Treatments provided by Conal Perrett

Initial consultation: £285

Follow-up consultation: £225

Dr Conal Perrett provides expert diagnosis and treatment for all skin conditions, including eczema, acne, dermatitis, rosacea, rashes, skin infections, scarring and allergies. With a special interest in skin cancer, he offers a full mole checking, mole removal and biopsy service, treating skin cancer with the most advanced therapies, such as Mohs micrographic surgery and photodynamic therapy (PDT).

Always treating patients in a holistic manner, Dr Perrett also offers a range of high quality cosmetic and aesthetic procedures, including Botox, fillers, chemical skin peels, microdermabrasion, laser skin rejuvenation, platelet-rich plasma (PRP) injections, tattoo removal and cosmeceuticals.

Treatments, operations and tests

Botox is a cosmetic anti-ageing procedure which involves injecting weakened strains of toxins into the tissue to impair the function of facial nerves. Botox injections are usually performed on the areas of the face that are prone to the effects of ageing, such as the outer portions of the eye, the chin, the mouth and the forehead. There is a loss of sensation and movement in the treated areas, which slows the formation of wrinkles, crow’s feet and deep furrows as a result of ageing.
Skin problems are a common affliction, online consultation can provide quick and easy diagnosis of a variety of conditions from moles to eczema.
Dermabrasion is a true surgical procedure typically performed only in a professional medical setting by a dermatologist or plastic surgeon trained specifically in this invasive procedure. Dermabrasion is a type of surgical skin planing that has been practiced for many years (before the advent of lasers) and involves the controlled deeper abrasion (wearing away) of the upper to mid layers of the skin with any variety of strong abrasive devices including a wire brush, diamond wheel or fraise, sterilized sandpaper, salt crystals, or other mechanical means . Dermabrasion should not be confused with microdermabrasion which is a newer and non-surgical cosmetic procedure performed by non-physician personnel, nurses, estheticians, medical assistants, and most recently untrained individuals in their homes.
Drugs, such as Atropine and Robinul , presented risky and uncomfortable side effects, such as dry mouth, urinary problems and even increased risk of heat stroke. Today, treatment options have improved and some people find a combination of treatments control their symptoms to an acceptable level. Aluminium Chloride antiperspirants can help many people. Lontophoresis for hands, feet and underarms has been used for many decades by the NHS. Botox injections have also helped many sufferers. In addition, there are surgical options, but these should only be resorted to as a last resort. Retrodemal Curettage or Laser Sweat Ablation is a minimally invasive procedure, while Endoscopic Thoracic Sympathectomy (ETS) is major surgery with a very high possibility of irreversible damage occurring.
MOHS micrographic surgery is usually used if it is anticipated that the cancer may return or spread, or if it is in an awkward place where little skin can be removed. In this type of surgery, very little tissue is removed at any one time and each one is examined under a microscope for cancer. This procedure may have to be repeated several times, but the advantage is that as little healthy tissue is removed as possible. For this reason this procedure will give better cosmetic results.
Moles, or nevi, are frequently removed for a variety of reasons. They can be removed by two surgical methods: Excision (cutting), with or without stitches Excision with cauterization (a tool is used to burn away the mole) Although laser excision has been tried for moles, it is not usually the method of choice for most deep moles because the laser light doesn't penetrate deeply enough. Typically, the doctor or dermatologist (a skin specialist) may choose excision with or without stitches, depending on the depth of the mole and the type of cosmetic outcome desired.
Mole screening has become a very important part of health screening. While the majority of moles are completely benign (harmless), the screening process aims to screen out the benign lesions and provide early diagnosis of suspect or potentially cancerous moles or melanomas. Early detection of malignant melanomas is vital for recover. A number of methods to screen moles are in use, such as dermoscopy or a SIAscopy.
Photodynamic therapy is used to treat some cancers and also precancerous conditions such as some basal cell carcinomas squamous cell carcinomas (but not melanoma) actinic keratoses, Bowen's disease, psoriasis, cutaneous T-cell lymphoma, acne and photorejuvenation of wrinkles. Very light sensitive cream is applied to the affected site which is then stimulated with a precise wavelength of light to create a chemical reaction that kills cancerous and pre-cancerous cells.
A common reason why skin lesions are often excised surgically is to fully remove a skin cancer. If certain cancers are not cut out they may spread to the surrounding skin and metastasise, or spread, to other parts of the body. However, other treatments such as freezing the affected skin (Cryotherapy), be it malignant or just an unsightly wart, can be treated medically with liquid nitrogen, which freezes and destroys the affected skin cells. This method is less time-consuming and it's cosmetic results are usually very good.