Harmony Medical by Dr Ayah
š„¼ Medical Aesthetics and Wellness clinic London Harley Street & Halifax West Yorkshire.
Cosmetic Dermatology with a special interest in Acne & Hyperpigmentation
[email protected]
08/10/2026
Iām a normal person too! š
I scroll TikTok, see skincare trends and thinkā¦Ā *hmm, maybe I should try that!*Ā š
And thatās exactly how I started usingĀ St Ives scrub on my face.Ā š¤¦š½āāļø
I thought if I exfoliated my skin and got rid of all the dead skin, it would make my skin brighterā¦
Did it? Nope. š
Instead, my skin became irritated and started struggling to hold onto hydration.
No matter how much moisturiser I put on, my skin still feltĀ dull, dry and tired.
I started noticing patches of darkness, especially around the lower half of my face. My under-eyes looked darker and I had loads more texture.
I just thoughtā¦Ā *why does my skin look so tired?!*Ā š©
It wasnāt until I went toĀ Harmony MedicalĀ and had my skin assessed with the skin scanner by Dr Ayah that I finally understood what my skin actually needed.
I was given aĀ personalised skincare routineĀ based on MY skin.
Not just something I picked up because it was on the shelfā¦
And definitely not because it was trending on TikTok. š
And do you know what was one of the biggest things missing from my routine?
HYDRATION. š¦
Yep. You heard me.
I started using products that focused onĀ hydrating my skinĀ ā and that made such a difference.
And the best part?
3 years later, Iām still using the same routine!
So if you want to know exactly what I usedā¦
Comment below and Iāll share my routine with you. šš½
Xoxo,Jigna š¤
07/10/2026
We all see warnings about using lasers on skin of colour.
But do we actually know why? š
Letās take laser hair removal šš½
The laser targets melanin (pigment) in the hair to heat and damage the follicle.
But your skin contains melanin too!
So the laser can be absorbed by BOTH the hair and the skin.
With skin of colour, thereās more melanin in the skin, so more energy can be absorbed.
This is why cooling during treatment is so important. āļø
Cooling helps bring the skin temperature back down, reducing excessive heat and the risk of a burn.
Think of it like touching something hot and putting your hand under cool water ā youāre taking the heat back down.
Because a burn causes inflammation, it can sometimes leave behind long-lasting pigmentation (PIH).
So what if pigmentation does occur?
This is where Pico laser can be useful.
Pico uses ultra-short pulses of light to create a photoacoustic effect ā tiny pressure waves that help break the pigment into smaller particles, while minimising unnecessary heat.
This can make it a useful option for treating pigmentation in skin of colour.
The right wavelength, settings, cooling and technique all matter.
And THAT is why assessment comes first. šš½
06/10/2026
Can you actually shrink your pores? š
Not exactly.
Pore size is influenced by things like genetics, oil production, sun exposure and skin elasticity.
You canāt permanently āopenā or ācloseā your pores ā but youĀ can make them look less noticeable.
So why can pores suddenly look bigger?
When skin getsĀ irritated, it can become swollen.
That swelling can stretch the surrounding skin, making your existing poresĀ look largerĀ and texture more noticeable.
And then thereās tonerā¦
Weāve been told for years that toner āshrinksā pores.
The idea is that removing excess oil can make poresĀ look smaller temporarily.
But if your toner is too harsh or youāre using it too often, it canĀ dry and irritate your skin.
And hereās the irony š
You could be irritating your skin to make your pores look smaller⦠only to make them look more noticeable.
The goal isnāt pore perfection.
ItāsĀ calm, healthy-looking skinĀ where your pores are simply less noticeable. āØ
*Beauty is skin deep⦠and thatās exactly where we start* šāØ
Think you know your skin type? Your skin scan might tell you something completely different!
Your skin can look oily but actually be dehydrated.
It can look dry but have a compromised barrier.
And redness, pigmentation, texture and fine lines can tell us much more than what we see in the mirror.
Thatās why we skin scan before EVERY appointment.
It helps us understand whatās happening with your skin so we can tailor your skincare and treatments, whether thatās prescription skincare, cosmeceuticals, laser, microneedling or simply getting your skin barrier back on track.
Because weāre not here to throw treatments at your skin and hope for the best. We're here to empower you to your best skin-life š
**Beauty is skin deep - and skin is exactly where we start.**
Want to understand your skin properly?
šø Book your skin consultation with us.
01/10/2026
I wish we could do magic too! š
But sometimes quick fixes arenāt the answer, especially when your skin is already sore!
Take acne scarring.
Those acne-scar craters took their own sweet time getting deeper⦠so you need to give your treatments time too!
With RF microneedling, tiny needles and radiofrequency energy create controlled injury to stimulate your fibroblasts toĀ BUILD COLLAGEN.
Basically telling your skin:
āHey! We need some new collagen over here!āĀ š
But hereās the thingā¦
TIME + COMBINING TREATMENTS.Ā ā°
Notice how her scars were also red?
If the skin is already inflamed, the healing process can be slower.
So we donāt just want to keep treating it harder.
We also want toĀ calm the skin and support its recovery.
Thatās where we may combine treatments with our littleĀ Red Bull⦠exosomes!Ā š
Think of it like building a house.
If thereās aĀ flood on the building site, the builders canāt work as quickly! š
So we want to calm the āfloodā BEFORE and DURING the collagen-building process.
And collagen?
This is NOT an Amazon Prime delivery guys!Ā š
It can takeĀ 3ā6 monthsĀ to develop ā and sometimes longer.
Results take time. Your skin isnāt Amazon Prime.Ā šā°
30/09/2026
A chemical peel may seem like a simple treatment.
You apply the peel⦠and youāre done, right?
Not quite.
With chemical peels, what happens before, during AND after the treatment matters.
There are a few things we need to consider:
1ļøā£SKIN HEALTH
If the skin is already compromised, it may take longer to heal, increasing the risk of complications such as hyperpigmentation.
2ļøā£SKIN PREP
Sun exposure, trauma or other treatments can make the skin more vulnerable before the peel even starts.
3ļøā£DURING TREATMENT
We need to watch how the skin is responding.
If the patient is experiencing 10/10 burning, or there is significant frosting or redness, the peel may be too much for the skin.
4ļøā£AFTERCARE
Sun exposure, trauma or using active ingredients too soon can add more stress to skin that is already trying to heal.
And this is where things can go wrongā¦
A chemical burn can happen. š„
Once the skin is injured, the priority is supporting healing and preventing further inflammation.
Because if healing is prolonged, the skin can be more likely to develop dark marks ā post-inflammatory hyperpigmentation (PIH).
This is why pre-care is just as important as aftercare.
29/09/2026
ACNE
Who hasnāt dealt with spots?!
But for some people, acne can beĀ severe and long-lasting, and this can leave permanent dents in the skin.
In this case, the acne had leftĀ dips and dents in the cheeks.
So what causes the dents?
Acne damages the skin ā collagen is lost ā a dent is left behind.
These scars can be treated, but improving them takesĀ time.
So what can we do?
1ļøā£ Stimulate new collagen
ThinkĀ TCA, RF microneedling or COā laser.
These treatments can improve the scars, but they usually needĀ multiple sessionsĀ and results take time.
And with skin of colour, we also have to be careful about how aggressively we treat because of the risk of pigmentation.
And this is where we can get impatientā¦
2ļøā£ Filler
Filler can give you aĀ quicker resultĀ by lifting the dent.
And at first ā yay! š
The dip is lifted.
But here'ā where things can sometimes get trickyā¦
HA filler attracts water.
So over time, the area can becomeĀ fuller and puffier.
And that extra fullness can make the surroundingĀ folds look more obvious.
So the quick fix can sometimes createĀ a new problem.
The lesson?
Itās not just about fixing the dent.
We also need to think aboutĀ what happens to the skin around it.
28/09/2026
Did you wake up one morning and lose the function of one side of your face?
Thatās exactly what happened to this beautiful client of ours ā and weāve had a few other clients experience something similar after certain life events.
The way we look is a huge part of our lives. Our face is often the first thing people see and associate with us, and our appearance can affect social interactions, relationships and even how we feel about ourselves.
So what do you do?
Unfortunately, there isnāt always a treatment that can completely reverse what has happened. But what weĀ *can*Ā do is work with the muscles and try to rebalance how they are functioning.
With Bellās palsy, one side may be working differently to the other. So how do we encourage the weaker side to work harder?
Think of it like a manager going on holiday. Suddenly, the rest of the team has to pick up the slack and keep everything running smoothly. But thereās always going to be a period where things donāt quite go according to plan.
Some muscles may start working again. Some may not. Others may become overactive.
You just donāt know exactly how things will settle until you reassess.
And thatās why reviews are so important.
We canāt perfect asymmetry in one treatment ā or even necessarily in 2 or 3.
Sometimes it takes time to get as close to balance as possible. And as your body changes, your muscles change too, which means the treatment approach may need to change with it.
So if someone had one treatment and you needed four,Ā that doesnāt mean something has gone wrong.Ā Everyoneās starting point, muscle function and recovery are different.
And thatās a whole other story⦠š
The main thing I want you to take away is:
One treatment doesnāt define your final result. These things take time.
If youāre struggling with facial asymmetry, come and see us for a thorough facial clinical assessment so we can look at whatās actually happening and work out how we can help.
Love,Harmony Medical xx
26/09/2026
Does filler grow? š
People get chin filler to help define their face, make it look longer and create a more sleek profile.
But then, a few years down the line, they notice their chin looks bigger.
No extra filler was added.
They havenāt done anything differently.
And filler doesnāt just randomly grow⦠right?
So whatās going on?
Well, filler is made from hyaluronic acid.
And hyaluronic acid attracts and holds water.
Filler + water = more volume.
Over time, that extra volume can make the chin look fuller and bulkier, rather than the sleek, defined result they originally wanted.
So what can you do?
You can try to dissolve the filler.
But chin filler is designed to provide support and structure, so it tends to be a more cohesive, highly cross-linked gel.
And when youāve got a lot of filler sitting thereā¦
Well, now you can see where Iām going with this. š
Getting rid of every bit of filler can be difficult.
But you donāt necessarily need to remove every last bit.
You can reduce the bulk.
23/09/2026
Are collagen supplements worth the hype? š
Everyoneās promoting them.
Just the other day, I was even sent a free sample to try for a month.
You can take collagen as gummies, capsules, powders or throw it into your drink.
But do they actually work?
Your body makes different types of collagen for different tissues. Skin, cartilage and other tissues donāt all use the same type.
So what happens when you take a collagen supplement?
Your digestive system breaks it down into smaller peptides and amino acids.
These are absorbed and used around the body.
Think of it like giving your body a box of building blocks. š§±
Your body uses those building blocks where theyāre needed for normal protein production, maintenance and repair.
But hereās the thingā¦
We donāt know exactly how much ends up being used to make collagen in your skin.
And even if some is used there, will it actually give you the firmer, thicker skin youāre looking for?
Thatās where I start to question the hype.
There is research showing collagen supplements may improve things like skin hydration and elasticity ā but the evidence isnāt as clear-cut as the marketing can make it sound.
So wouldnāt it make more sense to target the skin more directly?
Treatments like microneedling and radiofrequency work within the skin to stimulate collagen production and remodelling.
Iām not saying collagen supplements donāt have a place.
Iām just askingā¦
Are collagen supplements really worth the hype? š
Do you take them? Iād love to hear what you think.
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