Hi Trish. I’m Niamh Corduff. I’m a plastic surgeon based out of Geelong. I also work up in Melbourne too. My career has taken me now, as I’m getting older, into the injectable field, the non-surgical treatment of women’s faces basically. I work for industry and I train and lecture internationally and I’m running research programmes into it, so I’ve sort of got into this into a very advanced level, which is incredibly exciting for me.
Look, complications happen even in the best of hands, in my hands too, and everybody who’s honest will say, “Yes, I’ve seen these problems.” The training is absolutely essential. When you think about sticking a needle in somebody’s face and injecting it, you’ve got to know what’s underneath the skin and you’ve got to have a feel for it. I’m very lucky that I’m fully trained as a plastic surgeon, so I can automatically feel where my cutting or my needle is, know where the vessels are, know where the nerves are, where the different layers and thicknesses are, how far down to the bone, et cetera.
For a lot of people that can be a struggle, so the level of training, the years of expertise is important. The other thing is if you want to look at what the results are like and the outcomes, just look at the staff in the clinic. If you see somebody looks like a transvestite sitting on the front desk think twice because it’s about somebody’s aesthetics. The injector’s aesthetics and what they see and what they perceive as important will indicate what goals they’re trying to achieve or not trying to achieve.
I have a philosophy, which not everybody agrees with, but for me, I suppose because I’m getting on in age too, it’s about not looking younger. It’s about looking great for my age, or for our age. That means looking healthy, looking well, looking strong, but looking age appropriate. That is basically … It’s taking away the ugly side of ageing, but learn to love your lines. Learn to love your wrinkles. If your skin is looking healthy, you will look radiant and look great and look strong.
If you take away the bits that make you look tired, make you look sad, make you look grumpy, grizzly, and that is because muscle balance changes and we lose bone and tissues slip and slide and they give those expressions that aren’t there. It’s not what you’re feeling, but it’s what your face is saying. If we can address those ugly bits, then that’s what it’s all about.
You can start … I’ve been very conservative. I’m not a great believer in saying injectables will prevent things, prevent lines as you go along. I don’t think that’s the thing. I think the most thing is to look after your skin … When you’re young look after your skin and that will be the biggest preventative you can.
There are those though that are born with deficiencies in bone or have some … And you can really help those patients by correcting … So if they’ve got a very small chin or their checks are sitting back or their nose is abnormal, you can actually use injectables wisely and sensibly to actually help and treat those areas, but you’ve really got to know your anatomy to do that and know what you’re doing. It’s essential. Someone who gets to know you, know what you want to achieve, know what your priorities are, what your budgets are … It’s not just a money grabbing exercise. You’re a patient, so to work and work out a plan and work with that plan, change it if necessary, but yes … Medical records and knowing exactly where you are, what you had before, where and what you’re trying to achieve, that’s so important, and what works for you and what doesn’t work for you.
Every patient that I see has an individualised treatment plan. I see people and I say, “Okay. We’ll start here but this may not be right. We may need to tweak it to work out exactly what is going to work for you, and then we know what works for you.”
It’s having a knowledge and expertise. Yes, you’ve got skin care, and I’ll keep banging on about skin, but skin is so important. So it’s skin care, injectables that relax the muscles and address the balance of muscles, and also fillers, which can be … Most of them would be hyaluronic acids which we can reverse or they’re temporary, but some that actually stimulate long term collagen production, and you’re using those to fill in deficits where you’ve lost volume or to lift tissues.
Each product … You use your tools. It’s like you’re looking at somebody when you’re operating and you’re using … You know you’ve got all this armamentarium of tools and you pick the ones that are going to get the job done that you particularly want in that particular area and that particular person, so it’s having an expertise in all areas.
If you want to know more, look you’re very welcome to come and talk and we can assess you and have a chat and see what your outcomes are that you want. Drop us an email at firstname.lastname@example.org or click on the link below this video.