Cosderm

Cosderm Cosderm founded by Dr Surbhi Virmani is a medical aesthetic service providing you quality skincare.

What really happens to your skin after menopause — and why oestrogen matters.Oestrogen is not just a reproductive hormon...
16/01/2026

What really happens to your skin after menopause — and why oestrogen matters.

Oestrogen is not just a reproductive hormone.
It is a key regulator of skin biology.

After menopause, falling oestrogen levels lead to measurable, structural changes in skin:
• Slower keratinocyte turnover → dull, thinner epidermis
• Reduced fibroblast activity → less collagen and elastin
• Impaired wound healing and barrier repair
• Increased inflammation
• Dryness, fragility, fine lines appearing faster

This is skin ageing at a cellular level, not “bad skincare.”

How topical oestrogen works in the skin

Skin contains oestrogen receptors (ER-α and ER-β) in keratinocytes, fibroblasts, and dermal blood vessels.
When topical oestrogen is applied under medical supervision, it can:
• Improve epidermal thickness
• Increase collagen synthesis
• Enhance hydration and barrier function
• Improve elasticity and skin resilience
• Support healthier skin turnover

This is biological support, not cosmetic camouflage.

Who may benefit

• Postmenopausal women with fragile, thin, dry skin
• Women who notice accelerated ageing after menopause
• Patients whose skin no longer responds to standard cosmeceuticals

Important clinical points

✔ This is prescription-only
✔ Dosing, formulation, and site of application matter
✔ Not suitable for everyone — individual assessment is essential
✔ Facial oestrogen is not the same as systemic HRT

When used correctly, topical oestrogen can be a powerful adjunct in managing menopausal skin changes — alongside sun protection, retinoids, regenerative treatments, and lifestyle support.

Menopausal skin doesn’t need more marketing.
It needs hormone-aware medicine.

16/01/2026

Vaginal Desirial® injections: let’s talk about something many women suffer with in silence.

After menopause (and sometimes peri-menopause), falling oestrogen levels cause genitourinary syndrome of menopause (GSM). This isn’t “just dryness” — it’s real tissue change.

Women experience:
• Vaginal dryness and burning
• Pain or tearing with intimacy
• Recurrent urinary or vaginal infections
• Itching, irritation, discomfort when sitting or exercising
• Reduced confidence and avoidance of intimacy

Over time, vaginal tissue becomes thinner, less elastic, poorly hydrated, and more fragile.

Desirial is a medical-grade hyaluronic acid injectable designed specifically for intimate tissue — not facial fillers, not hormones.

How Desirial works:

Hyaluronic acid is a powerful hydrating and regenerative molecule naturally found in the body. When injected into vaginal tissue, Desirial:
• Restores deep hydration
• Improves elasticity and tissue thickness
• Supports blood flow and tissue health
• Strengthens the vaginal wall
• Improves comfort and lubrication

This is tissue repair, not camouflage.

Why many women choose Desirial:

• Hormone-free option
• Ideal for women who cannot or do not want oestrogen
• Minimally invasive
• Quick procedure with minimal downtime
• Clinically designed for vaginal anatomy

Benefits patients commonly report:

• Reduced dryness and burning
• Less pain with intimacy
• Improved comfort day-to-day
• Better vaginal resilience
• Improved sexual wellbeing and confidence

Important to know:

✔ This is a medical treatment, not cosmetic
✔ Best results come from proper assessment and correct technique
✔ Often combined with lifestyle, pelvic health, or other supportive treatments
✔ Not a replacement for surgery when significant laxity is present

Menopause should not mean accepting discomfort as “normal.”
Vaginal health is part of whole-body health — and it deserves proper care, proper science, and proper conversations.


If you’re struggling quietly, know this: options exist.

Profhilo: hydration, not filler. Glow, not volume. ✨Profhilo isn’t about changing your face.It’s about re-educating your...
15/01/2026

Profhilo: hydration, not filler. Glow, not volume. ✨

Profhilo isn’t about changing your face.
It’s about re-educating your skin.

💧 Ultra-pure hyaluronic acid
🧬 Bio-remodelling, not puffing
🌿 Improves texture, elasticity & radiance
📉 Zero “overdone” look

Think of it as skin quality therapy — for dull, crepey, tired skin that needs function, not fakery.

Two sessions. Four weeks apart.
Results build quietly… and last.

Because good skin doesn’t shout.
It just looks healthy.

HydratedSkin AgeingWell LessButBetter RegenerativeAesthetics

Botulinum toxin: what it actually does (and why “frozen” is optional, not inevitable)Botulinum toxin works by temporaril...
05/01/2026

Botulinum toxin: what it actually does (and why “frozen” is optional, not inevitable)

Botulinum toxin works by temporarily relaxing specific muscles, not by filling, stretching, or paralysing your face.

At a cellular level, it blocks the release of acetylcholine at the neuromuscular junction — that’s the chemical messenger that tells a muscle to contract.
No signal → less contraction → less repetitive folding of skin → softer lines.

That’s it.
No mystery. No magic. No face-freezing spell.

✨ Why it’s safe
• It’s used in tiny, localised doses
• It stays where it’s injected — it doesn’t “travel” around your body
• It’s been used in medicine for decades (neurology, ophthalmology, pain, spasticity — long before aesthetics)
• When done correctly, it wears off naturally over 3–4 months

🧠 Why people fear the “shiny frozen forehead”
That look is not caused by botulinum toxin.
It’s caused by:
• Over-dosing
• Poor muscle assessment
• One-size-fits-all injection patterns
• Treating lines instead of faces

A well-done treatment allows:
✔️ Expression
✔️ Soft movement
✔️ Natural rest
✔️ A face that still looks like you

💬 The goal
Not frozen.
Not shiny.
Not blank.

The goal is a face that looks:
• Relaxed, not restricted
• Rested, not altered
• Smoother, not unfamiliar

Good botulinum toxin should make people ask:
👉 “You look really fresh — have you been sleeping well?”

Not:
👉 “What did you do to your forehead





Less myth. More medicine.
Always about precision.

NotFrozen
NaturalResults
SoftBotox
BabyBotox
LessIsMore

Skin & ageing
AgeWell
GracefulAgeing
PreventativeAesthetics
SkinConfidence

Professional cre

04/01/2026

Retinol: powerful, proven, and often misused.

Retinol works by increasing cell turnover and stimulating collagen, which helps improve texture, pigmentation, acne, and fine lines over time.

✔️ Start low
✔️ Use at night
✔️ A pea-sized amount is enough
✔️ Moisturise well
✔️ Sunscreen is non-negotiable

Expect dryness or mild peeling at the start — that’s irritation, not magic.
Consistency beats strength. Always.
#
obagimedical facelift

30/12/2025
•  Over the last decade and a half, medical spas have popped up across the U.S., offering one-stop beauty boutiques that...
29/12/2025

• Over the last decade and a half, medical spas have popped up across the U.S., offering one-stop beauty boutiques that pair medical treatments with spa-level indulgence. From Botox and fillers to microneedling, chemical peels, and body contouring, women now casually spend hundreds—or thousands—on procedures that feel increasingly convenient and commonplace.

But as millions pour money into the $20 billion med spa industry, troubling stories of lax oversight and unqualified clinicians are mounting. Even routine visits can turn dangerous—or deadly. For our September 2025 issue, explores the underregulated world of med spas. Revisit the full story at the link in bio.

Illustration: Vanessa Saba

Allergan DiamondGlow is not a regular facial.It is a precision dermal-infusion treatment that exfoliates, extracts, and ...
03/12/2025

Allergan DiamondGlow is not a regular facial.
It is a precision dermal-infusion treatment that exfoliates, extracts, and infuses clinical-grade serums in one continuous pass.

The diamond-tip handpiece delivers controlled micro-exfoliation while vacuum pressure removes debris and congestion. At the same moment, targeted serums are driven deep into the skin where they are actually bioactive.

Results are immediate: clearer pores, smoother texture, brighter tone, and a hydrated, even surface.
A high-performance option for dullness, congestion, dryness, early ageing, and event-ready skin.

Zero downtime. Maximum clinical payoff.

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Address

32 Dover Street
London
W1

Opening Hours

Monday 10am - 5pm
Tuesday 10am - 5pm
Wednesday 10am - 3pm
Thursday 10am - 5pm
Friday 10am - 3pm
Saturday 10am - 11:30am

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