This is not a blog.
It is a record of thinking — clinical observations, questions worth asking, things the research says that rarely make it into a consultation room.
Written slowly. Published when ready.
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What Happened in Beijing Happens to More Women Than You Think
Last weekend, an athlete won the women’s elite race at HYROX Beijing in just over an hour. Somewhere around the halfway mark, her bowels gave out. She kept going. Through the burpee broad jumps, the rowing, the wall balls. Then she won. The internet has since split into two camps. One thinks it is the…
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Why Fillers Go Wrong
Nobody walks out of a consultation asking to look overfilled. And yet a great many people end up there, having said yes to something reasonable at every individual step. That is the part worth understanding. Overfilled faces are rarely the product of one bad decision. They are the product of ten sensible ones, taken in…
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Is Your Ultherapy Working?
Somewhere around week two, a patient looks in the mirror, sees exactly the face she had before, and concludes she has been robbed. I understand the feeling. You have paid a meaningful sum, sat through a treatment that was not especially comfortable, and been told to expect a lift. Two weeks later the jawline is…
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Ultherapy vs Thermage
It is the question I am asked more than any other, usually within the first five minutes of a consultation: should I do Ultherapy or Thermage? The honest answer is that the question is slightly wrong. These two treatments are not competitors in the way the marketing implies. They work at different depths, on different…
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Why Filling Facial Lines Can Make You Look Older
Look at these two faces. They belong to the same woman. Her bone structure, facial proportions and underlying volume have not changed. What has changed is the placement of light, colour and shadow. Over-applied — the face reads flatter and broader Precisely placed — less product, more definition Same face, same bones, same volume. Only…
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The Micro Edit: Why Better Faces Are Built in Millimetres, Not Millilitres
Douyin and Korean makeup artists understand something that aesthetic medicine sometimes forgets: a face is not transformed by simply adding more. A tiny highlight at the inner corner of the eye can make the eyes appear brighter. A narrow shadow beneath the cheekbone can make the face look more defined. A touch of colour placed…
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The Quiet Practice That Keeps Me Sane — And Helps Your Skin
I want to be careful about how I describe this, because the concept has been so thoroughly colonised by the wellness industry that it is now very hard to discuss without sounding like a brand campaign. But the practice is real, it is daily, and the effect on my functioning — and on the skin…
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Competing in Hyrox at 51: The Limits We Invent
I finished my last Hyrox event six minutes slower than I wanted to. I know exactly where the time went: the sled push in the second half, where my hips protested more than I’d anticipated and I had to reduce push pace to manage the load. I walked out of the event genuinely frustrated. Then…
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Why I Wake at 5:30am Every Day — And What It Does
The first thing I do after waking at 5:30 is nothing. I lie still for approximately two minutes. Not meditating — just allowing the transition from sleep to waking without immediately reaching for my phone or assembling the day’s agenda in my head. This is not instinct. It is deliberate, and it is the result…
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The Mental Shift That Changed How I Think About Ageing
I spent years in this profession thinking about ageing as a problem to be solved. Not consciously, and not in those terms — but in practice, that was the frame. Every patient who came in presented a version of the ageing problem, and my role was to identify the problem’s components and address them with…
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