A considered guide to preventative and corrective aesthetic treatments, explaining how injectables and devices support ageing well over time.
9th January 2025
The way we talk about ageing in aesthetic medicine has changed. Increasingly, conversations are moving away from dramatic transformation and towards a more nuanced understanding of skin health, structure and longevity.
Rather than asking how to reverse ageing, many patients now want to understand how to age well – maintaining skin quality and resilience over time, while addressing changes thoughtfully as they arise.
At his clinic in Marylebone, Dr Joney De Souza and his expert team frame aesthetic care through this lens, using prevention and correction not as opposing ideas, but as complementary stages within a long-term approach to skin health.
Preventative aesthetics is often misunderstood as treating too early, while corrective aesthetics is sometimes seen as leaving things too late. In reality, both approaches exist on a continuum.
Prevention focuses on supporting skin quality, collagen health, and resilience before more significant changes develop
Correction addresses established concerns such as texture change, laxity or collagen loss
Most patients move between these approaches over time. The key lies in recognising when to support the skin gently, and when more intervention may be appropriate.
Energy-based devices play an important role in preventative aesthetics by stimulating collagen and maintaining skin quality before more visible ageing occurs.
PicoSure is often used to support clarity, brightness, and early collagen stimulation, particularly when downtime needs to be minimal
UltraClear may be introduced when early textural changes appear, offering controlled resurfacing that supports renewal without aggressive intervention
Used appropriately, these treatments help maintain skin strength and quality over time, rather than attempting to correct more advanced change later.
As skin changes progress, corrective treatments may become appropriate. These are not failures of prevention, but reflections of natural ageing.
Erbium YAG laser treatments are often considered when deeper resurfacing or more intensive collagen stimulation is required
These treatments work by creating controlled injury that encourages the skin to rebuild itself to become stronger and firmer
Corrective treatments typically involve more downtime and planning, which is why careful assessment and timing are essential.
Injectable skin boosters such as Skinvive also play a role in both prevention and correction, depending on how and when they are used.
Skinvive is often used to support hydration and surface skin quality, particularly in preventative strategies
Profhilo is commonly considered when elasticity and skin laxity begin to change
These treatments are not designed to alter facial structure or to create immediate or visible change, but to improve how the skin behaves and responds over time.
Although an estimated 900,000 botulinum toxin injections are carried out in the UK each year, skin boosting treatments that treat as they transform are gaining traction with those looking for anti-ageing as longevity. Dr Joney De Souza told Harpers Bazaar that although ‘botox is still one of our most sought after treatments in our clinic… the past couple of years has shown a marked increase in the number of people seeking alternatives’, as more and more people opt for a long-term treatment plan over a last-minute remedy.
At the Dr Joney De Souza clinic in Marylebone, injectable treatments are always selected following careful assessment by the clinical team. Suitability varies widely depending on skin thickness, lifestyle factors, and existing skin concerns.
TV presenter Cat Deeley recently spoke openly about her approach to aesthetic treatments in Good Housekeeping, describing how she prioritises natural looking results that support skin quality and confidence. In the article, Cat highlights the benefits of having skin booster treatments with Dr Joney De Souza as part of her routine for maintaining hydration and a fresh-looking complexion.
“I want something that I can go in, do and know it’s going to keep on delivering.”
Collagen stimulation sits at the intersection of prevention and correction. As a category, collagen-stimulating treatments are designed to support the skin’s underlying structure by encouraging it to produce its own collagen.
Radiesse is a collagen-stimulating injectable used at the clinic, selected carefully based on skin quality, thickness, and long-term goals. Rather than focusing on immediate change, its role is to contribute to improved skin strength and resilience over time.
This long-term perspective is central to ageing well.
In practice, ageing well rarely relies on a single treatment. Most patients benefit from a combination of devices and injectables, introduced at different stages and adjusted as the skin evolves.
At the clinic, treatment planning considers:
Skin condition today
Likely future changes
Recovery capacity and lifestyle
The cumulative effect of treatments over time
This allows care to remain proportionate and appropriate, rather than reactive.
Ageing well does not mean preventing change altogether. Instead, it means supporting the skin so that changes occur gradually and naturally, without sudden or disproportionate intervention.
By balancing preventative and corrective treatments thoughtfully, patients can maintain skin quality and confidence over the long term.
At Dr Joney De Souza’s clinic in Marylebone, this philosophy guides how devices and injectables are selected, combined, and timed – with an emphasis on understanding, restraint and long-term skin health.
Preventative aesthetics focuses on supporting skin quality, collagen health and resilience before more advanced signs of ageing develop. Treatments are typically subtle and designed to maintain skin health over time rather than create immediate change.
PicoSure and UltraClear are energy-based treatments used to stimulate collagen and support skin quality. PicoSure is often used for clarity and early collagen stimulation, while UltraClear may be introduced when early textural changes appear.
Corrective treatments like Erbium YAG laser resurfacing may be considered when more established texture change or skin laxity is present. These treatments typically involve more planning and recovery and are selected following careful assessment.
Collagen stimulators like Radiesse encourage the skin to produce its own collagen over time, contributing to improved structure and resilience. They are selected carefully and used as part of a longer-term approach to ageing well.
Our patients return to us year after year for natural, balanced results. Every review reflects our commitment to precision, safety and a personalised approach to aesthetic care.
Based at 49 Blandford Street in Marylebone, the Dr Joney De Souza Skin & Laser Clinic is known for its refined, personalised approach to aesthetic medicine and skin health. The clinic offers a carefully curated range of advanced treatments, including Skinvive by Juvéderm, designed to improve skin quality, hydration and radiance while preserving natural facial expression.
Every aesthetic treatment at the clinic is approached with the same attention to detail and clinical integrity, focusing on long-term skin health rather than short-term cosmetic change. Through thorough consultation and tailored treatment planning, patients are guided towards subtle, effective solutions that support healthy, luminous skin over time.
