What Is Mesotherapy and Who Is It For?

Mesotherapy is one of those terms that comes up constantly and is misunderstood just as often. The reason is that it does not describe a single procedure but a method of delivery: active ingredients placed into the middle layer of the skin in small volumes through many injections.

What the method aims for

The aim is not to add volume. It is to support the skin's capacity to hold water, its liveliness and its tissue quality. That is why the face does not "change" after mesotherapy; the expected difference is in the quality of the skin and appears gradually as the course progresses.

How the solution is chosen

The mixture is not an off-the-shelf formula. It is selected after assessing skin type, hydration, pore structure, pigmentation and acne. Hyaluronic acid is used for hydration support, vitamin complexes and antioxidants to reduce oxidative load, and amino acids and peptides to contribute to tissue repair processes. For scalp treatments, biotin, panthenol and trace elements come to the fore.

Who it may suit

• People describing dryness, dullness and reduced skin quality
• Those noticing thinning skin on the neck, décolleté and hands
• People whose skin quality has been affected by sun exposure and smoking
• Those seeking support in hair loss, once underlying causes have been investigated

This list is a framework rather than an invitation: suitability is always decided at examination.

Who it does not suit

Mesotherapy is not performed during pregnancy or breastfeeding; where there is active infection, an eczema flare or a cold sore at the site; in people allergic to any component of the solution; in uncontrolled diabetes and autoimmune disease; in bleeding disorders; or during active cancer treatment. Blood-thinning medication increases the likelihood of bruising and is taken into account in planning.

How many sessions are needed?

An initial course is usually four to six sessions, held weekly or every two weeks. Once complete, maintenance every three to six months may be suggested depending on need. Expecting a lasting change from a single session is not realistic; the logic of the method rests on repeated small stimuli.

After a session

Redness, pinpoint marks and small raised bumps appear immediately after treatment and settle within a few hours. Small bruises may last a few days. We ask that you avoid make-up on the day, cleanse gently and use sun protection.

Two frequently asked questions

"Is mesotherapy the same as filler?" No. Filler creates volume in a defined area; mesotherapy works on the quality of the skin and adds no volume. The two are not alternatives to one another — they answer different concerns and can, where appropriate, be considered together within one plan.

"Is it only used on the face?" No. The neck, décolleté and backs of the hands are also commonly treated. The décolleté in particular receives a great deal of sun exposure while often being left out of a skincare routine. Scalp treatments are planned with a different solution and a different protocol.

These are the two questions I meet most often in consultation. Writing down the questions on your mind and bringing them along makes the visit more productive.

Realistic expectations

Mesotherapy should not be thought of as a solution in itself. Sun protection, sleep, smoking and diet influence skin quality far more than any procedure does. What is done in the clinic is support added on top of that foundation. When the framework is right, the result is both more predictable and longer lasting.

Suitability, the composition of the solution and the number of sessions are determined only after a skin examination. Mentioning the products you use and any diagnosed skin conditions at your appointment makes planning easier.