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Areas of concern - Dr. sim lew-gor | Facial plastic surgery

Understanding Your Facial Concerns

Facial ageing rarely presents as a single isolated feature. More commonly, patients notice a combination of changes, such as loss of jawline definition, heaviness around the eyes, or alterations in facial volume, without a clear understanding of the underlying cause.

At Dr Sim Lew-Gor’s practice in Melbourne and Wagga Wagga, concerns are assessed within the context of overall facial structure. The aim is not simply to address a visible feature, but to understand the anatomical changes responsible for it.
Where to Begin
Select the area most relevant to you below. Each concern provides further detail on causes, assessment, and the treatment pathways that may be appropriate.
  • Sagging Jawline & Jowls
  • Neck Ageing & Skin Laxity
  • Eyelid Heaviness & Bags
  • Under Eye Hollows
  • Tired & Aged Appearance
Our Surgical Philosophy

A Personal Perspective from Dr. Sim Lew-Gor

"No two faces age in the same way, because no two faces are built the same way."
A Structural Understanding of facial ageing

Facial Ageing Is a Multidimensional Process

Facial ageing involves progressive changes across several anatomical layers with each interacting over time to produce the visible changes patients describe. Effective treatment begins with identifying which layer is primarily responsible, rather than treating surface features in isolation. Dr. Sim Lew-Gor looks at:
01

Skeletal Support & Bone Structure

02

Facial Fat & Volume Distribution

03

Ligament Integrity & Soft Tissue

04

Muscle Activity & Movement

05

Skin Quality & Elasticity

"Two patients presenting with similar concerns may require entirely different treatment strategies depending on which anatomical layer is primarily responsible."
Treatment decisions by Dr. Sim Lew-Gorare based on anatomical assessment rather than the visible concern alone. This approach allows for more precise, appropriate, and individualised treatment planning whether that be surgical, non-surgical, or a combination of both.
Explore by Concern

Areas of Concern

Each concern below reflects a pattern of underlying structural change. Selecting the area most relevant to you provides further detail on causes, assessment, and potential treatment pathways.
01
Core Ageing Concern
Lower Face · Jawline · Jowls
Sagging Jawline & Jowls
Loss of definition along the lower face is commonly associated with soft tissue descent, ligament laxity, and structural changes in the jawline. This is one of the most frequently assessed concerns at this practice, in both Melbourne and Wagga Wagga.
May lead to
Facelift
Neck Lift
Non-Surgical Contouring
02
Neck · Laxity · Muscle Banding
Neck Ageing & Skin Laxity
Changes in the neck may include skin looseness, muscle banding, or fullness beneath the chin. These features often develop alongside lower facial ageing and are best assessed in conjunction with jawline structure.
May lead to
Neck Lift
Facelift & Neck Lift Combined
Non-Surgical Neck Lift
Fat-Dissolving Injections
03
Upper & Lower Eyelid · Brow Position
Eyelid Heaviness & Under-Eye Bags
Heaviness of the upper eyelids or prominence of under-eye bags may contribute to a tired or aged appearance. These changes may relate to excess skin, fat protrusion, or brow position — and are assessed in relation to the whole upper face.
May lead to
Blepharoplasty
Brow Lift
Non-Surgical Upper Face
04
Tear Trough · Volume Loss · Shadowing
Under Eye Hollows
Hollowing beneath the eyes may create shadowing and contrast with surrounding structures, often giving the impression of fatigue. This typically reflects volume loss within the tear trough region and is linked to, but distinct from, eyelid heaviness above.
May lead to
Tear Trough Filler
Facial Fat Transfer
Blepharoplasty (in some cases)
05
Broad Entry Point
Full Face · Combined Changes · Harmony
Tired or Aged Appearance
A general perception of looking tired or older often reflects combined changes across multiple regions of the face rather than a single anatomical issue. Patients may not initially identify a specific feature, but rather a change in overall facial harmony — making this one of the most important entry points for full-face planning.
May lead to
Full-Face Assessment
Combination Treatment Planning
Surgical & Non-Surgical Integration
Any of the above areas
Patient Flow

How the Concerns Connect

Facial concerns rarely occur in isolation. The anatomy of one region influences another and understanding this relationship is part of what makes treatment planning at Dr. Sim Lew-Gor's practice different.

The connections below reflect both clinical relationships and the natural patient journey. Following them ensures you are directed toward the most relevant information for your concern.
Dr. Sim Lew-Gor - Plastic Surgeon in Melbourne and Wagga Wagga Conducting a Facial Assessment
Same Concern yet a different cause

Why Individual Assessment Is Necessary

Two patients presenting with similar concerns may require entirely different treatment strategies.

For example, a change in the jawline may be related to volume loss in one patient and structural descent in another.

For this reason, treatment decisions are based on anatomical assessment rather than the visible concern alone.
Consultation & Treatment Planning

The Purpose of Consultation

Consultations are available in Melbourne, Victoria, and Wagga Wagga, New South Wales.

During consultation, assessment includes: facial structure and proportions, pattern of ageing, suitability for surgical or non-surgical treatment, and discussions of appropriate options and expectations.

Treatment planning is individualised and may involve non-surgical management, surgical intervention, or a staged approach over time. In some cases, the most appropriate recommendation is that no treatment is currently indicated.
What consultation involves
Facial Structure
Assessment of facial anatomy, skeletal support, and soft tissue position.
Ageing Pattern
Identification of which anatomical layers are primarily responsible for the visible changes the patient presents with.
Skin Quality
Assessment of skin elasticity, thickness and condition.
Options
A discussion of appropriate treatment options :surgical, non-surgical, staged, or none at all.
Expectations
An honest account of what is achievable, what recovery involves, and what the realistic limits of treatment are for that individual.

Frequently Asked Questions

Common questions raised before consultation.
How do I know which facial concern applies to me?
Many patients identify with more than one concern. This section is designed as a guide, with final assessment undertaken during consultation in Melbourne or Wagga Wagga. If you are uncertain where to begin, the Tired or Aged Appearance page provides a broad entry point.
Should I choose surgical or non-surgical treatment?
The most appropriate approach depends on the underlying anatomical changes. Non-surgical treatments may be suitable in earlier stages, while surgical treatment may be considered where structural changes are more advanced. This is determined at consultation, not in advance.
Can one treatment address multiple concerns?
Facial ageing typically involves multiple layers. A single treatment may not address all contributing factors, and a combination approach may be discussed where appropriate. The aim is always to plan treatment around what the anatomy requires, not to select a single procedure in isolation.
Is treatment based on age?
No. Treatment decisions are based on anatomical findings rather than chronological age. The same concern may present differently at different ages and in different individuals, which is why individual assessment is always the starting point.
25+
Years of surgical experience, face & neck
4
International surgical fellowships
2
Locations in Melbourne & Wagga Wagga
AHPRA Registered
Registered across AHPRA, UK GMC & Irish Medical Council
Dr. Sim Lew-Gor – facial Plastic Surgery Clinic in Melbourne & wagga wagga

A considered approach begins with consultation

Assessment
·
Planning
·
Suitability
For Dr. Sim Lew-Gor to provide proper advice, book a consultation. It’s where we find out whether treatment is appropriate for you, and if so, what it should achieve.
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AHPRA registered. All procedures performed in accordance with Australian medical standards.
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