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Concerns

See some of the most common concerns below:

At our clinic, concerns are approached medically rather than cosmetically. Led by Medical Director Dr Joney De Souza, our doctors and expert team focus on understanding why a change has occurred before discussing whether treatment is appropriate. This allows care to be planned thoughtfully, with long term skin health and natural outcomes in mind.

Understanding Skin and Facial Concerns

A skin or facial concern is any visible or felt change that affects texture, tone, structure, or overall skin quality.

Concerns rarely exist in isolation. Changes in collagen, hydration, or inflammation often influence several aspects of the skin at once. For this reason, assessment goes beyond a single symptom and considers how the skin is functioning as a whole.

This approach supports more balanced decisions and helps avoid unnecessary or poorly timed treatments.

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Our Medical Approach

Our clinic is led by Medical Director Dr Joney De Souza and supported by a specialist medical team with experience across aesthetic medicine, skin health, and laser treatments.

Our approach to concerns is based on:

  • Careful medical assessment rather than assumption

  • Understanding skin biology and facial anatomy

  • Prioritising safety, suitability, and proportion

  • Planning for long term skin health rather than short term change

Not every concern requires treatment, and not every treatment is right for every patient. Honest guidance and clinical judgement are central to how our team works.

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When Treatment May Be Considered

Some concerns benefit from early intervention and prevention. Others may be better managed with skin optimisation, lifestyle changes, or careful monitoring over time.

Where treatment is appropriate, it is selected based on:

  • The underlying cause of the concern

  • Skin type, age, and tissue quality

  • How the concern may change over time

  • The patient’s goals and expectations

Combination approaches are sometimes recommended, delivered gradually to maintain natural structure and balance.

Frequently Asked Questions

What is meant by a skin or facial concern?

A concern refers to a change in the skin or face that affects appearance, comfort, or confidence, and may benefit from medical assessment.

Do all concerns require treatment?

No. Some concerns can be managed with skincare, prevention, or observation rather than medical treatment.

Will I be advised to have treatment straight away?

Not always. Timing and suitability are carefully considered as part of safe, responsible care.

Can one concern have more than one possible approach?

Yes. Many concerns can be addressed in different ways depending on individual skin behaviour and long term goals.

Who will assess my concern?

Consultations are carried out by our medical team, led by Medical Director Dr Joney De Souza.

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Kind words that made our day 🤍

We were so touched to receive this lovely feedback from a recent client following her PicoSure face treatment with Roma - this one’s for David, Roma, and Dr Joney.

“From the moment I arrived, David and Roma made me feel so welcome and completely at ease. Roma was caring, professional, and took the time to explain the treatment thoroughly, making sure I felt comfortable and reassured throughout. Even after just one session, my skin already feels smoother and looks much more refreshed.”

Moments like this are exactly why we do what we do. It’s not just about the results (although we’re so pleased with how her skin is already responding!), it’s about making every client feel genuinely cared for from the second they walk through the door.

Thank you to our amazing client for such kind words, and to David, Roma, and Dr Joney for the warmth and care you bring to every single appointment 🫶HydraFacial: the secret to that red-carpet glow ✨

Ever wondered what actually happens during a HydraFacial? Here’s a look inside the treatment, step by step, at Dr Joney De Souza.

It begins with a deep cleanse and exfoliation to clear away impurities and prepare the skin, followed by gentle extractions that refine congestion with complete comfort and precision. 

From there, targeted serums and boosters are infused into the skin, tailored entirely to your individual needs, before LED light therapy supports the skin’s long-term health and renewal. 

The treatment finishes with an antioxidant infusion, sealing in radiance for that lit-from-within finish.

This particular treatment was our Deluxe HydraFacial, though for those wanting to elevate the experience further, our Platinum HydraFacial also includes lymphatic drainage, perfect for extra de-puffing and detoxification alongside all the usual glow-boosting benefits.

The result is skin that looks cleansed, replenished, and effortlessly glowing, delivered with the precision and care that defines every treatment here.

📍 Marylebone, London | 020 7043 0748 📱Sculptra vs Juläine: which biostimulator is right for you? 💭

Both Sculptra and Juläine are poly-L-lactic acid (PLLA) biostimulators - meaning rather than simply adding volume, they work by encouraging your skin to produce its own natural collagen over time, for results that look and feel truly you.

Sculptra is the original PLLA injectable, with a long-established track record for stimulating collagen and improving skin structure and firmness gradually over several months, with results that can last up to two years.

Juläine is a newer generation PLLA treatment, using more uniform, highly purified microspheres engineered to mix more evenly, which can help reduce inflammation caused by treatment. Like Sculptra, results build gradually, with visible improvements from a few weeks in and full effects developing over a few months. 

Both are excellent options for restoring facial volume, improving skin quality, and softening lines. The right choice really depends on your skin, goals, and what your practitioner recommends for you.

Not sure which is best suited to your skin and goals? Get in touch with us today to book your consultation.

📍Marylebone, London | 020 7043 0748 📱Product Spotlight | Daily Power Defense ✨

ZO Skin Health’s Daily Power Defense is one of those products that quietly does a lot of the heavy lifting in a skincare routine, and it’s become a firm favourite of ours here at the clinic.

Formulated with Vitamins A and E, it helps protect the skin against environmental damage and free radicals, while supporting barrier restoration and long-lasting hydration.
Over time, this can mean fewer visible signs of premature ageing and a stronger, more resilient complexion.

It’s a lightweight daily step, but one that adds up - the kind of product that supports your skin quietly in the background, day after day.

If you’re curious whether it fits into your routine, drop us a DM, or ask at your next appointment 📅

How can you find us?

Our clinic is located in Marylebone, London, in the heart of one of Central London’s most prestigious and renowned medical districts. Perfectly positioned for convenience and discretion, we are easily accessible from across the capital and beyond.

We welcome patients from Mayfair, Harley Street, Marylebone, Knightsbridge, Belgravia, Chelsea, Kensington, Fitzrovia and St John’s Wood, as well as international patients visiting London for specialist treatment.

Our location benefits from excellent transport connections, with close proximity to major Underground stations, mainline rail links and direct access to Heathrow, Gatwick and London City airports. Several secure parking facilities and convenient chauffeur drop-off points are available nearby, ensuring a seamless and comfortable visit.

Whether you are travelling from elsewhere in London, across the UK or internationally, our clinic offers a calm, private and exclusive setting in one of the world’s leading medical destinations.

Opening hours
Monday
9 am to 6 pm
Tuesday
9 am to 6 pm
Wednesday
9 am to 6 pm
Thursday
9 am to 6 pm
Friday
9 am to 6 pm
Saturday
Closed
Sunday
Closed
Dr Joney De Souza
49 Blandford St, London W1U 7HH
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