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<h2>Video Summary</h2>
<p>Welcome back to the <a class="wpel-icon-right" href="https://open.spotify.com/show/0bel9k1rNEzUb9D84HOsxI" target="_blank" rel="external noopener noreferrer" data-wpel-link="external"><strong>Late Late Aesthetic Show</strong></a>. In this enlightening and deeply informative episode, we’re joined by one of the UK’s most respected aesthetic doctors: Dr. Catharine Denning. Known for her scientific, personalised, and incredibly natural-looking results, Dr. Denning - founder of <a class="wpel-icon-right" href="https://www.maryleboneskin.co.uk/" target="_blank" rel="external noopener noreferrer" data-wpel-link="external"><strong>Marylebone Skin and Medical Aesthetics</strong></a> - shares her journey from hospital surgery to high-end skincare, and explains why subtle enhancement is the future of aesthetics.</p>
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<h3>From Scalpel to Syringe: A Career Pivot Rooted in Passion</h3>
<p>Originally training as a plastic surgeon, Dr. Denning never envisioned a path in aesthetics. Burnout, disillusionment, and a pivotal year teaching anatomy redirected her focus. A single filler demonstration - 0.1ml to the cheek - was all it took for her to witness the psychological power of minor adjustments. The rest is history. She pursued a Master’s in injectables and transitioned fully into medical aesthetics, blending her anatomical expertise with artistry.</p>
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<h3>The Evolution of an Industry</h3>
<p>Over the past decade, the aesthetics field has undergone a massive transformation. Dr. Denning highlights advancements in anatomical knowledge, technology, and skin science. While the overfilled, unnatural look still casts a shadow, there’s a noticeable shift towards age-appropriate, natural outcomes. According to her, the key is “knowing where the syringe should stop and the scalpel should begin.”</p>
<p>She adds that the aesthetic industry is driven not only by consumer demand but also a global market predicted to hit $300 billion by 2030. This influx of investment fuels constant innovation - making aesthetic medicine one of the most rapidly evolving sectors in healthcare.</p>
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<h3>Age-Appropriate Aesthetics: The Four Ps</h3>
<p>Dr. Denning’s formula for natural-looking outcomes rests on what she calls the “Four Ps”: the right Patient, the right Product, the right Practitioner, and the right Placement. She stresses honest patient assessments, often turning away individuals whose needs exceed what non-surgical procedures can offer.</p>
<p>Each treatment begins with an hour-long consultation and an in-depth skin scan, allowing her to tailor interventions to individual skin quality and ageing patterns - treating the skin through its five facial layers, right down to the bone.</p>
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<h3>The Rise of the Tweakment</h3>
<p>Tweakments - subtle procedures with minimal downtime - are rising in popularity. Think light fillers, skin boosters, or anti-wrinkle injections. These aren’t intended to overhaul a face but rather to maintain and gently enhance. Popular among high-functioning professionals who can’t afford visible downtime, tweakments cater to a growing demand for results that feel invisible yet effective.</p>
<p>Treatments like the <a class="wpel-icon-right" href="https://sciton.com/moxi/" target="_blank" rel="external noopener noreferrer" data-wpel-link="external"><strong>BBL Moxi laser</strong></a> provide extraordinary outcomes, though they do involve downtime. According to Dr. Denning, success lies in good patient counseling and timing treatments to fit into real-life schedules.</p>
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<h3>Bio-Stimulators and Collagen Banking: What’s New and What Works</h3>
<p>One of the most exciting trends in aesthetics is the rise of bio-stimulators - injectables that prompt the body to produce more collagen, elastin, and hyaluronic acid. From popular hyaluronic acid boosters like <a class="wpel-icon-right" href="https://www.profhilo.co.uk/" target="_blank" rel="external noopener noreferrer" data-wpel-link="external"><strong>Profhilo</strong></a> to more advanced options like poly-L-lactic acid (<a class="wpel-icon-right" href="https://www.sculptrausa.com/" target="_blank" rel="external noopener noreferrer" data-wpel-link="external"><strong>Sculptra</strong></a>), these treatments aim for long-term skin improvement.</p>
<p>Dr. Denning is a big advocate for poly-nucleotides - DNA fragments derived from trout or salmon. These injectable agents trigger the body’s wound-healing response, leading to firmer, more resilient skin. She finds them especially effective for younger patients and as an alternative to tear trough fillers.</p>
<p>Coupled with this trend is the concept of collagen banking: proactively building up collagen reserves in your 20s and 30s to reduce visible ageing later. Though not a new idea, it’s gaining traction among the wellness-savvy crowd.</p>
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<h3>PRP, Exosomes, and What’s Next</h3>
<p>Platelet-rich plasma (PRP) therapy - once popularised by the “vampire facial” - still has a role, particularly in hair regrowth. However, Dr. Denning finds newer treatments like poly-nucleotides and exosomes to be more effective, less painful, and less time-consuming.</p>
<p>Interestingly, she notes that PRP is heavily used in veterinary and orthopedic medicine, particularly for tissue regeneration in joints, hinting at a growing intersection between aesthetic and medical applications.</p>
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<h3>Ethics in Skincare: The TikTok Generation and Beyond</h3>
<p>A concerning trend, Dr. Denning says, is the overuse of actives like acids and retinoids, especially among teenagers misled by social media. She frequently treats barrier dysfunction, perioral dermatitis, and rosacea - conditions often caused by over-exfoliation and misuse of harsh products.</p>
<p>Her solution? Strip back the skincare, focus on ceramide-rich, barrier-repairing products from brands like <a class="wpel-icon-right" href="https://www.cerave.com/" target="_blank" rel="external noopener noreferrer" data-wpel-link="external"><strong>CeraVe</strong></a> and <a class="wpel-icon-right" href="https://www.cetaphil.com/us/" target="_blank" rel="external noopener noreferrer" data-wpel-link="external"><strong>Cetaphil</strong></a>, and emphasise education. “Age-appropriate treatment plans,” she insists, are essential - not only from a medical perspective but an ethical one.</p>
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<h3>The Glow-Up Protocol: No One-Size-Fits-All</h3>
<p>When asked what her ideal “glow-up” protocol is, Dr. Denning is clear: it’s not a one-off fix but a long-term, layered approach. Starting from skin health - assessed via detailed scans - she addresses pigmentation, volume loss, and muscle tension through a combination of skincare, injectables, and laser treatments.</p>
<p>Her secret weapon? Pigmentation correction, often overlooked, can dramatically improve complexion and perceived youthfulness more than injectables alone.</p>
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<h3>Quickfire Takeaways</h3>
<ul>
<li>Morning skincare wins over evening - sunscreen is non-negotiable.</li>
<li>Most underrated treatment: Microneedling, especially when combined with exosomes or growth factors.</li>
<li>Favorite treatment to perform: Either Sculptra (for long-term volume) or laser therapy for pigmentation and capillaries.</li>
<li>Best skincare advice: “Never skip your sunscreen.”</li>
</ul>
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<h3>Final Thoughts: Subtle is Powerful</h3>
<p>Dr. Denning’s message is consistent: the most powerful outcomes are often the most subtle. A gentle tweak here, a collagen boost there - when delivered with anatomical expertise and clinical integrity - can make patients feel empowered and confident without anyone knowing they’ve had “work done.”</p>
<p>For those seeking luminous, natural, and scientifically grounded results, Dr. Katherine Denning is proof that the future of aesthetics is as ethical and elegant as it is effective.</p>
<p>To learn more or book a consultation, visit <a class="wpel-icon-right" href="https://www.maryleboneskin.co.uk/" target="_blank" rel="external noopener noreferrer" data-wpel-link="external"><strong>www.maryleboneskin.co.uk</strong></a><br />Instagram: <a class="wpel-icon-right" href="https://www.instagram.com/dr_catharine_denning_cosmetics/?hl=en" target="_blank" rel="external noopener noreferrer" data-wpel-link="external"><strong>@dr_catharine_denning_cosmetics</strong></a> | <a class="wpel-icon-right" href="https://www.instagram.com/marylebone_skin_official/" target="_blank" rel="external noopener noreferrer" data-wpel-link="external"><strong>@marylebone_skin_official</strong></a></p>

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Edit Video Summary Welcome back to the Late Late Aesthetic Show.