Dr Trish

01/03/2026

Congratulations to Dan and Andrew on the official opening of the Beverley Hospital 🥂

01/03/2026

Huge congratulations to Dan and Andrew on the opening of the Beverley Clinic!

23/02/2026

Medical management of the whole person is for me the best way to approach medical aesthetics

👌hormone optimisation
👌chronic disease management
👌nutrition and body composition advice
👌skincare regimes and treatments
👌bio regenerative aesthetic treatments
👌corrective aesthetic treatments
👌in clinic facials

I am very proud to have been recognised by the Menopause Awards in the Menopause Aesthetic Clinic of the Year (North & Scotland)!

18/02/2026

18/02/2026

The vast majority of my hormone clinic patients are those who
Have had HRT and it’s not worked out
Are on HRT and they don’t feel great
Are being told they can’t have HRT
Being told they are too young to be peri menopausal
So… it’s impossible to unpick this without working out the impact of hormone imbalance on the patient, her job, her family and there is always a plan that can be made to optimise this one piece of that patient, also optimising future health.

10/02/2026

I’ve had Skinvive done recently and honestly, it’s the best my skin has ever looked. My skin feels super hydrated, smooth, and just really healthy overall. The glow is so natural, and one of the biggest things I noticed is how much it calmed down my redness — my skin tone looks way more even and calm now.

It’s one of those treatments where people keep saying you look really good, but can’t quite put their finger on why. My skin just looks fresher and more radiant, and I’m definitely wearing less makeup because I don’t feel like I need it as much.

I also have to say Trish is amazing. She’s such an expert at what she does and really understands how to give results that look natural, not overdone. I felt completely confident in her hands, and the whole experience was quick and easy with minimal downtime.

If you’re thinking about Skinvive and want better skin without looking like you’ve “had work done,” I couldn’t recommend it (or Trish!) more.

05/02/2026

02/02/2026

Endometriosis is one of those conditions that are unfortunately commonly missed as a diagnosis.

The recommendation regarding endometriosis and HRT, is to use a continuous regimen for women who still have their uterus.

I see a lot of patients with endometriosis who have had a hysterectomy and we need to think carefully when prescribing because the oestrogen only type of HRT used in these women could trigger the endometriosis ( and then a theoretical cancer).
There isn’t much evidence to determine whether HRT reactivates endometriosis after menopause and if so do we definitely need to use a progestogen for these women???

The decision to use HRT with or without a progestogen here needs a full assessment and discussion of the general risks and benefits of HRT.

Pick up the diagnosis in the first place (see above…) and then we can deal with all of this when the time comes!

26/01/2026

Polynucleotides are used in this way for their cellular repair properties.
The aim is to improve the skin quality in this delicate area.

23/01/2026

This study provides evidence for the safety of HRT containing transdermal estradiol in women with a personal history of venous and arterial thromboembolism.
This enables safe HRT prescribing of high risk women after an individualised risk assessment and empowers these women to receive appropriate advice and therapy.

The Journal of the British Menopause Society

23/01/2026

When we look at a face we have to decide -
What are the issues?

In addition - is this patient more suited to surgery- and then skin refinement?? If so this may be way more cost effective and more clinically appropriate.

Thinking about injectables, it’s confusing.

It is crucial to initially assess the quality of the skin and in my clinic I assess hormone health and general health as well.

If we need to
👉stimulate collagen- Biostimulators
👉Replace volume and hydrate - Dermal fillers
👉Hydrate and refine- Skin boosters

21/01/2026

Skin in the menopause and perimenopause can feel and look very different- thinner, fine lines, sagging, rough, crepey..

We can improve the quality of the skin by using the biostimulator HArmonyCa and SkinPen microneedling
Plus
Combine these skin quality treatments with other synergistic treatments to give an overall healthy, natural, restorative skin appearance.

👉Collagen synthesis using HArmonyCa
👉Soften lines with Antiwrinkle injections
👉Volume replacement with dermal filler
👉Collagen Synthesis with Microneedling
👉Hydration with Hyaluronic acid SkinVive
👉Resurface with Obagi Blue Peel Radiance
👉Protect & Repair with medical grade skincare

Skin assessment and treatment planning are the key!