Thank You

Thank you for taking the time to leave us a testimonial. We use all patient feedback to help improve our service and care.

While you’re on the site, why not take a look at our news blog to learn more about our treatments and procedures?

Book straight in for treatment by having your condition assessed by our surgical nurses for free.

Name*
Forename Surname
Date of Birth*
Day
Month
Year
Email Address*
Enter Email Confirm Email
Phone Number*
House Number / Name*
Postcode*
This field is hidden when viewing the form
Which clinic would you like to attend?*
Treatment of Interest*
You might need an in-clinic consultation.

Some procedures require an initial appointment with your Surgeon before treatment. You can still use this form and we will call you back to discuss next steps, but before proceeding to treatment you will need to book an in-clinic consultation with one of our Surgeons.

For the following treatments, please call to book an appointment:
- Rhinophyma treatment
- Earlobe Reduction
- Inverted Nipple Surgery
- Upper Blepharoplasty
To book, call us.
Upload photos*
Please upload clear image(s) of the area for our medical staff to review.
Drop files here or
Accepted file types: jpg, jpeg, gif, png, bmp, tiff, pdf, Max. file size: 60 MB, Max. files: 5.
How long have you had this condition?*
Any recent changes in your condition?*
Current and past medical history*
Are you using any medications?*
(prescribed and over-the-counter)
Do you have any allergies?*
Which clinic location would you prefer?*
- Leeds
- Newcastle / Gateshead
How did you hear about us?*
View Terms and Conditions
*
- I agree to the terms and conditions
Name
This field is for validation purposes and should be left unchanged.

Our Patient Care Team

Ready for your call