Treatments
Eczema Treatment in Tunbridge Wells
Eczema is a chronic inflammatory skin condition that can cause persistent dryness, redness, itching, cracking and recurring flare-ups. At rtwskin in Tunbridge Wells, a dermatology assessment is used to identify the type, severity and possible triggers before a personalised treatment plan is recommended.
Treatment may include prescribed topical care, skin-barrier support or targeted 308 nm UVB light therapy for suitable localised eczema, including the hands, face and scalp.
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Treatment Pricing
Pricing for Eczema treatment (UK) varies depending on the treatment type, area, and severity.
Initial dermatology consultation — adults aged 18+£175
Selected localised eczema affecting areas such as the hands, face or scalp, following dermatology assessment.
Not required
20–45 minutes depending on area
Temporary redness, dryness, itching or pigment change may occur. Less commonly, excessive UVB exposure may cause blistering or crusting. Individual risks are assessed before treatment.
No formal downtime is usually required, although temporary redness, dryness or skin sensitivity may occur.
Response varies. Improvement develops gradually during a treatment course, and eczema may flare again after treatment.
treatment is not painful. But you will experience sunburn like sensation for several hours after procedure.
Moisturising protocols, SPF, avoidance of known triggers
What Is Eczema?
Eczema is a chronic inflammatory skin condition linked to immune system dysfunction. While not always classified strictly as an autoimmune eczema disorder, it involves an overactive immune response that triggers inflammation and skin barrier disruption.
Symptoms may include dry, cracked skin, redness, itching and recurring flare-ups. The condition can affect different areas of the body, including the face, scalp, hands and eyelids.
Understanding the immune component of eczema is essential when choosing the most appropriate treatment strategy.
Which areas can it affect?
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Face and eyelids:
The skin here is particularly delicate, so treatment needs to be selected carefully to minimise irritation.
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Scalp:
Eczema affecting the scalp may cause itching, redness and scaling. Treatment depends on the underlying diagnosis and may include medicated topical preparations.
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Hands:
Hand eczema can cause dryness, painful cracking and irritation and may be influenced by frequent washing, irritants or contact allergens.
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Legs and arms:
More widespread eczema may require a different management approach from small localised patches.
Targeted 308 nm UVB Light Therapy for Eczema
Targeted 308 nm UVB light therapy delivers controlled ultraviolet light to selected areas of eczema. It may be considered for suitable localised patches that have not responded sufficiently to an appropriate topical-treatment and skin-barrier plan.
The treatment dose is selected according to skin phototype, the area treated and individual response. A dermatology assessment and test patch are required before a course is recommended.
Treatment may help reduce inflammation, itching and visible redness, but response varies and eczema symptoms may return.
What problems does the service solve?
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We provide targeted treatment of eczema on eyelids, treatment of eczema on scalp, and eczema in hands treatment for patients experiencing persistent or severe flare-ups.
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Sensitive areas such as the face and eyelids require careful medical supervision to ensure safe and effective improvement.
What Results Can You Realistically Expect?
The aim of eczema treatment is to improve symptom control rather than promise a permanent result. Suitable patients may notice a gradual reduction in inflammation, itching and visible redness during a course of treatment.
Response varies between patients, and eczema can recur after treatment. Progress is reviewed throughout the treatment plan so that the approach can be adjusted where necessary.
Potential Benefits of Targeted UVB Light Therapy
- Targeted treatment — controlled UVB light can be directed at selected areas rather than unnecessarily exposing surrounding skin.
- Non-systemic option — treatment is delivered directly to the affected skin.
- Individual dosing — exposure can be adjusted according to skin response and treatment area.
- Suitable for selected localised eczema — it may be considered where an appropriate topical treatment plan has not provided sufficient control.
- Clinically monitored — response and skin reactions are reviewed during the treatment course.
Eczema on the Hands, Face, Scalp and Eyelids
Hand eczema can cause persistent dryness, itching, painful cracking and irritation that interferes with work and everyday tasks. Treatment depends on whether the symptoms are related to atopic eczema, irritant exposure, contact allergy or another condition.
Management may include barrier protection, prescribed topical treatment and, in selected persistent cases, targeted UVB light therapy.
Eczema frequently affects delicate areas such as the face, scalp and eyelids. Treatment for facial eczema needs to be selected carefully because the skin in this area is thinner and more sensitive.
Scalp eczema may be managed with medicated topical treatments and, in selected cases, targeted UVB light therapy where clinically appropriate. For eyelid eczema, gentle prescription creams and close medical supervision are essential to prevent irritation while effectively controlling inflammation.
How it works
Eczema treatment begins with identifying the type of eczema, its severity, affected areas, possible triggers and treatments that have already been tried.
For many patients, management focuses first on restoring the skin barrier, reducing inflammation and avoiding relevant irritants or triggers. This may include emollients and prescribed topical treatment.
If suitable localised eczema remains inadequately controlled, targeted 308 nm UVB light therapy may be considered. The DEKA Excilite system used at rtwskin delivers controlled 308 nm UVB light to selected areas of skin while limiting unnecessary exposure of surrounding skin.
The treatment plan is individualised and reviewed according to clinical response.
Treatment procces
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Initial Consultation: We assess your eczema type, medical history, and lifestyle to build a tailored plan.
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Skin Analysis & Diagnosis: Detailed skin evaluation to identify triggers, patterns, and affected zones.
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UVB Test Patch
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Therapy Planning: We match appropriate therapies — from eczema topical medications to phototherapy.
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Treatment Sessions: Comfortable procedures delivered in a private clinical setting by trained specialists.
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Ongoing Review & Adjustments: Follow-up appointments allow your clinician to monitor progress and adjust the treatment plan where needed.
Post-Treatment Care
Your aftercare will depend on the treatment recommended. You may be advised to use prescribed emollients or topical medication, avoid products that irritate your skin and protect treated areas from direct sunlight.
Contact the clinic if you experience blistering, increasing discomfort or another unexpected reaction. We will explain when your skin should be reviewed and whether any changes to your treatment plan are required.
DEKA Excilite 308 nm UVB Light Therapy
At rtwskin, targeted UVB treatment is delivered using the DEKA Excilite Excimer Light System, which produces controlled 308 nm UVB light.
The hand-held treatment allows selected localised areas to be treated while limiting unnecessary UV exposure to surrounding skin. It may be considered for suitable persistent eczema following dermatology assessment and an appropriate topical treatment plan.
Treatment response varies, and a course is recommended only after individual suitability and skin response have been assessed.
Why choose Eczema treatment at rtwskin?
Our team combines dermatological knowledge with aesthetic care, offering both relief and restoration. Whether you’re dealing with long-term eczema or a recent flare-up, we use proven treatments that go beyond surface-level symptom control.
“Eczema isn’t just skin-deep — it’s emotional, physical, and frustrating. Our approach is gentle, structured, and most importantly — effective.”
— Dr. Nina Sheffield, Dermatology Specialist at rtwskin
We also provide expert support for related skin concerns, including Rosacea, Acne, Psoriasis.
Prior to Treatment:
Make sure area to be treated is clean and free of any SPF, lotions, oils, powders or topical medication treatments to any Eczema affected areas. UVB Excimer laser treatment is very carefully controlled; a practitioner will tailor the right amount of UVB for each individual, and monitor the results.
Test patch is required prior to your Laser treatment to determined Minimal Erythema Dose (MED). Individual skin response to UVB depends on skin prototype, topical & oral medications, prior exposure to sunlight or other source of UV and the presence of photosensitivity.
What to Expect During Targeted UVB Treatment
Before starting targeted 308 nm UVB light therapy, your clinician will assess your skin and determine an appropriate treatment dose. A UVB test patch or dose assessment may be carried out before the treatment course begins.
During treatment, the DEKA Excilite system delivers controlled 308 nm UVB light directly to selected areas of eczema. Treatment is localised, helping to limit unnecessary UV exposure to surrounding skin.
The dose may be adjusted during your course depending on how your skin responds. Mild temporary redness can occur after treatment, but increasing discomfort, blistering or another unexpected reaction should be reported to the clinic.
Your progress will be reviewed during the course so that treatment can be continued, adjusted or stopped where appropriate.
Risks and side effects of the EXCIMER (Excilite-μ) laser phototherapy:
- The most common side effect of this therapy is UVB induced sunburn. Erythema (redness) although desirable, it is a necessary part of treatment for many patients in order to deliver the most effective dose to clear their skin condition. This may occur every time during Excimer laser therapy. Certain drugs may cause your skin to over react. Please let us know of any medications that you are taking, or any that you begin while undergoing therapy.
- A blistering and sunburn-type reaction can occur.
- Increased pigmentation may occur, especially after blistering sunburn-type reactions.
These changes are more likely in patients that are not honest about their tanning habits or who try to tan during the course of treatments.
Meet our Team
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Dr. Fatima made sure I felt comfortable and calmed my nerves when I went for a mole check and removal. Dr. Fatima provided an easy, pleasant experience and was lovely – I would recommend her to everyone! Thank you!
Anca
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Dr Fatima is a super kind, caring person and fantastic doctor! I always contacted her when I had any skin issues. I definitely recommend her! Everything works brilliantly from booking appointment to the end of treatments.
HG
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The staff here are warm and freindly , the doctors are very in the know and felt completely at ease the after care is fantastic can not fault them thank you rtw skin and a special thank you to Fatima
Tanya Hammond
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Book an Eczema Consultation in Tunbridge Wells
rtwskin provides dermatology consultations for adults at Cobden House Medical Centre in Tunbridge Wells. During your consultation, we will assess the type and severity of your eczema, review previous treatment and discuss appropriate next steps.
Frequently Asked Questions About Eczema Treatment
Is eczema an autoimmune disorder?
Eczema involves immune system dysfunction and inflammation. While it is not always strictly classified as a classic autoimmune disease, immune overactivity plays a key role in symptom development.
Is UVB light therapy safe for eczema?
Targeted UVB light therapy may be appropriate for selected patients when prescribed and monitored by a clinician. Temporary redness, dryness, itching or pigment changes may occur, and suitability depends on your skin condition, medical history and other risk factors.
Is the 308 nm eczema treatment a laser?
The DEKA Excilite used at rtwskin is an Excimer Light system that delivers targeted 308 nm UVB light. Although this type of treatment is sometimes searched for as an “eczema laser”, it is more accurately described as targeted UVB light therapy.
What is the best treatment for eczema on eyelids?
Treatment of eczema on eyelids typically involves gentle prescription creams and close medical monitoring. In selected cases, carefully controlled light therapy may be considered.
How is scalp eczema treated?
Treatment of eczema on scalp may include medicated topical solutions, anti-inflammatory preparations and targeted UVB therapy depending on severity.
Are topical medications enough for eczema?
Topical treatments are commonly used as an initial approach to eczema management. If symptoms remain inadequately controlled, a dermatologist may consider other options depending on the type, severity and extent of the condition, including phototherapy for suitable patients.
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