Patient photography setup at a doctor-led aesthetic clinic in Hale, Cheshire
Patient photography setup at a doctor-led aesthetic clinic in Hale, Cheshire

Before & After Results

Real patient results from our doctor-led aesthetic clinic in Hale, near Altrincham

Every photograph on this page is of a patient of this clinic, treated by me, photographed in the clinic. Nothing is retouched, filtered or relit. Each is shared with the patient's written consent, and results vary between individuals.

You will notice this is a small, curated collection rather than a long gallery, and that is deliberate. Most of my patients are discreet about having treatment and would rather their face did not appear online, and I never ask anyone to share their photographs as a condition of being treated here. The results you see are from the handful of patients who were happy to be photographed as models, and I am grateful to each of them.

I would rather show you fewer photographs that are honest than a wall of flattering ones. If you want to see more examples of a particular treatment, ask at your consultation and I will show you my clinical records of patients with a similar starting point to yours, in private, which is where most of my before and afters live.

The best result is the one nobody can point to. Look for the person looking rested, not the treatment.
Before and after showing long-term improvement in skin quality, pigmentation and natural facial balance

Dr Caroline Warden’s own before and after medical grade skincare and treatments

Mine first!

It seems only fair to start with my own face. The photograph on the left is me at 35. I had one baby, a full-time NHS job and, in my own words at the time, a face that had fallen. Dark circles that no amount of sleep shifted. Skin that looked dull and tired and broke out whenever I was run down. Patches of sun-driven pigmentation across my cheeks that makeup never quite covered. Hollowing at my temples and the sides of my face that made everything look narrower and more tired than I felt. And the first static lines, the ones that stay when your face is still, had started to set in across my forehead and between my brows. I remember looking at a photograph from a friend's wedding and not recognising the person in it.

The photograph on the right is me now, in my early forties, so older by several years and looking, I think, younger than I did in the first one. Nothing dramatic happened in between. What happened was exactly what I now recommend to my patients, in roughly this order:

What I did What it changed
Medical-grade skincare The dullness, the breakouts and the texture. This did more than anything else, and it came first
The Obagi Nu-Derm system A full prescription course that cleared the pigmentation on my cheeks and evened my skin tone, the part of my skin I had assumed was permanent
Anti-wrinkle injections Stopped the forehead and frown lines deepening, while leaving my face moving
A tiny amount of dermal filler, strategically placed Restored the support my cheeks had lost, which is what had made my face look as though it had dropped
Sculptra to the temples and lateral face Gradually rebuilt my own collagen where the sides of my face had hollowed, so the softness came back over months rather than overnight and nobody could say what had changed
Polynucleotides The under-eye skin: thicker, brighter, less shadowed, without filling the tear trough
Microneedling with exosomes Overall skin quality, pores and the fine lines that skincare alone had not reached
Before and after showing natural-looking changes in skin quality and facial appearance over several years

Dr Caroline Warden’s own before and after medical grade skincare and treatments

Medical Grade Skincare Plans

Before and after Obagi Nu-Derm showing reduced facial pigmentation and a more even skin tone
Angled before and after Obagi Nu-Derm showing improvement in pigmentation and uneven skin tone
Before and after Obagi Nu-Derm showing brighter, more even-looking facial skin

Before and 14 weeks after the Obagi Nu Derm System

Before and 12 weeks after the Obagi Nu Derm System

Before and after medical-grade skin barrier repair plan showing calmer, more even-looking skin

Before and after a skin barrier repair medical grade skincare plan

Obagi Blue Peel Radiance

Before and after one Obagi Blue Peel Radiance

Before and after one Obagi Blue Peel Radiance

The Perfect Peel

Before and after the perfect peel with an acne booster

Before and after medical grade skin care for 3+ months and a perfect peel

Before and after the perfect peel with pigmentation booster

Polynucleotides

Close-up of a person's face highlighting their eyes, eyebrows, and part of the cheek with natural skin texture.

Under eye skin quality improvement after 3 sessions of polynucleotides with skin booster NCTF

Under eye skin quality improvement after 3 sessions of polynucleotides with skin booster NCTF

My own personal before and after 3 sessions of under eye polynucleotides with skin booster

Sculptra

Close-up of a woman's forehead and closed eyes showing before and after comparison of skin appearance.

Before and after 3 vials of sculptra to the temples and midface

Microneedling with exosomes

Before and after 3 sessions of microneedling with exosomes

Cheek and Lower Face Dermal Fillers

Before and after 3ml of dermal filler in the cheeks and nasolabial folds

Before and after 2ml of dermal filler in the midface

Before and after 1ml of dermal filler in the midface

Before and after 1ml of dermal filler to the midface

Before and after 2 ml of filler in the midface

Lip Filler

Close-up of a person's lips and lower nose, with golden earrings and curly hair visible.
Close-up of a person's lips and nose, showing shiny lips and smooth skin.
Close-up image of a person's face, focusing on the nose, lips, and chin area.

Radiesse

Side-by-side comparison of a woman's face before and after cosmetic treatment, with a hair cap on, showing improved skin smoothness and reduced blemishes.
Close-up of a woman's face and forehead with visible skin pores, wearing a disposable head covering, before and after facial skin treatment.

Before and immediately after 2 syringes of Radiesse to jawline

Before and after 2 syringes of radiesse to the midface

Advanced Electrocautery

Close-up of a person's forehead with visible skin texture and hair at the top.

2 milia (white pearl coloured cysts in the forehead) before and immediately after electrocautery

Close-up of a person's eye with long eyelashes, dark eye makeup, and a small pimple on the cheek.

Cherry Angioma removed from the nose in several sessions with electrocautery

Close-up of scalp with sparse scattered hair, showing visible skin and tiny red spot.

Small cherry angioma removed from the hairline using electrocautery

Large cherry angioma removed from the nose in one session of electrocautery