


	Telephone: 0844 800 9870 E-mail: info@viridianmedical.co.uk

My Problem Is...

Problem	Suggested Solutions	Dr. Brookes’ Comments

Crows feet	Botox®, Azzalure®, or SmartXide DOT Laser Treatment	Botulinum Toxin A varieties Laser works well if the eyes skin is thin and crepey under and above the eyelids.

Facial aging, prematurely aged skin with sagging	A package approach over time See the “Viridian Medical Face lift” for the most cost effective approach.	Laser with SmartXide is a good place to start. Good skin retraction.

Frown Lines	Botulinum Toxin A or Fillers or SmartXide DOT Laser Treatment	They can be combined but on separate treatments.

Nasolabial Lines	Dermal Filler, Restylane, Teosyal - or Sculptra	If a fold has developed it may need more treatment.

Marionette Lines	Dermal Fillers as above	Dental block may be needed Can bruise quiet a lot but is worth the effect and uplift that can be achieved.

Thins Lips / No Lips	Juvederm Smile or Teosyal Kiss	A full dental block to numb the lips is needed, subtle to bee stung is achievable but depends on the lip shape starting out. A lip can be created if it does not exist.


Fine Smokers Lines	Teosyal Fine Lines, Teosyal Meso, Juverderm 2 or SmartXide DOT Laser Treatment	Botox® can be done but most patients don’t like the feeling after.

“Bleeding Lips” ie vertical lines	Juverderm 2 or SmartXide DOT Laser Treatment	2 different filler may be needed depending on the extent. The effect can be very long lasting as these lines respond well to filling.

Thin Face, Gaunt, Hollow Cheeks	Sculptra course or mid face Juverderm to give midface lift.	2- 6 vials depending on the problem.

Flat Face, Long Face, or No Cheekbone Definition	Sub Q, Teosyal Ultra Deep or Juverderm Voluma	Skilled contouring needed, lasts 9-12 months.

Jowls, Heavy Squared Off Jaw from Aging	Injection lipolysis first followed by Accent RF or SmartXide DOT Laser Treatment / Botox® to loosen platysma bands for the Neffretiti neck lift.	Slim down the lower face and restore a more youthful shape. Laser or Accent depending on the state of the skin.

Double Chin	Injection Lipolysis with or without Accent RF	Super results after a few treatments.

Receding Chin	Restylane Sub Q - 2 x 6mls depending on degree	Instant improvement to the profile, under dental block.

Small Breast Cup or Volumes Lost through Breast Feeding	Macrolane ®	Minor ops procedure with instant results but careful patient selection for suitability is needed.

Blemished, Oil Skin, Pores,	Products or Chemical Peeling or SmartXide DOT Laser Treatment	Glycolic face washes or Arbonne system.

Dull Aged Skin	Unideep Easy TCA or the Obagi Nuderm System or PRIORI or SmartXide DOT Laser Treatment	Several approaches. Pigment can be a problem is harder to even Asian or darker skin.

Uneven Pigment	Mild/ moderate Topical EVENTONES for 3- 6 months With phytic peeling or light TCA Moderate/ severe Obagi Nuderm preparation is essential for 3 months, TCA peeling SmartXide DOT Laser Treatment can be used after 3 month of preparation Please note improvement is usually only possible	Occurs with sun damage or after pregnancy. Depends on severity and skin colour

Prematurely Aged Skin	Resurfacing using SmartXide DOT Laser Treatment, dermal fillers, volume enhancement. Ongoing good daily care with Hylagel and Arbonne. Also about about “Viridian Medical Face lift” packages	A global approach is needed usually from sun damage.

Severe Premature Aging	Ask about a global package of care Consider RECELL treatment

Melasma, Sunspots, Pigment Problems	Easy TCA, Obagi Nuderm	Caution with Asian skin sis advised

Mild - Moderate Acne	Treatments include Obagi Clenziderm, blue light, phytic peels or SmartXide DOT Laser Treatment	A course is usually needed - results are very effective

Mild - Severe Acne	Prescription antibiotics, Obagi Clenziderm, blue light, phytic peels or SmartXide DOT Laser Treatment

Acne Scarring	Dermaroller or SmartXide DOT Laser Treatment or Juverderm 2 for lighter scarring	A challenging problem that can only be improved and not eradicated. Please note peeling is NOT effective for scarring. Dermal Filling under the scar can be done as icing on the cake.

Saddlebags	Vaser with suction is best or Accent	Injection lipolysis contra-indicated.

Prominent Tummy	Vaser with suction is best, GI diet if fat is inside the abdomen	Moderate to larger areas but not for with loss. GI diet can be recommended too.

Love Handles	Vaser with suction

Man Boobs	Fat can be removed very well with Vaser	May be contraindicated if a result of hormone problems.

Bra Bulges at Back	Injection Lipolysis	Usually responds very well indeed. 2-3 needed.

Pudgy Knees	Vaser with suction	Super results.
Fatty Inner Thighs	Vaser or Injection Lipolysis

Muffin Tops	Vaser	Super results.

Cellulite	Accent or sometimes Vaser

Saggy Body Skin	Accent RF or SmartXide DOT Laser Treatment	Course usually needed. Accent does not remove the stretche marks but laser may improve them.

Crepey Neck Skin	Accent RF or SmartXide DOT Laser Treatment	God results over a weeks is obtainable. Good skin retraction with Smartxide.

Crepey Hands	Teosyal Meso or Restylane Vital Light

Dry Skin / Dehydrated	Teosyal Meso,Hyaluronic Acid Serum, Arbonne Skin Care	Hyaluronic acid attracts water.

Crepey Decollete	Restylane Vital Light, Dermaroller or SmartXide DOT Laser Treatment	1-3 treatments depending on the extent of the problem.
Excessive Sweating	Botulinum Toxin A	Axillary treatment is straight forward whereas hand treatment is more complex

Telephone: 0844 800 9870 E-mail: info@viridianmedical.co.uk

My Problem Is...