DULL, DRY SKIN

So many of our clients seek expert help for their dull, dry skin issues that they just can’t seem to take control on their own. We all long for skin that looks healthy and radiant, but with a multitude of internal and external factors having an impact on the appearance of your skin, a perfect complexion can often seem out of reach. Dietary and lifestyle habits, premature ageing, a weak skincare regimen, and sun damage are just a few of the common causes of dullness and dryness, but our range of highly advanced aesthetic treatments are the remedy you’ve been searching for.

THREAD VEINS

Thread veins, spider veins or broken capillaries are tiny, thin blood vessels that lie close to the surface of the skin and look red or sometimes purple. They are harmless but can make people feel very self-conscious, especially if on the face. Intense Pulsed light (IPL), Pulsed Dye Laser and Long Pulsed Nd YAG laser are highly effective when treating this condition. The thread vein is exposed to light energy, the temperature will rise in the area being treated. This damages and breaks down the vessels, which the body absorbs, making Thread veins less visible or destroying them completely.

ROSACEA

There are various forms that Rosacea can take, whether that is redness, blushing, pustules, small visible blood vessels, raised spots and lumps.

Rosacea mainly affects the face and can do so in varying degrees. A red acne-like rash and a burning or itching sensation can make people feel very uncomfortable in social situations.

Rosacea happens in both men and women, usually starting between the ages of 30 and 50. Common triggers for rosacea ‘flare ups’ include: strenuous exercise, spicy foods, alcohol, caffeine, temperature changes, exposure to the sun or wind, stress and skin products (such as oils and moisturisers). The condition can often be hereditary.

Rosacea tends to get worse with time, especially if left untreated. With treatment, it is possible to prevent rosacea from progressing and to reduce its appearance.

IPL Skin Rejuvenation is ideal for treating certain Rosacea symptoms such as redness, flushing, broken capillaries and thread veins. The laser energy is absorbed by the pigment in the blood which causes the blood to coagulate and the unwanted vein to collapse, without harming the surrounding tissue. The treated veins then gradually disappear as the healing process occurs. There is no cure for Rosacea but treatment can help to control and improve the skin.

PIGMENTATION AND SUN DAMAGE

Pigmentation (also known as sun spots) can be a result of numerous factors such as age or sun exposure and can often be difficult to treat. However, using the latest in innovative laser technologies these dark blemishes can be significantly reduced, leaving you with a brighter, clear and more even complexion. Results may vary from person to person.

We will advise you on a bespoke treatment plan at your initial consultation, after conducting a thorough skin assessment. The best results for your sun spots, age spots or liver spots can often be achieved using a combination of methods. The most important anti-ageing step you can take is to apply a daily sunscreen SPF 30-50 in winter and at least 50 SPF in the Summer.

MELASMA

Melasma (also known as Chloasma or the mask of pregnancy) appears as brown patches on the face, commonly on the cheeks, bridge of the nose, forehead, upper lip and chin.

Melasma is caused by hormonal changes, sun exposure and genetic predisposition. Hormone changes include external hormones such as the oral contraceptive pill or internal hormones changes due to pregnancy, polycystic ovaries (PCOS) and the menopause. It is more common in women aged 20 to 50 years but can also occasionally affect men. Women with olive or darker skin tones are more prone to Melasma. It is more pronounced in the summer.

There is no cure, but there are non-surgical procedures to help the appearance of skin discolouration.

FINE LINES AND WRINKLES

The ageing process is one that most of us dread and one that is simply unavoidable. The harsh truth is that your skin will become inevitably weaker over time, causing a crepey or wrinkled effect. These fine lines and wrinkles are particularly prevalent in areas with high muscle activity, such as the thinner, more delicate skin around the eyes, forehead and mouth. However, this process can happen a lot sooner for many of us, with fine lines and wrinkles starting to appear as early as our mid-20’s. There are many reasons as to why this might happen, such as long-term sun damage, or the lifestyle choices we make. Habits such as smoking and drinking can deprive your skin of essential oxygen and nutrients, breaking down collagen and elastin fibres that are essential for supporting healthy, youthful skin processes. As a result, fine lines and wrinkles set in, creating the tired, aged appearance to our skin that is so familiar for many of us. If you’re concerned about fine lines and wrinkles, get in touch to schedule your consultation and take advantage of our expert advice and our range of highly advanced aesthetic skin rejuvenation treatments.

LOSS OF VOLUME

Volume loss is yet another unavoidable aspect of the natural ageing process, and one that can have many knock-on effects for your skin. Over time, a breakdown in collagen, elastin and fat can lead to volume loss, as can various behavioural, environmental or hereditary factors. Deflated, sagging skin can add years to your appearance, with loose skin creating unwanted folds, creases, wrinkles and fine lines. Unfortunately volume loss can also create a jowl appearance around the jawline, as well as drooping around the mouth, flattened cheeks, sunken temples, or hollow-looking eyes.

There is a lot to take into consideration when it comes to volume loss, which is why a bespoke approach to treatment is the only way to offer the best results for each patient. Our team of experts at Juliette John tailor your treatment to perfectly meet your wants and needs, so that you can regain confidence in your newly lifted, rejuvenated skin.

FLATTENED OR SUNKEN CHEEKS

From adolescence, through to younger adulthood, our cheeks appear ‘rounded’ due to the full fat pads present under the skin. However, during the ageing process, the depletion of collagen and facial fat creates accentuated cheekbones and flattened facial planes. As this process continues, the cheeks may appear to be hollow; elasticity is lost and this can also result in the emergence of wrinkles. This process typically begins for many of us in our mid-late twenties as our skin’s support begins to naturally break down.

As well as being caused by the ageing process, sunken cheeks can be promoted by lifestyle factors such as extreme “yo-yo” dieting, smoking, prolonged sun exposure and excessive stress.

LIP LINES

Lip lines, also known as ‘lipstick lines’, are the result of collagen and elastin loss from the skin around the mouth. These lines vertical lines can appear around the mouth and develop across the top of the lip towards the nose. Lip lines are a common and natural sign of ageing, however, they can also be promoted through sun exposure. Sensitive skin exposed to harmful ultraviolet rays from the sun can cause premature ageing; this process is also known as ‘photo-ageing’.

Lip lines can alternatively be caused by smoking, hence some people referring to them as ‘smoker’s lines’. When one smokes, free radical cells are created in the body which stimulate the ageing process. Smoker’s lines can also be caused by the repetitive ‘drag’ motion in which the lips are pursed.

JOWLS

‘Jowls’ is the term given to the sagging skin below the jawline and chin. The appearance of jowls can significantly alter the face shape so that it appears square and less youthful. Jowls appear due to the loss of collagen and elasticity as we age, which both typically maintain our fuller facial look during our youth. Once these natural proteins are depleted, the skin will naturally sag due to the force of gravity. As well as being caused by natural ageing, genetics can cause the jowls to be more pronounced in certain people than others. For example, those with thinner skin are more likely to get jowls, and they may also acquire them earlier in life.

Jowls can be cause as a result of lifestyle and environmental factors, too. Patients with increased sun exposure, excessive weight loss and who smoke will be much more susceptible to sagging skin below the jawline and chin. Jowls have even been said to appear as a result of technology in recent years, with patients constantly tilting their heads down to look at their phones; this has been referred to as “tech neck”.

AGEING DÉCOLLETAGE

The décolletage is a woman’s cleavage area, as revealed by a low neckline on a dress or top. It is a very delicate area of the body; it has fewer hair follicles and so not much oil production, which in turn means that it very susceptible to the ageing process. The décolletage is an area in which age spots may occur; wrinkles running vertically up the décolletage is also very common, and can become a significant aesthetic concern for many women.

Sun exposure and harmful UV rays can also affect and damage the appearance of the décolletage, due to its thinner skin being exceptionally vulnerable. This skin may also be more prone to inflammation as it becomes thinner and more sensitive in later stages of the ageing process.

AGEING NECK

Our Aesthetic Treatments will improve the appearance and health of the skin around the neck and jaw, reducing the appearance of sagging and other visible signs of ageing caused by loss of volume, sun damage, pollution and gravity.

LOOSE SKIN

Loose skin can often be an unfortunate side effect of extensive weight loss, as the loss of fat leaves behind excess and stretched skin. Loose skin is also a very common sign of ageing; as the skin naturally loses its elasticity and collagen over time, our muscles begin to diminish and our skin is unable to retain its tight appearance. This is when the skin around the face, abdomen, neck, thighs, underarms and other body parts may begin to sag.

In addition to weight loss and ageing, loose skin can also be a result of increased sun exposure which may cause a depletion in elastin and collagen. In some cases, loose skin can simply be hereditary and part of our individual genetic make-up.

The ever increasing use of technology from a young age is also creating the phenomenon commonly known as ‘Tech Neck’, whereby exposure to artificial light from phone and computer screens is having a detrimental effect on the skin around our face and neck.

ENLARGED PORES

Enlarged pores are an extremely common skincare concern for many patients, occurring as a result of excess oil production within the skin. Sometimes, your sebaceous glands go into overdrive, producing excess oil that then clogs your pores as it combines with dead skin cells and other dirt and debris on the surface of your skin. Clogged pores consequently become wider and more visible, a process which can also lead to the formation of blackheads. Sun exposure and genetics also may be a factor. Large pores can worsen as we age due to weakened skin laxity.

ACNE

Acne is caused by an over production of sebum (an oily substance secreted by glands found in the hair follicle). Bacteria build’s up and this can result in a break out. Acne can be triggered by hormonal changes, stress, make-up, diet and medication.

If dead skin cells lining the opening of the hair follicles aren’t shed properly, they can clog up the follicles. This build-up of oil in the hair follicles creates an ideal environment for bacteria to grow, which feed off the sebum and produce substances that inflame the skin. This creates spots and the redness associated with acne.

In more severe cases, inflammatory acne and cysts can develop beneath the skin’s surface. If these cysts rupture the infection can spread which can result in scarring. To avoid this, acne needs to be treated early and effectively.

ACNE SCARS

Acne scarring is unfortunately a very common condition for those that have suffered with severe and aggressive acne. Scarring occurs when the infected material of a lesion spills onto the skin after a pimple breaks, or is squeezed. The once healthy skin is compromised, and although the skin is able to repair itself, the scar tissue has a different appearance on the skin; this is what causes the visible acne scarring. The type of scarring caused by acne is known as ‘atrophic’ or ‘depressed’ scarring, which occurs when there is a loss of tissue.

Active acne can be treated so that the chance of scarring is reduced, which is why we always encourage our patients to come for acne treatment and prevent future scars.

SCARS

Scars naturally form as a result of trauma to the skin, possibly following surgery, an injury, acne, or a burn.

As the body heals, skin produces new collagen tissues to repair the injury. The scar itself may then appear to be a different colour and texture to the rest of the skin, which can be an aesthetic concern for some patients.

PUFFY EYES

“Puffy eyes” is another term used to describe swelling around the eyelids, and can occur due to the gathering of excessive fluids in the surrounding skin tissue. There are a variety of factors which can result in puffy eyes, including; overconsumption of salt, extra liquid retention, fatigue, allergies, ageing and dehydration.

The natural ageing process can result in puffy eyes and swollen eyelids, due to the inevitable thinning of the septum. The septum usually retains the position of the fat inside the eye socket, but as it herniates and pushes forward, it can move the fat underneath the eye, thus causing visual bulges.

Puffy eyes are usually no sign for medical concern, however, they may indicate underlying medical issues, especially if they arise suddenly. For example, the swelling under the eyes can be a symptom of thyroid disease and on a smaller scale indicate allergies.

CROW’S FEET

It is likely that you will have heard the term “crow’s feet” before in reference to skincare and ageing skin. This term, aptly named due to the distinct shape as they radiate outwards, is referring to the fine lines and wrinkles that most people start to notice around the eyes with age. More often than not, the eyes are one of the first places to show the signs of premature ageing due to the thinness and delicacy of the skin in this area. The skin around the eyes can be as thin as 0.05mm as opposed to 1.5mm in the thickest areas around the palms of the hands and the soles of the feet. The ageing process is often accelerated by factors such as sun damage, overactive muscles and lifestyle habits such as smoking and drinking. For this reason, crow’s feet can begin to appear at an earlier age for some patients, as young as their early to mid-20’s.

Many patients waste precious time and money investing in skincare products that rarely produce effective results, and finding the right product for you within such a saturated market is a near impossible task. For effective skin rejuvenation, the expert team at Juliette John are here to advise you. We’d love to hear from you, so don’t hesitate to get in touch!

AGEING HANDS

As our hands age and lose their natural plumpness, they often become wrinkled, have more prominent veins and sometimes gain age spots. Noticing that time is taking its toll on your hands is just part of the natural ageing process and is due to depletion of elastin and collagen. However, the ageing process can be perpetuated by sun exposure, and this is especially true of age spots, or ‘sun spots’, which can often be found on the backs of the hands. Those who spend a lot of time outside and exposed to the elements will be more susceptible to hands ageing prematurely.

FUNGAL NAIL

Fungi itself is commonly found in the body just like bacteria, but excess fungi on or inside the nail bed can result in an infection, and signs of this infection can include the discolouration of the nail, or a change in texture as it becomes brittle. The infection causes thickened and unsightly nails, which can often become painful as well as be aesthetically displeasing.

Fungi is particularly common in the toenails due to their confinement within socks and shoes, which often provide the optimum warm, moist conditions in which fungi thrive.

Certain factors can increase one’s risk of contracting a fungal nail; for example, the elderly and people with diabetes or weakened immune systems are often more likely to get an infection. Athletes also commonly develop fungal nails as they frequently spend time in changing rooms, swimming pools or regularly wear sports shoes that encourage the condition.

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WARTS

A wart is a growth that appears on the body due to the infection of viruses from the HPV family (human papillomavirus). There are a number of different types of warts: the common wart, pigmented warts, flat warts and plantar warts. Warts can look like solid blisters or small cauliflowers; they can form anywhere on the body but are most common on face, hands, fingers and feet.

Patients with weakened immune systems are more susceptible to warts, and they are often found in children as well as adults. Most warts will disappear on their own over time, however there are cosmetic treatments available for those that require wart removal.

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VERRUCAS

Verrucas, sometimes referred to as ‘plantar warts’, are warts that develop on the soles of the feet, often when a virus enters the skin through a breakage. A verruca is different to a normal wart, because it is pushed into the skin by the pressure that is exerted on the feet from standing. This may cause pain or discomfort at times, although verrucae are largely harmless.

Verrucas are often contracted in public places such as swimming pools or changing rooms, where conditions are moist and warm; perfect for promoting the replication of bacteria and viruses. People with a compromised immune system or those who are prone to developing warts and skin lesions are more likely to develop verrucae.

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SKIN TAGS

Skin tags are harmless lesions that are found on the skin and made up of blood vessels and collagen.

Skin tags are caused by friction, usually within natural skin creases. Although they can occur anywhere on the body, this explains why they are most commonly found on the neck, and eyelids, in the groin, under breasts, or in the armpits.

As well as added friction caused by clothing, excess skin can also increase the likelihood of developing skin tags, for example from aging, pregnancy and weight gain.

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MILIA

Milia, are small, hard white bumps caused by the trapping of dead skin cells close to the skin’s surface. Milia are often found on the face, most frequently around the eyes, on the eyelids or on the cheeks. These ‘milk spots’ are commonly associated with infants, but milia often occur in adults too.

Milia regularly appear after some form of damage to the skin, such as an allergic reaction, blistering of the skin or severe sunburn. After trauma, the number of skin cells trapped under the surface increases. Although milia are not harmful or painful to patients, you may wish to remove them for aesthetic reasons.

STRETCH MARKS

Although stretch marks are not usually a medical concern for patients, they can be unsightly and cause us to feel less confident within our own bodies. Stretch marks appear as parallel lines of thinned skin, and are commonly found on the breasts, buttocks, thighs, abdomen and hips. They can be dark or light in appearance, and are caused by the stretching of the skin, coupled with an increase of a hormone called ‘cortisone’ within the body. Excess cortisone results in the skin losing its elasticity.

Stretch marks commonly appear in adolescents who are experiencing rapid growth in certain areas of the body. Similarly, pregnant women often suffer with stretch marks; as the baby grows, inevitably the skin must stretch, and those with less elasticity to their skin may see these marks appear as the skin stretches. Stretch marks can be attributed to fluctuating weight gain.

CELLULITE

Cellulite is a common condition in which the skin appears dimpled and bumpy. Cellulite most frequently affects the arms, buttocks and legs, and is the product of deeper fat cells protruding into the above layer of skin, to creating the dimpled effect. Although cellulite does not pose any medical concerns, many patients can often find it aesthetically unpleasing.

Aging can be a contributing cause of cellulite. As women age, oestrogen levels decrease, which in turn reduces the natural production of collagen, and alters the blood flow. Genetics are also a significant factor in the prominence of cellulite, as these determine one’s metabolism and the natural production of fat cells. Particular lifestyle choices may also increase the risks of cellulite developing, such as smoking or maintaining an unhealthy diet high in carbohydrates salts and sugars.

BODY FAT

As we age our fat distribution alters and accumulates high on the stomach, making a flat tummy seem like a distant thing of the past. For women suffering from mummy tummy, due to the muscles tearing during pregnancy, losing that wobbly tummy can seem impossible.

Love handles, or a muffin top, are fat accumulations at the sides and the back of your stomach area. These unwanted fat bulges can be caused by a poor diet, lack of exercise, too much alcohol, hormones, genetics and age. For men or women suffering from love handles, crunches and cardio may not be enough. Many people suffer from stubborn fat pockets around their bodies, which are hard to shift, no matter how much they diet or exercise. Some of the most common areas affected are the hips (‘love handles’) and thighs for women, and breast area (man boobs or moob’s) and chin for men.

EXCESSIVE SWEATING / HYPERHIDROSIS

Excessive sweating, medically known as “hyperhidrosis”, is a condition in which the nerves that are responsible for operating the sweat glands become overactive, thus resulting in dramatically increased perspiration. Hyperhidrosis is a very common condition which may develop at any point in life, and can affect the full body, or just in certain areas – most commonly the face, hands, soles of the feet and armpits.

Excessive sweating can be triggered by pregnancy, medical side effects, anxiety, menopause, and more, interfering in work and daily life. Botulinum toxin is injected into sweat glands in the armpits, hands or feet in a procedure that’s both quick and safe. This safe procedure is proven to give dramatic and life-changing results for many who suffer from this condition.

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HAIR LOSS

Hair loss is a very common, natural process that often occurs as part of the ageing process, although there are other conditions with symptoms of hair loss. These conditions include: alopecia, thyroid problems, protein deficiencies, anaemia, stress, emotional trauma, side effects from medications, and other psychological conditions. Hair loss can also be due to hormonal changes and imbalances in the body that occur during puberty, menopause or pregnancy.

Hair loss in itself is not medically harmful, but it can trigger personal insecurities.

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THIN OR ASYMMETRIC LIPS

Asymmetric or thin lips are caused due to the underdevelopment of one or both lips resulting in an uneven, thinned appearance. Visually, full lips are a sign of femininity, and if your lips are thinner than usual, you may feel that they look unappealing or cause you to feel less confident. Thin or asymmetric lips may be due to genetic factors, where the lips have just naturally underdeveloped. However, they could also be caused by the natural ageing process, trauma to the lips, or metabolic conditions. If your lips are thinning as you age, this occurs due to a loss of collagen around and within the lip area, and the tiring of the muscles around the mouth as we get older.

FACIAL ASYMMETRY

Complete facial symmetry is not something any of us naturally possess, but sometimes our facial asymmetry may be more obvious, and in some cases may not only be personal, but will also be noticeable to those you encounter.

Symptoms of facial asymmetry include: an uneven jaw, facial paralysis, irregularly sized ears or eyes, varying skull shape, a misshapen nose, or differing cheekbones.

The causes of facial asymmetry are complex and may be due to: genetics, systemic causes such as growths, inflammation as the nerves are attacked by bacteria and past trauma from damage to the facial structure. Facial asymmetry can also be a caused as a result of health factors, such as the involvement in activities that adversely affect your facial shape and structure, including: smoking, inadequate oral hygiene, contact sports, and alcohol or substance abuse.

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UNWANTED HAIR

Unwanted or increased hair growth can sometimes appear due to hormonal conditions causing the growth of more hair in certain places than we might desire. Medication can also be a catalyst for excessive hair growth, or it can simply be hereditary.

Sometimes the hair can be very dark and more obvious in certain areas of the body, so although it does not pose a health risk, many patients chose to have treatments that reduce their unwanted hair growth.

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TEENAGE SKIN

As we enter the teenage years, our skin undergoes vast changes due to a fluctuation in hormone levels in both males and females. The change in these hormones, especially as levels of testosterone in the system increases, may result in the sebaceous oil glands producing increased sebum, which plugs hair follicles and promotes oily skin – as well as acne and other blemishes. Breakouts are most common in the “T-Zone” of the face, due to the large quantity of oil glands we have in these areas, including the forehead, nose, around the mouth and the chin.

Problematic teenage skin is a common worry for many teens, who may be insecure and less confident as a result. Breakouts, which may also result in scarring, can then go on to affect a patient for the rest of their life if the condition is left untreated. For this reason, many people wish to target their teen acne with various forms of treatment.