Bev Scott - Registered Nurse Prescriber

You might typically associate high cholesterol (and particularly LDL) with cardiovascular risk and associate insulin resistance more with risk of diabetes.

In reality, they are closely linked.

Insulin resistance affects far more than blood glucose alone. It influences lipid metabolism, inflammatory pathways and vascular function — all of which contribute to cardiovascular risk over time.

This creates a metabolic environment that not only alters blood markers, but can also affect the structure and function of blood vessels themselves, including damage to the vessel lining and promotion of plaque formation (atherosclerosis).

This is why assessing health purely through cholesterol alone can sometimes miss a big part of the picture.

Metabolic health — including insulin sensitivity, body composition and overall lifestyle — plays a significant role in long-term cardiovascular outcomes.

Understanding this wider picture allows for a more complete and personalised approach to health.

If you want to understand your current metabolic and heart health or are interested in wellness and longevity, I provide health assessments, a wide range of blood tests, clinical interpretation and personalised advice and treatments, where appropriate.

Appointments can be arranged via

Hormone, metabolic health and medical weight management consultations and prescribed treatments are available online UK-wide.

Injectable and device-based treatments require face-to-face clinical assessment at the CQC-registered Skin&Spirit clinic in Clowne, Chesterfield.

All prescription treatments are subject to full clinical consultation and appropriate assessment.






HormoneHealth
HealthyAgeing
FunctionalMedicineUK
NursePrescriber

Dermal filler is not my usual first-line approach when it comes to skin regeneration.

However, there are specific anatomical changes where it can be an appropriate and effective option.

The tear trough is one of those areas.

Over time, structural changes occur between the under-eye region and the upper cheek, often due to separation and descent of the supporting fat pads.

This can create a hollow or shadowed appearance which is not always related to skin quality alone.

In carefully selected individuals, small amounts of dermal filler can be used to support this area and soften the transition, helping to restore a more refreshed and youthful appearance.

I often explain this to my patients as being similar to the tectonic plates of the earth gradually moving apart — in some cases, a small amount of support with the correct dermal filler can help bring balance back to the area.

For safety and little to no bruising, I use a blunt-tip cannula technique in this region and take a conservative, considered approach. Filler is hydrophilic which means as the filler settles into its home, water is drawn to it causing the filler hyaluronic acid molecules to swell. So we always undertreat and review at 2 weeks. I use Teosyal Redensity II as this filler is licensed specifically for the under eye and is clinically proven not to cause tyndall effect; a bluish discolouration seen when dermal filler is placed too superficially under the skin, causing light to scatter through the product.

Tear trough filler is quite long lasting (12-18 months) when placed correctly.

As with all treatments, suitability is determined following full consultation and clinical assessment.
Appointments can be arranged via Skin&Spirit Aesthetics, Skincare, Hair, Beauty and Wellness Clinic

Hormone and medical weight management consultations are available online UK-wide.

Injectable and device-based treatments require face-to-face clinical assessment at the CQC-registered Skin&Spirit clinic in Clowne, Chesterfield.

All prescription treatments are subject to full clinical consultation and appropriate assessment.