Epidermal Barrier Function in Aesthetics | Dr MJ Rowland-Warmann

Discuss the Epidermal Barrier Function and its relevance to three aesthetic techniques

Dr MJ Rowland Warmann

Dr MJ Rowland-Warmann BSc BDS MSc Aes.Med. PGDip Endod. MJDF RCS (Eng)

For her MSc Masters Degree in Aesthetic Medicine for the Queen Mary University of London.  The following essay received a Distinction – the highest mark awarded.

This is an academic essay.  If you are a patient seeking treatment from one of Liverpool’s most learned aestheticians then take a look at our treatment pages below:

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QUeen Mary University of London

 

 

The skin makes up approximately 16% of total body weight and is the largest organ of the body.   Functions of the skin include prevention of water loss, protection from the environment, immune and sensory function, regulation of body temperature and vitamin D synthesis (4,6).

 

Epidermis

The epidermis protects internal organs from both mechanical and chemical insults such as trauma, UV radiation and attack by microorganisms, but also regulates transepidermal water and electrolyte movement (1).  The Epidermis consists of stratum basale, stratum spinosum, stratum granulosum and stratum corneum in order from the deepest to the uppermost.  It is a physical, chemical, biochemical and adaptive immunologic barrier (2).  Cells are shed on average every 28 days, which serves to continually renew the skin.

 

 

Stratum corneum

The end point of differentiation of the epidermal layers is arguably for its most important function in producing the stratum corneum (SC), a densely packed layer which serves to provide the so-called epidermal barrier (8).

 

 

The keratinocyte is the main cell found in the epidermis and cycles upwards from stratum basale to SC, becoming increasingly differentiated and flattened (2,6).  The final maturation of keratinocytes turns them into protein-enriched corneocytes in the SC, which are dead cells containing keratin filaments and water surrounded by protein and lipid layers.

 

 

The lead role in epidermal barrier function is performed by SC.  Corneocytes serve as moisture reservoirs, mechanical protection and structural support for the skin and underlying tissues.  They are surrounded by a lipid matrix, containing ceramides, cholesterol and free fatty acids which forms a barrier contributing to antimicrobial, antioxidant and skin permeability functions and preventing water loss and thus dehydration  (1,5,8).  The lipids of the SC assist enzyme function (10).  Intercellular spaces also contain keratin filaments, increasing the framework’s resilience.  Any alteration of the epidermal differentiation or lipid composition results in changes to the barrier function, such as fatty acid deficiency reducing it (2,5,8).

 

 

Activity of the SC is pH dependent, with changes resulting in desquamation. Barrier function is enhanced in acid conditions, down regulating lysosomal enzymes involved in desquamation but is also important in preventing infection by providing the acid mantle (8).  The desquamation process is normal, and prevents bacteria from colonising the SC.  Changes in the pH of the skin, which can be brought about by external influences such as soaps, cosmetics and antibiotics can alter the skin’s behaviour and cause skin conditions such as dermatitis, acne and thrush.

 

 

Epidermal components

Langerhans cells, Merkel cells, melanocytes and lymphocytes are also found in the epidermis.  Langerhans cells serve an immune function.  Merkel cells assist the sensory nerve function.  Melanocytes produce pigmentation protecting the skin from UV radiation.  Lymphocytes are active components of the cellular immune response (2).  Whilst not a direct barrier, these cells all serve to ensure the correct functioning of the SC.

 

 

Dermis

The dermis supports epidermal structure with connective tissue, collagen and elastin, lymphatics and vascular structures.  Fibrobasts are the main cells of the dermis, synthesising collagen and elastin.  The layer of subcutaneous fat immediately below the dermis, or hypodermis, insulates the body, protects from mechanical shock and is vital in energy metabolism.  The supporting structure to the epidermis, the dermis displays changes with age, affecting the composition of both structures (4).

 

 

Ageing

The two types of ageing are chronologic and photoageing.  Both affect the skin, causing dryness, wrinkling, atrophy and laxity.  Both epidermis and dermis thin with age and collagen decreases (12).  Simultaneously the SC thickens.  With age, glycosaminoglycans (GAG), collagen and elastic fibres decrease/degenerate.  With photo ageing, melanin becomes irregularly distributed giving rise to hyperpigmentation, actinic keratoses, wrinkles and leathery skin (16).  Lipid synthesis and content also decreases with age and the skin’s pH increases. This decreases the skin’s barrier ability by disrupting the lipid layer and protection against infection (3).

 

 

Aesthetic Procedures

The desire to look and feel good has caused a surge in aesthetic procedures while maintaining healthy and youthful looking skin is crucial.  Skin that maintains its youthful characteristics is able to aid protection of the body and aesthetic procedures are aimed at improving epidermal barrier function with age.

 

 

Cosmeceuticals

The term ‘cosmeceuticals’ was coined by Kligman, combining aesthetic needs and function of products, where cosmetics and pharmaceuticals combine to have a positive effect on skin (11).  Cosmeceuticals are the ideal gateway for the concerned individual who is looking to reverse signs of ageing without the need for invasive procedures.  It places individuals on a path to self-improvement and skin awareness which oftentimes leads to an acceptance of further aesthetic procedures.  There are many compounds used in cosmeceuticals today that have beneficial effects on barrier function and this enables these products to have an advantage over commonly available lotions.

 

Bases

Bases are used to stabilise and transport substances in cosmeceuticals to their active sites.  Emollients, such as petrolatum and lanolin, are barrier creams penetrating the SC and acting on corneocyte cohesion (8). Paraffin, soy bean oil and petrolatum are occlusive preparations, which inhibit transepithelial water loss.  Glycerol, hyaluronic acid and urea increase the SC’s hydration and are known for their moisture-retaining properties (11).  They simultaneously act as exfoliants increasing desquamation (8).  The base itself is useful in increasing the hydration of the upper skin layers, but combining it with further active substances improves a barrier function.

 

 

Antioxidants

Skin-damaging free radicals, released in response to oxidative stress, are cause by factors including sunlight, smoking and pollution (13).  Antioxidants, including vitamins, coenzymes and plant extracts, reduce oxidative stress from destructive free radicals in tissue.  They influence fibroblast metabolism, decreasing the activity of the collagen degrading compounds, Matrix metalloproteinases (MMP).

 

Vitamin C is an antioxidant which stimulates dermal connective tissue metabolism by induction of type I and III collagen, while increasing ceramides in the SC, contributing to enhanced barrier function (11).  Niacinamide is an antioxidant which regulates cell metabolism.  It increases the synthesis of free fatty acids, ceramides and cholesterol which serves to improve the lipid envelope and decreases TEWL (11).  Niacinamide also boasts anti-sebum and anti-inflammatory actions, decreasing pore size and acting further to reduce TEWL, making it useful in treatment of acne.

 

Other antioxidants found in cosmeceuticals are vitamin E, which increases moisture retention and promotes healing of the epidermis, and green tea extract, which stimulates keratinocytes in the epidermis (13).

 

 

Cell Regulators

The vitamin A group of compounds, including retinol and tretinoin, are the gold standard treatment for photoageing.  They normalise cell keratinisation by modulating cell differentiation, induce collagen synthesis and reduce degradation of collagen by downregulating MMP (11).  Other actions of vitamin A compounds are decreased corneocyte adhesion, reducing the thickness of SC, and promoting epidermal hyperplasia, thickening the epidermis.  The latter results in an increase in Langerhans cells, collagen and elastin.  Retinoids increase turnover of the epidermis, disrupting the contact between keratinocytes and melanocytes to cause depigmentation and are the only substances that can truly repair photoaged skin in cosmeceuticals (13)

 

 

Alpha-hydroxy acids (AHAs)

AHAs are commonly used in cosmeceutical preparations in order to stimulate turnover of the SC, their keratolytic action reducing the adhesion of keratocytes.  They include malic, lactic, tartaric and citric acids, of which glycolic acid is the most commonly used (11).

 

The stimulation of targeted pathways in skin regeneration by cosmeceuticals is remarkable and can provide great benefit to the skin’s functioning and wellbeing of the patient.  It is important to begin treatment of ageing with methods that are non-invasive and atraumatic in order to build patient confidence in aesthetic medicine.  Cosmeceuticals are invaluable in this respect.

 

 

Peels

Peels have gained popularity due to their simplicity, versatility and effectiveness at combatting photoageing.  Peels have been used since 1871, when Fox used Phenol peels to lighten skin, and have evolved into the hundreds of varieties we see today.  They are useful to decrease the signs of photoaging caused by a thickened SC and thinning epidermis with irregular melanin distribution (16).  Peels cause destruction of the outer layers of the skin to increase exfoliation of some or all of the epidermis and dermis, causing regeneration and skin tightening (21).

 

If you are a patient looking for chemical peels at Smileworks then follow the link here to our main page: chemical peels Liverpool.

 

Peels can be classified as follows:

  1. Very Superficial – SC is destroyed to below stratum granulosum.
  2. Superficial – epidermis destroyed to basal layer.
  3. Medium – destruction to part of papillary dermis
  4. Deep – enhanced destruction to the papillary dermis (16)

 

Destruction of skin layers has implications for the epidermal barrier and damage to the epidermis and dermis carries risks and benefits.  For noticeable improvement, a peel must reach into the layer of the skin that exhibits damage, whilst respecting the overarching architecture of the skin.  The goal of peels is to regenerate the epidermis rapidly – usually within 7 to 10 days, and cause slower, more long-term regeneration in the dermis (16).

 

 

Alpha-hydroxy Acids (AHA)

AHAs such as glycolic, lactic or malic acid cause superficial exfoliation and thinning of the SC by causing dyscohesion of overly-sticky keratinocytes in the stratum granulosum.  Compaction of the SC increases GAG in fibroblasts and keratinocytes, increasing hydration of the skin and improving skin tone (22).  AHAs have keratolytic, ant-inflammatory and antioxidant properties which increase the level of enzyme activity in the SC, causing epidermolysis (21).

 

 

Beta-hydroxy Acids (BHA)

Salicylic acid, a beta-hydroxy acid, is used to exfoliate the epidermis in superficial peels without causing inflammation.  It reduces corneocyte adhesion, resulting in thinning of the SC, increasing epidermal turnover and thickening the epidermis.

 

 

Trichloroacetic acid (TCA)

Applied layer by later, TCA penetrates the skin and is neutralised by coagulation of skin proteins (19).  This restores keratinocyte polarity and increases type I collagen content (17).  There is marked desquamation after the peel, disrupting epidermal barrier function. It is important to aid regeneration after TCA peeling with adjunct use of cosmeceutical preparations to improve the skin’s response.  Regeneration in medium depth peels is from adnexal structures such as hair follicles, which are lined with epithelium (21).

 

 

Phenol

Phenol peels exert their effects by causing epidermal necrosis by keratocoagulation.  The epidermis is separated from the dermis by an inflammatory exudate (18,19).  Phenol peels are the deepest peels and can cause significant damage.  After application the epidermal barrier is destroyed and the resulting improvement is seen by its effects on the deeper layers, causing a response to injury and fibrosis of the papillary dermis with collagen formation.  The upper layers of the skin must reform and the healing period leaves the skin exposed to increased risk of damage.  If the adnexal structures that promote healing of the skin are damaged, the healing response will be poor, resulting in scarring.

 

 

Peels stimulate a response proportional to the damage caused – in superficial peels the epidermis is stimulated, whereas deeper peels stimulate the dermis, causing more long term effects by stimulating the contraction of collagen (23).  Peels are more invasive than topically applied treatments and by virtue of this fact, cause more significant improvements in skin function and appearance.

 

 

Microneedling

The belief is that tight, thick skin is youthful and whilst we have an arsenal of aesthetic procedures at our disposal, microneedling, introduced in 1997, has arisen with the intention to keep the epidermis intact.  Whilst peels destroy the epidermis, microneedling can bring about collagen induction without scarring and risks associated with peels (23).  Normal skin has a lattice network of collagen.  In scar reactions, also noted in the response to peels, fibroblasts produce collagen in a parallel orientation, bringing about about tighter skin by fibrosis (23, 24).

 

Microneedling, or percutaneous collagen induction, disrupts collagen strands in the papillary dermis to stimulate collagen and elastin formation.  Healing is rapid as the epidermal barrier is not destroyed.  Tiny puncture wounds in the skin make a scatter of GAG in the epidermis, which enables better binding of GAG to water, increasing skin hydration (26).

 

Post-procedure, the wound healing cascade is started.  Trauma and minimal bleeding from microneedling engages platelets and neutrophils to alter keratinocyte and fibroblast activity.  Thereafter, monocytes cause epithelialisation and production of type III collagen, elastin, GAG and proteoglycans.  Maturation of the site due to growth factors causes further collagenesis and the conversion of type III collagen to type I by MMP and hence tightening of the skin (23).  Due to the increase in keratinocyte and fibroblasts, the epidermis is thickened, especially the stratum granulosum (25).  Growth factors play an important role in the type of collagen formed – TGF-B3 is thought to be involved in the key part of healing in microneedling that directs normal collagen formation rather than the scarring seen often in peels with activation of TGF-B1 (25)

 

For best results, microneedling is combined with products commonly found in many cosmeceuticals.  Topical vitamin A improves collagen production, promoting TGF-B3 which is important in normal collagen formation (23).  Vitamin C maximises collagen production and has been shown to increase the thickness of the epidermis by 140% over conventional microneedling (24, 26)

 

The key idea in microneedling is improvement of the epidermis without injury to the barrier and achievement of an improvement in the connective tissue substructure of the skin.

 

 

Conclusions

The epidermal barrier performs essential protective functions of the skin but also mirrors the stresses that the body is subjected to during life.  Aesthetic procedures must consider the skin as not simply an envelope but an integral part of rejuvenating procedures.  Rejuvenation of the skin will oftentimes have as profound an effect as any toxin or filler treatment and will certainly aid in promoting better health.

 

The interaction of cosmeceuticals, peels and microneedling will produce excellent results and it can be argued that none on their own will be as beneficial as the combination of all three.  Priming the skin with a suitable topical preparation prior to peeling, and stimulating the collagen production with microneedling thereafter will bring about an extensive improvement that is beneficial for appearance and epidermal barrier function.

 

Focusing on the treatment of skin to achieve a compacter stratum corneum and a thicker epidermis which ensures improved cell quality and better turnover will result in a skin that is leaner, meaner and better suited to withstand the stresses that daily life throws our way.

 

References:

 

  1. Ramos-e-Silva M, de-Moura-Castro Jacques C; Epidermal barrier function and systemic diseases. Clinics in Dermatology (2012)30, 277-279
  2. Baroni A, Buommino E, De Gregoria V, Ruocco E, Ruocco V, Wolf R; Structure and function of the epidermis related to barrier properties. Clinics in Dermatology (2012)30, 257-262
  3. Ramos-e-Silva M, Catucci Boza J, Ferreira Cestari T; Effects of age (neonates and elderly) on skin barrier function. Clinics in Dermatology (2012)30, 274-276
  4. Randall Wickett R, Visscher MO; Structure and function of the epidermal barrier. American Journal of Infection Control (2006)34, S98-110
  5. Bouwstra JA, Ponec M; The skin barrier in healthy and diseased state. Biochimica et Biophysica Acta (2006) 2080-2095
  6. Venus M, Waterman J, McNab I; Basic Physiology of the skin. Surgery (2010)28:10, 469-472
  7. Proksch E, Folster-Holst R, Jensen JM; Skin barrier function, epidermal proliferation and differentiation in eczema. Journal of Dermatological Science (2006)43, 159-169
  8. Madison KC; Barrier Function of the Skin: La Raison d’être of the Epidermis. Journal of Investigative Dermatology (2003)121, 231-241
  9. Blaak J, Wohfart R, Schurer N; Treatment of Aged Skin with a pH 4 skin care product normalises increased skin surface pH and improves barrier function: results of a pilot study. Journal of Cosmetics, Dermatological Sciences and Applications (2011)1, 50-58
  10. Bouwstra J; The skin barrier, a well-organised membrane. Colloids and Surfaces A: Physicochemical and Engineering Aspects (1997)123, 403-413
  11. Kerscher M, Buntrock H; Update on cosmeceuticals. Journal of the German Society of Dermatology (2011)9, 314-327
  12. Rokhsar CK, Lee S, Fitzpatrick RE; Review of Photorejuvenation: Devices, Cosmeceuticals or Both? Dermatological Surgery (2005)31, 1166-1178
  13. Serri R, Iorizzo M; Cosmeceuticals: focus on topical retinoids in photoaging. Clinics in Dermatology (2008)26, 633-635
  14. Amer M, Maged M; Cosmeceuticals versus pharmaceuticals. Clinics in Dermatology (2009)27, 428-430
  15. Bissett DL; Common cosmeceuticals. Clinics in Dermatology (2009)27, 435-445
  16. Clark E, Scerri L; Superficial and medium-depth chemical peels. Clinics in Dermatology (2008)26, 209-218
  17. Landau M; Chemical peels. Clinics in Dermatology (2008)26, 200-208
  18. Monheit GD; Chemical peels. Current Problems in Dermatology (2001) 65-79
  19. Schurer NY, Wiest L; Chemical peel. Hautarzt (2006)57, 61-78
  20. Obagi ZE, Obagi S, Alaiti S, Stevens MB; TCA-based blue peel: a standardised procedure with depth control. Dermatological Surgery (1999)25, 773-780
  21. Fischer TC, Poli F, Perosino E, Viera MS, Dreno B; Chemical peels in aesthetic dermatology: and update 2009. Journal of the European Academy of Dermatology and Venerology (2010)24, 281-292
  22. Wiest L; Chemical peels in der aesthetischen Dermatologie. Hautarzt (2004)55, 611-620
  23. Fernandes D, Signorini M; Combating photoaging with percutaneous collagen induction. Clinics in Dermatology (2008)26, 192-199
  24. Aust M, Knobloch K, Reimers K, Redeker J, Ipaktchi R, Altintas MA, Gohritz A, Schwaiger N, Vogt PM; Percutaneous collagen induction therapy: an alternative treatment for burn scars. Burns (2010)36, 836-843
  25. Zeitter S, Sikora Z, Jahn S, Stahl F, Strauss S, Lazaridis A, Reimers K, Vogt PM, Aust MC: Microneedling: matching the results of medical needling and repetitive treatments to maximise potential for skin regeneration. Burns (2014)40, 966-973
  26. Aust MC, Reimers K, Kaplan HM, Stahl F, Repenning C, Scheper T, Jahn S, Schwaiger N, Ipaktchi R, Redeker J, Altintas MA, Vogt PM: Percutaneous collagen induction – regeneration in place of cicatrisation? Journal of Plastic, Reconstructive and Aesthetic Surgery (2011)64, 97-107

 

 

Easily the best dentist appointment I've had. I was recommended to go by a friend who couldn't have spoken more highly of them. The facilities are top notch, service friendly and comforting. The staff were great. The treatment was thorough, honest and well explained. First class (excuse the airline pun...you'll see why!)
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19:10 01 Jun 17
I found Smileworks after looking online for the best specialist orthodontist, and after several visits now, I do believe that they live up to the hype! Every visit has been a pleasure, with the excellent reception always offering a warm and hearty welcome. Due to the severity of problems with my teeth, my treatment plan is extensive and means that despite being early days, I have met with and been treated by a range of the staff here; I can confirm that they're all fantastic and incredibly thorough - everything is explained in detail and nothing is ever rushed. I should also thank Paula (and her assistant whose name I've forgotten - sorry!) yesterday for cleaning the insides of my teeth so thoroughly when I don't even think it was necessarily part of the appointment (the appointment was for a filling). I look forward to continued excellent care from Smileworks and can't wait to get my braces on! Cheers guys!
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Michael Kelly
08:04 14 Apr 17
Absolutely great find. Friendly staff and MJ who treated me was professional, reassuring and positively fantastic about what my needs were and what I was looking for. There was no pressure on anything and she spoke in depth about full details on every procedure without any rush in me in making an option. I will definitely be visiting again. Thank you once again!
Samina Mubarak
Samina Mubarak
20:02 06 May 17
Absolutely excellent service. All the staff are friendly and make sure all your treatment options are fully explained. Don't do anything unless your 100% sure of all that's available. Shiron made sure my treatment was the absolute best it could be.
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Keith Chellew
18:41 24 May 17
I had dental work and a procedure on my top lip. I was really nervous on my first visit but the staff are truly lovely and put me at ease straight away. I loved the quirkiness of the waiting room- very different from any dentist/doctors waiting room I've been in. The treatment rooms are very clean, love the design and layout. I also loved the patients photo smiles on the wall!! straight away I relaxed and I could feel the friendliness of the staff. MJ really listened to my fears and listened to what I required, she understood completely my views and the treatment I received was given exactly as I requested!! They really want to help you and they're interested in what you have to say - they love their job!!! I've made a follow up visit and will continue to use them. I've also recommended Smileworks to my friends and will continue to do so.
Nicci Richards
Nicci Richards
20:11 26 Feb 17
I went to Smileworks to have the composite reconstructions on my two front teeth replaced as well as my teeth whitened. On my first appointment with M.J I was given detailed explanations of what these processes involved, which not only eased my apprehensions but stood out from all the previous dentists I had visited. The teeth whitening took approximately two weeks, after which I had the most amazing reconstruction done on my front teeth by Dr Billal Arshad, including a flawless colour match to my newly whitened teeth. The treatment I received was incredible and the end results speak for themselves, I have had numerous people within the fist week comment on how incredible my teeth look. To all the staff at Smileworks I say thank you so much, you have made me a very happy customer.
David Birtles
David Birtles
11:55 26 Jul 17
The staff at Smileworks are fantastic, very welcoming and accommodating. They are always happy to go the extra mile to help you. I had fast braces and 1ml lip filler, i absolutely love the result. Would 100% recommend to anyone looking to get braces or facial aesthetics, they really listen to what you want and combined with their professional knowledge you achieve the perfect result.
Kerry Browne
Kerry Browne
10:46 27 Jul 17
I received my Spmu eyeliner treatment today at Smileworks. I am completely over the moon with the results and would highly recommend the treatment. The clinic itself it just wonderful really clean, fresh and highly professional. My therapist was Hannah Taffe who was extremely knowledgeable, but also so warm and welcoming and put me completely at ease. The treatment was really relaxing and didn't hurt one bit. So very impressed and will certainly be back. Next time I will be booking in to see an orthodontist. Huge thanks to Hannah you really are just fabulous. Sarah Bell xx
SARAH BELL
SARAH BELL
18:10 05 Aug 17
Visited smileworks Saturday, place is amazing everyone was really welcoming and friendly. I was given all the answers to any questions i had before I even asked them!. Hannah was fantastic she gave me a full consultation. I am really happy with the outcome. I will be visiting smileworks in the future.
Laura Harte
Laura Harte
18:39 07 Aug 17
The most welcoming and friendly staff I have ever experienced anywhere, let alone a dentist. I felt in safe hands from the get-go and was so happy with the staff arranging appointments for me even outside of the practice. The creative and clever practice design (airplane) topped the fun experience off! Thanks MJ, Georgiana and Heloise.
Sean Donohue
Sean Donohue
22:03 03 Sep 17
Had my fast braces fitted at Smileworks at the beginning of the year and recently had my lips done, MJ and the team are Lovely! Always a Friendly and professional service! Perfect opening hours which work around my job. Highly recommend! 😀
Elle Benson
Elle Benson
13:25 05 Sep 17
I did went Saturday morning as an emergency customer. No previous contact with them in the past. I was extremely happy of what I found. The place itself & location is great. But even better the staff; They were very understanding and helpful. MJ who finally attend my case did work the extra mile (and extra time too :)) so later than 17:30 Sat. Quick/Nice/Effective & Reliable. So far the best dental clinic I have been. Definitively I will recommend & use them again.
FERNANDO
FERNANDO
13:30 03 Oct 17
After breaking a tooth whilst away in Liverpool, I googled local dentist and called the first number in the list. Smileworks offered me an A1 service and managed to temporary fix my tooth until I returned home allowing me to continue my few days away. Not only was the cost very reasonable for an emergency appointment their practice is the funkiest I’ve ever seen. The dental staff were all fantastic too, I couldn’t have asked for more. Just gutted that there isn’t a smileworks in Cambridgeshire!
Lee Clayton-Harvey
Lee Clayton-Harvey
16:21 24 Oct 17
If you're looking for the best place for your treatment, you've got to choose and visit smile works. They make you feel beautiful, their all friendly and talented personnel. Their welcoming smile alone will make you feel at ease that you're in the right place for your treatment. Their smile really works.
Tiana Bukolami
Tiana Bukolami
22:52 11 Nov 17
teamI'd like to provide you with some feedback on my treatment to date:After 1:1 advice and guidance with the smile-works team, I recently attended for my first treatment (root canal). I was greated and treated professionally throughout, experienced no pain, and was informed and entertained by MJ, whom I found to be extremely reassuring, competent and also hilariously funny. Withought hesitation I can fully recommend this practice, and I am so excited about completing my planned course of treatment, which is bespoke and excellent value for money, just in time for Christmas !Kindest regards DaveSent from my i
nicola jonnes
nicola jonnes
15:31 22 Nov 17
5 Star service and quality! Had my lips done for the first time and couldn't be more happy with them! MJ works wonders, would recommend 100% !!
davina Johnston
davina Johnston
14:10 25 Nov 17
Wow what an absolute amazing experience said no person ever going to the dentist. Well until now...Had severe pain due to a Wisdom tooth and couldn't sleep the night before and knew I had to finally face my fear and go to the dentist and get this sorted. Sat up all night due to lack of sleep watching and reading horror stories on having a Wisdom tooth removed and was dreading it more and more as time went on.Called Smileworks at 9am Saturday morning to get an emergency appointment and was given one within 3 hours. When i arrived I was greeted with cheer into what could only be described as the coolest dental reception area of all time. The receptionist (forget her name) automatically put my mind at ease.Normally my experience at dentists was sit and wait for an absolute age to be called. Not at Smileworks. MJ came into the reception area so cheery and got me and brought me to the room which was something out of a futuristic movie it was absolutely amazing.From start to finish MJ kept my mind at ease telling me every step of the way on what was happening and what the plan of action was. We even meditated over the removal of my wisdom tooth which really calmed me down. MJ was absolutely amazing in the removal and I had built up such a hype and horror pictures of what was going to happen. The exact opposite happened.This had made me build up my confidence in a dentist again and I would highly highly highly recommend Smileworks to anyone.
Kyle Boyd
Kyle Boyd
14:03 27 Nov 17
Me and my mum came here for the first time last year,and I can’t praise Mj and the staff anymore we felt so welcome and at ease straight away. My lips where and still are amazing and i get so many compliments! They literally do go “above and beyond” and totally make you feel “first class” x
Vicky Diamond
Vicky Diamond
20:49 28 Nov 17
I arrived at Smileworks just as they were closing early for the Christmas break. When I explained my situation (needed emergency treatment) & was going on holiday on Boxing Day MJ agreed to sort out my tooth. She was so friendly & I didn't feel like I was putting her out at all. One of the girls who had her coat on to go home even offered to stay to help. Within 20 minutes I was sorted out & could get on with my Christmas shopping!!! Thank you MJ & the nice dental nurse I now know I go away without having to worry about my tooth. 👍
Pauline McLoughlin
Pauline McLoughlin
02:06 24 Dec 17
Had my lip filler done here as well as a non-surgical nose job and couldn't be happier with the results. Such friendly staff who are all amazing at what they do and give me all the information I needed prior to my treatments. I wont be going anywhere else in Liverpool other than Smileworks!
Lauren Thompson
Lauren Thompson
13:05 26 Dec 17
I felt so welcome and comfortable here! I admire Dr MJ very much, because I did root treatment, which I thought was painful and complex. But it only took 1 hour and I did not feel a little pain. I trust them so much that I feel sleepy! And the reception girls are energetic and full of smiles. This is a wonderful place to make your smile beautiful and confident!
jiadi he
jiadi he
16:57 02 Jan 18
Smileworks are by far the best dentist I’ve been too!! So friendly and welcoming, the waiting area is fun, the receptionist are very helpful and informative, the dentists are highly skilled and make you feel comfortable and are very reassuring. I have had metal braces before when I was younger and feared getting them again but I am happy I went with Smileworks MJ and Bambi who have both been my dentist are fab as well as each assistant that supports them. I actually enjoy going each month and finding out what stage I am at and what’s to come next I never feel anxious. I’ve actually referred two people here, worth every penny 🙂
Emma Gillespie
Emma Gillespie
16:53 04 Jan 18
Reception staff welcoming and friendly. Decor is cool. Bambi and Eva so friendly patient and welcoming. Bambi explains the treatment plan and is patient. Got other few appointments to go. Would recommend. Thanks
Da Mc
Da Mc
19:03 10 Jan 18
I’ve been going to Smileworks for all my treatments since it first opened and I have not and will not go anywhere else. Everyone is always commenting on how good my lips look, my skin. My teeth are straight after only 3 months of a brace. Everyone there is so friendly and everything is explained throughly. The surgery is so clean and modern and MJ is the most qualified person out there for anything you need. I shall be continuing to go there for the rest of my time. Amazing. Love all the team at Smileworks 💕
Keeley Cawley
Keeley Cawley
00:32 17 Jan 18
I have visited MJ at Smileworks many times and I can not recommend the company any more ! All of the staff are so friendly and make you feel welcome as soon as you walk through the door. I always look forward to visiting Smileworks because the experience is always positive, the treatments provided are fantastic and I always leave feeling a million dollars.
Rebecca Zaidi
Rebecca Zaidi
20:11 16 Jan 18
First class customer service and care. The vibe of Smileworks is friendly yet ultimately professional. I have completed 3 sessions of PLEXR on my eyelids and the results are incredible! I will not hesitate to come back. Thank you Smileworks, you really have helped me to rebuild my confidence 😌
Sarah Parkinson
Sarah Parkinson
17:12 19 Jan 18
Called and obtained next day appointment. Clear instructions on how to find the surgery. Very thorough examination. X-rays and dental photos fully explained. Options for further treatment discussed. Follow up appointment arranged to check burn on my palate roof of which I was unaware and make sure nothing more serious. Dental hygiene scale and polish carried out and very pleased with outcome. Excellent service from Rebecca and Lucy. Recommended A+++++
Stephen Olive
Stephen Olive
18:39 23 Jan 18
A very welcoming, warm, friendly and professional atmosphere. I Felt very relaxed and at ease whilst I had my treatment which was a 1ml of lip filler. MJ was very informative and listened to what I wanted and personalised my treatment. I am super happy with the results and could not have asked for a better practitioner whilst receiving this procedure. Fantastic company and would highly recommend anyone to go here!
helen murray
helen murray
14:27 01 Feb 18
I've recommended Smileworks to a few people now, as I've had nothing but good experiences within the past 6 months. I decided to get my braces fitted here because I thought, with all the good reviews, I couldn't go wrong. I'm so glad I braved it because the results, only 5 months into the treatment, are amazing!!! MJ and Georgi are absolutely lovely. They're so friendly, and really just make you feel so comfortable there, which is a massive plus for nervous patients, as I was to begin with. The waiting area and reception is so fun. It makes a really nice change to what you usually see in a dentists waiting room. So, if you're thinking about going to Smileworks, do it! They're fantastic 😀
Sarah Hornby
Sarah Hornby
21:05 04 Feb 18
I needed an emergency appt & got one quickly. I needed a tooth extraction - I had an excellent (female) dentist who gave a really good local (enough & I could still feel my face!). The extraction was tough but I was well cared for. I've not had any problems at all since and I had it taken out 4 days ago. Thank you.
James Piper
James Piper
02:19 13 Feb 18
Great dentist, just had my brace removed and really happy with the results. All the staff are really friendly and welcoming. The late opening hours are a bonus too, so you have lots of flexibility when booking appointments. Would highly recommend.
Chris Brady
Chris Brady
14:11 17 Feb 18
I had the best first appointment. I had to change dentists because the last one was simply not fixing my issues. I was very hesitant to try a new dentist but I am glad I did. The staff are very polite and attentive. Dentist office itself is exceptionally clean. After my check up everything was explained well. Very good experience .
Shan Parke
Shan Parke
15:56 14 Mar 18
Smileworks is easily the most professional, friendliest practice I have ever been too. All the staff are so welcoming and I would never go to another practice for any of my treatments after being see here! Smileworks is the best!
Emily Jones
Emily Jones
22:31 08 Mar 18
I was initially nervous and apprehensive. I hadn't visited this practice before but I had done my homework and went here on recommendation. I booked with MJ and went to have some work done with my upper lip & facial aesthetics. She put me at ease completely and I was expecting pain. It was so easy, straightforward, and I will definitely go back. I was a little tender the day after, but there was no discomfort on the day of treatment and it was much easier than having a dental filling 🙂 My result has been fabulous and I am very happy and would certainly recommend.
Angela Jones
Angela Jones
18:32 27 Mar 18
Great customer service and care! Friendly staff you feel home each time. I had my treatment with Billy and Eva and I'm so happy about the result. Definitely recommended
Gabriele Ganga
Gabriele Ganga
00:17 29 Mar 18
First went for an emergency fix, then second time for root canal treatment and veneers, splendid results!! Recommended it to my friend and he got his emergency fix done and was happy with it. I would recommend this dentist to everyone! Thanks Smileworks! You made me more confident now 🙂
Miz A.
Miz A.
23:01 03 Apr 18
A superb experience! From the initial call to the reception team through to the treatment and after-care level of service, my expectations were exceeded in every aspect. This is a very smart, clean, modern and friendly dental clinic with customers at the heart of service. The team of professionals take time to understand the issue, explain possible causes, possible treatments and put you at your ease. This was a first-class experience and although I don't live near here, I am considering switching from my regular dentist to Smileworks Liverpool. Oh and for aviation geeks, the clinic has an airline theme which is refreshingly different to the traditional style of dental surgeries.
Richard Salkeld
Richard Salkeld
18:47 08 Apr 18
I chose Smileworks for my braces and could not be happier with my decision and have been recommending them ever since! There is always a friendly atmosphere at Smileworks and I’m always talked through what will be happening during my appointment. The late opening hours are perfect for fitting in around work and I have never had to wait longer than my given appointment time on every visit so far. In just 5 months Smileworks have managed to drastically straighten my teeth which I didn’t even think was possible after expecting a minimum of 1 year treatment!
Chelsea Borrow
Chelsea Borrow
21:35 19 Apr 18
Honestly the best customer service I have ever received. The receptionist is so friendly and helpful and the staff who looked at my teeth were very professional, always making sure that I was okay throughout. Nothing was too much trouble and they made sure that I left with full knowledge of what my teeth whitening procedure was going to be and answered all questions! Will definitely be recommending to friends and I cant wait to come back for my next appointment!
Sophie B
Sophie B
11:20 28 Apr 18
From my consultation to the end result I received the best customer service I have experienced. I was looked after by Paula and Emily who were both so welcoming, friendly and helpful and answered all of my questions. The consultation itself was so in depth and helpful and I learnt things that no other dentist had told me. I would recommend this place to anyone wanting dental treatment and I would definitely return.
Amy Robertshaw
Amy Robertshaw
14:23 29 Apr 18
Excellent treatment performed by professional dentists. I did NOT feel the dentist's hands when digging the tooth that caused a strong pain. I did NOT feel at all what happened:) smile and thanks a lot after 30 min of treatment. A narrative: The clinic gave me a fast track consultation as an emergency appointment when I call them in the early morning because of sudden and increasing pain over night after passing another clinic in a day before. Recent equipments of x-ray 4k that can take images of teeth and identity problems before handelling any treatment clearly after 5 min. The clinic is on high standards. It is highly appreciated and highly recommended. Thanks a lot.
Hany Ahmed
Hany Ahmed
02:13 31 May 18
The customer service at this dental practice is some of the best I have experienced in any organisation period. All staff are a credit to themselves and their employer. Friendly, bubbly, knowledgable and considerate. The treatment was top class, the facilities brilliant and the location very central and convenient. I don't often bother to leave reviews on Google, but I think it's worth the effort this time. Well done to all at Smileworks - outstanding.
Paul Gregory
Paul Gregory
21:16 13 Jun 18
Amazing customer care and advice and treatment for removal of a very painful wisdom tooth. NHS removal via my own dentist was going to be 6-8weeks waiting time. Smileworks were very understanding and arranged emergency appointment and then an extraction within a few days. There were no complications and the whole experience was first class. Everything was explained and there were excellent follow up calls to check I was Ok and no issues. So glad not to be taking anymore pain relief. Am considering switching my dentist!
Mike Whiting
Mike Whiting
14:44 27 Jun 18
I booked an appointment having not been to the dentist for a while through Kerry who was very helpful. My consultation was completed by Bambi and Ewa. My appointment was very thorough and I was extremely impressed with the level of service. I would definitely recommend smileworks to my friends and family. Thank you for looking after me!
Ste Glover
Ste Glover
18:54 27 Jun 18
Amazing!In order to get braces I have done a comprehensive research and booked initial appointments in several places in Liverpool.I have found out that in many of them I wouldn’t be treated by an orthodontist, but by a person who only has a certificate (and is lacking the knowledge and experience that an orthodontist has), and in some places there was a weird, cold, "we don't really care" attitude, plus I would only see a dental nurse.Smileworks keeps it's standards high, will always welcome you like an old friend, with smiles and care! Laurence, the orthodontist, very nice and very professional guy, investigated my case, went through a treatment plan with me, and I left happy, knowing I found my place and that I can trust them.My first appointment with Smileworks was 10 months ago, and since then I enjoy every visit, every conversation, every appt follow up, everything about this place! Great energy, great people and great results. It’s a no brainer, I can’t recommend it enough!Thank you for creating such an amazing experience for your customers!
Maja Socha
Maja Socha
11:13 03 Jul 18
Amazing place to make yourself more confident and happy about your smile. All team are really friendly and helpful. Dr. Laurence is fantastic made me feel so comfortable and relaxed, he is so knowledgeable and explains everything!
Roma Neverdauskaitė
Roma Neverdauskaitė
16:49 05 Jul 18
Amazing!In order to get braces I have done a comprehensive research and booked initial appointments in several places in Liverpool.I have found out that in many of them I wouldn’t be treated by an orthodontist, but by a person who only has a certificate (and is lacking the knowledge and experience that an orthodontist has), and in some places there was a weird, cold, "we don't really care" attitude, plus I would only see a dental nurse.Smileworks keeps it's standards high, will always welcome you like an old friend, with smiles and care! Laurence, the orthodontist, very nice and very professional guy, investigated my case, went through a treatment plan with me, and I left happy, knowing I found my place and that I can trust them.My first appointment with Smileworks was 10 months ago, and since then I enjoy every visit, every conversation, every appt follow up, everything about this place! Great energy, great people and great results. It’s a no brainer, I can’t recommend it enough!Thank you for creating such an amazing experience for your customers!
Maja Socha
Maja Socha
11:14 03 Jul 18
Paula & Emily treated me very thoroughly and did a very good job at putting me at ease. The practice is very clean and modern. Dr Lawrence has also been brilliant. I have absolutely nothing negative to say, so glad I found this practice!
Jennifer Josephine
Jennifer Josephine
17:54 25 Jul 18
OMG! If you're looking for an outstanding consultation or just wanna make yourself prettier, then Smileworks is THE place! Excellent clinicians, very talented, and performing only at the highest possible standard! Love it 😍
Georgiana Taulea
Georgiana Taulea
21:39 04 Aug 18
Found Smileworks online Friday night when my veneer came off and was seen and sorted by lunchtime Saturday! Amazing customer service, so helpful! If you need a new dentist that opens weekends or in need of emergency treatment don’t hesitate to contact Smileworks! My husband thinks my veneer looks better now than it did originally! Thanks again to the Smileworks team!
Tara Byrne
Tara Byrne
19:17 11 Aug 18
Absolutely lovely people that work there, great service and make you feel at home. As for the quality of braces, it's well worth it! I've had mine in only for 4 months and they look amazing! The difference already is unbelievable. Thank you so much smileworks!
Anto70411
Anto70411
10:58 23 Aug 18
The best money well spent, my appointment was with Zoe. I felt welcomed, I was thoroughly advised on my options and what to expect. Very honest about the pros and cons regarding the treatment. I had one tooth pulled out and I felt nothing bearing in mind that this "thing" was "rotten" but "clinging for dear life", yet I felt nothing. Zoe made me roar with laughter with the conversations she was having with me and her colleague, whilst playing "tug of war" with the tooth. Errors made by my previous dentist Zoe corrected and I am well pleased. Very sterile, good looking business. Thankyou
Robertha Jones
Robertha Jones
12:13 27 Aug 18
Absolutely enjoyable team from nurses to doctors. No waiting, instant meetings and rapid assistance with perfect service. I highly recommend to everyone who needs professional help.
Jiri Vyborny
Jiri Vyborny
17:57 25 Aug 18
One of the best dental practice I have ever seen. Thank you all for your helping me during my emergency visit. للأخوة العرب المقيمين أو الزائرين إلى ليفربول، هذه العيادة من أفضل عيادات الأسنان التي رأيتها في حياتي بدء من الاستقبال وحتى الطبيب المعالج. اذا احتجت الى زيارة طبيب الاسنان اجعل هذي العيادة خيارك الأول!
Ali Alsolme
Ali Alsolme
14:19 01 Sep 18
I unfortunately lost a tooth a few years ago due to a nasty abscess that too many root canal treatments could not cure. I decided at the beginning of the year that it was time to fix my smile and went for a consultation for a dental implant. I visited a couple of dental practices and decided on smileworks due to the friendliness of staff and their ability to answer all of my questions and put my mind at ease. Plus an added benefit was that they offered credit to help finance the treatment. I could not be more happy with my decision and my results. I have a perfect smile once more and dealing with the team was an absolute pleasure! I cannot recommend their services highly enough.
Grainne Mulholland
Grainne Mulholland
12:34 05 Sep 18
Very pleased with the dermal fillers administered by MJ and the semi permanent makeup from Hannah. Both took the time and effort to ensure I received the best options for treatment. In addition, the reception staff were very polite and welcoming which added to my positive experience. Would definitely recommend.
Rose
Rose
21:59 10 Sep 18
I couldn’t recommend Smileworks more! All staff are so friendly and make you feel welcome. Hannah is absolutely amazing! An absolute perfectionist in semi-permanent makeup. Anyone who is considering having eyebrows/eyeliner/lips done should 100% have Hannah do them, you won’t regret it!
Abby Cowdell
Abby Cowdell
16:26 17 Sep 18
Went to smileworks to have my eyebrows done by Hannah! From the moment you walk in everyone is super friendly and Hannah greets you like an old friend! This was my second visit as it was a top up! My eyebrows are really not easy as they pretty much non existent and what was there was super wonky! Hannah was amazing! She was so patient and spent a ridiculously long time making sure I went home happy! Would 100% recommend to everyone!! X
Bethany Sheldon
Bethany Sheldon
16:31 06 Oct 18
I went to smileworks last week for a new retainer. The service I received was great, from meeting the receptionists to when I was receiving treatment from Paula and the dental nurse. Everyone was very smiley, friendly and helpful. Paula especially took the time to explain whitening treatments to me (as I mentioned I would like whiter teeth on my patient details form) and also explained treatments such as composite bonding which could help me achieve the perfect smile I was looking for. The dental nurse helping was also very calming and patient. I would definitely recommend to others and would really like to compliment their great customer service. Thanks smileworks and all their lovely staff.
Victoria Thomas-Hui
Victoria Thomas-Hui
20:33 10 Oct 18
Had bad experiences with other dentists. Went to smileworks. I could not have been treated better. The staff are amazing and my dentist Susan is fantastic. She put me completely at ease. I've never said this before but I now enjoy going to see her and get work done on my teeth. Would highly recommend smileworks
Karen Wells
Karen Wells
04:22 11 Oct 18
Had my first appointment today with Paula and Jess. It was very nice, friendly and professional! I was talked through a plan for future treatments that I wanted and given a price estimate, so helpful! Appointment was also 2 days after I phoned them, so seen very quickly!
Laura Johnston
Laura Johnston
14:22 19 Oct 18
I feel 5 star is not enough and those guys deserve an infinite number of stars and a unicorn on top of that!I have a severe phobia if it comes to my teeth, I'm a survivor of Polish public dentist care and let me tell you that's something straight from nightmares and torture chambers. As a results my teeth are not in a great way (those that did survive), to add to the "fun" I also have major orthodontic issues.I knew I needed help and it took me about a year and a half (this is not an exaggeration) to make my way to Smileworks. In the meantime I tried two other 5-star rated places and I wasn't convinced enough to stick around. The second I called Smileworks I had a warm fuzzy feeling in my belly that this place is the right place finally,It took a few months and multiple appointment before the right treatment plan could be created, since my case is complicated to say the least. I feel that there was a LOT of thoughts put into finding a solution, which made me feel at ease and gain enough trust to go ahead with the treatment. Every time I come to visit everyone is just brilliant. All the ladies and gents are nice and bubbly, which definitely helps to relax. Their approach is very gentle, a lot of attention is given to the patients and you just get the feeling that this guys really know what they do. I feel spoiled and I stopped fearing every dentist visit as I used to in the past. I know it sounds odd, but if anyone is able to make dentist appointments as pleasurable as possible, that's the people at Smileworks!As to address the money, things like that cost a lot, that's the unfortunate reality and there's no way to avoid that. For what I've been offered i think that's worth every penny. If it comes to the plane theme, I think it's amazing and I absolutely love it, especially because of all the little details. Finally a place with a sense of humor! I get how people scared of dentist AND flying can find it disturbing, but I think that's just an edge case.I will preach the genius of this place forever and share it with anyone who is eager to listen (or is not eager to listen at all but just haven't ran fast enough from me).
Joanna Skorupa
Joanna Skorupa
10:24 26 Oct 18
Can't recommend smileworks enough amazing service! Really helpful over the phone and booking my first visit was so easy. Laurence and Georgie were so friendly and discussed the different options and treatment plan in detail. Nothing was too much trouble 🙂 Thanks guys!
Sam Abbott
Sam Abbott
16:06 07 Nov 18
Great experience. Very happy with my new smile. All the staff are faultless and so welcoming!!
Jessica Hudson
Jessica Hudson
16:13 14 Nov 18
First time for lip fillers, so obviously a little nervous on the outcome but I am over the moon. A natural yet full look could not recommend smileworks anymore. MJ is unreal at what she does and puts you at ease within a few seconds of the consultation whilst also giving all the right info and questions. Excited for another ml already!
Rosa Horsley
Rosa Horsley
12:13 26 Nov 18
I absolutely love this place. Staff are amazing. And what can I say about the wonderful MJ.... Try it yourself, I guarantee you wont disappointed.
pamela Bretland
pamela Bretland
18:46 11 Dec 18
I find myself recommending more people to these guys every day at work, I wouldn’t go anywhere else now! Amazing service delivered in a friendly and welcoming environment.
Jared & Co Barbers
Jared & Co Barbers
19:28 11 Dec 18
Refreshing new look of the "dentist". I found Smileworks quick with no hassle. They know what they're doing and not stuffy. Would definitely recommend.
Carolyn Wagstaff
Carolyn Wagstaff
20:07 27 Dec 18
Probably the best visit to the dentist's ever! I would recommend without ant second thought! Keep up the good work!!!
Been coming here for the past few months, teeth are so much better since coming here, teeth whitening under way and look boss. Thanks to Zoe for sorting my pegs out and for the laughs. See ya soon gorj xxxxx
James Selsby
James Selsby
09:39 16 Jan 19
I had my lips done here in November and a quick check up in December... I was amazed at how professional it was and I love the aesthetic of the office too. MJ made me feel a home, as did the rest of the team, and I will definitely be returning when I need to!
Danielle Piper
Danielle Piper
20:12 20 Jan 19
Great place with professional staff and nice atmosphere. My appointment was with Louise and Eva who were very helpful, friendly and knowledgeable. They have explained everything clearly and made me feel relaxed. Would highly recommend.
Denise Colley
Denise Colley
22:42 27 Jan 19
Visited here today staff were so warm and friendly! I had an aesthetic appointment with MJ she made me feel so relaxed and at ease. I would highly recommend Smileworks!
E Bailey
E Bailey
17:08 12 Feb 19
I had semi-permanent eyeliner with Hannah. it was a great experience I came back 3 times in all for all the top ups.(included in the price ) She made sure that I was 100 percent happy with the look and pain free. She took the time, and was extremely friendly and welcoming as well as totally professional . I will definitely come back as it fades It's amazing to not put eyeliner on and know you look good at 6.30 am at the gym!
J Lo
J Lo
19:31 12 Feb 19
I had semi-permanent makeup (eyebrows) done by Hannah. What can I say? I LOVE them. They have changed my face and my confidence! Hannah is lovely and takes her time to talk you through everything. I felt at ease with her-she's friendly and approachable and doesn't make you feel silly for asking questions. She goes through the design process and makes sure you are 100% happy before continuing. She spent hours designing my brows with me until they were perfect. Seems nothing is too much trouble for her!! Would definitely recommend and I shall most definitely be back in the future! (Should also note everyone I have come into contact with at Smileworks has also been lovely!!) 😁😁
Ellie Roberts
Ellie Roberts
20:35 04 Mar 19
Went to Smileworks for lip fillers and had a wonderful experience! I had Susan doing my fillers and she is absolutely amazing at what she does.. She is so so lovely and easy to get on with and answered all my questions and worries before I even asked and made sure she discussed exactly the outcome I wanted. She made me feel completely safe and at ease which is what I was hoping for as it was my first time. I cant recommend Susan enough, she is an absolute gem and is truly amazing at what she does, I love my new lips! Also the girls at reception were lovely and very helpful, I even had a call from Davina the day after (who was really really lovely) to see how I was and if i had any questions. It is obvious that they care about their patients and the work that they do for them.
Maddie Dooley
Maddie Dooley
17:30 08 Mar 19
Susan (dentist) and Eva did my composite bonding and Susan is excellent at her work! I am in love with my new smile and can't recommend her enough! The staff at Smileworks are so professional and friendly. Thank you!
Sophie Siu
Sophie Siu
11:40 10 Mar 19
Had an appointment with Patri for a painful wisdom tooth. I was terrified of the extraction but she was absolutely amazing. Fantastic job! Also, if you think Smileworks might be a bit pricey, think again. I ended up paying considerably less than what another dentist would have charged me. A super happy customer 🙂
Minodora Zidaru
Minodora Zidaru
22:05 22 Mar 19
First of all I wanted to say a big thank you to all the staff at Smileworks for making me feel very welcome.I also wanted to say a huge personal thank you MJ for her complete transparency through the consultation period. The honesty demonstrated was so valuable to me and helped me make what I believe is the best decision.I have upcoming teeth whitening treatment and wouldn't recommend anybody else other than Smileworks.
Jay
Jay
09:54 04 Apr 19
I Visited smileworks last week for a teeth whitening consultation. I had my appointment with Bambi. She was very welcoming and friendly as were all the staff. This place is amazing and the airline theming is great. The best dentist I've been to. I would recommend this place to Everyone.
Mike Dutton
Mike Dutton
12:52 04 Apr 19
The ideal Place to visit if you have any dental fears. I needed treatment but was worried, these guys put me at ease and the treatment has been successful and much easier than expected. A great environment to get your teeth sorted.
Steven Joyce
Steven Joyce
15:40 05 Apr 19
Great place and friendly staff! Currently halfway through treatment and everything is explained properly so you understand. Great value for money I'm sorry I didn't come sooner. Can't wait for the end result!
Nicky lavelle
Nicky lavelle
18:56 08 Apr 19
Amazing place. Everyone is so friendly, I have been a few times for different things and always brilliant. I recently had semi permanent make up (eyebrows) which I love. Hannah is a perfectionist and this is reflected in all the does. Would highly recommend her!
Nicola Bray
Nicola Bray
19:10 15 Apr 19
Had my dermaplaning and peel with Hannah at Smileworks yesterday and can't thank her enough! My skin has been getting me down lately but just one course of both of these treatments together and I feel brand new and confident. Thanks so much Hannah! I'll be back next week! 😛 xxx
Erinns Fit Life
Erinns Fit Life
19:49 16 Apr 19
Excellent professionalism, swiftness and care when performing 4 of my wisdom teeth extractions. Didn't feel a thing! Thanks to the amazing Abd & Eva. The whole team have been so helpful in identifying the right treatment course for me. Many thanks!
Arron Jackaman
Arron Jackaman
11:13 28 Apr 19
Had my first microneedling session with Hannah which has left my skin feeling funky fresh! Hannah explained the entire procedure from start to finish, it was painless. Cant thank you enough for making me feel at ease, knowing it is not easy for me to go out and about without make up due to years of acne. Cannot wait for my next session!
Rachel Kelly
Rachel Kelly
18:28 04 May 19
After bad experiences with dentists in the past, I decided to try Smileworks. I received treatment from Zoe who is so lovely, chatting throughout the sessions and talking through each part of the treatment, she really makes it a calm and easy experience and I have never had any problems with any work done by her. Thank you, Zoe! The front of house staff are also extremely friendly and very helpful, an all-round, great dentist to go to!
Sarah B
Sarah B
18:11 14 May 19
I’ve had an amazing experience at smileworks. From the first appointment, my dentist Susan has been fabulous, listening to exactly what I didn’t like and helping me with solutions and options to fix it. Susan made me feel very comfortable at all my appointments, I’m so happy with the end result. Would definitely recommend. 😁
Melanie Usher
Melanie Usher
00:10 16 May 19
I was at the dentist for a temporary dressing / filling and a scale & polish this morning, the ladies that tended to my teeth were Paula and Tamzin... they took extra steps to explain exactly what is going on with my teeth and to ensure that I was okay and comfortable with the forthcoming procedures... typically I would bee more nervous but today I felt comfortable at all times and the job on my teeth was great, safe, quick and efficient, I find solace in the fact that they will take extra lengths to preserve my natural teeth👍👌
JoEYEleven *
JoEYEleven *
11:21 23 May 19
Had my first appointment with Zoe n Sophie today.the clinic is amazing with its on board a flight waiting room and air hostess receptionist.I went for the £199 scale polish flight package,I can honestly say I’ve never had a deeper clean,it lasted about 20 minutes.My teeth are whiter before I’ve even started the bleaching process! I’ve bleached my teeth for the last 13 years and have used several companies.This company are the best at what they do.Both my daughters had dark teeth,and now are very proud of there b1 shade.Zoe and Sophie were brilliant today,I can’t recommend them enough.
Mary Gallagher
Mary Gallagher
23:14 28 May 19
Absolutely amazing customer service. Had lip fillers done at other places but will not be going anywhere other than Smile Works from now on. Thank you so much Dr. Susan, you are amazing!! 👄
Sinead Griffiths
Sinead Griffiths
11:18 06 Jun 19