Ask Alice

Hi, I’d find the most experienced dermatologist or other cosmetic physician on the island and ask for their advice – and also plan carefully how, if you go ahead with treatment, you are going to protect your treated skin from the sun. In the UK, it’s best to do these things in the winter; you will have to commit to buckets of SPF 50 and a hat afterwards to minimise further pigmentation developing.

Hi, that’s completely understandable to be anxious ahead of trying any tweakment. Have you discussed these particular concerns with your practitioner? If you have, I hope they would have reassured you that they have enough skill and experience to place the toxin in just the right places so that it will soften your wrinkles without wiping them out, and without making your brows drop. Also, first time, it’s good idea to ask for a really light dose, just enough to give you an idea of what the treatment can do. It won’t last as long as a regular dose, but if for any reason you don’t like the results, then you aren’t stuck with it for so long. See if the information on this section about wrinkle-relaxing toxins helps.

Hi, Skin Laundry offers some great treatments, though I haven’t tried any of them for a while. I can’t comment on its membership offers or the Ultra Duo – but I know the company uses top-quality devices and their therapists are well-trained.

Hi, it looks like a new kind of mesotherapy product ie an injectable for improving the condition of the skin, which is different to injectable moisturiser treatments. I haven’t seen any data about how well it works and how effective it is.

Sounds like you might benefit most from a lower eye lift – you can search ‘oculoplastic surgeon’ on the Tweakments Guide register, you will find a bunch of brilliant eye surgeons – others who aren’t on that list but should be include Mr Naresh Joshi and Mr Daniel Ezra.

Possibly, in that the Profhilo will have had a skin-conditioning effect, smoothing and hydrating the skin where it was injected, but it is unlikely to have had any significant tightening effect – but whatever, if the whole area is looking better, that’s great!

Hiya TTG editor Georgia here. Tixel – yes, in the right hands it’s safe for use on the upper lids and gets brilliant results on hooded eyes. Plasma – we would advise you to be very careful – or even better, completely avoid – traditional plasma pen-type treatments and look into Neogen nitrogen plasma instead. It’s a far more sophisticated, modern device that is much safer. We’ve seen some excellent skin-tightening and brow-lifting results on the upper lids. There will be various factors to consider when deciding which is right for you, so have a consultation with a couple of practitioners to find out.

Hiya, TTG editor Georgia here. It might be worth booking a consultation with an oculoplastic surgeon who also performs non-invasive eye treatments because if this is really bothering you and you’ve already tried filler (and paid out again to have it dissolved), you might decide to invest in lower bleph surgery as it’s the most permanent solution and will ultimately give better results than anything non-surgical. Having said that, RF needling like Morpheus8 (there are many other devices that have their own merits) can be used right up to under the eyes and can work really well to tighten the area. There are also some new polynucleotide skin boosters for the under-eyes which will help smooth those folds and wrinkles and generally improve the look of the area.

Hiya, TTG editor Georgia here. I wrote a whole article on melasma not too long ago – read it here, and also have a look at this page and the attached free e-book for more info on your options and managing the condition in general.

Book yourself in with an oculoplastic surgeon who also offers non-surgical treatments, to properly assess and advise what would be best for you – it may be that a lower blepharoplasty will give the best results, though there may be some non-surgical treatments that might help.

This is a good HA-based injectable moisturiser if your face is showing the sort of lines that look etched into the skin on your forehead, or around your eyes or mouth. It has a nice, ‘stretchy’ consistency in the skin and is manufactured by IBSA Derma – the people behind Profhilo, so you can be sure of its safety and efficacy.

Hi, you’re absolutely right that it’s genetic and no, there’s nothing you can do to prevent it and some of us just do have that hollowing handed out by nature. A touch of sunscreen to keep the skin in best health is all you want to use, and do what you can not to fret over the issue or draw attention to it, so you don’t make your lovely child self-conscious about something that is entirely natural and just the way their face is made.

Hi, the gold-standard treatment would probably be a lower blepharoplasty or eye lift, as this will make a real difference to the look of your face. Some skin tightening treatments such as radiofrequency microneedling may help in this area, and strong ablative lasering would make a big difference but would need a lot of downtime to recover. Find a good oculoplastic surgeon for an opinion, and go from there.

Hello, yes, Sunekos and Jalupro have their fans, as do the newer polynucleotide skin boosters (such as Nucleadyn, PhilArt Eye or Pluryal Silk) which some practitioners are finding very effective for improving the look of the under-eye area. Find a good practitioner in your area and discuss the topic with them, as they’ll be able to size up your eyes and suggest what might work best.

Hiya, TTG editor Georgia here. Have a look into Profhilo Body and radiofrequency microneedling. Both can do a great job at smoothing out wrinkly, crepey skin and tightening up laxity on the stomach and upper arms, but any tweakment can only do so much – it really depends on how loose the skin is. A combination of these may do the trick, but if it’s very extreme, surgery may be the only way to completely get rid of it.