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Facial Aesthetic treatment; what’s it like and why have it?

So what’s it like to have anti-wrinkle treatment? We visited the Dental Care Group’s Chief Clinical Officer, Mayur Pandya to find out more:

I was expecting the treatment to take longer than it did, and for it to have been quite painful. Surprisingly, this was quite comfortable. Are most patients nervous about their treatment?

MP: All patients have a degree of anxiety before any treatment but I think that the uncertainty and anticipation of it all exacerbates this. It is important as a practitioner to be empathetic towards patients’ feelings of anxiety and to provide that reassurance throughout the procedure.

How do you decide what is the best way to achieve this?

MP: Communication and listening to your patients’ needs and wants is critical. Sometimes, the desired result is unachievable, partially achievable, or achievable only after multiple treatment visits and it is always important to highlight this from the very outset.

What does facial rejuvenation aim to achieve?

MP: rejuvenation aims to reverse the signs of ageing: reduction of active lines (wrinkles), plumping and increasing of skin/tissue volume and restoration of the elasticity of the skin.

What causes skin damage?

MP: Two big causes of premature skin ageing are exposure to sunlight and tobacco smoking. Photo-ageing  from chronic exposure to the sun’s UVA and UVB rays can lead to loss of skin elasticity, volume, and thickening of the skin’s upper layers. This results in creasing, wrinkling and deep line formation. Additionally, the risk of skin cancers due to cellular DNA damage is hugely increased.

Living in Great Britain, sunlight should be less of a risk though?

MP: This is a common misconception. UV radiation is present in the atmosphere even in the winter months, even through cloud cover, just to a lesser degree.

We recommend to all of our patients on the skin clinic, sunscreen products all year round, and SPF50 in the summer months. NeoStrata Skin Active Cellular Support SPF30 is an excellent daily product.

And smoking?

MP: We recommend all of our patients to stop all tobacco products as part of their dental care, and encourage them to visit their GP or Pharmacy who can help them to join a smoking cessation programme. The incidence of oral cancers is increasing in the UK and tobacco is a major risk factor. The thousands of chemicals and multitude of carcinogens in tobacco smoke causes cellular DNA damage, leading to mutations, and reduces bloodflow, which in turn affects the skin and its ability to repair and turnover.

How does Botox make me look younger?

MP: Botulinum Toxin A, the active ingredient in Botox, Azzalure, Bocouture, is a protein that is produced by certain bacteria (Clostridium Botulinum) which temporarily blocks the activity of the nerves in the muscles and reduces the amount that these muscles move. In the forehead, for example, a commonly treated area of the face, this stops the skin creases around and above the eyebrows and around the eyes by reducing the muscles that cause these wrinkles. Consistent and controlled use of BTA, will therefore result in less or no creasing of the skin, thereby reducing the “active lines” and wrinkling which adds up over the years.

Is this how the Hollywood Stars look virtually wrinkle-free?

MP: Through regular, controlled and early use of BTA, people can reduce the activity of these powerful muscles in our face, thereby reducing the formation of wrinkles and slowing the appearance of ageing.

If Botox is a toxin, can it be used safely?

MP: BTA is a neuro-toxic protein which prevents the nerve from fully acting on the muscle. In larger doses, or from the bacterium itself, it can be harmful. However, if the dose is controlled, the delivery of the injections carefully placed, in relation to the anatomy of the patient, then the desired effect can be achieved. The dose can always be “topped up”, and in almost all cases, it is far better to underdose to control the effects. Always discuss your medical history, allergies and medicines that you may be taking, so that your practitioner can assess any risks and your suitability for treatment.

Are there any other uses for Botox?

MP: There are medical uses for BTA, including for migraines, excessive sweating, urinary incontinence and Multiple Sclerosis.

Why are dentists carrying out these facial aesthetics procedures, and why would they be the best people to carry out these treatments?

MP: Dentists undergo rigorous training at dental school in biochemistry and human anatomy to a high level with hands-on dissection training too. There is a huge focus on learning the muscles, nerves, arteries and veins of the face, as well as the skeletal sub-structure and so we are in a good position to understand the musculature and nerves which we are trying to act on. Further training in Botox refreshes this knowledge and unites the two disciplines. As dentists, we refine our dexterity and finer hand movements as well as being highly trained in delivering painless injections.

How long do the effects last?

MP: The effects of Botox usually last around about 3 months, however consistent and careful use of Botox can have a longer-lasting effect on the muscles and resultant skin tone and wrinkle formation. The advantage of the temporary effect of Botox is that if an undesired result is achieved, this will “wear-off” and is completely reversible.

What about dermal fillers?

MP: Dermal fillers are made of collagen, hyaluronic acid, or other materials. The filler that is commonly used is hyaluronic acid, with brands such as Juvederm and Restylane popular in the UK. Fillers combat “volume loss” and can be used to plump up the tissues under the skin, reduce wrinkles by reducing the sagging from loss of tissue volume. These are reversible and last between 4 to 6 months, although results can vary from individual to individual.

So a combination will result in a more youthful look.

MP: By reducing active lines and wrinkles, combating the loss of volume and plumping up the tissues to re-form the smooth contours of the face with accentuation of the jaw-line and cheekbones, age-related appearance changes can be visibly rejuvenated. Looking after the elasticity of the skin through cessation of smoking and effective sun-protection all goes hand-in-hand to maintaining that youthful look.

The Dental Care Group offers facial aesthetic treatment at a number of their dental practices. For more details email



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