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Fine lines

Fine lines reflect changes in skin structure, movement and collagen over time. Our doctor-led clinic takes a medical approach to assessing these changes before discussing treatment options.

What Are Fine Lines?

Fine lines are shallow creases that form on the surface of the skin. They commonly appear around areas of repeated movement, such as the forehead, eyes and mouth, but may also develop in areas of thinner or drier skin. Fine lines differ from deeper wrinkles in that they are usually more subtle and may fluctuate depending on hydration, skin quality and expression.

Botox is an injectable treatment used to soften fine lines by relaxing the muscles responsible for repetitive facial movement. Fine lines develop over time as expressions such as frowning or squinting crease the skin. By temporarily reducing muscle activity, Botox helps smooth existing lines and prevent them from becoming deeper, resulting in a more rested and refreshed appearance while maintaining natural expression.

Read more on Botox

Why Do Fine Lines Develop?

Fine lines develop due to a combination of intrinsic ageing and external influences.

These may include:

  • Gradual loss of collagen and elastin

  • Repeated facial movement

  • Thinning and drying of the skin

  • Sun exposure and environmental factors

The pattern and timing of fine lines vary between individuals.

UltraClear is a laser treatment used to improve fine lines by resurfacing the skin and stimulating collagen renewal. Fine lines develop as skin texture and elasticity gradually decline with age and sun exposure. By delivering controlled laser energy, UltraClear helps smooth the skin surface and improve firmness, leading to a softer, more refined appearance that develops progressively over time.

Discover Ultraclear
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How We Assess Fine Lines

Assessment focuses on understanding whether fine lines are primarily related to skin quality, movement, structural support or a combination of factors. Our medical team evaluates skin thickness, elasticity and facial dynamics.

This allows us to explain which approaches may be most appropriate and which lines may respond better to preventative or supportive strategies.

Ask us about fine lines
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Fine Lines Treatments at Dr Joney De Souza

Fine lines are the early, shallow creases that appear as skin loses collagen and hydration, often first showing around the eyes, forehead and mouth. At our Marylebone clinic we soften them by relaxing overactive muscles and rebuilding the skin from within, and a consultation matches you to the right option for your skin and concern.

Anti-Wrinkle Injections
From £190
Relax the small muscles that crease the skin, smoothing dynamic fine lines around the eyes and forehead before they deepen.
Profhilo
From £400
Floods the skin with hyaluronic acid to boost hydration and collagen, softening fine lines and restoring a smoother, firmer surface.
Polynucleotides
From £410
Repair and regenerate skin cells to improve texture and elasticity, gently smoothing fine lines and strengthening thinning, crepey areas.

Book a consultation at our Marylebone clinic to find the right treatment for your fine lines.

Frequently Asked Questions

What is one of the most commonly discussed treatments for fine lines?

Anti-wrinkle injections are often discussed where fine lines are primarily related to repeated muscle movement. They are used conservatively to preserve natural expression.

 

How can fine lines be improved?

Improvement depends on the cause and location of the lines. Options discussed at our clinic may include anti-wrinkle injections, polynucleotide treatments, skin boosters, Profhilo, UltraClear laser resurfacing and medical-grade skincare. The focus is on gradual, natural softening.

Are fine lines the same as wrinkles?

No. Fine lines are typically shallower and may progress into deeper wrinkles over time if skin quality declines.

Do fine lines appear earlier in some people?

Yes. Genetics, sun exposure, skin type and lifestyle factors can influence when fine lines develop.

Can fine lines improve without treatment?

In some cases, improved skincare, hydration and sun protection may soften fine lines, particularly in early stages.

Do fine lines worsen with age?

They often become more noticeable over time as collagen production slows and skin thins.

Does everyone with fine lines need treatment?

No. Many people choose not to treat fine lines once they understand why they develop and how they may change.

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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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