Understanding Skin Ageing: Dr Maryam Zamani on Uncovered with Francesca

Dr Maryam Zamani recently joined Francesca on the podcast Uncovered with Francesca to discuss the science of skin ageing and the treatments that genuinely make a difference. The conversation covers collagen loss, skin laxity and crepey skin, not only on the face but across the body.

Skin ageing begins earlier than most people think

Collagen production begins to decline from our 20s. The changes are gradual at first and become more visible after 40, when the cumulative effect of years of collagen loss starts to show. Menopause marks a further turning point. Hormonal changes during this stage have a significant impact on skin quality, contributing to a more rapid loss of firmness and elasticity.

Loose, sagging and crepey skin is not limited to the face

The conversation extends beyond facial ageing to address laxity and crepiness on the tummy, neck, décolletage, arms and knees. Each of these areas ages through different mechanisms, and Dr Zamani explains why a treatment that works well on one area may not be the right approach for another.

Stimulating collagen, naturally and medically

Dr Zamani discusses the range of options available for supporting collagen production, from lifestyle and skincare approaches to medical interventions. She also compares the energy-based technologies used for skin tightening, including lasers, radiofrequency and ultrasound devices, and explains where each performs best.

When skincare helps, and when it has limits

Topical skincare has a role to play in maintaining skin quality, but Dr Zamani is clear about where its effects end and where medical intervention becomes necessary. The conversation also touches on fat transfer versus surgical options, giving a balanced view of how to approach facial and body rejuvenation safely.

Dispelling common myths

The episode addresses several persistent myths around anti-ageing and skin tightening, offering an evidence-based perspective to help patients make informed decisions about their skin, whatever stage of ageing they are at.

Watch the full episode below: Uncovered with Francesca featuring Dr Maryam Zamani

In summary

• Collagen decline starts in your twenties and becomes more visible after forty
• Menopause significantly affects skin quality
• Skin laxity varies by body area and requires different treatment approaches
• Energy-based devices such as lasers, radiofrequency and ultrasound each have different strengths
• Skincare has a role, but medical treatment or surgery may be needed for more advanced laxity