A patient receiving an injection for facial expression lines at 23MD

    Softer lines. Natural movement.

    Lines & Wrinkles

    A doctor-led, conservatively dosed approach to dynamic lines, designed to soften expression without altering it.

    Meet 23MD Digital

    Injectables · London & Dubai

    The Treatment

    Lines & Wrinkles

    A doctor-led consultation for expression lines, the ones that gradually etch into the forehead, between the brows, and around the eyes. Your doctor assesses how your face moves and explains which options may soften those lines without changing your expression.

    Lines aren't the problem, exhausted-looking lines are. The aim is never to remove expression, only to take the edge off the deepest furrows so the face reads as rested rather than tense. The right dose, in the right places, leaves your expressions intact. The wrong approach flattens them. At 23MD, we deliberately err on the side of less.

    Duration

    15–30 min

    Downtime

    None

    Pain level

    Low

    Sessions

    Every 3–4 months

    Results start

    3–5 days

    Results peak

    10–14 days

    About

    What it is, how it works.

    How it works

    Your doctor reviews your line patterns, facial movement and medical history in person. Treatment options are discussed at consultation, along with what each involves, how long results usually last and whether treatment is suitable for you.

    Why it matters

    Lines aren't the problem, exhausted-looking lines are. The aim is never to remove expression, only to take the edge off the deepest furrows so the face reads as rested rather than tense. The right dose, in the right places, leaves your expressions intact. The wrong approach flattens them. At 23MD, we deliberately err on the side of less.

    Indications

    What We Treat

    • Forehead lines
    • Frown lines (glabellar)
    • Crow's feet
    • Bunny lines
    • Lip flip, masseter, neck bands (assessed individually)

    Results & Expectations

    Clinical Expertise. Natural Outcomes.

    What may improve

    • Reduced appearance of dynamic lines
    • Smoother forehead, frown, and crow's feet
    • Subtle preventative effect on deepening static lines
    • A refreshed, less fatigued appearance

    Timeline

    Onset typically 3–5 days; peak effect at 10–14 days. Duration is generally 3–4 months.

    Results vary between individuals. Treatment is designed to soften, not eliminate, lines, particularly those that are already static at rest.

    23MD Digital

    Meet our 23MD Digital Team

    Doctor-led intelligence, at your fingertips. Explore your skin or plan how Lines & Wrinkles layers with the rest of your protocol.

    23MD Digital tools provide general information only and do not replace a consultation with a doctor. In an emergency, contact your local emergency services.

    Suitable For

    Safety & Suitability

    Not suitable for

    • Pregnancy or breastfeeding
    • Certain neuromuscular disorders (e.g. myasthenia gravis)
    • Active infection at the injection site
    • Known allergy to any component of the treatment
    • Patients seeking a fully expressionless outcome

    Consultation required: A medical consultation is required before treatment to confirm suitability and discuss your options.

    FAQs

    Your Questions, Answered

    Not at 23MD. Treatment is conservative and planned around your individual muscle activity, with the explicit goal of preserving natural expression.

    Generally 3–4 months, depending on the area treated and the individual. Your doctor explains this at consultation.

    Most patients notice softening within 3–5 days, with peak effect at around 10–14 days.

    No. Most patients return to normal activity immediately. We advise avoiding intense exercise and lying flat for 4 hours after treatment.

    Treatment is only offered after a medical consultation with a qualified doctor, who discusses benefits, risks and suitability with you in person.

    Yes. It is often planned alongside fillers, skin boosters, or regenerative therapies as part of a combined treatment plan.

    There is no fixed age. Treatment is suitability-led and based on the patient's muscle activity and concerns, not a number.

    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
    “The usual amazing experience and treatment from Dr Kersh and her team. A huge thank you.”

    Regina · London

    Dr Suha Kersh

    Verified patient
    “I am a happy, existing client from London and am pleased to find Dr Galy and Dr Kersh in Dubai, it allows me to have seamless service between the two cities”

    Zainab · Dubai

    Verified patient
    “Beautiful clinic, gives out relaxing vibes. Very nice encounter with Dr Kersh”

    Zeina · Dubai

    Dr Suha Kersh

    Verified patient
    “As far as I know there are very few doctors who are be able to give a full injectable treatment and have you go out for dinner a few hours late with no one knowing that you had the treatment. Simply superb!”

    Helle · London

    Dr Suha Kersh

    Verified patient
    “Very professional staff. Dr Kersh is very knowledgeable and very honest and understands what her patients needs are and respects them. I felt confident in her care.”

    Sultana · London

    Dr Suha Kersh

    Verified patient
    “Had a stressful day- the treatment was so soothing- with a gentle hand and quiet conversation, allowing me to float and all my tension drifted away, so when it came to the part that was extracting and lymph draining it all felt so "releasing " & I was able to let go of it all !!”

    Sueraya · London

    Verified patient
    “Dr Kersh is not ‘only’ a doctor, she is an outstanding artist who makes her art look effortless. Dr Kersh takes the time to understand what bothers you and why. She then does the least possible to deal with those worries and make you look completely refreshed. Thank you Dr Kersh”

    Helle · London

    Dr Suha Kersh

    Verified patient
    “I have been coming to 23MD since it opened and continue to be impressed by its excellent services and fastidious professionalism.”

    Christa · London

    As featured in

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