Rosacea: Symptoms, Causes, and Treatment

Thank you to this lovely patient for allowing us to share her results!

The deep plane face and neck lift is one of the most technically challenging procedures in plastic surgery. It takes 6-8 hours of painstaking dissection to carefully release the retaining ligaments of the face so the face can be properly lifted and repositioned, rather than simply pulled tighter around the edges.

Few surgeons have the technical skill to pull this off - and we are very proud of @bramhallplasticsurgery for being one of them. It’s a challenging procedure to get right, but when the results are this good, it’s definitely worth it!

What do you think?

Thank you to this lovely patient for allowing us to share her results.

Varicose veins are something we see a lot of in the clinic, and they can have a real impact beyond how they simply look - aching, heaviness and discomfort are common reasons for patients deciding to come and get them fixed. Now that summer is approaching, this our peak time of year for patients coming to look for a fix.

This patient was treated by the wonderful Dr Alex Vesey using a combination of Radiofrequency Ablation (RFA) and microphlebectomy. RFA works by delivering targeted heat energy to close off the affected vein from the inside, while microphlebectomy allows the smaller surface veins to be removed through tiny incisions. Together, they address both the underlying cause and the visible result. Both procedures are done under local anaesthetic, which means you can get up and walk out immediately after surgery.

The patient is absolutely delighted with her outcome. What do you think?

Let`s talk about Mounjaro / Ozempic face!

It feels like everyone is on weight loss drugs right now, and they`re incredible for transforming bodies and health, but rapid weight loss has a real impact on the face.

This lovely patient lost an incredible 6 stones in just twelve months on Mounjaro and loved the results, but felt the life had been sucked out of her face. She naturally had a fuller, more plump face that looked youthful but the rapid weight loss diminished that.

There`s a lot of conversation right now about the best way of tackling it aesthetically and there are different options available. However, since loss of volume is the key driver of the changes, restoring the volume needs to be a central component of how we treat it - which is exactly what we did here.

This is the patient a couple of weeks after 10mls of HA filler in the mid and lower face. She is over the moon that she now has the body and health profile she wanted, but got her face back too!

The best of both worlds. What do you think?

Here’s another gorgeous upper blepharoplasty result from our phenomenal surgeon, @bramhallplasticsurgery.

This patient is 62 years old and came to us for upper eyelid surgery just 2.5 months ago. Russell performed the procedure while she was awake with just a few numbing injections. Here at the clinic we can offer facial surgery with local anaesthetic for those who want to remain awake, or with deep sedation for anyone who’d prefer to sleep throughout (without the downsides of general anaesthetic!)

Thank you to this patient for allowing us to share her fabulous result - her scars are already settling beautifully and will continue to fade over the next 12 months.

What do you think?

And this is why combination treatments always win!

This lovely patient is in her 50s and was noticing all of the classic signs of ageing. She was starting to see some jowls forming, the neck was becoming more saggy and she felt she was looking tired.

At this stage in the ageing process it is not one thing that is responsible for causing the tired expression, its a combination of changes that are working together which is why we need a combination of treatments to target it effectively.

We did some sofwave treatment first to tighten the skin on the face and neck. Sofwave is very effective at tightening the skin, but remember: the skin is only the outer layer of the face, so we supported the treatment with some volume replacement in the deeper layers.

I decided to post her selfie style before and afters as well as her clinical pictures so you can see how it looks in real life, as well as the clinical up-close detail. The patient is over the moon with her results.

What do you think?

Here is another beautifully balanced deep plane face and neck lift by the skilful @bramhallplasticsurgery.

The deep plane technique, as the name suggests, works at a deeper level, repositioning the underlying structures of the face and neck rather than simply tightening the skin. By addressing the deeper tissues, we can restore more natural proportions, refine the jawline, and create a smoother, more defined contour beneath the chin - especially when the patient moves or bends their neck forward.

To achieve this impressive improvement in the neck, even in flexion, Russell reduced the deep fat (from under the muscle), trimmed and shaped the salivary glands and reconstructed the muscles of the neck to create a rejuvenated result. This is a much more sophisticated procedure compared with a standard face and neck lift.

At just 2 months post-op, her result is already beautifully balanced. The jawline is sharper, the neck more sculpted, and everything sits in harmony with the rest of her features. Scars are settling well and will continue to soften over time.

She may choose to refine things further with laser resurfacing for skin quality and subtle volume restoration in the mid-face, but even at this stage, the transformation speaks for itself.

Thank you to our patient for allowing us to share her journey.

What do you think?