Prescribing Aesthetic Nurse Practitioner INP RGN with 16 years experience within medical aesthetics.  18 years RGN. 12 years INP.
Founder and Clinic Director of Sur Medispa since 2016 which specialise in all non surgical medical aesthetic treatments such as facial injectables, IV Vitamin infusions, medical grade devices, skin care and body treatments.   Previous Teoxane faculty (Regional trainer) for 4 years.  Scottish Faculty lead of The London Academy of Aesthetic Medicine (The LAAM) since 2021.  
A Director and founder of Sur Wellness based within Glasgow city centre offering facilities for both surgical and non surgical treatments as well as GP services, training alternative therapies etc.


Sur Medispa

www.surmedispa.com

Nurse

The delivery of ultrasound waves through the skin to the underlying fat in order to reduce or destroy fat cells.  Most devices used to reduce fat non-invasively use focused ultrasound:  sound waves that focus at a particular point under the skin to burst fat cells.  Localised areas are treated, such as lower tummy or love handles, and more than one session is normally advised.

Non-invasive ultrasound fat reduction

Skin tightening that occurs when collagen is stimulated due to heating of the tissues from radiofrequency (RF) electromagnetic energy. Usually a solution is applied to the skin and a probe passes over the surface, gently heating the tissues to the desired temperature. External RF is a non-invasive treatment. A number of treatments may be recommended.

Radiofrequency external skin tightening

The peeling away of the outer layer of dead skin cells on the skin’s outermost layer. Most microdermabrasion devices use tiny particles, diamond-tipped grits, or patented tips to gently blast or scrape away the epidermal cells. Microdermabrasion is designed to give an instant smoothing effect, although a course of several treatments is often recommended to give better results over time. The skin may be pink after treatment but this usually resolves quickly.

Microdermabrasion

A peeling treatment that uses lasers, such as carbon dioxide and erbium lasers, to remove the outer skin layers precisely. The type of laser and settings used determine how the skin peels and heals. Laser skin resurfacing is used to reduce sun damage, pigmentation, and fine wrinkles. The treatment usually requires some form of anaesthesia and special skin care during the healing period after the treatment.

Laser skin resurfacing

Light emitting diode (LED) devices produce light wavelengths that correspond to light in the visible spectrum, such as red and blue. LEDs may be placed over the face, shielded using eye goggles, to treat acne, wrinkles, redness and other conditions.  Blue light is purported to treat acne, whereas red light may be used for collagen stimulation or hair growth.

This treatment uses tiny needles to penetrate the skin and deliver heat at the same time.  Radiofrequency energy passes through the needles in order to provide heat, either through the whole needle or just the tip. Radiofrequency needling is designed to stimulate collagen and tighten tissues more than needling alone.  The treatment is usually performed using local anaesthesia.

Radiofequency needling

Extracorporeal shockwave therapy (ESWT) is used in aesthetics to reduce fibrosis, improve cellulite, or encourage lymphatic drainage.  The non-invasive device is applied to the skin over a gel.  A pneumatic driven piston gyrates within the hand piece, delivering shockwaves that exert their effects. Shockwaves may encourage blood supply, release growth factors and enhance healing.

Shockwave therapy

Several small injections are made into the middle layer of skin in order to deliver agents such as vitamins, antioxidants, hydrating or other substances.  Mesotherapy is used in aesthetics to hydrate skin, improve radiance, or stimulate cells in hair follicles and fibroblasts to help improve collagen production.  Topical numbing may be applied and the substance is injected either manually or using a special injecting device called a mesogun.

Mesotherapy

A treatment used to tighten and lift areas of the face or neck non-invasively using a device that delivers sound waves through the skin.  The sound waves focus precisely, generating heat in tiny zones at different depths.  The heat creates tiny injuries that result in collagen stimulation, providing a tissue tightening effect.  There is usually minimal or no downtime and a single treatment is used to produce results that improve during the months following treatment.

High-intensity focused ultrasound (HIFU)

A special wire is passed into the vein using ultrasound to guide it into the correct position.  Once in place, radiofrequency energy is used to heat the varicose vein from the inside, destroying the lining of the vein.  This causes it to close, resulting in a reduction or removal of the abnormally dilated areas.  The procedure is minimally invasive and usually performed under local anaesthesia.

Radiofrequency ablation

The device is used to remove the outer layer of skin using plasma. Plasma is a form of matter generated when atoms in gas molecules, such as nitrogen, lose their electrons and become positive ions. Although a plasma device is not a laser, it can have similar applications, such as tightening skin or removing fine lines. Plasma devices may remove the top layer of skin, resulting in a some downtime during healing.

Plasma skin rejuvenation

Agents such as creams, lotions, serums and ointments that contain active ingredients designed to help improve the skin or lesions on the skin.  Cosmeceuticals include vitamins, anti-oxidants, acids and retinoids that have several benefits for skin.  Many of them are home use agents, applied according to specific protocols and they exhibit their beneficial effects over time.

Cosmeceuticals and topicals

Hyaluronic acid gel fillers can be removed by injecting an enzyme called hyaluronidase into the filler or area. To remove permanent fillers, it may be necessary to use surgical methods. Fillers may need to be removed if they are causing lumps, asymmetry, reactions, or more serious complications like blocking blood vessels causing damage to tissues.

Remove filler

This is used to remove unwanted skin cells by freezing them. The area is sprayed until temperatures are so low that the skin lesion freezes. More than one treatment may be necessary to remove the unwanted cells. Cryotherapy, or therapy that induces very low temperatures in tissues, may also be used to treat unwanted fat. This is called crylipolysis or “fat freezing”.

Cryotherapy

Microneedling is a treatment where numerous tiny needles penetrate the skin to stimulate collagen, resulting in tighter skin with fewer lines and improved texture. The needles are small, usually up to three millimetres in length, and arranged on a device such as a stamping tool, pen, or roller. Local anaesthesia may be used to numb the skin before microneedling is performed. The skin can appear pink after the treatment, which may be repeated several times for best results.

Microneedling

Low-level laser therapy (LLLT) is used to have an effect on cells in tissues without heating them.  Light at a certain wavelength is delivered to the tissues using the device at a low energy.  This may be used to reduce fat or weight non-invasively.

Low-level laser therapy

Various technologies and devices are available on the market designed to help improve cellulite.  Non-invasive cellulite therapies include physical massage with rollers, shockwave therapy, ultrasound, and radiofrequency.  Most of these devices heat the tissues under the skin or manipulate the tissues physically in order to improve blood flow, release growth factors, and stimulate lymphatic drainage. The result is a smoother appearance. Regular treatments are usually advised.

Non-invasive cellulite therapy

A series of small injections of a purified neurotoxin that temporarily blocks nerve impulses to muscles or other tissues, causing the muscles to relax.  When muscles relax, the overlying skin moves less, effectively reducing wrinkles.  Botulinum toxin injections can be strategically placed for various other indications, including rejuvenation of the upper and lower face, reducing sweating, and medical conditions such as migraine. The effects usually wear off after a few months.

Botulinum toxin injections

Orally administered drugs to improve a condition, improve health or enhance wellbeing. Medications often play a complementary role in aesthetic procedures and skin therapies. They may also be recommended for the treatment or prevention of infections.

Medications

Lasers use a specific wavelength of light to exhibit their effects. The wavelength determines the target for that specific laser. Most lasers are designed to heat and destroy a specific target and leave surrounding tissue untouched and undamaged. Lasers can peel skin, remove hair, rejuvenate skin, treat vascular conditions and remove pigmentation and tattoos. Various safety protocols are required when lasers are used, such as eye protection with goggles or eye shields.

Laser

The most commonly used fillers today are non-permanent and consist of hyaluronic acid, a naturally occurring molecule found in skin, joints and in the eyes.  Several brands of hyaluronic acid filler are available.  They all comprise a clear, soft, sterile gel that is injected into the skin or beneath the skin to soften lines, contour facial features, or add volume.  Fillers may be injected under local anaesthesia, and results can last about 6-18 months.

Fillers

A skin resurfacing or peeling treatment that uses chemicals, usually special acids, to remove the top layer of skin. A chemical peel is indicated to treat pigmentation, sun damage, acne, or fine wrinkles. The depth of peel, results, and recovery period depend on which chemical is used during the peel. Chemical peels can be superficial, medium depth, or deep peels. Peeling agents include salicylic acid, azelaic acid, glycolic acid and trichloroacetic acid (TCA).

Chemical peel

In some cases, fillers are injected into the soft tissues to reshape the nose and make it appear straighter or more defined.  The most commonly used fillers for this purpose are non-permanent fillers like hyaluronic acid, a clear, sterile, biocompatible gel substance.  Other non-surgical rhinoplasty techniques use botulinum toxin injections to elevate the tip of the nose.  Some doctors use threads to modify the appearance of the nose.

Non-surgical rhinoplasty

Lasers are powerful devices that emit light at certain wavelengths in order to have an effect on tissues in the skin or body. Ablative lasers vaporise or peel skin. Non-ablative lasers usually heat skin without peeling. Lasers can heat collagen effectively, causing improvement in texture, tightness and pores. Lasers can be used to rejuvenate by treating blood vessels, removing hair, stimulating biological processes or peeling the outer, unwanted layers of skin or tissue.

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