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.

    Meet 23MD Digital
    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.

    Speak to an Expert

    Medically reviewed by Dr Suha Kersh, MB BCh BAO LRCP&SI, MRCPsych, GMC-registered since 1992.

    Book a Consultation

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    Testimonials

    What our patients say

    Verified feedback from 23MD patients, collected after their appointments through our clinic system and published with permission.

    Review via Trustpilot
    “I have been seeing Dr Kersh and her colleagues at 23MD for many years. They listen very carefully to my concerns and always come up with a truly bespoke solution.”

    Kate R. · London · October 2026

    Review via Trustpilot
    “I saw Dr Kersh at her clinic in Chelsea and found her care and attention to my needs extremely impressive. I would highly recommend seeing her.”

    Jim C. · London · March 2026

    Review via Trustpilot
    “I am writing this review after being her patient for almost five years. I have realised how unique Dr Kersh is.”

    Claudia U. · London · November 2023

    Review via Trustpilot
    “The clinic is absolutely spotless and pristine. Dr Galy was very patient, professional, and made sure that I knew exactly what I was getting into and felt comfortable the entire time.”

    Robert · London · January 2019

    Verified patient
    “Incredible and thorough testing, clear explanations and wonderful online or in person assessments”

    Kim · London

    Dr Martin Galy

    Verified patient
    “After ten years with Dr Galy we continue to be extremely happy with his care and the service offered”

    Shaunagh · London

    Dr Martin Galy

    Verified patient
    “Dr. Galy was very professional and listened to all my concerns. He explained everything so that I could understand. I felt confident in his treatment plan.”

    Sarah · Dubai

    Dr Martin Galy

    Verified patient
    “I have been seeing Dr Martin Galy for roughly 15 years and he is fantastic. I highly recommend his services.”

    Reva · London

    Dr Martin Galy

    Verified patient
    “I experienced 23 MD as a highly efficient, professional and caring service, thank you!”

    Emma · London

    Dr Martin Galy

    Verified patient
    “I feel I always get good advice from Dr Galy”

    Chiara · London

    Dr Martin Galy

    Verified patient
    “Dr Galy is a wonderful doctor. Kind, compassionate, caring and knowledgeable. I always feel heard and understood. He knows me well and treats me holistically.”

    Sarah · London

    Dr Martin Galy

    Verified patient
    “I have been with Dr Galy for approximately twenty years. He always listens and helps you deal with your concerns. I am always grateful for his professional help and advice. Every woman should be lucky enough to have a Dr Galy.”

    Penny · London

    Dr Martin Galy

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