Aesthetics by Silvie: Medical and Wellness Clinic

Aesthetics by Silvie: Medical and Wellness Clinic Specialist Medical Aesthetics Service by an NMC Registered Nurse Prescriber (MSc; BSc x2; RN; RM, NI

Lip Filler Magic ✨
24/03/2026

Lip Filler Magic ✨

20/03/2026

Every treatment starts with a conversation. 🤍
I want to know what's been on your mind — your skin, how you're feeling, what you'd love to change. No pressure, no agenda. Just a proper chat.

I've been a nurse for 15 years, and honestly, listening has always been the most important part of the job. That hasn't changed here.

Great aesthetics isn't about transforming faces. It's about helping you feel quietly, genuinely yourself again.

SkincareFirst AestheticsUK IndependentPrescriber SafeAesthetics TwickenhamBeauty GlowUp SkinHealth

Happy International Women's Day! 🌸
08/03/2026

Happy International Women's Day! 🌸

Beautiful art addition to my clinical room 😊!Painted by a lovely lady who is a friend, client and amazingly talented art...
06/03/2026

Beautiful art addition to my clinical room 😊!
Painted by a lovely lady who is a friend, client and amazingly talented artist! 🎨

Subtle volume.Soft definition.Naturally plumped lips. ✨Enhancing shape and hydration while maintaining balance and natur...
04/03/2026

Subtle volume.
Soft definition.
Naturally plumped lips. ✨
Enhancing shape and hydration while maintaining balance and natural movement — creating lips that look fuller without appearing overdone. 💉
Refined aesthetics is about precision, not excess.
Because the most beautiful results should look effortless. 🤍
lipfilleruk facialaesthetics balancedbeauty

Menopause Is a Biological Shift — But Beautiful Skin Is Still Possible.Menopause is not “just getting older.”It is a pro...
23/02/2026

Menopause Is a Biological Shift — But Beautiful Skin Is Still Possible.

Menopause is not “just getting older.”
It is a profound endocrine transition.

As oestrogen, progesterone and androgen signalling decline, skin biology changes:

🧬 Collagen production slows — up to 30% can be lost in the first 5 years.
💧 Barrier lipids reduce — leading to dryness and sensitivity.
🫥 Fat pads shift — altering structural support and contour.
🦴 Bone remodelling accelerates — subtly changing facial framework.
🔥 Inflammatory signalling increases — repair becomes slower.

This is a biological shift.

But it does not mean skin must become dull, thin or fragile.

With the right strategy, menopausal skin can remain luminous, firm and beautifully maintained.

✔️ Collagen stimulators & biostimulators support dermal density and long-term strength.
✔️ Subtle structural restoration maintains facial balance as anatomy evolves.
✔️ Skin quality injectables improve hydration, resilience and elasticity.
✔️ Medical-grade skincare protects barrier function and optimises cellular turnover.
✔️ Lifestyle and hormonal optimisation (where appropriate) support skin from within.
The goal is not to “reverse” menopause.

It is to maintain healthy, strong, radiant skin through it.
Menopause is a shift in biology.
Beauty at midlife is about intelligent maintenance — not overcorrection.

SkinLongevity HormoneHealth

Dull Skin Isn’t Always Dead Skin:➡️If your skin suddenly looks dull during perimenopause, it’s not always a build-up of ...
18/02/2026

Dull Skin Isn’t Always Dead Skin:
➡️If your skin suddenly looks dull during perimenopause, it’s not always a build-up of dead skin cells.
➡️Hormonal changes can weaken the skin barrier, reduce lipid production and increase water loss — making skin look flat, dry or less radiant ✨
➡️Over-exfoliating can make this worse by triggering inflammation and further barrier damage.
💡Takeaway: 💡
✔️If skin looks dull in perimenopause, prioritise barrier repair first 🧴
✔️Think ceramides, cholesterol, fatty acids and gentle hydration support.
✔️Healthy skin glow comes from barrier strength — not just exfoliation.

Perimenopause Is Not “Normal Ageing”Perimenopause isn’t just gradual ageing — it’s a biological transition phase where c...
17/02/2026

Perimenopause Is Not “Normal Ageing”
Perimenopause isn’t just gradual ageing — it’s a biological transition phase where collagen loss, barrier function and skin hydration signalling can change faster than expected 🧬
Keeping the same skincare and treatment plan you used in your early 30s often isn’t enough to maintain skin quality during this phase.
Takeaway: ✨
Review your routine early. Prioritise daily SPF ☀️, support the skin barrier with lipids (ceramides, cholesterol, fatty acids), maintain a tolerable retinoid schedule, and consider collagen-support treatments before visible volume loss appears.
Skin ageing is biological — not just chronological.

Not all “skin boosters” and collagen stimulators work the same.Understanding the category helps you choose the right tre...
11/02/2026

Not all “skin boosters” and collagen stimulators work the same.
Understanding the category helps you choose the right treatment for the right skin concern — not just follow trends.
✨ Polynucleotides (PN / PDRN)
Focus: Regeneration & repair
• Support fibroblast activity
• Improve skin healing, elasticity, and barrier quality
• Great for fragile, thin, or stressed skin
💧 Hyaluronic acid (HA) bio-remodelling (Profhilo®)
Focus: Hydration + skin quality signalling
• Improves hydration and dermal environment
• Supports collagen indirectly through improved cellular environment
• Ideal for early skin quality decline or dehydration-driven ageing
🧬 Amino acid–based stimulators (Fillmed NCTF®, Sunekos®)
Focus: Collagen building blocks
• Provide substrates fibroblasts need for collagen & elastin production
• Good for fine lines, early laxity, and delicate areas (e.g. periocular)
🌿 Collagen stimulators – PLLA & PDLLA (Sculptra®, Lenisna ®, Juvelook®)
Focus: True collagen neogenesis
• Work via controlled inflammatory signalling
• Gradual, long-term structural improvement
• Best for volume loss, skin thinning, and structural ageing
🦴 CaHA (Hyperdiluted Radiesse®)
Focus: Biostimulation + dermal strengthening
• Stimulates collagen and elastin
• Improves skin thickness and firmness
• Used face and body depending on dilution and technique
💡 The key:
There is no single “best” biostimulator.
The best choice depends on:
• Skin thickness
• Ageing pattern
• Inflammation tolerance
• Area treated
• Timeline expectations
Subtle, layered, personalised treatment plans always win over one-size-fits-all approaches.

✨ Ageing in your 40s doesn’t start with wrinkles.It starts with subtle shifts in support, light reflection, and skin qua...
25/01/2026

✨ Ageing in your 40s doesn’t start with wrinkles.
It starts with subtle shifts in support, light reflection, and skin quality.
As oestrogen declines 🌿, collagen production slows, skin thins, hydration drops, and facial structures lose resilience — often long before lines deepen.
This is why a thoughtful medical aesthetic approach in your 40s looks different to your 30s:
▫️ less correction
▫️ more support
▫️ less volume
▫️ more structure
▫️ skin quality first ✨
The goal isn’t to look younger.
It’s to look rested, well supported, and like yourself 🤍
Not anti-ageing. Age-intelligent.

Lip Enhancement ✨
16/01/2026

Lip Enhancement ✨

Happy New Year 🎊!
01/01/2026

Happy New Year 🎊!

Address

Ash House, 8 Second Cross Road
Twickenham
TW25RF

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Aesthetics by Silvie

Aesthetics by Silvie is a service provided by:

Silviya Ivanova

(MSc in SCPHN, BSc Adult Nursing, BSc Midwifery, Post Grad Cert in Independent Prescribing)

A Nursing and Midwifery Council Registered Adult Nurse and an Independent Nurse Prescriber with additional specialist training and skills in injectable facial aesthetic treatments.