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If your skin issue persists after over-the-counter creams or GP advice, it’s time to see a specialist. We’ll review your history, examine your skin and explain what’s going on in clear terms.

Melasma is often triggered by hormonal changes, sun exposure, and genetic factors. It appears as dark patches, usually on the face, and can be persistent without specialist treatment.

Rosacea is caused by a combination of genetic and environmental factors. Triggers can include sun exposure, stress, temperature changes, certain foods, and hormonal fluctuations.

Rhinophyma is often linked to rosacea, a condition that causes redness and visible blood vessels on the face. It’s typically caused by a combination of genetics, inflammation, and environmental triggers like sun exposure or certain medications.

Any new, changing, or unusual spot should be checked — especially if it bleeds, itches, or grows over time. Look out for asymmetry, irregular borders, uneven colour, and diameter larger than 6mm. But some dangerous spots can look subtle, which is why regular checks with a dermatologist are vital.