Sofwave™ London – Non-Surgical Ultrasound Skin Tightening & Lifting by Official certified Sofwave™ practitioner and partner
Dr Nish Shah MD, Mayfair

Sofwave™ is a non-surgical ultrasound treatment that tightens and lifts the skin by making it rebuild its own collagen. 7 parallel ultrasound beams (SUPERB technology) warm tiny zones about 1.5 mm below the surface, where collagen is made, while built-in cooling keeps the surface comfortable. Over 12 weeks your skin repairs those zones with new collagen and elastin, and that new tissue tightens and lifts from within. It is FDA-cleared to lift the eyebrow, lift lax tissue under the chin and on the neck, and improve facial lines and wrinkles. One session of 30 to 60 minutes, no downtime, results visible at 12 weeks and improving for up to 6 months. At Medisha Clinic it is performed personally by Dr Nish Shah MD, an official certified Sofwave™ practitioner and partner.

Sofwave™ at Medisha Clinic in Mayfair is priced per area for a single session: lower face (jowls) and jawline £1,400; neck £1,200; lower face and neck £1,800; full face (midface and lower face) £1,800; full face (including brows) £2,200; full face and neck £2,400; full face and neck (including brows) £2,700; brows £800. The £50 consultation is redeemed in full against treatment. Combined plans of Sofwave™ and 720 PDO threads are sequenced by Dr Nish and priced as one treatment: lower face £1,900; full face £2,600; lower face and neck £2,600; full face and neck £3,600. Reviews are included. Consultation with Dr Nish is £50, redeemable in full against treatment. The clinic is at 58 South Molton Street, Mayfair, London W1K 5SL, 3 minutes from Bond Street station.

Yes — Sofwave™ holds FDA clearance to improve facial lines and wrinkles, lift the eyebrow, and lift lax submental (under-chin) and neck tissue in adults aged 22 and over (510(k) K211483, November 2021), and further clearances between 2022 and 2023 (consolidated in K250146, April 2025) covering short-term improvement in the appearance of cellulite, the treatment of acne scars and improvement of skin laxity on the upper arms. It is also CE-marked. The lifting indications were cleared on clinical evidence from a 5-site study of 80 patients.

Sofwave™ works at about 1.5 mm, above the fat, while older high-intensity focused ultrasound (HIFU) devices focus deeper, at 3 to 4.5 mm. Sofwave™ heats the layer where collagen is made. HIFU devices focus into and below the fat, which is where reports of facial hollowing come from and why those treatments are often painful. Sofwave™ has no fat loss reported in its clinical studies and is comfortable with numbing cream and built-in cooling. It treats a band of skin with each pulse rather than a single point, and holds FDA lifting clearances for the brow, under-chin and neck. Dr Nish chose Sofwave™ for Medisha after comparing the available skin-tightening technologies.

Sofwave™ results are usually clear at 12 weeks, keep improving for up to 6 months after a single session, and are then maintained with a yearly session. Some patients notice a subtle tightening within the first few weeks, but the real result is new collagen, which takes time to build. Because the result is your own collagen rather than a product that wears off, it lasts as long as that collagen does, typically a year or more. Dr Nish reviews you at 12 weeks and advises on timing. Most patients need one session; occasionally a second is recommended.

Sofwave™ is comfortable for most patients under numbing cream and has no downtime. Numbing cream goes on for 30 to 45 minutes beforehand and built-in SofCool cooling protects the surface throughout. The pulses feel like brief, deep warmth; some areas, such as along the jawbone, feel sharper for a moment. Mild redness or slight swelling settles within a few hours, occasionally a day or two. Make-up can go straight back on and you can return to work the same day. Nothing is left in the skin, there are no needles, and only a few medications need pausing beforehand, which Dr Nish checks at consultation.

Yes, within what skin tightening can do. Sofwave™ is FDA-cleared to lift lax tissue under the chin and on the neck, and it firms the skin along the jawline where jowls begin. For early to moderate looseness one session is usually enough, with the result clear at 12 weeks. Where the jowls or neck have visibly dropped rather than loosened, tightening the skin over them is not the same as moving them back, and Dr Nish will tell you so at consultation and set out what will. That is why the consultation comes first: you are only recommended Sofwave™ when it will change what you see in the mirror.

Yes — Sofwave™ uses ultrasound, not light or laser, so it does not target pigment and is suitable for all skin tones. That includes the darker skin tones where many light-based treatments carry a pigmentation risk. Its built-in cooling protects the surface at every skin tone. Dr Nish assesses your skin at consultation as he would for any patient, and the aftercare is the same: SPF daily and no heat on the area for 48 hours.

Dr Nish examines your skin and what sits beneath it — chin down, chin up and side-on — and tells you whether Sofwave™ will change what you see. He then maps the areas: brow, jawline and jowls, neck and under-chin, or the full face. You leave with a written plan, the price of each area from the list on this page, and the date of your 12-week review, which is included. The consultation is £50, redeemed in full against treatment, with no obligation. Your treatment plan is set out at consultation.

Sofwave™ is not suitable for anyone with a pacemaker or metal implants in the treatment area, an active skin infection or open wound in the area, or who is pregnant or breastfeeding. If you have had an injectable or energy-based treatment in the same area recently, the timing of Sofwave™ is decided at consultation. Sofwave™ tightens skin; it does not remove excess skin or reposition tissue that has dropped, and if that is what your face needs Dr Nish tells you at consultation and sets out what will. If your skin excess is significant, non-surgical treatment may not achieve what surgery can, and he will tell you so and refer you. There is no upper age limit, and skin tone is not a restriction.

The main side effects of Sofwave™ are mild redness and sometimes slight swelling or tenderness for a few hours to a day or two, and its safety record in clinical studies is strong. Uncommon effects include a small bruise or a brief area of numbness along a nerve path, which resolves on its own. The energy stops at 1.5 mm, above the fat, and no fat loss has been reported in its clinical studies. Because it is ultrasound rather than light it does not target pigment, so it is suitable for all skin tones. Dr Nish maps and performs every treatment himself and discusses all risks at consultation.

Medisha Clinic is an official certified Sofwave™ partner clinic where every Sofwave™ session is mapped and performed by Dr Nish Shah MD himself, not delegated to a technician. He examines your face before anything is recommended, so you are only treated where Sofwave™ will change what you see. Dr Nish is Senior International Clinical Trainer at Derma Medical, one of the UK’s largest aesthetics training academies, and Brand Ambassador and Key Opinion Leader for Intraline. He has performed over 30,000 non-surgical treatments and is one of the most experienced aesthetic doctors in the UK and London. Where skin excess is beyond any non-surgical treatment, he refers you to a surgeon rather than selling a session. Medisha is rated 5.0 on Google from 128 reviews and is at 58 South Molton Street, Mayfair, London W1K 5SL, 3 minutes from Bond Street, serving Mayfair and Marylebone.