Face — movement and proportions
Movement, support, shape and proportion — assessed together.
You might be noticing- wrinkles
- volume loss
- changes in proportion
- less defined facial contours
Some people already have a treatment in mind.
Others want to talk about changes they have noticed.
Either is a good place to start.
Two ways in
Explore your options
You may have noticed changes in your facial features or skin quality, or you may be looking for advice from a pharmacist. Below are three areas of my practice. You do not need to choose a specific treatment at this stage.
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Movement, support, shape and proportion — assessed together.
You might be noticingTexture, tone, hydration and elasticity.
You might be noticingConsultations and clinical assessment — with a discussion of options appropriate for you.
You might be looking for help withPatient perspective
Selected Google reviews
‘I've had several really good experiences here - professional, well informed, safe, comfortable and effective.’
‘He's very calm, reassuring and never makes you feel rushed or pressured.’
‘Piotr listened to what my goals were and advised me what was achievable.’
‘A fantastic experience from start to finish. Everything was fully explained and my goals explored.’
‘Piotr has been nothing but professional with me, making me feel at ease whilst having treatments, and explaining what results I can expect.’
‘He asked me what I wanted, listened and then explained more about the procedure, gave me options and advised what he would recommend.’
‘Piotr is wonderful in how he explains everything that he is going to do and will not proceed until you feel completely comfortable and understand the process.’
‘He was very professional, knowledgeable, and refreshingly honest.’
‘Piotr's approach is to listen to you so you receive a treatment that is tailored precisely to your individual and personal goals.’
Path two · The complete index
Browse treatments and clinical services by name, or choose a category to narrow the list.
All treatments & clinical servicesChoose a category to see its guides.
All categories · 25 entries
Modest support for sagging tissue that can be repositioned — rarely a first-choice treatment.
Read the guideInformation about the treatment is available in the “Expression Lines & Facial Movement” guide.
Read the guideControlled resurfacing to improve texture, tone and selected surface concerns, including TCA peels.
Read the guideChronic migraine is assessed against defined diagnostic criteria. Other headache patterns may need a different pathway or referral.
In preparationTreatments that support gradual collagen remodelling. The type of effect and how soon it appears depend on the product and how it is used.
Read the guideRestoring tissue support or proportions in selected areas. Not a treatment for skin quality or an answer to every fold.
Read the guideInformation about the treatment is available in the microneedling guide.
Read the guideAssessment of problematic sweating; options are discussed after individual clinical review.
In preparationFor changes driven primarily by repeated muscular activity; some options are prescription-only and follow individual assessment.
Read the guideFocused ultrasound for selected mild laxity; change is gradual and more limited than surgery.
Read the guideAssessment of jaw tension, clenching and masseter activity; any options follow individual review.
In preparationLip shape and proportion, planning, comfort and recovery.
Read the guideA medically led, assessment-first programme with structured follow-up.
Read the guideAssessment of how current medicines are working, with answers to questions about their use.
Read about review before prescribingControlled microneedling for selected texture and skin-quality concerns.
Read the guideBlood sample collection for laboratory testing. If odNOVA arranges the tests, I also discuss the results. For tests arranged independently, the service covers sample collection only.
Read the guideAssessment of vertical bands caused by platysma activity. Horizontal neck lines have different causes and are considered separately.
In preparationAn injectable treatment aimed at improving skin quality. The guide discusses current research and its limitations.
Read the guidePrescription-led care where clinically appropriate, within a defined scope of practice.
Read the guidePrepared from your own blood and used for selected skin-quality concerns; response varies between individuals.
Read the guidePlatelet-rich plasma for selected patterns of hair loss, after assessment.
Read the guideInjectable treatments aimed at hydration and improved skin quality.
Read the guideAssessment comes first; removal of benign lesions is discussed only where appropriate.
Read the guideA chemical peel using trichloroacetic acid (TCA), aimed at skin renewal.
Read the guideAssessment of trapezius muscle bulk, tension and the requested objective before any treatment is considered.
In preparationNot sure where to start? Start from what you notice instead
The next step
You do not need to choose a treatment before we meet. I will assess your needs and explain whether any of the treatments may be suitable for you.