A clinician and patient reviewing a facial scan on a screen during a consultation at 23MD

    Cleanse · Hydrate · Tighten

    The HydraFirm

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

    Meet 23MD Digital

    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

    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.

    23MD Digital

    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.

    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 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.

    Book a Consultation

    Choose your hub

    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

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