Dermatology · Mole Check · Cryotherapy · Surbiton

Dermatologist in Surbiton: Mole Checks, Skin Lesions & Cryotherapy

Private dermatology in Surbiton — no waiting list, no referral. Dr Nancy Abdelrahman offers dermoscopy mole checks, skin lesion assessment and cryotherapy at Lambert Medical Practice.

Dr Nancy Abdelrahman Same-week appointments No referral needed

When you search for a "dermatologist in Surbiton", you are likely looking for one of three things: a mole or skin lesion that is worrying you, a chronic skin condition that is not responding to treatment, or a cosmetic skin concern that you want assessed properly. This guide explains what private dermatology in Surbiton can offer, what conditions Dr Nancy Abdelrahman assesses and treats, and how to decide whether you need a private appointment.

Who Is Dr Nancy Abdelrahman?

Dr Nancy Abdelrahman is a GP with a specialist interest in dermatology, practising at Lambert Medical Practice on Ewell Road in Surbiton. She combines general practice training with focused dermatology experience, allowing her to assess a wide range of skin conditions — from inflammatory conditions like eczema and psoriasis to skin cancer screening and benign lesion treatment.

Dr Nancy is not an NHS consultant dermatologist — she is a GP with additional expertise in skin medicine, which means she can assess, diagnose and manage the majority of skin concerns seen in a primary care and community dermatology setting, with clear pathways for onward referral to a consultant when needed.

What Conditions Are Assessed at a Private Dermatology Appointment?

🔍 Mole Checks & Cancer Screening

  • Full-body dermoscopy mole check
  • Focused assessment of a specific lesion
  • Melanoma risk assessment
  • ABCDE evaluation with documentation
  • Urgent 2-week-wait referral if indicated

🧊 Cryotherapy Treatments

  • Seborrhoeic keratoses (benign warty growths)
  • Solar (actinic) keratoses — sun-damaged skin
  • Viral warts and plantar verrucas
  • Skin tags (small cryotherapy probe)
  • Other benign epidermal lesions

🩺 Inflammatory Skin Conditions

  • Eczema / atopic dermatitis
  • Psoriasis
  • Rosacea
  • Seborrhoeic dermatitis
  • Contact dermatitis (patch testing referral)

✨ Acne & Skin Health

  • Acne vulgaris (all grades)
  • Hormonal acne in women
  • Acne scarring assessment
  • Prescription topical and oral treatments
  • Referral for laser or chemical peels if needed

Mole Checks with Dermoscopy: Why It Matters

A mole check at Lambert Medical Practice is not simply a visual inspection. Dr Nancy uses dermoscopy — a handheld instrument with magnification and polarised light that allows detailed examination of the internal structure of a lesion beneath the surface of the skin.

Research published in the British Journal of Dermatology has shown that dermoscopy improves the accuracy of melanoma diagnosis by approximately 49% compared to unaided examination. This is because many features that distinguish early melanoma from benign nevi — irregular pigment networks, atypical vascular patterns, regression structures — are simply not visible to the naked eye.

At your mole check appointment you can expect:

  • A clinical history of the lesion — how long it has been present, any changes you have noticed, relevant risk factors (sun exposure, family history, previous skin cancers)
  • Full-body skin examination (or focused assessment of one or more specific lesions)
  • Dermoscopy of any concerning or borderline lesions
  • Documentation of the lesion with clinical description and dermoscopic findings
  • Clear advice: watch and wait with return criteria, referral for biopsy or excision, or reassurance that the lesion is benign

If a lesion raises concern, Dr Nancy can make an urgent referral via the NHS two-week-wait pathway for suspected skin cancer, or arrange a private biopsy or excision through our referral partners.

What Lesions Should You Get Checked?

The ABCDE Rule — When to Act

A — Asymmetry: One half of the mole is different from the other
B — Border: Irregular, ragged or blurred edges
C — Colour: More than one colour, or uneven pigmentation
D — Diameter: Larger than 6mm (the size of a pencil eraser)
E — Evolution: Any change in size, shape, colour or sensation
+ Bleeding/itching: Any lesion that bleeds or persistently itches without injury

The ABCDE criteria are a useful guide but not a complete one. Amelanotic melanoma — a rare subtype — can lack pigment and appear as a pink or skin-coloured nodule. Nodular melanoma can grow quickly and may not follow the ABCDE pattern. If anything about a lesion concerns you, see a clinician rather than waiting for it to meet all criteria.

Cryotherapy at Lambert Medical: What Is It and What Can It Treat?

Cryotherapy uses liquid nitrogen applied to a skin lesion to freeze the tissue rapidly. The extreme cold (-196°C) destroys the cells in the treated area; the lesion then blisters, scabs and falls off over 1–4 weeks, leaving healthy skin underneath.

It is a quick, effective treatment for a range of benign skin lesions and is particularly useful for patients who want lesions removed without surgical excision. At Lambert Medical, cryotherapy is performed by Dr Nancy using a cryotherapy gun or cotton bud application depending on the lesion type and size.

ConditionHow Cryotherapy HelpsTypical Sessions
Seborrhoeic keratosesDestroys the thickened epidermal lesion; it falls off over 1–3 weeks1–2
Solar (actinic) keratosesRemoves pre-cancerous sun-damaged patches before progression1–3 depending on severity
Viral wartsFreezes the wart tissue and may disrupt the viral reservoir2–6, fortnightly
Plantar verrucasAs above; may need paired salicylic acid preparation3–6
Skin tagsSmall probe freezes the stalk; tag falls off1

Cryotherapy is not suitable for every lesion or every patient. It is not used for pigmented lesions where there is any diagnostic uncertainty (a biopsy is needed first), for lesions over tendons, nerves or blood vessels, or for patients with cold-related conditions such as cold urticaria or cryoglobulinaemia. Dr Nancy will assess whether cryotherapy is appropriate at your consultation.

Why Not Wait for the NHS?

NHS dermatology waiting times in Surrey and South West London currently exceed 12–18 weeks for routine referrals. The two-week-wait pathway exists for lesions that are clinically suspected to be malignant — but to access it you first need a GP appointment, which itself may take 2–4 weeks, and the GP needs to agree that the criteria are met.

Private dermatology allows you to bypass that pathway for benign and borderline lesions. Rather than spending months anxious about a mole you are not sure about, you can have an expert assessment within days. If the lesion is benign, that is clarity and peace of mind. If it needs further action, you have more time to act — not less.

Book a Dermatology Appointment in Surbiton

Dr Nancy Abdelrahman is available at Lambert Medical Practice on Ewell Road, Surbiton. No GP referral. Mole checks, skin lesion assessment and cryotherapy — same week.

🔬
Lambert Medical Practice
380 Ewell Road, Surbiton KT6 7BE

Frequently Asked Questions

Dermoscopy uses a handheld instrument with magnification and polarised light to examine skin lesions at a level not visible to the naked eye. It improves diagnostic accuracy for melanoma by approximately 49% compared to unaided visual inspection. Dermoscopy allows assessment of pigment distribution, vascular patterns, and structural features that distinguish benign from potentially malignant lesions.

At Lambert Medical Practice, our GP with specialist interest in dermatology assesses and manages: acne, eczema, psoriasis, rosacea, seborrhoeic dermatitis, mole checks and skin cancer screening, seborrhoeic keratoses, solar keratoses, skin tags, cysts, warts and verrucas, and other benign skin lesions. Cryotherapy (liquid nitrogen treatment) is available for appropriate benign lesions.

Cryotherapy uses liquid nitrogen applied to a skin lesion for a few seconds to freeze and destroy the abnormal tissue. It causes a stinging or burning sensation during application, followed by soreness and blistering for a few days. Most patients tolerate it well. The treated area usually heals within 2–4 weeks, leaving minimal scarring in most cases.

At Lambert Medical Practice, Dr Nancy Abdelrahman typically has appointments available within 2–5 days. No GP referral is needed — you can book online, by phone or via WhatsApp. NHS waiting times for dermatology routinely exceed 12–18 weeks.

Get a mole checked as soon as possible if it has: changed in size, shape or colour; developed an irregular or uneven border; become multi-coloured; started bleeding, itching or crusting; or if a new dark lesion has appeared. Use the ABCDE rule as a guide (Asymmetry, Border, Colour, Diameter over 6mm, Evolution) but do not wait if anything concerns you.