What no man wants to talk about prematurley

Everyone has had some issue or the other. A malfunction at the wrong time or as one ages, a malfunction most of the time.

That doesn’t mean there isn’t a solution for this. But there is a golden rule, if you don’t ask for help then how are you going to get any help?


Erectile Dysfunction (Premature Ejaculation)


What is Premature Ejaculation?

Premature ejaculation (Erectile Dysfunction)  is a common ejaculatory problem. It occurs before even sexual intercourse or within seconds of sexual intercourse. In other words, ejaculation occurs before the man wants it to happen. It may occur before or after beginning foreplay or intercourse. Some men experience a lot of personal distress because of this condition. Whilst some men have episodes every now and then, if you’re finding that 50% of the time your experiencing pre-mature ejaculation, it is about time that you did something. You don’t have to suffer in silence.


Is Premature Ejaculation common?

It affects 1 in 5 men i.e 20% of the male population who have been affected at some point in their life.


Why does it happen?

There has been a few known factors which contribute to premature ejaculation. Psychological problems such as stress, depression and other factors that affect mental, emotional and biological factors can make some men more prone to experience premature ejaculation.


How do you know if you have Premature Ejaculation?

The key symptoms of premature ejaculation include:

  –  Ejaculation with little sexual stimulation and with poor or little control;

  –  Decreased sexual pleasure because of poor control over ejaculation

  –  Feelings of guilt, embarrassment or frustration

Premature ejaculation is diagnosed based on your history and any underlying causes. A thorough sexual history will have to be discussed. Be frank and open. The more your Cosmetic Surgeon knows, the better they can help you.

If your sexual history fails to reveal significant mental or emotional factors that may contribute to premature ejaculation, your doctor may want to examine you. Your doctor may examine your prostate or do neurological tests (tests of your nervous system) to determine if there is a physical problem that could be causing premature ejaculation.


How long does Premature Ejaculation last?

Sometimes, premature ejaculation is self-limiting i.e they go away on their own. Some may last a few weeks to a few months, others longer.

Working to relieve the underlying issues may help the situation to improve. Some men respond to treatment promptly, while others struggle with this problem over a prolonged period. Treatment is available and it does work.


How do you prevent Premature Ejaculation?

There is no known way to prevent premature ejaculation. However, you should maintain a healthy attitude toward sex. If you experience feelings of anxiety, guilt or frustration about your sex life, consider seeking help.

Anyone can experience sexual problems. If you experience premature ejaculation, don’t blame yourself or feel inadequate. Try speaking openly with your partner to avoid miscommunication. There are treatments available.


What are the treatments for Premature Ejaculation?

There are a number of things you can try yourself before seeking medical help. The outlook is good when treatment is sought.

It can sometimes help to:

–  masturbate priot to having sex an hour or two before

–  use a thicker condom to decrease sensation However, these techniques may interfere with the  pleasure experienced during sex.

–  take a deep breath to briefly shut down the ejaculatory reflex

–  have sex with your partner on top (to allow them to pull away when you are close to ejaculating)

–  take breaks during sex and think about something boring.

The use of topical anaesthetics can help to decrease sensation but may be transferred and absorbed to the vagina, causing decreased sensation to both you and your partner.

The use of certain medications is another which needs to be taken regularly. They take time to work.

Behavioural and Couples therapy are others.


What is the average sex cycle?

In one study an average time from the start of sexual intercourse to ejaculation took 5 minutes 30 seconds.


What else can be done long term?

If you’re tired of taking daily medications, or applying anesthetic creams prior to intercourse and not enjoying sexual intercourse as you or your partner should, there maybe one longer term solution for you.

Hyaluronic Acid (Dermal Fillers). Its important to realise they have an enormous role to play.

The results of using dermal fillers in the glans penis suggest that glandular augmentation with injectable Hyaluronic Acid gel is a safe and effective modality to reduce sensory of glans penis.

In studies the ejaculatory time from start to finish increased significantly.


How long does the procedure take?

The procedure takes 45 mins to perform in the clinic. It is only performed after a thorough consultation is carried out by our Cosmetic Surgeon and if it is deemed safe for you. You should allot an hour from start to finish on consultation and treatment. Some cases may take longer and every case is assessed on merits.


Is it painful?

We always use a local anaesthetic to numb the area which is left for 20-30 minutes or a nerve block to numb the area faster. Thereafter you will feel that something is happening but you should not feel any pain per se.


How long does this procedure last?

This can last upto 6-12 months. At the 6 month mark the HA fillers start to breakdown and by the 12th month mark they are completley dissolved and absorbed by the body. We would recommend a touch up procedure at the 6-8th month mark to maintain the effectiveness.


How much does this cost?

Prices start at £1,500 upwards. A final price can only be determined upon consultation.


How do I prepare for this procedure?

Keep the area dry and clean.

Avoid blood thinning over-the-counter medications such as Aspirin, Motrin, Ibuprofen, and Aleve one week prior to injections.

Avoid supplements, including St. John’s Wort, gingko biloba, primrose oil, garlic, ginseng, and Vitamin E for one week prior to injections.

Avoid waxing, bleaching, tweezing, or hair removal cream on the area to be treated for 2 days prior.

Do not drink alcoholic beverages 24 hours prior.

Start taking Arnica two days prior to the procedure. (This is not required, but will help to lessen bruising).

It isn’t advisable to use dermal fillers if you are allergic to any ingredients, or suffer from neurological disorders.


Are there any side effects?

You will have swelling and redness from a few days and may last for weeks. This starts to settle after a few days and is normally gone in 3–4 weeks. To help alleviate swelling, we recommend an antihistamine during the day, like Zyrtec or Claritin, and Benedryl at night.

You may have some discomfort but this is not usually severe.

little bruising is expected, especially if blood thinning agents such as aspirin, Ibuprofen (Nurofen or Advil), fish or krill oil, flaxseed oil or multivitamins have been ingested in the previous two weeks. To help alleviate bruising, we recommend taking Arnica or Bromelain, eating fresh pineapple, and applying ice to the area.

If there is a visible bump, you can massage the area. Depending on the areas treated and the product used, you may feel “firmness.” These areas will soften and settle with time (usually 1-2 weeks).

Whilst not everyone experiences these side effects, they have been reported and you should be informed that they can occur:

–  Recurrence of premature ejaculation

–  Glans pain or paresthesia

–  Erectile dysfunction

–  Haematoma

–  Scar formation

–  Infection

–  Wound breakdown

–  Failure of the procedure


Where else can you use Hyaluronic Acid?

Any part of the body that requires volume or a lift.

From the face to genitals to the feet.

But this can be used to augment the penis in more ways than one.


What should you do?

Book a consultation with us and see if this is a treatment modality for you. Call us on 0207 126 7111 or email us on info@harleystreets.com we will then advise you on what the next steps are.


0207 126 7111


104 Harley Street, London

Dark Circles Under The Eyes & Their Medical Treatment

Dark circles under the lower eyelids are common in men and women. Often accompanied by bags, dark circles can make you appear older than you are. To make the matter worse, they can be difficult to get rid of.


Though they can affect anyone, dark circles are most common in people who:

– are elderly.

– have a genetic predisposition to this condition.

– are from non-white ethnic groups (darker skin tones are more prone to hyperpigmentation around the eye area).


While fatigue may seem like the most logical explanation for this condition, there are a number of factors that can contribute to dark circles under the eyes. In most cases, there are no causes for concern and do not require medical attention.

What causes dark circles?


Fatigue – Oversleeping, extreme fatigue, or just staying up a few hours past your normal bedtime can cause dark circles to form under your eyes.

Age – Natural aging is another common cause of those dark circles beneath your eyes. As you get older, your skin becomes thinner.

Eye strain – Staring at your television or computer screen can cause significant strain on your eyes. This strain can cause blood vessels around your eyes to enlarge. As a result, the skin surrounding your eyes can darken.

Allergies – Allergic reactions and eye dryness can trigger dark circles. When you have an allergic reaction, your body releases histamines as a response to harmful bacteria

Dehydration – Dehydration is a common cause of dark circles under your eyes. When your body is not receiving the proper amount of water, the skin beneath your eyes begins to look dull and your eyes look sunken.

Sun overexposure – Overexposure to the sun can cause your body to produce an excess of melanin, the pigment that provides your skin with color. Too much sun, particularly for your eyes can cause pigmentation in the surrounding skin to darken.

Genetics – Family history also plays a part in developing dark circles under your eyes. It can be an inherited trait seen early in childhood and may worsen as you age or slowly disappear.


Medical Treatments


For a more effective and permanent solution, some medical treatments are available to reduce the appearance of dark circles. Some of the more common methods include:

1. Chemical peels to reduce pigmentation.

2. Laser surgery to resurface the skin and enhance skin tightening.

3. Medical tattoos to inject pigment into thin skin areas.

4. Tissue fillers to conceal blood vessels and melanin that are causing skin discoloration beneath your eyes.

5. Fat removal to remove excess fat and skin, revealing a smoother and more even surface.

6. Surgical implants of fat or synthetic products.


Before deciding on any cosmetic procedure, discuss your options with a doctor. Invasive medical treatments can be expensive, painful, and often require long recovery time.

before and after dark circle


Dr. Dheeraj Bhar – Cosmetic and Aesthetic Surgeon


Dr. D Bhar has trained across three continents and is a Diplomate of the Royal College Of Surgeons of Glasgow, a Korean Board Certified Cosmetic Surgeon and Board Certified from the American Board Of Aesthetic Medicine. Dr. Bhar brings you an Exclusive and Premier service in Aesthetics and Cosmetic Surgery.

He doesn’t just practice Aesthetics and Cosmetic Surgery,  he practices the art of perfecting beauty by creating through meticulous skill and delicate dexterity a vision to sculpt and reshape the human form.

He makes people beautiful.


You can schedule your free consultation with Dr. Dheeraj Bhar today! Visit www.harleystreets.com or Call 020 7935 6554


Rejuvenate Your Skin – Use Cosmetic Skin Peel Treatment

Chances are, you’ve heard of skin peel treatment and may have thought about trying this beauty treatment method yourself. But how do they work? Do they have any harmful effects, and what precautions should you take while using them? Make sure you have all the information before deciding if you ought to go ahead with this treatment.


What Skin Peel Treatments are Available?


There are several types of skin peels available, however glycolic acid peel and TCA Easy Peel are the most popular and effective treatments. They both are based on mild acids derived from fruit, which gently slough off dead skin, with glycolic peel being slightly milder than TCA peel.

Glycolic Acid Peel


Glycolic acid is extracted from sugar cane. This gentle acid is used to eradicate impurities such as dead skin cells from the skin’s surface and promote the growth of new, healthy skin. After several sessions of glycolic acid peel – generally 6-8 short sessions, once a week – the skin will be noticeably smoother and softer.

A glycolic peel is a natural treatment and does not normally produce any side effects as long as it has been applied by a qualified beauty therapist. It is not suitable for everyone, though, you should not undergo glycolic acid treatment if you have been taking Accutane medication in the last 12 months or if you have ever experienced kidney failure. Skin peels should also be avoided if you currently have any problems with your skin such as eczema, or any skin injuries.


TCA Easy Peel


TCA Easy Peel uses a stronger acid than glycolic peel and as such works much more deeply on the skin’s surface. It can be applied to the skin of the face or the hands to improve the overall health of the skin and make it look younger.


Affects of TCA Easy peel Treatment


The peel removes several top layers of skin, smoothing it out to reduce wrinkles and lines. TCA Easy Peel treatment takes 15-30 minutes per session. There will be an immediately noticeable effect, with the skin feeling tauter and healthier. Over the course of a few days, the top layers of skin will peel away and the fresher, healthier skin beneath will be revealed.


Precaution after TCA Easy Peel


After treatment with TCA peel, your skin will be more sensitive to sunlight for 6-8 weeks. During this time you should take care to keep the skin protected from the sun with hats and sun cream of SPF30 or higher. TCA Easy Peel has not been found to give any harmful side effects.


Before and after image of skin peel
Before and After Skin Peel


Dr. Dheeraj Bhar – Cosmetic and Aesthetic Surgeon

Dr. D Bhar has trained across three continents and is a Diplomate of the Royal College Of Surgeons of Glasgow, a Korean Board Certified Cosmetic Surgeon and Board Certified from the American Board Of Aesthetic Medicine. Dr. Bhar brings you an Exclusive and Premier service in Aesthetics and Cosmetic Surgery.

He doesn’t just practice Aesthetics and Cosmetic Surgery,  he practices the art of perfecting beauty by creating through meticulous skill and delicate dexterity a vision to sculpt and reshape the human form.

He makes people beautiful.

You can schedule your free consultation with Dr. Dheeraj Bhar today! Visit www.harleystreets.com or Call 020 7935 6554