Consultation-led aesthetic medicine · Brighton & Hove · By appointmentConsultation-led · Brighton
Treatments · assessment-led care

Treatments.
Start with what you have noticed.

Some people already have a treatment in mind.
Others want to talk about changes they have noticed.
Either is a good place to start.

Explore your options

Explore your options

Choose the area that matches your needs.

You may have noticed changes in your facial features or skin quality, or you may be looking for advice from a pharmacist. Below are three areas of my practice. You do not need to choose a specific treatment at this stage.

Swipe left to see the next area Drag left or choose an area

Face — movement and proportions

Movement, support, shape and proportion — assessed together.

You might be noticing
  • wrinkles
  • volume loss
  • changes in proportion
  • less defined facial contours

Clinical Services

Consultations and clinical assessment — with a discussion of options appropriate for you.

You might be looking for help with
  • hair thinning
  • benign skin lesions
  • excessive sweating
  • difficulty losing weight

Patient perspective

Selected Google reviews

View Google profile
‘I've had several really good experiences here - professional, well informed, safe, comfortable and effective.’
M F · Google review
‘He's very calm, reassuring and never makes you feel rushed or pressured.’
Bella Watton · Google review
‘Piotr listened to what my goals were and advised me what was achievable.’
Claire Durrant · Google review
‘A fantastic experience from start to finish. Everything was fully explained and my goals explored.’
Sophie Holdt · Google review
‘Piotr has been nothing but professional with me, making me feel at ease whilst having treatments, and explaining what results I can expect.’
Merilyn Salvage · Google review
‘He asked me what I wanted, listened and then explained more about the procedure, gave me options and advised what he would recommend.’
Clare H · Google review
‘Piotr is wonderful in how he explains everything that he is going to do and will not proceed until you feel completely comfortable and understand the process.’
Sally Delves · Google review
‘He was very professional, knowledgeable, and refreshingly honest.’
G R · Google review
‘Piotr's approach is to listen to you so you receive a treatment that is tailored precisely to your individual and personal goals.’
Anthony Kirwan · Google review

Path two · The complete index

All treatments &clinical services, A–Z.

Browse treatments and clinical services by name, or choose a category to narrow the list.

All treatments & clinical servicesChoose a category to see its guides.

All categories · 25 entries

A

Absorbable PDO barbed threads

Face — movement and proportions

Modest support for sagging tissue that can be repositioned — rarely a first-choice treatment.

Read the guide

Anti-wrinkle injections

Face — movement and proportionssame guide: Expression Lines & Facial Movement

Information about the treatment is available in the “Expression Lines & Facial Movement” guide.

Read the guide

C

Chemical peels

Skin Qualityincludes: TCA peel

Controlled resurfacing to improve texture, tone and selected surface concerns, including TCA peels.

Read the guide

Chronic migraine assessment and treatment

Clinical Services

Chronic migraine is assessed against defined diagnostic criteria. Other headache patterns may need a different pathway or referral.

In preparation

Collagen biostimulators

Face — movement and proportionsalso: Skin Quality

Treatments that support gradual collagen remodelling. The type of effect and how soon it appears depend on the product and how it is used.

Read the guide

D

Dermal fillers (hyaluronic acid)

Face — movement and proportions

Restoring tissue support or proportions in selected areas. Not a treatment for skin quality or an answer to every fold.

Read the guide

Dermapen

Skin Qualitysame guide: Microneedling

Information about the treatment is available in the microneedling guide.

Read the guide

E

Excessive sweating (hyperhidrosis)

Clinical Services

Assessment of problematic sweating; options are discussed after individual clinical review.

In preparation

Expression Lines & Facial Movement

Face — movement and proportionsalso known as: anti-wrinkle injections

For changes driven primarily by repeated muscular activity; some options are prescription-only and follow individual assessment.

Read the guide

H

HIFU

Face — movement and proportionsalso: Skin Quality

Focused ultrasound for selected mild laxity; change is gradual and more limited than surgery.

Read the guide

J

Jaw tension, clenching & masseter assessment

Clinical Servicesrelated concern: bruxism

Assessment of jaw tension, clenching and masseter activity; any options follow individual review.

In preparation

L

Lip fillers

Face — movement and proportions

Lip shape and proportion, planning, comfort and recovery.

Read the guide

M

Medical weight management

Clinical Services

A medically led, assessment-first programme with structured follow-up.

Read the guide

Microneedling

Skin Qualityalso known as: Dermapen

Controlled microneedling for selected texture and skin-quality concerns.

Read the guide

P

Phlebotomy

Clinical Services

Blood sample collection for laboratory testing. If odNOVA arranges the tests, I also discuss the results. For tests arranged independently, the service covers sample collection only.

Read the guide

Platysma prominence / vertical neck bands

Clinical Services

Assessment of vertical bands caused by platysma activity. Horizontal neck lines have different causes and are considered separately.

In preparation

Polynucleotides

Skin Quality

An injectable treatment aimed at improving skin quality. The guide discusses current research and its limitations.

Read the guide

Prescribing

Clinical Services

Prescription-led care where clinically appropriate, within a defined scope of practice.

Read the guide

PRP & PRF for skin

Skin Qualityalso: PRP for hair loss

Prepared from your own blood and used for selected skin-quality concerns; response varies between individuals.

Read the guide

PRP for hair loss

Clinical Servicesalso: PRP & PRF for skin

Platelet-rich plasma for selected patterns of hair loss, after assessment.

Read the guide

S

Skin boosters

Skin Quality

Injectable treatments aimed at hydration and improved skin quality.

Read the guide

Skin lesion assessment & removal (benign)

Clinical Services

Assessment comes first; removal of benign lesions is discussed only where appropriate.

Read the guide

T

TCA peel (trichloroacetic acid)

Skin Qualitypart of: Chemical peels

A chemical peel using trichloroacetic acid (TCA), aimed at skin renewal.

Read the guide

Trapezius assessment

Clinical Services

Assessment of trapezius muscle bulk, tension and the requested objective before any treatment is considered.

In preparation

Not sure where to start? Start from what you notice instead

The next step

Readingis a good start.Consultation is the next step.

You do not need to choose a treatment before we meet. I will assess your needs and explain whether any of the treatments may be suitable for you.