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
Treatment Stacking™
Combines beautifully with
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.
Meet our 23MD Digital Team
Doctor-led intelligence, at your fingertips. Explore your skin or plan how The HydraFirm layers with the rest of your protocol.
Skin Expert
AI-led skin assessment
Upload a photo and receive a personalised skin assessment with treatment recommendations from our doctor-led protocols.
Analyse My SkinTreatment Stacker
What should I actually do?
Tell it your goal, timeline and clinic, and it drafts a sequenced plan — system, structure, surface — built on the 23MD Treatment Stacking™ method, for a 23MD doctor to review.
Draft My StackSuitable 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].












