She apologised for looking tired. That was the first thing she said when she sat down. She’d had a full eight hours, she told me, and still — she gestured at her face. The circles had been there for years, but they seemed darker lately, more sunken. She was forty-three. I told her what I tell almost every patient who comes in describing this: dark circles are almost never about […]

A woman came to see me recently — referred by a friend who had been coming to SW1 Clinic for years. She had had neurotoxin done elsewhere, twice, and both times the result was the same: a flat, expressionless quality that made her look not refreshed but erased. She described it as looking “like a mask.” Her friend, she noted, had the same treatment with me and looked entirely natural. […]

A patient sat across from me last month — late 40s, meticulous with her sunscreen, had been using it every single day since her early 30s. Her pigmentation was well-controlled. But something else was happening to her skin that SPF had done nothing to prevent. There was a heaviness to her features, a dullness that wasn’t sun damage. Her skin had lost its tensile quality. It looked — and this […]