Process

Aging of the face is a 3D process that involves changes of the skin envelope, fat compartments, muscle tone and bony structure with fat atrophy and skeletal deficiency being the primary components.

Assessing the face with 3D technology as a multidimensional canvas allows the patients to better understand the intricate mechanisms of facial ageing as they become objective observers of their own faces.

Optimising volume deficiency and softening facial asymmetry through a three-dimensional prism is essential in achieving the most natural and harmonious rejuvenation.

Dr Papageorgiou’s ultimate goal is to fuse an innovative technology with his clinical expertise and sophisticated aesthetic observation to harmonise the face and improve its light reflection.

Standard Photography flattens the face and a variety of angles are needed to better appreciate the shape of each component of our faces. Even so, the dynamic element of the 3-D capture can better replicate the dynamic aspect of facial expression.

The VECTRA 3D simulation technology was developed by Canfield Imaging Systems, a division of Canfield Scientific, the leading provider of clinical imaging systems that specializes in photographic applications for aesthetic medicine.

Blepharoplasty

Volumetric sculpting of the eyes

Blepharoplasty (eyelid surgery) represents one of the most delicate cosmetic and functional procedures involving the face. Designed to restore a more youthful appearance in an area that conveys so many emotions, subtle changes, when executed correctly, can be transformative. As an oculofacial plastic surgeon, Dr Papageorgiou has a unique understanding of the eyelid anatomy and physiology. Blepharoplasty requires a customizable approach, meticulous surgical skills and the ability to identify and balance all the variables involved in the aging process: skin elasticity loss, muscle tone, fat prolapse and bone structure, are critical in restoring the aging anatomy of the eyelid.

Recent advances have emphasized the need of a conservative approach (augmenting blepharoplasty) with the aim being to preserve the function and redistribute the eyelid tissues (fat and muscle layers) rather than subtracting them as has been the practice in recent years. Unlike traditional techniques, which alter volume proportions, replacing and augmenting what is lost is the key element in enhancing a natural and more functional outcome for the patient.

Upper eyelid

Upper eyelid blepharoplasty has evolved into a sophisticated multilayered surgery extending beyond ‘skin excess excision’ that can leave patients with an undesired tightness or even restricted movement and expression.

Using a comprehensive three-dimensional approach, Dr Papageorgiou utilizes several surgical techniques to achieve a natural and predictive outcome. During this delicate one-hour procedure an incision is made along the natural crease of the eyelid, allowing the surgeon to manipulate the skin, muscle and fat layers to achieve a natural result. In selected cases re-enforcement of the weakened levator muscle (the muscle that lifts the eyelid) is essential

Lower Eyelid

In the lower eyelid, the procedure involves transferring the prolapsing fat pads across the bony orbital rim through hidden incisions (transconjuctival approach). This approach can have a powerful rejuvenative effect as it redistributes volume, smoothens the contours of the region and improves aging hollowness. The traditional approach that most surgeons adopt (transcutaneous incision) is a subtractive form of surgery that can lead to functional and aesthetic complications such as eyelid malposition, dry eye and rounded eyelid corner.

In this perspective a combined approach (bilamellar surgery) that addresses lower eyelid fat through a hidden transconjuctival incision and excess skin through a conservative skin incision, represents the foundation of Dr Papageorgiou’s surgical approach to the lower eyelid. This incorporates preserving the integrity of the orbital septum (a structural component of the eyelid) and the function of the orbicularis muscle.

MALE BLEPHAROPLASTY

Preserving the masculine aesthetics

Male blepharoplasty is a delicate yet transformative aesthetic procedure aiming to rejuvenate the face. Due to the intrinsic anatomic and aesthetic characteristics of the eyelids, male blepharoplasty requires a unique approach aiming to rejuvenate the eyelids without altering the key masculine features of the most expressive part of the face. The objective is to enhance the natural features of the eyes and restore a youthful, rested and pleasant aesthetic to this area.

Dr Papageorgiou with his specialist expertise in eyelid surgery and male facial aesthetics employs minimally invasive techniques customised to the individual needs of the patient. The balance of knowing how much skin and fat to remove/preserve is attributed to his artistic skills and expertise as an Oculoplastic surgeon. Dr Papageorgiou performs the Augmenting Blepharoplasty, where the fat pads are preserved or repositioned to enhance the 3D contours of the area and above all avoid the deep-set or hollow appearance often seen in male patients undergoing blepharoplasty.

Additional elements like face asymmetry, tone of the eyelid structure and position of the eyebrows are critical in optimising the final aesthetic outcome and must be taken into consideration during the pre-operative assessment. Dr Papageorgiou employs 3-D photography which is a powerful tool in assessing the aging changes and helps customise the surgical plan.

The procedure is usually performed under local anaesthesia or sedation (twilight anaesthesia) and has a fast recovery time. Energy based devices (Infrared Lasergenesis, Ultherapy) or Hyaluronic Acid layering can further enhance the final aesthetic outcome.

ASIAN BLEPHAROPLASTY

How are Asian eyelids different from Caucasian eyelids?

Asian eyelids are unique as the eyelid crease is quite different from the Caucasians’ in terms of length, shape and height. Although about half of the Asian population does have a fold in upper eyelid area, the other half does not. The former type is traditionally called the “double eyelid” type where the actual eyelid height is higher, exposing more of the eye.

The difference is anatomical and relies on the degree of the attachments of the levator muscle on the eyelid skin. In Asians the levator muscle inserts either very low (with partial or low creases) or not at all so that no crease is visible. In addition the weak insertion of the muscle allows the eyelid fat to be placed at a lower position, making the eyelid to appear fuller and the eyelid opening narrower.

While facial attractiveness does not necessarily relate to the eyelid shape and fold, many Asians desire the double eyelid crease, as it gives an overall impression of a larger appearing eyelid opening. Known as “Asian double eyelid surgery” a blepharoplasty procedure can be performed to create a natural-looking crease. The goal of double eyelid surgery is not to westernize an Asian face, but to create a better defined crease and enhance the overall appearance of the upper face.

What type of procedures are used to treat Asian eyelids?

Two types of procedures are available to rejuvenate Asian eyelids: partial incision and incisional surgery. The partial incision which relies on the use of sutures is minimally invasive and potentially reversible but the permanence of this procedure is questioned and it cannot address anatomic aspects like prominent fat or epicanthal folds. This procedure is best suited for younger patients where the upper eyelid skin is relatively thin, with thin orbicularis muscle and eyelid fat.

The incisional surgery is a delicate but powerful procedure where the incision line is hidden in the newly created eyelid crease. The technical demands and details of this procedure rely on the design of the new crease as well the technical skills required for the incision to heal in a permanent but natural fashion. For a natural looking fold, the ideal amount of pretarsal show is 2-3 mm and this height is usually achieved by creating an incision at 7-10 mm above the lash line at the mid pupil. A small amount of fat and muscle is removed to allow stronger adhesion of the skin to the deeper tissues. A series of sutures are placed through the levator muscle to facilitate this creation.

What other aspects must be taken into consideration with Asian Blepharoplasties?

A series of additional aspects must be considered when performing double eyelid surgery like facial asymmetry, the position of the eyebrow, as well as the epicanthal fold, a web like skin fold that drapes over the inner corner of the eye. This fold can be a non-desirable ethnic trait as a wide fold can make the nose to appear even flatter further exacerbating the lack of definition of the nasal bridge usually encountered in Asian patients.

In carefully selected patients the epicanthal fold can be addressed with medial epicanthoplasty, a delicate procedure that softens the fold in the inner corner and further elongates eyelid leading to a softer and more open look. Dr Papageorgiou with his unique understanding of the Asian eyelid anatomy and his specialist expertise in eyelid procedures can achieve natural and predictive outcomes.

How does eyelid surgery (Blepharoplasty) in Asians differ from the eyelid surgery performed for Caucasians?

Although both treatments have the same objective in enhancing the definition of the upper eyelids, the Asian blepharoplasty primarily aims in creating a fold or crease in the upper eyelid that runs more parallel to the eyelid margin and blends with the normal skin( epicanthal) fold in the inner corner of the eye. The goal of Asian eyelid surgery is not to westernize an Asian face, but to create a better defined crease and enhance the overall appearance of the upper face.

How long does the procedure last and what is the anesthesia used for this procedure?

Although the duration of surgery can vary from patient to patient, typically it takes an hour and a half to perform eyelid surgery. Patients can return to their daily activities and working schedule within one week. The procedure is usually performed under local anaesthesia with mild sedation. With this approach patients experience fewer side effects and typically can be discharged home safer and quicker within a few hours following surgery.

What are the possible side effects related to Asian blepharoplasty?

As with any surgical intervention the procedure can carry some risks which are extremely rare and are usually minimized through careful pre-operative screening of the patient and choosing a fully qualified experienced plastic or oculoplastic surgeon.

Some patients can experience minor side effects like temporary eye irritation and blurriness, swelling, asymmetry of the eyelids and changes in tearing. These particular effects are usually temporary and settle in the first weeks after the operation, as the tissues recover from the procedure. Infection and bleeding are minimized through careful technique and antibiotic cover.

Eyelid Lift

The upper eyelid levator muscle complex is the muscle responsible for the eyelid’s position and dynamic excursions. Ptosis is defined as abnormal lengthening of the levator muscle causing lowering of the upper eyelid margin. Ptosis not only affects the aesthetic appearance of an expressive part of the face but can also compromise a patient’s field of vision.

Ptosis can also lead to secondary compensatory effects like overaction of the frontalis muscle in the forehead with eyebrow arching and asymmetry. In congenital cases, children with ptosis may develop amblyopia (lazy eye) or even developmental delay from limitation of their vision.

Surgical correction of ptosis enables reacquisition of the levator muscle tone and appropriate repositioning of the eyelid margin. This intricate surgical process involves balancing delicate relationships with the position of the contralateral eyelid and the eyebrow compensatory arching. Anatomic considerations of bony structure and individual soft tissue distribution are equally important to optimize surgical outcomes.

In the majority of cases the procedure is performed through the undersurface of the eyelid and without any incision made on the eyelid skin. This approach named Mullerectomy involves strengthening the levator muscle complex through shortening an underlying accessory muscle (Muller muscle) and conjunctiva. This scarless technique, which can be performed under local anesthesia alone, has the advantage of predictability and can raise the eyelid margin up to 3 mm. By balancing the amount of Muller muscle resection, and hence the degree of levator muscle reinforcement, subtle refinement and tuning of eyelid position can be achieved.

For patients with significant stretch of the levator muscle, an anterior surgical approach through a hidden skin crease incision might be necessary. This process involves a more complex manipulation of the eyelid soft tissues and requires patient cooperation as the muscle and eyelid area cannot be entirely anesthetized during surgery.

In congenital cases where the levator muscle is inherently abnormal and weak, a suspension sling is inserted to link the eyelid and eyebrow soft tissues. This ingenious procedure recruits the frontalis muscle to achieve the lifting effect. The frontalis is the main muscle of the forehead and its main function is eyebrow elevation. This minimally invasive procedure, which involves access through well- hidden entry points, has to be performed before the vision obstruction impacts the visual development of the child.

As an oculofacial surgeon Dr Papageorgiou can customize ptosis surgery based on individual ethnic, anatomic, functional and aesthetic characteristics. The majority of his surgeries are performed under monitored anesthesia and involve the Mullerectomy approach for refined, predictable outcomes and fast recovery.

Eyebrow Life

Endoscopic reshaping of the upper face

The endoscopic eyebrow lift is a minimally invasive rejuvenating procedure that counterbalances sagging and volume redistribution in the ageing eyebrow. The endoscopic lift is customized to suit individual aging features such as soft tissue deflation, ligament tension, bony contours and muscle interplay.

The procedure aims to revitalize the outer third of the eyebrow and is performed with the use of a telescopic devise-camera, inserted via three small incisions hidden within the forehead hairline. By releasing, repositioning and fixating tissues across surgically controlled vectors, the entire forehead is revitalized and balanced with the lower face. Eyebrow lift surgery usually lasts one hour and can be performed with sedation anesthesia (MAC: Monitored Anesthesia Care) with a recovery time of one week.

As an integral part of the surgical armamentarium, the endoscopic eyebrow lift iusually performed in conjunction with blepharoplasty and facelift surgeries to create a balanced rejuvenative effect across the face. Nevertheless, it can address isolated gravitational descent, congenital asymmetry of facial features and also improve functional imbalance following facial palsy.

Although the use of non surgical alternatives such as Ultherapy (ultrasound energy), muscle modulators (botulinum toxin injections) and volumizing agents have revolutionized the way we treat the aging forehead, the endoscopic approach is the most powerful of all, as surgical vectors achieve better control of tissues and results are longer lasting.

Facial Palsy

Overcoming the effects of facial paralysis is a long process requiring multidisciplinary input, subspecialty expertise and a staged systematic approach. Whether the journey of facial reanimation requires retraining of muscles and nerves or surgery, the aim is to improve symmetry of the face and protect the vitality of the eye surface.

One of the key treatment objectives is to restore the dynamics of the eyebrow-eyelid complex and orbicularis oculi muscle. The orbicularis is a key muscle of the periocular area, responsible for the resting tone and closure of the eyelid. The intricate balance between the action of the orbicularis (a protractor muscle that closes the eyelid) and the levator palpebrae muscle (a retractor muscle that antagonizes the orbicularis by lifting the upper eyelid) is affected by facial palsy at the advantage of the eyelid retractors. As a result impairment of eyelid closure occurs and regular lubrication is essential to maximize the protective barriers of the corneal surface.

Depending on the underlying aetiology and the degree of anticipated neuromuscular recovery, surgical rehabilitation of the periorbital area aims to reinforce the dynamic excursion and closure of the upper and the positional tone of the lower eyelid. Additional interventions can address eyebrow and lower face asymmetries.

The denervation of the orbicularis oculi muscle, can be counterbalanced by weakening the action of its natural antagonist muscles. In the upper eyelid, weakening the levator palpebrae superioris muscle (the muscle that primarily opens the eye) can be achieved nonsurgically or surgically. Botulinum toxins may be selectively injected into this muscle to induce relaxation of the eyelid and thus improve eyelid closure. Surgical weakening of the levator muscle can be performed via a hidden approach from the undersurface of the eyelid: a procedure named transconjuctival recession. Alternatively, placement of a gold or platinum weight through a small incision within the eyelid crease can improve the dynamic excursion of the upper eyelid and protection of the corneal surface.

Additional reinforcement of the tone of the lower eyelid by strengthening the ligaments at the corner of the eye (lateral canthal resuspension or canthoplasty) can improve the position the position and the interface with the ocular surface. Volumizing agents like hyaluronic acid gel injections may play an important role in the early stages when surgery is not recommended. Placement of the filler in the upper eyelid and within the plane of the levator muscle provides a “gold weight” effect and counterbalances the retraction of the upper eyelid. For patients with transient facial palsy with good prognosis for recovery of facial muscle function, hyaluronic acid gel injection is an elegant way to protect the eye and avoid surgery.

In similar fashion, injections of hyaluronic acid gel within the lower eyelid complex can improve the position of the eyelid margin, ameliorate asymmetry, and most importantly minimize exposure of the corneal surface and lagophthalmos. Botulinum toxin type A (BTTA) injections may have an important role in balancing the action of overacting muscles and symptoms of synkinesis. Synkinesis is the result of abnormal facial nerve regeneration and manifests as abnormal synchronization of facial movements, where muscles other than those intended contract together during specific actions of the face. The most common effect of synkinesis is when patients experience eye closure or twitching while smiling or chewing.

BTTA injections can relax the unwanted muscle movements on the normal side of the face and reduce tension in areas of the face that are hyperactive due to synkinesis. Treatment of synkinesis in conjunction with re-education of muscles and nerves can be initiated at any time after symptom onset and augment results of medical and surgical therapies.

Face Balancing

Devised by Dr Papageorgiou this facial remodelling procedure works to restore facial symmetry and youthful contours by combining hyaluronic acid gel fillers and wrinkle smoothing injections in a single session. Like a subtle ‘mini lift,’ this facial balancing and profile optimisation procedure has an immediate outcome achieving a more harmonious and aesthetically balanced facial appearance. 3D imaging technology is used to assess facial contours and customise the procedure to the individual needs of each patient.

Neuromodulators

Botulinum toxin is an FDA-approved treatment for fine lines and wrinkles that is extremely effective at easing over-contracted muscles that cause the surface of the skin to look tired or stressed. This treatment works by strategically balancing overactive muscles so facial wrinkles and lines become less noticeable. As a result, clients can achieve an eyelid lift, a smoother forehead, or smoothing of horizontal neck lines. Results manifest within four to ten days and may last from four to six months.

E-Lift

By replenishing volume loss in the most expressive part of the face, this 3D reconstruction (augmented blepharoplasty) aims to reverse age-related change and deflation of the eyelid-to-eyebrow area through a staged approach devised by Dr. Papageorgiou. This treatment can function as a ‘mini lift’ for sagging eyelids that mitigates eyebrow deflation while reducing under-eye circles and improving the appearance of facial fatigue in a completely natural looking way.

Lip Lift

Dr Papageorgiou’s hybrid approach to lip rejuvenation targets anatomic changes of the bone structure and lip fat pads, as well as the action of the superficial lip muscles. A cut above conventional techniques, his approach revitalises the lip anatomy by combining medium and low viscosity hyaluronic gel fillers with microdroplets of muscle modulators. The treatment supports the collapsed lip structures, volumises the deflated lip and addresses fine lines and wrinkles by hydrating the surface of the lip. The procedure aims to improve the 3D projection without altering its aesthetic appearance.

Nose Remodelling

Hyaluronic acid gel fillers can be an effective alternative to surgical rhinoplasty in some cases. Reshaping the nasal bridge or re-contouring the tip projection can be achieved within 15 minutes, bypassing the recovery time that accompanies a surgical approach. Though not a substitute for surgical rhinoplasty, this can be a safe and immediately transformative option for clients who desire a nonsurgical refinement of their nose or for those who have suffered complications following a surgical procedure.

Jaw Remodelling

While a strong, square jawline can be an attractive facial feature for men, for women a softer and more triangular shape is often more desirable. Masseter hypertrophy is a clinical phenomenon characterized by a soft swelling near the angle of the mandible that changes the feminine features of the lower face.

Bone structure varies in ethnicities; the lower third of Asian faces is typically wider than that of Caucasians and is determined by the size and width of the mandibular bone and the thickness of muscles and subcutaneous fat surrounding it. However, masseter hypertrophy can appear in other ethnicities as personal habits can be directly responsible for the enlargement of the masseter: excessive gum chewing, chewing hard items or stress and joint misalignment can lead to bruxism (grinding the teeth at night). The swelling may be associated with facial pain and can be prominent enough to be considered aesthetically unattractive.

Changing the shape of the lower face from square to a more triangular one has become an increasingly popular procedure, particularly for Asian females, and Botulinum toxin type A (BTTA) has significantly advanced our ability to create an aesthetically slim, smooth and more feminine jaw contour line without surgical intervention. Reducing the thickness of the masseter also contributes to the projection of the cheekbone, which further enhances the ‘heart shaped’ face.

BTTA is a powerful neurotoxin produced by the anaerobic organism Clostridium botulinum. When injected into a muscle it causes interference with the neurotransmitter mechanism by producing selective weakening and subsequent atrophy of the muscle. The toxin selectively remodels the masseter over time, leading to an overall reduction in size and projection of the jaw. Careful analysis of the facial contours and anatomy of the facial muscles, in addition to skilful and precise placement of the neurotoxin are critical in achieving aesthetically pleasing results. Patients typically notice softening of the masseter muscle at two weeks and reshaping of the jawline at six weeks. With two injections spaced three months apart it is reasonable for patients to expect long-term benefits however it will not yield permanent changes.

Profhilo Hydralift

Experience a new method of facial remodelling via a superficial intradermal injection of a complex of high- and low-molecular-weight hyaluronic acid. Two sessions can counteract volume loss in the skin, restoring hydration, elasticity and skin tone. Notable for its ability to flow uniformly through entire anatomical areas after injection, Profhilo can improve elasticity in challenging areas such as the neck, hands, lips and inner arms, where conventional fillers are not effective.

Ultherapy

What is Ultherapy?
Ultherapy is a non-surgical treatment of the face, neck and decolletage that uses powerful ultrasound waves to catalyze a gradual remodelling and lifting effect.

Ultrasound energy targets the deeper structural layers of the skin (which are usually tangled during cosmetic surgery) without disrupting the skin’s surface. By stimulating the body’s natural renewal pathways and collagen production, the regenerative effect of this treatment should manifest over several months to achieve a natural looking result. It is an excellent option for those who are not surgical candidates yet desire discreet ways to enhance their appearance. Treatments are tailored to each patient’s needs.

What are the benefits of Ultherapy?
Ultherapy is a non-invasive rejuvenating treatment for the face, neck, chin and brow. The ideal Ultherapy candidate has skin that would benefit from improved firmness in these areas. Typically, those in their thirties and above who possess mild to moderate skin laxity are best suited to this approach.

How does Ultherapy work?
Ultherapy successfully addresses laxity by utilizing focused ultrasound energy to lift and tighten loose skin without downtime. It is the only non-surgical cosmetic treatment that utilizes ultrasound to stimulate collagen growth. It also is the only procedure to use ultrasound imaging which allows us to visualize the tissue targeted during treatment and ensure that ultrasound energy is deposited precisely to where it will be the most effective.

How safe is Ultherapy?

Ultherapy was cleared by the U.S. Food and Drug Administration after demonstrating its safety in numerous clinical studies. Over 100,000 treatments have been performed safely worldwide and ultrasound has an established track record with use in medical procedures for over fifty years.

What are the side effects of Ultherapy?

There may be slight redness for up to an hour or so following the treatment and a small percentage of patients may have mild swelling, tingling or tenderness to touch.

How long does it take to see results?

Collagen is a naturally occurring protein that gives skin an appearance of youthful vitality by maintaining tone and firmness. Ultherapy employs ultrasound to generate a thermal effect beneath the skin, initiating a reparative process that strengthens existing collagen and produces new collagen. Collagen production is gradual and results become apparent between three to six months.

How long do the results last?

Patients treated with Ultherapy continue to enjoy the effects of renewed collagen within a year following their first procedure, but skin will continue to age. Additional ‘touch up’ treatments will help keep pace with the natural aging process.

How long does each Ultherapy procedure last?

This procedure takes approximately one hour for most clients with no downtime.

How often should I have Ultherapy treatments?

The majority of patients sufficiently benefit from one session; however, some may require more than one treatment depending on the degree of laxity they possess and the rate of their body’s response to ultrasound energy and collagen stimulation.

Hybrid Energy Lift

Devised by Dr Papageorgiou, this signature facial rejuvenation process utilizes the redefining and lifting effects of multiple energy waves (ultrasound, infrared, light and laser) in a single session to target all layers of the face – from the superficial epidermis to the deeper muscular layers. Due to the stimulation of metabolically active cells and collagen production, the regenerative effect of the Hybrid will manifest over several weeks or months. Results are expected to last for up to two years.

Sculpsure Submental Lipolysis

This FDA-approved fat remodelling procedure uses light-based technology to disrupt and eliminate unwanted fat pockets under the chin within as little as 25 minutes. Dead fat cells are naturally metabolised over time, which can result in a slimmer and more defined appearance of the jawline and neck. Results are seen as quickly as six weeks after the procedure with final results typically achieved by twelve weeks. Laser-assisted lipolysis may replace surgical liposuction and can be ideal for clients who desire refinement of the chin and neck area without the downtime required of a surgical intervention. Individual treatment protocols apply and outcomes are assessed with 3D imaging technology.

EMFace

EMface is the latest innovation in energy based devices that utilizes the simultaneous application of High Intensity Focused Electrical Muscle Stimulation (HIFESM) and Synchronised Radiofrequency (RF) to strengthen a selective group of facial muscles, aiming to improve their lifting action on the face.

It is well known from anatomical and electrophysiological studies that as we age, the midface and forehead descent due to atrophy of the structural envelope and muscular tone. The HIFESM waves of EMface can hyperstimulate and restore the action of four key facial lifting muscles, in a more intense and efficient way than we could ever do ourselves, thus restoring facial architecture.

EMface due its synchronised Radiofrequency action, not only reinforces the face muscles but is able to smoothen the skin by increasing the levels of collagen and elastin fibers.

During the treatment you will feel targeted muscle contractions along with a heating sensation which is comparable to hot stone massage.

The treatment protocol involves four 20 min treatments, spaced one week apart, with subsequent maintenance appointments tailored to individual needs.

EMface is a completely non-invasive procedure. The treatment has zero downtime and you can resume your regular lifestyle right after the treatment.

EMface has been clinically tested for safety and efficacy through nine clinical studies.

Tangible results are noticed immediately after the treatments whilst the full spectrum of outcomes is usually reported within 90 days following the last session and continue to improve for several weeks post-treatment.

Due to it’s unique technology EMface can be used as a preventive procedure for younger patients aiming to delay the impact of the aging cascade.

EMFACE SUBMENTUM

EMface Submentum is the latest technological innovation, targeting neck laxity and double chin through a triple mechanism of action: reinforcing the weakened muscles of the submental area, inducing fat layer disruption and stimulating neocollagenesis and skin remodelling.

Neck laxity represents an increasing concern even in younger patients, due to an increased dependence on electric devices and social media. The developmental forward head posture leads to consequent laxity of the submental muscles (neck tech syndrome) and manifestation of a pseudo-double chin.

EMface Submentum is the first device on the market utilizing the patented combination of Synchronized RF+ and HIFES™ technologies to firm the framework of the submental and chin areas.

Synchronized RF+ not only heats the dermal 
and subdermal layers of the skin thus remodelling collagen and elastin, but is able to disrupt fat tissue cells and induce an apoptotic cascade.

Simultaneously, the HIFES™ technology selectively tones the lax submental muscles through a mechanism of supramaximal and exclusive stimulation of the digastric muscles, resulting in lifting of the submental area.

EMface Submentum is an advanced yet non invasive solution for every double chin concern, whether it is increased volume or excess skin. Synchronized RF heating remodels snd smooths the skin by increasing the levels of collagen and elastin fibers. HIFES™ selectively tones the lower face and neck elevating muscles to restore the tone of the facial and neck features.

During the treatment you will feel targeted muscle contractions (supra-maximal muscle stimulation), along with a heating sensation which is comparable to hot stone massage.

The treatment protocol involves four 20 min treatments, spaced one week apart, with subsequent maintenance appointments tailored to individual needs.

EMface is a completely non-invasive procedure. The treatment has zero downtime and you can resume your regular lifestyle right after the treatment.

EMface has been clinically tested for safety and efficacy through several clinical studies in the USA.

Tangible results are noticed immediately after the treatments whilst the full spectrum of outcomes is usually reported within 90 days following the last session and continue to improve for several weeks post-treatment.

Due to it’s unique technology EMface and EMface Submentum can be used as a preventive procedure for younger patients aiming to delay the impact of the aging cascade.

Morpheus8

Morpheus8 is a bio-stimulatory energy-based device which utilises our own body's repair mechanisms, aiming to reduce the appearance of fine lines and improve areas of skin laxity.

The Morpheus8 platform is ideal for all areas of the face, neck and body resulting in skin tightening and lifting as well as optimising skin texture.

Morpheus8 fractional radiofrequency and micro-needling patented technologies have the ability to target deeper layers of the dermis and stimulate fibroblast activity and neocollagenesis. With selective depth protocols, Morpheus can also target and remodel subcutaneous fat as well as tightening and resurfacing the superficial layer of the skin for a smoother texture.

By virtue of the patented gold coating on the microneedles the ablative radiofrequency waves are delivered with high precision at selective depths for deeper subdermal tightening. As gold insulates the micro-needles, the energy is delivered directly to the targeted areas thus reducing downtime by minimising heat exposure to the surface of the skin and ensuring the treatment is safe for all skin types.

Morpheus8 is an ideal treatment option for patients who would like to improve their facial and body appearance without undergoing surgical procedures and can also be used to help patients who have acne scars and stretch marks.

Due to the bio-stimulatory effect of the treatment and gradual collagen and elastic remodelling results manifest three months following the treatment. Over the course of six-weeks, collagen is gradually remodelled and connective tissues become tighter and stronger.

Treatment protocols involve three sessions four to six weeks apart, each treatment plan is tailored to achieve individual outcomes.

A personalised consultation with Dr. Papageorgiou and 3D face imaging will be implanted prior to the treatment.