These are the small superficial vertical lines above your upper lip and sometimes below your lower lip too. They are often called smokers lines, but they usually occur in non-smokers. They are often combined with a decrease in lip volume, and patients complain their lipstick ‘bleeds’ out of the lips.

These vertical lines appear as a result of ageing, loss of collagen and UV damage. There is also a degree of overactivity of the circular muscle around the lips called the obicularis oris. Lighter skin types have less inbuilt protection from UV damage in the form of melanin so are more prone to getting wrinkles at an earlier age.

Bruxism is the pain associated with excessive grinding of the teeth and TMJ dysfunction. Some patients get such severe pain that their jaw can lock and some also experience headaches and neck pain with it.

Excessive grinding of the teeth is usually stress related and often occurs at night. With time, the masseter muscle on the sides of your jaw gets larger with excessive use, perpetuating the problem.

Everyone knows what a double chin is but technically, it is heaviness under the chin area.

People assume it is always due to excess fat, but it is often due to skin laxity or a strong platysma muscle. However, we always advise patients to reach their weight goal before targeting this area to get better results. There is usually an element of excess fat but it is extremely common to get it in slim patients as well, especially from their 30s onwards.