Skin Rejuvenation in Marylebone, London

Most skin rejuvenation protocols need 3 sessions spaced 4 to 6 weeks apart to see meaningful change. Pigmentation protocols often need 4 to 6 sessions; ice-pick acne scarring often needs 4 to 8 TCA CROSS sessions spaced 6 weeks apart. Dr Valentina writes the full protocol with session count and cost at the initial consultation so you know the full commitment before starting.

Microneedling with topical numbing feels like gentle scratching — most patients rate it 3 out of 10. Superficial chemical peels tingle for 60 seconds. Fractional laser with pre-cooling and topical numbing rates 4 out of 10. TCA CROSS on individual acne scars is brief but sharp (spot-treated with tiny amounts). No general anaesthesia or sedation is ever required for these treatments.

Microneedling: 24 to 36 hours of mild redness; most patients return to work the next day with light makeup. Superficial peel: 2 to 5 days of flaking that can be concealed. Fractional non-ablative laser: 48 hours of redness and mild swelling. TCA CROSS: 5 to 7 days of small frosted spots that heal to pink then fade over 4 weeks.

Yes. Medical microneedling, glycolic and mandelic peels, and carefully selected non-ablative lasers are safe for Fitzpatrick IV–VI phototypes. Treatments that risk post-inflammatory hyperpigmentation in darker skin (certain ablative lasers, IPL, strong TCA peels) are avoided. Pre-treatment with tyrosinase inhibitors for 4 to 6 weeks is typically added to the protocol to reduce PIH risk further.

Yes, but with timing. Anti-wrinkle injections and dermal fillers should be spaced 2 weeks before or after microneedling, peels, and laser. Profhilo can be done on the same day as superficial peels. Two different rejuvenation modalities (e.g. microneedling + peel) are sometimes combined in one session for synergy — Dr Valentina will decide based on your tolerance and goal.

Immediate glow is visible 24 hours after the first session as surface skin sheds and new cells surface. Structural results (reduced scarring, improved texture, collagen remodelling) become visible from session 2 onward and continue developing for 3 months after the final session. Full protocol results are assessed at the 12-week review, which is included in every course.