Facial Aesthetics at Fourways Dental Surgery We are proud to offer a range of facial aesthetic treatments here at Fourways Dental Surgery, administered by our specially trained clinicians Dr. Avi Riley, and Dr. Fergus Davnall. Aesthetic practitioner, Sue Mitchell has also joined our team. She is a trained beauty therapist, counsellor and post-operative massage therapist, who also specialises in thread vein removal and camouflage make up. We are committed to helping each of our patients look after and make the most of their image through a choice of affordable, high quality and professional facial aesthetic treatments.
Anti Wrinkle Treatment
What is Botox?
Botulinum toxin is a chemical produced by bacterium clostridium botulinum, which when injected into a muscle, causes it to become weakened or inactivated. In the areas treated, the muscles are temporarily inactivated (always reversible), during which time the patient can break the subconcious habit of over-using these muscles.
By using facial muscles repeatedly throughout a lifetime, the skin is creased in areas of greatest use. The ageing process causes the slow down of collagen and elastin production in the skin so that as we get older, these areas become damaged and the lines become more permanent. Botox can also be used to treat teeth grinding & clenching (bruxism), headaches & migraines this is done by relaxing the muscles in the jaw to remove tension.
How safe is Botox?
Botox is used in minute doses, as it is in cosmetic therapy, it has a very high margin of safety. The procedure takes about 15 minutes. The practitioner will ask you to use certain muscles of the face to observe how they work.
How long does it last?
The treatment normally starts to take affect after 4 - 14 days, but this may vary slightly with some individuals . The effects will normally last between 2-6 months but can differ for each individual.
Treatment is not recommended if you are pregnant or a nursing mother.
Areas that can be treated
Forehead wrinkles
Crow's feet
Under-eye lines
Frown lines
Gummy smile
Marionette lines
Top of the nose
Jaw Angle (teeth grinding — bruxism)
Lipstick lines
Testimonial
Dermal Fillers
What are Dermal fillers?
Dermal fillers are injectable products either synthetic or natrual which are used to help restore volume or fill in various lines around the face. They are injected under the skin to give a more youthful or enhanced look.
Dermal fillers are administered by a trained medical practitioner and are injected around the face using various techniques. The treatment generally takes around 30-45 minutes to administer. Your medical practitioner will discuss your thoughts and assess your face to decide on the best treatment plan for you. Topical anaesthetic is usually applied 30 minutes before the treatment to reduce any discomfort.
How long does it last?
Results are instant and can last on average 4 - 8 months depending on area, although this can differ for each individual, with some results lasting over 12 months.
Areas that can be treated
Naso-labial folds
Marionette lines
Lips & vermillion border
Smoker’s lines
Cheeks
Mouth corners
Tear troughs
Chin augmentation

"So delighted that I had this procedure done. I initially went to see the team at Fourways dentist surgery as my lower face was sagging where Sue Mitchell suggested I went to see Dr Darryl Coombes who advised me on the Apex Face lift. Dr Darryl Coombes was so professional and explained everything to me that I decided to go ahead at Fourways dental practice for the procedure. Dr Coombes and the team made me feel completely at ease throughout and I would recommend anyone thinking about having this done to go ahead as he is such an amazing surgeon and I'm so thrilled with the results. From the consultation to the after care I have been very well looked after and have had no problems at all."
K.Gunner