
Cleanse · Hydrate · Tighten
The HydraFirm
Our signature combination facial — HydraFacial and BTL Exilis radiofrequency, sequenced in a single session.
Signature Facial · London & Dubai
The Treatment
The HydraFirm
The HydraFirm is 23MD's signature combination facial. It pairs HydraFacial with BTL Exilis radiofrequency in a single, doctor-led session: first the surface is cleansed and hydrated, then targeted heat works on the deeper layers of the skin to support firmness.
Most facials work on the surface only. The HydraFirm treats two layers in one visit: surface clarity and deeper firmness.
Duration
75–90 min
Downtime
None
Pain level
Low
Sessions
Course of 4, then every 3 months
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, extract and hydrate. We then use BTL Exilis radiofrequency to deliver controlled heat into the deeper skin, supporting tightening over time.
Why it matters
Most facials work on the surface only. The HydraFirm treats two layers in one visit: surface clarity and deeper firmness.
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
Practitioners
Your Experts
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 one session every three months after the initial course of four.
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 Analyser
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 Stack23MD 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 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
Both. It pairs HydraFacial with BTL Exilis radiofrequency in a single session.
Clarity and glow are visible immediately. Firmness develops gradually, peaking between 3 and 6 months.
We recommend a course of four sessions, then one every three months to maintain the results.
No. Most patients return to normal activity straight away.
Medically reviewed by Dr Suha Kersh, MB BCh BAO LRCP&SI, MRCPsych, GMC-registered since 1992.











