Treatments

The following is a list of conditions that people think about for treatment in my practice. This list allows you to realise the available options for managing any particular concerns that you may have. The information about the treatments themselves is documented on this website.

 

SKIN AGING
All our skin ages and loses collagen and elastin which support our skin and give it its elasticity. However, if you look at your skin that has not been exposed to sunlight, (your bottom, for example) you will notice that, although it is the same age, it does not look as old as the skin on your face or hands. This is the result of photoaging from exposure to the damaging effects of the sun. This skin will show wrinkling and loss of elasticity but also red spots, blood vessels, brown spots and areas of increased pigmentation. The following list lays out what each treatment can do for these conditions.
 

Treats the colour changes and restores skin to a more youthful appearance. Minimal recovery time. Usually needs at least two treatments. 

Can be with Levulan for activation by the Blu-U light or with IPL. There can be a little longer recovery time. Recommended for treatment of oily skin (acne) or skin with pre-cancerous skin changes (Actinic Keratosis or AK).

Usually 3-5 days of recovery. Tightens skin, wrinkles, brown spots. Exceptional results.

Treats dynamic wrinkles (created by muscles e.g. frown lines). Forehead, smile lines, lines under the chin and others.

Most commonly used are the hyaluronic acid fillers. These can be place deep in the tissues to remove wrinkles and restore volume to the face. Can also reshape areas such as the nose and lips.

There are specific peels for aging skin. Helps colour and tone.

Gentle to moderate exfoliation and stimulation of the skin. Consider also as a maintenance treatment.

 

Good skin care is important. A gentle exfoliant and a good moisturiser are very important. There are lightening agents for areas of pigmentation also.

Products such as Jane Iredale mineral powders give a very natural look to the skin as well as superb sun protection to prevent further sun damage.

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ACNE
 

Careful management of the skin is important. These may be prescription or non-prescription items that are used regularly on the skin.

There are specific peels for treating acne. Minimal recovery time. Usually need two or three treatments. See Skin Health.

Minimal to no recovery time. Usually needs multiple treatments and maintenance.

Longer recovery time of 2-5 days usually. May require more than one treatment. Excellent results.

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ACNE SCARS
 
Peels.

Some, more aggressive peels, can improve the appearance of mild scars.

As above, can improve the appearance of mild scars. Minimal recovery time.

This will improve the redness and brown pigmentation but not the depth of the scars. Treats the colour changes and restores skin to a more youthful appearance. Minimal recovery time. Usually needs at least two treatments. 

A laser treatment with excellent results. Recovery could be several days but definitely worth it. Deeper scars will require more treatments.

Fillers such as hyaluronic acid (Juvederm, Teosyal) can be injected under the scars to lift them. Needs to be repeated about yearly.

Subcision.

After anaesthetic, a small knife like needle is used to break the scar bands letting the skin lift up by its own healing process. Some bruising for a few days only.

Excision.

Small, deep scars are often removed using a punch biopsy. This creates a tiny hole in the skin which heals very well leaving no pitted scar.

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OTHER SCARS, TRAUMATIC SCARS, STRETCH MARKS
It is not possible to make scars disappear. Many scars can, however, be improved by using many of the techniques listed for acne scars. Other techniques include re-excision, injection of cortisone, silicone gel and others. Each scar requires individual assessment as to possible treatment and outcome.

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ACTINIC KERATOSIS
This is a pre cancerous condition caused by sun exposure. It is usually easily diagnosed clinically, but may require biopsy for confirmation. Treatments include;
Liquid Nitrogen.

For small areas that are seen or felt, the application of liquid nitrogen works well. This has minimal recovery and needs assessment about yearly. Low cost

Topical Treatments.

There are prescription creams that can be applied to the skin. Long recovery time. Low cost if you have extended health care benefits.

Combination treatment with Levulan applied topically followed by exposure to the Blu-U light. Very good long term results. Can be a few days of recovery. The cost is your responsibility but may be claimed through income tax.

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ROSACEA
A chronic condition characterized by facial erythema (redness) and sometimes pimples. It primarily affects Caucasians of north western European descent and has been nicknamed the 'curse of the Celts' by some in Britain and Ireland, although recently this has been questioned.Rosacea affects both sexes, but is almost three times more common in women. It has a peak age of onset between 30 and 60.

Intense Pulse Light (IPL)

Treats the colour changes and restores skin to a more youthful appearance. Minimal recovery time. Usually needs at least two treatments. 

CELLULITE
This condition can occur in men, but is predominantly female in origin as it is thought to be related to oestrogen. This presents as a dimpling of the skin that is most noticeable in the thighs. If you review the popular press, there are all sorts of “cures” for cellulite so this obviously means that this is a concern for many women. In all truth, to date, there is no “cure” for cellulite. There are treatments, however, that can improve the appearance of cellulite. Most of these treatments will require some sort of maintenance treatments as they are not permanent. Treatments that we offer for cellulite are as follows;
 

This revolutionary new radio frequency treatment can break down the fibrous bands that create the pockets of cellulite.  Significant improvement is possible with BodyTite.

Mesotherapy

Mesotherapy is an injection of a blend of vitamins, minerals, medications and amino acids just under the skin's surface, which breaks down fat deposits and shrinks fat cells. As individuals vary, repetitive treatments may be required for the treatment to be successful.

Subcision

The deep pockets can be improved by introducing a small needle like knife to break the adhesions that create the dimples. Requires local anaesthesia and is slow.

There are also topical medications that can be of some help, and also dry brushing the skin regularly is thought to be of help also.

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FAT POCKETS
Many people get their weight down to where they would like to be, but are left with pockets of fat where they don’t want them. The common places are the underarms, behind the bra, the love handles, the tummy just above and below the belly button, the ‘saddlebags’, the inside of the thighs and the inside of the knees. These areas are often hormone related and can be frustrating to remove. Some suggestions for treatment are as follows;
 

This revolutionary new radio frequency treatment can reduce small pockets of fat and tighten the skin simultaneously.  BodyTite achieves amazing results for  areas such as upper arms, loose tummy skin and many other similar areas. 

Meso/lipotherapy.

This is the injection of fat reducing chemicals into the mesoderm or deeper layer of the skin to help to break down the fat cells which are then mobilised into the circulation. Requires a minimum of four treatments usually. Very nice for small areas like under the chin or the jowls. Also provides some skin tightening.

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MOLES AND OTHER SKIN LESIONS
Most moles are benign in character. Any new, rapidly growing mole, or any skin lesion that changes its size, shape or colour, should be viewed suspiciously and checked. Dr. Balharry uses a Dermascope to assist in this assessment. This is a simple hand held tool that creates a special light and magnification, to more easily assess the characteristics of a lesion. This can help to eliminate the unnecessary removal of benign lesions.

Any lesions that are deemed suspicious, can then be treated with either a small piece being removed for pathological biopsy, or removal of the whole lesion.

Cosmetic removal of skin lesions can be done with careful excision, liquid nitrogen, cautery or lasers. Dr. Balharry can offer a range of choices depending on your wishes. Cosmetic removal of skin lesions is not covered by provincial health care insurance plans, and the cost is the responsibility of the patient.

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BACK PAIN, SOFT TISSUE PAIN AND INJURY
All the joints in our body are held together by ligaments. Regular wear and tear as well as injury, can cause a stretching or relaxation of these ligaments. When this happens, our body recruits the muscles around this area to try to protect the laxity. This results in muscle fatigue, spasm and the formation of painful trigger points. It is this process, for example, that causes the vast majority of back pain complaints. Initial treatment consists of a degree of rest, medication to help relieve pain and muscle spasm as well as physiotherapy, chiropractic or massage. If the problem persists, further intervention may be necessary.
 

Dr. Balharry is an authority on this procedure and has been practising prolotherapy since 1982. This procedure involves the injection of a sugar (dextrose) solution in to ligaments that are lax or damaged. This promotes a natural healing process in the ligaments that makes them stronger, thicker and usually tighter. The results are excellent. The procedure can be painful and is also not covered by provincial health care insurance. The costs are the responsibility of the patient. 

PRP is short for Platelet Rich Platelet which is blood plasma that has been enriched with platelets. Platelets are a concentrated source of several different growth factors and other cytokines that stimulate healing of bone and soft tissues. PRP has been used in orthopaedic surgery for many years but is now being used by injection to treat many types of soft tissue injury as well as arthritis of the joints, particularly the knee. It has gained publicity recently with people like Tiger  Woods and Patrick Chan having been treated with this technique.

 

 

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