What billionaire botox looks like: 3D scanners, 'injecting suites' and spa surroundings

Well heeled clients demand not just plush surroundings but 'natural results'

As we age, our hormones deplete and the fat pads decrease in size on certain areas of the face

How much filler is too much filler? There was a time when you could spot a generously filled face a mile off: voluptuous, shiny cheeks and unusually contoured jawlines are the biggest giveaways. But now there is a more considered approach to injecting filler. This new technique often uses the same amount of hyaluronic acid, but placed in a far more strategic, bespoke way. The difference? It only ever fills the areas of your face that have naturally lost volume with age; the result is 'work' that looks completely undetectable.

This is the approach adopted by Dr Marco Nicoloso, an aesthetic doctor at the Ouronyx clinic. If you haven't heard of it, that's entirely intentional: the clinic, which opened its doors last April, is more like a private members' club. Tucked away in London's St James's, the space, which occupies 8,500sq ft over two floors, is referred to as the Hermès of facial aesthetics. Each appointment, booked via its concierge service, begins with 3D imaging of your face. This detects exactly where volume has been lost, so Dr Nicoloso can target those zones to make you look as you did five years ago.

The Ouronyx clinic, St James, London Credit: Modus

'We are not in the business of changing faces,' says Dr Nicoloso, whose clients fly in from around the world to see him every six to 12 months. 'Restoring volume that you have already lost is the most effective way of improving facial structure for women over 40, whether it needs to be injected into the temples, cheeks, jawline or chin.'

We lose volume over the years largely due to hormonal changes. When we're young, the fat in our faces is evenly distributed, but as we age and our hormones deplete, our fat pads decrease in size on certain areas of the face, such as the cheeks, and grow in other areas - mainly around the lower face.

Dr Nicoloso avoids overfilling, because of the long-term effect. If your skin is repeatedly injected with too much product, 'you will over-stretch the skin and it will start to sag as the filler wears off,' he warns. Considering the sharp increase in the number of people booking in for injectables over the past five years, there is reason to be cautious. In a 2021 report, the market analyst Mintel found that despite 43 per cent of British adults believing that non-surgical procedures (such as Botox and fillers) have become a normal part of beauty and grooming routines, we are 'moving away from treatments that clearly alter features and instead looking for more natural results'. Midlifers in particular avoid huge lips and frozen cheeks, preferring to dissolve away obvious work (and then boasting about it on social media).

The clinic's 3D scanner Credit: Lefteris Primos

A desire for natural-looking results - in a chic, luxurious setting - was part of the reason the psychologist and entrepreneur Ida Banek set up Ouronyx, alongside co-founder Marc Princen, a former executive at Botox maker Allergan. 'I had been reading the signs of ageing on my own face for a few years, and one morning I looked in the mirror and I seemed sad and concerned. But I was reflecting emotions that I didn't feel on the inside.' She tried a subtle amount of filler and Botox a few years ago, at the age of 44, and was impressed when a friend commented that she just looked as if she had come back from a holiday - not as if she had any obvious injectables.

They found there was a real demand for this undetectable, invisibly injected look. Eighty per cent of the clients who now visit one of the six Italian stone-clad 'injecting suites' at Ouronyx are over the age of 40, and come in with the same request: to look better, not different. 'We make our clients feel more at ease with the ageing process,' explains Banek. So successful is the London clinic that Banek is opening one in the galactic surroundings of The Opus by Zaha Hadid in Dubai. In the UAE, having an aesthetic doctor on speed dial is just part of ordinary life.

Of course, the new clinic will have the 3D scanner, which is just as important for returning clients as it is for newcomers. Via the scan, the doctors can see how much of your previous filler is still left in your face, so there's no chance of over filling. Filler breaks down at different rates from one person to the next, so this targeted approach makes sense. All the better that it comes in a clinic whose waiting room is as beautiful as an art gallery - there are digital works by the British artist Dominic Harris on the walls in the London space - and a make-up expert on hand so that post-treatment, every patient looks as if they really have just left a private members' club, not a doctor's surgery.

Filler rejuvenation treatments from £1,950, ouronyx.com