Treatments provided by Rakesh Patalay

New consultation - £250
Follow-up consultation - £190

Rakesh Patalay works at the Cancer Centre in Guy's Hospital and at sk:n clinics in Fulham and Chiswick which are for cosmetic appointments only.

Dr Patalay is registered with all major insurance companies.

Treatments, operations and tests

The Pixel Laser is a revolutionary minimally-invasive Laser Acne treatment. It uses the very latest fractional technology to get rid of scars and reduces the appearance of dark pigmentation. It is suitable for all skin types, including dark skin. The Pixel Laser can also reduce pore size and smooth out rough skin. Alternatively, Dermaroller Treatment is is medical roller with hundreds of micro-skin needles around it. As this roller is passed over the skin it causes hundreds of micro punctures in the skin surface. These in turn stimulate the skin and encourage the skin to regenerate itself naturally.
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.
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.
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.
Restylane® is an injectable wrinkle filler which enhances your natural looks by restoring your skin's volume, creating softness and revitalizing your appearance. Restylane® is safe and natural, because it is made of non-animal stabilized hyaluronic acid, the same substance used in Juvederm. Hyaluronic acid exists in the human body and provides volume and fullness to the skin.
The facelift is an extremely popular tried and tested procedure which 'winds the clock back' by reversing the effects of gravity - refreshing the face, improving the contour of the neck, removing the heavy, tired look and revitalising the face. In both men and women the incision used in face lift surgery is the same; starting high in the temple area (hidden by the hair at this point) the incision travels down in front of the ear, round the earlobe and up behind the ear before curving gently back into the hair at the neck; occasionally it is necessary to add an incision under the chin. Using these incisions the skin and deep tissues are remodelled and re-draped and the incisions are then closed. The surgeon usually then applies a head bandage in order to pressurise (gently) the incisions during the post operative night.
Laser skin treatment uses lasers to treat skin conditions and remove or reverse the effects of photo aging such as, wrinkles, spots and unwanted textures. The process creates controlled wounds on the skin, prompting the growth of new cells and reversing some signs of aging.
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.
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.
Sclerotherapy and Microsclerotherapy have been used for a number of years. Diseased veins are located with ultrasound scanning and injected with a chemical which is mixed into a foam to displace the blood in the vein. This will eventually cause the wall of the vein to collapse and seal up. This process is less successful if the underlying reflux is not dealt with first (usually by laser) as the varicose vein will simply come back. However, by mixing the STD sclerosant with air, or CO2 into a foam leads to a more effective closure of the vein.
Veinwave is a technique that has been developed to complement sclerotherapy in order to treat smaller veins, which, usually, sclerotherapy cannot improve. It is therefore ideal for the treatment of rosacea, thread and spider veins. Veinwave uses high frequency microwaves where an ultra-fine insulated needle heats the vessels in the skin, which then creates a thermal lesion that destroys the vein. It is a relatively painless procedure. For facial veins, such as under-eye veins, laser treatments such as Cutera CoolGlide are usually preferred.