Month: August 2018

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.

Correcting a weak chin with dermal fillers

Dr. Harry Singh explains how dermal filler products can be used to treat a recessive or weak chin and improve the overall appearance of the face.

The chin is an important, if often overlooked, part of what makes a balanced facial shape. The relationship between the eyes, nose and chin has been defined in a standard of beauty known as the ‘golden ratio’, based on the mathematical principles of Phi. Put simply, if the chin isn’t how we would expect it to be, it can really make a difference to the appearance of the whole face because the mathematical balance is lost.

Having a weak or recessive chin is very common, in both men and women, and unless it is an extreme malformation – affecting speech or eating – it is generally a cosmetic concern which can be easily addressed with non-surgical, cosmetic solutions, using dermal fillers. Cosmetic improvement in this way can help to restore self-confidence about one’s face.

Having a strong jawline is an attractive feature, in both men and women, but for some the chin doesn’t protrude far enough away from the face, appearing small or sunken back, and affecting those golden ratio beauty lines between the nose, lips and chin. A small chin can often mean that there is no clear definition between the chin and neck which can also make the mouth and lips appear oversized.

Although a minor genetic phenomenon, or a result of injury, the appearance of the chin and jawline can be enhanced by building volume and definition both in the point of the chin and along the jawline or jowl area, to increase its prominence and bring the face back into balance.

At my clinic in Stevenage, Hertfordshire, I like to use temporary hyaluronic acid-based dermal fillers that offer a safe, cosmetic solution to this concern. I’ve been administering fillers to patients for well over fifteen years now and in that time have learnt and perfected advanced techniques such as chin contouring.

Using the Restylane range of hyaluronic acid (HA) gel fillers, which have been clinically-proven for use as cosmetic tissue fillers since the early 1990s, I have a range of different gel thicknesses which means we can build volume and structure where we need it with thicker products, and then define and contour the final shape of the chin and jawline with softer, thinner types of the HA gel.

Hyaluronic acid is made naturally by our bodies every day and is a key component of our skin, attracting water and keeping skin hydrated, with a plump and youthful look. Implantation of synthesised, non-animal-based HA products, like Restylane have also been shown to stimulate the body’s own collagen formation. Restylane will build a support structure which can be added to with repeat treatments every 6 to 9 months, whilst also giving the body a helpful nudge to lay down new tissue in the area to naturally enhance and improve the chin.

Restylane products come with added lidocaine so treatment is comfortable due to the local anaesthetic. They are also temporary, meaning they are fully metabolised by your body over time. This is much better than the solution of old for chin augmentation where either permanent dermal fillers or surgical chin implants made from silicone were used.

The amount of correction needed to improve your chin will determine which Restylane products we use, as well as how many syringes are required to achieve the desired result. Maintenance treatments will be recommended to keep the correction and improvement to your chin.

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