Ageing Is A Long Game. Plan It Like One.
Dr Amit Karkhanis · Aesthetic Physician · results-first, since 2005
Natural-looking anti-ageing, planned over years rather than sold by the syringe. A face assessment first, then a written plan for skin quality, tightening and, only where suitable, injectables.
Worried About Looking Overdone?
Let's Plan Something Nobody Notices
except that you look rested. that's the point.
Why Anti-ageing Goes Wrong.
Assess. Protect. Restore. Maintain.
Dr Amit's chess habit, applied to your face: decide where you want to be in five years, then work backwards.
- 01AssessA face assessment of skin, volume and structure, and of what bothers you most.
- 02ProtectSun protection and skin-quality treatment, the foundation for every other step.
- 03RestoreTightening, lifting or injectables, only where they suit you, in small steps.
- 04MaintainA written schedule of reviews and touch-ups, so you are never chasing lines.
What We Offer.
Treatments available at Dr Tvacha centres. Whether any of them suit you is decided at your assessment.
What Every Plan Includes.
- A face assessment of skin, volume and structure, before any treatment.
- A written five-year view of what to do now, what to do later, and what not to do.
- Treatment in small steps, so changes look natural.
- Product and dose in writing for every injectable treatment.
- Aftercare instructions for each procedure.
- Review dates fixed in advance, with private progress photos.
- Honest advice when the answer is to wait, or to do nothing.
The Fees, Written Down.
No package is sold on your first visit. Fees depend on the treatments your assessment calls for.
Made For You If…
- You want to look rested, not different.
- You have started noticing lines, dullness or loosening skin.
- You want someone to tell you what not to do.
- You prefer a plan to one-off treatments.
Not For You If…
- You want a dramatic change in one sitting.
- You want injectables without an assessment.
- You are pregnant or breastfeeding.
- You expect results to last without maintenance.
Decide The Endgame. Then Work Backwards.
Dr Amit learnt chess at three and a half, and his coaches taught him the endgame first. In anti-ageing that means deciding how you want to look in five years before choosing what to do this month.
He would rather tell you to wait than do a treatment you do not need. The goal is a face that still looks like you, only rested.
MBBS, Dip. Dermatology (UK) · Aesthetic Physician · Reg. No. 2001/02/1124
Questions We Answer Every Day.
All anti-ageing answers →Combining anti-ageing treatments: order and timing
Many anti-ageing treatments can be combined, because they do different jobs: protect the skin, relax lines, restore volume, tighten or resurface. A trial found wrinkle…
Anti-ageingNeck lines and a sagging neck: the options
Neck ageing has three parts: horizontal lines, vertical muscle bands and loose skin. Each needs a different approach. Sunscreen and a retinoid help skin quality.…
Anti-ageingNon-surgical treatments vs a facelift: honest limits
Non-surgical treatments such as anti-wrinkle injections, fillers, HIFU and radio frequency work well for lines, mild volume loss and early laxity. They cannot lift…
Anti-ageingFacial ageing after weight loss: what can be done
When you lose weight, you also lose some facial fat. That can leave hollow cheeks, deeper smile lines, sunken eyes and looser skin, especially after rapid loss,…
Anti-ageingPollution, smoking and how they age your skin
Smoking is one of the clearest proven causes of early skin ageing: in identical twins, the twin who smoked longer looked older. Air pollution is linked mainly to more…
Anti-ageingAgeing hands: treatments that help
Hands age from two things: sun damage on the skin and loss of fat underneath, so veins and tendons show. Daily sunscreen on the backs of the hands slows the first. Spots…
Frequently Asked Questions
Will I look frozen or overdone?
Not when doses are measured and treatment is done in small steps. The aim is to soften, not erase. Your plan names the product and dose before treatment, and you review the result before anything more is added.
How long do anti-wrinkle injections last?
Typically around three to four months, though it varies by person and area. Your review dates are planned around how long your treatment usually lasts.
How long do dermal fillers last?
Hyaluronic acid fillers usually last from several months to over a year, depending on the product and the area. Your doctor names the product and the expected timeline in writing.
What is the difference between HIFU and radio frequency?
Both heat deeper layers of the skin to encourage tightening, using different energy. HIFU focuses ultrasound at set depths, while radio frequency heats more broadly. Which suits you depends on your skin and the area.
At what age should I start?
There is no fixed age. Sun protection and good skin care matter from your twenties. Procedures make sense when something specific bothers you, and the assessment tells you whether it is worth treating yet.
Is there downtime?
Many treatments let you return to work the same day, with possible redness, swelling or small bruises for a few days. Your aftercare sheet tells you what to expect for your treatment.
Can I combine treatments?
Often yes, and a combination usually looks most natural. The order and spacing are planned in writing so that each treatment supports the next.
Will I see before-and-after photos of other patients?
No. Indian medical rules do not allow them in advertising. Your own photos are taken on fixed dates and kept private to track your progress.
(book the Rs 499 face assessment at any of our four centres. you'll get a written plan, including what not to do.)
Mon to Sat, 11 am to 8 pm · Call centre 022 7123 7000