0208 150 3400

Excel V+

Lasers work by treating the skin with a particular wavelength of light. Wavelengths are chosen depending on the absorption of the laser beam by particular biological tissue. Specific wavelengths are better than others as they are taken up by the specific chromophores that the treatment is focused on, for example vascular lesions absorb 532 + 1064 wavelength safely and melanin in pigmentation absorbs 532.

The power and precision of treatment is specified by the engineering within the laser.  With an established history and proven track record the Cutera Excel V+ laser is recognised by dermatologists as an industry leader in the treatment of medical conditions.

We have carefully chosen our Excel V+ laser device after much consideration and testing, we found it to be the most comfortable in achieving the best results.

Our Excel V+ is FDA approved and extremely safe. Thames Skin Clinic staff are highly trained by Cutera in the use of Excel V+ for face and body treatments. Cutera lasers are very effective and safe alternative to surgical intervention.

Before and Afters

Results may vary from person to person

Why choose a Medical Grade Laser/ IPL?

CUTERA excel V+ is the latest generation laser technology for vascular and pigmentation treatments. Excel V+ delivers the power, precision, and performance to safety and effectively treat patients from challenging vascular and pigmentary conditions to today’s most common skin concerns. Featuring two clinically proven advanced wavelengths 532nm/1064nm and smart sapphire cooling system- eliminating unnecessary collateral tissue damage and downtime, while making treatment more comfortable.

Lasers work by treating the skin with a particular wavelength of light. Wavelengths are chosen depending on the absorption of the laser beam by particular biological tissue. Specific wavelengths are better than others as they are taken up by the   specific chromophores that the treatment is focused on, for example vascular lesions absorb 1064 nm wavelength safely and melanin in pigmentation absorbs 532 nm.

The power and precision of treatment is specified by the engineering within the laser.  With an established history and proven track record Cutera lasers are ahead in regard to safety and treatment results.


Excel V+ Hand pieces

Cutera have three specifically designed hand pieces to provide treatment to different concerns.

  • Coolview
  • Genesis V
  • Dermastat


Coolview hand piece

A wonderful combination of wavelengths 532/1064nm for the best treatment for vascular and pigmentation.

  • Vascular
    • Facial thread veins
    • Periorbital thread veins
    •  Leg veins
  • Pigmentation
    • Superficial to deep
    • Age spot
    • Sun damage
    • Freckles
    • Lentigines

Laser Excel V+ treatment can be used many areas:


All treatments start with a consultation when our practitioner will examine your skin and explain the reasons behind using the specific hand piece. The choice of hand piece depends on the concern (pigmentation, vascular lesion, skin rejuvenation), the size of the target area and the depth the treatment needs to be delivered.


Genesis V hand piece

Cutera’s signature laser genesis procedure +  using 532nm wavelength can be used comfortably on all skin types with no downtime.

  • stimulate collagen production
  • improve the microvasculature
  • photo-ageing a mix between browns and reds
  • back ground redness
  • this gently removes unwanted scars


Dermastat hand piece

A pencil like tracing pen that provides enhanced precision and versatility to quickly treat small vascular and pigmentated lesions in even the most challenging areas on the face and body.


Is this treatment suitable for me?

Not all laser treatment are suitable for all skin types. This is why all our patients have an initial consultation before going ahead with a patch test and then treatment.

During your consultation we check any medication and medical conditions which may be contraindicated  for certain treatments. There are some medical conditions and medications that are not suitable for Laser or IPL. We do not recommend treatment with laser if you are pregnant or breast feeding until approved by our Medical Director.

If laser treatment is not suitable for you we offer alternative treatments for darker skin tones. These may include

  • Thermavein for facial. thread vein removal
  • Sclerotherapy for leg vein removal
  • ZO Skin Health professional skincare for pigmentation, redness and skin restoration
  • Skin peels after adequate skin preparation
  • Plasma BT Surgical treatment for the removal of  skin lesions

Depending on your skin type and concern we will recommend the right treatment for you.

How safe is treatment?

Our Cutera. Excel V+ Laser technology is FDA approved and classified as Medical Grade. This means that you will not find vascular, pigmentation and laser genesis treatment of this calibre in a non medical clinic.

Excel V+ treatment features two specific clinically proven advanced wavelengths at 532nm and 1064nm targeting vascular targets and pigmentation. With a smart sapphire cooling system the  Excel. V+ laser eliminates unnecessary collateral tissue damage and unwanted downtime.

Our Doctors and therapists are highly trained in the use of Lasers and have over a decade in Experience!


Will I feel any pain or discomfort during my treatment?

Laser treatments target many different concerns and. each setting will feel slightly different. Laser treatment is often described as an elastic band flick sensation against the skin and some treatments feel hot.

Our Excel V+ laser is equipped with contact sapphire cooling system to provide your treatment with optimum comfort.  Contact cooling helps to keep the surface of this skin nice and cool and ensure the epidermis (surface skin) remains protected.

Are there any side effects to treatment or risks associated?

Excel V+ Laser treatment is safe and effective way to treat pigmentation and vascular skin concerns.

By following our pre-treatment advice patients will minimise any risks and unwanted side effects, these occur if the patient has recently

  • exposed their skin to sun
  • used fake tan
  • use of Retinols/Retinoids/Tretinoin
  • waxing in the treatment area
  • had chemical peels any other skin resurfacing treatment
  • changed in medication

Post treatment side effects depend on the type of laser treatment  you have had. Patients  may experience

  • heat
  • redness/blushing to the skin
  • swelling
  • tightness
  • darkening
  • crusting of the lesions

These side effects are a normal after laser treatment. and usually resolve within hours or a next few days.

It is essential to follow our aftercare and skin protection advice following our procedures. This will be discussed in detail in your consultation.


Please note before laser treatment you cannot wear fake tan or have been exposed to strong sunlight for between 2 –  4 weeks before your treatment. For this reason, we usually recommend treatment between September and May when most people are likely to be less exposed to the sun. Sun exposure can increase risks and side effects post treatment and will be discussed in detail in your pre-treatment consultation.

How much downtime is usually needed and what should I expect?

Following treatment with Excel V+ laser your skin may experience some

  • heat
  • redness or blushing
  • tightness
  • darkening
  • crusting of the lesion

Some post treatment symptoms resolves within hours, others take a few  days and deeper treatment effects can take 7-14 days to resolve.

The post treatment recovery time depends on the specific treatment you have had and will be discussed in detail during your consultation.

First your medical history will be taken followed by an examination of your skin concerns. Your doctor or therapist can discuss whether Excel V+ Laser treatment is suitable for you and if this will address your expectations from our treatment. When the consultation has been fully explained you will be required to sign a consent form and a photograph will be taken for your confidential records. A patch test is always required at least 24/48 hours prior to treatment, in some cases i.e. for a single spot treatment none is required. Patch test is for safe practice and effective results, this helps to monitor settings and response of the lesion and see how the surrounding skin tissue reacts.

Treatment Areas

  • Redness – nose, cheeks, chin, full face
  • Pigmentation- nose, cheeks, chin, full face, neck, décolletage and hands
  • Photo and sun damaged full face, skin hands, décolletage and hands
  • Acne scarring – full face, cheeks, sides of face, upper back.
  • Scarring face or body.
  • Rosacea- nose, cheeks, full face
  • Freckles
  • Thread veins face- nose, cheeks, chin, full face
  • Leg veins
  • Lentigines
  • Sun spots -full face, neck, décolletage and hands


Side Effects

Normal post Laser side effects include some heat and redness/blushing in the skin and some tightness, darkening and crusting of the lesion. Some resolves within hours, others over a few days from 48 hours to 7-14 days post treatment. This all depends on the type of concern treated on the day.



  • Avoid heavy make-up for 24-48 hrs.
  • No harsh or active products to be used on the skin for the next 24-48 hrs.
  • High quality SPF should be worn at all times. Recommended ZO Skin Health SPF 30 or 50.
  • Avoid Excessive exercise 48-72 hrs post treatment.
  • Avoid direct sunlight on the area for 7-14 days post treatment.
  • If feeling tight and hot post treatment we recommend ZO Skin Health hydrating and calming cream.
  • Avoid steam rooms, saunas, swimming and hot showers for 24-48hrs post treatment.
  • Avoid touching, picking or scratching the area as this will increase the chance of scarring.
  • When skin returns to normal your skincare regime can resume. If you do not have a skincare routine we can set this up for you. Good skincare encourages skin health and helps prolong treatment results.

At Thames Skin Clinic Dr Hemming has designed her bespoke laser treatments to help vascular skin problems and treat pigmentation  and skin rejuvenation as well as smooth unwanted lines and wrinkles. Click here to arrange a consultation.

Laser treatments vary by the area of treatment and type of treatment to give you the best results. We often get asked about the cost of treatment. At Thames Skin Clinic we pride ourselves on results rather than focus on the price of a treatment, it is more important that we get the correct quality of product rather than offer cut price treatments, products and services (especially when it comes to medical treatments). You will never see Thames Skin Clinic advertising services on social coupon sites such as Groupon as we believe they have a negative impact on our customer safety, results and satisfaction. We also wish to abide by the advertising regulator and work in a safe ethical manor.

Our prices reflect the skill, training and premier product choices we have made as well as the true reflection of the beautiful bespoke clinic surroundings.

To discuss Laser treatment and for a detailed consultation regarding the best options for you please call us today and book an initial consultation with our specialist practitioners. There is a charge for appointments with Dr Hemming and deposits are taken for appointments with laser therapists which are then put towards to the treatment cost and redeemable on the day of first treatment. If you decide not to go ahead with laser, the deposit is redeemed as a consultation charge.


As our laser treats so many different skin conditions we prefer to assess your skin before providing you with a quote for treatment. We price laser treatments into lesions as well as small medium or large areas.

Courses of 3 or 6 may be recommended for optimal results.

Facial Veins

  • Single thread veins from £215
  • Medium areas from £435
  • Full Face £650

Leg Veins

  • Small areas from £325
  • Medium areas from £555
  • large areas from £765

If laser isn’t suitable for your leg veins, we can look at other options such as Sclerotherapy.


  • Small area, spot treatment from £215
  • Medium lesions / cluster of small lesions £435
  • Large lesions / multiple small lesions £655

Laser Genesis

  • Single treatments from £435
  • Packages of 3 £1175
  • Packages of 6 £2220

Acne Treatment

  • Single treatment £545
  • Package of 3 £1470


Laser Hair Removal treatments prices

Courses of  6 may be recommended for optimal results.

  • From £50
  • Courses of 6 treatments from £250

Here are some of the areas we treat. More available by contacting Thames Skin Clinic.


  • Upper Lip – From £55
  • Chin – From £60
  • Underarms – From £100
  • Legs – From £220
  • Arms – From £135
  • Bikini – From £165


  • Beard – From £160
  • Chest/ Stomach – From £220
  • Shoulders/ Back- From £220

Verified Reviews

Read what our valued patients have to say about their visit

03 Apr 2020

The results just keep getting better.

I’ve been visiting Doctor Anna for over a year to revitalise my skin with topical treatments. As I grew to trust her professionally, I decided to take that bold journey to address my dark circles which have gotten worse with age. I was incredibly nervous and a bit scared that I would look unnatural or vastly different after treatment. From the first day of treatment, I was excited and pleased with the results. It’s been two weeks now, and the results just keep getting better. I feel beautiful. The cherry on the cake is my loved ones and close friends haven’t noticed a thing!


20 Mar 2020

Amazing place, lovely staff

I was a bit apprehensive as I had never had a facial before but when I arrived and met Lizzie she put me as ease immediately and the treatment out of this world. Amazing place with lovely staff and a wonderful experience.


19 Mar 2020

I really trust Dr Anna Hemming

I have been coming to Dr Anna Hemming for wrinkle treatment for the past 4 years. I’m always happy with the fresher natural look she gives me. Friends have been surprised when I tell them I haven’t been on holiday and that my rested look is actually wrinkle treatment. I really trust Dr Hemming to do the best for me and feel safe in her experienced medically qualified hands. So, now she has opened a fabulous new clinic I’m venturing to other treatments. I’ve just had 3 LED sessions with aesthetic practitioner Lizzi (who is very knowledgeable and super friendly) and these have really plumped up my skin . I’ve booked a Hydrafacial for next week. The clinic is a uncluttered minimalist space with the latest skincare equipment. It feels hygienic yet relaxing. It’s a pleasure to visit. Thank you.


18 Mar 2020

I absolutely love the results of the filler on my face and lips

Hi everyone, could you please let Dr Hemming know that I absolutely love the result of the fillers on my face and lips. I wanted a natural look and discussed this with her, and I have to say I was a little anxious about putting filler in my lips but I love them. I have the natural look I discussed with Dr Hemming and the one I was hoping for, it has given me a real confidence boost. Stay safe love Marian x


28 Feb 2020

Anna is Amazing

I am very happy with the treatment and service I received. Very friendly staff and Dr Anna is amazing. I’d love to come again.


05 Feb 2020

Treatment delivered with great skill

Attentive professional treatment delivered with great skill


09 Jan 2020

I can highly recommend Dr Anna Hemming

I started to develop skin issues around my eyelid area. Having been to see two other dermatologists who were unable to assist due to the delicate and sensitive area around the eyes, it was a welcome relief for Dr Anna Hemming to be recommended to me. She immediately put me at ease, talked me through the available treatments, provided me with a quote and arranged to see me again to carry out the procedure. Within 2 weeks of the initial consultation my treatment was completed. It has made such a difference to my face already. I feel more confident and am so relieved to have found a consultant who not only listened but carried out a procedure that I was told was not possible. I can highly recommend Dr Anna Hemming and have already to my friends. I have no doubt I will use her again for any other derma-logical procedures.


12 Dec 2019

Anna makes you feel totally relaxed

Anna makes you feel totally relaxed and inspires confidence with her knowledge.


13 Feb 2019

Helped improve my skin

She helped me improve my Skin. I wish I met her 10 years ago. I never thought my Skin will glow and get rid of my acne.


22 Jan 2019

Fabulous results!

Amazing! As I new client I was very impressed with the wrinkle treatment consultation, procedure and results. Dr Anna is first class at providing that much sought after rested and refreshed look.

Heather Latham

10 Jan 2019

Just excellent!

Anna is amazing, she really understands what her patients need and doesn't try and over push any product or procedure. She always does what is just right. Thank you Anna.

Terrey Burr

09 Nov 2018


Amazing person and Dr, professional, extremely knowledgeable, caring and friendly, makes you feel relaxed and comfortable. I’ve been a few times now to Dr Hemming, I always look forward to going, and the results are always incredible.

Amanda W

18 Jan 2019

Absolute Professional

I first came to Anna when I suffered from tired, dry and lifeless skin very prone to breakouts. Anna put me on a skin rejuvenation programme using some amazing products and my skin is now the best it’s ever been and I now get frequent comments on how amazing my skin looks!

Charlotte Edwards

08 Nov 2018

A very relaxed environment

A very relaxed environment and felt very safe in Doctor Hemmings hands. Very pleased with my results and will be going back. I would thoroughly recommend Dr.Anna to my friends and family!

Alex Lyons

11 Nov 2018

All round great experience

Efficient, friendly and super informative. You can tell that Anna has been in the practice for years and knows exactly what she is talking about.


08 Nov 2018

100% recommend Dr Anna

I recently saw Dr Anna and am extremely happy with the results. The treatment and product were fantastic as was her manner and professionalism. She really listened to my areas of concern and came up with a fantastic treatment plan and my before and after shots are really impressive!

Ali Branson-Willis

01 Nov 2018


I would heartily recommend Dr Anna Hemming to anyone seeking cosmetic treatment. She is truely up to date with all the latest techniques and products, and she practises with great skill and subtlety - her friendly manner makes consultations a pleasure. 5 stars.


04 Oct 2019

Satisfied Client

I am delighted with the results of my first treatment for plasma blepharoplasty with Dr Anna. What a difference in just one treatment. Dr Anna is highly professional and was really supportive, reassuring and informative. I have already booked my second treatment.


01 Nov 2018

Highly recommended!

Excellent. Very professional, knowledgeable and friendly. I felt very relaxed and well looked after. Never rushed. All options were explained and I was shown new ideas that I had not heard of before from other practitioners. Highly recommended. I feel lucky to have found Anna.


28 Aug 2018

Clearer skin at last!

Dr. Hemming is the best when it comes to skin health and rejuvenation. I’ve been loving the OZ skin health range and it’s really improved my skin. (Clearer skin, tighter all over and reduced pore size). I’ve been spot prone all my life and was so fed up with nothing ever working. Finally I have a plan that is clinically proven and safe for my long term skin health. Thank you Dr. Hemming!


12 Apr 2018

Great listener

Great listener, tailors treatment to needs brilliantly. Recommend her services to all! Great doctor!


20 Jul 2017


Dr Anna Hemming is extremely professional and knowledgeable in all kinds of treatments and skin care where her expertise is second to none. I have known Dr Hemming for many years and she successfully treated my children’s acne and now she is successfully treating my middle age complaints. She is an inspiration and always full of enthusiasm for the help she can give her patients.


15 Aug 2017

I look younger!

I received Fractora treatment now 3 weeks ago from Dr Hemming. There has been a slow healing and gradually I see myself less tired looking and my lines have noticeably reduced . The beginnings of a jowel I had along my jawline has disappeared which is exactly the part of my face that bothered me most. It seems as if I’ve had a face lift! My skin is firmer and the hollows less deep. I dare say I look younger.


21 Mar 2017

I will definitely be back

It was great to find Dr Anna, she works in a very professional environment. She has a great eye for detail. I am very happy with my results and I will definitely be back to find out more about your skin care range too.


08 Mar 2017

No make up and loving it

No make up and loving it, you have totally sorted out my skin. You have a gift, use it! One happy 40 year old. Love you!


21 Aug 2020

Go, you will not be disappointed.

I have recently moved to Barnes and was searching for someone that could deliver wrinkle injections on my skin but I wanted someone reputable, Doctor led, and that didn’t over do my face as I don’t want it to look like I have treatments. I had my appointment with Anna, the lovely lady that owns this clinic and what a brilliant experience it was for me. I knew my end result would be exactly what I was after. I shall be back, for other treatments because I feel I’m in safe hands and you all know what you’re talking about. No I know why Anna has such a great reputation within the industry. She is not only a wealth of knowledge when it comes to skin but I feel at ease and taken care of in her beautifully designed clinic in Twickenham. Go, you will not be disappointed.


31 Jul 2020

Dr Anna and her team are professional

I’ve had the pleasure of going to Dr Anna for a few years now and was delighted when she opened The Thames Skin Clinic as so close to where I live. The space is gorgeous and bright so perfect for any treatments you may require! I’ve been used to, in the past to going into these darkened rooms where they surely can’t treat you properly. Dr Anna and her team are professional and friendly in the right measure and make you feel at ease and confident that you’ll walk out of there looking and feeling a million dollars!! Would def recommend a visit to see for yourself!


Call 0208 150 3400 for more information about treatments and consultations

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