Correcting Smoker’s Lines with Botox

Dr Harry Singh explains why botulinum toxin injections, using Azzalure™ could be the right solution for you if you have smoker’s lines around your mouth.

Do you, or have you ever smoked? If the answer is yes, then you’re probably expecting a lecture about how bad smoking is for your lung health, but that’s not what I want to talk about; I want to talk about smoker’s lines.

Smoking is actually pretty bad for your skin too, and is a significant contributing factor to the premature ageing of your skin, alongside sun exposure. The effects of smoking start to show after about a decade of the habit, speeding up normal ageing and leading to the early appearance of wrinkles. This is because the nicotine in the cigarettes causes a narrowing of the blood vessels that supply the surface layers of your skin. This reduction in blood flow means that the skin cells don’t get as much oxygen or vital nutrients needed to support them and keep them healthy. It’s also been shown that many of the other chemicals present in tobacco smoke damage the collagen and elastin found in your skin; these are your skin’s support structures, so when they get damaged skin starts to sag and wrinkle.

Finally, I know, it’s starting to sound like a lecture isn’t it; the physical act of smoking, and the facial expressions made can also lead to the production of certain dynamic wrinkles. As you suck on and inhale from a cigarette, much like a straw, you purse your lips, leading to the formation of straight-line wrinkles in the area which surrounds the top and bottom lips, usually worse above the top lip, under the nose. After many years of smoking, these lines don’t just appear when you smoke, but are present when your face is at rest and you are not moving your mouth. It is these lines which are referred to as characteristic smoker’s lines. Similarly, you may also squint your eyes to avoid the smoke as you inhale and this adds to the formation of crow’s feet and frown lines.

All in, being a smoker will lead to you looking old before your time.

Now, of course I would advise you to quit the habit and your NHS GP can help you with solutions to achieve that, but what I can offer is a solution to the premature ageing and wrinkles associated with smoking.

During a face-to-face consultation with me, Dr Harry Singh, at my clinic in Stevenage, Hertfordshire, I can assess your medical and smoking history, current health and the presence of smoker’s lines. If botulinum toxin injections are the right solution for you, I can prescribe them as a cosmetic treatment. I use a brand called Azzalure™; Botox® is another brand that you may have heard of too. This prescription medicine can be used as an anti-wrinkle treatment for crow’s feet, frown lines, forehead lines, bunny lines around the nose, and smoker’s lines around the mouth. Treating these lines is an advanced technique, so it’s important that it is performed by someone with advanced training and experience. As a dentist, I understand the anatomy of the mouth area and have been performing cosmetic injections for over 15 years.

Azzalure acts by reducing the strength of certain muscles, in this case the large muscle that circles the lips, so that the production of the dynamic lines associated with smoking is reduced, and the overlying skin does not form the lines so readily, allowing it to recover and the wrinkles to reduce in appearance. Because this is a very important muscle for other actions such as speaking, smiling, drinking, chewing and kissing, we use very small doses of the botulinum toxin to reduce the smoker’s lines without affecting anything else. Treatment is not a permanent solution, lasting 4 to 6 months, but with regular injections we can prolong the recovery of the skin in the area and the lines will continue to fade.

If you are concerned about smoker’s lines and want to discuss whether Azzalure injections could be suitable for you, please arrange a consultation appointment with me, Dr. Harry Singh at Aesthetics in Stevenage, Hertfordshire by calling 01438 300111.

What are temple fillers and why do we use them to correct facial volume loss?

Dr. Harry Singh explains why enhancing your temples can improve the cosmetic appearance of your whole face

Wondering where your temples are? You’re probably not the only one as it is an area of the face which doesn’t get discussed all that much, especially when it comes to cosmetic enhancements.

The temples, yes there are two of them, one on either side of your face, are the small flat areas that you will find if you place your fingers just above your crow’s feet area, in line with the tops of your ears, and just below where your forehead starts.

The temporal region, as it’s medically called, is quite bony with little volume in terms of fat compared to say the cheeks where you can pitch a good amount of tissue if you try. Yet, as we age, the temples start to lose the small amount of volume they have, and this affects the overall appearance and youthful aspect of the face.

A youthful face is round or oval, with a ‘full’ appearance to the shape. As we age, the overlying tissue and the bone density of the skull changes and this leads to a loss of this fullness. The easiest way to explain this is that the face goes from a round or oval shape to a ‘monkey-nut’ appearance with a distinct concavity or dent in the shape of the face. This changes the face from a youthful appearance to a more skeletal, aged look.

Correcting the hollowing of the temples due to this volume loss can be done with dermal fillers, the same products often used to augment lips, recontour the jawline, plump up cheeks and correct nose imperfections non-surgically. However, the temple area is also considered to be one of the more complex areas of the face where a good knowledge of the underlying anatomy is paramount, so any practitioner performing temple fillers should have advanced training and experience. I use hyaluronic acid-based dermal filler products at my clinic in Stevenage, Hertfordshire and have been performing cosmetic injectable treatments, including advanced techniques for over fifteen years.

Usually, adding dermal filler products to the temples will not be a stand-alone treatment, but part of an overall facial rejuvenation treatment. The temples also affect the structure around them so adding volume back, which will return the round-ness of the face, can have secondary effects such as lifting the side of the brow area and can also lessen other changes in the lower face affecting the cheek and nose-to-mouth (naso-labial) lines. Often overlooked, you may be surprised to discover how much difference can be achieved with some hyaluronic acid gel to the temporal region.

Hyaluronic acid (HA) is a natural component of human skin and something that our body makes daily. Our bodies need to produce lots of HA because it acts as a natural moisturiser, drawing in water to our skin to keep it plump and hydrated, but our natural HA doesn’t last very long before we metabolise it and then need to make more. Unfortunately, as we age, we are not able to produce as much HA as we did in our youth, so skin becomes dehydrated and less plump. Some clever scientists have synthesized HA from non-animal sources so that it is safe for use in humans. The difference being that the injectable HA is made into a longer-lasting gel, so it stays within the tissue for much longer than our natural hyaluronic acid.

I use the clinically-proven Restylane range of dermal fillers which has been proven to be safe and effective since the early 1990s. Restylane comes in different HA gel ‘thicknesses’ for use in different areas of the face to achieve maximum volume replacement and contouring. It also comes with the local anaesthetic lidocaine for a more comfortable treatment. By using these products in the temporal region, as well as other areas which could benefit from rejuvenation and volume correction, you can expect an improvement in your facial appearance to last between 6 and 12 months. We can then come up with a bespoke treatment plan to maintain the correction with future appointments at Aesthetics in Stevenage, Hertfordshire with me, Dr Harry Singh.

If you want to discuss if temple fillers are the right treatment for you, then please call 01438 300111 to book an appointment.

All you need to know about cheek fillers for cosmetic enhancement

Dr. Harry Singh explains how dermal filler products can be used to give you the cheek ‘bones’ you always dreamed of.

Well-defined cheek bones and the plump pockets of fat which sit above them are a key facial structure and an important element of what makes a face look beautiful. This area represents a point of beauty in a woman and defines a strong face in a man. As we age we lose both elasticity in our skin and fat or volume from the face, leading to a less-balanced, less-youthful and undefined facial profile.

This volume loss leads to a loss of cheek fullness and goes on to impact in the direction of gravity to create a sagging jawline and an overall dower look. Augmenting or enhancing the cheeks, in both men and women, can put back the lost volume, instantly raising the face and bringing back a more youthful look. We can achieve this using dermal fillers which create a more natural improvement in the face than traditional solutions of the past such as surgically placed cheek implants.

I use hyaluronic acid-based dermal filler products at my clinic in Stevenage, Hertfordshire. Specifically, I use different thickness dermal filler products from the Restylane range which has been clinically-proven for cosmetic use since the early 1990s. Restylane products have one of the longest records for safety and efficacy of any dermal filler brands.

So, what is hyaluronic acid? It is a natural component of our skin and we make it daily to aid hydration and keep our skin plump and young-looking. Hyaluronic acid is a natural sponge and it draws in water to an area of tissue. Unfortunately, as we age we produce less and less of our natural hyaluronic acid and this, along with the ageing processes in our skin and fatty layers, results in the loss of volume in our mid-face, or lower and upper cheeks.

Thanks to Restylane, we now have long-lasting, synthetic hyaluronic acid products which are made from non-animal sources and are safe to use in our skin to put back both volume and hydration, where needed. The placement of the hyaluronic acid gel will contour the cheekbone area to bring back that attractive facial profile, whilst also providing lift in the mid-face to correct minor sagging which presents in the jawline. Putting the structural support back into the cheeks with dermal fillers can achieve as significant anti-ageing result, rejuvenating the face.

Restylane comes in different formulations or ‘thicknesses’ so we can use it in different areas of the face, but also in layers within the skin tissue to achieve different structural support, for maximum benefit. It comes with lidocaine within the syringe, alongside the hyaluronic acid, so has a built in local anaesthetic to make injection more comfortable.

All Restylane products are temporary, so this is a far cry from permanent dermal fillers or implants, making the products much safer than past solutions. You can expect the results to last between 6 and 12 months, depending on the cheek correction required and which specific product we use to treat the area. The amount of correction needed to address the volume loss in the cheek will also determine the optimum number of syringes of Restylane that are needed to achieve the result that you are looking for. Over time your body will naturally metabolise the synthetic hyaluronic acid so long-lasting results can be achieved with regular maintenance treatments, here at Aesthetics clinic to top-up the correction.

If you want to discuss if dermal fillers are the right treatment for you, then please call 01438 300111 to book and appointment to see Dr. Harry Singh at Aesthetics in Stevenage, Hertfordshire.

How to correct a ‘gummy smile’ with Botox

Dr Harry Singh explains why botulinum toxin injections, using Azzalure™ could be the right solution for you when you smile and show too much gum.

A smile is a beautiful thing. It signals an emotional response of joy and happiest, or amusement to those around us. A smile is commonly said to ‘light up someone’s face’. But sadly, some people don’t like their smile, and this isn’t always because they don’t like their teeth. Some people feel that when they smile they show too much of their gums, usually above their top teeth, or that their gums looks too prominent compared to their teeth – this is referred to as a ‘gummy smile’ or an ‘excessive gingival display’ if you want to be technical.

Having a gummy smile can make a person feel self-conscious and less willing to smile, especially in social situations or in photographs, so the beautiful expression of their emotions is stifled. If this is your concern, then keep reading and learn how we can effectively treat this.

When it comes to remedies for a gummy smile, the traditional route, available to dentists and their patients was fairly invasive and involved a procedure called a ‘gingivectomy’. Basically, this is oral surgery to reduce the look of a gummy smile by removing gum tissue. All in this is costly for the patient, painful and requires time to recover and is a radical approach to what is in the main a cosmetic problem. (Gingivectomy is appropriate for some medical and dental conditions however).

Thankfully, we now have botulinum toxin products, and at my clinic in Stevenage, Hertfordshire, we use a brand called Azzalure. Most people are familiar with the use of Botox or botulinum toxin as a cosmetic solution for wrinkles such as frown lines and crow’s feet, but these anti-wrinkle injections can also be used in all sorts of places, and for various medical problems where muscle spasms are causing a variety of conditions.

Using Azzalure as a solution for reducing a gummy smile can be prescribed for you after a face-to-face consultation and discussion with me, Dr. Harry Singh. I will ask you to smile and will review your concerns about how much gum is on show. As a dentist I will be able to assess if this option is right for you and we can discuss whether other dental concerns are also affecting your smile and whether these require addressing, to create a treatment programme that will give you an effective solution.

The botulinum toxin injections would be used to reduce the strength of certain muscles around your mouth to depress your lips when you smile, in other words, we weaken the muscles a little so that your lips do not rise as high above your teeth when you smile. This is achieved by injections of very small doses of the Azzalure into four specific points. It’s important that you go to an advanced practitioner for treatment like this as they must understand the anatomy of the muscles around the mouth, and the dose of botulinum toxin required to correct the gummy smile but not impact on the general movement of the mouth or your ability to smile, chew, talk, drink, kiss etc.

Treatment for a gummy smile with botulinum toxin is not a permanent solution but will last for approximately 4 to 6 months and will require regular, repeat treatments to maintain your ‘new smile’.

So, if you’re self-conscious in your selfies due to a gummy smile please arrange a consultation appointment with me, Dr. Harry Singh at Aesthetics in Stevenage, Hertfordshire and we can discuss if Azzalure injections are the right solution for you. Please call us on 01438 300111.

Don’t be a ‘Sweaty Betty’ or a ‘Stinky Stanley’ this Summer

Dr. Harry Singh explains how axillary hyperhidrosis or excessive underarm sweating can be controlled with Botox

If you are troubled by extra or excessive underarm sweating, all year round, then you may have a condition called hyperhidrosis. This is the medical name used to describe a situation whereby someone sweats more than their body really needs to, to regulate heat, and this is most noticeable in the underarms or axilla. Some people also suffer from chronic sweating of their brow, feet and even sweaty palms on their hands. All sorts of treatments are available for the different types of hyperhidrosis, but at his clinic in Hertfordshire, Dr. Singh specialises in consulting with patients who think that they might have a problem with axillary hyperhidrosis – excessive underarm sweating.

Of course, there are different levels of axillary hyperhidrosis, and it affects different people in differing ways. For some, they just don’t like to sweat too much, hate the feeling of underarm wetness, the stains it leaves on their clothes, and this becomes more of a cosmetic concern. For others, this is a socially limiting condition which has a significant affect on their daily working and social lives, with constant use of deodorants, regular changes of clothing and anxiety in social situations where their sweating may become apparent through body odour or sweat marks on clothing.

But there is a solution for both types of people, and this is something that you can discuss with Dr. Singh during a face-to-face consultation with him in clinic. He can treat excessive underarm sweating with botulinum toxin or Botox® injections.

If you are diagnosed as being hyperhidrotic then botulinum toxin can be used to block the signals from the nerves in the armpit to the sweat glands, called eccrine glands. This means that by stopping this communication for between 3 and 9 months, depending on the individual, we can prevent the eccrine glands from producing sweat. During this period there will be reduced wetness and almost no need for anti-perspirants. Over time the effect of the botulinum toxin does where off, this is not a permanent cure, so repeat injections are needed to maintain the relief from excessive sweating.

Hyperhidrosis can affect both men and women in equal measure; it is estimated to affect around 3% of the worldwide population, often starting after puberty or in adolescence. During your consultation you will be able to discuss just how much it effects your life and whether botulinum toxin injections are the right solution for you.

During your assessment and eventual treatment, Dr Singh will review how profusely you sweat, and exactly where the sweating is more acutely located. This will become the target area for the delivery of the tiny injections of small doses of toxin to the sweat glands. It takes from 48 hours to about a week to start to work and reduce the production of sweat to a more comfortable level. Some people stop sweating completely. The length of time that it lasts will vary but you should expect to return for repeat treatments a couple of times a year.

It can be a truly life saving option for many people, giving them back freedom to wear the clothes they want, reduce their reliance on multiple deodorants or specialised antiperspirant products and enjoy social interactions without the fear of sweating.

If you want to discuss excessive sweating and how it affects you, then please call 01438 300111 to book and appointment to see Dr. Harry Singh at Aesthetics in Stevenage, Hertfordshire.

Treating nose-to-mouth lines is simple with dermal fillers

Dr. Harry Singh explains how cosmetic injectables can be used to treat nasolabial folds.

Firstly, I know what you’re going to say…what is a nasolabial fold?

It’s certainly a mouthful of a word, but what it refers to is very simple, and most of us get them, especially as we age. Nasolabial folds or nose-to-mouth lines refer to the depressions or grooves that run from the lower corners of the nose, the medical term for which is ‘naso’, down to the corners of the lips, the ‘labia’; hence nasolabial or nose-to-mouth lines.

As simple as they are to define, they are also simple to address by plumping up the area, reducing the mild dip, moderate crease or deep depression, creating a more youthful look with the use of injectable dermal fillers.

Both men and women start to see the appearance of nasolabial lines as they age. This occurs as we lose volume in the cheeks and upper face, which causes sagging in the area and the dropping of the fold of the cheek into the nose area. Dermal fillers can be used very effectively on male and female faces to add back volume and structure to the ageing face in the cheek and nasolabial region.

I use hyaluronic acid-based dermal filler products at my clinic in Stevenage, Hertfordshire. Hyaluronic acid, or HA for short, is a natural component of our skin that our body makes daily. It draws in water to our skin and helps it stay plump and hydrated, which is more youthful-looking. Our bodies need to produce lots of HA each day because natural HA doesn’t last very long before we metabolise it. Sadly, as we age, we produce less and less natural HA daily; this is why children have such plump faces compared to adults. Scientists have, in the last 3 decades, discovered ways to manufacture synthetic, longer-lasting HA from non-animal sources, which is perfectly safe to use in humans. I use the Restylane product range which has been clinically-proven since the early 1990s for cosmetic use and has one of the longest records for safety and efficacy of any dermal filler brands. Restylane is non-animal-based and comes in different formulations or ‘thicknesses’ for use in different areas of the face for maximum benefit. It also comes with built in local anaesthetic, by the addition of lidocaine into the product syringe. This means that the area is numbed as it is treated to make it much more comfortable. All the products are temporary, but you can expect the results to last between 6 and 12 months, depending on the severity of your nasolabial lines and which specific product we use to treat them. How deep the folds are, and the amount of volume loss, with also determine the optimum amount of Restylane syringes I will require to give you the result you are looking for. Your body will still metabolise the HA over time but will do so a lot slower than it does with its natural HA, hence the long-lasting results. You can maintain the correction with repeat treatments at Aesthetics clinic and I will call you back for regular appointments to see how things are looking.

If you want to discuss if dermal fillers are the right treatment for you, then please call 01438 300111 to book and appointment to see Dr. Harry Singh at Aesthetics in Stevenage, Hertfordshire.

‘What’s Up Doc?’ Botox Makes ‘Bunny Lines’ Just For Rabbits

Dr Harry Singh explains why botulinum toxin injections, using Azzalure™ could be the right solution for your nose wrinkles.

Bunny lines may look good on Bugs Bunny, but many people wish they could get rid of theirs. Well, the good news is you can with wrinkle relaxing injections.

Firstly, let’s clarify what we’re talking about here – what are ‘bunny lines’?

Bunny lines are part of the family of wrinkles referred to as ‘dynamic lines’, the ones which are created in your skin from repeated movement, usually on expression and during common facial movements involved in speaking, smiling, eating etc. Dynamic wrinkles which can be treated with wrinkle relaxing injections include frown lines and crow’s feet, as well as bunny lines. Some people scrunch up their nose during some expressions and this creates the ‘bunny lines’ across the bridge and sides of the nose, in a fan formation. Over time, these fine lines will start to remain in the skin, even when there is no underlying facial movement.

As you age, and the more you express yourself and use your facial muscles, the more the overlying skin gets repeatedly wrinkled and creased as you do so. Therefore, lines eventually become somewhat ingrained in the skin and are visible even when you stop making the expression. But, we have the answer to bunny lines at my clinic in Stevenage, Hertfordshire.

The solution is anti-wrinkle or wrinkle relaxing injections, which can be prescribed for you after a face-to-face consultation and discussion with me, Dr. Harry Singh. I will ask you to move your face, by making certain expressions, paying particular attention to the areas that you are concerned about, such as if you think you have bunny lines. I will review your skin quality and take a detailed medical history to make sure that you are suitable for treatment. Other options, such as dermal fillers, can also be used to help with wrinkles or lost volume to plump out your skin, so we can discuss the best option and treatment programme for you.

Wrinkle relaxing injections refer to a medicine or drug called botulinum toxin type A. This is available as several different brand names including Botox® and Azzalure™. I prefer to use Azzalure in my clinic.

Azzalure works by reducing the strength of certain facial muscles for a short period of time, approximately 4 to 6 months. The botulinum toxin is injected in very small doses into specific points on the sides of your nose to target the bunny lines. You won’t get an instant result as it takes about a week to get to work. In the days after the injections, the botulinum toxin starts to stop the communication channels between your nerves and the muscles in the nose area where we have treated, so that movement can be restricted. Once the botulinum toxin has reduced the muscle movement, but not so much that you can’t make any expression or look unnatural, the overlying skin will start to become less wrinkled. Over time you’ll start to notice a real improvement in your skin quality if you maintain regular repeat treatments every 4 to 6 months.

So, if you’re bothered by bunny lines please arrange a consultation appointment with me, Dr. Harry Singh at Aesthetics in Stevenage, Hertfordshire and we can discuss if Azzalure botulinum toxin anti-wrinkle injections are the solution for you. Please call us on 01438 300111.

Less is more when it comes to lip fillers

Dr. Harry Singh explains why using dermal fillers in the lips should not leave you looking like Daffy Duck.

We’ve all seen the pictures online and in magazines – the pouts, the selfies, the young ladies with the over-inflated lips that give rise to expressions such as ‘trout pout’, ‘duck lips’, or ‘sausage lips’. Driven by reality TV stars and social media trends there has been an upsurge in the demand for lip fillers, particularly amongst the millennial generation; but many are simply going too far with their requests for an unnatural look, and I’m here to say ‘no, this is not what lip enhancement is about’.

Practicing from my clinic in Stevenage, Hertfordshire, I can say, hand on heart, that less is more when you’re looking to enhance someone’s lips with dermal filler products. A natural augmentation should not be overtly obvious or distort the lips, and all enhancement should be achieved as a gradual process, reviewed over time. Having been practising in facial aesthetics for over 15 years, I pride myself on delivering natural lip augmentation for all adult ages, both women and men.

I use HA or hyaluronic acid-based products from the Restylane range, which has been clinically proven for over twenty years and has a great safety and efficacy record. Restylane is non-animal-based, all the products are temporary and are formulated to be very similar to the natural HA that is produced daily in our bodies. Hyaluronic acid is the body’s natural moisturiser, it loves water so will draw it in, which is why it’s important that we keep our bodies hydrated by drinking plenty of water. The HA molecules fill up like sponges and help to plump up our skin, but as we age we don’t make as much of the HA naturally, so skin becomes less voluptuous.

The only real difference with the synthetic HA is that the clever scientists who make these products manufacture them in such a way that they last longer when implanted into the face than natural hyaluronic acid. This means that when we use them to augment the lips, recover lost volume through ageing or reshape any asymmetries between the upper and lower lips, we can expect the results to last between 6 and 12 months. Over time your body will simply metabolise the Restylane, making it a safe and effective solution for lip enhancement. You can add to and maintain your new look simply by returning to the clinic for regular appointments.

Many people worry about the pain involved with lip filler treatments. The lips are a very sensitive part of our face, with lots of nerve endings. But fear not, anaesthesia or numbing is at hand. We can use a topically applied local anaesthetic cream, or a dental block, just like the injection that you might have for a dental procedure; I am a dentist after all. Having said that though, dermal filler products these days come with built-in local anaesthesia, through the addition of lidocaine to the syringe, making treatment very comfortable. This means that a little bit of numbing cream on the lips beforehand I start injecting is all that most people require for a comfortable experience.

Results will be almost immediate, but you should expect some minor side effects for the first few days – remember what I said about lips being sensitive – this may include slight bleeding at injection points immediately after treatment and swelling or mild bruising for 24 to 72 hours, sometimes longer. All of this is temporary and will quickly resolve to reveal your new luscious lips. Allergic reactions or major complications to lip fillers are rare, and most of the scare stories you may read in the press are related to poorly trained practitioners using incorrect treatment techniques.

If you want to discuss if lip fillers are the right treatment for you, then please call 01438 300111 to book and appointment to see Dr. Harry Singh at Aesthetics in Stevenage, Hertfordshire.

Say Goodbye to Frown Lines, Crow’s Feet and Forehead Wrinkles

Dr Harry Singh explains why botulinum toxin injections, using Azzalure™ could be the right solution for your facial wrinkles.

I hate to break it to you, but it happens to us all. What am I talking about?

Ageing.

Sadly, just as certain as death and taxes, we humans, both male and female, all age, and with it brings fine lines and wrinkles. They first start to appear in our early thirties, sometimes earlier, becoming more prominent in our forties and fifties.

Lines you might start to notice first include crow’s feet at the edges of your eyes, most noticeable when you smile and scrunch your lower face upwards; but as you age, they are often still there when you stop smiling!

Other common lines to appear in the top third of your face are frown lines and forehead lines. Frown lines are created from those angry faces you might pull at your children or work colleagues, or the driver who cuts you up in traffic, or maybe when you are concentrating hard; whilst forehead lines are the ones you create when you are surprised or shocked and raise your eyebrows. Some people also scrunch their nose up during some expressions and this creates what we call ‘bunny lines’ across the bridge and sides of the nose.

All these lines have one thing in common, they are what are referred to as ‘dynamic lines’ and are created in your skin from repeated movement of the underlying facial muscles. The more you express yourself and use your facial muscles, the more the overlying skin gets wrinkled and creased as you do so, and eventually those wrinkles become small grooves which stay there, even when you stop making the expression.

But, let’s not get depressed about it, because at my clinic in Stevenage, Hertfordshire we have a solution.

The solution to treating lines and wrinkles and improving your youthful appearance is anti-wrinkle injections. These use a product called botulinum toxin which is available as several different brand names including Botox® and Azzalure™. Both are prescription only medicines and must be prescribed for you after a face-to-face consultation and discussion with me, Dr. Harry Singh. I prefer to use Azzalure in my clinic and during a consultation I will ask you to move your facial muscles, review your skin and take a detailed medical history to make sure that you are suitable for treatment.

So, how does this anti-wrinkle product work? Well, the short answer is that is puts certain facial muscles to sleep for a few months.

The botulinum toxin is injected in very small doses into specific points around your eyes, if your crow’s feet are being treated, your forehead, between your eyebrows for frown lines, or the sides of your nose for bunny lines. Azzalure takes about a week to get to work and during that time it stops the communication between your nerves and the muscles in the area we have treated, where we want movement to be restricted. The dose of botulinum toxin is the important part as we want just enough to reduce the movement in your facial muscles, so that the overlying skin doesn’t wrinkle as much as it did before, but not so you look frozen or expressionless. A natural, refreshed look is the aim with all my treatments, leaving your skin to recover and soften those lines away, without you looking odd and scaring the kids, neighbours or cat! Once the botulinum toxin has reduced the muscle movement, the overlying skin will start to become less wrinkled and over time, and with repeat treatments every 4 to 6 months, you’ll start to notice a real improvement in your skin quality.

So, if you’re bothered by the ageing effects of your crow’s feet, frown lines, bunny lines or forehead wrinkles then please arrange a consultation appointment with me, Dr. Harry Singh at Aesthetics in Stevenage, Hertfordshire and we can discuss if Azzalure botulinum toxin anti-wrinkle injections are the solution for you. Please call us on 01438 300111.

Why are dentists best placed to offer facial aesthetics

You may be wondering why a dentist would be working in non-surgical facial aesthetics. The truth is that dentists are actually ideally placed to perform such treatment, since we have undergone five years of undergraduate education focusing just on the face, never mind the postgraduate training that inevitably follows!

A large part of what we learn involves not just teeth but also the anatomical structures allied to the mouth, as well as providing oral treatment that is in proportion with the patient’s face, and we are experts at administering pain-free injection.

We dentists, just like any other healthcare professional that patients see on a regular basis, are in the fortunate position of being able to build rapport and therefore trust. Who better then, for our patients seeking non-surgical facial aesthetic treatment, to deliver it when that all-important trust is already there?

Perfect partners

In addition, cosmetic dentistry and non-surgical facial aesthetic treatment are ideal bed fellows. In my experience, patients who have elected to undergo cosmetic dental procedures tend to be interested in the possibility of facial aesthetics, and vice versa.

So what are the possible treatments to complement our patients’ smiles? They include, but are not limited to:
1. Plumping of lips subtly (injecting the hyaluronic acid dermal filer just in the borders of the lips) or by increasing the volume (injecting in the body of the lips) to enhance a smile with white, straight teeth
2. Volumisation in the mid face area, especially in patients who have lost some teeth in the cheek area, as well as replacing lost volume or filling deep lines in the nose to mouth (naso labial folds) and mouth to chin (marionette) lines with dermal fillers
3. Botulinum Toxin to target dynamic muscles. One example of its use is to reduce a gummy smile; weakening the muscles responsible for raising the lip with a small amount of toxin results in a gentler and softer upward pull when a patient smiles, allowing all of the teeth to be seen but decreasing the amount of gum on show
4. Temporomandibular joint disorders can be treated with Botulinum Toxin as part of a comprehensive treatment plan, and it can be added to treat bruxism in addition to normal dental procedures.

www.aesthetics-dentistry.com