Francesca, a 63-year-old woman from Wales, found renewed confidence after undergoing a cosmetic treatment to address concerns about her appearance following the death of her husband. Initially hesitant about aesthetic procedures, a deep vertical line above her lip and a hollowed facial appearance due to weight loss prompted her to seek subtle enhancements.
For decades, Francesca had been comfortable with her looks, previously holding an aversion to cosmetic work due to a fear of unnatural results. Her outlook shifted in 2023 after being widowed, leading her to consider treatments that might boost her confidence as she navigated life alone. The prominent line above her lip became a significant source of self-consciousness, though she emphasized her goal was not to look younger but to soften a feature that affected her confidence and to look like 'the best version of myself.'
She consulted Dr. Sabika Karim, founder of Skin Medical, who was recommended by an industry contact. Francesca found Dr. Karim to be reassuring and gentle, explaining that the initial consultation in July 2024 eased her nervousness. She proceeded with a small amount of filler, a process that cost £400 and was less daunting than anticipated. The treatment resulted in minimal swelling and no bruising, with the effects being a softened line above her lip, less visible marionette lines, and slightly fuller lips, all while maintaining her natural appearance.
Francesca also experienced significant weight loss, shedding three stone. While this improved her fitness and energy levels, it also led to a loss of facial volume, making her appear more tired. This further motivated her to seek treatment for facial contouring.
In March 2026, Francesca returned to Dr. Karim for a more comprehensive treatment. This procedure, costing £2,000, involved dermal fillers to restore volume to her cheekbones and jawline and gently soften lines around her mouth. The results were immediate and natural, with an acquaintance remarking that she looked 'well-rested.'
Dr. Karim has observed a notable increase in mature patients, aged 50s and beyond, seeking subtle aesthetic treatments to address natural aging or volume loss from weight reduction. Francesca views her treatments not as an attempt to alter her identity but as an investment in herself during a period of rebuilding. Having embraced new hobbies, travel, and eventually a new relationship, she believes feeling comfortable and confident in one's own skin is paramount to living a fulfilling life.