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Cosmetic Medicine

As we encounter the aging process an unfortunate feature that develops is the loss of volume in our bony structures of our face, this causes shrinkage in both our mouth and teeth.  As a result, deficits appear in the mid-face and cheek areas, this causing wrinkles. The clinic focuses on the implementation of a natural approach using a combination of Botulinum A toxin and dermal fillers. Whether you are looking for defined facial contours, fuller lips, smoother facial lines, we can recommend different individual treatment options. 

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Dr Gavin Lobo has had an interest in Appearance Medicine since attending the Napier conference in 2005. He has gained extensive experience in injectables, especially using Botulinum A toxin for the treatment of wrinkles.

He was the supervising doctor for the Avana Clinics and then started the successful LaserDerm Clinic in Herne Bay. Dr Lobo now runs and owns clinic, together with his wife Mandi who is a Registered Nurse.

Dr Lobo is both a Fellow of the Royal New Zealand College of General Practitioners, and a Fellow of the New Zealand Society of Cosmetic Medicine.

Cosmetic Medicine - Services

BOTOX® Injections

A diluted solution of BOTOX® is extremely effective treatment for wrinkles.
 

Excessive Sweating Treatment

BOTOX® can be used to treat hyperhidrosis by entering the specific glands in the underarms responsible for excessive sweating.
 

Dermal Fillers

Dermal fillers are injectable materials that help to smooth deep lines and wrinkles and also replacing lost facial volume, thereby creating a fuller and younger looking face
 

Treatments

Botulinum A Toxin Treatment

Is a natural protein and the most effective non-surgical treatment that can dramatically smooth away dynamic facial wrinkles (the ones that appear when you smile, frown or laugh), for example on the forehead (frontalis), around the eyes (crow’s feet) or between your eyebrows (glabellar).

The minimally invasive treatment will take around 10 - 15 minutes and is relatively pain free.  Results have been seen in just 2 - 3 days however the peak effect is between 10 - 21 days after treatment.

One treatment temporarily relaxes muscle contractions, wrinkles become smoother and often even disappear altogether. Most people require a treatment every 3 - 4 months in the first 2 years, then every 5-6 months thereafter. If you decide to stop the treatment your wrinkles will return slowly.

Common areas treated:

Glabellar & corrugators

Forehead

Crow’s feet

Jaw line

Dermal Fillers

Dermal fillers are a naturally-derived or synthetic material that is directly injected into skin with the purpose of plumping that area to the point where the wrinkle, depression, or fold is gone. Depending on the type of filler, the effects can last anywhere from six months to two years; for semi-permanent or permanent fillers, the effects can last up to five years, and there are reports of even longer-lasting results.

Don’t confuse dermal fillers with Botulinum A Toxin (Botox®) Although both procedures involve injections, Botox® is most often injected around the forehead and wrinkles around the eyes (crow’s feet) to stop muscle movement that results in wrinkles. It has nothing to do with the plumping smoothing effect dermal fillers have because they work in different manners, many people elect to get both Botox® and dermal fillers—the combination can produce a remarkably younger-looking face. 

Common areas treated

Dermal fillers can be used to fix a variety of concerns related to facial aging, including:

  • Adding volume and smoothing out the deep creases that run from the nose to the mouth (called nasolabial folds or laugh lines).
  • Plumping thin lips and smoothing out vertical lines around the edges of the lips.
  • Augmenting cheeks to enhance their shape, often restoring youthful fullness.
  • Filling out depressions (hollows) under the eye area.
  • Making indented scars from acne or chicken pox more even with surrounding skin.
  • Increasing volume to fill out gauntness in the lower cheek or temple area, which most often occurs due to fat pads shifting beneath the surface of skin.

Frequently Asked Questions

When will I see results?

Onset of muscle relaxation can be noticed after 2-4 days. The maximum effect can take up to 2 weeks to notice.

How long before I need to come back?

Dermal fillers are a naturally-derived or synthetic material that is directly injected into skin with the purpose of plumping that area to the point where the wrinkle, depression, or fold is gone. Depending on the type of filler, the effects can last anywhere from six months to two years; for semi-permanent or permanent fillers, the effects can last up to five years, and there are reports of even longer-lasting results.

Don’t confuse dermal fillers with Botulinum A Toxin (Botox®) Although both procedures involve injections, Botox® is most often injected around the forehead and wrinkles around the eyes (crow’s feet) to stop muscle movement that results in wrinkles. It has nothing to do with the plumping smoothing effect dermal fillers have because they work in different manners, many people elect to get both Botox® and dermal fillers—the combination can produce a remarkably younger-looking face. 

Common areas treated

Dermal fillers can be used to fix a variety of concerns related to facial aging, including:

  • Adding volume and smoothing out the deep creases that run from the nose to the mouth (called nasolabial folds or laugh lines).
  • Plumping thin lips and smoothing out vertical lines around the edges of the lips.
  • Augmenting cheeks to enhance their shape, often restoring youthful fullness.
  • Filling out depressions (hollows) under the eye area.
  • Making indented scars from acne or chicken pox more even with surrounding skin.
  • Increasing volume to fill out gauntness in the lower cheek or temple area, which most often occurs due to fat pads shifting beneath the surface of skin.
Is it safe? Are there side effects?

There are no known long-term side effects from repeated cosmetic neuromodulator use. The main risks are small bruises from the tiny needle injection. Allergic reaction is very, very rare. There is no need for allergy skin testing.Unwanted adjacent muscle affect is possible from unexpected migration of product following injection, for example: eyelid droop after frown line treatment. This is an uncommon occurrence nowadays. It is temporary and will disappear after a short while. Unwanted adjacent muscle affect is possible from unexpected migration of product following injection, for example: eyelid droop after frown line treatment. This is an uncommon occurrence nowadays. It is temporary and will disappear after a short while.

The most common side effects from a treatment with dermal fillers is temporary discomfort. Additional side effects from dermal fillers can include the possible bruising and swelling of the treated area. It is advised that you refrain from exercising immediately before and after a treatment with dermal fillers. It is also advised that you avoid aspirin or anti-inflammatories for two weeks before a dermal fillers are used, to minimise the occurrence of bruising.

Although it is very unusual with temporary dermal fillers to have problems after the first two days, it is rare but still possible to have an allergy to dermal fillers develop. In the unlikely event of residual lumps or an over-correction of a wrinkle fold or lip after a dermal fillers treatment, The Wellness Clinic can use hylase to dissolve quickly the excess dermal filler and correct the problem.

How is treatment with dermal fillers different from treatment with botox®

Dermal fillers are used as an injectable gel to provide additional volume to the skin. Dermal fillers reduce the appearance of wrinkles, and the dermal fillers gel provides volume to areas that may have lost volume, such as sunken cheeks.

Botox® differs from dermal fillers in that it is injected to reduce muscle movement, which in turn is a means of preventing wrinkles from forming. Where dermal fillers would add volume to firm the face, Botox® Treatments reduce the appearance of wrinkles by relaxing the skin.

Where does botox® go in my body?

Botox® stays local to the muscle where it was injected.
After the injection, botox® is simply metabolised & broken down into natural byproducts within a few hours.

Mandatory Information

BOTOX® is a Prescription Medicine containing 100 units of clostridium botulinum Type A toxin complex for injection. It is used for the treatment of frown lines, crows feet and horizontal forehead lines. It should be administered only by trained medical professionals. Cautions: people with defective neuro-muscular transmission disorders, presence of 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 eye lids, lack of feeling & nausea. Talk to your specialist about the benefits/risks of this procedure or if you have concerns or side effects. Allergan Pharmaceuticals, Auckland.

For more information

Email Mandi Lobo on nurse@gavinlobohealth.co.nz