My Clinical Approach

Most treatments address the surface. Mine begin with what is changing beneath it.

The face does not age for one reason, and it does not respond well to one-size-fits-all treatment. My approach begins with what is actually changing in the face, the skin, and the structures beneath them.

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“The most convincing aesthetic work rarely begins with a syringe. It begins with diagnosis.”

Dr Souphi Samizadeh

A Different Starting Point

Why most aesthetic medicine addresses the wrong question

Conventional aesthetic medicine often begins with the visible concern. My practice begins by asking what is driving that change and whether the obvious treatment is really the right one.

That shift matters because faces age through several processes at once. Skin thins, fat changes, bone resorbs, muscles overwork, and the bite, airway, clenching, or mouth breathing can alter facial structure over time.

The distinction matters because the wrong approach, however expertly delivered, rarely produces a result that settles well. Volume placed without understanding support. Toxin used without understanding muscular pattern. Skin treated without understanding what sits beneath it.

My patients often arrive after years of treatments that felt slightly off. What they find here is a practice that takes the time to understand before it acts.

The Three Foundations

What I am assessing

These are not treatment categories. They are the underlying changes that help explain why a face is looking and ageing the way it is.

01

A broader diagnosis

The face as a whole

Ageing is not only a matter of lines or laxity. It shows itself through changes in support, skin quality, volume, and movement, often long before patients have the words for what feels different.

A careful consultation looks at those changes together, rather than treating each new concern as an isolated defect.

  • Skin quality and barrier health
  • Patterns of volume loss and support
  • The wider context of sleep, stress, hormones, and habits

02

Repair before correction

Improving the canvas first

When tissue quality is poor, the answer is not always to add volume. Sometimes the better decision is to improve the condition of the skin and support the face more gradually.

That is why I use treatments that encourage the skin’s own repair and collagen response when they are genuinely indicated, rather than reaching immediately for correction.

  • Careful pacing rather than over-treatment
  • Support for collagen and tissue quality
  • Results that read as fresher rather than done

03

A culturally informed eye

Clinical judgement with context

Aesthetic judgement also has to be culturally fluent. The face should never be pushed toward a single beauty template simply because that template is familiar to the practitioner.

My own background, together with years of work and teaching across East Asia, has given me a wider frame of reference when I assess proportion, beauty, and restraint across different faces.

  • Sensitivity to different standards of beauty
  • A stronger eye for proportion and restraint
  • Treatment plans that respect identity rather than flatten it

In Practice

What this means for how I treat

Treatment starts with diagnosis. That sounds obvious, but it is often the part aesthetic patients have not experienced elsewhere.

A patient may arrive asking for more volume, less movement, or tighter skin. Sometimes that is exactly what is needed. Sometimes it is not.

The aim is to understand what has changed first. Is this really a skin issue, or a support issue? Is the face looking tired because of tissue quality, volume loss, clenching, or sleep? Does the request reflect the real problem, or only the visible symptom?

That is why the consultation is not hurried. Each idea needs room. The skin, the structure, previous treatments, general health, and the likely trade-offs all have to be thought through properly.

Some patients need repair before correction. Others need less done, not more. Often the best result comes from knowing when to pause and improve the canvas rather than pushing ahead with the quickest visible change.

This is also where my background as a dental surgeon matters. Occlusion, grinding, clenching, airway issues, and mouth breathing all influence the face over time. If those patterns are missed, treatment can remain superficial no matter how polished it looks at first.

It is also where my experience across different cultural settings matters. A face should not be made to fit a fashionable ideal that ignores identity. The clinical eye has to be informed enough to recognise what harmony looks like on that individual face.

Julaine is a good example of how this approach shows up in practice. I was among the first internationally to use it, to teach it to doctors, and to apply it in acne scarring with notable results. That matters less as a product claim than as an example of how closely I follow developing treatments and how carefully I apply them.

The result is a practice that usually feels calmer. There is less sales language, less urgency, and more explanation. Patients understand why something is being recommended, what it is likely to improve, and where restraint is the better decision.

A Different Logic

Starting Point

Conventional: What does the patient want to change?
This practice: What is driving the change, and what does the face need first?

Timeline

Conventional: Results appear immediately or within days.
This practice: Results may develop over weeks to months as the tissue settles and repairs.

Durability

Conventional: Results are maintained through repeat treatment on a fixed schedule.
This practice: Results are reviewed over time and supported by better tissue health and more careful timing.

Appearance

Conventional: Change is often visible and attributable.
This practice: Improvement should read as health, not intervention.

How I Work

The consultation process

Every patient relationship begins the same way, with unhurried time and an open conversation. No treatment is recommended without adequate context.

01

History & Conversation

A thorough understanding of your health history, your concerns, your previous treatments, and your goals, including what you do not want, which is often just as important.

02

Clinical Assessment

A systematic examination of the face and skin, looking at tissue quality, structural change, fat compartments, muscle activity, and the wider pattern of ageing.

03

Clinical Proposal

A considered recommendation, explained in full, including the reasoning behind it, the alternatives considered, the realistic timeline, and any wellbeing work that might support the outcome.

04

Ongoing Review

Good treatment requires follow-up. Results are monitored and the plan is adjusted carefully as the face responds.

Explore the Treatments

The tools that serve the approach

The treatments are tools, not answers in themselves. What matters is when they are used, why they are used, and whether they are right for the face in front of me.

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By Appointment Only

Start with
a conversation

A consultation is the right place to start. No treatment plan is designed without a thorough assessment of anatomy, history, and what you are hoping to achieve.