Dermatology is a practice that incorporates sound medical principles with cosmetic procedures that are safe, effective, and minimally invasive.
With so many choices available for patients, it can seem overwhelming to decide who can offer the best advice, the safest treatments and the most dependable outcome. Television, magazines, and other media can give misleading information to patients who are curious about the latest products and procedures.
Intense Pulsed Light
For the treatment of red thread veins, acne, unwanted hair, sun-damaged skin, photo rejuvenation, red & brown blotchy skin and age spots. Also used as an alternative to laser therapy where this has failed to work sufficiently well.
Soft tissue fillers
For volume loss and to smooth out wrinkles.
Photo Dynamic Therapy (PDT)
For the scar free treatment of thin skin cancer and pre-cancerous growths where surgery would be disfiguring.
Photo Dynamic Therapy (PDT) for thin skin cancers and pre-cancerous skin growths
Porphyrins are naturally occurring chemicals that when exposed to light glow or burn. This phenomenon has been exploited to successfully treat many different kinds of cancer.
Skin cancers which are confined to the epidermis (upper skin layers) and pre-cancer growths (those that will eventually become skin cancers) can be treated very successfully with PDT. These types of tumours and growths tend to be thin but large. To remove them surgically is complicated and often requires a disfiguring skin graft. Surgery is not always successful because of the tendency of these lesions to form discrete satellite clusters.
PDT is a recognised treatment for:
- Basal cell carcinoma
- Bowen’s disease (Squamous Cell Carcinoma in situ)
- Actinic or Solar Keratosis (a pre-cancerous skin growth)
- Diffusely sun-damaged skin (wide areas of skin involved with Actinic Keratoses)
How does PDT work?
The porphyrin chemical is absorbed by abnormal cells only. Natural light is shone onto the skin either at a high dose over a short time or at a low dose over a longer time period. Two treatments are required separated by at least two weeks.
How is the treatment carried out?
You will be asked to attend the clinic a minimum of 3 hours before hand. At this time the porphyrin containing cream will be applied to the skin to be treated and then covered. After 3 hours, the cream is wiped off and natural light is shone onto the skin with either a halogen light source (approx 9 mins) or an IPL device (approx 1 min).
Am I suitable for treatment?
There are no contra-indications except pregnancy and a few rare skin and liver disorders. If a scar free result is important to you, then you should seriously consider PDT.
Is it safe?
The treatment is uncomfortable when the light is being shone onto the skin. The skin will have the appearance of a graze or sunburn after treatment and slowly settle back to a normal flesh colour. Any blotchiness or freckles will also be removed from the treated area.
How many treatments are necessary?
Two – one treatment each week.
Avoid sun exposure on the treated area and keep it dry for 24hrs.
Liquid nitrogen treatment for viral warts and other superficial blemishes.
For the accurate assessment of moles. This technique confidently diagnoses harmless skin blemishes from skin cancers including melanoma. This avoids unnecessary surgery and allows for long-term mole monitoring in those at risk from developing skin cancer, particularly melanoma.
The removal under local anaesthetic in a modern skin surgical unit of harmless but annoying skin lesions and skin cancer.
Assessment of immediate and delayed allergic reactions. RAST tests, food battery and inhalation battery screens, and patch testing.
Microsclerotherapy is a technique that enables removal of unsightly thread veins that commonly occur on the legs in women. It involves injection of a chemical known as a ‘sclerosant’ in to the vein through a tiny needle and is usually painless. Up to 20 or 30 veins can be treated in one session which lasts around 45 minutes. A course of 3 – 5 treatments is commonly required, spaced at around 4 weeks apart.
Patients are advised to mobilise normally following injection and we recommend wearing some form of compression hosiery after treatment to reduce potential bruising and swelling.
Around 80% of veins treated are permanently removed although other veins may develop as time goes on. Occasionally patients experience some discomfort after treatment and a rare complication is inflammation and ulceration of the skin overlying the treated vein.
A consultation with a consultant dermatologist is advised to correctly diagnose your problem, estimate the success of PDT for you and discuss as well as offer the full range of alternative medical or surgical treatments available.