
Hello beautiful people, everyone keeps asking me the same question: what is the best anti-ageing treatment? Today’s tip of the day is one you probably never considered, and it does not happen in my clinic. It happens on your phone, your group chats and your Friday evenings.
Dr Rami Haidar | 17th April 2026 | Excellence Medical Boutique, Dubai
Stress is not only a mood. It is a measurable physiological state, and one of the things it does is raise cortisol. Cortisol is the hormone your body produces when it reads a situation as a threat, and it is useful in short bursts. The problem is that the modern version of stress is rarely a short burst. It is low grade, constant and social.
Cortisol interferes with collagen. The relationship between elevated cortisol and the breakdown of collagen in skin is well described in the dermatology literature, and the consequence is visible rather than abstract. Collagen is the protein that keeps skin firm, thick and reflective. Therefore, when it degrades faster than the body replaces it, skin thins, fine lines settle in sooner, and the surface loses the quality that reads as glow.
So yes, the toxic friend is affecting your skin. It sounds like a joke and it is not entirely one. If a relationship keeps your stress response switched on, it is contributing to the same biochemical process that every collagen treatment is trying to counteract. Cutting that source out costs nothing and no injectable replaces it.
This is also why the honest answer to the original question is unsatisfying. There is no single best anti-ageing treatment, because the treatments only handle one half of the equation. A patient sleeping badly, running on adrenaline and carrying a relationship that drains them is working against their own result between appointments. In addition, stress rarely arrives alone. It tends to bring poor sleep, skipped meals and less water with it, and each of those pushes in the same direction.
However, none of this means treatment is pointless. It means treatment works better when the environment around it is not undoing the result. Collagen stimulators prompt the skin to build new collagen, and polynucleotides support repair at the level of the cell. Both rely on your own biology to deliver the outcome. As a result, a patient under sustained stress and a patient who is not will often respond differently to the same collagen stimulator protocol. Less stress gives better skin and longer lasting results, which is why the conversation at consultation covers sleep, stress and lifestyle rather than the treatment plan alone.
Stress raises cortisol, and elevated cortisol is associated with faster breakdown of collagen in the skin. Collagen is what keeps skin firm and thick, so losing it sooner than expected shows as thinner skin, earlier fine lines and a duller surface. The effect is gradual rather than sudden.
Cortisol shifts the balance between collagen being built and collagen being broken down, tipping it towards breakdown. Because collagen provides the structural support in skin, sustained high cortisol contributes to loss of firmness and elasticity over time rather than producing a change you would notice overnight.
Reducing sustained stress removes one of the factors working against your collagen. It is not a treatment and it will not reverse existing change on its own. What it does is stop actively adding to the problem, which is why it makes the results of any treatment easier to maintain.
No treatment inserts collagen directly in a way that lasts. Collagen stimulators and polynucleotides work by prompting your own skin to produce more of it, which means your general health, sleep and stress levels all influence how well they perform. This is discussed at consultation.
Collagen affects how light reflects off the skin surface as well as how firm it feels. When collagen thins, the surface loses that reflective quality and the skin reads as flat or tired. Without collagen there is no glow, which is the short version of this tip.
Both, in parallel. Waiting until life is calm before starting treatment usually means never starting. Equally, treating the skin while the underlying driver continues unchecked makes results harder to hold. An honest consultation covers both rather than selling you only the part that happens in a clinic.
There is no single answer, because the right plan depends on what your skin has actually lost and how far along that change is. Assessment comes first, then a plan that may combine regenerative injectables with realistic advice about the habits working against them.
Located in the heart of Jumeirah, Dubai, Excellence Medical Boutique is more than a clinic, it’s a destination. A sanctuary where innovation, expertise and care come together to enhance your natural beauty and confidence. Excellence Medical Boutique is conveniently located on 197 Jumeira St, Jumeirah, Jumeirah 1, Dubai. This makes it easy for patients travelling from across Dubai to visit for consultation and treatment.