Gloved hands beside a woman's face illustrating a facial skin treatment at 23MD

    Regenerate · Sustain · Compound

    The Second Skin Protocol

    Our signature facial regeneration programme — a doctor-led, multi-session course delivered across three months to compound the response of the skin.

    Meet 23MD Digital

    Signature Programme · London & Dubai

    The Treatment

    The Second Skin Protocol

    The Second Skin Protocol is a three-month, doctor-led course of regenerative facial treatments. It combines microneedling, polynucleotides, skin boosters and LED across a defined sequence, designed to compound the skin's repair response rather than rely on a single visit.

    Skin doesn't change in a single session — it changes when the right stimulus is repeated at the right interval. The Second Skin Protocol is built around that biology, replacing isolated treatments with a defined regenerative arc.

    Duration

    60–90 min

    Downtime

    12–24 hrs

    Pain level

    Low

    Sessions

    12-week course

    Results start

    After 2 sessions

    Results peak

    8–12 weeks

    About

    What it is, how it works.

    How it works

    Treatments are scheduled at structured intervals across twelve weeks. Early sessions focus on initiating the repair cascade and supporting hydration; mid-course sessions deepen collagen response; later sessions consolidate and protect the result. Your treating doctor reviews progress between phases and adjusts the protocol as the skin responds.

    Why it matters

    Skin doesn't change in a single session — it changes when the right stimulus is repeated at the right interval. The Second Skin Protocol is built around that biology, replacing isolated treatments with a defined regenerative arc.

    Indications

    What We Treat

    • Long-term loss of skin quality, tone and bounce
    • Texture, pores and surface irregularity
    • Sun damage and uneven pigmentation
    • Post-pregnancy or post-menopausal skin changes
    • Patients ready to commit to a structured regenerative course

    Results & Expectations

    Clinical Expertise. Natural Outcomes.

    What may improve

    • Collagen quality and bounce
    • Texture, pore size and clarity
    • Hydration and skin resilience
    • Overall tone and evenness

    Timeline

    Visible change from the first sessions; peak result 8–12 weeks after the final session. Maintenance typically quarterly thereafter.

    Results vary with skin condition, hormonal status and adherence to the protocol and aftercare.

    23MD Digital

    Meet our 23MD Digital Team

    Doctor-led intelligence, at your fingertips. Explore your skin or plan how The Second Skin Protocol 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 skin disease in the treatment area
    • Recent isotretinoin use (within 6 months)
    • Patients unable to commit to the full course schedule

    Consultation required: A clinical consultation or Foundation Reset is required to confirm suitability and tailor the protocol.

    FAQs

    Your Questions, Answered

    A structured multi-session course across twelve weeks, tailored to your skin at consultation.

    Sessions are sequenced biologically — each phase is designed to build on the last, with doctor review between phases.

    Improvement is usually visible after the first two sessions, with the peak result 8–12 weeks after the final session.

    You receive a written maintenance plan — typically a quarterly session to sustain and compound the result.

    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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