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Eczema before and after: real results

Photos shared with permission by our patients, and the results of our audit of more than 1,500 new patients, measured with the validated POEM score.

Before and after photos

Adult back and side covered in eczema before treatment
Before
The same adult's back largely clear after two weeks
After
Adult · back & torsoWidespread eczema
2 weeks
Baby boy with eczema on face, chest and arm before treatment
Before
The same boy with clear skin in the bath after treatment
After
Baby · face, chest & armsSevere infant eczema
Clear skin
Toddler with eczema patches across the back before treatment
Before
The same child smiling outdoors after treatment
After
Child · backRecurrent flares
Back to normal life
Baby girl with severe eczema on face and scalp before treatment
Before
The same girl smiling with clear skin after treatment
After
Baby · face & scalpSevere infant eczema
Clear skin

Individual results vary. Treatment is only prescribed after a clinical assessment confirms it is appropriate.

Severe eczema to mild in around two to three weeks

We track every patient's eczema with POEM, a validated 0–28 score that patients complete themselves. These are the results from our audit of more than 1,500 new patients, 2022–2026.

3,000+patients seen since 2020†
8,000+appointments since 2022
97%saw a meaningful improvement within 2–3 weeks*
20 → 4.5average POEM score, severe to mild, in about 17 days*

How severe patients' eczema was at each review

Two in three new patients arrive with severe or very severe eczema. Within two weeks, most are clear or mild.

Clear 0–2Mild 3–7Moderate 8–16Severe 17–24Very severe 25–28
View as table
ReviewPatients scoredClearMildModerateSevereVery severe
First visit1,571<1%3%31%47%18%
2 weeks58046%34%16%4%<1%
4 weeks29942%35%19%3%1%
6–12 weeks38732%38%22%6%<1%
12 months16713%33%30%21%3%

Within 2–3 weeks

Of the 580 patients who returned a score at their 2–3 week review:

  • 97%saw a meaningful improvement
  • 89%halved their eczema score or better
  • 84%reduction in the typical score, from 20 to 3
  • 46%were clear or almost clear
  • 1%were worse than at their first visit

One year on

Of the 167 patients reviewed at 12 months:

  • 84%were still better than when they started
  • 70%kept a meaningful improvement
  • 52%still had their score halved or better
  • 46%were clear or mild, up from 4% of these same patients at their first visit
  • 89%of those who started very severe were still meaningfully better

The worse the eczema, the bigger the change

Patients with very severe eczema saw the largest improvement, from an average score of 27 to under 8. 99% of them improved meaningfully within 2–3 weeks.

Slow to start? Most still get there

Only 4% of patients hadn't improved meaningfully by their first review. Of those who carried on, 82% went on to improve.

*Figures are from our 2022–2026 outcomes audit of new patients who completed a POEM score at each review. Not every patient returns a score at every review. A meaningful improvement means a fall of 4 or more POEM points, the standard used in major eczema research. POEM bands: 0–2 clear or almost clear, 3–7 mild, 8–16 moderate, 17–24 severe, 25–28 very severe. Individual results vary.

†3,000+ is an estimate: 2,380 patients attended 8,000+ appointments on our current booking system from July 2022, plus our estimate of patients seen from April 2020 to June 2022.

What patients say

“The cream is the only cream to work for my little girl. It has changed her/our quality of life.” Helen, parent, Merseyside

“Just amazing being able to sleep at night from not scratching and to have my confidence back.” Kirsten, adult patient, Berkshire

“From that first Zoom call we both felt the doctor was brilliant. Most of all he listened.” Jen, parent of teenage patient, North East England

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