If a mole is changing, it doesn't matter whether it hurts.
Skin problems are the ones people put off, because they look small and they rarely hurt. Most turn out to be nothing. The way to keep it that way is to have the changing one looked at while it is still small enough to be boring.
Colour and diameter — More than one colour in the same spot, or something noticeably bigger than the others on you
Evolving — the important one — Any change in size, shape, colour or feel over weeks or months. Change is the sign that matters most
The odd one out — A spot that simply looks different from all your others is worth showing somebody, whatever the checklist says
A sore that will not heal — Something that scabs, bleeds, heals a little and comes back in the same place for more than a month
Who actually decides — Not a website and not an app. Examination with a dermatoscope, and where needed a biopsy, is what answers the question
Almost everyone applies too little — Roughly a teaspoon for the face and neck alone, and again every couple of hours if you are out in it
Shade and cloth beat cream — A hat, a sleeve and the shady side of the street outperform any bottle, and they never wear off
There is no safe tan — A tan is the skin responding to damage. Sunbeds are worse than the sun, not a controlled version of it
Cloudy days still count — Ultraviolet comes through cloud and reflects off water, sand and snow
Darker skin needs this too — Skin cancer is less common in darker skin and is often found later — check palms, soles, nails and the inside of the mouth, which are the places it is missed
Appointments
Consultation
- One problem looked at properly
- Examination with a dermatoscope
- A written plan and a letter to your doctor
- Prescription where it is needed
Full skin check
- Head to toe, including scalp and between toes
- Anything of note photographed and measured
- Recorded so next year's check is a comparison
- Recommended yearly if you have many moles
Minor procedure
- Biopsy or removal under local anaesthetic
- Sample sent to a laboratory, always
- Results discussed in person, not by text
- Quoted before the day, never on it
Or the other way round — Wanting something for how it looks is a perfectly good reason, and it does not need dressing up as a medical need to be taken seriously
Injectables — Prescribed and given by qualified clinicians on these premises. Ask anybody, anywhere, who is actually holding the needle
Nothing here is permanent — Any treatment for an ongoing condition works while you do it. If a clinic promises a permanent fix for a chronic problem, ask what happens when you stop
Patch testing — Before anything is put on sensitive or reactive skin. It costs a fortnight and saves the occasional disaster
No before-and-after gallery — Because lighting, angle and makeup decide those photographs, and a page selling you on someone else's face is not evidence about yours
What treatment usually asks of you
Eight to twelve weeks
Most acne treatment needs that long before it can be judged. Stopping at week three is the single commonest reason it 'didn't work'.
Not chocolate, not dirt
Acne is not caused by being unclean or by what you ate on Friday. Scrubbing harder makes it angrier, not cleaner.
Treat early for scarring
Scarring is far easier to prevent than to treat, which is the real reason not to wait it out for a year.
Moisturiser, in quantity
Eczema care is mostly emollient, used far more generously and far more often than most people are told.
Steroid creams
Used as prescribed and reviewed, they are safe and effective. Fear of them, unmanaged, causes more harm than the creams do.
Bring your bag of products
Everything you have tried, including the ones from the internet. Half of dermatology is finding out what is already going on the skin.
Book an appointment
The clinic
The clinic
12 Linden Walk, Northgate
- Monday
- 08:30 – 18:00
- Tuesday
- 08:30 – 18:00
- Wednesday
- 08:30 – 18:00
- Thursday
- 08:30 – 19:30
- Friday
- 08:30 – 16:00
- Saturday
- 09:00 – 13:00
- Sunday
- Closed
Live preview — every color, word and block is editable after you pick it.
