Dr David Grech has been a medical practitioner since 1996 and has practised cosmetic procedures since 2001. He was trained on Botox by Dr Anthony Benedetto and has attended further advanced Botox training at KT Medical Aesthetics Training in Harley Street. He has performed over 3000 recorded Botox treatments to date. Dr Grech is certified to deliver botulinum toxin to all areas of the face and neck, including less commonly requested botox procedures such as the treatment of masseteric hypertrophy, hyperhidrosis and the Nefertiti Neck Lift. Dr Grech was trained on HA gels by Yasmin Khan, at the time at Inamed Corporation, and on Ellanse by the renowned plastic surgeon Mr Chris Inglefield, and has attended further advanced fillers training at KT Medical Aesthetics Training in Harley Street. He has performed over a thousand recorded dermal filler treatments to date. Dr Grech’s dermal filler expertise includes the execution of more unusual treatments such as filling of hands, nasal bridge and eyebrow reconstruction and nonsurgical rhinoplasty. Dr Grech’s additional expertise lies in combining, where appropriate, peels with other medical aesthetic treatments, such as topical cosmeceuticals, pulsed light and carbon dioxide laser resurfacing, for maximum effect and skin improvement. He has received training on a variety of light based devices, including the Fractional Carbon Dioxide Resurfacing Laser and the SmartLipo Laser, under the tutelage of Prof Paolo Bonan of the University of Florence. Dr Grech is proficient in the technique of Nutational Infrasonic Liposculpture using the Belgian Euromi system, having attended various surgery masterclasses conducted by Dr M. Safar. He is uniquely trained in both Aptos and Silhouette thread lift systems and selects the method to use based on individual patient requirements. He is also trained in ozonotherapy protocols for pain management. Dr Grech is a member of the European Society of Cosmetic & Aesthetic Dermatology (ESCAD).