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Lip Filler – The new normal

A Lip Filler treatment adds definition to the mouth, lips as well as adding volume to the lip where it matters most.

There are fillers that are specifically developed for lips and there are fillers that are not meant to be used in lips. Knowledge of which one to use and when requires medical training and experience. Choose your doctor based on their prior results as well as what other people have said about them – word of mouth referral is the best – but if not, do your research and ask questions. Ask as many questions as you need to in order to feel comfortable that the treatment that you are going to receive is the best for your individual taste and style.

lip filler

Lip Filler is a hyaluronic acid smooth gel that is injected by your doctor, using an ultra-fine needle. It has been specifically developed as a smooth gel to give a soft, natural feel. The gel fills in lip lines and wrinkles while the hyaluronic acid within attracts and retains moisture, so results can last up to a year.

Lip Filler

These rules must be obeyed by the injector in order to maintain a natural look.

Prior to being injected, your lips will be medically numbed using either a potent medical grade numbing cream or local anaesthetic injections within the mouth. Usually, the potent numbing cream is more than enough to suppress the pain associated with lip injections. That said, if you desire local anesthetic injections instead of the cream, mention it to your doctor so that you can have the best experience possible. Fillers should never be painful!

 

APPOINTMENTS

Contact us today if you would like to know more about treating wrinkles or if you would like to schedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point and Somerset West, Cape Town.To book an appointment please contact:

Green Point Practice (Based at Legs 11 Aesthetic Centre):

Telephonic: 086 132 4752
Email: greenpoint@legs11.co.za

Somerset West Practice:

Telephonic: 081 301 3277
Email: bookings@naturalcape.com


NATURAL AESTHETICS – BOTOX

Cape Town| Green Point | Somerset West

Botox | Fillers | Silhouette Soft | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

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Forehead Botox

Forehead Botox treatments aim to reduce the amount of wrinkles found on your forehead. The forehead muscle is unique in the sense that it is the only muscle in the upper face that lifts the eyebrows. So, without its action, the eyebrows will be droopy. Therefore, when treating this muscle we need to be very careful so as not to over-treat the area as this would risk lowering the eyebrows, which can actually make you look older.

It is for this reason that Dr Wade has created a treatment system whereby the risk for droopy eyebrows is reduced. As we are all different, and our muscles are all different, there is no clear way of estimating how much forehead Botox will be required. Rather than over-estimating and creating an unnatural result, we place a set dose of Botox into the forehead and then review the results in 2 weeks. If there is inadequate relaxation we inject a micro-dose of forehead Botox in order to get the desired effect.

forehead botox

Botox Forehead: 5 Injection sites on the forehead.

Botox is FDA approved for frown and eye wrinkles. It has yet to be approved for the forehead – so we use it as an off-label medication. That is, it works to relax the forehead muscles, but it has yet to be approved by the FDA for that area. Clients must understand this fact – it is also the reason why we take a much more conservative approach to avoid any complications. That said, when done correctly, forehead botox works really well to reduce forehead lines and wrinkles.

– Dr Wade

Appointments

Contact us today if you would like to know more about Forehead Botox in Somerset West, Green Point or Camps Bay, Cape Town. Let us know if you would like to schedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point, Camps Bay and Somerset West, Cape Town.

For Bookings:

Cape Town | Green Point | Camps Bay | Somerset West

Forehead Botox | Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

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Facial Fillers – Juvederm Voluma

Juvederm is a family of injectable hyaluronic acid facial fillers used to provide correction for moderate to severe facial wrinkles and folds, such as nasolabial folds (lines from the nose to the corners of the mouth).

One of the products in the range of 5 facial fillers, called Voluma, replenishes lost skin volume to regain a youthful curve to the cheeks and can be used to enhance the overall shape of your face. Voluma is a brand of injectable hyaluronic acid facial fillers that adds fullness to areas that need a little more support or enhancement. Shortly after treatment with Voluma, you should notice that your facial contours appear fuller and rounder, giving your face a softer, more youthful appearance.

facial fillers

Juvederm aims to rejuvenate.

Voluma was specifically created to restore lost facial volume in the cheeks, cheekbones and chin. It was developed to be smoother than other hyaluronic acid facial fillers, making it easier to inject during the facial fillers treatment and resulting in a smooth, natural look and feel. Voluma was developed with Vycross technology to deliver a natural look and feel, with results proven to last up to 18 months.

facial fillers

Voluma facial fillers have been FDA approved for the treatment of volume loss in the mid-face – and have been in use for some years now. Below is a review of the facial filler on the website Realself. Realself gets reviews from real life patients and then forms a score to show how many patients were happy with the treatment. It generally gives a good indication as to whether a treatment works or not.

facial fillers

Realself is a website that rates cosmetic treatments. 92% of users rated the treatment as “worth it”.

 

 Appointments

Contact us today if you would like to know more about Facial Fillers in Somerset West, Green Point or Camps Bay, Cape Town. Let us know if you would like to schedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point, Camps Bay and Somerset West, Cape Town.

For Bookings:

Cape Town | Green Point | Camps Bay | Somerset West

Botox Injections | Facial Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

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Botox Injections

Some people tell me that they are afraid of needles and that they are scared of getting Botox injections because of this. Yes, some needles can be scary, but Botox injections definitely are not those!

Botox is injected using a very small needle – it is only 8mm long. It is also extremely fine and thin. These two facts make Botox injections the least scary injections out there. What we actually use is an insulin syringe. Diabetics that require insulin to keep their blood sugar normal use insulin syringes sometimes 3 times a day. Now you can imagine that if they are using it 3 times a day without fail, these Botox injections are most likely pretty painless.

Botox injections

Insulin Syringes – for painless injections.

The choice of the syringe and needle are very important when it comes to painless Botox injections – but even more important is the injectors technique. Having a steady hand and injecting the Botox slowly ensures that the injections remain painless. Avoiding blood vessels and veins when injecting is also important as busing and swelling can make create pain in the client. As much as technique is important, feeling comfortable with your doctor releases endorphins which are the bodies natural pain-killers – so choose a doctor that you feel comfortable with!

– Dr Wade

 Appointments

Contact us today if you would like to know more about Botox injections in Somerset West, Green Point or Camps Bay, Cape Town. Let us know if you would like toschedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point, Camps Bay and Somerset West, Cape Town.

For Bookings:

Cape Town | Green Point | Camps Bay | Somerset West

Botox Injections | Fillers | Chemical Peels | Micro-needling (Dermapen) – Acne Treatments | Filorga Mesotherapy

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Acne Scars

Acne Scars were once a doctors nightmare – but these days, they can be easily treated.  Acne a skin condition whereby the pores in the skin becomes blocked or clogged. The material blocking them is normally dead skin cells or sebum (a type of oil produced by each individual hair).  Interestingly enough, certain medications and creams can actually make acne worse! Most acne sufferers are teenagers – this is as they are going through hormonal changes as a result of puberty. The increase in hormones increases the skins oil production and the pores become blocked. Once the pore is blocked, it becomes irritated and it swells. Swelling can either take the form of a blackhead or a puss filled whitehead. Adults can also suffer from acne – this is known as Adult-type acne.

acne scars

Black heads as seen on the nose.

 

acne scars

Whitehead pimple as seen on the cheek.

Mild to moderate acne generally only has blackheads and whiteheads and it generally doesn’t form scars – unless the acne is scratched, pressed or picked at by the person. So as a general rule, don’t ever pop acne pimples – you can form scars. That said, when acne is very bad it is called sever acne – and it is this form that can very easily form scars.

acne scars

Severe acne has pimples which are large and sore to touch.

Acne scars form as any scars in our bodies do – as a result of trauma to the skin.  When the skin is broken or you get a cut the body quickly begins to heal itself by forming a scar in that area. When skin is broken and there is infection (like acne) there is a bad type of scarring that occurs – this is the reason for the deep acne scars.

acne scars

Deep acne scars on the cheeks.

In our next blog post we will talk about the treatment options for acne scars.

– Dr Wade

 

Appointments

Contact us today if you would like to know more about Acne Scars treatments in Somerset West, Green Point or Camps Bay, Cape Town. Let us know if you would like toschedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point, Camps Bay and Somerset West, Cape Town.

For Bookings:

Cape Town | Green Point | Camps Bay | Somerset West

Botox  | Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

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Dermal Fillers

Dermal Fillers go by many names; Fillers, Facial Fillers, Injectable Fillers – essentially they are all the same thing. And that thing is a very broad category of products that can be very different to one another. Now that I’ve made it look complicated, let’s take a step back to review what exactly a filler is.

A filler fills. It’s as easy as that – although where it fills and how it fills are the more difficult questions! A filler can either be permanent or non-permanent – that is they either get absorbed over time or they last for life.

Dermal Fillers

Permanent Vs Non-Permanent Dermal Fillers – Table courtesy Wollina and Goldman (Fillers in the improvement of acne scars).

The current thinking is that non-permanent dermal fillers such as Hyaluronic acid based fillers are the safest to use. As they are not permanent, if you don’t like the result, it will eventually go away. Also, in special circumstances if the dermal filler needs to be removed, it can be dissolved using an injectable enzyme. So for the most part, most doctors today use Hyaluronic Acid based dermal fillers.

And what is Hyaluronic Acid you may ask? Hyaluronic acid is a carbohydrate that is found naturally in our skin. It is a water holding molecule (so it hydrates) and fills the spaces between our collagen and elastin fibers in the dermis of our skin.

Dermal Fillers

Hyaluronic acid is a molecule made up of N-acetyl glucosamine and Glucuronic acid. It provides hydration to the deeper layers of the skin. Image: source unknown.

Initially dermal fillers were used to fill the lines associated with facial aging. So doctors would typically inject the lower face (nasolabial folds and marionette line). This would reduce the visibility of the lines but it never dealt with the cause of the line – which is facial fat loss.

Dermal Fillers

Over the decades our faces lose fat from the fat pads in our cheeks. Image source: unknown.

The current thinking is that instead of injecting the lines in the lower part of the face, we inject the cheeks first – to replace the fat that has been lost. What happens when we do this is that the cheeks are lifted and the lines under the eye, between the nose and mouth and below the mouth are all reduced. If then the person still has lines in these areas, the second treatment would be to directly inject these lines – although most of the time this is unnecessary as the client looks and feels rejuvenated.

The type of Hyaluronic Acid dermal filler we use depends on where we inject it and how deep we inject it. All filler brands have a variety of different fillers within their brand – from the thick gel-like ones to the thin silk-like ones, each has its use. The thicker gels tend to be used for deep injections in the cheeks – they provide the “foundations”. The thinner silk-like ones are injected more superficially – they are like the “curtains”. Foundations of a house provide support and generally last a long time – cheek fillers lift the cheeks (support) and last longer than thin fillers. The curtains of a house get blown around in the wind (thin fillers can easily be moved by the injector) and are usually changed frequently (thin fillers only last around 9 months to a year).

Dermal FIllers

The size of the Hyaluronic Acid particle influences whether it’s a thick or thin filler. As seen above, large sized particles like Restylane Sub Q are thick fillers, which are injected deep. Small sized particles like Restylane Touch are thin fillers and are injected superficially. Image courtesy Galderma.

All of the above is just a very small introduction into the world of Dermal Fillers. There are so many more things to know! At the end of the day, one thing stands true: For the most part, it is the injector that you should be concerned with and not the dermal filler choice!

 

–  Dr Wade

 

Appointments

Contact us today if you would like to know more about dermal filler treatments in Somerset West, Green Point or Camps Bay, Cape Town. Let us know if you would like toschedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point, Camps Bay and Somerset West, Cape Town.

For Bookings:

Cape Town | Green Point | Camps Bay | Somerset West

Botox  | Dermal Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

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Botox Injection Sites

Botox injection sites are found in the frown, on the forehead and around the eyes. When these sites are injected, the muscles are relaxed and the overlying wrinkles are treated. Different muscles have different functions – so one must be aware that if you relax a muscle too much, it will lose its function and the resulting look will be unnatural. That is why the current trend in Aesthetic Medicine is too inject less Botox and create natural results. You can always visit your Doctor for a top-up, but if you have had too much Botox, you would have to wait 4 months for the effect to wear off.

Botox Injection Sites

Men have finally caught on to the benefits of Botox!

Having a standard set of Botox injection sites is important for any practitioner – it allows your doctor to treat 99% of the population effectively. That said, some people are born with muscles that are either bigger or in a slightly different place than those found in the text books. Thus, for Botox, each client should be thoroughly assessed to ensure that the placement of the Botox injection sites is correct for them. This ensures that the best results are achieved.

The following are a general guide as to where your doctor may place your Botox injection sites:

Botox Injection Sites

Frown: 5 injections spread across the frown to relax the procures and corregator muscles.

 

Botox Injection Sites

Botox Eye Wrinkles: 3 sets of injections for both sides – to treat the obicularis oris muscle.

 

Botox Injection Sites

Botox Forehead: 5 Injection sites into the frontalis muscle.

Botox injections are typically pretty pain-less. That said, if you are at all worried ask your doctor for a numbing cream to be applied prior to the treatment.

 

– Dr Wade

 

Appointments

Contact us today if you would like to know more about Botox treatments in Somerset West, Green Point or Camps Bay, Cape Town. Let us know if you would like to schedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point, Camps Bay and Somerset West, Cape Town.

For Bookings:

Cape Town| Green Point | Camps Bay | Somerset West

Botox Injection Sites | Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

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What are Lip Fillers?

Lip Fillers are a gel-like substance that is safely injected just underneath the top layer of the lip itself.  Dermal Fillers are made out of hyaluronic acid, which is a natural occurring substance that is found in our skin.

Are Lip Fillers permanent?  

Lip Fillers are temporary, lasting anywhere from 9-months to a year, with most people reaching the 12-month mark.

How much does it cost? 

R3,200 per 1 ml.

How many ml’s would I need?  

90% of our patients choose only  to have 1 ml injected.  Most of the time, this is more than enough.

Can I add another ml or two? 

Yes you can. Because the results are immediate, we will start by only injecting 1 ml. Dr Wade will then show you the results and  you can then decide should you wish to add another ml or two. Alternatively, go home and think about it.  You can always come back in a couple of days should you like to add more.

Why do people get Lip Fillers?

Due to ageing, most people lose volume in their lips, it can be used to restore the volume that was once there.  We have also seen patients that wants to correct asymmetry, patients that wants add volume to match their upper or lower lip, fill-in gaps etc.  Then of course, most of our patients do it to advance their own appearance.  Beautiful lips speak volume, so to speak. 🙂

Here are some of Dr Wade’s Before and Afters:

All of the pictures below are patients of Dr Wade Merchant.

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Volume added: 1 ml. Beautiful Results! Her lips look smooth and full-of-volume.

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Volume added: 1 ml. An example of an older patient that has lost volume over the years due to aging. Now her lips have been beautifully restored. Thanks to Dr Wade!

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This patient only wanted to add half a ml (0.5 ml) to her lower lip. And she looks much better!

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Volume added: 2 ml.

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Volume added: 1 ml. Smooth lips, enhancing the patients natural- and beautiful cupids bow.

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Volume added: 1 ml. This patient wanted to fill-in her gap.

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Volume added: 1 ml. This patient wanted to correct her asymmetry and add volume. Her lips are now smooth and full-of-volume!

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Volume added: 1 ml. Beautiful lips made even more beautiful and it looks natural. That is the goal!

Where can I get Lip Fillers? 

Dr Wade has two practices, one in Green Point (Cape Town) and one in Somerset West.

Who is Dr Wade? 

Dr Wade is a qualified medical doctor with a special interest in aesthetic medicine.

Slender Wonder

Dr Wade Merchant

Appointments for Lip Fillers by Dr Wade:

To book an appointment email us at bookings@naturalcape.com.

Should you wish to speak to someone instead, please call us on  087 135 3017.

NATURAL AESTHETICS – DERMAL FILLERS

Cape Town| Green Point | Camps Bay | Somerset West

Botox | Silhouette Soft | Dermal Fillers | Chemical Peels | Micro-needling (Dermapen) | Mesotherapy | Redermalization | Skinboosters | Weight Loss | Slender Wonder | Genetic Testing

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Dermapen Cape Town – The key to collagen stimulation.

With the help of Dr Wade you can get the Dermapen Cape Town boost that you need. Acne scarring can be devastating – the active acne may be long gone, but the scars remain for life. So often there is a deep emotional reminder linked to those scars. Thankfully, acne scarring can now be treated. Dermapen Cape Town treatments are based in science – the science of collagen stimulation.

 

Dermapen Cape Town

Dermapen Cape Town – Indications

 

The Dermapen Cape Town is a micro-needling treatment whereby the skin is needled with a medical device – this needling prompts the skin to produce collagen which acts by filling the scars. Before the Dermapen Cape Town clients’ acne scars were a very difficult problem to treat.

The skin is numbed with a medical grade numbing cream – so that you don’t feel anything. The actual Dermapen Cape Town treatment takes 15 minutes. Your skin is red directly after the treatment, and remains red for 2 to 3 days. You basically look like you have been sunburned. You then have a very light peeling of your skin – by the 7th day you should look normal.

Over the next 4 weeks your skin is stimulated to produce collagen and the depth of the scar is reduced. Dermapen Cape Town clients understand that collagen is the key to rejuvenation. You need 4 to 6 treatments to have an optimal effect. Results are permanent!

 

Watch the video below to find out exactly what a Dermapen Cape Town treatment can do for you.

 

SOUNDS INTERESTING?

Contact us today if you would like to know more about Dermapen Cape Town treatments or if you would like to schedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point, Camps Bay and Somerset West, Cape Town. Dermapen Cape Town treatments stimulate your own body to create collagen – the natural way.

For Bookings:

bookings@naturalcape.com

081 301 3277

Cape Town | Green Point | Camps Bay | Somerset West

Botox | Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

 

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Cape Town Fillers with Dr Wade

When looking to get a Cape Town Filler treatment, one must consider several things. Firstly, they filler brand. In Europe, there are over one hundred fillers on the market. In Cape Town Fillers can only be imported legally under the auspices of the Medicines Control Council – that is they need to be safe and legal before our Medical Board will even consider allowing anyone to import Cape Town Fillers.

 

FDA and CE approved Cape Town Fillers.

FDA and CE approved Cape Town Fillers.

 

If you are still unsure as to whether your Cape Town Fillers are safe to use then you need to find out whether they are either FDA or CE approved. The FDA is the American regulatory body and the CE is the European body – they oversee the criteria and ingredients that are used – and if they are given the stamp of approval then the Cape Town Fillers are safe to use.

For the most part in South Africa, it is the injector that you need to choose wisely and not the filler. If the Doctor know how and where to inject then that will create the best results. A novice with a really great filler will create poor results. That said, in our practice, we only use FDA or CE approved fillers sourced from reputable long standing suppliers.

 

 

 

Cape Town | Green Point | Camps Bay | Somerset West

Botox | Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

 

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