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Ask Alice

I live in Switzerland and I see clinics here offering Lanluma® on the face with amazing results. I watched your video and note there was no mention of this being okay to use on the face. Is this an approved product for the face?

Hi, as far as I know, Lanluma is designed for use on the body so I’m really surprised to hear that. I wouldn’t be keen to use a body-product in my face…

Hi! I’ve heard about the Emface treatment that seems to primarily work on your muscle to get like a lift in the face “naturally” by strengthening muscles. When reading about it, they say the facial muscles get weaker with age and that this treatment helps with that, when consulting with a practitioner, he also said I should stop with Botox because that has the opposite effect to emface , and the emface will do the opposite and strengthen them and lift up the face so I will not need Botox anymore even. Is this true? Or how would you think a treatment like this effect the face vs Botox? I also read about other muscle toning/strengthening treatments like caci that also seems to work with the muscle (but you need more treatments?). Can a full Caci treatment series have the same effect as emface, or is there a major difference in how the treatments work with the muscles and toning the face?

Hi, yes Emface works on the muscles in the cheeks and forehead to strengthen and tone them and adds a dose of radiofrequency energy to improve skin strength and quality. I’ve tried it, it’s great, though it takes time for the results to develop and I suspect I may need further treatment (expensive).

You don’t need to stop doing wrinkle-relaxing toxin but I would advise doing it after a course of Emface rather than before, as strengthening your forehead muscles will re-invigorate them. Also, as you say, you may find you don’t need it so much.

CACI is a great treatment, a full course could give similar results though I don’t think this builds muscle tone and strength as directly as EMface – and you will need to keep up the treatments regularly to maintain results.

You say you would do the EM face treatments were you in your 40s. I am in my early 70s and I suppose it is too late for that now?

Hi, I think it is rarely ‘too late’ to try any of these tweakments – what you need to keep in mind is that the older we get, the less response there is in our skin and muscles to the treatments that are designed to stimulate them. So what you need to ask your practitioner before you start, is whether they think, after assessing your face, that the treatment will make a difference.

 

Often, we need more treatment in order to show a result as we get older (I need three rounds of Profhilo in my neck, for example, before I can really see the results, whereas someone 20 years younger should get a decent result from two treatments).

I have seen a nice toning and softening in my face after four sessions of EMface – how long this will last I don’t know. In an ideal world, I’d go on having one of these treatments every month – but at current prices that would be an expensive habit to develop.

Hi Alice what are your views on age-jet treatment?

Hi, I haven’t tried Age Jet but it looks really interesting, it’s a treatment that uses nitrogen plasma to resurface and tighten the skin, and reduce excess pigmentation and wrinkles so it’s not dissimilar to NeoGen Plasma. I see that Dr Munir Somji is offering it at Dr Medispa and he is discerning in the products and technologies he picks for his clinics. My suggestion would be, if you do try it, to opt for a series of lower-intensity sessions rather than one big treatment, to make the recovery time more manageable.

Do treatments that target and rejuvenate collagen also melt fat?

Hi, great question. The short answer is that energy-based treatments that use, say, ultrasound or radiofrequency energy can do this, if the energy that is meant to be directed at the collagen-layer in the skin is aimed instead into the fat that lies underneath the skin. Take a look at this article for more detail on the way that RF needling can in some circumstances, melt fat – which is great if this is done deliberately because you want fat reduction in the face, but not so good if it happens by accident.

The key thing is to find a practitioner who has enough expertise to use the treatment appropriately for your face and skin, so that you get the results that you want – and not the ones that you don’t.

Which treatment is best for hyperpigmentation due to sun damage? IPL or chemical peel? I live in Barbados and that’s all that’s available here. Thanks!!

Hi, I’d find the most experienced dermatologist or other cosmetic physician on the island and ask for their advice – and also plan carefully how, if you go ahead with treatment, you are going to protect your treated skin from the sun. In the UK, it’s best to do these things in the winter; you will have to commit to buckets of SPF 50 and a hat afterwards to minimise further pigmentation developing.

Dear Alice, thanks again for an always fantastic information guide. I finally made of my mind and decided to have toxin, got an appointment and went to the consultation. It’s a great but.. a little voice inside is still a little nervous, especially since most of my deeper set wrinkles are over and above my eyebrows. I’m worried that either my eye lid will “fall” or look too artificial lifted.. any good advice ? And of course any good advice for first time toxin? Do and don’t? Thanks 🙏

Hi, that’s completely understandable to be anxious ahead of trying any tweakment. Have you discussed these particular concerns with your practitioner? If you have, I hope they would have reassured you that they have enough skill and experience to place the toxin in just the right places so that it will soften your wrinkles without wiping them out, and without making your brows drop. Also, first time, it’s good idea to ask for a really light dose, just enough to give you an idea of what the treatment can do. It won’t last as long as a regular dose, but if for any reason you don’t like the results, then you aren’t stuck with it for so long. See if the information on this section about wrinkle-relaxing toxins helps.

Can I ask what you think of the Skin Laundry company, its memberships and in particular its Ultra Duo facial? Many thanks

Hi, Skin Laundry offers some great treatments, though I haven’t tried any of them for a while. I can’t comment on its membership offers or the Ultra Duo – but I know the company uses top-quality devices and their therapists are well-trained.

I wonder what your thoughts are on Neofound please?

Hi, it looks like a new kind of mesotherapy product ie an injectable for improving the condition of the skin, which is different to injectable moisturiser treatments. I haven’t seen any data about how well it works and how effective it is.

I’m 66yrs old, I have never really had a good skincare regime, and enjoyed the sun with no SPF creams on various occasions. However I am now committed to a good skin care regime and 50spf cream. I have recently had toxin which is fab and am now considering facial filler to my mid face, am I too old?

Hello, can I first say it’s brilliant that you have committed to a good skincare range and SPF, it will make all the difference to your skin going forward, and please know that you are NEVER too old to benefit from great skincare, advanced facials and tweakments, and don’t let anyone tell you that you are! If you like and trust the practitioner who is doing your toxin, ask them what they would suggest by way of fillers.

Should I allow an aesthetician to inject hyaluronic gel filler to a previously bruised area?

Nnngh, if your aesthetician has any sense I hope they won’t be injecting anything into a bruise!

What are your thoughts on the Skin Laundry and in particular their Ultra Duo facial? Thanks

I haven’t tried the Ultra Duo but Skin Laundry is a great brand and they use great devices and train their aestheticians well, so I’d say it’s well worth a try.

What are your views on the Lyma laser. Is it really medical grade?

No, it does not have medical certificaton. I have tried the Lyma ‘laser’ but I’m not a fan – I used it every night for months on end in spring 2021 (on one side of one wrinkle on my neck, and on the knuckles of my left hand, as advised by the brand founder,) without getting any results.

My laser-manufacturer acquaintances laugh at it when I ask them what they think of its supposed powers of rejuvenation. Why?

‘Look, this isn’t competition to us,’ said one. ‘Laser?’ laughed another. ‘That’s more of a laser pointer.’

The Lyma makes enormous claims, claiming the sort of results that it normally takes several rounds of in-clinic treatment to achieve, and has the flimsiest scientific backup  – and despite making these claims the company hasn’t seen fit to put the product through a single clinical trial or comparison with other devices.

It has been brilliantly and stylishly marketed and it has persuaded a lot of journalists who should have asked a few more questions to repeat its extravagant marketing claims. What should they have asked? How can a device the size of a torch with a rechargeable battery generate enough power to do what it says it does? Or how can any light which is allegedly strong enough to prompt healing deep within the skin be safe to use around the eyes/ shine directly in your eyes without protection?  Why do they suggest using an oil or cream with the product to give it ‘slip’, when any oil or cream will distort the light beam that’s reaching the skin?

For what it’s worth, if you are contemplating spending that much money, I know two brands that really will deliver. The Dermalux Flex works a treat and I know that because I gave it full road testing during lockdown #1 and got brilliant results. Plus it has a medical CE certification which means it can make medical claims to treat, for example, acne and heal wounds. The other is the range of home devices from Celluma, which come in various sizes and which are also medically certified to treat various skin conditions and have an immense amount of research behind them.

Polynucleotides – where could I have it done?

Hiya, TTG editor Georgia here. In a recent article, Alice mentioned a few TTG-registered practitioners who offer polynucleotide treatment including Dr Sarah Tonks, Professor Syed Haq and Professor Bob Khanna.

Any info on Clearlift laser? I want to know it’s comparable to skin needling for stimulating collagen. Many thanks.

Hiya, TTG editor Georgia here. This type of laser can absolutely get impressive collagen-stimulating results, but whether or not those results will be comparable to microneedling depends entirely on you – your face, your skin quality, what you want to achieve, how much downtime you’re willing to undertake and how many treatments you’ll commit to. The best bet is to find a practitioner who offers both and see which they recommend for you during a consultation.


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