The Dermastamp is an automated skin needling system that produces multiple channels into the dermis. This stimulates regeneration, and also allows the infusion of hyaluronic acid and peptides.
We are incorporating our existing Platelet Rich Plasma technology into this for even greater skin rejuvenation.
Contact us us now to make an appointment to experience this exciting new system.
The area around the eyes is one of the first to show signs of ageing. Lines and wrinkles appear at the sides (crows feet), skin above and below begins to lose elasticity and sag, and even the bone surrounding the eye recedes, causing a hollowed appearance. Loss of volume below the eye can lead to the formation of dark circles underneath.
However, there are various methods we use to counteract these changes. Anti-wrinkle injections can reduce muscle activity and wrinkling around the eye. Dermal fillers can be used to lift the tissues around the eye and add volume where it has been lost. Laser and Platelet Rich Plasma are also employed to improve the skin quality and reduce under eye darkness. Rejuvenating skin creams can also help maintain skin quality and elasticity.
As with most areas of cosmetic medicine, a multimodal approach is required to attain maximum benefit.
Sydney Cosmetic Medical Centres is first and foremost a medical practice. As a result we can design and prescribe skincare treatments that are not available elsewhere. There are a range of topical applications that can smooth and soften skin, tighten areas of looseness, reduce blotchiness and pigmentation, and even reduce or eradicate solar keratoses. Histological studies have shown the positive changes that occur in the various skin components when these compounds are used over several months. Because care is needed in the design and use of these products they are prescription only medicines. The upside is that the benefits go above and beyond anything available over the counter.
Most people are unaware that these preparations are available, probably because there is no corporate drive to sell these compounded formulations. However, they are a great adjunct or even alternative to more expensive laser treatments and anti-wrinkle injections.
We are available for consultations for anyone who is interested in discussing the potential benefits of topical prescription skincare preparations.
This morning, out of interest I decided to Google ‘Botox Kellyville’ to see what came up. Interestingly there was a doctor promoting himself through Google Ads who will come to the patient’s home to do anti wrinkle injections, and possibly other treatments.
This approach has never really appealed to me, for several reasons. Firstly, botulinum toxin has to be kept refrigerated, and I’m concerned that it might ‘go off’ sitting in one’s car, possibly leading to a useless product. Then there are the safety issues. Although botulinum toxin is an incredibly safe product, I’d much rather be using it where we are set up with all the medical equipment required should an adverse reaction occur.
Minimally invasive cosmetic procedures may be becoming more commonplace, but they are still medical procedures and should be performed under safe and hygienic conditions. Can this be guaranteed in someone’s lounge room?
Also, by having people come to us they can be properly assessed and entered into our computerised medical system, see the kind of practice we run and also learn about the range of services we provide, and have any treatments performed in a clean, purpose designed environment.
The following is the summary of a recent study of Platelet Rich Plasma in the treatment of osteoarthritis of the knee.
Alberto Gobbi, MD,* Georgios Karnatzikos, MD, Vivek Mahajan, MD, and Somanna Malchira, MD
Background: With increasing frequency, platelet-rich plasma (PRP) preparations have been used to treat cartilage lesions to regenerate tissue homeostasis and retard the progression of knee osteoarthritis (OA).
Purpose: To determine the effectiveness of intra-articular PRP injections in active patients with knee OA and to evaluate clinical outcomes in patients with and without previous surgical treatment for cartilage lesions.
Study Design: Case series.
Materials and Methods: Fifty patients with knee OA were followed for a minimum of 12 months. All were treated with 2 intra-articular injections of autologous PRP. Twenty-five patients had undergone a previous operative intervention for cartilage lesions, whereas 25 had not. Operated patients had undergone either cartilage shaving or microfracture. Multiple evaluative scores were collected at pretreatment and at 6 and 12 months posttreatment. The required sample of patients was determined beforehand by using statistical power analysis; International Knee Documentation Committee (subjective) score was defined as the primary parameter. A P value of less than 0.05 was considered statistically significant. General linear model–repeated measure test evaluated within-time improvement for each variable for all patients. Post hoc test with Bonferroni adjustment for multiple comparisons was performed to investigate the significance in improvement within time evaluations for each variable for the total sample. The differences in improvement between operated and non operated patients were also investigated, as were those between sexes.
Results: All patients showed significant improvement in all scores at 6 and 12 months (P < 0.01) and returned to previous activities. No significant difference in improvement was found between the evaluated subgroups (P < 0.01).
Conclusions: The PRP treatment showed positive effects in patients with knee OA. Operated and non operated patients showed significant improvement by means of diminishing pain and improved symptoms and quality of life.
Clinical Relevance: There are only a few studies of PRP treatment for cartilage on osteoarthritic knees. Different PRP products might be more or less appropriate to treat different types of tissues and pathologies. The clinical efficacy of PRP remains under debate, and a standardized protocol has not yet been established.
Sports Health: A Multidisciplinary Approach 2012 4: 162 originally published online 20 January 2012
We have recently added Platelet Rich Plasma treatments to the services we provide at SCMC. This involves using the patient’s own growth factors to stimulate healing and rejuvenation. A small blood sample is taken and placed in a special tube. The various components are separated by centrifugation and the platelet fraction isolated for therapeutic use.
The platelet component of blood contains a range of growth factors. These can be utilised in a variety of cosmetic and musculoskeletal settings.
In the cosmetic context, we can rejuvenate ageing skin by stimulating collagen production, stem cell migration, differentiation and proliferation and stimulation of new blood vessels, nutrients and the other components of the extracellular matrix.
PRP also has a variety of musculoskeletal applications. By enhancing the healing cascade right at the source of the problem, we can treat conditions such as tennis elbow, plantar fasciitis, jumpers knee and other tendinopathies, as well as degenerative and arthritic conditions.
Contact us now for more information on this and our various other treatments.
This was held in Sydney over the weekend and featured a number of very interesting presentations. There is some great work being done with Stem Cells and Platelet Rich Plasma in both cosmetic and musculoskeletal medicine. We are looking to incorporate these into our practice. In contrast to most of our current methods of facial rejuvenation, which work via damaging tissue and initiating a healing response, there is no trauma (hence minimal discomfort), only regeneration.
Also of interest was Dr Paul Weaver’s talk on the development for a ‘glue’ to close varicose veins. This probably won’t be available in Australia for a few years, but promises to supercede our current thermal methods of ablation.
One of the more common problems we deal with is spider veins on legs. These can be caused by weight gain, sedentary lifestyle, prolonged standing, pregnancy or local trauma. As well as being unsightly they can sometimes cause pain or itch. An important part of the assessment of spider veins is ruling out underlying varicose veins. If these are present they will need to be dealt with first, otherwise spider vein treatment will be less effective.
The aberrant vessels are treated by injecting with a sclerosant solution via a very fine needle (Microsclerotherapy). Polidocanol, Sodium Tetradecyl Sulphate and Hypertonic Saline are common sclerosants. They act by irritating the lining of the vein, causing it to collapse on itself.
Because the needle is so fine and the injection so superficial the pain experienced is minimal. It has been described as equivalent to a mosquito bite.
Once the sclerotherapy is complete, compression stockings are worn to maximise the effect of the procedure.