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Thread veins

Varying in degrees of visibility from faint to rather large and obvious areas, broken veins or spider veins come in purple, red or blue. The veins often appear on the legs at points of pressure or remain after bruising from injury.


Excess sweating – hyperhidrosis

Sweating is one of the most important ways in which the body loses heat.

We sweat more after exercise, increased alcohol, coffee, tea or spicy foods, smoking, and when anxious or stressed. This is usually controlled and not socially or personally inconvenient.

What is hyperhidrosis?

Hyperhidrosis means excessive sweating. People with hyperhidrosis produce sweat in amounts far greater than needed to control their temperature. Many things can trigger normal sweating and this is also true for hyperhidrosis; it is just the amount of sweating which is different. Examples of triggers include exercise, heat or cold, alcohol, coffee or tea, smoking, hot or spicy food, stress, anxiety or strong emotions and certain times of the day. Hyperhidrosis may primarily affect the armpits, the palms of the hands or the soles of the feet. Antiperspirants are a first-line treatment but for a more long-lasting result and if these don’t control the problem, Botulinum toxin injections may be used.
Botulinum toxin (Botox ® is the one I tend to use) used medicinally is a synthetic highly purified protein which blocks signals to sweat glands.   The Medicines and Healthcare Products Regulatory Agency (MHRA) has licensed this drug for cosmetic use and for the treatment of excessive sweating.

What are the advantages?

Botox ® is very efficient at reducing excessive sweating. Several days after treatment there is a significant reduction in the amount of sweating that will generally last between 3 to 5 months. The injections can be repeated as necessary.

How does the treatment work?

Small amounts of Botox® are injected in a grid pattern over the affected area of skin. It is not the most comfortable procedure, but no anaesthetic is usually required.   When injected into the skin, Botox® diffuses to block the actions of the nerves that supply the sweat glands, this prevents the glands from producing sweat.

How long does a treatment last?

The effects of treatment last for several months ( usually 3 to 5) but eventually they will wear off. This is because there is a turnover of protein in our body.

Are there any side effects?

The needles used are very fine to minimize the discomfort during the injections. Mild swelling or redness may occur in the treated areas, but any local discomfort is short-lived. Some patients complain of temporary increased sweating elsewhere on the body.
Please note that this is the same product t which is used to reduce the appearance of wrinkles (here working by blocking the effect of nerves on muscles).

Liquid facelift and browlift

Reduce the signs of ageing by replacing lost fats in the face with dermal fillers and botulinum toxin.

Non-surgical facelifts and browlifts

Mid-forties is a turning point for a lot of women, the facial plumpness starts to disappear leaving wrinkles and an older appearance.

Elaine is skilled in the use of fillers and can also use surgical techniques to rebuild the lost fats. Fillers are safe and suitable products. The skin is filled out and wrinkles drastically reduced whilst restoring the face with a youthful plumpness.

This is not a permanent solution and the effects do vary as to how long they last. Generally the effects can last between 2 and 6 months.

If you would like a longer lasting procedure and would contemplate surgery – Elaine is highly skilled in restoring the lost fats with actual fats. This surgical procedure offers the benefits of fillers without having to repeat the procedure several times a year. Click here to see more about fat grafting as a surgical facelift alternative.

Botulinum toxin (Botox), Juvederm and Restylane anti-wrinkle injections

Non-surgical treatment for lines & wrinkles


Dynamic wrinkles on the face arise over time from contraction of the underlying muscles every time you smile, laugh or frown. Eventually these dynamic wrinkles become fixed as static wrinkles. All the lines can be softened with injections of botulinum toxin. Botulinum toxin is not a new drug. It has been used over 20 years to treat muscular problems including eye deviation, eyelid spasm and facial spasms

Botulinum toxin for frown lines and smile lines

Botulinum toxin acts by blocking the impulses from the nerves to
the muscles of expression. It relaxes the muscles so it treats facial lines
caused primarily by the action of the muscles on the skin. The ideal areas
to treat are those wrinkles caused by muscles that have no significant
function. Examples include the deep crease between the eyebrows, crow’s’
feet wrinkles and forehead lines. Recent research has shown some benefit in
treating lines around the mouth and on the neck.

The procedure cannot improve wrinkles due to ageing and sun-damaged skin
since they are not related to facial muscle contractions. It will not
improve sagging skin either.

Limitations of Botulinum toxin injections

Injection into frown lines has proved to be very successful. Good results
may be obtained after a single injection and may last four to six months.
The effect of the injection takes up to 14 days to work. Some patients
with very powerful muscles may not see a complete relaxation of the targeted
area. In severe cases therefore, patients may need a repeat injection within four weeks, and even the injection of fillers into the deep creases. Please inform me if you intend to take an airplane journey in the week following injection.

It appears that the duration of treatment benefit is increased over time so
that fewer injections are required in the future. The duration of effect
does vary from patient to patient and may be less effective for those over
65 years of age.

Do the injections hurt?

Most patients find the injections only cause mild pain, comparable to the
sensation of an insect bite. No sedation or local anaesthetic is required.
Some patients experience minor bruising.

Side effects

Temporary bruising is the most common side effect. In rare cases there can
be drooping of an eyelid or asymmetry of facial expression. The risk of
side effect depends on the muscles injected. Because the effects of botox
are reversible, side effects are temporary as well, lasting only
a few weeks.

Long term effects are unknown, but at present the consensus of opinion is that the drug is fully eliminated over a few months, and there is unlikely to be a problem.


Skin resurfacing

We are currently working on the information for this page, please call or email for more information.