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

Monday, 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

Monday, 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!

Fat Freezing – 8 Questions You Want the Answers to

Monday, 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

Tuesday, 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.

Excessive sweating – Why Do I Sweat so Much?

Tuesday, 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).

lip injections, are they a good idea?

Tuesday, March 5th, 2019

Lip injections, are they a good idea

As a practice that offers facial rejuvenation from our clinic in Oxford and Didcot we are often asked about lip injections, people often want to know if they are a good idea and what the potential problems could be. Our latest blog post is dedicated to answering these questions.

Do lip injections hurt during/after lip injections?

Lip injections will always be given with a topical numbing cream such as lidocaine and prilocaine, this ensures that the skin is numb prior to having any injections.

After treatment you may find there is some mild discomfort as the injection sites settle down, this will not normally last longer than a couple of days.

Why use lip fillers to enlarge your lips?

Lip fillers are one of the most natural ways to enlarge your lips, hyaluronic acid (dermal fillers) is a naturally occurring acid in your body. It is using your body to bind water and retain moisture, hence, as we age and hyaluronic acid levels decline asking can look drier and more wrinkly due to the dehydrated skin. Fillers can help to reverse this process.

Do lip injections damage lips?

So long as the lip injections are done in a controlled environment by professional with full training then no, lip injections do not damage your lips. This is one of the reasons that dental practices are some of the best places to go for a lip injections, dentists have such a detailed knowledge of the anatomy of the muscles, nerves and blood vessels in your head, face and neck. Beauty therapists, on the other hand do not have this detailed knowledge.

What is the lip enhancement or lip augmentation procedure?

The process is usually quite simple and includes:

  • An initial consultation to work out if lip fillers are the best form of treatment for you. During the consultation we will discuss any possible side-effects, additional treatments, ongoing care and costs.
  • Treatment begins at an appointment time suitable for you.

Usually all treatment can be accomplished in one single appointment.

What’s it like to undergo lip augmentation?

Treatment is usually:

  • Comfortable. Anaesthetic is given to numb the skin.
  • Affordable. Lip enhancement is usually start from about £380.
  • Quick. Treatments can often be completed in a single appointment.
  • long-lasting. Treatments often last for up to 2 before needing to be redone.

How long do lip injections last?

Typically treatments will last up to 2 years. Typically you may find that anywhere between 6 and 12 months you might see some difference in your appearance and require a top up.

What did your lips look like before and after lip injections?

The easiest way to answer this question is to show photographs of patients having before and after lip injections.

Before lip augmentation

Before

After lip augmentation

After

Before lip filler injections

Before

After lip filler injections

After

How much do lip augmentations usually cost?

Treatment costs can vary depending on the exact nature of the augmentation of treatment and the exact treatment. Typically lip enhancements start at around £380 and lip contouring from £350. There are also usually many special offers available.

More information on fees here.

Do lip fillers shrink lip size afterwards?

No, however after your lips have been made fuller and more plump with lip fillers, by contrast, once the fillers have been fully absorbed into your body it may look as though your lips have shrunk, they will only however have shrunk back to what they were prior to treatment.

Why are Botox and filler injections so expensive?

Botox and filler injections are always worth investing in the highest quality. After all, you are going to be asking someone to inject something into your face! You need to be sure that:

  • You know absolutely 100% what is being injected. NEVER purchase these treatments online and try to inject yourself.
  • You 100% trust the person doing the injections. A dentist is the ideal person to trust for this type of treatment as they have a detailed knowledge of the anatomy of your head, face and neck. Someone that has been on a short training course will not have this detailed anatomy, nor may not have the emergency facilities available in the event of any unforeseen allergic reaction.
  • The environment in which you will be seen is completely clean and sterile. You want to ensure that any cross contamination chances are all but eradicated, again this is another good reason to choose a dental practice as they will have proven cross infection control procedures in place and will also be highly regulated by the Care Quality Commission.

It is for the reasons above of using the best materials,  the best clinician in the best environment that makes Botox and fillers injections expensive.

One last thing to say about the cost is that it is worth considering this over the life of the treatment. A typical augmentation may cost £380 but could quite easily last two years, taking the cost over a two-year period means that treatments cost approximately £3.64 a week – The price of a large cup of coffee!

What is the difference between dermal fillers and botox?

These treatments working completely different principles. Wrinkle relaxation treatments such as Botox are a toxin which reduces the ability of muscles to move, by reducing visibility to move we can make the wrinkles disappear. Fillers, on the other hand inject hyaluronic acid into the treatment site, this is a naturally occurring body acid which binds water, therefore making your skin look more hydrated and younger.

Depending on which area of your face you would like rejuvenated will depend upon which treatment you have, dermal fillers or wrinkle treatments such as Botox.

4 surprising uses for Botox

Tuesday, June 5th, 2018

Did you know that Botox is a prescription drug and therefore it is not possible to walk into any clinic and ask specifically for Botox? Botox may be one of the treatments offered to help resolve your problem and indeed, the practitioner may decide that another form of botulinum toxin is preferable over the use of Botox. Throughout this article the terms botulinum toxin and Botox will be used interchangeably for the same treatment.

There are however a considerable number of uses for Botox which you may be unaware.

Facial lines and wrinkles

This is the most common use and is the most widely known use for botulinum toxin injections. The toxin works are relaxing the muscles and as they relax facial lines and wrinkles also disappear. Botox can also be used for:

Chronic migraines

This was first reported by Dr William Binder back in 1992. He was a doctor in Beverly Hills and he noticed that as he used Botox on his patients they tended to report fewer headaches after treatment. One of the manufacturers of Botox then began Testing his claims and found that they were indeed true.

Whilst the research conducted did indeed show a link between the use of botulinum toxin and headaches, it didn’t conclude as to whether the link was medical or placebo.

Excessive sweating treatment

This was also a side effect noticed by many clinicians in the early days of using Botox to treat facial lines and wrinkles. Botox stop excessive sweating (hyperhidrosis) by blocking the neurotransmitters that stimulate the sweat glands. Hyperhidrosis is a condition which affects approximately one percent of the population and doesn’t discriminate between men or women. The treatment was approved in the United States in 2004 and involves several injections around the affected area, usually in the armpits. The treatment last for around eight months each time.

Reducing gummy smiles

A “Gummy Smile” is a phenomenon that when some people smile, their upper lip elevates too far above their upper teeth, exposing gums and producing an unattractive smile. This happen due to a number of causes which can be assessed by your dentist/practitioner (This is one of the advantages of having a dental practice work with botulinum toxin as well as treatment). One of the causes is hyperactivity of the muscle which elevates the upper lip. Occasionally, the gummy smile is also aggravated by a thin upper lip that further contributes to the problem by exposing the upper gum even more.

Simply and safely we can help correct your gummy smile by reducing the muscles strong pull on the upper lip. To make a thin lip look fuller you may also wish to have some dermal filler treatment.

Bruxism or tooth grinding treatments

Bruxism is a medical term that describes the act of grinding the teeth and clenching the jaw. Regular and persistent grinding of the teeth can result in an ache in the jaw, headaches, earache, disrupted sleep and can also contribute to the wearing down, darkening and breaking of the teeth.

Most cases of bruxism occur subconsciously during sleep. It is usually associated with contributing factors, such as stress or anxiety. Severe bruxists often have overvdeveloped muscles giving them a swollen square like face.

It’s possible to treat patients with bruxism using a combination of botulinum toxin and mouth guards to help relax the muscles involved.

As mentioned previously when we were talking about headaches, you may also notice a reduction in the headaches after treatment for bruxism with botulinum toxin.

A word of warning About Botox

You should not be treated with BOTOX® if you have:

  1. a disease that affects your muscles and nerves (such as amyotrophic lateral sclerosis [ALS or Lou Gehrig’s disease], myasthenia gravis or Lambert-Eaton syndrome).
  2. allergies to any botulinum toxin product
  3. had any side effect from any botulinum toxin product in the past
  4. a breathing problem, such as asthma or emphysema
  5. swallowing problems
  6. bleeding problems
  7. plans to have surgery
  8. had surgery on your face
  9. weakness of your forehead muscles, such as trouble raising your eyebrows
  10. drooping eyelids
  11. any other change in the way your face normally looks
  12. are pregnant or plan to become pregnant. It is not known if BOTOX® can harm your unborn baby.
  13. are breast-feeding or plan to breastfeed. It is not known if BOTOX® passes into breast milk.

What is Botox, is it safe and how does the procedure work?

Friday, November 10th, 2017

Questions and answers about Botox

A quick search on Google trends shows that the interest on the web for Botox is ever increasing, with more people searching it’s good to take advice on the safety, treatment and procedures for Botox. This blog post takes a look at some of the most commonly asked questions about this popular treatment.

The increasing searches for BOTOX

Common questions and answers

What is Botox?

In Botox is one of the leading brands of botulinum toxin,  typically used to treat the course and the signs of ageing, facial rejuvenation, excess sweating (hyperhidrosis) and gummy smiles.

What is it made of?

Botox is the brand name for botulinum toxin type a, it’s made from a bacteria which blocks nerve activity in the muscles causing a temporary reduction in muscle activity.

Is it safe?

When administered by professional in measured doses Botox is safe. You should however avoid Botox if have:

  1. a disease that affects your muscles and nerves (such as amyotrophic lateral sclerosis [ALS or Lou Gehrig’s disease], myasthenia gravis or Lambert-Eaton syndrome).
  2. allergies to any botulinum toxin product
  3. had any side effect from any botulinum toxin product in the past
  4. a breathing problem, such as asthma or emphysema
  5. swallowing problems
  6. bleeding problems
  7. plans to have surgery
  8. had surgery on your face
  9. weakness of your forehead muscles, such as trouble raising your eyebrows
  10. drooping eyelids
  11. any other change in the way your face normally looks
  12. are pregnant or plan to become pregnant. It is not known if BOTOX® can harm your unborn baby.
  13. are breast-feeding or plan to breastfeed. It is not known if BOTOX® passes into breast milk.

What is Botox used for?

Botox is typically used as an antiwrinkle treatment in the following areas:

  • Forehead lines.
  • Frown lines.
  • Eyebrow reshaping.
  • Bunny lines.
  • Gummy smiles.
  • Crows feet.
  • Lip lines.
  • Dimpled chin.
  • Marionette lines.
  • Platysmal bands.

Botox treatment areas

How long does itlast?

The effects of treatment will usually last between 4 and 6 months.

Does it hurt?

Any discomfort from the Botox is usually minimal and brief. Your practitioner may none the area to be treated prior to injecting the Botox. A cold pack or numbing anaesthetic cream may be used.

What does Botox feel like?

Botox won’t radically change your facial appearance, you won’t feel as though you have had a huge amount of work done and a full facelift. Botox works very specifically on just the muscles into which it has been injected. You will still be able to smile, laugh and frown after you have had Botox. The treatment usually lasts approximately 20 min.

Does Botox stop sweating?

Whilst Botox is not a miracle cure for excessive sweating (hyperhidrosis) it can have a dramatic effect and improve the symptoms immediately. The injections work by blocking the nerve action around the sweat glands located under your arms. The Botox is injected under your arms in a grid like pattern in a procedure which lasts approximately 30 min. The effects last between 6 and 12 months.

Does Botox wear off?

Yes, the effects of Botox wear off and you will be required to have top ups if you wish the results to continue.

How long does it take to wear off?

When used to treat facial lines and wrinkles Botox lasts between 4 and 6 months, it last a little longer, up to 12 months, if it is used to treat hyperhidrosis.

Does Botox stop blushing?

No, Botox does not help with blushing or hot flushes.

Does Botox lift eyebrows?

Yes. Our eyes and brows can be pulled down by the action of the muscles around our eyes. As we age this is exacerbated. Botox injections work by relaxing the muscles around your eyes and this results in a temporary inhibition of their movement and they no longer pull your eyes down.

What are the side effects?

Side-effects are rare but can include infection, inflammation, tenderness, swelling and localised pain. An experienced Botox practitioner will be able to keep all of these to a minimum.

Can it be used for migraines?

Yes. Botox was approved for migraine use in 2010. Because migraines are often chronic the treatment is given every 12 weeks approximately, it takes around 15 min each time to give the injections. When your muscles contract they release a chemical, Botox blocks this release and prevents the contraction of these muscles, this causes the muscles to become less stiff and it is thought that it is these muscles which are sensitive to pain, because they are less stiff they are less painful.

Botox or fillers?

Botox and fillers are typically used in different ways. Botox blocks the nerve receptors which prevent muscles from moving, if the lines and wrinkles caused by this muscle movement in Botox will help. Fillers fill in deeper lines and crevices around your face, typically these lines are not caused by muscle movement. Fillers and Botox may be used in conjunction to rejuvenate your face.

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  • The costs and lowest price alternatives
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  • Are you suitable for treatment?
  • How do Botox and Fillers compare?
  • How long does treatment take?
  • 5 Easy Steps to Great Skin
  • Plus lots more…

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Free guide to facial rejuvenation
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.
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