Cleanse · Resurface · Tighten

    The HydraFirm

    Our signature combination facial — HydraFacial, Dermapen microneedling and BTL Exilis radiofrequency, sequenced in a single, layered session.

    Signature Facial · London & Dubai

    The Treatment

    The HydraFirm

    The HydraFirm is 23MD's signature combination facial. It sequences HydraFacial, Dermapen microneedling and BTL Exilis radiofrequency in a single session to cleanse, resurface and tighten the skin in one carefully layered visit.

    Most facials focus on one layer of the skin. The HydraFirm works across three — surface clarity, structural collagen and dermal tightening — in a single, doctor-led session. The result is skin that looks clearer immediately and continues to firm over the following weeks.

    Duration

    75–90 min

    Downtime

    24 hrs

    Pain level

    Low

    Sessions

    Standalone or every 4–6 weeks

    Results start

    2 weeks

    Results peak

    3–6 months

    About

    What it is, how it works.

    How it works

    We begin with HydraFacial to cleanse, exfoliate and extract — preparing a clear surface for active treatment. Dermapen microneedling then creates controlled micro-channels to stimulate collagen and refine texture. We finish with BTL Exilis radiofrequency to deliver targeted heat into the deeper dermis, supporting tightening and lift. Each step builds on the last.

    Why it matters

    Most facials focus on one layer of the skin. The HydraFirm works across three — surface clarity, structural collagen and dermal tightening — in a single, doctor-led session. The result is skin that looks clearer immediately and continues to firm over the following weeks.

    Indications

    What We Treat

    • Dull, congested or tired-looking skin
    • Early laxity along the cheeks, jawline or neck
    • Uneven texture, visible pores and fine lines
    • Patients preparing for an event or returning from travel
    • Skin maintenance between regenerative protocols
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    Results & Expectations

    Clinical Expertise. Natural Outcomes.

    What may improve

    • Skin clarity and glow
    • Surface texture and pores
    • Firmness along cheeks and jawline
    • Overall skin tone

    Timeline

    Immediate clarity and glow; firmness develops gradually over 2–12 weeks as collagen rebuilds. Maintained with sessions every 4–6 weeks.

    Results vary with skin condition, age and aftercare adherence.

    Suitable For

    Safety & Suitability

    Not suitable for

    • Pregnancy or breastfeeding
    • Active inflammatory acne or skin infection in the treatment area
    • Metal implants in the treatment area (radiofrequency)
    • Recent isotretinoin use (within 6 months)

    Consultation required: A short clinical consultation is required to confirm suitability and personalise the protocol.

    FAQs

    Your Questions, Answered

    Medically reviewed by Dr Suha Kersh, MBBS, GMC-registered since [DR_KERSH_GMC_YEAR].

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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

    As featured in

    Featured In
    Tatler
    GQ Middle East
    Vogue Arabia
    The Times
    Daily Mail
    Financial Times
    Harper's Bazaar
    Khaleej Times
    Emirates Woman
    Tatler
    GQ Middle East
    Vogue Arabia
    The Times
    Daily Mail
    Financial Times
    Harper's Bazaar
    Khaleej Times
    Emirates Woman