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We are thrilled to now be approved partners of the OBAGI Medical skincare brand. With over 35 years of industry experience, this is the number one Physician-dispensed brand in the US and, as a Pharmaceutical company, their products are clinically sound and evidence based.   Retinoid These Vitamin A derivatives remain the gold standard in skincare, with decades of robust evidence. OBAGI provide Tretinoin up to 0.1% strength. There are also lower strength Retinol 1% and the amazing PHA and Retinol Night cream-both are wonderful introductions to the world of Retinoids to those that haven’t used them before but want to start their journey cautiously. In clinic, we can advise on the best option for you and a suitable nitration regime to optimise the outcome.   Professional C Serum An essential addition to any skincare regime, vitamin C boosts collagen, protects against environmental damage via antioxidants, reduces inflammation and evens skin tone and pigmentation. The OBAGI Vitamin C serum has been found to have significantly improved absorption compared to the similar luxury market leader through its unique formulation. With strengths of 10%, 15% and 20%, there is an option to suit most people and this can be discussed in clinic.   Rebalance Cream If there was ever a product that can hydrate and calm the skin-for every skin type, age and sensitivity-this is it. It gently soothes, calms and restores whilst improving the skin barrier, reducing inflammation, reducing downtime following procedures and counteracting Trans Epidermal Water Loss (TEWL). Suitable for both regular, daily and occasional use, it’s a must for every household and skincare regime. But these are only part of the OBAGI story. There are huge options from Hydrators to Cleansers via  anti-pigmentation treatments through to skin transformation regimes.  If you want to discuss the OBAGI range and how it may help you, book an appointment in clinic to find out more!

Summer is just around the corner (at last!) and these are my top clinic tips to get your skin radiant and glowy in time for the beach, rose, al fresco entertaining, whatever takes your fancy. So much of our important skincare is done at home-so we always start with that-but clinic treatments are regenerative options when we want that collagen boosting effect, an extra glow before an event…or just because!   Sunscreen Non negotiable! All year round application is important, even in the UK in Winter.  There are two types of UV rays to be aware of in skincare: UVA and UVB. UVB are the BURNING rays, also associated with increased skin cancer risk. The “SPF” number on sunscreens correlates to the protection against UVB rays. I always recommend SpF 50, but remember, nothing is 100% effective so it’s still important to reapply regularly, using the correct amount (2 finger breadths for your face and neck), avoid the midday sun between 1200-1500 and wear a wide-brimmed hat. UVA are the AGEING rays, associated with pigmentation, collagen loss and fine lines and wrinkles. In the UK, UVA protection is marked by a “UVA” word within a circle, noting that the UK/EU standard of protection has been reached, or a collection of stars/PA + symbols-look for a minimum of 4-the higher the number, the greater protection. LaRoche Posay, Ultrasun, Heliocare and Avene have some great broad spectrum, UVA and UVB SPF 50 options.   Actives It can take between 6 and 52 weeks for active skincare ingredients to have their maximal effect, depending on the ingredient, so starting as soon as possible will reap the rewards when it comes to skin boosting. Retinoids: these gold standard vitamin A derivatives are important to increase cell turnover, reverse the signs of photo-ageing, improve collagen and dermal thickness and reduce uneven tone and pigmentation. Start at a low dose and build up as tolerated. The most robust evidence supports the use of Tretinoin, a prescription strength retinoid, greater than 0.05%. Vitamin C: this powerful antioxidant helps to protect skin from ageing and oxidative stress/free radicals and improves firmness, tone, texture and skin brightness. The formulation with the most robust evidence is SkinCeuticals CE Ferulic. Peptides: peptides can help to reduce the appearance of fine lines and wrinkles whilst improving skin texture and radiance. SkinCeuticals P-Tiox and Nip and Fab Peptide Fix Finishing Oil are great options. Azelaic Acid: in a strength of 10% has been shown to have a brightening and antioxidant effect on the skin-adding radiance, glow and protecting the skin from harmful toxins. Anua 10% or The Inkey List 10% are favourites.   babyGLOWⓇ treatment with Redensity 1 by Teoxane Designed to enhance your skin’s natural light from the very first session, babyGLOW by Teoxane improves elasticity, hydration and radiance of the skin. WIth Hyaluronic Cid, amino acids, vitamins and minerals, this minimal-downtime, comfortable skin-boosting procedure is a course of 2-3 treatments, 1 month apart. Perfect for an additional boost and to improve longevity in skinhealth.   SkinPenⓇ Microneedling The ultimate in natural collagen stimulation, SkinPen was the first FDA-registered microneedling device and still recognised as the market leader for results, safety and efficacy. Usually given as a course of at least 3, 1 month apart, we use controlled microtrauma into the skin to create millions of channels which stimulate our body’s natural repair mechanisms, starting the collagen-producing cascade. Perfect as an introduction to aesthetics, for those that don’t want deeper injections or as part of a skincare regime for those who value truly natural, regenerative skincare treatments.   PCA Chemical Peels “You don’t need to peel to have a peel” PCA in-clinic peels are superficial depth with minimal downtime-usually mild redness or flaking at most for a couple of days. But don’t be fooled by the lack of outward skin reaction-true magic is happening underneath. PCA has a bespoke cocktail of Chemical peels available that we can tailor to your specific needs including pigmentation, congestion, sensitivity or just for general skin brightness and radiance. Improved cell turnover and increased absorption of active ingredients are just some of the benefits.   Polynucelotides These have taken the aesthetic world by storm in the last few years and with good reason. Known by their other term, the “salmon sperm facial”, these tiny fragments derived from the DNA within the gonads of Salmon or Trout, work at the cellular level, repairing and regenerating in a unique way to improve skin healing, collagen, inflammation and luminosity. Suitable for anywhere on the body, they are particularly suited for eyelids and face/neck areas needing some repair. There isn’t a one-size-fits-all approach to clinic skin health and longevity treatments. That’s why a consultation to discuss your personal goals, medical history, timelines and budget is essential. Le’ts make a plan together, and book your consultation at www.drfionasteedman.co.uk and make this your skin’s best summer yet!

Botulinum Toxin continues to be the most popular treatment in Aesthetic Medicine.  And for good reason: it’s quick, safe, effective and delivers natural looking results when used correctly. In this guide, we will discuss what exactly it is, how it is used in aesthetics and what it can improve in terms of refreshment and rejuvenation. What is Botulinum Toxin? Botulinum Toxin is a purified protein derived originally from the bacteria, Clostridium Botulinum. When used in tiny, controlled doses it acts as a neuromodulator: it temporarily relaxes muscles by blocking nerve signals. This reduces movement in these areas and softens dynamic lines whilst preventing new ones from forming. This can lead to a “fresher” and less tired looking appearance.   Who discovered it? In the 1990s, a Dermatologist and Ophthalmologist together noticed a reduction in wrinkles associated with medicinal use in eye complaints. This led to it being approved for cosmetic use and an explosion of patients worldwide having this treatment to present day. Different Types of Botulinum Toxin Typically, we use Botulinum Toxin Type A. There are several different brands available: -BotoxⓇ -AzzalureⓇ -BocoutureⓇ -DysportⓇ -RelfydessⓇ The choice generally depends on the practitioner-what they are familiar with or what particular individual component they require from each preparation.   How does it work? It blocks the signals between the nerve and the muscle that it supplies leading to muscle relaxation and a smoothing of the skin overlying this area. It starts to work on average between 3-5 days after injection and peaks at 10-14 days, lasting around 3-4months depending on the area and the patient’s metabolism.   Where can we treat? The most common areas that are known for treatment are the upper face- the frown, the forehead and the crow’s feet. However, as we age, the lower face becomes an increasingly important area to consider to reduce the downward pull on the face resulting in a tired or “unhappy” look. This includes the downturned mouth, the chin, the jawline and neck. The lower face is becoming an increasingly common area for treatment along with the upper face. Furthermore, facial slimming can be achieved and reduced sweating can also be delivered by strategic injections in the cheek and armpits.   When to treat? This is entirely a personal decision. However, more and more patients are viewing Botulinum Toxin treatments earlier in adulthood as a means of preventing the development of fine lines, wrinkles and downward sagging on the jowl area and lower face.   FAQs Does it hurt? A small scratch is usually described but use the Invisible NeedleⓇ by TSK in our clinic which is the world’s smallest needle and very fine. Patients often comment that they barely feel it.   Will I look frozen? No. Methods and techniques have evolved significantly in recent years compared to previous treatment patterns and dosing.   Can I return to work after the treatment? Absolutely! There is a reason it’s called a “lunchtime treatment”. There is minimal downtime and you can continue with most activities almost immediately.   Can regular treatments prevent the signs of ageing? Yes. Regular treatments can prevent deeper lines and wrinkles forming from repetitive muscle movement whilst also reducing the downward pull on lower face structures.   Can it be combined with other treatments? Absolutely. It works synergistically with Skin boosters, Microneedling, Skincare and careful Dermal Filler placement.   When would you recommend people start? There is no “correct age” to start. Some patients start later in life and aim for correction whilst others often start in their late 20’s for mild correction/preventative treatments. It’s entirely a personal decision. To discuss your personal Aesthetics journey, book your free consultation online at www.drfionasteedman.co.uk and we would be delighted to see you in clinic.

The teenage years can be a difficult time for both teens and their parents, especially when it comes to skin health. Hormonal fluctuations can bring huge changes to the balance of the skin and many teens can experience breakouts, blackheads, and inflammation. This can lead to frustration, discomfort and significant mental health distress. Common issues include: Acne and frequent breakouts Oily skin and enlarged pores Congestion and blackheads Sensitive or irritated skin from over-treating The key is keeping skincare SIMPLE  and GENTLE. Teen skin often becomes worse when too many harsh products are used. And teens absolutely do not need lots of actives! Some excellent Dermatologist-recommended brands available in UK pharmacies include: * La Roche-Posay Effaclar range * CeraVe cleansers and moisturisers * Avène Cleanance range A good starter routine usually includes: -Gentle cleanser morning and evening -Lightweight non-comedogenic moisturiser -Daily, non-comedogenic SPF -Targeted acne treatments when needed On my Instagram page, @drfionasteedmanaesthetics, you will find some tried and tested examples within these ranges. However, if acne is becoming persistent, painful, or affecting confidence, it’s absolutely worth seeking medical advice early from your GP or Dermatologist. Effective treatment can prevent scarring and help teens feel more comfortable in their skin. Healthy skin starts with understanding it.

You have likely heard of vitamin C and vitamin E for glowing, youthful skin…but have you heard of ferulic acid?  It’s such a powerful antioxidant and is one of skincare’s secret weapons for protecting and brightening the skin. What Is Ferulic Acid? Ferulic acid is a natural ingredient found in plants such as oats, rice bran, apples and oranges. It’s a potent antioxidant and so it helps protect the skin from everyday damage caused by the sun, pollution, and stress-all of which can speed up ageing. When used in skincare, ferulic acid helps keep the skin smooth, firm and radiant by defending it against these environmental stressors. Key Benefits of Ferulic Acid Protects Against Ageing Ferulic acid neutralises free radicals that break down collagen and cause wrinkles and dullness. Boosts Other Antioxidants When combined with vitamin C and E, ferulic acid makes them more stable and effective. This is why many of the best antioxidant serums contain all three ingredients. Brightens and Evens Skin Tone Regular use can help fade sun spots and pigmentation for a more even complexion. Reduces Inflammation Ferulic acid helps calm irritation and supports the skin’s natural barrier-great for sensitive or redness-prone skin. Improves Sun Protection It adds an extra layer of defence against UV damage, although it doesn’t replace sunscreen. Types and Strengths Most home skincare serums contain 0.5-1% ferulic acid. Ferulic acid is often paired with vitamins C and E for maximum antioxidant power- a combination backed by clinical studies.  The most widely preparation of this treatment is Skinceuticals CE Ferulic. An alternative, with the same actives in a different formulation, is the E.l.f Skin Vitamin C Brightening Serum. Paula’s Choice C15 Super Booster is another good option. How to Use It Use ferulic acid in the morning for best results: Cleanse your face. Apply a few drops of ferulic acid serum (or a vitamin C + E + ferulic acid formula). Follow with moisturiser, peptides and broad-spectrum SPF 50 sunscreen. If you use retinol or exfoliating acids, apply those at night-not alongside your antioxidant serum. In Summary Ferulic acid is a plant-based antioxidant that protects, brightens and supports healthy ageing. It works best when used daily, alongside vitamin C and E, and always with SPF. Suitable for most skin types, it’s an excellent way to boost your skincare routine and protect your results between treatments. At Dr Fiona Steedman Aesthetics, we have a skin first approach to medical aesthetics. For natural, balanced, collagen enhancing injectables, make an appointment to have a chat in clinic!

Dr Fiona Steedman Aesthetics “Skin boosters” are one of the most requested treatments in clinic right now, particularly for patients who want healthier, fresher skin without looking “done”. We offer two of the most premium products on the market: Profhilo and Redensity 1. Our clinic philosophy is always skin first, regenerative and natural. Skin boosters fit beautifully into this approach because they focus on improving skin quality, hydration and collagen boosting. In this blog, I’ll explain what skin boosters are, how they work, the differences between Profhilo and Redensity 1, and what a typical treatment journey looks like in a doctor-led clinic. What Are “Skin Boosters”? Skin boosters are injectable treatments designed to deeply hydrate the skin, improve texture, and stimulate collagen and elastin production. Unlike dermal fillers, they are not used to add volume or shape. Instead, they work within the skin to enhance overall skin quality. They are ideal for: Dull or tired skin Fine lines and crepey texture Dehydrated skin Early ageing changes Preventative skin ageing Skin that has lost glow or elasticity This makes them particularly popular with patients who want subtle, natural-looking results aligned with a regenerative, medical approach to aesthetics. How Do Skin Boosters Work? Skin boosters typically contain hyaluronic acid (HA), a naturally occurring substance in the skin that attracts and retains water. When precisely injected into the skin, they: Deeply hydrate from within Improve skin elasticity Stimulate collagen and elastin Smooth fine lines Enhance skin luminosity and texture Over time, this leads to healthier, stronger, more resilient skin rather than a quick surface-level fix. Skin Booster Treatment Protocols (Doctor-Led Approach) Typical Profhilo Protocol 2 treatments 4 weeks apart Maintenance every 6–9 months Some patients may benefit from a third session depending on skin quality and age-related changes. Typical Redensity 1 Protocol Course of 3 treatments 3–4 weeks apart Maintenance every 6–12 months This can be adjusted depending on: Skin condition Age Treatment area Preventative vs corrective goals The treatment itself usually takes around 30 minutes. Downtime and Recovery One of the reasons skin boosters are so popular is their minimal downtime. You may experience: Small injection bumps (especially with Profhilo) for 24–48 hours Mild redness Occasional bruising Slight tenderness Most patients return to normal activities the same day, making this a convenient treatment for busy professionals and parents. Who Is Suitable for Skin Boosters? Skin boosters are suitable for a wide range of patients, including: Patients in their mid to late 20s+ for prevention Patients in their 30s-50s wanting skin rejuvenation Perimenopausal and menopausal skin Patients wanting natural, subtle results Pretty much everyone who comes to clinic! Frequently Asked Questions (FAQ) Are skin boosters the same as dermal fillers? No. Dermal fillers add volume and structure, whereas skin boosters improve hydration, texture and overall skin quality. How long do results last? Results typically last: Profhilo: 6–9 months Redensity 1: 6–12 months When will I see results? Most patients notice improved hydration and glow within 2-3weeks, with continued improvement over several months as collagen stimulation occurs. Do skin boosters look natural? Yes. Skin boosters do not change your facial shape. They enhance your natural skin quality, making you look fresher and healthier rather than “treated”. Can skin boosters be combined with other treatments? Absolutely. They pair very well with: Effective skincare and Microneedling Polynucleotides Anti-wrinkle treatments Dermal fillers  Are skin boosters safe? When performed by a qualified medical professional using licensed, premium products such as Profhilo and Redensity 1, skin boosters have an excellent safety profile. A full medical consultation is always essential. Profhilo vs Redensity 1 Comparison Chart Feature Profhilo® Teosyal Redensity 1 Treatment Type Bioremodelling skin booster Advanced skin booster / mesotherapy-style Main Ingredient Ultra-pure high concentration hyaluronic acid Hyaluronic acid + amino acids + antioxidants + vitamins Key Mechanism Stimulates collagen & elastin + deep hydration Hydrates, repairs and improves skin quality Best For Skin laxity, crepey skin, ageing skin Fine lines, dehydration, texture, early ageing Ideal Age Group 30+ / perimenopause / menopause / laxity concerns 20s-40s / preventative and early skin ageing Injection Technique 5 Bio Aesthetic Points per side (fewer injections) Multiple microinjections across treatment area Treatment Areas Face, neck, décolletage, hands Face, under eyes, neck, fine line areas Course Protocol 2 sessions, 4 weeks apart 3 sessions, 3-4 weeks apart Maintenance Every 6-9 months Every 6-12 months Result Style Firmness, glow, subtle tightening Radiance, hydration, texture refinement Downtime Small bumps 24-48 hours Small bumps/redness 24–48 hours Volume Effect No volumising (not a filler) No volumising (skin quality only) Whether you choose Profhilo for global skin remodelling or Redensity 1 for targeted hydration and fine lines, the goal is always the same: healthy, natural, radiant skin that still looks like you- just fresher. To discuss which Skin booster might be most appropriate for you, book your free consultation on the website booking form www.drfionasteedman.co.uk, via the link in bio @drfionasteedmanaesthetics or DM to enquire.

One of our most popular treatments in Clinic is SkinPen® Microneedling. It is a truly regenerative skincare approach.. The first FDA-cleared device, it is widely considered to be the gold standard in Microneedling treatments. What does SkinPen® Microneedling do? Performed on over 3 million patients, it is a natural collagen booster-using only the production of micro-channels in the skin to stimulate your body’s natural healing response.. Why SkinPen®? There are lots of microneedling options in the market but none have the same reproducibility and efficacy data.  SkinPen®️ has over 90 validation studies backing it’s quality, safety and performance.  The single use, sterilised cartridge ensures no cross contamination between patients and the advanced needle technology allows bespoke depths to be delivered within the procedure to optimise benefits according to your skin type and presenting problem. A perfect introductory treatment to Aesthetics. For those patients new to Aesthetic procedures or more hesitant to proceed with injectables at this current stage, SkinPen®️provides a natural introduction to regenerative skincare and procedures and delivers excellent results for both specific skin conditions and general skin regeneration and health. FAQs Are SkinPen® Microneedling treatments painful? No. They are designed to be as comfortable as possible and before the procedure we apply numbing cream to the treatment area. Most patients describe a mild buzzing sensation.   How long does it last? The procedure takes about 30minutes. There is some redness like mild sunburn following this for 1-3 days. A tightness feeling is sometimes also described, but, again, dissipates in a couple of days.   When will I see a result? Some people notice a result after their first treatment but optimal long term treatments are visible after 4 or more treatments. Ongoing skin improvement continues for 3-6 months after the last treatment.   When can I have it? SkinPen® can be performed on any skin type at any time of year.   What can SkinPen® Microneedling treat? -fine lines and wrinkles -acne scarring and surgical scarring -dyschromia and pigmentation issues -enlarged pores    If you want to discuss how SkinPen ® might help your skin, book an appointment to discuss in clinic.

Azelaic Acid is fast becoming recognised as a powerhouse ingredient in skincare and for good reason. It’s incredibly versatile and lends itself to tackling multiple skin issues including pigmentation, rosacea, redness, inflammation, acne and uneven skin tone. And the good news is that it is still a gentle enough product to be tolerated by sensitive skin.   What is it? Unlike other exfoliating acids (such as AHAs and BHAs), it is a dicarboxylic acid, typically synthetically created when used in skincare. It works deep within the skin with an anti-inflammatory and anti-redness effect whilst reducing cell turnover and targeting pigment producing cells.   What does it do? Azelaic acid is such a versatile product which makes it a fantastic go-to product for a variety of skin concerns. It is: Antibacterial Anti inflammatory Exfoliating Tyrosinase inhibiting (pigmentation reduction)) What strength do I use? Azelaic Acid is available in both cosmetic and presciption strength formulations: Cosmetic (10%) Suitable for daily use as part of a skincare regime to treat mild issues. Prescription (15-20%) A stronger treatment, used under supervision, for more moderate issues with Acne or Rosacea. Indications for use Acne  Rosacea Hyperpigmentation/dyschromia Post inflammatory hyperpigmentation  Uneven skin tone and dull skin How do I use it? Start slowly and it can be built up to twice daily application. Use along with a broad spectrum high factor SpF as there can be sun sensitivity. Azelaic acid can be used as part of a comprehensive skincare routine with additional “actives” but proceed with caution if your skin is sensitive and use only in the morning, with retinol used at night, if irritation is occurring with dual application. My choices: Anua 10% Azelaic Acid with Hyaluronic Acid Serum is a firm favourite. Paula’s choice 10% Azelaic Acid Skin booster. The Ordinary Azelaic Acid Suspension 10%. The Inkey List 10% Azelaic Acid Serum. Whether for acne management, rosacea control, or brightening uneven, dull skin, Azelaic Acid can be an excellent addition to skincare regimes.

Increasingly, patients are using prescription strength retinoids in their skincare routines.  Below are the available preparations that you may be prescribed in the UK, and their indications. Retinoid Typical strengths / formulations Uses Tretinoin  0.01%, 0.025%, 0.05%, 0.1% (cream, gel)  Acne, photoageing, pigmentation, fine lines and wrinkles.  Adapalene (Differin) 0.1%  (cream, gel) Less irritating than some others, primarily used for Acne. Adapalene and Tretinoin are often the first choices in topical prescription retinoids in the UK. Because these are prescription only, their use is controlled by a clinician who will pick the strength and form depending on your skin type, previous use of retinoids, tolerance, and skin concerns. How strong are “prescription strength” retinoids relative to over-the-counter products? Over-the-counter products (e.g. retinol, retinal) are much weaker (they require conversion in the skin to the active form). Prescription retinoids act more directly or are in higher concentrations, thus their effect is stronger, but also their potential for irritation is higher. Within prescription retinoids, there is a range of potency: for example, 0.025% tretinoin is milder and often a starting point, while 0.1% is the strongest. Many clinicians “start low, go slow” and prescribe a lower strength or suggest that you start applying it less frequently initially to allow your skin to adjust. How to get a prescription retinoid in the UK You need a prescription from a registered clinician (Dermatologist, or a medical service that offers dermatology or “prescription skincare”). Many dermatology or “prescription skincare” services in the UK (some online such as Dermatica, Skin and Me) allow you to fill out a questionnaire or submit photos; if you are suitable, they will issue a prescription. The prescription is then dispensed via a pharmacy or specialized compounding pharmacy. Because of the risk of irritation and contraindications (e.g. pregnancy, sensitive skin), supervision by a clinician is important. Safety, side effects, and usage tips Common side effects: redness, dryness, peeling, sensitivity, “purging” (temporary worsening of acne). Use broad spectrum, high factor sunscreen daily, even in winter!, because retinoids increase your photosensitivity (light sensitivity of the skin). When starting, a gradual regimen is often recommended (e.g. every third night, then alternate nights, then nightly) to allow tolerance build. Use the minimal amount needed (often a “pea size” or “half-finger” tip) to reduce risk of overapplication and irritation.  “Sandwiching” with a barrier repairing moisturiser (such as La Roche-Posay Cicaplast) can help if there is uncomfortable dryness: apply moisturiser before and after the retinoid allowing 3-5 minutes between each step to ensure product is absorbed fully. Be sure to omit the treatment for a few days if your skin is very.Another option if you’re struggling is, once you restart, to apply the product for 60 minutes at first before washing off-to build up tolerance. Avoid combining with too many other harsh actives (strong acids, exfoliants) initially until your skin tolerance is built up. Monitor for excessive irritation; if this happens, scale back the frequency of application or dose under your prescriber’s guidance. Book your consultation or email fionasteedman@gmail.com to enquire.