Private Psoriasis Treatment in London: Consultant‑Led Options for Clearer Skin

Psoriasis is a chronic inflammatory skin condition that can affect the body, scalp and nails, often flaring unpredictably and impacting confidence, sleep and daily life. At Skinhorizon Clinic in Maida Vale, our consultant‑led team creates clear, personalised plans for people across Central London, West London, St John’s Wood and Paddington. Below, we explain how private psoriasis care works, which treatments may help, and what to expect at each step.

Understanding Psoriasis (and Why It Flares)

Psoriasis involves an overactive immune response that speeds up skin cell turnover, creating raised, red plaques with silvery scale. Genetics, infections, stress, certain medications, micro‑trauma (Koebner phenomenon), climate changes and lifestyle factors can trigger flares. Because each person’s pattern and triggers differ, effective care requires a tailored plan and consistent follow‑up.

When to Consider Private Consultant Dermatology

Consider private care if you have frequent flares, widespread plaques, scalp or nail disease resistant to over‑the‑counter routines, or if psoriasis affects work, sport or social life. Private care offers longer appointments, rapid access to diagnostics and a structured step‑up approach. Start with our condition page: Psoriasis.

Your Consultant Assessment: What to Expect

• History & examination: subtype, distribution, severity, triggers, comorbidities (e.g., joint symptoms).
• Diagnostics when indicated: dermoscopy of plaques, and where necessary skin biopsy & diagnostic analysis to confirm diagnosis or rule out mimics.
• Documentation: optional objective imaging with digital skin analysis to track response.
• Plan: clear treatment roadmap with flare protocols and maintenance strategies.

Evidence‑Based Treatments We Use

• Topicals: corticosteroids (right potency/site/duration), vitamin D analogues, keratolytics, tailored emollient routines.
• Scalp protocols: medicated shampoos, steroid foams/lotions, careful scale lift techniques.
• Systemics (selected cases): consultant‑supervised options for moderate–severe disease or special sites.
• Targeted light therapy: clinic‑grade protocols such as 308 nm Excimer UVB for localised plaques (e.g., elbows, knees, scalp margins, palms/soles).
• Adjunct photobiomodulation: comfort‑oriented support between flares with LED phototherapy where suitable.

Explore our service overview at Psoriasis treatment.

Special Areas: Scalp, Nails & Inverse Psoriasis

Scalp psoriasis can be stubborn due to hair density and friction. We combine medicated shampoos, steroid foams and precise keratolytic routines; margin plaques may respond to Excimer UVB.

Nail psoriasis causes pitting, discolouration and thickening that can affect function. We use targeted topicals, protective routines and, in selected cases, systemic therapy depending on severity and impact.

Inverse (flexural) psoriasis in skin folds requires gentle, low‑irritancy regimens and careful potency selection to maintain comfort without atrophy.

Lifestyle & Flare Management (Practical Changes)

• Emollient‑first routines to reduce scale and itch; lukewarm showers; avoid harsh soaps.
• Manage friction and micro‑trauma on elbows/knees/shins; moisturise after sport.
• Plan a simple stress‑management habit to help reduce flare frequency.
• Agree a written flare protocol so you can act early and consistently.

Your Treatment Journey at Skinhorizon (Calm & Structured)

1. Consult & classify: confirm subtype/severity; screen for nail/scalp/joint involvement.
2. Plan & prime: start evidence‑based topicals ± systemics; teach application and flare steps.
3. Procedure block (if indicated): Excimer UVB for localised plaques; optional comfort support with LED.
4. Review & maintain: refine regimen; set maintenance schedule; track with digital skin analysis where helpful.

FAQs: Private Psoriasis Treatment in London