AWARD WINNING AESTHETICS CLINIC IN LONDON
Natural Results, Detailed Precision
Ultrasound Guided Filler Dissolving
Precision that puts you at ease.
Deciding to dissolve filler can feel like a bigger step than getting it in the first place. Maybe you want a small touch-up, maybe you've changed your mind about something, or maybe there's no single reason at all.
Dr Karwal uses real-time ultrasound imaging to see exactly where your filler is, so the dissolve is targeted to the right place and nowhere it doesn't need to be. It means we can work with your face as it actually is, not as a rough idea of where things might be.
Your safety always comes first, every single time, whether it's a subtle adjustment or a full dissolve.
Dissolving filler shouldn't feel like a big deal.
Fractional CO2 Laser Resurfacing
Skin changes over time, and not always in ways you feel ready for. Fine lines settle in, deeper wrinkles start to show, and skin can begin to look crepey and lose the smoothness it once had. For others it's scarring that lingers, whether from acne, surgery, or an old injury that never quite faded. Fractional CO2 laser resurfacing is one of the most effective ways to address all of it.
The treatment works by sending precise columns of laser energy into the skin, prompting it to repair itself and build fresh collagen underneath. As that new skin comes through, texture softens, tone evens out, and scars that once caught the light begin to smooth away. It's genuine renewal, not a surface fix.
At Karwal Aesthetics, your treatment is carried out by Dr Karwal using the Lumenis AcuPulse, one of the most trusted CO2 systems available. Every session is tailored to your skin and how much downtime suits you, from a lighter refresh to a deeper resurfacing for more established lines and scarring. You'll always know exactly what to expect before we begin.
For eyes that look as rested as you feel.
Hollowness under the eyes can make you look tired even after a full night's sleep. It's often one of the first areas to change, and because it sits right at the centre of the face, it tends to be the thing people notice before anything else. Concealer helps, but it can't fill a shadow that's caused by structure rather than skin tone.
Tear trough filler works by gently restoring volume to the under-eye area, softening the hollow and the shadow it casts. When it's done well, nobody should be able to tell you've had anything done. You simply look fresher.
It's also one of the most delicate areas of the face to treat, which is why assessment matters as much as technique. Dr Karwal examines the under-eye area carefully before treating, and will be honest with you if filler isn't the right answer. For some people, the cheek is the better starting point, and for others a different approach altogether will give a more natural result.
If you're a good candidate, the treatment itself takes around thirty minutes, with results you can see straight away.
Tear Trough Filler
Non-Surgical Rhinoplasty
Reshaping without the surgery.
For a lot of people, the nose is the feature they've thought about longest. A bump on the bridge, a tip that dips when you smile, or a profile that's never quite sat right in photos. Surgery feels like too big a step, so it gets filed away as something to live with.
Non-surgical rhinoplasty offers a middle path. Using precise placements of filler, the nose can be straightened, balanced and refined in a single appointment. A bump can be smoothed into a straighter line, a drooping tip gently lifted, and asymmetry softened, all without going anywhere near an operating theatre.
The nose is a highly vascular area, and treating it safely demands real anatomical expertise. At Karwal Aesthetics, every non-surgical rhinoplasty is performed by Dr Karwal, whose background in emergency medicine underpins a careful, safety-first approach. You'll have a full assessment before anything is done, and if your nose isn't suited to filler, he'll tell you.
The appointment takes around thirty minutes, results are immediate, and there's no downtime to plan around.
Featured Treatments
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Your skin tells a story — sun damage, acne scarring, fine lines, years of stress you never signed up for. Fractional CO2 laser resurfacing is how we rewrite it. This isn't a surface-level treatment; it works beneath the top layer of skin to stimulate fresh collagen production, resurfacing tone and texture from the inside out. The result is skin that looks and feels genuinely renewed — smoother, tighter, more even — rather than simply "treated."
We tailor the laser's depth and intensity to your skin type and goals, whether you're addressing acne scarring, sun spots, deep wrinkles, or an overall loss of radiance. Downtime is real but brief, and it's the reason results are so dramatic: a few days of recovery for years of visible improvement. You'll leave your consultation with a precise plan, an honest timeline, and a clear picture of what your skin can look like on the other side.
Ready to see it for yourself? Book a consultation and let's map out what fractional CO2 resurfacing could do for you. -
Not every sign of aging needs a facelift — some just need Endolift®. This minimally invasive laser treatment works under the skin through a tiny entry point, using heat to tighten loose skin and melt stubborn fat around the jawline, neck, and lower face. No incisions, no sutures, no weeks of recovery — just a subtle, natural lift that leaves you looking like a well-rested version of yourself, not "done."
Endolift® is especially powerful for the areas that traditional treatments struggle to reach: the submental region under the chin, jowls, and early jawline laxity that filler alone can't fix and surgery feels premature for. It's precise, it's targeted, and it's performed under local anesthesia in a single visit, with most clients back to their routine within a day or two.
If you've been watching your jawline soften and wondering what your options are before surgery, this is the conversation to have. Schedule your consultation and we'll show you exactly what's possible.
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Tired eyes age you faster than almost anything else — and no amount of concealer or sleep fully fixes hollowing under the eyes. Tear-trough filler restores volume to that delicate area, softening the shadow and indentation that make you look exhausted even when you're not. It's one of the most requested treatments we offer, because the results are immediate, subtle, and genuinely transformative to how rested and refreshed you appear.
This is a precision treatment. The under-eye area is thin-skinned and unforgiving of a heavy hand, which is exactly why technique matters more here than almost anywhere else on the face. We use ultra-fine, low-density fillers designed specifically for this region, injected with a light touch to avoid puffiness or an unnatural look — the goal is always for people to notice that you look well, not that you had something done.
Come in for a consultation and see how a small amount of filler, placed correctly, can change how the whole face reads.
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Your nose shapes your whole face — and for many people, a small bump, asymmetry, or lack of definition at the tip is the one thing they'd change if surgery weren't on the table. Non-surgical rhinoplasty makes that change possible without an operating room. Using precisely placed filler, we can smooth a dorsal hump, lift a drooping tip, correct asymmetry, or create better balance between the nose and the rest of the face — all in about 30 minutes, with no downtime.
This treatment is about restraint and precision. The nose has almost no room for error, so it demands an injector who understands facial anatomy and proportion, not just product. We'll walk you through exactly what non-surgical rhinoplasty can and can't do for your specific concern — and if surgery really is the better answer for you, we'll tell you that too. Results typically last 12–18 months, giving you time to live with the change before deciding on anything more permanent.
Book a consultation and see your profile from a new angle — literally.
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Filler should make you feel more like yourself, not less. If previous injections have migrated, overcorrected, or simply aged with you in a way you no longer love, ultrasound-guided dissolving gives you a safe, precise path back. Using real-time ultrasound imaging, we can actually see where filler sits beneath the skin — including product from years ago that you may not even remember having placed — and dissolve it accurately, without guessing and without disturbing the surrounding tissue.
This is the safest way to reverse filler, period. Traditional dissolving without imaging risks missing product, under- or over-treating, or affecting areas that were never filled in the first place. Ultrasound guidance removes that uncertainty, which matters most in high-risk areas like the tear troughs and lips. Whether you're correcting a past treatment, resetting before starting fresh, or simply ready to return to your natural baseline, this gives you full control over your own face again.
Schedule a consultation — we'll assess your filler history with ultrasound and build a plan to get you back to you.
Awards
Endolift Achievement Award 2025 — Awarded by Endolift directly, in recognition of excellence as a leading Endolift practitioner.
Best Non-Surgical Facial Rejuvenation Clinic, South East England — GHP Global Excellence Award 2025
Most Rejuvenating Aesthetic Treatment Provider, South East England — GHP Global Excellence Award 2024
