AESTHETIC GUIDE THE - The subtle art of ageing well from Botox to supplements

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AESTHETIC GUIDE THE - The subtle art of ageing well from Botox to supplements
The subtle art
       of ageing well…
       from Botox to
       supplements

       THE               Edited by Annabel Jones

       AESTHETIC GUIDE
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AESTHETIC GUIDE THE - The subtle art of ageing well from Botox to supplements
AESTHETIC
         GUIDE

               Contents
               108     BEAUTY BOOSTS
                       New things to try

                 111   CAN POPPING A PILL
                       REALLY IMPROVE
                       YOUR SKIN?
                       The lowdown on
                       supplements that work

                116    TWEAKMENTS
                       IN A BOTTLE
                       Great skin you can
                       squeeze from a tube

               120     BANKING ON FAT
                       Is fat the secret to
                       eternal youth?

                125    THE SMILE HIGH CLUB

                                                                 EDITOR’S
                       Drilling down on teeth

                131    I’LL HAVE WHAT

                                                                 LETTER
                       THEY’RE HAVING
                       Tweakments we’ve
                       tried and tested

               143     LITTLE BLACK BOOK
                       Your guide to the best

                                                                                             W
                       aesthetic doctors
                                                                                                           elcome to the second
                                                                                                           edition of the Country
                                                                                                           & Town House Aesthetic
                                                                                                           Guide, a curated edit of
                                                                                                           the best new and existing
                                                                                             tweakments on the beauty scene.
                                                                                             In this edition, our team of trusted
                                                                                             experts have reviewed 15 of the latest
                                                                                             non-surgical procedures to get summer
                                                                                             ready, from Profhilo for the body to a
                                                                                             revolutionary new fat burning laser with
                                                                                             zero downtime.
                                                                                                Within these pages you’ll also read
                                                                 about the advancements in cosmetic dentistry from whitening and
                                                                 straightening to minimally invasive veneers, as well as a thought-
                                                                 provoking report on whether freezing your fat cells could hold
                                                                 the answer to eternal youth. For a youthful complexion we’ve
               FASHION TEAM                                      rounded up the few beauty supplements proven to heal your
               Photographer: Matthew Shave; Fashion
               Editor: Ursula Lake; Hair: Alex Price @ Frank;    skin from within, while our deep dive into
               Make-Up: Jamie Rose; Nails: Emma Welsh
               @ Frank. Model: Camille @ Milk Management.
                                                                 the skincare that dermatologists swear
               For stockists see p172.                           by is one you’ll want to keep and share.
               TOP RIGHT                                         I hope you’ll find our guide as practical as it
               Juste Un Clou ring, Cartier; Vitamin pill, Lyma
                                                                 is enlightening.

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© Valérie Lade

                                    Mykonos
                www.baobabcollection.com

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AESTHETIC GUIDE THE - The subtle art of ageing well from Botox to supplements
AESTHETIC
        GUIDE

             BEAUTY BOOSTS
             Get summer ready with a host of new face and body treats
             from lip plumping to glow boosting, says Annabel Jones

             GENERATION AGELESS
             GetHarley, the virtual platform of sought-after skin professionals
             from Dr Sophie Shotter to Dr Maryam Zamani, has introduced a
             genius new service, Mother & Me. Designed to encourage lifelong
             skin habits for both generations, the consultation brings mother and
             daughter together for 50 minutes of skin advice from teen acne to                                                           LIP SERVICE
             pigmentation, resulting in a detailed skincare prescription for each                                                    The Laser Lip Lift is a new
             party. What’s more, your dedicated skin pro will be on hand for a                                                       needle-free treatment that
                                                                                             Rosie Huntingdon-Whiteley is
             further six months to answer any questions. £50, getharley.com                  a fan of Naturopathica’s lip scrub      improves the appearance
                                                                                                                                     of lips in just ten minutes.
                                                                                                                                        Created by Dr Esho in
                                                          KOREAN                               GENTLY DOES IT                        collaboration with Alma’s
                                                        PERFECTION                           The new school of thought when it
                                                                                             comes to flawless skin long term is
                                                                                                                                     new Hybrid laser, it treats
                                                     Aesthetic therapist Mina Lee                                                      the surface and border
                                                    combines Korean healing and              to prevent and calm inflammation
                                                    facial massage with advanced               while protecting the skin barrier.        of the lips to improve
                                                                                             Dr Barbara Sturm is scoring points
                                                        skin technologies in her
                                                                                               with her latest hit, The Better B
                                                                                                                                         volume and texture.
                                                    famed Spectacle facial (£268,
                                                    minalee.london) to rejuvenate            Niacinamide serum (£110, drsturm.           Perfect for those who
                                                     and improve the complexion.            com), which is packed with vitamins      want a visible but natural-
                                                                                              B3 and B5, plus marine plankton,
                                                       Meanwhile, dermatologist
                                                                                             to aid the skin’s natural restorative      looking pout (£200 per
                                                       Dr Jinah Yoo has launched
                                                         the Dr Yoo 360 Korean             processes. Augustinus Bader’s newest       treatment, eshoclinic.co.uk).
                                                       Method treatment (£500,                offering is The Ultimate Soothing      Semi-permanent make-up
                                                    drjinahyoodermatology.com),             cream (£215, augustinusbader.com),
                                                                                            an ointment scientifically proven to        artists Daxita Vaghela
                                                    during which she performs her
                                                   unique ‘laser layering’ technique         hydrate, reduce redness and calm         (@ daxitavaghela) and Nez
             SUNSHINE STATE                         along with mini skin-boosting            signs of inflammation. Royal Fern’s
                                                                                             new Radiance Protection face mist
                                                                                                                                      Hasan (@ nezhasanofficial)
                                                      injectables and complexion
             The only safe way to tan. For           boosting oxygen therapy for           (£43, royalfern.com),                          offer believable ‘lip
             a grown-up bronzed glow, Isle         healthier, clearer, ‘fresh air’ skin.   harnesses hyaluronic                         blushing’ tattooing to
                                                                                           acid and antioxidants
             of Paradise’s self-tanning oil                                                  to protect against                      subtly enhance the colour
                                                                                                                                                                               PHOTOS: SHUTTERSTOCK; GETTY IMAGES

             mist (£21.95, theisleofparadise.                                                  urban pollution                          and outline of the lips
             com) has been formulated with                                                      and blue light                           giving soft definition
                                                                                            whilst moisturising
             high quality oil-soluble tanning                                                 and reducing the                           and fullness. On the
             actives in a sheer water base                                                     appearance of                              go? Naturopathica’s
                                                                                                  wrinkles.
             that boosts the skin’s natural                                                                                            Sweet Cherry Polishing
             moisture levels. For face, Jones                                                                                          lip scrub and lip butter
             Road’s new Shimmer face oil,                                                                                              (£18 each, naturopathica.
             (£29, jonesroadbeauty.com) is a                                                                                           com) are loved by Rosie
             lightweight make-up-skin hybrid                                                                                         Huntington-Whiteley, who
             that naturally hydrates and                                                                                             uses the scrub to prep lips
             enlivens the complexion.                                                                                                 before red carpet events.

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PROMOTION

                         QUEEN OF
                         KNIGHTSBRIDGE
                         Look your natural best with Rita Rakus’s
                         sought-after expertise and discerning touch

                                                                                                   and filler and Dr Galyna Selezneva, a body-
                                                                                                   sculpting expert who has honed, sculpted and
                                                                                                   reshaped some of the most famous bodies in

                         A
                                                                                                   the world.
                                     s we all prepare to celebrate The             Dr Rita Rakus       The only treatments that find their way into
                                     Queen’s Platinum Jubilee, there is                            the clinic are those that Dr Rakus and her team
                                     another celebrated figure who has                             believe in, and most importantly, that work.
                                     an anniversary this year. Dr Rita                             It’s this meticulousness that led to Dr Rakus
                                     Rakus, internationally heralded as                            becoming a Global Ambassador for Emsculpt
                         ‘The Lip Queen’ for her skill with creating                               Neo, the world’s first and only technology that
                         plump but natural-looking lips, and the                                   combines Radiofrequency and HIFEM (high
                         ‘Machine Queen’ for the plethora of state-                                intensity electromagnetic field) to eliminate
                         of-the-art devices she uses, is celebrating 30                            fat by 30 per cent and build 25 per cent more
                         years at the Rita Rakus Clinic in Knightsbridge.                          muscle non-invasively.
                             Looking your natural best for as long as        Dr Galyna Selezneva
                                                                                                       They are the first clinic in the UK to have
                         you can is the ethos behind the clinic which                              Softwave – a treatment that triggers the body’s
                         is at the forefront of anti-ageing. If you have                           healing response to stimulate collagen and has
                         a particular cosmetic concern or want to                                  attracted celebrities such as Karen Brady CBE.
                         rejuvenate your overall appearance without                                Another first is ADVATx technology, which uses
                         surgery, the clinic is a haven of all the latest,                         yellow light to help treat skin conditions like
                         safest, results-driven aesthetic treatments                               rosacea, pigmentation, lines and wrinkles.
                         carried out by Dr Rakus and her support                                       Extra options to perk things up on the body
                         team of highly experienced medical experts.                               and face are Exilis Elite, a non-invasive treatment
                             It’s Dr Rakus’ passion for providing patients                         for the reduction of wrinkles and the reshaping
                         with a first-rate treatment with exceptional         Dr Kambiz Golchin    of targeted fat deposits with results often
                         customer service from start to finish,                                                 visible after the first session, and
                         while prioritising safety and good                                                     the Endolift laser, Thermage FLX
                         practice that led her to co-found                                                      (radiofrequency), and UltraCel Q+.
                         the British College of Aesthetic                                                           With new clinics opening in
                         Doctors (BCAM) 20 years ago. As                                                        Dubai, Cannes and LA, where she
                         if that accolade is not enough, she                                                    caters to an increasing number of
                         is also the only aesthetic doctor to                                                   celebrities from the film world, it
                         be featured on the Wall of Honour                                                      appears the demand for Dr Rakus’
                         at The Royal Society of Medicine.                                                      skills has spread across the globe
                             Her esteemed team members
  PHOTOS: GETTY IMAGES

                         include facial plastic and ENT                                                        Dr Rita Rakus, 34 Hans Rd,
                         surgeon, Mr Kambiz, who performs                                                      London SW3, +44 (0)20 7460
                         advanced laser, FX stem, PRP, botox                                                   7324; drritarakus.co.uk

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P R O M OT I O N

         Dr Ahmed El Muntasar uses
         strategic dermal fillers to sculpt
         and reshape facial features

                                              BALANCING ACT
                                With clinics in London, Leeds and Cheshire, Dr Ahmed El Muntasar is blazing
                                     a trail with profiloplasty to improve the harmony of facial features

                    A
                               t one time, the only way you could create a more   feature. ‘Perfect symmetry doesn’t exist,’ says Dr. Ahmed.
                               angular profile or smooth a bumpy nose was         ‘Profiloplasty involves looking at the relationship between
                               by going under the knife. Now an alternative       different facial features. I usually divide the face into thirds
                               solution has emerged: profiloplasty, a form of     and look at the ratio of each one compared to the others.
                               facial reshaping that involves injecting dermal    When it comes to the profile, it’s about balancing the line
                    filler into the nose and chin to balance facial features      between the nose, lip and chin. If someone has either a
                    with virtually no downtime. ‘Dermal fillers strategically     disproportionately large nose or an underdeveloped chin
                    add volume,’ says award-winning aesthetics doctor             this can create an imbalance to the face.’
                    and GP Dr Ahmed El Muntasar. ‘But when used in                   Profiloplasty itself usually involves two procedures
                    profiloplasty they can realign facial features and create     with pain kept to a minimum by first applying a
                    a more harmonious profile, which is a                                             numbing cream to the area. Non-
                    revolutionary approach.’                                                          surgical rhinoplasty, also known as
                        Dr Ahmed has been performing                                                  ‘liquid rhinoplasty’, involves using
                    profiloplasty for almost five years but has                                       dermal fillers to straighten the bridge
                    noted a dramatic increase in requests                                             of the nose or to lift and refine the tip.
                    for the procedure since the pandemic.                                             Next fillers are injected at different
                    ‘One reason is the “Zoom effect” as an                                            angles and depths along the chin and
                    increasing number of people are seeing                                            jawline to adjust the projection of the
                    their facial structures on screen,’ he                                            chin. ‘Respecting the anatomy here is
                    says. ‘Furthermore, as we age, the chin                                           crucial as the proportions of the chin
                    and nose, in particular, become more                                              can make someone’s face appear
                    obviously disproportionate because                                                more masculine or feminine,’ explains
                    we lose volume from other parts of our                                            Dr Ahmed. Both procedures can be
                    face that might otherwise camouflage                                              completed in as little as 20 minutes
                    those imperfections.’                                                             with results lasting up to 18 months.
                        Identifying the holistic proportions
                                                                                                                                                              PHOTO: GETTY IMAGES

                    of a patient’s face during the initial                                           For more information on profiloplasty
                    consultation is not about cookie cutter                                          and Dr Ahmed’s other procedures,
                    looks or focusing on one particular                                              please visit theaestheticsdoctor.com

       110 | COUNTRYANDTOWNHOUSE.COM | May/June 2022

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AESTHETIC GUIDE THE - The subtle art of ageing well from Botox to supplements
AESTHETIC
                                                                                    GUIDE

                                   CAN
                                 POPPING
                                  A PILL
                                 REALLY
                                IMPROVE
                                  YOUR
                                  SKIN?
                                  Fiona Embleton
                                    investigates
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AESTHETIC
         GUIDE

              T
                        here’s a new raft of beauty                                                 GUT
                        supplements taking the market                                            INSTINCTS
                        by storm, and they’re nothing                                       There’s a strong interplay
                        like their frumpy, utilitarian                                      between the health of your
                        predecessors. Rather, they’re                                       gut and skin conditions such
              powered by science-backed ingredients                                         as eczema, acne, rosacea and
              and packaged in sleek bottles that are                                        plain old sensitivity. It’s the
              more likely to appear in an upmarket                                          subject of ongoing research,
              clinic than the dust-covered shelves                                          but it’s thought the trillions
              of a health food shop. This, says Lucy                                        of bacteria that live on
              Goff, founder of Lyma, is the new era of                                      the gut microbiome play
              ‘well-tech’: high performance ingestibles                                     a part. ‘Research shows
              that can offer profound results for skin,                                     differences in the type and
              sleep, gut health and mood. ‘Like “clean                                      diversity of gut microbes in
              beauty” wellness is a woolly, generic                                         those with inflammatory
              term, whereas “well-tech” is about                                            skin conditions such as
              clinically proven formulations that take                                      eczema compared to
              people beyond the ceiling of a healthy,                                       those without,’ says Dr
              balanced diet to deliver mental and                                           Sammie Gill, specialist
              physical advantages,’ she says.                    BEST FOR                   gastroenterology dietitian.
                  Advances in the supplement space               IMMUNITY                       Not only that, but 70 per
              also mean that most aesthetic concerns        Dubbed the ‘sunshine            cent of your immune system            HYDRATION
              can be addressed by palming a pill.           vitamin’, vitamin D is a        is located in the gut. ‘They             HIT
              Where glow enhancing make-up used             hormone that’s produced         are constantly talking to         Hyaluronic acid is skincare’s
              to suffice, now the focus has shifted to      when skin is exposed to         one another, so if we’re not      gold standard for hydration.
              ingestible boosters that improve skin’s       the sun’s UVB rays. ‘It’s       optimising our gut health         ‘It works like a sponge,’
              natural radiance from the inside out.         essential as your body          it can alter our immune           explains Daya, ‘holding
              ‘It makes sense,’ says Shabir Daya,           needs it to absorb calcium      responses, prompting the          over 1,000 times its own
              pharmacist and CEO at Victoria Health.        for healthy teeth and           release of inflammatory           weight in water to plump
              ‘Skin is your largest organ and it can say    bones,’ says Daya. Post         molecules, which potentially      cells full of moisture.’
              a lot about your health. A lot of nutrients   pandemic, vitamin D is          increase the risk of skin         Likewise, hyaluronic acid is
              that are famously found in skincare,          also being touted as an         conditions,’ she adds.            an ingredient that our skin
              including vitamin C, ceramides and            immunity booster. ‘All              A probiotic supplement is     readily accepts as our body
              lipids, have to be provided from within       cells involved in immunity      something to consider if your     naturally produces it. But
              the body to make a real difference to         that engulf viruses entering    skin is persistently suffering.   the older we get, the less
              the skin.’ Designed to help you look          the body have a vitamin D       ‘Probiotics work in several       we produce, leading to fine
              good and feel better, these new-gen           receptor site,’ he explains.    ways,’ explains Gill. ‘They       lines and slack skin.
              formulations can be as good as, or better     ‘So as well as responding to    may prompt the release of             According to Daya,
              than, skincare at boosting collagen and       vitamin D, these cells will     beneficial molecules from         hyaluronic acid, when
              hyaluronic acid stores thanks to what         also remain inactive if you     other microbes; they can          ingested, reduces skin
              Daya calls ‘intelligent delivery systems’,    are deficient, increasing       help weed out potentially         dehydration and prevents
              which for the uninitiated means they          your chances of infection.’     harmful bacteria or keep the      inflammation, making it a
              should be formulated in a bioavailable            A lack of sunshine in       immune system in check.’          great ally to your smoothing
              way that the body can tolerate.               the winter months and           Try: Symprove, £79 for a four     serums. ‘Hyaluronic acid
                  Unsurprisingly, beauty brands             wearing sunscreen in            week pack. symprove.com           supplements additionally
              now want a piece of the action, with          summer mean the best                                              top up reserves in the
              Bloomberg reporting that the global           way to top up your levels is                                      joint cartilage and
              beauty supplements market is expected         through supplementation.                                          remove cellular waste
              to surpass a value of £2.795m by 2027.        Daya recommends 2000iu                                            from in between cells,
              The water is murky, though – just             daily in winter and 1000iu                                        transporting them by
              because a pill was created in a lab,          in summer, administered                                           osmosis to the nearest
              doesn’t mean it delivers results.             as a sublingual spray                                             blood vessel,’ he says.
                  The key, says Wild Nutrition’s Lorna      under the tongue or via a                                         Opt for a daily 100mg to
              Driver-Davies, ‘is to avoid unnecessary       liposomal supplement (when                                        300mg dose of sodium
              fillers (often listed as bulking agents)      vitamin D3 is encapsulated                                        hyaluronate (a salt of
              such as magnesium stearate and                alongside healthy fats).                                          hyaluronic acid), which has
              ultimately be aware that we have              This ensures the vitamin                                          a low molecular weight to
              different nutritional needs at different      D3 bypasses the stomach                                           aid absorption.
              life stages’. As for the vitamins and         and is delivered rapidly into                                     Try: Victoria Health
              minerals we need to boost our skin,           the bloodstream.                                                  Hyaluronic Acid Capsules
              hair and general health? Here are the         Try: The Nue Co Vitamin                                           High Strength, £35 for
              most transformational...                      D, £15. uk.thenueco.com                                           30 capsules. victoriahealth.com

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AESTHETIC GUIDE THE - The subtle art of ageing well from Botox to supplements
Ingestible skincare
                                 products can improve
                                skin from the inside out

                                    Vitamin pill, Lyma,
                                  Juste un Clou yellow
                                 gold bracelet, Cartier

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AESTHETIC
         GUIDE

                                                         THE SKIN-
                                                      PLUMPING ELIXIR
                                                    ‘Collagen is a protein that makes
                                                    up about 75 per cent of the
                                                    dry weight of skin, helping it to
                                                    remain plump and firm,’ says
                                                    Pupinder Ghatora, pharmacist
                                                    and co-founder of Ingenious
                                                    supplements. ‘It also plays a crucial
                                                    part in our body’s structure as             THE SUPER SUPPLEMENTS
                                                    it’s found in ligaments and major        For those who prefer an all-in-one approach that
                                                    organs, so having sufficient stores      promotes optimum health rather than plugging
                                                    is vital for overall health.’ But like   a specific gap in your diet, at the top end of the
                                                    all good things, collagen starts to      market, Lyma harnesses the power of patented
                                                    dwindle in our mid-twenties and          prescription-grade nutraceuticals as part of its
                                                    we lose about 1.5 per cent per year.     preventative ageing approach (£199 for 30 days,
                                                         Given collagen is too large a       lyma.life). ‘If a formula is correctly engineered,
                                                    molecule to penetrate the skin           there’s no reason why you can’t deliver a 360˚
                                                    when deployed in skincare,               approach,’ says Goff (pictured). ‘Every single one
                                                    experts now agree a supplement           of our ingredients has been proven to work in peer-
                        THE                         could help. But not all ingestible       reviewed medical journals, the same benchmark as
                   ALL-ROUNDER                      collagen is created equal. ‘It           a pharmaceutical drug.’ These include Cynatine,
              Research shows that over 98 per       needs to be a protected collagen         which contains keratin for hair and skin, Cognizin
              cent of us have inadequate levels     peptide to ensure actual collagen        for supplying the brain with energy and the
              of omega-3 fatty acids. Deficiency    is entering the bloodstream,’ says       most bioavailable form of curcumin, a powerful
              makes itself known in myriad ways,    Ghatora, ‘otherwise it breaks down       anti-inflammatory. ‘Cellular inflammation is
              including dry skin, brittle hair,     into individual amino acids in the                                     the root cause of
              brain fog and hormonal issues.        stomach.’ He also advises choosing                                     most things going
              Despite not producing omega           marine over bovine collagen as it                                      wrong in your body,’
              3, to function optimally, every       can be broken down into smaller                                        says Goff. ‘Once you
              cell in the body needs these fatty    peptides for easier absorption.                                        reduce it, you’ll find
              acids, which is why nutritionist           To ensure the quality of a                                        you sleep better, feel
              Driver-Davies recommends              collagen supplement, check                                             less stressed and have
              supplementing with 500mg of           that its weight is below 2,000                                         a stronger immunity.’
              fish-based omega 3 every morning      Daltons – enough to pass through                                           Artah’s Enhanced
              when your production of digestive     the intestinal wall and enter                                          Nootropics (£36 for
              enzymes is at its peak.               the bloodstream.                                                       30 days, artah.co),
                  ‘As well as being a big player    Try: Ingenious Beauty Ultimate                                         the chic nutritional
              in cardiovascular health and          Collagen, £60 for 90 capsules.                                         brand launched by
              anything involving the immune         feelingenious.com                                                      Rhian Stephenson,
              system, omega 3 can calm skin                                                  a registered nutritional therapist and naturopath,
              conditions such as eczema,                                                     similarly contains adaptogens to help the
              psoriasis or sensitivity caused                                                body cope with stress, alongside B vitamins for
              by a compromised skin barrier,’                                                DNA repair.
              she says. Likewise, it staves off                                                  Meanwhile Altrient’s Liposomal Vitamin
              ‘inflammageing’, where excess                                                  C has been proven (by Princeton, no less)
              inflammation inhibits cell                                                     to outshine topical Vitamin C at brightening
              renewal. ‘Then there’s omega                                                   and firming thanks to its impressive collagen and
              3’s moisturising properties,’ says                                             elastin production.
              Driver-Davies, ‘and its ability to                                             Loved by Goop’s
              manufacture ceramides in the                                                   Gwyneth Paltrow,
              skin, which lock water into cells.’                                            this clever food
                  So, how to guarantee omega                                                 liquid supplement
              3 success? ‘A good fish oil should                                             encapsulates
              contain 0.0 levels of toxins such                                              the notoriously
              as mercury and be sustainably                                                  unstable nutrient
              sourced,’ explains Driver-Davies.                                              within a protective
              ‘Also important: it should be cold-                                            lipid bubble that
              pressed to avoid oxidisation.’                                                 delivers it directly
              Try: Wild Nutrition Pure                                                       to cells. (£39.99 for
              Strength Omega 3, £32 for                                                      30 1000 mg sachets,
              30 days. wildnutrition.com                                                     altrient.com). n

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P R O M OT I O N

               Dr Joshua is renowned for his
               naturalistic tweaks to the eye area

                                      AN EYE FOR DETAIL
                                   A master at achieving the natural look, Dr Joshua has become synonymous with
                                    subtle results, particularly when it comes to rejuvenating the delicate eye area

                         A
                                  rising star on the injectable scene, Dr Joshua    circles and so it’s crucial to assess each patient correctly
                                  Van der Aa opened his injection-focused clinic    and know what part of the anatomy needs treating.’
                                  in Harley Street in early 2020, and has already      To address the demand for non-surgical brow lifts,
                                  become one of the most                                                Dr Joshua has created InclinEyesTM
                                  sought-after injectors for                                            a unique tweakment that repositions
                         natural and elegant results.                                                   the brow tail and elevates the arch
                            ‘My clients expect a subtle look that                                       for an ageless appearance that leaves
                         respects the natural anatomy of the                                            the eye area refreshed and lifted –
                         face. My work is all about enhancing                                           without the use of toxins or threads.
                         what’s already there,’ says Dr Joshua,                                         Unlike a Botox brow lift that needs re-
                         who is a vocal campaigner against                                              injecting every three to four months,
                         extreme cosmetic procedure trends,                                             InclinEyesTM lasts 12 to 18. A procedure
                         and is often called upon to reverse                                            that took more than two years to
                         poorly executed work.                                                          perfect, he strategically injects tiny
                            His speciality and passion lies in                                          amounts of filler with a cannula to
                         rejuvenating the delicate eye area, an                                         gently enhance bony and soft tissue
                         art he’s honed with the meticulous                                             anatomy to lift and reshape the tail of
                         use of injectables. A notoriously                                              the brow.
                         tricky procedure, tear trough filler                                               ‘InclinEyesTM gives a subtle, more
                         has become an increasingly popular                                             natural looking “fox eyes” appearance,’
                         way to diminish dark circles under                                             he says. ‘And, more importantly,
                         eyes. Yet, when not performed by                                               it’s altogether kinder and safer because
                         an expert injector such as Dr Joshua,                                          it’s fully reversible.’ For a bespoke
                         administering hyaluronic acid filler in                                        addition, Dr Joshua offers InclinEyes+
                         such a thin area of the skin can leave                                         which includes an extra element to
                         patients with complications.                                                   the treatment such as under eye or
                            The secret, he says, is understanding                                       temple filler.
                         the cause. ‘There are five different
                         types of under-eye grooves and dark                                             drjoshualondon; drjoshua.co.uk

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AESTHETIC
         GUIDE

                       TWEAKMENTS
                        IN A BOTTLE
                 Successful tweakments go hand-in-hand with the right products. But which ones do
               cosmetic doctors rely on for significant results? Ingeborg van Lotringen asks the experts

              Y
                        ou might say we live in an era of skincare                                                       SENSITIVITY
                        enlightenment. Never before have we been so                                                      Skin that is overactive can go red, angry
                        aware of how our lifestyle choices and beauty                                                    and flaky. When left untreated this can
                        regimes affect the health and look of our skin.                                                  lead to chronic skin conditions such as
                        We now know that good skin is not just a hand                                                    rosacea, eczema and even acne, which is
              we’re dealt, but something we can affect ourselves by using                                                an inflammatory issue. The rules for dry
              certain skincare ingredients in a particular order. And                                                    skin apply here, but what you don’t do
              yet in an effort to create our own dermal masterpieces,                                                    is as important: ‘I always suggest clients
              according to the experts we are increasingly overdoing it,                                                 pull back on their AHAs [alpha hydroxy
              inadvertently compromising our protective skin barrier                                                     acid] such as glycolic acid,’ says Marshall.
              and inducing product sensitivity: ‘I have seen so many                                                     ‘AHAs are incredible, but unlike PHAs
              patients with overly sensitised skin and even scarring from                                                they “wound” skin to induce a healing
              trying to layer too many products themselves at home,’                                                     response. If skin is already sensitised,
              says Dr Amiee Vyas (doctoramiee.com).                           DRYNESS                                    this is only going to compromise the
                  Ask skin doctors what they prescribe and most will          Dehydrated skin is more prone to           barrier further.’ Other things to avoid
              recommend a simplified regime to fortify the skin’s             sensitivity, ageing and dullness.          are alcohol, sulphate cleansers, high-
              hydrating, protective barrier for a well-rested glow. ‘Stress   ‘The first thing to do is replenish        strength vitamins A (retinol) and C to
              is truly destructive to skin, whether from internal anxiety     moisture, locking it in with barrier-      maintain a calm environment. ‘I’m a fan
              or from an over-enthusiastic treatment,’ says Vyas. Like her    strengthening ceramides or lipids,’        of Clinisoothe+ Skin Purifier (£14.95,
              peers, she advocates measured, conservative regimes that        says Vyas. ‘My key ingredients are         boots.com), a cleansing/toning spray
              focus on healthy skin that looks its best at any age. Using     polyhydroxy acids [PHAs] which             containing hypochlorous acid, which
              fewer but better products is key: ‘I prescribe brands that      gently exfoliate dry skin and improve      rebalances the skin’s microbiome and
              have expertise in combining the right ingredients at the        barrier function while attracting water    so reduces inflammation,’ says Shotter.
              right percentages in a formula that minimises irritation        and offering antioxidant benefits.’        Vyas recommends Skinbetter Science
              and is enjoyable to use – in functional packaging that          Vyas’s heroes are Neostrata Restore        Alto Defense Serum (£134, via clinics,
              keeps the formula stable and active,’ says Dr Sam Bunting       Facial Cleanser and Bionic Face            search aestheticsource.com): ‘It contains
              (drsambunting.com). Go to a dermatologist for your skincare     Cream (£30 and £33.50, skincity.com).      19 different antioxidants to protect
              and you’re sure to get results. ‘I research and test products      Clinical aesthetician Pamela            skin from oxidative stress alongside
              myself and study their clinical trials in detail before I       Marshall (mortarandmilk.com)               ceramides to replenish the skin barrier.
              recommend them so I know which cosmetic products                agrees, adding, ‘I recommend a             It calms quickly and significantly
              are effective at the deeper skin layers,’ adds Vyas.            lipid-based [i.e. milky] cleanser          reduces redness and inflammation in
                  Clinically approved skincare is even more important         such as Skingredients PreProbiotic         two weeks.’ For a (day and
              if you dabble in tweakments, many of which                               Cleanser (£23, cultbeauty.        night) moisturiser, she
              rely on a level of ‘controlled damage’ to elicit                         co.uk), to remove the
              a healing, anti-ageing response. ‘If skin isn’t                          day’s environmental load
              functioning healthily, the trauma from, say,                            without stripping skin of its
              microneedling or lasers can damage and cause                            protective lipids, followed with
              irritation that does more harm than good. The                           Exuviance Skinrise Morning
              key is to increase patients’ skin barrier resilience                   Glow, (£36, skincity.com), for a
              before having a cosmetic tweakment to promote                          dose of PHAs.’ For Dr Shotter,
              rapid healing and optimise results,’ says Dr Sophie                   a ceramide-rich moisturiser
              Shotter (drsophieshotter.com).                                        to hydrate, nourish and heal
                  Of course, we all have varying skin concerns                     parched skin is key. Go-tos
              that require a prescriptive approach. Here’s what                    include CeraVe Moisturising
              the doctors recommend for the most common                            Lotion (£13, boots.com) and
              dermatological conditions.                                           Tebiskin PLC (£25, via clinics).

           116 | COUNTRYANDTOWNHOUSE.COM | May/June 2022

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Dress, Stella
                              McCartney; Juste un
                             Clou earrings, Cartier

TW-Skincare-V3-LC.indd 117                  29/04/2022 12:56
Swimsuit, Second
                             Summer; Juste un
                             Clou bracelet and
                                  ring, Cartier

TW-Skincare-V3-LC.indd 118                    29/04/2022 12:56
AESTHETIC
                                                                                                                                                            GUIDE

             likes Spectacle Performance          gentle acids, but they’re just as        ACNE AND                              ‘they target nerve transmission
             Crème (£76, spectacleskincare.       effective as more aggressive ones        OILINESS                              in the eyelid muscles. Revision
             com): ‘It’s packed with              at improving fine lines, firmness,       Acne is complex and must be           Skincare’s Revox Line Relaxer,
             antioxidants and micro-              pigmentation and texture. Add            treated in a balanced way. ‘My        (£147, skincity.com) is patent-
             dosed, gentle anti-ageing            one into your routine for a few          go-to recipe is a synergistic         pending and hydrates as well
             actives.’ Shotter relies on ultra-   weeks, then slowly introduce a           combination of an anti-               as improves crow’s feet.’ Crepey
             healing SkinCeuticals Triple         low-dose vitamin A (retinoid) at         inflammatory (niacinamide) to         skin, she says, is effectively
             Lipid Restore 2:4:2 (£135,           night or a vitamin C product for         calm, alongside ingredients to        reduced with Augustinus
             skinceuticals.co.uk), while Dr       day.’ Marshall concurs: ‘I actually      prevent clogged pores (salicylic      Bader’s amino acid-rich The Eye
             Catharine Denning (drdenning.        prefer cosmetic retinoids over           acid, retinoids) and tackle the       Cream (£150, cultbeauty.co.uk).
             co.uk) recommends Calecim            prescription ones as they are            dark marks blemishes leave            Puffiness, she warns, is often
             Multi-Action Cream (£187,            less likely to cause a reaction.’        behind (azelaic acid, bakuchiol),’    due to poor lymphatic drainage,
             calecimprofessional.com), rich in    SkinCeuticals and Medik8                 says Bunting. Denning says that       which is inefficiently tackled with
             epidermal growth factors and         make very well-formulated                a good retinoid is one of the         skincare. Gentle daily lymphatic
             cytokines.                           retinoids, she says, but Neostrata       best ways to prevent clogged          drainage massage (there are
                                                  Retinol Repair Complex                   pores at a cellular level. ‘Use       multiple how-to’s online) will
                                                  (£53, skincity.com), is her favourite.   it alongside an oil-soluble           give you better results.
                                                  As for l-ascorbic acid, the most         chemical exfoliant: salicylic acid,
                                                  potent form of vitamin C, ‘to be         especially in concentrations
                                                  effective, it requires an intricate      of two per cent and up, is a
                                                  formula and should be dosed              stand-by.’ She rates ZO Skin
                                                  conservatively’. Denning is a fan        Health retinols but adds, ‘when
                                                  of ZO Skin Health Daily Power            using such potent ingredients
                                                  Defence (£114.50, from clinics,                          it’s crucial not
                                                  search zo-skinhealth.co.uk).                             to forget the skin
                                                                                                           barrier function.
                                                                                                           Replenishment
             SIGNS OF AGEING                      PIGMENTATION                                             with a non-oily,
             Wrinkles, sagging skin and           Pigmentation is one sign of                              ceramide- rich
             uneven skin tone are all caused      ageing that requires a strategy:                         moisturiser can
             by slowing cell regeneration and     ‘The pigmentation pathway                                help prevent the
             a build-up of old (dead) cells       can be interrupted at different                          inf lammatory
             on the skin’s surface. It’s why      points – and the more points you                         cycle. I love
             experts recommend the same           interrupt, the better the result,’                       Curél Moisture
             basic programme of big-hitting       says Bunting. ‘So we can block                           Facial       Milk     THE PERFECT SPF
             actives to improve all the signs     the production of melanin, we                            (£17.50, boots.       Sunscreen is the most important
             of ageing. To protect against        can stop it being exported into                          com).’                product if you want to improve
             environmental aggressors             our skin cells and we can speed                                                any skin condition. Luckily, there
             that destroy skin cells, using       up the exfoliation of it out of                                                are some exceptional low-cost
             antioxidants and sunscreen           the cells. I love the combination        DROOPY, PUFFY,                        ones out there by La Roche-
             is half the battle. ‘But these       of a retinoid, vitamin C,                TIRED EYES                            Posay and CeraVe. ‘But there
             products require stability and       niacinamide and azelaic acid.’           Oculoplastic surgeon Mrs              are few as good as Heliocare – it
             a top-notch delivery system –        The latter is brilliant for tackling     Rachna Murthy (facerestoration.       has added antioxidants to boot,’
             Skinbetter Science Alto Defense      pigmentation and features in her         com) points to some surprising        emphasises Marshall. When it
             Serum (£134, doctoramiee.com) is     Dr Sam Flawless Brightly Serum           culprits for ageing eyes:             comes to acne, ‘I recommend
             one such antioxidant serum,’         (£44, drsambunting.com). Or try          ‘Aggressive and alcohol-              Exuviance Professional Sheer
             says Vyas. To bring about skin       SkinCeuticals Discoloration              containing cleansers, make-up,        Refining Fluid SPF 40 (£44.80,
                            cell turnover,        Defense Serum, (£85,                     lash glue and lash serums destroy     facethefuture.co.uk), continues
                            regeneration          skinceuticals.co.uk),                    the skin barrier function and         Marshall. ‘It’s formulated for
                           a nd      rep a i r,   a favourite of                           protective microbes in the eye                           blemish-prone
                           retinoids, vitamin     Denning’s.                               area; I tackle this with Purifeyes                       skin and it’s
                           C derivatives,                                                  hypochlorous periocular                                 never caused a
                          niacinamide and                                                  spray (£11.95, purifeyes.co.uk)                        breakout in any
                          (conservative use                                                to gently cleanse and reset the                        of my clients.’
                          of) acids make                                                   microbiome.’ Murthy rates                              And don’t forget
                          up the vanguard                                                  vitamin C for brightening and                         your eyes: ‘An
                          of ingredients that                                              smoothing eye skin, but ‘skin                         SPF 50 is essential
                         doctors recommend.                                                penetration is better in oil-based                    for the area and
                         ‘The most important                                               carriers, such as Revision                           should be used
                         thing is to start low                                             Skincare Vitamin C Lotion                            up to 5mm below
                         and slow,’ says Vyas.                                             15% (£97.50, skincity.com)’. Neuro-                  the lash line,’ says
                         ‘PHAs may be super-                                               peptides are another winner:                        Murthy. n

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AESTHETIC
         GUIDE

                  Banking

                 Fat
                                                           ON

                                 Injecting fat cells into your face might
                                sound frightening but this cutting-edge
                                     treatment could hold the secret
                                  to eternal youth, reports Becci Vallis

           120 | COUNTRYANDTOWNHOUSE.COM | May/June 2022

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Could using our
             own fat help keep
             our faces looking
             youthful?

             Swimsuit, Haight
             @ Matches Fashion;
             Juste un Clou ring
             and bracelet, Cartier

TW-Fat-Banking-V4-LC.indd 121        29/04/2022 12:57
AESTHETIC
         GUIDE

                                                                                     potential of facial rejuvenation,’ says Dr Olivier. ‘Besides the
                                                                                     regenerative and self-renewing properties of the mesenchymal
                                                                                     adipose stem cells, our “Super Enriched Tissue” is made up of
                                                                                     haematopoietic stem cells that develop into blood cells that
                                                                                     have regenerative properties; progenitor cells which create

              W
                                                                                     certain cell types; fibroblasts which secrete collagen proteins
                               hat if we told you that you already hold the key to   needed for skin elasticity and stretchiness; lymphocytes (white
                               ageing well forever more? Would you pay £10,000       blood cells) that focus on immunity; vascular endothelial cells
                               to unlock the secret and futureproof your skin        that act as a communicator between cells and macrophages
                               for years to come? Even for the sceptical, it’s       that are highly specialised in the removal of dying or dead cells
                               certainly tempting – especially when you learn        and cellular debris thus encouraging the natural exfoliation
              that the process is completely natural and gives longer-lasting        process. The main message being that fat has the power to
              results than traditional injectables and fillers. This seems           help our skin to repair itself without the need for external
              increasingly important when you take into account that out of          substances.’ Proof that fat really is a good thing.
              the three million Brits that have considered having a cosmetic              The technical ability to extract and purify the potent stem
              treatment in 2022, 15 per cent are hesitant about introducing          cells from our fat stores has been available for some time, yet
              unnatural substances into their body.*                                 it’s the intricate freezing process that has finally allowed for
                  ‘There’s a misconception that fillers are natural because          the fat banking process to transition from testing to treatment
              they use hyaluronic acid which is present in our own skin but          room. Dr Hayot, medical director at Epilium & Skin clinic,
              they’re made in a factory. They have their place, but they should      learnt about the revolutionary technique 20 years ago but
              be used sparingly, especially when more natural alternatives           only added it to his treatment menu in 2019, and was one of
              are available,’ says Dr Olivier Amar, a leading plastic surgeon        the first to offer it in the UK.
              and CMO of Uvence – one of the companies spearheading the                   ‘A lot of laboratories have had difficulties storing and more
              new fat banking treatment.                                             importantly “unfreezing” the fat which can affect its quality and
                  ‘Fat banking’ is a revolutionary technique that’s predicted to     stability, leaving it more or less unusable,’ explains Fieldgrass.
              change the world of aesthetics. The epitome of personalisation,        ‘We have teamed up with one of the only laboratories that
              the process entails extracting fat cells from your body via            has mastered the storage as well as the thawing with a proven
              liposuction which are then purified and filtered before being          viability rate after thawing of 75 per cent, which is high.’
              reinjected back into your face (or scalp, hands, décolleté, even            Housed in cryogenic storage or a cryochamber, the fat
              your vagina). Regenerating, repairing and rejuvenating the             cells can be stored for up to five years and used on demand
              skin, the leftover fat cells can then be frozen allowing for top       at your request, although if kept correctly, scientists suggest
              ups as and when you need them, which can be for cosmetic               fat deposits could be stored indefinitely.
              purposes or to help the body heal from injury.                              This crucial storing process explains the potentially hefty
                  ‘If enough fat is stored, a patient can benefit from that one      price tag. ‘Not only is a patient paying for the procedure
              deposit for years and in different areas of the body. For example,     but the entire process, including liposuction, fat extraction,
              if initially the face was treated but as time passes they wish to      freezing and storing your fat cells, as well as five vials of your
              regenerate the décolletage or hair, it can all be done from that       own super enriched tissue to be injected at your discretion,’
              initial fat taken via liposuction years earlier,’ explains Esther      justifies Dr Olivier. Yet, exceptional results come courtesy
              Fieldgrass, founder of EF Future Health.                               of a doctor that has the specialist understanding of such a
                  A two-treatment procedure, one session (usually around half        cutting- edge procedure. ‘Any surgeon can extract fat from
              an hour) is needed to extract the live fat cells via microcannula      the body and inject it back into the face, but if it’s not refined
              liposuction, with a second session required at a later date to         and purified to a high standard, you could end up with a face
              reinject the cells into the face. It’s what happens in between the     that puffs up like a soufflé.’
              two procedures which is where the brilliance unfolds. Once                  Another big draw of this next generation treatment is that
              the fat cells have been taken – usually from the outer thighs or       results are geared towards optimising the patient’s own repairing
              bottom – they are transported to the lab, tested for purity and        processes and is completely tailored to each individual. Whether
              processed into what Fieldgrass describes as a ‘smart ageing elixir’    you wish to replace lost volume in areas that have started to
              before being frozen. ‘Everything in the elixir comes from the          sag or to subtly plump fine lines, injecting fat cells is a subtle
              patient’s tissue, which is naturally rich in regenerative factors      process that’s more about age management than age reversal,
                                         such as stem cells, macro fat and ultra-    using your own cells to regenerate from within.
                                         pure nano fat,’ she explains. ‘Macro fat         As for how quickly you see results, it won’t be as instant as
              FAT                        is used to replenish volume while nano      toxins or fillers as the skin needs time for collagen production
              BANKING:                   fat is “finer” and used for subdermal or    to become activated. However, unlike ‘anti-ageing’ treatments in
              WHERE                      intradermal injections to regenerate the    which results begin to fade with time, by stimulating your skin
              TO GO                      skin – usually in more delicate areas to    to essentially act younger by dishing out more collagen, those
              Uvence,                    help with fine lines that appear closer     cells will keep regenerating long after the treatment giving you
              from £7,500.
              uvence.co
                                         to the surface.’                            glowing, healthy looking skin for up to a year.
                                             In the world of aesthetic medicine,          Will fat banking take over from fillers as the beauty treatment
              Futureproof                many procedures target fat reduction, so    of choice? Only time will tell, but if you want to naturally prompt
              You treatment,
                                         why inject the thing so many are trying     your skin to behave and look like its younger self well into your
              from £10,000.
              efmedispa.com              to lose? ‘Fat is made up of hundreds        later years, then this could be the smartest and most natural
                                         of types of cells but the good stuff lies   form of age management.
              Fat injections,            in the adipose-derived mesenchymal
              POA. epilium.co.uk
                                         stem cells which can harness the real       * Data from Uvence research Feb 22 n

           122 | COUNTRYANDTOWNHOUSE.COM | May/June 2022

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PROMOTION

                         HOME
                         COUNTIES
                         HAVEN
                         Led by Dr Selena Langdon,
                         Berkshire Aesthetics
                         provides a highly
                         personal and consultative
                         approach to aesthetics

                        B
                                  erkshire Aesthetics has truly
                                  established itself as a haven for
                                  those seeking the best possible
                                  treatments in a patient-focused
                                  clinic. From its purpose-built
                         site on the edge of Pinkney’s Green, an
                         ever-growing team of experts deliver
                                                                       Dr Selena Langdon (left)
                         cutting-edge treatments in a discrete         with Dr Paris Acharya
                         and relaxed environment.
                             Founded by Dr Selena Langdon,
                         Berkshire Aesthetics has a ‘patient first’   while supporting aspiring aesthetic
                         approach which means the patient             doctors through their recently
                         is at the centre of everything they          launched mentorship programme
                         do. A thorough consultation ensures          called Aesthetication.
                         that a patient’s aesthetic concerns             Consistently rated as one of the
                         are understood, and treatments are           best CoolSculpting clinics in the UK,
                         aligned to their emotional needs and         Dr Langdon has built an international
                         motivations. The focus is very much          reputation as an expert in the delivery
                         on ensuring the best therapies are           of the treatment with Dr Langdon’s
                         offered, which increasingly means            commitment to her patients, and
                         combination treatments including             the exceptional treatment outcomes
                         medical-grade skincare to ensure the         she achieves, has seen her profile
                         skin is well prepared for a myriad of        grow, not only with patients, but also
                         treatments on offer.                         with many of the world’s leading          profile grow, not only with patients, but
                             With a complex choice of                 aesthetic companies. As a doctor          also with many of the world’s leading
                         treatments available, it is very             who is passionate about raising           aesthetic companies. As a doctor who
                         important that patients are given as         professional stand her proprietary        is passionate about raising professional
                         much information as possible and an                                                    standards her enthusiasm for her work
                         opportunity to ask questions without           Time is spent consulting                has meant a growing practice which
                         pressure, commitment, or judgement.           with patients to understand              serves the needs of patients not only
                         Supporting Dr Langdon are a team of            their aesthetic concerns,               in the Home Counties, but many
                         highly skilled aesthetic practitioners         as well as their emotional              regular international patients who take
                         as well as Dr Paris Acharya, who is             needs and motivations                  advantage of Berkshire Aesthetics’
                         dual qualified in both medicine and                                                    proximity to Heathrow and world class
                         dentistry. Dr Paris brings expert            approach called the CoolCodes®. As a      dining and accommodation options.
                         knowledge with a patient-centric             CoolSculpting Key Opinion Leader and          Berkshire Aesthetics is an
                         approach that is perfectly aligned with      UK Expert Panel Lead, she supports        exceptional clinic in a discreet rural
                         the culture of Berkshire Aesthetics. Her     CoolSculpting clinics across the UK       location. The highly experienced
                         talents are numerous, and she provides       whilst also being one of the first        front of house and practitioner teams
                         injectable treatments alongside              practitioners to offer CoolSculpting      support Dr Langdon in her steadfast
                         PDO and APTOS threads as well as             Elite which launched in March 2021.       belief that aesthetic treatments should
                         bioidentical hormone therapy. Both               Dr Langdon’s commitment to her        be delivered responsibly and with the
                         Dr Langdon and Dr Paris work closely         patients, and the exceptional treatment   utmost care for the patient and their
                         to ensure seamless care in the clinic,       outcomes she achieves, has seen her       physical and emotional wellbeing.

                         Berkshire Aesthetics, Furze Platt Road, Maidenhead SL6 6PR. Please call 01628 202028 or visit berkshireaesthetics.com
                                                              @berkshire_aesthetics   @BerkshireAesthetics

                                                                                                         May/June 2022 | COUNTRYANDTOWNHOUSE.COM | 123

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P R O M OT I O N

                  RHINOPLASTY
                  RE-DEFINED
                   Rhinoplasty London is a centre
                   of excellence for nose reshaping

                  S
                           ome aesthetic procedures are
                           intrinsically subtle, others have the
                           power to dramatically transform a face.
                           This could not be truer than of nose
                           jobs, where a one-size-fits-all approach
                   could spell disaster. What you want to seek out
                   as a rhinoplasty patient is a highly specialised
                   surgeon with an almost obsessive eye for facial
                   harmony, and the vision to refine established
                   techniques and develop ground-breaking new
                   ones in order to achieve entirely bespoke and
                   natural results.
                      Charles East and Lydia Badia are a team
                   of such surgeons, specialising in pioneering
                   rhinoplasty techniques that have revolutionised
                   the field. So what exactly do these advanced
                   procedures entail?

                   DIAMOND STANDARD
                   Diamond Rhinoplasty uses fine ultrasonic tips
                   to remodel or move your nasal bones, creating
                   symmetric, bump-free, smooth bridges while
                   preserving the soft tissues and without
                   breaking or shattering the bones. East was
                   involved in the development of this technique
                   a decade ago, and it is now known as the Piezo
                   ultrasonic technique, which offers the major
                   benefit of less bruising and faster healing times.   fundamental to our “less is more” approach that guarantees
                                                                        the most natural and bespoke outcomes,’ they say. ‘It’s truly
                   PRESERVATION INNOVATION                              a revolution,’ adds East, who is the President-Elect of the
                   But it’s Preservation Rhinoplasty that’s at the      Rhinoplasty Society of Europe. ‘Five years ago, I couldn’t
                   true cutting edge of East and Badia’s surgical       have achieved these results.’
                   innovation. ‘The method is so much more                 Total Preservation Rhinoplasty eliminates the dorsal
                   than just a series of surgical techniques. It is     ‘bump’ not by breaking or filing it, but by changing the
                                                                        structures underneath. A small strip running from the
                                                                        septum to underneath the hump is removed, resulting
                                                                        in the protrusion ‘simply dropping down,’ says East. ‘You
                                                                        end up with the same nose, but smaller, fitting seamlessly
                                                                        within the framework of a patient’s features.’ Not only is the
                                                                        dorsum preserved, but so are the skin sleeve, ligaments and
                                                                        nasal cartilages, eliminating the need for reconstruction
                                                                        or multiple grafts. Post-operative risks and recovery time,
                                                                        therefore, are significantly reduced.
                                                                           Unsurprisingly, ’Sixty to 70 per cent of our patients now
                                                                        have this kind of surgery, alone or in hybrid with a structural
                                                                        support or repair procedure,’ says East. ‘We’re proud to
                                                                        have pioneered an approach that maintains the integrity
                                                                        of the nose, simplifies any revisions, and delivers perhaps
                                                                                                                                                   PHOTOS: GETTY IMAGES

                                                                        the most ideal and natural surgical results.’
                     Lydia Badia and Charles East
                     are pioneering rhinoplasty experts
                                                                          rhinoplasty_london; rhinoplastylondon.co.uk

       124 | COUNTRYANDTOWNHOUSE.COM | May/June 2022

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AESTHETIC
                                                                                            GUIDE

                                         The
                          SMILE
                          HIGH
                          CLUB
                            Aesthetic smile tweakments are now
                          a valid, if not better, alternative to facial
                           procedures for a natural-looking youth
                                  boost, says Annabel Jones

                                                    May/June 2022 | COUNTRYANDTOWNHOUSE.COM | 125

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AESTHETIC
         GUIDE

                                                                                                                 maintenance, which when combined
                                                                                                                 with subtle facial treatments like Profhilo
                                                                                                                 and alternative skin boosters creates the
                                                                                                                 harmony that’s so often lacking in big
                                                                                                                 smile makeovers. ‘Not everyone has the
                                                                                                                 need or budget for veneers, but you can
                                                                                                                 still make a lasting impact with a few small
                                                                                                                 tweaks,’ she insists. Having trained as
                                                                                                                 a dentist, Wilczynski studied aesthetic
                                                                                                                 medicine in New York alongside leading
                                                                                                                 plastic surgeons, giving her a big picture
                                                                                                                 edge. While it’s common for dentists
                                                                                                                 to offer Botox these days, Wilczynski
                                                                                                                 practises both disciplines at an advanced
                                                                                                                 level. ‘When I assess someone’s smile,
                                                                                                                 I’m not solely focusing on their teeth,
                                                                                                                 I’m assessing their face as a whole,’ she
                                                                                                                 explains, ‘achieving a natural look is about
                                                                                                                 subtly improving skin, teeth and facial
                                                                                                                 contours in synergy, not in isolation.’
                                                                                                                     Wilczynski’s attention to detail results
                                                                                                                 in imperceptible design tweaks to correct
                                                                                                                 not only crooked teeth but the cant
                                                                                                                 (curve) of the top teeth to the width
                                                                                                                 of the smile, even allowing for space
                                                                                                                 for composite bonding, a non-invasive,
                                                                                                                 non-permanent alternative to veneers. ‘I
                                                                                                                 often design a client’s Invisalign course to
                                                                                                                 work alongside bonding to create a more
                                                                                                                 seamless fit,’ says Krystyna, alluding to the
                                                                                                                 sometimes unnatural look that bonding
                                                                                                                 can give if fixed in a rote way. ‘I apply the
                                                                                                                 bonding tooth by tooth freehand for a

          ‘F
                                                                                                                 bespoke effect.’
                      ive years ago no one was interested in    STRAIGHTENING                                        For the uninitiated, composite bonding
                      cosmetic dentistry. Teeth were seen as    AND WHITENING                                    is colloquially referred to as ‘Shellac for
                      a health concern, not a way to look       The entryway smile tweakment is                  teeth’ and can be a game changer for
                      better or younger,’ says Dr Rhona         Invisalign, clear, made-to-measure,              anyone whose teeth are a little worse for
                      Eskander. Rhona and I are on a first      impermanent moulds that move and                 wear. ‘Teeth age just as our skin does;
              name basis. She has been my ‘smile architect’     straighten teeth without the need for            over time the enamel stains and erodes
              ever since I came to her with a gummy smile       fixed braces, making them popular                resulting in cracks, chips and yellowing,
              and yellowing, cracked teeth four years ago,      with those who’ve passed the socially            which can be incredibly confidence
              and I trust her like I do my therapist.           acceptable age to don a pair of train            draining,’ says Dr Eskander, whose
                  I’m not being melodramatic. Ask               tracks. ‘Patients are prioritising their         own ‘Chelsea Look’ includes aligning,
              anyone who’s undertaken a successful              health and self-care for the first time          whitening and bonding as part of one
              smile makeover and they’ll tell you that the      and having cosmetic dentistry to feel            treatment package.
              internal transformation is as staggering as       better about themselves,’ says orthodontist
              the external one, especially if wonky teeth       Dr Emma Laing, who prescribes a new              VENEERS:
              have plagued you since childhood. Afterall,       whitening pen for use with Invisalign’s          THE NEW FRONTIER
              your smile, and how much you flex it, is an       clear aligners to ‘freshen up’ fading teeth.     While bonding can chip and stain over
              indicator of happiness. ‘The motion dictates      ‘Traditional peroxide gels can be messy          time, depending on your bite and whether
              the emotion,’ says Dr Michael Prager when         and cause sensitivity; this has a nail polish-   you grind your teeth, porcelain veneers
              referring to the negative effects that frowning   type applicator brush that’s easy to apply,      are still considered the gold standard
              can have on our emotional wellbeing. On           perfect for those looking for a quick,           and can last 15 years or more without
              the contrary, a wide inviting smile breaks        hyper natural effect.’                           staining. Yet, as with all tweakments, there
                                                                                                                                                                      PHOTOS: GETTY IMAGES

              barriers in an instant. ‘It’s the universal                                                        is a veritable difference from one veneer
              language,’ says Eskander. And of course, a        COMPOSITE BONDING                                technician to the next. Eskander is one of
              full mouth of gleaming white teeth is the         The appeal of such mini teeth treatments,        the few cosmetic dentists who works closely
              surest indicator of youth and vitality there      says cosmetic dentist and facial aesthetic       with one hand-picked ceramist, Simon
              is. Wrinkles disappear into the background,       practitioner Dr Krystyna Wilczynski,             Caxton at Simplee Dental Ceramics, who
              skin appears brighter and eyes whiter.            is that they are non-invasive and low            crafts his veneers in close collaboration

           126 | COUNTRYANDTOWNHOUSE.COM | May/June 2022

TW-Teeth-V3-LC.indd 126                                                                                                                                      29/04/2022 12:57
PHOTOS: GETTY IMAGES

                                   From whitening to
                                   veneers, don’t let
                                   your imperfect teeth
                                   hold you back

                       TW-Teeth-V3-LC.indd 127            29/04/2022 12:57
AESTHETIC
         GUIDE

                                                                                                gums with a gum graft, and has been
                                                                                                treating pigmentation with a high-
                                                                                                tech laser that gently resurfaces
                                                                                                 the top layer with no downtime.
                                                                                                 ‘Pigmentation on gums is a common
                                                                                                  concern with patients of Afro-
                                                                                                  Caribbean and Asian heritage. The
                                                                                                   Waterlase laser helps to restore an
                                                                                                   even pink colour,’ he says.

                                                                                                  AT-HOME CARE
                                                                                                   At home, Dr Emma Laing suggests
                                                                                                            investing in a high-tech
                                                                                                                 electric toothbrush
                                                                                                                 such as Oral B’s iO9
                                                                                                                 Black Onyx Electric
                                                                                                                 Toothbrush (£250,
                                                                                                                oralb.co.uk) to keep teeth
                                                                                                                whiter for longer, and
                                                                                                               avoid harsh toothpastes
                                                                                                               that erode teeth’s natural
                                                                                                               enamel – the shiny,
                                                                                                               protective coat that keeps
                                                                                                              them looking bright and
                                                                                                              glossy. Instead use a
              with the client and Eskander to          GUM TWEAKMENTS                                         pro-enamel paste such
              create the most lifelike veneers with    ‘The position of the gums is integral                  as Pärla Pro Toothpaste
              the least amount of destruction to       to a proportionate smile; they are the                 Tabs (£8 per month,
              the underlying teeth. ‘We always aim     frame to the teeth and can often hold                  parlatoothpastetabs.com), or
              for minimally invasive veneers. Filing   the key to unlocking symmetry and                 Regenerate Enamel Science
              tooth enamel down to tiny fangs puts     harmony,’ insists Eskander who works       Advanced Toothpaste (£6.67,
              the patient’s health at risk. The goal   alongside renowned periodontist,           boots.com). And, alas, floss twice a
              is to retain as much natural tooth as    Dr Mitul Shah. The obvious case for        day – or else. ‘Interdental brushing
              possible, which requires a high level    a gum surgeon like Shah is crown           with a TePe brush between
              of skill says Eskander, whose ultra-     lengthening to correct a gummy            teeth along with flossing is the
              thin veneers incorporate discerning      smile, which can be performed with        smartest way to keep your teeth
              details such as varying degrees of       a laser or minor surgery                            healthy and stain-free,’
              tone and translucency with realistic     depending on the case.                              stresses Laing.
              contours that reflect the light. And,    Artfully, Shah designs the                           As for my own smile
              when it comes to hue, whiter isn’t       ideal gum position digitally                         makeover, on a cost per
              always better. ‘Blinding white TicTac    to replicate the end result                         wear basis I consider the
              teeth can actually highlight maturing    to the millimetre, before                           investment as solid as the
              skin; the most flattering shade is one   you’ve even committed.                              Chanel 2.55 handbag. After
              that matches the whites of your eyes,’   On the flipside, Shah can                           all, good teeth will never go
              she recommends.                          surgically restore receding                         out of fashion. n

                  STANDOUT STARS FOR...
                  PORCELAIN VENEERS Dr Rhona Eskander, Chelsea Dental Clinic
                  (chelseadentalclinic.co.uk, @drrhonaeskander).
                  ORTHODONTICS Dr Emma Laing (emmalaing.com, @dremmalaing).
                  WHITENING Dr Richard Marques (doctorrichardlondon.com).
                                                                                                                                             PHOTOS: GETTY IMAGES

                  FACIAL & DENTAL Dr Krystyna (drkrystyna.com, @drkrystyna).
                  GUMS & IMPLANTS Dr Mitul Shah, Chelsea Dental Clinic
                  (chelseadentalclinic.co.uk).

           128 | COUNTRYANDTOWNHOUSE.COM | May/June 2022

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