Cosderm

✅ Menopause isn’t just hot flushes.

Most women experience multiple symptoms at the same time, yet many don’t realise they’re all linked to declining hormone levels.

This checklist is designed to help you identify symptoms that are often overlooked and start the conversation about treatment.

✔️ Hot flushes & night sweats
✔️ Brain fog & poor concentration
✔️ Anxiety, low mood & irritability
✔️ Poor sleep & fatigue
✔️ Joint aches & muscle loss
✔️ Weight gain & slower metabolism
✔️ Hair thinning & skin ageing
✔️ Loss of libido & painful s*x
✔️ Vaginal dryness, burning & recurrent UTIs
✔️ Bladder urgency & frequency
✔️ Heart palpitations
✔️ Digestive changes

You don’t have to “just put up with it.”

Today’s menopause management is about far more than symptom relief. A personalised treatment plan may include:

• Body-identical HRT (when appropriate)
• Vaginal estrogen for long-term vaginal and bladder health
• Testosterone replacement (where indicated)
• Targeted non-hormonal medications
• Bone protection
• Optimising sleep, mood and cognition
• Nutrition, resistance training and appropriate supplements

The aim isn’t simply to survive menopause—it’s to protect your brain, bones, muscles, heart, skin, bladder, s*xual health and quality of life for decades to come.

✨ Tick the symptoms you’ve experienced over the last 3 months and bring the checklist to your consultation. It can help identify patterns and ensure nothing important is overlooked.

Menopause is treatable. You deserve to thrive—not just cope.

HOW TO STOP OZEMPIC FACE ✨

Losing weight is fantastic for your health—but rapid weight loss can sometimes leave the face looking hollow, tired, or older than expected.
A proactive, regenerative approach can help maintain youthful facial structure throughout your weight-loss journey.

✔️ Fractional Laser (AFL/NAFL)
Stimulates collagen remodelling, improves skin texture, and enhances skin quality.

✔️ PDRN + Peptides
Support cellular repair, improve hydration, reduce inflammation, and stimulate fibroblasts to produce healthier collagen.

✔️ MFU-V (Ultraformer/HIFU)
Targets multiple tissue depths to tighten the SMAS layer and skin before laxity develops.

✔️ Biostimulators (CaHA, Polynucleotides, NCTF)
Improve skin thickness, elasticity, hydration and stimulate long-term collagen production.

✔️ PLLA or Hybrid HA
Encourages collagen regeneration while gradually restoring structural support.

✔️ Conservative Hyaluronic Acid Filler
Only tiny amounts are used where necessary to maintain natural facial proportions—not to overfill.

✔️ Microneedling RF + PDRN
Combines collagen induction with skin tightening, helping maintain firmness as weight decreases.
Don’t Let It Become Extreme

The best treatment is prevention.
Extreme, unrestricted, untreated weight loss can result in:
• Hollow temples
• Sunken cheeks
• Deep nasolabial folds
• Marionette lines
• Loose skin
• A tired, gaunt appearance
• Loss of facial definition
• Accelerated facial ageing

Once severe volume loss has occurred, correction becomes more complex and sometimes surgery may ultimately be required.

✨ The goal isn’t to stop losing weight—it’s to protect your face while you lose it.

A personalised regenerative treatment plan is what you need

📍Book a consultation with Dr Surbhi Virmani to create a bespoke facial preservation programme alongside your GLP-1 weight-loss journey.

# Ultraformer3

✨ The Only Licensed Skin Booster with Copper Peptides ✨

Healthy skin isn’t just about hydration—it’s about cellular repair, regeneration, and protection.

Meso-Xanthin® F199 is the only licensed skin booster containing Copper Tripeptide-1, one of the most extensively researched regenerative peptides in aesthetic medicine.

💙 Why Copper Tripeptide-1?

Copper peptides are naturally occurring signalling molecules that tell your skin it’s time to repair itself. They work by:

✔️ Stimulating fibroblasts to produce Type I and Type III collagen
✔️ Increasing elastin production for improved skin firmness and elasticity
✔️ Accelerating tissue repair and wound healing
✔️ Reducing chronic inflammation that contributes to skin ageing
✔️ Providing powerful antioxidant protection against free radical damage
✔️ Supporting healthy blood vessel formation to improve skin nutrition and radiance
✔️ Helping restore the extracellular matrix for stronger, healthier skin

Unlike traditional skin boosters that primarily hydrate, Meso-Xanthin® works at a cellular level, encouraging your skin to regenerate rather than simply replenishing moisture.

✨ The result?
• Firmer skin
• Improved elasticity
• Better texture
• Enhanced glow
• Reduced fine lines
• Healthier, more resilient skin

Regenerative aesthetics isn’t about changing your face—it’s about helping your skin function more like younger skin.

📍Available at Cosderm , London
00 44 7841 356906

✨ Lift. Define. Tighten. ✨

One of the most common concerns I see is loss of definition along the jawline, early jowling, and skin laxity in the lower face. Ultraformer is one of my favourite treatments for addressing these concerns without surgery.

Using focused ultrasound energy (HIFU), Ultraformer delivers precise energy deep beneath the skin to the SMAS layer—the same layer targeted during a surgical facelift—while also stimulating collagen and elastin production within the deeper dermis.

Over the following 3–6 months, your body naturally produces new collagen, resulting in:
• A sharper jawline
• Reduced appearance of jowls
• Improved lower face definition
• Firmer, tighter skin
• A subtle, natural-looking lift without looking “done”

Ultraformer is ideal for patients with mild to moderate skin laxity who want gradual, natural rejuvenation with minimal downtime.

Every face is different. The best results come from combining a detailed facial assessment with a personalised treatment plan. Sometimes Ultraformer alone is enough, while other patients benefit from combining it with regenerative collagen stimulators, skin boosters, or carefully placed toxin for optimal lower-face support.

Natural ageing doesn’t need to be erased—it simply needs to be supported.

📍Cosderm 48 Wimpole street . London
📞 WhatsApp: 00 44 7841 356906
Price - From £500

💉 FILLER USED BADLY
Blame the operator, not the tool.

Dermal fillers have developed an unfair reputation—but in most cases, filler isn’t the problem.

Poor assessment, poor planning, poor anatomy knowledge, over-treatment, and chasing trends are.

When filler is used excessively or in the wrong place, the face can lose its natural proportions and begin to look artificial rather than refreshed.

Common signs of overfilling include:
🔸 Overfilled “duck” or “sausage” lips
🔸 Chipmunk or pillow cheeks
🔸 A widened “avatar” nose from filler migration
🔸 Heavy “sunset eyes” caused by misplaced midface volume
🔸 An overprojected chin that doesn’t suit the face
🔸 Loss of natural contours, shadows and facial movement

One of the biggest mistakes is believing that more filler equals a younger face.

It doesn’t.

Ageing is complex. It involves changes in bone, fat, ligaments, muscle, skin quality and facial proportions. Simply adding more volume cannot solve every problem—and in some cases it makes the face look older, heavier and less natural.

The best aesthetic work is often the work that nobody notices.

A skilled injector understands:
✔️ Facial anatomy
✔️ Ageing patterns
✔️ When to use filler—and when not to
✔️ When another treatment (skin tightening, collagen stimulation, laser, toxin or surgery) is the better option

My philosophy has always been simple:

✨ Preserve individuality.
✨ Respect facial proportions.
✨ Aim for natural enhancement—not transformation.

Remember:

The goal isn’t to look “filled.”
The goal is to look like the best version of yourself.

Filler isn’t the villain. Poor technique is.

— Dr Surbhi Virmani

MedicalAesthetics Injectables FacialRejuvenation CosmeticDoctor DrSurbhiVirmani

Here’s a much shorter version that fits Instagram better while keeping the educational value:

Why do some faces become soft, heavy and bulky with age?

Not everyone ages by losing volume. Many people—especially those with thicker skin—develop a heavier lower face, jowls and less definition over time.

This isn’t just gravity. It’s caused by:
• Weakening retaining ligaments
• Downward fat shift
• Bone resorption
• Loss of skin elasticity
• Chronic inflammation and lymphatic congestion
• Weight and hormonal changes

Prevention
☀️ SPF every day
🧴 Medical-grade skincare
⚖️ Maintain a stable weight
💪 Exercise, sleep and an anti-inflammatory lifestyle
✨ Early collagen-stimulating treatments for suitable patients

Treatment is personalised
• Skin tightening (HIFU, RF, lasers)
• Biostimulators (PLLA, CaHA)
• Skin boosters, PRP and regenerative therapies
• Muscle slimming where appropriate
• Fat reduction in selected patients
• Surgical lifting for advanced laxity

✨ The biggest mistake? Treating every heavy face with more filler.

Modern aesthetic medicine is about restoring structure, improving tissue quality and facial remodelling—not simply adding volume.

JULÄINE of Sweden ABG LAB® SOOVIA CARE