03 · The 23MD Method

    TreatmentsCombining

    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. Get the order wrong and you end up treating the same problem twice.

    The Components

    How it works

    01

    System

    Internal foundations first, hormones, metabolism, sleep, inflammation. A face that is not biologically supported will not hold an aesthetic result.

    02

    Structure

    Then the architecture, bone-level support, deep volume restoration, ligament-aware contouring. The scaffold before the finish.

    03

    Surface

    Finally, the surface, regenerative facials, skin boosters, polynucleotides, devices. Surface work compounds when the layers beneath it are sound.

    Why it Matters
    • Stops you paying for surface treatments that fail because the system or structure underneath wasn't addressed.
    • Produces compounding rather than competing results.
    • Reduces total interventions over a treatment year, not increases them.
    • Makes outcomes durable enough to measure across seasons, not weeks.
    Who It's For

    Patients with more than one concern, or anyone whose previous treatments stopped working. It's also how Foundation Reset patients are sequenced after their first-visit programme.

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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