Treatment for Cellulite that works – introducing Celluerase

Dr. Harry Singh explains how Celluerase can reduce the appearance of cellulite

Plagued by orange peel-looking skin or lumpy, cottage cheese-like bumps on your thighs? Well, you’re not alone. The appearance of cellulite is one of the primary dissatisfactions for most women. Many will spend thousands of pound and hours of their lives trying to alleviate it with creams, massage devices, brushes and compression pants. All of which do not work.

In this blog I’m going to tell you all about Celluerase, which is now available at my clinic, Aesthetics in Stevenage, Hertfordshire.

First things first, what is cellulite and how do you get it?

It’s a myth that having cellulite is just due to being overweight. It’s true that if you are carrying a few too many pounds, the cellulite will stand out more and be more obvious, but cellulite has a lot to do with genetics and hormones as well. Even slim, fit women can get cellulite. In fact, it’s estimated that between 85-98% of women have some cellulite! This means that you are very much not alone if you are worried about it.

The problem for women, and why men rarely, if ever, suffer from cellulite is all down to the way that they store fat and the structure and shape of their fat cells. The orange peel or cottage cheese appearance on the skin of the thighs and buttocks is because the fat cells underneath the skin start to push through the overlaying fibrous, connective tissue, which is characteristic in these areas of the female body. The fibrous tethers mean that as the fat is pushed up, it herniates through the spaces and makes the bumps or dimpled look appear on the outside of the skin. Put simply, imagine an old-fashioned string shopping bag with a blancmange inside it and how this would bulge through the air holes in between the bag’s strings!

Celluerase is designed to release these fibrous bands to reduce the appearance of the dimpling characteristic of cellulite. It is a minimally invasive procedure which must be performed under local anaesthetic, which numbs the area to avoid discomfort. We can treat multiple areas at once, e.g., thighs and buttocks, and only one treatment session is usually required to achieve the desired result. Celluerase can be combined with other active ingredients such as mesotherapy or injectable lipolytic products to help break down the fat and aid lymphatic drainage, to produce the smoother appearance to the skin in the treated area. The lymphatic drainage in the thighs and buttocks is often sluggish so we can use a combined treatment approach to help the body to flush out the area and detoxify. Because this is a minimally invasive treatment, you can expect a little downtime and bruising, but the results you will achieve are significantly better than you will ever get by slathering on expensive creams or rubbing a brush up and down your thighs in the shower every day!

If you are concerned about cellulite and want to discuss if Celluerase is right for you, please call 01438 300111 to book an appointment to see Dr. Harry Singh at Aesthetics in Stevenage, Hertfordshire.

Desobody, the latest in fat dissolving injections

Dr. Harry Singh introduces Desobody, injection lipolysis for reducing or melting fat in the thighs, buttocks and tummy

Okay, hands up, we’ve all got a little bit of wobbly fat, here and there, which will just not go, haven’t we? I know I have!

No matter how good our best intentions are to eat well and exercise, spending hours and hard-earned money on kale smoothies and gym visits, stubborn pockets of fat remain in areas such as love handles or bra rolls, muffin tops around the tummy, saddle bags on the outer thighs and other areas around the male and female abdomen. It can be very disheartening, for both men and women, when they just won’t shift!

Well the good news is that at my clinic, Aesthetics in Stevenage, Hertfordshire, we have a solution for dissolving these fat pockets, which are resistant to diet and exercise, called Desobody.

Let me tell you more…

Desobody is a product used for a treatment called injection lipolysis. Lipolysis literally means fat-dissolving and that is what the injection of Desobody into targeted areas will do over a course of treatments. The active ingredient is called sodium deoxycholate (deoxycholic acid) which is a special medical detergent which breaks down fat cells. It has a concentration of 1.25% sodium deoxycholate in Desobody.

We also have another product called Desoface which is a lower concentration of sodium deoxycholate (0.5%) for treating double chins, which I will tell you all about in another blog.

Treatment with Desobody uses a thin cannula (non-sharp needle) which is placed under the skin through a single insertion point. This means that we can evenly deliver the active ingredient in a fan-like pattern across the whole area where we are wanting to dissolve the fat cells. The amount of Desobody needed will depend on the size of the area(s) being treated. Each session will take around 45 minutes, with only mild discomfort as a local anaesthetic is used to numb the area. Following treatment, you can expect some redness and swelling as the product gets to work on disrupting the fat cells, so they release their contents. There may also be some bruising and mild to moderate pain in the first 24-72 hours, which can be managed with over-the-counter pain medications like paracetamol. Over the coming weeks your body will slowly metabolise and expel the released lipids from the fat cells. Repeat treatment is required, and depending on the area being treated, we recommend 2-4 sessions, spaced 4-8 weeks apart, for optimum results and fat reduction.

It’s important to remember that this is not a weight-loss solution or slimming aid. The best candidates for treatment are those who have a medium body weight (BMI), who may be just slightly overweight, and have localised fat deposits, i.e. small, specific areas of fat around their back, stomach, hips, buttocks, inner and outer thighs or knees.

Following completion of the treatment, you can expect the area of fat targeted to be reduced and the firmness of the overlying skin to also be improved.

If you are concerned about stubborn pockets of fat and want to discuss if Desobody is right for you, please call 01438 300111 to book an appointment to see Dr. Harry Singh at Aesthetics in Stevenage, Hertfordshire.

Have you heard of Sunekos for rejuvenating your face?

Dr. Harry Singh explains how the new injectable hyaluronic acid and amino acid treatment, Sunekos can rejuvenate your skin

Ageing presents in many ways on the face and isn’t just limited to lines and wrinkles or a loss of elasticity to the skin. As we age, skin will lose tone, becoming dry and uneven in texture, perhaps feeling rough. Skin can also suffer from changes in pigmentation or photo-damage which creates uneven patches of skin colour, or age spots, as well as dark under-eye circles. Exposure to sun is partly to blame but genetics, lifestyle choices and the natural pathway of getting older all play a part.

This means that as well as addressing deeper lines and wrinkles with dermal fillers or relaxing dynamic wrinkles, such as frown lines or crow’s feet, with botulinum toxins to allow the skin to recover; it’s important to consider treatments which can help to restore the whole of the skin, rejuvenate and stimulate the building blocks of new skin.

I’m very pleased to announce that to provide additional options for my patients, I now offer Sunekos® at my clinic in Stevenage, Hertfordshire. In fact, I am a UK trainer for other medical practitioners in the use of this product and have been very impressed with the results.

Sunekos is a new cosmetic injectable product, which like the Restylane® dermal filler range that I use contains hyaluronic acid. But, what makes Sunekos special is the patented formula of amino acids, which is added alongside the hyaluronic acid to create the injected product. This potent mix of amino acids which includes glycine, L-proline, L-leucine, L-lysine HCI, L-valine and L-alanine help to regenerate the Extra Cellular Matrix (ECM) – the building blocks which help to make the wall – by stimulating fibroblasts, or skin cells, to produce new collagen and elastin, repairing and rebuilding skin. This process is referred to as a dermal biogenesis, literally skin regeneration.

Hyaluronic acid (HA) is a natural component of our skin which draws in water to act as a natural moisturiser, keeping skin hydrated and plump, both of which are signs of youthful skin. HA is made by our bodies daily, but, as we age, we produce less natural HA and our skin suffers in appearance because of it. Amino acids are made by our bodies and are essential for the creation of healthy skin, acting as the precursors to the formation of new collagen and elastin.

Sunekos offers two different treatment options for skin regeneration, which can be performed separately or in combination – Sunekos 200 and Sunekos 1200.

Sunekos 200 contains a low molecular weight HA and Sunekos 1200 is a medium molecular weight HA. The former can be used alone to treat the face, neck, décolletage and hands and is great for younger people. If additional ‘cushioning’ is required in the case of lax, sagging skin or deeper lines and wrinkles, then the Sunekos 1200 can be combined to give extra scaffold support for the dermal biogenesis.

Clinical trials have shown that hyaluronic acid products on their own can cause biorevitalisation in the skin, stimulating fibroblasts, but the addition of the amino acids is like adding extra fuel to a fire, their presence stimulates and directly targets the ECM fibroblasts which is important when it comes to rebuilding the dermal layers of the skin. Participants in trials reported improvements in wrinkles, skin plumpness and hydration, as well as a lifting effect.

I recommend a course of three to four weekly treatments to achieve the best results with Sunekos 200, followed by a repeated course of treatments every six months. If extra support is required with Sunekos 1200, then this will be injected a few days before treatment commences with Sunekos 200. You will start to notice the effects of treatment after a week or so as skin begins to rejuvenate.

If you want to discuss if Sunekos can help your skin, then please call 01438 300111 to book and appointment to see Dr. Harry Singh at Aesthetics in Stevenage, Hertfordshire.

The Puppet Face Lift with Silhouette Soft Threads

Dr Harry Singh explains how Silhouette Soft Threads could give you the non-surgical face lift you’ve been looking for.

Mention the words ‘face lift’ and everyone starts thinking about scalpels, cutting into skin and then pulling back on the face, but what about a non-surgical face lift?

Times have changed, and we now have many more options in medical aesthetics which allow practitioners to work with a patient to produce the cosmetically-enhanced results which once could only be achieved with surgery. Surgery still has a place for those with considerable ageing and skin laxity, but if you’re not quite there yet, then we can do wonders with thread lifting or a puppet face lift.

The puppet face lift is a term coined, probably by the media I think, to refer to a thread lifting technique with Silhouette Soft threads to achieve a non-surgical form of face lifting.

The Silhouette Soft threads are lengths of suture material containing Poly-L-Lactic Acid or PLLA. Along each thread, which varies in size depending upon where it will be used, are small ‘cones’ made from lactic and glycolic acids. These cones are separated by knots along the suture line to stop them from sliding up and down the thread but keeping them free-floating between the knots. The cones are bi-directional which means that from the centre of the thread either 4, 6 or 8 cones will go in each direction out towards the end of the threads. The cones are the anchors for the threads so that when a thread is implanted in the skin, pulled and tightened into place, the cones secure themselves to maintain the lift. Threads are inserted using a fine needle through an entry and exit point. The same entry point will be used for multiple threads which are usually laid out in a pattern to achieve the designed amount of lifting needed. Treatment takes about 30 minutes and can be used along the jawline, the mid-face and the neck.

These threads are full re-absorbable, meaning that they do not remain permanently in the body but dissolve over time, usually after a year. PLLA has a stimulatory effect on the skin tissue, so as well as providing a mechanical lifting and skin tightening when the thread is put into position, it also increases the production of the body’s natural collagen around the thread for a longer-term result. Known as a foreign body reaction, the presence of the thread tricks the body into making more collagen so the lift from the thread remains in the natural tissues after the PLLA has been dissolved.

Due to the nature of the procedure, it’s important that you only seek treatment from an experienced medical practitioner who has undergone manufacturer-approved training, specifically in the placement of Silhouette Soft threads.

Thread lifting with Silhouette Soft is ideal for women and men, aged between their mid- to late-30s and their mid-50s, who have a good underlying skin structure but who are showing some slight sagging in the cheeks and jawline, consistent with the early signs of ageing. Such individuals would not yet be candidates for surgical intervention but would benefit from tissue lifting and tightening to improve the laxity. Results from a puppet thread lift last between 18 months to 2 years and treatment can be combined with other aesthetic treatment options such as dermal fillers.

If you’re not ready for a surgical face lift, but think a thread lift might be for you, then please arrange a consultation appointment with me, Dr. Harry Singh at Aesthetics in Stevenage, Hertfordshire and we can discuss if Silhouette Soft threads and a puppet face lift are suitable for you. Please call us on 01438 300111.

Is your Depressor Anguli Oris (DAO) muscle the reason for your ‘frowny face’?

Dr Harry Singh explains how we can relax this muscle with botulinum toxin to turn your smile from ‘upside down’ to ‘happy clown’!

Do people often ask you if ‘everything is alright?’, or tell you to ‘cheer up’? If so, then this could be a sign that you have a reverse or ‘upside down’ smile, such that the corners of your mouth, even when you are not moving your mouth or lips, have a tendency to point downwards, creating an uphappy look.

The cause of this downwards ‘tugging’ is an overactivity in one of the many muscles that we use to move our mouth so we can speak, eat and make facial expressions.

The muscle in question is called the Depressor Anguli Oris or DAO for short. The clue in its name is the word ‘depressor’, as this is the muscle that is responsible for lowering the corners of the lips and mouth, often used when we wish to express displeasure or repulsion. We have a DAO muscle on each side of the mouth. It is triangular-shaped with an anchor at the corner of the mouth and a flat side along the chin. If this muscle is too active, then it can start to tug down on the corner of the mouth even when we aren’t calling on its services to make faces. This repeated action can lead to the formation of marionette lines, as the overlying skin is constantly being pulled down by the overactive muscle. As we age, these lines will become more and more pronounced.

In another recent blog, I looked at treating deep marionette lines with dermal fillers. Marionette lines are the lines, folds or wrinkles which start from the corners of the mouth and head in a downwards direction, eventually reaching the chin. They get their name from the mouth shape of marionettes or ventrilloquist’s dummies.

If you try to do a sad face, you will be able to see and feel the constriction of the DAO muscle at the jawline and can see how strong it is at tugging down the corners of your mouth.

As well as treating deeper lines and wrinkles in this area with dermal fillers, such as the Restylane range which I use in my clinic in Stevenage, Hertfordshire, the DAO can also be relaxed with the use of botulinum toxin injections. This is a prescription only medicine and isn’t right for everyone, but after a face-to-face consultation with me, I will be able to diagnose if you have an overactive DAO and if injections with botulinum toxin, on its own, or with dermal fillers would be the most appropriate treatment for you. In my clinic, I like to use the Azzalure™ brand of botulinum toxin, other products include Botox®.

Treating the DAO and marionette lines in this way, in fact any injections of botulinum toxin in the lower face, i.e. below the usual areas of crow’s feet and frown lines, is very much an advanced technique and must be performed by someone with significant training and experience. I have been prescribing and performing wrinkle-relaxing treatments of this kind for over fifteen years. In the wrong hands, complications could arise through incorrect placement of the treatment in the muscles which could have an effect on the positioning of the mouth, lips and teeth, and even effect your ability to bite, chew, suck or talk. That’s why it’s important to see someone like me, with years of experience; plus as a dentist, I am very familiar with the anatomy of the mouth.

If you are fed up of everyone asking you to ‘smile’ or thinking that you’re miserable, then please call 01438 300111 to book an appointment to see me, Dr Harry Singh at Aesthetics in Stevenage, Hertfordshire.

Everything you need to know about the signs of skin ageing

Dr Harry Singh is here to enlighten you on the changes in your skin as you age

Ageing, yes, I know it’s a dirty word and none of us want to think about, but like death and taxes, it is sadly unavoidable. The first signs of ageing will start to appear around your late 20s or early 30s, maybe not until your 40s, depending on luck and lifestyle. Luck in terms of your genetics – have a look at how well your mother and father are ageing – and lifestyle in terms of how good you are to your body – smoking, drinking, bad diet and sun exposure all lead to premature skin ageing.

Most us expect to see fine lines and wrinkles as we age, but there are other signs that show that your skin is not as youthful as it once was. When we are young, we have plump, smooth skin, but as we age skin becomes more dehydrated, dull, poor in texture and tone and everything starts to sag and lose volume. Other signs of skin ageing, and photo-damage caused by ultra-violet radiation from the sun, include pigmentation changes, often referred to as ‘age spots’, ‘sun spots’, or ‘liver spots’, which are like oversized freckles plus areas of dark patches or hyperpigmentation.

Fine lines and wrinkles will usually start to appear around the dynamically moved areas of the face and are most commonly noticed as crow’s feet around the eyes, noticeable when smiling. Other common early wrinkles are ‘eleven’ lines in between the eyebrows, caused by frowning. Reduction of lines and wrinkles, caused by dynamic movement, can be achieved with botulinum toxin injections such as Azzalure™ or Botox®. Deeper wrinkles can also be smoothed out or filled with the use of dermal filler injections, with hyaluronic acid-based gel products like Restylane®. Skin tone and texture can also be improved by stimulating new collagen production using treatments like medical-skin needling with Dermaroller.

Hyaluronic acid (HA) is an important component of the skin and an essential, natural moisturiser that we produce daily. HA helps our body to draw in moisture to our skin and it is this which gives it the plump, youthful appearance. In our youth, we produce HA in abundance, but as we age, production slows down and we simply don’t make as much HA as our body would like to keep skin at its optimum levels of hydration. A lack of adequate HA leads to lacklustre skin which is dry, rough, lacking in firmness and elasticity, as well as prone to sagging in places such as the jawline. Dark circles around the eyes may also become more apparent. Thankfully, hyaluronic acid can be put back into the face with products such as the Restylane® SkinBoosters which can be used to deliver small droplets of HA gel across the whole face using superficial or mesotherapy style injections to restore hydration. Regular maintenance treatments can make a real difference to the quality of your skin as moisturisation is returned.

As well as reduced levels of hyaluronic acid, skin can suffer from volume loss, both due to a loss of collagen and elastin structures as well as shrinkage of the fat compartments in the face, most noticeably in the cheeks. With gravity being the enemy, this loss of elasticity and skin firmness leads to a drooping of the tissues. Eyes may start to ‘bag’, the forehead and brows will lower leading to droopy upper eye lids, jowls will form in the lower face and naso-labial folds, or nose-to-mouth lines, will appear as the cheeks lose their volume.

But it’s not as terrible as it sounds, careful placement of dermal fillers and botulinum toxin can address many of these signs of ageing, and Silhouette Threads can also be used to lift tissue in a non-surgical thread lift. Alongside a good skincare regime, we can hold back the flood gates of ageing, as well as rejuvenate the skin to a more youthful appearance.

If you’re worried about the signs of facial ageing then why not arrange a consultation appointment with me, Dr. Harry Singh at Aesthetics in Stevenage, Hertfordshire and we can discuss which facial aesthetic treatments can help. Please call us on 01438 300111.

Bothered by a dimply ‘golf ball’ chin? Find out how to soften it with Botox

Dr Harry Singh explains how Azzalure™, botulinum toxin injections, can be used to relax the muscle in the chin which leads to dimple and wrinkle formation.

The chin is an important area of the face. As well as adding balance to the overall facial profile, achieving markers of beauty and masculinity, it is also involved in the movement and facial expressions made with the mouth area. The chin itself is controlled by one big muscle called mentalis.

If you try to tighten the area by clenching your chin muscles and pushing out your bottom lip, you will be able to feel the effects of mentalis as the area becomes more solid to the touch and has both a dimpled appearance and feel, much like the outside of a ‘golf ball’.

In some people the mentalis muscle can become hyperactive, or overused, and this can lead to the dimples or wrinkles generated from its dymanic action being visible all the time, even at rest, when they are not tightening the chin. Having visible depressions, roughened skin or deep creases in the chin can make a person look sad, doubtful, disdainful or maybe even angry, when they’re not, as these are all emotions where we use the chin to display such feelings. All of this can lead to self-consciousness.

One very unpleasant description for this appearance, which can affect both men and women is ‘scrotal chin’, not very appealing I’m sure you will agree! Thankfully, as with treating other hyperactive facial muscles, such as those involved in teeth grinding or squinting, which can cause crow’s feet, modern cosmetic medicine has a solution – botulinum toxin injections.

I have been practicing facial aesthetics since 2002 and at my clinic in Stevenage, Hertfordshire I prescribe and use the botulinum toxin brand called Azzalure™. Like other brands of botulinum toxin, including Botox®, Azzalure is a prescription only medicine which requires a face-to-face consultation to correctly diagnose and prescribe treatment.

Botulinum toxin injections are most commonly used and licenced as an anti-wrinkle treatment for reducing crow’s feet, frown lines and forehead lines, but the medicine also has many other cosmetic and medical applications to treat over-active or spasming muscles. This means that we can also use it to treat the muscle in the chin to weaken it slightly and reduce the appearance of dimples and wrinkles.

Treating the chin is an advanced technique and should not be done by inexperienced or under qualified practitioners. It is important that you seek out someone with adequate prescribing qualifications, training, experience and understanding of the underlying anatomy and botulinum toxin doses required. Incorrect treatment of this area could lead to over-weakening of the muscles, impacting on jaw movement, and in the worst case, inadvertently affecting your ability to chew properly, or even open and close your mouth.

As a dentist and facial aesthetic practitioner, you can be assured that I am fully qualified to diagnose and prescribe treatment for the chin and mentalis muscle and have a detailed knowledge when it comes to the anatomical structures involved in the mouth and jaw. This means that during a consultation I can advise you whether Azzalure is the right treatment for you based on the concerns that you have and your medical history. Combining other facial aesthetic treatments, such as dermal fillers, may also be an option, depending on the depth of creases around your chin and mouth.

Any treatment with botulinum toxin is not permanent, usually lasting 4 to 6 months before a repeat dose is required to maintain the correction.

If you think you have too many wrinkles or dimples on your chin, then make an appointment for a consultation with me, Dr Harry Singh at Aesthetics in Stevenage, Hertfordshire and we can discuss if botulinum toxin injections are the right thing for you. Please call us on 01438 300111.

How to treat marionette lines with dermal fillers

Dr. Harry Singh explains how to ‘turn that frown upside down’ with Restylane

Marionette lines are vertical skin folds or wrinkles which start from the corners of the mouth and head in a downwards direction, eventually reaching the chin. They get their name from the mouth shape seen in marionettes, string puppets or ventrilloquist’s dummies, where a block of wood opens and closes to simulate speech from the mouth.

As we age, marionette lines will get more and more pronounced, eventually creating this puppet-like mouth appearance in older age, yet women and men in their 30s, 40s or 50s will start to notice the appearance of this ageing effect on their faces, as small creases appear at the corners of the mouth. As well as being a sign of ageing, many people dislike these lines as they have the effect of an down-turned smile or ‘frowny face’, making the individual appear unhappy or sad, even when they are not. This can cause others to comment about their need to ‘cheer up’ or affect an individual’s self confidence, ultimately having an impact on their mental health and perhaps making their emotions match their face through unhappiness or depression.

Marionette lines conincide with a loss of skin firmness, elasticity and volume in the lower face, combined with the evil that is gravity. Restoring lost volume and structure to the face can help define and support areas of laxity, such as the appearance of lines around the nose and mouth. Genetics (natural ageing), sun exposure and smoking can all cause these lines to appear and get worse, often accelerating the effects. Like many other areas of facial ageing, such as nasolabial or nose-to-mouth lines, marionette lines can be addressed effectively with the use of dermal or soft tissue fillers.

In my clinic in Stevenage, Hertfordshire, I use the Restylane range of hyaluronic acid-based dermal filler products which are temporary, clinically proven and effective. Restylane products were first used in the mid-1990s and were originally developed in Sweden. I choose this range because they have such a long history of proven science and clinical trial data which shows how safe they are to use in cosmetic treatments; which I have been performing myself for over fifteen years.

Hyaluronic acid-based soft tissue fillers not only contain a synthesised version of a natural substance that our bodies make daily to keep our skin hydrated, but they come in different thicknesses of the hyaluronic acid (HA) gel which means that they have been created to last much longer in the body compared to our natural HA, which we metabolise daily. By placing different thicknesses or gel derivatives from the Restylane range, I am able to add long-lasting volume, definition or hydration to the areas that need it most, to plump out visible folds and depressions. During a consultation we can discuss the extent of your manifestation of marionette lines and the best treatment approach, in terms of the most appropriate type of Restylane product to use, and the quantity or number of syringes needed to achieve the level of correction of the lines at the corners of your mouth. It may be that a combination of aesthetic treatments or products will achieve the best results.

Restylane HA gels normally last between 6 and 9 months before they are completely reabsorbed naturally by your body, giving you a long-lasting result which we can maintain with additional treatments at repeat clinic visits during the year.

If you are worried about looking sad due to downward lines around your mouth then please call 01438 300111 to book an appointment to see Dr Harry Singh at Aesthetics in Stevenage, Hertfordshire.

“Gobble, Gobble!”; Treating a Turkey Neck with Botox

Dr Harry Singh explains how botulinum toxin injections, using Azzalure™ can be used to lift and rejuvenate the neck, giving you a look more like Nefertiti and less like a turkey

Ageing is a tricky process that creeps on us. Most of us start to notice fine lines and wrinkles around our eyes, tell-tale crow’s feet, then maybe a frown line or two in between our eyes, all of which signals that our faces are starting to age. You may look at your hands, often regarded as the best way to really know someone’s age, but do you ever look at your neck?

Our necks are hard-working parts of our bodies. They must hold up our head for starters. We stretch them in different directions all day long and they’re at the forefront of most of the sun exposure that we get during a lifetime, often not having all the UV sunscreen protection that would be recommended.

This means that over time, the skin on our neck become less smooth, loses volume and suffers from photo-damage in terms of changes to texture, tone and pigmentation. As this happens, the strong muscular bands that do all the work of keeping our heads up, known as platysmal bands, start to show through the thinning skin layers, giving the characteristic ‘turkey neck’ appearance.

When it comes to ideals of beauty, especially beautiful necks, you can’t help but be in awe of the bust of the Egyptian Queen Nefertiti. Granted, we have no actual ‘selfies’ of the beautiful lady to prove that the artwork done in her name was a genuine representation, but still, it shows what a beautiful, elongated, smooth neck can do for a woman and why Nefertiti was regarded as such a ‘goddess’. Given the choice of a turkey neck or having a Nefertiti lift, I think we know what everyone would choose.

Good news then, at my clinic in Stevenage, Hertfordshire we can reduce the appearance of platysmal bands, restoring a more youthful appearance to the neck, without impacting on function or neck movement, using botulinum toxin injections.

I use the Azzalure™ brand of botulinum toxin, you may also have heard of Botox®. They are both botulinum toxin type A and are also prescription only medicines which must be prescribed for you after a face-to-face consultation with me, Dr Harry Singh. I am a dentist and aesthetic practitioner, who has been performing and prescribing botulinum toxin treatments for cosmetic use for over fifteen years. This is an advanced technique for the use of Azzalure, and thus needs to be performed by a qualified and experience medical practitioner.

During a consultation, I will ask you to clench your teeth together in an exaggerated smile which allows me to see your neck muscles in full action, as well as how prominent your platysmal bands are at rest, when you are doing nothing. This will allow me to determine if this treatment will be of benefit to you. I will also take a detailed medical history to make sure that you are suitable. Depending on the severity of the lax skin, wrinkles or volume loss in your neck, I may also discuss other aesthetic treatments which can be combined for a more complete solution.

If we go ahead with botulinum toxin treatment it will be injected in very small doses into specific points along the neck muscles. The toxin will take about a week to work and will weaken the muscles ever so slightly, so they become less prominent and improve the appearance of your neck. It’s not a permanent solution, as the botulinum toxin does wear off over time, so you will require repeat treatments every 4 to 6 months to maintain the result.

Please arrange a consultation appointment with me, Dr. Harry Singh at Aesthetics in Stevenage, Hertfordshire if you are bothered by the appearance of your neck and we can discuss if Azzalure botulinum toxin injections are suitable for you. Please call us on 01438 300111.

Using dermal fillers to define and contour the jawline

Dr. Harry Singh explains how definition and a ‘strong jaw’ can be restored with Restylane

A strong jawline is an attractive aspect of both the male and female face, but it is one of the first areas where we notice ageing, as characteristically lax skin, in the form of jowls, start to appear. Men lose the strong, chiselled look favoured by cartoon super heroes and women start to look sad as jowls pull downwards at the corners of the mouth.

Gravity is our enemy and it is the jawline where all the volume loss from the mid-face starts to show as skin and tissue head south for the winter of our lives.

But, before you put your head in your hands and have a good blub at the injustices of the ageing process, there is a solution, so ‘chin up’, quite literally, and let us tell you all about jawline contouring with dermal fillers.

We have talked about the mathematical principles of beauty in the face before, the so-called ‘golden ratio’ of Phi, and the jawline is a key structure in the beautiful balance of the face. In our youth, our faces tend to be like an upturned triangle with the point being at our chin, but as we age, this triangle turns up the other way and our chin becomes part of the big baseline across the bottom as jowls take over the triangular point we once had. Redefining the area, giving structure and contouring to the jawline can give rise to a cosmetic improvement that helps bring the triangle back to the orientation we once had, restoring a more youthful aspect and improving self-confidence about one’s face.

I use Restylane which is a range of temporary hyaluronic acid-based dermal fillers at my clinic in Stevenage, Hertfordshire. Having been performing cosmetic injectable treatments since 2002, I feel confident, not only in my technique, but also in the range of products that I choose to use. Restylane is based on Swedish technology and has a safety record going back 25 years. The product range includes hyaluronic acid gel which is available at different thicknesses allowing me to achieve definition, volumisation and hydration wherever we need it, just by using a single or combination of products from the Restylane range. Thicker options such as Restylane Lyft (formerly called Perlane), Volyme and Defyne provide all the options needed to inject along the jawline to create support, restore structure and gift lift where required. The type of Restylane products required and the number of syringes recommended will depend on the levels of correction needed for your individual case, but we can discuss that during a consultation, so you needn’t be worried about coming along to find out more.

Restylane products are made from a non-animal source of hyaluronic acid, which is something that our own bodies make naturally every day. It’s like a natural moisturiser in the skin and helps to keep it hydrated, but as we age we simply don’t produce enough to do the job properly, so the facial skin starts to wrinkle and sag. Putting back hyaluronic acid, in the form of these synthesised gels, which are designed to last for 6 to 9 months, in some cases 12 months, means that we can achieve a lasting correction and help the body to hydrate and plump out the area effectively.

Restylane products also come with added local anaesthetic in the form of lidocaine, which is the same thing that the dentist might give you if you have a filling. This makes the injections into the jawline more comfortable and often pain-free for many people. As mentioned, this is not a permanent fix to the ageing of the jawline, so repeat treatments will be needed, as eventually your body will metabolise all the hyaluronic acid from the Restylane.

If you are bothered by the shape of your jawline and want to know more about using treatment to recontour and redefine it, then please call 01438 300111 to book an appointment to see Dr Harry Singh at Aesthetics in Stevenage, Hertfordshire.