Start with what you see in the mirror
Aesthetic medicine works best when you begin with the concern, not the product. Find yours below — each entry has the clinical detail before you book.
Upper face
Forehead and Frown Lines
Horizontal forehead lines, vertical "11" frown lines between the brows, and crow’s feet are dynamic wrinkles driven by repeated muscle movement. Treated with carefully dosed anti-wrinkle injections that soften the line while keeping the face mobile.
Anti-Wrinkle Injections · By consultation
Lips and perioral region
Thin, Ageing, or Asymmetric Lips
Lips that have thinned with age, lost their border definition, or were always asymmetric can be refined with hyaluronic acid filler. The brief here is a natural, balanced lip in proportion with the face — not a bigger lip.
Dermal Fillers · By consultation
Periorbital region
Under-Eye Hollows and Tear Trough Shadows
Dark, hollow shadows under the eyes read as fatigue and add years to the face. The right treatment depends on whether the shadow is volumetric (filler), skin-quality driven (polynucleotides), or pigmentary — so patient selection matters more here than for most concerns.
Dermal Fillers · By consultation
Midface and lower face
Facial Volume Loss and Flattening
Flatter cheeks, a softening jawline, and deepening folds are signs of age-related volume loss in the deep facial fat pads and bone. Restored with hyaluronic acid filler and collagen-stimulating biostimulators — placed to rebalance the whole face, not inflate one feature.
Dermal Fillers · By consultation
Skin
Skin Laxity and Loss of Glow
Generalised loss of skin tightness, hydration, and luminosity — the "skin quality" complaint. Treated with regenerative injectables (Profhilo, polynucleotides), biostimulators, and UltraClear laser, ideally before reaching for structural filler.
Skin Boosters & Biostimulators · By consultation
Skin surface and upper dermis
Uneven Tone, Texture, and Pigmentation
Sun spots, uneven tone, rough texture, and dull, weathered skin are the surface signs of cumulative UV damage and ageing. Improved with UltraClear laser resurfacing and regenerative skin treatment, after a doctor-led assessment of your skin type.
UltraClear Laser Resurfacing · By consultation
Not sure
Not sure which is yours?
Book an honest assessment. Dr Paul Elgey will tell you what's worth treating — and what isn't.
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Dr Paul Elgey Aesthetics • Unit 1, Orchard Street, London W1H 6HJ
BookAppointments typically available within 1–2 weeks