Thursday, 28 January 2021

Intimate Female Rejuvenation. This does not have to be a taboo subject and you do not have to suffer in silence.

Now we have several effective options for vulvo-vaginal rejuvenation to improve your intimate and sexual health. It is ok to talk about intimate and sexual health.


Contrary to popular belief, intimate health does not only concern ladies after menopause. If you look at the history of human evolution- our life span has increased steadily. Pregnancy and childbirth were hazardous events and life expectancy was low. We are all living longer and many women spend more that 50% of their lives with intimate health and menopausal issues such as stress urinary incontinence, urinary infections, vaginal dryness, irritation, discomfort or even pain. Modern lifestyle, diet, alcohol, environmental pollution etc affect our general and hormonal health also.


There has been enormous progress in regenerative medical treatments and these are commonplace for facial and body rejuvenation. Did you know several of these treatments can be applied to intimate areas also? These treatments have become very popular during recent years and we have several studies and satisfied patients that attest to a success story.


So how do we start?


You have a doctor consultation and examination takes place. A chaperone is available for your comfort. A medical history and evaluation takes place. This is followed by a treatment plan, which may include one or more of the available options.


What treatment options are available?


We have several options available and a treatment plan will be formulated in consultation with you and your wishes. Your treatment will not be performed the same day but on a subsequent appointment at a later date. This may include one or more of the following options. We may recommend a referral to other specialists where a multi-disciplinary approach is desirable.


1] Bio-identical hormone therapy may be recommended or it may be a conventional HRT or oestrogen creams prescribed by your GP. Blood tests may be required.


2] Laser treatment. We have several lasers available. Choice of laser is based on your specific concern. This may be lasers to address pigmentation or vascular concerns. You can be more prone to pigmentation in intimate areas due to genetic predisposition, ageing, your ethnicity, use of hormones such as contraceptive pills or HRT. Lifestyle issues such as tight clothing, irritation from epilation, chafing or folliculitis causes inflammation and post-inflammatory hyperpigmentation.


3] Mona-lisa touch Laser treatment. This is a fractional CO2 laser treatment and only takes a few minutes to perform. It is a true rejuvenation by creating new tissue in vulvo-vaginal areas.


4] Stem cell enriched nano fat transfer with PRP. A limited liposuction is carried out to obtain fat cells rich in growth factors. These are then combined with PRP and injected for rejuvenation of tissues.


5] Fat transfer. As above but micro fat transfer can be used to improve volume of labia majora to reverse some of the age related deflation and sagging.


6] PRP. Here we take a blood sample, centrifuge it at very high speeds of up to 3500 rpm to concentrate platelets and growth factors. This concentrated solution can be injected or applied to the areas after mona lisa touch therapy in a no-needle way.


7] Laser lipolysis and skin tightening can be carried out to reduce thickened labia, mons pubis area and liposuction and mons lift can be performed under local anaesthesia.


To find out more information and to arrange a consultation please contact us via the website or call on 01603 736487  [ do check COVID-19 page for operational hours ]

Monday, 30 November 2020

MonaLisa Touch Laser Therapy is available at the Coltishall Clinic

MonaLisa Touch offers a new method, with a unique concept, to restore the women’s health and it represents a truly decisive solution for:

· *Genitourinary Syndrome of Menopause (GSM)

·      *Dyspareunia

·      *Pain

·      *Itching

·      *Mild Mixed Urinary Incontinence

·      *Low oestrogen symptoms after childbirth


MonaLisa Touch is the only laser therapy fully recognized by International Scientific Community and supported by Clinical Publications.

This is a painless laser therapy that uses lasers to reshape and regenerate women’s tissue that may have started to degenerate.

 How it works

MonaLisa Touch works by applying a gentle laser therapy to your intimate areas. This stimulates the production of new collagen, rehydrating and tightening the membrane lining. Your consultant will administer treatment in tiny dots, meaning only a tiny area is affected at a time.

 What Happens

The laser gently acts through a special scanner, creating indistinguishable micro-treated areas that are required for triggering the production of new collagen, which is the main protein found in structural tissue. The laser’s action safely and painlessly reactivates the proper function of the intimate areas, while also improving the symptoms associated with mild urinary incontinence. A tissue regeneration process lasting several weeks is triggered. Stimulation occurs immediately and improvements can be seen after the first treatment. This minimally invasive, painless procedure is usually completed in five minutes.


No recovery time is needed. You’ll be able to leave the clinic immediately afterwards and carry on with your normal daily activities. You should start seeing improvements in your symptoms after one treatment, but three treatments are often required to maximise improvements. Feeling of loose tissue, itching, burning, dryness and pain during sex should all be significantly reduced. 

 Call 01603 736487 to book your consultation.  Find out more information here

Sunday, 18 October 2020

Cost effective, cutting edge laser and skin treatments and treatment combinations are available at the Coltishall Clinic.


We realise that this year has been tough for most people and we are offering special pricing for the winter season on some of our treatment packages and combinations. We have implemented a COVID-19 secure policy and enhanced cleaning protocols to minimize risk of transmission.


Coltishall Clinic is well known for offering effective cutting edge laser, skin and vein care treatments and have patients travel from all over the world for such treatments and results. One of our unique serving proposition [USP] is that we offer a full range of services under one roof. We firmly believe in the importance of a full ‘tool-box’ so that we can offer customized bespoke treatments to our patients. Patients are often pleasantly surprised when they think surgery is the only answer to their problems but it turns out that a much better option for them is non-surgical! Sometimes however surgery may be the best solution so we can offer a choice. This is the beauty of coming to a clinic like ours where we are very fortunate to work with a full range of laser and light devices, non surgical, minimally invasive and surgical options. We can talk to you, examine you and assess your wishes and requirements and then offer a solution from our extensive ‘tool-box’ that meets your criteria. You- our patients, are at the centre of everything we do. We not only invest in education, treatments and machines, we also invest in techniques and tools to enhance your comfort.


A very important consideration is that age related changes occur at multiple levels so unless you are very young, are seeing early changes or have a specific concern-chances are you may choose more than one option for most natural looking and pleasing results.  Only a well-equipped clinic with experience can offer you such a well-rounded package.


So here are some popular treatment packages and combinations on offer for you. Please do check the website for latest information before calling to book!

Laser hair removal- 30% off treatment course

Skin rejuvenation packages on a budget.


1] Peel and plump.

     This treatment is designed to exfoliate skin cells, address dehydration and stimulate skin cells and collagen synthesis. A combination to cleanse, exfoliate and rejuvenate. This includes- A gentle cleansing, AgeraRx Chemical peel, Diamond Microdermabrasion for exfoliation and LED light for plumper skin.

Exclusive Package price £135 [Save £75]


2] 3 for 2 Peel and polish offer

These procedures combine AgeraRx gentle chemical peels with diamond microdermabrasion. This will leave your skin looking and feeling pampered, fresh, well hydrated and plump.

Exclusive Package price £190 [Save £95]

3] Ultimate Skin Package

The ultimate experience to cleanse, refine and rejuvenate along with hydrating and firming the skin. This includes the revolutionary no needle mesotherapy.

     A gentle cleansing, AgeraRx Chemical peel, Diamond Microdermabrasion for exfoliation, CO2 laser micro channel creation, No needle mesotherapy with Hyaluronic acid, vitamins and minerals and LED light for plumper skin

Exclusive package price £ 385 [Save £ 325]


4] Fractional laser toning/ clear lift/ Laser genesis skin toning

A quick no-downtime lunchtime laser procedure for skin toning and brightening. Includes diamond microdermabrasion followed by q switched laser or laser genesis procedure. If you always wanted a laser skin treatment but worry about cost and recovery, this one is for you.

£ 1000 for 5 sessions [Save £ 575]


If you are after quick results we also offer mini-makeover packages.

A number of changes happen to us as we age. We have volume loss, over active muscles, sun damage and loss of elasticity. No single treatment can address all of these issues. Treatment combinations provide the best and natural results. We have invested in top of the range comprehensive technology and have the experience of using it effectively. We have designed these packages for reversing age related changes in one appointment. A kind of mini extreme makeover!


Three different facial treatment packages are available. These include treatments to improve and brighten your skin in combination with injections to address lines and wrinkles and volume loss. Prices range from £790 for a bronze package to £1650 for liquid facelift gold package. More information and details are available on the website


The neck is a very delicate and visible part of the body. If you are noticing age related changes such as skin thinning, loss of elasticity and early sagging of neck and jawline then this package may be right for you.
This includes radiofrequency treatment of the jawline and neck, clear lift laser and LED light therapy, this is followed by Nefertiti lift muscle relaxing injections to weaken muscles responsible for neck bands and jawline sagging.


Hands are often the most neglected parts of the body and often show signs of ageing. These include volume loss and skin changes that show pigmentation, loss of volume and prominent veins. We use 1.5 cc dermal fillers to plump up the hands and then IPL or q switched laser to tackle pigmentation.

We are offering much more than this. If you prefer to add a CO2 laser treatment to any of the above packages we are giving an additional 15% discount. Call us on 01603736487 to benefit from these offers.

Thursday, 30 April 2020

Let food be thy medicine and medicine be thy food

You are what you eat.

This is very true and at a time like this, when the world is in the midst of a pandemic let's take an opportunity to revisit our diet and the principles of optimum nutrition.

When I was in medical school there was very little formal education on nutrition. Yes, we did learn about principal food groups, vitamins and minerals and diseases caused by deficiency or even excess of these items but that was it! No education on optimal nutrition for prevention of diseases or indeed optimum nutrition in the post-operative period to hasten recovery. I believe this was important knowledge for a surgical resident but the emphasis was on surgical anatomy and how to do the operations well.
I don't believe this situation has changed much today.
Most of the nutritional education for me has been self directed learning and and a huge amount of knowledge working with my membership of learned societies such as the American Academy of Anti-aging medicine and World Academy of Anti-aging medicine. I also took and passed the board certification examination in anti-aging medicine all those years ago. I do not practice all aspects of anti-aging medicine especially bio identical hormones at present. I like to call it as optimal aging or age management rather than anti-aging!

Nutrition and optimum nutrition can be a very confusing subject. Hardly a day goes by when you do not read conflicting headlines about benefits and harms of substances like chocolate or alcohol!
So what is the truth ?
One has to critically appraise the literature out there. There are a couple of books that I highly recommend and and these are -

1)Thomas M. Campbell II
The China Study Solution: The Simple Way to Lose Weight and Reverse Illness, Using a Whole-Food, Plant-Based Diet

2)David Servan-Schreiber
Anticancer: A New Way of Life

Both by highly regarded authors. There are others but let's not overload you!

So here is a summary of what I believe to not attract much controversy. 

Modern diet is rich in calories but deficient in nutrients.

Obesity is a ticking time bomb.

Portion size distortion has occurred. Our stomach is the size of our fist so this has to be remembered when we talk about an optimal portion size.

Natural whole foods are good and processed food is not that great.

High fructose corn syrup, trans fats and sugars are what I call daily poisons.

Meat and dairy are not good for us.

"Well most government guidelines say that a balanced diet should have meat and dairy in it' I hear you ask. The problem is that there are so many lobby groups that by the time the government guidelines come out they have been watered down to keep different pressure groups happy, so you have to consider conflict of interest when you read any of these.

In summary I believe that predominantly plant-based, unprocessed and locally sourced food is best. You get fruits and vegetables that are in season, that have been produced locally and haven't been plucked before they've had chance to ripen and secrete all the good flavanoids and polyphenols. These are the real immune boosters.

I do believe that vitamin and mineral supplementation is important as modern diet is deficient in these items.

So what's in it for me?
I have no financial interest in any of this. I believe in preventative medicine and that prevention is better than cure. Of course it goes without saying that you get the best results from our treatments if you have good nutritional status. Poor nutritional status will not provide optimal results from any medical or cosmetic intervention..

I hope you found this article of some benefit. You're welcome to leave your comments below.

Dr Sanjay Gheyi MBBS MS FRCS BCAAM Medical Director Coltishall Clinic 
#optimumnutrition  #gooddiet   #antiageing  
#norwich   #norfolk

Tuesday, 24 March 2020


Cessation of all routine activities. Coltishall Clinic is now closed for all routine activities for a period of at least two weeks. We will keep you updated and see you once this Covid-19 is sent packing away or government advice is updated. We apologise for the inconvenience. 

23 March 2020

Thursday, 16 August 2018

Commoditisation of Botox and Dermal fillers. Norwich is wild west of facial aesthetics.

Botox is a prescription only medicine. By definition it has to be administered by someone who can prescribe. Also prescription drugs cannot be advertised. Walking through Norwich High Street I saw beauty salons advertising Botox openly with posters outside their doors. If you do an online search for Botox in Norwich you will see high-ranking pages from non-medical people who put their lives on social media. Search engines of course love them because they are churning out content non-stop and putting every treatment they do online despite the fact that often they are making people look like aliens!
As someone who has run a successful Norwich based aesthetic practice administering botox and dermal fillers for more than a decade this is somewhat disconcerting to see. United Kingdom is unique in this regard as anyone can inject Botox and Fillers. There are people who are abusing their position to be able to prescribe Botox and fillers and then supplying them to non-medics to administer ( for a fee ). Of course every year there are more and more complications from these treatment carried out non professionally. Did you know that filler complications can be catastrophic! No I am not saying that complications do not occur in hands of doctors. No medical treatment is risk free but by seeing a properly trained qualified and experienced medical professional you are making it less likely for this to occur and should complications occur, you are in best hands with somebody who can take care of these. Why would you see a non doctor for a medical procedure?

Dr Sanjay Gheyi MBBS MS FRCS is medical director at the coltishall cosmetic clinic in Norfolk. He administers thousands of injectable treatments every year along with a full range of cosmetic surgery, laser and non surgical treatments with outstanding patient satisfaction.

Monday, 9 October 2017

Treatment of leg veins. A case study.

Leg veins are a common complaint.  They can be symptomatic and untreated can cause complications such as eczema and leg ulcers.

Unfortunately Varicose Vein treatments are often not available on the NHS. Successful treatments usually require a combination of modalities.

A patient journey starts with a thorough assessment that usually includes a duplex ultrasound scan that we perform in the clinic. It is best to have this scan performed by the treating surgeon. If the scan reveals underlying hidden varicose veins these have to be addressed before treatment of surface veins.

We are grateful for our patient for allowing us to use her photos. She has had endovenous laser therapy, microphlebectomy and sclerotherapy treatments. She is very pleased with her results which will further improve over next few months. She was able to go on a sunny holiday and wear shorts after 20 years. What is remarkable is that modern technology now allows us to treat leg veins without general anaesthesia or hospitalization. This also allows treatments as a day case without prolonged recovery period.
It is a mistake to treat thread veins without making sure there are no hidden veins lurking beneath the surface. Make sure you see a practitioner who can at least use a screening ultrasound to make sure you are treated the right way.

You can find out more information here 

Call us on 0800 0430737 or fill our appointment form to arrange your consultation.