• Dr. Naureen Akhtar General Practitioner MBBS,MRCGP,DRCOG

What Happens To Your Face as You Age – Facial Aging in Your 20s, 30s and 40s

facial aging

As you age, your skin begins to look and feel different. Apart from that, the actual shape of your face also changes. Find out more about facial aging changes in your 20s, 30s and 40s and what you can do to keep your skin healthy and radiant-looking.

Facial Aging Begins in Your 20s

When you head from being a teenager into young adulthood, you start to lose baby fat. Though the changes are subtle, you start to look more like a woman and less like a girl. You may not believe it but facial aging starts at this phase.

This is the time when very early signs of so-called motor wrinkles – the creases and facial lines related to movement – first appear. Also, if you spend most of your time squinting in front of a computer screen, you may also start to see ‘crow’s feet’ or the tiny lines around the eyes.

Young women should also watch for melasma – a brown hyperpigmentation that appears on the forehead and cheeks, caused by a combination of hormones, sun exposure and pregnancy.

What to Do?

To maintain your youthful glow, avoid the sun if possible and always use sunscreen when you’re outside. How you look in your 40s and beyond will reflect on what you do in your 20s. Applying sunscreen is key.

Start using moisturizers on a regular basis. Dermatologists recommend using retinol-based skin care products.

Facial Aging in Your 30s

This is the decade when you’ll notice your skin is less radiant and appears ‘tired’. You will start to notice deep crow’s feet including past sun damage that may aggravate the appearance of small brown spots. Be prepared for the dreaded 11’s – the parallel lines that emerge between your brows.

Both the 11’s and the nasolabial lines around your mouth will appear during this decade.

What to Do?

Experts suggest to increase usage of retinol products to three to four times a week. Also, this is the time you have to use moisturizers and sunscreens. Chemical peels can eliminate minor imperfections and maintain that ‘youthful glow’. To add, this is the decade to go after those wrinkles with Botox and dermal fillers such as Juvederm and Restylane.

Keep in mind that the best way to make the most of the results and ensure safety is to look for a board-certified plastic surgeon or dermatologist.

Facial Aging in Your 40s

When you reach 40, the facial lines and wrinkles become deeper. Lines around your upper lip – called the purse string muscle – start to appear. Since this area is prominent, it is highly prone to sun damage. If you skipped sunscreen on this area, you will see the aging lines here first.

Be prepared to see more lines and creases on your forehead, eyes plus a more noticeable smile lines.

What to Do?

Consider Botox and dermal fillers at this point if you haven’t tried it on your 30s. You also have to use stronger moisturizers and a night cream. Experts believe that when you sleep, your skin undergoes a natural healing process so skincare products intended for night use are absorbed better and may provide better results.

Dermal Fillers for Acne: Review of Various Filler Products

dermal filler for acne

A recent study discusses the common occurrence of acne vulgaris and look at different types of dermal fillers for acne including temporary, semi-permanent and permanent dermal fillers.

Acne vulgaris is a skin condition that commonly affects adolescents (approximately 80 percent) and often appears at the face, neck and back. Subsequent scarring is a prominent concern among acne sufferers. Acne has been classified into two – atrophic acne and hypertrophic acne. Atrophic acne is more common and is further divided into boxcar, rolling scar and ice pick scar.

A newly adapted treatment for acne scars is the use of temporary, semi-permanent or permanent dermal fillers. A research published by the British Association of Dermatologists studied dermal filler as treatment for acne scars, based on a compilation of previously conducted research.

Selected dermal fillers for acne was compiled for review. Only hyaluronic acid was identified as temporary dermal filler. Under semi-permanent dermal fillers for acne, calcium hydroxylapatite, better known as Radiesse and poly-L-lactic acid with the trade name of Sculptra were included. Under permanent dermal fillers, Aquamid (polyacrylamide), Bellafill (Polymethylmethacrylate), silicone and Bio-Alcamid (polyalkylimide) were listed.

For each filler, a number of researches were organised into groups to identify and describe their findings and aims. The article also identified one of the listed dermal fillers Bellafill (PMMA) as approved by the Food and Drug Administration (FDA) based on results from randomized controlled trial. Also, it was stated that fillers administered topically may need laser assistance at some point.

The article concluded that while dermal fillers are commonly used for tissue augmentation, they are not fully utilized when it comes to the treatment of acne scars. The FDA-approved dermal filler for acne Bellafill yielded strong results during a randomized controlled trial. The research focuses to the indication that fillers are effective for the treatment of boxcar and rolling atrophic acne scars. The article added that efficient use may be associated to the length of action of the treatment.

While the article doesn’t introduce new research, it successfully compiled pre-existing data and gives a convincing conclusion supporting dermal filler treatment for atrophic acne scars. With the increasing regard for skin care and treatment, dermatologists may be able to suggest dermal fillers as treatment options for acne scars.

Today, there is a variety of treatment options available that can be prescribed to match a wide range of skin conditions and types, providing options that meet the needs of the patient. Further research on dermal fillers can probably lead to FDA approval to expand options for patients and this emerging area of the pharmaceutical industry.

Dermal Filler Hyaluronic Acid Comparison: Two Options But No Difference, Research Claim

Hyaluronic acid is one of the body’s natural components. It works as a coat around each cell in various tissues, especially in the skin and cartilages. In cartilages, for instance, hyaluronic acid improves the resistance of tissue to compression and offers an easy sliding surface between two cartilages. When it comes to the skin, hyaluronic acid surround dermal cells and helps in skin fullness, shaping and its youthful appearance, aside from its major role in wound healing.

Hyaluronic acid can be made using genetically modified bacteria that manufactures human-grade hyaluronic acid. It is also called as non-animal hyaluronic acid. Synthesized hyaluronic acid has lots of cosmetic and medical applications. For the purpose of skin rejuvenation and youth restoration, dermal fillers are very popular as an injectable substance that can fill folds, smoother wrinkles and lines and add volume to the lips and cheeks.

A recent study has been published by the Dermatologic Surgery comparing two types of dermal filler hyaluronic acid as an injectable dermal filler for the lips and perioral enhancement among two groups. The first type of hyaluronic acid is the Juvederm Volbella XC (VYC-15L).

dermal filler hyaluronic acid

Juvederm Volbella XC is a smooth, colorless, clear injectable gel that contains a tiny amount of lidocaine (local anesthetic). It is made using VYCross technology to create a specialized smooth gel filler that will last long. This dermal filler hyaluronic acid is usually injected directly around and into the lips through the use of an ultrafine needle to smoothen the appearance of lines around the perioral area or plump the lips for lip enhancement.

The second dermal filler hyaluronic acid is the more advanced and expensive type, known as NASHA (non-animal stabilized hyaluronic acid).

Patented NASHA technology keeps the natural molecular structure of dermal filler hyaluronic acid by keeping the way that HA molecules connect with each other. To ensure that NASHA dermal filler is not quickly degraded once administered and make the effects more long-lasting, cross-links are included between the HA molecules. This will make the result of NASA gels more stable and the effect more lasting.

Top: NASHA preserves the natural way that HA molecules connect with each other (top) and includes some additional contacts (bottom) to make the results more long lasting.
Bottom: NASHA preserves the way that HA molecules connect with each other

NASHA gels are modified minimally and carefully tested for impurities so they’re not identified by the body as foreign. This reduces unwanted reactions to the gels.

The two groups, composed of 225 randomized adults who got lip and perioral enhancements by administering VYC-15L or NASHA. Juvederm Volbella XC’s results were assessed at 3 months and after 1 year, along with NASHA through the use of Lip Fullness Scale (LFS). Based on assessment, the general results were similar in both groups.

In addition, when complications and safety outcome were checked, researchers discovered that the dermal filler hyaluronic acid treatment with Juvederm Volbella XC delivers less distraction to usual daily activities as compared to NASHA treatment. This only shows that Juvederm Volbella XC isn’t inferior to NASHA when it comes to effectiveness and safety on lip and perioral enhancement.

Top 3 Most Common Wedding Cosmetic Procedures

wedding cosmetic procedures

Planning your wedding isn’t all about buying the most fabulous cake, creating the perfect venue and deciding on the perfect dress. As a bride, your wedding is one of the best and most memorable days of your life and it is understandable that you want to look your best.

Nowadays, more and more brides are opting to have extensive wedding makeovers to make sure they look the most radiant on their wedding. We have looked into the most common wedding cosmetic procedures brides today are requesting before they walk down the aisle.

Chemical Peels

Chemical peels are formulas applied topically to help exfoliate dead skin cells and rejuvenate the skin’s surface. This procedure renews the skin to encourage shedding of the old skin layer. In just a week after the procedure, you’ll notice that the top layer of the skin sheds and a new layer reveals, giving you a radiant, youthful appearance.

Botox

The procedure involves targeted injections of the drug OnaBotulinumToxinA on smooth facial wrinkles using an ultra-fine needle. After the procedure, no recovery time is necessary. Botox injections are used for smoothening wrinkles around the eyes and mouth, between the eyebrows, the neck and the forehead.

The treatment procedure is practically painless and does not take long hours. When done properly with an experienced injector, it can literally erase years off on your face. Botox can also be used as a prevention, especially when you begin to notice wrinkles on your forehead, around your eyes or between your brows.

Hyaluronic Acid Fillers

This procedure involves multiple injections, similar to how Botox is administered. Dermal filler is often used to smoothen wrinkles, fill in hollow areas of the face, plump the lips and lessen the appearance of scars. Hyaluronic acid filler comes in a variety of brands that include Restylane, Juvederm and Belotero.

Dermal fillers can help restore volume loss. Facial volume loss can make you look five to 10 years older than your age. As we age, we often lose the volume in our cheeks and the skin starts to sag. By adding volume into the cheek area, it makes it appear round and it also pulls the nasal-labial folds (or the parentheses). Filling the temporal hollows will help you look not too gaunt. We can also fill your jaws to achieve a straighter jawline, making you look more youthful.

Why Use Wedding Cosmetic Procedures

Like high school reunions, weddings are one of the major life events that inspire and motivate our patients to look for treatment procedures that will enhance their appearance. Brides-to-be must allot plenty of time to look around, research and plan the procedures they want to be done and should set aside ample time for proper healing before they walk down the aisle.

Are you interested in having wedding cosmetic procedures as part of your preparation? Please leave us a comment about the treatment you are considering.

Facts about Dermal Filler Sculptra Butt Lift

Do you feel frustrated with your sagging behind? One of the greatest innovations in cosmetic enhancement is called Sculptra Butt Lift, a surgery-free method to enhance or augment the buttocks.

Childbirth, age and lifestyle habits can have a huge effect on your derriere. Sometimes, no matter how many hours you spent at the gym, gravity still takes a toll. If you are in search for a little help in this area with less downtime, consider this non-invasive treatment Sculptra Butt Lift.

A minimally-invasive procedure, Sculptra Butt Lift shouldn’t be used as a substitute for fat grafting or butt implants. It is intended for patients who wishes a subtle lift, some contouring, a modest volume increase and an improvement in the texture of their buttock area.

What is Sculptra?

Sculptra is an FDA-approved dermal filler used for treatment facial volume loss. Composed of poly-L-lactic acid, Sculptra works by replacing lost collagen and working well to lessen wrinkles on the face. The product has been used widely all over the world since 1999 and the treatment has been done on more than 200,000 patients in over 30 countries.

Through a series of treatments done over a number of months, Sculptra is administered directly into the target area. It will gradually stimulate collagen and fill up the depleted tissue. The results of Sculptra may last up to two years. It will eventually be harmlessly absorbed by your body.

The good news is, aside from smoothing the face, Sculptra can also work wonders on the butt. Without the complication and expense of a surgical butt lift, you can definitely notice comparable results.

Sculptra butt lift can be given for patients who desire to have more volume in their buttocks, those with sagging or flat buttocks and even healthy patients with realistic expectations.

How the Sculptra Butt Lift Works

For the preparation, the buttocks are numbed and iced to reduce discomfort and swelling. Each treatment can be done within an hour. Patients will notice immediately changes in the appearance of their buttocks.

The best results can be achieved after2 to 4 treatments, with at least 3 weeks in between treatments. As the Sculptra works, you’ll start to see a change to your behind. Your enhanced buttocks will appear much fuller than before, improving your natural curves.

After the procedure, you will have some home instructions for post-operative care. Follow these instructions carefully. If you have any questions, feel free to ask after the appointment. If it’s necessary, we can schedule any follow-up treatments before you’re discharged.

Initial side effects of Sculptra treatment include minor swelling, bruising or bumps. A quick massage is performed on the treated area to spread the product evenly. If you are concerned about the side effects of Sculptra, you may ask for more details during your consultation.

How a Liquid Facelift Can Help With Your Cheek Wrinkles

cheek wrinkles

Cosmetic doctors from different parts of the world have been using advanced liquid facelift products such as Botox and dermal fillers to correct different types of cheek wrinkles. Cheek wrinkles can extend from your crow’s feet going down to your jawline just above the cheek hollow region of the face. Also called as sub-malar, this cheek hollow area is the flat area on the side of the face that extends above the jaw line.

Prior to the application of dermal fillers, the areas to be treated are numbed with a topical anesthetic, nerve block or a local anesthetic. Ice is also used during and after the treatment to minimize any swelling.

Upper Cheek Wrinkles

Wrinkles found at the outer corner of the eyes are usually called Crow’s feet. In some people, this lines can elongate over the cheek bone and on the cheek hollow. They are relatively shallow and superficial. When treating these lines, Botox are often combined with dermal fillers such as Restylane or Juvederm to relax and fill the wrinkles.

Botox is administered in the depressor muscles just above and outside the eyes and along the cheek bone area. The fillers are placed below the wrinkles, often at the dermis of the skin. The advantage of wrinkle reduction in this area is that it can stay longer than other facial areas as there’s less movement. Some doctors reported that patients who undergone upper wrinkle liquid facelift have wrinkles disappear for longer amounts of time.

Upper Cheek Contouring

The cheekbone is a common treatment zone for most people who seeking a facial lift. Over time, fat loss, collagen depletion and skeletal changes can flatten the cheeks. This only highlights sagging in various areas of the face such as the jowls, the hollows under the eyes and a downward turn of the lips.

Correcting the cheek area using dermal fillers can results to a subtle yet dramatic enhancement. Depending on your personal goals, we can provide a smooth curve on your cheeks, or a more dramatic ‘apple’ effect. Those who desire for a more ‘apple cheek’ can ask for more fillers in the upper cheekbone area.

Lower Cheek Wrinkles

Some people have facial wrinkles that extend from the cheek hollow around the jawline. Wrinkles present in this area are usually treated with a dermal filler such as Radiesse or Juvederm.

For shallow, superficial wrinkles, Juvederm may last up to a year when administered in this specific part of the face. For deeper wrinkles, Radiesse is an excellent product as it not only fill and lift deep wrinles but it helps stimulate collagen production, resulting in extended results. Some doctors use Sculptra in the cheek hollows too. Sculptra is an FDA-approved for parts that have atrophied or lost volume. Though it doesn’t fill, it can stimulate collagen production over time. This provides positive effect on the appearance of the wrinkles.

Some lower cheer wrinkle can be treated with Botox too. Depending on the patient’s goals and needs, some doctors use Botox to extend the longevity of advanced dermal fillers.

Why More People are Opting Non-Surgical Rhinoplasty Using Fillers

Non-surgical rhinoplasty

Today, non-surgical rhinoplasty is gaining huge popularity. A few years ago, it was relatively new but now, in-office procedure is becoming more commonplace.

Nose jobs, also known as rhinoplasty, is one of the most popular plastic surgery in the UK, but many people that would want to enhance the appearance of their nose simply can’t afford it. That is until doctors begin getting creative of dermal fillers.

What is Non-Surgical Nose job?

Also known as liquid rhinoplasty, a non-surgical nose job aims to change the shape of the nose through the use of injectable fillers. Liquid rhinoplasty can improve the size, shape and in some cases, position of the nasal tip, hide the bump and straighten the nose.

However, liquid rhinoplasty isn’t for everyone. It can only be used to fill depression or hollows. It cannot remove the bump or make the nose look small. An examination and consultation is very important to determine if you are a qualified candidate for non-surgical rhinoplasty.

What Product is Used in Non-Surgical Rhinoplasty?

Juvederm, Perlane, Radiesse and Restylane can all be used for non-surgical rhinoplasty. Hyaluronic acid fillers are the ideal injectable formula for liquid rhinoplasty.

dermal-fillers

These products are the easiest to shape and mild. They can be completely removed within 24 hours if you desired to inject another medication. Further, they don’t interfere with future rhinoplasty.

Does It Hurt?

A topical anesthetic medication is applied on the skin before the injection. In addition, the filler contains a numbing medication mixed to it to make the nose numb as the procedure progresses. The numbing effect will last for one hour.

How Does Non-Surgical Rhinoplasty Work?

Non-surgical rhinoplasty using hyaluronic acid filler can be done within 15 minutes after having your initial consultation.

The filler is injected in different parts of the nose depending on problem you want to correct. Many people prefer liquid rhinoplasty to disguise a hump on the nose bridge, reshape the tip of increase the height of the bridge.

What to Expect?

  1. The doctor will prepare the area with a topical anesthesia.
  2. Filler is injected.
  3. The doctor will massage the area once it’s been injected to shape it and mold it in place.

What are the Instructions After the Procedure?

The best part about non-surgical nose job is that you can actually reverse the procedure if you do not like the results or if you decide to get a surgical rhinoplasty. Your doctor will use a hyaluronidase enzyme to dissolve the fillers.

  1. Gently apply cold therapy using ice pack to your nose for the first 24 hours as tolerated.
  2. For the first 24 hours, keep the head of the bed elevated. Use two pillows to elevate your head slightly higher than your heart.
  3. For the first two weeks, don’t apply pressure, massage your nose or push your nose.
  4. You can wear makeup or any cosmetics anytime.
  5. You can get your nose wet, through swimming or shower, immediately.

Using Dermal Filler for Earlobe Rejuvenation

earlobe rejuvenation-1

Have you noticed that your earlobes look deflated and are not nicely shaped as they once were? Some clients feel their earlobe look unpleasant after years of wearing heavy earrings. Aging is inevitable and most people are so focused on restoring and rejuvenating the youthful appearance of their face that they often overlook other important areas such as the hands, chest, neck and even earlobes.

Gravity, weight of the earrings and volume loss take a toll on our ears, causing the earlobes to sag and the skin stretched out. People who have sagging earlobes and seeking ways to correct or experienced an adversely reaction to ear piercing may find themselves looking for ways to restore the beauty of their ears.

Stretched out piercings and sagging earlobes can be improved with dermal filler injections. Skin Hampshire can tailor a dermal filler treatment plan to firm up and reshape your ears.

Benefits of Non-Surgical Earlobe Rejuvenation

earlobe rejuvenation

Many surgical procedures can repair this issue but most people prefer non-surgical option through dermal filler injections. Depending on the client’s condition, the doctor may use one of the following dermal fillers for earlobe rejuvenation.

  1. Juvederm
  2. Radiesse
  3. Sculptra
  4. Restylane



Dermal fillers is injected into the earlobe using a fine needle to smoothen out creases and lines, add volume to the sagging skin and reduce the appearance of stretched out piercings. Although the injection are pain-free in general, the doctor can apply a topical anesthetic cream to the skin before the injection to lessen the discomfort.

After the procedure, you may notice some swelling, redness and/or bruising after the injection, but this should not last for more than two days. Earlobe rejuvenation may last 6 months up to a year. You can also wear earrings after the treatment. Dermal fillers usually last longer in the earlobes since there is no dynamic muscle movement unlike in the face.

Most patients will only need one treatment session for earlobe rejuvenation, but a second session may give better results. Dermal filler injections are generally sage when done by an expert injector.

Most patients seeking for total restoration and rejuvenation have a combination of procedures performed together. For example, you can get your earlobe rejuvenation using dermal fillers and at the same time with Botox injection to lessen frown lines in a single treatment session. You can discuss your rejuvenation needs with our doctor during the consultation so that we can develop the best course of action for you.

If you have noticed that your ear piercings are stretched out, your earlobes are starting to sage and lines are beginning to form, you may be a candidate for earlobe rejuvenation using dermal filler. Contact us by calling 07 720 621 060 to schedule a consultation.

The Benefits of Dermal Filler for Cleft Chin

cleft chin

When talking about chin surgery, most people think about how to make their chin bigger through chin implants or fat injections but an equally significant thing to consider is how to tone down an overly prominent chin. Under this category, one common procedure for when it comes to chin enhancement is how to correct an excessive, deep chin cleft.

Studies show that genetics cause the appearance of chin dimples or cleft chin deformity. Other names of cleft chin are:

  • Butt chin
  • Chin cleft
  • Dimple chin

What Causes Cleft Chin?

Before discussing how to correct a chin dimple, let us first talk about what causes it in the first place.

Many people think that a cleft chin is associated to how the chin bone looks. Below is an image showing what the chin bone actually looks like.

Mandible

Having a prominent cleft chin is believed to have a deep indentation in the middle of the chin bone, but it turns out that the chin bone usually have that prominent groove. The truth is, the mentalis muscle, the muscle that appears around the jawbones, fails to close at the chin, hence leaving a gap.

People with cleft chin have either a very thick mentalis muscles that create a ‘valley’ between the muscles, and/or a wide space between mentalis muscles.

Is a Cleft Chin Attractive?

People have different views on the cleft chin. Some feel it improves a person’s appearance while others find it ugly. A cleft chin is technically regarded as a flaw but numerous popular celebrities who have this facial feature are considered attractive and good looking.

Unlike cheek dimples, which represents youthfulness and innocence, a chin dimple is regarded by most women as contentious as they think having such is more masculine than feminine.

How to Correct a Prominent Cleft Chin through Dermal Fillers

There are a number of ways to enhance the appearance of the deep cleft chin. One of the most popular and most straightforward ways is to use dermal fillers to fill in the chin dimple. This can be done quickly in the doctor’s clinic and only takes a few minutes.

Dermal fillers such as Juvederm, Restylane or Radiesse can be used. However, this method is not permanent. This requires repeated application and may last from 6 months to a year.

There are permanent treatment options available which includes changing the chin bone itself or addressing the separation of the chin muscles surgically. One important thing to consider is that it’s too complicated to completely alter a very prominent cleft chin through surgery alone. This is because it’s important to avoid changing the chin when working with the chin muscles. The goal is to have a natural looking and subtle chin result. Hence, surgeons are limited to how they can modify the chin muscles toward the midline.

The most dermal fillers can do for cleft chin is to make it less visible. It is impossible to eliminate chin dimple even with surgery. But there are other ways to hide It. Women can use makeup to make it less obvious. While men can gro beard to hide the gap between their chin.

Create the Perfect Chin with Dermal Fillers

chin enhancement

Ever felt that your chin isn’t symmetrical? Not prominent enough? Perhaps you felt that it’s not in balance with the rest of your face. Fortunately, there is a non-surgical solution for people who want to enhance their chin. Chin enhance can now be done using dermal fillers to improve the visual balance of your chin or appear more prominent.

What is Non-Surgical Chin Enhancement?

A chin augmentation is a type of treatment that can alter the contours of the chin using dermal filler injection. These fillers can add volume to the chin area, looking more prominent. This procedure can subtly improve the appearance of the chin area. For most male patient, they can request for a more chiselled chin, while women can ask for a softer contours.

How it Works?

Your chin can be improved by injecting dermal filler. Injected material fills the skin volume, plumping the chin area and at the same time, changing the contour of the chin. There are several types of dermal fillers that can be used – permanent, semi-permanent and non-permanents.

Between the three types, the most common is the non-permanent as its effect is temporary and can easily be reversed. Permanent filler must be removed surgically. Each type of filler varies on how it creates volume under the skin and the duration of its effect. Chin enhancement using non-permanent filler usually lasts up to 6 months. Your chin will gradually go back to its pre-treatment appearance. Most patients prefer getting regular injections for keeping their enhanced chin.

Non-surgical chin enhancement is first done by applying anaesthetic cream on the chin area. Then a fine needle is injected to introduce small amounts of filler into the area. Dermal filler must be administered in small injection to make sure the treatment is evenly distributed.

Chin augmentation has become a popular quick rejuvenation treatment as patients can go back to work or return home immediately after the treatment. There’s no bandages and no downtime in this procedure.

Who are the best candidates for non-surgical chin enhancement?

chin enhancement

Suitable candidates for chin enhancement procedure are adults who desires to have a symmetrical contours of their chins. Chins that become less prominent due to weight loss and aging, those with asymmetries who want to correct, or people who wants to achieve a chiselled look, can benefit from chin enhancement injections. This treatment is suitable for men and women who are in good health.