The post Anti Wrinkle Injections appeared first on PCLS Coffs Harbour.
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How can it help?
Anti-Wrinkle injections use neuromuscular blocking toxins to stop those muscles from contracting. The toxin attaches itself to the neuromuscular endplate (the connecting point of the nerve fibre to the muscle fibre). Acetylcholine, the neurotransmitter that normally causes muscle contractions to occur, is prevented from reaching the nerve fibre. The muscle is effectively paralysed. The treatment is particularly effective in treating deep, central frown lines and nasolabial (cheek) folds and “crow’s feet” (smile lines) at the side of the eyes. Dr. Arianayagam uses the brands Botox or Dysport for anti-wrinkle injections.
Consultation
During the initial consultation Dr Arianayagam will carefully and thoroughly examine your face, mapping out the area to be treated by examining your ability to move certain facial muscles. He will also ask you a variety of questions about your current health situation, medications, allergies and any past medical treatments. He will then discuss the options available and his recommendations. You should feel free to frankly discuss your goals and expectations and ask plenty of questions.
Procedure
The treatment is done in the Scarba Street Clinic. Based on the plan agreed at your initial consultation Dr. Arianayagam will mark strategic points on your face. A large number of small injections are made to target the muscles causing your wrinkles. The injection will only take about 10 minutes.
Recovery
Anti Wrinkle injections require almost no downtime. You should be able to return to work the same day as your treatment. There may be some redness and swelling in the injection area, but this usually subsides very quickly. It will take 3-7 days for all swelling to subside and the end result to become apparent.
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]]>The post Birthmark Management appeared first on PCLS Coffs Harbour.
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How can it help?
While best treated early to avoid the complications that could arise with increase in size, there is no urgency in this situation. It is a very different story with an haemangioma, which is first noted as a little red dot, about 3 weeks after birth and increases significantly in size and colour over the next 2 months. If you are concerned about a birthmark on yourself or your child please arrange an initial consultation with Dr Arianayagam who will make an assessment and provide you with recommendations.
Procedure
The traditional approach is one of “waiting and watching” and in a large percentage of cases, the growth stops by 6 months and by 2 years most of the haemangioma has disappeared. However, the problem is the unpredictability of the growth in the first 6 months, with some haemangiomas increasing in size by 1000 times making it too difficult to treat and causing severe problems to the patient and parents. The better approach would be for close monitoring of the problem, and if size increase is noted, for early intervention and removal of the problem with surgery or with laser or IPL treatment. This short-circuiting of a potential major problem is highly recommended to avoid getting into difficult and untreatable situations.
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]]>The post Earlobes Post Piercing Keloids appeared first on PCLS Coffs Harbour.
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How can it help?
For a satisfactory outcome, excision needs to be followed by a strict and planned period of earlobe compression up to 6 months.
This is a difficult site to keep compressed and works best with a pair of custom made earrings. For about 10 years we have had excellent, attractive silver earrings made by Mac of Mac Art Jewellery in Bellingen. The earrings use two connected discs with a tightening mechanism which allows adequate pressure to be maintained.
Procedure
To achieve the best results, each custom made pair of earrings are made before scheduling the surgery as the compression must be started a week after surgery.
As in all keloid scar management, compression therapy is usually very effective. A bonus is that the patient is the proud owner of a new attractive pair of silver earrings!
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]]>The post Facial Hyperpigmentation Treatment appeared first on PCLS Coffs Harbour.
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How can it help?
Though the problem is common and multiple treatments available, the consensus is that there is a need for a combination of treatment methods, with an initial intense treatment period followed up by long-term maintenance treatment.
Treatments
PHOTOPROTECTION is the cornerstone of all treatments, to protect the skin from the effects of ultraviolet light ( UVB and UVA) and visible light, all of which stimulate melanocytes and in some instances overstimulate them. Broad spectrum skin protection against UVA ( 315 – 400nm ) and UVB (290 – 315 nm ) is critical. In addition, adequate clothing and hats add to the protection.
TOPICAL THERAPIES
Hydroquinone (HQ) is a widely used topical depigmenting agent ( acting by reducing the amount of melanin produced ) and works best when combined with a Retinoid (which inhibits melanin transfer into epidermal cells and increases pigment removal by increasing the turn over of pigment containing epidermal cells ) and a Corticosteroid.
The combination treatment is initially for daily use for up to 3 months, followed by a long-term maintenance therapy.
The Nd: YAG LASER
This laser has a longer wavelength ( 1064nm) and penetrates deeper while sparing the surface epidermis, making it safe to treat darker skin types and deep dermal pigmentation. The treatment is quick and well tolerated and with no”downtime”. It is repeated at for weekly intervals for at least 10 sessions of treatment.
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]]>The post Facial Rejuvenation appeared first on PCLS Coffs Harbour.
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How can it help?
IPL and CO2 Laser treatments can remove superficial pigmentation and fine lines and tighten the skin to give a youthful appearance and improve you self confidence.
Consultation
During the initial consultation Dr. Arianayagam will carefully and thoroughly examine your face. He will also ask you a variety of questions about your current health situation, medications, allergies and any past medical treatments.
He will then discuss the options available and his recommendations.
You should feel free to frankly discuss your goals and expectations and ask plenty of questions.
Treatments
IPL treatments are conducted at the Scarba Street Clinic. Treatments take from 20 to 30 minutes and there is no downtime. Multiple treatments are required to get the best results.
CO2 Laser full face resurfacing is done under general anaesthesia as a day surgical procedure at the Coffs Harbour Day Surgery and you will need dressings for 5 to 10 days.
Recovery
After IPL treatment you should expect your skin to be red and there may also be some swelling. Some people experience stinging or itching, which subsides after 12-72 hours.
After CO2 Laser treatment, protective dressings are applied over the treated area. These remain for 5 to 7 days and are changed as required.
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]]>The post Hand Rejuvenation appeared first on PCLS Coffs Harbour.
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How can it help?
IPL and CO2 Laser treatments use light to improve skin tone, reduce age spots and correct prominent blood vessels. The light is delivered to the deeper parts of the skin (dermis), leaving the superficial surface of the skin (epidermis) undamaged.
Consultation
During the initial consultation Dr. Arianayagam will carefully and thoroughly examine your hands. He will also ask you a variety of questions about your current health situation, medications, allergies and any past medical treatments.
He will then discuss the options available and his recommendations. You should feel free to frankly discuss your goals and expectations and ask plenty of questions.
Treatments
IPL treatments are conducted at the Scarba Street Clinic. Treatments take from 20 to 30 minutes and there is no downtime. Multiple treatments are required to get the best results.
CO2 Laser hand resurfacing is done under general anaesthesia as a day surgical procedure at the Coffs Harbour Day Surgery and you will need dressings for 5 to 10 days.
Recovery
After IPL treatment you should expect your skin to be red and there may also be some swelling. Some people experience stinging or itching, which subsides after 12-72 hours.
After CO2 Laser treatment, protective dressings are applied over the treated area. These remain for 5 to 7 days and are changed as required.
While your hands are healing you will be asked to apply moisturiser to the treated area to keep it soft, and to avoid all sun exposure. The downtime will depend upon the depth and breadth of the treatment. Dr. Arianayagam will discuss this during your consultation and at the time of treatment.
After treatment it is critical to keep your hands well moisturised and use a broad spectrum sunscreen to protect the new skin.
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]]>The post HIFU Ultrasound Skin Tightening appeared first on PCLS Coffs Harbour.
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How can it help?
As we age our bodies’ produce less collagen, the natural protein that gives your skin its youthful firmness and elasticity. Our skin becomes less able to stand up to the effects of gravity, pulling downward and making us look older.
A high-intensity focus ultrasound (HIFU) treatment works to jump start skin repair. Focused ultrasound energy is deposited below the surface of the skin, contracting and tightening, while at the same time stimulating the body’s creation of new collagen. Skin will lift and tone over time as the newly created collagen pushes aging skin to start working hard again.
Consultation
The first step when you are considering a HIFU treatment is a consultation with Dr. Arianayagam. You should frankly discuss your goals and expectations at this meeting, and be prepared to answer a variety of questions about your current health, medications, allergies and any past medical treatments.
At the initial consultation Dr. Arianayagam will outline treatment options and provide a recommendation. You are encouraged to ask questions, as it is important that you understand the treatment and set the right expectations.
Procedure
HIFU’s non-invasive ultrasound energy generates low levels of heat to the targeted skin area, to stimulate collagen production and tissue regeneration.
The treatment time will depend on the area targeted, but as an example a full face treatment will last 45-60 minutes, while a partial face or brow treatment will last about 30 minutes. There is no downtime involved and you should be able to return to normal activities immediately after treatment.
Recovery
There may be slight redness for an hour or so following treatment. A small percentage of patients may have slight swelling, tingling or tenderness, but these symptoms are mild and temporary. The sensation of a muscle workout soreness is common but relieves itself quickly.
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]]>The post Leucoplakia Diagnosis and Management appeared first on PCLS Coffs Harbour.
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How can it help?
In effect, this is the formation of a protective callus on a damaged area. While this is protective, in time the area starts breaking down and ends up as a Squamous Cell Carcinoma.
Removal of the irritant will help but often treatment is necessary. In earlier days, surgical removal of the vermillion was the only option but over the last 25 years, Carbon Dioxide ablation of the lip mucosa (vermillionectomy) gives very good results with no scarring. A bonus is the improvement in the tone of the lip and colour of the vermillion.
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The post Lip Squamous Cell Cancer (SCC) appeared first on PCLS Coffs Harbour.
]]>The post Neck & Chest Rejuvenation appeared first on PCLS Coffs Harbour.
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How can it help?
A condition called Poikiloderma, characterized by a thinning of the skin, increased pigmentation and dilation of the fine blood vessels, is very common amongst Australian women. The condition results from exposure to UV light and sensitisation to chemicals, such as perfume.
IPL or CO2 Laser treatments can be used to resolve both the vascular and pigmentation problems.
Consultation
During the initial consultation Dr. Arianayagam will carefully and thoroughly examine your neck and chest area. He will also ask you a variety of questions about your current health situation, medications, allergies and any past medical treatments.
He will then discuss the options available and his recommendations.
You should feel free to frankly discuss your goals and expectations and ask plenty of questions.
Treatment
IPL treatments are conducted at the Scarba Street Clinic. Treatments take from 20 to 30 minutes and there is no downtime. Multiple treatments are required to get the best results.
Recovery
After IPL treatment you should expect your skin to be red and there may also be some swelling. Some people experience stinging or itching, which subsides after 12-72 hours.
After CO2 Laser treatment, protective dressings are applied over the treated area. These remain for 5 to 7 days and are changed as required.
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