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Ask Alice

I’m looking to have a necklift – do you have any recommendations please?

Recommendations for specific surgeons would depend where in the country you are, but it may be worth first booking in with a cosmetic doctor to discuss possible non-surgical options before deciding on surgery. Find a brilliant practitioner near you here. And have a look at our page dedicated to crepey skin on the neck to find out more about treating this concern– depending on how lax the skin is, it may be that a course of injectable moisturiser or some skin-tightening tech like HIFU or radiofrequency is all you need.

What’s the difference with Neostrata retinol peels done in the salon vs. OTC retinols that I can use myself at home? Are they worth the price difference? I’m new to it all.

Hiya, editor Georgia here answering on Alice’s behalf.

In-clinic skin peels, no matter the brand, use stronger concentrations of acids (the exfoliating agents) and other active ingredients than what you can buy to do yourself, because they are active chemicals and need to be handled by a pro. Depending on what you want to treat with a peel you may well be able to achieve great results at home with NeoStrata’s homecare peels (and I’d always advise just about anybody to use a good retinol regularly), but if you have deeper-seated skin issues such as acne scarring or moderate wrinkles or pigmentation, you’ll need to see a specialist. Find one we recommend near you using our Practitioner Finder, and find out more about skin peels here.

Do you know of an eye surgeon in Scotland that could treat my hooded eyelids? If malar bags could be addressed too, that would be even better.

Hiya, TTG editor Georgia here answering on Alice’s behalf.

I’d advise first having a consultation with one of the many great non-surgical practitioners in Scotland before deciding to definitely go down the surgical route. If you look on our practitioner page, you can put in your postcode and find out who is nearby that Alice and I trust to advise you well.

If you would in fact be better off with surgery (which is often the case with hooded lids and eye bags), they will be able to refer you onwards to a surgeon.

Hi Alice, I am currently breastfeeding (and will be for foreseeable) therefore do not want to do filler/toxins, what would you recommend for fine lines and wrinkles. Thank you

Hiya, it’s TTG editor Georgia here answering your question on Alice’s behalf.

If you’re just after general skin rejuvenation and you want to avoid injectables, you could try a gentle laser facial – though there will be a bit of downtime – or a course of superficial skin peels. Both of these options will freshen up your skin and help soften those lines and wrinkles. Do still check that you’re safe to go ahead while breastfeeding, though.

 

I’m having Belotero Revive skin booster with Dr Granite. What was your experience with the treatment, did it work?

Hiya, it’s TTG editor Georgia here answering your question on Alice’s behalf.

You can watch how Alice got on with Belotero Revive with Dr Granite in her Tweak of the Week video here. Results-wise, says she liked the way it can be used wherever the practitioner decides it’s most needed – in her case, around the crow’s feet wrinkles and her upper-lip-lines – and it gave a really nice hydrating and softening result in these areas.

What’s the best tweakment for crepey skin on my arms?

Hiya, editor Georgia here answering on Alice’s behalf.

You may want to look into Profhilo for the body – it’s a new(ish) treatment that uses the same product and works in the same way as original Profhilo for the face, but with special treatment protocols for the body. Alice tried it herself recently on her arms and was impressed with her results – see her Instagram post on it here, and read more about Profhilo and how it works on crepiness here.

 

The fat from my cheek pads seems to have slipped downwards, making me look jowly. What is the best treatment for this?

Hiya, editor Georgia here answering on Alice’s behalf.

There are a few things you can do for jowls. If you suspect yours are more to do with fat rather than loose skin, I’d look into fat freezing with CoolSculpting (if the fat is beginning to group under the chin and around the jawline), or FaceTite. FaceTite is slightly more invasive as it involves extraction of the fat from under the skin with a cannula, but it can be very effective and only one session is needed. It first uses radiofrequency energy to melt the fat before sucking it away and leaving you with a more taught jawline. There are more options on our free Jowls factsheet, which you can download here. The most suitable treatment will depend on how your jowls have formed, so make sure you see a good practitioner for a thorough consultation.

 

 

What is the most effective filler for a 63 year old with a thin face and thin skin?

Hiya, editor Georgia here answering on Alice’s behalf.

One filler isn’t necessarily more ‘effective’ than another. Each brand will have a range of filler products in its line that are better suited to various indications depending on their composition – like the lips vs. the jawline, for example – but what’s best for your own face is impossible to say for anyone other than the practitioner assessing you. Use our practitioner finder to find a brilliant injector near you, and set up a consultation. They may even recommend a treatment other than filler. This is the only way to find out what will be most effective for your concerns.

I have tried Halo and Genius for radiofrequency microneedling, which I don’t see on your list of brands for this procedure. Any thoughts on either of these?

Hiya, editor Georgia here answering on Alice’s behalf.

Do you mean the Halo fractional laser from Sciton? If so, there’s some more info on it here, and you can find out what Alice thinks of it herself after trying it. I hadn’t heard of Genius RF microneedling but I see it is from Lutronic, which is a reputable manufacturer. We’re gradually updating brands on the site, so soon you’ll be able to find info about every branded treatment on the market in the UK.

Hi Alice – please let me know whether you have tried Belotero Revive for skin boosting and if so what you think of it. Thanks!

Hiya, editor Georgia here answering on Alice’s behalf.

Alice had Belotero Revive with Dr Alexis Granite at Skinesis Medical in London last year. You can watch the Tweak of the Week video here and find out more about her experience.

I have lumps under the surface of my skin (lower jaw area from Radiesse filler, which have become more pronounced. I have that this filler cannot be removed. Please can you advise?

Hiya, editor Georgia here answering on Alice’s behalf. I’m sorry to hear this.

You’re right – Radiesse is a type of collagen-stimulating filler that can’t be dissolved. How long ago did you have treatment? Lumps can occur immediately following injection but should settle after around four weeks. If it’s been longer than this, unfortunately you’ll have to wait until the filler is absorbed by your body, which can take up to 18 months. If they’re really troubling you they can be surgically removed. I’d suggest following up with your practitioner and asking for a referral.

I had moisture injectables in my neck region, is this a similar thing to Profhilo? I can’t remember the brand but it wasn’t Profhilo?

Hiya, editor Georgia here answering on Alice’s behalf.

Without being able to say for sure as you can’t remember the exact name of the product you had injected, Profhilo is categorised as an injectable moisturiser, yes. Other widely-used products in this category include Sunekos, Juvederm Volite, Restylane Skinboosters, Belotero Revive and Texone Redensity 1. If none of these ring any bells it would be a good idea to get back in touch with the practitioner who did your previous treatment and ask what product they used, and how much you had injected. It’s always good to note down exactly what products you had injected in your face and when, as this could affect your suitability for other tweakments. Do have a look at the Injectable Moisturisers tweakments page if you’d like some more info. You can also download our in-depth factsheet on this page.

Does Profhilo work?

Hiya – editor Georgia here answering on Alice’s behalf.

Yes, Profhilo works if you’re a suitable candidate. However, no tweakment is 100 percent guaranteed to give you the results you’re after – it’s also about being realistic with your expectations. Some people try Profhilo and don’t see much of a result, so go on to try another injectable moisturiser like Teosyal Redensity 1, Restylane Skinboosters, Juvederm Volite or Belotero Revive, and are satisfied. There are a few on the market so it may be worth finding a practitioner who offers a couple of them and knows each product’s ideal patient selection well.

I’m 64, had toxins and filler in the past and sometimes it’s gone well, and other times I look a bit crazy. I have good skin (use Skin & Me). I would like to try Profhilo on my neck and toxins in my lower face. Would this make me looked more refreshed?

Hiya – editor Georgia here answering on Alice’s behalf.

Unless you have a particular concern in the lower face that could be helped with toxin, I’d forgo that bit and do Profhilo on the face as well as the neck. This should give you a nice refresh all over, as it sounds like you look after your skin and don’t have any specific concerns. Use our practitioner finder to find a great doctor near you.

 

I think I have ‘pebble chin’ and was wondering what tweakment could help with this problem?

Hiya – editor Georgia here answering on Alice’s behalf.

It’s the overuse of the muscles in the chin that causes this uneven ‘pebbly’ or orange-peel type texture. You can have a little bit of toxin injected to relax the muscles and give a more even skin texture.


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