From Volume To Regeneration | Dr Preema London Clinic

Espace d'accueil de la clinique Dr Preema London à Mayfair, clinique d'esthétique de luxe.

From Volume To Regeneration: How Facial Rejuvenation Has Changed Over The Years

When I began working in aesthetic medicine over 20 years ago, injectable treatments were entering an exciting new era. Earlier collagen-based fillers had already introduced the concept of non-surgical rejuvenation, but the arrival of hyaluronic acid fillers represented a major shift within the industry. Treatments became more versatile, more refined and increasingly capable of creating natural-looking rejuvenation without surgery.

At the time, the focus within aesthetics was often centred around restoring lost volume and enhancing facial contours. For many patients, these treatments offered a softer, less invasive alternative to surgery and completely transformed what could be achieved non-surgically.

Over the years, however, I have seen both aesthetic medicine and patient expectations evolve significantly.

Today, most patients are not looking for dramatic transformation or obvious cosmetic work. Instead, they want subtle, natural-looking results that help them look fresher, healthier and more rested, whilst still looking completely like themselves.

In many ways, I believe this shift towards more thoughtful, regenerative and medically-led aesthetics is one of the most positive changes our industry has seen.

Patients are becoming increasingly informed about facial ageing, skin health and long-term treatment planning. They are asking more questions, researching treatments more carefully and moving away from quick-fix approaches in favour of safer, more personalised care.

At the same time, there has been a growing interest in regenerative aesthetics — treatments designed to support collagen production, skin quality and long-term tissue health rather than simply replacing volume alone.

This does not mean produits de comblement dermique no longer have a place. Far from it. In the right hands, carefully placed filler can still create beautifully subtle and natural results. However, the conversation around facial rejuvenation is becoming far more balanced, sophisticated and individualised than it once was.

As somebody who has worked in aesthetics throughout this evolution, I believe the future of facial rejuvenation is not about chasing trends or dramatically changing the face. It is about understanding how to combine treatments intelligently, conservatively and safely to help patients look fresher, healthier and more confident in a way that still feels completely authentic to them.

Le Dr Preema Vig tient des seringues injectables dans sa clinique de Mayfair à Londres, spécialisée dans le rajeunissement avancé de la peau

Why Attitudes Towards Filler Are Changing

Over the past few years, conversations around filler have changed dramatically. Social media has played a huge role in this, particularly with increasing discussions around overfilled faces, unnatural results and concerns around longevity.

Many patients now come to clinic saying the same thing:
“I still want to look like myself.”

This does not mean fillers are “bad” or outdated. In reality, filler itself is not the problem. The issue is often over-treatment, poor assessment or a one-size-fits-all approach that fails to respect natural facial balance and anatomy.

Patients today are much more informed than they once were, and I think that is a very good thing.

I am passionate about the importance of safety, education and regulation within the aesthetics industry. In many ways, I believe it is positive that patients are becoming more informed, asking more questions and moving away from quick-fix approaches or trend-led treatments carried out without proper medical understanding.

Aesthetic medicine should never be about dramatically changing how somebody looks. The best results are thoughtful, personalised and medically-led, with a strong understanding of facial anatomy, skin health and long-term treatment planning.

Avant et après un traitement contour des yeux aux polynucléotides – vue de face montrant l’amélioration de la qualité de la peau sous les yeux, une texture plus lisse et un aspect rajeuni à la clinique Dr Preema London, Mayfair, Londres.

The Rise Of Regenerative Aesthetics

One of the biggest changes I have seen in recent years is the growing interest in regenerative aesthetics.

Rather than simply replacing volume, regenerative injectable treatments are designed to support the skin itself. Many work by improving hydration, supporting collagen production and encouraging healthier skin function over time.

Increasingly, aesthetic medicine is moving away from simply adding volume and towards strengthening the overall foundation of the skin and face first.

Patients are increasingly embracing treatments that focus on skin quality, tissue health and natural rejuvenation, rather than chasing dramatic transformation.

Some of the regenerative injectable treatments that have become increasingly popular in recent years include:

● Profhilo – known for improving hydration, skin quality and skin laxity through a unique bioremodelling approach.
● Sunekos – combines amino acids and hyaluronic acid to support collagen and elastin production whilst helping to improve skin texture and fine lines.
● Polynucléotides – regenerative injectable treatments designed to support tissue repair, skin resilience and overall skin quality, particularly in delicate areas such as around the eyes.
● Revitalis – a collagen-stimulating injectable treatment designed to support skin rejuvenation and improve overall skin health over time.

Many patients are now focusing on creating healthier skin foundations first, using regenerative treatments to improve skin quality, collagen support and overall tissue health before considering whether any structural support or sculpting is needed.

While each treatment works differently, the overall philosophy is similar. The aim is often to support healthier, stronger and more resilient skin in a way that still allows the face to move naturally and maintain its individuality.

Increasingly, patients are becoming less interested in dramatically altering their appearance and more interested in achieving fresher, healthier-looking skin with subtle, natural-looking results.

For many patients, this approach feels more modern, more sustainable and ultimately more natural.

Résultats avant et après un traitement de comblement dermique axé sur [par exemple le menton et la mâchoire] à la clinique Dr Preema de Londres, améliorant l'harmonie et le contour du visage.

Why Dermal Fillers Still Have An Important Place

Despite changing trends, I firmly believe that dermal fillers still have an important role within aesthetic medicine when used appropriately and conservatively.

Some aspects of facial ageing are structural. Volume loss, changes in facial support and shifts in facial proportions can all contribute to an older or more tired appearance. In the right patient, carefully placed filler can help restore foundation, improve facial harmony and create subtle sculpting that still looks beautifully natural.

The key difference today is that modern aesthetics is becoming far more refined.

Patients are no longer asking for exaggerated features or dramatic volume. Instead, they are looking for treatments that softly support the face, maintain balance and enhance their natural features without overpowering them.

The best filler results are often the ones nobody notices.

Dr Preema Vig consulting with a patient at Dr Preema London Clinic in Mayfair, discussing personalised aesthetic treatment options.

From “Quick Fixes” To Long-Term Skin Health

Another major shift I have seen is that patients are increasingly thinking about their skin and face long-term.

Rather than seeking one dramatic treatment, many patients now understand the importance of gradual improvement, maintenance and combination approaches.

This is one of the reasons I developed The Dr Preema Method — a personalised approach that layers treatments strategically based on the individual patient, rather than relying on a single treatment alone.

For some patients, that may involve regenerative injectables combined with energy-based treatments such as Softwave ou Sylfirme X. For others, it may involve subtle filler placement alongside collagen stimulation and skin quality support.

There is no single “best” treatment for everybody.

The future of aesthetic medicine is not about choosing filler or regenerative treatments. It is about understanding how to combine treatments intelligently, conservatively and safely to create stronger foundations, natural sculpting and long-term skin health in a way that remains completely individual to the patient.

Patient bénéficiant d'un soin du visage professionnel à la clinique Dr Preema de Londres, sous la supervision d'une esthéticienne médicale senior.

The Future Of Facial Rejuvenation

I believe the future of aesthetics will continue moving towards natural, regenerative and highly personalised treatment approaches.

Patients want healthy skin, natural movement and results that help them look refreshed rather than altered. They are becoming more selective about who they trust, more educated about treatment choices and more interested in long-term skin health rather than short-term trends.

For me, that is an incredibly positive direction for the industry.

Aesthetic medicine should enhance confidence, support individuality and help patients feel like the best version of themselves — never somebody else.

Polynucleotides treatment for skin rejuvenation and collagen support, performed by Dr Preema in Mayfair.

Questions fréquemment posées

Are dermal fillers becoming less popular?

Dermal fillers are still extremely popular, but patient preferences are evolving. Many people are now seeking more natural-looking, conservative results and are increasingly interested in regenerative treatments that support skin quality and collagen production.

What are regenerative injectables?

Regenerative injectables are treatments designed to support skin health, hydration and collagen stimulation rather than simply adding volume. Examples include Profhilo, Sunekos, Revitalis and Polynucleotides.

Do regenerative treatments replace filler?

Not necessarily. In many cases, regenerative treatments and fillers can complement each other beautifully. Regenerative treatments may help improve skin quality and tissue health, while filler can still provide structural support, foundation and facial sculpting where needed.

Can filler still look natural?

Absolutely. When used conservatively and appropriately, filler can create extremely natural-looking results. The key is careful assessment, understanding facial anatomy and avoiding over-treatment.

Why are more patients moving towards subtle aesthetics?

Many patients now want to look fresher and healthier without obvious signs of treatment. There is also increasing awareness around long-term skin health, natural facial movement and the importance of medically-led treatment planning.

Le Dr Preema Vig effectue une évaluation faciale avant un traitement au Botox à la clinique Dr Preema London de Mayfair, à Londres.

Considering A More Natural Approach To Facial Rejuvenation?

The world of aesthetic medicine is evolving rapidly, and there is no longer a one-size-fits-all approach to facial rejuvenation.

For some patients, subtle filler may still play an important role. For others, regenerative injectable treatments, collagen stimulation and skin quality support may be more appropriate. In many cases, the best results come from combining treatments thoughtfully and conservatively over time.

The most important step is understanding what is right for your individual face, skin quality and long-term goals.

If you would like to explore a more personalised approach to facial rejuvenation, you can arrange a consultation with Dr Preema Vig at our Mayfair clinic or begin your journey by speaking with Dr Preema AI for tailored treatment guidance and recommendations.

Écrit par Dr Preema Vig, Medical Director at Dr Preema London Clinic