ADDITIONAL THERAPIES

Intravenous Nutritional Therapy (IVNT)

Since the 1950’s, Dr John Myers, a physician from Baltimore, pioneered the use of IV Vitamins and Minerals as part of an overall treatment of various medical conditions – The ‘Myers’ Cocktails. Dr Myers passed away in 1984 and Dr Alan Gaby took over the care of ‘Myers’ patients, using a modified version of his IV regime. Tens of thousands of patients with various conditions (asthma, migraines, fatigue, fibromyalgia, chronic pain etc) over an 11 year period found the therapy helpful and some had dramatic results.

Today in the United States IVNT is being offered by many doctors using their own modified protocols.  It is a popular treatment for many relatively healthy patients as it is seen to enhance their overall well being for periods of weeks to several months.  Presently evidence to support its use is largely anecdotal with very few scientific publications available yet patients are feeling positive benefits.

In the UK Intravenous Nutritional Therapy is still relatively new and so much of our experience, learning and understanding has come from the USA, where hundreds of thousands IV therapy treatments are carried out every year. The conclusion has been that the ‘Myers’ cocktails have proven to be a safe and effective treatment.

Why Intravenous Nutrients?

By giving Intravenous Nutrients the serum blood concentrations that can be achieved are far greater than by taking them orally or by injecting them into the muscle. Some nutrients are present at much higher concentrations in cells than in blood serum and IVNT is a very effective way of correcting intracellular deficits. When cells are not healthy or not functioning to their maximum capacity their ability to maintain normal concentration gradients become compromised.

The Vitamins used are water-soluble rather than fat soluble meaning that they are not stored in the body yet excreted over a short period of time. When nutrients are delivered intravenously, the digestive system is bypassed and 100% nutrient absorption is achieved.  Introducing nutrients intravenously directly into the circulation ensures that your cells can easily obtain the nutrients needed to repair, heal, function and maintain optimal health.

Suitability for treatment

IVNT will only be offered to suitable patients, a full detailed medical history and assessment will be undertaken by Qualified Trained Medical Practitioners Dr G. Hall and J. Hall RGN/NMP. If we feel we need further information you may be asked to see your GP and requests may be made for blood testing.

Specifically formulated IVNT being offered

Options are available in terms of which IV Nutritional therapy can be given, this will depend on the individual requirements and outcomes required.  We use the protocols from INTRAVITA one of the specialist trainers in the UK.

  • Ultimate classic
  • Immunity
  • Athletes/Sport
  • Anti-Ageing
  • Energy Boost
  • Stress/Anxiety
  • Diet/Detox

Procedure

The trained Medical Practitioners and you will have fully discussed benefits and risks of treatment and once the appropriate IVNT has been selected you will be asked to sign a consent form so that the procedure can be performed.  The procedure may go ahead on the day or be arranged for a later date.

A small needle will be inserted into a vein in your arm so that the IV infusion can be given this usually takes approximately 45 minutes. You will be in a clinical, safe environment and comfortable on a couch, throughout the process you will be observed for any adverse effects. It is normal to feel a warming sensation throughout your body yet in the event of rare side effects the infusion will be stopped and corrective treatment given if needed.

Treatments

Usually an initial series of approximately 4-6 treatments may be recommended over a number of weeks or months to obtain health improvements.  From thousands of treatments performed in the USA it was noted that if cells are repeatedly “flooded” with nutrients, the improvement may be cumulative and patients were seen to become progressively healthier.

Medifine view IVNT as an additional benefit to help improve your overall nutritional status and your general sense of well being. IVNT does not replace a healthy lifestyle (non-smoking, weight control, exercise, proper diet and oral nutritional supplementation).  Yet we all know that life stresses and fast pace of life seem to deplete our energy and overall sense of well being.  Intravenous Nutritional therapy is one way of helping to support our optimal health at times when we feel the need.

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SKIN ANALYSIS

Skin: 

The skin is the largest organ and covers the whole body- this is your canvas. It represents 15% of our body weight and helps to give us appearance and shape. A very complex organ containing hair follicles, oil/sweat glands, nerves and blood vessels. Skin has many important functions such as protecting the body from the environment, preventing excessive water loss, regulating temperature and protecting the body from infection. The skin is a highly effective eliminator of toxins and a good indicator of our internal health, which is why it is so important that we take care of our skin from a health point of view as well as an aesthetic appearance. As skin is the outermost tissue of the human body people are very aware of, and very sensitive to the appearance of their skin.

Your skin works hard to keep you healthy, and you can return the favour by taking care of it

What is skin analysis: 

Skin analysis is an examination of data and facts to help uncover and understand skin types, skin conditions, to provide a basis for problem solving and recommendations on the best course of treatment to maintain skin health. As the skin is influenced by a multitude of internal (hormones, allergies, medications, disease etc) as well as external influences (ultra violet light, pollution, smoking, skin care products) the assessment process needs to be thorough and supported by skilled practitioners. Modern technology such as skin scanners, electronic devices to measure oil/water levels, pigmentation etc can also be a very helpful addition.

Purpose of skin analysis 

  • To determine skin type
  • To determine skin condition or conditions
  • To aid a diagnosis
  • To decide which treatment is best suited
  • To evaluate which products to use
  • To decide a treatment protocol

What’s important?

 

Skin analysis is important not only to establish a diagnosis that will help achieve skin results you are looking for, but also for health reasons to ensure there are no underlying conditions that need to be addressed. It is a way of creating a picture of the current state of your skin, from which a treatment plan can be made.

Unfortunately consumers are easily confused by the abundance of choice of cosmetic products and claims made, many women incorrectly diagnose their own skin type and condition. We want to work with our clients to help you understand the health & condition of your own skin. Our aim is to work with you to make visible improvements to your skin condition and quality. Optimising skin health and prevention of skin conditions and disease is our primary goal.

PLATELET RICH PLASMA (PRP)

PRP (Platelet Rich Plasma)         “Vampire face lift”

PRP was first pioneered in the 1970s and applied its first use in Italy in1987 in open heart surgery. Since then it has been used in many different medical fields, cosmetics, hair regrowth treatment, sports medicine, pain management, orthopaedics etc.

From 2005, PRP has been used for aesthetic indications, as it has been found to have growth factors that accelerate the repair of aged and damaged soft tissues. It achieves this by stimulating thickening of the superficial layer of the skin and increasing collagen formation. As well as improving cell renewal and blood supply to the specific area.

PRP is a very natural way to rejuvenate facial areas by treating lines/wrinkles, improving skin quality/tone and helping to restore lost soft tissue volume. As the procedure is performed using the patient’s own blood, this procedure is often known as the “Vampire face lift”.

What is PRP?

Platelet Rich Plasma is essentially an increased concentration of autologous platelets suspended in a small amount of plasma, platelets increase by 3- 5 x. To do this approximately 10-20mls of blood will be taken from a vein in the patients arm and centrifuged in a blood tube to separate the red/white blood cells from the plasma. The platelets collected in PRP are then activated by the addition of thrombin or calcium chloride which induces the release of growth factors and cytokines that are so beneficial in skin rejuvenation and volumisation. What is achieved is a fibrin matrix that acts as a scaffolding to support tissue regeneration and collagen production.

PRP can be used as a standalone treatment or with other treatment options such as;

  • PRP combined with dermal fillers either hyaluronic acid or biostimulatory to help with volumisation
  • PRP combined with mesotherapy or dermal rollering/needling
  • PRP combined with autologous fat transfer
  • PRP combined with LED phototherapy
  • PRP combined with fractional laser

Procedure

You will need to be assessed for this treatment by a qualified medical practitioner at the clinic, a full detailed medical history, risks and benefits will be fully discussed before a consent form for treatment is signed. Only if the treatment is seen as appropriate for the patient and the outcomes desired is realistic will you be treated.

Once the blood has been taken and centrifuged the platelet rich plasma is ready to be injected into areas of concern for the patient, usually the face in areas such as;

  • Nasolabial folds ( nose to mouth lines)
  • Cheek areas for volumisation
  • Eye area for fine lines/crepey skin/dark circles
  • Multiple areas on the face for skin rejuvenation

This procedure usually lasts approximately 45 – 60 minutes, for patient comfort prior to giving any injections a topical anaesthetic is usually applied to the skin. All make up will be removed and skin cleansed using an antibacterial solution, injections are performed using an aseptic technique.

After treatment

The patient may experience some of the following symptoms:

  • Redness
  • Mild swelling
  • Slight bruising
  • Itching
  • Tenderness at the injected sites

These are temporary, self –limiting and typically resolve within a few days (injections around the eye area symptoms may last longer possibly 7-10 days, particularly bruising). Risks are low as the patient’s own blood is being utilised and there is virtually no risk of an allergic reaction. The key benefit – it is a natural treatment.

How many treatments?

The number of the treatments depends on the quality of the skin and age of the patient, the desired outcome and the treatment plan selected.  Usually 2-3 treatments are recommended with a 4- 6 week gap in between each treatment. Results vary and are very individual, for those who start rejuvenation treatment before lines become deeply etched and skin too lax, then this is a good standalone treatment, but if the lines are deep then combination treatments are needed. Improvements can be seen at around 2-3 weeks yet optimisation is around 2 months when the skin will be smoother, firmer and revitalised.

Contraindications

Certain medications i.e. oral steroids, anticoagulation treatments (warfarin, heparin) or if you are undertaking any long term therapies (specially in cancer treatments)

PDO (POLYDIOXANONE) THREADS

Polydioxanone is a synthetic absorbable suture made from the polyester, poly (p-dioxanone). PDS II has a long safety record in surgery and has been used for wound closure around the world for over a decade.

In Korea PDO threads has been used in cosmetics for approximately 6 years for skin rejuvenation, skin tightening and face lifting indications, in the UK PDO threads are now being extensively used in the same manner. It is an excellent and effective cosmetic technique that lifts and tightens sagging skin tissue.

The popularity of PDO threads can be credited to the safety of polydioxanone, ease of insertion of the threads, excellent results, minor side effects and very low incidence of complications.

Why consider PDO threads?

It is all about considering and addressing some of the factors that are influencing the ageing process as listed below;

  • Changes in the skin structure (reduced elastin and collagen), skin thinning
  • Movement of subcutaneous fat either seen as a decrease or increase in areas of the face, such as hollowing around the eye area, cheek deflation, folds appearing from nose to mouth area, jowls along the jaw line etc.
  • Decrease of blood vessels numbers
  • Decrease of fibroblast cells

The PDO thread lift is a non-surgical, no scar treatment that can used in various areas of the face.

Which areas of the face can be treated?

  • Cheeks
  • Naso-labial fold (nose to mouth lines)
  • Lower face/jaw line
  • Marionette lines (mouth to jaw lines)
  • Brow lift
  • Tear trough (under eye area)
  • Crow’s feet ( lines around the eyes)
  • Peri-oral lines (lines around the mouth)
  • Neck
  • Décolletage

PDO threads rejuvenate the face by;

  • Neo-collagenesis (new collagen formation)
  • Micro-circulation increase ( by the formation of new blood vessels)
  • Increase in the amount of fibroblast cells (collagen is produced by the fibroblast cell in the skin)
  • Anchoring and lifting of facial tissue
  • Stimulation of lipolysis (breakdown of fat cells)
  • Muscle relaxation

Advantages of PDO threads

  • Clinically proven bio-compatible material that is already widely used in medical suturing
  • Tissue lift as well as skin rejuvenation
  • Lipolysis
  • Biodegradable within 6 months and effects lasting over 18 – 36 months
  • Different types of threads and lengths available making it a versatile treatment
  • No general anaesthetic required
  • Low complication rate
  • All threads used are CE marked

Types of PDO Threads

  • Fine threads either straight or spiral , usually a combination of the two will be used (range of different lengths)
  • Barbed or cog multidirectional threads (different lengths available)

Mono threads are used for tightening & lipolyis of the skin, the overall result will be gradual usually around 4-6 weeks. Cog threads have small barbs along its length which helps fix the thread to the tissue to provide a mechanical lift. The effects are immediate and the lifting result is at its peak 3-6 months later when collagen has formed around the threads. Also with further stimulation of collagen production a matrix is formed that supports the tissue.

The number and type of threads used will depend on a variety of factors such as age, skin ageing etc and the outcome required

Procedure

A full consultation (facial assessment, medical & cosmetic questionnaires, photos) will be undertaken by medically trained professionals and only if the treatment is seen as appropriate can it be offered. Once the risks, benefits and outcomes have been clearly discussed and you are happy to proceed then a date is set for the procedure to go ahead.

There are medical and health reasons why the procedure cannot be performed so there is a strict screening process which we will be happy to discuss fully with you.

The procedure is performed in our clinic, for your comfort and safety you will be laid flat on a couch. Sterile dressing pack, sterile PDO threads, gloves and aseptic technique are used to prevent any contamination or infection. Either a topical or local anaesthesia will be used, one being placed on the skin and small amounts injected into the tissue where the deeper threads are to be placed. Only one insertion point per area treated is needed for the lifting threads, no cuts or stitches are needed as a small needle is used to pierce the skin. The procedure usually lasts approximately one hour yet will depend on the number of threads and areas being treated.

After care advise

You will be provided with aftercare instructions on how to look after the treated areas, a stinging or “pulling” sensation is normal and you may need to take some mild pain relief as required over the next two weeks, any swelling/redness or bruising will settle over the next 7-10 days. If deeper threads (lifting) have been used then it is a requirement that you complete a 3 day antibiotic course which we will prescribe for you. The risks of complications are low and are usually treatable and will resolve completely.

You will need to avoid;

  • Physical exercise for 7 days
  • Saunas for 10 days
  • Radio frequency or heat producing devices (laser, IPL, etc.) for 10 weeks
  • No anti-inflammatory medication for 7 days

A follow up appointment is made approximately 1-2 weeks afterwards and then again 4-6 weeks later with follow up photography.

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