The Top four Skin Concerns We See at DRML (and How We Treat Them)
- Michelle Drougas

- Nov 6
- 5 min read
We see it all the time , clients coming in saying, “My skin just doesn’t feel like it used to.” Maybe it’s feeling dull, rough, or suddenly more reactive. Maybe your products have stopped working, or you’re noticing new lines and changes you can’t quite explain.
The truth is, your skin’s not being difficult , it’s just trying to tell you something. Every concern you see on the surface has a reason behind it, whether it’s changes in cell turnover, collagen production, or your barrier function. Once you understand what’s really going on, you can stop guessing and start giving your skin what it actually needs.
In this blog, we’re sharing the top four skin concerns we see at DRML Skin Clinic, and how we help bring skin back into balance using treatments that work with your skin, not against it.
Skin Concern #1 Loss of Firmness

Unfortunately, all the things that keep our skin taut and plump, collagen, elastin, hyaluronic acid and even our facial fat pads, start to decline with age. This changes the landscape of the face. Cheeks feel softer, the jawline less defined.
At DRML, our focus is on rebuilding, not overcorrecting. We use Skin Needling and DMK Enzyme Therapy to stimulate fibroblast activity, these are the skin cells responsible for producing collagen and elastin, helping to restore strength and structure to the skin. Hydra-sonic treatments help replenish your skin’s water levels by stimulating your own hyaluronic acid, giving that healthy, hydrated plumpness back.
When we need to go deeper, HIFU works in the SMAS layer (the same layer plastic surgeons lift during a facelift), tightening and stimulating collagen and elastin where it matters most. DMK Muscle Banding is another favourite for toning the facial muscles, think of it as a gym workout for your face.
At home, ingredients like Vitamin A, Vitamin C, and Peptides keep collagen production switched on and support what we’re rebuilding in clinic. Because firmness isn’t just about chasing youth, it’s about restoring strength, lift and confidence to the face you know and love.
This is one of the most common concerns we see at DRML, which is why we created our Lift & Sculpt Program, a tailored combination of the treatments above designed to rebuild structure, restore firmness, and give your skin that healthy, supported lift from within.
Skin Concern #2 Fine Lines and Wrinkles

Every line tells a story, laughter, late nights, moments that made you who you are. But sometimes, we just want to soften that story, just a little.
As collagen, elastin and hyaluronic acid decline, the skin becomes thinner and slower to bounce back. Add in years of expression, sun exposure and slower cell turnover, and fine lines start to make their mark.
At DRML, we focus on rebuilding and resurfacing, not just filling lines but restoring structure and function. Treatments like Fraxel and Skin Needling work by creating controlled micro-injuries that trigger the skin’s natural wound-healing response. This process prompts the fibroblast cells to rebuild collagen and elastin structures, improving texture, tone and firmness from within.
To support this renewal, we use Hydra sonic treatments to modulate inflammation and optimise hydration levels in the skin, creating the ideal environment for healing and repair. LED Light Therapy further enhances recovery by boosting cellular energy and reducing redness, helping the skin to regenerate faster and more effectively.
For deeper cellular repair, DMK StemZyme supports your body’s own stem cells to regenerate stronger, healthier tissue, extending the longevity of your results.
And while we love working with the skin’s natural processes, sometimes a little extra help makes all the difference. Nurse Rachel can relax the muscles that cause creasing, allowing the skin to smooth out and giving your revision treatments the best possible canvas to rebuild.
For clients committed to achieving visible change, our Complexion Correction Program brings many of these elements together.
The program includes:
1 x Fraxel Peel
2 x LED Light Therapy
2 x Hydra-sonic
2 x Enzyme Therapy
2 x Skin Needling (Collagen Induction Therapy)
1 x Brightening Peel
It’s a layered approach that targets both surface texture and deeper structural changes, helping to renew, rebuild and restore your skin for smoother texture, improved tone and that soft, confident glow.
Skin Concern #3 Hyperpigmentation
Hyperpigmentation can be a frustrating condition to live with. It’s difficult to cover, slow to fade, and can worsen with excessive heat or sun exposure. Hyperpigmentation is caused when your pigment-producing cells (melanocytes) go into overdrive, often triggered by UV damage, inflammation, or hormones.The challenge is once these little cells start misbehaving, it is very difficult to get them to stop. Further to this, hyperpigmentation sits at different depths in the skin, so not all treatments work the same way. At DRML, we always start by identifying where the pigment sits and why it’s there, then design a plan that treats it safely and effectively for your skin type. Below is a list of treatment options.
Laser Pigment Removal targets pigment in the upper layers of the skin by breaking it into tiny particles that the body naturally clears. It’s ideal for lighter Fitzpatrick Skin Types (I–III), but in darker skin we avoid it, as it can sometimes cause further pigmentation.
For deeper or more complex pigmentation, Fraxel works beautifully. It resurfaces the skin by creating thousands of tiny micro-columns, encouraging renewal and lifting pigment without stripping the surface, and it’s safe for most Fitzpatrick types.
Cosmelan is our go-to for Melasma, one of the hardest forms of pigmentation to treat because it’s hormonally influenced. It works by inhibiting tyrosinase, the enzyme responsible for producing melanin, to regulate pigment at its source rather than just lightening what’s on the surface.
We also love combining Skin Needling with Exosomes, which not only help to repair and strengthen the skin but also support more even melanin distribution over time.
At home, we recommend tyrosinase inhibitors which are ingredients that inhibit the production of melanin, always combined with daily SPF. Together, they protect against new pigment forming and maintain the clarity we’ve created in-clinic.
Because when it comes to pigmentation, it’s not just about fading what you see, it’s about calming what’s happening beneath the surface so it doesn’t keep coming back.
Skin Concern #4 Persistent Facial Redness

If your skin looks red more days than not, or you spot little veins or blush-out moments that won’t quit, you’re not imagining it. Persistent facial redness is one of those concerns that can be incredibly frustrating, especially when it reacts to stress, heat, changes in weather, or when every skincare product you try seems to sting.
At DRML Skin Clinic, we see redness as a sign that your skin’s barrier and circulation need proper support, not just a quick “calming” fix. Simply soothing the skin can make it feel better short-term, but it won’t solve the problem. If the barrier remains weak or the underlying inflammation is still active, the redness always returns.
We use targeted treatments like Red Vein Removal to calm visible capillaries and diffuse redness, combined with Barrier Repair Facials and DMK Enzyme Therapy to restore healthy function and strengthen the skin over time. As the barrier improves, we can also incorporate Skin Needling or Hydra-sonic treatments to rebuild the deeper layers and improve overall resilience.
Redness is often a symptom of something deeper, dehydration, a weakened barrier, an impaired immune response or vascular changes, and even internal factors like gut health. When the gut is inflamed or imbalanced, it can show up on the skin as redness, breakouts or sensitivity. That’s why our holistic approach focuses on rebuilding, regulating and restoring balance both inside and out.
If you’re ready to see real change in your skin — not just a quick fix, but true results that last, we’d love to help. Book your complimentary consultation at DRML Skin Clinic and let’s create a plan that brings your skin back to balance, strength and confidence.
📞 1300 056 657
📍 Shop 50A, Winston Hills Mall, Caroline Chisholm Dr, Sydney




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