Do you have your Mom Genes on?

We all know that the mother-daughter bond runs deep and mothers pass down wisdom, advice and inspiration to their daughters – they also pass down a predisposition to age like them.

According to recent results of a mother-daughter survey, 82% of moms hope facial aging is easier for their daughters, but more than half never talk about it together. (Ref 1)  Mom Genes was designed to educate women on the genetics of facial aging and to inspire mothers and daughters to engage in an open dialogue about it. For skin aging, 'like mother, like daughter' often holds true.

Genetics and nurturing good skin health practices are big factors influencing the way the face ages. Women can learn a lot about how the process may affect them by observing and talking about the changes their moms go through. The great news is both moms and daughters have more options than ever before for addressing facial aging, thanks to innovations in skin care and treatments that can help maintain skin health and natural beauty.

The Mother-Daughter Facial Aging Survey found approximately two-thirds (67%) of moms and daughters report they frequently worry about their face showing signs of aging. That number rises to 77% among daughters who report they are aging like their mom. And, the vast majority of moms (90%) and daughters (88%) surveyed believe expectations to look younger longer are greater now than in the past.

The survey also reported the changing expectations and perceptions regarding treatment options, especially those that produce natural-looking results. More than three-quarters (77%) of daughters and two-thirds (66%) of mothers agree that they would be more interested in a facial treatment at a specialist's office if they could get more natural-looking results. A surprising 81% of mothers would support their daughter getting a facial treatment at a healthcare specialist's office if she wanted one. (Ref 1)

We are photographing ourselves constantly with our current social media culture, which heightens awareness of our appearance.  Talking to a specialist can help at any age from providing advice to those in their 20s that will set the stage for skin health to supporting people in their 30s, 40s, 50s and older, to age well and gracefully. Significant advances have been made to help women maintain a naturally fresh appearance!

About Facial Aging (Ref 2-8)
Aging is a varied process that is determined by genetics and environmental factors. Researchers using facial imaging and 3D computer modelling to study the aging process have found that mothers and daughters tend to have the same skeletal and cellular make up resulting in similar aging patterns.

While every person ages differently, there are general facial aging trends to expect for people in the 30s, 40s and 50s:

  • Less collagen thins the skin causing dryer, less supple, thinner skin that does not drape as well
  • Facial fat pads shrink and shift in the face and cause the appearance of less volume and sagging
  • Bone loss slowly changes facial structure over time


Mom Genes Survey Results
We at Medico Estetica, love teaching our patients on how to improve their skin so feel free to check in with us and ask how we do it!


1. Mother-Daughter Facial Aging Study. Wakefield Research 2015.

2. Camp M, Wong W, Filip Z, Carter C, Gupta S. A quantitative analysis of periorbital aging with three-dimensional surface imaging. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2011; 64(2):148-154.

3. Coleman SR, Grover R. The anatomy of the aging face: volume loss and changes in 3-dimensional topography. Aesthetic Surgery Journal. 2006; 26(suppl 1): S4-S9.

4. Zimbler MS, Kokoska MS, Thomas JR. Anatomy and pathophysiology of facial aging. Facial Plastic Surgery Clinics of North America. 2001; 9(2):179-187.

5. Vleggaar D, Fitzgerald R. Dermatological implications of skeletal aging: a focus on supraperiosteal columizations for perioral rejuvenation. Journal of Drugs in Dermatology. 2008; 7(3):209-220.

6. Donofrio LM. Fat distribution: a morphologic study of the aging face. Dermatologic Surgery. 2000; 26(12):1107-1112.

7. Gierloff M, Stohring C, Buder T, Gassling V, Acil Y, Wiltfang J. Aging changes of the midfacial fat compartments: a computed tomographic study. Plastic and Reconstructive Surgery. 2012; 129(9):263-273.

8. Mendelson B, Wong CH. Changes in the facial skeleton with aging: implications and clinical applications in facial rejuvenation. Aesthetic Plastic Surgery. 2012; 36:753-760.

Fresh is Best! Survey results are in on Cosmetic Treatments...

An interesting new survey shows results that initially seem unusual – that patients in America want the same soft and natural look from their treatments as my local patients in Deepdene and Balwyn!

I say ‘unusual’, because the perception we have here, that is fuelled by media images, is that all celebrities in America look ‘overdone’ to the point of strangeness, which is what we assume the local look there must be.

The survey was commissioned by Galderma, the makers of Dysport® botulinum toxin typeA and dermal fillers, Restylane® and Emervel®. Over 2000 men and women aged 30-50 years old participated in the online survey during February 2016.

The results? …When it comes to facial rejuvenation, fresh is best!

Nearly three quarters (74 percent) of women and men aged 30-50 would be more interested in anti-aging treatments if results looked natural.

Despite reporting that a person with frown lines between the eyebrows looks stressed (39 percent), old (36 percent) and even angry (24 percent) and many realising their face looks older than they feel, few are taking action to learn about treatment options that have natural-looking results. Less than 40 percent of respondents said they would be comfortable talking about their interest in treatment with a healthcare specialist, the survey showed.

This is exactly my experience here in suburban Balwyn!

Every time I see new patients in that age group, they say ‘I don’t want to look done, I just want to look refreshed’, and I have to really counsel and reassure them that it is not necessary to look frozen, which is their greatest fear.

My job as an expert doctor is to spend the time to provide this information to my patients, and explain the nuances of effect that are possible with subtle use of these medicines. I always say that these treatments work best when they give results that are imperceptible to others – we fix problems and refresh appearances, but never give the look of someone noticeably ‘done’ or over treated.

To promote this issue in America, Galderma launched their new Dysport® #breaktheice campaign and infographic to the media through a series of scenarios that show the changing faces of cosmetic treatments including men wanting to remain competitive in the workplace, the #selfie generation and new moms. Galderma also previously launched a “Don't Freeze Me, Dysport® Me” advertising campaign to promote that many people “want to lose their frown lines, but don't want to lose themselves”. I am not aware if these advertising campaigns will come to Australia, but they do seem to address the same issues in practice that we have here.

Seeking help is not just for women any more either; treatments for Men are a growing area. Men do care about how they look. It’s a work thing and men like quick results. With men, I start with simple and quick treatments, and I can use our medicines to provide a softer, not noticeable but effective results.

Back to the survey now – more than 70 percent of respondents report the use of technology made them see that their facial appearance looks older than they feel – that seems about right to me, we all feel younger than we are!

Locally, increasing use of social media and ‘selfies’, by some of my patients, has created the ‘selfie referral’. More patients are coming in and showing me their photos on their smart phones to point out their issues and concerns.

 Here are the main findings of the survey:

  • 74 percent of respondents would be interested in treatments if they could obtain natural looking results
  • 64 percent of respondents noticed the frown lines between their eyebrows as they age, first seeing these lines on average at age 34.
  • 77 percent reported noticing frown lines on their friends, family and colleagues.
  • 74 percent reported thinking about their face looking older one or more days a week.
    • 70 percent become aware of their frown lines when they catch a glimpse of themselves in the mirror
    • 56 percent become aware of their frown lines when they get ready in the morning.

Look at the summary infographic below. What do you think about these results and statistics?

Do they apply to you or your friends in any way?  Please let us know by posting here or email...

We would be pleased to thoroughly consult you  that's what we do best  and answer any questions or allay any concerns you may have regarding non-surgical facial rejuvenation and body sculpting.


Fresh and natural cosmetic results


About the Break the Ice Survey

The Break the Ice Survey was conducted online by Wakefield Research on behalf of Galderma Laboratories, Inc. among a representative sample of 1,001 U.S. women ages 30-50 and 1,000 U.S. men ages 30-50, between February 12th and February 19th, 2016. The margin of sampling error at the 95 percent level of confidence is +/- 2.2 for the total respondents.

My daily sunscreen... rain, hail or shine?

Do you apply daily sunscreen for health or beauty?

The importance of applying daily sunscreen for prevention of skin cancers and the preservation of youthful skin cannot be more emphasised - sun damage begins in our youth and even a single episode of sunburn can increase the risk of later developing deadly melanoma.

It is common knowledge that UV light plays a major role in the development of skin cancer. Studies have long demonstrated that using sunscreen on a daily basis can help prevent the development of skin cancer, premature aging, and exacerbation of some skin conditions. Although there are several sun protective measures available, sunscreen remains the most popular and widely used. Sunscreens on the market today contain either organic (chemical) or inorganic (physical) UV filters, or a combination of both based on their chemical composition and photo-protection mechanisms.


I stress to my children and whoever I consult to, the need for them to apply sunscreen to all exposed skin every day, regardless of the weather and whether it may be sunny, raining, clear or cloudy. Harmful UV radiation mostly passes through clouds and enters through windows, and bounces around from the reflective glassy and metallic surfaces of our urban environments. Looking up the daily UV Index gives us another parameter to prepare ourselves with.  A really useful and free Android or i-Phone/i-Pad App is available from Victorian SunSmart program that allows you to receive your local area UV Index and relevant customised reminders and alerts.

I know that there have been media reports on the possible health dangers of wearing sunscreens. I have even heard such uncertainty expressed by people working in the pharmacy industry! They all misrepresent the present evidence, which is that there are absolutely no health risks from wearing current sunscreens on intact human skin. If you have any concerns please speak with me about them and I can direct you to the correct evidence that dispels such misinformation.

Does skin health or keeping our looks, matter most?

If you have trouble encouraging your children to take responsibility to apply their own sunscreen, you will appreciate the following information and videos! 

They come from a recent American study which demonstrated that Year 11 teenagers were 3 times more likely to use sunscreen if they were educated (with a 5 minute video) on the beauty benefits of wearing sunscreen and preventing wrinkles, rather than similar education on the health benefits and preventing skin cancers! It suggests that appearance-based messages may be more effective than traditional medical health-based ones in promoting sun protection measures - and maybe not just in teenagers!

In my daily consultations, I find that messages may be more powerful if they speak to you now. Appearance-based messages are more about tangible short-term risk, versus health-based messages about abstract long-term risk.

See for yourself in the short videos below. Note that you will have to click on the video links twice to view them on YouTube in another tab.

Health-based educational video

Appearance-based educational video

Which video do you prefer and is more likely to  influence your behaviour?

Please share them with others, especially those with children as they were specifically designed for a younger audience :)

At Clinica Medico Estetica, I have a win if the single most important message I can convey to anyone, regardless of age, is to wear daily sunscreen for both skin health and appearance benefits. That is over and above the importance of any other topical creams, lotions, serums or  other treatments.  I know that the biggest barrier to wearing daily sunscreen has always been the acceptability characteristics of the product, with most traditional sunscreens being thick, greasy and clogging, cosmetically unsuitable to wear  under make-up or other skincare products. Those issues are now past, with modern formulation technology bypassing the problem and giving us lightweight yet full strength SPF 50+ lotions that  quickly absorb dry, allowing layering of our other skincare products as needed. Remember that you must apply your sunscreen on first, onto clean dry skin, and that moisturisers and make-ups containing some SPF are not designed to replace dedicated sunscreen but to augment sunscreen and work in conjunction or as an adjunct to it.

We stock some of the most advanced sunscreens that do allow you to layer up with your day creams and make-up and  they are reasonably priced. So why not stop by at any time to try some on and see what you think!

Treating sun damaged skin is our special interest, so if you feel you haven't worn enough sunscreen in the past and are now showing the effects of sun damage, please visit us for a no-obligation consultation to learn what you can do about it now!


How your face ages - simply explained!

Something unique is happening among aging Australian '40 some-things'!  

We are a generation that has taken better care of ourselves and stayed physically active, in fact, more than any other previous generation.

As also noted recently in the USA, the  Harvard Medical School Health Newsletter states that many baby-boomers feel much younger than their chronological age!

Your choice to age?

But when we look in the mirror, or at a photograph, we are often unhappy to see that we look older than we feel. This dawning realisation can make us feel uncomfortable ... fortunately, there are many available, medically delivered options to address current issues and repair, halt, and delay the physical changes and appearance of aging.

Surgery is an option for advanced changes, but is invasive, can be very expensive, with results that are not always optimal, and effects that are usually permanent!

Other options that continue to grow in popularity are non-invasive treatments. We’re seeing the explosion of anti-wrinkle treatments like Botox, Dermal Fillers, and Laser treatments to deal with skin changes and facial appearance issues.

You can quickly overview why and how your face ages and the medical treatments most popular for preventing the appearance of aging, in the graphic below.


Unlike other anti-aging treatments, non-invasive procedures can simply address the fundamental reasons that cause you to appear older.

Non-invasive procedures continue to grow in popularity. They can be staged and an individual Beauty Plan allows you to schedule incremental treatments and budget accordingly. With the advancements in treatments that allow little or no downtime, the physical appearance of aging is becoming a lifestyle choice.

Clinica Medico Estetica focusses on serving your anti-aging needs in a safe, medical environment, allowing you to learn what options may best suit you without any pressure or obligation to embark on expensive treatment programs.

Botox for hayfever control – and ... no needles!

Springtime is here which means for some of us, the start of our hayfever season…recent patient treatments in these last few weeks have prompted me to write this post. I am really excited from the great successes in treating hayfever sufferers with my favourite medication, Botox! And it “may be our most efficient weapon ever” to control hayfever!

As you are aware, Botox is commonly used for improving wrinkles from overactive facial muscles. It works by effectively blocking neural transmission at nerve endings on the muscle. Australian medical researchers have previously proven that it can also block neural transmission at the specialised nerve endings in the nasal cavity. These nerve endings or receptors react to stimulation by environmental allergens, and provoke an attack of hayfever symptoms. Therefore, by applying Botox in the nasal cavity, you can avoid the troublesome symptoms of hayfever – itchy, runny or blocked nose, sneezing; itchy or bleary, red, gritty and irritated, watery or streaming eyes.

As a medical doctor, I understand how debilitating these symptoms can be, and their negative impact on a person’s quality of life and their work or role functioning. I also understand that these symptoms are also often underestimated or dismissed by others, and doctors often just encourage sufferers to get on with it and self medicate with commonly used treatments from the pharmacy.

Hayfever symptoms can make you feel miserable :(

Hayfever symptoms can make you feel miserable :(

Controlling these symptoms with Botox avoids the use of typical hayfever treatments like nasal sprays – including antihistamines, or decongestants, or nasal steroid sprays, as well as daily antihistamine tablets, or even complex courses of desensitisation injections prescribed by an Allergist, that may include up to weekly injections for 10 months each year, for 1 to 3 years. Botox blockade of the nasal nerve endings basically just bypasses the immune system from ever becoming stimulated by the environmental allergens that you are reacting to.

Botox treatment for wrinkles is by injection, however the mucosa lining of the nasal cavity is so thin, it’s nerve receptors can absorb the Botox directly by topical application. This means that you can have the treatment without any pain from needles. The treatment does not ‘cure’ hayfever but controls it and prevents the symptoms by bypassing the body's immune system from having to respond to the allergic stimulus. 

There are no side effects! I recommend the Botox treatment for people who would like to avoid any side-effect issues and inconvenience associated from taking regular oral medication or nasal sprays, or having to persist with the ongoing requirements of desensitisation injections. 

Key points – Botox for hayfever:

  1. No side-effects. There are absolutely no side effects. After applying Botox inside the nose, the mucous membrane of the throat will not be affected even if the Botox runs into the throat. The treatment does cause an effect like a hayfever attack that lasts for up to 10 minutes.
  2.  No pain. You might feel a bit uncomfortable when the applicator is being inserted into your nose. There is no pain and no odour.
  3. Quick treatment. Treatment takes about 5 minutes (You will be kept under observation to rest for about 10 minutes after the treatment).
  4. Inexpensive and cost-effective. One or two Botox treatments are very inexpensive compared to the ongoing costs of buying over the counter sprays and hayfever relief tablets, prescription sprays and tablets, or the high expense and inconvenience of seeing a Consultant Allergist, buying their bottles of immune serums, and then having to arrange weekly or fortnightly injections with your family GP.
  5. Long-lasting response. All patients get a benefit. Some may need a second treatment after 4-6 weeks if their initial response is incomplete. Hayfever symptom control can last from several months up to two years depending on the individual. It is recommended to have the treatment repeated annually during the hay fever season. Importantly, Botox treatment does not interfere with other treatments if they are needed (You can have the Botox treatment in combination with any other hay fever treatments).

Procedure – Botox for hayfever:

  1. Medical Consultation and hayfever assessment.
  2. Do not take any hayfever medication for 24 hours before any treatment and cease Steroid nasal sprays for 2 weeks prior.
  3. Instillation of Botox into the nasal cavity by using sterile applicators.
  4. You will be kept lying down for about 10 minutes till Botox penetrates the nasal cavity.
  5. The treatment will provoke symptoms of a hayfever attack that will last 10-15 minutes.
  6. You may feel the beneficial effects starting within a few hours after the treatment (but sometimes beginning straight after the treatment).

Further reading from news reports – Botox for hayfever:

  1. Could Botox be the cure for allergies? (Medical Daily 9/10/12)
  2. Monash Medical Centre - Hayfever Botox Trial (ABC News)
  3. Botox blocks hayfever symptoms (Nine MSN News 10/10/12) 
  4. Botox gel trialled to ease signs of hayfever (SMH News 10/10/12)