I am a General Medical Practitioner and have been a GP since the early 80s after I qualified from Cambridge University and St George’s Hospital Medical School. I always wanted to be a GP because of its family orientation, and I am lucky enough to have 6 children myself.
After a 23 year career as a GP at Lilliput Surgery on the shores of Poole Harbour, near Sandbanks, I went to the Outer Hebrides, or Western Isles, and became a single handed remote rural GP for 10 years in the Isle of South Uist where they speak Gaelic on a day-to-day basis in the home, at the shops and in the doctor’s waiting room. Luckily, they speak English as well, as my Gaelic only extended to discussing the weather and asking ‘if it hurts?’ It was all very well asking them in Gaelic but when they answered in the same language I was a bit stuck!
I returned to the South of England from Scotland almost 7 years ago and since then, have worked as a locum GP around Somerset and Dorset – you may come across me at your own GP from time to time – and at the same time decided to spread my wings and trained in the arts and science of Aesthetic Medicine.
Finally, the difference between botox and fillers became obvious!
I resolved to learn as many techniques and treatments as I was able, and you will see on my website the varied types of treatment that I offer. I regularly visit London for updates, and new training courses to be able to offer all the available treatment that I wish to.
I am a firm believer that aesthetic medicine achieves its results with treatments using different prescription only medicines to achieve the look one would like to achieve, and in doing so, imparting a new sense of wellbeing, and feeling of good about oneself so that the result is not just about fitting in with a cosmetic fashion, it is part of a whole body treatment which can improve one’s health particularly from a psychological point of view.
I use different products although mainly, Azzalure (Galderma) as botulinum toxin A to reduce skin wrinkles in the forehead and around the eyes, and also in the corners of the mouth and the more advanced techniques such as the brow and the Nefertiti lifts, and I tend to use Restylane (Galderma) products for dermal fillers, lip enhancement, skin boosters and tear troughs.
I am happy to use Botox (Allergan) , and other dermal fillers such as Teosyal, Belotero and Juvéderm when they are indicated.
For the mini thread medical facelift I use Dermica threads and find these the best for the job, producing good results.When carrying out thread vein injections I find Fibrovein to be my preferred substance to achieve a good and lasting effect.However, these products are not the only ones, and I am adaptive and I am happy to use alternative products if the situation should demand it. Sometimes people have had a reaction to a specific product so it wouldn’t be appropriate to use that one.
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Lip enhancement (Dermal Fillers)
Specific types of fillers are used to enhance lips. This is done with an application of local anaesthetic cream prior to the treatment. The cream is left on for 15- 20 minutes before beginning the treatment. Naturally, this is a sensitive area and because of this, the filler injected also contains local anaesthetic which helps to reduce any sensation.
Vermilion border – this is the margin between the redness of the lips and the normal skin surrounding it. This edge can be accentuated to whatever degree is required. Very often the change is so subtle that your friends and family know something is different, but cannot quite put a finger on what it is!
This is the aim of all our aesthetic treatment – small changes with far reaching effects!
There can be puffiness and swelling for a day or so immediately after the treatment in some cases but the swelling goes down very quickly. Body of the lips – upper or lower. These areas may or may not need plumping depending on how full your lips are to start with and how you would like them to look when the treatment is done.
Nasolabial Lines, Cheek & Mid-Face Volumisation, Lip Redefinition, Lip Plumping, Marionette Lines —
Using a variety of Restylane® fillers
0.5ml – – £225
1.0ml – £325
2.0ml – £550
3 and 4 ml £650 and £750
Anti wrinkle injections
Botulinum Toxin (Azzalure, Botox, Dysport) is used on the muscles of facial expression to soften lines and wrinkles in the upper face resulting in a more youthful appearance. This includes brow lift, frown lines (forehead) and crows’ feet (at the sides of the eyes). A fourth area becoming more commonly treated are the ‘bunny lines’ of the nose. Results take up to 14 days to complete and can last up to 3-4 months. The procedure to treat the whole 3 or 4 areas commonly treated takes no more than half an hour including completion of consent forms.
What Areas are Treated?
Commonly the glabellar or brow lines, the frontal muscles (forehead) and the muscles around the eyes. Many more people are now asking for treatment of their ‘bunny lines’ each side of the bridge of their nose.
How Does it Work?
It temporarily affects the messages sent to the muscles of facial expression, which make you frown, and raise your eyebrows in surprise. These are actions which we do hundreds of times each day quite involuntarily. This leaves wrinkles in our skin, and as we get older, the skin texture and tension changes allowing the creases to remain more permanently even when we are not frowning or making a face of some sort. Smile lines or crows’ feet develop in a similar way.
Azzalure® Botox® (Anti-Wrinkle Injections)
Frown Lines, Brow Lift, Crow’s Feet, bunny lines. Free review/top-up if necessary after two weeks.
1 area – £165.00
2 Area – £240.00
3 Area. – £265.00
4th area – £ 50.00
Men’s supplement £ 50.00 (extra product)
Mini Thread Non Surgical Facelift
This amazing treatment can be used to help lift all areas of the face and many other parts of the body where time and gravity is getting the better of your collagen.
Not only can it be used for a non-surgical facelift, this treatment can also be used to tighten up that little bit of loose skin under the chin, raise eyebrows, improve that annoying slightly saggy skin on the neck and décolletage and many other areas. It is very good for smokers lines, those small but annoying vertical lines on the top lip especially, which can be difficult to deal with using conventional fillers.
It involves applying a lot of local anaesthetic cream, and the placing of tiny threads in the tissues just under the skin where a certain immediate effect happens, and a later effect where the threads stimulate production of new collagen. Mostly the threads do not get physically pulled but in certain cases these can be used as well.
The surface of the skin can be improved as well as a result of the new collagen formation.
The threads are made of the same substance that is used during operations on coronary arteries, and they are dissolvable although they take some 7 months or so to do so. Whilst they are there they are working and once they have gone there is already new collagen and connective tissue.
The treatment takes about an hour, with minimum ‘down time’.
Because needles are used to place the threads, there may be short term bruising but the main benefit of this treatment is that it can last for up to 2 years, which makes it a very cost-effective form of treatment.
Mini thread non-surgical facelift
V lift (3 areas) £950 Other areas: double chin, brow, hands £500
Hyperhidrosis (Excessive Sweating)
This is a condition characterised by excessive sweating. Sometimes the cause is unknown, and when other medical treatment have not helped, the use of botulinum toxin in small multiple injections over the area of the armpit (axilla) reduces the production of sweat to a minimum. The treatment can also be used on other areas of the body including the scalp. The skin is cleansed and multiple tiny amounts of product are placed under the surface of the skin, which results in non-operation of the sweat glands.
As with all botulinum toxin treatments, the effect has a lifespan of 3-4 months but can easily be repeated.
For excessive sweating- scalp, armpits – £450.00
Facial Skin, neck, décolletage, hands and upper arms.
The above are all areas which are subject to loss of skin tone, and drying meaning we often see a crinkly texture in these areas.
Restylane vital light and Restylane vital are used in these areas to rehydrate this type of skin. Very small amounts of skin booster are placed just below the surface of the skin, after application of a suitable amount of anaesthetic cream for 15-20 minutes.
One treatment is not usually enough to achieve the desired effect and usually up to three consecutive treatments are given, about 4 weeks apart.
It is used to improve the skin tone on the backs of the hands, upper arms and décolletage as well as the face. These are much less dense forms of hyaluronic acid and work more by attracting fluid to the area than direct filling of a space. They can be administered in the usual way with a syringe but an alternative to this is the use of an auto-injector which delivers a very precise amount of filler to the correct area, and makes sure that every injection is exactly the same amount, thus reducing the risk of any asymmetry. Facial skin which has lost moisturisation is an ideal area for treatment with skin boosters.
for neck, décolletage, hands and upper arms
Course of 3 treatments 4 weeks apart, Total
for 3 treatments (rec.) – £750.00
Single treatment – £325.00
Dermaroller (Skin Needling)
Dermaroller treatments are used to treat ageing skin and acne scars. It is helpful for pigmented lesions. It is thought to work by stimulating collagen regrowth. Two to three treatments are required for best results. These can be spaced about four weeks apart.
The process starts with a cleansing of the face, and then local anaesthetic cream is applied. Once the skin is numb, various nutrient products are placed on the facial skin. The dermaroller is used a little like a wallpaper roller with minute titanium spikes on it to open the pores up and needle the skin to allow the products to enter the lower layers, thus allowing them to do their work.
The theory behind dermaroller treatment is that multiple minute punctures are made in the skin of the face with a small roller. It stimulates the normal healing action within the skin and causes production of new collagen by your own cells. At the same time the nutrients are automatically delivered to the beneath the skin surface. This in turn leads to stronger skin anchoring in the underlying tissues.
A dermastamp is a small area treatment tool for pigmented lesions and small localised areas needing treatment. Instead of a roller, a stamp is used repeatedly with similar titanium points, giving a similar effect to the roller except in a small area only.
Course of 3 treatments each a month apart, for
neck, décolletage, hands and upper arms 3 Treatments(rec.)
single treatment – £265.00
Improves sallow, dull skin and can improve actinic damage and keratosis; can improve mild wrinkling and augment acne treatment. Best results are obtained from several treatments and an ongoing skin care regime. Or a one-off peel can be good as a freshen up, but no more than this.
Chemical Skin Peels
Facial peel – course of three treatments one month apart, including one free home preparation kit for two weeks pre and post peel. The kit should last for three peels.
Course of three peels – £295
Course of six peels – £595
Extra homecare kits – £225
Sclerotherapy (Treatment of Thread Veins)
Areas of thread venison the legs are treated remarkably successfully with very fine injections into the skin with an agent which blocks the minute veins, and goes on to close them for good. Thread veins are spider-like red/blue marks on the skin, commonly on the legs. They are often related to varicose veins.
If you have these and would like to have them treated, a free consultation will quickly reveal whether they are easily treatable or not. If they are thought to be treatable, then the skin is cleansed, and the tiny veins are injected with a very small needle.
After the treatment, pressure is applied and a compression stocking is put on which needs to stay in place for 3 days. There are a number of do’s and don’ts after this treatment.
Usually 2 or 3 treatments are required, 4-6 weeks apart.
Sclerotherapy (Treatment of Thread Veins in the Legs) – second treatment after 6 weeks if needed
▪ For one area approximately the size of the
palms of your hands – £350.00
This is a service offered by many people, and not many of them are doctors. We offer ear lobe piercing in a clean and sterile manner, at a reasonable cost. Please contact us for an appointment.
Ear lobe piercing – £25
More and more benign but annoying things on your skin are no longer treatable on the NHS, but you are welcome to bring those moles, skin tags, blemishes to Dr. John for removal or cryotherapy (freezing). He has been doing this type of treatment longer than any of the other aesthetic procedures. starting shortly after he qualified as a doctor.
A full service can be offered with post op care to remove stitches etc. and advice if there are any post-operative complications. Each lesion would need to be individually assessed before commencing treatment in order to give you the best advice as to how the lesion should be treated.
Minor Surgery (initial consultation £75-00)
Lumps, bumps, warts, skin tags removed
Payments for treatments may be made by the following means:
Cash Debit/Credit Card Internet Banking
Appointments are subject to a £50 deposit, refundable if the doctor cannot carry out treatment for medical reasons at the time of the appointment