Many patients visit the clinic looking to restore the youthful look of their younger days. With a large proportion of our society now aging, and living in an area with plenty of sun, Dr Manoharan sees plenty of patients with unwanted fine lines, broken blood vessels and age spots on their face.
If you find yourself wishing away your loose facial skin, frown lines and furrows, fine lines around your eyes, and sunken cheeks, then a facial rejuvenation consult will be helpful in finding out about your options.
Dr. Manoharan works with his patients’ concerns and goals to achieve the most natural looking result using the best suited treatment. Facial rejuvenation often requires a combination of procedures that will work together in synergy, and that are also all suited to your skin, lifestyle and needs. The advantage of bringing these treatments together is that you’ll experience the joint benefits of tightening, lifting and volumising where needed, all at once and without needing to visit the clinic again for minor corrections. Treatments can include using laser skin resurfacing, fillers for volume enhancement, and other light treatments to correct age blemishes and improve skin texture.
Dr. Manoharan only works with gold-standard equipment and only works with registered nurses with a specialisation in dermatology – you know that you are in experienced hands in his clinic. When you visit, you’ll be walked through a post-treatment plan so that you’re informed and feel confident in taking care of your face to encourage the best results for our skin.
SIGNS OF AGEING
Ice pick scars present as narrow, deep scars. They are best treated surgically, often using a punch excision to correct the scar indentation, and other times using the TCA CROSS method. TCA CROSS is a technique which uses trichloracetic acid inserted into the scar to cause a controlled burn and scar destruction, encouraging new, more normal skin production.
Boxcar scars present as broad, shallow depressions with defined edges. They form from inflammatory acne and can be treated using the TCA CROSS method, radio-frequency needling, fractionated or ablative laser treatments.
Keloid scars are thickened, raised scars that form due to an excess of scar tissue. They occur when the body overproduces collagen at a damaged tissue site and can be treated by combining repeated steroid injection with lasers.
Rolling scars usually present as broad indentations in the skin with sloping edges. Their texture is rough and can be stubborn to treat. With scar tissue often tethering the scar to the facia, rolling scars are often treated with a combination of surgical release techniques (submission), RF needling and fractionated or ablative laser treatments.
Most people will have a combination of scars types, and therefore we always require that you make an appointment to have a consultation with Dr Manoharan who will be able to feel your scars and recommend the best treatment course to obtain optimal results for your particular scars. There is no “one size fits all” approach when it comes to acne scars.
Subscision is a surgical technique releases scars bound down to underlying tissue. It is performed under local anaesthetic and generally has no down time.
RF needling delivers controlled radio frequency energy up to 3.5mm deep into the skin to break down scar tissue and promote collagen remodelling. It is usually performed with anaesthetic gels and local blocks.
Fractionated lasers treat chosen densities of micro-columns of skin, sparing the surrounding tissue. This method is at the forefront of acne scar treatment as it enables scars to be treated at depth, with less discomfort, complications and a reduced recovery time.
Ablative laser treatment is effective in the revision of severe acne scars for those who are prepared for a longer downtime period in return for dramatic results. In addition to removing damaged skin, the laser stimulates underlying skin cells to trigger collagen production to break down scars. Dr. Manoharan is one of the country’s most experienced specialists in Erbium:YAG and CO2 lasers for long term acne scar treatment.
Chemical peels use agents such as TCA to replace the top layer of skin with new, underlying skin. This method brings forward healthier skin that has less visible signs of scarring.
The TCA CROSS method is used for local scar destruction to encourage new skin production. It involves TCA being inserted into a scar and performs as a localised peel to reduce the depth of scars over a series of treatments.
Dr Manoharan is a laser dermatologist, specialising in cutting-edge combination treatments to reduce scarring. He produces world class results using gold-standard energy-based devices and techniques, and has the wealth of experience you need to get the results you want – and is based right here in Brisbane, Australia!