Facial Aesthetics at Appledore

Frown Lines And Wrinkles

Wrinkles !

The number one sign of ageing that Dr Teresa hears people complain of the most is, without a doubt, wrinkles.

As we get older, our skin develops wrinkles naturally, some fine and light, some deep and very obvious.

This is because we have been using the muscles in our face for a very long time, and overuse of these muscles creates a crinkling in the skin, which over time turn into those classic crows feet and fine lines. Combined with the fact that, over time, our skin cells become less effective at repairing themselves, we become more prone to wrinkles everywhere.

You can do some things to keep wrinkles at bay yourself – reducing your exposure to UV light, avoiding alcohol, not smoking and making sure you get enough sleep. However, that will all only go so far.

But don’t worry, that’s where Dr Teresa steps in. 

Using the most advanced anti-aging technologies, she can help you roll back the years and achieve natural, radiant results – without invasive surgeries.  Wrinkle relaxation treatments can give you a youthful appearance in as little as 15 minutes and helps to prevent future wrinkles from forming too, keeping you looking younger for longer.

What is the treatment for frown lines and wrinkles?

For deep lines and folds, we need to use dermal fillers.

For crows feet, frown lines and forehead lines, we need to use something to stop the underlying muscles from being as active.  This is a prescription only treatment and should only be provided by qualified and insured doctors, dentists and aesthetic nurses.

We will assess your face and the wrinkles caused by muscle action, and if appropriate we will prescribe tiny doses of botulinium toxin type A to paralyse parts of the muscles.  (There are various trademarked products available but they are all botulinium toxin type A).

How long does the treatment for frown lines and wrinkles last?

It takes a few days to take effect.  

The toxin temporarily stops the muscles from working by blocking one of the chemical messengers in the muscle cell.

Treatment usually lasts around 4-6 months as your body will gradually clear the toxin from the area.

Is it dangerous?

No.  Although botulinium toxin would be very dangerous if you were to eat a large amount of it, the amounts used to paralyse muscles temporarily are miniscule. However, there are a couple of medical conditions where we prefer not to use it.

We will discuss your general health with you before we prescribe any treatment.

Facial Aesthetics muscle relaxants

Smooth Skin & Muscle Relaxants

By using your facial muscles repeatedly throughout your lifetime, your skin is creased in areas of greatest use. Your ageing process causes the slow down of collagen and elastin production in your skin so as you get older, these areas over use become damaged and your lines become permanent.

However, by reducing the movement of your muscles in these areas your skin stops being creased and is allowed to recover, causing your lines to soften or even fade away. In the areas treated, your muscles are temporarily inactivated, during which time you can break the subconscious habit of overusing these muscles.

Depending on your individuality and the product used, the response to treatment can vary from a relaxation of your muscles to an inability to move your muscles.

For the first couple of years, frequent treatments are required to ‘re-educate’ your facial muscles. Thereafter, treatments would be less frequent until a yearly maintenance treatment is normally all that is required. When the medication is injected into your muscle it causes it to become weakened or inactivated. It stops your muscle from functioning by blocking your neuromuscular transmission – it stops chemical messages from your nerves to your muscles.

Appledore clinicians use prescription medication with over 40 years of research and development, used widely around the globe for the softening and elimination of wrinkles.


Profhilo is the most amazing rejuvenating skincare treatment available NOW in Milton Keynes, to treat your facial and neck skin laxity, tightening your skin and helping you to look more youthful.

Who and what is Profhilo suitable for?

  • Older people with visible signs of skin laxity and crepiness
  • People who feel that their skin is dry and/or starting to show lines
  • Sun damaged skin that is starting to show lines
  • Younger ladies who have noticed that their skin is not as ‘peachy’ as it used to be.
    • In younger faces we can use Profhilo as a preventive treatment
  • Anyone who dislikes fillers but would like to improve their facial skin, they will achieve skin tightening and subtle rejuvenation
facial aesthetics Profhilo

What area of the body is Profhilo suitable for?

  • Faces and necks
  • From Spring 2020 treatment for hands and décolletage will also be available

How much treatment is needed?

  • The initial treatment is 2 sets of injections, 4 weeks apart
  • If you have very crepey skin you may need a 3rd treatment at 8 weeks
  • We recommend that you have a top up every 4-6 months to keep your skin looking fab
facial aesthetics Profhilo

Is Profhilo a filler?

  • No, it will not provide volume or significant lift, we can also provide fillers and other facial aesthetic treatment if required

What is the cost of Profhilo in Milton Keynes?

  • The cost for your 2 visit amazing rejuvenating skincare Profhilo treatment is £500, payment will be taken in full at your first visit
  • Top up Profhilo treatments are just £200 every 4-6 months

For an exciting new rejuvenating skincare treatment Profhilo is remarkably affordable

And yes, the recovery time after treatment is minimal.

facial aesthetics Profhilo

Dermal Fillers

Over time your face will naturally start to lose volume, and your skin will lose some of its natural elasticity. This is mainly what causes the visible signs of ageing: loose skin, lines and wrinkles. 

As we age, our bodies start to produce collagen at a slower rate, and struggle to renew skin cells as quickly.  Of course, there are some things that can speed up that process, like exposure to UV (ultraviolet light), heavy drinking, smoking, stress and lack of sleep.

Unfortunately, we can’t prevent these visible signs of ageing.  But we can make them a lot less noticeable.  

With dermal fillers, you can lift and restore the volume in your cheeks, temples, chin and other areas of the face. They can also be used to reshape your face, giving you a fuller, more youthful appearance without the need for invasive surgeries.

Appledore clinicians use the Juvederm range of dermal fillers produced by Allergan. They are well researched and they encourage and support their clinicians to keep up to date with new techniques.


Young skin is smooth and elastic and contains a large amount of hyaluronic acid that helps the skin look healthy. As we grow older, the ability of the skin to produce hyaluronic acid decreases and the amount of hyaluronic acid begins to fall. As hyaluronic acid helps to bind water, the ability of the skin to retain water also declines with age. As a result, the skin becomes drier, thinner and less able to restore itself. The loss of skin fullness also means that the skin becomes looser. This leads to wrinkling and the older appearance of the skin.

The dermis is the skin layer responsible for the skin’s elasticity and resilience. The dermis functions as the skin’s support structure, containing collagen, elastin and biological substances whose main function is to hold moisture in the skin. One of these substances is hyaluronic acid. As we age, the amount of collagen and hyaluronic acid decreases and the elasticelastin fibresbecome looser and tend to gather in formations, creating wrinkles and folds. However, age is not the only cause of wrinkles. Smoking, sun bathing and pollution damage the structure of your skin, irrespective of age.

Your skin consists of three main layers:the epidermis, dermis and subcutaneous tissue. The epidermis is the outer layer that protects you from heat and cold. The condition of the epidermis determines how your skin looks and also how well your skin absorbs and holds moisture. Wrinkles, however, are formed in lower layers. The dermis is the middle layer of the skin and the skin’s support structure. It is the thickest layer and comprises a network of collagen and elastin fibres. The subcutanous tissue consists mainly of fat that keeps us warm, stores energy and protects inner organs.

All of the Juvederm range are hyaluronic acid. This is a natural constituent of skin, and is essential for making your own collagen and elastin. As we age, we produce less of it so our skin starts to sag and wrinkle. To make the hyaluronic acid more stable, it is produced so that the molecules crosslink together making it more difficult for your body to dissolve it. 

The Juvederm range has various levels of cross linking to produce different stiffness of dermal filler. 

We use the ‘stiffer’ dermal fillers for cheek lifting and chin/jaw remodelling, and the ‘softer’ dermal fillers for lips and tear tough.

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Lips are a very delicate area to place fillers and we have all seen some awful ‘trout pouts’ where far too much filler is used and the poor recipient ends up with over inflated lips.

Well done lip fillers should be an enhancement of your natural features. For a simple lip enhancement, we would use one of the softer dermal fillers of the Juvederm range to gently restore what has been lost. 

If you have lost a lot of lip volume, we might need to use a layered technique with a stiffer dermal filler in the base, and the softer dermal filler above. This way we can achieve a natural look.

Before And After Lip Enhancement Treatment by Dr Teresa @ Appledore

Before the treatment

After the treatment

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