Tag Archives: nefertiti lift london

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 for the neck : the famous Nefertiti Lift

nefertiti lift botox

Pure elegance of a beautiful neck

Nefertiti Lift Botox

As a professional practitioner it always amazes me that I very rarely have demands about the neck. And when I have it is generally too late for a non surgical treatment such as the Nefertiti lift.
The neck is one of the most important component of the beauty and as such should be protected with the greatest care. No need to talk about the Joconde or Queen Nefertiti, it is really this extra “je ne sais quoi” that gives sex appeal and class. What would be Audrey Toutou or Brad Pitt without a distinguished, racy neckline ?

I wrote an article about the use of botox injections for Nefertiti lift to preserve the neck beauty and allure, you can read it by clicking this link

The Nefertiti lift is the technique using botox injections to relax the strongest parts of the superficial neck muscle (platysma). These parts are pulling the jaw line downward when ageing and are enlarging the lower third of the face. Relaxing them at the early stages of the process is a simple but elegant way to preserve the beauty of the neck.

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 apparentlifestyle.com

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 ezinearticles.com.

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.

Article Source: ezinesarticles.com

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