Find below clear, honest and transparent advice on our pricing structure
Introduction to the TVSS Price Guide
Please see our updated Price Guide for 2025 below. It’s important you read the guide carefully, as skin surgery is complex and not all lesions can be priced the same. That said, we’ve tried to include most common scenarios to give you a clear idea of likely costs.
Returning patients — including those who had a self-pay vasectomy — receive their consultation with Dr Kittel free of charge.
We take pride in keeping our pricing accurate and transparent. Our aim is for 99% of listed prices to be correct. If you spot anything that seems outdated, do let us know!
Transparent, Affordable Pricing Is Our Mission
We aim to be cost-competitive without compromising on the quality of care. At TVVS, we’re working to reduce the cost of community-based minor surgery while maintaining full transparency. Few, if any, providers offer this level of clarity in pricing. You are unlikely to find significantly lower prices elsewhere offering comparable clinical quality.
To avoid misunderstandings, we ask that you read the pricing information below carefully.
Please start by reviewing the first three sections under “General Pricing Information.” Also note: our consultation fee is just £60, which includes a medical opinion from a qualified doctor and a thorough evaluation of your treatment options.
👉 Learn more about our cancellation and appointment re-scheduling policy.
General Pricing Information
How to read pricing information
💷 Understanding Our Pricing
We show prices like this:
£285 / £225 / £75
Here’s what each figure means:
- £285 – First lesion, with no prior consultation discount.
- £225 – First lesion with a £60 discount:
- You’ve had a consultation within the last month.
- Or, you’re a returning patient.
- £75 – Each additional lesion (same visit), regardless of type.
*Exceptions apply for fixed-price procedures — these are clearly marked elsewhere.
🧾 What’s Included in the First Price?
The first price always includes a “standard charge” of £210. This covers:
- Medical records stored for 10 years
- Office and admin costs
- Clinical supplies
- Insurance and compliance (CQC)
- Staff, sterilisation, and more
This charge is only applied once per visit — even if multiple lesions are removed.
📊 Example Costs (These are only for understanding the principle)
| Number of Lesions | New Patient | Returning Patient |
|---|---|---|
| 1 lesion | £285 | £225 |
| 2 lesions | £360 | £300 |
| 3 lesions | £435 | £325 |
🩺 Consultation Fee
- A consultation costs £60, paid at the time of booking.
- If you go ahead with treatment within 1 month, this fee is deducted from your surgery.
- Returning patients don’t pay the consultation fee again — and still get the £60 discount.
❓ Need Help Understanding Your Cost?
If you’re unsure which category your treatment falls into, just ask. We’re happy to give you an idea, but the excact pricing will be determined after the consultation and assessment.
How we are keeping prices lower
💡 How TVVS Keeps Prices Down
We used to offer free consultations. However, over 80% of patients never booked treatment, which pushed up prices for everyone else.
Now we charge £60 for the pre-surgical assessment — but deduct it from your final surgery cost if you go ahead. This helps keep prices low for patients who are serious about having a procedure. If you wish a skin check or a more thorough discussion you can book a double appointment for £120. Just ask.
Our philosophy: Surgery is expensive enough. Let’s not make it more expensive by running inefficiently.
- We don’t waste appointment slots. We run a tightly scheduled clinic — no long gaps, no idle time.
- We reduce no-shows. Our strict cancellation and rebooking policy helps ensure attendance and fairness.
- We don’t absorb lateness costs. If you arrive late and miss your slot, the fee is still due — just like missing a flight. Others can’t subsidise missed appointments. We recommend arriving with the same buffer you’d use for travel.
- We minimise admin costs. All payments are made in advance — no chasing, no invoices.
- We may not have a private receptionist. We use shared reception facilities — no frills, but we pass the savings on to you.
- We keep assessments focused. Forms are completed online beforehand and stored in your medical record. Your appointment is typically 10-20 minutes, with both the doctor and senior nurse.
Prefer more flexibility, concierge service, or long surgeon discussions?
You might be better suited to a traditional private hospital such as the Spire. You’ll get more flexibility — and pay 3–4 times more for it, much like business class vs economy. If you prefer affordable, efficient care without compromising clinical quality, we’d love to see you at TVVS.
Our goal: Premium experience. Affordable price.
General Notes about our price calculations for surgery
📌 General Principles of Price Calculation
Fees quoted are for:
- Doctor and nurse time
- Surgery and use of the procedure room
- All medical materials used
- Any necessary follow-up (excluding suture removal)
You may deduct £60 from your quoted price if you book surgery within 4 weeks of your consultation.
🔒 Fixed Price Surgery vs Bespoke Pricing
✔ Fixed Price Surgery
We offer fixed pricing for procedures that are simple, low-risk, and rarely require escalation. Examples include:
- Lipomas on arms, legs, abdomen, or lower back
- Xanthelasmas (cholesterol deposits around the eyes)
- Earlobe repairs
- Small skin tag removals
- Milia removals
- Wart removals
- Small mole excisions (5mm or less) on the body
- Shave excisions on the body (and usually the face, but not breasts)
We also price larger lesions on the body very competitively.
⚖️ Bespoke Pricing
Some lesions are more complex and may require:
- Longer procedure time
- Advanced techniques
- Referral to a colleague (in some cases)
Examples of bespoke cases include:
- Lesions on breasts
- Lesions on hands or feet (which may require a specialist)
- Deeper or larger cysts on the upper back and neck
- Giant lipomas
- Generally, anything requiring full excision on the face or neck including forehead
🔄 Why Is It Cheaper When I Have More Surgery?
The price for the first lesion includes a standard charge of £210, which covers all the fixed costs of your visit:
- Creating and storing your medical records (6–10 years)
- Preparation for surgery
- Anaesthetic administration
- Writing your operation report
- Insurance, overheads, and regulatory compliance
Once that’s covered, removing additional lesions is quicker and easier — so we only charge the reduced rate shown as the third price.
🧾 And Finally…
We do our best to keep this information accurate and consistent across the site and your quote. If you notice anything unclear or inconsistent, please let us know.
However, if your quote follows what’s outlined on this page, it is correct — and represents a fair and professional fee we are unable to alter.
The more you remove the cheaper it gets... Example how we calculate your quote
💰 Why Is It Cheaper to Have More Lesions Removed?
Please note: the quotes below do not include the cost of laboratory examination, which is often not required for Lipomas.
The first lesion is typically 2–3 times more expensive than any additional lesions removed in the same session. This is because we must account for:
- Changeover time between procedures
- Thorough documentation and clinical notes
- Room preparation and sterilisation
- Staffing and theatre costs
- Insurance and long-term medical record storage (6–10 years)
Subsequent lesions can be removed immediately afterwards, with much less overhead — so the cost per lesion is lower. A common example is removing multiple Lipomas from the arm or leg.
📈 How We Calculate the Price (Example: 5 Lipomas on the Arms)
Let’s say the first Lipoma on your arm is £310. With the consultation discount applied, that drops to £250.
Each additional Lipoma on the arm is typically just £100 (based on straightforward cases, up to 4cm).
🔢 Example Quote (5 Lipomas)
£250 + £100 + £100 + £100 + £100 = £650
That’s an average of £130 per Lipoma — with no compromise on care quality.
*If Lipomas are sent for lab analysis, the additional laboratory costs (see lab section) will apply.
Specific Pricing Information
🩺 A Clinical Assessment for Minor Surgery
Our assessments are always carried out by a doctor — usually the surgeon who would treat you — to ensure you receive full clinical advice and clarity on your condition and treatment options.
Returning patients are those who have previously had surgery or a self-pay vasectomy with us.
💳 Assessment Fee: £60 / Free
The standard cost for a clinical assessment is £60. If you book and pay for your procedure within 4 weeks of the assessment, we deduct the £60 from the surgery price.
Returning patients receive one free assessment — and still get the £60 discount — effectively saving on each visit.
Exceptions: The discount does not apply for:
- Follow-up Xanthelasma treatment within 3 months (already discounted by 50%)
- Patients requiring cortisone injections
❗ If You Miss a Free Appointment
We experience frequent no-shows for free appointments. Even if no charge was made, the value of the appointment is still £60. A missed free appointment will incur a £30 no-show fee payable before booking another slot.
🎥 Before Your Appointment
Please:
- Watch the video below to prepare
- Read and complete the application and pre-consent form
- Review the pre-surgical preparation form sent after your appointment
🛑 If We Cannot Proceed
If we are unable to offer surgery, we will explain why and offer signposting to another service. You’ll receive a short summary email for referral purposes.
⚠️ If We’re Concerned About Cancer
If a lesion appears suspicious, we will recommend a referral:
- To your GP with a letter requesting a 2-week-wait NHS referral
- Or to a private specialist (e.g. dermatologist) for urgent review
🔬 Inadvertent Removal of a Cancerous Lesion
If a lesion we remove turns out to be malignant:
- We will contact you and your GP
- Provide your lab report
- Issue a letter and arrange follow-up or referral if needed. There may be additional costs in the region of £250 for this work which includes liaising with lab specialists, the MDT meeting and ensuring all work around the issue has been safely completed.
🖥️ If a Scan Is Required
Sometimes we need to base our decision on imaging results. We have a fixed-price ultrasound agreement with Bridge Clinic, Maidenhead: £285. For other diagnostics, we will write to your GP.
🧑⚕️ Dermatology Input
Occasionally, we may advise seeing a dermatologist before mole removal. This costs around £250. If the lesion is benign, we proceed with removal. If not, the dermatologist will refer you to cancer services.
💊 Private Prescriptions
We provide free prescriptions related to surgery (e.g. pre-op antibiotics). For unrelated issues:
- Prescription fee: £39
- Prescription change: £19
Prescriptions are issued via CloudRx or digital token and can be used at Tesco or Lloyds. Most cost about the same as NHS prescriptions plus shipping.
Note: We do not prescribe controlled drugs (e.g. morphine, tramadol).
📋 Additional Services (Additional Cost)
- Repeat consultation or prescription: £60
- Extended consultation: £120
- No-show charge for any consultation: £30
📄 Paper-Based Support (Non-Digital Services)
If we must provide printed forms or support non-digital patients, additional time and admin costs apply. We advise using a family member to assist with digital forms where possible to avoid these extra costs.
🌍 Translation Services
If your English is limited, please bring a trusted translator. If not possible:
- Remote translator + consultation: £220
- Translator during surgery: +£250
Translation is subject to availability
🔬 Examinations in the Laboratory
Laboratory analysis is considered best practice for all skin lesions and is required under clinical governance guidelines. However, as part of our shared decision-making approach, there is flexibility if the clinical picture is clear or the patient prefers not to proceed with lab testing. Certain lesions, like dark moles and cysts and lesions looking odd under dermatoscope always have to be sent to the laboratory. Dr Kittel will advise you about this during the consultation.
Lab costs:
- First lesion: £120
- Each additional lesion: £60
Just like our surgical fees, lab pricing is structured to offer significant discounts when multiple lesions are sent for analysis during the same session.
If you and your clinician decide that a laboratory examination is not necessary, you will be asked to sign a disclaimer confirming this decision.
Note: Occasionally, the laboratory may apply an additional charge. If this happens, we will contact you with the reason and request the extra amount separately. This can take up to 6 months following the completion of the work, particularly in rare or difficult cases.
⏱️ Removing a Larger Number of Lesions — Discounted Timed Appointments
We offer timed appointments specifically for shave excision and electrodessication procedures. These are ideal for patients needing treatment for multiple minor skin issues in one go — such as:
- Warts
- Milia
- Skin tags
- Campbell-de-Morgan spots
- Other similar benign skin lesions
Rather than charging per lesion (which would be costly for high numbers), we provide a minimum lesion guarantee and often treat significantly more during your appointment — depending on comfort, anxiety levels, and cooperation.
🚫 What’s Not Included
This offer does not apply to any lesions that require:
- Excision
- Sutures or repairs
- Laboratory testing
Those types of lesions are always individually priced for safety and clinical accuracy.
💰 Lipoma Removal Costs (Excludes Lab & Suture Removal)
Below is our transparent pricing for Lipoma removal. These prices exclude laboratory costs (which are often not needed for small Lipomas) and do not include suture removal.
🔒 Fixed-Price Lipomas (No Lab Required)
- Arms, under 4cm: £310 / £250 / £100
- Thighs, under 4cm: £335 / £275 / £125
- Upper/Mid Back, Scalp, Buttocks (under 3cm): £460 / £400 / £250
- Lower-Mid Back, under 3cm: £410 / £350 / £200
- Chest, Abdomen, under 3cm: £360 / £300 / £150
- Sternum/Breast (small): £410 / £250 / £200
Note: We refer to the palpable diameter (what can be felt), not the visible size. What appears small may actually be larger underneath the skin.
🧮 Bespoke-Priced Lipomas
- Large (5–15cm): £500–£1000+ (our record: 3kg Lipoma)
- Forehead: £500–£800
- Shoulder: £500–£800
- Lower leg/knee: Often require scanning to confirm diagnosis
- Neck and face: £500–£1000+ depending on size
Important: Lipomas over 5cm typically require lab analysis and sometimes an MRI scan before removal.
🩺 Cyst Removal Pricing (Includes Lab Costs, Excludes Suture Removal)
All cysts must be sent to the laboratory for analysis. Approximately 1 in 10 “cysts” are found to be something different — often benign tumours of another origin — and may require regular monitoring. We strongly advise against choosing providers that do not send your cyst to the lab, even if their pricing appears lower.
Note: The visible size of a cyst may not reflect its true depth. We assess the palpable (felt) size, not just what is seen on the surface — the “tip of the iceberg.”
💡 Fixed-Price Cysts
- Very small surface cysts (e.g. milia on face or scrotum): £310 / £250 / £100
(Removed by cautery — cannot be sent for lab analysis) - Small surface/deeper cysts (arms, legs ≤1cm): £410 / £350 / £200
Lab costs not included – see lab section* - Scrotal cysts requiring excision and stitching start at: £335 / £275 / £125, larger cysts may be £50-£100 more expensive, rarely more.
- Scalp cysts:
– Up to 1cm: £385 / £325 / £175
– 2–3cm: £435 / £375 / £225
– Larger: £500–£900 (bespoke, may need scan)
Lab costs not included – see lab section* - Body cysts:
– Up to 1cm: approx. £410
– 2–3cm: approx. £435–£560
– Larger: £500–£800 (bespoke)
Lab costs not included – see lab section*
Revision surgery (for regrown cysts) requires wider excision and is priced individually, often higher due to increased complexity.
🧾 Bespoke-Priced Cysts (£500–£900+)
- Cysts on the face
- Cysts in the neck not just under the skin
- Deep upper back cysts or very large cysts in general
- Cysts on the lower arms and legs, hands and feet (may require specialist orthopaedic surgeon)
All pricing is based primarily on the time and care required to remove your lesion safely and professionally.
*Please refer to the earlier section on laboratory fees for cost details.
🏷️ Skin Tag Removal Pricing (Excludes Lab Costs*)
We remove skin tags using shave excision, a quick and effective method with minimal discomfort. Lab testing is not usually required — but if it is, see the laboratory section above for pricing.
Also, if you have multiple skin tags, please look at the section about “Timed appointments” above, which may be significantly less expensive
🔹 Small Skin Tags
- Neck or body (1–2mm): £285 / £225 / £35
- Face: £285 / £225 / £75 (rarely more unless complex)
🔸 Large Skin Tags (Requiring Excision & Suturing)
When a tag is palpable under the skin (has a deeper root), a full excision is required. These are priced between:
- Typical range: £310 / £250 / £100 to £410 / £350 / £200
*If a skin tag is sent for laboratory testing, please refer to the lab pricing section above.
👁️ Xanthelasma (Cholesterol Deposit) Removal Pricing
We offer two different treatment options for removing Xanthelasma, the fatty cholesterol deposits that form around the eyes. Pricing varies depending on the technique used and the number of lesions treated.
🔹 Option 1: Electrodessication (Microcautery)
- First eyelid: £335 / £275*
- Each additional eyelid: £75
Discounted retreatment: If you need a second or third treatment within 3 months of the first, we offer a 50% discount off the initial cost.
Example: 2 Xanthelasmas originally cost £350 → follow-up is £175.
🔸 Option 2: Full Surgical Removal
- First Xanthelasma (up to 2cm): £495
- Each additional Xanthelasma: £295
No multi-treatment discounts apply here, as recurrences typically occur in new locations and are considered fresh lesions.
Note: Full surgical removal is generally suitable for patients aged 45+ with some skin laxity on the eyelids. Stitch removal is included, though we can also provide a free stitch removal kit or advise your GP nurse.
*£275 price reflects deduction of £60 consultation discount
🧬 Mole Removal Pricing (Excludes Lab Costs*)
Moles are a common skin concern. We offer both shave excisions for surface-level moles and full excisions for deeper or more complex cases.
🔹 Shave Excision (Typical)
- Single mole: £310 / £250 / £100
- Multiple moles: As low as £50–£75 per mole (or even less)
🔸 Full Excision (Deeper or Larger Moles)
Required when the mole sits within the skin (not raised) or is larger/more complex.
- Additional cost: £50–£150 per mole (up to 1cm)
- Moles requiring skin flaps: Priced individually due to added time and complexity
*All moles should be sent to the lab. Please see the “Laboratory Costs” section above for details.
😊 Face Mole Removal Pricing (Excludes Lab Costs*)
We frequently remove facial moles using shave excision, which is less invasive and has excellent cosmetic results. Most facial moles fall into this category.
🔹 Shave Excision (Typical)
- Single face mole: £335 / £275 / £125
- Multiple smaller moles: As low as £75 per mole
🔸 Full Excision (Occasional)
For larger or deeper face moles, full excision may be required:
- Additional cost: £100–£150 unless the mole is very large
*Please refer to the Laboratory Costs section above for information on required lab testing.
🧴 Seborrhoeic Wart Removal (Excludes Lab Costs*)
Removing Seborrhoeic Warts is usually easy and straightforward. Pricing depends on size and location:
- 1cm body wart: £260 / £200 / £50
- 3cm body wart: £410 / £350 / £200
- Face, breast, or delicate area: Usually up to £50 extra
For patients with multiple Seborrhoeic Warts, please refer to the section above on timed appointments, as these can offer significant savings.
* Laboratory investigations are often avoidable, especially for multiple warts. For single lesions or if the diagnosis is unclear, standard lab charges apply. See lab pricing above.
⚪ Milia Removal
Very small milia (around 1mm) are inexpensive and easy to remove. Pricing includes up to 3 milia:
- £335 / £275 / £125 – for up to 3 small milia
Larger milia (2–4mm) present more like small cysts and may require additional care. Expect an extra charge of £50 to £125 depending on size and complexity.
Very large milia may require excision and suturing. In such cases, the cost structure will follow our cyst removal pricing.
For patients with multiple milia, we may recommend a timed appointment to allow removal of as many as possible within a fixed time frame — offering better value and efficiency.
🔴 Cherry Angiomas (Campbell de Morgan Spots)
These red spots typically respond well to Microcautery and are often removed inexpensively as an add-on during your clinic visit.
- From £35 – for 1–2mm spots
- Higher if larger or more involved
- If shave excision is required, please refer to mole pricing
🔵 Spider Veins (Face & Nose Only)
Spider veins also respond well to Microcautery. These can be treated during another procedure or as a standalone appointment.
- £35–£50 per vein – as an add-on
- £175–£200 – if it’s the first treatment session, after consultation discount
🟡 Other Rare Skin Lesions
For less common skin issues, please book a consultation and we’ll give you tailored advice on treatment options and pricing.
Cherry angiomas – Campbell de Morgan spots.
These usually respond well to Microcautery and we remove them inexpensively, usually as an add on during a clinic. The price starts at £35 for 1-2mm spots and only more if they are larger. If they require shave excision please look under mole prices.
Spider veins in the face and on the nose (not on body)
They respond well to treatment with Microcautery and can be added on (to other treatments) between £35 and £50 per spider vein. Again, if this is the first removal it is likely to cost £175-£200 after consultation discount.
Other rarer lesions
Just contact us for a consultation and we can give advice on what can be done.
🧵 Suture / Stitch Removal
Unless quoted otherwise or already included in your treatment cost, suture (stitch) removal with TVSS is a flat £35.
Alternatively, we’re happy to provide a free suture removal kit and instructions at the time of your surgery. You can also contact your GP to assist with removal if more convenient.
🔍 Clinical Review After Surgery
If you need a review after your surgery, we will see you free of charge — especially if you’re experiencing side effects or have concerns. We genuinely want you to be happy with the outcome.
In the rare event further surgery is required, this is also free.
However, this applies only to the early stages of healing. Some types of lesions, like lipomas or cysts, have a small chance of recurrence. Others, like Xanthelasma, are more likely to return. We will explain these risks at your assessment appointment.
📌 Please note: Because these appointments are free, patients occasionally do not attend. If you miss a review, we may ask for a £30 rebooking fee to discourage no-shows and keep things running smoothly.
💉 Cortisone Injections
We provide Cortisone injections for a variety of conditions, including:
- Hypertrophic scars
- Joint pain
- Other suitable inflammatory issues
Note: Cortisone injection prices do not qualify for the £60 consultation discount.
💰 Typical pricing:
- Joint injection: £150
- Hypertrophic scar injection: £195 per session
- Course of 3 scar injections: £495
For vasectomy pricing click here