Drs Tatiana + Rishi Advanced Aesthetics

XERF is not a laser - and that distinction matters 🙏⬇️

XERF uses monopolar radiofrequency, not light energy ⚡️

That means radiofrequency energy is delivered through the tissues as heat, reaching the skin, the subcutaneous fat layer and the deeper SMAS layer underneath - helping to support tightening, remodelling and collagen stimulation.

➡️ Laser works differently.

Laser uses light energy, which is attracted to specific targets in the skin known as chromophores - things like:

• Water
• Pigment
• Haemoglobin within blood vessels

Because of that, different lasers can be used very specifically to target concerns such as pigmentation, sun damage, vessels and melasma, as well as skin rejuvenation.

So while radiofrequency and laser can sometimes achieve overlapping goals - such as stimulating collagen and improving skin quality - they’re doing it using completely different types of energy.

And that’s why understanding the technology matters when choosing the right treatment for your skin 👏👏👏

Want to know more about XERF and whether it could be right for you?

Comment “XERF” below and we’ll send you more information 👇💬

Should you get a facelift in your 40s? 👀⬇️⁣
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Dr Rishi’s answer? Yes - if you 𝗻𝗲𝗲𝗱 𝗼𝗻𝗲⁣
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➡️ There isn’t a “correct” age for a facelift.⁣
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What matters far more than the number on your birthday cake is what’s happening 𝘢𝘯𝘢𝘵𝘰𝘮𝘪𝘤𝘢𝘭𝘭𝘺.⁣
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If there is:⁣
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✨ Sufficient skin laxity⁣
✨ Descent of the facial fat compartments⁣
✨ Changes to the jawline or lower face that surgery would meaningfully address⁣
✨ And you’re medically and emotionally ready for surgery⁣
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…then a facelift in your 40s may be entirely appropriate.⁣
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➡️ Equally, being in your 40s doesn’t automatically mean you 𝗻𝗲𝗲𝗱 one.⁣
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The decision should always come down to 𝘆𝗼𝘂𝗿 anatomy, 𝘆𝗼𝘂𝗿 concerns, 𝘆𝗼𝘂𝗿 expectations and whether surgery is genuinely the 𝗿𝗶𝗴𝗵𝘁 𝘁𝗼𝗼𝗹 for the job.⁣
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As Dr Rishi says: if it’s the right thing for you, then it’s the right thing for you 🙏⁣
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❌ No arbitrary age limits. ⁣
❌ No one-size-fits-all rules. ⁣
❌ No pressure, no sales tactics. ⁣
✅ Just careful assessment and an individual treatment plan, delivered with honesty and your best interests in mind⁣
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drtatiana.co.uk⁣
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Beautiful results are planned, not improvised 🙏

At Drs Tatiana + Rishi Advanced Aesthetics, we believe some of the most important work happens before any treatment begins.

❌ The most refined results do not come from rushing into procedures or following trends ❌

They begin with

✅ Thoughtful conversations
✅ Careful assessment
✅ and a truly personalised plan

A consultation is where personalised care begins.

It’s where we listen, examine, discuss your goals, assess what is appropriate and decide not only what 𝚌𝚊𝚗 be done, but what 𝚜𝚑𝚘𝚞𝚕𝚍 be done 🙏

𝐁𝐞𝐜𝐚𝐮𝐬𝐞 𝐚 𝐠𝐫𝐞𝐚𝐭 𝐫𝐞𝐬𝐮𝐥𝐭 𝐛𝐞𝐠𝐢𝐧𝐬 𝐥𝐨𝐧𝐠 𝐛𝐞𝐟𝐨𝐫𝐞 𝐭𝐡𝐞 𝐧𝐞𝐞𝐝𝐥𝐞, 𝐭𝐡𝐞 𝐝𝐞𝐯𝐢𝐜𝐞 𝐨𝐫 𝐭𝐡𝐞 𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐧𝐠 𝐭𝐡𝐞𝐚𝐭𝐫𝐞.

The best clinics treat the consultation as part of the art - and part of the medicine, too 👏👏👏

drtatiana.co.uk

“Your skin is looking so glowy and radiant… what treatments have you been having?” ✨

Firstly… thank you 🥹🩵🙏 Dr Tatiana is always very flattered when someone compliments her skin!

As an aesthetic doctor, Dr T is incredibly lucky to have access to lots of different technologies and treatments - and over the past 12 months she’s tried a few different things (most of which we’ve documented on the ‘Gram!) 🤳

But if she had to choose the treatments that she feels have made the biggest difference to her skin, these would be the standouts:

✨ XERF 
For Dr Tatiana, XERF has been fantastic for supporting firmness and collagen. She’s really noticed a difference in how tight and supported her skin feels.

✨ JULAINE
This has probably been one of the biggest game changers for Dr Tatiana personally. JULAINE is a collagen stimulator designed to improve the density and thickness of the skin.

Dr T is personally prone to her skin becoming thinner and a little crepey - but she’s really noticed an improvement in density, firmness and brightness.

✨ Sunekos Performa
Dr Tatiana likes to combine her JULAINE treatments with Sunekos Performa, an injectable treatment containing hyaluronic acid and amino acids that supports collagen and elastin production within the skin.

For Dr T, that combination has given her skin the beautiful, healthy-looking glow and quality that she’s really delighted with ✨

Of course, what works for Dr Tatiana’s skin isn’t necessarily what we would recommend for everybody else - treatment should always be based on your individual skin, anatomy and concerns.

But since you asked… those are Dr T’s personal favourites at the moment 🩵

And thank you very much for noticing, Mae Pham!

What are malar bags - and why are they so hard to treat? 🤔

Let’s break it down 👇⏯️

Malar bags are areas of puffiness or swelling that sit over the cheek, beneath the lower eyelid.

Anatomically, this area sits between important retaining ligaments of the face - including the buccal retaining ligament and the zygomaticocutaneous ligament. Between these structures is a spongy tissue layer that can hold onto fluid 🧽

When this tissue starts to retain more fluid, and the overlying skin loses elasticity, the area can begin to look puffy, heavy or baggy.

➡️ And this is where treatment becomes difficult

Malar bags are challenging both surgically and non-surgically - but one of the biggest issues is that they are often treated inappropriately.

Particularly with filler.

We understand why this happens. When there is a visible ridge or hollow around the area, filler can seem like the obvious solution.

But hyaluronic acid filler attracts water 💧

So if we add filler into an area that is already holding onto too much fluid, it may look better temporarily - but over time, that tissue can retain even more water, making the puffiness look worse.

And dissolving filler in this region can be difficult 😣

So what can help? 🤔⬇️

Treatments that focus on tightening the skin and improving tissue quality may be more appropriate - such as radiofrequency microneedling or laser treatments.

In some cases, surgical options such as facelift surgery may also be considered, depending on the anatomy and degree of laxity.

The key message? ⬇️

Malar bags need proper diagnosis.

Because treating the wrong structure, with the wrong treatment, can make the problem worse.

This is why we always assess the face anatomically - looking at the skin, tissue quality, fluid retention, support, laxity and the deeper facial structures before recommending a plan 🙏

❌ Not every under-eye concern needs filler.
👉 And malar bags are a perfect example of why.