Skin concerns can develop for many reasons, including natural ageing, environmental exposure, genetics, hydration levels, and lifestyle factors.

At Emergence Clinical Aesthetics, we take a clinical approach to skin assessment, helping identify the factors that may be contributing to changes in the skin over time.

This page outlines some common concerns and the underlying factors that may influence them.

Fine Lines & Wrinkles

Fine lines and wrinkles develop due to a combination of natural ageing, environmental exposure, and lifestyle factors.

Changes in collagen production, hydration levels, and external stressors such as sun exposure can all influence how the skin changes over time.

Understanding these factors helps guide appropriate skin care and treatment planning.

  • Collagen and elastin are structural proteins that help maintain skin firmness and elasticity. As natural production slows with age, the skin gradually loses support, which can contribute to the development of fine lines.

  • Environmental exposure, particularly ultraviolet (UV) radiation and pollution, can contribute to the breakdown of collagen and elastin. Over time, this may accelerate visible skin ageing.

  • When the skin is dehydrated, it may appear less plump and fine lines can become more noticeable. Supporting hydration helps maintain the skin barrier and overall skin balance.

Facial Volume Loss

Facial volume loss is a common change that occurs as part of the natural ageing process.

Over time, collagen, elastin and underlying fat structures gradually change, which can affect facial contours and skin support. These structural changes may contribute to a loss of fullness in certain areas of the face.

  • As collagen and facial fat gradually decrease, the cheeks may lose some of their natural fullness and definition. This can create a more hollow appearance in the mid-face.

  • The temples can also be affected by volume loss over time. Changes in this area may create a concave or hollow appearance along the sides of the forehead.

  • When facial volume changes, deeper folds can become more visible. These may include nasolabial folds and marionette lines around the mouth.

  • Reduced collagen and elastin can affect the skin’s structural support. Over time, this may contribute to decreased firmness and changes in facial contours.

Dull or Lackluster skin

Lacklustre skin is commonly described as skin that appears dull or tired in tone.

Several factors may contribute to this appearance, including the natural buildup of dead skin cells, changes in hydration levels, environmental exposure, and gradual structural changes in the skin over time.

  • When dead skin cells accumulate on the surface, the skin can appear less reflective and more uneven in tone, contributing to a dull complexion.

  • Dehydration and surface buildup may make fine lines more noticeable, particularly in areas where the skin is thinner.

  • Over time, changes in collagen and elastin can affect the skin’s structural support, which may contribute to reduced firmness.

  • Surface buildup and environmental exposure can contribute to irregular skin texture, making the skin feel rough or uneven.

Moles and Skin Lesions

Moles, also known as nevi, are common growths on the skin formed by clusters of pigment-producing cells. They can appear anywhere on the body and may develop over time or be present from birth.

Most moles are benign, but it is important to monitor them for changes in size, shape, colour or texture. If a mole changes or appears unusual, clinical assessment is recommended.

  • Common moles are typically small, round or oval, and have a uniform colour and defined borders. They are usually benign but should be monitored for any noticeable changes.

  • Atypical moles may have irregular borders, uneven colouring or a larger size than common moles. Because they can resemble melanoma, they should be assessed and monitored by a clinician.

  • Congenital moles are present at birth and can vary in size and appearance. Larger congenital moles may carry a higher risk of developing into melanoma and should be monitored regularly.

  • Acquired moles develop after birth and often appear during childhood or early adulthood. They are usually smaller and have a more uniform colour and shape.