Before After Pictures

Our Service Gallery
CCo, Botox & Filler

BEFORE

Prominent facial expression creases in forehead, marked volume loss in lower face

CCo, Botox & Filler

AFTER

Botox, Fillers (Juvederm)

Note:  This woman had her first session of Botox and Fillers recently.  During her information session she was advised that she would require some «catch-up» fillers given her age and acquired volume loss.  However, she elected to begin modestly with just two fillers to her lower face including a modest amount to her lips.  She realizes that her requirement is greater than just two fillers, but she would like her skin improvement to be subtle.  Indeed, she clearly looks better with forehead smoother and cheeks firmer and more round.  Her lips show more red colour and slightly less wrinkle.  This is so gradual and she can improve the lips each time she augments her facial volume until she is satisfied with the catch up. It should be noted that «seeding» the lips with Hyaluronic Acid stimulates natural cell proliferation and collagen building.
Laser Peel, SC

BEFORE

Aging

Laser Peel, SC

AFTER

Laser Peel, Anti Aging skin products, Botox, Fillers

Note: This woman says she is very happy with the gradual transformation she experienced after laser peel, Botox, Fillers, and anti-aging skin products.  Although she is a positive person to start with, the caring for her body, mind and spirit that she undertook one year ago has positively impacted her social interface during the past year. She is getting older, and she is also getting better.
Botox

BEFORE

heavy brow, eye circles, deflated cheeks

Botox

AFTER

Botox, Fillers to face

Note: Botox has reduced the wrinkling around her eyes and produced a dramatic brow lift to create a smoother, wide-eyed, more positive expression. The fillers have reversed the natural deflation of the cheeks and peri-oral zones. The rounder, uplifted cheeks have given the impression of youth while reflecting light evenly and brightly.

VK, Botox, Filler, Anti-Aging

BEFORE

Wrinkles, droopiness of cheeks

VK, Botox, Filler, Anti-Aging

AFTER

Botox & Dermal Hyaluronic Acid Fillers occasionally over past 3 years

Note:  This attractive young woman has had Botox and Hyaluronic Acid Dermal Fillers occasionally over the past few years.  Clearly her face is anti-aging despite the fact that she has had 3 birthdays since the Before and After pictures were taken. The skin is firmer, with fewer fine lines especially around the eyes. The contours of the cheeks are fuller and firmer, reducing the previously prominent crease between nose and mouth. Notice there is some increased radiance of the skin, consistent with more firmness and hydration of the skin.
BMe, LP, PDT, Acne, Botox Filler

BEFORE

Cystic Acne with severe scarring

BMe, LP, PDT, Acne, Botox Filler

AFTER

Several resurfacing and fractionated laser peels (ErbYag) as well as a few PDT sessions & some Hyaluronic Acid Fillers

Note:  Clearly this woman has suffered scarring cystic acne.  It left white scar mottle all over her forehead, cheeks, chin.  Keloid scarring is evident in between the eyes.  There is still some inflammatory acne that appears on a regular basis.  Like others with acne scarring, she was determined to finally halt acne breakout, and smooth skin to more normal appearance.  It took several laser peels and some Hyaluronic Acid Fillers (Teosyal) to achieve the great improvement shown here.  She looks older, but better.  
BMe, LP, PDT, Acne, Botox Filler, left

BEFORE

Cystic Acne with severe scarring

BMe, LP, PDT, Acne, Botox Filler, left

AFTER

Several resurfacing and fractionated laser peels (ErbYag) as well as a few PDT sessions & some Hyaluronic Acid Fillers

Note:  Clearly this woman has suffered scarring cystic acne.  It left white scar mottle all over her forehead, cheeks, chin.  Keloid scarring is evident in between the eyes.  There is still some inflammatory acne that appears on a regular basis.  Like others with acne scarring, she was determined to finally halt acne breakout, and smooth skin to more normal appearance.  It took several laser peels and some Hyaluronic Acid Fillers (Teosyal) to achieve the great improvement shown here.  She looks older, but better.
CJe, Botox, Anti-Aging

BEFORE

Horizontal forehead wrinkles, frown lines / expression, peaked eye brows, giving a «pulled up» look

CJe, Botox, Anti-Aging

AFTER

Botox Cosmetic

Note:  This 74 year old woman wanted to smooth the wrinkles in her brow and frown zones.  She met her Botox treatment goals.  The brows were somewhat «peaked» in the before picture, but more relaxed in the after picture.  All in all, she looks more relaxed with tall smooth forehead and relaxed but open eyes for a woman of her age.  Beauty is just as important for people of in their 70’s and 80’s as compared to those in their earlier decades.
DJo, Botox, Anti-aging, Eye

BEFORE

Prominent Frown Expression, large muscle bulk

DJo, Botox, Anti-aging, Eye

AFTER

Note lift of Brow off eyelids after Botox Therapy

Note:  Clearly the Botox improved the impression of negative thinking from Before to After.  However, her muscle bulk is large and she may need a few more units of Botox Cosmetic to fully relax the muscles after her very first treatment.  As time passes, the muscles will atrophy and her Botox requirements will reduce.   She has two stationary creases, that is, engraved frown lines after so many years of tonic frowning.  It will take time for these skin engraved creases to diminish to near imperceptible.  Alternatively she could do a «one only» filler to the grooves to smooth them immediately and indefinitely.  If she maintains her Botox therapy to this zone, she will not re-acquire these creases.  That is, Botox Cosmetic is preventive of stationary engraved skin creases in the zone of Botox therapy.  Note arched brows and lift of brows off lids, giving impression of more wide eyes.
BM, Botox

BEFORE

Wrinkles, furrows in brow, heavy brow

BM, Botox

AFTER

Smoother, more energetic positive look after Botox

Note: The forehead is looking much more smooth and relaxed as the wrinkles are diminished after Botox. Also, the eyes are more open as a result of the brow lift, and the lumpy tense muscles between her brows have relaxed.  The wrinkles between her eyes are virtually gone.  Overall, she looks more positive and energetic after the two minute Botox Cosmetic treatment to her glabella and forehead.
Botox

BEFORE

Aging, volume loss, sun damage

Botox

AFTER

Botox, Fillers, Laser Peel

Note: Although this woman is almost 4 years older in the After picture, she looks younger and healthier. Note the radiance of her skin, the absence of sunspots, the full round facial contours, and the diminished eye circles.  She is a healthy living positive person who worked hard through a few treatments and deserves to look great.
DD, BA

BEFORE

Volume loss, wrinkling of age

DD, BA

AFTER

Botox, Juvederm Filler

Note:  This woman appreciated the round full contours after Botox and Filler treatment.  One month later she returned for photo comparison, revealing the younger looking face.  Most notable is the mouth which is droopy at the corners, giving her a «down in the mouth» look.  The lips still look completely natural, not «fake».  The extent of wrinkling around the mouth and in the cheeks is diminished after fillers volume which reversed the gaunt look of an older woman.  Botox was used to smooth forehead and frown.
BJo, Botox

BEFORE

Tired stressed facial expression

BJo, Botox

AFTER

Botox

Note:  The tired stressed look gives way to more relaxed fresher face with Botox treatment, taking only a few minutes to perform, followed by gradual change over two weeks, without side effects or downtime.  Not surprisingly Botox is popular.
DJ, LP Botox

BEFORE

Hyperpigmented, volume depleted, droopy right eyebrow & wrinkled downturned mouth

DJ, LP Botox

AFTER

Mini Combination Laser Peel, Modest Botox and Fillers treatments

Note:  This woman had a Combination Mini Laser Peel which clearly improved the radiance and clarity of her skin.  There is also modest Botox and Fillers therapy that provided some facial and lips volume, rejuvenation.  Her forehead and frown zones are smoother, even her eyebrows are lifted after therapies. Her right eyebrow prior to Botox is droopy, and indeed the Botox treatment provided an eyebrow lift which brought greater symmetry.
Brd, Botox, Eye, Anti-aging

BEFORE

Inherent frown expression, lower right eyebrow

Brd, Botox, Eye, Anti-aging

AFTER

a small dose of Botox

Note:  After a small dose of Botox to her frown zone, she has removed the family history frown lines.  She will prevent skin creasing her and looks more relaxed.  The added bonus is greater symmetry of the brows after Botox as she has a natural lower brow on the right.
Botox, Bcar

BEFORE

Genetically prominent brows

Botox, Bcar

AFTER

Botox Brow Lift and Frown Line Treatment

Note:  The brow lift is evidenced here by the clearance of the brow on her upper lid.  She was born with prominent brows over top of her lids, but you can see that Botox was effective in lifting the brow up and off the lids, to her delight.  Although she was wearing no eye make up in the After picture, it will be easier in future for her to apply her make up with the brow-lid clearance. This photo was taken 2 months after her Botox treatment and the benefit will last generally 3 - 6 months.
EDa, Botox

BEFORE

Frown habit, skin creases, heavy brows

EDa, Botox

AFTER

Botox therapy

Note: Two weeks after Botox therapy to her eyebrows she has a lift of the eyelids off the lids just a few millimetres.  This is significant for a woman who has such heavy brows.  Initially she could not manage to put mascara on her lashes because the eyebrow rested on the lashes, but after treatment there is some clearance of the brows off the lids/lashes.  The skin creases in the frown area are not smoothed completely yet because they are etched in the skin like scars.  With time, these creases will remodel and smooth again.  She looks happier and more energetic, youthful.
Botox, BLi

BEFORE

Slightly serious expression

Botox, BLi

AFTER

Botox

Note: Note the nice improvement in the overall appearance of this 41 year old. Sometimes photos don’t do the results justice, and in this case it may be so.  She was thrilled with the wide eyed happy look achieved with just a small amount of Botox to the frown zone. It is safe, reasonably priced, takes only a few moments, and there is no downtime.  There is no need to book ahead.  Nirvana is a Walk In Clinic.
Botox, BT

BEFORE

Elastosis, Photoaging, Volume Loss

Botox, BT

AFTER

Laser Resurfacing, Topical Products, Botox, Dermal Fillers

Note: This patient had very poor skin at time of presentation after years of sun, smoking, and menopause. The improvement is quite remarkable after some laser resurfacing, Botox, Dermal Fillers, and some topical products.
CA, Botox, Anti-aging, Eyes

BEFORE

Frown and forehead stress wrinkles

CA, Botox, Anti-aging, Eyes

AFTER

Botox

Note:  A small amount of Botox to the frown and forehead has taken the fatigue and stress out of the facial expressions.
MM, Botox

BEFORE

Brow Droop, Hyperdynamic wrinkling on forehead, frown, «tired look»

MM, Botox

AFTER

Botox, small dose

Note:  This woman was unhappy with the «tired look» that was becoming noticeable at age 50.  This is common.  She was recommended Botox to address the stressed look on her upper face.  The worry lines across the forehead were smoothed, while the frown lines were smoothed and the brow was elevated.  Note the eyebrows were not as heavy on the eyelids, giving her a more wide-eyed appearance, as it used to by in the past.  If the dose is right, she should experience this benefit for 3 - 6 months.
MM, F.Face left, Botox, Filler, anti-aging

BEFORE

Brow droop, wrinkles, volume loss

MM, F.Face left, Botox, Filler, anti-aging

AFTER

Botox, Filler small dose

Note:  This woman was noticing that she had a «tired look» about her.  She wanted to try something that would give her a more energetic vigorous look.  Botox and Fillers therapy were done that day, a small amount of filler to the peri-oral and cheeks zones.  Additionally she had a small amount of Botox to the frown and forehead.  She clearly has a more energetic look to her upper face, while her chin and cheek is smoother and more full.  Her first fillers treatment was a therapeutic trial with small dose.  She will clearly need more volume to «catch up» for volume loss over her 50 years.
OV, Botox, Anti-aging, forehead

BEFORE

Chronic muscle tension in the frown and forehead, prominent frown imprint creases

OV, Botox, Anti-aging, forehead

AFTER

Almost 1.5 years after Botox injection!

Note: 17 months after her Botox therapy, she is still slightly improved compared to the Before picture.  The creases in the center and forehead are slightly softer while her eyebrows are slightly elevated off the eye and more flared.  This effect is «preventive» as etched in expression lines soften with Botox induced relaxation.
MKe, Eyelash

BEFORE

Short lashes, zones of no growth, frown lines prominent

MKe, Eyelash

AFTER

Lattisse for eyelashes, Botox for frown

Note:  This eyelashes are elongated, the growth reaching into the medial eyelids where previously not growing well.  The calibre of her hairs is probably thicker, and perhaps the density is greater as well.  Overall, with mascara her eyelashes look more prominent, bushy.  Her frown lines are lessened as well even though she is 5 months from her last Botox treatment.
BCo, Botox and Filler

BEFORE

Volume loss, deflated cheeks, lips

BCo, Botox and Filler

AFTER

9 months after Hyaluronic Acid Fillers

Note:  This woman looks younger and healthier 9 months after 4 syringes of Hyaluronic Acid Filler to her face and lips.  Notice how the lips are more naturally pink since rehydration with the fillers 9 months ago.  Also note the reduction in lip wrinkling.  Most women prefer subtle gradual and natural change to their lips, and certainly this is very natural.  The Before picture reveals some deflation of the cheeks with prominent down pointing nasolabial lines, which became more natural like a young person after Fillers.  She was back 9 months later to repeat the Botox to the frown zone.  She really appreciated the relaxed forehead/frown areas, benefiting from the effects of Botox for approx 9 months.  If examined closely, it can be seen in this After photo that even after just one administration of Botox 9 months earlier, the stationary skin crease in the frown zone is softer.  This crease became imprinted like a scar in the skin after her lifetime of frowning.  Once the frown muscles are relaxed by Botox, the crease will soften and reverse back to smooth within 1 - 1.5 years if she were to maintain her Botox in this zone  This photo set is also evidence of longevity of the Hyaluronic Acid Fillers.
RT, Botox

BEFORE

Frown and forehead creases, asymmetrical brows

RT, Botox

AFTER

Smoother forehead and frown after Botox, more symmetrical

Note: This woman has been pleased with the Botox therapy to her frown and forehead. She looks younger, more energetic now.  It appears that she is more symmetrical now as well. Although Botox confers a brow lift, this change was obtained as a result of surgery.
AR, Botox

BEFORE

Frown Habit with Imprint Expression Crease

AR, Botox

AFTER

Botox cosmetic

Note:  Look at the amount of upper lid that is showing before and after to see that the small lift of the brow off the lid is what makes us look and feel younger in our eyes after Botox.  It is not simply a matter of the wrinkle between the eyes, although this has lessened and looks better. The presence of a «stationary crease» suggests that she had a very strong frown habit to form such a crease at her young age.  This crease will gradually resolve to near zero with time and regular Botox.
GRa, Botox

BEFORE

Increasing eyebrow droop with aging 32 year old, more droop Right Side

GRa, Botox

AFTER

Botox therapy

Note: This young woman suffers a naturally occuring mild eyebrow droop, present since childhood and increasing slightly during the years in her 30’s.  She hoped that Botox would improve this and indeed it did as can be seen from the lateral view.  Look at the clearance between the overhanging brow on the eyelid to see that there is more lid clearance on both sides.  Overall, there is a much more wide eyed, energetic look to her eyes since Botox.  She is thrilled.
OV, Botox

BEFORE

Forehead and Frown Wrinkles

OV, Botox

AFTER

Botox

  Note: This woman is in her mid 50’s and uses Botox once in awhile for special occasions.  She has now a smoother more relaxed look, with slightly lifted brows.  Notice that her «stationary creases» are reduced but not gone.  Botox relaxes muscle, while a pre-existing strong wrinkle in the skin will not vanish with one treatment.  Should she choose to do Botox on a regular basis she will notice that the stationary creases will diminish to near nothing.  Anyone who starts Botox prior to crease formation will avert crease formation.
Botox, GD

BEFORE

UV damage, pre-cancers of skin, volume loss, wrinkles

Botox, GD

AFTER

Levulan Photodynamic Therapy, Botox, Dermal Fillers

Note: This woman presented with «growths» on her face, as a result of UV induced damage. She improved her skin radiance, texture, fullness with Retinoid and Photodynamic Therapy, as seen here. She also appreciated the effects of Botox to her forehead, frown, and crow’s feet. The Dermal Fillers helped her reverse volume loss by filling out her chin and cheeks. The growths were indeed pre-cancers of the skin, and they were burned by laser, and subsequently further destroyed by Levulan Photodynamic Therapy. Overall, she looks healthier, younger, natural.
WDe, Botox, Fillers

BEFORE

Photoaged Skin, droopy, hyperpigmented, eye circles

WDe, Botox, Fillers

AFTER

Combination Erb Yag Midi Laser Peel plus Botox and Dermal Fillers

  Note:  This 60 year old woman looks much younger after Combination Midi Laser Peel, Botox, and Dermal Hyaluronic Acid Fillers (Juvederm).  She has more even-coloured skin, diminished eye circles, diminished fine lines, and more rounded full cheek contours.  The forehead is smoother, the pigment marks are removed, and her jawline around the chin is fuller, less notched by the jowls.  She is happier than she has been over the years that she has come to Nirvana.
FK, Botox

BEFORE

Aging, wrinkles, reduced facial volume, sun damage and droopiness

FK, Botox

AFTER

Botox and Fillers

  Note: This patient has employed Botox and Fillers to enhance her naturally beautiful features. Note how much more youthful she looks with her brows lifted, forehead smoother, more facial volume greater volume to her mouth and chin zones. The light reflects better off firmer skin and so she is more radiant. She has also begun to use some very excellent skin care product to review the sun damaged skin.
KN, Botox

BEFORE

Prominent Frown expression, heavy eyebrows on her eyelids

KN, Botox

AFTER

2 weeks after Botox therapy to frown zone

 
Note: The prominent frown creases are markedly diminished.  The brow lifting effect is evident as seen by the lift of the eyebrows off the eyelids.  She is more relaxed looking without her frown prominence and wider eyes.
Botox, DA

BEFORE

horizontal forehead lines, frown lines, dullness of skin

Botox, DA

AFTER

5 weeks after Botox

Note: Approximately 5 weeks after the injection of Botox to her frown and forehead, this young woman is looking younger, brighter, smoother over her upper face. Notice how the brows seem to be raised up.  She doesn’t look so tired or «worn out».Many  people are accused of being tired  as their face ages, but Botox is a very nice reversal of the «tired look».
Botox, ED

BEFORE

Thin wrinkled skin, Volume Loss, Aging

Botox, ED

AFTER

Several years of regular Botox & Fillers injections, recent Radiofrequency Work, Good Topical Products

Note: This woman is 4 years older yet she looks younger with time, thanks to the regular long term habit of Botox and Dermal Fillers, approximately 3 x per year.  It is a recognized fact that long term Botox will indeed reduce wrinkling of the treated skin.  And it is also recognized that injection of Hyaluronic Acid Dermal fillers will stimulate self collagen.  The only other treatments that she employed was some Radiofrequency with Endymed and some good topical products.
Botox, GCh

BEFORE

Aging, creases, brow droop

Botox, GCh

AFTER

Botox

Note:  This young woman experienced the benefit of a small dose of Botox to her frown and forehead zones.  Without any side effect, and a very short easy treatment, she enjoyed several months of smoother more reflective skin over the forehead and frown zones.  Notice also, the even a young woman in her early 30’s has benefitted by the brow lift that is performed with the frown treatment.  See the 1 - 2 mm lift of brow off lid in the After picture, both sides.  This subtle change is highly anti-aging.
Botox, JD

BEFORE

Melasma, Aging

Botox, JD

AFTER

Profraction, Fillers, Botox

Note: Blotchy brown pigments have diminished, although the recent photo is only 2.5 weeks after her 2nd Profraction treatment with inadequate time to assess the response. It may be seen, however, that the face is more full, radiant. The cheeks angle up as compared to the before picture. Her mouth is much more attractive and remains natural after treatment with Fillers. At least 2 months must pass to make any judgment on the benefit of the recent Profraction, but more improvement is expected.
Botox, HC

BEFORE

Forehead, frown, Bunny Wrinkles, Dehydrated wrinkled lips

Botox, HC

AFTER

Botox, small amount of Juvederm

Note: After a very short and easy Botox application  this woman is showing a much smoother forehead.  Her Bunny Lines are also resolved.  She shows slightly more red lip to the corners and an enhanced bow in the mid upper lip.  The lip changes are very subtle, as she would rather do very small doses for subtle improvement over time.
Botox, KB

BEFORE

loss of volume, droopy rugged wrinkles

Botox, KB

AFTER

single session of Botox and Fillers, smooth, more fullness

Note: Pronounced volume loss, droopiness and rugged, wrinkled skin of face in Before picture. She had considerable improvement in facial fullness, especially cheeks and around the mouth. Also notice the smoothing of wrinkles around mouth. The skin reflected light better after rehydration of skin. All of this occurred after only 1 session each of Botox and Fillers.
Botox, LC

BEFORE

Droopy brow

Botox, LC

AFTER

Botox "brow lift"

Note: How the brow encroaches on eyelids before Botox “brow lift”. Botox has permitted the eyebrow to elevate or flare in an attractive manner.
Botox, MC

BEFORE

Tonic frown and crow’s feet

Botox, MC

AFTER

8 months after Botox to the frown and around the eyes

Note: This woman had Botox on two occasions, and this is the Before photo in each case separated by almost 8 months. So, the Botox may be said to have «run out». However, it may be seen that the patient shows persistent brow lift even 8 months later!  Notice that the stationary crease in her frown zone is softer, and this will diminish as times passes on Botox.  Some people think Botox in the frown simply «gets rid of the frown lines», but indeed Botox lifts the brows off the upper lids, important for a younger more invigorated look. Brows get heavier on the lids as we age, while Botox opens the eyes and gives the face a positive happy expression with wider more alert eyes, as it used to be.
Botox, MJa

BEFORE

Wrinkles

Botox, MJa

AFTER

4.5 months after Botox

Note: The look is smoother over the forehead even 4.5 months after a small dose of Botox to the forehead and frown zones.  In short, his Botox still shows small benefit even when most people are assuming it is «all gone».  He is about to do the next dose, «piggy backing» on the previous treatment.  It is hard to appreciate the enhancement with the black bars over his eyes, but he is looking much more positive, energetic by his own account and ours.
Botox, MT

BEFORE

Hyperpigmentation, frown prominence

Botox, MT

AFTER

IPL Photorejuvenation, fractionated laser peel, Botox

Note: This woman was troubled by marked «sun damage», (hyperpigment) and prominence of her frown lines, but some effort with IPL Photo-rejuvenation, fractionated laser peel, and Botox improved matters to her satisfaction.
WD, Botox, Filler, Anti-aging

BEFORE

Aging

WD, Botox, Filler, Anti-aging

AFTER

Botox, Teosyal Dermal Filler

Note: This woman shows smoother forehead, brow, eye wrinkles after Botox.  The cheeks are fuller and smoother after Teosyal dermal filler.  She clearly looks younger.