Treatment Plans of the Face

with Non-Surgical

Treatments:

My personal approach

Dr. Christopher LEE

Cosmetic Physician

Medical Director of Cosmos Clinic Canberra

Beauty is in the eye of the beholder

The Golden Number 1.618

Facial assessment :

Method 1

5 Rs

Relaxation – toxins

Revolumisation – dermal filler

Redraping – thread lift, surgical facelift

Reflection (colour) – light-based treatments (IPL, laser), skincare

Roughness (skin texture) – fractionated laser, MSN, PRP, HIFU, RF

Method 2

“THIRDS”

Prioritise:

GOLD

SILVER

BRONZE

HARMONY

“FOURTH” – neck/submental

Method 3

Facial shape:

Oval

Square

Round

“Build the house before you fill it in!”

…don’t forget about men!

Method 4

“Vertical Fifths”

Method 5

Profile

Method 6, 7, 8,…..

Workshops

Conferences

Apps!

Do-It-Yourself at home (for patients)

CONFUSING!!!

Which is the best?

Why does it work for one person and not the other?

Why do the injectors at conference get better results than I do?

After a long and arduous journey…

… it doesn’t end! Or does it?

The journey is as long as you want to make it!

Are you happy with what you know and what you can do?

Do you think you can meet your patient’s expectations?

Difference between a “basic” and “advanced”

PEARLS OF WISDOM

Or otherwise known as “learn from somebody else’s mistakes!”

“TRUST YOURSELF!”

Instinct

Reconnaissance

“First impressions”

“Fly by”

Eg. Patient in waiting room

How old does she/he look?

Is she beautiful?

OR she needs a bit of work!

“Prepare for war"

Know your weapons

5 Rs

Relaxation – neurotoxins

Revolumisation – dermal filler

Redraping – thread lift

Reflection (colour) – light-based treatments (IPL, laser), skincare

Roughness (skin texture) – fractionated laser, MSN, PRP, HIFU, RF

“Know your limits”

Know what you CAN do with your treatments

Assess the problem appropriately

Educate patient on limitations of treatment chosen

Know what you CANNOT do with you treatments

Eg Don’t promise a facelift result with a thread lift!

“I was treated with microdermabrasion to increase my collagen and plump my

skin”

“Combination treatment”

5 Rs

Relaxation – neurotoxins

Revolumisation – dermal filler

Redraping – thread lift

Reflection (colour) – light-based treatments (IPL, laser), skincare

Roughness (skin texture) – fractionated laser, MSN, PRP, HIFU, RF

Peri-orbital area : often a combination of 3 problems

Volume loss

Skin laxity/loss of elasticity

Pigmentation

Treatment:

Revolumisation

Collagen stimulation

IPL, skincare

“Prioritise”

List of POTENTIAL treatments – A-Z

Cost-benefit – “bang for your buck”

Listen to your client

Unhappy clientele – “I was concerned with my pigmentation, but he treated me with Botox for my frown! He didn’t listen to me!”

BUILD UP TRUST! Get a license to treat from the client!

“Oh Dr! I ABSOLUTELY LOVE that lift you did for my cheeks! What else should we do now?”

DO NOT LOSE THAT TRUST

“Walk before you can run”

Do the simple things right before you trying anything advanced

Learn to manage complications e.g. Intravascular injection of filler

Educate yourself

Anatomy

Physiology

Physics/science behind treatments e.g IPL vs Laser

CRAWL!

PITFALLS

Law of diminishing returns – the more you do, the less the return

Increasing expectations – “it worked better the last time you did it”

“Plateau” – any further treatment will go beyond the boundaries of aesthetic acceptance i.e. TOO MUCH!

Narcissistic personality

Concept of “ACCEPTABLE” VS “UNACCEPTABLE” asymmetry

eg. Midline VS Lateral structures

Take Home Message

There is a THOUSAND WAYS to skin a cat!

It is up to you to find the easiest, safest, most economical way to do it

Picture your desired outcome, then execute

Be ready to adapt your facial assessment depending on your equipment, ability and skill to suit your patient

Self-Esteem industry – “Make people feel better!” DO NO HARM

Thank you!