I’ve used Botox for cosmetic and functional purposes for 16 years, and fillers over the last ten, and have come to think of them in a broader context – that of the lifetime of the individual.

Neurotoxins like botulinum are safe and effective when administered correctly, but it is important to be conservative. They can be overdone. If a muscle is kept inactive it will atrophy and that will interfere with normal facial expression as well as contribute to a loss of volume, producing a “flatness” of natural contours.  It is important that the longer they are used, the less frequently they are given, in order that the muscle have a chance to recover.  I do not believe in “preventive Botox”.

For fillers, I use only those without particles and I do not use silicone.  Collagens and hyaluronic molecules (such as Restylane) are found everywhere in the connective tissues of the body and so are very unlikely to cause problems, both for this reason and because they are temporary.  I use them primarily to give people and idea of what volume enhancement can do for their appearance before considering a permanent solution such as FAMI. 

In my view, autologous fat is currently the ideal permanent filler.

Other Services: Brow Lift,
Blepharoplasty, and Cheek Lift.