
Sallow skin often reflects deeper changes rather than surface issues alone. Our doctor-led clinic takes a medical approach to understanding these changes before discussing treatment options.
Sallow skin describes a complexion that appears dull, uneven or slightly yellow or grey in tone. It is often associated with a lack of brightness and reduced clarity rather than changes in pigmentation alone. This appearance can affect the face as a whole and may give the impression of tired or unhealthy skin, even when there is no underlying illness.
PicoSure can help improve sallow skin by stimulating renewal and enhancing overall skin clarity. Sallow skin often looks dull or yellow-toned because dead skin cells and uneven pigmentation reduce light reflection. Therefore, by delivering ultra-short pulses of laser energy, PicoSure helps break down unwanted pigment and encourage skin turnover. As a result, the complexion appears brighter, clearer, and more refreshed over time.

Sallow skin usually develops due to a combination of factors that affect how the skin renews and reflects light.
These may include:
Slower cell turnover leading to a build-up of older surface cells
Reduced circulation within the skin
Decline in collagen and elastin activity
Environmental exposure such as pollution or sun damage
Lifestyle factors may contribute, but underlying skin behaviour often plays a more significant role.

Assessment looks beyond colour alone. Our medical team evaluates skin texture, hydration, circulation and overall skin quality, as well as how efficiently the skin is renewing itself. This allows us to explain why the skin may appear sallow and whether the concern relates more to surface turnover, deeper skin health or both.


Polynucleotide-based treatments are often discussed where sallowness relates to reduced skin regeneration or circulation. They focus on supporting skin repair rather than altering structure.
Improvement depends on the underlying cause, such as reduced circulation, pigmentation or loss of skin vitality. Options discussed at our clinic may include polynucleotide treatments, medical-grade skincare, HydraFacial to restore hydration and glow, PicoSure laser to improve tone and clarity, Profhilo and other regenerative approaches. The aim is gradual improvement in skin health rather than instant change.
They are related but not identical. Sallow skin refers more to colour and tone, while dull skin relates to brightness and reflectivity.
Dehydration can contribute, but sallow skin is often linked to slower skin renewal or circulation rather than hydration alone.
It can become more noticeable over time as skin regeneration and collagen activity slow, although this varies between individuals.
In some cases, skincare changes and lifestyle adjustments may help, but persistent sallowness often reflects deeper skin changes.
No. Many people choose not to treat sallow skin once they understand its cause and how it may change over time.

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.