Endospheres for the arms in London

The maker's website names the arms among the areas it treats, "arms to back", and in our practice that means the soft back of the upper arm and the loosened skin on its inner side, for a firmer-looking skin tone. No maker series has measured the arms, and we say so. The roller of 55 silicone spheres is worked over the back and the inner side of each upper arm in slow passes, over a course the maker gives as twelve or eighteen sessions, two or three a week. The free consultation is with Dr Marie Duggan, GMC 7488383, at Endospheres Clinic, 8 Exhibition Road, London, SW7 2HF, with the price in writing.

What it does and does not do

A firm mechanical massage changes the appearance and the feel of the skin on the arm for a time; it does not destroy fat or build the muscle beneath, and we make no claim that it builds collagen. For a soft layer over a triceps that has lost tone, the doctor recommends a muscle treatment at the consultation, and for loose, hanging skin a tightening treatment. In our experience the appearance returns over months without maintenance, which the maker describes as two sessions a month for three or four months after the course, then one a month.

The session and after

In our practice you undress to the areas being treated and sit or lie on the couch. The roller is passed over the back and the inner side of each upper arm in slow passes at a lighter pressure than on the thigh, and the operator adjusts it with you. A session for both arms runs within the maker's 45 minutes to an hour and a half when treated with another area. In our experience the skin can look pink and feel warm afterwards, and the maker asks for at least 48 hours between sessions.

Who it suits

In our practice it suits an adult who wants a firm mechanical massage over a course for a firmer-looking skin tone on the upper arms. It suits someone who will attend two or three sessions a week and maintain the result. The maker's protocol excludes pregnancy and breastfeeding and asks for 30 days after fillers. The back page covers the area treated with the arms most often, and the full guide the rest.