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rupesh shah
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Excessive sweating of the hands in London at Harley Street.

Palmar-plantar hyperhidrosis is an excessive sweating of the palms of the hands and of the feet which is carried out by Rupesh at his Harley Street Clinic in London.

Hands sweating is often noticed by the child at the age of 5 when learning to write. The hand and the fingers are damp or wet, making difficult to grip the pen and leaving wet marks on the paper. It becomes a social burden when shaking hands and can interfere with manual skills. The stigma of damp hands, clammy hands is psychologically devastating.

Treatment of Sweaty hands ( palms ) with Botox injections

The patient and Rupesh sit on each side of the examining bed, used as a table. Each hand is “numbed” by applying Emla or LMX Cream. When the patient feels that his hands are numb, the injections can start.

An injection of 100 units Botox is injected into each palm, divided into 15 sites.

The treatment session last 30 minutes but the injections it selves take only 10 minutes to perform on each side.

All the injections are performed by Rupesh, who has a long experience in the treatment.

There is no bleeding and the patient can go back to work after the treatment. The patient is asked to be gentle when using his hands during that day ( no gardening, no heavy cleaning duty, no heavy manual works)
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Juvederm Volbella for Lips Provides Natural-Looking Fullness

You want your lips to look fuller, but you don’t want anyone to know that you use dermal fillers. Well, here’s some great news: With Juvederm Volbella for lips, you can have your cake and eat it too. This dermal filler is formulated to have a smooth, uniform consistency. Thanks to the proprietary Vycross technology that goes into its design, Juvederm Volbella contains less hyaluronic acid than other fillers. As a result, swelling is much less of an issue and outcomes look far more natural for patients who don’t respond well to other fillers.

With Juvederm Volbella, you don’t have to worry about going too far. After the initial mild side effects have subsided, your lips will look subtly plumper. Others will see you and think that you look younger, but they won’t be able to pinpoint why. But since you know your face better than anyone, you’ll be able to detect the difference without any trouble. It’s the best of both worlds!
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Correcting Asymmetry With Juvederm Volbella for Lips

Faces look their best and most youthful when all the features are symmetrical. However, lips often become less symmetrical as we age, and in some cases, they were like that all along.

Either way, Juvederm Volbella is an effective treatment for asymmetry of the lips. By strategically injecting this dermal filler into affected areas, an experienced injection specialist can make sure the top and bottom lips are full and proportioned to one another.
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Anti-Aging Effects of Juvederm Volbella for Lips

As we age, our skin starts losing its fullness and elasticity. The skin around the eyes is fairly fragile, so fine lines and wrinkles often appear there early on in life. The same phenomenon happens to the lips, which start losing fullness and begin developing fine lines around their borders. Lips often lose their distinctive borders even more so as we age too.

Juvederm Volbella for lips effectively counteracts the signs of aging that are most closely associated with the lips and mouth. Specially formulated hyaluronic acid molecules fill and plump targeted areas. The proprietary technology that is used in this dermal filler ensures subtle, natural results.
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What to Expect During Your Juvederm Volbella for Lips Treatment at Harley Street

Prior to undergoing your Juvederm Volbella procedure, you will sit down for a consultation with Rupesh. After asking a series of questions about your medical history, Rupesh will have you point out the areas that you would like to correct. Be as descriptive as possible about your ultimate goals. Rupesh will carefully examine your lips and skin to determine if you are an ideal candidate for a Juvederm Volbella for lips treatment. As long as you get the go ahead, you will be able to schedule an appointment for your procedure.

Juvederm Volbella contains a small amount of lidocaine to minimize discomfort from injections. If you are especially worried about pain, a topical anesthetic may also be applied. First, though, the area that is being treated will be cleaned and prepped with alcohol or another antiseptic. A pen may be used to mark the areas where the injections will be made.

After administering the first injection, Rupesh will wait briefly to allow the lidocaine to take effect. As injections are made using an ultra-fine needle, the treatment area may be gently massaged to spread out the filler more evenly and ice may be used to minimise discomfort and swelling.
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What Makes Juvederm Volbella Different?
Juvederm volbella for lips you do a little searching, you’ll quickly discover that there are several FDA-approved injectable lip fillers on the market today. Each has its own distinct qualities, but what makes Juvederm Volbella for lips special?

The key difference between Juvederm Volbella and other leading lip fillers involves the way in which hyaluronic acid molecules in the solution interact with one another. Allergan, the manufacturer of Volbella, has enhanced the filler with its proprietary Vycross technology. Unveiled in 2013, Vycross involves using a combination of high- and low-molecular-weight hyaluronic acid molecules to improve their cross-linking efficiency. The main advantage of this technique is that less hyaluronic acid is needed, so there is less swelling. This formula works because, due to the varying sizes of the hyaluronic acid molecules, the gel-like substance absorbs less water.

Vycross technology creates a gel with a consistency that works amazingly well at plumping lips, correcting asymmetry and diminishing fine lines around the mouth. If those are your problem areas, and you want a solution that will last for 12 months, Juvederm Volbella may be the answer.
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Non-Surgical Harley Street Lip Augmentation

Juvederm Volbella Dermal Fillers
The most popular non surgical cosmetic procedures performed in united Kingdom are those using dermal fillers. These products can restore volume to hands, face, feet and some are approved for the delicate area of the lips. Most fillers today contain hyaluronic acid which is a naturally occurring substance that can increase volume by stimulating the production of collagen.

The results obtained by most fillers will last from 3 to 6 months, although Juvederm Volbella is reported to be effective up to one year following initial treatment.

Juvederm Volbella is not only effective in adding volume to the lips, it is thin enough to be carefully injected into the area just above the lips to smooth the vertical lines known as smoker’s lines.

While the other fillers on the market have not been specifically approved for lip augmentation, that does not mean they are prohibited.
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Why Consider Lip Augmentation?
The majority of people seeking lip augmentation want to either correct inherited thin lips or regain the youthful plumpness lost through aging. Along with the aging process, many women are plagued with vertical lines, called smoker's lines that intensify the perception of age. These lines form for many reasons other than smoking. Using straws, talking, puckering the lips and genetics all play a part in forming mouth wrinkles.

Lip augmentation does not only concern adding volume to thin lips or smoothing out wrinkles. There are other issues that detract from facial beauty and balance that can be corrected such as a gummy smile, overly large lips and lips that lack definition.
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Lip Augmentation
The lips have recently become the center of attention in the world of cosmetic enhancement. Full lush lips are the new ‘normal’ although statistically most of us fall short of the mark and try to enhance what nature gave us with make-up. For men, there are not many do-it-yourself options for correcting flaws in the lips other than growing a moustache. In addition to the plight of thin lips, some have overly large lips or lips that are uneven, while others have wrinkles that frame the lips and cause lipstick bleed.

If you are unhappy with the appearance of your lips there are now several exciting options available that can correct these shortcomings. The lips are very expressive and any enhancement needs to be carefully done to avoid the overly filled ‘duck lips’ that we have all seen as well as other issues.
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BOTOX WITH RUPESH AT HIS HARLEY STREET CLINIC
Botox is a cosmetic facial injectable that works as a muscle relaxer. It is used to temporarily relax the muscles that cause movement related creases in the forehead and around the eyes. Botox results in a smoother, relaxed and refreshed appearance.

What can be expected?
Each patient should be given an individualized consultation in which the wrinkles of the eyes and forehead are evaluated, both with the face relaxed and again when squinting, frowning and smiling. The wrinkles that appear around the eyes and in the forehead are those that are best targeted for Botox.

Botox is a neuromuscular inhibitor, meaning that it reduces the muscle activity to the area injected. For facial lines, this means that the treatment targets the muscles that contribute to deep facial wrinkles. By relaxing their muscle activation, the face appears smoother.

Where is it injected?
Botox is FDA approved for treatment of the vertical lines between the eyebrows and the crow’s feet that appear to the sides of the eyes. In addition, it can address horizontal forehead creases.

How long does it last?
Botox results can typically be seen 3-5 days after the injections. Over the course of the first several days from injection, the wrinkles will start to soften as the muscle activation is inhibited and the skin is smoothed. The outcomes last approximately 2-5 months. For many individuals, repeated treatment every 4 months, helps to keep the wrinkles at bay.
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