Same Day Consultations and Procedures
We offer same day consultations and minor skin surgery procedures
At Midland Skin we offer same day consultations and procedures for patients in Birmingham, Solihull, Coventry, Wolverhampton, Worcester and the Midlands.
Same-day Initial Assessment and procedure packages
For selected straightforward skin lesions, Midland Skin may be able to provide your Initial Assessment and procedure during the same clinic visit.
This can reduce the need to attend on two separate dates. Because the pathway combines assessment and treatment, it is only suitable for carefully selected, lower-risk concerns.
NB It is important to understand that not every condition listed below is automatically suitable for a same-day procedure at our clinic. We assess each request carefully. Uploading photographs, receiving a quotation or being offered a same-day appointment does not guarantee that a procedure will be undertaken.
Which concerns may be suitable?
Some examples of concerns that may be suitable for a Same-Day Initial Assessment and Procedure Package include:
Only selected examples of these conditions are suitable.
Eligibility depends on the likely diagnosis; the number, size, pigmentation, appearance and location of the lesions; the proposed treatment; the likely scar and cosmetic outcome; whether histology may be required; your medical history and medication; and whether adequate time is required to consider the risks and alternatives.
Most likely to be suitable
- a small number of straightforward lesions;
- lesions situated on the body rather than a highly visible or cosmetically sensitive area;
- typical skin tags, milia or seborrhoeic keratoses;
Not usually suitable
- facial moles or lesions in another cosmetically sensitive location;
- multiple moles or lesions requiring individual assessment;
- larger, darker, irregular or more complex pigmented lesions;
- previously treated or recurrent lesions;
- concerns where the diagnosis is uncertain;
- lesions where several treatment options need to be considered;
- procedures carrying a significant risk of visible or adverse scarring; and
- procedures for which a cooling-off period is appropriate or required.
Being listed as potentially suitable does not mean that your lesion is automatically eligible for same-day treatment.
How to request a same-day procedure
When completing our enquiry form, indicate that you would like to be considered for a same-day procedure. The form will prompt you to upload clear photographs of the lesion and the surrounding area.
Please provide accurate information about how long the lesion has been present, whether it has changed, any symptoms, any previous diagnosis or treatment, the number and location of the lesions, and what you are hoping to achieve.
Clear photographs help us direct you to the most appropriate appointment, provide a more realistic preliminary fee estimate, identify concerns that require a separate assessment and reduce the risk of you attending an appointment that is unsuitable for the treatment you are seeking.
Photographs are used for preliminary appointment selection only. They do not provide a diagnosis, do not replace an in-person examination and cannot guarantee that the lesion will be treated.
What happens after we review your enquiry?
Following preliminary review, we will advise which appointment pathway appears most appropriate.
You may be offered:
- A Same-Day Initial Assessment and Procedure Package
This may be offered where the concern appears provisionally suitable for assessment and treatment during the same visit. - A Specialist Skin Surgery Assessment
This may be offered where the lesion is more complex, is in a cosmetically sensitive location, carries a greater risk of scarring or requires more detailed discussion and planning before treatment. - A Dermatology Initial Assessment
This may be recommended where the diagnosis is uncertain, the concern may represent a dermatological condition rather than a straightforward surgical lesion, medical treatment or further investigation may be appropriate, or a broader dermatological assessment is required. - Advice that Midland Skin is not the appropriate service
In some circumstances, we may advise that assessment or treatment of the concern you have is not available by our team.
The photograph review is used to select the most appropriate appointment pathway. It does not provide a diagnosis or guarantee that a procedure will be offered or undertaken. The final diagnosis and treatment decision can only be made following an in-person assessment.
When a separate Specialist Skin Surgery Assessment is required
If your concern is not suitable for the same-day pathway, this does not necessarily mean that it cannot be treated. It means that a separate assessment is needed so that the diagnosis, available treatment options, scarring risks, expected outcome and option of no treatment can be considered properly before any procedure is arranged.
A separate Specialist Skin Surgery Assessment will commonly be recommended where:
- the lesion is on the face or another cosmetically sensitive area;
- there are multiple moles or lesions;
- the lesion is larger, darker, irregular or more complex;
- the diagnosis cannot be established confidently from the information provided;
- the lesion has previously been treated;
- more than one treatment option may be appropriate;
- removal carries a significant risk of visible, raised or adverse scarring;
- the cosmetic risks may outweigh the likely benefit;
- the procedure requires more detailed surgical planning; or
- you should have time to consider the likely scar, risks, alternatives and option of no treatment.
In these circumstances, we would not offer same-day removal.
The first step would be a Specialist Skin Surgery Assessment. The lesion can be examined, treatment options and expected outcomes discussed, and an appropriate plan agreed. Any removal would then be arranged at a separate appointment.
A separate assessment does not guarantee that a procedure will subsequently be recommended. The clinician may advise that no treatment, monitoring, medical treatment or a different form of management would be more appropriate.
Scarlett Greenwood
What is included within the same-day Initial Assessment?
The Initial Assessment included within a Same-Day Initial Assessment and Procedure Package is limited to the specific lesion, or agreed lesions, identified when the appointment was arranged.
It does not include:
- a general skin examination;
- a full mole check;
- assessment of additional lesions not included in the booking;
- assessment of an unrelated skin condition; or
- advice about other skin, hair or nail concerns.
Please identify every lesion you wish to have considered when submitting your enquiry. Additional lesions cannot be assumed to be included in the appointment or treated on the day. A separate appointment and fee may be required.
What happens at the same-day appointment?
Your appointment begins with an Initial Assessment of the agreed lesion or lesions.
The clinician will:
- examine the lesion and use dermoscopy where appropriate;
- consider the likely diagnosis;
- review relevant medical conditions, allergies and medication;
- establish whether the proposed procedure remains appropriate;
- discuss the available treatment options and the option of no treatment;
- discuss the likely scar and cosmetic outcome;
- explain the material risks, limitations and alternatives;
- decide whether histological testing is required; and
- answer reasonable questions needed for you to make an informed decision.
The clinician must complete this assessment before deciding whether a procedure can safely and appropriately proceed. Photographs are helpful for choosing an appointment pathway, but they cannot show every relevant clinical feature.
The procedure is not guaranteed
Even where a Same-Day Initial Assessment and Procedure Package has been offered, the procedure is not guaranteed.
The clinician may decline, defer or change the proposed treatment if:
- the diagnosis differs from the provisional impression formed from your photographs;
- the lesion is larger, more complex or in a more sensitive location than expected;
- the lesion has changed since the photographs were submitted;
- the proposed treatment is not appropriate for the diagnosis;
- another procedure or appointment pathway would be safer or more suitable;
- the likely scar or cosmetic risk outweighs the expected benefit;
- you have a significant risk of delayed healing, bleeding or adverse scarring;
- your medication or medical history increases the procedural risk;
- histology is considered medically necessary and you do not wish to include it;
- you cannot comply with the necessary recovery or postoperative instructions;
- further information or investigation is required;
- you require more time to consider the risks and alternatives; or
- you decide that you do not wish to proceed.
Patient safety, appropriate clinical care and informed decision-making take priority over completing a procedure during the same appointment.
Please do not stop blood-thinning medication or any other prescribed medication unless specifically advised to do so by the clinician responsible for prescribing it.
What happens if the procedure does not proceed?
A Same-Day Initial Assessment and Procedure Package includes both an Initial Assessment and an anticipated procedure.
The procedure may not proceed because:
- the clinician advises that it is not clinically appropriate;
- the diagnosis or required treatment differs from the preliminary impression;
- the risks, including the risk of scarring, outweigh the likely benefit;
- a separate procedure appointment or cooling-off period is required;
- further assessment or investigation is needed;
- the fee or proposed treatment changes and you do not wish to proceed; or
- you decide not to have the procedure.
Where the Initial Assessment has taken place, the full standard Initial Assessment fee, at the rate applicable on the date of the appointment, remains payable and will be retained from any package payment already made.
This applies whether the decision not to proceed is made by you or by the clinician.
The Initial Assessment fee is charged because the clinician has examined the lesion, reviewed the relevant medical information, considered the likely diagnosis and treatment options, assessed the risks and provided professional advice.
The full Initial Assessment fee is not refunded merely because no procedure is undertaken; the procedure is deferred; a cooling-off period is required; a different treatment or appointment pathway is recommended; the clinician advises against treatment; or you decide not to proceed after the assessment.
Any amount prepaid above the full applicable Initial Assessment fee for a procedure that is not undertaken will be refunded in accordance with your quotation and Midland Skin’s Booking Terms.
This does not affect charges arising from late cancellation, non-attendance, late arrival or another circumstance covered by Midland Skin’s Booking Terms.
Am I obliged to proceed?
No. You are not obliged to have a procedure simply because you have booked a Same-Day Initial Assessment and Procedure Package.
Following your Initial Assessment, you may decide to proceed with the proposed procedure, consider the information before making a decision, arrange treatment on another date, consider a different treatment or not have treatment.
The provisions above concerning retention of the full applicable Initial Assessment fee will apply where the assessment has taken place but the procedure does not proceed.
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Fees and provisional quotations
Any estimate provided before your appointment is based on the description, photographs and information you have supplied.
The estimate assumes that the lesion is as described and shown; the number and size of lesions are accurate; the provisional diagnosis is correct; the anticipated procedure is appropriate; there are no additional medical or technical complexities; and the stated histology arrangements remain suitable.
The final fee may change following your Initial Assessment where, for example, the lesion is larger or more complex than it appeared in the photographs, there are more lesions than originally stated, a different procedure is required, additional treatment time or facilities are needed, histological testing becomes necessary or complex laboratory testing is required.
Any revised fee will be explained before treatment proceeds. You will not be obliged to accept a revised procedure or price.
For concerns that do not meet the same-day criteria, the relevant Initial Assessment and any later procedure will be quoted separately. All our fees are published here.
What will be discussed before treatment?
Before proceeding, the clinician will explain the matters relevant to your particular lesion and proposed procedure.
The proposed procedure
- what the procedure involves and the type of anaesthetic;
- whether stitches or dressings will be required;
- the likely recovery period and activity restrictions; and
- whether more than one procedure may be required.
Expected results and limitations
- the likelihood of complete removal or symptom improvement;
- the possibility of incomplete removal or recurrence;
- the likely scar and cosmetic outcome;
- whether the appearance may change over time; and
- whether further treatment may be required.
No surgical or procedural result can be guaranteed.
Alternatives
Alternatives may include leaving the lesion untreated, monitoring it, medical treatment, a different procedure, treatment on another date, further investigation or referral to another service.
Risks
Risks vary according to the lesion, its location, the procedure and the individual patient. They may include a permanent or more visible scar; bleeding or bruising; infection; pain or discomfort; delayed or incomplete healing; pigmentary change; raised, stretched or keloid scarring; incomplete removal; recurrence; an unsatisfactory cosmetic result; and the need for further treatment.
Surgical removal will usually produce a permanent scar. The clinician can explain the likely position and length of the scar, but the final appearance cannot be guaranteed.
Can I have a procedure without an Initial Assessment?
No. Midland Skin does not undertake a procedure without first completing an appropriate medical assessment.
The clinician must examine the lesion, establish a likely diagnosis, review relevant medical information, decide whether treatment is appropriate, explain the material risks, benefits and alternatives, and obtain valid consent.
For selected straightforward lesions, the Initial Assessment and procedure may take place during the same appointment. For complex, higher-risk or cosmetically sensitive concerns, the Initial Assessment and procedure must take place on separate dates.
You may also choose to have your Initial Assessment and procedure on separate dates, even where a same-day appointment might otherwise have been possible.
What is histological testing?
Histological testing, or histology, involves sending removed tissue to a laboratory for examination under a microscope by a specialist.
Histology may be required where the diagnosis is uncertain, the lesion has suspicious features, the lesion is pigmented, the clinician needs to exclude another diagnosis or laboratory confirmation is considered medically appropriate.
Pigmented moles will commonly require histological examination after removal. Some straightforward concerns, such as typical skin tags, may not require histology where there are no concerning or uncertain features.
The need for histology may only become apparent after the lesion has been examined in person. Where histology is considered medically necessary, the procedure will only proceed if the tissue is sent for analysis.
Histology will incur an additional charge unless it has already been included in your quotation. Occasionally, the laboratory may need to perform additional stains, tests or specialist review. A complex histology surcharge may then apply.
Scarlett Greenwood
Before your procedure
Before attending, please:
- provide accurate information about your health, allergies and medication;
- tell us if the lesion has changed since submitting your photographs;
- follow any instructions provided with your appointment;
- arrange your work, exercise and other commitments around the expected recovery period; and
- plan how you will travel home.
Local anaesthetic does not automatically prevent you from driving. However, pain, restricted movement, swelling, dressings or temporary visual disturbance may affect your ability to drive safely. It is your responsibility to ensure that you remain in full control of the vehicle and can operate it safely.
You should arrange for someone to drive or accompany you home where the procedure is near the eye, treatment may temporarily affect your vision, a dressing may restrict movement or vision, the procedure is close to a joint, the procedure is more extensive or the clinician has advised you not to drive.
Local anaesthetic around the eyes, upper cheeks or forehead can occasionally cause temporary swelling or blurred vision. You should not drive or walk home alone if this occurs.
After your procedure
You will be given appropriate dressings and written aftercare instructions. Where clinically appropriate, you may also be advised to attend for a wound check, dressing change or suture removal.
You must ensure that you are available for any advised postoperative appointment, commonly between five and fourteen days after the procedure.
Typical recovery times
These are general guides only. Your individual recovery may differ.
- Skin tags and milia – A small scab may remain for approximately five to seven days. You may be asked to apply petroleum jelly until the area has settled. Avoid strenuous exercise and physically demanding work for the period advised.
- Shave or scrape procedures – A scab may remain for approximately seven to ten days. Some wounds are dressed, while others may be left open and treated with petroleum jelly. Once the scab separates, the area may remain pink for several weeks.
- Excision with stitches – Facial wounds may take approximately seven days to heal. Wounds elsewhere commonly take ten to fourteen days.
You may need to avoid strenuous exercise, swimming, heavy lifting, physically demanding work and activities that place tension on the wound. Restrictions commonly apply for at least seven days following a facial procedure and up to fourteen days following procedures elsewhere. Please follow the specific instructions given for your procedure.
What is included in the package?
Unless your quotation states otherwise, a Same-Day Initial Assessment and Procedure Package includes:
- an Initial Assessment of the agreed lesion or lesions;
- the agreed procedure;
- surgeon and facility fees;
- routine written aftercare instructions;
- initial dressings and appropriate spare dressings;
- up to two routine wound-care appointments with a medical assistant where advised;
- suture removal where applicable; and
- a prescription if medication is clinically required.
The cost of medication and any pharmacy delivery charge are not included. These are paid directly to the dispensing pharmacy.
Routine wound-care appointments may be carried out by an appropriately trained member of the clinical team. They are not medical Review Appointments and do not include assessment of new, unrelated or additional concerns.
What is not included?
Unless expressly included in your written quotation, the package does not include:
- assessment of additional lesions or unrelated concerns;
- a general skin examination or full mole check;
- additional wound-care appointments;
- treatment of delayed healing, infection or another complication;
- treatment of raised, stretched, keloid or otherwise adverse scarring;
- treatment of pigmentary change or recurrence;
- further treatment for incomplete removal or residual lesion;
- treatment of a separate lesion;
- a medical Review Appointment with the clinician;
- discussion or management of an unexpected histology result;
- further surgery or treatment recommended following histology;
- basic histology; or
- complex histology charges.
New symptoms, suspected complications, healing concerns requiring medical assessment, histology discussions and decisions about further treatment may require a separate Review Appointment. Review Appointments are charged separately unless they have been expressly included in your written quotation.
Important booking information
A Same-Day Initial Assessment and Procedure Package reserves clinical time and facilities for both the Initial Assessment and the anticipated procedure.
Appointment changes, cancellations, late arrival, non-attendance, prepayments and refunds are governed by Midland Skin’s Appointment Guide and Booking Terms. Please read these before booking.
Submitting photographs, receiving a preliminary fee estimate or being offered a same-day appointment does not create an entitlement to treatment.
The final decision remains subject to the clinician’s in-person assessment, the likely diagnosis, clinical suitability, the balance of risks and benefits, the need for any cooling-off period and your informed consent.
Ready to get started?
For selected straightforward lesions, the same-day pathway may allow your Initial Assessment and procedure to take place during one convenient clinic visit.
Complete our enquiry form and indicate that you would like to be considered for a same-day procedure. You will then be prompted to upload photographs for preliminary review.
We will review your information and direct you to the appointment pathway that appears most appropriate for your concern.
Book in with us
Ready to get started? Book a consultation with our team at Midland Skin. Friendly, expert advice tailored to you.
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References used for this article
About the Author
This page has been written and/or medically reviewed by Dr Sajjad Rajpar, Consultant Dermatologist and Medical Director of Midland Skin, Birmingham.
Dr Rajpar is on the GMC Specialist Register in Dermatology and has over 20 years’ experience in clinical dermatology. He provides clinical oversight to ensure the information on this page is accurate, balanced and consistent with current dermatology practice.
Dr Sajjad Rajpar
Date last updated: 4th Aug 2026
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Expert, consultant led care in dermatology, skin surgery, eyelid surgery, lasers and aesthetics.
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The content on this website is provided for general information only. It is not, and must not be treated as, medical advice, a diagnosis, or a recommendation for any particular treatment. We make reasonable efforts to keep information accurate and up to date, but medicine and technology change, and content may not reflect the most current evidence, guidance, product information, or individual practice. You should not rely on this website to make decisions about your health or treatment. Always seek personalised advice from an appropriately qualified healthcare professional. Any examples, images, testimonials, and outcome descriptions are illustrative only. Results vary between individuals and no outcome can be guaranteed.
