What really lies beneath your skin?

Successful skin treatments are dependent on a skilled skin practitioner’s ability to take an in-depth patient history, a visual skin analysis, and the ability to interpret results and plan an effective program of care. This is why we have the OBSERVE 520 here at The Medished.

What is OBSERV 520 and how does it work?

The Observ 520 is an advanced camera that takes a series of photographic images with varying lights to provide insight into skin concerns and see the extent of damage beyond what is noticeable to the naked eye. By placing your head within the canopy and holding still the Observ 520 will take a sequence of six photographs. These images are displayed and stored on an iPad device making it an excellent tool to view and identify your skin concerns including, oils, pores, pigmentation, hydration, vascularity. The video below demonstrates how quick and easy the skin analysis process is.

The Observ 520 can help to consolidate findings and highlight issues not evident to the visible eye. If you are curious about what is hidden beneath the surface of your skin, a detailed skin analysis would reveal abnormalities not visible to the naked eye. Everyone’s skin is different. The advanced, state of the art, diagnostic tool, Observ® 520 Skin analyser comes in handy to provide your skin analysis!

If you as a patient understand your skin, you are in a better position to understand why a skincare product or treatment has been recommended for you. There will be a digital record of your skin before your treatment and after so you can see for yourself whether it has improved.

So what are the 6 images that we see?

Daylight Mode: allows evaluation of your skin in a bright but neutral illumination, facial features are evenly illuminated. This mode allows clinical evaluation of your skin in a controlled natural daylight environment.

Cross Polarised Mode: identifies and visualises redness, vascular conditions, discoloration, rosacea, acne, inflammations, skin tone, pigmentation and sensitive areas.

Parallel Polarised Mode: enhances the visualization of the skins surface texture such as; fine lines, wrinkles, pore structure and visibility, dehydrated skin and hyperkeratosis.

True UV Mode: identifies hidden skin conditions not visible under normal lights such as; pigment inside the skin (sun damage and freckles), sebum gland activity, scar tissue growth and overall pore health.

Wood’s Mode: replicates the blue light from the Wood’s lamp allowing identification of lipids, oils and overall congestion which may be underlying.

Complexion Mode: THE BEST MODE...uses the cross-polarised images with the objective of amplifying impurities. This mode forecasts how your skin will develop over time without any intervention... ie. prevention is better than cure!

What will the Observe show me?

The Observ 520 will examine:

• Wrinkles and fine lines – including underlying lines that are yet to come to the surface.

• The sebum (oil) content of your skin, which can contribute to acne and blemishes.

• Pigmentation – closely assess the severity of freckles, sun spots and age spots.

• The true size of your pores – determines if enlarged pores are a problem for your skin.

• The moisture content of your skin. Skin dehydration is typically a major cause of ageing skin.

• Loss of skin firmness. Is your skin ageing well, or losing elasticity at a rapid rate?

• Your skin tone and overall skin health.

So come and enjoy the experience and face the future of your skinhealth. As they say knowledge is power, so empower and educate yourself so that you too can reach your skin goals!

With love,

Dil x

Emsculpt and Emsella, The perfect wellbeing combination!

There has been a great response to our 'Wellbeing offering' of non-invasive technology here at The Medished. When you combine your daily skin health and fitness regime with Emsculpt and Emsella you can give yourself an incredible boost to your whole body both physically and mentally. Core to floor improves muscle strength, incontinence and confidence, using Emscuplt and Emsella. If you are looking to feel stronger, fight incontinence, heal, restore your core and pelvic floor and most importantly return to the life you love, this is the program for you.

What is the core to floor treatment?

Core to floor therapy is the first preventative and corrective solution to address your entire core muscle group by improving your strength, balance, posture, and potentially, alleviate back pain! We utilise two HIFEM therapies to strengthen, firm and tone your abdomen and pelvic floor muscles and pelvic floor dysfunction. The result is increased muscle hypertrophy and hyperplasia and restoration of neuromuscular control, which can improve your strength, balance and even incontinence....the ultimate, non-surgical, pelvic floor treatment.

When life gets in the way, whether it's the daily grind, injury or menopause, my patients have reported it becomes harder and harder to keep up with an exercise routine. After the age of 30, we lose about 3 to 5% of our muscle mass per decade. Only 55% of adults engage in enough physical activity to achieve health benefits. Core to floor therapy with Emsculpt and Emsella makes it possible for those who lead busy lives to easily keep up their core and pelvic floor strengthening. (Regular exercise is obviously advised alongside).

What is Emsculpt?

Emsculpt uses high-intensity focused electromagnetic energy to stimulate muscle contractions. The treatment can help your muscles and give you good core stability.

I’m a big believer patients having good core strength, as a strong core is key in my opinion to general wellbeing. As we get older we are loosing muscle and also the ability to build better muscle. This treatment will help that. Over and above everything, this just makes you feel so much BETTER...your posture is better, back aches are reduced. If you go to the gym often you will find that you can last longer.

What is Emsella?

Emsella a great option for women of any age who desire a non-invasive solution for urinary incontinence and improvement in the quality of their intimate life. Due to factors such as the body’s normal ageing, childbirth or menopause, the pelvic floor muscles decondition and insufficiently support the pelvic organs. These factors directly correlate with urinary incontinence and decreased intimate satisfaction. The pelvic floor matters at any age!

The technology is painless, backed by science and induces thousands of supramaximal pelvic floor contractions which are extremely important in muscle re-education. It’s pain free, handsfree, non invasive and you remain fully clothed.

What is the treatment protocol?

Core to Floor is a 6 session Emsella® protocol combined with 4/6 sessions of EMSculpt®.

Is the treatment painful?

The EMSculpt® procedure feels like an intensive workout. You can lie down and relax during the treatment and chat with me:) With Emsella®, you will experience tingling and pelvic floor muscle contractions during the procedure. You may resume daily activities immediately after the treatment.

When will I start to see some results?

With EMSculpt®, you begin to feel tangible results right after the treatment. Positive results are usually reported two to four weeks after the last session and continue to improve for several weeks following the treatments.

With Emsella®, you may observe improvement after the first two sessions. The results will typically continue to improve over the next few weeks. As with any non surgical treatment results may vary depending on your starting point.

So far I've had only positive feedback from my patients who have undergone the core to floor protocol with reports that their quality of life has massively improved. Happy patients, happy Dil. Why not book a session or consultation and see for yourself why people like you are smiling:)

Enjoy wellness at the The Medished... it's time to upgrade yourself forever!

With love,

Dil x

It's time to up to upgrade your skin forever!

Well hello! It's been a while since I've blogged about some of my favourite medical grade products available via The Medished. It's long blog so grab yourself a cuppa or a vino! Why is skincare so important? Aside from self-care, excellent skincare is essential if you want to minimise internal and external skin ageing. Sadly our skin, the largest organ in our body, is often neglected despite the fact that great skin makes us feel amazing! Healthy glowing skin is here to stay so visiting The Medished to access topical actives is a great investment alongside your skin health injectables like profhilo and radiofrequency with evoke for skintightening.

There has been some lovely new products introduced over the last year so lets' get started! For easy reading I will spilt this blog into bite size sections so it's easy for you to refer back to when your ordering your products. The 4 main brands we stock here are Obagi, ZO Skinhealth, Skinbetter Science and the AnteAGE growth factor range.

Why use medical grade skincare?

1. Your under my professional care so I can analyse and target your skin's needs and concerns directly.

2. Results are generally quicker as I will ensure your using the products in the right way.

3. Results are longer lasting as the gold standard ingredients can help transform your skin at a deeper cellular level.

CLEANSERS

Cleansing is such an important part of your daily skincare routine, as it removes makeup, pollution, sweat and surface debris. Once we've cleansed active products can effectively penetrate your skin. Always remember to cleanse morning and night!⁠

a) Obagi cleansers

In the image above there are 3 of my favourite Obagi Cleansers. Depending on your skin needs you may need one or two as a combination.

• Obagi gentle cleanser

• Obagi exfoliating cleanser

• Obagi Clenziderm wash

• Obagi-C RX cleanser (not shown in image)

b) ZO Skinhealth cleansers

My two favourites are the:

• ZO hydrating cleanser

• ZO exfoliating cleanser

• 
  

I'm often asked which ones I use... well pictured below are the two I use.

• Oxygen Infusion Wash by Skinbetterscience

• Obagi Exfoliating cleanser

ANTIOXIDANT SERUMS

In my opinion vitamin C is one of the most powerful weapons against ageing skin. A natural ingredient, Vitamin C helps repair damage and protect the skin against further environmental assaults. You can find the strongest strength available in Obagi Professional-C Serum 20%. It also comes in 15% and 10%. This is a stable serum that penetrates deeply to address multiple signs of ageing such as wrinkles, loss of firmness and discolouration. Apply it in the morning for all day protection against free radicals.

Another favourite is the Altodefense serum by Skinbetter Science. This product is a scientifically advanced, award winning antioxidant serum. By combining Vitamin C and 18 additional antioxidant ingredients this product helps to provide daily protection and improvement of uneven tone and texture of the skin. This product is perfect for those patients that may suffer from redness and may have struggled with other medical grade vitamin-C serums.

This product can come as a set with the Alpharet and is called the A-Team duo... a multi-award winning combination for skin rejuvenation. The A-team Duo is perfect for patients who want a change to their night time regime but with maximum benefits.

AnteAGE MD is our newest skincare line that I'm really excited about. So who are AnteAGE MD..? let me explain. This company provide powerful regenerative anti-ageing products through sound evidence-based technologies. AnteAGE® scientists have pioneered the use of Cytosignal cell technology in aesthetics and dermatology fields. They are committed to leveraging the power of recombinant growth factors and cytokines to deliver safe and effective skincare products that promote aesthetic health. This is why we have then here at The Medished!

Do you want your whole skincare cabinet in just two bottles? Well look no further.. a really nice alternative for patients wanting to change up their skincare routine.

The flagship System duo of a serum and accelerator has ideal percentages of vitamin C, niacinamide, bakuchiol (retinol alternative), hyaluronic acid, peptides, ceramides, vitamin E and of course growth factors.

EYE CREAMS

So a common question I get asked .. do we really need one? I always say yes we do. The skin around the eye is quite thin and therefore very susceptible to wrinkling and sagging. It is absolutely vital to choose a treatment specifically formulated for this area. Medical grade eye creams use patented technology to improves firmness and elasticity around the eyes. The formulations can also smooth out fine lines and wrinkles (not in the same way as botox does) but can make a noticeable difference in just a couple of months. The results are cumulative with continued use of eye creams.

Pictured below are two of my current favourites:

1. EyeMax AlphaRet Overnight Cream: This rich, silky overnight eye cream is designed to address dryness and the appearance of crepiness, puffiness, lines and wrinkles and darkness in the skin around the eyes. Use only at night as it contains a retinoid!

2. AnteAGE eye cream: The newest member of our skincare family has been formulated with especially smart ingredients to be an over-achiever in-

• Brightening Under Eye Darkness

• Giving Extra Lift (ever heard of DDBD? Smooth wrinkles and abolish puffiness in a snap.)

• Deeply Hydrating and Softening Skin

• Perfect for AM/PM usage, this sleek pump can last up to three months and is perfect for all skin types.

VITAMIN A OPTIONS

In my opinion vitamin A is the holy grail for anti ageing. Vitamin A reduces and prevents the appearance of fine lines, boosts collagen production, improves skin tone/texture and helps to clear breakouts. Retinoids can cause mild irritation when first used but settles within the first couple of weeks of use. My tip is to start on a low percentage and gradually increase usage and strength over time. Always have a consultation with me to know what will suit your skin type. Some of my favourite options are pictured below.

SPF

Using sunscreen daily is essential, even in winter and when indoors. Photodamage not only ages the skin by reducing skin elasticity and contributing to the formation of wrinkles, but it can cause hyperpigmentation and lentigos. Using SPF daily is the cheapest way to stay youthful and protect against skin cancer. Physical (mineral) sunscreen ingredients (including the minerals titanium dioxide and zinc oxide) block and scatter the rays before they penetrate your skin. Chemical sunscreen ingredients (like avobenzone and octisalate) absorb UV rays before they can damage your skin.

What’s my current favourite SPF? Well it’s these beauties by Obagi, they blend beautifully and offer some great coverage. Make sure you enough to cover your face, neck and décolletage and hands!

When to use? … apply as the final step in your morning routine, 100% every day – yes! yes! really. Patients still are confused about this! UVA rays ( the ageing ray!) are around all year.

I appreciate sometimes its hard to find an SPF that suits your skin type, hence we stock many options for you from the ZO skin health range with you can always try on when your in clinic.

An amazing way to top up your SPF throughout the day is the handbag essential pictured below. The sunscreen + powder by ZO Skinhealth is a unique bridge between your sunscreen and make up. This product comes in a gorgeous compact brushe offering on-the-go physical protection from UVA/UVB. Additionally it's enriched with vitamins A/C/E to protect the skin from free radical and infrared damage. It's a winner in my eyes!

MY FAVS

And finally to finish I will share with you a couple of my hero products that are a staple in my skincare regime. Obagi Daily Hydro-Drops® is a lightweight, non-comedogenic, hydrating serum that leaves skin feeling smooth and refreshed. This serum is truly radiance in a bottle! and looks fab on your dressing table:) Ingredients such as Vitamin B3, Abyssinian Oil, and Hibiscus oil to leave skin looking radiant and feeling hydrated all day. Can be used day or night.

I always remind my patients not to neglect exfoliation. I love a quick gentle scrub with ZO skinhealth's exfoliating polish. It contains ultra-fine magnesium crystals to remove dead skin cells, improving skin texture and cell turnover, while vitamins A, C, and E deliver antioxidant protection. When you regularly exfoliate your active ingredients will penetrate deeper into your skin which is a bonus.

I do hope your found this blog helpful and not too confusing. There are so many fabulous products to choose from and creating the right skincare regime that is BESPOKE to your skin type is my job so please get in touch if you need some advice. I am committed to providing outstanding patient outcomes using the highest quality and scientifically-proven products and services.

With love,

Dil x