Age Spots are benign (harmless) flat skin marks evenly coloured with darker pigments that occur on sun-exposed skin (especially hands). They are associated with ageing and exposure to ultraviolet radiation from the sun. They are also known as sun spots, lentigos, or senile/solar lentigines.
Areola pigmentation is the process by which pigments are implanted into the skin surrounding the nipple of a breast, following breast and nipple reconstruction due to breast cancer or cosmetic breast augmentations.
We use custom blended pigments (colour/s) to best match a patient’s natural colouring and once the patient and practitioner are satisfied with the size, shape and colour of the new areola, the pigments are implanted into the skin. The procedure takes about 30 minutes to numb and then 30 minutes per breast.
Patients describe the procedure as painless.
Several applications of pigment will be required in order to achieve the desired result.
A birthmark is a blemish on the skin formed before birth. Birthmarks can range from very small to disfiguring, but however large or small they are, they can still cause distress to individuals.
Birthmarks can be flat or raised, have regular or irregular borders and have different shades of colouring from brown, tan, black, or pale blue to pink, red, or purple.
The two main types of birthmarks are:-
Red vascular birthmarks (for example, "strawberry" hemangiomas, “port-wine stains” and "stork bites") and;
Pigmented birthmarks (such as moles, café-au-lait spots, and Mongolian spots).
Before having a birthmark camouflaged, please check with your Dermatologist to ensure the area is benign (harmless/non-cancerous) or not a serious skin condition.
A referral will be required.
Breast surgery scars
Scars that result from breast implants, breast lift, breast reduction, breast reconstruction, mastectomy and breast-conserving surgery (lumpectomy) are normally satisfactory and in line with those expected for a surgical procedure. However, in some cases, the scars may appear to be thick or red. These scars may take several years to improve, in some cases they can cause discomfort and in rare cases, pain. With breast augmentation surgery, an inframammary incision is usually used. This is made under the breast where the bottom of the breast meets the chest (T-Scar). Medical pigments can be used to reduce and camouflage the appearance of scars.
Burns are similar to scars in that the surface of the skin shrinks to give a tight, stretched appearance and are usually discoloured.
Our techniques soften burns as we use micropigmentation to blend the burned area with the surrounding skin.
A cleft lip or palette is surprisingly common affecting approximately one in seven hundred new born babies. However, the resulting scars left by corrective surgeries are sometimes a little more prominent than the patient would like.
Post-surgery cosmetic procedures can provide the ideal solution, providing the patient with the desired aesthetic look and most importantly, peace of mind.
There are various stages involved in disguising a cleft lip to recreate natural looking lips:-
Step one is to use multi collagen actuation (MCA) techniques to soften and relax the scar tissue. Any visible scars are re-pigmented with flesh tones.
Step two is to create a more symmetrical lip line.
Step three fills the lips with a natural lip colour that is suitable for the patient’s skin tone.
The Collagen-Induction-Therapy (CIT) by micro-needling the skin requires special Medical Dermal Rollers and medical knowledge.
A topical medical anaesthetic is applied to the skin to minimise discomfort and avoid infections. All medical procedures are always performed in a clinical environment.
Micro-Needling can significantly improve the appearance of;
Aged and sun damaged skin
Facial and décolleté lines
The intrusion of tiny surgical needles (provided they are professionally designed) is sensed by skin nerve receptors as an injury stimulus. The needles are so fine and thin that tissue damage is unlikely. The skin integrity actually stays intact. However, this “nerve-stimulus”, transported by electrical signals, triggers the cascade of the healing process. Skin cells, in a radius of 1 to 2 mm around the pricking channel, release growth signals to undifferentiated cells. These signals in return stimulate the proliferation of new cells, e.g. fibroblasts to transform into collagen- and elastin fibres. The task of fibroblasts is, to migrate to the point of intrusion for wound closure. The pricking channels, caused by the micro-needles, close very quickly and no tissue lesion can be detected, and none has to be repaired. The transformation for wound repair cells (e.g. fibroblasts and others) is an automatic process. Their final mission is to transform into collagen fibres. They integrate into the existing collagen formation in the upper dermis. This new fibre formation thickens the skin and fills former atrophic scars. A single needle prick is of little benefit, but if thousands of microscopic small needle-pricks are set, the induced collagen formation becomes confluent and forms a new collagen layer. This body reaction is called neo-collagenesis.
In addition, the inner cells that coat our vessels (endothelial cells), and in particular these of our capillaries, are also stimulated to proliferate. They react to this stimulation by sprouting out new capillaries that in return results in more and better blood supply to the skin. This reaction is called neo-angiogenesis.
Medical Dermal Rollers are SINGLE USE invasive treatments.
When it comes to scar and skin camouflage, natural-looking results are essential and medical camouflage procedures should not be taken lightly.
Restoring flawed patches of skin takes a high degree of skill, technique and artistry in order to produce a natural look. An inexperienced or unqualified person can easily leave a very visible, permanent mistake.
Another consideration and concern is the increasing variety of pigments and diluents that other practitioners may use. Although a number of colour additives are approved for use, using an unapproved colour additive makes the ink adulterated.
Many pigments used in tattoo inks are not approved for skin contact; some are industrial grade colours that are used for printers' ink or automobile paint. Despite advances in laser technology, removing a tattoo is a painstaking process, usually involving several treatments and considerable expense. Complete removal without scarring may not be possible. However some inks cannot be removed by lasers.
The above pictures show stretch marks covered with low grade tattoo ink by an inexperienced practitioner. The results were dark streaks down the patient’s forearm. Multiple treatments were needed to remove the ink and the skin was then re-pigmented with medical grade pigments.
The above patient underwent a double mastectomy, however her areolas were placed in the wrong area and then attempted to be removed using a Q-switched laser, the result was paradoxical darkening of the areola. Surgery was required to rectify the problem.
Attempting to remove any Medical tattoo with high-energy pulsed lasers should be approached with extreme caution. A small test site should be performed prior to treatment.
Scar Camouflage was attempted by an inexperienced practitioner resulting in badly discoloured skin.
Multiple treatments were required to remove the ink and re-pigment the scars.
Wrinkles are an unavoidable part of ageing caused by the loss of elasticity in the skin, combined with the way that muscle contractions cause the skin to fold as it is drawn together. Smoking, alcohol and sun damage can further add to the appearance of ageing as well as reducing moisture and natural oil levels in the skin.
There are a variety of Cosmetic Dermal Fillers available such as Juvederm, Restylane, Radiesse and Purlane. Most fillers are smooth injectable gels made from naturally occurring substances found in the body and are injected into the dermal layer of skin to "fill in" wrinkles, providing immediate results, adding volume whilst helping to rehydrate the skin as well as increasing collagen and restoring some of the skin's natural elasticity.
Long term results vary from patient to patient, however treatments should last from 6-12 months as a general guideline depending on the individual and their lifestyle. The results will wear off slowly over time.
Treatments take betwen 30-60 mins and there is generally no down time although some patients may experience redness, swelling and occasional bruising at the site of injection, however these are generally temporary symptoms and should resolve within a few days.
The type of filler used may vary depending on the needs of the individual patient and the areas and amount of treatment required. Dr Sassoon will offer professional objective advice on which dermal filler is most appropriate for each individual patient.
Dermal Filler Treatments start at £295 upwards and are priced depending on the type of filler used and how many injections are required to achieve the desired results and as such vary from patient to patient.
Dermink can offer a total facial rejuvenation package as a non surgical alternative to a face lift which can have significant benefits for patients seeking a more youthful appearance.
Using a combination of Botox, Dermal Fillers and Medical Micropigmentation, our experienced Doctors can reduce the appearance of fine lines, wrinkles and age spots, adding fullness to key areas of the face without any of the down time or risks associated with a face lift performed under a general anaesthetic.
Hyperpigmentation is a common, usually harmless condition where patches of skin become darker in colour than the normal surrounding skin. Hyperpigmentation can affect the skin colour of people of any race.
Before hyperpigmented skin is camouflaged, please check with your Dermatologist to ensure the area is benign (harmless/non-cancerous) and not a serious skin condition.
Hypopigmentation (also known as skin depigmentation) can be effectively camouflaged using flesh tones to mimic normal skin tones.
The most common cause of Hypopigmentation is damage or trauma to the skin. Burns, infections, pimples, blisters, scrapes, and any injuries that result in scarring can all lead to skin discolouration.
Mohs surgery, also known as chemosurgery, is microscopically controlled surgery used to treat common types of skin cancer.
It is one of the methods of obtaining complete margin control during the removal of a skin cancer and allows for the removal with very narrow surgical margin and a high cure rate.
Other indications for Mohs surgery include dermatofibrosarcoma protuberans, keratoacanthoma, spindle cell tumors, sebaceous carcinomas, microcystic adnexal carcinoma, merkel cell carcinoma, Pagets's disease of the breast, atypical fibroxanthoma, leimyosarcoma, and angiosarcoma.
Mohs procedure is micrographically controlled, providing for precise removal of the cancerous tissue, while healthy tissue is spared.
Exposure to the elements (photodamage), loss of collagen and elastin, as well as laxity of the platysma neck muscle can contribute to the formation of horizontal wrinkles and lines, commonly called “Necklace Lines”.
These lines can be effectively treated using medical pigments, custom mixed and matched to your body's natural flesh tones, then implanted directly into the tiny discoloured bands.
Once the pigments have settled, the appearance of the Necklace Line is dramatically reduced.
Many people have scars and as a result, their confidence, self image, psychological and emotional well-being may be affected. Scar Camouflage procedures have the benefit of improving the look of scarring by breaking down the taut scar tissue and creating a more even-textured surface.
This procedure is ideal for scars caused from accidents or injuries, 'face lift', breast augmentation, “tummy-tuck” scars or scars from other surgical procedures.
Once a scar has healed, hypoallergenic custom-manufactured medical pigments can be infused into the scar to help match the surrounding skin tone. By custom-mixing and matching colours that harmonise with the surrounding tissue, once implanted and blended to camouflage any imperfection, we are able to create the illusion of smoother skin. Scars become less noticeable and the contrasting, shiny appearance is reduced.
It is important to have realistic expectations when undergoing this procedure and there are considerations for Asian and darker skinned patients which will be discussed prior to treatment.
Skin grafts are most often required after a serious accident by fire or intense heat, resulting in a significant loss of skin. These areas of skin loss will require a skin graft in order to replace the damaged skin and keep your body free from disease.
By carefully matching coloured pigments, a mosaic effect is tattooed into the skin in a random action to create the most natural looking effect possible. Sometimes 'dry needling' can be more effective than introducing colour. Dry needling is a technique used to help relax the raised or stretched surface texture of burns and scars caused by an excess of sub surface collagen.
Custom medical hypoallergenic pigments are matched and hand mixed to harmonise with surrounding skin to minimise the appearance of surface abnormalities and accomplish visual improvements on the skin surface.
Pigments are then added just below the dermis in stages to soften and blend with your natural skin colour.
Pigments fade in varying degrees with different individuals. Some patients will require maintenance applications from time to time, whilst others will not.
Due to different degrees of difficulty in applications associated with lip/skin texture, scarring or wrinkles around lip lines from cold sores, age, laser treatments, medications, smoking, sun exposure and glycolic acid creams, results may vary.
Stretch marks are a condition that can affect both men and women similarly. There is no magical cure for Stretch marks, however by matching, mixing, and then implanting specially formulated medical pigments directly into stretch marks, their unsightly appearance can be altered to a more complementary tone.
Following medical micropigmentation/camouflage, it is important to understand that when tanning, any treated areas will barely change in comparison to untreated ones. It is therefore, important to keep one's skin tone as close as possible to its original tone. This means avoiding long sessions in the sun and artificial tanning aids. Spray tans can be beneficial as they sit on the surface of the skin and can help to balance skin tone.
Procedures are not recommended for anyone who has certain types of keloid scarring, or those who suffer from hyperpigmentation, as this will encourage more melanin.
Results will vary from person to person and is reliant on many factors such as the age of the patient, condition of the skin, diet, natural healing capabilities and other factors.
Stretch mark treatments will require several treatments, typically between three and five sessions.
Skin colour changes caused by sun exposure are common. The most noticeable sun-induced pigment change is brown spots, however UV exposure can also cause small white spots on the legs, backs of the hands and arms as well as red areas on the sides of the neck.
Medical Micropigmentation is proven to be successful in the long term camouflage of Vitiligo.
Only Vitiligo that has been in remission for a minimum of 1 year can be treated with medical micropigmentation/tattoo techniques.
The disturbance of an unstable Vitiligo site can stimulate the site to spread or new sites to establish in other areas.
As we age, facial muscles slacken and skin becomes less elastic, creating lines and wrinkles including expression lines, frown lines, forehead lines and squint lines at the corners of the eyes (crow's feet). Sun damage as well as smoking, an unhealthy diet, stress and drinking too much alcohol may also cause wrinkles to appear at a younger age.
Protecting your skin from UV radiation, not smoking, looking after your health and taking good care of your skin may help to delay the appearance of wrinkles. But eventually the natural ageing process, plus the effects of environmental factors, will lead to unwanted facial lines and wrinkles, however treatments we offer can help make your skin look smoother and more youthful by reducing the appearance of ageing wrinkles and lines.
Dr Elaine Sassoon, one of the country’s leading Cosmetic Surgeons offers through Dermink a range of safe non-surgical wrinkle treatments using techniques including Botox and Dermal Fillers to improve the appearance of patients who wish to reverse the signs of ageing by increasing the skin’s elasticity and adding fullness to lips and other facial features that can significantly reduce the appearance of lines and wrinkles around the lips, eyes, forehead and mouth.
With no down time and minimal post treatment marking, these procedures can be carried out at times to suit you whilst providing a subtle but noticeable improvement in appearance.