Anna Hoo Clinic: 3/1/12

Successful women have more manly features

Interesting article for sharing :

Is it always good to look like one of those nubile Japanese and South Korean models? You know, those with the round doe-like watery eyes, the small rosebud mouth, the dainty nose and the V-shaped chin?

In the world of Mian Xiang, the balance of yin and yang is extremely important. Women shouldn’t look all yin, and men shouldn’t look all yang.Yin is the gentle energy, the nurturing and more compassionate energy whereas yang energy is associated with the can-do and action- oriented abilities.

You will notice that tycoons always have strong yang features, but their features are complemented by yin (the soft flesh) which gives them ample cheekbones, and a wide and fleshy double chin.

Further reading please click on the link below

http://thestar.com.my/metro/story.asp?file=/2012/3/19/central/10882002&sec=central

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Anna Hoo

合理的收费？

爱美是人的天性，不过要美得自然，美得安全，不可以为了变漂亮而牺牲健康

当你去餐馆吃东西，叫了一客烤牛扒，很好吃，不过只是吃了一半就饱足了，那该怎么办？

怪厨师煮太多？（都是标准分量）
怪自己吃不完？（要不要硬硬吞下肚子吃完，然后肚子涨找辛苦？）
要求厨师打包？（有可能，不过如果分量剩不多，又烦恼）
要求餐馆帮你冷藏起来，下一趟过来再吃？（恩，有点过分，而且不新鲜，会不会发霉不可知）
要求餐馆或厨师还你一半的钱？（只是吃了一半而已嘛！）

通常就算了，让餐馆解决好了。（丢掉？喂猫/狗吃？回收？通常餐馆会丢掉。）

我们付的价钱，除了食物，还有环境，还有服务
最大的因素，就是厨师烹饪食物的技术，食物好不好吃，也会决定下一次我们要不要再次光临；当然，服务员的服务，环境舒不舒服，都是加分的因素。

食物很好吃，下次就还会想要来吃，而且想要吃同一个厨师烹饪的食物，为什么呢？是因为手艺和水准问题，是因为喜欢那一个厨师煮出来的味道。

说那么多，其实是要讲关于工作上医学美容的一些疗程服务和病人的要求
其中一个例子是皮下填充液(dermal filler)，收费通常是随着分量而定，也有的随着到底用了多少的针筒分量（一只大概0.7mls，有的1.0mls, 有的2.0mls）
很多时候，并不是所有的分量都适合完全使用，足够就好，太多有时会反效果（原本是要补充流逝的体积Volume反而变成太多而肿胀了），就好象吃牛扒，吃饱就好，吃太多反而让自己的胃不舒服和消化不良。
分量刚刚好，效果就很好。

如果一次治疗只用了针筒内一半的分量，那么剩下的，该如何呢？
很多人就说，分量只用一半，那么疗程的费用只给一半就好。
很多人都会这样想，你会不会也一样这样想，会吧？

不过要知道，那针筒的分量的填充液，一半已经运用在病人脸上了，剩下的那一半，已经是不可以循环再用了。下一个疗程是两个礼拜后，两个礼拜后，需要重新开过一只新的填充液来做疗程了。

会浪费吗？难道用不完丢掉？

如果这样想，用不完不丢掉反而收着留待下一次的疗程，我们无法肯定收藏期间不会有任何的污染，卫生一定可以保持清洁，因为设计一次用就丢的货品，原本就不是可以连续使用。如果贪小便宜，重复使用，万一发生感染了，细菌感染，病毒感染，或货品变质了，所引起的副作用或后遗症，谁来负责？

当然是医生，那一位为你打针的人。

如果你是那位医生，那么你愿不愿意为此而冒险？愿不愿意为了替病人节省而让他们因此有了这些不必要的风险？

正常的医生都会以病人的健康为优先考量。
所以，答案是不会，不应该会，不可以会。

病人们需要了解状况。
医生的收费除了使用的货品，其实还包括很多看不到的费用，诊所的租金，疗程环境的投资，器材的费用，员工的薪金费用，电费，医生的时间，精神，和最重要的= 技术。
我们相信那一位医生，其实是信任他的专业，和他个人的态度个性，以及技术手工。不然有那么多的医生可以选择，为什么你会选择他/她？
是因为你信任他/她的专业手艺
是因为觉得在他/她的诊所里感觉舒服
是因为可以安心的接受疗程而不必担心着有副作用或后遗症

一切一切，都要切记
以自己的健康为先

最近有报章有关于整容反而得到反效果的新闻，可以看一看，一切以自己的健康为先
http://www.chinapress.com.my/node/301638

William

肉毒杆菌素有副作用或后遗症吗？

肉毒杆菌素有没有副作用或后遗症？

你喜欢这样的眉型吗？很多欧洲人喜欢。

首先，要先明白后遗症，副作用，并发症，和不良效果的差别，才不会误会。

后遗症：在病情基本好转后遗留下来的某种组织、器官的缺损或者功能上的障碍。

副作用：系指应用治疗量的药物后所出现的治疗目的以外的药理作用。

并发症：一种疾病或症状在诊疗护理过程中引起另一种疾病或症状的发生，后者即为前者的并发症。

不良的效果：疗程后出现的一些所不想要的不好效果

肉毒杆菌素的效用在医学美容里是四到六个月，之后就会慢慢消失，不见。比较令人关注的是注射肉毒杆菌素后的一些并发症和一些不想要的效果，这里讨论的是肉毒杆菌素在医学美容里的运用（用量非常少），而不是在医学里的运用（用量多而大）。

后遗症和副作用：

基本上如果根据指南进行疗程，是没有后遗症和副作用的

并发症：

施针部位

· 施针的部位局部麻木，疼痛，肿胀，和乌青：可以在接受治疗前后冰敷，可减少疼痛肿胀，在接受治疗后也建议不要进行剧烈运动，以免血行加速或增多而让症状更严重。

· 暂时性头痛：主要出现在一些说话习惯性抬眉的病人，或近视者（习惯皱眉来集中视力），可吃止痛药消痛，或在2-3周内自行消失。

靠近眼部的部位治疗

· 上眼皮下垂

· 下眼皮眼睫毛内长

· 眉型变换

嘴唇和颈项部位治疗

· 上唇无力，吞咽困难，声线变换

过敏反应

免疫细胞的产生：请看回前篇的解释。

而这些就是不良的效果：

· 面部表情僵硬呆板，双边的脸上肌肉活动不对称：主要出现于治疗鱼尾纹者,由于注射点位置过低或剂量过大,影响到颧大肌,颧小肌,在病人笑时感觉到两侧面颊部不能上提。

· 局部凹陷：主要出现在打肉毒杆菌素瘦脸的病人，施针者两边咬肌注射的肉毒杆菌素分量不对，或地点部位欠佳，就会造成此不良效果。

· 肌肉无力：分量太多，原本是减少除皱结果变麻痹肌肉。

· 视力模糊：在眼睛部位的施针，稍不慎或分量过多会令眼轮匝肌,睫状肌麻痹而造成此效果。

· 眉型改变：通常初学的施针者会有此效果，如上图的Mr Spock眉型，不过这是可以改善的。

如果接受疗程后发现产生不良效果，那么该怎么办？

一个好的消息是，不良的效果，是可以寻求有经验的注射医生帮忙改善的；肉毒杆菌素的作用是暂时的，随着时间的流逝，它的作用也会慢慢消失，从而可以慢慢回复。

William 笔

Dermal Filler Selection

Dermal fillers are medical prescription products used to treat volume loss, fine lines, wrinkles, and repair facial imperfections, eg hollow cheeks or scars.

If you are interested in dermal fillers as a treatment option, it's important to first understand the different types of dermal fillers, how treatment is administered, and the possible side effects.

We would like to share 2 most important tips on filler selection.

What are the qualities of a good/safe dermal filler?

Proven Safety Record
Reversible If Problematic
Visible Result
Reasonable Longevity

An ideal filer would be one that has

Proven safety record

You would like your filler from a reputable company which produce their product with the highest quality. The product must have undergone vigorous studies to ensure its effectiveness, safety and stability. The manufacturer should have the strictest production standards to ensure that their product has consistent, reproducible results and importantly, the defect rate or the rate of the results its product gives deviating from the expected is close to zero. The product has to stand the test of time. It has to show that the product does not cause problems after administration today, and in days to come if used within the prescribed way.

These products may not come cheap but you know that these products share a common idea with you - no compromise in terms of quality when it come to your health.

You don’t want to be the first person to use a certain product and end up being scared.

http://www.telegraph.co.uk/news/newstopics/howaboutthat/3439638/Cosmetic-surgery-addict-injected-cooking-oil-into-her-own-face.html

Reversible If Problematic

There is no one in this world who can promise you that the injection material and the injection technique will be the perfect one every time you undergo any procedure. You would like to know that when somethings goes wrong, your doctor would be happy to assist you with the correction without having to go through the knife.

Permanent lip filler

Patient : Doc, i don’t like my lips, it’s getting bigger over time.

Doctor : Oh dear, you are the one in a million to have this reaction. I will schedule you for a lips filler removal operation. The cost is USD 20000, a discounted price.

Patient : Why is the correction so much more expensive then the filler, you charged me USD 2000 2 years back?

Doctor : ... ...

Many people fall trap into being prey of permanent / semi permanent filler. The injector may sell you the idea that permanent filler lasts longer and hence you do not need to undergo repeated injections. The fact is, human ages with time. No matter how permanent a filler is, volume loss is ongoing and there will be constant need for further volume replacement. Even after permanent filler injection, one would still require future volume touch up from time to time. So with and without permanent filler injections, one would still require the top up treatment. The apparent saving is not there.

But what you were not told was the fact that once the permanent filler is injected into your body, your body will not have any mechanism to dissolve it. The permanent filler ended up staying in the body for the rest of one’s life. To remove it, one will have to seek the help of a plastic surgeon to remove it surgically. The process of filler removal is a tedious job and even in the best hands, the fillers may not be completely removed in toto.

The other risk is, permanent filler is being recognized as foreign body and in some patients, it attracts inflammation. Chronic inflammation forms granulation tissues or scar tissue which increases the actual “volume” of the fillers over time. One may find the areas treated with permanent filler growing over time and the

treated area may disfigure. To rectify this problem, surgery, will be required.

Visible result

Filler is a substance that is introduced by means of injection into the face to corect signs of aging. There are many ways to classify fillers. Time and again, I have emphasized the benefit of non permenanr filler over its permenant counterpart. I would like to introduce a new classification ie volumetric filler vs stimulatory filler.

Almost all registered fillers in the Malaysian market will have volumetric filling effect. Which means that immediately after the injection, our body will react towards the filler and create a volume effect to the targeted area, giving the treatment area a fuller contour, more supple skin. The more void to fill, the more volume is required.

Some of the commonest fillers are HyaluronicAcid Filler and Calcium Hydroxyapatite

On the other hand, new discovery allows us to manipulate the fillers in such a way that they create a stimulative effect. Which means the filler encourages generation of new collagen while improves blood supply to the skin, giving the skin a its glow. Unlike volumetric filler, the effect is not immediate. What more is that the treatment has to be done in a series of injections. This is because different people react differently to the treatment. The same treatment may cause overstimulation in one but under stimulation in another. That's why this treatment needs to be meticulously tailored to individual skin response in order to get the optimal results. After the treatment, patients do experience improvement in the skin texture and there is a gradual lifting effect, improving the sagging of the skin.

Most stimulatory fillers are semi permanent/permanent filler.

The commonest filler in this group being Poly-L-Lactic Acid.

Longevity

As an advocate of biodegradable filler, I tended to do things differently. Imagine getting yourself injected with something that stay forever and getting it done under multiple sessions. I would still stick to non permanent/biodegradable filler. The longevity is reasonable, lasting 9 months to a year. More importantly, it is safe and degradable. Patient still enjoys good looks and has the ability to adjust his/her facial contour according to his/her age.In contrast if permanent filler is being injected into the face, we will have difficulty in adjusting the treated face end up having to go for surgical removal of the permanent fillers.

Small tips on filler injection.

Do ask for reputable doctor to do the injection. And do keep a record of the filler injected to your face. It’s consider as a part of your medical record and you have to know it.

http://famousplastic.com/2012/02/06/celebs-before-and-after-lip-augmentation-pictures/

As the closing of the chapter in Dermafiller sellection. Many have fallen trap thinking and I do not want you to be part of it.

Amen

by Anna Hoo

Important Tips on Dermafiller Selection

Visible result
Filler is a substance that is introduced by means of injection into the face to corect signs of aging. There are many ways to classify fillers. Time and again, I have emphasized the benefit of non permenanr filler over its permenant counterpart. I would like to introduce a new classification ie volumetric filler vs stimulatory filler.

Almost all registered fillers in the Malaysian market will have volumetric filling effect. Which means that immediately after the injection, our body will react towards the filler and create a volume effect to the targeted area, giving the treatment area a fuller contour, more supple skin. The more void to fill, the more volume is required.

Some of the commonest fillers are HyaluronicAcid Filler and Calcium Hydroxyapatite

On the other hand, new discovery allows us to manipulate the fillers in such a way that they create a stimulative effect. Which means the filler encourages generation of new collagen while improves blood supply to the skin, giving the skin a its glow. Unlike volumetric filler, the effect is not immediate. What more is that the treatment has to be done in a series of injections. This is because different people react differently to the treatment. The same treatment may cause overstimulation in one but under stimulation in another. That's why this treatment needs to be meticulously tailored to individual skin response in order to get the optimal results. After the treatment, patients do experience improvement in the skin texture and there is a gradual lifting effect, improving the sagging of the skin.

Most stimulatory fillers are semi permanent/permanent filler.

The commonest filler in this group being Poly-L-Lactic Acid.

Longevity
As an advocate of biodegradable filler, I tended to do things differently. Imagine getting yourself injected with something that stay forever and getting it done under multiple sessions. I would still stick to non permanent/biodegradable filler. The longevity is reasonable, lasting 9 months to a year. More importantly, it is safe and degradable. Patient still enjoys good looks and has the ability to adjust his/her facial contour according to his/her age.In contrast if permanent filler is being injected into the face, we will have difficulty in adjusting the treated face end up having to go for surgical removal of the permanent fillers.

Small tips on filler injection.
Do ask for reputable doctor to do the injection. And do keep a record of the filler injected to your face. It’s consider as a part of your medical record and you have to know it.