Expert Beauty Spring 2011 by One Media and Creative UK

Spring 2011 SPRING 2011 £4.99

WIN

A SPA BREAK WORTH UP TO

BREAST IMPLANTS FACTS VS FICTION

£2000

EXPERT BEAUTY

SKIN DANGER SIGNS

Considering

COSMETIC SURGERY?

Q&As you MUST read

NON-SURGICAL FACELIFTS do they work?

YOUNGER-LOOKING NECK Beauty Advice You Can Trust

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the expert guide

BOTOX BLOOPERS and how to avoid them

SKIN SPECIAL

THE EXPERTS’ GUIDE TO BETTER SKIN | BLEMISH FREE LEGS | DE-AGE YOUR HANDS

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EXPERT BEAUTY CONTENTS ON THE COVER 14

SKIN SPECIAL

WIN! A luxury spa break worth almost £2000

Acne, eczema and other conditions that get under our skin

A fabulous weekend at award-winning Hoar Cross Hall Spa Resort could be yours – enter now

Save Our Skin 54

The Truth About Breast Implants

Help Is At Hand Options to de-age your hands

Non-Surgical Facelifts

Expert Beauty puts the claims to the test

I Want… Blemish-Free Legs Stop suffering in vein

15 common myths exposed

My Big Fat Hairy Greek Life Anna Magee’s desperate measures to keep fuzz at bay

Spot the danger signs

Going Skin Deep

Beauty Dangers Beauty habits that do more harm than good

Neck Lift A surgeon’s guide to neck rejuvenation

Avoiding Pillow Face Botox bloopers and other needle casualities

Cosmetic Surgery Q&As Everything you ever wanted to know and never knew who to ask

Help Is At Hand

Page 77

EXPERT DIRECTORY: PLASTIC SURGEONS Area Scotland, Ireland and the North Midlands, East England and Wales London and South East England South West England

Area Maps

Surgeon Profiles

85 86 87 88

89 – 98 99 – 107 108 – 118 119 – 122

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The Truth About Breast Implants

Page 30 FEATURES 7 8

Editor’s letter

All the advice you need to make the right choice

Expert Beauty Medical Advisory Board

The experts behind the beauty

Expert Briefing

Natural Confidence

124 Destination Spa Home and away, a guide to 2011’s must-try spas

128 My Beauty Journey

Dr Mark Atkinson’s wellbeing column

Frame Your Face The quest for the perfect specs

The latest news in the world of beauty and cosmetic surgery

Expert Directory: Dentists

Sarah Stacey and Josephine Fairley open up

10 BEST Anti-Ageing Hair Products Tried and tested products for mature hair

Lash out Lash lenghtheners: do they work?

Expert Review: Anti-Age Your Smile Home kits and dentist solutions for a whiter smile

Q&As Our experts answer your questions Dermatologists Vascular Surgeon Dentists Plastic Surgeons

24 - 25 55 - 57 64 - 70 89 - 122 Expert Beauty | 5

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GUEST BEAUTY EDITOR Emma Smith

CREATIVE DIRECTOR Julie Nelson FEATURES & ONLINE EDITOR Yanar Alkayat SUB-EDITOR Marguerite Foulkes MARKETING & PROMOTIONS Mavis Wong Sophie Martin

ADVERTISING Louis Konstantinidis louis@expertbeauty.com 07814 675378 EMC Sales Andrew Nice Deborah Kelly PHOTOGRAPHY Jutta Klee

DISTRIBUTION Gold Key Media CIRCULATION Steve Hobbs DESIGN & PRODUCTION One Media and Creative UK Ltd Steven Bannister

ACCOUNTS Elaine Newman

EDITOR-IN-CHIEF Charles Nduka

ADVERTISING ENQUIRIES Mavis Wong 08444 145 969, sales@expertbeauty.com CONTACT DETAILS ExpertBeauty.com LLP, Suite 13842, Second Floor, 145-157 St John Street, London EC1V 4PY Expert Beauty magazine is published quarterly in the UK Disclaimer Neither this publication nor its content constitutes an explicit endorsement by the publisher of Expert Beauty magazine of the products, or services mentioned in advertising or editorial. The editorial content does not necessarily represent the recommendations of ExpertBeauty.com LLP and is not intended to be exhaustive. While every effort has been made to ensure accuracy, neither the publisher nor contributors shall have any liability for errors or omissions. Prices quoted are correct at the time of going to press. Readers who have questions should consult their healthcare providers or other competent sources of information. Copyright No part of this magazine may be reproduced, copied or stored in a retrieval system without prior written consent of the publisher. ÂŠ ExpertBeauty.com LLP. Cover Image Jutta Klee

To subscribe or obtain back issues visit expertbeauty.com Next Issue: 30th June 2011 6 | Expert Beauty Expert Beauty_March11_Masthead_V2.indd 6

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Welcome to Expert Beauty It’s an exciting time for Expert Beauty as more people begin to reach out for a professional approach to beauty and wellbeing. It’s no longer enough to simply believe the marketing hype which is why we’re passionate about giving you honest, unbiased information from the very best experts in the field. Skin is under the spotlight this issue: skin is everyone’s concern and an integral part of how we look and feel. Whether it’s persistent spots or pigmentation, scarring or sun damage, most of us have a gripe to tackle. What quickly becomes apparent when researching skin conditions is that there’s rarely a quick fix. Going Skin Deep (page 26) unravels the confusion about common complaints and invites the specialists to comment. Talking to an experienced dermatologist is more important than ever when it comes to signs for cancer and with so many of us still unsure what the danger signs are, it makes Save Our Skin (page 20) a must-read for everyone. In this issue you’ll also find expert guides on neck (page 58) and hand (page 77) rejuvenation. Hankering after a refreshing spring break? Turn to page 124 where the spa journalists reveal their favourite destinations. Don’t forget to visit expertbeauty.com for daily news, expert advice and a chance to win a fabulous break for four at the award-winning Hoar Cross Hall (page 14). We’re also on Facebook and Twitter where you’ll find exclusive access to news, competitions, prizes and advice from our specialist panel: visit Expert Beauty Official (Facebook) and @expertbeautymag (Twitter). If you have a beauty query, why not email it to advice@expertbeauty.com? Drop us a line with your views, comments or suggestions – we’d love to hear from you.

Emma Smith Expert Beauty | 7 Expert Beauty_March11_Editor Letter_V2.indd 7

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EXPERT BEAUTY MEDICAL ADVISORY BOARD TRUST IS THE KEY Welcome to the third issue of Expert Beauty, the UK’s most unique magazine about beauty, direct from the experts. Trust is an important issue for our expert contributors and the Medical Advisory Panel. Every day as practising doctors, dentists and surgeons, patients put their trust in us to give advice based on real research and experience – whereas the internet can be rife with misinformation. This is why we launched Expert Beauty – to provide advice that’s factually correct and ethically balanced against the myriad of confusing beauty messages and marketing blurb. Leading doctors, surgeons, dermatologists, dentists and writers explain your beauty concerns and the options available.

DR MARK ATKINSON Holistic medical doctor based in London, co-founder of the British College of Integrated Medicine and founder of the Academy of Human Potential.

Friends and acquaintances often ask, ‘Who would you recommend...?’ which lead us to launch the directory at the back of this magazine. Whilst not exhaustive, the list includes some of the most highly regarded cosmetic surgeons and cosmetic dentists in the country; these advertorials were strictly by invitation only. The growing number of people falling under the hands of poorly trained practitioners for nonsurgical (and surgical) treatments not only leads to over-plumped, frozen faces (read Avoiding Pillow Face, page 74) but can result in serious harm – as with the tragic death of the young British woman who sought cosmetic treatments abroad. This highlights again the need for tighter regulations and better information on cosmetic procedures and practitioners.

MR PAUL BANWELL Consultant plastic surgeon at McIndoe Surgical Centre in East Grinstead. Special interests: breast surgery, body contouring, labiaplasty, skin cancer and skin health.

Over-inflated anti-ageing claims boasted on beauty products are unfortunately another source of mistrust. Perhaps the only harm done is to your bank balance, but with the widespread use of highly retouched photos to promote the products’ effectiveness, it’s becoming increasingly difficult to separate fact from fiction.

Expert Beauty magazine has taken the unusual decision to not accept advertising for antiageing products unless the claims are scientifically robust with objective and independent testing. Medical or cosmeceutical products advertised in this magazine have been approved by at least two members of the Medical Advisory Board as they satisfy stringent criteria for safety and effectiveness. Contributors and product testers do however provide personal opinions about the effectiveness of treatments within features. For more information about this please email editor@expertbeauty.com. We regularly feature reader trials on products and treatments (often using independent tests and 3D scans to assess results) because we’re passionate about giving honest feedback. If you enjoy trying new products and would like to be part of this exciting initiative, please join our Facebook page, Expert Beauty Official.

DR RUSSELL EMERSON Consultant dermatologist and dermatological surgeon at Hove Skin Clinic. Special interests: skin surgery, skin cancer, laser therapy and rejuvenation treatments.

Enjoy Expert Beauty - we look forward to hearing your feedback. Yours,

Charles Nduka MBBS, MA, MD, FRCS, FRCS(Plast) Consultant Plastic Surgeon and Editor-in-Chief

MR HAROUN GAJRAJ Consultant vascular surgeon based in Dorset and Somerset, founder of the VeinCare Centre Special interests: venous diseases, particularly varicose veins, thread veins and hand veins.

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DR ZAKI KANAAN Cosmetic dentist and implant surgeon, he runs K2Dental in London. Special interests: all aspects of cosmetic dentistry, particularly dental implant treatment.

MR ASIT KHANDWALA Consultant plastic surgeon at McIndoe Surgical Centre in East Grinstead. Special interests: breast surgery, body contouring and cosmetic facial surgery.

DR RAJ MALLIPEDDI Consultant dermatologist at Cromwell Hospital, London. Special interests: skin cancer, mole checks, Mohs micrographic surgery, skin surgery, laser therapies and cosmetic dermatology.

MR JAMES MURPHY Consultant plastic surgeon at Spire Hospital, Manchester. Special interests: reconstructive surgery for skin cancer and breast cancer, aesthetic surgery (face, breast, body contouring).

MR DAVID OLIVER Consultant plastic surgeon at Ramsay Mount Stuart Hospital in Torquay. Special interests: breast reconstruction, skin cancer surgery, aesthetic facial surgery and body contouring.

DR JOE OLIVER Cosmetic dentist founder of the Welbeck Clinic in London. Special interests: practising and teaching all aspects of cosmetic dentistry.

DR SAMEER PATEL Cosmetic dentist trained in implantology, he runs Acacia Dental in London. Special interests: invisible orthodontic solutions for conservative smile makeovers.

MR VENKAT RAMAKRISHNAN Consultant plastic surgeon at Nuffield Health Brentwood Hospital. Special interests: reconstructive and aesthetic breast surgery, skin cancer, cosmetic facial surgery, body contouring.

DR BAV SHERGILL Consultant dermatologist and dermatological surgeon at Hove Skin Clinic and Brighton Sk:n Clinic. Special interests: skin cancer, skin surgery, laser treatments, acne, acne scarring.

MR GUY STERNE Consultant plastic surgeon at West Midlands Private Hospital, Birmingham. Special interests: breast reconstruction, aesthetic surgery of the face, breast and body, non-surgical facial rejuvenation.

MR MARK WHITELEY Consultant vascular surgeon based in Guildford and London, founder of the Whiteley Clinic. Special interests: keyhole surgery for varicose veins, treatment of excessive sweating.

DR LYNETTE YONG Cosmetic doctor and surgeon at the Age Management Clinic in London. Special interests: anti-ageing medicine, hormone replacement therapies, facial rejuvenation, body contouring.

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MEDICAL WRITERS DR MARk ATkInSon Holistic medical doctor based in London, Expert Beauty wellbeing columnist Mark Atkinson advocates an integrative approach to health and healing. Founder of the Academy of Human Potential, he is the author of True Happiness, The Mind-Body Bible and Holistic Health Secrets for Women (Piatkus Books). On page 17, Dr Atkinson explains how loving and accepting our self just as we are, is the key to natural confidence.

MR HARoun GAjRAj Consultant vascular surgeon and founder of the VeinCare Centre with clinics in Dorchester, Yeovil, Poole and Street, Haroun Gajraj has over 25 yearsâ&#x20AC;&#x2122; experience of treating people with varicose veins, thread veins and their complications. If, like one in two women, you suffer from unsightly purple veins, turn to page 54 where Mr Gajraj uncovers the new minimally invasive treatments that can restore blemish-free legs.

DR ZAkI kAnAAn Cosmetic dentist and respected implant surgeon Zaki Kanaan runs his private dental practice K2 Dental in London with his wife Dominique. Dr Kanaan also trains dental professionals in the latest techniques including implants and tooth whitening. He sits on the board of directors of the British Academy of Cosmetic Dentistry. On page 62, he compares overthe-counter and professional options to restore a youthful, bright smile.

MR ASIT kHAnDWALA Asit Khandwala is a consultant plastic surgeon at Queen Victoria Hospital, East Grinstead, with private practices at McIndoe Surgical Centre in East Grinstead, Spire Gatwick Park and Spire Tunbridge Wells. On page 34, he warns that plastic surgery is a long-term commitment: choosing a consultant plastic surgeon will ensure continuity of care as well as a procedure tailored to the patientâ&#x20AC;&#x2122;s needs.

MR jAMES MuRpHy James Murphy consults privately at Spire Hospital, Manchester. A senior consultant plastic surgeon at the Christie NHS Hospital, Manchester, he is also involved in the North West aesthetic surgery fellowship programme, training the plastic surgeons of the future. Are you worried that your neck betrays your age? Go to page 58 where Mr Murphy discusses the latest surgical options for neck rejuvenation.

MR VEnkAT RAMAkRISHnAn Venkat Ramakrishnan is a consultant plastic surgeon at Broomfield Hospital, Chelmsford where aesthetic and reconstructive surgery of the breast forms a major part of his work. He consults privately at Nuffield Health Brentwood Hospital, Springfield Hospital, Chelmsford; and Phoenix Hospital, Southend-on-Sea. On page 35, Mr Ramakrishnan reviews some exciting advances in breast enlargement, including the new expandable breast implants.

MR Guy STERnE Guy Sterne is a consultant plastic surgeon at Birmingham City Hospital where he specialises in breast reconstruction. He holds private clinics at West Midlands Private Hospital, Birmingham; Southbank Hospital, Worcester; and Winfield Hospital, Gloucester. If you are considering breast augmentation or if you already have implants, Mr Sterne will put your mind at rest as he deflates the top 15 myths about breast implants on page 30.

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EXPERT BEAUTY CONTRIBUTORS YANAR ALKAYAT Yanar Alkayat is a beauty writer and online editor who has written about all aspects of beauty, health, and wellbeing for glossy and online magazines such as Red, Women’s Fitness, Natural Health, The Ecologist, InStyle.co.uk and Handbag. com, to name a few. As well as seeking the latest anti-ageing beauty scoops, she loves to unearth the best in natural and organic beauty too.

KIA HANSEN Kia Hansen is a freelance journalist and copywriter who focuses on women’s health, beauty and lifestyle articles. She has contributed to several newspapers and glossy magazines, including Prima, Top Sante, the Daily Mirror and At Home magazine. When not working she enjoys running, and walking her dog on the beach at Hastings, on the south coast.

LEAH HARDY For the past 20 years, Leah Hardy has worked for glossy magazines and is a former editor of Cosmopolitan. Since launching her freelance career eight years ago she has contributed to many national publications including The Times, The Sunday Times, The Guardian, the Daily Mail, Red, Top Sante and Grazia. Leah now specialises in writing about health, beauty and wellbeing.

ANNA MAGEE Anna Magee is a freelance features and health writer. Born and brought up in Sydney, she worked in Australia and Ireland prior to moving to the UK in 2003. Her clients include the Daily Mail, Marie Claire, Woman & Home, Grazia and Red magazine – where she was Health Editor until 2008. She is also the Wellbeing Editor of Sainsbury’s Magazine.

EMMA ROBERTSON Being sweet-talked into a perm as a teenager was a traumatic turning point for beauty fanatic Emma Robertson. Having to cope with the frizzy, unmanageable aftermath inspired Emma to pursue a career as a health and beauty writer, helping other women troubleshoot their beauty nightmares. She uncovers the latest trends, tips and products for publications including the Daily Express, Fabulous magazine and Grazia.

EMMA SMITH Emma Smith is the Beauty Director at ELLE magazine. She has been in the fashion and beauty industry for the last ten years. She helped to launch the weekly glossy Stylist and prior to that she worked at Tatler. She continues to report on skin and healthcare breakthroughs, make-up trends every season and travels the world shooting for the magazine.

SARAH STACEY Sarah Stacey, with Josephine Fairley, is the co-author of the best-selling Beauty Bible series. Their latest offering is The Anti-ageing Beauty Bible (Kyle Cathie) the ultimate guide to growing older gorgeously. A renowned, award-winning journalist, Sarah has written for most major newspapers and magazines in the UK and worldwide and she appears regularly on TV and radio.

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COMPETITION

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WIN

COMPETITION

A TWO-NIGHT STAY AT THE AWARD -WINNING HOAR CROSS HALL SPA RESORT WORTH NEARLY

£2000

Hoar Cross Hall Spa Resort is a multi-award winning spa resort at a stunning stately home in Staffordshire. Set amongst acres of beautiful English countryside, this 21st century spa boasts 80 therapy rooms and a spa menu with over 100 treatments. You’ll also find dance classes, tennis courts, archery, a golf course and meditation suites, with a 4000 sq ft gymnasium, hydrotherapy swimming pool and much more.

FOR THE PRIZE WINNER This very special prize is for four people to enjoy two nights and three days in the Royal Suite, with private sauna and hot tub, at Hoar Cross Hall Spa Resort – a prize worth nearly £2000! The break will include breakfast, lunch and à la carte dinner each night.

THE PRIZE ALSO INCLUDES You’ll be pampered with two treatments each and have full use of amenities including saltwater and hydrotherapy swimming pools, water grottos and gymnasium.

HOW TO ENTER There are three ways to enter: a) visit expertbeauty.com and enter your details into the prize draw, b) Join the Expert Beauty Official Facebook page and get exclusive access to competitions and more c) Fill in the form below and post it back to us. You can also visit www.hoarcross.co.uk for spa taster visits and themed weekend offers.

FILL OUT THE FORM AND SEND TO: EXPERT BEAUTY MAGAZINE SUITE 13842, 2ND FLOOR 145-157 ST JOHN STREET, LONDON EC1V 4PY TERMS AND CONDITIONS Closing date of competition June 15, 2011. The winner will be the first entry drawn after the closing date. Entrants must be 18 or over. The winner will receive a two-night stay with three other guests in the Royal Suite. The winner will be notified by email within 30 days of closing date. All prizes must be accepted as offered. There can be no alternative awards, cash or otherwise. All additional charges incurred during the stay are to be paid for upon departure. The competition prize is subject to availability, is non-transferable, non-redeemable and cannot be used in conjunction with any other offer. The winner’s name may be used for promotional purposes.

NAME

ADDRESS 1 ADDRESS 2 TOWN/CITY POSTCODE EMAIL (YOU WILL BE NOTIFIED BY POST AND EMAIL)

IF YOU WOULD LIKE TO RECEIVE FURTHER INFORMATION AND OFFERS FROM HOAR CROSS HALL, PLEASE TICK THIS BOX

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14/03/2011 12:39

Expert Briefing THE LAUNCH OF LIBERATE COSMETIC SURGERY A new service to give consumers confidence before undertaking cosmetic surgery decisions has launched recently, to help reduce misinformation about risks and possible consequences. Liberate gives consumers direct access to leading and highly qualified specialist surgeons from the onset, not a salesperson, nurse or other medical practitioner. Forty plastic and cosmetic surgeons, all members of the British Association of Aesthetic Plastic Surgeons (BAAPS, baaps.org.uk) and/or the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS, bapras.org.uk) have created Liberate to ensure consumers get the highest possible service from initial consultation through to aftercare. The Liberate slogan, BYPASS - Before You Pay, Ask to See Surgeon highlights the need for individuals to take control and be confident in knowing what their cosmetic procedure entails.

fraudulent implants are popular among several cosmetic tourism destinations offering low-cost procedures. BAAPS has issued a warning to women who have gone abroad for breast augmentation, particularly to Belgium, Poland and Czech Republic. Consultant plastic surgeon and BAAPS President Fazel Fatah advises, ‘Contact your clinic to find out what type of implant you have, or if they can no longer be contacted, visit your GP for guidance. It may be necessary to have a breast scan, and if there is a rupture both implants should be removed. This demonstrates the difficulties patients who travel abroad for cheaper cosmetic surgery may have when something goes wrong.’ SaferCosmeticSurgery.co.uk surgeon Mr Murphy comments: ‘This disastrous story highlights the importance of trusting your surgeon, hospital or clinic and implant manufacturer. Breast augmentation is a very competitive area of cosmetic surgery and there is, unfortunately, a perception that the operation should be cheap and easy.’

For more information, visit liberatecosmeticsurgery.com.

Visit SaferCosmeticSurgery.co.uk to contact a consultant plastic surgeon for examination and advice.

SHOCKING SURVEY RESULTS REVEALED

GET READY FOR SUN AWARENESS WEEK

A new survey of the UK market considering cosmetic surgery has revealed that only half of women and men questioned cited safety as the key concern when making a decision. Just over 20 per cent valued the end result as more important and only 22 per cent said surgeon qualifications would be a deciding factor.

With sunny days just around the corner (we hope!) it’s time to get serious about sun protection. Protecting your skin from UVA and UVB damage is the easiest way to maintain healthy skin and prevent early signs of ageing. Luckily at the beginning of May, Sun Awareness Week, launched by the British Association of Dermatologists (BAD, bad.org. uk), is a great port of call for anyone still in the dark about skin cancer and sun protection.

Out of 3000 people who took part in the survey through SaferCosmeticSurgery.co.uk, almost 15 per cent of 18 to 24-year-olds had had some kind of cosmetic surgery. From those, 30 per cent were breast procedures. According to the latest BAAPS survey, breast surgery is still number one in the UK: despite a flagging economy, it was up 10 per cent from last year. For women, blepharoplasty was also up by around seven per cent, and face and neck lifts by 12 per cent. Overall however, gynaecomastia (male breast reduction surgery) was the biggest climber, rising almost 30 per cent in one year. It’s now the second most asked for surgery for men after rhinoplasty.

PIP IMPLANTS REBRANDED AND RESOLD

Research conducted by BAD found a shocking 57 per cent of people still don’t know what the telltale signs for skin cancer are and 69 per cent of us fail to regularly check for moles, discoloured patches or other signs. Early detection of skin disorders is vital for improving survival rates and reducing the chance of recurrence, as well as the need for invasive treatments if cancer is detected. In time for summer, Expert Beauty talked to the experts to understand the signs of danger and how to really look after your skin. Save our Skin (page20) is an essential read for everyone. Don’t forget to check you and your family’s skin regularly and seek medical advice from a GP or specialist if you do detect a change. EB

In the first issue of Expert Beauty we reported on the scandal of the French manufacturers banned from producing and selling Poly Implant Prosthesis (PIP) implants. The gel that leaked into women’s surrounding breast tissue caused swelling, redness and lumpiness and was found to be a substance different to what was originally claimed and tested. Since then, it’s been uncovered by medical news publication Clinica, that PIP implants have been shockingly re-branded and sold under the name M-Implants by Dutch firm Rofil Medical. These allegedly

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WELLBEING

Natural confidence BE PRESENT, WELCOME YOUR EMOTIONS, STOP CRITICIZING YOURSELF: DR MARK ATKINSON, EXPERT BEAUTY’S WELLBEING COLUMNIST, SHARES HIS TIPS FOR BOOSTING NATURAL CONFIDENCE Are you self-conscious or shy? Are you concerned with what others think about you to the extent that it stops you from being yourself? Do you struggle to be at peace with who you are?

moment. Next time you’re stressed try ‘4-7’ breathing. Breathe in to the count of four and out to the count of seven. Repeat a couple of times and notice how much calmer (and in the present) you are.

Most people in my experience answer yes to at least one of those questions. Lack of natural confidence is quite common. What’s more, many so-called confident people aren’t naturally confident, they are just good at projecting what I call ‘artificial’ confidence. Natural confidence is what effortlessly flows out of us when we are relaxed, present and authentic. It’s called ‘being our self’. It is the consequence of loving and accepting our self just as we are.

Here is a tip to help you disengage your thoughts and emotions: next time you shower, brush your teeth, go for a walk or eat, rather than going into your head to think, just gently notice what you can see around you without labelling what you see – just notice. Breathe gently. After a couple of seconds rotate around your senses: see what you can smell, hear, taste and touch - just notice your experience. This is called mindfulness practice.

Artificial confidence in contrast is effortful. It comes from trying to be someone who we are not. When you are in the presence of someone who is trying to be confident you will notice two things. One – they are not present in the here and now, they are usually caught up in a stream of thoughts and emotions. Two – they are tense and not comfortable in their own skin. Natural confidence and artificial confidence are therefore poles apart. That said – they do each have their place.

Learn to welcome and work with your emotions Next time you feel any uncomfortable emotions, notice where they are located in your body and silently, say to these emotions: ‘I’m really pleased you are here.’ Allow yourself to feel whatever you are feeling with the same care and sensitivity that you would extend to a small baby or child. Do this for at least 90 seconds. Nine times out of ten the emotion will release and you will feel so much better.

Let’s imagine for example I’m going to a job interview. It’s important I project confidence. If I’m painfully shy in a room full of people, then knowing how to shift my state of mind to one that is confident will come in handy. I therefore regard developing ‘artificial’ confidence as an essential life skill (for this I recommend Paul McKenna’s book Instant Confidence). Developing natural confidence takes time, energy and a fair amount of ‘inner’ emotional and psychological work, so I suggest you do this work in parallel with learning some more instant ways to experience confidence. Eventually you can drop the ‘artificial’ confidence techniques. Here are some tips to get you started. Be here now Underpinning natural confidence is an awareness of the present. This means being awake, alert and in tune with each moment as it is. What pulls us out of the moment? Well, there are many things including getting caught up in our head’s stories and body’s emotions, but stress is what commonly pulls most of us out of the

Tame the Inner Critic All of us have a part of us that judges and criticises ourselves and others. While this is part of the human condition, it’s also a significant contributor to shame, stress and low self-esteem. Next time you notice you’re giving yourself a hard time, take note of it. For example if you tell yourself, ‘I’m not going to be able to cope with this,‘ say the thought out loud or silently but say it very slowly, with a couple of seconds gap between each word. Repeat twice and notice how this thought, that comes from your inner critic, loses its power. You can use this technique with any stressful or judgemental thought. EB

If you want to continue working on natural confidence take a look at Dr Atkinson’s Freedom Process program. Visit discovertruehappiness.com Dr Mark Atkinson is a medical doctor, wellbeing expert, founder of the Academy of Human Potential, and author of True Happiness (Piatkus £12.99). Find out more at drmarkatkinson.com.

Do you have a question for Dr Atkinson? Email it to dratkinson@expertbeauty.com

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10 BEST

Anti-ageing hair products

SEBASTIAN PENETRAITT SHAMPOO

MATRIX BIOLAGE REJUVATHÉRAPIE CONDITIONER

YES TO TOMATOES DAILY VOLUMIZING SHAMPOO

YES TO TOMATOES DAILY VOLUMIZING CONDITIONER

AVEDA CAMOMILE SHAMPOO

Repairing, strengthening, protecting and colour safe. With matching Sebastian Professional Penetraitt Strengthening and Repair Conditioner, scored highly amongst our testers.

Another top scorer, this specifically anti-ageing range is recommended for long hair. The matching Matrix Biolage Rejuvathérapie Shampoo, came close behind Sebastian’s.

A great daily shampoo with potent antioxidants (gingko and lycopene from organic tomatoes) as well as 26 Dead Sea minerals to boost volume and combat wear and tear.

Trialled by the same group as the shampoo, this conditioner notched up almost as high a score. Also features Dead Sea minerals and lycopene; enhances body and shine.

Brightens highlights and illuminates blonde and lighter shades of hair with extracts of organic camomile and calendula. Use it with the matching conditioner, Aveda Camomile Color Conditioner.

TESTERS SAY ‘Hair looks better than it has in years; I thought I’d always have greasy hair and scalp but no more.’ ‘Left hair really shiny and manageable, tangle-free and easier to style.’

TESTERS SAY ‘Amazing to see such a visible difference in my coarse hair; it shines, is definitely smoother and keeps its shape well – a real standout product.’

TESTERS SAY ‘This worked brilliantly; it left hair shinier with more volume after a few washes, which lasts until the next wash.’ ‘Hair is thicker and fuller, soft and healthy; highly recommend.’

TESTERS SAY ‘My thin fine hair was very glossy, shiny and felt thicker, but not too slippy.’ ‘Hair is shinier that it has been in years and was much easier to manage and style.’

Shampoo £12 for 250 ml, conditioner £14 for 250 ml

Conditioner £9.95 for 250 ml, shampoo £8.95 for 250 ml Stockists:

Stockists: sebastianprofessional.co.uk,

0845 704 5775

matrixhaircare.co.uk, 0845 601 0122

TESTERS SAY ‘Great product, left hair feeling light and clean.’ ‘Fantastic results.’ ‘Made my dry blonde hair blonder, softer and more shiny: I would buy.’

£8.20 for 500 ml £8.20 for 500 ml victoriahealth.com, 0800 3898 195

victoriahealth.com, 0800 3898 195

Shampoo £23 for 1 litre, conditioner £18.50 for 250 ml aveda.co.uk, 0800 054 2979

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BEAUTY EDITORS SARAH STACEY AND JOSEPHINE FAIRLEY, AUTHORS OF BEAUTYBIBLE.COM, HIGHLIGHT THE BEST HAIR PRODUCTS FOR MATURE HAIR FROM THEIR CONSUMER SURVEYS. THESE ARE RECOGNISED AS PROBABLY THE BIGGEST INDEPENDENT TRIALS WORLDWIDE AS EVERY PRODUCT GOES TO TEN WOMEN TO TRIAL AND TEST

JO HANSFORD EVERYDAY CONDITIONER

KERASTASE NUTRITIVE MASQUINTENSE

AVEDA BRILLIANT SPRAY-ON SHINE WITH VITAMIN E

LIZ EARLE BOTANICAL SHINE SHAMPOO

JASON INTENSE MOISTURE TREATMENT

Specifically formulated to nourish and protect coloured hair. Suitable for all shades, from a colourist who’s a London legend. The daily matching shampoo also scored highly.

This beauty classic, which romped in first place from our ten testers, comes from a brand renowned for their salon treatments. Two versions, for thick or fine hair. Widely available online but for utter hair bliss, try the occasional in-salon treatment.

Aveda’s shine-boosting finishing mist for all hair types also tackles flyaways. Less is more: you’re not aiming to end up like a bowl of oiled spaghetti.

This shampoo and conditioner for dry or damaged hair is a favourite of Sarah’s. It contains West African shea butter, natural source vitamin E, shine-boosting apple and orange extracts plus naturally derived cleansers, and cleans without stripping.

One for the green goddess. Packed with shea butter and essential oils, including rose, corn mint, and spearmint, it claims to ‘instantly hydrate dry, damaged hair’ and in Sarah’s experience does just that. Works pretty well used after the Liz Earle Botanical Shine Shampoo.

TESTERS SAY ‘Loved using this, divine smell, hair is very shiny with highlights standing out more.’ ‘My fine hair has been a nightmare for years but I love this and have ordered more supplies.’ Conditioner £17 for 250 ml, shampoo £15 for 250 ml johansford.com, 020 7409 7020

TESTERS SAY ‘Simple to use, hair looked full and shiny.’ ‘Definite de-frizz factor with this wonderful conditioner; hair was lighter, softer, more swingy and not weighed down.’ £25.90 for 200 ml Stockists: kerastase.co.uk

TESTERS SAY ‘Made my long thin hair look shiny with no flyaways, no greasiness and no residue at the end of the day.’ ‘I would definitely buy.’ ‘Amazing shine on my thick coarse grey/ white hair, which lasted all day.’ £14 for 100 ml aveda.co.uk, 0800 054 2979

TESTERS SAY ‘Great for my thick-coloured mane.’ ‘Brilliant for anyone with flaky dry scalp.’ Shampoo £7.65 for 200 ml, conditioner £7.65 for 200 ml lizearle.com, 01983 813913

TESTERS SAY ‘A wonderful, deep conditioning treatment.’ ‘Great for very dry or coloured hair.’ £8.29 for 150 ml jasonnaturalcare.co.uk

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skin

Save o skinur

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our

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Save our skin Sav ouer ski n

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Pigment Problems range from unsightly age sPots to awkward moles. but when should skin marks be a cause for concern? Kia Hansen asks the exPerts

Freckles Why they develop: ‘freckles result from increased concentrations of melanin in the skin; melanin is the pigment which gives skin and hair its colour,’ says dr raj mallipeddi, consultant dermatologist and leading skin cancer expert based in london. freckles are genetic and fade in winter, and as you get older. ‘if your freckles don’t fade in winter, they are actually age spots,’ says dr bav shergill, consultant dermatologist and dermatological surgeon at the hove skin clinic. Treatments: ‘creams such as retin-a or hydroquinone are good for those who do not

want aggressive treatment, although they need to be applied daily for several months to achieve an effect,’ says dr mallipeddi. other methods used to treat age spots (see next page) can also be effective. you should always apply a high-sPf cream to prevent further freckles appearing. Warning signs: ‘freckles themselves do not generally develop into skin cancer. however, some skin cancers may appear as a freckle, so if one appears suddenly, changes in size, shape or colour or starts to itch or bleed, you should get it checked out,’ says dr mallipeddi. ➞

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skin

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SKIN

Age/liver spots

Moles

Why they develop: ‘They are a result of photo-ageing (getting older in combination with sun exposure), and caused by an increased number of melanocytes in the skin - these are the cells which produce melanin,’ says Dr Mallipeddi.

Why they develop: ‘Some people are born with them,’ says Dr Mallipeddi. ‘They may also develop later, commonly in early childhood, partly due to genetic factors and sun exposure.’

Intense Pulsed Light (IPL): ‘This reduces dark pigment and evens out skin tone,’ explains Dr Shergill. ‘You may have redness for up to a day, but you can wear make-up straight away. Avoid the sun for a week, and wear a sunblock for six weeks after treatment. Only one or two treatments could give excellent results.’ Liquid nitrogen cryotherapy: A freezing spray used to treat viral warts. ‘The area treated generally becomes red, swollen and possibly crusted for a few days before fading. This is ineffective if not performed adequately but can lead to scarring if too aggressive,’ warns Dr Mallipeddi. Pigment specific laser (such as Q-switched Ruby or Q-Switched Nd:Yag): The area may be red and scab over for up to ten days. ‘Usually only one or two treatments are required. This is safe for all age groups if used appropriately,’ says Dr Mallipeddi.

‘

The vast majority of moles do not become cancerous so removing them is unnecessary

’

New lumps or spots that appear suddenly, and remain for more than a month Freckles or skin marks that change size or shape or keep growing A patch of scaly skin, similar in appearance to eczema Ulcer-type sores that don’t heal Itchy, painful, bleeding or scabby spots that do not heal.

More information: Dr Bav Shergill is based in Hove, East Sussex (01273 719834, hoveskinclinic.co.uk). Dr Raj Mallipeddi consults privately at the Cromwell Hospital in London (020 7460 5700, crowmwellhospital.com). Consult your GP or a specialist if concerned: visit bad.org.uk or bapras.org.uk for more details. EB

Save our skin Learn your ABC: it could save your life

Save y skinour

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If one or more apply, you should seek advice from your GP

our

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The ABC of skin cancer A Asymmetry: is the mole the same shape and colour on both sides? B Border: is the edge irregular or jagged? our C ve Colour: has it changed or become uneven? D Diameter: has it enlarged or is it more than 6mm? E Elevation: has it become raised? Exp

Warning signs: ‘Age spots themselves are not pre-cancerous,’ says Dr Shergill. ‘But they are proof that you have had a lot of sun exposure, and photo-ageing.’ So the fact you have them may mean you have an increased risk of skin cancer. (See box.)

Warning signs: ‘Moles can develop into melanoma, which is a form of skin cancer requiring urgent treatment,’ says Dr Mallipeddi. Dermatologists use the ABC rule to check for changes. ‘Itching or bleeding can also be cause for concern, and should be investigated,’ he adds.

LOOK OUT FOR SYMPTOMS SUCH AS:

Chemical peels: ‘Peels can help reduce age spots but there is at least a week of downtime, plus skin may be red for a few weeks. They can be quite painful,’ says Dr Shergill.

Treatments: Raised moles can be removed surgically, under local anaesthetic; flat moles may also be removed this way, or by laser - but only if they are considered benign. There is scarring involved, so unless moles are thought to be a cancer risk or causing discomfort, they are generally left alone. ‘The vast majority of moles do not become cancerous so removing them is unnecessary,’ says Dr Mallipeddi. ‘However, benign moles may be removed because they are inflamed or irritated, or because they are unsightly.’

The majority of skin cancers don’t develop from moles so you should examine your skin regularly for any changes. ‘It’s important for people to check themselves and at any sign of change, see their GP who can send them to a specialist,’ says Dr Shergill. ‘Even if you have a cancer, modern techniques are very effective and the outcome, particularly if it’s picked up early, is generally very good.’

Treatments: There are several options to reduce the appearance of these spots, so consult a specialist to determine which one is best for you.

CATCHING CANCER EARLY…

Beaut

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skin

What’s your skin type? Dr Thomas FiTzpaTrick From harvarD UniversiTy DevelopeD a skin Type scale To help assess The chances oF Developing skin cancer. ToDay iT’s also UseD To check The sUiTabiliTy oF paTienTs For laser anD pUlseD lighT TreaTmenTs TYPE

SKIN

HAIR

EYES

REACTION TO SUN

Caucasian Pale skin Freckles

Blonde or red

Blue

Very sensitive Never tans

Caucasian Pale skin Freckles

Blonde or red

Blue or green

Sensitive Burns easily Tans with difficulty

III

Caucasian Fair to medium tone

Brown

Brown or green

Sensitive Burns moderately Tans gradually

Mediterranean Asian Hispanic

Brown or black

Brown

Mildly sensitive Always tans

Middle Eastern Latin Olive Mixed race

Brown or black

Brown

Rarely burns

Indian or Black

Black

Brown

Never burns

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Consultant Dermatologist

Russell Emerson FRCP, DM, MB ChB Dr Russell Emerson is a Consultant Dermatologist specialised in medical dermatology, skin surgery and cosmetic dermatology. His experience includes many years working as a Consultant Dermatologist in Brighton and other leading centres of excellence in the UK. He is a member of the British Association of Dermatologists and Clinical Director of a community NHS service. Dr Emerson is one of a handful of UK dermatologists who has set up a private clinic to provide the very best care to patients. Hove Skin Clinic is situated just along the seafront from Brighton in East Sussex. The clinic is considered to be a leading specialist centre in the UK, equipped with state-of-the-art laser systems. Aesthetic procedures include laser therapy (for facial thread veins, facial redness, rosacea and acne scarring), rejuvenation treatments (Intense Pulsed Light and radiofrequency skin tightening), sclerotherapy (for leg veins), botulinum toxin and dermal fillers. The clinic also provides treatment for skin lesions including skin cancer, warts, keratoses, skin tags, benign facial and body moles. Such experience had made Russell much in demand as a trainer for live demonstrations of technique and advanced training in aesthetic procedures in London, Paris, Monaco, Lisbon and Hong Kong. Russell has also appeared on TV shows such as Embarrassing Bodies, ITV This Morning and Extreme Makeover. To arrange an appointment with Dr Russell Emerson at his private clinic in Hove, please call 01273 719834 or visit www.hoveskinclinic.co.uk.

Q&A Are there any new exciting developments for patients? ‘The most exciting new technology is radiofrequency rejuvenation and skin tightening, which proves popular with patients and gives excellent results. The radiofrequency waves heat the collagen fibres, making them tighter and more compact - so improving fine lines and wrinkles. As the waves pass through the top layers of the skin without damaging the epidermis, there is very little aftercare or downtime.’

‘I like to build relationships with patients so that they know they can trust in the service provided and feel that they are getting a high-quality opinion by an expert who understands their needs.’ 24 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 24

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Consultant Dermatologist

Bav Shergill BSc, MBBS, MRCP Dr Bav Shergill is a Consultant Dermatologist with a specialist interest in skin surgery and laser treatments. His practice covers all areas of dermatology as well as cosmetic treatments, such as Botox, fillers and laser resurfacing. He has a particular interest in the management of acne and acne scarring. He initially studied medicine at Guy’s and St Thomas’s Hospital and then worked as a dermatologist across London, including at The Royal Free and The Royal London Hospitals. He completed his specialist training with a fellowship at the world-renowned St John’s Institute of Dermatology in London. There he learnt highly specialised procedures, such as Mohs Micrographic Surgery and skin grafts, as well as laser treatments. He is currently the lead clinician for skin cancer in Sussex. Dr Shergill is a media spokesperson for the British Association of Dermatologists. His memberships include the Royal Society of Medicine, the Royal College of Physicians, the British Association of Dermatologists, the British Society for Dermatological Surgery and the American Society of Dermatologic Surgery. He has appeared on the BBC and in a number of national newspapers. He lives in Hove with his wife and daughter and enjoys playing the guitar, photography and running. To arrange a consultation with Dr Shergill, please contact his private secretary, Ann Rossi, on 01273 719834. For further information, visit www.glowdermatology.com.

Q&A Which new treatments do you think are the most effective for reversing the signs of ageing? ‘While Botox and resurfacing treatments are very popular for reducing fine lines and wrinkles, I have found that restoring volume to the face gives a more dramatic improvement. For example the latest filler products can be injected into the cheeks to lift and enhance them. Raising cheeks by only 2-3mm significantly reduces facial sagging and deep lines.’

‘My philosophy is to treat every patient as an individual in order to tailor the treatments to their specific needs. I am there to guide them through all the options to reach their goals.’ Expert Beauty Promotion | 25 Expert Beauty_March11_Profiles_All_v7.indd 25

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SKIN

Going

skin deep YOUR SKIN IS THE BODY’S LARGEST ORGAN BUT ALMOST A THIRD OF THE POPULATION SUFFER FROM A SKIN DISORDER. WHETHER IT’S A COMMON COMPLAINT OR SOMETHING LESS TALKED ABOUT, WE HAVE EXPERT ADVICE ON WHAT IT IS AND HOW TO DEAL WITH IT. BY YANAR ALKAYAT

Adult Acne

Eczema

WHAT IS IT? ‘The simplest definition for acne is: a skin condition caused by changes in the hair follicle and its associated sebaceous gland,’ says Dr Howard Murad. It’s a chronic condition developing later in life unlike teenage acne which fades. The skin appears greasy with small whiteheads or larger areas of inflammation and pus.

WHAT IS IT? Eczema, a form of dermatitis, is a dry, red and very itchy inflammation of the epidermis (outer layer of skin). There are several different types and in extreme cases there may be weeping, cracking or blistering.

WHO GETS IT AND WHY? ‘Acne rarely has a single cause,’ says Murad in his book The Water Secret. When pores get blocked by clumps of old and new skin cells they mix with trapped sebum, causing pus which attracts bacteria and causes inflammation: it’s a vicious cycle. Hormonal imbalances, stress, reactions to medication, and possibly an imbalance in friendly gut bacteria are thought to drive the process. Each patient has their own personal mixture of factors that drives their acne. TRADITIONAL TREATMENTS ‘An early approach was to strip skin of sebum but this actually kicks the sebaceous glands into overdrive, producing more sebum,’ says Murad. Antibiotics can clear up the skin but don’t deal with any underlying issues. ‘Retinoic acid creams and tablets are very effective at curing patients but may have many side effects,’ says Dr Bav Shergill who advises careful supervision from a dermatologist for this class of medication. Photodynamic therapy (light therapy) kills the bacteria which produces the inflammation. Six weekly treatments are recommended for severe acne. LATEST ADVANCES Recent research has shown that reducing refined sugars and replacing them with low glycaemic foods may help prevent acne. A good diet is essential for skin health. Nutrition Solutions for Optimising Skin Health by Holly Taylor and Mark Atkinson (£5.99, Another Country Publishing) covers possible triggers and a natural approach to acne and other skin conditions.

WHO GETS IT AND WHY? One in 12 adults suffers from eczema, says the National Eczema Society. Atopic eczema is common, often inherited and linked to other allergies. In adults, seborrhoeic eczema appears as dry skin flakes in the scalp, face or chest, caused by overgrowth of a yeast. Gravitational eczema (also known as varicose or stasis eczema), is due to poor circulation and affects the lower legs. Discoid eczema appears as very itchy coin-shaped discs on the lower legs and forearms. TRADITIONAL TREATMENTS Aqueous cream was the original port of call for doctors but recent studies have confirmed it irritates skin as it contains sodium lauryl sulphate (SLS), a harsh, moisture-stripping ingredient that can exacerbate eczema. Always check emollients are SLS-free. Be careful with topical steroid creams too. While effective in controlling eczema they may cause skin damage if used for too long at too high a strength. LATEST ADVANCES ‘The filaggrin gene is thought to be responsible for most cases of eczema, leading to the development of designer drugs to target it, such as Protopic and Elidel, which have revolutionised symptom control. These drugs do not have the side effects of steroids (thinning and discolouration of the skin) and can be used on the face with confidence,’ says Dr Shergill. ➞

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SKIN

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SKIN

Age spots

Psoriasis

WHAT ARE THEY? Harmless, flat, yellow or brown discolorations usually on backs of hands, face and neck. Any change in colour or size means you should visit your GP to check it’s not something more serious. Read more about this in Save Our Skin on page 20.

WHAT IS IT? This common skin condition affects around three per cent of the population. Expect red, scaly bumps on elbows, knees, back and scalp that are itchy, cracked or crumbly.

WHO GETS THEM AND WHY? More common in people over 40 as they develop over time with sun exposure and the body responds by producing more melanin. TRADITIONAL TREATMENTS ‘Pigmentation is a stubborn problem and treatment can take up to three to six months for best results,’ warns Dr Stefanie Williams, founder of European Dermatology London. ‘Effective skin-lightening cream ingredients include hydroquinone, vitamin A acid and azelaic acid on prescription only, with careful supervision by a dermatologist. Kojic acid slows down production of new pigment so accelerates the shedding of existing pigment when combined with an exfoliating ingredient such as glycolic acid,’ says Dr Williams. LATEST ADVANCES ‘I find that laser treatment can remove 90 per cent of age spots in two sessions whether on the hands or face and my patients are very satisfied at the swift results,’ says Dr Shergill.

WHO GETS IT AND WHY? Skin cells usually renew every three to four weeks but with psoriasis it’s around two to six days, causing a plaque of silverywhite scales (skin cells). One view is that all skin diseases mirror what is going on in the gut, ‘whether it be a food intolerance, parasite or fungus overgrowth or more commonly damage to the gut lining’, says Dr Shamim Daya. Dr Shergill adds, ‘There are also genetic factors at play. Psoriasis could flare up following throat or urine infections, at times of stress and if the sufferer is a heavy drinker.’ TRADITIONAL TREATMENTS Topical creams such as anti-inflammatory corticosteroids can help reduce swelling and redness. Topical vitamin D and specialised light therapy can clear psoriasis temporarily too. A dermatologist can advise on the best approach for your skin and lifestyle. LATEST ADVANCES ‘In severe cases, immunosuppressive drugs such as methotrexate or cyclosporine may be required to keep the disease under control. More recently drugs called biologics have been developed with good effect in psoriasis,’ says Dr Julia Scarisbrick. EB

Rosacea WHAT IS IT? A skin condition causing redness, bumps and flushing on chin, forehead, nose and cheeks. WHO GETS IT AND WHY? More common in women and fair skins. It starts with redness and flushing on the cheeks, chin and forehead, which can develop into a darker shade, with bumps and spots. ‘Common food culprits include wheat, dairy, yeast, caffeine, sugars and alcohol,’ says Dr Daya. Other contributory factors: stress, sunlight and problems with the lining of the gut. TRADITIONAL TREATMENTS Calming creams containing vitamin E to soothe skin and reduce inflammation. LATEST ADVANCES ‘Oral tetracyclines can reduce persistent, unsightly spots and background redness can be improved with IPL light treatment. Try green-tinted make-up to lessen the appearance of red skin,’ recommends Dr Shergill.

Where to get treatment Dr Bav Shergill is a consultant dermatologist based at the Hove Skin Clinic, East Sussex (01273 719834, hoveskinclinic.co.uk). Dr Shamim Daya is a GP with a special interest in preventative medicine. She practises at Wholistic Medical Centre in London (020 7580 7537, wholisticmedical.co.uk). Dermatologist Dr Stefanie Williams practices at European Dermatology London (020 7467 8500, eudelo.com). Dr Julia Scarisbrick is a consultant dermatologist. She practices at The London Skin Clinic at 108 Harley Street (0207 563 1234, the-london-skin-clinic.co.uk).

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MYTHBUSTERS

The

truth about breast implants

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MYTHBUSTERS

Can they really burst or freeze, do they have an expiry date, are they dangerous for your health? Consultant plastiC surgeon Guy Sterne deflates the top 15 myths about breast implants

0115 02 09 03 10 04 11 05 12 06 13 07 14 08 15 09 10 11 12 13 14 15 01 02 03 04 05 06 07 08 01 09 02 10 03 11 04 12 05 13 06 14 07 08

Breast implants can explode on a plane or while scuBa diving

everYone can tell when a woman has Breast implants

saline implants are just as good as silicone implants

this started as an april fools’ day joke: a leading airline company told their cabin crew to be wary of the dangers of silicone implants blowing up at high altitudes. the reality is that these incredibly tough implants can easily cope with small atmospheric pressure changes associated with 01 02 03 flying or deep diving. by the way, they can’t freeze either: this is another urban myth.

With careful planning and selection of an appropriate implant, most women with breast implants look completely natural. you would only know they had implants if they told you, unless they deliberately opted for the ‘enhanced’ look.

breast implants all consist of a silicone rubber outer shell filled with a filler material. there are only two allowable filler materials: saline (salt water) or silicone. saline feels like a bag of water inside the breast. over time it escapes so that the implant deflates and develops ripples which 13 14 15 can be felt and seen.

04 05 06 07 08 09 10 11 12

implants make Your Breasts feel unnaturallY firm 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15

silicone can be made to closely mimic 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15

You have to replace implants everY ten Years

the consistency and feel of normal breast tissue. What can happen though (in about one in 20 breast implants), is that the implant may become firm due to an unnatural build-up of scar tissue around the implant – we call this ‘capsular contracture’.

silicone Breast implants are dangerous silicone implants are one of the most widely and extensively studied medical devices and have been used for breast enlargement since the early 1960s. silicone is the most inert, biocompatible material used in medicine. a huge amount of research worldwide 13 14 15 shows that it is safe.

We do not know how long any given breast implant will last for, but national data collected over a 17-year period suggests that about 5 per cent of implants need to be changed in the 01 02 03 04 05 06 07 08 09 10 11 12 first year (due to capsular contracture mainly) and after this time, these augmentation surgerY implants fail at a rate of about 1 per is painful cent per year. therefore after ten 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 years about 15 per cent will have been stretching of the breast tissue is replaced, but 85 per cent are still the main cause of discomfort with You will not Be aBle going strong. i recently replaced a pair this procedure. Women who have to Breastfeed with of implants which were put in 42 years already had their breasts ‘stretched’ implants ago. the usual sign that an implant by breastfeeding find this procedure needs to be replaced is that the less uncomfortable, as do women who the breast gland produces milk, which breasts start to go hard, may become opt for smaller implants. placing the travels along breast ducts to the surface of misshapen or uncomfortable. if they implant under the muscle is more the nipple. because a breast enlargement remain soft and natural there is no uncomfortable but may be the only operation does not divide these milk ducts, need to change the implants at all. way to properly cover the implant. breastfeeding is not affected. ➞

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MYTHBUSTERS

5 01 06 02 07 03 08 04 09 05 10 06 11 07 12 08 13 09 14 10 15 11 0112 0213 0314 0415 05 06 07 08 09 10 11 12 13 14 15

Low-price breast surgery doesn’t compromise the resuLt There is a certain floor beneath which prices cannot drop. There are costs associated with using good implants, an operating theatre in a reputable private hospital, an experienced, skilled anaesthetist and a BAPRAS and/or BAAPS-registered 01 02 03 04 05 surgeon. Safety is priceless.

Fat injections to the breast wiLL repLace breast impLants

they are smaller and easier to treat. Because X-rays do not pass through silicone, standard mammography (breast X-ray) is more difficult. However, it can be done slightly differently which allows almost as much breast tissue to be X-rayed. Ultrasound scans, CT scans and MRI scans can all be done normally.

There has been a lot of recent and exciting work on fat transfer: sucking fat from a patient’s buttocks, tummy and thighs, and then injecting it back to reshape various body areas. However, research has shown that in addition to fat cells, stem 06 07 08 09 10 11 12 13 14 15 cells are transferred too. There are concerns over the the impLant is safety of injecting stem cells aLways best 6 07 08 09 10 11 12 13 14 15 into normal breast tissue – pLaced beLow the teardrop-shaped and whether this will induce muscLe rather any cancerous changes. For impLants are than above it this reason, fat transfer is not more naturaL currently recommended for than round This needs to be discussed breast enlargement. carefully with your surgeon. impLants 01 02 03 04 05 06 07 For 08 the 09majority, 10 11placing 12 13 14 an implant in front of the Teardrop implants are a 02 03 04 05 06 07 08 09 10 11 12 13 14 15 muscle results in a more good choice for women with very little breast tissue who it’s impossibLe to natural-looking and naturalbehaving breast. However, wish to achieve as natural a saFeLy examine in slim women the edge of shape as possible: a round your breasts the implant can sometimes implant would result in a with impLants be seen or felt. Placing the round, slightly unnaturally implant under the muscle shaped breast. If a woman Quite the opposite, as the is more painful initially, has a reasonable amount implant is placed behind and results in a firmer, less of breast tissue there are the breast tissue which is mobile breast. Moving the no real advantages to the pushed forward, making it arms can occasionally cause teardrop-shaped implants, easier to feel and examine. the muscle to squeeze the since there is enough Women with breast implants breast implants so they move natural breast tissue to tend to find lumps in their upwards and outwards. create a natural shape. breasts more easily, when

droopy breasts shouLd aLways be corrected using a Large impLant Droopiness is caused by a relative loss of breast tissue or a relative excess of breast skin - childbirth and weight loss being two common causes. Breast implants may fill the breast back up but in some cases the breast enlargement operation needs to be combined with a breast uplift (mastopexy). As this does leave significant scars on the breast, a careful decision needs to be made between additional scars or a degree of residual droopiness.

breast impLants cause breast cancer Many studies have shown that women with silicone breast implants actually have a lower risk of developing breast cancer. The reason may be that women choosing breast enlargement tend to have smaller breasts, and smaller breasts tend to have less breast cancer. ➞

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MYTHBUSTERS

Consultant or company? WHO SHOULD YOU TRUST TO SHAPE YOUR DREAM BUST? THE SEDUCTIVE ADVERTS AT THE BACK OF WOMEN’S MAGAZINES? CONSULTANT PLASTIC AND COSMETIC SURGEON ASIT KHANDWALA PONDERS THIS CRUCIAL DECISION

CHOOSING YOUR OWN CONSULTANT SURGEON MEANS He or she will personally meet and discuss with you both before and after your operation.

A COMPANY May hand your care to whoever it sees fit. Pays the surgeon a fraction of the usual fee so he or she has to work much faster to earn the same.

The same surgeon you see during your consultation also performs the operation.

May use cheaper implants with shorter lifespan.

The same surgeon is responsible for your aftercare.

May replace the surgeon at any stage.

He/she has a reputation to protect locally as he/she practices in your area.

May leave you with little recourse if things go wrong.

On retirement your consultant will normally hand his/her practice to a trusted and able colleague to continue your aftercare. You’ll have a consistent contact if you have any concerns.

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MYTHBUSTERS

Adjustable breast implants expanding the possibilities Consultant plastic and cosmetic surgeon Venkat Ramakrishnan discusses recent advances in breast enlargement

patients may still need implants under the muscle if they are very slim.

Today, most patients who request breast enhancement care about achieving breasts that feel natural, move naturally and don’t look ‘fake’. Refinements in surgery, advances in implant design and manufacturing techniques, and sophisticated theatre equipment allow us to meet these expectations better.

A recent advance gives the patient greater control over the end result of their breast enhancement surgery: the Spectra Adjustable Gel Implant. Originally designed to address problems of asymmetry, the Spectra implant has an adjustable inner chamber that is filled with saline solution and a self-sealing valve system. The surgeon is able to top up the saline, gently and safely increasing breast size, either during the operation or when the patient is fully awake and recovered. It allows her to participate in the final result, giving her greater satisfaction. When the desired result has been achieved, the surgeon removes the valve tubing to complete the procedure without disturbing the incision.

In the majority of my patients I use the new ‘subfascial pocket’ technique, to make the upper part of the implant less obvious. The implant is placed behind the covering of the muscle and not behind the muscle itself, ensuring a more natural-looking result. A small percentage of

Any cosmetic procedure can have complications. However, careful and detailed preoperative consultations between the patient and an experienced surgeon will minimise such risk and help meet the patient’s expectations. EB

Breast augmentation can now be performed as a day care procedure for suitable patients. The operation lasts about 45 minutes and because of the precise surgery and advances in anaesthetic techniques, the patient can return home after a few hours to recover in comfort.

CASE STUDY Beauty therapist Laura Draper was an A cup size. She had long wanted breast implants – her sisters have at least a DD size breasts and the family joke was they had her share. ‘I know it was a joke, but the fact that my boobs were so small really affected my confidence – even my relationships,’ said Laura.‘I hated going into changing rooms because I felt people would be looking at me. I used to stand in front of the mirror stuffing things down my bra to see what I would look like.’ She said of the procedure, ‘The fact I could actually see how my breasts look and still have my surgeon make an adjustment if I wanted was very reassuring. I am absolutely delighted with the end result.’

Laura Draper had Spectra adjustable breast implants with Mr Venkat Ramakrishnan.

Mr Guy Sterne is based in Birmingham. Visit consultantplasticsurgeon.co.uk or call 07825 581 919.

Mr Venkat Ramakrishnan is based in Essex. Visit cosmeticsurgeryessex.com or call 01245 463439.

Mr Asit Khandwala consults at the Spire Gatwick Park Hospital in Surrey. Visit plasticsurgeon.org.uk or call 01342 330 343.

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FACE

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NON-SURGICAL

FACELIFTS They promise a loT buT do They deliver? NoN-surgical facial rejuveNaTioN is big busiNess, buT uNlike mediciNes These TreaTmeNTs do NoT have To show scieNTifically proveN beNefiT before beiNg adverTised To The public. iN The firsT of a series of arTicles, experT beauTy puTs The claims To The TesT by Marguerite Foulkes

oraliFt

caci ultimate

WHat developped by dr Nick mohindra, oralift is a plastic device moulded to teeth to increase the space between the upper and lower jaws. by aiming not to bite the mould, muscles are elongated and the corners of the mouth turn up, giving the appearance of a slimmer face.

WHat The new caci ultimate is a four-step system with tailor-made levels of micro-current that stimulate the facial muscles. Treatment targets sun damage, blemishes, acne and scarring as well as fine lines and wrinkles.

Process four-month initial course wearing the appliance one hour in the morning, one hour in the evening, every third day. after one month you wear another appliance that keeps jaws apart even further. after this four-month course, oralift should be worn twice a year for a twomonth course.

Process microdermabrasion with silicone-coated tips smoothes skin’s surface and led light therapy targets sun damage and scarring. electromagnetic impulses with a probe help to restore facial muscle tone followed by a ‘wrinkle comb’ brushed over lines and wrinkles.

aiM a subtle, overall rejuvenating effect that lasts for years. tHey say oralift is non-invasive: the patient’s body does the work naturally. eb says it is a long-term process and because of muscle trauma, oralift shouldn’t be worn too often. tester (Marguerite, 48) says ‘because it’s impossible to clench while wearing oralift, i became more aware of the space i should leave between my jaws. a side effect i didn’t expect: my tension headaches were dramatically reduced. after three months a 3d scan (see page 45) showed more volume in the tear trough area (under the lower eyelid), a substantial reduction in crow’s feet, more definition in cheek contour and some tightening of the jaw. a 2d skin assessment highlighted 20 per cent improvement in wrinkles, 17 per cent improvement in texture and pores 11 per cent tighter.’ oralift fitting from £575. added dimension dentistry in london, 020 7636 9978 and oralift.com.

aiM Temporarily improving skin tone, elasticity and freshness of complexion. tHey say Non-invasive, caci ultimate is suitable for all ages and skin types. great for acne scarring and treating sun damage too. eb says you have to be committed to a course of ten 60-minute sessions. tester (MelaNie, 48) says ‘The treatment is relaxing apart from the ‘probing’ with the electric current wands. when the current increased (fourth session) i felt a slight metallic taste in my mouth as i have lots of fillings. any redness after the treatment fades after an hour. friends have said i look well, as though i’ve been on holiday and my skin feels fresh and more toned: the effect is subtle but definitely noticeable.’ from £40. salons nationwide: 020 8731 5678, caci-international.co.uk. our tester went to the c2 clinic in hampstead, c2clinic.com. ➞

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CHROMOGENEX 3D FUSION LIFT WHaT Fusion 3D Lift is the first system to combine laser, acoustic wave and diamond to achieve instant facelift results. PROCESS There are three stages: skin preparation to remove dead skin cells and increase blood flow; then an acoustic wave gently vibrates the skin cells to prepare for hyaluronic acid gel; finally an infrared laser activates the hyaluronic acid and tightens skin. The procedure finishes with a peptide cream to weaken facial muscles. aIM As a one-off treatment for a special occasion or as a course of treatments to freshen the face. THEY SaY Non-invasive and painless; instant results after just one treatment. EB SaYS The effects of the facials are cumulative but how long result lasts is uncertain. A course of six one-hour treatments is recommended (one per week), and then once a month as maintenance. Expensive in the long run. TESTER (KaREN, 47) SaYS ‘I have tried a variety of treatments over the years and I felt this gave really good results. Wrinkles are less deep, my skin feels and looks fresher and firmer and I have a clean healthy glow.’ £125 single treatment, £300 for three treatments, £500 for a course of six (recommended for best results). 020 8742 2204, dermclinic.co.uk.

INDIBa FaCE aND EYE TREaTMENT WHaT A high-frequency current raises the internal temperature of human tissue to regenerate cells. An alternative to more invasive surgery. PROCESS You lay on a couch with a small metal plate under your back for conductivity. Cooling gel is applied to the face then a probe is used to massage certain points to open up the channels. Further facial massage follows with the probe, which gets warmer. The whole treatment lasts for 20 minutes. aIM Skin firming and under eye bags. THEY SaY Quick, painless and non-invasive. EB SaYS The number of treatments varies with each case but visible results can be seen even after a couple of sessions. Indiba cannot be used during pregnancy or with patients with a heart condition.

BEaUTY aCUPUNCTURE WHaT Beauty acupuncture stimulates the facial muscles, increases the flow of oxygen and nutrients to the face, strengthens skin fibres and reduces puffiness around the eye. PROCESS John Tsagaris’ treatment involves a combination of facial shiatsu, reflexology and acupuncture techniques to reduce visible signs of ageing. aIM A holistic approach to beauty concerns. THEY SaY Only one session will leave you feeling relaxed and looking glowing. EB SaYS You have to be comfortable with having needles inserted into your face and limbs.

TESTER (EMMa, 54) SaYS ‘The treatment is not particularly pleasant but neither is it uncomfortable. Post-treatment I was glowing, with pink cheeks and skin as smooth as a baby’s bottom. My treatments concentrated on under eye circles and general contouring. After four treatments, my skin looked noticeably better - marionette lines around the mouth were reduced as well as the dark circles under my eyes.’

TESTER (KaTIE, 36) SaYS ‘John started with a few needles in my hands and legs to relieve my stress from the day – this felt similar to plucking your eyebrows: a sharp, tolerable prick. After 15 minutes I had about 90 needles in my face and was left under a facial heater to relax. Removing the needles was quick and pain-free with no post-treatment sensitivity. My face looked instantly healthier, less drawn and with more colour. It was also a very healing and calming experience, which I would certainly do again.’

From £45 - £100.

£200 for a 45-minute session.

Salons and clinics nationwide: 0845 468 0560, indiba.es. To book an appointment with Mr Paul Banwell call 0845 260 0261, paulebanwell.com.

020 7235 4676, johntsagaris.co.uk. ➞

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TUA TRE’ND FACIAL EXERCISER WhAT At-home gadget using microcurrent technology to target sagging skin around cheeks, chin and jowls and to reduce the appearance of wrinkles and under eye bags. PROCESS The Tua Tre’nd workout covers five facial zones. You spend up to 30 minutes on your zone of concern over ten weeks. AIM Toning sagging skin and jowls. ThEY SAY Exercise for your face, what could be more natural? Very affordable in the long run too. EB SAYS Commitment to 30-minute sessions, six times, then three times a week is needed. TESTER (MARY, 42) SAYS ‘This device is easy to use and extremely portable - I even took it camping! Comprehensive instructions, a DVD and excellent battery life. Some parts of my face were more sensitive to the pulses but you can build up tolerance. After 20 minutes, my skin felt soft, moisturised and glowing - like after a facial. My before and after pictures showed a noticeable improvement in lip contour, jaw and chin definition and a reduction of naso-labial folds.’ £209.

ThE LIFT WhAT A quick fix face-lifting mask treatment to ‘rejuvenate’ tired skin. PROCESS Mix the booster, containing the active ingredients with the mask powder to form a paste, which is enough for the face and neck. Use once a week or every ten days. AIM An instant boost. ThEY SAY Eradicates lines, exfoliates, firms and gently ‘lifts’ the skin in 20 minutes and for up to two days. Blended with fruit extracts, vitamins, minerals and enzymes to stimulate circulation and increase blood supply to tone facial muscles. TESTER (ROSIE, 50) SAYS ‘It was a bit tricky to obtain the right consistency. Once on, I felt an intense tightening, tingling and warming sensation. After rinsing and applying the Finishing Collagen Cream my skin was clear, soft and glowing like I’d had a facial. Perhaps too active for sensitive skins though.’ EB SAYS Good for temporarily perking up tired skin. £79.95 for a set of 10 Lift treatments.

COMFORT ZONE VISIBLE LIFTINg MASk WhAT Comfort Zone Visible Lifting Tensor Mask is a ‘rejuvenating’ mask with active ingredients to tone and tighten. PROCESS Apply to clean face and leave on for ten minutes to allow skin to absorb the mask. Wash off with water. AIM To tone and relax skin. ThEY SAY Designed to reduce expression lines and wrinkles with hexapeptides which relax facial muscles. Vitamin E, hyaluronic acid and wheat proteins offer a filling action. TESTER (BERNIE, 54) SAYS ‘The jelly-textured mask sinks into skin with a pleasant cooling effect. After ten minutes, my skin was left visibly plumper and soft. I followed with Visible Lifting Tensor Serum, which can also be applied on its own or over moisturiser as a good make-up base.’ EB SAYS A luxurious, pampering treat. £31.95 (mask), £76.95 (serum).

Stockists: 01827 280 080. ➞

beautyproductsdirect.com or 0844 243 9243 for stockists.

tuatrendface.com or call 0845 434 7990.

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AthenA 7 Minute Lift CreAM WhAt A topical cream that aims to reduce the appearance of lines, wrinkles and sagging skin. PrOCeSS Apply daily after your usual moisturiser or as a quick touch-up before a night out. AiM An injection-free alternative to Botox. theY SAY Athena 7 Minute Lift Cream reduces the appearance of sagging skin, lines and wrinkles in just seven minutes. Ingredients include 12 organic essential oils such as avocado, chamomile, lavender, jasmine as well as glycerin, hexapeptides and vitamins A and C.

Before

teSter (MArY, 47) SAYS ‘Easy to apply, colourless, odourless and easily removed. Substantial tightening occurred immediately after using it and my 2D skin assessment showed an average improvement of 42 per cent in skin texture, 34 per cent in wrinkles and 8 per cent in pore reduction after a few minutes. The effects started to wear off after talking and moving, although I felt some difference for a few hours.’ eB SAYS Cheat your way to instant results. $74 (around £49).

After

7minutelift.com. Mary’s skin assessment photos show a significant improvement in the appearance of wrinkles 10 minutes after applying Athena 7 Minute Lift cream

Log onto expertbeauty.com to view more before and after pictures.

LIkE To Try nEw BEAuTy proDuCTS? BECoME A FACEBook FAn oF ExpErT BEAuTy oFFICIAL For A ChAnCE To joIn our BEAuTy pAnEL.

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CRYSTAL CLEAR MINI LIFT MASK WHAT A peel-off mask that helps plump out lines and wrinkles. PROCESS Mix powder and activator together to form a firm paste, apply to clean face and leave on for 30 minutes. AIM A DIY alternative to a salon treatment .

Before

Oralift trial: after three months wearing the Oralift appliance (see page 39), Marguerite’s 3D scan shows more volume in the under eye area, reduction in crow’s feet and tightening of the jaw

THEY SAY An intensely hydrating and lifting mask, it firms and smoothes as well as deep cleanses – all within 30 minutes. High-performance ingredients include an algae gel (for the lifting effect), wheat protein and amino acids for moisturising and toning. TESTER (MANON, 52) SAYS ‘The powder and liquid mixture sets quickly so apply immediately after mixing. Nice smell. I had to stay extremely still because it ‘came away’ from the skin as soon as I began to smile. Dried with a rubbery consistency and peeled off very easily. I am not sure that it improved the appearance of wrinkles but my skin felt very soft, smooth and refreshed.’ EB SAYS A quick fix to soften and refresh skin. £22 for one treatment or pack of ten (£120). crystalclear.co.uk.

After

THE IMAgE CONSuLTANT Expert Beauty testers went to Cosmetic Imaging Studio in London for ‘before and after’ images. Here, Nick Miedzianowski-Sinclair uses 2D and 3D intelligent photography systems to simulate the effect of cosmetic or reconstructive procedures on the face and body. Patients get realistic expectations and the surgeon can use the images as guidance. Visia 2D captures the skin in different lights to analyse UV spots, brown spots, wrinkles, pores, red areas which allows patients to see areas of concern and decide on the best treatment options.

From £90 for 3D and 2D images on a disc; £240 for a one-to-one consultation. Cosmetic Imaging Studio: 020 7638 7100, surfaceimaging.co.uk. EB

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SKIN

My big fat

hairy Greek life If THErE wErE A PErfECT wAY of rEMovING HEr uNwANTEd HAIr PErMANENTlY, SHE would SEll HEr owN GrANdMoTHEr To GET HEr HANdS oN IT: AnnA MAgee rEvEAlS HEr oNGoING BATTlE wITH fuzz

Hello, my name is Anna and I’m a depilation addict. I’ve been attempting hairlessness for the last 25 years. It shouldn’t be a problem along the lines of say, drink, drugs, gambling or sex. But it is. You see, I am hairier than most men. Think not of soft, downy, lady hair but thick, black, coarse hair that grows all over my face and body, that I spend a fortune obsessively removing. Hair that if it were to reach its full follicular potential, could be a Channel 4 Extraordinary People documentary. It wasn’t always this way. I grew up being told I was pretty (don’t you just love mothers), blissfully unaware that my heavy jet-black monobrow would ever be an obstacle to my world domination in the beauty stakes.

Then one day I went to the beautician, my ever diplomatic but ubergroomed mother saying, ‘It’s time.’ Nothing was off limits for my hot-wax-happy therapist - legs, upper lip, cheeks, chin, back, bikini line, even my toes, fingers and arms. (I was 12!) I knew to expect pain. I was brought up in Australia but ethnically speaking I come from a long line of hirsute Greek/Egyptians and my cousin Maria had clearly warned me about this rite of passage. But nothing prepared me for the brow wax. As I lay on the therapist’s chair she shone one of those fluorescent lights on me and peered so closely I could see her nose hair. ‘Hmmm. Hold on, I have to consult with the other girls.’ She ran outside and returned with the salon owner and what looked like ➞

THE lASEr QuESTIoN up to now, I have been regaled by many a doctor extolling the virtues of laser as the Holy Grail of hair removal, a system that is permanent. Traditionally laser hair removal was best for women with pale skin and dark hair. Having olive skin and dark hair, I had been told that my skin might end up discoloured with unsightly pale spots as laser works by being attracted to any dark pigment then zapping it. Now, it seems things have changed and a new generation of lasers can help. ‘If skin is darker you can now use certain lasers that generate power more gently, rather than all in one go,’ says dr Patrick Bowler, medical director of Courthouse Clinics. ‘Previously you would use one zap of energy with lasers, but new technologies such as the Soprano and Alexandrite lasers have scanning devices on them so the energy is spread out more evenly and

targeting the hair and not the skin. This means an experienced practitioner can treat olive and Asian skin for hair removal in about 10 to 12 sessions. However, it’s still not possible to treat women with pale skin and blonde or red hair as there is not enough pigment in the hair follicle for the laser to focus on. It just won’t work.’ Make sure you see a reputable practitioner, advises dr Bowler. In october last year the government deregulated the use of laser technology making it easier for anybody with a laser to set up a business. Make sure your practitioner has had the technology for at least two years and they have used it on many, many clients. Ask to see before and after photos and even to speak to previous hair removal clients. You can also check they are registered with the Care Quality Commission at cqc.org.uk.

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SKIN three trainees who watched my subsequent brow-reshape like interns observing Dr Kovac removing someone’s gall bladder in ER. I was officially a specimen and from that day forth, my big, fat hairy Greek life began. First, in an attempt to escape Brow-gate humiliation, I tried home depilation. That was before the makers of Nair had discovered a way to mask its unique bleach-meets-self-tan smell and my OCD mother wasn’t having its stinking blobs clogging up her drains. Then came Nad’s. The oddest phenomenon in hair removal ever, it was a little container of cold gel made of sugar and water by an Australian mum with a Lebanese background, whose daughters had the same hair issues as me. No heating, you just spread it on, cover with a sheet of paper and rip it off. Although the stuff has become a worldwide phenomenon (see nads.com), making Lebanese mum a guzzillionaire, for me it just didn’t work. Basted in thick green toffee, I sat on the cold bathroom floor and cried about my bad hair life. It was somewhat eased with the discovery of what would become my hair removal staple. The Emjoi Gently Silken Caress Epilator for arms, legs, bikini line, back, toes and fingers. Let’s be clear, if there were a definition of ‘This F*&%&*@ng hurts!’, this little gadget is it. A hand-held, electrically powered thingie with thousands of miniature tweezers twirling on a wheel, removing hair one by one.

‘My very first “flight strip” caused an involuntary chuckle from my husband rather than the lustful Fabio-like lunge I was hoping for’ Despite the fact the pain almost kills me every time and completing my entire body (minus, you know) takes two hours, I blooming love it. The fact that it has been recently superseded by a sleeker, better version – the Braun Silk-Epil Xpressive Pro Wet & Dry, which has two settings and can even be used wet in the shower – makes me a very happy, and today far less hairy version of myself. Speaking of, you know. I do go for the occasional Brazilian, though my very first ‘flight strip’ caused an involuntary chuckle and ‘What’s that?’ from my husband rather than the lustful Fabio-like lunge I was hoping for. Who can ever predict or begin to understand male sexuality? I’ve yet to succumb to a Hollywood though – waxing everything in the vaginal vicinity so that only what you were born with remains. Besides finding it a little creepy, I’ve heard they get itchy. Anyway, wouldn’t one get cold? But nothing, nothing prepared me for the epiphany that was my first full-face threading. Until recently, I was addicted to full facial waxing. But hair grows back in angry black spikes, almost whisker-like, faster

and thicker each time. Then last year I met Vaishaly, a London facialist famed for her threading. My first session was with Vaishaly herself, a stunning, tiny brunette and the most outstanding advertisement for her own beauty techniques. I wanted to look like that so I asked to have whatever she has. As Vaishaly took her magical spinning thread to every little hair on my face – brows, chin, forehead, cheeks – the tears of pain streamed down my face. An hour later I emerged like a new doll, my eyebrows two stunning Bollywood-worthy arches and skin glowing and utterly hairless. Honestly, it was as if I’d had a facelift. The thing with threading is that hair not only grows back much finer and far slower than with any other form of facial hair removal I’ve tried, it leaves the surface smooth from the get-go, without the hint of angry pink follicles that betrayed my former waxing and tweezing. If someone ever invents a way the entire body could be threaded, my grandma had better watch out. EB

Vaishaly Clinic, London: 020 7224 6088, vaishaly.com. Braun Silk-Epil Xpressive Pro Wet & Dry 7681: £97.99, amazon.co.uk.

THE HORMONE QUESTION My hairiness came courtesy of a set of Greek genes I couldn’t escape. But some hormonal conditions, most commonly Polycystic Ovarian Syndrome (PCOS) can manifest as hair overgrowth. ‘Such hair is called “Terminal Hair” by doctors and it usually shows up in the wrong places,’ says Stephan Franks, Professor of Reproductive Endocrinology at the Institute of Reproductive and Developmental Biology, Imperial College London. ‘Because PCOS is usually related to an excess of testosterone in the system, Terminal Hair tends to appear in a “male distribution” pattern, for example on the upper lip, chin, neck, breastbone and abdomen spreading downwards from the navel. ‘You may have excess hair alone as a symptom of PCOS or you may have normal hair growth and other symptoms, such as irregular or infrequent periods and/or acne,’ says Professor Franks. So what can be done? First, you will need a diagnosis from a doctor, ideally a specialist so if your GP hasn’t an interest in PCOS, ask for a referral to someone who has. They will take a clinical diagnosis and perhaps do a testosterone-level test. The good news is that along with hormonal treatments to balance out your PCOS (these include oral contraceptive and other treatments that lower testosterone levels), you may also be entitled to hair-removal treatment on the NHS such as laser, waxing or threading. ‘There is also a new prescription cream called Vaniqa which slows the rate of hair’s regrowth once it has been removed,’ says Professor Franks. ‘In the majority of cases it takes between two and three months to work but it is effective. It is not a hair removal cream but a local, medical treatment that gets to the root of the hair and reduces the rate of its growth.’ Talk to your doctor.

More information: pcos-uk.org.uk

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does it work?

lash

out

LASH LENGTHENERS ARE THE NEW MASCARA. WHO WOULDN’T WANT FULLER OR LONGER LASHES? OUR TESTERS PUT PROMISES TO THE TEST TO FIND THE HOTTEST LASH-LENGTHENING PRODUCTS. WORDS KAREN ARNOLD

THE FUTURE OF LASHES: LATISSE

THE SCIENCE BEHIND THE GROWTH

There’s been a boom in lash-lengthening products in the US in recent years with the trend set to explode in the UK too. Latisse, currently available on prescription only in the US, is the first lash-growth treatment to be FDA-approved. Launched in December 2008 by pharmaceutical company Allergan (makers of Botox), the treatment was discovered by accident after patients noticed longer lashes following use of eye drops for ocular hypertension. Latisse treats a condition called eyelash hypotrichosis – the medical name for having inadequate or not enough lashes.

So how do these ‘miracle’ products work? Marci Marrek, co-founder of M2Beauté, a brand that launched M2Lashes Eyelash Activating Serum, explains. ‘The active ingredient, MDN (methylamido dihydro noralfaprostal), is a derivative of prostaglandin which is a compound used in ophthalmology to combat glaucoma. It targets the eyelash follicle, increasing lash growth, extending each lash’s growth cycle and delaying the cycle of lash loss. Products should be physician-formulated, dermatologically tested, hypoallergenic, suitable for contact lens wearers and compliant with the EU cosmetic directives.’EB

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RapidLash

RevitaLash

LiLash

THEY SAY ‘RapidLash is an eyelashenhancing serum proven to enhance the appearance of lashes with increases in the measured visible length of lashes by up to 62 per cent from just four to six weeks. RapidLash helps strengthen lashes against breakage and improve the appearance of lash length by delivering a powerful blend of essential proteins, vitamins, and moisturising and rejuvenating ingredients. Paraben and fragrance-free, RapidLash’s innovative, high-performance formula works to lengthen, thicken, add shine, condition, moisturise and make lashes less brittle. RapidLash is a convenient, easy-to-use serum with a once-a-day application.’

THEY SAY ‘Renowned American ophthalmologist Dr Michael Brinkenhoff developed RevitaLash Eyelash Conditioner for his wife, Gayle, who had been suffering from breast cancer and had lost most of her eyelashes. Containing a mix of peptides and botanicals, RevitaLash nourishes lashes back to health. Fruit extracts are naturally stimulating and rich in fatty acids and provide an excellent source of moisture. Completely safe, RevitaLash’s ingredients have been vigorously tested and have excellent safety profiles.’

THEY SAY ‘Get long beautiful lashes that make you want to say goodbye to your mascara all together. Mascara junkies will fall in love with their favourite mascara all over again. Extension wearers will enjoy less lash breakage and better support. Salt and paraben-free gel formulation will make even the most sensitive eyes happy. One tube of ‘magic juice’ lasts over four months. Physician-formulated to be powerfully effective yet safe enough to be sold without a prescription.’

TESTER SAYS ‘Very easy to apply - one coat above the upper lash and one coat below the lower lashes every evening before bed. My upper lashes definitely appeared longer, although not much thicker, and this was even more apparent with mascara. No side effects or irritation, perhaps just a little dryness. It gets harder to maintain regular application after a month but I’d definitely recommend this product.’

TESTER SAYS ‘LiLash has definitely increased the length of my lashes as they sometimes touch the inside of my glasses or sunglasses! It was very easy to use, apply nightly just above the lash line. Would definitely recommend this product but it’s not a quick fix and applying every night for several months can get tiring. The skin on my eyelids near the lash line seems a bit darker but this isn’t a problem.’

TESTER SAYS ‘It has to be applied to thoroughly cleansed upper lashes every evening before bed. I didn’t experience any side effects (redness or irritation) and after five weeks of trial my lashes definitely appeared thicker and longer. I would definitely keep using it.’

£95 for 4.1 ml £40.84 for 3 ml

Boots nationwide and boots.com

£88 for 5.91 ml Stockists: 020 8997 8541 or skinbrands.co.uk

Like to try new beauty products? Become a Facebook fan of Expert Beauty Official or visit expertbeauty.com for a chance to join our Beauty Panel

powderrooms com and lilash.com

BEFORE & AFTER Expert Beauty tester tried LiLash Purified Eyelash Stimulator for four months

Visit expertbeauty.com to view more before and after pictures and product recommendations

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SKIN

I want…

blemIsh-free legs Over 50 per cent Of wOmen develOp varicOse Or thread veins. if the idea Of baring yOur legs fills yOu with dread, read On. minimally invasive treatments are available sO there’s nO need tO suffer in vein, explains mr Haroun Gajraj, cOnsultant vascular surgeOn

if you thought that varicose veins and thread veins were just a cosmetic problem, then think again. the underlying condition is called venous reflux (where the valves in the veins are faulty and blood flows down the leg in the wrong direction), and if left untreated, could lead to inflammation, bleeding, skin changes or leg ulcers. vein problems are more common as we get older but apart from age, the main risk factor for varicose veins and spider veins is heredity. if both your parents have varicose veins, you have an 80 per cent chance of developing them. to limit other risk factors, watch your weight (particularly if you’re pregnant), eat a healthy diet, avoid constipation, take regular exercise and don’t smoke. if your job involves standing, consider wearing medical grade compression stockings, which are not the same as support hosiery from a department store. medical grade stockings encourage vein circulation by giving a little ‘squeeze’ at the ankle (measured in the same units used for blood pressure), with the pressure decreasing progressively from the ankle to the thigh. the mention of compression hosiery may well conjure the image of nora batty, but modern medical stockings are as stylish as they are comfortable.

Treatment options sclerotherapy is the best treatment for thread veins (sometimes called spider veins or broken veins) on the legs. a prescription medicine called a sclerosant is injected directly into the vein, removing its lining. eventually the spider veins collapse, wither and becomes less noticeable. the healing process takes several weeks to complete. three sessions, six weeks apart are usually needed with a 90 per cent success. about 50 per cent people with thread veins also have venous reflux which must be treated before these veins are injected, to avoid reappearance. surgical stripping under general anaesthetic is the procedure commonly used in the nhs . a metal wire is threaded down the vein through a surgical cut in the groin, and pulled out underneath the skin through a cut below the knee. it rightly deserves a reputation for being painful and should be regarded as obsolete. developed by french surgeons, chiva is a more conservative form of surgery, which can be performed under local anaesthetic, but it is not widely accepted by specialists in the uK or the us. modern techniques have increasingly replaced traditional open surgery.

they treat varicose veins and reflux from the inside (endovenous surgery), without surgical cuts or scars and under local anaesthetic. the vein can be treated chemically using foam injections, or by heat using laser or radio-frequency energy. as summer approaches, now is the ideal time to get varicose veins and spider veins sorted. make sure you consult a specialist who will perform a duplex ultrasound scan before advising you on the option best suited to your condition.

mr haroun gajraj consults at the melbury clinic in dorset, 0845 310 5727 or visit melburyclinic.co.uk.

Veins on planes when travelling long distances deep vein thrombosis (dvt) is a risk. follow these simple tips to keep your blood circulating: wear comfortable clothing, raise your feet if possible, stretch your feet and ankles at regular intervals, and take a short walk every two hours. if you have an existing venous condition or suspect you may be at risk, check with your doctor before flying.

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SKIN Pregnancy and your legs One pregnant woman out of three suffers from heavy, aching legs and swollen feet and ankles. For various reasons, varicose veins may develop during pregnancy and existing varicose veins tend to get worse. Wearing compression stockings during pregnancy prevents blood pooling in the veins and may slow development of varicose veins, inflammation (phlebitis) and blood clots, as well as relieving tired and aching legs.

50%

of people with thread veins also have venous reflux

Q&As

Mark Whiteley, consultant vascular surgeon and Expert Beauty medical advisor answers your questions. What causes varicose veins? The veins in the legs work in harmony with the leg muscles to pump blood back from the foot to the heart. To stop the blood falling back down the veins when the muscles relax, all veins contain one-way valves. If these valves fail, the blood puts pressure on the capillaries in the skin around the lower leg, causing inflammation, swelling and aching. Over time, the inflammation may spread, leading to itching, skin discolouration and eventually an ulcer The body tries to stop this damage by opening up side branches from the main veins to act as ‘shock absorbers’. In doing this, these side branches get bigger and stretched - hence varicose veins. are varicose veins easy to diagnose? Varicose veins are usually thought of as bulging veins on the legs that may appear blue or green if near

the surface. However over the last decade, we have learnt to recognise ‘hidden varicose veins’ - or in medical terms, ‘venous reflux’. In hidden varicose veins there are no visible bulging veins, but instead there may be thread veins of the legs, aching or swelling of the lower legs or ankles, as well as itching or discolouration of the skin just below the calf muscle. A test called a venous duplex ultrasound scan is the only way to examine the flow of the blood in the veins to find out if the valves are faulty. Is there any effective prevention? As varicose veins are caused by valve failure, there is no simple preventative or topical treatment. Compression stockings can slow the deterioration - but not treat it nor prevent it. No complimentary therapies can stop the process of blood falling down abnormal veins by gravity. Anti-inflammatory drugs

or creams can reduce inflammation at the ankle. What is the recommended treatment? Successful treatment for varicose veins requires accurate identification of the abnormally functioning veins and their permanent destruction. New keyhole ablation techniques such as endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) use heat to close the large underlying veins. Small veins are treated by foam sclerotherapy injections and bulging veins are removed through tiny incisions.

Mr Mark Whiteley consults at the Whiteley Clinic in Guildford and London, 01483 477180 or visit thewhiteleyclinic.co.uk. eB For more information about Sigvaris medical compression hosiery, call 01264 326 666 or visit sigvaris.co.uk.

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MACOM is a leading UK provider of quality compression apparel. The compression garments offer comfort, confidence, and optimum conditions for healing and health to every customer in response to their individual preferences and requirements. MACOM products are ideal post surgery, during pregnancy, post delivery, for body shaping, and for burn treatments. They provide targeted support, facilitate post-operative lymphatic drainage, accelerate the healing process, minimize scarring, and produce the appearance of a slimmer waistline. The garments are all made of breathable, non-allergenic material; they are seamless and complete with adjustable fastenings ensuring optimal comfort. All products are 100% latex free. We are the leading supplier to Harley St surgeons; wholesale and retail prices available. Enter promotional code Expert for 5% off in association with Expert Beauty Magazine

EB3_Macom Ad_FP.indd 1

14/03/2011 15:29

Consultant Vascular Surgeon

Mark Whiteley MS FRCS (Gen) Mark Whiteley is a Consultant Vascular Surgeon specialising in walk-in, walk-out surgery for varicose veins. He has led the new ‘endovenous revolution’ for treating varicose veins under local anaesthetic with pinhole techniques in the UK, performing the first endovenous keyhole surgery for varicose veins in the UK in March 1999. Mark trained at St Bartholomew’s Hospital in London and was a lecturer in surgery at Oxford University from 1995 to 1998. He was appointed Consultant Vascular Surgeon in 1998. As the founder of The Whiteley Clinic in Guildford, his aim was to bring the very best treatments for vein problems to the UK public. He is now increasing the numbers of Whiteley Clinics to enable patients to get easier access to the specialist procedures that he has developed. Mark and his team have won many international and national prizes for their pioneering work into vein treatments. Mark also has a special interest in the treatment of excessive sweating (hyperhidrosis) having named and performed the first UK Laser Sweat Ablation (LSA) procedure to treat underarm sweating in 2009. In addition to research, Mark is committed to teaching and training. He has published over 60 peer-reviewed research papers and several book chapters. He has appeared on several TV and radio shows, as well as many magazines and newspapers. To arrange a consultation with Mr Mark Whiteley or for more information, please call 01483 477 180 or visit www.thewhiteleyclinic.co.uk.

Q&A What is the best technique to treat varicose veins? ‘Since I introduced endovenous surgery for varicose veins into the UK in March 1999, there has been an explosion of keyhole surgery techniques (or endovenous surgery techniques) to treat veins. Initially we thought their advantage was merely cosmetic with a quicker return to work. However our research has shown that the old “stripping” causes veins to grow back again, whereas the new endovenous techniques (radiofrequency ablation, endovenous laser ablation, ultrasound-guided foam sclerotherapy, TRLOP etc.) actually stop the regrowth of veins - provided of course they are done in the right vein with the right technique. Over the last 12 years, we have developed The Whiteley Protocol which ensures the correct treatment is used for each vein. All patients are treated under local anaesthetic as walk-in, walk-out surgery, minimising downtime and getting optimal results both in the short and long term.’

‘Coming from an academic background, my first priority has always been to develop and improve our techniques ensuring that The Whiteley Clinic patients get the best possible treatment.’ Expert Beauty Promotion | 57 Expert Beauty_March11_Profiles_All_v7.indd 57

14/03/2011 14:42

SKIN

lift

Neck

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SKIN IF THE EYES FIRST BEGIN TO SHOW OUR AGE, THEN THE NECK COMES SECOND. HORIZONTAL CREASES, FATTY JOWLS AND LOSS OF ELASTICITY ARE INCREASINGLY COMMON COMPLAINTS AFTER THE MIDFORTIES. CONSULTANT PLASTIC SURGEON JAMES MURPHY DISCUSSES HIS APPROACH TO NECK REJUVENATION

No skin laxity, excellent skin tone with excess fat

These patients have inherited an excess fat under the chin and usually seek treatment younger (under 30). They will often respond well to liposuction alone and have enough skin elasticity that the removal of the fat will not result in any skin looseness. Dramatic, stable and natural results can be achieved in this group of people with minimal scarring and a relatively minor surgical procedure.

Whilst the effects of ageing involve all parts of the body, for some people they are particularly noticeable on their neck. Important factors that influence whether your neck remains shapely include the amount of fat beneath the skin, and whether the underlying neck muscles become prominent as vertical bands. Having a neck lift will tighten the skin and the underlying

Moderate skin laxity with or without wide vertical bands (over 2cm)

These patients respond very well to a classic neck lift. They do occasionally require removal of fat from under the chin and this can be done by liposuction.

muscles to lift the neck as well as improve and sharpen the contour of the jawline. It is often performed in conjunction with a facelift, but may also be done as a stand-alone procedure and there are now several techniques that can be used. Following a detailed assessment, I categorise my patients into four different groups (see opposite) and discuss appropriate surgical techniques depending upon the category. A neck lift, whether as part of a facelift or on it's own, is quite extensive surgery that needs to be performed delicately, accurately and by an experienced surgeon to produce safe, natural and long-lasting results. A number of new approaches

Mild skin laxity with narrow medial vertical bands (under 2cm)

These patients also respond well to a classic neck lift but require a ‘corset’ repair of the muscle bands through an incision under the chin. This produces a more pronounced change to the area under the chin.

to neck rejuvenation have been introduced such as the ‘one stitch facelift’, and the iGuide neck lift, but it is important that you seek advice from a surgeon able to perform the complete range of options.

Procedure: Neck lift, a.k.a. platysmaplasty Anaesthesia: Local or general anaesthesia Procedure time: One to three hours Potential side effects: Heavy bruising, swelling, reduced skin sensitivity Recovery: One to two weeks Cost: £2000-£4500

Moderate to severe skin laxity and significant excess fat

The approach to these patients is similar to the patients in group 3. It involves an incision under the chin and a corset repair of the muscle bands to maximise results. Liposuction throughout the neck may also be needed. The scars are positioned discreetly in natural creases at the back of the ear or hairline.

Neck lift surgery performed by Mr James Murphy Mr James Murphy is based in Manchester. Call 0161 232 2670 to arrange a consultation. ➞

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SKIN

Home help AS SKIN ON YOUR NECK IS MUCH THINNER THAN ON YOUR FACE, IT SHOWS EVERY SIGN OF NEGLECT, WEAR AND TEAR. FOLLOW BEAUTY EDITOR SARAH STACEY’S NECK REJUVENATION ADVICE FOR THINGS YOU CAN DO RIGHT NOW TO HELP HOLD BACK TIME Double-moisturise your neck

After recruiting 2400 women to test products for their

When you moisturise your face take the same product down to your bra

new book, The Anti-Ageing Beauty Bible, Sarah Stacey

line, then sweep body lotion up to your chin, massaging upwards. More is

and Josephine Fairley found out the top performers in

better - and don’t forget high factor sun block.

the neck category.

Massage while you moisturise

Clarins Super Restorative Décolleté and Neck

Move the skin upwards and outwards with your fingertips. Yoga

Concentrate, £53.10 for 50 ml, clarins.co.uk

enthusiasts and dancers seem to maintain a tight neck and jawline. Facial exercises may also help.

This Works Perfect Cleavage for Neck & Chest, £36.05 for 50 ml, victoriahealth.com

Oil up Try using facial oil on your neck. It needn’t even be a fancy brand.

Antipodes Joyous Protein-Rich Night Replenish Serum,

Legendary make-up artist Barbara Daly has advised using sweet

£37 for 30 ml, antipodesuk.com

almond oil from your local health food store. EB

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Untitled-5 1

14/03/2011 15:46

TEETH

expert review

anti-age your smile Years of cabernet sauvignon and black coffee have left Your teeth less than pearlY white? time to reach for the bleach. dental surgeon Dr Zaki kanaan, an expert in the field of tooth whitening, compares various options to restore Your dazzling smile

the ageing process also affects our teeth which slowly discolour over time. although years of coffee, black tea, red wine and smoking do take their toll, it is the years of tooth wear resulting in the gradual thinning of your enamel layer that allows the underlying yellow dentine to shine through. tooth whitening continues to be the most common and cost-effective cosmetic dental procedure carried out in the uk - whereas porcelain veneers or crowns used in smile makeovers can cost between £5,000-15,000. currently the annual uk spend on cosmetic dentistry is around three billion pounds, 10 to 15 per cent of which is invested in the plethora of tooth-whitening treatments available. there is no doubt that some over-the-counter products work, to a degree. they are also very affordable when

compared to professional systems. however, in a bid to overcome the current uk legal requirements which do not allow peroxide gels containing over 0.1 per cent concentrations to be used for tooth whitening, agents such as chlorine dioxide are used, which do not have a proven track record and may be harmful to teeth. the mouldable trays supplied with over-the-counter systems end up being poorly adapted and not tight-fitting, allowing gel to escape and possibly be swallowed during use. having your teeth whitened by a dental professional guarantees that they are given a once over. You will not be whitening over possible cavities, gum disease or any other oral condition, as a dentist has a duty to bring obvious decay or disease to your attention before embarking on cosmetic treatments. EB

over-the-counter home systems rapiD White 1 Week tooth Whitening SyStem

BootS expert teeth Whitening programme

DenteCh 35% home LaSer teeth Whitening kit

CreSt WhiteStripS proFeSSionaL eFFeCtS

hoW it WorkS the active ingredient is chlorine dioxide gel, placed in mouldable trays which are worn daily for seven days. proS easy to use, easy to get. ConS doubts exist about the safety of chlorine dioxide and it is not recommended for home use. trays are poorly fitting, allowing gel to escape. gel can’t be bought alone for top up. £££ £8.16. From boots nationwide and boots.com.

hoW it WorkS clean your teeth daily with pre-whitening toothpaste, place moulds in very hot water, insert in mouth and push to adapt to teeth. place gel into moulds and accelerator onto teeth, wear for 10-20 minutes twice daily for 14 days. proS widely available and easy to apply. ConS no ingredients list for this product. moulds are poorly adapted. £££ £28.59. From boots nationwide and boots.com.

hoW it WorkS 35% carbamide peroxide gel placed in preformed trays and activated by a batteryoperated light. use daily for two weeks. proS professional strength whitening gel, light activated. ConS this concentration of gel is higher than that recommended by the general dental council for home use. may cause soft tissue irritation. the light is not really a laser. £££ £29.99. From denstore.co.uk.

hoW it WorkS gel impregnated strips (6% hydrogen peroxide gel) that you apply like a bandage on the upper and lower teeth, 30 minutes per day for 14 days. proS easy to apply. ConS only available online in the uk. £££ £42.49. From crestwhitestripsnow.co.uk.

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TEETH

Uk vs Us

Up until recently, the public couldn’t get enough of the ‘Hollywood Smile’ - that bleached really white look that you see on celebrities. We have now turned full circle and British dentists are leading the way for the ‘European Smile’. Even the Americans have admitted that the natural, healthy look is in. Whereas American dentists use a specific ‘bleach’ shade scale for porcelain veneers, in the UK we work with a natural shade scale, and most people opt for the lightest shade on the natural shade scale - which is B1. Whitening will always give you a naturally healthy white look and will not make the teeth look too fake or too white as they are still your teeth with your characteristics.

Dr Zaki Kanaan runs K2 Dental in London, 0207 386 5587, k2dental.co.uk.

Professional tooth-whitening systems Zoom! AdvAnced Power

ProFessionAl Home wHitening

How it works A barrier is placed around your gums and a highstrength 25% hydrogen peroxide gel is applied on your teeth by a dental professional. Three 15-minute cycles are carried out with a new application of fresh gel in between. Pros Current market leader in the US and UK. It’s quick and remarkably effective. cons Transient sensitivity lasting less than a day. Need to have a white diet for 24 hours. £££ £395 - £495. From Your dentist.

How it works Professionally custom-made, tight-fitting trays are worn for 14 days during the day or night, depending on strength of the whitening gel (either 10-18% carbamide peroxide or 6% hydrogen peroxide). Pros Whitening at patient’s control and convenience. Can isolate single tooth or arches, good for maintenance and top-up. Gel can be bought when needed from your dentist. cons Can be abused if applied too frequently. £££ £150-£250. From Your dentist.

enligHten How it works Pre-whiten with Tooth Serum at home for one week, wear professionally made supersealed, home-whitening trays with reservoirs for 14 days using various strengths of carbamide peroxide gel. On 15th day, high-strength hydrogen peroxide gel is applied by your dentist. Pros Results are superb, the only whitening company to guarantee B1 shade every time. cons Essentially a home-based whitening system for the cost of power whitening. £££ £395-£595. From Your dentist.

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HOW DO I CHOOSE A DENTIST? On the fOllOwing pages yOu can read abOut sOMe Of the uK’s MOst highly recOMMended cOsMetic and general dentists as well as thOse with specialist qualificatiOns finding the right dentist will ensure your smile makeover is both beautiful and healthy. dr christOpher Orr, former president of the british academy of cosmetic dentistry, and dr paul tiptOn, specialist in prosthodontics and president of the british academy of implant dentistry answer your questions

o Where do I start? all dentists working in the uK are legally obliged to be registered with the general dental council (gdc). the gdc register keeps details of dentists’ qualifications and specialists’ listing. this is available at gdc-uk.org. to find a dentist in your area, bda-findadentist.org.uk is a useful port of call.

o Do I need a specialist? if you need treatment for a specific problem such as gum disease or orthodontics and you feel your current dentist isn’t getting the job done, you might choose to opt for a specialist. training for specialists involves a minimum of two years of postgraduate general training, followed by three to five years of specialist training. specialists will have more experience and skill in certain areas and will often charge higher fees if in private practice. the most common dental specialities are: Orthodontics: straightening of teeth by fixed or removable braces Periodontics: treatment of gum disease or improvement of gum position Endodontics: root fillings and treatment of abscesses Prosthodontics: restoration and replacement of teeth by crowns, veneers, implants, dentures etc Restorative Dentistry: restoration of teeth as well as periodontics, endodontics and prosthodontics Oral Surgery: minor surgical procedures in the mouth including implant placements there is no specific referral process - you can be referred by your general dentist or you can self-refer by contacting directly and making an appointment. remember though, whether they are specialists or not, all qualified dentists are qualified to perform all of the above treatments, including placement and restoration of implants and cosmetic dentistry as long as they have been suitably trained. as well as specialists, many generalist dentists will have particular areas of expertise where they have gathered extensive experience.

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o How can I choose? A friend who has been treated may be able to recommend his or her practitioner and this is often the best way to find a great dentist. Some of the websites listed below may also help you find a dentist in your area. As there is no formal qualification for cosmetic dentists, always look at the dentist’s post-graduate education, courses attended in the type of dentistry you are considering and accreditations from British academies. Often dentists will list these online or display certificates on their wall. Just because a practitioner may have been your dentist for years does not mean they are experienced enough to perform the specific aesthetic procedure you are after. Finally, make sure that you feel comfortable with the dentist and the proposed procedures before going ahead.

o What should I ask? Anyone considering cosmetic dentistry treatments should expect to be fully informed about the entire procedure, risks and side effects. For realistic expectations, ask your dentist how long things will look their best after treatment, and about maintenance advice. If there is any information you don’t understand, don’t be afraid to ask for further clarification. The treatment should be something you choose to do, rather than something you are told to do.

o Can I ask to see samples of their work? Yes, this is essential. Request before-and-after photos from any potential practitioner - examples may be available on their website or in published articles they may have written for the dental press. Always look for a dentist or specialist to provide you with many examples of the same style of work that you are considering. Sometimes he or she may have done only one case! Testimonials are also useful so ask to contact any previous patients who could share their experience.

o What happens afterwards? Regular check-ups and maintenance are a must to ensure long-term satisfaction so make sure this will be convenient for you given the dentist’s location. It is also crucial to check what aftercare will be available. There should be a support system outlined for the long term before the treatment begins, especially if something doesn’t go to plan (an ever-present risk if considering cut-price treatments abroad).

o For more information: General Dental Council: gdc-uk.org or call 0845 222 4141 or 020 7887 3800 British Dental Association: bda-findadentist.org.uk British Academy of Cosmetic Dentistry: bacd.com British Academy of Implant Dentistry: baid.org.uk British Academy of Aesthetic Dentistry: baad.org.uk

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Dentist

Dominique & Zaki Kanaan BDS, LFHom & BDS, MSc(Implant Dentistry), DipDSed, LFHom Based in Fulham, London, K2 Dental is run by husband-and-wife team Zaki and Dominique Kanaan, who both qualified from Guy’s Hospital in 1996. A friendly state-of-the-art surgery, K2 Dental offers a full complement of general and cosmetic treatments, as well as specialist services including orthodontics, endodontics, periodontics and implants. Invisible tooth straightening and smile makeovers that use the latest in Durathin veneers (Zaki being one of only four dentists certified to perform this procedure in the UK), are K2 Dental’s forte. Their fresh approach focuses totally on making treatments comfortable and enjoyable, without the clinical feel associated with many dental practices. A well-respected implant surgeon, Zaki has completed a Master’s Degree in Dental Implants, and appeared on shows such as Channels 4’s Embarrassing Bodies. He has also won the implant category of the Smile Awards 2010. Zaki sits on the board of directors of the British Academy of Cosmetic Dentistry and is an editorial consultant for Dental Implant Summaries. Dominique and Zaki regularly lecture for Discus Dental, the company behind Zoom Advanced Power, the market leader in tooth whitening systems. They are both Clinical Directors of K2 Dental Seminars, a company they set up to train dental professionals in the latest techniques including implants and tooth whitening. To arrange a consultation with Dr Zaki Kanaan or Dr Dominique Kanaan in London, please contact Grace on 02073865587 or visit www.k2dental.co.uk.

Q&A What treatments do you feel your clinic excels at? ‘Apart from tooth whitening, where we train hundreds of dentists in the latest techniques, it would have to be implants and teeth straightening. We offer the Inman Aligner, a removable wonder brace that straightens teeth in less than three months, and we are also one of the few clinics in the UK to be certified Durathin Veneer providers (ultrathin veneers from the US that in most cases require no preparation of the teeth to improve your smile).’ At K2, our focus is on exceptional customer service, with patient satisfaction our priority. We are here for the long haul and we hope to service our patients’ needs for many years to come.’

‘We pride ourselves on our honest approach. If we wouldn’t do it on our own family, we would not recommend it to you.’ 66 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 66

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Dentist

Joe Oliver BDS, LDSRCS (Eng) Dr Joe Oliver is the founder and principal cosmetic dentist at The Welbeck Clinic. Having qualified from Kings College Hospital School of Medicine and Dentistry, London in 1987, he began his dental career with an interest in facial surgery, working in the surgical departments of various London teaching hospitals. It was whilst dealing with victims of facial trauma, mainly from road traffic accidents that his interest in cosmetic dentistry developed. Dr Oliver has worked for 15 years in cosmetic dentistry, starting in an established cosmetic dental group where he became Clinical Director, teaching other dentists the latest techniques and the art of cosmetic dentistry. Dr Oliver is a member of the American Academy of Cosmetic Dentistry and also an examiner for the accreditation of cosmetic dentists on the board of the British Academy of Cosmetic Dentistry. Dr Oliver is also the co-founder and Director of Education of Cosmetic Dental Seminars, the UK study body dedicated to providing state of the art courses, lectures and workshops in cosmetic dentistry. Dr Oliver’s treatments have been widely featured on television, including on ITV This Morning and Channel 4 Ten Years Younger, as well as in the national press and magazines such as The Sunday Times, the Daily Mail, the London Evening Standard, Marie Claire, Vogue, Brides, FHM, Men’s Health, Closer and OK. To arrange a consultation with Dr Joe Oliver at The Welbeck Clinic in London, please call 020 7486 8100 or visit www.thewelbeckclinic.co.uk

Q&A Can anything be done to prevent yellowing of teeth? ‘Yellowing of teeth is caused by ageing of the tooth intrinsically, but external staining is caused by various food stuffs such as tea, coffee, red wine, spices found in curries and also habits such as smoking. Eating acidic foods over a period of time will lead to thinning of the enamel: this accentuates the colour of the underlining dentine which also makes the tooth look yellower, so fruit juices, fizzy drinks and excessive fruit intake should be avoided. External stains can be removed by the hygienist, ideally every six months. Professional tooth whitening can make an enormous difference to the discolouration from ageing, creating an overall youthful look. Over-thecounter options on sale in the UK are not legally permitted to contain enough bleach to really make a difference to the colour of teeth, so always have the treatment with a recommended dentist.’

‘At The Welbeck Clinic, we pride ourselves on providing the absolute best in cosmetic dentistry procedures as well as a superlative patient care and seamless service.’ Expert Beauty Promotion | 67 Expert Beauty_March11_Profiles_All_v7.indd 67

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Dentist

Christopher Orr BSc BDS Dr Christopher Orr is one of the UK’s most prominent cosmetic dentists, who practices cosmetic and restorative dentistry in his combined practice and teaching facility at London Bridge. He is an Accredited Member and former President of the British Academy of Cosmetic Dentistry (BACD) and also a Certified Member of the European Society of Cosmetic Dentistry (ESCD) and the British Dental Bleaching Society (BDBS). Dr Orr has held board positions in cosmetic dental organisations in America and Europe. Through Advanced Dental Seminars, he runs a one-year comprehensive course in cosmetic dentistry and aesthetic restorative dentistry for general dentists. Over 650 dentists have completed the programme over the last seven years. In addition he lectures extensively around the UK and abroad, having been an invited speaker at meetings throughout Europe, North and South America and Asia. Chris Orr’s work has been widely featured in the UK and international press, across radio, television, print and online media. Chris has recently authored an interactive learning title on Digital Clinical Photography and the production of a BBC documentary on the science behind cosmetic treatments. His clinical interests encompass all aspects of cosmetic and restorative dentistry, focusing on conservative strategies for smile enhancement, through the rehabilitation of worn teeth, to the restoration of the severely compromised mouth. To arrange a consultation with Dr Christopher Orr, please call 020 7940 0880 or visit his practice website at www.advanceddentalpractice.com.

Q&A My wife tells me that I am grinding my teeth at night. Is my bite causing it? ‘Recent research has shown that night-time tooth grinding (bruxism) is one of a range of sleep-related movement disorders whose origins lie in the brain, not the mouth. The high forces applied to the teeth can cause severe damage to them or to any dental restorations. Your dentist will help you protect your teeth, usually with a specially designed nightguard. In addition, many patients find that the appliance can relax the jaw muscles, making them sleep better. Dental treatment may also be needed to restore the appearance of the teeth.’

‘The smile is the real centre of the face. Dental aesthetics are built on a foundation of health and function. Our practice offers a comprehensive and conservative approach to all three.’ 68 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 68

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Dentist

Sameer Patel BDS, MFDS RCS (Eng), Cert Implantology Sameer is the owner of Acacia Dental, an exclusive dental practice situated in the Harley Street district in the heart of London’s West End. He offers evidence-based aesthetic dentistry in state-of-the-art facilities, where his team of leading dentists and specialists provides for all their patients’ needs to ensure their experience is relaxing, rewarding and satisfying. Sameer graduated from the University of Birmingham with the Centenary Prize and was nominated for clinical excellence. He then worked in Sydney, Australia, both in practice and in hospital, before returning to the UK to become a partner at Blandy House, Henley-on-Thames, one of the Home Counties leading dental practices. He has subsequently completed training in Implantology at the Eastman Hospital and is a member of the International Team for Implantology (ITI). Sameer is also an active member of the British Academy of Cosmetic Dentistry (BACD) and is a certified Invisalign and Inman Aligner practitioner. With time, experience and continued professional development he has acquired the ability to offer his patients the most aesthetic yet conservative smile makeover. Apart from being a past Section Chairman of the British Dental Association (BDA), he has also been invited to be the official dentist for the Professional Cricketers Association, including Team England. To arrange a consultation with Dr Sameer Patel, please call 0207 486 4144 in London (www.acacia-dental.com) or 01491 573 112 in Henley-on-Thames.

Q&A I want to look younger – how can cosmetic dentistry help? ‘If you are not quite ready to undergo cosmetic surgery to address fine lines, wrinkles and deep folds, a non-surgical alternative that uses veneers may be an option. When the back teeth are worn or missing, the facial structure they support tend to collapse or fall, which can lead to the deep nasolabial folds. Building out the back teeth with bondings or crowns can help to lift the cheekbone area of the face and widen the smile. When the teeth supporting the lips are built out, the blood supply is stimulated and lines around the lip area are less noticeable. The end result is a more balanced appearance, enhancing the prominence of the cheekbones for an overall younger look.’

‘First impressions count, and I look forward to helping you ensure that your smile is not only the first thing people see, but will be the last thing they ever forget.’ Expert Beauty Promotion | 69 Expert Beauty_March11_Profiles_All_v7.indd 69

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Dentist

Paul Tipton BDS, MSc, DGDP UK, Specialist in Prosthodontics Dr Tipton is a highly respected Specialist in Prosthodontics, the speciality that involves Cosmetic and Restorative Dentistry and Implantology. He has over 20 years of experience and over ten years as a Specialist. He is the author of over 100 scientific articles and lectures worldwide on Cosmetic and Restorative Dentistry and Implantology. After completing a Masters Degree (MSc) in Conservative Dentistry in 1989, Dr Tipton was awarded a Diploma in General Dental Practice by the Royal College of Surgeons in 1993 and in 1999, the General Dental Council awarded him a specialist status in Prosthodontics. Dr Tipton is currently President of the British Academy of Implant Dentistry. He has clinics in London, Liverpool, Leeds and Edinburgh and teaching academies in Manchester, Leeds, London and Edinburgh where over the last 20 years he has trained more than 2000 of the country’s leading dentists who have completed one of his year-long certificate courses. Last year Dr Tipton was recognised as one of the top ten most influential dentistry figures in the UK in Dentistry Magazine’s prestigious ‘Top 50’ poll. To arrange an appointment with Dr Paul Tipton in London, Liverpool, Leeds or Edinburgh, please contact his secretary Louise Saunders on 0845 528 0088 or email louise.saunders@tiptontraining.co.uk. For more information, visit www.drpaultipton.co.uk or www.tiptontraining.co.uk.

Q&A What is the difference between a general dentist and a specialist doing my treatment? ‘When you go to the dentist it is a bit like visiting your GP. When you have a more complex complaint you will often visit a specialist or surgeon - you wouldn’t go to your GP for open heart surgery! But with dentistry, patients often turn to their general dental practitioner for all their treatment needs. The GDC introduced “specialists”, to enable patients to identify registered dentists with a certain level of expertise. You can be confident with a specialist that they have met certain requirements.’

‘The best feeling is when your patients leave the clinic with a smile. My commitment to high standards and quality patient care ensures that they receive the treatment they need with the results they desire.’ 70 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 70

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WHETHER THEY ARE CLASSIC, CUTTING EDGE OR RETRO, THE RIGHT GLASSES CAN TRANSFORM YOUR LOOk, ACCENTUATING YOUR BEST FEATURES WHILE CONJURING AN AIR OF SOPHISTICATED INTELLIGENCE. THE INDUSTRY’S ExPERTS REVEAL THEIR TIPS FOR SELECTING THE PERFECT PAIR OF SPECS. By Eliisa Makin

Check your prescription

As a first step, it is always worth consulting your optician about your prescription. Phoebe Cobb, spokeswoman for Luxottica glasses (luxotticauk.com), explains that ‘some prescriptions work better with certain frames, so it is best to find out about any stylistic restrictions at the start.’

The right fit

When trying on glasses or sunglasses, Nicky recommends checking that there is no pressure hitting the sides of your head from the arms as this can cause headaches. It is also worth making sure that they sit comfortably at the bridge and don’t wobble or slide down. Phoebe adds, ‘It is important too, to check the appearance of the glasses across the bridge as the height and width can alter the appearance of your nose. Again, the rule of opposites applies. If you have a wide nose, look for a narrower bridge,

while if you are worried about a long nose, choose glasses with a lowerfitting bridge.’ ‘You do tend to get what you pay for,’ warns Phoebe, ‘and spending a little more can ensure a more comfortable fit in the long term’. Ultra-strong titanium frames are expensive, but they are also extremely light and unobtrusive to wear. Likewise, handmade glasses like those from Cutler and Gross are individually heat-adjusted for the perfect fit. Paying extra to have heavy lenses thinned or for non-reflective ‘Zeiss’ glass will also make a huge difference to the overall comfort and appearance of your glasses.

Fashionable details

‘Glasses are having a real style moment,’ says Jo Jones, Fashion Editor at The Observer. ‘In fact many retailers are selling quirky, trend-led designs with clear glass lenses simply as

fashion accessories.’ This spring, look out for retro smoky pink, cream and tortoiseshell frames: very classy, they are often far easier to wear than black. Brightly coloured frames are also a big trend and look great against darker complexions. With so many great styles currently available, it is the perfect time to experiment, so why not try something new?

Cheap sunglasses warning

Don’t forget that cheap sunglasses with no UV filters pose a huge risk to your eyes and can lead to long-term damage and conditions like cataracts. Dr Susan Blakeney, from the College of Optometrists (college-optometrists. org), advises always buying well-fitting sunglasses displaying the CE mark and from a trusted brand. For more information about choosing the right sunglasses and UV protection go online at expertbeauty.com.

Choose the right shape for your face More often than not, glasses that are the opposite shape to your face are most flattering. Style guru Nicky Hambleton-Jones (lookandfeelyounger.tv) advises: ‘Wide, angular frames are a great contrast for round faces and can help make them appear slimmer.’ A perfect example is this season’s Mad Men-inspired cat eye design. Feline, feminine and glamorous, this style is great for enhancing the appearance of high cheekbones.

‘Rounder or oval-shaped glasses help balance out square faces,’ continues Nicky. Circular 1970s styles that are currently very popular are favoured by Sarah Steven from Cutler and Gross (cutlerandgross.com). ‘They are surprisingly wearable, although I always recommend trying a slightly larger-sized frame. Glasses that are too small can exaggerate fullness in large faces, while small faces may lose definition and become obscured.’

If you have an oval or heart-shaped face, you are in luck as most shapes work well on you, although Nicky warns against glasses with a strong brow bar such as aviators as they can look heavy. Many online retailers offer virtual mirrors so you can ‘try on’ styles before buying. Try Glasses Direct (glassesdirect.co.uk) for an easy-to-use version. EB

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Avoiding

pillow face (and other disasters)

EVER WONDERED HOW THE ‘ENHANCED’ CELEBRITIES CAME TO LOOK SO STRANGE? PLUMP CHEEKS, LINELESS FACES SHOULD LOOK YOUNGER, SO WHAT WENT WRONG? BY Leah hardy

ORIGINAL

ENHANCED NATURALLY

OVER-ENHANCED

Auriole Prince from changemyface.com has recreated the effects of cosmetic treatments showing Leah Hardy as she is (left), and after a natural-looking enhancement (centre). Over-enhancement exaggerates the shape of her eyebrows, cheeks, lips to create an unnatural look.

Thanks to fillers and Botox, some celebrities never

side effects they didn’t expect or want. But it doesn’t

be a surgeon, doctor, dentist, or nurse at the very

seem to age but as the popularity of non-surgical

have to be that way.

least, and you can check their credentials with the General Medical Council. Your consultation

treatments rises, we are also seeing more stars with frozen faces, scary eyebrows, trout pouts and

Subtle, expert enhancement such as that chosen

should always be with the person who is going to

cheeks that belong to a cabbage patch doll. Yes,

by supermodel Cindy Crawford, can hold back the

perform the procedure.’ Consultant dermatologist

these famous faces may look less wrinkled but they

years while also looking natural. Consultant plastic

Russell Emerson says, ’You need to be confident

certainly don’t look younger. How did they get there

surgeon Paul Banwell says, ‘Botox can erase lines

in their personal ability to perform treatments and

and how can you avoid their fate?

and wrinkles, improve facial contour and improve

treat you as an individual. The key to success is

eye shape in a matter of days, without the need

to find a practitioner whom you feel you can trust

The Botox business is booming and for many

for more invasive procedures.’ However, he also

and ideally see someone who has been personally

women, the use of Botox and fillers has turned into

says it is vital to pick the right practitioner: ‘Look for

recommended to you.’

an extension of their beauty routine. Fillers and

someone qualified and experienced.’ So how do you tell if you and your doctor will be

Botox have fast become the quick fix alternatives to surgical procedures. There has also been a

Surgeon Lynette Yong agrees. ‘Medical

on the same wavelength aesthetically? Says Yong,

resulting rise in ‘needle casualties’ – women with

qualifications are vital. Your practitioner should

‘If you have a friend who has had a treatment you

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‘These famous faces may look less wrinkled but they certainly don’t look younger,

two to four weeks after treatment. This allows a

effect isn’t what you hoped for? Go back to your

doctor to do less in the first appointment, so there

practitioner. It is rare that nothing can be done

is less risk of an artificial, overblown effect. It’s

to improve the look. And remember, with

a bad sign if the practitioner is pushy about you

Botox and hyaluronic fillers, the effect will never

having the treatment done immediately. I charge a

be permanent.

consultation fee, so am happy for people to go away without having anything done.’ Emerson adds,

FDA ApproveD botulinum toxins

‘Always ask for a quotation for treatment and look

• Botox/Vistabel (botox.com)

for a range of displayed prices. Generally speaking,

• Xeomin/ Bocouture (xeomin.com)

the more open the clinic, the more likely they will be

• Dysport/Azzalure (dysport.com)

to respond to any concerns that you may have.’ Fillers

like, that’s a very good sign. Look at the nurse or clinic receptionist, as they are likely to have had

Most doctors strongly advise against permanent

• Restylane (restylane.co.uk)

free work. Doctors sometimes have a “look book”

injectable fillers. Yong warns, ‘They can be risky,

• Juvederm (juvedermultra.co.uk)

with photos of their work, or they may let you talk to

and won’t change as your face changes. I only

• Teosyal (teoxane.com)

other patients. If you want to look younger, take old

use fillers that are approved by the US Food and

• Belotero (merspharma.co.uk)

photos of yourself to your consultation so we aren’t

Drug Administration, and wouldn’t offer anything

just guessing at how you used to look.’

that hadn’t been around for at least two years.

substitution proDucts

You don’t want to be a guinea pig. Fillers made

Encourage natural collagen formation to

Good practitioners offer free follow-up

with hyaluronic acid, such as Restylane, are very

give gradual, long-lasting results but are

appointments, which are not necessarily ‘top-ups’

safe and the product can be dissolved, meaning

not reversible

but can be used to tweak a look, correct any

treatments are reversible.’

• Radiesse (radiesse.com) • Sculptra (sculptra.co.uk)

concerns, enhance an area and generally ensure you are happy. Says Yong, ‘I meet my patients again

And what if something does go wrong or the

Botox bloopers What’s the problem?

What’s the problem?

The brows have dropped

‘Bat Brow’ or ‘Mr Spock

Droopy eyelids: ‘This tends

‘Bunny lines’: after having

leaving you looking stern.

eyebrows’ can occur

to happen when a toxin

Botox between the brows,

Lynette Yong: ‘Sometimes

when Botox is injected

is injected too deeply, too

little expression lines form

if Botox relaxes the

into the outer part of the

low or the patient rubs the

on the sides and bridge

muscles that lift the

eyebrows. If the forehead

area too hard, causing it to

of the nose when the

brows, strong pulling

muscles are weakened,

spread,’ says Yong.

patient smiles or frowns.

muscles may take over,

the inner eyebrow can

dragging them down.’

drop. Together this

What’s the treatment?

can create an angry or

Eyedrops (iopidine)

Some people just naturally

What’s the treatment?

surprised look. This may

can help, but the effect

form these lines when

Yong says, ‘I can treat the

also cause wrinkles –

normally lasts only around

they smile and like them.

depressor or “pulling”

‘Mephisto lines’ to appear

three days.

Otherwise, Botox can be

muscles around the

at the sides of the brows.

injected into the lines. In future you may want less

brows, which should help lift them. Sometimes

What’s the treatment?

I have to explain that I

Russell Emerson says, ‘A

cannot remove all the

top-up injection above the

lines on the forehead

eyebrow will cause it to

without causing some

drop again within a

droop. You may need a

few days.’

Botox between the brows.

brow lift, treatments to improve skin quality or just a fringe!’

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What’s the problem?

Crooked smiles: injecting Botox near the mouth is increasingly

Frozen face: excessive Botox can leave faces, especially

popular, but says Lynette Yong, ’If the muscles pulling down

foreheads, glassy and expressionless.

the side of the mouth are over-relaxed, they can lead the lips to ﬂy up at the side, causing a “joker smile.”’And Russell

What’s the treatment?

Emerson warns, ’If too much is injected to the upper lip to

Ask your practitioner to under-treat in the first appointment.

treat “smoking lines”, individuals will complain of an inability

Says Paul Banwell, ‘Baby Botox involves using a more diluted

to lift the upper lip making the application of lipstick difficult

version of the product which softens lines but allows more

and in some cases the lip has to be physically lifted using the

movement.’

fingers for tooth brushing. In the lower lip, the smile will be uneven and even a small discrepancy in strength will be very noticeable.’ What’s the treatment? Says Emerson, ‘Only small amounts of Botox in a dilute strength should be used in the lower face. Uneven smiles can sometimes be improved with Botox injections to bring the corners down, but in some cases patients will have to wait for the product to wear off.’

‘Permanent injectable fillers can be risky, and won’t change as your face changes,

Filler Facts What’s the problem?

What’s the problem?

Trout pout, or over-inflated

‘Pillow cheeks’: a puffy,

lips: this can be caused

hamster-cheeked look

simply by injecting too

caused by too much filler

much product, but also,

being injected.

says Yong, ‘if you inject into the border of the lip, it can

What’s the treatment?

create a duck-like effect.’

Ask your practitioner to under-treat you – you can

What’s the treatment?

always add more. Excess

It will wear off naturally,

product can be dissolved.

or the filler can be dissolved with injections of Hyaluronidase.

• Mr Paul Banwell is based in Kent and Surrey, 0845 2600 261. • Dr Lynette Yong is based in London, 020 7307 8752. • Mr Russell Emerson is based in Hove, East Sussex, 01273 719834.

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Help is at hand WE’VE ALL SEEN EXAMPLES OF CELEBRITIES TAKING EXTREME MEASURES TO ENSURE A YOUTHFUL FACE, WHILST LEAVING THEIR HANDS TO GIVE THE GAME AWAY. EMMA ROBERTSON INVESTIGATES HOW TO HIDE THE TELLTALE SIGNS ‘It’s a fact that hands age faster than the face, yet they rarely register as part of most women’s beauty regimes,’ says consultant dermatologist Dr Vishal Madan. ‘As well as exposure to damaging UV rays which cause premature wrinkles and age spots, hands also contend with irritants such as detergents, smoke and frequent washing with hot water which dehydrate the skin and degrade its collagen levels,’ he explains. According to a recent survey of 3000 women, one in 20 thought their hands made them look a whopping 15 years older. So why are we still neglecting them? Luckily small changes can make a big difference. Moisturising regularly will combat crepey skin caused by dehydration. Create a protective barrier by using a hand cream with a sunscreen for added protection. We like Dr Nick Lowe Double Duty SPF15 Hand Cream, £12.99 (from drnicklowe.com and Boots nationwide) clinically shown to boost hand hydration by 71 per cent after one application. ‘Turn the temperature down to lukewarm when washing, dry hands thoroughly afterwards and always wear gloves when gardening and washing up to protect skin from chemicals,’ advises Dr Madan. Sadly, levels of collagen and elastin – the agents that keep skin plump and youthful – decrease rapidly between your 30s and 40s, but with the latest rejuvenation treatments, you can press pause and in some cases turn back the hands of time.

Age spots AT HOME Look out for products with vitamin C, a powerful antioxidant to prevent photo-ageing, with brightening properties to dull age spots (also called liver spots). Try Medik8 C-Tetra Serum, £34 (stockists: skinbrands.co.uk, 020 8997 8541). Beauty expert Georgia Louise says retinol products yield the fastest results. ‘A retinol product used in the evening will stimulate cell turnover. Combine this with vitamin C and sunscreen in the morning,’ she says. Likewise, in clinical tests SkinCeuticals Pigment Regulator, £70 (stockists: skinceuticals.co.uk, 01209 617 146) was found to have similar brightening properties against medical standard topical treatments. It contains kojic acid – the latest in skin brightening ingredients - to inhibit the pigment-forming enzyme in skin, plus glycolic acid, a natural exfoliant to break up melanin clusters. CLINIC Intense Pulsed Light (IPL) is commonly used to treat facial age spots and studies show successful results for hands too. Suitable as a lunchtime procedure although there will be some initial redness, says Dr Madan. ‘I’d advise between four to six treatments and if you abide by a good aftercare regime which includes a daily SPF, then results are longlasting,’ he explains. ‘Remember that while age spots are exacerbated by sun damage, pigmentation clusters are also an intrinsic part of the ageing process so top-up treatments will eventually be necessary.’ ➞ See page 22 for tips on recognising skin cancer.

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Fine lines and wrinkles

Thin-skinned hands

AT HOME Need a quick fix for a special occasion? Something as simple as a paraffin wax can temporarily rejuvenate the appearance of hands, says Georgia. ‘The heat used in this treatment opens up pores so the oil can sink deeper into the skin and plump up fine lines.’

AT HOME ‘AHAs such as glycolic acid help to lock in hydration and thicken the deeper dermis layer of skin which, to some extent, will help minimise the appearance of bones and veins,’ says Georgia. Try gloRenew Serum, £24.15 (stockists: 0800 121 8116) two or three times a week in the evening, followed with an SPF in the morning.

If you can’t get to the salon, then lavish a thick layer of Skin Doctors Younger Hands, £29.95 (skindoctors.co.uk, 0845 612 2070) before bedtime and wear cotton gloves to lock in the treatment. After 28 days, this cream with clinically proven ingredients claims to reduce wrinkle depth by half.

Hyaluronic acid is another key ingredient to get your hands on. As a naturally occurring moisture magnet in the body, it binds up to 1000 times its weight in water to plump up the volume of skin. Find it alongside vitamin B5 (which helps stimulate cell regeneration) in Medik8 Hydr8 B5, £34 (stockists: skinbrands.co.uk, 020 8997 8541). Always follow with an SPF if applying in the morning.

CLINIC Dermaroller is the hottest clinic treatment which tricks skin into producing more of its own collagen and elastin naturally. ‘A sterile titanium needle roller is used to create microscopic wounds which trigger a wound-healing response in the body, to remodel the skin and thus soften fine lines and wrinkles,’ says dermatologist Dr Stefanie Williams from European Dermatology London. Results are gradual, but after three treatments at six-week intervals, effects can last for up to one year. The Indiba Rejuvenating Hand Treatment (from £55 per treatment, indiba.co.uk or 0845 468 0560 for centres) is brand new to the market and uses high-frequency currents to raise the internal temperature of skin to stimulate collagen production and micro-circulation. ‘It’s a short, pain-free treatment with no downtime and should plump and firm skin within a couple of sessions,’ says consultant cosmetic and plastic surgeon Mr Paul Banwell. ‘For results that last up to six months, a course of six to eight treatments are recommended. But for heavy-duty wrinkles, you may need to combine it with dermal filler injections,’ he advises. Fractional resurfacing laser technology such as Fraxel can also improve wrinkles and fine lines on the back of the hands. This works by treating most of the skin surface whilst leaving tiny islands of skin which speed recovery.

CLINIC Fillers and bio-revitalisation are considered the most effective way to replenish lost volume in the hands, reducing the visibility of veins, tendons and bones. In particular, Restylane Vital, which uses stabilised hyaluronic acid, has shown impressive results and also boosts collagen production in the skin. You’ll need two or three sessions (prices around £220) at monthly intervals with maintenance treatments required after four to six months. Although there’s no downtime, you may experience some bruising. For more permanent results, fat transfers can also be used to plump up the fleshy layer between bone and skin: fat harvested from your own thighs, tummy or bottom is injected into the back of the hands. The surgeon will need to slightly ‘overfill’, as the body will reabsorb naturally around 40 per cent of the fat; expect to wait up to six weeks to appreciate the final results. The fat picks up its own blood supply so it’s unlikely that the procedure will need to be redone. EB

Facialist Georgia Louise is based in London (020 7589 9911, georgiaskincare.co.uk). Dr Vishal Madan consults privately at Bridgewater Hospital, Manchester (0161 227 0000, bridgewaterhospital.com). Mr Paul Banwell is based in Kent and Surrey (0845 2600 261, paulebanwell.com). Dr Stefanie Williams practices at European Dermatology London (020 7467 8500, eudelo.com).

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Beauty

dangers

RegulaR exfoliation? DisciplineD Regime of exeRcise anD elaboRate showeRing Rituals? all these beauty habits aRe well anD gooD – but aRe they ageing you fasteR than you thinK? by Emma Smith a woman’s beauty regime is a minefield – we must exercise, exfoliate, extract and epilate. and it’s not uncommon to find yourself discussing your favourite facialist or deep-cleansing mask over a glass of wine and feeling inadequate when your friends profess to elaborate rituals of their own. but as in everything, there are limitations: how much cleansing is too much? how hard should we be scrubbing? expert beauty investigates surprising hazards that are undermining your beauty regime.

SunbathE for Vitamin D uV rays trigger the production of vitamin D in the skin. this essential vitamin regulates the absorption of calcium by the bones and teeth and also boosts the body’s immune system. Recent advice from the national osteoporosis society suggests that we need to get more sun to minimise the risk of brittle bones. however a balanced diet containing oily fish and eggs, and 15 minutes of sunshine three times a week should be enough to produce all the vitamin D we require (it is fat-soluble and any surplus is stored by the body).

Expert beauty recommends Don’t use vitamin D as an excuse to sunbathe - as with smoking, the damage to your skin takes years to develop.

SlimmEr iS bEttEr exercise has numerous health benefits, but excessive weight loss and yo-yo dieting can actually make you look older. ‘sadly, loss of fullness in the cheek area is one of the first signs of ageing,’ according to mr David oliver, plastic surgeon at exeter medical . he adds, ‘as you get

older your skin’s ability to recover elasticity is gradually reduced and so weight loss at an older age is much more likely to cause looseness in the skin that cannot be reversed.’ nike master trainer, sonja moses agrees, ‘as you age (past your thirties) you lose a pound of muscle per decade. exercise in general will keep you looking younger; it will keep your muscles defined and your waist slim. however if you train too much, or suddenly start training excessively without having ever done so before, then you will visibly age quicker.’

Expert beauty recommends eat a balanced diet rich in lean protein and keep active without overdoing it: a daily walk at a brisk pace for at least 20 minutes will keep you fit.

GEt runninG charity marathons and jogging for pleasure have been increasingly popular, but all that bouncing up and down could have negative consequences on the breasts. it’s important to wear a very supportive exercise bra, at every age, as excessive movement puts strain on the bust and can lead to premature sagging. in fact, a recent research at the university of portsmouth conducted by Dr Joanna scurr, discovered a woman’s breasts could bounce the distance of 58 football pitches by the time she finishes a marathon. breasts are held up by connective tissue called cooper’s ligaments, which are attached to the pectoral muscle. when these lose strength and tension breasts begin to sag. bottom line: always wear appropriate support when exercising.

Expert beauty recommends shock absorber Run sports bra, from £29.99 from shockabsorber.co.uk

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SKIN CLEANSE AND EXFOLIATE REGULARLY It may seem unlikely at first, but cleansing should be done in moderation. Our skin acts as a barrier to stave off bacteria, dirt and free radicals from pollution. Cleansing in excess will strip your skin of its natural moisture and essential oils that keep its texture balanced and youthfully plump. Symptoms of an overzealous beauty regime: rough texture and taut skin that feels overstretched and even breaking out in spots. The oil glands in our epidermis act to balance moisture levels. If it feels as though it’s getting dry, the oil glands will compensate by producing more – which can often lead to unsightly breakouts. The key is gentle cleansing without harsh foaming chemicals which can be excessively drying. The same principle applies to exfoliation, which can strip the skin even further.

Expert Beauty recommends Use gentle bean or rice-based textures for exfoliation, twice a week at the very most, to give the skin time to regenerate.

GET YOUR BEAUTY SLEEP Some restorative sleep is essential for maintaining our complexion’s youthful glow, especially between the hours of 10pm and 2am when our skin regenerates the most actively. But we don’t always emerge fresh-faced, bright-eyed and bushy-tailed in the morning. Often, our pillow is to blame. Lying on your side, even on pillows made from luxurious 1000 thread Egyptian cotton, can worsen facial wrinkles. A great alternative is silk. It contains natural proteins fibres that help our skin to breathe. Silk won’t absorb our creams or the moisture from our skin and the reduced friction minimises skin creases.

Expert Beauty recommends If you develop vertical wrinkles on your face, follow the age-old advice of sleeping on your back to avoid sleep lines. Silk pillow slip, £25, from thetreatmentrooms.co.uk.EB

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THE CHOICE

IS YOURS Many people will consider cosMetic surgery at soMe tiMe in their lives. knowing More about what is involved should be the First step towards a saFe outcoMe, eXplains Mr DaviD Oliver, consultant plastic surgeon cosmetic surgery may involve a treatment or operation that is not essential for your physical health. you have to be fully aware of the potential benefits, the risks or possible complications of surgery, and the results you can realistically expect. this means that you need an experienced surgeon who can communicate all this information to you, clearly and effectively, to allow you to make the right decision about any procedure you are considering. For that reason, all surgeons members of safercosmeticsurgery.co.uk (scs) have decided to be available, for preliminary mini-consultations, free of charge and without any further obligation. here at scs we will make sure that your decision is based solely on your needs, as your safety is our paramount concern. The three main questions that can be answered in a mini-consultation are 1. is cosmetic or reconstructive surgery an option for you? 2. what are the risks and complications that you need to be aware of? 3. what results can cosmetic surgery achieve for you? you may realise after your mini-consultation that surgery is not for you. however if you choose to take things forward, then your scs surgeon will recommend a further full consultation so that you can go together in detail over all the issues that need to be discussed. it is also important that your gp is aware of any operation that you will be having: before surgery your scs surgeon, with your permission, will write to your gp about the treatment you are considering. there may be issues that you need to discuss with your gp beforehand, such as stopping smoking, weight control or management of other health issues, so that you are medically as fit as possible for surgery. you will find that your gp will be very supportive if you are making a fully informed choice about what is right for you. so if you are considering cosmetic surgery, why not arrange a mini-consultation with your local scs surgeon to find out more? EB

In SafE HandS on the following 38 pages, read about some of the uk’s leading plastic and cosmetic surgeons, all members of scs. all SCS surgeons • Have been awarded a Fellowship of the Royal College of Surgeons (FRSC Plast) • Are experts in both aesthetic (cosmetic) and reconstructive surgery • Have at least 15 years of surgical training after the completion of medical school • Are members of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) and/or the british association of aesthetic and plastic surgeons (baaps)

More information: 0800 298 7266, safercosmeticsurgery.co.uk.

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Scotland, Ireland and the North A Mr Keith Allison (p89) Stockton-on-Tees

F Mr Alan Phipps (p94) Leeds

01642 692076 kallison@safercosmeticsurgery.co.uk

01977 664210 aphipps@safercosmeticsurgery.co.uk

B Mr Matt Erdmann (p90) Washington, Sunderland

G Mr Alastair Platt (p95) Hull, Grimsby, York

0191 283 3919 merdmann@safercosmeticsurgery.co.uk

01904 563697 aplatt@safercosmeticsurgery.co.uk

C Mr Sanjib Majumder (p91) Wakefield

H Mr Nicholas Rhodes (p96) Elland, Bingley, Huddersfield

01977 664244 smajumder@safercosmeticsurgery.co.uk

01422 229072 nrhodes@safercosmeticsurgery.co.uk

D Mr James Murphy (p92) Manchester

I Mr Gary Ross (p97) Cheadle, Macclesfield, Warrington

0161 615 6594 jmurphy@safercosmeticsurgery.co.uk

0161 615 6593 glross@safercosmeticsurgery.co.uk

E Mr Joe O'Donoghue (p93) Rickleton, Newcastle upon Tyne

J Mr Stephen Sinclair (p98) Belfast

0191 283 3918 jodonoghue@safercosmeticsurgery.co.uk

02890 099007 ssinclair@safercosmeticsurgery.co.uk

BE J

G H

F C

H H

G G

I I I

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Midlands, East England and Wales A Mr Dean Boyce (p99) Cardiff, Swansea

F Mr Jonathan Staiano (p104) Edgbaston, Solihull, Droitwich

01792 621198 dboyce@safercosmeticsurgery.co.uk

0121 222 8803 jstaiano@safercosmeticsurgery.co.uk

B Mr Michael Irwin (p100) Cambridge, Bury St Edmunds

G Mr Guy Sterne (p105) Birmingham, Worcester, Gloucester

01223 633024 mirwin@safercosmeticsurgery.co.uk

0121 222 8802 gsterne@safercosmeticsurgery.co.uk

C Mr Stephen McCulley (p101) Nottingham, Derby, Lincoln

H Mr Michael Tyler (p106) High Wycombe, Milton Keynes, Northampton

0115 851 0039 smcculley@safercosmeticsurgery.co.uk

01296 752 028 mtyler@safercosmeticsurgery.co.uk

D Mr Graham Offer (p102) Leicester, Kettering, Gibraltar

I Mr Sanjay Varma (p107) Leicester, Lincoln

0116 217 9238 goffer@safercosmeticsurgery.co.uk

0116 217 9239 svarma@safercosmeticsurgery.co.uk

E Mr Venkat Ramakrishnan (p103) Brentwood, Chelmsford, Southend-on-Sea 01245 895889 vramakrishnan@safercosmeticsurgery.co.uk

DI G F

D H

B H

G E A

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London and South East England A Mr Peter Arnstein (p108) East Grinstead

G Mr Martin Jones (p114) Chatham, East Grinstead, Caterham

01342 488029 parnstein@safercosmeticsurgery.co.uk

01342 488027 mjones@safercosmeticsurgery.co.uk

B Mr Paul E Banwell (p109) Tunbridge Wells, East Grinstead,

H Mr Asit Khandwala (p115) East Grinstead, Tunbridge Wells,

Goring-by-Sea

Horley

01342 488028 pbanwell@safercosmeticsurgery.co.uk

01342 488031 akhandwala@safercosmeticsurgery.co.uk

C Mr John Davison (p110) Chatham, Canterbury, Hythe

I Mr Roy Ng (p116) London

01227 671097 jdavison@safercosmeticsurgery.co.uk

0203 394 0671 rng@safercosmeticsurgery.co.uk

D Mr David Floyd (p111) London, Bushey

J Mr John Pereira (p117) Eastbourne, East Grinstead, Maidstone

0203 394 0658 dfloyd@safercosmeticsurgery.co.uk

01342 488030 jpereira@safercosmeticsurgery.co.uk

E Mr Stephen Hamilton (p112) London

K Mr Martin Vesely (p118) London, Ashtead, Guildford

0203 394 0673 shamilton@safercosmeticsurgery.co.uk

01483 698659 mvesely@safercosmeticsurgery.co.uk

F Ms Anita Hazari (p113) Canterbury, Tunbridge Wells, East Grinstead 01342 488026 ahazari@safercosmeticsurgery.co.uk

DEIK

CG K G

K H

BFH

ABFGHJ

B J Expert Beauty Promotion | 87 Expert Beauty_March11_Profiles_All_v7.indd 87

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South-West England A Mr David Johnson (p119) Oxford, Swindon, Banbury

C Mr Ian Whitworth (p121) Salisbury, Bournemouth, Southampton

01865 566079 djohnson@safercosmeticsurgery.co.uk

01722 622095 iwhitworth@safercosmeticsurgery.co.uk

B Mr David Oliver (p120) Exeter, Torquay

D Mr Sherif Wilson (p122) Bristol, Bath

01392 330598 doliver@safercosmeticsurgery.co.uk

0117 314 9198 swilson@safercosmeticsurgery.co.uk

A D D

C B B

88 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 88

14/03/2011 14:46

Consultant Plastic and Cosmetic Surgeon

Keith Allison MBChB, MD, FRCS (Eng), FIMC RCS (Ed), FRCS (Plast) Keith Allison is a fully trained and accredited Consultant Plastic Surgeon. His private practice is based at the Nuffield Health Tees Hospital in Stockton-on-Tees and covers all aspects of aesthetic facial, breast and body-contouring surgery. Keith was appointed as an NHS Consultant Plastic Surgeon at The James Cook University Hospital in Middlesbrough in 2005, where his special interests are reconstructive surgery for patients with skin cancer, traumatic injuries and breast cancer. Keith Allison became a Fellow of the Royal College of Surgeons in 1997 and subsequently undertook training in plastic, reconstructive and aesthetic surgery in the UK, passing the Plastic Surgery Specialist Fellowship (FRCS Plast) in 2002. Keith also completed a recognized cosmetic fellowship at the McIndoe Surgical Centre and gained further microsurgical experience in Toronto. Having extensively published, Keith Allison is a member of the editorial board of the Journal of Plastic, Reconstructive and Aesthetic Surgery. He holds Honorary Senior Lecturer posts at the Universities of Dundee and NewcastleUpon-Tyne and is the Chairman of the Surgical Training Committee in Plastic Surgery for the Northern Deanery. Keith Allison is on the GMC Specialist Register for Plastic Surgery and is a full member of BAPRAS and BAAPS. To arrange a consultation with Mr Allison, please contact his practice manager, Ms Perry Starr on 01642 692076 or email kallison@safercosmeticsurgery.co.uk.

Q&A What attracted you to plastic surgery? ‘The ability to combine theoretical, practical and artistic elements in one job.’

What is the best part of your job? ‘Happy patients.’

‘Cosmetic surgery can be daunting and exciting in equal measure. I will help you make the correct decisions for you. Whether you decide to proceed, wait or consider an alternative, I will care for you at every stage from consultation through to discharge.’ Expert Beauty Promotion | 89 Expert Beauty_March11_Profiles_All_v7.indd 89

14/03/2011 14:46

Consultant Plastic and Cosmetic Surgeon

Matt Erdmann MBBCh, FRCS (Eng), FRCS (Plast), CCST Matt Erdmann is based at the Spire Washington Hospital in Washington, Tyne and Wear where he performs a full range of aesthetic surgical procedures. As the Lead Clinician in Plastic Surgery at the University Hospital of North Durham he oversees all NHS Plastic Surgery within the Durham, Darlington and Sunderland referral areas. He has a particular interest in all facial and breast aesthetic surgery. With 20 years of experience, he has carried out over 2000 breast enlargement and reduction procedures. He introduced the Body Jet liposuction technique to the North East of England. Matt was also the first surgeon to carry out keyhole carpal tunnel surgery in the UK. Matt Erdmann has trained in London, Edinburgh and Glasgow. He also completed a fellowship at the Royal Adelaide Hospital in Australia concentrating on hand surgery, microsurgery and mastering fine surgical techniques. He is a full member of BAPRAS and BAAPS. Matt believes that communication and a full understanding of the procedure are pivotal elements of achieving excellent results. To arrange a consultation with Mr Erdmann, please contact his private secretary, Lisa Foster on 0191 283 3919 or email merdmann@safercosmeticsurgery.co.uk.

Q&A I am planning a facelift and am in my late 40s. Am I too young for surgery and how long can I expect the procedure to last? ‘A facelift may be helpful when facial structures are moving “southwards”. This is usually in the mid to late 40s – although a much younger woman may for example have an inherited condition of very loose skin and require a facelift. The procedure is tailored to every patient and their problems. The facelift cannot be expected to retain its appearance permanently, as ageing continues at different rates in different patients. However, the result will always look younger and fresher than if nothing had been done.’

‘I use photographs, videos and digital morphing techniques so that my patients can make an informed and realistic choice amongst the myriad of procedures available today.’ 90 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 90

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Consultant Plastic and Cosmetic Surgeon

Sanjib Majumder MBBS, FRCS (Ed), FRCS (Glas), FRCS (Plast) Sanjib Majumder is a fully accredited, UK trained specialist in plastic, reconstructive, hand and aesthetic surgery. Born in India, he grew up in the West Indies before moving to the UK. Since 1994, Sanjib Majumder has been a NHS Consultant in Plastic, Reconstructive, Hand and Aesthetic Surgery at Pinderfields Hospital in Wakefield. His specialist interests include general plastic and reconstructive surgery, breast and body-contouring surgery, lower limb reconstruction and hand surgery. His private practice is based at Methley Park Hospital in Leeds. A full member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) and of the British Society for Surgery of the Hand (BSSH), Sanjib Majumder has published many peer-reviewed articles and has presented regularly at plastic surgery conferences in the UK and abroad. He lives in Pontefract (West Yorkshire) with his wife, three children and two dogs. To arrange a consultation with Mr Majumder, please contact his private secretary Catherine Lyons on 01977 664244 or email smajumder@safercosmeticsurgery.co.uk.

Q&A What is capsular contracture? ‘Any implant stimulates the body to form a capsule around it that is made of collagen fibres and some cells. This capsule is usually thin, soft and flexible. Grade 1 is when the implant is soft and the shape is normal; grade 2 is when you can feel the implant but it doesn't distort the breast. Surgeons become concerned with capsular contracture of grade 3 or 4: grade 3 is when the implant feels firm and distorts the shape of the breast and grade 4 is when it is firm and causes pain. We do know what can reduce the incidence of capsular contracture: placing the implant under the pectoral muscle, and not smoking. Radiotherapy after breast cancer treatment is also a high risk. If you have any concern, have your breasts evaluated by your plastic surgeon.’

‘Seeing a highly qualified surgeon experienced in the procedure you have chosen will ensure that your results are not only effective and beautiful – they’re also safe.’ Expert Beauty Promotion | 91 Expert Beauty_March11_Profiles_All_v7.indd 91

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Consultant Plastic and Cosmetic Surgeon

James Murphy MB ChB, ChM, FRCS (Plast) James Murphy is a Consultant Plastic Surgeon whose private practice is based at the Spire Hospital in Manchester. He provides the full range of aesthetic facial, breast and body-contouring surgery. In addition, he is Senior Consultant in the Department of Plastic Surgery at the Christie NHS Hospital in Manchester, specialising in reconstructive surgery for patients with skin cancer, sarcoma and breast cancer. James Murphy completed his Fellowship of the Royal College of Surgeons of England in 1996. After training in plastic and reconstructive surgery in England, the USA, Australia and New Zealand, he was awarded the Higher Postgraduate Degree of Master of Surgery in 2001 and was made a Fellow of the Royal College of Surgeons in Plastic Surgery (FRCS Plast) in 2002. He is on the GMC Specialist Register for Plastic Surgery and is a full member of BAPRAS and BAAPS. James Murphy has published numerous articles and presented papers worldwide. He is a Supervising Consultant in the North West aesthetic surgery fellowship programme, training the plastic surgeons of the future. To arrange a consultation with Mr Murphy, please contact his private secretary, Sue Hinchcliffe on 0161 615 6594 or email jmurphy@safercosmeticsurgery.co.uk.

Q&A What are the biggest misconceptions in breast augmentation ? ‘That breast augmentation leaves patients looking false – and that implants have to be changed every ten years. It is possible to design an operation that exactly suits an individual patient’s requirements and produces natural, proportionate results that also lead to fewer long-term complications such as capsular contracture. The majority of responsible manufacturers now offer a lifetime warranty against rupture. My advice to patients is that, as long as they are happy with their shape, they can leave their breast implants in for as long as they want to.’

‘I pride myself on providing personalised, individual advice and care tailored to meet my patients’ specific needs and wishes.’ 92 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 92

14/03/2011 14:47

Consultant Plastic and Cosmetic Surgeon

Joe O’Donoghue MB, BCh, BAO, M.Med.Sci, M.Ch, FRCSI, FRCS (Plast) Joe O’Donoghue was appointed Consultant Plastic Surgeon to St George’s Hospital in London in 1999. He moved to Newcastle-Upon-Tyne in 2002. His NHS practice is based at the Royal Victoria Infirmary, and his private practice at the Newcastle Nuffield Hospital and the Spire Hospital in Washington. Joe O’Donoghue completed his basic surgical training in Ireland, becoming a Fellow of the Royal College of Surgeons in 1992. He completed his research in breast cancer at the National Breast Cancer Research Institute in Ireland. He then undertook his plastic surgery training in Cork, Stoke Mandeville, Oxford, London and Paris. Joe O’Donoghue has a special interest in microvascular breast reconstruction as well as all aspects of cosmetic surgery. A full member of the British Association of Plastic and Reconstructive Surgeons (BAPRAS), the British Association of Aesthetic Plastic Surgeons (BAAPS) and the Association of Breast Surgeons (ABS), he was admitted onto the GMC Specialist Register for Plastic Surgery in 1998. He is currently involved in a number of National and European training initiatives through his work with BAPRAS. A keen sports enthusiast, his interests include golf, sailing, skiing and music. To arrange a consultation with Mr O'Donoghue, please contact his private secretary, Lesley Leck on 0191 283 3918 or email jodonoghue@safercosmeticsurgery.co.uk.

Q&A Is sensation to the breast affected by breast augmentation? ‘Up to 40 per cent of women may report changes in nipple or skin sensation immediately after breast augmentation surgery. This can be irrespective of the size or style of implant used or the route of insertion. Normal sensation will return in the majority of patients over several months, but a small number of patients will have permanent loss of sensation. It is important to discuss this concern with your surgeon before undergoing this procedure.’

‘I offer a relaxing and holistic approach so that you will have as much time as possible to make your decision. I also provide an open door policy even after you have been discharged.’ Expert Beauty Promotion | 93 Expert Beauty_March11_Profiles_All_v7.indd 93

14/03/2011 14:47

Consultant Plastic and Cosmetic Surgeon

Alan Phipps MA, BM, BCh, FRCS (Ed), FRCS (Plast) Since 1994, Alan Phipps has been a consultant at Pinderfields Hospital in Wakefield, where he has a specialist interest in the treatment of burns and scars and leads the clinical team in the regional Burns Centre. In his private practice at Spire Methley Park Hospital, Leeds, he specialises in cosmetic surgery – particularly facial plastic surgery, breast surgery (enlargement, reduction and uplift) and body contouring (abdominal surgery and liposuction). He aims to offer not only a high standard of clinical care, but also a relaxed and approachable personal manner so that patients can make well-informed, confident decisions about their treatment. After studying medicine and surgery at Cambridge and Oxford Universities, Alan Phipps went on to train in plastic surgery, after which he was awarded the specialist FRCS (Plast) qualification. He is a full member of BAPRAS and BAAPS and he is listed in the GMC Specialist Register for Plastic Surgery. To arrange a consultation with Mr Phipps, please contact his secretary Helen Jukes on 01977 664210 or email aphipps@safercosmeticsurgery.co.uk.

Q&A What is the least noticeable place for a scar in breast enlargement? ‘The scars can be placed in the armpit, in the areola or in the fold under the breast. Each option has advantages and disadvantages. Choosing the armpit leaves the breast free of scars. However, it is difficult to create an accurately-sized pocket for the implant. Also, if the scar does not heal well, it will be visible when raising the arm. Scars in the areola (nipple) involve more cutting of breast tissue with more potential nerve damage. It is rarely performed in the UK. With this option as well as the armpit, if there is bleeding after the operation, an incision in the fold may be needed to gain access (therefore two scars are created). Scars in the fold give good visibility for creating the implant pocket. If the scar is accurately positioned in the fold, it heals well and becomes inconspicuous. This is the option most commonly adopted in the UK.’

‘I aim to offer not only a high standard of clinical care, but also a relaxed and approachable personal manner.’ 94 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 94

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Consultant Plastic and Cosmetic Surgeon

Alastair Platt BA, BM, MA, BCh, FRCS (Eng), FRCS (Plast) Alastair Platt grew up in Yorkshire. He graduated in clinical medicine from Oxford University, before starting his senior plastic surgery training in units throughout Yorkshire. He undertook a year-long fellowship in plastic surgery in Adelaide, Australia. Alastair Platt has worked as a Consultant Plastic and Reconstructive Surgeon since 2001. He is the Clinical Director of the Plastic Surgery Unit at the Castle Hill Hospital in Cottingham. His interests include hand surgery, sarcoma surgery, skin malignancy, breast and general reconstruction. He is a Fellow of the Royal College of Surgeons, a full member of BAAPS, BAPRAS and the British Society for Surgery of the Hand (BSSH). He has over 70 publications and presentations worldwide in the field of plastic surgery. Alastair Platt is supported by a dedicated team of professionals. Clinics and operating are carried out at the Hull and East Riding Spire Hospital in Anlaby and St Hugh’s Hospital in Grimsby. Mr Platt’s anaesthetists are all consultants and are members of the Royal College of Anaesthetists. To arrange a consultation with Mr Platt, please contact his private secretary Gale Gibson on 01904 563697 or email aplatt@safercosmeticsurgery.co.uk.

Q&A I would like to have breast augmentation but I am worried that my implants will show in the future. 'First of all it is important to discuss with your surgeon where your implants will be placed - either above or below the muscle. You should be explained the pros and cons of each option in your particular case. Placing implants under the muscle provides a thicker layer of tissue cover over the breast implant which lessens the chance of any implant visibility. If you have only a little breast tissue, then this is usually a better option. However, there are a number of factors including whether there is any significant drooping of your breasts, in which case if the implants are placed over the muscle, their volume can fill the loose skin envelope. Another factor is which type of implants you will have: few UK surgeons would typically recommend a saline implant because of a higher chance of implant visibility and rippling. A silicone gel implant has markedly less wrinkling and rippling.’

‘I make sure that I give my patients an informed and realistic expectation of the results.’ Expert Beauty Promotion | 95 Expert Beauty_March11_Profiles_All_v7.indd 95

14/03/2011 14:47

Consultant Plastic and Cosmetic Surgeon

Nicholas Rhodes BDS, MBChB, FFD RCSI, FRCSI, FRCS (Plast) Nicholas Rhodes graduated in medicine and dental surgery from the Universities of Leeds and Liverpool. He trained in oral and maxillofacial surgery and was made a Fellow of the Faculty of Dental Surgeons at the Royal College of Surgeons. He completed his general surgical training in the UK. He undertook his plastic surgery training within the Yorkshire region and was entered onto the GMC Specialist Register for Plastic Surgery in 2006. He is a full member of BAPRAS and BAAPS. In 2007, Nicholas Rhodes was appointed Consultant in Plastic and Reconstructive Surgery at the Bradford Royal Infirmary and Huddersfield Royal Infirmary. His NHS work focuses mainly on breast surgery, particularly microsurgical reconstruction following cancer, the correction of congenital deformity and body-contouring surgery following weight loss. His private practice includes aesthetic facial, breast and body-contouring surgery, as well as a full range of non-surgical treatments. Nicholas has been trained in some of the newer techniques available in cosmetic surgery such as Smart Lipo, fat transfer, and injections for breast and body contour enhancement. To arrange a consultation with Mr Rhodes, please contact his private secretary, Heather Clayton on 01422 229072 or email nrhodes@safercosmeticsurgery.co.uk.

Q&A I have heard of fat transfer, what is it and where can it be used? ‘Fat transfer is a technique where fat is taken from one area of your body using liposuction, purified and then placed into another area of your body. The purified fat basically acts as a filler, adding volume to an empty area. Fat can be used in a number of different areas, including the face and breasts. In the face it can be used to fill the cheek area, hollowing around the eyes and the mouth creases. Volume can also be added to enhance the breasts without using silicone implants.’

‘Patients are moving away from the over-enhanced, obviously surgically achieved appearance. In facial treatments, volume replacement and redistribution is essential to effectively rejuvenate the face.’ 96 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 96

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Consultant Plastic and Cosmetic Surgeon

Gary Ross MB ChB, MD, FRCS (Plast) Gary Ross is a Consultant Plastic Surgeon based in Cheshire, specialised in breast, head and neck surgery and body contouring. He works at the BMI Alexandra Hospital in Cheadle as well as the Spire Cheshire and the Spire Regency Hospitals. He is also a NHS consultant at The Christie in Manchester. A full member of BAPRAS and BAAPS, he is on the GMC Specialist Register for Plastic Surgery. Gary Ross completed the specialist plastic surgery training programme in the North West. His fellowships include the Mentor International Aesthetic Surgery Fellowship at King Edward VII Hospital London, the North West Aesthetic Fellowship in Chester, Liverpool and Manchester, a year in Toronto, Canada in head, neck and breast surgery, and two years in Canniesburn Hospital Glasgow, completing a higher doctorate (MD) in head and neck surgery. He is an Honorary Senior Lecturer at the University of Manchester and has published numerous articles and book chapters. Gary Ross has lectured worldwide. He has received widespread recognition for his charitable work. To arrange a consultation with Mr Ross, please contact his practice manager, Pam Glass on 0161 615 6593 or email glross@safercosmeticsurgery.co.uk.

Q&A Can a breast uplift be performed at the same time as a breast augmentation? ‘The decision to perform a breast uplift with an implant requires a detailed discussion regarding the expectations of surgery and the potential achievable results. Sometimes an uplift alone or an augmentation alone may be sufficient and the pros and cons of an uplift with breast augmentation need to be discussed. There are a number of different ways in which an uplift can be performed based on the size and shape of the breast tissue and if performed by an experienced surgeon, it offers an excellent option for breast rejuvenation.’

‘I aim to provide an individualised practice tailored to the needs of the patients. I focus on optimal results without ever compromising patient safety.’ Expert Beauty Promotion | 97 Expert Beauty_March11_Profiles_All_v7.indd 97

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Consultant Plastic and Cosmetic Surgeon

Stephen Sinclair MB, BCh, FRCS (Plast), MD Based in Ulster, Stephen Sinclair was appointed a NHS Consultant Plastic Surgeon in 1999 and has a well-established reputation in the private sector as a leading cosmetic and reconstructive surgeon. He is Medical Director at the Fitzwilliam Clinic and Belfast Clinic as well as Programme Director in the Regional Plastic Surgery Unit based at The Ulster Hospital. He is part of the multidisciplinary Breast Cancer Team. Stephen Sinclair is a member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) and the British Association of Aesthetic Plastic Surgeons (BAAPS). He is registered with the GMC on their Specialist Register for Plastic Surgery. His specialist interest is in reconstructive and cosmetic breast surgery and facial aesthetic surgery. Mr Sinclair spent a period of time in the Blond McIndoe Centre in East Grinstead where he undertook research in plastic surgery culminating in the award of a MD. He has trained in several centres in Belfast and the United Kingdom and complemented his training with fellowships in the United States (including Emory Centre, Atlanta, and the Baptist Hospital, Nashville) as well as in the Institut Marie Curie in Paris. To arrange a consultation with Mr Sinclair, please contact his private secretary, Carol Stewart, on 02890 099007 or email ssinclair@safercosmeticsurgery.co.uk.

Q&A What are some of the common risks of breast augmentation? ‘Breast augmentation, if performed correctly by an experienced plastic surgeon has low complication risk. Your best protection is to go to someone experienced and reputable, who works in a reputable clinic. Breast enlargement is a long-term commitment. However, every surgical procedure involves a certain amount of risks. The common risks are those inherent to any surgery: bleeding, infections, bad scarring, but these are very low if done by a skilled surgeon. Risks inherent to breast augmentation itself include capsular contracture (formation of a firm capsule around the implant), visible wrinkling, altered nipple sensation and displacement of position. For long-term follow-up, you should be sure that your surgeon has an established practice local to you.’

‘I work with a team of highly specialised people to provide a first-class service tailored to an individual’s specific needs.’ 98 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 98

14/03/2011 14:48

Consultant Plastic and Cosmetic Surgeon

Dean E Boyce MB BCh, FRCS, FRCS (Ed), FRCS (Plast), MD Based in South Wales, Dean Boyce consults in Cardiff, Swansea and the Vale of Glamorgan. After training at major hospitals in Wales, Birmingham, Manchester and Sydney, Australia, during which he gained Fellowships of the Royal Colleges of both England and Edinburgh, and the FRCS(Plast), he was appointed as Consultant Plastic and Hand Surgeon to the Welsh Centre for Plastic Surgery in 2003, and elected to the GMC Specialist Register for Plastic and Reconstructive Surgery. Dean was awarded a Doctorate for scientific research in human and scar less wound healing in 2000, and was appointed as Hunterian Professor by the Royal college of Surgeons of England in 2002. A Clinical Tutor in Plastic Surgery for the University of Wales, he is also the Training Programme Director for Wales and the Regional Specialist Advisor for Plastic Surgery for the Royal College of Surgeons of England. Dean has published and lectured extensively on Plastic Surgery and is on the scientific committee for Aesthetics Today, a leading international cosmetic meeting. He is a full member of BAPRAS. Dean Boyce aspires to achieve the highest and safest standards of care via a consultant-based practice. He believes in a holistic approach to aesthetic surgery tailored to the individual. It is important to develop a close and trusting relationship with your surgeon, and so he insists on offering a second consultation to ensure you have the opportunity to think through all treatment options and understand any risks. Frequently performed procedures include: cosmetic breast surgery, body contouring and aesthetic facial surgery, as well as non-surgical treatments to improve facial appearance. To arrange a consultation with Mr Boyce, please contact his private secretary, Janet Jenkins on 01792 621198 or email dboyce@safercosmeticsurgery.co.uk.

Q&A What are the pros and cons of having breast implants over or under the muscle? ‘This depends very much on the individual. For ladies with enough breast tissue to cover the implant, it is better to put the implant on top of the muscle. Similarly, if there is a degree of sagging of the breast, the implant would need to be put on top of the muscle in order to fill the loose breast skin. For ladies with small breasts, placing the implant under the muscle avoids an obvious "stuck on" look. Much of the implant is covered by muscle and is therefore less easily felt, but it may distort slightly when the muscle contracts, which is why some surgeons, including myself, release the lower and inner parts of the muscle in order to minimise these effects.’

‘As you are unique, your need a treatment option to suit your individual features and requirements. If a treatment is not right for you, then it will not be offered.’ Expert Beauty Promotion | 99 Expert Beauty_March11_Profiles_All_v7.indd 99

14/03/2011 14:48

Consultant Plastic and Cosmetic Surgeon

Michael Irwin MB, BS, FRCS (Plast) Michael Irwin is a Consultant Plastic Surgeon and past Clinical Director of the Department of Plastic Surgery at Addenbrooke’s NHS Hospital in Cambridge, where he is also a respected member of the multi-disciplinary Breast Team. He consults privately at the Spire Cambridge Lea Hospital and BMI Bury St Edmunds Hospital, offering a comprehensive repertoire of plastic surgery and cosmetic procedures. His patients find him approachable and easy to talk to. After qualifying from St Thomas’ Hospital, London, Michael Irwin trained in Chepstow, East Grinstead and London. He acquired additional expertise in breast reconstruction, plastic surgery of the breast and aesthetic surgery in Atlanta, USA, at the Royal Marsden Hospital, London and the Wellington Hospital, London. Michael Irwin became a Fellow of the Royal College of Surgeons of England in 1991 and FRCS (Plast) and European Board certified in 1998. He has been awarded the Hunterian Professorship by the Royal College of Surgeons of England. He is included on the GMC Specialist Register for Plastic Surgery and is a full member of BAPRAS and BAAPS. To arrange a consultation with Mr Irwin, please contact his private secretary Sue Hanzl on 01223 633024 or email mirwin@safercosmeticsurgery.co.uk

Q&A I have had children and lost weight, as a result my breasts are deflated and empty. Do I need a breast lift or just implants to restore their appearance? ‘Loss of volume can be addressed by the use of implants alone. However, if your breasts are quite droopy (“ptotic”), you may need an uplift as well. Mastopexy (or breast lift) may suffice if you are happy with size but would like an improved elevated shape. I would be pleased to see you and advise what is most appropriate.’

‘It is essential that patients considering cosmetic surgery should take time to make a fully informed decision. I am happy to consult with each new patient as often as necessary for them to feel comfortable and confident with their decision.’ 100 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 100

14/03/2011 14:48

Consultant Plastic and Cosmetic Surgeon

Stephen McCulley MBChB, FCS(SA) Plast, FRCS (Plast) Stephen McCulley has an international reputation for his surgery. He is based in Nottingham and has been a Consultant Plastic Surgeon for ten years, combining his broad cosmetic surgery expertise and his breast cancer work. Stephen was the first plastic surgeon in the UK to regularly apply and adapt cosmetic techniques such as breast reduction into breast cancer treatment with great success, and is regarded as a pioneer in this field. He now divides his work between his busy cosmetic surgery practice and his breast cancer reconstruction work. He performs a full range of both cosmetic and breast reconstruction surgery. He believes the key to success is helping the right patient to make the right choices. All surgery is performed with the same approach of careful planning and excellent technique to deliver repeatedly high-standard outcomes. When not operating, he regularly teaches and lectures in his areas of expertise. He is a full member of both BAAPS and BAPRAS. Away from surgery Stephen enjoys his family, his sport and his painting, which he has been doing since he was young. He is considered to be very professional and confident, yet approachable and honest. To arrange a consultation with Mr McCulley, please contact his private secretary, Wendy Bradley on 0115 851 0039 or email smcculley@safercosmeticsurgery.co.uk.

Q&A What gives a good outcome in cosmetic surgery? ‘A realistic and healthy patient, with a good surgeon helping them chose the right operation.’

What makes a good cosmetic surgeon? ‘Good training, good experience, common sense and a true aesthetic sense… Unfortunately you cannot teach the last two!’

‘Cosmetic or reconstructive surgery can be incredibly life-changing in the most positive of ways, not only physically, but emotionally too.’ Expert Beauty Promotion | 101 Expert Beauty_March11_Profiles_All_v7.indd 101

14/03/2011 14:48

Consultant Plastic and Cosmetic Surgeon

Graham Offer BSc (Hons), MBChB, FRCS, FRCS (Plast) Graham Offer runs a comprehensive professional and personal plastic surgery service in and around Leicester. He undertakes most plastic and cosmetic surgery procedures, including all types of breast surgery, aesthetic facial surgery, hand surgery and body-contouring procedures. A Consultant Plastic Surgeon at Leicester Royal Infirmary and Clinical Teacher in Plastic Surgery at the University of Leicester, Graham Offer has also been appointed Visiting Consultant in Plastic Surgery to the Gibraltar Health Authority. He is a full member of BAAPS, BAPRAS, the Royal College of Surgeons of England and the British Burns Association. Graham Offer’s specialist interests cover all forms of cosmetic breast surgery. He also has an interest in rhinoplasty and nose reconstruction. He operates in private hospitals that are all Care Quality Commission approved and works with highly regarded consultant anaesthetists. He is actively involved in cosmetic and reconstructive breast surgery research. He lectures and publishes in peer-reviewed journals in the UK and overseas. His work on evidence-based plastic surgery won him the Kay-Kilner Prize in 2003. To arrange a consultation with Mr Offer, please contact his private secretary, Deborah Keast on 0116 217 9238 or email goffer@safercosmeticsurgery.co.uk.

Q&A Does it matter which breast implants I have? ‘Depending on what your breasts look like before surgery, different breast implant shapes, types and position relative to the chest muscles will affect the final result. It is important to discuss the options with your surgeon. Your procedure should be tailormade for you as an individual. If you don't have confidence in your surgeon, walk away.’

‘I give my patients an honest opinion regarding their suitability for cosmetic surgery. I always try to find out exactly what they are trying to achieve and I fully discuss each patient’s individual needs.’ 102 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 102

14/03/2011 14:48

Consultant Plastic and Cosmetic Surgeon

Venkat Ramakrishnan MS, FRCS (Eng), FRACS (Plast) After qualifying in medicine in 1983, Venkat Ramakrishnan undertook comprehensive training in plastic and cosmetic surgery in Australia. He has been practicing reconstructive and cosmetic plastic surgery since 1987. He is currently Service Director and Consultant Plastic Surgeon at St Andrew’s Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, Essex. He also consults privately at the Nuffield Health Hospital, Brentwood and The Springfield Hospital, Chelmsford. Aesthetic and reconstructive surgery of the breast forms a major part of Venkat Ramakrishnan’s NHS commitment and he has made many presentations internationally, as well as published extensively on the subject. Other interests include skin cancer, cosmetic surgery of the face, liposculpture and bodylifts. Venkat Ramakrishnan is, amongst others, a member of BAPRAS, a Fellow of the Royal College of Surgeons and a Fellow of the Royal Australasian College of Surgeons. He is on the GMC Specialist Register for Plastic Surgery. When not working wonders in the operating theatre, Venkat enjoys reading, cricket, playing chess and travelling. To arrange a consultation with Mr Ramakrishnan, please contact his private secretary, Lindsey York on 01245 895889 or email vramakrishnan@safercosmeticsurgery.co.uk.

Q&A When you perform my breast augmentation, how will you make sure that you place the correct cup size implant? ‘The implants do not come in cup sizes, but in cubic volume. For example in a slim patient, a 200cc implant may give an increase of more than a cup size, while the same implant in a larger person will not. Before the procedure, I will meet you at least twice to discuss what you want and explain what can be achieved. During the operation we make the space for the implant either behind the breast or the muscle, and place the implant which is appropriate: this is where the surgeon’s experience is essential, as it involves art as much as mathematical calculations. In patients with asymmetry, I use the Spectra implant where you can subtly increase the size on the next day when the patient is awake, able to see herself and make a decision - with no need for any anaesthetic.’

‘We aim to provide a professional and comprehensive service every step of the way to the new you’. Expert Beauty Promotion | 103 Expert Beauty_March11_Profiles_All_v7.indd 103

14/03/2011 14:48

Consultant Plastic and Cosmetic Surgeon

Jonathan Staiano BSc, MBBS, MSc, FRCS (Eng), FRCS (Plast) Jonathan Staiano is a plastic surgeon with a dedicated practice specialising in reconstructive and cosmetic breast surgery and body contouring. He also has an extensive experience in the management of benign and malignant skin lesions as well as prominent ear correction and repair of the split earlobe. He qualified in medicine from Guy’s Hospital in London and has a BSc in Pharmacology and a Masters degree in Surgical Sciences from University College London. He is a Fellow of the Royal College of Surgeons of England and holds the intercollegiate speciality qualification in Plastic Surgery. He is fully trained in Plastic Surgery in the UK and has completed a cosmetic fellowship in the North West as well as specialist fellowships in microsurgical breast reconstruction at the Royal Marsden Hospital in London and in Wellington, New Zealand. He is on the GMC specialist register for plastic surgery. Jonathan Staiano is an NHS Consultant Plastic Surgeon at Birmingham City Hospital with a private practice based at the Priory Hospital in Edgbaston, the Droitwich Spa Hospital in Droitwich and the Spire Parkway Hospital in Solihull. He is a member of BAPRAS, BAAPS, ISAPS and UKAAPS. Jonathan enjoys spending time with his family and is a keen mountain biker. To arrange a consultation with Mr Staiano, please contact his private secretary Debbie Plant on 0121 222 8803 or email jstaiano@safercosmeticsurgery.co.uk.

Q&A Can you show me what I will look like with breast implants? ‘There are many possible tricks, including filling bags with water or rice and putting them in your bra or putting implants in your bra, but these do not give an accurate assessment of how you will actually look post-operatively. It is important to discuss the size that you are hoping to achieve with your surgeon. There will have to be an element of trust between you and your surgeon and you will need to appreciate that a precise cup size cannot be guaranteed.’

‘I am dedicated to providing a first-class service to my patients. I will make sure that you have enough time to consider surgery before embarking on this route, and that your result will be the best it possibly can be.’ 104 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 104

14/03/2011 14:48

Consultant Plastic and Cosmetic Surgeon

Guy Sterne MB, ChB, FRCS, MD, FRCS (Plast) Guy Sterne holds a NHS post at Birmingham City Hospital where he specialises in breast reconstruction, and was recently appointed as National Tutor for Plastic Surgery at the Royal College of Surgeons. He has practices in three private hospitals in Birmingham, Worcester and Gloucester, where he undertakes all aspects of plastic and cosmetic surgery. After qualifying from Birmingham Medical School in 1988, Guy Sterne undertook specialist training in plastic surgery, including two years research for which he was awarded a Doctorate and a Hunterian Professorship from the Royal College of Surgeons. He is highly experienced in all plastic and cosmetic procedures and aims to produce excellent, natural results. As well as breast surgery, facial surgery and body contouring, he also provides a non-surgical facial rejuvenation service using fillers and anti-wrinkle injections. Guy Sterne is on the GMC Specialist Register for Plastic Surgery and is a member of BAPRAS and BAAPS. He has a wide range of experience in cosmetic surgery and aims to produce excellent, natural results. To arrange a consultation with Mr Sterne, please contact his private secretary Gail Sterne on 0121 222 8802 or email gsterne@safercosmeticsurgery.co.uk.

Q&A I am thinking of having a tummy tuck and losing weight. Would it be best to lose weight before or after a tummy tuck? ‘A lot of ladies find that when they lose weight their tummy skin hangs in an unattractive fold which looks worse than when they carry more weight. This can be very disheartening. However from a surgical point of view the best results can be achieved if your weight is near ideal for you, that way the skin on your tummy can be tightened maximally. If you decide to have a tummy tuck and subsequently lose weight your skin will not be as tight after weight loss, therefore it makes sense to lose weight before a tummy tuck.’

‘I like to take the time to listen to my patients and understand their expectations and concerns before giving them an open and honest opinion.’ Expert Beauty Promotion | 105 Expert Beauty_March11_Profiles_All_v7.indd 105

14/03/2011 14:49

Consultant Plastic and Cosmetic Surgeon

Michael Tyler MB, ChM, FRCS (Plast) A Consultant Plastic Surgeon at Stoke Mandeville Hospital NHS Trust, Michael Tyler has developed a specialist interest in reconstructive and aesthetic breast surgery. He also has a commitment to burns surgery and burns reconstruction. His private practice is based at the Three Shires Hospital in Northampton, the Saxon Clinic in Milton Keynes, the Shelburne Hospital in High Wycombe, the Paddocks Clinic in Princes Risborough and the Chiltern Hospital in Great Missenden. Most operations he performs privately are aesthetic breast surgery, nose reshaping and eyelid surgery. Michael Tyler became a Fellow of the Royal College of Surgeons in 1992. He gained a Master of Surgery degree for scientific research into burns in 1999 and became an accredited plastic surgeon in 2000. He is on the GMC Specialist Register Council for Plastic Surgery and is a member of BAPRAS and BAAPS. Michael Tyler is the Clinical Director of Restore, a charity which researches treatments for burns and scar victims. He has published and presented work on a broad range of plastic surgical topics. To arrange a consultation with Mr Tyler, please contact his private secretary, Penny Maier on 01296 752028 or email mtyler@safercosmeticsurgery.co.uk.

Q&A Are saline breast implants better in terms of safety? What about the look and feel? ‘Silicone implants are and have always been safe. Studies have looked at hundreds of thousands of women and found no difference in disease prevalence between those with silicone implants and those without. Silicone implants will feel more natural in most patients especially in those patients who have breastfed and their breasts have 'deflated'. They also have less likelihood of rippling and may be a better option in a thin patient, who has less tissue to "hide" the implant. This is true even if the implant is placed under the muscle as the portion of the implant toward the armpit is not covered.

‘Cosmetic surgery requires technical expertise and experience but it is the artistic touch that turns a good result into a great one.’ 106 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 106

14/03/2011 14:49

Consultant Plastic and Cosmetic Surgeon

Sanjay Varma MS, FRCS (Ed), FRCS (Plast) Consultant Plastic Surgeon to the University Hospitals of Leicester NHS Trust since 1993, Sanjay Varma operates privately at the Spire Leicester Hospital and the Nuffield Health Leicester Hospital, as well as the BMI Lincoln Hospital in Lincoln. He performs a wide range of cosmetic and reconstructive surgery procedures for the face, body and breast and has personally carried out more than 200 successful microvascular breast reconstructions. Sanjay Varma graduated from the prestigious All India Institute of Medical Sciences in New Delhi. He received training in general surgery in New Delhi and in the UK at Hammersmith Hospital (London) and Harefield Hospital (Middlesex). He holds the Fellowship of the Royal College of Surgeons of Edinburgh in Plastic Surgery, having received training in Plastic Surgery at Leicester Royal Infirmary, Bradford Royal Infirmary and St James’ University Hospital in Leeds. A member of BAAPS and BAPRAS, he is also an examiner for the University of Leicester Medical School, the Royal College of Surgeons of Edinburgh and the Intercollegiate Board in Plastic Surgery. To arrange a consultation with Mr Varma, please call 0116 217 9239 or email svarma@safercosmeticsurgery.co.uk.

Q&A What are the options for male breast reduction? ‘Male breast development is often associated with a hormonal imbalance. Other causes may be excessive alcohol consumption, drugs such as anabolic steroids or liver problems. Some causes are potentially serious therefore you should see your GP for tests if this is a new development. For a number of men, having enlarged breasts can cause considerable distress. Male breast reduction surgery, or gynaecomastia, may be a good option – this can only be determined during a consultation with an experienced surgeon. This common and popular procedure removes excess fat and tissue from male breasts, and flattens skin to improve shape and contours. This has best results for fit, mentally stable men with good skin elasticity.’

‘I focus on the patient’s choice and care. My advice on cosmetic surgery emphasises realism.’ Expert Beauty Promotion | 107 Expert Beauty_March11_Profiles_All_v7.indd 107

14/03/2011 14:49

Consultant Plastic and Cosmetic Surgeon

Peter M Arnstein MBChB, FRCS (Eng), FRCS (Plast) Peter Arnstein thoroughly enjoys the craftsmanship involved in plastic surgery and the opportunities for problem solving and lateral thinking. After qualifying from Manchester Medical School in 1979, he trained in the UK and in Australia and was subsequently appointed as a consultant at the Queen Victoria Hospital in East Grinstead. By this stage he had gained a double Surgical Fellowship (England and Edinburgh) and passed the European Certificate of Completion of Specialist Training in Plastic Surgery. Peter is entered onto the GMC Specialist Register for Plastic Surgery. He holds memberships of BAAPS and BAPRAS, as well as being a Fellow of the British Society for Surgery of the Hand (BSSH). He has been involved in many radio and TV programs, including Extreme Makeover UK. He is based at the McIndoe Surgical Centre in East Grinstead, a specialist hospital that he helped found in the 1990s and that now hosts the largest group of plastic surgeons in Europe. In addition to cosmetic surgery, Peter also has a particular interest in breast procedures including reconstruction. To arrange a consultation with Mr Arnstein, please contact his private secretary, Linda Dixon on 01342 488029 or email parnstein@safercosmeticsurgery.co.uk.

Q&A Can multiple cosmetic procedures be carried out at the same time? ‘Almost always the answer is yes if selecting a suitable hospital and an experienced surgeon who can demonstrate secure safety backup. Check out that multiple operations are done as a routine there. Advantages of the multiple approach are cost savings in both overall surgical fees and reduced combined downtime – you will need less time off work. There is the additional safety aspect of fewer anaesthetics. Operations such as face and neck lift/brow lift/eyelid skin reduction/nose job/ prominent ear correction are often readily combined with a tummy tuck, liposuction, breast uplift or enlargement. Your surgeon will advise you on what is safe to undertake.’

‘As a Consultant Plastic Surgeon with 25 years experience I am still delighted by the positive impact plastic surgery can achieve for people.’ 108 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 108

14/03/2011 14:49

Consultant Plastic and Cosmetic Surgeon

Paul E Banwell BSc (Hons), MBBS FRCS (Eng), FRCS (Plast) A Consultant Plastic and Cosmetic Surgeon, full member of BAPRAS and BAAPS, Paul Banwell consults from first-class private hospitals in East Grinstead, Tunbridge Wells, Brighton and Worthing. He believes in taking time to listen to his patients and is respected for his personal touch, attention to detail and natural results using the latest techniques and short scars. Paul performs all aspects of cosmetic surgery but specialises in cosmetic breast surgery (breast enlargement, uplift and reduction), body contouring (including tummy tuck and liposuction) and labiaplasty. He is a recognised expert in skin health and offers personalised, tailored skincare regimes as well as minimally-invasive anti-ageing solutions (chemical peels, Botox, dermal fillers). As Head of the Melanoma and Skin Cancer Unit in East Grinstead, Paul helps and treats patients with skin cancer and unwanted moles and he is happy to perform regular mole checks. Paul now enjoys teaching the next generation of plastic surgeons. He is a keen surfer, skier, martial artist and runner. He also collects modern art and loves garden design. To arrange a consultation with Mr Banwell, please contact his private secretary, Kim Harvey on 01342 488028 or email pbanwell@safercosmeticsurgery.co.uk.

Q&A I have read about labiaplasty surgery. I have had two children and my labia are now enlarged and it is getting uncomfortable when I exercise. Am I suitable? ‘Labiaplasty surgery is becoming extremely popular for both functional reasons and appearance issues. The inner lips (labia minor) may protrude, become stretched or maybe different both sides. This can also cause discomfort while exercising or having sex. The good news is that this can be corrected with surgery with a relatively minor procedure. Recovery is swift and patient satisfaction is very high.’

‘I love helping people achieve the look and selfconfidence that they have always wanted.’ Expert Beauty Promotion | 109 Expert Beauty_March11_Profiles_All_v7.indd 109

14/03/2011 14:49

Consultant Plastic and Cosmetic Surgeon

John Davison MB ChB, MSc, FRCSEd (Plast) Well known throughout Kent, John Davison runs an established, busy and respected cosmetic surgery practice, based mainly in Canterbury. He offers the full range of modern cosmetic surgical procedures including nonsurgical treatments, face and brow lifts, eyelid and ear correction surgery, rhinoplasty, breast surgery including uplift, augmentation and reduction, male breast tissue excision, body contouring, liposuction, abdominoplasty, labiaplasty and post weight loss surgery. Previously a consultant at Queen Victoria Hospital, East Grinstead, he is a fully trained and accredited plastic surgeon. He studied medicine in Cape Town, and trained in Plastic Surgery in the United Kingdom. He is a member of BAPRAS, BAAPS and ISAPS and regularly attends worldwide meetings and congresses. He is well published in the professional literature and has appeared in newspapers and on television, including a Channel 4 documentary and Extreme Makeover UK. John is based at established BMI and Spire Healthcare hospitals but as an independent surgeon, he can offer an individualised service. At consultation you will see Mr John Davison who will aim to provide you with all the information and knowledge you need to help make a decision about whether surgery may be right for you. Safety, personalised attention to detail and professional but friendly support are central to the high standard of surgical care John gives to his patients, and he derives a great deal of personal satisfaction and enjoyment from the relationship he builds up with them. Away from work John is a keen and varied musician and loves the time he spends with his wife and children. To arrange a consultation with Mr Davison, please contactl his private secretary, Teresa Dimmock on 01227 671097 or email jdavison@safercosmeticsurgery.co.uk.

Q&A Do you ever say no to people coming to see you? ‘Yes, frequently. Most often it is when someone wants an outcome which I know is not achievable. Sometimes I have concerns about the reasons they are seeking surgery. We would however discuss all this together.’ I recently saw a patient who told me that I had come highly recommended – I had seen two of her friends, both of whom I had advised against surgery! She went on to have an upper eyelid operation, which worked out well, with a nice improvement.

‘A well-informed patient, with the right surgical plan and the highest level of surgical care is the key to a successful outcome.’ 110 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 110

14/03/2011 14:49

Consultant Plastic and Cosmetic Surgeon

David Floyd MA, MB, MSc, FRCS, FRCS (Plast) David Floyd is a Consultant Plastic Surgeon and Honorary Senior Lecturer at The Royal Free and University College Hospitals in London. His special interests include reconstructive microsurgery of the breast, hand surgery and abdominal reconstruction for complex hernias. In his private practice at The Consulting Suite in central London, David Floyd and his team undertake all aspects of cosmetic surgery (face, breast and abdomen) as well as reconstructive surgery of the breast and hand. Particular interests include rhinoplasty (nose reshaping), revision breast augmentation and abdominal contouring. David Floyd became a Fellow of the Royal College of Surgeons (FRCS) in 1993. In 1995 he was awarded a Master’s degree for his research into scarring and wound healing. He trained in London plastic surgery units, with fellowships at Great Ormond Street Hospital, The Royal Marsden Hospital and The Wellington Hospital. He obtained his FRCS (Plast) in 2001 and is on the GMC Specialist Register for Plastic Surgery. A member of BAPRAS, BAAPS, the British Society for Surgery of the Hand (BSSH) and the International Society of Aesthetic Plastic Surgeons (ISAPS), David Floyd is a past President of the Plastic Surgery Section of the Royal Society of Medicine and makes numerous contributions to the plastic surgery literature. To arrange a consultation with Mr Floyd, please contact his private secretary, Sheila Wilkinson on 0203 394 0658 or email dfloyd@safercosmeticsurgery.co.uk.

Q&A What qualities make a good cosmetic surgeon? ‘The ability to listen carefully to your patient, the experience to know what surgery can achieve, meticulous attention to detail and an artistic touch.’

What gives you the most satisfaction in cosmetic surgery? ‘Seeing a happy patient delighted with the result they were hoping for.’

‘Plastic surgery only really works if I understand what you want to change and you understand what I can achieve. After careful planning and discussion, we can then choose the right treatment for you.’ Expert Beauty Promotion | 111 Expert Beauty_March11_Profiles_All_v7.indd 111

14/03/2011 14:49

Consultant Plastic and Cosmetic Surgeon

Stephen Hamilton MB ChB, MD, FRCS (Glas), FRCS (Edin), FRCS (Plast) Stephen Hamilton is an experienced reconstructive and cosmetic surgeon. He is on the GMC Specialist Register and is a full member of BAAPS and BAPRAS. Mr Hamilton trained extensively in plastic surgery in Glasgow, London and at the Institut Curie in Paris before taking up his consultant post at the Royal Free Hospital. Awarded an MD by the University of London for research into new methods of treating skin cancer, he went on to win the Inamed Fellowship of Aesthetic Surgery, which he undertook with Mr Barry Jones in London. In the final FRCS (Plast) plastic surgical examination, Mr Hamilton was awarded the McGregor Medal and achieved the best results of any candidate. Mr Hamilton prides himself on being able to offer expert advice on a wide range of cosmetic procedures, including aesthetic surgery of the face, breasts and abdomen including rhinoplasty and liposuction. He has rapidly established a reputation in cosmetic surgery in recent years based on a commitment to excellent care and service delivered in a friendly, approachable manner. Unhurried consultations and an honest assessment of the pros and cons of treatment allow the patient to come to a balanced decision as to his or her suitability for treatment.

Q&A

To arrange a consultation with Mr Hamilton, please contact his private secretary, Kim Davies on 0203 394 0673 or email shamilton@safercosmeticsurgery.co.uk.

What are the main developments in modern cosmetic surgery? ‘The main changes I’ve been a part of are an increasing emphasis on reducing “downtime” and minimising scarring, often combining surgical and non-surgical approaches. I’m happy to say that a large number of satisfied patients have led me to believe we’re doing things right in my practice though we’re always striving for further improvement.’

‘Cosmetic surgery is a partnership – my role is as much that of an adviser allowing patients to come to the right decision for them as it is that of a highly trained surgeon.’ 112 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 112

14/03/2011 14:49

Consultant Plastic and Cosmetic Surgeon

Anita Hazari MBBS, MD, FRCS, FRCS (Plast) Anita Hazari specialises in reconstructive, aesthetic and hand surgery. She performs a range of procedures such as breast surgery, body contouring and the correction of congenital problems (prominent ears, labiaplasty). Following her plastic surgical training in Bristol and East Grinstead, Anita undertook research in nerve regeneration which culminated in a higher degree (MD) from the University of London. The Royal College of Surgeons of England recognised her original work in nerve grafting and she was awarded a Hunterian Professorship in May 1999. Additional training in microsurgery allowed her to develop specialist skills in breast reconstruction. She also spent time at the Christine Kleinert Institute of Hand and Microsurgery, Louisville, USA, followed by an Upper Limb Fellowship at the Wrightington Hospital. Anita Hazari has been a Consultant at the Queen Victoria Hospital, East Grinstead since 2006 and privately, she consults in hospitals in Canterbury, Tunbridge Wells and East Grinstead. She is on the GMC Specialist Register for Plastic Surgery, and is a member of BAPRAS and the British Society of Surgery of the Hand (BSSH). To arrange a consultation with Ms Hazari, please contact her private secretary, Teresa Jones, on 01342 488026 or email ahazari@safercosmeticsurgery.co.uk.

Q&A In these recession-hit times, which is the most cost-effective operation one can have for a youthful appearance? ‘Upper eyelid blepharoplasty is an operation that instantly rejuvenates facial appearance and freshens tired-looking eyes. It can be performed under local anaesthesia as a day case which appeals to many patients not wanting heavy sedation or general anaesthetic.’

‘Every patient is treated as an individual to ensure confidence with every aspect of their surgery.’ Expert Beauty Promotion | 113 Expert Beauty_March11_Profiles_All_v7.indd 113

14/03/2011 14:50

Consultant Plastic and Cosmetic Surgeon

Martin Jones BSc (Hons), MBBS, MD, FRCS Ed, FRCS Ed (Plast) A Consultant at the Queen Victoria Hospital in East Grinstead, Martin Jones is on the GMC Specialist Register for Plastic Surgery, and a full member of BAPRAS. Martin studied at University College London and Middlesex School of Medicine, additionally gaining a first class honours BSc in anatomy and neuroscience. He qualified as a doctor in 1993. Following his general surgical training at St Georges Hospital, Tooting, he completed a research degree (MD) at the RAFT Institute for Plastic Surgical Research at Mount Vernon Hospital. He then started as a Plastic Surgery Registrar on the Pan Thames training scheme. Martin subsequently completed a fellowship in hand surgery in Sydney, Australia, an aesthetic fellowship at the McIndoe Surgical Centre and a microsurgical fellowship at the Queen Victoria Hospital, both in East Grinstead. Martin Jones’s meticulous attention to detail combines his surgical passions with his artistic flair. Martin is married with two children. Apart from being kept on his toes by his young family, his interests include drawing, photography, the classical guitar and snowboarding. To arrange a consultation with Mr Jones, please contact his private secretary, Julie Read, on 01342 488027 or email mjones@safercosmeticsurgery.co.uk.

Q&A What made you become a plastic surgeon? ‘I was interested in becoming a doctor as a teenager and was lucky enough to gain exposure to Plastic Surgery as a Medical Student. It was the only surgical speciality, which designed an operation to suit the specific needs of the patient rather than just performing a standard procedure. I was also impressed with the attention to detail at every step of the patient’s journey. I witnessed the combination of art and science, two subjects dear to my heart and I was hooked!’

‘Putting a patient at ease the first time I meet them is essential.’ 114 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 114

14/03/2011 14:50

Consultant Plastic and Cosmetic Surgeon

Asit Khandwala MS, MCh, FRCS, FRCS (Plast) Asit Khandwala studied medicine at the Grant Medical College in Bombay. He gained a MS in general surgery and started training in plastic surgery in 1989 at the King Edward Memorial Hospital in Bombay. In 1993, Asit Khandwala came to England and undertook further training at the Charing Cross Hospital and the Chelsea and Westminster Hospital, as well as a Hand Fellowship at St James’s University Hospital in Leeds. He was appointed Consultant in Plastic Surgery at The Queen Victoria Hospital in East Grinstead in 2004 and he is also an Honorary Consultant in Plastic and Reconstructive Surgery at Darent Valley Hospital (Dartford) and Horsham Hospital. Asit Khandwala is registered with the GMC and a member of BAPRAS, BAAPS, the International Society of Aesthetic Plastic Surgeons (ISAPS) and the British Society for Surgery of the Hand (BSSH). He believes in giving the best to his patients before, during and after surgery. He performs a wide range of facial, breast and body-contouring surgery procedures, as well as non-surgical treatments for fine lines and wrinkles. To arrange a consultation with Mr Khandwala, please contact his private secretary, Janice Matczak, on 01342 488031 or email akhandwala@safercosmeticsurgery.co.uk.

Q&A In your opinion, what do you offer your patients that national chains do not? ‘Continuity of care with my attention before, during and after an operation. Surgery that is tailor-made to their individual needs, not picked off a shelf. Patients’ long-term satisfaction is my goal as I have to protect my reputation in their area.’

‘I enjoy my work and my relationship with my patients. My principles: hard work, precision and planning. My weakness: chatting to my patients!’ Expert Beauty Promotion | 115 Expert Beauty_March11_Profiles_All_v7.indd 115

14/03/2011 14:50

Consultant Plastic and Cosmetic Surgeon

Roy Ng MA, DM, FRCS (Plast) A graduate of both Cambridge and Oxford Universities, Roy Ng was a Rhodes Scholar at Oxford. After qualifying, he completed his general surgical training in Bristol and moved on to the Blond McIndoe Centre in East Grinstead, where he conducted research into wound healing and skin replacement for his doctoral thesis. This work earned him a DM, one of Oxford’s highest postgraduate degrees, and a prestigious Hunterian Professorship, awarded by the Royal College of Surgeons of England. Roy Ng subsequently trained in plastic surgery in London and in the USA. He currently holds the position of Consultant Plastic Surgeon at Guy’s and St Thomas’s Hospitals NHS Trust. He is on the GMC Specialist Register for Plastic Surgery and is a full member of BAPRAS and BAAPS. He is also Chairman of the Speciality Training Committee for Plastic Surgery in London. Mr. Ng consults privately at 70 Harley Street, where he performs cosmetic and reconstructive procedures: facial, breast and body contouring surgery, as well as the treatment of scars and lesions and non-surgical rejuvenation treatments. To arrange a consultation with Mr Ng, please contact his private secretary, Caroline Zimba on 0203 394 0671 or email rng@safercosmeticsurgery.co.uk.

Q&A Facial rejuvenation vs reshaping 'We are familiar with botulinum toxin, fillers, peels and surgery (such as face lifting) for the ageing face. These procedures smooth wrinkles, restore volume and tighten tissues to rejuvenate the appearance. Younger patients, however, may have concerns about facial features that are unrelated to ageing. Procedures that address these issues can significantly improve their confidence and self-esteem. Nose reshaping (rhinoplasty) is the most common procedure, but there are others. A very square jaw due to overdevelopment of the jaw (masseter) muscles can be recontoured with botulinum toxin injections. Chins can be augmented or reduced. Flat cheekbones can be built up using fillers, fat transfer or implants. Chubby cheeks can be reduced by removing cheek (buccal) fat. Eyelid reshaping can improve attractiveness, while lips can be plumped out with fillers, fat transfer, or Permalip implants. None of these procedures leave visible scars, and they can be performed in isolation or in combination to produce the desired look.’

‘Cosmetic surgery is a very personal experience. I strive to make patients feel safe and secure, whilst providing a service that is tailored to the individual’s needs.’ 116 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 116

14/03/2011 14:50

Consultant Plastic and Cosmetic Surgeon

John Pereira MBBS, FRCS (Eng), FRCS (Plast) John Pereira is a Consultant Plastic, Reconstructive and Aesthetic Surgeon based in Kent and Sussex. He is fully trained in the UK and on the GMC Specialist Register for Plastic Surgery. He held a NHS consultant post at the Queen Victoria Hospital in East Grinstead until 2006 when he reduced his NHS commitment to spend more time in his own practice. John teaches regularly for the Royal College of Surgeons of England and has lectured and published both nationally and internationally. He has been a featured surgeon on Extreme Makeover UK and Embarrassing Bodies. John Pereira now runs a high-quality surgical practice based in three hospitals in Kent and Sussex, where he provides a relaxed and personalised service to each patient. John performs a large number of cosmetic and reconstructive surgical procedures each year and has adapted standard and more recent procedures to minimise downtime to patients and ensure optimum outcomes. Specialist interests include all aspects of cosmetic surgery, skin cancer management and reconstruction of post cancer deformity such as breast reconstruction using patients own tissues. To arrange a consultation with Mr Pereira, please contact his private secretary, Jacqui Carter on 01342 488030 or email jpereira@safercosmeticsurgery.co.uk.

Q&A How do you get rid of scars that result from breast augmentation? ‘As the healing process goes through many phases, scars will generally improve over 12 to 24 months and get even better over a longer time period. Tension on the closure could lead to wide scars but the main factor is that we heal very differently. Also, a bad scar means different things to different patients. Each characteristic (size, width, height, colour, texture, location and contour) is judged separately and treatment is customised. There are a myriad of potential scar treatments such as scar revision, silicone gel sheets, steroid injections, laser treatments, pressure therapies... but some carry significant side effects or costs, or promise results that are unpredictable. Be patient and work carefully with a reputable plastic surgeon.’

‘I seem to be the surgeon of choice for other doctors and nurses who require surgery, which is always a good recommendation!’ Expert Beauty Promotion | 117 Expert Beauty_March11_Profiles_All_v7.indd 117

14/03/2011 14:50

Consultant Plastic and Cosmetic Surgeon

Martin Vesely MA(Cantab) BM, BCh(Oxon), FRCS(Eng), FRCS(Plast), DM(Oxon), EBOPRAS Mr Martin Vesely was trained by many of London’s best cosmetic surgeons and has been running his own busy practice for over five years. He is based both in Harley Street and Surrey. Since 2005 he has been a full NHS consultant at St George’s Hospital, London. He is a member of the British Association of Aesthetic Plastic Surgeons (BAAPS), the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS), holds the European Board of Plastic, Reconstructive and Aesthetic Surgery (EBOPRAS) and is on the GMC Specialist Register for Plastic Surgery. He studied medicine at Cambridge and Oxford Universities and trained in Plastic Surgery at various specialist centres in London. Whilst he received cosmetic surgery training throughout, in 2004 he was appointed Aesthetic Fellow at the Wellington Hospital, London and was able to focus on this full time. He then extended his experience in this field by spending the remainder of that year travelling across Europe and the USA to gain further training from several world-renowned aesthetic surgeons. In his private practice, he offers all aspects of aesthetic and cosmetic plastic surgery to both female and male patients. He listens carefully to patients, and works closely with them to ensure that they are fully informed, have realistic goals and are well looked after during their recovery. To arrange a consultation with Mr Vesely, please contact his private secretary, Sheila Van Piggelen on 01483 698659 or email mvesely@safercosmeticsurgery.co.uk.

Q&A Will changing the shape of my nose affect my breathing? ‘Most of our breathing is done through the nose. Any surgery, such as a rhinoplasty, will cause some swelling and this may make the nose feel blocked. This is usually temporary. If you suffer from a blocked nose, then a rhinoplasty can improve your breathing, particularly if combined with a septoplasty (the straightening of the cartilage inside the nose which may be bent or weak, causing blockage and difficulty breathing). With careful examination such problems can be identified preoperatively and specific surgery can be performed to correct them.’

‘I work carefully with patients, before, during and after their surgery, to ensure that they safely achieve the best possible result.’ 118 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 118

14/03/2011 14:50

Consultant Plastic and Cosmetic Surgeon

David Johnson MA, BM, BCh, DM, FRCS (Plast) David Johnson has been a Consultant Plastic, Reconstructive, Craniofacial and Cosmetic Surgeon in Oxford since 2006, specialising in adult and paediatric craniofacial surgery. In his private practice in Oxford and Swindon, he offers a high-quality, comprehensive range of surgical and non-surgical aesthetic procedures: facial, breast and body-contouring surgery, treatment of skin lesions, scar revision and fillers. David Johnson graduated from Cambridge and Oxford Universities. He undertook a three-year fellowship at the Weatherall Institute of Molecular Medicine in Oxford - leading to the award of a Doctor of Medicine Degree from Oxford University. He trained in plastic surgery at Mount Vernon Hospital, Salisbury District Hospital and the Radcliffe Infirmary at Oxford, before spending one year at The Australian Craniofacial Unit in Adelaide. David Johnson is a full member of BAAPS and BAPRAS. He has been appointed as a Hunterian Professor at the Royal College of Surgeons of England and has published and presented internationally in the field of plastic and craniofacial surgery. He is a lead editor of the 39th and 40th editions of the Gray’s Anatomy textbook. To arrange a consultation with Mr Johnson, please contact his private secretary, Marcia Pillai, on 01865 566079 or email djohnson@safercosmeticsurgery.co.uk.

Q&A How long after stopping breastfeeding is it safe to have a breast reduction operation? ‘Opinions vary about the suitable interval between brevastfeeding and surgery. Most would recommend that the changes in the skin and breast tissue should be allowed to settle and stabilise. Breast surgery should be delayed between six to twelve months depending on the degree of breast growth during pregnancy, your age and skin type. Another factor that you may consider is your childcare arrangements if considering surgery.’

‘I provide all my patients with a caring, professional opinion regarding their suitability for surgery. Patient safety and wellbeing are my first priority.’ Expert Beauty Promotion | 119 Expert Beauty_March11_Profiles_All_v7.indd 119

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Consultant Plastic and Cosmetic Surgeon

David Oliver MB ChB, FRCS (Eng), FRCS (Plast) David Oliver practises at Ramsay Mount Stuart Hospital in Torquay and at Exeter Medical, which he established as co-director in 2007 to provide a state of the art cosmetic treatment centre in the South West. He specialises in all areas of aesthetic facial surgery, eyelid procedures, body contouring and liposuction. He aims to restore the aesthetics of the breast with procedures including breast augmentation, mastopexy (breast uplift) and breast reduction surgery. David Oliver was appointed as a Consultant in Plastic and Reconstructive Surgery at the Royal Devon and Exeter Hospital in 2005 with clinics in Torbay and Taunton. His special interests are microsurgical breast reconstruction and skin cancer surgery. He undertook training in plastic surgery at Addenbrooke’s Hospital, Cambridge and in the Oxford Deanery - at Stoke Mandeville Hospital, Aylesbury and the Radcliffe Infirmary in Oxford. He passed the FRCS in plastic surgery in 2003 and was awarded the McGregor medal for distinction in the examination. After further training in Perth, Australia, he was appointed Aesthetic Surgical Fellow at the McIndoe Surgical Centre, East Grinstead. Mr Oliver is on the GMC Specialist Register for Plastic Surgery and a full member of BAPRAS. He has published extensively in his field. He teaches both medical students and surgeons in training and is chairman of the specialist training committee in the South West. To arrange a consultation with Mr Oliver, please call his private secretary on 01392 330598 or email doliver@safercosmeticsurgery.co.uk.

Q&A I am thinking about a tummy tuck, what does this involve? ‘A tummy tuck or abdominoplasty involves removing the excess skin and fat from the lower abdomen. A full abdominoplasty creates a scar in the lower abdomen and also around the umbilicus. However if there is less excess skin then the scar may be shorter and not involve the umbilicus. The whole procedure usually involves a two-night stay in hospital and two to three weeks to recover.’

‘I like to show you examples of the results that you can expect so that your expectations are realistic and your aesthetic goals achieved.’ 120 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 120

14/03/2011 14:51

Consultant Plastic and Cosmetic Surgeon

Ian Whitworth BSc, MS, FRCS (Plast), EBOPRAS After training in medicine and general surgery at St Bartholomew’s Hospital and St Mary’s Hospital in London, Ian Whitworth completed his postgraduate training in plastic surgery in London, East Grinstead and Salisbury. He undertook travelling fellowships in Taiwan, the Mayo Clinic in the USA, and in Sweden, focussing his research into wound healing and nerve regeneration. He obtained a Master of Surgery Degree in 1996 and was appointed Consultant to the Wessex Regional Plastic Surgery Unit in Salisbury District Hospital in 2000. In the NHS, Ian Whitworth specialises in breast and chest wall reconstruction. In his private practice, he covers a full range of surgical and non-surgical cosmetic procedures, using the most innovative and modern cosmetic surgical techniques. His specialities include breast surgery and bodycontouring procedures as well as facial rejuvenation. Ian Whitworth is a member of BAAPS, BAPRAS, the European Board of Plastic, Reconstructive and Aesthetic Surgery (EBOPRAS), the Medical Protection Society and the British Medical Association. He is a Fellow of the Royal College of Surgeons. To arrange a consultation with Mr Whitworth, please contact his private secretary Sarah Dunn on 01722 622095 or email iwhitworth@safercosmeticsurgery.co.uk.

Q&A What should I do before my appointment? ‘Nowadays, especially with the help of the internet, most patients have done a lot of research prior to their consultation and will often have prepared quite specific questions about their desired procedure. I would also advise them to ask their surgeon some general questions such as “What are your qualifications?”, “How many of that particular procedure have you undertaken?” and “What are the follow-up arrangements? ”’

‘Realistic results in safe hands.’ Expert Beauty Promotion | 121 Expert Beauty_March11_Profiles_All_v7.indd 121

14/03/2011 14:51

Consultant Plastic and Cosmetic Surgeon

Sherif Wilson MB, ChB, FRCS, MS, FRCS (Plast) Mr Wilson is a Consultant in Plastic and Reconstructive Surgery based in Frenchay Hospital, Bristol. He also runs a thriving private practice in Bristol. Fluent in English, French and Arabic, Sherif Wilson graduated with Honours from the prestigious Alexandria Medical School in Egypt. He was then awarded his Master of Surgery degree and completed four years of plastic surgery training in the Alexandria University Hospital. Sherif Wilson came to England in 1998 and followed a six-year training programme in Bristol and Belfast. He underwent fellowships in Paris and East Grinstead before becoming a Consultant Plastic Surgeon in 2005. He is a Fellow of the Royal College of Surgeons and a member of BAPRAS and BAAPS, as well as a tutor for the Royal College of Surgeons, teaching on plastic surgery courses. He has published extensively in learned journals. Mr Wilson takes pride in running a small and personal service. He will personally carry out all preoperative consultations and as many followup appointments as necessary, so you know that you are in safe hands throughout your treatment. To arrange a consultation with Mr Wilson, please contact his private secretary, Christine Dawes, on 0117 314 9198 or email swilson@safercosmeticsurgery.co.uk.

Q&A Who benefits the most from a ‘tummy tuck’ and what should be expected in terms of procedures and outcomes? ‘The best candidates for an abdominoplasty are men or women in relatively good shape who are bothered by a large fat deposit or loose abdominal skin that won't respond to diet or exercise. The surgery is particularly helpful to women who, through multiple pregnancies, have stretched their abdominal muscles and skin. Loss of skin elasticity in older patients, which frequently occurs with slight obesity, can also be improved. Patients who intend to lose a lot of weight and women who plan future pregnancies should postpone the surgery. Abdominoplasty won't necessarily change your looks to match your ideal. Think carefully about your expectations and discuss them with us. A full abdominoplasty involves some dressings on your tummy and usually drains that should be removed before you go home. Patients are mobile from day one. They are recommended to take two weeks off work and should be back to full exercise within six weeks.’

‘I take the time to see all patients at least twice before booking an operation to ensure that all their questions and concerns have been fully addressed.’ 122 | Expert Beauty Promotion Expert Beauty_March11_Profiles_All_v7.indd 122

14/03/2011 14:51

IN THE NEXT ISSUE OF EXPERT BEAUTY

t ing ou

Com

June 2011

SUMMER 2011 £4.99

SCAR WARS

the latest treatments

TATTOO-FREE SKIN IN AN INSTANT

HAIR REMOVAL

home vs salon

DIARY OF A BREAST REDUCTION

EAT

NOSE RESHAPING EXPLAINED

YOURSELF YOUNGER

SUMMER SPECIAL WORK OUT WHILE YOU WORK | FAT REMOVAL: DOES IT LAST? | SUNSCREENS: THE HIDDEN DANGERS

Want to learn more? Log on to www.expertbeauty.com WIN EXPERT BEAUTY PRODUCTS ASK THE EXPERTS READ MORE CASE STUDIES SEE BEFORE AND AFTER PICTURES FIND A LOCAL PRACTITIONER

We would like to hear from you: Join our exclusive Reader Panel and try out spas and salon treatments for free. Register at www.expertbeauty.com

Expert Beauty | 123 Expert Beauty_March11_EB Next Issue.indd 123

14/03/2011 12:58

SPAS

Destination Katie Reich-Storer, Spa Secrets Best for getting into shape FitFarms specialises in single sex fitness and weight-loss holidays to tone you up and inspire you to start a healthy lifestyle. Residential weeklong courses take place on Exmoor and in the Peak District combining physical exercise with workshops on nutrition and diet and new ways to think about food and eating (fitfarms.co.uk, 0800 634 3070).

Best medi-spa The cool white interior of QMS flagship spa is a haven for stressed-out Londoners. But donâ&#x20AC;&#x2122;t expect too much pampering as the speciality here is proper, grown-up facials, extractions and all, using their fantastic collagen treatments. Skin will feel wonderful after just one treatment (qmsmedicosmetics.com, 020 7730 8090).

Best for escapism Opening this spring in the Seychelles, the Raffles Spa is an 86-villa luxury hotel - a serious new contender in the Indian Ocean spa scene. There are 13 treatment rooms close to the water edge including two spa suites fitted with steam showers, Japanese soaking tubs and observation decks: the ultimate in luxury (raffles.com/praslin, +248 296 000).

Expert tip for 2011 The Langham Hotel finally unveils its Chuan Spa in February, the first hotel spa in London to incorporate traditional Chinese medicine into its signature treatments. For those who have experienced Ayurvedic and Thai treatments and are looking for their next Asian therapy (chuanspa.co.uk).

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SPAS

Spa

THe CHOICe AnD qUALITY Of SpAS TODAY CAn Be OverWHeLmIng. We’ve enLISTeD THe HeLp Of THe SpA experTS TO gUIDe YOU TO YOUr nexT HArDeArneD BreAK WITH SOme mUST-TrY TIpS fOr 2011 BY Yanar alkaYat

Judy Johnson, Editor, Wahanda.co.uk Best for detox You can’t beat Champneys for a really rewarding wellness break - dotted around the country in beautiful locations, they have the best of both worlds with excellent personal trainers and sports facilities as well as alternative and indulgent treatments such as kriotherapy to leave you looking and feeling your best (champneys.com, 0843 316 2222).

Best medi-spa One medical spa that has always impressed with its friendly, approachable service is DestinationSkin. Bringing the latest treatments to high streets across UK, they offer everything from laser hair removal to the SmoothShapes anti-cellulite system as well as a great skincare product range (destinationskin.com, 0845 125 8415).

Best for couples A real favourite at Wahanda (and Londonwide) is the Chelsea Harbour Club - their pamper day is one of our bestsellers. The club is expansive in its facilities with tennis courts, an unrivalled indoor pool, and spa area with first-class treatments. Its versatility and range of activities and treatments make it the best place for couples in the capital (harbourclubchelsea.com, 0845 125 7004). ➞

Expert tip for 2011 If you’re still determined to detox, the Iyashi Dome treatment is fairly new to the industry and already causing a stir. In just 30 minutes you can burn up to 600 calories simply from laying down in the enclosed sauna-like contraption. This intense treatment can make you lose inches fast. It’s already popular with our readers and starting to pop up at spas around the country. Look out for it (wahanda.com/treatment/iyashi-dome)

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SPAS

Julie Vuong, Contributing Editor, European Spa Magazine Best for getting into shape For Grayshott Spa in Hampshire, getting you into shape is their raison d’être. Here you swap gruelling detoxes for realistic, madeto-measure wellbeing plans with genuinely delicious dishes that don’t rely on fasting or bland foods. The fitness team is led by a former Olympian who will whip you into shape before you power down at the deluxe spa. Power walking, yoga, Pilates, tai chi and a nine-hole golf course are also available (grayshottspa.com, 01428 602020).

Best medi-spa Even without the accolades (‘Best International Medical Spa 2010’ by Conde Nast Traveller), SHA Wellness was always going to be a hit with the medi-spa crowd. The values of macrobiotics (a dietary system based on wholegrains and vegetables) underpins everything at this five-star hilltop destination. Unique health-driven programmes from sleeping cures and anti-tabacco remedies to clinical treatments and anti-ageing solutions are delivered among Valencia’s sun-drenched countryside (shawellnessclinic.com, 020 7644 6116).

Best for couples ‘The best things in life are for sharing’ is a philosophy enthusiastically followed by the uber-chic Scarlet hotel and spa perched on Cornwall’s rugged coast. The clifftop bath big enough for two ranks as one of the ‘musthave’ spa experiences. Men don’t look out of place here and the ‘Journey’ programmes for couples last up to four hours. The wild, windswept beach is perfect for romantic walks, while a relaxation area filled with hanging teepees serves as the ultimate intimate retreat (scarlethotel.co.uk, 01637 861800).

Expert tip for 2011 Don’t miss the newly opened Herb House at luxury rural retreat Limewood in the New Forest, one of only a handful of locations to offer Bamford spa therapies. The signature treatment, delivered with soothing Indian head massage techniques, is richly laden with natural ingredients including cedar and rosemary (limewoodhotel.co.uk, 02380 286 998).

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SPAS

Expert Beauty recommends Best for couples Hoar Cross Hall in Staffordshire is a multiaward winning spa in a grand stately home. The impressive variety of activities, from a 100+ spa menu and golf course to archery and salsa dancing, makes it a great place for couples to enjoy, especially if they are new to spa-going. It’s relaxed and down to earth and you’ll unwind in an instant. For a full review of Expert Beauty’s stay at Hoar Cross Hall, visit expertbeauty.com/reviews (hoarcross.co.uk, 01283 575 671).

Best for detox The ‘Lemon Detox’ is now available as a retreat at Von Essen hotels across the UK. Embarking on an internal cleansing system in luxurious surroundings such as The Royal Crescent Hotel in Bath is infinitely more enjoyable than doing it at home. Packages include spa treatments, Lemon Detox drink and full support from staff (lemondetox.com and spabyvonessen.co.uk).

Best for escapism Nothing beats the crisp mountain air that greets you at Ananda in the Himalayas - within a few days, mind, body and soul feel totally cleansed. The Ayurvedic treatment programmes are of exceptional quality with personalised menus prescribed by Ayurvedic doctors to help you reach your wellbeing goals. Enjoy one-to-one yoga and meditation classes, stroll through Ananda’s lush grounds or go for hill walks across the foothills of the Himalayas. (anandaspa.com, 01829 742 595).

Expert tip for 2011 If you like a beauty bargain and haven’t tried group buying yet, make it your must-do for 2011. Sites such as wahanda.co.uk offer daily deals with huge savings on spa and beauty treats so you only pay a fraction of the original price - as long as enough people click and buy. It’s set to be bigger than ever this year. EB

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BACK STORY

MY BEAUTY JOURNEY

‘Life is no dress rehearsal and we only get one chance to enjoy this one’

By Sarah Stacey and Josephine Fairley

SARAH AND JOSEPHINE TELL US THEIR STORY ABOUT WRITING THE ANTI-AGEING BEAUTY BIBLE TOGETHER AND ORGANISING THOUSANDS OF PRODUCT TESTINGS TO HELP WOMEN LOOK THEIR VERY BEST This is our seventh book together. We met at a beauty event back in the 1980s and soon discovered we were both passionate about beauty, scent and natural health as well as gardening and walking. The first book idea came from Sarah after a friend grilled her over lunch: what exactly were AHAs? What was the best long-lasting mascara? Did cellulite creams really work? The germ of an idea was born - a book which would explain all these things and (the big USP) test out lots of products on real women and report the results. Sarah rang Jo. What about it? Jo said yes, and the rest is history.

The Beauty Bible was a best-seller - and we were exhausted! If anyone ever told us what it took to get over 6000 products tested by ten women’s panels, we might never have started. Our testers volunteer through our website (beautybible.com), and the biggest challenges are the logistics of dealing with hundreds of different products and getting each one tested by ten women. Also, miracle creams, anti-ageing eye creams and cellulite creams, among others, are tested on just one

side of the face or thigh so testers can monitor the difference. We always advise women who want to update their look to get a makeover from a brand they like the look of: there’s no obligation to buy and you pick up valuable tips. We love Laura Mercier, Bobbi Brown, Clinique, Trish McEvoy, and Chanel (but ask to stick to neutrals to avoid veering into pink eye-shadow). People often ask us what our personal favourite products are. For Sarah, it’s Liz Earle Cleanse & Polish Hot Cloth Cleanser, Trilogy Very Gentle Calming Fluid when skin and eyes are touchy, and Guerlain Midnight Star for dreary skin days. Jo says she returns to Liz Earle Superskin Moisturiser time and time again for a ‘plumped-up’ and radiant look. For the body it’s Davina Peace Body Cream as she likes to use organic products on her body just as she puts organic food in her body. Jo’s new obsession is the Konjac sponge from Japan (available from victoriahealth.com), a bamboo-

based sponge that’s rock-hard but softens to a delicious squishy texture to remove make-up and generally brighten skin. Through the pages of our new book we help you feel your best, look your best, and be your best too. Life is no dress rehearsal and we only get one chance to enjoy this one. The truth is, once your daily self-care ritual is sorted then you can do the things you still long to do, explore the passions you yearn to pursue, be the woman you’d really like to be. Trust us: age really can be a thing of the past. EB

The AntiAgeing Beauty Bible by Sarah Stacey and Josephine Fairley (Kyle Cathie, £19.99 )

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Expert Beauty_March11_FRONT COVER_FINAL_V2.indd 2

17/03/2011 09:42

Spring 2011 SPRING 2011 £4.99

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YOUNGER-LOOKING NECK Beauty Advice You Can Trust

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17/03/2011 09:41