What are the opening hours?

Wednesday 12pm - 8pm Saturday 10am - 2pm

https://www.drmadeleineclinic.com/

Dr Madeleine Skin Clinic, 23 Grattan Square, Dungarvan (2025)

26/05/2025

In my practice, I don’t start with injectables. I start with you - your concerns, your lifestyle and your skin’s unique needs.

Every patient journey begins with an in-depth consultation.
We review your current skincare and optimise with evidence based solutions.
We build a personalised treatment plan that prioritises long-term skin health.
Only then - if appropriate- we explore injectable treatments that enhance, not overwhelm.

Consultations are now open, book via the link in bio.

30/11/2024

When working through a skincare routine with my patients I’m often asked if they need eye cream. Usually my answer is “sort of”.

Let’s start off by talking about what eye creams can’t do.

They can’t dramatically improve crows feet - wrinkle relaxers thrive here.
They can’t add volume to hollows - this is where we bring in dermal filler.
They can’t significantly improve crêpiness and fine lines in the under eye area - I use polynucleotides or PRP for this indication
They can’t get rid of severe eye bags or fat herniation - this is when we call the surgeons!

The best eye cream is usually what you’re using on the rest of your face, BUT sometimes the skin under our eyes can’t tolerate the strong retinoids we use on the rest of our skin. This is one reason to bring in a targeted eye cream which contains retinoids. A good one is the AlphaRet eye cream.

The skin under our eyes can also be a little more dry than the rest of our face, this is another reason to bring in a targeted eye cream. I use a peptide rich eye cream on the nights I’m not using my retinoid. Currently I’m using the Peptide Eye Cream.

Hyaluronic acid based eye creams can also help to pump out the eye area but may exacerbate eye bags in patients prone to fluid retention.

The long and the short of it is eye creams have a place but they’re not miracles! If you do choose to use an eye cream, be selective and intentional with your choice.

15/11/2024

Why do you want to feel beautiful?

“I’ll apply for that job when my skin is better.”
“I’ll start loving myself once I lose weight.”

We are not held back by our appearance, but rather how we feel about our appearance.

Recognising the difference between how you look and how you feel about how you look is the first step to feeling more beautiful.

We may not have absolute control over how we look, but we do have control over the unhelpful thoughts that we have about our appearance.

My challenge for you:
Pay attention to your inner monologue. Next time you hear yourself critique yourself, take note of it. Don’t get mad at yourself, simply recognise the pattern.

The first thing we need to do is become adept at flagging when we our putting ourselves down and recognising that thoughts are not the same as facts.

11/11/2024

If you have been to see me for a consultation you’ll no doubt know how I feel about sunscreen! It is the most essential part of your skincare routine.

UV damage may be accountable for up to 80% of the appearance of ageing. UV damage ramps up the breakdown of collagen and elastin, leading to fine lines, wrinkles and decreased skin quality. UV damage also increases the amount of pigmentation and age spots present on the skin.

In my opinion, it is absolutely vital to protect all of the hard work we put into improving our skin through skincare and in clinic treatments and SPF is the key to this.

Ok, so you’re on board with the importance of SPF but how do you choose one?

First look at the protection level, we’re looking for SPF50 ideally but I’d accept SPF30. We’re also looking for a PA rating of PA+++. After this it can be a lot of trial and error until you find a formulation which you like and will use every day!

You can go the “mineral” route. These contain Zinc Oxide and/or Titanium Dioxide. Some patients with sensitive skin or acne prone skin seem to get on particularly well with “mineral” sunscreens and some personal favourites are: ObagiSun Shield and ColorScience No-Show mineral sunscreen.

The other category is “chemical” sunscreens, they contain other agents which protect us from the UV rays. They can sometimes be more elegant formulations which work well under foundation. My personal favourites are: Beauty of Joseon Relief Sun, Thank You Farmer Sun Protect Water Cream.

SPF is made to stick to the skin so it is essential to properly remove at the end of the day with a double cleanse.

06/11/2024

I don’t subscribe to a cookie-cutter, formulaic approach to treating patients in aesthetic medicine.

Each patient is unique. This is why comprehensive consultation and assessment is vital. During the consultation we have the opportunity to delve into your concerns and goals. I take the time to assess where you are at in your journey and develop a personalised plan to bring out the best version of you.

What is uniquely “you” is beautiful.

03/11/2024

✨Beauty supplements✨

The skin is the largest organ in our body and is often a reflection of our overall health. In an ideal world we would be able to meet our nutritional needs purely with diet but that is often not the case.

In general I advise an “add-more goodness” diet prior to focusing on what to cut out. Add more fibre, add more fruit and vegetables with a variety of colour, add more sources of healthy fats such as fish, flaxseeds and avocados. In terms of what we want to cut back on, sugar is number one, with alcohol and trans-fats a close second.

Moving on to supplements, it isn’t a one size fits all approach. I highly recommend having levels checked, particularly if you are purely plant based as you may be deficient in things such as iron, vitamin B12 and calcium.

Let’s talk supplements:

Number one: high quality Omega-3.
Oily fish is the best way to get omega-3, but if you choose to include omega-3 supplements choose wisely. We’re looking for a high level of EPA and DHA in the form of free fatty acids (FFA), triglycerides (TG), reformed triglycerides (RTG) and phospholipids (PL). Avoid ethyl esters (EE) as these are poorly absorbed. We want to buy from a reputable source and always check for freshness.

Number two: a multivitamin specifically for women (if you’re a woman).
We’re looking for high quality as not all brands are created equally. If you’re a woman of child bearing age be sure to include folic acid.

Number three: Zinc.
Your multivitamin may already include this so double check to avoid doubling up. Zinc is essential for healthy skin and contributes to a wealth of other functions in the body. We’re looking to take 15mg per day.

Number four: Magnesium.
Again check this may be included in your multivitamin. Once again essential for skin health, barrier function and reduces inflammation. Other reported benefits include helping with sleep and stress. Recommended dose for this is 200mg per day.

Number five: last but not least Collagen. Finally, we’re seeing evidence to back up what has been reported anecdotally. We’re looking for hydrolysed marine based collagen in a dose of 2.5g - 5g per day.

30/10/2024

A guide to Profhilo

Everyday we deplete about 1/3 of our naturally occurring hyaluronic acid and as we get older it takes us longer to replenish these levels. A decrease in the skins hyaluronic acid can lead to skin which is dull, lax and devoid of plumpness.

Hyaluronic acid is a very popular ingredient in skin care but unfortunately those molecules cannot pe*****te deep into the skin, this is where injectable hyaluronic acid shines!

Profhilo is one such injectable hyaluronic acid based skin booster. It has one of the highest concentrations of hyaluronic acid and it is incredibly popular. Not only does it hydrate the skin, it also strengthens and stimulates the skin cells through bio-remodelling, stimulating the production of collagen and elastin. This reduces the laxity and crêpey appearance of the skin.

It can be utilised as a once session, consisting of two treatments, for a big event such as for brides looking for an extra shot of radiance.

More commonly, I use it as a regular treatment to support the skin of patients approximately 40 years and older. For these patients we initially saturate the skin with two treatments 4 weeks apart to get the hyaluronic acid levels up in the skin. We then switch to maintenance and carry out treatment approximately every 3-6 months, depending on the patient.

The most common area we treat is the face but we can also treat the neck, décolletage, hands, arms, knees and abdomen. In the face, the treatment consists of 5 injection points in the mid and lower face. Little bumps may remain on the skin post treatment for a few hours but overall, downtime is usually minimal.

30/10/2024

Hope everyone is enjoying the bank holiday Monday ✨

30/10/2024

How do retinoids benefit the skin?

Retinoids is an umbrella term for skincare products derived from Vitamin A. This group includes retinol, retinaldehyde, tretinoin, adapalene and a few lesser known derivatives.

Retinoids are the gold standard topical treatment for treating all signs of aging in the skin and benefit every component of the skin. Prescription strength is the gold standard of the gold standard. As retinoids were originally used to treat acne, we thankfully have a wealth of clinical data attesting to its impact on the skin.

Retinoids influence the expression of over 1,000 genes and directly triggers the production of new collagen and elastin. Retinoids reduce fine lines and wrinkles, improve appearance of pores, help prevent spots and also act as an antioxidant.

There is virtually no skin that wouldn’t benefit from introducing a retinoid however there is always an acclimatation process. My advice is slow and steady, initially using your retinoid 2 times per week before increasing as the skin adjusts.

30/10/2024

How do you feel about your appearance?

Generally, when a patient come to see me it’s because they’re not happy with some aspect of their appearance. A lot of patients hope that by injecting a little filler I will be able to completely change how they feel about themselves.

Unfortunately, it isn’t that easy. When you approach aesthetic treatments with a negative mindset about yourself you are likely to be disappointed with the outcome. When we take a magnifying mirror to the face and chase every little flaw, we are likely to overfill or overtreat leading to distortion.

Our mindset about our appearance matters above all else. I hear so much negative self-talk in clinic. Have a listen to your internal dialogue. What kind of things are you telling yourself? Are you lifting yourself up or putting yourself down? Would you every say these negative things to a person you love? One rule that I follow is if I wouldn’t say to my mum, I don’t say it to myself.

It is a very difficult world to be in as a woman, particularly as we age. We are surrounded by photoshopped images of flawless women and we are fed absolute rubbish about how we become less relevant as we get older. It’s no wonder that so many of us struggle to love or even accept ourselves.

My advice is to put the work in on the inside first before you get the work done on the outside. Check in with your internal dialogue, stop looking for things you can criticise and instead identify something you love (or even just like) about yourself. It can take a while to get out of the habit of constant negative talk, so make it a goal to work on every day. It might be worthwhile deleting the social media and avoiding the comparison until you’re in a more positive place with yourself. If you’re really struggling with self-image, therapy could be highly beneficial.

If you do decide to seek out medical aesthetic treatments, let it be because you want to look after yourself with a positive and supportive approach to ageing. I will meet you there and help you bring out the best version of you.

30/10/2024

Had an amazing night with the team, thank you 🥂

30/10/2024

Let’s talk exfoliation.

My go to method of exfoliation is chemical exfoliation with acids. I find they’re more gentle, controlled and have added benefits other than just removing dead cells.

There are lots of different types of chemical exfoliants and we can find a type to suit all skin types and concerns. As we age the rate at which we turnover skin slows and we can see a build-up of dead cells on the epidermis leading to dull and lacklustre appearance to the skin. Build-up of dead cells on the skin surface can also lead to breakouts as the pores become clogged.

Here is a quick introduction to the different types of chemical exfoliators and where they shine:

AHAs: Lactic and glycolic are the most commonly seen. These are water soluble and work by dissolving the bonds between skin cells to help them shed. Glycolic is generally a stronger exfoliant but lactic acid has the added benefit of hydrating the skin as it acts as a humectant. These add a lovely glow to the skin but can be strong so careful introduction is necessary.

BHAs: Salicylic acid. This is oil soluble so enters the sebaceous gland where it has an anti-inflammatory and anti-bacterial effect. It helps act on congested skin as well as the appearance of large pores. I love it for patients who are acne prone, oily or have acne rosacea.

PHAs: Gluconolactone. These are my personal favourites and are kind of like the milder version of AHAs. They are made up of larger molecules than AHAs which makes them more gentle particularly suited for more sensitive skin.

Most patients can benefit from the introduction of an acid exfoliant but not at the cost of a healthy skin barrier. When we see irritated, sensitised skin, my priority is to get that under control first before we introduce exfoliation.

Dr Madeleine Skin Clinic

26/05/2025

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