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Flora

Adding Volume & Facial Contour

adding-volume-and-facial-contourWhile cosmetic treatments used to be all about ‘chasing’ lines and wrinkles, the past few years have focused more on re-contouring the face. There is no doubt that sculpted cheekbones and naturally plump ‘apple’ cheeks, a beautifully straight nose and a firm jawline contribute to a younger, more attractive profile. If you’re not naturally endowed with these features or have lost some of them with age (as we all do!), we can certainly give you a non-surgical helping hand with special contouring and volumising injections.

Don’t worry – we won’t give you that dreaded ‘pillow face’! Our aesthetic doctors dislike that look as much as you do. Our results look perfectly natural – that’s our signature look.

There are numerous facial contouring products on the market, but we only use highest quality, sterile hyaluronic acid (HA) products such as Restylane Perlane, Belotero, Emervel, Juvederm or Voluma. Hyaluronic acid (Hyaluronate) is an important physiological substance that all skin contains naturally. Its key roles are to maintain the plumpness and moisture that help keep the skin surface smooth and lifted, but levels decline with age.

Designed to enhance volume and facial contours, volumisers are more robust, better-lifting versions of hyaluronic acid wrinkle fillers and are injected deeper under the skin. How long the effects last depends on a variety of factors and varies from patient to patient. But nine to 12 months is the average. In time, the volumiser will be degraded by your body’s own enzymes – just as happens with your natural hyaluronic acid.

You’ll also be relieved to hear that we offer several forms of effective pain prevention. All of the volumisers we use already contain a local anaesthetic, so often nothing extra is needed. However, many patients opt for an additional numbing cream. This is applied 60 minutes prior to the procedure (make sure you explicitly request numbing cream, when booking!).

Science has confirmed that flatter cheeks make a face look substantially older, as sadly, the fat tissue in our cheeks is among the first to go as we age. Extensive endurance exercise such as daily running can hasten this decline even more. As well as experiencing age-related changes like this, there may be some people whose cheeks have always been on the flat side and are interested in improving their contours.

We can now enhance your cheeks non-surgically by injecting a lifting hyaluronic acid gel directly under the fat tissue in your cheeks (‘Y-Lift’). Our aesthetic doctors always aim for a completely natural look with gently sculpted cheekbones and naturally plump ‘apple’ cheeks. Don’t worry, we won’t overdo it – you won’t end up with a telltale ‘pillow face.’

The procedure is very straightforward and only involves two injections – a true ‘lunch break’ procedure as most people go back to their daily routine after the treatment. The results are immediately visible, but there may be some minor swelling for a couple of days and occasionally some bruising.

Non-surgical nose shaping is a relatively new variation of treatment with a hyaluronic acid filler/volumiser – and it can make a huge difference to your face. Not everyone is suitable for this treatment, but if you are, it can be a great alternative to a rhinoplasty (surgical ‘nose job’).

We can smooth prominent humps and bumps on the bridge of your nose, even out its shape or refine its profile. Your nose may even appear smaller than before treatment! As well as making your nose look straighter, we can elevate or uplift the tip if you wish. Conversely, if a prominent, upturned ‘ski-slope’ nose is the problem, we can make that look less obvious.

We also frequently have patients coming to see us in clinic, complaining that their noses are too flat, so they can’t wear glasses or sunglasses without them sliding down. With non-surgical nose shaping we can now build up flat noses, giving them a beautifully straight and even profile that supports glasses well.

The procedure can be done in less than 30 minutes – without surgery, breaking bones or painful downtime associated with rhinoplasty. In our clinic we use a product containing a local anaesthetic (plus application of numbing cream an hour prior to the procedure), so that the procedure is virtually painless.

The results are immediately visible, but you may experience mild swelling and tenderness for a few days and possibly some bruising after the procedure. On average, the results last six to twelve months.

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Flat nose with ‘sliding glasses’ problem before (left)
and after (right)
non-surgical nose shaping.

adding-volume-and-facial-contour3Unevenly shaped nose with bump on the bridge, and slightly prominent tip,
before (left) and after (right) non-surgical nose shaping

Some people are very conscious about their small or receding chin and would like a more balanced facial profile. By injecting a lifting and contouring hyaluronic acid gel into the chin area we can re-define the lower facial contours and balance your features.

A chin augmentation will also often make a prominent nose seem less large. The result will be similar to a surgical chin implant, but without surgery and completely natural-looking. We can also treat the jawline, making it appear firmer and better defined.

These non-surgical procedures are not only popular with women, but also with men who regard a prominent chin and jawline as attractively masculine.

Deep, tired-looking under eye hollows (‘tear troughs’) can be filled nicely with a special type of hyaluronic acid filler. However, not everyone’s a suitable patient, as this procedure won’t deliver good results if there’s puffiness (oedema) or prolapsed fat present on the lower eyelids. In these cases only surgery will help. But if the skin in your eye hollows seems to be lying directly on the bone with hardly any fatty padding between, and dark shadows are making you look constantly tired, a hyaluronic acid filler can make a major difference.

There is also the possibility of using a hyaluronic acid Skin Booster to correct under-eye hollows. As the under eye area is extremely fragile, it’s likely that you will experience some bruising and swelling after any treatment.

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Deep under eye hollows with dark circles, before (left)
and after (right) Skin Booster treatment

A non-surgical brow lift can be achieved by injecting a small dose of botulinum toxin (‘Botox’) into the outer third of each eyebrow. This will raise the arches by 1-2mm, giving a subtle and very natural-looking lift to the expression.

In some cases, an additional filler may be needed for optimal results and this can be injected two weeks after the botulinum toxin treatment.

adding-volume-and-facial-contour6With age, our lips gradually become thinner, less rounded and might develop fine vertical lines on and around them. So for a truly holistic facial rejuvenation process, we need to address this lip ‘deflation’. However, we fully appreciate that most people would not want to have their lips augmented, fearing that it will be obvious to others and also painful to do.

That’s why we have developed the amazing ‘Feather Lip Smoothie’. This treatment rejuvenates the lips by boosting hydration and adding a sensual, subtle roundness. Results will appear absolutely natural. A ‘Feather Lip Smoothie’ is done by injecting a hyaluronic acid containing Skin Booster with an innovative, flexible ‘needle’. This blund ‘needle’ is non-traumatising, and is specially designed to reduce the side effects of filler treatments.

Dr Stefanie has developed her very own signature approach which involves the use of one tiny entry point next to each corner of the mouth, inspired by the keyhole approach in surgery. Completely avoiding injections into the red of the lips will lead to much less swelling and bruising and causes very little discomfort.

Your lips will look younger and more rounded. A ‘Feather Lip Smoothie’ helps ease ‘lipstick bleed’ too. However, the treatment is not only wonderful to revive ageing lips, but also an amazing ‘Party boost’ for younger lips!

Woman and Home magazine, who featured Dr Stefanie, wrote: “Lip smoothing is one of those ‘why didn’t I think of it sooner’ treatments that work like a charm, and gives you a wonderfully soft and subtle effect. No trout pout, no over-fill, just young lip revival. Dermatologist Dr Stefanie Williams is a lip-rejuvenation pioneer.”

We also offer classic lip shaping and lip enhancements with specially designed hyaluronic acid fillers. We can do this procedure after completely numbing the area with a dental block – a local anaesthetic injected from inside the mouth similar to those at the dentist’s, but less long-lasting. Depending on the patient, the effects last on average for around three to six months. This treatment can also be combined with a filler around the lips to soften ‘lipstick bleed lines’ or ‘smoker’s lines’.

A ‘liquid face lift’ is the ultimate non-surgical rejuvenation treatment, consisting of a combination of botulinum toxin wrinkle relaxation injections (‘Botox’) plus multi-syringe facial contouring. The pioneering ‘liquid face lift’ approach is based on today’s understanding of facial balance, assessing and addressing the entire face and its structure harmoniously and in motion, rather than chasing isolated lines and wrinkles, which is so very ‘yesterday’!

With time, our face gradually looses volume and its typical youthful contour. A ‘liquid face lift’ gently restores more youthful contours and leaves you looking beautifully refreshed, without looking ‘done’! A ‘liquid face lift’ is an haute-couture treatment – tailored to each and every patient by our highly experienced aesthetic doctors.

One of the techniques they might use (if you are suitable) is the innovative ‘8-point lift’. With this ultra-advanced approach multiple small amounts of filler are administered into eight precise key points on each side of the face. Injecting these sixteen ‘trigger’ points can support and gently re-contour your entire facial structure and dramatically rejuvenate your overall appearance – in a completely natural way.

Dr Stefanie likes to compare it to a coat hanger. When we are young, our facial skin is supported well by underlying structures such as bone, muscles and fat. Unfortunately we loose some of that useful scaffolding over time. Sadly, loss of facial volume plus gravity will cause the overlying skin envelope to start sagging and our entire face looking older. It’s as if you take your coat from it’s hanger and put it on a simple hook at the door – the entire coat will sag and ‘wrinkle’.

If however, you take your coat of the hook and put it onto a proper coat hanger again (supporting only two key points where the shoulders would be!), then the entire coat will nicely keep its beautiful shape and even show less ‘wrinkles’!

The 8-point lift works a bit like that. We support the face by strategically adding some volume into certain key points. That supporting scaffold will make the entire face look more youthful, but in a completely balanced and natural way – nobody would ever know!

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