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Belgravia Centre Hair Loss Treatment Before and After Results - New Success Story

A new entry has just been added to Belgravia’s Male Hair Loss Treatment Success Stories gallery.

Find out what this client had to say and see his regrowth results close up, or find out more about treating Male Pattern Baldness by clicking the buttons below…

(Results may vary and are not guaranteed)

VIEW SUCCESS STORY

Treatment information


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

Aclaris Therapeutics has announced the six-month findings from its Phase 2 open-label clinical trial into ATI-502 – a topical hair loss solution being tested as a potential treatment for Male Pattern Baldness and Female Pattern Hair Loss.

The physician-led biopharma released its latest update on this investigational JAK inhibitor drug in a press release dated 17th June 2019. It noted that this data is from the trial’s mid-point, with 12-month findings due in the next six months, by the end of 2019.

ATI-502 is one of the company’s leading hopes and is currently being fast-tracked by the FDA for use as a potential treatment for autoimmune hair loss caused by Alopecia Areata, Alopecia Totalis and Alopecia Universalis.

Women’s hair loss improved the most

This six month update advised the trial has so far been evaluating men and women aged between 18 and 50 years old, with genetic hair loss.

Hair Loss Research Study

Each of the 23 participants who completed the full six months applied topical ATI-502 to their scalp twice per day for 26 weeks. The precise dosages were not revealed.

Of these 23 test subjects, 20 (14 of whom were male, 6 of whom were female) had “evaluable hair counts”, and 22 of them (15 male, 7 female) recorded investigator global assessment (IGA) and subject self-assessment (SSA) scores.

The mid-point data showed an overall hair count increase of 8.6 hairs/cm2 (non-vellus) at the six month mark. Whilst the male participants showed an overall increase of 5.6 hairs/cm2, the women saw almost three times that, with an overall increase recorded as 15.3 hairs/cm2.

Results from the IGA and SSA components involved subjects with positive hair growth increases being allocated a score of +1 for a slight increase, +2 for a moderate increase, or +3 for greatly increased hair growth.

Aclaris say investigators rated 73% of the participants (16/22) as “experiencing increased hair growth”, however, 82% (18/22) of the test subjects self-assessed themselves as such.

ATI-502 was found to be well-tolerated in this small-scale study as no treatment-related serious adverse events were recorded. One unrelated incidence of breast cancer was reported in week one and the affected patient withdrew immediately.

Subsequent trial may be female-focussed

According to Dr. Neal Walker, President and Chief Executive Officer of Aclaris, “This finding demonstrates that inhibiting a non-hormonal and inflammatory-mediated pathway may be an option for the treatment of AGA [Androgenetic Alopecia – male and female pattern hairloss].”

Further to this, Aclaris also advised that through recent formulation work, it “can achieve significantly higher topical concentrations of ATI-502”.

As such, Aclaris have advised that its next steps will involve initiating a double-blind, randomized, controlled Phase 2 dose-ranging clinical trial with higher concentrations of ATI-502.

It was also indicated that this trial, due to start in the first half of 2020, may potentially have a “female focus”.

Should ATI-502 make it through the relevant stages of development and be able to finally demonstrate sufficient safety, efficacy and tolerability that it is awarded the relevant licences and approvals from medical regulatory boards, such as the MHRA and FDA in the UK and USA, it will be the first significant breakthrough in this area in decades.

Currently the only MHRA-licensed and FDA-approved hair loss treatments for men and women are high strength minoxidil – a unisex topical hair loss solution – and finasteride 1mg – a one-a-day oral DHT-blocker for use by medically-suitable men only.

These clinically-proven treatments are already widely-used either on their own or in combination with hair growth supporting products such as low level laser therapy devices and highly-targeted food supplements such as Hair Vitalics, by both women looking to regrow their thinning hair and men hoping to prevent baldness.


Circ - Belgravia Centre Hair Loss Clinics LondonThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

Related Stories


Belgravia Centre Hair Loss Treatment Before and After Results - New Success Story

A new entry has just been added to Belgravia’s Female Pattern Hair Loss Treatment Success Stories gallery.

Find out what this client had to say and see her regrowth results close up, or find out more about treating hereditary hair loss in women by clicking the buttons below…

(Results may vary and are not guaranteed)

VIEW SUCCESS STORY

Treatment information


Circ - Belgravia Centre Hair Loss Clinics LondonThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

Scalp health is crucial for healthy hair growth so it’s understandable that people often worry about hair loss when they develop symptoms such as an itchy scalp or dandruff.

The majority of scalp conditions are easily treated and are unlikely to cause shedding – besides potential hair breakage from repeated scratching.

However, there are some scalp problems which can lead to permanent hair loss, though these are – thankfully – rare.

Here we explore some of these rare scalp conditions…

1 Sarcoidosis of the scalp

Sarcoidosis of the scalp - Rare Scalp Condition

A widely-cited article (PMID: 10727323) on sarcoidosis of the scalp published in the Journal of the American Academy of Dermatology from the year 2000 advises that only 24 cases of this condition had ever been reported at that point.

The condition is said to be a “rare manifestation of cutaneous sarcoidosis” which is more common among African-American women, and is diagnosed via a biopsy.

A blood test may also be taken as the British Association of Dermatologists advises calcium and angiotensin-converting-enzyme (ACE) may be elevated in people with sardoidosis. Lung function may also be monitored as this can be affected, too.

In addition to causing Cicatricial Alopecia (scarring hair loss) and non-Cicatricial Alopecia, it may also involve plaques or nodules developing on the scalp.

Treatment for the scalp form of sarcoidosis involves the use of topical, prescription steroid solutions or injections, though where scarring hairloss has occurred, hair regrowth is unlikely as the follicles will have been destroyed in the scarred areas.

2 Lipoedematous alopecia*

Lipoedematous alopecia - Rare Scalp Condition
A) shows a patient diagnosed with Lipoedematous Alopecia B) shows the patient’s x-ray illustrating their scalp thickening

Lipoedematous scalp causes the layer of fat under the scalp to thicken; this causes the forehead and/or back of the head to become “soft, spongy or thick”. It is commonly found in women, frequently women of colour, and when associated with hair loss, it is referred to as Lipoedematous alopecia.

Although the precise cause of these rare conditions are unknown, factors are believed to include frequently wearing tight headwear and hormonal issues. It has been linked to diabetes mellitus, renal failure and ovarian cysts, among other illnesses.

No treatment or cure for Lipoedematous alopecia exists, though corticosteroids may be used to help stop or slow down its progression.

3 Lumpy scalp syndrome

First discovered in 1978, in addition to the obvious symptoms – pus-filled lumps or ‘nodules’ on the top or back of the scalp – Lumpy Scalp Syndrome also causes hair loss in these areas, a lack of nipples, ear deformities and partially webbed toes, according to a November 1990 paper published in the International Journal of Dermatology.

This research states its origins were traced to a woman in Somerset, UK, who died in 1918, via five generations where, of 56 of her direct descendants, 10 were found to have this condition and 2 had partial diagnoses.

Information provided by the US National Library of Medicine advises Lumpy Scalp Syndrome is caused by mutations to the KCTD1 gene and diagnosis involves genetic testing. An image of someone with the condition can be found, here.

The rare inflammatory condition is also known as Scalp-Ear-Nipple (SEN) syndrome or Finlay–Marks syndrome and is generally present from birth, though some symptoms may go away during childhood, including scalp lesions healing.

4 Graham-Little-Piccardi-Lassueur syndrome*

Graham-Little Piccardi Lassueur Syndrome - Rare Scalp Condition

As with many of the above, Graham-Little-Piccardi-Lassueur syndrome (GLPLS) causes cicatricial alopecia of the scalp; it also, however, causes non-scarring hair loss in the armpits and groin areas. Additionally, follicular lichen planus may cause rough bumps to occur around the hair follicles. It is a rare condition that, although it can affect men, is four times more likely to present in women aged between 30 and 70 years old. It can also be accompanied by severe itching in the affected areas.

Potential causes are thought to include stress, genetics, autoimmunity, vitamin deficiencies and hormonal changes, though none have been confirmed.

Although the scarring hair loss cannot be treated in terms of promoting hair regrowth, there are therapies such as corticosteroids, retinoids, antimalaraials and antibiotics, which may slow the rate of hair loss.

Anyone who is worried about losing their hair, seeing extra hair fall or sudden bald patches develop, or notices a drop in hair density should contact a hair clinic for a consultation.

Following a scalp assessment by a dedicated hair specialist, personalised recommendations for scalp care products and/or hair loss treatments can be made, where appropriate.

If there is no non-surgical remedy available for their particular hair loss condition – as is the case with many forms of scarring alopecia – Belgravia may offer a referral to a highly-skilled hair transplant surgeon for a consultation.

* Information provided by the Genetic and Rare Diseases Information Centre, part of the US Department of Health and Human Services.

The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

Related Stories


Belgravia Centre Hair Loss Treatment Before and After Results - New Success Story

A new entry has just been added to Belgravia’s Male Hair Loss Treatment Success Stories gallery.

Find out what this client had to say and see his regrowth results close up, or find out more about treating Male Pattern Baldness by clicking the buttons below…

(Results may vary and are not guaranteed)

VIEW SUCCESS STORY

Treatment information


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Max

Question: : Hello, I did a hair relaxer about 6 months ago and my scalp was severely burned (blisters formed with oozing). I began to notice hair loss at the vertex of my scalp as well as in my hairline and it has been rapidly thinning. Could this be due to the relaxer or is this more male pattern baldness? Both of my parents have a full head of hair but my maternal uncles/grandfather are bald. I am currently on propecia and minoxidil (it’s been 1.5 months and have not seen much results yet).

Male Hair Loss Relaxer Damaged Hair Chemical Trauma from relaxing Afro hair

Answer: Hi, Max. As your scalp was affected by this unpleasant reaction to the relaxer, it could lead to hair loss.

Chemical Trauma hair loss – the name for shedding caused by burns from a relaxing solution, as well as those caused by perming solutions and bleach – can present anywhere across the scalp, depending on the reaction you had.

If the chemical burn caused by your hair relaxer was severe, it may also leave scars across the scalp. In this instance, the burnt areas are unlikely to fully regrow hair and may result in areas of permanent baldness where the follicles have been destroyed. When this happens it is known as Cicatricial Alopecia or ‘scarring hair loss’.

Additionally, you may be experiencing hair breakage from over-processing. This is where weakened hair snaps along the shaft; it is separate to hair loss as it does not affect the follicle. It gives the hair a thin, frazzled look but can usually be dealt with via a haircut – to get rid of the damaged hair – and a course of suitable nourishing, strengthening conditioning treatments.

The signs of hair loss you mention – a thinning crown, vertex (along the top of the scalp) and receding hairline – are all symptomatic of Male Pattern Baldness, too.

If your doctor prescribed you oral finasteride 1mg (Propecia being one of the brand names for this drug), they must have already diagnosed you with Male Pattern Hair Loss as this medication is one of only two treatments – the other being high strength minoxidil – that are clinically-proven for this condition. Neither finasteride 1mg nor minoxidil are used for chemical burns or damaged hair from over-processing.

With regards to not seeing results from hair loss treatment yet, as you have only been using your products for one and a half months, this is normal. Although the timeline varies for everyone – with factors such as how advanced the hair loss was when treatment was started and whether the treatments are used properly and diligently, playing a part – it is usual to see some results from hair loss treatment within the first three-to-six months. This can range from stabilisation of shedding through to thicker, fuller hair and noticeable hair regrowth.

If you have had mild Male Pattern Hair Loss for a while, it is possible that the damage from the relaxer made this thinning more obvious in the last few months. Furthermore, it is entirely possible for both Male Pattern Baldness and Chemical Trauma, Cicatricial Alopecia and/or Hair Breakage to be present simultaneously.

As you can see, there are many variables here so we cannot give you a definitive answer without examining your scalp. I recommend you to visit a dermatologist or hair loss specialist for a consultation to determine the precise diagnosis – or diagnoses – and provide suitable treatment recommendations based on their findings and your medical profile.


The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

Related Stories


Belgravia Centre Hair Loss Treatment Before and After Results - New Success Story

A new entry has just been added to Belgravia’s Female Pattern Hair Loss Treatment Success Stories gallery.

Find out what this client had to say and see her regrowth results close up, or find out more about treating hereditary hair loss in women by clicking the buttons below…

(Results may vary and are not guaranteed)

VIEW SUCCESS STORY

Treatment information


The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

The seemingly endless updates on the on-going development of JAK inhibitor treatments for various forms of hair loss can often steal the spotlight from some of the other innovations being developed in the field.

One of these is hair follicle regeneration, whereby the scalp is lightly wounded in order to induce hair regrowth, or ‘hair follicle neogenesis’.

Follica, Inc, one of the companies specialising in this area, has announced it plans to commence what is described in a press release as “a pivotal study” into its proprietory scalp micro-abrasion device for Male Pattern Baldness, at the end of 2019.

Improved hair count after three months

Follica male hair loss treatment system for creating new hair follicles

Follica, announced it had seen “positive interim data” from the ongoing safety and optimization study of its new device as a treatment for Male Pattern Hair Loss.

“In addition to being well tolerated and informing key treatment parameters, analysis of 20 male study participants with androgenetic alopecia showed that Follica’s approach achieved a visible and statistically significant improvement in non-vellus (visible) hair count after three months of treatment, compared to baseline. Additionally, blinded head-to-head bench testing of the proprietary Follica device has shown significant therapeutic advantages in scalp treatment versus commercially available skin disruption devices,” states the company’s 13th June press release.

The men studied in these trials – and those who are being enrolled for future research – were aged 18 to 40 years of age with moderate levels of hair loss. This is classified as a level III to IV on the Hamilton Norwood scale, suggesting that – as with the present clinically-proven hair loss treatments for men – Follica cannot be used to regrow hair in men who are already bald.

How Follica hair follicle regeneration works

Follica explains they way its device works as being designed to “induce an “embryonic window” in order to initiate the formation of new hair follicles from epithelial (skin) stem cells. This occurs through the use of its micro-abrasion device and what it describes as “a topical compound”.

Whether or not this ‘topical compound’ is high strength minoxidil – the only current topical hair loss treatment to be MHRA-licensed and FDA-approved for Male and Female Pattern Hair Loss – remains to be seen.

The original concept on which Follica technology is based was discovered by the University of Pennsylvania, USA, and has been licensed exclusively from them.

“The biology of wounding in humans is very complex, and our ability to translate its effects into new hair growth is sensitive to a range of treatment factors,” says Jason Bhardwaj, chief executive officer of Follica. “From years of clinical testing, we have optimized the dosing, frequency, and several other important parameters and translated these learnings into a unique and proprietary treatment. Based on this interim analysis and the results of three previously conducted studies, we are excited to move forward into a pivotal study at the end of 2019.”

Although still in development, this is certainly an interesting area of research and we will publish updates about this novel treatment option’s pipeline here on the Belgravia hair loss blog as more information becomes available.

In the meantime, anyone worried about losing their hair now would be best advised to contact a hair loss specialist for a consultation sooner rather than later; given Male Pattern Baldness is a permanent, progressive condition with no cure, but effective management options, it is advisable that anyone wanting to prevent baldness starts exploring their options as soon as they can in order to see the best possible results.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

Related Stories


HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Troy

Question: I’ve been using Regaine for years but just the bottle I’m currently using is a year out of date. These things seem to last for ages so that’s not that long right? Does that mean it’s still ok to use? I noticed more hair loss in the past couple of months so could that be the reason? It normally works well for me. I’m 23 btw with general MPB, no fin. Thanks.

Answer: Hi, Troy. No medication should be used if it is past its use-by or expiry date; this includes Regaine and any other hair loss treatment.

With specific regard to high strength minoxidil, the main reasons for not using this treatment when it is ‘out of date’ are:

  • a higher risk of side effects (such as skin irritation)
  • a lower chance of the drug being effective (after the expiry date the solution is likely to become increasingly weaker over time, so it may not work as well)
  • an increased risk of hair fall resuming (if the solution is weaker than it should be, its effects may be less effective – or even completely ineffective – and the likelihood of hair loss resuming increases)
hair loss treatment medication expiry date

Specialist hair loss clinics, including the dedicated pharmacies here at Belgravia, tend to only dispense medications to patients in three-to-six month batches at a time so the drugs and appropriate expiry dates align and their treatment is always ‘in date’. When men, or women, choose to purchase ‘over the counter’ hair loss products such as Regaine, there is no such supervision.

This is why it is important to be cautious and always check the expiry or use-by dates when these solutions are on special offer, especially on bulk deals such as ‘3 for 2’.

Some people may see these offers as a good chance to stock up, however, this may not be the case. For example, if the expiry date is two months away, there is no point in buying three months worth – or more – as by the third month these additional supplies would be out of date before it was even time to open them.

Furthermore, you should only ever use the medication in the specified dosage, either once or twice per day as detailed on the accompanying patient information leaflet.

Therefore, the additional product should be disposed of as it cannot be used either more frequently nor can you use larger amounts than specified (this will not make the minoxidil work any better or faster and may lead to increase risk of adverse events) in order to use it up before it expires.

It may be the case that this is why your Regaine is so far out of date, or you may have simply found an old product you had forgotten about; alternatively, if you purchased this recently and it is already out of date, you should make the retailer aware so they can issue you with a refund or replace it with a suitably-dated product.

If you did not buy the Male Pattern Hair Loss product from a reputable vendor we recommend you are sure to do this in future; the UK’s MHRA body has increased its campaigns promoting awareness of the dangers of buying medication – including hair loss treatments – online or from unusual stockists.

There is a big problem with fake medication being sold online – often not actually being what it claims to be on the labels, as well as real medication which has either expired, is faulty or has spoiled due to incorrect storage.

Belgravia Centre before and after regrow thinning crown hair loss treatment success story
Click to View Belgravia Centre Male Pattern Hair Loss Treatment Success Stories (Results May Vary and Are Not Guaranteed)

It is likely the increased shedding and thinning hair you are seeing is the result of your treatment being ineffective, especially if you have not had any problems with it until now. We recommend restarting your treatment as quickly as possible with a replacement solution in order to get your hair back on track, though it may take three months for everything to properly right itself, due to the natural timing of the hair growth cycle.

One other issue worth considering is whether your additional hair fall is coming from the top of your scalp or from the whole head. If you are losing hair from all over, it is likely to be due to a separate, additional hair loss condition.

Telogen Effluvium is a temporary issue which disrupts normal hair growth. It generally takes around three months for the diffuse shedding to present so – as it is now June – think back to any particularly stressful life events or health problems that may have started, or peaked, around March time.

As Telogen Effluvium can be active simultaneously alongside Male Pattern Baldness, it can make your genetic hair loss appear worse; it should correct itself within approximately six months as long as the underlying trigger has been dealt with. There are also Telogen Effluvium treatment options, that can be combined with an appropriate Male Pattern Hair Loss treatment course by trained specialists, if desired.

Hopefully you will find your hair growth is back to normal within the next three to six months but, if you would like a professional hair loss consultation before then to determine the exact issue at play, this can be arranged via our website, whether for an in-person assessment at one of our Central London hair clinics, or for a remote Online Consultation.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

Related Stories


Belgravia Centre Hair Loss Treatment Before and After Results - New Success Story

 A new entry has just been added to Belgravia’s Male Hair Loss Treatment Success Stories gallery.

Find out what this client had to say and see his regrowth results close up, or find out more about treating Male Pattern Baldness by clicking the buttons below…

(Results may vary and are not guaranteed)

VIEW SUCCESS STORY

Treatment information


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.