"After 38 years of mental abuse, I had finally found the courage to leave my marriage. My self-esteem was non existent. I read an article in Tatler magazine about Dr Rita Rakus and decided I would try Botox® and Restylane. The results have been super. I am now happy to face the world on my own, feeling confident and self assured. I have since had treatments to take away fat pouches from my chin. This has also been a great success. Thank you, Dr Rita Rakus".*

Catherine D. - age 63


Juvederm before Juvederm after*

"Just flown in from Moscow for Dr. Rita to work her magic with Botox before we get married next week. We are sure we will have perfect results as always. From Russia with Love!

Jon & Carolyn"*


"I am very pleased my daughter-in-law found Dr. Rakus's clinic. Without doubt this is the most excellent service in all aspects I have ever encountered anywhere in London or Europe. I shall definitely return."*

S.E.G.


Juvederm before Juvederm after*

"I knew I wanted to have some work done, but I wanted to know I was in good hands. I sought impartial advice and met with Wendy Lewis, the New York aesthetic consultant. She recommended Dr Rakus - she was right. I know I'm in safe hands and my treatments have been effective without side effects and have drawn many compliments".*

Susan BP


Juvederm before Juvederm after*

TATLER

Treatment junkie Anna Curtis gives her verdict:

Where Dr M R Rakus, 34a Hans Road, SW3
(tel: 020 7460 7324).
Price £850.
Pain factor. 'It's quite anxiety-provoking. I dosed up on Nurofen and was numbed for an hour with anaesthetic gel, but the laser still felt uncomfortable - a scratching pain like sandpaper across my skin. But it only lasts 10 minutes.'
Recovery time. Afterwards my skin was hot, incredibly red and tight like sunburn. I lay low for a day until the red had faded to a pinkish glare, and a day later it was almost gone.
Verdict. Fraxel is the whole number - a facelift without the knife. The pigmented marks on my décolleté have almost gone, my skin is beginning to feel softer and more youthful and, along with some help from Restylane on my upper lip, my lines are definitely fading.'


Juvederm before Juvederm after*

"Dr. Rita is so gentle with her Botox® treatments. I can highly recommend it - I was waiting for the 'ouch factor' and it never came!"*

Jane - Essex

"I would like to highly recommend Dr Rakus’s Fraxel treatment. I have had a course of 6 sessions over the past 2 years and have found the results to be absolutely amazing. My skin texture is very smooth and soft plus the small fine lines around my eyes and mouth have almost disappeared. I would highly recommend this treatment!"*

AB

Thermage skin treatment
there's one name literally on the A-list's lips: Dr Rita Rakus's
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Thermage skin treatment
WHAT AN EXPERT SAYS
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Thermage skin treatment
Dubbed the London Lip Queen Dr Rita Rakus
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Juvéderm SMILE

Frequently Asked Questions

Below are some of the most frequently asked questions and answers relating to Juvéderm SMILE facial lines and wrinkles treatment.

What is Juvéderm SMILE?

Juvéderm SMILE injectable gel is a colourless hyaluronic acid gel that is injected into facial tissue to smooth wrinkles and folds, especially around the nose and mouth. Hyaluronic acid is a naturally occurring sugar found in the human body. The role of hyaluronic acid in the skin is to deliver nutrients, hydrate the skin by holding in water, and to act as a cushioning agent.

What does Juvéderm SMILE do?

Juvéderm SMILE injectable gel temporarily adds volume to facial tissue and restores a smoother appearance to the face.

Read about our Juvéderm SMILE treatment

How is Juvéderm SMILE used?

Juvéderm SMILE injectable gel is injected into areas of facial tissue where moderate to severe facial wrinkles and folds occur. Juvéderm SMILE injectable gel temporarily adds volume to the skin and may give the appearance of a smoother surface.

What will Juvéderm SMILE accomplish?

Juvéderm SMILE injectable gel will help to smooth moderate to severe facial wrinkles and folds. Most patients need one treatment to achieve optimal wrinkle smoothing, and the results last about 9 months to 1 year.

What are possible side effects from Juvéderm SMILE treatment?

Most side effects are mild or moderate in nature, and their duration is short lasting (7 days or less). The most common side effects include, but are not limited to, temporary injection-site reactions such as: redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration.
As with all skin-injection procedures, there is a risk of infection.

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Are there any reasons why I should not receive Juvéderm SMILE injectable gel?

Your doctor will ask about your medical history to determine if you are an appropriate candidate for treatment. Juvéderm SMILE injectable gel should not be used in patients who have:

  • Severe allergies marked by a history of anaphylaxis or history or presence of multiple severe allergies
  • Patients with a history of allergies to Gram-positive bacterial proteins

What should my doctor advise me about?

The following are important treatment considerations for you to discuss with your doctor and understand in order to help avoid unsatisfactory results and complications with Juvéderm SMILE.

  • Patients who are using substances that can prolong bleeding, such as aspirin or ibuprofen, as with any injection, may experience increased bruising or bleeding at the injection site. You should inform your doctor before treatment if you are using these types of substances
  • If laser treatment, chemical peeling, or any other procedure based on active dermal response is considered after treatment with Juvéderm SMILE injectable gel, there is a possible risk of an inflammatory reaction at the treatment site
  • Juvéderm SMILE injectable gel should be used with caution in patients on immunosuppressive therapy, or therapy used to decrease the body’s immune response, as there may be an increased risk of infection
  • The safety of Juvéderm SMILE injectable gel for use during pregnancy, in breastfeeding females, or in patients under 18 years has not been established
  • The safety of Juvéderm SMILE injectable gel in patients with a history of excessive scarring (e.g., hypertrophic scarring and keloid formations) and pigmentation disorders has not been studied

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What should my doctor warn me about?

The safety and effectiveness of Juvéderm SMILE injectable gel for the treatment of areas other than facial wrinkles and folds (such as lips) have not been established in controlled clinical studies.

What did the Juvéderm SMILE clinical study show?

In a US clinical study, 146 subjects were followed for 24 weeks after injection with Juvéderm SMILE injectable gel in one nasolabial fold (NLF) and ZYPLAST® dermal filler (bovine-based collagen) in the other.

Injection-site responses were similar in duration and frequency for the Juvéderm SMILE injectable gel and ZYPLAST® dermal filler treated sides, were usually mild or moderate in severity, did not require intervention, and lasted 7 days or less.

Juvéderm SMILE injectable gel was found to provide a more persistent wrinkle correction than ZYPLAST® dermal filler over the 24-week course of the study. The percentage of subjects who maintained improvement with Juvéderm SMILE
injectable gel at 24 weeks was 88% compared to 36% with ZYPLAST® dermal
filler.

At the conclusion of the study, 129 (88%) of the 146 subjects expressed
a preference for Juvéderm SMILE injectable gel, while only 8 (5%) expressed
a preference for ZYPLAST® dermal filler, and 9 (6%) had no preference.
Subjects who completed the 24-week study were invited to return for a complimentary repeat treatment. Subjects returned at their (or their doctor’s) convenience, rather than at a prescribed time point.

Of the 146 subjects, 116 (79%) returned for repeat treatment, on average at 9 months after their last injection. Forty-eight (48) subjects returned more than 36 weeks (9 months) after their last injection: the percentage of those subjects who had maintained improvement with Juvéderm SMILE injectable gel was 75%.

At multiple time points in the clinical study, subjects’ nasolabial folds were rated on a scale from 0 to 4: 0 none, 1 mild, 2 moderate, 3 severe, 4 extreme. Using this 5-point wrinkle assessment scale, the mean improvement since baseline was

  • 1.9 at
  • 2 weeks,
  • 1.4 at 24 weeks, and
  • 1.1 beyond 36 weeks after treatment.

A subset of these subjects enrolled in a second study that followed subjects
for 24 to 48 weeks after repeat treatment. Twenty-four (24) subjects
were enrolled in the study. Twenty-three (23) were evaluated at 24 weeks
(6 months) after repeat treatment with 87% maintaining improvement.
Nine (9) subjects returned for evaluation 48 weeks (1 year) after repeat
treatment: the percentage of those subjects who had maintained improvement
with Juvéderm SMILE injectable gel was 78%.

The mean improvement since baseline at different time points after repeat
treatment was 1.4 at 24 weeks and 1.3 at 48 weeks after repeat treatment.

Do the Juvéderm SMILE injections hurt?

Injections may cause some discomfort during and after the injection.
Juvéderm SMILE injectable gel is injected directly into the skin using a
fine needle to reduce injection discomfort. Physicians may choose to numb
(anaesthetise) the treatment area to further minimize discomfort.

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What should I expect following the Juvéderm SMILE procedure?

Your doctor will tell you what to expect following treatment with Juvéderm SMILE injectable gel. Within the first 24 hours, you should avoid strenuous
exercise, extensive sun or heat exposure, and alcoholic beverages.

Exposure to any of the above may cause temporary redness, swelling, and/or
itching at the injection sites. If there is swelling, you may need to place an ice
pack over the swollen area. You should ask your doctor when makeup may
be applied after your treatment.

Does the correction last forever?

No. Correction is temporary; therefore, touch-up injections as well as repeat
injections are usually needed to maintain optimal correction. Less material
(about half the amount) is usually needed for repeat injections.

What other treatments are available to me?

Other treatments for dermal soft-tissue augmentation include bovine-based
collagen and other hyaluronic acid–based dermal fillers. Aside from these
treatments, additional options for the correction of lines and wrinkles do
exist, including facial creams, Botox (Botulinum Toxin Type A), chemical peels, and laser skin surface treatments, and may be discussed with
your doctor.

When should I notify my doctor?

Be sure to report any redness and/or visible swelling that lasts for more than a few days, or any other symptoms that cause you concern, to your doctor
and/or contact the Allergan Product Support line at 1-877-345-5372.

Read about our Juvéderm SMILE treatment

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Juvederm beforeJuvederm after

“ Over the years Dr. Rakus has kept me going - I don’t know what I would do without her! Part of her charisma is her cool, confident and quiet approach to every treatment I have had and, as a mark of the trust I place in her I am having a Thermage treatment today."*

AS

Juvederm before Juvederm after*
Juvederm before Juvederm after*

"After 38 years of mental abuse, I had finally found the courage to leave my marriage. My self-esteem was non existent. I read an article in Tatler magazine about Dr Rita Rakus and decided I would try Botox® and Restylane. The results have been super. I am now happy to face the world on my own, feeling confident and self assured. I have since had treatments to take away fat pouches from my chin. This has also been a great success. Thank you, Dr Rita Rakus".*

Catherine D. - age 63

Juvederm before Juvederm after*

My hairdresser (people who always notice!) made me thrilled when she said “What have you done to your makeup. It looks good, you appear refreshed and your jawline is tighter. A new face cream? Tell me about it”*

It wasn’t makeup or creams, but Thermage performed by Dr. Rita Rakus. I’ve trusted her for many years now and I know that if she suggests a new treatment I can rely on her judgment. I’m so pleased that I had Thermage.*

Lynda W

Juvederm before Juvederm after*

"My treatment made a fantastic difference, giving me back my youthful appearance thanks to the Lip Queen of London"*

Melanie S.


"I'm 44 now. My friends are always asking what I do to keep my skin such good shape and why I don't have any wrinkles. I tell them I've been going to Dr Rakus for 10 years. Even those who were formally against having anything done - ever - have now asked me for her number!"*

K.T.


“My Thermage treatment has made my post-menopausal skin feel pre-menopausal again - plumper, tighter and glowing”*

JW


“I personally found the Thermage treatment painless overall with some tenderness under the chin/neck area, however, nowhere near the ‘cigarette stubbing’ pain level I had read about.!"*

D.H.


"I knew I wanted to have some work done, but I wanted to know I was in good hands. I sought impartial advice and met with Wendy Lewis, the New York aesthetic consultant. She recommended
Dr Rakus
- she was right. I know I'm in safe hands and my treatments have been effective without side effects and have drawn many compliments".*

Suzan B.P.

Call +44 (0)20 7460 7324 for a clinic with Dr Rita Rakus

BACD
IHAS - Treatments You Can Trust
Please Note:
Results may vary from person to person
 
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