Look and listen
Josephine looks at your skin in daylight and under magnification. You tell her what you have tried, what stung, what you gave up on.
Skincare
Medical grade skincare.
Three products. Used every day. For three months before anyone judges. That one rule does more for most faces than any single treatment on this site, and it is where half our plans begin.
The three product rule
Three products. Not twelve.
A routine you will actually do beats a routine that looks impressive on a shelf. So Josephine prescribes exactly three products for your skin, and the morning and evening routine fits on an index card.
A cleanser that does not strip
Most people are over cleansing. We pick one gentle cleanser for morning and night, $48 to $60.
One active
Usually a prescription strength retinoid at night, sometimes a brightener or an acid instead. This is the product that changes skin. $85 to $220.
Sunscreen you like enough to wear
Mineral or chemical, tinted or not. If you will not wear it, it does not count. $48 to $58.
Moisturiser is allowed if you need one. It is not one of the three because it is not doing medical work.
How we prescribe
Bring your bathroom shelf.
Literally. Bring the bottles, or photos of them. The skincare consult is 30 minutes, costs $75, and the $75 comes off anything you buy that day.
Keep, stop, add
Half your current shelf is probably fine. She tells you which half, what to stop, and the one or two things to add. Prescription items are signed by Hannah or Dr. Shah.
Twelve weeks, then photos
Retinoids take three months to show. We photograph you at the start, text you at week two when the dryness hits, and compare at week twelve. That check is free.
What is on the shelf
Why "medical grade" means anything.
The phrase gets abused. Here it means two things. First, concentrations of actives high enough that they are sold through clinics, not drugstores, and are stable in the bottle. Second, prescription items like tretinoin and hydroquinone that need a licensed prescriber and a conversation about how to use them.
We carry a small range from two brands we have used for years, plus compounded prescriptions. We do not carry a brand because it pays a margin.
Typical prices
Cleansers $48 to $60. Sunscreens $48 to $58. Serums and brighteners $85 to $160. Prescription retinoids $95 to $220 a tube, lasting three to four months.
Who should ask first
Pregnant or breastfeeding clients skip retinoids and hydroquinone. If you are on isotretinoin or have eczema or rosacea, tell us so the active is chosen accordingly.
Skincare is the base for
Medical facials and peels
A monthly facial gives the products a clean surface to work on.
The facial menuLaser and IPL
Prescription brighteners first, so the spots that remain are the ones worth lasering.
Laser and IPL detailsNeuromodulators and fillers
Smooth skin makes a subtle injectable result look natural, not pasted on.
Injectables details