Tear Trough Treatment for Eye Bags and Dark Circles
Aesthetic Medicine Dubai | 25 November 2018
These are all very common areas of concern for both men and women. Under eye circles are dark patches that are visible under the eye. Depending on cause and skin tone, these can look like shadows or discolouration that’s red, blue or green in hue. Under eye bags on the other hand, are swollen pockets or patches under the eye. Both under eye circles and bags can either occur separately or alone. They may also be caused by or exasperated by the presence of a tear trough (this is a loss of fat tissue leading to hollowness under the eye). The most common complaints people tend to have with under eye circles, bags or tear trough deformities is that they give the appearance of tiredness.
What Causes Under Eye Circles, Bags & Tear Troughs?
There are a number of genetic and environmental causes that give rise to under eye circles, bags and tear trough deformities. Some people are more predisposed to developing these and whether they affect other members of your family is a good indicator of your risk. Your skin tone may also play a role. Paler skin tones tend to show up blood vessels more readily and thus give the impression of bluish discolouration under the eyes. Darker skin tones may exhibit increased pigmentation in the under eye area which gives the appearance of shadowing. Aside from genetics, other common causes include:
Ageing: as we get older, the skin under the eyes loses its thickness and elasticity. This thinner and more fragile skin is more likely to show underlying muscles and blood vessels which also gives the appearance of dark circles under the eyes. Sun damage can also cause dark pigmentation under the eyes as well as accelerate skin ageing. Fat loss and reduced skin laxity can also cause under eye bags to appear more prominent. Loss of fat under the skin and skin ageing can also give rise to tear trough deformities.
Diet: deficiencies in Vitamins C and K as well as iron are thought to present with discolouration under the eyes. Diets high in salt can also increase fluid retention which can increase the prominence of under eye bags.
Sleeping: or rather lack of, can result in worsening of under eye circles and bags.
Dehydration: reduced water intake, excess caffeine and alcohol can all cause volume depletion in the skin and lack of laxity.
Sun damage and smoking: this can cause increased pigmentation and skin ageing both of which give rise to dark under eye circles and bags.
Inflammation and allergies: this can cause puffiness, bags and under eye circles over time.
Treatment Options For Under Eye Circles, Bags & Tear Troughs?
Luckily, there are a wide range of treatment options if you suffer from under eye circles or bags. The first thing is to ensure that you have a good skincare routine which includes using an under eye cream that contains ingredients like Vitamin C, Vitamin K and ferulic acid which help with under eye circles. Another important skincare tip is to ensure that the under eye skin is kept moisturised so having hyaluronic acid in your under eye cream would help immensely.
If the problem is purely due to thin skin or pigmentation issues, then advanced skin treatments like chemical peels and collagen induction therapy can help brighten and firm up the under eye skin. For tear trough deformities and under eye bags, hyaluronic acid tear trough fillers can treat the hollowness under the eyes and rejuvenate the eye area. For more defined tear trough deformities, cheek fillers can help provide support for the tear trough fillers.
Aesthetic Medicine Dubai
Are You Losing Volume in Your Face?
Aesthetic Medicine Dubai | 21 November 2018
The whole mark of a younger face is one with thick, plump and firm skin. Additionally, younger faces have fuller volumes due to the size and location of the facial fat pads. As we age, our faces lose their fullness because of thinning of the skin, loss of elasticity and shrinking in size of the facial fat pads. This loss of face volume results in the appearance of lines, wrinkles and sagging of the face.
What Causes Loss Of Face Volume?
The main cause of facial volume loss is ageing. Over time, our body produces less collagen, elastin and the fat pads in the face reduce in size. This results in thinner and less pliable skin as well as sagging of the face. Similarly, changes in hormonal profile, in particular, oestrogen, can help accelerate this process. Lifestyle factors such as smoking and sun damage also contribute to skin ageing as well as loss of facial volume.
How Does Losing Volume Affect The Appearance Of Your Face?
Loss of skin volume leads to thinner and less elastic skin. This gives rise to wrinkles and uneven texture. At the same time, reduction in the volume of the fat pads, as well as their descent with gravity, occurs. This gives rise to a flatter profile and sagging of the skin in the mid and lower face. Hence this can lead to a gaunt appearance. It is due to this loss of facial fat volume that gives rise to tear trough deformities, hollowing of the temples, malar flattening, nose to mouth lines, jowls and marionette lines.
How To Add And Restore Volume To Your Face Naturally
In my opinion, hyaluronic acid dermal fillers are highly effective for restoring facial volume. This is because they can replace lost volume, help firm up and lift skin, smooth down wrinkles and deliver natural looking results. How much, which type of filler and where to pace them depends on the degree of facial volume loss and your overall face shape.
The main ways Dermal fillers can help with face volume loss are:
– Cheek fillers for contouring and midface lifting
– Tear trough fillers for undereye circles and shadows
– Restoration of lip shape, definition and volume with lip fillers
– Combat sagging, marionette lines and jowls with jawline and lower face fillers
Additionally, face fillers can be combined with Botox as part of my signature liquid facelift to refresh and smooth the face. Collagen induction therapy can also boost the effects of dermal fillers by inducing elastin and collagen formation for thicker and plumper skin.
Aesthetic Medicine Dubai
Square Jaw Reduction: No Surgery Slim Your Face
Aesthetic Medicine Dubai | 17 November 2018
The shape of the jaw is dependent on the bone, muscles, fat and skin the comprise it. There are many factors that affect the appearance of the jaw including genetics and lifestyle. Some people seek to enhance the shape of the jaw (usually if there is sagging of the lower face or if they are seeking a more defined appearance) by having jawline contouring. This can widen or narrow and shorten or lengthen the appearance of the jawline as required. Jawline contouring can also help lift and firm up the appearance of a sagging lower face. For those with a wide jaw, square jaw reduction can help produce a narrower V-shaped jawline. Ultimately, the results are dependent on your face shape, targets and the abilities of your aesthetic doctor.
What Causes The Appearance Of A Sagging Or Square Jaw?
The shape of the lower face is made up of several structures including your jaw bones, muscles and soft tissues like fat or skin. Whilst genetics play a huge part in terms of the shape and size of these facial structures, there are a number of other factors that come in to play. The main cause for lack of definition or sagging of the jawline is ageing and reduced face volume. One of the main reasons for developing a square jaw in both men and women can be overactivity of the chewing muscles which is usually caused by tooth grinding. Other factors that can give the appearance of loss of definition, jawline sagging or a square jaw is ageing and loss of volume in the cheeks or lack of chin prominence or neck sagging.
Non-Surgical Jawline Contouring & Square Jaw Reduction
There are a number of non-surgical options for enhancing the jawline and reducing a square jaw. Botox injections are an effective treatment for square jaw reduction which also has the benefit of stopping teeth grinding. These Botox injections can also be used to lift a sagging neck and hence sculpt the lower face and jawline.
Hyaluronic acid dermal fillers can be used alone or in combination with Botox for jawline contouring. Dermal fillers can be used to directly reshape the jawline and lift up the lower face. A combination of jawline, cheek and chin dermal fillers to contour the jawline and the whole face.
If the aim is to reduce the appearance of a square jaw or face, then a combination of Botox and dermal fillers can be used to provide a more contoured and V-line jaw appearance.
Aesthetic Medicine Dubai
How to Get Rid of Forehead Wrinkles
Aesthetic Medicine Dubai | 15 November 2018
Forehead wrinkles are horizontal lines that appear on the forehead due to contraction of the muscles that raise the eyebrows. Frown lines are verticle wrinkles that appear between the eyes when you squint or frown. Both these wrinkles initially appear when you are moving the muscles responsible but over time can become ingrained and apparent even when your face is still. Whilst natural, most people seek treatment as they feel these lines make them look grumpy, anxious or even angry.
What Causes Forehead Wrinkles & Frown Lines?
Both forehead wrinkles and frown lines are predominantly caused by ageing. As we get older we lose both collagen and elastin. These two proteins form the scaffolding of the skin. Hence, they are responsible for keeping your skin firm, elastic and plump. As thin becomes thinner and less stretchy, wrinkles develop. Initially, this is when the muscles underlying them contracts such as when you raise your eyebrows or frown. Eventually, forehead wrinkles and frown lines become deeper and visible even when you aren’t moving your face. Sun damage, or photoaging, are also a cause.
Treatment Options For Forehead Wrinkles & Frown Lines
Thankfully there are a number of treatment options for forehead wrinkles and frown lines. The first step is to ensure that you have a good skincare routine which helps hydrate, nourish and protect your skin.
Botox® For Forehead Wrinkles & Frown Lines
Botox® injections are highly effective for wrinkles and lines that are only apparent when you make an expression. The treatment is quick and pain-free with results lasting for 3-4 months.
Dermal Fillers For Forehead Wrinkles & Frown Lines
If your wrinkles and lines are deeper and appear at rest then Botox® is likely to not completely smooth them out. Dermal filler anti-wrinkle injections, however, can very effectively treat these areas and results last between 6-12 months.
Professional Skin Treatments For Frown Lines & Forehead Wrinkles
Botox® and dermal fillers offer immediate smoothing out of lines and wrinkles by reducing muscle contraction (Botox®) or by filling out and lifting the skin (dermal fillers). Professional skin treatments are really useful if you’re looking to address the underlying cause of wrinkles in the long term. A combination of a course of chemical peels and microneedling will resurface the skin and induce collagen and elastin production. This will smooth out lines and wrinkles, firm and plump up the skin as well as give a youthful glowing complexion. In the long term, these bespoke skin rejuvenating treatments could reduce the need for treatments like Botox and dermal fillers.
Aesthetic Medicine Dubai
WHAT ARE CROW’S FEET & SMILE LINES?
Aesthetic Medicine Dubai | 12 November 2018
Crow’s feet, also known as smile lines, are wrinkles that appear on the outer corners of the eye. They are caused by contraction of the muscles responsible for squinting, smiling, laughing or frowning. Initially, these wrinkles are only visible when you smile or laugh but over time, like all wrinkles, they become deeper. Ingrained Crow’s feet and smile lines are visible whether or not you contract the underlying muscles (ie even when you’re resting the muscles of expression). Crow’s feet can also extend upwards towards the temple and downwards to affect the cheeks when they are more advanced and as volume is lost in these areas of the face with age.
What causes crow’s feet & smile lines?
The main reason Crow’s feet or smile lines develop is due to loss of collagen and elastin in the skin. These proteins are the skin’s natural plumpers and provide elasticity. Hence losing them causes skin to become thinner and for wrinkles to become apparrent. Loss of collagen and elastin occurs naturally as we age. Of course, the other cause of the appearance of wrinkles is sun damage.
Treatments for crow’s feet & smile lines
First of all its important to start with basics like understanding your skin type and following a basic skincare routine. Simple lifestyle modifications such as sun protection, keeping hydrated and stopping smoking will also help slow down the development of crow’s feet or smile lines.
Chemical Peels & Collagen Induction Therapy
There are a number of effective treatments for existing Crow’s feet and smile lines. The simplest option for very early signs of fine lines and wrinkles would be a course of chemical peels and/or microneedling. These resurface the skin and induce collagen and elastin production. Hence, over time these smooth out wrinkles and prevent them from developing further.
If you have Crow’s feet that are only evident on making expression, these can be treated very easily with Botox anti-wrinkle injections. For Crow’s feet or smile lines that are deeper (ie visible without making any expressions), then using hyaluronic acid dermal fillers would provide a better option.
For more advanced Crow’s feet or under eye wrinkles and tear trough deformities, a combination of different dermal fillers can offer a natural looking solution. If you have smile lines that extend deep onto the cheeks, then you might which to consider both cheek fillers and wrinkle smoothing with dermal filler in order to restore volume and lift the wrinkles. For co-existing under eye hollows and wrinkles, the addition of tear trough fillers would help to completely rejuvenate the under eye area.
WHAT ARE JOWLS & MARIONETTE LINES?
Aesthetic Medicine Dubai | 9 November 2018
What are jowls & marionette lines?
Jowls are loose skin and flesh that hang beneath the lower jawline. Marionette lines or “puppet lines” are lines that run from the corners of the mouth to the chin. Both are a sign of ageing and volume loss in the face. One of the most commonly cited reasons for wanting to get rid of them is because they give the appearance of being grumpy or sad.
What causes jowls & marionette lines?
The main cause of both jowls and marionette lines is ageing. As we get older our skin becomes thinner and less pliable. This is due to loss of collagen and elastin. At the same time, we also lose volume in the face (particularly in the midface area) which provides scaffolding and shape. Both these processes result in sagging of the skin and tissues which gives rise to jowls and marionette lines in the lower face. Other factors which exacerbate skin ageing are smoking, sun-damage and genetics.
Treatment options for jowls & marionette lines
There are a number of treatment options for jowls and marionette lines. First of all, it is very important to ensure that you follow a regular skincare routine tailored to your skin type. Two highly effective and non-surgical options are Botox® and hyaluronic acid dermal fillers. Which of these (if any) is suitable for you will depend on your expectations and the severity of the lines.
Botox® For Jowls & Marionette Lines
For moderate jowls, I offer jawline tightening with Botox® as part of our non-surgical neck lift. This treatment can soften the appearance of early jowling and provide a more defined jawline and sculpted neck. Whilst its possible to soften the appearance of marionette lines with Botox®, I do not think that this is the most effective treatment on its own. However, in some circumstances, I combine Botox with dermal fillers for treating marionette lines.
Dermal Fillers For Jowls & Marionette Lines
Since both Jowls and Marionette lines are caused by volume loss and sagging skin in the face, dermal fillers provide the opportunity to treat the underlying problem. For moderately severe lines, I can directly inject hyaluronic acid dermal filler into and around these creases to soften and minimize their appearance. For more severe jowling and marionette lines, I recommend hyaluronic acid dermal fillers to the cheeks to lift the face in addition to adding filler to the areas themselves.
If you have both jowls and marionette lines as well as other signs of ageing such as upper face wrinkles, then you can opt for a combination of Botox® and dermal fillers.
How Can Dermal Fillers Help?
Aesthetic Medicine Dubai | 4 November 2018
Tired of looking and feeling older than you’d like? Flatter, sagging skin with deepening groves and wrinkles combined with thinning lips lead to a hollow, aged look.
How Can Dermal Fillers Help?
As you get older collagen breaks down in your face and it can become flat and saggy. Fillers simply replace the collagen you lose through ageing, raising flatter areas and restoring your youthful look. They can also be used to enhance your existing facial features. Once the treatment is gently injected into the target area it will pull in water to hydrate your skin. It also has antioxidant qualities providing instantly smoother skin with better results than any top brand moisturising creams. Results last between 6-12+ months. No none will guess you have had a filler treatment but you will feel more refreshed, confident and glamorous.
The use of injectable facial fillers
Aesthetic Medicine Dubai | 2 November 2018
The use of injectable facial fillers is one of the fastest growing areas in the field of cosmetic surgery. Many advances in have been made in the last 5 years that have led to safer, more predictable and longer lasting fillers.
As one ages, the face loses volume. This creates more prominent wrinkles and skin folds while features become less distinct. Dynamic wrinkles caused by facial movement such as smiling and frowning appear. Injectables were designed to subtly reduce these signs of aging.
Most fillers work by restoring the volume of a part of the face or filling the lip or wrinkle and are gradually digested by the body. Hyaluronic Acid Fillers: These were the first of the new fillers to be FDA approved. Hyaluronic acid is a naturally occurring carbohydrate which occurs in skin. It is a clear gel with a thick consistency. Since skin testing is not required, injections may be done on the same day as the initial consultation. Manufacturers have manipulated particle size (thickness) and crosslinked molecules to offer both normal and longer duration products.
Juviderm and Teosyal are examples of normal duration products that are injected in more superficial lines and have easier flow characteristics. Juvederm Voluma and Teosyal Redensity II are examples of longer duration products are usually injected into deeper lines and folds.
The newest advance has been the addition of local anesthetic, Lidocaine, to the filler to reduce discomfort upon injection.
Tummy Tuck – treatment, procedures and outcomes
Tummy Tuck Dubai | 30 October 2018
Tummy tucks are best performed when a patient is fit and healthy. No special diet or exercise programme is required prior to an abdominoplasty, but you should be close to your ideal weight. You will be admitted on the day of surgery, and your length of stay depends on which procedure is done. With a full abdominoplasty you will have some dressings on your tummy and usually some drains (plastic tubes attached to suction bottles). The drains will usually be removed before you go home. You will be given instructions about your dressings and stitches when you go home. I will use dissolving stitches. Post-operative pain in these procedures is easily controlled. Patients will be mobile from day one and should be back to full exercise within six weeks. Patients are recommended to take at least four weeks off work immediately after the operation in order to ensure they recuperate fully. These timings are approximate and depend on what exactly is done; also some people recover quicker than others.
All abdominoplasties result in some scarring although the nature of the scars will depend on the technique that has been used. Scars tend to be quite red and raised in the first six weeks, changing over next six months or so and then fading to white. Most patients will form good quality scars over time, but occasionally and unpredictably some patients will get red lumpy scars that do not improve.
LIP FILLERS – FIRST TIME GUIDE
Fillers in Dubai | 27 October 2018
So you are doing it! Congratulations. This is a guide for first time lip filler clients on how things work, what to expect, and how to keep them looking good!
First and foremost, everyone is different, different aesthetic goals, different lip structure, different metabolism, different genetics, different risk factors, etc. Do NOT compare yourself to someone else, you are your own lip, your own architecture, your own volume, be proud of your uniqueness! It’s what makes us different.
How long does it take?
– 10 minutes of topical numbing
– 10 minutes of procedure
Is it painful?
– Most clients have minimal discomfort, on a scale of 1-10, they are a 2-3. This is less painful than laser hair-removal, thanks to our unique numbing technique!
How swollen will I be?
– Everyone is different, some people swell up while others do not, swelling depends on multiple factors. Just because you didn’t swell one time, does not mean you will not swell the next time you do a treatment. Sometimes an anti-swelling medication will be given after your injection. I can address this at the time of the visit. Major swelling typically lasts less than 4 days on average, while minor residual swelling can last 14-21 days.
What about bruises?
– Some people are pre-disposed to bruise, avoiding vitamins, alcohol, and ibuprofen type products can decrease the chances of a bruise. Bruising comes in three sizes: Small (like the tip of a needle), medium (like the back of pencil eraser or two pencils erasers), and large (gum-ball sized). Depending on the type of bruise they can last 2-3 days or up to 2 weeks respectively. Arnika pills can be purchased during your visit that can help heal bruises. From time to time a laser can be used to speed up the process if warranted for specific cases.
How long does it last?
– Typically lip injections last 6 months depending on multiple factors including product used. I’ve seen people that have had fillers lasting as little as 2 months and as much as 1 year.
Will I have to keep on doing the procedure?
No! You can stop doing your lips any time and they will slowly return to near normal. The skin will not “stretch out”. Some people do their lips every 4 months to keep them extra juicy, while others elect to do them every 6-8 months. This is a personal preference and will need to be decided along the way.
I don’t know what product to use.
– I typically recommend the juvederm line of products there are two main types for lip volume, juvederm ultra plus xc and juvederm ultra. Depending on your aesthetic goals and lip structure we can select what is right for you. New Generation Juvederms include volbella (typically for older clients) and vollure. These will be discussed in person if necessary for your treatment.
I’ve heard about people having bumps…
– Unfortunately bumps do happen! If a doctor tells you that bumps never happen, be cautious, they do happen but it is not very common. Most bumps are small resolving bruises or some of the product. Usually you can massage them out after 2 weeks time, otherwise small droplet injections of a dissolver can be used in rare-instances to help get rid of these bumps
It looks un-even….
– This is rather common! Not to worry, usually swelling accounts for the majority of this, swelling can be worse on one side than the other, let all the swelling come down (7-14 days in most cases) and then re-evaluate the symmetry, 95% of the time this self resolves.
When can I go back to normal activities?
– After about 24hrs you can resume normal activities
Can I fly after the procedure?
– Yes, but keep in mind that flying makes you dehydrated so try to avoid salty foods and drink tons of water.
When Can I work out?
– You can return to normal activities the next morning, avoid rubbing your lips vigorously, eating very hot foods, and chew carefully the day of the procedure.
What can I do to keep them looking great?
– I recommend a topical vitamin C based cream from skinceuticals for adequate hydration, drink 8 glasses of water a day, and avoid repetitively biting or “mashing” your lips together as this makes the product dissolve faster.