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In our 40s, we start to see the loss of volume in the face, which can contribute to marionette lines, nasolabial folds and loss of cheek volume. Fine lines can start to appear around the lips, and we tend to lose lip volume. Crow’s feet, frown lines and forehead lines become deeper and more noticeable. Sun exposure, previous use of tanning salons and smoking can speed up the development of lines.

If you have never had facial aesthetic treatments such as Botox® and dermal filler before, then we are sure you have plenty of questions. The concerns that most people report are that they do not want to look unnatural and frozen.

Dr Bong prides himself on offering results which are natural and balanced. We encourage our patients not to do much in one treatment session. Little and often is a better approach. We recommend starting with one procedure and adding to the overall effect over the following weeks or even months for a natural-looking appearance.

Deeper Lines and Wrinkles

As your body’s collagen and hyaluronic acid production rate slows down in your 40s, your skin becomes noticeably thinner and less resilient. As a result, expression lines and wrinkles deepen. These lines are called ‘dynamic expression lines’ and are highly responsive to Botox® treatment.

√ Crow’s feet are more noticeable around your eyes

√ Deeper lines appear on your forehead

√ Frown lines between your eyebrows are more persistent

wrinkles in your 40s


Looking fresh and natural, despite having a hectic life, can be easily achieved by using Botox® to soften lines and wrinkles. Dr Bong strives to preserve a small degree of facial expression to make sure you look natural.

  • Lines around the eyes, called ‘crow’s feet’ can be reduced using Botox® wrinkle relaxing injections.
  • Frown lines can be softened using Botox®. This can give a softer look and stop people asking why you are angry!
  • Forehead lines treatment with Botox® in your 40s is a great way to let makeup sit better on the skin and still look fresh at the end of the day.

Find out more in our treatment page (click here)


Nasolabial Folds

'Sad' Down-Turned Mouth Corners | Nasolabial Folds

Although down-turned corners of the mouth can be seen in certain younger individuals, the vast majority of these cases occur as people age.

As we age, our faces change in a three-dimensional way through changes in our bones, facial fat and skin layer. For example, a down-turned mouth is based on changes in our teeth and jaw. With age, our jaw starts to rotate backwards, and as it falls back into the deeper face, the skin around this area also falls backwards.

Another factor is the natural ageing process, which results in the natural loss of collagen and elastin – proteins that control how plump and firm skin is. As these deteriorate, skin can sag or look lax, which can lead to drooping mouth corners, especially around the mouth.


Lifting these corners with dermal filler is possible by adding volume and anchoring the corners higher up. When carried out with skills and care, this is an effective and safe treatment, and it helps restore a more refreshed appearance to this part of the face that is so important for nonverbal communication.

Find out all about it on our treatment page (click here).

Loss of Facial Contour and Volume

In our late 30s and 40s, loss of facial volume from the age-related deflation of the deep fat pads on the face is the main factor contributing to the hollowed, sagging, flattened and, hence, aged look of the face.

3d Ultimate Liquid Face Lift - Dermal Fillers


Dr Bong’s Signature Liquid Face Lift treatment (coined ‘the Glasgow Lift’) can be undertaken to give you a more rested and energetic look. A technique invented by Dr Bong, this treatment uses injectable dermal fillers to lift, plump, contour and sculpt the face. In some patients, the goal of this treatment is to lift the entire face. In others, the goal is to lift or contour specific facial features. Also, jowls can be lifted and diminished; the natural shape can be restored to flattened cheeks or temple areas as well as corners of the mouth can be lifted.

Please find out more on our treatment page (click here).

Double chin Treatment

Double Chin

The simple truth is you do not have to be overweight to get a double chin – age and genetics play a role. Seeing a double chin in the mirror can be upsetting. But the fact is, you do not have to be overweight for this to happen to you. Some people are genetically predisposed to a double chin, meaning they have a family history of this. A double chin can also occur as you age.


Fat-dissolving injections are one of our most popular treatments. We love performing double chin fat-dissolving injections at Essence Medical as this is a permanent, non-surgical way of reducing double chin fat. Please find out about double chin injections here.

Lack of Lip Shape & Fullness

Most men and women notice their lips begin to thin sometime in their early 30s and 40s. Your lips start to thin for the same reason your skin begins to sag with time: a natural decline in collagen. Lip size and shape are genetically determined, but we all tend to get thinner lips over time. If your lips are naturally smaller, you may notice this in your late 20s and 30s.


Lip Fillers And Enhancements: We use the softest, smoothest injectable filler, so it looks and feels very natural. But, very importantly, our lip treatment is virtually pain-free! Most patients are surprised that lip injections by Dr Bong are not painful at all – because of the effects of the local anaesthetic AND because Dr Bong knows all the tricks and secrets of injecting least uncomfortably.

Discover more about “Couture Lips“, a proprietary technique from Essence Medical. This method offers a natural and age-appropriate solution for lip enhancement.

Tear Trough Hollows

There are few women who do not suffer from under-eye hollows, whether from ageing, sleepless nights or just an unhealthy lifestyle. Under eye hollows is volume loss under the eye area, creating a tired appearance as well as a deformity commonly known as ‘tear trough’.


Dr Bong invented a revolutionary technique and owns its international trademark. It is called Two-Point Eye Lift. This technique is now internationally known as one of the safest and most effective techniques for rejuvenating under eye hollows with soft tissue filler and is now widely used in over 40 countries. This treatment takes about 20 minutes, with minimal discomfort and no downtime. Please find out more on our treatment page (click here).


Despite the name, these vertical lip lines are not always caused by smoking but can also be due to repetitive lip pursing and movement. In addition, they are often more visible when lipstick “bleeds” into these lines.

smokers lines treatment


Dermal fillers are injected beneath the skin to soften and rejuvenate fine lines around the mouth. Results are seen immediately and can last for up to a year. Dr Bong’s expertise in this treatment – coupled with his use of premium soft tissue filler, which does not have any volume – ensures no risk of puffiness after this treatment.

Please find out more here.

Non-Surgical Brow Lift Botox


Our brows begin to sag and become furrowed as our face ages, giving us a scowling or angry appearance. One of the best-kept secrets of advanced Botox techniques is that we can lift eyebrows with strategic injections of Botox.


This treatment gives a temporary lift to the eyebrows through strategic Botox injections with our Botox Brow Lift. We selectively relax the relevant muscles, which drag the brows down, creating a muscular imbalance, allowing the forehead muscles to pull the brows upward unchecked.

Please find out more on our treatment page (click here).

Uneven Skin Tone | Pigmentations

Those days of being seemingly unaffected by unprotected sun exposure have come and gone by the time you hit your 40s. Even the most minor sun exposure can create dark spots on the skin as you age. There is also a decrease in your skin’s elasticity.


Our medium-depth chemical skin peel is unique and exclusive to Essence Medical. This peel is not available in the high street and should not be confused with other TCA peels, which are widely available in clinics or medispas.

Firstly, this peel consists of a unique, one-of-its-kind blend of TCA and phenol combined with patented molecular technology for a safe and effective medium-depth peel. Secondly, this peel’s unique formula and its patented Painless Technology® have made it possible for the treatment to cause zero pain. Yes, no pain! Thirdly, this hybrid formula is scientifically proven to be more potent than stand-alone TCA peel, and as such, you will need fewer treatments to achieve your desired result.

Please find out more on our treatment page (click here).


dehydrated skin treatments

Dehydrated Skin

After 40, you might experience more skin dryness and irritation than you ever did. This is because a slowing cell renewal rate means dead cells start accumulating on the skin’s surface, interfering with light reflection. Impacted layers of dead skin cells make the skin have difficulty staying moisturised naturally.



PhotoReady is a revolutionary skin injection treatment available only at Essence Medical Cosmetic Clinic. Its breakthrough treatment protocol combined hyaluronic acid (HA) skin booster with Botox® and injected into the skin with an innovative device. This unique treatment protocol aims to give your skin a ‘red carpet look,’ i.e. minimise pores, soften the appearance of fine lines and wrinkles, and give your skin a soft, smooth glow.

Please find out more on our treatment page (click here).

Ultrasound Facial

Ultrasound Facial is an all-in-one solution for multi-dimensional, effective facial skin care by combining five different technologies: Aqua Peeling, Cyclone Extraction, Ion Lifting; Multipolar Radiofrequency; and Ultrasound.

This is the newest non-invasive skin resurfacing treatment to help combat signs of ageing. When carried out in conjunction with Dr Bong’s exclusive treatment technique and protocol, this treatment visibly improves skin health and appearance.

Please find out more on our treatment page (click here).




Dr Kieren Bong

Dr Kieren Bong is widely recognised as a national and international leader in facial enhancement treatments. He is a national & international trainer and a guest speaker on Botox treatment, advanced dermal fillers, facial contouring procedures, and other advanced facial aesthetics treatments.

Beyond his outstanding resume and experience, Dr Bong is a compassionate doctor, a skilful cosmetic doctor respected by his patients and colleagues, and a true artist in the field of non-surgical cosmetic treatments.

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Wrinkle relaxing injections (commonly known as ‘BOTOX® treatment’ can be an excellent solution for men and women who are unhappy with the look of their lines and wrinkles.

When correctly administered by a qualified expert, fillers can lift the features and add symmetry by adding volume and structure while providing a fresh, youthful, and natural appearance.

We offer several different medical-grade chemical skin peels and these peels are not available in the high street and should not be confused with very mild and gentle glycolic peels from beauty therapists.

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