Zyplast (Collagen)

For lip edge or "vermillion border"
Gives a crisp outline to the lip
Helps to stretch fine "lipstick bleeding lines"

Duration

3-4 months - Allergy test 1 month prior to treatment
Mild to moderate swelling
Bruising a possibility

Advantages
Immediate improvement
Sharper, firmer lip outline

Duration

3 - 6 months - No allergy test required
Moderate to pronounced swelling ( may last 1 - 3 days )
Bruising a possibility

Advantages

Softer, rounder lip edge
Suitable for use in body of lips, to create volume enhancement.

For "vermillion border" or lip edge

Duration

12 - 18 months. - No allergy test required
Not recommended for those who have not had previous lip augmentation.
Moderate to significant swelling of lip area usually settles by next day, but may last up to 3 days
Bruising a possibility
Massage VERY important for week following treatment to ensure collagen grows evenly & smoothly along lip edge.

COLLAGEN or RESTYLANE can be used to correct fine to moderate lines, but due to it's fibrous nature collagen often gives better correction & longevity in this high muscle stress area.

If there is significant volume loss to this area NEWFILL can also be used as a pre treatment to restore the depleted collagen network, thereby increasing longevity of surface collagen treatment.

BOTOX is very occasionally used as an addition in deep, etched upper lip lines, but treatment of this area will incur mild transitory weakness of upper lip area for up to 3 weeks.

Botox has been used in the medical profession for nearly thirty years and is very safe and universally accepted. It is used for both medical and cosmetic treatments. Its muscle-relaxing effects are beneficial for patients with uncontrolled muscle spasms and twitches of the face (as occur with certain neurological disorders), migraine sufferers and even reducing excessive sweating of the armpits (sweat glands have the similar nerve receptors as muscles).

Cosmetically, Botox is most commonly used for eliminating crease-lines around eyes (crows-feet), frown lines between eyebrows and horizontal forehead lines. Additionally, it is also used for other areas including brow shaping and is an excellent addition to a facial rejuvenation program; working

well with other modalities such as skin resurfacing and intra-dermal fillers.

Wrinkles are eliminated by relaxing the underlying muscle with a series of tiny injections passed through the skin. It is equally effective for men and women. The procedure only takes a few minutes to perform, with minimal discomfort and is very well tolerated.

Most clients return to their daily activities immediately after the treatment. At worst, there may occur some bruising which can be covered with foundation or other types of facial camouflage. Our staff may provide you with this service if found necessary.

cream relieves the slight burning of the acid and contains active peeling ingredients including vitamins, antioxidants, trace elements and other stimulating, anti ageing, anti acne and lightening properties. For this reason it must be left on the skin to act until the following morning after your treatment.

After Your Treatment

Immediately after your peel you will look frosty white. This is due to the chemical reaction and will settle over the next hour or so. Generally most people peel the 2nd or 3rd day, or you may not peel at all. It is similar to a bad sunburn. Your skin may flake off or it may come off in sheets. Some people experience a brown discolouration. This is normal. Most people find that they can still work and function as normal, but some prefer to take a few days to recover from the peeling phase.

What Are Alpha-Hydroxy Acids (AHAs)?

AHAs are a class of compounds that are derived from food sources, for example glycolic acid is found in sugar cane. These AHA compounds have the unique property to improve the skin.

Who Can Use Alpha-Hydroxy Acids?

AHAs can be used by men and women of all ages and skin types. It can be used to treat skin that is showing signs of aging, sun damage, non active acne, or poor texture and appearance.

How Long Does It Take To Work?

Within 2 weeks the skin will look and feel softer and smoother. After 4 weeks the skin tone is more even and fine wrinkles will often reduce.

Are There Any Contradictions To Use?

Zyderm 1

For fine surface lines, around eye area and for those with very fine skin.

Zyderm 2

For moderate surface lines, areas of high muscle stress and overlaying etched lines after Botox or Newfill.

Zyplast

Deeper lines, wrinkles, scars and lip enhancement.

Allergy Test

4 weeks prior to treatment (97% ok to proceed)

Treatments

Usually 2 treatments, 1 month apart. Then 1 treatment every 4 to 6 months.
Treatment intervals often increase over time.

Discomfort

Usually mild (collagen contains local anaesthetic)
Local anaesthetic injection may also be used in some areas
Ice used prior to treatment to numb the area and reduce possibility of bruising.

After Treatment

Mild redness
Mild swelling
Occasional superficial pinprick bruising.

Advantages

Restylane 

For moderate wrinkles and lip enhancements

Perlane

For deeper folds and volume augmentation of lips

Allergy Test

Not required

Treatments

Usually 2 treatments 1 month apart then 1 treatment every 4-8 months

Discomfort

Mild to moderate
Local anaesthetic injection may be used in some areas
No local anaesthetic contained in product, so more sensitive than collagen
Ice used prior to treatment to numb the area and reduce possibility of bruising.

After Treatment

Mild to moderate redness
Moderate swelling (may be pronounced if lips treated- can last 1-3 days).
Occasional superficial bruising

Advantages

Immediate results
Enhanced shape and definition to lips

Lactic acid is again a natural component of our skin, Poly Lactic Acid acts to stimulate our skins collagen production thereby, thickening and volumising the skin.

improvement is seen over 2 months as collagen growth is stimulated.

Newfill/Sculptra is particularly beneficial for loss of volume in the cheek area, nose to mouth depressions, marionette depressions and general firming of early stage looseness of skin.

Allergy Test

Not required.

Treatments

Usually from 2 for moderate depressions
Ranging to 5 for more widespread volumising of face
Then usually 1 treatment top-up every 12 - 18 months

Discomfort

Mild to moderate. (Newfill contains local anaesthetic but is a deeper injection.)
Local anaesthetic injection may be used in addition in some areas.
Ice used prior to treatment to numb area & reduce possibility of bruising.

After Treatment

Mild to moderate redness
Mild to moderate swelling (greater volume of product injected)
Oral area - moderate to significant swelling (usually mostly settled by next day, but may last up to 3 days).
Bruising a possibility.
Massage very important in initial week to ensure smooth & even growth of collagen.

Advantages

Longer lasting correction. 12 to 18 months.
Natural, youthful looking result.
Slow, gradual improvement means no-one need know !

The advantage of a fat transfer procedure is that the fat is naturally occurring within the body and therefore will not result in any untoward reactions. It is particularly good for people who are allergic to other injectables e.g. collagen, or who don't like the idea of having a foreign substance used on them.

A percentage of the fat transferred will be reabsorbed by the body, therefore, to achieve a good result the doctor has to over-correct the area. This will result in obvious swelling for a few weeks and quite possibly some bruising. The patient will requires some down time, in terms of work or social commitments, until the area has settled.

30% of the fat will disappear in the first 2 - 3 days, another 30-40% will disappear in the next few months and about 30% will stay permanently. The other factor to take into consideration is that the area from where the fat is taken (the donor site) will be tender and bruised for several days.

Fat injected into the upper lip will certainly plump up the lip, but will not result in a clearly defined border. If this is the look you want then you may have to consider another form of injectable, such as collagen.

The fat transfer procedure may need to be repeated several times to achieve the desired result. It will not work for everybody and there is no way of predicting this ahead of time.

At Adelaide Plastic Surgery Associates, we have a Copper Bromide Laser (Dual Yellow - Norseld) and a

Flash Pumped Pulsed Dye Laser (V-Beam - Candela). Your doctor will advise which laser will suit the condition you have. We also have an Intense Pulsed Light/Radio-frequency machine (Aurora - Incision) and a Diode/Radio-frequency machine (Polaris - Incision)

Vascular Birthmarks

There are many types of vascular birthmarks but most are treatable with the V-Beam laser. It is usual to require several treatments with approximately 6 weeks between treatments. In most cases, a Medicare rebate applies for this treatment.

There may be some bruising and swelling after a treatment with the V-Beam laser but this usually only lasts a few days. Treatment is quickly and easily performed with minimal discomfit.

Visible blood vessels on the face are unsightly and easily treated with the Copper Bromide Laser. These are often caused by genetics, sun exposure, trauma such as skin cancers surgery and acne and conditions such as rosacea.

They may become more apparent with triggers such as alcohol, heat, caffeine and emotion. They are often unsightly and associated with the stigma of being a "drinker". Usually, only a couple of treatments will clear these blood vessels. With time they do recur and maintenance treatment may be necessary. In some cases, a medical rebate may apply to this treatment.

Acne Rosacea

This is a condition that causes redness, flushing and often facial rash. It is socially disabling for many people. In most cases, treatment with the V-Beam laser reduced redness and flushing significantly. Some people also require topical or oral antibiotics. Several treatments are usually required and in most cases, a medical rebate applies.

Poikiloderma of Civatte

This is discoloration of the neck and chest due to sun damage. It is usually demarcated from normal skin along the neckline of clothing. It may consist of redness, brown pigmentation and textural change of the skin. The red component is treatable with the V-beam laser. If there is also brown pigment, Intense Pulsed Light may treat both the red and brown pigmentation. The textural change is difficult to reverse with any treatment.

Leg Veins

Pigmentation Disorders

Disorders of pigmentation include brown (melanocytic) birthmarks, melasma and chloasma, post-inflammatory hyper-pigmentation, solar and actinic lentigines and freckles. The common feature with all of these conditions is an excess of the skin pigment melanin.

In many cases, the excess pigmentation may be treatable with the Nd:YAG (Neodynium:Yttrium Aluminium Garnet) Laser. In some cases, a medical rebate applies.

Other treatments for excess pigmentation include bleaching creams, chemical peels and intense pulsed light treatments.

Scars

Hypertrophic and Keloid Scars

These scars are difficult to remove completely but improvement can be achieved with a combination of treatments including vascular lasers for colour and intra-lesional steroid and 5-fluorouracil (5-FU) injections. Compression therapy with tapes or silicon gel may also be used.

Acne Scars

Scars from acne can present in many ways with some being raised and red (see Hypertrophic/Keloid Scars) and others and pitted or indented. They are often broad based or narrow and deep (ice-pick scars) and cover large areas of the face, chest and back.

Usually a combination of treatments will be required including laser skin resurfacing, facelift, subcision, excision, punch grafting as well as chemical peels, injectable fillers, laser and light based treatments. A program will be tailored to your particular type of scarring.

Tattoos

Traumatic, medical, amateur and body art tattoos can be treated with lasers to reduce or remove the inks or particles in the skin. At Adelaide Plastic Surgery Associates, we use both the Nd:YAG laser and the ruby laser for treating tattoos.

Some inks are better treated than others with black ink being the most successful. Green and light blue inks are difficult to remove completely and may leave some residual pigmentation or colour. Tattoos require several treatments over 1-2 years. Further information will be provided at your consultation.

Sun Damage and Skin Cancers

There is a broad spectrum of sun damaged skin and skin cancers. Some require surgical treatment (see skin tumours in reconstructive surgery section) and others are suitable for non-surgical treatment. Topical agents, photodynamic therapy (PDT), laser ablation and cryotherapy are just some of the treatments that can be used. Your doctor will advise you of the best treatment method for you.

Birthmarks

Birthmarks may be vascular (red) or melanocytic (brown). Some contain hair or other features. Your doctor will advise you of the most appropriate treatment. Most can be improved with laser therapy but some birthmarks require surgical treatment.

Wrinkles and Rejuvenation

There are many non-surgical treatments available for the reduction of lines and wrinkles and for an overall improval in appearance.

care products as well as the full range of plastic and cosmetic surgery.

This DRUG FREE treatment is a complete program to treat active acne on many different fronts. There are: products to cleanse the skin; Laser treatments to reduce the size of over-active sebaceous glands and Phototherapy for the elimination of the bacterial component. The treatment requires commitment, but in approximately one month, it can effectively eliminate up to 70% of inflammatory skin pimples. You will be receiving treatment to both the cause and the condition.

Skin management and maintenance is required to obtain the maximum benefit. It is necessary for you to follow the program regime between sessions and after the treatment is completed, to reduce the possibility of new acne occurring.

Your first visit will be with an Acne Consultant who will assess your acne and include a history and assessment of your skin. They will then go through and explain the program in detail and demonstrate the treatment machines. You will have all your questions answered so that you can make an informed decision to progress with the treatment.