Marrelle Clinic

If your skin feels different during perimenopause or menopause, there is a reason.
Hormonal changes can affect collagen, hydration, elasticity, texture and the way the skin responds over time.

For many women, these changes can feel surprisingly sudden, and understanding what’s happening beneath the surface can make them much easier to navigate.

Swipe through to understand some of the changes you may notice and why they happen.
Because menopause care should include how you feel in your skin, too.

📍 Consultations in Chiswick, London.

If your skin feels different during perimenopause or menopause, there is a reason.
Hormonal changes can affect collagen, hydration, elasticity, texture and the way the skin responds over time.

For many women, these changes can feel surprisingly sudden, and understanding what’s happening beneath the surface can make them much easier to navigate.

Swipe through to understand some of the changes you may notice and why they happen.
Because menopause care should include how you feel in your skin, too.

Have any questions on menopause? Send me a DM.

📍 Consultations in Chiswick, London.

You’ve probably heard the term “Ozempic face”.

But behind the trend is a much more important conversation about what happens to the face when significant weight is lost.
Changes in facial fat and tissue can affect volume, structure and skin quality, and the answer isn’t automatically to replace that volume with filler.

Every face is different, which is why I believe treatment should begin with assessment rather than assumptions.

Sometimes the most appropriate approach is about supporting skin quality and tissue health. Sometimes it’s about restoring proportion.

The goal should always be the same: helping you look like the best version of yourself.

📍 Consultations in Chiswick, London.

Biostimulators and dermal fillers are not interchangeable—and understanding the difference matters.
While fillers can be used to restore volume and provide structural support, biostimulators take a different approach, working with the body’s own regenerative processes to support collagen and skin quality over time.

Neither is inherently better.

The right choice depends on your facial structure, skin quality, concerns and what you want your result to look and feel like.
For patients who are concerned about looking overfilled, a gradual approach can sometimes be a better fit.

Good aesthetics starts with assessment, not assumptions.

📍 Consultations in Chiswick, London - DM to book or tap the link in bio

The reason you’ve held off on lip filler is the same reason you should look at who’s holding the needle.

You’ve seen the results that made you nervous. The ones that announce themselves across a room, that look added rather than restored. So you’ve left your lips alone, even as they’ve quietly lost the shape and fullness they used to have.

Here’s what most people miss. Lips thin with age like everything else. As collagen declines through midlife, they lose volume, definition and that soft natural border, often before you’ve consciously noticed why your face looks a little different.

The result you’re seeing here isn’t about making lips bigger. It’s about restoring what was already yours, gently, with a “less is more” approach that Dr Ivona holds to on every treatment. Enough to look rested and balanced. Never enough to look like you’ve had something done.

That restraint is the whole point. Lip filler done well shouldn’t be noticeable. It should just look like you, on a good day.

Send me a DM if you have any questions or tap the link in bio to book a consultation.

📍Consultations available in Chiswick, London.

Would you take advice from a doctor who hadn’t tried it herself?

I wouldn’t. Which is why every treatment I offer at Marrelle, I’ve experienced first, on my own face, over years rather than months.
Here’s what that’s actually involved. Dermal fillers placed with restraint to support structure where midlife shifts it: temples, cheeks, jawline, chin, a little through the nasolabial folds, and lips. Biostimulators and skin boosters to rebuild quality from within: polynucleotides, Profhilo, Jalupro and IconaH8. And UltraClear laser resurfacing to refine tone and texture over time.

None of it at once. None of it to look like someone else. Just structural support where hormones quietly take it, and skin quality where menopause thins it, built gradually the way I build every plan for my patients.

What you’re seeing here isn’t a transformation. It’s restoration, and the same medically led thinking behind every plan at Marrelle, designed so you still look entirely like you.

I’ve also had anti-wrinkle treatment over the years, as many of my patients do. I’m always happy to talk through that side of things properly in a consultation, where it belongs.

📍Consultations available in Chiswick, London.