Changes that are cosmetic rather than medical — and where honest expectations matter most.
What you may notice
Everyone, and accelerated substantially by sun exposure and smoking
Photoageing and intrinsic ageing produce different changes and respond to different treatments — resurfacing for texture and pigment, vascular laser for vessels, injectables for movement lines and volume. What none of them does is stop the process, and any plan that does not include daily photoprotection is treating the result while leaving the cause running.
Treatments
What each treatment involves, how many sessions it takes, and what the downtime actually is.
A full skin assessment with a consultant dermatologist, and a written plan.
A systematic examination of the whole skin with dermoscopy and mapping.
Removal of lesions under local anaesthetic, with histology on everything taken.
Prescription treatment for acne, eczema, psoriasis, rosacea and hair loss, with review.
Identifying the substance causing a contact dermatitis, which is how it is treated.
Controlled narrowband UVB, given in a cabinet two or three times a week.
Treatment for facial redness, thread veins and the visible vessels of rosacea.
Fractional laser for texture, scarring and sun damage, with real downtime.
A controlled exfoliation for pigmentation, texture and congestion.
Muscle-relaxing and volumising injections, given by a doctor after assessment.
Appointments
Every treatment starts with an assessment by a dermatologist. Bring photographs of anything that comes and goes — it will not be there on the day.