Face For Soul

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A note for new patients: every new patient begins with a face-to-face consultation, and I don't treat new patients on the same day as that first appointment, especially for anti-wrinkle injections. That's intentional. I want time to understand your face: what's bothering you, what you've had done before, what you're hoping to achieve, and, importantly, whether treatment is the right decision for you at all.

I'm Vaiva Mikalauskaite: a pharmacist, independent prescriber, aesthetic clinician, and founder of Face for Soul in the Cotswolds. I probably look at faces a little differently from what you might expect.

When someone sits in my chair and says, "I think I need filler," or "I'd like my lines treated," I rarely reach for the syringe first. I start with the face itself, because

A line doesn't exist in isolation and neither does volume loss, skin laxity, muscular tension, pigmentation, or the way the tissues are beginning to age. Each one influences the others.

So before I recommend anything, I look at your anatomy, bone structure, skin quality, proportions, movement, soft tissue, and how the different layers of your face are working together. Only then do we decide what might genuinely help and, very often, what 

My background as a pharmacist made me naturally analytical. I've never been interested in doing something simply because it's fashionable, so I tend to ask: Why is this happening to your face? Why would this treatment help? What tissue are we actually trying to influence? What are the limitations and the risks? Is there another way to reach the same goal? Patients make better decisions when they understand what's happening, rather than being handed a menu of treatments. So my consultations are really conversations. I'll explain what I see, what I think is contributing to it, and the options open to you and you stay completely in control of what happens next.

Sometimes my job is to tell you not to have treatment. People often arrive having already decided what they need: some filler, 'some botox', a skin booster or something they saw on Instagram. Sometimes they're absolutely right. Sometimes the treatment they're asking for would make very little difference. And occasionally, I think it could make the face look worse. I'm completely comfortable saying so. I would rather lose a treatment than perform one I don't believe belongs on your face. I'm not interested in changing you for the sake of it.  I'm interested in understanding what would make the right difference.

For me, natural results are never accidental. Natural is a discipline. It takes restraint. It means knowing anatomy well enough to understand where intervention will help and where it will disturb the balance of the face. It means knowing how much is enough, being willing to stop, and preserving the things that make your face recognisably yours.

The goal isn't for someone to look at you and wonder what you've had done. Ideally, they simply think: you look well. Rested, healthier, more balanced — and still completely yourself.

I look beyond wrinkles and volume. One of my particular interests is fascia, facial movement (biomechanics), and the relationship between muscles, soft tissue, and the deeper structural support of the face. So I don't only assess wrinkles. I look at how you move, where you hold tension, which muscles dominate, how the tissues behave, and how one area may be compensating for another. This myofascial approach has become central to how I assess and plan faces, because ageing isn't simply a matter of "losing collagen" or "losing volume." It's a change happening across an entire biological system, and treatment planning should reflect that.

I'm just as interested in what happens when aesthetics goes wrong

Complications and corrective work are a major professional interest of mine. When something doesn't look right after treatment, adding more product is rarely the answer. I want to understand what happened: What was injected? Where was it placed? Which tissue layer has been affected? Has the anatomy been distorted, or the movement changed? Is there inflammation, migration, fibrosis, oedema or simply too much treatment? Corrective work takes patience and investigation. Sometimes the safest decision is to dissolve or refer to a specialist in the field. Sometimes it's to let the tissues recover. Sometimes it's to do nothing at all for a while. Restoring a face is often far more sophisticated than treating one.

The treatments are tools, not the starting point

My particular areas of interest include full-face anti-wrinkle treatment, regenerative aesthetics, skin quality and collagen stimulation, microneedling and radiofrequency microneedling, polynucleotides, PRF, myofascial facial assessment, corrective work, and carefully planned combination treatments. But I don't believe everyone needs all of them or that anyone needs treatment every month. The treatment is simply the tool. The diagnosis and the plan come first.

If something about your face or skin has been bothering you, you don't need to diagnose it yourself. 

You don't need to know whether it calls for Botox, filler, collagen stimulation, skincare, or nothing at all. 

Just come and tell me what you're noticing, what's changed, and what you'd like to improve. We'll look at your face properly, talk through what I see, and work out the options together. Sometimes that becomes a treatment plan. Sometimes a skincare plan. Sometimes I'll refer you to someone else. And sometimes I'll tell you that I genuinely think you're better leaving your face alone. All of those are perfectly good outcomes from a consultation.

Face for Soul is based in Burford, in the heart of the Cotswolds, with appointments also available in Chipping Norton. New patients begin with an initial face-to-face consultation, and treatment is not carried out at the first appointment.You don't need to arrive knowing what treatment you want. In fact, I often prefer that you don't.

If you are experiencing any difficulty booking your appointment through Glowday, please contact their support team: support@glowday.com

Vaiva Mikalauskaite

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1.0ml Cheek Enhancement - Premium Filler

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