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With the summer and festive seasons rapidly approaching, Dr Claire offers advice on how to time when you should have your procedures for maximal impact at your special events.

Many patients wait until right before events and holidays to come in to have anti-aging and beautification procedures performed. This is a huge mistake.
Certain aesthetic procedures that would result in a refreshed appearance can be performed close to an event, such as light chemical peels, or RF Cinderella facials.

For the rest of your Aesthetics procedures, remember:
• Your procedures may take several sessions, over a few weeks or even a few months, for optimum results.
• Your procedures may have settling time. Botox may take up to 10 days to take full effect. Fillers often look their best 2-6 weeks post procedure.
• Procedures, once settled, may require a top-up to perfect your new look
• You may have temporary inflammation, bruising, or swelling. Not cool the night before the holiday starts.

For most patients, and for big or special events and occasions, I advise that we stop with any aggressive treatments 2-4 weeks before the date.
Start to prepare for the end of the year now – don’t wait!

Vitamin K is known to function within our clotting cascade – it helps our blood to clot. What is not commonly known about vitamin K is that there are different types: vitamin K1, and the pro-vitamin, vitamin K2 (also known as menaquinone).
Vitamin K2 can decrease bone loss, decrease fracture risk and help to increase bone density. Vitamin K2 also improves the elasticity of arteries and may help decrease the formation of plaques in your arteries. Both vitamin K1 and vitamin K2 improve insulin levels in diabetics. 
Vitamin K2 is not generally found in food – where needed, supplements may be required. The best way to ensure that you have sufficient vitamin K2 is through a healthy diet that promotes gut bacteria health. Colon bacteria produce most of our required vitamin K2. 
Vitamin K levels are often affected by:
• Illness
• Antibiotics
• Anti-convulsants
• Sulphur 
• Too much vitamin A and vitamin E
• Weight loss medications (especially those that bind fat such as Orlistat).
• Statins for cholesterol. These drugs lower both your co-enzyme Q10 as well as your vitamin K2 levels
For more articles on health and wellness from Dr Claire Jacobsohn, click here.

A sugar cane peel is also known as a glycolic acid peel – part of the alpha-hydroxy acid (AHA) group of chemical peeling agents. 
The AHAs include glycolic acid, which is derived from sugar cane. AHAs also include acids like mandelic acid, citric acid, lactic acid and malic acid – all with their own specific skin indications and properties.
Chemical peels are also medically known as chemexfoliation, intended to create an intentional, controlled injury to the treated skin area. 
The benefits of a sugar cane or glycolic acid peel include the following:
• Exfoliation and rejuvenation of the treated skin (both by its direct caustic ability, as well as the metabolic stimulation induced in the skin)
• Strengthening and thickening of both the epidermis and the dermis
• Increase in collagen!
• Restructuring of the skin, whether young or old patients
• Anti-aging, both short- and long-term: you’ll have less wrinkles, less scarring, less pigment abnormalities, less milia and improvement in DPN (Dermatosis Papulosa Nigra)
Find out more about these treatments at our clinic. Click here to contact us.

There are frequently conflicting arguments surround nutrient supplements. Do you take them? Do you need them? Could they be harmful to your health? Are vitamin and mineral supplements really just creating expensive urine?!

In the 1930’s, a new concept – the RDA (Recommended Daily Allowance) - emerged. The RDA is a suggested daily value or quantity required for essential vitamins and minerals that people should ingest, and you can find these on the back of your vitamin box. As a result, diseases such as Scurvy (from a vitamin C deficiency), Pellagra (Vitamin B3 deficiency) and Rickets (vitamin D and calcium deficiency) were prevalent before the rise of vitamin awareness, and the RDA give the levels of vitamins and minerals that you required in order to prevent diseases like these.

But now a new concept in vitamins and minerals has now emerged – the concept of optimum daily intake of vitamins and minerals. In this model as opposed to the RDA, you need take vitamins and minerals not at a level to merely prevent death and disease; you take vitamins and minerals for optimal health, i.e. levels considered high enough to function and live at your best.

This shift in mindset is becoming increasingly important to patient health. The world has changed, and keeps on changing. We are constantly exposed to increasing levels of pollution, radiation, and chemicals, not to mention that the pace of life is more stressful, on a psychological, social, and environmental level. Trying to supplement this with diet alone is futile, even an organic one: our soil in which fresh fruit and vegetables are grown has become progressively more nutrient depleted, especially of the metals we require as micronutrients. Year after year, crops are planted into the same fields and pesticides remaining in the soil also bind our metal micronutrients in complexes, leaving them unavailable to the plants we eat.

So, in order to reach optimum daily intake of many essential vitamins and minerals, kilograms of suitable foodstuffs may be required – impossible on a healthy 2000 kcal/day diet! Thus vitamin and mineral supplementation is essential for your best health status. Your optimum daily requirements are best discussed with your doctor, and will vary according to age. These values can differ in men and women, and with health conditions. 
Make sure that you are getting all the necessary dietary input that will help you look and perform at your ultimate best!

Glycation is a non-enzymatic process that is a strong contributor to why our body tissues age with time. Sugar molecules like fructose and glucose bind “donor tissues” in the body, such as proteins, fats and DNA components throughout the body. This is a process known as “glycation”. 

AGEs (Advanced Glycation End products) form as a result. Once the tissues have been bound and stiffened by the sugar molecules, the tissue’s specific function becomes impaired. Normal tissue repair mechanisms cannot repair glycation as the enzymes that would normally repair can no longer bind to the glycated tissue. This further accelerates aging. Collagen and elastin are very susceptible to glycation, and reflects as aging on the skin. 

“Sugar Sag” – skin glycation and aging – presents with:
- Wrinkles
- Decreased skin elasticity
- Broken capillaries and cherry spots
- Poor tissue recovery and healing
- Poor nutrient delivery to the skin

How to limit Sugar Sag - skin aging
- Avoid sugar! 
- Boil and steam foods rather than grill, roast or fry food. Asian cooking methods have been shown to be beneficial to the skin
- Eat more ginger and garlic
- Drink more herbal tea

Aim for food and supplements high in:
- alpha lipoic acid
- B vitamins
- Vitamin C
- Selenium
- Zinc
- Manganese
- Vitamin E

Find out more about our skin treatments

Liposuction, also known as liposculpture or lipoplasty, involves insertion of cannulas into the fat tissue to suction out adipose (fat) tissue.
The procedure is usually minimally invasive – requiring multiple small incisions, and is performed using tumescent anaesthetic. Tumescent anaesthetic involves the infusion of fluid into the fat tissue before the liposuction procedure begins. Tumescent has many advantages - it minimizes tissue damage and blood loss, as well as keeping the patient hydrated during the procedure, amongst other benefits.

Who is liposuction for?
Liposuction is primarily targeted at patients who are:
- at their ideal weight (BMI of 20-25 is ideal)
- have maintained their weight successfully for several months or years
- eats healthily
- exercises regularly
- has a localized area of fat that does not budge despite the above conditions being met. Most often this fatty area on the patient’s body traces back to genetics – other family members often suffer from the same problem. 

What type of conditions and patients are unsuitable candidates for liposuction procedures?
- Patients who are overweight or obese. A maximum BMI of 35 is about the upper limit for liposuction to be performed. These, however, are more likely to be “debulking” procedures, rather than body sculpting procedures.
- Patients who hope that liposuction is a substitute for weight loss – it isn’t.
- Patients with unrealistic expectations of what the procedure will offer in terms of benefits.
- Patients who have crash dieted to get to a reasonable weight to have liposuction performed.
- Patients with very lax (loose, saggy) or thin skin must be aware that this must be addressed as a separate issue. Skin tightening with most liposuction procedures is unpredictable, and skin tightening should not be the indication for liposuction.
- Cellulite does not always improve with liposuction.

Other indications for liposuction:
There have been promising outcomes where liposuction has been used for:
• Axillary hyperhidrosis
• Axillary bromhidrosis
• Pseudo gynaecomastia (“man boobs” that are attributed to fat rather than breast tissue)
• Harvesting of stem cells. ASC – Adipose-derived Stem Cells have multiple volumizing and regenerative possibilities.

Email Dr Claire for more informtation: This email address is being protected from spambots. You need JavaScript enabled to view it.
Visit our website: www.tahq.co.za

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Physical address: 64 Wessels Road, Rivonia, 2128
GPS:  26º 02’ 40" S   |   28º 03’ 39" E
Postal address: P.O. Box 1861, Sunninghill, 2157
Tel: 011 234 2009 or 011 039 2982
WhatsApp Number: 078 164 4881
e-mail: drclaire@tahq.co.za

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