Advertorial: Restylane LyftTM

The secret to a sharper, chiselled jawline with Restylane Lyft™

with aesthetic practitioner and A&E consultant Dr Paul Baines

Have you seen a rise in the number of people looking for work on their jaw? Definitely. I’ve been working in facial aesthetics for more than ten years and we used to find that people were looking to fill wrinkles, but in the last two years the demand for facial contouring and sculpting has really grown. There are two features on the face that people notice first – the eyes and the mouth. I recommend treating the chin or jaw as they frame the lower third of the face, but the treatment is much subtler and less noticeable than treating the lips or around the eyes. The posterior aspect of the mandible, the cheek and the chin are very effective anchor points to lift the face and provide structural support.

Do you have a product that you recommend for sculpting the chin and jaw? I use Restylane Lyft™ for 95% of my work on the lower face. I really like Galderma’s patented Non-Animal

“I use Restylane Lyft™ for 95% of my work on the lower face”

Stabilised HA (NASHA™) technology as it provides maximum lift and precision. I like the sharpness of the high G prime. Occasionally I’ll use Restylane Defyne™ from Galderma’s Optimal Balance Technology (OBT™) range as the smaller particle size gives me flexibility, particularly when treating women. Restylane has the broadest range of dermal fillers, so I can tailor the treatment to each patient and it’s important to me to have a dermal filler I can trust. What are your tips for sculpting the lower face? • Assess the upper two thirds of the face first, as the temples, preauricular region and cheeks may need to be treated first • Make sure you are aware of the key safety points, especially the positioning of the facial artery and the parotid gland • Treat progressively – the angle of the mandible, then the chin and finally the peri-jowl area • Use a product with a high lifting capacity, predictable results and robust clinical data

How long do you find each treatment lasts? The results can last up to 12 to 15 months depending on the patient and the treatment provided, but I often ask people to come back at three months and six to nine months for assessment.

Before A patient treated with Restylane Lyft™

After

About Dr Paul Baines

Dr Paul Baines divides his time between running The Crescent Clinic and working as an Accident and Emergency Consultant at Musgrove Park Hospital in Taunton. He is a member of the Royal College of Surgeons and has an extensive knowledge of facial anatomy. Dr Baines has worked alongside worldrenowned plastic surgeons and is a member of the Galderma Faculty.

On the Scene

Academic Aesthetics Mastermind Group, London

On March 7, co-owners of Trikwan Aesthetics Dr Zoya Diwan and Dr Sanjay Trikha held the first Academic Aesthetics Mastermind Group at the Royal Society of Medicine (RSM) in London. The event was supported by Teoxane UK. To begin, Dr Diwan outlined the motives behind setting up the group, “We have three pillars; education and research, building a community and better patient outcomes. The aim is to produce a publishable study from every group, which will have a specific focus.” She continued, “I think that there needs to be more platforms in this specialty for unity, learning, open discussion without ego and progression on an academic level. In the NHS, there is constant focus on learning and discussing a patient as part of a multi-disciplinary team, there just doesn’t seem to be this approach in the aesthetics world. When I faced my first complication, it became very clear that this was lacking.” The evening began with Dr Diwan sharing a personal case study of a tear trough complication, followed by dentist Dr Sepideh Etemad-Shahidi critically analysing an existing study published in 2018 on the release of tear trough ligaments with the addition of filler. Attendees were then asked to share their thoughts on the study, which they had been sent prior to the event. Aesthetic practitioner Dr Amanda Penny commented, “It’s clear that there are flaws in this study, but I’m glad that these papers are coming out and that we can build on them. It can only ever be a good thing to learn from each other’s experience.” Sales representative for Teoxane UK, Terina Denny then discussed dermal filler Redensity II (RII) as an option to treat the tear trough area. She introduced the RII advanced filler eye contour gel and explained that it ‘is designed to add to the longevity of the filler treatment’. Lastly, Dr Diwan proposed a future study that she would like to conduct with the help of those present on tear troughs specifically and welcomed a discussion on areas for consideration. “The event tonight was very informative with some great discussion points. The result of this session is going to be outstanding in terms of bringing together what can potentially happen with the tear trough and we are thrilled to be a part of it,” said Denny. The next meeting will be held at the RSM in April and will focus on chin and jawline fillers.

RSM Aesthetics 11, London

Around 300 doctors, dentists, surgeons and nurses gathered at the Royal Society of Medicine on February 22 for its 11th annual aesthetics conference. The agenda was introduced by aesthetic practitioner and chairman of the organising committee Dr Patrick Treacy and consultant dermatologist Dr Christopher Rowland Payne, who outlined that the aim of the day was to ‘bring together a multiprofessional faculty and delegate community to identify and discuss the best options for clinical care’. Then Professor Karl Grammer, who specialises in human ethology, gave a talk on evolutionary aesthetics and the perception of human beauty. In the morning, presentations were held on facial anatomy and eye rejuvenation with talks from consultant plastic and cosmetic surgeon Mr Adel Fattah, consultant plastic and craniofacial surgeon Mr Jonathan Britto, aesthetic practitioner Dr Jean-Paul Foumenteze, consultant maxillofacial, head and neck surgeon Mr Michael Ho and consultant oral and maxillofacial surgeon Mr Jeff Downie. After this, a discussion chaired by Dr Treacy, Dr Rowland Payne and consultant consultant oculoplastic surgeon Mrs Sabrina Shah-Desai took place, in which members of the audience were encouraged to ask questions and share their views. During the discussion, Mr Britto stated, “I think that the biggest thing that we can learn from each other is the need for a multi-disciplinary team; it’s been in surgery for a long time but is only just coming into aesthetics. We should be sharing patients, as not one person can do everything; that is the key.” A complications-specific agenda followed, chaired by Mr Downie and ophthalmologist Dr Sotiris

Tsioumas. Dr Treacy presented on the 20-year history of aesthetic complications, while professor of dermatology Aesthetics reports on the highlights of the and venereology Andreas Katsambas discussed adverse events in botulinum toxin, and dermatologist Dr Albina 11th RSM Aesthetics conference Kajaia shared personal complications cases. During the course of the day, delegates also heard from two patients who had experienced facial disfigurement, highlighting the possibilities of autologous partial face transplant and the dangers of an unregulated field. Donna Corden shared her personal experience following necrotising fasciitis (a flesh-eating bug) on her face, and Carol Bryan described complications following the injection of permanent dermal fillers. After lunch, dermatologist Dr Harryono Judodihardjo and exchairman of Wigmore Medical David Hicks led a talk on the latest aesthetic trends. Thread lifting, radiofrequency and scarring, chemical peels and stem cells were also discussed in the afternoon sessions. These were held by plastic surgeon Mr George Sulamanidze, dermatologist Dr Ines Verner, cosmetic surgeon Dr Han Jin Kwon, aesthetic practitioner Dr Uliana Gout and Singaporebased plastic surgeon Mr Ivor Lim. To finish the day, aesthetic practitioners Dr Raj Acquilla and Professor Bob Khanna performed live full facial rejuvenation demonstrations, which were well received by attendees. Delegates were also able to meet aesthetic businesses at a small exhibition, which included AestheticSource, Church Pharmacy, HADerma, John Bannon Pharma and SkinCeuticals, amongst others. Dr Treacy concluded, “Today’s event was dedicated to teaching the delegates in a scientific fashion and there were lectures from 12 nations and highly-respected professionals, each at the top of their field. It maintained the theme of addressing complications and the patients were invited to express their opinions and personal journeys.”