Dr Riekie Smit

Dr Riekie Smit Aesthetic Medical Doctor Author & Trainer
Pretoria +2712 567 1313

Teaching threadlifting today FPD School of Health Sciences for doctors doing the advanced diploma in aesthetic medicine ...
29/07/2026

Teaching threadlifting today FPD School of Health Sciences for doctors doing the advanced diploma in aesthetic medicine

Training day at FPD School of Health Sciences for doctors doing their Advanced Diploma in Aesthetic Medicine. Practical ...
28/07/2026

Training day at FPD School of Health Sciences for doctors doing their Advanced Diploma in Aesthetic Medicine. Practical skills in botulinum toxin and filler injections.

Treating Heavy Upper Eyelids: Non-Surgical OptionsAs we age, the delicate skin around the upper eyelids can lose structu...
24/07/2026

Treating Heavy Upper Eyelids:
Non-Surgical Options

As we age, the delicate skin around the upper eyelids can lose structural elasticity, leading to heaviness, laxity, or a tired appearance. While surgical blepharoplasty remains a definitive solution, several non-surgical medical modalities exist to help tighten and revitalize the periocular area.

Here is an overview of the primary non-surgical approaches:

Non-Surgical Modalities

1. Botulinum Toxin Injections: Relaxes specific facial muscles (such as the orbicularis oculi) to create a subtle lateral eyebrow lift, opening up the eye area.
2. Thread lifting to reposition the brows
3. Radiofrequency (RF):** Utilizes controlled thermal energy (via monopolar or microneedling RF) to stimulate dermal collagen remodeling and skin tightening.
4. Chemical Peels (Deep/Controlled): Promotes targeted epidermal renewal and collagen contraction, particularly effective for skin texture and laxity in appropriate skin types.
5. Ablative Fractional Lasers: Creates microscopic thermal treatment zones to contract skin tissue and induce robust neocollagenesis.
6. Skin Microcoring: An emerging technology that mechanically removes full-depth micro-cores of skin to reduce tissue area without thermal damage.

Clinical Note:
Periocular skin is exceptionally thin and complex. Choosing the appropriate treatment depends on individual skin quality, anatomical structure, fitzpatrick skin type, and acceptable downtime. A comprehensive medical consultation is required to assess individual suitability, outline potential outcomes, and establish an evidence-based treatment strategy.

For healthcare professionals looking to update knowledge on testosterone substitution and transdermal delivery:Join Dr. ...
23/07/2026

For healthcare professionals looking to update knowledge on testosterone substitution and transdermal delivery:
Join Dr. Riekie Smit and Dr. Jacques Snyman as they dive into both the clinical pharmacology and practical patient perspectives of topical testosterone therapy in an upcoming free, CPD-accredited webinar sponsored by Pharmaforce
Here are the details:
📅 Date: Wednesday, 29 July 2026
⏰ Time: 19:00 SAST
📜 CPD: 1 CEU
🎟️ Cost: Free

What We’ll Be Discussing:
💡 Clinical Pharmacology of Testosterone
Dr. Jacques Snyman (Clinical Pharmacologist) breaks down transdermal delivery, pharmacokinetics, and the science behind topical formulations.

💡 Clinical Need & Patient Perspective
Dr. Riekie Smit (MBChB, MSc Sports Medicine) explores key clinical indications, patient considerations, and practical insights from the field.

Who should join?
GPs, Endocrinologists, Sports & Aesthetic Medicine Specialists, Pharmacists, and any healthcare practitioners interested in modern hormone replacement strategies.

👉 Secure your spot today
Click the link in story to register, or visit:
https://www.b2bcentral.co.za/webinar/topical-testosterone-therapy/
Looking forward to seeing you there

22/07/2026

Lifting heavy eyelids today on set with Dr. Nou Show! 🎥

Our 49-year-old male patient wanted a brighter, more refreshed eye area without invasive surgery.
Our strategy?
A combination approach using Monopolar Radiofrequency and Fractional Laser for maximum skin contraction and collagen remodeling.
Stay tuned to see his transformation!

⁠

When it comes to elevating the brows using neuromodulators (botulinum toxin), many believe the product is injected direc...
17/07/2026

When it comes to elevating the brows using neuromodulators (botulinum toxin), many believe the product is injected directly into the brow itself or sometimes even above the brow.

The truth is far more strategic.

To lift the brow, the injections must precisely target the depressor muscles.

These are the muscles that pull down on the brow area.

1️⃣ The Corrugator Supercilii (glabella muscles) and Procerus work to pull the medial and central brow downwards.

2️⃣ The Orbicularis Oculi (the circular muscle around the eye) acts as a strong depressor, pulling the central and lateral tail of the brow downwards.

The Strategy: By carefully injecting a neuromodulator into these depressor muscles, they are temporarily weakened.This alleviates the constant downward tension, allowing the Frontalis muscle (the large muscle on the forehead that raises the brows ⬆️) to act unopposed, resulting in a subtle, natural, and open-eyed lift.

Tailor-Made Treatments: The injections shown above is only an example of one patient. The placement, dosage, and depths of injections are incredibly different for each person.

Before treatment, your doctor will perform a thorough dynamic evaluation of your:

Unique muscle strength and interaction.
Facial proportions.
Overall aesthetic harmony.

There is no one-size-fits-all approach to precision medicine. Your treatment plan will be tailor-made to achieve your specific, optimal result while maintaining natural expression.

PrecisionMedicine

Our facial muscles aren’t just for making funny faces; they are the architects of our expressions, creating movement and...
16/07/2026

Our facial muscles aren’t just for making funny faces; they are the architects of our expressions, creating movement and determining how we show emotion.
These muscles can be broadly categorized into two groups:
⬆️Elevators (the “up-lifters”): Think of these as the muscles that smile, lift your eyebrows, and generally create expressions that radiate positivity and energy. They’re like the team dedicated to raising your features.
⬇️Depressors (the “down-pullers”): On the other hand, depressors are responsible for conveying emotions like sadness or concern. They pull down the corners of your mouth, create the classic “frown lines,” and can give a more tired appearance.

It’s All About Balance (and Your Anatomy!)

Facial aesthetics is about far more than just injecting product. It requires a deep understanding of facial anatomy and how different muscles and structures interact.

Why your results can look so different from someone else’s? It’s not just about the product—it’s about the science behin...
14/07/2026

Why your results can look so different from someone else’s?
It’s not just about the product—it’s about the science behind the syringe! 💉
The outcome of your botulinum toxin treatment depends entirely on two crucial factors:
1️⃣ Exact anatomical placement (the millimeter-thin margin between a perfect lift and a heavy brow).
2️⃣ The precise direction and angle of the needle.
This is why facial aesthetics is a true medical art. To get it right every single time, expert injectors don’t just “guess.” We study facial anatomy relentlessly, dissect cadavers to understand muscle layers, and even use advanced technology like ultrasound to visualize the precise structures beneath your skin.
When you choose an injector, you aren’t just paying for the product—you are investing in their deep knowledge of facial anatomy.
Keep your results safe, natural, and beautiful. Always trust your face to an expert!

Behind the scenes: What a morning of filming looks like! 🎬Filming and production with RichCon to capture the full patien...
08/07/2026

Behind the scenes: What a morning of filming looks like! 🎬

Filming and production with RichCon to capture the full patient experience for Dr. Nou Show.

Here’s how the magic happens:
🚗 Patient arrival & check-in
💬 The initial consultation
⚡️ Pico laser treatment & skin revitalizing injections in action
🧠 Deep-dive explanations of the procedures
🧴 Wrapping up with post-treatment & aftercare instructions

Can’t wait for you all to see the final edit! Stay tuned.

Before planning any treatment, I evaluate your face in layers, proportions and preferences.During your clinical assessme...
06/07/2026

Before planning any treatment, I evaluate your face in layers, proportions and preferences.

During your clinical assessment, doctors assess:
1. Bone: your skeletal foundation (like the temples and jawline) to see if bone remodeling has reduced structural support.
2. Fat Compartments: mapping out where facial fat has depleted or shifted downward, creating hollowness or heaviness.
3. Ligaments: the strength of the face’s natural retaining ligaments to understand why tissue is descending into jowls or folds.
4. Skin: the surface layer—checking skin thickness, elasticity, and overall dermal health.

Only after analyzing how these layers interact can a precise, predictable treatment plan be mapped out.
True aesthetic medicine isn’t about over-filling; it’s about restoring the right anatomical depth.

Address

347 Calliandra Street, MONTANA PARK
Pretoria
0182

Opening Hours

Monday 08:00 - 17:00
Tuesday 08:00 - 17:00
Wednesday 08:00 - 17:00
Thursday 08:00 - 17:00
Friday 08:00 - 17:00

Website

,

Alerts

Be the first to know and let us send you an email when Dr Riekie Smit posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Dr Riekie Smit:

Shortcuts

Share

Category