Conditions

Many patients come with a specific condition in mind. The plans below show how I typically approach some of the most common ones. They are examples, not prescriptions: your own plan will depend on your anatomy, skin, health and goals, and I will always explain why I suggest a particular order.

Lines & Wrinkles

Dynamic lines caused by facial movement and static lines are the lines seen on the skin at rest.

Daily SPF, retinoid and antioxidants the foundation for every plan.
Anti-wrinkle injections for lines caused by muscle movement.
Skin boosters or polynucleotides to support the thinner skin around the eyes, target the radial lines on the cheeks and the sides of the mouth and lines around the mouth.

Crow’s feet, frown lines & forehead lines

Expression lines around the eyes, between the eyebrows and on the forehead

Daily SPF and retinoid to protect results and slow further lines.
Anti-wrinkle injections carefully balanced doses to soften movement while keeping natural expression.
Skin boosters, peels or microneedling to improve skin quality and soften finer lines.

Downturned mouth

Downward turned corners of the mouth

Assess muscle pull and support
Targeted anti-wrinkle injections where muscle activity is contributing.
Small amounts of filler to support the chin and mouth corners where suitable.

Marionette lines

Lines running from the mouth corners to the chin

Restore mid-face and jawline support fillers or biostimulators (CaHA or PLLA) often reduce the pull on the lower face.
Targeted filler for the lines themselves, if still needed.

Nasolabial folds

Folds from the nose to the corners of the mouth

Support the cheeks first dermal filler or biostimulators, which can soften the folds indirectly.
Targeted filler into the nasolabial fold only if the fold remains after mid-face support.

Jowls

Loss of definition along the jawline

Dermal Fillers or CaHA to restore support to the jawline and chin where suitable.

Excessive sweating

Hyperhidrosis, such as underarms, palms of the hands and soles of the feet

Medical assessment I will confirm the pattern and rule out other causes at consultation.
Injectable treatment a doctor-led, prescription-only option suited to certain areas.
Repeat treatment effects are temporary, so a review schedule is agreed with your doctor.

Neck lines

Horizontal lines and crepey skin on the neck

Polynucleotides or skin boosters for hydration and repair in thin skin.
Profhilo to improve quality and firmness.
Biostimulators- such as hyperdilute Radiesse to stimulate collagen

Neck band

Vertical bands, often more visible with movement

Assessment of muscle and skin laxity to see whether bands, laxity or both are the main issue.
Anti-wrinkle injections in suitable patients to soften the bands.
Biostimulators- such as hyperdilute Radiesse to stimulate collagen

Dull complexion

Tired, uneven or lacklustre skin

Daily SPF, retinoid and antioxidants the foundation for radiance.
Chemical peels or microneedling to support cell turnover and even tone.
Skin boosters, Profhilo and Polynucleotide for hydration and glow.

Skin dehydration

Dry, tight or rough-feeling skin

Hydrating facials to support the skin barrier.
Skin boosters or Profhilo hyaluronic acid-based treatments for deeper hydration
.
Polynucleotides to support repair and skin quality.

Under-eye hollowness

Hollows, shadows or thin skin below the eyes

Assess anatomy and cheek support not every patient is suitable for treatment in this area.
Polynucleotides or skin boosters to improve skin quality and thin, crepey skin.
Carefully placed filler for suitable patients, usually alongside mid-face support.

Perioral lines

Vertical lines around the mouth

Skin-quality treatments peels, microneedling or skin boosters to improve texture.
Small amounts of filler to soften deeper lines and support the lips.
Anti-wrinkle injections where appropriate, in very low doses.