Dr Trish

10/02/2026

I’ve had Skinvive done recently and honestly, it’s the best my skin has ever looked. My skin feels super hydrated, smooth, and just really healthy overall. The glow is so natural, and one of the biggest things I noticed is how much it calmed down my redness — my skin tone looks way more even and calm now.

It’s one of those treatments where people keep saying you look really good, but can’t quite put their finger on why. My skin just looks fresher and more radiant, and I’m definitely wearing less makeup because I don’t feel like I need it as much.

I also have to say Trish is amazing. She’s such an expert at what she does and really understands how to give results that look natural, not overdone. I felt completely confident in her hands, and the whole experience was quick and easy with minimal downtime.

If you’re thinking about Skinvive and want better skin without looking like you’ve “had work done,” I couldn’t recommend it (or Trish!) more.

05/02/2026

02/02/2026

Endometriosis is one of those conditions that are unfortunately commonly missed as a diagnosis.

The recommendation regarding endometriosis and HRT, is to use a continuous regimen for women who still have their uterus.

I see a lot of patients with endometriosis who have had a hysterectomy and we need to think carefully when prescribing because the oestrogen only type of HRT used in these women could trigger the endometriosis ( and then a theoretical cancer).
There isn’t much evidence to determine whether HRT reactivates endometriosis after menopause and if so do we definitely need to use a progestogen for these women???

The decision to use HRT with or without a progestogen here needs a full assessment and discussion of the general risks and benefits of HRT.

Pick up the diagnosis in the first place (see above…) and then we can deal with all of this when the time comes!

26/01/2026

Polynucleotides are used in this way for their cellular repair properties.
The aim is to improve the skin quality in this delicate area.

23/01/2026

This study provides evidence for the safety of HRT containing transdermal estradiol in women with a personal history of venous and arterial thromboembolism.
This enables safe HRT prescribing of high risk women after an individualised risk assessment and empowers these women to receive appropriate advice and therapy.

The Journal of the British Menopause Society

23/01/2026

When we look at a face we have to decide -
What are the issues?

In addition - is this patient more suited to surgery- and then skin refinement?? If so this may be way more cost effective and more clinically appropriate.

Thinking about injectables, it’s confusing.

It is crucial to initially assess the quality of the skin and in my clinic I assess hormone health and general health as well.

If we need to
👉stimulate collagen- Biostimulators
👉Replace volume and hydrate - Dermal fillers
👉Hydrate and refine- Skin boosters

21/01/2026

Skin in the menopause and perimenopause can feel and look very different- thinner, fine lines, sagging, rough, crepey..

We can improve the quality of the skin by using the biostimulator HArmonyCa and SkinPen microneedling
Plus
Combine these skin quality treatments with other synergistic treatments to give an overall healthy, natural, restorative skin appearance.

👉Collagen synthesis using HArmonyCa
👉Soften lines with Antiwrinkle injections
👉Volume replacement with dermal filler
👉Collagen Synthesis with Microneedling
👉Hydration with Hyaluronic acid SkinVive
👉Resurface with Obagi Blue Peel Radiance
👉Protect & Repair with medical grade skincare

Skin assessment and treatment planning are the key!

19/01/2026

"Dear Trish,
Thank you so much for your time, sensitivity and kindness at the appointment last week.

I came away feeling heard and empowered to make an informed choice regarding HRT.

My mood lifted simply as a result of talking to you.

Every woman deserves a Dr. Trish in their lives.

Thank you once again.

Kind regards"

19/01/2026

15/01/2026

The neck area is such an imparted not to forget!

1. Microneedling
2. Skinvive
3. Platysmal bands
4. SPF!

14/01/2026

This is such a common question!
If you are 45 or above then you are likely to be going through the perimenopausal process and you may want a blood test to confirm this.
But
Look at the graph above and see how chaotic the blood levels are likely to be.
The danger here is that taken on a ‘good day’, bloods may be effectively normal and not reflect the real situation.
Younger women may need a blood hormone test to exclude a premature menopause which has health consequences.
In short, we have to use common sense and not over test or over monitor women.
Blood tests have their place but in the perimenopause, as you can see, they could add more confusion and delays in management of symptoms.

Instead
👉expert medical knowledge
👉experience
👉clinical assessment

For the chaos that perimenopause can bring!

13/01/2026

The days of shaming patients for

😮Being overweight
😥Struggling to lose weight
🤫Taking medication to help weight loss

are over

I combine medical assessment, hormone management and body composition scanning with holistic advice followed by a maintenance plan.

Suitable patients can finally be free of this burden, sense of moral 'failing' and ongoing risk to their health.

BUT weight loss management is complex and needs supervision. Medications used can have risks and serious side effects and one of these is muscle loss.

For a supported plan that involves your general health, not just a prescription that could leave you unhealthier than when you started...... book in for a weight management consultation.