Cadogan Clinic

Cadogan Clinic occupies a townhouse hospital on Sloane Street in Chelsea, founded in 2004 by the plastic surgeon Bryan Mayou, whose earlier work in liposuction, laser surgery, and microvascular technique had already established him in London's private medicine scene before the clinic opened. It remains family owned, with Mayou's wife, the consultant dermatologist Susan Mayou, building the clinic's dermatology practice alongside him. The building holds five operating theatres and six consulting rooms behind an address better known for retail than surgery, and it now carries CQC oversight (the regulator for health and social care in England) with an overall Good rating and an Outstanding mark for leadership at its most recent inspection. That combination, a working surgical hospital with a domestic Chelsea address, is unusual even among London's private clinics.

The clinic organizes its work into three broad categories rather than presenting itself as either a surgery practice or a spa. Surgical work covers breast augmentation, reduction and reconstruction, facial procedures including rhinoplasty and facelifts, and body contouring such as liposuction, tummy tucks, and Brazilian butt lifts, alongside gender confirmation surgery. A non-surgical wing runs the injectable and laser side of the business. A third, medical category covers dermatology, gynaecology, andrology, and hand and foot surgery, the part of the practice that reads more like a general hospital department than an aesthetics clinic. More than seventy named consultants work across these three areas, a bench considerably wider than the handful of resident doctors most medical spas keep on staff.

Dermatology is where Cadogan's medical credentials are clearest. Susan Mayou founded the department and later founded the British Association of Cosmetic Dermatologists; her clinical focus includes paediatric dermatology and skin cancer alongside general conditions such as acne, eczema, rosacea, and psoriasis. The clinic's skin cancer service, which offers Mohs surgery for precise removal of non-melanoma cancers, professional mole mapping, and cryotherapy for benign lesions, became the first in the United Kingdom to be accredited by the British Skin Foundation, in 2015. That accreditation matters more here than most awards a clinic lists, because it is a clinical body assessing a diagnostic and surgical pathway rather than a beauty publication ranking a treatment menu.

The non-surgical side runs a conventional but wide injectable and laser menu: anti-wrinkle injections, dermal and lip fillers, tear trough correction (handled by ophthalmic consultants specifically, given the proximity of the injection site to the eye), non-surgical rhinoplasty using filler, and skin-boosting treatments such as Profhilo and Sculptra. Energy-based devices on offer include Morpheus8 radiofrequency microneedling and FaceTite skin tightening, both aimed at patients who want tightening or resurfacing without going under a general anaesthetic. None of this differs sharply from what a well-equipped medi-spa elsewhere in London offers; what differs is that a consultant plastic surgeon or dermatologist, rather than a nurse practitioner working from a protocol, performs or directly supervises the more involved procedures.

On the surgical side, the clinic publishes guide starting prices rather than leaving every figure to a private consultation, which is unusual in London's cosmetic surgery market. Liposuction starts from roughly four thousand pounds for a single area using traditional technique and rises past ten thousand pounds for Vaser liposuction across multiple areas, with the final figure set by the number of zones treated, the anaesthesia used, and the individual surgeon's rate. The clinic is explicit that these are guide figures rather than fixed prices, and that a formal quote follows the initial consultation. Non-surgical treatments and dermatology consultations are priced per session rather than banded, and the clinic does not publish a rate card for those online.

The clinic also publishes its own outcomes data, which is rarer in this category than the marketing pages of most competitors suggest. It reports results to the Private Healthcare Information Network, the independent body that collects comparable safety data across UK private hospitals, on top of its CQC registration. For 2025 it recorded a surgical infection rate of roughly 0.01 percent against a reported national average nearer 4.7 percent, a revision rate around 0.8 percent against an industry figure closer to 10 percent, and no incidents serious enough to require CQC reporting. It also tracks patient-reported outcomes before and after surgery using a validated questionnaire rather than relying on star ratings alone. A first consultation with a surgeon runs from £150 and typically lasts thirty to sixty minutes, long enough to cover the procedure, the surgeon's own qualifications, and realistic complication risk before booking anything further. Surgery itself is same-day in most cases, using total intravenous anaesthesia rather than a gas-based general anaesthetic, and patients recover in the clinic's own ambulatory unit for one to four hours before discharge, with a wound check at one week and telephone nursing support available around the clock during recovery.

Within this category, Cadogan reads differently from a destination medical retreat such as Lanserhof or Nescens, which sell a multi-day residential program built around one clinical philosophy. Cadogan is closer to a walk-in specialist hospital: patients book a specific consultant for a specific procedure and go home the same day or after a short recovery stay, rather than checking into a wellness building for a week. Set against a large aesthetics chain, its advantage is depth of specialism, seventy-plus consultants across genuinely distinct fields rather than a rotating roster of injectors, and a skin cancer service with clinical accreditation behind it rather than marketing language alone. The tradeoff is that Cadogan does not offer the thermal circuits, movement labs, or multi-day nutrition protocols that define the resort-style clinics elsewhere in this category.

Cadogan suits a patient who already knows roughly what they want done, whether that is a specific surgical procedure, a mole checked by a dermatologist with an actual oncology-adjacent accreditation, or an injectable treatment they would rather have performed by a named consultant than an anonymous practitioner, and who wants a London base rather than travel to a European wellness address. It is less suited to someone looking for the broader reset a residential medical spa is built around; there is no accommodation on site and no multi-day program to book into. For London-based patients weighing where to get a procedure done safely, the CQC rating, the British Skin Foundation accreditation on the skin cancer service, and the published starting prices on surgical work give Cadogan a level of transparency that is genuinely hard to find elsewhere in private cosmetic medicine, and that transparency is the strongest argument for choosing it over a clinic that keeps its pricing and its consultants' credentials behind a consultation booking.