Amel Ibrahim, MBBS, MRCS, PhD

Midface volume loss is a very common complaint particularly in people in their 30s onwards. From your photo this looks like its flattened your cheeks and caused some nose to mouth lines (nasolabial folds). Hyaluronic acid dermal fillers (particularly Juvederm Voluma and Volift) can help restore volume to the midface. These fillers are normally injected into the cheeks to help lift the midface and reduce the flattening as well as to smooth the folds by the nose. This can also help improve the hollow under the eye particularly if combined with under eye fillers. It is important to have a consultation with an experienced doctor who can guide you through the best options and walk you through potential risks, complications and limitations of the procedure.

Horizontal lines on the neck are super common and one of the most asked about aesthetic procedures. These wrinkles are deep and in someone with a young neck like yours there are a few options. Dermal fillers such as Juvederm or Belotero can help fill the lines in but usually something like Profhilo or microneedling are needed to help stimulate collagen production under the skin to reduce the depth o the wrinkles and boost the effect of the filler. Chemical peels can also help exfoliate the dead skin and reduce the pigmentation and depth of these wrinkles. You can potnetially have great success when combining Profhilo and dermal fillers but each case should be treated as unique. It is important to have a detailed consultation with an experienced doctor who can examine these lines and gauge your treatment goals to advise you on the best treatment course.

Its unusual to have these symptoms several days after microneedling. Although we sometimes see some resolving redness after a few days, we don't expect to see it worse and certainly not to have itching or swelling. Whilst it could be that your skin is irritated from the serums used, the fact that you have redness, swelling and itching 8 days after the procedure warrants further investigation. You can't rule out a superficial skin infection (cellulitis) and so you should see a medical doctor (maybe your GP) because if it is an infection them it will need antibiotics. If it is not an infection but an allergy or irritation then your doctor can advise you with regards to taking medicines to help calm it down.

Before trying any treatments, if you haven't already, its worth seeing a dermatologist to check that this dry flakey skin isn't due to a skin condition like eczema for example. If there isn't an obvious medical reason, then firstly see if there is anything in your work or home environment that isn't causing this or making it worse. Common causes maybe due to repeated exposure to detergents or chemicals or frequent hand washing so ensure you protect your hands when working with irritants. The skin picking is certainly not helping and this kind of repetitive minor trauma can lead to the skin thickening and being inflamed. If there is no medical reason behind your dry skin then a chemical peel can help resurface the skin but you will need to follow up with using emolliating moisturisers (Weleda skin foods is a popular cream amongst some of our dry skin sufferers) and protecting your hands from any irritants and using SPF on them. It is likely that a course fo peels will be needed and so you should factor the cost of that into it also. If you want to read more about chemical peels we have a guide you can download on our chemical peels page.

Hi there, first of all its completely normal to have a degree of lip asymmetry. There are a few solutions that can help with lip asymmetry that most obvious is lip fillers. Hyaluronic acid lip fillers can be used to reshape, define and naturally increase the size of thin lips. They can also be used to improve asymmetry though of course 100% symmetry can't be guaranteed. In experienced hands the result can be personalised so that it looks very subtle and natural. For more info on lip fillers you can check out our website. Other treatments that can help with asymmetry can include microneedling to stimulate collagen in the smaller portion although this isn't very precise and of course more invasive and longer term options like fat grafting.