Sunday 27 September 2015

Safety, efficiency and best results: Dr Bong leads the way

This blog poses an interesting question - should your facial aesthetics doctor use a sharp hypodermic needle OR a blunt-tip cannula for treatments and procedures?

With the increasing interest of facial rejuvenation to maintain a youthful appearance, minimally invasive procedures are becoming more popular.



The use of dermal fillers to soften the appearance of wrinkles and folds as well as restore volume and contour has grown exponentially over the last decade.

The type, grade and application of dermal filler have also changed and we now have more than 250 brands of dermal fillers in Europe.

Most dermal fillers now come incorporated with a local anaesthetic agent to minimise the level of discomfort during the procedure. In spite of all the different brands, the one thing they all have in common is that they come pre-packed with a sharp hypodermic needle of varying diameter.




In Scotland, the majority of practitioners still use sharp needle for injecting dermal filler because these needles come free within the packaging. At our Glasgow-based cosmetic surgery practice, Essence Medical Cosmetic Clinic, Dr Kieren Bong – known internationally as the ‘Master of Contouring’ – rarely uses a sharp needle for the injection of dermal filler in the face. So what’s wrong with needles? And what’s Dr Bong’s reasoning behind his decision?

What’s wrong with sharp hypodermic needles?

Sharp tipped needles have several adverse characteristics. They are, of course, sharp and during their introduction into the skin they will:

    lacerate blood vessels
    require repeated insertion to re-position
    cause damage to surrounding tissue
    cause bruising
    they may terrify the patient

What are the areas of the face where blunt-tip cannulas can be used?


    Full face restoration of volume and contour
    Nose to mouth lines
    Marionette lines
    Softening under-eye hollows
    Lips contouring
    Defining jaw line

What are the advantages of using blunt-tip cannula?

In Dr Bong’s opinion, The blunt tip cannula provides a great number of distinct advantages and is an impressive alternative to sharp tipped needles:

Superior patient comfort – the procedure does not hurt as much as using sharp needles.

Minimising risk of bruising – with no bruising, patients may really return to work or attend social events immediately after the treatments.

Patients who may be needle phobic feel more reassured that it is a blunt-tip instrument and will be further reassured by the genuine lack of pain.

Because the cannula is a small, blunt and flexible instrument, it simplifies the filler injection process by requiring fewer punctures.

Blunt-tip cannulas have the ability to cover a greater area in a single treatment. One or two entries with the cannulas can fill approximately half of a patient’s face versus the sharp tipped needle which requires multiple penetrations and covers less area.

For a consultation with Dr Bong to discuss your facial aesthetics requirements please contact our clinic reception team on 0141-8949098 or 0800 680 9098 or use our contact form to book.

This article originally published at Essence Medical Cosmetic Clinic Blog here

Tuesday 22 September 2015

Dermal Fillers - Frequently Asked Questions (FAQ)

Dermal filler is one of our most popular treatments. Essence Medical Cosmetic Clinic is one of Scotland’s most established clinics and it is led by Dr Kieren Bong. Dr Bong is widely recognised as one of Europe’s top cosmetic doctors. He is an internationally sought after trainer and key opinion leader and is well known for his artistry in achieving results which are both very natural and age appropriate. Below is a compilation of the Top 10 frequently asked questions on dermal fillers.



Dermal Fillers FAQ Glasgow

1. What are dermal fillers?


Dermal fillers are substance/gels injected beneath the skin’s surface to smooth wrinkles and add volume and contour. The products are composed of stabilised hyaluronic acid (HA) which occurs naturally in the cells of the skin. It works by drawing in water and therefore augmenting the skin, thus reducing the wrinkle treated. It is by no means permanent and is totally biodegradable. Depending on what type of dermal fillers, results can last between one to two years.

Dermal fillers are very safe and have been used for over a decade. The most popular brand of dermal filler has sold over 20 million syringes.

2. What areas can dermal fillers be used for?



Best Dermal Filler Areas The face loses volume and contour when we age, the bones and the soft tissue dissolve and contribute to appearance of sagging. Dermal fillers may be used to replace this volume loss and restore the structural support, giving the patient a more youthful appearance. The aim is to make the face more harmonious and rejuvenated.

For instance, the lips may be injected to improve their shape, size, symmetry and proportion. The cheeks may be injected to make a face more defined and attractive. An underdeveloped chin may be injected to make it appear more projected and proportionate. The nose may be injected to improve the shape and its contour.

3. What does the procedure entail and is it painful?

It can be painful if the procedure is carried out by injector who is not as skilled.

Generally, basic dermal filler procedures require no anaesthetic as the dermal filler contains local anaesthetic. It is simple and straight-forward, involving a few tiny injections directly into the skin, and takes between 15-30 minutes. Make-up can be applied immediately after the procedure and you can go straight back to work. Result can be seen immediately. Optimal results can be maintained over a long period of time through regular repeated treatments. The procedure varies from person to person depending on your requirements and the severity of the wrinkles that are being treated, in addition to the particular dermal filler being administered.

4. How soon will I see any result and how long does it last?

Results are seen instantly after the treatment, although this gradually improves over the course of the following 2-4 weeks. Results can last between 9-18 months although optimal results can be maintained over a long period of time through regular repeated treatments. The lengevity varies from person to person depending on your requirements and the severity of the wrinkles that are being treated, in addition to the particular dermal filler being administered.

5. Are dermal fillers safe?

Yes. We use only products with proven safety record. Hyaluronic acid (HA) is a substance which occurs naturally in the cells of the skin, thus there is no risk of allergic reactions. Even people with food sensitivities can receive these fillers safely. The brands of dermal fillers we use are available in more than 90 countries and have been used as an injectable cosmetic treatment for more than two decades with an excellent safety record.

6. What are the key benefits of having my treatments at Essence Medical?

We only use market-leading brands

We will not compromise on our standards and use the highest grade of dermal fillers for more dramatic results with better lift and tissue support

Consultation and treatment are personally undertaken by Dr Kieren Bong who is an international speaker and trainer in advanced facial aesthetics procedures

Virtually pain-free treatment – Dr Kieren Bong is an experienced doctor who uses anaesthetics to numb the area being treated for increased patient comfort

Dr Kieren Bong is well known for his methods of achieving beautiful yet incredibly natural cosmetic results with minimal pain, bruising and down time

We provide excellent post treatment care

Dr Kieren Bong is often featured in numerous national and international magazines and newspapers

7. Are there any side effects?

Today’s dermal fillers have come a long way since the first-generation of collagen injections. Advanced injection techniques, coupled with the use of micro-cannula (blunt needle) and improved product safety means that significant side effects are extremely uncommon but may include:

Injection-related reactions: these reactions may include redness at the injection site immediately after the treatment.

Bruising: occasionally bruising can occur. However the use of micro-cannula (blunt needle) dramatically reduces the risk of bruising.

Contour irregularities can and do occasionally occur. Massaging can usually smooth out any ‘lumpiness’ however if persistent the filler can be easily and rapidly dissolved.

Infection – as with all injections, this procedure carries a risk of infection. The syringe is sterile and standard precautions associated with injectable materials are taken.

Necrosis – one of the worst possible complications of dermal filler. Fortunately, this is extremely rare. It happens when the dermal filler is accidentally injected into a blood vessel and it subsequently blocks the blood supply to the skin/tissue in that area.

Blindness – This is a very rare complication. There have been approximately 100 cases in the world and is caused by injecting dermal filler into blood vessel which has a connection with the artery which supplies blood and oxygen to the eye. There is no treatment so far for this that has been successful.

8. Are there any after-care instructions?

After your treatment we will again go through with you any after care advice in order to maximise your treatment benefits and avoid any undesirable side effects.

You can resume normal activities, drive yourself home or return to work immediately after the treatment.

As with any type of injection there may be some slight redness immediately afterwards. Camouflage make up may be applied.

The results directly after the treatment should therefore not be seen as the final results. This is because over the following 2 weeks the results will gradually improve.

For 2 weeks after the treatment you are advised to avoid extreme heat (sun bed or sunbathing) or intense cold.

9. How much does it cost?

Cost depends on the type of dermal filler, amount dermal filler is required and the areas of the face you wish to be treated (e.g. undereye hollow and cheeks). During the consultation, Dr Bong will formulate a treatment plan for you and advise the exact cost of your treatments. Our prices are competitive and your treatments will be carried out by an international expert. We believe our patients deserve the utmost safety in our care and we are committed to offering reliable, safe and effective results. Prices start from around £300. Please refer to our price list.

10. How do I find a good cosmetic doctor for my dermal fillers treatments?

I have a specific blog article about this question of how to find the best cosmetic doctor. However, the most important things to consider are:

Is the injector qualified and experienced? In some countries such as Australia, nurse injectors are not allowed to inject without direct supervision of a doctor.

Does the injector have the knowledge to identify signs of complications and act on them?

Is it a clinic or is the injector a ‘mobile injector’? If an injector goes to beauty salon or other premises, it is usually an indication that they do not have a full time practice and may not be as skilled or experienced.

Does the doctor share your aesthetic vision?

For further information on our dermal fillers or to book a consultation, please use our contact form, email us at: contact@essencemedical.co.uk or telephone 0141 894 9098.


This article originally published at Essence Medical Cosmetic Clinic Blog here

Friday 4 September 2015

Dr Bong Featured In German Elle Magazine



This month’s German edition of Elle magazine has carried a feature on our Dr Kieren Bong and Essence Medical, focusing on Dr Bong’s pioneering, non-surgical, Two-Point Eye Lift treatment.

The magazine’s feature was examining new techniques in facial aesthetics. The article highlighted how painless the procedure is and how quickly patients can return to work. Here’s the magazine piece  translated:

The appearance of undereye dark shadows, puffiness and tear trough can be softened in a few minutes by the painless Two-Point Eye Lift treatment. Invented by Scottish doctor, Dr Kieren Bong, a specific hyaluronic acid dermal filler which contains anaesthetic is injected through only two injection points in the undereye area. “this technique minimises the risk of side effects such as bruising in this delicate area. You can return to your work immediately after the treatment,” says Dr Bong."

This isn’t the first time Dr Bong has appeared in the press, with features highlighting his expertise published in newspapers including The Mail on Sunday, The Scotsman, the Daily Express, and the Daily Record, and in magazines such as No.1 and Heat Magazine.

Dr Bong is a qualified medical doctor with a surgical background. He specialises in non-surgical cosmetic procedures. He is an international trainer and speaker, teaching other doctors and surgeons advanced facial aesthetic treatments. Essence Medical is based in Glasgow. Dr Bong is known as the “Master of Contouring”, thanks to his specific focus and techniques used in his facial cosmetic work.

To find out more about Dr Bong, our treatments or anything else about Essence Medical, please use our electronic contact form or telephone 0141 894 9098.

This article originally published at Essence Medical Cosmetic Clinic Blog here

Thursday 3 September 2015

How To Find The Best Cosmetic Doctor?

A Guide to finding the best cosmetic doctor for Botox and dermal fillers treatments


Non-surgical facial aesthetics treatments are becoming more and more popular. Several years ago they were the preserve of the rich and famous. With 50,000 cosmetic surgery procedures performed in the UK in 2013 and an estimated 10 times that number of non-surgical treatments there are clearly more and more choices. Unfortunately, there are also many ‘cowboys’ out there. For instance, Botox is now offered in many places, from aesthetic clinics to medi-spas and to nail salons and hairdressers; with so many choices at varying price points it can be daunting to know which one to choose – the promises of younger looking skin and no more wrinkles are everywhere.

It is vital that you do your research and ensure your safety comes first; it’s not a good idea to just pop to your local beautician on a whim without doing the proper research. It is your face, after all.

5 Questions To Ask When Choosing A Cosmetic Doctor
Are they full-time or part-time?

How long has the doctor been injecting, FULL-TIME? The longer the better. Many practitioners offer treatments such as Botox and Dermal Fillers as a ‘hobby’ or ‘on the side’. More often than not, their main job is a nurse or doctor in a completely different specialty. This can be an indication that they are not as skilled or experienced. A surgeon performing injectables one day per week, would take a long time to become skilled in injecting.

How long has the doctor been at their current practice and how long has their practice been established?

This indicates trustworthiness, stability and reputation.

Does the doctor perform any other type of medicine/surgery?

Many practitioners offer treatments such as Botox and Dermal Fillers as a ‘hobby’ or ‘on the side’. More often than not, their main job is a nurse or doctor in a completely different specialty. This can be an indication that they are not as skilled or experienced. A surgeon performing injectables one day per week, would take a long time to become skilled in injecting.

What happens if there’s complications and how they deal with them?

Be wary of practitioners who claim a history of no complications. If a practitioner does enough procedures, they will unfortunately come across complications. It is a matter of the practitioner knowing how to spot the signs and symptoms of impending complications and deal with them accordingly. Ask them what their procedure is should a complication arise.

Does the doctor’s aesthetic sense and vision match your own?

Botox GlasgowThe way to do this is to check their website for before and after photos of THEIR OWN WORK.

The majority of practitioners use stock photos provided by product manufacturers.  These are completely unhelpful in helping you see if the doctor shares your aesthetic sense and vision. Using stock photos also raises the question of how skilled and experienced the practitioner actually is.

9-Point Plan To Find Right Doctor For Your Cosmetic Treatment

Find an experienced injector

Many types of doctors, nurses, and ‘aestheticians’ perform Botox and dermal filler injections. Most countries in Europe forbid nurses inject Botox and dermal filler. In Australia, nurses are allowed to inject but only providing a doctor is on site and supervising. Be sure the doctor you choose has extensive experience in performing the procedure. Don’t be misled by fancy degrees and the number of letters that follow the provider’s last name. There are some doctors who will personally give the injections themselves, whereas many plastic surgeons and medical spas have nurses and aestheticians doing all their Botox and dermal filler treatments.

One thing that is very important is an excellent knowledge of facial anatomy and an eye for facial aesthetics. An experienced doctor of Botox and dermal filler treatments will know exactly where to inject to provide you with the results you desire.

Quality over price

Because of the popularity of Botox and dermal filler treatments, nowadays many places are offering these procedures at cheap prices. There is saying that ‘You Get What You Pay For’ and this cannot be any more true when it comes to medical procedures. If a price seems too good to be true then it probably is as the quality of the product and the practitioner will also be lower.

There are some botox clinics that are offering Botox at ridiculously cheap prices, but cheapest is not always best, don’t make your decision on price alone.  There are reports in the US of unscrupulous practitioners injecting “fake Botox”, or giving diluted doses or sometimes unregulated versions of the medicine.

Fancy titles

Don’t be taken in by unusual or unrecognisable titles such as ‘Advanced Aesthetic Practitioner’ or ‘Harley Street trained practitioner’. Fancy titles do not reflect the skills and experienced of the practitioner.

Clinic or beauty salon or hairdressing salon?

Exercise caution when it comes to non-mainstream premises; hair dressers, department stores, nail and beauty salons etc that are now offering Botox and dermal filler treatments. Medical cosmetic injections should only be carried out by an appropriately trained medical practitioner; not by beauty therapists who lack the necessary clinical background. Medical treatments such as Botox and dermal filler injections should only be carried out in a clean, safe and appropriate clinical environment to avoid infection and even permanent physical damage.

Consultation and follow-up service

Most reputable clinics now offer free consultations to patients who are curious about the procedure and want to find out more. This is good practice and allows you to check the premises and staff to make sure you feel comfortable.  This is also a great opportunity to ask the doctor any questions or raise any concerns you may have.  There should be no pressure to have the treatment at the end of the free consultation. Ensure the clinic has a follow up service.

Check out the appearance of the staff and the clinic

Are the staff overdone? Is the clinic clean, tidy and functional? Are there good systems in place? All of these clues will give you an idea about whether you are going to get the service at the level that you expect.

Landline or mobile phone number?

On the practitioner’s brochure or business card, is there a mobile number or a landline. Clearly a practitioner without a landline should raise some red flags.

Check the doctor’s online reviews

This is highly recommended, albeit with a sophisticated and cautious approach insofar as online reviews may be solicited or inauthentic.

Ask your friends, colleagues and relatives

Your hairdresser and beauty therapist are great places to start! They talk all day long about such things and have access to a large number of clients. You can’t go wrong with this tip. Ask your friends or colleagues who have had this treatment for their opinions about their doctors. When attending a cosmetic consultation, it is not a bad idea to bring with you a friend who has had the treatment before. They will know better than you what questions to ask. Also, does the doctor offer you the option of speaking to his/her past patients?

This article originally published at Essence Medical Cosmetic Clinic Blog here