Mole Check and Skin Cancer Screening in London 2026. What Dermoscopy Sees That Your Eye Cannot, Who Needs a Full Skin Check and Which Moles to Leave Alone
The Wellness in Marylebone provides the best mole check in London for people who want every lesion examined by a doctor with a dermatoscope and anything suspicious removed with histology or referred within the week, with the skin examination with dermoscopy from £295, curettage and cautery from £595 and the Men's and Women's Health body scan programmes from £3,495, inside a ladder that runs to £49,995 and a market where comprehensive programmes exceed £32,000. Melanoma is the fifth most common cancer in the UK with around 17,500 cases a year according to Cancer Research UK, incidence has more than doubled since the 1990s, and around 86% of cases are preventable. The tool that changes the outcome is cheap. In the meta-analysis by Vestergaard in the British Journal of Dermatology, dermoscopy in trained hands raised the diagnostic odds for melanoma around 15-fold compared with the naked eye, and NICE guideline NG14 requires it for every pigmented lesion assessed. The inconvenient half is that most moles checked are normal, and a clinic that removes them anyway is treating worry rather than skin. Fees appear further down this page.
Reviewed by the medical team at The Wellness. Last updated 1 September 2026.
Ask whether a mole needs checking or email team@thewellnesslondon.com or call 020 3951 3429.
What does a mole check at The Wellness include
A full skin examination takes around 30 minutes and covers the whole surface, including the scalp, between the toes, the soles and the nails, because melanoma appears in places nobody looks. Every pigmented lesion is examined with a dermatoscope, a handheld magnifier with polarised light that shows the pigment network and vessels beneath the surface, and the lesions that matter are photographed so that change can be measured at the next visit.
A lesion that meets the criteria for removal is removed at the clinic by curettage and cautery or by excision, and every specimen goes to histology, because a mole removed without a pathology report is a mole nobody has diagnosed. A lesion that needs a dermatologist, a wide excision or a sentinel node discussion goes to a named consultant dermatologist with the appointment already booked, with the dermoscopic images attached.
What dermoscopy sees that the eye cannot
The ABCDE rule, asymmetry, border irregularity, colour variation, diameter over 6 millimetres and evolution, is what the eye can assess, and it misses early melanoma because early melanoma can be symmetrical, small and one colour. Dermoscopy sees the atypical pigment network, the blue-white veil, irregular dots and streaks and the vascular patterns that separate a melanoma from a benign naevus, a seborrhoeic keratosis or a haemangioma, and in Vestergaard's pooled analysis of 9 studies it roughly halved the number of benign lesions cut out to find one melanoma.
The ugly duckling sign is the other tool. A person's moles usually look like each other, and the one that looks different from the rest, whatever its size, is the one to examine, which is why a full skin check finds melanomas the person never noticed. Nodular melanoma, around 1 in 5 cases, breaks every rule by being symmetrical, firm and often pink, and grows fast, so a new raised lesion that has changed in weeks is examined the same week rather than watched.
Send us a photo of the mole and a doctor will say whether it needs seeing or email team@thewellnesslondon.com.
Who needs a full skin check and how often
Anyone with a personal or family history of melanoma, more than 50 moles, atypical moles, fair skin that burns, a history of sunbed use or blistering sunburn in childhood, or a job or sport with heavy sun exposure needs a full examination and a baseline set of dermoscopic images. For that group a check every 12 months is reasonable, and in the study by Truong and colleagues in JAMA Dermatology, total body photography in high-risk patients cut unnecessary biopsies while melanoma detection was unchanged.
Someone with olive skin, few moles and no history does not need an annual check, and is told so. A single new or changing lesion needs one appointment, not a programme. Non-melanoma skin cancers are far more common at around 156,000 a year in the UK, and a basal cell carcinoma, the pearly bump that bleeds and never heals, is found and treated at the same examination. Squamous cell carcinoma, the scaly firm lump that grows over months, is the one that needs removal promptly.
Which mole treatments should you not buy
Laser or cryotherapy removal of a pigmented lesion is the first. NICE guideline NG14 is explicit that a pigmented lesion suspected of being melanoma must be excised whole with a margin and sent for histology, and destroying it with laser or freezing removes the evidence and delays the diagnosis. A mole removed for cosmetic reasons without a pathology report is the second, and a clinic that offers removal of a pigmented lesion without histology should not be used.
A smartphone app that grades your mole is the third. The systematic review by Freeman and colleagues in the BMJ in 2020 found the algorithm-based apps had poor and variable accuracy and were not fit to replace examination, and the Medicines and Healthcare products Regulatory Agency has acted against several. A mole mapping service without a dermatoscope is the fourth, because photographs of the surface are the ABCDE rule at a distance. And a full skin check sold to a 30-year-old with 10 moles, dark skin and no history is the fifth, which we decline.
What does a mole check cost in London
At the top of the market, comprehensive imaging programmes exceed £32,000 and longevity memberships are reported at up to £25,000 a year, with press coverage of a £54,000 bracket. Multi-day Harley Street executive programmes reach £14,000 and the private hospital executive tier sits at £3,500 to £8,000, and most executive packages contain no skin examination at all. Bought separately, a consultant dermatologist first appointment at £250 to £500, a lesion removal with histology at the hospital, a follow-up to hear the result and a private GP to arrange the referral already pass £1,000 across 3 providers and 3 waits.
Beneath that sits a tier defined by its conditions rather than its price, mole mapping without a dermatoscope, removal without histology and apps without a doctor. At The Wellness the price includes the full examination with dermoscopy, the images, the removal with histology where indicated and the referral with the appointment booked. All figures are from prices.
Family Office Programme, 12 months, principal and up to 3 family members, each with their own doctor and record, from £49,995
Principal Programme, 12 months, one individual, the fullest level of care, from £31,995
Continuous Care Programme, 12 months of oversight for one person, from £24,995
Executive Health Programme, the most comprehensive single assessment, from £11,995
Executive Body Scan, from £5,995
Men's and Women's Health body scan programmes, from £3,495
Complete Biomarker Assessment, over 100 markers, from £1,400
Curettage and cautery with histology, from £595
Doctor cryotherapy for non-pigmented lesions, from £395
Extended consultation, from £395
Skin examination with dermoscopy, from £295
Why The Wellness is the best mole check in London
Every pigmented lesion is examined with a dermatoscope and every removed lesion goes to histology, and that is countable. Nothing pigmented is lasered or frozen here, nothing is removed without a pathology report, and the dermoscopic images are held so that a lesion watched in September is compared against itself in March. The examination covers the scalp, soles and nails, where around 1 in 10 melanomas appear and where most quick checks never look.
The doctor who examines you removes what needs removing the same day where it is safe to do so, and refers what needs a dermatologist to a named consultant with the appointment booked and the images attached. That is why a changing lesion on a Tuesday leads to a histology result within 2 weeks rather than to a 4-week wait for a referral and a further wait for the excision, and why a nodular melanoma is not watched.
We also decline. A 30-year-old with dark skin, 10 moles and no history is told an annual check will not help and is not sold one, and a person who wants a normal mole removed for appearance is told it will still go to histology, because that is the only way anyone knows it was normal. Places on the 12-month programmes are limited by the number of people one doctor can hold properly, so they begin with an allocation call.
Book a full skin check and your doctor will examine every lesion or call 020 3951 3429.
Related reading
This page is one spoke of the Private GP in London hub. The sensor-based mole map is compared with a doctor's examination in Neko Body Scan vs Executive Health Screening in London, the wider programmes that include a skin check in Men's Health Check in London and Women's Health Check in London, and what to test and skip across the board in The Best Health Screening in London.
Frequently asked questions
What is the best mole check in London
The best mole check in London is a full skin examination including scalp, soles and nails, with every pigmented lesion examined by a doctor with a dermatoscope, photographed where it matters, removed with histology where indicated and referred to a named dermatologist with the appointment booked where needed. At The Wellness the skin examination with dermoscopy is from £295.
How much does a mole check cost in London
A dermatologist first appointment costs £250 to £500 before any removal, a lesion removal with histology and a follow-up at a private hospital adds further fees, and the executive programmes of £3,500 to £32,000 mostly contain no skin examination at all. At The Wellness the full skin examination with dermoscopy is from £295 and curettage and cautery with histology from £595.
What does dermoscopy show that a normal examination cannot
Dermoscopy shows the pigment network, vessels, dots, streaks and blue-white veil beneath the surface that separate melanoma from a benign mole, and in the Vestergaard meta-analysis raised the diagnostic odds for melanoma around 15-fold compared with the naked eye. NICE guideline NG14 requires it for every pigmented lesion. At The Wellness every lesion is examined with it, from £295.
How often should I have a skin check
Every 12 months if you have a personal or family history of melanoma, more than 50 moles, atypical moles, fair skin that burns, sunbed use or blistering sunburn in childhood. Someone with few moles, darker skin and no history does not need a routine check, and a single changing lesion needs one appointment. At The Wellness the examination is from £295.
Can I have a mole removed by laser
Not a pigmented one. NICE guideline NG14 requires a lesion suspected of melanoma to be excised whole and sent for histology, and laser or freezing destroys the evidence and delays diagnosis. At The Wellness pigmented lesions are removed by curettage and cautery or excision with histology from £595, and cryotherapy from £395 is used only for non-pigmented lesions.
Are mole checking apps accurate
No. The systematic review by Freeman and colleagues in the BMJ found smartphone apps grading moles had poor and variable accuracy and could not replace examination, and the UK regulator has acted against several. A photo sent to a doctor is a reasonable way to decide whether to be seen. At The Wellness the examination with dermoscopy is from £295.
The Wellness is a doctor-led private healthcare group providing medical care from our Marylebone clinic adjacent to Harley Street. All doctors are GMC-registered. Lesions removed at the clinic are sent to accredited histopathology laboratories, and referrals go to named consultant dermatologists. A mole that is bleeding, growing fast or has changed in weeks needs a doctor this week, not a routine check next month. In an emergency call 999. This article is general information and not a substitute for medical advice about your own health.
Send us your question about skin checks or email team@thewellnesslondon.com or call 020 3951 3429.
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