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Ageing Well vs Looking Younger: Why Modern Aesthetics Have Changed

Writer: Dr Dana Sobhanpanah
Dr Dana Sobhanpanah
Oct 13
8 min read

Discover why collagen matters for ageing well and how modern aesthetic treatments at Refind Aesthetics in Islington can support healthier-looking skin as it changes over time.


For years, aesthetic medicine was largely associated with looking younger. The focus was often on what could be removed, softened or replaced: fewer wrinkles, more volume and fewer visible signs of age.


Today, many patients are looking for something different. Rather than trying to recreate the face they had ten or twenty years ago, they want to age well. They want their skin to remain healthy, resilient and radiant while still looking recognisably like themselves.


One of the most important parts of that conversation is collagen.


Collagen provides much of the structural support within our skin, but the way our bodies produce and maintain it changes as we get older. This gradual decline contributes to many of the changes associated with skin ageing, from fine lines and thinning skin to reduced firmness and elasticity.


At Refind Aesthetics in Islington, founded by Dr Dana Sobhanpanah MB ChB, the approach centres on natural-looking results, individual assessment and supporting skin health. Rather than treating every line as something that must be removed, the aim is to understand what is changing and which treatments, if any, may be appropriate.


The question is not simply, “How can we make somebody look younger?” It is often more useful to ask, “What does this skin need to remain healthy as it ages?”


Why Is Collagen So Important for Healthy Skin?


Collagen is one of the main structural proteins in the skin. A useful way to think of it is as part of the skin’s internal scaffolding. Within the dermis, collagen fibres help provide strength and support, while elastin contributes to the skin’s ability to stretch and return to shape.


When this supportive network is healthy, the skin tends to feel firmer and more resilient. However, collagen is not static. Our bodies continually break it down and produce new collagen as part of normal tissue maintenance.


As we get older, this balance gradually changes. New collagen production becomes less efficient, while existing collagen continues to break down. Over time, the supportive network within the skin can become less dense.


This may contribute to changes such as:

  • Fine lines and wrinkles becoming more noticeable

  • A gradual loss of firmness and elasticity

  • Skin appearing thinner or less resilient

  • Uneven texture and a duller complexion

  • Pores appearing more prominent

  • Changes associated with cumulative sun exposure


These changes do not all have the same cause. Hydration, pigmentation, facial volume, genetics and lifestyle can also affect how the skin looks. This is why a personalised assessment is more useful than assuming every concern is caused by collagen loss alone.


At What Age Do Collagen Levels Start to Decline?


Collagen production begins to change from early adulthood, with the effects becoming more noticeable for some people as they get older. The pace varies considerably from person to person.


Hormonal changes, including those associated with menopause, can also affect skin thickness, hydration and elasticity. Sun exposure is another important factor because ultraviolet radiation contributes to the breakdown of collagen and elastin.

You might begin to notice that:


  • Skin does not feel quite as firm as it once did

  • Fine lines remain visible for longer

  • The skin feels thinner or more delicate

  • Texture becomes less smooth

  • Certain areas appear slightly crepey

  • The skin has less of its previous “bounce”

  • Sun damage or uneven pigmentation becomes more apparent


Genetics play a role, but external factors matter too. Repeated ultraviolet exposure, smoking and other environmental and lifestyle factors can influence skin quality.

This is one reason two people of the same age can have very different skin. There is no single age when everyone should start aesthetic treatments. The more useful starting point is understanding your skin, your concerns and your goals.


Can We Encourage the Skin to Produce More Collagen?


Certain aesthetic treatments are designed to support the skin’s natural repair processes or stimulate collagen production. Others focus more on hydration, skin quality or restoring facial volume. Understanding these differences helps ensure that a treatment is selected for the right reason.


At Refind Aesthetics, options listed include medical microneedling, Profhilo, polynucleotides and Sculptra. Each has a different purpose, and not every option is suitable for every person.


Collagen-related changes also take time. Unlike treatments where an immediate difference may be visible, improvements associated with collagen remodelling can develop gradually over weeks or months. Results vary depending on the treatment, the individual and the condition of the skin.


The goal is not to pursue the greatest possible number of treatments. It is to choose an appropriate approach that supports natural-looking results.


How Does Medical Microneedling Support Collagen?


Medical microneedling, also known as collagen induction therapy, uses fine needles to create controlled micro-injuries in the skin. This stimulates the body’s natural healing response, which involves processes associated with collagen and elastin production.


As the skin recovers, microneedling may help improve the appearance of uneven texture, certain types of acne scarring and fine lines. It can also form part of a wider plan for improving overall skin quality.


Results are progressive rather than instant. The skin needs time to recover, and collagen remodelling continues after the initial healing period. Depending on the skin concern and individual response, a course of treatments may be considered.

Microneedling is not suitable for everyone, and the appropriate technique and treatment schedule depend on factors such as skin condition, medical history and the concern being addressed. A consultation helps establish whether it is a suitable option.


How Can Profhilo Support Skin Quality?


Profhilo is an injectable treatment based on hyaluronic acid. It is used to improve skin hydration and is associated with improvements in skin quality, including the appearance of firmness and elasticity.


It is different from traditional dermal filler, which is generally used to restore volume or enhance particular facial features. Profhilo is intended to improve skin quality rather than create significant facial reshaping.


For someone whose skin looks dehydrated, feels less supple or has lost some of its radiance, Profhilo may be worth discussing during a consultation. Suitability depends on the individual’s skin and desired outcome.


It is important to have realistic expectations. Profhilo does not stop the ageing process, and results vary. Your practitioner can explain the recommended treatment schedule, likely benefits and any potential risks before you decide whether to proceed.


Can Polynucleotides Help With Skin Ageing?


Polynucleotides are injectable treatments used in aesthetic medicine to support skin quality. They are being used for concerns such as skin texture, elasticity and the appearance of delicate or tired-looking skin.


They are not designed to work in the same way as conventional dermal fillers. Rather than primarily adding volume to a specific area, the aim is to support improvements in the condition and appearance of the skin.


At Refind Aesthetics, polynucleotides are among the listed treatment options. Whether they are appropriate depends on the area being treated, your skin concerns and your medical suitability.


As with other injectable treatments, it is important to discuss the evidence, expected results, possible side effects and any limitations with your practitioner. No treatment can guarantee that skin will become firmer or reverse all visible signs of ageing.


What About Sculptra and Collagen Stimulation?


Sculptra is an injectable treatment that works differently from conventional hyaluronic acid fillers. It is designed to stimulate the body’s collagen response over time and may be considered when gradual improvement in facial volume and support is the goal.


This can make it relevant to some people experiencing age-related changes in facial structure. However, it is not simply a treatment for every fine line or skin-texture concern. The right choice depends on whether the main issue relates to skin quality, hydration, facial volume or a combination of factors.


Sculptra requires careful assessment and treatment by an appropriately qualified practitioner. Results develop gradually, and the expected outcome, treatment plan and potential risks should be discussed before treatment.


Can Collagen and Skin-Quality Treatments Be Combined?


Ageing skin rarely has just one concern. Someone may notice reduced firmness alongside dehydration, uneven texture, pigmentation or changes in facial volume.

Different treatments may address different aspects of these changes. For example, microneedling may be considered for certain textural concerns, while Profhilo may be discussed for hydration and skin quality. Polynucleotides or Sculptra may be considered where appropriate for specific skin or structural concerns.


A combination is not automatically better than one well-chosen treatment. Treatments need to be selected carefully, with enough time allowed for healing and results to develop.


At Refind Aesthetics, a bespoke skin plan can help bring together appropriate professional treatments and at-home skincare. The aim is to create a considered approach based on your skin rather than following trends or choosing procedures simply because they are popular.


Ageing Well Is About Supporting Your Skin


You do not need to wait until skin ageing becomes advanced before thinking about skin health. Equally, there is no need to start aesthetic treatments at a particular age simply because collagen production changes over time.


Some of the most useful steps are the simplest:

  • Use daily sun protection. Broad-spectrum sunscreen helps protect against ultraviolet damage, which contributes to premature skin ageing.

  • Build a consistent skincare routine. Choose products suited to your skin and use them consistently rather than constantly switching between trends.

  • Avoid smoking. Smoking can contribute to premature skin ageing and affect skin health.

  • Look after your general health. Sleep, nutrition and other lifestyle factors can influence how your skin looks and feels.

  • Seek advice when you need it. A professional assessment can help distinguish between concerns that may benefit from skincare, in-clinic treatment or a different approach altogether.


Great skin looks good at every age. The aim is not to eliminate every line or make everyone look the same. It is to support skin health and help you feel confident in your appearance.


At Refind Aesthetics in Islington, Dr Dana Sobhanpanah takes a doctor-led, individualised approach to aesthetic care, with an emphasis on subtle results and preserving your natural features.


FAQs About Collagen and Ageing Skin


Can you rebuild all the collagen you lose with age?

No treatment can completely reverse the natural ageing process or restore all the collagen lost over time. Some treatments may stimulate collagen-related processes or improve skin quality, but results vary. Consistent skincare, sun protection and an appropriate treatment plan can help support your skin over the long term.


Does more collagen always mean tighter skin?

Not necessarily. Skin firmness is influenced by several factors, including collagen, elastin, hydration, facial volume and deeper supporting structures. A treatment that improves skin quality may not significantly correct more advanced skin laxity. A consultation helps identify the likely causes of your concern and discuss realistic options.


Can collagen-supporting treatments help the skin around the eyes?

The eye area has delicate skin, and not every treatment is appropriate for it. Depending on the concern and your suitability, a practitioner may discuss options such as polynucleotides or other approaches to skin quality. Treatment around the eyes requires careful assessment, and potential benefits and risks should be explained beforehand.


Do I need collagen-stimulating treatments every year?

There is no single schedule that applies to everyone. Treatment frequency depends on the procedure, your skin, your response and your goals. Some people may benefit from a course followed by maintenance, while others may not need ongoing treatment. Your practitioner can explain what is appropriate for you.


Is microneedling suitable for everyone?

No. Skin conditions, medical history, certain medications and other factors can affect suitability. A consultation should take place before treatment so that your practitioner can assess your skin and discuss the potential benefits, risks and alternatives.


Support Your Skin as It Ages at Refind Aesthetics


If your skin is beginning to feel less firm, look duller or show changes in texture, understanding what is contributing to those changes is a useful place to start.


At Refind Aesthetics, 13–17 Baron Street, Islington, Dr Dana Sobhanpanah MB ChB offers a doctor-led approach to aesthetic treatment, with an emphasis on natural-looking results and personalised care.


A consultation allows you to discuss your concerns, review your skin and explore whether options such as microneedling, Profhilo, polynucleotides, Sculptra or a bespoke skincare plan may be suitable.


Book a consultation with Refind Aesthetics to discuss your skin goals and find an approach that is right for you.


All treatments are subject to consultation and suitability. Results vary between individuals, and no treatment can stop the natural ageing process.

 
 
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