Unhappy with your smile?? 

 Studies have been done using some very clever equipment which have been able to plot out where we look to first when we see a picture of someone’s face and they have backed up what has been believed give true for a while now; that being that we tend to look at someone’s eyes and then their mouth. 

If someone doesn’t like their smile it can really be quite debilitating. It can really lower a person’s confidence, make them never want to smile, then get paranoid everyone thinks they are a misery guts as that’s how they can come across but it’s not the real them.  If someone falls into this category, fixing whatever the problem was with their smile can really change their lives; boost confidence which can then help people with jobs, relationships, all sorts. I am in a very lucky position that I sometimes get to do this for people and I can’t tell you how nice it is.

Obviously no two cases are the same. Not only that but certain imperfections may not bother one person but then keep someone else up at night. All I can do hear is run through the sort of things that can be done these days to help improve your smile if you don’t like it. 

So there are two elements, the dental side of it and then the soft tissues around it so we’ll break it down that way.

Dental aspect

Treatments include:

  • Stain removal
  • Tooth whitening
  • Tooth straightening    
  • Contouring of incisal edges
  • Restorative treatments – such as white fillings, crowns, bridges veneers etc

  

      

  •  Surgical procedures – implant placement, crown lengthening
  • High aesthetic dentures
  • Gingival veneers – direct or in direct to replace where the gum line has shrunk back 

Soft tissues 

First thing that comes tomorrow people’s minds is having filler in the lips: 
 
Obviously this can make a big difference – extra volume, even out asymmetry, extra definition etc – but there is so much more that can be done….

  • Intra orally filler can be used to remove the dark triangles that can develope between teeth when the gums have shrunk back. This creates false pocketing of the gums though so oral hygiene must be amazing and it’s not to be entered lightly!!
  • Corners of the mouth can be raised with botox and/or filler if you feel you have a droopy smile.
  • If you feel you have a gummy smile then the upper lip can be lowered down with just a couple of botox injections.
  • Any lines around the lips can be smoothed and softened.
  • Botox injections can also plump up the top lip, done alone or in combination with filler.

So you see there’s all sorts of things that can be done these days. Just one or a combination of things can really transform people’s smiles.

Nefertiti lift

  
Nefertiti, one of the most famous queens of ancient Egypt and whose name means “the beautiful one has come”. And if this bust of her is accurate then there’s no arguing with that. Wife of Akenhaten, the radical who made Egyptians worship one God the Aten (didn’t last long) and king Tut’s dad, she was renowned as the beauty of the times. The most striking feature, other than the huge headpiece obviously, is that killer jaw line. And so it is easy to see how she became the “Nerfertiti lift” namesake.

What is the “Nefertiti lift”

  

It is the use of botulinum toxin injections to essentially give a non-surgical neck lift. A handful of small injections into the platysmal bands of the neck and at certain points on the jaw line to define the jawline and smooth out any “Turkey neck” business.   

As with any botulinum treatment it will take a couple of weeks or so to be at full effect and will last 3-4 months.

As none of us have exactly the same anatomy and due to the function of the muscles close by to where we would be injecting for this, you may at first get a slight twist and downturn of the corner of the mouth rather than complete uplift, but a some additonal injections at the two week review date would soon sort this out.

  

Teoxane launch Advanced Perfecting Shield SPF 30

This sounds amazing!!! Everything you want in the morning rolled into one!! Have a read…..

  
Teoxane Cosmeceuticals has announced the launch of their new Advanced Perfecting Shield SPF30.

The SPF works on four levels to hydrate, offer advanced protection, revitalise and restructure in one, leaving skin protected.

The product contains Teoxane Cosmeceuticals’ core formula ensuring skin retains optimal hydration levels using Resilient Hyaluronic Acid (RHA), Dermo-Restructuring Complex and NovHyal.

Resilient Hyaluronic Acid (RHA) is a patented cross-linked hyaluronic acid, which offers greater benefits applied topically than basic HA. It provides optimal hydration to visibly smooth and plump whilst strengthening the skin’s barrier.Dermo-Restructuring Complex includes three antioxidants, eight amino acids, two minerals and vitamin B6, with additional glutathione and alpha lipoic acid revitalises and protects from oxidative stress. NovHyal restructures by stimulating HA production.

The formula also incorporates solar filters including TINOSORB® M and Ethyl Hexylmethoxicinnamate), antioxidants, carcinine, Matrixyl 3000, liquorice extract and potentiated HA + Sodium PCA to provide next level protection which inhibits hyaluronidase reaction and has an anti-glycation effect.

SPF30 Daily Sun Protection from UVA/UVB rays Advanced Perfecting Shield also contains tinted, light reflecting pigments to correct and unify the skin giving a healthy appearance whilst creating a perfect make-up base.

 Update April 2016

Ok, so I’ve been using it a little while and I do really like this product. My skin looks clearer and feels a lot smoother, it’s a great base under makeup yet at the same time has a little pigment in there so even if you’re giving your skin a break or off to the gym etc gives a little coverage on its own and best of all, what would previously take me three separate creams every morning is now replaced by this one which makes it so much easier to keep up an excellent skin care regime! 

 

  Ellanse

 

So Ellanse is a filler with a difference. That difference being that it stimulates the skin to produce its own collagen in the areas that need it. This gives a very natural and subtle effect, plumping up the skin in the right area, softening folds where we don’t want them. 

The other difference is that it can last a lot longer.  There are different products that can last 1,2,3 or 4 years. This is changed by different components of the filler particles being larger and so therefore taking longer to be broken down by the body. For facial volumisation generally the 1 or 2 year products are used as the face changes over time more readily in these areas. The 3 and 4 year products are recommended for used such as nose augmentation, features which do not change much.

It isn’t made up of the hyaluronic acid that most fillers are made of. Instead it is made of a carboxymethycellulose gel carrier which gives the product its initial filling effect and polycaprolactone which is the bit that stimulates the body to make collagen. The products are just as safe as hyaluronic acid, being broken down by the body’s metabolism into water and carbon dioxide and is completely resorbed and excreted by the body.

The process

So, the product is injected into the areas in which you want more volume. The gel element gives an immediate filling effect. This will then go down over the next couple of months but don’t panic!! That’s when the body kicks in and starts to create the collagen to provide more natural volume. Because of this reaction you only inject to a point of under correction at the treatment, ie you place product until there’s still room for improvement as the collagen production will probably take it further. This also means that 1ml of ellanse will go further than 1ml of regular filler. 

And we are all different as to exactly how much our bodies will respond to the product so go easy at first, see how things go and you can always place more down the line. Better that than put too much in at the start!!

It works very well in conjunction with Silhouette Soft thread lifts. It can either give further definition after the lift has worked its magic or there can be some cases where there is not enough skin volume to safely perform a thread lift but once ellanse has stimulated collagen production then it may be possible to place the threads.

Another big advantage is that this product can give a nice natural plumping and smoothing effect in the sub malar region (that being below the cheek line) which is not really achievable with regular filler or botox.

As with any product that promotes collagen synthesis there is an overall antiageing long term effect as it’s always a great thing for skin to stimulate collagen production to replace some of what has been lost! So if you were to have it on just one side of your face, ten years down the line after you stopped that half of your face would look better than the other half. But obviously no one is EVER going to do that. Ever. It would just be weird. 

 

Special offer!!!

  
The perfect treatment for hypotrichosis to give longer, thicker and darker lashes.

You simply apply at night with the small brush applied, just one sweep and you’re done. It takes a few weeks to start showing but if applied daily then you’ll start seeing the difference.

Botox as wrinkle prevention

More and more people are starting to have the ultimate wrinkle prevention treatment…botox before the lines even really start!

Botox acts by blocking the receptors on muscle cell walls meaning that they do not contract as strongly. As with any muscle if you don’t use it much it will remain weaker and smaller. So regular smaller doses of botox from an earlier age will keep the muscles weaker and so more slender and so less lines will form in the first place. 

 

Perfectha skin care range coming soon!!!!

From Aesthetic Medicine Journal:

Perfectha launches range of skincare to complement results of its HA treatmentsNov 25, 2015

Perfectha has introduced a new range of skincare designed to complement the results of the Perfectha range of HA treatments. 

  
The range includes: 

PERFECT SKIN BRIGHTENING SERUM

This light, delicate serum with a silky feel contains keratolytic agents that make skin look brighter and more compact right from the very first applications. It is ideal to brighten skin immediately, sculpt features and create strategic points for the face to capture light. With its light, airy structure, it contains an exclusive mixture of multi-reflecting powders with a 3-D effect. The formulation contains hyaluronic acid, AHA and delicate oils to guarantee skin hydration, softness and comfort.

Contains: Aha Complex (Alpha Hydroxy Acids), Glycolic, Chamomile Extract, HA Crono Active System (2 types of HA) 

PERFECT EYE CONTOUR

This innovative formulation acts on expression lines visible in theeye area. The product has an anti-aging and lifting-tensor effect,resulting in the gradual relaxation of micro-wrinkles and an improvement in the tone of eye bags and skin relaxation. This is due to the perfect combination of a soft, flexible texture, with a formula based on regenerative and dermo-filling active ingredients that act locally at depth, revitalizing skin tissues and encouraging the gradual reduction of wrinkles.

Contains: HA Crono Active System, Hamamelis extract, Damask rose extract, Vitamin E

ANTI WRINKLE 5HA INTESIVE CREAM

Intensive anti-wrinkle face cream with toning effect. Long-lasting anti-age action. Encourages the hydration, firmness, suppleness and luminosity of skin tissue. Enriched with an amino peptide complex, it strengthens natural skin hydration, stimulating acquaporine synthesis, improving skin suppleness and protecting against free radicals. Increases collagen synthesis. Improves the skin’s barrier function.

Contains: Hyaluronic Acid in 5 different sizes and forms, Echinacea extract Polysaccharides, Goji extract, Amino Peptide Complex (Diffuporine).

PERFECT LIPS FILLER

This lip-plumping, anti-age treatment is enhanced with a unique patented active ingredient (Maxi-Lip), which stimulates the synthesis of collagen while hydrating lips and quickly making them firmer, softer and better defined. Its formula enriched by Hyaluronic Filling Spheres (worldwide patent) makes wrinkles visibly less pronounced. This active ingredient consists of a special fibre that captures water, enters into the wrinkles and gradually fills them.

Contains: Concentrated Hyaluronic Acid, MAXI LIP™ (1%). SPF UVA e UVB.

I for one am excited to try this lot!!!!!

Chemical peels

    
 Chemical skin peels can give your skin a whole new lease of life. They can ease acne, remove pigmentation, and provide skin rejuvenation and anti-aging benefits. There’s even a “Bridal Glow Package” specifically designed to give a radiant complexion for an upcoming special occasion. Obviously it doesn’t have to just be a wedding!!

An initial course of treatments is required to see major changes, maintained with regular single peels. Having a course allows the strength of the products used to be increased slowly and so be able to reach a much more effective strength than you would be able to reach in just one session.

Excerpt from the Agera website:

Agera® Skin Peels

The revolutionary proliferative peels created by Agera® are non-irritating, pain free and cause no down time from skin shedding, redness or irritation. These unique treatments cause significant stimulation of the fibroblasts deep within the skin to produce new collagen and elastin. This proliferative effect on the skin’s cells delivers many anti-ageing benefits without any unsightly skin shedding or redness. After only one session, the skin will look clearer, smoother and brighter. For maximum results a course of Agera® skin peels can be combined with medical microdermabrasion.

The beauty of the way that the Agera peels work mean that unlike most other peels all layers of dead skin which are being removed are sloughed off and cleaned away at the time of the peel so there is no down time and no unsightly sloughing for days afterwards. Just glowing skin straight away!! 

Agera skin peels brochure
   
    

Finally something we can do for you with no needles and is just like having a nice relaxing facial!!!

 

Cosmeceuticals

  What we are talking about here is the dogs in skin care products. Pharmaceutical grade skin care for home, often with a smaller price tag than a lot of designer brands too. There are a few different brands out there but none are the sort of thing you get in regular shops and since I have started using them myself I see SUCH a difference. And mum has. I don’t recommend anything until one of of us has tried it you see, just to make sure all is at it claims. So I will tell you a bit about the ones I have tried and liked so far, and over time will do update posts as I come across other products which I recommend.

Mene&Moy 

   I use this daily. The vitamin c lotions, glycolic acid face wash is brill and makes my skin feel cleaner than ever before, the silk touch infusion does just that and makes my skin feel like silk afterwards which I love as I hate things that leave my skin greasy and I tend to then get break outs.

The sun lotion is excellent protection, you’d struggle finding another with so many protective factors in it. The glycolic acid mask is brill too, along with the glycolic acid and Vit C revitalising body lotion. I had some really irritated patches of skin that were getting worse and becoming quite uncomfortable but two applications of using the body lotion they were gone. 

The only word of warning though is that for those with more sensitive skin, the normal glycolic acid wash will be too severe, but there are weaker ones for that reason. 

There are many more products, and we have full information leaflets in both clinics.

Teosyal/teoxane

 Who better to get anti-ageing skin products from than a laboratory who make fillers?!

Their latest range contains a modified version of the hyaluronic acid in fillers, the highest concentration of which being the RHA serum. This is the one in particular that my mum now can’t do without. It really has made a noticeable difference, even after just one weeks use. I myself am a fan of the R(II) eye serum.

  
The advanced filler is a deep moisturising, anti-ageing product, the deep repair balm being for damaged skin etc, and there’s more, again all containing the hyaluronic acid. They also do ranges specially formulated for pre and post aesthetic procedures too.

For more information or to order any products, contact us via Our facebook page or Website.

The triangle of youth

There are various factors which contribute to ageing. These include:

  • Loss of skin elasticity 
  • Loss of collagen supporting the skin
  • Loss of buccal fat pads
  • Gravity!!

All of these factors together means everything starts heading south. So where we start off with plump cheeks slimming down to a defined narrower jaw line forming an upside triangle, the cheeks thin out and drop, jowls start to develop and we are left with the pyramid of age as you can see in the picture.

  
With this the fold around the mouth deepen and static lines form due to the skin loosing its support and elasticity.

So a big aim in creating a more youthful appearance is to recreate the triangle of youth. When we do this it can give a very natural yet overall more youthful appearance by basically putting everything back where it was!! And there are ways to do it without resorting to full surgery.

1. Prevention

As always, starting a good skincare routine from an early age can help avoid a lot of this. A good regime with high quality vitamin enriched products and anti ageing creams etc to help keep the skin quality good, maintain elastin and collagen. As always keeping off the fags, daily sunscreen and generally not being a sun worshipper will improve the quality and elasticity of the skin massively. Otherwise this is the result:

  

For more information, see previous post on skin care and prevention.

2. Cheek augmentation

Fillers at the cheek line.  This will bring back the width at the cheek line where it should be, as well as smoothing out fine lines in that area and will bring the skin and tissue of the lower face back up and restore that triangle and soften the lower face folds and start to help definie the jaw line. And who doesn’t want a killer cheek line anyway!

3. Mid face thread lift with silhouette soft 

This can pull the skin and subcutaneous tissue back up where it should be, the compression in the malar region can provide cheek volumisation and the threads at the jaw line can help to pull the flaccid skin at the jaw line (jowls) back and up.

 
Also the stimulative effect of the poly lactic acid which they are made of stimulate the body to make more collagen around them.

3. Combination treatment

Best results can be seen when a combination of the treatments is used.