Laser
Doctor ledMaryleboneEvery claim linked to its paper
Most clinics sell you a machine. Here a doctor examines your skin, tells you what will work and what will not, and chooses the laser from that. You leave with a plan, the dates and the price.
What we treat
Laser is four different treatments wearing one name. A doctor works out which one you need by examining you, then chooses the platform to match. Not sure which is you? The suitability check is free and a doctor reads it.
Smoother texture, fewer lines
Starts from a diagnosis of photodamage, fine lines or rough texture, separated from pigmentation that only looks like texture.
Systematic review and meta analysis of randomised trials. Lasers in Medical Science, 2025.
Even tone, less redness
Starts by separating vascular redness from pigment, and by separating solar lentigines from melasma, because laser is right for one and usually not first for the other.
Systematic review, 41 trials, 3,234 patients. Journal of Cosmetic Dermatology, 2025.
Scars that fade by grades
Starts by naming the scar type, because icepick, boxcar and rolling scars respond differently and a single approach across all three is how laser disappoints.
Meta analysis and systematic review. Journal of Cosmetic Dermatology, 2024.
Around the eyes and the lower face
Starts with what is actually causing the shadow or the line around the eye, because thin skin, a visible vessel and volume loss look alike and only one of them answers to laser.
Systematic review and meta analysis, 4 studies, 141 participants. Journal of Dermatological Treatment, 2021.
A free call first. Then a consultation, credited in full against any programme, so the doctor's time costs you nothing if you go ahead.
45 minutes, Marylebone
£350
A doctor examines your skin under magnification, records your skin type, reaches a diagnosis and writes your plan with dates and a price. Credited in full against any programme.
30 minutes, video
£250
A doctor reviews your photographs and history on video, tells you which treatment is likely to suit your skin, and whether an in person examination is needed before it starts. Credited in full against any programme.
15 minutes, phone
Free
A doctor hears what you want changed, tells you whether laser is likely to help, and whether a consultation is worth your time. Most people start here.
Three per family, the complete one first. The price is confirmed at your consultation and the consultation fee comes off it.
Skin resurfacing and rejuvenation
from £5,500
Face, neck and decolletage over a full course, with a skincare plan, priority booking and a doctor review at every stage.
Skin resurfacing and rejuvenation
from £2,950
The face over three sessions, with aftercare and a doctor review at the end of the course.
Skin resurfacing and rejuvenation
from £1,250
One area in a single session, with a doctor review afterwards.
Redness and pigmentation
from £4,250
Face and neck across a full course, treating vessels and pigment together where the examination shows both, with a doctor review.
Redness and pigmentation
from £2,250
The full face over a course of three, with a doctor review at the end.
Redness and pigmentation
from £950
One area in a single session, with a doctor review afterwards.
Acne scars and scars
from £5,950
A full course of up to six sessions with a combination protocol across scar types, and a doctor review at every stage.
Acne scars and scars
from £3,250
The full face over three sessions, with a doctor review at the end of the course.
Acne scars and scars
from £1,250
One area in a single session, with a doctor review afterwards.
Eyes and lower face
from £4,500
Around the eyes and across the lower face as a full course, with a doctor review.
Eyes and lower face
from £2,450
A course around the eyes, with a doctor review at the end of the course.
Eyes and lower face
from £1,050
Around the eyes in a single session, with a doctor review afterwards.
If your consultation concludes laser is not right for you, the fee is credited to whatever is.
Free, fifteen minutes, with a doctor. What you want changed, what you have tried, and an honest view on whether laser is the answer.
On video for £250 or in person for £350. The doctor records your skin type, reaches a diagnosis and chooses the platform. The fee comes off any programme in full.
A written plan naming the platform, the sessions, the interval, the downtime and the price. Two weeks to think before the first treatment. The doctor who treats you is the one who takes your consent.
Sessions run to the plan, settings are reviewed against how your skin responded last time, and every programme ends with a doctor review of what changed and what comes next.
The evidence
Every claim on this page comes from one of these. Swipe through them, open any one, and judge the evidence the way a doctor would. Two of them argue against laser, and they stay.
Fractional and ablative resurfacing improve texture and photodamage. Most trials compare one laser with another rather than with no treatment, so the honest claim is improvement, not transformation.
Combining platforms can outperform a single laser for rejuvenation, which is the case for choosing the combination from the diagnosis rather than from whichever machine is in the room.
For sun spots, laser outperforms topical agents, cryotherapy and peels. Picosecond platforms reached the highest success rates, 68 to 93 percent, with an acceptable safety profile.
Laser belongs alongside photoprotection and topical agents for melasma, not in place of them. Follow up in most trials ran only two to six months, in a condition defined by coming back.
Short term lightening at best, high recurrence, and a real risk of post inflammatory hyperpigmentation, particularly in darker skin. This is the paper behind the sentence that laser does not clear melasma.
No statistically significant difference between the two platforms for facial redness, which is why the choice is made by diagnosis and skin type rather than by device.
Both reduce the vessels and the background redness. Rosacea relapses, so maintenance is part of the plan rather than a sign something went wrong.
Carbon dioxide was modestly more effective, odds ratio 1.81 with a 95 percent confidence interval of 1.08 to 3.01, at the cost of longer downtime. Scars improve by grades over three to six sessions.
What laser cannot do
A page that only lists what a treatment achieves is an advertisement. These are the limits the evidence describes, and the treatments we will not offer until it can hold them.
Laser does not clear melasma. Melasma resists laser and laser can provoke it, particularly in darker skin. The strongest current reviews put laser alongside photoprotection and topical agents rather than in place of them, so if your pigmentation is melasma a doctor will usually tell you that laser is not first for you.
Fractional laser improves atrophic acne scarring by grades over three to six sessions. It does not return the skin to how it was before the acne, and response varies by scar type and by skin tone.
Rosacea is a chronic relapsing condition. Vascular laser reduces the vessels and the background redness you can see, and maintenance is part of the plan rather than a sign that something went wrong.
We do not offer laser hair removal or tattoo removal today. Both have real evidence behind them, and both will appear here when we do offer them, priced and evidenced like everything else on this page.
Laser for genitourinary symptoms of the menopause stays in research settings, which is the position the Royal College of Obstetricians and Gynaecologists took in 2022 and the position European and United States bodies have reached independently. Injectable exosomes hold no United Kingdom licence for any cosmetic use. Laser assisted remodelling at 1470nm rests on small pilot studies, and the one study with six month follow up lost its statistical significance by then. None of these is a no forever. Each is a no until the evidence can be stated honestly.
Thermage, Ultherapy and focused ultrasound tightening are often sold on pages called laser. They are not lasers. Where one of them is the right answer for your diagnosis a doctor will say so and point you to it, rather than relabel it.
A doctor tells you which treatment suits your skin, and tells you plainly if none does. The call is free and the consultation comes off the price.
A consultation with a doctor is £250 on video or £350 in person, and the whole fee comes off any programme you go on to have. Programmes start from £950 for one area in a single session, a course for the full face runs from £2,250, and the complete programmes, with the doctor reviewing you at every stage, run from £4,250 to £5,950. The figure is confirmed at the consultation rather than before, because the honest price depends on what your skin actually needs. Across London, single sessions of fractional resurfacing are commonly £850 to £2,200 and a course of three for pigmentation commonly £900 to £1,250.
Because the treatment does. The single biggest reason laser disappoints is the wrong platform used on the wrong skin for the wrong diagnosis, and the only way to avoid that is to examine the skin first. You book a consultation, not a treatment, and you leave it with a written plan, the number of sessions, the dates and the price. Nothing is charged for treatment until you have that.
Usually not as the first treatment, and the evidence is clear about why. Melasma resists laser and laser can provoke it, particularly in darker skin. Chehrara and colleagues pooled 16 randomised trials in the Journal of Cosmetic Dermatology in 2025 and concluded that laser belongs alongside strict photoprotection and topical agents rather than in place of them, and noted that follow up in most trials ran only two to six months, which is too short to say much about recurrence. So a doctor will tell you whether laser is right for your pigmentation, and if the diagnosis is melasma the answer is usually a topical and photoprotection plan first. Laser does not clear melasma.
No. What the evidence supports is long term reduction, not removal that lasts for life. Kao and colleagues pooled 13 randomised trials covering 652 patients in 2023 and found reduction ranging from about 30 to 84 percent depending on the device, the hair and the skin type, with most patients needing six or more sessions and occasional maintenance after that. We do not offer laser hair removal at The Wellness today. It is a real treatment with real evidence behind it, and it will appear here when we do offer it, priced and evidenced like everything else. We would rather say so plainly than sell it to you.
Three to six, built over months, and the honest framing is that scars improve by grades rather than resolve. Liu and colleagues compared fractional carbon dioxide against fractional erbium in a 2024 meta analysis and found carbon dioxide modestly more effective for atrophic scarring, with an odds ratio of 1.81 and a 95 percent confidence interval of 1.08 to 3.01, at the cost of longer downtime. Which of the two suits you depends on your scar type and your skin tone, and on how much recovery time your life allows. Icepick, boxcar and rolling scars respond differently, so the consultation maps which you have before anything is chosen.
They are different technologies and only one of them is laser. A laser delivers a single wavelength of light that is absorbed by a specific target in the skin, which is why one platform suits pigment, another suits blood vessels and another suits water in the tissue. Radiofrequency and focused ultrasound deliver energy as heat to tighten tissue instead. Thermage, Ultherapy and focused ultrasound tightening are commonly sold on pages headed laser and none of them is a laser. Where one of them is the right answer for your diagnosis a doctor here will say so and point you to it rather than relabel it.
Yes, with the platform and the settings chosen for your skin type, which is the part that matters. Darker skin carries a higher risk of pigment change after treatment, so the wavelength, the fluence and the interval all change, and some platforms are ruled out. Your skin type is recorded at the consultation and drives the choice. Where the risk of pigment change outweighs the likely benefit the doctor will tell you that, and a topical plan may be the better answer.
A GMC registered doctor examines you, reaches a diagnosis and decides the treatment from it. The doctor who will carry out the treatment is the one who discusses it with you and takes your consent, which is what the GMC guidance on cosmetic interventions requires and is never delegated to reception. Treatment follows that medical assessment, and there is a cooling off period of two weeks between the consultation and the first session so the decision is made without pressure.
The one your diagnosis calls for, which is the point of assessing first. Pulsed dye laser or intense pulsed light for visible vessels and background redness. Q switched or picosecond platforms for sun induced brown marks. Fractional carbon dioxide or erbium for texture and scarring, ablative where the damage is deep and downtime is acceptable and non ablative where it is not. Chang pooled four studies covering 141 participants in 2021 and found no statistically significant difference between pulsed dye laser and intense pulsed light for facial redness, which is a good illustration of the principle. The platform is not the treatment. The diagnosis is.
Most people describe it as a hot pinprick or a flick, and topical anaesthetic and surface cooling are used where the setting warrants it. Downtime is the honest trade off. Non ablative treatment usually means redness for a day or two. Ablative resurfacing means several days of redness and peeling and a longer recovery, with a higher risk of pigment change and prolonged redness, and rarely of scarring. You are told which category your plan falls into, and how many days to keep clear, before you book the session rather than after.
Often yes, with timing. Retinoids are usually stopped for a period before treatment and restarted afterwards, and a recent peel means waiting for the skin to settle. Isotretinoin is the one that matters most and needs a longer gap and a specific conversation. Bring a list of everything you take and everything you apply, including anything bought without a prescription, and the consultation will set the timings around it.
Then that is the answer, and your consultation fee is credited against whatever is right instead. For a share of the people who come to us the honest answer will be a topical plan, a different modality, or simply photoprotection and time, and we would rather tell you that than treat you. You will not be turned away with nothing. You leave with a written plan for the thing that will actually help, even when that thing is not laser and not ours.