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Facial mesoaesthetics

Skin exposed to sun, pollution and stressProtecting the skin day to day and, when it makes sense, giving it complete care

The skin of the face is on show every day: it catches the sun on the way to work, breathes city air, and shows the nights of poor sleep and the weeks of pressure. Almost none of this comes with a single complaint, which is why it is hard to know where to start. Here we explain what the sun, pollution and stress do (and do not do) to the skin, what place antioxidants have alongside sunscreen, what a complete facial treatment at the clinic in Algés includes, and when it is best to see a doctor first.

Reviewed by Dr Michelle Campagnoli, clinical director

  • 3rituals for this topic
  • 1assessment, always first
  • Noobligation
Woman holding a helmet next to a bicycle in a Lisbon square with a tram

How to recognise it

Is your skin paying the price of everyday life?

There is no single sign. It is almost always a set of small warnings that add up over the years and through the more demanding phases of life. Tick what you recognise, just to get an idea before the consultation.

Tick what you recognise0/7

Tick the signs you recognise in your case. This is not a diagnosis, it is only meant to give you an idea.

A wound that does not heal, a spot or mole that changes colour, size or texture, or an area that bleeds, crusts or itches for more than four weeks should be seen by a doctor first, before any aesthetic care.

Professional in gloves with a magnifying lamp examining the face of a client in a bathrobe and headband
Photograph of a skin assessment. The dots mark areas that the sun and city air reach every day; the image does not show problems.

What the skin faces

Sun, pollution and stress: what weighs in each one

Each factor acts differently, and science knows some better than others. Choose one to see what is known, what makes it worse and what helps.

Solar radiation

Ultraviolet radiation is the main external cause of skin ageing and the one with the best evidence. Over the years, the sun accumulates: each day without protection adds to the previous ones, even without sunburn. A trial with 903 adults showed that those who used sunscreen every day had less progression of photoageing after 4.5 years than those who used it only when they wanted to.

What makes it worse

Sunburn, tanning sought on purpose, exposure in the hours of greatest intensity and the idea that protection is not needed on cloudy days.

What helps

Sunscreen of SPF 30 or higher, applied in sufficient quantity and reapplied, combined with shade, a hat and sunglasses.

Day and night

What the skin asks for by day and by night

Protection is done in the morning and throughout the day, and recovery at night. See the role of each moment and what is left out of any routine.

  • The essentials. Sunscreen of SPF 30 or higher, every day, also with UVA protection, applied generously to the face, neck and ears and reapplied if you are outdoors for a long time.

  • Antioxidant underneath. There are serums with vitamin C, vitamin E or ferulic acid that are applied before sunscreen. They complement sun protection, they do not replace it, and irritation can occur, especially in sensitive skin.

  • Shade and timing. Avoid direct sun in the hours of greatest intensity, wear a wide-brimmed hat and sunglasses, and remember that car glass and clouds do not block everything.

  • Cleansing without harming. People living in areas of heavy traffic may feel that the skin needs a cleanse when they get home. A gentle product is enough, and there is no need to scrub.

  • What it does not do. No cream or serum "undoes" the effects of the sun, or makes the skin immune to pollution. What you do by day is reduce what the skin receives.

Not sure whether your routine is enough? Book an assessment and the doctor helps you understand what your skin needs right now, without selling you more steps than necessary.

Book an assessment

What the clinic can do

Rituals to protect and care for the whole face

It is important to be clear: mesoaesthetics rituals are treatment-room protocols, with professional mesoestetic® actives and manual technique, and they never replace daily sunscreen or treat skin lesions. Each ritual starts with an assessment, and results vary from person to person. The antioxidant ritual responds to the everyday life of exposed skin, the most complete is designed as a pause for care from start to finish, and the third is aimed at skin that reacts easily.

Book an assessment
Amber bottle of antioxidant serum with a golden dropper and a drop falling, on light marble

Antioxidant

Ritual Antiox Ferulic

For skin exposed every day to pollution, sun and stress, an antioxidant ritual that creates a protective barrier, with a brightening and anti-ageing effect. The serum label lists vitamin C, ferulic acid and vitamin E.

Suitable when

the skin is exposed every day to the sun, pollution and stress, and the assessment shows that an antioxidant ritual makes sense, always with daily sunscreen.

Find out more
Bright treatment room with a couch covered by a wine-coloured towel, a magnifying lamp and a trolley with products

Complete care

Ritual Prestige Facial

The most complete facial experience in the range, bringing together cleansing, treatment and care in a prolonged, sensory protocol from start to finish.

Suitable when

there is no single complaint and you want to set aside a moment to care for the face as a whole, with time and without rushing.

Find out more
Woman lying down with eyes closed, with a headband and damp white compresses on her cheeks, next to a bottle and daisies

Reactive skin

Ritual Calma

For skin that reacts to everything, with redness and sensitivity, a ritual that soothes, strengthens the skin barrier and restores comfort to the face.

Suitable when

the skin is more sensitive after a period of stress, sun or tiredness, and the assessment shows it needs to be calmed before any other ritual.

Find out more

Which one to choose? If your skin is exposed but tolerates products well, Ritual Antiox Ferulic is the one that addresses the topic of this page. If you want complete care without a single complaint, consider Ritual Prestige Facial. If your skin has been reactive, start by calming it with Ritual Calma. The assessment helps you decide, and nothing is booked before it.

What the journey looks like

From the first conversation to the ritual

No ritual starts without a skin assessment. This is how it works, unhurried and with no obligation.

  1. 01At the clinic

    Your history of sun and routine

    The team asks about your daily life, how much time you spend in the sun, what sunscreen you use, what products you apply, whether you have allergies, whether you take medication, whether you are pregnant or breastfeeding and how your skin reacts in stressful periods.

  2. 02At the clinic

    Examining the skin

    The doctor examines the face, neck and décolleté, paying attention to tone, texture, sensitivity and the skin barrier. If there is a suspicious lesion, the way forward is to assess it first as a medical act, before any ritual.

  3. 03At the clinic

    Choosing the ritual

    It explains what each ritual does and does not do, which one makes sense for your skin and whether it is better to start by calming or by treating. If there is no need, it will tell you that too.

  4. 04In the treatment room

    The ritual

    It usually includes gentle cleansing, concentrated actives, a mask and facial massage, and ends with care that protects the skin. The steps vary from ritual to ritual, and the team explains them before starting.

  5. 05At home

    Protection and continuity

    It agrees with you on daily sun protection and a simple routine you can keep up, and tells you what care to take in the following days. It is what you do at home, every day, that sustains what was done in the treatment room.

Day to day

What helps at home

For exposed skin, what you do every day weighs more than any ritual. These are the kinds of care that count most, alongside the team's plan.

The golden rule

Sunscreen first, antioxidant as a complement

Daily sun protection is the foundation, and it is the measure with the best scientific support. Antioxidants applied to the skin are a possible complement, and never a substitute. A vitamin C serum is not worth a day without sunscreen, and the reverse is not true either: the two can add up, when the skin tolerates them.

Apply sunscreen every day, and in sufficient quantity

Those who apply little are protected less than the factor on the bottle suggests, because protection decreases when the layer is thin.

In practice: choose a sunscreen of SPF 30 or higher with UVA protection, apply it generously to the face, neck and ears, and reapply it if you are outdoors for a long time.

Count on shade and a hat

Sunscreen is a partial barrier, and it helps a lot to have extra help.

In practice: use shade in the hours of greatest intensity, a wide-brimmed hat and sunglasses, even on cloudy days, and remember that the sun passes through the car window.

Cleansing the face at the end of the day

Sunscreen, make-up and particles from the air should not sleep on the skin.

In practice: wash with lukewarm water and a gentle product, without scrubbing, and dry the skin by lightly patting with a towel.

Introduce one product at a time

If the skin reacts, it is impossible to know to what when everything was changed at once.

In practice: test a new product on a small area for a few days before using it on the face, and add only one at a time, with an interval of weeks.

Prioritise sleep and breaks

The skin recovers better when the body rests.

In practice: keep regular sleeping hours and set aside short breaks through the day, which helps the skin more than an extra step in the routine.

Dr Michelle Campagnoli, clinical director of Clínica Luxmed

Who will look after you

An assessment carried out by the doctor

At Luxmed, the first step is always a skin assessment, under the clinical supervision of Dr Michelle Campagnoli. It is in this assessment that we understand what your skin needs, whether there is anything to see a doctor about first, and which ritual, if any, makes sense.

  • Physical examination and medical historyExamination of the face, neck and décolleté, of the products and sunscreen you use, of sun exposure and of the medication you take.
  • A plan tailored to youA clearly explained proposal, with a ritual, home care and sun protection, without promising more than the skin can give.
  • No obligationThe cost of any treatment is confirmed only after the assessment.
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What are antioxidants for in facial skin?

These are substances that help neutralise the free radicals that solar radiation and other aggressors generate in the skin. Vitamin C, vitamin E and ferulic acid are the best known in cosmetics. They can complement sun protection, especially in combination, but research in humans is more limited than manufacturers' promises suggest. They do not replace sunscreen, and the doctor assesses what makes sense for your skin.

Vitamin C on the face: what are the benefits and the limits?

Healthy skin contains a lot of vitamin C, which contributes to collagen production and to defence against UV radiation. Applied to the skin, it can act as an antioxidant, but reviews note that the efficacy of topical application, compared with diet, is still not well established, and that it is an unstable active. It can irritate some people, especially with sensitive skin. If you have allergies or your skin reacts easily, say so before starting.

What is ferulic acid for?

It is a plant-derived antioxidant. In an experimental study, adding it to a solution of vitamin C and vitamin E made it more stable and doubled the skin's protection against simulated ultraviolet radiation. It is a laboratory result, with a specific formula, and it does not automatically apply to any product. It serves as a complement to sunscreen, never as a substitute, and the effect on your skin depends on the product and on each person.

Does pollution really age the skin?

There are studies linking air pollution to signs of ageing, especially in areas of heavy traffic, and an expert review describes harmful effects. But a recent systematic review considers the certainty of the evidence low, because of other factors that get mixed in, such as sun and tobacco. So the honest answer is that it probably contributes, that how much is still unknown, and that sun protection and gentle cleansing are the most sensible measures.

How do I know if stress is affecting my skin?

There is no simple test, but there are clues: skin that is more sensitive or flushes easily, products that start to sting, slower recovery after an irritation, and a drawn look in times of more pressure or little sleep. These changes are non-specific and can have other causes, such as a skin condition. If they recur, or if there are rashes, itching or flaking, it is worth asking for an assessment rather than guessing.

Tired, stressed skin: what to do?

The first step is to simplify: gentle cleansing, simple hydration, sunscreen in the morning and sleeping as well as possible. Studies show that stress and lack of sleep delay recovery of the skin barrier, so piling on harsh products tends to make things worse. A treatment-room ritual can be a moment of pause and care, but it does not resolve the cause of the stress. If the skin keeps reacting, the assessment helps to understand what else may be behind it.

Do antioxidants work with sunscreen, or do they replace it?

They do not replace it. The most solid evidence for reducing sun-related ageing is sunscreen used every day, and a trial with 903 adults showed less progression of photoageing in those who used it daily. Antioxidants can be a complement, applied under the sunscreen, but the best-known studies are experimental. If the serum is the only protection you use, your skin is less protected than you think.

What steps should a complete facial care routine have?

A reasonable routine has few steps: a gentle cleanse, a moisturiser suited to the skin type and, in the morning, sunscreen of SPF 30 or higher. Antioxidants and night-time actives are optional and are introduced gradually, one at a time. What makes a routine good is keeping it up for months, not the number of products. If you have sensitive skin, blemishes or other complaints, the assessment adjusts the steps, and none of this replaces what the doctor advises.

A complete facial treatment at the clinic: what does it include?

In Ritual Prestige Facial, the clinic describes a prolonged, sensory protocol that brings together cleansing, treatment and care, from start to finish. In general, rituals usually include gentle cleansing, concentrated actives, a mask and facial massage, and end with care that protects the skin, but the steps vary from ritual to ritual. The team explains what will be done before starting and adapts the ritual to the assessment of your skin.

Relaxing facial or treatment facial: what is the difference?

In a purely relaxing facial, the aim is comfort and a pause. In a treatment facial, there is a specific need of the skin, such as sun exposure, reactivity or lack of radiance, and the ritual is chosen according to it. The clinic's rituals combine the two: they use professional actives and manual technique, and also offer a moment of pause. Neither replaces a medical consultation or treats skin diseases.

When should I see a doctor first?

Before any ritual, if you have a wound that does not heal, a spot or mole that changes colour, size or texture, an area that bleeds, crusts or itches for more than four weeks, or persistent, painful redness. These are signs that call for a medical assessment, not aesthetic care. If you have a history of frequent sunburn, a suspicious mole in the family or fair skin with many years of sun, say so at the assessment so that you can be examined more closely.

How long does it take and how many sessions are needed?

The duration and number of sessions depend on the ritual and on what the assessment shows, and the team sets them with you, without fixing them beforehand. Some rituals are done once as a moment of care, others can be repeated after an interval, and daily protection at home is what matters most for the result. Effects vary from person to person, and we do not promise a number of sessions or a result before examining your skin.

Who should be more careful with antioxidants and with these rituals?

People with known allergies to ingredients, very sensitive or reactive skin, active dermatitis or irritation, active infection or herpes on the face, or who take medication that makes the skin more sensitive to the sun. In pregnancy and breastfeeding, the ingredients should be assessed. Vitamin C and other actives can irritate, and in these cases the doctor chooses what is safe or proposes waiting. Always say what you use and what you take.

How do I book a complete facial treatment in Algés, and what should I bring?

You can book by WhatsApp, phone or through the form on the website, and it always starts with a skin assessment at the clinic in Algés (Oeiras), easy to reach from Lisbon. Bring the list of products you use, the sunscreen you like, any allergies you know of and the treatments you have had recently. You can also bring photographs of how your skin reacts during stressful periods. The team explains the cost after the assessment, with no obligation.

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Scientific references

This page is based on the sources below and was reviewed by Dr. Michelle Campagnoli. Last updated on .

  1. Krutmann J, Liu W, Li L, Pan X, Crawford M, Sore G, Seite S. Pollution and skin: from epidemiological and mechanistic studies to clinical implications. J Dermatol Sci, 2014.
  2. Vierkötter A, Schikowski T, Ranft U, Sugiri D, Matsui M, Krämer U, Krutmann J. Airborne particle exposure and extrinsic skin aging. J Invest Dermatol, 2010.
  3. Singh N, Schikowski T, Krutmann J. Air Pollution and Skin Diseases: A Systematic Review of Epidemiological Evidence. Am J Clin Dermatol, 2026.
  4. Pullar JM, Carr AC, Vissers MCM. The Roles of Vitamin C in Skin Health. Nutrients, 2017.
  5. Lin FH, Lin JY, Gupta RD, Tournas JA, Burch JA, Selim MA, Monteiro-Riviere NA, Grichnik JM, Zielinski J, Pinnell SR. Ferulic acid stabilizes a solution of vitamins C and E and doubles its photoprotection of skin. J Invest Dermatol, 2005.
  6. Hughes MC, Williams GM, Baker P, Green AC. Sunscreen and prevention of skin aging: a randomized trial. Ann Intern Med, 2013.
  7. Garg A, Chren MM, Sands LP, Matsui MS, Marenus KD, Feingold KR, Elias PM. Psychological stress perturbs epidermal permeability barrier homeostasis: implications for the pathogenesis of stress-associated skin disorders. Arch Dermatol, 2001.
  8. Oyetakin-White P, Suggs A, Koo B, Matsui MS, Yarosh D, Cooper KD, Baron ED. Does poor sleep quality affect skin ageing?. Clin Exp Dermatol, 2015.
  9. NHS (National Health Service, Reino Unido). Sunscreen and sun safety. (nhs.uk, acedido 2026-11-11)
  10. NHS (National Health Service, Reino Unido). Symptoms of non-melanoma skin cancer. (nhs.uk, acedido 2026-11-11)
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