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A consultant dermatologist examining a patient's forearm with a hand-held dermatoscope (AI-generated demonstration image)
01A consultant dermatologist examining a patient's forearm with a hand-held dermatoscope

00Acne & rosaceaProcedure

Acne & rosacea programme

SeenWithin a week
ResultMost clearly better by week 12
Price£890 · Six months, all reviews and monitoring bloods; medicines extra
Next slotWed 10:30 · Dr Priya Nairdemonstration

Six months of consultant-led acne or rosacea treatment, including isotretinoin with full monitoring where it is the right drug, at one fixed price.

00The record

Acne & rosacea programme: what it is, what is included.

Acne & rosaceaWithin a weekLed by Dr Priya Nair
Acne & rosacea programme: the cells of the record
CellEntry
SeenWithin a week
ResultMost clearly better by week 12
Price£890 over 6 months
InsuredConsultations covered; programme pricing self-pay
Length6 months, four reviews
Instalments£74 a month over 12 months at 0%

Included in the price

  1. 01Forty-minute consultant consultation
  2. 02Four reviews over six months, in person or video
  3. 03Baseline and repeat blood tests for isotretinoin
  4. 04Pregnancy prevention programme and testing where it applies
  5. 05Mood, wellbeing and sexual-health questionnaires at every review
  6. 06Private prescriptions (medicine cost extra, about £35 to £60 a month)
  7. 07A scarring assessment at the end with options

Acne that has outlasted the pharmacy shelf and two GP courses needs a dermatologist and a plan that runs for months, not a single appointment. The programme is six months with Dr Nair, priced once, so that the reviews, the blood tests and the phone calls do not become reasons to stop.

What happens

  • A forty-minute first consultation: acne type, scarring, what has failed, what you can live with
  • Prescription treatment: topical, antibiotic, hormonal or isotretinoin, with the reasons written down
  • Reviews at four, ten, sixteen and twenty-four weeks, in person or by video
  • For isotretinoin: baseline and repeat bloods, a pregnancy prevention programme where it applies, mood and wellbeing questionnaires at every review, and Claire's number for anything in between

Rosacea follows the same shape with different medicines; the vascular laser for persistent redness is referred out and we say so.

Isotretinoin is the most effective drug for severe acne and the one with the most rules. We follow the British Association of Dermatologists guidance and the MHRA requirements in full; nobody starts it here without the bloods, the questionnaires and a proper conversation about the risks below.

Procedure

From £890

Six months, all reviews and monitoring bloods; medicines extra

SeenWithin a week
ResultMost clearly better by week 12
InsuredConsultations covered; programme pricing self-pay
Or£74 a month at 0%

Every fee and insurer →

00Monitoring and risks

Isotretinoin works, and the rules are what keep it safe.

Every risk here is screened for at every review: bloods, pregnancy prevention where it applies, mood and wellbeing questionnaires. The programme price includes all of it.

  1. 01Isotretinoin causes severe birth defects: contraception and pregnancy testing are compulsory where they apply
  2. 02Dry lips, skin, eyes and nose in almost everyone on isotretinoin
  3. 03Changes in mood, and rarely depression or suicidal thoughts: screened at every review
  4. 04Sexual side effects, including reduced libido and erectile difficulty, reported by some patients
  5. 05Raised cholesterol or liver enzymes, which is why the bloods are repeated
  6. 06Sun sensitivity and, for antibiotics, gut upset or thrush

Same day Stop and ring if

  • Any change in mood, sleep or how you feel about yourself
  • A missed period, or any chance of pregnancy
  • Severe headache with visual change, or bloody diarrhoea
  • Anything else that worries you: Claire’s number is on the plan

01632 960950Send a photo

Counted in the audit

clear or almost clear after isotretinoin. 96 people completed a course; every one had the bloods and questionnaires on schedule; no pregnancies.

Outcome2025 audit: 96 people completed isotretinoin; 89% clear or almost clear at 24 weeks; no pregnancies
3Isotretinoin courses stopped for mood change. Of 96. Each was screened, stopped and followed up; all recovered.

Every number, with its context →

00Suitable for

Who this is for, and who it is not.

The consultant decides in the room; this is the honest list so you book the right appointment first time. Unsure: send a photo and Claire will say.

For

  • Acne that has not settled after two GP-prescribed courses
  • Acne that is scarring, or on the chest and back
  • Adult acne, including hormonal patterns
  • Rosacea with persistent redness, bumps or eye symptoms

Not for

  • Under-16s: the paediatric clinic sees teenage acne
  • Anyone who is pregnant, planning pregnancy or breastfeeding, for isotretinoin
  • Mild acne that a pharmacist has not yet tried to treat

Insurance: Consultations covered; programme pricing self-pay. Billed directly: give Rosie your policy number and authorisation code and you pay only your excess.

00What happens

The day, and the days after.

Recovery written as the record will read: what to expect on each day, and when Claire sees you.

  1. 01Weeks 1 to 4Dry lips and skin on isotretinoin; a flare is common. Reviewed at four weeks.
  2. 02Weeks 8 to 16Most people are clearly improving. Bloods repeated; dose adjusted.
  3. 03Week 24Course usually complete. Scarring assessed; maintenance plan written.

How you get the result

Within one working day of a photoClaire replies to the triage line with one of three words: today, this week, or routine, and the appointment that fits. Free.
In the roomA mole check, full-body check or consultation ends with a verdict and a written note. You are not sent away to wait for a letter.

00Related conditions

The conditions this is booked for.

From the conditions A–Z, with the urgency stamp each carries. The full guide →

01Why do you charge for a programme rather than per visit?

Because acne treatment fails when people stop coming. Per-visit pricing makes the fourth review feel optional; it is the one where the dose is adjusted and the scarring is assessed. £890 covers everything except the medicine itself, and it can be paid over twelve months at 0%.

02Can my teenager have isotretinoin?

Yes, from 16 with Dr Nair and from 12 with Dr Rahman, with a parent involved throughout. The MHRA rules on under-18s were updated in January 2026 and we follow the current version.

Not sure? Send a photo firstUpload instead

Worried about a mole?

Ring, or send a photo. Either way, you are seen.

Mole checks within 3 working days; same day if bleeding.

Ring Rosie01632 960950
Photo to Claire01632 960951
OpenMon–Fri 07:15–18:30 · Sat 08:30–13:00
Map showing Chestnut Avenue and the station in Copley Bridge (demonstration image) (AI-generated demonstration image)
Oakwood House, 14 Chestnut Avenue, Copley Bridge WX6 3ADTwo doors
  • Front porch, Chestnut Avenue

    Four spaces on the gravel drive including one blue badge; free on-street parking on Chestnut Avenue, tight on Wednesdays

  • Garden entrance, Chestnut Lanestep-free

    Drop-off bay at the door; two spaces reserved for surgery patients on the day

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