The Regenerative Aesthetics and Wellness Council

Dr Sophie Bracke

Dr Lorenzo Garagnani MBE

Joint Health

Lorenzo Garagnani is an internationally recognised Consultant Hand Surgeon and Aesthetic Physician. His adult NHS practice is based at Guy’s and St Thomas’ NHS Foundation Trust, with paediatric practice at Evelina London Children’s Hospital.

He is the Founder and Medical Director of SE1 Medical, an award-winning aesthetic clinic recognised as Best Aesthetic Clinic in London and Highly Commended at the Safety & Beauty Awards 2025.

Lorenzo qualified in Medicine and Surgery in Bologna in 2002 and has completed extensive postgraduate training, including a Level 7 Diploma in Aesthetic & Wellness Medicine and the European Board of Hand Surgery (EBHS) Diploma.
In recognition of his international career and contributions to medicine, he was awarded the Knighthood of the Order of the Star of Italy in 2022 and an MBE in the 2025 UK Honours List.

Alongside clinical practice, he is Honorary Reader (Associate Professor) at King’s College London, President of the Italian Medical Society of Great Britain, an international speaker on surgical innovation and patient safety in aesthetic medicine, and a member of Totally Derma’s Wellness Council of Experts.

Hear from Dr Lorenzo

“As a Consultant Orthopaedic Surgeon, I am acutely aware of the importance of maintaining joint health, not only for mobility but for overall quality of life. In clinical practice, we often focus on structural interventions, but nutritional support plays an equally valuable role in supporting long term musculoskeletal function.

Totally Derma Collagen Supplements stand out due to their well considered formulation, particularly the inclusion of hyaluronic acid (HA). HA is a critical component of synovial fluid, the substance that lubricates and cushions our joints. Adequate levels are essential for reducing friction, supporting smooth movement, and helping to protect cartilage from wear over time.

In addition to collagen peptides, which provide key building blocks for connective tissue, the presence of hyaluronic acid makes this supplement especially relevant for those looking to support joint comfort and resilience. This combination reflects an understanding of both skin and joint physiology, which is often overlooked in many over the counter products.”