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Client: Tracey Bell Website: Fabulous Mag (News of the World Magazine) Date: Sunday 2nd May 2010

1 Active Profile Ltd, 12 Rodney St, Liverpool, L1 2TE T: 01516018688 E: info@activeprofile.co.uk W: www.activeprofile.co.uk

2 Active Profile Ltd, 12 Rodney St, Liverpool, L1 2TE T: 01516018688 E: info@activeprofile.co.uk W: www.activeprofile.co.uk

experts

You ask the questions and we get the answers from the top practitioners in their field...

Q

I had Restylane Touch injected into my tear troughs five months ago and had a disastrous result.

I have since had three lots of hyalase administered to dissolve it. Since the last, three months ago, I still have some swelling. Is it possible that the injections have caused me permanent damage or could some Restylane still be present?

Dr Paul Cronin It is hard to guide you without a face to face consultation and I presume you have already been back to the original practitioner. As they have the benefit of seeing you before treatment they will always be the first port of call when problems arise. You do not mention what the original disaster was but I presume if was ‘more than expected’ if hyalase was used.

It is extremely unlikely that there is any Restylane still present, especially after the hyalase injections and I would not recommend any further hyalase treatments.

It is possible that the fluid represents some residual inflammation from all the injections you have had to the area over the course of this episode, and a degree of laxity in the skin following any swelling produced. I feel certain that these symptoms would most likely resolve without further treatment.

Restylane treatments are by nature temporary and are very

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unlikely to cause any permanent damage. It is always best to go to an experienced practitioner for these kinds of treatments. A check on www.cosmeticdoctors. co.uk will provide a list of experienced doctors in your area.

Q

I recently slipped over and hit my face, snapping a big chunk off one of my front teeth in the process. I went to an emergency dentist and had it fixed with white filler material, however I am now looking for a more permanent solution. What would you recommend?

Dr Tracey Bell A white composite is normally sufficient depending on how much of the tooth has been lost. Not only is it extremely durable, it can also be colour-matched to the client’s teeth. You would typically pay £110 and upwards for a really good aesthetic white composite but this would last years. Other permanent options would be veneers or a crown but again would depend on how much of the tooth has been lost and the condition of their teeth and gums.

Veneers vary in price from £300 to £2000 depending on the material used and where it is made. It is important in an instant like this that the client makes an informed choice after considering all the different solutions that are available to them.

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It is also important to remember that veneers, crowns and fillings will require replacement teeth and maintenance is essential through regular visits to the hygienist and dentist.

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recently read an article entitled ‘I grew my own facelift’ about a Harley Street doctor who implants patients own stem cells into the face to plump it up. Is this a very new procedure and is it recommended at this stage?

I would be grateful for any information that you may be able to give me, as I am keen to try it but don’t want to put myself at risk.

Mr Gary Ross he use of autologous fat transfer into the face is a well recognised procedure used to help provide a permanent fullness to the cheek and smooth out wrinkles. Although popularised in Australia it is now offered by many plastic surgeons in the UK. The use of stem cells mixed into the autologous fat is a relatively new technique and was first used in breast surgery.

It would appear that there may be improved survival of the fat cells when stem cells are added. The long term results and trials in breast are awaited and no such trials have been performed in the face. There is no evidence currently that there is any significant risk with the procedure.

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My son is a rugby player and a couple of years ago an opposition player stood on his face during a game, causing him to suffer multiple fractures to his teeth. As a result he has lost both his upper lateral incisors and severely chipped both central incisors. What can be done to improve the appearance of his teeth?

condition their dentist can offer them three or four options. They can then make an informed choice about the procedures they want.

A smile is important and in my experience definitely effects confidence. It should be remembered that if he continues to play contact sports a professionally made mouth guard should be produced to protect him from further injury.

Dr Tracey Bell This patient has lots of options available and it is important he looks at the range of procedures he can have. Dependant on the clinical situation, this patient could have dentures, implants, veneers or bridges.

I would recommend that this client gets plenty of clinical photographs and X-rays taken and then based on their clinical

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he skin on my neck is a little crepey and I am very self conscious about it. I have researched various skin tightening treatments, please can you let me know which is the best for the neck area?

Dr Paul Cronin he skin of the neck does thin with age and natural fat loss from this region can make the whole area look aged. For

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many years the neck has been the giveaway area when a good result post facelift was let down by a slightly more ‘scraggy’ looking neck. The good news is there have now been some improvements in this area which don’t require resorting to the surgeon’s knife.

The two most effective treatments are Thermage and Fraxel. Thermage is a good skin tightener and can do wonders for the upper third of the neck and jaw line. It involves temporary heating of your own internal collagen fibres to cause the production of newer healthier collagen which tightens up the treated area.

Fraxel is however better at addressing the surface texture and colour of the skin, giving an overall lift. It uses a pixelated laser to resurface the skin of the neck and refresh the appearance of the skin.

Our Experts

Dr Paul Cronin is the Chief Examiner of the British Association of Cosmetic Doctors. He created the BACD training program and is instrumental in the development of the new Diploma in Cosmetic Medicine. He has worked in cosmetic medicine for over nine years and has his own clinic based in Alderley Edge (www.eternalyouth.co.uk). He offers a full range of cosmetic medical treatments.

Mr Gary Ross is a Consultant Plastic Reconstructive and Aesthetic Surgeon at the BMI Alexandra Hospital in Cheshire specialising in breast, facial and body contouring surgery (www.garylross.com).

He is also an NHS consultant at The Christie Hospital in Manchester with a practice specialising in head and neck and breast surgery.

Dr Tracey Bell is a cosmetic dentist, aesthetic physician, beauty pioneer and founder of Age Perfecting treatments (APt) and the ultra-chic Tracey Bell brand. She counts celebrities such as Abbey Clancy, Claire Sweeney and Natasha Hamilton among her clients and is recognised in the aesthetic industry as an inspirational speaker of international standing. A beauty guru and savvy consumer, Dr Bell ensures all her clinics (www.traceybell.co.uk) offer the most up-to-date and effective non-surgical, dental, weight loss, laser and spa treatments in the industry.

Whatever your question, Image Cheshire has the answer. Email questions to cosmeticquestions@falstaffpublishing.co.uk IMAGE CHESHIRE

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