I
Fine lines
Surface
Crepey texture at rest — around the eyes, mouth, neck. The earliest visible sign. Responds well to topicals and resurfacing.
- Layer
- Skin
- Cause
- UV + time
- Severity
- Mild
- Best Tx
- Peels + retinoid
Ageing, gracefully.
Ageing is volume, texture, tone, and movement — never one thing. We address each layer separately, never aggressively, and only what the face is asking for.
0layersSkin · fat · muscle · bone
0monthsVisible result
0reviewsPer year typical
Considered care, plainly.
A face ages in four layers — skin (texture, tone), fat (the deep compartments that thin and descend), muscle (overactive lines, weak support), and bone (subtle remodelling that changes proportions). Treating one without the others rarely lands well.
Our approach is conservative and sequential — restore volume first where it has been lost, soften movement where it has become exaggerated, and refine texture last. We do not pursue a younger face; we maintain a familiar one.
Most patients return twice a year for adjustments. Filler does not last forever; muscle relaxants do not either. That is by design — change should be reversible.
Six familiar patterns.
Each type has its own cause, depth and conversation with treatment. Hover or tap any plate to read its detail.
II
Dynamic wrinkles
On movement
Lines that appear when you smile, squint, or frown — frown lines, crow's feet, forehead. Caused by muscle. Static at first, etched with time.
- Layer
- Muscle
- Cause
- Repetition
- Severity
- Moderate
- Best Tx
- Neuromodulators
III
Volume loss
Hollows & shadows
Loss of deep fat pads creates shadows — under the eyes, at the temples, along the cheek. The face reads tired before it reads aged.
- Layer
- Deep fat
- Cause
- Age + bone loss
- Severity
- Moderate
- Best Tx
- Dermal fillers
IV
Sagging / Laxity
Loss of support
The jawline softens, the cheek descends, the neck loses definition. Treatable with energy-based devices and structured fillers in earlier stages.
- Layer
- Multiple
- Cause
- Multifactorial
- Severity
- Moderate-Severe
- Best Tx
- HIFU + thread + filler
V
Tone & sun damage
Surface pigment
Sunspots, uneven tone, and dullness — UV accumulation. Treatable with peels, lasers, and consistent SPF discipline.
- Layer
- Skin
- Cause
- UV
- Severity
- Cosmetic
- Best Tx
- Lasers + peels
VI
Skin quality
Lustre & elasticity
The hard-to-describe 'glow' — hydration, microcirculation, collagen quality. Restored slowly with mesotherapy, micro-needling, regenerative protocols.
- Layer
- Skin
- Cause
- Time + lifestyle
- Severity
- Cumulative
- Best Tx
- Mesotherapy + MNRF
How we sequence the work.
I
Assess
Identify which layers are speaking loudest — volume, movement, texture, or tone. Conservative photo documentation.
II
Volume
Restore deep compartments first if indicated — the foundation. Other treatments make more sense afterwards.
III
Soften
Address dynamic lines with measured doses. Reversibility is a feature.
IV
Refine
Texture and tone work — peels, lasers, regenerative therapy — to finish.
What we use.
The treatments most often part of this concern's protocol. Real plans combine two or three, sequenced over months. Tap any to read the detail.
Dr. Shivali Sethi
Twenty-five years of considered dermatology — examined first, prescribed second. The practice has only refined the standard.
MBBSDDVLFACSIDermatosurgeon
Forty-five minutes,
unhurried.
The first consultation is examination first. We will tell you plainly what is treatable, what is not, and what a realistic timeline looks like.