From regenerative treatments to the end of one-size-fits-all tweakments, Dr Ivona Paravic shares what she believes patients will be asking for next year

The days of aesthetics being centred around “a bit of filler” are changing. Patients are more informed, treatments are becoming more sophisticated and the definition of a good aesthetic result is changing.

So what will that mean for our faces in 2027?

According to London aesthetic and menopause specialist Dr Ivona Paravic, next year will be less about having more treatments and more about understanding which treatment is needed, when and why.

“Patients are asking better questions,” she says. “They want to know what a treatment is actually doing to their skin, how it will age and whether they really need it. I think that will shape aesthetics enormously in 2027.”

Recent industry and consumer coverage already points towards regenerative treatments, skin health and greater demand for evidence and transparency, while concerns around excessive “treatment stacking” are also emerging.

Here are the five shifts Dr Ivona expects to see.

1. We will stop treating every sign of ageing with volume

“Filler definitely isn’t disappearing in 2027, but I believe its role will become more precise.

Dermal filler can be incredibly effective when somebody genuinely needs structural support or volume replacement. The problem comes when volume becomes the answer to everything.

Instead, expect greater emphasis on assessing skin quality, collagen, facial structure and movement before deciding whether filler is necessary at all. The best treatment may be filler, but it might equally be collagen stimulation, hydration, and improving skin quality.

A good consultation should sometimes end with me telling a patient they don’t need the treatment they came in asking for.”

2. Regenerative aesthetics will mature

“Polynucleotides and collagen biostimulators have dominated the aesthetics conversation, but 2027 will bring a more discerning approach to what “regenerative” actually means.

The term currently covers a broad spectrum of treatments, and the scientific evidence is not equally mature across all of them. A recent review of regenerative aesthetics highlighted promising developments while also calling for further research and regulatory standardisation.

I think we’re going to become much more specific. Patients will want to understand what is being injected, what evidence sits behind it and what biological process we’re actually trying to stimulate.
Rather than choosing a treatment because it is trending, the focus will increasingly be on selecting the right regenerative approach for the individual.”

3. The face will no longer be treated in isolation

“The face has traditionally received most of the attention, but that is also beginning to change. I already have patients who are much more aware of their neck, décolletage and hands because these areas can tell a very different story from the face.

In 2027, expect skin-quality programmes to extend beyond the jawline, particularly as patients prioritise overall skin health rather than isolated correction.

The goal should be harmony. There is little point aggressively treating one small area while ignoring everything around it.”

4. Menopause will become part of the aesthetics consultation

“This is one of the most important changes. Women in their forties and fifties often arrive thinking something has suddenly gone wrong with their face. They may notice dryness, loss of elasticity, changes around the eyes or lower face and feel that they need more aesthetic treatment, but sometimes the bigger picture is hormonal.

As an aesthetic doctor with a background in Obstetrics and Gynaecology, I believe the industry needs to become better at recognising the relationship between midlife hormonal change and the skin.

By 2027, I hope we are having a much more intelligent conversation about menopause in aesthetics. If a woman’s skin is changing because her hormones are changing, that context absolutely matters. It doesn’t mean every aesthetic practitioner should practise menopause medicine. It means understanding when skin changes may be part of something wider and knowing when a patient needs additional medical support.”

5. Looking ‘untreated’ will become the ultimate result

“Perhaps the biggest aesthetic trend for 2027 won’t look like a trend at all. I think we’re going to see patients become even less interested in looking as though they’ve had something done. Instead, treatments will increasingly be layered carefully over time, with skin quality, hydration, collagen, facial movement and structural support considered together.

The answer isn’t to throw five treatments at somebody instead of one. Combination treatment only makes sense when every part of that plan has a purpose. That restraint may ultimately define the next phase of aesthetics.

For me, the best result has always been when somebody’s friend says, ‘You look really well,’ but can’t tell them why, and I think in 2027, patients will expect nothing less.”