Dr Justine Hextall MBBS FRCP

Dr Justine Hextall MBBS FRCP Consultant Dermatologist | Rosacea, Acne and Skin Cancer specialist | Rejuvenation Treatments

I saw this patient in clinic . I will walk you through the step to step guide when making a skin cancer diagnosis . Clin...
09/12/2025

I saw this patient in clinic . I will walk you through the step to step guide when making a skin cancer diagnosis .
Clinically this is typical of a basal cell carcinoma . They tend not to spread beyond the skin . The complication is they can spread under the skin, extensively in some cases . As this is in a facial site we want to remove but preserve the anatomy and minimise scarring . I am suspicious that this might be a more infiltrative version …. So plan to biopsy in a couple of areas to get a clearer a look at what we’re dealing with before planning further surgery …

We realise that triggers and successful treatments for adult acne may differ from those with typical teenage acne . We f...
08/12/2025

We realise that triggers and successful treatments for adult acne may differ from those with typical teenage acne . We find skin is often more sensitive and we frequently see crossover conditions such as acne and rosacea and or acne and perioral dermatitis. Here we started my settling the skin barrier, look how inflamed the skin is in the first photo compared to after. We used skincare and prescriptions to create a calmer and more robust skin barrier . We added a topical retinoid to treat the acne . We often combine in clinic LED AND light peels. We start a combination of good skincare , topical prescriptions and calming in clinic treatments to settle the skin. We try to avoid antibiotic use unless warranted, and then we make sure we have an exit strategy and maintain gut health . The pictures speak for themselves . Follow for more consultant dermatologist skin advice .

05/12/2025

I have a demanding job. I have busy clinics filled with skin cancer, rosacea , acne and eczema and facial treatments . This is an extremely busy time of year as everyone understandably wants to be ‘ ready for Christmas ‘. This might mean having that skin cancer treated or rosacea settled . I try to make sure everyone is seen. Increasingly that first hour of my day is becoming more important . If I feel good I perform so much better. This has become one of my non- negotiable parts of the day . What are yours ? Follow for more advice on skin and wellbeing.… 😊 #

28/11/2025

Thank you and Tracy Achonwa .t.e.a for asking me to contribute to this fantastic and incredibly comprehensive article on a guide to facial serums . My take home messages were:

🌟don’t underestimate the power of a hydrating serum to brighten and protect skin
🌟There are many clever peptides that can help pe*******on of ingredients, suppress enzymes that damage collagen , boost collagen and elastin and soften fine lines lines and wrinkles amongst other roles of these clever products.
🌟when using active serums that may dry or irritate skin always balance with calming hydrating skin products. My favourite balance / repair approach . Be careful about combining , changing pH may reduce efficacy of some peptides for example
🌟 Multi- weight hyaluronic acid can be more effective allowing more effective hydration . My absolute favourite is La Roche Posay’s Hyalu B5 hyaluronic acid.
I was in great company! Read valuable insights by and Dr Hank Hassan cofounder of Hue.

Since developing our ROSACEA RESET ™️ ( we have run a study since 2018) we have seen incredible results, crucially avoi...
27/11/2025

Since developing our ROSACEA RESET ™️ ( we have run a study since 2018) we have seen incredible results, crucially avoiding antibiotics and targeting all of the areas driving rosacea skin. We want to create a sustainable solution that targets the skin- brain- gut axis. We see rosacea as driven by a series of taps 🚰 that once switched off can slowly reset the skin …..we’re looking for long term results 🤩

24/11/2025

It’s always hard getting out of bed when it’s dark and cold in the middle of winter… so let me share an amazing health hack that helped my bypass the willpower required …. My waterproof headphones . I found them and was able to download my favourite music . If you follow me you will probably have guessed I am obsessed with music . So I started to tell myself I was off to ‘ listen to beautiful music ‘ as opposed off to get into cold water and swim . I started to associate this task with beautiful music and the post swim feel good factor . It started to feel automatic and not a willpower task . Now I also associate the same music with feeling great… so can put it on when I have a tedious task to face like admin … I have a Pavlovian response to the music and expect a reward ….. Are you beginning to see how these headphones have really changed things for me . I now swim 4 mornings a week and crucially .. look forward to it … no will power required . I can keep that for other tasks in my life . I really hope that helps someone else as it has truly helped me!

21/11/2025

This patient came to see us as he wanted to discuss PDT treatment for sun damage to his face . He had worked outside for most of his life and as such had significant sun exposure. As we always do we offered a full skin examination …. Watch to the end of the video to see the two serious skin lesions we picked up incidentally. We will always offer a full skin examination … I think you can see why .

At Tarrant Street Clinic we are experts in the treatment of rosacea . We decided to take a very different approach as fa...
20/11/2025

At Tarrant Street Clinic we are experts in the treatment of rosacea . We decided to take a very different approach as far back as 2017 and started an observational study in 2018. We treat rosacea inside out and aim to stop antibiotic use. I am always delighted to see how quickly this approach can work . This patient read the article published in the Daily Mail (August 19th 2025)featuring our pioneering approach and wondered even though she had suffered for over 30 years could this work for her ?…. Well the pictures speak for themselves. Thank you so much for featuring us in your fantastic article.

19/11/2025

I am NOT your 5 am hit the gym person… I never have and ( likely ) never will . A few years ago I made some really simple steps to overhaul my health . Here they are ..
⭐️ I started swimming 4 x a week including cold water September to April
⭐️ I start my day with a smoothie containing rainbow fruit/ vegetable / kefir/ seeds
⭐️ I get light into my eyes first thing ( often cup of tea on bench outside ) to balance my circadian rhythms and boost sleep
⭐️ I add protein / fats to carbohydrates to help reduce a glucose spike . Poached egg on sourdough … perfect for this.

I think it’s fair to say, I don’t have a quiet brain. I often hear ‘ I can’t imagine what it’s like to be you! ‘ .. not...
19/11/2025

I think it’s fair to say, I don’t have a quiet brain. I often hear ‘ I can’t imagine what it’s like to be you! ‘ .. not in a good way. One of the consequences for me is a pathological avoidance of boredom …. I cannot imagine sitting on a train without a book, I know I should try … but aargh the thought . So … when I discovered waterproof headphones that Bluetooth… a whole world opened up for me . I could tell my restless brain. ‘ you’re not going to swim, you’re going to listen to Bach, Desert Island Discs, How to Fail…. The swimming’s a side benefit . And surprise surprise along the way I started to LOVE swimming . I just felt so much better. Genuinely this small orange gizmo .. has definitely changed my life

How do these steps help my skin ?1) I drink kefir that I add blueberries and seeds to. These support my gut microbiome a...
14/11/2025

How do these steps help my skin ?
1) I drink kefir that I add blueberries and seeds to. These support my gut microbiome and give me an antioxidant boost. I am very interested in the skin- brain - gut axis.
2) swap your normal cleanser that leaves your skin feeling tight for one that leaves it soft and hydrated … the impact can be remarkable! Cleansing in my view is the most important step in a skincare routine ..
3) take omega 3 supplements. There is increasing evidence supporting the benefits of omega 3 fatty acids in skin health .
4) Try dropping a humectant serum under your moisturiser . Humectants act like sticky tape to moisture . Look for multi- weight hyaluronic acids, panthenol and glycerin amongst others … this simple step can make such a difference .
5) I think we underestimate the impact of stress on our skin. Walking in nature is such a wonderful double whammy. The impact of exercise and the calming benefits of nature both helping to boost circulation and vitamin D and reduce stress . An early walk getting that light into your eyes will also help to balance circadian rhythms and support sleep.
6) do I even need to start on the multitude benefits of spending time with Herbie … the panacea of life !! 🐶🐶❤️❤️

13/11/2025

We are obsessed with cleansing … whilst it’s important to remove the day especially pollution … it should not be at the expense of skin barrier function . If it is , it becomes a law of diminishing returns . Skin should feel soft and hydrated after cleansing not tight and SQUEAKY CLEAN . That tightness often signals imbalance . Even with the best moisturiser it’s hard to compensate at this stage. Choose your cleanser wisely THIS IS NOT AN AD NOTE there may be DERMATOLOGICAL CONDITIONS that Increase moisture loss that may need treatment . This is skin care advice please see your GP, pharmacist or other dermatology professional for medical advice ….

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40A Tarrant Street
Arundel
BN189

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Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm
Saturday 10am - 2pm

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