Dr Justine Hextall MBBS FRCP

Dr Justine Hextall MBBS FRCP Consultant Dermatologist | Rosacea, Acne and Skin Cancer specialist | Rejuvenation Treatments

21/11/2025

This patient came to see us as he wanted to discuss PDT treatment for sun damage to his face . He had worked outside for most of his life and as such had significant sun exposure. As we always do we offered a full skin examination …. Watch to the end of the video to see the two serious skin lesions we picked up incidentally. We will always offer a full skin examination … I think you can see why .

At Tarrant Street Clinic we are experts in the treatment of rosacea . We decided to take a very different approach as fa...
20/11/2025

At Tarrant Street Clinic we are experts in the treatment of rosacea . We decided to take a very different approach as far back as 2017 and started an observational study in 2018. We treat rosacea inside out and aim to stop antibiotic use. I am always delighted to see how quickly this approach can work . This patient read the article published in the Daily Mail (August 19th 2025)featuring our pioneering approach and wondered even though she had suffered for over 30 years could this work for her ?…. Well the pictures speak for themselves. Thank you so much for featuring us in your fantastic article.

19/11/2025

I am NOT your 5 am hit the gym person… I never have and ( likely ) never will . A few years ago I made some really simple steps to overhaul my health . Here they are ..
⭐️ I started swimming 4 x a week including cold water September to April
⭐️ I start my day with a smoothie containing rainbow fruit/ vegetable / kefir/ seeds
⭐️ I get light into my eyes first thing ( often cup of tea on bench outside ) to balance my circadian rhythms and boost sleep
⭐️ I add protein / fats to carbohydrates to help reduce a glucose spike . Poached egg on sourdough … perfect for this.

I think it’s fair to say, I don’t have a quiet brain. I often hear ‘ I can’t imagine what it’s like to be you! ‘ .. not...
19/11/2025

I think it’s fair to say, I don’t have a quiet brain. I often hear ‘ I can’t imagine what it’s like to be you! ‘ .. not in a good way. One of the consequences for me is a pathological avoidance of boredom …. I cannot imagine sitting on a train without a book, I know I should try … but aargh the thought . So … when I discovered waterproof headphones that Bluetooth… a whole world opened up for me . I could tell my restless brain. ‘ you’re not going to swim, you’re going to listen to Bach, Desert Island Discs, How to Fail…. The swimming’s a side benefit . And surprise surprise along the way I started to LOVE swimming . I just felt so much better. Genuinely this small orange gizmo .. has definitely changed my life

How do these steps help my skin ?1) I drink kefir that I add blueberries and seeds to. These support my gut microbiome a...
14/11/2025

How do these steps help my skin ?
1) I drink kefir that I add blueberries and seeds to. These support my gut microbiome and give me an antioxidant boost. I am very interested in the skin- brain - gut axis.
2) swap your normal cleanser that leaves your skin feeling tight for one that leaves it soft and hydrated … the impact can be remarkable! Cleansing in my view is the most important step in a skincare routine ..
3) take omega 3 supplements. There is increasing evidence supporting the benefits of omega 3 fatty acids in skin health .
4) Try dropping a humectant serum under your moisturiser . Humectants act like sticky tape to moisture . Look for multi- weight hyaluronic acids, panthenol and glycerin amongst others … this simple step can make such a difference .
5) I think we underestimate the impact of stress on our skin. Walking in nature is such a wonderful double whammy. The impact of exercise and the calming benefits of nature both helping to boost circulation and vitamin D and reduce stress . An early walk getting that light into your eyes will also help to balance circadian rhythms and support sleep.
6) do I even need to start on the multitude benefits of spending time with Herbie … the panacea of life !! 🐶🐶❤️❤️

13/11/2025

We are obsessed with cleansing … whilst it’s important to remove the day especially pollution … it should not be at the expense of skin barrier function . If it is , it becomes a law of diminishing returns . Skin should feel soft and hydrated after cleansing not tight and SQUEAKY CLEAN . That tightness often signals imbalance . Even with the best moisturiser it’s hard to compensate at this stage. Choose your cleanser wisely THIS IS NOT AN AD NOTE there may be DERMATOLOGICAL CONDITIONS that Increase moisture loss that may need treatment . This is skin care advice please see your GP, pharmacist or other dermatology professional for medical advice ….

12/11/2025

At Tarrant street clinic we are all about 🌟prevention 🌟… we believe in treating field change to reduce the risk of skin cancer i.e. squamous cell carcinoma . This can be done in many ways . One of our favourite treatments is Daylight PDT. We now have a special daylight simulating light , this means we can treat photo damage all of the year . And look at the beautiful room you’ll be treated in ….. follow us for consultant dermatologist skin health advice…

11/11/2025

It is raining and November, I’m tired and turning off the alarm is VERY tempting . I also have a busy NHS skin cancer meeting and clinic to do … this is how I bias my morning towards JOY! I tell myself that it’s going to be the BEST morning full of joy, creativity, education, great colleagues and happy patients. I remind myself it is a privilege to do my job. I have now focused my brain filter, my reticular activating system( RAS) to seek out evidence to support this bias . It will see the smile, the laughter, the interest and the lovely cup of tea. It will tend to ignore the grumpiness, frustration with the computer system and forgotten password stress…. Today is a day of joy and frankly that’s just the way it is !! 😊😁🥳🤩😂

03/11/2025

Did you know that we are becoming increasingly aware of the role of the microbiome in acne . Studies suggest that a gentle approach that supports a healthy skin barrier is the key when tackling blemish prone skin. We are increasingly seeing acne with a crossover with perioral dermatitis and rosacea … this always makes us think SKIN BARRIER. One of the most common causes of non compliance in topical prescriptions for acne is skin irritation…. So there are many reasons tp look for gentle hydrating skincare alongside your actives/ prescriptions. I call it my active/ repair approach . Read fabulous
article : https://www.theguardian.com/fashion/2025/oct/08/sali-hughes-on-beauty-forget-harsh-treatments-adult-acne-show-skin-love?CMP=Share_iOSApp_Other

There are many good products but I often recommend :
A) cleanser : Cetaphil gentle cleanser, CeraVe hydrating cleanser, La Roche Posay Toleriane Dermocleanser
B) moisturiser : La Roche Posay Toleriane sensitive fluid .
c) gentle active : La Roche Posay Effaclar Duo +M

I post a lot about creativity. I have no doubt that many people think why? Where’s the link between medicine, dermatolog...
29/09/2025

I post a lot about creativity. I have no doubt that many people think why? Where’s the link between medicine, dermatology and writing for example? Firstly I believe Elizabeth Gilbert when she says a creative life is consistently choosing curiosity over fear. She says ‘ I believe the creative process is both magical and magic’ . I agree and I know that when I am involved in creative pursuits I just think better, I am more curious …. I am never happier than when I am surrounded by amazing actors lifting words from a page, watching the magic unfold. Does it make me a better doctor? I think it does. When I write I put myself into someone else’s shoes, I imagine what it is to be them. I listen more carefully to dialogue, what are they trying to say? I collaborate with my writing partner and the actors …. Collaboration in science is key. I concentrate, I listen and most importantly I imagine …. Sometimes as we get older we forget the joy in just imagining ….. 😍

Twenty years ago today … we were married. What an adventure it has been . Within two weeks of meeting you, I told my sis...
02/09/2025

Twenty years ago today … we were married. What an adventure it has been . Within two weeks of meeting you, I told my sisters I had ‘met the man I was going to marry’. This came as a surprise as I hadn’t mentioned I was dating someone new. As we told each other everything they appeared slightly irked. I quickly reassured them,nothing had happened, they would of course be the first to know….it was just an odd, deep sense of knowing … a strangely irrefutable fact . As a scientist I can’t explain it. When you asked me on the Monday morning how my weekend had been, wisely I didn’t reply ‘ oh realised I’m going to marry you’. Two weeks later we went on our first date and our lives started anew. We swiftly married and then slowly introduced ourselves to each other … for good and bad. I can’t imagine us doing it any other way. I know after 25 years no- one drives me as crazy , or makes me laugh, or makes me think as much as you do. It’s just never as much fun when you’re not there. We were two and now we’re six ( including Herbie 🐶) thank you for growing up with me and sharing the last amazing twenty five years …. ❤️❤️

Can you spot the facial scars? There are very few straight lines in the human body, especially on the face . The key wh...
01/09/2025

Can you spot the facial scars? There are very few straight lines in the human body, especially on the face . The key when doing skin cancer surgery is to try and place the surgical scar into a natural skin line . If that’s not possible try to curve the scar to match the natural curvature of the face . In many cases the scar will disappear …. Here are some examples from my practice . Can you spot the scars? There are examples of surgical videos also on my feed. If you are an aspiring dermatological surgeon or interested patient why not have a look.

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40A Tarrant Street
Arundel
BN189

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm
Saturday 10am - 2pm

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