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What Is Hyperhidrosis (and How Do I Treat It?)

October 26th, 2020

The International Hyperhidrosis Society estimates that 365 million people suffer from excessive sweating. If you are among them or suspect that you are, it’s important to know the facts about hyperhidrosis.

In fact, hyperhidrosis is a medical condition, and treatment options do exist.

Read on to learn more about hyperhidrosis and its treatments.

What Is Hyperhidrosis (Face, Feet, Hands, Underarms, and Full Body Excessive Sweating)?

“Hydrosis” is the medical term for sweating. Of course, sweating is a natural bodily process that helps you cool down. It is necessary when you are active or exposed to extreme heat or other stimuli, like stress. As with many bodily processes, however, your body’s cooling process can go awry.

The prefix “hyper” means “over” or “excessive.” Thus, hyperhidrosis refers to a condition in which your body sweats more than normal. People with hyperhidrosis also sweat in the absence of stimuli, like exertion or heat.

Some people with hyperhidrosis experience excessive sweating all over the body. Others find that their excessive sweating is limited to certain parts of the body. Common localised diagnoses include:

  • Axillary hyperhidrosis (underarms)
  • Facial hyperhidrosis (face)
  • Plantar hyperhidrosis (feet)
  • Palmar hyperhidrosis (hands)

While these locations tend to have a high concentration of sweat glands, people with hyperhidrosis don’t have more sweat glands than others. Rather, they have more active sweat glands than others. People with hyperhidrosis have an overactive sympathetic nerve response.

What Causes Excessive Sweating (Neurological Disorders, Genetics, Medication, and More)?

Hyperhidrosis can be a primary or secondary condition.

Primary hyperhidrosis is genetic. It can occur in the absence of any other medical conditions. Individuals with a family history of hyperhidrosis are more likely to experience excessive sweating.

Secondary hyperhidrosis occurs as a side effect of medication or a symptom of an underlying condition. Conditions commonly associated with hyperhidrosis include:

  • Hyperthyroidism and other hormonal disorders
  • Heart disease
  • Obesity
  • Diabetes
  • Gout
  • Anxiety
  • Menopause
  • Spinal cord injury
  • Neurological disorders, including Parkinson’s disease
  • Cancer
  • Certain infections
  • Heart attack

In addition to these conditions, the International Hyperhidrosis Society publishes an extensive list of medications associated with hyperhidrosis. These include prescription and over-the-counter medications. Alcohol use can also cause excessive sweating.

When Should You See a Doctor for Excessive Sweating?

Many people with hyperhidrosis are reluctant to seek treatment. Some are embarrassed by their condition. Others incorrectly assume that their excessive sweating is simply a fact of life, even when excessive sweating significantly impacts their lives.

This is unfortunate because hyperhidrosis is not a reason for shame, and it need not be a fact of life. In fact, hyperhidrosis is a medical condition that can be treated.

You should see a medical professional and pursue treatment if you meet any of the following conditions:

  • Excessive sweating prevents you from going about your daily routine
  • Excessive sweating has caused you to experience mental distress or social withdrawal
  • A pattern of excessive sweating has come on suddenly
  • Excessive sweating occurs at night

As you prepare for your appointment, it’s important to keep track of your symptoms and make note of any triggers. These observations can help your doctor to diagnose and treat your condition.

Because excessive sweating can occur during a heart attack, it’s especially important to seek emergency medical assistance if you experience it along with chest pain, lightheadedness, or nausea.

How To Stop Excessive Sweating All Over the Body: What Are Hyperhidrosis Treatment Options?

Whether you’re hoping to eliminate localised hyperhidrosis or you’re wondering how to stop excessive sweating all over the body, treatment is available. Treatments include self-help measures, medications, injections, and surgery.

Self-Help Measures for Hyperhidrosis

You can take steps to calm your body’s sweat response. These include proper hygiene and skin care. Daily baths or showers are especially important if you sweat excessively. While bathing or showering won’t affect how much you sweat, it will help you control any odours associated with perspiration.

Proper hygiene, especially for those with hyperhidrosis, includes using an antiperspirant. Astringents can further help to clean the skin and constrict the pores.

If you suffer from excessive sweating, you should also take your condition into account when choosing clothes. Loose-fitting clothes made from natural materials, like cotton, are more breathable. They can, therefore, keep your body cooler and reduce sweating.

If your body’s sweat response is particularly reactive to stress, you might benefit from relaxation techniques.

Finally, modifying your eating habits to avoid skipping meals and reduce alcohol consumption can also help.

Many people with hyperhidrosis find some relief from these self-help measures. However, proper diagnosis and treatment from a medical professional remain necessary.

Medication for Hyperhidrosis

Treatment options for hyperhidrosis include various prescription medications.

Most hyperhidrosis patients find little relief from over-the-counter antiperspirants. Prescription-strength antiperspirants can be a more effective option. These include sprays, creams, and roll-ons. If you suffer from excessive sweating all over your body, you might find antiperspirant sprays easiest to use. Other topical applications are commonly used to treat localised hyperhidrosis.

Your doctor might also prescribe oral medications to control your hyperhidrosis.

If you experience secondary hyperhidrosis, taking medication to address the underlying condition can control excessive sweating.

The most common oral prescription medications for primary hyperhidrosis are anticholinergics. These drugs impede communication between the nerves and the sweat glands.

In the UK, the only anticholinergic approved to treat hyperhidrosis is propantheline. Other drugs in this class may be used off-label to treat hyperhidrosis. These include oxybutynin and glycopyrrolate.

While these drugs can provide effective relief, they can also cause side effects. Some of these may be severe. Side effects of anticholinergics include:

  • Blurred vision
  • Dry mouth
  • Constipation
  • Stomach cramps
  • Difficulty urinating

Recent studies have also noted a potential link between these drugs and dementia and brain atrophy.

Botox Injections

The side effects and long-term risks of prescription medications make them a less-than-appealing option for many hyperhidrosis patients. Many of these patients find that Botox injections offer a safer alternative.

Botox injections work by paralyzing the nerves that send signals to the sweat glands. Without these signals, your glands can’t produce sweat.

Botox treatments for hyperhidrosis focus on a particular area of the body. During treatment, your doctor will use a microneedle to inject a small amount of botulinum toxin protein in a grid-like pattern. These injections directly target the affected area. If you experience hyperhidrosis in more than one part of your body, you can receive multiple injections.

Treatment with Botox injections is quick. You can expect to be in the office for only 30-40 minutes. You’ll also be able to resume your regular routine within two hours of your visit.

When you choose to treat your hyperhidrosis with Botox, you can also expect quick results. Most patients experience a noticeable decrease in sweating within two days. Studies show that, within a week, Botox treatments reduce sweat production by an average of 87%.

These results usually last between six and twelve months. Eventually, the nerves in the treated area will regenerate. When this happens, you’ll begin to experience symptoms again. However, you can return for treatments as necessary.

Even when it is used on an ongoing basis, Botox is a safe treatment option for hyperhidrosis. Botox injections rarely cause side effects. The most common side effect is minor bruising at the injection site. This bruising usually fades within a few days.

Surgery

Conservative treatment options are effective for many hyperhidrosis patients. Patients who have pursued more conservative treatments without success may consider surgery.

Surgical Removal of the Sweat Glands

Some hyperhidrosis patients choose to have their sweat glands surgically removed. Besides excision, or cutting, procedures can include curettage, or scraping, and liposuction. The goal of this treatment is to remove or damage enough sweat glands to reduce perspiration in that area.

Compared to other surgery options, removing sweat glands involves fewer risks and a shorter recovery. Doctors usually perform these procedures in the office with the patient under local anaesthetic.

Fortunately, current research suggests that removing sweat glands from one area does not increase sweating elsewhere. However, sweat glands are tiny. Thus, precision in their removal can be difficult to achieve. Patients who elect this treatment may, therefore, see varied results.

Endoscopic Thoracic Sympathectomy

Endoscopic thoracic sympathectomy (ETS) is the most invasive surgical treatment for hyperhidrosis. ETS involves cutting the nerve path from the spinal column to the sweat glands. This procedure is complicated and requires general anaesthesia. During the procedure, the surgeon must temporarily collapse the patient’s lungs.

Risks include oxygen deprivation, brain damage, and even death. ETS patients also risk severe hypotension, arrhythmia, and heat intolerance.

A less serious but still problematic side effect of this surgery is compensatory sweating. Like many other treatments, ETS targets excessive sweating in a particular part of the body. While ETS may reduce sweating in the targeted area, it can lead to excessive sweating elsewhere.

Because ETS is irreversible, it’s important to weigh the risks and benefits before pursuing this option. It’s also extremely wise to try less invasive treatments, like Botox injections, first.

Don’t Sweat It: Seek Effective Treatment for Hyperhydrosis

Hyperhidrosis is a common medical condition, affecting millions of people worldwide. Despite the condition’s prevalence, hyperhidrosis patients often suffer alone and in silence. This is unfortunate and unnecessary because treatment is available.

Treatments for hyperhidrosis include safe and effective options, like Botox injections. Talking to your doctor is the first step toward enjoying the benefits of these treatments.

Contact The Smile Practice to book an appointment or video consultation with Dr Ajay Murgai, our hyperhidrosis expert, today.

Does Aloe Vera Gel Work? What to Do After Your Laser Treatment

September 28th, 2020

Does Aloe Vera Gel Work? What to Do After Your Laser TreatmentHow do you take care of yourself after having a laser treatment for hair removal? Should you take a hot shower? Slather on aloe vera gel? Enjoy a relaxing beach day?

Laser treatments are safe for most people and your technician will let you know if you are not eligible — such as if you are pregnant.

However, there are some dos and don’ts you should be aware of so you can take good care of yourself after your treatment. Read on to find out what you should do after a laser hair removal treatment!

Avoid UV Light and the Sun

UV rays already have a detrimental effect on the skin and too much exposure can cause premature ageing. Laser hair removal can make your skin even more sensitive. To limit the risk of skin redness, irritation, and other side effects, avoid exposure to the sun and UV rays for a least 7 days both before and after treatment. Also, avoid sunless tanning products for 7 days before.

If you get a sunburn or a tan, your skin needs time to heal before treatment with the laser. Avoid both for at least 2 weeks before. If you have a sunburn or tan at the time of treatment, you will usually be asked to wait 2 weeks and come back.

After the procedure, use sunscreen of SPF 30 or higher to further protect the skin.

Avoid Heat

Exposing the treated area to heat too soon after your treatment can lead to blisters and even burns. Avoid heat as much as possible for at least 48 hours after treatment.

Opt for a cool shower rather than a hot one. Definitely stay away from hot tubs and saunas and avoid using heating pads or a heated blanket.

Use Aloe Vera Gel

We mentioned this at the beginning and yes, it’s true! Aloe vera gel is an excellent way to take care of yourself post-laser treatment. Apply the cooling gel to the affected area for up to 3 days after treatment.

Aloe vera gel helps to keep your skin moisturized as well as speed the healing process with it’s anti-inflammatory and wound healing properties.

If your skin blisters, the gel will help to soothe the irritation and help clear it up. Don’t puncture the blisters on purpose, but if they break, be sure to apply a bit of antibiotic ointment to help avoid infection.

Exfoliate

As the hair follicles die and fall out, very gentle exfoliation is good to help remove the excess debris and clean the skin. Only use a very mild exfoliant and don’t scrub too hard. Remember, your skin will be more sensitive than normal and you must take care.

Choose a Competent Laser Treatment Professional

Choosing the right professional to handle your laser treatment is crucial. Proper techniques can diminish laser hair removal side-effects and ensure that you have a more pleasant experience and get the results you expect.

Once you have undergone the procedure, follow these laser hair removal instructions to properly care for your skin and promote healing.

Ready to get started? Contact us here at The Smile Practice for a free consultation!

The cost of Invisalign UK

September 1st, 2020

The cost of Invisalign

Many people nowadays prefer Invisalign removable aligners over the conventional braces to get their teeth aligned. This is because the removable aligners are much more comfortable and less conspicuous than fixed braces. However, one of the most critical factors that need to be considered while selecting an orthodontic treatment option is the treatment cost. This article explains everything you need to know about Invisalign treatment costs.

Is Invisalign Better Than Braces?

If you’re looking for a treatment option that does not affect your facial aesthetics and offers comfort and convenience, then Invisalign is often better than braces. However, Invisalign aligners can only be used to fix mild to moderate orthodontic problems. For complex or complicated issues, dentists recommend using fixed braces as they offer better control over tooth movement.

Is Invisalign Cheaper Than Braces?

Whether you are using braces or Invisalign aligners, the cost of your treatment depends on various factors such as the complexity of the problem, patient compliance, and the availability of financing options. Invisalign braces generally cost the same or slightly more than the traditional braces. This is because Invisalign is a cosmetic orthodontic system that allows you to eat your favorite foods and maintain optimal oral hygiene without affecting your smile.

Some dental offices provide 0% finance or interest-free loans to facilitate payment. It is always a good idea to book a free consultation with your orthodontist and discuss all your queries before you start your aligner treatment.

Is Invisalign Really Invisible?

Invisalign aligners are made from a clear plastic material – which makes them virtually invisible. People will not notice that you’re wearing aligners unless they observe very closely. However, if you do not clean your aligners properly, they may get stained and affect your facial aesthetics. But if you clean them properly, you can wear your aligners to any official meeting, social gathering, job interview, or date! – with confidence that no one can see that you’re wearing aligners.

Why Are Braces So Expensive in the UK?

Orthodontic treatment with braces or clear aligners requires extensive training and investment by your dentist and is not simple as it seems. Before starting your treatment, your dentist will thoroughly examine your teeth, jaws and surrounding structures to identify the underlying problem.  Based on the findings, your orthodontist/dentist will then prepare a detailed treatment plan that is customized according to your dental needs – and one that offers the best aesthetic outcome. All this requires effort and time on the part of your Dentist.

Furthermore, orthodontic treatment sometimes requires additional procedures such as teeth cleanings, dental fillings, root canal treatment, and teeth extraction – that drive-up the braces cost. Not only this, but orthodontists also have provided specialized training to their staff in orthodontic procedures and advanced cross-infection control methods. Finally, the materials and equipment used in orthodontics are quite expensive. All these factors can affect the total cost of your treatment.  Your dentist or orthodontist will provide you with an overview of the estimated treatment cost after preparing a treatment plan.

Alternatives To Invisalign?

Nowadays, there are many orthodontic systems available in the market that can be used as an alternative to Invisalign. Apart from the time-tested conventional braces, some of the alternative treatment options in the UK include:

You can consult your orthodontist regarding an Invisalign alternative that best suits your need for teeth straightening.

Does Invisalign Work For Under 18’s?

Invisalign now offers Invisalign Teens – a clear aligner system that is customized for the teenagers. Keeping in view that school or college students are highly conscious of their smile and appearance, Invisalign allows teenagers to get their teeth straightened without affecting their daily life activities.

Orthodontic treatment with Invisalign aligners may cost you more in the short-term, but consider this is a long-term investment. Consider its positive impact on your smile, your ability to speak and eat without difficulty, and, most importantly, your self-confidence and personality!

Invest in your oral health today and enjoy its benefits throughout life!

How to get over fear of dentist

July 27th, 2020

Fear of the dentist is one of the primary reasons that patients give for not visiting the dentist regularly. However, this can often lead to the progression of tooth decay or gum disease which can progress painlessly on the whole, only becoming noticeable at home when there is pain, at this point it may be too late to prevent the disease doing irreparable harm.

If only these patients had been to the dentist sooner, they could have prevented this pain and treatment… So let’s look at how we can overcome fears of the dentist.

I’m scared to go to the dentist because my teeth are so bad, what can I do?

The 1st thing to note is that your dentist will not judge you, they see this all of the time and they are there to help. Here are a few simple tricks if you are scared of going to the dentist.

  • Book an appointment time early in the morning. This means you simply wake up, get ready and go to the dentist, without having to worry all day.
  • Bring a friend. This means you have a distraction, a good tip is to agree topics you will talk about when you are at the dentist, for example your latest holiday.
  • Tell the dentist. Do not try to be brave and just put up with being scared. Let your dentist know, they are trained to help and can modify the treatment accordingly (For example, giving you longer breaks).
  • Agree a stop signal. This is a great way to let your dentist know that you need a break, usually razing of one of your hands is a good idea.
  • Avoid alcohol. Whilst it might be tempting to have a drink before you go to the dentist it can actually exacerbate the problem.

How to distract yourself at the dentist

It would be good to think of things to do before your appointment, during your treatment and afterwards.

Before your appointment – bring a friend to the dentist and agree a topic you will talk about, this can be a really great way to help you distract yourself from any anxiety in the waiting room. If you have to go to the dentist alone then take a book or magazine that you find really interesting.

During your treatment – we recommend that at the beginning of the appointment you listen to the dentist, let them know you are nervous and agree a stop signal. This puts you in control. During the actual treatment it can be good to take your mind off somewhere else. If you have an interesting hobby, think about that hobby, plan what you might be doing next, plan your next project, think about all of the details of your hobby. This can be a really good way to take your mind off things with something you enjoy doing.

After your dental treatment – why not treat yourself. Consider treating yourself to something good. If you are able to eat after your appointment why not visit a local cafe and have something you really enjoy. Having something to look forward to after the treatment can really help time fly!

How does sedation help?

Dental sedation can often help with dental phobia, Very often a simple oral tablet can be taken in advance, allowing you to relax. If you an extremely nervous patients then ask your dentist about either inhalation sedation (gas and air) or intravenous sedation. Both of these techniques can help you relax and disappear into your own world and to feel comfortable during dental work.

Will I be judged by the dentist if my teeth are really bad?

Definitely not. Your dentist is there to help and not to judge. Your dentist is a healthcare professional that wants to help you be as fit and healthy as possible, even if you are afraid of the dentist they want to help you overcome any bad experiences and dental anxiety. Looking after your oral health is their primary concern.

What dentist anxiety medication is available?

There are usually 3 types of anxiety medication available:

  • Oral medication – usually taken a few hours before treatment help you relax.
  • Inhalation sedation – typically known as laughing gas. Modern administration techniques have changed hugely since the old mask design. You now simply were very comfortable nose piece allowing you to read your nose and gently relax.
  • Intravenous sedation – this is where a drug is injected into your bloodstream, it allowed you to drift into a twilight world where you are still conscious but have no recollection of what’s happening

Summary

The key takeaway from this blog post helping you to find a dentist that can help with dental anxiety is to talk to your dentist. They are there as a professional to help you with your dental health, they are there to modify any treatments and never judge you. Be honest, let them know that you are fearful and they can help you with relaxation techniques during treatment such as root canal and treatment of other dental problems.

 

How Does Invisalign Work?

March 27th, 2020

how does Invisalign work

Are you worried about your crooked and misaligned teeth, but the thought of wearing metal braces makes you think twice about seeking treatment? Don’t worry; now you can get your teeth straightened without anyone noticing, thanks to the Invisalign clear aligners. Owing to their inconspicuousness, comfort, and convenience, the Invisalign clear aligner has nowadays become the most preferred option to straighten teeth.

Is Invisalign the right option for you? It is best that you should know what Invisalign is and how it works before you decide. This article will take you through the steps that are involved in orthodontic treatment with Invisalign Aligners.

What is Invisalign?

Invisalign is an orthodontic system based on the use of virtually invisible removable aligners. A unique feature of these aligners is that they are made from a transparent material, this puts pressure on the teeth in a similar way to conventional wires brackets. Therefore, they won’t be visible to other people while you’re wearing them. Your dentist will give you a set of numbered aligners, which you will successively wear to move your teeth in proper alignment and occlusion.

How Invisalign Works?

Here are the steps involved in getting your teeth straightened with Invisalign invisible aligners:

  1. Consultation and Treatment Planning

When you visit your dentist for a consultation about getting Invisalign, he or she will perform a detailed examination of your oral cavity and look at x-ray images of your teeth and study models. This is done to ensure that you are a suitable candidate for getting Invisalign aligners. Considering your current oral health status, your dentist will prepare a treatment that will be fully customized for your treatment needs. Your dentist or orthodontist will also calculate the exact treatment time, typically this is anything from 6 months to 2 years.

  1. Designing your Aligners

In the next step, your dentist will use a special device to make digital impressions of your teeth and gums. Your dentist will then send this information to an Invisalign affiliated lab. Back at the dental laboratory, the digital impressions and models will be evaluated thoroughly, in consultation with your dentist, to design a series of aligners that will sequentially align your teeth in optimal angulation and position. Once the designs for your aligners have been made, the laboratory will fabricate them by using the 3D printing technology. These aligners will then be transported to your dentist’s office. Before you start to wear your aligners, your dentist may place some composite patches. These patches allow the aligners to grip onto the teeth and move them in the desired direction.

  1. Wearing your First Set of Aligners

During your next appointment, your dentist will instruct you regarding the use and wearing of your new aligners. For optimal results, you must wear your aligners for at least 22 hours each day. You should keep in mind that your new aligners may feel slightly uncomfortable during the initial few days of wearing. Don’t worry; it will go away in a few days. You may also have slight difficulty in speaking while your aligners – no need to worry, you will soon get used to your new aligners.

  1. Switching to the Next Set of Aligners

Most dentists ask their patients to wear each set of aligners for about 14 days. Once you have worn a set of aligners for the specified time duration, you should then switch to the next set of numbered aligners. You will feel slight pain and discomfort immediately after switching to your new aligners. This is because the new aligners are continuing to move your teeth, and as your teeth get adjusted, the discomfort should decrease. In this way, you should continue to switch to the next set of aligners after the duration set by your dentist. By the time you have worn two or three aligners, you will start to feel a positive improvement in your smile and facial esthetics.

  1. Visiting your Dentist for Regular Checkups

 While wearing the Invisalign aligners, your dentist will ask you to come for a checkup every four to six weeks. This is to ensure that your treatment is heading in the right direction, and the desired results are being achieved.

  1. Wearing the Retainers

Once your treatment has been completed, your dentist will give you the Vivera retainers by Invisalign. The purpose of wearing these retainers is to ensure that your teeth don’t move back to their previous positions once they have become properly aligned. Even after your treatment has been completed, your dentist will ask you to visit for a follow-up, so that your treatment can be consolidated, and you can retain your brand-new smile. During the Invisalign treatment process it is important to brush and floss your teeth, this will mean removing your aligners.

How Long Does the Treatment Take?

The duration of your treatment depends on two main factors: the severity of your problem and your compliance. Mild problems can normally be treated in 6-8 months. More complex problems may require up to 12 months to complete. Similarly, your treatment will take lesser time if you adhere to your dentist’s instructions and wear your aligners for at least 22 hours each day.

Invisalign aligners offer an esthetically superior and more comfortable option in comparison to the fixed braces. Visit us today to discuss the option of your teeth straightening with Invisalign.

Fat Freezing – 8 Questions You Want the Answers to

February 10th, 2020

As with many new body sculpting treatments there are often a whole host of questions that people want answered… In this article we look at fat freezing and tackle 8 of those questions.

1 – What is fat freezing?

Fat freezing was initially discovered whilst researchers were investigating frostbite, they noticed that fat freezes before skin does, this freezing altered the cells of the fat without damaging the skin. The process is undertaken with a nonsurgical machine which is designed to target fat, cellulite and to treat skin tightening. It is often known as coolsculpting procedures. The fat freezing process destroys fat cells using 2 processes, cavitation and a phenomenon called cryolipolysis. Because the fat cells are destroyed internally and turned into a liquid state they can be disposed of via natural body processes, without the need for additional invasive treatments.

2 – How does fat freezing work?

Cryolipolysis (fat freezing) targets fat cells specifically, it lowers the temperature to -6°, crystallising them and leaving them free to be disposed of naturally in the body. some of the best systems, such as the 3-D Lipomed use cavitation at the same time as this freezing. Cavitation uses ultrasound waves which causes destruction of the fat cells, breaking down their membrane. The dead fat cell is then disposed of naturally within the body via the liver and lymphatic system.

The results of cavitation are often seen on the  first appointment and the results of cryolipolysis can be seen within a couple of months.

The procedure can be used in a range of locations on the body to assist with weight loss through diet and exercise, including waste (love handles) and double chins. One should always note that this procedure should be considered in conjunction with other techniques to lose weight.

 

3 – Does fat freezing work?

Yes is the simple answer but the best thing we can do is to show you before and after photographs of fat freezing so you can see the results for yourself.

Leg and Buttock treatment in 3 sessions

Before

After

Cellulite Reduction – before and after

Before

After

Belly Reduction Before and After – Full Circumference

Before

After

 

4 – How much is liposuction in the UK?

Lyposuction is usually more expensive than cool sculpting. Liposuction treatments usually start around £2500 and can often increase to just over £6000. These costs can increase considerably if a general anaesthetic is used. Fat freezing on the other hand depends upon the area treated but this typically starts at around £124.50 for a small area per session – with a course of 8 recommended.

5 – Can you freeze your fat off at home?

Whilst this is a very common question, the answer is no. You cannot freeze your fat of at home. The cavitation and cryolipolysis processes involve soundwaves at a very specific frequency which turn the fat into a liquid to be absorbed into the body. It is just not possible to achieve the correct frequencies using any form of home treatment

6 – Fat freezing vs tummy tuck

The primary difference between fat freezing and a tummy tuck is that fat freezing is the nonsurgical procedure whereas a tummy tuck is surgical. A tummy tuck, known medically as abdominoplasty, is where excess fat and skin are removed. The tummy tuck process is primarily designed to provide a toned and flat profile, very much like fat freezing but it achieves it in a very different way. A tummy tuck will require an anaesthetic, most usually intravenous sedation or a general anaesthetic. An incision will then be made, the skin lifted and the underlying weaknesses in the muscle repaired.

In contrast to this, fat freezing does not alter the muscles, it simply removes the fat by liquefying it and allowing it to be absorbed naturally in the body

7 – Is fat freezing safe?

in 2015 researchers from the Plastic and Reconstructive Surgery publication reported that there were no major health risks associated with the procedure. They said there was no reduction in liver function (this is where the fact is taken in the body). In this particular study they noted that people lost between 14.67 and 28.5% of the fact in the areas treated. Another study in Aesthetic Surgery Journal also found that the average fat reduction was around 19.55%.

8 – Are there any side effects from fat freezing?

Even though fat freezing is usually considered a ‘lunchtime treatment’ due to the fact it requires no incision or anesthesia there are sometimes side-effects, typically these include:

  • Localised sensitivity – this generally subsides within one week.
  • Tagging sensation during treatment – this is not painful but can be surprising if you are not expecting it.
  • Mild redness, bruising or swelling.
  • A slight tingling or stinging sensation on the treatment site – this again usually subsides within one week.
  • Very occasionally a rare condition called paradoxical adipose hyperplasia can occur, this happens more frequently in men and is where the cells in large in size rather than reduce. It is not fully understood why this happens.

 

 

Everything You Need to Know about Lip Filler After-Care

December 10th, 2019

lip filler after care blog title

Lip filler after-care is something that is concerned for many people after they have had lip injections. This type of cosmetic injectable injection has become increasingly popular in modern times and this article is dedicated to helping resolve some of those concerns and answer those questions.

How to reduce swelling after lip fillers

Our top tips for an incredible final result include:

  1. Avoid excessive or very strenuous exercise for at least 24 hours after treatment.
  2. Avoid sweltering temperatures for at least 24 hours after treatment.
  3. Use an ice pack on your lips.
  4. Drink plenty of water.
  5. Avoid excessive salt for 24 hours as this can dehydrate.

Can I eat after lip injections

Yes, but stick to our top tips, and you won’t go wrong:

  • On the first day stick to foods that are easy to eat and chew, this means you’re less likely to have to wipe your lips and disturb the injection site.
  • Avoid vitamin E supplements for a couple of days as this can increase the risk of bruising.

Do’s and don’ts after lip filler

Lip filler aftercare advice:

  • do stick to foods that are easy to eat
  • do bring lipstick and lip liner to the appointment as this can be applied immediately after treatment to cover up any immediate bruising
  • do avoid kissing or massaging your lips directly after the procedure and possibly for up to 24 hours if it is your first lip filler injection
  • do be gentle with your skin while washing for 24 hours
  • don’t use and exfoliating agent for 24 hours or any harsh cleaning brush
  • don’t have a facial massage for at least two weeks
  • don’t drink through a straw for the 1st day as this puts pressure on the lips
  • don’t drink alcohol for at least 24 hours after you have had fillers
  • don’t exercise excessively for at least 24-hour is

Long-term side-effects of lip fillers

If the practitioner undertaking the treatment is highly skilled, then there should be no adverse long-term side-effects from having lip fillers. Short-term side-effects can include:

  • a small amount of bleeding from the injection site
  • bruising
  • swelling
  • tenderness

These should all pass within approximately 48 hours after the initial treatment.

Some people purchase their lip filler hyaluronic acid online and attempt to inject themselves, some people also go to lesser trained beauty therapists for their injections and cosmetic procedures. These may result in more long-term side-effects which can include, but are not limited to:

  • excessive bleeding
  • excessive bruising and swelling
  • lip asymmetry where the injection has not been even been placed
  • lip bumps and irregularities caused by improper injection technique

If you experience any of these more severe side-effects after treatment, then we recommend you contact your skin clinic immediately, if you get no response you should seek medical advice.

Lip necrosis after filler symptoms

Necrosis is defined as “the death of most or all of the cells in an organ or tissue due to disease, injury, or failure of the blood supply.” necrosis with lip fillers is fortunately quite rare with only 1 in every 100,000 cases, it usually happens from one of 2 causes:
  1. By obstructing supply to blood vessel, usually by injecting too much filler or by producing too much swelling near a blood vessel. This obstruction then causes the lip necrosis as the soft tissue is unable to get the blood flow it needs.
  2. Via direct damage caused by poor injection technique.

The symptoms of lip necrosis can include, but are not limited to:

  • severe pain which can slowly build after the treatment, this is because the numbing cream used during the initial therapy begins to wear off and the full pain is felt
  • prolonged white blanching after the lip fillers, this is caused by a lack of blood flow to the affected area
  • the reduced temperature of the lips, this again is caused by the lack of blood flow reducing the temperature
  • discolouration, often purple or dark grey, this is the final stage when tissue death is beginning to take hold

I think I have lip necrosis after lip fillers, what should I do?

If this begins to happen during treatment then, according to the Journal of Clinical and Aesthetic Dermatology, your practitioner should stop the treatment immediately, massage the area, apply heat, tap the area and repeat.

If this does not immediately halt the necrosis, then the practitioner should begin remedial treatment, depending on the type of filler or used. Aspirin may then also be prescribed. If this still does not stop the necrosis, then referral to another medical expert and ongoing wound care may be required. You may also need antibiotics to prevent further complications developing from secondary opportunistic infection

It is, therefore, possible to see that injecting fillers at home by yourself is incredibly dangerous as you would be unlikely to have the knowledge, experience and drugs available to counter any necrosis should happen at the time.

Do lip injections damage lips?

On the whole lip injections do not damage lips, the filler used (hyaluronic acid) is a naturally occurring acid which gets slowly absorbed by the body. Any damage caused to the lips is usually by poor technique created by the person doing the injections. Swellings, lumps and bumps around the lips can be a sign of this type of problem. To prevent this type of problem this is why a dentist is ideally suited to providing lip filler injections as they have detailed knowledge of the anatomy of the lips (Obicularis Oris).

Do lip fillers shrink lip size afterwards?

Lip fillers won’t shrink your lip size afterwards however the hyaluronic acid which is used as the filler will be slowly absorbed by your body again, this can give the illusion of shrinking lips however they won’t shrink smaller than before treatment.

Thinking of starting your lip filler journey?

See our lip fillers treatment page for essential information and prices from our resident facial aesthetics expert, Dr Ajay Murgai.

What’s the difference between a chiropodist and podiatrist?

September 30th, 2019

what’s the difference between a podiatrist and chiropodist

Offering chiropody services in Oxford means we often get asked the simple question, what’s the difference between a chiropodist and podiatrist? This blog post looks at some of these common questions, including top tips on how to look after your feet.

What’s the difference between a chiropodist and podiatrist?

The answer is that there is no difference, the 2 words are used interchangeably to describe the same thing… Essentially both a chiropodist and podiatrist are a foot doctor which both look at foot problems and care for foot health. Chiropody is an historic term which has been used throughout the centuries to describe someone that specialises in the health and well-being of your feet. According to the Institute of chiropody and podiatry, it wasn’t until more recent years that the professional title of Podiatrist was created to recognise the specialist qualifications of the profession.

What are the responsibilities of a chiropodist?

A chiropodist or podiatrist seeks to rectify a range of foot disorders, including but not limited to:

  • Callus (hard skin)
  • Corns
  • Dry cracked heels
  • In-growing toenails
  • Tough thickened nails
  • Verrucae

Difference between a podiatrist and a nail technician?

This is also a question that sometimes gets asked, a podiatrist has the professional medical qualification which enables them to register with the Institute of Chiropody and Podiatry, it also enables them to treat a wide variety of foot ailments.

A nail technician, on the other hand, is someone dedicated entirely to looking after the beauty of your nails, including shaping and colouring. Their skills do not extend to the surgical management of your nails nor to looking after any other of the common foot ailments.

How does podiatry differ from orthopedics?

A podiatrist deals solely with your feet whereas an orthopedic surgeon deals with skeletal problems around the whole body. Your registered podiatrists may work closely with an orthopedic surgeon should you have any skeletal problems with your feet which require surgical intervention.

How do podiatrists remove a callus?

Foot calluses and corns on your feet can be painful, however, you should be aware that if you have diabetes, heart problems or any other form of circulatory disorder you should not treat the corns calluses yourself and should seek specialist help from a podiatrist.

a podiatrist is likely to take one of the following courses of action to remove a callus:

  1. Designing specially made insoles are going to your shoes which can take the pressure off of the callus area.
  2. Applying patches to your skin to help soften the hard area to facilitate later removal.
  3. Gently cutting away and removing the corn or callus.

Is wearing shoes too often bad for your feet?

wearing shoes per se is not necessarily bad for your feet, however wearing poorly fitting shoes CAN be. If you have probably fitting shoes then areas of the shoe can run on your feet causing calluses and corns. These can be painful and tricky to remove.

How to deal with foot pain?

bones of your feet

image credit: myhealth.alberta.ca

Foot pain can be incredibly complex due to the complex nature of the construction of your foot.

Your foot contains:

  • 26 bones
  • 33 joints, of which 20 of them are actively articulated
  • Over 100 muscles, ligaments and tendons

Pain in your foot can also be caused by problems further up your leg. Even problems with your hip or lower back can mean that you change the way you stand or walk which can be transferred down your leg and cause problems with the complex anatomy of your foot. This is where a podiatrist really comes into their own, being able to understand exactly where the pain is in your foot and how it is caused and then knowing the best way to treat it.

Would wearing high heels everyday damage your feet?

Wearing high heels everyday can cause a whole range of problems. Because your weight is artificially shifted forward onto the balls of your feet…

  • your knees need to push forward to rebalance yourself
  • your hips have to push forward to maintain balance
  • you have to hyperextended your back pushing backwards to maintain balance
  • the ball of your foot which has some natural cushioning can begin to thin overtime, this soft pad can actually begin to atrophy

We, therefore, recommend not wearing high heels every day and ensuring you have well-fitting and balanced shoes.

Common sports injuries that affect your feet

There are a range of sports injuries which can affect your feet and require access to a podiatrist, some of these include:

  • Achilles tendinitis. The Achilles tendon is the largest tendon in the body and can often be affected by repetitive sports injuries such as dancing or running. Overuse of the Achilles tendon can result in degeneration, this can be exacerbated with age.
  • Neuroma. quite simply this is a pinched nerve in your foot. There can be a variety of causes including wearing the wrong shoes, trauma or congenital problems with the shape of your feet. Neuroma is experienced as either pain in the ball of your foot or tingling and numbness, particularly between the toes or big toe whilst walking and the nerve is being irritated. Treatments to reduce the inflammation of the nerve can include shoe inserts to provide more support or possibly corticosteroid injections.
  • Plantar fasciitis. The plantar fascia is a band of tissue which stretches across the art of your foot and takes a lot of the stress when you walk. The typical site of pain is at the bottom of your heal.
  • Foot stress fractures. These can occur in people who participate in high contact or high-stress sports such as long-distance running, gymnastics, dance and football. The broken bone can be caused by a single intensive trauma all by repetitive stresses placed on feet and ankles. A lack of training and therefore building up of the support structures around a person’s foot and ankle can make someone more susceptible to stress fractures.

In summary, ensuring you train adequately before undertaking excessive exercise with sports and ensuring you wear correctly fitting footwear with good quality support is some of the best ways you can help to reduce your chances of having sports-related foot injuries.

Swollen Gums Around a Tooth; Causes and Remedies

June 20th, 2019

 

One fine morning, while brushing your teeth, you observe that you have a swollen gum area around a tooth. No doubt this may be a worrying situation for you. However, there is no need to worry, as gum swelling is not as uncommon as it may seem to you. Here is everything you need to know about the causes and treatment of gum swelling.

What Causes Gum Swelling?

Swelling of the gums can take place due to a variety of reasons:

  • Poor Oral Hygiene – when you don’t brush or floss regularly, food particles tend to adhere to the surface of the teeth, which ultimately converts into plaque deposits. Over time, this plaque hardens and becomes calculus/tartar. Both the plaque and tartar are ideal places for the growth and replication of harmful bacteria. Ultimately, these bacteria lead to the inflammation and swelling of the gums.
  • Dental Abscess – an abscess is a collection of pus around a tooth. One of the most common symptoms of an abscess, apart from pain, redness, and fever, include swelling and inflammation of the gums, they may also bleed. The swelling arises due to the collection of pus around the tooth crown or root.
  • Trauma – swelling of the gums can also appear in case they become injured during contact sports, or when a sharp object gets stuck between the tooth and the gum.
  • Hormonal Changes – changes in hormonal levels during pregnancy, menopause or hormonal therapy can also result in the swelling of gums. Interestingly, the swelling can occur around a single gum or the gums around all the teeth.

swollen gums

In addition to this, some of the risk factors associated with gum swelling include:

  • Uncontrolled diabetes
  • Hypertension
  • Stress and anxiety
  • Genetic predisposition
  • Certain medications

Gum swelling can also be an early warning sign of gum disease which can progress painlessly on the whole. If left untreated full-blown gum disease could develop.

What are the ways to cure swollen gums?

The most common reason behind swelling of gums is poor oral hygiene. In most cases, gum problems will go away as soon as you start taking care of your oral health through brushing and flossing.

Gum swelling is generally a symptom of an underlying medical or dental problem. Therefore, treatment involves removal of the underlying cause. Your dentist or doctor will identify the underlying problem and then provide appropriate treatment. If required, your doctor may change your medication if it is causing gum swelling. Similarly, antibiotic treatment may also be required if the gums have become swollen due to an underlying abscess in a tooth.

Swelling of gums not only indicate an underlying dental problem but it also negatively affects your smile and facial esthetics. If you or anyone among your loved ones is suffering from gum swelling or inflammation, you should visit your dentist or healthcare physician without any delay. Failure to seek treatment can result in severe complications, which may even prove to be life-threatening. Hence, time is of the essence when it comes to treating gum problems.

How to Prevent Gum Swelling?

This is where we really start to talk about prevention rather than cure. The best way to prevent gum swelling in the 1st place is to ensure you have a good oral health care regime. This should include:

  • cleaning your teeth for 2 min twice per day with the fluoride containing toothpaste
  • don’t spit the toothpaste out afterwards but keep it in your mouth if possible
  • wait for 20 min after eating before cleaning your teeth to give them time to recover from the immediate acid attack
  • brushing in between your teeth at least once per day with either floss or an inter dental brush
  • rinsing after each meal with the fluoride containing mouthwash. Never rinse directly after brushing as this washes away some of the helpful fluoride in the toothpaste.

A balanced diet with lots of vitamin containing fruit and vegetables can also help prevent gum swelling and gum disease. Keeping sugar levels low will also have a dramatic effect on the amount of plaque which builds up on your teeth and therefore the amount of gum swelling which occurs.

Excessive sweating – Why Do I Sweat so Much?

June 4th, 2019

Excessive sweating-why do I sweat so much

 

Excessive sweating can lead to embarrassment from sweaty palms and hands to soak through shirts, not to mention often being accompanied by an unpleasant odour. So what can we do about profuse sweating? Why do we do it and how can we stop it?

our bodies respond to excessive temperature is to sweat. When our brain senses that our core temperature is rising then it begins releasing sweat from 2.5 million eccrine (sweat) glands on our body. This then lowers our body temperature as the heat in the body is used to evaporate the liquid from the skin.

In addition to the eccrine glands. We also have apocrine glands, which secrete a different type of sweat. This type of sweat contains more nutrients and is largely emitted in the armpit and growing areas, it is from this type of sweat that the smell emanates. These glands are activated when we get emotional or excited as well as during exercise.

Because the human body excretes sweat from these two different types of gland we need to ensure that we look at each type before we decide on how we can overcome the problems that sweating causes.

In addition to this natural sweating process. Some people also suffer from hyperhidrosis (excessive sweating), for these people the eccrine glands in the skin become overactive producing large amounts of sweat when the body actually doesn’t need it.

How to stop sweating

It depends on the reason for sweating as to how you can control it.

  1. Sweating during exercise. If this is you then try wearing breathable fabrics to ensure your body can regulate its temperature.
  2. Sweating throughout the day with no exercise. Try applying an antiperspirant before bed. After you have had a shower and are clean. Apply the antiperspirant, please take a little time to block the sweat ducts and should be completely active by morning. If you applied antiperspirant in the morning then the sweat ducts can be more active and antiperspirant doesn’t get a chance to work by blocking those ducts. You should also make every attempt to stay cool throughout the day, keep regularly hydrated and keep your body temperature lower by staying in a well vented room, this should help your body regulate its own temperature and negate the need for excessive sweating.
  3. Sweating whilst eating spicy foods. Well, you may just have to avoid those spicy foods!
  4. As a side effect from various medications. Seek advice from your doctor if you have started sweating excessively after beginning a new course of medication.

How to stop armpit sweat

Armpit sweat specifically contains sweat from both the eccrine (cooling) and apocrine (smelling) glands. This means that heavy sweating can lead to sweat stains as well as a bad odour.

Excessive armpit sweating, medically known as axillary hyperhidrosis can be treated with a couple of home remedies but you may need to talk to your doctor for some of the more advanced remedies.

  1. Apply antiperspirant before bed. Antiperspirants work by blocking the sweat pours in your skin, most people tend to sweat less at night, meaning the antiperspirant has a chance to get into the pores to prevent sweating during the day.
  2. Combine and antiperspirant (to block the pores and prevent sweating) with a deodorant to combat any lingering odour.
  3. Wear breathable clothes. This firstly prevents your body from heating up in the first place but also allows any sweat produced to evaporate through your clothes.
  4. Consider asking your doctor for prescription antiperspirants.
  5. Speak to your doctor or dentist about the use of botulinum toxin for excessive sweating.

Sometimes people suffer from primary focal hyperhidrosis, this is where the excessive sweating is not as a result of another medical condition or a side-effect of medications taken, primary focal hyperhidrosis is the condition itself. This does make things more difficult to treat as breathable clothes and antiperspirants are unlikely to work. Speaking to your doctor or a practitioner, which uses treatments such as botox injections may be an option.

How to stop sweaty hands – 9 Things You Can Do

Sweaty or clammy hands, known as palmer hyperhidrosis can be really embarrassing, particularly if you work in a social environment which includes handshaking. It can also make operating some equipment, like a computer mouse trackball really difficult. The good news is that there are a variety of ways to stop sweaty hands including, but not limited to:

  1. Dedicated hand antiperspirant. These are absorbed quickly and don’t leave a residue on your hands. Sweat Guard is one such product, others are also available.
  2. Wash your hands with water only. Unless they are particularly dirty, then, of course, use soap but remember that soap can try your skin out and exacerbate the sweating.
  3. Don’t wear gloves. Unless it is particularly cold out, avoid wearing gloves as this can prevent your hands from breathing and again make the more sweaty.
  4. Carry around a small container of talcum powder. Talcum powder can absorb excessive sweat and a quick dab onto your hands can work wonders.
  5. Reduce stress. If stress is the cause of sweaty hands try to identify why you are stressed and look at ways to reduce it.
  6. Ask your doctor for a prescription. There are some drugs which are able to reduce the amount that your hands sweat.
  7. Speak to your dentist about the use of botulinum toxin type A.
  8. Don’t skip meals. Low blood sugar can also contribute to sweaty hands.
  9. Avoid too much alcohol. If you are prone to palmer hyperhidrosis then alcohol causes your blood vessels to dilate, this then leads to warming of the skin which triggers your parasympathetic nervous system to kick in and you start sweating.

Thinking of getting hyperhidrosis treatment to stop sweating?

If you’re in Oxfordshire and would like to stop excessive sweating then please visit our hyperhidrosis treatment page for essential information and prices from our resident expert, Dr Ajay Murgai (GDC No: 85639).

I am dropping a note to say thanks for all the work you have done for me, I am aware that I am not the easiest of patients. Your patience and explanations whilst work is underway was very much appreciated. The bridge work is really outstanding, here’s hoping I need nothing more than routine checks for some time.
- Mr R G
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