Botox® Treatment at Dr Nyla Medispa

Led by Dr Nyla Raja, MBChB (Hons), MRCGP (Dist), DFFP, DPDermatology (GMC No. 6057913)

  • Award-winning clinics in London, Cheshire, and Liverpool
  • Doctor-led Botox treatment by medical professionals
  • Softens lines and wrinkles for subtle, natural-looking results

Botox is a prescription-only treatment used to relax specific facial muscles, helping to soften fine lines and wrinkles while reducing the formation of new expression lines over time. Common treatment areas include the forehead, frown lines, and crow’s feet, with treatment tailored to individual facial anatomy and muscle activity for natural-looking results.

With clinics in London, Cheshire, and Liverpool, Botox treatments are performed within a medically regulated setting under the guidance of Dr Nyla Raja and her experienced medical team. Every treatment plan is based on a detailed clinical assessment to ensure the most appropriate approach for your concerns and aesthetic goals. Book your free consultation to discuss whether Botox is suitable for you.

 
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Results

Softening of fine lines and wrinkles

Downtime

Minimal to none

Longevity

Approximately 3–4 months

Treatment Time

15–30 minutes

Botox Before and After Results

Refined, natural-looking results tailored to each patient

Botox® before and after results at Dr Nyla Medispa in Mayfair, London
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Botox® before and after results at Dr Nyla Medispa in Mayfair, London
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Botox® before and after results at Dr Nyla Medispa in Alderley Edge, Cheshire
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Botox® before and after results at Dr Nyla Medispa in Alderley Edge, Cheshire
After
Botox® before and after results at Dr Nyla Medispa in Crosby, Liverpool
Before
Botox® before and after results at Dr Nyla Medispa in Crosby, Liverpool
After
Botox® before and after results at Dr Nyla Medispa in Mayfair, London
Before
Botox® before and after results at Dr Nyla Medispa in Mayfair, London
After
Botox® before and after results at Dr Nyla Medispa in Mayfair, London
Before
Botox® before and after results at Dr Nyla Medispa in Mayfair, London
After
Botox® before and after results at Dr Nyla Medispa in Alderley Edge, Cheshire
Before
Botox® before and after results at Dr Nyla Medispa in Alderley Edge, Cheshire
After
Botox® before and after results at Dr Nyla Medispa in Crosby, Liverpool
Before
Botox® before and after results at Dr Nyla Medispa in Crosby, Liverpool
After
Botox® before and after results at Dr Nyla Medispa in Mayfair, London
Before
Botox® before and after results at Dr Nyla Medispa in Mayfair, London
After

*Disclaimer: Results and patient experience may vary. These are dependent on a number of factors such as age, medical history and lifestyle.

Dr Nyla Raja, Founder and Medical Director of Dr Nyla Medispa in Mayfair, London

Message from Dr Nyla Raja

As a woman I believe that ageing should be a natural and graceful process. My primary aim is to allow women of all ages to externalise this inner beauty and radiance through administering scientifically proven and advanced medical treatments with the highest level of expertise. My clinical commitment to you is achieving timeless, natural-looking results, leaving you feeling fresh and invigorated on the inside, with natural radiance on the outside.

Signature of Dr Nyla Raja

Dr Nyla Raja | Founder & Medical Director
MBChB (Hons), MRCGP (Dist), DFFP, DPDermatology, BACD

Botox FAQs

What is Botox?

Botox is a prescription-only medicine containing botulinum toxin type A, a purified protein used to temporarily relax specific facial muscles. By reducing muscle activity in targeted areas, Botox can help soften the appearance of dynamic lines and wrinkles caused by repeated facial expressions, while also helping to prevent new lines from becoming more pronounced over time. You can read our guide explaining Botox for more information about how the treatment works and what to expect.

Common treatment areas include forehead lines, frown lines, crow’s feet, bunny lines, chin dimpling, smoker’s lines, and lines affecting the neck. Treatment is performed using a fine needle and typically takes around 15 minutes, with minimal discomfort and little to no downtime.

At Dr Nyla Medispa, Botox treatments are tailored to each patient’s facial anatomy, muscle activity, and aesthetic goals. Under the guidance of Dr Nyla Raja and her experienced medical team, the focus is on achieving balanced, natural-looking results that maintain facial expression while creating a smoother, more refreshed appearance.

How does Botox work?

Botox works by temporarily relaxing specific facial muscles responsible for dynamic lines and wrinkles. It contains botulinum toxin type A, a purified protein that blocks the nerve signals that trigger muscle contraction. As the treated muscles relax, the overlying skin appears smoother and existing expression lines become less noticeable.

Botox is commonly used to treat forehead lines, frown lines, crow’s feet, bunny lines, chin dimpling, and lines affecting the neck. Treatment is tailored to the individual’s facial anatomy and muscle activity, helping to soften existing lines while reducing the formation of deeper wrinkles over time.

Treatment typically takes around 15 minutes, with results gradually developing over 7–14 days. At Dr Nyla Medispa, every treatment is performed by experienced medical professionals under the guidance of Dr Nyla Raja, with a focus on achieving natural-looking, balanced results.

Disclaimer: Please note that Botox is a prescription-only medicine. Treatment includes a medical consultation, which may or may not result in a prescription being issued.

Which areas can be treated?

Botox is commonly used to treat dynamic lines and wrinkles caused by repeated facial expressions and muscle movement. Popular treatment areas include:

  • Frown lines – Vertical lines that develop between the eyebrows as a result of repeated frowning or squinting.
  • Forehead lines – Horizontal lines that appear across the forehead due to facial movement and expression.
  • Crow’s feet – Fine lines that form around the outer corners of the eyes.
  • Bunny lines – Small wrinkles that appear on the sides of the nose when smiling or laughing.
  • Neck lines and platysmal bands – Horizontal neck lines and vertical neck bands, often treated as part of a Nefertiti Neck Lift to improve definition of the jawline and neck.
  • Marionette lines – In selected cases, Botox may be used to reduce downward pull around the corners of the mouth, helping to create a more balanced appearance.
  • Jowls – In selected patients, Botox can reduce muscular downward pull around the lower face, helping to soften mild jowling and improve jawline definition.

Botox can also be used for a number of medical and functional concerns, including excessive sweating, migraines, facial flushing, gummy smile correction, and teeth grinding and jaw clenching. Suitability for treatment will be assessed during your consultation with an experienced medical practitioner.

Am I suitable for treatment?

Botox may be suitable for patients looking to reduce the appearance of dynamic lines and wrinkles caused by repeated facial expressions and muscle movement. Common concerns include frown lines, forehead lines, crow’s feet, smoker’s lines, and other expression-related wrinkles that develop over time.

A consultation with one of our experienced medical practitioners is required before treatment. During your assessment, we will discuss your concerns, review your medical history, assess your facial anatomy and muscle activity, and determine whether Botox is the most appropriate treatment for your individual needs and aesthetic goals. As Botox is a prescription-only medicine, suitability can only be confirmed following a medical consultation.

Is Botox safe?

Botox has been used in both medical and aesthetic treatments for many years and is approved for a range of cosmetic and therapeutic indications. When prescribed appropriately and administered by qualified medical professionals, Botox has a well-established safety profile.

At Dr Nyla Medispa, patient safety is central to every treatment. Botox treatments are performed within a medically regulated setting by experienced doctors and trained medical practitioners under the guidance of Dr Nyla Raja. As Botox is a prescription-only medicine, every patient undergoes a medical consultation to assess suitability before treatment is recommended.

What are the possible side effects and risks?

As with any injectable treatment, Botox can be associated with some temporary side effects. The most common include mild redness, swelling, tenderness, itching, or bruising at the injection site. These effects are typically short-lived and usually resolve within a few hours to a few days.

During your consultation, your practitioner will discuss the potential risks and side effects of treatment, as well as any factors that may affect your suitability. At Dr Nyla Medispa, patient safety and informed consent are an important part of the treatment process, and our medical team will be available to answer any questions before or after your appointment.

What should I tell my practitioner before treatment?

Before Botox treatment, it is important to inform your practitioner about any medical conditions, medications, or previous treatments that may affect your suitability. This includes any current illness, prescribed medication, previous experience with botulinum toxin treatments, or any complications associated with injectable procedures.

You should also let your practitioner know if you are pregnant or breastfeeding, have any inflammation or infection in the planned treatment area, have experienced swallowing difficulties, or have undergone surgery that may affect the area being treated. If you are taking aspirin, anti-inflammatory medication, or blood-thinning medication, this should also be discussed, as it may increase the likelihood of bruising.

A thorough medical consultation is carried out before treatment to ensure Botox is appropriate and safe for your individual circumstances.

How should I prepare before treatment?

Before Botox treatment, it is important to inform your practitioner about any medical conditions, medications, or previous experiences with botulinum toxin injections, as these may affect your suitability for treatment. You should also let your practitioner know if you are pregnant, breastfeeding, have experienced swallowing difficulties, have any inflammation or infection in the planned treatment area, or have undergone surgery that may affect the area being treated.

To help minimise the risk of bruising, it may be advisable to avoid aspirin and certain anti-inflammatory medications before treatment, unless these have been prescribed by your doctor. Your practitioner will review your medical history and provide personalised guidance during your consultation to ensure treatment is appropriate for you.

What does treatment involve?

Treatment begins with a medical consultation and assessment to determine whether Botox is suitable for you. Your practitioner will assess your facial anatomy, muscle activity, and treatment goals before creating a personalised treatment plan.

The treatment area will be cleansed and, where appropriate, injection points may be marked to ensure precise placement. Using a fine needle, small amounts of Botox are injected into carefully selected muscles to achieve the desired effect. Treatment typically takes around 15 minutes and is generally well tolerated, with most patients experiencing minimal discomfort. A topical numbing cream can be applied if preferred.

As Botox is a prescription-only medicine, all treatments at Dr Nyla Medispa are performed within a medically regulated setting by experienced medical professionals under the guidance of Dr Nyla Raja.

Does Botox treatment hurt?

Most patients find Botox treatment to be well tolerated, with only minimal discomfort. The treatment is administered using a very fine needle, and the injections are typically completed within a matter of minutes.

Any sensation experienced during treatment is usually brief and short-lived. For patients who are concerned about discomfort, a topical anaesthetic cream can be applied before treatment if required. Your practitioner will ensure you are comfortable throughout the procedure and will be happy to answer any questions before treatment begins.

How long does treatment take?

The length of treatment will depend on the number of areas being treated, however most Botox appointments take approximately 15–30 minutes. The procedure is performed in clinic and does not require any recovery time, making it a convenient treatment option for many patients.

Your appointment will also include time for consultation and assessment, ensuring treatment is tailored to your individual facial anatomy, muscle activity, and aesthetic goals.

When will I see results?

Results from Botox typically begin to develop within a few days of treatment, with the full effect usually becoming visible after 7–14 days. The exact timeframe can vary depending on the treatment area, the muscles being treated, and individual factors.

A review appointment may be recommended to assess your results and ensure the treatment outcome is progressing as expected. Your practitioner will discuss what you can expect during your consultation and provide personalised advice based on your treatment plan.

How long do results last?

The effects of Botox typically last between 3 and 6 months, although this can vary depending on the individual, the treatment area, and factors such as muscle activity and metabolism. As the effects gradually wear off, muscle movement will return and lines may begin to reappear.

Many patients choose to have maintenance treatments to help preserve their results over time. Your practitioner will be able to advise on an appropriate treatment schedule based on your individual needs and treatment goals.

Is there any downtime?

Botox treatment requires little to no downtime, and most patients are able to return to their normal daily activities immediately after their appointment. Mild redness, swelling, or bruising at the injection site can occasionally occur, but these effects are typically temporary and resolve quickly.

To help minimise the risk of bruising, your practitioner may advise you to avoid certain medications, such as aspirin or anti-inflammatory medication, before treatment where appropriate. Personalised aftercare advice will be provided following your appointment.

What aftercare should I follow?

Botox treatment requires very little downtime, however following the recommended Botox aftercare advice can help support optimal results. For the first 4 hours after treatment, avoid touching, rubbing, or applying pressure to the treated area.

For the first 24 hours, avoid strenuous exercise, swimming, excessive alcohol consumption, tanning beds, direct sun exposure, and lying face down. It is also advisable to avoid exposing the treated area to extremes of heat or cold during the initial recovery period.

When cleansing your skin, use a gentle cleanser and lukewarm water, and avoid active skincare ingredients such as retinol, alpha hydroxy acids (AHAs), beta hydroxy acids (BHAs), and low-pH vitamin C formulations for several days following treatment. Keeping the skin hydrated and following a gentle skincare routine can help support recovery.

Your practitioner will provide personalised aftercare instructions and answer any questions you may have before leaving the clinic.

What Is the 4-Hour Rule for Botox?

The 4-hour rule generally refers to avoiding lying down, rubbing, massaging, or placing unnecessary pressure on the treated areas for approximately four hours after Botox treatment. This precaution is commonly recommended as part of early aftercare while the treatment begins to settle.

Patients should follow the specific instructions provided by their practitioner, as aftercare may vary according to the treatment area and individual circumstances. You can read our guide to the Botox 4-hour rule for more information about what to avoid after treatment and when normal activities can usually be resumed.

What is the best age to start treatment?

There is no specific age at which Botox treatment is recommended, as the timing will vary from person to person. Many patients begin treatment when they notice that dynamic lines, which initially appear only during facial expressions, start to remain visible even when the face is at rest.

Factors such as genetics, sun exposure, smoking, lifestyle, and skin quality can all influence how and when lines develop. Early treatment may help soften expression lines and reduce the progression of deeper wrinkles over time. During your consultation, your practitioner will assess your concerns and advise whether Botox is an appropriate option for your individual needs and aesthetic goals.

Is 40 Too Late to Start Botox?

No. There is no specific age at which Botox treatment needs to begin. For suitable patients in their 40s, Botox may be used to soften dynamic lines caused by repeated facial movement, including forehead lines, frown lines, and crow’s feet.

Suitability depends on your facial anatomy, muscle activity, skin condition, medical history, and treatment goals rather than age alone. You can read our guide to starting Botox at 40 for more information about what treatment can realistically achieve at this stage.

Can Botox treat a gummy smile?

Yes, Botox can be used to help improve the appearance of a gummy smile in suitable patients. A gummy smile occurs when a larger amount of gum tissue is visible above the upper teeth when smiling, often due to increased activity of the muscles that elevate the upper lip.

By carefully relaxing these muscles, Botox can reduce the amount the upper lip lifts when smiling, creating a more balanced appearance. During your consultation, your practitioner will assess the underlying cause of the gummy smile and determine whether Botox is the most appropriate treatment option for your individual needs.

What is the Nefertiti Neck Lift?

The Nefertiti Neck Lift is a Botox treatment designed to address horizontal neck lines and vertical platysmal bands that can become more noticeable with age. By relaxing specific muscles in the neck and lower face, the treatment can help improve definition along the jawline and create a smoother appearance in the neck area.

The treatment is tailored to each individual’s anatomy and concerns, with the aim of achieving a refreshed and natural-looking result. During your consultation, your practitioner will assess whether a Nefertiti Neck Lift is suitable for your needs and discuss the expected outcomes of treatment.

Can Botox treat excessive sweating?

Yes, Botox can be used to treat excessive sweating, a condition known as hyperhidrosis. The treatment works by temporarily blocking the nerve signals that stimulate the sweat glands, helping to reduce sweat production in the treated area.

Common treatment areas include the underarms, palms, and soles of the feet. Results typically develop within a few days to two weeks and can last between 3 and 6 months, although this may vary between individuals. During your consultation, your practitioner will assess your symptoms and determine whether Botox is an appropriate treatment option for you.

Can Botox treat migraines?

Botox is an approved treatment for chronic migraine in suitable patients. It works by affecting the release of certain neurotransmitters involved in pain signalling, which may help reduce the frequency and severity of migraine episodes. Our guide to Botox for migraines explains how the treatment works, who may be considered for it, and how migraine treatment differs from cosmetic Botox.

Treatment is typically administered at regular intervals, often every 12 weeks, although recommendations will depend on your individual medical history and treatment plan. During your consultation, your practitioner will assess your symptoms and discuss whether Botox may be an appropriate option for you.

Can Botox treat facial flushing?

Botox may be used in selected cases to help manage facial flushing affecting areas such as the face, neck, or chest. The treatment is thought to work by influencing the nerve signals involved in blood vessel activity, which may help reduce episodes of flushing in some patients.

The suitability and effectiveness of treatment can vary depending on the underlying cause of the flushing. During your consultation, your practitioner will assess your symptoms, medical history, and treatment goals to determine whether Botox is an appropriate option for your individual circumstances.

Where can I have Botox treatment at Dr Nyla Medispa?

Botox treatment is available at Dr Nyla Medispa in Mayfair, Alderley Edge, and Crosby. View location-specific treatment information for Botox in London, Botox in Cheshire, or Botox in Liverpool.

How much does Botox cost?

Botox treatment at Dr Nyla Medispa starts from £250.

Our pricing reflects treatment within a doctor-led, medically regulated clinic, with an individualised approach based on your facial anatomy, muscle activity, areas of concern, and the treatment plan considered most appropriate for achieving natural-looking results.

Final pricing is provided following a free consultation before treatment. Your practitioner will assess your concerns and recommend a personalised treatment plan tailored to your anatomy, facial movement, and aesthetic goals.

You can also read our guide to Botox cost in the UK for more information about typical prices and the factors that can influence treatment costs.

Charlotte Shares Her Botox Experience

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“After years of being conscious of my frown lines I finally found the perfect person to fix them. I went to Dr Nyla for my anti-wrinkle injection treatment and couldn’t be happier with the results.”

Begin Your Personalised Treatment Plan With Dr Nyla Medispa

Dr Nyla Raja with the medical aesthetics team at Dr Nyla Medispa in Mayfair, London

Why Choose Dr Nyla Medispa

Dr Nyla Raja is the Founder and Medical Director of Dr Nyla Medispa. With over 20 years of experience in aesthetic medicine, Dr Nyla is recognised for her clinical approach to non-surgical treatments and her commitment to achieving natural-looking results through personalised care.

With clinics in London, Cheshire, and Liverpool, Dr Nyla Medispa provides a carefully selected range of advanced treatments for the face and body. Every treatment is delivered within a medically regulated setting, combining clinical expertise, evidence-based techniques, and a patient-centred approach. Under the guidance of Dr Nyla Raja and her experienced medical team, treatment plans are tailored to individual concerns, with a focus on skin health, facial harmony, and subtle enhancement.

As Featured In

Awards & Recognition

Meet Our Medical Team

Dr Nyla Raja GMC Registered: 6057913
Dr Priyanka Chadha GMC Registered: 7293830
Dr Vadim Corjos GMC Registered: 7822977
Dr Tahera Bhojani-Lynch GMC Registered: 3323786
Dr. S. Dean Rhobaye GMC Registered: 6092830
Dr Paul Cronin GMC Registered: 3056712
Nurse Lee Garrett Master Aesthetic Innovator
Roksana
Roksana Patient Co-Ordinator
Sandra
Sandra Therapist
Emma
Emma General Manager
Dr Nyla Raja GMC Registered: 6057913
Dr Vadim Corjos GMC Registered: 7822977
Dr Tahera Bhojani-Lynch GMC Registered: 3323786
Dr Paul Cronin GMC Registered: 3056712
Dr Kamran Amjed GMC Registered: 7550199
Nurse Antonia Smith Aesthetic Nurse Prescriber
Emma
Emma General Manager
Melissa
Melissa Therapist
Dr Nyla Raja GMC Registered: 6057913
Dr Vadim Corjos GMC Registered: 7822977
Dr Paul Cronin GMC Registered: 3056712
Dr Kamran Amjed GMC Registered: 7550199
Nurse Antonia Smith Aesthetic Nurse Prescriber
Emma
Emma General Manager

What Our Patients Say

Rated Excellent – Based on 500+ Reviews

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lynne shackleton
8 October 2026
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Amazing clinic very professional explained everything very clearly would highly recommend
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MsJacam
5 October 2026
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I had a really positive consultation with Dr Nyla at Dr Nyla’s Medi Spa, 32 Dover Street. From the outset, she was warm, professional, open and refreshingly honest. What I appreciated most was that she didn’t sugarcoat anything or try to recommend treatments unnecessarily. She listened carefully to my concerns, gave me realistic advice about what could be achieved, and recommended what she genuinely felt was the best course of treatment for me. I left the consultation feeling informed, reassured and really excited about moving forward. I’m now looking forward to completing my treatment and seeing the final results. So far, a very positive experience and I feel I’m in good hands. I will update this post with my results.
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jackie c
5 October 2026
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Excellent service. Beautiful shop. Consultation very personal with Dr Nyla and gave great advice. Skin care products works really well with my skin.
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Lauren Towers
2 October 2026
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Lovely clinic! Dr Nyla, Anna and Lauren were amazing and made me feel so welcome and well looked after 🥰 thank you and I look forward to my next visit
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Lyndsey Sumner
29 September 2026
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Just had my appointment with Melissa, who discussed my concerns sensitively and helped me consider various treatment options to suit both my budget and skin care concern. Really helpful, wouldn’t hesitate to recommend. Thank you Melissa
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Imogen Drolet
28 September 2026
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I had a re-evaluation of a thread lift I had done abroad which suddenly acted up by Dr Vadim, who was very reassuring, and was able to explain clearly and concisely what had happened, what to do, and why. Everyone at the clinic was very kind and helpful, and I felt well looked after. Thank you so much!
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Chloe Macleod
28 September 2026
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Amazing experience at my consultation, felt so welcomed
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Chloe Macleod
28 September 2026
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Amazing experience
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Fellside Construction
17 September 2026
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I went to NYLA clinic and my experience was unbelievable. Anna did my ultra cell treatment which was great and she made me feel very comfortable. Would recommend to anyone x
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Shaz M.
13 September 2026
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My wife and I recently visited the clinic—I had a facial, and she received Botox. I can honestly say this is the best clinic I have ever been to.From the moment we walked in, the environment was immaculately clean and incredibly welcoming. The staff were so friendly, guiding us through the entire process and patiently answering every question we had. We were both a bit nervous because of poor experiences at other clinics in the past, but the team completely put us at ease.The treatments themselves were absolutely phenomenal. My facial was one of the best I’ve ever had; I saw a visible improvement in my skin within the first 10 minutes, and the radiant results have lasted. My wife's Botox treatment with Dr. Nyla was exceptional—virtually pain-free, and it has already done wonders for her.Thank you so much to Dr. Nyla and the entire team for turning what we expected to be a nerve-wracking day into an amazing experience. I will be recommending this clinic to absolutely everyone, and we will definitely be returning!
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saral jain
12 September 2026
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Amazing service I look amazing
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saral jain
12 September 2026
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Incredible service would highly recommend. I look amazing
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Rosemary Page
13 August 2026
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Fantastic experience wouldn’t go anywhere else trust the doctors and nurses. They are absolute professionals. Why didn’t I come sooner? it has changed my life
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Nicole Bailey
6 August 2026
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Everything at Dr Nyla’s Medispa was fabulous, from the team, to the environment, to the treatment itself. Dr Nyla, Anna, Ruby, and Melissa were wonderful and incredibly helpful, I’d recommend this spa to anyone who looking for an honest opinion and reputable provider!
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michelle catalano
5 August 2026
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So pleased with my results so far and the professional care of Billie - would highly recommend both the Mayfair spa and Cheshure spa
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Jordan Wood
4 August 2026
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Had my flank and stomach fat frozen with Coolsculpt. Ace results.. Emma looked after me due to having lots of questions beforehand. Louisa did a thorough job. I will return for more toning and tightening treatments which Doctor Nyla advised, when I am back in UK. Mr J Wood.
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Liliana Caldeira
24 July 2026
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Amazing staff and great treatment.
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Salma Simonin
23 July 2026
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I had the Emerald laser done with the Medispa with nurse Antonia was amazing. She really explained everything and all of the benefits and the side effects. I cannot wait to see my final results. I can already see improvements And my therapist was fantastic
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Isiuwa Osa
23 July 2026
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Had a consultation with the doctor which went very well. They gave me lots of information and I have started my treatments with Melissa today thanks everyone at the Medispa group
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Sophie Higgs
23 July 2026
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I’ve just had a skin tightening treatment with Anna, she was so lovely and the treatment was really relaxing. Thank you so much

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