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Appearance Medicine: Dr Hart’s approach
Skin Institute
October 18, 2016

In this article published by Viva magazine, Amanda Linnell walks us through her recent experience as a patient of Dr Sarah Hart, Appearance Medicine doctor at Skin Institute. As many other women, Amanda wanted to improve her damaged skin, caused by aging, UV radiation and the lack of a skin care regime, without showing obvious signs of having “work” done.


The Aim

During their first consultation, Dr Hart explained that “the under-the-radar, natural look was her signature.” Everyone has different skin and different concerns. A good appearance medicine doctor generally takes the time to get to know a patient and her skin, and proposes customised recommendations.

Dr Hart took several photos of Amanda’s face from different angles and explained that documentation is a key step in the process. “Improving one feature of the face too much while neglecting others means our primitive brain can perceive a face as ‘wrong’”. After a careful assessment, the doctor concluded that their aim should be to increase the collagen levels in Amanda’s skin and increase softness and luminosity.


The Treatment

Dr Hart recommended a mix of Botox, filler and Platelet Rich Plasma (PRP), and a regime of vitamin B cream to restore Amanda’s skin’s barrier, before introducing active ingredients, such as vitamin A-derived retinoids. “The plan is slowly but surely. You get better results with fewer side effects, and it is easier on the budget”, Sarah explained.

She used a ”baby tox” approach on Amanda’s face, which consists of scattering tiny doses across the face and neck. The Botox took effect after a couple of days, resulting in lesser softer lines in Amanda’s centre-forehead frown.

The treatment followed with fillers. Amanda felt nervous as through her own research she had learnt how bad fillers can turn out if not applied properly. But to her surprise, nobody noticed when she returned to the office.

Two more weeks went by and Sarah took more photos. Having worked with the deeper layers of Amanda’s skin, the doctor moved onto the surface. “Resurfacing can improve colour and texture more than skin creams. It can reduce age spots, red veins, acne-scarring and sun damage,” the doctor confirmed. Options include gentle microdermabrasion, AHA peels, IPL, dermal needling, PRP, and stronger fractional and ablative lasers.

“Safety is a priority, the doctor continued. So many people come in expecting a quick fix, but you have to look at your wellbeing as a whole. It’s really important to combine you skincare with a healthy diet and regular exercise”.


The Results

Over the four months Amanda has been visiting Skin Institute, her skin is smoother and has a healthy glow. “You have lovely fine pores, don’t you?” a woman told her recently as she scrutinised her face at a beauty launch.


Safety First

Dr Sarah Hart’s advice when it comes to appearance medicine:

• Find a practitioner you can trust.
• Ask yourself, are you being sold to or honestly listened to?
• Don’t be shy to interview the person who is treating you. Ask about their knowledge, how many people they have treated, where they trained?
• Check the clinic is clean and the practitioner is wearing gloves.
• There’s a reason doctors are involved because these are medical procedures. Botox® is a prescription medicine. If you have a nurse, ask who their issuing doctor is.
• These procedures are safe, if done properly.

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