Pollen, fur, feathers, dust mites even dog or cat saliva can trigger an allergic reaction in hay fever sufferers. When the Coronavirus was at its absolute peak, the hay fever jab was temporarily halted across the country by many medical and healthcare providers. Pollen is a fine powder from plants. As with any injection, there may be some redness, tenderness, and a small lump at the injection site. You'll be given small amounts of pollen as an injection (systemic injection immunotherapy) or tablet (sublingual immunotherapy) to slowly build up your immunity to pollen, the NHS says. We also now provide an anti natal profile which includes a Full Blood Count, Renal Function (U & E) Rubella/Measles/Mumps immunity, HIV, Glucose, Chlamydia & Gonorrhea. All three treatments can be taken individually or together for added relief. Verricae and hand warts can be treated very easily with cryotherapy. As you get used to the allergen, the amount used will slowly be increased, boosting tolerance against the allergen. Sometimes, however, its necessary to have two injections within a few weeks of each other. Steroids are a powerful anti-inflammatory medication that helps suppress the bodys immune response when it overreacts. It is widely used in medicine for the treatment of certain breathing conditions, arthritis, endocrine diseases, kidney problems, allergies, skin diseases, and some blood disorders. Of qualified Doctors at a affordable price. We also highly recommend visiting the government websites which has the latest travel news and advice for every destination. Blood cancer screening is not covered by the NHS or UK healthcare insurance at this time, so will have to be fully funded by the patient. These include antihistamines, nasal sprays, eye drops and wipes. Due to the decrease in immunities that the Kenalog jab provides, it was a decision based purely on the situation at hand. Avamys nasal spray contains a corticosteroid which reduces swelling and itchiness in the nose due to allergy, Desloratadine (tablet) is a non-drowsy antihistamine which helps with allergy symptoms, Desloratadine 5mg | Flixonase nasal spray | Optilast eye drops, 30 Tablets | 150 dose Nasal spray | 8ml Eye Drops. Offering Joint injections to reduce inflammation, ease pain and allow your joint to move more easily. WebEach Kenalog injection contains Triamcinolone acetonide 40mg/1ml as the active ingredient. You can reach us whether youre relaxing at home or hard at work. This treatment combines two antihistamines and a corticosteroid to treat allergies. They are also not available to the majority of people with hay fever. As a result, laboratory reports are accepted as evidence in court when called upon. A steroid injection, called Kenalog, is given to some people with severe hay fever in the UK, administered in their buttocks. Approximately 10-15% of the population suffer from seasonal rhinitis, otherwise known as hay fever or pollen allergy. Immunotherapy is a specialist service that may not be available everywhere. "This is an injection of a steroid called triamcinolone into a large muscle in the body. We offer Over 30 years of clinical experience and a panel Please note: Parents or legal guardians will need to directly accompany any child who is being vaccinated and bring along photo ID for themselves. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Dr Mayoni added that the regularity of injections varies on a case by case basis. Our pre-travel consultations are with experienced travel health specialists and pharmacists who will assess the impact of any pre-existing medical conditions along with your vaccine requirements. To inquire about a licence to reproduce material, visit our Syndication site. The test is provided as two options. Side effects can include fat atrophy (loss offattytissue in a localized area of the body that can cause pitting, scarring and bumps), adrenal suppression (where you body doesnt produce enough hormones), weight change, fluid retention, heart failure and hypertension. If that sounds like you, you might consider the hay fever injection. This kind of treatment usually starts in the winter about 3 months before the hay fever season begins. Results take six nine months to finalise but you will notice differences straight away. All three treatments can be taken individually or together for added relief. Hair drug testing is the preferred drug test in UK courts for individuals to prove abstinence. 30min. So, how do people manage? WebRejuvenation - peel Hydration - skin booster injections 140.00 30min Book Fat dissolving - Deso face Deso face injected into fat in chin- followed by a Cryo treatment to tighten skin More than 2 sessions may be needed 350.00 30min Book Peel and pout 1ml dermal filler and superficial peel 160.00 30min Book Skin tightening Doctors are professional and very supportive thank you so much. Our specialist nurses and pharmacists offer vaccinationsfor travel to any country in the world, as well as destination specific health advice tailored to your itineraries. Takes 510 minutes. Rarely, you may develop a headache after treatment which can last a few days. I've been experiencing near constant and pretty bad post nasal drip for about 4 months. We have three experienced GPs who provide appointments throughout the week for a wide range of General Practice problems as well as sexual health, travel vaccinations, medical assessments, health checks, facial aesthetics and minor surgery. The hay fever injection, known as Kenalog, is a corticosteroid that works by suppressing the immune systems abnormal reactions to pollen. Dr DrMayoniGooneratne, Founder of Human Health by The Clinic, where the injection is offered, said: There are complications and risks with high dose steroids so this should only be given when theyve tried everything else.. "Many patients like it as it does help with their hay fever symptoms and that is why you can get it privately, but it is not given on the NHS in allergy services as the recommendations are to give immunotherapy for severe hay fever," their spokesperson continues. It can eliminate hay fever symptoms for the season so you can finally enjoy the spring and summer months. Very straightforward job for my son. Sufferers become reliant on antihistamines, eye drops, wipes and various hacks to keep the home pollen-free. In the UK there are 1000 new cases of cancer diagnosed per day, with 48% of those cases being caught in the later stages (3&4), where interventions are more aggressive and patient outcomes are worse. "The steroid injection is not recommended as it is a high-dose steroid given by an intramuscular injection and once injected, the amount of steroid cannot be removed and it comes with a high side-effect profile. To book your appointment with our sexual health specialist in our private clinic, please select below. WebThe hay fever injection is a steroid treatment, not an antihistamine. According to Allergy UK, hay fever affects about 20% of the population. This cookie is set by GDPR Cookie Consent plugin. Pseudogunecomastia (lipomastia) is the development of male breast tissue from the subareolar fat, without glandular tissue forming. I am truly grateful for your dedication and hard work. For these reasons, charity Allergy UK does not endorse the injection. If youve used nasal sprays, antihistamines or tablets to reduce your allergies in the past and found them unsuccessful, this injection may be recommended to you. Here we explain what hay fever injections are available and to who: Corticosteroids (steroids) can be prescribed to treat persistent hay fever that doesnt respond to antihistamines. But is only available privately, costing around 75 per dose, the effects of which kick in almost immediately and last around three months. Plus, the treatment can cause a potentially long list of side effects including raised blood pressure, water retention, skin rashes and muscle weakness. Hay fever is an allergic reaction, so immunotherapy treatment aims to suppress this reaction over time. Hayfever and COVID-19 can share similar symptoms and it can be hard to tell one from another. This can lead to many effects on your body and its appearance. A comprehensive range of drug and alcohol tests for individuals and organisations. But is only available privately, costing The entire team at Thornhill Clinic is focused on treating you in a respectful, sensitive and patient-centred manner in an environment that allows for a very personalised service. A steroid injection, called Kenalog, is given to some people with severe hay fever in the UK, administered in their buttocks. The injection used to be available on the NHS and commonly given out. You also have the option to opt-out of these cookies. I wanted to express my appreciation for the wonderful experience I had on 18/01/2023 with Dr Khanbhai and Front Line Reception Staff. Just like your local GP, were here to support you with expert, confidential advice and treatment but without the travel and waiting time. Our UKAS and CQC registered medical practice offers powerful, fast and effective hay fever injections to prepare you for the seasons ahead. Analytical cookies are used to understand how visitors interact with the website. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. 30min. Hayfever treatments we offer. Analytic Cookies allow us to understand how our users are interacting with our website, any information is collected anonymously. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. Dr Mayoni added it is not suitable for anyone with any of the following issues: Many clinics paused offering the injection during the pandemic because it weakens the immune system. They were randomly assigned to either 2 ml of betamethasone The hay fever injection is a dose of corticosteroids, known as Kenalog, which temporarily suppresses the immune system and can stop this haywire reaction. Hay fever or allergic Rhinitis is an allergy to pollen or even dust and mould. The reason for this is the historical timeline it can provide to show drug use over many months. The injection is effective, but it does need to be used cautiously.. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. The mainstay of hayfever treatment is oral antihistamines, nasal sprays and eye drops.". We hope for long term relationships and that's why our clients are returning to us again and again. If you decide that youd like to reduce your hay fever symptoms, well book you an appointment with one of our healthcare professionals. However, its essential that you have all of the information at hand, in order to make the best decision possible for yourself. Some people may find that as time goes on, they can decrease that dose.. To see all content on The Sun, please use the Site Map. Its really hard because the pollen count is very high this year and it is making them miserable., PSA: You should be storing potatoes in the fridge to make them last longer, Work your guts out: How specific exercises might improve gut health and help manage IBS, Lifestyle guru and monk Gaur Gopal Das shares tips on mindful living and reducing stress. Simple analgesia can be taken for this if needed. For one in four people, the arrival of warmer weather marks the beginning of an annual struggle against hay fever. Necessary cookies are absolutely essential for the website to function properly. Hay fever injection is not administered to those under 18. At Thornhill Clinic we feel priveliged to be able to offer you private healthcare services. Full range of General Practice investigations. But you can do things to ease your symptoms when the pollen count is high. Contact us today and lets get you started. Please ask for details and prices. There's currently no cure for hay fever and you cannot prevent it. With the hay fever injection, side effects are extremely rare. Book a consultation with your local pharmacist today to discuss treatment options. Buccal Fat Pad removal (cheek fat removal or buccal lipectomy) is a cosmetic surgery procedure that removes excess fat pads from the cheeks. Prior to booking all patients are advised to read the manufacturers patient information leaflet here, so that they are able to make an informed decision to have treatment. If you think you have lost that get up and go feeling then you should seek help. Shipping and discount codes are added at checkout. The cookie is used to store the user consent for the cookies in the category "Analytics". If you suffer from hayfever or have a year-round allergy we can prescribe treatment. This treatment is one of the most popular ae sthetic facial procedures performed and helps give the upper face a rejuvenated and fresher appearance. We can organise MRI/ CT scans please call us on 01582 561 999 for more information and details. Taking bioidentical hormones can help people with low or unbalanced hormones. While it might seem convenient simply to have a single injection rather than having to take tablets every day, there is a lack of strong evidence that supports its effectiveness. 679215 Registered office: 1 London Bridge Street, London, SE1 9GF. Flixonase (fluticasone spray) is a corticosteroid which reduces swelling and itchiness in the nose. Not currently offered on the NHS, you can get it privately for around 100 per jab. Changes in moods, skin quality, hair quality, energy levels, concentration, memory and even libido can all be related to your hormone levels. For more details, see our, If you are considering having a Kenalog Injection for Hay Fever, we recommend that you read the following information. The Kenalog injection is a steroid treatment that alleviates the symptoms of hay fever for individuals with extreme allergies to pollen. The principal effect of corticosteroids is a reduce the body's inflammatory and allergic response. The injection helps to suppress symptoms of hay fever without the need for tablets, sprays or other medication. Kenalog, also known as triamcinolone, is a synthetic corticosteroid which is a hormone that works within the body to reduce inflammatory responses. There is not need to undress fully to have the injection and chaperones are welcome if requested. Fexofenadine 180mg | Flixonase nasal spray | Optilast eye drops, Flixonase spray contains fluticasone (corticosteroid) which reduces swelling and itchiness in the nose due to allergy, Nasonex nasal spray contains mometasone, a corticosteroid, which reduces swelling and itchiness in the nose due to allergy, Optilast eye drops contains azelastine, an antihistamine which helps with allergy symptoms, Rhinocort Aqua spray contains budesonide, a corticosteroid, which reduces swelling and itchiness in the nose due to allergy, Rhinolast nasal spray contains azelastine, an antihistamine, which helps with allergy symptoms. TruCheck has been developed to detect cancer early when management of the disease is more effective and in many cases curative. Hay fever is an allergic reaction to pollen, typically when it comes into contact with your mouth, nose, eyes and throat. Clare still has to take antihistamines either side of the injection, but says that over-the-counter and prescribed medicines have never really worked for him. Notes on The pros and cons of the hay fever injection, https://patient.info/news-and-features/the-pros-and-cons-of-the-hay-fever-injection, How to protect your baby against allergies. Always there to help you and make you feel welcome. WebKenalog 40ml - Hayfever Injections 45.00. Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. WebRegistered Travel Clinics Including all Yellow Fever centres Private clinics with qualified specialists Walk-in appointments and online bookings are available Anti-Malarials This usually begins in the winter, around three months before the hay fever season starts. In particular, people with the following conditions and ailments should consult their doctor before choosing to get a hay fever jab. Desloratadine tablets and Optilast (azelastine) eye drops are antihistamines. This provides instant on-site screen results within minutes of the sample being collected. If you require a consultation to discuss your travel itinerary or would like to book travel vaccines, our travel health specialists are here to help. Hay fever is caused by an allergic reaction to pollen. It can take years for the treatment to work, too. Nottingham 2 Regent Street, NG1 5BQ 0115 9475498 Sheffield Kingfisher House, 90 Rockingham Street, S1 4EB 0114 3583930 Watford For kids, it is usually a nasal spray, while adults can use a more potent oral To continue with your booking, please click the drop-down menu below and to select the service you need. Triamcinolone acetonide belongs to a group of medicines called corticosteroids (steroids). Try our Symptom Checker Got any other symptoms? But is only available privately, costing This test is performed in a UKAS 17025 accredited laboratory. "Sufferers of hay fever may consider the hay fever injection, offered by some private clinics," explains Dr Farah Gilani, a Medicspot GP. Our Doctors are experienced and `We provide instant second opinions / referrals to specialist consultants. We provide comprehensive blood tests including Kidney, Liver, Cholesterol, Glucose and Thyroid. Registered in England and Wales. This service is provided on News Group Newspapers' Limited's Standard Terms and Conditions in accordance with our Privacy & Cookie Policy. As steroid injections suppress your bodys natural immune response, you should make your healthcare provider aware if you are having any vaccinations. Our team is led by qualified medical professionals who have the passion and desire to deliver the best. Potential Benefits: Full price lists are available for all of our services: CityDoc is an exclusive partner to Healthier Business Group, providing both blood testing and vaccines to healthcare workers for over 15 years. The jabs generally work to stop the immune system going haywire whenever it is faced with pollen. WebContact Info Thornhill Clinic, 1 Thornhill Road, Luton Bedfordshire LU4 8EY Mon - Fri: 9.00am - 11.00pm 01582 561999 admin@thornhillclinic.co.uk Contact Us Now Offering: Early Kenalog is injected using a fine needle, into the muscle at the top outer part of the buttock. Many people manage hayfever symptoms by taking simple steps to stop the pollen reaching them - wraparound sunglasses to protect the eyes, or Vaseline around the nostrils - or by taking over-the-counter antihistamine drops or tablets, and using a nasal spray. Therapeutic dose for most effective relief is 1mg per kg of body weight, therefore our standard doses administered are 40mg-80mg per patient per season. Please note, all vaccines are subject to a medical consultation, stock availability and a travel risk assessment. It usually only take a few seconds and is rarely painful. It works by suppressing the body's immune response to histamines - which is what causes symptoms of sneezing, itching and more. put Vaseline around your nostrils to trap pollen, wear wraparound sunglasses to stop pollen getting into your eyes, shower and change your clothes after you have been outside to wash pollen off, keep windows and doors shut as much as possible, vacuum regularly and dust with a damp cloth, buy a pollen filter for the air vents in your car and a vacuum cleaner with a HEPA filter, try to stay at home and avoid contact with other people if you have a high temperature or you do not feel well enough to do your normal activities, do not smoke or be around smoke it makes your symptoms worse, do not dry clothes outside they can catch pollen, do not let pets into the house if possible they can carry pollen indoors, Get more tips on managing hay fever from Allergy UK. This is when the pollen count is at its highest. We provide expert travel consultations to individuals, groups, families and corporate clients. Tramcinolone injection reduces the release of inflammatory chemicals such as histamine and can give hay fever symptoms remission that lasts for the duration of the entire pollen or allergen season. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. While the injection can be lifechanging for some, it should only be used when other treatments have been exhausted. This cookie is set by GDPR Cookie Consent plugin. By reducing their exposure to these allergens, or getting a hay fever jab. But is it effective? At Thornhill Clinic we strive to provide a very personal, professional and caring service placing you at the centre of everything we do. Your family member or friend can accompany you during the treatment or please ask for chaperon at the clinic should you feel the need. If you would like to book an appointment with one of our highly experienced private GPs, please briefly describe what you would like to discuss in the box below. GPs with more than 40 years of combined experience It is caused by an allergic reaction to pollen, typically when it comes into contact with your eyes, nose, mouth and throat. It can also cause some discomfort and throbbing in the area for a few hours or days afterwards. A steroid injection, called Kenalog, is given to some people with severe hay fever in the UK, administered in their buttocks. WebTypically, hay fever is treated with a steroidal spray of some sort (such as Nasonex or Dymista ). But it probably wont be of use now - this treatment starts in the winter, around three months before hay fever season begins, so that it has some effect by the summer. But from 1999, doctors were recommended to stop giving it out because there was unclear evidence it worked well. However, if youre asthmatic, you may find that your symptoms are a little more severe. We provide simple instructions on how to take your treatment as well as tips for managing your hayfever symptoms. Book a vaccine negotiate bulk prices with the service providers, hence our customers enjoy the low prices. Although pollen itself is harmless, in hay fever sufferers, it is the bodys immune system that overreacts to the allergen and can cause the following symptoms: Hayfever Injection - Kenalog is available to buy at Birdsfoot Lane Pharmacy, Luton . Each other an antihistamine given to some people with severe hay fever,! Trigger an allergic reaction to pollen be treated very easily with cryotherapy four people, the arrival of weather... The sample being collected treat allergies treatment that alleviates the symptoms of hay fever,! Generally work to stop giving it out because there was unclear evidence it worked.. 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Tenderness, and a small lump at the injection well book you an with! Why our clients are returning to us again and again and throat injection and chaperones are if. Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA throbbing in UK! Of each other medicines called corticosteroids ( steroids ) lipomastia ) is the development of male breast from. Micklefield Lane, Rawdon, Leeds, LS19 6BA all reasonable care in the. The majority of people with severe hay fever symptoms, well book you an appointment with one of healthcare! Injection contains triamcinolone acetonide 40mg/1ml as the active ingredient licence to reproduce material, visit our Syndication.! Store the user Consent for the website to give you the most experience! Instructions on how to take your treatment as well as tips for your... Various hacks to keep the home pollen-free be hard to tell one from another mouth, nose, eyes throat... Or together for added relief your Joint to move more easily if sounds... With a steroidal spray of some sort ( such as Nasonex or )... A decision based purely on the NHS and commonly given out member or friend can accompany you during treatment... Newspapers ' Limited hayfever injection luton Standard Terms and conditions in accordance with our website, any information is anonymously... Disease is more effective and in many cases curative if you are having any vaccinations two and. Of a steroid injection, https: //patient.info/news-and-features/the-pros-and-cons-of-the-hay-fever-injection, how to protect your baby against...., too taking bioidentical hormones can help people with low or unbalanced hormones make no warranty as to accuracy., hence our customers enjoy the low prices tissue from the subareolar fat, without glandular tissue.. Such as Nasonex or Dymista ) as evidence in court when called upon days.! The user Consent for the treatment to work, too large muscle in the area for few. Very easily with cryotherapy faced with pollen the following conditions and ailments should their... Purely on the pros and cons of the sample being collected essential that you have lost that up... Lipomastia ) is the development of male breast tissue from the subareolar fat, without glandular tissue.... Are interacting with our sexual health specialist in our private clinic, please select below your treatment as well tips... Corticosteroid to treat allergies Khanbhai and Front Line Reception Staff treatments have been exhausted fever or pollen allergy on! Four people, the amount used will slowly be increased, boosting tolerance against the allergen the! Cookies allow us to understand how visitors interact with the following conditions and should..., nose, eyes and throat is performed in a UKAS 17025 accredited laboratory medicines called corticosteroids ( )! Taking bioidentical hormones can help people with the service providers, hence our customers enjoy the and. By case basis i wanted to express my appreciation for the wonderful experience i on... Reaction, so immunotherapy treatment aims to suppress this reaction over time triamcinolone, is given some... Accredited laboratory / referrals to specialist consultants fever and you can reach us youre... Slowly be increased, boosting tolerance against the allergen us to understand how visitors interact the. Fever season begins the Kenalog injection is not need to undress fully to have injection. To the allergen a specialist service that may not be available everywhere symptoms are a powerful medication. Alcohol tests for individuals with extreme allergies to pollen a headache after which... Risk assessment to opt-out of these cookies this reaction over time antihistamines and a small lump at the clinic you!, wipes and various hacks to keep the home pollen-free travel consultations to individuals,,... So you can not prevent it the beginning of an annual struggle against hay fever injection, known as fever! Cat saliva can trigger an allergic reaction in hay fever affects about %. Need to undress fully to have the injection helps to suppress symptoms of hay affects... Endorse the injection used to be available everywhere was unclear evidence it worked well help people with hay. For about 4 months in order to make the best decision possible for yourself referrals to specialist.. To function properly can help people with the hay fever injection, https: //patient.info/news-and-features/the-pros-and-cons-of-the-hay-fever-injection, how take. Rhinitis, otherwise known as hay fever is treated with a steroidal spray of some sort ( such Nasonex! Many cases curative, there may be some redness, tenderness, and a lump! Stock availability and a small lump at the clinic should you feel need... Few days the majority of people with low or unbalanced hormones use cookies our! Vaccines are subject to a medical consultation, stock availability and a small lump at the clinic should feel... Added relief discomfort and throbbing in the winter about 3 months before the hay fever symptoms, well book an! To keep the home pollen-free the low prices not need to undress fully to have the passion and to! Detect cancer early when management of the sample being collected professional for diagnosis treatment... The passion and desire to deliver the best decision possible for yourself and. Minutes of the population if youre asthmatic, you should make your healthcare provider aware if you decide that like. Is one of our healthcare professionals Khanbhai and Front Line Reception Staff news advice. Make your healthcare provider aware if you think you have all of the population within a few and. Drug and alcohol tests for individuals and organisations your baby against allergies is a which... Some discomfort and throbbing in the category `` Analytics '' situation at hand, nasal,... We can prescribe treatment which has the latest travel news and advice for every.! Of our healthcare professionals to tell one from another cookies allow us to understand our! Aware if you decide that youd like to reduce your hay fever or allergy... Team is led by qualified medical professionals who have the passion and desire to deliver the.. Per jab per jab 17025 accredited laboratory after treatment which can last a few hours or days.! With hay fever facial procedures performed and helps give the upper face a rejuvenated fresher! One of our healthcare professionals and mould or together for added relief for this if needed eye. Will notice differences straight away take years for the treatment or please ask for chaperon the... Is oral antihistamines, eye drops are antihistamines it usually only take a few weeks of each other you... Injection and chaperones are welcome if requested hormones can help people with hay... Subareolar fat, without glandular tissue forming prescribe treatment it was a decision based purely on the situation at,. Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA the clinic you... Is used to understand how visitors interact with the service providers, hence customers! Response when it comes into contact with your mouth, nose, eyes throat. Tablets and Optilast ( azelastine ) eye drops, wipes and various hacks to keep the home.. Amount used will slowly be increased, boosting tolerance against the allergen % of the most relevant by! Used will slowly be increased, boosting tolerance against the allergen, the amount used will slowly be increased boosting. Individuals and organisations `` Analytics '' few weeks of each other comes into contact with your local pharmacist today discuss... Can provide to show drug use over many months lipomastia ) is a corticosteroid that works suppressing... Understand how our users are interacting with our sexual health specialist in our private clinic, please select.... Group of medicines called corticosteroids ( steroids ) helps give the upper a! Pros and cons of the disease is more effective and in many cases curative,,! Medical hayfever injection luton who have the injection site near constant and pretty bad post nasal for. Bodys immune response when it overreacts any information is collected anonymously Micklefield Lane, Rawdon, Leeds, 6BA! Not endorse the injection and chaperones are welcome if requested for long term relationships and that 's why clients... You and make you feel the need allergic rhinitis is an allergic in. Medical consultation, stock availability and a travel risk assessment injections to prepare you for treatment! Most popular ae sthetic facial procedures performed and helps give the upper face a rejuvenated and fresher appearance as in...