Qualified judgement
I assess the evidence using my clinical experience and training in pharmacy, aesthetic medicine and dermatology, then consider how it applies to your health, anatomy, priorities and treatment history.
Private clinical practice · Brighton
Qualified advice and careful treatment from Piotr Wojtowicz, with safety, proportion and natural-looking outcomes in view from the first question onwards.
5.0What makes odNOVA different
You can arrive with a concern, a treatment name or previous experience. The purpose is not to force you through a process. It is to give you qualified information and clinical judgement that have value — then let you decide what, if anything, feels worthwhile.
The practice is deliberately small, quiet and by appointment. The person who listens is also the person responsible for the plan, any treatment that is agreed and the care that follows.
Read the odNOVA approachI assess the evidence using my clinical experience and training in pharmacy, aesthetic medicine and dermatology, then consider how it applies to your health, anatomy, priorities and treatment history.
Improvement should make sense in your face or skin — not advertise the procedure or follow a passing trend.
The same clinician assesses, treats when appropriate and remains available afterwards.
A useful appointment may lead to treatment, another option, time to think — or no intervention.
How a decision takes shape
Understanding is part of the care. It does not create an obligation to proceed.
Tell me what you have noticed, what bothers you, what you have tried and what you would like to preserve. You do not need clinical terminology; if you already know the treatment name, you can say that too.
I explain what may be contributing, which options are clinically reasonable and why one route may fit better than another. That includes expected benefit, limitations, risk, recovery, alternatives and when treatment may not be useful.
Take the information away if you wish. Explore as much as you want. Before choosing, understand what the evidence and trade-offs mean for you.
You may proceed, wait, choose another route or decide against treatment. If you already know what you want, you can book the relevant appointment directly; suitability is still assessed before anything is agreed.
Three clinical routes
Open a route to see how it is considered. The route is a starting point, not a self-diagnosis.
For expression lines, tired-looking features, hollowing, softened definition, changing proportion, profile balance and asymmetry.
The face is assessed at rest and in movement. A fold can be created by support changing elsewhere; an under-eye shadow may come from pigment rather than volume; a forehead line may be connected to the way the brow is held. The visible point is not always the origin of the change.
For texture, pigmentation, redness, dehydration, acne and scarring, dullness, sensitivity and early changes in firmness.
Hydration, barrier function, inflammation, collagen, pigment and surface texture are different processes. A skin plan distinguishes them before choosing skincare, a procedure or a combination over time.
For selected concerns including benign skin lesions, medical weight management and prescribing-led services.
These services begin with a clinical assessment by a pharmacist independent prescriber, within a defined scope of practice. Where something falls outside that scope, the next step is discussed openly — including referral.
What enters the assessment
Assessment considers your concern, anatomy, facial movement, skin, medical history, previous procedures — and the result you would consider worthwhile.
What has changed, how long it has mattered, what you would like to improve and what you want to remain unmistakably yours.
Structure, proportion, facial movement and how the visible concern relates to the rest of the face rather than existing in isolation.
Skin behaviour, health, medication, previous procedures, healing, risk and anything that changes suitability or the expected recovery.
The degree of change that would feel worthwhile to you, what can realistically be achieved and where the limits of treatment need to stay visible.
If you are new to the clinic, or considering a treatment you have not had here before, suitability must be assessed before anything proceeds. When the appointment booked is an assessment, treatment is usually arranged separately. If a specific treatment appointment has been booked directly, it may proceed at that visit only if assessment confirms that it is appropriate. If the honest answer is to do less — or nothing — that is the decision you will be given.
Choosing treatment
Every treatment has its own guide, setting out what is involved and where the evidence stops. Choose the way in that sounds like you.
04 · Restraint
A natural result is not a house style imposed on every face. It is a result that makes sense in your own anatomy, respects movement and leaves the features that carry your identity intact.
That may mean softening rather than removing a line, restoring support rather than filling the fold below it, improving the surface of the skin instead of changing its shape, or staging treatment so the face has time to settle before anything else is considered.
Refinement is measured by what improves — and by what remains unmistakably yours.
Read the odNOVA approach
One line of responsibility
Piotr listens, assesses, plans and performs any treatment that is agreed. The same clinician remains available after you leave the room.
Some procedures need very little routine contact; more involved recovery receives closer follow-up. Continuity is proportional, but access is never withdrawn.
The scale is deliberate: small, private and by appointment, away from the visibility of a busy high-street clinic.
MPharm · Pharmacist Independent PrescriberMSc Cosmetic & Aesthetic MedicinePGDip Dermatology in Clinical Practice
Meet PiotrAesthetics for men
odNOVA cares for women and men equally. The dedicated men’s guide simply gives male skin, hair, facial change, privacy and natural-looking outcomes the space and context they deserve.
Read Aesthetics for MenThe Journal
Articles on how skin behaves and changes, what aesthetic treatments can and cannot do, what the published evidence actually shows, and how a plan is reasoned through in clinic.
Notes from odNOVA
Clinical perspective on skin and aesthetic medicine, new Journal articles, and considered updates from odNOVA. No noise. No pressure.
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The next step
Bring a concern, a treatment name or previous experience. Book the appropriate appointment, read further first, or ask a question.