Hello, I am 48 and really starting to look old, especially when I look at photos. What do you recommend as the most effective way to look fresher and better without toxin or filler? Is it HIFU or profound or another treatment? Or would I really need toxin and filler too? I live in Plymouth so have an appointment with Dr Strawford as recommended by Alice.

Hiya, TTG editor Georgia here. Dr Strawford will be best placed to answer all these questions for you once he’s assessed your face and talked to you about your exact concerns. He is an expert practitioner with a great deal of experience. The tweakments you mention – HIFU, Profound (RF microneedling), toxin, and filler – all do different things that work towards making you look fresher and younger, but not in the same ways. Toxin for example won’t do anything about sagging skin but HIFU will, Profound will stimulate collagen production to tighten and plump the skin, but won’t replace lost volume in the ways filler will. So it all depends on exactly which signs of ageing you want to address, and Dr Strawford will be able to advise what’s best, which could be a combination of things done over time to give you the best results.