
What makes skin look fresh and radiant is rarely down to one single factor. Daily habits, environmental influences and a consistent skincare routine can all shape its visible appearance over time. We spoke to Munich-based aesthetic doctor Dr Leonie Bethge about a holistic approach to skincare, why consistency matters and how realistic expectations can help us make better choices for our individual routines.
What makes skin look fresh and radiant is rarely down to one single factor. Daily habits, environmental influences and a consistent skincare routine can all shape its visible appearance over time. We spoke to Munich-based aesthetic doctor Dr Leonie Bethge about a holistic approach to skincare, why consistency matters and how realistic expectations can help us make better choices for our individual routines.
The visible appearance of the skin is influenced by many different factors. These include sun exposure, sleep, stress, nutrition, individual predisposition, hormonal changes and the products we use. No single element determines how the skin looks. It is usually the combination of our everyday habits and a routine that suits our individual needs that makes the difference over time.
For me, a holistic approach means not looking at skincare as an isolated step. A carefully chosen topical routine is important, but so are consistent sun protection, sufficient sleep, a balanced diet and finding realistic ways to manage stress. These elements complement each other and can contribute to a fresh, well-cared-for appearance.
The appearance of the skin usually does not change overnight. This is why simple routines that can be followed consistently are often more useful than frequently changing between different products or trends. Patience is essential, as is paying attention to how the skin looks and feels and adapting the routine when needed.
The best routine is one that fits naturally into daily life. It does not need to be complicated. A few well-chosen steps, used consistently, are often easier to maintain than an extensive routine. It is also helpful to introduce changes gradually so that it is easier to understand what works well for the individual.
The skin's visible appearance can change over the course of life. Many people notice differences in dryness, radiance, firmness or texture at different stages. Rather than following a fixed routine forever, it can therefore be useful to reassess individual needs from time to time and adjust skincare habits accordingly.
My first principle is consistent sun protection. I also recommend a simple topical routine that suits the individual, sufficient sleep, a balanced diet and realistic stress management. Just as important is avoiding the pressure to constantly optimise. A good routine should be manageable, consistent and tailored to the person rather than to every new trend.
To me, beauty from within is about seeing appearance as part of a wider everyday routine. How rested and balanced we feel can also be reflected in how we perceive our skin. It is not about perfection, but about caring for ourselves consistently and making choices that feel realistic in the long term.
Editorial note: This interview provides general information about skincare and lifestyle factors that may influence the visible appearance of the skin. It does not constitute medical advice or a recommendation of any specific product or food supplement.
You can find more insights from Dr Leonie Bethge on aesthetic medicine and longevity on Instagram at @drleoniebethge.
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