Skin Laxity and Skin Quality Treatment in Marylebone, London
Generalised loss of skin tightness, hydration, and luminosity — the "skin quality" complaint. Treated with regenerative injectables (Profhilo, polynucleotides), biostimulators, and UltraClear laser, ideally before reaching for structural filler.
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What you're seeing
The concern
Skin quality — how tight, hydrated, and luminous the skin looks — often has a bigger effect on how someone reads than any single line or volume change. From the late twenties, collagen and elastin production declines steadily; from the late thirties, the skin’s hyaluronic acid retention drops, so it becomes thinner, drier, and less reflective. The visible result is a "loss of glow", crepiness on the lower face and neck, fine lines that appear without any specific muscle movement, and a generally tired, drained look even when well-rested. None of this responds well to filler, which adds volume in a specific spot rather than improving the overall skin canvas.
The right tools are regenerative and work with the skin’s own biology. Profhilo and similar bioremodellers deeply hydrate and stimulate the skin across the face, neck, and chest; polynucleotides repair and improve quality in finer or more delicate areas such as the under-eye; collagen-stimulating biostimulators firm over months; and UltraClear laser resurfacing improves surface texture and tone where appropriate. Many patients combine several of these over a few months, layered onto an updated daily skincare routine. Dr Elgey’s whole-patient, GP-trained approach treats the canvas first — improving the skin usually means less filler is needed later for the same visible result.
Why it happens
What drives it
- Natural collagen and elastin decline from the late twenties onwards
- Reduced hyaluronic acid retention from the late thirties onwards
- Cumulative UV damage — the single largest driver of skin-quality decline
- Smoking, which accelerates collagen breakdown disproportionately
- High glycation (chronic high sugar intake) stiffening collagen
- Hormonal change (perimenopause, post-natal) producing a rapid visible drop
- Chronic poor sleep, dehydration, and high stress
Treatment approach
How Paul treats it
Skin Boosters & Biostimulators
By consultationFirst-line for generalised skin-quality decline. Bioremodellers such as Profhilo and Sunekos deeply hydrate and stimulate the skin across the face, neck, and chest, while collagen-stimulating biostimulators firm over months. Delivered as a short initial course; product and protocol chosen to the individual at a doctor-led consultation.
See treatment detail →Polynucleotides
By consultationParticularly useful for delicate areas such as the under-eye where bioremodellers are not the right tool. A short course stimulates repair and improves elasticity and tissue quality from within; combinable with skin boosters as part of a staged plan.
See treatment detail →UltraClear Laser Resurfacing
By consultationUltraClear laser resurfacing improves surface texture and tone and stimulates collagen, addressing the skin-surface component of the complaint with controlled downtime. Suitability and settings are confirmed for your skin type at a doctor-led assessment.
See treatment detail →Signature Full Face Rejuvenation
By consultationWhere skin quality is one strand of a broader plan, the signature full-face programme sequences regenerative injectables, biostimulators, laser, and skin work across staged appointments so the canvas is improved before any structural treatment.
See treatment detail →FAQ
Common
questions
Why not just have filler for everything?
Filler adds volume in a specific anatomical site; it does not improve overall skin quality, and over-filling a face with good structure but poor skin quality usually looks worse than treating the skin first. The regenerative approach — bioremodellers, polynucleotides, biostimulators, and laser — improves the canvas, and structural filler may follow once the skin is better. Most patients end up needing less filler than they expected.
How quickly will I see a change?
It depends on the treatment. Bioremodellers such as Profhilo typically show visible improvement from a few weeks after the first session, peaking over the following weeks. Polynucleotide and laser results build cumulatively across a course. Because the change is gradual, it is best judged with photographs taken at each visit rather than by day-to-day mirror checking, which misses slow improvement.
Can these treatments be combined?
Yes — frequently. A typical "skin protocol" might layer a bioremodeller, polynucleotides, and laser across staged appointments over a few months, agreed at consultation. Some regenerative treatments can be done on the same day; others are spaced for comfort and safety. The sequence is planned to your skin and your timeline so the treatments complement rather than compete.
Does daily skincare matter, or is the in-clinic treatment enough?
Skincare is the foundation that in-clinic regenerative treatment builds on. Without daily SPF, a retinoid, and an antioxidant such as vitamin C, the gains from bioremodellers and laser fade faster. Dr Elgey will recommend a personalised routine at consultation; products are not sold in the clinic, so you can buy from any reputable source rather than being tied to a brand.
Is skin-quality treatment safe across all skin types?
The injectable regenerative options are generally safe across all skin types. Laser indication and settings matter more in darker skin, where the choice of device and energy is adjusted to reduce the risk of pigment change — which is exactly why a doctor-led assessment of your skin type comes before any laser treatment. Your specific protocol is discussed and screened at consultation.
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Dr Paul Elgey Aesthetics • Unit 1, Orchard Street, London W1H 6HJ
BookAppointments typically available within 1–2 weeks