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Monday 9am - 5pm Tuesday 9am - 5pm Wednesday 9am - 5pm Thursday 9am - 5pm Friday 9am - 5pm Saturday 10am - 2pm

http://www.justinehextall.co.uk/

Dr Justine Hextall MBBS FRCP, 40A Tarrant Street, Arundel (2026)

31/07/2026

Why is education important in medicine? 💊

As a dermatologist, one of the biggest changes I have seen in medicine is the erosion of education. Its importance seems to be devalued. In dermatology however, I think it is absolutely vital. Even as a consultant of many years, I often reflect back on clinical pearls that were shared with me as a junior doctor; that beside teaching is just so powerful. One of the things I am most proud of at Tarrant Street Clinic is the educational aspect. As a group of doctors we discuss cases everyday. We’re also looking at better ways to treat patients, always referring to the evidence base. I feel that we as doctors, and our patients of course, benefit from this focus. I think it is a universal feeling of being valued when we are taught, and I think whenever you have been taught well as a doctor you should pay that forward. What are your thoughts on education in medicine?

07/07/2026

I was delighted to be invited to contribute to the today . Here’s my take home message:
☀️There is no evidence that indoor tanning beds provide any benefit that is not outweighed by their risks . Indoor tanning is especially dangerous in those under 35 yrs. Ever use under 35 yrs is associated with an increased relative risk of Melanoma of 59%
☀️Sunburn in childhood is particularly dangerous . Each significant sunburn under the age of 15 has an increased relative risk of melanoma of 3%
☀️I recommend high factor broad spectrum suncream factor 50 applied every 2-3 hours. I recommend amongst others UVMUNE 400 and . But don’t just rely on suncream especially with children. UV long sleeved tops and long shorts and UV hats ideally waterproof and UV protective sunglasses
☀️NEVER be tempted by the completely unregulated Melanotan injections and nasal sprays . They are not safe, and have been associated with the development of melanoma !
☀️Don’t reduce sun cream in this weather in pursuit of vitamin D. An excellent study from 2019 from Prof Anthony Young’s group. Showed 2 groups on holiday in Tenerife . One group applied regular factor 15 suncream 2 hrly the other had advised to use as they would normally apply it . Both groups had equal levels of Vitamin D but the second group unsurprisingly had more sunburn. Sunburn is a risk factor for the development of one of the most serious skin cancers Melanoma . PLEASE AVOID SUNBURN.
optimal sunscreen use, during a sun holiday with a very high ultraviolet index, allows vitamin D synthesis without sunburn
A.R. Young, J. Narbutt, G.I. Harrison, K.P. Lawrence, M. Bell, C. O’Connor, P. Olsen, K. Grys, K.A. Baczynska, M. Rogowski-Tylman, H.C. Wulf, A. Lesiak, P.A.

07/07/2026

I was delighted to be invited to contribute to the today . Here’s my take home message:
☀️There is no evidence that indoor tanning beds provide any benefit that is not outweighed by their risks . Indoor tanning is especially dangerous in those under 35 yrs. Ever use under 35 yrs is associated with an increased relative risk of Melanoma of 59%
☀️Sunburn in childhood is particularly dangerous . Each significant sunburn under the age of 15 has an increased relative risk of melanoma of 3%
☀️I recommend high factor broad spectrum suncream factor 50 applied every 2-3 hours. I recommend amongst others UVMUNE 400 and . But don’t just rely on suncream especially with children. UV long sleeved tops and long shorts and UV hats ideally waterproof and UV protective sunglasses
☀️NEVER be tempted by the completely unregulated Melanotan injections and nasal sprays . They are not safe, and have been associated with the development of melanoma !
☀️Don’t reduce sun cream in this weather in pursuit of vitamin D. An excellent study from 2019 from Prof Anthony Young’s group. Showed 2 groups on holiday in Tenerife . One group applied regular factor 15 suncream 2 hrly the other had advised to use as they would normally apply it . Both groups had equal levels of Vitamin D but the second group unsurprisingly had more sunburn. Sunburn is a risk factor for the development of one of the most serious skin cancers Melanoma . PLEASE AVOID SUNBURN.
optimal sunscreen use, during a sun holiday with a very high ultraviolet index, allows vitamin D synthesis without sunburn
A.R. Young, J. Narbutt, G.I. Harrison, K.P. Lawrence, M. Bell, C. O’Connor, P. Olsen, K. Grys, K.A. Baczynska, M. Rogowski-Tylman, H.C. Wulf, A. Lesiak, P.A. Philipsen

12/06/2026

One of the best parts of medicine is knowing there’s always so much to learn . I spend hours thinking about new ways to tackle old problems, it keeps me interested . I am VERY interested in rosacea and want to know more about its mechanisms …. It’s always great to try and create holistic sustainable solutions, the work goes on …. I feel with this patient we may have changed the future of her skin. After years of inflammation and rosacea …. 4 years later it’s still calm, hydrated in truth beautiful glowing skin. She also crucially doesn’t have a high risk mole on her back. ALWAYS check the skin. How did we achieve this ?
1) full skin examination : a none- negotiable
2) topical prescriptions
3) gut health
4) protection from UV and pollution SPF and antioxidants
5) skin barrier repair
5) IPL laser
The results speak for themselves . We’re so grateful to the the patient for allowing us to share 🙏🙏

01/06/2026

We are always shown ‘ miracle’ before and after photos … but with our ROSACEA RESET ™️ these results are genuine . We use the VISIA photographic system frequently used in trials as it’s same position, same light , same angle . The camera CAN’T lie .
What did we do differently?
⭐️Make the diagnosis; as she had psoriasis it was felt to be… possibly psoriasis… it’s rosacea
⭐️Realise the huge part UV was playing here. Skin was ‘ burning and painful’ in the sun . We aimed to maximise protection
⭐️Gut work ; There was a significant history of gut symptoms. We helped this and the patient described ‘ 100% improvement’ in gut symptoms …
⭐️The right skin care regime that helped repair barrier function . NO antibiotics NO oral retinoids NO laser needed ….. just great skin. As you can imagine the patient couldn’t believe the difference. I am so grateful that she has kindly shared her images to try and help and reassure others . A sincere THANK YOU 🙏🙏

15/05/2026

I am concerned about the messaging that we shouldn’t be wearing sun cream ⛔️…. The overwhelming evidence is that by protecting our skin from UV with adequate sun protection we can reduce the incidence of skin cancer. Misinformation is dangerous ⚠️.
Sunshine is good for us, we know the benefits but like any medicine it’s how we take it . Be sensible , remember sunburn is associated with the most serious skin cancer melanoma , especially childhood sunburn .
☀️Apply high factor broad spectrum sun cream regularly if outside in sunshine especially if sweating , swimming etc .
☀️Seek shade in the middle of the day and use protective clothing : hats, UV - protective sunglasses and protective clothing .
☀️Remember 80% of visible ageing is related to external aggressors .. mostly UV. So be careful where you get your information from and protect your precious skin.

01/05/2026

☀️skin cancer is the #1 most common cancer in the UK ( Royal Marsden)
☀️The disease is up to 90% preventable by regularly practicing sun safety, making it one of the most avoidable cancers ( melanoma focus survey 2024)
☀️67% of people find the cost of sunscreen high and would use it more if it was 20% cheaper ( melanoma focus survey 2024)
☀️Around 3800 people die from skin cancer each year in the UK- that’s more than Australia ( cancer research UK - combined. Melanoma and non- melanoma skin cancer deaths)
Today marks the start of skin cancer awareness month . Skin cancer is the UK’s most common cancer …. Yet it also one of the most preventable. Regular sunscreen use saves lives, yet it is taxed at 20% as a ‘luxury or cosmetic’.
Sunscreen isn’t cosmetic - it’s critical . That’s why I support Axe The SPF Tax . Sign the petition today at change.org/axethespftax.

Dr Justine Hextall MBBS FRCP

31/07/2026

07/07/2026

07/07/2026

12/06/2026

01/06/2026

15/05/2026

01/05/2026

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Monday	9am - 5pm
Tuesday	9am - 5pm
Wednesday	9am - 5pm
Thursday	9am - 5pm
Friday	9am - 5pm
Saturday	10am - 2pm