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.

Laser skin treatments use focused light to target a specific problem in the skin — resurfacing lines and scars,
clearing redness and pigmentation, or treating vessels and lesions. There is no single “laser”: the right device
depends entirely on your concern and skin type. At London Skin Clinic the main options are
CO₂ resurfacing (wrinkles, scars, texture), the DermaV laser (redness, rosacea and
pigmentation) and laser for surgical scars and lesions. This guide explains what
each laser does, how to choose, the all-important skin-tone safety point, and costs.

How Laser Treatments Work

A laser delivers a specific wavelength of light that’s absorbed by a particular target in the skin — water (for
resurfacing), pigment (for sun spots and melasma), or haemoglobin (for redness and vessels). That selectivity is the
whole point: the right laser treats the target while sparing the rest. Lasers are broadly ablative
(removing surface layers to resurface, e.g. CO₂) or non-ablative/targeted (working without removing
the surface). Matching device to concern is what separates a good result from a poor or risky one.

The Main Lasers and What They Treat

Treatment Best for
CO₂ laser resurfacing Deeper wrinkles, sun damage, texture, crepey skin, smoker’s lines, scarring.
CO₂ for acne scars Indented/textured acne scarring.
DermaV laser Facial redness, rosacea, thread veins, pigmentation and sun spots.
Laser for surgical scars Surgical, C-section, burn and other scars.
Laser lesion removal Certain benign skin lesions (after diagnosis).
Coolpeel A gentle CO₂ option for texture and glow with minimal downtime.
Rhinophyma treatment Thickened, enlarged nose skin (rhinophyma).

An honest note on naming: many laser “brands” (Pico, Laser Genesis, IPL and others) are devices or techniques within these categories — what matters is the right tool for your concern, not the brand on the door.

How to Choose the Right One

Start from the concern, not the machine. Resurfacing (CO₂) suits texture, lines and scarring; a vascular/pigment
laser (DermaV) suits redness and brown patches; scars have their own dedicated approach. Many people get the best
result from a combination over time. One important caveat: a mole or changing lesion should
never simply be lasered away
— it needs assessment and, where appropriate, removal that allows the tissue to
be examined (see laser vs surgical mole removal).

Skin Tone and Safety

Skin tone genuinely matters with lasers. In darker skin tones, some lasers carry a higher risk of
post-inflammatory pigmentation (dark or light marks) if the wrong device or settings are used. A responsible clinic
assesses your skin type, chooses a suitable laser and settings, and may patch test — which is why an experienced
consultant matters more than the latest machine. Realistic expectations and proper aftercare (sun protection
especially) are part of a safe result.

Sessions, Downtime and Aftercare

How many sessions and how much downtime depends heavily on the laser. Ablative resurfacing (fuller
CO₂) is often a single, powerful treatment with real downtime — about a week of social recovery while the skin peels
and settles. Targeted lasers for redness, pigmentation or veins, and gentle non-ablative
treatments, are usually done as a course of sessions a few weeks apart, with little or no downtime.
Across all of them, one rule is constant: diligent sun protection afterwards protects your result
and lowers the risk of pigmentation, especially in darker skin. Your consultant sets out the realistic plan, recovery
and aftercare for your specific treatment.

Honest Expectations: What Laser Can’t Do

Good results come with realistic expectations, so it’s worth being clear about the limits. Laser can’t
permanently shrink pores (it makes them look smaller); it isn’t a facelift
(energy-based tightening is modest, for mild laxity only); and melasma must be treated cautiously,
because the wrong laser or too much heat can worsen it. Crucially, a mole or changing pigmented lesion is
never simply lasered away
— it’s assessed and, where needed, removed so the tissue can be examined. A clinic
that promises dramatic, guaranteed results from a single gadget is overselling; the honest approach matches the right
tool to your concern and tells you what’s achievable.

The consultation is where this all comes together: your skin type is assessed, the diagnosis confirmed, the right
laser and settings chosen, and — for some treatments and skin tones — a patch test done first to
check how your skin responds. That assessment, by an experienced clinician rather than a machine operator, is the
single biggest factor in both safety and a good result.

Cost Overview

Cost depends on the laser and area. As a guide, CO₂ laser skin rejuvenation ranges from around £2,250
(forehead) to £4,250 (full face), with packages including the neck and décolletage; the full,
current list is on the CO₂ rejuvenation
page. Other laser treatments are quoted individually. Every plan starts with a £100 consultation,
where your skin is assessed and the exact price confirmed. Book a consultation.

Your Questions, Answered

Which laser treatment do I need?
It depends on your concern: CO₂ resurfacing for wrinkles, texture and scarring; a vascular/pigment laser like DermaV for redness, rosacea and pigmentation; and dedicated approaches for scars. The right device is matched to your concern and skin type at a consultation.
Are lasers safe for darker skin?
They can be, but skin tone matters — some lasers carry a higher risk of pigmentation changes in darker skin if the wrong device or settings are used. A responsible clinic assesses your skin type, selects a suitable laser and settings, and may patch test first.
Can a mole be removed by laser?
It’s generally not advised. A mole or changing lesion should be assessed and removed in a way that allows the tissue to be examined if needed — lasering destroys it, leaving nothing to check. This is an important safety point.
Will I need more than one treatment?
Often, yes — many concerns respond best to a course or a combination of lasers over time. Your consultant will set out a realistic plan and number of sessions at your consultation.
How much do laser treatments cost?
It varies by laser and area. CO₂ skin rejuvenation ranges from about £2,250 (forehead) to £4,250 (full face), with neck and décolletage packages; other treatments are quoted individually. Every plan starts with a £100 consultation where the exact price is confirmed.