Hands & Feet Together · Kensington, London
Hand and Foot Treatments in London: Both Areas, One Appointment
Hand and foot treatment is clinical care for the skin and nails on the two areas a face-focused routine skips: hardened skin around pressure points, brown pigmentation across the backs of the hands, thin crepey skin and changes in the nails. At Faciem it starts from £150, runs to 45 to 60 minutes, and begins with Dr Prasad, a GMC-registered doctor, examining what is actually there.
This is the combined page, written for anyone who wants both areas handled in the same visit. For depth on one area alone, the hand rejuvenation and foot rejuvenation pages go further into each. Suitability for any of it is confirmed at a face-to-face consultation, and results vary between individuals.
- Both areas, one visit
- From £150
- Assessed by Dr Prasad
- 45–60 minutes
96%
Patient satisfaction
- Medically reviewed by Dr Prasad
This page sets out how hands and feet are assessed and treated at Faciem, and is reviewed for clinical accuracy.
Last reviewed: 14 July 2026.
Patient information only. Skin and nail changes on the hands and feet are examined before any cosmetic treatment is planned.
Patients since 2019
Procedures
Satisfaction
TL;DR
Hand and foot treatment at Faciem addresses hard skin, pigmentation, fine lines and nail problems on areas most people leave until last. Treatment is planned by Dr Prasad, a GMC-registered doctor with 20 years’ experience, and starts from £150 for a HydraFacial of the hands or feet. Appointments run to 45–60 minutes, with one to three sessions typically planned. Results are seen immediately or within four to six weeks, depending on what is treated.
- Hard skin, pigmentation, fine lines, nail problems
- One to three sessions, 45 to 60 minutes each
- Hands and feet in one visit; separate pages go deeper
Treatment at a Glance
Hand and Foot Treatment: The Key Facts
Procedure time
45–60 minutes
At the longer end when hands and feet are both treated in one appointment.
Treatment price
From £150
£150 buys a HydraFacial of the hands or of the feet.
Results visible
Immediately or within 4–6 weeks
Softness and smoothness come first; pigment and texture take longer.
Sessions
1–3 typically
How established the hard skin or pigmentation is decides the number.
Downtime
Depends on the treatment
Resurfacing and injectable treatments differ considerably here.
Back to work
Same day, depending on treatment
Roomy footwear afterwards is more comfortable following foot treatment.
* Prices start from £150 and depend on which treatment suits your skin: microneedling is £200, Profhilo® £400 and dermal filler from £250 for 0.5ml. What you will pay is set out in writing once Dr Prasad has examined the skin and nails, and nothing is carried out before that examination has happened. The consultation fee is confirmed when you book.
About the Treatment
What Is Hand and Foot Rejuvenation and How Does It Work?
Why the skin on hands and feet changes the way it does, what treatment involves, and when a skin or nail change needs examining before anything is smoothed.
Hand and foot rejuvenation is a group of clinical treatments that resurface, rehydrate and, where needed, re-volumise the skin on the hands and feet. Dead surface skin is loosened and lifted away, fruit acids and skin enzymes soften hardened areas, and hydrating or volumising treatments follow where the skin has thinned. At Faciem it starts from £150.
Why hands and feet change the way they do
Hands and feet age by two opposite mechanisms, which is exactly why one appointment can sensibly cover both. The backs of the hands take decades of sun exposure that almost nobody protects them from, so brown pigmentation collects there first. The skin there is thin to begin with, and the soft padding beneath it reduces with age, leaving tendons and veins more visible.
Feet thicken where hands thin. Skin builds up wherever it is loaded, and repeated pressure through walking accumulates hard skin around pressure areas — callus. Ageing skin also holds less water, so heels dry, roughen and split more readily. Two different processes, on two areas that get the same neglect.
When a hand or foot change needs examining, not smoothing
Not every change on a hand or foot is cosmetic, and that is where being seen by a doctor changes the outcome. A brown patch on the back of a hand may be sun-related pigmentation; it may equally be a sun-damage lesion that needs treating as one. New, changing or asymmetrical pigmented spots are examined before anything resurfaces them, and our mole checks page explains how that assessment works.
Nails matter here too. Thickened, discoloured or crumbling nails are frequently assumed to be fungal when they are not, and treating the wrong thing wastes months. Where an infection is suspected, it is diagnosed before a cosmetic plan begins. Reduced sensation or poor circulation in the feet, common in diabetes, also changes what is appropriate, so it is asked about at the start.
What a hand and foot appointment feels like
A hand and foot appointment feels closer to a facial than to anything clinical. Hands or feet are cleansed, then treated with the bespoke hand and foot HydraFacial® and ZO® Skin Health rejuvenation protocol Faciem uses: dead surface skin is loosened and lifted, then fruit acids and skin enzymes melt away the hardened areas. The skin is left soft and nourished.
Most people describe the sensation as warm and slightly tingling. Appointments run to 45 to 60 minutes, at the longer end when both areas are done in one visit. Where microneedling or an injectable treatment is added, the sensation differs and is explained separately beforehand. Comfort varies between individuals, and nothing is added on the day without discussing it first.
The treatments used on hands and feet
The resurfacing base at Faciem is the bespoke hand and foot HydraFacial combined with ZO Skin Health rejuvenation, which softens hardened skin with fruit acids and enzymes instead of scraping it away. Chemical peels and microneedling come in where texture and pigment need more than surface work; microneedling of the hands or feet is £200.
Where the skin has thinned and the hands look older than the face above them, the area can be treated with Profhilo® at £400, and with dermal fillers placed through a cannula from £250 for 0.5ml, alongside peels, HydraFacials and medical-grade skincare. Which of these suits you follows from the examination, and what is currently offered is confirmed at your consultation.
How this page relates to our hand and foot pages
This page is the combined overview, written for people who want both areas handled together and want the whole picture before choosing. It covers what hands and feet share: sun damage, dehydration, skin that has either thinned or thickened, and the fact that neither area gets the attention the face does.
If you already know which area concerns you, the dedicated pages go further into that one. Hand rejuvenation concentrates on the backs of the hands — age spots, lost volume and visible tendons. Foot rejuvenation concentrates on hard skin, cracked heels and the nails. Nothing is lost by starting here. The consultation covers whichever area you arrive with, and where both deserve treating, that is planned properly instead of being tacked onto the end of an appointment booked for something else.
What Is Treated
Concerns Treated on the Hands and Feet
Hand and foot treatment at Faciem addresses four groups of concern: hardened skin, pigmentation, fine lines and thinning skin, and nail problems. Each is assessed before it is treated, because a brown patch, a thickened nail and a callus can each have more than one cause. What suits you is decided at consultation.
ZONE I
Concerns treated
The four groups of change most often brought to the clinic for hands and feet.
Hard skin and callus
Skin thickens where it is loaded, so callus collects on heels and the ball of the foot. Fruit acids and enzymes soften it; nothing is stripped away.
Pigmentation
Brown marks on the backs of the hands are usually sun-related. Our page on brown spots and freckles explains what they are and how the types are told apart.
Fine lines and ageing skin
Thin, crepey skin over the backs of the hands makes tendons and veins stand out. Hydrating and volumising treatments are considered here, not resurfacing alone.
Nail problems
Thickened, discoloured or ridged nails are among the concerns treated, but a suspected infection is diagnosed before anything cosmetic is planned.
ZONE II
Treated in depth elsewhere
Where one area alone is the concern, these pages carry the detail.
Hands
Age spots, lost volume and visible tendons across the backs of the hands are covered on our hand rejuvenation page.
Feet
Hard skin, cracked heels, dryness and nail changes are covered on our foot rejuvenation page.
ZONE III
Treatments used
What may be recommended once the skin and nails have been examined.
HydraFacial for hands or feet
The bespoke hand and foot version of the HydraFacial, lifting dead skin before acids and enzymes soften hardened areas. From £150.
Medical-grade skincare
ZO Skin Health rejuvenation is used alongside clinic treatment, and combining the two gives quicker results.
Microneedling
Used where texture and pigment need more than surface resurfacing. Microneedling of the hands or feet is £200 and has no page of its own, so it is discussed at consultation.
Injectable skin treatments
Profhilo® at £400, and dermal fillers placed with a cannula from £250 for 0.5ml, for hands that have lost volume. Suitability is assessed individually.
Choosing the Right Treatment
Clinic Treatment vs Home Skincare for Hands and Feet: What’s the Difference?
Hands and feet respond best to both together, and combining clinic treatment with medical-grade skincare produces quicker results than either alone. A clinic appointment removes hardened surface skin in one sitting, which no cream does. Skincare works on the days between appointments, which no single treatment does. The table sets out where each earns its place.
| In-clinic treatment | Medical-grade skincare at home | |
|---|---|---|
| How it works | Dead surface skin is lifted and removed, then fruit acids and enzymes soften hardened areas in a single session. | Active ingredients applied daily maintain hydration and gradually improve texture and pigment between appointments. |
| Best for | Established callus, rough texture and skin that has already hardened. | Dryness, day-to-day maintenance, and holding on to what a clinic appointment achieved. |
| Results appear | Immediately or within four to six weeks, depending on what is treated. | Gradually, over weeks of consistent daily use. |
| Sessions | One to three sessions are typically planned, with the interval agreed when the plan is set. | Continuous; the skin reverts once the routine stops. |
| Downtime | Depends on the treatment; most people return to normal the same day. | None, though stronger actives can cause temporary dryness or flaking as skin adjusts. |
| Ideal candidate | Someone whose hands or feet have got beyond what home care is managing. | Someone maintaining an improvement, or starting before the problem is established. |
Results vary between individuals, and neither column works as well alone as the two do together. Where the examination turns up a skin or nail change that needs diagnosing, that is dealt with first and neither column applies until it has been.
Transparent Pricing
How Much Does Hand and Foot Treatment Cost at Faciem?
Hand and foot treatment at Faciem starts from £150 for a HydraFacial of the hands or feet. Beyond that the cost follows what the skin needs: microneedling is £200, Profhilo® is £400 and dermal filler is from £250 for 0.5ml. One to three sessions are typically planned, so the useful question at consultation is what a course costs, not what one appointment costs.
Prices for hand and foot treatment across London vary widely, largely because the name covers very different procedures. A resurfacing treatment and an injectable treatment are not comparable, whatever a price list calls them. Ask what is actually being done, who is doing it, how many sessions are expected, and whether skincare for use at home is included or extra.
Budget for medical-grade skincare alongside treatment, not instead of it, since the two together work faster than clinic appointments alone. If the examination suggests a nail or skin change needs diagnosing before anything cosmetic happens, that is what will be recommended, and you are not charged for treatment you do not have.
| Treatment | Price |
|---|---|
| HydraFacial for hands or feet | £150 |
| Microneedling for hands or feet | £200 |
| Profhilo® skin-boosting treatment | £400 |
| Dermal filler, 0.5ml | From £250 |
Why Faciem
Hands and Feet Examined Before They Are Treated
Hands and feet are where a cosmetic appointment most often turns up something medical: a sun-damage lesion mistaken for a freckle, a nail change assumed to be fungal, a foot that has quietly lost sensation. Being seen by a doctor is what catches those before treatment starts.
- Skin and nails examined by Dr Prasad, a GMC-registered doctor with 20 years’ experience
- Pigmented spots on the hands assessed before anything resurfaces them
- Suspected nail infection diagnosed before any cosmetic treatment is planned
- Circulation and sensation in the feet asked about before foot treatment goes ahead
- Clinic operated by a provider registered with the Care Quality Commission
- Hands and feet treatable in one visit, with the price agreed in writing first
Experience & Expertise
Why a Doctor Looks at Hands and Feet Differently
Hands and feet are where sun damage and skin disease turn up disguised as cosmetic complaints. A rough patch on the back of a hand can be an actinic keratosis, a sun-damage lesion, and not simply dry skin. A dark line under a nail can be a bruise, or it can be something that needs a proper look. A heel that has cracked and will not heal can be the first sign that sensation or circulation has changed. None of those improve with resurfacing, and all of them are easy to smooth over if nobody examines them.
Dr Prasad examines the skin and nails before planning anything, which is what separates a hand and foot appointment here from a beauty treatment on the same area. Where a change needs diagnosing she says so; where it is straightforwardly cosmetic, treatment proceeds with the sequence and interval explained. Telling one from the other is what her 20 years in dermatology are for, and her registration and background are set out on her profile page.
- Dr Anamica Prasad — MBChB (1999), Dip Dermatology (2001), MRCGP, DFFP, DRCOG · a GMC-registered doctor
- Member of the Joint Council for Cosmetic Practitioners (JCCP), British Medical Laser Association (BMLA), Royal Society of Medicine and the Aesthetic Complications Group · ZO Skin Health UK Faculty & Trainer
- Clinic operated by Derma Medical UK Ltd — registered with the Care Quality Commission (CQC) for diagnostic and screening procedures, surgical procedures, and treatment of disease, disorder or injury (Location ID 1-25573003746)
- Face-to-face examination of skin and nails before any hand or foot treatment is planned
- 20 years’ experience in dermatology and medical aesthetics, across every skin tone
Patient Reviews
Rated Excellent by Patients on Google
Your Journey, Our Promise
How a Hand and Foot Appointment Runs
A hand and foot appointment opens with the skin and the nails being looked at, and not with a treatment being booked. What follows depends on what that examination turns up. The sequence, the number of sessions and the cost are all agreed with you before any of it is carried out.
STEP 01
Consultation
Dr Prasad examines the skin and nails on both hands and feet, not only the area you came in about. Sun exposure, circulation, sensation and any change in the nails are all asked about. Anything that needs diagnosing before it is treated is identified at this point.
STEP 02
Personalised plan
You are told which treatments suit the skin, how many of the typical one to three sessions are likely, and what the total costs, in writing. Skincare for the days between appointments forms part of that plan; it is not sold to you afterwards at the door.
STEP 03
Treatment
Hands or feet are cleansed and resurfaced, with fruit acids and enzymes softening the hardened areas. Appointments run to 45 to 60 minutes, at the longer end when both areas are done. Nothing is added on the day without being discussed with you first.
STEP 04
Aftercare & review
You leave with written aftercare and a home routine that keeps the improvement going, since clinic treatment and skincare together work faster. Results appear immediately or within four to six weeks. When to come back, and whether a charge applies to that appointment, is agreed at consultation.
Side Effects & Safety
What Are the Risks and Side Effects?
Hand and foot treatment covers several different procedures, so the side effects depend on which one you have. Resurfacing, needling and injectable treatments each carry their own, and all of them are explained before you consent, not afterwards.
Common, temporary effects
- Redness and warmth across the treated area, usually settling within hours
- Dryness or light flaking as loosened surface skin sheds
- Tenderness, particularly on heels and pressure points
- Bruising or swelling where an injectable treatment is used
Uncommon effects
- Less commonly, resurfacing can leave temporary darkening or lightening of the treated skin. Skin tone is assessed on the Fitzpatrick scale before a peel strength, needling depth or treatment interval is chosen. Deeper skin tones (Fitzpatrick IV to VI) are treated on the hands and feet, but the acid concentration, contact time and spacing between sessions are adjusted, and priming the skin with medical-grade skincare for two to four weeks beforehand matters more, because the risk being managed is post-inflammatory pigmentation rather than the hard skin or the pigment itself. Infection is uncommon but possible wherever the skin surface is broken, and cracked heels raise that risk. Any lasting redness, pain or a wound that is not healing should be reported to the clinic promptly.
Who this treatment is not for
- Hand and foot treatment is not carried out over active infection, including untreated fungal nail infection or athlete’s foot, or over open wounds, ulcers or cracked, bleeding heels. Reduced sensation or circulation in the feet, common in diabetes, needs medical review before cosmetic treatment. Injectable treatments are not offered in pregnancy or breastfeeding. Suitability is confirmed individually at consultation.
After Your Treatment
Looking After Treated Hands and Feet
Aftercare for hands and feet comes down to protecting freshly resurfaced skin and keeping it hydrated. On the day, expect warmth and mild pinkness that settles within a few hours. On days two to four, light flaking is normal as the loosened surface skin sheds from the backs of the hands and the heels. By the end of week one the skin feels smoother and the routine is back to normal, and where pigment or texture is being treated the fuller change shows across weeks four to six. Hands go straight back to washing, weather and sunlight and feet go straight back into shoes, so the first 48 hours matter more here than they do on the face.
Do
- Moisturise hands and feet twice daily for at least two weeks, and reapply to hands after every wash
- Use broad-spectrum SPF 50 on the backs of the hands every morning, reapplying every two hours outdoors
- Wear roomy, cushioned footwear for 3 to 5 days after foot treatment
- Keep to the home routine agreed at your appointment for the full four to six weeks results take to appear
- Contact the clinic if an area stays red, sore or swollen for more than 48 hours
Avoid
- Filing, scraping or using callus blades on treated feet for at least two weeks
- Hot baths, saunas, steam rooms and swimming pools for 24 to 48 hours
- Scrubs, strong acids and retinoids on the treated areas for 5 to 7 days
- Gardening, cleaning products and harsh detergents without gloves for the first week
- Running, long walks and new shoes for 48 hours after foot treatment
Written aftercare for the specific treatment you had, and for how your skin behaved during it, is handed to you at the appointment and takes precedence over anything general set out here.
Common Questions
Your Questions, Answered
Cost, comfort, session numbers, nails, getting back to work or the gym, and the hands-versus-face question, answered below. Anything not covered here is worth raising at your consultation.
How much does hand and foot treatment cost in London?
At Faciem, a HydraFacial of the hands or feet is £150, microneedling is £200, Profhilo® is £400 and dermal filler is from £250 for 0.5ml. What you pay depends on which treatment suits your skin and how many of the typical one to three sessions are planned. The figure is confirmed in writing at consultation.
What can be done about hard skin on the feet?
Hard skin builds where the foot is loaded, so it returns unless the cause is addressed alongside the treatment. In clinic, dead surface skin is lifted and fruit acids and skin enzymes soften the hardened areas instead of stripping them. A daily routine at home is what keeps callus from rebuilding between appointments.
Does hand and foot treatment hurt?
Most patients describe resurfacing of the hands and feet as warm and slightly tingling, and no anaesthetic is needed for it. Heels and pressure points can feel tender for a day or so afterwards. Where microneedling is added, topical numbing cream is applied for 20 to 30 minutes first; an injectable treatment is a brief sting at each entry point. How much you feel varies between individuals, and the pace is set by you.
How many hand and foot sessions will I need?
One to three sessions are typically planned, depending on how established the hard skin or pigmentation is. Dryness and roughness resolve more readily than texture and pigment. The number that suits you is agreed at consultation, and the interval between sessions is set out at the same time.
How soon can I go back to work or to an event after treatment?
Most people go back to work the same day after hand and foot treatment, since resurfacing leaves the skin warm and slightly pink for a few hours instead of visibly marked. If an event matters, book the appointment 7 to 10 days ahead, which lets the light flaking of days two to four pass and the skin settle. Where an injectable treatment is used on the hands, allow two weeks, because bruising can take that long to fade.
What can be done about brown spots on the backs of the hands?
Pigmentation on the backs of the hands is usually sun-related and is treated much as it is on the face, once it has been examined. Anything new, changing or asymmetrical is assessed first. Our page on brown spots and freckles explains how the different types are told apart.
My hands look older than my face — can anything help?
This is one of the most common reasons people book a hand appointment. Where the skin has thinned, the backs of the hands can be treated with Profhilo® and with dermal fillers placed using a cannula, alongside chemical peels, HydraFacials and medical-grade skincare. What suits you follows from the examination and is discussed at consultation.
Are nail problems treated as well?
Nail problems are among the concerns addressed on the hands and feet, but the first step is working out what the change actually is. Thickened or discoloured nails are frequently assumed to be fungal when they are not. A suspected infection is diagnosed before any cosmetic treatment is planned.
Can men have hand and foot treatments?
Yes. Hard skin, callus and sun damage on the backs of the hands are, if anything, more common in men, and hand and foot treatment is carried out the same way. Men are assessed exactly as women are, with the same examination of the skin and nails. Suitability is confirmed at a face-to-face consultation.
Can hands and feet be treated at the same appointment?
Yes, and for most people that is the practical answer, since both areas tend to be neglected in the same way. Allow towards 60 minutes when both are done together. The price for treating hands and feet in one visit, and whether that suits your skin, is confirmed at your consultation.
Is hand and foot treatment the same as a manicure or pedicure?
No, though the two sit well alongside each other. A manicure or pedicure grooms the nails and tidies the surface. Hand and foot treatment at Faciem is clinical care for the skin itself, planned after a doctor has examined it, and it can pick up a change that needs diagnosing. Both have their place.
Can I exercise, swim or walk normally after foot treatment?
Walking normally is fine straight after foot treatment. Leave running, long walks and the gym for 48 hours, and keep swimming pools, hot tubs, saunas and steam rooms out for the first 24 to 48 hours while resurfaced skin settles. New or tight shoes are worth avoiding for 3 to 5 days, so bring roomier footwear to the appointment. Where microneedling or an injectable treatment has been used on the hands, allow 48 hours before heavy exercise.
Hand & Foot Treatments in Kensington, London
A Doctor-Led Clinic in the Heart of Kensington
Hand and foot treatment is available at Faciem Dermatology & Medical Clinic on Kensington Church St, London, led by Dr Prasad. High Street Kensington station is a few minutes’ walk away and Notting Hill Gate around ten; there is a Kensington council underground car park nearby for anyone driving. Patients reach us easily from Chelsea, Holland Park, Knightsbridge and across west London.
Hands and feet are an easy appointment to fit in. The clinic is open Monday to Saturday, 10am–7pm, and treatment runs to 45 to 60 minutes, at the longer end if both areas are done together. Feet mean shoes and socks off, so bring roomier footwear than the pair you squeezed into that morning.
Wherever you have hands or feet treated, ask who will be examining the skin and the nails before anything is applied to them, and check that person is registered with the GMC, NMC or GDC. Have the products named. Then get the price agreed in writing, including how many sessions are expected, because a course and a single appointment are very different figures.
There is no obligation to book treatment after a consultation. If the examination turns up a skin or nail change that needs diagnosing first, you will be told plainly and the cosmetic plan waits. You are welcome to contact the clinic with a question before booking anything.
Plan Your Visit
- Faciem Dermatology & Medical Clinic
- Phone: +44 20 7131 3539
- 7 Kensington Church St, London W8 4LF, United Kingdom
- Tube: High Street Kensington (few minutes’ walk) · Notting Hill Gate (~10 minutes)
- Parking: Kensington council underground car park nearby
- Open Monday–Saturday, 10am–7pm · Sunday closed
- Hand and foot appointments bookable online; both areas can be treated in one visit
- Consultation-first — no treatment without medical assessment
- Serving Kensington, Chelsea, Notting Hill & Central London
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Faciem Dermatology & Medical Clinic · Kensington
Have Your Hands and Feet Examined First
Book a consultation with Dr Prasad to have the skin and nails on both hands and feet looked at, and to find out what is worth treating, in what order and at what cost. Hand and foot treatment starts from £150. If you would like to hear from people treated here first, read our patient reviews.
Prefer to talk? +44 20 7131 3539