Call 0207 386 0464 or email  enquiries@cosmedics.co.uk and one of our medical advisors will make an appointment for you.

  1. Option 1 – consultation only (30 mins) where you are unsure of your diagnosis
  2. Option 2 – consultation & treatment (60 mins) where you have been given a diagnosis by your GP or other doctor or confident of self made diagnosis.

A deposit of £150 is taken for the booking and we have a 48 hour cancellation policy.

You can also now book online.

Yes, it is a common occurrence to have haemorrhoids in homosexual men. It can be very embarrassing and awkward to have haemorrhoid symptoms. There is also the sexual health risk to consider due to the increased likelihood of bleeding during intercourse. This is an ideal treatment for patients who just want to get back to normal daily lives as quickly as possible and not have to worry about it again.

If this is the case the best option is to treat the haemorrhoids first as these are the cause of the skin tags. By undergoing the Rafaelo treatment this will not only help prevent this from happening again but may also improve the skin tags by causing the tissue internally to contract and pull up some of the excess skin. If after 2 months there is still residual skin then you can opt to have this removed under local anaesthetic by our cosmetic doctors and plastic surgeons.

We find that in practice, 9 out of 10 people are very satisfied with the outcome of the procedure.

One in 10 feel that their symptoms are not improved sufficiently afterwards. In these cases, the Rafaelo procedure can be repeated, or an alternative treatment like excision of remaining anal skin tags or traditional haemorrhoidectomy may be required.

Mr von Roon will advise you on this when you attend for the follow-up consultation.

For exercise such as running, swimming and cycling and strenuous activities resume as normal after 2 weeks.

You will be able to open your bowels normally. This should not be more painful than normal. As mentioned above, you may experience the urgency of defaecation.

Take 2 tablets (1000 mg) of paracetamol every 4 to 6 hours. If this is not sufficient, add in 2 tablets (400 mg) of ibuprofen every 4 to 6 hours. You can take both painkillers together safely. Some people have contraindications to ibuprofen – check with Mr von Roon on the day or with your doctor or pharmacist. If the pain is uncontrolled with above please contact Mr von Roon.

You can eat as normal before and after. There is NO need for an enema (clearing out of bowels with laxative).

We advise that you increase the amount of fibre in your diet and your fluid intake in the first two weeks after the procedure to avoid constipation.

Most people are able to work the following day. However, if you get urgency this can be a little unpredictable, so if you have the option of working from home, it is advisable to do this on the first day.

The consultation and treatment take place at 41 Harley Street, London W1G 8QH. The clinic is registered with the CQC (Care Quality Commission) with an inspection report in August 2019 passing it as good.