Non-surgical cosmetic treatment

BOTOX® and fillers in Birmingham, Solihull and Sutton Coldfield

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I feel very lucky to have been referred to Dr Elledge, he was very understanding and empathetic and explained my options very clearly. My operation has been a success, and I've found my confidence again. I really cant thank him enough.
Solihull Hospital NHS patient feedback on 2022

As part of my training I undertook a cosmetic surgery fellowship (TIG Fellowship in Reconstructive & Aesthetic Surgery) in Nottingham. As a Consultant and specialist in Oral and Maxillofacial Surgery, I have a unique understanding of the facial mimetic musculature and the hard and soft tissues. This is predicated upon 20 years of training in the field and thousands of patient encounters and surgeries.

I am very happy to see patients for non-surgical aesthetic treatments such as BOTOX® (onabotulinumtoxinA) injections and dermal fillers. I regularly use Dysport® (abotulinumtoxinA) in my temporomandibular joint (TMJ) practice as well to treat masseteric hypertrophy (bulkiness of the cheeks from muscle overuse) which can provide relief from habitual clenching, grinding and muscular pain. This can also have a "slimming" effect on the face and be used for cosmetic purposes.

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What is BOTOX®?

BOTOX® is commonly used to treat dynamic wrinkles (those that appear upon movement) in areas such as crows' feet, forehead, "bunny lines" and peri-oral rhytids (around the mouth) among others. It is administered using fine needles into the facial musculature at strategic points to relax these muscles. It is a purified protein that blocks the release of acetylcholine at the junction between motor nerves and muscles, thereby temporarily paralysing these muscles for some months. This in turn relaxes dynamic wrinkles and lines, rendering a more youthful appearance for the patient. It can be used in novel ways to simulate surgical cosmetic treatments, as in a non-surgical brow lift.

What are dermal fillers?

Static wrinkles and lines (those present at rest) are better handled with dermal fillers. In my practice I tend to use hyaluronic acid based fillers such as Juvederm® and Restylane®. These "plump up" the soft tissues to reduce the ageing affects of wrinkles and give a fuller appearance to key areas such as the upper lips and cheekbones, restoring youth in a subtle but noticeable way. They go further in improving skin quality, adding definition and contour, improving facial asymmetry and softening scars when required.

I am also able to advise on alternative treatments such as Profhilo® to rejuvenate, hydrate and stimulate collagen and elastin production, as well as using dermal fillers in novel ways such as the creation of a non-surgical rhinoplasty.

As a Consultant and specialist in Oral and Maxillofacial Surgery, I am able to provide regional blocks to the nerves that supply your skin, rendering injectable treatments largely painless with just a few initial injections of local anaesthetic. This sets me apart from many non-specialist practitioners in the field.

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