched and produced in good faith, however, neither the publisher nor the editors accept responsibility for any errors. The Celebrity Angels Series is published in the UK under licence by Damson Media Limited. Damson Media Limited is registered in England and Wales under registration no. 07869300. Disclaimer: Live to 100 with Dr Hilary Jones has been produced as a family health guide. It does not constitute professional medical advice. In no way does this publication take away your responsibility to seek professional medical advice should you have concerns regarding your health. Please visit your GP should you require professional medical advice.
LIVE TO 100 WITH DR HILARY JONES | 9
The Year of
Good Health Britain’s favourite TV doctor, Dr Hilary Jones, talks with Annalisa D’Alessio about the NHS, obesity, the nation's silent killers and the key screenings everyone should be doing
10 | LIVE TO 100 WITH DR HILARY JONES
Q: How has the state of general practice changed since you started out? HJ: In my early days as a GP, we still had personal lists. We don't deliver babies that grow old with us anymore, neither do we carry out minor surgical procedures or do many house calls and it’s a shame. GPs now tend to sit in a surgery looking at a computer and seeing a conveyor belt of people with medical problems. So much of the excitement and challenge of general practice has gone. I think that's one thing that’s changed for doctors. There are doctors who have special interests but it’s becoming harder to be a GP with a special interest, such as infertility, rheumatology and heart disease. General practice has changed and now I see
they’re talking about more consultations being carried out virtually on Skype and things…but you can’t do a cervical smear by Skype and you can’t examine somebody’s enlarged spleen or lymph glands online. For me, we’re getting further and further away from the doctor you go and see and talk to about your concerns. It’s not entirely satisfactory and it may be the future, but it’s not a future that I embrace as a doctor that wants to get things done properly. Q: So it really is about getting more GPs into the profession… HJ: Absolutely. I just had a thought yesterday as I went to get my hair cut. There are eight hairdressers in my town; it’s a little town, by
Q: Let’s start off with a hot topic at the moment. The NHS is stretched and struggling. What are your concerns regarding this and how did we get to this point? HJ: The NHS has been underfunded by successive governments for several years. Also, we’ve already got so much admirable efficiency in the service compared to other industries but there is no spare capacity such as resources and beds. All it needs is an epidemic of flu or a bad winter and we go over the tipping point and are in a real crisis. It’s not just in emergency care, it’s in general practice and social care, too. We’ve got patients in hospital who could be looked after in social care but we haven’t got the beds. That's why we’ve got people waiting in ambulances to be admitted and others lying in corridors to be treated as well but ultimately, they’re being treated without the dignity and respect that they deserve. It's a problem that’s been ignored despite protests from various Royal Colleges for many years and it’s only getting worse at the moment because GPs are retiring early and young doctors are not choosing to go into the profession. There are many GP surgeries closing down without being replaced. That means more people go to hospital increasing the pressure further on hospitals. Staff are doing their utmost to keep their heads above water but they’re struggling and morale is at rock bottom.
the way. And there’s one GP surgery. Everyone can get their appointment today if they want to get their hair cut…but if you want to see a doctor when you’re worried, you might have to wait three or four days. What’s important is that we have to readdress this balance of supply and demand. People are always going to have medical problems and the NHS should be able to be on top of people’s medical complaints quickly and urgently to sort them out. The more patients have to wait, the higher the chances of something being harder to treat.
We need more mental health services and resources and people getting involved. We need to break the stigma of mental health
Q: What are some things we can do as patients to ease the burden on GPs? HJ: I think all of us need to take more responsibility for our own health; that's the first step. If we look around, we have 67 percent of the adult male population either overweight or obese. As well as 57 percent of the adult female population and 30 percent of children aged two to 15. This is a massive problem that is stirring up all sorts of issues for the future. While we make poor choices about our diet and amount of exercise we do, we are becoming a fatter and sicker society. We can change that by making decisions today and teaching our children what’s healthy and what isn’t. The government and food and drink industry can do a great deal more. It’s scandalous that they’re advertising sugar and sugary products to the population— they don't need it, although they crave it. That's something that can change. The second thing
that can change is for people to learn how the system works best. Yes, if it's a minor ailment, pharmacists are well placed to advise and then GPs can be consulted with. But you need to use the system well, you need to be patient, get your appointment, prioritise what your problems are and don't be tempted to take three children with you and ask for them to all be seen at the same time. Follow your GP’s advice; don't take medication that you don't need and don't pressure the doctor for antibiotics that you don't need. We all need to be more responsible and part of that responsibility is to appreciate how hard doctors and nurses work. I would like to see more stringent punishment for people who abuse staff, who punch nurses and who are violent toward medical staff. There’s something
everyone can do. We can also lobby our ministers and say: ‘Look after the NHS, it’s one of the precious jewels we have in this country and we need to protect and preserve it.’ Q: Using the system well is definitely important. What NHS services do you wish patients used more or took more advantage of? HJ: I wish they took more advantage of mental health services and services that can help them with weight loss. The trouble is that mental health services are incredibly stretched. We need more mental health services and resources and people getting involved. We need to break the stigma of mental health. Of course, with the obesity and diabetes epidemic we need people to vigorously tell more people to do more exercise and make better food choices. We need to put pressure on councillors and ministers to stop so many fast food shops from opening up on high streets and replace them with delicatessens and greengrocers. Q: GPs are stretched for time. A 10-minute consultation is not long enough for patients to have a proper conversation with their doctor. What steps can patients take to make the most out of their appointment? HJ: They can write down what the nature of the problem is and bring with them a diary of what the problem is, when it started and what Live to 100 with Dr Hilary Jones | 11
To help maintain healthy
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makes it better or worse. It makes it easier for the doctor if he knows exactly what the problem is. In a way, it’s like the patient helps the doctor with the investigation rather than the patient coming in and having a vague idea of what’s wrong. It saves time.
When people get moderately fit they look back and think: 'I can't believe how awful I felt a year ago. I'm so pleased I'm in this place.' But it does take time
Q: What is your biggest health worry and concern for the younger generation? HJ: Mental health. I’m extremely concerned that there is so much use of technology and it’s killing communication amongst young people. I meet a lot of young people who find it difficult to hold eye contact and find it difficult to describe their feelings. Young people who don't have any real friends, only have virtual friends at the end of a phone celebrityangels.co.uk
or an iPad. The inability to mix with others physically is of real concern. It's fuelling a mental health crisis, fuelling bullying online, lowering self-esteem and pushing individuals to become withdrawn and isolated. I’m horrified at how unfit some of the younger generation are—they’d rather watch sport on TV instead of participating in it. At that age, why would you change to live the life of someone incapable of movement and miss out on the excitement of physical activity? Q: What about for the older generation? HJ: The older generation has lived through quite a lot of hardship in their life. They are better placed to keep things in perspective. They may become isolated and withdrawn through no fault of their own but if you give them the opportunity to communicate, they’re interesting and good at it. They have increasingly complex medical needs as they get older, but these days most of those conditions are fairly manageable. People living into their 90s and later can enjoy a pretty good quality of life right up until the end. Even 20 years ago, people were living with chronic problems and not having a very good time during the last decade of their life. Now they can still enjoy it. That’s something that’s encouraging, but we need to deal with the isolation issue. We need to make sure the elderly are looked after by society, as they deserve to be.
Q: Are there any health-related New Year’s resolutions you think everyone should have? HJ: Definitely. 2018 should be the year people think about what they’re eating. Asking themselves: ‘How much sugar is in this, how much fat is in this, how much nutrition is in this and how much am I drinking? Can I look after myself better by making some better food choices?’ Engaging in new hobbies and pastimes that make them physically more active. Whether it’s getting a dog and walking every day, signing up to a marathon, a day in the garden, or the 3 Peaks Challenge or the great north swim. This is something you can do with friends and have a fantastic time while getting fitter. When people get moderately fit they look back and think: ‘I can’t believe how awful I felt a year ago. I’m so pleased I’m in this place.’ But it does take discipline. Q: In your opinion, what’s the biggest silent killer affecting our nation? HJ: There are a few, but I guess high blood pressure would be one. Hypertension, hypercholesterolemia—abnormal blood fats that people won't know about until it’s too late. Obesity and diabetes…of course. There are probably half a million people with undiagnosed diabetes whose health is deteriorating as we speak. There are millions of people with obesity which will cause not just psychological problems but physical Live to 100 with Dr Hilary Jones | 13
Q: Do you have a health mantra you’d like to share with readers? HJ: My own health mantra is exercise over medication. I would much rather prescribe somebody a course of exercises and physical activity than any drug. Medication should be a last resort—lifestyle adjustment should be the first. But so few people are willing to do it. With back pain, for example, millions of people suffer from back pain. Rather than taking medication for pain relief and having epidurals and surgeries, just enroll on a Pilates course and spend 20 minutes a day doing some specialist exercises. It’s amazing how many people can overcome their problems with a little bit of self-discipline.
My own health mantra is exercise over medication. I would much rather prescribe somebody a course of exercises and physical activity than any drug. Medication should be a last resort—lifestyle adjustment should be the first
problems such as heart disease, stroke and diabetes. Five percent of cancers are linked to obesity. These are some of the ‘silent’ things going on unnoticed but that have a significant impact on our health.
Q: Are there any key health check-ups and screenings that you think people should be doing every year? HJ: I think everybody should know what their blood pressure is, everyone should know what their cholesterol level is. Everyone should check their BMI. But even better than their BMI, the simpler thing is their height-to-waist ratio. If your waist measurement is less than half your height, you’re fine—it's as simple as that. You’ve got to have a urine check for sugar; you should also have an eye check every couple of years, and your hearing checked after the age of 45. You should also, after the age of 60, have a prostate check if you’re a man. For women, regular cervical smears and if they are over 50, get a mammography. Of course, people should be aware of the common symptoms of common cancers and report to their GP when they've got any concerns. •
14 | Live to 100 with Dr Hilary Jones
Q: What are the five key priorities for living a longer and healthier life? HJ: Regular exercise is at the top of the list and healthy diet a close number two. Love and laughter are really important and that's number three. Never take life too seriously. We get bogged down in the little minutia of things that irritate us but, actually, in the great scheme of things, they are not important. People get sidetracked and angry about the little things. Don't get angry. Change things but don't bother getting angry. Being nice to people, having a laugh and having fun with people is very therapeutic. Love and laughter…that’s a big number three. Four would be giving something back. Be generous to people, including strangers. Be warm and friendly. Treating people as we ourselves want to be treated. That can give people a good inner glow and make them feel good about themselves. Number five for living a longer and healthier life, I think, is probably spending more time with nature. It sounds a bit lame, it sounds a bit Californian, and I don't mean ‘hug a tree’. Get out into the fresh air and turn your face to the sun sometimes. Get away from the smog of the city and go and do some hiking and walking. Go look at the sea and the mountains and remember we are part of a bigger universe. It is something that is good for our spirit. That in itself keeps us feeling young at heart.
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is Right for You? Navigating the weight loss and diet arena can prove to be diﬃcult, but with obesity rates rising in the UK, it has become more important than ever to take control of our eating habits
PALEO DIET So-called because it claims to follow the allnatural ‘hunter-gatherer’ diet of our ancestors before the development of agriculture some 10,000 years ago. The paleo diet comprises of ‘hunted’ foods such as grass-fed meats and fish, and ‘gathered’ foods like nuts, seeds, fruits and vegetables. Strict followers of the diet eliminate common carbohydrates such as potatoes and wheat. Advocates suggest that it aids in long-term weight loss and reduces the risk of diabetes and heart disease. However, further scientific studies are needed to substantiate these claims. While the plan encourages people to eat fruits and vegetables and reduce processed foods, some experts are concerned that eliminating
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essential food groups like carbohydrates may have a negative impact on health.
SLIMMING WORLD Slimming World has gained immeasurable popularity over the years. The organisation’s system is simple: swap high-fat foods for naturally filling low-fat options from a list of ‘Free Foods’ including rice, pasta, vegetables, fruits, lean meat and fish. The Slimming World diet is designed to help participants lose one to two pounds a week and involves weekly group meetings that offer weigh-ins, support and advice.
THE 5:2 DIET In the 5:2 diet, participants may eat as they normally would for five days a week but must restrict calorie intake to 25 percent of normal consumption during the remaining two. The 5:2 diet is based on the principle of intermittent fasting which some claim helps to prevent conditions including heart disease, cancer and Alzheimer’s. Be mindful that studies surrounding this type of diet are limited. Participants should also be careful to avoid deficiencies and dehydration on fast days where meals are skipped.
THE ATKINS DIET The Atkins diet was originally designed by physician Dr Robert Atkins. The four-phase diet is based on the principle that participants may eat foods rich in protein and fat but must limit their carbohydrate intake. The theory
behind this is that in lieu of carbohydrates, the body will burn fat for energy instead. In the first phase, dieters must restrict carb intake to under 20 grams every day for the first two weeks. As time goes on, participants may slowly introduce healthy carbohydrates back into their diet. The 'fat versus carbohydrates' debate has been ongoing in medical communities for decades, however, and critics of the diet have suggested that its high fat allowance would negatively impact health. With this said, a 2003 study published in The Journal of Clinical Endocrinology & Metabolism found that women placed on a low-carbohydrate diet lost 2.2 times as much weight in six months compared to women placed on a low-fat calorie-controlled diet.
BACK TO BASICS Structured diets like the ones mentioned provide easy-to-follow plans that offer a network of support. While these elements can be valuable to individual motivation, they can also be costly and unnecessary. Cut back on processed foods high in sugar and fat and increase your daily consumption of fresh fruits, vegetables and lean protein. In tandem with an exercise regime, this simple approach to dieting can help to significantly reduce weight without the hefty price tag. The NHS also offers a free 12-week weight loss plan for those seeking guidance when losing weight. Participants receive an information pack for each week of the programme containing food advice and tips for maintaining weight loss. •
ur modern diets are often saturated with processed foods, trans fats and E-numbers; coupled with our increasingly sedentary lives, our bad eating habits are contributing to a major ill health epidemic. According to the NHS report Statistics on Obesity, Physical Activity and Diet—England, 2017, a shocking 58 percent of women and 68 percent of men in the UK were overweight or obese in 2015. Obesity is closely linked to severe diseases including diabetes, coronary heart disease, stroke and some cancers. The diet market has long infiltrated our culture and society, but which ones are the most effective in achieving weight loss and promoting healthy living in the long-term?
FITNESS & Nutrition REMEMBER Consult with your doctor before starting any weight loss programme
DID YOU KNOW? Almost 50% of UK adults* tried to lose weight in 2016 Source: Mintel (*Based on a survey of 2,000 people)
26% Images: Shutterstock
of adults report eating the recommended 5 portions of fruit and veg a day Source: Statistics on Obesity, Physical Activity and Dietâ&#x20AC;&#x201D;England, 2017
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FITNESS & Nutrition
he majority of fad diets claim that cutting out a major food group from your regime will lead to a healthier life. The Atkins diet advises participants to cut out carbs; the ketogenic diet involves increasing fat consumption; the low-fat diet advises to eliminate fats. With such conflicting messages, it’s hard to know which method to follow. Live to 100 takes
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DID YOU KNOW?
Sugar is classified as a carbohydrate. When carbohydrates are digested, they are broken down into glucose. However, the body absorbs sugar very quickly, causing spikes in energy and blood sugar. It is possible to be healthy without sugar in your diet—as long as you eat the recommended amount of carbohydrates
in order to have a healthy diet. In reality, carbohydrates are an essential source of energy. They can be found in a great variety of food such as bread, pasta, fruit, vegetables and legumes. Avoid refined carbohydrates such as white bread and white rice as these may take less time to digest and leave you feeling hungrier than usual.
PROTEIN Where carbohydrates have been demonised, proteins have been glorified.
a look at the major food groups to see what may help or hinder you on your journey to a healthier lifestyle.
All the food we consume comprises of four main nutrient groups: carbohydrates, protein, ﬁbre and fat. Live to 100 takes a closer look at the essential building blocks of a healthy diet
Are carbohydrates really the ‘demon’ that extreme dieters make them out to be? There are several reasons why carbohydrates have a bad reputation, but you don’t need to avoid carbs altogether celebrityangels.co.uk
FITNESS & Nutrition There are an incredible amount of products on the market to help you add more protein to your diet. This is because protein is the building block of healthy bones, blood and skin and aids in the wound-healing process. It also helps to build and maintain muscles, which is why it has been lauded by bodybuilders for decades. The UK government’s dietary guidelines state that men only need 55.5 grams and women 45 grams of protein per day. Include sources such as meat, fish, eggs or beans and legumes with every meal. Those who do a lot of exercise are advised to consume the recommended amount of protein every day to prevent muscle deterioration.
FIBRE GOOD TO KNOW Carbohydrate sources: brown bread, brown rice, oats, beans Protein sources: meat, fish, eggs, dairy Fat sources: avocados, olive oil, nuts Fibre sources: fruits, vegetables, wholemeal grains
FAT Say the word ‘fat’ and it makes people want to run for the hills. Surely fat can’t be good for you? There are three types of fat to be conscious of: saturated fat, unsaturated fat and trans fat. Saturated fat and trans fat are found in unhealthy, processed foods such as cakes and some types of meat—try
to limit your intake of these foods where possible. Good fat is actually essential in providing the body with energy and aiding it in the absorption of certain fat-soluble vitamins including vitamins A, D, K and E. Include a good amount of unsaturated fat in your diet by eating fatty fish (like salmon), avocados and nuts.
According to NHS Choices, on average, people in the UK don’t eat the daily recommended amount of fibre. It is advised that individuals eat around 30 grams per day, but most people tend to only eat around 18 grams. Fibre is key to a healthy, balanced diet as it may go some way in preventing conditions such as diabetes, heart disease and some cancers. Fibre can be found in plant-based products such as fruits, vegetables and grains. This food group is not actually digested or absorbed by the body, meaning that it will reduce the risk of constipation and leave you feeling fuller for longer.
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FITNESS & Nutrition
Probiotics & Your
Probiotics have been subject to a huge amount of media attention in recent years, but what are they and how can they beneﬁt your health?
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NATURALLY PROBIOTIC FOODS Miso
Made from fermented soybeans and grains, this Japanese seasoning is used to flavour a number of Asian dishes. The fermentation process means that miso paste is rich in enzymes that aid digestion and contains millions of organisms that are almost identical to those that naturally live in the large intestine. These microorganisms develop during the fermentation process, resulting in a paste that also includes B-complex vitamins and essential minerals such as calcium, iron, zinc, copper and magnesium. The components of this paste contribute new bacteria to the intestinal colonies.
Yoghurt Many types of yoghurt have live active cultures contained within them. Some
of the most common bacteria found in such yoghurts are streptococcus thermophilus and lactobacillus. A typical portion of probiotic yoghurt will usually contain billions of bacteria that may help to encourage the metabolism of sugars and fibre within the body. Due to the influx of brands delivering probiotic yoghurt, it is worth shopping around to compare the sugar content and other dietary factors. Most brands supply probiotic yoghurt in a variety of interesting flavours, making it an easy component to add to your daily diet.
Kefir This slightly tangy, sippable milk drink also contains a number of live active cultures. In comparison to probiotic yoghurt, kefir is actually a more potent source of similar bacteria. An average cup of kefir contains between eight to 11 grams of protein (depending on the
robiotics are live bacteria and yeasts that can be found in foods or taken as supplements. When consumed, these ‘friendly bacteria’ are said to rebalance the gut’s microbiome—its community of microorganisms. Generally, it is agreed that this helps to facilitate the body’s natural digestive processes. There are also claims that probiotics can improve the symptoms of wider gastrointestinal disorders. At present, it is difficult to ascertain which of these claims are accurate. The NHS states that there is some evidence to support probiotics’ beneficial effects on antibioticassociated diarrhoea (AAD), infectious diarrhoea, irritable bowel syndrome (IBS), lactose intolerance and pouchitis. To reap the benefits of probiotics, try incorporating these naturally probiotic foods into your diet.
FITNESS & Nutrition
PREBIOTICS VS. PROBIOTICS In short, prebiotics are specialised plant fibres that nourish beneficial microorganisms. Unlike probiotics—which introduce more bacteria into the gut—prebiotics act as a fertiliser for the good bacteria that already exists in the gut, promoting growth, mainly in the large bowel and colon
brand), which is very filling. The method of making kefir is one of the other key differences between it and yoghurt. There is some evidence to suggest that kefir is a good option for people who are lactose intolerant because the lactose is broken down during the fermentation process. If you suffer from an intolerance, always check with your doctor before trying a new product.
lactobacillus plantarum. According to the National Centre for Biotechnology Information, these bacteria may help improve digestion and prevent intestinal infections. While sauerkraut has a number of good dietary qualities, it is also extremely high in sodium—a 50-gram serving contains approximately a third of your recommended daily allowance. •
Research on probiotics and their beneﬁts is still in its infancy. As probiotics are classed as a food, they do not undergo the same rigorous testing that medicines do. This lack of regulation means that huge disparities can occur between products. According to the NHS, claims that probiotics can boost the immune system, cure babies with colic and treat irritable bowel diseases (IBDs) are unsupported
Sauerkraut Cabbage has numerous beneficial properties; along with being antiinflammatory, it also contains vitamins A and C. When cabbage is fermented, live bacteria are produced, giving sauerkraut its health benefits. This food product has a mildly sweet smell but a sour taste. There are usually four main types of lactic acid bacteria found in sauerkraut: leuconostoc mesenteroides, lactobacillus brevis, pediococcus pentosaceus and
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FITNESS & Nutrition
Is it possible to have a well-rounded diet with a food allergy? Live to 100 explores 'free-from' foods
Exclude The first step to choosing free-from products is to find food that either naturally or coincidentally does not contain the ingredients that you are allergic to. Whether you are lactose intolerant or allergic to shellfish, there are products that don’t contain that specific allergen— fresh fruit and vegetables being a prime example. Be careful to check labels as there could be products that you’d be surprised to see contain allergens—for example, sausages may contain gluten as a binding agent. 24 | Live to 100 with Dr Hilary Jones
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Remember Always check the ingredients listed on products before eating them—it’s better to be safe
Replace Products that obviously contain allergens—such as bread for the gluten intolerant or milk for the lactose intolerant—can be replaced with alternatives. Head down to the ‘free-from’ section of your local supermarket to see what is available. Usually you’ll be able to find pasta, cakes, cereal and sauces. They may not taste exactly like their standard counterpart, but they’ll allow you to consume a normal and full diet without feeling restricted. Thanks to recent diet trends that cut out dairy and gluten, there are plenty of new and innovative products that those with intolerances can now eat. From ice cream to pesto, it’s now easier than ever to find replacements for foods that you may not have previously been able to eat.
n recent years, it seems to have become fashionable to consume a diet that eschews gluten or dairy products. While not everybody who follows this path actually has a food intolerance, this new trend has been hugely beneficial to those who do. The free-from food market has boomed with a great variety of alternative foods now on offer. No longer do consumers have to stick to basic rations to avoid the risk of eating hidden gluten or dairy—now there are whole shelves dedicated to free-from foods. Use the following three methods for a well-rounded diet: exclude, replace and reinvent.
FITNESS & Nutrition
REINVENT Even with an allergy or intolerance, it is important to eat the right amount from each food group to maintain a healthy diet. Just like a vegetarian would seek alternative sources of protein, people with an intolerance must replace allergens with appropriate alternatives. Make sure that avoiding foods with allergens is not having a negative impact on your health or nutrient intake. Gluten-containing foods make up a significant proportion of carbohydrateheavy foods. Despite what fad dieters would have you believe, carbohydrates are a vital source of energy. Potatoes, quinoa and brown rice will give you a sufficient amount of carbohydrates. Likewise, those with lactose intolerance may be missing out on a key source of calcium. Salmon, kale and orange juice are great alternatives that you can consume to reduce the risk of calcium deficiency. Don’t be afraid to get creative in the kitchen; you would be surprised by what you can do with unusual ingredients.
SALT AND SUGAR Be careful—once an allergen is taken away from a food product, manufacturers tend to replace it with alternatives that will not only be tasty for the end consumer, but also economically viable. Salt and sugar are easy fixes to the flavour problem, but too much can be unhealthy. The recommended daily allowance for adults is six grams of salt and 30 grams of sugar. Be careful to check the salt and sugar content of the food you buy to make sure you are not consuming too much. • celebrityangels.co.uk
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WHAT IS AN ALLERGEN? The Food Standards Agency (FSA) list 14 ingredients that are considered allergens which must be highlighted on food packaging: • Eggs • Milk • Fish • Crustaceans • Molluscs • Peanuts • Tree nuts • Sesame seeds • Cereals containing gluten • Soya • Celery and celeriac • Mustard • Lupin • Sulphur dioxide and sulphites
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Why Ride Electric?
TSE which delivers a new urban cycling experience. Raleigh have just launched a ‘first of its kind’ adventure bike, Mustang Comp Electric. Designed for the real world of getting to work or grabbing some fun at the weekend, it is a hybrid bike built for speed and agility. Boasting all the features that make adventure bikes so popular, the Mustang Electric has been specifically developed to find the perfect balance between road and off-road riding. E-bikes assist you up to the legal limit of 15mph. They are classed as a standard bicycle so no licence or insurance, allowing you to get straight on and discover your electric smile!
E-BIKE HEALTH BENEFITS
he world of the electric bike can be a bit of a daunting one with the different models, systems and battery types to consider. The growth of electric bikes has taken the UK by storm and it’s predicted to continue increasing rapidly over the coming years. We caught up with the Terry Blackwood at Raleigh to find out more about the cycling revolution.
WHAT IS AN E-BIKE? An e-bike or electric bike has an electric motor attached meaning struggling up hills and against headwinds is a thing of the past. The motors are either in the hub of one of the wheels or attached to the pedals. The motors are powered by a removable battery pack that typically provides power for 75km of cycling in one charge.
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HOW DOES IT WORK? The e-bike senses how hard you are pedalling and then adds the amount of power you need. With an e-bike you can return to the saddle successfully, even after a long lay-off. You certainly don’t need to be a die-hard cyclist, nor do you need to be super fit.
DIFFERENT KINDS OF E-BIKES Even in the Raleigh collection there are multiple different models of e-bikes to meet all price points and differing riding styles. There’s the stylish Raleigh Array which is ideal for people looking to get back into the saddle after a few years out. Then there’s the sportier Raleigh Strada
A low impact activity, cycling including e-cycling offers a great muscle workout whilst increasing stamina, strength and aerobic fitness. Cycling means you can build regular exercise into your daily routine without really noticing it and with an e-bike you can go further for the same effort. E-bikes allow you to go further and ride for longer. Low intensity exercise over a longer period is great as can mean less impact on joints and knees and reduced muscle stress. Regular cycling on your e-bike can help both your physical and mental health– reducing body fat, improving cardiovascular fitness, muscle strength, posture and co-ordination. It’s also a great stress beater and a sociable activity too! Add to all this the fact that e-bikes are great fun to ride and quite a different experience than riding conventional bikes as it means you can relax a little and enjoy the beauty of your surroundings. •
Get Further Go Electric www.raleigh .co.uk
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FITNESS & Nutrition
Get into Gear We divulge the multiple beneďŹ ts of cycling to motivate you to get into gear this year
he NHS is currently suffering a pandemic of preventable illnesses that are connected to physical inactivity. With conditions such as heart disease and diabetes on the rise, it is more important than ever to encourage the public to get active. While every sport has its own merits, cycling is said to be one of the most beneficial. Seeing the potential of this pastime, the UK government has invested in promoting cycling in recent years. Londonâ&#x20AC;&#x2122;s Santander Cycles scheme is a perfect example of this; it involves 70 docking stations and over 11,000 bikes around the capital. Such strategies allow people to rent a bike at a low cost. Bike share systems have also begun to pop up in Britain, with companies such as Nextbike appearing in Glasgow and Mobike in Manchester. Still not convinced? Read on for the multiple ways cycling can enrich your life and even improve the environment around you.
Images: Images: Shutterstock Shutterstock
Cycling is said to burn around 500 calories per hour. If done on a regular basis, this could significantly contribute to weight loss.
BUILDS MUSCLE The body works a number of different muscles when cycling. These include 28 | LIVE TO 100 WITH DR HILARY JONES
FITNESS & Nutrition the quadriceps in the thighs, the gastrocnemius and soleus muscles in the calves and the gluteus muscles in the buttocks. Over time—and with regular cycling—these muscles will grow, tone up and strengthen.
CUTS HEART DISEASE AND CANCER RISK Cycling is an aerobic activity that can improve the cardiovascular system by pumping blood around the body. This can effectively reduce the risk of developing heart disease and various types of cancer.
COST-EFFECTIVE With local transport fares steadily rising, swapping your yearly ticket for a bicycle can work wonders on your wallet. Furthermore, there are now systems in place that are designed to help employees obtain a bike more easily—the Cycle to Work scheme being one of the most effective.
GOOD FOR THE ENVIRONMENT Road traffic is a major source of pollution. If more people opted to cycle, the environment would dramatically benefit in terms of reduced carbon emissions, noise pollution and congestion.
LOW-IMPACT EXERCISE Cycling is a low-impact exercise, which means it is kinder on your joints than other activities. Cycling is also unique in the way it gives you the power to determine your gear, speed and resistance—allowing you to follow a regime that adheres to your fitness level.
IMPROVES MENTAL WELLBEING A study conducted by the YMCA in 2016 reviewed 1,000 UK adults. It found that people with physically active lifestyles had a wellbeing score that was 32 percent higher than those with inactive lifestyles. •
BIKE SAFETY CHECKLIST
• Build your conﬁdence gradually. • Always assume you cannot be seen by motorists. • Dont weave in and out of lanes unnecessarily. • Keep away from kerbs. • Respect the big vehicles. • Ensure you can see the wing mirrors of the vehicle in front of you. • Check out training options. • Choose the right bike for you. • Invest in a well-ﬁtting helmet. • Ensure you can be seen. This safety checklist was provided by Raleigh UK's Michelle Jakeway.
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FITNESS & Nutrition
Fitness Class Checklist
Complete with cardio, core, arm and leg exercises, this routine is suitable for anyone who wants to get into shape. Aim to do at least 20 minutes of cardio three times a week. As for strength exercises, try to get through three sets of 15 repetitions—with a 45-second rest period between each set—two to three times a week
Squats Whether you’re using dumbbells or just your body weight, this activity will increase the strength in your legs, knees and hips. Stand with your feet slightly wider than your hips and point your toes outward. Look straight ahead, keep your spine in a neutral position, focus your weight on your heels and keep your body tight. Breathe in, break at your hip and push your butt back keeping your back straight.
Cardio Without cardio, the body’s efficiency would inevitably decrease. It helps keep our heart, lungs and blood circulation in top shape and lowers our risk of developing conditions like heart disease, diabetes and Alzheimer’s. The more intense exercise you perform, the fitter you’ll be—whether you’re running on a treadmill, cycling or on the cross trainer.
This exercise will work your glutes. On a soft mat on the floor, get into a kneeling push-up position with your arms shoulder-width apart. Lift your right leg until the hamstrings are in line with the back, always maintaining a 90-degree angle bend. Contract the glutes and hold for a couple of seconds. Go back to the initial position, repeat with the left leg.
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A high intensity cardio exercise, jumping rope will improve your overall fitness, help you burn calories and aid your metabolism. Employ the Tabata protocol: jump rope at the highest exertion for 20 seconds, rest for 10 seconds and repeat eight times. This can also be done with other high-intensity workouts such as jumping jacks, step ups and shadow boxing.
FITNESS & Nutrition
Lunges Keep your body straight, shoulders back and chin up. Pick a point to stare in front of you, step forward with one leg and lower your hips until they’re bent at a 90-degree angle. Ensure your knee is parallel above your ankle—not pushed out too far—keep your weight on your heels and push back into the starting position. For a bigger challenge, use dumbbells and a weight bench.
Plank Get into a push-up position on the floor, bend your elbows at 90 degrees, resting your weight on your forearms. Keep your elbows directly beneath your shoulders and body in a straight line. Hold for as long as you can and repeat three times with a 30-second break.
Dumbbell kickback Tricep extension Hold a dumbbell and stand straight; your feet should be shoulder-width apart. Extend your arms upward and start lowering the dumbbell with your elbows pointing forward. Raise the dumbbell to the starting position whilst squeezing the triceps.
Grab two dumbbells, bring your torso forward and slightly bend your knees. Bring the elbows up—until your arms are parallel to the floor— and kick back until your arms are extended. Lower the weights to the start position.
Renegade row Place two dumbbells on the floor shoulder-width apart. Stand in a push-up position with your hands holding the weights. Lift one weight up towards the side of your body whilst balancing on your opposite hand and foot. Hold for one second and return to the starting position. Repeat on the other side.
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Shoulder press Stand with your feet shoulderwidth apart, holding a dumbbell in each hand. With your palms facing forward, position the dumbbells at your shoulders. Push the weight up, fully extending your arms. Lower them back down to your shoulders and repeat.
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Give Yourself a
Like anything, your body needs regular maintenance and care. Give yourself a body MOT with our handy tips
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eople of all ages should practice self check-ups between regular visits to the doctor. It can be reassuring to confirm that your body is working as it should. If a problem is detected, you’ll have the opportunity to nip it in the bud and continue with your healthy lifestyle.
Look out for...
Position yourself in front of a mirror in a well-lit room to inspect your eyes closely. Healthy eyes should be framed by firm eyelids with evenly spread lashes, there should be no swelling or redness. Test your vision by using a downloadable eye chart; print this off and tape it to a windowless wall. With the help of a friend, cover one eye and have them point to each line whilst you recount the letters you can see.
Check your heart rate by placing two fingers on one side of your windpipe. With a stopwatch, count the amount of beats for 15 seconds. Multiply this number by four to determine your heartbeat per minute. The average healthy resting rate is between 60 and 100 beats per minute. Monitor the rhythm of your heart as well; instead of counting the beats, check that they occur at a steady pace.
Look out for...
Look out for...
If you discover redness or extreme irritation around the inner lid, this could be a sign of ectropion, a condition in which the skin on the lower eyelid droops outwards. Ectropion is an age-related condition that can lead to corneal damage. Missing lashes and a persistent lump are also signifiers of more serious conditions. If any such symptoms arise, they should be looked at immediately by a doctor. With the sight test, if an adult cannot read the 20/20 line with both eyes, they should book an appointment with their optometrist.
If your heart rate is over 100 beats per minute, consult with your local physician. If you notice that your heart rate is elevated in certain environments—at work, for example— you may need to consider some stress-
If you spot any new growths, dry skin patches, uneven skin tone, lumps and asymmetrical or discoloured moles, get them examined by a doctor. Moles that change in appearance or any brown or pinkish bumps can be an indication of melanoma—a type of skin cancer.
relieving techniques. Any fluttering or irregular rhythms should not be ignored; this could be a sign of arrhythmia—a heart condition that can lead to stroke or cardiac arrest.
TEETH AND GUM CHECK Use a disclosing tablet or solution to check that you are brushing your teeth properly. Start by brushing and flossing as usual. Then swash the solution around your mouth or chew the tablet, moving the stain through your mouth before spitting it out. The stain will illuminate the areas of plaque buildup. You should also inspect the rest of your mouth carefully to ensure it is healthy and clean, paying close attention to your gum line.
Look out for... Bleeding gums, lumps or thickening on the tongue, open sores and discolouration could all be areas for concern. If these appear during your selfassessment, arrange a check-up with your dentist. Likewise, if you notice that a large amount of plaque buildup is present on your teeth, you may need some expert advice on how to tackle the problem. •
SKIN CHECK Take some time to run your fingers over your skin to check for textural and visual irregularities. Both men and women should concentrate their focus around the breast tissue; men should also take time to examine their testicular area. Use a handheld mirror to inspect your back and other hard-to-reach places. The skin should be clear, even in colour and free from rashes and new markings. celebrityangels.co.uk
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Immunisations for Every Age
Live to 100 provides the ultimate checklist of the vaccinations that are routinely oﬀered by the NHS and the ideal age at which they should be given
accines are essential to promoting the health and wellbeing of the overall population and preventing outbreaks of illness. They work by providing our body with active immunity—protection against diseases that are produced by our own immune system. This form of protection can be made of inactivated organisms and toxins. Individuals should ensure to
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get all vaccinations delivered on time for maximum protection.
EIGHT WEEKS The 6-in-1 vaccine—which protects against diphtheria, tetanus, whooping cough, polio, Haemophilus influenzae type b (known as Hib) and hepatitis B—is usually given as a single jab to babies aged just eight weeks. Other vital immunisations for this age group
Some of the most common side effects of any vaccine include headache, fatigue, muscle and joint pain, shivering, mild fever and reactions such as pain, swelling and redness around the injection area. Although less common—this only occurs in less than 1 in a million cases—vaccines can also cause anaphylactic reactions (allergic reactions). These are very serious and should be treated immediately by a healthcare professional Source: NHS
WHEN TRAVELLING Some vaccines—such as hepatitis A, typhoid and cholera immunisations—are necessary for travelling to certain locations and should be available free of charge from your local surgery. Others, such as yellow fever vaccination, are only available privately Source: NHS
from dangerous and potentially fatal pneumococcal infections that can lead to pneumonia, septicaemia, brain damage and meningitis. Over 60s will only need a single vaccination—it is not given annually like the flu jab.
65 AND OVER
include the pneumococcal (PCV), rotavirus and MenB vaccines.
12 WEEKS At 12 weeks, babies are usually administered the second dose of the 6-in-1, PCV and rotavirus vaccines.
16 WEEKS At this stage, babies are given a third dose of the 6-in-1 vaccine and the second dose of the PCV and MenB vaccines.
ONE YEAR A third dose of the PCV and MenB vaccines are administered along with the measles, mumps and rubella (MMR) immunisation given as a single jab. Babies aged one are also given the fourth dose of the Hib vaccine as well as a first dose against meningitis C.
TWO TO EIGHT YEARS Children aged two to eight are offered a yearly flu vaccine that is administered as a nasal spray. As well as protecting against the flu, it also helps prevent celebrityangels.co.uk
potentially dangerous complications arising from the flu like bronchitis and pneumonia. This immunisation will usually be administered at a local doctor’s surgery by a practice nurse.
GIRLS 12-13 Girls aged between 12 and 13 are given the human papillomavirus (HPV) vaccine, which protects against cervical cancer, over two injections given six to 12 months apart. This vaccine is especially important—over 99 percent of cases of cervical cancer are caused by HPV.
14 YEARS Adolescents aged 14 will be given a single jab—called a 3-in-1 booster—containing immunisations against diphtheria, tetanus and polio. The MenACWY jab against meningitis types A, C, W and Y is also administered.
60 YEARS The pneumococcal (PPV) vaccine is the most common jab given to seniors aged 60. It protects individuals
Seniors aged 65 years and over are eligible for a yearly flu jab on the NHS. Individuals in this age group are considered ‘at risk’ as they are more likely to develop complications of flu such as pneumonia. Flu jabs will be administered in local pharmacies, doctor's surgeries and midwifery services (for pregnant women).
70 YEARS AND OVER The shingles jab, a vaccine to prevent the common skin condition, is available on the NHS to certain people in their 70s. This vaccine is also necessary at ages 78 and 79 as a catch-up. The immunisation stops being available for free on the NHS for individuals aged 80 or over.
SPECIAL GROUPS In some cases, there are vaccinations available to ‘at risk’ groups that aren’t available to everyone on the NHS. These include the flu jab and whooping cough vaccine for pregnant women. People with long-term health conditions and individuals with weakened immune systems are also entitled to the yearly flu jab on the NHS. In certain cases, the chickenpox vaccine and the tuberculosis jab are also administered to certain ‘at risk’ groups. • LIVE TO 100 WITH DR HILARY JONES | 35
Out of the
We explore the most common complementary and alternative medical treatments used in the healthcare industry today
lthough they’re usually put in the same category, alternative and complementary treatments have an important distinction. When a nonmainstream treatment is used alongside a conventional one, it is known as ‘complementary’; while when a nonmainstream therapy is used in the place of conventional treatments, this is known as ‘alternative’. CAMs (complementary and alternative medicines) can include meditation, acupuncture, homeopathy and osteopathy. Although practiced widely, some of these CAMs are based on evidence that is not entirely recognised by the medical community. Others, however, have been proven to work on a number of health conditions.
Acupuncture Derived from ancient Chinese medicine, this CAM consists of inserting fine needles in certain parts of the body for 36 | Live to 100 with Dr Hilary Jones
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YOUR Wellbeing therapeutic purposes. Used following a medical diagnosis in western medicine, this practice stimulates nerves and muscles in the body. Currently, the National Institute of Health and Care Excellence (NICE) only recommends considering acupuncture to treat chronic tension-type headaches and migraines, although this therapy is also used to treat musculoskeletal conditions. Acupuncture is sometimes available on the NHS, though access is limited—most patients pay for it privately.
OSTEOPATHY Most people who visit an osteopath do so to seek help with conditions affecting their bones, muscles and joints. This form of complementary and alternative medicine focuses on detecting, treating and preventing health problems by stretching and massaging muscles and joints. Using manipulation, osteopaths increase the mobility of joints, relieve muscle tension and enhance the blood supply of tissues through stimulation. This therapy is based around the principle that the wellbeing of individuals depends on their muscles, bones and connective tissues working together harmoniously.
CHIROPRACTIC This CAM can help with back pain, neck pain, shoulder pain and pain from osteoarthritis. As it’s not a conventional medical treatment, it isn’t widely offered on the NHS—to find out if there is an NHS chiropractor in your area, contact your doctor or local clinical commissioning group. There is little evidence that chiropractic treatments can help conditions affecting the muscles or joints.
HOMEOPATHY Homeopathy is based on the notion that ‘like cures like’, a claim that a substance that causes disease in healthy people would cure similar symptoms in sick people. Developed in the 1790s by a German doctor, homeopathy also revolves around the process of celebrityangels.co.uk
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diluting and shaking a substance. Practitioners believe that this dilution increases the substance’s power to treat symptoms. Although it is sometimes used to ‘manage’ conditions such as asthma, arthritis, high blood pressure and depression, homeopathy is not offered on the NHS anywhere in the UK. Even though there have been countless reviews of the data and research behind homeopathy, the House of Commons Science and Technology Committee has ruled there is no conclusive evidence on its effectiveness in treating any condition.
OPTING FOR CAMS As osteopathy and chiropractic are regulated in the same way as ‘conventional’ medicine, patients will be able to look for registered professionals through the General Osteopathic Council or General Chiropractic Council websites. Apart from these two treatments— according to NHS Choices—no other CAMs are professionally regulated in the UK. This means that anyone can practice these forms of alternative medicine without experience or qualifications and that practitioners are not legally bound to any standards of practice. •
QUESTIONS TO ASK BEFORE STARTING A CAM TREATMENT • The cost of treatment • How long the treatment will last • If the treatment is suitable for all patients • What side effects the treatment may cause • If the treatment requires any preparation on the patient’s side • If there is a system for dealing with complaints about the treatment or service provided • If the practitioner is in possession of documents proving their qualifications • If the practitioner has proof that they are part of a professional association or voluntary register • If the practitioner has proof that they are insured • If the practitioner has written references
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Symptoms, Triggers & Early Exposure Allergies aﬀect one in four people in the UK, but can early exposure help to reduce the climbing rates of allergy suﬀerers?
ccording to the World Allergy Organisation (WAO), the prevalence of allergic diseases worldwide is 'rising dramatically in both developed and developing countries’. An allergy is a condition that is caused by a hypersensitive immune system, which is triggered by something in the environment. Triggers refer to allergens and they can include food such as peanuts, eggs, gluten or shellfish, along with pollen, dust mites, pet dander, mould spores and penicillin—a commonly prescribed antibiotic. While most allergies cause mild symptoms such as coughing and sneezing, the occasional case will activate a more adverse reaction.
a child develops certain allergies. Minute quantities of foods eaten by the mother can be transferred to her baby in the womb, driving later food tolerance. Currently, the results have only been yielded from mice. If it is shown to be true in humans, however, it could contradict previous advice once given to mothers to avoid highly allergenic foods during pregnancy and while breastfeeding. •
1 in 4 people in the UK are thought to be affected by allergies Source: NHS Choices
LIVING WITH ASTHMA 5.4 million people in the UK are currently being treated for asthma—a condition that causes restricted breathing. Keep in mind that furry and feathery animals are a common trigger for asthma symptoms—as is pollen. Keep medication and an inhaler nearby at all times during the spring as a precaution
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Recent guidelines from the US National Institute of Health suggest introducing peanuts and eggs to high-risk infants well before their first birthday in order to protect them from developing dangerous food allergies. High-risk babies (those with infantile eczema or a family history of allergies) should sample peanut-based foods as young as four to six months old under the supervision of a doctor. Similarly, a study published in the Journal of Experimental Medicine suggests that the diet of mothers in the early stages of pregnancy can also determine whether celebrityangels.co.uk
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The Skin You're In
As the body’s natural protective barrier, skin comes into contact with a variety of germs and toxins—how can we keep it in top shape?
enetics, occupation, hormones and environmental factors can all contribute to our skin’s overall appearance. From natural to medicinal, there are countless remedies on the market for those who suffer from the most common skin conditions. We guide you through some treatments which may relieve certain skin issues—helping you to feel confident in the skin you’re in.
ECZEMA Eczema is a skin condition that causes the skin to become dry, itchy, red and cracked. This can be painful for sufferers. While it is more common in children, it can also affect adults. Doctors tend to suggest antibiotics, emollients and corticosteroids to tackle eczema.
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INFANT ECZEMA Eczema can be extremely distressing for babies as it can greatly disrupt their sleep and constant scratching may lead to infection. Treatment for this condition depends on its severity. It usually requires the use of emollient lotions and ointments that are sometimes combined with a course of low-strength steroid creams— both of these treatment methods are considered to be safe if used correctly. It’s important, however, to use the correct strength of steroid cream required by the severity of your child’s eczema and to always consult with a doctor or paediatrician before starting any sort of treatment. As a rule of thumb, aqueous creams should be avoided as they may contain detergents harmful to your child’s skin. If your baby’s eczema becomes infected, a course of antibiotics may be necessary. Some preventative measures include trying to pinpoint the condition’s triggers and staying away from certain foods, fabrics and substances.
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YOUR Wellbeing If you wish to try your own tactics at home, remember that—like many disorders—eczema isn’t merely skin deep. Changes in diet are known to have a positive effect on the condition. Replenishing beneficial microbes in the gut with fermented foods, probiotic beverages and bone broth is a good way to tackle inflammation in the body. Coconut oil can also be rubbed into the skin for a soothing effect on dry areas which may also reduce flaking.
incorporated into weekly skincare routine, it can have a tremendous effect on acne-prone skin. Tea tree oil is also helpful. The oil fights spots by acting as a natural antiseptic, which kills bacteria and fungi. Applying diluted apple cider vinegar onto the face using a cotton pad also helps to remove lingering dirt, oil and dead skin cells to promote healthier skin. Wash clean with fresh water and pat dry with a clean towel for the best results. In order to remove excess oils,
REMEMBER Always consult your doctor before trying a new skin remedy at home. If your condition is particularly severe, you may still require prescribed medication to combat the problem
Acne is a skin condition that affects most people at some stage during their lives and the majority of people grow out of it after puberty. However, for those who don’t, it is a recurring problem and a source of torment. Acne can cause an oily complexion, spots and sometimes hot patches of skin that are painful to touch. Doctors and dermatologists usually offer antibiotics and oral medication to counteract acne-causing bacterium. The occasional pimple can be concealed, but all creams and cosmetics should be waterbased. Professionals maintain the best treatments are those that inhibit sebum production, limit bacterial growth and encourage the shedding of skin to clear out pores. In terms of natural remedies against acne, raw honey—a natural antibacterial substance—can be used to create an at-home facemask. When
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YOUR Wellbeing people with acne can gently exfoliate with sea salt, brown sugar or oatmeal.
What Does an Emollient Do?
PSORIASIS Psoriasis consists of red, flaky, crusty patches of skin that are covered with silvery scales. These tend to appear on the elbows, knees, scalp and lower back. Psoriasis is often very itchy and sore and can cause extreme discomfort. Steroid creams are the first port of call for doctors treating psoriasis; these can be applied directly to the skin. Systematic treatments such as oral or injected medication are often prescribed. Depending on the severity of the condition, dermatologists may also prescribe light therapy and corticosteroids. However, natural alleviants also exist. Dietary supplements such as fish oil, vitamin D, turmeric, milk thistle and aloe vera are all known to help ease aggravated symptoms. Applying olive oil to the skin can also reduce itchiness and redness in the affected area. Similarly, coal tar—a thick oil and age-old treatment for skin conditions— can be used to reduce scales on the limbs and scalp. Using a dehumidifier in the home and fragrance-free products can also prevent the condition from worsening. •
We’re all familiar with moisturisers, and at first glance emollients can seem similar. However, what they do and how they can help you is very different. How emollients work Your skin holds moisture within it, and within your body. Many moisturisers aim to supplement your skin’s natural function with ingredients that help the skin hold moisture. In addition to this, emollients also aim to make a complete barrier between the skin and air, preventing moisture from leaving. This is particularly useful for dry or damaged skin. Where emollients are used Emollients are traditionally used for eczema, psoriasis and other dry skin conditions. Newer research shows emollients are particularly useful for mature skin, where they can help prevent dry skin conditions. According to a study*, applying emollients twice a day can also reduce the risk of skin tears—wounds that are more likely in mature, drier skin— by almost 50%. *Carville K. et al (2014) The effectiveness of a twice-daily skin moisturising regimen for reducing the incidence of skin tears. Int Wound J 11: 446-53.
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5 Steps for Perfect Skin 1 Cleanse. Although it may seem simple, washing your face gives skin innumerable benefits. Cleanse with lukewarm water—water that is too hot can break capillaries, damage cells and cause redness whereas water that is too cold will stop your pores from opening. Apply cleanser in small circular motions using you ring and middle fingers starting at the bottom of your face and working upward. In addition to cleansing your pores, this motion will also promote blood flow.
Skin toners close pores, remove the last traces of dirt and oil and rebalance the skin’s natural pH levels. Toner will also get rid of any traces of skin cleanser.
Use a serum if you have a skin problem that needs addressing, whether that’s pimples, wrinkles or dark spots. Whether you need an anti-oxidant to prevent signs of ageing or hyaluronic acid to increase hydration, serums with active ingredients are essential to any skincare routine.
4 Moisturise. 5 Mask.
Dry skin can lead to premature signs of ageing, cell damage and loss of essential nutrients. When shopping around for moisturisers, oils or creams, make sure to choose ones with natural ingredients. When it comes to your eye region, you’ll need a specialised lotion—this is because this skin is among the thinnest in your body.
This, often overlooked, part of a good skincare routine will keep pores clean. Using a combination of the three main types of masks— deep-pore, mid-pore and topical—will ensure a flawless finish to your beauty regimen. The best way to use these masks is under the shower; the gentle steam will keep them from drying out.
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Want perfect hair? Live to 100 takes a look at the four most common hair issues and how to solve them
ot everyone is blessed with perfect, red carpet-ready hair. Thereâ&#x20AC;&#x2122;s a reason why there are so many hair care products out there all claiming to do different things. As everone's hair is different, tailor your routine to solve these common hair problems and achieve healthy, strong hair.
DRY HAIR Dry hair is crying out for moisture. Apply a good, rich conditioner after shampooing. Leave it in for about two minutes to allow it to properly coat and penetrate your strands. Additionally, you may want to apply a leave-in conditioner to towel-dried hair after your shower for extra moisture. If your hair is still dry, consider using a moisturising treatment before you wash it or use an overnight leave-in conditioning product. Rich with hair-boosting vitamins K and E, organic coconut oil is also a great at-home natural substitute for storebought conditioning treatments.
conditioning treatments to seal split ends and prevent them from further damaging the hair shaft.
FLAT AND LIFELESS HAIR Give your hair that extra oomph with some volumising tricks. If you use a hairdryer, tip your head upside-down while blow-drying so that it redirects from the roots. If you air-dry your hair, tie it up in a high ponytail and leave it to dry naturally. Dry shampoo and sea salt sprays will also help give your hair extra body.
DANDRUFF Dandruff can be a real pain, especially for those with dark hair. A decent anti-dandruff shampoo should do the trick, but you may want a more natural remedy to keep the flakes at bay. Like the rest of your skin, your scalp benefits from the occasional exfoliation. Use sea salt to give it a good scrub. Lemon juice squeezed onto your scalp will also help to correct the pH balance of the skin on your head, keeping those pesky flakes away. â&#x20AC;˘
SPLIT ENDS Take steps to stop split ends from damaging your hair further. Regular haircuts are required to remove dry split ends. Between trims, use hair oil and Images: Images: Shutterstock Shutterstock
DID YOU KNOW? Vitamins A, B2 and E can help strengthen your hair 48 | LIVE TO 100 WITH DR HILARY JONES
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Get UnstrEssed For Bed At Sleep Well we’re on a mission to help the world get a better night’s sleep.
BAN BL U
Keep a regular bedtime and wake-up sleep schedule
Switch off blue light devices 45 minutes before bed
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Keep your bedroom to a cool 16-18°C (60-65°F)
KEEP I T
Our gorgeous tasting vanilla drink combines Jersey milk with honey and valerian, a herb that’s been helping people relax and sleep for 2000 years. Great for the whole family to enjoy, simply drink hot or cold thirty minutes before you want to sleep.
Get enough exercise but finish at least 2 hours before bedtime
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Reintroduce a milky bedtime drink to help you relax and unwind
sleepwellmilk.com Check the website for your nearest stockist. Contains valerian root extract, a natural herb used for the relief of temporary sleep disturbances exclusively based upon long-standing use as a traditional remedy.
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Failing to get your 40 winks can be detrimental to your health. We investigate the vast beneﬁts of sleep and how our sleeping habits can be improved
the necessary amount of sleep, our health can suffer greatly. Members of the medical community generally agree that eight hours sleep is optimal for adults to feel rested the next morning. However, the NHS also states that ‘some need more [than eight hours] and some less. What matters is that you find out how much sleep you need and then try to achieve it’. As a rule, if you wake up with a sluggish feeling that lingers throughout the day, you are likely not getting enough sleep. Matthew Walker, director of the Center for Human Sleep Science at the University of California, Berkeley in the
Sleep is essential for a healthy body and mind. When you get a great night’s sleep, you feel like you can achieve extraordinary things. Our modern lives create all sorts of barriers to getting a great night’s sleep: stress at work, our ‘always on’ mobile devices, poor exercise and diet all have an impact. The average Briton is under-sleeping by at least one hour a night and it’s having a massive impact on our health and wellbeing. But it is possible to regularly enjoy a great night’s sleep. Three things directly impact how we sleep: a quiet mind, a relaxed body and a bedroom dedicated to sleeping. A bedtime routine that prepares your mind and body for sleep half an hour before you head to bed is also key to increasing your chance of getting eight hours a night
Images: Shutterstock; 123rf
leep is immeasurably beneficial to our health. Besides its recuperative abilities, it can improve our sense of wellbeing and advance concentration. Sleep also has a number of biological effects on the body that help it to function properly. During our sleeping hours, our body aids the processing of glucose. This, in turn, can prevent the development of diabetes. Our slumber also facilitates the release of certain reproductive hormones that improve fertility. Additionally, sleep can ward off heart disease, boost the body’s immune system and increase sex drive. Needless to say that without
LIVE TO 100 WITH DR HILARY JONES | 51
YOUR Wellbeing United States believes that ‘no aspect of our biology is left unscathed by sleep deprivation’. He adds that: ‘Sleep loss costs the UK economy over £30 billion a year in lost revenue or two percent of GDP.’
TROUBLE NODDING OFF? There are a number of lifestyle changes that can be made to help you drift off to sleep more easily, these include: • Avoiding caffeine • Cutting down on alcohol • Quitting smoking • Exercising regularly • Avoiding late night meals • Winding down with yoga, soothing music or a bath • Ensuring your room is dark and tidy • Optimising your bed for comfort • Banishing interior/exterior noises • Keeping your bedroom between 18C and 24C •
Fun Fact Hot baths can aid sleep, not only because they make you warm, but because your dilated blood vessels radiate inner heat causing your core body temperature to drop. To successfully initiate sleep, your core temperature should ideally drop to about 1C
LACK OF SLEEP
There are a number of factors that cause people to miss out on sleep. It could be a specific health condition such as sleep apnoea—a relatively common problem that causes the throat to narrow whilst sleeping. Poor sleep can also be triggered by stress or anxiety but it most commonly comes as a result of bad sleeping habits. After several sleepless nights our brains begin to fog, causing decisionmaking to become more difficult. This may make us feel drowsy during the day, which can result in serious accidents or mishaps. According to think.gov.uk, almost 20 percent of accidents on major roads are sleep-related. •
DID YOU KNOW? Images: Shutterstock
Today, almost 1 in 2 people in the UK try to survive on merely 6 hours of sleep a night Source: The Guardian, September 2017
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Good oral health can boost self-confidence, transform visual appearance and contribute to overall physical wellbeing
Brush and floss You should brush your teeth with fluoride toothpaste at least two to three times a day, preferably an hour after eating. Also remember to floss and clean in between your teeth at least once a day. One of the most common misconceptions surrounding oral health is that mouthwash needs to be used right after brushing. This is, in fact, false, as it would remove all the protective fluoride—which strengthens tooth enamel—from your teeth. 54 | Live to 100 with Dr Hilary Jones
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of Brits believe white teeth equals healthy teeth Source: Mintel
Important Change your toothbrush every 2 to 3 months (or even sooner). Once it becomes worn, it will not clean teeth properly
of Brits brush their teeth only once a day Source: Mintel
Visit your dentist It’s no secret that we as a nation aren’t particularly fond of sitting in the dentist’s chair. According to Mintel, around 31 percent of 25-34 year-olds only visit their dentist when they have a problem with their teeth. These visits should take place as regularly as every six months to two years—depending on what your dentist recommends. In addition to spotting potential oral health issues early, these visits will also provide an opportunity for hygienists to give tips and advice on the best cleaning techniques.
Other factors Diet has a direct impact on the state of our oral health. Sugar, fizzy drinks, red wine and tea are all enemies of a bright smile. Chew sugar-free gum after your meals to protect your gums and teeth, wait an hour after eating before brushing and consume a diet that is varied in nutrients. Quitting smoking is probably one of the best things you can do for your teeth—and overall health. It will reduce the chances of tooth staining, gum disease, tooth loss and mouth cancer. •
ll the different parts of our body work in unison—if one aspect of our health is neglected, it’s more than likely that this will have a negative effect on other parts of our organism. This is especially true of oral health; a good dental hygiene routine will ward off plaque, prevent bad breath, tooth decay and gum disease whilst also promoting general wellbeing. An unhealthy mouth may lead to more serious health conditions like heart attack, stroke, diabetes and preterm labour. So, what can we do to safeguard our oral health?
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The Human Genome
& Our Health With the ability to access information about our own genome, we can now learn more about our health and how to prevent diseases than ever before
DID YOU KNOW? Over 500,000 children and adults in the UK are living with a genetic disorder
ost humans have 23 pairs of chromosomes within each cell; all of which are inherited from our parents. One of the chromosomes from every pair has been inherited from the mother, and the other from the father. Our chromosomes form our genes and they determine everything from our gender (XX chromosomes for female, XY for male), eye colour and hair colour through to our
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behavioural characteristics. They hold complex instructions for the growth and development of every cell in our bodies. While this phenomenon displays wildly interesting details about how our bodies grow and work, perhaps more fascinating is how the study of our genes can uncover an abundance of information about our health.
HEREDITARY GENETIC DISORDERS, MUTATIONS AND DISEASES Along with physical traits from our parents, genetic disorders can also be inherited. These are caused by a change
in DNA. Some hereditary diseases can be present at birth while others may develop later in an individualâ&#x20AC;&#x2122;s life. In some cases, a person can only inherit a genetic disorder if both parents have a copy of the faulty gene in question. This is referred to as autosomal recessive inheritance and includes conditions such as cystic fibrosis, sickle cell anaemia and Tay-Sachs disease (a potentially fatal condition that causes progressive damage to the nervous system). In this scenario, there is a one in four chance that a person will inherit the genetic condition and a 50 percent chance that they will be a carrier. Autosomal dominant inheritance, on the other
Source: Genetic Disorders UK
YOUR Healthcare hand, determines that just one parent needs to be a carrier of a mutation or genetic disorder in order for the condition to be inherited by their children. This particular pattern carries higher risks in that there is a 50 percent chance that the mutation will be passed on. Diseases inherited in this way include tuberous sclerosis (a condition that causes usually benign tumours to develop in the body) and Huntington’s disease (a disease that damages nerve cells in the brain, affecting movement, cognition and behaviour). In some cases, individuals may have inherited faulty genes that increase their risk of developing cancer. Genetic testing is available for a wide range of cancers— including breast and ovarian cancer—and can help determine an individual’s chance of developing it.
Genes and mental health Our mental wellbeing significantly impacts the way in which we think and feel. The National Institute of Mental Health (NIMH) found that poor mental health is a direct result of environmental, biological, psychological and genetic factors. In 2013, a study conducted by the Cross-Disorder Group of the Psychiatric Genomics Consortium found that along with autism, ADHD, bipolar disorder and schizophrenia, clinical depression is closely linked to our genetics. This conclusion came after researchers found variations on four genetic regions when studying the DNA of those with these common mental disorders. While having family members with one of these conditions does not necessarily dictate that you will
ever suffer from these disorders yourself, the predisposition may increase your risk of developing them. Learn about your family’s mental health history so that you can understand and spot early signs of potential issues to better manage them.
Genetic Testing Genetic testing—or DNA testing—involves testing samples of blood, hair, skin, saliva, amniotic fluid or other tissues for particular changes in the DNA that can signify genetic disorders. There are various reasons an individual may want to undertake genetic testing, including: Prenatal testing. This allows doctors to uncover potential genetic diseases in foetuses. Carrier testing. Prospective parents can test to see whether they carry a genetic mutation that could be passed on to future children. Predictive genetic testing. Patients can test for genetic diseases even without showing any symptoms. This is most commonly carried out if a specific disease runs in the family.
Gene Therapy Gene therapy is a technique that allows doctors or surgeons to treat diseases by inserting genes into a patient’s cells in place of using medication. Depending on the disease or disorder, the procedure—which is currently in its experimental stages—may replace a faulty gene, inactivate a mutated gene that doesn't function properly or introduce a new gene into a cell. The concept of gene therapy is relatively new in the medical arena and still requires further study as it carries high risks. According to Genetics Home Reference, ‘gene therapy is currently being tested only for diseases that have no other cures’. •
Less than 3% of cases of breast cancer are inherited by a faulty gene Source: Cancerresearchuk.org celebrityangels.co.uk
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Experts estimate that over four in 10 cancer cases can be prevented. Here, we outline some ways you can avoid this dangerous disease as well as available treatments
ancer starts when damage to our DNA leads cells to grow and multiply out of control. Only three in every 100 cases are linked to inherited genes, yet there is still a dangerous misconception that getting cancer is mostly down to 'faulty'
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DNA, fate or bad luck. Cancer Research UK, one of Britain’s leading charities, has estimated that over 40 percent of cancers can be avoided through simple lifestyle changes. Although a healthy lifestyle does not guarantee protection against cancer, it can stack the odds in your favour—read on for a breakdown of the risk factors we can all control.
Smoking Being smoke-free could prevent a whopping 64,500 cases of cancer per year in the UK. This equates to about 20 percent of all new cases each year. Many of the most common cancers have a large proportion of preventable cases; this is most true of lung cancer—86 percent of cases are caused by smoking. Long-term tobacco abuse is also linked
to bladder, kidney, pancreatic, stomach, oesophageal, oral cavity and liver cancer. There are a variety of ways to quit, from nicotine gum and patches to e-cigarettes. Speak to your doctor to discuss what method is right for you.
Body mass index BMI is a measurement that uses your height and weight to determine if your weight is healthy. You can calculate this figure by dividing your weight in kilograms by your height in metres and dividing that figure again by your height in metres. For most adults, a healthy BMI is in the 18.5 to 24.9 range. Keeping a healthy weight could prevent 18,100 cases of cancer per year, which is over five percent of all new cases each year in the UK. Other types of cancer attributed
7 Ways to Avoid
YOUR Healthcare to excess body weight are breast, bowel, uterine, pancreatic and kidney cancer.
BALANCED DIET According to Cancer Research UK, over nine percent of cancer cases are linked to diet—five percent are linked to eating too little fruit and veg, three percent to processed meat, two percent to consuming too little fibre and one percent to consuming too much salt. Upper aerodigestive tract cancers—such as cancer in the larynx, pharynx and oesophagus—are the most common types linked to a poor diet. An estimated 31 percent of bowel cancer cases are also linked to dietary factors. Government guidelines advise to eat at least five portions of different fruits and vegetables each day.
ALCOHOL Drink Aware’s low risk alcohol guidelines state alcohol consumption for men and women should not regularly exceed 14 units a week. This equates to six 175-millilitre glasses of wine, six pints of lager or ale and 14 25-millilitre glasses of spirits. Cancer Research UK estimates that cutting down on alcohol could prevent around 12,800 cases of cancer per year in the UK—almost four percent of new cases a year. In addition to causing weight gain, alcohol is also linked with
cases of upper aero-digestive tract cancers and responsible for six percent of female breast cancer cases and 12 percent of bowel cancer cases.
SUNSHINE Keeping out of the sun during the hottest times of the day, cutting back on sunbed use and regularly applying good-quality UV protection could prevent 11,500 cases of cancer a year—almost three percent of all new cases. According to Cancer Research UK, all of these cases were malignant melanoma.
355,000 people are diagnosed with cancer every year Source: Cancer Research UK
KEEPING ACTIVE Raising our activity levels and engaging in regular physical exercise could prevent 3,400 cases of cancer a year. Uterine, breast and colon cancers have the highest proportions of cases linked to physical inactivity. Government guidelines advise around 150 minutes of moderate exercise a week—this can be split over several days and made up
of cardio exercises such as cycling or jogging and strength training activities.
INFECTIONS The human papilloma virus (HPV) causes 99 percent of cervical cancer cases in women. Avoiding such infections could prevent around 10,600 cases of cancer per year—amounting to three percent of all new cancer cases.
DID YOU KNOW? In the UK, more than 1 in 2 people will develop cancer at some point in their lives Source: Cancer Research UK
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Surgery, one of the main treatments, consists in removing tissue from the body.
This may not be the best treatment if the cancer has spread, if the tumour is next to a blood vessel or if you have leukaemia or lymphoma. Surgery may be carried out under general or local anaesthetic and in an outpatient or inpatient facility. Chemotherapy is an anti-cancer treatment. Administered through an IV drip, pump or pill, the treatment may be given on its own or with other treatments such as radiotherapy, hormone therapy, biological therapy and surgery. The drug works by killing cancer cells and other cells in the body which are in the process of splitting into two cells. Some alternative cancer drugs can be taken as tablets, suppositories or worn as patches. Radiotherapy is administered to four out of ten people with cancer. This form of treatment uses radiation to damage the DNA within cancer cells. Although radiation damages healthy cells as well, these are better at repairing themselves.
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Hormone therapy can be administered to block hormones and slow down the growth of cancer. Cancers that are hormone-sensitive—types of the disease that depend on hormones to grow— include breast cancer, prostate cancer, ovarian cancer and womb cancer. These will all require different types of hormone therapy. Stem cell and bone marrow transplants may be carried out for patients diagnosed with blood cancers such as leukaemia, lymphoma and melanoma. Donor cells are collected and administered into a vein through a drip.
Immunotherapy is a kind of treatment that uses the immune system to fight cancer by helping it attack cancer cells. This can include monoclonal antibodies (MABs), vaccines and cytokines. Other interventional treatments include radiofrequency ablation, laser treatment, high intensity focused ultrasound, photodynamic therapy, cryotherapy and ultraviolet light treatment. •
If you are diagnosed with cancer, there are several treatments available. Therapy will be tailored to the type of cancer diagnosed, how big it is, whether it has spread and the patient’s general health.
The Leeds Gamma Knife Centre ®
at Nova Healthcare Your brain is one of a kind – treat it wisely! At The Leeds Gamma Knife Centre, part of Nova Healthcare, we have been treating patients with neurological conditions on our Gamma Knife® Icon™ since 2015. We are one of only two centres in the UK to be able to offer this world-class, gold-standard treatment and the only centre in the North of England. Our unique processes mean that we are the only centre in the country offering consecutive daily treatments and we are the only centre in the North that is commissioned to treat children and young people. Our Gamma Knife® Icon™ includes a cone beam CT (CBCT) which is used throughout the treatment cycle to ensure that the radiotherapy is delivered directly to the tumour site and the healthy surrounding tissue is not affected. Despite the name, treatment by Gamma Knife® Icon™ does not involve a knife which means it does not carry the risks of open brain surgery and is undertaken as a day case procedure, with most patients returning to normal activities within a few days.
dedicated team of radiographers, who will ensure the highest level of care. The treatment is available to both NHS and private patients, with all referrals discussed by our multi-disciplinary team of experts prior to acceptance. For some, it can be an addition to cancer treatment they’ve already undergone. The team in The Leeds Gamma Knife Centre work closely with all patients and their families to ensure that every anxiety is addressed and that they feel calm and confident about the treatment and service they’ll receive.
Many patients receiving treatment on our Gamma Knife® Icon™ for brain disease or tumours will never have heard of the procedure and it can be quite a daunting prospect so we have a dedicated Gamma Knife® Service Manager who is responsible for managing the service and patient referrals and will oversee your treatment plan along with our
T: 0113 206 7735 F: 0113 298 7975 E: email@example.com
Leeds Teaching Hospitals NHS Trust
Leeds Cancer Centre, Leeds Teaching Hospitals NHS Trust, St James’ University Hospital, Beckett Street, Leeds LS9 7TF
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Did you know? The heart pumps around 6 quarts (5.7 litres) of blood throughout the body and beats around 100,000 times per day, which is approximately 3m beats per lifetime
The Road to a
The health of your heart is hugely dependent on the lifestyle you lead—keep yours beating strong with our advice
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Reading the Signs There are a number of warning signs that indicate you may be suffering from a common heart condition—many of these can go undetected or ignored: hhSwelling of the feet hhA sudden persistent cough hhExtreme pain when walking hhFeeling dizzy or light-headed hhChest discomfort hhGetting easily exhausted even though you are fit hhHeart palpitations or irregular heartbeat If you experience these symptoms persistently, it is always best to get them checked; visit your doctor for advice.
our heart is at the centre of your cardiovascular system. It is responsible for a number of jobs that keep your whole body working, from the circulation of nutrients and oxygen to the maintenance of your immune system. It even removes carbon dioxide and other waste from the body’s tissues—another very valuable function. Maintaining a healthy heart enables our organs to thrive, giving us life and vitality.
HOW CAN YOU MAINTAIN A HEALTHY HEART? Leading an overall healthy lifestyle will make a huge difference to your heart’s health; therefore, making the right lifestyle choices is essential.
Quitting smoking is one of the single best things you can do for your heart with smoking being among the leading causes of coronary heart disease. The NHS reports that a year after quitting smoking, your risk of heart attack reduces by 50 percent. If you wish to give up smoking for good, try the NHS Smokefree service or contact your doctor for useful advice.
Watch your weight
Being overweight dramatically increases your risk of heart disease. Eating a balanced diet that is rich in nutrients will provide your body with what it needs to thrive. Consume a healthy proportion of fruits, vegetables, protein, carbohydrates and dairy products. Endeavour to eat the recommended ﬁve portions of fruit and vegetables each day. Consuming over the recommended 14 units of alcohol per week can affect your waistline, so lowering your consumption may help to further curb calorie intake. Reducing fat and sugar levels in your food will also help to maintain a healthy weight.
Including regular exercise into your routine is a great way to reduce stress and improve your mood. More importantly, getting— and staying—active can lower your chances of developing heart disease and other life-threatening conditions including diabetes. The government recommends at least 150 minutes of moderate aerobic exercise per week. This can be achieved through 30 minutes of moderate intensity activity spread over ﬁve days and can involve cycling to work or going for a jog in the morning.
Eat more ﬁbre
You should aim to consume around 30 grams of ﬁbre a day. This can be obtained from a variety of sources including bran, oats, wholemeal bread, wholegrain cereals and whole fruits and vegetables. Eating plenty of ﬁbre can help to prevent heart disease by decreasing levels of cholesterol in the blood. High levels of cholesterol can cause a fatty buildup in the artery walls, leading to potentially severe health issues later on in life.
Reduce salt intake
Excessive salt in your diet can contribute to high blood pressure, which will increase your chances of stroke or coronary heart disease. Taking small steps to reduce your salt intake can make a world of difference. Start by removing salt from the dinner table and gradually add less to your cooking. Look out for high levels of salt lurking in ready meals and store-bought sauces. A food is high in salt if it contains more than 1.5 grams in a 100-gram serving; always check food labels carefully.
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WILL YOU BE READY WHEN AN EMERGENCY STRIKES? Would you know what to do if someone went into Sudden Cardiac Arrest (SCA)? Sudden Cardiac Arrest (SCA) is a leading cause of death in Europe, killing 400,000 people each year.1 According to the European Resuscitation Council (ERC), approximately 100,000 people suffer an SCA every year in the UK. WHAT IS IT? Sudden Cardiac Arrest is triggered by an abrupt, unpredictable electrical malfunction in the heart causing an irregular heartbeat, leaving the person unresponsive, not breathing or not breathing normally (gasping). This condition can happen to anyone regardless of age, fitness or diet. If left untreated, SCA usually causes death within minutes. The ERC states that some countries, generally those in Eastern Europe, have an SCA survival rate as low as 6%, whereas countries in other areas of
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Europe see survival rates as high as 40%. This is in part due to better awareness of SCA and more access to public accessible defibrillators. This is why a movement has started urging the placement of defibrillators in key public places such as airports, gyms, schools, hotels, athletic fields and local communities.
Automated External Defibrillators (AEDs) are portable devices that are designed to be used by anyone, you do not need to be trained. They work by checking the person’s heart rhythm and if needed will send an electric shock to the heart to try to restore a normal rhythm.
EVERY MINUTE COUNTS When someone suffers an SCA, every minute without CPR and defibrillation reduces their chances of survival by 7-10%2. The shorter the time to defibrillation, the better the chance of survival. If a victim receives a shock within one minute, there is a 90% chance of survival. If a victim waits 10 minutes for a shock, the chance of survival drops to less than 5%.
ESC Press Release EUROPACE 2009.
WHY IS DEFIBRILLATION SO VITAL? The only definitive treatment for a victim in sudden cardiac arrest is early defibrillation with an Automated External Defibrillator (AED). The sooner a victim is treated with a defibrillator, the better the victim’s chances of survival—this is why it is so important to have access to a defibrillator whilst waiting for the emergency services to arrive.
AHA Factsheet, Every Second Counts Rural and Community Access to Emergency Devices, 2013
HEART ATTACK VS. SUDDEN CARDIAC ARREST (SCA) Often, a sudden cardiac arrest (SCA) and heart attack are thought to be the same thing. However, they are very different. A heart attack is when blood flow to the heart is blocked, an SCA is when the heart malfunctions and suddenly stops beating. In other words, a heart attack is a circulation problem, while SCA is an electrical problem.
♥ Occurs when blood flow to the heart is blocked. ♥ Symptoms may include intense discomfort in the chest, shortness of breath, cold sweats and vomiting. ♥ The longer a person goes without treatment, the greater the damage to the heart muscle. REF: Heart Attack v. Cardiac Arrest, cpr. heart.org
Sudden Cardiac Arrest
♥ Occurs when the heart experiences sudden electrical malfunction; causing an arrhythmia. With its pumping action disrupted, the heart cannot pump blood to vital organs. ♥ Person is unresponsive, not breathing, or not breathing normally (gasping). ♥ Death occurs within minutes if the victim does not receive treatment.
Since David Lloyd Leisure have implemented an AED programme in all their leisure & fitness centres, over 150 lives have been saved with the help of a Powerheart® AED.
SO, WHAT CAN YOU DO TODAY TO HELP KEEP YOUR FAMILY, FRIENDS AND COLLEAGUES SAFE FROM SCA? Start by calling 0161 926 0000 to contact a Cardiac Science AED expert or visit cardiacscience.co.uk/communitysponsor to find out how you can get a defibrillator in your community through sponsorship from local businesses. Now is the time to make a difference! Caden Cherry survived an SCA thanks to his school having an effective AED programme.
HOW TO SELECT THE RIGHT AED FOR YOU You should consider the following when selecting your device:
Does the AED conduct daily device self-tests? This includes all critical electrical components, pad functionality and battery performance to ensure device readiness. Does the AED offer dual-language voice prompts and text prompts on a backlit text screen? Voice prompts are ideal for noisy, chaotic rescue environments that may also require secondary language assistance. Can the AED’s rescue pads be placed in either position on the chest? Interchangeable pads can help reduce confusion and save time during a rescue. Does the AED escalate shock energy if more than one shock is required? Delivering therapy at an appropriate higher energy level can help ensure a successful outcome if the first shock fails. Does the AED offer real-time CPR depth and rate feedback? High quality CPR remains essential to improving outcomes3. Extensive CPR prompts with real time feedback on depth, rate and recoil will help ensure quality and increase rescuer confidence.
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Highlights of the 2015 AHA Guidelines Update for CPR and ECC; American Heart Association, - 10/15, p8
At the Heart of Saving Lives™ www.cardiacscience.co.uk/communitysponsor
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Keep Calm and When cardiac arrest strikes, it is vital that we act fast. But how many of us would know exactly what to do?
defibrillator is a high-energy device that supplies an electric shock to the heart through the chest of somebody experiencing a cardiac arrest. This shock process is known as defibrillation; a life-saving mechanism used in the chain of survival. Defibrillators are commonly used by medical practitioners; however, governing bodies are encouraging more civilians to learn how to use them. An article published in The Telegraph in December 2017 stated that figures of people dying of cardiac arrest have risen as a result of poor public knowledge surrounding the use of defibrillators. This was brought to light by a recent survey conducted by the St John Ambulance charity, which used a YouGov poll to collect its data. Nearly two-thirds of participants claimed they would not know how to act when faced with a cardiac arrest. Also, seven out of 10 people would not feel comfortable using
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Importance of early deﬁbrillation When somebody suﬀers from a cardiac arrest, time is of the essence. According to Deﬁb First, ‘sudden cardiac arrest is fatal but reversible, with the best chance of survival being a shock from a deﬁbrillator within the ﬁrst 5 minutes after collapse' a defibrillator. Additionally, 62 percent of those surveyed wrongly believed that a defibrillator would cause harm to a patient. These eye-opening results have prompted the charity to launch a new campaign to educate the public on using defibrillation devices. In 2016, the Arrhythmia Alliance—the UK’s leading heart rhythm charity— placed 3,000 automated external defibrillators in public spaces. As part of
Cardiac arrest involves the heart malfunctioning, causing it to stop beating. Some of the common indicators include: • Loss of responsiveness • Difficulty breathing • Loss of consciousness or fainting • No pulse • Chest pains • Nausea their 'Defibs Save Lives' campaign that started in 2013, the organisation aims to make defibrillators as commonplace as smoke alarms or fire extinguishers. To use an automated external defibrillator (AED), first check if there is any water or puddles next to the person who is unconscious. Turn on the AED's power; it will give you step-by-step text instructions as well as voice prompts. Expose the person's chest, apply the sticky sensors as pictured on the AED's instructions. Remove metal accessories. Check for any piercings or implanted devices and place the sensors away from them. Once you press 'analyse' the machine will check the person's heartbeat and let you know if and when a shock is needed. For more detailed instructions on how to use defibrillators, visit sja.org.uk. •
SIGNS OF CARDIAC ARREST
Save a Heart in your Community with the iPAD SP1
There are over 30,000 out of hospital cardiac arrests each year and a sudden cardiac arrest can happen to anyone at any age – from infants to adults. There is a distinct difference from a heart attack, which is when blood flow to the heart is blocked. A sudden cardiac arrest is when the heart malfunctions and suddenly stops beating. When someone is having a cardiac arrest, they will typically display no visible signs of life. Defibrillation is the only known form of treatment for cardiac arrest. A defibrillator is a device that gives a high energy electric shock to the heart through the chest wall to someone who is in cardiac arrest. This high energy shock is called defibrillation. WEL Medical provides a range of automated external defibrillators (AEDs) to local communities across the UK. The iPAD SP1 is used in all NHS Ambulance districts and is a nominated device of the British Heart Foundation. The iPAD SP1 stands for Intelligent Public Access Defibrillator (SP1 model) and is designed for use by anyone in an emergency. Training is not necessary as the device provides clear visual and audible instructions and has a simple switch to enable it for use on an adult or child. If you need to buy a defibrillator, then this community package offers you real value.
The IPAD SP1 Community Package: OFFER £895 plus VAT. Free delivery Your community package includes: iPAD SP1 AED with 10-year warranty High visibility orange carry case for iPAD SP1 AED containing: • Dual adult/child electrode pads • Long life battery : 200+ shock capacity or 4year warranty • Defibrillator starter kit • Nitrile gloves and CPR barrier device Quick reference aide memoir card - simple guidance on device usage, features and checks Reports can be exported to a computer and/or printed Guardian Vigilance System – register and maintain your AED record Combined Community Package: If you want members of the public to have access to your defibrillator and want to keep it secure, then take advantage of this special Combined Community Package offer for an iPAD SP1 plus the latest Defibsafe2 cabinet. Choose lockable or unlocked cabinet. See www.defibsafe.co.uk for more details OFFER £1,250.00 plus VAT. Free delivery.
Call WEL Medical on 01252 344007 and quote Community Package Live100
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MUM & Baby
MUM & Baby
Trying to conceive isn't always as easy as it may ﬁrst appear, but there are positive steps you can take to improve your chances
aking the momentous decision to have a baby can be followed by a tidal wave of emotions including excitement, anticipation and— sometimes—anxiety. Before you begin, keep these important tips in mind.
WHAT CAN YOU DO TO FACILITATE CONCEPTION?
DID YOU KNOW? Approximately 1 in 7 couples have difficulty conceiving Source: National Institute for Clinical Excellence (NICE)
even stop them altogether. For men, this can dramatically impede sperm count. Eat a balanced diet and make space for exercise in your daily routine. Continue these good habits once pregnant. Time it well While most couples will be having regular sex when trying to conceive, there is
Limit drinking Drinking excessive amounts of alcohol can affect both partners and significantly hinder chances of getting pregnant. Alcohol also poses a risk to pregnant women. According to the UK’s chief medical health officers, the safest approach is to drink no alcohol at all. Excessive drinking is also known to affect the quality of sperm—males should drink no more than 14 units per week spread across several days. Lead a healthy lifestyle According to the NHS, ‘you’re more likely to get pregnant if you and your partner are both in good health’. Being dangerously overweight or underweight can make conception a lot more difficult—this applies to both men and women. For women, this can lead to irregular periods or celebrityangels.co.uk
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Increase Your Chances of Conceiving Fer tilette is a trusted and tested conception aid made with medical grade silicone. Fer tilette is easily inser ted into the vagina and works by expanding to block the canal, keeping sperm from seeping out. Fer tilette can then be worn for up to four hours to improve chances and is reusable for up to five years. Why Choose Fertilette? The aim of Fer tilette is to increase the chances of conceiving by blocking the vaginal passage, preventing sperm from seeping away before it has a chance to reach the egg. With its unique fun looking design, Fer tilette takes the stigma, stress and pressure out of trying to conceive and puts the fun and intimacy back into love making.
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MUM & Baby
only a small window when conception is actually possible. The egg can only be fertilised during the days of ovulation (when the egg is released from the ovaries) and the days leading up to it. One of the most accurate ways to track a woman’s ovulation window is via an ovulation test. Most of these work by measuring levels of the luteinising hormone (LH) in urine. Levels of LH increase by around two to five times the normal level when ovulation occurs. Quit smoking Smoking is known to have devastating effects on the body, particularly when it comes to fertility. Studies have shown a strong link between smoking and poor quality sperm. An analysis of 2,542 healthy men from 1987 to 2004 conducted by Ramlau-Hansen et al. found that 'on semen analysis, cigarette smokers had lower semen volumes, sperm counts and percentage of motile sperm compared to men who did not smoke’. Quitting smoking is, therefore, vital for facilitating conception. Female
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MYTH BUSTERS FALSE: the pill can make you infertile There is no substantial link between the use of hormonal contraceptives and fertility— including the pill FALSE: riding a bike will affect sperm count While it is technically possible for extra heat, jostling and grinding of the testicular region to affect sperm, unless you are an elite-level athlete, you have no reason to worry FALSE: every woman ovulates on day 14 of a 28-day menstrual cycle These numbers are based on averages from reported data. In reality, not all women’s cycles match this partners should also avoid smoking at all costs because it can reduce fertility— this includes passive smoking. For advice on quitting smoking, visit the NHS Smokefree website. Take vitamins The UK’s chief medical officers recommend that women planning a pregnancy, or women who are pregnant, take 400 micrograms of folic acid every day. Folic acid can help prevent neural tube defects such as spina bifida. While this may not necessarily make
conception easier, it will help to ensure your baby is strong and healthy.
HOW LONG DOES IT TAKE TO GET PREGNANT? When most couples decide to have a baby, they usually begin with high expectations. A study by Johnson S R et al. in 2013 found that out of the 1,400 women that were tested on the planning of their most recent pregnancy, 30-44 percent reported that conception took longer than they had anticipated.
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MUM & Baby It is very difficult to say exactly how long it takes to conceive because every couple is different. There are a number of factors that can affect your chances of getting pregnant including age, lifestyle, reproductive health and history and how often you have sex. According to the NHS, 92 percent of couples between the ages of 19 and 26 will conceive after a year of having regular sex without contraception. This statistic decreases slightly with age; from the ages of 35 to 39, 82 percent will conceive after a year. If you have been trying to conceive for one to two years without success, seek further advice from a doctor. They will be able to talk you through your options.
EMOTIONAL AND PRACTICAL SUPPORT Not being able to conceive naturally can bring stress, anxiety and emotional strain. However, there are many alternatives available to couples wishing to become parents. IVF, adoption, surrogacy and artificial insemination are all worth exploring. Speak to your doctor to determine which route is most suitable for you. Individuals dealing with fertility issues should seek support and speak to friends and family—or a professional—about their worries and fears. Whether they’re local or housed on the internet, support groups can provide the necessary resources and bring people who are going through the same thing together. If you decide to see a therapist, make sure they have knowledge in reproductive medicine. In addition to this, patients undergoing fertility treatment may also require support—these therapies can take a huge physical and emotional toll on the body. According to babycenter.com, women with fertility problems are as anxious and depressed as women with cancer, HIV or heart disease. Don’t blame yourself—it is important to work with your partner as a team, identify and share your feelings and educate yourself on the specific condition that is causing your infertility. • 74 | LIVE TO 100 WITH DR HILARY JONES
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Pregnancy Test FAQs ■
How accurate are home pregnancy tests? Pregnancy tests work by detecting human chorionic gonadotropin (HCG) in your urine which is a hormone produced by your body when you become pregnant. Generally, tests will state that they are 99% accurate, but accuracy can depend on other factors such as when you perform the test. If you test too early or do not follow the instructions properly then accuracy can be aﬀected. Make sure you use a ﬁrst morning urine sample as this will contain a higher concentration of HCG and avoid drinking too much water prior to testing as this may dilute your sample.
How soon after a missed period can I take a home pregnancy test? For the most accurate results you should wait and test from the ﬁrst day of your missed period. HCG levels will usually double every 2 to 3 days so testing later will yield a more accurate result.
Can anything interfere with home pregnancy test results? Some medication can aﬀect the results. Examples of these are sleeping tablets, anticonvulsants, medication used for the treatment of Parkinson’s, fertility drugs containing HCG, promethazine, tranquilisers and diuretics.
I got a negative result on a home pregnancy test, could I still be pregnant? It is possible. It may be that not enough HCG has been detected in your urine at the time of testing. Another reason for a false negative may be that you have miscalculated the length of your cycle and tested too early. If pregnancy is suspected, yet the result is negative, try waiting 48-72 hours and re-testing with a ﬁrst morning sample.
Answers provided by Amy James from the Early Bird Swift helpline at Axis Medicare Ltd.
Practical & emotional support + companionship before, during and after fertility treatment. Findout how lris Fertility can reduce thepractical and
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I Re s o u r c e s
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Fiona Boulton, Awakening Fertility Founder
Trying to Have a Baby?
Want to feel supported each step of the way to fertility success? Then you are ready to try speciﬁc lifestyle strategies that work for 80 percent of women in London and around the world*
hether you enjoy her tweets, her QiYoga Youtube videos— or both—Fiona Boulton has earned her stripes as a fertility and pregnancy expert based on her unique credentials that see 80 percent of her clients giving birth to happy, healthy babies. Fiona’s clients range from high-profile UK celebrities through to women/couples from all around the globe who fly into her Harley Street clinic for a week of intensive treatments or access her daily support services online. Fiona Boulton started her career as a Japanese medical translator, then trained in Qi Gong, Therapeutic Yoga, meditation, advanced healing techniques, fertility nutrition and went on to create her specialised fertility strategies. Her program works because it looks at each person’s situation: improving sperm/egg quality; preventing miscarriages; overcoming unexplained infertility or secondary subfertility (as most of her clients are over 40).
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HOW CAN AWAKENING FERTILITY’S FERTILE LIFESTYLE ACHIEVE SUCCESS? Fiona puts it down to her protocol of 6 specific pillars done at the same time: 1. Clear any emotional or mental blocks preventing you from getting/staying pregnant. 2. Design a delicious hormone balancing diet plan that supports your digestive system and endocrine system. 3. Become Fertility Fit with movements that work for your body/personality type. 4. Learn effective stress management techniques to keep fertility turned on. 5. Sleep yourself fertile with sleep hacks you have probably never heard of! 6. Integrate Energy Medicine e.g. Qi Energy Healing, Fertility Meditations and 100% organic Plant Power Medicine. The key to faster fertility success is to do these 6 "Awakening Fertility" pillars simultaneously. Remember non-specific
yoga, non-specific meditations, etc won't get you specific fertility results. For 11 years, Awakening Fertility’s success strategies have worked for women trying to conceive, whether naturally or assisted (IVF/ IUI). Fiona says: 'My client’s doctors report immediate changes to their body (improved lining, cysts disappearing, fibroids shrinking and what shocks people the most is their AMH increasing). This happens because I assess each of my client’s personality types, taking into consideration their likes/dislikes/ fears/concerns and have their mind enjoyably embrace tiny lifestyle tweaks to achieve very quick results.' • *Past performance is no indication of future results.
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Awakening Fertility Helping you make the right fertile lifestyle choices for your fertility You have probably been told (several times) that to have a baby you just need to ‘relax’ and ‘stop trying so hard’...But seriously, unless you have been given the tools to do this, it is virtually impossible! No Time to Waste? We recommend these 3 strategies for your fertility.
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These speciﬁc Fertility Meditations are designed to enjoyably speed up fertility success by changing the map your mind has of your body. Group meditations are more powerful and work even if you can’t meditate! Join live online or get it emailed to you. awakeningfertility.com /fertility-meditations
Have you heard of Qi Healing for Fertility? We hadn’t either...but it is an ancient practice—which surprisingly actually works without any effort on your part! Case studies have shown it can help to stop recurring miscarriages, restore regular menstruation and ovulation. All you need to do is lie down and receive the nurturing sensation of energy. awakeningfertility.com /healing-for-fertility
Awakening Fertility’s Fertile Lifestyle Course offers 90-days online support that very clearly guides you through easy-to- follow little lifestyle tweaks that make a huge difference to your mental health, your emotional health, your egg health, your womb health and even your chromosomal health. It can work alongside any other fertility treatment because it is 100% natural and has an 80% success rate. awakeningfertility.com /fertile-lifestyle-course
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MUM & Baby
All You Need to Know about
In vitro fertilisation is one of the many options available to help couples with fertility problems have a baby techniques available for couples struggling to get pregnant, with IVF being one of the most popular. This procedure consists in a woman’s egg being removed from the womb and fertilised with sperm in a laboratory. After fertilisation, the egg— then known as an embryo—is returned to the woman’s womb to develop. Visit your doctor if you’re struggling to conceive; if IVF is the right treatment for you, they will refer you to a fertility clinic or specialist where you’ll be able to discuss your options further.
DID YOU KNOW? IVF isn’t usually recommended to women above the age of 43 as the chances of conception are thought to be too low Source: NHS
IVF ON THE NHS The National Institute of Health and Care Excellence (NICE) has published guidelines and recommendations on who should be eligible to receive IVF treatment on the health service. Although the organisation suggests this procedure should be offered to ‘women under the age of 43 who have been trying to get pregnant through regular unprotected sex for two years’, it is local clinical commissioning groups (CCGs) who have the final decision—their criteria may be stricter. If IVF isn’t offered by your local CCG, there are other options available in the form of private care and treatment.
TALKING NUMBERS According to the NHS, the chances of a successful conception vary largely and mostly depend on the age of the woman undergoing treatment as well as the cause of infertility. In 2010, the percentage of IVF treatments that resulted in birth were: 78 | LIVE TO 100 WITH DR HILARY JONES
32.2 percent for women under 35; 27.7 percent for women aged 35-37; 20.8 percent for women aged 38-39; five percent for women aged 43-44 and 1.9 percent for women aged over 44.
WHAT ARE THE RISKS? IVF can be emotionally and physically taxing on everyone involved. As with all medical procedures, it comes with risks and side effects such as hot flushes and headaches (from the medication used during treatment), multiple births, ectopic pregnancy and ovarian hyperstimulation syndrome (where too many eggs develop in the ovaries). •
THE 6 STAGES OF IVF Your natural menstrual cycle is suppressed with the aid of medication Your egg supply is boosted to encourage the enhanced production of eggs from the ovaries An ultrasound scan is carried out to monitor the development of eggs; medication is used to help them mature The eggs are removed and collected by a needle that is inserted through the ovaries via the vagina The eggs are mixed with sperm for a few days to allow for fertilisation One or two eggs are placed into the womb. Once this is done, you will have to wait for around two weeks before taking a pregnancy test
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Will you go f itted or f lowing? 4 must-have maternity wear
You're pregnant, hooray! While the timing for moving into maternity clothing differs for each woman, as a rule it should be when one can no longer comfortably fit into their pre-pregnancy clothes. Follow our tips on how to stay trendy mum-to-be without spending a fortune. elegant. Prefer dresses? Get a smart dress designed for both pregnancy and nursing, or a rushed empire style dress which will be perfect at every stage.
Nightie & pyjamas
regnancy is an emotional period with the body undergoing many changes. Avoid buying a lot of maternity clothes and instead invest in several must-haves that you can wear even post-pregnancy. Remember that pregnancy does not mean that you cannot stay in touch with fashion.
Chic dress Take the time to make yourself feel and look great. Wearing formfitting clothing is more flattering to a new, growing baby bump than wearing baggy items. Pair a maternity dress with other items to create a wardrobe of figure-flattering outfit. You'll have the opportunity to sport the latest in maternity fashion, which can make you look stylish and fabulous!
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Practical tops and hoodies Comfort and casual is number one, but that doesn't mean you can't be trendy and practical. Shop simple tops with layered designs and nursing panels which will work perfectly during pregnancy and breastfeeding. Add a comfortable sweatshirt or hoodie featuring concealed side zip cut-outs and a pair of trainers - you are ready to conquer the day in style!
Do you really need a maternity nightwear? You can choose from a range of nighties and pyjamas designed to fit throughout your pregnancy and beyond. Our top tip is to get a front opening nightie or pyjama for the final stages of labour and pack it into your hospital bag. Our Nightgowns provide easy opening flaps and allow you to have immediate skin-to-skin contact once your baby is born, making breastfeeding more comfortable. Pair it up with a matching robe! The problem for many finding maternity wear is a challenge, as the specialist brands often are expensive, high street ranges tend to be limited and designer fashion brands rarely include maternity clothing. Discover Happy Mama Boutique - a pregnancy and maternity clothing brand ensuring that your style continues during pregnancy and post-birth. Our wide range of clothing offer stylish and affordable pregnancy designs for mums-to-be as well as comfortable and clever maternity & nursing designs. Maternity clothing has never been so trendy and reasonably priced! â&#x20AC;˘
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you can offer a brighter future with adoption Thousands of children across the UK need a loving home today. Let our charity help build your forever family.
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MUM & Baby
Whether you’ve decided to adopt following infertility or merely want to expand your family, the commitment is a momentous one. For those who need it, there is plenty of emotional and expert support at hand
doption helps young people who cannot live with their birth parents to find happiness and security with permanent, loving families. The decision to adopt a child is a big one—it brings with it a lot of things to consider.
HOW IT WORKS In order to be able to adopt, individuals must first be aged 21 or over and approved by an agency. Most of these agencies are part of a local authority’s children’s services—in England and Wales—or a social work department (in Scotland). However, there are also various independent agencies which are run by charities. Visit adoptionuk.org to find a list of agencies in your area by submitting your postcode. Once the decision to adopt has been made and your chosen agency has received your application, you will be invited for a series of classes giving advice on the effect the process may have on you. You will be visited by a social worker and celebrityangels.co.uk
DID YOU KNOW? Each year, in England alone, there are around 4,000 children unable to live with their birth family waiting in foster care Source: Adoption UK
be subject to a police check—individuals that have committed serious offences may not adopt. You will also be asked to provide the names of three referees and undergo a full medical examination. Your assigned social worker will then send your complete assessment to an adoption panel. They will be the ones to make your recommendation to the adoption agency.
EMOTIONAL SUPPORT Early trauma and separation issues may have led your adoptive child to develop coping mechanisms resulting in challenging behaviour and difficulty
forming relationships. It’s important to remember that this is completely normal. Local authorities have the duty to assess the needs of anyone involved in the adoption process—whether that is the child, the adopters, the birth parents or any close relatives. Whether you’re thinking about adoption or are an adoptive parent worried about your child’s behaviour, there are countless support resources available. Emotional support is imperative; charities such as Adoption UK and First 4 Adoption have helplines offering suggestions, information, encouragement or emotional support for anyone involved in the adoption process. •
6 months is the amount of time it takes for the adoption approval process to complete. Once this time is up, applicants will be matched with a child for adoption Source: gov.uk LIVE TO 100 WITH DR HILARY JONES | 83
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Keeping an eye on your little one—whether they’re in or out of the womb—is essential for safeguarding their health
onitoring a baby’s movement and breathing is among the most important things a parent can do, both before and after birth. In addition to spotting potential health problems, this may also go some way in preventing stillbirths and sudden infant death syndrome (SIDS).
PREGNANCY During pregnancy, it is important for mothers to observe the movement of their developing baby. Usually, movement will start occurring between weeks 16 and 20 of the gestational period and last up until—and during— labour. Such movements may be felt as a swish, roll or kick. It’s usual for these movements to intensify and become more frequent up until week 32; after that time, it’s normal for them to remain constant. Mothers should always report any changes in the pattern of movement celebrityangels.co.uk
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to their midwife as it may be a sign that the baby is unwell.
POST-BIRTH After birth, there are countless options for parents who wish to monitor their baby’s breathing and movement during every stage of early childhood. These mainly come in the form of tech gadgets and products. Consumers will be able to choose from clip-on monitors, breathing trackers compatible with iOS and Android devices, ‘smart’ clothing able to monitor heart rate, oxygen levels and body temperature and bio-sensor onesies. When they are old enough to sleep in their own room, parents may also decide to install electronic monitors in the baby’s room that will be able to detect movement as well as sound for greater peace of mind. These gadgets work by sounding an alarm when such activity isn’t detected. •
Investing in baby monitoring devices may be needed if your baby was born premature. This is because they might have irregular breathing patterns compared to a baby born at full term. Bereaved parents who have lost a child due to SIDS may also ﬁnd the use of a monitor reassuring, especially during the night
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MUM & Baby
P lay Date R
esearch conducted in 2016 by toy giant Lego suggests that parents are cutting down on playtime in favour of teaching reading, writing and arithmetic to better prepare their little ones for an increasingly competitive world. In an article published in the American Journal of Play in 2011, author and psychology professor Peter Gray suggested that this decline is ‘at least partly because adults have exerted everincreasing control over children’s activities’. But giving young children the time and space to play is incredibly important to their cognitive development—not just for their professional future, but also for their mental wellbeing. According to Gray, reduced playtime has also been linked to a rise in depression and anxiety in young children. Playtime or ‘free play’ (unstructured playtime whereby children choose their activities) underpins all aspects of learning. It helps young children develop language and their social, creative and intellectual skills. Left to their own devices, they will
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DID YOU KNOW? Children spend around 3-20% of their time and energy engaged in play Source: Learning Through Play by Peter K. Smith, PhD, Anthony Pellegrini, PhD, 2013
initiate imaginative play and—when with their peers—organise activities and games. So how does this further their learning?
PROBLEM-SOLVING Free play is crucial to facilitate and develop problem-solving skills to appropriately handle day-to-day challenges. Children are natural problemsolvers. From birth, a baby will begin to problem-solve by working to grasp objects not in their reach. As they age, their problem-solving skills become more complex. They may be able to solve simple puzzles and use critical thinking to resolve conflicts among their peers.
SOCIAL DEVELOPMENT A large proportion of child’s play includes imaginative or role-play. When this occurs, children tend to subconsciously rehearse and refine the social observations they have made of those around them. Children use this form of
play to further understand and cement the lessons they have learnt during their school classes, too. This is also the way in which children develop their language and apply ‘rule-making’ during games and activities. The ability to make and adhere to rules by their own admission is a fascinating phenomenon which sets them up for adulthood.
PHYSICAL DEVELOPMENT In the technological age, it is more vital than ever that children participate in playtime. Physical play—including sports—running around or simply moving increases both stamina and strength. With good health, wellbeing and increased energy, children will have the propensity to concentrate better in the classroom, making play a vital component towards their learning. •
Parents are prioritising literacy and numeracy skills over their children’s playtime—but could this be damaging?
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Appropriate car seats are imperative for your child’s safety while travelling—here’s all you need to know to keep your tot safe
pdated government guidelines released in 2017 state that children must use a car seat until they are 12 years old or 135 centimetres tall—whichever comes first. There are numerous things to keep in mind when choosing and buying a car seat for your child to travel in, including fit, size and weight.
intended to make fitting a car seat easy. Most experts recommend fitting a car seat in the back of a car. If you decide to place a rear-facing car seat in the front passenger seat, you must deactivate any airbags. If left active, the airbag could cause severe damage to the infant in the case of an accident.
The EU introduced a safety regulation in 2013 for ‘i-Size’ car seats. The purpose of the regulation is to ensure that car seats can be more easily fitted into a car and to better enhance child protection in case of an accident. i-Size seats refer to heightbased seats; they must be rear-facing until
In the UK, car seats may only be used if your car has diagonal straps, unless the car seat is designed specifically for lap seatbelts or is to be fitted with Isofix connectors. Most modern cars will have Isofix connectors built in; these are
HEIGHT-BASED CAR SEAT
your child reaches 15 months. Remember that only EU-approved height-based i-Size car seats can currently be used in the UK. These will have the letter ‘E’ placed in a circle and ‘R129’ printed on the label.
WEIGHT-BASED CAR SEAT The type of weight-based car seat you will need for your child and the way they must be restrained in it varies depending on their weight. As with height-based seats, only EU-approved weight-based seats may be used in Britain. Check that the label has an ‘E’ placed in a circle and ‘ECE R44’ printed on it. See the government’s guidelines on weight-based car seats listed below.
Seats Lie-flat or ‘lateral’ baby carrier, rear-facing baby carrier or rear-facing baby seat using a harness Rear-facing baby carrier or rear-facing baby seat using a harness Rear-facing or forward-facing baby seat using a harness or safety shield Rear-facing or forward-facing child car seat (highbacked booster seat or booster cushion) using a seat belt, harness or safety shield Rear-facing or forward-facing child car seat (highbacked booster seat or booster cushion) using a seat belt, harness or safety shield Source: gov.org.uk/child-car-seats-the-rules
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According to Arthritis UK, about one third of adults living in Britain are affected by back pain each year—what can we do to manage the condition?
ack pain can occur due to a variety of reasons—including muscle strain and sprains—or it may happen for no apparent reason at all. In rare circumstances, back pain may be caused by serious underlying medical conditions such as sciatica (irritation of the nerve that runs from the pelvis to the feet) or a slipped disc. If you experience chest pain, high temperature, loss of bowel control or a deformity or swelling in your back as a result of back pain, seek immediate medical attention.
MEDICATE While most cases of back pain tend to ease on their own over time, coping in the interim can prove to be difficult. The NHS advises that sufferers take non-steroidal anti-inflammatory (NSAID) drugs such as ibuprofen and aspirin to help relieve discomfort. Ibuprofen works to reduce pain and inflammation and can be bought at a low cost from supermarkets and pharmacies. If back pain persists or becomes severe, doctors may recommend stronger, analgesic medications such as codeine. Caution is advised, however: according to the NHS, codeine can cause addiction and dependency in as little as three days. Dependency on opioid painkillers like codeine may also lead to a host of other medical issues from constipation to liver and bowel disease.
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MINDFULNESS While practice in mindfulness may not cure or eradicate back pain, it can aid in pain management without the use of medication. Researchers at the University of Washington and Group Health Research Institute in Washington (US) suggest that mindfulness-based stress reduction (MBSR) can improve chronic back pain. The research, published in March 2016, found that patients with back pain reported improvements within six and a half months when using MBSR methods. MBSR activities include yoga and meditation.
EXERCISE It is imperative to keep active even with back pain; bed rest or staying sedentary may actually prolong suffering. Exercising can help to strengthen the muscles that protect the spine, release endorphins which act as a natural painkiller and improve circulation and stiffness. Along with moderate exercise (like walking), doctors recommend performing strengthening exercises such as pelvic tilts to help strengthen the lower back. To do this, lie on your back with knees bent and feet flat on the floor. Engage your core and gently tilt your pelvis until you reach an arch in your back and slowly return to the starting position. Repeat this motion 10 to 15 times. •
75-90% of people who experience back pain tend to recover within a few weeks Source: arthritisresearchuk.org
DID YOU KNOW? Back pain is the leading single cause of disability in the UK, with low back pain alone accounting for 11% of all disabilities Source: NHS England
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Joint Replacement to End Knee and Hip Pain
ealthcare stories are not always good news, but if you’re one of the many thousands of people in the UK suffering from ongoing knee or hip pain, there can be light at the end of the tunnel; joint replacement surgery can make a big difference.
care, robot-assisted technology and an enhanced recovery pathway, offering the highest standard of clinical care. You can be out of hospital after only three days, recovering in the comfort of your own home on a specialised rehabilitation programme.
Knee and hip replacement operations have been around for decades, and in fact are British inventions. Today, they are highly effective and very reliable, and it’s no surprise that tens of thousands are undertaken every year in the UK. However, because we are an ageing population, and staying active into older age is a priority for many, the associated pressure on the NHS is increasing.
So what is it that makes the difference for the patient? Joint replacement techniques are improving all the time, and the most important factor is the surgeon's knowledge and skill, so finding a surgeon you trust and feel comfortable with is a good place to start.
Due to the increased demand, the NHS screens those who suffer ongoing hip and knee pain to assess how urgently they need replacement surgery. As a result there are many people in the UK who may benefit from a new knee or hip but aren't referred for treatment. So what are the alternative options for those who don't meet the NHS criteria or don’t want to wait for surgery if there are waiting list delays? The Fortius Joint Replacement Centre at Bupa Cromwell Hospital is one of the few dedicated private joint replacement centres in London, where patients can choose to undergo an operation through their private medical insurance or pay for it themselves. Situated in the leafy borough of Kensington, West London, the Fortius Joint Replacement Centre brings together some of London’s leading orthopaedic surgeons, Bupa Cromwell Hospital's excellent nursing
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Your surgeon will tell you what the chance of success is going to be, as a joint replacement prosthesis doesn’t feel or behave exactly like a real human joint, especially knee replacements. It’s important that you are fully informed by your surgeon before the operation to avoid dissatisfaction afterwards. In recent years improvements have included better pain relief after the surgery, and developments in surgical techniques that mean less swelling, a faster recovery and less time in hospital. This means you have more time to spend getting back to the things you love doing, whether it’s walking, hiking, playing tennis, playing with grandchildren or simply living a life free from daily pain. If you’re suffering from hip or knee pain, it’s as simple as picking up the phone to speak to one of our team about joint replacement. You can see any one of our hip or knee surgeons, and know that you’ll be in safe hands. •
A HIP OR KNEE REPLACEMENT COULD BE FOR YOU, IF: • You experience pain during movement and rest • Non-invasive treatments aren't working • Non-invasive treatments are no longer effective • Pain is interfering with your daily activities
WHAT HAPPENS DURING JOINT REPLACEMENT SURGERY? • The diseased joint is removed • An artificial joint is put in its place • General anaesthetic or a spinal block with sedation may be used
AFTER THE PROCEDURE • The length of hospital stay depends on the procedure, but the average for knee replacement and traditional hip replacement is 3 days • You'll receive pain medication as you heal • You will need physiotherapy as you begin to walk again • Follow your consultant's recommendations for returning to normal activity Knee and hip replacement at the Fortius Joint Replacement Centre is available to both insured and self-funding patients. For both joint replacements, most patients are back to their usual activities in three months.
T: 020 3195 2442 www.fortiusjointreplacement.com
Live to 100 uncovers today’s most common orthopaedic complaints, their treatments and how to maintain optimum bone health
rthopaedics is a branch of medicine that concerns the musculoskeletal system. More specifically, it deals with the correction of deformities and functional impairments of the bones and muscles, usually the extremities—such as the hands and feet—and the spine. We disclose some of the most common orthopaedic complaints as well as how to manage them.
Dislocation Dislocation is a term used to describe a bone that has moved out of its correct
position. Often, the bone is noticeably displaced and can be accompanied with symptoms of swelling and pain. The hip, shoulder, ankles, elbows and jaw are all
Did you know? Between the ages of 20 and 80, caucasian women lose 1/3 of the bone mineral density in their hip Source: National Osteoporosis Foundation
common joints that can be affected by dislocation. It is usually caused by an unexpected or imbalanced impact—it is linked to high-impact sports, falls and accidents. The course of treatment will depend on the severity of the condition and which joint has been dislocated. The main methods of treating dislocation include manipulation, which involves realigning the bone manually; immobilisation, a method that places the joint in a splint or cast to promote healing and recovery; and—in the most severe cases—surgery.
Fracture A fracture—or broken bone—can range in severity from being a minor, hairline fracture to a complete break. This is usually the result of a high-force impact or a minimal trauma injury. Fractures can also be a consequence of osteoporosis (weakened bones), bone cancer or osteogenesis imperfecta, a disease that can cause weak bones to break easily. Postmenopausal women are more prone to factures because their bone density dramatically decreases as a result of lowered oestrogen levels. Treatment for fractures is determined on a case-by-case basis. Most will require 94 | Live to 100 with Dr Hilary Jones
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OVER 60 a plaster cast to immobilise the bone. More complicated fractures may need surgery. Other types of fracture treatment may require a plate and screws or a rod to be fitted to keep the bone in place.
Arthritis Arthritis is one of the leading causes of orthopaedic issues, with osteoarthritis and rheumatoid arthritis being the main culprits. Osteoarthritis is caused by the breaking down and inflammation of the protective cartilage at the ends of the bones. This causes growths to form, which may lead to pain and swelling in the affected area. Rheumatoid arthritis is an autoimmune disease that causes the body’s immune system to attack healthy body tissue. Over time, joints can become severely damaged, as can the bones and nearby cartilage. Various anti-rheumatic drugs (DMARDs) can be prescribed to stop or slow the progression of these conditions. They can also ease pain and reduce
inflammation to help sufferers live their life as normally as possible. More advanced cases will, unfortunately, require a more aggressive approach such as joint replacement or arthroscopy—the removal of inflamed joint tissue.
Joint replacement The goal of joint replacement is to remove any parts of the joint that are damaged or diseased and replace them with a prosthetic. This surgical procedure can reduce pain and improve mobility. Hip replacements—or total hip arthroplasty—are among the most common procedures in this category. According to the NHS, about half of all hip fracture cases require a partial or complete hip replacement. This surgery is deemed necessary if the bone is significantly damaged or worn to the extent that movement is difficult. The procedure involves the fitting of a prosthetic hip that usually lasts up to 15 years. Other joints that can be replaced include the shoulders, fingers, ankles and elbows. •
your orthopaedic health Exercise and a healthy lifestyle can directly improve muscle strength, bone density and joint flexibility. Maintaining a healthy weight can also help common orthopaedic complaints
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Poor eye health can have a profoundly negative impact on our general health and wellbeing. Read on for Live to 100’s guide on how to care for your eyes
round 50 percent of sight loss can be avoided, yet the number of individuals needlessly living with the condition keeps growing at an alarming rate. A recent report published by the London Assembly Health Committee links poor eye health with a wide range of other conditions including heightened anxiety, depression and vulnerability to falls. A growing population and an over-burdened NHS have also made the rising prevalence of eye diseases hard to manage and treat. The rise in first-time eye health appointments has
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created a knock-on impact on specialised clinics and made it challenging for them to schedule consultations and timely follow-ups. Sight loss has an enormous impact on an individual’s quality of life and experts have estimated it costs the economy around £28 billion a year. Preserving our eye health and preventing sight loss has never been more important.
Caring for your eyes We’re all guilty of taking our eyes for granted, but there are a few steps we can all take to ensure our sight remains in good condition for as long as possible.
people in the UK are currently living with sight loss. That’s around 1 person in 30
Source: Royal National Institute of Blind People
Eating well is a major one; consuming omega 3s, lutein, zinc and various vitamins is known to ward off age-related sight conditions such as cataracts and macular degeneration. Fill your plate with leafy greens, oily fish, eggs, nuts, oranges and pork to benefit from all these sight-saving nutrients. Smoking makes an individual more likely to develop cataracts and is also damaging to the optic nerve. Quit for good—it will benefit your overall health, not just your eyes. Protecting your eyes with sunglasses might seem like an obvious preventative measure, but many don’t own pairs that block out harmful UVA and UVB rays. Speak to an optician to find out which glasses are best. Similarly, use safety eyewear if you come into contact with hazardous materials in your workplace or practice sports like hockey. Nowadays, most jobs require us to look at a
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OVER 60 computer screen for long periods of time. Look away from bright screens every now and again to limit the strain they can cause to your eyes as well as avoid conditions like Dry Eye Syndrome, neck pain and recurring headaches. If you wear prescription glasses or contacts, make sure they are good for looking at bright screens. Exercising frequently, especially if you’re aged 60 or over, can reduce the risk of sight loss occurring due to the narrowing of arteries, high blood pressure and diabetes. Cutting down on alcohol consumption is another easy to way to care for your eyes. Alcohol can lead to a host of serious health conditions which can have a detrimental effect on eye health. Getting enough sleep is crucial to our eye health. Dry Eye Syndrome, one of the most common eye health complaints, can occur when our eyes lose the ability to produce enough tears. A good night’s sleep allows us to rest the eyes and the important lipid layer on their surface to recover. Failure to get enough rest may leave the eyes feeling dry or looking puffy and sore. Planning regular visits to your eye doctor will ensure any developing conditions are caught early and managed correctly.
REMEMBER If you have diabetes, you are more likely to develop eye problems such as diabetic retinopathy, cataracts or glaucoma
DID YOU KNOW? It’s predicted that the number of people with sight loss will rise to over 2,250,000 by 2020. By 2025, this will double to nearly 4m Source: Royal National Institute of Blind People
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According to the National Eye Institute (NEI), myopia, hyperopia, astigmatism and presbyopia are some of the most common eye health complaints— also known as refractive errors. To individuals with myopia, objects up close appear clearly while objects far away seem blurry. Hyperopia—or farsightedness—causes the opposite effect. Astigmatism is a condition where the eye does not focus light evenly onto the retina, causing images to appear blurry. Presbyopia, perhaps the most common, is an age-related condition that affects most adults over the age of 35. It causes individuals to lose the ability to focus on objects up close. •
A diabetes diagnosis can be an incredibly stressful time, but gathering the right information on what the condition is, the risks involved and what to expect is key to managing it moving forward
It’s very important for diabetes to be diagnosed as early as possible because it will get progressively worse if left untreated —nhs.co.uk
iabetes occurs when blood sugar (glucose) levels in the body are too high. This condition can be categorised into several forms including Type 1, Type 2 and gestational diabetes—a type of diabetes that occurs in pregnant women. When the condition is not managed well, it can seriously impact an individual’s health. According to leading charity Diabetes UK, people with diabetes are twice as likely to suffer from cardiovascular problems such as heart disease and stroke compared to individuals without it. Other damaging conditions associated
with diabetes include kidney disease and various eye diseases. In severe cases, high blood sugar levels can also damage nerves and muscles in the legs and feet, leading to amputation.
Type 1 diabetes is a lifelong condition. Insulin is a hormone that is produced by the beta cells in the pancreas and regulates blood sugar levels in the body. Insulin sends signals to the muscles, fat and liver cells to absorb glucose from food. Type 1 diabetes, however, destroys the beta cells in the pancreas so that the
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OVER 60 body can’t produce enough of this vital hormone. The body then uses protein reserves to fuel itself and unabsorbed sugar levels can climb dangerously high. Those with this form of diabetes must administer insulin daily; this is usually via an injection using an insulin pen.
Type 2 diabetes is the most common form of diabetes and accounts for 90 percent of all cases of diabetes in the UK. Slightly different to Type 1, Type 2 occurs because of either insulin resistance— where the body doesn’t use insulin in the way that it should—or when the pancreas doesn’t produce enough insulin to regulate glucose levels. Unlike Type 1 diabetes, Type 2 diabetes can be reversed. Eating a controlled diet with low carbohydrates and a good exercise regime may help towards reversing Type 2 diabetes.
GESTATIONAL DIABETES Unlike Type 1 or Type 2 diabetes, gestational diabetes only affects women who develop unusually high blood sugar levels
3.5m The number of people in the UK diagnosed with diabetes Source: diabetes.co.uk
during pregnancy. Diabetes.co.uk reports that it occurs in three to five percent of all pregnancies—that’s one in every 20 pregnancies. This type typically disappears once the baby is born, but those who do have it may be at risk of early labour, stillbirth and preeclampsia. They will also have a higher risk of developing Type 2 diabetes in the future. Pregnant women will be given a blood sugar testing kit to monitor their blood sugar levels throughout their pregnancy. If blood sugar levels aren’t reduced enough through diet and exercise, medication may also be prescribed. There are rarely any symptoms associated with gestational diabetes and it is usually detected during routine screenings at around 24 to 28 weeks’ gestation.
HYPERGLYCAEMIA OR HYPOGLYCAEMIA? No matter how carefully a person with diabetes tries to maintain normal blood sugar levels, it is almost inevitable that they will experience either hyperglycaemia or hypoglycaemia. Hyperglycaemia—the medical term used to refer to high blood sugar levels—can lead to life-threatening conditions and induce diabetic comas. Hypoglycaemia, on the other hand, refers to extremely low blood sugar levels. Symptoms for hypoglycaemia include delirium, sweating and nausea.
DID YOU KNOW? Obesity is the leading cause of Type 2 diabetes, accounting for 80-85% of the overall risk for developing the disease Source: Facts and Stats Report, Diabetes UK (2016)
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MANAGING DIABETES: 5 KEY STEPS Diet The NHS recommends that those with diabetes eat foods that are low in salt, sugar and fat and high in fibre. Include plenty of fresh fruits and vegetables and avoid dishes with saturated and trans fats Exercise Staying active is key to managing diabetes by helping your body use insulin more effectively. The Department of Health (DoH) recommends 150 minutes of moderate to vigorous exercise a week
Create a routine Develop a daily routine that involves setting times to take medications and insulin, for exercise and for organising doctor visits. Routines help to declutter the mind and reduce anxiety so that you can enjoy your everyday life, knowing that your diabetes is being managed all the while
Quit smoking Smoking is seriously bad for anyoneâ&#x20AC;&#x2122;s health, but for those with diabetes, it can exacerbate the risk for heart disease and poor blood flow in the legs and feet
Get support Discussing your feelings with friends or family can help to reduce stress and anxiety associated with diabetes. You can also call the Diabetes UK helpline on 0800 585 088 for advice and information surrounding the condition
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How Continuous Glucose Monitoring Technology
changes lives of people with Diabetes
he trend of wearable technology has been growing in healthcare, but one area that hasn’t been discussed much is diabetes. Each year more and more people live with diabetes which, if uncontrolled, can result in life-changing complications such as heart disease, nerve damage, kidney problems, and even death. According to the International Diabetes Foundation (IDF), there are 52 million people living with diabetes in Europe and by 2040, it is estimated that more than 72 million people will have the disease1. Diabetes accounts for 10% of the NHS’s overall budget, and type 1 diabetes alone costs 2.7 million a day2, so the impact of technological solutions is not only front of mind for many people with type 1 diabetes (PWT1D), but also physicians and the government. There are many myths about diabetes that linger in public perception, from the belief that people with diabetes can’t drive or travel, to the false idea that they are unsuitable for certain jobs. Today, technology is helping patients and healthcare professionals better understand and manage diabetes.
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Dexcom, Inc. is a healthcare technology company that develops and manufactures continuous glucose monitoring (CGM) systems that track a user’s glucose levels 24 hours a day. The Dexcom G5® Mobile CGM System replaces the need for finger pricksi to make diabetes treatment decisions and provides continuous insight into glucose levels throughout the day and night. With almost 300 data points provided in 24 hours, the G5 Mobile helps provide greater glycaemic control – which is particularly important for people who have an impaired awareness of their glucose levels. CGM technology is helping to manage the fastest growing health epidemic around the world. However, to safely benefit from these advances, it is essential that there is a clear clinical understanding of how and when to use them. In too many cases, the incorrect technology is being provided for those with an impaired awareness of hypoglycaemia, when real-time CGM with alerts would be more safe and effective. Studies have shown that real-time CGM systems with alerts help reduce time spent in hypoglycaemia, particularly in those with an impaired awareness of hypoglycaemia,
whilst another popular option, flash glucose monitoring, can actually increase time spent in hypoglycaemia3. Founded in 1999, Dexcom, Inc. has corporate offices in San Diego, California, EMEA headquarters in Edinburgh, Scotland, and patients in 39 countries around the world. Dexcom is transforming diabetes care and management by providing life-changing CGM technology. Since inception, the company has focused on better outcomes for patients, caregivers, and clinicians by delivering solutions that are best in class— while empowering the community to take control of diabetes.• IDF Diabetes Atlas 7th Edition (2015) Diabetes UK: Facts and Stats (2015) 3 Reddy et al., Diabetic Medicine (2017) i If your glucose alerts and readings do not match your symptoms or expectations or you are taking medications containing paracetamol/acetaminophen, you should perform a finger prick to confirm your blood glucose level. A finger prick is needed every 12 hours to calibrate. 1 2
E: email@example.com T: 0800 031 5761 www.dexcom.com/en-GB
We unearth the psychological and physical effects of suffering from some of the most common chronic conditions
PSYCHOLOGICAL SUPPORT The importance of psychological support for people suffering from long-term illnesses cannot be understated. Dealing with a recurring condition can take its toll and cause considerable emotional distress. A doctor will be able to suggest the most effective form of support; this could involve counselling or even cognitive behavioural therapy (CBT)—a talking therapy which has been proven to aid treatment of a range of psychological conditions. ‘We need to consider how we approach and support those people 104 | LIVE TO 100 WITH DR HILARY JONES
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living with long-term conditions who are experiencing fear and loss of control of their lives,’ suggests Tessa Jelen, a sufferer of emphysema and fibrosis, in her guest blog post on The King’s Fund website.
COMMON CHRONIC CONDITIONS Arthritis Arthritis is a common condition that causes pain and inflammation in the joints. It affects around 10 million people in the UK. Treatments used to slow the condition include painkillers, corticosteroids (steroid medication) and non-steroidal anti-inflammatory drugs (NSAIDs). Severe cases may call for physiotherapy, joint fusion, joint replacement or osteotomy (re-aligning of the bone). Chronic obstructive pulmonary disease Chronic obstructive pulmonary disease (COPD) is a term used to describe a group of lung conditions that cause difficulty breathing. Emphysema and chronic
15.4m people are suffering with a long-term condition in England Source: NHS Confederation Report, Investing in emotional and psychological wellbeing for patients with long-term conditions, 2012
DID YOU KNOW? Between 2011 and 2015, deaths caused by chronic obtrusive pulmonary disease (COPD) rose by 20% in England and Wales
chronic condition is an illness or disease that is long-lasting in its effects—in most cases, they are a lifelong affliction. While early intervention, restorative treatment and therapy can usually keep symptoms at bay, these are not a definite cure. With a population that is rapidly ageing, chronic illnesses are forecast to increase in the UK.
Source: Oﬃce for National Statistics
bronchitis are the most common—both tend to worsen over time. Smoking is one of the main causes of COPD, therefore quitting is essential. Treatments that work to slow the progression of COPD include inhalers, oral medication, pulmonary rehabilitation and—as a last resort—a lung transplant.
Medication for this condition is designed to strengthen bones and alleviate the pain of fractures when they occur. Your doctor may also recommend some dietary changes to cope with this longterm illness. •
Crohn’s disease Crohn’s disease is a condition that causes inflammation of the bowel and other parts of the digestive system. People with Crohn’s can experience periods of remission—whereby the condition is inactive and produces no symptoms— and flare-ups. Common side effects such as diarrhoea and abdominal pain can be treated with corticosteroids. Immunosuppressant drugs and antiinflammatory medication may also be prescribed to help patients cope. Severe cases may call for surgery to remove the inflamed part of the intestine. Osteoporosis Osteoporosis is a disorder that causes bones to weaken over time. As the condition develops, the body becomes more prone to injury, with fractures and breaks being common after minor falls.
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A Weighty Decision
Deciding to undergo any weight loss procedure is a monumental commitment—here's all you need to know
ariatric surgery—colloquially known as weight loss surgery— refers to a number of procedures that involve reducing the size of the stomach in order to limit calorie intake. The surgery is only offered on the NHS to obese people with a BMI of over 40, or those with a BMI of between 35 and 40 if they suffer from other serious conditions like heart disease and diabetes. Bariatric surgery will only be considered on the NHS if all other means of weight loss such as diet and exercise have been exhausted.
TYPES OF SURGERY Weight loss procedures are usually performed via keyhole surgery. The most common types of bariatric surgery are: Sleeve gastrectomy. This surgery involves the complete removal of a large portion of the stomach. The new, smaller stomach size means that patients will feel full quicker and will absorb less calories than before surgery.
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DID YOU KNOW? Over 75% of bariatric surgery patients in 2015/16 were aged between 35 and 64
Gastric band. In this procedure, a band will be placed around the top of the stomach, creating a small pouch. The band is connected to a device that can loosen or tighten it as necessary. Gastric bypass. Surgical staples are used to create a pouch at the top of the stomach. It is then stapled to the small intestine, bypassing the rest of the stomach.
a sleeve gastrectomy may also be at risk of the band slipping out of place. Fast weight loss can leave patients with excess skin after surgery and removal isn’t usually available on the NHS.
LIFE AFTER SURGERY
While weight loss surgery is commonplace in the UK, there are still risks involved. One of the most common risks is vitamin deficiency, whereby the body isn’t able to absorb the sufficient amounts of vitamins needed for healthy functionality. Bariatric surgery patients may need to take vitamin supplements for the rest of their lives following the procedure. Patients are also at an increased risk of contracting gallstones or developing deep vein thrombosis (a blood clot in the leg). Patients who undergo
Source: Statistics on Obesity, Physical Activity and Diet—England, 2017
Weight loss surgery can achieve exceptional results, with the NHS reporting that patients can lose up to 70 percent of their excess body weight. Surgery is not a cure for obesity, however, and patients should practice a lifelong commitment to maintaining a healthy diet and exercise regularly in order to keep the weight off. There are numerous support groups across the UK that can prove to be invaluable to patients, providing a pillar of support and advice. •
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The M Word
Though it is an inevitable natural process in every woman’s life, the menopause can also be a time of deep anxiety and distress
ccording to a recent study carried out by the British Menopause Society (BMS), around three-quarters of women say the menopause caused them to change their life and over half admitted its symptoms had a negative impact on it. The menopause is still very much a taboo subject in the UK, something many don’t feel comfortable talking about. The report, which was published on World Menopause Day 2017 (18 October),
DID YOU KNOW? Women can lose up to 20% of their bone density in the 5 to 7 years after the menopause; this is caused by a decrease in the levels of oestrogen in the body, a hormone which helps protect bone strength. To maintain healthy bones, stay active, eat a balanced diet, get as much sunlight as you can, drink sensibly, quit smoking and consider HRT
highlights the need for greater support for women experiencing this inevitable change in their life. Brought about by a biological shift, the menopause is when a woman stops having periods and is no longer able to get pregnant naturally. Although it typically occurs between the age of 45 and 55, around one in 100 women experience it before the age of 40—a condition known as premature menopause or premature ovarian insufficiency.
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The symptoms Although most will experience some symptoms, their duration and severity will vary greatly from woman to woman. They may start months or even years before your periods stop and can last for some time afterwards. Some of the most common symptoms include:
Short, sudden feelings of heat—mostly in the face and neck—which can make the skin red, patchy and sweaty. Caused by changes in a woman’s hormone levels, hot flushes can be uncomfortable, embarrassing and disruptive.
These are hot flushes that occur during the night. Night sweats are when the body sweats so profusely that it soaks any night clothes and bedding, even when the sleeping environment is cool.
Sometimes, due to recurring episodes of night sweats, difficulty sleeping may make sufferers feel tired and irritable during the day.
A decrease in oestrogen during the menopause can cause persisting vaginal dryness. In addition to this common condition, the menopause can also cause pain and itching as well as discomfort during intercourse.
The fluctuation in hormones typical of the menopause may cause mood changes, anxiety and periods of extremely low moods
Urinary tract infections
UTIs such as cystitis are common infections affecting the bladder, kidneys and the tubes attached to them. They may become more frequent as women approach the menopause.
110 | Live to 100 with Dr Hilary Jones
The Solution to Drier More Comfortable Nights
applies to readers of Live to 100 with Dr Hilary Jones magazine,
use code: DRHJ15 Women going through the menopause can suffer from a range of side effects, from hair loss and brittle nails to dizziness and weight gain, but it is the night sweats that can leave women feeling uncomfortable, unable to sleep and ultimately lead to severe fatigue during the day. But now, Esteem – No Pause has created a range of innovative nightwear and lounge wear which has been specifically developed for women who want to combat night sweats, while looking and feeling great. Using the latest advances in fabric technology, Esteem – No Pause has created a clothing range that is cool, breathable and hygienic. The Body Moisture system helps to alleviate the uncomfortable symptoms of night sweats and hot flushes, using smart technology fabric that moves sweat away from the body and absorbs even the smallest amount of moisture. The range is stylish and versatile, and can be worn as lingerie, daywear, nightwear, loungewear or even exercise wear to combat excess sweating.
Suitable for all sufferers of excessive perspiration not just menopausal women. To find out more about Esteem – No Pause visit www.esteemmanchester.com
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OVER 60 POSSIBLE TREATMENTS Menopause cannot be treated, but its symptoms can be managed. Although not all women will want or need treatment, family doctors are best placed to advise patients on the various management options. The most well-known treatment—possibly because it has been controversially linked to a higher risk of breast cancer in multiple studies—is hormone replacement therapy (HRT). This form of treatment involves taking oestrogen to replace the decline of the hormone in the patient’s body. Available as tablets, skin patches, gel or implants, it is an extremely effective way of relieving symptoms. Some side effects include headaches and breast tenderness—in some women, it is also associated with blood clots and breast cancer. Alternative treatments, such as herbal remedies
TIPS FOR A HEALTHY MENOPAUSE • Eat regularly. Skipping meals will make it difficult to maintain a healthy weight and achieve daily nutritional requirements • Five a day. Consume five or more portions of different fruits and vegetables a day • Phytoestrogen-rich foods. Eat foods rich in phytoestrogen— compounds that naturally occur in plants—like soya milk, pulses and linseed bread to reduce flushing and lower cholesterol • Oily fish. Consume at least one portion of omega 3-rich oily fish a week like herring, mackerel, tuna and salmon • Keep caffeine low. Watch your intake of stimulants like caffeine and alcohol • Physical activity. Walk or cycle at least 30-40 minutes a day to keep weight under control
and natural hormones are generally not recommended by the health service and are considered non-traditional; this is because their safety and effectiveness are still relatively unclear. These therapies include supplements, acupuncture, chiropractic, homeopathy and specialised diets. Botanicals (medicines derived from plants) are also available to relieve uncomfortable symptoms of the menopause—make sure to discuss your wishes and options with your doctor. They will be able to advise you on the best course of action.
EARLY MENOPAUSE Premature ovarian failure (POF) affects around one in 100 women before the age of 40 and five in 100 before the age of 45. While doctors have different opinions on what the ‘normal’ age for menopause is, most consider it to be ‘early’ if it occurs before a woman turns 45. Some natural causes of POF are chromosomal abnormalities—such as Down’s syndrome—enzyme deficiencies and autoimmune diseases. According to NHS Choices, POF can also be induced through medical treatments damaging
egg production (like radiotherapy or chemotherapy), hysterectomies and infections such as tuberculosis, mumps, malaria and chickenpox. Women with premature menopause are also at a higher risk of osteoporosis. In these circumstances, many doctors recommend HRT until a woman reaches the 'normal' age of natural menopause (which is considered to be around 52).
EMOTIONAL EFFECTS Going through the menopause is a difficult time for many women. Despite it being a natural phase of every woman’s life, the subject is still surrounded by stigma. Every change that occurs in the body can affect your emotions and mental wellbeing. Many women report mood swings, anxiety and irritability. As hard as it may sound, it is important to think of the positives. Not having a period anymore can be freeing, especially if you’ve been plagued with particularly heavy or painful ones. Visit your doctor if you feel like you are struggling to cope with the menopause—whether that’s due to its symptoms or the anxiety it can cause. • LIVE TO 100 WITH DR HILARY JONES | 113
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ore and more people in the UK are choosing to take out health insurance to cover the cost of private medical treatments and care not offered by the NHS. Private medical insurance allows patients to be less reliant on the health service as well as pay for all or some of their medical bills. Its main benefits include shorter waiting times, faster diagnosis, better facilities and convenience in choosing times for
LOWERING THE COST OF HEALTH INSURANCE • No claims •
Premiums could get cheaper after long periods of no claims Excess Choosing a higher excess—the amount you need to pay towards treatment yourself if you claim— may make your premiums lower Wait period If the NHS waiting list for your speciﬁc treatment or appointment is less than your chosen wait period, you must get treatment on the NHS Nominated hospitals If you choose speciﬁc hospitals for your treatments, your premium may be cheaper Good health Proving you don’t smoke or that you regularly use a gym may lower your premiums Source: Money.co.uk
The Ins & Outs of
OVER 60 specific appointments. The cost of taking out health insurance will depend on an individual’s age, medical history, lifestyle and type of cover.
HOW TO CHOOSE HEALTH INSURANCE There are various things to consider when shopping around for health insurance. Most plans tend to cover inpatient treatments, exclusive medicines, hospital stays, scans and surgical procedures. A few things which basic policies do not cover are A&E visits, existing chronic problems, drug abuse, treatment abroad, organ transplants and non-essential cosmetic treatments. The two types of health insurance policies are moratorium underwriting and full medical underwriting—their main difference lies in how much information patients are asked to give their provider. Both have their pros and cons. With moratorium underwriting, patients are not required to share full medical history to their providers and they will, generally, not be initially covered for past conditions. Full medical underwriting, on the other hand, requires patients disclosing their full medical history. This plan will most likely provide the widest coverage, take longer to apply for and come with a heftier price tag. Age and health status may also dictate what type of health insurance individuals are eligible for—insurers are not likely to offer a moratorium underwriting plan to seniors over the age of 75. There are also insurance plans tailored to specific conditions and age groups. Others, for example, only provide cover if patients are forced to wait over six weeks for treatment on the NHS.
MAKING A CLAIM Once you have an insurance plan in place, claiming back is simple. Make sure you have all the information you need (insurer’s contact details and your policy membership number) as well as details about your illness. To start your claim, you may phone your insurer and ask them to refer you to a specialist, use your insurer’s website or visit a doctor directly. If you choose to do the latter, you’ll need to
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Remember Looking around for the best deal on health insurance is important. Use free comparison sites to ﬁnd a package suited to your needs. If you need additional help, consider contacting a broker. They’ll be able to get a range of quotes and assist you in choosing a policy contact your provider to check whether they can cover your treatment needs. Your insurer will take care of the bill directly with the treatment provider. In some cases, you may need to pay an excess, but this will have been pre-agreed in your policy contract. If, for whatever reason, your claim is rejected, check your policy carefully and make a formal complaint wherever necessary.
WHAT TYPES OF INSURANCE CAN YOU GET? Individual. This is taken out in one person’s name and will only pay out for that person. Joint. This can cover two people and may work out cheaper than individual policies. Family. This lets individuals cover themselves, their partner and children under one plan. Children. It is possible to take out a standalone health insurance plan for children. •
2.1% The rise in demand for private medical insurance cover in Britain in 2015 with just over 4m people insured
ALTERNATIVES TO HEALTH INSURANCE The health service is not the only alternative to taking out health insurance. Critical illness cover can be used to claim back costs incurred from serious health problems. Healthcare cash plans, on the other hand, can spread the cost of healthcare expenses into a monthly plan; these can come with a range of other beneﬁts
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*Full terms and conditions apply. Go to zurich.co.uk/insurance/liveto100 for details. We calculate the value of your vouchers as the combined value of your first six months payments, rounded down to the nearest £5, to a maximum value of £100. The vouchers will be issued after your sixth payment and you have completed your registration. This offer applies to Level Protection, Decreasing Mortgage Cover, Whole of Life Insurance – Adaptable Life Plans taken out directly with us through zurich.co.uk/insurance/liveto100 up to and including 1st August 2018. The plan must start before 1st February 2019 for the offer to apply. Zurich Assurance Ltd. Registered in England and Wales under company number 02456671. Registered Office: The Grange, Bishops Cleeve, Cheltenham, GL52 8XX.
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OVER 60 WHAT FACTORS AFFECT
LIFE INSURANCE COSTS?
Whether you smoke
Where you live
Amount of cover
Duration of policy
For anyone who has a family or dependants, life insurance is an important part of ﬁnancial planning
ost mortgage lenders will encourage their customers to protect their financial interests and take out a life insurance policy alongside their mortgage. Even though thinking about death and leaving family behind is difficult, failing to sort out a good life insurance policy ahead of time could expose your loved ones to financial and material risks. Being covered could mean the difference between your dependants struggling and them being able to pay off any remaining mortgage costs while still being able to maintain a similar standard of living. ‘Term insurance’, the most effective form of life insurance policy, pays out an agreed amount—called the ‘sum insured’—as a lump sum or a regular
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income if you pass away within a specific period of time (known as the ‘term’). You will be able to choose the length of the term as well as the size of the payout. According to experts, a good sum insured figure is around 10 times the annual income of the primary earner in a family. ‘Wholeof-life’ insurance is another common policy. This type of insurance will offer protection for your lifetime until your passing. With the latter, premiums tend to be much higher. Common policies tend to start from just £5 a month, but can vary due to a range of factors and whether or not you opt for add-ons such as critical illness cover. When looking around for insurance, make sure you compare a wide selection of policies to find a deal
of British mortgage holders have no idea how they would cover their house bills if they or their partner were unable to work due to incapacity, serious illness, an accident or death Source: hcf.co.uk
that best suits your needs. Look for additional perks, too; some providers will offer cash gifts or vouchers and certain employers provide ‘death in service’ benefits. • LIVE TO 100 WITH DR HILARY JONES | 119
Protect Your Loved Ones and Assets Today Please visit https://www.legacywills.co.uk/affordablewill Legacy Wills write over 200 wills a week—have yours professionally written within 30 days, in three simple steps and with the help of our advisers. STEP 1 Fill in our online form to get the ball rolling. This will take less than a minute. STEP 2 Our in-house experts will prepare your bespoke will to meet all of your requirements. You can sit back and have peace of mind. STEP 3 You’ll receive your documents by post. Simply sign and send back in the pre-paid envelope provided.
IN YOUR WILL YOU CAN… • Appoint executors. • Instruct the distribution of your residuary estate. • Exclude speciﬁc individuals from inheriting, should you wish to do so. • Give funeral requests and organ donation requirements. • Appoint guardians for children under 18. • Make cash legacies. • Make gifts of chattels and property. • Make gifts of businesses. • Make gifts of pets. • Set an age to inherit, up to the age of 25.
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in Order Whether you’ve got assets, a business or family, sorting out your will in good time is crucial whatever your age
testament is an official legal document outlining an individual’s wishes involving their remaining estate; creating one will ensure you retain control over what happens to your personal assets after you’ve passed on. This can include naming a guardian for your underage children, safeguarding your unmarried partner, organising funeral plans and allocating property and inheritance to your loved ones. In order for a will to be legally binding, it needs to be witnessed and signed—while ‘DIY’ wills following a general template are common (and cheap), it is advised to discuss requirements with a legal professional.
WILLS: WHAT ARE THEIR FUNCTIONS? A will has four main purposes: Naming executors. Executors will be the individuals taking care of the financial process until its conclusion after you pass on. You can either choose a trusted relative or appoint a bank or solicitor to take care of this as third-party outsiders. Executors will have a range of responsibilities including paying off the mortgage and other debts out of your estate. If you’re paying a professional to write your will, you are not under any obligation to make them your executor. celebrityangels.co.uk
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Distributing the estate. Everything you own at the point of your passing will count as your estate—including your properties, businesses, cars, savings, pension fund and expensive jewellery and possessions. You may decide on who gets what out of your estate, but individuals will not be forced to take what you leave them. Providing for surviving children under 18. Individuals with dependent children should name a guardian in their will and allocate funds to ensure they’re supported whilst growing up. In the absence of a will, courts will decide what happens to a child in the event of the sudden or premature passing of their guardian. Reducing inheritance tax. There are strict laws dictating how your estate is distributed and to whom. This means the money may not go where you want it to or that it will become a burden to the recipient due to inheritance tax. According to MoneySavingExpert, individuals need to pay around 40 percent on assets worth £325,000 and above—those with sizeable estates could pay a fortune in tax. There are legal ways to reduce this figure, but they all require some forward planning in the form of a well-written testament of will. •
REMEMBER Wills are legal documents—even the smallest errors can cause big problems. Consider having your will professionally written for a fee. Look for recommendations and read up on the reputation of solicitors and will writers before committing to one
DID YOU KNOW? Around 1 in 2 adults don’t have a will Source: MoneySavingExpert
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An Intro to
Health Tourism Live to 100 delves into the issue of health tourism, providing some facts and stats to educate those who are looking to travel overseas for their healthcare requirements
edical tourism, to put it simply, is the act of travelling to a foreign country to seek medical care or undergo procedures. The recent boom in this industry may be down to a few factors, not least of which is affordability and cost savings. Read on for a series of statistics on the matter.
Some key considerations
It’s crucial to ask your chosen doctor, specialist or surgeon all the relevant questions before you decide to go abroad for treatment. This way, you’ll be able to go into your procedure with peace of mind. If you're considering medical treatment abroad, think very carefully and make sure to...
• Check the credentials and experience of the doctor, specialist or surgeon who will be performing the treatment or procedure • Provide a complete medical history • Enquire about possible risks and complications—all procedures carry an element of risk, even the simplest ones • Discuss what to expect after the procedure and the estimated time of recovery • Ask about post-operative check-ups and visits • Ensure that the correct pre-operative tests have been carried out prior to surgery • Research the brand of any implant being used
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MEDICALOVER Tourism 60 2021 2020 2019 2018 2017
ONS figures show there were 143,996 flights from the UK for medical reasons, compared with 100,338 in 2015 and 48,190 in 2014.
According to the Global Medical Tourism Market 2017-2021 report, the international health tourism market is set to grow at a compound annual growth rate of 12.5% during the period of 2017-2021.
Countries like Spain, which heavily market their fertility services, saw a ten-fold rise in patients flying there from the UK.
NHS waiting times are now the longest they have ever been. Over 409,000 people wait more than 18 weeks for treatment—a rise from 34,000 in 2014.
Source: Oﬃce for National Statistics
A recent investigation carried out by the Office of National Statistics (ONS) suggests more Britons are choosing to travel abroad for their healthcare. According to their report, the number of people seeking medical treatment overseas has increased from 48,000 in 2014 to almost 144,000 in 2016.
Hungary saw a doubling in the number of people travelling there for medical reasons. Dentistry, fertility services and cosmetic surgery are popular there. Similarly, a seven-fold rise was seen in medical journeys to Greece—a country which specialises in IVF treatments, among other things. celebrityangels.co.uk
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Figures show countries such as Switzerland and France, both popular destinations for patients looking for orthopaedic care, saw a six-fold increase and 60% rise (respectively) between 2015 and 2016 alone.
198% rise in trips abroad from the UK for medical reasons between 2014 and 2016.
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Esthetic dentistry. implantology. Periodontology.
www.jelusic.com firstname.lastname@example.org Tel: +385 (0)51 718 050 Matuljska cesta 1, 51410 Opatija, CrOaTia
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The only member of the prestigious ECDi association in the SEE region European Centers for Dental implantology
Youranew is in closer than yousteps think Get newsmile smile a few easy
et the smile you have always a referral centre for some of the most wanted while you enjoy the reputable dental material manufacturers • A centre of excellence dental Have all your complex dental issues resolved by top dental experts using theinlast delightful surroundings of the such as Nobel Biocare, and its patented implantology technological know-how, delightful Mediterranean coast Mediterranean coast. Our experts at on the system ‘All-on-Four’. We use only the • Specialists in aesthetic dental the Polyclinic Dr Jelušić will resolve your most modern US, Swiss and Japanese treatment dental issues,inno matterin how technological materials, ocated Opatija, thecomplex, North and above all maximum dedi- referral centre solutions for someand of the leading • level, Technically supported by our own and restore smile using the as most giving material our patients maximum confidence Adriaticyour coast, also known the cation to the patients and their needs dental manufacturers such as high-end dental laboratory advanced techniques. in the quality of the dental procedures Pearl of Croatian tourism, the allowed the Polyclinic Dr. Jelušić Nobel Biocare, and their patented sys• have Competitively priced, offering great to The clinic offers a perfect fusion of and therapy outcomes. Clinic dr. Jelušić creates a perfect become best example of premium tem “All-on-Four”. Only the most modvalue forthe money world-class dentistry with an enhanced Our bespoke therapy plans are fusion of world-class dental service with a practice, recognized by the best ern US, Swiss and Japanese technology • dental Relaxing VIP treatment including experience in the beautiful setting of designed to meet the individual needs supreme experience. Opatija is only two European dental experts. solutions and premium materials are used airport transfers, hotels and tailored Opatija on the Northern Adriatic coast. of patients, and are tailored to enable hours worth of a drive away from Venice, at the polyclinic, giving the patients maxisupport Known as the Pearl of Croatian tourism, patients to immediately resume their dayabout 45 minutes from the Airport in mum certainty in the quality of the dental • •Warm, atmosphere Centrefriendly of excellence in Opatija is only a two-hour drive from to-day activities, without any discomfort Trieste, and five hours worth of a drive procedures and the therapy outcome. dental implantology • Staff speak fluent English Venice, about 45 minutes from Trieste or need for additional treatment, all from Vienna Munich. That from is theVienna reason Thea therapy plan of is designed to meet • •Ahigh trusted partner with over 20 years estethic treatment airport, andor five hours’ drive within short period time. why patients from Europe the The individual needs of the patient, and withwith patients •ofinexperience coolaboration own from or many Munich. The stunning locationwhich makes Polyclinic Dr Jelušić has become areit looking forchoice premium dental service ita isleading tailored to where patientdental can hihg-end dental laboratory abroad a popular for many patients example of athe premium choose Opatijawho as their – here immediately resume by day-to-day activi• •Quality assured andmoney certified. the best value for from Europe seek destination a premium dental practice, recognised renowned they can combine their “dentaltheir business” ties, without any discomfort or need for service. Patients can combine dental European dental experts. Offering • VIP organised transfer, hotel and support with pleasure: whilehospitality getting a where new smile, additional of that in short work with relaxing they the highesttreatment, standards all of professional • friendly atmosphere they lodging, excellent period of time. canenjoy enjoypremium high quality accommodation, excellence in aesthetic dental treatments • fluent in english T: +385 51 718 050 gastronomy and pleasant A pleasant environment, the highest excellent gastronomy andMediterranean the hospitable within a welcoming environment, the • your trusted partner with 20 years Mediterranean climate at affordable prices. clinic is dedicated to satisfying patients’ climate and that with moderate prices. standards of professional excellence, of experience with patients from abroad E: email@example.com As polyclinic one of theDr. leading implant needs and ensuring they leave the The Jelušić is also a aesthetic dental treatments of awith highest www.jelusic.com specialists in Europe, the clinic is also smile they came for.
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Health Tourism in…
We investigate Croatia’s growing potential for medical tourism
WHAT IS CROATIA'S APPEAL TO INTERNATIONAL PATIENTS? Affordability Price is perhaps the most obvious 126 | LIVE TO 100 WITH DR HILARY JONES
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incentive for international patients. Rates for cosmetic and medical procedures in Croatia are a fraction of those in the UK and other European countries. Research conducted by CroMedicor—a Croatian medical tourism portal—compared prices in Croatia to those in the UK, Germany, Slovenia and Italy. Specific dental treatments were analysed including dental implants, crowns, dental veneers, tooth whitening and dentures. The UK was identified as the most expensive, followed by Italy, Slovenia and Germany, with prices being the lowest in Croatia. In some instances,
fees were 70 percent higher in the UK than Croatia—a very substantial increase. Medical excellence Rapid progress is being made in a number of medical disciplines in Croatia. A variety of recent achievements in the medical field have granted Croatian health professionals reverence. For instance, a Croatian doctor was appointed to head the medical team for world-renowned football club Real Madrid in 2017. Another noteworthy achievement involved Croatian orthopaedic surgeon, Dr Alan Ivkovic, who
roatia—particularly its capital, Zagreb—is quietly establishing itself as a sure destination for high quality health services. Several factors have elevated the country’s medical tourism sector, attracting a diverse clientele from far and wide.
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70% lower prices for dental treatments than in the UK
Did you know that dental tourism is a consistently growing trend throughout the world? This fastpaced industry is steadily following market demand for affordable dental care, combined with a perfect vacation setting. Surveys have shown that 53% of European citizens are willing to travel to another European country to receive better quality treatment than at home. Dental vacations To put it simply, taking a dental holiday means traveling to another country for the purpose of receiving dental treatment outside the local healthcare systems, which may also be combined with a vacation. It is not difficult to understand why dental holidays are becoming increasingly popular. For example: a UK citizen can save an average of up to 70% on dental work in Croatia compared to prices at home. In
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fact, these savings are so enormous that you can pay less for an entire package deal - including airfare, dental procedure and a few days vacation - than for the treatment alone back in the United Kingdom.
Lower prices do not mean lower quality Some people might be concerned that lower prices automatically mean lower quality. However, our long-term results and strong patient satisfaction consistently
prove just the opposite impeccable quality. There are many reasons why prices for complex dental treatments are so much lower at our clinic than in other EU countries. Even though Croatia is an EU Member State, labour costs, fixed costs and education fees are much lower than elsewhere in the Union. That is why we can afford to provide you with premium products, such as Nobel Biocare, Straumann and Neodent implants, for a fraction of what you would pay in the UK.
Dentum - the first point of call in Croatia for British patients Dentum is a premium dental clinic in Zagreb, Croatia’s capital, that offers high-end treatments for British patients. The team consists of 11 dentists, 11 dental assistants and 10 patient care consultants, who coordinate patient travel details, appointments and post-treatment care. Due to the clinic’s focus on dental tourism, the entire staff speaks English, German, Italian and French at a high level of proficiency. Our clinic wins its patients over with our fully customised VIP service for every patient that includes: Free accommodation At Dentum, every patient is provided with luxury accommodation during their treatment. The apartments are located in the same building as the clinic, which ensures fast and untroubled recovery. Free first visit The first free visit includes accommodation, a panoramic x-ray, dental examinations and consultations with dentists, the creation of a tailor-made treatment plan and cost estimate.
Six partner imaging centres in the UK To receive a quote, just send your dental x-rays to the clinic’s dentists, allowing them to assess your oral health status and which treatments will be necessary. If a patient is not able to fly to Zagreb for their first visit, they can conduct a panoramic x-ray at one of Dentum’s partner imaging centres in London, Birmingham, Nottingham, Manchester, Bristol or Leeds. Free airport transport service Every patient is greeted at the Zagreb Airport by Dentum’s private driver, who will bring them safely to the clinic, relieving patients of the need to organise transport once they arrive in Zagreb. Highly educated staff Due to the advanced level of education of the entire team, the clinic has been officially certified by the world’s leading dental implant brands Nobel Biocare and Straumann. One of the founders received a degree in Esthetic Dentistry at the University of California in Los Angeles, while the second founder is an official opinion leader for Nobel Biocare, as one of the leading implantologists in the entire region.
For more information about Dentum, visit www.dentum.com or contact us via e-mail at firstname.lastname@example.org or by telephone at 020 376 939 73.
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recently became the first in the world to use nose cells to repair damaged knee cartilage. Holiday potential Aside from the high quality of medical expertise, many people are drawn in by the idea of organising a procedure as part of a holiday. Croatia is known for its sunny climate, picturesque islands and rich historical sites—adding to its attraction. Various tourists arrange their medical treatment or procedure and spend their recovery enjoying Croatia’s cultural offerings.
article published in Total Croatia News in September 2017, Croatia’s dental tourism is especially popular with Italians. Buses travelling to Istria and Rijeka allow Italian natives to pop over easily for dental surgery. As a result, various clinics have required expansion, ‘with one Rijeka clinic now employing an astonishing 120 dentists’, according to the article. Similarly, budget airlines have also added to the country’s convenience. Its Adriatic airports in Split, Dubrovnik, Zadar, Rijeka and Pula are reportedly experiencing record collective air traffic.
Accessibility Accessibility is another important aspect that contributes to Croatia’s expanding medical tourism scene. Its geographical location makes it an easy trip from Slovenia, Italy, Austria and Hungary via car. This has prompted numerous tourists from these countries to take advantage of Croatia’s amenities. According to an
Investment An impressive €330 million was invested in erecting a new terminal at Zagreb airport in March 2017. This prompted international airlines such as Emirates and Qatar Airways to dramatically increase flight paths to Zagreb—connecting profitable Asian and Middle Eastern markets to this area of the world. •
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DID YOU KNOW? Croatia has seen a 40% increase in tourism from the UK since 2016 Source: European Tourism 2017: Trends & Prospects Report
Zagreb : Centre of Medical Excellence
roatia, and especially its capital Zagreb, have recently stood out on the European health tourism map. Apart from top experts and technology on par with the most modern European medical centres and prestigious wellness centres waiting for you in five-star hotels, Zagreb is a city made for city breaks, and enjoying a rich gastro scene or interesting events throughout all four seasons. The city is human-sized, and if you have not visited it yet, right now is the perfect time to visit it and start to get to know all aspects of Zagreb! Numerous private and public polyclinics as well as health centres with expert staff and exceptional quality of service, at competitive prices, make the capital of Croatia the centre of medical excellence, whose comparative advantage lies in its proximity (just a two-hour flight from London!), excellent traffic connections, as well as an overall offer which satisfies even the most demanding clients. Qualified medical staff and hospitals and polyclinics with state-of-the-art equipment guarantee an excellent health service.
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Most local medical specialists gained their knowledge in the largest European medical centres, continually acquiring the latest equipment and treatment trends. That’s why Zagreb is a place where you can find world renowned medical clinics and medical practices, while many hotels in Zagreb include a high level of wellness and spa contents. There are many different types of accommodation. Today, Zagreb has 62 hotels with 7,688 beds, 52 hostels with 2,361 beds and 2,954 accommodation units as rooms/apartments/studio apartments and holiday homes with 7,121 beds. It should be noted that the Croatian metropolis throughout the year has various other content that complements the health tourism offer, creating an added value of the overall experience. There are unlimited possibilities for visits to music and theatre performances, art events and museums, sporting events, as well as enjoying pleasant walks, interesting architecture, many parks in the city centre, pedestrian zones and ambience. There is also the surrounding area—
extremely beautiful and attractive, full of vineyards and wine roads, interesting museums, medieval and baroque castles and long-standing health resorts. In the immediate vicinity of Zagreb there are several top clinics specialising in health tourism, hot springs and spa oasis, created for enjoying the wellness offers and healing natural factors. •
WHY CHOOSE ZAGREB? • Zagreb guarantees quality with competitive prices • Zagreb is close • Zagreb offers more
Zagreb Tourist Board e: email@example.com www.infozagreb.hr
Assisted Reproduction Center "Institute of Life - MITERA" We create together!
nstitute of Life MITERA, formerly known as IVF-MITERA, is based in Athens and is one of the largest IVF Units in Greece with approximately 2.000 IVF cycles performed every year. Our IVF unit is part of MITERA Hospital, the largest Private Hospital in the country, providing a safe, caring and supportive environment for all types of IVF services required, including egg donation, ICSI and surrogacy.
We work as a family As part of MITERA Hospital, our IVF Unit is supported by HYGEIA Group, the largest healthcare Group in Southeastern Europe with 1.219 licensed beds, 52 operating rooms and 19 delivery rooms. HYGEIA Group has more than 3.100 employees and 3.900 associate physicians and more than 9.500 babies are delivered every year.
We invest in superior technology to maximise results Our laboratory equipment is recently renovated to the highest international standards in IVF including: • Monitoring all critical laboratory operating parameters to ensure optimum conditions for the embryo culture. • A new air filtration system supplies high purity air to both the laboratory and the surgeries, maintaining Class C air quality, the highest possible rating in an embryological laboratory. • A new electronic supervisor RI Witness system that safeguards every stage of the IVF cycle. • Applying advanced micromanipulation techniques using updated optics and a low power laser system.
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Safety above all Our IVF Unit is one of the very few in Europe that is both ISO 9001:2008 and ISO 15224:2012 certified, to ensure that every couple receives healthcare services of the highest standards.
More doctors means more choices for you The Institute of Life MITERA personnel consists of leading specialized professionals such as clinical embryologists, obstetricians, gynaecologists, nutritionists and mental health scientists, who understand the emotional peculiarities of the couple. Our team of doctors are highly specialized in assisted reproductive technologies and have international professional experience mainly in the UK. •
Send an email to firstname.lastname@example.org and our International Patient Services (IPS) coordinators will assist you in any enquiry that you may have.
A S S I S T E D
R E P R O D U C T I O N
U N I T
We create together Advanced fertility care and high quality services to make your dream come true: Egg donation ICSI IMSI Surrogacy Assisted Hatching Blastocyst Culture Sperm Donation Tissue Cryopreservation PGD/PGS The IVF Unit operates under the auspices of MITERA, one of the largest private hospitals in Greece
Please contact us to learn more:
Institute of Life MITERA, Erythrou Stavrou 6, Marousi, Athens, Greece International Patient Services: email@example.com, TEL: +30 2106869627 www.lifemitera.com, www.mitera.gr
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No. : 010180168
No. : 0117372048624
Embryogenesis is one of the largest, most successful IVF centres in Greece, we have been helping couples realise their dream of having a child for 25 years. During this time we have performed more than 60,000 IVF cycles and helped 25,000 babies be born. At Embryogenesis, all our doctors and embryologists are trained in the UK, experienced in monitoring patients from a distance, and use a spectrum of cutting-edge techniques with 3,000 cycles performed yearly.
As a ﬁrst step, we oﬀer a one-stop fertility diagnosis where in a single visit a range of fertility tests are performed with a review of results and treatment plan given in the afternoon. Every couple we work with has a tailored treatment depending on the cause of infertility. We focus on the couple and their speciﬁc needs, and endeavour to decrease their mental and physical stress by creating a pleasant environment based on trust. This helps us achieve high successful pregnancy rates with less ﬁnancial, physical and mental costs.
Visit our website to ﬁnd out more: embryogenesis.gr/en Embryogenesis.indd 1
Health Tourism in…
Greek physician Hippocrates paved the way for western medicine in ancient times, but with rising private healthcare costs in the UK driving patients to seek treatment abroad, what does Greece have to oﬀer today?
reece has long been a popular tourist destination—not least for its breathtaking landscape, cultural hotspots and rich heritage. But recently, the Mediterranean country has been making a name for itself in the medical tourism arena. To boost the Greek economy, medical institutions are working closely with the government to attract patients from all over the globe and its popularity is rising as a result. Patients travel to Greece for a wide range of treatments—from heart surgery and neurosurgery to cosmetic procedures— but the country is arguably most revered for its fertility treatments.
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POPULAR TREATMENTS Fertility treatment There are around 50 fertility clinics nationwide and, often, private treatments in Greece are more cost-effective than in other countries in Europe. According to invictaclinics.com, the Greek Ministry of Health inspects and controls all IVF clinics in the country to ensure that they meet the current IVF standards as outlined by the law. Egg and sperm donation is also legally anonymous in Greece, which means that people are more willing to donate. This, in turn, decreases waiting times to a minimum—a huge benefit to individuals currently on the NHS IVF treatment waiting list.
RECOVERY While the country is relatively new to the medical tourism industry, it has a well-established tourism sector. In fact, Greece welcomed a staggering 27.5 million visitors in 2016, a number which is forecast to reach 30 million by the end of 2017. With its therapeutic spas, thermal springs and 18 UNESCO-listed World Heritage Sites, individuals can combine their recovery with a stay among stretches of idyllic coastlines or leafy green suburbs
Plastic surgery Greece boasts a healthy portfolio of trained plastic surgeons from all over the world. The country also offers a worldclass medical infrastructure in line with European quality and safety standards that takes advantage of the latest medical technology. Greece is a popular destination for patients who wish to undergo breast augmentation procedures, liposuction, facelifts and abdominoplasties. Orthopaedic care Orthopaedic care is offered in Greece’s medical centres. Available procedures include hip replacement, shoulder replacement, resurfacing and prosthetics carried out by specialist orthopaedic surgeons. A number of orthopaedic surgeries reside in historic Athens, Greece’s capital. • LIVE TO 100 WITH DR HILARY JONES | 135
Klinik Gut St. Moritz: high above a mountain lake
Highly specialised orthopaedics – in a unique setting A growing number of UK patients are travelling to Switzerland to get treatment for their joint and spine conditions and injuries. Klinik Gut is one of the top addresses in the field of orthopaedics. The clinic offers consultations and surgeries without long waiting times. 'Heidiland', the picture-postcard landscape in the north of the Swiss canton Grisons, is not only home to the children's classic tale heroine but also the place where 2017 saw the opening of the most modern orthopaedic clinic of the region. Patients from all over Switzerland, and increasingly from abroad, come here to find relief from their disorders to joints and back. The clinic in the picturesque village of Fläsch is anything but a large impersonal hospital; it is a specialised clinic, whose staff focuses on every single patient. "It's no coincidence that we built the clinic right here instead of in a major city. We're nestled in a gorgeous landscape, yet are easy to reach from Zürich and Munich with their international airports," says Anke Senne, CEO of Klinik Gut. The clinic performs over 2'500 inpatient surgical procedures a year, along with 19'000 outpatient consultations and surgeries. The expertise of the Klinik
Gut covers all joints, from head to toe, as well as the spine, whilst most operations are done on knees, hips and shoulders. The Klinik Gut Fläsch is one of the two hospitals of the private group of orthopaedic clinics, co-owned and run by its chief physicians. The sister clinic, dating back to 1929, is situated in ritzy St. Moritz. Back in the day, its core business was to treat sports injuries of the visiting and local skiers. "You can still sense our sports DNA," says Patrick Baumann MD, the group's Chief Medical Officer. "We are a Sport Medical Base approved by the Swiss Olympic Association. We are also very proud that many elite athletes, including Olympic champions, seek out our advice and treatment of their sports injuries, be it after an accident or due to overuse." Patients from abroad often have their first appointment at Zürich airport. At its 'Airport Medical Center', the Klinik Gut offers medical consultations and examinations. Patients then chose between one of the two clinics, and return to Switzerland for the surgery at a date that best suits them. "Long waits for appointments and surgeries are a nogo," says Baumann. "Many of our patients suffer from pain permanently. They want a solution fast, and they want a lasting improvement in their quality of life."
For more information and to get an appointment, call: +41 81 595 55 55 visit: www.klinik-gut.ch/en
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Health Tourism in…
Switzerland is a sought-after destination for aﬄuent health tourists seeking popular procedures
MEDICAL SPECIALTIES Switzerland is best known for offering the following specialised treatments and surgeries among others: • Dentistry • Laser eye surgery • IVF treatment • Medical spa treatments • Laser hair removal • Podiatry • Plastic and cosmetic surgery • Gynaecology • Cardiology • Allergology • Gastroenterology • Orthopaedics • Rheumatology
ocated in the very heart of Europe, Switzerland is widely known for its stunning nature—but it’s the country’s growing medical tourism industry that has been making headlines recently. The Swiss health system is worldrenowned; people from all over the world are choosing this destination to invest in dentistry and elective surgery. Although costs for procedures are relatively higher when compared to neighbouring countries like Germany and Austria, people are still travelling to Switzerland to seek a wide range of procedures. Private clinics and hospitals in Lausanne, Berne and Geneva are especially popular destinations. A recent study published by Zurich’s Gottlieb Duttweiler Institute (GDI)—an
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The Swiss health and wellness tourism industry is worth this amount independent think tank—emphasised Switzerland’s potential as a health destination. In fact, according to the research body, over 30,000 people visit the country every year to seek out a wide range of procedures. This equals a spending in excess of one billion Swiss Francs on medical treatments alone. Switzerland Tourism estimates that health tourism accounts for over CHF500,000 of tourism spending.
SWISS HEALTHCARE Switzerland boasts over 500 hospitals, with 40 of those being private. According to healthtourism.com, the country is also home to the biggest private hospital in the world as well as a number of JCI and ISO-certified centres. These certifications are geared towards
Source: International Health Tourism Journal
improving patient safety and the quality of healthcare in the international community. It is the existing infrastructure, medical training, equipment and doctors that are swiftly putting Switzerland on the health tourism map.
SWISS TOURISM The land-locked, mountainous country is known for its artisan watchmaking and sublime chocolatiers. If you’re visiting Switzerland for medical reasons and have a few spare days for exploring after your recovery, visit Interlaken and St Moritz for some outdoor fun. Bern’s Old Town features on UNESCO’s World Heritage List and Basel is home to the world’s largest art fair. •
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Health Tourism in…
DID YOU KNOW? The European Commission have more information for EU residents on receiving planned medical care in another EU country
This captivating country has a lot to oﬀer its tourists— including private medical care
TREATMENTS ON OFFER Private dental care in Cyprus is considered to be both affordable and of a high quality. With many clinics offering year-long guarantees on their dental work, it’s no wonder people 138 | LIVE TO 100 WITH DR HILARY JONES
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from all around Europe are choosing Cyprus for their dentistry needs. According to treatmentabroad.com—a website dedicated to helping consumers search and compare clinics worldwide—the most common procedures of this kind carried out in Cyprus are veneers and dental implants. The website also reports that simple treatments such as laser teeth whitening can be obtained for around €350. Cosmetic surgery is another popular type of elective treatment in Cyprus, with competitive prices only making it that much more enticing. According to treatmentabroad.com, a rhinoplasty (nose reshaping) can cost around €2,400 while breast augmentation can amount to anything from €2,900 to €4,000. IVF fertility treatment is yet another procedure bringing foreign patients to
WHILE YOU’RE THERE… With its estimated 300 days of sunshine a year, Cyprus is an enviable location for postoperative care and recuperation. Attracting over 2.4 million tourists each year, this island state is best known for being the mythical birthplace of Aphrodite—the Greek goddess of beauty and love. Visit the pristine beaches of Ayia Napa, the breathtaking mountain ranges of Kyrenia and Troodos. In the winter, tourists will be able to ski—or admire skiers— on the white slopes of Mount Olympus. Paphos, which was once the country’s capital, is included in the official UNESCO list of cultural and natural treasures. There, visitors will find Roman ruins, Greek temples and crusader castles. •
yprus, a gem in the Mediterranean Sea, is known for its sunny climate, historical sites and glorious stretches of coastline. However, its stunning scenery isn’t the only appeal—an increasing number of visitors are flocking to this island country to take advantage of the medical care on offer there. Nikosia, the capital, is home to many cosmetic surgery centres and dental clinics. Other major towns such as Limassoll, Larnaca and Paphos also boast a large number of health clinics.
Cyprus—egg donation in the country is anonymous and waiting lists are short. In addition to the above treatments, Cyprus is also gaining recognition for specialised procedures such as minimally invasive spinal surgery, cancer surgery and facial reconstruction. Many clinics will offer deluxe packages including airport transfers, meal plans, accommodation, treatment, posttreatment care and various tourist activities.
LIMASSOL â&#x20AC;¢ CYPRUS
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Health Tourism in…
Norway is a surprising, yet viable, option for Britons in search of swift, high quality medical treatment
4.1m The number of international tourist arrivals at Norwegian hotels in 2016. This is 438,000 more than in 2015—an increase of 12%
or centuries, Norway has upheld its status as one of the most attractive tourist destinations in the world. Hikers have marvelled at its wild landscape and culture buffs have rejoiced in its rich history. In recent years, however, Norway has also become known for a more surprising reason: medical tourism.
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WHY IS NORWAY ESTABLISHING ITSELF AS A DESTINATION FOR FOREIGN PATIENTS? Shorter waiting times NHS waiting times are currently at an all-time high, pushing some people to search for another place to receive treatment. ‘With […] an increasing
number of clinical commissioning groups restricting access to surgery for certain groups of patients, it is not surprising that some people will look elsewhere for healthcare,’ says Scarlett McNally from the Royal College of Surgeons. According to the International Medical Travel Journal (IMTJ), in 2012, NHS Lothian (a region in the Scottish Lowlands) patients were offered alternative measures at clinics in Norway, Spain or Belgium. This was because they were unable to provide a guarantee of treatment within 12 weeks.
Source: Key Figures for Norwegian Travel and Tourism, 2016
MEDICAL Tourism attractive, with affordable packages luring clients in from further afield. These packages can involve tooth extraction, dental implants, root canal therapy, dentures and more. Meanwhile, British dental charges—both NHS and private— are some of the most costly in Europe.
WHAT PROCEDURES ARE BEING CARRIED OUT IN NORWAY? Imaging services such as CT scans, MRI scans, ultrasound, mammography and bone density measurements are utilised by foreign patients. These are used for diagnosis and intervention purposes. A number of Britons are also taking advantage of the cataract surgery facilities on offer in Norway due to increasingly lengthy waiting times on the NHS. •
DID YOU KNOW? Norway saw the highest percentage of growth in foreign overnight stays in 2016 compared with neighbouring EU countries Source: Key Figures for Norwegian Travel and Tourism, 2016
581,000 is the number of British nationals who visit Norway every year Source: gov.uk
Medical care Besides the growing urgency for treatment being experienced by its neighbours, Norway’s medical expertise provides a significant appeal. The country has a longstanding stake in scientific discovery and treatment of cancer. The Norwegian Radium Hospital in Norway’s capital, Oslo, conducts routine advanced medical trials in oncology, furthering the establishment’s reputation for innovation. Also, Norway’s work in medical imaging has marked them as pioneers in the field. With English-speaking and EU-accredited medical staff, it’s no wonder Norway has become more appealing to overseas patients. Competitive pricing In most respects, Norway isn’t known for its affordability. However, increasing numbers of people are flocking to the country to receive medical treatments. Orthopaedic and eye surgery options are proving to be particularly cost-effective in comparison to other EU countries. Additionally, private dental practices in Norway have become particularly celebrityangels.co.uk
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WE HELP UK COUPLES TRIPLE THEIR CHANCES OF HAVING A BABY.
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TRIPLE YOUR IVF CHANCES How can a clinic in a high-cost country like Norway be your fertility solution?
orway is one of the most expensive countries in the world. That is why so many people are startled when they find out they can get three IVF attempts at Klinikk Hausken for the same price as one attempt at a UK clinic. Price is just one part of the equation when you decide where to undergo treatment. We often see that couples take into account many different aspects. This can include experience, technology and research. Additionally, we see that is important for many to have a good chemistry with the doctor and medical team.
As the largest IVF clinic in Norway we help many couples achieve their dream of a baby. But as we have increased in size, we have kept our personal and holistic approach to IVF. We work closely with each couple to find the optimal treatment plan. Individualised care means your fertility journey goes as smooth as possible. It also gives you a higher success rate. We integrate technology, experience and customer care because it gives you the best result. For any questions please feel free to contact our customer contact: firstname.lastname@example.org
“You’re unique. That’s why we customise your treatment plan.”
Jon W. Hausken Medical Director
FREE SKYPE MEETING For a limited time you can request a FREE skype consultation with our medical director. Please book here: klinikkhausken.no/ UKFREE
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That is why we work hard to combine a patient-centred approach
QUICK FACT 1
Since 2010 our time-lapse imaging technology has increased live birth rates by 24%. This technology is free with all our ivf treatments.
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with the latest in technological advances and IVF research.
QUICK FACT 2
Thorough expertise in socalled “difficult cases”. No stone is left unturned to optimise every step of the treatment process.
QUICK FACT 3
EmbryoGlue is used as embryo transferring media at no additional cost. Our approach is always optimal care at no extra cost for the couple.
For more interviews, news and features on the latest beauty treatments and procedures, visit celebrityangels.co.uk
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COVERING BEAUTY TREATMENTS AND COSMETIC PROCEDURES WITH A FOCUS ON PATIENT SAFETY
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RES/019/0316g Date of Preparation: Dec 2017
With the Restylane® line of facial aesthetic products, your practitioner can customise a personalised treatment plan to enhance your natural elegance.
To ﬁnd your nearest Restylane® practitioner, visit locator.restylane.co.uk.
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as the cosmetic industry is booming, it's never been more important to keep safety in mind
C Images: Shutterstock
osmetic treatments—whether surgical or non-invasive— have seen a phenomenal rise in popularity in recent times. This is, in part, due to celebrity endorsement as well as the growing desire to Live to 100 whilst looking our best for as long as possible. Although most are happy with the results of their elective procedures, the cosmetic industry—which is now estimated to be worth around £3.6 billion—is largely unregulated, leading to concerns about its safety. This boom has led to a worrying trend: the growing number of rogue practitioners administering
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treatments in unsafe environments, without accreditation and using cheap equipment or substances. Therefore, it’s never been more important to keep safety and reliability in mind when considering a beauty treatment. We present you with the facts and stats on some of the most common procedures from skin peels, keratin treatments and lip fillers to facelifts, laser eye surgery and cosmetic dentistry. Safety is imperative in order to Live to 100 in the best and healthiest way possible. For more health and beauty-related news and features, visit celebrityangels.co.uk.
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A Smarter Way AASmarter Way ™ Smarter Way to Sculpt™™ to Sculpt ™ to Sculpt SculpSure® is the world’s first FDA-cleared laser treatment for non-invasive lipolysis of the abdomen, flanks, back, inner thighs, outer thighs, SculpSure® is the world’s first FDA-cleared and the submental (underfirst the FDA-cleared chin) area. SculpSure® is the laser treatment forworld’s non-invasive lipolysis of the laser treatment for non-invasive lipolysis the abdomen, flanks, back, innerfirst thighs, outerof thighs, SculpSure® is the world’s FDA-cleared abdomen, flanks, back, inner outer thighs, and thetreatment submental (under thethighs, chin) lipolysis area. laser for non-invasive and the submental (under the chin) area. of the abdomen, flanks, back, inner thighs, outer thighs, and the submental (under the chin) area. Before
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CORE TREATMENT. Upper & lower abdomen, left & right flanks Courtesy of C. Torgerson, MD Before
12 weeks after 2nd SculpSure series
12 weeks after 2nd SculpSure series Before CORE TREATMENT. Upper & lower abdomen, left & right flanks Courtesy of C. Torgerson, MD & lower abdomen, left & right flanks CORE TREATMENT. Upper Courtesy of C. Torgerson, MD Before
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CORE TREATMENT. Upper & lower abdomen, left & right flanks Courtesy of C. Torgerson, MD
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FOLLOW US ON FOLLOW US ON © 2018. Hologic, Inc. Contact Cooling is a trademark of Cynosure, Inc. Cynosure and SculpSure are registered trademarks of Cynosure, Inc. Hologic, Inc. owns exclusive rights to photography. Model used for illustrative purposes only. Results will vary.
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Non-invasive body contouring
Model used for illustrative purposes only. Results will vary.
FOLLOW US ON
Model used for illustrative purposes only. Results will vary. © 2018. Hologic, Inc. Contact Cooling is a trademark of Cynosure, Inc. Cynosure and SculpSure are registered trademarks of Cynosure, Inc. Hologic, Inc. owns exclusive rights to photography. Use of photography permission of Hologic is prohibited. OUS-2096 © 2018. Hologic, Inc.without Contactwritten Cooling is a trademark of Cynosure, Inc. Cynosure and01/18 SculpSure are registered trademarks of Cynosure, Inc. Hologic, Inc. owns exclusive rights to photography. Cynosure.indd 1 Use of photography without written permission of Hologic is prohibited. OUS-2096 01/18
We take a look at the various treatments on offer at beauty salons and spas
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ometimes, when life gets hectic, you might just need to take a day—or even just an hour—to relax and focus on your wellbeing. Spas provide treatments that are aimed to soothe, calm and revitalise the body. To find the right treatment for you, think about what you need: is your skin looking lifeless and dull? Are your muscles in knots after a hard week at work? Are you looking to get your glow back? Whatever you may require, a day at the spa will make all the difference to your mind, body and soul.
Facials Facials, as the name suggests, are treatments for the face. They can be used for exfoliation, extraction, hydration, rejuvenation or simply to massage. The best facials will incorporate several celebrityangels.co.uk
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key steps including cleansing, exfoliating and massaging. Steam is often used during a facial to open the pores in order to deeply exfoliate the skin and rid it of dirt and toxins. Skin peels are a popular option for those looking to reduce the appearance of wrinkles, minimise acne and even out skin tone. These treatments involve spreading an exfoliator—which may be chemical or natural—on the skin to remove the top layers of skin cells. This, in turn, reveals fresh, new skin underneath. While a chemical facial treatment can be quite harsh on the skin, it can be very effective in achieving desired results. Some of the milder treatments include a variety of masks. Clay masks draw out impurities from the skin while creambased masks are hydrating. If you’re not sure which treatment to opt for, consult with your spa therapist. They will be able Live to 100 with Dr Hilary Jones | 149
beauty treatments to take a closer look at your skin and recommend the right treatment for you based on your desired end result.
Hands & feet Exfoliate, hydrate and beautify your hands and feet with a spa treatment. Most spas offer packages for either the hands or feet—or even a combo of both. The most common treatments for the hands and feet include a manicure or pedicure. In these treatments your nails will be filed, your cuticles will be pushed back and polish will be applied. Some packages may include a hand or foot massage as well. A reflexology massage may be offered to you as part of your pedicure treatment. Reflexology refers to a system of massaging on the hands and feet. The theory states that the reflex points of your feet correspond with other parts of your body and that applying pressure to them helps to relieve tension and treat certain illnesses. The theory relating to reflexology hasn’t been scientifically proven, but a foot massage is relaxing either way.
Body Body wraps can have countless benefits for your body and skin. Most body wraps have similar ingredients and properties that are used in facemasks, but are sealed in with cotton, mylar bandages or plastic film. Speak with a professional at your chosen spa to see what types of body wrap treatments
they offer—the most common wraps will include nourishing chocolate wraps, detoxifying clay wraps and moisturising oil wraps. Massages are, perhaps, one of the most popular treatments that people seek in spas and beauty centres. Perfect for boosting circulation and relieving muscle tension, these relaxing treatments can all be tailored to the customer's needs. There is a tendency for people to underestimate the benefits of getting a full-body exfoliation treatment at a spa. A professional exfoliation treatment will be much more thorough than what you could achieve yourself at home—and far more relaxing. Salt, sugar and coffee grounds are all common natural exfoliants; each come with their own individual health benefits. One of the simplest spa experiences includes a trip to the sauna—a small steam room. Saunas are designed to relax both mind and body while flushing out toxins from your pores and cleansing the skin. If your spa has a sauna, take some time to unwind in there, either before or after your appointment, for the ultimate relaxation. F
DID YOU KNOW? There are 100s of different kinds of massages; the most common include the Swedish massage, deep tissue massage and hot stone massage
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FOR THOSE WHO ARE HESITANT ABOUT EXPOSING THEIR SKIN TO HARSH SYNTHETIC SUBSTANCES, THE ORIGINAL GREEN PEELTM HERBAL PEELING TREATMENT OFFERS AN ALL-NATURAL ALTERNATIVE TO CHEMICAL FACE PEELS
Who can benefit from the GREEN PEEL treatment?
This treatment is suitable for both men and women and is by no means restricted to just the skin on the face. Peeling treatments such as GREEN PEELTM may be a solution for people who suffer
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from impure skin with blemishes and hyperpigmentation, have suffered accidents or burns or have noticeable scars caused by recurring acne as well as successfully improving wrinkles. GREEN PEELTM may also help reduce the visibility of stretch marks caused by pregnancy or extreme weight gain. Depending on the cause and severity of the conditions outlined above, patients may wish to undergo several treatments over an extended period of time. The effects of the procedure can be visible after around two to three days after each sitting. There are various GREEN PEELTM peeling methods which can be suited to all skin types and conditions. For more information, visit www.greenpeel.com. F
GREEN PEELTM can have successful results on… Impure, oily skin, disturbed pores and acne Wrinkles, sagging face Sun-damaged skin Slack abdominal wall, thighs and upper arms Scars Hyperpigmentation
he aim of face peels is to remove dead skin cells and stimulate the growth of new cells and collagen, improving the skin’s appearance by reducing age spots and evening out skin tone. GREEN PEELTM, a medically developed skin regeneration method, uses only natural plant ingredients. This safe and medically developed treatment is prepared without any chemical additives or synthetic peeling agents. Developed by Christine Schrammek laboratories over 60 years ago, the natural formula has been medically developed over the years, following advancements in the field. The specific GREEN PEELTM recipe—which is a mixture of eight selected herbs containing essential enzymes, minerals and vitamins—is massaged into the patient’s skin. Its micro particles lightly polish the upper layers of the epidermis and its active ingredients penetrate the skin; they are then absorbed by the cutis—the outer layers of the skin— within 48 hours.
The Original Herbal Peeling Method
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THE FIRST TELL-TALE SIGNS OF AGEING TYPICALLY OCCUR IN OUR MID30S, BUT IS THERE ANYTHING WE CAN DO TO PREVENT THE EARLY ONSET OF UNSIGHTLY WRINKLES BEFORE THEN?
Eyes The skin around the eyes (referred to in medical terms as the periocular area) is significantly thinner than skin elsewhere on the face—by three to five times, in fact. This means that it is highly susceptible to damage and premature ageing, including the dreaded ‘crow’s feet’. So-called because the lines that span from the corners of the eyes to the temple emulate those of the bird’s actual ‘feet’, crow lines are often caused by sun exposure and general repetitive facial movements. Tackle this common sign of ageing with a nourishing eye cream that contains vitamins A, C and E both in the morning and before sleeping. Using a topical product that has the exfoliating chemical glycolic acid in it may also be beneficial. Glycolic acid works to remove dead skin cells on the epidermis, revealing the fresh skin beneath and promoting the production of collagen.
Mouth The mouth is one of our main communicators. With repetitive
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was the worth of the global anti-ageing market in 2016 Source: reuters.com
movement from speaking and external factors like sun exposure, the elastin and collagen in the skin that surrounds the mouth begins to break down and lines and wrinkles begin to form as we age. Use specialised skin-firming facial creams that contain retinols to combat wrinkling and to firm the skin. Retinol is a vitamin A derivative hailed in the beauty industry as the essential antiageing ingredient. Retinols promote the production of cells and collagen and reduce the appearance of fine lines.
Neck The frequently neglected neck area is prone to premature wrinkling and sagging, making it an obvious age-giveaway. Not only is the skin on the neck thinner than the rest of the face, but it also has fewer oil-producing glands which makes it dry. Experts recommend using topical products that have the active ingredient dicaffeoylquinic acid in them. This particular ingredient promotes the production of key proteins that help keep the skin firm. F
rinkling skin is an inevitable part of ageing, but certain lifestyle choices including smoking and excessive sun exposure can have a detrimental effect on your skin’s health. The sun’s harmful UV rays and the chemicals found in cigarettes aid premature ageing by breaking down the essential collagen and elastin fibres that keep skin looking firm and youthful. Along with avoiding these injurious habits, keeping hydrated and eating nutrient-rich foods, you can promote healthy, youthful skin by incorporating topical products with key antiageing ingredients into your skincare regime.
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WE UNVEIL THE SECRET TO PERSONALISED SKINCARE SOLUTIONS AND HOW TO BOOST YOUR SKIN’S HYDRATION
ow much time do you spend making yourself look and feel good? Whether it’s a yoga class, a muchneeded manicure, or getting your hair styled, we all have different ways of helping ourselves to look and
feel great. The skin is our body’s largest organ and serves a variety of important functions, such as providing protection from external factors, regulating temperature and producing vitamin D. The skin is also the body’s largest sensory organ and senses various external elements such as touch, pressure, pain and temperature.
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Up to 60% of the adult human body is water and our organs need water to maintain their optimum level of functioning. Just like the rest of our body, the skin also requires hydration to perform at its best. Keeping skin hydrated also helps maintain its elasticity and plumpness. Dehydrated skin can look dull and lacklustre, whereas hydrated skin appears firmer and more radiant.
Our skin is remarkable Both resilient and delicate, our skin has the ability to regenerate and repair. However, over time lifestyle and environmental factors
such as sun damage, smoking, pollution and poor diet, can affect the condition of our skin. A healthy lifestyle is important in maintaining our skin’s health. A diet rich in vitamin A, found in eggs, oily fish, spinach and carrots, and vitamin C, which can be sourced from oranges, strawberries, mangos, brussels sprouts and broccoli, can help skin maintain its healthy glow. Effective skin care is also important for keeping skin healthy. For those looking to restore or enhance the youthful appearance of their skin dermal fillers and hydration boosting products are a popular method.
The importance of hyaluronic acid Hyaluronic acid is a sugar molecule which is naturally found in our tissues and plays an important role in skin health1. It provides support, protection and structure to our skin and has an impressive ability to bind vast amounts of water molecules; it can bind 1,000 times its weight in water1,2. This unique feature helps to hydrate skin, keeping it firm, plump and radiant.
RES18-01-0037 Date Of Prep: Jan 2018
The ageing process
of products to help preserve, restore and maintain healthy skin. This unique range of hyaluronic acid-based products, provides different solutions to suit individual skincare needs. The Restylane portfolio of dermal fillers provide fullness, definition and rehydration and are available as a range of different gel textures which allow tailored treatment plans to be created to achieve your desired look. They can be used to target wrinkles such as nose to mouth lines, smile lines and marionette lines at the corner of the mouth. Restylane fillers can also be used to enhance volume in facial features such as chin and cheeks and enhance lips by providing volume and definition.
How to keep your skin hydrated Restylane Skinboosters are used to improve the skin’s quality by delivering deep-skin hydration. The product is clinically proven to offer improvements to skin condition, gradually increasing elasticity, improving roughness and reducing the appearance of fine lines and other imperfections such as acne scars. Skinboosters can be used on the skin of your face, hands, neck and décolletage. Please note that fillers and boosters should be administered by an appropriately trained aesthetic healthcare professional, who will be able to answer any questions you may have regarding aesthetic treatments and recommend a tailored treatment plan to suit your needs. Have you set yourself any New Year’s resolutions this year? Whether your skin goal is to enhance your natural features or simply restore your skin’s natural hydration, make 2018 the year that your skin is at its glowing best! F References: 1. Fakhari A, Berkland C. Applications and Emerging Trends of Hyaluronic Acid in Tissue Engineering, as a Dermal Filler, and in Osteoarthritis Treatment. Acta Biomater. 2013 Jul; 9 (7):7081-7092. 2. Baumann L. Skin ageing and its treatment. J Pathol. 2007; 211:241-251.
As we get older the level of hyaluronic acid in our cells gradually decreases which causes the skin to become dehydrated and less firm. The effects of gravity also come into play as we age. Areas of fat underneath the skin lose volume and shift downwards, causing features such as cheeks to become less full and jowls to appear at the jawline. The skin loses its suppleness and starts to sag and droop downwards. Facial muscles also lose tone, which contributes to sagging and a loss of contouring in areas such as the jawline. Another facial change that comes with age is bone loss. The changes to bone structure cause our facial contours, such as cheeks, to become less defined, the eye sockets to widen and the jaw line to recede. Wrinkles, which are caused in part by repetitive muscle activity and the long-term effects of gravity, can also be caused or accentuated by a loss of bone.
Innovation in skincare Galderma, a global dermatology company committed to delivering innovative medical solutions to meet the needs of people throughout their lifetime, has created Restylane, a unique portfolio
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For more information visit www.restylane.co.uk or www.galderma.co.uk.
Skin Although a solid beauty routine can help keep skin smooth, firm and healthy, common skin problems can occur anyway due to a wide range of factors
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geing, exposure to environmental elements, genes and viruses can all take a toll on our skin’s appearance. As our body’s protective ‘layer’, our skin comes into contact with a lot of germs, irritants and chemicals; meaning this delicate organ is almost always under stress. However, achieving perfect skin isn’t impossible— the most common conditions can be managed and treated with a variety of products and techniques.
Wearing makeup to bed
Dark under-eye circles
Leaving pigmented products on your skin may clog up your pores, cause acne and create skin blemishes. In addition to this, it may also cause premature ageing. Foundation is the main offender; oil-based primers can prevent the skin from renewing itself naturally at night, causing blackheads and dullness. Use a micellar water product or—simply— makeup wipes to clean your skin
A lack of sleep and poor diet are both to blame for this aesthetic condition. Diminish these circles by eating more nutrient-rich foods, drinking more water and taking part in relaxing activities like yoga. To prevent dark circles, don’t rub your eyes—this can rupture blood vessels in the delicate under-eye area—and wear sunglasses whenever exposed to sunlight. As far as products go, try repairing eye serums and correcting eye creams.
Excessive oil Staying away from all kinds of moisturisers may be the best way to combat excessively oily skin. According to leading dermatologists, the oil your skin naturally produces is the best moisturiser. Wash your face with oil-free cleansers and products with salicylic acid—these prevent breakouts, too.
Dark spots & hyperpigmentation Localised increase in melanin is a known result of UV exposure. To tackle skin blemishes of this kind, exfoliation is paramount: this cleansing technique promotes cell turnover, which in turn reduces the pigmentation of dark spots. Cosmetic dermatologists can also effectively remove or reduce the appearance of age spots on the skin through simple procedures.
Extra dry skin
For those battling common skin conditions such as eczema and psoriasis, dry skin can seem like a perennial curse. The most important thing to consider is dry skin isn’t just an external problem—it should be treated from the inside out. Consume fish oil containing the essential omega 3 acids and blackcurrant seed oil containing omega 6 acids. Apply replenishing oil and body balm for extra moisture.
Pores are the small openings on the surface of the skin through which oils are released. When these become large, they can cause frustration as well as a wide range of skin problems. Speak to your dermatologist; they’ll be able to recommend effective treatments for improving the appearance of your skin. Even though, in some cases, large pores can be hereditary, they can also be caused by trapped oil and skin cells.
Fine lines & wrinkles
Most women are guilty of applying too many products on their skin, a habit that can cause premature signs of ageing. Over-cleansing and over-exfoliating may also cause fine lines and wrinkles, as these actions can over-stimulate the skin. Dermatologists advise to apply SPF lotion with zinc or titanium and use vitamin A-based products and potent antioxidants on a daily basis to safeguard the skin’s youthful glow.
A common inflammatory disease manifesting in the form of rose-coloured patches on the skin, rosacea isn’t life-threatening but it can give self-esteem a hit. Although the condition requires prescription drugs, self-care is extremely important for its management too; pinpoint what leads to flare-ups—whether that is the sun or certain foods—and minimise exposure to those particular things. F
In addition to hormones and a poor diet, stress and sweating can also cause the skin to flare up in the form of acne. As this is a medical condition, it’s best to see a doctor for proper treatment. However, using OTC acne treatments and clarifying toners, consuming omega 3 fatty acids and reducing the amount of dairy in your diet may also help.
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If you’re looking for healthier skin, the solution is clear. Problem skin is something most of us
go through either in teenage years or as young adults. When oil under the skin builds up, the bacteria that causes acne multiplies and clogs pores, so the skin becomes inﬂamed, leading to blemishes and spots.
Whether or not you’ve tried anything else, or everything else, now is the time to try Tria Positively Clear and make it part of your new regime for a healthier, fresher complexion.
Tria Positivey Clear Acne Clearing Blue Light is a new, technological approach to reducing the symptoms of acne in just ﬁve minutes a day, leading to a healthier, fresher complexion. Blue light technology is FDA approved and also recommended by dermatologists. Penetrating deep down below the surface of the skin to eliminate acne causing bacteria before it breaks out on the surface.
Visit triabeauty.co.uk today to ﬁnd out how you can move to smooth with Tria Positively Clear.
It’s non-UV light is gentle enough to use every day and unlike harsher chemically based acne treatments, Blue Light technology is eﬀective without drying the skin. Buy before April 30th 2018, add FLAWLESS at checkout, and receive a FREE Tria Beauty gift up to the value of £30. See website for full terms & conditions.
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THE COLLOIDAL COMPANY LTD, UK Website: www.thecolloidalcompany.com Facebook: www.facebook.com/thecolloidalcompany Twitter: @ColloidalCo Email: firstname.lastname@example.org Telephone: +(44) 131 202 6171
The Power of Nature, Enhanced for You Over 5000 years ago, the Egyptians utilised gold in dentistry and ingested it for mental, bodily and spiritual puri�ication. The Ancients believed that gold had the ability to restore youth and beauty. The alchemists of Alexandria developed a liquid gold elixir, believing gold had mystical qualities and its presence in the body could fortify, rejuvenate and cure disease, whilst restoring youthfulness, beauty and health. In the 16th century, alchemist Paracelsus founded ‘The Chemistry of Medicines’, the forerunner of modern pharmacology. He developed formulations from metallic minerals to support rejuvenation of health. In 1857, Michael Faraday, inspired by Paracelsus’ work, created the �irst documented pure sample of Colloidal Gold. Faraday recognised that the ruby red colour was the refraction of gold particles. The full spectrum of healing properties of precious metals are now being rediscovered by modern day physicians and psychologists, pioneering in mainstream medicine. This includes advances in use of Colloidal Silver in wound dressings to the use of Colloidal Gold to relieve cravings in addiction management.
The Colloidal Company manufactures and sells a range of Colloidal Supplements using only the purest of precious metals and steam-distilled Scottish water: Colloidal Silver – a natural and powerful antibacterial agent, Colloidal Gold – a natural anti-in�lammatory and power drink to enhance mental wealth, Colloidal Platinum – to rejuvenate the life force and restore equilibrium, Colloidal Copper – an essential antiageing solution and skin tonic, Colloidal Zinc – a powerful healer, and Colloidal Titanium – popular with athletes.
The Colloidal Company also can provide you with a natural and soothing Skin Repair Range for chronic skin problems, such as psoriasis and eczema; a luxurious Beauty Cream, the only one in the world to contain 6 precious metals, with anti-ageing properties; a Pet Care Range to help your furry, �inned and feathered friends; artisan soaps and lip balms; a natural and healing eye drop solution, based on a 400 year old formula. We do not support animal testing. The Colloidal Company is a CRUELTY FREE company.
“Having suffered a spinal trauma and ensuing depression, I was in very poor health. My eczema was exacerbated by the stress I was under. I was searching for a lifeline. Nothing was working. I wasn’t sleeping and my skin was a mess. After a lot of research, I discovered the power of Colloidal Health Supplements. By introducing Colloidal Silver to my eczema treatment regime, I quickly found I could manage my condition. Having had such a life-changing experience I had, during my recovery and recuperation, a lot of time to re�lect and re-prioritise. I wanted to help people. After 4 years of researching and re�ining my products, I now have a range of Colloidal health and beauty products that really do work. I am living testament to that.” R Maciocia, 53, Kirkcaldy, August 2010
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Menu Using the right products for your skin type is imperative; here we outline exactly what you should be incorporating into your skincare routine Normal skin This type of skin is the goal for most; it’s characterised by a good balance of moisture, oil, small pores, even tones and a lack of apparent blemishes such as acne and dark spots. Morning Start your morning routine with a cleanser. Preferably sulphatefree—as sulphates are known irritants—this important step in your regimen will get rid of impurities and help keep your skin blemish-free. Use a toner (avoid products containing denatured alcohol and ethanol) and moisturise with an SPF cream. Night Using cleanser and toner after a long day of wearing makeup will give your skin a breath of fresh air. Finish your night-time routine with an antioxidant serum with vitamin C. Moisturise. celebrityangels.co.uk
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Extras Glycolic acid products, when used a few times a week, can help dissolve dry skin cells and encourage even-toned skin.
Oily skin & acne-prone skin If you have oily skin, you may be more prone to blackheads, pimples and other blemishes. Skin that is particularly oily also causes a duller complexion and makes pores visibly more apparent. Stress, hormonal imbalances, heating and humidity are known to exacerbate oily skin. Morning Oil breeds bacteria, therefore starting your day with a good cleansing gel is key—wash your skin three times a day if possible. Follow the cleanser with an oil-free moisturiser and end your Live to 100 with Dr Hilary Jones | 163
Dry skin Individuals with dry skin usually have a duller complexion with red patches and visible lines. Dry skin can be made worse by a series of factors including genes, hormonal changes, weather, long showers, irritating cosmetics and medicines. Morning A no-foam mild cleansing lotion is best for dry skin. Follow this with an alcohol-free cleanser and an antioxidant serum containing vitamins A, C and E to prevent collagen breakdown throughout the day. End your morning routine with an SPF moisturiser.
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Night Repeat the use of cleansing lotion and alcohol-free toner. Apply a retinol serum as well as an eye cream containing peptides. End your night-time routine with a moisturiser containing jojoba, evening primrose, borage or cranberry oil. These ingredients will all repair your skin’s moisture barrier. Extras Dry skin should be gently exfoliated from time to time as it is characterised by a buildup of dead skin. Opt for an at-home peel a few times a week. Follow this with a nourishing face oil.
Combination skin By definition, combination skin can be both dry and oily— especially on the T-zone—depending on the area of the face. This type of complexion may cause shiny skin, blackheads, visible lines and larger pores. Morning Use the same cleanser gel and toner as outlined in the ‘oily skin’ section. If your skin starts getting too dry, switch the cleansing gel for a cleansing lotion. Use a lightweight moisturiser and a zinc oxide sunscreen to finish. Night Use cleansing gel, toner, AHA/BHA serum and retinol serum as outlined in the ‘oily skin’ section. Finish with a lightweight moisturiser.
morning routine with a zinc oxide sunscreen; this product will leave your skin with a uniform matte finish. Night In addition to using cleansing gel and toner, individuals with oily skin should also invest in a good quality serum with alphahydroxy (AHA) or beta-hydroxy (BHA) acids to reduce the appearance of large pores and brighten dark spots. Follow with a retinol serum—which will help your pores look smaller with continued use—and an oil-free moisturiser. Extras Indulge in a clay mask once a week, ensuring it doesn’t dry too much before rinsing. Leaving clay masks on for too long may dehydrate skin.
We use science to address tissue ageing at a cellular level... AQ Skin Solutions was developed by Dr Ahmed Al-Qahtani following extensive work in the medical applications of Growth Factors (GF) for healing wounded tissue. This knowledge and experience in growth factor biotechnology led him to develop a process for producing the highest quality GF media available, which contains only those growth factors that have been identified as the most effective for improving the appearance of skin and the full look of hair, in the exact quantities and combinations needed for fast, unprecedented results.
Growth factors turn essential cellular activities “on” and “off,” and they play a role in increasing cell production, cell division, blood vessel production, and collagen and elastin production. In recent decades, scientific research into GF biological functions has shown that medical GF-technology is related to resolving many cell developmental diseases. But GF-technology has many other applications to human health and can also help people achieve a more youthful and vibrant look as the same mechanisms that heal the skin anti age the skin too which is why the range has such diverse applications.
‘We’ve had great results using AQ Recovery Serum. It helps heal several skin conditions and minimises downtime after laser and surgical treatments’ ESTHER FIELDGRASS, FOUNDER – EF MEDISPA
For more information or to order call us on +44 (0) 203 667 8854 or email email@example.com quoting reference ‘Flawless’ www.aqskinsolutions.co.uk
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The basics of skincare • Use a broad-spectrum sunscreen that blocks harmful UVA and UVB rays • Avoid direct sunlight and wear hats and sunglasses when outdoors • Don’t smoke • Stay hydrated • Wash your skin and remove makeup before bed • Moisturise
Extras Use a clay mask around the T-zone—covering the forehead, nose and chin—and apply face oils once or twice a week.
Sensitive skin If you suffer from sensitive skin, try to determine the cause. This can be triggered by specific skincare products. Sensitive skin will be prone to redness, itching, burning and dryness. Morning A sulphate-free cleansing lotion and alcohol-free toner are a great base for a strong morning skincare routine. Look for products containing chamomile and tea extracts as these ingredients are known to calm skin inflammations. It's important to use a scent-free and alcohol-free moisturiser without synthetic dyes to avoid further irritation. Apply a zinc oxide SPF sunscreen to finish. Night Repeat the morning routine, leaving out the zinc oxide SPF cream. Extras Use a gel mask and lactic acid serum for delicate exfoliation twice a week.
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Ageing skin From the age of 25, signs of ageing—such as fine lines, wrinkles and patchy complexion—start to become apparent on the skin. This is due to our body’s decreasing production of collagen, the protein that gives skin its strength and elasticity. Morning Wash your skin using cleansing lotion—paying close attention to your neck—and use an AHA/BHA toner to brighten your complexion. Look for an antioxidant serum with brightening ingredients like vitamin C and liquorice. Apply moisturiser with SPF. Night Use cleansing lotion to get rid of dirt and toxins and purify your skin with a physical exfoliator with round beads. Follow with toner. Depending on the severity of your wrinkles, apply retinol serum and eye cream with peptides. Finish off with a hydrating moisturiser. Extras An at-home peel glycolic treatment will leave your complexion looking polished. Use brightening serum to fix areas of problematic hyperpigmentation and incorporate a nourishing face oil with anti-ageing ingredients. F
Rejuvenating Skincare Range
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Locks The quest for full, shiny hair is a lifelong one—read on for the best salon treatments for healthy tresses
ore often than not, when we decide to pamper ourselves, giving our hair some much-needed TLC isn’t at the top of our priority list. Nails, massages, peels and scrubs usually take the top spots. However, whether it’s due to persistent straightening, styling or dying, our hair is constantly under massive amounts of stress. Read on for a list of the best treatments to banish dull hair.
Olaplex This treatment—which has taken the US by storm—gives celebrity-worthy hair by reconnecting the hair strand where it’s broken. Especially beneficial for hair that is bleached or coloured, Olaplex conditions, locks and restores all hair types by linking damaged bonds. This particular treatment is done in three steps, two of which are carried out in a salon. The third step is a take-home treatment to be used once a week: apply to damp hair, comb through and leave on for about 10 minutes before washing.
Kérastase Fusio Dose Formulated with the aim of restoring some life into dull strands, this treatment targets anything from dryness, damage, frizz and lack of volume. A stylist will ‘diagnose’ your hair to determine its main issues. A custom-blended
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Kérastase treatment—specific to your hair type—is then generously applied. It will penetrate the hair fibre by using nanotechnology. With a duration of only five minutes, you’ll find your hair immediately transformed.
Inphenom Predominantly aimed at colour-treated hair that is prone to breakage, this treatment deeply penetrates the hair shaft and adds proteins to strengthen damaged locks. The Inphenom treatment consists of five steps—the first three are applied and rinsed with shampoo while the rest are processed with heat and left on—and takes about 30 minutes to complete.
Linkage Meu Perfect for anyone looking for softer and smoother hair, the Linkage Meu treatment is, essentially, a strong conditioner. It leaves the hair feeling soft and smooth without weighing it down. Three different hydrating formulas are applied to damp hair—much like traditional hair masks. The process takes no more than 15 minutes and can be topped up at home to maintain results for as long as five weeks.
Brazilian blowout This particular treatment is known for being able to work its magic on just about any hair type and texture. A liquid keratin formula is applied to your hair, forming a protective layer around each strand, in turn diminishing frizz and forming a protective shield against external damage. Originating in Brazil—and using indigenous ingredients like camu camu, annatto seed and açai berry—this therapy will leave your hair hydrated, shiny and more resilient to styling. On average, Brazilian blowouts can take anywhere from an hour to an hour and a half.
Perm Whether you’re after soft waves or pin curls, perms can give your hair a lasting breath of fresh air. There are two types of perms available: hot and cold. Hot perms involve an hour-long relaxing treatment geared towards prepping your hair. The hair is styled using curling rods and then put up in rollers. These will stay in for about three hours. Cold perms, on the other hand, consist in hair being soaked in an alkaline substance and wound in small curls and ringlets. The latter creates a tighter kind of curl, although, as with all perms, the waves will become looser over time. Cold perms take around two and a half hours. Make sure to speak to a professional to determine whether a perm is right for you; these treatments are not usually recommended for people with damaged or recently dyed hair. F
Hair Extensions Hair extensions can be a solution for those looking to create the illusion of a fuller head of hair without the need for chemical treatments. The three top methods are: Fusion hair extensions, where individual keratintipped strands are fused to natural hair using heat. These can be used on any hair texture. Fusion hair extensions are the most expensive and time-consuming method but also the longest-lasting. Tape-in extensions, where locks of hair are attached to small sections of natural hair using double-sided tape. This method is faster and more affordable but requires more frequent upkeep. Weave extensions, where natural hair is braided from ear to ear and strands of hair are woven onto the braid. This method is best suited for curly hair and is relatively affordable. The type of method you choose will largely depend on your budget and hair type. As with any beauty treatment, you’ll get what you pay for. Never-beforeprocessed human hair is the highest quality extension product, but it is also the most expensive. It’s important to match the colour and texture of the extensions to natural hair as closely as possible—they should be completely undetectable. In terms of upkeep, hair extensions should be cared for just like natural hair.
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CONSIDERING LASH EXTENSIONS? WE GIVE YOU THE RUN-DOWN ON THIS IMMENSELY POPULAR BEAUTY TREATMENT, FROM PRICING TO RISKS
1. Price There are some major differences between lash extensions and temporary strip lashes, the most obvious being the price. Lash extensions can cost anywhere between £40 and £150, which is far pricier than temporary options. Prices may vary depending on the establishment, quality of the materials and experience of the beautician.
2. Not a DIY situation Lash extensions can only be fitted by a professional, which means they
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cannot—and should not—be applied at home. Your beautician will be trained to use powerful adhesives and navigate the delicate eye area. The treatment can take up to two hours to complete.
3. Longevity Eyelash extensions are particularly appealing to clients who want a fluttering pair of eyes for an extended period of time, most frequently for weddings and holidays. Their primary appeal is that they last six to eight weeks; gradually falling out over time. Their longevity will depend on how well they are maintained.
4. Maintenance Your new lashes need to be treated with extra care. For the first 24 hours after their application, you must keep clear of excessive heat, steam or damp in order to allow the glue to set. Thereafter, you should avoid rubbing your eyes or applying oil-based makeup removers and mascara to your lashes—all pose a risk to the stability of the extensions. The lashes should never be picked at or pulled; this could lead to damage or loss of your natural lashes. Water, in general, can make the lashes clump together, so it should be avoided if possible.
emi-permanent makeup is one of the latest trends to emerge on the beauty scene; such treatments extinguish the need for reapplication and constant touch-ups. Plus, advancements in digital technology, ink shading and blading techniques are proving to yield extremely natural-looking results, prompting more people to jump on the bandwagon. One of the most popular forms of semi-permanent makeup is eyelash extensions—we investigate why this treatment has become so appealing and what it really involves.
beauty treatments 5. Decisions, decisions This treatment isn’t a one-size-fits-all scenario: you can select a bespoke set of lashes based on your eye shape and your desired effect. You’ll have the opportunity to decide on length, which ranges from natural-looking to long and glamorous. Some salons also provide a choice of material: silk, cashmere, synthetic and faux-mink (man-made fibres that imitate mink fur) are the main options. You can also choose how full you’d like your lashes to be—this will also depend on whether you are inclined towards a subtle or more dramatic appearance. Always conduct thorough research and consider your options carefully before having your lashes fitted.
6. Quicker daily routine Most clients report that lash extensions allow them to shave a considerable amount of time from their morning makeup routine. Having longer, fuller lashes means that there is no need for mascara. Some people even feel that liquid eyeliner isn’t always necessary either.
7. Risks While the benefits of extensions are plentiful, there are certain drawbacks to consider. For people with sensitive eyes, irritation
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and redness are common. On the rare occasion, severe reactions caused by the adhesive may require that the lashes be removed altogether. Another notable risk is that of uncertified beauticians. Uncertified beauticians may ignore health and safety procedures or fail to apply the lashes adequately, which can result in infection or a messy-looking outcome. It is currently uncertain as to whether eyelash extensions can damage the structural integrity of natural lashes after prolonged use.
8. Post-lash extension blues After being accustomed to long and luscious lashes for weeks, people may find their removal disappointing or even shocking. Natural lashes tend to look stunted in comparison, leaving many people with the ‘post-lash extension blues’. F
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We speak with the national register of accredited practitioners, Save Face, about the lack of legislation in the non-surgical cosmetic industry and discuss their mission to make a positive impact
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id you know that practitioners who administer non-surgical cosmetic procedures require no specific qualifications or certification by law? As the popularity of these treatments grows, so does the risk involved for potential clients. Save Face—a national registry of accredited non-surgical aesthetic practitioners—discusses the dangers that exist for patients, the psychological effects of a botched job and how consumers can avoid such an experience.
Question: What impact do you hope Save Face will have on the non-surgical cosmetic industry as a whole?
Save Face: Save Face is a government-approved register of healthcare professionals who provide non-surgical cosmetic treatments. Entry to the register is only open to registered medical professionals who can demonstrate that they are insured and have received certified training. All premises are inspected. Practitioners must operate against best practice standards and have policies and procedures that demonstrate this. The ultimate goal is for the Save Face Kite Mark to become a default factor in the decision-making process for someone who is considering a non-surgical cosmetic treatment. Through our public awareness campaigns we hope to continue to educate the public about the unnecessary risks they may be taking by choosing a practitioner who isn’t accredited. The reality is, these sorts of procedures are becoming increasingly popular amongst men and women of all ages and consequently the number of unscrupulous practitioners is also rising. For Save Face, the objective and message is simple: to provide an accessible service that enables people to obtain non-surgical cosmetic treatments easily and safely. Save Face removes the ambiguity and uncertainty on behalf of the patient, empowering them with a service that means they no longer have to take practitioners at face value.
Q: Why do you think that this particular industry isn’t governed by the same rigorous regulations that others are?
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SF: This field of practice is quite unique. Though medical in nature, there is no provision, nor ever has there been in the NHS, which has left training and standards to evolve organically and without recognised accreditation. The client base is healthy and treatment is a choice rather than a necessity. Unlike other medical procedures, it is possible to provide these in a variety of venues with relatively low capital cost and overheads. Because of the association with beauty, the vanguard of early adopters commonly provided services in association with beauty salons. This chartered new territory without reference to any expert authority to interpret and apply regulation developed with accountable institutions in mind. Given the exponential growth of the market and the commercial gains to be made, it is no wonder that providers have exploited the apparent loopholes in legislation and regulation and seized the opportunities to
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practice with apparent impunity. The resulting diversity of practice and growing accessibility of services—left unchecked for over two decades—has led us to where we are today. Non-surgical cosmetic services may be provided by anyone, anywhere. Where legislation and regulation are breached, sanctions are not robustly applied and fail to deter. It is reliably estimated that there are some 10,000 providers in the UK alone. Approximately 800 belong to professional associations providing influence, guidance and political representation on standards and education related specifically to aesthetic medicine. This suggests there are thousands who don’t know what they don’t know and likely do not care.
Q: What are some of the potential risks of having a nonsurgical procedure at a clinic that is not accredited?
SF: As our investigations continue to demonstrate, finding a safe, reputable practitioner can quite simply be a lottery. Sadly, dotted in amongst all of the reputable practitioners, there are a mass of unscrupulous people masquerading as trained professionals. They have often had little or no training and purchase cheap illegitimate products over the internet. Frighteningly, these treatments are all too often considered and categorised as everyday beauty treatments like having your hair or nails done. In reality, it is a clinical procedure that can have disastrous consequences when it is administered by the untrained and unqualified. It’s because of this that the consumer is blind-sighted by cheap deals and how glossy the website and clinic décor might be. People so often neglect to pay any real attention to the fundamental thing that is essentially the difference between a good treatment and what can be a nightmare: the skills and qualifications of the person holding the needle. In the last 12 months, we have seen an alarming increase in the number of reports regarding procedures gone wrong and rogue practitioners. Figures have almost trebled in comparison to the previous year, with a total of 934. Over 83 percent of the reports we received were about treatments that were administered by beauticians, hairdressers and other non-healthcare professionals. Upon further investigation, a staggering 30 percent of all complaints we received were performed by people who had set themselves up with no relevant training whatsoever and were believed to be purchasing their products such as dermal fillers and botulinum toxin (Botox) over the internet. We received complaints relating to the following procedures (in order of the most numbers received): • Dermal fillers, which included lip fillers, cheek fillers, facial fillers to improve the appearance of skin folds and wrinkles, tear trough fillers to reduce eye bags and non-surgical nose jobs • Botulinum toxin • Laser treatments
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• PDO thread lifts • Chemical peels • Blepharoplasty; non-surgical eye lift using plasma skin tightening technology 79 percent of the complaints we received were related to dermal fillers, which can present serious risks if complications are not identified and managed properly. The vast majority of which were lip filler procedures. The most common complaints were: • Poor/uneven results • Unsightly lumps and nodules • Unusually painful swelling and bruising • Infection; more than 20 of the people who reported complications following botched lip filler treatment had to seek treatment from their doctor • Three women suffered vascular occlusion or impending necrosis (tissue death), which could lead to permanent compromise of healthy tissue
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Q: What are the psychological effects of having a ‘botched’ treatment?
SF: Being a victim of a botched procedure has so many ramifications both physically and mentally. Many people spend months contemplating a procedure to address a particular concern and restore their confidence, only to be left feeling worse and more self-conscious than they did before. It has a devastating effect on their state of mind. We have had people contact us who won’t leave the house or that cry when they look in the mirror and have had to be prescribed anti-depressants. In most cases they have no way of seeking redress from the person who treated them as they have ceased trading or have no insurance. In fact, 72 percent of all complaints we received last year were from patients who had found the practitioner on social media pages such as Facebook and Instagram. This is a major concern and something that has escalated enormously in the last few years. Social media has become a hotbed for unscrupulous practitioners to advertise unethical deals and offers, which flout advertising rules. These practitioners only have Facebook or
non-surgical procedures Instagram pages and often do not disclose the full name of the practitioner. This makes them nigh on impossible to trace when things go wrong, and when that happens, more often than not, they close down their page and then set up another one using a different business name. It is a vicious cycle which is opaque and impossible to police. Patients who fall into the wrong hands end up paying the price in every possible way: emotionally, financially and physically.
Q: In 2013 the Department of Health (DoH) commissioned
We visit each clinic location and undertake all the necessary checks to ensure that the practitioner and the clinic have met each of our standards before they are listed on our register. When a patient uses Save Face to find a practitioner they can be assured that: • They are who they say they are • They are a registered nurse, midwife, doctor, dentist or prescribing pharmacist with specialist training and insurance in each treatment listed on their profile • They use licensed products sourced from reputable suppliers • They have all of the necessary paperwork in place to protect you from undue risk and harm • Their practice standards meet the requirements to provide you with safe treatments, in a safe environment Full details of the assurances that come with selecting a Save Face Accredited practitioner can be found on our patient charter.
a review into non-surgical aesthetic procedures, in it they described dermal fillers as a ‘crisis waiting to happen’. Do you agree with this assessment? SF: Absolutely. We have received an increasing number of reports from patients who have been injected with cheap products that have been purchased over the internet from China. Our statistics confirm that dermal fillers can cause serious complications Sadly, dotted in amongst all of if they are not administered by a trained healthcare professional the reputable practitioners, there that is competent in identifying and treating side effects. When are a mass of unscrupulous untrained practitioners administer people masquerading as trained unidentified products that have been purchased over the internet, professionals the consequences could potentially be life-threatening.
Q: Generally, what legal rights do
patients have if a non-surgical procedure goes wrong? What advice would you give to somebody in this position? SF: Unfortunately, if a client has been treated by someone that is uninsured and unaccountable, there is little than can be done. Sadly, where there is legislation in place, little action is taken to act as a deterrent for those who continue to flout the rules. We are contacted all the time by patients who have fallen into the wrong hands and have been completely ignored by the practitioner when something has gone wrong. We support them in every way that we can. We recently published a guidance document called the Anatomy of a Complaint, which informs patients how and where they can make a complaint.
Q: Are there any success stories you can share with us that involve a patient finding a safe and reliable clinic through your service? SF: We have had over 5,000 positive reviews from patients that are published on our website. Getting feedback from patients who have found a practitioner that they can trust and are happy with via the website is the best feeling and what makes it all worthwhile.
Q: You have recently received a considerable amount of press coverage regarding your involvement in exposing a fake doctor who had administered fake Botox treatments. Is this part of a wider initiative to stamp out dangerous practitioners? Do you have any plans in place to facilitate the discovery of other similar cases? SF: We have an endless list of unscrupulous practitioners we are currently investigating to ensure that they are exposed and are brought to justice—each has involved a breach in regulations. We are working with several patients who have been affected by practitioners who have left them with irreversible damage. We will ensure that they get the help and support they need and that these practitioners are stopped from operating in the future.
Q: What specifications must a practitioner meet in order to be included on the Save Face website?
Q: Do you have any upcoming projects scheduled in order to
SF: Each and every practitioner and clinic listed on our register
further your reach or spread your message?
has been inspected against our robust set of standards. Entry to the register is only open to doctors, nurses, dentists and prescribing pharmacists. Although minor, these treatments are medical procedures, which we believe should only be carried out by trained healthcare professionals.
SF: We are currently working on new projects with our
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ambassador Dr Christian Jessen and will be launching the next round of our TV advertising campaign in the next couple of months. We also have several ongoing TV and media projects that we are currently in the process of finalising. F Live to 100 with Dr Hilary Jones | 175
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Recontour your body top to toe for 2018 The revolutionary, non-surgical fat-reducing solution, CoolSculpting® can reach the areas that dieting can’t, from tummies to muffin tops, bingo wings, bra fat, back fat, inner thighs, saddle bags and even double chins. Many of us have unwanted stubborn fat that is hard to shift, even if we eat well and work out, so it’s no surprise then that the revolutionary fat reduction solution, that freezes away fat, sounds so appealing. But what is it and can you really ‘freeze’ fat? CoolSculpting® is the only FDA-cleared, non-invasive fat-freezing treatment that has been proven to work in reducing fat cells as a body contouring method. The Coolsculpting procedure uses a special device to target, cool and reduce unwanted fat cells in the selected area. After being frozen, these cells crystallise, then naturally shrivel away, ‘once they’re gone, they’re gone for good’. Your body metabolises the fat cells and gets rid of them naturally. Treatment takes only 35 minutes and results after one session can be seen in as little as *4 to 8 weeks.
A favourite with celebrities and discerning women alike as there is little to no downtime. The Cosmetic Skin Clinic® The Cosmetic Skin Clinic is the most experienced Coolsculpting clinic in the UK & Western Europe, having performed over 11,000 treatments and trailblazed the procedure with a reputation for formidable results since 2012. They were one of the first clinics in the UK to offer this popular treatment. The founder of the clinic, Dr Tracy Mountford MBBS MBCAM, is a key opinion leader and medical advisor for CoolSculpting®. She cites the fat-freezing treatment as one of her most popular, highly requested and enquired about treatments at her clinics in London and Buckinghamshire. *Disclaimer: patient results may vary.
The Cosmetic Skin Clinic is the No1 Coolsculpting clinic in the UK & Europe Whilst CoolSculpting is not a replacement for a healthy diet and exercise, it may well be worth considering if you are looking for a non-surgical fat reduction treatment and some fine tuning to your silhouette. With over 5 million treatments performed in over 80 countries around the world so far and body contouring being the fastest growing sector in aesthetics, it looks like the demand for Coolsculpting will continue to grow in 2018.
“CoolSculpting is the only non-surgical alternative to liposuction I recommend to my patients because, quite simply, it works.” Dr Tracy Mountford MBBS MBCAM
THE COSMETIC SKIN CLINIC London & Buckinghamshire
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N Surgical O Weight Loss N Alternatives WE GUIDE YOU ON SOME OF THE MOST INNOVATIVE WAYS TO REDUCE FAT AND REJUVENATE YOUR SKIN, WITHOUT THE WORRY OF INVASIVE SURGERY
ndividuals who maintain a healthy lifestyle can still struggle with stubborn fat and cellulite. This can have a detrimental effect on one’s self-esteem. While liposuction and tummy tuck procedures are highly effective, many people wish to avoid such invasive options. Fortunately, there are other forms of body sculpting and fat reduction procedures that don’t involve such risks—we guide you through the most popular options.
Cryolipolysis Cryolipolysis is a medical treatment that destroys fat cells by way of freezing them. The controlled cooling action of the technology— with a temperature range of 5C to -5C—targets localised fat deposits underneath the skin without damaging the upper layers of the epidermis. When the system is activated, patients tend to experience an intense cold sensation on the area being treated. Side effects can include redness, light bruising, tingling and numbness—although these should dissipate relatively quickly. 178 | LIVE TO 100 WITH DR HILARY JONES
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The procedure itself is designed to shape and contour the body. Patients usually see results in a matter of months.
High-intensity focused ultrasound (HIFU) This non-invasive option applies high-intensity ultrasound to the chosen area to destroy fat cells on the surface layers of the skin. The technique works by raising the tissue temperature to 56C for one second, which subsequently induces the death of cells whilst sparing damage to vessels and nerves. This passive heating action encourages collagen production, which naturally firms and plumps the skin. Patients have been known to experience moderate to high levels of discomfort during the procedure. Many report feelings of heat, prickling and tingling of the skin. Common side effects include bruising, redness, tenderness and edema (swelling due to excessive fluids), but these should subside quickly. Results are usually noticeable after a single treatment. celebrityangels.co.uk
What is CoolSculpting? CoolSculpting is an FDA-cleared, noninvasive, fat-freezing treatment that has been proven to work in reducing fat cells as a body contouring method. It safely delivers controlled cooling to gently and effectively target and reduce unwanted fat cells beneath the skin’s surface. With over five million CoolSculpting procedures having taken place worldwide, the treatment is proven to be safe and effective for non-surgical fat reduction, and the results are long-lasting and noticeable. So how does it work? CoolSculpting safely delivers precisely controlled cooling to gently and effectively target fat cells beneath the skin. These treated cells crystallise (freeze) then shrivel and die over the coming weeks; your body metabolises
them and simply disposes of them naturally. This results in a noticeable and long-lasting reduction of unwanted fat bulges, resulting in a more sculpted and shapely body. The Cosmetic Skin Clinic is among the most experienced CoolSculpting clinics in the UK and western Europe, having performed over 11,000 treatments with a reputation for superlative results. They cite the fat-freezing treatment as one of their most popular, highly requested and enquired about treatments at their clinics. Founder of the clinic, Dr Tracy Mountford, is one of the key opinion leaders and medical advisors for CoolSculpting in the UK. Here’s what she has to say about CoolSculpting: ‘CoolSculpting is great for targeting those extra bits of fat that won’t go away. A lot of people go to the gym, have a
Low-level laser light This particular form of fat-busting treatment works by reducing the stability of certain cells, allowing them to release their stores of fat without being damaged. The fat is released into the extracellular space and remains there until it is eventually absorbed by the lymphatic system. This results in the reduction of fat cells, consequently making the areas of the body targeted thinner. The treatment itself is said to be painless, as it does not involve any heat or sensation-causing elements. Results are reportedly more prominent after several sessions. Cardio-based exercise is recommended after the procedure to promote lymph flow and to further the effects of the procedure.
Radio frequency (RF) This body contouring method employs radio frequency (RF) to work on problem areas such as the abdomen and fat deposits on the hips—more affectionately known as ‘love handles’. The technology heats the skin and fat cells beneath to a temperature of 46C. This helps speed up the fat cells’ metabolic activity, causing them to shrink. The method is said to be effective in reducing cellulite and boosting the skin’s collagen levels. RF is most effective after a number of sessions— top-ups are recommended. Patients are advised to drink plenty of water and schedule a cardio-based exercise on the day of
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healthy lifestyle and still have stubborn areas of fat they simply can’t get rid of. Fat freezing is a safe, innovative way to tone, contour and shape different areas of the body, whether you’re slim, curvy or otherwise.’ ‘Fat freezing is an in-demand procedure at the moment, and chances are, you’ve probably read about it or seen it online. All of our dedicated expert practitioners have graduated from CoolSculpting University. Those who perform CoolSculpting in our clinics are expertly trained and licensed in the procedure. Effective treatment requires knowledge of anatomy and expertise in the technique.’ The Cosmetic Skin Clinic has been providing CoolSculpting treatments since 2012 and they were one of the first clinics in the UK to offer this popular treatment.
the procedure to encourage the body’s metabolism and aid lymphatic drainage. Side effects of RF are minimal, although mild redness, heat and skin tenderness may occur. F
DO YOUR RESEARCH
Before undergoing any type of fat reduction treatment, be sure to do your research. Check that your chosen provider is fully certified and that the method they use is MHRA or FDA-approved. Consult your doctor if you have any concerns
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Treat those unsightly veins wherever they are The Baskerville Clinic Covers All Your Essentials… Unsightly veins may appear anywhere, sometimes in less obvious places. With over 25 years’ experience as a Consultant Vascular Surgeon, Dr Baskerville takes pride in being able to oﬀer solutions to veins of all shapes and sizes in even the most unexpected areas. With the trend for see through fabrics and small bikinis why not treat those unsightly and often uncomfortable veins wherever they are? As well as treatments for unsightly veins on legs and feet we also deal with bothersome veins on chest, hands and intimate areas, with little discomfort and remarkable results. The Baskerville Clinic is situated on Wimpole Street in the heart of the West End, near to Harley Street and close to Oxford Street and Bond Street. Please contact me at firstname.lastname@example.org or 02074361931 for an appointment or further details.
25 Wimpole Street, London, W1G 8GL
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Varicose veins can be damaging to your skin and self-esteem. Tackle the problem early to rejuvenate your complexion and restore your confidence
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aricose veins are characterised as swollen or enlarged veins usually occurring in the arms and legs. In severe cases they can appear lumpy or bulging and may cause the area to cramp, throb or feel heavy and painful. Such cases will require medical treatment. Most times, however, varicose veins are not a severe medical condition and merely consist of blue or purple marks on the skin. There are several cosmetic treatments that can be used to help reduce the appearance of mild varicose veins and restore your skin to its former glory.
Self-care There are several preventative measures you can take if you begin to notice the early signs of varicose veins or if they run in your family. Start by eating healthily and staying in shape. Also, try to reduce the number of tight clothes in your wardrobe and avoid being sedentary for long periods of time
Endovenous laser treatment
Endothermal ablation is usually the first treatment that is offered. This method involves high-frequency radio waves being sent into the affected veins, sealing them with heat. It is especially effective at tackling early cases and targeting small veins. Its accuracy also means that the risks of nerve damage are far reduced with this option.
Sclerotherapy Sclerotherapy is a procedure that works to improve the appearance of varicose veins by injecting a special type of foam solution called sclerosant into them. Sclerosant damages and scars the lining of the vein, ultimately closing it. As a result, the body will eventually rid itself of the veins. This procedure is most commonly applied to â&#x20AC;&#x2DC;spider veinsâ&#x20AC;&#x2122;, milder cases where thin, thread-like marks appear close to the surface of the skin. 182 | Live to 100 with Dr Hilary Jones
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The endovenous laser treatment procedure involves inserting a small laser fibre into the veins. Pulses of laser light are then delivered to the area, causing the veins to collapse. The entire procedure is completed under local anesthetic.
Varicose veins are often hereditary; individuals with close family members who suffer from the condition are likely to experience it themselves. Old age is another considerable factor; as we age, our veins lose elasticity and consequently become weak. This can cause pools of blood to form and veins to become enlarged. Varicose veins also commonly affect pregnant women; this is the result of circulatory changes that occur because of pregnancy hormones in the body. Other factors that can leave you more susceptible to the condition include obesity and low-activity lifestyles or occupations. F celebrityangels.co.uk
THE LONDON AND SURREY VASCULAR CLINIC IS A SPECIALIST CLINIC BRINGING TOGETHER EXPERTS IN THE TREATMENT AND PREVENTION OF VASCULAR DISEASE.
ur comprehensive varicose vein treatment service offers access to all the latest treatment and technologies including laser and radio-frequency ablation, as well as other vein closure techniques. Modern minimal access techniques used for the treatment of varicose veins allow patients to continue with their normal life, keeping disruption to a minimum, performed on an outpatient basis. In addition, as part of our service, we provide walk-in, walkout treatments for spider and thread veins. The treatment we offer is tailored to each individual patient, with the most appropriate technique used. Problems with leg veins can present in a variety of ways, ranging from spider and thread veins to much larger varicose veins. Varicose veins are dilated, tortuous, visible superficial veins in the legs, nearly always caused by poorly functioning valves which normally control the direction of flow in leg veins. If these valves fail, the blood which should be travelling back towards the heart flows back down in the wrong direction. This causes distension of the surface veins which gradually become more and more prominent. Thread and spider
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veins may be a symptom of this condition, or may occur without any associated larger vein problem. Whilst the management of spider and thread veins can be undertaken without any investigation of the deeper venous system, if any issue is present in the larger veins, it is unlikely that this superficial treatment will give a lasting effect. For the most complete and accurate management of venous problems of the legs, a detailed assessment of all the veins in the legs is advised, and this is considered the gold standard of care. Assessing the leg veins is performed by undertaking a duplex ultrasound examination, which is a non-invasive technique to map out and assess the function of the leg veins. From this, detailed treatment advice can be given to our clients, based upon this evidence gained. The London and Surrey Vascular Clinic delivers services across London and Surrey, in private hospitals and clinics alike. Our clinicians have extensive experience in the management of venous conditions of the legs, are confident in their ability to deal which each client’s individual symptoms. Gary Maytham is a Consultant Vascular Surgeon, with his main NHS appointment being at the St George’s Vascular Institute, St George’s Hospital, London, where he is the Care Group Lead for vascular services. His specialist interests include the management of venous conditions, and he would be delighted to offer you advice. F
If you are interested in using our services, please contact: Mrs Camilla Faulkner email@example.com Tel 01293 227040 | thelsvc.co.uk
Dr Rita Rakus
DISCOVER THE NEW YOU AT THE MULTI AWARD-WINNING DR RITA RAKUS CLINIC Do your New Year resolutions include getting your body in better shape, looking younger and feeling your best? If so, book a consultation with Dr Rita Rakus, the world-renowned ‘Cosmetic Doctor To The Stars’. Located in London’s Knightsbridge, opposite Harrods, The Dr Rita Rakus clinic is one of the world’s leading non-surgical cosmetic clinics with award-winning expertise in lip enhancement, facial rejuvenation, body contouring and skin tightening. We can help you look and feel your best.
The new you is just a phone call away. To book a complimentary consultation with Dr Rakus on +44 (0)20 7460 7324 or visit www.drritarakus.com COSMETIC DOCTOR TO THE STARS
WALL OF HONOUR INSCRIPTION In recognition of Dr Rakus’ outstanding work in the field of cosmetic medicine
TA T L E R ’ S F I N E S T F O R LIPS & BODY 2017
LIP ENHANCEMENT • FACIAL REJUVEN ATION BODY CONTOURING • SKIN TREATMENT S Dr Rita R akus Clinic, 34 Hans Road, Knightsbridge, London S W3 1RW – Opposite Harrods
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P erfect Pout HAILED AS THE STANDOUT COSMETIC PROCEDURES IN 2017 THANKS TO CELEBRITY ENDORSEMENT, LIP ENHANCEMENTS HAVE NEVER BEEN SAFER, MORE AFFORDABLE OR ACCESSIBLE
osmetic procedures—both invasive and non-surgical— have seen a considerable rise in popularity in recent years, but having plump lips is hands-down the ultimate trend. It’s no secret that lips thin and lose their colour as we age; this is simply due to the natural decline in our body’s production of collagen. Plump lips never go out of style; they are a sign of beauty, good health and youth. So, whether you’re considering a lift, injection, implant, vermillion advancement or permanent makeup, there are various lip enhancement options available to consumers. Read on for a breakdown of all you need to know about achieving the perfect pout through various cosmetic procedures.
Lip injections Using a natural—or synthetic—biocompatible substance that acts as a fat substitute, fillers are temporary solutions to lip enhancement. Although one round of treatment is enough to produce the desired result, regular sittings every six to eight
months will be needed to maintain plumper lips. This route also offers potential reversibility.
Fat transfer Fat from the patient’s own body—autologous fat—is taken via liposuction from the hips or abdomen and injected into the lips. With this route, patients may need more than one sitting to achieve the desired result. A major advantage of this procedure is that the substance being injected comes from the patient’s own body, lowering the risk of an extrusion.
Lip implant Implants are inserted into the lips through very small incisions done inside the corners of the mouth. Much like with fillers, there are both natural and synthetic implant options available. When considering this route, patients should keep in mind that—in some cases—implants can have a high incidence of infection and extrusion.
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non-surgical procedures Perhaps one of the more invasive forms of lip enhancement procedures, vermillion advancement consists in increasing the area of the lips. This is done by making a small incision along the edge of the lip vermillion, removing a strip of skin outside the border and pulling it—effectively ‘stretching’ the skin to achieve a fuller smile.
Lip lift Much like a facelift, a lip lift removes extra skin. This is done by making an incision right under the nose and shortening the skin to elevate the lips. There are small sutures involved with this procedure—they are removed after four or five days.
Permanent makeup Using tattoo techniques to enhance features that are not pronounced—like the lip outline—this non-surgical lip enhancement technique is most suitable for those who want a permanent solution without the need for surgery. Patients will be able to customise results for their skin tone and colouring while enjoying a very short recovery period.
Recovery Surgical lip enhancement will be carried out in a hospital, ambulatory facility or specialised surgical suite, will involve some preparation and take anywhere from 30 minutes to three hours to complete. General anaesthetic is also commonly used. After procedures, patients may experience swelling, bruising and mild to moderate pain. It is strongly advised to follow all patient care instructions and attend follow up appointments. Non-surgical treatments, on the other hand, can be performed in a day clinic in under an hour with very little preparation. The recovery period is minimal; patients may experience mild bruising or swelling. Talk to your surgeon or practitioner about your options, they will be able to advise the best procedure for you. F
Did you know? Medical advancements in the field have made lip enhancement procedures the safest they have ever been. While lip fillers now use hyaluronic acid—a naturally occurring substance in our body—in the 1960s, liquid silicone was the filler of choice Source: Huffington Post
No Need for Needles Whether you get squeamish at the sight of needles or don’t want to shell out considerable amounts of money on a cosmetic procedure, there are countless products on the market that can help you achieve a flawless pout. Lip plumpers are a safe and cost-effective way of temporarily giving your lips an added boost. These products contain ingredients that slightly irritate your skin and leave it with a subtle tingle, causing mild swelling. In addition to keeping lipstick from feathering, lip liners can also create the illusion of fuller lips—if used correctly. Use a subtle colour that matches your skin tone for best results. Peptide lip balm, which can be purchased in high street drugstores and beauty shops, gently stimulates collagen growth for an all-natural plump look.
DID YOU KNOW? When reality TV star and Kardashian step-sister Kylie Jenner revealed she regularly got lip fillers, a London clinic reported a 70% rise in enquiries about the procedure in the 24 hours following the news
Source: Aesthetics Journal
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Define Your Features THE RESULTS OF FACE SCULPTING CAN BE ACHIEVED IN A VARIETY OF WAYS, BUT WHICH METHOD IS RIGHT FOR YOU?
Face sculpting procedures—both surgical and non-surgical—present a longer lasting solution to achieving a chiselled visage. However, considerations to pricing and invasiveness are both key influencers for potential clients.
Nose Rhinoplasty—commonly referred to as a ‘nose job’—is a procedure that modifies the shape and size of the nose. Smoothing out lumps and imperfections, it is a permanent fix that can contribute to an overall sculpted appearance. Bruising and swelling are both symptoms of rhinoplasty; recovery usually takes as little as a few weeks.
Cheekbones Injectable dermal fillers are a popular choice for plumping the skin along the cheekbones and adding volume to shape the face. The procedure takes approximately 30 minutes and involves no stitching. Most fillers will last around a year, meaning touch-ups are necessary.
Chin and jawline Cryolipolysis is a common option for people wishing to remove excess fat from the submental area of the face and neck and create a chiselled jawline. The procedure destroys fat cells by freezing them, which works to reshape the body. Its popularity is credited to its minimally invasive approach.
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Forehead Smoothing out wrinkles and lines can contribute to a youthful appearance. Botox injections can be used to target glabellar lines (or frown lines) that appear between the eyebrows. When injected into the muscle, Botox causes wrinkles to relax and soften. Botox is another option that lasts for several months.
he world’s obsession with symmetrical features, prominent cheekbones and razor-sharp jawlines is at an all-time high. Fortunately, there are now several ways to achieve a chiselled aesthetic. We compare the most common methods of face sculpting— makeup contouring versus cosmetic procedures.
Years ago, makeup contouring was an obscure technique used only for the purpose of photo shoots. Now it's a worldwide phenomenon, made famous by reality TV star Kim Kardashian West when she tweeted a picture of herself practicing the art.
Step 1. Add lowlights and highlights using a concealer or foundation. A highlighter tends to be a shade lighter than your skin tone; a lowlighter (or contourer) tends to be a few shades darker.
Cheekbones Highlighter should be used on the apples of the cheeks to brighten and add a glow. A sweeping contour line should be applied to the hollow area below the cheekbone to create a subtle shadow, adding definition to the face.
Step 2. Using a beauty blender, merge the contouring lines together. Take time to fuse the differing shades so that you are left with a subtle gradient and flawless finish. This is, perhaps, the most important step.
Forehead The outer edging of the forehead requires lowlighting whilst the central sectionâ&#x20AC;&#x201D;stemming from the top of the noseâ&#x20AC;&#x201D;should be illuminated with a lighter pigment. If you have a thin forehead, extend the highlighter to give the appearance of breadth.
Step 3. With a fluffy brush, dust over the entire face with a translucent fixing powder.
Nose Most people tend to desire a narrow nose. For this effect, line both sides of your nose starting from the brows with the dark contour shade. Apply highlighter down the length in the centre for a sharper appearance. Chin and jawline Using a downward stroke, sweep the dark pigment along the line of the jaw. Draw a small inverted triangle on the base of your chin with your highlighter; this will create the illusion of a petite, pointed chin. F
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Get the kit
Investing in good quality makeup brushes is worth the splurge to achieve a flawless finish. Opt for natural-haired brushes rather than synthetic; these are suitable for all skin types including sensitive. Use an angled brush to apply shadows and highlights. A dense buffing brush should also feature in your kit to blend contoured lines. Finally, use a small, pointed brush for liquid foundation and concealer LIVE TO 100 WITH DR HILARY JONES | 189
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Matter A SAFE AND EFFECTIVE PROCEDURE, LASER EYE SURGERY CAN MAKE INDIVIDUALS LESS DEPENDENT ON GLASSES AND CONTACT LENSES
lthough laser eye surgery isn’t currently available on the NHS for people that just want to improve their eyesight, it is one of the most popular procedures in the UK. A solution for improving eyesight and cancelling the need for glasses and contact lenses, vision correction can significantly enhance quality of life as well as boost self-esteem. Laser vision correction (LVC) aims to correct four major refractive errors—problems caused by an imperfectly shaped eyeball or cornea. Near-sightedness, also known as myopia, causes close objects to appear sharp and far objects to appear blurry. This condition is due to a curved cornea and a longer eyeball. Far-sightedness, known as hyperopia, causes the opposite and is due to a shorter eyeball or a cornea that is flatter than normal. Individuals affected by astigmatism will see objects blurry at any distance—in this scenario the cornea and lens are shaped so that images aren’t focused on the retina. Lastly, presbyopia, or ageing eye, occurs when the eye loses the ability to focus due to ageing. This usually happens between the ages of 40 and 50.
There are three main types of laser vision correction (LVC) procedures: LASIK, SMILE and surface laser treatments. LASIK (laser in-situ keratomileusis) is performed with two lasers: one opens up a thin ‘flap’ in the surface of the cornea while the other reshapes it. At the end of the procedure the flap is put back and stays in place without the need for stitches. Surgeons performing SMILE (small incision lenticule extraction) surgery, on the other hand, will reshape the cornea through a small, selfsealing hole. Other surface laser treatments—which include PRK, LASEK and TransPRK—will consist in removing the skin covering the cornea to allow the surgeon to reshape it with a laser. In this type of procedure, the cornea grows back naturally. Although all three types of surgeries yield similar results, it is important for patients to discuss with their surgeon which route is best for their individual needs. While they are relatively painless procedures, there are some stages which patients might find uncomfortable. To prepare, the surgeon will put anaesthetic eye drops in the eye to make it numb. Once this has taken effect, a speculum is placed on the eye to keep it open. Some patients have reported feeling slight pressure during the procedure itself. F celebrityangels.co.uk
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WE SHINE A LIGHT ON SOME OF THE MOST POPULAR SURGICAL AND NON-SURGICAL COSMETIC PROCEDURES AMONG CELEBRITIES
osmetic modification isn’t a new concept to Hollywood’s elite. In fact, competition to maintain an attractive and youthful physique has never been fiercer. We highlight the procedures that are sweeping their way through the celebrity community and reveal exactly who is advocating them.
Kim Kardashian West: Platelet-rich plasma therapy (PRPT) Many stars go to great lengths to maintain a youthful appearance; the platelet-rich plasma therapy (PRPT)—also known as the ‘vampire facial’—is a prime example of this. One of the most notable advocates for this procedure is reality TV star Kim Kardashian West, who tried it for the first time on her show, Kim and Kourtney Take Miami (2009-2013). Viewers were shocked when they witnessed Kardashian West’s own blood being extracted from her arm and injected into her face with a tool called a Dermapen—a device consisting of several needles. The process takes around 20 minutes and leaves the face red and swollen for some days following the treatment. Benefits can be seen after a few weeks as the skin cells start to regenerate.
Kylie Jenner: Lip filler Kylie Jenner’s appearance is arguably one of the most talked about topics of the last few years. Being part of the famous reality TV show, Keeping Up with the Kardashians (2007-present), means that the now 20-year-old has had her fair share of the spotlight. After a huge amount of speculation from the media, Jenner finally admitted to having regular lip injections in 2015. Consequently, clinics around the globe reported a dramatic increase in requests for the procedure, which has been cleverly dubbed the ‘Kylie effect’. Lip augmentation consists of injectable dermal fillers that can improve the volume, 192 | LIVE TO 100 WITH DR HILARY JONES
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surgical procedures structure and shape of the lips. While the results are long-lasting, they are not usually permanent.
Chrissy Teigen: Armpit liposuction Whether she is sharing photos of her stretch marks on Snapchat or speaking candidly about postpartum depression, nobody can deny that Chrissy Teigen—model and wife to superstar John Legend—is an open book. One of her most recent disclosures has been about her cosmetic procedures, the most surprising being liposuction in her armpits. ‘I had my armpits sucked out’, the star confessed. While she admitted that it wasn’t the most necessary surgery, it gave her the confidence to wear sleeveless tops. Armpit liposuction procedures usually entail injecting a numbing substance into the area to soften the fat. While the patient is sedated, the fat is removed using a micro-device. The procedure involves no sutures but requires a compression wrap to be applied while it heals.
Kaley Cuoco: Neck fillers In an interview in Women’s Health magazine in 2016, actress Kaley Cuoco opened up about her experiences with cosmetic
of the year’s global total of aesthetic surgical procedures took place in the USA. In a global survey conducted by the International Society of Aesthetic Plastic Surgery (ISAPS) in 2016, the USA was ranked highest—closely followed by Brazil and Russia Source: International Society of Aesthetic Plastic Surgery (ISAPS), 2016
Kim Kardashian West
Images: Shutterstock; 123RF
surgery. At the time, she had only undergone nose surgery and breast enhancement, which she described as the ‘best thing I ever did’. More recently, she revealed her decision to have neck fillers: ‘Recently I had a filler in a line in my neck I’ve had since I was 12.' Horizontal lines occur naturally on the neck and tend to deepen with age. Dermal fillers are usually injected, filling lines in the neck and reducing the appearance of wrinkles. The procedure is long-lasting but not always permanent—several treatments may be necessary.
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surgical procedures Rita Ora: Breast augmentation Breast augmentation is the term used to describe the plastic surgery techniques that not only increase the size but also improves the shape of the breasts. British pop star Rita Ora has received a considerable amount of press recently, with rumours circulating that she has had the procedure. Over the last few years, the singer has branched into acting and, as a result, has secured her biggest role to date as Mia in the Fifty Shades of Grey (2015-present) movie saga. After appearing on the red carpet for the premier of Fifty Shades Freed (2018), fans took to Twitter to remark upon her changed physique. Dr Maurino Joffily, a plastic surgeon from Harley Street, also offered his opinion on the matter. Comparing images of Ora from 2009 up until the present, he noted significant change—most notably to her breasts. ‘Breast augmentation with Ms Ora is a high possibility. We can see more volume on the top of her cleavage,’ he speculated.
Nicole Kidman: Dermal fillers Big Little Lies (2017-present) star, Nicole Kidman, has been at the centre of speculation for years in regards to her appearance. At the age of 50, the prominent actress still looks as youthful as ever. But how does she retain such smooth and glowing skin?
While Kidman has admitted to trying Botox in the past, some experts believe she may also have explored other avenues of cosmetic enhancement. Michael Prager, a leading cosmetic doctor in the UK, suggests that Kidman’s plumped skin could be the result of dermal fillers. ‘Her chin looks like it has been filled recently and her forehead also looks like it could have been injected with dermal filler,’ he said. Dermal fillers help to fill wrinkles and add volume; they tend to consist of hyaluronic acid, however, ingredients can vary. The effects of fillers are not permanent, therefore top-ups are usually required.
Iggy Azalea: Rhinoplasty Rhinoplasty—commonly known as a nose job—is a surgical procedure that many celebrities opt for. One particular music icon known to have taken the plunge and receive such a treatment is Iggy Azalea. In a recent issue of Seventeen magazine, Azalea admitted to having the surgery: ‘I'm not denying it, denying it is lame,’ she said. ‘Plastic surgery is an emotional journey […] there are things that I didn't like about myself that I changed through surgery.’ Using reshaping methods, rhinoplasties aim to remove any curvature and bumps in the nose and give more definition to the face as a whole. The procedure is somewhat invasive and can take several weeks to heal. F
Rita Ora Nicole Kidman
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Breast Decision The
THERE ARE VARIOUS REASONS WHY WOMEN MAY WISH TO UNDERGO BREAST AUGMENTATION PROCEDURES—THIS TYPE OF SURGERY CAN FIX AESTHETIC ISSUES AS WELL AS INCREASE BODY CONFIDENCE
reast enlargement procedures are some of the most regularly performed surgeries in the UK. The decision is major, can be expensive—according to the NHS, it can cost anywhere between £3,500 to £7,000—and carries some real risks to weigh up. Most importantly, make sure you’re doing it for yourself and not for others. Also ensure you're not considering breast enlargement to compensate for a particularly difficult or unhappy time in your life. Before
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committing to a surgeon, make sure you take some time to reflect on your decision and its ramifications; here is all you need to know about breast augmentation to help make up your mind.
Pre-surgery If you choose to have your operation in England, check the Care Quality Commission (CQC) website for centres that perform the operation. When researching surgeons, ensure they are
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surgical procedures registered with the General Medical Council (GMC). Check their fitness to practice history, how many operations they’ve performed, what follow-up treatment you should expect as well as patient satisfaction rates. Patients are advised to attend pre-surgery consultations to determine whether the operation is safe to perform. During these sessions, you will undergo several tests assessing your current health, medical history and potential allergies to certain medicines and anaesthetic. This will be useful in determining the kind of post-operative care required as well as finding out whether you’ll need to stay overnight in hospital after the procedure.
The procedure Performed under general anaesthetic, the surgery can take up to an hour and a half. The surgeon will either make an incision two to five centimetres long in the crease below the breast, in the underarm or around the areola—preferences can be discussed prior to surgery during consultation sessions. There are two main types of implants that are commonly used in the UK: silicone gel and saline solution. Silicone gel implants contain soft or firm gel, are less likely to wrinkle and can give a more natural feel. However, if they rupture, they could cause siliconomas in the breast. Saline solution implants, on the other hand, are more likely to rupture or deflate over time but aren’t dangerous as the body can safely absorb saline in the event of a rupture. During the procedure, a pocket is created for the implant; this can be placed between the breast tissue and chest muscle or behind the chest wall muscle. Although both placement methods have their respective pros and cons, it is ultimately the size and shape of the breast and the looseness of the skin that will determine which option is best for each individual patient. When the surgery is complete, the incision will be closed up with stitches—these may be dissolvable—and covered with dressing.
Side effects As with all surgical procedures, breast enlargement may cause some side effects. It’s fairly common to experience temporary pain, swelling, bruising and a tight feeling in your chest for a few weeks. Consult your surgeon if these disturbances persist or if you’re in a lot of pain
Safety first As there are numerous types of implants available for breast augmentation procedures, keeping safety in mind when choosing which implants to get is imperative. With various manufacturers on the market, doing your research is key. F
Did You Know?
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POLYTECH Health & Aesthetics from UK Company Q Medical Technologies Ltd offers a wide range of products for aesthetic plastic surgery. Their mammary silicone implants, which have been optimised to resemble human tissue, are available in a variety of forms and sizes. In addition to being FDA-approved, they go through meticulous quality control and meet all European and applicable standards. In addition these implants are protected against the major complications of breast enhancement with a patient promise warranty underwritten by Lloyds of London
Immediately after the procedure, patients will be required to wear a specialised post-surgical bra 24 hours a day to support the breasts and promote healing. Pain relief is provided if patients experience any discomfort. Although this may vary from case to case, full recovery will usually take between four to six weeks. Depending on your occupation, you may be able to return to work after two weeks. Avoid strenuous exercise or heavy lifting for at least a month after the surgery and keep any scars away from direct sunlight for a year. It is advised to have an MRI scan three years after the procedure and two years after that in order to check that everything is as it should be. This type of operation will not last a lifetime: breast implants will likely need replacing at some point. Some patients may also need additional surgery after a few years to correct problems with the implants.
In the Pursuit of Safety:
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Q Medical Technologies Summerlands Trading Estate Endmoor, Kendal, Cumbria, LA8 0FB T: 0845 194 9284 F: 0845 094 0380 E: firstname.lastname@example.org W: www:qmedical.co.uk
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Cosmetic dentistry is a form of oral care that helps to improve the aesthetics of the gums, teeth and mouth. Technology within this category has advanced rapidly, making it easier for clients to achieve the ‘perfect smile’. Analysis by financial provider, LDF, found that Britain’s 100 largest dental firms recorded a turnover of almost £1 billion in 2015—a staggering 22 percent increase from 2010. It is thought that the building popularity of cosmetic dentistry is responsible for this surprising surge. We examine several popular cosmetic dental procedures being utilised by Britons today.
Teeth whitening and bleaching With discolouration being a very common problem in the UK, it is only natural that tooth-whitening procedures have 198 | LIVE TO 100 WITH DR HILARY JONES
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stepped up to meet the demand. The terms ‘whitening’ and ‘bleaching’ are often used interchangeably. According to the US Food and Drug Administration (FDA), ‘bleaching’ can only be used when a product includes bleach (hydrogen peroxide or carbamide peroxide). Whitening simply refers to any product that removes stains or debris from the teeth. One of the newest options to be offered in this category is laser tooth whitening. The procedure involves a strong bleaching gel, which is combined with the heat generated by a laser in order to enhance its effect. Top-ups are recommended every one to two years. One of the most frequent complaints from consumers who have had this procedure is that of tooth and gum sensitivity, which is likely to occur after prolonged use.
WE EXPLORE THE TOPIC OF COSMETIC DENTISTRY, UNCOVERING WHAT THIS INDUSTRY HAS TO OFFER
surgical procedures Dental veneers Veneers are made to order for each individual patient so that they resemble natural teeth. They are typically manufactured from medical-grade ceramic and are designed to cover the front surface of the teeth in order to improve their appearance. These shells are bonded to the front of the teeth to keep them in place. Veneers are routinely used as a way to fix teeth that are discoloured, worn down, chipped or broken and misaligned or wonky. This procedure requires approximately three trips to the dentist: the first session is used to diagnose and create a treatment plan, the second to prepare the teeth for the procedure and the third to finally bond the veneers. Unfortunately, the process of having veneers is not reversible. Veneers will last between seven and 15 years, after which they will need to be replaced.
DID YOU KNOW? 48% of the population is unhappy with their teeth, with 64% reporting discolouration as the reason for their unhappiness Source: nationalsmilemonth.org
Dental implants Dental implants are often chosen as a resolution for tooth loss. Due to the complexity of the procedure, this can only be performed by a trained dentist. The cause of your tooth loss will need to be understood and treated before you undertake implant treatment. The dentist will begin the process by fixing metal screws into the jaw at the site of the missing tooth. This metal fixing serves as a support for the artificial crown that is fitted. The procedure can take anywhere between 30 minutes and several hours depending on the number of implants needed and the complexity of the jaw structure. Over time, the bone and tissue will fuse to the implant, permanently securing it in place. Implants are designed to be indistinguishable from the surrounding natural teeth. After having dental implants fitted, patients must be diligent with their daily oral hygiene, keeping the area free from plaque and food debris.
Composite bonding Composite bonding refers to a method that uses composite resin (plastic) that resembles the colour of the tooth enamel to repair decayed, damaged or discoloured teeth. The dentist will drill out the areas of decay and will apply a composite onto the toothâ&#x20AC;&#x2122;s surface. They will then â&#x20AC;&#x2DC;sculptâ&#x20AC;&#x2122; it into the correct shape. They then proceed with curing it with a high-intensity light. The process successfully conceals areas of damage, giving the appearance of healthy teeth in their place. This is one of the cheapest forms of cosmetic dentistry and can be achieved with a single visit to the dentist. Clients have to be careful with the upkeep of their composites as staining from food and cigarette smoke can occur very easily. F
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FaceIt FACELIFTS ARE AMONG THE MOST POPULAR COSMETIC SURGERY PROCEDURES IN THE UK FOR BOTH MEN AND WOMEN
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to be costly; they can also carry risks and are not guaranteed to achieve desired results.
Mini facelift A mini facelift—sometimes referred to in the medical community as a thread lift—focuses on the mid-face, jawline and the neck and is most appropriate for those with moderate sagging of the skin. This type of facelift significantly reduces the appearance of deep wrinkles and drooping skin with the added benefit of minimal scarring. The procedure is generally carried out under local anaesthetic, where incisions are made by the hairline and ears. The tissue underneath the cheek is loosened and the skin is then pulled and fastened into its new position. Without the need for hospital care after surgery, the procedure
y the time we reach our 40s, certain signs of ageing become more prominent; the skin around the neck begins to sag, wrinkle creases deepen and the skin on our eyelids develop thick folds making them look droopy and heavy. While these signs of ageing are inevitable, some people opt for facelift surgery (rhytidectomy) to rejuvenate their appearance. Facelifts address these tell-tale ageing signs by lifting and pulling the skin on the face up and back to make it appear smooth and tight. There are many reasons a person might decide to go ahead with this procedure; looking younger and increased self-confidence being the main ones. Before deciding to undergo any type of surgery, it’s important to conduct deep research and to be sure of your reasons for doing it. Facelifts aren’t usually offered on the NHS and tend
surgical procedures is considerably lower in cost than a full facelift, coming in at around £3,500 to £6,000. This cost may vary depending on the surgeon you opt to use and your specific needs.
Full facelift A full facelift involves making a long surgical incision from the hairline, around the front of the ears and back into the hairline behind the ears. The surgeon will then separate the tissue beneath the skin in order to remove excess fat and reposition the facial muscles. Once this is completed, the skin will be pulled up and back and stitched in place carefully where the initial incision was made. The position of the incision means that the scar will sit comfortably in the hairline, making it almost invisible. The procedure typically takes between two to five hours to complete and patients are required to stay in hospital for a few days after. Patients are likely to experience bruising, swelling and fatigue following the procedure.
Eyelid surgery Eyelid surgery—also referred to as blepharoplasty—focuses specifically on tackling signs of ageing by correcting aesthetic abnormalities on the eyelids or eye bags. This procedure is often carried out alongside a full facelift, but may be performed separately. According to the NHS, blepharoplasty alone in the UK can cost anywhere between £2,000 and £6,000. The surgery involves making an incision along the length of the eyelid crease to minimise scarring. Any excess skin, fat or muscle that is causing any drooping or folding is then removed. While surgeons will advise that patients take at least one week off of work to promote healing after the procedure, bruising may persist for several weeks. Side effects include puffy and swollen eyelids that are difficult to close, irritation and high sensitivity—although this should subside after a few weeks. Patients may also experience temporary blurred vision and—in rare cases—blindness. F
Consider This... Speak with your doctor. Consult your doctor first if you are deliberating facelift surgery. They will be best placed to help you decide whether or not the procedure is right for you and may also be able to give personal recommendations. Choose the right surgeon. Make sure that any surgeon you choose to perform your rhytidectomy is qualified and registered with the Care Quality Commission (CQC). Practicing cosmetic surgeons are required by law to be registered with the commission. Be realistic. It is vital that you are realistic in your expectations. While facelifts can be dramatic in their results, they will not be able to make you look 20 years younger! There are risks. It is important to take into account any risks associated with a facelift procedure, such as infections, allergic reactions, bleeding, loss of nerve sensation and ‘botched jobs’.
DID YOU KNOW? Just 3,453 face/neck lift procedures were carried out in the UK in 2016—that's 53% lower than in 2015 Source: British Association of Aesthetic Plastic Surgeons
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Give their self esteem a helping hand - with Dermatix®!1 Dermatix® (Topical silicone gel and sheets) is widely used, to effectively treat and reduce scarring.2
• Only Silicone Gel and intralesional steroids have sufficient clinical evidence to be endorsed by scar experts3,4 • Dermatix® is clinically tested and proven to soften, flatten and smooth scars, and relieve the itching and discomfort associated with them2
For more information visit www.dermatix.co.uk
If you get any side effects, talk to your doctor, pharmacist, dietitian or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card Scheme at http://www.mhra.gov.uk/yellowcard. By reporting side effects, you can help provide more information on the safety of this medicine. You should also report any side effects to Mylan UK Pharmacovigilance on +44(0)8001218267 and UKPharmacovigilance@mylan.com
References: 1. Bayat A et al. BMJ 2003; 326: 88-92. 2. Chan KY et al. Plast Reconstr Surg 2005; 116(4): 1013-20. 3. Meaume S et al. Eur J Dermatol 2014; 24: 435–443. 4. Monstrey S et al. J Plast Reconstruct Aesthet Surg 2014; 67: 1017–1025.
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Cosmetic Surgery Aftercare
COSMETIC SURGERY PATIENTS CAN PLAY AN ACTIVE ROLE IN THEIR RECOVERY; HYDRATION, A HEALTHY DIET AND PRESSURE GARMENTS ARE ALL VITAL IN PROMOTING SKIN HEALING
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HELP YOUR COSMETIC SURGERY SCAR FADE WITH KELO-COTE Â®
N I C ALL
Find out more: www.kelo-cote.co.uk
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LOOKING AFTER YOUR
COSMETIC SURGERY SCAR WITH KELO-COTE ®
osmetic procedures can leave you looking and feeling great, but if you are planning or have recently undergone surgery you may be concerned about a remaining scar. There are some things you can do during the healing process to improve the physiological and cosmetic appearance of scars. Make sure to follow these aftercare tips to look after your scar:
HOW KELO-COTE® WORKS
HOW TO USE KELO-COTE®
Although cosmetic surgery aims to be minimally invasive, even the slightest incision in your skin will send signals to your body to repair the injury. Sometimes the healing skin forms excessive, unorganised collagen bundles that push upwards and form a reddened, raised, hard scar.
KELO-COTE® should be applied to new scars as soon as the wound is closed or stitches have been removed, so be prepared and have some on hand before your procedure.
KELO-COTE® self dries within 5 minutes† forming a flexible and waterproof layer. Once dry you can apply make-up or sunblock on top of the scar.
1. Always keep your scar clean. Wash the area under running tap water, with saline (a salt water solution) or use an alcohol-free wipe.* 2. Avoid too much exposure to the sun. Scar tissue is very sensitive, this makes it very easy for scars to get sunburnt.**
Apply a very thin layer of KELO-COTE® onto the scar twice a day, do not rub in.
Softened and flattened scar
3. Extremes of temperature can make itchy scars worse, particularly heat, so avoid very hot baths or showers.**
KELO-COTE®’s advanced Siliclear complex is a blend of silicones that cross-link and bond to your skin, drying within minutes, providing 24 hours of protection and treatment.
4. Apply a silicone scar treatment such as KELO-COTE® to help reduce redness whilst relieving the itching, discomfort and pain associated with scars.
This flexible, breathable layer normalises the collagen production and helps the scar achieve a flatter, softer and less noticeable appearance.
The recommended minimum treatment time is 60-90 days. If improvements still occur after 90 days, continued used is recommended.
KELO-COTE® BENEFITS •
Helps to soften both old and new surgery scars up to 4 years old
Can be used under make-up
Transparent; colourless and invisible when dry (non-UV products)
Can be used with sunblock and KELO-COTE® Scar Gel UV offers added SPF 30
WHERE TO BUY KELO-COTE® KELO-COTE® Scar Treatment should be used after surgery once the stitches have been removed and the wound has healed. You can purchase KELO-COTE® directly from Amazon.co.uk or from your local pharmacy. KELO-COTE® is available as a 100ml spray, a 6g and 15g UV gel and 6g, 15g and 60g gel.
* reference: www.nhs.uk/chq/Pages/1054.aspx?CategoryID=72&SubCategoryID=721 ** reference: www.nbt.nhs.uk/sites/default/files/attachments/Scar%20management_NBT002418.pdf † Data on file, study on 10 subjects. When used in accordance with instructions.
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What to expect
Aiding your recovery
Before undergoing cosmetic surgery, your doctor will explain the recovery process involved in your procedure. They will also provide helpful information on bathing techniques, changing dressings and wound cleanliness. Make sure to follow these instructions carefully. Generally, patients tend to experience varying degrees of bruising, swelling and tenderness of the skin after surgery. These effects may seem alarming—especially during the first few days of recovery. However, these will eventually subside and patients will be able to see the desired results of their procedure after some time.
After any procedure, the body will require time to heal. Allowing yourself an adequate period to recuperate will aid your recovery. Patients can play an active role in the healing process by following their post-operative guidelines to a tee and leading a healthy lifestyle. Aim to consume a balanced diet filled with whole foods, fruits and vegetables. Staying hydrated is also imperative—drinking plenty of fluids will aid the body’s natural healing process and regulate its overall temperature. Applying an ice pack to the affected areas of the body is an effective way to combat post-surgery bruising and relieve any discomfort. Try to elevate the area as directed by your surgeon; this will help to reduce swelling and blotching. There are a number of things that can hinder your skin’s ability to heal, including smoking and sun exposure. Sunscreen should be applied liberally before leaving the house and smoking should be avoided at all costs. Check with your doctor that any medications you are already taking—such as blood thinners or heart medication—won’t impede your recovery. Generally, sutures will be removed between five to 10 days after surgery. Your doctor will notify you of this during your follow-up appointments. These appointments are designed to allow your physician to track
Arrange a caretaker Immediately after your cosmetic procedure, you will need to arrange a caretaker; somebody to take you home and help you for the first 24 to 72 hours. During these initial stages of recovery, you will most likely suffer from fatigue—both from your medication and the surgery itself. As a result, simple tasks may seem difficult. Your assigned caretaker—usually a friend or relative—may need to assist in feeding you and redressing your bandages. Some clinics may include a personal caretaker as part of the package they offer—check this with your doctor beforehand. 206 | Live to 100 with Dr Hilary Jones
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Scar Management Seeking medical assistance If you experience any unusual side effects after surgery, report it immediately. Make yourself aware of the key signs of infection which may include pus, redness, inflammation, fever, chills and excessive drainage from the affected area. Additionally, seek medical advice if your pain isn’t alleviated by your prescribed medication, you have difficulty breathing or are suffering from persistent nausea
Cosmetic surgeons will always aim to keep scarring to a minimum, however, some scarring is usually unavoidable. Luckily, patients can assist with the reduction of post-surgery scars. After an elective surgery on the face, abdomen or breasts, a pressure garment should be applied to the scar site. To prevent any redness, discolouration or hypersensitivity, aim to use hypoallergenic products to moisturise the affected area. If you notice any flaking or scabbing of the skin, avoid touching it. Picking at the skin can result in infection or aggravate scars.
your progress. Recovering patients may also be asked to avoid operating heavy machinery, driving and strenuous exercise for a few weeks.
Consuming alcohol after surgery Most clinics will recommend that you reduce (or preferably eliminate) your alcohol intake for some time after your surgical procedure. There are a number of reasons for this: It dries the skin. When consumed in excess, alcohol depletes the skin's moisture. This can be hazardous when trying to recover the skin’s elasticity. Dry skin is more prone to stretch marks, cracks and scars than hydrated skin. It thins your blood. The thinning of your blood can wreak havoc on your recuperation. This can cause prolonged bleeding and infections to arise. It mixes badly with medication. Pain medication is almost always prescribed after a cosmetic procedure—the type and strength will depend on the circumstances. Mixing prescribed drugs with alcohol can have dangerous consequences and should be strictly avoided. It can increase risk of swelling. Alcohol naturally widens the blood vessels; this can lead to increased swelling in wounded areas of the body—the last thing any patient wants. F celebrityangels.co.uk
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products & services
Products & Services WE BRING YOU A SELECTION OF THE MOST TALKED-ABOUT BEAUTY PRODUCTS AT THE MOMENT
SCAR PREVENTION KELO-COTE® gel is an advanced formula silicone treatment for the management and prevention of hypertrophic and keloid scars. KELO-COTE® is clinically proven to help soften, flatten and smooth raised scars whilst maintaining the moisture balance and elasticity of the skin. kelo-cote.co.uk
Whether you're trying to create an everyday look or a glamorous smokey eye, makeup palettes offer countless colour choices. Make sure to match them to your eye colour: lighter eyes will require purple and gray hues, whilst darker eyes will look best in blues and golds. Find your perfect eye kit in a drugstore near you.
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ALL THE BRUSHES Every makeup bag should have a brush for every need. After all, a foundation brush is widely different to a highliter brush and an eyeshadow brush could not be used in the place of a lipstick brush. Invest in a high-quality kit that comes with instructions for every brush.
MAINTENANCE No brush kit would be complete without an all-purpose cleaner. When your brushes are due a clean, wet them in warm water. Using delicate hand soap, run them over the plastic bristles on your brush cleaner and rinse.
For the perfect pout, invest in a good-quality, moisturising lipstick and a lip liner to match. In addition to preventing feathering, the lip liner will create the illusion of a fuller smile. The lipstick, whether cream-based or liquid, will keep your lips hydrated.
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With the Restylane® line of facial aesthetic products, your practitioner can customise a personalised treatment plan to enhance your natural elegance.
To ﬁnd your nearest Restylane® practitioner, visit locator.restylane.co.uk.
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PRODUCTS & Services
Our pick of the best products that will help you live a healthy lifestyle
BRIGHT EYES Eyelergy eye drops are specially designed to combat symptoms of hay fever and eye irritation. The drops’ gel formulation rinses the eyes and creates a barrier to shield from allergens and irritants such as pollen, dust mites and pet dander. eyelergy.co.uk
DRY NIGHTS Menopausal night sweats can be very uncomfortable. Esteem No Pause have developed an eﬀective and stylish solution that can be worn ﬂexibly as lingerie, daywear, nightwear, lounge wear and even exercise wear. The clothing provides the solution to drier, more comfortable nights. esteemmanchester.com
THICK TRESSES BOOSTNBLEND is the instant solution for fine, thin and thinning hair. Its super-clingy volumising fibres boost the volume of your hair at the roots making your hair look thicker, fuller and more luscious. Designed by women, for women! boostnblend.co.uk ®
PUCKER UP Prevasore’s unique formulation is designed to encourage healthy lips. Containing emollient and moisture-preserving ingredients, it forms an eﬀective barrier when coming into contact with the lips. When used regularly, Prevasore helps to heal sore, cracked lips and prevent cold sores. prevasore.co.uk
Sleep Well are on a mission to help the world get a better night’s sleep. The vanilla drink combines whole Jersey milk with honey and valerian, a herb that’s been helping people relax and sleep for 2,000 years. Simply drink hot or cold 30 minutes before you want to sleep. Available in 200 millilitre and 1 litre cartons. sleepwellmilk.com
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