Dr Phoebe Jones

Saggy Earlobes? We Hear You.

A normal part of the ageing process involves the loss of soft tissue and a decrease in skin elasticity. Whilst often overlooked, the earlobes are no different to other areas of the face in this respect. Saggy, wrinkly and floppy looking ears are also compounded by years of wearing heavy earrings.

Once the ageing process sets in, many women feel self-conscious wearing earrings at all because they don’t want to draw extra attention to their sad looking lobes.

Fortunately treatment with small amounts of hyaluronic acid filler is a quick and easy fix for this issue. It is relatively pain free and can be done in under half an hour.

All About Acne

As a teenager, I suffered from terrible acne. I understand how it can create a terrible cycle of self-consciousness and poor self-image. Fortunately, my mother, who had also been an acne sufferer, quickly got me on to medical treatment for the problem and within a year it had cleared up completely. However, this was not without some side effects: nose bleeds, low mood, etc. It was all worth it though, because I have rarely had a blemish since and I was very lucky to avoid the residual scarring sometimes sometime left behind.

What is acne?

Acne is a skin disease where the hair follicle opening becomes blocked by a plug of skin cells from the follicular lining. This prevents oil from the sebaceous gland that attaches to the root of the hair from escaping, leading to a build-up of oil, bacterial growth and inflammation. This manifests as black heads, whiteheads, red bumps, pimples and most severely, cystic acne. 

These can occur on the face, neck, chest, back, shoulders, and even the upper arms. Onset is usually during adolescence with increased sex hormones, that stimulate and enlarge the oil (sebaceous) glands of the skin. Acne is experienced by both teenagers and adults all the way through their 40’s. 

How can we fix this?

There is a lot of misunderstanding about how to treat acne. I know of many teenagers who are told to simply stop eating so much chocolate and it will go away. How ridiculous! Whilst a good diet will improve general skin quality, it is not enough to control this disease. At Concept Cosmetic Medicine our goal is to clear your skin, stop future breakouts, reduce existing scars and prevent future scarring. 

Step 1

Skin care at home:

Wash face twice a day with a wash that contains alpha hydroxy acids (eg. Glycolic acid) or beta hydroxy acids (eg. Salicylic acid). Some people find the latter more effective.
At night use a cream that contains one of the above.
If this doesn’t improve the situation after 2 months, speak to your GP about adding a prescription cream containing adaptalene and benzoyl peroxide combination; or a retinoic acid cream.

Step 2

If Step 1 fails, there are two good options next:

Your GP may be able to prescribe oral antibiotics. These are usually a tetracycline antibiotic which are a broad spectrum antibiotic however very effective and commonly used in the treatment of acne. Improvement is usually seen after 2-3 months. It is relatively cheap however, having antibiotics in your system for extended periods can quite often be accompanied with the possible side effects.
Blue light therapy is a good alternative for those who can’t or don’t want to take antibiotics. Like the antibiotics, the blue light destroys the acne causing bacteria on the skin and can significantly improve the appearance of moderate acne in around 6-10 treatments. It is quick (under 15 mins), efficient and painless and there’s no downtime.

It is however, more expensive than oral antibiotics.

Step 3

Treatment Resistant Severe Acne:

Photodynamic therapy (PDT) is effective treatment and involves the application of a photosensitising agent to your skin and then going under an Omnilux light to activate the agent. This targets acne causing cells deep in the sebaceous glands, so its’ very effective for cystic acne. PDT treatment requires up to a week of down time. The discomfort could be likened to “sun burn” for the first few days and it gradually improves over the rest of the week. 1-2 treatments are usually adequate for most people, who will see significant reduction of acne lesions and an improved appearance in scarring and skin quality. This is a great option for people who want to avoid the nasty side effects of taking oral retinoic acid for several months.
Oral retinoic acid is a Prescription only medication that’s an extremely effective treatment, but it does have some bad side effects that vary between patients. You will need to be closely monitored by your GP and dermatologist whilst on this medication to minimise any harmful side effects.

If you are interested in Blue-light therapy, PDT for acne or even just want further information about problem skin then please, we love talking about it and we’re only too happy to have a no obligation chat - Simply phone us.

by Dr Phoebe Jones

THE CHIN - A STAR'S SECRET TO THE PERFECT PROFILE

The power of a well proportioned chin is often an under-looked and a neglected facial feature.

As our skeletons age our bones lose mass. This happens to all of us and there’s no avoiding it however, it should be noted the loss of mass in the chin is relatively more significant and subject to a more noticeable affect on the appearance of ageing.  

The loss of mass around the chin leads to the appearance of worsening jowls, marionette lines, and fine lines around the mouth. Replacement of this bone loss with a thick filler can provide a strut to help make this seemingly “lazy” skin more taught. You could think of it like the “little plastic table” in the middle of your pizza…. Otherwise known as a Pizza Saver - except we like to engineer the process with a little more precision.

In younger people, who have not yet suffered the bony losses of age, chin fillers can be used to help correct a weak looking chin, improve the profile and jawline and improve the appearance of a round face shape. This can be seen in photos of Ivanka Trump. Whilst she appears to have had a rhinoplasty, she has also had chin volumisation. The combination has resulted in a beautiful profile and a less rounded face. This clever contouring has created the desirable upside down triangle shaped face that is thought to be a true sign of beauty, and I couldn’t agree more.

Even Angelina Jolie, who has long been considered to be one of the most beautiful women in the world has had a little help in the chin and jawline department. The results are subtle and she still looks like herself. Even Angelina understands the power of a good chin.

If you have any questions about non-surgical chin augmentation or any other procedure then please get in touch - we love talking about cosmetic medicine. 

Dr Phoebe Jones

INJECTABLE MOISTURISERS - BEFORE & AFTER

 

I'm asked a lot about injectable moisturisers - Will it hurt and do they work?

Generally speaking, there's only some discomfort. We apply numbing cream to the area prior and use very fine gauge needles for the actual injections. In addition there's gas on-hand also should you be sensitive.

Does it work? We think so.

While the effects are not as prominent as some other procedures, the overall glow and luminosity is certainly noticeable along with the reduction of fine lines.

In the video below you can watch me perform the procedure and talk further in detail about the benefits of injectable moisturisers.

If you've ever considered injectable moisturisers or would just like more information, we love talking all things cosmetic medicine - Feel free to get in touch.

 

Dr. Phoebe Jones.