Start with what bothers you.

Lines across my forehead, even when I’m not raising my brows.

Horizontal forehead lines come from the frontalis muscle lifting the brows thousands of times a day. Botox softens the muscle so the lines stop deepening; a skin booster lifts the ones already etched in.

Two lines between my eyebrows that make me look angry.

The glabellar or “11” lines are made by the frown muscles. Botox is the first and usually the only treatment; a little soft filler is added only if a groove stays when the face is fully relaxed.

Lines fanning out from the corners of my eyes when I smile.

Crow’s feet are a smiling muscle at work. A small dose of Botox softens them while keeping your smile; polynucleotides improve the thin, crepey skin itself.

I look tired even after a good night’s sleep.

Usually a hollow under the eye, thin skin, or both. A hollow is filled with a tiny amount of soft filler by cannula; thin skin is thickened with Salmon DNA over three sessions. Puffiness is never treated with filler.

My lips are thin, or one side is fuller than the other.

Lip filler, placed in small amounts to keep the shape yours: a defined border, a little volume, symmetry. Dr. Sara never does more than one syringe in a visit.

Deep lines from my nose to the corners of my mouth.

Nasolabial folds are usually caused by the cheek dropping, not by the fold itself. Supporting the cheek with filler or a biostimulator lifts the fold; a little filler in the fold finishes it.

My jawline has gone soft and my lower face is drifting down.

After 35 the skin thins and the fat pads slide. A biostimulator (Radiesse, Sfera, PLLA) rebuilds the skin’s firmness over months; firm filler along the jaw and chin gives the line back.

My face looks square, or I grind my teeth at night.

A large masseter (chewing) muscle widens the lower face and grinds the teeth. Botox in the masseter slims the jaw over two months and stops the grinding.

Fullness under my chin that doesn’t go with diet.

If it is soft, pinchable fat: fat-dissolving injections in two to four sessions. If it is loose skin: a biostimulator. If the chin itself is weak: a little chin filler does more than either.

My skin looks dull and tired, and make-up sits in fine lines.

Skin boosters (Profhilo, Jalupro, RRS) hydrate from inside and tighten; Salmon DNA repairs thin, reactive skin. Two or three sessions, then a top-up every six months.

Old acne scars and skin that flushes easily.

Polynucleotides calm inflammation and rebuild the skin where scars have thinned it. Combined with careful peels, scars soften over a course of three sessions.

My hair is thinner than it was, or it’s falling out after my pregnancy.

Blood tests first (iron, vitamin D, thyroid). Then hair mesotherapy, PRP or GCELL to wake up sleepy follicles and thicken regrowth, four to six monthly sessions.

I sweat through my clothes, or my palms are always damp.

Botox in the sweaty area switches the glands off for six to nine months. Underarms, palms, scalp and upper lip all respond.

I’m getting married and I want to look like myself, rested.

A dated plan working back from the wedding: structure and skin first, Botox at six to eight weeks, nothing new in the last month.

Something has changed in my face and I can’t say what.

That is the most common sentence in the clinic. A consultation with Dr. Sara looks at the whole face in motion and tells you honestly what, if anything, would help, with no obligation to treat.