If I had a recipe for the ideal aesthetic practitioner, it would combine medical expertise, specialist training, years of hands-on experience, a refined artistic eye, a calm and reassuring bedside manner, and the respect of their peers.
It’s a tall order, but after 25 years reporting on aesthetic medicine and building The Tweakments Guide, I’ve met hundreds who fit the bill — and I’ve seen their work up close, sometimes even as a patient myself.
At 62, I’ve had nearly 250 tweakments, from Botox multiple times a year, to microneedling, hydrating skin boosters, polynucleotides (fish DNA injections to stimulate collagen), and biostimulators for deeper rejuvenation.
Choosing the right practitioner isn’t about certificates or Instagram followers — it’s about skill, judgment, and safety.
The best will make you look like yourself, only fresher and more rested.
Botox That Relaxes, Not Freezes
Wrinkle-relaxing injections are the most common tweak in the UK, with around 900,000 treatments annually.
For those in their 50s and beyond, the key is precision — knowing which muscles to soften and which to leave alone.
I’ve trusted Dr Sophie Shotter (Kent & London) for years, and her work keeps me looking natural.
Other specialists like Dr David Eccleston (Birmingham) and Dr Nestor Demosthenous (Edinburgh) also deliver impeccable results. Prices start around £500.
Dermal Fillers for Natural Volume
Fillers are perfect for restoring facial volume and definition lost with age.
Experts such as Miss Jonquille Chantrey (Cheshire), Dr Suha Kersh (London), and Dr Rashpal Singh (Middlesbrough) use them judiciously to create subtle, refreshed looks.
For those seeking an all-natural approach, Dr Sherina Balaratnam (Beaconsfield) uses Cellenis, a filler derived from your own blood. Treatments start around £500.
Lifting Eyes and Eyelids
A blepharoplasty, or eye lift, can dramatically rejuvenate the face.
My first was done by Mr Naresh Joshi in 2012 — flawless.
Non-surgical alternatives are also excellent with surgeons like Mrs Sabrina Shah-Desai, Mr Daniel Ezra, and Miss Elizabeth Hawkes offering subtle, natural enhancements.
Surgical options start at £5,000, non-surgical from £500.
Refining the Nose
Surgical rhinoplasty remains the gold standard, with Mr Charles East (London) leading the field.
Non-surgical nose reshaping requires precision — experts include Dr Ayad Harb (Bicester, Ascot, London) and Dr Yusra Al-Mukhtar (Liverpool, London). Prices range from £750 and up.
Lips, Facelifts, and Facial Contouring
For natural lip enhancements, practitioners like Dr Steven Harris, Dr Kuldeep Minocha, Dr Munir Somji, and others deliver subtle results.
Deep-plane and SMAS facelifts by Mr Rajiv Grover, Mr George Orfaniotis, Mr Marc Pacifico, and Dr Tunc Tiryaki restore structure and longevity.
Facelifts cost £25,000–£50,000 depending on depth and technique.
Radiance and Skin Health
Rejuvenating injectables and biostimulators help restore youthful glow.
Specialists like Dr Wassim Taktouk, Anna Baker, Dr Paris Acharya, and Dr Sach Mohan can transform dull or aging skin. Prices range from £250 to £1,200 per session.
For laser and light-based treatments, age spots, pigmentation, and skin clarity, dermatologists like Dr Stefanie Williams, Dr Ariel Haus, Dr Sajjad Rajpar, Dr Alexis Granite, and Dr David Jack offer expertise. Sessions start around £300.
Body, Hands, and Neck
From tightening inner arms with Dr Rita Rakus or Dr Preema, lifting jowls with Dr Saleena Zimri, Dr Priya Verma, or Dr Raj Thethi, to rejuvenating hands via Dr Lorenzo Garagnani or Dr Priya Chada, there’s a wealth of targeted treatments.
Neck treatments are expertly managed by Dr Sabika Karim.
Prices vary widely, from £300 to £3,000 depending on procedure.
Intimate and Full-Body Rejuvenation
Practitioners like Dr Shirin Lakhani and Dr Tania Adib are making vaginal rejuvenation more accessible, offering non-invasive treatments that enhance comfort and confidence for women in their 50s, starting at £800.
For fat reduction, body sculpting, and laser glow treatments, specialists include Dr Galyna Selezneva, Mr Omar Tillo, and celebrity laser pros such as Dr Nina Bal and Amanda Azzopardi.
Finding the Right Practitioner
Whether you’re after injectables, facelifts, skin tightening, or advanced laser treatments, resources like The Tweakments Guide, the British College of Aesthetic Medicine, BAMEN, and BAAPS can help you verify credentials and find trusted specialists.
The goal is always the same: safe, natural, and confidence-boosting results tailored to you.
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