Harmony Medical by Dr Ayah

08/09/2026

No one is born symmetrical. If we were born perfectly symmetrical, honestly, we would probably look odd.

Now, asymmetry doesn’t need to be caused by an accident. It could simply be the way you chew or how you use your muscles. All our muscles work together, so when one muscle becomes stronger, another can compensate and become stronger too.

Which is exactly what happened here.

This patient came to us with no history of an accident or injury. But recently, she started noticing that one eyebrow would peak more than the other — but only when she talked. At rest, she felt and looked completely normal.

She started wearing sunglasses and taking photos from certain angles so the asymmetry couldn’t be noticed.

Her left eyebrow muscle was very strong. You can see in the clips how much lower the head of the eyebrow sits compared to the right.

Because this muscle was so strong, the forehead muscle — the frontalis — became stronger to compensate and keep the eyebrow up.

But when she talked, certain words would trigger the eyebrow to peak even higher. That’s when she would notice the asymmetry.

So what did we do?

We wanted to create symmetry and prevent that eyebrow from constantly peaking up.

That meant relaxing not just one eyebrow, but both, and then relaxing the compensatory muscles in a very controlled way to create more symmetry.

**Think of it like a tug of war. If one side starts pulling harder, the other side has to work harder to keep everything balanced. Your muscles can do the same thing.**

Which is exactly what happened here.

To improve her overall facial balancing not only did we balance her eyebrows but her full face. Notice her chin does not steer towards da the right anymore?

And her left side is not pull down as much?

Her smile looks effortless now.

This is how we train the muscles 💪 

Who’s ready?!

07/09/2026

As we age, everything starts to head south.😩

The skin becomes less firm, we lose volume from our fat pads, especially through the cheeks, and we gradually lose that youthful fullness.

So naturally, a lot of people turn to dermal filler for a quick fix.

Filler adds structure and volume to the face. Initially, this can make the skin appear tighter, firmer and more youthful as the skin stretches over the added volume.

But here’s where it gets interesting.

Dermal filler is made from hyaluronic acid, which attracts water. So over time, the filler can hold onto more water, increasing the volume and weight within the tissue.

And remember, while the filler is sitting there, you’re still ageing. You’re still losing collagen, your skin is becoming less elastic and less firm.

So as the skin starts to lose its ability to support everything above it, that added weight can move down with the tissues.

And suddenly, you can end up with a heavier, sagging lower face…

Which was actually the reason you went for filler in the first place.

So what do you do?

Are you scared that dissolving your filler will make you look even more saggy?

This is where strategy matters.

Rather than dissolving everything at once, we can dissolve strategically — working from the bottom up.

By reducing the weight lower down first, you’re taking away some of that downward pull.

So instead of necessarily making the face look more saggy, you can actually reveal a tighter, lighter-looking face.

Like the lady in the last page.

She hasn’t had Botox or any skin-tightening treatments.

Just strategic dissolving.

This is her result from the beginning of the year to August

8 months of gradually reducing the filler!!!

07/09/2026

05/09/2026

I don’t know about you guys, but growing up, I was always told psoriasis was contagious and untreatable.

Up until the mid-20th century, people still thought psoriasis was contagious, so you can see where that misconception came from.

There was a guy in my school who had dry, scaly, red, patchy skin on his palms, elbows, knees, face — you name it.

Because of the lack of knowledge, we avoided him at school. I was only 7, mind you.

Now that I work in this industry and understand skin conditions more, we know psoriasis is NOT contagious. In fact, it’s heavily influenced by family history and external triggers. It’s a chronic autoimmune disease.

Basically, the immune system is constantly switched on, which makes the skin cells produce too quickly. The skin starts building up layer upon layer, and this is what creates the dry, scaly appearance of psoriasis.

Now, psoriasis can come in flares, and everyone has different triggers.

For example, stress can increase cortisol levels in the body. Cortisol can influence the immune and inflammatory response, which may trigger a psoriasis flare-up.

So, is it untreatable?

I mean, we can’t get rid of it completely because it’s an autoimmune condition. But we CAN control it.

Controlling psoriasis starts with identifying and avoiding your triggers, which can include things like stress, weather and, for some people, certain foods.

Then we want to calm the inflammatory response. This can include treatments that target the overactive blood vessels, such as vascular laser, which is what we did with this patient.

So, can we tame psoriasis flares and reduce the visible signs? Absolutely.

Can we get rid of it completely?

Unfortunately not. Because psoriasis is influenced by your immune system and your individual triggers, it’s about controlling and managing it rather than permanently getting rid of it.

03/09/2026

We’ve all been told filler is reversible.

Just inject Hyalase ( the dissolver) and the hyaluronic acid in the filler breaks down and disappears like magic… right?

But does it really?

It depends on the type of filler and where it’s been injected.

Cheeks, chin and nose fillers are designed to provide structure, so they’re usually more highly cross-linked, with more BDDE bonds.

What’s BDDE? Well into the glue that stick the filler together.

Under the eyes and in the lips, fillers are generally softer (less glue) and more flexible because these areas are much more delicate and mobile.

So, do you always need just ONE dissolving session?

I’d be surprised if you did.

Depending on the amount, type and location of the filler, it can take multiple sessions! Sometimes over several months to years… to get the tissues back to a more natural state.

Hyalase can remove the bulk of the filler, but completely erasing every trace isn’t always possible.

As long as small amounts of hyaluronic acid from the filler remain, they can continue attracting water and causing puffiness. This can be worse in the morning or when you’re unwell, when increased blood flow and fluid retention can make the area look even puffier.

And this is why “filler is reversible” isn’t quite as simple as we’re often led to believe.

03/09/2026

We’ve all been told filler is reversible.

Just inject Hyalase ( the dissolver) and the hyaluronic acid in the filler breaks down and disappears like magic… right?

But does it really?

It depends on the type of filler and where it’s been injected.

Cheeks, chin and nose fillers are designed to provide structure, so they’re usually more highly cross-linked, with more BDDE bonds.

What’s BDDE? Well into the glue that stick the filler together.

Under the eyes and in the lips, fillers are generally softer (less glue) and more flexible because these areas are much more delicate and mobile.

So, do you always need just ONE dissolving session?

I’d be surprised if you did.

Depending on the amount, type and location of the filler, it can take multiple sessions! Sometimes over several months to years… to get the tissues back to a more natural state.

Hyalase can remove the bulk of the filler, but completely erasing every trace isn’t always possible.

As long as small amounts of hyaluronic acid from the filler remain, they can continue attracting water and causing puffiness. This can be worse in the morning or when you’re unwell, when increased blood flow and fluid retention can make the area look even puffier.

And this is why “filler is reversible” isn’t quite as simple as we’re often led to believe.

02/09/2026

So you have ice-pick scars and you’re thinking, “What can I actually do if I have skin of colour?”

Fair point.

This patient’s scan already showed inflammation, a weak skin barrier and dehydration.

And if the skin isn’t healthy to begin with, how well is it going to heal and produce collagen after treatment?

So, what do you do?

First, make the skin healthy.

We use exosomes to support the skin barrier and help it hold onto moisture.

Then we calm the skin by reducing excess blood vessels with gentle Laser Genesis, which can be useful in skin of colour because it targets vascular components without directly targeting melanin.

Once the skin is healthy and calm, we can target the ice-pick scars.

But what should we use?

CO₂ laser can treat acne scarring by creating controlled thermal injury, triggering the healing response and stimulating collagen.

But with skin of colour, we need to be much more careful about how much surrounding skin we disturb because there’s a higher risk of post-inflammatory hyperpigmentation.

So my aim here was simple:

Target the scar — and leave the surrounding skin alone as much as possible.

Think of it like repairing a pothole.

You don’t need to dig up the entire road. You just repair the pothole.

That’s the thinking behind TCA CROSS.

TCA stands for trichloroacetic acid, and the concentration can be adjusted depending on what we’re trying to achieve — a bit like adjusting the intensity of a laser.

We want enough injury to trigger collagen production, without unnecessarily injuring the surrounding skin.

The TCA is placed directly inside the ice-pick scar, creating a controlled chemical injury.

This triggers the skin’s repair response, activating fibroblasts to produce new collagen and gradually remodel the scar from within.

And then we sandwich the treatment with exosomes and Laser Genesis to support the skin during healing and help minimise the risk of PIH.

So yes, treatments work.

But especially with skin of colour, it’s not always about choosing the strongest treatment.

Sometimes it’s about being more targeted, taking your time and treating the skin in stages to reduce complications.

01/09/2026

Remember that time when everyone told you that you had beautiful skin — and you were literally just using a bar of soap on your face?!

Well, that was probably because your skin barrier was stronger when you were younger.

Now that same bar of soap doesn’t work. And that grandma’s turmeric mask ( the HALDI MASK ) might not work as well either.

BUT WHY?

The concept isn’t completely wrong.

- Yoghurt contains lactic acid, which gently exfoliates and hydrates the skin
- While turmeric has anti-inflammatory properties that can help calm the skin.

But the problem is, these DIY ingredients aren’t regulated. The strength and quality can vary, so you don’t really know what you’re putting on your skin. Which is why the same recipe may not give you the same results.

So what do you do? Spend thousands on skincare because TikTok or a celebrity told you to?

Let’s be smart.

First, understand what your actual skin concern is. A skin analysis can help us see what’s happening beneath the surface and what your skin actually needs.

Are you really oily, or are you dehydrated and producing more oil to compensate? Is your skin dull because your barrier is compromised, or are you dealing with pigmentation?

Then, look for simple, well-formulated products with the right ingredients for your skin. You don’t need the same active ingredient in every single product.

For example, vitamin C can help brighten the skin and has antioxidant properties, but too much can irritate your skin. Then irritated skin can actually look MORE DULL!

And remember, skincare takes time. It doesn’t happen overnight. Give it at least 8 weeks to properly work.

If you’re still not seeing results, then we need to look deeper.

Could it be your environment, travel, stress, diet, hormones or another underlying factor?

And sometimes skincare alone isn’t enough. That’s when combining the right treatments with your skincare can give your skin the extra boost it needs.

So, before you spend thousands on skincare…

Come in for a consultation. Let’s work out what your skin actually needs.

29/08/2026

Photos. We take so many of them to create memories.

But how many times have you felt uncomfortable with the angle you were photographed from? Or the side of your face? Suddenly, that memory becomes a moment where you feel self-conscious.

Why do so many of us tilt our face, turn sideways so we don’t show our full face, or even hide our teeth?

One reason you may not feel comfortable with your smile is stronger muscle movement.

And this can be influenced by things like being born with a receding chin, an accident, surgery, or even the way you bite.

Take this patient, for example.

She came to us wanting chin filler. She had previously had filler, and it made her feel more confident on camera.

BUT WHY?

Chin filler can add projection, elongate the lower face and improve facial balance. It can also help the appearance of the smile to a certain extent.

But are we overlooking the real issue?

Look closely at the chin.

She actually has an overactive chin muscle.

When someone has a receding chin, meaning the bone sits further back, the mentalis muscle can work harder to help close the mouth.

Over time, this can make the muscle stronger and bulkier, creating a crease underneath the lip, chin dimpling and changing how the lower lip moves when you smile — sometimes making the smile appear flatter.

Now here’s where it gets interesting.

If the chin muscle is already strong and bulky, adding filler on top may not always give you the result you expect.

Instead of creating length and structure, the muscle can push the filler outwards, potentially making the chin look wider or rounder.

SO WHAT DO YOU DO?

You can relax the chin muscle.

Is it really that simple?

Not always.

You have to look at the bigger picture.

If one muscle is working harder, other muscles may also be compensating. And when we change the activity of one muscle, another may start picking up the slack.

That’s why we look at the face holistically — not just the one area you’re unhappy with.

Concerned about asymmetry or your smile?

Book a consultation NOW and let’s work out what’s actually going on ♥️