Crepey Skin Treatment in Twickenham

Crepey Skin

Crepey skin can look finely crinkled, feel papery or seem less resilient when you move or gently pinch it. It may appear beneath the eyes, on the neck and chest, on the hands or across the arms, abdomen and knees. At Thames Skin Clinic in Twickenham, we offer non-surgical treatments for crepey skin caused by ageing, sun damage, menopause, weight loss or if skincare alone is no longer improving your skin’s texture.

Most crepey skin has several contributing factors, so we rarely rely on one treatment. Dr Hemming may start with medical-grade skincare, microneedling and Laser Genesis to rebuild skin quality. For deeper support, we can add treatments such as radiofrequency microneedling, Fotona laser or collagen-stimulating injectables to repair and make new collagen. Treating the surface and the deeper layers together improves both texture and firmness.

Book a consultation at our award-winning medical skin clinic in Twickenham, London, today.

Book your crepey skin consultation

What Is Crepey Skin?

Crepey skin describes a pattern of fine wrinkles and reduced elasticity, often with a thin or delicate texture. It differs from a single deep wrinkle. It can also be different from loose skin: the two often occur together, but a treatment that improves fine texture may have limited effect on a large fold of excess skin. Crepey skin most often appears where the skin is naturally thin or has had the most sun over the years.

Common areas include:

the neck and décolletage
the skin under and around the eyes
the upper arms
the backs of the hands
the abdomen and the area above the knees

We offer a range of non-surgical options for crepey skin in Twickenham. We build a personalised programme around skin health, collagen stimulation and natural-looking improvement. Depending on your skin, this may bring together medical-grade skincare, laser resurfacing, radiofrequency microneedling, Fotona treatments and carefully chosen injectables. We also advise on sun protection and pigment control where sun damage has affected your skin tone. If non-surgical treatment is unlikely to give the result you want, we can refer you for a surgical opinion.

Our clinic is a five-minute walk from Twickenham station and easily reachable from across London and beyond.

Which Treatments Can Help Crepey Skin?

There is no single best treatment for every area. We select and combine options according to whether the main issue is dryness, fine surface lines, sun damage, reduced collagen, laxity or loss of support beneath the skin.

Medical-grade Skincare: The Foundation

A personalised skincare plan supports the barrier, hydration and long-term skin quality. This may include carefully introduced vitamin A or other renewal products where appropriate, moisturising support and daily broad-spectrum sun protection. Dr Hemming trained with Dr Zein Obagi and may recommend ZO Skin Health as part of the plan. Stronger products are introduced according to skin tolerance: irritated skin needs a different starting point from resilient skin. Skincare supports treatment results but does not replace a procedure when there is established laxity.

Laser and Resurfacing: For Fine Texture and Sun Damage

Laser Genesis offers a gentler, lower-downtime route for selected patients seeking gradual improvement in skin quality. Fractional CO₂ resurfacing or selected Fotona resurfacing protocols can address more visible fine lines and surface damage, with greater recovery and aftercare. The choice depends on the area, skin type, pigment risk and the degree of change sought.

Fotona 4D and 5D may form part of a broader facial plan when texture accompanies early laxity. SmoothEye is a Fotona option for selected fine lines and crepey texture around the eyes. Eye-area treatment needs particular care and is chosen after assessment rather than assumed to be suitable for everyone.

Radiofrequency Microneedling: For Texture and Firmness

Secret RF and Secret PRO deliver radiofrequency energy through fine needles at selected depths to encourage collagen remodelling. They can be useful on areas such as the face, neck and body where fine texture occurs alongside reduced firmness. Secret PRO can add fractional CO₂ resurfacing when the surface also needs more intensive renewal. The treatment depth, number of sessions and downtime vary by area and skin.

Tightening: Where Laxity is Part of the Concern

When the skin has begun to loosen, Dr Hemming may consider a tailored Fotona tightening plan or focused ultrasound (HIFU) to target deeper tissue. These options are selected for the pattern of laxity and can complement resurfacing. They can improve firmness in suitable patients, but they cannot remove a large amount of excess skin.

Injectables: For Skin Quality or Lost Support

Skin boosters such as Profhilo may help selected areas look more hydrated and supple. Polynucleotides may be considered for delicate skin, including around the eyes, after assessment. Juläine is a collagen-stimulating injectable whose changes develop gradually; suitability depends on the area and the support your skin needs.

Sometimes the apparent crepiness is made more noticeable by volume loss deeper in the face. Carefully placed dermal filler can restore support where appropriate. It is not a substitute for treating damaged skin texture, and we aim to restore natural proportions rather than add unnecessary fullness.

Supportive Treatments

Medical microneedling may be useful within a staged skin-quality programme. Topical EXO|Emay be used alongside certain procedures where appropriate. These are supporting choices within a plan, not standalone promises to reverse skin laxity.

How Is Crepey Skin Assessed at Thames Skin Clinic?

At Thames Skin Clinic, we assess any skin concern during a new patient consultation with Dr Anna Hemming before any treatment takes place. Dr Hemming looks at your skin quality, volume and laxity, because sagging, wrinkles and crepey skin don’t all need the same treatment.

Your consultation may include:

a discussion of your medical history, skincare, lifestyle, hormonal changes and goals
a skin scan and photographs to record texture, sun damage and skin quality
an honest explanation of what non-surgical treatment can and cannot achieve
a staged treatment plan, so you only have the treatments your skin needs

For some people, the main concern is the skin’s surface. For others, thinning skin sits alongside pigmentation, volume loss or more substantial laxity.

At Thames Skin Clinic, Dr Anna Hemming assesses those layers separately before recommending treatment. The aim is skin that looks and feels stronger, smoother and healthier.

Book a consultation with Dr Hemming

Diamond Awards Winner 2024 Best Clinic South

Treatment By Area

Area

What We Assess

Possible Approach

Under eyes

Fine lines, thin skin, hollowing, eye bags and eyelid laxity

SmoothEye, selected regenerative injectables or a broader facial support plan; each issue needs a different approach.

Neck and décolletage

Sun damage, crinkling, pigmentation, lines and laxity

Skincare and sun protection with selected laser, radiofrequency microneedling, boosters or tightening.

Upper arms and above knees

Skin quality versus a larger amount of loose skin

Radiofrequency microneedling or selected laser and tightening treatments; realistic discussion of limits.

Abdomen after weight loss

Fine texture, stretch marks, laxity and overhanging skin

Combination treatment for texture and mild laxity; surgical opinion where excess skin dominates.

Hands

Thin-looking skin, sun spots and loss of volume

Skincare and sun protection with pigmentation treatment or volume restoration where suitable.

What Causes Thin and Crepey Skin?

Crepey skin usually appears when several of these changes build up over time:

Collagen

Collagen production slows with age, and the collagen you already have becomes weaker. By 50, your skin makes around half the collagen it did at 20.

Elastin

Elastin weakens, so the skin loses some of its ability to spring back after it stretches.

Sun Damage

Sun damage breaks down collagen and elastin, which is why the neck, chest, arms and hands often turn crepey first.

Oestrogen

Falling oestrogen around the menopause reduces collagen, hydration and skin thickness.

Weight Loss

Weight loss reduces the support beneath the skin and can make crepey skin and texture more visible.

Dehydration

Dehydration and a weakened skin barrier make fine crinkling look more obvious.

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Qualified, Experienced Medical Aesthetic Doctors

Focused on skin health and combined rejuvenation treatments creating natural results, the careful hands of our doctor and therapists provide a safe environment to enhance your natural beauty.

Multi Award Winning Medical Doctor

Recognised for her expertise in skin health and commitment to medical aesthetics, Dr. Hemming brings over 20 years of experience and has been dedicated to the aesthetics field since 2008.

Described As A "Goddess With A Needle"

Dr Anna Hemming has been described as a ‘goddess with a needle’ due to her gentle touch and her results are so natural you experience the effect of turning back time. Always aiming treatment to result in a better version of yourself.

Why Choose Thames Skin Clinic?

Thames Skin Clinic is a doctor-led, CQC-registered skin clinic in Twickenham, London. Your care is led by Dr Anna Hemming (MBChB, BSc, DFFP, MRCGP), who assesses your skin and plans your treatment with you.

Dr Hemming qualified as a doctor in 2002 and has specialised in skin health and medical aesthetics since 2008. Her medical career includes a commission in the British Army and work as a GP at Buckingham Palace. She is an international speaker and a key opinion leader for Cutera and ZO Skin Health.

Recent awards for Dr Hemming and the Thames team include:

Best Medical Practitioner UK & Ireland (Doctor, Dentist or Surgeon), The Aesthetics Awards 2026
Best Medical Practitioner, Aesthetic Medicine Awards 2025
Best Injectable Results, The Aesthetics Awards 2025
Lifetime Achievement Award, Cutera 2024
Best Clinic South, Safety in Beauty Awards 2024

We only use medically regulated lasers and energy devices from established manufacturers such as Fotona and Cutera. Patient safety guides how we plan your treatment. We choose the right device, depth, energy and spacing for your skin.

Our THAMES approach focuses on natural improvement, so your skin can look smoother and firmer while you still look like yourself. Our clinic is close to Twickenham station and has private parking. Book a consultation or contact the team to talk through your goals.

FAQs

Can Crepey Skin Improve After Menopause?

Yes, crepey skin can improve after menopause with the right treatment plan. Falling oestrogen reduces collagen, hydration and skin thickness, so skin often becomes thinner and more crepey at this stage.
We can use collagen-stimulating treatments such as radiofrequency microneedling, laser and Juläine to help the skin rebuild its strength. Combining these results with skin boosters and medical-grade skincare will improve hydration. Dr Hemming will take your hormonal history into account when planning your treatment.
Can Crepey and Thin Skin Be Treated After Weight Loss?

Yes, thin and crepey skin texture can often be improved without surgery after weight loss. Rapid weight loss, including medication-assisted weight loss, can leave crepey skin on the arms, abdomen and neck. Non-surgical treatments such as radiofrequency microneedling, laser and collagen-stimulating injectables can improve texture and firmness in these areas. Surgery may give a better result if there is a large amount of loose or overhanging skin. At your consultation, Dr Hemming will explain your options honestly.
What Can Help Crepey Skin Under the Eyes?

Crepey skin under the eyes can be improved with gentle laser and injectable treatments chosen for this thin, delicate area. SmoothEye uses Fotona laser energy to stimulate collagen and smooth fine crinkling around the eyes. Polynucleotides and skin boosters can also improve skin quality and hydration in selected patients. The under-eye area needs careful assessment, because hollowing, eye bags and crepey texture each need a different approach. Before recommending treatment, Dr Hemming will assess which is affecting you.
Can Crepey Skin Really be Improved Without Surgery?

Often, yes. Skincare, resurfacing, radiofrequency microneedling, selected tightening treatments and injectables can improve skin quality or firmness in suitable patients. The degree of change depends on the cause and the amount of laxity. Non-surgical care cannot remove substantial loose skin, so Dr Hemming will explain when a surgical opinion is more appropriate.
Which is Better For Crepey Skin: Laser or Radiofrequency Microneedling?

They address overlapping but different needs. Resurfacing can be particularly useful for visible fine texture and sun damage, while radiofrequency microneedling may be chosen when texture and firmness both need attention. A combination or staged plan may be appropriate. The safest and most useful option depends on your skin type, treatment area, pigment risk and tolerance for downtime.
How Many Treatments Will I Need?

That depends on the starting condition and treatment chosen. Some resurfacing plans centre on a more intensive session and recovery, whereas gentler lasers, radiofrequency microneedling and injectables commonly involve a course and later maintenance. You will receive a proposed schedule and review points after assessment.
Can Skincare Alone Fix Crepey Skin?

Skincare can improve dryness, barrier function and the appearance of fine lines, and daily sun protection helps prevent further damage. It cannot reliably tighten significant laxity or replace lost facial support. Dr Hemming will recommend the least intervention likely to make a meaningful difference for your goals.

Getting To The Clinic

Clinic Address

Thames Skin Clinic 1-3 Baylis Mews Twickenham TW1 3HQ. Please call 0208 068 1145 to speak directly to a team member.

By Train

Thames Skin Clinic is conveniently located in Twickenham, with excellent rail connections from across the UK. The nearest station is Twickenham Train Station, just a 5 minute walk from the clinic. Direct South Western Railway services run from London Waterloo (20-25 mins), Clapham Junction (10-15 mins) and Richmond (5 mins).

From the North, Midlands and Wales, travel via London Euston or Paddington before connecting at Waterloo. From the South and West, change at Reading, Clapham Junction, or Woking. If arriving from the East, transfer to Liverpool Street.

By Car

Thames Skin Clinic is located in Twickenham and is easily accessible by car from London and surrounding areas.

From Central London – Take the A4 or A316 towards Richmond, then follow the A310 into Twickenham.

From the M25 – Exit at Junction 12 (M3), continue on the M3/A316, then take the turnoff towards Twickenham town centre.

From the South and West – Use the M3, M4, or A3, connecting to the A316 into Twickenham.

Parking

Free parking on site with disabled parking available.
Public Car Parks: The nearest public car park is Arragon Road Multi-Storey (TW1 3NG), just a short walk from the clinic.

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