A patient receiving a dermal filler injection during facial treatment at 23MD

    Refined structure. Restored proportion.

    Dermal Fillers

    Dermal fillers, considered architecturally, a doctor-led approach to facial balance using minimal product to support, never alter, the natural structure of the face.

    Meet 23MD Digital

    Injectables · London & Dubai

    Injectables

    Dermal Filler

    Close-up of a smiling woman illustrating the facial areas considered for dermal filler treatment at 23MD

    Full Face Rejuvenation

    Restoration of overall facial proportion, projection and balance.

    Full Face Rejuvenation

    • Global proportion and projection assessed in 4D
    • Filler placed only where structure has been lost
    • Natural, recognisable result, never overfilled
    Gloved hands treating a woman's lips during a dermal filler procedure at 23MD

    Lip Enhancement

    Subtle definition and hydration, never volume for its own sake.

    Lip Enhancement

    • Definition of border, philtrum and cupid's bow
    • Hydration-led HA fillers for soft texture
    • Proportionate to the lower face, never overdone
    A reclining patient receiving a dermal filler injection near the jawline at 23MD

    Jawline Enhancement

    Structural definition along the mandibular border for balance.

    Jawline Enhancement

    • Definition along the mandibular border
    • Restores lower-face balance and angle
    • Suited to age-related laxity and softening
    Close-up of a patient's chin and neck illustrating an area considered for dermal filler treatment at 23MD

    Chin Enhancement

    Subtle projection to restore lower-face proportion and harmony.

    Chin Enhancement

    • Subtle forward projection for balance
    • Improves profile and chin-neck angle
    • Complements jawline and lip proportions
    Gloved fingers beside a nose illustrating the area considered for dermal filler treatment at 23MD

    Nose Reshaping

    Non-surgical refinement of profile and symmetry with HA filler.

    Nose Reshaping

    • Smooths dorsal humps and irregularities
    • Refines tip projection and symmetry
    • Non-surgical, with no downtime
    Close-up of an eye and syringe illustrating the area considered for dermal filler treatment at 23MD

    Under Eye Filler

    Subtle correction of tear-trough hollowing for a rested, brighter gaze.

    Under Eye Filler

    • Corrects tear-trough hollowing
    • Reduces shadowing for a rested look
    • Carefully assessed, not suitable for everyone

    The Treatment

    Dermal Fillers

    Dermal fillers are a smooth gel made from hyaluronic acid, a substance that occurs naturally in your skin. Used carefully, fillers can restore softness and proportion to areas of the face that have lost their natural support over time.

    When a face loses volume, it isn't always about wrinkles, it's often about subtle changes in shape that read as tiredness or heaviness. The right amount of filler, in the right place, simply gives the face back its proportion. The wrong approach inflates and distorts. At 23MD, the goal is always the former.

    Duration

    30–60 min

    Downtime

    24–72 hrs

    Pain level

    Low

    Sessions

    1 per area, review at 2–4 weeks

    Results start

    Immediate

    Results peak

    2–4 weeks

    The 4D Method

    Read across four dimensions

    Every filler plan at 23MD begins with the 4D diagnostic framework. Rather than treating a feature in isolation, we read the face across Skin, Structure, Movement and Personality, and only then decide where, and whether, filler belongs.

    01

    Skin

    Quality, tone, hydration and texture, the surface filler alone cannot correct.

    02

    Structure

    Bone, fat compartments and ligaments, the architecture filler is designed to support.

    03

    Movement

    Expression and muscle dynamics, how filler reads when the face animates.

    04

    Personality

    Who you are and what looks like you, so results stay recognisable, never generic.

    About

    What it is, how it works.

    How it works

    A small, considered amount of filler is placed exactly where the face has lost support, a cheek, a jawline, a temple. The gel sits within the tissue and gently restores the contour that age, weight change, or genetics has shifted. The hyaluronic acid is identical in structure to what your skin already produces, so the body recognises and gradually breaks it down over many months.

    Why it matters

    When a face loses volume, it isn't always about wrinkles, it's often about subtle changes in shape that read as tiredness or heaviness. The right amount of filler, in the right place, simply gives the face back its proportion. The wrong approach inflates and distorts. At 23MD, the goal is always the former.

    Indications

    What We Treat

    • Loss of midface or cheek projection
    • Volume loss around the temples or jawline
    • Tear trough hollowing (where clinically suitable)
    • Lip definition or proportion (subtle correction only)
    • Mild facial asymmetry

    Results & Expectations

    Clinical Expertise. Natural Outcomes.

    What may improve

    • Facial proportion and symmetry
    • Midface and cheek projection
    • Jawline definition
    • Subtle correction of volume loss

    Timeline

    Initial result is visible immediately; final outcome assessed at 2–4 weeks. Results typically last 9–18 months depending on product, area, and individual factors.

    Results vary between individuals. Outcomes are designed to be subtle and proportionate, not transformative.

    23MD Digital

    Meet our 23MD Digital Team

    Doctor-led intelligence, at your fingertips. Explore your skin or plan how Dermal Fillers 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
    • Active skin infection in the treatment area
    • Known hypersensitivity to hyaluronic acid or lidocaine
    • Certain autoimmune or bleeding disorders (assessed at consultation)
    • Patients seeking dramatic or disproportionate enhancement

    Consultation required: A medical consultation is required before any treatment to assess suitability and define the appropriate plan.

    FAQs

    Your Questions, Answered

    Not when administered conservatively. At 23MD, the goal is structural refinement, outcomes are designed to look like you, refreshed.

    Typically 9–18 months, depending on the product used, the area treated, and individual factors such as metabolism and lifestyle.

    Hyaluronic acid fillers have a strong long-term safety profile when administered by trained medical doctors. They are also reversible if required.

    Most patients return to normal activity immediately. Mild swelling or bruising can occur for 24–72 hours.

    Yes. Hyaluronic acid–based fillers can be dissolved using hyaluronidase, an in-clinic procedure.

    Every treatment is doctor-led and follows our Dermal Architecture approach, fillers are used to support structure, not to add volume for its own sake.

    Yes. Fillers are often layered with lines & wrinkles treatment, regenerative therapies, or skin-quality treatments as part of a combined treatment plan.

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

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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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