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Discuss your concerns with Dr Vahe

Concerns discussed at consultation

Bring the concerns you'd like to discuss with Dr Vahe. Your suitability, medical background and expectations are assessed during your consultation.

A £25 consultation deposit applies and is refundable or redeemable in line with the clinic's consultation policy.

Educational overview

Understanding your concerns

Every patient's skin, anatomy, medical history and goals are unique. Many concerns have several possible approaches, and some may not require treatment at all.

A consultation allows a doctor to understand what you have noticed, examine the area concerned, assess suitability and — where relevant — discuss which options may be appropriate for you. Nothing is decided on your behalf.

The sections below explain common concerns discussed at Dr Vahe Clinic in Chelsea, their possible contributing factors and how a doctor-led consultation approaches each one.

Concern 01

Facial ageing

A gradual, individual process reflecting changes in skin, soft tissue, ligaments and underlying structure.

What is it?

Facial ageing describes the combined changes that occur over time across the skin, fat compartments, ligaments and bone. It is a natural process that unfolds differently from person to person.

Common causes

  • Chronological ageing
  • Genetics and family pattern
  • Cumulative sun exposure
  • Skin quality and hydration
  • Lifestyle factors including sleep, stress and diet
  • Previous inflammatory skin conditions

What happens during a consultation?

The doctor typically assesses:

  • Medical history and current medications
  • Facial examination including skin, structure and expression
  • Discussion of the changes you have noticed
  • Previous aesthetic treatments, if any
  • Your goals and priorities

Possible treatment approaches

Depending on your assessment, your doctor may discuss a range of approaches focused on skin quality, collagen support or structural considerations — or advise that no treatment is required.

Recommendations are made only after individual medical assessment. No treatment is guaranteed or promised.

Frequently asked questions

Relevant consultations

A consultation is the starting point for any discussion of the options below.

  • Consultation with Dr Vahe

    Collagen Stimulation Consultation

    Discuss changes in skin firmness, structure or volume before considering whether a collagen-stimulating approach may be suitable.

  • Consultation with Dr Vahe

    Skin Rejuvenation Consultation

    Discuss skin texture, tone, hydration and overall appearance, and realistic expectations before considering any rejuvenation approach.

  • Consultation with Dr Vahe

    Fat Transfer Consultation

    Discuss whether fat transfer may be appropriate for your goals, including donor areas, variability, limitations and recovery considerations.

Concern 02

Fine lines

Superficial lines that appear across areas of the face where the skin is thin, dry or frequently expressive.

What is it?

Fine lines are shallow lines in the surface of the skin. They may become more visible where the skin is dehydrated, sun-exposed or losing collagen and elastin.

Common causes

  • Skin dehydration
  • Collagen and elastin decline
  • Sun exposure
  • Repeated facial expression
  • Sleep position and lifestyle

What happens during a consultation?

The doctor typically assesses:

  • Skin quality, hydration and barrier function
  • Areas most affected and whether they change at rest
  • Skincare routine and sun-protection habits
  • Any previous aesthetic treatments

Possible treatment approaches

Options discussed may focus on supporting skin quality and hydration. Recommendations are individual and only made after assessment.

Recommendations are made only after individual medical assessment. No treatment is guaranteed or promised.

Frequently asked questions

Relevant consultations

A consultation is the starting point for any discussion of the options below.

  • Consultation with Dr Vahe

    Skin Rejuvenation Consultation

    Discuss skin texture, tone, hydration and overall appearance, and realistic expectations before considering any rejuvenation approach.

  • Consultation with Dr Vahe

    Collagen Stimulation Consultation

    Discuss changes in skin firmness, structure or volume before considering whether a collagen-stimulating approach may be suitable.

Concern 03

Dynamic lines

Lines that appear with facial movement, such as frown lines, forehead lines and crow's feet.

What is it?

Dynamic lines appear when the underlying facial muscles contract. They may soften at rest, and over time can become more established.

Common causes

  • Repeated facial expression
  • Muscle strength and activity
  • Skin quality and elasticity
  • Age and cumulative movement

What happens during a consultation?

The doctor typically assesses:

  • Facial movement at rest and in expression
  • Symmetry and muscle activity patterns
  • Medical history, including neurological or muscular conditions
  • Previous treatments in the area
  • Your goals and preferred natural appearance

Possible treatment approaches

Depending on assessment, options may be discussed for softening dynamic lines. Whether any treatment is appropriate is decided individually.

Recommendations are made only after individual medical assessment. No treatment is guaranteed or promised.

Frequently asked questions

Relevant consultations

A consultation is the starting point for any discussion of the options below.

  • Consultation with Dr Vahe

    Anti-Wrinkle Consultation

    Discuss facial movement, expression lines, suitability and realistic expectations before deciding whether any treatment is appropriate.

Concern 04

Volume loss

Changes in the fullness of areas such as the cheeks, temples or under-eye region.

What is it?

With time, changes in fat compartments, bone and skin can alter the fullness of the face. This can affect light and shadow across features.

Common causes

  • Age-related change in fat compartments
  • Bone remodelling
  • Genetics and facial anatomy
  • Significant weight change
  • Cumulative sun exposure

What happens during a consultation?

The doctor typically assesses:

  • Facial structure, symmetry and proportion
  • Skin quality and elasticity
  • Areas of concern and how they behave with movement
  • Medical history and previous procedures
  • Your goals and preferences

Possible treatment approaches

Depending on assessment, structural or tissue-based approaches may be discussed. In some cases, focusing on skin quality alone may be more appropriate.

Recommendations are made only after individual medical assessment. No treatment is guaranteed or promised.

Frequently asked questions

Relevant consultations

A consultation is the starting point for any discussion of the options below.

  • Consultation with Dr Vahe

    Fat Transfer Consultation

    Discuss whether fat transfer may be appropriate for your goals, including donor areas, variability, limitations and recovery considerations.

  • Consultation with Dr Vahe

    Collagen Stimulation Consultation

    Discuss changes in skin firmness, structure or volume before considering whether a collagen-stimulating approach may be suitable.

Concern 05

Acne scars

Textural changes remaining after acne, ranging from shallow marks to deeper indented or raised scarring.

What is it?

Acne scarring describes the changes in skin texture that can follow inflammatory acne. Patterns include atrophic (indented), hypertrophic (raised) and mixed scarring.

Common causes

  • Previous inflammatory acne
  • Skin type and genetic tendency
  • Duration and severity of acne
  • Picking or manipulation of lesions

What happens during a consultation?

The doctor typically assesses:

  • Pattern, depth and distribution of scarring
  • Skin type and healing tendency
  • Whether active acne is still present
  • Previous treatments and skincare
  • Realistic outcomes and limitations

Possible treatment approaches

Different scar patterns respond to different approaches. Whether any is suitable is decided only after individual assessment; combining approaches over time is sometimes discussed.

Recommendations are made only after individual medical assessment. No treatment is guaranteed or promised.

Frequently asked questions

Relevant consultations

A consultation is the starting point for any discussion of the options below.

  • Consultation with Dr Vahe

    Acne Scar Consultation

    Discuss the appearance, pattern and history of acne scarring with a doctor before considering whether any treatment may be suitable.

  • Consultation with Dr Vahe

    CO₂ Laser Consultation

    Discuss whether resurfacing may be appropriate for your skin concerns, including suitability, recovery, limitations and potential risks.

  • Consultation with Dr Vahe

    Collagen Stimulation Consultation

    Discuss changes in skin firmness, structure or volume before considering whether a collagen-stimulating approach may be suitable.

Concern 06

Surgical & other scars

Established scars from previous surgery, injury or procedures.

What is it?

Surgical or traumatic scars result from the skin's healing response. Their appearance depends on skin type, wound location, tension and time since healing.

Common causes

  • Previous surgery or injury
  • Skin type and healing tendency
  • Wound tension and location
  • Time since healing

What happens during a consultation?

The doctor typically assesses:

  • Age and maturity of the scar
  • Type of scar (atrophic, hypertrophic, keloid)
  • Location and skin type
  • Medical history and previous treatments

Possible treatment approaches

Options for scar management may be discussed after individual assessment. Not every scar requires or is suitable for treatment.

Recommendations are made only after individual medical assessment. No treatment is guaranteed or promised.

Frequently asked questions

Relevant consultations

A consultation is the starting point for any discussion of the options below.

  • Consultation with Dr Vahe

    CO₂ Laser Consultation

    Discuss whether resurfacing may be appropriate for your skin concerns, including suitability, recovery, limitations and potential risks.

  • Consultation with Dr Vahe

    Collagen Stimulation Consultation

    Discuss changes in skin firmness, structure or volume before considering whether a collagen-stimulating approach may be suitable.

Concern 07

Uneven skin texture

Concerns about roughness, dullness or unevenness across the skin surface.

What is it?

Skin texture describes how smooth or even the surface of the skin appears and feels. Changes may reflect skin quality, sun exposure, previous inflammation or age.

Common causes

  • Cumulative sun exposure
  • Collagen and elastin decline
  • Previous inflammatory conditions
  • Skin type and barrier function
  • Skincare habits

What happens during a consultation?

The doctor typically assesses:

  • Skin type and barrier condition
  • Areas most affected
  • Previous treatments and current skincare
  • Sun exposure and lifestyle

Possible treatment approaches

A combination of skincare, skin-quality approaches or resurfacing considerations may be discussed. Any plan is decided individually.

Recommendations are made only after individual medical assessment. No treatment is guaranteed or promised.

Frequently asked questions

Relevant consultations

A consultation is the starting point for any discussion of the options below.

  • Consultation with Dr Vahe

    Skin Rejuvenation Consultation

    Discuss skin texture, tone, hydration and overall appearance, and realistic expectations before considering any rejuvenation approach.

  • Consultation with Dr Vahe

    CO₂ Laser Consultation

    Discuss whether resurfacing may be appropriate for your skin concerns, including suitability, recovery, limitations and potential risks.

  • Consultation with Dr Vahe

    Collagen Stimulation Consultation

    Discuss changes in skin firmness, structure or volume before considering whether a collagen-stimulating approach may be suitable.

Concern 08

Pigmentation

Concerns about uneven skin tone, sun spots, patches of darker pigmentation or post-inflammatory marks.

What is it?

Pigmentation refers to the way melanin is distributed across the skin. Concentrations can appear as sun spots, melasma-type patches or marks following inflammation.

Common causes

  • Ultraviolet exposure
  • Hormonal influences
  • Skin type and genetics
  • Post-inflammatory change after acne or injury
  • Certain medications

What happens during a consultation?

The doctor typically assesses:

  • Pattern, depth and distribution of pigmentation
  • Skin type and history of pigment change
  • Sun-protection and skincare habits
  • Medical history including hormonal factors

Possible treatment approaches

Sun protection is central to any pigmentation discussion. Any additional approaches are considered only after careful individual assessment.

Recommendations are made only after individual medical assessment. No treatment is guaranteed or promised.

Frequently asked questions

Relevant consultations

A consultation is the starting point for any discussion of the options below.

  • Consultation with Dr Vahe

    Skin Rejuvenation Consultation

    Discuss skin texture, tone, hydration and overall appearance, and realistic expectations before considering any rejuvenation approach.

  • Consultation with Dr Vahe

    CO₂ Laser Consultation

    Discuss whether resurfacing may be appropriate for your skin concerns, including suitability, recovery, limitations and potential risks.

Concern 09

Hair loss & thinning

Concerns about hair thinning, shedding or reduced hair density on the scalp.

What is it?

Hair loss and thinning can affect people of any age and gender. Patterns and underlying causes vary considerably.

Common causes

  • Genetic pattern hair loss
  • Hormonal influences
  • Nutritional factors
  • Stress and general health
  • Certain medical conditions or medications

What happens during a consultation?

The doctor typically assesses:

  • Pattern and duration of hair change
  • Scalp and hair examination
  • Medical, medication and family history
  • Previous investigations if available
  • Discussion of realistic outcomes

Possible treatment approaches

Further investigation may sometimes be advised. Any options are considered only after individual assessment; not every pattern of hair loss is suitable for aesthetic intervention.

Recommendations are made only after individual medical assessment. No treatment is guaranteed or promised.

Frequently asked questions

Relevant consultations

A consultation is the starting point for any discussion of the options below.

  • Consultation with Dr Vahe

    Hair Restoration Consultation

    Discuss hair thinning or shedding, possible contributing factors, suitability and whether further investigation may be appropriate.

Concern 10

Skin laxity

Concerns about reduced firmness or elasticity of the skin.

What is it?

Skin laxity refers to a reduction in the skin's firmness. It reflects gradual changes in collagen, elastin and underlying support.

Common causes

  • Age-related collagen and elastin decline
  • Genetics
  • Cumulative sun exposure
  • Significant weight change
  • Lifestyle factors

What happens during a consultation?

The doctor typically assesses:

  • Skin quality, thickness and elasticity
  • Areas of concern
  • Underlying structure and support
  • Realistic outcomes and limitations of non-surgical options

Possible treatment approaches

Non-surgical approaches have limits. Whether any is appropriate — or whether an onward opinion is more suitable — is discussed openly at consultation.

Recommendations are made only after individual medical assessment. No treatment is guaranteed or promised.

Frequently asked questions

Relevant consultations

A consultation is the starting point for any discussion of the options below.

  • Consultation with Dr Vahe

    Collagen Stimulation Consultation

    Discuss changes in skin firmness, structure or volume before considering whether a collagen-stimulating approach may be suitable.

  • Consultation with Dr Vahe

    Skin Rejuvenation Consultation

    Discuss skin texture, tone, hydration and overall appearance, and realistic expectations before considering any rejuvenation approach.

Concern 11

Enlarged pores

Concerns about the visibility of pores, particularly across the central face.

What is it?

Pore visibility reflects skin type, oil production, sun exposure and skin quality. It varies significantly from person to person.

Common causes

  • Skin type and genetics
  • Sebum production
  • Cumulative sun exposure
  • Collagen decline around each pore
  • Previous acne or inflammation

What happens during a consultation?

The doctor typically assesses:

  • Skin type and oiliness
  • Areas most affected
  • Current skincare and previous treatments
  • Realistic outcomes

Possible treatment approaches

Pore size cannot be permanently changed. Skin-quality approaches may be discussed to support the appearance of the skin.

Recommendations are made only after individual medical assessment. No treatment is guaranteed or promised.

Frequently asked questions

Relevant consultations

A consultation is the starting point for any discussion of the options below.

  • Consultation with Dr Vahe

    Skin Rejuvenation Consultation

    Discuss skin texture, tone, hydration and overall appearance, and realistic expectations before considering any rejuvenation approach.

  • Consultation with Dr Vahe

    CO₂ Laser Consultation

    Discuss whether resurfacing may be appropriate for your skin concerns, including suitability, recovery, limitations and potential risks.

Concern 12

Sun damage

Cumulative changes to the skin from ultraviolet exposure over years.

What is it?

Sun damage includes changes in pigmentation, texture, fine lines and elasticity resulting from long-term ultraviolet exposure.

Common causes

  • Ultraviolet exposure over years
  • Skin type and family pattern
  • Occupational or recreational exposure
  • Lack of consistent sun protection

What happens during a consultation?

The doctor typically assesses:

  • Pattern and severity of sun-related change
  • Skin type and sun-protection habits
  • Areas of concern
  • Any suspicious lesions requiring separate medical review

Possible treatment approaches

Daily sun protection is central. Additional approaches focused on pigmentation, texture or skin quality may be discussed after assessment.

Recommendations are made only after individual medical assessment. No treatment is guaranteed or promised.

Frequently asked questions

Relevant consultations

A consultation is the starting point for any discussion of the options below.

  • Consultation with Dr Vahe

    Skin Rejuvenation Consultation

    Discuss skin texture, tone, hydration and overall appearance, and realistic expectations before considering any rejuvenation approach.

  • Consultation with Dr Vahe

    CO₂ Laser Consultation

    Discuss whether resurfacing may be appropriate for your skin concerns, including suitability, recovery, limitations and potential risks.

Concern 13

Under-eye concerns

Concerns about hollowness, shadowing, fine lines or crepey texture beneath the eyes.

What is it?

The under-eye area is thin, expressive and highly individual. Changes may relate to skin quality, hollowing, pigmentation or a combination.

Common causes

  • Individual anatomy
  • Volume change beneath the eye
  • Skin thinning and pigmentation
  • Sleep, hydration and lifestyle
  • Genetics

What happens during a consultation?

The doctor typically assesses:

  • Careful examination of the under-eye anatomy
  • Medical history and any eye-related conditions
  • Previous treatments in the area
  • Realistic outcomes and limitations

Possible treatment approaches

The under-eye area is delicate. In many cases the doctor may advise that no treatment is appropriate or that a more conservative approach is preferable.

Recommendations are made only after individual medical assessment. No treatment is guaranteed or promised.

Frequently asked questions

Relevant consultations

A consultation is the starting point for any discussion of the options below.

  • Consultation with Dr Vahe

    Skin Rejuvenation Consultation

    Discuss skin texture, tone, hydration and overall appearance, and realistic expectations before considering any rejuvenation approach.

  • Consultation with Dr Vahe

    Collagen Stimulation Consultation

    Discuss changes in skin firmness, structure or volume before considering whether a collagen-stimulating approach may be suitable.

Concern 14

Jawline & neck ageing

Concerns about definition along the jawline or changes to the skin of the neck.

What is it?

Changes across the jawline and neck reflect a combination of skin quality, underlying structure and time. Concerns may be aesthetic or postural in origin.

Common causes

  • Skin laxity and collagen decline
  • Changes in fat compartments
  • Cumulative sun exposure
  • Genetics and facial anatomy
  • Weight change over time

What happens during a consultation?

The doctor typically assesses:

  • Facial and neck examination including skin and structure
  • Symmetry and proportion
  • Realistic outcomes for non-surgical approaches
  • Medical history and previous procedures

Possible treatment approaches

Options may be discussed after individual assessment. In some cases the doctor may explain that non-surgical approaches are unlikely to meet a patient's goals.

Recommendations are made only after individual medical assessment. No treatment is guaranteed or promised.

Frequently asked questions

Relevant consultations

A consultation is the starting point for any discussion of the options below.

  • Consultation with Dr Vahe

    Collagen Stimulation Consultation

    Discuss changes in skin firmness, structure or volume before considering whether a collagen-stimulating approach may be suitable.

  • Consultation with Dr Vahe

    Skin Rejuvenation Consultation

    Discuss skin texture, tone, hydration and overall appearance, and realistic expectations before considering any rejuvenation approach.

Individual assessment

Why a personalised consultation matters

Two patients with the same concern may require completely different approaches. Any recommendation is individual and made only after assessment of factors such as:

  • Age
  • Skin quality
  • Facial anatomy
  • Lifestyle
  • Medical history
  • Previous procedures
  • Personal goals
  • Realistic expectations
  • Suitability and safety

The consultation

What to expect at a consultation

The consultation process is consistent across every concern discussed at the clinic.

  1. Book your consultation

    Choose a time that suits you. The consultation deposit is confirmed at the point of booking.

  2. Discuss your concerns and medical background

    Share what you have noticed, your goals and relevant history, including any previous aesthetic treatments.

  3. Receive a personalised assessment

    The doctor examines the area of concern and discusses what appears to be contributing to the pattern you have described.

  4. Review possible options and limitations

    You are talked through options that may be appropriate, alongside their limitations. Nothing is decided on your behalf.

  5. Decide whether to proceed

    You leave with the information you need to consider your next step in your own time. There is no expectation of same-day treatment.

Discuss your concerns with Dr Vahe

Book a personal consultation with Dr Vahe. Nothing is decided on your behalf — options and suitability are discussed with you at your consultation.

A £25 deposit is required to secure your consultation. It is fully redeemable towards treatment. It is also refundable if treatment is not clinically suitable, if you attend your consultation and decide not to proceed, or if you cancel or rearrange with at least 24 hours' notice.