January 21, 2016

Age-Defying Beauty Secrets using Non-Invasive techniques

1. Botolinium injections or BOTOX
 Botox and Dysport  is a purified substance derived from bacteria Botolinium Type A. Injections of botolinium toxin block muscular nerve signals, which then weakens so it can't contract. The end result is diminished unwanted facial wrinkles or lines. Botolinium injection (BTA) can be used to help smooth crows feet, forehead furrows, frown lines, and skin bands on the neck ( plantsman bands). The action of BTA injections lasts for 4-6 months but regular use of it every four to six months can help to reduce the appearance of wrinkles and help obtain a smooth and youthful appearance. 

Filler injections help to finish facial lines and restore volume.and fullness to the face. As we she, our face naturally lose subcutaneous fat ( fat under the skin). The facial muscles are then working closer to the skin surface, so smile lines and crows feet become more apparent. The facial skin also stretches a bit, adding to this loss of facial volume. Other factors that affect the facial skin include sun exposure, heredity, and lifestyle.
Fillers can be used to plump this lips, enhance shallow contours, soften facial creases and wrinkles, and improve the appearance of recessed scars. Filler injections can be very helpful in those early signs of aging, or as a value-added part of facial rejuvenation program. 

3. PRP (Platelet Rich Plasma)
Platwlet -rich plasma is , as the name suggests, blood plasma that has been enriched with platelets. PRP takes on the form of a viscous gel containing high levels of several Platwlet-derived growth factors that may then be injected into the face I much the same way as other dermal fillers for facial rejuvenation. About 10ml of blood is taken from the patient and is processed to separate the plasma rich in Platwlet. This is then injected to various parts of the face and neck for rejuvenation and enhancement. 

Fat injections uses fat harvested from the person's own body which can then be reinjected to several areas in the body  to enhance the appearance. 
Fat injection can be given to any part of the body where volume is deficient. Vommon areas include face ( cheeks, lips, chin, nose, forehead) , breasts, buttocks, depressed scars or cavities and chronic wounds. 
Fat injections require a more extensive procedure then "off the shelf" soft tissue fillers. An appropriate "donor area" must be determined (usually the abdomen and thighs) and using a specialized technique for liposuction the fat is extracted together with its stem cells. The harvested fat is carefully processed and transplanted to the desirable sites.

Face and neck can be shaped, and it's skin can tightened and  lifted using special threads to restore the facial contour and youthful appearance. The threads used can be fine PDO threads or thicker and stronger threads made of oily lactic acid. Some may have cones or cogs along its length to give more "hold" within the skin as well as to cause stimulation of collagen and fibroblast cells. 

Fat Injections

Fat injections uses fat harvested from the person's own body which can then be reinjected to several areas in the body  to enhance the appearance. 
Fat injection can be given to any part of the body where volume is deficient. Vommon areas include face ( cheeks, lips, chin, nose, forehead) , breasts, buttocks, depressed scars or cavities and chronic wounds. 
Fat injections require a more extensive procedure then "off the shelf" soft tissue fillers. An appropriate "donor area" must be determined (usually the abdomen and thighs) and using a specialized technique for liposuction the fat is extracted together with its stem cells. The harvested fat is carefully processed and transplanted to the desirable sites. 

See also breast lipo transfer, face lipotransfer, adipocyte derived stem cell

January 12, 2016

Andropause - hormone supplementation

And topside is the result of low testosterone and is a natural part of male aging, due to a decline in testicular ( as in ovarian in females) function. Also known as "Male Menopause" , it is the counterpart of Female menopause.
Testosterone or T levels in men remain relatively constant until about age 50, at which time they begin to fall slowly. However the decline in male hormone production is much more gradual then the decline in female hormones production. 

Symptoms of Andropause
Decrease in libido 
Decrease in erectile dysfunction
Decreased energy & strength
Increase body fat
Loss of muscle mass
Enlargement of prostate glands
Inability to concentrate
Loss of enthusiasm
Reduced mental agility

What is Testosterone?
Testosterone is the primary make hormone. It is found in all men, women and children.  Testosterone is made in the restocked, ovaries and adrenal glands. It is also found in brain tissue.

Testosterone is a vital sex hormone. In men testosterone is produced mainly in the testes , which also produce the dperm. The amount of Testosterone produced is regulated by the hypothalamus and the pituitary gland. Testosterone is s powerful anabolic hormone essential for the development of muscles, bones, skin, and sex organs. 

Men with low T ( hypogonadism) are given T replacement therapy to enhance their libido, decrease their heart disease risk, increase their lean body mass and prevent osteoporosis. Testosterone may also lower total cholesterol, and decrease insulin resistance. 
As men age the balance between testosterone and oestrogen changes, tilting towards more Oestradiol production. The hormone responsible for stimulating testosterone is LH( lureinizing hormone).  Excess Oestradiol may decrease LH level n therefore the level of Testosterone.
( the average 60year old male has more circulating oestrogen in his bloodstream then the average 60year old female!)
The conversion of testosterone to Oestradiol is influenced by the enzyme aroma taste. Both testosterone and androstenedione are both aromatic able to Oestradiol. So if levels of oestrogen is elevated, it is possible to block aroma taste activity, to reduce the chances of testosterone given converting to even more oestrogen. A Natural aromatase inhibitors in the market is chrysin. 

How is testosterone deficiency treated?
Testosterone deficiency can be treated by intramuscular injections, testosterone patch, or testosterone gel.

What is Testosterone Replacement Therapy? (TRT)
TRT is necessary only if Testosterobe levels are below normal. There 2 forms of testosterone in the human body : the Toral or bound Wstosterone (TT) and the Free Testosterone (FT). FT levels can be detected by simple saliva or blood testing. Over 75% of T in saliva is the FT form. FT drives is the normal sex drive in both men and women. 

Why is TRT important?
Testosterone is the most important hormone in the male body. Without normal levels of testosterone it is impossible to look and feel like a man!

What are the normal level of testosterone?
Male 300-1,000ng/dL 
Female 20-80ng/dL 

How is low testosterone treated?
TRT can be done in a variety of ways. Injectable testosterone is administered every 2-4 weeks or testosterone patches n gels can b used that deliver hormone transdermal lr or through the skin by wearing a patch or applying a gel to the arm, leg or buttocks.

Does a man need testosterone replacement?
As a man ages,his testosterone will naturally decline. Testosterone is the hormone that retains a men's mental focus, his energy, his metabolism and muscles as well as keeps fat in check and bones strong. 

For a consult on TRT and to discuss further your Andropause possibility , I can be contacted at our centre toll free no 1300-88-1788

January 5, 2016

Lifting Thread Lift

Duolifting is another technique using PDO threads with barbs or cogs to hold and lift the facial skin wihout surgical cutting. Using the barbed threads, these threads are inserted under the skin under local anesthesia.

What is DuoLifting?
DuoLifting is the use of absorbable threads in pairs to help lift the facial skin

How is it done?
The skin is anesthesia end with some topical numbing cream. Then tumescent anesthesia is given throughout the area where the Duolift threads are to be inserted. Duo threads with barbs are then inserted from above the hairline going down to the mid and lower face in order to lift the laugh lines and droopy cheeks. For each barb thread another thread with "clutch" is then inserted next to it to help strengthen the hold of the skin by the threads. The no of pairs inserted depends on how much hold is required and wether the patient wants to V shape her face or to lift her sagging skin.
For those who need more lifting, threads are also inserted from the mid face area right down to the jawline. Results, despite the swelling and potential bruising, is immediate. 

DuoLifting is similar to MINT lifting. Both are conducted by me in our centers and is a outpatient day procedure. They are available at our clinic in En-Hanze Centre as well in Global Drs Aesthetic Clinic. 

Call 1300-88-1788 for appointment if you are interested.
#threadlift #skinlifting @enhanzeaesthetics 
FB www.facebook/EnhanzeAesthetic 

January 1, 2016

Loose 4cm in 1 session with Ultrasound

Lipo sonic your fat anyone? Lipo = fat , Sonic = ultrasound energy
Liposonix is the groundbreaking equipment using High Intensity Focused Ultrasound (HIFU) technology to melt and destroy fat permanently without surgery. 
I was impressed with this technology as I realized many people are looking for less invasive, non surgical methods for fat reduction with no downtime and preferable minimal no of sessions. I like the idea of only 1 session to get 1 size reduction. So, despite already having a no of technologies for fat reduction, we decided to add Liposonix to our range of body sculpting devices. 

Using the same concept as TURP or focused ultrasound to blast kidney stones without surgery, liposonix focused ultrasound is thus made specific for the human fat. 

How does it work?
A handpiece applicator that transmits the high intensity focused ultrasound (HIFU) waves is applied onto the target area, usually the abdomen or tummy. No general or local anesthesia is required. 

1. High-intensity ultrasound energy is focused on the targeted fat. 

2. The skin is not harmed as fat tissue beneath the skin is permanently destroyed.

3. The body then naturally removed the treated fat, leaving you with a thinner waistline.

Spots of melted fat 2 inches below skin surface. 

Results are seen as early as 2 weeks after but usually 4-8weeks later due to time it takes for drainage of the melted fat and skin retraction to occur. 

The results , if conducted with enough "shots" and ultrasound energy delivered can be as good as or sometimes even better then liposuction or surgical liposculpture. 

It is definitely exciting to have new technologies and techniques. In an era where obesity is on the rise and appearances matter so much more, having a well sculptured and trimmed looking figure matters. Liposonix allows people an opportunity to look better and trimmer in just one sitting without the need to take off from their routine. It is s definitely must have device in our aesthetic practice.  

For those interested to get a liposonix treatment or want to know more please call our En-Hanze Body Clinic & MediSpa at 1300-88-1788

#liposonix #KLlipo #fatteduction #malaysialiposonix @enhanzeaesthetic

Transfer purified fat to breasts and face

Lipotransfer or fat transfer to breasts is now becoming a popular request in my practice especially among young women with small breasts who do not desire surgery for breast augmentation and older women with post pregnancy loss of volume causing deflated looking breasts and sagging breasts. There is also an increase need for filling of the face to recreate a 3D effect which fats can do better then synthetic fillers. 
Lipotransfer or Fat Grafting has been conducted worldwide since many years ago but the processing of the harvested fat was very tedious and time consuming. And if the harvested fat is not purified properly or adequately, the implanted fat will degenerate very fast making its effect last only 9-12monrhs, similar to implanted  hyaluronic acid fillers. With better purification of extracted fat, the implanted fat lasts longer ie upto 5 years and has a higher survival rate in recipient site. 

In Nov 2015, I was in Tokyo Japan for a short course on Fat Grafting and Lipotransfer using the Puregraft. Puregraft is a device that enables the purification of harvested fat without the need for centrifugation which is traditionally  done. It uses a special filtration system that enables the fat graft to go through but traps any debris, fibre and unwanted agents within the graft. 

The training was conducted by Prof Yoshiro Kamakura at his classy Shishin Aesthetic Surgery Clinic right in the heart of Roponggi Tokyo. Roponggi was so happening at this time of year as it was Halloween weekend.

It started with a brief lecture on principals of fat grafting and transfer to breasts as well as the advantages of using Puregraft to purify the extracted fat before transferring. This is as opposed to the traditional method of spinning the fat to separate it from the oil and anesthetic fluid as well as debris.

Puregraft enables the fat to be cleansed and purified without centrifugation and can be transferred a lot faster then traditionally. The purified fat allows for longer lasting fat graft. If previously lipotransfers fat effect lasted 9months to 2 years, with Puregraft it could last upto 5years. 
Method :
1. Local anesthesia is given in the form of tumescent to the areas where fat is to be harvested. These are usually the tummy, inner and outer thighs and sometimes upper arms. 

2. Harvesting  of fat is conducted after several minutes and once the local tumescent anesthesia has taken effect.  

3.  A nurse helps to sort out the fat grafts while DrKamakura continues his fat harvesting.

The Puregraft 800 bag is positioned properly ready to receive the extracted fats.

4.  Once the pinkish yellow extracted fats were put into the Puregraft bag, it only takes 10-15 min for the process to complete. DrKamakura's skill in fat extraction is superb. 

5. The purified fat is then transferred back into 60cc syringes , ready to be implanted into face or breasts. In this case it was for breasts. 

6. It is important to know the anatomy of the breasts to ensure the correct level of placement of the puregrafted fat.

7. Local anesthesia is also given to the breasts first. The fat graft is then gently placed into each breasts using special curved instruments. 

The breasts really looked beautiful and natural after the procedure was complete. The best part is it also felt natural!

After a we finished , we went for a good traditional Japanese dinner with the team where certificates and gifts were presented. What a fun and fruitful day it was. I am excited to perform fat grafting using this Puregraft technique back in Malaysia. 

#fatgraft #lipotransfer #fat to breasts #breastaugmentation #3Dface #KLaesthetic @enhanze @enhanzeaesthetic

See the Beauty of Sound - Ultherapy

 I have been conducting Ultherapy for face since 2012. 8 out of 10 patients are very happy with the outcome. There has been no serious com...