Autumn-Skincare-in-South-Africa
Skin Care Through the Seasons, The Ultimate Guide to Post-Summer Skin Recovery

Autumn Skincare in South Africa: How to Support Your Skin’s Natural Protective Function After Summer

TL;DR:
Autumn skincare in South Africa focuses on supporting your skin’s natural protective function after summer’s high UV exposure through reduced exfoliation, increased hydration, and maintained sun protection.

  • South African summer’s high UV exposure and increased exfoliation can leave skin feeling tight and sensitive by autumn
  • Your skin’s natural protective function benefits from reduced exfoliation frequency and increased hydration support during seasonal transition
  • UVA exposure remains significant year-round in South Africa, making daily SPF essential even in autumn
  • Gradual reintroduction of retinol and actives prevents overwhelming skin during the seasonal adjustment period
  • Professional guidance helps refine your autumn routine without overcorrecting or adding unnecessary products

Autumn Skincare in South Africa: How to Support Your Skin’s Natural Protective Function After Summer

South Africa’s summer delivers some of the world’s highest UV exposure levels, particularly in regions like Gauteng, the Western Cape, and coastal areas. After months of intense sun, increased exfoliation, and active ingredient use, your skin enters autumn requiring thoughtful support rather than aggressive intervention. The seasonal transition from summer’s heat to autumn’s cooler, often drier conditions influences how your skin’s natural protective function performs.

Understanding how to support your skin during this transition prevents common mistakes like overcorrecting with stronger actives or abandoning essential sun protection. This period offers an opportunity to assess your skin’s current needs, adjust your routine strategically, and build sustainable habits that serve you through the cooler months ahead. The goal isn’t dramatic transformation but rather supporting your skin’s inherent ability to maintain balance and resilience.

Effective autumn skincare in South African conditions requires recognising that whilst temperatures drop, UV exposure remains significant year-round. This reality shapes every aspect of your seasonal routine adjustments, from product selection to application frequency. Your approach should emphasise gradual changes that allow your skin to adapt comfortably rather than sudden shifts that may cause disruption.

Understanding Your Skin’s Response to South African Summer

South Africa’s geographic position results in UV Index levels frequently reaching 10 or higher during summer months, classified as “very high” to “extreme” by international standards. This intense exposure influences skin appearance and function in ways that become apparent as the season shifts. Your skin’s response to summer conditions provides valuable information about what it needs during the autumn transition.

How High UV Exposure Influences Skin Appearance

Extended UV exposure during summer months influences several aspects of skin appearance and function. The skin’s natural protective mechanisms work continuously to shield deeper layers from UV damage, which can leave the outermost layer appearing thicker or feeling rougher by summer’s end. This response represents your skin’s adaptive process rather than damage requiring aggressive correction.

Visible changes may include uneven tone, particularly in areas receiving consistent sun exposure like the face, chest, and hands. These variations in appearance occur because melanin production increases in response to UV exposure as part of your skin’s natural protective response. The appearance of fine lines may seem more pronounced after summer, partly because dehydration affects how light reflects off the skin’s surface.

Your skin’s natural renewal process continues throughout summer, but the combination of sun exposure and heat can influence how this process appears. Some people notice their skin feels rougher or looks duller by early autumn, signalling that the protective function needs additional support during the seasonal transition.

The Impact of Increased Exfoliation Habits

Many people increase exfoliation frequency during summer months, seeking to maintain smooth texture and even tone. Whilst regular exfoliation supports skin’s natural renewal process, increased frequency without corresponding recovery time can influence how your skin’s protective function performs. Chemical exfoliants containing alpha hydroxy acids or beta hydroxy acids, physical exfoliation methods, and even daily cleansing with textured cloths all contribute to cumulative exfoliation.

The combination of increased exfoliation, UV exposure, and active ingredients like vitamin C or retinol creates a situation where skin may benefit from reduced intervention come autumn. This doesn’t indicate that summer habits were inappropriate, but rather that seasonal adjustment serves your skin’s changing needs. The lipid layer that helps maintain hydration and provides protective function requires time to establish optimal performance after periods of increased exfoliation.

Why Skin Feels Different in Early Autumn

As March arrives in South Africa, you may notice your skin feeling tighter, particularly after cleansing. This sensation occurs because the protective lipid layer needs additional support during seasonal transition. Humidity levels often shift in autumn, and whilst the change may feel subtle, skin responds to these environmental variations.

The combination of summer’s cumulative effects and autumn’s environmental shift creates a period where skin benefits from adjusted support. Products that felt appropriate during summer’s heat may feel insufficient as conditions change. This response is entirely normal and signals an opportunity to refine your approach rather than indicating any problem requiring correction.

Your Skin’s Natural Protective Function: What It Means

Understanding your skin’s protective function helps you make informed decisions about product selection and routine adjustments. This knowledge transforms skincare from guesswork into a logical process of supporting your skin’s inherent capabilities.

The Lipid Layer Explained Simply

Your skin’s outermost layer, the stratum corneum, contains cells surrounded by lipids—natural fats that create a protective barrier. Think of this structure like a brick wall: the cells are bricks, and the lipids are mortar holding everything together. This arrangement serves multiple functions: it helps prevent water loss from deeper skin layers, shields against environmental factors, and maintains skin’s smooth appearance.

The lipid layer comprises ceramides, cholesterol, and fatty acids in specific ratios that support optimal function. When this layer performs well, skin feels comfortable, appears smooth, and maintains appropriate hydration levels. Various factors influence lipid layer performance, including cleansing habits, environmental conditions, product choices, and natural aging processes.

Supporting this protective function doesn’t require complex interventions. Simple adjustments like choosing gentle cleansers, incorporating ingredients that support lipid production, and avoiding practices that strip away these natural fats all contribute to maintaining this essential barrier. The lipid layer repairs and regenerates continuously, but providing appropriate support accelerates this natural process.

Products containing ceramides, fatty acids, or cholesterol help support your skin’s natural lipid composition. Niacinamide (vitamin B3) supports the skin’s natural production of ceramides whilst helping to reduce the appearance of uneven tone. Ingredients like squalane, which mimics skin’s natural sebum, integrate easily into the lipid layer.

Signs Your Protective Function Needs Support

Several indicators suggest your skin’s protective function would benefit from additional support. Tightness, particularly after cleansing, indicates that the lipid layer may need reinforcement. This sensation differs from temporary tightness that resolves quickly—it persists and may feel uncomfortable.

Increased sensitivity to products you previously tolerated well signals that your protective function needs support. When the lipid layer performs optimally, skin tolerates active ingredients more comfortably. Compromised barrier function means even gentle products may cause temporary discomfort or visible reactions.

Visible flaking or rough texture, despite regular exfoliation, suggests your skin needs hydration support and lipid reinforcement rather than more exfoliation. This response indicates that the protective layer needs building up rather than removing additional cells. Persistent dryness that doesn’t improve with moisturiser application also signals barrier support needs.

The Autumn Reset Framework: Four Essential Adjustments

Transitioning your routine from summer to autumn requires strategic adjustments rather than complete overhaul. These four steps provide a framework for supporting your skin during seasonal change whilst maintaining the beneficial habits you’ve established.

Step 1: Reduce Exfoliation Frequency Thoughtfully

If summer saw you exfoliating three times weekly, consider reducing to once or twice weekly in autumn. This adjustment allows your skin’s natural renewal process to continue whilst providing additional recovery time. The goal isn’t eliminating exfoliation but rather matching frequency to your skin’s current needs and environmental conditions.

Pay attention to how your skin responds to reduced exfoliation frequency. Some people notice improved comfort and texture within one to two weeks, whilst others may require three to four weeks to observe changes. If you use multiple forms of exfoliation—chemical exfoliants, physical scrubs, cleansing devices—consider which provides the most benefit with least disruption.

Chemical exfoliants containing lactic acid or polyhydroxy acids tend to offer gentler exfoliation than stronger alpha hydroxy acids or beta hydroxy acids. During autumn transition, gentler options may serve your skin better whilst still supporting surface renewal. This doesn’t mean abandoning stronger exfoliants permanently, but rather adjusting intensity during the adaptation period.

Step 2: Increase Hydration Support Strategically

Autumn conditions often require enhanced hydration support through both humectants and emollients. Humectants like hyaluronic acid—your skin’s moisture magnet that holds up to 1,000 times its weight in water—draw moisture into skin cells. Emollients like plant oils, shea butter, or ceramide-rich creams help prevent water loss by supporting the lipid layer.

MESOESTETIC Hydra-Vital Face Mask

Consider layering hydration products rather than replacing lighter summer formulations entirely. A hydrating serum applied beneath your regular moisturiser provides additional support without feeling heavy. This approach allows you to adjust hydration levels based on daily needs rather than committing to heavier products that may feel excessive on some days.

Morning and evening hydration needs may differ during autumn. Morning routines might maintain lighter formulations for comfortable wear beneath SPF, whilst evening routines can incorporate richer products that support overnight recovery. This flexibility ensures your skin receives appropriate support throughout the day-night cycle.

Step 3: Reintroduce Retinol Gradually

Autumn provides an appropriate time to reintroduce retinol if you took a summer break or to begin using it if you’re new to this vitamin A derivative. Retinol supports cell turnover and helps reduce the appearance of fine lines, but requires gradual introduction to maintain comfort.

Begin with once or twice weekly application, allowing two to three weeks for your skin to adapt before increasing frequency. Apply retinol to completely dry skin—waiting 20 minutes after cleansing helps prevent irritation. Start with lower concentrations (0.25% to 0.5%) before progressing to stronger formulations.

IMAGE AGELESS+ retinol pure liquid retinol 0.3%

Some people experience temporary flaking or sensitivity when introducing retinol, which typically resolves as skin adapts. If discomfort persists beyond three weeks or worsens, reduce frequency rather than discontinuing entirely. Retinol works best as a long-term strategy, so establishing tolerance proves more valuable than rushing to higher concentrations.

Step 4: Maintain Year-Round SPF Protection

UVA exposure remains significant throughout South African autumn and winter, making daily SPF application essential regardless of season. UVA penetrates clouds and glass, influencing skin appearance even on overcast days or whilst driving. This consistent exposure means that abandoning SPF during cooler months compromises the benefits of your entire skincare routine.

Choose SPF formulations appropriate for autumn conditions. If summer required lightweight, mattifying sunscreens, autumn might allow slightly richer formulations that provide both sun protection and hydration support. Mineral sunscreens containing zinc oxide or titanium dioxide offer broad-spectrum protection whilst supporting sensitive skin during seasonal transition.

Apply SPF as the final step in your morning routine, using approximately half a teaspoon for face and neck. Reapplication becomes particularly important if you spend extended periods outdoors, even during autumn’s milder conditions. Keep a separate SPF product for your body, as facial formulations often prove too expensive for larger surface areas.

Common Autumn Skincare Mistakes to Avoid

Understanding common pitfalls helps you navigate seasonal transition more successfully. These mistakes often stem from good intentions but can compromise your skin’s protective function during this vulnerable period.

Overcorrecting With Stronger Actives

The temptation to address visible summer effects with stronger active ingredients represents one of the most common autumn skincare mistakes. Seeing uneven tone or rough texture may prompt you to increase retinol concentration, add multiple acids, or introduce new active ingredients simultaneously. This approach typically overwhelms skin during a period when it needs support rather than aggressive intervention.

Stronger actives aren’t inherently problematic, but timing matters significantly. Your skin’s protective function benefits from stability during seasonal transition. Once you’ve established a supportive autumn routine and your skin feels comfortable—typically four to six weeks into the season—you can consider gradually introducing additional actives if desired.

The principle of changing one variable at a time applies particularly during seasonal transitions. If you adjust multiple aspects of your routine simultaneously, identifying which changes serve your skin becomes impossible. This methodical approach may feel slow, but it prevents the frustration of reactions that require stripping back your entire routine.

Stopping SPF When UV Feels Less Intense

Autumn’s milder temperatures and less intense sunshine create a false sense that sun protection becomes optional. This misconception proves particularly problematic in South African conditions, where UV levels remain significant year-round. UVA exposure contributes to visible aging signs and uneven tone regardless of how warm the weather feels.

Research suggests that consistent daily SPF application provides more benefit than sporadic use of higher SPF products. The habit of daily application matters more than the specific SPF number, provided you use at least SPF 30. This consistency protects your skin and preserves the benefits of other products in your routine, particularly active ingredients that support cell turnover.

Adding Multiple New Products Simultaneously

Seasonal transitions often coincide with discovering new products or feeling motivated to refresh your routine. Whilst enthusiasm for skincare proves valuable, introducing multiple new products simultaneously makes identifying reactions or sensitivities nearly impossible. If your skin develops discomfort or visible reactions, determining which product caused the issue becomes guesswork.

Introduce new products one at a time, allowing one to two weeks between additions. This timeline gives your skin time to adapt and allows you to observe how each product influences your skin’s appearance and comfort. The exception to this rule involves products designed to work together, like a cleanser and moisturiser from the same range, but even then, introducing the pair together rather than adding multiple new products proves wise.

How to Assess Your Skin’s Current Needs

Regular assessment helps you make informed adjustments rather than following generic seasonal advice. Your skin’s individual response to environmental changes matters more than calendar dates or general recommendations.

Visual and Tactile Assessment Checklist

Examine your skin in natural light near a window rather than artificial bathroom lighting, which can distort colour and texture perception. Look for areas of uneven tone, particularly comparing sun-exposed areas like your cheeks to less exposed areas like your jaw. Notice whether fine lines appear more pronounced than they did several months ago, keeping in mind that this may reflect temporary dehydration rather than permanent changes.

Touch your skin gently, noting texture variations. Does your forehead feel rougher than your cheeks? Do certain areas feel tight whilst others remain comfortable? These variations provide information about where your routine might need adjustment. Pay attention to how your skin feels at different times of day—morning tightness that resolves after applying products differs from persistent tightness that continues despite moisturising.

Observe how quickly your skin absorbs products. If serums or moisturisers that previously absorbed within minutes now sit on the surface, your skin may need lighter formulations or better exfoliation. Conversely, if products absorb immediately and your skin still feels tight, you likely need additional hydration support.

When Sensitivity Signals Need for Simplification

Increased sensitivity during autumn transition often indicates that your routine needs simplification rather than additional products. If products you previously tolerated well now cause stinging, redness, or discomfort, your skin’s protective function needs support through reduced intervention.

Strip your routine back to essentials: gentle cleanser, simple moisturiser, and SPF. Maintain this simplified approach for one to two weeks, allowing your skin’s protective function to recover. Once comfort returns, reintroduce products one at a time, starting with those providing the most benefit to your specific concerns.

Sensitivity differs from allergic reactions. Sensitivity typically involves temporary discomfort or tightness that improves with routine simplification. Allergic reactions involve persistent redness, swelling, or worsening symptoms that require discontinuing the problematic product entirely and may need professional guidance.

Supporting Different Skin Concerns This Autumn

Whilst the fundamental principles of autumn skincare apply broadly, specific concerns benefit from targeted approaches. Understanding how to address your primary concern whilst supporting your skin’s protective function ensures you don’t sacrifice one goal for another.

Visible Pigmentation After Summer Sun

Uneven tone that developed during summer responds well to ingredients like niacinamide (vitamin B3), which helps reduce the appearance of dark spots whilst supporting your skin’s natural protective function. This dual benefit makes niacinamide particularly valuable during autumn transition when skin needs both correction and support.

Vitamin C serums help brighten skin’s appearance and support even tone, but require careful formulation selection during autumn. Choose stable forms like ascorbyl glucoside or tetrahexyldecyl ascorbate rather than pure L-ascorbic acid if your skin feels sensitive during seasonal transition. These gentler derivatives provide benefits without the potential irritation of stronger forms.

Avoid combining multiple brightening actives during autumn transition. Using niacinamide, vitamin C, and chemical exfoliants simultaneously may overwhelm your skin when it needs support. Choose one primary brightening ingredient, establish tolerance, then consider adding others if needed after four to six weeks.

Dry, Tight Skin Needing Hydration Support

Persistent dryness requires both immediate relief and long-term support for your skin’s protective function. Hydrating serums containing hyaluronic acid or glycerin draw moisture into skin cells, whilst richer moisturisers containing ceramides, cholesterol, or fatty acids support the lipid layer that prevents water loss.

Consider incorporating a facial oil as the final step in your evening routine if dryness persists despite using moisturiser. Oils like squalane, rosehip, or marula seal in hydration and provide fatty acids that support your skin’s natural lipid composition. Apply oil after moisturiser rather than before—this sequence allows water-based products to penetrate whilst the oil layer prevents moisture loss.

Evaluate your cleansing routine if dryness continues. Foaming cleansers or those containing sulphates may strip away too many natural lipids during autumn. Cream or oil cleansers typically provide gentler cleansing whilst supporting your skin’s protective function. The slight residue some people notice after using gentler cleansers actually represents preserved natural lipids rather than inadequate cleansing.

Sensitive Skin During Seasonal Transition

Skin that feels reactive during autumn transition benefits from simplified routines emphasising barrier support. Choose products with minimal ingredient lists, avoiding fragrance, essential oils, and high concentrations of active ingredients until sensitivity resolves. Look for formulations containing centella asiatica, beta-glucan, or colloidal oatmeal, which help calm skin whilst supporting protective function.

Temperature extremes exacerbate sensitivity, so avoid very hot water when cleansing and protect your skin from cold wind when outdoors. Tepid water cleanses effectively whilst preserving natural lipids that support your protective function. Consider applying a thin layer of occlusive balm to particularly sensitive areas before going outdoors in cold, windy conditions.

When Professional Guidance Helps Refine Your Approach

Whilst many people successfully adjust their autumn routines independently, professional guidance proves valuable in specific situations. Understanding when to seek expert consultation prevents frustration and potentially problematic trial-and-error approaches.

The Value of Personalised Autumn Assessment

Professional skincare consultation provides personalised recommendations based on your skin’s specific response to summer conditions rather than generic seasonal advice. This individualised approach accounts for factors like your summer skincare habits, sun exposure patterns, current concerns, and goals for the cooler months ahead.

Expert guidance proves particularly valuable when you feel uncertain about product selection or ingredient compatibility. The vast range of available products can feel overwhelming, especially when trying to balance multiple concerns like visible pigmentation, dryness, and sensitivity simultaneously. Professional recommendations streamline your routine, focusing on products that address your specific needs without unnecessary complexity.

How Expert Consultation Prevents Overcorrection

Professional guidance helps you avoid the common mistake of overcorrecting post-summer skin concerns with overly aggressive approaches. Experts can assess whether your skin needs intensive intervention or simply time and supportive care to recover from summer’s effects. This distinction proves crucial for maintaining your skin’s protective function during seasonal transition.

Consultation also provides accountability and realistic timeframe expectations. Understanding that visible improvements typically require six to eight weeks prevents premature routine changes or product abandonment. This patience proves essential for achieving sustainable results rather than temporary improvements followed by setbacks.

Building Your Sustainable Autumn Routine

Effective autumn skincare establishes habits that serve your skin throughout the cooler months rather than requiring constant adjustment. This sustainable approach emphasises consistency and appropriate product selection over complexity or frequent changes.

Morning Routine Adjustments for Autumn

Your morning routine should prepare your skin for the day ahead whilst providing essential protection. Begin with gentle cleansing—if your skin feels comfortable, you may even rinse with water alone rather than using cleanser every morning. This approach preserves natural lipids that accumulated overnight whilst removing surface debris.

Apply hydrating serum to slightly damp skin, which helps seal in moisture. Follow with moisturiser appropriate for autumn conditions, which may be slightly richer than your summer formula but shouldn’t feel heavy or greasy. Allow moisturiser to absorb fully before applying SPF as your final step.

This streamlined morning routine typically requires five to seven minutes, making it sustainable for busy schedules. The simplicity ensures consistency, which matters more than elaborate routines followed sporadically.

Evening Routine: Supporting Overnight Recovery

Evening routines can incorporate more intensive treatments since you won’t apply makeup or SPF afterwards. Begin with thorough cleansing to remove SPF, environmental debris, and any makeup. Double cleansing—using an oil-based cleanser followed by water-based cleanser—ensures complete removal without excessive rubbing.

DERMALOGICA Oil To Foam Total Cleanser

Apply treatment products like retinol or targeted serums to completely dry skin, waiting 20 minutes after cleansing if using retinol. Follow with hydrating serum, then moisturiser. If dryness persists, add facial oil as a final step to seal in hydration overnight.

Evening routines support your skin’s natural overnight recovery process, during which cell turnover and repair occur most actively. Providing appropriate hydration and active ingredients during this period maximises these natural processes.

Weekly Treatments Worth Maintaining

Incorporate hydrating masks once or twice weekly if your skin feels particularly dry during autumn transition. These treatments provide intensive moisture support without requiring daily application. Look for masks containing hyaluronic acid, glycerin, or ceramides rather than clay-based formulations that may feel too drying during this period.

Continue gentle exfoliation once or twice weekly, adjusting frequency based on how your skin responds. If you notice increased sensitivity or persistent tightness, reduce to once weekly or pause exfoliation temporarily whilst focusing on barrier support.

Frequently Asked Questions

Q1: How soon should I adjust my skincare routine when autumn arrives in South Africa?

Begin adjusting your routine as you notice seasonal changes, typically early March in South Africa. Watch for signs like increased tightness or sensitivity rather than following a strict calendar date. Gradual transitions over two to three weeks allow your skin to adapt without disruption.

Q2: Why does my skin feel tight and sensitive in autumn after summer?

Summer’s high UV exposure, increased exfoliation frequency, and active ingredient use can influence how your skin’s natural protective function performs. As humidity shifts in autumn, skin may feel tighter because the lipid layer needs additional support. This response is normal during seasonal transition.

Q3: Should I stop exfoliating completely in autumn?

Reducing frequency rather than stopping completely typically serves skin better. If you exfoliated three times weekly during summer, consider reducing to once or twice weekly in autumn. This allows your skin’s natural renewal process to continue whilst providing additional recovery time.

Q4: Is SPF still necessary in South African autumn and winter?

Yes, daily SPF remains essential year-round in South Africa. UVA exposure stays significant even when temperatures drop and sunshine feels less intense. UVA penetrates clouds and glass, influencing skin appearance regardless of season.

Q5: When can I reintroduce retinol after taking a summer break?

Autumn provides an appropriate time to reintroduce retinol gradually. Begin with once or twice weekly application, allowing two to three weeks for skin to adapt before increasing frequency. This gradual approach helps maintain comfort during the transition period.

Q6: What does ‘supporting your skin’s natural protective function’ actually mean?

Your skin’s outermost layer contains lipids that help maintain hydration and shield against environmental factors. Supporting this function means using products that help maintain these lipids and provide hydration, rather than stripping them away through over-exfoliation or harsh ingredients.

Q7: How do I know if I’m overcorrecting my post-summer skin concerns?

Signs of overcorrection include increased sensitivity, persistent tightness, visible flaking, or reactions to products you previously tolerated well. If you’ve added multiple new products within a short period or increased active ingredient strength significantly, you may be overcorrecting.

Q8: Can I address visible pigmentation whilst supporting my skin’s protective function?

Yes, these goals complement each other. Ingredients like niacinamide (vitamin B3) help reduce the appearance of uneven tone whilst supporting your skin’s natural protective function. The key is gradual introduction and avoiding multiple strong actives simultaneously during the autumn transition.

Q9: What’s the difference between hydration and moisture in autumn skincare?

Hydration refers to water content within skin cells, often supported by ingredients like hyaluronic acid (your skin’s moisture magnet). Moisture refers to the lipid layer that helps prevent water loss. Effective autumn skincare addresses both through humectants for hydration and emollients for moisture retention.

Q10: When should I seek professional skincare guidance for my autumn routine?

Professional guidance proves valuable when you feel uncertain about product selection, notice persistent concerns despite routine adjustments, or want personalised recommendations for your specific skin journey. Expert consultation helps refine your approach without trial-and-error purchases.

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About Dr Alek Nikolic

Dr Alek Nikolic was born in South Africa and received his MBBCh (Wits) in 1992 and in 2000 he received his MBA (UCT). He has been in private practice for 20 years and is the owner of Aesthetic Facial Enhancement, which has offices in Cape Town. Dr Nikolic specialises in aesthetic medicine and is at the forefront of the latest developments in his field. He is very driven and has lectured extensively lecturing and done live demonstrations throughout South Africa and abroad. Dr Nikolic’s focus is on skin care and skin ingredients and cosmetic dermatology treatments. He has performed over 20 000 procedures to date and as such is responsible for training numerous medical practitioners both in South Africa and internationally. Dr Nikolic is one of the founding members of the South African Allergan Medical Aesthetic Academy and chaired its inaugural launch in 2012. The Allergan Academy provides essential training to keep up with the latest technology in aesthetics. Dr Nikolic holds the advisory position of Allergan Local Country Mentor in Facial Aesthetics and is the Allergan Advanced Botox and Dermal Filler Trainer. He is chairman of the Western Cape Aesthetic and Anti-Aging Medicine Society of South Africa and of the Western Cape Aesthetic Review group.

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