Dr Dilan Fernando- Advisory Board Member at The London Aesthetics Show

london aesthetics show

The Treatment Rooms London lead hair transplant surgeon, Dr Dilan Fernando has been elected advisory board member at The London Aesthetics Show.

The London Aesthetics Show is launching Spring 2020 and seeks to champion patient safety and awareness in the aesthetics industry. With an increasing number of patients opting for aesthetics treatments; safety and regulation within the UK landscape is a priority. The London Aesthetics Show is the first conference to bridge the gap between cosmetic clinics and patients. It gives the chance for patients to meet with Doctors, Surgeons and practitioners alike. In this forum, patients will have the opportunity to ask them questions relating to treatments they are interested in.

What will Dr Fernando’s role be at The London Aesthetics Show?

On the board, Dr Fernando will represent hair transplant surgery and the patient safety issues that surround treatment. He is excited to represent a treatment that is growing in popularity over the last few years.

I am excited to be elected onto The London Aesthetics Show board. Hair transplant surgery is a complex treatment and patient safety is a priority. In lieu of the ISHRS’ recent Black Market Hair Transplant campaign launched in 2019, I look forward to highlighting both the BAHRS and ISHRS’ professional codes of conduct around patient safety to those attending and exhibiting at The London Aesthetics Show

Dr Dilan Fernando, Lead Hair Transplant Surgeon at The Treatment Rooms London and Member of the British Association of Hair Restoration Surgery

What will Dr Fernando speak about?

Dr Fernando will highlight the issue of unregulated, black market hair transplant clinics that put patient safety at risk. Any patient that seeks hair loss treatment needs to have a proper consultation. This requires a full assessment of hair loss to date and then a plan for the future.

In today’s global market of hair transplant surgery, we are finding patients are quickly ushered into choosing a hair transplant. This is without any regard to their outcome and their expectations for results. Patients require a holistic plan to account for hair loss and the future. This may mean delaying a transplant in a patient’s best interests until their hair loss stabilises.

Dr Dilan Fernando, Lead Hair Transplant Surgeon at The Treatment Rooms London and Member of the British Association of Hair Restoration Surgery

At The Treatment Rooms London we are also seeing an increasing number of patients having their hair ruined following a transplant. Their complications range from poor hair growth results through to disastrous skin necrosis.

Skin necrosis is a never event in hair transplant surgery. This means that a patient should never suffer from this complication. A surgeon who has carried out the transplant which has resulted in skin necrosis has clearly shown some degree of poor technique. I will be looking to highlight and address this issue at The London Aesthetics Show.

Dr Dilan Fernando, Lead Hair Transplant Surgeon at The Treatment Rooms London and Member of the British Association of Hair Restoration Surgery

CQC and Thread Lifts- The Latest in Regulation

cqc thread lift

CQC and Thread Lifts. There has been recent news about PDO thread lifts in the UK. The Care Quality Commission- the UK’s health and social care regulatory department has issued a new statement. It explained:

Where the procedure of thread lift (i.e. involving the insertion of threads) is carried out by a healthcare professional, it falls within the Care Quality Commission (CQC) scope of registration, requiring the provider to register with the CQC for the regulated activity of surgical procedure.

CQC, 2019

This means, ANY clinic, that provides thread lifts as a treatment SHOULD be registered with the CQC. If they are not, they are providing treatment outside the UK’s current regulation standards and are treating ILLEGALLY.

What are thread lifts?

Thread lifts are a treatment that use small thread-like materials, placed under the skin, to lift areas of sagging skin and tissue. They help to produce a lift in the face, jawline, breast, arm, legs and buttocks. At The Treatment Rooms London we have specialised Doctors and Surgeons who are able to provide a lift in the face and across the body.

​The treatment tends to last 12 months or longer. As the treatment is minimally invasive the cost for this lift is magnitudes better than a surgical treatment as well as having minimal downtime. For this reason we have seen the popularity of the treatment skyrocket in our clinic!

before and after jowl thread lift london
Jowl lift using PDO Threads

What does the new CQC regulation mean for thread lifts?

As mentioned before, it will mean clinics that are NOT registered with the CQC and are providing thread lifts will now need to register. They should not continue to treat patients with thread lift treatment until they are registered.

At The Treatment Rooms London we have always been registered for surgical procedures under our CQC licence. This means our patients can continue to be safely and legally treated in our clinic.

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Looking Like You With Fewer Lines

Before and after botox treatment

Allergan, the Pharmaceutical company behind Botox®, has released a new advert. It has focussed its attention to patients between the ages of 22-37- the so called “Young Millennials”. Its tag line reads, “looking like you with fewer lines”. At The Treatment Rooms London we wanted to explain what this tag line might mean!

What is Botox®?

Botulinum toxin has been used safely in chemical forms to prevent and treat skin wrinkles. It comes in different formulations and Allergan’s version is called Botox®. More people undergo Botox® treatment than any other cosmetic treatment out there and its popularity is rising.

In particular, there has been a 22% increase in those between 22-37 years of age in the last 5 years (figures by the American Academy of Facial Plastic and Reconstructive Surgery). This trend has been mainly down to patients looking to treat before they start to develop the signs of ageing (skin wrinkles, sagging skin).

Despite the increasing number of millennials undergoing Botox® treatment, the average age of a patient having Botox® treatment is 46 years old.

As mentioned before, Botox® is primarily used to:

  1. Treat any existing static or dynamic (still or moving) skin wrinkles/lines
  2. Prevent any skin wrinkles

At 46 you may have already developed skin wrinkles. In these patients Botox® treatment will help in treating these lines, softening their appearance. However, by starting Botox® treatment earlier, before the appearance of these lines can be doubly beneficial. You will be able to prevent these lines from appearing in the first place. This will mean any wrinkles that appear when you age won’t be as deep and noticeable. As the old saying goes, prevention is the best cure!

What are patient’s main concerns about having Botox®?

At The Treatment Rooms London, we find that many patients worry about looking unnatural following Botox® treatment. This is a concern for those who have been having treatment for years as well as those who are just starting out. Allergan have also picked up this concern and have included an answer in their campaign.

“Look like you..” are 3 carefully chosen words. They help put at ease any concerns that you will look radically different after Botox® injections. However, ultimately the only way a patient is going to look natural after having treatment is by choosing the correct Medical professional.

Careful assessment and planning of Botox® treatment is the only way patients will be able to achieve natural results. This is best carried out in a dedicated Aesthetics clinic with experienced Doctors and Surgeons. At The Treatment Rooms London all our patients are welcomed into our purpose-built clinic by a Doctor or a Surgeon. This ensures they are in safe hands when it comes to their treatment. At our clinic we treat to achieve natural results that compliment the uniqueness of every patient.

So as a millennial or a middle aged patient, you can be rest assured you can Look Like You With Fewer Lines.

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Prince Harry and Hair Loss

prince harry hair loss

There has been a lot of clamour around Prince Harry and his accelerated hair loss since marrying Megan Markle. Many magazines and papers have commented on the Duke of Sussex‘s balding pattern and commented on whether he would be interested in having it treated. We thought we could provide some helpful advice to Prince Harry if he was reading this blog.

Whats happening?

Prince Harry is likely suffering what most men suffer from- male pattern baldness. Male pattern baldness or androgenic alopecia, is the most common cause for hair thinning and recession in men. It is primarily drive by testosterone (dihydrotestosterone) acting at the scalp hair.

Because Prince Harry is in the public eye it means more people are noticing his hair loss. There is nothing wrong with his current pattern of baldness if Prince Harry doesn’t mind his thinning!

How bad is Prince Harry’s hair loss?

There is a scale to qualify how bad any male’s hair loss is. This scale is called the Norwood scale and you can quite easily see where you yourself would fit in. Prince Harry is currently a Norwood 4 or 5 pattern of hair loss with particular focus on his crown or vertex thinning. As he has ginger hair and lighter skin his hair thinning can appear less pronounced than it really is. This is because there is less difference in the darkness of both colours so the contrast is less striking. For example, if you have light skin and dark brown hair- any thinning you may notice is more pronounced because of the drastic contrast between the two colours.

norwood scale for hair loss
Norwood scale of balding showing the different stages of hair loss

So Prince Harry’s hair loss is Norwood 4 or 5. It is only bad if he is worried about it. If he doesn’t mind then his hair loss isn’t bad at all- it is a natural process after-all!

What can Prince Harry to do treat his hair loss?

He can choose a number of treatments. Assuming he is diagnosed with male pattern hair loss he can pick between Finasteride or Minoxidil or choose both. These medications will help to prevent any further hair loss and thicken his existing hairs.

In areas where has lost all his hair or receded to form bald patches he would require a hair transplant. Prince Harry’s choice of treatment will ultimately depend on his preference and lifestyle choices. He will obviously benefit from a full hair loss consultation before making any decision.

If Prince Harry chooses a hair transplant- how much will it cost?

A hair transplant‘s price takes into account what Prince Harry would like in terms of his results. This includes:

A recent study by Appalachian State University shed some interesting light onto how much a bald man would pay to restore their hair (4). Their study found that gentlemen would be willing to pay £4000-£5000 to go up each Norwood category. That means if Prince Harry wanted to achieve a Norwood level of 3, he may expect to pay around £4000-£8000.

Prince Harry wouldn’t be the first or last famous person to undergo hair transplant surgery or hair loss treatment. A recent paper has found a number of football managers undergoing the procedure or treatment, including:

  1. Antonia Conte
  2. Jurgen Klopp
  3. Slaven Bilic

References

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Follicular Unit Excision (FUE)

hair transplant graft extraction

Follicular Unit Extraction has now been changed to Follicular Unit Excision. This reflects the importance and special surgical techniques required to make incisions and extractions in hair transplant surgery. In this blog we explain why this change has been made.

Follicular Unit Extraction now Follicular Unit Excision

Both Follicular Unit Extraction and Follicular Unit Excision refer to the same surgery. So what is the correct name we should be using?

What is FUE?

This is a type of hair transplant surgery where each hair follicle is taken out individually. FUE is carried out by using a small circular punch to cut around a hair follicle. Using specialised surgical tools these hair follicles are then removed and re-implanted into bald areas. Over time this will help recreate hair where it has been lost.

This technique differs from FUT (Follicular Unit Transplantation) where a strip of scalp is taken and hair follicles are isolated from this strip. Patients who have FUT have a visible scar line across the back of the head. In FUE this is avoided by having small dot scars at the back of the head. As these small dots are spread out they are not noticeable if someone grows their hair out.

Why the change from Follicular Unit Extraction to Follicular Unit Excision?

The change in name has been made to emphasise the highly skilled surgical nature of a hair transplant. The International Society of Hair Restoration Surgery (ISHRS)- the global leading authority on hair loss and prevention treatments implemented the change in 2018.

Dr Ricardo Mejia, ISHRS Board Member explained the main reasons:

When performed by qualified, properly trained hair restoration surgeons, hair transplantation is a safe and highly effective procedure to correct hair loss. However, it is a cosmetic surgical procedure and any attempt to downplay the significant surgical aspects of FUE to appear less invasive is misleading and potentially dangerous to patients

Dr Ricardo Mejia

Dr Meija explained that the term “extraction” in Follicular Unit Extraction, implied that the procedure only involves extracting or plucking out hairs without any need for surgery. And in some countries because the term “extraction” can have non-surgical implications, the surgery can be carried out by non-surgeons.

…over the past 15 years, the term “extraction” has been used to minimise the surgical nature of this surgery in order to imply a non-surgical procedure that only involves “extracting” hairs, as if they were being plucked out of the scalp without surgery. This misleading messaging has given rise to the worldwide expansion of follicular unit excision (FUE) surgery being performed by non-medical and unlicensed personnel- essentially spawning a black market for hair transplantation that has resulted in cases of serious cosmetic damage with scarring and hair loss, infections and even deaths

ISHRS website

Amending FUE terminology is one more way that we can inform patients about the true surgical nature of the procedure so they can make better decisions about their choice of physician and treatment

Dr Ricardo Mejia

Want to find out more about Follicular Unit Excision? Arrange an appointment with our Hair Loss Doctors and Surgeons. Simply click here to your book consultation!