Blank canvas
Leanne Cashmore from Cashmore Clinic explains the wonders of new-age laser technology with the introduction of the Ultra MD.
Leanne Cashmore from Cashmore Clinic explains the wonders of new-age laser technology with the introduction of the Ultra MD.
PHOTO Salina Galvan
Clients often ask, what is one thing I can do to improve my skin? The most obvious is sunblock. Sun protection is the number one thing you must do. But, of course, I can never give an answer for just one treatment.
There are so many skincare options out there today, with clinics promising all sorts of treatments to turn back the clock. Good skin is a result of a combination of those treatments, and taking care of it is much like going to the gym. Consistency over a long period of time is the only way you really see results.
Starting with active skincare will make a difference, but it will take time. For a quicker fix, in-clinic needling and peels will produce fast results, but laser treatments will work even faster.
No one wants pain or downtime and, finally, the laser gods have listened. The recent release of the amazing Ultra MD laser means there’s no pain (with numbing cream applied prior, you could almost fall asleep), skin is only a little flushed when you leave, and it feels a bit like fine sandpaper for about a week. All much more manageable than the old laser treatments. Prior to machines like Ultra, conventional resurfacing lasers would cause pain with days or weeks of downtime to recover.
With Ultra, when the old skin sheds, the new layer is much brighter, smoother and fresher, and after a course of three to six treatments, you will have less pigment, sun damage and fine lines.
The way it works is that it creates tiny thermal zones in the skin, prompting the body to quickly generate new tissue. It increases permeability with minimal mechanical disruption to the outermost layer of skin and also treats mild to moderate cases of actinic keratosis, benign pigmented lesions, lentigos, and freckles across the face, neck and décolletage.
A roller system is used, gently gliding over the skin, which takes as little as five minutes to 20 minutes, depending on the surface area and produces instant results for pigment and sun damage, tone and texture.
The Ultra can be combined with other machines as well to get incredible results. Using the Secret RF and Ultra MD for a double whammy treatment at one time can cause the most amazing skin rejuvenation. And combining the IPL Veloce and the Ultra MD treats pigmentation at a deeper level.
Unlike other laser treatments, the Ultra can be used on any skin type at any time of year.
There’s nothing else quite like it being used in clinics at the moment. So, when anyone asks me what is the number one treatment that will make a difference, right now I would say Ultra MD is the one.
Before
After
Start anew
Cashmore Clinic’s Leanne Cashmore on a treatment that can help you gain a firmer foundation.
Cashmore Clinic’s Leanne Cashmore on a treatment that can help you gain a firmer foundation.
photo Salina Galvan
At the Clinical Aesthetics Symposium I attended in Auckland recently, the talk was firmly focused on skin treatments. There wasn’t a single presentation on botulinum toxin and not much at all about dermal fillers.
So many new and exciting treatments and applications have arrived in New Zealand, making the Australian injectors very envious, as many of them are not yet available there.
Getting things across the line in Australia is more difficult than it is here, so we get to benefit from them a good couple of years before our trans-Tasman counterparts do.
I want to talk about the RF microneedling device that was a hot topic of discussion at the symposium. We’ve had such a device at the Cashmore Clinic for a couple of years now and it’d have to be one of our favourite skin treatments. ‘RF’ stands for ‘radio frequency’.
The treatment is designed to remodel collagen from the inside out and is used for scars, sun damage, wrinkles, stretch marks, pores and improving overall skin quality.
The radio frequency (heat) delivers controlled energy at various depths (via the needles) depending on what we’re treating, to tighten the skin and promote the production of collagen and elastin. It can penetrate deeply to give much better results than your standard needling, which treats only the superficial layers of the skin.
We recommend having RF needling in winter (because avoiding sun exposure is advised post-treatment) and scheduling a series of sessions for optimal results. The treatment takes around an hour. A strong anesthetic cream is applied to the skin and left to take effect, then the needling itself lasts for around 20 minutes. Your skin will be only mildly pink when you leave the clinic, and you can apply make-up and follow your normal routine the next day. Four weeks later, you’ll have a second treatment, then a third treatment a month after that. Three is the minimum we recommend; four to six is even better.
Before and after RF needling.
With RF needling, skin continues to improve for three months after your final treatment. You also have the option to have topical growth factors infused immediately afterwards, such as PRP (Platelet Rich Plasma), where your own blood is separated into red blood cells and plasma, and the plasma (which is full of goodness that further enhances luminosity and improves skin texture) is infused into your skin.
The latest technology to infuse is exosomes. They pack even more of a punch than PRP and are more predictable. Extracted from young human adipose (fat) tissue, this is cutting-edge technology and a good option for hair restoration as well. They’re another whole topic, so I’ll go into it in more detail in a future issue.
People often want a quick fix, like that achieved by botulinum toxin and fillers, but remember, we also need a good canvas to work from. RF needling has limitations. It isn't a face lift, it’s a skin treatment. A full consultation will help us determine if it’s the right procedure for you.
Invest in your skin
Cashmore Clinic’s Leanne Cashmore reminds us that beautiful skin requires commitment – not a miracle.
Cashmore Clinic’s
Leanne Cashmore reminds us that beautiful skin requires commitment
– not a miracle.
It surprises me how many people start their skin journey with botulinum toxin and dermal fillers. Often they want a quick fix, the easiest option, with instant results. If you’re willing to invest that money into injectables, you should be willing to invest it into your skin first. Your skin is an investment, not an expense.
There are so many devices, machines, facials and supplements available to enhance our appearance, which also help our botulinum toxin and fillers last longer and look better. Here are just a few that will get your skin in tip top shape.
SKIN PEN NEEDLING
People get put off this procedure as it involves needles, but the depth is controlled so as to not inflict pain that requires anaesthetic, but deep enough to stimulate collagen and elastin production. It's a slow burner requiring regular treatments to see the long-term results of a firmer, plumper and more hydrated appearance with minimised fine lines, pores and pigmentation. You can buy pre-purchased packages that make it inexpensive and with monthly treatments.
RADIO FREQUENCY NEEDLING
Radio frequency needling is a medical grade needling experience where you get two treatments in one. Needling creates microscopic wounds in the skin which trigger collagen production. Radio frequency technology is emitted through the needles to penetrate deeper layers of the skin, triggering the skin's natural healing process (this treatment includes numbing cream). The heat has a tightening effect on the skin and can help acne by shrinking the sebaceous gland and reducing oil production in the skin. It’s an FDA-approved treatment and considered gently stimulating and minimally invasive.
FACIALS
The list is endless. These treatments are a relaxing, rejuvenating experience that takes an hour or less and does wonders for your skin.
Dermaplaning: Removing the fine hair and dead skin cells to help your skin better absorb products, creating a radiant glow and ensuring flawless makeup.
Peels: These are amazing for gentle exfoliation and personally tailored to
suit your skin, whether it’s acne, pigmentation or just general dullness and lacklustre.
Hydrafacial: This amazing machine deep cleanses, exfoliates, and extracts impurities from pores with a painless gentle suction, hydrating the skin with intense moisturisers. The skin looks incredible afterwards, especially when combining treatments with dermaplaning, creating the perfect facial that is amazing before an event.
SUPPLEMENTS
Collagen powders have proved their worth, having a controversial history but recently backed with reinforcing evidence. During treatments, the addition of collagen supplements will aid the healing of the skin. For premium absorption, look for hydrolysed marine collagen, including extras like zinc, keratin, silica and vitamin C to offer more benefits.
Great skin is in! It takes time and persistence; you will see results and prevent further damage by starting regular tailored treatments.
Plump and smooth
Local beauty expert Leanne Cashmore from Cashmore Clinic reveals all you need to know about Botox and fillers.
Local beauty expert Leanne Cashmore from Cashmore Clinic reveals all you need to know about Botox and fillers.
After years of administering injectables, I’m surprised how many people still don’t know the difference between botox and fillers. Firstly, Botox® is a brand name. Other brand names that are widely used in New Zealand are Dysport®, Xeomin® and Neuronox®. They all fall under the umbrella of neuromodulators (muscle relaxants).
But what is a neuromodulator? A neuromodulator is a tiny protein that blocks the communication between a nerve and muscle cells. As a result the muscle cannot move. Don’t get too fixated about what brand to use – so long as you are going to a reputable clinic, you are in safe hands. The baseline ingredient (botulinum Type A toxin) is the same. The difference is their molecular makeup, but essentially they all achieve the same result.
Muscle relaxants are used to temporarily stop an expression that is causing the creases you want to get rid of: frowning, squinting, raising your eyebrows, pursing lips (also known as dynamic expressions). Once the expression is halted through a muscle relaxant, the creases soften.
It is also used for jaw clenching (TMJ) and excessive sweating (hyperhydrosis). Neuromodulators have been used in the medical field for all sorts of conditions outside of beautification.
Now to understand more about dermal fillers. One example is Restylane®, but there are too many on the market to name them all. As an overall statement, they are used to add volume to an area that has lost volume, to lift the skin, lips, cheeks, chin, jaw, fine lines. The product is made up of a substance called hyaluronic acid that is already found naturally throughout our body. Our bodies produce less of this as we age. Once it is injected under the skin, the hyaluronic acid works by attracting water to the area, which causes the skin to plump out the wrinkles, hollows and folds. This can last a lot longer than neuromodulators – up to 18 months.
Both products work well together. Though there is only so much we can do with neuromodulators, it is becoming very popular to use as a preventative. But once we get to a certain age, losing volume in our face and elasticity in our skin is inevitable and dermal fillers and skin boosters, such as Profhilo®, are the best ways to improve this.
Don’t let the fear of needles get to you. It’s quick, easy and relatively painless. We can use anaesthetic creams to make it easier. The amount of people who say I wish I had done this sooner is far too common.
If you do choose either, or both, I recommend you go with someone
who has experience. We are regulated in this country so only medical professionals can inject. I myself have worked in a private practice dermatology clinic for nearly 21 years. This was after completing an 18-month internship at Tauranga Hospital shortly after graduating from nursing.
While working in dermatology, I specialised in appearance medicine.
Here I learned about injectables and everything about skin, skincare, and
what works from the best in the field. They taught me everything I know and I’m forever grateful for that experience.
After my children had grown I decided I needed to learn some new skills.
I opened my own business in 2018, which went very quickly from renting a small space with a hairdresser friend to buying my own building and having staff to help me. I concentrate on all the injectables and I have a nurse, Ann, who does everything skin, peels, needling and PRP, with lots of new treatments on the horizon.
Keep an eye out for my columns in UNO, where I’ll be giving you the lowdown on everything from skincare to cosmetic enhancement.
Remember, when you look your best you feel your best, and summer is
right around the corner!
Botox®, Prescription Medicine for the treatment of frown lines and crow's feet. Botox® has risks and benefits. Botulinum toxin type A 50, 100, 200 units. For product information check
with your doctor or consumer medicine information on www.medsafe.govt.nz. Allergan, Auckland. Restylane®, Medical Device Class lll to smooth facial wrinkles and enhance lips by restoring volume and fullness. Restylane® has risks and benefits. For product information check with your doctor or from product details with the supplier. Galderma, Auckland. Dysport®, Prescription medicine for the treatment of frown lines and crow's feet. Dysport® has risks and benefits. Botulinum toxin type A 300 or 500 Ipsen units. For product information check with your doctor or Consumer Medicine Information on www.medsafe.govt.nz. Click for further details. Galderma, Auckland.
A new era
Registered nurse Leanne Cashmore from the Cashmore Clinic has more than 26 years' experience in women’s skincare. Here she takes us through the challenges that menopause can have on skin, and what we can do to combat them.
Registered nurse Leanne Cashmore from the Cashmore Clinic has more than 26 years' experience in women’s skincare. Here she takes us through the challenges that menopause can have on skin, and what we can do to combat them.
Menopause can have a dramatic effect on the skin. Without hormones, our aging accelerates by around 30 percent. Because our skin is so visible, being the largest organ on the body, it is one of the areas we first notice the most rapid changes.
Often people tell me they feel like it happened overnight. One of the reasons for this is that oestrogen receptors are very abundant around the face and the decline of oestrogen is part and parcel of menopause.
Tell-tale signs can include thinning skin, wrinkles, skin laxity and dry skin, as well as hair loss, thinning of the hair and hirsutism (abnormal hair growth in women on the face).
The best way to treat perimenopausal and menopausal skin is to find a good skin therapist, and make sure it’s someone you can trust. Take a hormone replacement if your doctor recommends it for you, too.
There are many cosmetic options these days, including amazing bio stimulator hyaluronic acid dermal fillers that promote hydration. This involves basically injecting moisturiser into the skin and stimulating your own collagen by way of regular needling appointments.
Needling helps with tightening and minimising the visibility of fine lines, and it has been scientifically proven. So if you don't already do it, start now! The latest technology, Secret RF radio frequency needling, uses heat to tighten the skin and needling to cause collagenesis.
Peels and resurfacing treatments brighten the skin and diminishes
pigment and irregularities.
Platelet Rich Plasma (PRP) is another way to promote collagen. Your own blood is full of growth factors that can be injected or infused into the skin, to produce collagen for fine lines and thinning skin.
Low-level light therapy promotes skin rejuvenation by stimulating
collagen production.
Outside of the clinic, it’s a good idea to consistently stick to a skincare regime which includes lots of hydrating serums and moisturisers. Never use soap. Use a cleanser that is suitable for your skin and try to use a mild cleanser at night, which will allow serums and moisturisers to absorb.
Use an SPF daily, take oral supplements such as zinc and collagen powder, and adhere to a healthy diet while getting plenty of sleep and limiting alcohol and sugar. All these combined will have an amazing effect on the skin.
You can get away with ignoring these health principles when you're younger, but it's impossible after 40.
Treating your skin is a journey. It's maintenance that is no different to maintaining a car or a house. It’s no different to colouring your hair or
whitening your teeth. It's a commitment, and the changes don't happen overnight. If you’re considering using botox or fillers, a good canvas to work with is important.
We have to remember it has taken years to get our skin to get to where it is today, and it's going to take some time and patience to bring it back to life. But it's never too late. Small changes over a course of time make big changes to your confidence when you see the results.
Visit Leanne at Cashmore Clinic and have your skin analysed with the latest technology, Observ 520, or simply get some skincare advice.