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Over the past few years, I notice I am looking increasingly tired despite my good health and natural energy.
Written by Dr William McGillivray   

Q: Over the past few years, I notice I am looking increasingly tired despite my good health and natural energy. I recently lost some weight, which was great for my figure, although my face is now looking worse! I am familiar with treatments such as Botox and fillers, but I have seen results that looked unnatural and that is not "me." What can I do to achieve a more youthful and healthy appearance without changing my natural face?

A natural, rested appearance consistent with youthful vitality and overall good health is a goal I share with my patients. There is both an art and a science to this. The key is strongly understanding facial anatomy and underlying causes of facial changes, using the most appropriate technologies in the right combination and then respecting the natural attributes of a unique face. Best outcomes not only restore a younger, healthier appearance - they also slow the aging process.

Facial aging includes dynamic lines, fat loss and superficial skin changes, all of which are greatly accelerated by sun exposure. Addressing facial aging will usually involve an appropriate amount of a neuromodulator, such as with Xeomin® Cosmetic, BOTOX COSMETIC® or Dysport® treatments, to help soften frown lines. By experienced physicians, neuromodulators are used in conjunction with dermal fillers to normalize or smooth facial shape by restoring volume to the specific fat compartments which have lost volume. In this way, we not only restore natural volume to the cheeks, but also to the temples and forehead lines. Safe and advanced dermal fillers, including hyaluronic acid products and Radiesse®, are recommended for this. Finally, specialized devices employing laser, radiofrequency or focused ultrasound energy can resurface and tighten the skin for a natural outcome with little-to-no recovery and great improvements to skin health.

My best advice, to ensure safety and satisfaction, is to seek out ethically focused physicians who are well experienced and hold the best interests of their patients in mind.

Dr William McGillivray -

Dr. McGillivray is one of Canada's most accomplished and well respected cosmetic physicians. His commitment to excellence has been recognized by his peers both nationally and internationally. Dr. McGillivray is actively involved in original clinical research as well as being a national preceptor and speaker for various lasers, Botox Cosmetic and dermal fillers. He co-founded Pacific Dermaesthetics in downtown Vancouver and pursued his dream of founding a clinic offering patients an integrated approach to skin health. That’s what he did in South Granville with Project Skin MD. www.projectskinmd.com

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