DR ALEK NIKOLIC

15/10/2026

In most combined firming protocols, energy based skin tightening comes first, priming the tissue before a biostimulator is introduced four to six weeks later. When the concern is more about lost volume and loss of structural support than surface laxity, that order can shift. The right sequence depends entirely on your assessment.

Educational content from Dr Alek Nikolic Practice at dralek.co.za
🔗https://bit.ly/4hCN4Ns

13/10/2026

Dr Alek Nikolic serves as an Allergan Local Country Mentor in Facial Aesthetics and has lectured internationally on injection technique and facial anatomy. That clinical background shapes how every assessment is structured at the practice, alongside Dr Lynelle Hoeks and skincare therapist Vashnee Chetty.

From Dr Alek Nikolic Practice at dralek.co.za

11/10/2026

Biostimulators and skin tightening work through two different mechanisms, but neither produces an overnight change. One triggers your skin to build new collagen from within, the other uses controlled energy to encourage the same process from a different angle. Both take weeks to months to show their full effect.

Educational content from Dr Alek Nikolic Practice at dralek.co.za
🔗https://bit.ly/4dhIvH3

09/10/2026

Structure before volume: why a natural lift starts with support.
As we age, the face loses some of its underlying support, which can show as softening along the jawline and changes around the mouth. In this treatment, Dr Alek Nikolic used the MD Codes approach to place small, precise amounts of filler at key structural points: the cheeks, the angle of the jaw, the chin and the corners of the mouth.
The goal was a lifted, supported look that still looks completely natural. The images show the result immediately after treatment.
Watch the full 29-minute educational demonstration on YouTube, link here: https://bit.ly/3VsCam7

Educational content, not medical advice. Results vary between patients. Injectable treatments should only be performed by an appropriately qualified and registered medical practitioner. Patient images shared with written consent. Dr Alek Nikolic is an Allergan Local Country Mentor; MD Codes is an Allergan Aesthetics methodology.

09/10/2026

Thank you Aesthetic Appointment Journal

Dark marks can start forming in the skin weeks before they become visible.

As UV levels rise in spring, melanocytes respond by producing more melanin. Because that pigment can take around 28–40 days to reach the skin’s surface, the effects of unprotected sun exposure may only become apparent later in summer.

DR ALEK NIKOLIC of SkinMiles explains why spring is an important time to focus on daily sun protection, antioxidant support and early treatment of existing pigmentation.

Read the full article: https://www.aestheticappointment.co.za/2026/10/spring-pigmentation-prevent-dark-marks-dr-alek-nikolic.html

09/10/2026

Fibroblasts are the cells in your skin responsible for producing collagen. As you age, they slow down, but they do not disappear. A biostimulator reactivates that cellular activity with a targeted signal that stimulates renewed collagen production, which is why the improvement looks and feels like your own skin, because it is.

Educational content from Dr Alek Nikolic Practice at dralek.co.za
🔗https://bit.ly/4xOp0gt

07/10/2026

Assessment before treatment, always. Every recommendation made at Dr Alek Nikolic's practice starts with understanding your skin, not applying a preset protocol. If you are weighing up your options for facial firming, or anything else, that conversation starts with a consultation.

From Dr Alek Nikolic Practice at dralek.co.za

05/10/2026

Skin laxity is rarely one problem. Collagen density drops, elastin fragments, and volume shifts, often all at once. That is why combining biostimulators with skin tightening can address more of what is actually happening than either treatment alone, when the two are sequenced correctly.

Educational content from Dr Alek Nikolic Practice at dralek.co.za
🔗https://bit.ly/4hCN4Ns

03/10/2026

A dermal filler adds volume, support, and lift the moment it is injected. A biostimulator does something else entirely: it signals your own fibroblasts to start producing collagen so the results are not immediate, because it is not the biostimulator doing the work, it is your skin’s stimulation of cells over time becoming visible from four to six weeks after the treatment.

Educational content from Dr Alek Nikolic Practice at dralek.co.za
🔗https://bit.ly/4xOp0gt

01/10/2026

Some skin laxity responds well to biostimulators and skin tightening. Some does not. The honest answer only comes from a proper assessment, not a treatment menu. When laxity has progressed beyond what these treatments can meaningfully address, the right recommendation may be a surgical referral rather than another injectable.

Educational content from Dr Alek Nikolic Practice at dralek.co.za

🔗 https://bit.ly/4dhIvH3