A skin or facial concern is any visible or felt change that affects texture, tone, structure, or overall skin quality.
Concerns rarely exist in isolation. Changes in collagen, hydration, or inflammation often influence several aspects of the skin at once. For this reason, assessment goes beyond a single symptom and considers how the skin is functioning as a whole.
This approach supports more balanced decisions and helps avoid unnecessary or poorly timed treatments.
Our clinic is led by Medical Director Dr Joney De Souza and supported by a specialist medical team with experience across aesthetic medicine, skin health, and laser treatments.
Our approach to concerns is based on:
Careful medical assessment rather than assumption
Understanding skin biology and facial anatomy
Prioritising safety, suitability, and proportion
Planning for long term skin health rather than short term change
Not every concern requires treatment, and not every treatment is right for every patient. Honest guidance and clinical judgement are central to how our team works.
Some concerns benefit from early intervention and prevention. Others may be better managed with skin optimisation, lifestyle changes, or careful monitoring over time.
Where treatment is appropriate, it is selected based on:
The underlying cause of the concern
Skin type, age, and tissue quality
How the concern may change over time
The patient’s goals and expectations
Combination approaches are sometimes recommended, delivered gradually to maintain natural structure and balance.
A concern refers to a change in the skin or face that affects appearance, comfort, or confidence, and may benefit from medical assessment.
No. Some concerns can be managed with skincare, prevention, or observation rather than medical treatment.
Not always. Timing and suitability are carefully considered as part of safe, responsible care.
Yes. Many concerns can be addressed in different ways depending on individual skin behaviour and long term goals.
Consultations are carried out by our medical team, led by Medical Director Dr Joney De Souza.
Our team would love to hear from you. Whether you have questions, need guidance, or simply want to explore your treatment options, we’re here to support you every step of the way. If you would like to place an online booking you can do this via our online booking system.
Dr Joney De Souza Skin and Laser Clinic is located in central Marylebone and is easily accessible by public transport or car, with Bond Street, Oxford Circus and Baker Street Underground stations all just a short walk away. For those driving, paid on-street parking and nearby public car parks are available, making the clinic convenient to reach from across London, including Mayfair and Soho.
