Medical Consultants and Dermatologists Marylebone

Medical Consultations Marylebone

Medical & Dermatology Services in Marylebone

At Derma Lab Clinic in Marylebone, we offer expert medical consultations and advanced dermatology services, delivered by highly experienced dermatologists.

Our team is committed to helping patients manage a wide range of skin conditions, from common concerns like acne and eczema to more complex skin disorders requiring tailored treatment plans.

Our Dermatology Services

Our medical consultants in Marylebone provide professional diagnosis and management plans for a variety of skin, nail and hair concerns.

We specialise in treating:

  • Acne (including hormonal and cystic forms)
  • Rosacea
  • Eczema
  • Psoriasis
  • Infections of the skin or hair follicles
  • Milia
  • Hyperhidrosis (excessive sweating)
  • Benign and suspicious lumps and bumps
  • Moles checking 

Each patient is thoroughly assessed, taking into account family history, hormonal changes, environmental factors, and lifestyle to develop a personalised treatment plan.

Understanding Skin Conditions

Acne:

Acne is a common skin condition that affects most people at some point, particularly during their teenage years but it can persist or emerge during adulthood. It occurs when pores become clogged with oil, dead skin cells, and sometimes bacteria, leading to blackheads, pus-filled spots, and painful cysts. Other factors have been implicated in the mechanism of acne including hormonal imbalance/menstrual cycle.

Treatment options include:

  • Topical anti-acne agents, such as benzoyl peroxide, azelaic acid, tretinoin or adapalene
  • Low-dose combined oral contraceptive 
  • Antiseptic or keratolytic washes containing salicylic acid 
  • LED Light/laser therapy
  • Oral antibiotics and Isotretinoin for severe cases
  • Chemical Peels

Rosacea:

Rosacea is a common chronic inflammatory condition characterized by facial redness. The pathogenesis of rosacea is believed to be multifactorial and includes genetic factors, bacterial overgrowth and impaired skin barrier. There are several  types of rosacea which include transient erythema (flushing), papulopustular and phymatous (thickening of the skin).

Treatments include: 

  • Avoidance of identifiable triggers (e.g. spicy foods, alcohol) 
  • SPF daily
  • Topical agents such as a-adrenergic agonists (brimonidine), azelaic acid, ivermectin, antibiotics/antifungal creams
  • Oral antibiotics (tetracyclines, lymecycline)
  • Oral isotretinoin

Eczema (Dermatitis):

Eczema is a group of chronic inflammatory conditions characterised by itchy skin and epidermal changes. It is classified by trigger (e.g allergic), appearance (e.g discoid) and site affected (i.e hand eczema). 

Eczema is one of the most common skin conditions with a prevalence of 20-30% in the general population. The first task in treating eczema is identifying its origin, whether its exogenous or endogenous and aiming to tackle identifiable triggers as well as educating patients on it’s long term management.

Medical interventions include phototherapy, topical emollients, steroid creams, steroid sparing agents (such as tacrolimus) as well as systemic medications such as oral steroids and immunosuppressant agents (i.e. methotrexate) for severe cases.

Psoriasis:

Psoriasis is a chronic inflammatory condition that affects 4-5% of the population worldwide.

It can affect any age and there is no sexual or racial predilection. Psoriasis is multifactorial and involves a complex interaction between the immune system and environmental factors.

It clinically presents as well defined erythematous scaly plaques and can affect any skin surface including nails and scalp. 

Depending on the type of psoriasis as well as its extent there are several treatment modalities ranging from topical emollients and steroid creams to systemic immunosuppressants and newest treatments (‘biologics’).

Hyperhidrosis:

Hyperhidrosis refers to excessive sweating. It affects 1-4% of the population and nearly always starts during childhood or adolescence.

It can be localised  e.g. only hands or generalized. It can be a primary medical condition or secondary to other medical issues (endocrine or neurological).

Treatments include:

  • Antiperspirants (10-25% aluminium salts) 
  • Iontophoresis (medical device where the affected area is immersed in water and a gentle electrical current is passed across the skin) 
  • Oral medications (b-blockers or anticholinergic drugs) 
  • Botulinum toxin injections. The injections do not aim for the muscle as in cosmetic treatments but rather the sweat glands. Results usually last between 3-6 months.
We also specialise in chemical peels and microdermabrasion treatments for deeper resurfacing, promoting increased collagen production and smoothing the appearance of scarring, fine lines, and pigmentation. These advanced therapies are ideal for clients looking for visible rejuvenation and to combat the signs of premature ageing, sun exposure, and environmental damage.

Milia:

A milium (plural milia) is a small keratin filled cyst under the skin. They are very common in both sexes and all ages; they most often arise on the face and are particularly prominent on the eyelids, under eyes and cheeks. As they are benign they do not require active treatment and we only tend to treat for cosmetic reasons.

Treatment options include: 

  • Mechanical removal (the cyst is de-roofed using sterile needle or blade and contents squeezed out) 
  • Use of topical creams (adapalene or tretinoin)

Mole and Lesion Checks:

During your medical consultation, we can also assess skin lesions and moles to ensure they are benign (non-cancerous). Certain changes in the appearance of a mole such as size, shape, or colour can indicate a need for further investigation. 

A mole is an extremely common, usually coloured, growth on the skin. These lesions develop when skin pigment cells (melanocytes) assemble into clusters. They can be either congenital (present at birth) or acquired (developing later in life). 

Most of them are and will remain harmless during our lifetime. There are others however that will change histologically and clinically and may even turn cancerous (melanoma). Early detection of a changing mole is of utmost importance since early detected and treated melanomas have excellent prognosis.

Skin Cancer

The ABCDE Rule is Useful When Looking for Changes:

A – Asymmetry

Loss of symmetry – the two halves of the mole do not look the same.

B – Border

Changing shape, particularly getting an irregular edge ragged notched or blurred.

C – Colour

Changing colour – getting darker, becoming patchy or multi shaded.

D – Diameter

Getting bigger, rapidly growing.

E – Evolution

Changes over time in size, shape, colour or symptoms ( such as itching, tenderness or bleeding).

Although a mole can potentially change and turn cancerous it should be noted that the majority (65%-68%) of melanomas arise de novo; that is from previously normal skin. This is why during self-examination you should always look for changing moles as well as new lesions.

If you notice any of these signs, it’s a good idea to see a dermatologist. Early detection is key.

Book a Dermatologist Mole Check

Skin Cancer:

Skin cancers are malignant tumors of any one of the many skin cell types. These growths stem from an uncontrolled cellular proliferation which eventually gives rise to the tumor (growth). Skin cancer can be superficial or deep (infiltrative) depending on the depth of invasion of the abnormal cells.

The most common forms of skin cancer are: 

Bacal cell carcinoma (BCC):

These are very common, locally invasive tumors deriving from keratinocytes. Risk factors include sun damage, repeated sunburns, fair skin. There are also several rare genetic familial syndromes (Gorlin, Bazex-Dupre-Christol syndromes).

Although BCCs rarely, if ever, metastasize they tend to grow and cause local tissue destruction. Therefore early diagnosis and proper treatment are essential.

Treatment generally depends on location, size, type of tumor and patient’s preference.

Options include:

Surgical excision, cryotherapy, PDT and topical creams (for superficial tumors). 

Squamous cell carcinoma (SCC):

An SCC is a common type of keratinising tumor and it is an invasive type of cancer. That means the abnormal cancerous cells have invaded the deeper layers of the skin and have now the ability to metastasize and prove fatal. 

Risk factors include sun damage, immunosuppression (e.g. organ transplant recipients), previous skin injuries (non-healing ulcers), smoking and fair skin type.

Treatment will depend on staging of the tumor but generally involves surgical excision, radiotherapy and/or immunotherapy (Cemiplimab). 

Melanoma:

Melanoma is the most serious and potentially fatal type of skin cancer. It stems from uncontrolled proliferation of pigment cells (melanocytes). It can develop anywhere on the skin (including nails) as well as, more rarely, the eyes (uveal melanoma). Melanoma can be superficial, invasive or metastatic. Treatment and management of melanomas is rapidly evolving. It depends on staging and the type of melanoma and generally involves surgical excision and chemo/immunotherapy. 

Risk factors include ageing, UV exposure, fair skin type (phototype I-II), number of sunburns (especially in childhood). Number of moles has also been recognised as a risk factor with those with a large number of moles being at higher risk. 

Although melanomas do derive from previous “normal” moles, it is very important to emphasize that the majority of melanomas develop de novo, i.e on previously healthy skin. Therefore although monitoring of changing moles is essential, spotting “new” lesions on the skin is equally important for early diagnosis and thus a more favorable prognosis.

Your Consultation Experience

At your initial medical consultation, one of our experienced dermatologists will:

  • Review your full medical history
  • Assess the affected areas
  • Diagnose the skin condition or issue
  • Discuss treatment options tailored to your needs
  • Provide education on skincare, proper wash techniques, and vitamin supplementation if relevant
  • Advise on other treatments if necessary, including cryotherapy, minor surgical removal, or advanced dermatological therapies
Medical Consultations Marylebone
Facial Treatments Marylebone

Why Choose Derma Lab Clinic?

  • Doctor-led clinic in central London
  • Full dermatological assessments by specialists
  • Focus on both physical and mental health aspects of skin conditions
  • Personalised care plans designed for long-term success
  • Treatments for acute and chronic skin conditions 

We understand that skin issues are more than just cosmetic; they impact confidence, comfort, and emotional wellbeing. That’s why we are committed to providing expert advice, supportive care, and the latest evidence-based treatment options.

READY TO TAKE CONTROL OF YOUR SKIN HEALTH?

Contact Derma Lab Clinic today to book your expert medical consultation in Marylebone and begin your journey to healthier skin.

Frequently Asked Questions:

What should I expect during a medical consultation at Derma Lab Clinic?

During your medical consultation our experienced dermatologist will conduct a detailed review of your medical history, examine the affected areas of your skin, and discuss any symptoms you are experiencing. We will assess factors such as family history, hormonal changes, and lifestyle to recommend personalised treatment options. You’ll also receive guidance on appropriate medications (topical or oral)  to help manage your condition effectively.

How are common skin conditions like acne treated?

Acne is a common skin condition that can cause painful spots, blackheads, and even scarring if not treated properly. Depending on the severity, we offer treatment options such as topical creams containing benzoyl peroxide, oral antibiotics, specialised cleansers, and prescription medications to address and reduce breakouts. For severe cases, a combination of therapies may be recommended again including topical or oral medications (e.g. Isotretinoin).

When should I see a dermatologist about my skin condition?

You should consider seeing a dermatologist if your skin issues persist for several months, worsen over time, or significantly impact your mental health and self-esteem. Persistent itchy, inflamed, or painful skin; recurrent infection; or visible scarring are also clear signs that a dermatologist input is needed. Early diagnosis and treatment can help treat the problem more effectively, minimise long-term damage, and improve your overall well-being.