Photoshop Alert!!

I share as many before and after photos as I can (permission and time permitting!) I also tell you why I spent so much effort on good photography by taking photos from different angles in different physical states. When I scroll through Instagram, I am deluged with photos that are full of trickery!

This photo is a great example, it appears to show a jaw enhancement result but this post was actually intended to show the difference following a chemical peel! The position, angle and zoom of the photos make it (unintentionally!) appear that the person’s jawline is significantly more defined.

I also wanted to make you aware of certain “tells” when comparison images have been digitally altered. I have shared with you images of lips that are actually post-treatment and a photoshopped result. Can you see some of the tricks?

Not all lip results are the same but in most cases you can expect there to be some swelling, a flushed colour and not complete symmetry. Also, cupid bows cannot change shape!

Professional and clear photos are to be encouraged but here are my hints when to be vigilant:

  • The entire portfolio is “perfect looking.” Whether you use needle or cannula there is always swelling and only in a minority of cases, that swelling is negligible.

  • The “after” photo is zoomed so it is difficult for you to appreciate the true difference in size.

  • There is a change in the shape of the lip (i.e. cupid bow sharpened) that is not explained by increasing the lip volume.

I aim for the the most natural result possible so I was very reassured to see that the actual results were actually not far off a photoshopper’s “ideal” but I hope when lined up side-by-side, you can very clearly see the difference!

What are Tweakments?

Great segment from Tijon Esho on non-surgical “tweakents.” Small changes that are incredibly effective with minimal common side effects. These treatments tend to focus on single areas of the face when a person is dissatisfied with certain specific features.

Commonly requested “tweakments” are:

  • Nose reshaping

  • Chin rebalancing

  • Cheek enhancement

  • Lip enhancement

They are not designed to make significant changes to the entire face but subtle changes to a specific area.

Autumn/Winter 2019 Offers!

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Th AW19 Juno Newsletter launches the offers over the next 4 months but I thought you might like more information on what is available, month-by-month!

September - focus on chemical peels. Rehabilitate your summer skin and get back into an effective skin routine. Get £5 off every peel booked as a stand alone treatment or £10 for a chemical peel booked with an injectable treatment. [The superficial AHA peel is available at the usual price of £45 and the intensive peel is available at £95]

October - to celebrate the launch of Juvederm Volux - the ultra volumising product with long lasting results, for the remainder of the year, for high volume treatments (3ml plus), instead of £195 per ml, it will be available at £150 per ml. More information on Volux is available here.

November - available from 1st to 29th November the Juno Black Friday packages are back! They are subject to clinical assessment and the packages have been devised as only guides to multi-treatment packages. Further details will be released in mid-October but 3 of the most popular plans last year were:

  • 5 syringes - chin and jaw package using Volux (normal price £750) only £625

  • 3 syringes - lower face refresh treating chin and lips (normal price £585) only £400

  • 3 syringes and toxin - whole eye refresh treating temples, eyebrows and under eye (normal price £615) only £530.

December - partnering up with Juno Skin, give yourself the gift of good skin this Christmas. Good serums are not cheap but they are THE most effective way of getting the essential nutrients into the dermis to improve a multitude of skin concerns - perfect for people over 40 noticing signs of ageing. Check out more information here.

Welcome to Juno Aesthetics

Welcome to the actual and prospective new patients in 2019!

I appreciate it can be difficult to make contact with a clinic and know when it’s the right time for you.

I hope my blogs, videos and social media posts are informative and help you decide whether there’s a treatment you could benefit from.

It’s going to be busy in the build up to Christmas but if you want to visit me in Wilmslow, please don’t hesitate in getting in touch. I’m happy to do a free of charge consultation. Should you require documentation or a report from this consultation, there is a small charge of £30.

Teosyal Redensity One wins Skincare product of the Year!

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Ageing occurs over 5 layers and skin is just the top layer and not the only one you need to attend to. However, it is the most visible and when you have poor tissue quality in certain areas of the face, our options are limited. Enter…. Teosyal Redensity One, this is a skinboosting injectable treatment that delivers the vitamins and nutrients directly into the dermis to thicken and firm the skin. Similar to mesotherapy but this formulation contains anaesthetic so it feels much more comfortable.

It’s not a stand alone treatment but very effective to prepare the skin before a dermal filler treatment or used alongside an injectable treatment.

During 2019, this procedure will only be £100 extra [usual price £125]

Juvederm Volux

£135 off Juvederm in Sept & October!

This summer a new dermal filler was launched from the best known dermal filler Range - Juvederm. Volux is a long lasting, super-firm dermal filler that is indicated for the lower face (but as a volumiser can be used on the cheek).

I have been getting great results from it over the summer and to celebrate its launch, this Autumn/Winter when purchased at over 3ml will be offering it for £150 per ml instead of £195 per ml. Of course this is subject to a clinical assessment and if it is not the appropriate product for your concern, I’m happy to offer you an alternative.

Dealing with sweaty armpits

Now it’s warmer, you might have noticed your body sweating more than usual. This is a natural and healthy event. As long as you are washing the sweat and bacteria away each day, it is usual to get a bit wiffy.

But there are some people to experience excessive sweating due to nerves and stress. This experience occurs all throughout the year and can cause distress. Particularly if there is a big event such as a wedding or public speaking because the sweat stains are noticeable.

If excessive sweating is not controlled by anti-perspirants, then it might be time to consider using toxin to “immobilise” the sweat producing ducts in the skin. This is a high dose treatment that is delivered over 2 sessions, hence the cost of £395. The treatment aims to reduce (not cease) your sweating so consider it as a one off before a big event, or if you are troubled by ongoing excessive sweating, then consider budgeting for 2-3 treatments per year. You will continue to sweat in other usual areas of the body - such as head, back and groin in order to regulate your body temperature, should you be engaging in sports.

Pay by Installments

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I can’t believe I have not thought of this sooner! I’m so pleased to have come across the GoCardless Direct Debit scheme that makes it easy for me to set up payment plans for treatments that are continuous (such as Botox ) and to help you manage the cost of some of the other injectable procedures.

Payments commence before the treatment (or immediately after a treatment if you want to plan for the next) so you can spread the cost over 6 months or longer. Then when you re-attend, your procedure is already paid for. All you need do is ask... email me at junoaesthetics@gmail.com and I can set up your plan and email it back to you for immediate set up.

Prices for treatments is available here.

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Contact Nofie for a bespoke plan or use one of the plans already available. Payment is taken approximately one week after set up.

Profhilo is taking the UK by storm!

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Juno Aesthetics has been offering this skin remodelling treatment since 2018 but in 2019, the UK media were raving about it!! It is minimally invasive and at low risk of adverse effects. Ideal for skins over 40 that have fine lines and crepey appearance - this “game-changer” skin treatment can be used on the face, neck, hands, arms, decollete and even inner thigh! Two treatments are required, 4 weeks apart; the optimal result is 4 weeks after the 2nd treatment. Satisfied patients report that their skin feels more hydrated, slightly lifted and firmer with a glowing appearance that lasts about 6 months.

If you don’t believe us, check out what Glamour Magazine, Financial Times, The Sun, British Vogue and Daily Mail.

Nofie recommends Profhilo and other skin treatments for patients who have either completed their dermal filler treatments and are now on maintenance volumes OR, patients who do not want to consider dermal fillers. Ageing occurs across 5 layers in your skin and ideally, dermal filler have already replaced lost volume caused by the ageing process. Profhilo then comes in to further firm, tighten and give radiance!

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Be Cautious about IV Vitamin Infusions

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According to the Daily Mail, doctors are peddling £150 'pointless' vitamin drips in clinics that are made to look like beauty spas.

There are strong discussions in the medical aesthetic community about medics and laypersons who offer IV vitamin infusions. I have been asked why I don’t offer them in Juno Aesthetics and here are some of the reasons why:

Intravenous access is no joke!

Putting a substance into your body via your veins give your heart, brain and lungs a massive exposure of a substance you could have a severe reaction to. To do this outside of a hospital means that if there was an issue, you would be unlikely to get the emergency help you needed.

Medical not Wellbeing

I’m not convinced there are benefits to people who are well and healthy. The evidence to say it works is on people who are malnourished and/or have vitamin absorption problems. Then the drips are treatments for a disease or disorder which is clearly medical. Otherwise they are worthless and you are putting yourself at needless risk.

If you have a suspected deficiency in vitamins/minerals, go to your family doctor and request blood tests.

10 Reasons why I will not be using "No Needle" Devices

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You might have seen on social media injectors offering “no needle” lip filler treatments.

Here are 10 reasons why I will not be considering this device for my dermal filler treatments:

  1. Firstly, if something sounds too good to be true, it almost certainly is!

  2. This is not new technology and was originally used for livestock vaccinations.

  3. This procedure might be needle free, but it certainly is not pain free.

  4. There is nowhere near the accuracy of using a needle that requires a precise technique.

  5. The machine uses immense pressure to push a viscous product like HA deeper into the tissues.

  6. There is almost always significant bruising that is so severe it takes the average person 3-6 weeks to recover from.

  7. The device cannot be sterilised so there is a risk of cross infection.

  8. The filler is not used from the syringe it was sold in which also increases a risk of infection.

  9. There is no control over the speed the product is delivered into your tissues so I cannot monitor you for the risk of a blocked artery.

  10. There is still a risk of a blocked artery because the pressure that is takes to “push” through the tissues of the lips could also penetrate a capillary, vein or artery.

Don’t get caught up on social media contagion. At Juno Aesthetics, I take time to consider the evidence base behind each product, treatment and the way it is administered. There are of course risks that are inescapable but we do not expose you to needless risks to keep up with the crowd!

The new skinbooster - Visoderm Hydrobooster

2019 has brought a new skinboosting treatment to Juno Aesthetics… VISODERM HYDROBOOSTER! Juno Aesthetics patients have consistently given great feedback about this injectable treatment that is used to provide deep hydration by improving elasticity, radiance and smoothness of the skin. Plus, it can be used on lines that are found on dynamic areas of the face - around the eyes, forehead, around the lips and the fine lines at the side of the mouth. The unique formula of this product makes it appropriate for stretching superficial wrinkles.

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Depending on your skin condition - 1 treatment is recommended every 6 months if you are under 50. Over 50s may require 2 treatments 4 weeks apart.

* 2019 PROMOTION *

£195 per syringe of Visoderm (usual price £250)

or,

Receive £50 off Visoderm Hydrobooster (only £145) at your second Profhilo Treatment.

Wrinkle Relaxing Treatments

Did you know Juno Aesthetics is not permitted by the Medicine’s Regulator to use the brand name BOTOX in any promotional literature on my website or social media. Most people refer to all wrinkle relaxing treatments as “Botox Treatments” but they might not use the brand Botox (you might have heard of Azzalure, Dysport or Bocouture). However, I choose to use the Botox brand for your wrinkle relaxing treatments because it is widely researched and gives the best outcomes and best results.

Toxin treatments such as Botox prevent the brain’s messages from getting through to specific muscles that have been treated. It works by blocking the message junctions in the nerves that sit in muscles. After 8-12 weeks, you body starts growing back the receptors and so first signs of movement returns. Botox treatments are so effective in improving fine lines and wrinkles caused by muscle movement because they stop the muscle from moving which relaxes the area and gives the skin opportunity to regenerate without the constant creasing. Most people will have this treatment 2-3 times a year, which is every 4-6 months.

Here are some facts about toxin treatments you might not know:

  • Botox has been used in medicine for 30 years. It was first used for blepharospasm, cervical dystonia, chronic migraine. The optimal result is 30 days after treatment, thereafter first signs of movement are expected to return 8-12 weeks later.

  • Toxin treatments are not about immobilising the face but balancing musculature for a more relaxed appearance and reduction in lines caused by muscle movement.

  • Patients report feeling “5 years younger” by having a toxin treatment.

  • As we age, we become caricatures of ourselves because we grimace more due to volume loss in other layers of the face.

  • Toxin treatments have been used off label to improve anti-inflammatory skin conditions such as Acne-Rosacea.

  • When used over a certain standard dose, about 20% of patients are observing results that are lasting 5-6 months.

Seasonal Newsletters

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Thank you for signing up to the Juno Newsletter that will be sent by email in Spring, Summer, Autumn and Winter. All information regarding new products and campaigns will be included plus those all important promotions that we all love!

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Hello Magazine writes about Lip Fillers!

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It’s great to see a publication as well as NHS Choices endorse the professional standards register Save Face (which I am part of!) The take home message for me is:

“While cosmetic surgery is regulated in this country, certain non-surgical procedures are not subject to any controls. At present, filler is not licensed, which means anyone can administer it. In other words, a beauty therapist, hairdresser or other layperson."

You no longer have to rely on advertising, which does not differentiate between properly trained experts and the unskilled and unqualified. With Save Face you are guaranteed a safe treatment, in a safe place, with a safe practitioner. “

What does Plasma Do?

I'm sure you have seen videos on social media where skin seems to be burnt with a probe leaving lots of dots with boasts about "fibroblast therapy" or even "plasma treatments."  Unfortunately these machines are very unlikely to be true plasma machines because there is no trademark on the use of the word "plasma" so they are often radio frequency, or use radio frequency to operate. Like Louis Vuitton, there are lots of fakes out there.

Plasma therapy was introduced 12 years ago by Professor Fippi. In physics, it is the 4th meta state (the others being solid, liquid and gas). A true plasma device emits alternating currents that ionise the gas in the air to produce nano plasma - a small electrical arc that when it touches skin can either tighten, bio-stimulate, rejuvenate or remodel skin. A true plasma machine should never have mains current otherwise a device can transfer electricity to a patient. A good test of whether a person has a true plasma machine is if it can be used in the eye, toot canal, on children, for people with a metal plate, heart conditions or on warfarin. These other machines create an arc via an electric current and there are lots of risk factors (such as burnt and scarred skin) as a result of the use of electricity.

So now you have the knowledge to choose a clinician who uses a true plasma machine, how can it benefit you? Each plasma treatment will give a 35-40% retraction in the skin so it has a very wide range of uses. Most popular applications are for area of skin tightening where volumising with dermal fillers is not possible for instance - upper eye lid tightening, lower eye lid tightening, barcode lines on the top lip (peri-oral area), treatment of stretchmarks, skin tag removal, improving pigmentation and acne scarring.

Nano plasma does not burn the skin, it sublimates it by taking a solid and turning it into gas so there should not be severe swelling that lasts weeks or crusting

 

PGAGE Revolutionary Deep Peel

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I have been getting such great results with the PQAGE peel I had to let you know it is available!

It is a peel that is a combination of TCA (peel with a deep action) stabilised with urea peroxide, in association with gentle exfoliating agents (kojic acid) and antioxidant agents (Q10 enzyme). This combination enables a deep revitalising, lifting and stimulating action of the dermis without the side effects of peeling.

Thanks to the combination of TCA and urea peroxide, the peel does not damage the epidermis and so there is increased permeability of the TCA across the cell membrane because the proteins in the dermis are denatured in a targeted and controlled way. The peel also increases the oxidant effect of hydrogen peroxide which is released from the urea peroxide giving a strong temporary whitening action as well as the direct oxidation of membrane proteins and dermal proteins.

This is great for a TCA peel because it means that it can be performed on delicate and sensitive skin and the peel will remove skin blemishes, aid tissue regeneration, treat pigmentation and firm looser skin.  It is a painless treatment and can be used all year round, at intervals of every week if required.

This peel is ideal for people with:

  • inflamed acne

  • skin discolouration and pigmentation

  • skin that requires revitalisation

  • stretch marks

  • recent scars

  • loose skin on the face, neck and decollete

Hello to clients of the Secret Brow Society!

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Every 8 weeks I will visit the Secret Brow Society in Sheffield to do a pop up clinic! Bookings are available by the booking portal here.

Here are some Frequently Asked Questions:

1. What brands of filler do you use?

I prefer to use brands that are FDA (American Health board) approved, the market leaders - such as Juvederm and Teosyal RHA. They have a wealth of safety tests and have been tested on human subjects. You are putting an implant into your body when you use dermal fillers. I think you deserve to have the best quality available.

2. How long does filler last?

This depends on your body, the type of filler we use, the volume, the way I place it and where I use it on your face. For lips, it is about 6 months for 1ml and 3-4 months for 0.5ml. Of course, I hope it lasts much longer but I would rather be pessimistic with you so that you are not disappointed. Filler in other regions like the cheeks, nose or mouth to nose lines are likely to last 6-12 months on average, even up to 18 months for some patients.

3. What volume should I have?

This depends on how naturally full your baseline lip is and what your desired result is. If it is your first treatment, in most cases I advise 0.5ml volume. But there are many other factors to consider. For instance, the more natural volume in your lips, the more the HA filler will be "diluted."  It also depends on your definition of subtle. I like all my lips to look natural but I will get some patients who do not want a noticeable result and others who want to see a definite increase in volume.

4. Does it hurt?

There is some discomfort associated with the procedure but everyone's different - some people feel no pain at all! I prefer to use numbing cream as opposed to a dental block because I need you to move your mouth during your procedure. Most people are used to experiencing and managing discomfort well, for instance when they encounter period pains, waxing, threading, tattoos etc. Your procedure is not likely to last more than 15-20 minutes so I ask that you stay as calm and still as possible and before you know it, the procedure will be completed.  Many of my patients return for repeat treatments so I think that speaks volumes that whilst there is a degree of pain, it is worth the result!

5. What if I don't like the result?

That is a risk you must expect. Whilst I will spend a significant part of the appointment with you discussing your expectations and taking you through the consent, there is a chance you might not like the result. Do remember that it can take up to 3-4 weeks for a procedure to settle and getting dream lips is often a journey. If you already have asymmetry or scarring, this can make the treatment more challenging and future treatments may be required for incremental improvements. However, do remember that hyaluronic acid fillers are temporary are are likely to be broken down by the body in 3-4 months (for 0.5ml treatments). There is also the option to use hyaluronidase to reverse the treatment completely but this is undertaken once other options have been exhausted and only if you are suitable for this treatment.

Are you ready for an injectable treatment?

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My heart sinks when I get a potential patient inquiring about a cosmetic injectable treatment and the first question is "how much is the treatment?"  Whilst I try to keep my prices reasonable so I can reward my loyal patients and help them manage the upkeep of continued treatments, please be aware it would be foolish for price to be the deciding factor when choosing to undergo a cosmetic procedure.

A good proportion of patients who contact me do not seem ready for a treatment. Firstly, you must be over 18 years old and I would prefer you to be over 21 years old.  You need to have emotional maturity and resilience to undergo a cosmetic procedure.  There are certain common complications that you can expect following a treatment and you must have the resources to handle them. It can take 2-4 weeks for the body to heal post-procedure and you must be able to manage your emotions and expectations should that occur. 

It is also best to wait and schedule your appointment well before any holiday or big event - at least 4-6 weeks beforehand. It is ill-advised to have a treatment prior to travel (how could you be reviewed in the event of a complication or undesired outcome?) or big event (what if you encounter severe swelling and/or an undesired outcome?) In many respects, you will benefit from scheduling your appointment with plenty of notice - especially if before a holiday or big event and taking time off work, if required.

Lastly, there are lots of good resources out there for you to read up about before you come to your consultation. Do check out the Consulting Room and Save Face and Real Self.

Be wary of social media photos and videos from lay-people demonstrating procedures because you are best seeking a comprehensive consultation from a medical professional that takes time to cover all that is needed to give you a safe and effective treatment.