Botox Consultation New Westminster

Botox Consultation New Westminster

Best Botox doctor

Let's explore the science behind these treatments, their myriad benefits, and the real success stories that have made them a cornerstone of aesthetic rejuvenation in Botox Consultation New Westminster. Similarly, our advanced radiofrequency therapies can tighten and tone your skin, giving you a more youthful look by stimulating collagen production. After your Forma Face Sculpting session at Manhas Health Co., adopting a regimen that nourishes and protects your skin is crucial. Before your appointment, it's a good idea to jot down any questions or concerns you might have.

Botox Consultation New Westminster - Botox and dermal fillers

  • Best Botox doctor
  • Botox side effects
  • Natural-looking Botox results
  • Beauty clinic
  • Botox aftercare
  • Botox before and after
  • Skin tightening treatments
  • Top Botox brands
  • Age-defying treatments
  • Botox for nasal flaring
  • Certified Botox professional
  • Botox clinic
  • Botox for chin dimpling
  • Botox for excessive sweating
  • Botox for TMJ
  • Botox and dermal fillers
  • Quick Botox sessions
  • Botox vs Dysport
  • Botox and filler packages
  • Anti-aging treatments
Learn more about Botox Consultation New Westminster here The expert will assess your body type, discuss your aesthetic aspirations, and explain how Evolve-X's cutting-edge technology can help achieve them.
Serums rich in vitamins C and E can help fight free radicals, reducing inflammation and promoting a radiant complexion. This part of the treatment is meticulous but relatively quick, depending on the area being treated. Your specialist will apply a chemical solution to your skin, which might cause a tingling or burning sensation for a few minutes. Evolve-X boasts an advanced thermal monitoring system that continuously checks the skin's temperature.
It allows you to visualize potential outcomes and feel more informed when discussing your options with us. Learn more about Manhas Health Co. here. Hydrated, sun-protected skin responds better to treatments and heals faster afterward.

Botox Consultation New Westminster - Botox for chin dimpling

  1. Botox price comparison
  2. Best Botox deals
  3. Best-reviewed Botox clinics
  4. Local Botox experts
  5. Trusted Botox provider
  6. Botox for skin rejuvenation
  7. Wrinkle treatment
  8. Botox for men
  9. Top-rated Botox
  10. Botox injections
  11. Botox near me
  12. Botox for neck lines
  13. Neuromodulator injections
  14. Best aesthetic doctor
  15. Botox for facial contouring
  16. Botox for jawline contouring
  17. Customized Botox treatments
  18. Minimally invasive Botox
Ideally, this treatment is tailored for women who've experienced changes in their vaginal health due to childbirth, aging, or hormonal variations. Imagine you're walking into Manhas Health Co., welcomed by a team that knows not just your name, but your skin's history and its future potential.
From advanced laser therapy to anti-aging solutions, we've got you covered. Now that we've highlighted the innovative technology behind our aesthetic treatments, let's get you ready for your visit to Manhas Health Co. Whether you're battling hair loss or seeking to enhance your skin's health from within, PRP offers a compelling, science-backed method for rejuvenation. With each session, you'll notice your skin becoming firmer, smoother, and more radiant.

You'll notice your skin becoming firmer, smoother, and more youthful-looking. After revitalizing your complexion with our specialized facial therapies, explore our body contouring and sculpting services to further enhance your natural beauty. This innovative treatment tightens and firms your skin, reducing the appearance of fine lines and wrinkles that often betray your years. These platelets are rich in growth factors, substances that signal your cells to function and repair more effectively. She's not alone in her journey; many echo her sentiments, emphasizing the personal and intimate benefits they've experienced.

You don't need to navigate through a complicated system or wait endlessly on the phone. We understand that deciding on a treatment can be daunting. These treatments require no downtime, allowing you to return to your daily activities immediately after your session. Start by updating your skincare routine to maintain these amazing results. Beauty clinic

He's not just transformed physically but mentally, embracing a lifestyle of wellness and self-care. It's like waking up your scalp's natural ability to grow hair. Here's the fascinating part: the growth factors in PRP stimulate hair follicles that have become dormant, encouraging new hair growth and making existing hair thicker and healthier. Also, try to avoid wearing makeup to your consultation, especially if you're coming in for facial treatments.

Our advanced equipment and software allow us to provide precise, targeted treatments that enhance your natural beauty and promote well-being. Beyond the realm of Botox and fillers, we're excited to introduce you to cutting-edge options that promise not only rejuvenation but also a personalized approach to your beauty aspirations. With Evolve-X, you're in control, and the journey to achieving your ideal body becomes a collaborative effort between you and your practitioner. Imagine feeling the transformation as people share their journeys from self-conscious to self-confident.

New Westminster Botox Treatments


The entrance to the Fraser is very striking—Extending miles to the right & left are low marsh lands (apparently of very rich qualities) & yet fr [sic] the Background of Superb Mountains—Swiss in outline, dark in woods, grandly towering into the clouds there is a sublimity that deeply impresses you. Everything is large and magnificent, worthy of the entrance to the Queen of England's dominions on the Pacific mainland. My imagination converted the silent marshes into Cuyp-like pictures of horses and cattle lazily fattening in rich meadows in a glowing sunset. The water of the deep clear Frazer was of a glassy stillness, not a ripple before us, except when a fish rose to the surface or broods of wild ducks fluttered away.

Botox and fillers New Westminster


New Westminster Botox and fillers

Nearby Tourist Attractions

New Westminster Museum

Tourist attraction, Archive, Museum
New Westminster Museum, 777 Columbia St, New Westminster, BC V3M 1B6
Small contemporary exhibition of local historical artifacts, records, photos & vehicles.

Fraser River Discovery Centre

Visitor center, Art museum, Children's amusement center, Science museum, Tourist attraction
Fraser River Discovery Centre, 788 Quayside Dr, New Westminster, BC V3M 6Z6
Modern museum featuring hands-on educational exhibits about the Fraser River & its history.

Samson V Museum

Tourist attraction, Historical landmark, Historical place museum
Samson V Museum, 880 Quayside Dr, New Westminster, BC V3M 6G1

FRASER RIVER NEW WESTMINSTER BC CANADÁ

Tourist attraction
FRASER RIVER NEW WESTMINSTER BC CANADÁ, Quayside Dr, New Westminster, BC V3M 6T8

Charles Rummel Park

Tourist attraction, Park
Charles Rummel Park, 3325 Piper Ave, Burnaby, BC V5A 2A8
Park featuring a playground with a splash area, plus a ball diamond, walking paths & restrooms.

Citations and other links

Botox for seniors in Botox Consultation New Westminster

Foods rich in vitamins and minerals, especially those high in protein, can aid in your recovery. Botox for excessive sweating We're not just about surface-level beauty; we aim to enhance your overall quality of life, fostering a positive self-image and well-being that radiates from the inside out. We'll work with you to identify your aesthetic goals and select the treatments that best suit your needs and lifestyle. Furthermore, Manhas Health Co. doesn't stop at just fat reduction. This ability to customize your treatment plan isn't something you'll easily find elsewhere.

At Manhas Health Co., you're not just discovering cutting-edge aesthetic treatments; you're embarking on a journey towards renewed confidence. This process is quick and feels similar to a routine blood test. You'll see a youthful glow that you might've thought was lost to time. Before deciding, you'll have a consultation at Manhas Health Co., where your medical history, current health status, and goals will be discussed.

That's where our cutting-edge treatments come in, designed to target stubborn fat, tone muscles, and tighten skin, giving you a sculpted, more defined silhouette. First off, we'll send you a welcome packet. Whether you're looking to target stubborn fat pockets that won't budge with diet and exercise, or you're aiming to refine and sculpt your physique, Evolve-X's customizable features allow for precise targeting. Increase your water intake and apply a broad-spectrum sunscreen daily, even on cloudy days.

With their comprehensive service range, you're sure to find the perfect solution to feel your best. Embarking on your Evolve-X journey marks the start of a transformative experience in body sculpting. As you progress, we'll monitor your transformation closely, adjusting the approach as needed to maximize your results. Botox side effects Why Manhas Health Co stands out in this crowded space is a story best explored firsthand, promising not just outcomes, but a renewed sense of confidence and well-being.

Botox for seniors in Botox Consultation New Westminster
Preventative Botox for younger skin Botox Consultation New Westminster

Preventative Botox for younger skin Botox Consultation New Westminster

Our follow-up appointments are meticulously scheduled to monitor your progress and make any necessary adjustments. This innovative technique uses focused light beams to treat various skin concerns, such as wrinkles, scars, and hyperpigmentation, ensuring you get the most precise and effective results. Botox for TMJ It's particularly effective for facial rejuvenation, giving you a fresher, more youthful appearance. Regardless of the technique you lean towards, Manhas Health Co ensures you're informed, comfortable, and excited about your rejuvenation journey. Seeing truly is believing when you look at the before and after photos of Evolve-X users, showcasing dramatic transformations.

Don't hesitate to ask for before-and-after photos of their previous patients. Botox and dermal fillers You can get back to your daily routine immediately after your session. Botox clinic This innovative approach heats the skin's underlying network of collagen and elastin fibers. It's not just about looking younger; it's about boosting your confidence.

It takes time for your body to produce collagen, so you'll notice improvements gradually over several weeks. Secondly, our specialists aren't only experts in their field but also trained to prioritize patient care above all.

Botox Consultation New Westminster - Top Botox brands

  • Best aesthetic doctor
  • Botox for facial contouring
  • Botox for jawline contouring
  • Customized Botox treatments
  • Minimally invasive Botox
  • Botox for crow’s feet
  • Botox for under-eye wrinkles
  • Expert Botox injector
  • Cosmetic enhancements
  • Dermal fillers
  • Botox for marionette lines
  • Botox touch-up
  • Botox for migraines
  • Cosmetic injections
  • Botox promotions
The treatment typically lasts about an hour, depending on the areas being targeted. It's all about empowering you with the knowledge and confidence to look and feel your best.

They're perfect for addressing issues like sun damage, acne scars, and uneven skin tone. Botox can also be a game-changer for excessive sweating, known as hyperhidrosis, by temporarily blocking the sweat glands. First things first, you'll want to book your consultation through our easy-to-use online platform or by giving us a call. You might notice slight pain, redness, or swelling, which typically subsides within a day or two.

Advanced Botox therapy Botox Consultation New Westminster

This gradual enhancement ensures that your look remains natural. If you're noticing symptoms like dryness, discomfort during intercourse, or urinary incontinence, you could be an ideal candidate. This innovative technology uses a combination of radiofrequency energy, electrical muscle stimulation, and fat reduction techniques to deliver visible results without the need for surgery. After exploring the range of anti-aging treatments, it's crucial to understand how personalized skincare regimens can further enhance your skin's health and appearance.

Shifting focus to hair restoration, PRP therapy works wonders by naturally rejuvenating dormant hair follicles, leading to healthier, thicker hair growth. Next, show off your revitalized complexion. Applying a cool compress can provide relief.

You can return to your daily activities immediately after. Moreover, the technology's smart design means treatments can be adjusted in real-time based on your feedback and comfort level, ensuring a personalized experience that's both effective and enjoyable. By doing so, Manhas Health Co. not only contributes to the community's physical health but also its economic and social fabric, making Botox Consultation New Westminster a better place for everyone.

The magic of PRP lies in the growth factors it releases. Skin tightening treatments However, if you require more extensive corrections, alternative treatments might be more suitable. However, you might notice some redness, which should subside within a few hours.



Botox Consultation New Westminster - Natural-looking Botox results

  1. Botox touch-up
  2. Botox for migraines
  3. Cosmetic injections
  4. Botox promotions
  5. Botox for nasal flaring
  6. Certified Botox professional
  7. Botox clinic
  8. Botox for chin dimpling
  9. Botox for excessive sweating
  10. Botox for TMJ
  11. Botox and dermal fillers
  12. Quick Botox sessions
  13. Botox vs Dysport
  14. Botox and filler packages
  15. Anti-aging treatments
  16. Medical aesthetics
  17. Botox specials
  18. Advanced Botox techniques
Advanced Botox therapy Botox Consultation New Westminster
Monthly Botox deals Botox Consultation New Westminster
Monthly Botox deals Botox Consultation New Westminster

It's a holistic approach to beauty, enhancing your natural features without the need for surgical interventions. You've seen the buzz around traditional cosmetic surgeries, but the tide is turning. This blood is then spun in a centrifuge, separating the platelets from other blood components. Deciding to undergo these treatments is a personal choice and involves considering your physical needs and cosmetic desires.

Botox Consultation New Westminster - Botox for TMJ

  • Neuromodulator injections
  • Best aesthetic doctor
  • Botox for facial contouring
  • Botox for jawline contouring
  • Customized Botox treatments
  • Minimally invasive Botox
  • Botox for crow’s feet
  • Botox for under-eye wrinkles
  • Expert Botox injector
  • Cosmetic enhancements
  • Dermal fillers
  • Botox for marionette lines
  • Botox touch-up
  • Botox for migraines
  • Cosmetic injections
  • Botox promotions
  • Skin tightening treatments
  • Top Botox brands

What's more, you'll appreciate the minimal downtime associated with these laser treatments. Lastly, attending follow-up appointments is vital. With insights from the experts at Manhas Health, you're about to uncover whether Evolve-X lives up to the hype and how it could mark the beginning of your transformative journey.
Drinking plenty of water does wonders, but incorporating a high-quality moisturizer into your daily routine is equally important.

Botox Consultation New Westminster - Botox for nasal flaring

  1. Customized Botox treatments
  2. Minimally invasive Botox
  3. Botox for crow’s feet
  4. Botox for under-eye wrinkles
  5. Expert Botox injector
  6. Cosmetic enhancements
  7. Dermal fillers
  8. Botox for marionette lines
  9. Botox touch-up
  10. Botox for migraines
  11. Cosmetic injections
  12. Botox promotions
  13. Botox for excessive sweating
  14. Botox for TMJ
  15. Botox and dermal fillers
  16. Quick Botox sessions
  17. Botox vs Dysport
  18. Botox and filler packages
  19. Anti-aging treatments
Read more about Botox Consultation New Westminster here Book your appointment today and step into a world where age is truly just a number. At Manhas Health Co., we're not just about achieving aesthetic excellence; we're about empowering you with the confidence and knowledge to sustain those results long-term.
Did you know that nearly 80% of individuals seeking smoother, more radiant skin consider laser hair removal and IPL photo facials as their top choices? Look for products with hyaluronic acid to lock in moisture and boost elasticity. Top Botox brands Using cutting-edge tools in such a refined space, they're able to provide exceptional care, ensuring that your visit to Manhas Health Co. isn't just beneficial for your aesthetic needs but also a delightful experience in its own right.



Botox Consultation New Westminster - Botox aftercare

  1. Botox for crow’s feet
  2. Botox for under-eye wrinkles
  3. Expert Botox injector
  4. Cosmetic enhancements
  5. Dermal fillers
  6. Botox for marionette lines
  7. Botox touch-up
  8. Botox for migraines
  9. Cosmetic injections
  10. Botox promotions
  11. Botox clinic
  12. Botox for chin dimpling
  13. Botox for excessive sweating
  14. Botox for TMJ
  15. Botox and dermal fillers
  16. Quick Botox sessions
  17. Botox vs Dysport
  18. Botox and filler packages
Migraine treatment Botox Botox Consultation New Westminster

Let these success stories inspire you. To manage any discomfort, you can apply a cool compress to the area, but avoid using ice directly on your scalp. It uses concentrated light beams to penetrate hair follicles. Don't worry if you're unsure about what treatments you're interested in.
This might involve cleaning the area and applying a topical anesthetic to minimize any discomfort. If you experience any severe pain or notice any signs of infection, it's crucial to contact Manhas Health Co immediately. Choosing Manhas Health Co means opting for a partner who genuinely cares about your wellbeing and satisfaction.
Jamie's warmth and understanding make every visit a comforting experience. As we peel back the layers of what Manhas Health Co offers, you'll find there's much more to uncover about achieving the aesthetic harmony you desire. With state-of-the-art technology and a team that stays on top of the latest industry advancements, you're getting top-notch treatments that are both safe and effective.
Next, it employs electrical muscle stimulation (EMS) to target specific muscle groups. If you prefer a more personal touch, our friendly reception staff are ready to assist you over the phone, providing answers to any initial questions you might've about our services or the consultation process.

Botox Consultation New Westminster - Natural-looking Botox results

  1. Anti-aging treatments
  2. Medical aesthetics
  3. Botox specials
  4. Advanced Botox techniques
  5. Botox price comparison
  6. Best Botox deals
  7. Best-reviewed Botox clinics
  8. Local Botox experts
  9. Trusted Botox provider
  10. Botox for skin rejuvenation
  11. Wrinkle treatment
  12. Botox for men
  13. Top-rated Botox
  14. Botox injections
  15. Botox near me
  16. Botox for neck lines
He's constantly updating his knowledge to bring you the latest in skincare advancements.

Learn more about Botox Consultation New Westminster here
Migraine treatment Botox Botox Consultation New Westminster

Military Policlinic in Legionowo, Poland

A clinic (or outpatient clinic or ambulatory care clinic) is a health facility that is primarily focused on the care of outpatients. Clinics can be privately operated or publicly managed and funded. They typically cover the primary care needs of populations in local communities, in contrast to larger hospitals which offer more specialized treatments and admit inpatients for overnight stays.

Most commonly, the English word clinic refers to a general practice, run by one or more general practitioners offering small therapeutic treatments, but it can also mean a specialist clinic. Some clinics retain the name "clinic" even while growing into institutions as large as major hospitals or becoming associated with a hospital or medical school.

Etymology

[edit]
The entrance to a surgery clinic in Greenwich, London

The word clinic derives from Ancient Greek κλίνειν klinein meaning to slope, lean or recline. Hence κλίνη klinē is a couch or bed and κλινικός klinikos is a physician who visits his patients in their beds.[1] In Latin, this became clīnicus.[2][3]

An early use of the word clinic was "one who receives baptism on a sick bed".[4]

Overview

[edit]
A medpunkt (health care access point) delivers primary health care to the residents of the village of Veliki Vrag, Russia.

Clinics are often associated with a general medical practice run by one or several general practitioners. Other types of clinics are run by the type of specialist associated with that type: physical therapy clinics by physiotherapists and psychology clinics by clinical psychologists, and so on for each health profession. (This can even hold true for certain services outside the medical field: for example, legal clinics are run by lawyers.)

Some clinics are operated in-house by employers, government organizations, or hospitals, and some clinical services are outsourced to private corporations which specialize in providing health services. In China, for example, owners of such clinics do not have formal medical education. There were 659,596 village clinics in China in 2011.[5]

Health care in India, China, Russia and Africa is provided to those regions' vast rural areas by mobile health clinics or roadside dispensaries, some of which integrate traditional medicine. In India these traditional clinics provide ayurvedic medicine and unani herbal medical practice. In each of these countries, traditional medicine tends to be a hereditary practice.

Function

[edit]
Policlinic in Karl-Marx-Stadt, German Democratic Republic

The function of clinics differs from country to country. For instance, a local general practice run by a single general practitioner provides primary health care and is usually run as a for-profit business by the owner, whereas a government-run specialist clinic may provide subsidized or specialized[dubiousdiscuss] health care.

Some clinics serve as a place for people with injuries or illnesses to be seen by a triage nurse or other health worker. In these clinics, the injury or illness may not be serious enough to require a visit to an emergency room (ER), but the person can be transferred to one if needed.

Treatment at these clinics is often less expensive than it would be at a casualty department. Also, unlike an ER these clinics are often not open on a 24/7/365 basis. They sometimes have access to diagnostic equipment such as X-ray machines, especially if the clinic is part of a larger facility. Doctors at such clinics can often refer patients to specialists if the need arises.[6]

Large outpatient clinics

[edit]
Children Policlinic in Novokosino District of Moscow

Large outpatient clinics vary in size, but can be as large as hospitals.

Function

[edit]

Typical large outpatient clinics house general medical practitioners (GPs) such as doctors and nurses to provide ambulatory care and some acute care services but lack the major surgical and pre- and post-operative care facilities commonly associated with hospitals.

Policlinic in Vilnius-Karoliniškės, Lithuania

Besides GPs, if a clinic is a polyclinic, it can house outpatient departments of some medical specialties, such as gynecology, dermatology, ophthalmology, otolaryngology, neurology, pulmonology, cardiology, and endocrinology. In some university cities, polyclinics contain outpatient departments for the entire teaching hospital in one building.

Internationally

[edit]
Policlinic in Písek, Czech Republic

Large outpatient clinics are a common type of healthcare facility in many countries, including France, Germany (long tradition), Switzerland, and most of the countries of Central and Eastern Europe (often using a mixed Soviet-German model), as well as in former Soviet republics such as Russia and Ukraine;[7] and in many countries across Asia and Africa.[8]

In Europe, especially in the Central and Eastern Europe, bigger outpatient health centers, commonly in cities and towns, are called policlinics (derived from the word polis, not from poly-).

Recent[when?] Russian governments have attempted to replace the policlinic model introduced during Soviet times with a more western model. However, this has failed.[9]

In the Czech Republic, many policlinics were privatized or leasehold and decentralized in the post-communist era: some of them are just lessors and coordinators of a healthcare provided by private doctor's offices in the policlinic building.[10]

India has also set up huge numbers of polyclinics for former defense personnel. The network envisages 426 polyclinics in 343 districts of the country which will benefit about 33 lakh (3.3 million) ex-servicemen residing in remote and far-flung areas.[11]

Policlinics are also the backbone of Cuba's primary care system and have been credited with a role in improving that nation's health indicators.[12]

Mobile clinics

[edit]
Hinduja National Hospital's mobile clinic
A mobile health clinic operated from a truck

Providing health services through mobile clinics provides accessible healthcare services to these remote areas that have yet to make their way in the politicized space. For example, mobile clinics have proved helpful in dealing with new settlement patterns in Costa Rica. Before foreign aid organizations or the state government became involved in healthcare, Costa Rica's people managed their own health maintenance and protection.[13] People relied on various socio-cultural adaptations and remedies to prevent illnesses, such as personal hygiene and settlement patterns.[13] When new settlements that sprang up along the coast became "artificial" communities, and due to lack of traditional home healing practices here, alternative methods such as mobile clinics had to be implemented in these communities for the protection and prevention of diseases.[13]

A study done in rural Namibia revealed the health changes of orphans, vulnerable children and non-vulnerable children (OVC) visiting a mobile clinic where health facilities are far from the remote villages.[14] Over 6 months, information on immunization status, diagnosis of anemia, skin and intestinal disorders, nutrition, dental disorders was collected and showed that visits to mobile clinics improved the overall health of children that visited regularly. It concluded that specified "planning of these programs in areas with similarly identified barriers may help correct the health disparities among Namibian OVC and could be a first step in improving child morbidity and mortality in difficult-to-reach rural areas."[14]

A mobile clinic run from a pickup truck in Yemen

Food supplementation in the context of routine mobile clinic visits also shows to have improved the nutritional status of children, and it needs further exploration as a way to reduce childhood malnutrition in resource-scarce areas. A cross-sectional study focussed on comparing acute and chronic undernutrition rates prior to and after a food-supplementation program as an adjunct to routine health care for children of migrant workers residing in rural communities in the Dominican Republic.[15] Rates of chronic undernutrition decreased from 33% to 18% after the initiation of the food-supplementation program and shows that the community members attending the mobile clinics are not just passively receiving the information but are incorporating it and helping keep their children nourished.[15]

Types

[edit]
Storefront clinic in Manhattan

There are many different types of clinics providing outpatient services. Such clinics may be public (government-funded) or private medical practices.

  • A CLSC are in Quebec; they are a type of free clinic funded by the provincial government; they provide service not covered by Canada's healthcare plan including social workers
  • In the United States, a free clinic provides free or low-cost healthcare for those with little or without insurance.
  • A retail-based clinic is housed in supermarkets and similar retail outlets providing walk-in health care, which may be staffed by nurse practitioners.
  • A general out-patient clinic offers general diagnoses or treatments without an overnight stay.
  • A polyclinic or policlinic provides a range of healthcare services (including diagnostics) without need of an overnight stay
  • A specialist clinic provides advanced diagnostic or treatment services for specific diseases or parts of the body. This type contrasts with general out-patient clinics.

See also

[edit]

References

[edit]
  1. ^ κλινικός in A Greek–English Lexicon. Retrieved 18 September 2016.
  2. ^ clinicus in A Latin Dictionary. Retrieved 18 September 2016.
  3. ^ Partridge, Eric. Origins: A short etymological dictionary of modern English. Book Club Associates, 1966.
  4. ^ Clinic, Webster's Revised Unabridged Dictionary, 1913.
  5. ^ "Statistical Communiqué on the 2011 National Economic and Social Development". stats.gov.cn. National Bureau of Statistics of China. 22 February 2012. Archived from the original on 6 April 2012. Retrieved 5 September 2012.
  6. ^ "Clinic search engine tools to find the right Clinic". 123 clinic. Retrieved 15 December 2016.
  7. ^ NLH – Health Management – Policlinics. Retrieved 3 July 2008.[permanent dead link]
  8. ^ Google
  9. ^ Ershova I, Rider O, Gorelov V (December 2007). "Policlinics in London". Lancet. 370 (9603): 1890–1. doi:10.1016/S0140-6736(07)61793-0. PMID 18068500. S2CID 43512994.
  10. ^ David Rath: Trnitá cesta privatizace českého zdravotnictví, Hospodářské noviny, 10 September 1996
  11. ^ "199 Additional Polyclinics For Ex-Servicemen". The Hindu. Chennai, India. 26 May 2010.
  12. ^ Cuba's primary health care revolution: 30 years on, Bulletin of the World Health Organization
  13. ^ a b c Morgan, Lynn M. (February 1993). Community Participation in Health: The Politics of Primary Care in Costa Rica. doi:10.1017/CBO9780511558092. ISBN 978-0-521-41898-0. Retrieved 8 May 2020. cite book: |website= ignored (help)
  14. ^ a b Aneni, Ehimen; De Beer, Ingrid H.; Hanson, Laura; Rijnen, Bas; Brenan, Alana T.; Feeley, Frank G. (2013). "Mobile primary healthcare services and health outcomes of children in rural Namibia". Rural and Remote Health. 13 (3): 2380. ISSN 1445-6354. PMID 24016257.
  15. ^ a b Parikh, Kavita; Marein-Efron, Gabriela; Huang, Shirley; O'Hare, Geraldine; Finalle, Rodney; Shah, Samir S. (September 2010). "Nutritional Status of Children after a Food-Supplementation Program Integrated with Routine Health Care through Mobile Clinics in Migrant Communities in the Dominican Republic". The American Journal of Tropical Medicine and Hygiene. 83 (3): 559–564. doi:10.4269/ajtmh.2010.09-0485. ISSN 0002-9637. PMC 2929051. PMID 20810820.

Wrinkles on the face and hands are a typical sign of aging

A wrinkle, also known as a rhytid, is a fold, ridge or crease in an otherwise smooth surface, such as on skin or fabric. Skin wrinkles typically appear as a result of ageing processes such as glycation,[1] habitual sleeping positions,[2] loss of body mass, sun damage,[3] or temporarily, as the result of prolonged immersion in water. Age wrinkling in the skin is promoted by habitual facial expressions, aging, sun damage, smoking, poor hydration, and various other factors.[4] In humans, it can also be prevented to some degree by avoiding excessive solar exposure and through diet (in particular through consumption of carotenoids, tocopherols and flavonoids, vitamins (A, C, D and E), essential omega-3-fatty acids, certain proteins and lactobacilli).[5]

Skin

[edit]

Causes for aging wrinkles

[edit]
A woman of European origin with facial wrinkles

Development of facial wrinkles is a kind of fibrosis of the skin. Misrepair-accumulation aging theory suggests that wrinkles develop from incorrect repairs of injured elastic fibers and collagen fibers.[6][7][8] Repeated extensions and compressions of the skin cause repeated injuries of extracellular fibers in derma. During the repairing process, some of the broken elastic fibers and collagen fibers are not regenerated and restored but replaced by altered fibers. When an elastic fiber is broken in an extended state, it may be replaced by a "long" collagen fiber. Accumulation of "long" collagen fibers makes part of the skin looser and stiffer, and as a consequence, a big fold of skin appears. When a "long" collagen is broken in a compressed state, it may be replaced by a "short" collagen fiber. The "shorter" collagen fibers will restrict the extension of "longer" fibers, and make the “long" fibers in a folding state permanently. A small fold, namely a permanent wrinkle, then appears.

Sleep wrinkles

[edit]

Sleep wrinkles are created and reinforced when the face is compressed against a pillow or bed surface in side or stomach sleeping positions during sleep.[9] They appear in predictable locations due to the underlying superficial musculoaponeurotic system (SMAS), and are usually distinct from wrinkles of facial expression.[10] As with wrinkles of facial expression, sleep wrinkles can deepen and become permanent over time, unless the habitual sleeping positions which cause the wrinkles are altered.[11]

Water-immersion wrinkling

[edit]
A wrinkled finger after a warm bath

The wrinkles that occur in skin over prolonged exposure to water are sometimes referred to as pruney fingers or water aging. This is a temporary skin condition where the skin on the palms of the hand or feet becomes wrinkly. This wrinkling response may have imparted an evolutionary benefit by providing improved traction in wet conditions,[12] and a better grasp of wet objects.[13] These results were called into question by a 2014 study that failed to reproduce any improvement of handling wet objects with wrinkled fingertips.[14] However, a 2020 study of gripping efficiency found that wrinkles decreased the force required to grip wet objects by 20%, supporting the traction hypothesis.[15]

Prior to a 1935 study, the common explanation was based on water absorption in the keratin-laden epithelial skin when immersed in water,[16] causing the skin to expand and resulting in a larger surface area, forcing it to wrinkle. Usually the tips of the fingers and toes are the first to wrinkle because of a thicker layer of keratin and an absence of hairs which secrete the protective oil called sebum.

Adult sole showing water immersion wrinkling

In the 1935 study, however, Lewis and Pickering were studying patients with palsy of the median nerve when they discovered that skin wrinkling did not occur in the areas of the patients' skin normally innervated by the damaged nerve. This suggested that the nervous system plays an essential role in wrinkling, so the phenomenon could not be entirely explained simply by water absorption. Recent research shows that wrinkling is related to vasoconstriction.[17][18] Water probably initiates the wrinkling process by altering the balance of electrolytes in the skin as it diffuses into the hands and soles via their many sweat ducts. This could alter the stability of the membranes of the many neurons that synapse on the many blood vessels underneath skin, causing them to fire more rapidly. Increased neuronal firing causes blood vessels to constrict, decreasing the amount of fluid underneath the skin. This decrease in fluid would cause a decrease in tension, causing the skin to become wrinkly.[19]

This insight resulted in bedside tests for nerve damage and vasoconstriction. Wrinkling is often scored with immersion of the hands for 30 minutes in water or EMLA cream with measurements steps of 5 minutes, and counting the number of visible wrinkles in time. Not all healthy persons have finger wrinkling after immersion, so it would be safe to say that sympathetic function is preserved if finger wrinkling after immersion in water is observed, but if the fingers emerge smooth it cannot be assumed that there is a lesion to the autonomic supply or to the peripheral nerves of the hand.[20]

Other animals with wrinkles

[edit]

Examples of wrinkles can be found in various animal species that grow loose, excess skin, particularly when they are young. Several breeds of dog, such as the Pug and the Shar Pei, have been bred to exaggerate this trait. In dogs bred for fighting, this is the result of selection for loose skin, which confers a protective advantage.[21]

Techniques for reducing the appearance of aging wrinkles

[edit]
A man receiving a botox injection

Current evidence suggests that tretinoin decreases cohesiveness of follicular epithelial cells, although the exact mode of action is unknown. Additionally, tretinoin stimulates mitotic activity and increased turnover of follicular epithelial cells.[22] Tretinoin is better known by the brand name Retin-A.

Topical glycosaminoglycans supplements can help to provide temporary restoration of enzyme balance to slow or prevent matrix breakdown and consequent onset of wrinkle formation. Glycosaminoglycans (GAGs) are produced by the body to maintain structural integrity in tissues and to maintain fluid balance. Hyaluronic acid is a type of GAG that promotes collagen synthesis, repair, and hydration. GAGs serve as a natural moisturizer and lubricant between epidermal cells to inhibit the production of matrix metalloproteinases (MMPs).

Dermal fillers are injectable products frequently used to correct wrinkles, and other depressions in the skin. They are often a kind of soft tissue designed to enable injection into the skin for purposes of improving the appearance. The most common products are based on hyaluronic acid and calcium hydroxylapatite.

Botulinum toxin is a neurotoxin protein produced by the bacterium Clostridium botulinum. Botox is a specific form of botulinum toxin manufactured by Allergan for both therapeutic and cosmetic use. Besides its cosmetic application, Botox is used in the treatment of other conditions including migraine headache and cervical dystonia (spasmodic torticollis) (a neuromuscular disorder involving the head and neck).[23]

Dysport, manufactured by Ipsen, received FDA approval and is now used to treat cervical dystonia as well as glabellar lines in adults. In 2010, another form of botulinum toxin, one free of complexing proteins, became available to Americans. Xeomin received FDA approval for medical indications in 2010 and cosmetic indications in 2011.

Botulinum toxin treats wrinkles by immobilizing the muscles which cause wrinkles. It is not appropriate for the treatment of all wrinkles; it is indicated for the treatment of glabellar lines (between the eyebrows) in adults. Any other usage is not approved by the FDA and is considered off-label use.

Laser resurfacing is FDA-cleared skin resurfacing procedure in which lasers are used to improve the condition of the skin.[citation needed] Two types of lasers are used to reduce the appearance of fine lines and wrinkles on the face; laser ablation, which removes thin layers of skin, and nonablative lasers that stimulate collagen production. Nonablative lasers are less effective than ablative ones but they are less invasive and recovery time is short. After the procedure people experience temporary redness, itching and swelling.

See also

[edit]

References

[edit]
  1. ^ Danby, FW (Jul–Aug 2010). "Nutrition and aging skin: sugar and glycation". Clin Dermatol. 4. 28 (4): 409–411. doi:10.1016/j.clindermatol.2010.03.018. PMID 20620757.
  2. ^ American Academy of Dermatology. "Causes of Aging". AgingSkinNet. American Academy of Dermatology. Retrieved 5 March 2013.
  3. ^ Cosmetic Procedures for Wrinkles
  4. ^ Anderson, Laurence. 2006. Looking Good, the Australian guide to skin care, cosmetic medicine and cosmetic surgery. AMPCo. Sydney. ISBN 0-85557-044-X.
  5. ^ Schagen, S. K.; Zampeli, V. A.; Makrantonaki, E.; Zouboulis, C. C. (2012). "Discovering the link between nutrition and skin aging". Dermato-Endocrinology. 4 (3): 298–307. doi:10.4161/derm.22876. PMC 3583891. PMID 23467449.
  6. ^ Wang, Jicun; Michelitsch, Thomas; Wunderlin, Arne; Mahadeva, Ravi (2009). "Aging as a consequence of Misrepair—a novel theory of aging". arXiv:0904.0575 [q-bio.TO].
  7. ^ Wang-Michelitsch, Jicun; Michelitsch, Thomas (2015). "Aging as a process of accumulation of Misrepairs". arXiv:1503.07163 [q-bio.TO].
  8. ^ Wang-Michelitsch, Jicun; Michelitsch, Thomas (2015). "Tissue fibrosis: a principal evidence for the central role of Misrepairs in aging". arXiv:1505.01376 [q-bio.TO].
  9. ^ Sarifakioglu, Nedim; Terzioglu, A.; Ates, L.; Aslan, G. (2004). "A New Phenomenon: 'Sleep Lines' on the Face". Scan J Plast Reconstr Surg Hand Surg. 38 (4): 244–247. doi:10.1080/02844310410027257. PMID 15370809. S2CID 25307487.
  10. ^ Fulton, James E.; Gaminchi, F. (1999). "Sleep Lines". Dermatol Surg. 25 (1): 59–62. doi:10.1046/j.1524-4725.1999.08073.x. PMID 9935097.
  11. ^ Sarifakioglu, Nedim; Terzioglu, A.; Ates, L.; Aslan, G. (2004). "A New Phenomenon: 'Sleep Lines' on the Face". Scan J Plast Reconstr Surg Hand Surg. 38 (4): 244–247 [246]. doi:10.1080/02844310410027257. PMID 15370809. S2CID 25307487.
  12. ^ Mark Changizi; Romann Weber; Ritesh Kotecha; Joseph Palazzo (2011). "Are Wet-Induced Wrinkled Fingers Primate Rain Treads?". Brain, Behavior and Evolution. 77 (4): 286–90. doi:10.1159/000328223. PMID 21701145.
  13. ^ Kareklas, Kyriacos; Nettle, Daniel; Smulders, Tom V (January 9, 2013). "Water-induced finger wrinkles improve handling of wet objects". Biol. Lett. 9 (2): 20120999. doi:10.1098/rsbl.2012.0999. PMC 3639753. PMID 23302867.
  14. ^ Haseleu, Julia; Omerbašić, Damir; Frenzel, Henning; Gross, Manfred; Lewin, Gary R. (2014). Goldreich, Daniel (ed.). "Water-Induced Finger Wrinkles Do Not Affect Touch Acuity or Dexterity in Handling Wet Objects". PLOS ONE. 9 (1): e84949. Bibcode:2014PLoSO...984949H. doi:10.1371/journal.pone.0084949. PMC 3885627. PMID 24416318.
  15. ^ Davis, N. (8 November 2020). "Water-immersion finger-wrinkling improves grip efficiency in handling wet objects". bioRxiv 10.1101/2020.11.07.372631.
  16. ^ "Dr Karl's Homework – Skin Wrinkles in Water (26/1/2000)". Abc.net.au. 2000-01-26. Retrieved 2019-04-30.
  17. ^ Einar P.V. Wilder-Smith; Adeline Chow (2003). "Water-immersion wrinkeling is due to vasoconstriction". Muscle & Nerve. 27 (3): 307–311. doi:10.1002/mus.10323. PMID 12635117. S2CID 45193684.
  18. ^ Einar P. V. Wilder-Smith (2004). "Water immersion wrinkling". Clinical Autonomic Research. 14 (2): 125–131. doi:10.1007/s10286-004-0172-4. PMID 15095056. S2CID 44938772.
  19. ^ H. Zhai, K.P. Whilem H. L. Maibach (2007). Dermatotoxicology. pp. 280–281.
  20. ^ G Alvarez, J Eurolo; P Canales (1980). "Finger wrinkling after immersion in water". British Medical Journal. 281 (6240): 586–587. doi:10.1136/bmj.281.6240.586-a. PMC 1713922. PMID 7427379.
  21. ^ The Dog Encyclopedia: The Definitive Visual Guide. Penguin. 15 August 2023. p. 84. ISBN 978-0-7440-8513-6.
  22. ^ Stefanaki C, Stratigos A, Katsambas A (June 2005). "Topical retinoids in the treatment of photoaging". J Cosmet Dermatol. 4 (2): 130–4. doi:10.1111/j.1473-2165.2005.40215.x. PMID 17166212. S2CID 44702740.
  23. ^ Brin MF, Lew MF, Adler CH, Comella CL, Factor SA, Jankovic J, O'Brien C, Murray JJ, Wallace JD, Willmer-Hulme A, Koller M (1999). "Safety and efficacy of NeuroBloc (botulinum toxin type B) in type A-resistant cervical dystonia". Neurology. 53 (7): 1431–8. doi:10.1212/WNL.53.7.1431. PMID 10534247.
[edit]

Frequently Asked Questions

You'll want a practitioner with specialized training in dermatology or plastic surgery and significant experience in administering Botox and fillers. Ensure they're certified and have a track record of safe and effective treatments.

You might experience bruising, swelling, or redness at injection sites. Rarely, you could face infection, allergic reactions, or asymmetry. With Botox, there's a slight risk of drooping eyelids or muscle weakness. Always consult a professional.

You're exploring the less talked about, yet vital, side of cosmetic treatments: patient safety and awareness. It's key to understand the risks and side effects of procedures like botox and fillers for informed decisions.