Why would anyone get their fillers dissolved? They’re the number two aesthetic treatment worldwide! Millions of people are queuing up for fuller cheeks, contoured features and plump, shapely lips.
However, some celebrities are rocking the boat by deciding to get their filler removed, encouraging us to re-evaluate our attitude towards this procedure.
I’ve never felt comfortable with very large lips, but thanks to celebrity role models and social media stars, overfilled lips are becoming the norm. I’m glad to see people challenging the trend, with Love Island star Charlotte Crosby making the headlines by having her lip filler chemically dissolved. She put a question mark over the value of excessive lip fillers, while cosmetic doctors are exploring the risks of overfilling.
For example, Dr Harris deliberately draws attention to the distortion caused by overfilled lips and cheeks. He believes that too much filler leads to ‘alienisation’, with features enlarged outside the normal range for the individual in question.
However, it’s not always an unscrupulous doctor or an excessive treatment that leads to these strangely exaggerated results. Many people forget what they looked like before treatment and return for more or the substance takes longer to dissolve than we originally thought. The patients believe that they’re in need of a top-up while it’s still in their system, leading to a double dose of filler.
We all think about our appearance. Low confidence is often the motivation to have an aesthetic treatment such as dermal fillers, as it helps us to embrace how we look. However, cosmetic treatment has been linked to an extreme preoccupation with appearance, known as body dysmorphic disorder (BDD). People with BDD spend a disproportionate amount of time obsessing over minor or imagined flaws. This can be enormously upsetting, so it’s no surprise they turn to cosmetics to try and fix the problem.
It’s a difficult issue for us practitioners to identify, especially as fewer than 10% of patients with BDD are satisfied with the results of their treatment. They move on to other practitioners to correct this perceived problem or their anxieties transfer to another area of the face or body. Their constant quest to fix the flaw leads to distorted, overfilled features.
Now, not everyone with overfilled features is suffering from BDD. After all, we all worry about our appearance to some extent and BDD is the extreme end of the spectrum. In my practice, I tend to see patients who are delighted with a filler treatment, but quickly forget what they looked like before the procedure. They want a more discernible difference, so they come back wanting another treatment.
It’s easy to see how people’s faces become overfilled, especially as fillers may last much longer than we think. Alice Hart Davis, a beauty journalist and author, discovered that 35ml of dermal filler is still present in her face, even though we expect it to have dissolved naturally in less than two years.
Not at all! They help millions of people to look youthful, including me! However, we do need to take care.
In my clinic, I limit the amount I’m prepared to place at one time, assessing my patients via ultrasound to determine if any filler remains. This helps me decide if it’s suitable for them to have more treatment or whether I should direct them to an alternative, of which we have many. When I do conduct treatments, I tend to use Juvederm, which creates wonderfully subtle and natural-looking results.
Are you interested in dermal fillers? Visit our website for more information or contact us to book a consultation.
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Is your skin looking dull, blotchy or dehydrated? Do you wish your mirror came with a filter just like your phone? Not to worry! My five tips for healthy, glowing skin will have you feeling like your best self in no time!
Your skin cells are practically self-cleaning, so they don't need harsh ingredients or double-cleansing. This is because every 21 days or so, your cells renew themselves, which means cleaning your skin within an inch of its life won’t do it any favours! Cleansing too frequently will disrupt the renewal process and break the skin’s natural defences, allowing moisture to escape and pollutants and bacteria to get in, which isn’t exactly healthy and won’t result in glowing skin!
When you’re stressed, your body releases a hormone called cortisol. Cortisol is good for you if you're experiencing a ONE-OFF stress event, like being chased by a lion! However, persistent, chronic stress and the resultant high cortisol levels can wreak havoc on ALL the organs of your body… the biggest being the skin.
We can’t eliminate stress in our lives, but we can learn strategies to deal with it. I find that practising good sleep hygiene, cutting back on my alcohol consumption, meditating and doing some restorative exercises like Hatha Yoga works for me and leads to glowing skin. I also encourage myself to be kind - to myself and others, even if that might mean saying ‘no’ to someone. You might not feel good doing this, but your stress levels will benefit from it and so will your skin. I am always available for a chat and to point you in the right direction to help manage your stress. If you’re in for your regular treatment or a consultation, please ask for help!
The skin is a complex organ and so are the processes that keep the cells working well. I won’t go into biochemistry and bore you with science, but without the right nutrients, your skin cells simply won’t be able to do their job properly.
Avoiding processed foods and eating your leafy greens will go a long way. However, our modern lifestyles don’t make this easy. The food we eat may not contain the nutrients we need or our bodies might not be able to absorb them efficiently. This is why Su, our skin expert, can give diet and nutrition advice to help you achieve healthier, glowing skin, either by adding foods to your diet or recommending an appropriate supplement. You can book a full skin consultation with Su to learn how to manage your diet to boost skin health. What’s even better is that her consultations come with a skin scan and a sample treatment of our lovely Hydrafacial!
Avoid overusing products or using inappropriate ones on your face. Overuse is more common than you think, especially products that are heavy and don’t allow your skin to breathe. This can cause acne, perioral dermatitis and clogged pores - which results in small white bumps called milia.
Using inappropriate impulse buys can also be harmful to your skin. These products may contain chemicals and essential oils of unknown origin. Essential oils are known allergens and not, in my opinion, to be included in skincare! If you want to know what products are best for you, why not come in and speak to Gael for advice? Or if you are looking for a major overhaul to your skincare regime, why not book in with Su for her famous glowing skin consultation? Don’t forget, I’ve put together a collection of my favourite products in our online store too!
UV rays can inflame and damage the skin, causing uneven tone, texture, and sunspots. Furthermore, we live in a sea of chemical pollutants, all of which can settle on your skin and damage it. Our skincare range has been sourced with this in mind and it has special patented formulas to protect your complexion from both the sun and pollution. Want to know more about these products? Contact Gael and she will talk you through them from start to finish.
If you follow these five tips and tricks, I’m sure that you will notice improvements! However, a lot of us need a little extra help on our journey to glowing skin, if this is the case, simply contact us online!
We hope that this has helped! Make sure you’re following us on Facebook and Instagram for more tips and tricks, as well as to learn more about the clinic, keep up with our news and get exclusive offers!
Are you one of those people that, no matter what you do or how much sleep you get, you still have tired eyes? The eye area and its surrounding skin can tell us a lot about our health and wellbeing, and is one of the first areas to show the unavoidable effects of ageing. As time goes by, it may become harder to hide when you’ve been playing hard, studying all night for an exam, working long hours, or been up all night with your two year old.
If your goal is to look like a well-rested human being in the morning (and who doesn’t want that), then these are some tips and tricks you may like to try!
So now you know a bit about how I’d treat tired eyes. Whether they’re puffy, or you have dark circles, or it’s fine lines and wrinkles getting you down, I can help!
If you’re not sure what would work best for you, that’s no problem - I didn’t train all these years for nothing! Book in for your initial consultation and I’ll get to know your skin, your goals, and work out what course of action will get you the best results.
In the meantime, why not get to know us a bit better by checking out our Facebook and Instagram.
Time and time again my clients ask me, ‘Nicci, what happens when my treatment wears off, does everything collapse and will things be worse than before as a result of me having this treatment?’ The answer is a big, fat no! Your Thread Lift, Botox® or Dermal Filler will not only offer stunning results straight after your procedure but also keep your skin looking fresh and youthful in the long run!
‘Nicci!’ I hear you cry, ‘how on Earth can my Thread Lift, Botox® or Dermal Filler keep me looking my best after the product has worn off?’ Well, they do so by increasing your collagen synthesis.
Collagen is a naturally occurring protein in the human body. It’s an essential component of connective tissues and it also gives our skin strength and elasticity. Boosting your collagen production means tighter, more youthful-looking skin!
If you know me and my clinic, you’ll be aware that Thread Lift, Botox® and Dermal Filler treatments are my specialities. I focus on them as they are proven to help you age positively. This means you age well, still looking like yourself but better!
Let’s examine the longevity of these options a bit…
Longevity:
Threads PDO - 12 to 18 months
Aptos PCL Threads - 24 to 36 months
Predicting the longevity of a thread lift is tricky as they differ so much from one another. This means that it’s really important for you to ask your practitioner about the composite of the thread. My advice is to research the thread being used. Polycaprolactone (PCL) threads offer superior strength and longevity compared to Polydioxanone (PDO) threads, so that’s what I mainly use in my clinic. I also love Aptos threads as they’re coated with hyaluronic acid, which helps to speed up your recovery.
You can expect Aptos threads to last about 1-2 years before the ester bonds that hold them together are broken down by your body’s enzymes, metabolised and excreted by your liver. The variability in longevity is down to your particular circumstances, where the thread is placed and how much stress is placed on them.
Longevity:
Botox® injections (for wrinkle reduction) - 3 to 4 months
The breakdown of Botox® is dependent on enzymes that dissolve the molecule and break it down into its component amino acids. These are then either used to build other proteins or excreted by your kidneys. The botulinum toxin molecule is extremely delicate, that’s why it’s broken down so easily and doesn’t last as long as Thread Lift or Dermal Filler treatments.
Longevity:
Dermal Fillers for the lips - 6 to 12 months
Dermal Fillers for adding volume to the face - 12 to 18 months
The longevity of HA Dermal Fillers depends on the chemical bonds that hold them together and their frequency. Without these bonds, the filler chains would be removed from the body very quickly - in less than 24 hours! This means that dermal fillers with strong bonds and more cross-links last much longer.
However, if the filler is injected into a very vascular area such as the lips, the bonds will dissolve rapidly as this area can process it faster. As HA occurs naturally in the human body, once the bonds break down, it is processed and excreted just like your own supplies of HA.
Now you know a bit more about Thread Lift, Botox® and Dermal Filler treatments, you might be ready to book in for your online pre-assessment. However, if you have questions that you would like to ask first you can always contact us via our website or call our team on 07595221484.
You can also visit our website to learn more about all of these procedures and don't forget to make sure you’re following us on Facebook and Instagram to find out more about our team and the treatments we offer.
The world of medical grade skincare products can be an intimidating place. There are so many brands that claim all kinds of results, with wildly different prices and promises about their efficacy. That’s before even knowing what’s right for your skin, as everyone is so different.
Unfortunately, this confusion can lead you to waste your hard-earned cash on products that do nothing for you or worse, actually have a negative impact on your skin. To cut through some of this confusion, I thought I’d clear up a few myths for you…
I’m going to take you through four common skincare myths to make sure you don’t fall for them!
Myth 1 - ‘Medical grade’, ‘professional’ and ‘clinical’ are regulated terms
Nope! These words are up for grabs, which I think can be a really confusing thing for consumers. They carry the implication that these products are superior and scientifically proven to work, but that’s not necessarily true. Don’t let this kind of wording trick you into thinking you’ve found something that’s guaranteed to work.
Myth 2 - Medical grade skincare ingredients are a higher quality
It’s easy to believe that expensive products, using the aforementioned unregulated words and phrases, must be using fabulous ingredients. Another myth! There’s no guarantee that they contain any higher quality ingredients or more actives than high street brands.
Myth 3 - Medical grade brands are required to test their efficacy
You might think that medical grade skincare products need to be tested to show that they actually work but this isn’t true either. There’s no requirement for regulated ingredients such as salicylic acid to prove their efficacy. The only rule is that the manufacturer details the strength of the active, not whether or not it works!
Myth 4 - Medical grade brands are rigorously lab tested for safety
Ok, for me, this is where things get a bit scary. All of these skincare products do need to go through three rounds of checks; microbiological, stability and challenge testing. The issue is that the last two of these aren’t necessarily done in a lab. They can be done in-house by any suitably qualified employee. This means that the results may not be unbiased!
Sorry if I’ve scared you a bit with all of those myths, but I think that it’s important for you to be well informed. I also want everyone to be comfortable in their own skin, without spending too much or having to try hundreds of products until you find what’s right for you. So, here’s how I choose the products that I use and recommend.
Compare - A lot of medical grade skincare products are very similar to each other, despite what their marketing may have you believe. This means that it is incredibly important to judge each on its own merit, NOT by the brand.
Research - I don’t accept product claims as facts until I’ve got some evidence. I want to know the clinical trials they have been through and then I critically evaluate these before accepting anything.
Check the cost - I’m not going to choose products that I don’t believe are priced reasonably. This is because once you’ve got your routine sorted, you’re likely to keep it pretty much the same. I don’t see the point in finding the ideal fit for someone if it’ll only be affordable for a month.
Get a bit cheeky - Once I’ve gone through the above I like to get a bit cheeky and ask for some freebies. I want to be able to test the product myself before I endorse it!
Doing all the above takes a lot of time and effort, it’s easier if you have experience and are knowledgeable about skincare products in general but I know that isn’t the boat everyone’s in. I appreciate that most people will not be able to do this but don’t worry, that’s why I’m here!
I’ve curated a collection of products that I truly believe in and I have them all in one place for you to browse…
To get your hands on high quality, reasonably priced and effective products just head over to my online store! After any of our treatments, we’ll always give you advice on what skincare products to choose to maintain your results. Of course, if you have any questions, you can always pop back into the clinic or give us a call on 07595221484.
Once upon a time the only way to target fat loss by area, achieve a washboard stomach or rid yourself of your saddlebags was to have liposuction. However, this procedure has fallen out of favour in recent years. In fact, Statistica indicates that it’s fallen by a massive 77% since 2015! This is partly because during the pandemic people were reluctant to undergo surgery. Add to that the hefty price tag, the long recovery time the procedure requires, and also the fact there are other effective treatments for fat loss these days, of course, it was bound to decline in popularity! I imagine that the introduction of the Emerald Laser is going to have this number falling even lower…
The Emerald Laser is a safe, non-invasive, non-surgical fat loss treatment which shrinks fat cells in stubborn areas of the body. Patients lose an average of 6 inches over a course of treatment, with no downtime! Compare this with fat freezing or liposuction and you’re on to a winner!
Interestingly, it was liposuction that sparked the development of the Emerald laser, the first laser in the world to be FDA approved for circumferential weight loss and cellulite reduction. Steve Shanks, Erchonia president, explains that in 1996 he and his partner at the time, who was an engineer by trade, were fixing lasers that were coming over from Europe. Soon, having gained knowledge of their workings, they were making them and selling them in America. (The company has grown so much that they are now in most countries and hold 22 of the 23 FDA approvals for low-level lasers in the USA.)
Steve says they are so successful because they are predominantly a research and development company that happens to make lasers. This puts them on the cutting edge of low-level laser technology. He believes that it’s important to be able to have proof that the treatment is effective, and FDA approval is crucial. The trials to achieve this accreditation involve blind clinical tests which take years and years, so they can’t be reproduced easily by any other manufacturer.
The first low-level laser device was FDA approved in 2002 and treated chronic neck and shoulder pain. These lasers are still used today by many chronic pain management clinics.
So, how does a company that specialises in chronic pain management become a world leader in developing low-level lasers to treat fat loss?
Steve explains that this happened by accident. The year was 1998, and he was at an anti-ageing conference, talking to a plastic surgeon. This particular surgeon was an expert in liposuction and was interested in using laser technology to manage the post-operative pain experienced by his patients.
The surgeon attempted using the low-level laser before and after his liposuction procedures and discovered something amazing. They found that by using the laser he was also emulsifying fat! He was so excited that he presented his findings at the conference to his colleagues, who dismissed him, not believing what they were seeing. Not Steve! He agreed that what the surgeon had discovered was amazing, and so they pushed to develop the Emerald laser.
Emulsifying fat and letting the body get rid of it naturally is the core of how the Emerald laser works. The laser is highly effective, and with our support, we’ve been helping our patients manage their circumference loss holistically, without destroying fat cells or undergoing surgery.
Learn more about the Emerald laser here, and if you’d like to get booked in for a consultation simply fill out a contact form.
We hope to hear from you soon and can’t wait to help you on your journey to self-confidence!
Make sure that you are following us on Facebook and Instagram to get updates and any news about this innovative treatment!
There’s no easy way to find the best moisturiser for your skin type. You only have to go online and start searching to see the sheer number of products for sale and the multitude of opinions that people give. ‘Easily the best moisturiser I’ve used’ says one review. ‘Helped control my breakouts’ says another. It’s important to know that what might be right for one individual’s skin might work very differently on another.
I’d like to present you with some facts to help you to make an informed decision as to which moisturiser to opt for, while hopefully helping you to save some money along the way.
Armed with this knowledge, you’ll be able to assess a product on its basic ingredients and tell whether it’s right for your skin type.
To help to choose the best moisturiser for you, you first need to know that different moisturisers work in different ways: Some trap water in the skin, some help skin to retain water, some improve the integrity of the skin barrier, some help the skin to attract water, and others boost the functional capabilities of the skin.
Oil, petroleum and lanolin products act by trapping water in, and are called occlusives. Occlusives can leave a greasy sheen on the skin and may cause breakout acne or blocked pores, called milia. So, if you already have acne, an occlusive-based option might not be the best moisturiser for you. Also, occlusives are known to cause allergies and inflammation in the skin, and may even cause long-term harm to the skin, although they can help people with very dry complexions by locking in moisture.
Emollients, in contrast, fill the gaps between the cells, helping the skin to retain water. Most emollients soften the skin and would be the best moisturiser if you have skin conditions like eczema or psoriasis.
Humectants, on the other hand, are different to occlusives and emollients. Once applied to your skin, they attract water. If there’s lots of water in the air in your environment, then a humectant-based option might be the ideal option for you. However, in low-humidity environments this means they can draw water from the dermis and actually dry the skin out.
This sets up a wet-dry cycle and an example of a humectant is hyaluronic acid. Once applied, the skin is dampened and it soon feels hydrated. However, as time passes, if the air is dry, the product will attract water from the dermis and sap your skin of moisture. This can make your face feel dry, so you apply more, and the cycle repeats. This means that in a humid environment, a hyaluronic acid-based product would not be the best moisturiser for you.
Other problematic humectants are alpha hydroxy acids (AHAs). If overused, this range can cause your skin to become thinner, making it more prone to sun damage if used without appropriate sun protection. Furthermore, some acid humectants may strip the skin of its natural lipid barrier, allowing bacteria and toxins from the environment past the skin barrier, causing inflammation and redness.
Occlusives, emollients and humectant moisturisers, (or combinations of them), make our skin feel supple and smooth for a time, but they don’t treat the underlying cause of skin dehydration, which is reduced cell function. Once you’ve worked out which moisturiser is perfect for you, (one that has the right active ingredients), your skin may not dry out, though to keep it healthy and glowing, you may want to consider a treatment to boost how the skin cells work.
At No4 Clinic, my team believes that the best skincare/skin treatment restores cell function to optimal levels, to the stage before they were affected by age-related degeneration. Using a treatment in combination with the best moisturiser for you will mean your skin can be kept looking youthful and radiant.
If the bottom layer of the epidermis is healthy, the cells will renew every 3-4 weeks or so. This means you will most likely have a healthy skin barrier, because when mature epidermal cells die, they release skin protecting lipids. If other cells in the skin are functioning well, (especially our fibroblasts), then this means lots of collagen production is going on, which maintains skin suppleness. Simultaneously, lots of hyaluronic acid production will be happening too and this signals hydrated skin, which will leave it looking plump and glowing!
Even with the best moisturiser, getting your skin to the best it can be is an art and this largely depends how your skin looks and behaves. To really know what product or treatment will improve your skin function, I recommend getting a professional consultation from our resident expert skin therapist, Su Jones. She can look at ways to get your skin in tip-top condition, in conjunction with the best moisturiser for you. Then follow up with myself, Nichola Maasdorp, to see how I can support you with treatments for your skin!
Get in touch today to book a consultation. You can simply fill in a form on the website, call my team on 07595221484 or email [email protected].
Don’t forget to follow us on Instagram and Facebook for all our latest news and updates!
See you soon!
Many people mistakenly think of Botox and fillers as being one and the same. When clients come to us for an initial consultation, we find that most are unaware that there are clear differences between the two. Because of this, I feel it’s really important that each of our clients are as informed as possible before my team comes to a decision on what’s the best and most appropriate treatment plan. Each treatment works differently and each treatment is used to achieve different aims. Read on to learn more about them!
While it’s true that both Botox and fillers are treatments that are injected into the face, that’s where the similarities end. Botox is used to soften and reduce lines on the face caused by frowning, smiling and other dynamic facial movements. Fillers (or dermal fillers to give them their full name), on the other hand, are quite different. They are used to restore volume or to enhance facial features. Botox is a registered drug, (its generic name being botulinum toxin), and its use is strictly controlled, because it alters the way that muscles respond to nerve signals. Therefore, it is of the utmost importance that you visited a fully and appropriately trained practitioner if you’re in search of such treatment.
Dermal fillers don’t alter the way in which the body functions, making them distinctly different in this sense. However, you still need suitable qualifications and training to carry out filler treatments, though no prescription is necessary. This has led to a loophole, allowing non-medically trained practitioners to offer them. You can rest assured that the dermal filler treatment at No4 Clinic is carried out by myself and I hold a Level 7 Injectables Qualification for Aesthetic Medicine and I have over 26 years of clinical experience, so you’ll always be in safe hands!
Over the years, I’ve been asked just about every question imaginable, so I thought I’d compile a list of a few that may already be on your mind.
The treatment that suits you is the one that is going to address your concerns best. Sometimes it may be one or the other, but usually an approach that uses both will serve you best.
There are some exceptions to this, but generally, the answer is no. If you’re in your 20s, you shouldn’t need Botox and fillers, as your features will still be youthful. But if you’d like fuller lips or some light jaw-sculpting, then you can achieve this with some discreet dermal fillers.
You may have heard that Botox can be used as a preventative measure, but at No.4, we believe that as a medicine, Botox should only be prescribed when needed.
This depends on how your skin has aged, rather than what your actual age is. If you have aged well and have very little sagging and only moderately deep lines, then Botox and dermal fillers can still be used to help you age positively. Botox and fillers won’t give you the results surgery will, though they can help you reduce the signs of ageing, making you feel more confident.
My team and I would love to work with you to help you reach your goals and discover what treatment is right for you. Maybe get in touch today and book a consultation? You can simply fill in a form on our website, call us on 07595221484 or email [email protected].
To keep in touch with us, don’t forget to follow our Instagram and Facebook accounts.
See you soon!
Your weight loss journey needs to start with a healthy lifestyle and regular physical activity, that is something that we cannot avoid, but what if that isn’t helping with neck fat reduction? The issue with the changes I have mentioned above is that they don’t always tackle fat deposits we most want to shift and neck fat can often fall into this category.
Neck fat reduction can be very difficult to achieve using diet and exercise alone. That's where I come in! The treatments I offer provide a safe and effective way to get around the concerns that might be troubling you most.
Laser treatments that liquefy body fat have been in use for many years. It has become a very popular procedure as a result of the fast recovery time and almost immediate results they provide. However, many of these procedures involve either freezing or melting the fat cells, which essentially destroys them. Apart from some relatively infrequent, but undesirable, side effects as a consequence of this treatment, it is now understood that fat cells have a very important role to play in maintaining our immune system and regulating our hormones. Killing off our fat cells is actually not the best idea, even if you are really struggling to find a suitable method of neck fat reduction.
Below, I am going to answer some questions that my patients often ask me about neck fat reduction.
Yes, you can, thanks to the Emerald laser! It is a revolutionary device that targets fat cells and shrinks them. This low-level laser encourages fat cells to develop tiny openings through which fatty liquids escape. They are then expelled by the lymphatic system, it’s as easy as that! The fat cells themselves remain in the body to continue their essential job of maintaining our general health and well being.
This is a non-invasive procedure with no known side effects and no discomfort. As there is no heating or freezing of the skin or cells, there is no need for pain killers or recovery time. Most people report that it is a very relaxing experience and they can simply lie there while the machine does the work. The Emerald laser can target several areas at once, so if neck fat reduction is one of several concerns you’d like to address, it won’t be an issue. A few have reported a tight or bloated feeling after their sessions, but these symptoms are mild and resolve themselves spontaneously after a few hours.
Sadly not, but good things come to those who wait! At least 10 treatments are recommended but you might notice a significant improvement after 6. Each session takes around 30 minutes and your treatment might be combined with the ENDYMED™ V Shape, a radiofrequency laser that targets the deeper layers of the skin around your jowls, stimulating new collagen growth to enhance the skin tightening effect of the Emerald laser. See, now neck fat reduction seems a lot more attainable, doesn’t it?
Get in touch and book a consultation today! My team and I will be able to answer all of your questions. All you need to do is fill in a form on our website, call us on 07595221484 or email [email protected].
To keep in touch with us, don’t forget to follow our Instagram and Facebook accounts!
