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18
Aug
2025
Based in Carlisle, Cumbria, we specialise in advanced treatments for the face and body. From aesthetic enhancements to medical solutions, we deliver outstanding, personalised results.
The Late Late Aesthetics Show, hosted by Vanessa Lana Brown (owner of VL Aesthetics in Carlisle), delivers expert insights and engaging discussions on all things skincare, aesthetics, and wellbeing
Welcome back to the Late Late Aesthetic Show. In this enlightening and deeply informative episode, we’re joined by one of the UK’s most respected aesthetic doctors: Dr. Catharine Denning. Known for her scientific, personalised, and incredibly natural-looking results, Dr. Denning—founder of Marylebone Skin and Medical Aesthetics—shares her journey from hospital surgery to high-end skincare, and explains why subtle enhancement is the future of aesthetics.
Originally training as a plastic surgeon, Dr. Denning never envisioned a path in aesthetics. Burnout, disillusionment, and a pivotal year teaching anatomy redirected her focus. A single filler demonstration—0.1ml to the cheek—was all it took for her to witness the psychological power of minor adjustments. The rest is history. She pursued a Master’s in injectables and transitioned fully into medical aesthetics, blending her anatomical expertise with artistry.
Over the past decade, the aesthetics field has undergone a massive transformation. Dr. Denning highlights advancements in anatomical knowledge, technology, and skin science. While the overfilled, unnatural look still casts a shadow, there’s a noticeable shift towards age-appropriate, natural outcomes. According to her, the key is "knowing where the syringe should stop and the scalpel should begin."
She adds that the aesthetic industry is driven not only by consumer demand but also a global market predicted to hit $300 billion by 2030. This influx of investment fuels constant innovation—making aesthetic medicine one of the most rapidly evolving sectors in healthcare.
Dr. Denning’s formula for natural-looking outcomes rests on what she calls the "Four Ps": the right Patient, the right Product, the right Practitioner, and the right Placement. She stresses honest patient assessments, often turning away individuals whose needs exceed what non-surgical procedures can offer.
Each treatment begins with an hour-long consultation and an in-depth skin scan, allowing her to tailor interventions to individual skin quality and aging patterns—treating the skin through its five facial layers, right down to the bone.
Tweakments—subtle procedures with minimal downtime—are rising in popularity. Think light fillers, skin boosters, or anti-wrinkle injections. These aren’t intended to overhaul a face but rather to maintain and gently enhance. Popular among high-functioning professionals who can’t afford visible downtime, tweakments cater to a growing demand for results that feel invisible yet effective.
Treatments like the BBL provide extraordinary outcomes, though they do involve downtime. According to Dr. Denning, success lies in good patient counseling and timing treatments to fit into real-life schedules.
One of the most exciting trends in aesthetics is the rise of bio-stimulators—injectables that prompt the body to produce more collagen, elastin, and hyaluronic acid. From popular hyaluronic acid boosters like Profhilo to more advanced options like poly-L-lactic acid (Sculptra), these treatments aim for long-term skin improvement.
Dr. Denning is a big advocate for poly-nucleotides—DNA fragments derived from trout or salmon. These injectable agents trigger the body’s wound-healing response, leading to firmer, more resilient skin. She finds them especially effective for younger patients and as an alternative to tear trough fillers.
Coupled with this trend is the concept of collagen banking: proactively building up collagen reserves in your 20s and 30s to reduce visible ageing later. Though not a new idea, it’s gaining traction among the wellness-savvy crowd.
Platelet-rich plasma (PRP) therapy—once popularised by the "vampire facial"—still has a role, particularly in hair regrowth. However, Dr. Denning finds newer treatments like poly-nucleotides and exosomes to be more effective, less painful, and less time-consuming.
Interestingly, she notes that PRP is heavily used in veterinary and orthopaedic medicine, particularly for tissue regeneration in joints, hinting at a growing intersection between aesthetic and medical applications.
A concerning trend, Dr. Denning says, is the overuse of actives like acids and retinoids, especially among teenagers misled by social media. She frequently treats barrier dysfunction, perioral dermatitis, and rosacea—conditions often caused by over-exfoliation and misuse of harsh products.
Her solution? Strip back the skincare, focus on ceramide-rich, barrier-repairing products from brands like CeraVe and Cetaphil, and emphasise education. "Age-appropriate treatment plans," she insists, are essential—not only from a medical perspective but an ethical one.
When asked what her ideal "glow-up" protocol is, Dr. Denning is clear: it’s not a one-off fix but a long-term, layered approach. Starting from skin health—assessed via detailed scans—she addresses pigmentation, volume loss, and muscle tension through a combination of skincare, injectables, and laser treatments.
Her secret weapon? Pigmentation correction, often overlooked, can dramatically improve complexion and perceived youthfulness more than injectables alone.
Dr. Denning’s message is consistent: the most powerful outcomes are often the most subtle. A gentle tweak here, a collagen boost there—when delivered with anatomical expertise and clinical integrity—can make patients feel empowered and confident without anyone knowing they’ve had "work done."
For those seeking luminous, natural, and scientifically grounded results, Dr. Katherine Denning is proof that the future of aesthetics is as ethical and elegant as it is effective.
If you want to read more, the experts at Consulting Room really know what they're talking about and have put together PRP (platelet-rich plasma), dermal filler, Profhilo, Sculptra, tear trough, Platelet-rich plasma (PRP), rosacea, pigmentation, complexion, sunscreen and Microneedling FAQs just for you.
If you have more questions, you can use the PRP (platelet-rich plasma), dermal filler, Profhilo, Sculptra, tear trough, Platelet-rich plasma (PRP), rosacea, pigmentation, complexion, sunscreen, and Microneedling questions feature to talk to our panel of trained medical experts.
If you're keen to get started with any of these treatments right away then you're in luck - those clever folks also have a list of trusted, accredited PRP (platelet-rich plasma), dermal filler, Profhilo, Sculptra, tear trough, Platelet-rich plasma (PRP), rosacea, pigmentation, complexion, sunscreen and Microneedling clinics in your area.
Thank you to the dedicated team at VL Aesthetics in Carlisle, Cumbria—experts in advanced face and body treatments tailored to individual needs.
Known for blending aesthetic enhancements with medical-grade solutions, VL Aesthetics offers treatments for fine lines, stubborn fat, cellulite, acne, rosacea, and more. Clients choose them for their award-winning technology, personalised care, and discreet, modern clinic.
With over 1,500 glowing 5-star reviews, a team of expert doctors, nurses, and therapists, and CQC regulation, you’re in safe, trusted hands.
Visit VL Aesthetics or call now to book your consultation and start your journey to confidence.
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All information contained within this site is carefully researched and maintained for accuracy of content. Please note that for prospective purchasers of aesthetic treatments, information and guidance provided does not substitute an in-depth consultation with an experienced practitioner.