Hi, you faint lines are unlikely to be cause by the home IPL machine. Lines may occur due to sun damage or smoking. I would advise you to use facto 50 sun screen and avaoid sun exposure as the best way of preventing fine lines.

Neither home nor salon/clinic IPL machines are successful at 'real' long lasting hair removal. The IPL energy doesn't penetrate the skin deep enough to damage the hair growing cells. Laser based systems in comparison will give 80-89% reduction in hair density which lasts years and would need topped up one a year. IPL systems are really no better than waxing.

The benefit of commercial IPL machines over home ones is in the quality of their filters which means less unwanted light wavelengths and therefore less complications like pigment change. Home machines tend to be less powerful to get over this limitation, further reducing their effectiveness.

Answered by Dr. SivarajanMay 10, 2022

Fractional Laser

Q What is wrong with my skin and what is the best treatment? (photos)

Hi,

Further CO2 laser treatment is probably your best treatment to improve skin texture, however, I would recommend a more powerful CO2 laser, either the CORE or Ultrapulse laser systems may give you more improvement.

Answered by Dr. SivarajanMay 10, 2022

Breast Reduction

Q How much can a cup size be reduced to during a breast reduction (J to A/B)?

Hi, thanks for your question.

With breast reduction it is possible to reduce the breast size hugely, however a certain amount of breast tissue must be kept to keep the nipples alive. This amount generally gets bigger with the initial size of the breasts, so it may not be possible to get you all the way down to A/B. However, this depends on the measurements taken at your consultation with a surgeon. Also, you may require a technique called a free nipple graft. in which case it is more possible to get you down to A/B size. This, does, however man the nipples are removed from the breast and put back on. You may lose all or part of them and they are likely to look different and have no feeling.

I hope this helps

Answered by Dr. SivarajanMay 10, 2022

Breast Lift with Implants

Q Do I need a Breast Lift - the doctor I seen says no? (photos)

Hi,

It is difficult to tell from the photos and measurement whether you definitely would need an uplift. I would be able to tell if i examined you and sometimes there can be options depending upon what you want to achieve. Did you have 3D imaging and modelling carried out? This can help to visualise your results and look at options. I always do this for patients and have carried out hundreds of uplifts with implants.

It might help to ask your surgeon how often he carries out uplifts with implants. Its technically difficult so you should go to someone doing them weekly.

It never hurts to get another opinion, particularly if you are unsure.
Regards
Vivek

Answered by Dr. SivarajanApril 5, 2022

Breast Reduction

Q Will my nipple go completely flat after free nipple graft breast reduction?

Hi,

Thanks for your question,

Generally speaking a free nipple graft is required when the movement of the nipple during a breast reduction is too far to be kept alive by a stalk of breast tissue under the nipple. Whilst there isn't a definite distance either from the collar bone to the nipple or a distance of how far the nipple will travel a recent study of free nipple graft procedures found that they are generally required when over 1.5kg of breast tissue needs to be removed from each breast. Maybe you could as your surgeon how much he is planning to remove?

Unfortunately a free nipple graft leaves an areola which may lose colour, loses all feeling and loses the projection of the nipple to some degree. You can also lose the entire nipple, although this is rare.

As with all breast reductions only you can weigh up the risks of the procedure against living with the large breasts that you have.

I hope this helps and if you are unsure about the procedure it never hurts to have other opinions.

Answered by Dr. SivarajanApril 5, 2022

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Elanic - Glasgow

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