*Individual Results Will Vary
Why not Look and Feel Your Best
- Skin Care; Oiliness, Blackheads, and Brown spots
- Treatments for Specific Skin Disorders: Acne (inc. Scarring), Rosacea (inc. Rhinophyma)
- Disorders of the Hair follicle: Alopecia (male -pattern baldness), Ingrown hairs (Pseudofolliculitis Barbae)
- Facial Aging: Wrinkles, Lipoatrophy and Sagging
- Hormonal Decline – Andropause
- Stress Management for Executives and busy Professionals
Androgenic (male) hormones promote sebum secretion.
A proper daily skin care routine will reduce surface oiliness, and promote a healthier appearance. Sometimes a more vigorous approach is needed to deal with the build-up of dead cells on the skin’s surface which block pores and cause blackheads (e.g. microdermabrasion or glycolic acid peels).
Microdermabrasion is a simple procedure, taking 15-20 mins, in which a diamond-tipped wand, attached to a suction machine, is used to exfoliate the dead superficial skin cells evacuating the blocked pores, leaving the skin smooth and blemish-free. Skin care products applied after the procedure have a better chance of penetrating the skin and providing an ongoing benefit.
Glycolic acid peels also exfoliate dead skin cells and improve skin’s texture, they are not as effective against blackheads. They are usually prescribed as a series of treatments, with increasing concentration of acid at each application.
It is very important to see the doctor before having treatment for any facial brown spots; the diagnosis can range from benign photopigmentation (sundamage- treated with IPL or Fraxel), through benign lesions such as seborrheic keratosis (treatment cryotherapy); potentially pre-cancerous lesions such as actinic keratosis (several different treatments available), to outright skin cancer (e.g. melanoma surgical removal, skin grafting). * Individual Results Will Vary
For more information, see Skin section of the website.
Acne & Rosacea
Acne is very common in young men, commencing with the surge of testosterone production at puberty, and may persist into adulthood, often leading to scarring.
Dr. Hyland will prescribe standard medical treatments for acne- ranging from topical agents such as benzoyl peroxide, vitamin A acid gel, dapsone and topical antibiotics, to oral antibiotics or Accutane, depending on the severity of the condition.
Laser & light- based treatments encompass the use of blue light to combat the proliferation of p.acnes bacteria; photodynamic therapy, as well as ablative and non-ablative laser resurfacing for acne scarring.
Rosacea (see skin section), typically presents as facial capillaries and papules leading to a “ruddy “complexion; topical and oral antibiotics can be of use, and the capillary flushing can be dramatically improved with IPL (Intense Pulsed Light) treatments. A complication of rosacea which is almost exclusive to men is rhinophyma or enlargement and nodularity of the nose which can be cosmetically improved with the CO2 resurfacing laser (Smartxide)
Disorders of the Hair Follicle
Male- Pattern Alopecia
We offer medical, non-surgical approaches to the problem of receding hairlines; including prescription medication, adjunctive mesotherapy, and advice low-level laser therapy.
This is a common problem which presents as ingrown hairs and boils in the beard area, aggravated by shaving.
It can be addressed by laser hair removal, with or without the addition of topical ornithine decarboxylase inhibitors.
Recurrent Pilonidal Cysts
In this instance, the ingrown hairs occur in the sacral region (base of spine), and present as abscesses, often requiring surgical drainage. Laser treatments of the area, in the dormancy or non-inflamed phase, can be of benefit in preventing recurrences.
Facial Aging: Wrinkles, Lipoatrophy, and Sagging
Looking and feeling your best can be achieved very easily these days; in-office non- surgical techniques, such as Botox and dermal fillers, can turn back the clock often in one visit (see example below, achieved with injectable Radiesse cheek implants); or more subtly and gradually, over a 4-6 month period, with a series of collagen stimulating Sculptra injections (see header photo).
*Individual Results Will Vary
Why bother? Because in today’s competitive workplace, first impressions count; in the USA approximately 30% of all visits to cosmetic medical centres are generated by men in the prime of life and only a small percentage of these visits are for surgical procedures.
We forget that persons we meet in the course of the working day are passing judgements based on our appearance (e.g. deep frown lines give a person an aura of being” hard to get along with), obvious aging features such as a double chin, jowls and marked facial sagging, may leave the observer with the impression that the person is an older worker past his prime and as such, may be a subconscious reason for passing him over for a promotion, in favour of a younger (looking) man – associated with more energy/drive/a future with the company.
Consultations are always one- on- one with the doctor and evening or weekend appointments are available by request.
The male equivalent of menopause, this midlife decline in testosterone production affects physical and psychosocial well-being; with symptoms ranging from loss of muscle mass and stamina, changes in body composition, decreased bone density, abdominal weight gain with the associated risks of hyperlipidaemia, insulin resistance and hypertension (metabolic syndrome), loss of libido and possibly *erectile dysfunction and subtle cognitive changes including fatigue, loss of drive, indecisiveness and memory deficits.
* Erectile dysfunction is said to affect approximately 40% of men over 40; along with hormonal decline, causative factors can be vascular, side-effects of medication, or stress-related.
Aside from testosterone deficiency, imbalances between testosterone and its metabolites – estradiol (yes- men produce female hormones too!) and DHT (dihydrotestosterone) can be implicated in gynecomastia (enlargement of breast tissue), prostatic hypertrophy and male-pattern baldness.
Chronic stress results in a shift away from the production of sex hormones towards the production of the adrenal stress hormone cortisol, with resulting impact on body composition and glucose metabolism, interfering with the cyclic nocturnal production of melatonin – a hormone important for sleep, also implicated in normal immune system function; in turn, sleep deprivation decreases Growth Hormone production, further affecting body composition and lean muscle mass.
A metabolic approach to andropause entails looking at the complex inter-relations of the hormones mentioned above, correcting deficiencies, intervening in metabolic pathways and addressing lifestyle factors such as weight gain, lack of exercise and stress management. We offer salivary hormone testing, micronutrient analysis, and metabolic testing such as BMR, body composition analysis, and submaximal VO2 fitness testing, through private labs.
See website section- Wellness Programs.
Dr. Hyland, in addition to 30 years’ experience in family medicine, has fellowship training in Metabolic & Nutritional Medicine under the auspices of the American Academy of Anti-Aging Medicine (A4M). Metabolic consultations are subject to a private fee.
Stress Management For Executives
We offer individualised life coaching, personality assessments and stress management counselling and workplace seminars tailored to your needs as well as your organisation. Our staff include a medical doctor, and a consultant with a Master’s Degree in Human Resource Development and Organizational Development, and a PhD in philosophical counselling. combined, we bring 70 years of professional expertise in dealing with all aspects of fallout from organisational and individual stress. Take control, give us a call, and let us help you reach your full potential.