Liquid Facelift -Part 2

The eye area


The eye area is a main personality feature of a person so we don’t want to freeze all emotion here. Treatment must be subtle enhancing the natural beauty and also remaining with what is age appropriate. The skin around the eye is thin and prone to ageing due to loss of elasticity, bone and collagen in this area. Fine wrinkles and pigmentation appear. Thin skin under the eye appears darker as the muscles and veins around the area are more visible.

Fine wrinkles are treated using botox for the crow’s feet to open up the eye and soften wrinkles and a very fine dermal filler to fill and soften the wrinkles. The deep hollow under the eye called the tear trough area is filled to plump the area stopping that hallowed look as the area is not sunken and dark as it is rejuvenated making a person look less tired and old.

The tear trough


The eyebrow and temporal region are also treated with dermal filler to lift the eyebrow and to fill the hollow in the temporal region that ages us.

I use a fine dermal filler and also use a micro- cannula to prevent bruising. A micro-cannula is like a long thin blunt needle. As it is blunt it doesn’t cut through the blood vessels, keeping them intact and thus not bleeding out giving you a bruise.  A sound horrific but it really isn’t. (I’ve treated myself and many patients using this technique.) It may be slightly uncomfortable; luckily the under eye area is easy to anaesthetise using local anaesthetic so you don’t have to feel any discomfort whatsoever.

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Hyaluronic acid dermal fillers

Dermal fillers (hyaluronic acid) are hygroscopic meaning they attract water. Once injected into your collagen cells they attract water to fill up and thereby plump your collagen cell. Dermal fillers also stretch the microscopic fibroblsts which are the precursor to collagen cells and thus collagen is then produced. Very clever little things – hyaluronic acid cells !! Remember to like my page

hyaluronic acid compoundhyaluronic acid gel


The mid face area is a very much overlooked area where a subtle cheek bone lift will take approximately 5 years off one’s look, yet being so subtle that people will not know quite what you’ve done. This is the most overlooked treatment area. When a patient looks in the mirror they generally see the nasolabial lines around the mouth. These are however caused by loss of fat from the cheek bone and eye area. The fat descends and literally falls over a natural ligament around the mouth (the naso labial lines). There is also loss of bone from the cheek and eye area as it degenerates as we age. Hence when we look in the mirror, this is what we see – deep lines around the mouth.


The ageing face

The ageing face

Mid face ageing is a dead give-away as to a person’s age – yet is the most under treated area in South Africa. In Europe and the states, this is fast growing to be one of the most popular dermal filler treatments. The muscles keeping the fat pads in place become thin and stretch with age also contributing to the descent of our cheek fat pads.

The technique used for mid face and tear trough dermal filler is quite an advanced technique and you should seek out an experienced practitioner. For mid face, a special measuring technique is employed so I know exactly where the filler needs to be inserted. Remember to like my page: Dr Stasi botha

A very thick volumous filler is used as this area and generally takes 1 ml of filler minimum per side. It is more costly than your general fillers; however I keep the price as low as possible. The filler generally lasts one year to 18 months depending on the individual. I usually advise having retreatment at one year so you don’t lose all the effects of the filler.


The lower face is generally also a dead give-away of age as with botox the upper third of the face can look 10 years younger than the lower third. A neat trick: treating the mid – third takes the eye’s focus to the mid face; away from the lower third giving the illusion of a much younger face.

So besides the obvious face lift what can we do.

Quite a bit

Nasolablai Lines

Marionette lines

Vital – fine filler made up of small micro particles that can draw water 10 x it’s own weight into the collagen cells, making wrinkles smoother softer and less evident.

Fill the lips

Straighten the jaw line


This in conjunction with Restylane Vital which plumps those very fine lines it really rejuvenates the entire mouth area.

All is not lost

And remember…. A face lift cannot give you the volume that filler’s can give you; neither can a filler lift the way surgery can, but in conjunction the two go hand in hand. It’s a personal choice at the end of the day.




Need a little lift? This month we’ll be discussing : “The liquid facelift” – a mini make-over with botox and dermal fillers


Firstly for that just had a holiday relaxed refreshed look I inject botox into the frown, forehead, crow’s feet and also into the bunny lines on the nose  to relax the muscles and hence soften the lines. For those that have just joined us: botox or Botulinum Toxin A is a protein and neuorotoxin produced by the bacterium Clostridium botulinum. These bacteria release a neurotoxin protein which causes paralysis of the muscles which allows the muscles to relax which gives the appearance that wrinkles have softened or disappeared.

botox 4

Botox is such a superb anti-ageing and wrinkle treatment. It is extremely preventative as it stops muscle movement so the muscles can’t cause those little crinkle wrinkle lines – especially the worry one’s. Even if you only have it twice a year you will still see the anti-ageing effects. Don’t forget to “Like” my page please and share too if you find anything interesting! @ Dr Stasi Botha


For a natural aesthetic result, fillers are incorporated into areas that have lost fat, muscle and general elasticity of tissue. Fillers can fill in wrinkles but they are especially fabulous for areas where volume loss has occurred. They can literally be placed anywhere i.e. around the eye, the cheek bone area, around the mouth and even along the jaw line.

The liquid face-lift is a costly procedure so I generally advocate that treatments be spaced a few months apart so treatment is then affordable, less down time is required as bruising may occur and also so that you don’t have that “just done look”

placement of fillers




This month I thought it would be interesting for me to talk about aftercare and how to make sure you take the right steps when it comes to recovering after an aesthetic treatment.

As your physician, I cannot stress enough the importance of protecting and soothing your skin after a session at my practice. Whether you came for Botox, dermal fillers, Skin needling or Fraxel, you need to know exactly what to do once you leave my rooms in order to maintain beautiful, long lasting results.

Of course, after your treatment I will give you all these recommendations again and will guide you through the aftercare process. I will answer any questions and make sure you know exactly how to proceed once you get home.

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I hope you enjoy what follows!

→After Fraxel


After your Fraxel Laser treatment, you should clean the treated area by washing with non-allergic cleansers that are soap-free but you should not clean the area more than twice daily. After you have washed the area, it is recommended you pat it dry lightly.

This patting is also great advice for after a shower. Try it, you’ll see what a difference it makes to your skin.

Do not rub the treated area after the Fraxel treatment as it may irritate the treated skin.

There is no need to take time off work after a Fraxel treatment but there will be 2 to 3 days of redness and in some cases you might experience some swelling, which can be covered with makeup. This is completely normal and of short duration.

Knowing that you can be back in the social world within a day gives you great confidence in the procedure.

It is important that you keep the treated areas moisturized by using creams and moisturisers that I will recommend. I will explain how to use these creams, how often to apply them and for how long.
After a Fraxel treatment, it is important that you eat and sleep well in order to ensure the best recovery and results possible.

I always advise my patients to apply large amounts of SPF and make sure they stay out of the sun. If you have to go in the sun, you will need to make sure that the treated area is well covered. Sunblock must be applied hourly and a hat must be worn.

SPF should be part of your daily anti-ageing routine too, sunblock actually only lasts for one hour, therefore you should apply it often.

→After Skin needling


It is very important for you to avoid direct exposure to sun rays for at least 4 days after the procedure. But I will still ask you to wear a high quality SPF for more protection.

This is because of the damage caused by the needling, and additional sun damage will delay the healing process. This is why winter is also a great time for micro-needling, because the sun is not so harsh.

Carefully following my guidelines is very important as it will prevent any skin damage. You must keep in mind that a good healing is a process that cannot be rushed or overlooked as it would counteract the benefits of the actual procedure.

After the micro-needling, I need you to avoid the use of sensitizing drugs or skin cosmetics or cosmetics that contain mineral oils, Vaseline, lanoline, petroleum or acids. It is also important to avoid steam bath or sauna the first day after the treatment. Make up and after-shave (because men love micro-needling too) cannot be applied within the first two days post treatment.

→After Botox


Botox is a popular procedure at my practice that most patients enjoy without any complications. However, it is always good to be reminded that after the injections you may notice some small red dots and bumps which usually fade after a few hours. Minor bruising may occur and last a few days.

It is still very important that you follow my instructions for BOTOX® after care to help ensure that you achieve optimal results.

After a Botulinum toxin session, some patients like to apply a lightweight cold compress to the treated area for a few minutes after the procedure. Even though the injections are not painful per-se, you may still want to get some immediate relief in order to be as comfortable as possible.

If you make sure to carefully follow my instructions, your recovery after Botox will be quick and pleasant. You will be able to resume normal activities immediately after the treatment.

Nonetheless, I usually advise my patients to wait 24 hours before taking part in any strenuous activity i.e. gym or cardio sessions. I also recommend that you avoid lying down for four to five hours following the treatment and that you avoid touching the treated area.

We just want the Botulinum Toxin to settle down. It does take a few days for the treatment to take effect and these tips assist with more accurate results.

→After Dermal Fillers


Like with any other procedures, there are some risks. With dermal fillers, there is a small possibility of allergic reaction. There is usually localised redness and swelling that can last a day or two.

Should this be the case, a simple script for antihistamines will do, but this is a very rare occurrence.

Bruising is a more common side effect after dermal filler injections which can last up to a 5 days. But together during the consultation we will go over the possible risks and complications. I want you to feel as comfortable and confident as possible.

If you do bruise we do have great medical make-up available in the shape of Oxygenetics, which we can match with your skin tone.

Healing time varies from person to person, however, so some may experience redness and swelling slightly longer than others but overall the recovery and healing process after dermal filler injections is quick and easy.

There should never be any healing side-effect that cannot be covered by well placed make-up, and this is why dermal fillers are proving so popular.

I usually advise my patients to avoid touching and massaging the product situated in the treated area for the first 24 hours after their dermal filler injections as this could disturb the dermal filler gel and impair the results.

Of course this can be difficult, but the advice is to be aware of your treatment area. These are simple tips to prolong the life of your result.

As part of the dermal filler aftercare procedure, it is also advisable to use a cold pack as needed to reduce swelling and redness at the injection site. With the use of cannulas bruising and swelling is reduced, but should you swell a cold pack will do nothing to the result, but will get you out and about again.

A cold pack will be available at the time of treatment.

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