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What ages you?

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What ages you?

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There’s no denying we live in a time when there is enormous pressure to look good.

Synonymous with the word “good” is the word “attractive” and “young”. Or young-er.

To that end, from a young age, we feel pressure to look a certain way, dress a certain way and sometimes, to have attributes that nature hasn’t given us- luscious lips, cheekbones, for example.

Some injectors have a niche market on this- the “doll makers” with their high end, boutique patients, some of whom want to look like a Kardashian, a Jenner or a Jolie.

That’s not my goal, nor my aim. Have you seen me? The way I look and dress? 😉

frozen faceSo what do I stand for? How am I different? Not better, just different?

When I see you, I want to look for natural assets and attribute I can enhance, or maximise. And if you are beginning to show signs of ageing, I want to help you minimise those but in a healthy “still you” way. And here, for many patients, lies the problem.

How are we to know what that is, when we are bombarded by what it isn’t?

I get patients coming to see me, wanting to be “completely frozen” by anti wrinkle treatments.
img_1580They want frozen foreheads, frozen crows feet, frozen frowns. The result? A frozen face.

Worse still, with age and continued freezing what happens is that the muscles that are frozen, are compensated for by other muscles that still move and create furrows- the bunny lines and other wrinkles.

At best, it looks strange. At worst? Not such a good treatment.

If it’s underdone, it can be topped up; if overdone, there’s nothing to do but wait till it wears off in 3-4 months.

 

 

So let me ask you this: what ages you- Wrinkles? Lines? Volume?

Wrinkles? img_1548
Lines?
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Volume? img_1550

 

Who looks older? Why?

To a degree, subtle use of anti wrinkle treatment for lines and wrinkles work well- they give the face a refreshed look, a brightness and an openness.

Anti wrinkle treatment for forehead lines
People tell me they have comments, colleagues and spouses looking at them, unable to figure out what is fresher about her. It’s still the same face, just brighter.

BUT…go too far, and it looks fake; shiny; frozen in places with overactive muscles in other places.

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But even a line free face, that’s gaunt, is ageing.

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So what ages us?

I get patients asking for “filler” or “wrinkle treatment”. Sometimes they dislike an aspect of their face that bugs them that they want fixed. As with my other clinical work, I try and find out what is truly bothering them:

“I look tired”

Mid face volume loss

“I have dark circles”

bags-under-eyes

“My skin is saggy”

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“I look sad”

What these patients are describing, is Volume loss by the time you reach this point, a significant volume of fillers is needed to replace the loss. To minimise or reverse the eye bags; the tired face; the wrinkles due to loss of Volume amd the sagging jowls. Not 1ml, or 2mls. But 4-8mls.

It’s expensive, and it requires maintenance every 6-12 months. BUT the longer you leave it, the more you’ll need. So with my patients, a consultation is about assessing how realistic their expectations and costs are. How motivated they are to have ongoing maintenance. And if they are willing, we break it down- 2 mls in one go, 3-4 mls if they can afford it. Then we review in 6-8 weeks.

Some of my patients deposit money into my account weekly as credit towards their treatment to avoid credit, interest etc.

It has to begin with suitable knowledge, and a plan.

So, when you look in the mirror? What ages you?

When you’re younger, likely the lines. In your 30s and up, almost certainly volume loss +/- lines.

My advice? Seek an opinion from a qualified injector, who understands anatomy, and the natural ageing process. Someone who isn’t afraid to tell you what you need, and scare you away with the cost, but who’ll explain to you what you’ll need to budget for, for good results and for maintenance.

Understand that you are investing in your skin, the largest organ in your body, your lifelong companion and that it’s never too late to start, as long as you plan to keep going.

See you in a clinic soon!

At Castle Hill next on 19/8/2017, 10-2pm.

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  • Dr Imaan Joshi has been working as a doctor since graduation from the University of Sydney in 2001. She spent years between 2004-2011 as a surgical trainee before switching to a different speciality program for work-life balance. She is passionate about her work in Medicine and especially about procedural Medicine, and loves her work as a Cosmetic Physician. When she isn't working, she is busy focusing on an active life with her family, which includes 4 active children! Dr S Imaan Joshi BSc, MBBS, FRACGP

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