Cosmetic Medicine by Dr Eddie Roos

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<strong>Cosmetic</strong> <strong>Medicine</strong><br />

<strong>Dr</strong> <strong>Eddie</strong> <strong>Roos</strong>


<strong>Dr</strong> <strong>Eddie</strong> <strong>Roos</strong><br />


Medical Director, <strong>Cosmetic</strong> Elegance Clinic


ABOUT<br />

DR ROOS<br />


• Founder and Medical Director,<br />

<strong>Cosmetic</strong> Elegance Clinic<br />

• Immediate Past President &<br />

Fellow, Australasian College of<br />

Aesthetic <strong>Medicine</strong><br />

• Fellow, Australasian College<br />

of <strong>Cosmetic</strong> Surgery, Faculty<br />

of <strong>Medicine</strong><br />

• Fellow, <strong>Cosmetic</strong> Physicians College<br />

of Australasia<br />

• Full Member, <strong>Cosmetic</strong> Physicians<br />

Society of Australasia<br />

• Member, Australasian College of<br />

Phlebology<br />

• Founding Member, Skin<br />

Cancer Society of Australia<br />

and New Zealand<br />

• Member, Skin Cancer College<br />

of Australasia<br />

• Fellow, Australian Institute of<br />

Company Directors<br />

<strong>Dr</strong> <strong>Eddie</strong> <strong>Roos</strong> received a Bachelor of Medical Science degree in 1984 and<br />

a Bachelor of <strong>Medicine</strong> and Surgery in 1988. He worked in South Africa<br />

for 10 years before moving to Australia in 1998. He began practising<br />

cosmetic medicine in 2001 and in 2004 founded <strong>Cosmetic</strong> Elegance Clinic in<br />

Toowoomba, Queensland.<br />

Quality of service and offering patients the latest in cosmetic medicine is the<br />

most important priority for <strong>Dr</strong> <strong>Roos</strong> and his staff at <strong>Cosmetic</strong> Elegance Clinic.<br />

<strong>Dr</strong> <strong>Roos</strong> has extensive experience and expertise in cosmetic medicine, with<br />

a particular interest in light-based therapies to treat a variety of anti-ageing<br />

skin concerns. Enhancing the natural beauty of patients using non-surgical<br />

procedures is his mission.<br />

He also has a special interest in skin cancer treatment. With more than 25<br />

years diagnosing and treating skin cancer, and his expertise gained in cosmetic<br />

medicine over 13 years, <strong>Dr</strong> <strong>Roos</strong> has changed the lives of many people in<br />

Toowoomba and the Downs.<br />

‘<strong>Cosmetic</strong> Elegance Clinic is the realisation of a long-held dream I have<br />

had. I have always had a keen interest in skin cancer medicine and cosmetic<br />

medical procedures,’ says <strong>Dr</strong> <strong>Roos</strong>. ‘Originally I worked in general practice – in<br />

South Africa and then Bowen, Goondiwindi and Withcott in Queensland. As<br />

the cosmetic medicine industry became more accessible I invested in a beauty<br />

salon in Toowoomba from which I offered cosmetic medicine treatments. I<br />

soon realised the synergy that could occur <strong>by</strong> combining a medical skin<br />

practice with a beauty salon: medical treatments with the best cosmetic<br />

outcome in mind. It was a new concept at the time but I truly believed patients<br />

would benefit from a more holistic approach to skin care. With a dream and<br />

a business plan, <strong>Cosmetic</strong> Elegance Clinic was born.’<br />


• Wrinkle-reduction Injections<br />

• Dermal Filler Injections<br />

• Non-surgical Facelifts<br />

• Pigmentation & Acne<br />

Treatments<br />

• Vampire Facials<br />

• Total Facial Rejuvenation<br />

• Dermastamp<br />

• Acne & Acne Scarring Treatments<br />

• Dermasound Facials<br />

• <strong>Cosmetic</strong> Mole Removal<br />

• <strong>Cosmetic</strong> Tattooing<br />

• Hair Reduction<br />

• Liposonix Body Contouring<br />

• Facial & Leg Vein Treatments<br />

• All Beauty Treatments<br />

• Skin Care Prescriptions<br />


• Laser Hair Removal<br />

• Fraxel Laser Resurfacing<br />

• Laser & IPL Photorejuvenation<br />

• Laser Tattoo Removal<br />

• Laser Scar & Pigmentation<br />

Treatment<br />

• Laser Vaginal Rejuvenation<br />

• Laser Treatment for<br />

Sun-damaged Skin<br />


• Skin Cancer Checks, Diagnosis<br />

& Treatment<br />

• Photodynamic Therapy<br />

• Laser Treatment of Sunspots<br />

• Skin Cancer Surgery in Clinic<br />










‘Unless you<br />

develop a good<br />

rapport with<br />

your doctor<br />

you won’t feel<br />

comfortable<br />

enough to talk<br />

honestly about<br />

what you want’<br />

A<br />

consultation is much more than simply an obligatory step before a<br />

procedure. Before any cosmetic procedure, the consultation provides<br />

you with an ideal opportunity to learn more about the procedure you’ve<br />

chosen to have, and to tell your doctor what you hope to achieve. Whether<br />

you’re having a minor aesthetic tweak or a more major change, you will also be<br />

able to learn whether the results you are looking for are achievable, given your<br />

own personal circumstances.<br />

During the consultation, good communication is imperative. Unless you are<br />

able to develop an easy rapport with your doctor, you won’t feel comfortable<br />

enough to honestly express your concerns.<br />

Whereas some patients may know with great precision what they want to change,<br />

others may not be able to pinpoint their dissatisfaction. The consultation therefore<br />

provides an ideal opportunity to ask questions of your doctor, whilst learning more<br />

about the related risks and complications associated with your procedure.<br />

It’s important to take the opportunity to ask a number of questions of your<br />

doctor during the consultation. Also, take the time to find out how long the recovery<br />

period will last, what you will need to do to prepare for your procedure, and what<br />

you can expect to look like immediately after. The answers to these questions will<br />

help reinforce whether or not you want to continue with the treatment.<br />

It’s just as important for the doctor to use the consultation to find out more<br />

about you. Often, doctors will turn down patients if they feel they are not suitable<br />

candidates. This may be because the patient is not ready psychologically – they<br />

might be pursuing aesthetic enhancements for the wrong reasons, or have<br />

unrealistic expectations as to what a procedure can achieve. The doctor will<br />

therefore ask pertinent questions about your expectations, goals and reasons for<br />

wanting to change.<br />

Your doctor will also relay the type of anaesthesia to be used, the risks,<br />

limitations and costs involved, and will outline the steps you will need to take<br />

both leading up to and after major procedures.<br />

Lab testing or a medical evaluation may be required in order to establish your<br />

level of health and fitness, and alterations to any existing medication plan may<br />

be recommended. Aspirin and other blood thinning drugs, for example, should<br />

not be taken in the lead up to a procedure, if possible. If you’re a smoker you will<br />

be advised to stop well in advance of major procedures due to the increase in<br />

surgical and anaesthetic complications caused <strong>by</strong> smoking tobacco.<br />

Expect your doctor to take photographs of you during the consultation. This<br />

is an important part of tracking the changes that are made post-procedure. The<br />

doctor will also use them to put together a procedural plan, tailored to your<br />

appearance and personal circumstances.<br />

Along with the physical aspect of preparing for a treatment, it’s also important<br />

you are mentally prepared for the change that will take place in your appearance.<br />

Not only are there physical complications associated with procedures but there<br />

can also be psychological reactions.<br />

By making the most of your time with the doctor before your procedure,<br />

you will be well prepared and in the best position to enjoy the outcome of your<br />

aesthetic changes.<br />







The desire to refresh the face through subtle<br />

rejuvenation has made non-surgical cosmetic<br />

procedures a popular part of today’s beauty arsenal,<br />

reflecting a preference for less invasive procedures<br />

with shorter downtime and a ‘less is more’ attitude.<br />

<strong>Cosmetic</strong> medicine can improve some of the most common signs of ageing<br />

such as facial lines and wrinkles; a gaunt and hollowed appearance;<br />

sun-damaged skin; acne and acne scars; a dull and uneven complexion;<br />

and sagging facial structures.<br />

Whether <strong>by</strong> using wrinkle injections, fillers, medical-grade peels or advanced<br />

light therapies, the array of choices available can treat just about any appearancerelated<br />

concern. Maintenance is the key and earlier, less-invasive procedures can<br />

actually delay the effects of ageing on the face, sometimes even negating the<br />

need for more invasive procedures.<br />

It is important, however, for prospective patients to thoroughly understand<br />

the procedure (or combination of procedures) they wish to undergo. A skilled<br />

and accredited cosmetic doctor will help guide each patient through the myriad<br />

of options, select the most appropriate course of action for the patient’s specific<br />

concerns and ultimately achieve the best possible, natural-looking results for<br />

the individual.<br />

Any cosmetic enhancement should be chosen for the right reasons and not in<br />

the impossible pursuit of perfection. Non-surgical cosmetic enhancement offers<br />

patients with realistic expectations the chance to look younger and rejuvenated,<br />

no matter what their age.<br />



THE<br />

AGEING<br />

FACE<br />

Facial hollows and gauntness due to loss of volume, shrinkage of the bone<br />

structures, loss of collagen and elasticity and the effects of gravity are all<br />

manifestations of the ageing face. While some of the skin-related factors can<br />

be reined in with healthy lifestyle choices and a good skincare regime, many of<br />

the characteristics of ageing are a matter of genetics.<br />


Cutaneous ageing is caused <strong>by</strong> two distinct processes – intrinsic and extrinsic<br />

factors. Intrinsic, or chronological ageing, is the inevitable genetically determined<br />

process that naturally occurs. Intrinsic ageing is determined <strong>by</strong> each person’s<br />

genetic clock and is affected <strong>by</strong> the degenerative effects of free radicals and the<br />

body’s inability to perfectly repair their damage.<br />

Over time, cells, tissues and vital organs deteriorate. These internal changes<br />

to the muscle, fat and bones are not as visible as the signs of ageing on the<br />

external organ – the skin. Skin shows the wear and tear of extrinsic ageing,<br />

which is environmentally induced and manifests in age-associated skin changes<br />

including thinning, laxity, fragility and wrinkles. In addition, sun-exposure leads to<br />

pigmentation, premature wrinkling, spider veins and photoageing.<br />

Intrinsic ageing is a continuous process that usually begins in the mid-20s but<br />

may not become evident for decades. At this time collagen production slows and<br />

elastin loses its ‘spring’. Dead skin cells do not shed as quickly and turnover of<br />

new skin cells decreases.<br />

The apparent signs of intrinsic ageing include the loss and descent of underlying<br />

fat leading to hollowed cheeks and eye sockets, as well as loss of fi rmness and<br />

sagging skin as the bones shrink away from the skin due to bone loss.<br />

Genes control how quickly the normal ageing process unfolds. At a cellular<br />

level, ageing is thought to be related to the shortening of telomeres (the terminal<br />

portions of chromosomes) with each cell cycle, resulting in cell-cycle arrest or<br />

apoptosis once a critical length is reached.<br />

The preventable environmental factors that magnify intrinsic ageing, often<br />

act together with the normal ageing process to prematurely age skin. Most<br />

premature ageing is caused <strong>by</strong> sun exposure, though others are repetitive facial<br />

expressions, gravity, sleeping positions and smoking.<br />

Lines and creases form over major and minor joints as a result of skin<br />

contractions that lie perpendicular to the underlying muscular vector force.<br />

However, relaxed skin tension lines (RSTL) are formed during relaxation and are<br />

created <strong>by</strong> the natural tension on the skin from the underlying structures.<br />




Shrinking of facial bones also plays a role in ageing the face. Evidently, facial<br />

bones remodel their three-dimensional shape with age, showing the most<br />

pronounced difference measured in the T-zone. In women, the area between the<br />

brows and top of the nose (the glabellar angle) is shown to decrease as the area<br />

under the rim of the eyebrows retreats, resulting in sagging brows and deflated<br />

eyelid skin. In men, the glabellar angle decreases and the area supporting the<br />

cheeks (maxillary angle) is also shown to decrease.<br />

Additionally, the malar fat pad, which is responsible for cheek fullness, slides<br />

down and forward, pushing against the nasolabial fold and making the maxillary<br />

angle appear more pronounced. Bones can also recede in the pyriform angle<br />

(the opening of the nose), causing the appearance of an elongated nose and a<br />

drooping nasal tip.<br />

‘Extrinsic factors<br />

often act<br />

together with<br />

the normal<br />

ageing process<br />

to prematurely<br />

age skin’<br />


Facial ageing is reflective of dynamic and cumulative effects of time on the skin,<br />

soft tissues and deep structural components of the face. It is a complex synergy of<br />

skin textural changes and loss of facial volume. Many of the facial manifestations<br />

of ageing combine the effects of gravity, progressive bone resorption, decrease<br />

in tissue elasticity and redistribution of subcutaneous fullness.<br />

With age, facial fat descends and causes the shape of the face to change.<br />

The youthful face is typified <strong>by</strong> full, well-supported fat, and surrounding ligaments<br />

serve to fixate this volume of fat to underlying structure. Together with the<br />

volumetric fullness of the upper cheek region are well-defined contours such as<br />

a smooth S-shaped curve (commonly called the Ogee curve) of the cheeks when<br />

seen from an oblique angle and a clean neck/chin angle and jaw line. It is this<br />

pairing of both fullness and facial definition that accounts for the more tapered<br />

appearance of the youthful face.<br />

As this ligament support reduces, facial fat volumetrically comes forward and<br />

descends in the cheek, producing a squarer facial contour with less distinction<br />

between upper cheek volume and mid-facial fat. This lowering of the facial fat<br />

means that over time the face appears vertically longer than young faces.<br />

Facial fat also deflates with age and this is most apparent in regions with a<br />

high density of retaining ligaments, which are typically volumetrically full in youth<br />

(malar, preparotid, lateral and infraorbital rim, and lateral chin). Along with facial<br />

deflation comes a laxity in soft tissue caused <strong>by</strong> diminished support.<br />


Facial ageing is not all vertical – the soft tissue that occurs along specific areas<br />

of the mid-face also undergoes radial expansion. The skin and underlying<br />

subcutaneous fat are densely attached to the deep facial fascia <strong>by</strong> retinacular<br />

fibres that weave in the skin, subcutaneous fat, superficial and deep fascia<br />

and muscle.<br />

For example, over time facial expressions cause the skin along the nasolabial<br />

line to disrupt the subcutaneous fat, disengaging these attachments and<br />

developing lines of differentiation on the face. This forces the skin and fat<br />

alongside the nasolabial fold to expand radially and fall out from the skeleton,<br />

explaining some of the nasolabial fold prominence in the ageing face.<br />

Radial expansion lateral to the marionette lines extending from the corners<br />

of the mouth downwards also accounts for some of the jowling that becomes<br />

apparent with age.<br />



FACIAL<br />



Anti-wrinkle injections can smooth the lines and wrinkles that develop on the<br />

face over time, resulting in a more youthful-looking appearance. However,<br />

as natural fat dissipates with age, often a face cannot be fully rejuvenated<br />

without restoring volume loss in the cheeks and other areas of the face.<br />

Where facial volume has been depleted with age, augmenting techniques<br />

such as dermal fi llers and fat transfer can be used in combination with antiwrinkle<br />

injections to achieve an overall, non-surgical facial rejuvenation.<br />

A number of different fi llers are available, all of which vary in their longevity,<br />

composition and viscosity. Depending on their individual circumstances, patients<br />

may benefi t from superfi cial fi llers used to tighten the skin, in combination with<br />

deeper, longer-lasting fi llers designed to tackle deeper issues and reshape and<br />

remodel the face.<br />

Complementary procedures such as anti-wrinkle injections to tackle fi ne lines<br />

and laser skin treatments to improve the tone and texture of the skin can be<br />

administered at the same time, or as part of a program spread over several<br />

weeks, in order to fully refresh a patient’s appearance.<br />

It is important that the methods used to refresh and restore youth to the<br />

face are tailored to each patient. The key to non-surgical facial rejuvenation is<br />

a thorough consultation, during which our cosmetic doctor, <strong>Dr</strong> <strong>Roos</strong>, can<br />

explain what can be achieved and decide upon the optimal treatment plan for<br />

each patient.<br />



‘It is important<br />

that the methods<br />

used to refresh<br />

and restore youth<br />

to the face are<br />

tailored to each<br />

patient’<br />



T<br />

he appearance of deep frown lines and wrinkles can result in a prematurely<br />

aged appearance. Wrinkle injections are a popular facial rejuvenation<br />

treatment and are an effective non-invasive treatment for reducing lines and<br />

revitalising the appearance.<br />

Wrinkle injections contain a protein produced <strong>by</strong> the bacterium Clostridium<br />

botulinum. It is a muscle relaxant that is commonly used for cosmetic facial<br />

enhancement, particularly to treat crow’s feet around the eyes, the frown lines<br />

between the eyebrows (glabellar lines) and the worry lines across the forehead.<br />

The treatment works <strong>by</strong> blocking nerve stimulation to wrinkle-causing<br />

muscles, which prevents the muscle from contracting and signifi cantly reduces<br />

wrinkles and fi ne lines and can also help prevent the formation of new ones.<br />

A few tiny injections are administered just under the skin, reducing nerve<br />

stimulation to the targeted muscles. The procedure usually takes about 10<br />

minutes but this can vary depending on the number of areas being treated.<br />

Because men tend to have larger and stronger muscles, they often require more<br />

injections to achieve satisfactory results.<br />

Generally, no anaesthetic is required. The needles are very fi ne and only a small<br />

volume of the product is needed, so the procedure is typically only associated<br />

with mild discomfort. If the patient is particularly concerned, the practitioner can<br />

numb the skin over the area before administering the injection.<br />

After treatment for lines on the forehead, ultimately patients are physically<br />

unable to frown. Over the fi rst few days, the muscles gradually relax, and it often<br />

takes three to six days for results to become visible. The effects gradually wear<br />

off, so in order to maintain results repeat injections are necessary every three to<br />

fi ve months.<br />

Common side effects are generally restricted to minor temporary redness<br />

or bruising at the injection site. There is a very slight risk that it can cause a<br />

temporary weakness in near<strong>by</strong> muscles, which may result in a slight drooping of<br />

an eyelid or eyebrow which may last from one to six weeks. Occasionally patients<br />

may experience a slight headache or nausea.<br />

Wrinkle treatments are not recommended for women who are pregnant or<br />

breast feeding. All patients are advised to avoid the use aspirin, anti-infl ammatory<br />

drugs or blood-thinning agents, unless they are medically required, for two weeks<br />

prior to treatment to minimise bruising.<br />

With careful placement, a more youthful appearance can be achieved while<br />

maintaining natural expression and character.<br />




Used to restore lost volume and smooth lines, fi llers are an increasingly<br />

popular way to rejuvenate the face. They are gel-like substances injected<br />

into different areas of the face to smooth lines, wrinkles and deeper folds.<br />

Fillers are also used to restore volume to the face where tissue has degenerated<br />

with age or where lipoatrophy (fat loss caused <strong>by</strong> disease) has caused the cheeks<br />

to collapse. They can also be used to fi ll in pockmarks and acne scars and to<br />

contour or reshape facial features, adding volume to lips and cheeks and to<br />

defi ne noses and jawlines.<br />

There are a multitude of different fi llers on the market, ranging in longevity,<br />

composition and viscosity, depending on the individual patient’s needs. Fillers<br />

can be used in conjunction with anti-wrinkle injections for a cumulative and<br />

complementary result.<br />

The vast majority of contemporary fi llers available are formulated with a<br />

humectant that occurs naturally in the human body throughout connective,<br />

epithelial and neural tissues and is particularly abundant in the dermis. These<br />

types of fi llers are biocompatible and biodegradable, and range in longevity,<br />

composition and viscosity.<br />

The humectant used in modern-day fi llers can attract up to 1,000 times its<br />

weight in water and is one of the main agents in maintaining hydration and a<br />

fresh, youthful appearance, as well a major component of tissue repair.<br />


Filling superfi cial fi ne lines and moderate facial wrinkles, and for treating those<br />

with fi ne skin, calls for fi llers with lighter textures. Greater volumes of these fi ner<br />

fi llers may also be injected into the mid or deep dermis for subtle contouring of<br />

larger areas of the face such as the lips, cheeks and chin. Treatments can last<br />

around nine months, depending on the patient.<br />



‘Fillers are used to<br />

restore volume to<br />

the face where tissue<br />

has degenerated<br />

with age’<br />

Where a stronger and longer-lasting result is required, practitioners may opt<br />

for medium volume fillers. These are intended for deeper injection to restore lost<br />

volume in areas like cheeks, under-eye hollows, nasolabial (nose to lip) folds and<br />

marionette lines (drooping mouth corners). They are also used to correct deeper<br />

facial wrinkles and folds and augment the lips. Results last for at around six<br />

months to a year, again depending on the patient.<br />

More robust and longer lasting fillers are used to revolumise larger areas such<br />

as the cheeks and mid-face, or fill out facial depressions, deep contours and<br />

hollows. Results can last around 12 months or more in some patients, and do<br />

not tend to migrate from the injection site.<br />


Some volume injectables stimulate the patient’s skin to produce more of its<br />

own collagen and elastin over a period of weeks or months, to gradually restore<br />

more youthful and pleasing facial contours. They stimulate the fibroblasts (the<br />

key cells in connective tissue that produce collagen) to fill wrinkles and sunken<br />

areas as well as help tighten the skin.<br />

The amount injected at each session and the number of treatments<br />

required varies for each patient depending on volume loss and specific concerns.<br />

Results are subtle and progressive over a number of months and can last<br />

around two to three years. It is also designed to improve the skin’s overall texture<br />

and luminosity.<br />

Some ‘bio-stimulating’ injectables have a two-fold effect: on injection it<br />

immediately restores volume in addition to stimulating the growth of new<br />

collagen (neocollagenesis) over time. It is not suitable for the lips. Results<br />

generally last 12 to 18 months.<br />

Filler Uses<br />

Fillers are most often used for correcting wrinkles and furrows,<br />

restoring volume to hollows and for facial sculpting.<br />

Common uses include:<br />

• Filling facial hollows and troughs produced <strong>by</strong> the ageing<br />

process or depressed injury, surgical or acne scars;<br />

• Lifting the outer eyebrows and creating higher, more youthful<br />

cheekbones;<br />

• Adding volume and definition to the lips.<br />

How long the correction lasts depends on the individual and<br />

where the filler is injected. Although three to six months was the<br />

original expectation, many experienced injectors have found that<br />

corrections in the order of six to 12 months are not uncommon.<br />

A treatment takes about 20 to 45 minutes depending on what<br />

needs to be done and the correction is seen immediately.<br />

Following treatment, patients may experience some mild puffiness<br />

around the injected treated area(s) but this usually settles within 48<br />

hours. Lips may be swollen for the first two to three days before they<br />

settle to their ideal volume.<br />







PEELS<br />

Peels are solutions applied to the surface of the skin to strip away the outermost<br />

layers, revealing the fresh new skin beneath. Used to treat a variety of skin<br />

conditions, peels can improve problems from dryness or skin dullness to acne,<br />

rosacea and pigmentation.<br />

Ingredients range from naturally occurring chemicals and herbal extracts<br />

to synthetic chemicals, and their effects range from mildly brightening to<br />

aggressive resurfacing. Depending on the strength, peels can be administered<br />

<strong>by</strong> dermatologists, cosmetic practitioners and skincare professionals, and are<br />

recommended as a course of treatments.<br />

Natural peels<br />

Alpha hydroxy acid (AHA) peels are the mildest option, available in salon<br />

treatments and can be used on most skin types. They use lactic, fruit or glycolic<br />

acids to treat dryness and improve skin texture. Beta hydroxy acid (BHA)<br />

peels use salicylic acid to speed the skin cell shedding process and improve<br />

blemished skin.<br />

Chemical peels<br />

Chemical peels are higher strength solutions that use different grades of acid<br />

to strip the skin of dead skin cells and promote the production of collagen and<br />

elastin in the skin. These chemicals – ranging from alpha hydroxy and salicylic<br />

acids to trichloroacetic acid and phenol – also vary in their depth of penetration,<br />

causing them to directly target specifi c concerns. Typically, the stronger the<br />

strength of the peel the deeper the penetration and the more severe the posttreatment<br />

side effects.<br />

The treatments typically cause stinging during application and various degrees<br />

of fl aking after treatment, from fi ne fl aking to sheeting, as the new layers of skin<br />

start to form. Chemical peels can be quite aggressive, so skin analysis during<br />

consultation is required to fi nd out which peel is most suitable, and whether any<br />

allergic reactions will occur.<br />

<strong>Dr</strong>yness, redness and peeling can be expected for up to a week after most<br />

peels, which feels similar to sunburn. It is imperative the peeling skin is not picked<br />

at or rubbed as it may cause scarring. Makeup may be worn to cover this,<br />

depending on the consultant’s instructions. Using an unscented moisturiser can<br />

help relieve the tight sensation of treated skin, and a mild topical steroid cream<br />

or ointment can be used to soothe temporary swelling or redness. Sunscreen<br />

should be worn at all times while outside.<br />

The appearance of acne scarring can be improved with the use of fi llers;<br />

chemical peels, which remove the top layer of skin; microhydrabrasion, which<br />

‘polishes’ the skin; and laser, light-based and radiofrequency treatments, all of<br />

which heat the dermis and promote the formation of new skin.<br />



‘Skin needling<br />

can improve the<br />

appearance of<br />

wrinkles, scars,<br />

stretch marks<br />

and skin texture’<br />


Skin needling is a treatment used to improve the appearance of wrinkles,<br />

scars, stretch marks and skin texture <strong>by</strong> creating tiny punctures in the skin to<br />

stimulate the skin’s natural healing response. It is usually performed using a roller<br />

embedded with very fine needles that make multiple pinpoint puncture wounds<br />

in the dermis, stimulating the production of new collagen and elastin.<br />

The latest evolution in skin needling is the Dermastamp, a vibrational ‘stamping’<br />

device that uses oscillating micro needles to further increase skin stimulation and<br />

takes standard skin needling to a new level.<br />

The dermal damage created leaves the epidermis primarily intact,<br />

so the healing period is rapid and there is no risk of permanent<br />

structural damage, sun sensitivity, skin colour loss or hyper-pigmentation. Local<br />

anaesthetic cream is applied before the procedure and most patients are able to<br />

tolerate any discomfort.<br />

After treatment, the skin is red and swollen for around one to two days, with<br />

a light graze-like scabbing effect forming over the treated area on day two of<br />

recovery. Most patients are able to return to work and normal activities within 48<br />

hours of treatment.<br />

Multiple treatments are usually necessary to achieve significant improvement<br />

in the appearance and depth of lines and scars. Treatment effects are cumulative<br />

and can be seen six to eight weeks after the initial treatment. In comparison to<br />

the prolonged recovery time required <strong>by</strong> laser resurfacing and chemical peels,<br />

the short recovery period makes skin needling an effective alternative method for<br />

improving lines and scars.<br />

Skin needling can also be used to help other products containing active<br />

ingredients to be delivered to cells in the dermal layer of the skin. As well as this,<br />

it is suitable to treat sensitive areas such as the neck, backs of the hands and<br />

under the eyes, and can be safely carried out on all skin types and colours.<br />


Microhydrabrasion is a gentle facial cleansing method, decongesting and<br />

clearing debris from below the skin’s surface while simultaneously nourishing the<br />

skin for a more beautiful and fresh-looking complexion. This advanced treatment<br />

uses a diamond tip to exfoliate the skin and vacuumed water to cleanse away<br />

the debris. The dual action stimulates the skin, encouraging better circulation in<br />

the area treated and improving skin health.<br />

Microdermabrasion removes the outer layer of the stratum corneum<br />

(outermost layer of the skin) to aid the skin’s natural process of sloughing off<br />

dead skin cells, improving the appearance of fine lines, sun damage and scars,<br />

and creates a more even tone and texture on the skin.<br />

There are a number of different types of microdermabrasion. Generally the<br />

procedure is carried out via jets that blast fine particles onto the face to dislodge<br />

hardened skin cells, although a wand can also be used on the skin’s surface to<br />

create the same effect. Crystal dermabrasion works <strong>by</strong> blasting the skin with<br />

microscopic crystal particles; diamond microdermabrasion uses a diamond<br />

head to lightly abrade the skin’s surface; and organic microdermabrasion uses<br />

medical-grade baking soda or milled grains that are gentler than crystals and<br />

more suitable for sensitive skins. A handpiece is used to vacuum up the stripping<br />

agent and skin particles during and after treatment.<br />



The treatment is generally well tolerated and can be compared to a more<br />

intense exfoliation. After treatment, the skin can feel hot and appear slightly<br />

red but this usually settles over a few hours. It’s generally recommended that<br />

a course of six treatments is carried out to improve problems such as age<br />

spots, but it can also be effective to treat blocked pores and blemishes with two<br />

to three treatments.<br />


Sclerotherapy offers an effective, less invasive alternative to diathermy and laser<br />

treatments to improve the appearance of broken capillaries and spider veins that<br />

occur as a result of ageing.<br />

The treatment involves injecting the unwanted blood vessels with a sclerosing<br />

solution (saline solution which induces the hardening of tissue) that causes the<br />

target capillary to shrink and eventually dissolve as the body naturally absorbs<br />

the vein. This process occurs over a number of weeks.<br />

Sclerotherapy is typically preferred to laser for eliminating large spider veins<br />

(telangiectasiae) as well as smaller varicose leg veins. Unlike a laser, the sclerosing<br />

solution additionally closes the ‘feeder’ veins under the skin that cause the spider<br />

vein to form, making any recurrence of the spider veins in the treated area less<br />

likely. Having said this, sometimes a single blood vessel may have to be injected<br />

more than once, some weeks or months apart, depending on its size. A number<br />

of vessels can be injected in any one-treatment session.<br />

While sclerotherapy is a relatively simple treatment, injecting the veins requires<br />

a high degree of skill and accuracy. Because of this, it is important to seek<br />

treatment from a properly qualified practitioner.<br />


Platelet Rich Plasma (PRP) gained significant traction in the world of aesthetic<br />

medicine when celebrity Kim Kardashian posted a photo on social media during<br />

a PRP, or ‘vampire facial’, treatment. But shock value and popular trends aside,<br />

autologous PRP signifies an innovative and seemingly endlessly applicable<br />

rejuvenation therapy.<br />

It uses a concentration of platelets, from the patient’s own blood, to promote<br />

healing in both hard and soft tissues. With a history of use in orthopaedics,<br />

sports medicine, wound healing, neurosurgery, dentistry and ophthalmology, its<br />

introduction into cosmetic enhancement was inevitable.<br />

The treatment involves sampling the patient’s own blood, centrifuging the<br />

sample to concentrate the platelets and growth factors in a small volume of<br />

plasma, and reinjecting the concentrated product into the treatment area.<br />

PRP is touted to assist in rejuvenating the complexion, reducing the<br />

appearance of fine lines and wrinkles, evening skin texture and brightening skin<br />

tone. It does this <strong>by</strong> triggering the skin’s own regenerative mechanisms and<br />

inducing the proliferation of fibroblasts, osteoblasts and endothelial cells.<br />

PRP can be used as a standalone procedure to treat specific concerns – for<br />

example, wrinkles, scarring and dark circles under the eyes – or in conjunction<br />

with other modalities to optimise results and reduce scarring following surgery.<br />

In fuelling the dermis with growth factors and stimulating the cell renewal<br />

process, PRP can be injected around the eyes, across the cheeks, mid-face and<br />

forehead, and along the jaw line and décolletage.<br />



ACNE<br />


Most people experience acne in varying degrees at some point in their<br />

life. There are a number of factors that contribute to the development<br />

of acne, the most common are genetic, hormonal, environmental and<br />

dietary factors. Not all acne is the same and not all skin is the same, so there is<br />

no one treatment that will work for everyone.<br />

<strong>Cosmetic</strong> Elegance Clinic tailors treatments to suit each individual based on the<br />

type of acne, age group and lifestyle. We have a holistic approach to the treatment<br />

of acne that includes looking at diet, skin care regimen and treatment. We look<br />

at the whole person and are especially conscious of the psychological effect<br />

acne has on young lives. Our treatment plans feature the very latest in scientifi c<br />

technology including: Dermasound facial treatments, microdermabrasion, IPL<br />

light therapy, copper bromide laser treatment, medication and dietary advice.<br />


Acne typically affects areas of skin where there is an over-production of sebum<br />

(oil). Pustules and papules develop as a result of blockages in follicles caused <strong>by</strong><br />

sebum and dead skin cells. This is often compounded <strong>by</strong> bacterium, which leads<br />

to infl ammation and can result in scarring.<br />



Acne is often erroneously addressed with over-washing and incorrect topical<br />

applications that irritate the skin. The relationship we have with our skin is<br />

something we all have to work at, but through constant care and good habits<br />

over the long term, beautiful clear skin can be more than just a dream.<br />


There are three components to clearing acne:<br />

• the treatment performed <strong>by</strong> your consultant,<br />

• the prescription of skin care given to you, and<br />

• compliance with your home skin care routine and dietary advice, which will be<br />

given <strong>by</strong> your skin care consultant.<br />

Over-the-counter and prescription acne treatments work to speed up skin cell<br />

turnover, slough dead skin calls, reduce oil production, fight bacterial infection,<br />

limit inflammation and ultimately improve the appearance of acne. Medications<br />

may be applied to the skin (topical) or ingested (oral). Side effects such as<br />

stinging, burning or redness may occur, and results may not be seen for up to<br />

eight weeks.<br />

Moderate to severe acne is sometimes treated with antibiotic medication in<br />

order to reduce bacteria and fight infection. Women may also see an improvement<br />

in acne after taking oral contraceptives.<br />

Laser and other light-based therapies are often used to treat acne and acne<br />

scarring. Light therapy targets the bacteria that cause acne inflammation whilst<br />

also improving skin texture and lessening the appearance of acne scarring.<br />

Similarly, laser treatment works <strong>by</strong> damaging the sebaceous glands, lessening<br />

the amount of oil they produce. Certain cosmetic procedures including chemical<br />

peels and microdermabrasion are considered effective acne management when<br />

used in combination with other treatments.<br />

To get the best out of your treatment, you will need to commit to the program<br />

recommended <strong>by</strong> your Skin Care Consultant, and realise that its success will be<br />

based on a good partnership between the both of you. Please also understand<br />

that treatment of this condition can change over the course of time, but will most<br />

likely be an ongoing process which needs to become a way of life for you.<br />

We recommend the Glymed Plus range of medical grade skin care products<br />

which has received many esteemed awards in the field of professional skin care.<br />

We can confirm that Glymed Plus products deliver results for even the most<br />

challenging and problematic skin conditions.<br />

<strong>Cosmetic</strong> Elegance Clinic has a high success rate in treating acne and it<br />

is always a pleasure to see the self-esteem and confidence of our clients<br />

being restored.<br />


<strong>Cosmetic</strong> Elegance Clinic offers the latest in laser skin rejuvenation using fractional<br />

laser resurfacing to improve the texture and tone of your skin whilst reducing the<br />

appearance of acne scars and fine lines. Fractionated laser resurfacing is the<br />

latest in laser technology to rejuvenate skin.<br />

We offer both ablative and non-ablative fractionated laser resurfacing to<br />

treat acne scarring, facial rejuvenation and pigmentation. Having both these<br />

technologies means that we can offer you treatments with longer or virtually no<br />

downtime to achieve the best results for your skin.<br />







Don’t take risks with skin cancer! Research shows that skin cancer is the<br />

most common cancer in Australia and the one most people will develop<br />

in their lifetime.<br />

As with many other cancers, screening can be the fi rst line of defence against<br />

skin cancer, identifying abnormal skin tissue before a person has any symptoms.<br />

Regular exams of the skin <strong>by</strong> both the individual and their doctor increase the<br />

chances of detecting skin cancer early on, therefore providing an improved<br />

chance of survival.<br />

Most melanomas can be seen <strong>by</strong> the naked eye, typically growing on the<br />

surface of the skin before spreading to the dermis. Therefore, self-checking skin<br />

each month can help identify changes to be reported to the doctor.<br />

When skin is identifi ed as abnormal, a biopsy may be performed. The<br />

doctor will remove as much of the suspicious tissue as possible with a local<br />

excision. The tissue will then be inspected beneath a microscope to check for<br />

cancerous cells.<br />

Surgery may be used in the management of skin cancers. Once the cancer<br />

has been surgically excised, pathological examination will determine whether all<br />

cancerous cells have been removed. If the skin cancer is large, the neighbouring<br />

skin may be moved to cover the wound, reducing the scarring and providing a<br />

better tone and colour match than a skin graft.<br />

Other techniques may be adopted to manage pre-cancerous conditions<br />

such as actinic keratoses, or non-melanoma skin cancers such as basal cell<br />

carninomas. Cryotherapy, for example, can be used to freeze tumour cells. Most<br />

commonly used for the treatment of actinic keratoses, a cryogen is applied to<br />

the growths in order to freeze them. The growths then form a dry crust that<br />

falls off within three weeks. Basal cell carcinomas may also be treated with<br />

electrosurgery. Once the top of the lesion has been removed, the underlying cells<br />

and bleeding points are cauterised with an electrocautery needle. A curette is<br />

then used to remove the base of the lesion. Photodynamic therapy is also often<br />

used to treat large area actinic keratosis lesions or non-melanoma skin cancers<br />

such as basal cell carcinomas.<br />

<strong>Cosmetic</strong> Elegance Clinic has an independent Skin Cancer Clinic which offers<br />

comprehensive, state of the art services. These include skin cancer imaging<br />

and mole scanning, photodynamic therapy (PDT), laser and IPL treatment,<br />

cryotherapy and surgical excision.<br />






• <strong>Dr</strong> <strong>Roos</strong> will check your body for any lesions of concern using a<br />

Dermatoscope – a precision high-resolution optical device with<br />

polarized lens system and LED lighting to allow the doctor to see<br />

the lesion magnified clearly with accurate colour portrayal.<br />

• If there are any lesions that need monitoring these will be captured<br />

on our MoleMax system (digital imaging) for later referral.<br />

• Any recommended treatment will be discussed at this time and<br />

relative appointments made.<br />

• Treatment may vary from cryotherapy, laser/IPL treatment and<br />

photodynamic therapy to biopsies and complete excisions. Most<br />

treatments are performed in-house <strong>by</strong> <strong>Dr</strong> <strong>Roos</strong>.<br />

• All specimens are sent to QML or Sullivan & Nicollades for<br />

histopathology.<br />

• In all instances, we aim for the best possible cosmetic outcome.<br />

• Education on sun safe practise is crucial and is given to all patients.<br />


Australians have the highest incidence of Skin Cancer in the world. In the<br />

northern regions we live with solar UV radiation all year round yet many people<br />

are complacent or neglectful in protecting their skin from the sun. Prolonged<br />

exposure to UV radiation in sunlight can affect anyone regardless of their skin<br />

type – even darker skin tones are at risk of skin cancer. If early detection is not<br />

made then skin cancer can spread to other parts of the body.<br />

Several factors contribute to an increased risk of you developing skin cancer:<br />

• Sun exposure during childhood, especially without sunscreen<br />

• Involvement in outdoor activities, including an outdoors career, suntanning,<br />

outdoor sports and leisure activities.<br />

• Outdoor activity between the hours of 10am and 2pm, as the solar UV<br />

radiation is more intense at this time<br />

• A fair complexion, blue or green eyes and freckles, and skin which tans poorly<br />

and burns easily<br />

• A previous incidence of skin cancer or keratosis<br />

• A family history of skin cancer<br />

• Proximity to the equator—Queensland has a higher rate of diagnosed skin<br />

cancers than southern states.<br />





‘In a lot of<br />

cases moles are<br />

removed for<br />

cosmetic reasons<br />

when the patient<br />

simply dislikes<br />

their appearance’<br />

The health of your skin is our number one priority. It is the foundation<br />

of your appearance now and in the future. In addition to the diagnosis<br />

and treatment of skin cancer, <strong>Dr</strong> <strong>Eddie</strong> <strong>Roos</strong> has a special interest in<br />

cosmetic mole removal.<br />

Moles may be removed because they are suspicious of skin cancer, but<br />

in a lot of cases moles are removed for cosmetic reasons when the patient<br />

simply dislikes their appearance.<br />

Moles are skin growths made up of melanocytes (pigment-producing<br />

cells) which have grown in clusters rather than being dispersed throughout<br />

your skin. The heavy pigmentation in these cells causes moles to be brown or<br />

black in colour. Some people are born with moles, while other moles appear<br />

later in life, with sun exposure a signifi cant factor in their development.<br />

Moles can appear anywhere on your skin, with the majority forming in the<br />

fi rst 20 years of your life. Some moles are pre-cancerous or cancerous, but<br />

the majority are benign. A new mole appearing after 40 is more suspicious,<br />

and the older you are the more suspicious a new mole is.<br />

It’s important to check your moles regularly for any changes using the<br />

SCAN method – look for a spot or mole that is Sore, Changing, Abnormal,<br />

or New. Together with sun protection, early detection is your best defence<br />

against skin cancer.<br />

The <strong>Cosmetic</strong> Elegance Clinic provides an array of methods, using the<br />

most advanced technology and proven techniques, for removing moles<br />

and skin lesions. There various methods of removal, and the techniques<br />

employed, depend on numerous factors including the type and size of<br />

the mole.<br />

<strong>Dr</strong> <strong>Roos</strong> offers surgical removal, cryotherapy, laser ablation and<br />

photodynamic therapy of skin lesions, depending on the individual case.<br />

The high demand for cosmetic mole removal makes this treatment<br />

a constant and important part of the practice. Anything that is surgically<br />

removed from your skin will be sent to pathology so that a thorough and<br />

proper diagnosis can be made.<br />



LIGHT<br />




The healing power of light has been recognised and used for thousands of<br />

years, dating back to the Ancient Greeks and Romans. Over the millennia,<br />

our understanding and use of light-based therapies have continually evolved<br />

to optimise results, reduce downtime and treat a wide range of skin conditions<br />

and ageing concerns.<br />

For cosmetic indications, light-based treatments can be broadly categorised<br />

as intense pulsed light therapy, photodynamic therapy and laser therapies.<br />


Intense pulsed light (IPL) in cosmetic therapy uses light wavelengths that safely<br />

target either melanin or haemoglobin in the skin. It can be used to permanently<br />

reduce unwanted hair growth, fade brown spots and cauterise enlarged or<br />

broken capillaries and port wine stain birthmarks. Some treatments have been<br />

developed specifically to treat rosacea.<br />

Unlike lasers, IPL devices produce a broad spectrum of light in a range of<br />

wavelengths. The emitted light is further adjustable through the use of filters,<br />

allowing any skin colour to be treated. The range of light is typically between<br />

500-1500nm, depending on the machine and filter used. This versatility allows<br />

the characteristics of the light energy to be adjusted according to each patient’s<br />

skin type, specific condition and location of the area to be treated.<br />

In terms of safety, the two types are similar, but with both IPL and laser<br />

facial rejuvenation treatments the practitioner and patient each need to use eye<br />

protection, and treatment needs to occur in a controlled area where people<br />

cannot wander in and be exposed to the light.<br />

While lasers and IPL treat many of the same conditions, IPL is a single<br />

technology for a multitude of applications – from unsightly veins and birthmarks<br />

to ageing and sun-damaged skin, unwanted hair and rosacea.<br />

During the procedure pulses of intense light are fired at the skin through<br />

varying filters which isolate specific wavelengths of light. Various targets (such<br />

as haemoglobin in the blood to remove vascular lesions, or melanin to treat<br />

hyperpigmentation) are preferentially absorbed, heated and selectively destroyed<br />

<strong>by</strong> certain light wavelengths (called selective photothermolysis) without damaging<br />

surrounding tissues.<br />

IPL treatment cannot typically address extensive sun damage and skin<br />

discolourations but it can reduce surfaced capillaries and brown spots, as<br />

well as help revitalise and even out the overall complexion. Typically four to six<br />

treatments are required for optimal results.<br />

The usual downtime with IPL modalities is minimal to none, depending on the<br />

intensity of treatment, however full recovery can take around two weeks in some<br />

cases. Immediately after IPL a slight burning sensation can occur for a few hours<br />

but there is generally little discomfort.<br />

Temporary discolouration can occur for around three to four days after the<br />

procedure and this skin will flake off slowly. Short-term side effects include<br />

reddening of the skin (erythema), temporary bruising and oedema. Reactions<br />

such as scabbing and blistering are possible though rare. It is important to<br />

protect skin from UV light with daily sunscreen application.<br />




AND WHY?<br />

Most resurfacing lasers work <strong>by</strong><br />

removing microscopic quantities of<br />

skin and stimulating the production<br />

of new collagen. Non-ablative lasers<br />

use wavelengths which do not burn<br />

away skin and are suitable for the<br />

treatment of melasma, scarring, fine<br />

lines and wrinkles and typically do<br />

not require any downtime.<br />

The most common ablative<br />

lasers include carbon dioxide (CO 2<br />

)<br />

and Erbium:YAG lasers. These<br />

use a process where the upper<br />

layers of aged or damaged skin are<br />

vaporised <strong>by</strong> the controlled laser.<br />

More recently, laser is applied using<br />

fractionated technology.<br />

It is this damage that stimulates<br />

the healing and restructuring of<br />

the skin, resulting in a more even<br />

complexion and a significant<br />

reduction in lines and wrinkles.<br />

Carbon dioxide lasers can<br />

dramatically reduce wrinkles but<br />

downtime and side effects such as<br />

redness and peeling are extended,<br />

usually taking many weeks to heal.<br />

Erbium lasers have a great accuracy<br />

with fewer side effects but cannot<br />

treat deep wrinkles as successfully.<br />


Photodynamic therapy uses a chemical reaction activated <strong>by</strong> light energy to<br />

selectively destroy specific tissues and can be used to treat sunspots, certain<br />

types of skin cancer, rosacea, acne and sun-damaged skin. A photosensitising<br />

medication is applied topically on the skin and a narrow band of light (red or blue<br />

light) is administered to cause a moderately deep exfoliation and target damaged<br />

tissue and sebaceous glands.<br />

When skin is exposed to a light source of an appropriate wavelength, its<br />

photosensitiser molecules are activated to produce oxygen intermediates<br />

that destroy the targeted cells. Recovery time is around two weeks after each<br />

treatment and usually one to three sessions are required.<br />


Laser is an acronym for Light Amplification for the Stimulated Emission of<br />

Radiation. Laser light is different to normal light for many reasons: it travels in a<br />

synchronised fashion; retains its intensity over a long distance; is monochromatic<br />

(of the same wavelength or colour) and can be pulsed.<br />

Laser therapies work <strong>by</strong> targeting tissue and can be used for a number of<br />

treatments, including pigmentation, scarring, unwanted hair, spider veins, sundamaged<br />

skin, wrinkle reduction and overall complexion rejuvenation.<br />

The principle behind lasers is light absorption. The same as a black car will<br />

be hotter than a white car because it absorbs more wavelengths of light, certain<br />

target tissues will absorb certain wavelengths of light more effectively. As the<br />

laser light is monochromatic the target tissue will take on maximum absorption<br />

while the surrounding tissues won’t. This allows the target to be isolated and<br />

treated. In other words, the laser emits a single frequency of light with all the<br />

light waves going in the same direction, allowing the target tissue to absorb the<br />

maximum amount of heat.<br />

The target tissue is all-important when treating skin problems with a laser.<br />

For pigmentation it is melanin; for spider veins and other vascular conditions it<br />

is haemoglobin (blood); and for wrinkles it is water. Each of these target tissues<br />

absorbs a different wavelength of light, meaning a different laser is needed for<br />

each specific problem.<br />

Recent advances in laser technology mean that laser skin resurfacing, once<br />

reserved for the treatment of severe conditions such as acne scarring due to the<br />

extensive downtime involved, has become an effective option for many people<br />

seeking reduction of lines and wrinkles and uneven skin colour, tone and texture.<br />



WHAT IS A<br />


Different wavelengths allow delivery<br />

of energy to different structures.<br />

These structures are target tissues<br />

known as chromophores and for<br />

cutaneous laser therapy these<br />

are: haemoglobin (blood both<br />

oxygenated and de-oxygenated),<br />

water, melanin (pigment in hair and<br />

brown spots) and ink (tattoos).<br />

As each chromophore absorbs<br />

different wavelengths of light,<br />

different lasers are used for different<br />

treatments. The treatments usually<br />

fall into four categories:<br />

1. Resurfacing the skin, minimising<br />

wrinkles and scars (chromophore<br />

is water)<br />

2. Vascular lesions such as<br />

spider veins (chromophore is<br />

haemoglobin)<br />

3. Pigmented lesions such as<br />

brown spots and unwanted hair<br />

(chromophore is melanin)<br />

4. Tattoos (chromophore is protein).<br />


The advent of fractionated laser, where microscopic columns of skin are treated<br />

while surrounding skin is left intact, has made it possible to achieve results<br />

comparable to traditional laser resurfacing with fewer side effects and profoundly<br />

less downtime.<br />

Fractional skin resurfacing can utilise both non-ablative and ablative lasers<br />

– the breakthrough difference of this technology is the fractionated delivery<br />

system of light. Fractional laser technologies break up light beams to allow<br />

columns of untreated tissue to activate healing mechanisms beneath the skin’s<br />

surface, treating skin conditions ranging from scars and birthmarks to wrinkles.<br />

These lasers work <strong>by</strong> creating microscopic thermal injuries that trigger<br />

collagen production, stimulating cell renewal and plumping out the tissues. In<br />

other words, the laser works <strong>by</strong> creating tiny holes, or ‘dots’, in the skin’s surface,<br />

penetrating deep into the dermis which triggers the body’s natural healing<br />

responses. It leaves the skin around each dot intact, enabling the surrounding<br />

tissue to heal these microscopic thermal injuries <strong>by</strong> stimulating the production<br />

of new collagen.<br />

The anti-ageing benefits of fractional laser technology include improving<br />

evenness of skin tone and texture, reducing pore size and the appearance of<br />

lines and wrinkles, and helping to reverse the effects of sun damage. A more mild<br />

treatment may take several sessions, while one procedure is usually sufficient for<br />

a more aggressive treatment.<br />

Because laser treatments use heat, a mild to moderate burning sensation<br />

is experienced during treatment and slight swelling, redness and bronzing<br />

afterwards. This can be covered with makeup and normally subsides after a few<br />

days, however full healing can take several weeks, depending on the intensity of<br />

treatment and the areas targeted.<br />

Results of light-based therapies vary, depending on the technique and<br />

experience of the practitioner and the individual patient. Patients should always<br />

ask their practitioner how new the laser or IPL machine is. Recent models are<br />

far superior to earlier ones in terms of achieving predictable and precise results.<br />


While not a form of light therapy, Portrait Plasma is also a highly effective<br />

skin rejuvenation and resurfacing treatment. Instead of using laser, light or<br />

radiofrequency energy, Portrait Plasma uses energised nitrogen gas to improve<br />

skin tone, minimise lines and wrinkles and boost the production of collagen to<br />

improve skin laxity and overall texture.<br />

The Portrait Plasma treatment involves a computer-controlled hand piece<br />

delivering the nitrogen plasma energy onto the skin to cause a controlled thermal<br />

injury. This “thermal zone” does not damage or disrupt the surface of the skin – in<br />

fact, the stratum corneum remains intact and acts as a biological dressing after<br />

treatment so that no bandages or dressings are typically required after treatment<br />

– and results in the emergence of “new” skin.<br />

The Portrait Plasma has been shown to alter structures below the surface of<br />

the skin, inducing continuing regeneration of skin cells. Working below the surface<br />

of the skin, the treatment creates the right conditions and natural growth factors<br />

for generating new skin and creating new collagen for cumulative improvement<br />

in wrinkles and skin tone, texture and discolouration, as well as diminishing pore<br />

size and acne scarring.<br />

The non-invasive treatment usually takes about 30 to 40 minutes, with<br />

a downtime of around five to 10 days. Importantly, collagen remodelling can<br />

continue up to a year after treatment, offering long-lasting and natural-looking<br />

rejuvenation results.<br />





A<br />

decade ago, the Fraxel laser system pioneered the use of fractional laser<br />

technology in skin rejuvenation. Since then, more than 800,000 patients<br />

have been treated around the world with Fraxel to address cosmetic and<br />

anti-ageing concerns.<br />

Fraxel is a system designed to improve skin tone, texture, elasticity and overall<br />

skin health. It is suitable for reducing the appearance of wrinkles, acne scarring<br />

on the face and back, and pigmentation such as melasma and sun spots on<br />

the face, décolletage, neck and hands. Fraxel can also dramatically improve the<br />

texture, colour and smoothness of the skin.<br />

Fraxel uses cutting-edge technology to deliver results in a simple, though very<br />

effective fashion. It uses laser light to penetrate the top skin layers and cause<br />

micro columns of thermal damage to the dermis. This triggers the body’s healing<br />

response and stimulates the production of new collagen at the treatment site.<br />

The ‘fractionated’ effect means only a fraction of the skin is treated, as there<br />

are areas of healthy, untouched tissue between each column of damage.<br />



‘<strong>Dr</strong> <strong>Eddie</strong> <strong>Roos</strong><br />

has been using<br />

fractionated laser<br />

for six years at<br />

<strong>Cosmetic</strong> Elegance<br />

Clinic and believes<br />

Fraxel delivers a<br />

wide range of skin<br />

treatment options’<br />

The Fraxel system has a good safety profile, which is partly due to the fact that<br />

the majority of the skin is left untreated.<br />

Fraxel treatment can be tailored to the individual patient, according to their<br />

concerns and current skin condition. There are two main wavelengths for Fraxel<br />

laser: 1550nm and 1927nm. <strong>Dr</strong> <strong>Eddie</strong> <strong>Roos</strong> has been using fractionated laser at<br />

<strong>Cosmetic</strong> Elegance Clinic for five years, and believes Fraxel delivers a wide range<br />

of skin treatment options. ‘The 1550nm wavelength is used for rejuvenation and<br />

scar remodelling. It penetrates deep into the dermis to achieve really significant<br />

results,’ he explains. ‘The 1927nm wavelength does not penetrate as deeply,<br />

and is used to treat pigment in the skin. It is ideal for improving sun-damaged<br />

skin that we see in Queensland and, indeed, the rest of Australia.’<br />

Typically, a full-face treatment will take around one hour and topical anaesthetic<br />

cream will be applied to make the patient as comfortable as possible. The number<br />

of treatments required varies between patients, and is dependant on their skin<br />

condition and what they are aiming to achieve.<br />


During treatment the laser is rolled across the area to be treated several times.<br />

Depending on the size and complexity of the treatment area, the actual procedure<br />

can take anywhere between 20 minutes and an hour. For best results, a series<br />

of treatments is usually recommended – typically one to two treatments for<br />

pigmentation and three to five for acne scarring and wrinkles.<br />

The Fraxel system has an inbuilt cooling system to help keep the skin’s<br />

surface cool and comfortable during treatment. This allows higher levels of heat<br />

energy to be delivered deep into the skin’s layers, without compromising the<br />

upper epidermis.<br />

‘The Fraxel system delivers an even treatment combined with cold air blown<br />

onto the skin, making the procedure tolerable to patients,’ <strong>Dr</strong> <strong>Roos</strong> explains.<br />

‘The effect of laser treatments on the skin will vary from person to person,’ he<br />

continues. ‘The body’s response to fractionated trauma is explained in detail to<br />

patients before they go ahead, and we do emphasise that rejuvenation results<br />

will continue to improve for months following treatment – as the new collagen<br />

is created.’<br />

Some redness and swelling should be expected post-procedure, particularly<br />

with the 1927nm laser. There are several phases the skin will go through following<br />

treatment with Fraxel. Straight after treatment the skin feels like it has mild<br />

sunburn and may be red and a little swollen for the next two to three days, but<br />

this can be covered using a quality mineral makeup. After this time, the damaged<br />

skin will bronze and eventually flake and exfoliate off, revealing the fresh new<br />

rejuvenated skin underneath.<br />

The results of Fraxel treatment start to appear as the skin exfoliates, but<br />

continue to improve for the three to six months following the procedure. During<br />

this time, the new collagen synthesised in response to treatment is building and<br />

regenerating in the skin. As this occurs, the complexion becomes firmer and<br />

more resilient, with improved contours and texture.<br />

‘We are seeing fantastic results using Fraxel laser, particularly for acne scarring,<br />

pigmentation and overall facial rejuvenation, resulting in smoother, fresher, more<br />

radiant skin,’ says <strong>Dr</strong> <strong>Roos</strong>. ‘Patients are often amazed at their results.’<br />





The permanent hair reduction market in Australia has boomed over the past<br />

decade with a variety of light-based technologies offering safe and effective<br />

solutions to excess and unwanted hair. Laser/IPL treatments can eliminate<br />

unwanted hair from all over the body and face with a series of relatively easy<br />

treatments. Most laser and IPL technology is best suited to pigmented hair.<br />

Permanent hair reduction, when performed <strong>by</strong> a fully trained operator, offers<br />

both men and women several benefi ts compared with other hair removal options<br />

such as shaving and waxing. Clients generally notice the hair grows back less<br />

quickly and also fi ner with the added bonus that there are rarely spots, ingrown<br />

hairs or itchiness.<br />

Before considering permanent hair reduction, consumers need to be aware<br />

that lasers and IPL machines are medical equipment. First and foremost, clients<br />

considering hair removal should visit a qualifi ed and skilled operator who knows<br />

what they are doing to avoid unnecessary complications.<br />

LASER<br />

Laser light is different to normal light for many reasons: it travels in a synchronised<br />

fashion; retains its intensity over a long distance; is monochromatic (of the same<br />

wavelength or colour); and can be pulsed.<br />

The principle behind lasers is light absorption <strong>by</strong> targets that selectively absorb<br />

pulses of radiation. Selective absorption means hair follicles are destroyed but<br />

the skin is left undamaged. The same as a black car will be hotter than a white<br />

car because it absorbs more wavelengths of light, certain target tissues will<br />

absorb certain wavelengths of light more effectively. In the case of hair removal,<br />

the target is the pigment, or melanin, in the hair follicle that colours the hair.<br />

Effectiveness is limited if there is no pigment – for example light blonde,<br />

white or grey hair. Second, in the telogen growth phase, the hair bulbs are unpigmented<br />

and therefore do not absorb light. The early anagen phase is the best<br />

stage to maximise responsiveness to laser and light treatment. Two or three<br />

days before treatment you need to either shave or use hair removal cream over<br />

the area to be treated. No sun, solarium or fake tan should be used two weeks<br />

before your treatment or superfi cial burning or pigmentation may occur.<br />

Laser hair removal has been described as being similar to a small rubber<br />



‘Laser and IPL<br />

treatments<br />

can eliminate<br />

unwanted hair<br />

from all over<br />

the body<br />

and face’<br />

band being flicked against your skin and any discomfort is typically soothed <strong>by</strong><br />

the cooling device used simultaneously to take the heat out of the skin. Efficacy<br />

depends on the area being treated and can be influenced <strong>by</strong> sex, age and<br />

hormones. However, studies show an average hair loss of approximately 80<br />

percent after six to eight treatments, conducted six to eight weeks apart.<br />

Treatments are spaced to take into account the hair growth cycle: Anagen<br />

(active growth phase); Catagen (transitional period); and Telogen (resting phase).<br />

There is variation in the duration of anagen and telogen phases in different<br />

body sites. There is also seasonal variation, which means in summer there’s a<br />

higher rate of growth and slower growth during winter.<br />

Different lasers The Ru<strong>by</strong> laser (694nm), Alexandrite laser (755nm), Diode<br />

laser (810nm), Nd:YAG laser (1064nm) as well as IPL have been commonly used<br />

for hair removal. The Ru<strong>by</strong> and Alexandrite lasers are recommended for hair<br />

removal in patients with Fitzpatrick fairer skin types of 1 to 3.<br />

The Diode laser can be used in the range of Fitzpatrick skin types (1 to 5) – from<br />

fair with red hair to very dark skin. The long-pulsed Nd:YAG laser, functioning at<br />

a wavelength of 1064nm, can be used on all skin types and is the safest device<br />

for hair removal in very dark-skinned patients due to its long wavelength and the<br />

reduced risks of hypo-pigmentation.<br />


This non-laser technology uses light wavelengths that safely target either melanin<br />

or haemoglobin in the skin. While it was developed for skin concerns, a side<br />

effect of the treatment recognised and harnessed is the reduction of hair growth.<br />

IPL sources have been used primarily for hair removal in patients with<br />

Fitzpatrick skin type 1 to 4 and light hairs (blonde, grey and white) tend only<br />

to be treatable if they are coarse in nature. Unlike lasers, IPL devices produce<br />

a broad spectrum of light in a range of wavelengths. This versatility allows the<br />

characteristics of the light energy to be adjusted according to each patient’s skin<br />

type, specific condition and location of the condition.<br />

During the procedure, pulses of intense light are fired at the skin through<br />

varying filters, which isolate specific wavelengths of light. Similarly to laser, the<br />

pigment is targeted and preferentially absorbed, heated and selectively destroyed<br />

<strong>by</strong> certain light wavelengths without damaging surrounding tissues.<br />

A minimum of four to six treatments are likely to be required to see results and<br />

ongoing treatment is recommended. Darker skin colour and lighter coloured hair<br />

will require more treatments, as there is less melanin in the hair roots and the<br />

machine cannot be operated at full capacity.<br />

The usual downtime with IPL modalities is minimal to none. Straight after IPL a<br />

slight burning sensation can occur for a few hours. Temporary discolouration can<br />

occur for around three to four days after the procedure and will flake off slowly.<br />

Short-term side effects include reddening of the skin (erythema), temporary<br />

bruising and oedema (swelling). Reactions such as scabbing and blistering<br />

are possible though rare. It’s important to protect skin from UV light with daily<br />

sunscreen application.<br />


<strong>Cosmetic</strong> Elegance Clinic also offers electrolysis treatment for blonde, white or<br />

grey hairs. The treatment uses galvanic current and thermolysis to destroy the<br />

hair follicle. During treatment, a probe is inserted into each individual hair follicle<br />

to be removed.<br />



TATTOO<br />


Removing tattoos just got faster and easier. <strong>Cosmetic</strong> Elegance Clinic<br />

has acquired the latest tattoo removal laser from the USA, the PicoSure<br />

picosecond laser. This is the world’s most advanced technology for<br />

tattoo removal, and the only PicoSure laser in Toowoomba.<br />

The new PicoSure laser is the fi rst and only picosecond laser for tattoo<br />

removal and is set to become the new standard in clearing tattoos. ‘As<br />

the number of people with tattoos has increased, so too has the need for<br />

improved tattoo removal methods,’ says <strong>Dr</strong> <strong>Roos</strong>.<br />

‘PicoSure targets unwanted ink more effectively than older methods,<br />

successfully removing diffi cult ink colours, such as blues and greens, with<br />

fewer treatments and a faster clearance rate.’<br />

PicoSure signifi es an unprecedented innovation in laser technology.<br />

It delivers ultra-short pulse bursts of energy to the skin, causing a<br />



‘The PicoSure<br />

laser is set to<br />

become the<br />

new standard in<br />

tattoo removal’<br />

photomechanical reaction for improved clearance over fewer treatments. The<br />

pulse length is a trillionth of a second – called a picosecond. This pulse is 100<br />

times shorter than that used in previous technology and causes a different, more<br />

effective, reaction in the skin.<br />

The ultra-short pulses create an intense photomechanical wave that<br />

‘shatters’ the ink, breaking the ink down into tiny dust-like particles which<br />

are then easily eliminated from the body. This is different from previous tattoo<br />

removal technology, which uses photothermal effects to deliver heat to the<br />

ink and surrounding tissues. This ‘heating’ could damage skin and result in<br />

scarring, whereas with PicoSure the pulse width is so short, there is less risk of<br />

injury and damage to the skin.<br />

Alongside a reduced risk of burning, PicoSure is touted to shift those colours<br />

that have been traditionally difficult to remove, such as blues and greens.<br />

Treatment with PicoSure often requires some form of topical anaesthetic and<br />

typically several treatments, eight weeks apart, are recommended to achieve<br />

optimum results. Most tattoos can be cleared in five to 10 treatments, as<br />

opposed to between 10 and 20 treatments with other lasers.<br />

As with any laser treatment, there is some post-procedure downtime involved.<br />

Redness, swelling and scabbing can occur directly after treatment. Scarring<br />

is still a possibility, however, because PicoSure uses a shorter wavelength<br />

and incurs fewer treatments, the risk of scarring is considerably reduced<br />

compared with prior lasers. Tattoo pigment will typically take several weeks to<br />

fade after treatment.<br />

People seek tattoo removal for a number of reasons, from career changes<br />

to new romantic relationships. PicoSure signifies new hope for those who have<br />

given up on tattoo removal in the past and can be a life-changing procedure.<br />


What is PicoSure?<br />

PicoSure is the first picosecond aesthetic laser specifically designed to treat<br />

tattoos. It delivers ultra-short pulse bursts of energy to the skin in trillionths of a<br />

second, making it 100 times shorter than traditional tattoo removal lasers.<br />

How does it work?<br />

PicoSure creates an intense photo-mechanical impact to shatter the target ink<br />

with fewer treatments and less fluence.<br />

How does it compare?<br />

Traditional Q-switched nanosecond lasers typically rely on photothermal action<br />

to deliver heat to the pigment and surrounding tissue and generally produce a<br />

small fraction of the power generated <strong>by</strong> a picosecond laser.<br />

PicoSure uses the patented PressureWave technology to shatter the smallest<br />

of ink particles, clearing even stubborn blue and green inks, as well as previously<br />

recalcitrant tattoos that failed to clear.<br />





People come in all shapes and sizes. We tend to<br />

inherit our body shape (the fat bits and the skinny<br />

bits) and it’s hard to change – even when we are<br />

at our ideal weight.<br />

Those troubled <strong>by</strong> exercise-resistant pockets of fat<br />

now have the option of sculpting their body without<br />

the need for surgery. Spot reduction for body shaping<br />

around your waistline, thighs, arms and buttocks is now<br />

possible with Liposonix.<br />

Liposonix is the latest innovation in fat reduction,<br />

designed to help people trim down their stubborn fat<br />

deposits. It is a non-surgical, non-invasive fat reduction<br />

treatment that uses high-intensity focused ultrasound<br />

energy (HIFU) to permanently destroy fat cells.<br />



‘Liposonix is a<br />

non-surgical<br />

treatment to<br />

permanently<br />

destroy fat cells’<br />

Specifically, the ultrasound energy destroys subcutaneous adipose tissue<br />

<strong>by</strong> generating enough energy to permanently kill the fat cells. The hand held<br />

Liposonix “treatment head” focuses energy at a specific depth beneath the skin,<br />

causing a rapid rise in temperature in a localised area, allowing control over<br />

precisely where the energy is delivered for a truly customised treatment.<br />

Above a temperature of 56 degrees Centigrade, irreversible cell death occurs<br />

and the targeted fat cells are therefore permanently destroyed. Because the<br />

energy is focused, none of the surrounding skin, tissue or organs are harmed<br />

<strong>by</strong> the energy.<br />

Liposonix can be used to target fat cells on the stomach area and thighs –<br />

areas that frequently collect fat despite regular exercise and healthy living. Results<br />

can be seen after just one treatment, but it usually takes eight to 12 weeks for full<br />

results to show. Most people typically lose a few centimetres or equivalent to one<br />

dress size after just one treatment.<br />

At the beginning of the treatment session, the practitioner will mark the area<br />

to be treated into a grid, to depict the sites on the skin on which the Liposonix<br />

hand piece will be applied. An abdomen is typically divided into between eight<br />

and 10 treatment sites.<br />

Once treatment begins, the hand piece is held in place over each site for a<br />

minute, before moving onto the next site. This is repeated four times. A complete<br />

treatment will therefore typically take one hour.<br />

The treatment is relatively quick, and there is typically only mild discomfort<br />

which can be alleviated with minimal pain relief. Some bruising and swelling<br />

may be expected immediately after the treatment, which recedes over the next<br />

few days.<br />

Because Liposonix penetrates 1.3 cm below the skin, patients need to have<br />

an inch of fat in order to benefit from the treatment. The ideal patient is around<br />

their target weight, in good shape and exercises regularly but still has some areas<br />

of excess fat that don’t respond to diet and exercise. It is not suitable for those<br />

looking for extreme body contouring; it designed to permanently destroy the fat<br />

cells in isolated areas such as the abdomen and flanks.<br />

Following treatment with Liposonix, the destroyed fat cells are processed <strong>by</strong><br />

the liver and excreted naturally. Because this is a slow process, taking place over<br />

the course of several weeks, studies have shown that no strain is placed on<br />

the liver.<br />

With a healthy diet and exercise regime, the results achieved with a single<br />

Liposonix treatment can often be maintained without need for further treatment.<br />

No fat reduction treatment should be used as an excuse to indulge in poor eating<br />

– with over indulgence, the weight will simply creep back on elsewhere.<br />

The treatment is performed at <strong>Cosmetic</strong> Elegance Clinic under the supervision<br />

of <strong>Dr</strong> <strong>Roos</strong> or RN Vicki Piets. There’s no downtime afterwards so you can even<br />

go straight back to work if you wish.<br />

Liposonix is a convenient, non-surgical option for body contouring that can<br />

reduce stubborn areas of fat in just one treatment. For those who have reached<br />

their ideal weight, the treatment option offers a suitable means to refine their<br />

curves, and fully enjoy the body they’ve worked so hard for.<br />








The continuing developments in laser technology have seen major<br />

advancements in skin enhancement, body contouring and now gynaecology<br />

and vaginal rejuvenation and tightening.<br />

MonaLisa Touch is a new non-surgical way to treat vaginal atrophy – a condition<br />

that causes symptoms including incontinence, poor lubrication, itching, dryness<br />

and pain during intercourse. MonaLisa Touch can also be used for aesthetic<br />

purposes, to counter the effects of ageing and achieve a rejuvenating effect <strong>by</strong><br />

restoring vaginal tissue.<br />



‘Patients can<br />

rediscover the<br />

confidence<br />

to live the<br />

lifestyle they<br />

choose, free<br />

from vaginal<br />

discomfort’<br />

‘In the past, laser procedures for gynaecology were largely reserved for<br />

invasive surgical procedures,’ says <strong>Dr</strong> <strong>Roos</strong>. MonaLisa Touch treatment has<br />

transformed the application of this technology to create a procedure that is<br />

minimally invasive and available to almost all women.<br />

The MonaLisa Touch treatment helps patients suffering from symptoms<br />

such as vaginal itchiness and burning, dryness and loss of lubrication, urinary<br />

incontinence and urinary urgency, painful intercourse, vulval and vaginal<br />

pain, and laxity or looseness – these are all common conditions resulting from<br />

vaginal atrophy. Additionally, MonaLisa Touch can be used aesthetically for<br />

vaginal rejuvenation.<br />

‘MonaLisa Touch is the first solution designed to naturally counteract the<br />

effects of hypotrophy of the vaginal mucosa,’ explains <strong>Dr</strong> <strong>Roos</strong>. ‘By stimulating<br />

the regeneration of new vaginal tissue, MonaLisa Touch restores your body’s<br />

natural balance and function.’<br />

The versatility of MonaLisa Touch stems from the technology it uses to<br />

improve the genital mucosa and restore proper function in the treatment<br />

area. Using fractionated CO 2<br />

laser light, the MonaLisa Touch probe – which is<br />

inserted into the vagina – delivers thermal energy into the deeper layers of the<br />

vaginal tissue.<br />

This kick-starts the body’s natural processes to increase blood flow and<br />

stimulate the formation of collagen, which improves the integrity and elasticity<br />

of the genital mucosa. This can be effective in alleviating vaginal pain in those<br />

patients experiencing gynaecological problems or vaginal atrophy, or in simply<br />

tightening the vaginal walls for a rejuvenating effect. It creates more hydrated and<br />

healthy cells which help to increase vascularisation, hydration and acidity, which<br />

are important components of vaginal health.<br />

MonaLisa Touch delivers the thermal heating at specific depths in the tissue<br />

to achieve an optimum, targeted result. Also, the fractionated effect means there<br />

are areas of untouched tissue left between laser columns. This healthy tissue<br />

helps promote healing and reduces downtime after treatment. For most patients,<br />

it can be performed as a “lunchtime” procedure; it is non-invasive and requires<br />

no anaesthesia.<br />

‘Put simply, MonaLisa Touch stimulates natural regeneration using laser<br />

therapy,’ says <strong>Dr</strong> <strong>Roos</strong>. ‘Patients can rediscover the confidence to live the lifestyle<br />

they choose, free from vaginal discomfort and pain, and is sought <strong>by</strong> a significant<br />

number of patients of many different ages.<br />

Often a series of treatments is recommended to achieve the best results, but<br />

most patients notice a significant improvement after the first procedure.<br />

The likelihood of post-treatment complications following a MonaLisa Touch<br />

treatment is minimal. There may be some mild discomfort for 12 to 24 hours after<br />

the procedure, but typically most patients experience no side effects.<br />

Whether you’re looking to relieve the symptoms of vaginal atrophy, or seeking<br />

a rejuvenating effect, MonaLisa Touch offers an effective solution, backed <strong>by</strong><br />

clinical research and a history of success in a gynaecological setting.<br />

‘Almost all of my patients notice a significant improvement following the<br />

MonaLisa Touch procedure – it’s a simple light-based solution to help you feel<br />

like you again,’ <strong>Dr</strong> <strong>Roos</strong> concludes.<br />




& RECOVERY<br />




The decision to undergo a cosmetic surgery or cosmetic enhancement<br />

procedure should not be taken lightly. You should be well informed about<br />

the possible outcomes, potential risks as well as the actual procedure.<br />

The decision is always yours, and it should not be made in a rush. At<br />

consultation, your doctor will be able to discuss the benefits and risks and the<br />

likely outcome. You can eliminate much of the anxiety associated with any<br />

procedure <strong>by</strong> learning the basics of the process beforehand and preparing for<br />

what lies ahead.<br />

One of the most important decisions when electing to undergo a cosmetic<br />

treatment is your choice of doctor. The combination of training, experience and<br />

judgment the doctor brings to your case strongly affects the outcome of your<br />

procedure. You should also feel comfortable enough with your doctor to openly<br />

express your concerns and treatment goals.<br />


To prepare for your procedure, your doctor will schedule an in-depth planning<br />

session. During this consultation, the treatment, the type of anaesthesia (if any)<br />

to be used, the risks and limitations, costs involved, required medications,<br />

your expectations and goals, as well as the steps to take prior will be discussed<br />

at length.<br />

Your doctor will also need to know your medical history to plan the best<br />

treatment and achieve optimal outcomes. Fully disclose any health problems you<br />

may have had as some may interfere with surgery, anaesthesia and aftercare.<br />

Prior to your treatment you may be asked to undergo a medical evaluation.<br />

Your doctor may also make adjustments to the medications you may be taking<br />



and advise you to stop taking all forms of aspirin, as well as any medication or<br />

vitamins which could increase the risk of blood clotting.<br />

Preparing for any cosmetic procedure isn’t just physical. You must also be<br />

mentally and emotionally prepared for the changes that are about to take place.<br />


FOR YOUR<br />


Being well prepared will in turn<br />

make your recovery faster, easier<br />

and with less risk of complications.<br />

• Avoid using medications<br />

containing aspirin or any antiinflammatory<br />

agents. Aspirin<br />

reduces the ability of your blood<br />

to clot and could increase your<br />

tendency to bleed during the<br />

recovery period.<br />

• Do not smoke for at least<br />

two weeks before and after<br />

as this increases the risks of<br />

complications and inhibits<br />

wound recovery.<br />

• If you are having a general<br />

anaesthetic, choose a support<br />

person (a close friend or family<br />

member) who can drive you to<br />

and from the procedure and be<br />

with you the first 24 to 72 hours<br />

afterwards.<br />

• Fill prescriptions for your<br />

painkillers and antibiotics if<br />

required before your treatment<br />

and prepare icepacks to reduce<br />

any swelling or bruising.<br />


Recovery will depend on the technique and whether anaesthetic is administered,<br />

as well as the extent of the procedure and the individual patient.<br />

The specific length of recovery is dependent on factors such as your age,<br />

lifestyle, activity level as well as the number and type of procedures you have<br />

had performed.<br />


Every surgical or medical procedure involves a certain amount of risk. <strong>Cosmetic</strong><br />

procedures have a good safety profile but despite the highest standards of<br />

practice, complications can still occur. The most effective way to minimise the<br />

risks involved is to undergo a thorough physical examination with your doctor<br />

and follow instructions to the letter.<br />

Although complications are rare, they can include infection, nerve damage,<br />

blood clotting, fluid loss and negative reactions to anaesthesia. Bruising may be<br />

common with facial treatments such as fillers or anti-wrinkle injections.<br />

<strong>Cosmetic</strong> Elegance Clinic has a sound post-procedure complications<br />

management protocol.<br />


• Why do you want to have a particular procedure?<br />

• How do you feel about your body image now?<br />

• Is anyone prompting you to have the treatment?<br />

• Do you suffer from an emotional or psychological disorder?<br />

• Did you recently experience a stressful event eg. divorce or loss of a loved one?<br />

• Are you a perfectionist, and do you find minor flaws with many parts of your<br />

body and with your life?<br />

• Would you be prepared to handle a complication if something goes wrong?<br />


The most important decision you will make when considering cosmetic<br />

treatments is whether the treatment, with its inherent risks and complications as<br />

well as its benefits, is the right thing for you.<br />

Once you have weighed it up and decided to proceed, the key to a successful<br />

outcome is having realistic expectations and understanding the procedure’s<br />

limitations for your individual case. It is also important to follow the post-treatment<br />

plan prescribed <strong>by</strong> the doctor or consultant.<br />

The psychology behind the decision to proceed is one of the most important<br />

aspects of the procedure. A good candidate is mentally and physically stable<br />

and understands the reality of what can be achieved.<br />





BEFORE<br />

AFTER Botox and filler treatment<br />

BEFORE<br />

AFTER filler treatment<br />

BEFORE<br />

AFTER filler treatment



BEFORE<br />

AFTER filler treatment<br />

BEFORE<br />

AFTER filler treatment<br />

BEFORE<br />

AFTER filler treatment




BEFORE<br />

AFTER laser treatment<br />

BEFORE<br />

AFTER laser treatment<br />

BEFORE<br />

AFTER laser treatment




BEFORE<br />

AFTER laser treatment<br />

BEFORE<br />

AFTER Fraxel treatment<br />

BEFORE<br />

AFTER Fraxel treatment



BEFORE<br />

AFTER combination acne treatment<br />

BEFORE<br />

AFTER combination acne treatment



BEFORE<br />

AFTER laser treatment<br />

BEFORE<br />

AFTER laser treatment



BEFORE<br />

AFTER laser treatment<br />

BEFORE<br />

AFTER laser treatment<br />

BEFORE<br />

AFTER laser treatment



BEFORE<br />

AFTER laser treatment<br />

BEFORE<br />

AFTER laser treatment<br />

BEFORE<br />

AFTER laser treatment



BEFORE<br />

AFTER laser treatment<br />

BEFORE<br />

AFTER laser treatment



BEFORE<br />

AFTER laser tattoo treatment<br />

BEFORE<br />

AFTER laser tattoo treatment<br />




BEFORE<br />

AFTER laser tattoo treatment<br />

BEFORE<br />

AFTER laser tattoo treatment

<strong>Dr</strong> <strong>Eddie</strong> <strong>Roos</strong><br />


Medical Director<br />

<strong>Cosmetic</strong> Elegance Clinic<br />

07 4638 2700<br />


<strong>Dr</strong> <strong>Eddie</strong> <strong>Roos</strong><br />


Medical Director<br />

<strong>Cosmetic</strong> Elegance Clinic<br />

Suite 102, Medici Medical Centre<br />

15 Scott Street<br />

Toowoomba East, QLD<br />

07 4638 2700<br />


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