Dr Wade Merchant - Natural Aesthetics

04/04/2026

Lateral cheek (zygomatic arch) filler has recently been shown via ultrasound studies to have an incredibly high likelihood of migration/displacement into either the temple or lower cheek. There may be a lifting effect to the lower and mid face due to mechanical traction (nasolabial fold specifically) on the day of treatment, but in my experience, these results tend not to last. In addition, patients tend to the up with an unnaturally widened face - changing how they look rather than restoring facial balance. Approaching the nasolabial fold from a structural, anatomically based perspective helps ensure lasting results that target the actual cause of the problem - facial boney changes to the piriform fossa. The rheological properties of the hyaluronic acid filler that is chosen is also important - a high G prime (stiff and less resistant to deformation) is the ideal choice as it is the closest to mimicking the projection capability of bone.

28/02/2026

This team makes it all possible.

Behind every patient smile, every seamless consultation, and every moment of care at Natural Aesthetics - there's this group making it happen.

Three clinics across Cape Town. Thousands of patients. One incredible team holding it all together with skill, dedication, and care.

This isn't something you do alone. It's built on trust, consistency, and individuals who hold themselves to a high standard - for each other and for every patient who walks through our doors.

Proud to lead this team. Grateful they make it easy.

"None of us is as smart as all of us." - Ken Blanchard

18/02/2026

Sharing insights with an incredible group of doctors on the Galderma Grow with Gain programme yesterday.

One of the most common complications I see? Puffy, swollen under-eyes - not from ageing, but from filler placed without understanding periorbital lymphatic anatomy.

The lymphatic drainage around the eye is extraordinarily delicate. Filler placed too superficially, in excessive volumes, or in the wrong tissue plane can physically obstruct these fine channels - leading to chronic oedema that's incredibly difficult to reverse.

The result? A patient who looks worse than before treatment.

This is why anatomy-first education matters. When we understand the "why" behind complications, we can prevent them.

Proud to be part of the community, training the next generation of safe, skilled practitioners.

10/11/2025

Suitable candidates can email their CV to careers@naturalcape.com.

07/11/2025

Genetics gave you a starting point - clinically applied anatomy does the rest.

Strategic filler placement along the mandible creates masculine definition without looking overdone. We're enhancing your natural bone structure, not changing who you are.

The goal? People notice you look better - they just can't figure out why.

This is evidence-based facial contouring using anatomical landmarks, not trends.

02/11/2025

Filler longevity.

It's about understanding the science.

Your body breaks down hyaluronic acid at different rates. Enzyme activity, tissue depth, muscle movement - they all matter.

We can't control your metabolism.

But we can control product selection, injection plane, and technique.

That's the difference between evidence-based medicine and guessing.

Stop looking for guarantees. Start asking if your injector understands the variables.

09/10/2025

The Science Behind Your Optimal Filler Results

Did you know there are hundreds of different hyaluronic acid fillers on the market, and they're all engineered differently?

Some fillers move naturally with your expressions. Others create structure and restore boney resorption. Some integrate into delicate tissue, while others withstand constant lip movement.

This is why the same filler that gives amazing cheeks might not work for under-eyes. Your lips need something completely different than your jawline.

The real skill isn't just knowing how to inject - it's understanding the science behind each product and matching it precisely to your anatomy. That's when you get those natural, lasting results that move seamlessly with you.

02/10/2025

Investing in excellence at AMWC Dubai 2025

Staying at the forefront of aesthetic medicine isn't optional – it's essential. Three days immersed in the latest research, evidence-based protocols, and innovations that will elevate patient care at Natural Aesthetics.

The field evolves rapidly, and I'm grateful for the opportunity to bring these insights back home to serve you better. Our commitment to your safety and results doesn't waver.

20/06/2025

Our patient seen here is 48 years old, and this is her result three weeks after a filler and botulinum toxin treatment. This is what a strategically planned, undetectable filler and toxin should look like. Here’s a breakdown of her treatment process:

1️⃣ I used Restylane Lyft™ to restore midface volume loss and enhance the cheekbones, and Restylane Lidocaine to correct under-eye hollows. These fillers are made with NASHA™ technology — specifically developed for contouring and structural support.

2️⃣ Botulinum toxin was used to treat the frontalis (forehead), glabellar complex (frown), orbicularis oculi (crow’s feet), DAOs (downward-pulling mouth corners), and platysmal neck bands — not only to soften wrinkles but also to create a lifted appearance, tighten the neck and jawline, and refine age-related changes in facial expression. A subtle Botox brow lift was also performed.

3️⃣ Our patient also underwent an anti-ageing-focused Dermapen 4™ treatment two weeks prior. Skin quality is foundational in aesthetic medicine and plays a vital role in enhancing both the results and longevity of injectable treatments.

If you’re seeking quality over quantity and personalised aesthetic care — I’d be honoured to assist. If you’re unsure whether you’re ready for injectables, start with a consultation. I offer both in-person and virtual consultations from my Green Point practice on Mondays, Tuesdays, Wednesdays, and Fridays.

To book, please contact my practice manager, Cleo. A small deposit is required to secure your appointment with me, which is deducted from your treatment cost on the day.

📲 WhatsApp: +27 69 910 0540 | 📧 Email: bookings@naskin.co.za

05/02/2025

Another incredible day of training doctors in the AART of Sculptra Biostimulators on behalf of Galderma! 🎓✨ Grateful to all the doctors who attended and to the Galderma team for hosting yet another spectacular training day.

18/04/2024

Stunning results with our FDA, CE, and Health Canada approved IPL devices.

Transform your look with our Venus Versa™ IPL Photofacial. Sun damage, age spots, brown marks and freckles beautifully lifted before and after two of our bespoke IPL treatments, combined with a custom selected SkinCeuticals peel for even better results.

📍 Available at Natural Aesthetics clinics in Green Point, Tyger Valley, and Somerset West.

📲 Ready to take the next step? Visit www.naturalaesthetics.co.za to book your appointment online at a date and time that is convenient for you! Or contact us via WhatsApp on 0699100540 or email us at bookings@naskin.co.za. Our friendly team is ready to assist you! ⭐️

29/03/2024

Before and after: Dermal Filler Treatment. Results by Dr. Melinda Dommisse. 💉✨️

In this procedure, Dr. Melinda Dommisse used 4ml of dermal filler to restore the mid-face structure, reduce nasolabial and marionette lines, and improve chin projection.

Using a firm filler to provide structural support to the mid-face and volumise the cheeks as well as to strengthen the chin, and a more flexible and softer filler to address the nasolabial folds and marionette lines.

📲 Ready to take the next step? Safely restore lost volume and smooth away wrinkles with our premium fillers, and enjoy our excellent safety record and personalised care. Book your appointment today at a Natural Aesthetics clinic near you! ✨️