How does a phlebectomy or microphlebectomy procedure work?

And this is why HA fillers have never gone out of fashion in our practice!

This lovely patient had all the classic signs of volume loss in her face and there is no other non-surgical treatment that can address this quite as quickly, effectively and non-invasively as HA filler. Of course, it needs to be carefully and sensitively applied.

This patient had a total of 10mls of HA as well as some wrinkle relaxing on the upper face. She is delighted with her restoration. What do you think?

Upper eyelid surgery isn’t just for ageing eyes! Some patients naturally have excess upper eyelid skin from a young age due to their anatomy, like this 29-year-old patient who had a congenital upper eyelid fold and recently underwent an upper blepharoplasty with the ever-talented @bramhallplasticsurgery.

The excess eyelid skin rested directly on her eyelashes, causing irritation and a persistent feeling of heaviness around the eyes which had been bothering her for several years. Upper eyelid surgery can address both functional symptoms and aesthetic concerns, helping patients achieve a lighter, more open eye appearance.

This patient is just 7 weeks after surgery. At this early stage of healing the scars are still maturing and in younger patients this process can take slightly longer. The incision is placed within the natural eyelid crease and as healing progresses the scar typically fades and becomes extremely difficult to see, often blending into the natural eyelid fold.

She`s delighted with the results so far, and we`re grateful to her for allowing us to share her results with you.

What do you think?

Thank you once again to another lovely patient who has allowed us to share her photos with you.

She came to see me wanting a refresh and was open to suggestions, surgical and non-surgical. Her biggest concern however was wrinkles and lines and skin texture problems.

Surgery doesn’t help with this and injectables are limited too - the gold standard here is laser resurfacing, which is what we went with. We did a full field ablation of the full face including her eyelids.

This is her a month or so later. You can see she is still a bit red, especially around the eyes where we went the deepest, but she is already loving life with her new skin.

What do you think?

The non-surgical facelift!

You might have heard us talking a lot recently about combination treatments, using different treatment modalities to create synergy in non-surgical rejuvenation. The reason this works so well is that the different layers of the face age in different ways.

We focus a lot on skin tightening, which is super important, but that’s only the outer layer of the face. Below that the fat, bone and muscle are all changing too.

This lovely lady was relatively new to aesthetics and wanted a more comprehensive rejuvenation without surgery. We decided to do the combination approach using @sofwave.uk to tighten the skin of the face and neck, whilst using HA to restore volume to the fat and bone.

This is her a few months later - her whole face looks tighter, softer, less tired - but in a way that looks completely natural. She is delighted with the result that still looks like her, just a really refreshed version.

What do you think?

Introducing Julaine - a new biostimulator I am very excited about!

To explain the background, we need to start with Sculptra - which is having a bit of a moment again on socials. Sculptra is made of PLLA which stimulates your own body to create more collagen, which sounds instantly appealing especially for patients who want to avoid HA fillers.

The problem is that 1 in 5 people who have Sculptra develop nodules which is why - despite the beautiful results we often see from it - I have never used it in my practice (at least not in the face). The trade off in terms of the risk of nodules is just too high for me to feel comfortable with.

We now have a new version, called Julaine, made from a Swedish company called Nordberg. The scientists at Nordberg have refined the manufacturing process to make the PLLA particles smaller and smoother and in doing so have eliminated the problems associated with Sculptra.

I have only just recently started working with Julaine (it’s been around for a couple of years now, but I never like to be the first to use it - I always want to make sure the real world data matches up to what the pharma companies tell us). The treatment is delivered over three sessions, one month apart, with gradual tissue regeneration and volumising occurring slowly over time.

The course of 3 sessions costs £3000 and results typically last up to 2 years. It’s a great addition for other regenerative treatments like Sofwave skin tightening. It’s also great for patients who’ve had HA fillers and feel like they need something else, but aren’t quite ready for more HA yet.

What do you think?

One of Dr Kavita’s breast reduction patients sent this gorgeous bouquet of flowers after her follow up - simply because she felt so grateful for her result and the care our team provided.

Moments like this remind us why we do what we do and why ‘how’ we do it is so important. Surgery has traditionally been a very male-dominated world, but Kavita brings something different - exceptional technical skill combined with empathy, warmth and a genuine understanding of women’s bodies and aesthetics.

There can be a lot of pressure on women in surgery to abandon their femininity to fit in. Kavita hasn’t done that. She’s succeeded by being completely herself.
And that’s exactly why our patients love her (and why we do too).

We’re very proud to have her as part of the McKeown Medical team.