Todays men & women want to look as good as they feel



The aesthetic medical industry has been booming year on year for the past 25 years and shows no sign of abating.  You can be forgiven for being confused by all the treatments now on offer, all promising youth and beauty.

I’ve always maintained that, as far as non-surgical treatments go, Botox®, dermal fillers and medical grade skincare offer all we need to ensure that the very best results are achieved.  I do research and consider all the ultrasound/radio frequency treatments on offer.  New high street clinics are sprouting everywhere.  They buy expensive machines and use marketing ploys to promise great results. Unfortunately, I just cannot see how the results can be anything more than “debatable.”  This is because the effects are primarily on the skin’s texture, not on its structural support.  Therefore, photographically significant lift, in my view, cannot be achieved.

Results from these treatments are not immediate (unlike Botox® and dermal filler treatments).  Clients tend to be advised that the results are best after waiting for 6 months to pass. Frankly, after 6 months the client is likely to have forgotten not only what they looked like before treatment but also the large debit from their bank account for the privilege.

Botox® erases all the worry lines/wrinkles caused by the way we express ourselves and continues to be my number 1 treatment for all age groups to freshen and rejuvenate the skin.

Fillers, despite the bad press received, have become more and more important as we understand that the effects of ageing are primarily due to volume loss. Strategic use of fillers in skilled hands gives you an “invisible” face  lift.  Fillers can make you look 10 years younger in a totally natural way.

However, fillers are not only used to correct volume.  An aesthetic doctor with an eye for facial beauty can upgrade your appearance with skilfiul use of small quantities of filler.  Leonardo Da Vinci demonstrated the ”Phi” golden ratio in that the ideal face conforms to strict proportions.  By way of illustration, the faces of photogenically beautiful women, eg. Angelina Jolie, Kate Moss, all conform to the “Phi” golden ratio.  These relative facial dimensions are multiple and include width of cheeks relative to overall length, eye position relative to nose length and width, mouth size, chin width and length, etc.  I find myself routinely asking myself what I can do to make my clients more attractive by subtle placement of fillers.  Small adjustments can make a big difference and the effects can last for years.


(1) 1ml filler free of charge when you purchase 4ml fillers, 2 ml free of charge when you purchase 7 (taken within a 6 month period).  1ml filler costs £395.

For some time I’ve been aware that multiple fillers are needed to transform a face to become younger and more attractive.  As a guide, my best results (and happiest clients) have been when I’ve used more than 10 fillers.  However, not all clients need as many as 10, as small quantities (please note that 5 fillers equates to a teaspoonful of product) in many different areas ensure that the effect is entirely natural.  The good news is that fillers last far longer than Botox® (18 months is common).  Therefore, once we have achieved your ideal look, a top up of one or two fillers per year is usually all that is needed

(2)  Free tretinoin 0.05% 30g (usual price £60) when you spend at least £120 on any products from the  Obagi skincare range or bimatoprost eyelash enhancement or a combination of both. Existing clients only, while stocks last.  Offer ends 31.10.22.  Please email:, rather than telephone, to place your order.

I’ve been using Obagi skincare supplemented by tretinoin cream myself for 22 years.  There are so many skincare ranges available now that you’d be forgiven for being confused by all the ingredients mentioned and by the fact that they all seem to promise smoother, less wrinkled skin.

As any dermatologist will tell you, moisturisers will not remove or prevent wrinkles although they will give your skin the appearance of being smoother. They  will alleviate the dryness initially experienced by tretinoin.  This dryness is an essential step in the process as the dead skin cells are exfoliated off to reveal new skin cells beneath.

What is important and scientifically proven in medical, double blinded trials is the addition of prescription products to your daily regime.  These are only available by doctors/prescribing nurses. The most important addition is medical strength retinol cream at night, twice or more per week. The strength necessary is tretinoin 0.05% (or retinol 2.0 equivalent concentration).

Tretinoin 0.05% promotes skin turnover meaning that you will slough off the dead skin cell layer, revealing fresh, beautiful skin.  It will also stimulate the production of collagen in the deeper skin layer.  This is the most important advantage of this product.

The other product which, although not a prescription item, will make a difference to your skin over the years is a good quality vitamin C serum. Vitamin C is an antioxidant and therefore protects and repairs your skin from the effects of the environment.  I use Obagi’s Vitamin C Serum 15% every morning and find that its moisturising quality combats any dryness from tretinoin the night before.

A high SPF sunblock should be used regularly.  Rates of malignant melanoma, one of the deadliest of cancers, are on the rise.  Finally, for those of you who suffer from melasma, Obagi’s hydroquinone containing products (Clear and Blender) are industry leaders.  Do book a skincare consultation with me and I’ll cherry pick the most important products for your skin.

Eyelash enhancement  bimatoprost 0.3mg/ml drops – six 3ml bottles for £170
With increasing publicity of this product over the years and celebrities endorsing its lash lengthening/thickening effects, this treatment has become incredibly popular.  Many report benefits on brow hair as well.  Please note that this product has been scientifically proved to work in controlled medical trials.  It is prescription only and you will be required to approve a consent form before using it.

This product needs to be used daily for the first three or four months (after which the frequency can be reduced).  When you start using this product, a 3ml bottle will last one month and no more.  Of course, once your lashes have grown, it is likely that maintenance is obtained by twice weekly use (in which case each bottle might last you several months).

One 3ml bottle:  £45
Two 3ml bottles: £85
Six 3ml bottles:   £170
Applicator brushes included.

Below is a list of the Obagi Nuderm range which I offer, and can send to you (add £5 P+P).

  • Vitamin C (15% for dry skins, 20% for oilier skins) – £120
  • Cleanser 100ml – £50 (lasts me 6 months)
  • Toner 100ml – £50
  • Clear 57g (for shallow pigmentation) – £110
  • Exfoderm 57g – £90
  • Blender 57g (for deeper pigmentation) – £100
  • SPF 50 sunblock 85g – £60
  • Elastiderm eye cream 15g – £100
  • Hydrate moisturiser 48g – £55
  • Hydrate Luxe moisturiser 48g – £60


From the end of July, Wimbledon clinics will be replaced by Fulham (near the Hurlingham club, 2 minutes walk from Putney Bridge tube), as we are moving house in order to renovate our Wimbledon home.

The new clinic is a family house with ample parking (Ringo) in Ranelagh Avenue and neighbouring streets: Napier Avenue, Edenhurst Road and Hurlingham Gardens.

Richmond clinics will continue to be at 4 The Quadrant TW9 1BP.

During the rest of the summer I’m going to trial the timetable below:

Monday:        morning Fulham, afternoon/evening – Richmond

Tuesday:       morning Richmond, afternoon/evening  – Fulham

Wednesday:  morning Richmond, afternoon/evening – Fulham

Bath:  July 7th, July 21st, August 4th, September 1st, September 15th, October 6th, October 20th

Chipping Norton:  July 22nd, August 5th, September 2nd, September 16th, October 7th, October 21st



Edinburgh:  July 30th, September 24th, November 26th

Aberdeen:   July 31st, September 25th, November 27th


I’d like to thank you for placing your trust in St John Clinic and can assure you that I will continue to do my best to improve your facial features,  always with cost effectiveness very much in mind.

I look forward to seeing you again soon.

With all best wishes,

Lady St John of Bletso MBChB MRCOG MBCAM
Dr Helen St John
020 8946 9694