01Regenerative
PolynucleotidesFirst-line regenerative injectable for skin quality and tissue repair, often used in a course across three months.
Investigated, Not Just Covered
Tired Skin
Dullness is rarely just dehydration — it's downstream of cellular turnover, microcirculation, oxidative stress, and hormonal context.
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Your Concerns
What Is It?
Dull skin is rarely just dehydration. The visible loss of glow is usually downstream of cellular turnover slowing, microcirculation reducing, oxidative stress accumulating from sun and lifestyle, and — for many patients in their 40s and 50s — hormonal shifts that change how the skin retains moisture and produces collagen. At 23MD, dullness is investigated as a clinical picture before any treatment is recommended. The plan that follows depends on what the consultation finds, not on which treatment is in season.
Recommended Pathway
Treatments for Dull Skin
The treatments our doctors most often recommend for this concern. Your consultation confirms the right combination and sequence for you.
03Signature
The Glass Facial23MD's signature regenerative facial — microneedling, micro-dosed anti-wrinkle treatment, and polynucleotides in one session.
04Skincare
Medical-Grade SkincarePrescribed where appropriate after consultation to support clinical results between sessions.
Unsure which pathway suits you?
Book a Consultation
23MD Digital
Not sure how different treatments fit together?
Built on our Treatment Stacking™ method: aesthetic, regenerative and longevity treatments layered and sequenced around your goals and timeline.
Common Causes
What Could Be Causing It
Cellular Turnover Slowing
The rate at which skin sheds and regenerates declines with age and is accelerated by sun damage.
Dermal Water Loss
Barrier function weakens; hydration leaks out, leaving the surface flat and lacklustre.
Microcirculation Reduction
Less oxygen and nutrient delivery to surface layers, dulling natural luminosity.
Oxidative Stress
Accumulates from UV, pollution, sleep debt, and inflammation — breaks down collagen and brightness.
Hormonal Context
Perimenopausal and post-menopausal patients often see dullness alongside changes in skin quality. Looking at the whole body, not just the skin, often changes the plan.
Lifestyle Load
Poor sleep, stress, and processed-food diets show up first on the face — addressed alongside clinical treatment.
FAQs
Your Questions, Answered
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Medically reviewed by Dr Suha Kersh, MBBS, GMC-registered on April 2026.
