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Treatments

Botulinum toxin (Botox) injections for the treatment of dynamic wrinkles involve the precise placement of small amounts of Botox into specific muscles of facial expression, relaxing the muscles and diminishing its activity. As such, the action of Botox depends on the effect of relaxation of the targeted muscle. For example, hyperactive corrugator and procerus muscles can lead to the appearance of deep furrowed frown lines that makes one look old and stern. Relaxing these muscles with Botox will help soften the frown for a gentler and more youthful appearance.

Targets
Dynamic wrinkles such as glabellar frown lines (that appear when you frown), crow’s feet (that appear when you laugh), and forehead lines (that appear when you raise your eyebrows).
Botox can also improve the appearance of gummy smiles, downturned lip corners, bunny lines, fine lines under the eyes and neck bands

Expectations
Depending on patient suitability (age, ethnicity, gender) and preference (natural to complete correction), these dynamic wrinkles can be softened, reduced, or completely eliminated, resulting in a less harsh, less tired, more youthful and energetic appearance.

Botulinum toxin (Botox) injections for the treatment of dynamic wrinkles involve the precise placement of small amounts of Botox into specific muscles of facial expression, relaxing the muscles and diminishing its activity. As such, the action of Botox depends on the effect of relaxation of the targeted muscle. For example, hyperactive corrugator and procerus muscles can lead to the appearance of deep furrowed frown lines that makes one look old and stern. Relaxing these muscles with Botox will help soften the frown for a gentler and more youthful appearance.

Targets
Dynamic wrinkles such as glabellar frown lines (that appear when you frown), crow’s feet (that appear when you laugh), and forehead lines (that appear when you raise your eyebrows).
Botox can also improve the appearance of gummy smiles, downturned lip corners, bunny lines, fine lines under the eyes and neck bands

Expectations
Depending on patient suitability (age, ethnicity, gender) and preference (natural to complete correction), these dynamic wrinkles can be softened, reduced, or completely eliminated, resulting in a less harsh, less tired, more youthful and energetic appearance.

The BTL Exilis Elite treatment uses a combination of radiofrequency energy, ultrasound and skin cooling to stimulate fat breakdown and collagen remodelling. Controlled heating targets deep tissue, addresses sagging skin and helps contour the body.

Skinboosters are hydrating fillers that are injected just under the skin, drawing moisture to the surface to deeply hydrate the skin from within. Skinboosters improve the barrier function of skin on a molecular level to increase its ability to retain moisture, thereby improving skin quality and texture.

Targets 
Dry skin, dull-looking skin, fine lines and static wrinkles

Expectations
Deep skin hydration and improved skin elasticity leads to skin that feels smoother to touch and appears dewy and radiant. Fine lines and static wrinkles appear less prominent.

Rejuran Healer contains DNA fragments (PN, PDRN) purified from salmon DNA. These specifically selected DNA sequences promote skin healing and new collagen production by stimulating growth factors and increasing microcirculation; while slowing down skin aging by scavenging and removing free radicals that damage the skin.

Targets
Aging and damaged skin, dry skin, fine lines, static wrinkles, acne scarring and enlarged pores

Expectations
Rejuran’s restorative qualities improves skin quality, elasticity, and its ability to retain moisture, leading to skin that looks and feels smoother, hydrated and youthful. Its ability to promote healing and repair significantly improves the appearance of fine lines, wrinkles, dark eye rings, acne scarring, and open pores.

Triple therapy for keloids is a targeted three-pronged approach to the management of keloids. Keloids form due to excessive wound healing in response to an injury, which has been found to be related to excessive and prolonged inflammatory response, especially in genetically susceptible individuals, and wounds in areas that are under constant tension.

Triple therapy utilizes
1) intralesional steroids to reduce the inflammatory response
2) lasers to reduce the microvasculature that supplies the keloid with inflammatory markers that prolong the inflammatory response, and
3) microbotox to release the tension across the wound to stop the inflammatory response.

Targets
Keloids

Expectations
Improvement in appearance to eventual disappearance of keloids. Compared to conventional treatment with only intralesional steroids where the keloid will improve or disappear but inevitably recur, keloids treated by triple therapy recur slower and may never recur after 6-8 sessions.

Nose augmentation is a commonly requested procedure in Asia, as Asians tend to have shorter and flatter nose bridges, and bulbous or stumpy nose tips. For the same reason, ideal augmentation of the nose leads to very high patient satisfaction rates, as it improves not just the appearance of the nose, but also brings focus towards the middle of the face and visually corrects facial proportions in both the front and side view, making the face appear slimmer, and more V-shaped.

Nose augmentation with fillers can lead to the appearance of a broad and/or tubular nose that looks unnatural and makes the eyes appear closer together, while also carrying an extremely rare but potentially catastrophic risk of blindness. At Thomson Wellth clinic, we use bioabsorbable threads made of PDO that are specially customised for nose bridge and tip augmentation, to confer results that appear high, slender, straight, and naturally highlighted, with zero risk of blindness.

Targets
Low nose bridge, short nose, asymmetrical nose, dorsal hump, upturned nose tip

Expectations
Nose bridge is ideally heightened according to proportions of the face, with natural continuity with the forehead. Asymmetry and dorsal hump appear less prominent. Nose tip is angled towards ideal according to proportions of the face. Overall, nose appears high, slender, and straight, with a natural highlight straight down the middle under any light, in the way a makeup artist would contour a nose using highlights in the middle and shadows on the sides.

Lasers for pigmentation harnesses laser energy at specific wavelengths and depths, to target and treat specific pigmentary skin conditions due to sun exposure, aging, hormonal changes especially after pregnancy, genetics, or injury to the skin.

Treat specific pigmentary skin conditions due to sun exposure, aging, hormonal changes especially after pregnancy, genetics, or injury to the skin.

Targets
Melasma, freckles, Hori’s naevus, solar lentigines, post inflammatory pigmentation such as acne or burn marks, as well as unwanted tattooes.

Expectations
Depending on skin type and condition treated, the goal of treatment ranges from visible improvement to complete clearance. For example, melasma is usually visibly lightened and less prominent after 5 sessions of lasers, whereas freckles are usually completely cleared within 2-3 sessions. Diligent sun protection, and in certain cases adjunctive oral and topical treatments, are crucial to optimise results and to prevent recurrence.

Lasers and IPL can be used in conjunction to tone the skin as a lunchtime procedure with no downtime, rejuvenate and firm the skin, as well as reduce blemishes and correct uneven skin tone, to achieve a radiant and glowing complexion.

Targets
Dull complexion, uneven skin tone

Expectations
Even skin tone that reflects light more uniformly for a brighter, more radiant complexion

Intracel delivers radiofrequency (RF) pulses through an insulated micro-needle array to specific depths in the skin. The micro-needling action serves to subcise and releases fibrous scar tissues, while the RF pulses stimulate new collagen formation and promote healing and repair in the treated skin.

Targets
Acne Scars

Expectations
Significant, visible improvement in the appearance of acne scars, both in terms of extent as well as severity. Face appears clearer with more areas scar-free, while deep and irregular scars appear shallower and less severe.

Ultherapy® is the only US FDA-cleared, non-invasive procedure that lifts and tightens the neck, jawline and brow, by delivering high intensity ultrasound energy to the skin’s foundation layer – the layer that is typically targeted in surgical facelifts – without cutting or disrupting the surface of the skin. This energy triggers the skin’s natural healing response, triggering a regenerative process that produces new collagen.

Targets
Aging face, sunken appearance, loose skin, heavy jowls, double chin, deep nasolabial folds, depressed brows

Expectations
While some patients observe an immediate lift right after the procedure, the real results of Ultherapy is seen at 2-3 months post procedure as the new collagen works to lift and tighten skin especially over the brows, lower face and neck; making the face appear naturally lifted, slimmer and “smaller”, while significantly improving the appearance of jowling, deep nasolabial folds, and double chin.

SculpSure is the world’s first US-FDA cleared laser treatment for non-invasive lipolysis, designed to safely and effectively eliminate unwanted fat cells. SculpSure’s patented 1060nm wavelength laser has a specific affinity for adipose tissue, ensuring that maximal energy is delivered to the fat cells, disrupting and destroying them; while minimal energy is absorbed by skin and surrounding structures, ensuring that they remain unharmed.

Targets
Abdomen, flanks, back, inner thighs, outer thighs, arms, bra-fat, submental (double chin) area

Expectations
Permanent reduction of fat in specific target areas without surgery or downtime.

Venus Legacy™ is powered by a proprietary combination of Multi-Polar Radio Frequency (RF) with Pulsed Electro Magnetic Fields, and features the cutting-edge VariPulse™ technology. It is designed for non-surgical body contouring, cellulite reduction, skin tightening, and wrinkle reduction. Treatments can be done for both face and body, are comfortable with no downtime, and safe for all skin types.

Targets
Aging skin, loose skin, fine lines and wrinkles, body contouring, cellulite, post pregnancy changes

Expectations
Skin tightening, lifting, contouring of face and target parts of the body. Improved skin quality, skin looks and feels smoother, improvement in appearance of fine lines, wrinkles and cellulite.

SHR is an advanced laser technology for permanent hair removal. Conventional IPL or lasers deliver huge amounts of energy in single shots to ensure permanent reduction, which is painful, and may lead to risks such as skin burns and post inflammatory hyperpigmentation (dark marks) , especially in darker skinned patients. Whereas SHR fires multiple shots at lower energy to achieve the same results, while being virtually painless and risk-free, even for dark skinned patients.

Targets
Unwanted facial and body hair

Expectations
While each treatment will permanently and almost completely remove all visible unwanted hairs, it has no effect on dormant hairs, or hairs that “have not grown out”. As such, it is recommended that SHR be done monthly for 6-10 sessions (depending on individual and area), for all the hairs at various stages of the hair growth cycle to be permanently removed

More information will be provided soon.

DERMAL FILLERS

History
One of the earliest applications of dermal fillers was in the treatment of cancer patients who appeared hollow and gaunt, to help restore self image and confidence. These fillers tended to be permanent, and appeared somewhat artificial. As fillers became more extensively used for aesthetic applications, autologous fat came into fashion, as it was believed that using the body’s own fat as fillers was the most natural. However, as fat is “soft” and has no innate lifting capabilities, a large volume of fat is usually required to lift and rejuvenate the face, which may make the patient appear puffed-up, bloated, or like she has “done something to her face”.

Today
Advancements in hyaluronic acid (HA) based dermal fillers have revolutionalised minimally-invasive facial lifting and sculpting. With strong instrinsic lifting capabilities, the ability to keep its shape under stretch or compression, and the ability to integrate with the body’s tissues and stimulate natural new collagen formation, these HA fillers go beyond simply replacing lost volume, to effectively and naturally lift and contour the face with relatively small injection volumes, helping the patient look younger, rejuvenated, and in fact appear slimmer, despite having volume added to the face.

Under the face are multiple fat pads that are continuous with each other. To put simply, some of these fat pads help to lift and support the face, while other fat pads “weigh” the face down. As we age, we lose fat and collagen in the areas that provide support, while the effects of gravity worsens the dependent areas further, giving rise to the appearance of hollow temples and cheeks, sunken tear troughs, deep nasolabial folds and sagging jowls.

Combining a modern understanding of injection anatomy with advanced HA fillers with strong lifting capabilities, we are now able to selectively rejuvenate fat pads that in turn provide support to the dependent areas of the face, delivering for our patients a naturally lifted, youthful and vibrant appearance, that is safe, effective, and consistent over the years.

There is no perfect filler, but there are bad ones

Nowadays, a whole lot of science, research, and safety testing goes into every syringe of filler. On the contrary, a budget or unlicensed filler has little of those, commonly leading to unsatisfactory results or results that do not last, even potential complications. Amongst premium and reputable fillers, each product has its own unique properties, making it ideal for certain areas of the face, but unsuitable for others. For example, a product that is ideal for revolumising and lifting hollow and sunken cheeks, will feel hard and lumpy if injected in the lips.

At Thomson Wellth clinic, we use only premium fillers that are well studied, rigorously tested, licensed and approved. We carry a full range of fillers from soft to strong, stretchable to rigid, to ensure that the most ideal filler will always be used for your treatment.

Targets
Hollow, sunken temples

Expectations
Temples appear fuller. Smooth, natural curvature restored. Eyebrows on the side closer to the temples are lifted.

Impact
Hollow temples make a patient appear old and gaunt. Rejuvenating the temples returns the patient a youthful appearance, while the added effect of a lateral brow lift makes the patient’s eyes appear more “open”, and resultantly more energetic.

Combination
In more mature patients or patients who have less bony support in the temple area, fillers can be combined with the collagen stimulator Ellanse, for even better results, that will also last longer.

Targets
Sunken tear troughs, dark eye rings, fine undereye wrinkles, eyebags*, tired looking eyes

Expectations
Tear troughs (or under eye hollows) are significantly to completely smoothened out. Dark eye rings appear much less prominent. Fine undereye wrinkles are less visible. Mild to moderate eyebags appear less prominent and less droopy. However, severe eyebags* will not be improved by this procedure, for which surgical intervention may be required.

Impact
Sunken tear troughs and dark eye rings are notoriously unsatisfying to treat using only skincare products or lasers, as the primary cause for it is loss of soft tissue support as the body loses collagen in the area over the years. Tear trough rejuvenation using injectables directly restores this support, helping the patient’s eyes appear less tired, and the patient appear sharper and more energetic.

Combination
At Thomson Wellth clinic, we combine fillers to provide deep structural support that is natural and lasting, with collagen stimulating threads closer to the surface to more completely smoothen out the tear trough. This combination provides even more refined results, and much lower risks of lumpiness and discoloration, compared to conventional filler-only methods.

Targets
Flat, deflated cheeks, deep nasolabial folds, heavy jowls, prominent Marionette lines, saggy and droopy appearance.

Expectations
Cheeks appear fuller and lifted. Apex of cheek is restored to a higher position and in accordance to the cheek bones, conferring a youthful appearance. Selective re-inflation of specific fat pads that provide structural support to the rest of the face helps lift the nasolabial folds, jowls and Marionette lines, while also providing support to the tear troughs. This lift naturally and effectively improves the appearance of the aforementioned areas, which may then be further improved by direct injections, if still required.

Impact
Lifted and rejuvenated cheeks appear youthful and healthy, while restoration of the high point of the cheeks reflects light in a way that highlights the cheekbones in the front view, while restoring the natural Ogee curve in the oblique view, once again conferring a youthful and sculpted appearance.
Possibly the most important area for facial rejuvenation with fillers, the Mid Face Lift goes beyond simply rejuvenating the cheeks, to providing structural support for dependent and saggy areas of the face. As fillers stimulate natural collagen production in the areas it is injected, the face remains lifted even after the fillers have gone, due to the lift provided by the increased natural collagen in areas of the face that provide support.
Combination

In more mature patients or patients with a greater element of fat or loose skin, the Mid Face Lift can be further enhanced through combination with thread lift procedures that can provide superior mechanical support, and/or non-invasive energy based devices such as Ultherapy or Venus Legacy, to further lift the face and tighten skin. Combination therapy often means less of each product is required, which translates to lower costs and potential risks, results that appear even more natural, and results that last longer, due to synergistic effects on collagen stimulation.

Targets
Low nose bridge, short nose, asymmetrical nose, dorsal hump, upturned nose tip

Expectations
Nose bridge is ideally heightened according to proportions of the face, with natural continuity with the forehead. Asymmetry and dorsal hump appear less prominent. Nose tip is angled towards ideal according to proportions of the face.

Impact
Nose appears more powerful, bringing attention towards to middle of the face, visually correcting facial proportions towards ideal, making the face appear slimmer, and more sculpted.

Combination
At Thomson Wellth clinic, we rarely offer filler nose augmentation for women, as nose thread lifts confer a high, straight, slender and sculpted nose, with no risk of spreading or broadening, and most importantly, zero risk of blindness, an extremely rare but potentially catastrophic complication associated with filler nose augmentation.
In men, a slender nose with a sculpted tip from nose thread lifts may make the face appear more feminine. While some men do desire that trendy “Korean” look, traditionally men prefer a stronger and more powerful looking nose, that makes the face appear more masculine and authoritative. As such, filler nose augmentation are generally preferred in men, who fully understand and accept the abovementioned risk of blindness. Also in men, nose thread lift can be done simultaenously with the fillers for the nose to appear even straighter, highlighted, with light reflecting in a straight line down the middle of the nose.

Targets
Hollowing under cheek bones, heavy jowls, saggy jawline

Expectations
Hollowing or shadowing under cheek bones appear less prominent, healthy natural curvature restored to the side of the face. Jowls and lifted and jawline appears more defined. Face appears slimmer and more sculpted.

Impact
Very prominent, bony looking cheek bones with a sharp hollowing below is considered beautiful in many Middle Eastern countries, and is popular in Western culture as the “model” look. However, on an Asian face, it makes the person look old, gaunt, and fierce. Restoring a healthy, natural curvature to the side of the face brings the face closer to the Asian ideal of a reverse egg-shaped or heart shaped face, which confers a youthful, sweeter, and more approachable appearance.

Combination
The preauricular lift or “jowl lift” is a frequently requested procedure at Thomson Wellth clinic, as fillers are placed in an area traditionally targeted by plastic surgeons doing surgical facelifts. Selective rejuvenation of this area provides excellent support to the lower face, lifting and contouring the jawline, while improving the appearance of jowling. In patients with very heavy jowls or very saggy lower faces, this can be combined with thread lift that specifically targets lifting of the jowls, and/or non-invasive energy based devices such as Ultherapy or Venus Legacy, for even better lifting and support, that also lasts longer.

Targets
Thin lips, involuted (turned inwards) lips, flat lips, dry or cracked lips, fine lines on lips

Expectations
Lip volume restored, proportion between upper and lower lip optimised based on facial proportions and patient preferences. Cupid’s bow, philtrum columns, lower lip pearls and/or pouts can be created or optimised based on patient preferences and suitability. Lips appear plumper and hydrated. Fine lines on lips improve or disappear.

Impact
It is a myth that only Caucasian women are suitable for lip augmentation, or that lip augmentation means huge, overdone, “plastic” looking lips. As we age, our lips lose volume, become thinner, and turn inwards, leaving an old and haggard appearance. Restoring volume and proportion to lips, turning them back out slightly, hydrating and smoothening them naturally restores the appearance of the lips to the way they looked when the patient was younger, which can significantly rejuvenate a patient’s look, making her appear more youthful, happy, and desirable.
Combination

At Thomson Wellth clinic, we understand that lip augmentation is unique as the lips are not just seen but also felt (kissed), while constant contact (eating) can degrade a filler faster , giving rise to results that do not last. Therefore, we combine different fillers with unique properties to ensure optimum and natural results both visually as well as to touch, that are also long lasting. For example, we use a filler with strong lifting capabilities, Juvederm Volift, to provide strong foundations and lasting results. We layer it over with a filler of excellent elasticity, Juvederm Volbella, for results that look and feel natural. Finally, we use a filler that specifically targets skin hydration, Juvederm Volite, for a plump and hydrated finish.

Targets
Short chin, recessive (pointing backwards on side view) chin, asymmetrical chin, cobblestone chin, short or squarish lower face

Expectations
Chin lengthened and projected forward, to as close as possible to the ideal chin based on proportions of face and patient preferences. Asymmetry of chin corrected – sometimes, this makes the face appear more symmetrical as well. Cobblestone appearance partially to completely resolves. Lower face appears less squarish, slimmer, more defined, and in better proportion with the face.

Impact
Genetically, Asians tend to have smaller and weaker bony support in the chin area, leading to the undesirable appearance of a short and recessive chin, and/or a lower face that is disproportionately short compared to the rest of the face. By providing support to this area through chin augmentation, facial proportions can be optimised in both front and profile views. In women, the lower face curves sweetly and continues naturally with the gentle oval of the chin for an ideal V-shaped face. In men, the lower face appears more angular and chiselled with a more powerful and pronounced chin, giving a more masculine and authoritative appearance. In both women and men, attention is brought towards the centre of the face, making face appear slimmer, and more defined.

Combination
Threadlift to the neck can lift and tighten skin just under the jawline , which will further define the jawline while reducing the appearance of a double chin, acting as an ideal complement to chin augmentation for sculpting and contouring the lower face.

Our EXPERTS

Dr Felix Li

Lead Doctor,
Aesthetics

Dr Gan Lee Ping

Resident Doctor,
Aesthetics

Dr Caroline Low

Visiting Consultant

Dr Evan Woo

Visiting Consultant