I am not a dermatologist!

By Dr. Raquel Amado on the 19th October 2022

Did you know that most people find me when they google ‘ dermatologist’? Even though I specialise in Medical Aesthetics, I do have a detailed understanding of the make up of the skin, its conditions like acne, rosacea, pigmentation and of how it ages, that  is why I am considered qualified to deliver senior lead clinical mentorship at Harley Academy, mentoring other practitioners in the best and safest practice for the variety of cases that they will encounter. Just to be clear here,  I AM NOT A DERMATOLOGIST! But boy, do I love the skin.

This October we explore Full Face Rejuvenation, why we may need it, how we can make those changes happen, what the process involves and of course, the results that we can expect. I really enjoy getting to the bottom of exactly what it takes to get the results that you want to see, and in the process, whilst digging deep, to help you understand how it is that you ended up on my couch in the first place! This month’s blog will demystify  the somewhat scary sounding ‘Full Face Rejuvenation’, and deliver that information in a way that not only will you be able to get your head around, but also help you decide whether it would actually be the right choice for you. This month’s Halloween may end up scaring you, but I promise that Full Face Rejuvenation won’t after reading this month’s blog!

Whether you’re approaching the big four-oh like I was, or you’re 50-60 or beyond, the chances are that you’ll have started to notice a few things heading south. Firstly the eyes, because as we use them to express so much, the crow’s feet around our eyes and the tear troughs ( that hollow under the eyes ) may start to manifest signs of ageing. You may notice your cheeks begin to hollow out as volume reduces in your deep fat pads and that even your smile starts to droop. Yes sorry, it really does! This is due to the shrinking process in those deep and superficial fat pads above your muscles which become less supportive, almost  like an old bra! By contrast, your nasolabial folds, those that travel from nose to mouth, increase in size, along with your jowls. Basically your lower face is fighting a war it can’t win… so wouldn’t it be nice if we could have a little volume to perk us up?

Lip degeneration is common too, as this is another area some of us over use! The action of talking,eating and expressing ourselves, along with our skin’s natural quality, the skin care we’ve chosen and the major influence of our genetics will make a real difference to how quickly we age in this area, and let’s not forget the quality of the filler we’ve already used and its longevity . Although this may seem obvious to us in the industry, I do realise that for my patients there are so many unanswered questions that they may have about  fillers.We all know that in every case, prevention is better than cure and that the sooner you start with your aesthetic procedures/tweakments and consistently  maintain them, the less work there will be to do in the long term. As people age there are many factors that we as practitioners have to consider. The skin of a 40 year old may differ dramatically to that of a 60 year old; we must consider facial structure, muscle and fat volume and skin quality. Every individual  is unique, and the older we get the more work we will need to do. Not only that, but treating older patients does present more complications, and therefore more time and more product maybe needed at a deeper level.


I work with many different dermal fillers which will vary in thickness and consistency based on the area I need to treat along with what we are aiming to achieve. The two key brands of fillers that I work with are Neauvia and Teoxane, and when considering the appropriate filler we have to think about where it’s going to be injected and how.

The depth of the knowledge that is needed in order to inject safely cannot be stressed highly enough. The quality, quantity and type of filler will vary dependant on each case, and having an experienced practitioner will make all the difference to the result. You only have one face, so invest wisely.

As fillers degrade differently, dependent not only on the areas treated but how quickly the body metabolises them, you may find that you have to have boosters more regularly in specific areas.

A Full Face Rejuvenation will consider all key areas of your face, from your forehead and brow, to eye, temple, cheeks, lips and mouth and chin and neck volume. The treatment involves looking structurally at your face and deciding where we can make changes that give you a refreshed, healthy, smooth, plump and dewy skin and make others notice your ‘glow’! So I hope that you are starting to realise that it’s not really so scary, we will just be looking at what you need, and where.

When planning your Full Face Rejuvenation I would always suggest that the actual treatment takes place 4-8 weeks before the occasion or event at which you want to look your best. Like surgery, afterwards you may incur some bruising and swelling, so you may wish to plan treatment around work or your social calendar accordingly. Bruising will last as long as is usual for you, and this really is individual. Swelling is a natural response of the immune system and can be expected. Of course it will subside, but the Hyaluronic acid contained in the fillers will increase the swelling as it attracts water. Fret not … it will go down and it’s all very natural and part of the process.

By planning ahead for your Full Face Rejuvenation there is a possibility that you may discover unexpected and rare complications, for example, inflammatory nodules or vascular reclusion; these can be dissolved, corrected and restored safely beforehand and although complications are rare, they can happen, but always bear in mind that  using an experienced Medical Aesthetics Practitioner puts you in the safest of hands at all times, which is a very important aspect of the decision that you make when researching who might work on your enhancements.I always recommend to my patients that one week prior to their rejuvenation they should avoid items that will thin the blood and could potentially increase bruising post treatment, these are:

garlic supplements
Omega 3

and studies have revealed that many patients obtain better results if they also take Arnica to prevent bruising.

Post treatment advice must be followed to the letter, and I always tell my patients to avoid the following in the first 24 hours after treatment:

Make up

Finally, remember that as with all the procedures at my clinic, my support doesn’t end with the treatment and I always provide post treatment support to answer any of your queries and to  ensure that the treatment result is what we were both looking for. You’ll never be alone and will always be in super safe hands.

So you see, not so scary after all… it just sounds like it is! So if you think you would like to visit me for a consultation to find out how I can help you, get in touch!  ( insert link).


If all of this has captured your interest, and you would like to discover more, click here to book a consultation today. I would love to hear from you!

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