Dr.vaitovich

Ptosis after anti-wrinkle injections is not always the same complication.

Behind one word, there can be completely different clinical situations:
• “Mephisto” brow
• brow ptosis
• true upper eyelid ptosis

And each of them has a different cause, different anatomy, and different correction strategy.

That is why the most important step is not to “treat ptosis” in general, but to understand exactly which type of ptosis you are seeing.

In this carousel, I break down:
• how each type looks clinically
• why it happens
• what can be done in practice
• when it is better to wait
• which treatments require caution

Important: correction should always be based on anatomy, dose, injection points, timing, and individual muscle activity. This post is for professional education and does not replace medical assessment.

Save this as a quick clinical checklist and share it with a colleague who works with botulinum toxin.

injectortraining aestheticdoctor botoxeducation facialanatomy ptosis browptosis eyelidptosis mephistobrow botulinumtoxineducation toxintreatment botoxcorrection complicationmanagement aestheticcomplications dermatologyeducation cosmeticdermatology geometryclinic harleystreetclinic londonaesthetics marlowclinic drsvai

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Same face. Better support.

Lifting isn’t just about the jawline — it’s about vectors. Treating the upper and midface helps support the lower face too, so the whole structure lifts, not just one point.

No volume added. Just skin, tightened and better supported.

Ultraformer MPT · Full face approach

📍 Harley Street

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5 years. 5 lip filler treatments. No dissolving.

This patient first came to me in 2021, before having any lip filler.

Over the following five years, we treated her lips approximately five times — gradually adding and maintaining volume rather than trying to create a completely different shape.

And this is something I think is important to show.

Lip filler doesn’t necessarily need to be dissolved and restarted every few years.

When the anatomy is respected, the right amount of product is used and filler is placed appropriately, we can simply maintain a beautiful result over time.

2021 → 2026:

• More volume, but still her lips
• Natural proportions maintained
• Definition preserved
• No obvious filler migration
• Never dissolved

The goal of good lip filler isn’t to make each treatment noticeable.

It’s to look at the lips years later and still recognise the anatomy we started with.

Enhance. Maintain. Don’t overfill.

ULTRAFORMER MPT — FULL FACE APPROACH

Why do we treat the full face rather than concentrating only on the jawline?

Because facial lifting is not about tightening one isolated area. It is about creating a global tightening effect across the face.

By treating multiple areas and working at different depths, we can create lifting vectors throughout the upper, mid and lower face. These vectors work together, producing an overall shift and tightening of the tissues rather than simply trying to sharpen the jawline from below.

This is why a full-face approach can create a more balanced and natural result: better midface support, improved facial contours and a cleaner, more defined lower face.

Before every Ultraformer MPT treatment, we perform an ultrasound scan of the face to assess individual anatomy, tissue thickness and underlying structures. This helps us plan the treatment more precisely and select the appropriate depths for different areas.

No volume added. No change to your features.

The aim is a subtle, global lift —
the same face, just better supported.

Ultraformer MPT | Full Face
Geometry Clinic

AT 39 — From a Woman to Women.
Part II: Finding Your Centre.

The second part of a series of thoughts I wrote around my 39th birthday — about the people we surround ourselves with, where we place our attention, and why, as women, we sometimes need to bring that attention back to ourselves.

Not to become selfish.
But to build a life that still belongs to us.

Because we all have our small galaxies.
And sometimes we forget to tend to our own.

Part III coming next.

The full piece is already on the Geometry Clinic blog — link in bio.