Dream Makeover Essex

‘Acne Scarring’

Four Point Face Lift

Sunday, May 27th, 2018

This month I will be looking at how a non surgical Facelift can be achieved with dermal fillers, in recent years the demand for non surgical treatments has grown. I find that clients sometimes fall into the category where they are not old enough or not ready for a surgical approach. The beauty of using dermal fillers to lift the face is that you can go slowly, building up the areas and you have more control over the final outcome. Also they wear off over time and can be used in conjunction with dermal roller, laser or hifu to maximise results and increase the collagen and elastin to the skin tissues.


The four point Facelift uses the main areas of the lower face which over time sadly sags and shows volume loss. Firstly lifting the face by augmenting the cheek area is a must, this area is like the shelf of the face, if it is not stable, the lower regions will not lift fully. Secondly I address the nose to mouth lines, I think of this as the supporting scaffold, mid face rejuvenation and restoring the balance of the ‘golden triangle’ will automatically make a face look more youthful. However , one of the most troublesome and ageing features for a person are the ‘dreaded jowls’ or heavy jawline. Personally I like to use a sturdy dermal filler along the jawline to lift the jowls Aswell as lifting the mandible erotically next to the ear area. It gives a natural shaping and definition to the lower face and can help make the neck look less saggy. I tend to choose different types of dermal or volumising fillers, in accordance with age, fat loss and skin integrity.


One of my favourite in between dermal filler treatments and to help fight crepey or scarred skin is Restylane Skin Vital booster. It offers a unique approach to nourishing the skin, and works by delivering deep-Skin hydration, improving the skin structure and elasticity, and reducing fine lines and imperfections. The recommended protocol is three treatment 3-4 weeks apart. I find it great on all areas of the face, neck, declottege and backs of hands.

Good indications for vital booster plan

those looking to minimise the first signs of ageing
Boost skin hydration
Gradually improve skin condition
Improve roughness or dryness
Reduce the appearance of skin imperfections such as acne scars.

The Best Sun protectors

We all should know that the best anti-ageing cream is sun protector, however it can be a minefield knowing which ones are the best and ones that feel good on the skin. Nobody wants to walk around daily with thick white grease on their face!

Heliocare 360

This cream not only shields the skins surface from damage, but also defends the skin from within with its powerful fernblock. This combination means the skin will not only have the maximum protection against UVA , UVB, visible light and infrared -A, but also the free radicals caused by other environmental factors.

Heliocare Gel

Like the cream above but suitable for acne, oily skin types, will not give you spots.

Neostrata sheer physical protection

High protection formula, lightweight, transparent fluid. Offering g a broad spectrum UVA/UVB sun protection. Ideal for sensitive skin, giving a flawless finish.

Powerful Vitamin Peel

Sunday, March 18th, 2018

Finally the weather is starting to pick up, I think we would all agree it’s been a very long, cold win- ter. Unfortunately our skin has suffered as a consequence. The dramatic temperature changes from bitterly cold, windy days, then going indoors to dry hot central heating plays havoc with the skin. I highly recommend the new Neostrata Retinol peel with added boosting complex as a must have treatment to repair damaged skin and boost collagen as well as leaving your skin radiant with a youthful healthy glow – just in time for summer.
This advanced physician-strength peel contains 3% retinol plus retinol boosting complex to exfo- liate and improve the appearance of fine lines and wrinkles, plump and firm skin while promoting a bright, even and clear complexion. Contains soothing Bisabol to help calm skin.
Key points
– The Retinol, Aminofil and Neocitriate formula reduces the appearance of fine lines, wrinkles, laxity, mottled Pigmentation and pore size, and enhances clarity and radiance.
– Appropriate for mild to moderate skin imperfections as determined by a physician.
– Noticeable exfoliation.
– Can be used on blemish prone skin.
Conditions that can be treated
– Fine lines and wrinkles. – Hyperpigmentation.
– Acne scars.
– Pore size.
– Uneven or rough texture. – Dull skin tone.
– Acne prone skin.
Observable changes to the skin
– Improved appearance.
– Evening of skin tone.
– Visual softening.
– Diminished appearance in size. – Increased smoothness.
– Enhanced natural glow.
– Reduced appearance of blemishes.
These superficial peels are often conducted in a series of several peels to gain a noticeable im- provement to the face. Given 6-8 weekly, essential to use a daily SPF protector. £150 each treat- ment.
Products to enhance, intensify and maintain results.
Inspira Medical Advanced Radiance serum – vitamin C and copper peptides to generate elastin, collagen with vitamin C to smooth the complexion and effectively combat age spots and pigment.
Inspira Medical Advanced lift serum – vitamin A and copper peptides to stimulate collagen, lifting the facial contours and to help fine lines and wrinkles.
Neostrat retinol plus NAG complex – formulated to synergistically build skins matrix to lift and firm, diminish the appearance of age spots and smooth lines and wrinkles from the inside out.
Obagi brightalive is a non retinol skin brighter, minimises the appearance of skin discolouration and dark spots.
Exuviance Vit C capsules – 20% vitamin C, Aminofil amino acids to strengthen skin matrix , smooths wrinkles and provides you with a radiant complexion.
Inspira medical caviar repair filler effect serum, blend of caviar, amino acid rich, vitamin and lipids to give an incredible anti ageing effect.
Inspira medical hyaluronic acid. Hyaluronic acid with brown and red algae to smooth and effec- tively hydrate the skin.
Inspira medical firm and lift. Hyaluronic acid with New Zealand fern extract for an effective lifting and firming agent.
SPF heliocare gel SPF 50 – suitable for acne, oily blemish prone skin. Luxurious soft and sweet smelling daily anti-pollutant. Comes in plain, sun shimmer or make up finish.
Neostrata sheer defence SPF 50 – lightweight formula, suitable for dry or sensitive skin. To protect your skin on a daily basis.

After perfecting your skin imperfections and achieving smoother firmer skin, we can consider oth- er factors that can spoil a complexion like:-
Facial veins- these unsightly broken capillaries on the face can be easily treated with a course of short wave diathermy, a tiny hair like needle is applied to the skin and conducts an electrical cur- rent to heat up the blood in the vein. The blood first clots and is then broken down and reab- sorbed by the body. 2-3 sessions are usually needed – average price £100.

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Tuesday, January 9th, 2018

Health Article

Tuesday, January 9th, 2018

Perfect Skin offer Dermatology and Age -related treatments

Monday, October 2nd, 2017

Part three ACNE

Tuesday, May 9th, 2017

This month is the final article of the skin deep issue series, since writing the pieces on scars and rosacea there has been an overwhelming response with clients contacting me with regards to
helping these stressful skin conditions. There is no doubt that the condition acne is equally as emotionally hard for the sufferer. It’s a myth that only teenagers get spots. While 90 per cent of teens experience acne (the medical term for spots), half continue to be affected as adults. The symptoms of acne in adults are similar to those in teenagers, and include blackheads and
whiteheads, inflamed spots, pustules and cysts.

What Causes Acne?

To understand acne, you need to know how your skin works. The pores in your skin contain oil glands. When you hit puberty, there’s an increase in sex hormones called androgens. The excess hormones cause your oil glands to become overactive, enlarge, and produce too much oil, or
sebum. When there’s too much sebum, the pores or hair follicles become blocked with skin cells. The increase in oil also results in an overgrowth of bacteria called Propionibacterium acnes.
-Hormonal changes related to birth control pills, menstrual periods, and pregnancy can trigger acne
– Other external acne triggers include heavy face creams and cosmetics, hair dyes, and greasy hair products – all of which can increase blockage of pores! Your genetics
– if your parents or grandparents struggled with acne, you might do too.
-Smoking – especially for older people.
-Being stressed.
-Using the wrong skincare products for your skin type.

Types of Acne Lesions

If blocked pores become infected or inflamed, a pimple – a raised red spot with a white centre – forms. If the pore clogs, closes, and then bulges, you have a whitehead. A blackhead occurs when the pore clogs, stays open, and the top has a blackish appearance due to oxidation or exposure to air. When bacteria grow in the blocked pore, a pustule may appear, meaning the pimple becomes red and inflamed. Cysts form when the blockage and inflammation deep inside pores produce large, painful lumps beneath the skin’s surface.

Additional Acne Triggers

Clothing that rubs your skin may also worsen acne, especially on the back and chest. So can heavy sweating during exercise, and hot, humid climates. Stress is known to trigger increased oil production, which is why many teens have a new crop of pimples during exam times and adults going through emotional times in their lives.

What is the Treatment for Acne?

The treatment usually depends on how serious the problem is. For instance, if you have an
occasional inflamed pimple, you may use daily skincare products. I can’t stress enough the
importance of hygiene, using warm water twice a day with an antibacterial wash suitable for acne prone skin and superficial scarring like glycolic acid or glycolic/salicylic wash it helps to renew and refine the skin and deeply cleans the pores and soaks up excessive sebum on the skin

Glycolic acid
Retinoids (medications that come from vitamin A)
Salicylic acid
Various fruit acids
Benzoyl peroxide reduces oil production and has antibacterial properties. But use it carefully, as it might leave your skin dry and flaky. Try to use it just before bedtime.
Skin peeling in clinic

What can you do yourself to help?

There are also measures you can take yourself to help ease spots:

Clean up your diet– Research has found that high-dairy, high-glycaemic index diets may be linked to acne. Try basing your diet on complex carbs like whole grains, fruit and vegetables, and reduce your dairy intake – try alternatives such as calcium-enriched soya milk.

Take skin-supporting supplements – studies have shown that people with acne might have low
levels of zinc. Increase levels in your diet by eating more zinc-rich foods, such as seafood, meat and quinoa, or take a supplement.

Cut stress – Try relaxation techniques such as yoga, or simply taking time out to read or go for a walk can be effectiveIMG_9546

Plexr Soft Surgery new to Perfect Skin

Friday, April 21st, 2017


Introducing the new Plexr treatment, amazing results without surgery……


Friday, March 31st, 2017

Rosacea is an inflammatory skin disorder, often referred to as ‘the curse of the celts’ as it predominantly effects Celtic skin types. It generally effects the cheek area chin and nose . It is a multifactorial condition that is greatly influenced by sebum in the skin, hormonal fluctuations, genetics and lifestyle.

Rosacea causes a range of symptoms, although not everyone will experience them all.
Most people with rosacea have periods when their symptoms are particularly troublesome, followed by periods when their symptoms are less so.

The main symptoms of rosacea include:

-persistent facial redness
-visible blood vessels
-papulex and pustules
-thickened skin

Other symptoms associated with rosacea include:

-sensitive skin – burning, itching, stinging and pain
dry, rough skin
-raised red patches (plaques) on your skin
-facial swelling (lymphoedema)

Permanent damage to the face (scarring) almost never occurs in rosacea, so it can be managed and repaired with specialist help.

Factors for rosacea triggers are sun exposure, hot humid weather, emotional stress, wind, heavy exercise, alcohol, hot baths, cold weather, spicy foods, certain skin care products that contribute to excessive oil. As you can see extremes of anything can effect the person. It is not realistic to expect avoidance of some or all of these activities so it is crucial when I am assessing patients that I personalise a treatment plan for them in terms of in clinic treatments, home care maintenance and extra support and guidance especially when going on holidays .

The diagnosis for those suffering with this painful and embarrassing issue is that it is a disease of the sebaceous glands, patients often have a trigger in the early thirties due to a surge in subum production and growth in the sebaceous glands.

Typically, sebaceous glands produce excessive amounts of very destructive oil and an altered chemical composition can tat leads to inflamed sore skin, pustules, bulbous areas such as rhinophyma ( ballooning of the nose) inflammation in the cutaneous tissue due to a surplus of oil weakens the skin barrier function.

It is essential that proper creams are given speciafically to help mange the condition, I particularly get good results for my clients with obaji rozatrol for daily use, it helps to relieve the visible symptoms and it normalises skin by reducing excess oil, which ultimately leads to inflammation, in extreme conditions I will prescribe topical creams. It is very important to advise clients to protect there skin daily with a good spf protector.as it is widely documented that the premier trigger of rosacea in 81% of patients , however 88% of rosacea suffered when applying sunscreen daily report a decrease in flare ups.

Sadly for rosacea suffered this is a chronic life long disorder that requires management, support and empathy



Wednesday, March 22nd, 2017

IMG_6908IMG_6908IMG_6889People with skin problems are at high risk of developing psychological problems, and they can linger even after the skin gets better. Skin disorders rarely kill people, but they have a huge impact on all aspects of an individuals life. Major depression can occur as a result of chronic skin conditions , with suicidal thoughts as another consequence. Skin problems that effect our faces or visible scars are often more problematic whilst some would argue that trying to improve your appearance, skin disorder or scarring is vain. You need to take into account t that body image accounts for one quarter to a third of a persons self esteem, and self esteem is a major influence on overall psychological health. Therefore ones appearance has a huge impact on psycho.ogicalhealth. Three part series on skin issues part 1, scars, part 2, rosacea and part 3 acne.


A scar is a mark that is left on the skin after a wound or an injury to the surface of the skin has healed. They are very common and most people have at least one on their body and are part of the natural healing process

How do scars form?
When the skin is wounded and there is a break in the body’s tissues, the body produces more of a protein called collagen, as part of the healing process. Collagen builds up where the tissue has been damaged, helping to heal and strengthen the wound.
For a period of about three months or longer, new collagen continues to form and blood supply increases, causing the scar to become raised, lumpy and red. Some collagen then breaks down at the site of the wound, the blood supply reduces and the scar gradually becomes smoother, softer and paler.

Types of scars and possible treatments

1- Flat, pale scars – these are the most common type of scar and are due to the body’s natural healing process. Initially, they may be red or dark and raised after the wound has healed, but will become paler and flatter naturally over time. This can take up to two years.
Some laser and intense pulsed light treatments can help reduce the redness and improve the healing

2- Hypertrophic scars – red, raised scars that form along a wound and can remain this way for a number of years.
Again laser, intense pulsed light, dermal pen treatments can help lessen the appearance, keeping the scar moist also helps.

3-Keloid scars – these are caused by an excess of scar tissue produced at the site of the wound, where the scar grows beyond the boundaries of the original wound, even after it has healed.

Dermal pen treatments can really help , also keloid scar gels available on prescription

4-Pitted (atrophic or “ice-pick”) scars – these have a sunken appearance.

Good results with dermal filler, dermal pen, chemical peeling and certain types of lasers.

5- Contracture scars – these are caused by the skin shrinking and tightening, usually after a burn, which can restrict movement.
SpeciAlist gel bandages and in recent years hydrating dermal filler droplets to soften the skin can really help

A-Z of Health and Beauty 2017 Part 2

Saturday, February 4th, 2017

M is for migraine relief, so many individuals suffer with this sometimes debilitating condition, unless you have experienced a migraine many don’t have much sympathy feeling it’s only a worse version of a headache that could go with an aspirin! A number of factors may trigger migraines, including hormonal changes in women due to fluctuations in oestrogen . Foods like cheese, processed or salty foods, additives, drinks, stress , sensory stimulations, bright lights, loud atmospheres. In recent years many individuals respond very well to muscle relaxing injections into the frown, scalp and base of neck.

N – is for nose reshaping, rhinoplasty is a very popular surgical procedure, however in recent years some individuals have been able to make slight changes to their noses with very small about of dermal fillers. I have got great results for people who have a slight bump or have a slight wonky appearance to the nose straight on, without going through unnecessary surgery.

O- optometrist check up, During a comprehensive eye exam, your eye doctor does much more than just determine your prescription for eyeglasses or contact lenses. He or she will also check your eyes for common eye diseases, assess how your eyes work together as a team and evaluate your eyes as an indicator of your overall health. Make your appointment today as it could make significant changes without you even realising there was a problem.

P is for pulsed light treatments, an excellent way of reducing redness to the face, exposure to the cold climate , excessive alcohol consumption over the winter period can play havoc with the skin. A course of pulsed light treatments helps to break down the red pigment and broken capillaries giving you a more even complexion.

Q- q10 and vitamin c topical cream for obaji is a great non aggressive but medical strength boost for the skin. The combination of the two helps as it is a power antioxidant, energies the skin, stimulates cell turnover, promotes collagen and healing Nd also is a natural skin brighter to help discolouration.

R- rough skin in the winter, generally people complain of rough skin to their elbows and knees and rough patches to the backs of the arms and face. Using washes or creams that contain glycolic acid can help to peel off this rough texture , or try in clinic peeling for a quick and easy solution.

S Is for skin product swap – In the same way we switch to warmer clothes in the winter, our skincare regime needs a few tweaks too – remember that colder air is drier air. “Consider using a serum or oil underneath your day or night cream for extra moisture,” says skin expert, Jo Carey. “Unless you’ve got especially sensitive skin, exfoliate twice a week to remove any dry skin, but always follow with a moisturiser. Dead skin cells can’t absorb moisture so it’s important to remove them.” Sensitive skin is even more prone to irritation in winter so look for products free from colourants, fragrance and irritants

T one up your body with resistance bands, a simple and effective home work out that can really get results for those with very little time, simple routines can help banish bingo wings and help you get a flatter stomach.

Under arm sweating or hyperhydrosis can be a embarrassing condition, muscle relaxing injections can work very well to this area and helps reduce excessive sweating , allowing individuals to wear the types of clothes they want.

V is for veins, simple broken capillaries to the facial area can be treated with diathermy or lasers, try to avoid activities that cause vasodilation like extremes of temperatures and not using daily SPF protection. Leg veins are treated more successfully with high powered lasers or surgical techniques to remove varicose veins.

W Is for water – It’s incredibly important to get plenty of liquid during the winter months “With the central heating blasting, air can get hot and dry, and hydration levels can drop fast. , the body’s thirst response can diminish as blood vessels constrict to keep blood and heat in the body’s core. This fools the body into thinking it’s properly hydrated when it’s not.”.

X- treme cold weather is more likely to make us suffer from aches and pains, partly due to a la k of activity gentle walk can help, but another option is to take a warm bath with salts or essential oils, whilst gently exercising your joints in the water,”


Y outhful treatments to naturally enhance, mesotherapy vitamin and antiageing facial injections can really boost your skin quality and treat the skin directly at the problem zones. A course of three treatments giving every two weeks can boost the skin following the winter months.

Z inc supplements or food including,Zinc is found in cells throughout the body. It helps the immune system fight off invading bacteria and viruses. The body also needs zinc to make proteins and DNA, the genetic material in all cells. During pregnancy, infancy, and childhood, the body needs zinc to grow and develop properly

Top 10 High Zinc Foods

1) Grass-fed Beef

2) Kefir or Yogurt

3) Lamb

4) Chickpeas (Garbanzo beans)

5) Pumpkin seeds

6) Cashews

7) Cocoa powder

8) Chicken
9 mushrooms

10) Spinach
Treated with muscle relaxing injections