More wrinkle treatment

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Treating lips is very commonly done but most patients seeking such treatment would benefit more from a total face assessment. 

I start with a subtle treatment. The idea is that you look better. Better is better. Unnatural, artifactual or exaggerated is *not* better! 

First-timers can be assured that we will proceed with this treatment very carefully.

These lines, from the side of your nostril to the corner of your mouth, are very commonly treated. In most cases, though, it is important to *improve* them without *entirely* treating them. While it might be OK to completely treat these lines when they are shallow and young, once they are deeper and older the whole face looks fake if the nasolabial lines are completely gone while the rest of the face looks aged. 

Every facial feature has to be seen in its broader context in order to improve the entire look.

Replenishing and repleting the volume of the malar eminence, or apple of the cheek, can improve the appearance of the whole face in a number of ways. It helps eliminate the nasojugal line, helps to lift the nasolabial *fold* which in turn improves the nasolabial *crease*, and restores or contributes to a general "heart" shape to the face, which is frankly ideal in women.

That said, the focus must be on the malar eminence itself. Too full, and proportion is lost, resulting in a fake look. 

Proportion is everything.

This is the little valley between the lower eyelid and the malar eminence. Often neglected when other injectors rush to treat the tear trough, treating the palpebromalar groove helps pull across the tear trough and complements malar treatment.

Tear trough treatment must be done with a cannula, at least 25gauge, as inadvertent treatment of the angular artery nearby can lead to the disaster of permanent blindness in the ipsilateral eye. Using a cannula instead of a needle is vastly safer. 

The tear trough, peculiarly, is very often over-treated leading to the development of an unsightly Tindall effect - like a transparent bluish hue under the skin. Once again, a *partial* treatment improves the situation when a *complete* treatment causes other problems.

The youthful mandible is characterised by a relatively vertical ramus, a rather-horizontal mandibular body, and a sharpish-if-not-acute mandibular or gonial angle

The aged mandible is marked by a long lazy curve from condyle (at the TMJ) to mention.

Thus, treating at the gonial angle can help reproduce a youthful outline to the jawline.

And since almost no one knows to look for this effect, almost no one will perceive that a treatment has been performed. 

A youthful temple is convex, whereas an aged temple has often become concave. Therefore, treating the temple helps deliver a youthful shape to the face, in a manner everyone can appreciate but few can perceive.

I follow the Arthur Swift approach, utilising his "safe zone", which I also check with a 20MHz Clarius ultrasound to ensure there are no arteries at the treatment site. 

A tell-tale trough of volume loss often occurs horizontally across the forehead as age progresses. This can be ameliorated with treatment placed *by cannula* in the space deep to the frontal muscle.

Mandibular border. 

Melomental or "marionette" lines. 

Smokers' lines. 

Cupid's bow

Ergotrid. 

Pyramidal fossae. 

A-frame-deformity

Ear-lobes.

Pre-auricular lines

Smile lines (aka "accordion lines").

Brows

These are all areas for which treatments can help, and are all areas regarding which I have wide experience and many happy patients.