Aesthetic clinic in London — dentist-led aesthetic medicine in Islington N1

No, we do not treat during pregnancy. Thread veins that appear in pregnancy sometimes fade in the months after the birth, so it is sensible to wait and reassess.

No. Varicose veins, swollen or painful legs, skin changes or ulcers need GP assessment and referral to a vascular specialist first. We treat fine thread veins only.

Often yes, with particular care. The Lynton Nd:YAG laser is generally the more appropriate choice for darker skin, a patch test is carried out first, and if treatment is not safe for your skin we will tell you.

Vessels that are successfully treated do not usually return, but the underlying tendency remains, so new thread veins can form over time. Some patients choose an occasional top-up session; results vary.

There is little real downtime. Expect redness and mild swelling for a day or two and possibly some bruising or darkening that fades over several weeks; avoid hot baths, saunas and strenuous exercise for 24 to 48 hours and protect treated skin from the sun.

Most people describe a brief, hot snap, similar to a flicked elastic band, and the treatment head is cooled. Discomfort is short-lived and you can return to normal activities the same day.

Usually 2 to 4 sessions, spaced 6 to 8 weeks apart so treated veins can clear between visits. Fine red and blue veins respond best, and results vary from person to person.

Leg thread vein treatment is £75 per session, and most people need 2 to 4 sessions. The skin and aesthetic consultation is £65, redeemable in full against treatment, and the patch test is free where needed.

No. We postpone treatment until after pregnancy and breastfeeding. Some vessels that appear in pregnancy fade on their own afterwards.

It can reduce visible vessels and some background redness, but it does not cure rosacea. We combine treatment with advice on triggers and sun protection, and suggest GP or dermatologist care where medical treatment is needed.

Often, with care. We usually favour the Lynton Nd:YAG laser, use conservative settings and patch test first, because darker skin has a higher risk of pigment change. If it is not safe, we will say so.

A vessel that has been closed does not usually reopen, but new thread veins can form with sun exposure, flushing or rosacea. Some people return for occasional maintenance.

Very little. The skin is usually pink and slightly swollen for a day or two, and occasional light bruising settles within one to two weeks. Daily SPF 50 is essential afterwards.

Most people describe each pulse as a warm flash or a quick snap against the skin. It is usually manageable without numbing, and the device cools the skin as it works.

Many people need 1 to 3 sessions, about four weeks apart. Small red vessels can clear in one; wider redness or rosacea usually needs a short course, and results vary.

Prices vary by clinic. At Dental & Wellness London, Islington, facial thread vein removal is from £80 per session, and the skin consultation is £65, redeemable in full against treatment.

Often, yes. Aligning the teeth first frequently means less tooth needs to be added or altered afterwards, and whitening or composite bonding can then refine shape and shade. We plan the order at consultation so that each step supports the next, rather than treating them in isolation.

Yes. Teeth tend to drift back after any orthodontic treatment, and short-term treatments are no exception. After either option we fit retainers and explain how long to wear them. Long-term retention is what keeps the result stable, so it is planned before treatment begins rather than added at the end.

Yes. The classic system uses tooth-coloured brackets and wires bonded to the front teeth, so it is a fixed brace, simply limited in scope and designed to be discreet. Because it cannot be removed, it requires careful cleaning around the brackets and some caution with very hard or sticky foods.

Not necessarily. At DWL, Invisalign Express is £2,200, Moderate £3,400 and Unlimited £4,500 to £4,900. Six Month Smiles is quoted in writing after assessment. For a genuine front-teeth case the difference is often modest, so we suggest choosing on what the treatment does rather than on price alone.

No. It is designed for cosmetic alignment of the front teeth. If your bite was healthy before treatment, it should remain so. If it needed correcting, Six Month Smiles will not have done that, which is exactly why we assess the bite carefully before recommending either system.

Because it treats less. Six Month Smiles concentrates on the front teeth and does not set out to change the bite, so there is less movement to achieve. Comprehensive Invisalign takes longer because it may be correcting how the whole bite meets. For a minor front-teeth case, Invisalign can also be relatively short.

It depends on what your bite needs. If the concern is purely the alignment of the front teeth and your bite is healthy, Six Month Smiles can be appropriate. If the bite needs correcting, or teeth further back need to move, Invisalign is usually the better choice. We decide after examining your teeth, not by recommending one system by default.

At our Essex Road clinic Profhilo is £350 per session or £625 for the two-session course. Filler is priced by area: lip filler from £200 for 0.5ml, tear trough from £250, jawline £300 for 1ml, and other areas from £350. The £65 skin and aesthetic consultation is redeemable in full against treatment.

Dr Vishal Patel, BDS, MSc Aesthetic and Restorative Dentistry, GDC 103127, assesses, plans and administers all aesthetic injectable treatment at the clinic. He has around ten years in facial aesthetics, with cadaver-based facial anatomy training and IBSA training in Profhilo. Every plan starts with a consultation, and there is no obligation to proceed.

Hyaluronic acid filler can usually be dissolved with an enzyme called hyaluronidase. At DWL hyaluronidase dissolving is £180. We see it as a safety measure rather than a routine fix, which is why we prefer to place less filler, review at two weeks, and add more only if it is clearly needed.

No. Profhilo is sometimes described as an injectable moisturiser or skin booster. It contains a high concentration of hyaluronic acid that disperses through the skin rather than holding a shape. It will not lift a cheek or define a jawline. If you are comparing it with other skin boosters, our polynucleotides comparison may also help.

Profhilo does not change face shape, so its effect is inherently subtle: people tend to say you look well rather than different. Filler can look entirely natural when it is used conservatively for real volume loss. It tends to look unnatural when it is overused or placed without a clear indication, which is an assessment issue rather than a product one.

Filler usually lasts longer per treatment, typically six to eighteen months depending on the product and the area treated. Profhilo is generally maintained around every six months after the initial two sessions. The two are not really competing on longevity, because they do different jobs; the better question is which concern you are trying to address.

Yes, and for many people a combined plan is the honest answer. We usually begin with Profhilo so the skin is in better condition, then add a conservative amount of filler only where volume is genuinely missing. Sequencing and spacing are agreed at consultation, and you are never committed to both because you started with one.

Profhilo improves the quality of the skin itself: hydration, firmness and texture across a wider area, without changing the shape of the face. Dermal fillers restore volume in a defined place, such as the cheeks, lips, chin or jawline. Both are made from hyaluronic acid, but they are formulated to behave very differently once injected, so they answer different questions.

Onda usually has little or no downtime; temporary redness, warmth or tenderness settles quickly. Radiofrequency microneedling typically involves a few days of redness, swelling and fine pinpoint marks after each session. Our laser tightening options vary by setting, and we explain the expected recovery before you book.

Most people have a course of four sessions, a few weeks apart, though some areas need more. Onda is £300 per session, or £1,020 for a course of four, including an online personal training session. We confirm the plan and the full cost in writing after your consultation.

No. Onda reduces fat volume in a specific area; it does not meaningfully change your weight and is not a substitute for diet, movement or medical weight management. It works best when your weight is stable and the concern is a defined area that has not responded to those things.

Onda can give a mild tightening effect and may improve the dimpled texture of cellulite, but it is primarily a fat-reduction treatment. Where loose skin is the main concern, a dedicated skin-tightening treatment is usually more appropriate, and we will recommend that instead of more Onda sessions.

It depends on the concern. If it is a stubborn pocket of fat and the skin over it is reasonably firm, Onda is the relevant conversation. If it is loose, crepey or textured skin, a skin-tightening plan is. Many people have a little of both, which we assess at a skin and aesthetic consultation (£65, redeemable against treatment).

No. For skin laxity and texture we use laser lift and tighten (from £195), laser skin tightening (from £225), microneedling (from £160) and Profhilo (£350), often in combination. Morpheus8 is a legitimate, widely used treatment; we simply cover those concerns with the options we already use and know well.

No. Onda uses microwave energy to reduce defined pockets of body fat. Morpheus8 uses radiofrequency microneedling to remodel collagen in the skin, for laxity, texture and scarring. They are compared because both use heat and both appear under "body contouring", but they treat different concerns and work on different tissue layers.

Onda can give a mild tightening effect and may improve the dimpled texture of cellulite, but it is primarily a fat-reduction treatment. If loose skin is your main concern, a dedicated skin-tightening approach is usually more appropriate, and we will say so at consultation rather than sell you the wrong course.

Every course begins with an assessment with Dr Vishal Patel, who trained with Lynton Lasers in Onda and plans each treatment. Onda is a device treatment rather than a prescription medicine, but careful case selection still matters: we check your medical history, the area and the type of tissue before recommending it.

The treated fat cells are cleared gradually, so change builds over the weeks following each session and across the course. Cleared fat cells do not return, but the remaining cells can still enlarge with weight gain, which is why steady eating and activity patterns matter for lasting results.

Most patients describe a building warmth with brief moments of more intense heat, and the skin is cooled throughout. There is usually little or no downtime; temporary redness, warmth or tenderness in the area is normal and settles. Most people return to normal activity the same day.

Most people have a course of four sessions, a few weeks apart, though some areas need more. Onda is £300 per session, or £1,020 for a course of four, which includes an online personal training session. We confirm the plan and the full cost in writing after your consultation.

Broadly, yes. Both produce a gradual, moderate reduction in fat in the treated area, and both need several weeks before the change is visible. The mechanisms differ, heat against cold, and individual results vary with the area, the amount of fat and how stable your weight is afterwards.

Because of paradoxical adipose hyperplasia, a rare complication of cold-based fat reduction in which the treated area enlarges rather than shrinks. It does not resolve on its own and is usually corrected surgically. Onda works by heat, so that specific risk does not apply. This is a clinical judgement for our practice, not a claim that CoolSculpting is unsafe.

No. Onda reduces fat volume in a specific treated area; it does not meaningfully change your weight and is not a substitute for diet, movement or medical weight management. It is a contouring treatment for defined pockets that persist despite those things, and it works best when your weight is stable.

Yes. Inman treatment is self-contained, and Invisalign can follow if more movement turns out to be needed. We review progress, discuss the options openly and only proceed with further treatment if it is genuinely warranted for your teeth. A new scan and plan would be needed first.

Yes. Teeth that have been moved quickly are especially prone to drifting back, so a retainer is part of treatment, not an optional extra. The same applies after Invisalign. We fit retainers at the end of treatment and explain how often to wear them over the long term.

Most patients describe firm pressure rather than pain, particularly in the first few days as the springs begin to work. Speech can feel different until the tongue adapts to the appliance. Invisalign usually causes a day or two of tightness with each new aligner. Ordinary pain relief is generally enough for either.

Not always. At DWL, Invisalign Express is £2,200, Moderate £3,400 and Unlimited £4,500 to £4,900, and Inman treatment is quoted in writing after assessment. For a minor front-teeth case the difference is often modest, so the decision should rest on suitability rather than price.

For suitable cases, treatment is often around six to sixteen weeks, depending on how much movement is needed and how consistently the appliance is worn. Invisalign for a comparable minor case may take a few months, while comprehensive Invisalign usually takes longer. We give you an estimated timescale for your own case at consultation.

No. It treats the front teeth only and does not set out to change the bite or move the back teeth. For whole-smile alignment, or anything involving how the teeth meet, Invisalign or fixed braces are needed. We will tell you plainly if your case falls outside what the Inman Aligner can achieve.

Neither is better in general; they suit different problems. The Inman Aligner is efficient for mild crowding or relapse of the front teeth. Invisalign is more versatile, can correct the bite and treat any teeth, and is more discreet. The right choice depends on what your teeth and bite need, which we establish at an examination.

At our Essex Road clinic, HydraFacial is from £160 per session, or £800 for a course of six. Microdermabrasion is from £160 per session. The skin and aesthetic consultation is £65 and redeemable in full against treatment. Interest-free finance at 0% APR over 12 months is available on eligible plans.

Very little for either. After HydraFacial most people return to normal activities straight away, sometimes with mild pinkness for a few hours. After microdermabrasion, mild redness or tightness for a day or two is common. For an event, we usually suggest booking microdermabrasion at least a week ahead and HydraFacial a few days ahead.

For congested skin with blackheads and enlarged pores, HydraFacial's extraction step is often the more useful of the two. Microdermabrasion should be avoided during active inflammatory acne. Neither is a treatment for acne itself; where acne is active or scarring, we discuss targeted options or, where appropriate, recommend seeing your GP or a dermatologist.

Yes, for the right skin. Some people alternate, using microdermabrasion for texture and HydraFacial for hydration and congestion. We keep sensible intervals between them so the skin is not over-exfoliated, and we adjust the plan if there is any sign of sensitivity. It is a decision made at consultation rather than a fixed package.

For most people, every four to six weeks works well as maintenance for either treatment, adjusted to how the skin responds. Some people have a short course to begin with and then space sessions out. We would rather agree a realistic rhythm with you than recommend more sessions than your skin needs.

HydraFacial is generally the gentler of the two, because the exfoliation is lighter and the session ends with hydrating serums. Microdermabrasion is more abrasive and can leave reactive skin red or tight for a day or two. If your skin is sensitised or prone to flushing, we assess it first and may suggest waiting until it has settled.

Neither is better in the abstract. HydraFacial combines exfoliation, extraction and hydration, so it often suits dehydrated, congested or more reactive skin. Microdermabrasion is a focused physical exfoliation that suits resilient skin with rough texture. The better choice is the one that matches your skin type and goal, which is what we assess at consultation.

At a skin and aesthetic consultation (£65, redeemable in full against treatment), we assess where the laxity sits, how deep it is, whether volume loss or fat plays a part, your skin quality and your tolerance for downtime. The recommendation comes from that assessment, and may combine more than one treatment.

No. Energy-based tightening gives a modest, gradual improvement in early to moderate laxity. Where skin is markedly loose, results from any of these devices are likely to disappoint, and a surgical opinion may be more appropriate. We will tell you honestly at consultation if we think that is the case.

Primarily, no. Onda is a microwave treatment for defined pockets of body fat. It can give a mild tightening effect on the overlying body skin and may improve the texture of cellulite, but if loose skin is your main concern, a dedicated tightening treatment is usually more appropriate.

No. We do not offer HIFU or a standalone radiofrequency device. For facial skin tightening we use Lynton laser tightening, with laser lift and tighten from £195 and skin tightening from £225, often alongside Profhilo. For body fat we offer Onda at £300 per session, or £1,020 for a course of four.

None is permanent, because skin continues to age. Tightening from HIFU and radiofrequency tends to last months rather than years, and maintenance is common. With Onda, cleared fat cells do not return, but remaining cells can enlarge with weight gain. Results vary with age, skin quality and lifestyle.

HIFU is usually the most uncomfortable, because the heat is delivered deeper in concentrated points; many people describe brief, sharp warmth. Radiofrequency and microwave treatments are generally felt as a building warmth. Comfort also depends on the area and the settings used, and we discuss this before any treatment.

HIFU and radiofrequency are used mainly for facial and neck tightening: HIFU for deeper, defined areas such as the jawline, radiofrequency for broader surface tightening and texture. Microwave treatment such as Onda is a body treatment, primarily for fat reduction with a secondary skin benefit. It is not used for facial laxity.

Yes. Teeth tend to move back towards their original positions throughout life, whichever appliance straightened them. After aligners this usually means a removable retainer worn at night; after fixed braces it is often a thin bonded wire behind the front teeth plus a night-time retainer. Retention is part of the plan from the start.

Often, yes, once the relevant adult teeth have come through and if the young person is willing to wear the trays consistently. Some families prefer fixed braces for younger patients because they cannot be removed or lost. We assess each case individually and discuss the practicalities with both the patient and their parents.

It is occasionally possible, but rarely the best plan, because it usually means rescanning and re-planning the remaining movement. We would much rather spend time at the start choosing the approach you can see through. If treatment is genuinely not working for you, we discuss the options openly.

Both cause some pressure while teeth are actively moving. Aligners usually feel tight for a day or two with each new tray. Fixed braces tend to ache after adjustments, and brackets can rub the lips and cheeks until the soft tissues adapt. Most patients find either manageable with ordinary pain relief in the first days.

It depends on the complexity of the case and the plan it needs. At DWL, Invisalign Express is £2,200, Moderate £3,400 and Unlimited £4,500 to £4,900. Fixed braces are quoted in writing after an orthodontic assessment, so you can compare like for like. 0% APR finance over 12 months is available.

For comparable cases the timescales are often similar. Minor aligner cases can finish in a few months, while comprehensive treatment with either approach commonly takes around a year or more. Aligner treatment can lengthen if trays are not worn enough, and fixed treatment can lengthen with broken brackets or missed adjustments. We give you an estimated timescale for your own case at consultation.

For many cases of crowding, spacing and mild to moderate bite problems, yes, provided the aligners are worn as prescribed. Fixed braces still give finer control for some complex movements, such as severe rotations or large vertical changes. Effectiveness depends on matching the appliance to the case, which is why we examine the bite before recommending either.

We can help with skincare and in-clinic treatment, and refer you to your GP for hormonal assessment where appropriate.

At Dental & Wellness London, our acne skin peel and in-clinic acne treatment are from £160 per session, usually as a short course. Consultation £65, redeemable.

For mild to moderate acne, consistent skincare with proven ingredients plus in-clinic treatment such as our acne skin peel, which gives consistent, predictable results for most people. Moderate to severe acne often needs prescription treatment from your GP or a dermatologist.

Rarely; scar treatment is usually considered cosmetic. Your GP can advise.

At Dental & Wellness London, microneedling is from £160, PRP £250, scar reduction from £225 and laser resurfacing from £195 per session.

Usually a combination matched to your scar types, such as microneedling, PRP, scar reduction and laser resurfacing.

At Dental & Wellness London, melasma treatment is from £80 per session, used only in selected cases.

The one matched to its cause. A consultation identifies the type before treatment.

Prices vary by clinic. At Dental & Wellness London, Islington, pigmentation removal is from £80 per session.

Prescribed and administered by Dr Vishal Patel, BDS, MSc Aesthetic & Restorative Dentistry, GDC 103127, the clinic’s sole aesthetic prescriber.

Usually three to four months.

From £169 at Dental & Wellness London, including a two-week refresh. Consultation £65, redeemable.

“Botox” is one brand of botulinum toxin. Anti-wrinkle treatment is the general term; the product is chosen at consultation.

222 Essex Road, Islington, London N1 3AP, two minutes from Essex Road station.

The aesthetic consultation is £65, redeemable in full against treatment.

Prescribed and administered by Dr Vishal Patel, BDS, MSc Aesthetic & Restorative Dentistry, GDC 103127, the clinic’s sole aesthetic prescriber.

It depends on your plan. Skin boosters are from £250 (Profhilo £350), laser tightening from £195 per session, neck band treatment £300, and a thread lift (PDO threads from £600 for a single area; the Korean V Lift mono-thread lift is £1,600). Consultation £65, redeemable.

It can soften prominent vertical neck bands and give a subtly smoother jawline, but it does not tighten loose skin.

Mild to moderate laxity can improve with laser tightening, skin boosters or a thread lift. Significant loose skin is best treated surgically.

It depends on what is causing the change: skin boosters for crepey skin, laser tightening for mild laxity, anti-wrinkle treatment for vertical bands, or a thread lift for more lift. Most people benefit from a combination.

Very little. Skin may look pink for a few hours, and most people carry on as normal.

At Dental & Wellness London, Islington, laser lift and tighten is from £195 per session. The patch test is free, and the consultation is £65, redeemable in full.

For mild to moderate laxity, yes, gradually over a course. It will not match a surgical lift for significant laxity.

Skin often looks fresher within a few weeks, and improvement builds over two to three months after a course.

Numbing cream is applied first, so most people feel only mild discomfort. The blood draw is like a routine blood test.

At Dental & Wellness London, Islington, PRP is £250 per session. Most plans are three sessions. The consultation is £65, redeemable in full.