Your skin is showing signs of ongoing barrier disruption and inflammation rather than simply being dry skin.

The redness, small bumps and spots around the cheeks and nose, alongside the tightness and dryness you’ve experienced for years, may fit a rosacea type pattern. However, my priority isn’t to attach a label to it, it’s to calm the skin, rebuild its barrier and monitor how it responds.

Because you’re getting married next week, i'm not going to throw loads of new things at your skin or try to force a quick result. For now, the aim is simply to keep everything calm and predictable.

• Reduce dryness, tightness and visible inflammation.
• Strengthen the skin barrier.
• Simplify your skincare and remove potential irritants.
• Improve the variety and nutrient density of your diet.
• support your nervous system and sleep around changing shifts.
• Monitor the redness, bumps and under eye colour over time.
• Introduce additional skincare only once your skin is ready.

Skincare plan

For the first eight weeks, we are keeping this deliberately simple.

Morning

1. Skin soak using a clean, soft microfibre cloth and comfortably warm water.
2. Apply Prologic Derma Aid while the skin is still slightly damp.

Evening

1. Cleanse once using Prologic Cream Cleanser.
2. Remove thoroughly with your soft microfibre cloth.
3. Skin soak for approximately 30 seconds.
4. Apply Prologic Derma Aid while the skin is still slightly damp.
5. Apply a decent amount of mineral SPF.

For now, stop using

• CeraVe Hydrating Cleanser
• The Inkey List Azelaic Acid
• CeraVe Moisturising Cream
• La Roche-Posay Toleriane Rosaliac SPF

This isn’t because every one of these products is necessarily bad. I just want to remove variables and give your skin a proper opportunity to settle.

Avoid scrubs, exfoliating acids, retinol, cleansing brushes, hot water and introducing anything new yourself.

After eight weeks

We’ll review your skin before making changes. If it is less reactive, less tight and generally more settled, we can consider introducing Prologic Omega 3 Oil gradually.

In clinic treatment plan

I recommend a course of eight Celluma LED treatments, spaced once per week.

The aim is to support

• Redness and inflammation
• Barrier recovery
• Skin repair
• Overall resilience

This is a supportive treatment rather than an aggressive one, making it more appropriate while your skin is reactive. We won’t consider stronger treatments until the barrier is stable, if even needed.