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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    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