Mr. Onur Gilleard
Qualifications & Experience
Mr Onur Gilleard is a distinguished consultant plastic surgeon on the GMC specialist register. He previously held an NHS consultant post at St Bartholomew’s Hospital in London, specialising in skin cancer and microsurgical reconstruction. In 2021, Mr Gilleard transitioned from the NHS to dedicate himself fully to private practice, allowing him to focus exclusively on providing personalised, high-quality care to his patients. He is recognised as an expert in laser treatments, having conducted research and developed advanced treatment protocols using cutting-edge laser technology to optimise both clinical outcomes and cosmetic results.
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Skin tag removal at our St Albans clinic is a same-day procedure: the lesion is assessed by a consultant, confirmed as a skin tag, and removed at the same visit under local anaesthetic where needed. One practical difference is worth knowing before you choose where to book — laser treatments are not offered at the St Albans location. For skin tags that rarely matters, since snip excision, hyfrecation and surgical excision are all available there and cover the great majority of cases. This page sets out what is available locally, what is not, and when a Harley Street appointment is the better choice.
What Is and Is Not Available in St Albans
The St Albans clinic runs minor surgical procedures — lesion removal, earlobe and scar work — rather than the full laser and aesthetic list held at Harley Street. Applied to skin tags, that produces a clear division:
| Method | St Albans | Suits |
|---|---|---|
| Snip excision | Available | Small, narrow-stalked tags — seconds each, no suture |
| Hyfrecation (electrosurgery) | Available | Small tags and facial tags, where precision matters |
| Surgical excision | Available | Large or broad-based tags; the base is cauterised and closed with a dissolvable suture |
| Cryotherapy | Available | Where a patient prefers to avoid an injection |
| Laser | Not offered at this location | Booked at Harley Street where it is the chosen method |
Because the first four methods between them handle almost every skin tag, the laser exclusion rarely changes anything in practice. It matters if laser has already been recommended for you, or if you are also being treated for something where laser is the appropriate tool — in which case Harley Street is the right booking. How the methods compare clinically is set out in shave vs excision and electrosurgery for skin tags.
Also available at St Albans, and relevant if the lesion turns out not to be a tag: mole removal, wart and genital wart removal, cyst and eyelid cyst removal, cherry angioma, lipoma, dermatofibroma, seborrhoeic keratosis and keloid scar treatment. The full list is on the St Albans clinic page.
How a Same-Day Appointment Works
Every procedure begins with a clinical assessment to confirm the diagnosis and the appropriate approach. For a straightforward skin tag that means assessment and removal in one visit rather than two appointments.
- Assessment. The lesion is examined by a consultant. This is the step that decides everything else, and it is not a formality — see below.
- Method and consent. The technique is matched to the tag’s size, site and base, and the cost is confirmed before anything is done.
- Removal. Local anaesthetic where needed; seconds per lesion for small tags. Between 20 and 30 small tags can be treated in one session, the limits being anaesthetic dose and comfort rather than technique.
- Aftercare. Keep the site moist rather than letting it dry into a hard scab, leave it alone rather than picking, and protect it from sun for the first few months while the new skin is pigmenting.
Significant scarring occurs in fewer than 2% of tag removals at this clinic, and snip excision of a narrow-stalked tag frequently leaves no visible mark at all.
Why the Assessment Decides Everything
“The real danger with skin tags is complacency. Occasionally something that looks like a tag is actually a basal cell carcinoma, a melanoma, or a neurofibroma, which is why I examine every lesion before removing it and send anything atypical for histology.”— Mr Onur Gilleard, Consultant Plastic Surgeon
In the largest published series of lesions removed as presumed skin tags, five of 1,335 proved malignant on histology (Eads et al., Archives of Dermatology, 1996). Rare — and the reason a lesion is examined before a method is chosen rather than after.
The practical consequence is worth understanding: methods that destroy tissue in place, such as hyfrecation or cryotherapy, leave nothing to send to a laboratory. Where a lesion has features that warrant a diagnosis it is excised whole and sent for histology (£180) instead. Those features are the familiar ones — firm, pigmented, growing quickly, bleeding without being caught, or simply unlike its neighbours. More on which lesions warrant concern: are skin tags dangerous.
Cost, and the NHS Position
| Item | Price |
|---|---|
| Consultation | £100 |
| Skin tag removal (first) | £200 |
| Each additional tag | £125 |
| Histology, where a lesion has suspicious features | £180 |
Pricing is the same at both locations. Because each additional tag is charged at a lower rate, clearing a cluster in one appointment costs considerably less per lesion than returning repeatedly.
On the NHS side, removal of a harmless skin tag is classed as cosmetic and is not routinely funded anywhere in England, including Hertfordshire — commissioning thresholds are set locally by integrated care boards and vary in their detail, but the medical-versus-cosmetic distinction holds throughout. Where a lesion is symptomatic or diagnostically uncertain the position is different. The criteria, and what a GP can and cannot do, are set out in skin lump removal on the NHS.
St Albans or Harley Street?
- St Albans suits
- Straightforward skin tag removal by snip, hyfrecation, excision or cryotherapy; patients travelling from Hertfordshire and the surrounding towns; anyone wanting the assessment and the procedure in a single local visit.
- Harley Street suits
- Cases where laser is the chosen method, and treatments outside the minor-surgery list — the aesthetic and laser services are held there. If you are unsure which applies, it is a question worth asking when booking rather than discovering on the day.
- Either, for the sensitive sites
- Eyelid-margin tags are removed with corneal protection in place, and facial tags with a fine hyfrecator tip worked slowly. Both are available at either location — see skin tags at the corner of the eye.
To arrange an appointment at either clinic, see skin tag removal or contact the clinic.
Frequently Asked Questions
- Can a skin tag be removed on the same day in St Albans?
- Usually, yes. Every procedure starts with a clinical assessment to confirm the diagnosis and the appropriate approach; for a straightforward tag the removal follows in the same appointment. Where the lesion has features that need histological examination, the plan may change — which is the point of assessing first.
- Is laser skin tag removal available at the St Albans clinic?
- No. Laser treatments and aesthetic procedures are not offered at the St Albans location. Snip excision, hyfrecation, surgical excision and cryotherapy are all available there and cover the great majority of skin tags. Where laser is specifically indicated, the appointment is made at Harley Street.
- Which method will be used on my tag?
- It depends on the lesion rather than the location. Small narrow-stalked tags are usually treated by snip excision or hyfrecation in seconds; larger or broad-based tags are excised at the base and closed with a dissolvable suture. Cryotherapy is offered where a patient prefers to avoid an injection, with the trade-off of a possible second visit.
- How many tags can be removed in one appointment?
- Between 20 and 30 small tags in a single session under local anaesthetic. The limiting factors are anaesthetic dose and patient comfort rather than technique. Larger tags requiring formal excision take longer, so three or four is realistic in one visit.
- Does it cost more or less than the London clinic?
- Pricing is identical at both locations: £100 for the consultation, £200 for the first tag and £125 for each additional one. Histology, where a lesion warrants it, is £180.
- Would the NHS remove it in Hertfordshire?
- Not routinely. A harmless skin tag is classed as cosmetic, and cosmetic removal is not funded. The position changes if a lesion is symptomatic — repeatedly catching, bleeding or becoming infected — or if there is diagnostic uncertainty, in which case a GP is the right first step.
- What if it turns out not to be a skin tag?
- That is what the assessment is for. Mole, cyst, wart, cherry angioma, lipoma, dermatofibroma, seborrhoeic keratosis and keloid treatment are all available at the St Albans clinic, so a change of diagnosis does not usually mean a change of location. Where a lesion needs examining rather than removing, it is excised whole and sent for histology.
- Will the tag come back after removal?
- A tag removed completely at its base does not regrow. New tags can form elsewhere if the underlying drivers persist, which is a different thing from recurrence — the distinction is explained in can skin tags grow back.
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