Chin, brow & nose augmentation

Chin Augmentation

The chin is an important feature of the lower third of the face. By enhancing the chin, the jawline can be sharpened, the profile of the face balanced, and the apparent amount of excess skin and fat in the neck can be reduced. Non-surgically, the chin can be enhanced with dermal fillers.

How can I have a chin enhancement non-surgically?

For those seeking chin enhancement via surgical methods, a chin implant, genioplasty, or mandibular osteotomy are operations that can be performed to project the chin. For those who are unsure of whether they want a permanent procedure, chin enhancement can be performed by injection of a temporary dermal filler into the area. Dermal fillers can last from 6 months to 18 months in this area. It is possible to try a dermal filler in the chin to help you decide whether surgery is a good option for you at a later stage.

Temporary fillers can simply be injected into the chin to improve the shape and forward protrusion of the chin. The downtime, swelling and bruising associated with this procedure is minimal. The longer lasting fillers are more expensive initially, but are better value as they last longer and tend to create a more substantial correction per mL.

Brow Lift

Traditionally, the only method of lifting brows up was by surgery. Non-surgically, it is now possible to lift the eyebrows and rejuvenate the eye area.

How can I achieve an brow lift or shape my brows non-surgically?

Firstly by using anti-wrinkle injections, it is possible to relax certain muscles around the eyes to help create an overall lift in the eyebrows. There are certain muscles that hold the eyebrows down, especially the muscle surrounding the eye, known as orbicularis oculi. By careful placement of anti-wrinkle injections into these muscles, the eyebrows are released from this downward pull, and the forehead muscles (frontalis muscle) are left to lift the eyebrows up without being antagonised. This leads to a few millimetres in eyebrow height usually.

Secondly, by injecting a dermal filler underneath the eyebrow, support can be given to the eyebrow and this elevates the eyebrow up. Usually 1/2 to 1 syringe of product is required in this area. It also helps to soften the bony orbital rim around the eyebrows, leading to a softer and more youthful appearance. The ‘skeletonisation’ of the brow is an ageing feature and by placing fillers on the bony rim, it softens this area and reduces any showing of the underlying skull.
Finally, dermal fillers can be used in the middle half of the upper lid/brow to help to reduce the apparent sag of the eyelids. Usually, upper eyelids droop from the outer half first, and this makes the middle half look relatively hollow. By filling the middle half of the brow/eyelid, this balances the appearance of the upper eyelid and reduces the apparent droop of the eyelid.

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Nose Augmentation

What is a non-surgical nose reshaping?

Traditionally, nose reshaping has been done with surgical rhinoplasty. It remains the gold standard for nose reshaping, but for those who do not want a permanent change, or for those who would like to try a temporary procedure prior to rhinoplasty, injectable nose enhancement with dermal fillers may be appropriate.

Bumps or protrusions cannot be removed with dermal fillers, rather, hollows can be filled in to straighten the nose. For example, if there is a prominent nasal bridge (hook nose), then the area above and below the bend can be filled to straighten the nose. Another example of non-surgical nose shaping is when a nose is deviated to one side, the concave side can be filler to make it appear straighter.

Nasal tip elevation is often desired by patients. This can be achieved by injecting the tip of the nose, as well as the by injecting filler in the base of the collumellar (the underside of the nose separating the nostrils) to lower it, which makes the tip appear elevated.

Results will vary from patient to patient and do not reflect the outcome of your surgery; nor does Dr Wadhera guarantee specific results.

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Dr Wadhera (M.B.B.S) has practiced medicine for over 40 years in Sydney. He is trained as a General Practitioner and in Cosmetic Medicine, specialising in aesthetic medicine and skin care surgery. Dr Wadhera is renowned for his quality of results and workmanship, as well as developing trusted relationship with clients. Dr Wadhera specialises in advanced techniques, complex cases and correctional work.

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