A discussion pre-treatment 

A video call to discuss the treatment options and costs of different treatments

A clinical discussion about your medical background, wants, wishes and mole checks

Note that any investigations such as blood tests and x-rays would usually only be carried out once an operation was scheduled 

Freeze treatment of small blemishes, keratosis and warts

May require multiple sessions to remove

2 lesions £179, 3 lesions £249, 4 lesions £299

Treatment of small blemishes, lumps and bumps with a small surgical scraping - made painless by the use of local anaesthetic. The wound then scabs over, healing like a bit like a graze

Treatment of small blemishes, lumps and bumps with a small surgical procedure - offering faster healing and a finer scar than curettage and cautery. Made painless by the use of local anaesthetic 

Local anaesthetic removal of skin lesions (most often basal cell carcinoma) and histopathological (microscopic analysis) of the removed tissue. 

If the lesion requires further treatment (SCC, melanoma, AFX, PDS, MAC) this will be discussed and organised at the specialist local skin cancer multidisciplinary team meeting. 

An eyelid lift can really open the eyes! 

I typically prefer to gracefully rewind the clock rather than over-do it 

Somewhat minor operations on upper parts of the face can reduce the ageing appearance and rejuvenate a youthful look within just a few hours.

Trichophytic, direct, minimal incision, infrabrow and temporal brow lifts are available. 

Reshape and redefine the ears with a delicate local anaesthetic procedure

For tears of the lobe through to dilatation repairs

Medical grade microneedling from £250

Combined with polynucleotides £375

Treatment of acne scarring is difficult, and ranges from chemical skin peels, micro-needling, and laser treatment through to surgical excision of the scars and punch biopsy removal of deeper areas. 

I always caution patients on the risks of worsening the scarring, as acne skin can be unpredictable. 

I often recommend lighter treatments such as laser and micro-needling first and will somewhat over emphasize the risks of scarring

Chin implants and contouring available under local anaesthetic.

Unfortunately over the years I’ve experienced patients who have had fillers performed elsewhere who have issues with over filling, infection and vascular occlusion. 

I'm still surprised to read of and see videos of pharmacists and self professed Aesthetic Doctors injecting faces when they haven't spent years training - yet alone studying detailed anatomy and surgical concepts! 

I'm sure my local butcher could bake a fine loaf of bread, but I'd rather go to my baker.

Local anaesthetic removal of submental chin fat that can be combined with microfat transfer. Whereby fillers last months, fat transfer lasts years.

Usually submental liposuction will require a thread lift afterwards.

A wonderful age reversing and rejuvenating procedure! Local anaesthetic procedure to shorten the length via a standard ‘Bull horn’ excision that leaves typically a fine scar running just below the nose where it meets the upper lip. Placing the scars along such anatomical interfaces generally camouflage well.

Treatment of larger pearly lesions, blemishes, thicker keratosis and warts with a faster clearance and higher chance of success than cryo

More likely to treat in one session

Multiple lesions from £375

Total treatment packages from £895

Single session with 2 mls of Profhilo over 10 points

Double treatment session £600

Single session - lower eyelid

Double treatment session (second after 2 - 4 weeks) £450

Single zone including follow up appointment and top up if required at 3 - 6 weeks. The aim is typically a natural rather than frozen look.

Two zones including follow up appointment £349

Three zones including follow up appointment £409

Don't like injections? Most people don't, but if you still want firmer, tighter, lifted skin with an enviable glow try this skin rejuvenator and biostimulator. It is not a peel and not an injectable but a gel that provides immediate skin quality improvement and deep hydration. 

Single treatment lasting around 30 minutes

Can be repeated every week for up to 5 treatments (£899)

Anti-wrinkle injections (3 sites)

Profhilo (double session)

PRX - T33 (4 sessions)

Injection to the masseter muscle for a bulky or boxy jaw line reduction (£350) and to the temporalis muscle as well in select cases (£500) for TMJ disfunction symptoms and myofascial pain.  The aim is pain reduction and not elimination.

Multi area smaller dose injections to the forehead to help reduce some of the feelings, pain and quality of life issues with the dull forehead ache associated with tension. The aim is pain reduction and not elimination.

Problems with the cosmetic issues associated with excessive sweating, this treatment can help temporarily relieve the issue. The aim is sweat reduction and not elimination. Can be to the scalp (front or back) or the arm pits (axillae).

Smooth out ageing areas around the nose and mouth or enhance the lip line, the chin and jawline or nasal profile. Secondary black circles around the eyes can also be reduced. I do not advocate a ‘trout pout’ and other unnatural looks whereby the natural lip line is lost into an amorphous blob! I typically favour a more subtle enhancement to rejuvenate and enhance. Results are temporary, lasting 6 - 24 months

Lips & Cheeks £250+ | Tear trough £950+ | Chin £580 | Temporal £350 | Jawline sculpt £700

Heart health - including cholesterol, triglyceride, HDL, LDL

Haematinic health - including B12, folate, Vit D

Man health - testosterone check

Perimenopause - hormonal check

- Evaluation of GlycanAge levels find out your Biological age and, more importantly, how to modify

- Discussions around supplements including Nuchido the only NAD+ supplement that actually works and has clinical trial data

- Medications for health and longevity

- Peak human performance, if this is something you would like

Specific paperwork is sometimes required to enter marathon / HM / ultra and triathlon (IM / 70.3) distance races. Access to Training Peaks and historic HRM advisable. 

Tests range from Spirometry, Cardiac (treadmill / stress cardiac change) and Urinalysis. Sometimes further specialist input will be required. My involvement in endurance sports has led me to personally jump through several of these hoops over the years!

Second opinions and written statements are available.