Skin Concerns
Begin with what your skin is doing.
Changes in skin do not always fit neatly into one category. Redness may occur alongside sensitivity, while pigmentation can be influenced by sun exposure or hormonal change.
You do not need to diagnose the cause or select a treatment before contacting Noaem Skin in Hove. This page outlines the concerns we assess and explains where to begin.
If several changes overlap, The Noaem Skin Consultation allows time to consider them together before recommendations are made.
Explore Concerns
These summaries are intended to help you recognise where a concern may fit. They do not diagnose the cause, and you may recognise your skin in more than one section.
Pigmentation and Sun Damage
Pigmentation is not one condition. Sun-related marks behave differently from melasma, while pigmentation following inflammation has its own pattern. A treatment suitable for one may aggravate another.
Assessment considers how the pigment developed and the skin’s tendency to produce further pigmentation after inflammation. A new or changing mole should be assessed by your GP or a dermatologist rather than treated cosmetically.
Possible approaches: Pigment-regulating skincare and daily sun protection may form the foundation. BBL HEROic or MOXI may be appropriate following assessment. The AlphaRet Professional Peel can have a role in more superficial change.
Forehead, Frown and Eye Lines
Lines across the forehead, between the brows or around the eyes are influenced by repeated facial movement. Over time, they may remain visible when the face is at rest. The aim of treatment is not to erase natural expression.
Possible approach: Dr Chris assesses facial anatomy and movement before advising whether botulinum toxin treatment is appropriate. Changes in the quality of the overlying skin are assessed separately.
Ageing or tired-looking eyes
The eye area may begin to look tired even when you feel well. Dark circles may reflect one type of change, while under-eye skin quality and movement-related lines require separate assessment.
A focused consultation with Dr Chris establishes what is contributing before a plan is recommended.
Possible approaches: Treatment may include polynucleotides or a skin booster. Botulinum toxin may be considered for suitable movement-related lines.
Menopause and skin
Skin may become drier or more reactive during perimenopause, while firmness and tolerance of familiar products can change. Declining oestrogen can affect skin function, but not every new concern should automatically be attributed to menopause.
Assessment considers when the changes began alongside your medical history and the condition of the skin. The first step may be to simplify skincare before deciding whether a procedure would add value.
Noaem assesses the skin but does not diagnose menopause or advise on HRT.
Skin Ageing
Skin ageing involves more than the development of lines. Renewal gradually slows, the skin barrier may become less efficient and changes in collagen or elastin can affect firmness and resilience.
Natural ageing overlaps with cumulative sun exposure and hormonal change. Assessment identifies which changes matter to you before deciding whether treatment could provide a worthwhile improvement.
Possible approaches: BBL HEROic and MOXI may address sun damage or uneven texture. Microneedling and injectable skin treatments have different roles in supporting skin quality. SkinTyte may be considered for mild-to-moderate laxity.
Not sure where your concern fits?
If your skin has changed in several ways or you are uncertain which concern is most relevant, begin with The Noaem Skin Consultation.
The 90-minute appointment allows your skin history and Observ520x analysis to be reviewed together before treatment or skincare is recommended.
Acne and breakouts
Acne may involve persistent congestion or inflamed spots, including deeper painful lesions. It can continue beyond adolescence or appear for the first time in adulthood.
Active acne requires a different approach from the marks or structural scars it may leave behind. Assessment also helps distinguish acne from rosacea, folliculitis or irritation caused by unsuitable skincare.
Possible approaches: Targeted skincare may be sufficient. Forever Clear BBL HEROic or the AlphaRet Professional Peel may be appropriate for suitable active acne. Pigmentation and scarring are assessed separately once breakouts are better controlled.
Dry, dehydrated, oily or congested skin
Dryness is not the same as dehydration, and excess oil does not necessarily mean that the skin is adequately hydrated. Skin can also become congested after using products that previously seemed suitable.
Assessment reviews your existing routine and how the skin is currently behaving. Frequently, the most useful first step is to remove products that may be disrupting the skin and establish a routine it can tolerate.
Possible approaches: Skincare changes may be sufficient. The AlphaRet Professional Peel or Noaem Oxygenation Facial may be appropriate where an in-clinic treatment would add value.
Rosacea, redness and sensitivity
Persistent redness, flushing and reactive skin can overlap but do not always have the same cause. Rosacea is a long-term inflammatory condition and may involve visible vessels or inflammatory bumps that can be mistaken for acne.
Assessment considers how the redness behaves and whether the skin barrier can currently tolerate active skincare or treatment. The first recommendation may be to simplify the routine and allow irritation to settle.
Possible approaches: BBL HEROic may reduce persistent background redness and visible vessels. It cannot cure rosacea or guarantee that flushing will stop. Significant inflammatory symptoms or symptoms affecting the eyes may require medical assessment.
Neck, décolletage and hands
Changes associated with ageing and sun exposure are not limited to the face. The neck, décolletage and hands may develop visible sun damage or changes in texture and firmness.
These areas should be assessed according to the change being addressed rather than automatically receiving the same treatment as the face.
Possible approaches: BBL HEROic or MOXI may be appropriate for suitable sun-related changes. Microneedling can have a role in texture, while SkinTyte may be considered where mild-to-moderate laxity is the principal concern.
Treatment led by Iki and Dr Chris
Every consultation and treatment at Noaem is carried out personally by prescribing pharmacist Iki Rhode or Dr Christopher Vary. Care is not delegated to a wider practitioner team.
Together, they bring more than 30 years of clinical experience across pharmacy and medicine. Their different professional backgrounds inform how suitability is assessed and whether treatment is likely to provide enough benefit.
“From the first consultation I have felt at ease and totally invested in the treatments and products Iki recommends.”
Claire
“I’m nearly finished with a great course of peels and it’s nothing like I expected.
Superb results and Iki, the owner practioner, makes it all a really relaxing experience.”
Paul
“I had the retinol treatment with Iki and also bought some skincare products to use at home. Iki was wonderful throughout!”
Mariana
“Can honestly say I have NEVER been so happy with my skin. I saw immediate reduction in my freckles, my pores are tighter, my skin looks youthful and glowy. I’ve not worn makeup for days which is a first for me.”
Samantha