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36 Devonshire Road, Chiswick W4 0203 576 2577
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A woman in her forties with relaxed, natural-looking skin and unforced expression

Fine lines & wrinkles · Chiswick, London W4

Softer lines. The same face.

Doctor-led treatment for fine lines and wrinkles in Chiswick, planned around how your face actually moves, and reviewed with you two weeks later.

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From £90 · every fee includes your review two weeks later

  • 5 · 100+ Google reviews
  • Treated by Dr Kay, GMC-registered
  • 30 years' clinical experience

The short answer

What this treatment group is, in the five things people ask before they book.

What it treats
Frown lines, forehead lines and crow's feet, plus lines around the mouth, jaw and neck.
On the day
A face-to-face assessment with Dr Kay, then treatment the same visit if it suits you.
You see a change
3 to 5 daysSettling over the following week.
It lasts
3 monthsThen it is reviewed and repeated only if you want to.
Fees
From £90Upper face from £250, review included.

Find your concern

Where is it bothering you?

Pick the area you notice in the mirror. You will see where it sits on the face, what can be done about it, and exactly what it costs.

Choose one of the seven areas below. The face shows you exactly where it is.

The gold marks show where this sits on the face.

Upper face

Forehead and frown lines

The lines that make people ask if you are tired or cross when you are neither. Treated conservatively, so your forehead still moves.

    Book your consultation See every fee

    Nothing is decided here. Dr Kay assesses your face in person before anything is agreed.

    Prefer the full list? Jump to the fees →

    In plain English

    How a line forms, and how it softens

    No jargon and no diagrams of molecules. This is the whole idea in three steps, so you know what you are agreeing to before you sit in the chair.

    01

    Your face moves

    Every frown, smile and raised brow folds the skin sitting above the muscle. Thousands of times a week, for years.

    02

    The fold stops springing back

    Skin loses some of its bounce with age, so the crease that used to disappear starts to sit there at rest. That is the line you see in the mirror.

    03

    The pull is eased

    Treatment eases the pull of the muscle underneath, so the skin above it creases less and the line softens. Dosing is set by your anatomy, not a fixed protocol.

    What it will not do. It does not fill a line, lift loose skin or change your face shape. Where a line is very set, Dr Kay may suggest something different, or nothing at all. That conversation is the point of the consultation.

    Fees

    Every price, in the open

    One fee per treatment, published in full. What you pay covers the whole thing, including the review two weeks later.

    • Upper face smoothing, one area

      Frown lines, forehead lines or crow's feet. One area, treated on its own.

      £250

    • Upper face smoothing, two areas

      Any two of those areas planned together, so the balance between them holds.

      £300

    • Upper face smoothing, three areas Most chosen

      The full upper face. Frown, forehead and eyes treated as one plan, which is what most people end up wanting.

      £350

    • Brow lift

      A small, measured lift at the tail of the brow. It opens the eye without changing your expression.

      £250

    • Bunny line smoothing

      The diagonal creases across the bridge of the nose when you smile.

      £130

    Fees are per treatment. If Dr Kay does not think treatment is right for you, he will say so, and you will not be charged for something you do not need. Full price list for the clinic is on the prices page.

    A doctor's gloved hands assessing and marking the upper face before treatment

    Why it matters who treats you

    A doctor decides the dose, not a price list

    The same fee buys very different things around London. Here it buys 30 years of clinical judgement about your face, your muscle strength and how much is enough.

    1. 01

      Assessed before anything is agreed

      Your medical history, your medication and how your face moves at rest and in motion.

    2. 02

      Dosed for your anatomy

      A strong frown muscle and a fine one do not need the same treatment. Fixed protocols ignore that.

    3. 03

      Conservative on a first visit

      It is easy to add a little more at the review. It is not possible to take it away.

    4. 04

      Reviewed two weeks later

      Dr Kay checks the result himself and adjusts it if it needs it. Included in the fee.

    Book your consultation Meet Dr Kay

    Your first visit

    Unhurried, and nothing decided for you

    Knowing exactly how the visit runs takes most of the nerves out of it. This is the whole thing, start to finish.

    1. 1

      Assessment

      You talk through what bothers you. Dr Kay reviews your medical history and watches how your face moves.

    2. 2

      Your plan

      What would help, what it would cost and what to expect. There is no pressure to go ahead on the day.

    3. 3

      Treatment

      If you choose to go ahead, it is carried out by Dr Kay and takes a few minutes. You go back to your day.

    4. 4

      Review at two weeks

      The result is settled by then. Dr Kay checks it with you and adjusts it if needed.

      Included
    Book your consultation

    Chiswick, London W4. Two minutes from Turnham Green, with roadside parking.

    Afterwards

    What the rest of the day looks like

    Most people go straight back to work. These are the honest details, including the parts other clinics leave out.

    The first few hours

    • Small raised marks where treatment was placed, usually gone within an hour
    • Occasional redness, which settles quickly
    • You can drive, work and see people straight afterwards

    For the first 24 hours

    • Stay upright for four hours and avoid lying face down
    • No gym, sauna, steam room or hot yoga
    • No facials, massage or rubbing the treated area
    • Go easy on alcohol

    Worth knowing

    • Bruising is uncommon but possible, and covers easily
    • A mild headache in the first day or two happens occasionally
    • Anything unexpected, call the clinic and speak to Dr Kay
    • Not suitable in pregnancy or while breastfeeding

    Questions

    The things people ask before they book

    If yours is not here, ask it in the form below and the clinic will answer it properly, with no pressure to book.

    Ask your question
    What do these treatments actually do?

    They ease the pull of the small muscles that fold your skin when you frown, raise your brows or smile. With less pull, the skin above them creases less, so lines soften over the following days. They do not fill lines, lift loose skin or change the shape of your face.

    Will I still be able to show expression?

    Yes, and that is the point. Dr Kay doses conservatively, especially at a first visit, so you look rested rather than still. If you want a stronger result, it is added at your review two weeks later, once he has seen how you respond.

    How soon will I see a change?

    Most people notice a change 3 to 5 days afterwards, and it carries on settling over the following week or so. That is why the review sits at two weeks, when what you see is what you have.

    How long does it last?

    Around 3 months for most people. It wears off gradually rather than all at once, and how long it lasts varies with your muscle strength, your metabolism and the area treated.

    How much does it cost?

    Fees in this group start at £90. The upper face is £250 for one area, £300 for two and £350 for all three. Every fee includes your assessment with Dr Kay, your plan, the treatment itself and a review two weeks later. The full list is further up this page.

    Is there any downtime?

    None in the usual sense. There may be small raised marks for up to an hour. For the first 24 hours, stay upright for four hours, skip the gym, sauna and facials, and avoid rubbing the area. Most people come in on a lunch break and go back to work.

    Who carries out the treatment?

    Dr Kay, a GMC-registered doctor with 30 years of clinical experience, does the assessment, the plan, the treatment and the review himself. You are not handed to someone else partway through.

    What happens at the two-week review?

    Dr Kay looks at the settled result with you, checks the balance between both sides and adjusts it if it needs it. It is included in your fee, so there is nothing further to pay.

    Do men have this treatment?

    Regularly. Men usually want the forehead and frown softened without losing movement, and stronger muscles often need a different dose. It is planned that way from the start.

    What if I decide not to go ahead?

    That is a perfectly normal outcome of a consultation. Nothing is booked in advance of the assessment, and if Dr Kay does not think treatment is right for you, he will tell you so and explain why.

    Elsewhere in the clinic

    Lines are one part of how a face ages. Volume, skin quality and texture are the others, and they are often treated together.

    Dermal FillersFor lost volume and contour rather than movement Skin Quality & RegenerationHydration, firmness and tired-looking skin Skin Needling & ResurfacingTexture, scarring, pores and tone Medical Facials & Skin HealthClarity, glow and upkeep between treatments Consultation & AssessmentNot sure where to start? Start here All clinic pricesEvery treatment fee in one place

    Prefer to ask first?

    Ask Dr Kay's clinic, before you book

    Leave your details and the clinic will call, message or email you, whichever you prefer, and answer your question properly. There is no obligation to book.

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