Treatment options range from non-invasive treatments to surgery.
 

For milder or earlier signs of ageing, treatments include
- Skincare and sun protection
- Laser and light-based treatments
- Botulinum toxin injections (commonly known as Botox)
- Fat grafting
- Dermal fillers
- Skin boosters
- Energy-based tightening treatments
 

For moderate to more advanced ageing, particularly where there is tissue descent, jowling or loose skin, surgical procedures may provide a more meaningful and lasting improvement.
 

Limited incision or endoscopic techniques for face and neck lift may be considered in selected patients. In some patients, surgery may be combined with non-invasive treatments to address different aspects of facial ageing to achieve a more comprehensive result.

The most important step is determining what is the causing the concern.
 

For example, a poorly defined jawline may result from several factors:
- Loss of facial volume
- Descent of the cheek and facial tissues
- Excess fat beneath the chin
- Loose skin
- Separation or laxity of platysma muscles
- A naturally small or retruded chin
 

Each of these requires a different treatment. During consultation, we assess your skin quality, facial volume, tissue position, facial proportions and degree of laxity, before recommending an appropriate treatment plan.

Laser and light-based treatments are mainly used to improve skin quality.
 

Treatment may help improve:
- Fine lines
- Sun damage and pigmentation
- Uneven skin tone
- Acne scars
- Enlarged pores and skin texture
- Superficial wrinkles

- Overall skin quality

Botulinum toxin works by temporarily reducing the activity of selected facial muscles. It is particularly effective for dynamic wrinkles – lines accentuated by repeated facial movement.
 

Common treatment areas include:
- Frown lines
- Forehead lines
- Crow’s feet
- Chin dimpling
- Prominent neck bands
 

It can also provide symptomatic relief for patients with overactive jaw muscles with excessive teeth grinding or clenching, that is associated with jaw-discomfort or headache.

Dermal fillers are used to restore or enhance volume and contour.
 

Depending on the patient’s anatomy and treatment goals, fillers may be used for areas such as:
- Cheeks
- Temples
- Tear troughs
- Nasolabial folds
- Chin
- Jawline
- Lips
 

Careful treatment is important. Where significant facial tissues have descended, lifting or repositioning the tissues may be more appropriate than repeatedly adding volume. Excessive filler can sometimes make the face appear heavy or unnatural.

Skin boosters are injectable treatment placed relatively superficially within the skin and intended to improve skin hydration and quality.
 

This may help improve:
- Skin hydration
- Fine texture
- Skin smoothness
- Elasticity
- Overall skin appearance

Some energy-based treatments use ultrasound or radiofrequency to stimulate collagen production and produce a degree of tissue tightening.

These treatments may be useful for patients with mild skin laxity. However, these treatments are not equivalent to a facelift or neck lift when there is significant tissue descent or excess skin.

For moderate to more advanced ageing, particularly where there is tissue descent, jowling or loose skin, surgical procedures may provide a more meaningful and lasting improvement. Limited incision or endoscopic techniques for face and neck lift may also be considered in selected patients.

Patients should also be aware that energy-based treatment that can cause changes beneath the skin. In some patients, particularly after repeated, aggressive or deeper treatments, this may cause fibrosis or internal scar tissue, tissue adhesions, fat loss and alteration of the normal tissue planes. These changes may make a future facelift or neck lift more technically challenging.

Energy-based treatments can still be useful when appropriately selected and performed. The aim is to choose the treatment that provides an appropriate benefit while preserving future treatment options wherever possible.

Endoscopic surgery uses a small camera and specialised instruments to allow the surgeon to operate through relatively limited incisions.

In facial rejuvenation, endoscopic techniques are particularly useful for areas such as the brow, temple and midface. Newer techniques have expanded the endoscopic assistance to selected areas of the lower face and neck.

Rather than relying entirely on larger external incisions for access, the endoscope provides magnified visualisation of the deeper tissues and anatomical structures.

No. Treatment is based on anatomy and severity of ageing changes than chronological age. The aim is not necessarily to perform the most aggressive treatment, but to select the least invasive treatment that can realistically achieve the desired improvement.

There is no universal facial rejuvenation treatment.

A personalised consultation allows us to evaluate:
- Your main concerns
- Skin quality
- Facial volume
- Facial proportions
- Degree and location of tissue descent
- Jawline and neck anatomy
- Previous aesthetic treatments
- Desired degree of improvement
- Acceptable downtime
- Medical history and suitability for treatment
 

Following assessment, treatment may range from non-invasive skin treatments and injectables to endoscopic or conventional surgical rejuvenation, depending on the severity of the ageing changes and your individual goals.

The objective is to recommend a treatment that is appropriate, proportionate and tailored to your anatomy.