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Wrinkle Treatment

The treatment of wrinkles is as varied as the causes.  At Auckland Cosmetic Medicine Clinic Ltd - Sapphire Appearance Medicine Clinic, Dr Garsing Wong, former executive member of the New Zealand College of Appearance Medicine and international speaker at Cosmetic Conferences, will offer you a tailored treatment plan to address your concerns.

Before and After a Single treatment with Botox® and Restylane® for Static Lines on the Forehead. Please note all photos 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.

 

This is a good illustration of dynamic wrinkles that has been treated using Botox® and Restylane®, a dermal filler.

Prevention of new wrinkles is the most important step.  At the consultation, we will discuss with you how you can prevent and slow the onset of further wrinkles.

 

Treatment of wrinkles depends if they are dynamic lines (wrinkles that are made worst when you animate or express yourself such as frowning or laughing) or static lines (wrinkles that remain regardless of your expression)

What are Dynamic Lines?

 

Dynamic lines or wrinkles occur when we use our muscles to form facial expressions. During facial expressions such as smiling and frowning our muscles contract and cause our skin to wrinkle. For example, when we smile our eye wrinkles become prominent and when we frown the vertical lines between our eyebrows become noticeable. When we are young our skin springs back to its original position when we finish making the facial expression (at rest) but as we get older the dynamic wrinkles remain on the skin to form static wrinkles.

 

Dynamic Lines are best treated using Botox®, a safe purified protein that relaxes muscles that can cause wrinkles.  Treatment with Botox® is painless and safe, and the effect will last for three to four months.

 

What are Static Lines?

Static lines or wrinkles are the wrinkles and folds that are present at rest or when we are not forming facial expressions. They develop as we get older because natural substances such as collagen, elastin and hyaluronic acid that provide the skin with structure and volume decrease with age. The loss of skin structure and volume means that the skin is less able to spring back to its initial position after facial expression, and as a result static wrinkle or fold will form.

 

Static Lines can be treated using a combination of Botox® and Dermal Fillers such as Teosyal Global Action, Teosyal Ultimate, Restylane Lyft®. I prefer the hyaluronic acid family of fillers as they can be used just about anywhere to restore youthful appearance of your face. The biggest advantage is that with a lunch-time procedure you can walk out with an instant result with only a small risk of bruising.

For more natural and permanent methods to treat your wrinkles, nothing beats prevention and making your own collagen. Sapphire will be able to advise you on good, reliable and safe skin care product, such as Monalinda, formulated by Dr Wen-Pei (Margaret) Chen, that will rejuvenate your skin, restoring your natural beauty.

More active approaches to make your own collagen depends on the amount of down time you are willing to accept. The basic concept of building your own collagen depends on controlled stimulation of your skin to make your own collagen. The treatments range from using intense pulse light which only rejuvenates the top layer of skin, Venus Viva Fractional Radiofrequency Device to fractional erbium:glass laser which stimulates skin rejuvenation up to 1mm in depth.

Click this link to book to see Margaret (Wen-Pei Chen) for a consultation to see what procedure is best for you.

BOTOX®is a Prescription Medicine containing 100 units of botulinum toxin type A for injection.(Please note, in America, the generic name for Botox is onabotulinumtoxinA which is exactly the same refer to the FDA Press Release dated August 3, 2009).

It is used for the treatment of frown lines. It should be administered only by trained medical professionals. Talk to your specialist about the benefits/risks of this procedure in appearance medicine.
Cautions: People with defective neuro-muscular transmission disorders, infection at site of injection, glaucoma, pregnancy and lactation.
Possible side effects include headaches, pain, burning or redness at injection site, local muscle weakness including drooping eyelids, lack of feeling and nausea. If you have any side effects or concerns speak to your doctor.
You will need to pay for this medicine. Normal doctors visits apply. Note: The treatment lasts about four months and after this time further courses of treatment may be necessary. Speak to your doctor about your own situation.

BOTOX®, BELKYRA® are registered trademarks of Allergan Inc., USA.

Teosyal Global Action, Teosyal Ultimate, Teosyal Redensity I and II® are registered trademarks of Teoxane, Geneva, Switzerland.

Restylane Lyft® is a registered trademark of Q-Med, Sweden, now owned by Galderma.

 

Updated 21 July 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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