Facial Aesthetics

Designing your smile and more...
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Facial Aesthetics – Your Questions Answered
With Dr Aby, Expert in Facial Aesthetic Dentistry

Hi I’m Dr. Aby Costello, I joined the Old Surgery in March 2024, bringing my experience and passion to dentistry and my keen interest in restorative and aesthetic dentistry, ranging from simple dentistry to complex full rehabilitation cases.

Choosing to enhance your appearance is about more than just how you look — it’s about how you feel. Your face frames your smile, and together they create the confident, radiant you. Whether you’re looking to refresh your appearance, reduce fine lines, or boost your confidence, Dr Aby and her team are here to provide natural, safe, and professional facial aesthetic treatments tailored to you.

Aby Costello - Old Surgery Dental, Crewe

Your questions about Facial Aesthetics

Q1: What is facial aesthetics?


Facial aesthetics refers to non-surgical cosmetic treatments that enhance your natural features and rejuvenate your appearance. Treatments may include anti-wrinkle injections, dermal fillers to restore volume, lip enhancement, jawline contouring, and even non-surgical rhinoplasty — all designed to help you look and feel your best without the need for invasive surgery.
Q2: How can facial aesthetic treatments improve my confidence?

Many patients report a significant boost in self-esteem after facial aesthetic treatment. By softening wrinkles, restoring volume, and improving facial symmetry, these treatments can help you feel more youthful, refreshed, and confident — whether at work, in social settings, or simply when looking in the mirror.
Q3: Why choose a dentist like Dr Aby for facial aesthetic treatments?

Dentists are among the most qualified professionals to carry out facial aesthetic procedures. My advanced anatomical knowledge brings precision, from years of dental training, and a deep understanding of facial balance and proportion.
I holds a Postgraduate Diploma in Clinical Aesthetic Injectable Therapies, ensuring the highest standards of safety, technique, and aesthetic outcome. 
Q4: Are the treatments safe?


Yes — your safety is my top priority. All treatments are performed following a full consultation, medical history review, and treatment planning session. We only use medical-grade products that meet rigorous safety standards and follow strict clinical protocols for every procedure.
Q5: Will I look “overdone” or unnatural?


Not at all. My approach is all about natural enhancement. I aim to refine and refresh your look — not change who you are. My training and experience allow me to achieve subtle, balanced results that leave you looking rested and confident, never artificial or overdone.
Why Choose Dr Aby?
  • Expert dentist with a Postgraduate Diploma in Clinical Aesthetic Injectable Therapies
  • Skilled in both cosmetic enhancements and functional treatments
  • Special interest in non-surgical facial balancing and rejuvenation
  • Fully insured, GDC-registered, and trained to the highest standards
  • Known for subtle, confidence-boosting results in a safe, welcoming setting
Q6: What treatments does Dr Aby offer?

Our facial aesthetic treatments include:
  • Anti-wrinkle injections – to smooth lines on the forehead, frown area, crow’s feet, and around the mouth (e.g. smoker’s lines)
  • Dermal fillers – to restore lost volume and definition in key facial areas including the cheeks, chin, lips, and jawline. Fillers help to rejuvenate the face, enhance facial structure, and create a smoother, more lifted appearance
  • Lip enhancement – to shape, hydrate, and define the lips
  • Jawline and chin sculpting – to improve facial contour, harmony, and balance
  • Gummy smile treatment – using injectables to reduce excessive gum display
  • Non-surgical rhinoplasty – the lunchtime nose job, to reshape and contour the nose using dermal filler
  • Treatment for excessive underarm sweating (hyperhidrosis) – ideal for improving comfort and confidence at the gym or in hot weather
  • Tooth grinding (bruxism) treatment – using muscle-relaxing injections to relieve jaw tension, protect teeth, and ease headaches
Q7: Is there downtime after treatment?


Most treatments involve little to no downtime. You may experience mild redness, swelling, or bruising at the injection sites, which usually resolves within a few hours to a few days. We provide full aftercare instructions for a smooth recovery and optimal results.
Q8: How long do results last?
This depends on the treatment and your individual response. As a guide:
  • Anti-wrinkle injections typically last 4–6 months
  • Dermal fillers usually last 6–12 months, depending on the area treated
  • Non-surgical rhinoplasty may last 12–18 months
  • Hyperhidrosis (sweating treatment) lasts around 4–6 months
  • Bruxism treatments may last 3–6 months
I will create a personalised plan to maintain your results comfortably and effectively.
Q9: What makes treatment with Dr Aby different?


I combine my medical training with an artistic eye and a commitment to natural-looking results. My Postgraduate Diploma in Clinical Aesthetic Injectable Therapies and dental expertise, I offer:
  • A deep understanding of facial anatomy
  • Precise, balanced, and medically sound treatments
  • A warm, ethical, and patient-first approach
  • Safe, regulated clinical care in a professional environment
  • Trusted advice on cosmetic and therapeutic options
You’ll always receive honest guidance, bespoke treatment planning, and exceptional care from start to finish.
Q10: How do I get started?
Simply book a facial aesthetics consultation. During this appointment, we’ll discuss your concerns, assess your facial structure, and develop a personalized treatment plan. There’s no pressure to proceed — just honest advice and clinical excellence.
Book a consultation today
Get in touch with us today, to book a consultation and discuss how we can help you look and feel your best.
Contact us by phone, through our social media channels, our chat bot or click below to send us your enquiry
Contact us
David Cohen

PhD, MSc, BDS, MFGDP, LDSRCS, CUEW, MEWI

GDC Reg No: 45658

David is a Specialist Endodontist, and for over 25 years has been helping general dental practitioners solve their endodontic problems. In that time he has treated something over 20,000 teeth!

David qualified in 1971 with BDS from the Royal Dental Hospital of London and 1972 LDSRCS from the Royal College of Surgeons of England. Following qualification he worked in general practice in Manchester.

At a lecture by an endodontist in 1976, David became interested in Endodontics and in order to advance his knowledge in this field he undertook a number of postgraduate courses in the United States at Boston University School of Graduate Dentistry, under the leadership of Dr. Herbert Schilder.

In 1981 David commenced part-time postgraduate research in Endodontics, which led to him being awarded an MSc in 1984 on the strength of a thesis entitled “An Investigation into the relative merits of some Endodontic Filling Systems”.

In 1986 he was invited to undertake further research work, culminating in him being awarded a PhD by the University of Manchester in 1991 on the basis of his thesis entitled “Development and Evaluation of Endodontic Filling and Pulp Capping Materials”. This led to the development of new materials in both areas of root filling and pulp capping and worldwide patents for such materials.

In 1981 David opened a practice ‘Limited to Endodontics’ part-time, which has now grown into the full time practice. For a number of years he taught postgraduate Endodontics and undergraduate studies as a Lecturer at Manchester Dental Hospital and he currently holds the position of Honorary Research Associate at Manchester University. David was admitted to the endodontic specialist register as soon as the register was inaugurated in 1998. He has written widely on endodontic subjects and in 1994 he was a Visiting Fellow to the Singapore Ministry of Health. David has also lectured extensively in the U.K. and U.S.A.

David has served as the President of the British Endodontic Society and Chairman and/or executive member of a number of local dental and endodontic associations. He has also since 1979 been a member and regular attender at meetings of the American Association of Endodontists.

David has also been producing medico-legal reports for many years, and have to date produced over 500 reports for solicitors, both claimant and defendant. In 2005 he was awarded a Certificate of Expert Witness Accreditation by Cardiff University and in 2008 he was accepted as a member of the Expert Witness Institute.

Steve Lomas

BDS (Birmingham) Honorary
PG Dip Rest Dentistry from BARD
GDC 68108

Steve qualified from the University of Birmingham in 1992. He remained in the West Midlands for the next five years before moving to Crewe. Steve opened The Old Surgery Dental Practice in February 1998 and has developed it from a single handed practice to its current six surgeries.

Steve is highly committed to a preventive approach to dentistry, aiming to help his patients attain and retain excellent dental health. His special interest is the management of tooth wear, especially early diagnosis and intervention to prevent more severe problems occurring later in life.

This has led to Steve becoming one of only a handful of UK dentists to have completed the full Dawson Academy training pathway, allowing him to practise Complete Dentistry and fully understand the whole masticatory system, including being able to help with uncomfortable bites and clicking joints.

Being a Dawson dentist allows Steve to do what is necessary to achieve long term maintainable health and comfort, along with the creation of a beautiful natural smile, knowing that he is using the least amount of dentistry possible.

Steve is a Full Member of the British Academy of Cosmetic Dentistry. He is also a member of the British Academy of Restorative Dentistry, and facilitates a South Cheshire study group on behalf of the BARD, providing postgraduate education for other dentists.

He spent 2010 completing a Certificate in Aesthetic Dentistry with the prestigious Tipton Training academy, and was delighted to have been given the accolade of Dentist of the Year 2010 by the Academy. In 2012 Steve was awarded a Diploma in Restorative Dentistry.

Steve is also very keen on cosmetic orthodontic treatments, to help quickly and easily realign teeth to significantly improve smiles without the need for more destructive crown and veneer work – beautiful results can now be achieved just through a combination of realignment, whitening and sometimes bonding a little white filling to replace worn edges of teeth.

Steve was the first dentist in South Cheshire to provide the Inman Aligner.

Steve’s other dental activities have included being a Vocational Trainer to newly qualified dentists, President of the North Staffordshire Society of Dental Surgeons, leading Peer Review study groups for local dentists, and has been a member of the Local Dental Committee and an examiner for the National Examining Board for Dental Nurses.

Awards and Recognition

Over the years, we have been immensely proud that the outstanding qualities of our practice and they way we manage it, has been recognised by leading authorities in the dental industry.

This encourages us to strive to not only maintain our standards, but to improve them year on year.

We invest in our wonderful team to ensure they well trained and enjoy their work, as this is a fundamental benchmark to ensure our customers receive the best experience and dental care available.
2016
Best Practice UK 2016
Best Patient Care 2016
Best Practice North West 2016
Best Patient Care North West 2016
2015
Winners of Best Dental Team – North
Highly Commended in ‘Best Employer
Finalists in Best Dental Team
Finalists in Best Patient Care
Finalists in Best Employer
Finalists in Practice of the Year
2015
The Dental Awards
Winners of Hygienist of the Year
Finalist in Team of the Year
Finalist in Hygienist of the Year
The Dental Awards 2015
Highly Commended in Best Hygienist
Finalists in Best Hygienist
2014
Winners of Best Dental Team – North West
Winners of Most Outstanding Team Member – West
Winners of Most Outstanding Team Member – Overall
Finalists in Best Dental Team
Finalists in Best Patient Care
Finalists in Most Outstanding Team Member
Finalists in Practice Of The Year
2014
Highly Commended in Best Team Finalists in Best Dental Team Finalists in Best Patient Care Finalists in Best Team Member Finalists in Best Community Project Finalists in Best Employer Finalists in Practice of the Year
Additional Dentistry Awards
Tipton Training Course
Cosmetic and Restorative Course
Winner – Dr Steve Lomas – Dentist of the Year 2010
Winner – Dr Rich Willis – Dentist of the Year 2013
South Cheshire Chamber of Commerce Awards
Winner Excellence in Customer Service – Winner 2012

Cosmetic Dentistry

I am Dr. Dentist, my team and I are dedicated to undertaining cosmetic dentistry for you when it's purely the best option for your dental health.

There is ahuge range of treatments and prcedures that fall under the description of cosmetic dentistry. Yes, of course, the typical 'Hollywood Smile' is how many first think of. Whilst we can certainly amke those wonderful transformations for you, we also ensure that you never have more than you need and receive the very best care throughout.

Below are a few of the procedures we carry out on a daily basis. Hollywood, or not.

Dark discoloured teeth?

Tooth whitening is a simple procedure completed at home or in-surgery with excellent long term results which do not harm your teeth.

Discoloured Fillings

Fillings in back teeth can be made practically invisible with cosmetic fillings. Old metal fillings in back teeth can be replaced with white fillings or ceramic inlays.

Missing Teeth or Gaps

If you have missing teeth or unsightly gaps in your teeth these can be filled with cosmetic dentures, bridges or dental implants with natural looking results.

Misshapen Teeth

Can be straightened and whitened with cosmetic veneers, metal-free cosmetic crowns or invisible braces.

Old Discoloured Crowns

If you are concerned by the discolouration of your dental crowns then we can replace these with the latest metal-free eMax or Lava crowns.

False Looking Dentures

Old dentures that fit badly or look false can often be replaced with natural feeling, cosmetic dentures or possibly replaced completely with fixed bridgework.

We replace old or loose dentures with a bridge or metal based denture that is stronger, tighter, more comfortable. For the ultimate in stability we can provide implant retained dentures or bridgework.

Cosmetic Dentistry

I am Dr. Dentist, my team and I are dedicated to undertaining cosmetic dentistry for you when it's purely the best option for your dental health.

There is ahuge range of treatments and prcedures that fall under the description of cosmetic dentistry. Yes, of course, the typical 'Hollywood Smile' is how many first think of. Whilst we can certainly amke those wonderful transformations for you, we also ensure that you never have more than you need and receive the very best care throughout.

Below are a few of the procedures we carry out on a daily basis. Hollywood, or not.

Dark discoloured teeth?

Tooth whitening is a simple procedure completed at home or in-surgery with excellent long term results which do not harm your teeth.

Discoloured Fillings

Fillings in back teeth can be made practically invisible with cosmetic fillings. Old metal fillings in back teeth can be replaced with white fillings or ceramic inlays.

Missing Teeth or Gaps

If you have missing teeth or unsightly gaps in your teeth these can be filled with cosmetic dentures, bridges or dental implants with natural looking results.

Misshapen Teeth

Can be straightened and whitened with cosmetic veneers, metal-free cosmetic crowns or invisible braces.

Old Discoloured Crowns

If you are concerned by the discolouration of your dental crowns then we can replace these with the latest metal-free eMax or Lava crowns.

False Looking Dentures

Old dentures that fit badly or look false can often be replaced with natural feeling, cosmetic dentures or possibly replaced completely with fixed bridgework.
We replace old or loose dentures with a bridge or metal based denture that is stronger, tighter, more comfortable. For the ultimate in stability we can provide implant retained dentures or bridgework.
Book a consultation