TREATMENTS
Botulinum toxin (Botox, Dysport, Vistabel) - This is the number one treatment for facial lines and wrinkles. Its reliability and safety profile are excellent. Its best use is for lines in the upper face particularly frown lines between the eyes, forehead lines and laughter lines around the eyes. It has some use in the lower face and neck. It is also an excellent treatment for excessive underarm sweating (axillary hyperhydrosis). The treatment involves the placement of micro-injections just under the skin into the relevant facial muscles (or armpits for sweating). It is virtually pain free and causes no significant distress or down time. Treatment time is literally a few minutes. The results are not apparent for a few days and will then last on average three to six months.

Dermal Fillers (Hydrafill, Juvederm, Restylane) - These add volume to creased or sagging skin. They are also popular for enhancing lip volume or restoring lip contour. Their main use is in the lower face and around the mouth. They consist of a natural product called Hyaluronic acid which has a very good safety profile and very low antigenicity. We use only biodegradable products to prevent any unwanted reactions or lumpiness. The treatments are normally carried out under topical anaesthetic cream that needs around twenty minutes to take effect. There can be some local bruising at the injection sites for a few days in some cases. The results are immediate and usually evidence for six to twelve months (and sometimes longer).

Minor Surgery - Dr Temple removes unsightly moles, skin tags and skin lemishes either under local anaesthetic or with cryotherapy (liquid nitrogen treatment). Laser Lipotherapy (Smart Lipo) should soon be available.

Skin Peels - These involve the application of a very mild form of acid (trichloroacetic or glycolic acid) to the skin of the face, which is then neutralised with cream after a few seconds. The process can sting mildly. The skin subsequently peels a few days later to leave a much healthier appearance. Peels are normally done in a course of four although individual peels can be useful. Care must be taken to use sun block after a peel.