Dr Max Greenfield - Aesthetic Doctor

Dr Max Greenfield - Aesthetic Doctor A medical doctor specialised in non-surgical and minimally invasive cosmetic procedures. My approach is all about balance.

I trained at University College London before working across London as a surgical trainee in plastic, orthopaedic, and cardiothoracic surgery, during which time I became a member of the Royal College of Surgeons. I started work in aesthetic medicine 5 years ago whilst completing my Level 7 Diploma (PGDip Aes), the highest level of practical training available in aesthetic medicine. Alongside my cl

inical work, I’m Head of Clinical Training at Harley Academy, where I teach both injectable treatments and cosmetic dermatology courses as well as lead the training of medical professionals and focus on research, innovation, and the management of complications related to aesthetic procedures. I strongly believe that relying too much on any single treatment can lead to an unnatural look. Instead, I combine high-quality, evidence-based skincare and in-clinic treatments with carefully tailored injectables to achieve results that enhance rather than alter—helping you look refreshed, never “done.”

17/03/2026

Temple hollowing is one of the more subtle changes that happens in the face over time.

Because the temples contribute to the structural support of the upper face, restoring volume in this area can have a nice effect in improving upper face aging, as well as effects lower down in the face. This is particularly the case for filler placed deep down in the temple which can provide support to the SMAS layer in the cheek area and lower face.

It’s not something everyone needs, but in the right person it can make a really lovely difference.




14/03/2026

When I’m trying to improve jowling I’m either looking to restore volume or improve the density and elasticity of the skin.

For volume replacement I follow the GEM by framework. This means that I’m following a lateral to medial, superior to inferior and deep to superficial approach.

With this in mind, my favourite places to treat with filler to help the lower face are the temples, cheek bones, underneath the skin in front of the ear, angle of the jaw and the chin. After all of that I then focus on filling lines in the marionette area.

For improving skin function I use biostimulators. There are lots out there ranging from more gentle, slow and steady treatments to more intensive treatments. My go-to products are: Profhilo Structura; Ellansé and HArmonyCa.

There are also a range of energy-based devices that use either light, ultrasound and radio-frequency to “tighten” the skin.

Let’s not forget that if you’ve got the money and are happy to take risks then a surgical face lift is a great option and will last longer than non-surgical options.




12/03/2026

Jowling is almost always multifactorial. There’s a strong genetic component but aging changes can catalyse these changes.

Ageing affects multiple layers of the face including skin, fat, ligaments and bone.

Understanding which of these changes is the lead culprit helps guide the most appropriate treatment approach.

Follow for the next video to see how I plan treatments.




10/03/2026

Exosomes are generating a lot of interest in aesthetic medicine at the moment.

The theory is interesting. They act as signalling particles that allow cells to communicate with each other.

But at the moment the clinical evidence and safety data are still developing, and there is significant variability between products.

In medicine, promising ideas and proven treatments are not always the same thing.





08/03/2026

There’s no single treatment that will make you look less tired.

Sometimes the under-eye area is to blame, but often it can be your eyebrows, your skin, or even your posture.

These fatigue signals give the impression of tiredness, and treatments that target these mean that we’re not following a one-size-fits-all approach and, as such, giving you better results.





03/03/2026

Your practitioner could be the “best” doctor or anatomist in the world, but if they don’t understand that in real life faces are more than a 2D image in a textbook, then you don’t want them injecting your face.

Anatomy and technique are important, but more important still is understanding that your face, the way in moves down to your tiny micro-expressions are how you communicate with the people and the world around you. Your face is quite a big part of what makes you, you.

28/02/2026

Is the person doing your treatment an expert or a technician?

A technician is someone who may be very competent at doing a treatment but that’s where it stops. This is only a relatively small part of your overall experience.

An expert is someone who not only knows how to do a treatment but knows why they’re doing it, why it’s the best option for you and most importantly knows when not to do a treatment.

Follow for insights on how an expert in aesthetic medicine thinks.

26/02/2026

Starting a new skincare routine or trying new products can be exciting. Particularly when you start seeing results fairly quickly. This could be because you’ve had a boost of hydration or you’ve got some post-exfoliation glow.

Once the routine becomes.. well routine, then it’s normal to get a bit bored and feel like the results have stagnated or plateaued. In reality, if you’re using a solid, evidence-based routine, it’ll still be working hard for you and your skin.

If you’ve maximised your routine, you don’t need to add more and more products and would be better off investing that money into some in-clinic treatments.

Some of the best science-backed treatments that can build on what you’re doing at home are:

- Microneedling
- Chemical peels (superficial and medium depth)
- Profhilo
- Polynucleotides
- Energy-based devices like laser and IPL

If you’re not sure whether you’ve maxed out your skincare routine or whether you’d benefit from in-clinic treatments then book a consultation at drmax.co.uk





24/02/2026

Ageing is layered and can very roughly be divided into surface, structure and movement.

This is overly simplified and there’s lots of crossover. For example, dialling down movement may help the surface texture.

It goes without saying but if you treat the wrong layer, you get the wrong outcome.

I follow the medical model with everyone I treat. It may sound a bit formal, but it means that for every procedure that I do, I know that there is a clear justification with a clear, measurable outcome.





21/02/2026

There is no quick fix for aging because there are multiple processes happening in different layers.

That being said, your core skincare routine should always include at the very least an SPF, Vitamin C and if there are no reasons why you can’t use it (like pregnancy), a retinoid.

This will both prevent and start to treat lots of these aging changes and provide a solid foundation for more treatments, both at home and in clinic.

The images in this video were AI generated and for illustration purposes only.

PatientEducation

17/02/2026

Barrier function is beyond important when it comes to improving dermal hydration. Improving the skin barrier isn’t just about applying thick and heavy moisturisers.

It may seem counterintuitive but some of the things that temporarily impair the skin barrier can in the long run help your skin hold on better to water. This could be:

- Chemical exfoliation with ingredients like AHAs (glycolic acid, lactic acid etc), BHAs (salicylic acid) and PHAs (gluconolactone, lactobionic acid etc).
- Retinoids like retinol, retinaldehyde and prescription alternatives
- In clinic treatments like chemical peels and microneedling

Obviously things that directly add hydration into the skin will also help but unless the barrier is working well then you’re only putting a plaster on it.

14/02/2026

Inflammation affects how skin functions, not just how it looks.

The treatments very much depend your skin type but things that may help include topical ingredients like:

- Azelaic Acid
- Niacinamide
- Tranexamic Acid
- PHAs like lactobionic acid and gluconolactone
- Salicylic acid
- Certain types of Vitamin C

In-clinic treatments are more geared towards helping with the physical manifestations (like redness and breakdouts) rather than the underlying causes but include:

- Polynucleotides
- Very gentle microneedling
- Superficial chemical peels
- Energy-based devices like laser and IPL

As always, these treatments are incredibly individualised and there is no one-size fits all solution so if you’re not sure, book in for a consultation at drmax.co.uk

PatientEducation

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260 Pentonville Road
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N19JY

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