Summer 2013 - Issue 8 by A2 Aesthetic & Anti-Ageing Magazine

A2 MAGAZINE

Professional advice on aesthetic & anti-ageing procedures

PROFESSIONAL ADVICE ON AESTHETIC & ANTI-AGEING PROCEDURES

Sunscreen Safety Take Heed: Your sun-block may be hazardous to your health

BodyTite Liposuction We review the latest lipo procedure on the market

Nonsensical Nip-Tucks: ISSUE 8 SUMMER 2013

A peek at the most bizarre cosmetic surgery procedures of 2013

For the Love of Laser

How aesthetic lasers can beautify us in ever more pioneering ways

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PLUS The Latest News in Anti-Ageing Trends

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Issue 8: Summer 2013

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Professional advice on aesthetic & anti-ageing procedures

Your Favourite Aesthetic Magazine Can Now Be Found Online What if you were the type of person who wanted control in your life, no matter your age? What if you were the type of person who wanted a smile that made you feel selfconfident? Who wanted to sit on the beach in a costume and feel free? If you wanted to know that every minute you spend in the gym is actually making a difference to your health, weight and the way you look? Then girls do we have something for you… We have created a place that is safe, online, beautifully designed and easy to navigate. We research and experience as much as we can for you with one goal only: to inspire you to be more YOU than you’ve ever been. We create content about the world of aesthetics, anti-ageing, non-invasive treatments and cosmetic surgery in a language that is easy for people who “don’t speak doctor” to understand. More About The A2 Blog: The blog is online and free to access for our readers. We have fun in everything we do on the blog – we laugh, scream, cry and jump for joy with every single reader that joins us by signing up for free email updates straight to inboxes. Juicy tidbits from the blog will give you the tools and knowledge for anything aesthetic. Do you want a more youthful look but aren’t keen for surgery? No problem, we find and research treatments that actually work and are non-invasive. Are you struggling to lose weight? We’ve got you covered with a range of options to read about. We also love giving things away on the blog – and constantly run exclusive competitions, whether it’s a luxury getaway, non-invasive lipo or a full-on breast augmentation.

Are You Falling In Love With Us and Want To Connect Further? We know the feeling. Come on over to Facebook and Twitter – and introduce yourself. We’d love to get to know you! You’ll also find that we run the most stunning competitions that are exclusive to our fans and followers. /A2Magazine

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Do you have all your back issues...? A2 MAGAZINE

A2 MAGAZINE

Professional advice on aesthetic & anti-ageing procedures

Renowned for its ability to erase fine lines and wrinkles, A2 takes a look at all the other wonderful uses of Botox®.

Skin Fact VS Skin Fiction What to look for in a quality skin care range

Q&A with Dr. Robert Rey FEATURE: Stubborn Fat Removal

Abdominal Obesity

Why diet and exercise is not enough

R10 000 worth of Laser Treatments! Launch Issue: October 2011

Fat Attack

Silicone scare

How safe are your breast implants?

Lipo Lowdown

The best lipo method for you

Surgical Safety

Experts outline safety precautions before surgery

Hot Topic

Facelift Complications?

Physiotherapy to the rescue

FAT GRAFTING

Cosmetic surgery after massive weight loss

WIN Coolsculpting fat removal procedure worth R12 000

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Issue 2: Autumn 2012

ISSUE 3 WINTER 2012

A2 MAGAZINE

LAUNCH ISSUE

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ISSUE 2 AUTUMN 2012

Look Years Younger… without surgery plus many more fantastic prizes

Skin Deep This Autumn’s Top tips for glowing skin

‘Imagined Ugliness Syndrome’ – What the experts have to say

The ultimate fat busting guide! Top medical professionals report on three different types of liposuction alternatives

WIN

Saving Face

The latest techniques in facial rejuvenation

Body Dysmorphia

Dr Rey answers your questions on all things aesthetic

A2 brings you some of the latest international approaches in rejuvenating the face – without the need for going under the knife.

PROFESSIONAL ADVICE ON AESTHETIC & ANTI-AGEING PROCEDURES

UT O D OL

Botox® Trends

Professional advice on aesthetic & anti-ageing procedures

Hair today...gone tomorrow

PROFESSIONAL ADVICE ON AESTHETIC & ANTI-AGEING PROCEDURES ISSUE 4 SPRING 2012

Expert Tips for: • Treating Cellulite • Skin Tightening • Weight Loss • Body Contouring

Pippie gets her new skin Issue 3: Winter 2012

Professional advice on aesthetic & anti-ageing procedures

Pins & Needles Introducing the acupuncture face-lift

Highlights from Monte Carlo

Get Beach Beautiful

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Medical Marvel:

Professional advice on aesthetic & anti-ageing procedures

Worldwide Aesthetic Trends

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Hair transplant unveiled

The Dark Side of The Sun

Avoiding the Big C

Silicone Central

The many uses of surgical silicone

Insulin Resistance

One small step away from diabetes R34,95 Incl. VAT

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Issue 4: Spring 2012

The Skinny on Tummy Tucks Are you a candidate?

Menopause Matters Aesthetic treatments for menopausal women

Cheap products and unqualified physicians…in whom do you trust?

Peel The Difference Chemical Peel VS Microdermabrasion – which one’s for you?

anti-ageing & health matters

• Hooked on Health – how I lost 55kg in 18 months • Naltrexone – an aid to recovery in addiction

Top cosmetic enhancement trends from across the globe

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We would LOVE to hear all your thoughts and opinions on A2. Drop us a mail and let us know what you would like to read about – or suggest ways on how we can improve. We would truly appreciate any feedback! You may reach me personally on michelle@lewebmedia.co.za

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Issue 6: Winter 2013

Summer Edition 2013/2014 Issue 8 Publisher LeWeb Media (Pty) Ltd 10 Soho Square 50 Grant Avenue Norwood, Johannesburg Advertising Enquires Nadine Hocter 072 368 4274 nadine@lewebmedia.co.za Michelle Webster-Pauli 011 050 0738 michelle@lewebmedia.co.za Editorial Enquiries Michelle Webster-Pauli 011 050 0738 michelle@lewebmedia.co.za Digital site www.a2magazine.co.za Subscriptions RNA Editorial Director / Publisher Michelle Webster-Pauli Marketing / Sales & PR Nadine Hocter Design & Layout Bryan Maron www.designbandits.co.za Images Shutterstock.com / iStock.com Reproduction & Print Raptor Print Distribution Ezweni Mags Disclaimer The opinions, beliefs and viewpoints expressed by the various authors and doctors in this publication do not necessarily reflect the opinions, beliefs and viewpoints of A2 Magazine. A2 considers its sources reliable â&#x20AC;&#x201C; however, reporting inaccuracies can occur and consequently readers using this information do so at their own risk. Although every effort has been made to ensure that information is correct at the time of going to print, LeWeb Media (Pty) Ltd cannot be held responsible for the outcome of any action or decision based on the information contained in this publication. While A2 is a niche magazine that reports on the latest aesthetic and anti-ageing procedures and trends, it should not be regarded as replacement for sound medical advice Lastly, A2 strongly recommends that any reader considering aesthetic intervention (be it surgery or non-invasive procedures) should consult with a reputable, qualified plastic surgeon or aesthetic physician before embarking on any treatment. ÂŠ LeWeb Media (Pty) Ltd.

SUMMER 2013 • ISSUE 8

23. THE AESTHETIC REPORT 24. Measuring Facial Perfection Dr Riekie Smit discusses a tool that assists physicians for treating ageing faces with negative expressions 26. Fabulous Filler Dr Sly Nedic reviews the new Vycross ™ Technology filler from Allegan Inc. 30. Lasers in Aesthetics A comprehensive report on how lasers are used in every area of aesthetic medicine. By Dr Loredana Nigro 32. The Tongue Patch Diet New technique that can allegedly help people lose weight via a postage-stamp-size patch on tongue 36. The HCG Injection Dr Janine Oliver reports on the extreme diet that involves injections of HCG (human chorionic gonadotropin) 38. Scar Tissue A look at how our fat derived stem cells can improve the appearance of difficult to treat scars. By Dr Nerina Wilkinson 40. The Gummy Smile Is your smile more pink than dazzling white? Dr Thandar discusses treatment opetions for the gummy smile. 42. Review: Rochelle Friedman reviews the new BodyTite liposuction procedure.

45. THE COSMECUTICAL CORNER 46. Sunscreen Safety Dr Noori Moti-Joosub discusses the different types of chemicals that are found in our sunscreens – and how some can be hazardous to our health 50. Burning Issue Dr Rajesh Newaj reports on the cause and effect of photoageing

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55. COSMETIC SURGERY UPDATE 56. Neck-line Rejuvenation Dr Anton Potgieter informs us on the different types of neck-lift procedures 59. Nonsensical Nip-Tucks We take a look at some of the most bizarre plastic surgery procedures of 2013. Compiled by Mandy Collins 64. Rhinoplasty: The Psychology of Surgery An account on how the effects of a good rhinoplasty outcome can be quite profound – not only for the physical aspect, but the mental health-related benefits as well

67. ANTI-AGEING & WELLNESS 68. Battle of the Saddlebags Dr Sly Nedics reports on how our saddlebags are actually a hormone mediated condition 72. Chronically Fatigued Chronic Fatigue Syndrome is more than just a case of the sleepy’s. It’s a disease that impacts on the quality of life of the sufferer. By Dr Simone Silver 74. Sip Smart Lisa Raleigh imparts helpful tips on how on how to minimize the damage from holiday drinking 76. Understanding the Big ‘O’: A Woman’s Guide to Orgasms Clinical Sexologist, Catriona Boffard discusses the factors that can hinder the elusive orgasm

Also in this issue 8. Meet The Team: A2’s Contributors 10. News Snippets: Latest news from around the world 12. International Research Findings: Report on the latest studies 14. Man of Surgery: Superman fan undergoes 16 surgeries 16. Doctor Sculpts Wife: Surgeon gives wife ‘Wonder Woman’ makeover 18. The Aesthetic Helpline: Dr Anton Potgieter answers your questions. 20. Bitchy Resting Face: A look at the phenomenon that is BRF 21. Weight Loss Woes: Stomach desensitized after massive weight loss 49. Sans Make-Up: Avoid makeup once a week to delay skin ageing 54. Face-Off: Women injects cooking oil into face 58. Botox: Not just for wrinkles 66. Voice-Lift: Surgery to boost ageing vocal chords 70: Body Image: Study reveals only 12% of mature women are happy with their body

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Our Expert Panel Lisa Raleigh Lisa Raleigh is a lifestyle and wellness expert who is well known for her television roles as the blue team trainer on SA’s The Biggest Loser, fitness guru on the Doctors’ Orders Show and health consultant on SABC 3’s morning show, Expresso. She is also the creator and director of Health Box SA – and is the events director for parkrun in Durban - a free initiative for the public that offers a collective 5km run once a week. Lisa enjoys writing for magazines and newspapers in her spare time, and presents regularly on radio talk slots and at wellness workshops and events.

Dr Simone Silver MBChB Dr Simone Silver obtained her medical degree from Wits University in 2007. After graduating, she completed two United States Licensing Examinations, a course in Good Clinical Practice and her internship and community service in Johannesburg. Since she was a medical student she has been fascinated by the intricate interplay between the physical, psychological, societal and environmental factors in establishing and perpetuating disease. She has developed a special interest in the pathophysiology of stress and disorders such as Chronic Fatigue Syndrome and Fibromyalgia. She is a faculty member of the South African Academy of Integrative Medicine, lectures frequently and currently practises in Bryanston, Johannesburg.

Dr. Noori Moti-Joosub MBBch (Wits), FC DERM After qualifying as a Medical Doctor and Dermatologist, Dr Noori Moti-Joosub completed her registrarship in Dermatology at the Johannesburg Hospital. It was here that Moti-Joosub undertook intensive dermatological training by being exposed to a wide variety of skin ailments. Although she does practice in general dermatology, Moti-Joosub’s focus lies in aesthetic practice and sun protection skin care. She brings a comprehensive Dermatological Consultancy to the Laserderm Dunkeld branch as well as the exclusive procedure of MoleMapping.

Dr Sly Nedic MBChB(Bel) Dr Nedic is a founder of the 8th Sense Medi-Spa in Sandton, where she passionately combines aesthetic makeovers with anti-ageing medicine, bioidentical hormone replacement therapy and preventative genetic testing. She is a board certified doctor of WOSAAM (World Organization Society of AntiAgeing Medicine), a member of IHS (International Hormone Society) and A4M (American Academy of Anti-Ageing Medicine). She is also an accredited expert for the Thermage® medical procedure, advanced filler techniques, Botox® and mesotherapy (France), as well as Master courses (Paris).

Dr Nerina Wilkinson, MBChB(Stell) FCS(SA)Plast Dr Nerina Wilkinson has a full time private practice at the holistic and anti-ageing Renaissance Body Science Institute in Cape Town. She is a member of the Association of Plastic and Reconstructive Surgery, an Exco member of the Aesthetic and Anti-Ageing Medicine association of SA – as well as a lecturer and trainer for Allergan Aesthetic Medical Academy. Dr Wilkinson also presents scientific papers at congresses, with her articles and reports being regularly published in health related magazines. Dr Wilkinson has a major interest in the aesthetic surgery of the face, breast and body - closely integrating surgical procedures with other non-invasive treatments.

Dr Anton Potgieter, MBBCh (Wits), FC (Plast Surg) SA Dr Potgieter splits his time between his Sandton private practice and Baragwaneth Hospital, where he forms part of the plastic surgery team that runs Smile Week. He performs other reconstructive surgeries as well, including breast reconstructions, craniofacial procedures and cancer surgery. He is an educational consultant for the WITS Med School Plastic Surgery programme, a member of APRSSA (Association of Plastic and Reconstructive Surgeons South Africa), the HPCSA, as well as the ISAPS (International Society of Aesthetic Plastic Surgery).

Dr Janine Olivier MBChB Dr Olivier obtained her MBChB in 2006, and is currently enrolled in a Masters of Medicine course through the University of Pretoria. She has participated in several Botox®, filler and anti-ageing workshops and has received formal training courses with Genop, the Bay Skin Institute and Allergan. Dr. Oliver’s initial training was obtained under the guidance of Dr K Semprini – and her field of practice in aesthetics is situated in Pretoria and Parys (Free State). She has also recently joined EDGE2000 with Trish Birkenstock – where her focus has shifted from Internal Medicine to holistic well being.

Dr Riekie Smit MBChB (UFS) MSc Sports Med (Pret) Adv Dip Aesth Med (FPD) Dr Smit works in private practice in Pretoria with a focus on aesthetic and anti-Ageing treatments. Her major focus is skin rejuvenation procedures with peelings, mesotherapy, lasers and facial injectables. She is also a lecturer and trainer for educational institutes and a faculty member of the American Academy of Aesthetic Medicine. Dr Smit is the current president of the Aesthetic and Anti-aging Medicine of South Africa where she and the EXCO members work towards a better regulated and growing industry of aesthetic medicine. She loves to draw and write where she can integrate her art into scientific and public articles and literature.

Aesthetic and Anti-Ageing Magazine

Meet the Team

Michelle Webster-Pauli Journalist / Editor Publisher

p o t S

Nadine Hocter Sales and PR

Laserderm

Rochelle Friedman Columnist

Mandy Collins Journalist / Editor Writing Coach

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VBeam laser is our preferred choice when treating cheeks and age spots.

Bryan Maron Creative & Layout www.designbandits.co.za

The management and staff of A2 Magazine wish their readers a Merry Christmas, happy new year and restful year-end break. Thank you for your continued support and looking forward to a great 2014. Aesthetically Yours... A2

skin, knees, thighs and abdomens. Carboxytherapy, (miracle gas) treats a whole magnitude of complaints, including dark under eye circles, stretch marks, cellulite, crepy skin, and thinning hair. CoolSculpting®by Zeltiq is the only cold based, non-surgical handles, bra bulges, inner thighs, and any other resistant fat bulge with very little discomfort and absolutely no down time. Treatments start from R6000. Slender Wonder medical weightloss program is managed by a doctor. Patients can lose anything between 3 and 15 kgs a month. Botox is one of our most popular procedures resulting in months of decreased lines and wrinkles. Fillers are used to your face and most people will never know you’ve had any help. Don’t delay contact your nearest Laserderm branch today. Trust the professionals with all your medical aesthetic treatments 0861 (DERM SA 3376 72)

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News Snippets From Around The Globe HPCSA Taken to Court over Benoni Plastic Surgeon Four people have taken the Health Professions Council of SA (HPCSA) to the North Gauteng High Court over alleged malpractice by a Benoni plastic surgeon, The Star reported in September 2013. Four patients of Dr Luke Gordon want the HPCSA to take strong action against him after their allegedly botched operations. They claim the HPCSA allowed him to continue practicing despite a string of complaints. Gordon previously received fines and suspended sentences for medical malpractice from the council. One of the complainants lost a leg when Gordon performed a calf implant operation, and two others had elective breast reduction surgery which left them disfigured, it was reported. In court papers the four argue that if stronger action had been taken against Gordon, at least one of them could have been spared from disfigurement and pain. “The HPCSA is entrusted with the statutory duty to protect the public by conducting investigations into complaints lodged against practitioners under their jurisdiction - and they are empowered to act against them,” the court document reads. Gordon paid R4.5 million to clients in the last three years. The HPCSA found him guilty after complaints in 2000, 2007 and 2008. Gordon told the paper he was unaware that his patients had instituted legal proceedings. Source: SAPA

J.Lo Denies Rumours Of Plastic Surgery Jenny From The Block singer Jennifer Lopez has responded to a tweet claiming she has enhanced her looks with cosmetic

surgery. “Sorry Sir, but I have never had plastic surgery of any kind,’ the 44-year-old wrote after a post was sent from the account of London-based surgeon Dr. Ayham Al-Ayoubi. The doctor, who specialises in facial and laser surgery, posted a split of an older and more recent picture of the star, and captioned it: “These before and after pics of @JLo show many signs of #plasticsurgery - naturally pretty but now looks amazing.” However the entry was removed after the singer’s fans complained about his comments. He went on to apologise, saying the pictures had been posted in error. “Dear @JLo I wonder if you can accept my sincere apologies about the wrong tweet which was written by my assistant without my knowledge…” He also suggested that strategically applied makeup could be behind the perceived changes between the pictures. “U are naturally a very beautiful woman and look great, sometimes clever makeup can enhance features slightly changing their appearance @Jlo,” he commented. Source: www.hellomagazine.com

Man Has Nose Grown on Forehead We all know of celebrities who have had botch nose jobs - but this operation is certainly head and shoulders above the rest. A Chinese man has had a new nose grown on his FOREHEAD. The man, who has only been named as Xiaolian, had the treatment to create a replacement for his original nose which was infected and deformed – and was carried out at a hospital in Fazhou, Fujian province. The 22-year-old damaged his nose in a traffic accident in August 2012, but failed to seek treatment. As a result, an infection corroded the cartilage - leaving the surgeons unable to repair it. They were then left with no choice but to grow him a new nose in order to transplant it in place of his damaged one. The nose was created by placing a skin tissue expander onto Xiaolian’s forehead. This was cut into the shape of a nose and was supported by cartilage taken from the man’s ribs. Surgeons say that the nose has developed well and that the transplant surgery will be carried out soon. Souce: The Daily Mirror www.mirror.co.uk

Aesthetic and Anti-Ageing Magazine

South African Man Too Fat for New Zealand An obese South African man has been told he is too fat to live in New Zealand - despite shedding 30 kilograms since he moved to the country six years ago, a report says. Albert Buitenhuis (who now weighs 130 kilograms), and his wife Marthie, said they face deportation after an application to renew their work visas was rejected because of his weight. Immigration New Zealand (INZ) cited the demands his obesity could place on New Zealand health services - and said their medical assessors deemed Albert no longer “had an acceptable standard of health”. The couple said they moved from South Africa to the main South Island city of Christchurch six years ago when Albert weighed 160 kilograms - and their annual work visas were renewed without any problem. “We applied year after year and there were no issues. They never mentioned Albert’s weight or his health once… and he was a lot heavier then,” Marthie told The Press newspaper. “The irony is that at the moment he weighs less than when we first arrived in New Zealand, and also less than in his first medical which was accepted by INZ.” An INZ spokesman said Buitenhuis was rejected because his obesity put him at “significant risk” of complications, which includes diabetes, hypertension, heart disease and obstructive sleep apnoea. “It’s important that all migrants have an acceptable standard of health to minimize costs and demands on New Zealand’s health services,” he said. A recent OECD report listed New Zealand as the third most obese developed nation behind the United States and Mexico. Source: News.co.au www.news.co.au

Mother and Daughter Arrested for Illegal Botox Injections.

Woman Sells House to Fund Surgery

You may have heard of a recent trend known as “couples’ surgery.” This refers to pairs of people (often husbands and wives - or parents and their adult children), opting to go under the knife together. However, a recent story out of Houston takes a dark twist on this concept, as a mother and her two daughters, Camile and Victoria Urgileshas were taken in along with her. This isn’t the first time that 50-year-old Maria Lorena Teran has been arrested for administering cosmetic medicine without a license. According to the Houston Chronicle, she was actually out on bail over a previous charge of the same nature. This time around however, her two daughters, Camile and Victoria Urgileshas were taken in along with her. As is so often the case with these sorts of stories, it seems that Teran was administering her illegal injections at a Medispa. The facility, La Femme’s, was located off Highway 6 (which runs through west Houston).

A British woman desperate to look good before her wedding sold her house to pay R330 000 for cosmetic surgery. Tsia Pullen, 34, was considered morbidly obese and struggled with obesity since childhood, the Daily Mail reported. Pullen said she “couldn’t bear to look in the mirror” and tried everything she could to shed weight. But after many failed efforts, Pullen took the bizarre step to sell her R1.2 million, three-bedroom Bolton home to fund cosmetic surgery in Belgium. “People thought I was insane, but I knew it was the right thing to do,” the newspaper quoted Tsia as saying. “It was the first house I’d ever bought. It had a massive garden and I was proud of it. But, more than anything, I wanted to look amazing on my wedding day. “I hated myself so much. I used to end up in tears when I went shopping nothing fitted. It wasn’t only the embarrassment either. Walking around the shops would leave me breathless and in agony as I was so big,” she added. But when her fiance, Alastair, proposed - Tsia was determined to take urgent action. “I didn’t want Alastair to marry me while I looked like that. I wanted to be a beautiful bride. He was supportive of my decision, but he said he had always loved how I looked. But I didn’t love myself, so I went for it,” she said.

Source: www.surgery.org

Source: Deccan Herald www.deccanherald.com

Aesthetic and Anti-Ageing Magazine

Latest Research Findings

An Anti-Ageing Cream That Works? As researchers from the Cambridge University were engaged in a cure for liver damage, they stumbled upon a cream that could be a potent anti-ageing product.

www.medindia.net

MitoQ, as it is called, speaks of softening the skin and actually reversing the signs of ageing. It is a patented combination of special ingredients that researchers accidentally discovered during their search for a cure for liver disease. They chanced upon a finding that delivers cells with antioxidants right inside the mitochondria. This is the source of free radicals responsible for harming the tissues and accelerating ageing. ‘Mitochondria are like batteries that provide the energy that all of our cells need to operate and stay healthy, including skin cells. Unfortunately this process also releases free radicals, which actually damage our cells. Antioxidants are the body’s natural defense mechanism to combat free radicals. However, ageing happens because as we get older, our bodies produce fewer antioxidants and can’t fight free radicals as effectively. This is what causes wrinkles and lines to appear,’ scientists said. ‘This is a major scientific breakthrough that enhances our natural antioxidant capacity, restoring our cells to optimal function,’ researchers said. Source: Medindia

Anxiety Linked to Suicide

The relationship between anxiety and suicide risk has long been debated, but now four papers in a special issue of Depression and Anxiety aim to settle the controversy by demonstrating that anxiety posed a greater suicide risk than depression. In the first study, Dr. Phillip Batterham examined 7,485 adults, and found that suicidal thoughts were more strongly predicted by incident symptoms of anxiety than depression. Holly Wilcox follows this by examining the role of Post Traumatic Stress Disorder (PTSD) in 1,433 adults with severe depression and a high lifetime rate of attempted suicide. PTSD increased suicide risk by 2.5 fold - and this increase was largely driven by individuals whose PTSD was due to assaultive violence. Zimri Yaseen examined 2,864 individuals with depression in a national U.S. sample, and found that panic attacks associated with a specific catastrophic fear of dying predicted subsequent suicide attempts. Amrit Kanwar co-authors the final study; the first metaanalysis of the role of anxiety disorders in suicide. Dr. Kanham reviewed 42 studies covering a total of 309,974 adults – and conclusively showed that patients with an anxiety disorder were more likely to have suicidal thoughts. Source: Medical News Today www.medicalnewstoday.net

Aesthetic and Anti-Ageing Magazine

Pill May Be Botox Alternative

Treat your

A pill made from plant extracts can be used as an effective alternative to Botox, as it can reduce wrinkles by as much as 10 percent. It can also prevent crow’s feet and keeps the skin youthful by making the body produce more collagen.

the two groups who had been given real pills shrank by an average of 10 percent, while their bodies also produced more collagen. The study has been published in the International Journal of Cosmetic Science.

Unilever (which produces the Dove Spa Strength Within supplement), funded the study which tested the effectiveness of the pill among 166 women who had an average age of 61 years. The participants were randomly divided into three groups, with the first group given a low dose of the supplement, the second a slightly higher dose, and the third group was given a placebo.

“We used ingredients which have been shown in the scientific literature – as well as our own tests to combat the causes of skin ageing, while kick-starting old skin cells into behaving like young skin cells. We spent five years testing the ingredients on hundreds of women, and found this combination could reduce deep wrinkles within 14 weeks. There is nothing currently on the market which can do that”, Professor John Casey, vice-president for biological sciences at Unilever, said.

After a period of 14 weeks, the researchers tested the participants’ skin and wrinkles by analyzing small samples of tissue and taking moulds of their crow’s feet. They found that wrinkles in people from

Source: Medindia www.medindia.net

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Diabetes Drug May Have Anti-Ageing Effects

A diabetes drug given in low doses may have anti-ageing effects, US scientists have said following an experiment with mice. Scientists believe the drug, metformin, may mimic the effects of extreme calorie restriction – and eating a very low calorie diet is thought to promote healthy ageing, the BBC reported. Rafael de Cabo of the National Institute on Ageing in Baltimore, Maryland, US, said calorie restriction in laboratory animals has shown to increase their lifespan. However, the human implications of the study were unclear. Metformin is a widely prescribed treatment for type-2 diabetes, which occurs mainly in people over 40. It is used to treat metabolic syndrome, a combination of diabetes, high blood pressure and obesity. Work has shown that metformin can extend the lifespan of simple organisms like worms, yet studies in flies and mammals have given conflicting evidence. The scientists gave one of two different doses of metformin to middle-aged male mice, and found that lower doses increased lifespan by about five percent. It also delayed the onset of age-associated diseases. On the other hand, they also said that the higher dose of metformin was toxic and reduced the lifespan of mice. De Cabo said further studies were needed to determine if metformin has any effect on human health and lifespan. Source-IANS medidia.net

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Man of Surgery

Superman Fan undergoes 19 cosmetic procedures to transform himself into his favourite comic book hero…

Herbert Chavez has transformed himself from a mild mannered dress maker into a real life Superman - thanks to 19 plastic surgeries to copy the comic book heroes look. The 35-year-old, from Calamba City, Philippines, has had nose jobs, skin whitening, lip liposuction, jaw realignment, pec implants and even abdominal implants to become a reallife Clarke Kent. Herbert first fell in love with the super hero - famed for his red cape and ‘S’ logo - when he watched him on T.V. as a child. Over the next 16-years, he has splashed around 300,000 Pesos (R66 000) on his obsession - a fortune compared to the average R15 hourly wage in the Philippines. He regularly takes to the streets around his home dressed in full Superman regalia, with his hair gelled in distinctive curly fashion. He aims to teach kids good morals while also brightening their days. Herbert said: “I feel like a Superhero whenever I pull on the costume, yet my mission is not to save the world - but to help in my own small way and bring a smile to the faces of local children. I don’t have any regrets at all. People come up to me in the street all the time and want their picture taken with me. They are all really excited to see a real-life Superman in the Philippines.” But his distinctive look has not come easily, with Herbert going under the knife repeatedly to copy every last feature of the super hero he worships - right down to his chiseled chin. And Herbert admits it is tasking trying to keep up with such a “perfect” person. He added: “If you talk about super heroes, the expectation of people is that they are flawless, they do not get hurt and they do not die. But as human beings, we can only copy their looks. Especially as a Filipino, I have very Asian features and did not look like the Caucasian Superman. So when I was able to save enough money to alter my features, I chose to copy those of Superman. “It is hard living up to people’s expectations as a living superhero. That is the reason I have had so many surgeries because I undergo maintenance procedures that need performing. “For example, my cleft chin is formed of hydrogel, but it does not always appear balanced. The more dehydrated you get, the smaller it gets - so you have to keep adding to it. “I am such a good customer of my surgeon, Dr Tito Garcia. He does all the work for free as part of an exchange deal. I help publicise his practice in return.” Herbert now plans to keep improving his look with more operations to make him taller – and surgery to beef up his abdomen and buttocks. But he acknowledges that there may be a day when he has to halt the extensive surgeries. Herbert said: “I totally don’t have any regrets. What is there for me to regret? Everything that has happened in my life has been positive and because of Superman. “When my body says it cannot endure it anymore - or when my doctor says that my body cannot handle it because of age, then I will stop.” Before & After: Herbert Chavez

Source: Huffington Post / www.huffingtonpost.co.uk

Aesthetic and Anti-Ageing Magazine

Happy Families: Plastic Surgeon Dr David Matlock and his wife, Veronica.

A plastic surgeon has used his body sculpting skills to create his dream woman before proposing to her on their first date.

Doctor Sculpts Wife into Wonder Woman D

r David Matlock met his 38-year-old bride, Veronica, in 2007 when she sought out his skills for a vaginoplasty procedure (more commonly known as designer vagina). At the time, Veronica had just given birth to her daughter Isabelle (now aged nine). While Dr Matlock agreed to the vaginoplasty surgery, he also suggested that the beautiful brunette (who was 36 kg’s heavier) undergo a ‘Wonder Woman Makeover’, involving liposuction of the chin, arms, and legs, and a Brazilian butt lift. ‘I couldn’t even look into his eyes because of the reason I was there,’ she said. ‘I was so shy and bashful, but he says it was love at first sight.’ Dr Matlock then took the now Mrs. Matlock out for a date, immediately proposed to her, and has been helping her to enhance her figure ever since. ‘I didn’t see her weight then, I just knew what I wanted to do,’ he said of their first meeting. ‘She opted for everything I suggested… even marriage.’ Prior to meeting her 49-year-old husband, full-time nurse Mrs. Matlock had undergone three breast augmentations. She has since had a Brazilian butt lift, vaginal rejuvenation, labiaplasty and G-spot shot, liposuction to her chin, arms and legs and, most recently, Botox injections. ‘I feel like I’m a walking advertisement for him,’ she said. And it is not just his wife who has gone under the knife in her own quest for physical perfection - Dr Matlock has himself undergone several procedures that utilise a fatimplant technique called Vaser High Def Liposculpting*, which he pioneered.

Aesthetic and Anti-Ageing Magazine

She entered in the bikini division of her first bodybuilding competition in October, but did not place. In his first competition, David placed third in the 35 years and older Men’s Physique division, and fourth in the 45 years and older division. She said: ‘Because he keeps himself looking good, its added pressure. So I feel like I have to look good, you know.’

Made up of live fat from the patient’s body, the implants can be injected into the biceps, triceps, calves, or pecs to create a perfectly sculpted, muscular figure. Dr Matlock, who appeared on the E! reality show Dr 90210, has also had liposculpting done on his pecs, biceps, and triceps – as well as Botox injections to enhance his look. He said: ‘I just wanted to take my body to a point where, with exercise and diet, you couldn’t get it there.’ Dr Matlock, who treats bodybuilders from all over the USA, added: ‘We take out the fat under ultrasonic guidance and inject it into the muscles. ‘I can sculpt out the biceps, the triceps, obliques, abs, and calves, whatever.’ Both Dr and Mrs. Matlock compete in bodybuilding competitions where they show off their flawless physiques - and Mrs. Matlock admits that her husband’s obsession over fitness and beauty keeps her motivated to look her best.

FREEZE YOUR FAT OFF & SCULPT YOUR BODY

In preparation for a competition, David and Veronica eat six carefully planned meals per day, consisting of lean chicken, fish, rice, and vegetables. David eats at least 200 grams of protein a day to build lean muscle. Dr Matlock said: ‘I always eat healthy. A lot of my business is fat, doing liposuction all the time, but I don’t like fat. ‘I tell people I watch my weight, and I watch my wife’s weight too.’ Mrs. Matlock said: ‘I know that David loves me for who I am. But she added, laughing: ‘There’s a fat clause there.’ Mrs. Matlock said that although the couple are both fitness fanatics, her young daughter was not a fan of the healthy food her parents love. She said: ‘We’re still working on Isabella, getting her to be more accepting of eating healthy. ‘She eats what David cooks, but, if we tell her that what she’s eating is healthy, she says, “No, healthy food doesn’t taste good”. However, Mrs. Matlock admits that when Dr Matlock is out of the house she will treat her daughter to the occasional snack. ‘Her and I will spoil ourselves. We get frozen yogurt,’ she said. Source: The Daily Mail: www.dailymail.co.uk.

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The aesthetic Dr Anton Potgieter Plastic Surgeon MBBCh (Wits) FC (Plastic Surg) SA

helpline

Dr Anton Potgieter answers your questions on all things aesthetic, health & wellness...

Is there any way to rejuvenate and lift the neck area without surgery? I’m in my early 60’s and cannot stand my ‘turkey’ neck. I would love to have a more youthful décolletage, but I’m scared to go under the knife. Any suggestions? The neck is a difficult area because several components contribute to its appearance; muscles, fat, skin texture, age etc.. Facelifts, neck lifts and liposuction are the surgical mainstays and offer great rewards, but are costly and demanding options. There are, however, several nonsurgical possibilities: • Botulinum toxin (Botox) can relax any tight bands of the platysma muscle of the neck. • Dermal fillers can improve the fine wrinkles (crêpe-like skin) of the neck and décolletage very nicely. • Skin treatments and peels will improve skin texture and thickness. Others may argue for laser, dermabrasion, platelet rich plasma, mesotherapy etc., but the results of these treatments are less predictable and more variable in my experience. I am a plump 34-year old woman who is 15kg overweight. I finally decided to tackle my bulge, so I started a strict weight loss program where I’ve cut out all refined starch, sugar, dairy and oil. I’m also exercising four times a week and have cut down on my alcohol intake. So far, I’ve lost 4kgs in three weeks. While I’m thrilled about this, some of my friends say this is not healthy and unsustainable as one should only lose 1.5kg’s a month. Apparently it’s in order not to gain all the weight back. Now this has gotten me worried… is there any truth to this? I thought a loss of 1- 1.5kgs a week is acceptable? Firstly, well done for your success thus far. Losing weight ‘healthily’ by following a proper balanced diet with a healthy lifestyle is the best way the achieve to a sustained, long term weight loss result. The so-called ‘yo-yo’ phenomenon happens often, where people cut back too much on nutrient intake or exercise too much, leading to binge eating of refined foods and consequent weight gain. There is no absolute values that can be applied to your question. For example, on the television programme “The Biggest Loser”, participants are encouraged to lose as much weight as possible per week to remain on the show... (often in excess of 2kg/week!). The law of diminishing returns applies very well to weight loss. When someone makes favourable eating and lifestyles changes, small amounts of effort deliver significant rewards. Yet, as an individual approaches their goal weight, the reward curve begins to flatten and greater effort and much better diet and lifestyle choices are needed to continue seeing favourable physical changes. Long term maintenance can be as demanding as the initial ‘start’! In summary, there really can’t be ‘absolute values’ because everyone is different (1,5 kg of weight loss in a 130kg male in a week is very different from the same amount in a 50kg female). The best results come from a positive mindset, a healthy balanced diet, an active lifestyle and a good superviser (such as a fitness instructor, medical practitioner etc).

Aesthetic matters on the brain? Our expert panel will gladly answer your questions. Email your query to: michelle@lewebmedia.co.za

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I’m not a bitch...

it’s just my face

Hayley Diamond deliberates the phenomenon that is Bitchy Resting Face...

ave you heard the term ‘Bitchy Resting Face?’ I found out about this growing trend the less desirable way. Sitting at my desk, my colleague pops her head over the copier and asks “What’s got your knickers in a knot?” “Nothing – I’m concentrating.” I replied. “Bitchy resting face is more like it,” she said walking off. Freeze, rewind… did she just call me a bitch because I was concentrating? Hell no! Being the politically correct person I am, I followed her. Briskly. “Please explain why I am a bitch,” I smiled, beaming with passive aggressiveness. “Oh no, I never said you were one - just that you have a Bitchy Resting Face. Google it,” she added, going back to her merry way. There’s a difference? By the time my fingers hit the keyboard, search engines came alive with Bitchy Resting Face hits. According to the wonderful world of the web, BRF was originally coined by comedian Taylor Orci, after she released a hit skit for her YouTube channel, Broken People (which subsequently received more

Aesthetic and Anti-Ageing Magazine

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than two million hits). Although laid out as a hilarious parody, Bitchy Resting Face quickly touched a chord with females everywhere. And why shouldn’t it? BRF literally denotes a woman who looks thoughtful, sad or angry, for no apparent reason. Meanwhile, inside she is throwing streamers and doing the moon walk. In short, they are happy, if not content… yet their outward appearance is contradictory of their current state of mind. “Wow, what a bitch!” How can I have this affliction when I am a positive, go-getter?

With her trademark pout and icy gaze, Victoria Beckham is regarded by many as the Queen of Bitchy Resting Face

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-

• • • • • •

Introducing Dr Anthony Yuan – a prominent plastic surgeon in the States who was featured on The Today Show. He explains this affliction is curable through surgery. Where the facial muscles are lifted to that of a smile (ie: “the grin lift”). Hello?! Does this not scream Batman’s Joker to you? Is my Bitchy Resting Face that bad that I would consider surgery now? Wasn’t my one and only surgical desire a breast lift at 42? I leaped over another colleague to snatch up her pocket size mirror. I frowned, I smiled, I preened - I even batted my eyelids over my glasses. And there it was… my pensive look in actual fact expressing, “Back off, this bitch ain’t interested”. My thoughts raced and stopped at celebrities. If Bitchy Resting Face held no holds barred, then there has to be a celeb or two with this affliction. True to form, Google did not let me down. As I stared into the blank expressionless “I will never have wrinkles” Victoria Beckham, I noticed in the far corner Vivienne Leigh - famous for her role as Scarlet O’Hara. But wait…how many other poor souls suffer from this hardship? Surely it can’t be that many? I decided then and there that I had no choice… I simply had to take this to the streets and see for myself. And where better than a shopping mall! I proceeded to seat myself in a corner booth and smile… watching people certainly has its ups and downs. I noticed women who were with a shopping partner smiled more – and this smile made them more approachable. Whilst the ladies on their own were lost in thought, their faces yelled “Not now! Not ever!”

    

•  •  • 

Wait just a minute… have the clouds parted to let the light in? Here I thought people (guys more so) were less drawn to me due to my extroverted, over the top, bubbly, self-assuring persona. Yes, I am fully aware that these characteristics are somewhat scary to behold – but in actual fact, it’s been my face all along!

Now, I know that a bad attitude can be turned around by a positive outlook – or that a crummy day can go sunny side up. Yet if you got a bitchy face… well aside from the permanent-oh-my-cheeks-hurt-like-hell smile, nothing can rectify that. Or so I thought...

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  

--

• • • •

   

•  •  •  

• -

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•  • - • 

• 

However, there is one upside to Bitchy Resting Face. It is not gender specific. Men too, have this affliction. It is called Resting A*****e face. So don’t fret boys and girls... It’s just your face… not who you are.

Aesthetic and Anti-Ageing Magazine

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- 

24. Measuring Facial Perfection 26. Fabulous Filler 28. Lasers in Aesthetics 32. The Tongue Patch Diet 36. HCG Weight loss Injections 38. Scar Tissue 40. The Gummy Smile 42. BodyTite Review

The Aesthetic Report Aesthetic and Anti-Ageing Magazine

Dr Riekie Smit MBChB (UOFS) Msc Sports Medicine (Pret)

Measuring

Facial Perfection It’s a well known fact that facial symmetry plays an important role in defining facial beauty. However, as we grow older and the tell-tale signs of ageing start to show, our proportions alone cannot maintain beauty. The gradual changes of the ageing face not only makes one appears less attractive, but leads to a negative emotional expression as well. By Dr Riekie Smit

he quest for beauty has been an aspiration from ancient times. It has been speculated that many women spend up to one-third of their income on looking more beautiful.

We have seen the statistics on how beautiful people get better jobs, earn higher salaries and are treated as being more superior to their ‘ugly’ equals. This further amplifies the search for beauty, especially in women. So what is beauty? Is it really “in the eye of the beholder”? If it truly is in the eye of the beholder, then we probably would not have global celebrities and faces of beauty. The Face of Beauty An attempt to define facial beauty with facial proportions (as well as the golden or divine proportions), has been well accepted for a number of years. These proportions earned their fame with famous artist Leonardo Da Vinci – and hence, often refer to

Aesthetic and Anti-Ageing Magazine

his surname. These ideal proportions include aspects such as a perfect balance of the face with regards to eyes (size and distance), nose to chin, lips, and facial width to height balance. Having the ideal facial proportions when you are young will surely make you more popular - and you will be perceived as an attractive person. The Ageing Face Unfortunately, as we age your proportions alone are not the only thing that will maintain your beauty. Suddenly, other aspects on top of the perfect proportions can reduce your attractiveness. These include skin ageing, wrinkles, sunspots, enlarged pores, sagging tissues, volume loss and fat pad shifting in the face.

These changes that occur in the face over the years do not only make one look older or less beautiful. Small, gradual changes in the face lead to negative emotional expressions in the face as well. These negative expressions can make even the most perfectly proportioned person look less attractive. Facial Rejuvenation One of the aesthetic laboratories in France, Filorga Laboratories, developed a tool to assist physicians in treatment planning of ageing faces with negative expressions. The expertise of a French plastic surgeon and of a French artist was combined to show how negative emotions on the face could be corrected with the correct placement of fillers (the clay).

These images show how enhancement of the mid cheek and lateral cheek area can uplift a tired appearance, remove dark circles under the eyes and enhance attractiveness in the face.

Pictures courtesy of FilorgaÂŽ Laboratories

In the lower face we can visibly see how lifting the mouth corners with fillers will make a person look rested, pleasant and serene. Over the past few years we have seen such amazing developments with fillers â&#x20AC;&#x201C; as well as the techniques for achieving even more perfect results. This has lead to an increased demand from people for the natural and beneficial results of hyaluronic acid fillers in the face. However, it is important to ensure that you consult a doctor for these treatments that is registered with the HPCSA and is properly trained.

Aesthetic and Anti-Ageing Magazine

Dr Sly Nedic reviews the new Vycross ™ Technology filler from Allegan Inc.

Dr. Sly Nedic MBChB (Bel)

here are three chief factors that encompass a successful enhancement with fillers – these being: a good physician, a good patient – and of course, a good product. We know the importance of a doctor‘s continuous training and education in the developing medical field… but what about the patients and the products? The South African Patient Demystified I was privileged to have two of my friends (who are both dermatologists from Italy and Dubai) visit my practice for a week to view my procedures – and they observed some interesting behavourial patterns from South African patients. Firstly, they noted the SA patient has a very conservative approach when it comes to their aesthetic procedures – and secondly, tend to be more demanding in their approach when compared to patients in their respective countries. This is actually why I love the SA patients – they definitely know what they want!

The Fabulous Filler 26

In retrospect, I have also observed the following traits in my practice: 1. The SA woman is very careful when she chooses a filler as it needs to deliver an exceptional and natural result. She wants people to notice that she’s looking more beautiful… however no one must know that she’s had some ‘work’ done. There must be no swelling in the treated areas - and it needs to be painless. 2. The SA woman will only have her lips plumped up if there is no risk of swelling, bruising – or ending up with the dreaded ‘trout pout’ look. 3. The SA woman does not like the mid-cheek sagging effect - nor a widely shaped nose. She wants a lunch time painless procedure with long lasting results. 4. O n the other hand, the SA male patient (unless metro-sexual or homosexual) does not believe in aesthetic procedures for him or his wife… that is until his best friend starts to look younger, well groomed and receives more attention during cycling classes! He is happy to include a face make over in his routine - but only if there is a good scientific explanation about the success rate – as well as the safety of the procedure.

Aesthetic and Anti-Ageing Magazine

5. L astly, the SA woman wants a long lasting, natural look for the disappearance of her nasolabial lines – while still being good value for her money. Summarizing the South African patient’s demands, I soon realized that they’re all very realistic. They need a product that looks natural, is long lasting, painless, and safe.

Before & After – Volift TM lip enhancement on a 26-year-old female.

Therefore, I was happy I was able to offer them state-of-the-art fillers that possessed all these qualities: the Vycross® Technology from Allergan, Inc. What is Vycross™ Technology Fillers? Allergan Juvederm® has recently created a new product with Vycross™ Technology. It’s formulated with a 90% lowmolecular-weight hyaluronic acid – and also contains only10% high-molecular-weight hyaluronic acid (most fillers have 100% high molecular weight hyaluronic acid). This combination of the short and long chain HA in Vycross™ technology increases a cross-linking of the product - leading to longer duration and more viscosity. These new generation fillers have exceptional performance qualities, adding to a physician’s confidence – and satisfying the patient’s demands. The fillers boast the following advantages: • Easily and smoothly injected to minimize discomfort during treatment • Contains Lidocain anaesthetic for a virtually painless procedure • Easily moldable to your facial contours for the most natural facial shaping • Has a natural look and feel on the injection site (no bumps and lumps) • Predictability in achieving the desired improvement because of its cohesivity • Bruising and swelling is minimized, so downtime is minimal. • Long lasting results because of a higher resistance to degradation In addition, its high-viscosity allows for a greater lift capacity, as the gel is able to lift against the pressure of the skin. Is It Safe? Voluma®, Volbella® and Volift™ are all Vycross ® Technology fillers - and are fully approved by the European medical devices legislation. This means that they have passed EU standards for safety and efficiency – and therefore can be used in South Africa as well. In addition, manufacturers of Allergan Juvederm® have conducted several studies to validate safety, efficacy, duration, side effects and patient satisfaction on these products. Voluma has also received FDA approval as the first and only filler to temporarily correct age-related volume loss in the cheek area for adults over the age of 21 years.

Before & After – Voluma®, Volbella® and Volift TM Fillers on a 53-year-old male. • Both procedures performed by Dr S Nedic • All image rights reserved by 8th SENSE

Indicators These fillers virtually cover all indications in facial aesthetics. Since they give such natural results, they are gaining more popularity in South African patients who were initially very skeptical to do any aesthetic procedures. This rings especially true for middle-aged men, young patients seeking beautifying procedures – and older female patients who are afraid of an unnatural look. The Following Indications Can Be Covered With Vycross™ Family: 1.Voluma®- It’s designed to restore facial contours that have been negatively affected by long-neglected signs of ageing (such as volume loss). While other products only smooth wrinkles and creases (which are considered to be a two-dimensional concern), Voluma® provides a more complex, three-dimensional solution for volume loss – as well as a more comprehensive approach to facial rejuvenation. Cheek augmentation, facial re-contouring, chin augmentation and nose reshaping are just a few of the many indications for Voluma®. 2 Volbella® - This new dermal filler is not only specially designed to gently restore natural-looking lip volume, but also to define lip contours, treat oral commissures, smooth fine ‘barcode’ or ‘smokers lines’ around the lips - and support the ‘marionette’ lines down to the chin. The results are natural and long lasting – with no signs of a ‘trout pout’. Volbella® can also be used for peri-oral rejuvenation, especially with tear troughs. 3 Volift™ - The 3rd member of this new generation fillers family was recently launched worldwide. It’s mainly designed to treat the nasolabial lines, add additional volume to lips and rectifying the hollowness in temples. Resource: www.8thsense.co.za

Resorce:www.8thsense.co.za References:1. Fahd Benslimane / October 2, 2013: Prime magazine, Europe 2. Juvéderm® Volbella™ in the perioral area: a 12-month prospective, multicenter, open label study: David Eccleston1 and Diane K Murphy2 3. Fischer TC: a European evaluation of cosmetic treatment of facial volume loss with Juvederm Voluma in patients previously treated with Restylane Sub-Q. (J Cosmet Dermatol 2010;9:291-296) 4. Post-Market Study of Juverderm Volift™ with Lidocaine for the Correction of Nasolabial Folds,Clinical Trials. A service of the U.S. National Institutes of Health

Aesthetic and Anti-Ageing Magazine

Lasers and Lights The term ‘Laser’ may bring thoughts of Star Wars or Austin Powers’ Doctor Evil to mind. However, lasers are used in every area of aesthetic medicine. This is because they can precisely affect different types, colour of tissue and pigment within human skin. By Dr Loredana Nigro MBBCh (WITS)

Aesthetic and Anti-Ageing Magazine

LASER

T R E AT M E N T

Treats sun damage, scars, pigmentation, wrinkles, ageing hands, chests & necks.

What are Lasers? Laser stands for Light Amplification through Stimulated Emission of Radiation. The ability to generate photons from external energy was first proposed by Albert Einstein in 1917 - and Laser is a technology that’s been developing rapidly since the first visible Laser was demonstrated in 1962. Lasers are special lights because they have spatial coherence (light waves travel in the same direction, giving a precise, controlled beam), and temporal coherence (the beam is produced in a narrow wavelength band i.e. a single precise colour). The ability to produce blasts of controlled energy with precise properties are what makes Lasers so useful. Why are Lasers Useful in Aesthetics? Different types or wavelengths of light create specific tissue effects – e.g.Lasers can destroy pigmented/damaged areas of skin, hair follicles, or tattoo ink – all the while leaving surrounding normal tissue unscathed. The thermal energy delivered by a Laser also stimulates the body’s natural elastin and collagen production. Horses for Courses Skin type (including hair type and colour) is an important factor in treatment selection. Your aesthetic practitioner will evaluate your skin type (e.g. using the Fitzpatrick classification) against the objectives of the treatment – and use an appropriate Laser, configured precisely to maximise effectiveness and safety. Hair Removal Hair removal is the original use for Lasers in aesthetics, targeting dark pigments in the hair follicles, which are destroyed by the Laser energy. Surrounding tissue is generally undamaged. However, it must be noted that six – eight treatments may be required for full effect. Lighter hair colours are less susceptible to this treatment, and so may require

multiple treatments. Another option is for the hairs to be pre-dyed with a special pigment to help absorb the energy. Medical Uses – Skin Resurfacing Improvements in the last decade have seen a surge in Laser use for skin resurfacing, which can mitigate the normal features of ageing. This includes sagging skin, wrinkles and rough skin – and it can also reverse generalised damage caused by acne scarring or sun exposure. Lasers are divided into two major categories - ablative and non-ablative. It’s important for people to know the difference between the two types of lasers as the recovery time differs significantly between the two types. Additionally, there is a difference in not only the end result, but how the end result is achieved. Ablative The laser destroys target areas of existing skin, allowing the body’s natural repair mechanisms to produce new tissue within a controlled framework of ‘damage’. This maximises the efficiency of the repair process and minimises the chance of scarring. It’s an invasive treatment which requires several weeks’ recovery – and several days’ privacy is needed. Yet, the effects are profound, and normally only one to two treatments are required for full effect. Non-Ablative This technology directs energy below the surface of the skin, causing a thermal reaction which increases collagen production, skin smoothness and firmness, all the while stimulating the body’s natural regenerative processes. A single session over an area such as the face will regenerate 10-20% of the total area - so two to five treatments will probably be required for maximum effect. However, the recovery period is far shorter than an ablative treatment.

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Results you can see and feel

Fraxel treats a "fraction" of your skin at a time with thousands of tiny microscopic laser spots. It provides the benefits of skin resurfacing (collagen stimulation and skin tightening) without the discomfort and inconvenience of a lengthy healing period.

Fraxel treatments now available in: Morningside (Laserderm) Sandton (Laserderm) Dunkeld West (Laserderm) Parkhurst (Laserderm) Cresta (Laserderm) Benoni (Laserderm) Bedfordview (Laserderm) Dainfern (Laserderm) Pretoria (Novi Skin) Lynwood (Rejive) Claremont (Laserderm) Olivedale Woodmead Hyde Park (Ageless Lasers) Park Lane (Laserderm) Century City (CDC) Rosebank Durban (Cosmetic Laser) Glenwood (DSC) Bloemfontein (Cosmoderm) Rustenburg (Refinement) Fourways (SkinBiz) Montana (Vivacite)

011 783 3110 011 783 9483 011 341 0580 011 447 7270 011 476 1228 011 425 0019 011 450 1690 011 469 3792 012 460 4646 012 348 8181 021 683 5060 011 462 7475 011 304 7888 011 325 5007 011 642 9201 021 552 7220 011 788 4956 031 312 3934 031 206 1060 051 436 4757 014 592 9204 010 590 1065 021 567 1310

Call now for a consultation !

FDA approved. Beware of imitations. FRAXEL is a registered trademark. www.fraxel.co.za Distributed by Stern Laser

www.sternlaser.co.za

Medical Uses – Specific Applications Laser can also be used to treat a wide range of specific conditions: • Pigmentation: Sun damage and hormonal pigmentation (Melasma and Chloasma) • Laser Rejuvenation • Actinic Keratoses (common pre-malignant skin lesions) • Spider veins and Telangiectasiae - Pulse Dye Laser/Diolite laser • Scars (keloid and acne scarring) • Stretch Marks • Warts • Nail Fungal Infections (onychomycosis) Tattoos The tattoo removal protocol involves Q-switching – a mode where the Laser sends short pulses of very high-energy light into the target area to break up the pigments. Tattoos with many colours may require numerous treatments, using different wavelengths to break up the different ink pigments. Green ink is the most difficult colour to remove.

IPL is NOT Laser A common misconception is that IPL (Intense Pulse Light) is a form of Laser, but it’s technically incoherent light – with a wider wavelength band and less directional precision than Laser. Expectations should be adjusted accordingly. Precautions and Expectations Lasers are fantastic tools – however, you should take the following precautions when planning a treatment: • Ensure the Laser device is approved by the FDA or a similar body • All treatments (except hair removal) should be carried out by a qualified and experienced physician or dermatologist • Consult with your practitioner to ensure you’ve been informed about the number of treatments that might be required (as well as the cost), before embarking on the treatment • Be sure to follow precautionary advice after treatment – especially disciplined sun barrier use.

TABLE: FITZPATRICK SKIN TYPES

SKIN TYPE SKIN COLOUR

CHARACTERISTICS

White; very fair; red or blond hair; blue eyes; freckles

Always burns, never tans

White; fair; red or blond hair; blue, hazel or green eyes

Usually burns, tans with difficulty

III

Cream white; fair with any eye or hair colour; very common

Sometimes mild burn, gradually tans

Brown; typical Mediterranean Caucasian skin

Rarely burns, tans with ease

Dark brown; Middle Eastern skin types

Very rarely burns, tans very easily

Black

Never burns, tans very easily

Aesthetic and Anti-Ageing Magazine

ADVERTORIAL

Scars & Stripes Reduce the Appearance of Stretch Marks with Palomar’s Fractional non-ablative laser

tretch marks are an unfortunate fact of life for many people. Anytime the skin has been stretched too far or too fast such as during puberty, pregnancy, or weight change - these unsightly lines may appear. Just because stretch marks are normal doesn’t mean you have to live with them.

Choose laser stretch mark removal for: • Smoother, better-looking skin without surgery • Little to no treatment downtime • Improved skin appearance • Well-tolerated treatment sessions • FDA-cleared treatment

Regardless of what caused your stretch marks, laser stretch mark removal is an advanced treatment that can help you get the clearer, smoother skin you desire. It’s a nonsurgical approach to improving stretch marks with well-tolerated treatments that require little to no downtime. A few easy laser stretch mark removal treatments may be all it takes to reveal more beautiful, touchable skin that you’ll be proud to show off.

FAQ about laser stretch mark removal: What types of stretch marks can be treated? Laser stretch mark treatment can treat stretch marks caused by pregnancy, weight loss, weight gain and body changes due to puberty.

Stretch mark creams not working? Laser stretch mark removal can work on any part of the body, including the stomach, hips, arms, breasts and legs. It can treat new stretch marks or stretch marks that you’ve been living with for years. Palomar’s fractional non-ablative skin resurfacing laser helps minimize the appearance of stretch marks with little to no downtime – and is the first and only laser that is FDA approved for this indication.

Am I a good candidate for this procedure? Laser stretch mark removal can work on many skin types, including very light and very dark skin. How does it work? Laser stretch mark treatment uses short pulses of micro-fine laser light to reach deeply into the skin’s sub-layers, treating the ageing support structure. Then the body’s natural healing process sweeps away older, damaged tissue and rebuilds it with fresh, new collagen and elastin - the crucial building blocks of smooth skin. The new collagen can leave the stretch

mark smoother in texture and reduce the appearance of the stretch mark on the skin by improving the colour. How long does it take? The procedure can be performed in as little as 30 minutes, depending on the size of the treatment area. Does it hurt? Most people feel minimal discomfort during laser stretch mark removal treatment. How quickly will I recover? Majority of patients resume regular activities immediately following the treatment session. Are there any side effects? Typical side effects of stretch mark treatment include temporary redness, as well as itching and swelling at the treatment site, which typically lasts a few days.

For futher queries pleae contact Gisela Olivier at Genop Healthcare on (011) 545 9300 Before and after treatment with Palomar’s Fractional 1540 laser

Genop Healthcare (Pty) Ltd, P O Box 3911, Halfway House, 1685, South Africa. Reg. No.: 1984/011575/07. www.genop.co.za. 11/2013/TC/163

Aesthetic and Anti-Ageing Magazine

Tongue Patch Diet – Hard To Swallow If the idea of losing weight by having a patch sewn on your tongue seems hard to swallow, well… that’s the point. We take a look at the new extreme weight loss procedure known as the Tongue Patch Diet.

he tongue patch is a new cosmetic surgery technique that can allegedly help people lose up to 13 kilograms in a month via a postage-stamp-size patch on the tongue.

The rough patch is designed to make eating solid food so painful that patients only consume liquids, MSNNow.com reported. The material used in the patch is marlex, an abrasive material usually used to repair hernias - and is secured to the top of the tongue by six stitches. Side effects of the patch include difficulties in speaking as well as a tendency to wake suddenly from sleep. The Pioneer The tongue patch is the brainchild of Dr. Nikolas Chugay, a Beverly Hills-based cosmetic surgeon, who said all patients are given an easy-to-follow liquid diet that fulfils all nutritional needs while minimizing caloric intake. He introduced the procedure four years ago after first seeing it done in Latin America. So how does the tongue patch make eating solids a nightmare? “As you’re swallowing, say, a cheeseburger or something, that tongue is pushing things up against the roof of the mouth and back into the throat,” explained Chugay. “And so while it’s doing that, it’s going to basically be uncomfortable if you have that on top of the sutures, which are basically fishing line. So now you have two little sharp points on the tongue, rubbing up against the top of the mouth... and it’s going to be uncomfortable.” The whole procedure takes about 10 minutes and the price tag is a hefty R21 000. While the procedure is yet to be approved by the FDA, Chugay said he has not encountered any risks or

infections - and no patients have swallowed the patch. However, patients on his diet can only wear a tongue patch for a month at a time because after that, the patch fuses to the tongue surface, UPI.com reported. The Volunteers Now, due to the radical nature of this new weight loss method (not to mention the extreme pain factor), one would be forgiven in thinking that volunteers for this procedure would be hard to come by. Surprisingly, this is not so. One clinic in Caracas, Venezuela, said it had stitched patches on more than 800 tongues – while Dr Chugay has no shortages of patients lined up. In fact two of his patients, 20- year-old Marlene Beltran and 27-year-old Lysander Lanuza had their procedure filmed for ABC News. Weighing in at 76 kg, Beltran told ABC News’ Cecilia Vega, of her out-of-control appetite. “I’m willing to do anything at this point,” she said. “I’m so desperate to lose the weight.” Meanwhile, Lanuzua (who weighs 90kg) admits to her all-youcan-eat habit. “I love eating everything,” she said. “American food, Filipino food, Korean ... it’s heaven.” Their goal was to lose 9kg in one month as Beltran wanted to begin dating – and Lanuza had a bikini and a trip to Hawaii planned. Changay said that Lanuza was his 81st patient. With the tongue patch in place, her customary greasy fried food is now off limits. It’s a strict 800-calorie per day liquid diet of juice, broth and protein shakes until the patch is removed in one month. While Lanuza admitted to being terrified of eating solids and

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experiencing intense pain, she succumbed one day and had a piece of popcorn when she was at the movies. “It hurt”, she said. “So, I’m like, forget it!” As for Beltran, she had an acute craving for In-N-Out Burger on day five of her diet. “I don’t care if it’s a bite,” she said. “I just want a burger.” Luckily she resisted. One month later both women are all smiles as Lanuza dropped an impressive 10kg – and Beltran shed 8kg. “My double chin isn’t as bad as it used to be,” says Beltran. “My arms are a lot thinner.” Lanuza also notices a huge difference: “I see myself better” she says. “And really, my husband is the happiest person. He’s over the moon about my weight loss, she adds. The Critics Needless to say, the tongue patch diet does not resonate well with several members of the medical community. “I think it’s ridiculous,” said Dr. Christine Petti, a plastic surgeon in nearby Torrance, Calif. “I could never advise a procedure that would cause a patient pain ... pain is not a good thing for anybody.” Dr. Rob Huizenga, who specializes in long-term weight loss and has spent 14 seasons as an expert on the television program The Biggest Loser, is not a fan either. “ This is so primitive an approach,” he said. “You could hire somebody to hold a gun to your head and threaten to shoot you every time you eat. The idea that you put this patch in - and every time you even take one morsel of solid food you get this stabbing pain, who the heck knows what the long-term consequences of that are,” he adds. Yet Chugay is not bothered. He feels the tongue patch can jump-start lasting weight loss. “It takes about 30 days to change a habit,” he said. “That’s what we are doing. We are helping people to change habits.” Sources: Yahoo News: www.news.yahoo.com Huffington Post: www.huffingtonpost.com Continued on page Aesthetic and34Anti-Ageing Magazine

The Tongue Patch Diet Fad or Flop? We ask Dr Riekie Smit to deliberate… This notorious diet is very radical and controversial. I agree that it can have severe side effects such as scar formation, infection, pain and ulceration. We all know that people can be so desperate that they could not care about risks - if only they can lose a few kilos. So even though numerous warnings may be given, there will still be multitudes trying it. One can be very narrowminded and harshly judge those having it done – as well as those doctors performing it. From another perspective, we can look at the devastating effects of obesity and realize that the complications from this are much more life threatening than those from such a radical treatment. It has – and always will be – a tremendous challenge to break the habit of individuals making incorrect food choices and overeating. This is why we see such drastic therapies appearing on the market. Mere education on healthy eating and lifestyle choices have been an approach for many years... with very little success rate. Recently, some states in the US have taken it a step further to bring in warnings on food labels and restricting advertising on certain classified unhealthy foods. We can only wait and see if this might bring down the obesity statistics… In medicine we work on a benefits: risk ratio. If the benefits outweigh the risks and will improve a patient’s quality of life and health, then that specific treatment can be considered. Primum non nocere is a Latin phrase that means “first, do no harm,” which originates from the Hippocratic Oath. This is always the most important aspect to keep in mind when managing a patient. Therefore, taking this oath and the benefits: risk ratio in mind, we have to decide what will harm the patient most? The complications from obesity - or the complications from the tongue patch. It then makes sense that this drastic treatment option may be considered in individuals with severe obesity, where the benefits outweigh the risks from this treatment. It would not make sense to consider this treatment option in a person wanting to lose just a few kilograms. But still, all other possible treatment options should also be considered - and then the safest and most effective method will be chosen wisely. Dr Riekie Smit is a practitioner doing aesthetic medicine in Pretoria, and is the president of the Aesthetic & Antiaging Medicine Society of South Africa (AAMSSA).

Aesthetic and Anti-Ageing Magazine

WEIGHT LOSS

The Skinny on the HCG Injection Diet

Dr Janine Olivier MBChB

In their quest to beat the battle of the bulge, many dieters become frustrated at the slow progress of shedding their excess baggage. So who wouldn’t want to try a weight loss program that promises fast, dramatic results? Well, one such diet promises just that – the HCG injection diet. But how effective is it? And more importantly...is it safe? Dr Janine Olivier gives us the lowdown...

he HCG Diet - an extreme diet that involves injections of HCG (human chorionic gonadotropin) has been around for more than 40 years. HCG is the hormone women make when they are pregnant. Previously, the HCG Diet was defined by a 500-calorie diet paired with daily injections of HCG. This diet is associated with dramatic weight loss. But the problem, up until now, was that no doctor could explain how it worked - and critics claimed the caloric restrictions are responsible for the weight loss and not the HCG hormone. Critics of the diet have also maintained that the weight lost cannot be kept off. HCG Origins The original HCG Diet that Dr Simeons (a UK endocrinologist) created had some strange rules. For example, it required the consumption of only one vegetable per meal, prohibited the use of oil, body lotions and hygiene products, and limited use of the HCG hormone to odd cycles of 23 and 46 days. The original diet also did not allow exercise. In addition, there had been no published guidelines on how to dose the HCG hormone - and as a result, most providers of this diet were generally using random dosing of the prescription hormone. This was called the old Simeons Protocol (Simeon A), and according to the new wave of medical professionals that offer this type of diet, it was unhealthy and no supplemental support was offered. Present Day A recent guest on the Dr Oz Show – Dr Sheri L Emma (MD) has done extensive research on the diet and explained why HCG does help you to lose fat and still

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retain valuable muscle mass. After years of research and treating thousands of patients, Dr Emma set out to put the record straight. The original Simeons Protocol (Simeon A) should no longer be in practice by any physician. Her protocol is supported by numerous studies and clinical trials, the latest of which was presented to weight loss physicians at the October 2012 meeting of the American Society of Bariatric Physicians. This can also be read at DrEmmasDiet.com. Her dosing method is customized, with much higher doses than previously published. She has also created specific guidelines for patients based on age and gender. This HCG program offers diets ranging from 500-1500 calories, and the diet should be chosen based on the patient and their history. This diet also encourages the proper types of exercise after the first two weeks of adjustment to the diet and injection. So, the most pressing question is: Do HCG injections work for weight loss? According to Dr Emma’s research the answer is yes, absolutely. The trickier question is: How does HCG work for weight loss? HCG Injections Change How You Lose Weight – It Does Not Make You Lose Weight According to Dr Emily’s research, patients reported that HCG injections reduced their feelings of hunger and allowed them to be comfortable on a low calorie diet. It is believed the presence of HCG in the bloodstream takes the appetite away. In pregnant women, HCG often causes feelings of nausea in the early stages of pregnancy. What Is HCG HCG is a pro-hormone – it helps the body make more hormones. Hormone deficiency or imbalance can contribute to weight gain. Whether it is your thyroid, or menopause (or andropause in males), HCG offers help. Only HCG INJECTIONS have been shown to raise blood levels of HCG, it is the only acceptable way and proven method of taking HCG at this time. Any other way of taking it: drops, pills, sprays are likely dissolved before even reaching the blood - and this would be like taking nothing at all. Injection should only be taken with a prescription from a doctor, under medical supervision HCG injections help you to burn fat while

preserving muscle mass. This is done by elevating hormone levels in the body, including testosterone. The HCG hormone creates an anabolic state (muscle-building) which counteracts the catabolic state (musclebreakdown). There are hormone receptors on muscle fibers that respond to increased hormone levels in patients taking the HCG hormone. Why It’s Important To Lose More Fat Than Muscle With fast weight loss on a crash diet, there is a high amount of muscle that is lost. Because muscle is heavy, the kilos drop quickly. When you lose muscle, it’s bad for your body, shape, and metabolism. The metabolism slows so much that you regain weight quickly, often

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regaining all the weight that was lost and more! It takes hard work to build back the muscle that has been lost. The new HCG protocols protect muscle from being lost. In fact, there is more pure fat loss, which causes shrinking in centimeters and clothing sizes. The great result is that one can become leaner, in a smaller clothing size - but with more muscle. According to both Dr Emily and Dr Oz, this muscle allows for a stronger metabolism… and helps you maintain your weight loss long after the diet is completed. Take Home Message No diet is perfect for all individuals – your doctor will guide you as to your perfect weight loss strategy according to your medical needs, level of activity and age.

Dr Nerina Wilkinson Plastic and Reconstructive Surgeon MBChB (Stell) FCS (SA) Plast

It’s been well documented that our fatty tissue contains a rich supply of stem cells – and is widely used in the aesthetics field because of its antiageing effects. However, did you know that our fat derived stem cells may not only be the answer to curing many diseases - but for improving scars as well? Dr Nerina Wilkinson reports…

ith the introduction of liposuction by Dr Illouz in the 1980s, there have been many newer developments over the past 10 years in using the fat that would have been discarded. Liposuction has developed into liposculpting - and the emphasis is on a process of re-modeling (and not just removing unwanted fat deposits). Many lipofilling techniques have been described where the fat cells are reinjected into areas of volume loss to improve contour and shape. Recent advances in stem cell research have found that adipose (fat) tissue is the adult organ which is the richest supply in stem cells. The clinical potential of fat-derived stem cells has created enthusiasm in medical circles. Besides the anti-ageing effects of stem cells, doctors have high expectations that adipose/ fat derived stem cells may not only be the answer to curing many diseases - but for reconstructing anatomical defects and improving scars as well. These stem cells have immense restorative properties, and can help replace missing or damaged tissues once they have been injected. How Do These Stem Cells Work? Adipose / fat derived stem cells have multipotent cells that can differentiate/ change into many different kinds of cells – and thus, have uses in regenerative medicine.

SCAR tissue 1) The cells are highly angiogenic. This means that through the large amount of

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growth factors they contain, they can stimulate the cells of the blood vessels to grow and vastly improve blood supply to the affected area. The improved blood supply and growth factors stimulate the fibroblasts and platelets to heal and regenerate stronger tissues. 2) S tem cells are antioxidative, which is important in the body as it naturally fights damaging toxins. 3) S tem cells have also shown to suppress inflammatory cells, while stimulating the production of anti-inflammatory cells. A report in 2010 by Ichim et al, demonstrated the treatment of a 67-year-old lady with rheumatoid arthritis using stem cells isolated from liposuction. They reported considerable resolution of her pain and stiffness, probably due to the suppression of the pain causing inflammatory cells. Toxins: How Are the Stem Cells Harvested? Conventional liposuction is performed under general or local anesthetic, depending on the amount of fat cells required and the donor areas. The liposuction incisions are very small, and are hidden in natural skin folds to minimize the visibility of any scars. The fat is aspirated with a narrow cannula, and then purified through centrifugation to increase the concentration of stem cells in the aspirate. This fat, which is rich in stem cells, is then reinjected into the planned area - and has a better capacity to survive and regenerate. It is important to remember that this is a surgical procedure, which must be performed by a competent plastic surgeon that will operate in a licensed surgical clinic. What Are the Regenerative Uses of Stem Cell Enriched Fat Transfer? Besides the well-known anti-ageing benefits of lipofilling of the face, stem cell enriched lipofilling has recently been widely used in reconstructive procedures. This is due to the well-documented added benefits of tissue regeneration.

2) Scars: Lipofilling is frequently used to improve traumatic, surgical and acne scars. Most scars do however require more than one modality, such as lasers and lipofilling for the best results. Patients need to be realistic in expectations, as no treatment will totally remove scars. Yet, the use of stem cells in the treatment of scars definitely improves the blood supply to the scar - and helps to regenerate new healthy collagen and elastin in the area. This results in a much-improved appearance of a scar, as well as a softening of the surrounding tissues.

1) Wound healing: Many recent studies have demonstrated the promotion of wound healing using adipose derived stem cells in the treatment of chronic wounds. We are seeing dramatic results in post radiation wounds following cancer surgery. The radiation therapy is designed to kill any residual cancer cells; however this can also have devastating effects in patients as it causes irreversible damage – as well as radiation ulcers of the healthy surrounding tissue. These wounds would have been extremely difficult to treat in the past, and could take years to resolve. Stem cell enriched treatment of the ulcers shows an accelerated reduction of the wound area and volume, due to new blood supply and differentiation into epithelial cells.

3) Soft tissue augmentation: Besides the conventional aesthetic anti-ageing effect of volumizing faces, lipofilling can be used to augment soft tissue volume in reconstructive surgery. Post traumatic depressed scars are injected subcutaneously to improve the contour and the final aesthetic result. Breast deformities after lumpectomy can also be distressing to patients - and in those who prefer not to have a silicone breast implant, fat cells can be injected into the defect to fill out the depressed area. Patients who’ve had removal of breast implants due to problems, are advised not to reinsert new implants. Improved breast fullness can be created by injecting a patients own fat cells into the area for a more natural breast shape.

In my practice, I have seen the “unfriendly” radiated breast tissue change into softer, warmer breast tissue after lipofilling of the area. Patients have also described an improvement in the sensation of the breast.

As medical specialists, we are still in the infant phase of understanding the vast potential of adipose derived stem cells and in the future we will be using the regenerative capacity of these cells to treat many more medical conditions.

Aesthetic and Anti-Ageing Magazine

We spend a great deal of time and energy thinking about the ways we should change our teeth in order to perfect our smiles. But what if our teeth aren’t the culprit to a flawed smile – but our gums? Dr Sam Thandar discusses gummy smiles and its treatment options.

The Gummy Smile Gums & Smiles The lips, teeth and gums all play an important role in the appearance of a beautiful smile. They should all be in perfect harmony, with the ideal smile line revealing very little (or if any) gum tissue.

Now, if there are any alterations or delays occurring in the passive eruption phases, it causes a gummy smile.

Therefore, people who show more pink and red than dazzling white when they smile are said to have a ‘gummy’ smile. Often, these individuals are under the impression that they simply have excessively small teeth. However this is not the case.

From Gummy Smile to Toothy Grin How do we fix a gummy smile? Well firstly, it’s of paramount importance that whatever surgical or non-surgical intervention we elect, we make provision for the biological width zone and gum pocket. Both surgical and nonsurgical interventions can consist of just soft tissue gum removal, or a combination of gum tissue and the underlying supporting bone.

Gummy Causes During the eruption process of our permanent teeth, there are 2 processes: a. Active eruption – the tooth moves downwards out of the gum and towards the opposing tooth and, b. Passive eruption – the gum migrates upwards towards the neck area of the tooth

With a gummy smile, the gum pocket may be anything from 2-10 mm - bearing in mind that just below the gum pocket we have solid bone. Moreover, the average length of our front teeth in an aesthetically pleasing smile is about 10mm, so we see about 10mm of tooth structure which makes up the crown of the tooth.

From the above, we can see that there are various parameters to consider clinically when making a decision on aesthetically restoring your gums and your smile. In a nut shell, we look at your smile line and the tips of your upper front teeth. They should ideally make very light contact with the inner border of your lower lip, so as you smile, as do your teeth when it follows this curvature. Then we look at your lip line and how far your lips go - as well as how much gum tissue you expose when you smile. With female patients that generally have a high lip line, they would show 2-4mm of gum when smiling - however in a patient with a medium lip line, they would show 1-2mm of gum tissue on certain teeth (or no gum tissue at all - just tooth structure). When planning on any elective plastic gum re-contouring, we need to consider all these parameters and more. Gummy Fix: Treatment Options For removal of gum tissue alone (without any removal of the underlying bone), we have various soft tissue lasers and cautery devices. Some use radiofrequency, while others use electric frequency (such as the radiosurge and electrosurge). The lasers result in abblation of soft tissue, while the other cautery devices literally burn the excess gum tissue away. When it comes to cases where we are required to remove some of the underlying bone supporting the gum, the conventional approach was surgery – either periodontal surgery or crown lengthening. These would require anything from two-six weeks healing time, during which the gum matures to a new position. However, some of the more recent lasers available are capable of both soft and hard tissue removal – and these lasers would remove gum tissue as well as bone with minimum down time. In closing, proper assessment and diagnosis of each individual case is required in order to ascertain what the best or most appropriate protocol is to correct a gummy smile.

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Dr Thandar and Associates Take the next step into the dental future using Cerec CAD/CAM technology. Aesthetic Dentist Dr Sam Thandar and Associates offer the latest technology in single visit dentistry. Ceramic fillings, veneer and full ceramic crowns are done in one appointment with no temporary measures using Cerec CAD/CAM technology. CEREC a simple 6 step procedure: 1. Tooth preparation 2. Digital impression of prepared tooth 3. Computer Aided Design (CAD) of proposed tooth 4. Smile Design software allows us to cosmetically enhance your smile 5. Computer Aided Manufacture (CAM), the milling process 6. Permanent ceramic restoration bonded

Ceramic Restorations Include: • Ceramic Fillings – Metal and composite fillings are now replaced with a much stronger, longer lasting and cosmetically pleasing ceramic filling. • Veneers - Veneers are thin laminates that cover the front surface of your tooth, creating that perfect Hollywood smile. • Full Ceramic Crowns - Full ceramic crowns replace the enamel portion of your tooth, if you have large fillings on molar teeth, broken or heavily worn down teeth or currently have metal based crowns, you will love the durability and beauty of full cermiac crowns.

5 Year warranty on all procedures preformed Dr Sam Thandar and Associates 17 Bath Avenue, Rosebank, Johannesburg Tel: 011 788 2701 Fax: 011 788 4196 Web: www.aestheticdentist.co.za Email: drthandar@vodamail.co.za

BodyTite

– My Final Fat Loss Solution

Our adventurous columnist, Rochelle Friedman, has been exercising and eating right for years. However, her struggle to lose those final centimetres and smooth out the stubborn fatty parts of her body called for expert help. She visited the Lightsculpt Clinic in Bedfordview, Johannesburg, and tells us all about BodyTite – a minimally invasive liposuction procedure she has reviewed.

ver the last eight years I have lost a total of 10kgs, which doesn’t sound as inspiring as an episode of The Biggest Loser. The biggest and most important achievement has been maintenance. Now, please don’t think that I am one of those gym bunnies with nothing better to do than live on protein shakes and spend six hours daily in the gym training. I’m a normal person with an 8-5 job and sticking to my routine requires constant awareness and discipline. It’s been challenging, but I’m supremely proud of my achievement thus far. However, I just couldn’t ignore the stubborn fatty parts of my body that refused to budge. No matter how hard I tried, my love handles, saddles bags and extra bump on my tummy were not giving up their real estate. They were not massive by any means, but I desperately wanted to achieve a smoother looking silhouette. You can therefore understand why I was excited to learn about BodyTite (by Invasix), a minimally invasive procedure for the removal of fat that contours the body and tightens skin with less downtime and few side effects. BodyTite is the first Radio Frequency Assisted Liposuction (RFAL) technology that combines liposuction, radio frequency and body tightening – and is considered by many experts to be the leading minimally invasive liposuction and skin tightening procedure. Additionally, BodyTite is the world’s first FDA

Johannesburg, where Dr Claire Jacobsohn (who was one of the first doctors in South Africa to be accredited by Invasix for BodyTite) performed my procedure. Dr Claire and her team are superior in terms of their aesthetic knowledge, experience and expertise.

approved RFAL device. Now let me make this clear – a medical procedure like BodyTite is not always going to be the right solution for everyone, nor should it be viewed as a method for weight loss. Going through with the procedure was my personal last resort and it was a solution I felt comfortable with. I’ve put together all the details of my BodyTite experience in a rather convenient Q&A with myself below (you and your possibly more sculpted buttocks can thank me later): Tell me more about why you chose BodyTite? I chose BodyTite because it offers a permanent fat loss solution. Also, it removes cellulite, tightens and firms the skin in areas worked on, giving a long-term and natural “lifted” look. It is perfect for treating the following areas: chin, arms (bat wings), abdomen, back, love handles, buttocks, thighs (inner and outer), knees and ankles. How did I know I was a candidate for BodyTite? Ideal candidates are people within, or close to their normal weight and BMI range. A consult with the doctor is also required to further ensure that you are an appropriate candidate. Did you feel safe? Absolutely! I went to the well-known Lightsculpt Clinic in Bedfordview,

What areas did you have treated? My tummy (affectionately referred to as the Kangaroo Pouch), love handles, saddle bags and the banana rolls (the annoying area where the butt and thigh meet). How invasive is ‘minimally invasive’? In simple terms, a small incision is made (half the length of your fingernail) in areas to be treated. A cannula device is inserted, which performs a dual job: melting away fat and gently sucking it out. There is no abrasive back and forth movements like you see on TV, and this is why there’s little to no bruising and very minimal downtime (most people return to work the next day.) Was it painful? During the actual procedure? No. Dr Claire gave me a tranquiliser tablet before we began, which helped me to relax. The entire procedure is done under local anaesthetic – and I couldn’t feel a thing. I could feel that Dr Claire was “working” on me; however, I just plugged in my earphones and listened to my audiobook throughout the procedure. Before I knew it, we were done. How was recovery? I drove myself home immediately afterward – I did feel tender, but it was completely bearable. During weeks one to three, my muscles in the areas worked on felt tight and stiff, similar to the feeling of having done too many stomach crunches and squats.

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How long until you began to see results? The swelling decreased after two weeks and by week four, I really started to see the difference. I’ve been told that between two to six months I will see incredible improvement. Are you happy with the results? Ecstatic. It’s been six weeks and I am beginning to see stunning results. Despite my abdomen still being slightly swollen, it is flatter than it has ever been before. It’s very exciting. What side effects were there? Bear in mind I followed Dr Claire’s advice stringently: I don’t smoke, stayed away from taking any blood thinning medication like Aspirin and I don’t drink heavily etc. • I experienced no bleeding or leaking afterward. • Minimal bruising on my thighs (saddle bags) that looked like I walked into a table. This

went away within 10 days, just like any normal bruise. What does BodyTite cost? Pricing starts at R15 000 (depending how many areas you choose). You will need a consultation for a confirmed price. Do: • I recommend planning ahead and having this done in winter. Having to wear the compression garment 22hrs of the day for three weeks (aids recovery) can be uncomfortable on a hot summer’s day. Additionally, the garments are difficult to disguise under strappy tops and dresses. • Go back to gym as soon as possible and do very light exercise. I went three times a week and enjoyed strolling on the treadmill for just 20mins. It helped my healing significantly, kept me moving and kept things flowing.

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Don’t: • Do not have the procedure within one month of a special occasion. You will just feel uncomfortable. Give yourself at least three months leeway! • Be aware of your mindset. Just because fat has been removed, it doesn’t mean you can now eat whatever you want. • Manage realistic expectations emotionally and physically.Like any cosmetic or aesthetic procedure, you are not suddenly going to turn into a flawless being. For before and after images of my BodyTite Review, visit our A2 Magazine Blog www.a2magazine.co.za For more information on BodyTite and The Lightsculpt Clinic, contact them on 011 616 1436 or visit their website www.lightsculpt.co.za

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Over the past several years, QMS Medicosmetics has built up a large and loyal community of beauty product consumers, and we recently asked two very talented individuals what their favourite QMS products are…

Edith Venter – Entrepreneur, event management expert

Kirsten Goss – Internationally adored jewellery designer and entrepreneur.

My favourite QMS product is the Exfoliator and Collagen Pack – this is something that I use on a daily basis. It is the best regime – I exfoliate every morning and use the day and night collagen accordingly. Everyone remarks on my skin texture and tone!

My favourite product is the collagen pack with dermabrasive serum. My skin feels fresher and more toned the minute it all sinks in after cleaning off the Fruit acid [Med Dermabrasive Gel]. It is ideal for travel, especially to all the polluted cities. In fact, it’s my ideal travel and flying companion!

around the age of 35. The first signs of ageing are dehydration and fine lines. Once we stop producing collagen, these fine lines become deeper wrinkles.

don’t make your own collagen any more. By supplying the skin with QMS collagen, we are able to treat and prevent all signs of ageing due to these unique collagens. What products do you recommend for effective collagen treatment? QMS Classic Set with Day Collagen, Night Collagen and Exfoliant Fluid are excellent for treating ageing skins.

Why is it important when preventing signs of ageing? Collagen is responsible for normal skin function: it allows for healthy moisturising processes, and gives the skin volume and elasticity. It makes up for 65% of our skin!

Is collagen able to be absorbed by the skin via products? It is known that collagen is 3 times too big to penetrate the skin. However, Dr Schulte’s patented collagen formulations include a high concentration of natural soluble collagen (that is almost identical to that of human skin collagen) that has been scientifically developed to penetrate the epidermal layer of the skin. This collagen is only found in QMS Medicosmetics.

When does our own collagen production begin to slow down? Collagen production slows down around the age of 25, and we stop producing collagen

What does collagen absorbed by the skin do? It gives your skin the ability to retain moisture. This is important after a certain age, as you

Intravital Capsules is a collagen and wellbeing supplement for treatment from within and is recommended to maximize the topical collagen treatment.

Collagen has become one of the most integral and sought after ingredients in skin care products, so we asked the QMS Medicosmetics experts to explain just what collagen is and how it works: What is collagen? Collagen is a protein found in the bones, cartilage, muscles and skin.

QMS Medset is a collagen treatment similar to Classic Set for clients who also experience problematic and inflammatory conditions such as adult acne and hypersensitive skins.

All QMS moisturisers for any skin type are available to be used in combination with these collagens to further stimulate and protect collagen in the skin.

For further information, contact Futurethis on 0860 01 80 22 or at www.qmsmedicosmetics.co.za.

Aesthetic and Anti-Ageing Magazine

46. Sunscreen Safety 50. Cause & Effect of Photoageing

The Cosmecutical Corner Aesthetic and Anti-Ageing Magazine

Dr Noori Moti-Joosub, Dermatologist, Laserderm, Dunkeld

It’s that glorious time of year again where shed our winter woollies; throw on our bikini’s and head for the beach. However, before we reach for our trusty sun-block – take heed. According to a new study, the chemicals found in our sunscreens can be hazardous to our health. By Dr Noori Moti-Joosub

hey are designed to protect our skin from the sun’s harmful rays - but some experts are now questioning whether some sunscreens could be harmful as well as beneficial. New research suggests that the complex cocktail of chemicals which helps prevent sun damage, lessens the risk of skin cancer and prevents premature ageing – may ironically contain carcinogenic substances – while depleting the sun protecting actions as well. Therefore, it’s vital that special attention is taken when choosing your sunblock. Question is: can you identify what is in your favourite sunscreen?

UV Blockers The first thing you should know is that there are two types of UV-blockers in sunscreens - namely: a) C hemical blockers: Organic chemicals that absorb UV light b) P hysical: Inorganic particles that reflect, absorb or scatter UV light. It’s been thought that physical blockers are better for sensitive skin - and also don’t contain harsh chemicals that may damage the skin. It’s also thought that the higher the SPF, the more chemicals are taken to get to these heights. However certain sunscreens only use three chemical blockers and achieve an SPF of 50. A general rule can sometimes be applied, but there are always exceptions to the rule. Sunscreen and Children Sunscreens are only safe in children over the age of two. Yet there are some who advocate

the use of sunscreens in babies aged six months and over. In this case, it’s best to use a children’s brand which is hypo-allergenic, has an SPF of 15-30 – and is waterresistant when swimming. These generally have a lower chemical content than other sunscreens. Or rather choose physical blockers for children’s sunscreens. All sunscreens should be reapplied despite their SPF, as most wear off in three hours. Unfortunately, many people have problems reapplying as this is an added chemicalburden on the skin. So the question is: are chemicals all that bad? Here is a synopsis of chemical and physical blockers found in sunscreens: 1. Zinc oxide: A physical blocker found in sunscreens Excellent scientific studies show that nanozinc oxide in sunscreen doesn’t get into human skin. Zinc Oxide is a powdered mineral that works as a sunscreen by sitting on top of the skin, scattering and absorbing ultraviolet (UV) rays. Zinc Oxide is the safest & most effective single active sunscreen ingredient. It protects from UVA and UVB rays and does not enter the body through the skin. 2. Octinoxate: It’s most commonly known as an ultraviolet light absorber and UV filter. Currently, octinoxate is the most popular product for blocking UVB. But there are several side effects to octinoxate – namely: • Skin Irritation: One of them includes irritation of the skin, which can linger in

ones system for several years. • Toxicity: Through skin absorption, octinoxate can lead to reproductive as well as developmental toxicity. It is also known to damage the immune system in rare cases, impairing a person’s ability to fight disease and repair tissue damage. • Hormone Disruptions: Women who are pregnant should not use octinoxate as it produces estrogen-like effects. Use of octinoxate can cause endocrine disruptions. It can also interfere with signaling between cells - resulting in mutations or the death of cells. Lastly, it’s vitally important to avoid the use of octinoxate in children. I must stress though, that some have disputed the claims and finds it less toxic than Padimate O. Personally, I would opt not to use it in children and young woman. 3. Octisalate or octyl salicylate It’s used to augment the UV-B protection in a sunscreen. Salicylates are weak UV-B absorbers, and they are generally used in combination with other UV filters. Other

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Sunscreen Safety salicylates must be used in higher concentrations – and they all have a good safety profile. 4. Avobenzone Avobenzone provides superior protection through a large portion of the UVA range (including UVA I), and is a significant addition to sunscreen products for true broadspectrum UV protection. Nonetheless, concerns have been raised regarding its photostability – as well as its potential to degrade other sunscreen ingredients in products in which it’s used. Luckily, this photoinstability can be offset by combining avobenzone with octocrylene - or with other non-sunscreen ingredients.

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5. Oxybenzone: The Environmental Working Group says 56% of beach and sport sunscreens contain the chemical oxybenzone. The primary function of oxybenzone is to absorb ultraviolet light, but some research shows oxybenzone can be absorbed through the skin. The Environmental Working Group and other toxicology experts believe that oxybenzone is linked to hormone disruption - and potentially to cell damage that may lead to skin cancer.

This has been disputed by many doctors as the study showed absorption of UV rays with the sunscreen - and the use of sunscreens should counteract absorption of the rays. This is a difficult one. I do think there is not enough evidence to show toxicity, but if an oxybenzone-free sunscreen is within your budget, then use it. As you can see from above, there is much dispute over chemicals in sunscreens. No concrete evidence exists over many of the controversies arising. As a general rule, try to avoid chemicals in sunscreens, choose a lower SPF, use chemically-free ones - and for children, use a sunscreen specific for them.

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Skin Restoration with Mesoderm Mesotherapy involves a process of getting a particular product into the skin – usually in the facial region. Traditionally various processes are used such as dermabrasion, electroporation, faradic/galvanic and skin peeling. More recently, needles and rollers are employed. A unique device for skin restoration combining the

The versatile CoaxMed and Fusiomed treatment systems • Cavitation US • Mono/Bipolar RF • Vacuum massage • Vacuum + RF • Vacuum + Cryo Technology

above mentioned modalities in one machine is the Mesotherm by Biotec from Italy which combines, microdermabrasion with a laser, fractional needling, RF, electroporesis with positive O² pressure, RF monapolar and vacuum. With this combination of modalities, a salon or clinic has all 7 modalities in one machine which is more economical and effective. Particularly effective in hair growth in baldness and post acne scarring removal.

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The superiority of the CoaxMed / Fusiomed resides in the high RF output, both mono and bipolar RF.Variable RF output for, face and body application unique US for, continuous or pulsed vacuum on board Cryo hand piece, air + H²O cooling system of which all or some are absent in other machines.

Aesthetic and Anti-Ageing Magazine

Avoid Makeup Once a Week to Delay Skin Ageing

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hough most women can’t imagine stepping out without makeup, avoiding it once a week could help delay the skin’s ageing process, a skincare expert claims.

Rita Strazinska, founder of Bio2You Organic Seabuckthorn Skincare, has urged women to go makeup free one day a week, for a minimum of 24 hours. This is to help protect the skin and allow it to rejuvenate without being weighed down by cosmetics, reports femalefirst.co.uk. “By opting to give skin a breather once a week, accompanied by a good skincare routine, women may find their self-confidence levels actually increase as they notice the condition of their skin improving - whilst the world has chance to appreciate their natural beauty,” said Strazinska. Following are the key reasons behind her tip: •A clearer complexion: No makeup can help in reduction of spots, blemishes and acne. Makeup can also irritate the skin, leading to redness and allergic reactions. •G o chemical free: Most cosmetics have harmful chemicals like parabens, so it is wise to give skin a rest from such ingredients at times. •M ore time: The average woman spends around 20 minutes every morning putting on makeup. Going makeup free means more time to sleep or eat breakfast!

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Acne Open pores Fat Skin firming

Source: Medindia www.medindia.net

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

Burning Issue:

Aesthetic and Anti-Ageing Magazine

By Dr Rakesh Newaj

The Cause & Effect of Photoageing Skin Ageing is divided into two different processes – Photoageing and Chronological Ageing. Photoageing is the premature breakdown of skin cells due to excessive exposure to the sun’s rays or tanning beds – while chronological ageing is the natural genetic changes of the skin we experience as we get older. Unlike the chronological process of skin ageing, photoageing causes the skin to become coarse, deeply wrinkled, and irregularly pigmented... and is the single greatest factor causing prematurely aged skin.

taying young and healthy is a prized wish of most individuals. Though scientists have not been able to slow down our chronological ageing, other causes of rapid ageing have been clarified - and thus measures can be put forward to prevent them. Poor habits such as smoking; lack of exercise; bad food; excessive make up – and the sun can all contribute to us looking aged. The latter, also called photoageing, has been in the spotlight since the 1980’s. Yet, people still don’t seem to grasp the concept of sun protection. People trying to reverse the signs of ageing caused by the sun help to sustain the multi-billion rand beauty and cosmeceutical industry. Chronological Ageing VS Photoageing Know the difference Photoaging is caused by the action of ultraviolet rays on the skin. UVB as well as UVA are responsible for the accelerated ageing of one’s skin. The fairer the person, the more prone the individual is to be affected by UV-rays - and it’s more apparent on areas that are usually exposed to the sun. It’s very easy to identify a person suffering from premature ageing as a result

of UV rays - and the table below helps to distinguish it from chronological ageing.

offer good protection and should be used liberally.

The Dark Side of The Sun When fair skin is exposed to sunlight, UV radiation is absorbed by the skin cells, leading to the generation of free radicals. When the rate of formation of the free radicals becomes higher than the rate that they can be cleared from the skin cells - they start causing damage to the collagen fibres; elastic fibres; and other cellular components of the dermis. Repeated sun exposure leads to imperfect repair, leaving a photodamaged skin. Lately, a lot of emphasis has been laid on UVA rays as they penetrate the skin deeper and thus, can cause more damage. More studies are underway for the role of visible light and IR rays, however no conclusive results have been obtained yet.

Other methods of sun protection are the use of broad hats; avoiding the midday sun; avoiding sun-tanning beds – and the use of sun protective clothing can be very helpful. One should always remember to reapply sun protection every few hours - and also on a regular basis when swimming.

Sun Safety It goes without saying that sun-protection is the most effective way to stay younger. One has to use strong sunscreens that have broad spectrum protection. The use of one with a high SPF as well as high UVA protection is now recommended by dermatologists. Most sunscreens that contain titanium dioxide; zinc oxide; oxybenzone; or avobenzone,

PHOTOAGEING • Uneven skin colour • Can even start below 30 years of age • Deep wrinkles • Decrease moisture in skin • Uneven thickening and thinning of the skin • Many visible, dilated capillaries, easy bruising • Leathery appearance and increase vellus hairs on face • Dilated sebaceous glands on face, oily skin • Pre-cancerous growths • Brownish discolouration on the sides of the neck

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Can Sun Damage Be Reversed? Once damage has taken place, there are very few measures that can be taken to partially reverse some of it. Very few creams and substances have proper studies proving their efficacy. Retiniods are derivatives of vitamin A - and are clinically proven compounds that help reverse some photoageing. These compounds can be quite irritating to the skin for the first few weeks, but thereafter the effects can slowly be noticed. Maximal effect is noted in about six months from commencement of treatment, and the retinoid cream can be continued lifelong. Most good cosmetics contain some retinol, but, one can obtain higher concentrations of this compound in creams like Retin A or Retacnyl creams.

CHRONOLOGICAL AGEING • Mild colour changes • Usually more apparent after 50 years of age • Superficial wrinkles • Laxity of the skin • Non-cancerous growths • Decrease hairs on the scalp

Lotions and Potions There have been numerous claims from the cosmetic industry of products that help with photoageing. But one should be very careful as it doesnâ&#x20AC;&#x2122;t mean that the most expensive products are the best. Cosmeceuticals are not required to undergo rigorous testing, and therefore are not always endorsed by qualified dermatologists. Some creams containing idebenone or vitamin C have shown to have a positive effect on the aged skin, however many other claims are not supported by proper clinical trials. Aesthetic Procedures Nowadays, there are several other procedures that can improve or hide the appearance of photoageing. The use of skin peels can help in the rejuvenation of skin, as well as the stimulation of collagen fibres.

If performed by qualified personnel, it can yield excellent results at a very affordable price. The use of Lasers and intense pulsed light also have beneficial effects on selected people. However, one should be very careful of unqualified personnel offering these treatments - as there has been a huge surge in law suits against them in the USA. Other methods include the use of LED lights and photodynamic therapy, where with the latter, a substance is applied to the skin and activated by the light. This results in damage to abnormal skin cells, allowing new cell to grow â&#x20AC;&#x201C; and thus rejuvenating the skin. In cases where there are the deep wrinkles and volume loss on the face, one may need to resort to the use of botox or fillers. The abuse of fillers and botox by celebrities (who

end up having over-filled cheeks and gold fish pouts) - has naturally installed fear in many people who could have benefitted from them. If performed by qualified health professionals, these are very safe while giving a natural look.If everything else fails, one can make use of foundation and concealers to try to hide the aged look. Prevention Better Than Cure Photoageing is an indication of the health of oneâ&#x20AC;&#x2122;s skin - and makes the person more prone to various skin diseases, including cancers. Therefore, one must start taking care of their skin from an early age, as no amount of procedures can reverse the damages fully. Sunscreens do not need to be from expensive companies - but they do need to have high SPFs, high UVA protection, and of course - applied liberally.

Aesthetic and Anti-Ageing Magazine

Face Off

Obsession for a Soft Skin Causes a Korean Woman to Inject Cooking Oil into Her Face

ang Mioku, a former model from Korea always wished to have soft skin - and this turned out to be a lethal obsession when she continued to approach doctors for silicone injections.

She was advised to see a psychiatrist as they found her obsession with soft skin stemmed from low self esteem. Having undergone many cosmetic injections over the years, doctors refused any further cosmetic treatment on her face. In a desperate attempt, she took to injecting cooking oil after doctors refused to give her any more silicone injections – and this left her face so severely swollen and disfigured that even her own family members could not recognize her. She was also called ‘standing fan’ by the local children as her head was too large for her tiny frame. Reconstructive Surgery After the DIY cooking oil injections, her face was beyond recognition. Her plight was featured on Korean television, prompting thousands of sympathetic viewers to donate money in order to fund her corrective surgery. Now, thanks to the considerable donations Hang has received, she has undergone many corrective surgeries to reduce the swelling on her face and neck. On her first operation, surgeons removed 60g of silicone, oil and other foreign substances from her face – as well as 200g from her neck. Sadly though, Hang is still disfigured and says she wishes she could have her old face back. Sources: Medindia: www.medindia.net The Daily News: www.dailynews.co.uk

Hang Mioku: Before and After

Aesthetic and Anti-Ageing Magazine

56. Neckline Rejuvenation 59. Nonsensical NipTucks 64. Rhinoplasty â&#x20AC;&#x201C; The Psychology of Surgery

Cosmetic Surgery Update Aesthetic and Anti-Ageing Magazine

Neckline Rejuvenation The neck is a beautiful part of our anatomy and great strides have been made over the past decades with regard to restoring and revitalizing its appearance. Dr Anton Potgieter Plastic Surgeon MBBCh (Wits) FC (Plastic Surg) SA

Dr Anton Potgieter discusses the different types of neck-lift procedures…

The Ideal Neck What makes a neck appealing? Well, consider actresses like Keira Knightley or Natalie Portman. These ladies possess long, thin necks with a soft, yet defined jawline – which is seen as beautiful and extremely desirable. The Aesthetic Concepts Of A Youthful Neck Include: • A smooth, straight jawline • A high cervicomental angle (the transition from horizontal jawline to vertical neck) • Good skin tone, colour and elasticity • All transitions are soft and smooth • The lines are curvilinear • No prominent cartilages (a prominent thyroid cartilage gives a masculine appearance) • Definition of the bones of the jaw and chin • A long, sinuous shape (necks shorten with age because the cervical spine “collapses” over time) How the Neck Ages… Now that we can appreciate a neck, we need to understand the age-related changes that occur over time: • There is loss of dermal elastic fibres (collagen and elastin), which produces sagging and wrinkling • The underlying platysma muscle, which is smooth and well contoured during youth, develops bands and irregularities as we age • All structures of the neck sag over time (the muscles, fat pads and salivary glands) • The aesthetic lines and borders of the sternocleidomastoid muscles, the jaw and the chin become indistinct (the bones re-absorb over time and the tone of the muscles decreases) • There is increased fat deposition in both the superficial and deep layers What To Do About It? A complete evaluation of a patient is essential. Many people think that telephonic and email enquiries about specific procedures are sufficient to plan their surgery. There are so many variables and options worth considering that the value of a full consultation and evaluation with a plastic surgeon should never be underestimated. By investing time and thought into pre-operative assessment and planning, you will definitely achieve a better outcome. Many patients don’t actually know what they need… (or want). There is a spectrum of options to address the midface, lower face, jawline and neck, which include facelifts, mini facelifts, necklifts and ancillary procedures like liposuction. Evaluation: • Quality of the neck skin • Laxity and fullness • The cervicomental angle • Definition of the jaw and chin • Volume of fat and condition of the platysma muscle • Position of the salivary glands

Aesthetic and Anti-Ageing Magazine

Surgical Options There is no single ‘ideal procedure’ for anyone. The most appropriate approach is chosen and thoroughly discussed with the patient in order to get an idea of a realistic outcome. • Liposuction Standing alone, this is a good procedure as it has minimal incisions. It’s ideally suited for patients with good skin and variable to small amounts of fat – which is mostly accessible in the superficial layers of the neck (the deeper the surgery, the greater the risk of damage to nerves and other structures). • Suture Suspension An interesting and useful option for patients with good skin tone. Through minimal access incisions, the platysma muscle is plicated (secured with sutures) in the midline - and strong suspensory sutures are looped through the muscle. This is then anchored to the strong fascia behind the ears in order to suspend the neck. • Platysmaplasty This is performed through an incision of three-four cm under the chin to visualize the platysma, remove excess superficial and deep fat under vision - and then reshape the appearance of the muscle. The platysma is cut (if necessary) to remove bands and improve its contour - and is then plicated in the midline again. This is a good procedure for patients with platysmal bands and divergence of the muscle in the midline with herniation of fat (which tends to sag). • Retroauricular skin excision This is an option for patients with excess skin, a supple platysma and mobile structures. Through incisions along the hairline behind the ears, the neck skin is mobilized, tightened and sutured in place.

as a facelift of the lower third (which can be done through short, minimal access facelift scars). The facelift accentuates the jawline and removes the jowls - while the cervicoplasty improves the neck skin, platysma and neck structures.

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• Ancillary Procedures These are additional components which can added: - Chin implants to improve the underlying bony landmarks - Liposuction of specific, troublesome areas - Salivary gland debulking (a controversial option due to the risk of nerve and vessel damage) - Digastric muscle ‘shaving’ (mentioned earlier) to improve neck and jaw contour - Low density dermal fillers and skin treatments can greatly improve the texture and appearance of neck skin (those creases and lines can be improved in the office… hence, no surgery!) In summary, all carefully planned and executed procedures of the face and neck should achieve good, longstanding results that last for years. In general it takes about 10-14 days to recover from most forms of face and neck surgery. It’s worthwhile mentioning that procedures of this nature doesn’t ‘stop the clock’, so to speak – it simply ‘dials it back’. After all, time and gravity exert inevitable consequences upon our appearance. Pricing It’s pointless elaborating too much about the costs since the procedural options range from the simple to the very elaborate and complicated. The old adage applies: “You need what you need… And you get what you pay for…”

• Cervicoplasty (Full Neck Lift Procedure) This procedure incorporates all the previous options. Through chin and hairline incisions, the neck skin is undermined, the platysma shaped and plicated – and the superficial and deep fat is excised. The digastric muscles can then be ‘shaved’ or debulked, and the entire neck is tightened and held with suspensory sutures and/or skin excisions at the hairline.

Take Home Advice Patients are encouraged to investigate and research their options thoroughly and talk to their plastic surgeons. I can assure everyone that we’d much rather be talking to our patients and evaluating them (it’s what we doctors are trained to do) than answering emails and sms’s.

• Cervicofacial Face and Neck Lift This is the most extensive possible option. It includes all the components of a cervicoplasty (above), and is performed at the same time

The good news is that all the procedures described are completely reproducible and patients often consider further surgery years later to maintain their results.

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Thermage procedures can effectively and safely treat skin on most body parts, including the face, eye lids, lips, tummy, arms, hands, thighs and buttocks. A non-invasive procedure that helps tighten and contour your skin in a single treatment with no surgery, no injections, and little to no downtime. Thermage stimulates your body's natural renewal of collagen, which creates subtle, natural looking results.

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Ask your physician for more information on the NEW Thermage CPT technology! The new Thermage CPT System represents a leap forward in skin tightening and contouring technology. Superior results and greater patient comfort are at the core of the new system, which leverages our proprietary Comfort Pulse Technology™ and a vibrating handpiece for more comfortable treatments. Distributed by SternLaser www.sternlaser.co.za Ian 082 551 5938 Johan 083 409 6239

Botox Can Treat More Than Just Wrinkles…

A new study reveals the popular cosmetic jab is effective in treating facial nerve problems.

otox® can effectively treat the after effects of Bell’s palsy and other serious facial nerve problems, say researchers. Bell’s palsy is a form of facial paralysis that results from damage to the facial nerve that controls muscles on one side of the face. Ear-nose-throat surgeon, Dr. Matthew Kircher of Loyola University Medical Center is giving patients Botox® injections to treat facial nerve disorders that sometimes occur after Bell’s palsy. This also includes unwanted facial movements known as synkinesis. Facial synkinesis is the involuntary movement of one set of muscles when the patient tries to move another set of muscles. For example: when the patient blinks, the mouth smiles or grimaces.

Botox® injections work by weakening or paralyzing certain muscles - or by temporarily blocking the nerve input into the muscles. It can also improve the symmetry of the face and reduce muscle contractures and spasms – as well as being an effective treatment for platysmal banding (verticle lines that develop in the neck as a result of muscle contractions). Kircher said that he starts out conservatively, treating patients with dilute doses. After seeing how well the patient does, Kircher then adjusts the dose if necessary. However, it’s important to note that Botox® is not a cure. The drug wears off after three or four months, so patients need repeat injections. Source-ANI Medindia: www.medindia.net

Aesthetic and Anti-Ageing Magazine

46. T hink most people who go under the knife for cosmetic procedures only ask for bigger breasts and smaller stomachs? Think again. Plastic surgery has become more than just breast implants, liposuction and facelifts. Read on as we reveal 12 of the most unusual surgeries of 2013â&#x20AC;Ś

Nonsensical Nip-Tucks Aesthetic and Anti-Ageing Magazine

Plastic Surgery: Bizarre & Surprising Procedures of 2013 As with anything in life, there are always people who take things just that little bit too far. We looked back over the past year and found some of the more outlandish cosmetic procedures people are undergoing. Compiled by Mandy Collins. The Facebook Facelift

Palm Surgery

Apparently Facebook profile pics are important enough to warrant a face lift – have you checked yours lately? An increasing number of young people are going for cosmetic surgery so that their profile pictures look perfect, a procedure cosmetic surgeons are calling the Facebook Facelift. One surgeon in India says he sees at least 20 Facebook facelifters a month. Apparently a good image online is linked to successful dating – as well as marriage proposals and professional networking. Facial procedures popular among women are facial skin tightening, brow lift, laser hair removal, de-pigmentation, wrinkle removal, chin fillers, jawline correction, rhinoplasty and lip augmentation. Men prefer laser procedures for scar removal. Psychologists however, have cautioned against what they see as a disturbing trend, because of the focus on the superficial. The hunger for online appreciation also threatens to descend into a negative spiral - with people getting depressed if they don’t get a high enough number of ‘likes’.

The ancient art of palmistry is hugely popular in Japan, where palm readers charge customers over R600 a session to look into the future. Now, for those who don’t like what they hear, there’s a solution – simply have the lines on your hand changed in the hope that your destiny will change with it. The surgery (which has also been known to be carried out in Korea), is performed with an electric scalpel that burns the flesh - leaving a semi-permanent scar. And it doesn’t come cheap – one clinic offered it at approximately R9000 a pop, and now no longer advertises the treatment, because they couldn’t keep up with the demand. Japanese surgeon Dr Matsuoka, who has performed 20 of the operations, told The Daily Beast that a laser wasn’t a suitable tool for the procedure, as it doesn’t leave a clear enough mark. Apparently you need to use an electric scalpel and make a shaky incision on purpose, because palm lines are never completely straight. The procedure usually takes 10 to 15 minutes and can include as many as five and 10 lines on the palm being altered. Generally speaking, men want their financial lines lengthened and women opt for enhancement to their marriage line. Some patients even use a marker to show the surgeon which lines they want extending prior to surgery. It takes around a month for the wounds to heal and for the new palm lines to form.

Dimple Surgery/Dimpleplasty Born without dimples? Never fear! You can simply pay your friendly plastic surgeon to create them. All it involves is a small incision on the inside of the cheek, and a small absorbable stitch that puckers the skin and creates a dimple. But, be warned – when you age, your skin starts to sag and droop, so you might well have a rather strange looking dent in your cheek…

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The Joker Smile You’ve always wanted to look like a cartoon character, right? And not just any cartoon character – the Joker! It’s no joke – a photograph has appeared on a social networking site that seems to show a woman who has undergone surgery to lift the corners of her mouth into a permanent smile. The photograph first appeared on Reddit, and hasn’t been authenticated, but the Huffington Post reports that there is a clinic in South Korea offering this procedure. The AONE clinic performs the ‘Smile Lift’ procedure to both lift, and curl drooping mouth corners by manipulating the facial muscles supporting the mouth. The clinic has produced a YouTube video, which explains that some people have sagging mouth corners due to low strength of the muscles that lift the mouth edges - and overly strong jaw muscles that pull the mouth down. In general, it says Western people have longer mouths and higher mouth corners than Korean people. Dr Taek Keun Kwon from AONE told Business Insider that in developing the procedure, some of the problems included a potential for scarring. He said it was very difficult to elevate the mouth corners by just excision and closure of the skin around the mouth corner area. Instead, their technique included weakening the lip depressors to gain unopposed mouth corner lift. Limb Lengthening

Earlobe Surgery

A man in New York has “grown” over 15cm through painful limb-lengthening procedures intended to artificially increase his height. This rare procedure is performed by only a few doctors in the United States and costs roughly R870 000. Painful, timeconsuming, and expensive are just a few words to describe this incredible surgery.

Pinning back “bat ears” has been around for some time, but now there’s additional ear surgery for those who are self-conscious about their drooping earlobes – just have them trimmed away! Earlobes are one of the first body parts to give away our age, and will often lose volume while the rest of the face remains taut. All the surgeons do now is lop off a small wedge of tissue and you’re good to go. But ask yourself – when last did you notice someone’s earlobes. And now that we’ve mentioned it, will you be able to tear your gaze away? Chubby Cheek Surgery/Buccal Fat Removal You know how your grandparents love to grab your chubby cheeks and give them a good pinch? Good news! You can thwart that annoying habit by having some of your cheek fat removed. Surgeons make a small incision inside your mouth, and remove the fat that way. Ironically, the biggest risk is excessive post-op swelling.

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Iris Colour Surgery The final frontier of cosmetic surgery was the colour of your eyes. Until now, that is. You really can turn your brown eyes blue with a procedure pioneered by Dr Kenneth Rosenthal – the artificial iris implant. Originally developed to correct various eye defects like heterochromia and ocular albinism, it’s now being used to assist those who want to permanently change the colour of their eyes. The artificial iris is a thin, non-toxic prosthesis made of the same ophthalmicgrade silicone used in intra-ocular lenses. It’s very flexible, so it can be folded and inserted into the eye through a peripheral corneal surgical incision about 2.8 mm long - and then unfolded over the natural iris. According to the website of BrightOcular (the company behind the increasingly popular cosmetic eye surgery), the procedure is “short, safe, and painless,” taking about 15 minutes for each eye. Unlike other laserbased procedures that remove a layer of melanin from the iris in order to permanently change its colour, BrightOcular claims that their iris implant can easily be removed in case of complications... or if the patient so desires.

Moustache Implant If you liked the way you looked during Movember, but wish your moustache had been thicker, there’s hope. Turkey’s cosmetic surgeons have branched out into doing hair transplants not only for the top of the head, but also for the upper lip. Men from the Middle East, Europe and Asia are flocking to Istanbul to have their taches tuned. The procedure uses a technique called follicle-hair extraction, in which doctors remove clusters of hair from the more hirsute areas of the body – and implant them along the lip or cheeks to magnify a moustache or beef-up a beard. Performed under local anaesthetic, the surgery takes around five hours and can cost up to R50 000. Tourism agencies have begun offering “transplant packages”, combining facial-hair operations with a shopping vacation in Istanbul - or a beachside retreat on the Mediterranean coast.

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Cankle Surgery And Lower Leg Liposuction Worried about cankles? Why bother losing weight, heading to the gym or worrying your little head about them? All you have to do is spend a whole lot of money on surgery instead. Now you can simply have liposuction for your lower limbs. Be warned though; your lower legs have a reduced number of blood vessels, which means that excess fluid can take longer to drain from this area, so you may suffer – again, ironically – excessive postsurgery swelling.

The Pokertox And now – just to make sure no-one picks up your tell at the next neighbourhood poker game, you can have an emotionless face, devoid of expression, like some of the professional poker players. A Dr Jack Berdy of New York City apparently offers a service that he calls “Pokertox”. The procedure consists of injecting Botox to ensure your opponents can’t see when you’re angry, disappointed or happy. And if you really want to, you could ask your doctor to have Lady Gaga’s Pokerface playing while you have the procedure, we’re sure.

Asian Double Eyelid Surgery In South Korea, it seems that women have become so immersed in western celebrity culture that they’re having their eyelids altered to look more western. Double eyelid surgery, which creates the Caucasian crease many Asian women don’t naturally have, has become as common as going to the dentist. Eyelid surgery involves cutting the outer end of the eyes to make them wider and rounder, something plastic surgeons say boosts confidence.

Sources: Mail on line India: www.dailymail.co.uk / The Daily Mail: www.dailymail.co.uk / yahoo!lifestyle: www.uk.lifestyle.yahoo.com

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A misshapen nose can undermine one’s confidence and self-esteem. This suggests that the benefits of Rhinoplasty are psychological. Some surgeons define a ‘nose job’ as, ‘psycho-surgery; the result - an almost instantaneous resolution of a previously held inferiority complex.

ince the nose is the most prominent feature on the human face, it’s not surprising that Rhinoplasty has evolved into one of the most popular procedures in plastic surgery. A disproportionately shaped nose, at the focal centre of the face, not only undermines aesthetic harmony but attracts unwelcome attention as well. Oddness like this evokes relentless teasing in childhood. Rhinoplasty, in this context, has a huge potential for profound, life-changing psychological transformation. Evidence gleaned from cosmetic surgeons, psychologists and patients suggests that the mere ‘correction’ of a physical abnormality can neutralise social anxiety - and reverse low self-confidence.

Rhinoplasty:

Growing Pains The case of 17-year-old Ansie Maree from the East Rand in Gauteng is an example. Ansie was born with a ‘hump’ nose. After years of taunting, she made a decision – after discussions with her father, businessman Andre Maree - to change the shape of her nose. She’d had enough.

An Explanation of the Psychology of Surgery

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Rhinoplasty surgeon, Dr Pieter Swanepoel, recalls examining Ansie during the winter of 2013. He’d formed a valuable first impression of the girl as she walked into his consulting room. She had the constrained bearing of a child attempting to mask the awkward embarrassment of a pronounced nasal hump and beneath it, a receding chin. The ensuing ‘hump removal’ surgery, one of the most common procedures in Rhinoplasty, included ‘tip work’ and a chin augmentation. The result had an instantaneous affect. From the moment Ansie saw the result, says Swanepoel, it transformed her from an awkward teenager into a happy young woman. “I can say that within the space of a few seconds after I showed her the result, something spontaneous occurred,” Swanepoel recalls. “All the earlier, negative feelings vanished. I cannot describe the relief and the joy she and I shared in that moment.” Transformations on this scale are pivotal, so it’s worth stepping back, figuratively, to the actual moment of this revelation... as it occurred in Swanepoel’s rooms. A Glimpse Behind the Scenes Rhinoplasty surgeon, Pieter Swanepoel, leans forward and gently removes the skin coloured aluminium brace from 17-year-old Ansie Maree’s nose. He leans back, hands her a mirror and waits. She grasps the mirror with both hands and appraises herself, rotating her head side to side. Relief, a great emotional release, washes through the young child. “Wow, oh, wow,” she cries. Tears trickle down her cheeks. Andre Maree, her father, standing off to the left edges closer. Tears glisten in the corners of his eyes. The surgeon too, feels a familiar surge. This, he knows, observing Ansie is cosmetic surgery’s ‘magic moment,’ - a moment he’s often shared as patients first glimpse a nose transformed by cosmetic surgery. It’s the moment when the pendulum magically pauses between heartbeats, between what is old and not yet gone, and what is yet to become. In that moment, a breath-taking psychological shift transforms a human life - the transformation itself, an instantaneous, gushing release of selfnegating, ‘I am not good enough’ feelings. “Surgery like this changes lives,” says

POST OPERATIVE COMPARISONS. Ansie Maree (17), before and after comparison 10 days after surgery shows glimpses of the psychological transformation. Swanepoel, comparing digital images taken of Ansie before surgery with images taken 10 days later. The joy she felt, and the joy I shared with her is the reason why I practice cosmetic nose surgery; it is almost a spiritual experience.” A Glimpse into Ansie’s Private World The teasing started at school – and she remembers the exact day it started. She was 11-years-old. Walking past a group of boys, she overheard a comment that so shocked her, she had to confront the possibility that she was different - perhaps ugly, and in a previously concealed way, socially unacceptable. “That was the day those boys were on the field playing soccer,” she recalls. “They simply turned around and said, ‘oh look, here comes the girl who looks as if her nose got stuck in an elevator.’ I was so shocked at what they had just told me, that I went to the bathroom and just stood there for about half an hour... thinking to myself: Was what they said really true?” The incident changed her life. She developed what psychologists term a ‘coping style’ to manage the socially unacceptable nose. “You get to a breaking point where you can’t take it anymore,” she says. What Does it Mean? Why do memories of trauma linger? To answer this, we need to understand the affect trauma has on the neural system, and how the system encodes memories of trauma into the ‘wiring’ of the human mind. Dr JO Steenkamp, the Pretoria based pioneer of SHIP therapy (Spontaneous

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Healing Intrasystemic Process), says cosmetic surgery definitely has an enormous, and positive effect on patients. “I have, and have had, many clients that went for various surgeries. Most are extremely glad they did. Their sense of quality of life definitely improved.” He explains nevertheless, that we store memories of teasing, abuse and shame in the nervous system. These feelings occasionally show themselves later in life, whenever the patient re-encounters a situation that evokes memories of the earlier abuse. “The person will then be flooded by the unresolved past (unconscious information) still lodged in their neurology.” How? Psychologists use the term, ‘developmental trauma’ to describe the intensely destructive effect trauma has on ‘dendrite formation’ in the nervous system (dendrites aid the transmission and reception of signals). There is growing evidence – linked to a vast library of academic information –showing the effect trauma has on different areas of the brain. Conclusion “There are always exceptions,” says Swanepoel. “There is a small category of patients that a surgeon can never please. But, I can tell you this, that the almost instantaneous way a patient’s brain accepts a good result is amazing. It happens within seconds; you notice an immediate change in the patient’s eyes. “Whatever may yet still lie ahead in a patient’s later years, rhinoplasty changes lives.” Source: The Nose Clinic – www.thenoseclinic.co.za

The Voice Lift

In the past, doctors mostly performed voice lift surgery on patients with voice robbing diseases or injury. Now it has become increasingly popular in the cosmetic surgery field - particularly with ageing businessman who want a more booming, authoritive voice.

ccording to the Daily Mail, a number of aging businessmen are opting for “voice-lift” surgeries in order to improve the strength of their voice. Ear, nose and throat surgeons say the operation to restore youthful tones can boost the confidence of business people who believe their authority is eroded as their voice ages. The voice lift, which costs up to R80 000, is expected to become increasingly popular as more people now work well past retirement. The doctors treating them, known as phonosurgeons, claim it reduces the reediness in the voice. John Rubin, a consultant at the Royal National Throat, Nose and Ear Hospital in London, advocates injecting stomach fat into the vocal cords to bulk them up and boost the voice. Some surgeons use collagen or other fillers more commonly used to plump up lips, but these can make the vocal cords too stiff or work only in the short term, Rubin said. “The biomechanical properties of fat aren’t that different from the vocal cords. Fat has high water content, so half of what is injected disappears within 36 hours. The rest stays put and will be effective for up to18 months,” he explained to a Sunday newspaper. Yakubu Karagama, an ear, nose and throat specialist at the Manchester Royal Infirmary, added: “A lot of doctors and patients still don’t know we can do something about ageing voices, but this field is growing rapidly because we now have a variety of innovative techniques to help them.” Meanwhile in the U.S., scientist Robert Langer and Steven Zeitels, the throat surgeon who saved singer Adele’s voice earlier this year, are perfecting a rubbery gel that restores elasticity to aged and damaged vocal cords. Treatments with the gel could be available next year and Dr Zeitels believes it will eventually become commonplace for the elderly to have voice lifts. Sources-ANI Medical News Today: www.medicalnewstoday.com

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68. Battle of the Bags 72. Chronically Fatigued 74. Sip Smart 76. Understanding the Big â&#x20AC;&#x2DC;Oâ&#x20AC;&#x2122;

Anti-Ageing & Wellness Aesthetic and Anti-Ageing Magazine

Excess fat stored on the hips and thighs (commonly known as ‘saddlebags’) can be a woman’s worse enemy. Unfortunately, many mistakenly think that exercise and diet alone can eliminate them. While it may indeed help, it must be noted that saddlebags are a actually a hormone mediated condition. Dr Sly Nedic elaborates…

Dr. Sly Nedic MBChB (Bel)

Battle of the

Saddle bags

of the above on a daily basis – and it’s all of these things that contribute to our saddlebags.

The truth is that these saddlebags are an epidemic in women of all ages and ethnicity - and is a complex problem which needs to be understood properly in order to be addressed successfully.

In fact, they are also responsible for the increasing number of young women who suffer from severe symptoms of estrogen dominance such as PMS, fibrocystic breast disease, bloating, infertility, troublesome menstrual cycles, depression, endometriosis, mood swings and yes… even excessive weight gain! An increasing number of sporadic breast cancer is speculated to be due to toxic levels of Xenoestrogens in our every-day life.

lmost every female patient who enters my practice for cellulite treatment complains about those dreaded saddlebags – the body fat that sits under their buttocks and hamstrings. What’s worse; no amount of exercise or dieting can eradiate this.

Understanding Saddle Bags Saddlebags are simply a hormone mediated condition. A woman’s body is designed to store Gynoid body fat (which is estrogen dependant) for various reasons. These Are The Characteristics Of Gyneoid Body Fat: • Fully developed by 15 to 16 years of age (Ferin- et al. 1993) • Stored in the hips, thighs and buttocks, and has distinctive visual and tactile qualities • Optimal storage affected by environmental and heritable factors, nutritional status & ability to utilize energetic resources • Rich in long chains of poly-saturated fatty acids (this is important for the development of the fetuses brain – as well as mobilization during lactation (Agostoni- et al . 1999) • Women with a higher ratio of Gyneoid to Android fat (curvaceous women) are considered more fertile, have less risk of CVD and less cortisol reactivity. They’re also in overall better health. Unfortunately in our modern society, Gynoid fat metabolism is disrupted by very dangerous molecules called Xenoestrogens – and these act similarly to our own natural hormone, estrogen. Where Do We Find Xenoestrogens? These foreign estrogens are passed into our environment through pesticides, herbicides, fungicides, plastics, fuels, car exhausts, dry cleaning chemicals, industrial waste, meat from animals (which have been fattened with estrogenic drugs), and countless other household and personal products. The problem is, we’re in contact with most

Cause & Effect There are several mechanisms involved in Xenoestrogen activity in our body. Chronic exposure to these estrogens contribute to estrogen dominance - and whenever we have estrogen dominance, there is a higher activity of beta receptors in Gyneoid fat tissue (which is responsible for vasoconstriction and increased fat deposition). This is what we often see in patients taking contraception pills or HRT. Xenoestrogens have a direct epigenetic effect on an estrogen receptor, and they disrupt endogenous estrogen metabolisms. But one of the main problems is the overburdening of phase 1 and phase 2 liver detoxifications with Xenoestrogens. This has a profound effect on the creation of dangerous estrogens. It’s this overburdening that may also decrease the clearance of Xenoestrogens itself. They are ready to ‘wander around’ and bind to an estrogen receptor. Multiple vitamin deficiencies often found in a typical western diet, vegetarian diet (low protein intake), the use of chronic medication, low or increased stress levels, and affected gut detoxification all add to an altered liver detoxification. One can just imagine that in this situation, even our own estrogen and cortisol cannot be detoxified sufficiently - and thus, an overwhelming amount of Xenoestrogens just worsens the situation.

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It’s very important to explain to the patient that there is actually no diet plan or exercise routine (no matter how rigorous) that can reduce the saddlebag condition. Liposuction can temporarily reduce this condition, but it will return as the underlining cause was not treated. What Can Reduce Saddebags? It’s best to consider it as a medical condition rather than an aesthetic problem, as it often correlates with other estrogen dominance medical problems. The patient needs to fill out the toxins questionnaire in order to identify as many xenoestrogens in their environment as possible. Blood tests confirming estrogen dominance and altered liver detoxification should be added. Genetic tests to identify liver detoxification weaknesses can be done for more personalized treatments, especially in patients who are already eating organic food - but have high levels of estrogen dominance (history of sporadic breast cancer, etc). General Tips for Reducing Saddle Bags: • Filter your drinking water and drink from a glass bottle • Eliminate plastics by storing your food in glass jars, cook in stainless steel pots and pans, and unpack your vegetables from the plastic packaging’s • Eat organic food • Reduce medications (contraception pills and conventional HRT) • No spray / fake tans (it’s packed with xenoestrogens) • Drink water every hour (approximately 1.5 litres) • Eat free range steamed protein for every meal (including breakfast) - then fill up on cruciferous and other vegetables. Snack on fruits, nuts and seeds (GMO free, organic) • Use supplements to increase phase 1 and 2 liver detoxification (prescribed by a physician. Self-medication and old fashioned juice detoxification is not advisable, unless it’s done under a physicians supervision) • Supportive aesthetic treatments with cavitations can be used to decrease fat deposition in saddle bags. Resource: www.8thsense.co.za

Aesthetic and Anti-Ageing Magazine

Mature Women Weigh in on Body Image Satisfaction According to a new study, only 12% of middle-aged women are happy with their bodies. By Belinda Weber

he writer of the 1930s show tune lyrics, “Keep young and beautiful, if you want to be loved” was probably unaware that these sentiments would resonate with so many women. And the line, “It’s your duty to be beautiful,” must seem like manna from heaven to the billion rand advertising and cosmetic industries. So it’s hardly surprising that a new study published in The Journal of Women & Ageing, found the majority of women aged 50 years and older are still not happy with the way they look. But instead of focusing on the negative, this study focuses on the positive: those who are happy with their body size - in an attempt to unlock the secrets of satisfaction. Using a sample of 1,789 American women from the Gender and Body Image study (GABI), researchers discovered that just over 12% of participants reported they were satisfied with their body size. Satisfaction was defined as having a current body size equal to their preferred size. Concerted effort Research shows that women who are happy with their body image are more likely to take regular exercise and less likely to have eating disorders.

However, this may not be something that comes automatically. The researchers say that those midlife women appear to have to make a

concerted effort to both achieve and maintain this satisfaction. But the women who felt good about themselves had lower body mass indices and reported fewer

eating disorder symptoms. They were also more likely to take regular exercise than dissatisfied women. Cynthia Bulik, director of the University of North Carolina’s Center of Excellence for Eating Disorders (and co-author of the study), says this does not mean that they are delighted with every aspect of their appearance. “They are not impervious to dissatisfaction with other aspects of their physical appearance; especially those aspects affected by ageing.” The appearance of their skin caused the most upset, with almost 80% of the women citing this as a cause for concern - followed by their stomachs (56%) and faces (54%). In addition, weight monitoring and appearance-altering behaviors (including cosmetic surgery) were the same between satisfied and dissatisfied groups - showing that weight and shape still play a considerable part in women’s self-evaluation. Profess Bulik adds: “Our findings underscore the need for a multifaceted approach to studying and assessing body image in women as they mature, since their bodies undergo constant.age-related change.” Republished from Medical News Today www.medicalnewstoday.com

Aesthetic and Anti-Ageing Magazine

European experts in Genomic medicine

Risk assessment for OSTEOPOROSIS Sporadic BREAST cancer & COLON cancer ANDROGENIC ALOPECIA (male hair loss) Risk assessment PROSTATE cancer SKIN health & DENTAL health (periodontitis) Risk assessment HEART ATTACK NICOTINE addiction gene Risk assessment for Female HORMONE WELL-BEING test (Testing 90 genes including replacement Neurotransmitters, inflammation mediators, ALZHEIMER & PARKINSON disease stress genes, skin health, mental health, fitness DIABETES TYPE 2 & OBESITY DETOXIFICATION capacity & OXIDATIVE STRESS etc.) LIPID METABOLISM

Ask your Anti-aging and Integrative Medicine Doctor at 8th SENSE TODAY! Call 8TH Sense /Genetic TESTING 011 884 6418

Phone 011 884 6418

Summer Body Revival

Dr Nedic

Phone 011 884 6418 www.8thsense.co.za Fredman Towers, 13 Fredman Drive Sandton

8th SENSE OFFERS THE FOLLOWING SOLUTIONS FOR BODY REVIVAL: CAVITATION – stubborn fat VELA SHAPE – cellulite LED-stretch marks THERMAGE – sagging body skin TRIPOLLAR – body tightening HAIR REMOVAL – pain free /all skin types INTEGRATIVE MEDICAL APPROACH (diet, life style changes, genetic testing)

Dr Nedic uses the latest medical research in addressing body concerns holistically: “Stretch marks: They appear on the area where the skin is excessively tensed and dermis is weakened constitutionally or by hormonal and metabolic problems. Interrupted production of collagen and elastin by damaged fibroblasts is the main problem and although it is not harmful it affects self confidence. It is a treatable condition. Abdominal fat: This is not just an aesthetic problem! It is associated with Cardiovascular problems, Insulin resistance and Diabetes 2, Breast cancer, Prostate and Colon cancer, Polycystic ovarian syndrome, Depression etc due to metabolically active visceral fat. It needs medical treatment in connection with an aesthetic one. Cellulite: It is a multi-factorial problem depending on genetic predisposition, cortisol dis-balance, stress, poor circulation, inadequate and polluted nutrition, sedentary life style. It is however a manageable condition and it needs an integrative medical approach with aesthetic procedures.”

Stubborn fat - CAVITATION

Stretch marks - LED

Cellulite -VELA SHAPE

Dr Simone Silver MBChB

Chronically fatigued The illness known as Chronic Fatigue Syndrome is a much misunderstood disorder. Its symptoms are also not very widely known – with many people still viewing it as a mere case of the sleepy’s. In actual fact, CFS is an incapacitating disease – significantly impacting on the quality of life of the sufferer. By Dr Simone Silver

Aesthetic and Anti-Ageing Magazine

What is it? Chronic Fatigue Syndrome (also known as Myalgic Encephalomyelitis) is a complex and debilitating illness. It’s mainly characterised by profound mental or physical fatigue that persists or relapses for at least six months, while being a host to a wide variety of other symptoms. This is a disease that not only significantly impacts on the quality of life and wellbeing of those who suffer from it, but their close friends and families as well. It has emerged as one of the most misunderstood diseases of our times due, in part, to the lack of a clear aetiology (cause) and continued misperceptions. This is based on ignorance by the general public and health care sector. The plight of the patients who suffer from it is only increased by a sense of medical uncertainty and social isolation they endure. While many questions around ME/CFS remain to be answered, much research has been conducted to date– and this can certainly help us better understand this complex illness. It also provides a sense of hope in the way forward for patients. Although classified in 1969 as a neurological illness by the WHO (World Health Organisation), ME/CFS is a multisystem disease- meaning that it affects all organ systems of the body. This includes a number of symptoms such as joint or muscle pain; concentration difficulties; changes in sleep patterns; bowel or bladder problems; sore throat; swollen glands; dizziness; heart palpitations and reduced exercise capacity. Surprisingly, it is currently estimated that up to 17 million people worldwide are affected. Cause: While infectious organisms like viruses (Epstein Barr Virus, Human Herpes 6, Cytomegalovirus), bacteria (Mycoplasma and Chlamydia Pneumonia) and Borrelia Burgdorferi (causative agent of Lyme’s Disease) have been linked to CFS/ME, no studies have proven that one infective agent is present in all patients. Furthermore, it’s still not clear to scientists whether the infection itself or rather, the immune response, is ultimately responsible. Other potential causes may include severe physical or psychological stress, environmental triggers (heavy metals or toxic chemicals) and genetic vulnerabilities. Is It A Real Disease? Before the emergence of significant research, ME/CFS was an illness shrouded in controversy and stigmatization. Many in the medical fraternity doubted its existence - and assumed that patients were either presenting with a form of chronic stress, mood disorder or even feigned illness. We now know that ME/CFS is a real disease characterised by a variety of physical abnormalities in the nervous, immune, hormone and energy transport systems of the body. A number of studies also clearly distinguish ME/CFS from major depression, based on neuroimaging and biochemical studies. While it is not uncommon for patients to experience psychological phenomena such as anxiety and depression, this is more commonly related to the loss of quality of life these patients experience - rather than being a primary psychiatric disease. The disease can affect any individual of any age, race, gender or socio-economic group.

Aesthetic and Anti-Ageing Magazine

What Actually Goes Wrong? Whilst the exact cause and treatment of CFS/ME seems to evade the scientific community, research is now establishing (with more clarity) the extent and complexity of what actually goes wrong physically in these patients. A wide variety of neurological and immune system parameters are altered. Some research has described disturbances in the body’s delicate hormone system balance (the HypothalamicPituitary-Adrenal Axis). Changes in ion transport and cellular energy production has been documented, which may account for the physical and mental fatigue present in these patients. The ever-expanding field of Psychoneuroimmunology, which focuses on the complex interactions of different organ systems in the body, may well continue to unravel the intricate web of dysfunction seen in many different organ systems in ME/CFS patients. The Medical Puzzle: CFS/ME presents a unique challenge to the doctors who are treating it, because of the diversity of symptoms. Different patients present with different symptoms, in different combinations and with different levels of severity. Since there is currently no single diagnostic test, ME/CFS is a diagnosis based on a patient’s thorough history. This is taken by a medical professional through a series of tests to rule out the presence of other major diseases such as multiple sclerosis, autoimmune diseases, thyroid disorders, muscular dystrophies, iron and other nutrient deficiencies and certain cancers. Treatment: There is currently no FDA-approved drug for the treatment of CFS/ME, although a drug called Ampligen has been under research for some time. The current treatment recommendations (based on the International Consensus Criteria) are targeted toward control of the most debilitating symptoms for each patient (such as pain control and sleep regulation). An individualised and multi-disciplinary treatment approach is essential. Studies have indicated therapeutic value in techniques such as: • Cognitive Behavioural therapy (CBT), which facilitates the coping process for patients and their families living with the limitations of this illness, • Graded Exercise Therapy (GET) which can be supervised by a trained physiotherapist and, • A technique called “Pacing”, which teaches patients how to effectively ‘bank’ their energy stores appropriately to diminish the frequency of illness relapses. A Touch Of Humanity… CFS/ME is a real disease with devastating effects on the lives of the patients who suffer from it. Patients often enjoyed active, successful and enriched lives before becoming afflicted - and the transition into a life of pain and profound fatigue is a hardship few of us can conceive of. The journey ahead should be a partnership between patients and a health care professional team, who can provide answers, support, patience and an openminded approach.

For many, alcohol goes hand-in-hand with the festive season. If you predict a little revelry over the summer holidays, here are a few tips to minimize the damage and help you sip smart.

SipTipsSmart: for a Healthier Night Out By Lisa Raleigh

Aesthetic and Anti-Ageing Magazine

What Happens When You Drink? Unlike food, alcohol contains no nutritional value, so your body doesn’t want or need to digest it. This means that the alcohol you drink travels to your stomach and passes quickly and easily into the bloodstream. In only a few minutes, alcohol has been absorbed into every part of your body! Since your body cannot store alcohol, it must break it down and dispose of it as a waste product. Your liver is in charge of this, and it takes around one hour to break down just one unit of alcohol. While your body is trying to get rid of the alcohol, sugars and fatty acids in your body are not burnt off as quickly, often causing unwanted weight gain. Before You Drink If you are on a healthy eating plan, remember that just ONE unit of alcohol takes the allocations of one of your daily carbohydrates. Treat each alcohol unit as a portion of carbs if you want to enjoy a few drinks and still keep your calories balanced. If you predict a night of heavier drinking, try deficit out carbs on the day of the event, as well as the day after. Take in plenty of water as well, as alcohol is dehydrating and going to zap your body’s water supplies. Healthier Drinking - Sweet and fizzy coolers are the worst offenders, as they are packed with calories and have artificial ingredients and sugar. This will accelerate the effects of alcohol on your system. - White wine and whiskey are the lowest in calories – but calories aside, red wine is probably the healthiest choice to make as it’s packed with immune-boosting antioxidants. Once you’ve taken in more than two glasses however, the health-boosting benefits are zeroed. - Try squeeze in at least one glass of water for every drink you have. Killing two birds with one stone would be drinking a whiskey and water - or vodka, lime and water. Alternatively, try mixing soda into your wine for a wine spritzer. Hangover Cures - Milk thistle is a supplement you should NOT be without when heading out. This handy herb promotes liver function and will help take the edge off a rough night. Take two before you drink, two during (if you are drinking long enough to have a half-way mark!) and two before bed. Milk thistle will help in filtering harmful toxins, leaving you less prone to a hangover the following day. - Honey is great for soothing a hangover! Pop some into rooibos tea, along with fresh lemon juice, and enjoy the benefits it brings. - Protein, caffeine and aspirin are the best-known combination of ingredients to bust a hangover when you’re suffering. Cooked eggs for breakfast are an easy choice, and swap the coffee for green tea - which is a powerhouse of goodness, packed with natural caffeine. - Salicylic acid, the active part of aspirin, occurs naturally in many foods. So skip the headache tablets and rather stock up on apricots, dates, grapes, oranges, pineapple, raisins and raspberries instead.

Aesthetic and Anti-Ageing Magazine

Understanding the Big

‘O’

A woman’s guide to orgasms The female orgasm: we want it, crave it, got to have it. Why? Well… besides the obvious toe-curling pleasure it bestows on us, it’s also a great anti-ageing tool – boosting our immune system, overall health and general well being. Sadly though, many women cannot experience all the joys of the Big ‘O’ – as according to research, a whopping 70% of females find it difficult to reach climax... With this in mind, we ask Clinical Sexologist, Catriona Boffard to discuss the factors that can hinder the elusive orgasm.

woman’s orgasm is not quite the same as a man’s – generally we need to ‘learn’ how to climax through experience and touch. We also need sufficient sexual stimulation and foreplay to get us started... and it’s not all about the physical, but the intimate and emotional as well. The Science Behind the ‘O’ We are all after the exciting and pleasurable sensation that we get from climaxing – not only for the blissful state that is leaves us in, but also for our overall health and well-being. Having an orgasm boosts our immune system, makes us happier, improves overall body tone, and promotes good sexual health… so what’s not to love? We orgasm to relax, de-stress, bond with our partners and to fall asleep. A lot of women find that they have no problem reaching climax when they touch themselves - but when it comes to sex, it’s just not as easy. This is most likely due to inadequate foreplay, losing the rhythm - or her partner getting theirs before she’s come close to hers. When a woman touches herself, she knows exactly what and

where to touch – as well as the exact pace that will get her where she wants to be. So when it comes to sex, it’s about utilising her knowledge of her body and how it responds to get her to the ultimate sexual goal. However every woman is different, so it’s important to ask, observe, and even listen to how she responds to touch. Furthermore, other factors which may inhibit orgasm include stress (either at work, with family and especially in your relationship), illness, hormonal imbalance, negative sexual upbringing, education, and even having cold feet during sex! Getting There... As a woman, you can try these seven healthy orgasms tips: 1. E xercise your body: Getting your heart pumping regularly helps with blood flow, thereby boosting your sexual arousal. 2. Exercise your Kegels: Learning to squeeze and release your Kegel muscles makes them stronger and improves blood flow to the vagina. This means better and more intense orgasms!

Aesthetic and Anti-Ageing Magazine

3. Practice makes perfect: Having sex frequently often means that your brain starts learning how to make things happen faster and more often, and therefore orgasms become easier to reach and with less effort. 4. Pressure is your worst enemy: Feeling pressure to orgasm leads to anxiety and fear and therefore decreases performance. Don’t make orgasm the absolute goal, make it part of the experience. You need to focus on enjoying the moment... rather than crossing the finish line. 5. “ Wetter is better”: My top tip to women is to use lubricant - and generously. As women, when we get turned on we become naturally lubricated, but sometimes a little help goes a long way – which makes climaxing much easier too. If sex if more pleasurable, then orgasm should be more attainable. 6. Quit smoking: Smoking is not only bad for your health, it’s bad for your sex life too! The nicotine in cigarettes affects your capillaries (part of our blood vessels) and therefore means less blood reaches the vagina. This can make both arousal and orgasm more challenging. 7. No Faking: Finally, don’t make a habit of faking: The more you fake it, the more your partner thinks they’re doing the right thing. Talk to them, tell them and guide them on what pushes you over the edge. Knowing your own body and what pleasures you, makes it much easier to tell your partner how to get you to orgasm.

Classifieds

Medical Practitioners

Dr. Gayle O’Kelly MBChB (Pret) Aesthetica Skin Centre El Ridge Office Park 100 Elizabeth Rd Bartlett, Boksburg (011) 081 5222 www.theskincentre.co.za email: gayle.okelly@theskincentre.co.za Aesthetics by Dr Deepa Parbhoo Shop 6A GF, 10 Muswell Road South Silver Stream Business Park Bryanston Tel: 011 706 2251 Fax: 086 684 0674 drdparbhoo@gmail.com www.drdeepaparbhoo.com Dr Sly Nedic 8th Sense Clinic Fredman Towers, 13 Fredman Drive, Sandton, Gauteng Tel: (011) 884 6418 www.8thsense.co.za Dr Janine Olivier, Aesthetic Physician, Waterkloof Heights Pretoria Bookings: +27 012 347 0950 +27 82 5704116 78

Salons & Clinics Lightsculpt Aesthetic Clinic Sarlan Park, 20A Kloof Road Oriel Bedfordview 011 616 1436 info@lightsculpt.co.za Best Body Skin 082 089 1093 011 447 9092 hardusbester@bestbodyskin.co.za www.bestbodyskin.co.za Suite 201; Wrenrose Building/ Birdhaven Centre; 64 Wrenrose Avenue; Birdhaven, Gauteng; 2196 Norwood Hair & Aesthetics Hair • Botox • Beauty • Massages Shop 6, 72 Grant Avenue (Opposite Spar) Tel: 011 728 3251 or 084 578 6888 Open 7 days a week

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Summer 2013-14 at Fairlawns Boutique Hotel & Spa in the leafy suburb of Morningside Manor is set for urban delights, only minutes from the major attractions of Sandton, yet, nestled in tranquil private gardens, complete with delectable dining in The Terrace Restaurant and the award-winning Bali-styled Spa.

Elegant enough to host royalty from Europe, yet relaxed enough to be a ‘home from home, yet better’ for local diners and travellers, summer indulgences include a myriad dining, spa as well as overnight packages to sooth away the stresses of the past year… Summer packages include: Summer Indulgence package: A plush suite for 2 people sharing, including full English breakfast and seasonal berries served with the delightful Fairlawns sorbet and iced tea: R2895 per suite per night. Romantic Sunset Retreat: Welcome drink in the Spa, relaxing soak by candlelight in the Bali Spa garden with sparkling wine, Side-by-side Pressure Foot Massage and Soy Candle Wax massage, a la carte lunch or dinner @ R3500 per couple; Festive menus complement Fairlawns’ Diamond Diners Club Wine List Award for 2013, with delectable menu options including: scallops with apple & ginger; Knysna oysters; beetroot cured hickory smoked Scottish salmon served with wasabi spiced popcorn; chilled melon soup; crawfish salad; hickory smoked duck breast with glazed nectarine and pomegranate summer truffle; choices of carvery and hot buffet, include: roast leg of lamb, stuffed turkey breast and Yorkshire pudding; traditional Christmas pudding, old-fashioned Granny Smith apple pie, classic Black Forrest cake – and much more… Festive dining choices include: Christmas Day lunch @ R750 per person; Grand Christmas Eve Dinner @ R590 per person - contact the hotel for delectable dining options: open breakfast, lunch and dinner - bookings essential to avoid disappointment.

Contact Fairlawns at 011 804 2540/1/2/ - reservations@fairlawns.co.za www.fairlawns.co.za 1 Alma Road, Morningside Manor (off Bowling Road) – Sandton – Johannesburg, South Africa.

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