Aesthetic medicine
Aesthetic medicine in a dental clinic
Aesthetic medicine is a secondary service line here. Dentistry is what this clinic does. These procedures exist alongside it because the perioral region is an area we assess clinically every day — and because some indications are directly dental.
Why a dental clinic at all
The lower third of the face is anatomy we work in daily. The lips, the perioral tissues, the muscles of mastication and the smile line are part of dental diagnosis, not a separate cosmetic territory. That is why some indications genuinely benefit from a dental perspective: bruxism with masseter hypertrophy, or a pronounced gummy smile.
At the same time, we are not turning a dental practice into an aesthetic centre. These procedures do not replace dental treatment, are not offered instead of it, and are not bundled with it. If you come about a tooth, we will talk about the tooth.
Who performs these procedures
Every aesthetic medicine procedure in this clinic is performed by Dr Nevena Karadjova, a specialist in Oral Surgery (MU-Varna, 2019) and formerly assistant in the Department of Oral and Maxillofacial Surgery at MU-Varna (2016–2019).
Facial anatomy, vascular topography and soft-tissue handling are part of her surgical practice. That matters for injectable procedures, where the serious risk is a vascular one.
What it is fair to expect
Every procedure listed here is temporary and needs repeating if you want to maintain the effect. None of them is medically necessary, and for each one the reasonable set of alternatives includes doing nothing.
The quality of the evidence is not the same across indications. Some uses of botulinum toxin are supported by a substantial and consistent clinical literature, while parts of the mesotherapy and platelet-rich plasma field rest on a more limited and methodologically mixed evidence base. We will tell you which category your procedure falls into rather than presenting everything as equally proven. We do not publish efficacy percentages for aesthetic procedures, because such numbers imply a predictability that does not exist.
We reply within one working day.
Prices and consultation
We do not publish a price list for aesthetic medicine. Cost depends on the area treated, the amount of product required and the number of sessions, and is quoted in writing after a consultation.
It covers your goal, medical history, medication, contraindications, the expected effect and how long it lasts. If we judge that the procedure will not achieve what you are describing, we will say so and will not perform it.
Stages of treatment
How it runs
The same sequence applies to every procedure in this service line.
Consultation and history
Your goal, medical history, medication, allergies, pregnancy and breastfeeding, previous procedures. We establish whether the procedure is appropriate at all.
Written information and consent
You receive a description of the procedure, the product, the expected effect and its duration, possible adverse effects and the cost. Informed consent is signed.
The procedure
Carried out in the clinic under standard aseptic protocols. Typically 15 to 45 minutes depending on the area.
Recovery
You receive written aftercare for the first 24–48 hours. Swelling, redness and bruising at injection points are possible and usually short-lived.
Review
A review at 10–14 days for botulinum toxin, or per protocol for the other procedures. Any adjustment is decided then.
Who this is for
Who this suits, and who it does not
- Adults in good general health with realistic expectations
- A clearly defined goal for a specific area
- Acceptance that the procedure must be repeated to maintain the effect
- Understanding that this is elective, not treatment
Good to know
- Pregnancy and breastfeeding
- Active infection or inflammation at the injection site
- Certain neurological conditions, bleeding disorders or anticoagulant therapy without coordination with your physician
- Expecting a permanent change, or a result taken from someone else’s photograph
Good to know
Risks, stated without decoration
The most common adverse effects across all injectable procedures are bruising, swelling, redness and tenderness at the puncture sites. They are usually mild and transient, but they happen regularly and you should plan your social calendar around the possibility.
Asymmetry is a real risk. Faces are rarely symmetrical to begin with, and tissue response is not entirely predictable. With botulinum toxin, temporary weakness of a neighbouring muscle group or mild ptosis can occur and resolves as the effect wears off.
With fillers there is a rare but serious complication — vascular occlusion, where product compromises blood supply and can cause tissue necrosis and, in exceptional cases, visual disturbance. That is precisely why it matters who injects, whether they know the vascular anatomy and whether they have an emergency protocol in place.
Infection, nodules, prolonged swelling and an aesthetically unsatisfying result are also possible. Nobody can promise you a result, and we do not present another person’s case as a forecast for yours.
Alternatives
What else we will discuss
Doing nothing
Always valid for an elective procedure. If the motivation is external pressure rather than your own wish, that is a good reason to wait.
A dental solution
Sometimes what bothers you about your smile is a dental question rather than a skin one — tooth position, crown height or wear. Then the answer is dentistry.
Dermatology referral
For skin conditions, pigmentation, vascular lesions or anything suspicious we refer you to a dermatologist. We do not treat skin disease.
Everyday factors
Sun protection, sleep, smoking and skincare influence more, and for longer, than a single procedure. That is a matter of priority order, not a pleasant platitude.
Meet the dentist
Dr Nevena Karadjova
Dentist · Specialist in Oral Surgery
All implantology and All-on-X surgery of the clinic: implants, bone grafting and sinus lift, oral surgery, aesthetic medicine.
- DMD, Medical University of Varna
- Specialty in Oral Surgery, MU-Varna, 2019
- Assistant, Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, MU-Varna, 2016–2019
- Resident, Maxillofacial Surgery Clinic, UMHAT “Sv. Marina”, Varna, until 2017
- 2,000+ implants placed personally
Frequently asked questions
Frequently asked questions
Because the lower third of the face is a region we assess daily, and because some indications are directly dental — bruxism with masseter hypertrophy, or a pronounced gummy smile. It remains a secondary service line and does not substitute for dental treatment in any way.
We do not publish prices for aesthetic medicine, because the cost depends on the area, the amount of product required and the number of sessions. You receive a written price after consultation, before agreeing to anything.
Every procedure in this line is temporary. Duration varies with the procedure, the area, muscle activity and individual metabolism. At consultation you will be given a range rather than an exact figure, because no one can honestly give you an exact figure.
Fine needles are used, and for some procedures topical anaesthetic cream or cooling as well. Most patients describe a brief sting and a sensation of pressure. We will not promise you a particular sensation, because thresholds differ considerably between people.
Usually yes, but plan for the possibility of bruising, swelling or redness for a few days. If you have an event coming up, schedule the procedure at least two weeks beforehand so there is time for a review and any adjustment.
Not automatically. If you came about a tooth, the conversation is about the tooth. Aesthetic medicine is discussed only when you raise it, or when there is a direct dental indication such as bruxism. We never offer it as an add-on to a treatment plan.
Related treatments
The Club awaits you
Discover the smile that suits you.
A consultation covering indications, an honest projection of the effect and a written price before you commit to anything.
We reply within one working day.