Metabolic Longevity Weight Loss Programme
Medically led weight loss with a focus on skin vitality and healthy ageing
At The Cosmetic Skin Clinic, we offer a refined, medically led approach to weight loss that supports your metabolic health and body composition without compromising your skin quality, facial structure, or vitality. This programme is designed for patients who want to feel lighter, healthier, and more confident without unwanted aesthetic changes that can occur with conventional weight loss.
Lose weight with confidence, clarity and care.
Medically reviewed by the Dr Victoria Manning for The Cosmetic Skin Clinic Bournemouth, Lymington & London. Last reviewed on 28th January 2026.
A Whole-Person Approach to Metabolic Health
Weight loss is not just metabolic it is also inflammatory, hormonal, and aesthetic. While traditional programmes focus on numbers on the scale, our process considers how the face and skin respond as fat mass changes, using medical diagnostics to protect your appearance throughout your journey.
Led by Dr Victoria Manning, GP, aesthetic specialist and longevity physician, The Metabolic Longevity Weight Loss Programme ensures your metabolic health, muscle preservation, and skin integrity are prioritised from the start, not treated as an afterthought later. The programme is available at our clinics in Bournemouth, Lymington and London, Harley Street.
One Programme. Three Tiers of Care.
To ensure clarity and flexibility, the Metabolic Longevity Programme is offered in three structured tiers, allowing you to access the level of support that best suits your goals and clinical needs.
All tiers sit under one unified programme philosophy, using the same diagnostic-led, medically supervised framework.
Core – MAPhealth™
Foundational metabolic and wellness optimisation
(No weight-loss medication)
Designed for patients seeking improved metabolic health, energy, skin quality and longevity without GLP-1 medication.
Includes:
- Comprehensive medical consultation
- Body composition analysis
- Skin quality and facial ageing risk assessment
- Precision nutrition and lifestyle strategy
- Supplementation where clinically indicated
- Ongoing medical oversight
Price: from £795*
Advanced – MAPhealth™ with Medical Weight Loss
Medically supported fat loss with metabolic protection
For patients who would benefit from structured weight loss support but do not require the full longevity diagnostics.
Includes everything in “Core”, plus:
- Medical weight-loss strategy
- Ongoing body composition monitoring
- Regular clinical reviews
- Clear exit strategy planning
Price: from £995*
Medication may or may not be used, depending on individual clinical need.
Precision – Metabolic Longevity Programme with GLP-1s
The complete diagnostic-led longevity and weight-loss protocol
Our most comprehensive offering, designed for patients seeking maximum insight, precision and protection, particularly during perimenopause, menopause or complex metabolic states.
Includes everything in “Advanced”, plus:
- Advanced metabolic blood markers
- DNA analysis (113 genetic traits)
- Continuous glucose monitoring (14 days)
- Wearable data integration (where appropriate)
- GLP-1 medication prescribed only if clinically indicated
- Proactive aesthetic protection planning
Price: from £1,650*
(*Prices vary based on clinical lead and medication requirements determined at assessment.)
Clinical Insight & Real-World Results – In Conversation with Dr Victoria Manning
Your Assessment & Diagnostic Journey
Before any treatment decisions are made, we take the time to understand your body properly.
Initial Medical Consultation
Your journey begins with a comprehensive 60-minute medical consultation with Dr Manning, exploring your medical history, previous weight-loss attempts, lifestyle factors and goals.
This includes:
- Body composition analysis (fat mass, visceral fat, skeletal muscle)
- Skin quality and facial volume-loss risk assessment
- Discussion of metabolic, hormonal and inflammatory drivers
This consultation forms the clinical foundation of your personalised programme.
Advanced Diagnostics (Precision Tier)
Where clinically indicated, advanced testing allows us to move beyond assumptions and generic advice:
- Metabolic blood biomarkers – Including glucose regulation, inflammation, lipid health, hormonal balance and nutritional status
- DNA analysis (113 traits) – Insight into insulin resistance, appetite regulation, collagen production, inflammation and skin ageing
- Continuous glucose monitoring (14 days) – Insight into glucose variability, post-meal responses, sleep and stress
- Optional wearable integration – Sleep quality, HRV, stress resilience and activity balance
Your Personalised Treatment Plan
Your results inform a tailored strategy designed to support sustainable fat loss while protecting muscle, skin quality and long-term vitality.
This may include:
- Precision nutrition informed by genetics and glucose data
- Protein prioritisation for muscle and collagen support
- Glucose-stabilising strategies
- Sleep and stress optimisation
- Targeted supplementation only where clinically indicated
The Role of Medication
Where appropriate, GLP-1 receptor agonists may be prescribed as part of a broader metabolic strategy.
Medications may include:
- Semaglutide (Ozempic, Wegovy)
- Tirzepatide (Mounjaro)
Dr Manning’s approach is deliberately conservative:
- Lowest effective dosing
- Slow titration
- Muscle and skin preservation prioritised
- Regular review and a clear exit strategy
Medication is never used in isolation.
Proactive Aesthetic Protection Exclusive to The Cosmetic Skin Clinic
This is where the programme truly differs from conventional weight-loss care.
From month two onwards, patients may undergo an “Aesthetic Protection Consultation” assessing genetic collagen capacity, facial volume-loss risk, skin laxity, and inflammatory ageing patterns. Where appropriate, subtle and staged treatments may be introduced to support skin quality, collagen production, and facial balance as weight loss progresses.
Treatment options may include:
- Skin quality and hydration: Sunekos, polynucleotides, Profhilo
- Collagen stimulation: Sculptra, Ellansé, Radiesse
- Strategic volume support: hyaluronic acid fillers (subtle and targeted)
The guiding philosophy is always restraint and preserving harmony, avoiding overfilling, and maintaining natural proportions.
Review, Timeline & Long-Term Planning
Throughout the programme
- Ongoing clinical support
- Regular reviews
- Body composition tracking
At 120 days
- Repeat metabolic blood markers
- Body composition reassessment
- Glucose stability review
- Skin quality and facial balance evaluation
Beyond weight loss
- Continued metabolic optimisation
- Non-surgical body contouring or skin tightening
- Surgical referral pathways where appropriate
- Pre- and post-procedural metabolic support
What Makes This Programme Different
- GP-led by a longevity and aesthetic specialist
- Diagnostics before intervention
- Medication is optional, not assumed
- Precision nutrition and supplementation
- Proactive aesthetic protection
- 120-day outcome retesting
- Clear medication exit strategy
- Long-term maintenance planning
This is not a traditional weight-loss programme – it is a metabolic and biological age optimisation protocol that results in sustainable fat loss because the root causes have been addressed.
We test. We track. We prove outcomes.
Contact us to learn more about The Cosmetic Skin Clinic’s Metabolic Longevity Weight Loss Programme and book a consultation with our expert. The programme is available at our clinics in Bournemouth, Lymington and London,Harley Street.
FAQ
This programme goes far beyond medication alone. Rather than starting with injections, we begin with a comprehensive medical and metabolic assessment to understand why weight gain has occurred and how your body is responding.
Where clinically appropriate, medication may be used as part of a broader strategy that includes personalised nutrition, lifestyle optimisation, advanced diagnostics and proactive skin protection. This ensures weight loss is achieved safely, sustainably and without compromising muscle mass, skin quality or facial structure.
No. Medication is not mandatory.
The programme is offered across three tiers, including the Core programme, which focuses on metabolic and wellness optimisation without any weight-loss medication. For some patients, medication adds benefit; for others, it is not required. Any prescription is made only after your medical assessment and is reviewed regularly, with a clear exit strategy in place.
Each tier reflects a different depth of assessment and support:
- Core focuses on foundational metabolic health, wellness and skin ageing without medication.
- Advanced includes structured medical weight loss with ongoing monitoring, with or without medication depending on clinical need.
- Precision is the most comprehensive option, incorporating advanced diagnostics such as blood biomarkers, DNA analysis and continuous glucose monitoring, alongside medication where appropriate.
All tiers follow the same medically led philosophy and diagnostic-led framework.
This programme is ideal for patients who:
- Want a medical, evidence-based approach to weight loss
- Have struggled to lose weight or maintain results in the past
- Are concerned about fatigue, muscle loss or facial ageing during weight loss
- Are perimenopausal or menopausal
- Have metabolic concerns such as insulin resistance or pre-diabetes
- Value personalised care, medical oversight and measurable outcomes
The programme may not be suitable if you:
- Are pregnant or breastfeeding
- Have certain medical conditions where weight-loss medication is contraindicated
- Are unable to commit to medical assessment and follow-up reviews
Suitability is always confirmed during your consultation, where patient safety is the priority.
Protecting your appearance is a core element of this programme. Skin quality, collagen capacity and facial volume-loss risk are assessed from the outset. Where appropriate, proactive aesthetic support may be introduced gradually to help preserve skin integrity and natural facial balance as weight loss progresses.
Programme pricing starts from the published “from” figures and is tailored following your initial assessment. Final costs depend on whether your care is doctor-led or aesthetician-led, as well as any medication required to support your treatment safely and appropriately.
The programme is structured around a 120-day clinical pathway, allowing time for meaningful metabolic change, reassessment and outcome tracking. Long-term maintenance and optimisation plans are discussed towards the end of the programme to support sustained results.
Beyond weight loss, patients may continue with:
- Metabolic and longevity optimisation
- Maintenance nutrition and lifestyle strategies
- Ongoing skin health or body contouring treatments
- Surgical or non-surgical referral pathways where appropriate
The focus is always on long-term health, not short-term results.
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* Disclaimer: Please be aware that results and benefits may vary from patient to patient taking into consideration factors such as age, lifestyle and medical history. The Cosmetic Skin Clinic's medical practitioners assess every patient on an individual basis. A treatment plan is advised only if there is a physical and/ or psychological indication for treatment and we will review and monitor your progress. At The Cosmetic Skin Clinic, we do not provide injectable treatments to anyone under 18 years old. Please do not be offended if you look under 25 years old and you are asked for identification. By law the minimum age for these treatments is 18. Copyright © The Cosmetic Skin Clinic is a trading name of TPC Group Limited (company registration number 14493595). All rights reserved. Unauthorised use and/or duplication of this material without express and written permission from this site’s author and/or owner is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to The Cosmetic Skin Clinic with appropriate and specific direction to the original content.