Skin Tone, Texture, and Pigmentation Treatment in Marylebone, London
Sun spots, uneven tone, rough texture, and dull, weathered skin are the surface signs of cumulative UV damage and ageing. Improved with UltraClear laser resurfacing and regenerative skin treatment, after a doctor-led assessment of your skin type.
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What you're seeing
The concern
Uneven skin tone and texture are the surface signature of sun exposure and time: scattered brown sun spots (solar lentigines), patches of uneven pigment, enlarged-looking pores, rough or weathered texture, and an overall loss of clarity and brightness. The majority of this is photoageing — cumulative ultraviolet damage that accelerates the breakdown of collagen and disrupts the skin’s pigment-producing cells. Because the change sits at the skin surface and in the upper dermis, it responds to treatments that resurface and renew the skin rather than to volume or muscle-relaxing treatments.
UltraClear is a cold-fibre laser platform used for skin resurfacing — it targets fine lines, texture, tone, and early signs of ageing while keeping downtime controlled. Regenerative injectables and a corrective daily skincare routine support and prolong the result. The most important step, though, is the assessment beforehand: laser indication and settings must be matched to your skin type, because in darker skin the wrong device or energy can worsen pigmentation rather than improve it, and some pigment patches (such as melasma, or any changing or atypical lesion) need a different approach or onward referral entirely. Dr Elgey’s medical training means suitability and safety are established before any treatment, not assumed.
Why it happens
What drives it
- Cumulative UV (sun) damage — the dominant cause of pigmentation and texture change
- Natural collagen decline reducing skin smoothness and clarity
- Post-inflammatory pigmentation following spots, injury, or irritation
- Hormonal pigmentation (such as melasma), which needs a tailored approach
- Genetic skin type and a tendency to pigment
- Smoking and other lifestyle factors that dull and weather the skin
Treatment approach
How Paul treats it
UltraClear Laser Resurfacing
By consultationUltraClear cold-fibre laser resurfacing targets uneven tone, surface texture, fine lines, and early signs of ageing with controlled downtime. Suitability, indication, and settings are confirmed for your skin type at a doctor-led assessment first — particularly important in darker skin, where device and energy selection matters most.
See treatment detail →Polynucleotides
By consultationRegenerative injectables improve the underlying skin quality — repair, elasticity, and tissue health — that supports and prolongs a resurfacing result. Useful as part of a staged plan rather than as a standalone pigmentation treatment.
See treatment detail →Signature Full Face Rejuvenation
By consultationWhere tone and texture sit alongside volume loss or skin laxity, the signature full-face plan sequences laser, regenerative work, and a corrective skincare routine across staged appointments so the surface, the canvas, and the structure are addressed in the right order.
See treatment detail →FAQ
Common
questions
What actually causes my uneven skin tone and sun spots?
The large majority is photoageing — cumulative ultraviolet damage over years that disrupts the skin’s pigment cells and breaks down collagen, leaving sun spots, patchy tone, and rough texture. Hormones, past spots, and skin type also contribute. Because the change sits at the skin surface and upper dermis, it responds to resurfacing and renewing treatments rather than to filler or muscle-relaxing injections.
Is laser resurfacing safe for my skin type?
It can be, but only after an assessment. In darker skin the wrong device or energy can worsen pigmentation rather than improve it, so indication and settings are matched to your skin type before treatment, never assumed. This is exactly why a medical, doctor-led assessment comes first — and why an honest plan will sometimes recommend a gentler route or skincare-led approach instead of laser.
How much downtime does UltraClear involve?
UltraClear is a cold-fibre platform designed to keep downtime controlled relative to older ablative lasers, but resurfacing does involve some recovery — typically a period of redness and flaking as the skin renews, with the exact downtime depending on the depth of treatment chosen. The expected recovery for your specific protocol is explained at your assessment so you can plan around it.
Will one session clear my pigmentation completely?
Usually not in a single session. Tone and texture improvement is typically built over a course of treatments, with the skin continuing to improve in the weeks after each one as it renews and produces fresh collagen. Realistic expectations are set at consultation, and progress is best tracked with photographs. Daily SPF afterwards is essential — without it, new sun exposure simply reverses the gain.
Could my pigmentation be something that needs a doctor to check?
Possibly — and this is where a medical background matters. Most sun spots and uneven tone are harmless photoageing, but any mole or pigmented lesion that is changing, irregular, or new should be assessed before any cosmetic treatment, and conditions such as melasma need a tailored approach rather than standard resurfacing. Dr Elgey will flag anything that needs a different pathway or onward referral.
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Dr Paul Elgey Aesthetics • Unit 1, Orchard Street, London W1H 6HJ
BookAppointments typically available within 1–2 weeks