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CHEEK SCULPT

Evidence shows that our perception of physical beauty is hard wired into our being and based on how closely the features of one’s face reflect phi in their proportions. The Golden Ratio is derived from phi. Faces who confirm to this golden ratio are rated more attractive than faces that do not, as shown in the example below.

Interestingly, symmetry in the face does not necessarily equate to beauty. Many, if not most faces that are perceived as beautiful are usually not even close to being perfect in symmetry between the left and right sides. Perfect symmetry tends to result in a face that appears unnatural, animated or robot-like.

THE CONCEPT BEHIND CHEEK SCULPT

In the past, people were more concerned with ‘chasing lines’ and having every single hollow or depression on their faces filled up. This led to the birth of many filled-out but not necessary more attractive faces. Recognizing that there are ideal proportions that make one more attractive is important, for as long as we sculpt and define the face towards these proportions, the face will naturally look more attractive.

WHAT IS CHEEK SCULPT?

Cheek Sculpt is a specialized technique that uses highly structural hyaluronic acid fillers to augment and define the natural prominence of your cheeks, giving you the appearance of higher cheekbones.

HOW MANY SESSIONS ARE NECESSARY?

Our patients notice the difference with just one session. However, sculpting a face to perfection is akin to creating a work of art, and a few sessions of fine-tuning will be better to give you the optimal results. Hence, depending on our patients needs, a series of 1-3 sessions may be recommended by our doctors after a consultation and facial analysis.

IS THERE DOWNTIME ASSOCIATED WITH THIS PROCEDURE?

This procedure is very well-tolerated. It is possible to have pinprick marks which most patients are able to conceal with makeup. While it is rare, it is possible to experience mild bruising which resolves with time. Any bruising can also be treated with our anti-bruise PDT laser (ask in-clinic for details). Occasionally, patients notice mild swelling the next day after the treatment which resolves quickly. However, patients are able to continue with work, sports and other activities after the treatment.

WHAT DOES THE FINAL OUTCOME LOOK LIKE?

If you have ever contoured your face using cosmetics, you will see a similar effect with Cheek Sculpt, albeit without the cosmetic aid. The aim of Cheek Sculpt is not to chase lines or volumise the face. Rather it is to bring out the natural beauty and optimal proportions of each face. As such, some faces require less sculpting while others will benefit from more coaxing. Hence, some patients may benefit from a single session while others achieve their ideal ratios after 3 sessions.

V- LIPO

V- Lipodissolve is the injection that melts double chin, malar fat and a winning ticket from the genetic lottery may no longer be required for a sculpted, supermodel jawline. A shot that dissolves fat will offer people with a double chin a way to get rid of it without surgery.
In 2015, the US FDA approved Kybella, a non-surgical injectable treatment for chin and neck fat that uses deoxycholic acid, a molecule that promises to dissolve fat cells through a series of injections. There’s very little downtime, it’s noninvasive and nonsurgical, and there’s little risk. The drug is the first (and only) injectable designed to contour away the dreaded double chin and malar-fat. We speak to Dr Anna Montesa, founder of mag Clinic to find out more about this wonder drug.

HOW DID KYBELLA FAT DISSOLVING INJECTIONS COME ABOUT?

The origins of chemical fat-dissolving (a.k.a. mesotherapy) go back to France in the ’50s. By the ’60s, European scientists started using a compound called phosphatidylcholine to break up fat for medical reasons. After a patient experiences trauma, perhaps from a fracture, tiny globs of fat can enter the circulation. Often, they’ll end up in the lungs and can cause respiratory issues. So, scientists were using phosphatidylcholine to try and dissolve that fat. Cut to 1980s Europe, and cosmetic researchers started looking at the compound, thinking, if it can dissolve fat in the vessels maybe it can dissolve fat elsewhere. Bodybuilders began injecting themselves with “PC/DA” (a combination of phosphatidylcholine and deoxycholic acid) off-label to get rid of fat pockets for competition. In the early 2000s, researchers at UCLA discovered that the fat breakdown caused by the PC/DA compound was actually due to the deoxycholic acid—the active ingredient in Kybella. And that’s how Kybella was born.

WHAT IS V-LIPODISSOLVE AND HOW DOES IT WORK?

Lipodissolve uses Kybella. It works by destroying fat cells. At MMG Clinic, Kybella is used to reduce malaria fat and submental fullness (double chins).

HOW MANY ROUNDS OF TREATMENT DO YOU NEED, AND WHAT RESULTS SHOULD YOU EXPECT?

It varies from patient to patient. Depending on the severity of the presenting complaint (how severe the double chin) and the desired result, patients may need anywhere from 2-4 sessions done three weeks to one month apart. At MMG Clinic, each session will take approximately 30 minutes. Photographs are taken to help us document the treatment progress before a topical numbing is carefully applied to the treatment area. A qualified doctor at MMG Clinic will administer the tiny injections for you, you may receive anywhere from 3-8 injections per treatment area. Thereafter, a skin soothing and anti-bruise cream is applied to the area.

ALTHOUGH IT’S NOT APPROVED FOR SAGGY SKIN, CAN IT HELP TIGHTEN IT?

This is one area where experts don’t agree. It doesn’t tighten your skin. It is there to melt though some patients who received the treatment noticed a mild tightening effect. However, at SW1 Clinic, we use this to reduce the submental fat of the double chin area. To further tighten skin, skin tightening treatments such as Ulthera, or Thermage or Infinity Neck Thread Lifts can be employed to give synergistic benefits.

Before approving the drug, the FDA looked at the results of two U.S. trials that included more than 1,000 people. Those who got the drug more often saw less fat under the chin.
More than 80% of those getting the drug said they noticed some improvement in their chin fat, the company says.

Most common are bruising, swelling, pain, temporary numbness, and small, firm areas around the injection sites. A possible serious side effect is an injury to the marginal mandibular nerve, which helps control facial expressions, causing an off-balance smile. This likely happens when shots are given too close to this nerve. That is why Kybella needs to be only administered by trained injectors. In trials including more than 5,000 people, this side effect happened in 4% of patients, according to a report from the FDA advisory panel. It eventually went away in all of them.

I WANT TO BE FREE FROM MY DOUBLE CHIN

IS THERE ANYTHING I SHOULD DO BEFORE OR AFTER THE TREATMENT TO HELP RECOVERY?
Using the compression garment that we give to you will help to reduce the swelling and discomfort post-treatment. To minimize swelling and bruising, you may also get anti bruise cream and bromelain tablets from us. Do not drink alcohol or take painkillers for 48 hours before and after the injections, this will also help with your recovery process.

WHEN WILL I SEE RESULTS?

It takes time for the fat cells to be broken down and be eliminated from your body. Most patients see visible results from a few weeks onwards. In some patients, results become more apparent in subsequent sessions (such as from the second session onwards). The good news is that once your months-long process is completed, those fat cells are not coming back. In more than 20 studies, nearly 70 percent of the thousands of patients reported physical and emotional improvement. Two U.S. trials put before the FDA showed that nearly 80 percent of those treated with Kybella noticed a reduction of their malar- and submental fat and thus had improved satisfaction about their appearance.

HOW LONG DOES THE RESULTS LAST?

Since you take those fat cells away, they won’t recreate themselves. Safety studies have been done on the long-term results, and in general, between 75 and 90 percent of patients are still maintaining their response at up to five years according to the studies done.

DREAM SCULPTURE

Our dream skin is one that is supple and lifted, smooth and refined. One that is rich with our own natural collagen. What is collagen? Collagen is a key structural component that keeps skin looking youthful and smooth. As we age, the body’s collagen production decreases and we begin to see wrinkles and hollow areas in the face.

Research study shows that at the age of 25 the natural production of collagen in the body starts to decrease by 1.5% a year resulting in a loss of collagen. This rate of loss of collagen may not look alarming at first but basically this would mean that by the time you reach the age of sixty you have lost 50% of this vital protein. This explains the age-related changes we see with time, from dull skin, sunken hollows to fine lines and deep wrinkles.

WHAT IS THE CONCEPT BEHIND DREAM SCULPTURE?

Dream Sculpture is the technique of using Sculptra to boost your skin’s own collagen production so it will stay young, supple and lifted for longer. The concept behind Sculptra is that it is a natural collagen stimulator. It works not as a filler or as botulinum toxin (BOTOX®) but as a ‘fertilizer’ for your skin to produce your own collagen over time (4-6 weeks).

WHAT IS SCULPTRA?

Sculptra is made of Poly-L-lactic acid, which is a biocompatible (does not harm the body) and biodegradable (able to be broken down by the body) compound. It is broken down with time and there is no trace of Sculptra in your body over time. However, the collagen that it stimulates your body to produce stay for a long time. Depending on your age and the number of treatments you have undergone, results can last from 2-3 years. This is not an animal product and does not need skin testing prior to use.

WHAT IS DREAM SCULPTURE TREATMENT LIKE?

A numbing cream is applied to the treated area for 10-15 minutes. During the treatment, cold compresses are used to ensure your maximal comfort and to minimize possibility of bruising. Injections of Sculptra are meticulously placed in selected areas on the face that will benefit most from the collagen stimulation effects. By distributing Sculptra over the vital framework of your face, Dream Sculpture helps to ensure your skin is maximally rejuvenated in time to come. The results of Dream Sculpture are not apparent immediately as this is not a dermal filler; furthermore, collagen requires time to grow.

From your very first treatment, Sculptra begins to work deep in the dermis where your skin’s structure is reinforced as Sculptra helps to replace lost collagen. This reinforced collagen structure provides a foundation that gradually restores the look of fullness of your shallow to deep wrinkles and hollow areas which will be apparent about 4-6 weeks after your initial treatment. To reap maximal benefits and optimal results from Dream Sculpture, a series of sessions may be necessary. For your ideal Dream Sculpture regime, please make an appointment for a consultation with our doctors at MMG Clinic.

IS THERE ANY DOWNTIME?

As with all injections, there is a possibility of pin-prick marks and occasionally, bruising which can be concealed with cosmetics post-treatment. However, these can be minimized with proper precautions such as the use of Arnica and cold compresses, and the avoidance of certain medications and alcohol. A post-treatment protocol will be given to you to help ensure your recovery is uneventful and comfortable. Should bruising occur, you may request for an anti-bruise PDT laser treatment to help speed up the resolution of any bruising.

WHO SHOULD NOT DO DREAM SCULPTURE?

You should not use Sculptra if you are allergic to any ingredient of the product. (Consult with your doctor regarding ingredients and allergies.) Do not use this too if you have a history of keloid formation or hypertrophic scarring.

IS DREAM SCULPTURE FOR YOU?

Sculptra used in Dream Sculpture protocol is a stimulant of your own collagen and may provide several years of facial enhancement for hollows, wrinkles and lines. However, Sculptra takes several months to show results whereas other materials such as hyaluronic acid fillers will produce an immediate improvement. Dream Sculpture is therefore an ideal treatment for patients who would like natural collagen effects and who are looking for long term enhancement of their skin.
As Dream sculpture does not produce immediate volume replacement unlike dermal fillers, this can be good for patients who do not want the plumping effect of fillers but a gradual age-reversal effect on thinning and collagen depleted skin.