The Refined journal

Notes from
Nurse Rachel.

Honest, nurse-written notes on aesthetics — what treatments actually feel like, how long they actually last, and why the word “consultation” matters more than anything else we do.

Updated regularly. If there’s a question you’d like me to answer, WhatsApp me and I’ll add it to the list.

Lip filler · 20 April 2026

How long does lip filler actually last?

A nurse’s honest answer on lip filler longevity — why 6–12 months is the real range, what speeds it up, and what no one tells you about the “it’s gone” feeling.

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Anti-wrinkle · 20 April 2026

Anti-wrinkle vs Botox — is there a difference?

Botox is a brand. Anti-wrinkle is the category. Here’s what the UK actually prescribes, why nurses use the generic term, and what to ask before your first appointment.

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Consultations · 20 April 2026

Your first aesthetics consultation — what to expect.

A walk-through of a consultation at Refined: the questions I ask, the ones I’d love you to ask me, and why “not today” is sometimes the best answer.

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Skin boosters · 20 April 2026

Skin boosters, explained.

Profhilo, Seventy Hyal, bio-aesthetic injection points. A plain-English guide to what skin boosters do (and don’t do) and who genuinely benefits.

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Polynucleotides · 20 April 2026

Polynucleotides, explained.

The regenerative treatment everyone’s suddenly talking about. What they are, where the evidence sits, and why under-eyes are the area most people start with.

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Approach · 20 April 2026

“Natural-looking results” — what that actually means here.

Every clinic says it. Here’s what we mean when we do: conservative dosing, asymmetry preserved, and a 2-week review where tweaks are on the house.

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Last updated: 20 April 2026