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.
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 treatment for expression lines, and polynucleotides in one session.
04Skincare
Medical-Grade SkincarePrescribed where appropriate after consultation to support clinical results between sessions.
Unsure which pathway suits you?
Not sure which treatment is right for you?
23MD DigitalSkin Expert
Upload a photo and receive a personalised skin assessment with treatment recommendations from our doctor-led protocols.
Analyse My SkinCommon 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
The visible loss of glow is usually a combination of slowed cellular turnover, dermal water loss, reduced microcirculation, oxidative stress, and — for many patients — hormonal context that changes how the skin behaves. The mix differs per patient; the consultation is what identifies the dominant cause.
Both, often together. Skin quality is downstream of how the body is functioning. At 23MD, the consultation considers hormonal and metabolic context where relevant, even when the presenting concern is purely aesthetic.
Polynucleotides and skin boosters work by stimulating the skin's own repair processes. Patients typically see meaningful change across 4–8 weeks per session, with cumulative effect across a course. Specific timelines depend on the individual.
Skincare matters and is part of every plan at 23MD. But skincare alone does not address dermal-level changes — the deeper layers respond to clinical treatments, not topical products. A consultation determines the right combination.
A standard facial works on the skin's surface. The 23MD approach is doctor-led, integrates injectable regenerative treatments where appropriate, and considers the whole body — not just the area. The 4D Approach reads the face as a whole; Dermal Architecture restores it.
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Medically reviewed by Dr Suha Kersh, MB BCh BAO LRCP&SI, MRCPsych, GMC-registered since 1992.
