If you can tell that there’s work, I haven’t done my job.

Facial contouring and sculpting to give a more defined shape to the face by restoring lost volume, softening deep folds and lines and reducing facial sagging, to create a mid face lift. This involves Facial contouring and sculpting to give a more defined shape to the face by restoring lost volume, softening folds and lines and reducing facial sagging to create a mid face lift.

We all want to look less tired less sad and less saggy. It’s not just about lines & folds, it is about what the individual face is saying about them. What does someone really want to express when they see themselves in the world and how other people see them. What messages do they want to raise or fine tune.

People are starting younger but making tiny regular adjustments as part of their routine for example and in other words little & more often when necessary.

Areas addressed:

  • Profhilo: Nourishing the skin with hydration by stimulating our own HA production and restoring firmness of the skin to counteract skin laxity while remodelling the face.
  • Defining the cheek bones.
  • Replacing mid face volume loss.
  • Replacing temple volume loss.
  • Plumping the ear lobes.
  • Straightening & lifting the tip of the nose i.e. a “Non-Surgical Rhinoplasty”
  • Straightening the jaw line by diminishing the appearance of the jowl.
  • Enhancing the chin.
  • Softening nose to mouth lines.
  • Softening the marionette lines and lifting the lip corners by treating the oral commissures.
  • Filling the “bar code lines” around the lips to restore a more youthful appearance.
  • Giving the lips back their definition and lost volume which occurs with age.
  • Increasing lip volume to balance any asymmetrical appearances.
  • Giving the lips a sexier look!
  • Filling in acne scars and niggling imperfections.

The new innovative clinical application of “MD Codes”. And in 20187 the MD DYNA Codes has been brought to facial aesthetics by renowned Brazilian Plastic Surgeon, Dr Mauricio De Maio. I use this in my dermal filling treatment with the Juvederm® Vycross range as detailed below. This uses small amounts of Juvederm® in different strategic points to make expressions look less harsh, less angry and less tired and most importantly more attractive! It is now about dynamic beauty and dynamic ageing with advanced techniques.


Micro-Cannulas are a revolutionary technique to inject dermal fillers. They are essentially blunt needles that do not cut but simply push tissue, blood vessels and nerves away, so reducing risks of swelling and bruising. Surprisingly this technique has very minimal discomfort and is the technique of choice for Advanced Doctors who want to minimise discomfort and side effects for their patients. Needles may still be used dependent on the area that is needed to be corrected.

Juvederm Voluma®, Volift® and Volbella®

Juvederm Voluma®, Volift® and Volbella® are designed using Allergan’s innovative Vycross technology. This special formulation means more effective cross-linking of the hyaluronic acid with the result being a lesser concentration of HA than other dermal fillers but producing the same effect. So you get less swelling but the same great results. The addition of the anaesthetic Lidocaine makes for as pain-free a treatment as possible.

I only use hyaluronic acid dermal fillers for safety as these are not permanent and can be dissolved as necessary


Juvederm Volift® is one of the latest product from Allergan, the manufacturers of the Juvéderm range of hyaluronic acid dermal fillers.consider this product to be of the highest quality in terms of results for our patients.

As well as adding volume to the lip itself, Volift® can be used to define the lip’s contours and smooth away the fine lines, commonly called smoker’s lines, that fan out around the mouth. It can also be used in the nasolabial folds than run from the nose to the mouth.


Juvederm Voluma® with Lidocaine is a dermal filler from Allergan which is aimed at replacing lost facial volume. Part of their comprehensive range of Juvéderm hyaluronic acid dermal fillers, Voluma® is clinically proven to last up to 12-18 months.

As we age we start to lose volume from the face, particularly from the mid-face. Voluma® is injected here to restore the soft fallen cheeks and high cheekbones that are associated with youth. Voluma® can also be used for re-contouring facial features including straightening and lifting the jawline, enhancing the chin and replacing lost volume in the temples.

Juvéderm® VOLUX

The latest dermal filler in the Juvederm range, launched in 2019, VOLUX is specifically formulated to create and restore volume. This innovative product is indicated specifically for the jawline and chin, allowing the lower face to be sculpted without the need for invasive surgery. VOLUX uses the patented VYCROSS® hyaluronic acid technology, and can last for 18-24 months.

The shape of the lower face changes as we age, and losing definition around the jaw, neckline and chin can make us look and feel different. VOLUX is the solution for those looking to create sharper lines and clear definition between the jaw and neck.

Dr Preema was one of the first cosmetic doctors in London to train with VOLUX and is delighted to add the dermal filler into her facial rejuvenation toolkit.

Lip Enhancement

The intention of a lip enhancement is to give you the lips you’ve always wanted.

For some individuals with very thin lips, the goal may be to have a more normal appearance. With age, the lips tend to become a little thinner and less defined. This can be corrected with a small amount of Juvederm Ultra Smile® & Juvederm® Volift® Retouch and we must always remember that “less is more”. For others, fuller and sexy lips are the goal.


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