CLM Aesthetics

WHY DOES MY PIGMENTATION KEEP COMING BACK?

You treated it… so why is it back?

Because pigmentation isn't always just about the pigment you can see.

Different types of pigmentation have different causes. UV exposure, visible light, hormones, inflammation and individual genetics can all contribute depending on the condition.

Melasma is a great example.

It is a chronic, relapsing condition, meaning that even when pigmentation improves, the underlying tendency to produce excess pigment can remain.

And this is why treating the visible pigment is only part of the picture.

Ongoing sun protection is incredibly important, because UV exposure can stimulate melanogenesis — the production of melanin.

For some people with melasma, visible light can also contribute, which is why appropriate photoprotection is particularly important.

Inflammation can also trigger post-inflammatory hyperpigmentation after skin injury or irritation.

So if your pigmentation keeps coming back, the answer isn't necessarily “stronger treatment”.

Sometimes the more important question is:

WHY is my skin producing the pigment in the first place?

Understanding the type and cause of pigmentation is an important first step in deciding how it should be managed.

References:
Passeron T, et al. Melasma: The need for tailored photoprotection to improve clinical outcomes. Photochem Photobiol. 2022;38(6):515–521.
Ogbechie-Godec OA, Elbuluk N. Melasma: An Up-to-Date Comprehensive Review. Dermatol Ther (Heidelb). 2017;7:305–318.

*Disclaimer - This information is for general educational purposes only and is not personalised medical advice.

Xx Courtney

EVERYONE SAYS “STIMULATES COLLAGEN”…

…but what does that actually mean?

Collagen is one of the main structural proteins in our skin. It helps provide strength, support and structure.

As we age, collagen production and organisation change. This contributes to changes in firmness, elasticity, texture and the appearance of fine lines.

So when a treatment is described as “stimulating collagen”, it generally means the treatment is intended to trigger a biological repair and remodelling response within the skin.

For example, microneedling creates controlled micro-injuries that can activate wound-healing pathways and growth factors, which may promote new collagen formation.

But here’s the important part:

It doesn't happen overnight.

Collagen remodelling is a gradual biological process, which is why skin changes following collagen-inducing treatments are generally assessed over time rather than immediately after treatment.

And “more collagen” doesn't automatically mean tighter or younger-looking skin.

The treatment, settings, individual skin characteristics and your body's healing response all matter.

So next time you see “stimulates collagen”, ask:

WHAT does it stimulate?
HOW does it work?
And WHAT evidence supports it?

References:
Schoenberg E, et al. Microneedling: Where do we stand now? A systematic review of the literature. Plast Surg Int. 2017.
Alster TS, Graham PM. Microneedling: A review and practical guide. Dermatol Surg. 2018.

*Disclaimer - This information is for general educational purposes only and is not personalised medical advice.

Xx Courtney

Keratosis Pilaris: What Are Those Little Bumps?

Ever noticed small, rough bumps on the backs of your arms, thighs or buttocks that never seem to go away?

You may be dealing with keratosis pilaris, often called “chicken skin”.

Keratosis pilaris is a very common and harmless skin condition. It occurs when keratin, a protein naturally found in the skin, builds up around hair follicles, creating tiny plugs and that characteristic rough, bumpy texture.

Genetics play a role, and it can be more noticeable in people with dry skin or eczema. It can also become more noticeable during winter when skin is drier.

There’s currently no cure, but consistent skincare can help improve its appearance and texture.

Ingredients that may help include:
Salicylic acid — helps exfoliate within the follicle and reduce keratin build-up.
Lactic acid — gently exfoliates while helping to hydrate the skin.
Urea — helps soften rough skin and improve moisture retention.
Regular moisturising is also important for supporting the skin barrier.

Keratosis pilaris is extremely common and harmless. While it can't be permanently cured, consistent use of moisturising and gentle exfoliating ingredients can help improve the appearance of those little bumps over time.

References:
Thomas M, Khopkar U. Keratosis Pilaris Revisited: Is It More Than Just a Follicular Keratosis? International Journal of Trichology. 2012.
American Academy of Dermatology Association. Keratosis Pilaris.

*Disclaimer This information is for general educational purposes only and is not personalised medical advice. Please seek advice from a qualified healthcare professional regarding your individual circumstances.

Xx Courtney

Hi, I’m Courtney, the face behind CLM Aesthetics, and I thought I’d share a few things you might not know about me.

I’m 36, a Virgo and a very proud mum of two boys.

My coffee order is an almond milk cappuccino, and if we’re having a cocktail, I’ll happily take a margarita or an Aperol spritz.

My favourite colour is blue, and a fun fact you probably wouldn’t guess… I used to play a LOT of water polo and was actually a national league goalkeeper.

I’ve been a registered nurse since 2013 and spent 10 years working in emergency nursing, which taught me a lot about people, pressure and, most importantly, looking after others.

And something a little more personal… I’m dyslexic. Reading and writing have never always come easily to me, but I’ve never let it hold me back from doing the things I’ve wanted to do.

So that’s a little bit about me.

If you’re new here, hi — it’s lovely to have you. And if you’re thinking about coming into CLM, I hope this makes me feel a little less like a stranger when you walk through the door.

Xx Courtney

Hyaluronic Acid, Glycerin, and Ceramides: What's the Difference?

While these ingredients are often found together, each has a different role in supporting healthy skin.

Hyaluronic Acid
Hyaluronic acid is a humectant, meaning it attracts water to the skin to improve hydration and give the skin a plumper appearance.It is naturally found in the skin, but levels decrease with age. It is suitable for most skin types and works best when paired with a moisturiser.

Glycerin
Glycerin is also a humectant and is one of the most effective, well-researched hydrating ingredients available.It helps draw water into the skin and is suitable for almost all skin types, particularly dehydrated and sensitive skin.

Ceramides
Ceramides don't attract water—they strengthen and support the skin barrier.
When ceramide levels are depleted, the skin may become dry, sensitive, and less able to retain moisture.They are particularly beneficial for dry, mature, sensitive, or barrier-impaired skin.

Which Ingredient Is Best?

It depends on what your skin needs.

If your skin is dehydrated, hyaluronic acid and glycerin can help attract water into the skin.

If your skin is dry or has a compromised skin barrier, ceramides can help restore and retain moisture.

Disclaimer: This post is for educational purposes only. This information is general in nature and is not intended as medical advice. Please seek advice from a qualified healthcare professional regarding your individual circumstances.

References
Rawlings AV, Harding CR. Dermatologic Therapy. 2004.
Fluhr JW, Darlenski R, Surber C. British Journal of Dermatology. 2008.
Proksch E, Brandner JM, Jensen JM. Experimental Dermatology. 2008.
Barel AO, Clarys P. Dermatology. 2005.
Draelos ZD. Journal of Cosmetic Dermatology. 2018.

Your time, your skin, your appointment.

Here are my current opening hours. Appointments can be booked via the link in my bio or send me a message.

X x Courtney

CLM Aesthetics | Walkerville