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12The house

The house

A Georgian townhouse on The Crescent in Hartley Wells, run as a boarding house by Dr Vance's grandmother and as a skin clinic since 2017. Doctor-led, nurse-prescribed, therapist-maintained, and quieter than you expect.

A Georgian townhouse on a curved crescent with a black door and a small brass plate, early morning (AI-generated demonstration image)

01The story

Consultation first. Less, then review. Downtime in days. Counted, not claimed.

Eleanor Vance was a GP for twelve years and had, by her own count, referred several hundred patients to aesthetic clinics she had never seen inside. When she trained in aesthetic medicine herself she found an industry that sold by the syringe and reviewed by the Instagram post. The house opened in 2017 with three rules that have not changed: a doctor sees everyone first, nobody is treated on the day they decide, and every treatment is reviewed at two weeks whether or not anything needs doing.

Samir Haddad came from NHS dermatology in 2020 and brought the skin checks and the prescription programmes; Rosalind Achebe brought eleven years of injecting and a preference for half a millilitre; Tomasz Nowak built the laser room. The team is eight; it has been eight for three years. There are four treatment rooms, one laser room, a consulting room with the imaging, and a door on Chapel Mews for anyone who would rather not use the front.

We count everything: consultations, doses, top-ups, complications, and how often we said no. The numbers are on their own page.

  • 01Consultation first

    A doctor, imaging and your history before any plan. Nothing injected on the day. At least 48 hours to think.

  • 02Less, then review

    The smallest honest dose, then a two-week review with photographs where we add, adjust or leave alone, at no charge.

  • 03Downtime in days

    Every treatment tells you the days, the longevity and the risks before you book, on the menu and again in the room.

  • 04Counted, not claimed

    Consultations, doses, complications and how often we advised less, audited every January and published.

The entrance hall: a pale stone floor, a single bench, dried grasses in a stone vase and a brass plate by the door (AI-generated demonstration image)
The entrance hall: a pale stone floor, a single bench, dried grasses in a stone vase and a brass plate by the door

02The rooms, and the rules

The review policy

Every injectable treatment includes a review at two weeks with photographs compared to your consultation images. Anti-wrinkle injections are topped up at the review if the result is short or uneven, at no charge. Hyaluronic acid filler is adjusted or dissolved at no charge if we agree the result is not right. Courses are reviewed at three months with imaging. If the doctor advises at consultation that a treatment is not right for you, any deposit is refunded in full.

What we counted last yearAll of it →

  • 2,140

    consultations

  • 31%

    advised to do less than they asked for

  • 14%

    advised no treatment yet

03Who opened it

Dr Eleanor Vance and Dr Samir Haddad.

If I can't tell you which millilitre changed what, I shouldn't be injecting it.

Dr Eleanor Vance, medical director and aesthetic doctor

A mole check before a laser course is not an upsell. It is the order things go in.

Dr Samir Haddad, aesthetic doctor and skin health lead
  • 01Doctor consultation and a 48-hour cooling-off period before every treatment
  • 02Two-week review with photographs included; top-ups and adjustments at no charge
  • 0331% of patients advised to do less than they asked for in 2025

Spoken here: English · French · Arabic · Welsh · Polish · Tamil · Japanese

Step-free access through the Chapel Mews entrance. Ground-floor consulting and treatment rooms. Accessible toilet on the ground floor. Chaperone offered for every examination. Assistance dogs welcome.

finConsultations available

Start with aconversation, nota treatment.

45 minutes with a doctor with a doctor, £75, credited to any treatment within three months. Nothing is injected at a first appointment, for anyone. If the doctor advises no treatment, you have still had the imaging, the routine and the honest answer.

Charlotte answers 01632 960900Mon–Wed 08:3018:00The Crescent doorChapel Mews entrance

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