Totally Aesthetics Magazine Issue 2 by One Media

TOTALLY AESTHETIC SUPPLEMENTS Are they worth it?

FEMALE HAIR LOSS FOCUS 4 readers share their personal stories

WHAT IS MESOTHERAPY? Expert opinion on this prickly treatment

CHLOE JASMINE

talks clean skin from within

MISS PERU WILL SEE YOU NOW ●

EXCLUSIVE INTERVIEW ●

WITH SARAH PARISH

WIN A BANNATYNE SPA BREAK Those lovely people at Bannatyne Gyms and Hotels have given us a spa break for 2 and a fabulous readers’ offer

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CONTENTS ON THE COVER 6 MISS PERU WILL SEE YOU NOW We meet aesthetic doctor Dr Liesel Holler ex Miss Peru

WELCOME I am really excited to bring you another fabulous issue of

12 SUPPLEMENTS - ARE THEY WORTH IT Dr Jhoanna Ward tells us about supplements

Totally Aesthetic Magazine. This issue is packed with treatment information, regular advice from our columnists, new products and exclusive interviews.

18 FEMALE HAIR LOSS FOCUS 4 readers share their personal hair loss stories with us

Sarah Parish tell us her thoughts on ageing well, her favourite products and treatments in an exclusive interview. Chloe Jasmine

24 CHLOE JASMINE

shares her exclusive tips on keeping your skin clean from within

tells us how to keep your

and the men’s section is chocker with reviews, news and a premier

skin clean from the inside

league barber. Best of all in my opinion is the supplement section with cheeky ad from Wellman that includes TA Mag favourite Mr David Gandy.

68 WIN A BANNATYNE SPA BREAK Those lovely people at Bannatyne

Wendy Lewis tell us what is trending across the pond in the USA,

Gyms and Hotels have given

Dr Sarah Tonks tells us about new treatments and we shed some

us a spa break for 2 and a

light on microneedling and mesotherapy treatments.

fabulous readers’ offer

We hope you enjoy this issue as much as we have and don’t forget

46 WHAT IS MESOTHERAPY

to vote for your favourite clinic, treatments or products in the

Pam Cushing share her expertise

MyFaceMyBody Awards on page 66. Get in touch and tell us your thoughts.

on this prickly treatment

31 EXCLUSIVE INTERVIEW with Sarah Parish

COLUMNISTS Lisajane Davies EDITOR IN CHIEF

●

SPANISH KITTEN RESCUE ●

FEATURES

44 ANDREW HANSFORD

16 HAIR LOSS

Tell us exactly what medical

The Farjo Hair Institute

Microneedling is all about

explain the various types of hair loss

61 EMMA BENNETT SKIN WARRIOR

20 CURE GIRLS

Tells us how she treats her clients

Ladies fight to find a cure for

with a microneedling pen

Spinal Cord Injury

Please help fellow do gooder lunatics” Go to her cute kitten fund

64 TRANSFORMATION LAB ZOEY

28 WHEN GOOD SKINCARE GOES BAD

here: www.gofundme.com/2k3x2g7w

Shares new health products,

Do you know how

fitness trends and clothing with

long your skincare

special #TAMAG offers

lasts when open

The beautiful Samantha Womack is our cover star and when we heard that she needed help bringing her rescued kittens back from Spain we were happy to share. She said “They are so sweet and deserve to be rescued... So do I ! As my husband wants to kill me!!!!!

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MEDIA PARTNER OF

EDITOR IN CHIEF Lisajane Davies editor@totallyaesthetic.com +44 (0)1273 696 337

EDITORIAL Angela Ward theteam@totallyaesthetic.com OPERATIONS & ONLINE SHOP MANAGER Leisa Patrick hello@totallyaesthetic.com CONTRIBUTORS Wendy Lewis, Emma Bennett, Zoey Hughes, Stephen Handisides, Ross Linton, Kelly Morrell, Andrew Hansford, Pam Cushing, Chloe Jasmine, Bessam Farjo, Greg Williams, Dr Daniel Sister, Nicole Clowes, Paul Banwell, Sherina Balaratnam, Dr Johanna Ward, Dr Sarah Tonks, Dr Vincent Wong, With thanks to all of our advertisers and brands who have supported our case studies and generously given prizes for our launch. COVER CREDITS Sam Womack, Photo Michelle George PUBLISHED BY

one media and creative uk ltd

HEAD OF DESIGN Rowena Cremer-Price rcremer-price@markerstudy.com PUBLISHING DESIGN MANAGER Xela Ruy xruy@markerstudy.com DESIGN Natalia Bedwell nbedwell@markerstudy.com

32 BOTOX PARTIES RGN Sharon Bennett is

46 WHAT IS MESOTHERAPY?

54 TO SERUM OR NOT TO SERUM

blunt about the dangers

We look into the ancient

We take away the confusion

of group treatments

art of skin needling

surrounding these potent

40 WHAT ARE DERMAL FILLERS?

48 TRIED AND TESTED

Dr Sherina Balaratnam

new clinic treatments

potions Dr Sarah Tonks tries out

explains what to

59 WHAT’S HOT IN SKINCARE? Paul Banwell tells us more

look out for

52 EDITOR’S CHOICE

about active skincare

42 WHAT IS PRP?

Lisajane shares

62 5 STAR SPA REVIEW

Dr Daniel Sister

her newest beauty

5 star spa at The Lowry

goes back to basics

favourites

Hotel in Manchester

PRODUCTION CO-ORDINATOR Lauren Chalmers-Stevens lchalmers-stevens@markerstudy.com COMMERCIAL DIRECTOR Nick Moore nmoore@markerstudy.com ONE MEDIA AND CREATIVE UK LTD 16 Lonsdale Gardens, Tunbridge Wells, Kent TN1 1NU +44 (0)1892 779 650 • www.one-media.co Totally Aesthetic Magazine is published by One Media and Creative UK Ltd. All rights reserved. The views expressed in this publication are not necessarily those of the owner or publisher. All prices are correct at the time of going to print. Neither the publisher nor the owner can accept responsibility for any errors or omissions relating to advertising or editorial. No part of this publication may be reproduced without prior written consent from the publisher or owner. No responsibility is taken for unsolicited materials or the return of these materials whilst in transit.

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MISS PERU

WILL SEE YOU NOW We heard there was a fomer Miss World entrant practicing medicine in central London and Cheshire. There is! We went to meet Dr Liesel Holler a surgeon and aesthetic doctor and found the very friendly and beautiful ex Miss Peru at her practice in London

r Liesel is a truly inspirational women, highly trained

in Peru and they visit often and on one such visit in 2004 she

as a surgeon, she speaks 5 languages and is now an

was ‘spotted’ by the talent agents for the Miss World series

accomplished aesthetic doctor who came to the UK

of beauty pageants. Despite not having lived in Peru for 10

in 2008 with her husband. Born in Peru, the daughter of a

years she was still a native and therefor qualified to enter for

beautiful mother and famous 1984 rally driving champion,

her country. Her family were no strangers to the Miss World

she had an idyllic childhood until one day her father did not

Pageants, her Aunt won in 1965. The problem was that Dr

return from a training drive. After his death when she was

Liesel was 3 years into her medical training at home and

10, her mother who was just 25, was left to raise Liesel and

the rules if you are a winner of Miss Peru are that you have

her sister and they then moved to Sweden. Life got better,

to promote the pageant for 12 months following. She was

Stockholm was a fantastic place to grow up, her mother

excited to be given the opportunity but made it clear that

remarried and she met her childhood sweetheart, now her

she would only be able to be away for 6 months at this key

husband, whilst at school. She tells me that she recognised

time in her medical training in Sweden and they agreed so

her passion for medicine at a very young age and began

she entered.

medical school in 2000. She was already an F1 by 2004 and began to specialise in surgery as a surgical trainee. Dr Liesel has always remained very close to her family back

The Pageant came around for Miss Peru and she won and for the next six months she travelled around Peru judging and crowing the next year’s regional finalists. She was also

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She is now focusing more on her passion for aesthetics and she loves balancing this with her life as a mother and wife

entered into Miss Earth and Miss Caribbean, she won again 2005 and spent another 6 months travelling around all of the gorgeous islands crowing the potential winners for the next year. You could say this is where she developed her eye for beauty that she now

uses in her cosmetic work. Although the time she spent back home and in the Caribbean was enjoyable, Dr Liesel was determined to make a difference to the poverty that is still suffered by so many people in Peru and partnered with her aunty, Frieda Holler (Miss Peru 1965) to co-found a charity called Angeles Peruanos to sponsor kids and help support their mothers to get them through school. She was very involved doing health lectures, medical campaigns and also holds charity events in London for funds to we send funds every year for our sponsored kids. Despite flying to every Caribbean island to crown winners, also entering Miss Universe and numerous offers of TV and film work Dr Liesel returned to medical school back in Sweden to finish her degree and gave up the life as an international beauty star. So by 2006 she was back in med school, began surgical training and moved to the UK in 2008 and went on to have 2 beautiful children. Maybe then, not the person you would think to still work a 24 hour shift in the intensive care unit of an NHS hospital which she currently combines with aesthetics at the heart of London’s Mayfair. She is now focusing more on her passion for aesthetics and she loves balancing this with her life as a mother and wife. Dr Liesel is not like any ordinary woman I have met, more like a wonder women, yet remains very grounded, focused, family centric and caring – what more could you ask from your doctor! If you want to see Dr Liesel you can find her at Raj Acquilla’s Mayfair clinic and also the lovely Aesthetics lab in Primrose Hill. Why not fill in our online patient

L E N S W O R K S P H OTO G R A P H Y

enquiry form for your appointment today www.totallyaesthetic.com/enquiry

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BEAUTY TECH Wendy Lewis reveals what’s trending across the pond from IV vitamin drips to stem cells for hair loss

n America, the old want to get young again and the younger want to stay young. Fortunately, there is enough on offer to satisfy even the most discriminating clientele. You are what you eat, or in some cases, what you don’t eat. Young Hollywood is buying into the idea of clinics offering customized IV drips infused with vitamins, minerals and other forms of nutrients transported directly to the cells as a complement to oral supplements and a healthy (aka starvation) diet. Each IV treatment can be customized with select ingredients to target the individual’s needs. Aethern®

Advanced Nutrition Skin Beauty Program (Biorganic Pharma, Barcelona) entered the market with a new way to transform your skin from the inside out. Their innovative nutritional collagen-based formula created with 14 special ingredients in one drinkable 25 ml dose that is equivalent to swallowing 25 vitamin tablets. The system is launching at leading cosmetic dermatologist Dr. Ava Shamban’s new spa, Skin X Five, in the Pacific Palisades, and will be available only in clinics and medical spas. Many practitioners are now combining topical growth factors with energy based treatments to enhance the skin

rejuvenating results of lasers and skin tightening devices. The 3 product range from Defenage® (defenage.com) was developed by a PhD scientist and focuses on molecular specificity to stimulate stem cells that live in the hair follicles. Defenage products turn on the stem cell (your body’s own wound healing process) resulting in the creation of proteins from a young cell, and a slew of leading dermatology researchers are championing

this technology. Sciton’s HALO (halobysciton), the world’s first and only hybrid laser, is arising as the treatment of choice for glowy skin among the red carpet set. This novel system combines two wavelengths, ablative and non-ablative, to the same or different microscopic treatment zones to provide ablative results, with the lighter downtime of non-ablative treatments so it is customizable to precisely

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target the skin damage that needs help. Halo combines deep dermal rejuvenation with epidermal renewal for a combined synergistic effect that takes years off a dull, sun damaged complexion in just a few days of redness and flaking. The FDA approved injectable drug from Allergan, Kybella® (mykybella.com), is getting a ton of attention for its ability reducing chin fat. It is a synthetic form of deoxycholic acid, a naturally occurring molecule that breaks down fat. After a series of injections – as little as two and as many as six – fat gets dissolved and your jawline looks younger, slimmer and more defined. It works for women as well as men and is an alternative to liposuction without the surgery. On the horizon, Topokine Therapeutics that was acquired by Allergan, is working on a topical agent for the treatment of undereye bags. Applied to the lower eyelids once nightly, the experimental drug XAF5 penetrates the skin and acts on fat cells to shrink puffy fat deposits. But fat cells do have their place, and a new technology called Kerastem Hair Therapy (kerastem. com), says it’s on your head to grow hair. The method is CE marked and currently undergoing a multi-center clinical trial in the USA. It uses your own naturally derived stem and regenerative cells found in fat of the hips and thighs to treat female and male early stage hair loss. The holy grail of aesthetic treatments is a real cure for cellulite, which most women, even size zero supermodels, have. Regrettably, most cellulite

treatments have not stood the test of time and rarely come with serious scientific studies to prove that they actually work. The most recent cellulite solution is Cellfina® from Merz Aesthetics and it’s making a splash for destroying dimples with clinical data that shows duration of results of two years, the longest of any FDA cleared treatment to date. It is a clever device that treats the structural cause of dimples, the connective bands woven throughout fat in the thighs and buttocks that pull down the skin and create puckering. Cellfina works to reduce the tension so skin bounces back to a smoother surface with a few days of downtime. If you’ve got a scar, Stratpharma from Switzerland (stratamed.com) may have the answer. Stratamed® can be found in dermatologists’ and plastic surgeons’ clinics used for speedy healing of surgical scars. It can be used immediately after cosmetic surgery or laser treatments applied straight away like a liquid bandage in a tube. Wounds heal quicker and better, which means less scarring, reduced risks of infection, and a better cosmetic outcome. The first step is admitting that you have a problem; I am seriously ‘app-dicted’ and this one caught my eye. A new beauty app by ModiFace (modiface.com) uses a live video simulation technology that shows how skincare products will look on your own skin. Created by dermatologists, this unique face and skin mapping technology facilitates details of the skin to be analyzed and shown as life-like visualizations. How cool is that?

Do you have a question for Wendy Lewis? Email her at ASK@totallyaesthetic.com today and she will come back to you asap! Find out more beauty and aesthetic facts here on her website www.beautyinthebag.com

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NUTRITIONAL SUPPLEMENTS

A WELLNESS CHOICE OR WASTE OF MONEY? The British public spent over £750m in 2013 on dietary vitamin and supplements, of which multivitamins accounted for £138m and fish oils for £139m. With one third of the UK taking vitamin and dietary supplements is there enough robust evidence in favour of us taking nutritional supplements or can we get everything we need from our diet? BY DR JOHANNA WARD

A bit of the science:

A balanced diet:

All cells in our bodies need a few vital things to survive: oxygen,

With a few exceptions, vitamins need to be taken in the diet daily,

glucose, water, amino acids, nutrients, a blood supply and a waste

because humans cannot make them. So can we get everything we

removal process. Without these we cannot survive. Vitamins and

need from a well balanced diet? This is the bit the scientists, researchers,

minerals form part of the cell’s vital nutrients and allow cells to

media and medical professionals argue and debate about. The crux of the

function, to communicate, to create (calcium, Vit D), to act as

problem is this: It’s a total generalisation to assume that everyone eats a

co-factors, to regulate cell membranes (magnesium), to stabilise

healthy, balanced diet. Some do, some don’t. The other problem is how do

DNA (magnesium & zinc), to act as antioxidants (selenium, Vit A & C)

you know if you have everything covered each day? The truth is you don’t.

and to fortify. Without nutrients, cells cannot function properly and begin to decline. Scientifically there is no debate. Without vitamins and minerals we cannot function, let alone be healthy, happy and thrive.

In a perfect world, no one would need to use supplements. A balanced and healthy diet would be enough. But there is another problem. Over the last 50 years western food has become nutrient depleted due to modern soiling, intensive agriculture, fast crop growth, refining processes,

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pesticide use, pollutants and cooking processes. The soil we use to

Some groups of people should take certain supplements. These are

grow our crops is nutrient depleted due to its high turnover, plants are

the under 5’s, pregnant and breastfeeding women and those who have

treated with chemicals and pesticides so they no longer have to nourish

confirmed deficiencies. Their doctors will guide them as to which ones to

themselves, animals and livestock are artificially fattened, fed and cooped

take. Anyone who is on a restricted diet such as vegetarians, vegans, gluten

up without the ability to roam free on nutrient rich pastures. Then there

free and low calorie diets may also benefit from supplementation. For the

is the refinement process. Foods are so over processed now that lots of

rest of us which supplements are safe and which ones should we take?

nutrients are lost en route. Foods have to be ‘enriched’ because they are

The first thing to say is that too many vitamins or minerals can be bad.

(ironically) so impoverished. ‘Fresh’ fruits and vegetables often spend

We shouldn’t overload on vitamins and minerals because doing so can

weeks on ships and in cargo coming to us, each day losing their vital

have hazardous consequences. Water soluble vitamins (C & B vitamins)

nutrients. Then the way we cook our foods often blasts away the final

are generally excreted in the urine if taken in excess. Fat soluble vitamins

bit of nourishment. Add to this the fast paced, stressful and ‘on the run’

(A, D, E & K) are stored in the liver and can cause poisoning if taken in

lifestyles that many of us lead and its easy to see all of a sudden that many

excess. Supplementation should be about filling in the gaps that your diet

of us might be vitamin or mineral deficient and may benefit from a daily

leaves, or boosting your levels up to the daily recommended intake, not

metabolic boost.

taking more than is required.

Supplements:

supplements that I often recommend to my patients. Personally,

Supplements are a means of boosting your nutrient delivery to your cells

I recommend brands of supplements that do not give 100% of the RDA

and a way of ensuring that your body gets what it needs on a daily basis.

but act as a booster to the RDA. Many brands contain more than the

The aim of supplementation is optimum nutrition delivery and optimum

daily recommended dosage levels, which is necessary and potentially

cellular function. Supplements are not meant to replace food or give you

problematic. If you think you might be deficient in any way then the

100% of your RDA.

best place to start is a trip to see your GP.

SUPPLEMENT VITAMIN C

VITAMIN D

VITAMIN B (8 OF THEM)

IRON CALCIUM

Below I have complied a list (by no means exhaustive) of the

WHO SHOULD TAKE?

BENEFITS

Smokers, low citrus fruit intake, restricted diet

Collagen, anti oxidant, wound healing, skin health, wellbeing

Everyone in UK advised to take 10mcg in winter months (adult dose). Children take less.

Bone density, prevents rickets & osteomalacia/porosis, muscle health, strong teeth

Vegans, vegetarians, low calorie/ restricted diet & low dairy

Multi-functioning, helps in virtually every cellular function, skin health, energy

Women with heavy periods

Production of haemoglobin, prevents anaemia

Low dairy, restricted diet

Vital for healthy bones

OMEGA 3

Take if you don’t eat oily fish at least 2 x per week

Vital for healthy brain, heart, joints & skin

MAGNESIUM

High alcohol, high caffeine/fizzy drinks

Co-factor in over 300 cellular processes

ZINC

Restricted diets, over 55

Co-factor in over 300 cellular processes, skin health

FOLIC ACID

Pregnancy, restricted diets

Cell division & growth, prevents anaemia, brain & energy

GLUTATHIONE

Restricted diets

A master antioxidant, health, anti-ageing, detoxifies, protective 13

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Dr Ward Profile Dr Johanna Ward is a GP, presenter and co-founder of soon to be launched ZENii, a skincare, supplements and wellness company that seeks to provide intelligent anti-ageing and health care advice. ZENii is founded on the principles of protect, nourish, fortify and repair and seeks to educate the smart consumer to make better choices to become healthy and happy.

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SUPPLEMENTS UNDER REVIEW

INGENIOUS BEAUTY ULTIMATE COLLEGEN+

Ultimate Collagen+ is the only collagen peptide supplement on the market with a globally patented delivery system to ensure maximum bio absorption. www.ingeniousbeauty.com £200 for a 120 day course

DERMACOLL

Dermacoll is a breakthrough anti-ageing supplement that works by stimulating repair and regeneration where it begins in the deep layers of the skin. It stimulates skin metabolism and production of new collagen directly from the inside. Dermacoll uses a scientifically proven form of collagen peptides, blended with other active ingredients to achieve the highest absorption in humans. It also uses Verisol which is a bioactive form of collagen peptide which when taken orally, has been scientifically proven to increase skin hydration and prevent wrinkle formation. www.dermacoll.com £22 for a 30 day course

WELLMAN THE ORIGINAL SUPPLEMENT FOR MEN

REGIME DELUXE COLLAGEN

Enhance your natural beauty with this perfect combination of natural marine collagen peptides and vitamin C. The formula uses Peptan® collagen, which has been shown to support the elasticity of the skin and help to fight against the visible signs of skin ageing. Peptan® collagen peptides are natural, high quality Type I collagen peptides, which means that they are identical to the collagens found in human bones and skin. Peptan® collagen contains 18 important amino acids, including glycine, proline and hydroxyproline.

Wellman is different from a regular multivitamin as its formula has been optimised for men’s health on the basis of international research evidence, so some nutrients are provided at levels above the Nutrient Reference Value. While Wellman provides a core source of all the major vitamins and minerals, it also provides more than 100% of certain nutrients, plus Siberian ginseng, Co-enzyme Q10 and amino acids. www.vitabiotics.com/wellman £8.55 for a 30 day supply

www.regime.london £21.99 for a 30 day course

LQ Skin, Hair & Nails – Michelle Keegan’s recommended product. Whilst it can’t promise eternal youth, LQ Skin, Hair & Nails, may offer the next best thing. Heralded as the non-invasive answer to collagen fillers, the ‘super shot’ drink is the first of its kind to contain all three of the most effective skin anti-agers in one hit - collagen, resveratrol and hyaluronic acid – along with a broad spectrum of advanced antioxidants to fight off lines and wrinkles and loss of skin tone. (Holland and Barrett & www.hollandandbarrett.com ) £29.99

SKINADE

Developed by leading UK scientists, Skinade works by using hydrolysed collagen and high quality vitamins to rebuild, strengthen and support the body’s collagen matrix that resides just below the surface of the skin. One bottle a day significantly boosts the skin’s hydration levels to help plump fine lines and wrinkles, reignite skin’s natural radiance and firm lacklustre areas to create a more youthful looking complexion. www.skinade.com £66 for a 20 day course

REVIDOX

60 day supply of REVIDOX+ is a next generation food supplement. It is backed by clinical trials which helps to strengthen the antioxidant barriers of the skin in order to combat cell ageing. REVIDOX+ Helps maintain healthy hair, skin and nails as well as adding to normal cognitive function. INGREDIENTS: STILVID®, Pomegranate Extract, Selenium, Vitamin C, Vitamin B2 & Zinc. www.revidox.co.uk £35 for a 60 day course

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HAIR LOSS HAS MANY NAMES From giving up sex to rubbing caffeine directly into your hair follicles, much has been discussed in the public sphere about ways to combat hair loss, but little has been actively done to educate around the types of hair loss one may suffer from over the course of their lifetime.

BY BESSAM FARJO hile a certain number of

by age, disease and environmental factors. Even

factors can impact the growth

your choice of headwear can, over time, affect the

or depletion of a hair follicle,

length, quality and growth of your hair!

MALE AND FEMALE PATTERN BALDNESS

Male pattern hair loss – also called androgenic

Bessam Farjo, director of the Institute of

alopecia – occurs when there is a receding

Trichologists and founder of the Farjo Hair

hairline and gradual disappearance of hair

not to mention the fact that each hair follicle has

Institute talks us through the most common

from the head. Typically, the hairline moves

its own life cycle and that they can be influenced

types of hair loss.

backwards and forms an ‘M’ shape, particularly

it’s likely to be the result of a specific type of hair loss. That’s

The gene bank of mum and dad, stress, childbirth, hormones or cosmetic procedures all impact the quality of your hair over the years

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receding along the temples. Hair will become

ALOPECIA AREATA

finer, shorter and thinner and can also leave

This condition is often referred to as ‘patchy’ hair

the crown revealed, which is when talk of

loss, and it’s the cause of round areas of hair loss

toupees becomes less of a joke and more

which can affect the scalp, face, eyebrows, legs,

of a potential reality! While it’s a condition

arms, or anywhere that hair naturally grows. It

that men will be more predisposed to, a hair

often makes sudden appearances, but the hair

transplant becomes a viable option if there is

usually grows back within six months to a year, so

enough donor hair to supply the site with.

it’s a short-term concern for many. However, the

Female pattern hair loss typically involves

patch of baldness may wander, expand or retract

a general thinning of the hair across the

rather than clear totally. It’s generally considered

entire scalp, with the more extensive – and

an autoimmune condition, as the body is

obvious – loss occurring at the front, while

effectively attacking itself. In particularly bad

the hairline itself won’t usually recede. The

cases, it can lead to alopecia totalis, where the

pace and severity of female pattern hair

entire scalp or affected area loses all of its follicles.

loss is far less drastic than with men, but

Long-term treatments – such as stimulating

it doesn’t mean it’s any more comfortable

ointments and topical creams or injectable

for the patient.

drugs– are amongst the solutions to this.

TRACTION ALOPECIA

This is one for the ladies (and gents) who add extensions or engage in tight hairstyles or braiding. Traction alopecia occurs when there is pressure on the hair follicles, due to the extensions and glue pulling on the hair follicles.

TRICHOTILLOMANIA This is a psychological condition that some people suffer from, where they have the habit of voluntarily pulling or twisting hair out from the scalp, eyelashes and eyebrows. It’s most frequently seen in children but does affect adults, too. While we would never advocate a transplant until the underlying psychological problems that led to this condition are well and truly treated, it’s often a positive final step on their route to recovery, as well. While there are a number of types of hair loss, it’s still not known why some follicles are programmed to have a shorter growth period than others – the gene bank of mum and dad, stress, childbirth, hormones or cosmetic procedures also impact the quality of your hair over the years. If you’re in doubt, it’s always worthwhile seeking the advice of a professional and have your concerns appeased.

Totally Aesthetic Magazine is working with Greg Williams of The Farjo Hair Institute to explore 4 different types of female hair loss with our readers and we will share their stories with you over the coming months. See page 18 to find out more.

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SURGICAL CONSULTATIONS

FOR HAIR LOSS WHAT CAUSES HAIR LOSS IN WOMEN? In order to illustrate the varied causes of hair loss in women, 4 different patients were selected to be seen and assessed by Dr Greg Williams, a plastic surgeon specialising in surgical hair restoration, based at the Farjo Hair Institute in London’s Harley Street.

Case Study #1 - TANIA

Age 51 Duration of hair loss – over 10 years What does she think caused her hair loss

Suitable for a hair transplant? Yes

I never did have a really thick head of hair. While I was pregnant the thickness and condition

Provisional Plan

improved greatly. My last child was born when I

See a dermatologist who specialises

was 40. After I stopped breastfeeding him things

in hair loss to confirm the diagnosis

changed. It got much thinner. By the time I was

and offer non-surgical topical +/- systemic

in my late 40’s it was significantly thinner. During

oral treatment to stabilise hair loss explore

that time I did have a lot of sad things happen

the non-invasive option of low level light

and anxiety ... By then I had sought medical help,

therapy (LLLT) or the slightly invasive

spent a fortune on Noukin supplements and also

option of platelet rich plasma (PRP) injections.

Regaine lotion. www.regaine.co.uk/women

Look at the effect that can be achieved with cosmetic camouflage products and

What Dr Williams thought was causing her

consider the option of semi-permanent

hair loss

micropigmentation (SMP) consider having

Advanced Female Pattern Hair Loss (FPHL)

a hair transplant to frontal area

Case Study #2 - MICHELLE Age 40 Duration of hair loss - 2 years

What she thought was causing her hair loss

What Dr Williams thought was

I had noticed the texture and manageability

causing her hair loss

of my hair was deteriorating over the

Alopecia Areata

period of a few months and whilst washing my hair one day I first noticed

Suitable for a hair transplant? No

a very smooth large patch of hair loss at the back of my head near my lower hairline.

Provisional Plan

I went to see my GP but was only offered

See a dermatologist who specialises in hair

a steroid treatment but I chosen not to

loss to confirm the diagnosis and offer non-

take pharmaceutical drugs but would

surgical treatment look at the effect that

love to find a more holistic way to manage

can be achieved with cosmetic camouflage

my hair and hair loss.

products and treatments like Regaine.

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Case Study #3 – LISAJANE

Case Study #4 – HEATHER

Age 42

Age 50

Duration of hair loss - I lost 40% of my hair in 5 months.

Duration of hair loss 12 years

What she thought was causing her hair loss

My hair came out excessively from the front region of my head. I was

I first noticed a change in my hair texture when I became ill 12 years

so worried that I became too scared to brush, wash or colour my hair

ago with a rare auto-immune illness called Sarcoidosis. My lungs

without losing more but it had to be done.

had abnormal nodules called granulomas and I was prescribed

My GP told me it was just my age and I could not pin point any real

prednisolone steroids but I decided to self heal without the use of

change in my life other than trying out a new ‘clean eating’ diet and life

drugs. My initial hair symptoms show a change in hair thickness/

is always stressful so no change there. I was taking supplements for

texture..... Especially when my immune system is low......Stress is a

health and beauty but nothing else. Luckily as I am in the aesthetics

huge trigger for this! My hair feels like soft baby fine hair and each

industry I was able to get Viviscal Professional hair supplements at the

hair strand feels half the thickness and lacks lustre.....volume and

start of this year. Find out more here www.viviscalprofessional.co.uk

snaps easily. My temple areas become finer and due to it being weightless if I don’t I wear it up in a knot then it means I need to

What Dr Williams thought was causing her hair loss

wear a clip-in hair extension for thickness and volume but they have

Telogen Effluvium (shedding of hair) from a fad diet, normal age related

caused bald patches.

deterioration, early Female Pattern Hair Loss (FPHL), or a combination What Dr Williams thought was causing her hair loss – uncertain,

of these.

possibly normal age related deterioration, generalised health issue Suitable for a hair transplant? No

related to pre-existing diagnosis of sarcoidosis, Female Pattern Hair Loss (FPHL), or a combination of these.

Provisional Plan Return to a balanced healthy diet and monitor hair recovery over next 12

Suitable for a hair transplant? Possibly

– 18 months. Consider nutritional supplements for hair such as Viviscal or multivitamins see a dermatologist who specialises in hair loss to do a full

Provisional Plan

diagnostic workup to confirm the diagnosis. See a trichologist for advice

See a dermatologist who specialises in hair loss to do a full diagnostic

on hair care regime to optimise hair volume and health. Lisajane has

workup to confirm the diagnosis. See a trichologist for advice on hair

really long hair at the back which has left her with almost 2 hair lengths

care regime to optimise hair volume and health Consider nutritional

with new growth and has also opted for Jo Hansford bespoke volumising

supplements for hair such as Viviscal or multivitamins. Explore the

treatment using the very latest hair extension technology. Brilliant for

non-invasive option of low level light therapy (LLLT) or the slightly

adding back the volume that I had lost now that my hair is definitely on

invasive option of platelet rich plasma (PRP) injections. Consider

the mend and no longer falling out. From £250 www.johansford.com

having a hair transplant to temporal recessions.

ach case study had a different presentation

their hair loss, if it can be treated surgically, and if

coming months. If would like to see

but all were distressed by their hair loss

so, whether the treatment is something they want

Dr Greg Williams or another specialist

and wondered if they were suitable for a

to, and plan to, embark upon.

simply fill out our patient enquiry

hair transplant procedure. We will follow them

Find out how these ladies get on as we follow

form on our website

through their journey to discover the cause of

their personal hair loss journeys over the

www.totallyaesthetic.com/enquiry

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FIERCE, FEISTY & FIGHTING FOR A CURE

Meet the cure girls!

We are a group of women from across the world living with a spinal cord injury and have one mission - to make chronic spinal cord injury CURABLE! BY LORRAINE ‘LOLLY’ DASKILL

he Cure Girls are fighting for the 2.5 million

I was injured back in 2004 on a night out with

people worldwide living with paralysis to

friends. I was in a nightclub and a man came

find a cure. We spend everyday working

off a balcony above me, landing on my head

together finding ways to support medical research,

and leaving me paralysed at c4/5 level from the

organising fundraising initiatives, campaigning and

shoulders down. Confined to a wheelchair and

raising awareness.

needing 24 hour care, my dream is to regain my

The reason behind this image is at this moment

independence and do even the smallest things

in time it’s not very PC to speak out and say WE

that people take for granted like dressing myself,

WANT A CURE ! We are looked upon as being sad or

doing my own hair etc. Not only can I not walk I

deluded or not accepting and getting on with our

don’t have hand function also. Paralysis is not the

lives. Well, we are not depressed or deluded and we

only issue we have to deal with.

still live our lives to the fullest BUT behind our smiles and make-up on these glamorous pictures there

The constant battle with sci includes:

are women struggling to be free and independent

● 50% loss of breathing capacity

again and only a cure can give us that! We won’t

● Chronic neuropathic pain

just accept destiny and move on with our lives but

● Constant bladder infections

we are fighting to make the impossible, POSSIBLE!

● Having to be on medication

There are people living with high level injuries

● Unable to cough unassisted

like the late Christopher Reeve, who cannot even

● Risk of pressure sores

breathe unaided and we are a voice for all. When

● Spasms

you look at us you may think that there is nothing

● Regular visits to hospital for health checks

wrong but in fact we want to tell it how it really is

on major organs, bladder, bone scans

living with a spinal cord injury and the importance

● Osteoporosis

of a cure for us.

● Muscle wastage

We want to walk on the beach and feel

● Psychological problems

the sand in our toes, hug and hold hands

● Swollen joints

with our loved ones.

● 24 hr care if you’re a tetraplegic like myself

Only a cure can give us this back!

LOLLY’S STORY I was having the time of my life, travelling, a fun

● Weight problems-not burning calories ● High cholesterol ● Have to do regular physiotherapy to maintain health

job which I loved. I worked in the beauty industry for prestigious companies and had many clients

So as you can see, this is why we want a cure for

who became dear friends also many celebrity

paralysis. We miss our active, healthy lives and want

clientele. I loved to party and won Party Girl of the

them back! Spinal cord injury does not just impact

Year in a national newspaper, did some filming

the person it happens too but all their families too.

after being whisked of to Spain for Sky TV and also

We do what we do and raise money to research a

photoshoots, living the dream and loving life but all

cure as it is not funded by the government at all.

changed in an instant!

I’ve done many things and held fundraising events.

Lolly, Loredana and Marina Photographer: Michelle George Location: The Hospital Club Make up: Lauren Kay Hair by Kara Photography assistant: Sarah Monrose

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Even jumping out of a plane to raise over £3,000 for Spinal Research. In all I’ve raised over £40,000 for vital research for a cure. This campaign is to show that we all need to fundraise & do whatever we can to speed up the process of a possible cure so that it will happen sooner rather than later!

LOREDANA’S STORY I was only 17 years old when I was involved in a car accident with my family which left me paraplegic. I am an active person with an extremely busy life, a graduate, I have full time job and is politically engaged but I don’t want to spend the rest of her life confined to a wheelchair so I decided to create the Cure Girls blog. I work very hard on a daily basis with the CureGirls and I spend a lot of time to raising awareness and fundraising so that it gets donated directly to research initiatives that focus on curing chronic spinal cord injury.

MARINA’S STORY At present I’m a student of psychology at the University of Bologna but at time of my injury I was a professional cyclist and had a promising career in Italian cycling. In June, 2010 I had a very serious accident during my cycling training when a car cut me up making me come crashing off my cycle. Since that terrible day my life has changed radically. I was taken to hospital with very serious conditions then went into a coma, I came out of the coma on June the 9th which was my 22nd birthday. Since that day I’ve been paralysed from the waist down and confined to a wheelchair, because of a spinal cord injury. In spite of the many difficulties I face and the obstacles that a paralysed person has to face on a daily basis that doesn’t make me lose the will to fight in order to have my healthy, active life back. During the long period which I spent in hospitals and rehabilitation centres, which is still going on, I really discovered the pain of human cases that are even more dramatic and awful than mine. It is for this reason that with my family and closest friends I set up the non-profit Marina Romoli Onlus with the aim to support research focused on research into therapies able to cure spinal cord injuries, but also helps people under 30 under who have been involved in sports and have been victims of road accidents. We help them financially in order to help them pay the very expensive costs of therapies and rehabilitation. My charity has raised over 200.000€. You can help us in our quest to find a cure by contacting us, donating or supporting us here: Donations can be made through Marina’s charity called MARINA ROMOLI ONLUS here is the link: www.marinaromolionlus.org /en/support-us/donations Or via my website: www.LollyMack.com

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CLEAN UP YOUR SKIN BY CHLOE JASMINE

Do you happen to be one of those naughty individuals who rants and raves about their low energy levels and terrible skin whilst chomping on a Mars bar, quaffing on a latte and are oh so excited about the happy hour count down?

he Red Bull and 5 cigarettes to justify

Let's talk about dairy

combatting the “stress” of work, the

Is your skin a veritable mess? The reason that milk

drinking coffee include: protecting against type

gigantic box of chocolates après breakup

The potential health benefits associated with

products sometimes cause acne is because milk

2 diabetes, Parkinson's disease, liver disease, liver

and failing to remove make up last night because

contains hormones that "turn on" oil glands and

cancer, and promoting a healthy heart. It can also

the wipes were not situated on the bedside table,

contain inflammatory substances that clog your

assist in burning fat and has been linked recently

littered with hundreds of beauty products you

pores. It is one of the prime causes of breakouts

with preventing Alzheimer's.

“never get the time to use”?

in sensitive individuals. Try ditching the dairy and

But stick to 4 cups or so a day. Not 6 shots

the results could surprise you.

swimming in milky foam and caramel syrup. heavy can also cause these break outs as well.

body/blood can cause inflammation at a cellular

How many coffees are you drinking a day? Diet cokes? Come on, be honest :)

level which I shared in my post last issue at

Caffeine also magnifies your body's stress

a clean, healthy diet full of nutrient rich fruits and

the beautiful Juicy Oasis with the Juice Master,

response, boosting stress hormones that lead

vegetables, de-stress, and sleeeeep.

Jason Vale.

to acne. Coffee drinks are often spiked with milk

According to Mintel, the market research

and sugar, which are two of the top four dietary

company, the UK’s beauty and personal care

acne triggers.

market was worth a pretty impressive £16.6

I’m sure your intentions are good, just exceptional but it’s time to take action and start looking after yourself. Too much sugar in the

Alcohol/sugar beverages cause inflammation in the body and results in an acne breakout! As a hangover cure you reach for gallons of coffee

It can also trigger cravings for skin no-nos. That

Diets that are carbohydrate, dairy, and sugar The best way to balance your hormones levels is

billion in 2014, up from £13.8 billion in 2009.

and a salty greasy breakfast with a few pastries

compulsory 5 digestives, or wafer bar which

Within that, cosmetics sales reached £1.34 billion

chucked in because “why the heck not”!

accompany it rather wonderfully. Perhaps a little

last year, while sales of women’s facial skincare

caramel waffle would be just charming. It also

hit £1.06 billion. UK sales of men’s facial skincare

reach for a green smoothie and a plate of

can impair your body's ability to absorb minerals

coming in at £96 million.

vegetables instead?

from food AND disturb your gut flora and

Would you hate me if I told you to

Eating more alkaline foods like green veggies can balance the acidity (caffeine, meat, dairy,

obviously dehydrates the body (being a diuretic) It’s not all doom and gloom however (In

Please seek the answers internally before drastic measures are taken. Ageing is inevitable sadly. But taking care of yourself is a CHOICE.

sugar) in your system. The lack of hydration is

fact I am sat here with a freshly ground coffee

Of course, I come speaking from experience.

a killer, so keep those green teas and mineral

mask with lemon, manuka honey and jojoba

As a sufferer of acne, I was forced to reassess

waters going. Stop poisoning yourself and start

oil as we speak. Leave for 15 minutes and voila.

my habits. I dutifully scribed my daily diet and

loving yourself.

Microdermabrasion with a kick!)

monitored my water and sleep levels. Ladies and

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THOMAS HOLE @HOLE400

gentlemen I was horrified!

A pint of lemon water every morning is most

of jojoba oil closely resembles that of sebum

5 double espressos were the answer to the

excellent for the early morning slump too. We

produced by the sebaceous glands of the skin.)

early call times.. the chocolate truffles which

are 80% water. So DRINK it!

Safe, non toxic and antibacterial - useful for

were permanent handbag fixtures- natch - and energy drinks fuelled the late nights. I was a

Juice Master Shots

human receptacle of hormones , stress and

Ginger shots in the morning and a

nasty chemicals.. and then wondered why all the

mouthwatering blend for breakfast on the go.

products simply were not working.

www.juicemaster.com

My skin savers (in conjunction with a healthy vegetarian and balanced diet are)

Jojoba from Denise Brown Close to the skinâ&#x20AC;&#x2122;s own sebum (The composition

problems including acne, eczema and psoriasis. . My hero product. www.denisebrown.co.uk

What products and make up am I loving this month! I also am a little partial to a WOW mask and I cannot wait to try the pHformula No Peel Peel with the Skin Warrior that is Emma Bennett.

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WHEN GOOD SKINCARE

GOES BAD Just like food, cosmetic products and skincare expire too and when they do, they become ineffective and possibly dangerous by harbouring bacteria that can cause infection. Do you know how long your lotions and potions should last for and are you rubbing harmful bacteria onto your skin everyday?

BY LISAJANE DAVIES

ccording to a recent study published in the International

All cosmetic products have a shelf life once opened. The shelf life of

Journal of Cosmetic Science evaluating the makeup

cosmetics is important because even an effective preservative system will

routines and habits of 44 women, 70% of these women

lose efficacy after a certain amount of time and at that point the product

used some type of expired product—mostly eye makeup

can become contaminated with bacteria and moulds. Also, many active

(mascara, eyeliner, eye shadow). The researchers sampled

ingredients are surprisingly fragile; it’s only a matter of time until oxygen

the eye makeup for contamination, and found that 67% contained

and heat render them useless. In the US, there is no requirement for

potentially harmful levels of microorganisms (including Staphylococcus

cosmetics manufacturers to put this information on their products. The

Corynebacterium and Moraxella, all common in bacterial skin infections).

European Union has a system called “period after opening”.

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Period After Opening (PAO) The PAO symbol is simply an open jar with a number followed by the letter M,

Sharing makeup increases the risk of contamination. “Testers” commonly

which indicates for how many months the product will last once it has been

found at department store cosmetic counters are even more likely to

opened. So “12M” means you should throw the product

become contaminated than the same products in an individual’s home. If you feel you must test a cosmetic before purchasing

away 12 months after opening it. Products that last 30

it, apply it with a new, unused applicator, such as a fresh

months or slightly less, instead, are only required

cotton swab.

to display a “best before” date. Manufacturers determine the appropriate shelf life based on the shelf life of the raw materials and internal stability testing. It is important to note that expiration dates are simply “rules of thumb,” and that a product’s safety may expire long before the expiration date if the product has not been properly stored. Manufacturers don’t take into consideration how the product is stored and used by the consumers. If a product has been exposed to heat, light or bacteria for instance, it will lose its

The shelf life of cosmetics is important because even an effective preservative system will lose efficacy after a certain amount of time and at that point the product can become contaminated with bacteria and moulds

A Guide To Skincare Product Expiration Dates How long a skincare product lasts also

depends on how it is stored and used, so the following expiration dates should be taken as general guides rather than exact indications:

effectiveness and go bad sooner.

MAKEUP  MASCARA liquid or gel eyeliners: 4 to 6 months (always throw away dry/clumpy mascara – never add water or saliva to moisten it)  CREAM LIQUID OR STICK FOUNDATIONS OR CONCEALERS 6 months to 1 year  POWDER-BASED PRODUCTS 2-3 years  LIPSTICKS, LIP GLOSS, & LIP PENCILS 2-3 years

SKINCARE  MOISTURISERS CLEANSERS 1 year  TONERS 6 months to 1 year  BHA OR AHA EXFOLIANTS 1 year  CREAMS AND SERUMS WITH ANTIOXIDANTS AND RETINOIDS 9 months (these ingredients can oxidize when exposed to light and air and lose effectiveness)  FACIAL OR BODY up to 18 months  SAMPLE PACKETS: 1 day  DEODORANT, ANTI PERSPIRANT, SOAP 3 years  SUNSCREEN 1 year and never take your SPF away 2 years in a row! Products that contain water as one of the first ingredients have the shortest shelf life after opening because water encourages the growth of bacteria and other microbes. Also susceptible to bacterial contamination and breakdown from exposure to air are products that that contain plant extracts. Products made up of almost no water (such as powders) last the longest, because almost nothing can grow in these kinds of products. If your product is labelled “preservative-free” you should take extra caution, because without some kind of preservative system bacteria can flourish easily.

DOS AND DON’TS OF COSMETIC CARE Here are a few tips on how to prolong the shelf life of your products.

DO:

1. Always read the instructions carefully and take note of any warnings for use.

2. Wash your hands before applying makeup (especially if you need to dip your fingers into the container.

3. Tightly close containers and jars after use. 4. Throw away products that become discoloured, runny or lumpy, have separated or develop a strange odour.

5. Throw away products when the product labelling indicates. 6. Replace applicators frequently or use disposable makeup applicators.

7. Store cosmetics in a clean, dry place and not in extreme environments.

8. Scribble the expiration month on the product with marker pen to remind you.

DON’T:

1. Share your cosmetic products with others 2. Use water or saliva to moisten cosmetics or applicators as this might add bacteria or other germs.

3. Add water to dilute cosmetics unless directed by the manufacturer. This may make the preservative system ineffective.

4. Use eye makeup if your eyes are irritates or infected. Throw out cosmetics that were used during a period of eye infection.

5. Store products in the refrigerator. Skincare formulas are designed to withstand the average fluctuations in temperature, but not long-term heat or cold storage.

6. Store products in direct sunlight.

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●

EXCLUSIVE INTERVIEW

●

AGEING IS A BLESSING It does happen to us all that ever so slow road to getting older but we can either choose to embrace it, nurture it or desperately try and stop it. We talk beauty, relaxation, non-invasive treatments and Broadchurch in our Totally Exclusive interview with beautiful actress, Sarah Parish and also find working out very relaxing. We are lucky to live in a very beautiful part of the country, in Hampshire, and there’s nothing better than a nice long walk there by the river with my husband, daughter and our two dogs to blow the cobwebs away.

FAVOURITE BEAUTY PRODUCTS? I am totally addicted to Face Matters Evening Elixir, which is a combination of Botanical Oils and Silica Gel and which makes my skin look and feel incredible - I’ve never found anything else that comes close. Every morning I use Dr Levy Booster Cream, which contains Argan Oil - it really works for my skin and feels like it penetrates the layers of my skin to give me a very moisturised feeling. I cleanse with Face Matters Anytime Cleanse, again it’s made with Botanical oils, smells amazing and stops my skin getting clogged up, which is so important with the amount of make-up I have to wear on set days!

FAVOURITE TREATMENTS? The LA Facial from LA Beautiful is amazing for smoothing wrinkles and tightening skin, what that machine does in an hour is incredible! It’s available on Harley Street and in salons nationwide. For body treatments the LA Tummy Tighten is a great treatment for firming up those parts of the body that sometimes exercise can’t reach, and it gets me beach body ready (as much

WHAT ARE YOU DOING NOW

I find as I am getting older if I feel good on the

as is possible!). For IPL I recommend Michael

I’ve currently just finished filming series 6 of the

inside I look better on the outside, so exercise

Prager on Harley Street, he is amazing, I do have

Sky comedy Trollied which will air at the end

and nutrition are a huge part of my beauty

some sun damage and this treatment gets my

of October. I’m now presently filming the final

regime. You cannot stop the ageing process

skin ready for filming.

series of Broadchurch, which finishes at the end

but you can make the best of what you’ve

of October and will air in January 2017. I’m very

been given, and there are now so many

excited to also appear in The Collection, which is

non-invasive treatments out there that

showing now on Amazon Prime on Friday nights.

are very effective without altering my

Find out more about Sarah’s favourite

All in all I’ve been quite busy! Which is great for

appearance, I am only interested in

treatments and products here

the soul but means I have limited time to spend on

enhancing my natural look. LA Beautiful Face & Body Treatments

health and beauty so I need things that work fast!

WHAT’S YOUR FAVOURITE WAY TO RELAX?

www.labeautiful.online

WHAT ARE YOUR THOUGHTS ON AGEING?

My favourite ways to relax are walking the dogs,

www.drmichaelprager.com

Unfortunately it happens to us all! I try

reading, and sleeping - I try to get at least 8-9

Dr Levy Skincare

to see it as a blessing, as it means we are still

hours sleep every night as it make me feel so

www.drlevyswitzerland.com

alive! I am very happy with the way I look

much more alive and really helps my skin. I am

Face Matters Skincare

as I embrace things like laughter lines, and

passionate about yoga and exercise in general

www.facematters-skincare.com

Michael Prager Clinic

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BOTOX PART ES Tupperware, Avon, Ann Summers - at home parties are common across the globe and millions of women (mainly) enjoy the comfort of socialising, sampling and shopping in a relaxed home setting. But nowadays you don’t have to look very far to find even a “Botox” Party, and it seems to be a growing trend. A trend that has many medical cosmetic practitioners furrowing their own brows with worry and critics asserting that those doing it are walking a fine line of medical ethics. BY SHARON BENNETT

o other landmark drug, known medically as Botulnum Toxin Type A, has had such

MHRA* to advertise it in the UK. The Committee of Advertising Practice (CAP)

anatomical differences with some more complex than others. We must remember too that as

Code also clearly states that prescription only

we age and through sun exposure our skin

journey has taken it from the ophthalmic clinic

medicines/medical treatments may not be

has increased laxity, less hydration and more

to the X factor stage.

advertised to the public so one might question

wrinkles, therefore results of botulinum toxin will

if any other rules are being broken behind those

depend on the skin quality too. It can take years

closed suburban doors.

of training and expertise to fine tune treatments

a high public profile, and its 20-year

For some impressionable, young adults it has more become an “I want” rather than an “I need” treatment, and the age-range requesting it has

The Royal College of Surgeons say that

to suit an individual and the time taken with

widened to include the twenty–something’s. The

practitioners should not undertake cosmetic

each “guest” in a party setting is unlikely to offer

public perception of how it works and what it

procedures in (premises such as) ad hoc

a thorough examination nor address wrinkle

does is very often skewed and often reliant on

domestic settings. “The concepts of “Botox

concerns in any depth.

one source of information; usually a friend who

parties” or “Filler parties” are wholly incompatible

has it or knows someone who has.

with their Professional Standards for Cosmetic

the most important thing on the check list for

Practice “(RCS, 2013 Professional Standards for

anyone considering a cosmetic treatment.

If you surf the internet for “Botox Parties” you

Qualifications of the practitioner must be

I recall some years ago on TV when Lesley Ash,

will find pages of articles and advertisements,

Cosmetic Practice, 5.1) They believe treatments

although the common theme in the professional

should be carried out in licensed premises

following her own sub-standard home treatment

cosmetic medical arena is that “at home” parties of

where practitioners have access to professional

experience, arranged a Botox party with a fake

cosmetic procedures are frowned upon generally

equipment for use in the event of an emergency.

doctor pretending to be a cosmetics expert.

both in the UK and in the US and there are areas of this practice which may be breaking laws. Group treatments held in medical clinics

If you thought that we all have exactly the

She wanted to see how much information the

same structure and muscular movement then it

women sought out, and whether they would opt

would follow that we all have the same wrinkles,

to go ahead with treatment. She noted their lack of knowledge in the

might seem a more appropriate setting, and

but we don’t. Results will differ from patient to

may make the patient feel more secure, but

patient depending on the musculo- skeletal

treatment and their lack of interest in who was

patients should be consulted and consented

structure and movement, and expectations

carrying out the treatment. The women, without

privately and individually and as Botox© is a

can be high leading to unexpected results

questions, assumed they were in the hands of an

prescription medication it is prohibited by the

and longevity. We all have our own personal

expert and were therefore quite prepared to go

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ahead with the treatment there and then. In a

cosmetic party are that it is less intimidating

complications than dermal fillers, it is not

group setting, with peer pressure it is easy to get

and more comfortable being with a group of

without side effects and adverse events and the

carried away in the moment and assume that the

friends, and that it’s more convenient. Of course

consumer must be aware of these.

person with the syringe in their hand is qualified

there is also the unspoken fact that the hostess

and insured to carry out the treatment.

is likely to receive treatment at a reduced price

or you need a check up 2 weeks later.

or even free of charge. Reduced overheads as it’s

Where do you go?

These women should have asked for and

What happens should you have a problem

seen evidence of the practitioner’s up-to-date

in a domestic setting may also allow favourable

Keeping Botox in a clinical environment

qualifications. They should have been examined

(cheap!) prices to be offered to the host’s guests.

ensures the procedure remains firmly in the

and consulted alone, without distraction or

Cheaper isn’t very often better.

medical domain where the practitioner will have

coercion from other members of the party, and

all the necessary equipment and personnel to

asked to provide a complete medical history.

hand and the patient will be afforded a safety

They should have been advised on alternative

net and a point of reference to return. Most of us lead busy lives and convenience

treatments as well as the risks and potential complications; thereby allowing them to make an informed decision and consent. Alcohol of course is an absolute no as, on top of medical side effects, it will affect mental capacity, and therefore any consent form signed would be seen as invalid in a court of law. Botox is a prescribed medication. This means that every person who has a Botox treatment must be seen first by someone who can write a prescription for it. In the cosmetic arena this usually means a doctor, a dentist or prescribing nurse who must additionally have had training in this

For some impressionable, young adults it has more become an “I want” rather than an “I need” treatment, and the age-range requesting it has widened to include the twenty – something’s

is always attractive, be it supermarket home delivery, mobile hairdressers or beauticians. Nevertheless we don’t have dental procedures carried out at home (perhaps that’s the future!). GPs often do home visits, as do community nurses, but this is mostly because patients are unable to get to clinic due to illness or incapacity, and we certainly don’t see “at home” medical examination parties of any kind, so why should a cosmetic medical treatment be viewed any differently. And finally “Botox” parties may also affect any medical Indemnity policy the practitioner may have without them even realising it. Two of the leading cosmetic medical insurance

field of practice.

companies have said that they do not cover

Sometimes a prescribing doctor, dentist or

the practitioner for these events as, although

nurse may consult you, write a prescription for

Medical ethics and consumer desires can

you and pass the job of treating you to another

conflict frequently in the cosmetic industry. It

not illegal, the practice is not supported by the

(authorized) practitioner who does not have the

is a consumer driven specialty, working in the

governing medical bodies : General Medical

qualification to prescribe. This must be someone

private sector and offering a service to a fee

Council, General Dental Council and Nursing and

trained in the procedure and someone they have

paying public.

Midwifery Council.

observed and trust to carry out the treatment

Downgrading this medically prescribed

competently. The prescriber is ultimately

procedure from a professional medical

Do you have a question about Botox or other

responsible for your treatment and if you do not

environment to a more social party setting

aesthetic treatments? ASK our Experts here

see a prescriber firstly then whoever administers

moves it seamlessly into an arena almost on

at Totally Aesthetic Magazine by email ASK@

your treatment is breaking the law.

par with a facial to many consumers. Although

totallyaesthetic.com or fill in our patient

Botulinum Toxin has less potential serious

enquiry form to find you nearest practitioner

The scanty arguments for having an “at home”

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GREAT HAIR

Last year, Viviscal conducted the world’s largest hair survey completed by 6,759 participants internationally. The results of the survey show just how important hair is to a woman, regardless of age, ethnicity or culture. It is an integral part of a woman’s feeling of femininity and plays a crucial role in a woman’s confidence and self-esteem

ndrea Ferrari – Esprit Magazine Australia: “My personal experience of Viviscal Professional is very positive. In Spring 2014 I overtrained for running Sydney’s Half Marathon and made myself sick. I had malabsorption - I wasn’t absorbing the nutrition from my food. Alarmingly my hair broke off. It was

very unsettling to look in the mirror and see ‘someone else’. Being in the beauty industry I was being photographed a lot at product launches and had further reminders of how bad my broken hair, short fringe and spikey crown looked. Fortuitously I attended the Viviscal Professional launch and was heartened to hear the testimonials. Viviscal Professional’s haircare and supplement regime became my daily dose of hair self-help. I’m well into my second year of taking the supplements twice a day every day. I am delighted with the strong regrowth and health of my hair. I have naturally fine, dry hair and prefer an argan-infused/softening treatment hair care range but I am diligent about taking the supplement twice a day. That is the crux of the successful outcome. You cannot expect the supplements to change the texture of your hair that is already grown. It is about feeding the new growth. With poor hair quality, breakage and hair loss you have to think long-term to achieve new growth and nurture the fresh hair growing through. Try to think of your head as a pot plant! It needs daily TLC from what you are eating/supplements and then care on the outside. I have recently started using the new Thin to Thick Cosmetics Shampoo, Conditioner and Elixir. I love feeling the thickness of my ponytail – I grew it myself…well, with the help of Viviscal Professional. Don’t be disheartened that it is not an instant fix, it is longer-term but it does give genuine results you can see and feel. My hairdresser is also very pleased with the quality of the new hair growing through. I think the photos here speak for themselves.” For more information on Viviscal Professional, visit www.viviscalprofessional. co.uk, email, enquiries@viviscalprofessional.com or call, 020 7936 9871

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FROWN LINES

GLABELLA

CROWâ&#x20AC;&#x2122;S FEET TEAR TROUGH

CHEEKS

NASAL LABIAL FOLDS PHILTRUM VERMILLION BORDER LIP COMMISURE MARIONETTE LINES

MEDICAL TERMS USED FOR YOUR FACE #SmartGuide

MENTOLABIAL

DECOLLATAGE

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HAIR RESTORATION

SKINCARE LASER RESURFACING TREATMENTS

BOTOX

DERMAL FILLERS

CHEMICAL PEELS

TREATMENT OPTIONS BY AREA

THREAD LIFT

DERMAL FILLERS

BOTOX TO MASSETERS LASER HAIR REMOVAL

#SmartGuide

TEETH WHITENING

SKIN TIGHTENING

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BACK TO BASICS

WITH FACIAL FILLERS  Introduction

ligamentous attachments and bony support, which all have to be taken into

Most people who have cosmetic surgery are seeking a more youthful appear-

consideration when assessing patients requesting facial rejuvenating procedures.

ance, but still want to look like themselves. A possible solution to achieving

It is essential to identify these changes, and the individualization of the treatment

this is to undergo temporary procedures that wear off, before committing to

plan can help achieve the desired outcome of subtle and natural looking results

something permanent

without looking overdone.

Our understanding of how the face ages and how to best mitigate these

Furthermore, levels of a sugar molecule called Hyaluronic Acid (HA), found along-

changes, is in a perpetual state of evolution and refinement. As a surgeon and the

side collagen and elastin in the dermis of the skin, also start to decrease, leaving

medical director of S-Thetics, medical aesthetic clinic in Beaconsfield, one of the key

skin less supported and less hydrated. Fine lines and wrinkles develop, skin starts to

signs of ageing that I see in my patients is loss of volume and the restoration of volume in a sympathetic and strategic manner is key to a successful treatment.

 Facial ageing Through anatomical and imaging studies,

sag and our overall facial structure changes and we start to look older. While facial ageing and descent occurs as a normal ageing process, smoking, sun exposure and stress can accelerate the pace at which this happens. Patients often mention sagging as their initial concern, but also key emotions such as feeling that they look tired, or sad all the time, despite feeling their usual self.

the discovery that facial fat exists as many

Using this knowledge on a ‘case-by-case’ basis so as to

dynamic compartments rather than a

individualise treatments remains the mainstay of facial re-

single confluent entity represents a

juvenation to offer the sort of subtle and natural-looking

major breakthrough in our under-

results desired by my patients. My patients don’t come

standing of facial ageing. These

to me wanting ‘to be filled’. They desire to look a slightly

compartments can be assessed

younger and more attractive version of their tired

and augmented in a strategic

or aged self. They don’t wish to look like a different

fashion to produce aesthetically

person, they still want to look like themselves.

pleasing results. The 3 dimensional way in

This is where facial fillers can help. Facial fillers – substances injected under the surface of the skin

which we age includes changes

– can be used to correct and restore areas of volume

to the skin, soft tissue, fat, muscle,

loss in the face and restore a youthful and fresher ap-

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pearance. Permanent fillers are available in the UK, however I tend to prefer temporary products that naturally break down with time to work in synergy with the ageing pattern in my patient’s faces.

 History of facial augmentation and facial fillers

Here are 8 key need-to-knows to help you on your facial filler journey:

YOUR REASON

Consider WHY you want to have a

facial filler treatment – how is it going

TREATMENT PLANNING

You should receive a personalised

treatment plan to reach your goals,

Historically, transplanted fat to correct facial volume remained the

to benefit you? Only ever consider

because, after all, no one size fits all.

cornerstone of facial augmentation. However with surgeons seeking

treatment on your own terms.

It may take slightly longer than you

the ideal filler material to restore facial fat, injectable fillers were born. In the 1980’s the first-generation modern day fillers consisting of bovine collagen produced aesthetically pleasing results and paved the way for

expect, but the results will be 10 times

YOUR RESEARCH

better. At S-Thetics we use a full-face

Do your research before booking

approach, done gradually so that all

a consultation. Plenty of websites

areas are gently addressed to create

collagen followed until the mid 1990’s and in 2003 the FDA approval of the

may be able to answer your

refreshed and natural-looking results.

first Hyaluronic Acid (HA) dermal filler became the major breakthrough in

questions, but if you can contact

Our patients receive compliments on

non-surgical treatments.

someone who has previously

how well they look, rather than being

undergone treatment, even better.

asked if they have had ‘work done’.

the research and development for further facial fillers to come. Injectable

 Hyaluronic Acid Facial Fillers In my practice I use facial fillers based on Hyaluronic Acid. But what exactly is hyaluronic acid? Often shortened to HA, this is a naturally occurring sugar molecule with unique water-loving properties. 50% of all the body’s HA is found in the dermal layers of the skin providing moisture and hydration, thanks to its unique ability to bind up to 1,000 times its own weight in

Visit this-is-me.com to read more about real life experiences.

AFTERCARE SUPPORT

Prior to treatment, ensure

YOUR LOCATION

An important yet regularly

you will have access to aftercare support. This will allow you a more

dismissed aspect. A clinical setting is

relaxed treatment journey, with your

water. The rest is found in our cartilage, joints and the fluid in our eyes.

crucial for proper lighting - do not let

practitioner on hand to address any

1/3rd of our total HA is made and broken down daily, and as we age

someone inject you in a sitting room.

queries or issues that you may have.

our bodies’ natural ability to regenerate HA slowly decreases. This natural regeneration process can also be affected by lifestyle factors such as sun damage (otherwise known as photoageing), smoking and stress. Whilst some topical HA products will help the top layer of skin to restore hydra-

We will always contact you after your

A QUALIFIED PRACTITIONER

Finding a qualified practitioner

treatment to ensure all is well and to answer any queries. Most of all, we want you to enjoy your results.

tion and plumpness, injectable HA delivered to deep facial layers draws

is important to ensuring a safe

moisture deep within giving the overlying skin a longstanding dewy,

treatment. Ask your practitioner about

At S-Thetics, we advocate safety first, and

luminous and hydrated appearance.

their qualifications, and preferably

aim to make your journey as comfortable

only continue treatment with a

as possible. Fillers are a great way to

qualified doctor, nurse or surgeon.

repair volume loss and restore definition

One of the key aspects of using temporary facial filler is its reversibility. Our bodies contain an enzyme called hyaluronidase, which naturally breaks down our own HA daily. The HA you find in facial fillers, such as the Juvéderm range, has been formulated in such a way that it won’t be instantly broken down by this enzyme, but slowly and naturally dissipate with time. And within the Juvéderm portfolio of facial fillers there is a filler

and balance to your face, and we believe

IN-DEPTH CONSULTATION

that they can be the synergy between

At S-Thetics we carry out

skin wellness and ageing.

a detailed consultation, facial

Miss Balaratnam is a surgeon and

type to suit a specific need and facial area such as for the lips, cheeks and

assessment and treatment

cosmetic doctor based at the S-Thetics

even the décolletage and back of the hands.

planning. We gain an

medical aesthetic clinic in Beaconsfield,

understanding of and document

Buckinghamshire, and a new partner

your medical history, any known

clinic at S-Thetics at Bristol Plastic Surgery.

 Hyaluronic Acid Facial Fillers and you

She holds the prestigious title of

Addressing facial volume loss in a full facial approach rather than the old

allergies and discuss any safety

fashion way of ‘chasing lines’ provides a refreshed and natural look. Having

concerns, risks and benefits

“Local Country Ambassador” (LCA)

a full assessment and understanding “what’s been lost where” on a case-

associated with treatment.

for Allergan, the manufacturers of

by-case basis allows me to individualize the treatment plan to offer the sort of subtle and natural-looking results desired by many patients (“I don’t want to look done, I just don’t want to look tired”)

BOTOX® and the Juvederm® Ultra and

CLINICAL ASSESSMENT

the latest Juvederm® Vycross range

A good practitioner will

of fillers. As one of only a handful of

undertake a detailed facial

expert UK practitioners selected as an

structures using the breadth of today’s product options and the latest

assessment before starting any

LCA, she believes in the importance of a

injectable techniques makes this an exciting and realistic possibility.

treatment. They will advise on

patient taking the time to select the right

the best areas to treat and give

practitioner for them and an advocate of

you an idea of a realistic finishing

natural looking results.

Treating the face from “the inside out”, to preserve and maintain facial

result. I always encourage my patients to bring in a photograph

www.sthetics.co.uk

of themselves when they felt they looked their finest, so that together we can understand their particular concerns and what we need to address together.

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BACK TO BASICS

PLATELET RICH PLASMA What is PRP?

epidermal layer. It encourages collagen production

Platelet Rich Plasma, or PRP, is a totally natural

and better vascularisation of the skin. It will also

treatment which uses a patient’s own plasma,

stop the bone resorption around the eyes socket

taken from their blood. The plasma contains

and jaw line – which is otherwise a difficult

essential growth factors that regenerate skin, hair,

problem to treat. It’s a brilliant treatment for scars

even tendons, ligaments, muscles…

– even those that are a number of years old. It

What does the treatment involve?

can also treat psoriasis and tackle hair loss and/or thinning. In sports injuries it’s used to aid healing

A small sample of blood is taken (Dracula Therapy

of soft tissue injuries and even fractures. Recently

takes 20cc, so no more than an average blood

it’s been used for sexual rejuvenation, and has even

test). The blood is placed in a centrifuge and spun

been used to treat vocal chords.

for a specific time, at a specific speed. This process separates the blood sample into red blood cells, clear

How quickly do you see results?

serum and platelets. It’s this clear serum that is used in

An improvement in collagen production will be

the treatment and is re-injected wherever it is needed.

noticed after around five days, full results will be

How long does the consultation/treatment last?

DOCTOR

shown after two weeks.

How long do the results last for?

The consultation lasts 30mins, and then the

How long the results last depends on the patient’s

treatment takes about 30mins, including the time

lifestyle, age and particular concern, but for aesthetic

to spin the sample in the centrifuge.

treatments the results will last on average of 6 months.

How was this treatment developed?

Are there any risks?

In 1953 two doctors (Dr Stanley Cohen and Dr Rita

None whatsoever – as no one can be allergic to their

at the Paris Medical School he has built a

Levi-Montalcini) discovered two growth factors

own blood. This means the treatment often appeals

(neural and epidermal) and were rewarded with a

to patients who want a more natural treatment with

global reputation specialising in minimal-

Nobel Prize. Since then over 7000 medical studies

no toxins, synthetic products or animal products.

in all different fields of medicine validate the treatment. Dr Sister introduced PRP to the UK 10 years ago and has been working with it ever since.

What is the science behind PRP?

Can PRP be used alongside other treatments?

Dr Daniel L. Sister is a world-renowned cosmetic, anti-ageing and hormone specialist. Since receiving his medical doctorate

ly invasive anti-ageing procedures and hormone treatments. A market leader and pioneer, Dr Sister has introduced a number

Yes it can, PRP works particularly well in

of groundbreaking treatments to the UK

combination with hyaluronic acid and vitamin/

market, including the highly successful

After the discovery of growth factors, researchers

mineral cocktails. Also alongside botulinum toxin

kept working on the subject and we now know of

and thread lifts. It’s also beneficial after laser

Dracula Therapy®, Dr Sister’s unique version

more than 1000 different growth factors. Plasma

treatments or chemical peels.

of Platelet Rich Plasma therapy, which has

therapy has been shown to reduce healing time by 50% and reduce hospital stays by 50% when added

Is there any downtime?

to surgical procedures. It is not considered doping,

As with many cosmetic treatments patients may

so can readily be used by athletes and professional

experience some swelling, redness or bruising, but

sports people, allowing them to reduce time spent

these are generally minimal and patients return to

recovering from injury.

work and socialising immediately.

What are the main uses of this treatment?

Is PRP suitable for everyone?

For facial aesthetics PRP improves the dermal/

Just about. The exceptions would be anyone

BEFORE

AFTER

attracted worldwide attention. Dr Sister appears regularly on television and radio, in the national and international press, and has written a number of books including Platelet Rich Plasma: The next frontier in regenerative and aesthetic med-

suffering from septicaemia or cancer. And

icine and Your Hormone Doctor, co-written

personally I do not treat pregnant women.

with Leah Hardy and Susie Rogers.

Do you have more questions about this treatment for Dr Daniel Sister? Email him at ASK@totallyaesthetic.com today. If you would like a treatment why not fill in our patient enquiry form online here www.totallyaesthetic.com/enquiry

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MEDICAL MICRO NEEDLING The technique of Micro Needling as a minimally invasive procedure started to be recognised in the early 90â&#x20AC;&#x2122;s. Initially the treatments were for depressed scars by introducing controlled trauma which starts the wound healing response which, in turn, creates the formation of connective tissue and new collagen that raises the depressed scar BY ANDREW HANDSFORD

his treatment is very successful but

therapy or collagen induction therapy. It is a

took a back seat for a while when other

non-invasive non-surgical and non-ablative

equipment hit the marketplace like

procedure for facial and body rejuvenation that

lasers and radio frequency. But the procedure is

involves the use of a needling device to create

now coming back as an established treatment.

controlled skin injury.

Having said that, skin needling has been around for a lot longer

As each fine needle punctures the skin, it creates a channel

than the 90â&#x20AC;&#x2122;s. Evidence

or micro-wound. The

puts it at around 1600 BC with Traditional Chinese medicine or Acupuncture. Acupuncture has come on in leaps and bounds over the past few years as it can target various ailments such as insomnia, pain, anxiety, while there is also the acupuncture face

controlled injury triggers

Unlike chemical peels, dermabrasion and laser treatments, skin needling causes minimal damage to the skin

lift. Acupuncture does not create a wound healing response like needling devices but rather targets specific body points to rebalance the body.

the body to fill these micro-wounds by producing new collagen and elastin in the deeper layers of the skin (dermis). In addition, new capillaries are formed. This leads to the reduction of scars and skin rejuvenation, i.e.,

improved skin texture, firmness and hydration. Skin needling is considered to be one of the safest skin treatment procedures. Unlike chemical peels, dermabrasion and laser

SKIN NEEDLING IN BRIEF

treatments, skin needling causes minimal

Skin needling is also called micro-needling

damage to the skin.

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F A C TS

SKIN NEEDLING IS EFFECTIVELY USED FOR: Reducing scars (including hypertrophic scars) caused by acne, surgery or thermal burns Stretch marks Reducing fine lines and deep wrinkles Dyspigmentation e.g Melasma Tightening sagging skin. Collagen induction

BENEFITS OF SKIN NEEDLING Far lower risk of hyperpigmentation and scarring and safe on all skin types. Suitable for thin and sensitive skin. Little or no pain involved in treatments and can be well tolerated by patients. The protocols can be done on all areas of the skin that certain other treatments canâ&#x20AC;&#x2122;t for example; peeling or laser resurfacing. It is also fine to do around the eyes. The epidermis remains intact and is not damaged in any way. Medical Micro Needling has become a very talked about procedure with many celebrities choosing this method of rejuvenation due to its clinically proven results but also for the lack of post treatment downtime, which can be attributed to many other more aggressive protocols.

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MESOTHERAPY

THE ELEXIR TO ETERNAL YOUTH?

We are all aware that ageing is an inevitable process, which none of us can avoid indefinitely. We may accept the fine lines, grey hair, our children growing up and leaving home and for some the prospect of retirement is the promise of an exciting new venture in our lifeâ&#x20AC;&#x2122;s journey. The trouble for many is the mirrorâ&#x20AC;&#x2122;s reflection reminds us daily of the changing structure of our faces, the passage of time and the loss of our youthful appearance BY PAM CUSHING 46

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Most people do not have a problem with being old. They have a problem with looking old MOKOKOMA MOKHONOANA

top layer of the skin delivering minute drops of a cocktail of nutrients known to benefit the skin such as Hyaluronic acid, multivitamins (A, B, C, E, K), minerals, co-enzymes and

amino acids. This cocktail of natural ingredients help the skin regain its elasticity, improve collagen production, is deeply hydrating and moisturising leaving the skin brighter and more radiant. The action of the needle (similar to micro-needling) also stimulates the skin, improving the circulation and enhances the results. For those who are scared of needles this procedure, if done correctly is completely pain free. The speed and repetition of the needle can be surprisingly soothing but it’s not like a relaxing facial. The depth of the needle is so superficial there is little or no risk of bleeding or bruising. The treatment lasts about 30 minutes and after a soothing mask or moisturiser and UV protect of course, you will come out feeling a little tight (a bit like windburn) but little if any signs you have just been jabbed by millions of little injections. The next day while you may not have morphed into a supermodel you will notice a subtle but noticeable improvement with your skin looking brighter and feeling smooth and radiant. As the face is not only a give away to our age this treatment is fantastic for the neck, décolletage and hands. If it’s good enough for Madonna and other celebrities it’s good enough for you. However Mesotherapy is not just for the face. Using specifically formulated ingredients it can

used to treat localised fat and cellulite and is

ortunately the science of anti-ageing,

the lines that were supposed to disappear still stare

gaining popularity in managing hair thinning to

or a better term “age management” has

at you in the mirror. Yes your skin may feel soft and

stimulate the scalp and feed the hair follicles.

developed rapidly over the last few decades

smooth but the creams are doing little if any help

and there is a dearth of in-clinic treatments available to help maintain a youthful appearance

to the living skin underneath. One treatment however that does deliver

While a one off treatment is fantastic for a boost before a special event you will need to invest in a course of treatments a month apart to get

that belies our chronological age. Most treatments

what it “says on the tin” to improve skin health

long-term results. For those who don’t like the idea

focus on managing volume loss, lines and wrinkles

is “Mesotherapy” a technique, developed by

of scary fillers and toxins Mesotherapy is a great

but very few will benefit our skin and its health.

Michel Pistor in the late 1950’s to treat medical

option for healthier and younger looking skin.

We all are aware of the need to protect against

ailments. Over the last decade or so this technique

the sun’s harmful rays and we know to moisturise

introduced in the cosmetic field and has gained

Pam Cushing is Vice President of the Society

daily. There is a treasure trove of creams, lotions

widespread popularity across Europe and South

of Mesotherapy UK and an Independent

and potions available, all beautifully packaged that

America. Other terms that are used to describe the

Aesthetics Practitioner. Do you have more

“promise” the solution to our ageing woes. The

treatment is “Mesoglow” or “Skin prick nutrition”.

questions for Pam? Email her at ASK@

So what is Mesotherapy, how does it work and is

totallyaesthetic.com today or book your

would be in delivering the said “promise”. However

it effective in managing skin health? The treatment

appointment online via our enquiry form

the promise invariably turns to disappointment as

involves a series of multiple small injections in the

www.totallyaesthetic.com/enquiry

more expensive the cream, the better we feel it

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TRIED AND TESTED BY DR SARAH TONKS

ost patients when they come for a consultation are familiar with the use of hyaluronic acid dermal fillers.

Brand names which are well known include Juvederm, Restylane, Teosyal and Stylage however there are over 200 hyaluronic acid dermal fillers available in Europe which carry the CE Mark. Hyaluronic acid is a long chain sugar molecule

I find this product very useful in my office because of the minimal downtime associated with it

Italy is Profilho, developed by Professor Chiara Schiraldi and Professor Mario de Rosa in the Second University of Naples. What makes this new product so exciting is its ability to improve areas such as the neck and forehead, which can be difficult to treat using more traditional hyaluronic acids. This is because of the way Profilho is able to flow freely through the tissues without causing

which is naturally occurring in the skin, the joints

lumps or bumps in these tricky regions. Profilho is

and in the eyes but can also be used to improve the

able to spread through the tissues because of its

appearance of the skin.

new method of linking the chains of hyaluronic acid together without the use of 1,4-butanediol

Many patients who come specifically for this type of treatment already know that they would like to

and Juvederm Hydrate which are used to improve

diglycidyl ether (BDDE), using instead a heat

enhance their lips for example, or the cheekbones,

fine lines and wrinkles, and the luminosity of the

method. In addition this hyaluronic acid dermal

chin or treat areas of the face which have become

skin. Yet others may be unaware of what type of

filler combines both long and shorter chains of

volume depleted with ageing. Others would prefer

treatment they require for the best results and may

hyaluronic acid has been shown in studies to

to use they hyaluronic acid as a restorative agent,

leave it up to the treating medical professional to

improve the wound healing and formation of new

creating improved skin tone and texture with

give suggestions.

collagen and elastin production with minimal

products such as Restylane Vital, Teosyal Redensity 1

A new hyaluronic acid available in Europe form

tissue inflammation. Skin laxity is a difficult problem to treat and it can be difficult to use lasers, surgery or strong chemical

BEFORE PROFHILO

BEFORE JUVEPEN

peels. I find this product very useful in my office because of the minimal downtime associated with it. The procedure is very simple. A very fine needle is used on a syringe connected to the dermal filler, which comes in a 2ml syringe, to apply the hyaluronic acid dermal filler just underneath the surface of the skin. Unlike traditional dermal fillers, Profilho is injected in a bolus or ball at strategic points in the face and neck, depending on the areas

AFTER PROFHILO

AFTER JUVEPEN

to be treated. As Profilho can spread so effectively through the tissues, there is no danger of it causing a lump in the areas it is injected, instead if flows and gives a supportive layer of hyaluronic acid under the skin. There is no need for any local or topical anaesthesia with this treatment as discomfort is extremely minimal. I have found that there is on occasionally a small bruise at a single injection point, which is always a risk when performing a

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treatment of this nature. Treatment sessions are 1 month apart with at least 2 sessions necessary for the best results. In comparison with other biostimulatory products such as Restylane Vital or Teosyal Redensity 1 there are fewer injection points necessary with Profilo and treatment sessions are a longer time apart. With results lasting around 4-6 months per treatment it is easy to see why this treatment has rapidly gained traction with my patients both as a standalone application or with other treatments such as wrinkle relaxing injections or other hyaluronic acid dermal fillers. JUVAPEN I have also been using the new Juvapen over the past few months to administer Botox injections and it has been a very positive experience for me. The benefits of the pen in allowing micro doses of 0.5U botulinum toxin have allowed me to create a much more refined treatment result which is difficult to achieve by hand as the dosing is so small. I have also had positive feedback from patients on the reduced discomfort experienced during injection, and the reduced skin reaction it seems to cause. Definitely a new favourite at The Lovely Clinic. www.juvaplus.com

Do you have more questions about this treatment for Dr Tonks? Email her at ASK@totallyaesthetic.com today. If you would like a treatment why not fill in our patient enquiry form online here www.totallyaesthetic.com/enquiry

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EDITOR'S CHOICE

REGENERATIVE SKINCARE

Sorry everyone but summer is officially over and now is the time to start prepping your skin for the colder autumn and winter months. Now is also a great time to think about repairing any sun damage that may have occurred and to focus on regenerating your skin to give it a real boost with some active products and treatments. Autumn is the perfect time to start thinking about your laser treatments for hair removal and to correct hyperpigmentation (sun blemishes) of your face and décolletage

® OSKIA SUPER 16

π PHFORMULA A.G.E ACTIVE

The A.G.E. active formula is specially formulated as a preparation treatment product to be used prior to the pHformula skin resurfacing treatments. This potent anti-ageing formula helps stimulate cell growth. The unique blend of actives helps to slowly start the skin resurfacing process, providing numerous anti-ageing benefits. www.aspireface.com/phformula £45.00

This award-winning serum boasts a rich blend of up to 16 super nutrients and Bio-Actives created to increase Collagen production ultimately reducing the appearance of fine lines and wrinkles whilst lifting and firming the skin. Super 16 Pro Collagen Super Serum is enriched with Bakuchiol, derived from Indian Babchi Seeds which have been used in Indian Traditions for centuries to heel cuts and a clinically approved natural alternative to Retinol but without the sensitivity. The powerful equivalent actively stimulates the skin to reveal younger, healthier looking skin. Added Antioxidants and Vitamins A, B1, B2, B3 & C provide long term protection from oxidative stress whilst comforting and refreshing irritated and sun-damaged skin. Chondrus Crispus Seaweed Extract and Chicory Root synergistically with Oskia's unique Moisturising Complex (OMC) to lock in essential moisture. www.oskiaskincare.com £82.00

√ FACE MATTERS 24/7 BALM Multi-functional luxury balm. Luxurious skincare with a unique, and potent blend of highly-active botanical oils synergistically blended with pure organic mineral silicon to stimulate the production of collagen. Contains no ineffective bulking agents – just super-active botanicals. Timeless beauty begins here. A multi-functional luxury balm which includes our powerful collagen boost to give a super restorative treatment. Use as a gentle nourishing cleanser; with the enclosed muslin for an effective exfoliation; or leave to penetrate as a superrestorative mask. www.facematters-skincare.com £55.00

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√ HEAVEN SKINCARE BEE PEEL A face lift in a jar! Blurring the lines between organic and medical. A solution to pigmentation lines. Firms and tightens skin, evens and smoothes skin tone whilst helping to remove scarring and sun damage. Also a great product for acne. www.heavenskincare.com £109.00

® MURAD EYE LIFT FIRMING

TREATMENT 30ML + 40 PADS

Rejuvenate and smoothen the delicate eye area with the Murad Eye Lift Firming Treatment; an innovative antiageing formula that works to minimise the appearance of fine lines and wrinkles. Fortified with Hyaluronic Acid Spheres, the powerful treatment penetrates deeply into skin to deliver superior hydration and combat dryness, whilst surface-filling technology instantly lifts, firms and plumps for a younger-looking and more refined eye contour. Complete with eye pads to improve absorption for optimal results. Results: 86% noticed a reduction in the appearance of fine lines and wrinkles in one week 93% noticed skin was smoother instantly 2 x visibly firmer skin instantly. www.murad.co.uk £36.00

† SESDERMA C-VIT

LIPOSOMAL SERUM

Intensive shock treatment of cutaneous photo-aging in all skin types, including skins with acne and rosacea. Concentrated active ingredients enhance the benefits of anti-aging and de-pigmentation treatments. Ideal for complementary treatment of lines and scars. www.sesderma.co.uk £34.50

√ MEDIK8 CE-THIONE

Potent vitamin C is clinically proven to have anti-ageing benefits. CE-Thione helps protect the skin against free radicals, while minimising the formation of dark spots for a visibly brighter skin tone and improved texture and firmness. www.medik8.com £82.00

† WOW MASK

WOW brings you the ultimate aqua gel mask created with newly developed Transdermal Cosmetics Delivery technology. Activated by skin temperature to allow the anti-aging ingredients to reach the deeper layers of your skin, this Luxury Facial Mask Treatment is simply WOW. www.wowmask.com £14.00

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

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26/09/2016 11:30

TO SERUM OR NOT TO SERUM BY LISAJANE DAVIES

ave you no earthly idea

Serums are formulated to penetrate

bigger molecule. They are supposed

Dry: Look for vitamin E (an

what a serum is, what it is for

deeply into the skin to deliver key

to keep the cream and whatever

antioxidant, protects cells from

or when to use it? You are

ingredients. You can also mix a serum

you put underneath moist during

oxidative damage), niacinamide

not alone. Even if you’re the proud

in with a current moisturiser to

the entire day. There are so many

(improves skin elasticity, increases

owner of several serums, it’s not a

supercharge your skincare.

products out there and everybody

ceramide levels in skin), glycolic

claims that it’s the best, so consumers

acid (gently exfoliates and lightens

are confused as to what works f

discoloration), and hyaluronic acid

or them.

(retains moisture).

particularly clear product to find out how and when to use. Think of the

HOW DOES A SERUM WORK?

contradictions: It’s moisturising, but

The molecules in a serum are smaller

you still use moisturiser. It can be oily,

than those in a moisturiser. This

but it’s not necessarily face oil. So many

means it can deposit ingredients

THE COSTS

Feeling dull: Look for antioxidants

questions and we haven’t even gotten

deeper into the skin.

Yes, serums tend to be at the pricier

like green tea extract, resveratrol,

end of the skincare spectrum.

ferulic acid (these combat free

But for a pretty good reason !

radicals, increase effectiveness of

Remember that bit about being

sunscreen by day, and promote cellular repair and healing by night).

to ingredient lists yet! But if you feel doing what you would like, it may be

HOW OFTEN SHOULD I USE MY SERUM?

time to consider adding a serum. The

Well, this all depends on the serum.

super concentrated and potent? You

difference can be quite remarkable,

Read the label, but once a day will

are getting a bigger bang for your

provided you use the serum correctly

probably cover your bases.

buck here.

TO SERUM OR NOT

Serums are a skin care product with

WHAT IS THE DIFFERENCE BETWEEN FACE OIL AND A SERUM?

high concentrations of certain active

Traditional serums are water-based.

ingredients. These ingredients can be

Though, as the face oil trend grows

things like hyaluronic acid (to reduce

(and there are more and more oils on

Acne-prone: Look for vitamin C

the appearance of lines and wrinkles),

the market), more oils are marketed

(increases collagen production,

vitamin C (to brighten the skin and help

as ‘serums.’ Office favourite Espa

enhances skin’s repair process,

reduce the appearance of pigmentation

Balancing Facial Oil comes to mind—

and reduces inflammation), retinol

and age spots) or glycolic acid (an

it’s very much a face oil. You have the

(also an antioxidant, reduces

exfoliant), to name just three.

water-based serums and the oil-based

inflammation), zinc (soothes

serums. Water-based serums go under

irritation, regulates oil

your moisturising cream and they

production), and

nourish the inner layer of the skin

salicylic acid

because they use smaller molecules

(unclogs

Moisturisers are formulated to keep the

so they penetrate the skins surface

pores).

skin hydrated by putting a protective

The oil-based serums go on top of

barrier between it and the outside.

the moisturiser because they have a

your current skincare products aren’t

and consistently.

WHAT IS A SERUM?

WHAT’S THE DIFFERENCE BETWEEN A SERUM AND A MOISTURISER?

A word of caution: Because serums are super potent, more is not always better. Be careful before piling it on.

Is serum right for you? Probably.

Powerful ingredients can irritate

Get to know your ingredients first.

sensitive skin. Always patch-test

If you’re skin is...

accordingly.

Do you have any recommendations? Why certainly. Here’s what our team swears by:

Neostrata Bionic Face Serum

Espa Balancing Facial Oil

Sesderm C-Vit

iSClinical Super Serum Advance +

www.neostrata.com

www.espaskincare.com

www.sesderma.co.uk

www.isclinical.co.uk

£28

£56

£36.40

£120

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SPMU BROWS

BOTCHED BROWS POTENTIAL PITFALLS TO PERFECTION Expert comment from Sophie Doros, semi-permanent make-up technician and co-founder of The Mint Clinic. Based in Hatfield, the popular clinic offers an extensive range of facial aesthetics, semi-permanent make-up (SPMU) and nail treatments. for my course, followed by extension courses and product purchases, so my personal investment amounted to over £10,000 before I even got my first client! I’ve seen different courses for under £3,000 and afterwards the technician’s work is below substandard with prices of around £99. This makes sense as their initial outlay was three times less than mine, so their prices reflect this too. So please be aware that bargain prices reflect the level of training behind the brows and don’t be tempted to risk it! What could go wrong? With inadequate training comes substandard work, which could result in you needing to get your brows fixed by a professional and paying out all over again. That’s the best case scenario, as aside from the aesthetically poor results I have heard horror stories from clients of poorly trained technicians cutting costs in various ways, including sharing needles and wound care packs between more than one client! This is not only unhygienic but extremely dangerous and as much as we love beauty treatments, no cosmetic improvement is

worth risking your health. s semi-permanent make-up (SPMU)

Why are some clinics more expensive than

becomes increasingly popular and

others? You really do get what you pay for, as

So how much should you be paying?

accessible, the market has become

a responsible technician will have invested

A realistic, reasonable cost for SPMU brows

saturated with technicians wanting a piece of

in serious training. I personally trained with

outside London is around £300, including your

the potentially very lucrative pie. A professional

Finishing Touches Group as they are one of the

top up session. But it can vary depending on

technician also recognises the responsibility

top three companies in the country and their

where in the country you go to have them done.

associated with such treatments. This is why it’s

machines are the only ones recognised by the

If you visit a well-known technician in London

important not to be lured by ‘bargain brows’ and

NHS for medical procedures. I paid over £7,100

you could well pay up to £1,000.

instead do your research to ensure you don’t lose face, quite literally, in the long run! How big a problem are botched brows? At least two new clients every week visit me

Instagram @TheMintClinic_ Twitter @ TheMintClinic Facebook /TheMintClinicLimited

desperate to have botched SPMU brows fixed, having had them done elsewhere. I offer tattoo

If you’re curious to find out more

removal very cheaply with their new brows so

about SPMU, fill in the online

that I can help people gain their confidence

patient enquiry form and book

back. I’m always shocked with the lack of

a free, no obligation consultation

care some clinics have towards their clients, it

where all your questions can

seems that many just take the money and run

be answered. Book now at

without considering the after effects. Being a

www.totallyaesthetic.com/enquiry

perfectionist and caring about people should come as part of the role, because making

Interested in Training?

someone feel great about themselves is the best

Why not contact Finishing Touches Group

bit of my job, and one that money can’t buy!

today on 01444 414744

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WHAT’S HOT IN SKIN CARE

PAUL BANWELL’S GUIDE TO SKIN INGREDIENTS Skin guru and plastic surgeon comments on the latest must have ingredients

Niacinamide

collagen and vitamin fest. Specially

holding up to 1000x its own weight

Do you have a question for

Niacinamide is a wonder ingredient!

produced low molecular weight

in water and hence helps to restore

Paul Banwell? Simply email us

Otherwise known as Vitamin B3, it

collagen fragments are rapidly

critical moisture to dehydrated

at ASK@totallyaesthetic.com

is a powerful immunoprotectant,

absorbed into the body and ‘trick’

skin, increase skin’s suppleness and

or book in for your personal

helping guard your skin against the

the body to up-regulate collagen

reduce the appearance of fine lines

consultation with our online

powerful rays of the sun. It also has

production in the skin which in turn

and wrinkles. A must have.

patient enquiry form at www.

effects on pigmentation, can soothe

leads to improved appearances. Try

your skin and reduce oiliness. Look

professional grade Skinade or LQ.

out for Immunologist from Rationale Skin Care.

Superfluids

Alpha-hydroxy acid Whilst hydroxy acids are not new we believe they are essential as

Superfluids are destined to

a night-time treatment. Hydroxy

revolutionise photoprotective skin

acids in different

The buzz word at the moment

care formulations. These near-zero

strengths help

in the medical skin care world is

viscosity microemulsions create

chemically

‘nutraceuticals’. This is an interesting

ultrathin films over the skin. This

exfoliate

concept that has turned skin health

amazing technology developed

the skin for a

world on it’s head a little. We all

in Australia (they lead the world

smoother, glowing

know that living a healthy lifestyle,

in sunscreen technology) enables

complexion.

eating well and drinking plenty

double the SPF protection with

Lactic and glycolic

of water can improve your skin

half the amount of actives. Look

preparations are

quality. Well, some science boffins

out for Rationale B3-T which is now

best. Catalyst Skin

at one company have produced a

available in the UK.

Refining Serum from

Nutraceuticals

novel collagen drink that improves

totallyaesthetic.co,/enquiry

Rationale Skin Care is

skin health from the ‘inside out’.

Hyaluronic acid

They have carefully formulated and

Hyaluronic Acid, famously-used in

SkinCeuticals C + AHA

refined the product over many years

dermal fillers, is also an excellent

or Neostrata’s range for

and produced a unique drinkable

topical treatment. It is capable of

an excellent pick me up.

amazing but also try

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COLUMNIST

SOMETHING IS NEEDLING ME

THE SKIN WARRIOR’S ‘HOLY GRAIL’ OF TREATMENTS BY EMMA BENNETT

icroneedling , skin needling, derma needling, or the really fancy

of treatments (4-6) will be needed, and whilst you will see some immediate

sounding “collagen induction therapy” is quite possibly the greatest

improvements, the true benefits can take up to 3 months.

anti-ageing all-rounder procedure you could have. As a therapist who

This is why I personally LOVE this treatment and think this is a perfect

is well known for my creative and collaborative treatments with many unique

‘Natural’ treatment for improving the appearance of fine lines and wrinkles,

facets to what was often just a simple facial. I love needling my clients but why?

pigmentation, acne scarring and stretch marks, making your skin look

Well microneedling can be used to treat a number of skin complaints, including

refreshed and rejuvenated. I have many clients that are not ready for

pigmentation, wrinkles, acne, scarring, stretch marks and is also perfect for

injectables, but want more results than facials and skincare, this treatment

general skin rejuvenation. Plus it’s not limited to your face, microneedling can be

never fails to impress everyone that has it.

used on many other areas of the body, including the arms, neck, legs, abdomen,

So, if you’re looking in the mirror and thinking you need to step up your facial

back, and hands, and any age and skin tone will benefit from this treatment.

experience than here are a few things to look out for. Microneedling is a specialist

Sadly the only skin concern that should not have this treatment are active acne

treatment which should only be carried out by highly trained AND insured

sufferers due to the spread of bacteria and over stimulation.

professionals. Before the treatment starts ask to watch the therapist open the

All sounding too good to be true? The only downside to the treatment is when

new, sealed ‘needle unit’, that they will use within the devise. (Never use second

you hear your skin specialist tell you it involves needles, but fear not, you won’t

hand needles) Plus the therapist must be wearing gloves and do ask what device

feel a thing. So what happens within this treatment to make it so amazing?

they are using and why!

Firstly a numbing cream will be applied to the skin for around 20 minutes, this

As always remember you get what you pay for, don’t risk your face by doing

will ensure that the treatment is as painless as possible. A electronic devise, gun

things cheap, there’s normally a reason it’s cheap. As a guild expect to pay

or pen with several vertical needles will cause what’s called a “micro-injury,” which

between £200-£350 per treatment for a full face. (Prices will vary depending

encourages your skin to produce more collagen, just like when you cut yourself,

on location)

the body knows how to heal and repair the skin, plus the micro channels will enhance the delivery of the topical actives, one of the best being stem cells as

Would you like to see our Skin Warrior, Emma Bennett for a treatment?

they contain growth factors to help heal wounds, repair damaged, aged skin,

Simply get in touch via our patient enquiry form www.totallyaesthetic.com/

and reinvigorate the growth of healthy new skin. To gain the best results a course

enquiry or email ASK@totallyaesthetic.com

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26/09/2016 11:41

5 STAR SKIN @

THE LOWRY

Today I had the pleasure of visiting the QMS skin spa at the fabulous 5 star Lowry Hotel Manchester, this is the only QMS hotel spa in the UK so I felt extremely fortunate to have it on my doorstep BY NICOLE CLOWES

rom the moment I entered the building,

oxygen but most appealing for a Mum of a lively

I had a sense that this was going to be

toddler, a high powered boost of energy to

something special. The doorman in his

increase the skins natural vitality.

top hat and tails happily escorted me to the lift, selected the floor and gave directions to the spa. On arriving into the spa I felt like Iâ&#x20AC;&#x2122;d arrived into a serene futuristic minimalist paradise. Everything was white, bright and naturally light. I was greeted, offered refreshment and invited to complete a short questionnaire about my skin before being lead down to one of the 8 treatment rooms on offer. I had opted for the 45 min skin energy

My skin had suffered from post baby hormone changes, leading to breakouts and sleep deprivation leading to fine lines so I was certainly in a position to put this to the test. On entering the treatment room my therapist explained a little about QMS and the products that she would be using today. She explained that QMS was founded over 25 years ago by top surgeon and leading specialist in skincare Dr Erich Schulte. His philosophy has

treatment. It promised a tantalising combination

been to develop modern technologies in order

of deep pore detoxification, revitalising pure

to transport his ingredients deep into the dermal

My skin had suffered from post baby hormone changes, leading to breakouts and sleep deprivation leading to fine lines so I was certainly in a position to put this to the test

layer. The skincare collection has also been designed to improve the skin not just in the short term but to also deliver long lasting benefits. After my consultation it was time to get down to business, so I hopped into the extremely inviting heated bed of thick fluffy towels and instantly felt relaxed. The treatment started with a deep cleanse, this was repeated twice to my delight as the massage to my face and neck felt heavenly. The next step involved the application of the exfoliant fluid with a small brush combined with the exfoliant cream. The latter was massaged in to go deep into the dermal layer. Both products feature a unique peeling system of fruit acids and enzymes which combine to dissolve dead skin cells and accelerate cellular regeneration. This felt cool at first but then started to tingle in

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I also had a super healthy glow and my pores

isolated areas. I was reassured that this was all part

was so thick that it gave a perfect impression of

of the process and that it was preparing my skin

my face on the outside. On the inside it revealed

were noticeably smaller in my usual problem

perfectly the applications of the collagens. The

that I had dehydrated patches on my forehead and

areas so felt no qualms about back walking

therapist selected a day collagen as it was before

jawline. This analysis would enable her to select the

through a very stylish hotel lobby sans make up.

3PM. The ph level of my skin was then bought

perfect moisturisers to complete my treatment.

down by a mix of cool water and bicarbonate.

Next came another Dr Schulte special, the

The staff were extremely friendly and very informative but most of all the treatments

H20 serum oxygen machine. This airbrush type

worked beautifully. The next day my skin looked

coming to her favourite part – the algae mask.

machine uses pure oxygen to administer the

the best it had looked in a long time. Much

This promised to be an enlightening experience

serum more effectively in order to boost the

smoother and massively rejuvenated.

as not only would it be completely immersive

skin’s regenerative process and it felt super

covering both eyes and mouth, but it would

refreshing and light post algae mask.

The therapist then informed me that we were

reveal the true condition of my skin. It felt a little

To complete the treatment I was given Eye Revive,

strange at first having such a thick mask placed

a 24 hour moisturiser and a product called Neck &

over my eyes and mouth, but the therapist was

More for my décolletage. Which all have an SPF 15.

amazingly reassuring and it quickly became a very soothing and serene interlude. After 5 minutes she peeled away my mask, which

At the end of the treatment I was invited to

The skin energy treatment is perfect post workout or a quick facial fix and at 45 mins long can easily be done in a lunch hour. #HighlyRecommended For more details contact the hotel direct

touch my face and to my delight discovered that

or find on Twitter, Instagram or Facebook.

my skin felt as soft as my baby’s.

www.thelowryhotel.com/spa

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COLUMNIST

STAY HEALTHY & RELAX Our Wellness & Lifestyle Coach Zoey Hughes tells us how to relax and how to stay healthy this season

nly 14 weeks to go before

with many new trends and classes

carbon fueled designed apparel,

into Olverum bath oil for you to

Christmas so I have been

available and many of us are time

along with the new conveniently

soak away your dry stressed skin

looking into how we can

poor I am introducing powerwave

packaged protein shakes Whey Box

and lastly there is nothing like a spa

get lifestyle fit and refreshed for the

sessions to you for some quick

which comes in10 great flavours.

visit so we have been visiting The

autumn/winter months ahead.

fat burning fitness, Sundried

This time of year it is important to

Lowery hotel QMS Skin Spa in the

which is a brand new innovative

keep your skin feed too so we look

heart of Manchester too.

Interest in fitness is growing and

BATH HEAVEN

SPA SECRETS

A unique and luxurious aromatic blend of essential oils which

This month we try out some Manchester relaxation at QMS Skin Spa at The Lowry

combine to ease stress and relax tension in both mind and

Hotel; a world dedicated to your wellbeing. Styled to perfectly combine relaxation and

body, bringing you back to your complete and natural self.

advanced rejuvenation, our contemporary urban spa is the first UK hotel spa to feature

www.olverum.com Price ÂŁ26

the award-winning QMS Medi cosmetics Skincare and Spa Treatment Collection. See our review on page 63. www.thelowryhotel.com/spa

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26/09/2016 11:43

POWERWAVE™ Sevenoaks launches on Saturday 1st October it is multifunctional training device that is revolutionary by design allowing a complete body workout that is guaranteed to unleash explosive core strength and physical endurance to achieve a desirable shape in just 20 minutes. ● Enhances core strength, muscle development and endurance ● Increases metabolic rate, which results in accelerating fat loss ● Enhances rotational movement promoting joint flexibility ● The amount of exercises that can be performed using the PowerWave™

IT’S THE ONLY WHEY!

are endless ● Superb benefits for any gender,

I stumbled across Whey Box a few weeks back and all I can say is its fundamentally about one thing: convenience. The founders wanted to create a membership service that once signed up, the little bundles of

that compliments the ever busier world we live in.

age or fitness level

I have personally tried and tested this brand before launch and can safely say it is the best

Head coach Zoey says “PowerWave™

tasting and conveniently packaged protein

only takes 20 minutes to complete for

powder I have used to date.

a total body workout called Wave20™ which with the combination of both

10 different flavoured 30g protein sachets from the amazing gingerbread to coconut and more

For more information visit www.wheybox.com

workout and nutrition you will see an

conventional flavours of strawberry and chocolate

Prices start from £19.99 per month

amazing transformation.”

are delivered to your door every month without

*Giveaway 10 day mixed flavour supply

ever having to place a re-order. No more big tubs of

and a shaker cup

Prices from: £25

one flavour protein and overly scientific labels they

Send us your details in an email to win including

www.transformation-lab.co.uk

have created a brand that fits an ethos and service

#wheybox competitions@totallyaesthetic.com

@zoeytlab

SUNDRIED Sundried founded by Daniel Puddick is a Design led style and innovation creating silhouettes that perform pre, during and post exercise. Premium superior materials and innovative construction meticulously designed with elegant and ergonomic features to enable your best performance. The brand strongly believes the next generation will be focused on low carbon and ethical production. Sundried responsibly source materials with low environmental impact, respect for people in the supply chain and sharing our success. Our apparel performs. Inspired and tested by real athletes, using the most advanced technology that enables exercise to challenge your limits. Available to exclusively online www.sundried.com Prices from: £40 Totally Aesthetics readers can benefit from a 20% discount using the code: TOTALLY20

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23/09/2016 14:04

WELCOME TO THE

Totally Aesthetic Magazine is proud to be a media partner and to promote the 2016 awards

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ave you had a great clinic treatment lately?

success within a fast growing an exciting industry. The prestigious MyFaceMyBody Awards is the only

Was your last appointment

consumer awards dedicated to the cosmetic,

with your aesthetic doctor

aesthetic and dental industry to recognise and

amazing? You need

reward brands for their product innovation

to check to see if

and popularity. Clinics are also rewarded MyFaceMyBody for exceptional experiences and strongly believes in outstanding service to their consumers. MyFaceMyBody has built its business awards are attended by 400 on delivering high quality information bridging the gap between The leading industry professionals, brands, to connect consumers with the beauty journalists and celebrities. industry using its innovative platforms the aesthetic medicine of digital and television. market with mainstream The Finalists need your vote! MyFaceMyBody strongly believes in bridging the gap between the aesthetic From the Best Clinic in the South East, the beauty and fashion medicine market with mainstream beauty Best Customer Experience, Best Website, Best sectors and fashion sectors to enable aesthetic brands Skin Tightening Treatment to the Best Skincare they have qualified for this years MyFaceMyBody Awards.

and professionals to reach a much wider audience.

go online now and cast your vote:

The MyFaceMyBody awards celebrates the innovation and

www.myfacemybody.com/awards/vote

Are you in the industry? SAVE THE DATE! Saturday November 12th at the 5 star Hilton Hotel, Park Lane, London. Email tickets@myfacemybody.com

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26/09/2016 11:44

BANNATYNE COMPETITION TAKE A BREAK FROM THE STRESSES AND STRAINS OF EVERYDAY LIFE AND GRAB A SLICE OF HEAVENLY BLISS WITH THIS FANTASTIC ONE NIGHT SPA BREAK FOR TWO WHICH INCLUDES... ● One night’s accommodation in a standard room ● Full English or continental breakfast ● Luxury robe, fluffy towels and slippers to use for the duration of stay ● A 25 minute treatment either a Swedish Back, Neck and Shoulder massage or Bannatyne Energising Facial per person ● 2 course meal in our restaurant ● Unlimited access to spa facilities including daily programme of fitness and relaxation classes* Spa Stay giveaway is a Heavenly bliss Spa Break at our Bury St Edmunds hotel, RRP £249.00. Details can be found here: www.bannatyne.co.uk/spa/book/spa-breaks/524/ To enter email us at competions@totallyaesthetic.com with your full name and contact details Competition draw date: 21st November 2016. Editor’s decision is final.

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23/09/2016 16:54

EXCLUSIVE TOTALLY AESTHETIC MAGAZINE READER OFFER (WORTH £175) 2-4-1 Bannatyne spa day for our readers consisting of a Elemis Anti-Ageing Facial and use of the Health Club facilities, for just £87.50 for 2 people

To redeem this offer please call 0344 477 4777 and quote ‘TA241OCT’. Please pay upon booking, the offer can be valid for redemption until 31/12/2016. This offer is valid at all Bannatyne Spas, however at poor premium venues, Charlton House, Bury St Edmunds, Colchester & Fairfield there would be a £10 supplement on the package.

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PREMIER LEAGUE BARBER

How often is it that you are watching a big football match or walking past a billboard featuring top International football stars and wondered ‘How do they look so on trend’? How are they groomed within an inch of perfection?

ell, It is all down to the amazing craft of the renowned celebrity groomer/ stylist and our cover star, Daniel

Johnson, who has a portfolio that reads like a who’s who of the top footballing elite. Whether it’s trimming Wayne Rooney or Mario Balotelli hair or styling Jermain Defoe, nobody else can match the high standards required for living your life in the largest public spotlight. He is the man responsible for the biggest trending haircuts in the world - how many people remember the infamous ‘Balotelli’ or indeed when Gareth Bale signed for Real Madrid? Well, it was all down to the creative genius of Daniel who managed to mix style and substance in a creative way and, in the process, create a whole new niche for himself as the ‘go to man’ for all the top players worldwide. For Daniel it is a simple formula ‘Work hard, and look impeccable whilst doing it’. This ethos has enabled him to become a multi award winner whose brand is synonymous with working with the most respected individuals in the world. As well as having his own popular online show, #STYLE, Daniel has also just signed an exclusive partnership deal with the flagship brand PANASONIC, which sees him become the

The New Clinic is based in Hertfordshire.

UK Ambassador for all male grooming products.

ScalpMicroUK can create the look of close

Daniel has added a unique procedure to his

cropped hair. You can get immediate results!

brand Scalp MicropigMANtation from Finishing

You will soon be seeing & hearing about

Touches Group, which can restore receded

Daniel’s unique procedure everywhere! But you

hairlines, camouflage transplant scaring.

heard it in Totally Aesthetic Magazine first!

Daniel Johnson has a portfolio that reads like a who’s who of the top footballing elite

If you are interested in scalp micropigmentation get in touch with Daniel at ASK@totallyaesthetic.com or fill in our online enquiry form and we will get you booked in www.totallyaesthetic.com/ enquiry. Tell him that we sent you to claim your exclusive offer. Quote #TAMAGDANIELJ www.iamdanielj.com @IAmDanielJ

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COLUMNIST

SCROTOX

Yes you read correctly. In recent years vaginal rejuvenation has gone from strength to strength. And so too for men, though a little more hush, hush BY ANDREW HANSFORD

en are definitely becoming more aware of their appearance and spending more time and money on

George Clooney once joked with Esquire about “ball ironing” being the hottest thing in Hollywood. At the end of the day both sexes want to

For more information or to find your nearest practitioner email us at

rejuvenation procedures, teeth whitening, hair,

feel good during intimacy and be comfortable

ASK@totallyaestetic.com

the gym and Botox which is almost on a par with

naked. And if it takes treatments like Scrotox to

or fill in our online enquiry for at

women. With the marketing of vaginal lifting

do this, who are we to argue?

www.totallyaesthetic.com/enquiry

and tightening being common place it wouldn’t be long before procedures for the male more intimate parts would pop up. Pardon the pun. So where does this stem from? Is it the ‘locker room syndrome’ where a guy’s power symbol doesn’t measure up? Or is it age? Which until now, men have had to resign themselves to the fact that the scrotum ages prematurely. Whatever the reason why shouldn’t they feel better about themselves? Wanting your bits and pieces to look and feel better can be physiological as well as visual, which can lead to other emotional concerns such as erectile dysfunction. There have been various treatments around for a while including; penis pumps, hyaluronic acid fillers, fat injections, PRP and shock therapy (ouch). Some of these are targeted at the aesthetic appearance where others for medical conditions. Some practitioners have also found that when using lasers for hair removal in that delicate area, often referred to as ‘back, sack and crack’, clients have noticed an improvement in the area’s appearance, including; becoming less wrinkly and a smoother texture. The coup de grace is the scrotal lift known as ‘scrotoplasty’, a surgical procedure which tightens, lifts and reduces the scrotum’s excess skin. But what about Botox or now aptly named ’Scrotox’. Botox as a procedure improves the appearance of wrinkles and decreases sweating and has been used for a while on marathon runners and cyclists as it reduces burns in the inner thigh from rubbing and sweat irritation. So with the right application in the genital area the scrotum can appear less wrinkled and in some noted cases appear larger due to the muscles being relaxed. Though this is a

George Clooney once joked with Esquire about “ball ironing” being the hottest thing in Hollywood

relatively new procedure it’s not going to be long before it’s common place on the menu of many practices. It’s already in Hollywood!

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26/09/2016 12:08

BLEPHS LIKE A BASSETT HOUND When your eyelids get as droopy as a Basset Hound there is often little that you can do to rectify it and sometimes surgery is the only way to go for an effective and long lasting result. Now is also the perfect time to mention that the longer you leave the ageing process before seeking some form of intervention the less non-surgical options will be open to you BY LISAJANE DAVIES

The thing with salon treatments

n the medical world your

Brush on Block. In your 20’s gents

see more and more droopiness

eyelids are referred to as

should start using a good all round

in your eyelids and opt for a non-

is that you need to go regularly, at

‘Blephs’ and when looking for

moisturiser like Arbonne’s After-

surgical and laser treatment, more

least one a month, and you need

treatments they are often referred

Shave Soothing Lotion. In your 30’s

active anti-ageing skincare and

to carry that on at home with

to as ‘Blepharoplasty’ and this

you should start adding in some

treatments. Surgery is another

some good active products for the

can be surgical or non-surgical.

anti-ageing products and serums,

option for some.

bathroom shelf.

Gentlemen you should always

along with a great eye cream.

If you leave it until you are in your

He broadly researched his choices

wear a good high factor SPF sun

This may also be the time to talk

50’s before choosing an active sun

on the internet and he avidly read

protection lotion like Anthony

GUYTOX as we at TA Mag call Botox

protection and skincare regime,

reviews and recommendations

Facial Moisturiser with SPF 30 or

for the man. In your 40’s you may

you will greatly reduce the options

both here and abroad. Research

available for your drooping brows.

complete, Don made the decision

Treatments at this stage may leave

to visit Purity Bridge in Tunbridge

you with expensive mistakes that

Wells, a surgical and non-surgical

do not work or last. This was the

practice owned by renowned

case for Don Moat, 53, a personal

Plastic Surgeon Marc Pacifico.

BEFORE

stylist from Kent. Don had always

From the moment he walked into

looked fairly young for his age

the clinic for his consultation, Don

and his day to day work entailed

was made to feel relaxed,

making sure that his clients looked

welcomed and he

sharp rather than his own skincare.

felt an instant

He moved into his 50’s and saw

rapport

that he was looking a bit tired

with the

around the eye area and did not

team.

like it. Don had never taken care of

his skin, he was a wash and go kind of guy. No moisturisers, serums or face masks here and other than the odd Elemis salon treatment

AFTER

he had no idea about at home skincare.

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If you leave it until you are in your 50’s before choosing an active sun protection and skincare regime you will greatly reduce the options available for your drooping brows

had a thorough patient consultation and in depth discussion about how he felt about

QUICK Q&A WITH MARC PACIFICO MD FRCS(PLAST) , PLASTIC SURGEON COSTS Upper Blepheroplasty under local anaesthetic at Purity Bridge for £2650 or under general anaesthetic for £3900, £6200 with the temporal lift included.

his looks and what he wanted to achieve. He told me it was at this time he became aware that he had no long term non-surgical solutions open to him so he opted to explore surgical options. After a full consultation and Mr Pacifico having explained the treatment options and it was agreed that blepharoplasty in combination with a lateral temple lift was the way forward. Don agreed on surgery and has never regretted his decision and the results are clear.

HOW POPULAR IS THIS KIND OF SURGERY? Women still make up 80% of our patients, but men are becoming increasingly comfortable with the concept of cosmetic surgery WHY DO YOU SUGGEST HAVING BOTH TOGETHER? This is not necessary in everyone. However, many people who come to see a plastic surgeon about the upper eyelids also have what is known as “compensated brow ptosis”. This is when people subconsciously raise their brows to take off the weight of their heavy eyelids (or else the heavy lid skin would impact on their visual fields). In these cases, if we were to perform an upper eyelid lift alone, the result would be disappointing but if the brow is stabilised to prevent it drooping down after surgery, the result is much fresher, the outer eyelid area is opened out (as if some wonder cream has been used) and the result is so much more satisfying, as demonstrated by Mr Moat. HAVE YOU NOTICED A DECLINE IN SURGICAL REQUESTS SINCE THE INCREASE IN NON-SURGICAL OPTIONS? As a clinic that specialises in plastic surgery as its core business, we have not seen this. However, one effect we have seen is that people who come to enquire about surgery are sometimes more suited to non-surgical treatments. A typical example is someone I saw recently who came to have lower blepharoplasty, however was much better

suited to tear trough treatment with filler. She now has an excellent result and surgery can be postponed for another decade or so! IS IT A GENERATIONAL THING OPTING FOR SURGERY? At the end of the day, the right procedure has to chosen for the right individual. If a practitioner is limited in their repertoire of treatments, or cannot offer surgery, they should recognise when it is the right thing to refer onwards. There is always the concern that “if all you have is a hammer, everything looks like a nail”. All clinicians therefore have a responsibility to give the correct and best advice to their patients, even if it means recommending something they cannot offer themselves. WHAT ARE THE MOST POPULAR TREATMENTS FOR MEN AT PURITY BRIDGE? We see a steady stream of men coming for appointments for facial and body procedures. These include gynaecomastia correction (man boobs), liposuction, facelifts (in fact one of my patients next week is a male facelift and blepharoplasty), eyelid surgery and much more. BIO Marc Pacifico is dedicated to providing the highest possible standard of care to every cosmetic or reconstructive surgery patient in his care. He will provide you with an open and honest opinion regarding your suitability for surgery, with your safety and wellbeing as his top priority. When not at work, Marc spends as much time as possible with his young family. Marc Pacifico is a fully accredited specialist in plastic surgery, and is on the Specialist Register in Plastic Surgery with the General Medical Council and a member of both BAPRAS & BAAPS.

For more information and for your appointment at Purity Bridge please fill in our patient enquiry form where you will qualify for a special TA Mag skin consultation and 10% off of non-prescriptive skincare. Find the form here on our website www.totallyaesthetic.com/enquiry

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HALF THE MAN I WAS

LOSING THE WEIGHT LOSS LOOK What happens when you make some huge life choices that include changes in your home, your relationship and your diet. We asked our reader Ross Linton to tell us more about his story and the stigmas still attached to men having aesthetic treatments and the side effects of weight loss BY ROSS LINTON

y name is Ross Linton,

came with its disadvantages. I

like attending school events as

I am 28, originally

hated summer as it would mean

deep down I always thought and

from the north east

no jumper to physically hide

wondered what others would

of England. Around about 2 – 3

my body, I would skip school

think of me. Sadly my relationship

years ago I made a drastic life

on days of swimming and PE to

broke down.

choice to relocate to London, one

defend myself from the bullying.

I found myself at a crossroads. I

that has paid many dividends

School uniform was tough as the

had the chance to take charge of

and has probably been one of the

standard uniform didn’t fit, I had

my life and plan a future to really

best choices I have ever made. I

to wear adult sized from the high

make some big improvements

work as a children’s behavioural

street and also have my trousers

in search for inner happiness. I

therapist in the city, a job I

adjusted on the waist and leg to

began to diet and exercise. This

love that has huge amounts

fit my height. This meant on days I

helped me focus and stay in

of rewards.

had 6 hours to bur, I would hit the

control given the circumstances

From being around the age of 8

shops and eat in the park with my

around me at that time. My

I was a big lad. Looking back now

lunch money. It was a very viscous

mother was a part of a well

my weight was a major factor

cycle as I knew physically that I

known slimming club that gave

holding me back. Growing up

was not the person I wanted to be

me access to plans and recipes

being very over weight is not a

but food was a way of comfort.

which I focused on religiously.

great experience, mainly due to

By the time I was around 23 I

This then led to a whopping loss

the taunting and the restrictions

was married and had children and

of around 11 stone over a year

to participating in normal

weighed 23 stone. The insecurities

and a half. I had gone from a

activities of life such as swimming,

and anxiety was always there

massive 23 stone down to approx

football and PE class. This was

meaning my mood would

12.5 stone. The weight loss had

mainly due to my anxiety levels.

fluctuate up and down and I

given me a new lease of life, made

Through secondary school my

found certain environments still a

me a more active and greater

insecurities became heightened.

massive struggle. I was unable to

father, and then with help from a

I would find that being around

swim with my children, holidays

very close friend I was given the

15-16 stone at the age of 13-14

abroad were just as tough, I didn’t

opportunity to move and work

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Men grab your moisturiser and book an appointment to see your local cosmetic doctor for a refresh today

in London. A chance to really put a stamp on the new rebranding of Ross, to which I was able to truly be whom, I wanted to be. Losing the weight so quick does come with its own side effects. Physically all the hard work had left its own stamp. I have loose hanging skin on my stomach, which I am saving to get rectified by surgery, and a very gaunt looking face and complexion. This was then my next plan of action, I decided to tackle my gaunt face by booking in to see tope celebrity doctor Vincent Wong. He was so kind and offered to contact the suppliers of his dermal filler, Intraline, to see if they could help me. Intraline and Dr Vincent Wong transformed my face with a specially designed filler for men and botox injections to relax the wrinkle in my forehead. I am now much happier and look younger with fuller cheeks to make the ‘weight loss look’ a distance past. I will definitely keep these treatments up. With the fantastic results from Dr Vincent my confidence has soared and I am truly on that path to inner perfection. There is still a long way to go and more tweaks required but without Aesthetics, a daily skin care regime I don’t think I would be in the positive, happy and grounded frame of mind I find myself in today. There is too much stigma surrounding men having treatment, yes it’s falling but it’s still prevalent. From a personal perspective I would recommend anyone defeat those demons, get the right help and advice, be wise in your decisions of practitioner and treatments and do what makes you truly happy.

Do you have a question for Ross or one of our expert advisors? Simply email ASK@totallyaesthetic.com or fill our our patient enquiry form online and we will put you in touch with the right person. www.totallyaesthetic.com/enquiry

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EDITOR

FIRST IMPRESSIONS REALLY DO COUNT! What 5 things do women look at, when they first meet a man? BY STEPHEN HANDISIDES

potted the woman of your dreams on the train? Think she won’t notice your dirty trainers and 5 o’clock

shadow? Well you are wrong! Women are an observant bunch and they don’t miss a thing. We spoke to male grooming expert, Stephen Handisides to get the low down. Asking, ‘what do women look at, when they meet a man for the first time?’ Men in the UK are some of the most stylish in the world. Male grooming is growing in popularity, with sales of men’s grooming products estimated to tip the £608million mark, by 2017*. But with all these lotions and potions, are we really doing it right? Together with the team at MyFaceMyBody we recently conducted a survey from a cross-section of women, from four different continents on what aesthetically they look for in a man. The results give a valuable insight into what many men can improve on.

instantly look at the aesthetics. So smile, hands, hair, eyes and lastly shoes. Basically a man’s overall appearance and presentation, so first impressions really do count! So for men, male grooming, is important, but spending hours in the bathroom isn’t essential. Maintain the basics and it’ll only take you a few minutes each day to keep you looking sharp.

TAILOR: WWW.PERFECTLYATTIRED.CO.UK

The overwhelming response from women, is that on meeting a man for first time, they

The fundamentals are easy, a good haircut, crisp shave, or neatly trimmed beard, style

too overpowering. A classic fragrance won’t

smart shirt and dress jeans. Just remember, your

in the wardrobe department and lastly clean

date and won’t be too strong. You want them to

look doesn’t have to be expensive. There are

hands and short nails. No dirty fingernails

remember your scent, not be knocked out by it.

some great men’s high-street brands around

A great smile is important, we have an excellent

where you can emulate the high end, designer

dental system in the UK, so there is no excuse for

looks for a fraction of the cost. Check out men’s

Remember, your barber is your friend. Visit a

chipped, stained teeth. Visit your dentist every

fashion and grooming blogs and Instagram for

good barber’s regularly and they’ll give you a

six months and they’ll keep your pearly whites

men’s style tips and inspiration.

great haircut that suits the shape of your face,

looking bright.

please (this was a major and surprising complaint from the survey results).

a good shave and remove any of those monobrow issues. Don’t be afraid of men’s grooming products,

You don’t necessarily have to wear designer

Lastly and most importantly, have confidence, look her in the eye and smile. Start a

clothes to impress. It is all about how you present

conversation, pay her a compliment or open a

yourself. You can’t go past a sharp suit for style

door, who knows where it will lead.

have fun and try out different brands. My

factor, but if the occasion doesn’t allow it, then

personal favourites are Ultraceuticals, Dirt for

a crisp shirt, casual chinos or jeans and good

For more male grooming tips and inspiration,

Men and Aspect Dr, but experiment and find

quality pair of leather shoes can look really

check out Stephen’s Instagram @shandisides

what you like. Moisturise, use deodorant, wax /

stylish. Dress for the occasion, black tie formal,

Twitter @shandisides and his website and

pomade and a find a great aftershave that isn’t

wear a sophisticated tuxedo, casual dinner date,

blog on www.stephenhandisides.com

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23/09/2016 14:21

C L I N I C F OC U S

HANDACIALS IN HARLEY STREET

PHOTO: KELLY MORRELL

We took a look inside a top London clinic to meet the very affable Dr David Jack and yes the painting is by Warhol

THE HANDACIAL OR THE HOLLYWOOD HAND JOB

ot from Hollywood is the Handacial created by London’s leading

the singer’s wrinkled hands are famously at odds with her age-defying

anti-ageing skincare specialist, Dr David Jack, who offers bespoke

porcelain skin.

non-surgical age management and advanced skincare within his

Dr Jack has launched his own new Handacial treatment, that includes

homely clinic on Harley St. With his little black book of International

dermal filler to plump out hands. This filler, designed specifically for

clients, Dr Jack is well aware of the most in demand anti ageing

this area, addresses the volume loss and increased visibility of the

crazes from the US.

tendons and veins that contribute most to visible ageing of the hands.

Demi Moore and Kris Jenner are said to be fans of the new

Dermal filler can be used in combination with other techniques, IPL

‘Hollywood hand job’, a treatment that’s increasingly popular with

for age spots or fractora skin resurfacing for loose skin, restoring your

women who want to avoid the dreaded ‘Madonna hands’. This is a term

hands to their original youthful state.

used in LA to describe women whose hands give away their real age –

‘People often forget to apply sunscreen to the backs of hands, even

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PROFILE

Incorporating injectables, skincare, peels, resurfacing and laser - as well as novel treatments such as Plexr Soft-Surgery, Dr Jack offers the most up to date treatments available on the non-surgical aesthetic market

Dr David Jack LONDON

Having studied at the University of Glasgow, Dr Jack graduated among the top students in his class, with MBChB as well as a first class honours degree in anatomy. He later became a member of the Royal College of Surgeons of Edinburgh after passing his post-graduate examinations. Prior to opening his own clinic Dr Jack undertook several NHS training jobs and later went on to train in plastic surgery in Scotland and London. Fully qualified in administration of Botox and fillers for facial aesthetics and qualified to use lasers, Dr Jack prides himself on the results he delivers to his clients, finding his work very rewarding when he sees the difference his treatments can make to his client’s confidence. Dr Jack now practices at his clinic on Harley Street and has recently launched his own product range. Dr Jack’s clinic in London’s Marylebone provides the very latest in integrated skin health and anti-ageing. His very ‘hands-on’ and personal approach ensures that patients receive the very highest quality care. Aesthetic results are implicitly dependent on the aesthetic eye of the individual practitioner and Dr Jack prides

though they’re constantly exposed to the sun. Women often tell me

himself on his subtle and natural approach - he will never overdo

their hands look at least 10 years older than their face, so I developed a

a treatment and avoids at all costs a ‘done’ look.

hand treatment designed specifically for this delicate area. It plumps up

Incorporating injectables, skincare, peels, resurfacing and

lost volume and decreases visibility of tendons and veins,’ said Dr Jack

laser - as well as novel treatments such as Plexr Soft-Surgery, Dr

who has now introduced a new rejuvenation technique using a collagen

Jack offers the most up to date treatments available on the non-

stimulating filler.

surgical aesthetic market.

For more information and for your appointment with Dr Jack please fill in our patient enquiry form here on our website www. totallyaesthetic.com/enquiry or email us at ASK@totallyaesthetic.com

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COLUMNIST

A BARBERING MASTERCLASS WITH PALL MALL BARBERS BY ROSS LINTON

In this day and age it’s easy to say that appearance and feeling good is becoming more and more important to the everyday man, me included. Today’s gentlemen seem to be on a journey to find the ultimate in grooming brilliance. I’ll be asking is it possible to have old fashioned traditions with a modern twist, but still be discreet and offer the pleasures of being groomed and on point? I took it upon myself to find out

www.pallmallbarbers.com

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s you enter Pall Mall Barbers you are instantly met with class

man to shame when it comes to her blade skills. Being trained by some

and masculinity. My service today consisted of a cut, wash and

of the most critical perfectionists in London makes me feel confident

style, followed by an open blade masterclass. The shop itself is

enough to put any man through their paces when it comes to shaving.

situated in the heart of London’s buzzing Westminster. It’s modern but

I was taken over to a quiet secluded corner of the shop and introduced

still holds onto the traditional look that it may have held back in 1896,

to my arsenal. Being in my late 20’s and still needing advice on how

Peaky Blinders instantly springs to mind. My service started when I was

to shave is probably a bit embarrassing but the discretion the shop

shown to the barber’s chair and offered refreshments to relax and unwind while Dan, my barber for the day then began

offers by setting an area away from spectators puts all those insecurities to one side leaving only the barber and mirror to witness my shame. Erin started by showing me the

the consultation. We discussed in depth my style

Pall Malls 5 stage process essential to prepping the

preference and what look I was aiming for. Dan shared with me that Pall Mall Barbers has always held onto the idea that every man should be able to have an all-round groom; always keeping the barbers on their toes to ensure the service is current and the best available. The result of my hair cut was unlike any others I had experienced. Dan had ensured my hair looked sharp and was styled to perfection using a mixture of techniques with scissors and blade. It’s been by far one of the best haircuts I

Most men make the mistake of shaving in one direction from top to bottom, always shave away from the way the hair is growing to reduce any rash or aggravation

have had; if that wasn’t enough it’s then sealed with a head massage using a luxury cooling product. The key to the perfect cut is to ensure everyone is trained as hair stylists, not only barbers. I was then introduced to Erin who was to begin my masterclass open

skin, she makes sure the right amount is used and the right technique is in place to get the perfect result. The Pall Mall Barber products have been created with a professional touch offering luxury in abundance. They carry a masculine Sandalwood and Clove scent that effortlessly fills the room. Erin’s next step then begins when she tailor teaches the techniques that are personalised to everyone’s individual beard. Every step is closely critiqued and Erin made sure I was 100% confident to try it at home! It was

an experience I won’t forget anytime soon, I learnt some valuable lessons and became a ‘man’ that day. I can say that from the first moment I entered to the moment I left, I was given a superb experience. Quality and tradition go hand in hand with Pall

blade experience. Erin? A women? A question most men may find

Mall Barbers, mainly because of their home-grown quality products and

themselves asking but believe me, with many years’ experience being

highly skilled staff, a reason why I can hold my hand up very high and say

trained by some of London’s original barbering gurus she puts any

they have gained a new client and I have gained a new barber.

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23/09/2016 14:18

THE NO HAIR HAIR LOOK! Once upon a time men losing their hair were resigned to a life of baldness, hats and possibly even singledom! But no more with the introduction of scalp tattooing or scalp micropigmentation, similar to cosmetic tattooing used for eyebrows BY LISAJANE DAVIES

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f a man begins to go bald through male pattern hairloss the traditional go to treatments were scalp shampoos or

full on hair surgery but now the game has changed considerably with a brand new hair line and overall look of hair able to be created with the artistry of tattoo pigments. Matt Iulo, 28, lost all of his hair when he was in college. He knew he wanted his hair back, but he

Having lost my own hair so young, I was thinking about a transplant. I came across scalp micro pigmentation. I met the people who did it, loved it. I thought it was a good line of work; it was like an up and coming industry

didn’t want to go through a surgical hair transplant, so he opted for scalp micropigmentation (SMP), which involves tattooing little dots on your head so as to simulate a buzzcut or the No Hair Hair Look. He liked the look so much that he

be adapted to blend noticeable birthmarks into the scalp. MicropigMANtation is also being championed by our cover star, world renowned celebrity barber and ambassador for Panasonic UK, Daniel Johnson. Daniel flies all over the world to perfect bespoke and intricate hairlines and styles for his clients but until now he had no way of ‘creating’ a new hairline

or filling in irregular gaps. He was so impressed by the service that he immediately trained and has set up his own scalp centre in Hertfordshire to offer these services. Because SMP is not a medical or surgical procedure, it is much cheaper

trained in the process and has gone on to develop a thriving New York

than a hair transplant. Dawn and Matt have a wealth of combined

clinic and has now launched MicropigMANtation with Dawn Forshaw of

knowledge stretching over 30 years to pass onto their trainees. Dawn

Finishing Touches Group.

told us “Whilst scalp tattooing has been around since the late 90’s the FTG

Mat Said “Having lost my own hair so young, I was thinking about a

technique is unique in so much as it is combining permanent and semi-

transplant. But It was pricey and could go wrong. I did a consult, didn’t

permanent hair loss techniques, allowing men with male pattern baldness

love it. I came across scalp micro pigmentation. There weren’t a lot in the

the opportunity of choosing 24/7 scalp coverage.”

States, so I had to travel overseas. I met the people who did it, loved it. I thought it was a good line of work; it was like an up and coming industry.” It really is the look of hair but with no hair and can change the personal

You can get MicropigMANtation from

confidence of men and women quite significantly. The service has

£409 per hour with a free

been around in the USA for around 10 years but has only recently been

consultation and for your

launched in the UK so that SMPU technicians and now Barbers to literally

nearest practitioner please fill

put colour and confidence back into people’s lives

in our online patient enquiry

Scalp micropigmentation can be applied to much wider range of hair loss

form at www.totallyaesthetic.

variations than hair transplant surgery; from general balding to hairline

com/enquiry If you would

recession, to burn or surgery related hair loss, and of course alopecia (most

like to enquire about training

commonly alopecia areata). It can be also utilised to conceal hair transplant

please get in touch with info@

scars or blemishes as a result of trauma to the head. The method can even

finishingtouchesgroup.com

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COLUMNIST

MANESSENTIALS

My name is Ross Linton and I class myself as a human test dummy on all things that keep us men feeling great and looking sharp. Believe me when I say there isn’t anything that I haven’t supped or spread to try and become the real life Dorian Gray. These are my top six grooming products available on the market today BY ROSS LINTON

PALL MALL BARBERS

BLIND BARBER

ANTHONY

ARBONNE

Beard Oil 30ml £27.00

Lemongrass Shampoo and Body Wash 250ml - £15.00

Facial Moisturiser SPF 30 - £33.00

RE9 After-Shave Soothing Lotion - £29 A lightweight lotion that absorbs quickly

A luxurious product that has a signature

A daily cleanser that removes

A light, non-greasy moisturiser that

Sandalwood and Clove scent as well

tough hair product with ease and doubles

also contains protection from harmful

to comfort skin, leaving it feeling soft

as being packed with essential oils. It

up as a pretty good body wash too.

UV rays, along with anti-ageing

and smooth. Contains ingredients with

softens and keeps your beard free from

Not only is it sulphate free but it’s also a

properties, it’s a good addition to your

antioxidant properties and helps calm

feeling irritated and rough all day.

perfect size to fit into your gym bag.

daily skin care routine.

and refresh tired looking skin

www.pallmallbarbers.com

www.discoveredbrands.com

www.mankind.com

www.arbonneinternational.co.uk

THE BIG BLUE BAR OF SOAP FOR BLOKES

RECIPE FOR MEN Under eye patches x4

Sick of under-sized soaps and fussy scents that

treatments - £18.00

just don’t tickle your fancy? The Bluebeards

With intense deep hydration

Revenge’s Big Blue Bar of Soap is chunky enough

and a reduction in puffiness,

for even the manliest of hands, and with a simple,

this is a must have to reduce

fresh and masculine scent that will leave you

the look of tired under eyes in

smelling irresistible from head to toe.

just 20 minutes.

www.bluebeards-revenge.co.uk £4.99

www.discoveredbrands.com

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26/09/2016 11:57

BEARD LIKE A BOSS

It seems that Chuck Noris was ahead of his time with his beardyness as was Magnum PI with his handsome moustache but is the hipster beard still hip? One thing that is for sure is that a bushy old messy beard most certainly is not and it takes care and a fair amount of grooming to make it look like a boss beard! We check out some tools to make your beard life easier

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● THE UPPER CHEEK TRIM

● COMBED BEARDYNESS

● DO NOT CLEAN SHAVE YOUR NECK

As you get older, beards seem to creep up

As strange as it feels to “brush” your

Contrary to popular belief, a harsh too well

towards the eyes as if they’re trying to escape

face, flatten down any runaway bristles

defined line under your beard does not give you

from our faces. Avoid the temptation to shave

with a comb actually does make

the illusion of a jaw, it gives you the illusion of

the top of the beard line too aggressively -

you look a lot smarter and give the

being an idiot. Invest in a good beard trimmer,

beards should appear soft and natural.

face better definition.

thin out the neck hair and blend into the beard.

π REMINGTON MB404T

LITHIUM ION POWERED MEN’S RECHARGEABLE MOUSTACHE BEARD AND STUBBLE KIT

π ALL PURPOSE GILLETTE

STYLER®: TRIMMER, SHAVER & EDGER

π PHILIPS MULTIGROOM

SERIES 3000 ALL-IN-ONE MENS GROOMING KIT

π BRAUN BEARD

TRIMMER BT5050

Automatically adapts to any

The All Purpose Gillette

All-in-one beard, hair and body trimmer.

voltage between 100V and

Styler trims evenly, shaves

7-in-1 waterproof trimmer for maximum

240V. It works in practically

Because every beard is different, this

closely, and edges precisely.

versatility, 3 attachments and 4 combs,

every country on this planet.

cordless and advanced piece of kit includes

The Styler has everything you

cordless, fully washable, skin-friendly

a selection of combs to ensure complete

need to achieve any facial

blades, 60 mins’ cordless use/10-hr

combs make precise grooming

versatility when grooming and shaping

hair style, The waterproof

charge. Trim your face, neck and

and trimming easy.

your facial hair. With titanium coated

power trimmer is complete

sideburns to complete your look. Use

blades, pop-up trimmer – for detail styling,

with three exchangeable

the full-size trimmer without a comb to

trimming combs for 25 precise

multi combs, scissors, boar brush and

combs for consistent length

complete your style and get clean, sharp

settings. For results that are even,

washable heads this is a cool beard kit.

and contour adaptability.

lines around the edges of your beard.

exact, reliable and repeatable.

www.boots.com

www.gillette.co.uk

www.philips.co.uk

www.uk.braun.com from

£49.99

FROM £13.99 AT TESCO

£35

£49.99

π PANASONIC MULTI-GROOMER ER-GB80

Two easy to adjust Click&Lock

A celebration of multi-tasking manscaping, the

SHAPING TOOL

Panasonic ER-GB80 takes at home grooming to greater

Still sticking with your razor then why not

π LITHIUM PRO FACE & BODY TRIMMER

heights. Catering to all trimming needs from head-to-toe,

try out The Beard Bro- Facial Hair Shaping

BaByliss for Men 7420U Super

the multi-functional tool has three attachments to offer varied

Tool for Perfect Lines & Symmetry!

Groomer is a professional

levels of trimming for precise results, is rechargeable,

π THE BEARD BRO- FACIAL HAIR

2 Click&Lock trimming

Style your long, luxurious facial hair

grade corded and cordless

cordless and has blades which have been designed using

however you see fit with The Beard Bro!

face and body trimmer. With

inspiration from Japanese Samurai swords. Not only will

Start out by running clippers over the edges

five interchangeable head

your hair be the envy of your friends but your tool will

to shape the hair and then follow up with a

attachments for all over

too as the ER-GB80 is one of the coolest and most

close shave at the top line with the unique

trimming and grooming

convenient must-haves for men.

Beard Bro shaping guide.

giving professional results.

www.panasonic.com/uk

www.thebeardbro.com

www.boots.com

£59.99

£17.99

£59.99

If you are still confused by beard wizardry then get in touch with us and we can point you towards the best groomers in town ASK@totallyaesthetic.com

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23/09/2016 16:36

COLD FEET STAR HOPES TO

FIND LOVE

IN THE HAIR

There was a time when men would simply live with every increasing hair loss and just buy a cap when it had all gone but now with state of the art advanced techniques you can simply book in for a brand new hairline.

hat is exactly what comic John Thomson

as David Platt and Michael Gray, said John isn’t in the

has revealed when he booked himself

minority when it comes to the reason why people

in for a hair transplant in the hope of

may opt for hair restoration surgery.

boosting his confidence and finding love. The

Dr Farjo, who is also medical director of the Institute

actor, who reprises his role as loveable Pete Gifford

of Trichologists, said: “Hair transplant surgery is no

in Cold Feet, underwent a hair transplant in a bid

longer seen as a vanity procedure and is becoming

to get his love life back on track. He told The Sun

more accessible – and acceptable – for men of all

how he feared he may resemble a ‘bald thug’ on

ages. Similarly to John, a lot of our patients simply

the online dating scene if he didn’t take steps to

want to boost their confidence, feel better

correct his receding hairline.

about their looks and, perhaps more

His op was carried out by our very own Totally Aesthetic Magazine Expert, Dr Bessam Farjo at his Manchester-based clinic. John, 47, told The Sun: “I realised I was losing my hair so I thought I’d get it done at the Farjo Hair Institute. “I might have got away with a bald head if my build was different. I think thin men carry it off better.” He added that would-be dates have questioned

importantly, find love! “Hair transplants can be done by two different methods, which are follicular unit extraction (FUE) and strip follicular unit transplantation (FUT). Of course, everyone’s different and it

whether he was the real deal and have assumed his

depends entirely

profile was fake.

on the individual’s

The former Fast Show favourite continued: “People did recognise me but didn’t believe it was the real me. Dr Farjo, who has also carried out hair transplants

needs when it comes to choosing the most

on Goodness Gracious Me and The Kumars at No. 42

appropriate

actor Sanjeev Bhaskar and footballing legends such

method.”

PHOTO: UNIVERSITY OF SALFORD PRESS OFFICE / NICK HARRISON

For more information about the Farjo Hair Institute, visit: www.farjo.com

I might have got away with a bald head if my build was different. I think thin men carry it off better

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CONTENTS

WELCOME TA Mag Male Grooming Expert Stephen Handisides Welcome to the Autumn issue of Totally Aesthetic Magazine for men. In this latest issue we discuss everything from Scrotox, (yes, it is what you are thinking) Barbering, Scalpmicro to Meso for men. In the lead up to the party season, we look into the minds of women, with some valuable insights into what women look for, when they first meet a man. We even speak to the legendary, barber to the stars and pro footballer’s alike Daniel Johnson. I hope you enjoy this latest issue, I can tell you,

ON THE COVER

FEATURES

I’ve even learnt a thing or two! About Stephen Handisides Stephen Handisides is an international TV presenter, model, journalist and an all-round expert on Aesthetic Beauty and Male

17 WHAT WOMEN WANT

4 JOHN THOMPSON

Men’s Editor Stephen

Cold feet star shares

Handisides shares his secrets

his hair transplant story

about attracting a woman

6 BEARD LIKE A BOSS

Grooming. Stephen is currently featuring as a guest grooming

18 HALF THE MAN I WAS

How to get the perfect

Stephen hosts and produces Sky TV’s MyFaceMyBody and

Columnist Ross Linton

beardy bush

is the brains behind the Global Aesthetic Awards, held in

shares his weight loss secrets

presenter on Television programs in Australia and the UK.

9 MANESSENTIALS

London, LA and Sydney. Stephen is known for his quintessential sense of style and showcasing the very best in tailored suits.

22 BLEPHS LIKE A BASSETT HOUND

Manoisturisers Tried & Tested by TA Mag

Eyelid surgery explained For more male grooming tips and inspiration, check out

by Marc Pacifico

12 BARBERING MASTERCLASS

24 SCROTOX

Close shaving experience

Andrew Hansford gives us the

with Pall Mall Barbers

Stephen’s Instagram @shandisides Twitter @shandisides and his website and blog on www.stephenhandisides.com

very lowdown on ball lifting

Stephen Handisides TA MALE GROOMING EXPERT

25 WE GO PREMIER LEAGUE

14 MEN OF A CERTAIN AGE WITH NEW HAIR

We find out more about

We talk hair transplants and

celebrity barber Daniel Johnson

Cold Feet Star John Thompson

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TOTALLY AESTHETIC HALF THE MAN I WAS Weight loss secrets

BLEPHS LIKE A BASSETT HOUND Eyelid surgery explained

BEARD LIKE A BOSS Get the perfect beardy bush

WHAT WOMEN WANT The secrets of attracting a woman

SCROTOX The lowdown on ball lifting

WIN A BANNATYNE SPA BREAK Those lovely people at Bannatyne Gyms and Hotels have given us a spa break for 2 and a fabulous readersâ&#x20AC;&#x2122; offer

PREMIER LEAGUE Celebrity barber Daniel Johnson

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23/09/2016 12:44