Dr Louisa Yim 
                 Aesthetic Physician
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     Liquid Mini Face Lift (without the knife) - April 2011
 
         (Before)                                                                                          (5 minutes after with make up)
 
                 
 
     This is a young lady in her early 20s and she wishes to freshen up her looks.
 
      There are some signs of early aging:
 
      1) Some hollow areas around upper eyebrows and temporal regions (please note her right eyebrow is lower than the left).
 
      2) Mid cheek hollow, leading to formation of early nasolabial folds.
 
      3) Mental crease (also known as the chin crease) - this is an important region to treat, because it frames and restricts her lower face.
 
 
     I used one syringe of 1.0 ml Re (Q-Med) with cannula technique and spread it evenly to these areas of concerns.   
 
     Note her right eyebrow after treatment - It was almost to the level of her left eyebrow.
 
     This is also known as a a gentle eyebrow lift technique.   I think it works better and longer lasting than using wrinkle relaxants.
 
 
           (Before)                                                           (5 minutes after with make up)
 
                              
 
 
     Her nasolabial folds are quite prominent due to the loss of volume in her mid cheeks.
 
     These folds can be softened by replacing the volume that is already loss in her mid cheeks.
 
 
 
              (Before)                                                  (5 minutes after with make up)
 
 
                               
 
 
 
                (Before)                                                                 (5 minutes after with make up)
 
 
                         
 
 
        Mental Crease or Chin crease can also be softened. 
 
 
       Overall, this liquid mini face lift creates a fresher and NATURAL look without having to spend too much money or go under the knife!
 
 
 
     MARIONETTE FOLDS - (March 2011)
 
       (Before)                                                   (5 minutes after)
 
          
 
 
    Marionette folds are due to the pulling down effect by the depressor angular oris muscles and the loss of volume in two areas:
       in the mid cheek and between the corner of mouth and the chin.
 
       This lady has already had her mid cheek treatment and now she wishes to have a more softer look around her mouth.
 
       This lady had Ra product (from Merz) with Cannula technique - note the lack of swelling, bleeding and bruising achieved with
       this technique.
 
       The blanching (white area) around injection point on the BEFORE photo is the effect of the local anaesthetic with adrenaline. 
 
       The adrenaline causes vasoconstriction and hence, less bleeding occurs.
 
       This technique is good for skin with minimal acne scarring.
 
 
       Other views
 
        (Before)                                                    (5 minutes after)
 
          
 
 
 
     LIPS AND CHIN - (February 2011)
 
       (Before)                                                                    (Immediately After)
 
              
 
        A lot of clients ask whether they can have a "small" treatment just to enhance their upper or lower lip, sometimes both.
 
        The answer is YES with minimal trauma to adjacent skin area.
 
        This client wishes to have her upper lip enhanced slightly but still maintaining its natural shape.
 
        After local anaesthetic, she received a total of 0.2 ml (0.1ml to each side) JUP with CANNULA technique and 0.3 ml of JUP to
        her chin crease.
 
        Please note that apart from minimal swelling, there is very little evidence of the entry marks or bruising.
 
        Cannula technique is fantastic in highlighting the vermillion borders (LIP LINES) with absolutely minimal bleeding. 
 
        This is because there is only one entry point to the skin on each side.
 
        Cannula technique is NOT SUITABLE for clients with very fine dynamic lines or areas with pre-existing scar tissue.
 
        Her nasolabial folds (very fine smile lines) have both static and dynamic components, these can be treated with ferning or
        pin-point technique.
 
 
                                  OTHER VIEWS
 
                    (Before)                                                                (After)
 
 
                         
 
 
 
     RIGHT MID CHEEK ENHANCEMENT - (June 2010)
 
                (BEFORE)                     (AFTER)                    

             
 
      The normal ageing process causes loss of bone and soft tissue just under the eyes and in the mid cheek region.
 
      Most clients report that they have a very tired look and feeling down.  In order to restore the more "refreshed" look, 
 
      a dermal filler can be placed along the tear trough (just under the eyes) and also in the mid cheek region.
 
      This Client received half a syringe of product to each side, total of one syringe with JUP with lidocaine.
 
 
                                                      LEFT MID CHEEK ENHANCEMENT
           
                                                   (BEFORE)                     (AFTER)        
 
                                            
 
 
 
         LIPS ENHANCEMENT
 
          Another aspect of a normal ageing process is the thinning of lips.  
 
          This client reported that she was not able to use lipstick as it highlighted her small lips.
 
          She received half a syringe to each upper and lower lips, a total of one full R product. 
 
          A dental nerve block was in place prior to the treatment for analgesia.
 
 
 
                                           (BEFORE)                                                                    (Immediately AFTER)
 
             
 
                                          Please note that swelling always occur after the treatment and may last up to 72 hours.  
 
 
 
                                         (BEFORE)                                                             (Immediately AFTER)    
 
               
 
 
                                  (Side view - BEFORE)                        (Side view - AFTER)
 
                                       
 
      
                                                                                Successful treatments:
Before treatment
of the outer hips

Before treatment
Upper Lip
with lost of definition

 
Before treatment
"Turkey Neck"

Before Treatment
"Tear Troughs"- note the hollows under the eyes









After Treatment
with Injectable mesotherapy
(x 3 sessions)

Post Treatment
Upper lip Dermal Filler
more Definition of lip line

 
4 weeks After Treatment 
with injectable mesotherapy (1x session)

4 weeks Post Treatment
With Dermal Filler



 









Other successful stories:
 
Spider veins under direct visual micro-injection sclerotherapy
  •   Before (left) & 4 weeks later (right) note the disappearance of the fine spider veins on left side
 


 

::                                                                               

Before treatment
Note the angle of the nasal bridge.  This is a common presentation and usually there is a family history.


Before treatment
Note the volume loss on right side of nose (5/2/2010)
There was no prior history of surgery or injury to the nose.


 


Before treatment -
tear trough (right eye)
Note the hollow under the right eye.  With the reflection of light, it creates an image of "dark circle" under the eye, a TIRED look.








Immediately Post Treatment
15 mins "nose job" with minimal swelling and bruising.  Note the correction of the acute angle from the nasal bridge.


Immediately Post treatment
- phase one only:
Reconstruction of nasal bridge first
(so as to minimize down time)
Phase two remodelling of the nostril (next month)


Immediately post treatment - tear trough  (right eye)
Note the hollow has been treated with a dermal filler.  The correction allows light to reflect off the skin and no longer creates the "dark circle" and tired look effect.










                                                                                            Disclaimer:
 
These photos have not been "photo-shopped " to mislead people. 
 
These images have only been cropped to the enlarge the area of interest. 
 
Consent has been given to release these images and they do not identify any individual in particular. 
 
Please note that the outcome of cosmetic treatments is subject to individual variation. 
 
Every effort will be made to ensure client satisfaction but Dr Louisa cannot guarantee exact replica of these successful treatments.
 



 
 
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