Prejuvenation – Forever Young?
The world of beauty is changing, moving from treating problems to  preservation and prevention. Using known and emerging techniques, cosmetic surgeons can now help us to preserve our radiance and toned look of youth.  We always thought – would it not be great if we could delay or prevent the appearance of ageing. This is now possible.
‘Prejuvenation’ is the term,  that applies to the use of cosmetic medicine procedures that focus on preventing the signs of ageing, such as the use of fillers, botox treatment and advanced rejuvenating facials.
In the west, prejuvenation is rapidly becoming popular among the young adults, such as  people reaching young adulthood around the year 2000. This has been propagated  by its popularity among celebrities and visibility on social media.
“A reported 64% of member facial plastic surgeons reported an increase in cosmetic surgery or injectable treatments in the under 30 crowd”, according to the American Academy of Facial Plastic and Reconstr­uctive Surgery (AAFPRS). “They are using these treatments as a preventative measure; facial muscles that cause wrinkles can be trained to move less, thus stopping wrinkles before they start”, according to AAFPRS.
Our face has complexly arranged muscles (face has 26 muscles) so some of these treatments are quite complex. To be safe and for best results, the treatments must be done by or performed under the direct supervision of an accredited, qualified, trained  and experienced  cosmetic surgeon.
Beware of cheaper options, as your face is your mirror to the world.
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Rejuvenate Your Face

When you look in the mirror, do you see a tired looking face? This is not uncommon. Acing, stress, pollution and sun damage are constantly battering our skin. The supporting fat and collagen decreases, leading to sagging skin, fine lines and wrinkles. There are actions we can take in our daily life to look after our skin – eating a healthy balanced diet, regular exercise,  good sleep and regular use of sunscreen  are some. But this may not be enough. Not to worry. There are so many options for facial rejuvenation available now.
  • Laser rejuvenation - Laser treatments have been used for skin rejuvenation for many years. There are various different laser machines available now and the quality of their performance is constantly improving.
  • Injectable botulinum toxin and dermal fillers - Botox is a purified protein that inactivates muscles and prevents it from contracting. It has been used in medical management of several conditions,  for several years and is known to be safe. It’s use in facial rejuvenation has become very popular. When injected into the facial muscles, it temporarily paralyses the muscles and smoothes the wrinkles and fine lines.   There are many dermal fillers available,  and these are  injected to add  volume to the face, again smoothening the skin and adding support to the face skin and muscles.
  • Platelet Rich Plasma (PRP) Therapy - A simple, quick and effective therapy for restoring radiance to the face. A small amount of blood is withdrawn from the patient. It is centrifuged to separate the platelet rich plasma from the other blood cells, and this extract is injected into the facial skin using a very fine needle. Platelet rich plasma is rich is growth factors, and has great potential to repair and restore collagen.
  • Autologous fat grafting - Is a very popular facial rejuvenation procedure.  Fat is harvested ( removed via fine cannula) from one part of the body, purified and then injected into the facial area, using fine needles. This helps by adding volume and is a safe procedure with no risk of rejection. These days, the fat can be treated to extract fat stem cells, which has better rejuvenating and repairing potential. This is called Nano fat grafting.
  • Thermage - Is also  known as the ‘lunch time face lift’, and is a safe, non-invasive facial rejuvenation technique.  A hand piece delivers radio frequency heat energy deep into the collagen containing layers of the skin. This energy  stimulates the collagen to renew and repair itself, adding  volume and improving the texture  of the facial skin.
  • Surgical face lift - This is useful when the degree of facial sagging and wrinkles is of such degree, which is unlikely to be corrected by the above techniques. It is done under a general anaesthetic and so you may need to take some time off work. The bruising and swelling may take a a few days  to settle. Fat grafting is often  combined with surgical face lift procedure to improve results. The results of face lift continue to improve over several months.
See your cosmetic surgeon, who will be able to  guide you as to which procedure is best suited to you.

Remember, your face is a complex and delicate structure. Only a suitably qualified and trained doctor should be trusted with it.
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Weight loss!

There is so much written about various weight loss methods that it can be confusing to know what advice to follow.  It is definitely true that maintaining a healthy weight is important for cardiovascular fitness and overall well being. We know for certain that it prolongs life.

So what to eat? The basic principle for weight loss is that the calories consumed must be less than the calories used. So any weigh loss programme should combine eating healthy, balanced, low calorie diet and an effective exercise regime. One does not have to go to the gym to be active. Small lifestyle changes also count. Walking to the shop, using stairs instead of the lift, getting up to pick up the remote or to get a glass of water.

Setting a target of how many steps you take a day is useful to keep yourself motivated. Appliances like smartphones or Fitbit help you track your activity.

Set up targets and share with friends.

Count your calories and be on the move.



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