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CLAIM YOUR PROFILEThank you for your question. There are a number of treatments and approach to saggy jowls.
Saggy jowls are normally caused by loss of volume higher up in the cheeks and the fat pad losing position. These two cause can be corrected by combination treatment including the correct dermal filler positioned correctly where the volume loss is identified and thread lift to reposition the fat pad to its original place. This can then be followed up by skin tightening treatment such as Radiofrequency.
This is a common condition and concern I see a lot and can be treated non surgically.
Hope this helps. Best wishes, Dr Simon Zokaie, London
Physician
Botox is a well recognised and accepted treatment for treating fine lines and wrinkles mainly in the upper part of the face. It’s true every treatment comes with potential risks and side effects and all these should be explained to the patient at the time if the consultation. However the Turks such eye drooping and muscle weakness etc can be reduced by seeing an experienced practitioner/doctor. The correct assessment of the face and it’s muscles causing the wrinkles is very important to mark the points of injections correctly and decide on the appropriate dose given. I would therefore recommend to see an experienced doctor and sometime it pays to pay a little more for safety. Hope this helps. Best wishes, Dr Zokaie, London.
Physician
Thank you for your question. Swelling is a recognised feature after lip fillers. Divrei if swelling can depend on a number of factors including the type of filler (high or medium or low density) injected and the amount injected. The first two days after the injection can be worse but begins to subside although in some cases it take a little longer. I would apply ice to it gently for a day or two and if not resolved get in touch with your practitioner. If however you see the colour changing and turning black and becoming very painful call your doctor urgently. Best wishes, Dr Zokaie, London
Physician
Thank you for your question. It’s difficult to assess your full face from the photos but in general if the wrinkle lines appear due to muscle movement then they can treated with botulinum toxin (Botox). If it’s hollowness forming such a tear trough deformity in general a tear trough filler may resolve it. Having said this I would recommend a careful examination with an experienced practitioner.
Physician
Thank you for your question. It sounds like your indent is secondary to a trauma and it may have caused bony damage. As there is a hollowness it can be difficult to correct it with fillers. The other challenge is the location of the damage as it makes it very risky to inject fillers due to the artistries that supply the eye.
I would recommend a very careful assessment and exploring different medical/surgical options.
Physician
Hello,
Thank you for sharing your concern and photos. With under eye hollowness it can be difficult to assess from a photo alone. I would recommend having an in clinic assessment by an experienced practitioner to assess and examine you properly and discuss your options with you.
Physician
Hello,
Regarding treating masseters with Botox it can help reduce the size and strength of the muscle to a degree and help reduce bulkiness.
However I wound recommend a thorough assessment and examination if your lower face muscles by an experienced medical practitioner to see if you would benefit from the treatment and if it would help.
Physician
Hello,
Regarding dissolving fillers, the agent used to dissolve is used off license and it’s not specific to the HA in the filler injected. It can also target and break down one’s own HA too and therefore care must be taken when injecting. I would recommend seeing an experience practitioner to be assessed.
Physician
Hello,
Regarding your nose filler, depending when it was injected it’s best to allow it 4-6 weeks to settle at least. If after that there seems to be over correction or migration then it can be safely dissolved by an experienced practitioner although it doesn’t come with our risk.
Regarding having Botox that can be done either before or after dissolving as it won’t affect it.
Hope this helps
Physician
Generally speaking there is no one filler approved for under eye hollowness known as tear trough. The filler and technique used comes down to the experience of your practitioner and their knowledge on properties of filler in order to use the correct one based on the findings on their assessment of your eyes. The choice depends on a number of factors including skin elasticity and degree of deformity or hollowness. I’m not sure if juvederm has the best range for test trough but I use other brands with different properties to gain the best outcome for my patients. Remember: assessment and experience is key!
Physician
I first saw Dr Zokaie six months ago after lots of consultations with various clinics to address the scarring left by acne. I had been feeling unsure about the results I would experience with other clinics but Dr Zokaie left me feeling reassured and that all of my questions were answered. I’m now on my fifth session of dermapen and have seen incredible results with my skin. I understood from the very first consultation exactly what to expect and what treatments I would need to achieve the desired results and am feeling very positive about them! Would highly recommend. *****
I recommend Dr Simon as he is very kind, gentle and very professional. Thorough conversation and always explaining stuff clearly and precisely. Price is reasonable and not pushy. One of the best dermatologist in Harley st.
Before reaching out to Linia Skin, I researched about Roaccutane and expected to go through the worst side effects/experience. However, my experience on Roaccutane was positive, Dr Zokaie is brilliant, and I felt comfortable from the very beginning. Throughout the process, Dr Zokaie made sure that my health and emotions were tracked. He made necessary changes where needed. I am thrilled with the result and recommend Dr Zokaie and Linia Skin to anyone struggling with Acne. Thank you!
I cannot recommend Dr Zokaie enough . I went to him for my first profhilo treatment last week.Dr zokaie made me feel at ease from start to finish explaining thoroughly what he was going to do step by step . My skin has already started to look Smoother and much more radiant !! I cannot wait for my next session in 4 weeks time.
I went to see Dr Zokaie to have my lips done as it was my first time and I was nervous. He assessed me and explained the treatment to me in full to reassure me. The treatment was comfortable and I’m so happy with the outcome. I only trust him to do my lips. Thank you.
Dr Zokaie made me feel comfortable, happy and healthy throughout the whole process. He ensured this was the right course of treatment and the results have been amazing, my skin is now completely clear and has given me back my self-confidence. Thank you!
I’ve had such a great experience with Linia Skin Clinic for Roaccutane and wouldn’t think twice before recommending Dr Zokaie to anyone! He is such a lovely and supportive person and I always feel at ease discussing any concerns regarding my skin with him. After struggling with acne for years, with the help of Dr Zokaie, I am finally so happy with my skin! Thank you so much!
Dr Zokaie has been the biggest help with my acne journey. I came to him after years of struggling with hormonal cystic acne and immediately he gave me hope that he could help with it. We decided to go down the route of roaccutane- I love how precise Dr Zokaie was with his calculations for the treatment- I knew exactly how much I’d be taking and he also made sure he tracked my progress in terms of skin confidence and kept on top of bloods etc. He is so kind and approachable and my only regret is that I didn’t find him sooner! I’ve now finished my course of roaccutane and I’m blown away by the result.
I contacted Linia skin clinic hoping for a Roaccutane treatment after failing to get a hold on the NHS dermatology service (the waiting list for Roaccutane is unbelievably long). I researched which clinic was offering the treatment and Linia skin clinic was the only one I saw which were credible and had experience in treating acne. within 8 hours of my email enquiry to them I was already in touch with the team who booked an online appointment with their top dermatologist using their great and easy to use app. The consultation went very well and the treatment process and costs were clearly stated, same as on their website. I only waited one week before the initial consultation and the beginning of my treatment .Since then it has been going extremely smoothly; the team and the doctor are extremely kind, professional and responsive. As I started my treatment during covid I had to get my blood test at the lab, which is easy as its an walk in clinic and I received the medication at home so it’s really efficient. The communication by phone or email is extremely good as well, it is very easy and fast to get to speak to someone. I’m in my fourth month of Roaccutane and I’m really happy with my skin as it has now cleared, and wouldn’t hesitate to recommend the clinic for this treatment.
I have seen Dr. Zokaie a few times for issues with my tear troughs and he was fantastic! He talked me through the procedure online and then again on the day. He was very caring and knew I had a fear of needles but I didn’t feel a thing!
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