How We Work

    The 23MD Method.

    A four-part methodology — diagnostic, structural, sequential and systemic — that governs every consultation, plan and treatment at 23MD.

    As featured in

    Featured In
    Tatler
    GQ Middle East
    Vogue Arabia
    The Times
    Daily Mail
    Financial Times
    Harper's Bazaar
    Khaleej Times
    Emirates Woman
    Tatler
    GQ Middle East
    Vogue Arabia
    The Times
    Daily Mail
    Financial Times
    Harper's Bazaar
    Khaleej Times
    Emirates Woman
    The 4D Approach
    01

    The 4D Approach

    Skin · Structure · Movement · Personality

    The 4D Approach is the diagnostic framework that underpins every aesthetic consultation at 23MD. Rather than treating a single feature in isolation, we read the face across four dimensions, and only then propose a plan.

    • Skin. Quality, tone, texture, hydration, pigmentation.
    • Structure. Bone, fat compartments and ligaments.
    • Movement. Expression, muscle dynamics and resting tone.
    • Personality. Who you are, and what looks like you.
    Dermal Architecture
    02

    Dermal Architecture

    Structure · Contouring · Volumising

    Dermal Architecture is our injectable methodology. We treat the face as a layered structure — bone, deep fat, superficial fat, skin — and intervene at the level the concern actually lives in.

    • Structure. Reinstating the underlying scaffolding where bone resorption or laxity has shifted proportion.
    • Contouring. Shaping the perimeter — jawline, chin, temples, brow. Subtractive thinking.
    • Volumising. Replacing what time has taken, only where loss is genuinely the cause.
    Combining Treatments
    03

    Combining Treatments

    System · Structure · Surface

    When more than one treatment is needed, the order matters. We work from the inside out — internal foundations first, structural support second, surface finishing last — so each stage supports the next.

    • System. Internal foundations first — hormones, metabolism, sleep, inflammation.
    • Structure. Then the architecture — bone-level support, deep volume, ligament-aware contouring.
    • Surface. Finally the surface — regenerative facials, boosters, polynucleotides, devices.
    360 Longevity
    04

    360 Longevity

    Hormonal · Metabolic · Regenerative · Lifestyle

    360 Longevity is the wellness arm of the 23MD method. It maps healthspan across four interlocking systems, and treats them as one continuous physiology — not four separate appointments.

    • Hormonal. Comprehensive panels and bioidentical, physician-led replacement where indicated.
    • Metabolic. Glucose, insulin, lipids, body composition.
    • Regenerative. Peptides, IV nutrients, sleep architecture, cellular repair.
    • Lifestyle. Movement, nutrition and stress load, written into the plan.

    Begin with a doctor-led consultation.

    Every 23MD patient starts with The Foundation Reset — bloods, 4D facial assessment, 360 Longevity consultation, and a written treatment plan within 24 hours.

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    Testimonials

    What our patients say

    Dr Suha Kersh at 23MD, the only person to trust with filler — she's queen of natural.

    Polly Vernon

    The Sunday Times, April 2026

    Felt like myself again within four months, which I really didn't think would ever be possible again. Dr Galy is the first doctor who actually listened and built a proper plan around me.

    Charlotte H., London

    Dr Galy — BHRT, London

    Dr Kersh doesn't overdo it. I just look less tired — and weirdly, more like myself. Tried clinics everywhere from New York to Geneva, and this is the only place I go now.

    Lina A., Dubai

    Dr Kersh — Anti-Wrinkle, Dubai

    Friends keep asking what I've been doing and none of them have guessed. Dr Kersh is an artist — she has a real eye and does just enough, not a millimetre more.

    Eleanor M., London

    Dr Kersh — Filler, London

    Same team, same standard of pure excellence in both cities. My records, doctors and protocol follow me everywhere — honestly the easiest part of splitting time between London and Dubai.

    Alessandro V., London & Dubai

    Dubai & London

    Under-eyes are a complete game changer. Dr Kersh also told me what I didn't need, which I really appreciated — rare in this industry.

    Isabella F.

    Polynucleotides — Dr Kersh