02 · The 23MD Method

    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.

    The Components

    How it works

    01

    Structure

    Reinstating the underlying scaffolding where bone resorption or ligament laxity has shifted proportion. Deep, periosteal placement, conservative volumes.

    02

    Contouring

    Shaping the perimeter, jawline, chin, temples, brow, to restore the lines that frame a face. Subtractive thinking, not additive.

    03

    Volumising

    Replacing what time has taken from specific compartments, only where loss is genuinely the cause. Volume for its own sake is what produces the over-treated look we explicitly avoid.

    Why it Matters
    • Avoids the pillow-face and over-projected look that comes from treating wrinkles with volume.
    • Smaller total volumes, usually less product, more thoughtfully placed.
    • Results that hold their integrity at rest, in expression, and on camera.
    • Reversible decisions: structure-led work degrades gracefully if untouched.
    Who It's For

    Patients seeking facial refinement who want a clinician thinking three layers down, not chasing whichever wrinkle is most visible today.

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