Dr.Caroline Hewitt BSc MRCP
Dr.Caroline Hewitt qualified as a doctor in 1990 from Charing Cross and Westminster Medical School. She is currently working as a Dermatologist at St.Mary’s Hospital, Paddington, one of the London Teaching Hospitals. She is experienced in the use of injected cosmetic agents including Botulinum Toxin type A, (Botox and Vistabel), Restylane Perlane, Restylane Touch, Restylane Lipp and Restylane Vital.
She also uses Botox to treat axillary hyperhidrosis (excessive armpit sweating).
She is registered with The General Medical Council (3466986) and is a member of The Royal College of Physicians UK and The British Association of Dermatologists.
Botulinum Toxin type A
(Botox® and Vistabel®)
Botulinum toxin type A injection is a safe and effective technique for the treatment of the wrinkles and unsightly facial lines that are caused by over activity of facial muscles (e.g. frown lines, horizontal forehead furrows and “crow’s feet” around the eyes). It is approved by the United States Food and Drug Administration (FDA) for this type of use and in the UK, for some cosmetic uses under the name Vistabel.
The toxin is injected into the overactive muscle or the skin overlying it. It works by temporarily and partially weakening the muscle. As a result the face adopts a more relaxed and pleasant appearance and the wrinkles/lines become smoother or disappear altogether. Botulinum toxin type A is usually administered without the use of an anaesthetic and usually very little pain or discomfort is felt. The injections only take a few minutes.
The initial effects of treatment become apparent within 2-3 days, the maximum effect being reached by 1-2 weeks. On average each treatment will last 4-6 months after which a further course can be given if a continued effect is wanted.
Botox injection can also be used in some cases to treat excessive armpit sweating (axillary hyperhidrosis).
Side effects can occur, but are usually minor and almost always reversible. They include bruising or swelling at the injection site, localised mild pain and headache.
(Restylane®, Perlane®, Touch®, Lipp® and Vital®)
The Restylane family of fillers (Restylane, Perlane, Touch, Lipp and Vital) are sterile gels consisting of non-animal stabilised hyaluronic acid for injection into the skin to correct facial lines, wrinkles and folds. They are also used for lip enhancement and for shaping facial, hand and neck contours.
The injections, which only take a few minutes, are usually administered after a topical anaesthetic has been applied to the skin to reduce/prevent any pain or discomfort from the injection itself. The effect of the treatment is visible immediately. Depending on the area treated, skin type and the injection technique the effect of treatment with these products can last 6-12 months (lips approximately 6 months). In some cases the duration of the effect can be shorter or longer. Touch-up and follow-up treatments help sustain the degree of correction. No allergy test is required before treatment.
Side effects can occur, but are usually minor and almost always reversible. Common injection-related reactions might occur, such as swelling, redness, bruising, pain, itching, discoloration, tenderness and a temporary lumpy feeling at the implant site. They typically resolve spontaneously within 1-2 days after injection into the skin and within a week after injection into the lips.
For information on prices, please visit www.drcarolinehewitt.co.uk