Frequently asked questions

Dr. Anand Raman administers all treatments at the clinic. A fully qualified Medical Doctor, Dr Raman graduated from Leicester University Medical School in 2000. He is a Member of the Royal College of General Practitioners and continues to work as a GP in the NHS. Dr Raman lectures and teaches the latest techniques in Aesthetic Medicine at the Royal Society of Medicine and Royal College of General Practitioners.

He is registered with the General Medical Council (UK), the Medical Protection Society (MPS) and is a Full Member of The British College of Aesthetic Medicine.

We are at Room 1, Hydra Skin, 141 Balham Hill, London SW12 9DL, from 1st November 2026 (before that, The Bellissima Clinic, 5 Westbury Parade, SW12 9DZ). This is about 5 minutes' walk from Clapham South Tube station and about 10 minutes from Balham station.

Prices depend on the treatment. See our pricing page for full details.

Botox is a well-known non-surgical injection procedure. It is used in small, controlled doses to temporarily reduce the activity of muscles that cause wrinkles, leading to smoother skin. Botox is commonly used for cosmetic purposes, such as reducing facial lines and wrinkles, but it also has medical applications for conditions like chronic migraines and excessive sweating.

When administered by a qualified professional, Botox is generally considered safe. It has been approved by regulatory authorities, for both cosmetic and medical uses. However, as with any medical procedure, there can be side effects, such as bruising, swelling, or allergic reactions. It’s important to discuss any concerns with Dr. Raman before undergoing treatment.

Getting Botox administered by a medical doctor ensures that the procedure is performed safely and effectively. Medical doctors have the necessary training and expertise to understand facial anatomy, administer the injections correctly, and manage any potential side effects or complications. They can also provide professional advice tailored to your specific needs and goals. Additionally, medical doctors are equipped to handle any adverse reactions or emergencies that may arise during or after the treatment, ensuring a higher standard of care and peace of mind for the patient.

Dr. Anand Raman is a medical doctor who graduated from Leicester University Medical School in 2000. He is a Member of the Royal College of General Practitioners and continues to work as a GP in the NHS. Dr Raman lectures and teaches the latest techniques in Aesthetic Medicine at the Royal Society of Medicine and Royal College of General Practitioners.

He is registered with the General Medical Council (UK), the Medical Protection Society (MPS) and is a Full Member of The British College of Aesthetic Medicine.

Botox is administered through a series of small injections directly into the muscles or areas of concern. The procedure is typically quick, often taking just 10-15 minutes, and does not usually require anesthesia.

Botox is most commonly used on facial areas, including the forehead, around the eyes (crow’s feet), and between the eyebrows (glabellar lines). It can also be effective for neck bands, jawline slimming, and treating excessive sweating in the underarms, palms, and soles of the feet. The suitability of Botox for different areas should be evaluated by a professional.

The effects of Botox typically last between 3 to 6 months. After this period, muscle activity gradually returns, and wrinkles or lines may reappear, requiring repeat treatments to maintain the results. The duration can vary based on individual factors and the area treated.

Results from Botox injections usually begin to appear within 3 to 5 days, with the full effect visible within 1 to 2 weeks. The timing can vary slightly depending on the individual’s response to the treatment and the specific area treated.

Yes, to maintain the results of Botox, regular treatments are necessary. Since the effects are temporary, most people schedule treatments every 3 to 6 months. Dr. Anand Raman can help determine the best schedule for you based on your goals and how your body responds to the treatment.

There is no specific age to start Botox; it varies depending on individual needs and goals. Some people start in their late 20s or early 30s as a preventative measure, while others begin treatments when they notice wrinkles and fine lines becoming more pronounced. It’s best to consult with a professional to determine the right time for you.

Most people experience only mild discomfort during Botox injections, often described as a slight pinching or stinging sensation. The needles used are very fine, and the procedure is quick.

Yes, Botox can be effective for reducing the appearance of existing wrinkles. It works by relaxing the muscles that cause wrinkles, leading to smoother skin. For deeper or more established wrinkles, additional treatments or combination therapies might be recommended.

It is generally advised to avoid strenuous exercise for at least 24 hours after receiving Botox injections. Physical activity can increase blood flow, which may cause the Botox to spread to unintended areas and reduce its effectiveness. Gentle activities like walking are usually fine, but always follow your provider’s specific recommendations.

Botox is highly effective for treating eye wrinkles, particularly crow’s feet. It works by relaxing the muscles around the eyes that cause these lines to form. Most patients notice a significant reduction in the appearance of eye wrinkles, with results typically lasting 3 to 6 months.

Medical Botox refers to the use of Botox for therapeutic, non-cosmetic purposes. It is used to treat a variety of medical conditions, such as chronic migraines, excessive sweating (hyperhidrosis), muscle spasms, overactive bladder, and certain eye disorders like strabismus. Medical Botox treatments are tailored to address specific health issues and are administered by trained medical professionals.

Yes, Botox is available for men and is becoming increasingly popular among male patients. Men use Botox for many of the same reasons as women, including reducing the appearance of wrinkles and fine lines, and addressing medical conditions like excessive sweating. The procedure and effects are the same regardless of gender.

Yes, Botox can sometimes cause headaches as a side effect. While many people experience no adverse effects, some may develop mild to moderate headaches shortly after the injection. These headaches are usually temporary and subside within a few days. If you experience persistent or severe headaches, it is important to contact your provider for advice. In some cases, adjusting the injection technique or dosage can help minimise this side effect in future treatments.

Masseter Botox is a specific application of Botox that targets the masseter muscles, which are located on either side of the jaw. This treatment is commonly used for jawline slimming and to address issues like teeth grinding (bruxism) and jaw clenching. By relaxing the masseter muscles, Botox can reduce the prominence of the jawline, creating a more tapered facial appearance, and alleviate discomfort associated with excessive muscle activity. The procedure involves injecting Botox directly into the masseter muscles and typically shows results within a few weeks, with effects lasting several months.

Polynucleotides are long chains of nucleotides, which are the building blocks of DNA and RNA. In skincare, polynucleotides are used to promote skin regeneration, improve elasticity, and enhance hydration. They work by stimulating cell growth and repair, making them effective for anti-aging treatments and improving overall skin health.

A polynucleotide dose typically contains DNA fragments derived from the sperm of salmon or trout. These DNA fragments are highly purified and processed to ensure safety and efficacy when used in skin treatments. Salmon and trout DNA are chosen because of their high biocompatibility with human skin, which promotes effective cell regeneration and repair. The polynucleotides work by enhancing collagen production, improving skin hydration, and supporting the overall health and resilience of the skin. This natural origin makes polynucleotide treatments a powerful option for skin rejuvenation and anti-aging.

Polynucleotides are generally considered safe when administered by a qualified professional. They are biocompatible and biodegradable, meaning they integrate well with the body’s natural processes and eventually break down without causing harm. As with any treatment, there may be potential side effects such as mild swelling or redness at the injection site, but these are typically temporary.

Polynucleotides are typically administered through injections into the skin. The procedure involves using fine needles to deliver the polynucleotides directly into the targeted areas, such as the face, neck, or hands. The process is usually quick, and topical anesthetics can be used to minimise discomfort.

Polynucleotides are particularly effective in areas where skin regeneration and hydration are needed the most. Common treatment areas include the face, neck, décolletage, and hands. These areas tend to show signs of aging more prominently and can benefit significantly from the rejuvenating effects of polynucleotides.

The effects of polynucleotides can last for several months, typically between 6 to 12 months. The duration can vary depending on factors such as the individual’s skin condition, age, and lifestyle. Maintenance treatments are recommended to sustain the benefits over time.

Results from polynucleotide treatments can start to appear within a few weeks. Initial improvements in skin texture and hydration may be noticeable earlier, while more significant changes, such as increased elasticity and reduction in fine lines, typically develop over the following months. Full results are generally observed within 3 to 6 months after treatment.

Polynucleotide treatments may not be suitable for vegans because the polynucleotides used are often derived from animal sources, such as salmon DNA. This raises concerns for individuals who avoid animal products for ethical reasons. It is important to discuss the origin of the polynucleotides with your provider if you have specific dietary or ethical considerations.

Yes, polynucleotides can be effective even if you already have wrinkles. They work by stimulating cell regeneration and collagen production, which can help to reduce the appearance of wrinkles and improve skin texture. The treatment can be used to address existing signs of aging and to enhance overall skin health.

There is no specific age to start polynucleotide treatments; it depends on individual skin concerns and goals. Some people begin treatments in their late 20s or early 30s as a preventative measure, while others may start later to address visible signs of aging. A consultation with a skincare professional can help determine the best time to begin treatment based on your skin’s needs.

Yes, you can receive polynucleotide treatments even if you have already been treated with Botox. In fact, combining both treatments can provide complementary benefits. While Botox works by relaxing muscles to reduce wrinkles, polynucleotides enhance skin regeneration and hydration. Dr. Raman can develop a tailored treatment plan that incorporates both therapies for optimal results.

PRP, or Platelet Rich Plasma, is a treatment that utilizes a concentration of a patient’s own platelets to accelerate healing and regeneration in various areas of the body. Platelets are a type of blood cell that play a crucial role in wound healing and tissue repair. The PRP process involves drawing a small amount of blood, processing it to concentrate the platelets, and then injecting this enriched plasma into the targeted area to promote tissue regeneration and healing.

PRP is generally considered safe because it uses the patient’s own blood, reducing the risk of allergic reactions or infections. However, as with any medical procedure, there are potential risks, including infection, pain at the injection site, or injury to blood vessels. It’s important to have PRP administered by a qualified healthcare professional to minimise these risks and ensure the best outcomes.

PRP administration involves a few key steps. First, a small amount of blood is drawn from the patient. This blood is then placed in a centrifuge to separate the platelets from other blood components. The concentrated platelet-rich plasma is then collected and injected into the targeted area, such as the skin, joints, or scalp, using fine needles. The procedure is relatively quick and usually performed in a clinical setting.

PRP is used in treating hair loss by stimulating hair follicles to promote hair growth. The concentrated platelets in PRP contain growth factors that can help repair damaged hair follicles, improve blood supply to the hair roots, and increase hair thickness. During the treatment, PRP is injected into the scalp at the level of the hair follicles. Patients typically notice a reduction in hair shedding and an increase in hair density over a series of treatments.

The frequency of PRP treatments can vary depending on the condition being treated and individual patient response. For hair loss, it is common to start with a series of three treatments spaced about four to six weeks apart. After the initial series, maintenance treatments are usually recommended every three to six months to sustain the benefits. Your healthcare provider will tailor the treatment plan to your specific needs and goals.

There is no specific age for starting PRP treatments; it depends on individual needs and the condition being addressed. PRP can be beneficial for both younger individuals seeking preventative measures and older individuals aiming to treat existing issues such as hair loss, skin aging, or joint pain. A consultation with a healthcare provider can help determine the appropriate time to begin PRP treatment based on your specific circumstances.

Profhilo is an innovative injectable treatment that contains one of the highest concentrations of hyaluronic acid (HA) on the market. It is designed to hydrate the skin deeply and stimulate the production of collagen and elastin, resulting in improved skin tone, texture, and elasticity. Unlike traditional fillers, Profhilo spreads evenly through the skin to provide a more natural and youthful appearance without altering facial expressions.

Yes, Profhilo is considered safe when administered by a qualified healthcare professional. It uses pure hyaluronic acid, which is naturally found in the body and biocompatible, reducing the risk of adverse reactions. Common side effects are mild and temporary, such as redness, swelling, or bruising at the injection sites. Always consult with your healthcare provider to ensure it is the right treatment for you.

Profhilo is administered through a series of small injections into specific points of the face or neck. The procedure typically involves injecting the product just below the skin surface using fine needles. The treatment is usually quick, taking about 15-30 minutes, and does not require significant downtime. The hyaluronic acid then spreads evenly under the skin to hydrate and rejuvenate the treated area.

For optimal results, an initial course of two or three Profhilo treatments is recommended, spaced about four weeks apart. Dr Raman finds that three give the best results. To maintain the benefits, follow-up treatments are typically advised every six months. The exact frequency can vary based on individual skin conditions and desired outcomes, so it is best to follow the advice of your healthcare provider.

Profhilo and Botox serve different purposes and work in distinct ways. Profhilo is a hyaluronic acid-based treatment that hydrates the skin and stimulates collagen and elastin production, improving overall skin quality and elasticity. Botox, on the other hand, is a neurotoxin that temporarily relaxes muscles to reduce the appearance of wrinkles and fine lines. While Profhilo enhances skin texture and firmness, Botox is primarily used to smooth out dynamic wrinkles caused by muscle movement. Combining both treatments can address a wider range of aging concerns.

Mesotherapy is a non-surgical cosmetic treatment that involves the injection of a mixture of vitamins, minerals, amino acids, and medications into the mesoderm, the middle layer of the skin. It is used to rejuvenate and hydrate the skin, reduce fat and cellulite, and address various skin concerns such as pigmentation, sagging, and dullness. The treatment aims to improve overall skin health and appearance by delivering nutrients directly to the target area.

Mesotherapy is generally considered safe when performed by a qualified and experienced healthcare professional. As with any injectable treatment, there are potential side effects, including bruising, swelling, redness, and infection at the injection sites. These side effects are usually temporary and resolve on their own. It is important to have a thorough consultation with your provider to discuss any potential risks and ensure the treatment is appropriate for you.

Mesotherapy is suitable for individuals looking to improve their skin’s appearance, reduce localized fat and cellulite, or address specific skin concerns such as pigmentation and sagging. It is also beneficial for those seeking overall skin rejuvenation and hydration. However, it may not be suitable for pregnant or breastfeeding women, individuals with certain medical conditions, or those with known allergies to the ingredients used in the treatment.

The effectiveness of Mesotherapy varies depending on the individual and the specific condition being treated. Many patients report noticeable improvements in skin texture, hydration, and firmness after a few sessions. For fat reduction and cellulite treatment, results may take multiple sessions to become evident. Consistency and a tailored treatment plan are key to achieving optimal outcomes.

Mesotherapy is administered through a series of small injections using fine needles. The treatment area is first cleaned, and a topical anesthetic may be applied to minimise discomfort. The mixture of active ingredients is then injected into the mesoderm at multiple points. The procedure is relatively quick, usually taking about 30-45 minutes, and requires little to no downtime.

The frequency of Mesotherapy treatments depends on the individual’s goals and the specific condition being treated. For skin rejuvenation, treatments are typically recommended every 2-4 weeks initially, with maintenance sessions every few months. For fat reduction and cellulite, a series of treatments spaced a few weeks apart is usually necessary. Dr. Raman will create a customised treatment plan based on your needs.

Mesotherapy and Botox are different treatments with distinct purposes. Mesotherapy involves injecting a blend of nutrients and medications to rejuvenate the skin, reduce fat, and address various skin concerns. It works by nourishing and revitalising the skin from within. Botox, on the other hand, is a neurotoxin that temporarily relaxes facial muscles to smooth out dynamic wrinkles caused by muscle movements. While Mesotherapy enhances skin quality and addresses multiple concerns, Botox specifically targets and reduces the appearance of wrinkles and fine lines.