The main skin problems, patients in their 40s want to tackle, are a dull complexion, skin laxity around the mouth, cheek and jaw area, the effects of sun damage and deep wrinkles in areas of repetitive expression such as the forehead, brows, and crows feet. During this decade skin elasticity and facial fat volume starts to diminish and patients may start to notice excess skin above and below the eyelids, leading to drooping brows.

Dr Preema’s expertise, knowledge and aesthetic eye means that she can work closely with her patients providing an in-depth consultation, to mutually decide how to achieve the best results with the most appropriate treatments. Dr Preema would recommend patients in their 40s, consider having small doses of dermal fillers, wrinkle relaxing treatments and medical grade facials to exfoliate the face, like the iS Clinical’s Fire and Ice facial, which delivers a smoother, brighter and silkier complexion.


Skin tends to reflect our age in our 40’s, and I think a medical grade facial peel is essential to improve the texture and tone of skin. Also as we age, the fat pads in the cheek area separate and grooves emerge, but a small amount of filler can smooth away these lines and in fact the new generation fillers can often increase your own production of hyaluronic acid leading to less frequent treatments.

Dr Preema offers advice to the stars….

40’s – Kate Moss is known to be a fan of microdermabrasion, but Dr Preema says:
“I am a fan of controlled exfoliation (microdermabrasion) as it promote natural skin cell turnover, collagen and elastin production, skin radiance and lustre as well as allowing optimal penetration of skincare actives.”

Dr Preema Vig of Dr Preema London, concentrates solely on injectables and is highly skilled at using dermal fillers and lower-face Botox. Dr Preema is based at her private practice, at 35 Devonshire Place, London and also at Beyond MediSpa at Harvey Nichols, where she is the Medical Director. She is renowned for putting her patients at ease with her philosophy being, less is always more..