performing cosmetic treatments for over 20 years

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Do you suffer from Excessive Sweating?

Posted by on 6:31 am in News | Comments Off on Do you suffer from Excessive Sweating?

Hyperhidrosis, or excessive sweating, can be disabling and embarrassing, affecting social and occupational activities. You may have suffered from excessive sweating for years, in the belief that the only thing you could do was to keep applying antiperspirant and changing your clothes. Hyperhidrosis affects millions of people around the world. Although high temperatures or stress can increase perspiration, they don’t cause hyperhidrosis. Instead, hyperhidrosis may be an inherited trait that stops the body from properly regulating its temperature. Hyperhidrosis appears to be linked to overactivity in the hypothalamus, the area of the brain that maintains body temperature, and the sympathetic nerves that control sweat glands. Primary hyperhidrosis starts in childhood and tends to be localised to the palms, soles and/or the armpits (axillae). Secondary hyperhidrosis is due to an underlying medical cause such as diabetes, overactive thyroid, obesity, menopause, anxiety or medication. It can often affect the whole body. First line treatment for localised hyperhidrosis is an antiperspirant spray, stick or roll-on containing an aluminium salt. These work best if applied last thing at night before retiring. Many products also contain deodorants to disguise unpleasant odour. Oral anticholinergic medication can reduce sweating but may cause side effects such as blurred vision, dry mouth and constipation. They are most useful for generalised hyperhidrosis. Iontophoresis can be very effective for hyperhidrosis affecting palms, soles and armpits. This involves using a device to pass a mild electric current through the skin while soaking in tap water. Botulinum toxin injections are the most effective treatment for axillary hyperhidrosis. They block the sympathetic nerves in the armpits and can stop sweating for a few months. The sweat glands under the arms can also be removed surgically, by liposuction, cutting under the skin or by removing all the skin that contains the sweat glands. this third option may require skin grafting if the area removed is large, and it may leave a significant scar. Transthoracic endoscopic sympathectomy is effective for palmar hyperhidrosis but because of side effects and risks, is reserved for the most severely affected individuals. At tristram clinic, axillary hyperhidrosis is successfully treated with botulinum toxin. it is injected into the skin of both armpits without any need for local anaesthetic. This procedure is a walk in, walk out procedure that consists of small, multiple injections in a grid-like pattern over the affected areas. There is no downtime, it is safe,  easy and lasts on average 4-9 months. it costs $1100, including gst. Tristram clinic also has an iontophoresis machine which people can use short-term while deciding whether to invest in their own machine. Socially, emotionally, occupationally and financially the treatment of hyperhidrosis cannot be undervalued. to some the treatment is life changing. Constantly wet skin can cause chaffing, dermatitis and infections. One patient reported that he could now wear white shirts without leaving yellow underarm stains. He used to dread summer functions because he was too embarrassed to lift his arms up, but now he can safely remove his jacket. Make an appointment with one of our appearance medicine nurses at tristram clinic to find out more. If necesssary, they can arrange an appointment with a dermatologist, vascular surgeon or plastic surgeon for assessment. Sonya Ferguson, Tristram Clinic, 200 Collingwood St, Hamilton. T: 07 838...

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Celebrating 20 years

Posted by on 1:15 am in News | Comments Off on Celebrating 20 years

Tristram Clinic celebrates 20 years of appearance medicine   Increasing numbers of Kiwi men and women are discovering the benefits of cosmetic procedures like BOTOX®, lasers and dermal fillers. “It’s Hamilton’s best-kept secret,” says Sonya Ferguson, who has been offering appearance medicine at Tristram Clinic for 20 years. “Most older patients choose to keep it private, but I find women in their 20s or 30s don’t mind telling a few close friends. I’m also seeing far more men than I used to; they usually want to look less tired.” Celebrating its 20th anniversary this month, the Tristram Appearance Medicine Centre is regarded as one of New Zealand’s best. “It’s such an advantage for our patients to be treated at a medical clinic alongside qualified plastic surgeons and dermatologists,” says Sonya, a specialist aesthetic nurse. Over the past two decades, appearance medicine has transformed dramatically. “Back then all we could offer patients for treating their wrinkles was bovine collagen injections. I had to do two separate allergy skin tests and then wait four weeks before I could start. “Today we use dermal fillers containing hyaluronic acid, a natural component of skin that can be safely injected immediately.” Dermal fillers are used to gently ‘sculpt’ the face and restore a fresher, younger-looking appearance; often delaying the need for a facelift. Sonya says fillers are a great solution for lifting the cheeks or a sagging jawline, filling the tear trough below the eye, restoring volume to the mid-face, softening nasolabial folds, boosting thin lips, smoothing out scars, or improving the profile of a weak nose or chin. BOTOX® is another quick, cost-effective treatment that’s ideal for men and women who want to soften their frown, forehead, or crow’s feet lines. The staff at Tristram Appearance Medicine Centre are passionate about helping their patients look and feel more confident. “We believe the results should be completely naturallooking. We want our patients to look fresh, healthy and happy. Less is definitely best; no-one should be able to guess you’ve had any work done.” Sonya says the best part of her job is seeing patients’ faces light up when they look in the mirror. “They say ‘wow, I never thought that was possible! Those lines have bothered me for years; I wish I’d done this sooner.’ I get hugs from patients all day long; it’s so uplifting.” Your initial consultation to discuss any appearance medicine procedure –BOTOX®, dermal fillers, lasers or beauty therapies – is completely free. “That takes the fear out of it and gives you the opportunity to ask lots of questions,” says Sonya. “We actually prefer people to go away and think about it before they make a decision.” Staff are now looking forward to the July 30 formal opening of Tristram Clinic’s brand-new premises at 200 Collingwood Street. Meet Stella Wilkins A new addition to the team at Tristram Clinic is Stella Wilkins, a highly skilled nurse who has been practising appearance medicine in New Zealand and Australia for more than a decade. Stella is available to see patients for BOTOX® and dermal filler treatments twice a week, including Saturdays. She is very impressed with the modern facilities and advanced  techniques being used at Tristram. “All of the staff are very professional; from a patient’s point of view I would feel very comfortable coming here,” says...

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Say Goodbye to Tired Eyes!

Posted by on 6:41 am in News, Uncategorized | Comments Off on Say Goodbye to Tired Eyes!

Say Goodbye to Tired Eyes!

The nasal-jugal groove or tear trough is the groove between the lower eyelid and the cheek. This groove creates the dark circles under our eyes that can make us look tired and aged. These are often noticeable in our 30s and 40s. As we get older, the tear trough depression becomes accentuated. This is because the skin and soft tissues around the eye become thinner and less elastic. The skin sags, the orbital bones appear more pronounced and the fat pads of the lower eyelids bulge, aggravating the shadows. Patients with a nasal-jugal groove or otherwise known as a tear trough, often use a range of skincare products and a range of different coloured concealers and foundations to camouflage this area. There are also surgical and non-surgical treatments. Great results can be achieved with cosmetic surgery, especially for men and women over 50 years that have baggy eyelids. Consult a plastic and reconstructive surgeon to find out which eyelid procedure would be most suitable, which might include fat grafting or blepharoplasty. In the past, skin, fat pads and muscle were cut away to remove the bags, but this often accentuated the hollow look and deepened the nasal-jugal groove. Newer techniques move the lower eyelid fat so that it cushions the orbital rim and fills in the groove, restoring a youthful appearance. If the main problem is dark circles under the eyes, consider a more conservative approach. The tear trough can be lessened with either non- permanent or permanent dermal fillers to replace the lost volume. These offer immediate cosmetic results with low risk of complications. They can be used at any age, including in those who have had a previous blepharoplasty. The most popular non-permanent dermal fillers contain hyaluronic acid (polysaccharide), which is slowly injected in tiny amounts into the groove, using a fine needle. Hyaluronic acid is a harmless complex sugar and is a normal component of human skin. The treatment is a 30-minute lunchtime procedure with minimal discomfort. It can result in minor swelling and occasional bruising for a few days, but this can be easily concealed with makeup so there is little downtime. At Tristram Clinic, the cost to treat the nasal-jugal groove with a non-permanent dermal filler is around $470.00. The effect can last from 6-12 months or longer, when the treatment may safely be repeated. At Tristram Clinic, Sonya Ferguson (Appearance Medicine nurse) says that treating the nasal-jugal groove has dramatic results. It works immediately to make men and women look younger and less tired. (07)...

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Restoring and enhancing youthful contours of the face

Posted by on 6:39 am in News, Uncategorized | Comments Off on Restoring and enhancing youthful contours of the face

THE LATEST WORLD-WIDE TECHNIQUES ARE BEING used at Tristram Clinic to enhance the ageing face. As Tristram Clinic appearance medicine nurse Sonya Ferguson puts it: “It’s not so much about removing every line in your face and looking frozen, but about having shape in the face and restoring the face’s youthful contours.” This is achieved by placing new generation dermal fillers into the face, to restore the face’s balanced proportions. “We volumise hollows and recontour the cheeks and cheekbones, lift the nasolabial folds (nose to mouth lines), lift the marionette region (jowls), soften the chin and soften the nasojugal groove (the hollow beneath the eyes).” As we age we experience loss of facial fat, sagging due to gravity, loss of the skin’s collagen and elastin and even our facial bones begin to shrink. This causes our cheeks to gradually flatten and deepens the nasolabial lines. We also notice jowls forming below the jawline. Hollowing under the eyes can develop, resulting in dark circles. We can end up looking tired and sad. “Replacing the volume can take years off patients so they look better, and there’s no need for anyone to know why!” The face still retains its individual character, but as Sonya says; “Replacing the loss of volume restores the youthful contours of the face but we still keep some lines to ensure it looks natural.” The results are instant and can be quite dramatic. Tristram Clinic appearance nurses Sonya Ferguson and Deborah Wake use hyaluronic acid as their preferred filler as it gives a very natural look. Hyaluronic acid (HA) is a complex sugar that is normally found in human skin. HA assists in skin hydration by attracting and holding water. It combines with collagen and elastin to maintain skin structure and elasticity. Every face is unique and every patient is unique. This type of work is truly an art form Volumising and recontouring facial skin is a non-surgical procedure that usually takes 30 minutes to one hour. Sonya and Deborah aim to make dermal filler treatment as comfortable for the patient as possible. A series of tiny injections are placed into the skin. Some brands of hyaluronic acid contain local anaesthetic to reduce the discomfort of the injection. Otherwise an anaesthetic cream can be applied to the skin or you can have a local anaesthetic injection. After the procedure, a moisturiser is applied with a touch of mineral makeup. Most patients can return to work immediately afterwards. Hyaluronic acid fillers can last from four to six months in the mouth region and up to 18 months in the cheek region. There are a number of brands available in New Zealand, and they range in price from $440 to $1,200 for two mls. “It’s important to work with the bone structures under the skin, fat and facial muscle,” says Sonya. “Being able to recontour the face to make someone look healthy and youthful for his or her age, is extremely rewarding. Every face is unique and every patient is unique. For example, in males, it is important to maintain the square jaw. This type of work is truly an art form.” (Source: Que...

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Lips that look naturally beautiful

Posted by on 6:31 am in News, Uncategorized | 1 comment

Gently smiling and youthful lips are an essential component of a beautiful face and have been admired by men and women of every culture and ethnic group over the ages. It is important to remember that every lip shape is different. We may not all be blessed with an enviable pout, but it is possible to enhance what we’ve got! Women choose from a huge range of lipsticks and lip glosses to enhance their appearance and often apply lipstick many times throughout the day. Eventually, the effects of time, hormonal changes and sun exposure can no longer be disguised by cosmetics. As time goes by, we may notice changes in the shape of our lips. With age, they may begin to lose fullness. Our lips may appear thinner and elongated, leaving them less defined. We may also notice the appearance and deepening of vertical lip lines around the border of the mouth. These lines are commonly known as ‘smoker’s lines’ and develop over a number of years, through the repeated pursing of lips, such as when you smoke or suck on a straw. We also notice lines at the corner of the mouth known as a ‘mouth frown’. These lines often make us look sad. Fortunately, dermal fillers can reverse these ageing changes, although it’s important not to overdo these. You want to look great for your age rather than artificially 20 or 30 years younger. I aim for a natural appearance – a small roll on the border of a rounded lip, volume in the body of the lip, diminished lines on the top lip, a gently accentuated cupid’s bow and uplifted corners of the mouth. Dermal fillers can be used to make thinning lips appear fuller, but it’s important to make sure they still suit your face and genetic makeup. Your lips need to be part of your face! The art in creating youthful lips that belong to your face, involves a good eye. At age 50, they do not need to look like they should belong on a 20-year-old face. A lip enhancement procedure usually takes about 30 minutes. As the injections can be painful, the procedure often starts by applying a numbing cream or injecting local anaes- thetic into the area to be treated. Some dermal fillers contain local anaesthetic. At Tristram Clinic, I have a variety of dermal fillers to choose from. Most are made from hyaluronic acid (HA), a complex sugar that is a normal component of human skin. My choice of dermal filler depends on the shape of the existing lip and the desired enhancement. It truly is like being an artist and sculpturing lips to look balanced and natural is a true art. After a lip enhancement procedure, you can expect some swelling for a day or so and occasional bruising. The results are immediate. Generally lip enhancement lasts from between 4-9 months but there is considerable variation between individuals. It can be repeated as required. The price of a lip enhancement treatment can range from $478 to...

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Magic Mineral Make-up

Posted by on 6:21 am in News, Uncategorized | Comments Off on Magic Mineral Make-up

MINERAL MAKEUP is formulated from elements derived from the earth’s minerals. The makeup is a silk-like powder that contains a combination of ingredients such as; titanium dioxide, zinc oxide, iron oxides, mica or boron nitride. The minerals should appear at the top of the ingredient list and not at the bottom. (Ingredients are listed in descending order with the largest amount listed first.) Mineral makeup can also be defined by what’s not included in its composition. Most mineral formulas are a simple combination of four or five ingredients. This differs greatly from traditional makeup where minerals are listed under ‘may also contain’ at the end of a long list of fillers, binders, fragrances, chemical dyes and chemical preservatives. One of the most ubiquitous fillers is talc – a finely powdered magnesium silicate. Most quality mineral makeup will NOT contain talc or any of the top three sensitizers in cosmetics; perfume, chemical dyes and chemical preservatives. Technology has improved so much that titanium dioxide and zinc oxide can be micronized to a degree that they don’t leave the telling whiteness of the previously larger crystals on the skin. When minerals are applied they scatter light and give the illusion of perfection. Unlike a matte powder that absorbs light and allows one to see into the skin; mineral powders act like hundreds of thousands of mirrors reflecting and refracting light away from imperfections, creating the illusion of smooth uniform skin. The nature of minerals themselves is that they are anti-inflammatory, anti-microbial and sun protective. Minerals allow the skin to breathe and function normally, while providing broad-spectrum sun protection with a SPF of 20. Minerals form a protective shield that helps calm inflammation from acne, rosacea and erythema caused by cosmetic procedures or medical procedures. Minerals are inert and cannot support bacteria and are safe to use on sensitive skin and because they are oil-free and non-comedogenic (they don’t block pores) the skin is able to breathe and function normally. Some mineral makeup includes a combination of active ingredients such as antioxidants, vitamins, coenzyme Q10 and green tea. The inclusion of these ingredients means that the epidermis not only looks good but is also well nourished. One of the key benefits of mineral makeup is that it can be used as lightly or heavily as needed to create the level of coverage required. Mineral makeup can be used to camouflage large areas as well as smaller imperfections. When applying mineral makeup for the first time there is a tendency to use too much product. Just apply light circular brush movements and set with a moisture spray mist. Mineral makeup provides an all-in-one formula for foundation, colour, camouflage and sun protection whilst at the same time nourishing your skin. (Source: Mineral...

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Sonya Ferguson’s Profile 2009 Beautiful You

Posted by on 10:09 pm in News, Uncategorized | Comments Off on Sonya Ferguson’s Profile 2009 Beautiful You

Sonya joined Tristram Clinic in 1993 as the Plastic Surgery and Dermatology practice nurse. She specialises in appearance medicine which is a relatively new medical term describing treatments that combine art and science to enhance a person’s appearance. Sonya uses BOTOX® and dermal fillers to reduce the signs of aging, to soften wrinkles, to volumize the face and to create naturally beautiful lips. Sonya also uses IPL, chemical peels, and radiofrequency. Tell us about your experience I have 16 years experience in the field of appearance medicine. I work closely with the plastic surgeons and dermatologists at Tristram Clinic as this ensures the best possible outcome for all patients. I have been involved in training New Zealand doctors and nurses in the art of dermal filler injecting. I regularly attend conferences and workshops to keep up to date with the latest products and best practices. What type of procedure do you perform most often? BOTOX® and dermal fillers are the most sought after treatments. I have a special interest in volumizing the aging face and lip augmentation. My work is a form of art and I believe that a person needs to look naturally beautiful, not frozen or overdone. What do you find most rewarding about your work? When a patient looks in the mirror after treatment and goes wow! I look amazing! I know they are really happy and their self-confidence increases to a new level. This has to be the best job in the world. Each day I make a difference to a person’s life and that is extremely rewarding. What do you consider to be the best advance in appearance medicine since you started in this field? It would have to be BOTOX® and the new generation dermal fillers. How I treated aging 16 years ago is very different to today. With BOTOX® I can reduce the early signs of aging and with the new generation dermal fillers I can volumize the aging face and add some youthful curves and sculpture the face. These new products and techniques are extremely exciting. What is the most common misconception about these types of treatments? That you end up looking frozen! I believe that appearance medicine is truly an art. I know that I’ve done a good job when a person looks natural and gorgeous and they don’t look as though they’ve had any type of...

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