Skinfresh Clinic


August 2014

We want to meet your friends!

Skinfresh Clinic wants to meet your friends and show them what we can offer. If you like us, then your friends will too! This is the perfect opportunity for them to come along and meet us and have a look around.

Wednesday 24th September 6.30pm-8.30pm.

Your friend will mix and mingle with nibbles and a glass of something cold. Then hear Dr Pitsilis talk about the connection between your inside health and your outside health and appearance.

They will then be able to watch a Visia® skin analysis followed by a question and answer session.

Get your friend/s to call us for more details.

Remember, we will always thank you for referring your friends with our Refer a Friend $60 account credit.  Make sure your friend tells us who referred them for the event.


Questions to ask when considering a dermal filler treatment

Dermal fillers are becoming more affordable and available as one of the most popular cosmetic treatments at Skinfresh Clinic where there are two cosmetic nurses and Dr Pitsilis. A dermal filler treatment is generally very safe and is performed as a walk in – walk out treatment. When deciding whether to have a dermal filler, several questions should come to mind.

What is a dermal filler? A dermal filler is a product that is injected into the skin to lift wrinkles, or under the skin to give volume to the face. The most popular ones consist of hyaluronic acid which is a sugar found in all animals.

What is a dermal filler used for?  Dermal fillers help restore lip shape and volume, treat lines around the mouth and lift up the cheeks. They can improve under eye hollows and help the appearance of scars. Some specifically hydrate the skin of the face, neck and hands.

Is this treatment right for me? Always consult with an experienced doctor or the doctor’s nurse in a medical clinic. Time should be spent over a thorough medical, medication and allergy history. Some situations make the procedure riskier.  You must give informed consent!

It is best to know what your other treatment options are, including no treatment.  Ask what can go wrong, how serious it is, and what can be done about it? After all, it is not strictly necessary for you to undergo this treatment for your health, so you need to know all about it.

How effective is the treatment and how long does it last? Treatments last between 6-18 months, especially if a top up treatment is performed at around 6-9 months. In experienced hands, they can be very effective.

How skilled and experienced is the doctor or nurse who will inject my face? You should always ask this question.  At Skinfresh Clinic you can be assured that Dr Pitsilis and her nurses are well trained and update their skills regularly.

What can go wrong? It's generally very safe. Rarely, allergy, infection or other serious side effects can occur – these require specific timely expert treatment in a medical clinic.

What happens if something does go wrong? Is this a medical clinic with emergency equipment and drugs? Is it being performed by a doctor, or a nurse with a doctor immediately available? Are you given a 24 hour phone number to call after the procedure?

Are there any long term risks? Usually not, if done safely, in a well equipped medical clinic by a doctor or with a nurse and the doctor available.

Book with our nurses for your assessment consultation.

The ‘Winter Blues’

The nights are currently much longer and many people will feel like hibernating – some will also find themselves gaining weight, needing more sleep, craving carbohydrates and sugar, and just not coping as well as usual at work… funny, how it all gets better when spring arrives!

If you have some of these symptoms, then you are one of the 10 per cent of New Zealanders suffering from SAD or Seasonal Affective Disorder, sometimes called the “winter blues”. This condition is four times more common in women than in men and is also seen in children, however, it tends to start in the 20s or 30s. The symptoms include seasonal variations in mood with depression starting in autumn and peaking in the winter, with relief once spring arrives. Other symptoms include the need for excessive sleep, daytime drowsiness, reduced concentration, carbohydrate cravings, weight gain, increased appetite and reduced energy. The symptoms may be so severe that they may cause problems at work and social disability.

SAD is worse in the very southern latitudes or very northern latitudes of the world as compared with those closer to the equator – this means that those in the South Island are at greater risk. Although people can acclimatise to the problem – those who move south in New Zealand would be at higher risk than long time locals there.

There are variations in how severely SAD affects people, from a very mild effect where there is a hardly noticeable reduction in performance and slight increase in appetite, to very severe symptoms that require medical treatment. In between these extremes there is the subclinical SAD (sub SAD) which is similar to SAD but with milder symptoms that do not impair function to a major degree.

In addition to all of this, many people who suffer SAD have other associated conditions such as bulimia – which tends to worsen during the winter – and anxiety disorders. Women who suffer from premenstrual syndrome and SAD, find their symptoms worsen during the winter. What is particularly important is that many sufferers don’t know they have this problem and it can take years for them to seek help.

The causes of SAD are multiple and theories abound in relation to some of the causes. It is known that mood disorders and SAD run in families so there is a genetic association. There are theories in relation to abnormalities of neurotransmitters (brain chemistry) that implicate serotonin, dopamine and noradrenaline. There is also a theory about phase delay with the body’s natural rhythm which is like jet lag.

There is a 70 per cent response rate when the first line treatment for SAD is used – this is light therapy. A normal house or office light generates about 300 lux. Light therapy uses light boxes in front of the person and administers 2500 lux for at least two hours a day – it takes a week to correct the problem. Other protocols would use 10,000 lux for 30 minutes a day. Light therapy can also be administered as an increasingly bright light in the bedroom leading up to the morning, which is called dawn simulation. Light therapy can work for normal depression as well.

Medications that can be helpful include fluoxetine (Prozac®) and Venlafaxine Effexor®). Natural substances that have been found useful include tryptophan or 5-hydroxy tryptophan which are both precursors of serotonin. Indeed, in the cases where light therapy has failed, tryptophan has been found useful. St John’s Wort helps as does SAMe (S-adenosylmethionine) – the latter helps with serotonin production in the brain.

Special Notes:

  • Tryptophan, 5-hydroxy tryptophan, St John’s Wort and SAMe cannot be taken concurrently with antidepressants because they will excessively increase serotonin in the brain and cause severe overdose symptoms.
  • Melatonin, a natural substance released by the brain in response to darkness, when taken at night, can help improve the quality of sleep and vitality in these people.
  • Vitamin B6 also helps in serotonin production – you know you don’t have enough vitamin B6 when you can’t remember your dreams.
  • Omega 3 fish oils have an important role in the production of serotonin. It has been found that Icelandic people don’t get SAD and when fish consumption reduces, SAD increases.
  • Include sunny holidays in your mid-winter plans, and to go for a morning walk, especially in the winter time, to get that bright sunshine to help reset your brain chemistry.

If you have any of these symptoms you do not have to suffer them needlessly. Get some help.




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