Dermatology at Cotswold Surgical Partners, we have a team of Consultant Dermatologists that provide prompt assessment, diagnosis and treatment for a wide variety of skin conditions for people aged 18+. Dermatologists are doctors who diagnose, investigate, treat and manage conditions for those over 18 years with skin, hair and nail concerns. They can help you with a broad range of symptoms and treatments from lumps, bumps, tags, suspect skin cancers, changes with moles, or conditions such as acne, eczema and psoriasis.
If you have any concerns about your skin, hair or nails, they would be delighted to meet with you to help give you clarity about what is causing your symptoms and what treatment options would be most suitable for you. We are all very different, and therefore we will always see you for a full skin consultation before we can decide an appropriate treatment plan. During this thorough 30 minute consultation the Consultant Dermatologist will listen to your concerns, examine you thoroughly and discuss with you the best options providing a quotation if you are a private patient.
Why is skin health so important?
Your skin is the largest organ in your body and plays a crucial role in your health and how well your body is able to function. More than just a covering for the body, your skin also:
- Protects your body – from the elements and infection
- Helps to regulate your internal temperature – blood vessels near the surface of the skin may dilate (widen) to help heat to escape from the body in warmer temperatures or constrict (narrow) in order to reduce heat loss in cooler temperatures.
- Gives you your sense of touch – touch receptors in the skin generate electrical impulses that travel through the nervous system to the brain
- Synthesises vitamin D – essential for healthy bones, teeth and muscles, vitamin D is produced by the body when the skin is exposed to direct sunlight.
It can be quite easy to pay little attention to our skin until something goes wrong with it. Common problems including acne, eczema and psoriasis can all have an effect on physical, mental and emotional health, sometimes significantly so.
If you develop a skin problem in a more visible area of your body, like your hands or face, you might find yourself becoming quite self-conscious about how it makes you look. You may even start trying to cover up the affected area with clothing or make-up. While this may be a short-term solution, it does not treat the underlying problem.
Unfortunately, skin can be damaged in a number of ways, including:
- Irritants and allergens
- Ultraviolet (UV) radiation – from the sun
- Underlying disease
- Genetic factors
A number of skin conditions may resolve themselves naturally over time or with simple changes to your daily skin care regime. Other skin complaints will need expert-led treatment to treat.
A Consultant Dermatologist is a doctor who has undergone specialist training in the diagnosis and treatment of skin, hair and nail problems. While a GP may be helpful for some common skin complaints, a Consultant Dermatologist will always be the best person to see for expert advice about your skin, hair or nails.
Whether you have recently noticed that a mole has changed shape or colour, are frustrated by an itchy rash that isn’t going away or would appreciate advice about treating severe acne, seeing an expert in skin health is the simplest, quickest way of getting the most appropriate treatment for your condition.
A formal consultation is required before any surgical procedure or treatment can be organised. We can organise a consultation with a Consultant Dermatologist for a confidential and non-obligatory fee of £250.00. We strongly recommend you bring a supportive friend or relative along to your appointment to help you think about all the information and discuss your surgical options. If possible, leave the kids with a friend or family member allowing you to ask any questions you have and ensure you can be as open and detailed as you wish.
At the consultation, the Consultant Dermatologist will collect a thorough history of your medical health and background, including past health, medications, and operations. They will then ask you questions to get a clear understanding of what you are hoping to achieve and your expectations from any treatment. The Dermatologist will also undertake a detailed physical examination to assess your clinical situation and suitability for treatment. If you have a list of current medication, or previous letters/reports from past medical visits, please bring these along with you.
Your Consultant Dermatologist will then explain your options for any treatment or procedure and the process involved. You will be taken through a detailed explanation of the benefits as well as possible complications and risks of the surgery. While this is not meant to scare or alarm you, it is essential and part of ensuring you have all of the information required to make an informed decision.
At your initial appointment with your Consultant Dermatologist you will typically:
- Spend quality time with your Dermatologist
- Have your photos taken if clinically required
- Have a physical examination by the Dermatologist
- Find out more about your recommended surgical or treatment options
- Receive detailed information about your treatment and/or surgery
- Go through the possible complications and any risks
- Consider sizing options (for some procedures)
- Find out about the likely costs of any required procedure/s and available dates
- Ask any other questions you may have
- Please allow up to 30 minutes for your initial appointment
It is very important to establish a strong relationship with your surgeon prior to any surgery to ensure that you are happy to proceed.
Following your consultation, you will receive in the post:
- Consultation letter summarising what was discussed, the procedure required and any relevant information
- Detailed estimate of costs including the surgeon fee and the theatre costs
Being right on the M4, we are easy to get to from across Swindon and Wiltshire, and even have patients travel from Bath, Bristol and Gloucestershire. Our comprehensive dermatology service includes the assessment and management with a Consultant Dermatologist of skin conditions such as:
- Acne – Typically presents at puberty, but can occur at any age. Acne can range in severity from mild to severe and may cause permanent scarring on the skin. While mild acne can often be managed with over-the-counter treatments, severe acne may need antibiotics or other treatments that are only available on prescription from a Dermatology Consultant.
- Isotretinoin for Acne – an oral retinoid used to treat severe acne and chronic forms of acne in adults.
- Eczema – A group of skin conditions that cause itchy, dry skin. While there is no cure for eczema, treatments can often help to successfully relieve symptoms.
- Psoriasis – A long-lasting genetically inherited skin condition which can present in a variety of ways. Inflammation of the skin and overproduction of the surface cells lead to the development of patches of red scaly skin, which can be anywhere on the body. Treatments can help resolve symptoms and to improve the appearance of the skin.
- Contact dermatitis – When certain substances come into direct contact with the skin, they can cause a rash to develop. These substances include certain chemicals and fragrances and are known as allergens. Identification of the problem and appropriate investigations are required to accurately diagnose and treat this condition.
- Rosacea – A facial rash, commonly seen in people who are prone to flushing and developing spots on the central face Good control is often achieved with a combination of topical and oral treatments.
- Hives (urticaria) – Urticaria can be caused by a number of triggers, including food and medication allergies and underlying infections. However, a cause is often not identified. Identification of possible triggers and discussion of good symptom control with antihistamines is usually achieved.
- Infections – Including athlete’s foot, ringworm and folliculitis (inflammation of hair follicles)
- Hidradenitis suppurativa (HS) – A very painful skin condition that can cause skin abscesses and scarring in severe cases. It usually occurs around the groin, genitals, anus, armpits or below the breasts. This can a difficult condition to manage, and early diagnosis and treatment may help to prevent symptoms getting worse. This is usually a general medical issue.
Other people visit us for help with skin ‘lumps and bumps’ including:
- New skin lumps
- Growths caused by long-term sun damage
- Suspected skin cancers
Due to the wide variety of problems that can affect the skin, some types of skin surgery may be carried out by specialists in other fields, and may be referred to one of our Plastic Surgeons. If referral to another specialist is appropriate, this will be arranged for you.
Treatment will always be tailored to your specific requirements, and should you have any questions about treatment options at any stage, your Dermatologist will be very happy to talk through them with you.
Below are sample procedure costs, though we will discuss and quote appropriately for your individual concerns.
Dermatology Procedures & Treatments
|Curettage of skin lesion
(including cauterisation) – up to three
|– Four or more
|Shave biopsy of skin lesion
|Cryotherapy – if completed at your initial consultation
|Cryotherapy – stand alone separate appointment
|Isotretinoin for Acne
This is a treatment programme and the cost will be finalised with you after consultation. Patients need to be seen for an initial consultation and then typically for up to 5-7 further consultations.
|The initial consultation fee if £250.00 and subsequent appointments cost £180.00. 6-8 consultations may be required depending upon severity of the acne. Blood tests are required prior to treatment, and then during treatment and we can organise those at a charge, usually around £50 to £100 per test). We will issue you with a prescription for it to be dispensed at a pharmacy (not at the clinic). Medication can cost around £40-£60 per month supply of 20mg tablets depending upon the pharmacy and dosage prescribed.
Histopathology & other diagnostic tests
|Skin biopsy for up to 3 lesions
|Skin biopsy for 4 or more lesions
|Mycology (fungal scrapings)
|Bacterial swabs for Microscopy, Culture & Sensitivity (MC&S)
|Fine needle aspiration
|Viral swab for general virus – Polymerase Chain Reaction (PCR)
|Viral swab for Herpes Simplex (HSV) – Polymerase Chain Reaction (PCR)
|Viral swab for Varicella Zoster – Polymerase Chain Reaction (PCR)
|Enterovirus RNA Polymerase Chain Reaction (PCR)
|Treponema Pallidum (Syphilis) – Polymerase Chain Reaction (PCR)
|Immunofluorescence Skin Biopsy (direct IMF)
A range of blood tests can be offered.
|Price confirmed at consultation
£150 + laboratory fees
NHS or Private
We are able to offer a range of consultations and treatments under the NHS. Please contact us to discuss your individual circumstances and requirements and our helpful team will confidentially and sensitively guide you through how we may be able to help.
Meet our Dermatologists
- Dr. Thomas Paul Millard – view bio
- Dr. Beth Emily Wright – view bio
- Dr. Naila Dinani – view bio
- Dr. Catrinel Wright – view bio
This website is designed to supply useful information but is not to be regarded as advice specific to any particular case. It does not replace the need for a thorough consultation and all prospective patients should seek the advice of a suitably qualified medical practitioner. These prices are a guide only and final costs will be confirmed following a consultation with your consultant.
Treatment prices displayed are a guide for initial consultation. Your consultant will be able to discuss costs in greater detail at your consultation.