Totally Aesthetics Magazine Issue 1

TOTALLY AESTHETIC YOU ARE MY SUNSHINE Sun Protection, Sun Damage and Skin Cancer, we take a look

BACK TO BOTOX

No you don’t have Botox in your lips!

LIP HORROR

Lip fillers that go bad

HOW TO CHOOSE YOUR PRACTITIONER #SmartGuide to choosing the right one

WIN OUR LAUNCH COMPETITIONS

Champneys . Radara . Viviscal . Heaven Skin Care . Skinade . Exuviance . Neostrata .

Braun . Monroe of London . pHformula

CHLOE JASMINE Juicy Cure or Sugar Addict?

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CONTENTS ON THE COVER 07 HOW TO CHOOSE A PRACTITIONER We called in our expert Wendy Lewis to give us her advice with a #SmartGuide on making the right choices and what to look out for.

12-16 YOU ARE MY SUNSHINE The facts from experts about Sun Protection, Sun Damage and Skin Cancer.

WELCOME

P34 BACK TO BOTOX We find out more about

We are delighted to bring you the first issue of Totally

this wrinkle-smoothing

Aesthetic Magazine, a specialist double front covered

toxin and exactly where

magazine aimed at both men and women. Our consumer

you should have it injected.

magazine aims to provide a resource that allows you to access information and education about aesthetic

46 LIP FILLER HORROR

treatments, professional products and wellness. We aim to

What happens when

create a factual educational resource that allows people to

you don’t do your

make safe and informed choices about their treatments, products and practitioners. And if you are still unsure you can

homework and lip fillers go disastrously wrong.

simply ASK our experts!

58 JUICY CURE Our global advisory panel is supported by some of the

Can one survive a whole week

most experienced and influential medical and industry

on juice alone to cure a sugar

experts who are here to answer your questions. Unsure of a

addiction? We asked our Cover

treatment? ASK. Want to find the best practitioner? ASK

Star Chloe Jasmine just that.

We will be bringing you some really interesting stories,

COLUMNISTS

facts and features and sharing our thought on treatments and products that really work. We will be gate-crashing treatments and testing out products and sharing the results and the facts about aesthetics.

A special thanks to everyone who made this happen – you know who you are. Hope you enjoy.

18 THE RIGHT TIME FOR FILLERS

62 TOO FAT FOR THE GYM

Top Fashion and Beauty

What happens when you

expert Naomi Isted talks to us

make the decision to go from

about why she and Michelle

unfit carb junky to nutritionist,

Heaton have fillers in their 30’s.

triathlonaholic and personal trainer? We asked our expert

Lisajane Davies EDITOR IN CHIEF

52 I HAVE SEEN THE LIGHT

Zoey Hughes about her journey.

Skin Warrior and Celebrity

70 ASK THE EXPERT

Facialist Emma Bennett

We ask Dr Shirin Lakhani who

tests the latest ‘TRON’

exactly is coming into her clinic

treatments when she

and what are the most popular

whips out her LED masks.

treatments. #asktheexpert

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MEDIA PARTNER OF

44 FIGHTING WRINKLES WITH ANTIOXIDANTS

27 JOIN THE FIRM

Did you know that you can

what happens if you want

eat your way to stronger

to shave off a few inches?

skin and boosting your

Thermi to the rescue.

Summer holidays are on their way with project bikini, but

skincare really helps too.

50 THE SOUND OF BEAUTY

TREATMENTS AND REVIEWS

why ultrasound is a great

26 SCIENCE OF VOLUME

way to quickly and safely

Can a simple shampoo

get a lift with no needles

really change the look and

or downtime.

feel of your hair? Is there

Dr Sarah Tonks tell us

real science behind

56 KILLER HEELS

a shampoo? We asked

Ever had to walk home

our reader Lottie to

in bare feet because your

review the issue.

shoes were killing you?

There may be a solution.

55 FEEL GOOD FACIAL We sent our reviewer

67 BLUE RINSES AND BOOB JOBS

Stephanie Lewis over to

There is a staggering rise

to see Skin Warrior Emma

in the number of people

Bennett.

the Chelsea Harbour Club

over 60 investigating surgical and non-surgical procedures #whoknew

64 DERMAL FILLER TREATMENT Ever wondered what exactly

73 STRESSING

happens when you go for

You have simply got to

dermal filler treatments?

calm down and relax to

We gate-crashed Dr Vincent

keep looking younger

Wong’s clinic.

says Dr Tiina Meder.

SPOTLIGHT FEATURES

68 SPOT ON READER REVIEW

28 STAIRWAY TO BEAUTY

40 ARE DERMAL FILLERS REVERSIBLE?

20 THE EYES HAVE IT

Hannah suffered with adult

10 HYPE OR TRUTH

There is a proven step-by-step

Do you know how long

Restore radiance and

acne and we tried a new

Can anyone call themselves

approach to optimising your

the dermal fillers last, the

rejuvenate skin with the help

treatment. Did it work?

an expert in the cosmetic

aesthetic goals according to

different types and if they

of Radara, a game-changer

and aesthetic world?

Dr Sherina Balaratnam.

can be reversed? Dr Nestor

in skincare technology.

37 REVERSE THE SIGNS OF AGEING

COMPETITION Totally Aesthetic Magazine

tells us more.

We ask what regulation for patient safety there is

Our 40-something reader

24 FEMALE HAIR LOSS

has teamed up with

It is so much more common

some fabulous

We talk to celebrity

42 YOU’RE JUST NOT MY TYPE

than we realise and can be

brands to help you

17 OUT DAMN SPOT

Naturopathic Doctor Nigma

Everyone’s skin type is

so very stressful. We asked

stay stress free and in

Can you do anything

Talib about her new book

not equal so we ask why,

hairdresser Jodie Austin just

tip-top shape with over

about freckles and

and how to target ageing

and what to do with

how Viviscal Professional

£2,500 of prizes.

hyperpigmentation?

from within your gut.

combination skin.

helped her.

See pages 78-79

in the UK.

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HOW TO FIND THE RIGHT PRACTITIONER OR CLINIC

D O C T O RS

With the global explosion of demand for cosmetic procedures, more practitioners are popping up in every corner of the world, but how can you know who is really qualified? Wendy Lewis offers her advice for getting a little work done safely Choosing the right doctor or clinic involves many individual yet related

credible sources, like other medical specialists -such as gynaecologist, dentists, nurses,

considerations including what

sisters, psychologists, impartial industry

you can spend, how much time

experts and more. Your GP may seem

you can take for recovery, pain

like an obvious source, but not every

threshold, your acceptance of

GP knows who is the best for faces or

scars and side effects, and the

who does the most Botox. They may

inevitable fear factor.

There is never only one ‘best’

just recommend a colleague at their local hospital, who may or may not do much

A MATTER OF DEGREE Deciphering medical qualifications is a minefield, especially when the country of training often dictates the acronym that comes after the practitioner’s name.

Ch.M. Master of Surgery (M.S., M.Ch.) D.D.S. Doctor of Dental Surgery D.M.D. Doctor of Dental Medicine D.O. Doctor of Osteopathic Medicine

cosmetic work at all. In my experience, nurses,

F.A.A.D. Fellow American Academy of Dermatology

numerous highly competent practitioners who

registrars, surgeons in training and anaesthetists

F.A.C.S. Fellow American College of Surgeons

may be able to deliver an excellent result. But in

usually know who the best doctors are because

FDSRCS Fellow of Dental Surgery

this hugely competitive and crowded aesthetic

they have seen their work first-hand.

doctor for any procedure; rather there are

FRACS Fellow Royal Australasian College of Surgeons

Referrals from a friend, colleague or family

FRCP Fellow Royal College of Physicians

can market himself or herself as a ‘cosmetic

member who has had cosmetic work done are

FRCI Fellow Royal College of Surgeons of Ireland

practitioner’, advertise their services and perform

always welcome, if they are willing to share that

FRCS Fellow Royal College of Surgeons (MRCS)

them on consumers. There have been far too many

information. A personal recommendation from

FRCSED Fellow Royal College of Surgeons of Edinburgh

disastrous cases reported around the world of

someone you know who is a happy patient is

M.B. Ch.B. Bachelor of Medicine, Bachelor of Surgery

unlicensed individuals masquerading as cosmetic

the best endorsement any clinic can have. But

(M.B. B.S)

surgeons, and non-doctors operating in back alley

keep in mind that recovery and results will vary

M.D. Medical Doctor

clinics under the radar of authorities.

tremendously, and the best clinic for your sister-in-

market, practically anyone with minimal training

According to Foad Nahai, MD, FACS, Atlanta plastic surgeon and editor of the prestigious

law or hair stylist may not turn out to be ideal for you.

BAAPS council member Mr Ash Mosahebi MBBS

M.Sc. Master of Science N.D. Doctor of Naturopathic Medicine Ph.D. Doctor of Philosophy

Aesthetic Surgery Journal, “Physicians from many

FRCS MBA PhD FRCS (PLAST) sheds some light on

RGN Registered General Nurse (RSCN)

disciplines are performing aesthetic procedures and

the UK market: “Guidelines are changing for aesthetic

RCNNP Registered Nurse Practitioner

claiming to be experts. It is training, certification

practitioners, according to Health Education England

and experience that count in choosing the right

there are different training and education tiers

one. Did the practitioner’s speciality training include

depending on the procedure that is undertaken. For

the basic anatomy, surgical knowledge and skills

more invasive and certainly surgical procedures, my

to produce optimal results in a safe manner?

advice has always been to choose a BAAPS surgeon

Is the practitioner able to avoid and treat the

as they are highly vetted before becoming a member

complications of the procedures you seek?”

and are required to continue to demonstrate that they provide a high quality of work.”

Do your due diligence The quest of finding a good doctor can be a daunting task. Most people who are taking the first plunge into aesthetic medicine may not be

D OC T O RS

entirely sure where to start. We are bombarded with information from every direction on new treatments’ and advice from ‘celebrity’ doctors in the media. It is hard to decipher what is safe and sensible from what is purely hype and marketing.

For the newbie, it’s all about prioritising. You need to have a vague idea of what body part or area you want to tackle first. You can’t do it all in one go. Start with what bothers you most and focus on getting references and referrals from 7

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According to Edwin Williams, MD, FACS, President

to the clinic at certain intervals for top-ups to maintain

of the American Academy of Facial Plastic and

the results. It’s about building a relationship and not

Reconstructive Surgeons (AAFPRS), “The Internet is

just having a one-off experience.

loaded with a wealth of information about cosmetic

members of one or preferably several accredited

contradictory and is rarely policed by any official

official organisations of specialists - such as BAAPS,

source or governing body.”

BAPRAS, BAD, BACN and others in the UK, ASAPS,

Individual clinic websites and social media

ASPS, AAD, ASDS, AAFPRS and others in the USA,

platforms are usually the first place to go to learn

and ISAPS, IPRAS, EURAPS and others in Europe.

about practitioners’ training and affiliations, and

Awards and community recognition are also a

check out what they offer. Bulletin boards and

good sign that the practitioner takes pride in his

forums are not always a good source of rock-solid

professional accomplishments and strives for

recommendations. These are sometimes a breeding

excellence in patient care. You want to choose a

ground for anonymous comments from disgruntled

practitioner who is deeply committed to the field of

patients who may or may not even be real. In our

medical aesthetics and cosmetic surgery.

digital universe, clinic and doctor reviews do carry a lot of weight. A few less than 5-star reviews should

The Consultation

not necessarily deter you from going to any one

The consultation is your opportunity to make

practitioner. However, if the majority of reviews are

observations about the practitioner and the clinic,

not terribly favourable, or you notice a recurring

check out the other patients in the waiting room,

theme among the reviewers, it may be worth looking

and make a judgement about how professional the

elsewhere. Similarly, 100% positive glowing reviews

environment is. If the clinic is untidy, the atmosphere

may be a sign that some of them have been planted.

is disorganised and the staff seem disinterested in

Be wary of slick ads that promise painless quick-fix

taking care of patients, you can vote with your feet. You

techniques, hyped up names for procedures, fuzzy

should feel comfortable about asking questions on the

before and after images that look Photoshopped,

specifics of the best treatments for you that address

and the use of vague explanations about treatments

your key concerns. Dig deeper into the basics of the

that are hard to decipher. The old adage. If it sounds

procedure, side effects, recovery time and how these

too good to be true it probably is, resonates here. PR

apply to your case specifically. Understanding what

and media appearances on their own also offer no

the procedure you are considering can and cannot do,

guarantee of a practitioner’s qualifications’ nor are

as well as the limitations and alternatives, is critically

they an endorsement of skills.

important to avoid disappointment. For example, it

It is always advisable to see multiple practitioners before having a major procedure done (facelift, tummy tuck, hair transplants, etc), and at least two

D OC T O RS

Check that your shortlist of practitioners are active

procedures, as well as misinformation that can be

is unrealistic to expect long-lasting facelift-like results

WHAT MAKES A QUALIFIED PRACTITIONER? Specialises mainly in aesthetic procedures; doesn’t just dabble in Botox or the occasional hair removal Certification by relevant Medical Specialty Societies, Professional Organisations Privileges at fully accredited hospitals or clinics to perform a surgery you are considering Participates in continuing education in their specialty Academic affiliation, such as teaching hospital appointment, clinical instructor, trainer Works with licensed anaesthetists for surgical procedures Clinic is staffed by experienced healthcare personnel and professionals

from a single session with a skin-tightening device.

Your practitioner should be willing to fully explain

Published articles in their field

before having a minimally invasive treatment (fillers,

the potential risks of any procedure – this falls under

of expertise in journals

suture lift, laser resurfacing, etc). You should plan to

the realm of what is called ‘informed consent.’ The

have proper consultations with qualified medical

clinic staff should also clearly discuss what is involved,

professionals. The initial consultation may be with a nurse, patient

before, during and after the procedure and take a proper medical history.

coordinator or office manager; however, your evaluation should be with the actual practitioner who will be performing the procedure. For cosmetic surgical procedures, you will typically have one or two pre-operative visits and several postoperative visits to remove dressings, take stitches out

Even treatments as seemingly

“There is never only one ‘best’ doctor for any procedure; rather there are numerous highly competent practitioners who may be able to deliver an excellent result”

and monitor your progress. For non-surgical procedures, such as Botox

simple as a chemical peel

the same. Imaging can be a very helpful tool to

or hyaluronic acid filler

visualise how you may look after the procedure you

injection can have

are considering, especially the new 3D systems used

their share

in some clinics. The level of communication with

of complications.

the doctors, nurses and the clinic staff, as well as the

It is entirely

confidence they inspire, are vital to having a positive

reasonable to ask to see preand post-op photographs of other patients to learn what you can expect. A practitioner who cannot show you

any photos of his or her own patients should raise a red flag to you.

experience.

Undoubtedly, choosing the right practitioner or clinic for an aesthetic procedure is an important decision. Don’t make conclusions solely on the basis of convenience or cost; you get what you pay for.

There is no substitute for expertise, certification and skills, so make your selection after considerable research, confirmation from at least one other source, and your overall comfort level. If you have lingering doubts for whatever reason, put your treatment on

and IPLs, you may go in for a consultation and have

However, keep in mind that every patient is different

hold until you are sure. In all human relationships, the

the treatment done on the day, but will need to return

and there is no guarantee that your results will be

trust factor is paramount.

Wendy Lewis founded Wendy Lewis & Co Ltd Global Aesthetics Consultancy in 1997. The author of 11 books, in 2008, she founded Beautyinthebag.com

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HYPE OR TRUTH?

YOUR DOG’S VET CARE HAS MORE REGULATION THAN YOU DO The frightening lack of regulation in the UK means that only a minority of the general public are protected from self-appointed experts and unqualified practitioners, making unrealistic claims without recourse.

It may seem bizarre but even doctors in the UK are not allowed to perform procedures on animals unless it’s a very specialist procedure and even then a fully qualified vet has to be present. Yet anyone, medically qualified or not, in any corner salon or front room can start administrating potentially harmful medical procedures on your face with long-lasting side effects. We asked our expert advisor, Consultant Plastic Surgeon, Mr Ash Mosahebi his thoughts on the current lack of regulation in the UK.

M

r Mosahebi said, “I have just come back from a meeting in France

with other involved stakeholders HEE has set out recommendations that will

where I was an invited speaker representing the British Association

protect patients and raise the standard of delivery of non-surgical interventions.

Of Aesthetic Plastic Surgeons (BAAPS). In France, where people are

Complexity and potential risk of such interventions has been graded to different

considered beautiful, yet only qualified dermatologists and plastic surgeons

levels and appropriate complexity & requirements have been assigned to them.

Yet despite producing a comprehensive report, it lacks any teeth as they

can offer and perform cosmetic procedures.“

remain voluntary & represents good practice.

 So why is it not the case in the UK? Mr Mosahebi said, “You have probably heard about the PIP breast implant scandal where a French implant manufacturer had been marketing industrial-grade silicone as pure medical grade. And the subsequent enquiry by the NHS medical director at the time, Sir Bruce Keogh, highlighting the lax and unregulated cosmetic industry in UK. This industry covers everything from Botox and fillers to chemical peels, lasers and cosmetic surgery.” He further commented, "In fact, a person having a nonsurgical cosmetic intervention has no more protection and redress than someone buying a ballpoint pen or a toothbrush." He also highlighted

“A person having a non-surgical cosmetic intervention has no more protection and redress than someone buying a ballpoint pen or a toothbrush”

"that dermal fillers are a crisis waiting to happen."

I was part of the panel who helped create the new Health Education England’s mandate and one of his key recommendations had been that HEE’s mandate should include the development of appropriate accredited qualifications for providers of non-surgical interventions’ and it

 So there is still no regulation or protection for patients having treatments and procedures?

“The Government’s response has been simply to improve the open market, introduce the HEE voluntary requirements and reduce economic and restrictive practices. However, it is not all doom and gloom, the industry is slowly changing for the better. The General Medical Council (GMC) now requires that doctors (surgeons/ surgical companies) must avoid irresponsible enticements and manage their patients responsibly and look after their complications. But

this does only apply to surgical procedures and does not take steps to introduce mandatory regulations that protect patients.”

Do your homework and always visit a medically-qualified practitioner.

The consumer should always make themselves aware of the safety of their

should determine accreditation requirements for the various professional

practitioner and clinic at every opportunity before treatment.

groups. I have been on the expert reference group panel board and together

If in doubt get in touch with us ASK@totallyaesthetic.com

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BE #SUNSMART

Did you know that the SUN is the number 1 cause of ageing in the world? You need to take your sun protection seriously and we have picked some top pro products that will keep you looking young

EXUVIANCE SHEER DAILY PROTECTOR SPF50 ZO OSSENTIAL® DAILY POWER DEFENSE

This lightweight cream offers a broad

This high broad

HYALUAL SAFE SUN PROTECTION FACE & BODY CREAM SPF50

spectrum SPF 50 protection from photodamage

spectrum UVA / UVB

This protects the skin perfectly, is

as well as UVA/UVB protection.

sun protection factor

suitable for all skin types and is a

Retinol, enzymes and antioxidants help

The sunscreen contains antioxidants to provide

is highly innovative

light to touch cream that should be

repair damaged cells and protect against

triple anti-ageing protection. Lactobionic Acid

as it assists in providing

used on exposed face and body areas.

future damage. It encourages cellular

and Vitamin E. The purified Green Tea Extract

the skin with a peptide

Great for adults and children,

activity to aid in skin cell rejuvenation.

protects cell DNA and reduces cell breakdown,

complex in addition

it guards against harmful UVA/UVB

leaving skin looking healthier.

to UV protection.

rays with an SPF50 protection.

www.exuviance.co.uk

www.aspireface.com/phformula

www.hyalual.co.uk

ZO OCLIPSE® SUNSCREEN + PRIMER SPF 30

PHFORMULA UV PROTECT

Using titanium dioxide and zinc oxide-two physical sunscreens-this sunscreen provides nature’s best protectant, works to neutralise

HELIOCARE ORAL SUPPLEMENT CAPSULES

HELIOCARE SPF 50 XF GEL

full spectrum UV protection. Melanin, free radicals generated by sunlight. The

A food supplement with an exclusive

This is the lightest formula to date,

sunscreen reduces the appearance of skin

combination of Phytomolecules that

sinking rapidly into the skin and

imperfections and creates the perfect

together provide an antioxidant

leaving a smooth, undetectable

primer for make-up application.

activity against free-radicals

finish. Absorbs rapidly without

www.zo-skinhealth.co.uk

induced by ultraviolet radiations,

leaving a white cast.

particularly UVA.

www.heliocare.com

MEDIK8 DAY 360 This beauty winner has it all, as well as offering ultimate UVA + UVB protection, Medik8 Physical Sunscreen SPF30 cleverly

SKINCEUTICALS MINERAL MATTER UV DEFENSE SPF 30

works to soothe and calm the skin. The non-greasy

This mattifying 100% mineral sunscreen is formulated with titanium dioxide to provide

formula is super rich in

high broad spectrum UV protection. Enhanced with aerated silica technology, it is proven to

natural antioxidants and UV-

maintain a matte finish even in hot, humid conditions.

absorbing substances.

www.skinceuticals.co.uk

www.medik8.com

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WHAT’S HOT IN PHOTOBIOLOGY?

SUN DAMAGE & ANTI-AGEING Paul Banwell, Consultant Plastic Surgeon and Skin Specialist, tells us what is in the sunshine that you expose yourself to every day. It has long been known that excessive sun and ultraviolet radiation is bad for your skin. However, whilst public health campaigns have focused on the dangers of the sun in relation to skin cancer, did you know that the sun is responsible for 80% of premature ageing too? Plastic surgeons, dermatologists, cosmetic doctors and scientists now believe that understanding this photoageing effect is key to finding solutions for sun damage and ageing and accounts for the huge growth area in photobiology medicine.

 External factors

 Prevention is the key

Whilst good genes may help keep you looking young up to a point,

Minimising sun exposure and avoiding sunbeds altogether is the best

external factors are far more important. As cosmetic doctors and skin

approach to prevent premature ageing. In your quest to minimise the

experts, we try to educate our patients about living a healthy lifestyle

harmful effects of free radicals, use SPF sun creams effective against both

as a poor diet, sugary foods, lack of sleep, lack of exercise, stress, alcohol

UV-A and UV-B on a daily basis. It sounds boring but sun cream really is

and smoking all play a part in the ageing process. However, the effects of

the most effective anti-ageing treatment out there. If you wish to be extra

ultraviolet radiation trump all these other factors.

clever in your desire to minimise wrinkles and avoid leathery skin when

 What causes sun damage?

older, use a high quality cosmeceutical skin range incorporating an antioxidant serum daily – look for combinations of Vitamins A, C & E – examples

The principal contributor to sun damage (otherwise known as photodamage)

include Rationale, iS Clinical, Swiss Code, Neostrata, Obagi, Image MD &

within the skin occurs as a result of exposure to ultraviolet radiation in all

Medik8 to name but a few.

its forms. This bombards the skin with tiny molecules called free radicals (examples include superoxides) and sets off a complex chain reaction

 The good news

resulting in direct damage to key components within the skin such as

The good news is that there are many other treatments out there which can

collagen and elastin and a reduction in the formation of these components.

also help improve your skin health and minimise sun damage. Chemical

Furthermore, the enzymes aiding the natural repair processes within the skin

peels and the latest enzyme re-activators help rebalance pH and optimise

are also affected and are dampened down. These changes result in wrinkle

enzymatic activity, which are essential for exfoliation and improved clarity.

formation (rhytids), dryness, patches of pigmentation, a dull complexion and

Treatments such as medical microdermabrasion medical needling also help

ultimately the formation of skin cancers in the case of excessive sun exposure.

stimulate collagen and speed up the skin cycle.

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SUNPROTECTION

EVERYTHING YOU NEED TO KNOW Physical versus chemical sunscreens

What does SPF mean?

the main source of ultraviolet radiation

SPF stands for Sun Protection Factor. It

When should I apply sunscreen?

in our environment. The sun emits

Physical sunscreens work by sitting

is a measure of UVB rays only and refers

Sun protection should always

two different types of ultraviolet rays

on top of the skin and deflecting or

to the theoretical amount of time that

be the last thing you apply

(UVA & UVB) that are harmful and

scattering UV rays away from the

you can be in the sun without getting

to the skin. Any moisturiser or

damaging to the skin. Exposure to

skin. They contain ingredients like

sunburned. For example, an SPF 15

lotion applied to the skin after

ultraviolet radiation is a major risk

zinc oxide or titanium oxide or a

will allow you to be in the sun 15

sunscreen will dilute its protection.

factor for most skin cancers and is

combination of both. These are good

times longer than if you were without

You can of course layer your

the primary cause of skin ageing.

(esp. zinc oxide) for anyone with acne-

protection. SPF 15 protects against

sunscreen and use a pressed

UVA rays can penetrate through

prone or sensitive skin e.g. eczema

93% of UVB rays, whilst an SPF 30 will

make-up powder SPF afterwards.

clouds, windows and glass. These rays

or rosacea and are recommended

protect against 97% of UVB rays and an

No sunscreen can be entirely

penetrate into the skin’s dermis (the

for use in children. Modern physical

SPF 50 protects against 98%.

waterproof so for best protection

deeper layer) and harm the skin by

sunscreens no longer feel heavy, thick

causing ageing and photodamage.

and white on the skin.

The sun is 4.5 billion years old and is

Most sun beds have large amounts

How much sunscreen should I wear?

reapply your sunscreen after water exposure, heavy sweating or after 2 hours.

of UVA which is why sunbeams users

Chemical sunscreens contain

Most of us don’t wear enough sun

get accelerated ageing.UVB rays are

organic compounds like oxybenzone,

protection to get the full benefit of the

more potent than UVA rays as they

avobenzone and octinoxate that

product. The standard rule is that you

can directly damage DNA. These rays

create a chemical reaction that

need to use an ounce (or a shot glass

Is a moisturiser that has SPF in it as effective as a sunscreen?

are the main rays that cause sunburn.

changes the UV rays into heat which

full) of sunscreen if you want all-over

A moisturising SPF is a

UVB rays are thought to cause most

then gets released by the skin.

coverage. For the face you need on

fantastic investment as

skin cancers. Most modern day

Chemical sunscreens often feel nicer

average the size of a 10 pence coin

it gives sun protection

sunscreens are broad spectrum which

on the skin and often have the added

(product depending) spread evenly over

as well as providing

means that they protect from both

benefit of peptides, antioxidants and

the face. You should not rely on make-up

hydration for the skin.

UVA and UVB rays. Current advice is

hydrators in their formulation so they

powders with SPF or foundation with

Find yourself a moisturising

that sun protection should be worn

are nicer for daily use but they can

SPF alone as your sun protection as most

SPF that applies nicely on to

throughout the year for anti-ageing

sting the eyes and are more likely to

of us don’t apply these in liberal enough

the skin and it will be your best

and for protection against skin cancer.

cause allergic reactions.

quantities to make them protective.

anti-aging investment ever.

Dr Johanna Ward MBBS DRCOG MRCGP Dip Clin Derm Dr Johanna Ward is an award winning Skin Doctor, GP and presenter. She runs two private skin and laser clinics and is regarded as one of the UK’s leading skincare experts.

Do you have a question for Dr Johanna Ward? Email her at ASK@totallyaesthetic.com

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SKIN CANCER

THE DARKER SIDE OF THE SUN Paul Banwell tells us more about the most common cancer in the world, skin cancer Q: Paul tells us about skin cancer

Q: How can we reduce the risk of developing skin cancer?

Skin cancer is now the most common cancer in the world. There are

Australia has dramatically decreased rates of skin cancer with the

essentially two different types: non-melanoma skin cancer (NMSC) and

introduction of sun protection programmes such as the ‘Slip, Slop, Slap

melanoma. The latter is less common, but has the highest death rate and

& Wrap!’ campaign. Sun awareness is vital and really does have an effect.

it can affect younger people. The lifetime risk of developing skin cancer in

Avoid the midday sun (12-3pm), apply liberal amounts of sunscreen with

Australia is one in three, compared to about one in 40 in the UK. However,

a Sun Protection Factor (SPF) of 30+ and wear a hat, loose clothes (tightly

whilst the incidence of skin cancer in the UK is significantly less than

woven) and sunglasses. The face and neck are the areas most commonly

Australia, our death rates are higher and the number of people who have

affected by sun damage, so be sure to apply sunscreen to lips, ears, around

skin cancer in this country is expected to dramatically increase in the next

eyes, neck and scalp if your hair is thinning.

decade. Raising awareness is therefore vital and early prevention and

A history of sunburn when young puts people at an increased risk of

diagnosis is the key to successful treatment. Getting a tan is no longer cool

developing skin cancer later in life. Over fifty per cent of total lifetime sunlight

and the attitude, “it won’t happen to me” just doesn’t cut it anymore.

exposure occurs in childhood, so be particularly careful with children. If

For instance, in the south-east we have seen an alarming trend in skin

they are exposed to the sun, dress them in sun-suits or long sleeves, hats

cancers affecting the younger age groups. Changing behaviour and

and sunglasses and apply a liberal amount of high SPF sunscreen regularly.

educating parents and their children is therefore vital.

Schools are becoming increasingly aware of the darker side of the sun too

Q: What should we look out for?

Look out for new or existing moles that are darkly pigmented, change in

and are introducing stricter rules and regulations in the summer months.

The dangers of sunbeds have also been under the media spotlight recently and there is no doubt they pose a serious health risk.

colour and/or size, have an irregular outline and itch, bleed or crust. If you are unsure or concerned that you may have one or more of these symptoms, visit

If you are worried about any of the topics that Paul Banwell has discussed

your GP. He or she will examine your skin and would be able to refer you to a

here please do contact your GP. If you would like to ask Paul Banwell a

plastic surgeon or dermatologist with a specialist interest in skin cancer.

question simply email him at ASK@totallyaesthetic.com today.

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What is Hyperpigmentation?

Brown, red or pink, small or large, clustered or diffused, hyperpigmentation is a darkening of the skin due to higher than normal levels of melanin. Any part of the skin that is darker than the rest is hyperpigmented, no matter where it occurs. The most important thing to do is wear sunscreen - even if you don’t see discoloration on your skin, you should protect it from the sun with a professional SPF to lessen your chances in the future.

Types of Discoloration and How to Treat Them  MELASMA Light to medium brown in colour, this pigmentation occurs on the cheeks, sides of the face, upper part of the nose, forehead and above the lip. Melasma can be treated with: hydroquinone and Retin-A; salicylic, lactic or glycolic acid peels; Intense Pulsed Light (IPL) plus vitamin C; or Cosmelan. (Melasma is hard to treat because of its potential to reoccur.)

Try www.obagi.uk.com  SUNSPOTS (AKA AGE OR LIVER SPOTS) Light to dark brown in colour, sunspots can appear on the face, chest and hands; and look like small, flat, dark spots. As their name

OUT DAMN SPOT!

As aggravating as hyperpigmentation can be, understanding why it’s happening and how you can stop it (yes, it can be done) is rule No.1 on the path to clear, even skin. TA Mag investigates different types of skin discoloration and how to stop them

indicates, they are caused by the sun and can be treated with Retinol and IPL or fractional laser resurfacing.

Try www.zo-skinhealth.co.uk  POST-INFLAMMATORY HYPERPIGMENTATION (PIH) Pink, red or brown in colour, PIH can show up anywhere on the face. It appears as flat spots and is caused by inflammatory acne. PIH can be treated with light salicylic acid chemical peels or red light and blue light treatments (if there is active acne).

Try www.dermaluxled.com  FRECKLES Caused by the sun, freckles are light to dark brown or even red or black in colour. They occur on the face, chest and arms in the form of small, concentrated spots. For treatment try Fraxel or an Nd:YAG laser.

Do you have a question about pigmentation and how to treat it?

Ask one of our expert Dermatologists today ASK@totallyaesthetic.com

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COLUMNIST

IS THERE A

RIGHT TIME FOR FILLERS? We see images all over the media of young celebrities having fillers in their lips, Botox in their late teens and even cheek implants if they’re super skinny, to plump up their faces. But is it too young?

BY NAOMI ISTED

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P

ersonally I think fillers and Botox

done with make-up tricks and a great skincare

are a wonderful thing to aid a

regime. But as we age naturally so do our looks.

woman with her overall confidence.

I have chosen to have fillers and Botox as a

I don’t personally care what

long-term preventative measure for cosmetic

anyone else thinks, from my

surgery. I started in my late 20’s and am now

experience if I look good on the outside I feel

late 30’s. After having my son a year ago all my

happy on the inside. Maybe I’m vain, maybe too

Botox and fillers had completely dissolved and

many years in front of a camera being scrutinised

18months later I looked a haggard version of my

by bright lights?

previous healthy self. So just as Michelle Heaton

But I don’t see why a woman should feel

recently had a 30’s mummy makeover so did I,

embarrassed about making the most of herself

and when I look in the mirror I now look fresh

and creating the best version of herself she can.

and rejuvenated.

In our teens and early 20’s I believe this can be

I met with Michelle Heaton to discuss this 30’s

After having my son a year ago all my Botox and fillers had completely dissolved and 18months later I looked a haggard version of my previous healthy self post-baby lull and we both agreed the difference it can make to your confidence looking back in the mirror to see a rejuvenated version of you.

Michelle had been treated by Dr Wong on Harley Street and I have been treated by Dr Shirin Lakhani at her clinic in Kent. Why do I mention our doctors? Because having a talented aesthetic doctor and a great quality product makes the difference from you going from looking tired and worn out to rejuvenated and natural! Yes natural is the key, even with fillers. When fillers and Botox are not done well they can look terrible and have awful consequences like my friend Abi Clarke (former Towie personality) had to contend with. So the moral to my first column is don’t feel bad about becoming the best version of you but make sure you go to a respected doctor that uses high quality brands like Juvederm, Intraline and Restylane. Then make sure you ask to see their before and after patient pictures, and if you see natural-looking results then go for it. You can check out my interview with Michelle on our YouTube page. Here’s my before and after pics after being treated by Dr Shirin Lakhani. In the next edition I will be bringing you some more fab treatment tips and reviews.

Naomi Isted, Fashion and Beauty TV Presenter and Columnist Editor UltimateLifestylelist.com Follow her on Twitter/Snapchat/Instagram and Facebook @naomikisted

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This treatment is easy to use and colleagues have commented that I look fresh and rested. The area around my eyes feels softer and smoother. I don’t feel I need to wear as much make-up

A HIT ON HARLEY STREET!

Dr Tapan Patel, Medical Director of the PHI

THE EYES HAVE IT Restore radiance and rejuvenate skin with the help of Radara, a game changer in skincare technology

Get Your Glow On

A Micro-Revolution in Skincare

Our eyes can often be our biggest ‘tell’ when

Simple to use, Radara consists of two

it comes to ageing, making us appear tired or

elements. The first are the unique, flexible

older than our years. Over time, our skin loses

micro-channelling patches which are placed

its natural elasticity, and when combined with

around the eye area to create thousands of

sun damage, dehydration or smoking, lines

tiny ‘channels’ through the skin. These tiny

can become more noticeable around the eye

channels allow Radara’s high purity hyaluronic

area leading to the classic ‘crow’s feet’. Fresh,

acid serum to penetrate deeply into the skin,

glowing skin can help us feel more confident,

delivering the effective results we need, with-

but tackling those tricky crow’s feet and

out needles, pain or downtime.

Clinic in Harley Street, says: “I am so excited about Radara – you can see the results as early as two weeks, and the benefits actually continue to develop for up to four weeks after you stop using it! Radara is so quick and easy: just a five-minute application as part of your normal night-time skincare routine. For the best results, I recommend using Radara every two to three months.”

achieving that elusive refreshed, bright-eyed look can be a struggle!

www.radara.co.uk

With the help of Radara, you can reduce the

RESTORING YOUR GLOW

appearance of fine ageing lines easily, quickly and importantly – without pain. Considered

Radara is a one-month treatment which

a game changer, Radara uses micro-channel-

effectively softens lines and wrinkles around

ling technology to restore and replenish the

the eyes, restoring radiance and delivering

skin’s natural elasticity, hydration and support

beautiful, subtle results. Tests showed around

from within. Coming from the Greek word for

a 35% reduction in crow’s feet after just four

‘beauty’ (adara), Radara offers an innovative,

weeks. With no pain, needles or recovery

painless alternative to more invasive

time, Radara is applied in the comfort of your

treatments, such as cosmetic injections.

own home as part of your normal skincare routine. So, while we can’t necessarily stop the clock, we can tend to the effects ageing has on the skin – and who

The skin around the eyes looks better. My lines don’t look as harsh as before.

I really love this product.

It’s easy and quick to use. My skin feels tighter immediately after use

can argue with that?

For more information about Radara, visit www.radara.co.uk .

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01/07/2016 12:28

FROWN LINES

GLABELLA

CROW’S FEET TEAR TROUGH

CHEEKS

NASAL LABIAL FOLDS PHILTRUM VERMILLION BORDER LIP COMMISURE MARIONETTE LINES

MEDICAL TERMS USED FOR YOUR FACE #SmartGuide

MENTOLABIAL

DECOLLATAGE

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HAIR RESTORATION

SKINCARE LASER RESURFACING TREATMENTS

BOTOX

DERMAL FILLERS

DERMAL FILLERS

CHEMICAL PEELS

TREATMENT OPTIONS BY AREA

THREAD LIFT

DERMAL FILLERS

BOTOX TO MASSETERS LASER HAIR REMOVAL

#SmartGuide

TEETH WHITENING

SKIN TIGHTENING

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FEMALE HAIR LOSS FOCUS SPONSORED BY VIVISCAL PROFESSIONAL

Meet Jodie Austin, a young woman who suffered with hair thinning and hair loss after recovering from glandular fever and a very stressful month of her life. She tells her story here for us

I

greatest support and and care.

t was quite devastating to

were so thin that my scalp was

it wasn't normal and having been

wake up each morning and

very visible. This was back in

dealt with in this uncaring way,

A few years passed and my hair

see my pillow covered in hair

2009. I went to the doctors but

it became a personal mission of

grew back a little but was not the

and every time I ran my fingers

they didn’t have any real expert

mine to make sure that anyone

same full healthy head it once was.

through my hair, clumps were

knowledge regarding female hair

who sat in my hairdressing

I was relieved just to have a decent

coming out. Eventually my

loss and they just shrugged it off

chair with a hair thinning or hair

head of hair back. My mission to be

hairline and the sides of my hair

as normal. As a hairstylist I knew

loss issue was treated with the

able to help advise any client that

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Prices start from £20

TOP 10 CAUSES OF FEMALE HAIR LOSS 1. Stress (Telogen Effluvium) 2. Giving birth (Post-partum hair loss) 3. Hair dye (causing hair breakage) 4. Menopause (hormone driven) 5. Hair styling and extensions (Traction Alopecia) 6. Depression (Telogen Effluvium) 7. Female pattern baldness (hormone driven) 8. Old age 9. Dieting (Telogen Effluvium) 10. Thyroid problems

came to me in distress continued

MBE post about Viviscal on their

to getting healthy hair. Now all

in front of the mirror to do my

and so I kept researching any

social medi, I was intrigued to

that was left was to try it!

make-up. I was shocked to see lots

hair products that promoted

know more. Being my sceptic self, I scrutinised the

healthy hair growth

Excited to begin, I received my

of small baby hairs all around my

three-month supply and took two

hairline! I’d never had baby hair like

and read up

website, learning

supplements a day. I couldn’t wait

it and knew it was new hair –Viviscal

on any new

what it was,

to see if they worked and I kept a

hair! Thrilled, I jumped around the

how it worked

photo and video diary. After all,

house showing everyone.

and the story

if it worked then brilliant! If not,

behind the

then my diary would show that it

taking the tablets and the new

product.

wasn’t worth buying.

hair got longer, my hairline got

products brought on to the market.

Nothing really met up to my needs and

I’d never had baby hair like it and knew it was new hair Viviscal hair!

expectations, that

I was impressed,

A month and a half into the

Delighted with the results, I kept

softer and today my hair is the

Viviscal Professional Programme,

longest, healthiest and fullest it

especially

I wrapped my hair into a towel

has been since my illness back

by the way it

turban after washing it and sat

in 2009.

claimed to feed For more information and to find your nearest stockist

is until I heard about

and supported the hair

Viviscal Professional.

growth cycle – something none

please visit www.viviscalprofessional.co.uk

of the other products did and

email enquiries@viviscalprofessional.com

something I was sure was the key

or call 0207 936 9871.

Seeing respected industry professionals like Errol Douglas

BEFORE

AFTER

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THE SCIENCE OF VOLUME

Lotty Mirren, age 43 with fine, limp, bleached hair

M

which has been an added bonus! I also

purchase the range following this

noticed that my hair maintained its

trial. I have even had comments from

– shampoo, conditioner, scalp tonic,

style for a couple of days without going

people who know me asking if I have

with a ton of curls, and as I got older

treatment masque and volumising

flat and fuzzy. This has been great as

had my hair done differently and

and discovered bleach and hair

foam – all contain an ingredient

I don’t have to wash it so often which

saying how nice it looks. Cost wise

straighteners it became very fine and

derived from Swiss apple that

will no doubt also help to improve the

it is less than what I was paying for

flat, neither being ideal, meaning

promotes longevity. This ingredient

long-term condition.

products from my hairdresser, and

I have spent more money on hair

– plant stem cells – works deep in the

products than some people would

hair follicle to treat the root cause of

Science range for the past 8 weeks

got the very best version of my hair

on a two-week holiday abroad!

ageing hair from within. They have

and I have noticed a marked

and that’s actually pretty good!

So when I was asked to trial the

even performed their own clinical

improvement in both the volume

Salon Science range of products for

trials to prove that it works on the

and condition of my hair, to such

Available from www.boots.com

anti-ageing and restored volume I

cells within the hair responsible for

an extent that I will continue to

with prices starting at £12.00.

was doubtful as to how they would

retention, enabling hair to last longer

work on my lifeless, fine, dry hair.

and grow stronger.

y hair has always been the

hair like we do our faces?

bane of my life, as a child it

The range consists of 5 products

was wild and out of control

I have tried volumising ranges in

What I noticed from the very first

the past and been left with sticky,

time I used the range was the lack of

impossible to style hair that I ended

stickiness and the hydration it gave.

up having to wash again as the

Rather than weighing my hair down

texture felt like I had glue in it. So let’s

or glueing it up, it felt very light and

give this new range a go as it seems

bouncy with real shine to it. It was easy

to have the science behind it and

to comb through and blow dry and

may not be just pretty packaging.

had masses of body. I was able to run

I liked the idea that it is created for

my hands through it without it feeling

ageing hair as now I’m a woman in

in any way sticky. In fact it was actually

her 40’s I have noticed my hair, like

quicker to blow dry and I would say

my skin, has changed in the past few

that using the Salon Science range has

years, so why wouldn’t we want to

improved the manageability greatly,

use products specifically for ageing

this has freed up time in the morning

I have been using the Salon

with the Salon Science range I have

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STAIRWAY TO YOUTH The treatment ladder approach to optimise your TOTAL AESTHETIC goals.

Cosmetic Doctor, Miss Sherina Balaratnam takes us step by step along the journey ‘too far’ face but in reality this is a far cry from the truth.

T

Surgeons (BAAPS), 2015, ‘tweaked, not tucked’ appears to have

Contemporary facial aesthetics refers to the harmonious

become the new aesthetic ideal with patients seeking more

blend of advanced medical grade skincare and FDA-approved

subtle, understated cosmetic procedures with minimal downtime.

technology and injectables, delivered in a customised fashion to

The aim is for a more refreshed look rather than looking ‘done’.

he term ‘facial aesthetics’ may conjure up images of the

ensure safe and effective results with little or no downtime.

Whether you’re concerned about a sagging jawline, loss of volume in your face or a change in skin elasticity, there’s a treatment of choice that can be tailored to your needs to create beautiful, elegant and natural-looking results.

According to the British Association of Aesthetic Plastic

At S-Thetics, we specialise in a range of advanced non-surgical treatments which all work synergistically, in the form of a ‘treatment ladder’ approach to optimise your aesthetic goals.

Here are 8 steps within our non-surgical treatment ladder to guide you through your aesthetics journey:

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1

RESEARCH YOUR DOCTOR

Finding a qualified practitioner

is vital to ensuring a safe treatment.

5

SKIN RESURFACING This works by removing the top

layers of the skin using either topical

Knowledge of anatomy and

formulations or energy-based

technical delivery is crucial but

devices such as fractionated lasers

most important is your actual

and radiofrequency. The superficial

consultation, facial assessment and

trauma created to the epidermis

an agreed treatment plan that you

allows new skin to be formed

can understand. You shouldn’t feel

resulting in an overall skin textural

under pressure to make a decision

improvement.

on the spot. Practitioners should always give patients an opportunity for a ‘cooling-off’ period.

6

FACIAL INJECTABLES Hyaluronic Acid (HA) is the most

commonly used facial filler used by

2

most practitioners. Being temporary,

SKIN IMAGING AND SKIN ANALYSIS

it will naturally dissipate with time so as your face changes with time, this

A VISIA skin analysis gives you a

will too. HA is a naturally occurring

deeper understanding of your

sugar molecule with unique water-

existing skin health. Using this

loving properties found in the

we can tailor a skin care program

dermal layers of the skin providing

to your needs, and re-evaluate

moisture and hydration. Depending

and adjust your treatment plan

on the type of HA filler used, results

accordingly. Your lifestyle will also be

can last up to a year

discussed, as this plays a significant part in your overall skin ageing.

3

COSMECEUTICALS AND SKIN CONDITIONING

7

AFTERCARE SUPPORT Prior to treatment, ensure you

have access to aftercare support.

This will allow you a more relaxed

A personalised, precise and regularly

treatment journey, with your

reviewed skincare plan adapted to

practitioner on hand to address any

your individual skin requirements

queries or issues that you may have.

forms the basis for good skin health.

We will always contact you after your

Invest in your skin health just as you

treatment to ensure all is well and to

do your body’s health. Collagen

answer any queries. Most of all, we

forms the building block of our skin

want you to enjoy your results.

and we lose 1% of this per year.

Medical grade facial treatments that improve the texture, tone and

8

MAINTAIN YOUR RESULTS, AND KEEP THEM OPTIMISED

Sherina Balaratnam

Now that you’re on your way to

Sherina Balaratnam is a surgeon with

achieving your ideal aesthetic

a background in plastic surgery who

goals, review your skincare and

has devoted the last seven years of her

SKIN TIGHTENING

skin treatments regularly with your

medical career to specialising in the

Energy-based devices such as

aesthetic team. Seasons change so

latest non-surgical cosmetic treatment

radiofrequency and laser treatments

why shouldn’t these? Winter skin

innovations. Her highly personalised

have significantly improved over

deserves more hydration and don’t

and subtle approach to facial

the years. Delivered deep into the

forget your SPF all year round!

rejuvenation has earned her a place

colour of your skin will enable other treatments to perform better.

4

as one of the UK’s leading non-surgical

dermal layers of the skin, these treatments harness the power of our

We would like to invite all TOTALLY

cosmetic specialists.

individual wound healing responses

AESTHETIC magazine readers to

Do you have a question for

to stimulate and regenerate more

have a complimentary VISIA skin

Sherina Balaratnam? Email her

collagen-producing cells. Over time,

analysis and consultation with Miss

at ASK@totallyaesthetic.com or

as these mature, skin contracts and

Balaratnam. Please quote ‘TOTALLY

to visit her clinic simply fill in

tightens to produce smoother and

AESTHETIC MAGAZINE’ when making

our online patient enquiry form

firmer looking skin.

your appointment.

www.totallyaesthetic.com/enquiry

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JOIN THE FIRM It’s officially that time of the year. Summer holidays are looming and Project Bikini is well underway. But there’s just one problem…your skin doesn’t fit you any more

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B

lame it on depleted collagen levels and

to stimulate collagen production. Tighter skin will be

energy to gently heat tissue to the desired areas –

natural ageing, but around your early 30’s

noticed during the first few weeks and improvements

external (labia/vulva) and/or internal (vaginal) – via

and 40’s you’ll notice changes in the texture

continue throughout the following months

a specially designed disposable wand applicator,

of your skin. What was once firm and tight may

“Thermi really is a revolution in skin tightening –

now look thin and crepey, causing sagging and

the precise heat technology is FDA-approved and

drooping. And although everyone’s skin will age

highly effective,” says Dr. Amanda Wong-Powell,

differently due to genetics and bone structure, a

cosmetic doctor and surgeon. “The beauty is in

painless and highly effective – meaning women

poor diet, smoking, not protecting skin from the

the flexibility – whether my patients need body

can feel a difference from their very first treatment”

sun and a lack of exercise will also take their toll

rejuvenation to address sagging arms or tummy

says Mr Mohammad Masood, Consultant

on the tone and elasticity of your skin.

skin, or if they just want to tighten up the jawline

Gynaecologist. “Whether women are suffering

for a more lifted appearance - by using Thermi

from accidental bladder leaks or reduced sexual

has always been tricky. All the sit-ups in the

I can help them achieve fantastic, long-lasting

sensation, they no longer have to ‘put up’ with

world can’t help saggy skin on the stomach and

results that will really boost their self-esteem and

feeling unhappy with their intimate areas – this

forgoing lattes and almond croissants won’t help

confidence, and for me that’s what it’s all about!”

technology gives them a fast, effective and long-

Up to now tightening the skin, sans scalpel,

tighten your thighs. What will help, however, is

restoring the appearance of the labia and tightness to the vaginal canal.

“ThermiVa really is a revolution: it is quick,

lasting solution. There’s no downtime so you can

a revolutionary new treatment called Thermi,

Ageless perfection with ThermiVa

the latest non-surgical radio frequency skin-

All women experience some degree of laxity in the

tightening device, – safe for all skin types – with

skin or tissues ,and as we get older, the onset of the

Both revolutionary procedures, Thermi and

little or no downtime.

menopause, along with the loss of oestrogen can also

ThermiVa, are available at LINIA Clinic. “At

leave its mark on the vagina. In some case, the loss of

LINIA, we’re very proud to be at the forefront

neck, arms, stomach or thighs, the single session

tone can also lead to discomfort during sex as well

of launching Thermi in the UK” says Dr Simon

procedure takes less than an hour and delivers

as making women self-conscious about their bodies.

Zokaie, Medical Director of the LINIA Skin Clinic,

controlled energy under the skin, instead of

ThermiVa is the latest breakthrough treatment for

Harley Street. “We will be the UK’s Centre of

topically, to firm and tighten skin.

vaginal rejuvenation and the perfect solution to help

Excellence for this new technology, responsible

women regain and restore their confidence. The non-

for delivering the highest quality training for

surgical procedure uses controlled radiofrequency

doctors wishing to use Thermi in their clinics.”

Perfect for anyone who has lax skin on their

Using local anaesthetic, a small probe is inserted under the skin which heats up the tissue

just get straight back to enjoying your life!”

ThermiVa really is a revolution: it is quick, painless and highly effective – meaning women can feel a difference from their very first treatment

To find out more and to find your local provider see www.thermirf.uk

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BACK TO BOTOX Much as Smirnoff is to Vodka, Botox is a brand name for Botulinum Toxin Type A or anti-wrinkle injections, but not many people know this. We are going right back to basics with Botox to dispel the myths and fables about your crow’s feet. We asked Cosmetic Doctor Askari Townshend for his thoughts

Does skincare make the effects of Botox last for longer?

No, but a professional skincare regime suited to your skin type will maintain your skin

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What is Botox® and how does it work?

What are the different types of botulinum toxin?

Does treatment hurt?

Botox® is botulinum toxin, a protein made by Clostridium botulinum bacteria. Placed in the

Many use the name Botox®/Vistabel®

are very small and fine, nothing like going to

rights areas it weakens muscles that crease and

for all botulinum toxins but this is

the doctors and having a jab or blood test. My

fold the skin, particularly in the upper face that

actually a brand name (think of vacuum

patients score it at 1 or 2 out of 10.

create crow’s feet, number 11 frown lines between

cleaner vs Hoover). There are two other

the eyebrows and horizontal lines across the

brands licenced for use in the

forehead. The relaxing of these muscles gives a

UK – Dysport®/Azzalure® and Xeomin®/

What will I look like immediately afterwards?

smoother, softer appearance and protects these

Bocouture®. They are all safe,

You will have 3-10 small bumps (like insect bites) in

areas from getting lines as quickly and severely.

they all work but can give slightly

the treated areas but these should only last around

See our face map on page 22.

different results. It’s worth asking

15minutes – many clients have treatment in their

which you’re getting – if you’re

lunch break. There is a small risk of bruising but even

paying for Coke, you don’t expect

if this does occur, in the right hands, it should be very

to drink Pepsi.

small (a few millimetres) and coverable with mak-up.

Can botulinum toxin plump my lips and deep lines?

Does it work straight away?

a toxin, cosmetic uses of botulinum toxin use tiny amounts, many times less than would be

No. Botulinum toxin can improve lines

and up to 7-10 days for the full results. Many

required to cause you any harm. Have a G&T

caused by muscle movement (dynamic lines).

practitioners offer a review at this time in case

tonight and you’ll have no problems but drink 5

Plumping and filling can be done with

any further tweaks are necessary. This is an

bottles and there’ll be trouble!

dermal filler injections.

important part of the treatment process and

Is botulinum toxin dangerous?

No! First purified in the 1920’s, botulinum toxin has been used in medicine since the 1960’s and so we have a lot of experience with it. Although

Although an injectable treatment, the needles

No, it takes 2-3 days to start to notice changes

should be included in the price you pay.

How long does it last?

The effects slowly diminish over a 3 to 4 month period, after which time your muscles will have regained all their strength. Some will get longer-lasting results but this isn’t predictable.

Will I look worse once it’s worn off?

No, during the time your muscles have not been creasing up the overlying skin, your skn will have had a chance to recuperate and will look better, not worse. Think about a leather jacket that you wear every day and is getting creased – hang it up for a few weeks and the creases will be improved.

Where should I look for a good practitioner?

Only those able to prescribe medicines (e.g. doctors and some nurses) or those being supervised by a prescriber are allowed to offer treatment. Even then, a medical professional may only have had a single day’s training yet be in control of your facial expressions for months. Do your research and look for someone with good experience – ask how long they’ve been treating and how many they’ve done.

A famous plastic surgeon or dermatologist may not necessarily be an expert in botulinum toxin treatment. Don’t get lured by heavily discounted treatments or places where the practitioner only visits once in a blue moon.

Do you have a question for Askari Townshend?

Email him at ASK@Totallyaesthetic.com or to find your nearest clinic simply fill in our patient enquiry form online at www.totallyaesthetic.com/enquiry

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I have treated literally thousands of patients for digest-ageing and I am confident that the beauty and health worlds have missed something

REVERSE THE SIGNS OF AGEING How many times have you pooped today? Once, twice, not at all? This is the first question that celebrity Naturopathic Doctor and all round skin and body superstar Dr Nigma Talib asks her patients, including Sienna Miller…

H

ere is an extract from her bestselling book

Miller and Penelope Cruz ,to name just a few. We

Medical Esthetician, and I’ve been helping

Reverse the Signs of Ageing:

wonder if she asked them this very question?

patients with their health and beauty issues

How many times have you pooped

Dr Nigma says, “I don’t believe that tackling

for over 14 years in my clinics across the globe.

today? Once, twice, not at all. What ever your

ageing or getting perfect skin is related solely to

During that time I’ve treated thousands of

answer, I bet it wasn’t the first question you were

what you put on the outside of your body.

patients that all have one thing in common: they

expecting to be asked when opening a book

It is also about what you put inside your body,

now look and feel younger (and healthier) than

about reversing ageing. But this is no ordinary

as deep down inside the gut is where real

they would have done if they’d never come to

beauty book. This book has been written by

ageing begins.”

see me. And by the end of this book, I’m hoping

naturopathic doctor to Charlotte Tilbury, Sienna

I’m Dr Nigma Talib, Naturopathic Doctor and

that’s what’s going to happen to you too.

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CHARLOTTE TILBURY

PENELOPE CRUZ

SIENNA MILLER

ANTI-AGEING FROM THE INSIDE

expected or they were developing a noticeable

that all of the evidence was pointing to one

Our story begins when I started my first practice

increase in pigmentation.

thing behind the premature ageing – and many

in Vancouver back in 2001. I am a licensed

Not only was I helping my patients achieve

of the other health and skin issues my clients

Naturopathic Doctor (ND). This means I am

optimum wellness, I was also helping them turn

were complaining of – and that was poor

qualified to treat the root cause of illness

back the clock and look better than they had

digestive function.

using a variety of safe and effective therapies,

ever done before. Soon they started to tell their

including acupuncture and Traditional Chinese

friends and family what I was doing, and once

for digest-ageing and I am confident that

Medicine, botanical medicine, clinical nutrition,

their husbands noticed the change I had them

the beauty and health worlds have missed

homeopathy, lifestyle counselling and Physical

coming in as well!

something. I mention health here because of

Medicine. Naturopathic Doctors treat a wide variety of chronic health conditions such as allergies, chronic pain, digestive issues,

No wonder I think of my patients as one big happy family.

I used this in combination with traditional

I have treated literally thousands of patients

course the skin isn’t the only thing that shows signs of ageing, and the gut can also be the root cause of many of the other issues that

hormonal imbalances, obesity, chronic fatigue

Chinese face-mapping to create treatment plans.

plague the body as we get older. Aching joints,

and menopause – and more.

I quickly realised that following my plan helped

weight gain around the middle, thinning hair,

my patients’ skin clear up and reversed many of

poor sleep, lack of energy and the severity of

naturopaths, which are more common in the UK.

those signs of ageing they were worried about.

menopausal symptoms can also all be

A licensed Naturopathic Doctor must have an

Patients with rosacea, redness, pigmentation

related to gut health. Get your gut healthy

undergraduate degree in pre-medical studies.

problems, dull, dry or sagging skin, noticed

and these symptoms can also improve.

We receive over 1,200 hours of clinical training

such considerable changes that their friends

and must treat over 225 patients before we even

and family were asking if they’d had some

away your skin creams and never have

get our qualification.

work done! It was so powerful that I couldn’t

another face treatment in your life?

Naturopathic Doctors are not the same as

So does this mean you should throw

understand why all dermatologists weren’t

No! The best skin comes from treating

as I opened the doors to my clinic, I started

using dietary changes to treat the root cause of

the inside and the outside. The outside

seeing patients with all sorts of health concerns.

distressed skin or as an anti-ageing weapon.

needs topical treatments to strengthen

This medical background meant that as soon

They’d talk about the fact that they were ageing

The final piece of the puzzle, I consider myself

and hydrate the skin, stimulate collagen,

faster than they thought they should. They were

a biochemical detective, always trying to find

fade pigmentation or reduce fine lines

complaining of a lack of brightness in their face,

the true root cause of my patients’ problems

and wrinkles, but combining this with

their skin texture was getting rougher, fine lines

rather than just treating their symptoms with

healing the body from within creates the

and wrinkles were appearing faster than they

a plaster-like approach. I realised at this point

perfect marriage of techniques.

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I don’t believe that tackling ageing or getting perfect skin is related solely to what you put on the outside of your body. It is also about what you put inside your body, as deep down inside the gut is where real ageing begins Note from Dr Nigma: Since writing the book, Reverse the Signs of Ageing, it has a bestseller in its category on Amazon. The response to the book has been incredible and I have been busy following up with press internationally and here in the UK. I am getting emails and Instagram messages from people who have read and implemented the plan in the book and who have not only reversed the signs of ageing, but they feel so much better and happier. Nothing could fill my heart more than to know that I am able to reach out to more people than just through my clinic practice through my book.

I have also created a probiotic because I couldn’t find the right one out there to fulfil my needs and my patient needs, so I created a probiotic that has a strain called the DDS 1 strain, which is one of the best researched probiotics out there. I combined grapeseed extract in the probiotic to increase the absorption of the probiotic in the gut lumen and also so that the skin and the gut have antioxidant support.

Find out more about Dr Nigma and get your copy of Reverse the Signs of Ageing from www.healthydoc.com

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#TAMAG ASKS:

ARE DERMAL FILLERS

Is it just us who finds this bizarre? With so many amazing, qualified, talented cosmetic doctors and nurses out there, why are there still celebrities who have over-inflated lips, plumped up chipmunk cheeks and other really obvious aesthetic enhancements? Indeed, they make the idea of trying an injectable dermal filler quite scary for the average person in the street. For the men and women still considering their first injectable filler, knowing which products are reversible and which last is key

W

hen you are in the hands of the right medically-

Many of the dermal filler manufacturers have created an injectable gel

trained practitioner there should be no need to

form of hyaluronic acid. Hyaluronic acid absorbs water, so when you

reverse overfilled fillers. Sometimes though, things

inject it, it acts like a sponge: it absorbs water and expands.”

can go wrong, you do get some bad work and want to reverse your fillers. We spoke with

So which dermal fillers are made with hyaluronic acid? Belotero, Juvederm, Restylane, Perlane, Perfectha and Intraline. Dr Demosthenous

We spoke to Dr Nestor Demosthenous about the different types of

continues, “The good side of the hyaluronic acid dermal fillers are that

dermal fillers and which ones can be reversed and which ones you

there’s a product called Hyaluronidase acid, which is an enzyme that can

just have to wait out.

quickly be injected to immediately reverse any negative effects.”

There are over 200 types of dermal filler on the market in Europe and

Sculptra, Ellanse and Radiesse, due to their composition, are not

most of the more common fillers are made with hyaluronic acid (HA) and

immediately reversible. Sculptra is made with poly-L-lactic acid and,

are reversible with the quick intervention of a medical practitioner. Dr

although this synthetic gel is made with lactic acid that is naturally

Demosthenous explains, “Hyaluronic acid is a sugar found naturally in

found in the body, just like hyaluronic acid, it does not have an antidote

the skin. It’s found in joint spaces and makes the skin and joints slippery.

that can reverse its effects. The results of Sculptra reveal themselves

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Why are there still celebrities who have overinflated lips, plumped up chipmunk cheeks and other really obvious aesthetic enhancements?

over time as the collagen stimulating properties begin to volumise the

that needs little upkeep, but an unfortunate aspect if you’re unhappy

treated areas. However, Sculptra is not actually permanent and, without

with the results.

follow-up treatments, the product can be absorbed by the body within six months, fading its effects.

Ellanse acts as a biostimulator of collagen with the results lasting up to

TA Mag Says: Regardless of the long-lasting or reversible properties of a dermal filler, it’s important you go to a qualified cosmetic doctor

two to five years. Ellanse is made of Poly-Caprolactone (PCl) and is a

or nurse who can safely and expertly inject dermal fillers and create

well-known totally bioresorbable soft medical polymer. Ellanse offers

natural-looking, born-this way results. You also want a practitioner who

a large potential for modelling due to the combination of optimum

can quickly diagnose and rectify any adverse reactions, prevent risks of

viscosity, unique elasticity and uniform homogeneity, Radiesse is

infection and fine tune the placement.

comprised of calcium-based microspheres that are injected under the skin via a gel formula. Like Sculptra and Ellanse, once injected, the results

It is easy to ask Dr Nestor Demosthenous by emailing us at

of Radiesse are also irreversible. The volumising effects of the product

ASK@totallyaesthetic.com or by filling in the enquiry form

could last for a year or more; a great option for those seeking a treatment

on our website www.totallyaesthetic.com

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SKIN COMBINATION

YOU’RE JUST NOT MY TYPE What is you’re skin type and how do you tell what you are?

From dry, acne prone, oily to all of the above, we take a look at combination skin

What is Combination Skin?

Combination skin occurs when two or more different skin types occur on your face at the same time. Typically, combination skin is when some parts of your face are dry or flaky, while the centre part of your face, nose, chin, and forehead (called the T-zone) is oily. Combination skin can also describe conditions where wrinkles and breakouts or rosacea and dry skin are present at the same time.

What Causes Combination Skin?

A variety of factors contribute to combination skin – sometimes it is just genetics. When it comes to combination skin, the causes and combinations are a little bit different for everyone. Generally, the areas around the nose, chin and forehead have more active oil glands than other parts of the face. Some people have rosacea and dry skin and others have blemish-prone, flaky, inflamed skin.

Another common cause of combination skin can be a result of the very skincare products you are using. For example, if you are using products that contain irritating ingredients, they can stimulate oil production in the T-zone area and at the same time create more dry skin and redness on the rest of the face. Voila! You have taken your relatively normal skin and made it combination.

You may also be using moisturisers that are too emollient, making your skin feel oilier and clogging up pores. All the products you use have to be appropriate for the different skin types you are

You do it to yourself! if you are using products that contain irritating ingredients, they can stimulate oil production in the T-zone area and at the same time create more dry skin and redness on the rest of the face. Voila!

You have taken your relatively normal skin and made it combination

experiencing – even if that means using different products on different parts of your face.

Which Products Work for Combination Skin?

Basically, those with combination skin need products that don’t make matters worse. It is critical to only use well-formulated products designed for the mix of skin types you’re dealing with.

To understand why you have combination skin and if there is anything that you can do to improve it, we recommend a professional skincare consultation. Organise yours today by filling in our patient enquiry form online at www.totallyaesthetic.com/enquiry

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04/07/2016 11:41

FIGHT WRINKLES WITH ANTIOXIDANTS

Research has shown skin does better with a cocktail of effective antioxidants than just one.

So you might like to eat more berries and superfoods and mix a powerful serum or a mask in with your normal active skincare regime

Whether you eat antioxidants or put them on your skin they are vital to your health. When applied topically or eaten, antioxidants do the job of reducing environmental damage whether it is from the sun, pollution, or just the very air we breathe. Antioxidants inhibit free-radical damage and research is abundantly clear that doing so has remarkable benefits for all skin types.

Antioxidants Are Vital!

From cancer to ageing to illness or wrinkles – free-radical damage plays a role

The Antioxidant/Wrinkle Connection

Antioxidants are one of the major ways to slow the

antioxidants that naturally protect our skin from

impact of free-radical damage. In fact, antioxidants

the environment, especially sun damage. Primarily

are so important for the body (and skin is the

because of sun damage and in a more minor role

body’s largest organ!) they are being studied by

other factors such as just growing up, menopause,

thousands of scientists all over the world. In fact,

disease, and using irritating skin-care products,

many scientists think that if there is a fountain of

our skin loses the ability to produce those

youth, antioxidants could be in it! When it comes to

antioxidants. If we don’t get enough antioxidant

wrinkles, free-radical damage causes collagen and

protection, either from our own body’s production,

other vital skin functions to break down. A great

from dietary sources, or from topically applying

antioxidant skincare product, whether it comes

antioxidants, free-radical damage wreaks havoc

in a liquid, gel, serum, lotion, or cream, should

causing collagen to break down, and DNA in our

contain a potent assortment of stable antioxidants

cells to mutate, impairing the skin’s ability to heal,

to interrupt free-radical damage and keep it from

and so on.

harming your skin.

Don’t Look for a Miracle

When we are young our skin is loaded with

TA MAG LOVES ● ZO® Medical C-Bright 10% Vitamin C Serum ● Vitage Age Defence Lifting Treatment ● Neostrata Antioxidant Defence Serum

Instant Results?

Although we know that topical application of

There isn’t one single miracle, exotic antioxidant

antioxidants helps to reduce free-radical damage

with a great story (melons from the Brazil or some

on the skin, the results aren’t going to make you

rare seed from the Adriatic) that works the best for

look 10 years younger. Although you may not see a

your skin. Instead, there are dozens and dozens of

dramatic difference in your skin, that doesn’t mean

effective antioxidants for skin, ranging from familiar

antioxidants aren’t truly helping. There is research

ones like green tea, grape extract, or vitamin C,

showing antioxidants can improve cell function,

to names you may not be familiar with, such as,

increase collagen production, improve elasticity,

coenzyme Q10, idebenone, zinc, copper, beta

create healthier, younger skin cells, and reduce

carotene, epigallocatechin-3-gallate, or superoxide

sun damage, but the improvement takes time, it

dismutase. What counts is that the product you

isn’t going to be overnight. And just like a healthy

use contains a variety of these – and the more the

diet, the more potent antioxidants you use, the

better. Research has shown skin does better with a

healthier and younger you will be.

cocktail of effective antioxidants than just one. So you might like to eat more berries and superfoods

Do you need more skincare advice?

and mix a powerful serum or a mask in with your

#asktheexpert @TotalAesthetics or email

normal active skincare regime.

ASK@totallyaesthetic.com

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05/07/2016 11:17

MY LIPS STARTED TO DIE AFTER BOTCHED LIP FILLERS! Take a look at this ‘Lip Horror’ suffered by 21 year old Claire Hawkins, now 23, when injected by a beauty therapist in Somerset. So bad was the treatment that the skin on her lips began to blister and die after botched lip filler injections. Claire was left with painfully swollen, blistered and bleeding lips after her lip filler treatment went wrong

A

lthough a very pretty young girl, Claire always felt that she had a thin top lip and admits that seeing Kylie Jenner and

the Kardashians’ evolution from ugly to swan influenced her decision to get bigger

Claire’s whole family disapproved of her lip treatments and she began to hide her treatments from them

RESEARCH! WHAT RESEARCH? Claire didn’t do any research at all into choosing a qualified practitioner, nor the different types of dermal fillers available and did not even know what the fillers were made of, how long they lasted or if they were permanent. Hyaluronic Acid or HA

lips. The Kardashians’ and Jenners are very

were not words that she was familiar with.

vocal about all of the aesthetic and cosmetic treatments they have in order to look how

their treatments, they have big budgets for

All Claire knew was that she wanted bigger

they do, and still not always enhance the way

famous doctors with great reputations who

lips and liked some pictures she had seen

they look. Even their mum, I mean dad or

give great results. Yet today it seems almost

on social media. Armed with her picture of

do I mean other mum? has had more work

normal to have had work done and young

Kylie Jenner, she booked in at her first local

than the average lady in the street in the UK.

people seem to want to try it even if they

provider in Somerset for lip treatments to

Let’s be clear though about celebrities and

don’t need anything done.

change her appearance at just 21 years of

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age. She chose a salon based on an offer that

bad her lips had started to look or how big they

to her friend’s house to do the treatment. There

they had in the shop window for lip fillers,

had become until her grandmother mentioned

was no consultation of any kind, they just looked

discounted from £300 to £250 for 1ml. At first

them and local boys started calling her ‘duck

at pictures and in June 2015 Claire allowed

she had a really natural treatment with just 0.5ml

face’ in the street. Even that did not stop her

someone to almost destroy her lips for life!

of fillers but she admits she became obsessed

wanting to go bigger.

Just 30 minutes after being injected with 1.5ml of filler in her top lip and 0.5ml in her lower lip

with her new look and wanted larger and more

This is how Claire found her new practitioner

inflated lips each time. Claire didn’t realise that

after her friends tagged her in numerous posts.

Claire knew something was very wrong, this time

the body naturally absorbs HA filler so she found

What is worse than choosing a practitioner

her lips swelled up immediately and were very

herself revisiting her salon every 3 months.

based on a stream of, to be frank, images of

painful. The practitioner told her she would be

Despite regular visits to the salon she still had

women with lips like rubber pillows is not

fine, to pop some ice on her lips, took her money

a fairly natural look but when she was told she

checking to see if the ‘practitioner’ is medically

and left. She stayed at her friend’s house and

should not have any more fillers that month,

qualified, now a painful lesson learned for Claire.

overnight her badly injected lips began to suffer

Claire began to look elsewhere.

The bad news with this story does not end there,

with Necrosis, where the skin turns black and

the injector did not even have a clinic and came

actually starts to die. They were blistered, lumpy

She tells me that she really didn’t notice how

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D OCT O R MOL INA

Dr Molina told us “When we first saw Claire we did a full medical consultation and it was obvious that she needed to have a correction of a previous treatment. There were lumps all over the inside of her mouth, worse in the upper lip. The shape of the lip was still too large and uneven.”

She added: “It is shocking to see how someone can inject a lip so badly, endangering a young persons looks.”

Dr Molina found that the filler had the completely wrong placement, mainly submucosa (the layer of areolar connective tissue lying beneath a mucous membrane) and she found filler behind the muscle.

Even after a year had passed the poor results and damage were still so obvious.

During the first treatment with Dr Molina Claire had a ‘doctor only’ hyalase to dissolve the existing filler and then the doctor organised a follow-up appointment 3 days afterwards for correction treatment using a dermal filler.

It has taken Dr Molina a series of gradual treatments over 6 weeks to make Claire’s lips look ‘natural’ again. Claire told us that she will now only go to Dr Molina for her future treatments and that everyone should make sure they do their research before having any treatments.

and there was a constant taste of blood in her

she had dark marks inside her mouth and also on

about the real dangers associated with

mouth, she tells us.

the surface of the lips from tissue damage scars.

not doing your research about treatments,

When she talked, people could see the lumps and

choosing the wrong practitioner and the

to so she did nothing. She began to be teased

the uneven appearance and many commented.

possibilities of life-changing damage

even more by strangers in the street and

One day in April 2016 she happened to walk

when a procedure goes wrong.

foolishly decided to go back to the practitioner

past the window of a clinic owned by a very

to get another 0.5ml in the lower lip to try and

experienced cosmetic doctor, Dr Beatriz Molina.

‘even them up’! The injector obliged once

She saw that the clinic offered lip augmentation

Do you have a question about dermal

again with no thought for the health and

and decided to see if there was any way that she

fillers or any aesthetic treatment?

wellbeing of Claire.

could repair the damage that she had been living

Email our experts ASK@totallyaesthetic.com

with for the past year.

or to find your nearest clinic simply fill

Claire didn’t know what to do or who to turn

Claire lived with her lumpy and painful lips with no medical intervention or expert help for over a year. Her lips never did return to normal and

Claire wanted to share her story so that other people both young and old could hear more

in our online patient enquiry form www.totallyaesthetic.com/enquiry

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THE SOUND OF

B E AU T Y

Ultrasound is a great way to quickly and safely get a great lift without any needles or downtime. Perfect before a party or just as a general pick me up!

BY DR SARAH TONKS

M

any of us look in the mirror and feel like we could use a little lift. Sagging and tired looking skin can leave us feeling like our appearance often doesn’t match the

way we feel on the inside, or even if it does, its not something we would want to advertise to the world.

Now we have many options to help ourselves feel fresher and brighter; from dermal fillers and thread lifts to chemical peels and laser there are so many methods available to help us achieve this vibrancy without the need for surgery.

Ultrasound is one of the lesser known techniques available to get the results you might desire.

What makes ultrasound so unique amongst this huge collection of options is its ability to target the superficial muscular aponeurotic system, or SMAS, which is the layer of tissue lifted when undergoing a traditional facelift. It does this without the need for surgery, without the need for any anesthesia, with no bruising, or swelling or down time of any kind and its completely non invasive, meaning nothing enters the skin except ultrasound waves.

These ultrasound waves are the same type of ultrasound used when checking on a baby during pregnancy or looking at a problem inside the body. The ultrasound uses a special technique to focus the energy into tight beams which are able to pass harmlessly through the skin without damaging it, and they impact on the SMAS. When this energy reaches the SMAS it is deposited there causing the skin to contract and tighten.

With my patients I use the analogy of putting bacon in a frying pan and the heat causing the bacon to contract. Perhaps not the nicest image, but you can certainly see why it would work!

Ultrasound can be used on various sites on the face and body. The most popular area is the neck and jawline, and I have a treatment which is particularly popular before big events

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called the ‘Party Lift’ which focuses on this specific area. Other areas that can be treated are the forehead to lift the brows, the dĂŠcolletage for crepey skin, and skin tightening on the bingo wings, stomach, thighs and buttocks.

On the day of treatment, when you arrive at the clinic there is no need for any anaesthetic, so no topical anaesthetic, no local anaesthetic injections as you would receive at the dentist. A jelly is placed on the skin to allow the probe to come into contact with the skin and the machine is activated. As someone who both performs ultrasound skin tightening, and as someone who has had it done, I would say that it feels a little like being zipped up from the inside. The treatment is over in around an hour and afterwards you can apply make-up and go about your day as usual. There may be a little redness after the procedure, but this quickly subsides. Results are visible immediately, however you will look your best at around 3-4 months after the procedure as it takes a little time for our bodes to produce all the extra tightening collagen which comes as a result of the treatment.

The lift and tightening will last up to 3 years, meaning you really do get a long-lasting effect from ultrasound, which is amazing considering it is such a quick and painless procedure.

You can combine ultrasound with other procedures, which I commonly do in my clinic, and I have found excellent results when combining with radiofrequency skin tightening in particular. Radiofrequency skin tightening targets the dermis of the skin meaning when used in combination with ultrasound, it gives a sandwich effect, lifting and tightening from the upper and lower layers of the skin. If you are in the market for something a little more invasive, then ultrasound can be very effectively combined with dermal fillers, which is fantastic if you are looking for significant jawline or cheekbone strengthening. For a real non surgical facelift, you can combine ultrasound with Silhouette soft threads, giving an

The most popular area is the neck and jawline, and I have a treatment which is particularly popular before big events called the Party Lift, which focuses on this specific area.

improvement like nothing else.

Currently in the UK there are two ultrasound machines available in clinics. Both are operated by doctors only to ensure that the procedure is carried out safely, avoiding important structures in the face. Ulthera was the first machine introduced to the market, and more recently a device called Ultracel. You may have read reviews online stating that the procedure was particularly painful, however treatment protocols have now changed and since I

started using my machine. I have never had any feedback about the procedure being too painful.

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COLUMNIST

I’ VE SEEN THE LIGHT

There’s a new craze happening in treatment rooms all over the world which involves clients taking selfies of themselves with glowing plastic masks on. Once upon a time the monthly facial was a time to lay back, relax and listen to ocean waves. Not any more. Our celebrity facialist and Skin Warrior, Emma Bennett has been trying out new treatments to share

BY EMMA BENNETT

W

ith the advancements of

Kardashians and supermodels are jumping on

technology and clever

the ‘Tron’ facial bandwagon.

product designers, the LED

I’ve personally been using a LED mask within

that extra power makes a difference.

Firstly, I tried it on myself. If it doesn’t impress me, it goes nowhere near my clients. The mask is

phototherapy mask is fast

my treatments for some time now, and I can

lightweight and comfortable. I chose the Red light

becoming THE treatment

honestly say that I don’t know what I would do

for anti-ageing and within 5 minutes I can feel

of the moment and turning a facial into a scene

without it! So I was really excited to be given

myself nodding off under the gentle warmth of

from a fantasy movie, set in 2060. However, once

the opportunity to put the new LED mask from

the lights. After 20 minutes the treatment is over

you have tried and seen the results for yourself,

www.slimfitclinic.com to the test. This mask is

and I apply a serum and moisturiser and go to

you’ll start to understand why the likes of the

more powerful than mine so I wanted to see if

bed. So, the morning test. My skin looks alive and

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slightly plump. When I apply my make-up I notice

Cost and commitment?

my pores look more refined and I’m happy to use

Most LED treatments are incorporated

a little less. I still look like me but just a relaxed,

into facials so treatment costs will depend

well rested, glowing version.

on each location. Typically, treatments can

The client tests. I chose 5 of my regular clients

range from between £50-£195 and depending

all different ages, lifestyles and skin concerns. I

on the condition you are treating you

developed a bespoke facial for each of them and

would need approximately 4-6 treatments

added in 20 minutes of the LED therapy. After

to make a visual difference.

3 treatments all the clients felt their skin had improved directly after the treatment, but also

To book in for your bespoke SKIN WARRIOR

around day 3 they reported firmer skin. Clients

facial or to find out about a treatment in your

with breakouts reported spots were less and

area simply fill out our online patient enquiry

seemed to go faster, skin was overall less oily.

form and #ASK for Emma Bennett at

So what is it?

www.totallyaesthetic.com/enquiry

Phototherapy or LED light therapy was originally developed by NASA to aid plants to grow in space. LED Phototherapy is clinically proven to treat a wide range of skin conditions, such as acne, pigmentation and ageing by naturally stimulating the skin at different depths depending on the colour of light used. It can help rejuvenate or resolve problematic conditions.

Claims to aid?

Phototherapy or LED light therapy was originally developed by NASA to aid plants to grow in space. LED Phototherapy is clinically proven to treat a wide range of skin conditions

 Skin Rejuvenation: fine lines, complexion and texture  Acne, problematic skin  Rosacea, redness and flushing  Hyperpigmentation  Inflammatory conditions  Accelerated healing

How does it work?

Red light at 630nm (nanometres) stimulates skin rejuvenation, new collagen and elastin.

Near infrared at 830nm is the most deeply absorbed wavelength and plays a part in healing and targets the inflammatory process, great for calming after treatments.

Blue 415nm light is well known to be powerful against the bacteria that causes acne (P. acnes) – a photodynamic reaction kills the bacteria.

Is this treatment right for me?

If you have any skin concerns then this type of treatment is worth a try. The versatility of LED Phototherapy is greater than many other advanced skin treatments as you can be any skin colour, age and even have most medical conditions and still be safe. The only condition is that I would err on the side of caution with epilepsy, due to the lights being very bright (consult your doctor).

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EDITOR'S CHOICE:

ANTI-AGEING PRODUCTS Every month our Editors bring you the best choices to boost your anti-ageing skincare regimes √ HEY BIG SPENDER

Restore your skin back to a youthful appearance with Dr LEVY Switzerland Booster Cream. The Booster Cream contains a revolutionary blend of plant-derived stem cells and Dr Levy’s patented ArganCellActiv formula to rejuvenate our stem cells, boost collagen production and increase levels of hyaluronic acid. www.drlevyswitzerland.com

† LOSE THOSE LINES

ZO Ossential® Growth Factor Serum Delivers daily DNA repair and antioxidant protection. To slow and repair the signs of ageing, Ossential® Growth Factor Serum uses two proprietary peptides to trigger skin to produce more collagen. Together with retinol and amino acids, it boosts collagen and stimulates cellular function. www.zo-skinhealth.co.uk

√ BREAKTHROUGH SERUM-IN-A-GEL Skinceuticals AOX+ Eye Gel. A synergistic antioxidant combination to help protect the delicate eye area from oxidative stress, while targeted actives revive under-eye skin and reduce the appearance of puffiness. www.skinceuticals.co.uk

† NOURISHING COVER

Exuviance CoverBlend Skin Caring Everyday Foundation. Achieve flawless, natural looking skin with the Exuviance Cover Blend Skin Caring Foundation. This water-based, oil-free formula offers lightweight coverage that lasts all day with SPF 20. www.exuviance.co.uk

πFIGHTING PUFFY EYES AND DARK CIRCLES

Teoxane R[II] EYES RHA™ Advanced Eye Contour. R[II] EYES instantly delivers a feeling of freshness. Dark circles and puffiness are visibly reduced. Used regularly, wrinkles and fine lines are progressively filled. The eye contour is evened out and brightened for a visibly refreshed eye area. www.uk.teoxane-beauty.com

® BE GONE TURKEY NECK

Skin Active Triple Firming Neck Cream from NeoStrata This revolutionary product helps to firm and plump the skin on the delicate neck and decollete area. A combination of powerful active ingredients including NeoGlucosamine, Vitamin E and Apple Stem Cell Extract help to correct existing premature ageing. www.neostrata.co.uk

Find these and more anti-ageing and skincare products in our online shop www.totallyaesthetic.com

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SKIN COMBINATION

FEEL GOOD FACIAL We like to get it right at TA Mag and make sure that the people who we ask to give our readers advice are the very best in the business. We sent over Stephanie Lewis, our girl on the pulse, to check out our columnist in her natural habitat of a luxury treatment room with Emma Bennett. What does Stephanie think...

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It’s the first time I have bounced out of a facial make-up free and flirty!

T

oday I have been lucky

to undergo, Emma is careful to

I am not the only one to sport this

clearly has a lifetime of knowledge

enough to experience a

explain that no two facials are the

Hannibal Lector look and reap the

and knows the science behind how

facial by renowned facialist

same and that after 25 years in the

rewards- everyone from Jessica

to straighten one’s skin – but she

Emma Bennett, who practises at

industry, she is keen to treat each

Alba to Kim K are fans. The concept

also makes sure that you are relaxed

the exclusive Chelsea Harbour,

face differently and ensure that the

of LED was originally identified

and in a spa-like environment. Her

Amida Spa. As soon as I am greeted

treatment is bespoke to me.

by NASA to grow plants in space.

motto is everyone deserves ‘skin to

LED light is believed to rejuvenate

be seen in and after having her 75

by Emma I realise this isn’t just a

After our five-minute consultation,

fluff and cleanse, and that this lady

she tells me to slip into the warm

cells 200 times faster than those

minute treatment. I know why - I

means business.

fuzzy bed and I am instantly in

not stimulated by LED light - not to

can already feel the effects and it’s

heaven, relaxed and ready for

mention increase the production

the first time I have bounced out of

to the stars Emma is gorgeous

Emma’s ‘Superior facial’. Emma starts

of collagen. I am all for boosting

a facial make-up free and flirty! She

through and through and instantly

with a deep sonic cleanse, followed

collagen in a natural way whether

even tells me that over the next 3-4

makes you feel at ease. She clearly

by microdermabrasion and a light

I look terrifying or not, so I lie back,

days my skin will lift, tighten and

practises what she preaches –her

peel. Although tingly in some parts

feeling freaky. Suddenly and all too

glow, resulting in the best version of

skin is radiant and as smooth as a

due to the Lactic acid, Emma’s

quickly my glorious 75 minutes is

me. Who wouldn’t love that?

baby’s bum, and suddenly I know

massaging technique seems to

over and I am being offered tea,

#TAMagReviews

I have come to the right place!

overcome this. Emma believes that

but all I really want to do is stay in

Like a woman at a dinner party

by massaging the product in, you

my fuzzy cove and have Emma’s

We think that we can safely say that

who has just been sat next to a

gain greater effect on the skin. I

massages for the rest of my life - but

our Emma nailed it! With thanks

doctor, I instantly start to ramble

am all for any massage so this is

alas she has celebs to tend to and I

to David Lloyd, Amida Spa at the

on about all my skin woes. Whilst

dreamy and I lie back and switch

know why.

Chelsea Harbour Club for hosting

taking my ramble in and explaining

off. After my peel, it’s time for my

Emma is the perfect balance

the treatment that I am about

LED mask and according to Emma

between aesthetic and spa, she

TA Mag Columnist and Facialist

our review. Products by phFormula, Slimfit LED.

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KILLER HEELS Even Victoria Beckham, the queen of the stylish sky-high stiletto, is wearing flats nowadays and I wonder if she would opt for dermal fillers in her soles to alleviate the pain of killer heels? #itsathing!

Why do we wear high heels?

the cushioning becomes inadequate and the feet

The truth is heels make your legs look longer and

become painful. Normally this is the time that

slimmer and have always been in fashion. They give

the shoes come off or we call a taxi but there is a

the wearer a little bit of extra height; they seem to

treatment option for the brave.

create good posture for the wearer; the bust and

Although changing footwear would be the most

bum seem to be enhanced; legs look better, and

sensible option, many ladies are reluctant to do

some even argue that they have a better sex life.

that. The irony is that turning to flat shoes can

Christian Louboutin says that he is certain that

however be a trigger for plantar fasciitis making a

heels have never been as high as they are now but

higher shoe more comfortable. Many women use

Louboutin is also a man who recognises that

gel cushioning inserts, but the problem with that

everybody has different pain thresholds and now

is that these shoe inserts change the fit of the shoe

produces various heel heights for his loyal band of

and can cause pressure and friction elsewhere on

customers.

the feet.

No foot pain, no gain

Fill your boots

High heels are often an integral part of a woman’s

With the evolution of dermal fillers it’s possible to

outfit, and despite the balls of the feet taking abuse

use these as a way of cushioning the ball of the

like never before, women are refusing to give them

foot. Once inserted, the filler is constantly in the

up. Stiletto Metatarsalgia is the pain secondary to

correct position. The technique for delivery is very

the wearing of high heels. There are some other

simple, there’s minimal downtime and it’s relatively

common causes of foot pain — plantar fasciitis is

safe. You may have to give up a pair of Louboutin’s

probably the most popular one; arthritis, corns and

though as you will need this treatments topped up.

calluses, gout, neuromas are all common causes of foot pain.

This use of dermal fillers is not yet something that’s well studied and very little research has been

Metatarsalgia is pain caused in the ball of the

carried out into it. We are sitting on the fence with

foot and is localised. When wearing high heels, the

this one but we would love to hear from you if you

whole weight of the body is transmitted through

have had the treatment, email us at hello@totally-

the metatarsal joint, and in a high-heeled shoe

aesthetic.com with your stories.

there is constant pressure applied. Cushioning under the metatarsal is inadequate, so when that

To find your nearest clinic or to enquire about

distal metatarsal joint is flexed into that high ankle

a treatment simply fill in our online patient

position, the fat pad is displaced to the rear and

enquiry form www.totallyaesthetic.com/enquiry

Give a girl the right shoes and she can conquer the world MARILYN MONROE

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YOLANDA KINGDON HAIR BY THE BARDOU MAKE-UP. PHOTOGRAPHY YOLANDA KINGDON. CELTIC MANOR. CHLOE JASMINE WHICHELLO.

JUICY CURE FOR A SUGAR

ADDICT

“Hello, my name is Chloe Jasmine and I am addicted to sugar! Friend of the magazine and all round good egg, singer, model and we think really should be an actress, Chloe Jasmine investigated Juicy Oasis for her cure – in an idyllic boutique luxury health spa situated in rural Portugal, far, far away from Michelin-starred restaurants, vending machines and the Waitrose chocolate aisle. Can one really live on just juice though?

T

o be totally truthful with you, I am a seasoned caffeine, sugar and nicotine addict, I smoke like it is going out of fashion (it is isn’t it!) I am also addicted to clothes if we are confessing everything, but this article is not about fashion

darlings. I needed help.

Off I flew to Portugal and the welcoming Juicy Oasis, it

is not a ‘spa hotel’ but rather a seven-day retreat journey designed to fully recharge every aspect of your mental and physical health. Rarely if ever, do the words ‘luxury’ and ‘detox retreat’ go together, but at Juicy Oasis Boutique Health Retreat & Spa the two have merged beautifully.

The Juicemaster, Jason Vale, has served as an inspiration for my extremely health conscious and vegetarian family for the past 15 years or so, from back in the days when the popular perception of ”juicing” was commonly identified as a glass of pasteurised, “fresh” processed orange juice

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THE PROGRAMME

from the carton.

His incredible literature peppers their shelves in

Three juices a day and a soup for supper. Can I really adhere to this? My mini Snickers begs to be rescued from the shadowy depths of the hotel safe.

this perfect oasis of juice, yoga, calm and colonic irrigation. Jason has sold over 4 million books and is highly regarded as one of the most influential people in the world of juicing and health.

Gluten free, sugar free, dairy free and but thankfully most certainly not fun free. Life is not all gloom and doom. Not one guest complains of hunger pangs.

Juicy Oasis is the ultimate boutique health and fitness retreat, providing an intimate, tranquil and luxurious environment in which to unwind, lose weight, get fit and indulge in health.

Sparkly eyes and radiant health shining from others spur me on. Tales of relieved pain, snoring, cat allergies, perfect skin are recited and mentally registered.

The proof is in the wheatgrass and passion fruit pudding, with Jason’s own personal story as testament. He tackled his asthma, psoriasis, eczema and hay fever and pounds of body

After 7 days I am feeling super shiny, clear skinned, all brand new and a firm believer in ‘Being the change we want to see in the world’.

fat with his carefully calibrated juices strictly developed with additions such as apple, avocado, beetroot, flax and hemp.

I have issues!

The issue lies, ladies and gentlemen, in that despite seeing all of this marvellous splendour, the only thought racing through my mind is,

Juice away darlings!

 HOW TO BOOK All bookings are Saturday to Saturday, including a number of activities and all your juices for the week. For more information on the retreat and what’s included, you can either check availability and book your place at Juicy Oasis through the easy-to-use online booking system. www.juicyoasis.com/booking

 THINGS SHE TOOK WITH HER A hat, 5 day dresses, 3 ball gowns, jewels, shades, a sense of humour and her full range of Julie Pawson Skincare. www.juliepawsonaesthetics.co.uk/shop www.rosinaslotionspotions.com/collections/ candles/products/floral-candle Beautious to burn at night by the hot tub with a herbal tea. http://hylamide.com/product/photographyfoundation-golden-30ml Prismatic gold technology which creates a delightful gold finish. You may be detoxing but it’s always nice to glow from within and out.

 THINGS THAT WERE CONFISCATED ON ARRIVAL Ciggies, caffeine and a jam packed chocolate hamper from Fortnum & Mason!

“Where on earth is my double espresso?” I have always required at least 5 doubles to kick start my morning. With a heavy heart and a ginger and beetroot shot, I make the crucial decision to relieve my mind of the brainwashing. Set in the depths of a conservation area without the signal to use my Uber app, I accept the reason I came.

They say that everything happens for a reason.

Well, quite frankly if I am meant to quaff large quantities of dandelion, chlorella, alfalfa, barley and oat juices – C’est la vie! I opt for the clear skin programme (primarily as it includes 5 Brazil nuts at “breakfast”). I chew on raw ginger with gusto and vigorously sprinkle Himalayan salt and cayenne pepper on the evening soup.

Jason makes detoxing a delicious juicy dream.

His spirit, enthusiasm and appearance could be mistaken for that of a man in his 20’s. The reality of the situation is he is 46, sorry Jason (it was bound to surface one of these days over a Lemon Ginger Zinger).

The retreat offers scenic mountain hikes, spinning classes, volleyball, a 24-hour gym and saunas along with glorious yoga, juice workshops, out of the world massages and treatments. I met Karol from Monaco, who has dropped a cosmic 100 pounds on the regime in a mere matter of weeks.

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COLUMNIST

TOO FAT FOR THE GYM That is how our columnist Zoey Hughes felt when she reached nearly 17stone! Years of feeding herself from one service station to the next as a national sales rep turned her into someone that she did not recognise. Read how Zoey coined the phrase #ItsALifestyleThing

I

t was the beginning of 2013 and

list of priorities, food and fitness

sitting behind a computer and

I dieted, it was for an occasion such

I had decided to make a change

were not at the top.

travelling around the UK catching

as a wedding, holiday or party. I

early morning flights and train

always dreamed of being a toned

in my own lifestyle habits, I was

I had been a yo-yo dieter for

not getting any younger. I was in

nearly 20 years and my dress size

connections for many years,

14, which never happened, and as

my late 30’s and hitting the big

had always fluctuated from a 14-22

resulted in me grabbing food

soon as I got into an outfit I wanted

40 was only just around the corner,

and I always had a bit of a J-lo

‘on the go’ , usually from service

to wear, I just stopped dieting. This

I had a son when I was 19 and my

going on. Working as a national

stations and never making time

time I had to make a significant

life had revolved around being a

sales manager for a cosmetics

for myself. Exercise was the last

change and overhaul my lifestyle.

mum and working hard so on my

company and living out of hotels,

thing on my mind, plus every time

Finally, in June 2013, weighing in

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at 16 stone 9lb, I took the step on

another medal. I then entered a

a new journey. My main goal was

sprint triathlon in August 2014 and

health - I needed to be healthy as

that was it! When I completed it

I did not want to diet ever again. I

and ran over the finish line I knew

needed a lifestyle change.

that I wanted to do events, with my

So it was time to start to eat

love and passion now for triathlon.

regularly. To choose healthier

I love everything about the

meal options, plus start to move

discipline of the sport and decided

a little more and I started to swim

to go one further to train for the

at the local pool twice a week as

ultimate of a 70.3 Ironman.

I felt too fat to go to the gym. I

Since June 2013, I have

ate completely differently, eating

transformed not only my body

porridge for breakfast with

and mind but, more importantly

chicken or fish and vegetables

for me, my lifestyle. I qualified as a

as a dinner choice.

nutritionist and fitness instructor

I began to get more energy, feel

and love working to mentor people

a lot healthier due to choosing

through their own journey to a

nutritious foods and adopting strict

healthier version of themselves.

portion control. Then I thought it

A lot of my clients will say to me

would be fun to enter a running

they like working with me as I

event so I chose a Race for Life with

have experienced the journey

a friend and my eventing journey

myself giving me a very clear

began (more about that next

understanding of the process.

month) - all because of the little

I always promise it will never be

medal you receive at the end. As I

easy but will always be worth it.

was swimming a lot, I decided to challenge myself to an aquathon

If you have any questions for

in April 2014, which is a swim and

personal trainer

run combined, which made me

and nutritionist Zoey Hughes

really nervous (but in a good way).

please email

I completed the event and received

ZOEY@totallyaesthetic.com

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ď ž

I had been a yo-yo dieter for nearly 20 years and my dress size had always fluctuated from a 14-22 and I always had a bit of a J-lo going on

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1

INTRALINE

FILLING IN THE GAPS WITH DERMAL FILLERS

4

Real reader reviewer Alison, 35 from London, offered to share her experience whilst having dermal fillers and we jumped at the chance to share with you. We asked celebrity favourite Dr Vincent Wong to help us and sent Alison along to Harley Street for her personal consultation.

D

r Wong has extensive experience in the field of aesthetics and has received several awards for his work. Committed to the highest standards Dr Wong has treated many high

profile celebrities and is sought after for his expert opinion. He has been featured in popular press, radio and television channels.

7

Only the very best for Totally Aesthetic Magazine.

Initially Alison was nervous about her procedure and did not know exactly what to expect from the appointment.

Alison asked Dr Wong questions such as: can I eat afterwards?

And will I be able to lie down tonight when I go to sleep?

The answer to both questions was yes and helped to put Alison at ease prior to treatment.

After her full medical consultation, Dr Wong decided that Alison was a perfect candidate for facial dermal filler and he chose to work with Intraline HA fillers. Hyaluronic Acid (HA) is the skin’s key tool in retaining water and its presence in the skin creates volume and elasticity. This is what we lose when we age. Dr Wong marked up the areas that he felt had lost volume with a temporary marker and he began his expert work.

10

Watch her story unfold here...

Are you interested in dermal fillers? Would you like to find out where to go for your local consultation or would you like to have an appointment with Dr Wong?

Simply fill in our online enquiry form on our website www.totallyaesthetic.com/enquiry or email us at patients@totallyaesthetic.com

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BLUE RINSES AND BOOB JOBS Forget bingo nights and the early bird special, these days, senior citizens are more energetic than ever. Those over 60 are leading rich lives full of work, hobbies, and travel – and according to a new survey of board-certified plastic surgeons in the USA by RealSelf, many are looking to match how vibrant they feel with how they look

A record number of over 51,000 Britons underwent cosmetic surgery in 2015, demonstrating the public’s love affair with surgical enhancement is far from over

I

When asked what’s driving this trend, more

As people live longer, they also tend to work

between ages 60 and 90 have researched a

than half of the doctors they surveyed cited the

later into their lives. Many are turning to plastic

cosmetic procedure on RealSelf. This trend is

reduced social stigma around these treatments

surgery to help them feel competitive in a job

echoed by our doctors, 76% of whom report an

and rising pressure to maintain a youthful look.

market where they’re working alongside (or

n the last year, roughly 2 million people

increase in patients over 60 in the last five years.

Many doctors pointed to another factor: those

under) millennials. In fact, 36% of RealSelf doctors

Of these doctors, 60% say they’ve seen this

over 60 are healthier and more active than

name this as one of the top three reasons why

growth in male and female clients alike.

previous generations. They simply want their

seniors are requesting cosmetic treatments.

Of the procedures most commonly sought by this group, anti-ageing treatments like

appearance to match how they feel inside.

People are living longer and are in better

Data from the British Association of Aesthetic

facelifts, fillers, and eyelid surgery take the top

health. Many boomers and older adults are

Plastic Surgeons (BAAPS) the only organisation

spots. Other treatments frequently researched

exercising on a regular basis and trying to stay

solely dedicated to safety and education in cosmetic

on the US site include breast augmentation,

fit. All of us want to look as good as we feel.

surgery revealed that the number of cosmetic ops

CoolSculpting, tummy tucks, and cosmetic toxins

This group is no different than their younger

last year in the UK grew 13% overall since 2014 –

such as Botox.

counterparts.

with ALL procedures seeing an increase in demand.

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SPOT ON WITH

pHFORMULA Our 40-something reader Hannah Gibson had never had a problem with her skin until she hit her late 30’s. Then, boom, adult acne appeared and she tells us her solution www.aspireface.com/phformula

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H

aving had smooth blemish free skin

it did feel slightly warm and tingly, at no time was

throughout my teens and 20’s it came as

my skin in any pain. A cooling mask was applied

quite a shock to develop adult acne in my

and then was peeled off, leaving my skin feeling

late 30’s. I had always thought lines and wrinkles

incredibly clean and fresh but not tight in any way.

would be my main concern at this stage of my

Now usually when I check myself in the mirror

life, but in actual fact it has been spots and the

after any sort of facial treatment I look horrendous,

associated discoloration and scarring

blotchy and red and will scuttle home to hide away.

that has kept me searching

However, after this treatment I was left with a proper ‘glow’. This is the first time

for a skincare holy grail

I have experienced this after a

for the past few years. I have tried many over the counter creams that stung and dried my skin out, anti-biotics that whilst effective in the short term cannot be a long

Now usually when I check myself in the mirror after any sort of facial treatment I look horrendous, blotchy and red and will scuttle home to hide away

term choice for obvious reasons and expensive facials that

face treatment and I felt so confident that I actually went and met friends without applying any

treatment recovery cream on top of the day serum.

People at work commented on how nice my skin was looking, this I could get used to!

I had my second peel at around 4 weeks after the first. Emma noticed immediately the improvement in my skin and how much smoother it felt.

skin make-up. The

Good skin is something that not all of us can

spots I had were so

take for granted, pHformula has enabled me to

reduced in size and

gain confidence and feel good about an area

colour that they were

that really bothered me. I shall be continuing to

barely noticeable.

use this range to ensure I maintain these results

I couldn’t believe what a difference one treatmenthad actually made!

Over the next few days I used the products as instructed and I noticed

now and in the future.

PRODUCTS USED WERE: pHformula A.C.N.E Solutions system, consisting of 2 resurfacing treatments spaced 4 weeks apart and homecare products including post

involved a lot of squeezing and

that my skin very slightly shed, I wouldn’t say

treatment recovery cream, sunblock, cleanser,

steaming and made me look worse than when

peeled as I have had peels in the past where great

day and night cream. Each product has a blend

I started. So it was with some scepticism that I

flakes of skin have come off and it has been almost

of acids and skin friendly ingredients to help

made contact with Emma Bennett at the Chelsea

impossible to leave the house. This was only barely

speed up cell turnover to enable my acne to

Harbour Club after offered to review acne

visible and very easily disguised with the post

heal and stop further breakouts.

treatments for Totally Aesthetic Mag. Emma has the sort of skin that glows and is a fantastic advert for taking a more structured approach to your skin health and seeking out an expert as you would with other troublesome areas of your life. And at my initial appointment she asked me questions to find out what my current skincare regimen was, I was currently using a ‘cosmeceutical’ range of products that whilst helpful for pigmentation and lines wasn’t doing anything for the spots. She also asked about my lifestyle, diet and stress levels as this plays a contributory factor to triggering adult acne. I am somewhat of a sugar addict and also a bit of a stress head so those are areas I need to work on myself.

After a thorough cleanse, Emma recommended a course of resurfacing treatments a bit like a chemical peel along with homecare products by a company called pHformula.

With pHformula they aren’t peels they are resurfacing treatments using acids like those used in conventional peels but it’s the delivery rapidly into the skin that means there is no damage and therefore no peeling.

That’s what makes them such a unique brand.

The resurfacing treatment itself consisted of three different strengths of ‘acid’ applied in a thin layer with drying time between each layer. Whilst

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ASK THE TA MAG EXPERT

DR SHIRIN LAKHANI Expert Dr Shirin Lakhani tells us more about her clinic in Kent and the slow but steady rise in male patients seeking skincare and anti-ageing solution

D

r Shirin Lakhani MBBS MRCGP DRCOG, graduated from Guy’s &

In addition to advanced facial aesthetics, she is passionate about

St Thomas’ Hospitals in London in 1999. Dr Shirin worked as an

professional and results-driven medical skincare and she is a pioneer of

NHS doctor, gaining experience in specialties including medicine,

non-surgical vaginal rejuvenation.

general surgery, urology and accident & emergency, and anaesthetics. It was during this time that she became skilled in various injection techniques and

What are the challenges your clients face?

practical procedures. Dr Shirin then went on to become a practising GP and

A key challenge I see with my patients is that they have become disillusioned

aesthetic physician, founding Elite Aesthetics in Kent in 2013.

with the exaggerated scientific claims of high-street skincare products, many

Widely featured in the UK Press for her case studies and opinions, and

of which claim clinical benefits but leave patients disappointed when the

a celebrity favourite, Dr Shirin consults for a number of London and

promised results fail to appear. There is a strong demand for non surgical or

Guernsey clinics as well as running her own thriving clinic in Kent. She is a

minimally-invasive skin rejuvenation treatments to tackle the early signs of

KOL (key opinion leader) for Plexr Soft Surgery, a Brand ambassador for ZO

ageing paired with a need for effective at-home treatments to enhance or

Skin Health, Swisscode and Skinade, and European trainer for the Vampire®

maintain what they receive in-clinic.

procedures.

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Q: What is the most common reason people visit you in your clinics?

Contrary to popular belief you do not have to have issues with your skin or a ‘problem’ with ageing to visit me at my clinics. I am finding that more and more patients are investing in affordable professional skincare and sun protection than ever before. Taking control of your skin health should begin in your 20’s as a way to protect and maintain a youthful appearance.

The majority of patients who come in are looking for anti-ageing treatments.

They want to look like a fresher version of themselves, without looking “done”.

Q: What are your most popular treatments?

Injectables are a perennial favourite, and body contouring with 3D Lipo is still very popular. People are much more aware now of the importance of effective clinical skincare, and treatments to improve skin quality and texture are also in demand.

Q: What is the treatment that is on the rise in 2016?

Plexr is really popular as a way of getting rid of saggy eyelids without the need for surgery. And sexual rejuvenation for women is the hot topic for 2016 and there are many treatments to help with function and appearance and the O-Shot® is just one of the treatments I offer. Women are realising that there is something that can be done, non-surgically, to help enhance sexual pleasure, improve stress, urinary incontinence and also enhance the aesthetic appearance of their labia.

Q: What percentage of patients are men?

Around 10% of my patients now are men. I have seen an increase in men seeking treatment over the last few years and more and more products are being developed specifically for men.

Q: What are the most popular treatments for men?

Botulinum toxin injections, facial fillers, body contouring and skincare are popular. I have had an increase in my male patient cohort due to the P-Shot® which involves PRP injection into the penis and improves erectile function, increases size, and can treat Peyronie’s disease, a condition involving a bend in the shaft of the penis often due to trauma.

Q: If you could make everyone use one product to slow down ageing what would it be?

Sunscreen!

Do you have a question for Dr Shirin? Email us at ASK@totallyaesthetic.com or to find your nearest clinic simply fill in our online patient enquiry form www.totallyaesthetic.com/enquiry

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Take advantage of Champneys latest offers by signing up to their newsletter at www.champneys.com.

Have you entered our competition on page 78 to win a night for 2?

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SO WHAT IS THE DEAL WITH WELLNESS?

Our favourite thing is having a pamper and a good lie down so we are so glad that it is a really important benefit for our health. We take a look at ways that you can boost your health, reboot, refresh, recharge and relax. It’s all in aid of beauty and wellness darlings!

√GYM BUNNY BOOSTER HyaLual AquaLual Melt Water stimulates the skin regenerative process by activating collagen and elastin fibres. Experience the feeling of exceptional skin freshness and purity. Great for during or after a tough run or gym session and much better for your skin than a moisturiser post workout.

For more information see their website www.hyalual.co.uk or buy them in our shop www.totallyaesthetic.com

†SLEEP YOUR WAY THINNER The makers of the best surgical shapewear bring you MACOM Sleepwear. CRYSTALSMOOTH are made from Emana® fibre; an intelligent fabric woven with bioactive crystals that absorb body heat and return it in the form of Far Infrared Rays. The rays penetrate the skin and stimulate blood microcirculation, cellular metabolism and lymphatic drainage. The increase in blood flow to the area nearest the skin significantly reduces the likelihood of the irregular build-up of fat and blockage to the lymph cells – a common cause of cellulite.

For more information see their website www.macom-medical.com or buy them in our shop www.totallyaesthetic.com

√ BEAUTY TEA Amanda Wakeley OBE & Quinteassential teas create The Wakeley. This is the first ever designer tea, a blend made exclusively for Amanda. This innovative concept not only focuses on the well-documented health & beauty benefits of tea but sees high tea meet high fashion. A true extension of the Amanda Wakeley brand, each ingredient was carefully chosen to reflect not only Amanda’s passions, but also her collections, giving the healthy blend a clean and sophisticated flavour.

Available at Amanda Wakeley’s Fulham Road and Albemarle Street stores and www. quinteassential.co.uk at £25 72

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STOP STRESSING Have you ever noticed how ‘well’ people look when they return from holiday or leave a stressful job? It is a fact that stress is very damaging for the body and can actually accelerate the ageing process. We asked Dr Tiina Orasmäe-Meder how exactly does stress age the skin?

I

t is well known in the medical profession that

control. And if you feel more in control, you

stress is bad for the skin but all too often it is

will be less stressed.

near impossible to eradicate stress from our

everyday lives. When we are tired, or stressed,

ENJOY YOUR EXERCISE: If you look at a

or just unhappy we might have our friends or

person on the treadmill at the gym, their face

family telling us that we don’t look well, but how

is often contorted, the neck strained. If you

does stress age us? Physiologically the skin and the

don’t enjoy a workout, you will release stress

nervous system are ‘twins’ according to

hormones, which is counter-productive. But

Dr Laurent Misery, the famous french neuroscientist.

remember how you feel after a swim or walking

All of our skin’s cells are spying and working

the dog? Exercise should leave you feeling elated.

for the nervous system and in actual fact the skin’s cells can be called ‘nervous cells’. Recent

BE OPTIMISTIC: Research shows that pessimists

researches showed the amazing similarity

have shorter DNA telomeres than optimists. Of

between neurones and melanocytes, for example.

course, too much optimism can make us deluded,

So, every time that we engage our nervous system, when we are angry, or sad, or unhappy,

but we all tend to expect the worst much more frequently than we assume everything will be OK.

or just don’t sleep well, this is transferred as a message to the skin. Unhappy ? Stop that as

EAT THE RIGHT FOOD: Pistachios

it damages capillaries and you get nice dark

protect our DNA by lowering blood

circles and deadly pale skin. Angry ? Stop that

pressure. Studies have shown Omega

too as it causes inflammation and dilatation of

3s (found in oily fish) encourage our

blood vessels which will have you saying hello to

telomeres to grow. Cherry juice, almonds

puffiness and a new red spider vein on your nose.

and mixed berry juice all act as anti-oxidants. And in a study, women

WE HAVE NAILED IT!

who took multi-vitamins had longer

The best solution is not to be unhappy or angry,

telomeres than those who didn’t.

to sleep well, to meditate and to be a good person. Unfortunately this is also unrealistic.

SLEEP MORE: Simple, but

So how do we stop stress making us old? Well

effective. Ooh, and have more

making the smallest of changes can make a big

sex. It’s good for the cells in the

difference to how we age, try these:

brain, apparently…

DON’T DIET: Trying to lose weight is stressful,

Forget expensive skin creams,

biologically and psychologically. Studies show that

facelifts, fillers and Botox

the more rigorous the diet, the shorter the vital

(obviously not entirely…)

telomeres protecting our DNA. If we eat on the run

The most powerful tool in

or while we feel stressed, the weight will go on to

the battle against ageing

our midriffs (a fat belly is more indicative of future

is how we live our lives.

disease than a high overall BMI). It’s important that

Incidentally, you can now

in times of stress, you eat healthily and regularly.

increase the length of your DNA telomeres with a

MEDITATE: Researchers have found that

simple tablet. For more

participants in a three-month yoga retreat

information email us at

had increased the level of telomerase in the

ASK@totallyaesthetic.

bloodstream. Why? Yoga allows you to control

com today.

your thoughts, not letting them spiral out of

#behappy

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04/07/2016 15:31

I’d always thought hair transplants were for older men or rich footballers

LOVE IS IN THE

HAIR

ONLINE DATERS SWIPE RIGHT FOR LOCKS Single men with a full head of hair are more likely to find love online than those who are thin on top, according to research

W

omen aged

1,000 women, with each profile

whether the 31 year old’s newly

between 25 and 30

swiping right to 500 users. It

acquired locks held the key to

are more attracted

follows statistics from the British

finding love. Results showed that

to men who boast a healthy-

Association of Aesthetic Plastic

his post-surgery self caught the eye

looking mop of hair, as opposed

Surgeons (BAAPS) that reveal

of over 203 eligible single ladies,

to their follically challenged

the number of men undergoing

with a total of 319 ‘matches’ being

counterparts. The study, carried

plastic surgery has more than

recorded across both profiles.

out by The Farjo Hair Institute,

doubled in the past decade, rising

involved creating two profiles for

from 2,440 in 2005 to 4,614 in

a pair of app users anonymously

a hair transplant patient on dating

2015. The increase in them going

‘like’ each other, after which they

app Tinder – the first before

under the knife – for a variety

can begin chatting.

he underwent surgery and the

of procedures, including ‘moob

second showcasing the results of

reduction’ and eyelid surgery – is

always thought hair transplants

his procedure.

down to men seeking a more

were for older men or rich

groomed, streamlined look,

footballers, but it got to the point

according to the medical body.

where my thinning hair was really

The experiment ran for a total of 10 days, with findings showing

A Tinder ‘match’ happens when

Richard, from Leeds, said: “I’d

Following his procedure, hair

affecting my self-esteem and

post-surgery singleton

transplant patient Richard King

overall confidence, so surgery

than for the pre-surgery

noticed an increase in interest from

became a viable option.

alternative, suggesting that

the opposite sex, leading to Dr Farjo

balding bachelors have a

and his team being keen to find

are more likely to go for a guy with a

tougher time bagging dates.

out more. Duplicate Tinder profiles

fuller head of hair – it’s just another

were set up to give an insight into

box to tick in a similar way to how

that more women opted for the

The study involved a total of

“It doesn’t surprise me that women

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men may choose blondes over brunettes, for example!”

Now, Dr Bessam Farjo, who carried out Richard’s surgery at his Manchester-based clinic, is keen to help remove any stigma surrounding hair transplants in younger men.

Dr Farjo, founder of The Farjo Hair Institute and medical director of the Institute of Trichologists, said: “Hair transplants are often associated with 50-something men who want to recapture their youth and look good as they age. Of course, this may be the case for many patients, but we’re seeing a steady increase in younger men – often in their late 20’s – coming forward to find out more.

“Whether this is due to the rise of popular celebrities and footballers being so open about their own procedures, or simply a case of men being more aware of their looks, it’s evident that there’s been a real shift in mindset.”

Dr Farjo is consistently at the cutting edge of cosmetic surgery.

He performed the world’s first full beard reconstruction by hair transplantation in 1996 and, in 2012, he worked with former footballer Michael Grey on the first hair transplant to be streamed live on the internet in Europe. He also performed one of the first FUE hair transplant surgical procedures in Europe to be carried out by a robot on former England captain David Platt. He now

BEFORE

AFTER

holds Europe’s only Certificate of Excellence for the Provision of FUE Transplants using the ARTAS robot.

Dr Farjo added: “The results from the Tinder project suggest that those with a fuller head of hair are looked at more favourably by the opposite sex. The hair restoration industry is growing rapidly and constantly changing, so there are various options to consider and, of course, while surgery isn’t for everyone, it is the most appropriate choice for long-lasting, reliable results.” www.farjo.net

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BEARDSCAPING

IT’S A THING! Brides aren’t the only ones who want to look their best on the big day – according to top doctors, a growing number of grooms-to-be are opting for cosmetic treatments before they walk down the aisle

The biggest trend coming from the grooms?

“Beardscaping” (and we’re not talking about a barbershop trim)

W

Note for the boys: Possibly another trend in both

hile we may not immediately think

treatments is laser resurfacing, which can help get

of these treatments as being an

rid of acne scars and smooth the overall texture for a

male and female clientele might be waiting until

area of interest for men, 87% of

polished look.

the last minute, which is a no no. Failure to plan

dermatologists surveyed in the US say they’ve seen

Men are also turning to treatments that help boost

is like planning to fail. While many people may

the number of male clients increase in recent years.

the masculinity of their features. Another popular

think a month before their wedding is ample time

Here in the UK, our experts say that men make up an

treatment is Kybella or Aqualyx, both are injections

to undergo a procedure, you never know exactly

ever increasing 40% of the patients in their clinics.

that treat fat below the chin. Doctors are using

when you’ll see results or how many treatments

small amounts of the product or Radio Frequency

you may need. For anyone contemplating a

treatments to create a stronger, more angular jawline.

treatment before a big event, TA Mag recommends

While we’ve heard of men undergoing aesthetic procedures to stay competitive in the work or dating world, doctors are citing special occasions and big

But the biggest trend coming from the Grooms?

consulting early with a qualified practitioner who can break down the timeline that’s right for you.

life events such as weddings as primary motivators

“Beardscaping” (and we’re not talking about a

for their interest. And it is not just the groom, some

barbershop trim). According to clinics we work with,

clinics cater for the entire bridal party from Father of

men are asking for laser hair removal on specific

treatments so you should allow at least 3 months

the Bride to the guests.

parts of their face to shape the lines of their facial

prior to your event to get the best look. The same

hair. If done properly, this treatment not only creates

can be said for any professional skin care, fat loss

counterparts, they’re interested in procedures that

the perfectly landscaped beard, but – like Kybella –

or surgical interventions. With Botox you are good

give them youthful-looking skin. One of the top

gives the appearance of a stronger jaw.

to get this 3 weeks before you say I do!

What are these men looking for? Like their female

Typically, hair removal involves a number of

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WELCOME TO TOTALLY AESTHETIC MAGAZINE LAUNCH

COMPETITION Totally Aesthetic Magazine want to keep you young and beautiful and we feel it is our duty to help you do just that!

We have teamed up with some fabulous brands to help you keep stress free and in tip top shape with over £2,500 of prizes. Relax as you dream of winning loads of great treatments, experiences and products

WIN A NIGHT AT CHAMPNEYS FOR TWO (WORTH £410) Our Cover Star Chloe Jasmine had a divine time at our photoshoot courtesy of Champneys in Tring. We asked if they would share their gorgeous resorts with our readers and they said yes!

Arrive at 2pm for your welcome drink to refresh, rehydrate and detoxify. Don your Champneys robe and flip-flops and allow the experts to take care of you.

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SKINCARE FOR WOMEN

√ SKINADE #BEAUTYFROMWITHIN

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The lovely people of Heaven Skincare have given you ladies this superb Bee Sting Facial Home Care Kit that will have you looking and feeling 10 years younger. Used daily these products will help to plump out fine lines, hydrate you skin and rejuvenate your complexion. (worth £190 each)

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This shamazing people at Aesthetic Source have given 5 lucky winners products (worth £55)

To be in with a chance on winning one of these fantastic prizes please email us at competitions@totallyaesthetic.com with your name, address, phone number. Closing date July 30th 2016.

Boost your chances on social media and enter again! LIKE us on Facebook Totally Aesthetic | Follow us on Twitter @TotalAesthetic & Instagram TotallyAestheticMag Terms and conditions – Winners are chosen at random, Editors decision is final. 1 Prize per person, winners will be notified by email or social media from 1st August 2016.

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05/07/2016 10:31

Untitled-9 2

04/07/2016 11:52

Untitled-9 3

04/07/2016 11:53

B

orn in Iraq, Dr Bessam Farjo is one of the UK’s leading hair

transplant surgeons and

The harvesting method is either performed manually, mechanically, or with the worldrenowned ARTAS robotic procedure.

Another option is Strip follicular unit

the medical director of the

transplantation (FUT) which involves

Institute of Trichologists.

taking root hairs from a linear area

He has been a specialist in hair restoration surgery and medicine launching The Farjo Hair Institute in 1993 and performed the world’s first full beard reconstruction by hair transplantation in 1996.

The Farjo Hair Institute is the UK’s only

towards the back of the scalp, leaving a very fine, seamless scar. The procedure usually lasts between four and 12 hours, with up to 10,000 hairs being transferred per day.

Q: What is ARTAS? ARTAS offers patients a minimally invasive procedure,

recognised centre of excellence for Robotic hair

automatically detecting the best donor hairs to

transplant surgery, combining that with hair

harvest for transplantation. The machine, which

loss medicine and hair restoration education.

is guided by the surgeon at all times, is capable of

Moreover, Farjo is one of just two centres in the

extracting up to 1,000 hair grafts per hour.

UK to offer the ARTAS transplantation system – a ground breaking robotic FUE procedure.

As a regular lecturer in his field, Dr Farjo has

Q: Do I have to shave my hair prior to surgery?

travelled many countries in recent years, including

Not all procedures require you to completely

the USA, Canada, France, South Korea and Australia,

shave your hair. For example, FUT is a popular

exchanging his views with colleagues worldwide.

method for women and men with longer

Q: What does hair transplant surgery involve?

Depending on each candidate’s suitability for the procedure a hair transplant involves relocating hair

hairstyles, as hair is discreetly taken from around the scalp and is almost impossible to notice.

Q: Will my hair be fully restored following surgery?

grafts from donor areas – commonly found at the

With one operation, hair transplants generally

back and sides of the scalp – to bald or thinning

restore around 25 per cent of the original density

areas at the top of the head.

in the treated area. However, most patients require

Q: What options are there for hair transplant surgery?

between one and two treatments per bald area and this helps to attain a natural style around the entire head.

There are three hair transplant options and this can depend on the patient’s individual

Dr Farjo is delighted to be part of Totally

circumstances. Follicular Unit Extraction (FUE),

Aesthetic Magazines expert panel of advisors

where hair grafts are individually extracted from

and can answer any questions you have at

large donor areas that are spread across the scalp.

ASK@totallyaesthetic.com

HAIR TODAY GONE TOMORROW Modern advances in hair treatments, supplements and surgical procedures mean that men and women today need not lose their hair.

Hair transplant surgery is one option as International Hair Transplant Surgeon Bessam Farjo explains

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01/07/2016 17:20

1

INTRALINE

FEELING DEFLATED

4

Andrew, 42 from London, had come to us worried that he was losing volume in his cheeks and asked us what we could do to help.

We had recently been very impressed with the results of the new male fillers from Intraline.

D

r Vincent Wong, expert cosmetic doctor, agreed to help Andrew and so we sent him in for a full medical consultation. Dr Wong said “Intraline for men is great and

can be used for contouring the face and mandible, improving profiles and strengthening male features. Exactly the subtle effect

7

he had in mind for Andrew.”

After a full consultation to understand what look Andrew wanted and to manage patient expectations, it was decided that a very slight change was desired. The softly softly approach also allows for patients to ‘get used’ to their new look and tweak with minor top ups if required.

Watch his story unfold here...

Are you interested in dermal fillers? Would you like to find out where to go for your local consultation or would you like to have an appointment with Dr Vincent Wong.

Simply fill in our online enquiry form on our website www.totallyaesthetic.com/enquiry or email us at patients@totallyaesthetic.com

10

I am over the moon with the results, this treatment has really freshened up my face

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3

5

6

8

9

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Adrian, who represented Great Britain in an ‘Over 35s’, says it also re-opened his nasal pathways while transforming his face. And he’s urging other burly sportsmen to defy stereotypes by having the treatment done, too

WHEN RUGBY SCRUMS AND NOSES COLLIDE Rugby league player Adrian, 38, shattered his nose three times in just four months and is celebrating after having it straightened without the need for surgery

I

t left him with a heavily misshapen

behind. As I was getting up one of their

nose, something which made him

players came in with both knees and just

feel self-conscious and embarrassed

cleaned me out. He knocked me out cold.”

on dinner dates with his wife Vicki,

Adrian had a four week break from

34. More worrying still, Adrian said

playing while his nose healed but then

that the injury also left him with a collapsed

disaster struck yet again. He explains: “My

right nostril, giving him difficulty breathing

nose had just about got itself right, so I

and also leaving him with a strange

started playing again. And I broke it again!

‘tingling’ sensation.

Adrian went to Manchester’s clinic SkinViva for a consultation to see if anything could be done. He was told that

Unbelievably, four weeks after having his nose set-right by medics in A&E, he broke it for a THIRD time.

Adrian, dad to Finlay, 6, and Olivia, 10,

he could have a simple treatment with

soon started experiencing problems. The

dermal fillers, more commonly used to give

amateur coach, who also works as an

women fuller lips.

operations manager for a signage company,

Adrian, who represented Great Britain in an ‘Over 35s’, says it also re-opened his nasal pathways while transforming

reveals: “My nose was constantly running. I couldn’t breathe properly.

He explains: “When I first broke my nose,

his face. And he’s urging other burly

Vicki wanted me to pack it in immediately.

sportsmen to defy stereotypes by having

It wasn’t an ideal position to be in with my

the treatment done, too.

job, either. I’m going out seeing clients and

The 38-year-old, from Batley, West Yorkshire, was playing for National Conference League Division Three side Dewsbury Moor when he first broke his nose.

The 6ft 2in player explained: “I was running with the ball and I got tackled from

customers, I’m on site a lot, and you worry about first impressions.

“I felt self-conscious to walk into a nice restaurant and Vicki felt awkward when people were looking at me. Whenever we were going anywhere, people would stare.”

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BEFORE

AFTER

One thing Adrian wasn’t worried about, though, was having the mick taken out of him by colleagues for daring to have a treatment that might be considered by some to be ‘feminine’.

He confesses: “I didn’t care what anyone thought about me going in for treatment, I was just really interested to see the effects, to see if it would improve the look of it and to see if it could improve the breathing.

“It looks a lot better, too. I’m so pleased with it.”

“I think it’s a fantastic procedure. You get a hell of a lot of rugby players who get their noses broken. I’ve got friends who’ve had their noses broken, some are squashed flat to their face, and they think there’s nothing you can do - but I’ve proved there is. I’d urge anyone interested to do the same.”

To keep his nose looking straight, Adrian will need to go back for dermal fillers every 18 months, at a cost around £600. The procedure takes just 20 minutes to complete.

He also has not stopped playing Rugby so may be back sooner but Vicki is really putting her foot down for him to stop.

SkinViva’s Dr Tim Pearce, who carried out Adrian’s 30 minute non-surgical Rhinoplasty, adds: “We use highly effective and safe dermal filler called Juvederm Volume to reshape and alter the key points of a person’s nose without the need for invasive surgery.

For more information about non-surgical rhinoplasty or any aesthetic treatments.

Email our experts ASK@totallyaesthetic.com or to find your nearest clinic simply fill in our online patient enquiry form www.totallyaesthetic.com/enquiry

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THE UPRISING OF THE We asked our TA Mag Male Grooming Expert, Stephen Handisides to give us insight into global male trends and what women want from their men

M

MODERN MALE

ale cosmetic surgeries are on the rise. The British Association of Aesthetic Plastic Surgeons says 4,614 plastic surgeries

were carried out on guys in 2015 alone, with almost 1,000 going under the knife for eyelid surgery.

That's up on 4,042 in 2014, with 849 eye surgeries - and 2,440 10 years ago in 2005.

But while it's on trend for 'tweaks' reflects the way we feel in 2016 about full plastic surgery. It seems increasingly extreme to go for a full face lift.

In fact, for men who are feeling that a good night's sleep and some eye cream are no longer cutting it, going under the knife at all is now unnecessary.

We look at the windtunnel facelifts of the 80s and 90s and thank god we didn't have to be the guinea pigs for those pioneer doctors.

Luckily, it's 2016 and for those of us who want to,

Luckily, it’s 2016 and for those of us who want to, we don’t have to go as far as surgery; there isn’t much that can’t be done with injectable treatments like fillers and Botox

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a more masculine jawline they can be very helpful,' says Dr Tonks.

Dr Vincent Wong, who uses Intraline filler for men in his London clinic, says: 'The focus should be on understanding the differences in how men and women lose volume in their faces, which is different.

It’s about enhancing the male features while maintaining the masculine appearance.'

YOU CAN HAVE SOMETHING SUBTLE No one wants to leave their dermatologist looking like they’ve over cooked it. A puffy, shiny and immobile face is not the look you’re going for, I’m guessing. 'Some men want to keep some of their lines, which is easy to do because men generally have stronger facial muscles so sometimes more botulinum toxin is needed to create no movement,' explains Dr Zamani.

Dr Zamani says she's seen an increase in men coming to see her in recent years, especially for injectable treatments.

Like Dr Tonks, she says most of her male injectables patients want to look less tired or more masculine. 'I see many male patients asking for under eye rejuvenation to look less tired, which is also extremely common in women,' she says. 'I also get a lot of male patients asking for a stronger jawline and chin.'

Do you have a question for Stephen we don’t have to go as far as surgery; there

look less tired and fillers around the jawline for a

Handisides or Dr Sarah Tonks? Email them

isn’t much that can’t be done with injectable

more 'chiseled' look.

at ASK@totallyaesthetic.com or to find your

treatments like fillers and Botox.

Whether you want to adjust the shape of your nose, strengthen a jawline that’s started to head

Fillers cost from around £300 to £450 in the clinics mentioned here.

nearest clinic simply fill in our online patient enquiry form www.totallyaesthetic.com/enquiry

In fact, the days of the shiny 'alien' forehead

south, or get rid of eye bags that give away one

caused by too much Botox may be behind

too many late nights, dermal fillers might be just

us - as practitioners are increasingly advising

the trick. But knowing where to start with all this is

the use of fillers to create a more youthful

a tricky business.

look rather than paralyzing parts of the face to

Here are the basics to get you started:

smooth out the wrinkles.

BOTOX AND FILLERS ARE NOT THE SAME THING

Botox,' says Dr Tonks. 'It’s common to leave the

There’s a lot of bad information out there about

turn to fillers to slightly restructure the face.'

'I hardly ever treat the forehead on men with crow's feet and forehead alone in general, and

dermal fillers and botulinum toxin (aka Botox). but they’re very different. Botox works by

THERE ARE DERMAL FILLERS DESIGNED SPECIFICALLY FOR MEN

disrupting the neurotransmitters that make the

There are dozens of different dermal fillers

muscles in your face move, which relaxes your

on the market, and there have been a few

wrinkles, whereas fillers put a bit of volume

launched recently that are designed especially

back into your face to smooth out lines, and can

for the guys. 'They have a higher percentage of

even change the shape of your face slightly.

hyaluronic acid in them, which makes them a

People often think of them as the same thing

Aesthetic doctors Dr Sarah Tonks, who practices

little more robust,' explains Dr Tonks.

at a top London clinic The Lovely Clinic, and Dr

But whether or not you actually need

Maryam Zamani from Cadogan Clinic both say

a men’s filler depends on what you want

that the most common treatments currently

treated. 'I would say they’re not necessary for

requested by men are under eye rejuvenation to

the cheeks, but when you’re trying to make

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MANOISTURISERS

No longer something just for the girls, new male grooming and skincare products are appearing in the marketplace and we bring you some of the best options. Chances are that the girls will be stealing your products if you have these in your skincare arsenal

AGE STOP MAX LS Age-Less Power V Lifting Cream helps redefine the look of skin contours. This hightech treatment, containing LS Power V Technology™ and Molecular Age-Less Complex™,

ON YOUR TRAVELS

supports the fight against the effects of gravity on skin's appearance. The formula works to

Monroe of London Kit Bag, now available at our Totally Aesthetic Online Shop. Designed especially for men,

help skin look tightened and more lifted, so it looks revitalised. Skin virtually seems to defy

this kit bag provides everything you need to look and feel your best, no matter where you are.

gravity; its appearance seems transformed,imparting younger-looking skin.

www.monroeoflondon.co.uk

www.labseries.co.uk

The handsome dude that is Hollywood Actor

ROB LOWE HAS SKINCARE

MANLIEST BEARD CONTROL

Rob Lowe has his own skincare range. I wonder

The Great British Grooming

if you rub on a very thick layer you may look

Co.™ Traditional grooming

like him! LIFT Anti-Gravity Moisturizer helps

made modern. Custom built

tone and firm what gravity has damaged,

to be at the very core of the

while hydrating and moisturizing the skin.

modern man’s grooming kit,

www.profile4men.com

The Great British Grooming

EVERYDAY MOISTURE Heaven M4M Anti Ageing 4 Men. A great

Co.™ is a capsule beard care collection designed to care for the manliest of faces. With

addition to your skin regime for tighter, brighter,

exceptional formulations

smoother skin. You will notice the difference

blended with the hydrating,

almost immediately and it will have your skin

nourishing and skin

looking supercharged and buff in no time.

boosting properties.

www.heavenskincare.com

www.gbgroomingco.com

BOOST YOUR VITAMINS Vitamin C Radiance Mask Although not part of your 5 a day, this anti-ageing mask delivers

BE SUN SMART

a powerful dose of Vitamin C to bring renewed vitality to dull,

Brush On Block® was created to help encourage every man, woman and child to wear sun

dehydrated skin whilst also

protection daily. Brush on Block® provides SPF 30 Broad Spectrum protection. With its easy

boosting collagen production,

brush-on application, you’ll use it often, re-apply it with ease, and take it everywhere for

evening out skin tone, banishing

effortless on-the-go sun protection whenever you need it. Brush On Block® is perfect for all your

breakouts and improving overall

everyday activities – golf, tennis, walking, soccer, trail running and more.

skin health. Suitable for all

brushonblock.com

skin types, especially normal and combination.

Check out our online shop and choose the best male grooming products for you at www.totallyaesthetic.com

www.skinbrands.co.uk

or ask one of our industry experts any questions that you have at ASK@totallyaesthetic.com

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BARBERING BRILLIANCE AT THE BULGARI

Is there really such a place as a haven for gentlemen in London? We heard on the manvine that there was such a place where gents can escape and indulge in the ultimate gentleman’s grooming experience. The fact that Neville Hair & Beauty and the The Bulgari Hotel were mentioned forced us to dispatch our TA Man on the Groom, Haydn Isted 91

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H

aydn opted for a late Friday afternoon appointment and the 90 minute Barber Experience which would consist of a haircut, wash (in what order?), style, luxury wet shave, mini facial and finally a

scalp massage. You can opt for the Gentleman’s Signature Experience

than happy to engage in conversation if the client chose to.

Next his hair was washed and he was prepared for his luxury wet shave.

His hair was towel dried at this stage (and his ears dried with cotton wool!) and the hairs on his ears were removed by what can only be described as a burning wick that was whipped at his ears to burns the

described as The Cut, Shake and Smoke – we will leave you to wonder about that one or go try if for

hairs. Haydn’s face was then wrapped in hot towels to soften the pores and at this point he was also

yourselves…..

offered an arm and shoulder massage which

On arrival he was greeted with warmth by the Beauty receptionists, escorted to his barber treatment room and introduced to his Barber, Sukru. Haydn shares that he was slightly apprehensive at this point with regards to the haircut having had the same person cut his hair for the past 10 years! The time before that had left him with mental flashbacks of a near scalping experience.

However, after discussing exactly how he wanted his hair cut with Sukru, he was soon at ease and his barber lightly trimmed away

I can honestly say I have never experienced such a close shave.

I left feeling totally refreshed and rejuvenated and have to say I will be returning again very soon.

I think I have now found my new hairdresser!

as requested.

Haydn was amazed and impressed by the attention to detail and the time taken as a whole to complete every task to perfection. Sukru listened exactly to what was asked for and

he gratefully accepted.

After approx. 5 mins the towels were removed and the shave began. The foam was applied with a soft brush until consistent all over and again he was amazed at the attention to detail, after the shave it was facial time. Lotions were expertly applied and massaged in, hair was blow dried and his skin felt amazing.

Would Haydn recommend to TA MAG GENTS? “I can honestly say I have never experienced such a close shave. I left feeling totally refreshed

and rejuvenated and have to say I will be returning again very soon.

“I think I have now found my new hairdresser!”

delivered just that. This is a quality establishment with no continuous jibbering on that you can get from some Hairdressers, but who are more

www.nevillehairandbeauty.net

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Untitled-12 1

01/07/2016 12:30

MAKE IT PINK MAKE IT BLUE All round leading skin doctor Andrew Hansford tells us if men really do need to use a different skincare range to women I’ve often wondered if the fairy godmother’s

female skin is due to the male sex hormones

in some camps is why some people believe

insistence on changing the colour of Aurora’s

(yes I thought you would like that) known

women age quicker than men. Though with

dress from pink to blue in the fabulous Disney

collectively as androgens. The biggie being

men not tending to use sunscreen speeds

movie ‘Sleeping Beauty’ ever had a fable

testosterone. When men start to climb towards

that clock up, evening up the race.

attached to it. Well with male skin care it’s

middle age, their testosterone levels steadily

rather apt.

decline which can account for the changes in

COLLAGEN LOSS

men’s skin and hair.

Men and women lose approximately the

“The differentiation in male skin care regarding smell, colour and placement is an art in itself. In recent years it has grown exponentially so of course the many

“There are a few areas that distinguish the sexes or for me ‘pink verses blue’.”

Skin thickness: Is approximately 25 percent

same amount of collagen naturally over the years, approximately about 1% a year starting around the age of 30. But as stated as men

companies and marketing gurus have really

thicker in men than women. It also thins

have more collagen to begin with they tend

gone to town. Obviously, no self-respecting

gradually with age, whereas woman’s remains

to get wrinkles later in life. Sorry ladies.

man would use a product in a pink bottle, far

constant until around 50. Women also have

too girlie, but blue yes, very manly. Or would

more subcutaneous fat than men. Which leads

TEXTURE

they? I know many that would definitely use

to cellulite. Sorry ladies.

From a superficial standpoint men’s skin is

their partner’s products in the confines of a

different to women’s due to the thicker Stratum

locked bathroom. But is there a difference?

COLLAGEN DENSITY

Corneum (top layer). Also men produce more

Well technically yes, but less than you think.

Due to the thickness of men’s skin they have

sebum (oil) which can also account for men

a higher ratio of collagen than women. Which

getting acne more than women.

““The biggest difference between male and

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www.heavenskincare.com

HYDRATION

have tough, resilient skin, he may still

Men produce more Lactic Acid in their

have internal issues or surround himself in

sweat that women and also sweat more

environments that will sensitise him and

than twice as much as women. However,

cause ageing, pigmentation and other

having said this, male skin appears to be

concerns. Men should mostly opt for an oil

better hydrated than women’s, which is

free face-wash and a light moisturiser and

fortunate for them as there is less need for a

definitely an SPF.

hydrating moisturiser.

One major difference though in the

There is one other advantage men have – shaving. This will exfoliate the skin every

development of male skin care products, is

time, plus cosmetics penetrate deeper and

odour control, this is more difficult in males

more effectively post shave, so products

than in females, due to the presence of

like serums (post inflammatory if they get

body hair and the increased production of

shaving rashes) should definitely be applied

sweat and of sebum.

after shaving.

TREATING A MAN’S SKIN

different products to women, but of course

Of course the care and maintenance of

that would not look appropriate in their

a man’s skin is just as important as that

gym bag, so by all means relate to Mr.

of a woman. Even if the man appears to

Disney ‘make it pink, make it blue’.

So in conclusion, men don’t really need

The biggest difference between male and female skin is due to the male sex hormones known collectively as androgens. The biggie being testosterone.

When men start to climb towards middle age, their testosterone levels steadily decline which can account for the changes in men’s skin and hair.

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CONTENTS

WELCOME TA Mag Male Grooming Expert Stephen Handisides Stephen, a Male Grooming Expert, TV Personality and Model, has become a male icon for the ‘Modern Males’ of today. He is host to a global network of MyFaceMyBody Awards, which are now the most internationally recognised awards within aesthetics giving industry recognition for customer excellence and innovation.

Stephen has been an international model for 7 years and is known for showcasing the very best in tailored suits.

In addition to TA Mag he writes for numerous newspapers such as the Metro, Mail Online and magazines around male grooming and etiquette. He is also a male grooming expert on many ‘morning shows’ as well as

ON THE COVER

hosting a number of male lifestyle shows in Australia, America and the United Kingdom.

Do you have any questions for Stephen and his team?

Get in touch with him today at ASK@totallyaesthetic.com

94 MAKE IT PINK OR MAKE IT BLUE

88 THE UPRISING OF THE MODERN MALE

Do men really need their

Our columnists,

own special products or can

Stephen Handisides

they share with the girls?

investigates the most popular treatments

Stephen Handisides TA MALE GROOMING EXPERT

91 BARBERING BRILLIANCE

for men.

We got a close shave at the Barber Shop at the Bulgari

74 LOVE IS IN THE HAIR

Hotel. Our reviewer Haydn

Does a receding hairline

Isted experiences the

have the ladies running

Full Barbering Experience.

for the hills?

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MEDIA PARTNER OF

30

EDITOR IN CHIEF Lisajane Davies editor@totallyaesthetics.com

EDITORIAL Louise Marks, Angela Ward theteam@totallyaesthetics.com OPERATIONS & ONLINE SHOP MANAGER Leisa Patrick hello@totallyaesthetics.com CONTRIBUTORS Wendy Lewis, Naomi Isted, Emma Bennett, Zoey Hughes, Stephen Handisides, Ash Mosahebi, Paul Banwell, Askari Townshend, Sherina Balaratnam, Dr Nigma Talib, Dr Johanna Ward, Dr Sarah Tonks, Dr Vincent Wong, Dr Tiina Meder, Dr Shirin Lakhani, Hannah Gibson, Haydn Isted, Stephanie Lewis, Dr Nester With thanks to all of our advertisers and brands who have supported our case studies and generously given prizes for our launch.

COVER CREDITS Chloe Jasmine, Magic Owen, Champneys PUBLISHED BY

one media and creative uk ltd

HEAD OF DESIGN Rowena Cremer-Price rcremer-price@markerstudy.com PUBLISHING DESIGN MANAGER Xela Ruy xruy@markerstudy.com DESIGN Amelia Giddings agiddings@markerstudy.com

FEATURES 84 MALE DERMAL FILLER TREATMENT

78 COMPETITION

Keeping your beard and hairline in permanent and

In the Clinic – We take it

we want to keep you young

perfect symmetry is not as

step by step while Andrew

and beautiful and we feel it is

hard as you thought.

Hansford has dermal fillers

our duty to help you do just

with Dr Wong.

that! We have teamed up

76 BEARDSCAPING

At Totally Aesthetic Magazine

82 HAIR TODAY GONE TOMORROW

86 RUGBY NOSE

help you keep stress free and

We talk the UK’s leading Hair

When tough rugby scrums

in tip top shape with over

Transplant Surgeon about

and a player’s nose collided

£2,500 of prizes. Relax as you

what is actually involved in

it resulted in 3 broken noses.

dream of winning loads of

taking the surgical route for

Can a cosmetic doctor fix this

great treatments, experiences

fabulous thick hair.

without surgery?

and products.

with some fabulous brands to

PRODUCTION CO-ORDINATOR Lauren Chalmers-Stevens lchalmers-stevens@markerstudy.com COMMERCIAL DIRECTOR Nick Moore nmoore@markerstudy.com ONE MEDIA AND CREATIVE UK LTD 16 Lonsdale Gardens, Tunbridge Wells, Kent TN1 1NU +44 (0)1892 779 650 • www.one-media.co Totally Aesthetic Magazine is published by One Media and Creative UK Ltd. All rights reserved. The views expressed in this publication are not necessarily those of the owner or publisher.

All prices are correct at the time of going to print. Neither the publisher nor the owner can accept responsibility for any errors or omissions relating to advertising or editorial. No part of this publication may be reproduced without prior written consent from the publisher or owner. No responsibility is taken for unsolicited materials or the return of these materials whilst in transit.

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Untitled-10 2

04/07/2016 11:57

Untitled-10 3

04/07/2016 11:57

TOTALLY AESTHETIC DERMAL FILLERS FOR THE BOYS

Step By Step treatment storyboard

BROTOX IS TRENDING How the surgical and treatment trends have changed for men

LOVE IS IN THE HAIR

How a hair transplant changed the life of one Tinder user

BARBERING BRILLIANCE A close shave at the Bulgari hotel

SKINCARE FOR MEN

We investigate products to keep your skin buff!

1_Covers.indd 2

BE A WINNER We have some great skincare kits in our competition

04/07/2016 15:44