We do not prescribe hormones or medication for perimenopause. Nutritional and Ayurvedic practitioners may discuss diet, lifestyle, and supplements, but we will always ask you to check supplements with your GP or pharmacist.
Yes, particularly if your symptoms are severe, sudden, or significantly affecting your life, or if you have any unusual bleeding. Medical assessment comes first; integrative support is something we add to that foundation.
No. Hormone replacement therapy is a medical decision to make with your GP or menopause specialist. Our integrative care sits alongside HRT — or alongside whatever medical pathway you choose. We do not advise for or against HRT.
No — and we would be wary of anyone who claimed it could. Perimenopause is a natural transition, not a disease to be cured. Integrative care offers structured, whole-person support that many women report finding helpful during the transition. It is complementary to your medical care, never a substitute for it.
It is the single most important determinant of success. Patients who can't commit to strict sun avoidance are better served by skincare-only protocols rather than laser.
No. We postpone treatment until after pregnancy and breastfeeding. Pregnancy can also trigger melasma, which often settles afterwards.
Sometimes, with careful device choice, conservative settings and a patch test. The risk of pigment change is higher on darker skin, so we assess this carefully and will say if another approach is safer.
Prices vary by clinic and area. At Dental & Wellness London, Islington, pigmentation removal is from £80 per session, and the consultation is £65, redeemable in full.
Treated spots darken over a day or two, then flake away within about a week. Most people carry on as normal, avoiding sun and active skincare for seven days.
Most sun spots and age spots clear in 2 to 4 sessions, about four weeks apart. Melasma usually needs a longer, gentler plan.
Treated spots usually clear for good, but new pigment can form with sun exposure, hormones or age. Daily SPF 50 is the most important part of keeping the result.
It depends on the type. Sun spots, age spots and freckles usually respond to Q-switched laser or IPL. Melasma needs a cautious, skincare-led plan, because heat can make it worse. We assess your pigment first.
Improvements in texture and fine lines can last for years with daily SPF and good skincare, although skin continues to age naturally.
Avoid heavy exercise, saunas and hot yoga for about two weeks, or until your skin has healed.
Wait until the skin has stopped peeling and is fully closed, usually 5 to 10 days depending on depth. Mineral make-up is gentlest at first.
Lighter treatments settle in two to five days. After deeper treatment, the surface heals in about 10 to 14 days, and pinkness fades over the following weeks.
It can, especially with sun or hormonal change. Daily SPF and maintenance skincare reduce the risk.
Only in selected cases, once skincare has stabilised it, and at very conservative settings.
Strict daily SPF that also blocks visible light, clinical skincare and gentle peels, with prescription treatment from your GP or a dermatologist where appropriate.
Laser delivers heat, which can trigger more pigment. Melasma often fades, then returns darker.
It can be controlled, often very well, but it tends to recur with sun exposure or hormonal change, so maintenance matters.
Yes, shave the day before or on the day. Do not wax, pluck or thread for at least four weeks before, because the hair root needs to be in place for the light to work.
You keep most of the reduction you have gained. Some hairs may regrow over time, especially with hormonal changes, and occasional top-ups can manage this.
Yes, regrowth is usually slower and finer after three sessions, but stopping there often leaves noticeable regrowth. A full course gives a much better result.
Most people need 6 to 8 sessions for a substantial long-term reduction. It reduces rather than completely removes hair, and occasional top-ups keep the result.