Non-surgical Procedures

One of the best ways to advertise for cosmetic procedures is to offer to do them without making an incisions and no recovery time required. Some people retreat at the mention of the word "surgery" or "incision". Some don't like the idea of being admitted to a hospital for a procedure. They feel that this makes the procedure "too big" but they don't mind doing it in the clinic.

Some procedures are safer and better done through an incision. When the procedure is long or the patient has other medical problems. It is safer to do it in the hospital (but it is more expensive). There have been some botched procedures due to doctors attempting to do too much with "no" incisions.

For those who only want non-surgical treatment, there are some alternatives to surgery:

is used to paralyse the muscles around the eyes and forehead to reduce wrinkles of the forehead and crow's feet. It is also used to reduce prominent jaw muscles to reduce a square jaw. It also reduces bruxism - people who grind their teeth and crack them. There are people who inject small doses into the lower lids but this may cause the lid to droop a little.

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Fillers are used to camouflage wrinkles by filling them up. They are most commonly used to fill the "laugh lines" and "marionette lines". Some companies market a more less viscid variety of hyaluronic acid for use around the eyes.

Temporary fillers are not always temporary. When too much is used, they squeeze the vessels of the skin and cause the skin to die and ulcerate. It can happen anywhere but a particularly dangerous place is the nose bridge where the skin is thin. We have seen cases where the skin over the bridge looks pale after such injections. We have also seen cases where the skin ulcerates (photo, right).

Lasers have been used to rejuvenate facial skin for decades. The Asian skin is prone to post-inflammatory hyperpigmentation and lasers need to be used carefully. One of the earliest lasers was the CO2 laser and it was found to cause too many problems for Asians. The newer fractionated CO2 laser is much safer for Asians than the old one.

The most commonly used machine, at present, is the Q-switched Nd:Yag laser and the popular used term for them is "non-ablative resurfacing". It is marketed as a safe treatment with no recovery time needed. It was also criticised for having minimal / negligible effect. It is interesting, therefore, that there are reports that it can cause hypopigmention, perhaps due to over-use.

Most of the non-surgical innovations aim to cause tightening of the tissues of the face with heat e.g. using ultrasound and radiofrequency. The difficulty they all face is that there is no effect if the power used is too low but the complication rate is unacceptable if the power is too high. There is no miracle procedure that can achieve everything without risk or recovery time. A non-surgical procedure almost always never matches surgery in effectiveness and longevity. Your expectations have to be realistic.

Thread Lifts were the rage at one time but the fad seems to have died down. The lifting effect does not last long enough to satisfy many people. Non-absorbable threads occasionally cause long-term problems and are difficult to remove. It sometimes causes dimpling.

We do not "sell packages" at a "discounted rates" to entice you to keep coming back. It is better that you pay per treatment and return if you are satisfied with the result.

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Other topics:
Facial Plastic & Reconstructive Surgery
Upper Lid Blepharoplasty
Lower Lid Blepharoplasty
Face Lift