Multi-Modal Treatment Planning For Natural Looking Aesthetic Rejuvenation (Or how we get it right! )

Anti-wrinkle injections weakens muscles, we know that.  But ageing is multifactorial, not just a product of muscle over activity.  To create natural looking aesthetic rejuvenation it stands to reason that we need more than just anti-wrinkle injections to keep us looking younger.  Obvious isn’t it!  Yet we still find that anti-wrinkle injections is the worlds number one requested cosmetic treatment.

Dr Simon Ravichandran on how to achieve natural looking aesthetic rejuvenationHere’s a picture of me taken recently, you can ignore the beard, that’s gone now 🙂

Anti-Wrinkle Injections can relax the lines and wrinkles on my forehead, if I had any there.  It can also smooth lines and wrinkles around my eyes and between my eyebrows, likewise if there were any there. However, it’s not going to help overall with making me look and feel a bit younger.  In fact, if I had nothing but anti-wrinkle injections for the next ten years I’d start to look decidedly odd! With a smooth and wrinkle free upper third of my face but quite an aged appearance to everything else.

What I am seeing when I look at this image is the deeper shadow developing at the side of my nose, the hollowing at the cheek at the side of my mouth, the wrinkling of the skin underneath my eye and the flattening of my cheek underneath the eye. If I was being super critical I’d probably also mention some very early volume loss just above my eyebrow that will probably develop over time and make my eyes look a bit more skeletal.  For the sake of a complete picture I can also see a receded hairline and marked thinning of the hair on the top of my head.  That’s what more than ten years in Aesthetic Medicine will do to you!

The answer is clearly not just anti-wrinkle injections.

Let’s think about a real person now, a typical prospective aesthetic patient who presents to a clinic just like Clinetix wanting to look and feel refreshed and rejuvenated.  Lets assume it’s a female patient right in the middle of the age range of people who attend my clinic about 45.  When she sits down in front of me and tells me she feels her appearance makes her look and feel tired or depressed I don’t reach immediately for the wrinkle syringe, I reach for the mirror and ask her to point to what is causing her concern.

These days it’s getting less likely for the fingers to be pointing at the crows feet, or the frown lines. Instead they generally go to the middle and lower parts of the face first, indicating sagging skin, jowl formation, downturned mouths with thin lips and changes in skin quality like roughness, pigmentation or large pores.  We consider these features as part of a holistic rejuvenation process in order to create better results for our patients.

Creating Natural Looking Aesthetic Rejuvenation with a Multi-Modal Treatment Plan

As ageing is multifactorial we approach rejuvenation with a multi-modal treatment plan.  This means we can use a wide variety of treatments to address individual aspects of ageing together to create a synergistic and harmonious natural looking rejuvenation.

The Volumetric Approach To Facial Rejuvenation

I like to visualise the ageing face from the bottom up.  Think of an old house that’s sitting on dodgy foundations.  The roof is falling apart and the window frames are all broken.  I can fix those things easily but the house will still be sinking on it’s foundations. Therefore there’s not a huge amount of point other than for the temporary cosmetic fix.  For a long term fix you need to start with the foundations to build a house that will last.

The foundation of the face is the bones of the skull and the dense layers of fat that sit above.  As we age we get specific changes in the shape of the skeleton, areas that flatten and regress.  We also get reduction in the amount of dense fat that overlies it.  Most of my consultations begin with an assessment of the foundations of the face and a plan to replace that lost volume.  The volumetric approach to facial rejuvenation.  With a detailed understanding of the anatomical changes of the skeleton with ageing, and the availability of safe injectable implants (dermal fillers) we create a plan to inject in specific areas to restore a natural shape to the deep face.

This will build up a strong support upon which the upper layers of the face can be more naturally restructured. The amount of dermal filler required to achieve such a correction varies with age of the patient. However it is usually fairly predictable using the formula 1cc per decade of life plus 1cc.  This means that someone in their mid forties will usually require 5 syringes, someone in their mid fifties may require 6 and someone in their mid thirties may require 4.  We place the dermal filler in the areas of the face to give maximum support as required for the patient. Typically these areas are the cheeks, the temples, the side of the nose and the jawline.

Lifting Jowls and Sagging SkinNatural looking aesthetic rejuvenation using Thread Lift, What Treatment is Right for Me at Clinetix Rejuvenation

The next area of concern is the more superficial fat layers of the face, these can be smoothed with softer, less lifting dermal fillers to correct irregularities and improve contour. But when sagging of the skin and early jowl formation become a concern then we often need to think in terms of re suspending the user layers.  The traditional approach to achieve this is the surgical facelift. However, the advent of safe and effective thread lifting techniques now gives us a non-surgical alternative.

Threads are introduced through small holes made with a needle at the side of the face and placed into the upper layers of the faced.  Using a thread called a PDO Cog, we can place a fan of threads that can be gently pulled. This creates a lift and repositions the upper layers of the face.  This technique is very effective at lifting the upper fat layers of the face. Which in turn has an effect on the appearance of nasolabial lines, marionette lines and jowls.

Rejuvenating the Appearance of the Skin

Once we have revolumised and lifted the face the final thing to consider is the skin.  There are many many different ways to rejuvenate the appearance of the skin and the decision will depend on the desired result, the budget and the desires of the patient to have a quick result with one or two treatments, or a more gradual process with several skin treatments over a period of time.  With our non-surgical rejuvenation packages we offer CO2 Laser resurfacing or Chemical Peels to get rapid and dramatic results.  We also have a range of specially designed combination skin treatments that treat multiple layers of the skin using different techniques at the same time for improved results with no downtime.

Laser Resurfacing

Laser resurfacing or Fractional Ablative resurfacing uses a high powered laser to cause controlled damage to the skin at a specific depth. The skin responds by creating more healthy collagen and more ground substance in the dermis. This results in firmer and more resilient skin.  The epidermis is also resurfaced providing a fresher and more lustrous skin with less blemishes, pigmentation and surface irregularities. The recovery period following a laser treatment is about a week.  Initially your skin will be red and it is likely to take some time to heal afterwards.

Chemical Peels

Natural Looking Aesthetic Rejuvenation with Chemical Peels at Clinetix RejuvenationFor Chemical peels there are many many options but for a rapid result we recommend a medium depth TCA peel. This is a solution that is applied skin and allowed to soak through the deeper layers of your skin.  The TCA causes a controlled damage to the dermis at a specific layer. The skin above this layer then peels off over the course of a week as healthier fresher skin grows underneath.

To summarise, a complete facial rejuvenation treatment plan should consider all the signs of ageing. It should also be able to address each one separately in order to achieve a natural aesthetic result.

Our goal is to make our patients feel better about the way they look. In turn make them feel more confident about themselves as a whole!  The goal is never to make someone look like they have had a treatment.  After a treatment people should be complimenting you about your appearance, but they won’t know what has changed.  As I often say to my patients, if anyone asks you who your Doctor is, come and tell me because it means I’ve done something wrong.  If they ask you if you’ve been on holiday or changed you hair then we’ve got it right!

If you’d like to have a chat with Dr Simon or Dr Emma Ravichandran about a personalised treatment plan, get in touch here or give us a ring on 0141 221 0229 for our West End clinic or 01698 854 221 for our Bothwell clinic.

What Treatment is Right for Me? (Part II)

In a previous blog I began to talk about the different type of aesthetic treatments we offer at Clinetix and how they work. If you’d like to read about Anti-Wrinkle Injections, Dermal Fillers and Superficial Chemical Peels click here to go back to the last article. In this one I’m going to take about a few more treatments that we offer at our clinics in Glasgow. The aesthetic treatment we start to discuss are Thread Lifts.

Thread Lift Treatments

Aesthetic Treatment - Thread LiftThread lifts are becoming increasingly popular as the development of better threads and better techniques are providing impressive and long lasting results. These thread lifts are designed to lift and reposition the upper layers of the face. Thread lifts are ideal for people who are starting to develop skin laxity with nasolabial folds, flattened cheeks and early jowl formation. Threads can be used in the lower part of the face and the upper neck to help define a jawline.

The threads themselves have either small barbs or cones that anchor onto the tissues and allow the thread to be gently tensioned, resulting in a lift of the skin. The process is performed using local anaesthetic injections to numb small areas of the face. We introduce threads under the skin using needles or cannula in the desired area and are tension the threads to lift before being cut. After they are cut the thread then becomes completely buried under the skin and is invisible. The results generally last for 18 months or so and can be prolonged if smaller treatments, involving less threads are repeated every year or so.

If you would like to read some more I wrote a blog about thread lifts a few weeks ago here

Laser Resurfacing

Aesthetic Treatment - CO2RE Laser ResurfacingFinally for today I’m going to cover Laser resurfacing. This is the Gold Standard treatment for photo aged skin that addresses texture, lines and wrinkles and laxity. We use a technique called Fractional Ablative Resurfacing with a Carbon Dioxide Laser in Clinetix. After numbing the skin with anaesthetic injections we use the laser to make a controlled injury to the epidermis and dermis, this results in the skin regenerating with a healthier dermis and epidermis. This is described as a downtime procedure that requires a little bit of aftercare. The skin on your face will take about a week or so to return to normal but the results are usually well worth the effort!

People are often concerned that this treatment may be painful but using good anaesthetic techniques most patients find the procedure remarkable tolerable. We combine Laser resurfacing with phototherapy treatment as this reduces the recovery time and improves the overall result. Post operative care is especially important following Laser Resurfacing. Patients are provided with information on how to clean and care for the skin until it heals. At Clinetix we arrange for review appointments every 2 days so that our team can clean and assess your skin. We also provide further phototherapy treatments to accelerate the recovery.  You can find some FAQ’s about Laser Resurfacing on this page

So that’s Laser resurfacing and Thread Lift aesthetic treatments briefly covered. As stand alone treatments these as well as everything else we offer will provide real and long lasting results.

Contact Clinetix

We design these articles to give you an overall idea of the services we offer at Clinetix. If you are interested in Rejuvenation treatments please get in touch to arrange an appointment with one of our team. It is our policy to spend time with each new or prospective patient in order to understand their specific goals and expectations from treatment so that we can offer an appropriate treatment plan that fits within your lifestyle, your expectations and your budget. First consultations are always free and there is never any pressure or obligation to proceed with treatments.  Contact Clinetix!

The Clinetix Thread Lift

The “Clinetix Face Lift” range of non-surgical treatments including the Clientix Thread Lift, Clientix Volume Replacement Face Lift and the Clinetix Complete Non-Surgical Facelift.

Do I need a thread lift? – be honest with me doctor!

This is a very frequently asked question from patients in Clinetix and is actually quite easy to answer, at least to start with.  The first thing I point out is that practically no one actually needs a thread lift, or a face lift, or any other aesthetic procedure.  It’s an odd thing to hear from a cosmetic doctor running a successful practice but there you go.

The question that will have a more satisfying answer is not do I need, but do I want.  Do I want a thread lift?  (This applies to any cosmetic medical procedure) ask yourself will this thread lift (or any other procedure) make me feel more comfortable with my appearance, improve my confidence and help my self esteem?

Lets work on the assumption that you are concerned about your appearance and a procedure to make you look more youthful would be of benefit to you.

So back to the thread lift, what is a thread lift and what can it do? 

threads-lb-rightI’ll start with the history. Thread lifting techniques for lifting loose and sagging facial skin have been around for several decades, as surgeons and patients both try to innovate safer, less invasive and more effective treatments.  The basic principle is to insert a suture or thread through the skin around the temple area, anchor it to the loose and sagging skin and fat of the midface, and use the suture as an anchor to pull and reposition the skin.  The suture can be either attached to the deep fascias of the face, or left buried under the skin in the more superficial subcutaneous layers.  The older surgical approaches required deep anchoring and a small incision to be made however a number of newer techniques have evolved that do not require deep sutures and allow the procedures to be performed through small needle entry points.

As with any new surgical or medical innovation there were initially concerns and scepticism, as the sutures initially used had a chance of extrusion or chronic inflammation, and the techniques themselves produced less satisfying results. There has been a recent resurgence of the popularity of minimally invasive office based thread lifting procedures in the last five years with the development of two main devices.  One device called the silhouette soft thread lift uses threads with a small number of cones along it’s length designed to pull on and anchor loose skin.  The other system uses a finer thread with thousands of much smaller barbs along it’s length.

The Clinetix Face Lifting Approach

lb-threads-straight-onAt Clinetix we have experience with a wide range of thread lifting techniques and have refined our skills to develop the bespoke “Clinetix Face Lift” range of treatments that use multiple treatments to lift and reposition skin replace volume and improve skin quality to restore a more youthful appearance.

For mild to moderate sagging skin and ageing an option is the Clinetix Thread Lift.  This is a a treatment for mild to moderate facial sagging and consists of a bespoke PDO thread lift to reposition the facial skin, as well as a thread treatment to stimulate collagen and skin tightening around the jaw line for added longer lasting benefit.

The Clinetix Thread lift is the cornerstone of our non surgical face lifting procedures.  Using a combination of techniques learned from a variety of international experts together with specially selected stitches we are getting effective and long lasting results.  The treatment is performed in the clinic and typically takes about an hour.  There are some small injections for local anaesthetic but the treatment is generally painless. There may be some bruising afterwards that can last for up to a couple of weeks although most people have only slight bruising that is easily covered with make up.

For patients with loose sagging skin as well as facial volume loss the Clinetix Volume Replacement Face Lift consists of volume replacement with dermal fillers to strategic areas as well as thread lifting. The dermal fillers are placed in areas of deep facial volume loss such as the cheeks, the jaw line and the temples to provide a deeper underlying lift and a more natural rejuvenated appearance in patients with mid facial volume loss.

For patients who require skin improvement in addition to volume replacement and threads, the Clinetix Complete Non-Surgical Face Lift combines all of the above with CO2 Laser Skin Resurfacing to smooth out, tighten and rejuvenate the skin.

The addition of Laser skin resurfacing means that the face can be rejuvenated in three levels.  The deep layers have volume replacement, the middle layers and the skin benefit from being repositioned by the threads and the laser resurfacing rejuvenates and tightens the skin.

As with all medical treatments we advise that you have a consultation with one of our experts in order for us to assess your anatomical needs as well as your aims and expectations.  Once we have determined what your goals are the various options can be explained. To book a consultation contact Clinetix on 01698 854 221 for our Bothwell clinic or 0141 221 0229 for our West End clinic.

Who Are Clinetix?

team-image-newSimon & Emma

Clinetix is one of Scotland’s most trusted clinic groups for aesthetic medical procedures.  The clinic is run across two sites by Drs Simon and Emma Ravichandran, recognised and respected leaders in their field.  Both Simon and Emma are known for their passion for training in the pursuit of excellence and are frequently seen lecturing at major conferences and exhibitions sharing their knowledge and demonstrating their advanced approaches to aesthetic rejuvenation.   With our expert knowledge and compassionate approach you can be sure you are in safe hands when you come to a Clinetix Clinic.

Our approach to aesthetic medicine is to address all the signs of ageing, rather than concentrating on a line here or a blemish there, with a global treatment plan using advanced products and expert technique we are able to achieve a natural aesthetic rejuvenation that quite simply makes you feel like a younger version of you”.  Our approach and dedication is clearly effective, with patients making twice yearly trips from as far away as New York, Perth and the Bahamas’ to visit the doctors, it’s easy to see why Clinetix has such a large and loyal following.

We offer a variety of aesthetic treatments at Clinetix to help boost your confidence and make you fall in love with your skin again.

Wrinkle Smoothing Treatments:

Wrinkles are often one of the first signs of ageing that people notice, and by developing techniques with anti-wrinkle injections Clinetix have elevated the treatment of wrinkles into an art form!  Using carefully placed and carefully dosed injections in just the right place, the Doctors at Clinetix can not only painlessly relax your lines away without leaving you looking frozen or startled, but they can also softly and subtly alter the shape of the face, smoothing hard edges and creating youthful soft curves.  Prices for wrinkle relaxing injections start from £150

Skin Health:

Many doctors often overlook the condition of your skin when rejuvenation procedures are considered but we cannot stress how important healthy skin is for the whole appearance of your face. Clinetix offer a skin consultation service to advise on what the best treatments may be.  IPL treatments to remove fine red veins or blemishes start from £70, Fractional Laser resurfacing treatments to smooth, lift and tighten skin start from £600, micro-needling treatments to reduce scarring and stimulate collagen growth start at £150.  In addition to the treatments, Clinetix has a range of cosmeceutical products including the Zein Obaji (ZO) range and a range of chemical peels to suit everyone.


One of the most obvious changes that happen to us as we get older is a loss of volume in parts of the face.  Dermal fillers that used to be used to fill out fine lines and wrinkles have now come into their own as volume replacement treatments. Dr’s Simon and Emma are experts in assessing facial volume loss and revolumising procedures.  Using Advanced Dermal Fillers such as Radiesse as well as traditional Hyaluronic fillers like Juvederm and Belotero you can lift cheeks, temples and eyebrows, plump lips, reshape noses and chins and even redefine your jaw line.  When these treatments are combined with other non-invasive therapies like wrinkle relaxing injections facelift rejuvenation results can often be achieved.  Dermal Filler treatments start from £280

Skin Tightening:

Loose skin on your face can be lifted and replaced safely and non-invasively using our radiofrequency and infra red skin tightening device, ELOS.  Each gentle treatment stimulates collagen production into the skin and gives a lifting affect as well as tightening the skin to give a more youthful appearance.  Radiofrequency skin tightening starts from £70 per session.  For more dramatic results a Thread lift places sutures underneath the skin to physically lift and redrape loose skin over the underlying soft tissues.  Thread lifts require some numbing injections to be administered into the skin first and prices start from £800

Body Contouring:

Ageing effects the body also and loose sagging skin with cellulite can have an effect on confidence for women who want to wear a bikini on the beach or wear a short skirt at a function.  At Clinetix we use the Velashape II device that brings infra-red, radiofrequency, heat and massage together to tighten skin on your body, smooth away cellulite and even help you reduce your jean size!  Velashape II treatments at Clinetix start from £75 for a 25 minute session.

Clinetix firmly belief the old adage that age is just a number and that for many people a rejuvenation program gives a well needed confidence boost.  With an expert led service and years of experience you can rest assured that when you see a Doctor at a Clinetix Clinic you are in Safe Hands.

Click here for more information about Clinetix Rejuvenation and our staff or phone us on 0141 221 0229 or 01698 854 221 or e-mail us at info@clinetix.co.uk