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Body Contouring and Belkyra

Dr Garsing Wong & Wen-Pei (Margaret) Chen have given international talks on their unique methods of nonsurgical body contouring, including speaking in Paris on two separate occasions namely September 2007 and January 2008 on Nonsurgical Facial Contouring using Botox, Lipolysis (Fat dissolving using phosphatidylcholine also known as the "flab jab" in some countries) and Chin Augmentation.

The basis of this presentation by Dr Garsing Wong and Wen-Pei (Margaret) Chen's technique that was presented in Paris, France in September 2007 & January 2008 and has been published in the peer reviewed medical journal, June 2011 issue of the Journal of Cosmetic Dermatology, Vol 10, pages 93-96.

Dr Wong welcomes the arrival of Belkyra® from Allergan, a registered product for the improvement of double chins, using an active ingredients that Dr Wong is familiar with.

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Before and After Lipolysis or Fat Dissolving to double chin region Sapphire Appearance Medicine Clinic

 

The above before and after photos are taken from Dr Garsing Wong's talk given in Paris on Nonsurgical Facial Contouring using Lipolysis (Phosphatidylcholine). Please note all photos unless otherwise stated are photographs of genuine patients of Dr Wong, the photographs are not altered or manipulated in any way. It is important to understand that the photos represent one persons experience and there is no guarantee that any other patient will experience similar results.

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A series of treatments are required to achieve the optimal result, spaced at least six weeks apart.  As the process is destroying the fat in the region, this results in temporary swelling to the region, so that your double chin will be swollen for several days or more.

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However if you wish to explore non surgical methods, then this will necessitate a medical consultation with Dr Garsing Wong as it is not permitted to discuss non registered medical treatments in an open forum. You may make an online booking to have a consultation with Dr Wong by clicking this link at Sapphire Appearance Medicine Clinic, 26 College Hill, Freemans Bay, Auckland or call 09 360 0066 during business hours.

Sapphire Appearance Medicine Clinic, at Auckland Cosmetic Medicine Clinic Limited can offer you safe, non surgical solutions in suitable patients.

All our procedures are office base, requiring little to no time off work, with a compliment of pain free methods to give you the best results.

Speak to us about how we can help to maintain and care for your skin to keep you healthier and look more youthful.

Sapphire Appearance Medicine Clinic also known as Auckland Cosmetic Medicine Clinic Limited is located at 26 College Hill, Freemans Bay, Auckland which borders on Ponsonby and St Mary's Bay, just up the road from the New World Supermarket at Victoria Park Market.

Recently we have not been able to source the medicine in New Zealand.  As a result of this, we have introduced the first Venus Viva Diamond Polar skin tightening device into our clinic which offers results without any down time.  Most patients will see tightening of their skin, with improved contouring immediately after the quick, comfortable procedure.

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An alternative method that can also work for unsightly pockets of soft fatty tissue is using Cooltech which is available in our sister clinic Coolbody run by Yvonne Marvin.  Click here to find out more.

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MANDATORY STATEMENTS :

Botox® is a prescription medicine for the treatment of frown lines , horizontal forehead lines and crow’s feet round the eyes. Botox® has risks and benefits. Ask your doctor if Botox is right for you. If you have side effects, see your doctor. You will need to pay for Botox® and clinic fees will apply. For details on precautions & side effects consult your healthcare professional or the Consumer Medicine Information (CMI) at www.medsafe.govt.nz . Botox® treatment lasts about 4 months and further courses of treatment may be necessary. Should only be administered by trained medical professionals. (contains botulinum toxin A 50,100 & 200 units) Allergan (NZ) Limited, Auckland.

BELKYRA® injection is a prescription medicine containing 10 mg/mL deoxycholic acid. It is used for the improvement in the appearance of moderate to severe convexity or fullness associated with fat below the jaws in adults. Do not use in people allergic to this medicine, with infection at site of injection, pregnancy, and lactation. Possible side effects include headaches, difficulty swallowing, nausea, skin tightness, hypertension, injection site bruising/pain/swelling/numbness/redness/tingling/hardness/itching /discolouration/formation of small areas of hardness/warmth and injection site nerve injury. BELKYRA® treatment is not funded on the New Zealand Pharmaceutical Schedule. You will need to pay for this medicine. Normal Doctors visit fees apply. BELKYRA® treatment should be administered only by trained medical professionals. Speak to your specialist about your own situation and about the benefits/risks of this procedure in appearance medicine. For further information, the Data Sheet and Consumer Medicines Information can be accessed at www.medsafe.govt.nz or ask your doctor. If you have any side effects or concerns speak to your doctor. Note: Results from BELKYRA® treatment usually last up to 4 years. Allergan New Zealand Limited, Auckland.

Updated 07 December 2022

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Sapphire Appearance Medicine Clinic

Address: 26 College Hill,

Freemans Bay,  Auckland 1011

Phone: 09-360 0066

Email: sapphireclinic@gmail.com

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Mandatories:WEGOVY® (semaglutide) injection 2.4 mg is an injectable self funded ie not subsidised prescription medicine used with a reduced calorie diet and increased physical activity:  Doctors fees are in addition to the medication costto reduce the risk of major cardiovascular events such as death, heart attack, or stroke in adults with known heart disease and with either obesity or overweight.that may help adults and children aged 12 years and older with obesity, or some adults with overweight who also have weight-related medical problems, to help them lose excess body weight and keep the weight off. Full information on the bottom of this page. Wegovy® contains semaglutide and should not be used with other semaglutide-containing products or other GLP-1 receptor agonist medicines.It is not known if Wegovy® is safe and effective for use in children under 12 years of age.Wegovy® may cause serious side effects, including:Possible thyroid tumors, including cancer. Tell your healthcare provider if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer. In studies with rodents, Wegovy® and medicines that work like Wegovy® caused thyroid tumors, including thyroid cancer. It is not known if Wegovy® will cause thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in peopleDo not use Wegovy® if you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) Do not use Wegovy® if:you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)you have had a serious allergic reaction to semaglutide or any of the ingredients in Wegovy® Before using Wegovy®, tell your healthcare provider if you have any other medical conditions, including if you:have or have had problems with your pancreas or kidneyshave type 2 diabetes and a history of diabetic retinopathyhave or have had depression, suicidal thoughts, or mental health issuesare scheduled to have surgery or other procedures that use anesthesia or deep sleepiness (deep sedation)are pregnant or plan to become pregnant. Wegovy® may harm your unborn baby. You should stop using Wegovy® 2 months before you plan to become pregnantare breastfeeding or plan to breastfeed. It is not known if Wegovy® passes into your breast milkTell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Wegovy® may affect the way some medicines work and some medicines may affect the way Wegovy® works. Tell your healthcare provider if you are taking other medicines to treat diabetes, including sulfonylureas or insulin. Wegovy® slows stomach emptying and can affect medicines that need to pass through the stomach quickly.Wegovy® may cause serious side effects, including:Possible thyroid tumors, including cancer. Tell your healthcare provider if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer. In studies with rodents, Wegovy® and medicines that work like Wegovy® caused thyroid tumors, including thyroid cancer. It is not known if Wegovy® will cause thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in peopleDo not use Wegovy® if you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) Do not use Wegovy® if:you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)you have had a serious allergic reaction to semaglutide or any of the ingredients in Wegovy® Before using Wegovy®, tell your healthcare provider if you have any other medical conditions, including if you:have or have had problems with your pancreas or kidneyshave type 2 diabetes and a history of diabetic retinopathyhave or have had depression, suicidal thoughts, or mental health issuesare scheduled to have surgery or other procedures that use anesthesia or deep sleepiness (deep sedation)are pregnant or plan to become pregnant. Wegovy® may harm your unborn baby. You should stop using Wegovy® 2 months before you plan to become pregnantare breastfeeding or plan to breastfeed. It is not known if Wegovy® passes into your breast milkTell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Wegovy® may affect the way some medicines work and some medicines may affect the way Wegovy® works. Tell your healthcare provider if you are taking other medicines to treat diabetes, including sulfonylureas or insulin. Wegovy® slows stomach emptying and can affect medicines that need to pass through the stomach quickly. What are the possible side effects of Wegovy®?Wegovy® may cause serious side effects, including:inflammation of your pancreas (pancreatitis). Stop using Wegovy® and call your healthcare provider right away if you have severe pain in your stomach area (abdomen) that will not go away, with or without vomiting. You may feel the pain from your abdomen to your backgallbladder problems. Wegovy® may cause gallbladder problems, including gallstones. Some gallstones may need surgery. Call your healthcare provider if you have symptoms, such as pain in your upper stomach (abdomen), fever, yellowing of the skin or eyes (jaundice), or clay-colored stoolsincreased risk of low blood sugar (hypoglycemia), especially those who also take medicines for diabetes such as insulin or sulfonylureas. This can be a serious side effect. Talk to your healthcare provider about how to recognize and treat low blood sugar and check your blood sugar before you start and while you take Wegovy®. Signs and symptoms of low blood sugar may include dizziness or light-headedness, blurred vision, anxiety, irritability or mood changes, sweating, slurred speech, hunger, confusion or drowsiness, shakiness, weakness, headache, fast heartbeat, or feeling jitterykidney problems (kidney failure). In people who have kidney problems, diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration), which may cause kidney problems to get worse. It is important for you to drink fluids to help reduce your chance of dehydrationsevere stomach problems. Stomach problems, sometimes severe, have been reported in people who use Wegovy®. Tell your healthcare provider if you have stomach problems that are severe or will not go awayserious allergic reactions. Stop using Wegovy® and get medical help right away, if you have any symptoms of a serious allergic reaction, including swelling of your face, lips, tongue, or throat; problems breathing or swallowing; severe rash or itching; fainting or feeling dizzy; or very rapid heartbeatchange in vision in people with type 2 diabetes. Tell your healthcare provider if you have changes in vision during treatment with Wegovy®increased heart rate. Wegovy® can increase your heart rate while you are at rest. Tell your healthcare provider if you feel your heart racing or pounding in your chest and it lasts for several minutesdepression or thoughts of suicide. You should pay attention to any mental changes, especially sudden changes in your mood, behaviors, thoughts, or feelings. Call your healthcare provider right away if you have any mental changes that are new, worse, or worry youfood or liquid getting into the lungs during surgery or other procedures that use anesthesia or deep sleepiness (deep sedation). Wegovy® may increase the chance of food getting into your lungs during surgery or other procedures. Tell all your healthcare providers that you are taking Wegovy® before you are scheduled to have surgery or other procedures The most common side effects of Wegovy® may include: nausea, diarrhea, vomiting, constipation, stomach (abdomen) pain, headache, tiredness (fatigue), upset stomach, dizziness, feeling bloated, belching, low blood sugar in people with type 2 diabetes, gas, stomach flu, heartburn, and runny nose or sore throat.

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