Category Archives: best botox doctor london

Dr Vidal is an advanced cosmetic practitioner. Best botox techniques. Central London

01.11.2020 Consultations at the 10 Harley Street London.

Dr Vidal is informing his patients that consultations are available at the 10 Harley Street W1G 9PF London.

The 10 Harley Street has a solid COVID-19 policy in place. Masks and hand sanitizers are available. Social distancing is respected.

You can read the 10 Harley Street COVID-19 Update here:

To book an appointment please use the contact form on Dr Vidal website.

Profhilo a new facial filler for rejuvenation and skin tightening

Profhilo is a new facial filler which is in fact used for skin tightening and tissue remodeling.

Like a traditional facial filler Profhilo is made of Hyaluronic acid (HA). But unlike traditional fillers it is a highly purified natural hyaluronic acid which does not contains chemicals to stabilise the product. Instead it is an hybrid complex formed with a high molecular weight HA combined with a low molecular weight HA.
facial filler skin tightening

What is the difference with classic facial fillers ?

It is not a cross-linked product like Restylane or Juvederm and does not work exactly like a “volumiser” filler.

Profhilo stimulates the collagen and elastin of the skin. This is why it is unique as a bio-remodeling agent. Its clinical effects have been described as “plumping effect, lifting effect, soft tissue treatment or skin tightening”.

facial filler before after. Dr Vidal

Photos courtesy Dr Emma Ravichandran

The hybrid nature of this “facial filler” results in a slow and long lasting release of a natural HA (hyaluronic acid). The effects on the skin combine a “Hydro” effect ( hydration) and a “lift” effect (collagen and elastin production).

Where does Profilho sit in the facial filler anti ageing arsenal ?

Profhilo does not produce volume like Sculptra (another collagen stimulator) or your usual facial filler but it allows to very safely rejuvenate difficult areas such as the neck, the forehead or even the hands with minimal side effects. Due to its very nature Profhilo will easily distribute itself and spread through the tissues without causing any bumps or unevenness.

The neck and the forehead are tricky areas not accessible with a strong product like Sculptra and are very difficult to address with classic facial fillers because of the risk of visible long lasting bumps and unevenness very high in these areas.

Profhilo will simply flow through the tissues and  activate a long lasting bio remodeling process at a superficial level in the dermis .

Of course you can get very good skin tightening and bio remodeling with deep peels such as TCA peels or Phenol peels. You can also use lasers for skin resurfacing.

But these techniques are very aggressive with a lot of downtime and much higher risks such as bad scarring or hyper-pigmentation. They are certainly not cheaper either. These reasons make Profhilo a very simple, safe and elegant way to address skin laxity.

facial filler mid face rejuvenation. Dr Vidal

Photo courtesy of Dr Rodriguez Moises Abascal

How a Profhilo treatment is performed ?

Profhilo is an European product made in Italy by IBSA Labs.

The recommended protocol is two sessions 1 month apart.

Each session consists in the injection of five points called bio-aesthetic-points or “BAP”. Of course it is the job of the aesthetic doctor to determine where the optimal points should be for the best outcome.

Each injection is a small bolus of 0.2ml so 1ml is injected on each side of the face or the neck.  2ml in total. Local anesthesia is not required but can be used.

facial filler before after. Dr Vidal

Photos courtesy of Dr Annalisa Beatini

jaw reduction botox

Botox really is an amazing cosmetic treatment. It is even possible to use it for a jaw reduction of volume and face lower third refinement.

The muscles of the jaw are called masseter muscles. We use them to chew, eat, bite etc. When these muscles are too developed and too strong they can make a face looking very large and squared.

An hypertrophy or hyperactivity of these muscles can also have serious medical and dental consequences such as bruxism or teeth grinding and chronic pain.

In our civilizations people associate beauty with a triangular shape (or V shape) of the face. A squared shape is perceived as masculine. Jaw reduction is extremely common in Asia but a lot occidental patients are also looking for a solution to this problem.

Before Botox the treatment for jaw reduction was surgical ( called jaw shaving). The surgeon reduces the volume of the bone by shaving it. This treatment is obviously invasive and may be risky. Botox is very easy to do, just a few injections in the jaw muscle, and has only minimal risks. The main risk of Botox jaw reduction being a temporary slight asymmetric smile.

By reducing the volume of the muscle Botox allows dramatic cosmetic results of jaw reduction like this one below. (Photograph by Dr Kyle SEO).

jaw reduction botox dr vidal


In 2004 Dr J. Ahn, C.Horn and A.Blitzer have published a study on the efficiency and safety or botox injections for jaw reduction with very good results. Jaw reduction Botox is a simple safe and efficient treatment.This article is very well documented and shows very good before/after pictures of  jaw reduction botox. You can access this article on Botox jaw reduction by clicking.

Botox injections: 1, 2 or 3 areas ?

Botox injections

Botox injections are generally offered by clinics and doctors on an area basis. The most widely known are :

  • the frowning area to treat the vertical lines between the eyebrowsbotox injections dr vidal london
  • the forehead area with its horizontal lines above the eyebrows
  • the crow’s feet area and the lines around the eyes.

So there is a price for one, two or three areas. Unfortunately you are a little bit tight on the budget so you can afford one area only… How do you make the most of it ? Simple, you need a good advice.

How these botox injections areas work ?
Facial muscles are not independent like two flats on a same floor. They interact with each other and are in balance with each other. Using botox to weaken one (by blocking the muscle contraction) will simply reinforce the others and this can have consequences. On the other hand, a good understanding of this phenomenon can help to decide which area to treat.
For example you use the forehead muscle to pull your eyebrows upward as when one expresses surprise. But your frowning muscles do exactly the opposite and pull your eyebrows downward as you do now because you read this article.
Treating your forehead with botox will make the frowning stronger and the result may be a low position of your eyebrows which might not be aesthetically pleasant. Botox injections into the frown without considering the forehead or the eyes area could give a poor result as well.
The same concept apply when you pair the forehead and the eyes area. When you smile or close your eyes you pull the tail of the brow downward.
It is perfectly possible to treat the forehead only. It depends on your age, your facial anatomy, the relative strength of each muscle. Young people with good quality muscles may do this because a little bit of botox will not have a massive impact on this muscular balance. But this doesn’t mean it is a good cosmetic result because what is better ? a flat forehead with a strong frown and a severe look or a normal forehead with a nice relaxed look ? (please remember, you just can afford one area).
It is not very different with older people as with time they develop natural muscles imbalances . Not understanding these imbalances for botox injections can result in a poor aesthetic outcome. What is better ? a flat forehead with collapsed eyebrows and microscopic eyes or a wrinkled forehead with the eyes well defined ? or nothing ? or may be something else you even didn’t think about ?
So how do I choose my botox area ?
It is the job of a good professional botox practitioner to help you understand what is going on with your face, your muscles, your expression, your personality. It is also their job to take the time to explain these things to you. Irrespective of what your budget is but relevant to how your face looks.
The most common mistake made by people is to go to a botox provider and ask firmly for a specific area to be treated. They do this because it is difficult to see themselves objectively. Chances are they will get this area treated whether or not it was the best aesthetic choice.
A good professional will do very well if you can afford three areas. A very good one could just do as well with less. If you can afford only one area please first ask your doctor what would be the best choice and listen to their explanations. You will certainly be wisely advised.
If they cannot give you a clear explanation you may consider finding another clinic. By the way repeat this process even if you can afford more than one area . You will happily make the most of your botox injections and your money.

This article was originally written by Dr Vidal and published on

advanced botox in London

advanced botox london.the doe eye technique by dr Vidal in london

Advanced Botox London

                                                                           london doctor dr Vidal is one of the very few practitioner to offer this advanced technique of rejuvenation for the eye and eyelid area. This is an article about the eye area management and the “doe eye” technique written by Dr Thierry Vidal and published on

The eye area (upper and lower eyelids, eyebrows, eyelashes) is one of the most important cosmetic unit of the face. The main facial muscle of this area is the orbicularis oculi muscle.

Ageing of this zone will lead to a tired aspect with a diminished eye size, a skin excess or eyelid heaviness, some wrinkles (crow’s feet) and a hollowness of the lower eyelid area.

Dr Claude le Louarn (1) has shown that one of the most important cause of the facial ageing process was the repeated facial muscles contractions leading to some fat being expelled toward an adjacent area. This is associated with an increased resting tone of the facial muscles leading to a shortening and a straightening of these muscles.

The orbicularis oculi muscle straightening and shortening with age will attract the eyebrows downward which creates a pseudo skin excess and a heavy upper eyelid.

At the lower eyelid level the repeated contractions of the orbicularis oculi will modify the fat layer and expel some fat toward the medial palpebral pocket thus creating a hollowness of the area.

As the muscular participation in this ageing process is so important, Botox (botulinum toxin A) is naturally the best way to manage and prevent the ageing of the peri-orbital area.

For the rejuvenation of the peri-orbital area we use botox by doing three to four injections laterally on the orbital part of the orbicularis muscle. Each point is 2.5 units (2ml saline in a 100 units botox vial). We also inject another point into the palpebral part of the orbicularis. This latest point is the very advanced one.

We start straight under the tail of the eyebrow. This first point is the highest. Exact injections sites are determined by asking the patient to smile. These sites follow the orbital rim curve. The last site is situated on the same vertical line than the first. This last point is located on the pars malaris of the orbicularis muscle.

The most remarkable point, the one that makes this procedure an advanced one, will be done into the palpebral, pretarsal part of the upper eyelid. This will slightly lift the lateral canthus (corner of the eye). This point has been first described by Dr Le Louarn in 2006 (2).

This point is the “doe eye” in french “oeil de biche ” injection.

1 to 2 units are injected along the eyelashes line with the needle hold horizontally. This injection is done very superficially, in a sub-dermal plan above the muscle, creating a small bubble visible at the surface of the skin. The muscle is not directly injected.

This point is done only to female patients as it enhances a feminine shape of the eye by lifting the lateral canthus (it is a “doe eye” effect).

This technique will re-open a tired eye and ease the heaviness of the upper eyelid. Eyelashes are nicely enhanced and a beautiful almond shape is accentuated.

We started to inject like this in 2006. Today, after several hundred of these palpebral injections we have not seen any adverse effect such as a ptosis, a dryness or a diplopia. Side effects are rare and limited to a minimal bruising of the upper eyelid.

To see before after pictures of this advanced botox london eye rejuvenation please click on this link

(1) Claude Le Louarn, Bathias, Buis: structural aging: The Facial Recurve Concept Aesth Plast Surg: 31: 213-218, 2007.

(2) C.Le Louarn: Botulinum toxin and the Face Recurve concept: decreasing resting tone and muscular regeneration. Ann Plast Chir Esthet. 2006;52:165-176

Dr Thierry Vidal is a cosmetic doctor practicing in London. He specializes in advanced non surgical procedures such as Botox and laser liposuction.

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Advanced botox london: the eye area management and the doe eye technique by Dr Thierry Vidal