As someone with persistent adult acne, I understand the urgency and emotional toll that comes with trying to find a solution. I came to this clinic hopeful, especially given Roaccutane's proven long-term success for many people. But my experience raised several red flags—mostly around how financially aggressive the clinic’s approach felt. During my initial consultation, I was quickly advised to begin another round of Roaccutane (despite having been through a full course in the past). What concerned me more, though, was being strongly encouraged to discard all of my current dermatologist-approved products (like CeraVe) and replace them with a long list of clinic-sold products and supplements—amounting to nearly £1,000. This felt excessive and out of touch with a patient-first mindset. The pricing model for ongoing care was another surprise. I was told I'd need monthly in-clinic blood tests at £180 per visit, plus £80 for each test, with no option to go through the NHS or a more affordable provider. The full treatment plan was quoted at around £2,000 upfront or more if paid in installments. Other reputable dermatologists in London offer more flexible, affordable options—including less frequent visits and third-party testing. Lastly, I was asked to pay £80 for my first blood test on the day of my consult, even though I hadn’t committed to treatment. When I declined to proceed and requested a refund, I was told it wasn’t possible unless I returned a physical form I no longer had. Despite requesting a reprint, I received no response. After disputing the charge through my card provider, I received a threatening email written entirely in capital letters. Not exactly the tone you'd expect from a professional medical practice. I ultimately chose not to proceed and instead went to the London Skin and Hair Clinic in Holborn, where I received thoughtful, transparent care from Dr. Eleni Anthony. I highly recommend them as an alternative. To be clear: I’m not questioning the effectiveness of Roaccutane or the medical knowledge of the clinic. But for anyone considering treatment here, especially if you're new to London or navigating this privately for the first time, I urge you to ask detailed questions about costs, alternatives, and what’s truly necessary. Your skin deserves care—but so does your peace of mind and your wallet.