General Medical CouncilBritish College of Aesthetic MedicineNHSObagi MedicalAllergan AestheticsTeoxaneGeneral Medical CouncilBritish College of Aesthetic MedicineNHSObagi MedicalAllergan AestheticsTeoxane

Doctor-led assessment

Aesthetic concerns, assessed by a consultant dermatologist.

Dr Andrew Winter sees patients for a range of common aesthetic concerns. The consultation identifies what is actually causing the concern, what treatment options may be appropriate, and, equally importantly, when treatment is not the right answer.

Dr Andrew Winter, consultant dermatologist

Common concerns

Areas patients typically discuss at consultation.

These are the concerns most commonly raised during consultations. Each page explains what the concern involves, what causes it, and what treatment options may be appropriate. Suitability is always assessed individually.

Fine lines and wrinkles

Understanding what causes fine lines, muscle movement, volume loss, or skin quality changes, and which treatment approach may be most appropriate for each type.

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Facial volume loss

Gradual reduction in facial fat and bone structure alters facial proportion over time. What this looks like, what can be addressed, and when filler is and is not the appropriate response.

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Skin quality

Texture, tone, dullness, and early ageing changes in the skin itself. How a dermatological background changes the assessment, and when skin quality treatment is more appropriate than injectables.

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The consultation

Assessment before any recommendation.

Identifying the right treatment starts with understanding what is actually happening. A concern that looks like “fine lines” may be driven by volume loss, muscle movement, skin quality changes, or a combination. Each requires a different approach.

Dr Winter’s background in NHS dermatology means the assessment draws on clinical knowledge of skin anatomy and ageing, not a menu of treatments to upsell. In some cases, the consultation concludes that no treatment is the right answer at this stage.

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Treatments

Treatments available following assessment.

Anti-wrinkle treatment

Botulinum toxin for expression lines. Prescription-only. Consultation and medical assessment required first.

Dermal fillers

Hyaluronic acid filler for volume support and contour. Anatomy-led, reversible.

All treatments

An overview of the treatments discussed at Dr Winter’s clinics in Prestwich and Warrington.

About Dr Winter

30+ years as a consultant NHS dermatologist. BCAM Full Member. GMC Registered 2584423.