The lines that fan out from the outer corners of the eyes when you smile or squint. Very common, and among the first lines most people notice.

A muscle relaxing injectable softens them. Some people want them gone entirely, some like them and would rather soften everything else. Both are fine answers and I will not push you either way.

Three different things get called dark circles, and they are not treated the same way. A hollow under the eye casting a shadow, pigment in the skin itself, or thin skin letting the blood vessels underneath show through. Many people have a combination.

Hollowing responds well to carefully placed volume, and this is one of the most technical areas on the face. Pigment is a skincare and peel question. Visible vessels through thin skin are not something injectables fix, and I will tell you if that is what you have rather than treat you anyway.

Fine, papery texture in the skin around the eye. It is the thinnest skin on the face, so it shows collagen loss and accumulated sun exposure before anywhere else does.

Gentle skin quality treatments can improve texture over a course, though the eye area is treated more conservatively than the rest of the face for good reason. Expect gradual improvement rather than transformation, and be sceptical of anyone promising more.

The upper lid looks heavy and the eye looks smaller or more hooded than it used to. The cause matters enormously: it can be the brow sitting lower than it once did, or it can be genuine excess skin on the lid itself.

If the brow has dropped, a brow lift using a muscle relaxing injectable can release the muscles pulling it down and recover a few millimetres. If the issue is excess eyelid skin, no injectable will fix it and the honest answer is a surgical consultation. I will tell you which one you are looking at.

Horizontal lines across the forehead come from raising your eyebrows. Thousands of small movements over the years leave a crease that stays visible once the face is relaxed.

Usually a muscle relaxing injectable. If your brows feel heavy and you are lifting them without realising, treating the forehead on its own can make that heaviness worse, so this is an area where how it is done matters more than what is used.

The two vertical marks between the eyebrows, named for what they look like. They come from a muscle you use constantly without noticing. Concentrating at a screen, squinting in the sun, reading something annoying.

A muscle relaxing injectable is the usual answer and one of the most predictable treatments there is. Lines that have been etched in for years may soften rather than disappear, and sometimes need something alongside.

The small diagonal wrinkles that appear across the bridge of the nose when you scrunch it or smile hard. They often become more obvious after the frown lines have been treated, because the surrounding muscles start working harder.

A very small amount of muscle relaxing injectable placed carefully on either side of the nose. This is a low dose area where precision matters far more than quantity.

Fat pads and bone in the upper cheek shrink and shift downward with age. The cheek flattens, and because it is no longer holding everything up, the rest of the face settles lower.

Restoring support in the upper cheek, which often improves the folds below it without treating them directly. This is structural work, so it is planned for the whole face rather than one spot.

When the upper cheek loses its support, the soft tissue slides down and collects lower in the face. The result is a heavier lower face and an emptier upper one, which is what reads as sagging.

Rebuilding support higher up rather than adding volume where the sagging shows. If the laxity is significant, there is a limit to what injectables can do and a surgical consultation is the honest recommendation.

A hollow running between the under eye area and the cheek, sometimes with a visible line or shadow across it. It is more pronounced in people who are naturally slim or who have lost weight quickly.

Careful volume replacement, usually placed deep rather than superficially. The under eye and midface are among the most technical areas on the face, so this is not a place to shop on price.

The lines running from the sides of the nose to the corners of the mouth. They are one of the most misunderstood concerns in this field, because the fold itself is rarely the problem. It deepens because the cheek above it has lost support.

Usually treating the cheek rather than the crease. Filling the fold alone can look heavy and does not address why it is there. This is a good example of why I would rather talk through the whole face than treat one line in isolation.

Lips lose volume and definition over time, and the distance between the nose and the upper lip lengthens. Many people notice the shape changing before they notice the size.

A small amount of filler, placed to restore what was there rather than to make a different mouth. If you want a result nobody can identify, say so and we will work well under what is possible.

The fine vertical lines above the upper lip, sometimes called smoker's lines although most people who have them have never smoked. They come from the way the mouth purses, combined with the skin above the lip thinning out.

Often a combination. Softening the movement, improving the quality of the skin itself, and in some cases restoring a little support at the lip border. This is an area where less is reliably better.

The lines running down from the corners of the mouth toward the chin. They deepen as the tissue around the mouth loses support and the chin loses projection.

Usually support at the chin and along the jaw rather than filling the line directly. Treating the crease on its own tends to look obvious and does not hold.

A muscle running down from the corner of the mouth pulls the corners downward, and it gets stronger with use. The effect is a resting expression that looks disappointed or stern when you feel perfectly fine.

A small amount of muscle relaxing injectable to release that downward pull, sometimes with a little support at the corner itself. It is a small treatment with a disproportionate effect on how approachable a face looks.

When you smile, the upper lip lifts far enough to show a band of gum above the teeth. It comes from the strength of the muscles that raise the lip, not from anything wrong with the teeth or gums.

A very small, precisely placed muscle relaxing injectable to soften that lift. Dosing here is tiny and placement is everything, since too much affects the way you speak and smile. Results last a few months.

Soft tissue that has migrated down from the cheek settles along the jaw, breaking what used to be a clean line. The jaw and chin also lose bone volume over time, which removes the scaffolding underneath.

Sometimes support along the jaw and chin to restore the edge. Sometimes it is skin quality rather than structure. If the laxity is advanced, injectables will not fix it and I will say so rather than sell you something that will not work.

The outline of the jaw softens as bone recedes and the tissue above it settles. People often describe it as their face looking less sharp in photographs before they can say exactly what changed.

Volume placed along the jaw and at the chin to rebuild the edge. Done well it is a structural change rather than a filled look, and it is one of the treatments people are most surprised by.

Fine, papery texture on the neck, often with horizontal lines. The skin there is thinner than on the face and is almost always the most neglected area in a skincare routine.

Microneedling over a series of treatments can improve texture and firmness. Expect gradual improvement rather than transformation, and expect to keep up with sun protection on the neck afterwards.

The two vertical cords that stand out down the front of the neck, most obvious when you tense or speak. They are muscle, not skin, which is why creams do nothing for them.

A muscle relaxing injectable placed along the bands softens them. It is a treatment that requires care because of what sits nearby in the neck, so it is assessed properly before it is offered.

Skin that no longer springs back the way it did. Collagen and elastin production drops steadily from your twenties onward, and the drop accelerates around menopause.

Microneedling and peels to support the skin's own production. Be realistic about the ceiling: these improve quality and firmness, they do not lift. Anyone promising a lift from a needle is overselling.

Skin that looks flat and tired rather than reflecting light. Usually a buildup of dead cells on the surface, often alongside dehydration and uneven tone.

A chemical peel is the most direct answer, and the change is visible quickly. This is also where I often suggest starting if you are nervous, because nothing about the shape of your face changes.

It depends entirely on the kind of scarring. Shallow, rolling texture behaves very differently from deep, sharply indented scars, and the two need different approaches.

Shallow texture often responds well to microneedling over a series of treatments. Deeper scarring is harder and sometimes needs something I do not offer, in which case I will tell you that and point you somewhere appropriate.

Skin that feels tight and looks lacklustre, with fine lines that seem worse than they did last week. Dehydration is a water problem, not an oil problem, so it happens to oily skin too.

Often this is a skincare and lifestyle fix before it is a treatment one, and I would rather tell you that than sell you an appointment. Where treatment helps, peels and microneedling improve how well the skin holds moisture.

Flat brown marks on the face, hands and chest. They go by several names, including liver spots and solar lentigines, and despite what they are called they are not caused by age itself. They are accumulated sun exposure finally becoming visible, which is why they turn up on the areas that have seen the most of it.

Chemical peels can lift some of this over a course of treatments, and daily sun protection afterwards is what keeps them from coming back. One important caveat: any mark that is changing shape, colour or size needs a doctor rather than a cosmetic treatment, and I will send you to one.

Patches of skin producing more pigment than the skin around them. It can be triggered by sun, by hormones, by inflammation, or by a combination, and the trigger changes what will help.

Assessment first, because treating the wrong kind of pigment can make it worse. Where peels are appropriate they work gradually over a course. Some pigment needs prescription topicals or a dermatologist, and I will tell you if that is where you are.

The flat brown or grey marks left behind after a spot, a cut, or any inflammation. They are not scars, which is the good news, because the skin will usually clear them on its own with time.

Patience and sun protection do most of the work, and I will say so rather than sell you a course you do not need. Where marks are stubborn, peels can speed things along. Picking at the original spot is what deepens these, so stopping that matters most.