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Targeted Assessment · Aesthetics · Skin Nutrition · Pre-Procedure

Better Results from Every
Aesthetic Procedure

Microneedling stimulates collagen synthesis. Laser resurfacing remodels skin texture. Filler restores volume. These procedures work — but they all rely on the body's biological repair machinery responding to the stimulus. That machinery is nutritionally and hormonally dependent, individually variable, and nobody in the aesthetics clinic is assessing it before booking you in.

Collagen synthesisRequires vitamin C, zinc, copper, iron, glycine — all assessable
Hormonal contextOestrogen, progesterone, cortisol all drive skin ageing rate
InflammationElevated CRP accelerates hyaluronidase — degrades filler faster
£345Pre-procedure nutritional assessment
Who this is for

Anyone investing in aesthetic procedures who wants to maximise and extend their results

Collagen is the primary structural protein of skin — and it is the target of almost every significant aesthetic procedure. Microneedling creates controlled micro-injury to stimulate new collagen production. Laser resurfacing does the same at greater intensity. Fillers restore the volume created by collagen loss. The quality of the collagen synthesis response to these procedures is determined by the nutritional substrate available to do the work. A woman with low ferritin, zinc insufficiency, and inadequate dietary protein will produce less collagen from the same microneedling stimulus than a woman who is nutritionally replete. The procedure is identical. The biology is not.

What we assess

The markers that aren't being checked

Vitamin C
Rate-limiting cofactor for prolyl hydroxylase — the enzyme building the collagen triple helix. Without adequate vitamin C, collagen cannot form its characteristic structure. The baseline collagen synthesis response to any aesthetic procedure is limited by vitamin C status.
Zinc
Required for collagenase enzymes remodelling existing collagen and for the matrix metalloproteinases involved in wound healing and tissue remodelling. Extremely common deficiency — particularly in women eating low red meat diets.
Ferritin (Iron)
Required for prolyl hydroxylase alongside vitamin C. A woman with ferritin of 14 µg/L is not in an optimal collagen-synthesising state regardless of her vitamin C intake. Low ferritin is endemic in premenopausal women and almost never checked before aesthetic procedures.
NHS normal lower limit of 13–15 µg/L is clinically inadequate for optimal collagen synthesis.
Oestrogen / Progesterone
Oestrogen receptors are present throughout the skin. Oestrogen maintains skin thickness by stimulating collagen production and hydration via hyaluronic acid. Progesterone regulates sebum and modulates oestrogen effects. Perimenopause — often starting in the early to mid-40s — produces the skin changes that many women seek aesthetic treatment for. Addressing the hormonal environment changes the rate at which treatment results are maintained.
Cortisol (via DUTCH)
Chronic cortisol elevation suppresses fibroblast activity directly, increases matrix metalloproteinase activity (collagen degradation), and drives the facial muscle tension patterns that increase the frequency of neurotoxin requirement. Stress physiology is an aesthetic issue.
CRP — Inflammatory Load
Elevated inflammatory cytokines activate matrix metalloproteinases that degrade collagen and elastin. They also accelerate hyaluronidase activity — the enzyme that breaks down hyaluronic acid filler. Women with high inflammatory load may metabolise filler significantly faster. Reducing inflammatory burden extends results.
Targeted Assessment Service
DH Pre-Procedure Nutritional Assessment
Blood chemistry covering skin repair markers · Hormonal context assessment · Written clinical report · Protocol for the 6–8 weeks before your procedure course
What's included
Blood chemistry — ferritin, zinc, vitamin C functional markers, vitamin D, CRP, fasting glucose/insulin
Hormonal context — oestrogen/progesterone pattern via DUTCH Plus where indicated, particularly for women 38+
Dietary protein and collagen precursor adequacy assessment
Written interpretation report specific to your procedure type
Targeted supplement protocol for the pre-procedure window and ongoing between sessions
Anti-inflammatory dietary framework if CRP is elevated
What you'll know
Whether your collagen synthesis machinery is nutritionally adequate for optimal procedure response
Your hormonal environment — whether perimenopause is driving accelerated skin ageing faster than procedures can keep up with
Your inflammatory load and whether it's degrading filler faster or impairing post-procedure healing
Ferritin and zinc status — the two most commonly deficient nutrients in the aesthetic patient demographic
A specific protocol that makes every aesthetic investment work harder and last longer
Assessment fee
£345
Lab costs additional where applicable.
Book a Discovery Call →
Further reading

The clinical evidence behind this service

Clinical Essay
What Your Aesthetics Clinic Isn't Telling You
Clinical Essay
The Bioidentical Hormone Conversation Nobody Is Having
The Gap Series
Normal Is Not the Same as Optimal
Test
Blood Chemistry — The Markers That Matter

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