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Dr. Bret Burgess is a doctor trained in the UK, who earned his medical degree from the University of Leeds in 2010. With over 8 years of experience in Surgery, his subspecialties include Plastic Surgery and, more recently, General and Trauma Surgery. Additionally, he holds a BSc degree with first-class honors in Medical Anatomy, focusing on facial nerve anatomy and dissection.
In recent years, Dr. Burgess has worked in Emergency Medicine in both metropolitan and rural settings, gaining extensive experience in managing complex acutely ill and deteriorating patients. He has received training at the internationally recognized Dermahub for advanced injectables treatments and facial contouring, continuously enhancing his skillset.
Passionate about self-improvement, bodybuilding, and functional medicine, Dr. Burgess adopts a holistic approach to health and longevity. His keen interest in cosmetic artistry, coupled with his anatomical expertise, safety-oriented mindset, and creative flair, drives him to assist patients in realizing their vision of their best and authentic selves.
Explore Common Concerns
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Lines and wrinkles are a natural part of aging, but they can also be influenced by various factors.
Aging
As we age, our skin loses collagen and elastin, leading to a decrease in skin elasticity and firmness. This results in the formation of lines and wrinkles.
Sun Exposure
Prolonged exposure to the sun's harmful UV rays can accelerate skin aging and lead to the development of premature lines and wrinkles.
Smoking
Smoking can contribute to the breakdown of collagen and elastin in the skin, hastening the appearance of lines and wrinkles.
Facial Expressions
Repetitive facial movements, such as smiling, squinting, or furrowing the brow, can lead to the formation of dynamic wrinkles over time.
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Volume loss in the face is a common aspect of aging that can lead to a hollow or sunken appearance.
Aging
As we get older, the production of collagen and hyaluronic acid decreases, leading to a loss of skin elasticity and volume. This can result in a sagging or deflated look in certain areas of the face.
Genetics
Some individuals may be more predisposed to experiencing volume loss due to genetic factors that influence the structure and composition of their skin and tissues.
Weight Loss
Rapid or significant weight loss can also contribute to volume loss in the face, as fat stores are reduced, resulting in a loss of fullness in certain facial areas.
Sun Exposure
Prolonged exposure to UV rays can accelerate the breakdown of collagen and elastin in the skin, hastening the loss of volume and contributing to premature aging.
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Under eye darkness and bags are common concerns that can be influenced by a variety of factors.
Aging
As we age, the skin around the eyes becomes thinner and less elastic, making blood vessels and underlying structures more visible. This can lead to the appearance of under eye darkness and bags.
Genetics
Genetics can play a significant role in under eye darkness and bags, with some individuals predisposed to having thinner skin or a specific anatomical structure that contributes to these concerns.
Lifestyle Factors
Lack of sleep, stress, poor diet, dehydration, and excessive sun exposure can exacerbate under eye darkness and bags, making these concerns more prominent.
Allergies and Sinus Issues
Allergies, sinus congestion, and other underlying health conditions can cause fluid retention and inflammation around the eyes, leading to puffiness and dark circles.
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Perioral lines, commonly referred to as lipstick lines or smoker's lines, are the vertical wrinkles that form around the mouth, particularly the upper lip. These lines often become more noticeable with age and can be exacerbated by factors such as smoking, sun exposure, and repetitive facial movements.
The development of perioral lines is a natural part of the aging process, as the skin's collagen and elastin fibres diminish over time, leading to a loss of skin elasticity and the formation of wrinkles. Additionally, repeated puckering movements, such as those made while smoking or from regular facial expressions, can also contribute to the deepening of these lines.
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Crow's Feet
Crow's feet, also known as laugh lines or character lines, are the fine lines and wrinkles that form at the outer corners of the eyes. These lines often develop as a result of the natural aging process, repeated facial expressions (such as squinting or smiling), sun exposure, and a decrease in collagen and elastin production in the skin.
Crow's feet are a common concern for many individuals, as they can make a person appear older or more fatigued. While these lines are a natural part of aging, there are treatment options available to help reduce their appearance.
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Chin dimpling, also known as "orange peel chin" or "peau d'orange," refers to the appearance of small, puckered indentations or irregularities on the skin of the chin. This condition often arises due to the overactivity of the mentalis muscle, which is located in the chin area. Excessive tension or contraction of this muscle can lead to the development of visible dimples or ripples on the surface of the skin.
Chin dimpling can be a cosmetic concern for some individuals, impacting their self-confidence and overall facial appearance. While the exact cause of chin dimpling can vary from person to person, it is commonly associated with aging, genetics, and certain facial expressions or movements.
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Ageing lips are a common concern that many individuals face as they grow older. The lips, like the rest of the face, undergo changes over time that can contribute to a less youthful appearance. Some of the common signs of ageing lips include:
Loss of Volume: As we age, the production of collagen and elastin in the skin decreases, leading to a loss of volume in the lips. This can result in thinner lips and the development of fine lines around the mouth.
Wrinkles and Fine Lines: The repetitive movements of talking, eating, and smiling can lead to the formation of wrinkles and fine lines on the lips and around the mouth. These lines can become more pronounced with age.
Drooping Corners: The corners of the mouth may start to droop or turn downward as facial muscles weaken and skin loses elasticity, contributing to a sad or aged appearance.
Decreased Moisture: Ageing lips may also experience a reduction in natural moisture levels, leading to dryness, chapping, and a loss of plumpness.
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The shape and appearance of the lips play a significant role in defining the overall aesthetics of the face. Lips come in various shapes and sizes, influenced by genetics, age, lifestyle factors, and personal habits.
Full Lips: Full lips are characterised by ample volume and a prominent appearance. They are often associated with youthfulness and sensuality. Individuals with naturally full lips may have a well-defined vermillion border and a prominent cupid's bow.
Thin Lips: Thin lips, on the other hand, have less volume and a thinner appearance. They may lack definition in the vermillion border and cupid's bow. Lip fillers or augmentation procedures can be used to enhance the volume and shape of thin lips.
Cupid's Bow: The cupid's bow refers to the double curve on the upper lip, resembling the bow of Cupid, the Roman god of love. A defined cupid's bow is considered a desirable feature in lip aesthetics and can enhance facial symmetry.
Straight Lip Line: Some individuals have a straight lip line, where the upper lip has minimal curvature and appears more horizontal. This lip shape can create a subtle and understated look.
Downward-Turned Lips: Lips that droop or turn downward at the corners can give the appearance of a sad or aged facial expression. Lip augmentation techniques can help lift the corners of the mouth and create a more youthful lip shape.
Uneven Lips: Asymmetry in lip shape, where one lip is fuller or higher than the other, can be a common concern. Injectable fillers or lip augmentation procedures can help balance out the shape and symmetry of the lips.
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Marionette lines, also known as puppet lines, are the creases or wrinkles that extend from the corners of the mouth down to the chin. These lines can give the appearance of a downward sagging or "puppet-like" expression, hence the name. Marionette lines are a common sign of aging and facial volume loss, and they can contribute to a tired or unhappy look.
Loss of Skin Elasticity: Over time, the skin's natural elasticity decreases, leading to the formation of wrinkles and sagging in areas such as the corners of the mouth and the chin.
Decreased Collagen Production: A reduction in the production of collagen, a protein that provides structural support to the skin, can contribute to the development of marionette lines.
Facial Fat and Bone Loss: Age-related loss of facial fat and changes in bone structure can cause a loss of facial volume, leading to the deepening of marionette lines.
Repetitive Facial Movements: Certain facial expressions and movements, such as frowning or pursing the lips, can contribute to the development of marionette lines over time.
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A gummy smile, also known as excessive gingival display, is a condition where a person's smile shows an excessive amount of gum tissue, often disproportionate to the size of the teeth. This can be a source of self-consciousness for some individuals, as it may affect the aesthetics of their smile.
There are several common causes of a gummy smile, including:
Excessive gum tissue covering the teeth
Hyperactive upper lip muscles that lift too high when smiling
Overgrowth of the upper jaw, leading to the appearance of more gum tissue
A short upper lip that reveals more gum tissue when smiling
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Masseter hypertrophy is a condition characterised by the enlargement or overgrowth of the masseter muscle, which is one of the major muscles involved in the movement of the jaw. This condition can result in a more pronounced or square-shaped jawline, often giving the appearance of a "strong" or "chiseled" jaw.
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Axillary hyperhidrosis is a medical condition characterised by excessive sweating in the armpit region. This condition can be disruptive and embarrassing for those affected, as it can lead to sweat stains on clothing, body odor, and social discomfort.
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Jowl formation refers to the sagging or drooping of skin and tissue along the lower jawline and under the chin, resulting in the appearance of loose and fatty tissue in the lower face area. This common sign of aging can affect both men and women as they get older, and it is often a result of the natural loss of skin elasticity, collagen, and fat deposits in the face.
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Platysmal bands, also known as neck bands or neck cords, are vertical bands or lines that can become more prominent in the neck as a person ages. These bands are caused by the tightening and thickening of the platysma muscle, a thin sheet of muscle that extends from the chest and shoulders up to the jawline and lower face.
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A non-surgical rhinoplasty, often called a "liquid nose job," is a procedure where injectable fillers (like hyaluronic acid) are used to alter the shape of the nose temporarily, without the need for surgery. It can smooth out bumps, lift the tip, or enhance symmetry. Results typically last 6-18 months.
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