Ageing Spots

Often known as liver spots, these are an all too visible reminder of the passing of time. Age spots appear in people over 40 although younger people can be affected as well. If you have noticed several flat brown or black spots on your face, hands, arms and shoulders then these are likely to be age spots.

The ageing process is the main reason but they also occur from years of exposure to direct sunlight, often as a result of sunbathing or heavy use of sunbeds. Constant exposure to ultraviolet (UV) rays changes the colour of skin, turning it to a light or dark brown colour. This is fine when you are young, but as you get older your skin is less effective at regeneration as a result of sun exposure which leads to the formation of age spots. Also, your skin is thinner and more fragile as you age which increases this risk. Genetics also play a part. If your parents or a close family member has age spots, then you will have directly inherited this condition.

Age Spots are often an inevitable part of growing older, but if you find these unsightly to live with then there are remedies for dealing with these spots.

At 152 Harley Street, our expert Consultant Dermatologists offer various highly effective treatments for age spots, including:

  • Skin camouflage creams and lotions, which gradually fade away the spots
  • Retinoid creams
  • Chemical peels and microdermabrasion
  • Laser therapy and cryotherapy


Eczema (also known as dermatitis) is a dry skin condition.  It is a highly individual condition which varies from person to person and comes in many different forms. It is not contagious so you cannot catch it from someone else.

In mild cases of eczema, the skin is dry, scaly, red and itchy. In more severe cases there may be weeping, crusting and bleeding. Constant scratching causes the skin to split and bleed and also leaves it open to infection.

You can inherit a tendency to develop atopic conditions such as eczema, asthma and hay fever.

Although eczema can flare up for no obvious reason, you may notice certain triggers that make your atopic eczema worse.

Common triggers may include:

  • Infections caused by bacteria such as Staphylococcus aureus
  • Allergens, such as pollen, house dust mites, mould or pet dander (fur or hair)
  • Irritants, such as detergents, soaps or shampoo
  • Rough clothing fabrics, such as wool
  • Sweat
  • Stress
  • If you’re a woman, changes in hormone levels, for example at different times in your menstrual cycle or if you’re pregnant

At 152 Harley Street, our Consultant Dermatologists offer a variety of treatments, depending on each case and the severity of the condition. These include; emollients, steroid creams, topical immunosuppressants, antibiotics, oral immunosuppressant medicines, oral steroids and antihistamines.


Laser Treatments

Light Amplicifation by Stimulated Emission of Radiation (LASER) produces an intense beam of light of particular wavelength with insignificant dispersion over a short distance. This property is used in dermatology to treat a variety of skin disorders.

The laser stimulates high quality new tissue growth, its cellular effects discourage scar tissue build up and with it can smooth and relax existing scarring, lessening redness for better cosmetic effect.

It is effective to differing degrees across a number of skin conditions such as acne, psoriasis and eczema, both in terms of reducing bouts and improving previous scarring. There appears to be both anti-bacterial and anti-viral effects, since both acne and the herpes simplex virus are effectively treated with laser therapy.

At 152 Harley Street, our wide selection of lasers enables the following clinical and cosmetic procedures to be carried out:

  • Pigmented Lesions – brown marks, facial and backs of hands
  • Hair reduction
  • Vascular – facial blood vessels and birthmarks
  • IPL/Limelight/Acutip – photo-rejuvenation
  • Titan – deep infra red skin tightening
  • Sciton Erbium Yag – microlaser peels
  • UltraPulse Co2 Laser by Lumenis – acne scarring, scars & burns, fine lines, deep wrinkles, dramatic rejuvenation & skin tightening


Psoriasis is an immune condition, which causes symptoms on the skin and sometimes the joints. When a person has psoriasis, their skin replacement process speeds up, taking just a few days to replace skin cells that usually take 21-28 days. This abundance of skin cells builds up to form raised ‘plaques’ on the skin, which can also be flaky, scaly, red on caucasian skin, darker patches on darker skin tones, and itchy. Psoriasis can occur on any area of the body, including the scalp, hands, feet and genitals.

Treatment aims to clear the rash as much as possible. However, as psoriasis tends to flare up from time to time, you may need courses of treatment on and off throughout your life. There are various treatments options available with creams, ointments and light therapy.



Rhinophyma is a condition that affects the nose, most commonly in the context of an inflammatory skin disease called Rosacea. It typically presents with textural irregularities with areas of thickened skin and enlarged prominent pores, together with an irregular contour giving rise to the term “cauliflower” nose. The condition can occur in conjunction with other signs and symptoms of rosacea, such as spots on the cheeks or chin, associated with redness that typically flares up with alcohol consumption, stress and heat.

Whilst Rhinophyma does not generally give symptoms of pain or itching, it can be severely debilitating and can lead to social embarrassment and isolation. Unfortunately, the condition does not improve spontaneously and in many cases can slowly progress and worsen.

At 152 Harley Street, treatment for both Rhinophyma and Rosacea is possible with one of our expert Consultant Dermatologists, who specialise in cosmetic and laser surgery.UltraPulse Laser (also referred to as CO2 laser) can prove to be a highly effective and life changing treatment in many cases, for both women and men. Laser treatment for Rhinophyma is a very safe and effective process if performed by a well-trained Consultant Dermatologist and laser specialist. 152 Harley Street is a Centre of Medical Excellence and all of our UltraPulse specialists are Consultants and leaders in their field.


Skin Allergy Testing

What is a skin allergy?

Skin allergies occur when your skin reacts to certain substances. These substances are called allergens. Allergens are things like dust, pollens, or pets that cause your skin to react and develop an allergic reaction. A skin allergy is an immune response from your body’s natural defenses against substances that it thinks might harm it. The most common types of skin allergies are contact, food, and allergic reactions to medications or so-called “idiosyncratic” reactions to other irritants. Most allergenic substances are either foreign substances (like dust, pollen, or pet dander) or substances that we come into contact with on a regular basis, like fragrances, chemicals, or medications.

Symptoms of Skin Allergies

The symptoms of skin allergies (also known as allergic contact dermatitis) often involve redness, itching, pain, swelling and heat. Causes can include contact with dyes, cosmetics, perfume, latex, medications, detergent and some metals.

We are one of only a few clinics that conform to all the British Association of Dermatologists minimum standards for Cutaneous Allergy Services and we offer both Skin Prick Testing and Patch Testing for both adults and children.

Read more about David Orton, our Allergy specialist at 152 Harley Street.


Surgical Removal of Skin Lesions

Skin lesions are lumps or bumps such as moles, cysts, warts, skin tags and lipoma’s (fatty lumps).

Most skin lesions don’t cause serious problems and are benign, but you may want to have them removed for practical or cosmetic reasons.

There are different methods to remove skin lesions – the type of procedure you have will depend on the type of skin lesion you have. If you have benign (non-cancerous) warts for example, you can be treated with non-surgical procedures. Larger skin lesions or ones that needs a precise removal may need to be surgically removed under local anaesthetic or sedation.


Cosmetic & Aesthetic Dentistry

Often, our patients are not completely happy with the way their smile looks. They may feel that their teeth are discoloured or stained, that their smile is too “gummy”, or they may even just wish they could start all over again with a great new smile.

Cosmetic and aesthetic dentistry can help with all of these problems.

Sometimes patients only need a relatively simple and affordable treatment, at other times they may opt for a complete smile makeover, where we use a number of treatments in combination, in order to provide them with the smile they have always wanted.

At 152 Harley Street, our expert cosmetic and aesthetic treatments include:

  • White cosmetic fillings
  • Crowns
  • Veneers
  • Bridges
  • Smile improvements
  • Tooth whitening
  • Dentures
  • Dental implants
  • Orthodontic treatment
  • Plastic periodontal surgery

Dental Hygienist Therapy

Dental hygienist therapy plays a vital role in helping to keep your teeth and gums healthy by avoiding gum disease, or keeping it under tight control.

Gum disease is extremely common, and is caused by plaque, a constantly-forming, sticky film of bacteria. Initial symptoms of gum disease include sore or bleeding gums and bad breath. If left untreated, it can eventually lead to tooth loss.

At 152 Harley Street, our expert periodontal services include:

  • Preventive dental disease
  • Scaling and teeth polishing
  • Periodontal treatment
  • Teeth whitening
  • Maintenance of the mouth following treatment

Dental Implants

Dental implants are extremely realistic, permanent replacements for one or more missing teeth. They look and feel very natural, and enable you to eat and speak with confidence, as well as improving the way your smile looks.

The implant itself is a small titanium rod, which is carefully and gently placed into your jawbone. Over time, the bone and implant bond together, forming a strong and permanent base, very much like a false tooth root.

Implants can have crowns or bridges fitted on top, replacing one or more missing teeth. Patients with many missing teeth can be fitted with special dentures, held firmly in place by implants, thus making it much easier to eat and speak without embarrassment.

At 152 Harley Street, we offer a wide choice of implant treatments. These include the Teeth-in-an-Hour™ and Teeth in a Day™ and All on Four systems, all of which enable suitable patients to have their implants placed in just one appointment and to eat with their new teeth later that same day.

We also offer guided implant surgery for more complex cases. This involves taking a CT Scan of your jaw area, with our in house Cone Beam CT  scanner so we can ensure that before surgery, you have adequate bone available for an implant and can plan the implant placement with incredible accuracy. Where there is inadequate bone, our specialists are noted for their ability to regenerate the missing bone tissue using a variety of techniques (including bone grafting from other sites) when necessary.

In many cases it is possible to remove the tooth that is unsalvageable and following thorough curettage and cleaning of the socket with a drill, create an osteotomy site that allows the implant to be placed directly. In some cases it is possible to allow the implant to emerge through the gum tissue on the same day in order to provide a temporary crown in a type of resin or composite material. Treatment can be carried out under local anaesthesia, sedation, or rarely under general anaesthetic depending on the complexity of the case.

Once the implant has fully integrated with the jaw bone over a few months, an impression can be taken and the final crown can be constructed and fitted onto the implant.

In some instances, especially where grafting is necessary to build the jaw bone to the right shape, the implant is left beneath the gum and allowed to osseointegrate to the jawbone over a period of time. Once this is done the implant can be exposed, a healing abutment fitted and a ceramic crown constructed and fitted onto the implant. This is either screwed or cemented down onto the implant. Sometimes it is advantageous to wear a temporary acrylic crown whilst the soft tissue moulds itself around the provisional crown.

The All On Four technique:

The All On Four technique allows for the placement of four implants (but sometimes five or six are required) and for a bridge to be constructed and fitted on the same day as the implant placement.

This effectively allows the patient to leave the clinic with an implant restoration in their mouth. Cone Beam CT scan imagery allows for three dimensional reconstruction of the jaw bone to be made on the computer and for virtual implants to be placed into that jaw bone. Soon after examining the patient, a CT scan can be taken where it is needed for a rapid assessment to be made to allow the patient to know if they are a candidate for this technique.