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Appointments
Appointments

Conditions / Skin Conditions

Your skin is the largest organ in the body and often reflects what is happening beneath the surface.

While skincare and treatments can play an important role, many chronic or recurring skin conditions are also influenced by inflammation, hormones, gut health, immune function, stress, nutrition and environmental triggers.

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At The Bespoke Clinic, we take an integrative and investigative approach to skin health. Alongside evidence-based skin treatments, we also explore the potential underlying drivers that may be contributing to chronic or recurring skin concerns, including inflammation, hormones, gut health, immune function, stress, nutrition and environmental triggers.

For some patients, this may involve improving hydration, skin texture and collagen support. For others, particularly those struggling with inflammatory or autoimmune-related skin conditions, it may mean exploring deeper contributors that could be driving ongoing flares, irritation or sensitivity.

Many of our patients come to us feeling frustrated after years of creams, antibiotics, restrictive diets or short-term fixes that never fully addressed the bigger picture.

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Skin Conditions

Common Skin Concerns We Support

We support patients with a wide range of skin concerns including:

Acne and hormonal acne

Rosacea and facial redness

Eczema and sensitive skin

Psoriasis

Autoimmune and inflammatory skin conditions

Perioral dermatitis

Pigmentation and melasma

Skin ageing and collagen loss

Acne scarring and uneven texture

Dry, reactive or sensitised skin

Hair thinning and scalp inflammation

Lichen Planus

Every skin journey is different, which is why we tailor our approach to the individual rather than offering one-size-fits-all treatment plans.

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Looking Beyond the Skin

Skin conditions are rarely caused by one single factor. For example:

Hormonal acne may be influenced by androgen activity, stress, blood sugar imbalance or inflammation. Rosacea is increasingly recognised as an inflammatory condition which may overlap with gut health issues, microbiome imbalance, histamine sensitivity, vascular dysfunction and immune system activation.

Eczema and psoriasis are inflammatory immune-mediated conditions which may be affected by stress, allergies, environmental triggers, nutrition, gut permeability and immune regulation. Some autoimmune-related skin conditions may coexist alongside other inflammatory or autoimmune symptoms elsewhere in the body.

This does not mean that every patient requires extensive testing or complicated protocols. However, understanding potential contributing factors can sometimes help us create a more personalised and sustainable treatment approach.

Our Integrative Approach to Skin Health

We combine evidence-based skin treatments with a broader understanding of overall health and wellbeing.

Depending on your concerns and goals, your plan may include a combination of the following

Functional Medicine & Internal Health Support

Where appropriate, we may also explore deeper underlying contributors to chronic skin inflammation and immune dysregulation, including:

  • Hormonal balance and hormone-related skin changes
  • Gut microbiome health and digestion
  • Inflammation and immune regulation
  • Stress and nervous system health
  • Nutritional deficiencies linked with skin healt
  • Histamine and allergy-related patterns
  • Lifestyle and dietary contributors

In selected patients, advanced testing may also be considered, including hormone testing, gut microbiome analysis and nutrigenomic DNA testing. This can sometimes provide further insight into inflammatory pathways, detoxification, oxidative stress, skin ageing tendencies, collagen support, nutrient requirements and individual responses to environmental triggers.

Medical & Aesthetic Skin Treatments

  • Skin barrier repair programmes
  • Pigmentation and redness management
  • Treatments to support acne scarring and texture

A Personalised Skin Journey

Some patients come to us wanting brighter, healthier, more confident skin.

Others are struggling with painful, inflammatory or chronic skin conditions that are affecting their quality of life, confidence and emotional wellbeing.

Our role is not simply to recommend treatments, but to help guide you through a personalised skin journey that considers both the visible symptoms and the potential underlying contributors.

Whether your focus is skin rejuvenation, acne, rosacea, eczema, pigmentation or inflammatory skin health, our aim is to help you feel more comfortable and confident in your skin long term.

Ready to understand what your skin may be trying to tell you?

If you are struggling with acne, rosacea, eczema, pigmentation, skin sensitivity or a recurring skin concern that keeps coming back, a personalised consultation can help you take the next step with more clarity.

At The Bespoke Clinic in Jesmond, Newcastle, we look at your skin in the context of your wider health, combining evidence-based skin treatments with an integrative approach where appropriate.

Questions answered

Frequently asked questions.

Do I need functional medicine testing for my skin?

No. Many patients improve with the right skincare, lifestyle support and targeted treatments alone. Advanced testing is only recommended where clinically appropriate and based on your symptoms, history and goals.

Emerging research continues to explore the connection between the gut microbiome, inflammation and skin health, often referred to as the “gut-skin axis”. In some patients, digestive symptoms, microbiome imbalance or food sensitivities may contribute to inflammatory skin patterns.

We support patients with inflammatory and autoimmune-related skin conditions using an integrative approach. We do not claim to cure autoimmune disease, but we may explore factors that could be contributing to inflammation, skin barrier dysfunction and immune stress.

Yes. Hormones can significantly influence oil production, inflammation, collagen levels, pigmentation and skin ageing. Hormonal shifts are particularly common during puberty, post-pill transitions, pregnancy and perimenopause.

Yes. Our clinic combines medical aesthetics with a broader functional and regenerative approach to skin health. Some patients only require skin treatments, while others benefit from a deeper exploration of internal health factors.

The Bespoke Clinic is based in Jesmond, Newcastle upon Tyne, supporting patients across Newcastle, the North East and further afield.

If you are unsure where to begin, our team can help guide you towards the most appropriate consultation or treatment pathway for your skin concerns.

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