Inclusive + Bespoke

Gender-Affirming Aesthetics

Gender-affirming aesthetics in Marylebone, London — non-surgical injectable techniques to soften (feminise) or strengthen (masculinise) facial features, bespoke and judgement-free, built on the same MHRA-licensed products used across the practice.

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Gender-affirming aesthetic consultation with Dr Oli at UNTIL Marylebone

The short answer

What this treatment is

Whether you are cisgender or transgender, the clinic offers a range of treatments aimed at sculpting the face to soften or strengthen specific features. The methods used to feminise or masculinise a face are the same MHRA-licensed anti-wrinkle injections and HA dermal fillers used elsewhere in the practice — but the planning, dosing, and combination of treatments is led entirely by your goals. The aim is helping you to identify more closely with the person you see in the mirror. With the support of Prollenium UK, transgender patients can access reduced rates on specific treatments — please ask at consultation.

Areas treated

What's included

Inclusive provider — explicit gender-affirming positioning, judgement-free environment
Reduced-rate access via Prollenium UK partnership for transgender patients
GMC-registered medical doctor with surgical anatomy training (MRCS)
Bespoke planning — every face mapped on its own terms
Staged treatment encouraged — change builds gradually rather than all at once
Same licensed products used across the practice (anti-wrinkle injections, HA fillers)

Boundaries of practice

What's not treated

Good practice means saying no when indicated:

Pregnancy or breastfeeding
Active skin infection at the proposed injection site
Body dysmorphic disorder or unrealistic expectations identified at consultation
Severe untreated mental health condition that would prevent informed consent
Specific contraindications of the underlying treatment (see anti-wrinkle + dermal-filler pages)

Patient journey

What to expect

Consultation & preparation

Avoid ibuprofen, aspirin, vitamin E, fish oil, and alcohol for 24 to 48 hours before treatment. Bring reference photos if helpful — both inspiration and pictures of yourself you feel match where you are headed. If you are on HRT or any chronic medication, bring a list to the consultation.

During treatment

Feminising approaches

Common feminising treatments combine subtle product placements that, individually, are unremarkable but collectively shift facial proportions toward typically feminine norms: chemical brow lift (muscle-relaxing injection to lateral brow tail), plumped cheeks (HA filler to anteromedial cheek), fuller lips (HA lip filler with attention to upper-lip tubercle), angular jawline via masseter slimming, rounder chin (HA filler to soften a square chin), "pixie nose" (NSR to lift the tip and soften the dorsum). Treatments are staged across multiple sessions; nothing must be done all at once.

Masculinising approaches

Masculinising treatments shift proportions in the other direction: brow straightening (muscle-relaxing injection to relax the brow arch and create a more linear brow position), angular cheeks (HA filler placed laterally and high), "stiff upper lip" (precise lip filler to flatten the cupid's bow and add definition without volume), strong jawline (HA filler at the gonial angle and along the jaw body), chiselled chin with or without dimple (chin filler with strategic placement), "Roman nose" (NSR to add a subtle dorsal hump or straighten the dorsum).

How treatment is planned

Every gender-affirming plan starts with a paid £50 consultation focused entirely on your goals — what you want to look like, what time horizon feels right, and how the change should sequence. Photography (with consent), facial proportional analysis, and a written, costed plan come out of the consultation. There is no requirement to proceed; many patients take the plan home, sit with it for weeks or months, and return when ready.

Staged treatment + safety

Staged treatment is encouraged for two reasons. Clinically: HA filler is fully reversible with hyaluronidase if a result does not feel right, but undoing a treatment costs time and money — easier to add than reverse. Personally: visible changes can take time to settle into, and many patients prefer change to build over months rather than to land at once. Hyaluronidase is stocked on-site and Dr Oli is an Aesthetics Complications Experts Group (ACEG) member — the same safety standards apply across every patient.

Aftercare

Aftercare follows the specific treatment used: see the anti-wrinkle and dermal-filler service pages for area-specific instructions. The 2-week review is particularly important on first gender-affirming treatment because adjusting dose or product placement is often part of dialling-in a personal aesthetic.

Bespoke options

Choose your direction

Feminising

Subtle product placements that, individually, are unremarkable but collectively shift facial proportions toward typically feminine norms.

Chemical Brow Lift Muscle-relaxing injection to relax the lateral brow tail — lifts and arches the brow.
Plumped Cheeks HA filler to the anteromedial cheek for a softer, rounder shape.
Fuller Lips HA lip filler with attention to the upper-lip tubercle.
Angular Jawline Masseter slimming via muscle-relaxing injection — narrows a square jaw.
Rounder Chin HA filler placed to soften a square chin.
The "Pixie Nose" Non-surgical rhinoplasty — lift the tip, soften the dorsum.

Masculinising

The same toolkit deployed in the opposite direction — sharper lines, stronger structure, more linear features.

Brow Straightening Muscle-relaxing injection to relax the brow arch into a more linear position.
Angular Cheeks HA filler placed laterally and high for sharper structure.
The "Stiff Upper Lip" Precise lip filler to flatten the cupid's bow and add definition.
Strong Jawline HA filler at the gonial angle along the jaw body.
Chiselled Chin Chin filler placed for projection — with or without a dimple.
The "Roman Nose" NSR adding a subtle dorsal hump or straightening the dorsum.

Pricing

Transparent, all-in pricing

Consultation Redeemable against treatment cost; bespoke pricing applies thereafter

£50

Treatment cost See anti-wrinkle + dermal-filler pricing pages — the Prollenium UK trans-patient reduction is applied at consultation where applicable

Per area

Written and medically reviewed by Dr Oli Curwen , Aesthetic Doctor — MBBS BSc MRCS · MHRA — all underlying products are licensed prescription medicines or CE-marked devices; GMC Good Medical Practice governs the planning and consent process.

FAQ

Common
questions

Do I have to be transgender to access this treatment?

No. Gender-affirming aesthetic treatment is open to anyone whose goals point that way — cisgender or transgender. Many cisgender patients want a more masculine or feminine facial proportion than they currently have; this is exactly what these techniques deliver. The Prollenium UK reduced-rate partnership is specifically for transgender patients accessing certain treatments and is applied at consultation.

How is gender-affirming treatment different from standard aesthetic treatment?

The products are the same — MHRA-licensed anti-wrinkle injections and HA fillers. What differs is the planning lens: the goal is shifting facial proportions toward a particular gendered norm, rather than simply softening lines or restoring lost volume. This often means specific anatomical targets (lateral brow, gonial angle, chin midline) and specific product choices that would not be the obvious selection for a non-gender-affirming case.

How quickly will I see change?

Muscle-relaxing changes (chemical brow lift, masseter slimming, brow straightening) develop over 5 to 14 days. Filler-based changes (cheeks, lips, jawline, chin, nose) are immediate, with initial swelling that settles over 7 to 14 days. Most patients see staged treatment over 2 to 4 sessions across 3 to 6 months, with each session building on the last. Photography at every session documents the journey.

Is HRT relevant to aesthetic treatment timing?

Sometimes. HRT (oestrogen or testosterone) drives some facial change on its own — softening or sharpening features over months and years. For some transgender patients it makes sense to start with the muscle-relaxing injection work that is fully reversible (and re-evaluable every 3 to 4 months), then layer filler-based structural change once HRT effects have settled. Dr Oli will discuss timing as part of the planning consultation.

What about safety?

The same safety standards apply across every patient. Hyaluronidase is stocked on-site for immediate filler reversal. Dr Oli is an Aesthetics Complications Experts Group member, trained in vascular complication recognition and management. Surgical anatomy training (MRCS, Royal College of Surgeons of England) is particularly relevant for the higher-risk sites (NSR, jawline, tear trough) commonly used in gender-affirming planning.

Can I bring a partner or friend?

Yes — many patients bring a partner or friend to the planning consultation, because gender-affirming treatment is a personal change and a second perspective helps. The clinic environment at UNTIL Marylebone is private and judgement-free, and everyone present signs a confidentiality acknowledgement before the session begins. Bringing someone for the treatment appointment itself is also welcome.

Get Started

Ready to begin?
Book today.

Dr Oli Aesthetics • 1 Orchard Street, UNTIL Marylebone, London W1H 6HJ

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Appointments typically available within 1–2 weeks