CosBeauty Magazine #81


CosBeauty is the #BeautyAddict's guide to lifestyle, health and beauty in Australia. In this issue we look at:
• Essential Exfoliation - Smooth Skin for Spring
• Why your Beauty Sleep is really important
• 40 over 40 - Anti-ageing must have products
• Tassie Road Trip
• Lauren Hannaford - FHIT for Life
• Face Value - Facial Surgeries explained


lifestyle health & beauty

ISSUE 81 Aug-Oct 2018

Special price $9.95



smooth skin

for spring

40 over 40

anti-ageing must

have products



fhit for life

Why your

beauty sleep

is really so



road trip

art, food &

natural beauty



facial surgeries explained



The CSA Philosophy



Vitamin C fights free

radicals to help prevent

fine lines, wrinkles, sun

spots and uneven



80% of skin ageing is

caused by sun exposure.

Fight back with a broad

spectrum sunscreen

applied every day.


Vitamin A resurfaces skin

to fade fine lines and

wrinkles while promoting

a brighter, radiant, more

even-toned complexion.

Discover more today


Medik8 is a registered trademark





Using the latest technologies, our team of experts

is committed to help you achieve natural-looking

results in a relaxed and friendly setting.

Come in and experience the Skin Renu difference.

Our comprehensive treatment menu includes:

world-class wrinkle reduction and

lip enhancement

laser skin rejuvenation

CoolSculpting non-surgical fat reduction

Thermage non-surgical face lifting

medical peels

clinic-only premium skincare

Call us to book a complimentary consultation

02 9555 9506

16B Beattie St, Balmain, Sydney




8 Editor’s Letter

10 Beauty Insider

102 Ed’s Faves

cover stories

32 Essential Exfoliation

52 Face Value: Facial Surgeries


62 Why Your Beauty Sleep Is Really

So Important

74 40 Over 40

92 Tassie Roadtrip

106 Lauren Hannaford FHIT for Life


16 Holiday Essentials

Find your resort, glamping,

party island and backpacking

go-tos right here.

26 A Brush with Beauty

It’s time to invest in your beauty

application tools.

28 Let’s Go Racing

The tips, tricks and products

you need for this year’s Spring

Racing Carnival.

30 Prime Time

Because perfect makeup

begins with a flawless base.

36 A Story of Synergie

Terri Vinson explains her journey

from senior science teacher to

Synergie Skin founder.

38 Skin Bacteria: The Good, the

Bad and the Balance

The real reason beauty addicts

are obsessed with bacteria.

40 Love the Skin You’re In

The 30 minute solution to a

healthier complexion.

42 Nature Versus Nurture –

Why Not Both?

Medik8 is advancing skincare

while helping the environment

and we are loving it!

66 A Dose of Beauty

The next generation of beauty

supplements is tackling skincare

from the inside out.


48 The How-To Guide to Looking

Fresh and Fabulous

Curious about facial

enhancement? Here’s

everything you need to know.


44 More Than Skin Deep

An overview of the facial

structure, its function and how

it changes over time.


68 Get Fertility Fit

An expert’s guide to boosting your

chances of conception.

70 Intimate Discussions

It impacts 50 per cent of women

during their post-menopausal

years, but do you know the signs

of GSM?

84 Coming Up Rosie

Hangover free cocktails?

We are in!

86 Rethinking Our Drinking

Ever wonder how alcohol

impacts the skin? Here’s what

you need to know.

88 Battle of the Breath

The truth about bad breath and

what to do if you have it.

Read the



version at 7

From the


Welcome to the spring edition of CosBeauty Magazine.

With the onset of warmer weather, this time of year

represents fresh starts, new beginnings and a sense of

unlimited possibility. Extended evenings make spring

the perfect time for setting new goals, particularly those

pertaining to our health.

Wellness has always been a key focus for CosBeauty Magazine and this issue is

no exception. We talk to fitness influencer Lauren Hannaford about maintaining

motivation and adopting a new approach to fitness (page 106). For Lauren, a

recent competitor on Australian Ninja Warrior, working out is not just a way to

lose weight, it’s about that post-workout rush of endorphins and feeling good.

For those seeking a more calming health boost, Australian sleep scientist

Dr Carmel Harrington eases us into the land of nod with her guide to sleep

management (page 62). And on page 86, we look at some simple ways to reduce

the impact of alcohol on our bodies and our skin.

In terms of skincare and rejuvenation, this issue is all about making the most

of more mature complexions. On page 74, we reveal 40 anti-ageing products for

the over 40s. We acknowledge that sometimes something more is required, so on

page 52 we review the top six surgical procedures for ageing faces.

The holiday season will be here before we know it and our travel guide is

a seven day fly-drive trip to Tasmania, a true eco wonderland (page 92). From

page 16, we feature all the holiday beauty essentials you’ll need for resort

holidays, backpacking trips, glamping adventures and party island escapes.

We’ve got you covered!

As the Internet has changed the way we access news and information, this

issue of CosBeauty is the last hardcopy edition to be published. In the future we

will be concentrating our efforts on our digital offerings, so see you online at and through our social media accounts, @cosbeauty on

Instagram and Facebook. It’s been a blast!

Issue 81

August-October 2018


Michelle Kearney

Editorial Director

Maria Leahy

Art Director

Debbie Pilarinos


Francis Herron, David Hickie, Aimée



Debbie Pilarinos, ShutterStock

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Reproduction in whole or in part is not permitted without the

written authorisation of the publisher. All reasonable efforts have

been made to trace copyright holders. All manuscripts and articles

submitted for publication remain the property of The Bella Media

Group. This magazine contains general information only and

does not purport to be a substitute for medical advice. All readers

are advised to seek medical advice from a doctor if considering

cosmetic surgery. The publisher and the authors do not accept

any liability whatsoever in respect of an action taken by readers in

reliance on the recommendations set out in this magazine. Except

where specified in captions, photographs depict models who have

not necessarily received treatments described in this magazine.

Any ‘before and after’ photographs in CosBeauty Magazine

articles are of genuine patients. It is important to understand

that they represent one person’s experience and there is

no guarantee that any other patient will experience similar results.

Body Balance

Dr John Flynn


Dr John Flynn

skin clinic

Reshaping can create


the look you want

skin clinic

Breast augmentation can

enhance the natural size

and shape of your breasts

Refi nement in Cosmetic Surgery

With breast augmentation, your natural form can be

enhanced and complemented. This results in a balanced

and symmetrical effect that suits your individual body type

and achieves a feminine silhouette.

Liposuction to Shape and Contour

With liposuction, Dr John Flynn can reshape and contour

your form to achieve balance between your body’s

proportions. Areas such as the abdomen and inner and

outer thighs respond particularly well to this procedure.




Dr John Flynn

M.B., B.S., Dip. R.A.C.O.G., F.R.A.C.G.P.

Dip. P. Dermatology., F.A.C.C.S.

Fellow of the Australasian College of Cosmetic Surgery

Certifi ed by the American Board of Laser Surgery

Dr John Flynn has over 20 years of experience as

a medical practitioner on the Gold Coast

AD Flynn.indd 1




20/4/09 9:01:39 AM

AD Flynn.indd 1

For more information or to make an

appointment call Cosmedic and Skin Clinic

07 5588 4777

Southport | Gold Coast

Level 2, Pivotal Point

50 Marine Parade, Southport QLD 4215 |

Dr John Flynn

cosmedic& skin clinic

Dr John Flynn

20/4/09 9:01:39 AM


Beauty insider




Always wondered what it

takes to run a billion dollar

beauty brand? Well, it looks

like we’re about to find out.

Blogger turned entrepreneur

Huda Kattan is now starring

in her own reality show, Huda

Boss, which is available to view

globally through Facebook

Watch. The ‘Keeping Up

With the Kardashians’ style

series documents the trials

and tribulations of product

development, and Dubai life,

as Huda and her sisters work on

new formulations for the Huda

Beauty brand. New episodes are

uploaded every Tuesday.



If you’ve ever lost a handbag to

a rogue bottle of foundation,

there’ll be a special place

in your heart for this new

Australian release. Pressplay

Cosmetics is the brainchild

of beauty salon owner Kate

Flammea and is the ultimate

in handbag-ready makeup.

The brand’s key product, the

Pressplay Capsule, $39, is a

smartphone sized case that

holds up to seven tubes of

product at a time, as well

as a compact mirror for onthe-go

touch ups. There are

27 products to choose from,

including face cream, mascara,

foundation and hand sanitiser.



If ditching dull skin is high on

your agenda this spring, Ella

Baché is the brand for you. Its

recently released NeoBright

range combines the best

of nature and science to

progressively brighten and unify

the complexion, reducing the

appearance of dark spots and

pigmentation in the process. For

an in-salon treat, try the Brighten

Me Up Facial, $125; or for an

at-home fix, go for the NeoBright

Correcting Emulsion, $119.



A new report by Australia Post

has revealed a near 30 per

cent surge in online beauty

and cosmetic purchases in the

last year. This growth has been

supported by ‘buy now, pay later’

services, with more than $125

million worth of beauty buys

being paid for through sites like

Afterpay. By 2020, it is expected

that 10 per cent of all purchases

made will take place online.




Has there ever been a more

iconic duo than a classic Chanel

bag and a pair of red lips? Well

now your pout can be painted in

a hue inspired by Karl Lagerfeld

himself. The legendary designer

has teamed up with Australian

brand ModelCo to create his

first ever makeup collection. The

limited edition line is made up of

more than 50 products, including

a multitude of lip glosses topped

with Karl’s head! A ‘must try’ for

any beauty obsessed fashionista.



It’s no secret that the status of

your boobs can impact how you

feel, but is there such a thing as a

perfect size? According to a new

report, women who wear a C-cup

are more content with their breasts

than any other group, with 39 per

cent of C-cup wearers saying that

they loved or liked their breasts.

The next happiest sizes were D and

DD, followed closely by A and AA.

Women who wore a B-cup were

found to be the least happy with

their boobs of those surveyed.



Having recently released the

perfectly packaged collector’s

edition of its best-selling

Ecological Compound, and the

simply sumptuous gel-to-oil

formula that is Phyto-Lip Delight,

Sisley Paris has set stomachs

aflutter yet again by announcing

the release of its new hair

care line. Designed to clean,

regenerate, fortify and beautify

hair, HAIR RITUEL is formulated

with high concentrations of

powerful plant-based active

ingredients to ensure your

locks shine at every turn. We

love the Precious Hair Care Oil,

$130, for that weightless, salon

kissed feel. 11


Fitness meets mindfulness

with Elements

Having pioneered the barre

workout class in Australia, Barre

Body is a fitness institution

that requires no introduction.

Furthering its existing line of

classes, Barre Body has just

introduced a first-of-its-kind fitness

experience to its 10 workout

studios. The Elements class has

been designed to exercise the

mind, body and spirit in each

hour long session through a

combination of fluid cardio, slow

strength, and mindful movement

and meditation. ‘Elements delivers

all of the essentials that women

want and need in their everyday

lives, but are rarely able to create

time for,’ says Barre Body founder

Emma Seibold. ‘Rather than

carving out a separate meditation

practice, cardio workouts, strength

regimes and at-home stretches,

this can now all be found in

one class.’

New brand alert

We love a good skincare

launch here at CosBeauty

HQ and when that launch

involves shiny rose gold

packaging, we get all the

more excited! Created by a

team of Melbourne based

dermatologists, the new

Bespoke Skin Technology

range has been designed

with simplicity in mind. Apply

the Complete Daily Armour,

$240, in the morning and the

Complete Night Shield Serum,

$260, at night, with a touch of

Active Combat Zinc, $65, and

Shield and Repair Lip Balm,

$42.95, in between and you

are good to go!

Jen Atkin branches into

pet products

Yeah, that headline sounds weird

to us too! Hair stylist to the stars

Jen Atkin has influenced the

locks of everyone in Tinseltown.

But not content with grooming

Hollywood’s elite, the visionary

behind Mane Addicts is turning

her attention to our furry friends

through her haircare line, Ouai.

Launched on July 12, the brand’s

limited edition Pet Shampoo

promises to make your fur baby

‘irresistibly pet-able’, with 15 per

cent of each purchase going to the

Vanderpump Dog Foundation.







As we age, the amount of maintenance required to keep a youthful look will increase,

but getting started early is a huge advantage. Filling the gap between over-the-counter

treatments and more aggressive laser offerings, Clear + Brilliant creates and defi nes an

entirely new category of laser aesthetic treatments for clients moving along the skincare

continuum. Clear + Brilliant helps prevent and address early signs of ageing, resulting in a

brighter, more even skin tone. Treatments are comfortable, fast, effective and suitable for

all skin types. The results are both immediate and progressive, depending on the age and

condition of the skin. It is also great for those who are looking for short downtime and a quick

skin ‘pick-me-up’. Call Nicole now to take advantage of an opening offer.

02 9327 7728

mobile 0410 627 767

mobile 0410 627 767

Shop 8, 401 - 407 New South Head Rd,

Shop 8, 401 - 407 New South Head Rd,

Double Bay NSW 2028

Double Bay NSW 2028


‘The whole point about

beauty is its imperfections.’

Diane von Furstenberg


Feature 15



Having spent the winter months dreaming of

warm days on sandy beaches, as soon as spring

hits we shift straight into holiday mode.

If there’s one aspect of vacation prep that

requires a little extra thought it’s beauty. Since

different countries, holiday styles and climates

have different makeup requirements, packing just

the essentials can feel like a major challenge.

To simplify the process and get you vacay

ready we’ve broken down four key makeup looks

that will see you from the beach to the bar to

the great outdoors.

So, whether you’re heading off on a romantic

spring break or prepping for a summer holiday in

the sun, we’ve got a beauty look for you. Passports

at the ready, it’s vacation time!


Beauty 17









This trip is starting with

poolside glamour and a longawaited

espresso martini!

If having a spray tan before

you jet off is off the cards, a

good quality sunless tanner

will be the secret to your

resort beauty success.

Be sure to bring some body

moisturiser to keep your colour

looking fresh.

Pair your tan of choice with

a reliable BB cream, touch of

bronzer and your favourite

mascara. Multi-purpose

products like Benefit’s Gogo

Tint Cheek & Lip Stain, $55,

are your friend here as they are

easy to apply and reduce your

product load.

While embracing minimalism

is one of the great joys of

holiday makeup, it might be

worth packing a little extra

shimmer and your signature

scent to ease the transition

from day to night.





1. Versace Dylan Blue

Pour Femme EDP, $125,

2. Charlotte Tilbury

Hollywood Lips in Charlotte

Darling, $49, 3. Benefit Gogo

Tint Cheek & Lip Stain, $55,

4. Inika Baked Mineral

Illuminisor in Dewdrop, $65,

5. MAC Extra Dimension

Eye Shadow in Sea Worship,

$28, 6. Colorescience

Sunforgettable Tint Du Soleil,

$78, 7. ELES Age Defying BB

Cream, $55, 8. John Frieda

Frizz Ease Secret Weapon

Finishing Creme, $16.99,

9. Sunescape Instant Self-Tan

Mousse, $44.95. 19

Party Island



If Ibiza’s calling your name

this spring, it’s time to break

out the sunset palette of

your dreams and unleash your

inner reveller.

While barely there beauty

will work by day, once the sun’s

away feel free to amp things

up with berry eyes and facial

jewels. Add a touch of summer

to your nails with a peachy

hued polish and pump up the

volume with body boosting

hair mousse.

Use a primer to ensure your

makeup stays in place as you

dance the night away and

apply a hydrating body oil

like the Salt by Hendrix Body

Glow, $39.95, to ensure you

look radiant no matter what

time you get in.






1. ELES Mineral Sheer

Bronzer in Rio De Janeiro,

$83, 2. Charlotte Tilbury

Matte Revolution in Pillow

Talk, $49, 3. Kat Von D

Signature Brow Precision

Pencil, $30, 4. MAC Instacurl

Lash, $42, 5. MAC Studio Fix

Fluid, $54, 6. Bobbi Brown

Primer Plus Mattifier, $55,

7. Anastasia Beverly Hills

Modern Renaissance Eye

Shadow Palette, $75, 8.

Sisley Phyto-Lip Delight in

Cool, $62, 9. Scout Breathable

Super Food Infused Nail

Polish in Peach Pony, $19.95,

10. Salt by Hendrix Body

Glow in Shining Star, $39.95,

11. evo Whip It Good Styling

Mousse, $34.






Beauty 21











Forget unstable tents and

bush based bathrooms, it’s

time to embrace the best of

the great outdoors, starting

with a glampsite.

Whether you choose to

explore the Australian outback

or take things international,

glampsite beauty is all about

earthy tones and soft finishes.

Trade harsh lines and over the

top contouring for a subtle,

light reflecting sculpt and

embrace products that are

easy to apply on the go.

SPF is of particular

importance for camping

holidays as the main

attractions are based outside.

Ella Baché’s Great SPF 50

Sunglow Spray, $49, will

keep you sun safe while

adding a natural looking

glow to the skin.







1. Scout Mineral Creme

Foundation Compact, $49.95,

2. Benefit Dandelion Twinkle

Powder Highlighter, $51,

3. Colorescience Mascara,

$35, 4. Mavala Nail Color

Cream in Shenzhen, $8.50,

5. MAC Shadescents in Velvet

Teddy, $89, 6. Youngblood

Pressed Mineral Rice Powder

$57.50, 7. Nu Skin LightShine

Eyeshadow Palette in Mocha

Brick, $69, 8. It Cosmetics

Bye Bye Under Eye Corrector,

$44, 9. Salt by Hendrix Lip

Butter in Rose, $14.95, 10. Ella

Baché Great SPF 50 Sunglow

Spray, $49, 11. evo Salty Dog

Salt Spray, $34, 12. Lycogel

Breathable Tint, $89. 23



Constant shifts in

accommodation and days

spent on the road can

leave your backpacking

beauty routine feeling a

bit haphazard, but it is

possible to look Insta ready

as you travel by embracing

multitasking products.

While sunscreen and dry

shampoo are backpacking

no brainers, CC and BB

creams can offer a multitude

of benefits while providing

complexion coverage.

Choose one that best aligns

with your skincare needs to

achieve maximum results.

Charlotte Tilbury’s Instant

Look in a Palette, $99,

features bronzer, highlighter,

blusher and eye makeup in a

single mirrored compact. It’s

the ultimate form of fuss-free






1. Becca Beach Tint, $45,

2. It Cosmetics Your Skin

But Better CC Cream SPF

50+, $61, 3. MAC Mineralize

Skinfinish Natural Powder,

$54, 4. Aspect Gold

Hydrating Lip Balm, $15.40,

5. Charlotte Tilbury Instant

Look in a Palette Beauty

Glow, $99, 6. Luma On The

Glow Highlighter, $29.95,

7. Jane Iredale PureLash

Lengthening Mascara, $35,

8. Dr Hauschka Translucent

Bronzing Tint, $65, 9. Reef

Dry Sun Tan Oil SPF 30+,

$11.19, 10. Moroccanoil Dry

Shampoo, $42.95.






Beauty 25
















We all have that friend who

swears a sponge is all you

need to achieve the perfect

finish, but at this stage

we’re willing to welcome

any help we can get! If

defined cheekbones and

flawlessly laid foundation

are among your beauty

goals, it might be worth

updating your everyday

application tools.

1. Beautyblender

Beauty Queen, $30

2. MAC

224S Tapered

Blending Brush, $58

3. Dr Hauschka

Powder Brush, $60

4. QVS

Foundation Brush, $14.51


Vegan Blush Brush, $24.95

6. Nude by Nature

Angled eyeliner brush from

the Essential Collection

Brush Set, $39.95 (price for

full seven brush set)

7. Benefit

Angled Brow Brush &

Spoolie, $35

8. Elizabeth Arden

High Performance

Powder Brush, $55

9. Jane Iredale


Brush in Rose Gold, $62. 27




It’s one of the biggest

equestrian outings

of the season, but the

Spring Racing Carnival

is about more than

just horses.

Race day makeup differs

from that of other social

occasions as the races tend

to take place outdoors during the

day. In beauty terms, this means you

need makeup that will stay put,

while striking a balance between

natural and glamorous.

Over the top fake tan and heavy

smoky eyes are a no go for such

events. Instead, you should aim for

pared back elegance which highlights

you best features and reflects your

inner radiance.

Dewy foundation and a soft

champagne highlighter are your

friends here, but be sure to start with

a trustworthy primer. Cool brown










and soft shimmer

tones work well on the eyes,

as do winged liner and lash

separating mascara.

Depending on your outfi t of

choice, a pop of colour on the

lips can be winner. We love

red and coral hues. Priming

your pout with liner will help

your lippy to go the distance.

Hydrating liquid lipsticks can

also be a good choice.

In general, try to put

your makeup on in natural

light to ensure the colour is

a true match. If applying tan

yourself, do so in advance so

any mistakes can be corrected

before the big day. Pop your

lipstick and some translucent

powder in your clutch for

mid-afternoon touch-ups and

always have a couple of spare

hair pins at the ready!






1. Inika Baked Mineral

Bronzer, $65, 2. Charlotte

Tilbury Colour Chameleon

in Champagne Diamonds,

$37, 3. Benefit BADgal Bang!

Mascara, $42, 4. MAC Retro

Matte Lipstick in Ruby Woo,

$36, 5. Mavala Nail Color

Cream in Riyadh, $8.50,

6. NARS Jumbo Orgasm

Blush, $57, 7. Bobbi Brown

Nude Drama Eye Palette,

$125, 8. Elizabeth Arden

Flawless Finish Everyday

Perfection Bouncy Makeup,

$50, 9. evo Miss Malleable

Flexible Hairspray, $34,

10. MAC Studio Face and

Body Foundation, $54, 11.

Youngblood Illuminator with

Diamond Powder, $79.95,

12. ELES Lip Stain in Damson

Dame, $48. 29






In a world of 10 step skincare regimes, primer

may seem like an unnecessary extra. But a

quality priming product can enhance the

condition of your skin, while setting the scene for

next level makeup.

From targeting fi ne lines to reducing redness,

these innovative formulas will help you bring your

favourite fi lter to life.




4. 5.

1. Bobbi Brown Primer Plus Hydrating Spray,

$50. This hydrating, three-in-one setting spray

is literally liquefied dreams. Its nutrient-rich

formula preps skin for foundation, sets makeup

once applied and provides a welcome blast of

refreshment throughout the day.


2. Dermalogica Skinperfect Primer SPF 30,

$76.50. Our love affair with velvet textured

primers continues with this Dermalogica

classic. It smooths away fine lines and brightens

the complexion, while boosting collagen

production to increase skin firmness.




3. Paula’s Choice RESIST Smoothing Primer Serum SPF

15, $49. Prevent premature ageing as you pave the way

for a filtered finish. This light, silky primer is brimming

with antioxidants to protect the skin from pollution and

environmental damage.

4. Skindinavia Makeup Primer Spray, $49. Ideal for

those looking to avoid silicone-based primers, this ultrafine

primer mist is clinically proven to reduce redness,

minimise pores and diminish the appearance of fine lines.

Spritz on your eyeshadow brush for long-lasting hold.

5. ELES Retexturizing Face Primer, $68. This unique

priming serum is so light to the touch it’s hard to believe

it contains SPF 20. Its opalescent light reflectors create

a translucent effect on the skin, while vitamins A and E

lock in moisture.

6. Endota Spa Colour Perfecting Primer, $40. Suitable

for all skin types, this illuminating product minimises

imperfections and leaves the skin looking radiant. It is

enriched with Kakadu plum, peptides and hyaluronic acid

to cover like makeup and act like skincare.

8. 9. 10. 11.

7. LUMA Liquid Light Illuminating Primer, $29.95. Release

your inner sparkle with this light diffusing formula.

The Liquid Light Illuminating Primer contains traces of

crushed pearl to enhance your natural radiance and is

enriched with vitamin A to regenerate the skin.

8. Benefit POREfessional Pearl Primer, $53. Benefit’s cult

primer has been given a major brightening boost. This

oil free product smooths away visible pores, locks on

makeup and helps the skin look awake. Perfect for faking

a fresh face the ‘morning after’ the night before.

9. MAC Strobe Cream in Pinklite, $56. MAC’s Strobe

Cream is the stuff of beauty legend. In addition to laying

the perfect base, it uses a potent blend of botanicals to

enhance dull skin. Use as a subtle highlighter or mix with

flat foundation for a whole new look.

10. Stila One Step Correct, $52. It’s not often you find

a primer that looks good enough to eat, but this multihued

product is just that. This weightless gel formula

corrects a range of colour concerns, conceals blemishes

and brightens dull skin #winning.

11. Cinch Face Cheat(er) Cream Moisture + Glow,

$39.95. Don’t let the pretty packaging deceive you, this

little guy packs a punch! It’s the ultimate lazy day product

as it illuminates the skin, blurs wrinkles, minimises pores

and primes to perfection in one sweet sweep. 31









Ah, exfoliation! What

was once a simple idea

now appears far more

complicated thanks to an array

of beauty myths and buzzwords

surrounding an essential

skincare topic.

Exfoliation is the process

by which dead skin cells are

removed from the skin’s surface.

It can be done manually with

a scrub or by chemical means

with alpha hydroxy acids

(AHAs) like glycolic or

lactic acid.

When dead skin cells are

left to accumulate, the skin

begins to appear dull and

lacklustre. Regular exfoliation

stops this from happening and,

in doing so, brings a natural

glow to the complexion.

Exfoliating also allows us

to get more from our skincare

regimes as a whole, as products

are better able to penetrate the

skin when the dead cells have

been removed.



1. Ole Henriksen

Transforming Walnut Scrub,

$38, 2. Elucent Whitening

Exfoliating Cleanser, $29.99,

3. Clarins One-Step Gentle

Exfoliating Cleanser, $48,

4. Bite Agave Sugar Lip

Scrub, $30, 5. Ella Baché

Tomate Granule Free Micro

Exfoliant, $72, 6. Germaine

de Capuccini Excel Therapy

O2 Silky Scrub, $117, 7. DNA

Renewal DNA Foaming Gel

Cleanser, $39. 33


But be careful as it is

possible to over-exfoliate the

skin, a process that can leave

it looking infl amed and feeling


Over-exfoliation is also a

signifi cant cause of ‘breakouts’

– as it weakens the skin’s

natural barrier.

Fine exfoliating powders

like Dermalogica’s Daily

Microfoliant, $84, are gentle

enough for daily use, whereas

grainier products like the

Ole Henriksen Transforming

Walnut Scrub, $38, should be

used less often.

A rough guide would be

once-a-week for the face and

once or twice for the lips, but

follow manufacturer’s directions

for your exfoliator of choice

and pull back if it feels like

too much.

In addition to the face, you

can exfoliate the body once

or twice weekly. Body scrubs

can help increase blood fl ow

and circulation. Pay particular

attention to the elbows, knees

and feet, especially if you’re a

fake tan fan. CBM







1. Peter Thomas Roth

Retinol Fusion PM Overnight

Resurfacing Pads, $75, 2.

MAC Mineralize Volcanic Ash

Exfoliator, $37, 3. Cosmedix

Purity Detox Scrub, $69, 4.

Milk & Co Beauty Wipes,

$9.95, 5. Dermalogica Daily

Microfoliant, $84, 6. Ocinium

Ecdysis Bio-Ferment Enzyme

Cleanse, $70, 7. Skinstitut

Glycolic Scrub 14%, $49, 8.

Organic Nation Black Rice

Scrub, $56, 9. Image Skincare

Iluma Intense Brightening

Exfoliating Powder, $59.











1. Aspect Gold Fruit Enzyme Mask,

$59, 2. Eminence Firm Skin Acai

Exfoliating Peel, $124, 3. A’kin

Invigorating Facial Scrub, $29.95, 4.

Alpha-H Liquid Gold With Glycolic

Acid, $59.95, 5. Société Superfruit

Exfoliator, $69, 6. Amperna 10% Pro

+ Resurfacing Lotion, $60.






1. 35

A story

Cosmetic chemist Terri Vinson (BSc.

DipFormChem. DipEd. ASCC) explains her

journey from senior science teacher to

Synergie Skin founder.



of Synergie


am a cosmetic chemist, biological

scientist, founder and formulator of

Synergie Skin. I began my career as

a senior science teacher in my twenties,

as I have always been deeply compelled

to inspire, educate and create. I later

transitioned to a role as educator and

formulator for a cosmeceutical company,

but I felt the skincare industry was missing

a key component – empowering the

customer with a scientific understanding

of their products. It wasn’t until my forties

that I took a risk and opened a startup

skincare clinic in Melbourne. Synergie

Skin grew organically as a featured

brand of this endeavour, allowing me to

ultimately marry my passion for beauty

and science.

The idea of Synergie began with my

notebook and pen whilst I sat at a café at

Chadstone Shopping Centre waiting for

my daughter to come out of a movie. I had

a sudden urge to brainstorm what I could

uniquely offer: a female scientist and

clean science advocate who understands

women’s needs and is able to take a

formulation from inception to shelf.

I came to realise there was a significant

gap in the aesthetics market for highly

active cosmeceutical products that are

free of potentially toxic ingredients. With

my background in biological science,

knowledge of formulation and passion for

the effect of topical ingredients on the

skin cells I began to create Synergie Skin.

The company was founded in 2005

and I’m proud to say has since become

internationally recognised as a leading

Australian cosmeceutical manufacturer.

Synergie Skin produces active

cosmeceuticals and mineral makeup, and

is sold exclusively through medical skin

clinics and beauty salons.

My company is proudly 100 per cent

Australian made and owned, certified

I knew i could

uniquely offer a

female scientist

and clean science

advocate who


women’s needs and

is able to take a

formulation from

inception to shelf.

cruelty-free and vertically integrated.

In an effort to take Synergie to the next

level, I am excited to finally reveal that

our Quality Management System is now

certified as being in conformity with ISO

22716:2007. This is an internationally

recognised standard for Good

Manufacturing Practices in the cosmetics

industry and means our manufacturing

facility here in Melbourne undergoes

regular audits by an external body to

guarantee compliance with this global

standard. The production, control, storage

and shipment of every single one of our

products is documented and regulated

from start to finish.

Harnessing a clean science philosophy

means that all Synergie products are

free from any questionable or harmful

ingredients. I believe in educating

and empowering people to make their

own choices about what they put on

their bodies. There needs to be more

transparency and consumer education in

the beauty industry. There’s so much white

noise, empty promises and misinformation

about skincare in the media. CBM 37


Skin bacteria:

the good, the bad

and the balance

The bacteria buzz is sweeping the skincare

community. Here, Synergie Skin founder

Terri Vinson reveals why.

With the importance of

gut bacteria on overall

wellbeing now being

universally recognised, researchers are

turning their attention to the bacteria

that lives on the skin’s surface.

The consumption of oral probiotics

to promote health and balance gut

bacteria has significantly increased

over the last decade. Cosmetic

chemists like myself now see this

translating to topical skincare with

clinical data supporting the positive

impact of cosmeceutical prebiotic and

probiotic products on the control and

defence of the epidermis.

Up to one billion bacteria inhabit

every square centimetre of our skin

and there is huge diversity in distinct

species of bacteria, both harmful and

beneficial. These microbes secrete

chemicals which are scanned by the

skin’s immune system to monitor the

health of our skin barrier and the

state of bacterial balance.

Traditionally it was recommended

to destroy all the so-called ‘bad’

bacteria on the skin. However,

scientists now realise that our skin

needs a certain amount of these bad

guys to help our immune system work

efficiently. The trick is to maintain

diversity and to strike the balance

with beneficial bacteria dominating

the bad. When all is in balance, the

skin microbiome provides the first

line of defence against inflammation,

which is the basis of all skin disorders,

even ageing.

The skin is our largest organ and

our biggest barrier. The diversity

and quantity of our skin microbiome

should remain stable over time.

However, external factors such as

antibiotics, pollution, poor nutrition,

excessive hygiene, antibacterial

gels, harsh preservatives and other

undesirable skin products can

disrupt the balance. What happens

when the bad guys take over?

The excess pathogenic bacteria

produce inflammatory by-products

called cytokines. These chemicals

disrupt the protective barrier

function of our skin and lead to

inflammation and skin conditions

such as excessive dryness, premature

lines, sensitivity, rosacea, acne,

eczema, psoriasis and allergy.

New research is delivering

promising results for treating the skin

with topical prebiotics and probiotics

to ensure the skin microbiome is

balanced. One 2017 study (Seite S

et al) found a significant reduction

in dermatitis flareups following the

application of a probiotic ointment.

Similar studies have confirmed

these results and further research is

showing positive outcomes for other

inflammatory skin conditions such as

acne, eczema and psoriasis.

In terms of skincare, the ideal

formulations contain a combination

of probiotics with prebiotics.

Prebiotics provide ‘food’ for the

beneficial bacteria living on your

skin whilst inhibiting overgrowth

of the harmful bacteria. It provides a

nutritional source for the beneficial

bacteria only to ensure there is a

positive balance between the good

and bad bacteria for optimal skin

health. I like to use the garden

metaphor: probiotic bacteria are

the seeds that grow and flourish on

the skin and the prebiotic is the

fertiliser providing the food to



enable the garden to grow whilst

inhibiting the weeds.

There is a common myth that

adding live probiotic bacteria to

skincare formulations will be

highly effective. Unfortunately,

the chemical and packaging

environment of a skincare product,

both serums and moisturisers, is

inhospitable to supporting the

growth of benefi cial bacteria. It is

better to use a fermented lysate of a

probiotic. These are the structural

components and metabolites of the

bacteria that actually create the

benefi cial effect. Lysates can remain

active in the formulation unlike

the whole bacteria.

So, how do probiotics benefi t the

skin? A common probiotic extract

which is supported by clinical data

is Bifi dobacterium lysate. The lysate

of this probiotic has been shown

to stimulate the immunity of the

skin and protect it from irritation

and stress. An in vivo study of

20 volunteers showed that skin

treated with the probiotic lysate of

Bifi dobacterium and a known skin

irritant exhibited a 50 per cent

reduction in infl ammation versus the

untreated control. Gueniche et al

studied the effect of Bifi dobacteruim

lysate for treating sensitive and

reactive skin in vivo. They

concluded that topical application

of the lysate signifi cantly reduced

skin sensitivity after an eight week

trial versus control. There was a

reduction in stinging, water loss and

barrier dysfunction. In vitro tests also

indicate that Bifi dobacterium lysate

may reduce skin sensitivity

by reducing reactivity of the nerve

cells on the skin.

It has been discovered that

our skin makes and metabolises

hormones and peptides, which can be

Dermiotic by Synergie Skin,

$69, is a new pre-serum

elixir with pre and probiotic

complex. Available now.

For more information or to

find a stockist near you, visit

directly infl uenced by skin bacteria.

According to a 2016 study, the skin

microbiome can infl uence other body

systems and even our brain chemistry

and emotions! Just like the gut fl ora,

the impact of skin bacteria is more

than skin deep. So let’s keep those

little guys healthy and in balance!

Studies clearly demonstrate that

topical prebiotic nutrition combined

with probiotic lysates do provide

measurable skin benefi ts. Maintaining

a balanced skin microbiome is

crucial for skin health and it is clear

to me that every skin type will benefi t

from reducing infl ammation and

improving barrier function. Prebiotic/

probiotic combination products

should be an essential addition to all

skin regimens. CBM 39




you’re in








If, like the rest of us, you’ve been

chasing that elusive dream of

a younger looking, glowing

complexion, there’s only one question

you need to answer: Do you have 30

minutes? That’s all it takes for the

HydraFacial to begin working its magic.

The HydraFacial is no ordinary

facial. It incorporates spa therapy with

medical technology to create truly

exceptional skin revitalisation results.

It’s a facial cleanse, microdermabrasion,

skin resurfacing treatment and

antioxidant boost in one quick, easy

and pleasant skincare session.

Suitable for all skin types, the

HydraFacial improves the appearance

of fi ne lines, wrinkles, congested and

enlarged pores, oily or acne prone skin,

hyperpigmentation and brown spots.

Each treatment noticeably decongests

and shrinks pores, and plumps the skin



with antioxidant and hyaluronic

acid infusions.

Even the most sensitive skin can

benefit from a HydraFacial treatment.

The physician or skincare professional

conducts a comprehensive skin

evaluation and sensitivity test,

then chooses the specific serums to

customise the treatment for your

unique skin conditions and needs.

In addition to helping problem

skin, the HydraFacial can be used

to revive dull, dehydrated or lifeless

complexions. Best of all, it is suitable

for women and men (are you listening

fellas?) of all ages and requires no

downtime for most people.

For those technically minded

individuals, the treatment protocol

consists of several important steps.

Dead skin cells are removed with

cleansing and exfoliation, followed

by a glycolic and salicylic acid peel

to dislodge grime from the pores. A

suction extraction system is applied

to fully decongest the skin. The

nourishing element involves an

infusion of highly active hydrating

serums consisting of vortex-fused

antioxidants and hyaluronic acid

applied to the skin. This is followed

by the application of HydraFacial

Daily Essentials skincare products to

help retain moisture and protect and

smooth the surface of the skin.

Immediately after a HydraFacial the

skin looks and feels dewy and gently

Is HydraFacial

right for you?

• Fine lines + Wrinkles

• Elasticity + Firmness

• Even Tone + Vibrancy

• Skin Texture

• Brown Spots

• Oily + Congested Skin

• Enlarged Pores

plumped. Fine to moderate lines are

smoother and less visible, and there

is a notable glow or radiance from

the complexion. Makeup is easier

to apply, which is what makes this

treatment so great to have before an

important social event. With repeated

treatments over time, the skin not

only looks healthier, but behaves

better – congested skin settles down,

pore size reduces, texture and tone

improve, and pigmentation becomes

more even.

While totally non-invasive,

relaxing and gentle, the HydraFacial

remains amazingly effective. Its

results are not only seen on the skin’s

surface, but also in the machine’s

waste jar, where the dirt and dead

skin cell detritus is collected and can

be viewed after treatment.

Ask the expert

CosBeauty Magazine recently sat

down with Dr Grant Stevens, the

founder and Medical Director of the

renowned Marina Plastic Surgery

and Medical Spa in Marina Del Rey,

California. Dr Stevens has been

using the HydraFacial system in his

clinics for a number of years now

and continues to be impressed by its

ability to get results.

‘What sets the HydraFacial apart

in my mind is that it’s the complete

package,’ he says. ‘Exfoliation is

exfoliation, but that’s not cleansing

and it’s certainly not infusing. The

HydraFacial offers all three steps in a

consistent, reproducible, predictable,

reliable fashion.’

Dr Stevens often recommends

HydraFacial for his patients in

combination with other procedures.

‘If I have a facelift patient coming up,

it’s incumbent upon me to deliver her

skin in the best condition possible

before I do the surgical procedure,’

Dr Stevens explains. ‘It’s equally true

though if I’m doing microneedling


30 minutes

Cleanse + Peel

Gentle clean, exfoliation and

skin resurfacing

Extract +


Remove debris from pores,

nourish with moisturisers

Fuse + Protect

Saturate the skin with

antioxidants and peptides

with radiofrequency (RF) or even a

laser such as Halo. So whether I’m

doing surgery or a partially or fully

ablative laser and RF, it’s nice for

me to deliver the skin in a uniform,

healthy fashion.’

He went on to add, ‘Some people

may say “I want the blue peel”

or “I want a glycolic” or “I want

exfoliation” and I understand all that,

but this gives it all in one machine, in

one experience in 20-30 minutes with

absolutely no downtime. It suits all

skin types. The HydraFacial is one of

the only technologies that really is for

everyone.’ CBM



To find a HydraFacial

practitioner in your area, visit 41




Why not








Not all cosmeceutical producers are the

same. For example, how many can lay

claim to combining advanced skincare

science with a commitment to minimising

their environmental impact?

The people at Medik8 have just released

the next phase of evolution in their product

range, with refreshed packaging that

emphasises their core values of clinical

results, simplicity and sustainability.

Not satisfied with merely developing a range

of scientifically proven anti-ageing skincare

products, Medik8 heeded the growing desire

among consumers to align their personal

beliefs with the products they purchase.

Building on their well established ‘green

cosmeceutical’ status, Medik8 replaced over

300,000 plastic parts with recycled paper and

every piece of paper based packaging they use

is now either recycled or FSC certified.

At the same time, they made a conscious

effort to further the aesthetic and sensory

value of their products so consumers no

longer have to choose between positive results

and the fine textures and elegant fragrances of

so-called ‘pampering’ brands.



As simple as CSA

Medik8 has distilled its approach

to anti-ageing into the term

‘CSA’, an acronym for vitamin C

plus sunscreen by day and vitamin

A by night. This simple routine

has been proven to treat existing

signs of ageing, as well as to protect

the complexion from the future

effects of time.

‘This is the ultimate prescription

for younger, healthy looking

skin,’ says Medik8 founder Elliot

Isaacs. ‘It’s really that simple.

There’s no need to complicate

things because this straightforward

strategy is clinically proven to

deliver results you can see, as well

as feel. That’s why we are dedicated

to refining this simple philosophy

– developing ever increasingly

advanced CSA formulas.’

Vitamin C by Day

Vitamin C plays an important role in

skincare as an essential component in

the body’s production of collagen and

as a powerful antioxidant that helps

rejuvenate aged and photodamaged

skin. The level of vitamin C in our

skin declines as we age, however very

little of what we ingest orally actually

reaches the skin. Clinical studies

show that the topical application

of vitamin C promotes collagen

formation and reduces the impact

of free radicals.

The Medik8 range includes

two new products featuring ultrastable

30 per cent ethylated ascorbic

acid, their most powerful vitamin C

yet. The new Super C30 serum

is fortified with brightening turmeric

to leave the complexion glowing

and revitalised, as well as botanical

oils such as grapefruit and geranium

for their anti-ageing benefits and

natural antioxidant protection.

The Super C30+ Intense

serum provides the same benefits,

boosted with the addition of a

powerful antioxidant called ferulic

acid to banish free radicals from UV

rays and pollution.

vitamin A by night

Vitamin A – also known as retinol

– is a powerful skin resurfacing

molecule that enhances collagen

production to combat fine lines and

wrinkles, whilst reducing blemish

causing bacteria. It also blocks the

formation of excess melanin for a

brighter, more even skin tone.

At first glance, vitamin A

may seem like a straightforward

ingredient, but it actually comes

in a number of different forms.

While Medik8’s love affair with

vitamin A began with retinol, it

has since grown to include

retinaldehyde and retinyl retinoate.

In the skin, retinol is first

converted to retinaldehyde and then

retinoic acid, the active form of

vitamin A, before it begins working

within the skin. Retinoic acid

stimulates each skin cell’s nucleus

to produce proteins like collagen

and elastin. It can also inhibit the

formation of pigment and speed up

cell renewal.

Medik8’s r-Retinoate products

use a unique fusion of retinol and

retinoic acid to increase collagen

production and wrinkle repair by up

to eight times more than standard

retinol. Unlike many other vitamin

A derivatives, this combination does

not cause irritation and is stable in

sunlight, meaning it can be used both

day and night for accelerated results.

The recently released night

vitamin A serum, Crystal Retinal,

is formulated with retinaldehyde.

Crystal Retinal delivers results up

to 11 times faster than traditional

retinol because unlike retinol,

which must first be converted to

retinaldehyde and then to retinoic

acid within the skin, Crystal Retinal

only requires one conversion to

retinoic acid. This means it can

deliver results comparable to clinical-

grade vitamin A more rapidly than

classic forms of retinol.

This product also contains

hyaluronic acid and vitamin E

to hydrate at every level while

strengthening the skin’s barrier.

After cleansing in the evening,

Crystal Retinal’s silk-like texture

absorbs into the skin to nurture and

restore the complexion.

Timing is


When delivered too quickly,

retinol can overwhelm the skin

and cause irritation. Rather than

dismissing this effect as a given

with vitamin A, Medik8 set to work

devising a solution.

The brand developed a patented

time-sensitive delivery system called

Time Release Technology to ensure

that absorption is optimised and the

formula is distributed evenly in the

hours following application.

As an added precaution, Medik8

recommends following the ‘retinol

ladder’ when introducing vitamin A

to your skincare regime. This involves

starting your retinol journey with

a low percentage retinol serum or

cream which is phased in gradually.

By building up your retinol tolerance

in this way the skin is better able to

benefit from the ingredient and the

risk of adverse reaction is significantly

reduced. CBM



Medik8 is available at select

skin clinics across Australia. For

stockists, visit

or call 1800 242 011. 43







The face is

a complex

composition of

bone, muscle and

skin, which are

all affected by

gravity and the

ageing process.

Although we learn to recognise

the visible signs of facial

ageing – that become

manifested in lines, wrinkles,

contours and folds – most of us are

less familiar with the underlying

structure of the face that gives each

of us our own unique characteristics.

Involving a complex web of bones,

muscles and fat, we’ve compiled

a basic overview of the facial

structure, its function and how it

changes through time to help better

understand facial rejuvenation

techniques and approaches. 45




Facial bone anatomy is both complex

and elegant, forming the basis of

our outward-facing features while

serving a wealth of functions behind

the scenes.

The key function of the human

cranium is to protect the brain, its

eight plates converging to house and

safeguard the sense organs of smell,

sight, sound and taste. The facial

skeleton also provides a frame for the

soft tissues of the face and facilitates

eating, facial expression, breathing,

and speech.

The principal bones of the face

are the mandible (or jawbone),

maxilla (or upper jaw), frontal

bone, nasal bones and zygomatic

bones (cheekbones). Except for the

mandible, all of the bones in the

skull are joined together by sutures

– immovable joints formed by bony

ossification, with Sharpey’s fibres

(bundles of strong collagenous fibres)

providing some flexibility.

The strong, U-shaped mandible

houses the lower teeth and, as

the only mobile bone of the facial

skeleton, its motion is essential for

mastication (chewing). The maxilla

multi-tasks by holding the upper

teeth, while also forming the roof of

the oral cavity and wall and roof of

the nasal cavity. The palatine bones

form part of the mouth and nasal

cavities and the vomer sits at the

centre of nasal cavities. The small

and fragile lacrimal bone at the inner

orbit of the eye forms part of the tear

duct system.



A network of underlying facial

muscles allow us to communicate,

express emotions and convey

thoughts, as well as perform basic

functions such as blinking, chewing

and speaking.

Many of the 43 muscles in the

face are attached not to bones,

but to each other or to the skin

with which they interact. Oriented

in bands, facial muscles are stimulated

by the facial nerve and interact to

produce expressions and individual

nuances. The study of human

facial movements has concluded

that the six key expressions – anger,

happiness, surprise, fear, sadness

and disgust – among others, are an

ingrained human trait rather than a

learned response.

The eye area comprises a complex

multi-layered structure. Layers of

muscle hold the eyeball in place

assisted by the orbital bone and

orbital rim. Movement is regulated

by the inferior oblique muscle and

superior oblique tendon, and eyelids

by the levator and orbicularis muscles.

These muscles are connected

with fatty pads, predominately the

malar fat in the cheeks and the

sub-orbicularis fat below the eye.

Orbital fat extends to the eyelids

and is limited by the orbital septum

layer, which acts as a net. Upper and

lower tarsal plates provide scaffolding

in the eyelids, allowing them to retain

their shape.


As the body’s largest organ and one

of its most essential systems, the

skin’s functions go far beyond the

aesthetic. The skin regulates internal

temperature; perceives external

stimuli and transmits the information

to the brain; protects from potentially

harmful substances; and stores

essential nutrients. Unlike some other

areas, our facial skin is relentlessly

exposed to the elements and, as a

result, the skin on our face is always

at risk of damage.

Where the skin on the soles of

our feet is thick and durable, facial

skin is lighter and thinner. However,

this varies across the face. Whereas

skin is thinner on the upper face,

eye area and over the nose, it tends

to be fleshy in the lower face.

Pigmentation, hair follicles, sebaceous

and sweat glands are distributed in

differing formations and the blood

vessels below the surface in the

epidermis may be visible to a greater

or lesser extent.

Regardless of where skin is

positioned on the body, it has



the same structure of three

layers: epidermis, dermis and

subcutis (subcutaneous layer or

panniculus adiposus).


The epidermis is the outer-most layer

of the skin and continually renews

and regenerates. Ultimately, all

the cells in the epidermis originate

from a single layer of basal cells in

its basement membrane – these

are called keratinocytes, which are

stacked on top of each other to form

several strata, melanocytes, and

dendritic cells.

Keratinocytes develop in the

basal layer and rise, losing their

central nucleus and producing skin

proteins called keratins and fats called

lipids, before being shed from the

surface of the skin as dead cells. As

they move towards the surface of the

skin, their form changes and they

create distinct layers known – from

the bottom up – as the basal layer,

the spiny layer, granular layer, stratum

and stratum corneum.

In the spiny layer, the keratinocytes

make lipid fat cells which discharge

as the cells move up through the

granular layer, forming a moisturecarrying

mortar around the basal cells,

which are now called corneocytes.

These effectively dead and flattened

cells form the protective outer layer

of skin, which is worn away in a

process known as desquamation. The

entire process normally takes around

30 days – although sunburn, injury or

cosmetically stripping the outer layer

speeds the process.

The stratum corneum retains

moisture in the lower skin layers,

comprising up to 15 percent

water. Moisture loss is regulated

by the lipids, while dead cells are

cleared away by skin enzymes.

Men tend to have thicker stratum

corneum than women; they tend to

have more collagen and produce

more sebum, making the lipid layer

of their skin thicker and the cell

renewal process slower.

Melanocytes produce melanin,

which contributes to skin colour

and provides UV protection.

Dendritic (or Langerhans) cells are

involved in the immune system of

the skin. They consume foreign

materials that invade the epidermis

and transfer out of the skin to

stimulate an immune response.

Many of the 43

muscles in the

face are attached

not to bones, but

to each other

or to the skin

with which they



Between the epidermis and the

subcutaneous fat layer lies the dermis,

which contains connective tissue

and houses the arteries, hair follicles,

lymph vessels, sensation receptors,

sweat glands and veins. This thicker

dermal layer is composed primarily of

collagen, which is responsible for the

strength and elasticity of the skin. It

is held together by a protein called

elastin that is produced by fibroblast

cells. The dermis also contains

moisture-storing glycoproteins and

hyaluronic acid, which have the

ability to attract and bind hundreds

of times its weight in water. Here,

collagen and elastin production

decline with ageing.




As the deepest layer of skin, the

subcutis is made up of a loose network

of fat and collagen cells. It acts as a

protective cushion and helps insulate

the body by monitoring heat gain

and heat loss. The thickness of

this layer can vary significantly in

individuals and in different parts of

the body. CBM 47

E nhancement






looking fresh


We chat with

Dr John Flynn

about some

of the most

popular surgical

and non-surgical

options for


the face. Words by

aimée rodrigues.

With today’s wide array of facial rejuvenation

treatments, there’s a solution for just about

every facial ageing concern. Only an

experienced and skilled doctor will understand and offer

the full spectrum of facial rejuvenation options, and

explain how they may be combined and personalised to

give each patient the most natural looking results.

‘With ageing, the overall facial balance is changed,’

says Dr John Flynn from Cosmedic & Skin Clinic on

the Gold Coast. ‘To rejuvenate the face and achieve the

best result, it’s necessary to address and restore each of

these elements with a different approach.

‘I believe combining modalities – peels and laser to

improve the texture of the skin, and using fillers to

build volume after a face lifting procedure – produces

the best possible results in restoring a youthful,

rejuvenated face.’

Finding the best combination for each patient

requires a thorough assessment. ‘We are all unique and

a good doctor’s skill lies in retaining the elements that

make us who we are,’ says Dr Flynn.




poor skin quality &



lasers & peels

One of the most influential aspects

of rejuvenating the face is improving

the quality and texture of the skin.

‘The skin is the fabric that covers the

entire face, so when looking to perform

procedures on the face we have to

look at how to correct the quality

of the fabric as well,’ says Dr Flynn.

‘This is where laser resurfacing can be

extremely effective. Even if a patient

doesn’t necessarily require a lift or

tightening, most people who live in

Australia’s harsh climate could benefit

from laser rejuvenation to renew skin

texture and tone.’

For skin texture and complexion,

peels and laser treatments target

brown pigment problems and vascular

issues such as red broken capillaries

and blemishes. Stronger lasers for

skin rejuvenation can also help

tremendously in turning back the clock

on tired, dehydrated and ageing skin. 49

E nhancement


wrinkles & fine





Dynamic (as opposed to static) wrinkles

are caused by facial muscle movement,

not intrinsic skin ageing. As the muscles

move, the skin contracts and the

collagen fibres in the dermis break. The

ability of the body to restore these fibres

and generate new collagen depletes with

age, and the wrinkles stay in place, even

when the muscles are relaxed. Antiwrinkle

injections are used to freeze this

muscle movement, and prevent dynamic

wrinkles from arising or worsening.

‘Anti-wrinkle injections work by

relaxing wrinkle causing muscles,

allowing the wrinkles to relax away

and leaving facial expressions free of

lines or at least significantly reduced,’

Dr Flynn explains.

This quick, in-office procedure is

commonly used to treat the crow’s

feet around the eyes, the central frown

lines between the eyebrows (glabellar

lines) and the worry lines across the

forehead. The marionette lines, from

the corner of the mouth to the chin,

are also effectively treated with antiwrinkle


Typically anti-wrinkle injections will

continue to prevent and reduce facial

lines and wrinkles for around three to

four months, but sometimes up to six

months or longer.

With anti-wrinkle injectables

being such an effective and popular

treatment for cosmetic rejuvenation,

it is imperative patients consider the

procedure with caution. Certainly, when

administered effectively, injectables

can reap significant and long-lasting

results; but in the wrong hands or with

an inferior product, complications

can result. Before going ahead with

treatment, always take the time to

ask questions to ensure the product

is registered and that the practitioner

has the required skills, training and

accreditation to perform the procedure.


sagging skin


facelift or

thread lift

There’s no escaping the fact

that the face is not immune to

gravity. With age, comes a gradual

descent of facial tissues, muscles

and fat that can make a person

look much older than they feel

on the inside. Dr Flynn’s preferred

methods for lifting sagging tissues

and skin are thread lifts and

facelifts, depending on the extent

of ageing.

A thread lift is a minimally

invasive method of facial

rejuvenation that allows lifting

and repositioning of facial tissues

to help restore youthful contours.

Dr Flynn has pioneered the use

of thread lifts in Australia and

internationally and also teaches

surgeons how to use the threads.

Thread lifts are particularly

indicated for brows, cheeks,

jowls and sometimes the neck. A

thread lift uses absorbable surgical

threads designed with directional

cogs or barbs, which anchor

themselves within the tissues and

allow for lifting and repositioning.

‘Well placed and anchored

threads provide a great alternative

to a facelift and can last between

three and five years,’ says Dr

Flynn. ‘There is no surgery, no

scars and the procedure is less

expensive than a full facelift, as

there is no general anaesthetic

and no hospital stay.’

The procedure is relatively

quick and can be performed under

local anaesthetic, with some

temporary bruising and swelling

to be expected afterwards. The

results of the thread lift improve

over time (three to six months)

as collagen is stimulated and

produced and contracts around

each filament, causing even

further lifting. Downtime is

usually a few days.

For more significant lifting

results, Dr Flynn recommends

a surgical facelift over a thread

lift. ‘Sometimes a proper surgical

lift is the better approach, in

terms of offering longer lasting,

more robust results,’ he says. A

surgical facelift will commonly be

performed in conjunction with

non-surgical procedures for the

most natural looking results.

The modern facelift is

customised to each individual

patient, to provide tailored results

so the patient still retains their

unique look - but appears like a

younger version of themselves.

‘The incision usually begins

in the hair near the temple and

continues in front of the ear,

around the ear lobe, behind the

ear and into the hair,’ says Dr

Flynn. ‘This placement allows

the scar to be very inconspicuous.

The facial muscles and sagging

tissue are tightened, excess skin is

removed and the remaining skin

is repositioned to create a more

youthful look.’

Today’s facelift is very different

from previous times; it relies far

less on extensive surgery and

more on judicious alterations

combining laser resurfacing,

dermal fillers and other minimally

invasive techniques - so that

what is essentially known as a

‘facelift’ is no longer a purely

surgical experience.




drooping or

hooded eyes



Eyelids are not addressed by a

facelift, so many patients often

undergo a blepharoplasty at

the same time as a facelift or

thread lift. Blepharoplasty is a

surgical procedure, which can be

performed on either the upper

or lower eyelids or both, and is

designed to remove excess skin

folds and bulging fat bags.

‘Blepharoplasty can improve

the bags and wrinkles around

the eyes but will not improve

wrinkles of the cheeks, temples

or forehead,’ Dr Flynn explains.

‘It also does not correct problems

caused by drooping eyebrows,

so the position of the brow

also needs to be considered to

determine whether a brow lift

may be more appropriate.’

Loss of volume under the eyes

may be due to loss of volume in

the cheeks and a dragging down

of the cheek area. The volume

can be replaced through strategic

placement of dermal fillers, to

help recontour and improve the

appearance of the eye area.


loss of volume



A thread lift or a surgical facelift

will address the looseness of the

skin, but it won’t restore volume

or improve the texture and

quality of the skin. Fillers can be

used with either ‘lift’ to refine

and complement the results,

or by themselves to plump out

areas that have become flat and

deflated (such as the cheeks and

hollows in the temple and around

the eyes) as well as filling out

nasolabial and marionette lines

around the nose and mouth, and

adding fullness to the lips.

‘An important issue with fillers

is to look not only at wrinkles

and lines, but also consider facial

structure and balance. Placing the

right filler in a deeper position

provides a good enhancement

to restore youthful contours,’

Dr Flynn explains. cbm




Dr John Flynn

Cosmedic & Skin Clinic,

Southport, Qld

Ph 1300 88 13 88 51







ageing faces

Stay on top

of the ageing

game with the

most popular

surgeries for all

areas of the face

and neck. Words

by aimée rodrigues.

The face and neck are some

of the fastest and most obvious

areas of the body to reveal

the signs of ageing. It’s no wonder

that the facial anti-ageing marketplace

is very much alive and kicking

with skin treatments, fillers and

wrinkle treatments to fix a whole

myriad of concerns.

There’s a limit, however, to

what fillers, wrinkle injections and

skin treatments can do. Not every

non-surgical treatment out there is

going to address every problem, and

while many techniques will show

improvement, they may not garner the

same result – or longevity – as those

achieved with surgery.

For example, when it comes to

lifting a severely sagging and deflated

face, hooded eyelids or fixing a hooked

nose, most times surgery is still your

best bet. Surgery these days is a far

cry from yesteryear – as techniques

continue to evolve, procedures have

become more customisable, leading to

very natural-looking results and more

manageable downtime.

There’s a wide range of cosmetic

surgery options to target specific

areas of the face, such as sagging

jowls or droopy eyelids. Today’s

approach to cosmetic surgery involves

tailoring a procedure or combination

of procedures to your individual

requirements and goals. In the right

hands of a skilled and experienced

surgeon, you could look 10 or more

years younger; still looking like “you”,

just a younger, fresher version.


Enhancement 53



the ultimate


There’s no getting away from the

fact that over time the effects of

gravity, sun damage and the stresses

of everyday life appear on your face.

Deep lines may appear around your

eyes and mouth, sagging skin may fall

from your cheek, jawline and neck,

and fat deposits that were once full

and firm become depleted, leaving

hollow and sunken areas of your face.

A facelift, or medically termed

‘rhytidectomy’, is used to restore

the contours of the face, correcting

sagging, loose skin and repositioning

fat and tissues to add volume back

to the face.

By repositioning both the skin

and the layer of muscle and tissue

beneath (known as the superficial

musculoaponeurotic system, or

SMAS), the modern approach

to facelifting addresses volume

replacement and vectors of lift

to create a younger looking

appearance while avoiding the

telltale signs of surgery.

Recovery from modern facelifts

is typically much less extensive and

lengthy compared with facelifts of

the past, with less swelling, bruising,

pain and recovery time. There are

also different procedures, such as

mini-lifts, which use smaller and

fewer incisions, offering less recovery

and down time.



Types of


Advances in surgical procedures and

technology mean there are several

different facelift types and techniques

available today. They are designed to

address your individual needs more

specifically, helping to ensure optimal

and natural-looking results.

SMAS lift

The SMAS (Superficial

Musculoaponeurotic System)

technique concentrates on the thin

underlying connective tissue and

muscle layer called the superficial

musculoaponeurotic system, as well

as repositioning and removing excess

skin. Tightening this foundational

tissue gives a smoother and improved

shape without noticeable tension

in the skin. This type of facelift is

generally considered to be the gold

standard in facelift surgery today.

Extended SMAS lift

An extended SMAS lift separates

the SMAS from the underlying facial

structures more extensively towards

the nose and upper lip compared

with the SMAS lift. This can address

age-related changes in the nasolabial

area (around the nose and mouth)

more than the traditional SMAS lift;

however increasing the amount of

SMAS lifted also increases the risks of

complications, such as skin necrosis.

Deep plane lift

A deep plane facelift is designed to

reshape the entire face, including

the upper and lower eyelids, the

brow and the neck, by lifting facial

tissues, fat, muscle and skin in one

continuous section. Because the

dissection is deep, the flap is thicker

than in the SMAS method. This

procedure is more invasive than other

methods and may require a longer

recovery period.

Subperiosteal lift

Commonly performed with the aid

of an endoscope, the subperiosteal

lift is designed to reposition skin,

fat and muscle simultaneously since

the tissues tend to sag together, not

individually. This type of facelift

releases tissues off the bony layer,

separating the bone from all of the

tissues covering it. There is more

swelling with the subperiosteal lift

than with more superficial lifts, due

to the depth of the dissection. It also

usually causes more swelling and takes

longer to recover.

Composite lift

The composite facelift is similar to

a deep plane lift, with the addition

of an extra step to include the

muscle around the lower eyelid. The

orbicularis oculi muscle (around the

eye) is separated from its attachment

to the cheekbone through an

incision in the lower eyelid and then

lifted and sutured into place. The

composite facelift essentially involves

elevation and resection of the SMAS

layer, orbicularis muscle and cheek fat

pad. There is typically more swelling

with the composite lift than with

more superficial lifts.


The S-Lift is a type of facelift named

after the S-shaped incision made in

the hairline at the temple and in front

of the ear. The SMAS and attaching

skin is usually elevated as one unit

and only excess skin is removed. The

best candidates for an S-Lift are those

who do not have significant skin

laxity of the neck and jowls. It is most

suited to patients beginning to show

signs of facial ageing and want some

tightening of the lower face without

longer incisions.


This type of facelift typically refers

to any limited-incision facelift,

usually with a quicker recovery

time compared with other more

invasive techniques. Also referred

to as a MACS Lift (Minimal Access

Cranial Suspension) and the shortscar

facelift, it is typically suited for

patients with early signs of ageing,

usually aged in their 30s and 40s,

to achieve a natural-looking facial

rejuvenation. During a mini-lift, the

surgeon usually makes a short incision

on the front side of the ear. Via this

incision, deep plicating sutures lift

the deep tissues and the extra skin is

then removed. Due to its less invasive

approach, this type of facelift typically

offers less recovery time and a lower

risk of complications.

Thread lift

A minimally invasive alternative

to a surgical facelift is the thread

lift. Thread lifting elevates the soft

tissues of the face using specially

designed internal sutures and can

deliver subtle yet effective results

for the right candidate. The

procedure involves the use of

multiple fine biocompatible

threads to lift and support sagging

skin on the face and neck. Tiny

‘nicks’ are made to the skin, which

are hidden in the sideburn area.

Threads are then looped to the

sagging soft tissues that support the

face and neck, lifting and anchoring

the facial tissue to an elevated, more

youthful position.

Once in position, the body

generates new collagen that

surrounds each thread to maintain

the lifting effect. The threads dissolve

within nine to 12 months, while

maintaining the revitalising and

lifting effect for several years to

come. The procedure is typically

performed under local anaesthetic

and usually takes around one hour to

perform. Patients can usually return

home within one to two hours after

the procedure. 55



There are many processes at play

that contribute to the appearance of

ageing eyes – from skin laxity and

thinning to fat depletion and descent.

The muscle layer beneath the skin

starts to lose its tone with age; the fat

of the eyelid bulges forward to cause

a dark shadow; the cheeks begin to

shrink, leaving a groove-like valley

known as the tear trough; and the

brows descend. These changes often

lead people to mention that you look

tired when you are not, and make you

look like your parents long before you

thought you would.

Eyelid surgery, or blepharoplasty, is

designed to combat these signs

of ageing.

Surgeons will typically consider

the aesthetics and function of both

the upper and lower eyelid, and

consider whether altering one or

both is the appropriate surgical

approach. Skin quality, ethnic

features, as well as unique facial

anatomy, will also dictate the ideal

approach for each patient.

Often an upper eyelid

blepharoplasty is sufficient in

rejuvenating the appearance of

younger patients, whereas a lower

lid blepharoplasty may be needed to

remove redundant skin and bags in

older patients. In others, a brow lift

may be the best option to address

specific concerns.

The results of eyelid surgery become

apparent gradually, with swelling and

bruising usually subsiding after around

two weeks to reveal a smoother,

better defined eye region and a more

alert and rejuvenated appearance.

Results typically last around seven

to 10 years. Some patients may also

elect to have their eyelid surgery

combined with a facelift or brow lift

to maximise the rejuvenating effect

and further enhance results.

Upper blepharoplasty

Upper eyelid surgery is well suited

to those with excess skin that creates

a hooded effect over the eyes.

The procedure involves surgically

removing this excess skin to create

a more ‘open’ appearance in the

eye area, revealing the contour of

the brow and inner eyelid crease.

Upper eyelid surgery is usually

approached from the skin crease in

the outer surface of the eyelid. The

incision is typically made in the lid

crease and is performed with either

a scalpel or CO2 laser that seals

the blood vessels as it incises. Skin

and muscle are removed to reduce

hooding in the upper eyelid.

This is typically a minimally

invasive procedure which can yield

dramatic anti-ageing results.

Lower blepharoplasty

Lower eyelid surgery is typically

more complex than upper

eyelid surgery and can require a

combination of surgery, filler and

laser to give the best result. Incisions

for the lower lid blepharoplasty

can be made either inside the

eyelid or just below the lower

lash line. Excess skin in the

lower eyelids is removed through

these incisions to correct under-eye

bags or sagging.

This type of blepharoplasty

involves making an incision on the

inside of the lower eyelid to access

the tissues of the eyelid. The orbital

fat can be repositioned or removed

from this approach. When the fat

is repositioned, it is moved into the

area of the orbital rim depression to

reduce the fullness of the lid and the

depth of the orbital rim groove. This

technique improves the appearance

of the dark circle around the eye,

with minimal effect on the shape of

the eye while maintaining a naturallooking


Brow lift

The effects of sun damage and the

natural ageing process contribute to a

gradual descent of the brow, giving a

‘heavy’ or ‘hooded’ look to the upper

face, which can make a person appear

angry, sad or older than their years.

Also known as a forehead lift, a

brow lift elevates a low or sagging

brow to a more youthful position,

minimises the creases and wrinkles

that develop across the forehead,

and improves frown lines that

develop high on the bridge of the

nose. It can also rejuvenate the upper

eye area, reducing heaviness and

sagging over the eyelid and at the

outer edges of the eye.

In endoscopic brow lifts, small

incisions are made in the hairline,

allowing the tissue and muscle

beneath the skin to be repositioned

or removed, correcting visible creases

and furrows in the forehead. Swelling

and bruising normally subside after

two to six weeks.


Rhinoplasty improves the appearance

of the nose to balance it with the

other facial features. Nasal surgery

can also correct impaired breathing

caused by structural abnormalities.

As a person gets older, the nose

tends to elongate and droop and the

skin becomes thicker and less elastic.

The hallmark of nasal ageing is the

loss of support for the lower one-third

of the nose. The major and minor tip

support mechanisms weaken with age,

which can lead to a dorsal hump as a

result of decreased tip projection and

a longer nose as a result of tip ptosis,

or droopiness.

A rhinoplasty procedure can

create a more youthful appearance

to the entire face by reversing the

signs of an ageing nose and can be



an effective adjunct to other facial

rejuvenation surgeries.

Nose surgery is typically performed

either using: a closed procedure,

where incisions are hidden inside

the nose; or an open procedure,

where an incision is made across

the columella, the narrow strip

of tissue that separates the nostrils.

The soft tissues that cover the nose

are lifted, allowing access to reshape

the structure of the nose.

Most people take around seven

to 10 days off work to allow swelling

and bruising to subside. Results

are permanent and it may take up

to a year for the new nasal contour

to fully refine.

Neck and

chin lift

Two of the defining features of a

youthful face are a well-defined jaw

line and a pleasing angle where the

neck and chin meet. Chin and neck

‘fullness’ or a poorly defined jaw line

can create the appearance of excess

weight and premature ageing. Facial

liposuction is a relatively minimally

invasive surgical procedure and is best

suited to patients presenting with

excess fatty tissue but minimal excess

neck skin.

Through several tiny incisions,

the fatty tissue is removed via a

specialised suction device. Swelling

and bruising should typically subside

in around seven to 10 days, after

which most patients can return to

normal everyday activities. Final

results can take several months to

become evident.

For severe skin laxity of the neck,

a lift may be more suitable to reduce

excess skin and fatty tissue of the

neck and correct poor definition of

the chin/neck angle and jaw line.

The technique used will depend

on several factors, such as the degree

of excess skin, the level of skin laxity

and the presence of fatty tissue.

During a typical neck lift procedure,

the platysma muscles of the neck,

which weaken and separate with age,

are tightened and sewn back together

in the centre. Tissue and skin can

also be elevated to a more youthful

position during the procedure. An

additional small incision under the

chin may be made to tighten the

platysma muscles.

Other techniques may involve

an incision only inside the hairline

at the back of the neck (known

as a posterior neck lift) or behind

the ear only (for some suspension

techniques), depending on the

techniques used and the degree of

lifting required.



Facial implants are designed to

achieve more defined and harmonious

facial contours and create structural

balance in the face. Cheek implants

are used to correct sunken cheeks

or create the look of prominent

cheekbones; a chin implant can build

up a receding or weak chin; and a jaw

implant can create a more defined

and chiseled jaw line.

The implants themselves are

specially formed solid, biocompatible

materials designed to augment

the physical structures of the face

and create more structured contours

and angles.

Incisions for cheek implants

are made through the hairline or

lower eyelids, while a chin or jaw

implant incision is usually hidden

in the mouth. The incisions are

normally closed with absorbable

sutures that dissolve over the next

seven to 10 days.

Two of the

defining features

of a youthful face

are a well-defined

jaw line and a

pleasing angle

where the neck

and chin meet. 57


ow to

maximise the

success of

your surgery

1.Choose wisely

Choosing a surgeon is one of - if

not ‘the’ - most important decisions

when thinking about undergoing

any type of cosmetic surgery. The

surgeon’s experience, training and

judgment will all impact on the

physical outcomes of surgery, as

will their openness to discuss

concerns and question your

motivation during the consultation

prior to surgery.

When it comes to selecting a

doctor for facial surgery, you should

ensure your surgeon’s training and

certification is appropriate to the

specific procedure he or she will

be performing. Certification from

the relevant medical board or

body denotes that the doctor has

completed additional requirements

surrounding continuing education

and experience in cosmetic surgery.

Trusted sources of information

include the Australasian Society

of Aesthetic Plastic Surgery

(ASAPS), the Australasian College

of Cosmetic Surgery (ACCS) and

the Australasian Academy of Facial

Plastic Surgery (AAFPS).

2.Keep it real

For the right individual, facial

surgery can restore confidence on

both the inside and out. It can be

a highly successful procedure for

people who are both physically

healthy and psychologically sound.

However, having a clear and realistic

understanding of what a procedure

can and can’t achieve is important

prior to committing to surgery.

Facial skin type and age will both

influence surgical outcomes, and

you should discuss your individual

expectations and the limitations of

surgery with your surgeon. The goal

of a facelift and other facial surgery

should be to rejuvenate the face

and give it a fresher look, not to

radically change its appearance.

While facial skin is tightened

and repositioned to create a more

youthful-looking appearance, a

facelift will not eliminate all wrinkles

or skin imperfections – and nor is

it possible to alter the shape of

the face.

Similarly, significantly older

people with less elastic skin may

not obtain the same cosmetic result

that can be achieved in those with

younger, more supple skin.

If the motivation behind surgery

is to achieve a more youthful

appearance, it’s important to

acknowledge that, although this

can be achieved in the short term,

the face will continue to age and

change over time. A good skincare

regime and sun protection are

always recommended as long-term

combatants to some of the effects

of facial ageing, both before and

after a procedure.

3.Prep yourself

When it comes to preparing for

surgery, research is a fundamental

aspect of patient safety.

The consultation provides the

surgeon with the opportunity to

discuss the procedure in detail

with you. The doctor will discuss

the type of anaesthesia to be

used, the risks, limitations and

costs involved, and will outline the

steps to take both leading up to

and after surgery. Importantly, the

surgeon will also be able to ask you

about your expectations, goals and

reasons for pursuing surgery.

A full medical history will be

taken during the consultation, and

the surgeon will evaluate the shape

and structure of your facial bones,

your skin tone and elasticity, and

the extent of facial ageing in order



to determine which procedure

and techniques are best suited to

you. This will also help the surgeon

determine the results that can

realistically be achieved.

Lab testing or a medical

evaluation may be required in order

to establish your level of health

and fitness, and alterations to any

existing medication plan may be

recommended. Aspirin and other

blood thinning drugs, for example,

should not be taken in the lead

up to surgery; and smokers will

need to stop well in advance

of surgery due to the increase

in surgical and anaesthetic

complications caused by smoking,

as well as delayed healing.

Along with the physical aspect

of preparing for surgery, it’s

also important you are mentally

prepared for the change that will

take place in your appearance. Part

of preparing for surgery means

coming to terms with the fact

that there will be a different face

reflected in the mirror post-surgery.

Being aware of this – and accepting

a ‘new and improved’ look – will

help you return to normal, everyday

life more readily.

4.know the risks

Every surgical procedure involves

some risk. In skilled hands, facial

procedures have an excellent

safety profile. But despite the

highest standards of surgical

practice, complications can still

occur. The most effective way to

minimise the risks is to have a

thorough physical examination

prior to surgery and to follow the

surgeon’s advice and guidance.

With most facial surgery

procedures, some scarring should

be expected; but an experienced

surgeon can minimise and hide

these scars so they become

barely perceptible over time.

These are more good reasons

to only choose a qualified and

experienced surgeon.

Complications following a

facial procedure often prove to

be temporary. These may include

blood or fluid retention under

the skin, crusting of scars and

numbness. There is a minimal risk

of nerve damage or infection.

Complications vary from procedure

to procedure.

There are some more

common post-operative facelift

complications and side effects,

such as temporary nausea and

general sickness, after receiving

anaesthesia. Although some light,

post-operative bleeding is normal,

uncontrolled bleeding is dangerous

and can lead to haematomas. These

develop where bleeding occurs

under the skin, leaving the area

painfully swollen – and may require

another operation to stop the flow

and remove the blood.

There is a slight chance of

developing deep vein thrombosis,

cardiac and pulmonary

complications, or fat necrosis

where fatty tissue dies. Localised

infection may also occur, indicated

by swelling, sensitivity, redness and

heat. Unless it is severe, an infection

can usually be relieved with a

course of antibiotics.

The risks specific to facial surgery

include: injury to the nerves that

control facial muscles; problems

with healing (which is more

frequent in patients who smoke);

scarring; crust on the incisions; and

numbness or tingling around the

incisions. Skin loss or discolouration

is rare, but can occur and continue

for several months.

5.Take time out

Immediately after surgery, you

will be taken to a recovery

area. While some doctors prefer

not to use bandages, others

may apply a loose-fitting wrap

or a compression garment to

facilitate healing. A compression

garment is tight-fitting, and will

help reduce swelling by preventing

fluid build-up, as well as providing

comfort and support. Although

loose bandages may be removed

in a few days, compression

garments are often worn for

several weeks.

Post-surgery, you can expect to

experience some pain, bruising

and swelling, most of which will

subside within a few weeks. If

a surgical drain was used, it will

usually be removed within a day;

and non-absorbable sutures may

be removed in around seven to 10

days. Any discomfort experienced

can be controlled with pain

medication as needed.

Some patients will be allowed to

go home after a few hours, whereas

others may stay overnight in a

hospital or surgical facility.

Keeping the head elevated by

sitting up or propping it up on

pillows is beneficial in reducing

post-operative swelling. Surgeons

may also recommend the use of a

cold compress.

It is not uncommon for

some patients to struggle with

disappointment or depression

immediately following surgery,

as the positive results often

take several weeks to become

noticeable. Only once the

swelling has gone down and

the face has finished healing

will the results be visible. 59





Q: How do I know which

procedure is right for me?

A: You may have an idea of what

you want to change on your face,

but a qualifi ed surgeon will be

able to advise you on how best to

address your concerns. Only after

a thorough consultation will they

be able to recommend a treatment

plan that can address your

requirements, while marrying

what’s aesthetically achievable.

No single procedure is right for

every patient, and it’s important to

know that facial surgery is not a case

of one size fi ts all. It’s also important

to acknowledge that while you

believe a facelift may be the answer,

a surgeon’s expertise may lead them

to recommend a procedure that you

hadn’t already thought of.

Q: How do I select the

most suitable surgeon for

my procedure?

A: It’s important to select a

surgeon who not only has the

relevant procedural expertise for

your particular surgery, but who

makes you feel comfortable and

will encourage you to express your

desires and motivations for surgery

during your consultation. Look for an

experienced doctor who is a member

of a professional body, and who

can show they have met additional

requirements for continuing

education and experience in cosmetic



surgery. The doctor’s training and

certifi cation should be appropriate to

the procedure you are after. ‘Before’

and ‘after’ images of their patients will

show you examples of the doctor’s

aesthetics. Although online is a good

source for initial research, ‘word of

mouth’ recommendations from other

patients are also helpful.

Q: My procedure is booked.

What do I do now?

A: Your surgeon will recommend a

number of steps for you to take prior

to surgery – to ensure your body is in

the best physical state. You may be

advised to stop taking aspirin or antiinfl

ammatory medications, Vitamin

E and other herbal supplements two

weeks prior to surgery. If you

smoke, your doctor will advise you

to quit well in advance due to the

additional risk of complications

during and after surgery posed by

nicotine intake. You will also need

to refrain from smoking post-surgery,

as smoking impairs healing. It’s also

recommended that you drink plenty

of water and get plenty of rest in the

lead up to your surgery.

Q: Will I be in much pain

after surgery?

A: Discomfort is to be expected

after any surgery and the level of

pain experienced will vary between

patients. Your surgeon will prescribe

medication to manage your pain

effectively, and some patients will be

able to move from prescription pain

medication to paracetamol after only

a few days. Typically, patients report

feeling less pain than they expected

after their procedure.

Q: Will I have much bruising

or swelling?

A: Bruising and swelling are

to be expected after any surgery

and, depending on the extent of

your surgery, should begin to subside

after around one week, usually

completely disappearing after two

to three weeks.

Q: Will I be able to go home

immediately after surgery?

A: This depends on what surgery

you are having. Most facial surgery

procedures are performed on an

outpatient basis, although more

extensive procedures may require

you to stay overnight. Typically,

you will be moved to a ‘recovery’

area immediately after your surgery

and allowed to go home several

hours afterwards.

If you have undergone sedation,

you will need someone to drive you

home and assist you overnight.

Q: Will I have any scarring?

A: Any scarring caused by your

surgery will typically diminish over

time to become barely visible. In

some procedures, such as facelifts

and eyelid surgery, great care is taken

to place scars in hidden areas – such

as the hairline, in skin folds and

creases. There are steps you can

take to minimise your risk of scarring

such as eating well, and avoiding

smoking and alcohol, all of which

will facilitate the body’s natural

healing process.

Q: When can I go back to work?

A: The length of time you take off

work will depend on the type of facial

surgery procedure you are having.

Typically, less invasive surgery will

require one to two weeks off work,

whereas more invasive surgery or

multiple procedures will need two

to three weeks. During your ‘down

time’ you may need to wear bandages,

or have stitches removed prior to

returning to work.

Q: When will I be able to

resume my normal activities such

as exercise?

A: Aerobic activity can slow recovery

after facial surgery by increasing the

time it takes for swelling to subside.

It is recommended you avoid

strenuous activity for about a month

after surgery.

Q: How long will it take for my

final results to appear?

A: The results of facial surgery tend

to emerge gradually, and may take up

to 18 months to settle completely.

Initially, the results will be hidden

by bruising and ‘swelling’, which will

settle after a couple of weeks. CBM 61




Best-selling author and ‘Sleep for Health’

founder Dr Carmel Harrington explains why

sleep is the most essential element in your

nightly skincare routine.




recent Australian study

showed two out of every five

adults are not getting enough

sleep. While each person’s requirement

is individual, adults typically need

between seven and nine hours of ‘shut

eye’ per night.

Sleep is vitally important to

our physical health and, without

adequate sleep, we are more

susceptible to cold and flu infections

and more likely to develop certain

cancers as well as heart disease.

Lack of sleep also impacts our

productivity and ability to perform,

because it impairs our capacity to

think and learn. Additionally it is

associated with numerous mental

health issues, including a fivefold

increased risk of depression.

Obesity, one of the most

troublesome health issues we face

today, is also linked to our lack of

rest. When we are ‘sleep deprived’,

the profile of our appetite hormones

changes, making us feel hungrier and

encouraging us to eat more. Sadly,

even though we consume more

calories, our metabolic rate may

drop by as much as 10 per cent – a

combination that quickly results in

weight gain.

Sleep and the skin

Good quality deep sleep is vital for a

healthy complexion. Sleep is the only

time in each 24 hour period that the

body gets a chance to rest, restore and

repair. During deep sleep the body

secretes Human Growth Hormone

(HGH), which plays a key role in

healing cells and tissues throughout

the body, including skin. Not getting

enough sleep cuts that crucial repair

time short, which can wreak havoc

on the complexion.

The idea of ‘beauty sleep’ is well

supported by research. In a Swedish

study, both men and women were

consistently rated as healthier

and more attractive when well

rested compared to times of sleep

deprivation. This may be because

not getting enough sleep reduces

the skin barrier’s ability to keep

moisture locked in, leading in turn to

dehydration which is known to make

fine lines more noticeable.

Dehydration can also trigger

the classic sign of sleep deprivation –

dark circles under the eyes.

The complexion may appear paler

than normal because the blood

vessels in the face are not as ‘full’.

As there is a lack of sufficient time

for regeneration, the likelihood of

dead skill cells sitting on top of the

skin is increased – and so the skin

can appear duller than usual.

Moreover, during sleep our skin

behaves differently. Because the body

does not have to work at keeping skin

protected from daily environmental

assaults (such as UV rays, free radicals

and other noxious stimuli) it gets the

opportunity to repair, rest and restore.

Good sleep restores the skin’s vitality,

allowing more radiance the next day.

Not getting the required amount

of sleep can also cause problems with

your skin. Lack of sleep is stressful to

the body and causes more cortisol to

be produced. Cortisol production is

normally very low during the night

hours, but sleeplessness increases

night-time cortisol levels. This in turn

increases the production of sebum, a

natural oil that lubricates the skin.

When too much sebum is produced

it can lead to blockages, and pimples

and/or acne may appear.

During sleep, the body’s goal is to

repair damage from the day’s pollution,

sun and stress, as well as to hydrate.

As new skin cells grow more rapidly

during sleep, a good evening facial

routine should be a high priority –

and a hydrating product at night will

help maintain the skin’s hydration

throughout the sleeping period,

leaving skin plumped and hydrated in

the morning. But remember without

sufficient sleep, evening skincare

products can only go so far. CBM 63





Dr Carmel Harrington

(BSc, PhD, LLB, DipEd) is an

Australian sleep scientist.

She is the founder and

managing director of Sleep

for Health, a Research Fellow

at The Children’s Hospital

Westmead, Sydney, and a

founding member of the

Australian Sleep Foundation.

Dr Harrington has authored

two best-selling sleep books,

The Sleep Diet and The

Complete Guide to a Good

Night’s Sleep and is a regular

media commentator on all

matters pertaining to sleep.

Website: www.sleepforhealth.

Sleep management


the day

Get up at the same

time every day.

Exercise for at least

20 minutes per day (a walk

at lunchtime is good)

Make sure you deal with the

issues of the day during the

day - and not when you get

into bed. In the early evening

spend no more than 20 minutes

writing out events of the day

that are of concern, along with

potential solutions. Close the

book and put it away.

Do not

Sleep in for more than an hour

past your regular wake-up time

on the weekends.

At night

Set an alarm one hour before

your proposed bedtime and at

that time:

Turn off all technology.

Dim the lighting in the room.

Have a warm to hot shower.

Perform some relaxation

exercise or a simple meditation.

Do not

Be in bright surroundings

(fluorescent lights, bright LED

TVs, computers, etc) close

to bedtime, as this will stop

the body producing the right

sleep hormones - and will

make falling asleep and staying

asleep difficult.

Have caffeine after midday.

Drink alcohol.

Sleep during the day (a nap of

20 minutes is okay).

Have a large meal within three

hours of bedtime.

Exercise within three hours

of bedtime (this will alert the






Slip Pillowcase in

Pink (Queen), $85

Truth in Beauty

by Mukti, $59.95

Beauty Chef

Sleep Inner

Beauty Powder,


Olivia Von Halle

Bella Silk-Satin

Pyjama Set, $455


Sound Sleep

Cocoon, $120

The Hippie

House Pink Retro

Alarm Clock,


Kikki.k Eye Mask:

More Sleep, $14.95 65











Forget vitamin infused gummy bears and

generic ‘skin, hair and nail’ boosters, the

new generation of skincare supplements is as

aesthetically pleasing as it is scientifically advanced.

With our craving for health heightening products

bordering on a state of insatiability, it is clear we

are no longer content with masking the effects

of ill health on our skin. The goal has moved

from ‘makeup on fleek’ to genuine radiance, and

so supplements have become the new skincare

essential of choice.





1. Zilch Acne Formula, $139.

The Zilch Acne Formula

combines the principles of

Chinese Medicine with powerful

natural ingredients to reduce

inflammation and toxicity and

clear stubborn adult acne. Zilch

helps rid the body of toxins

and promotes healing, with

improvements being seen in as

little as one to two weeks.

2. MitoQ Skin Support

Complex, $143.95. MitoQ is the

only antioxidant to enter the

mitochondria and neutralise free

radicals at the source, before

they can damage the rest of

your skin cells. These capsules

protect against the visible signs

of premature ageing and make

the skin appear softer, firmer

and more bright.

3. Beauty Boosters Glow

Getter, $52.95. If there’s one

thing we all want it’s beautiful

glowing skin. Glow Getter uses

zinc to heal the complexion. It’s

also rich in riboflavin, a vitamin

that supports hair and nail

growth. Other benefits include

iodine for healthy thyroid

function and vitamin D for

strong bones.

4. Vida Glow Beauty Protein,

$59.95. Available in three

different flavours, Vida Glow

Beauty Protein powder

promotes skin elasticity and

helps prevent skin ageing.

In addition to being the

perfect post-workout drink, it

contains essential fatty acids

to increase hydration and

smooth out fine lines.








5. The Beauty Chef Antioxidant

Inner Beauty Boost, $39.95. The

Beauty Chef has expanded her

line of cult products to include this

liquefied immunity booster. This

probiotic concentrate revitalises

dull and sun damaged skin,

promotes gut health and combats

free radical damage. Did we

mention it tastes great?

6. Miss Vitality Elevate, $49.

Don’t let the colour put you

off, this gorgeous green drink

is bursting with skin saving

goodness! Its organic superfood

ingredients reduce acidity,

while detoxifying the body and

streamlining collagen production.

The addition of fan favourites

coconut and cocoa will help ease

those green into your diet.

7. Bestow Beauty Oil, $54.95.

Loaded with omegas 3 and 6, this

blend of cold-pressed flax seed

and safflower oil feeds the skin

at a cellular level. Add to your

morning smoothie, porridge or

muesli to prevent congestion,

reduce inflammation and protect

against the visible signs of ageing.

8. Lumity Day & Night Nutritional

Anti-Ageing Supplements, $135.

This clever duo works around the

clock to protect the complexion

from oxidative stress and revitalise

the skin, hair and nails. The

supplements contain vitamins C

and E and are high in omega 3.

The added bonus? Better brain

health and increased immunity.

9. ProPlenish Marine Collagen

+, $59.95. Made with 100 per

cent pure marine collagen and

infused with a multitude of

vitamins, minerals and botanicals,

each ProPlenish sachet helps

to replenish lost collagen

and support future collagen

production. Add to your antiageing

arsenal for more radiant,

youthful looking skin. 67


Get Fertility Fit!

Ready to have a baby? These expert tips may

help improve your chances of conception.

Becoming pregnant and having

a baby is a miracle; a precious

gift that you’ll love and

treasure above all. For many though,

conceiving isn’t as easy as they would

like it to be.

In fact, one in six Australian

couples of childbearing age will

be faced with fertility challenges,

according to leading fertility specialist

and gynaecologist Dr Raewyn Teirney,

with males and females almost equally

affected by fertility issues.

‘These issues are many and varied,

including a host of medical issues,

and will be unique to each couple.

However, there are things you can

do that may improve your chances of

conceiving naturally,’ she explained.

1. Visit your GP

for a check-up

‘It’s a good idea to have an

extended talk with your GP

before you begin trying for a baby,’

advises Dr Teirney. ‘Ask for a long

appointment time and request

to have some preliminary checks

performed to rule out any existing

medical conditions that could

potentially complicate matters.’

2. Maintain a

healthy weight

‘Research shows it is much harder

to conceive when either the

man or woman has a Body Mass

Index (BMI) greater than 25, and

significantly more so when greater

than 30,’ she notes.

3. Enjoy a Well


Healthy Diet

‘Not only will this help you

maintain the healthy weight

that’s ideal to help you conceive

naturally, it will ensure you are

eating the right combination of

vitamins and minerals required

for conception and gestation,’

says Dr Teirney.

4. Enjoy Regular


Again, this will keep your weight in

check, but it will also balance your

mood and stress levels while you’re

on your conception journey. ‘This

is extremely important, as this time

can be fraught with emotion if it’s

not happening as quickly as you’d

hoped,’ advises Dr Teirney.


5. Take an

antenatal vitamin

‘This applies to both men and

women,’ stresses Dr Teirney. ‘Both

the World Health Organization

(WHO) and the Royal Australian

and New Zealand College of

Obstetricians and Gynaecologists

(RANZCOG) recommend all

women thinking about or trying

to conceive should take a vitamin

supplement containing folic acid

and iodine.

‘The National Health and

Medical Research Council

recommends taking a daily

pregnancy vitamin that includes

500 mcg of folic acid and 150 mcg

of iodine. For men, studies have

emphasised the importance of

antioxidants to maintain healthy

sperm and reproductive health.’

6. Get to know


and fertility


Nobody knows your body better

than you do; but even your body

can surprise you, especially when

you’re trying to become pregnant.

Says Dr Teirney: ‘Accurate

techniques to track your most

fertile window include;

• monitoring basal body


• measuring changes in luteinising

hormone levels in urine; and

• observing for changes in

cervical secretions.

‘These techniques can help

take the guesswork out of tracking

your ovulation cycle, so you’re

aware of when you are most likely

to conceive. Couples who have

a better understanding of their

fertility window have a better

chance of falling pregnant.’

7. Have regular


While this seems to be stating the

obvious, having sex outside of your

fertility window is important, too.

‘It’s recommended that couples

have sex two-three times per week,’

reveals Dr Teirney, dispelling the

myth that sperm should be allowed

to build up to better your chances

of a baby. ‘Frequent ejaculation is

actually now thought to maintain

sperm health and improve its

function,’ she notes.

8. Adopt healthy

lifestyle choices

This means quitting smoking,

reducing or eliminating alcohol

consumption and ensuring you get

plenty of quality sleep, as well as

rest and relaxation.

Avoiding any form of illicit

drug, including cannabis, is

important too. Also, check with

your GP about any prescription

medication which either partner

might be taking that could

interfere with your chances of

becoming pregnant.

‘These factors are essential

during the conception process

and throughout pregnancy,’ advises

Dr Teirney. ‘It’s recommended

that women neither smoke nor

drink alcohol during pregnancy.

For men, minimising alcohol

consumption when trying to

conceive also optimises fertility.

Smoking has been shown to

have a negative effect on

reproduction by compromising

egg and sperm quality. Alcohol

also causes direct damage to egg

and sperm quality and can harm

the foetus during pregnancy.’



help is at


Conceive Please is Australia’s

first holistic pregnancy planning

kit, created by leading fertility

specialist and gynaecologist,

Dr Raewyn Teirney. It has been

designed to help both the man

and the woman in the relationship

become ‘Fertility Fit’, to ultimately

heighten chances of conception.

Conceive Please acts as a onestop

fertility shop, comprising

a holistic, four-step plan with

supporting products to aid

male and female fertility, to

assist couples with starting or

extending a family through natural

conception, or with nurturing an

ongoing pregnancy.

Conceive Please contains

valuable information and tools

to set you on your journey to

natural conception, including:

• Pre-conception health

and support (his ‘n hers

fertility vitamins)

• Menstrual cycle monitoring

for ovulation

• Timed sexual

intercourse strategy

• Testing for pregnancy.



For more information, to

download a free eBook on

how to get Fertility Fit or to

purchase Conceive Please,

visit: 69





With women’s rights issues making headlines on a

daily basis, there’s no better time to talk about female

functional health. Words by Maria Leahy.

Genitourinary Syndrome of Menopause

(GSM) affects more than 50 per cent

of women during their post-menopausal

years, but as with many intimate health issues it

often goes undiscussed and undiagnosed.

The veil of silence that remains around the

condition means many women are dealing with

distressing symptoms like vaginal dryness, urinary

incontinence and painful intercourse alone.

Thankfully, help is now available in the form

of hormonal, Platelet Rich Plasma (PRP) and

laser based treatments. 71


What is GSM?

Caused by the hormonal changes associated with

menopause, cancer treatments, breastfeeding and the

surgical removal of the ovaries, GSM is the term now used

to represent the conditions previously known as vaginal

atrophy and atrophic vaginitis.

As Adelaide gynaecologist and pelvic reconstructive

surgeon Dr Oseka Onuma explains, ‘GSM more accurately

defines that the symptoms are related to a loss of oestrogen

support, but also highlights that these symptoms include

vaginal dryness; irritation; burning or itching of the vulva

or vagina; decreased lubrication during sexual activity;

pain or discomfort during sexual activity; bleeding after

sexual intercourse; decreased arousal, orgasm or desire; and

urinary problems including painful urination, going to the

toilet too often and urgency.

‘Because GSM is caused by a relative lack of oestrogen,

these symptoms are most commonly seen in postmenopausal

women. Despite increasing awareness of

the condition and the different ways it can present, it

is still thought to be under diagnosed. Conservative

estimates suggest 50 per cent of post-menopausal women

are affected, but the real figure is likely much higher.

‘ Conservative

estimates suggest

50 per cent of


women are affected by

GSM, but the

real figure is likely

much higher.

Apart from the natural menopause that will occur in

women living in the Western world between the ages

of 48 and 55, some women will suffer a premature

menopause where menopause occurs under the age of 40

years. Causes of premature menopause include iatrogenic

(cause unknown), surgery and medical treatments such as

radiotherapy and chemotherapy.

‘It is my belief that although the “typical” menopausal

woman is likely to attend her doctor complaining of hot

flushes and night sweats, many will have suffered from

symptoms of GSM for some time before that. In my

practice, it is not unusual for me to see much younger

women in their late 30s and early 40s complaining of

symptoms of GSM.’

Typically, we see a doctor when some element of our

health changes quickly or dramatically. As Dr Onuma

points out, the issue with treating GSM is that the onset

happens slowly over time.

‘If something comes on suddenly, we are much more

likely to be concerned by it and seek medical attention,’

he says. ‘When something progresses slowly, the body and

mind adapt and before long the sufferer is no longer certain

of what was normal before and thus might feel reluctant to

seek help in case they are told that it is their imagination.

‘My advice for any woman suffering with any of the

symptoms of menopause or of pelvic floor dysfunction in

general is to have a voice, speak out, seek help from their

doctor and keep seeking help even if it means going for a

second or third opinion. The benefits of good pelvic floor

health should not be underestimated.’



While GSM has traditionally been treated by hormonal

means, there are now a number of different options


‘The most common established treatment available for

vaginal dryness and irritation related to a lack of oestrogen

is oestrogen replacement,’ explains Dr Onuma. ‘The

oestrogen replacement is not typically done through oral

administration or by the application of patches, rather as

a local application using either a cream or pessary inserted

into the vagina.’

‘The advantage of local administration is that it mostly

avoids the systemic effects of oestrogen and in women

who still have a uterus these products can be used without

the requirement of protecting the uterine lining with

additional use of a progestogen,’ he continues. ‘When

women are commenced on local oestrogen, they are often

advised to use it consecutively for seven to 14 nights

before commencing a maintenance regimen of one to

three times per week.’

Where a patient is oestrogen sensitive or has a history of

oestrogen dependent breast cancer, laser or PRP therapies

can be used. These treatments focus on increasing

connective tissue content, collagen in particular, within


The Australian Centre for Female

Pelvic & Vaginal Rejuvenation


the vaginal epithelium. PRP also enhances the growth of

new vessels and nerves.

‘The two most common types of laser used in nonsurgical

laser vaginal treatments are the CO2 and Erbium-

YAG lasers,’ explains Dr Onuma. ‘Both work by producing

thermal injuries beneath the surface of the vaginal

epithelium and “kickstarting” the formation of new

collagen as a response to that thermal injury.’

‘PRP is obtained by taking blood from the patient,

putting it in a specialised tube, spinning down the

whole blood so that it separates into red blood at the

bottom and plasma at the top separated by a gel buffer,’

he says. ‘Platelets are key factors in hard and soft tissue

repair mechanisms and provide essential growth factors

and cytokines.’

The main potential side effect of treating GSM with

laser relates to a thermal injury, something Dr Onuma

describes as ‘very uncommon’. There are few significant

drawbacks to using PRP for GSM, but contraindications

include certain blood and bleeding disorders, some skin

diseases and metastatic disease.

Oil or water based lubricants can also be used to reduce

feelings of dryness and discomfort during intercourse.

However, these products do not address the underlying

problem of oestrogen deficiency.


Not Alone

Let’s face it, broaching subjects like vaginal dryness and

painful urination can be uncomfortable at best. But since

you’re really only one awkward discussion away from

starting your journey to greater health, improved comfort

and more enjoyable sex, surely one honest chat with a

healthcare professional is worth it.

‘The possession of genitals is a normal and expected

feature of human beings, yet the word “vagina” remains

taboo,’ says Dr Onuma. ‘The impact of this on promoting

female genital health cannot be underestimated and was at

least part of the reason why the term vaginal atrophy has

been largely replaced by GSM.’

‘Every woman has different symptoms, different degrees

of bother and different priorities,’ he continues. ‘While

comparing yourself with other women is natural, getting

information from even your best friends can be filled with

inconsistencies. Think about the quality of life you wish to

achieve, assess what and how your symptoms bother you,

and seek help from a qualified professional.’ CBM

Empowering women through

knowlege, choice and access to

world class care

Dr Oseka


Gynaecologist & Pelvic

Reconstructive Surgeon

BSc. (Hons), MJur., CCST,




4 Robe Terrace, Medindie SA 5081

08 8344 6085

Facsimile 08 8344 6087

Email 73



o v e r

When it comes to

beauty, age really

is just a number.

In 2017, American

cosmetics company Cover

Girl took a stand against

the ageist rhetoric of recent

years by naming then 69-yearold

Maye Musk as the new

face of its brand.

The move was celebrated

worldwide as a bold step

towards greater age diversity in

advertising and, on a practical

level, sent a very important

message – beauty does not

fade with age.

Musk’s image remains one of

mature vitality, something any

woman can aspire to. While fine

lines and wrinkles are to some

extent inevitable, it is possible

to age gracefully with a healthy,

glowing complexion once the

right lifestyle and skincare

adjustments are made.

This issue, we look at the

latest skincare formulations

designed to help you remain

fresh-faced and feeling beautiful

in the years beyond 40. 75












upport and protect are the two key themes for your daytime skincare regimen as

throughout the day we are exposed to a range of environmental aggressors.

SPF will help protect the skin from harmful UV rays, while antioxidants

work to limit the production of unstable oxygen molecules known as free

radicals. Vitamin C is a powerful antioxidant.

Retinol is another key anti-ageing ingredient. This vitamin A derivative

treats fine lines, wrinkles, sun spots, dullness, crepiness and sagging skin

by accelerating cell turnover and boosting collagen and elastin production.

Texture is also of vital importance when it comes to a daytime

moisturiser. Most women prefer a lightweight formula that performs well

under makeup for day wear.

7. 9.


5. 6. 8.

1. Endota Spa Peptide Firming Moisturiser, $110, 2. Cosmedix Emulsion, $115, 3. SKEYNDOR Power Oxygen

Cream, $99, 4. Dr Hauschka Regenerating Day Cream, $108, 5. Ella Baché Eternal + Reconstructing Very

Rich Cream, $145, 6. Pevonia Stem Cells Phyto-Elite Intensive Cream, $296, 7. The Body Shop Drops Of

Youth Cream, $43, 8. Jurlique Nutri-Define Multi-Correcting Day Cream, $130, 9. Phytomer Pionniere XMF

Perfection Youth Cream, $299, 10. Youth To The People Age Prevention Moisture Cream, $64. 77






4. 5.



nce the lights go down, our skin goes into regeneration

mode and works to repair any damage done during the day.

To help this process along, night creams contain higher

concentrations of anti-ageing compounds like retinol,

glycolic acid and hyaluronic acid.

Glycolic acid is a chemical exfoliant. It gently breaks down

the substance that holds dead skin cells together, allowing

them to be wiped away. Hyaluronic acid is a natural substance

found in the skin. In skincare, its strength lies in its ability to

retain water. It hydrates the skin for a fuller appearance.

Night creams tend to be richer in texture than their daytime

counterparts. While many moisturisers can be worn day or night,

it is generally recommended to use a different product for each to

ensure you benefit from a range of ingredients.

o1. Germaine De Capuccini PRO 60+ Extra Nourishing Cream, $195, 2. Clarins Extra-Firming Night Cream, $125,






3. Charlotte Tilbury Magic Night Cream, $185, 4. Dr Lewinn’s Eternal Youth Rich Nourishing Cream, $69.95, 5.

mesoestetic Radiance DNA Intensive Cream, $148.50, 6. Elucent Whitening Night Moisturiser, $49.99, 7. Swisse

Hibiscus Anti-Aging Night Cream, $24.95, 8. Aspect Dr Resveratrol Moisturising Cream, $94.60, 9. Arbonne RE9

Advanced Night Repair Cream, $133, 10. Image Skincare Vital C Hydrating Overnight Masque, $95. 79


1. 2.



erums are lightweight moisturisers that penetrate deep into the skin to deliver a

concentrated dose of anti-ageing goodness. Depending on the product being

used, serums can be applied in the morning, at night or both. They are

typically worn beneath cream moisturisers. Because serums are designed

to be highly concentrated, a little goes a long way.

Traditional serums are water-based, but many now come in oil

form. Anti-ageing serums deal primarily with fine lines, wrinkles and

dehydration, but also tone, texture and dark spots. The ingredients to

look out for in a serum are similar to those of day and night creams

(vitamin C, retinol and hyaluronic acid to name a few); but, as with any

skincare product, choose those which best align with your individual needs.




5. 6. 7. 8. 9.

1. Dermalogica Biolumin-C Serum, $130, 2. La Roche-Posay Hyalu B5 Hyaluronic Acid Serum, $69.95,

3. Paula’s Choice Peptide Booster, $71.01, 4. Ella Baché Neobright Correcting Serum, $119, 5. Scout

Cosmetics Cell Renewal Peptide Serum, $49.95, 6. Skinstitut Rejuvenate 15 Serum, $49, 7. Avene

PhysioLift Smoothing Plumping Serum, $69.95, 8. Dr Hauschka Regenerating Serum, $118, 9. Organic

Nation S4 Skinfood4 Vitamin Serum, $88, 10. Lab Series Future Rescue Repair Serum, $100, 11. Environ

Focus Care Youth+ Tri-Peptide Avance Elixir, $154, 12. Revision Skincare Revox 7, $130.




Because the skin around the eyes is particularly vulnerable

to ageing, eye creams are a worthwhile addition to mature

skincare routines. These products often contain similar

ingredients to moisturisers, but at different concentrations.

Eye products should be applied with a light touch.

Peter Thomas Roth 24K Gold Pure Luxury

Lift & Firm Hydra-Gel Eye Patches, $98,

Alpha-H Liquid Gold Firming Eye Cream, $99,

Biologi Rejuvenation Eye Serum, $79.95.


The neck is particularly susceptible to

time, with skin sagging and wrinkles

among the most common complaints

for this area. A new breed of antiageing

products has been designed

to smooth neck lines and restore

fi rmness. SPF is also crucial for the

prevention of advanced neck ageing.

Revision Skincare Nectifirm

Advanced, $169.

While often an anti-ageing

afterthought, hands can quickly

give away a person’s age. Apply

a good quality hand cream daily

to keep the skin on your hands

plump and hydrated.

Natralus SuperVitals Daily

Moisture Hand Cream, $14.95,

Jurlique Rose Hand Cream, $29.


Volume loss and lines around the

mouth are some of the earliest

signs of ageing. Lip serums are a

convenient way to keep the lips

looking supple and feeling smooth.

Peter Thomas Roth

Un-Wrinkle Lip Treatment, $43. 81


Spotlight on


Pigmentation was the focus of more than 138

attendees at the recent australian society

of dermal clinicians’ (ASDC) conference in

melbourne. words by Chrys Antoniou.

The 7th ASDC Annual

conference at the Rydges,

Melbourne ran over two

days - Sunday’s full day Plenary

programme and Monday’s workshops

- with a range of speakers including

dermatologists, dermal clinicians,

cosmetic physicians, a pharmacist

and an international speaker with

a background in phototherapy.

Dermatologist Dr Michelle Rodrigues

kicked off with a presentation of

pigmentation in darker skin tones.

She gave a timely reminder that due

to Australia’s multicultural society,

patients need to be treated based on

their phototypes.

Melasma is a common skin disorder

and, while lighter skin types tend to

line as they age, darker skins often

present with pigmentation - but with

smoother, less lined skin.

Melasma is the most difficult

pigment to treat. Considerations

include where the pigment lies, its

uniformity (unilateral is uncommon

for melasma), and if the pigment is

on the face or elsewhere (melasma is

face only). Other factors to consider

when treating pigmentation include

the patient’s occupation, where they

sit (is it close to a window?) and other

indicators - for example, how often

they reapply sunscreen.

Co-existing conditions like solar

elastosis, indicative of sun damage

beneath the skin, are also important

to consider, as there is an increase in

inflammatory mediators with basal

keratinocytes having an altered

nucleic form. There is also an increase

in vessel density and vessel size.

This point was articulated by many

speakers, so it is important to factor

angiogenesis and the increase in

VEGF when treating pigmentation.

Across the board, treating post

inflammatory hyperpigmentation

(PIH) was an underlying theme for

many presenters.

Dr Gavin Chan spoke about

treating melasma with lasers and

discussed selective photothermolysis

treatment. Professor Glen

Calderhead, the international

speaker, flew in from Korea to discuss

pigmented lesions and how to treat

them. Interesting observations

included: irrespective of skin colour

the melanocytes to keratinocytes

are in a ratio of 1:40; and subcellular

photothermolysis doesn’t kill

the dendrites, which means no

destruction of the cells. and thus no



Photos courtesy of Alfie Lombardi, Trusted Surgeons

inflammation and therefore no PIH. Dr

Aarthi Maria also discussed melasma and

cautioned to not treat suspicious lesions,

and how important it is to first identify

the nature of the lesions.

Baz Hama and Dr Alice Rudd both

discussed topical ingredients for the

treatment of pigmentation, with

niacinamide being a great all-rounder and

antioxidants being integral to an effective

skincare regime.

Another interesting talk was by dermal

clinician Sarah McManus who discussed

micro needling. The inflammatory

pathways were assessed, with studies

showing using topical tranexamic acid at

3% while needling can have a positive

effect on pigmentation. Isotretinoin

consumed orally can also have an effect

on cell turnover. Finally, another dermal

clinican James Vivian discussed mela peel

and how to use it to obtain lightening of

the skin.

Overall, the ASDC conference was

a great success with many networking

opportunities. Trusted Surgeons covered

the event, posting photos and live feeds

on social media and Clinical Imaging

took photos over the two days. CBM 83




When a clinical nutritionist puts her

spin on traditional cocktails, you can

bet they’re not just good, but good

for you!

Being healthy should be fun,’ laughs

26-year-old clinical nutritionist,

restaurateur and author of the

unique new alcoholic almanac, Conscious

Cocktails, Shannon Rosie, as she pours

a nip of tequila in a cocktail shaker and

adds a generous pinch of chilli flakes.

She’s making a Spicy Senorita, a

drink Shannon likens to a tropical fiesta

in a glass (with a high kick, courtesy of

the chilli). It’s Shannon’s version of a

classic Margarita and it has a healthy,

hangover-busting twist, thanks to aloe

vera, ginger, the aforementioned chilli

and pineapple juice.

‘The aim is to outsmart alcohol,’

she explains, adding that the entire

concept behind her first book, Conscious

Cocktails, is balance. ‘If the liquor has

one effect, the other ingredients are

present to counteract that effect. In

this case, aloe vera gives hydration and

provides your gut with the digestive

boost it needs after a big night. Chilli has

fantastic metabolism boosting effects to


ISBN 978-0-6482966-0-7


help process the alcohol and it’s rich

in capsaicin, a compound that can

help ease pain and infl ammation.’

Shannon’s book is brimming with

similarly enticing drinks, with each

recipe meticulously crafted by the

lady herself to ensure an indulgence

that doesn’t damage your health.

‘I love science and I geek out

over microbes,’ says the self-confessed

health nerd. ‘I also love a party,

so my readers get the benefi t of

my studies and personal journey to

fi nd my healthiest, happiest self,

I unravelled the endless healing

abilities of food.’

As is her nature, Shannon wanted

to share this knowledge with others

and completed a Bachelor of Health

Science in Nutritional Medicine from

Endeavour College of Natural Health

in Sydney, setting up her practice

and launching her website and two

nutritional programs, The Good Gut

to throw it out the window when

we reach for sugary cocktails on the

weekend? It’s as if alcohol falls under

different rules.

‘It made no sense to me at all

and it’s why I created Conscious

Cocktails. I take out sugar and all

the nasties and replace them with

nutritional medicinal boosters that

counteract or balance the negative

effects of alcohol.

‘Small changes make a big

science and fun in each deliciously,

healthy cocktail.’

Standing elegantly at almost

six foot tall, she is indeed the very

picture of fun and glowing good

health. With a mane of blonde

locks highlighting her caramel skin

and sparkling eyes, it’s clear to see

Shannon walks her talk.

‘The essence of my work is

equilibrium,’ she continues. ‘People

want to have fun – I know I do. They

also want to be healthy, but nobody

wants to stick to a regimen of denial,

defeating discipline and impossible

restriction. The great news is that

nobody needs to! Food has endless

healing abilities and should be used

as medicine to help us heal ourselves

from the inside out.’

Shannon’s health wasn’t always

as good as it is today. As a child,

she suffered from health issues and

was often in and out of hospital

and on heavy medication due to a

ruptured appendix and subsequent

blood poisoning.

‘Eventually, I decided to take my

health into my own hands. Through

Guide and Lighten Up, in April 2017.

‘I view health holistically, looking

at each person as a system,’ she says

of her work. ‘If you look at the body

like a clock, it is easy to understand

how one gear out of place can hinder

the whole system from working.

I will never treat headaches with

painkillers, but instead fi gure out why

someone is suffering with headaches.

Dehydration? Stress? Hormones?

Allergies? We typically fi nd that once

the cause is identifi ed and treated,

there are no more headaches.’

The response from her clients was

overwhelming and Shannon knew

she was on to something, but she

wanted to take things further – to

show people how they can live a

full, fun life and IT'S still TIME maintain TO RETHINK their

health. And so,





was born.

‘I realised that we are all so

conscious about the food we eat

9 780648 296607 >

and began questioning why the hell

that wasn’t being applied to what

we drink. Why do we Zen out with

yoga, gulp down green juices and

steam salmon and kale all week, only

Shannon Rosie





difference. Experts agree that

too much alcohol is defi nitely

not healthy, but the jury is still

out regarding the potential benefi ts

of moderate alcohol consumption.

While the research continues and

the experts argue that point, let’s

mitigate any potential damage by

removing the toxic ingredients and

replacing them with some badass

superfoods!’ CBM


Conscious Cocktails is available now

for $40 at 85



our drinking

With wrinkles, puffiness and breakouts among

alcohol’s less desirable effects, it looks like feeling hungover

might be the least of our worries. words by Jane stabler.

Wine might get better with

age, but unfortunately the

same can’t always be said

for our skin.

Most of us enjoy a drink, whether

it’s celebrating with friends or

unwinding after a long day at work.

For many, a bottle of bubbly or a few

drinks with friends is as much about

symbolism and the ritual as it is about

enjoying a tipple, which is why giving

up the booze can be a challenge -

even for those of us with impressive

willpower. But as much as we may

like a wine or two (or three…) on

a Friday night, there are significant

beauty reasons to lay off the booze on

a more regular basis.

So what is alcohol actually

doing to your skin? The bad news is,

it’s doing a lot of bad things. From

permanent redness to premature

wrinkles, the sobering fact is that

alcohol and your skin are not friends,

and they never will be.


We all know that the more you drink,

the less hydrated you are – and that

goes for your skin too. As a diuretic,

alcohol forces water out of your

body. That makes your skin look less

plump and fresh the ‘morning after’

and, over time, it means wrinkles.

Overdoing it on the booze also makes

it more difficult for your body to

rehydrate afterwards, and you may

experience dry skin ‘the day after’ a

big night. Immediately, the lack of

water in your skin makes the lines

you already have more visible, and

eventually your skin won’t bounce

back to its pre-drinking firmness the

way it used to.


and redness

On the flip side, too much alcohol

can make your face puffy – usually

after a night of sugary drinks. This is

due to the inflammatory effect that

alcohol (and sugar) has on our bodies.

When we drink, it causes our insides

to become inflamed and this presents

in your skin as redness, breakouts

and puffiness. The histamine released

by alcohol also dilates the blood’s

capillaries, and the result of that is

redness of the skin. While you may

not be concerned at the time, if

you consistently get flushed from

drinking – and that’s sustained over

time – the redness can become

prominent and permanent.

Collagen loss

and ‘breakouts’

There are two things no woman (or

man for that matter) wants to hear,

but drinking can cause both. Alcohol

depletes vitamin A, which is crucial

in the formation of new cells and

collagen, which means too much

alcohol can speed up the ageing

process. Collagen loss is accelerated,

making your skin look more

weathered. To add insult to injury,

a night on the sauce can also create

or worsen ‘breakouts’. Again sugar is

partially the culprit here. Alcoholic

drinks are often high in sugar, and

we know that cocktails and wine are

among the worst. We also know that

if you’re over-indulging too often,

this sugar spike will show up as a

‘breakout’. The dilation of your pores

created by alcohol may sound like a

good thing, but it can actually lead to

blackheads and whiteheads. And let’s

admit it: how many of us wash our

faces properly after a big night out?

That’s not helping either!

Finally, and we know this isn’t

about your face, but the average wine

drinker adds an extra 2,000 calories to




their overall intake every month, which

over an annual basis is the equivalent

of eating 221 doughnuts!

So which drinks are your skin’s worst

enemy? We’re not suggesting that we

all have to become teetotallers if we

want good skin. We’re fi rm believers in

having a good time and many of us can

enjoy a drink without going overboard.

But if you are worried about the effect

alcohol is having on your skin, these

are the top three drinks to avoid:


Sadly, the combination of sugar

and alcohol found in most mojitos

means they’re particularly bad for

drinkers concerned about wrinkles.

The disruptive duo leads to: systemic

infl ammation, which can lead to

premature ageing; and also creates a

spike in insulin levels, which can create

that ‘morning after’ acne that we’ve all

suffered from.


It’s not just the combination of sugar

and alcohol that you need to worry

about; the elements that make a

margarita so delicious are also what

make it so bad for your skin. Sugar plus

salt plus booze means you get all the

negatives of the above, plus a puffy face.


Heartbreakingly, red wine is one of

the worst drinks for your skin and your

face. Alcohol generally promotes the

opening of blood vessels in the skin,

which leads to increased redness – and

red wine is one of the worst offenders

because it’s also a histamine, which

further adds to redness and flushing. If

you’re prone to redness in your skin or

you suffer from rosacea, red wine may

quickly become your worst enemy. CBM

The good news? Your skin, like

any other organ, has the ability to

regenerate itself and your body has

an amazing rate of rehydration. But

that regeneration depends on how

much damage has been done. If

you’ve been drinking for 15 years

and decide to stop, it will definitely

help your body going forwards, but

your skin is not going to regenerate

back to that of a non-drinker 15

years younger. The truth is that

once you destroy collagen, it’s

difficult to get back; but there are

ways to minimise the damage.


How your body handles and

processes alcohol changes as you

age. An alcoholic drink leaves your

body in about three hours when

you’re 20; but by the time you

hit 40 it takes 33 hours – which

explains why your recovery time is

so much longer and your hangovers

seem to get worse as you age!

So basically if you’re drinking in

your 40s and you’re worried about

your skin, you should probably be

waiting a day in between drinks –

or keep it to once or twice a week.


We all know this one – alternate

between water and alcohol if you’re

going to drink. What you may not

know is that alcohol is a toxin

with little nutrient value and

can contribute to poorer liver

function, reduced immunity,

hormone disruption, cell

damage and insulin issues –

all impacting on the quality,

appearance and ageing of

your skin. Alcohol is also a

diuretic, so you can lose plenty

of skin cell-loving water from

the body quite rapidly, leaving

your skin dehydrated and dull.

Drinking plenty of water while

you drink – and of course every

day – is a good way to maintain

some of the hydration that alcohol

is depleting.



As society becomes increasingly

health conscious, the options for

those who want to minimise their

alcohol intake are increasing.

And the good news is you can

still actually have a wine without

having a drink. The clever

winemakers at Edenvale Beverages

have created alcohol-free versions

of your favourite wines, which

also have roughly half the calories

of standard wine. Their new

Premium Reserve range includes

a sparkling Blanc De Blanc, a

sparkling Shiraz and a Pinot Noir.

Made using exactly the same

process as traditional wine, the

alcohol is extracted at the final

stage, meaning these wines are

actually, well, wines. So instead of

bemoaning never drinking again to

save your skin, you can continue to

drink wine and keep your collagen!



of the




Everyone has

bad breath

sometimes, but

for a small few it

can be a chronic

condition. We

look at the

causes, symptoms

and treatment

options for


Most people are familiar with

waking up with heavy breath

in the morning. However for

a small minority, bad-smelling breath

lasts long into the day and can become a

chronic condition.

Known as halitosis, lingering bad breath

affects an estimated 2.4 per cent of the

Australian adult population, and is mostly

caused by sulphur-producing bacteria

that live within the surface of the tongue

and throat. Although this is normal, in

someone who suffers from halitosis, these

bacteria start to break down proteins at a

very high rate, releasing odorous volatile

sulphur compounds (VSC) at the back of

the tongue and throat.

While those who suffer chronic bad

breath can spend hundreds of dollars on

so-called ‘breath freshening’ mouthwashes,

chewing gum and mints, these products

tend not to eliminate the odour.

Mouthwash, for example, simply masks

it with its core ingredient – alcohol – and

can even perpetuate the smell; while

mints simply hide rather than rid the

mouth of the odour.

To understand why mouthwashes

containing alcohol not only don’t work,

but can actually exacerbate bad breath, it’s

firstly important to understand the causes

of bad breath.

While transitory bad breath is short

lasting and usually comes from eating

foods heavily laced with garlic, onions and

spices, halitosis is longer lasting and can

have a number of causes.

Failure to remove food particles from

the mouth, through inadequate tooth

brushing and flossing, can often lead to

bad breath. Dental problems such as

gum disease (gingivitis) and infection

around the teeth (periodontal disease)

will also mean patients harbour more

bacteria than is usual.

Up to 90 per cent of unpleasant oral

odour originates from the bacteria that

accumulate at the back of the tongue. This

can be compounded by sinus problems,

which can lead to a stream of mucous 89


dripping down the back of the throat

onto the tongue. As this mucous is

broken down by bacteria, more odour

is produced.

Saliva is key to keeping the

odour-causing bacteria in check, and

therefore a dry mouth, or xerostomia,

often results in halitosis. This is

why many people wake with socalled

‘morning breath’ – as saliva

production is lower overnight,

allowing bacteria to proliferate. A dry

mouth can be caused by medicines,

stress, or an underlying medical

condition, and is also a result of

consuming alcohol. This is why

mouthwash formulations containing

alcohol don’t tend to work.

Rather than eliminating the odour,

alcohol-based mouthwashes are

counter productive, drying the

soft tissues in the mouth leading

to the faster formation of odourproducing


These mouthwashes have also been

shown to cause irritation, and to alter

oral tissues; so it is recommended

children, diabetics and pregnant

women in particular opt for an

alcohol-free mouthwash.

As well as causing bad breath, a

dry mouth can lead to tooth decay

and gum disease, as the saliva helps

shield the mouth and teeth, keeping

them clean.

Even after the smell of stale smoke

has left a smoker’s breath, regular

cigarette consumption can also lead

to halitosis. By starving the mouth

of oxygen, smoking affects the fl ow

of saliva in the mouth, which leaves

the odour-producing bacteria free

to form unchecked. As the chemicals

contained in cigarette smoke damage

the oral tissues, these bacteria are

also able to move more freely, further

compounding the problem. In the

long term, smoking can also lead

to gingivitis, which is also a cause

of halitosis.

Although much less common,

halitosis can also be an indication of

another underlying medical condition

– including infections of the lungs,

throat or nose, kidney and liver

problems, and the infl ammation of

the lining of the stomach.

Recently, certain fad-diets have

also claimed bad breath as an

unfortunate side-effect. Crash

dieting, fasting and low-carbohydrate

diets such as the Atkins Diet, cause

the body to break down fat, which

leads to the production of chemicals

called ketones that can be smelt

on the breath.

Many medications are known to

cause bad-breath. These include:

nitrates, which are used to treat

angina; some chemotherapy drugs;

and tranquillisers. Medicines used

to treat diabetes can also result in

dry mouth, and therefore cause

bad mouth odour.

Effectively treating halitosis

depends on its underlying cause.

Avoiding dehydration, smoking,

alcohol and maintaining good oral

hygiene (including regular brushing

and fl ossing) can all help. Gentle but

thorough scraping of the tongue may

also be required, from the back of the

tongue towards the front. Ultimately,

however, it is important to speak to

a doctor or dentist to determine the

cause of halitosis, and fi nd the most

suitable solution. CBM






Maintain good dental hygiene:

Brushing your teeth morning and

night will help rid the mouth of stray

food particles. Use floss to get in

between the teeth for a thorough

clean. Scraping the back of the

tongue will help keep bacteria, and

therefore odour, in check.


Stay hydrated: Drinking eight

glasses of water a day will help

ensure you can make enough saliva

to keep your mouth healthy. To help

stay hydrated, remember to keep

your consumption of alcohol, coffee

and cigarettes to a minimum.



Switch your mouthwash: If

you’re using an alcohol-based

mouthwash, it’s time to make

a change. Check the label and

choose one without alcohol

to ensure your mouth stays

hydrated and the tissues in tact.



Eat well: Your body finds

some foods harder to break

down than others. Onions,

garlic and beans all produce

gases that cause bad breath.

Fresh fruit and veggies, on

the other hand, don’t; and

carrots and apples even help

clean your teeth naturally.


Chew: Chewing sugar-free

gum can help create saliva,

which combats dry mouth. 91


A week in




Before you book your next overseas holiday,

consider a week exploring Tasmania. It really

is Australia’s environmental wonderland.

words by David Hickie.

Bridestowe Lavender Estate

Picture credit: Brian Dullaghan






Wineglass Bay

Freycinet Peninsula


Aseven-day fl y-drive holiday,

leisurely motoring around the

emerald and jade hills and valleys,

crystal clear rivers and streams,

and viridescent tall timbers of the

Apple Isle, promises:

• short fl ights in and out;

• easy driving on well maintained

highways – specifi cally attuned to,

and clearly signposted for, tourism

– to all major destinations;

• prices for almost everything that

defy the usual traveller-gouging

which seems to dampen many

vacation experiences; and

• an unexpected appreciation of

the extraordinary kaleidoscope

of native ‘greens’ – from mint

to myrtle, chartreuse to celadon

to citron – spontaneously and

continuously, hour after hour,

sparking renewed appreciation of

this unspoiled natural sanctuary.

There are regular fl ights,

throughout each day of the week,

into both Launceston in the north

and Hobart in the south.

An ideal itinerary, for those with

limited time, would involve a sevenday

plan – with an early arrival on

Day 1 (into either Launceston or

Hobart) and the fi nal day reserved for

return fl ights to the mainland.

We recently enjoyed the following

round trip, beginning in Launceston. 93


day 1

Launceston &


A good tip is to catch one of

the early morning flights into

Launceston (population 85,000)

to allow a full day sightseeing.

Rental car desks are conveniently

adjacent to the baggage collection

exit – book in advance and your car

will be ‘ready to go’ in the car park

immediately adjoining the compact

airport terminal.

A relaxing mid-morning stop

is colourful Launceston City

Park (established 1820) featuring

magnificent mature shrubs and trees

(many of English origin) shading

a series of notable monuments and

fountains; a huge duck pond and

mini-train ride for youngsters; the

John Hart Conservatory and historic

Albert Hall; the famous Japanese

macaque monkey enclosure (also

known as ‘snow monkeys’ because

they can cope with temperatures

as low as -20C) which was donated

in 1965 by the citizens of Ikeda

when Launceston became a

‘sister city’ with that municipality

in Japan; a children’s playground;

and a tree-sheltered café with

multiple outdoor settings across

soft, lush lawns.

Just a 15-minute walk (or

three-minute drive) from the city

centre is Cataract George, boasting

the world’s longest single-span

chairlift (457m, with a central span

of 308m). The panoramic ride across

the canyon takes five minutes,

overlooking landscaped gardens,

numerous hiking trails for the more

adventurous, and two

large swimming pools for family

picnics. The site also includes a

café and restaurant, plus dozens of

roaming peacocks.

A short walk along the cliff edge

stands a magnificent suspension

bridge over the South Esk River,

which delights (and simultaneously

frightens) visitors by swaying

unpredictably as you pass across

its centre strands.

A 30-minute drive (50km) to the

west of central Launceston sits the

3,000 citizen agricultural centre of

Deloraine (named after a character

from Sir Walter Scott’s poem The

Lay Of The Last Minstrel) on the

aptly named Meander River. Visitor

attractions include Quamby Bluff

and Lobster Falls walking tracks;

and cheese factory, salmon and

truffle farm tours.

Deloraine is also one of

Tasmania’s most significant

regional centres for arts and

crafts. Particularly notable is its

celebrated Yarns Artwork In Silk,

a large-scale textile treasure created

in four panels, each measuring

3.5mx4m. Crafted by more than

300 local artists, it took 10,000

hours and 200 metres of hand-dyed

silk to complete.

Back in Launceston for

the evening, La Cantina

Italian restaurant (on George

Street) offers good value for

money holiday fare, with quick

service, friendly staff and lots

of tables to accommodate

unplanned tourist arrivals.

day 2

Bay Of Fires

& Freycinet

National Park

Heading east from Launceston,

it’s an easy 2.5-hour drive

(minimal traffic) to the

spectacular coastline along

Bay Of Fires – a conservation

area (famous for its crystalclear

waters, sugar-white sandy

beaches and orange lichencovered

granite boulders)

stretching 50km from Binalong

Bay in the south to Eddystone

Point in the north.

In 2009 Lonely Planet

named it the ‘world’s hottest

travel destination’.

The bay was given its name

in 1773 by English navigator

Captain Tobias Furneaux (who

accompanied James Cook on his

second voyage of exploration).

While charting the cost from

his ship Adventure, Furneaux

observed the many fires set by

the local Aboriginal people along

the beaches.

On the road into scenic

Binalong Bay (population 200), a

‘must stop’ is Lichen Restaurant

and Café, offering a spectacular

verandah view up the coastline

and across both the nearby

viewing platform for passing

pods of migrating whales and

playful visitors strolling over,

and swimming in, the large

natural rock pools.

Down the scenic east coast

another 1.5-hour drive is the

magnificent Coles Bay and

nearby Freycinet National Park

(a peninsula defined by Schouten

Island and a granite mountain

range known as the Hazards).

The most popular walking trails

all lead to Wineglass Bay.



Tasmania’s First

National Park


Freycinet was first discovered by the Dutch

explorer Abel Tasman in 1642, when navigating

the east coast of Tasmania. He named Schouten

Island (1.6km south of the Freycinet Peninsula

and now part of the Freycinet National Park) and

nominated his nearby last sighting of Australia –

before turning east to New Zealand – to be known

as the peninsula ‘Vanderlyn’s Eylandt’ (believing

it to be a chain of islands).

The first landing by Europeans occurred with

Captain Weatherhead of the transport ship

Matildaon in 1791. However due to the narrow

northern isthmus, Weatherhead (like Tasman)

also mistook it for an island. This myth was

subsequently dispelled during the visit of French

explorer Nicholas Baudin in 1802-03, who named

the peninsula after French explorer Louis de

Freycinet. Baudin also named the region’s Cape

Baudin, Cape Faure, Cape Forestier and Thouin

Bay, although that bay is now known as the world

famous Wineglass Bay.

The area was reserved as a National Park

in 1916, making it (along with My Field) the

oldest in Tasmania.

Today the Freycinet Peninsula is renowned for

the dramatic pink granite peaks of the Hazards

Range, and its secluded bays below, sheltering

white sandy beaches and bird-filled lagoons.

The Moulting Lagoon is a wetland sanctuary

for black swans, water fowl and other migratory

birds; lucky visitors may observe a majestic whitebellied

sea eagle gliding overhead.

Among the favoured treks through Freycinet

National Park are:

• a half-day excursion down from the top

of Wineglass Bay lookout to the azure

waters of the beach itself, and back to the park

entrance via the Hazards Range for amazing

views of Great Oyster Bay and

the coastline surrounding the seaside village

of Swansea; and

• a 2.5-day hike along the whole length of

Freycinet peninsula, stopping at remote jewels

such as Cooks Beach and Bryans Beach.

Other favoured activities in the Park include

kayaking, diving and snorkeling – the latter two

rewarded with rare underwater views of abundant

marine life. Camping inside the Park is extremely

popular in summer and autumn, and is allocated

by ballot in August each year. 95



Hobart & MONA

It’s a pleasant 2.5-hour drive from

the Freycinet Peninsula to Tasmania’s

capital city Hobart (population

225,000). And to minimise further

travel times (and maximise sightseeing)

it’s good advice to make Hobart your

‘home base’ for the next four nights.

One of the ‘must see’ excursions

from Hobart is MONA – David Walsh’s

idiosyncratic Museum of Old and

New Art (the largest privately funded

museum in Australia) carved into the

cliff face over three levels within the

Moorilla winery, 11km north of Hobart

on the Berriedale peninsula overlooking

the Derwent River.

Described by its owner as a

‘subversive adult Disneyland’, the

always controversial museum presents

antiquities, modern and contemporary

art from Walsh’s massive personal

collection – everything from ancient

Egyptian mummies to some of the

world’s most infamous and thoughtprovoking

contemporary works.

MONA is open Wednesday-Monday

(closed most Tuesdays) from 10am-6pm.

Catch the ferry (a 25-minute ride) or

bus (30-minutes) from Brooke Street

Pier on the Hobart waterfront.





Adult Disneyland’

Once you’ve conquered the 99

steps up from the wharf, the

important first task upon entry to

MONA is to arm yourself with

‘The O’ – a custom-built, hand-held

device (similar to a mobile phone

with ear plugs) which each visitor is

given for free.

It tells you about the work on

display – by instantly determining

precisely where you are in the

museum and which individual

artwork you are observing at any

particular time.

For each work, ‘The O’ allows

you to choose between:

• Art Wank – a short and pithy, but

otherwise traditional, mini essay;

• Gonzo – ramblings from Walsh

himself and some of his buddies

about ‘what the stuff on show

means on a more personal level’;

• Bite-sized nuggets of information

and interviews with artists; and

• Buttons to let the museum

authorities know whether you

‘Love’ or ‘Hate’ something. 97




Earth’s End For


Now set in 40 hectares of

landscaped grounds, Port Arthur

was named after George Arthur,

the Lieutenant Governor of Van

Diemen’s Land.

The settlement started as a

timber station in 1830, but from

1833 it became the punishment

destination for the hardest of

convicted British criminals – those

who had re-offended after their

arrival in Australia.

In addition Port Arthur had some

of the strictest security measures of

the British penal system, including

the infamous ‘Separate Prison’ –

based on a shift from traditional

physical punishment (usually

severe whippings involving several

dozen lashes of the cat-o’-nine-tails

while a prisoner was strapped to a

wooden structure) to psychological

punishment (including wearing

woollen hoods over their

faces whenever outside their solo

cells and being forced to remain

silent at all times).

After several years of total

non-communication, many of the

prisoners psychologically punished

by relocation from the general

prison to isolation in the ‘Separate

Prison’ developed mental illness

due to lack of light and sound as a

result, an asylum

was duly built next door to the

‘Separate Prison’.

The peninsula on which Port

Arthur is located is a naturally

secure site, being surrounded

by water (rumoured by the

administration to be sharkinfested).

The 30m wide isthmus

of Eaglehawk Neck (the only

connection to the mainland) was

fenced and guarded by soldiers, man

traps and half-starved dogs.

Occasionally prisoners did try

to escape. In one famous attempt,

George ‘Billy’ Hunt disguised

himself using a kangaroo hide and

endeavoured to flee across the Neck,

but the half-starved guards on duty

tried to shoot him to supplement

their meagre rations. As the bullets

flew, Hunt threw off his disguise and

surrendered, receiving 150 lashes.

Port Arthur Prison is also the

location of one of Australia’s

earliest novels, 1874’s For The Term

Of His Natural Life by Marcus

Clarke (also made into a film in

1927). It tells the horrendous

story of Rufus Dawes, wrongfully

convicted of a crime and transported

from England to the prison where,

despite numerous attempts, he never

successfully escapes.


day 4


Port Arthur Penal


The World Heritage-listed Port

Arthur Historic Site (a 90-minute

drive from Hobart) is the best

preserved convict site in Australia,

and among the most significant

convict era sites worldwide.

day 5

Hobart Markets

& Huonville/


If you are in Hobart on a weekend

morning, tourists usually enjoy:

• Saturday’s Salamanca Place

Markets (over 300 street stalls

on the Hobart waterfront); or

• Sunday’s Farm Gate produce

markets (dozens of trestle tables

laden with the island’s freshest

seasonal produce, from both

land and sea, in a blocked-off

city street a short walk up from

the waterfront).

Alternately, directly behind

Hobart the landmark Mount

Wellington (first ascended by

explorer/navigator George Bass

in 1798) rises 1,271m above sea

level. A narrow sealed road winds

22km from Hobart’s CBD to the

summit, where an enclosed lookout

provides views north and east across

the Derwent River plus glimpses of

World Heritage areas nearly 100km

to the west. From Hobart, the

most distinctive feature of Mount

Wellington is the cliff of dolerite

columns known as the ‘Organ Pipes’.

These potential morning diversions

are often followed by a short drive

south to the tranquil towns of

Huonville (35-minutes) and then

Cygnet (a further 15 minutes). 99




Queenstown & Strahan

Leaving Hobart, drive northwest across the

undulating peaks and valleys of the Wild

Rivers National Park (part of the Tasmanian

Wilderness World Heritage Area) to emerge

onto the infamous ‘moonscape’ above former

timber and mining centre Queenstown (3.5

hours), and then onto the sharp contrast of

idyllic Strahan (a further 40 minutes) on the

northern tip of Macquarie Harbour.

The dramatic drive – down a steep,

spiraling road with over 90 sharp bends – into

Queenstown (population now under 2,000)

on the slopes of Mount Owen is described

truthfully as ‘a spectacular testament to the

brutal reality of Tasmania’s mining past’.

Once the world’s richest mining town,

copper mining and mass logging in the early

1900s (when the population of the town and

surrounding district was 10,500) have created

what government travel guides now describe

as a ‘surreal and rocky moonscape of bare

coloured conglomerate’.

The mountainous area was first explored in

1862, but when alluvial gold was discovered

nearby in the 1880s the Mount Lyell Gold

Mining Company was formed and in 1892 the

mine also began searching for copper. By 1900

Queenstown was the centre of the thriving

mining district, boasting numerous smelting

works, brickworks and sawmills.

Peaceful Strahan (population 700) is a

harbour-side village, belying its dark convict

past, nestled on the edge of the Tasmanian

Wilderness World Heritage Area and gateway

to the World Heritage Listed Franklin-Gordon

Wild Rivers National Park.

Historically Strahan is full of stories

from the days when convicts and pioneers

toughed it out in Tassie’s rugged ‘wild west’.

Nearby in Macquarie Harbour is notorious

Sarah island, a windswept and barren site

established as a brutal convict prison in 1821

where inmates labored under the harshest

conditions in the rainforest, felling ancient

pines for boat building.

More uplifting are the breathtaking daily

boat cruises which depart from Strahan’s wharf

for the journey to Heritage Landing and the

densely wooded, pristine temperate rainforests

of the lower Gordon River – showcasing

majestic Huon pines that grow to an age over

3,000 years.



day 7

Burnie & Devonport

Leaving Strahan, it’s a drive straight north

towards the Bass Strait-facing cities of

Burnie (2 hours 15 minutes) and then onto

Devonport (a further 30 minutes).

Burnie (population approaching 30,000) is

a port city on the north-west coast founded

in 1827 as Emu Bay, before being renamed in

the 1840s for William Burnie, a director of

the Van Diemen’s Land Company.

Since the closure of its controversial paper

pulp mill, Burnie has moved on from its

largely industrial past and reinvented itself

as a vibrant and creative city adjacent to a

largely unspoiled coastline.

The best place to see local crafts and

artisans at work is the Makers Workshop

(part contemporary museum, part arts centre,

gallery and craft workshop) where visitors

can meet the ‘makers’ – you’ll find papermaking,

cheese tasting, ceramics, textiles,

glass, print makers, sculptors and many more.

Meanwhile the industrial history of Burnie

can be explored at the Burnie Regional

Museum, where guests wander along a replica

Federation-era street and view how ordinary

citizens lived over 100 years ago.

Fellow port city Devonport (population

30,000+) stands where the Mersey

River meets Bass Strait and hosts the

Spirit Of Tasmania ferry on its voyage

to and from Melbourne.

Maritime history looms large and on

the Devonport waterfront, the Bass Strait

Maritime Centre has extensive exhibits

about early explorers, shipwrecks and

steamers. A highlight is a life size steamer’s

bridge where visitors can take the helm

and steam out of the Mersey; or if you are

feeling brave, steer through the infamous

Rip in a storm at night.

The Devonport Regional Gallery (housed

in an old church) is dedicated to Tasmanian

art. And heritage-listed Home Hill (now

a museum) was the residence of former

Australian Prime Minister Joseph Lyons in

the early 1900s. CBM 101

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B eauty

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The fi rst thing you notice

about Lauren Hannaford is

her energy. Even through the

phone, the popular personal trainer’s

vibrant nature radiates through,

immediately revealing why in this

digital age she has attracted such a

dedicated following.

With 41,000 connections on

Instagram alone, and the lean physique

and bubbly personality to go with it,

Lauren is in many respects a modern

day fi tness star. But unlike some of her

Insta-famous peers, Lauren’s wellness

career started long before social media

came to dominate so much of our lives.

By the time Lauren took on the

persona of Dorothy the Dinosaur and

went on tour with The Wiggles, she

was already an accomplished gymnast,

had worked as a gymnastics coach and

was a qualifi ed personal trainer. But

it wasn’t until she embarked on this

rather unusual adventure that she was

forced to distil her training knowledge

into a gym-free fi tness solution. 107




‘My quick tip isn’t a quick

one – it’s consistency,’

laughs Lauren. ‘Staying

consistent and continuing

to progress is the quick tip

because before you know it

six months has gone by and

you’re fitter, healthier, more

active and happier.’



‘I grew up as an elite gymnast,

having started gymnastics when I

was fi ve. I trained and competed

nationally for most of my life,’ she

explains. ‘Then I was coaching

gymnastics and transitioned that

knowledge into more everyday fi tness

training. Instead of always doing the

usual shuttle run to push-ups, I

would do a run cartwheel and then

do some push-ups!’

‘My life then went pretty randomly

in a completely [different]

direction when I toured with

The Wiggles,’ she continues.

‘With travelling and being on

the road all the time, I needed

to fi gure out how I was going to

keep that element of fi tness and

training for myself, while being

outside of my daily routine and

the gymnastics gym.’

Undeterred by the impractical

nature of touring, Lauren

set about developing a more

convenient approach to fi tness.

The resulting workout would

eventually inspire a move into

fi tness entrepreneurship as the

face and founder of FHIT by

Lauren Hannaford.

FHIT is a functional high intensity

workout program that requires no

equipment and can be performed

anywhere by anyone at any time.

Through an online subscription

platform, FHIT members have the

option to follow a six or 12 week

workout plan or to dip in and out of

the guided training video library as

they please.

The nutrition side of FHIT by

Lauren Hannaford is equally fl exible

in that members can follow a set six

week meal plan that aligns with their

recommended calorie intake or work

more freely with the recipe bank to

build menus of their own.

While Lauren acknowledges the

potential business benefi ts of focusing

on a particular audience, FHIT caters

for everyone. ‘It’s for the time poor

parent who needs to be able to just

grab a moment and do a workout and

the high-end executive who is just

as time poor,’ she says. ‘I encourage

everyone to do it at their own pace.

There are low impact, low intensity

workouts, but there are also really

fast paced high intensity workouts

so there is something that suits

everyone. You do it at the level you’re

up to and the pace that suits you.’










Given her experience in both fi tness

and performance, Lauren’s transition

to virtual trainer seems like a natural

progression, but the 32-year-old says

FHIT by Lauren Hannaford was as

much inspired by the women who

reached out to her online as her own

desire to merge her existing skills.

‘I had so many mums writing to

me through Facebook and Instagram

because I was putting videos up on

my social of me training backstage

or in a car park,’ she explains. ‘They

were writing and asking questions

about how I stay motivated and what

I eat and wishing they could do some

form of exercise while their child

was asleep. I saw I needed to create

something for these people that they

could access that’s going to make

them feel good; something

that will help them create a moment

for themselves.’

While the concept of human

connection may seem out of place

in the online fi tness world, it is

Lauren’s ability to connect with

FHIT followers through a variety of

mediums that makes her program

so unique. ‘I base everything on

communication and emotional

connection,’ she says. ‘It’s amazing

how many people send me

an email and write as though

we’ve known each other forever

because of the style of [workout]

I’ve tried to create.’

This sense of connection is

not confi ned to Lauren and her

clients, but has gone on to spark

an international community

of FHIT followers through a

members only Facebook group. It

was through this page that Lauren

recently witnessed two Canadian

women bond as they discovered

they were both from Ontario. ‘To

see these two people connecting

with the same interests and the

same goal is just such a nice

feeling,’ she recalls.



While FHIT by Lauren Hannaford is

easy to use and integrate into daily

life, it is by no means reductionist

in its approach to health. The

program has been carefully crafted

to address the key elements that

restrict weight loss and limit healthful

living – movement (or lack thereof),

nutrition, lifestyle and mindset.

It is the last of these factors

that has gained much attention

in recent years, yet many people

still struggle to align their actions

with their goals. When asked about

maintaining motivation, Lauren says

she encourages her clients to focus on

the short-term benefi ts of working out

rather than becoming intimidated by 109


FHIT Membership

Full access to the

FHIT by Lauren Hannaford

workout library

lofty long-term goals.

‘I always say think about how

you’ll feel afterwards, how you’ll

feel once the workout is done. You

might be puffed out or it might be a

difficult workout to do, but you feel

invigorated from it. It’s almost like

the more energy you expend, the

more energy you feel you’ve got. You

feel that classic endorphin rush.

‘Have your goals, but break it

down, make it shorter term. You’re

not necessarily turning up because

you’ve got a goal that’s at the end

of the month or end of the year.

Literally turn up because of how the

end of your workout yesterday made

you feel and come back the next day

for that same feeling.’

Interestingly, while so many of us

adopt the latest fitness offering with

the rather superficial goal of weight

loss, as we proceed on our fitness

journeys Lauren has noticed how the

focus is inclined to shift to something

far more important, but much more

difficult to explain.

‘The thing that I love the most is

that before people even talk about

losing the baby weight or being down

two dress sizes, they always say how

it makes them feel,’ Lauren reveals.

‘You turn up for something because

of the emotional connection to it.

People always write to say, “I love

doing my FHIT workout, it makes me

feel so good,” or “Before I know it my

15 minutes is over and I just want to

keep going”. Then they say, “And I’ve

lost my baby weight”.

‘It is exactly my intention that

weight loss is not the main focus

and that they keep turning up for

how the workout makes them

feel. They feel energised, they feel

encouraged, they feel motivated and

they’ve lost weight.’

Having long been inundated with

messages about weight loss, Lauren’s

perspective seems refreshingly

forward thinking. By transitioning

our intentions from how we look to

how we feel, perhaps we could unlock

a more enjoyable relationship with

fitness, one where weight loss, where

appropriate, becomes a happy side

effect of genuine healthful living.

In one sense this idea seems almost

radical. Yet in another, it feels just

right. CBM

15, 30 and 45 minute

guided workouts with high and

low intensity options

No equipment required

Weekly meal guides,

nutritional advice and

healthy recipes

Personalised fitness testing

Mindfulness advice

and exercises

Access to the Facebook

FHIT community.

FHIT membership

costs $10.95 per week.

For more information visit


Instant non-invasive eyelid lift







LIDS BY DESIGN ® is a non-surgical

correcting strip, available in different sizes,

to instantly lift eyelids and widen eyes, hiding

the excess skin in the natural fold of the lid.

Virtually invisible, quick and easy to apply, they

last all day and makeup can be applied over

the top. They are ideal for:



• Loose sagging skin hanging over lashes

• Asymmetrical lids

• Excess skin covering the natural fold of the lid

• Enlarging the appearance of the eyes

• Dermatologist Tested

• Medical Grade • Hypoallergenic

• Latex Free

To purchase or to become a stockist:


email or call

02 9398 2755

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