Is your skin showing signs of a summer – indeed a life – well-lived? Or perhaps you’re considering more advanced physical improvements? Undo any damage and up your game with advice from the foremost local experts.

Our panel includes appearance medicine specialist Kate Schuler of Tauranga’s Fraser Clinic; Cindy Hooker and Tasmin Crocker, owner and manager respectively of Papamoa’s Reveal Skin & Body; Katie Mead, owner of Bayfair’s Cosmetic Clinic; and cosmetic and reconstructive plastic surgeons Brandon Adams and Adam Bialostocki of Tauranga’s Da Vinci Clinic.

KATE SCHULER - FRASER CLINIC

Appearance medicine specialist Kate is also an intensive care nurse.

UNO: What can we do to look and feel our best in the cooler months?

Kate: As the seasons change, so can your skin and the care it needs, so autumn is a great time to introduce treatments to revitalise it. Whatever your summer experience, your skin will probably need some help to recover from the harsh effects of lazy days in the sun, whether that’s repairing dehydrated skin or combating summer pigmentation – a big issue for New Zealanders.

U: What do you advise to combat pigmentation?

K: One of the best ways to reset your skin is with IPL light therapy or laser resurfacing. They’re excellent for pigmentation as they give an overall improvement in tone and texture, and set you up for ongoing improvement with the use of good medical-grade cosmeceutical skincare at home. No treatment is a standalone panacea. You need to support anything we do in the clinic with the effort you put in at home.

U: And how about hydration?

K: We can apply topicals to the surface of the skin, but nothing’s better than delivering it right where we’re targeting, altering the dose and depth to personalise the treatment and give your skin the wake-up call it needs. Our V2 Beauty Booster is a micro-injectable cocktail of antioxidants, amino acids, vitamins and hyaluronic acid that helps to recover a healthy glow by increasing skin elasticity, thickness and hydration. It combines the benefits of skin needling – stimulating collagen, elastin and fibroblasts – while delivering a Dermo-Restructuring complex for repair, rejuvenation and retexturising. Best results are achieved with a series of three treatments, with the results continuing to improve up to 12 weeks afterwards.

U: And what about trouble spots other than the face?

K: Two notoriously difficult areas to rejuvenate are the neck and hands, which tend to show telltale signs of ageing. The skin on the neck thins and takes on a more crepey appearance, often accompanied by horizontal lines, while changes in skin texture – including thinning, a decrease in elasticity and surface pigmentation, coupled with pronounced veins, tendons and a bony appearance – affect the appearance of our hands. Our bio-stimulating injectables coupled with light therapy are great not only for the face, but also for these areas, plumping up the skin to make it stronger, healthier and clearer, and delivering longer-lasting results.

CINDY HOOKER & TASMIN CROCKER - REVEAL SKIN & BODY

This clinic’s philosophy is to provide clients with affordable, accessible and effective treatments. At this Papamoa sanctuary, clients are encouraged to celebrate themselves.

UNO: Are we ever too young to consider advanced skincare?

Tasmin: Our natural production of collagen starts to slow at around 26 – fine lines start to appear around your eyes, and you might notice a slight change in skin tone and firmness. Coming off birth control and having babies can also result in pesky blemishes and hormonal pigmentation. All this means maintaining a good skincare regime at home is vital. Everyone needs a good cleanser, moisturiser and SPF; think of these products as your baseline. Serums and advanced treatments are your ‘vitamins’ or ‘protein powders’ that’ll give your skin an extra boost.

Cindy: Great skin is all about starting early. Regular facials can help you maintain youthful, glowing skin, while SPF reduces pigmentation down the track. Your twenties and thirties are also the time to start ‘collagen banking’; if you use vitamin A when you’re younger, your skin will retain collagen for longer.

What do we start to see in our forties and fifties?

Tasmin: The effects of sun damage becomes more apparent. Our skin becomes drier and more fragile, and we wave goodbye to more collagen. But the good news? Advanced treatments such as Dermaneedling, also known as collagen induction therapy, can help wind back the clock. Dermaneedling is great for everything – it breaks up pigment, strengthens the skin and produces new collagen. Reveal’s A-Zyme Skin Workout is one of our most popular treatments, and for good reason – it really is the powerhouse of all anti-ageing treatments. It’s essentially a powerful burst of vitamin A that plumps out fine lines and wrinkles, and leaves you with hydrated, younger-looking skin.

How do we continue to age well in our sixties and beyond?

Cindy: As we enter our sixties, our skin loses moisture and elasticity. Advanced treatments like IPL photorejuvenation, which uses light to stimulate cell renewal, help to keep skin firm and vibrant, while at-home serums are great for plumping and hydrating.

SERIOUS SERUMS at Reveal Skin & Body

Ultraceuticals Ultra A, Skin Perfecting Serum This vitamin-A-containing power serum plumps the skin to improve the appearance of wrinkles while stimulating collagen. It’s ideal for every skin type.

Ultraceuticals Ultra B Hydrating Serum B vitamins help with cell-to-cell communication, so daily use of this serum will strengthen your skin, and it’s packed with hydrating hyaluronic acid, which holds a thousand times its weight in water.

Ultraceuticals Ultra C10+ Firming Serum This serum dulls pigment and tones the skin to give your complexion a natural glow and all-round boost. For better protection, use it in the morning under your SPF.

KATIE MEAD - THE COSMETIC CLINIC

This clinic’s philosophy is to provide clients with affordable, accessible and effective treatments.

UNO: What do you recommend for dry post-summer skin?

Katie: Say hello to HydraFiller, the treatment that’s taking hydration to the next level. Designed to improve the quality of your skin from the inside out, it’s a minimally invasive cosmetic injectable treatment now available at The Cosmetic Clinic six days a week. We believe everyone deserves to be the best version of themselves every day, so that’s why we’re super excited about this new treatment. Combine it with a great daily skin routine and a personalised skincare plan from one of our expert clinicians and your skin will thank you.

UNO: So what does HydraFiller entail?

K: As we age, our skin loses vital molecules involved in hydration, which can lead to dry, crepey and dull skin, fine lines and wrinkles. HydraFiller is a next-generation dermal filler that addresses these concerns by providing your skin with around-the- clock moisture from the inside out. Unlike regular dermal filler, HydraFiller isn’t used to add volume, but to help increase and retain moisture in the skin through a unique cross-linking of the key ingredient, hyaluronic acid, a substance that occurs naturally in our bodies. Administered through a series of micro-injections by our expert cosmetic injectors, it helps to restore and increase dermal hydration and tissue elasticity, and decrease wrinkle formation, fine lines, acne scarring and unevenness for fresher, glowing skin.

What areas can be treated, and how long does it last?

K: HydraFiller can be used to treat the face, neck, décolletage and hands. It can help improve overall skin quality for up to nine months with just one treatment per area.

Does it hurt?

K: Similar to any dermal filler, there can be a slight stinging or discomfort at the site of the injection, but HydraFiller contains an anaesthetic that can help alleviate that during the treatment. Clients can also receive numbing cream to take home with them.

UNO: What other after-care do you advise?

K: Our hydrating Balense Quench Pack is a four-step process – cleanse, activate, hydrate and protect – that’s great for those with dry, tired or ageing skin. We recommend using it as ongoing support after your HydraFiller treatment, to help your skin stay hydrated and radiant. We also offer micro-needling treatments that support what HydraFiller does and can help with pigmentation, overall skin tone, fine lines and scarring.

BRANDON ADAMS - DA VINCI CLINIC

Brandon also works as a consultant plastic and reconstructive surgeon at Waikato DHB and a visiting plastic surgeon at Tauranga Hospital.

UNO: Where should someone start if they want to take their new-season refresh to the next level with cosmetic surgery?

Brandon: When it comes to ‘updating’ the face, we’re not searching for a whole new look – we’re wanting to achieve natural-looking results. Achieving this means utilising techniques that incorporate the fat and sheaths of tissue underneath the skin too. Rather than just ‘pulling back’ and ‘cutting away’ skin, we aim to lift and reposition the underlying muscles. This involves using stitches to tighten the connective tissue enveloping the muscles of the midface and neck, or alternatively, the underside of the muscles – a deep-plane facelift. This is where the expertise and experience of your surgeon come into play. Evaluation of a patient’s anatomy – where their skin is pre-surgery – is important for long-term success. We assess how much volume loss your face has, the damage your skin has sustained and the type of asymmetries your face shows, and we’ll also discuss additional volume-loss solutions as part of your surgery, which might include dermal fillers or fat transfer.

UNO: What do you advise for the neck and jowls?

B: For lower facial jowling or a sagging neck, non-surgical injectables such as fillers or Botox may not be the answer. A facelift – or rhytidectomy – corrects sagging facial skin to restore harmony, bringing back the jawline and re-establishing fullness in the cheeks. The chin is also a difficult area to treat, so a lift combined with Belkyra injections, which permanently dissolve fat, can effectively target this area, harmonising and restoring definition.

UNO: Is there an ideal age at which to consider surgical intervention?

B: Many women and men undergo their first facelift in their fifties and beyond, however the skin’s elasticity begins to steadily break down from the early forties onwards, so for some, undergoing a facelift earlier means there’s greater elasticity for better long- term results. Ultimately, there is no ‘best’ age to have a surgical lift, so seeking the expertise of an experienced surgeon who’s able to spot and manage asymmetries, and accurately assesses volume and loss, is essential for the best outcome.

ADAM BIALOSTOCKI - DA VINCI CLINIC

Adam works as a surgeon at Tauranga’s Grace Hospital too.

UNO: What should people keep in mind when considering making improvements to their body through cosmetic and reconstructive surgery?

Adam: Beyond social media inspiration, taking an individual approach to any procedure – breast implants, reconstruction, abdominoplasty – is essential for best practice and greater peace of mind. Placing yourself in the hands of a qualified surgeon with the right experience and advice means you’ll stay truly connected to your body’s journey from beginning to end – and those results will hit all the right notes.

UNO: Let’s talk about breasts...

A: Whether you’re seeking greater breast volume, or a lift or reconstruction, various factors influence breast decisions. If it’s a volume issue – after weight loss or pregnancy, for example – an implant can restore fullness and shape, and when combined with a lift, it can correct lax tissue. If the nipples have rotated downward or become larger, opting for a mastopexy to raise breast tissue and reposition the nipple is a good option. For women with asymmetrical or small breasts, an implant, a lift or both can restore. Breast reconstruction is driven by personal preference, wellness, and short- and long-term expectations. It’s also a procedure that can be delayed, with surgery carried out months, even years, following breast cancer recovery. The two main procedures available to Kiwi women are breast implant reconstruction and breast flap reconstruction. Breast implant reconstruction involves inserting an implant under the skin and muscle to restore the shape and volume of the breast, while breast flap reconstruction uses flaps of a woman’s own skin, fat and muscle tissue from the back, bottom, inner thighs or lower abdomen – sometimes with the addition of an implant too – to reconstruct the breasts. Visualising what you’ll look like post- surgery is hugely important, which is why we use 3D Vectra imaging technology when discussing the procedure and to provide our clients with a real-life depiction of their breasts post-surgery.

UNO: And tell us about tummy tucks...

A: Abdominoplasty isn’t a weight-loss procedure – its aim is to reshape, sculpt and contour. Skin is released from the lower part of your abdomen to allow for tightening of the muscles and flatter contour. It’s then re-draped and trimmed and the belly button is redefined. Scars and surgery go hand in hand, but incisions are strategically positioned so the scars remain discreet – and they fade over time, too.