CONSULTATIONS AND TREATMENT BY
EXPERIENCED MEDICAL AESTHETIC DOCTOR

Dr Rab Mittal
MBBS MRCGP DCH DRCOG

• Medical Aesthetic Doctor and General Practitioner
• Personal private consultations
• Confidential treatments
• Education on best treatments
• Member of British Association of Cosmetic Doctors
• Certificate of training in Botox techniques
• Certificate of training in dermal fillers
• On approved list to provide minor surgery in Berkshire Health Authority for over 10 years
• Fully registered with GMC
• Member of Royal College of General Practitioners
• Berkshire West Local Medical Committee Member
• Medical Defence Union Member
• NHS practice providing full range of services
• Free, no obligation initial consultations

Wrinkle Relaxing Treatment
When we frown, smile or laugh we contract our face into folds of skin. These form dynamic wrinkles and lines such as “crow’s feet”, forehead lines or “worry lines”. Over time, these wrinkles and lines become deeper and more permanent.

Wrinkle relaxing treatment is a simple non surgical treatment which can dramatically soften facial expression lines, frown lines and crow's feet in both men and women without surgery, scars and recovery time.

How does wrinkle relaxing treatment work and what is it used for?
Facial expressions occur when the brain sends a signal to muscle tissue. Wrinkle relaxing treatment blocks this signal. This relaxes the muscle for around 3 – 4 months leaving the overlying skin looking smooth and less wrinkled. Repeat treatments have been shown to last longer. For many it can virtually ‘erase’ these lines. Wrinkle relaxing treatment works only on the specific muscles injected leaving surrounding muscles to function as usual, so that your face is not expressionless.

Where can it be used?
It can be used to soften lines and wrinkles around the forehead, eyes, lips, chin and neck. Within days you can obtain a more natural and relaxed look. It starts to work in about 5 days. The greatest effect is seen after about 2-3weeks. Treatment with Botox can typically be repeated indefinitely. This treatment is quite popular, and when used in combination with other rejuvenation treatments, is very successful.

How is wrinkle relaxing treatment administered?
Tiny amounts of wrinkle relaxant are injected, using a disposable syringe, into the muscles that cause the skin to crease and furrow. Because a very fine needle is used, most clients find that there is only mild and temporary discomfort. There is a slight swelling immediately after which settles within a few hours and application of ice helps. The entire procedure usually takes no longer than 10-15 minutes. No sedation or local anesthetic is needed, and you can resume normal activities immediately. You can even drive yourself home or back to the office.

Aftercare
There are really no pre-treatment requirements. However, after your treatment, we request that you move the treated muscles frequently and not lie flat on your back for four hours.

How safe is wrinkle relaxing treatment?
Since it was first used in 1987 it has become the number one aesthetic procedure in many countries around the world. The product received a license for cosmetic use in the US in 2002, and in 2006 has gained approval for cosmetic use in the UK. Allergan's brand of wrinkle relaxant is also used by Doctors for the management of spasticity in children, the treatment of headache, back pain, excessive sweating, and many other different diseases.

Are there any side effects?
Side effects of this treatment are rare, but can include some tenderness or bruising at the site of injection. In less than 1% of people treated with wrinkle relaxing injections it can cause weakness in muscles near to the site of injection resulting in a slight and temporary droop of the eyelid or eyebrow.

Who should not have wrinkle relaxing treatment?
Studies have not been performed on women who are pregnant or breastfeeding. Although wrinkle relaxing treatment is not thought to be dangerous, treatment is best avoided during this time. Anyone who is pregnant, breast feeding, taking antibiotics or suffering from severe neuromuscular disorders is advised not to have treatment.

Other uses
Hyperhidrosis, or excessive sweating, is a common problem. The same injections can be used in the armpits to reduce the amounts of sweat produced. A local anesthetic cream is used at this sensitive site to reduce discomfort.

Dermal Fillers
Instant solution for lines, wrinkles, lip enhancement, facial contouring, folds of skin or hollow cheeks. Effective, safe treatment.

What do fillers do?
Skin starts to sag and wrinkle naturally with age, as underlying fat and collagen diminishes. Injecting dermal fillers into the skin plumps it up, makes it firmer and smoothes out lines and wrinkles. Dermal fillers, for example Restylane, may be based on hyaluronic acid, a naturally occurring substance widely used in medicine.

Where can they be used?
Frequently used to fill out the lips, dermal fillers are also highly successful in reducing crows' feet, wrinkles around the lips, nose and mouth, and lines on the cheeks and forehead. They can also plump out hollow cheeks, reshape the chin or nose tip, or fill acne scars.

Treatment
As with any cosmetic treatment, you should consult a qualified medical practitioner before deciding to go ahead. Before treatment itself begins, the face is sometimes numbed with a local anesthetic cream or injection. Fillers are applied under the skin with a series of injections – a mildly uncomfortable process, with injections close to the lip or nose the most likely to be painful. Treatment takes up to one hour, and many people go straight back to normal daily life afterwards, although if a large area is treated it can take a few hours or even a day or two to recover. There may be slight bleeding where the needle was inserted, plus mild bruising or redness which will disappear in a few days. Repeat treatments are needed every six to nine months to maintain the appearance.

Results
The results are visible immediately, with the full effect showing once any swelling and bruising has subsided.

Possible side effects
Avoid dermal fillers if you have active acne. After treatment, allergic reactions sometimes crop up, including itching, puffiness, and red or bumpy skin. Patients who have had cold sores in the past can suffer an outbreak. Rarely, red lumps appear under the skin some months after treatment.

Restylane, Hydrafill, Belotero
These fillers are crystal-clear, non-animal, biodegradable gel based on a natural substance, called hyaluronic acid. This is found naturally in the body. The gel is injected into the skin in tiny amounts with a very fine needle. The result is instant and gives you long-lasting and natural enhancement. Since the product is not extracted from animals, there is no risk of an allergic reaction. As one of the main components of the product, hyaluronic acid occurs naturally within the body, no 'patch test' is required. Treatment may commence immediately after consultation and results are instantaneous. Ageing lines are quickly reduced and the lip border instantly lifted and increased, so helping to preserve and restore a youthful looking skin.

Sculptra (Newfill)
Facial fat loss, or lipoatrophy, is the loss of fat beneath the skin, which can result in sunken cheeks, indentations, and hollow eyes. Sculptra™ is a long-lasting, clinically-proven treatment than can smooth deep lines and wrinkles and restore facial volume lost to the body's natural ageing process. A clinical study has shown that the aesthetic improvements obtained with Sculptra™ have persisted for up to 2 years in many patients. The results from Sculptra™ are not immediate. The improvement is gradual, long-lasting and gives you an entirely natural-looking fuller face.

Prices

Home page