The Dr Bhagat’s Signature Approach

Patients noticing a softening jawline, a loss of definition, or skin that no longer feels firm, who would like a refreshed result rather than an obviously treated one.

• Skin quality
• Laxity
• Tissue descent
• Facial proportions
• Volume distribution
• The degree of correction you would like

We determine which combination of lifting, tightening, collagen stimulation and refinement is appropriate for your face - and in what order. Two patients with the same concern rarely receive the same plan.

Decided after assessment, a plan may incorporate:

• Endolift X
• Thermage FLX
• Ultraformer MPT
• Sylfirm X
• Fotona SP Dynamis Max

Alongside medical skincare and skin-quality treatment, where these are part of the plan. Nothing here is included as standard.

1. 01AssessA full facial assessment, with photography, to understand what has changed and why.
2. 02PrioritiseDeciding which change matters most to your appearance, and addressing that first.
3. 03TreatThe first stage of treatment, usually directed at the deeper support or the firmness of the skin.
4. 04ReassessReviewing how the face has responded once the tissue has had time to remodel.
5. 05RefineWhere appropriate, further treatment to refine skin quality, contour or volume.
6. 06MaintainA plan to maintain the result as the face continues to age.

Patients with dull, congested or uneven skin, and anyone who wants a strong foundation before or alongside other treatment.

• Barrier health and sensitivity
• Texture, pores and tone
• Hydration and oil balance
• Pigmentation and sun damage
• Firmness and elasticity
• Your current skincare

We determine which aspects of skin quality matter most for you - texture, tone, hydration or firmness - and build treatment around them, at a pace your skin tolerates.

Decided after assessment, a plan may incorporate:

• Hydrafacial
• OxyGeneo
• Dermapen 4
• Sylfirm X
• Fotona SP Dynamis Max

Alongside medical skincare and skin-quality treatment, where these are part of the plan. Nothing here is included as standard.

For selected patients, Sylfirm X may form part of a personalised skin-quality programme where texture, pores, pigmentation or other changes in skin quality are contributing to the overall appearance. It is used only when the clinical assessment indicates that it adds meaningful value to the treatment plan.

1. 01AssessAn assessment of your skin, your routine and your lifestyle.
2. 02PrioritiseIdentifying whether the barrier, texture, tone or firmness needs attention first.
3. 03TreatMedical skincare to prepare the skin, then in-clinic treatment introduced gradually.
4. 04ReassessReviewing how the skin has responded to the first treatments.
5. 05RefineAdjusting treatment and skincare to the next priority.
6. 06MaintainA simple routine and periodic treatment to hold the improvement.

Patients with melasma, sun damage, post-acne marks or uneven tone, particularly where previous treatment gave only temporary improvement.

• The type and depth of pigmentation
• Its likely triggers - sun, heat, hormones or inflammation
• Your skin type and tendency to pigment
• How previous treatment behaved
• Daily sun exposure

We determine what is driving your pigmentation before any treatment is chosen, then select a combination of medical skincare, in-clinic treatment and technology that controls it without provoking more.

Decided after assessment, a plan may incorporate:

• Fotona StarWalker
• Sylfirm X
• Fotona SP Dynamis Max

Alongside medical skincare and skin-quality treatment, where these are part of the plan. Nothing here is included as standard.

In selected pigmentation patients, Sylfirm X may be incorporated into a broader, personalised treatment plan. The choice depends on the type of pigmentation, skin characteristics, previous treatments and the other factors identified during assessment. Pigmentation is treated according to its cause and behaviour, not according to a fixed machine protocol.

1. 01AssessDiagnosing the type of pigmentation present, since melasma and post-inflammatory pigmentation behave differently.
2. 02PrioritiseDeciding whether calming the skin, clearing pigment or controlling a trigger comes first.
3. 03TreatStabilising the skin with medical care, then introducing in-clinic treatment gradually.
4. 04ReassessReviewing the response, and whether the skin is tolerating treatment.
5. 05RefineAdjusting the intensity or approach as pigmentation clears.
6. 06MaintainA long-term plan, because pigmentation can return.

Patients with textural or depressed scarring and post-acne marks, including those whose acne is still active.

• Whether acne is still active
• Scar type, depth and distribution
• Skin type and tendency to pigment
• Skin quality around the scars
• Previous treatment and how the skin responded
• The recovery time you can accommodate

We match each type of scarring to the treatment most likely to improve it, and decide how to combine and space those treatments for your skin.

Decided after assessment, a plan may incorporate:

• Sylfirm X
• Dermapen 4
• SkinPen
• Fotona SP Dynamis Max

Alongside medical skincare and skin-quality treatment, where these are part of the plan. Nothing here is included as standard.

For selected acne-scar patients, Sylfirm X may be considered when the combination of RF microneedling and controlled energy delivery is appropriate for the type and condition of the scars. The treatment is individualised and may be combined with other modalities when clinically indicated.

1. 01AssessEstablishing whether acne is active, and mapping the types of scarring present.
2. 02PrioritiseControlling active acne first, then deciding which scars to address first.
3. 03TreatStaged treatment to resurface, remodel or lift scar tissue.
4. 04ReassessComparing progress with the starting photographs.
5. 05RefineAdjusting the combination as the texture improves.
6. 06MaintainKeeping acne controlled so new scarring does not form.

Patients with thinning, increased hair fall, patterned or patchy loss, or scalp conditions affecting the hair.

• The pattern and duration of hair loss
• The condition of the scalp
• Medical history, including thyroid and nutritional factors
• Investigations, where they will change the plan
• Family history

We determine the cause of your hair loss before recommending treatment, then combine medical treatment, regenerative therapy and scalp care according to what that cause requires.

Decided after assessment, a plan may incorporate:

• GFC

Alongside medical skincare and skin-quality treatment, where these are part of the plan. Nothing here is included as standard.

1. 01AssessExamining the scalp and the pattern of loss, with investigations where appropriate.
2. 02PrioritiseTreating the underlying cause first, which protects the hair you still have.
3. 03TreatMedical treatment, with regenerative therapy delivered as a course where helpful.
4. 04ReassessReviewing the response with photography at three to six months.
5. 05RefineAdjusting the plan to how the hair has responded.
6. 06MaintainContinuing treatment to hold the response.