Cold-Fibre Laser Resurfacing — Marylebone

UltraClear Laser

UltraClear laser resurfacing in Marylebone, London — a cold-fibre platform that targets fine lines, uneven texture, tone, and early signs of ageing with controlled, adjustable downtime, set to your skin type at a doctor-led assessment.

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UltraClear laser skin-resurfacing treatment with Dr Paul Elgey at UNTIL Marylebone

The short answer

What this treatment is

UltraClear is a 2910nm cold-fibre laser designed for precise skin resurfacing with controlled heat and adjustable downtime. Conventional ablative lasers can deposit significant residual heat in the skin, which lengthens recovery and raises the risk of unwanted pigmentation; UltraClear's cold-fibre technology is engineered to deliver the resurfacing effect while limiting that residual heat, so the protocol can be dialled from a light "cold-peel" pass with minimal downtime up to a deeper resurfacing treatment. It is used to soften fine lines, refine uneven texture, improve tone, and address early signs of ageing. Because laser suitability depends on your skin type, history, and goals, Dr Paul Elgey assesses your skin and sets the protocol at a doctor-led consultation before any treatment — laser is not a one-setting-fits-all treatment, and careful patient selection is what keeps it safe.

Areas treated

What's included

  • Cold-fibre 2910nm laser — resurfacing with controlled heat and adjustable downtime
  • Protocol dialled from a light low-downtime pass to deeper resurfacing
  • Targets fine lines, uneven texture, tone, and early signs of ageing
  • Suitability and settings decided by a GMC-registered doctor at consultation
  • Performed by Dr Elgey himself, with a clear aftercare plan
  • Pairs well with regenerative injectables in a planned skin programme

Boundaries of practice

What's not treated

Good practice means saying no when indicated:

  • Active sun tan or recent sunburn at the treatment site
  • Pregnancy or breastfeeding
  • Recent isotretinoin use (within the past 6 months) or other photosensitising medication — case-by-case assessment
  • Active skin infection, including a herpes simplex (cold sore) outbreak, at the treatment site
  • History of keloid or hypertrophic scarring at the treatment site
  • Unrealistic expectations or unsuitable skin type identified at consultation

Patient journey

What to expect

Consultation & preparation

Avoid sun exposure and self-tanning for four weeks before treatment — tanned or sunburnt skin raises the risk of pigmentation change. Discontinue topical retinoids for several days beforehand, and topical hydroquinone for two weeks unless your prescriber advises otherwise. Flag any history of cold sores so antiviral cover can be considered, and list all current medications at consultation.

During treatment

Aftercare

Apply broad-spectrum SPF 50 daily and avoid direct sun — UV on freshly resurfaced skin causes pigmentation. Avoid hot showers, saunas, and intense exercise for the first day or two (longer after deeper protocols). Do not pick at any flaking skin as it renews. Resume active skincare only when Dr Elgey advises, according to the protocol you were treated with.

Transparent, all-in pricing

Skin Consultation & Assessment Suitability, skin-type assessment, and a written protocol
By consultation

Low-downtime

UltraClear — Light Resurfacing (course)
By consultation

Intensive

UltraClear — Deeper Resurfacing Fewer sessions, more recovery time
By consultation

Written and medically reviewed by Dr Paul Elgey , Aesthetic Doctor & GP — MBBS MRCGP · MHRA (Medicines and Healthcare products Regulatory Agency) — UltraClear is a CE-marked medical laser device; laser treatment is delivered under clinic regulatory oversight.

Common
questions

Is UltraClear suitable for my skin?

Laser suitability depends on your skin type, history, any photosensitising medication, and recent sun exposure. UltraClear's adjustable cold-fibre protocol broadens who can be treated safely, but careful patient selection is essential. Dr Elgey assesses your skin and medical history at a doctor-led consultation and only proceeds when the treatment is appropriate and safe for you.

How much downtime should I expect?

It depends on the protocol. A light pass typically causes redness for a day or two, like mild sunburn, and you can resume normal activity quickly. A deeper resurfacing treatment involves more redness, some swelling, and a few days of skin recovery. Your specific recovery is explained before treatment so you can plan around social and work commitments.

How is UltraClear different from older lasers?

UltraClear is a cold-fibre 2910nm laser designed to limit the residual heat left in the skin, which is the factor that lengthens recovery and raises pigmentation risk with some conventional ablative lasers. That control lets the protocol be dialled from a light, low-downtime refresh up to a deeper resurfacing treatment, matched to your skin and goals.

Does the treatment hurt?

Topical numbing cream is applied beforehand, and most patients tolerate treatment well, describing a warm, prickling sensation during the laser passes. Deeper protocols are more intense and the level of numbing is adjusted accordingly. Cooling is used for comfort, and the treatment itself takes around 30 to 45 minutes depending on the area and protocol.

What aftercare does it need?

Diligent sun protection is the most important step — daily broad-spectrum SPF and avoiding direct sun, because freshly resurfaced skin is prone to UV-driven pigmentation. Avoid hot showers, saunas, and intense exercise for the first day or two, do not pick at any flaking skin, and follow the skincare plan Dr Elgey provides for resuming active products.

Who performs the treatment?

Every treatment is performed by Dr Paul Elgey himself — a GMC-registered medical doctor (MBBS, MRCGP) with over 20 years in medicine. Treatment is preceded by a doctor-led consultation that assesses your skin and suitability and sets the protocol, so the laser settings and downtime are matched to you rather than applied off a fixed menu.

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Dr Paul Elgey Aesthetics • Unit 1, Orchard Street, London W1H 6HJ

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Appointments typically available within 1–2 weeks