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Forehead Wrinkles

A brief summary of the article written by Dr Riekie Smit in the Summer Issue of the Aesthetic and AntiAging Magazine: found here.

The forehead is one of the most common areas that patients request to be treated. More often than not, there are unrealistic expectations placed on the doctor to take away all of the wrinkles or to make their foreheads completely smooth. The face of the matter is that if you take away all the wrinkles and create a completely smooth forehead, you also take away 100% of the function of the forehead muscle.

So what exactly does the forehead muscle do? Simply put, it lifts up the eyebrows. That said, every face is completely different. Some forehead muscles are strong and some are week, some are asymmetrical and some are symmetrical and finally some serve a purpose (like keeping the eyebrows lifted in people with saggy skin on the upper eyelid) and some have no purpose at all (some males can get away with almost freezing their foreheads – although it is not recommended).

So it is important to keep this all in mind deciding how to treat and how much to treat the forehead wrinkles. so in a nutshell, there are several options:

  1. Botulinum Toxin Type A – This is a good place to start as most of the time people are happy with the amount of wrinkle reduction. If there are still some bothersome wrinkles – a small amount of a thin filler can be used to fill the gaps.
  2. Facial Fillers – the thinnest type of fillers need to be used here – if anything else is used there is the chance that lumps and bumps can develop. Fillers treatments to the forehead and frown must be done with great care – there are complications and patients must be made aware of this. That said, a product like Restylane Vital is great for this area when used correctly.
  3. Peels, Needling, laser and mesotherapy all help to improve the texture of the skin and soften fine lines and wrinkles.
  4. PDO threads increase the collagen content in skin and in so doing help with tightening and fine lines.

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:

Telephone: 087 135 3017
Email: bookings@naturalcape.com


NATURAL AESTHETICS – BOTOX

Cape Town| Green Point | Somerset West

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

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What are Restylane Skinboosters?

Restylane SkinBoosters are a revolutionary anti-aging treatment, a non-surgical option for facial rejuvenation and skin restoration. Skinboosters naturally smooth and hydrate the skin from the inside. They result in luminous skin with a natural and beautiful glow.

Restylane SkinBoosters
Skinboosters are similar to dermal fillers in that they contain a naturally occurring substance which exists in our skin. This substance works to maintain hydration of the skin by binding closely with water and supporting vital collagen and elastin, which work to maintain the integrity and suppleness of our skin.

As we age, we lose collagen and elastin, resulting in the skins repair mechanisms slowing down creating poor skin tone and texture, lack of elasticity, and the formation of wrinkles and folds.

Restylane SkinBoosters

Unlike dermal fillers, Skinboosters do not add volume or structure to the skin – they work in more subtle ways to improve the overall skin balance and ‘boost’ the appearance of the skin.

There are two treatment protocols:

  1. Collagen stimulation: One treatment every month for 3 months – this stimulated the fibroblasts (special skin cells) to increase their collagen production.
  2. Maintenance regimen: One treatment every 3 to 4 months – to maintain skin hydration and glow – as well as to keep wrinkles at bay.

In addition to these two choices, one can also choose whether or not you can handle the downtime of multiple injections, or would prefer the use of a blunt cannula to limit swelling and busing.

 

CONTACT US

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 – Restylane Skinboosters

Cape Town| Green Point | Somerset West

Botox | Fillers | Silhouette Soft | Restyalne SkinBoosters | 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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Liquid Facelift

The liquid facelift is the non-surgical method whereby the face is lifted using a combination of dermal fillers and Botox injections. Facial aging is as a result of numerous factors namely, genetics, sun-exposure, smoking, diet and exercise. All of these factors cause the face to sag – everything “droops”. More often than not if you are concerned about the lines on your face you will look in the mirror and gently pull the skin in the middle of your face upwards – that is what a liquid facelift aims to do. Gently Lift the face – without the risk or downtime of surgery.

liquid facelift

In order to create lift the face must be looked at holistically.

In order to do this your face is thoroughly assessed by your aesthetic doctor. Photos are taken and the problem areas are identified. With this information in mind, your face is cleaned and then marked out with a white eyeliner. Marking the face allows your doctor to identify which areas are deficient in volume. Our faces are never symmetrical (sleeping on a favorite side causes one side to sag more than the other) – marking also helps to clearly show which side has the deeper lines.

liquid face lfit

Juvederm Product Range

The liquid facelift starts with the dermal filler treatment – 3 points on the cheek are injected – this replaces volume that has been lost and also lifts the skin below the cheek. Together with the lifting effect, it also rejuvenated the eyes. As you are probably aware, the first place we look we when we see a face is the eyes. Friends, family and colleagues usually comment on how happy or well rested you look – this is all because of the filler treatment. This lifting lasts anywhere from a year to 18 months. Hyaluronic Acid – the substance found in fillers – has also been shown to stimulate collagen production. So in the months after the treatment, you will continue to look great.

Secondly a Botox Brow Lift is performed – the frown and the tail of the brow are injected. This relaxes the frown (so you appear happier!) and gently lifts the eyebrows. It is a great treatment that will leave you looking refreshed and energized. At the end of the day the liquid facelift is all about facial rejuvenation and less about looking like you’ve have a facelift (which is probably a good thing!).

Botox

The treatment itself is relatively pain-less but if you are at all concerned please ask your doctor for a numbing cream to be applied beforehand – they will happily oblige.

– Dr Wade

 

Appointments

Contact us today if you would like to know more about liquid facelift 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  | Liquid Facelift with 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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Eye Fillers

Eye fillers are a treatment that can have an astounding affect on the way a person looks and feels. Many people walk around looking tired and sad –  most of the time this is as a result of the way their face looks. When we age we lose the fat in our cheeks and they begin to sag. The sagging cheeks then pull on the skin just below the eye, and a line forms – known as the tear trough line (named so as it makes you look sad). Before eye fillers came along, the only way to restore volume here was to inject fat that had been taken from somewhere else on your body. Now while a bit of liposuction and some facial rejuvenation are great, they require sedation and surgery – and with that comes downtime, pain, bruising and swelling. Since the arrival of under eye fillers, we have been able to offer clients an in and out service that is relatively painless and has little to no downtime.

Under Eye Fillers

Deep lines under the eyes can be treated with fillers.

The eye fillers procedure takes about an hour – most of that time is spent explaining the treatment and how it works as well as marking out the face to ensure that the correct areas are injected. The markings are made with a white eyeliner – so it easily comes off with a facial wipe – so no need to worry about walking around with lines on your face after your eye fillers treatment! If you are concerned about pain, a topical cream can be applied before the treatment to numb the area. As a general rule, mid face fillers aren’t sore! Below is a video of a doctor injecting eye fillers – it really is a great treatment!

Appointments

Contact us today if you would like to know more about Eye 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. Eye Fillers are great for rejuvenation!

For Bookings:

Cape Town | Green Point | Camps Bay | Somerset West

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

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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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