It works by a different mechanism. Nothing is injected and no muscle is immobilised — fine needles prompt a local response in the tissue, and gua sha moves circulation and lymphatic flow. That means the changes are gradual rather than immediate, and they build across a course of treatments rather than appearing overnight.

Occasionally, yes. The needles are very fine, but the face is vascular and small bruises can happen — most often around the eyes. They're usually minor and settle within a few days. If you have an event coming up, say so when you book and the treatment can be adapted or timed differently.

It varies with your skin, your age and what you're working towards. Cosmetic acupuncture is usually approached as a course over several weeks, followed by less frequent maintenance. That plan is discussed at your first appointment rather than sold to you upfront.

The needles are very fine — considerably finer than those used for injections or blood tests. Most people describe a brief prick, then a dull ache or a feeling of warmth, and many find the session deeply relaxing. If you're needle-averse, say so at your assessment and the treatment can be adapted.

Usually, but tell us what you've had and when. Needling is planned around treated areas, and recent work may mean waiting or adjusting where the needles are placed. Bring the details to your appointment.

Yes. A 70-minute treatment adds a targeted plumping facial massage, which is worth considering if you hold tension in the jaw, forehead or brow. An 85-minute complete treatment adds a collagen peptide mask for hydration and nourishment. If you're unsure, start here.