DOCTOR'S NOTES

Written and medically reviewed by Dr Vahe Karimyan MD, MS, PhD, Specialist Surgeon and Medical Director, Dr Vahe Clinic, Chelsea, London. Last reviewed 31 July 2026. Almost every week, somebody sits down in my consulting room, pulls at the skin along their jaw with two fingers, lifts it a centimetre, and says: this. This is what I want. It is a fair way to describe the problem. It is also, quite often, the beginning of a difficult conversation, because no device on the market

Three hours into an evening, the burning under the balls of your feet begins and the shoes come off in the taxi home. That very ordinary experience is why a foot treatment nicknamed Stiletto Botox keeps appearing in fashion magazines. A Chelsea doctor explains what it realistically does, who it suits, what the evidence shows, and why an honest assessment matters more than any trend. Results vary from person to person.

Your skin microbiome is the living ecosystem on your skin's surface. Learn what it does, what disrupts it, the conditions linked to imbalance, and how to support it.

Fat-based fillers like alloClae, Renuva and Lipoderma promise natural, regenerative volume. Learn how they work, what they treat, their benefits and limitations.

Sculptra builds volume and collagen; polynucleotides restore skin quality. Dr Vahe Karimyan explains how he chooses between them, and when he combines both.

Dutasteride mesotherapy delivers this hair-loss treatment directly into the scalp by injection, not tablets. Learn how it works, results and safety, in London.

Acne scars are not all the same. Dr Vahe Karimyan explains how he treats them with TCA CROSS, subcision, CO2 laser and Endolaser, matched to each scar type.

Hair loss has many causes, and generic treatments often fail. Dr Vahe's protocol diagnoses the cause first, then combines medical and regenerative treatments.

Creams cannot reach the cause of cellulite. Dr Vahe Karimyan explains how the AI Laser 1470nm targets it beneath the skin, in Chelsea, London.

Your gut microbiome is the living ecosystem inside your intestines. Learn what it does, what disrupts it, the conditions linked to imbalance, and how to support it.

Hair loss treatments have come a long way - and dutasteride mesotherapy is one of the most advanced non-surgical options available today. By delivering a dual DHT-blocking agent directly into the scalp at follicle level, it achieves high local concentrations with minimal systemic exposure. Effective for both men and women who want real results without daily oral medication. Dr Vahe Clinic explains the science, the protocol, and what to realistically expect.

Acne scars stay long after the acne is gone. At Dr Vahe Clinic in Chelsea, fractional CO2 laser resurfacing combined with subcision offers genuine, lasting improvement - not just surface-level results. Here is everything you need to know before booking.

Expert CO2 laser skin resurfacing in Chelsea, London. Treat acne scars, wrinkles, and sun damage at CQC-registered Dr Vahe Clinic. Book your consultation today.

Scarring alopecia permanently destroys hair follicles through inflammation and scarring. Dr Vahe Clinic now offers advanced AI 1470nm laser treatment to help stop progression and preserve remaining hair. This evidence-based therapy targets lichen planopilaris, frontal fibrosing alopecia, and cicatricial alopecia. Early intervention is key. Book your Chelsea consultation: 020 3370 3503.

Discover why many women experience hair thinning during menopause and how hormone changes affect the scalp and follicles. Learn how expert treatments at Dr Vahe Clinic — including PRP therapy and personalised trichology care — can help restore thicker, healthier hair naturally.

Experience natural facial rejuvenation with the Sculptra Non-Surgical Facelift at Dr Vahe Clinic in Knightsbridge. Using a signature collagen-boosting technique performed exclusively by GMC-registered doctors, this advanced treatment restores volume, enhances definition and delivers results that can last up to two years — all without surgery.

Exosomes are redefining facial rejuvenation by harnessing the body’s natural regenerative abilities. This next-generation treatment stimulates collagen, improves skin texture, and restores a youthful glow - setting new standards in advanced aesthetic care.

Tired of generic hair loss solutions that don't work? Dr Vahe Clinic's specialised blood testing panel uncovers the real reasons behind your thinning hair—from hormonal imbalances to nutritional deficiencies-for truly personalised treatment that addresses the root causes, not just the symptoms.

Platelet-Rich Plasma (PRP) treatment has become an increasingly popular supportive therapy following a hair transplant. By using your body’s own growth factors, PRP helps stimulate healing, improve blood supply to the transplanted follicles, and accelerate hair regrowth. Many patients notice reduced shedding, quicker recovery, and stronger, thicker results when PRP is incorporated into their aftercare plan.

Discover Skintrinsiq Dutasteride Infusion at Dr Vahe Clinic London – a pain-free, effective hair loss treatment for men with lasting results.