Dr Teri Johnson MBChB is Medical Director of Cheshire Lasers in Middlewich, established 2008. She qualified in medicine at Liverpool University in 1993 and was a GP partner at The Oaklands Medical Centre for 25 years, retiring from general practice in 2025. She is GMC registered, a full member of the British College of Aesthetic Medicine, a BCAM appraiser since 2015, and Save Face accredited.
Cheshire Lasers Clinic is excited to introduce the Endymed Mini Shaper.
This innovative handpiece has a unique concentric electrode surface, which provides focused 3DEEP Radiofrequency energy deep into the skin for maximum results. The Mini-Shaper is the most effective handpiece available today for treating the jowls and under the chin.
The Mini Shaper stimulates collagen production and increases fat cell turnover. This allows us to contour the jawline and deliver an effective tightening action to treat sagging, lax skin as well as improve tired, dull skin.
How does the EndyMed Jawline Shaper work?
The shaper handpiece delivers controlled radiofrequency energy delivery exactly where it needs to be. The radiofrequency energy penetrates the dermis down to 7mm which is much deeper than our other treatments. The Mini-Shaper offers nearly twice the power than other similar-sized RF treatment handpieces on the market. It also maintains tissue heat for long after the treatment is complete, providing extremely effective heating.
The heat energy stimulates existing collagen and encourages the production of new collagen to give tighter, firmer more lifted skin. It also focuses on fat cells which helps reduce the heaviness of the jawline to deliver an improved contour.
The following diagram demonstrates the treatment area:
How soon can I see results?
Results can be seen immediately but a course of treatments are required for the best long-term results.
The pictures here show the results before and after only one treatment. These results are short term and will improve and last longer after a course of treatments.
Who is the EndyMed Jawline Shaper Treatment suitable for?
This treatment is suitable for all skin types. We highly recommend it if you have heavy drooping jowls or have skin laxity and sagging under the chin.
Is there any downtime?
The EndyMed Jawline Shaper treatment is painless with little to no downtime. You may experience some redness in the treated areas, but this will subside within a few hours.
How many treatments will I need?
We recommend a course of six treatments for optimal results. Ideally, we like to book the treatments every 1-2 weeks.
Following the initial treatment course, we recommend one treatment every 2-3 months thereafter to maintain the best possible results. However, some people are happy with the results of a maintenance treatment every 3-6 months.
It is an innovative medical peel, that uses patented 2-phase technology to provides a bio-stimulating, revitalising & peeling-like effect. It is one of the newest peels on the market from CMED AESTHETIC in Italy.
Its exfoliating and keratolytic action removes the outer corneal skin cell layers to effectively prevent the ageing of the skin, decrease damage from UV light, as well as decrease pigmentation and acne scars. It also stimulates cell turnover by and stimulating the production of collagen, elastin and hyaluronic acid.
BioRePeelCl3 is multifunctional and is suitable for all ages and all skin types. It has an anti-ageing function that results in brighter, tighter, lighter skin and the reduction of fine lines. It is also suitable for young skin during acute stages of acne, blackheads, with recent mild scaring.
Which areas can the Peel treat?
The peel is effective on the following areas:
Face
Neck
Décolleté
Hands
Feet
Elbows
What are the ingredients of BioRePeel?
The main peel ingredients deliver a level 3 peel and include:
TCA 35%
Lactobionic acid
Salicylic acid
Tartaric acid
Citric Acid
The results are enhanced with the Biostimulation ingredients including Vitamins C and Revitalisation ingredients including Gamma-aminobutyric acid, Arginine and Riboflavin. The peel is also better-tolerated because of these ingredients.
What is different about BioRePeel?
BioRePeelCl3 is not just a peel it has the following actions:
Protective and stabilising actions;
Regenerating action
Moisturising action
Biostimulating action
Revitalising action
Peeling and keratolytic actions
Anti-wrinkle and antioxidant actions
Anti-acne, comedones & enlarged pores
Whats is the downtime?
There is no downtime, even though the peel contains 35% TCA!
The treatment is quick and delivers instant results with no frosting effect and no visible traces of the procedure.
After treatment, the skin feels soft, refreshed and revitalised.
How often should I have the Peel?
For best results, we recommend a treatment every 7-10 days for 3 to 6 sessions.
You can also combine the BioRePeel with the following treatments:
Arrange a consultation and patch test. This will take about 20 mins we can then get you booked in 48 hours later.
You do not need to prepare your skin for the treatment although you will get better results if you use AHAs and or retinol for a few weeks before your treatment.
We recommend you stop all AHA’s, BHAs and retinol products for 3 days before and 3 days after the peel.
BioRePeel needs a consultation and patch test before your first treatment. At the consultation we discuss the peel, carry out a patch test, check it is suitable for you, and talk through other options in case a different treatment would suit you better. To book, phone 01606 841255 or book online.
Look at her reviews below and let her patients help you decide.
How do I leave a review about Dr Kyra Drinnan?
To publish a review about a treatment you have recently had with Dr Drinnan, please visit Reviews.io, an independent review website. The reviews on this site can be anonymous, or you can leave just part of your name or an initial if you prefer not to be identified.
Alternatively, we can publish your review on this page. Just email your feedback/review and we can publish it provided you give us permission and an email to confirm the review is genuine.
Dr Kyra Drinnan patient reviews
“Dr Kyra is an extremely professional and knowledgeable person. From the get go I felt in very safe hands, she advised on the best treatment for myself and the results were great. I can highly recommend.” BDP
“Excellent service, Kyra went out of her way to provide the treatment I wanted.” Diane
“Excellent service from booking appointments, to the reminders, then the treatments!!!
Dr Drinnan is very welcoming, professional and explains each stage of treatment.” Angela
“Great treatment, extremely professional and safe.” RB
“I’ve been getting botox in the masseter muscles to help with involuntary jaw clenching, with Dr Kyra for a few months, the service has been fantastic from the start and I’m really happy with the results. It was very important to me to find an injector that’s a fully qualified doctor, as these are such vital muscles for eating and talking ect. so i feel very comfortable with Kyra’s experience and knowledge. I’ll definitely be continuing with Dr Kyra and really can’t see myself going anywhere else.” S.W. On Google.
“Options available clearly explained, procedure, likely results and side effects clearly explained, non judgemental approach by Dr Drinnan and very professional. Felt confident I had chosen the correct clinic.” Anthony
“I am so pleased with my botox treatment, I love it! My doctor Kyra is lovely, very helpful and answers all my questions. The clinic is really friendly clean and inviting.
I would definitely recommend to all my friends!” Kinga
Dr Zein Obagi created two gentle ZO peels, and we offer both at Cheshire Lasers in Middlewich. They are level 2.5 peels, which means they refresh and brighten the skin without the downtime of a stronger peel. Which one suits you depends on what your skin needs.
ZO Stimulator Peel — the Red Carpet Peel
The ZO Stimulator Peel is gentle on the skin but strong enough to make a visible difference, brightening and refreshing the face for a youthful, dewy look. It contains a blend of lactic, citric and salicylic acids plus potent concentrations of other active ingredients, and works on the signs of ageing, discolouration and UV damage. It is known in the USA as the “Red Carpet Peel”, because it is the one people choose before an event when they cannot afford to hide away with redness or flaking afterwards.
ZO Restorative Peel
Dr Obagi created the ZO Restorative Peel in 2024. It is the gentler of the two — a blend of lactic, citric and mandelic acids that provides surface exfoliation while instantly improving the skin’s luminosity, texture and tone. It suits all skin types but particularly dull, dry, weak and redness-prone skin, and it is a good choice for sensitive, acne-prone skin.
Which of the two should I have?
If you want brightness and freshness before an event, or you are treating sun damage, discolouration and early signs of ageing, the Stimulator Peel is usually the one. If your skin is dry, sensitive or prone to redness, the Restorative Peel is gentler and better suited. Your aesthetician will confirm which is right at your consultation, and you can have a different one next time — they are not a course you commit to.
What happens during a ZO peel?
Your skin will be cleansed using the appropriate cleanser from the ZO range to remove any makeup or oil. This is followed by ZO Exfoliating Polish and Polish Activator and ZO Peel Prep Solution to prepare the skin for the Peel.
The peel is then applied and left on for two to four minutes before it is neutralised with pads soaked in Peel Neutraliser, which restores the skin’s Ph balance after the acids in the peel. The appropriate products are applied if you have a Brightening or Hydrating Medical Peel. The final step is using ZO Daily Power Defence moisturising serum and ZO Ommerse Renewal Cream to hydrate and protect your skin.
The active Peel solution causes the superficial layer of the skin to peel off and may cause slight initial reddening. However, the treatment exposes a new layer of healthy, undamaged skin, resulting in a smoother texture and even skin tone.
What are the benefits of these peels?
Soften and rejuvenate sun-damaged skin.
Improves skin texture and tone.
Reduce or eliminate age spots, freckles and hyperpigmentation.
Soften fine lines and wrinkles.
Stimulate the production of collagen for firmer, more youthful skin.
Stimulate the growth of healthy cells while you shed damaged skin.
Reduces the appearance of melasma.
Treats mild acne and post-inflammatory hyperpigmentation.
Reduces pore size.
Improves the efficacy of skincare products.
No downtime.
Immediate results.
Who should (and should not) have a ZO peel?
This peel is recommended for adults concerned with skin ageing, sun damage and hyperpigmentation or anyone wishing to have a rejuvenating boost to the skin.
We do not recommend the peel for those who are:
Pregnant or breastfeeding
Using Roaccutane or prescription retinoids
Having radiation or chemotherapy
Allergic to lactic acid, citric acid, salicylic acid or latex
Do I need to prepare my skin before the peel?
You do not need to prepare your skin or use any specific skincare before the peel. However, you will get better results if you use some ZO products before the treatment.
How long does the treatment take?
The treatment will take about 45 minutes.
You will notice results immediately, and your skin will be fresher, glowing and have improved texture and tone. We recommend a course of treatments for optimum results.
Are these peels painful?
Unlike stronger chemical peels, which can be uncomfortable, this peel is not painful and involves no downtime. You may experience a mild warming sensation briefly whilst the peel is applied. You may have slight initial reddening, followed by limited peeling a day or two later. For special events, the Peel is ideal to have three days before.
How long before I see results?
Most people will see a dramatic improvement in their skin after just one peel. However, we recommend a course of 3 to 4 Peels, 4-6 weeks apart, for maximum benefit.
Maintenance
Ideally, every four months or before special events.
Enhance your ZO peel results.
You can add an additional ZO Mask to your peel to enhance results. If you opt for one of these, your treatment time will be 10 minutes longer :
ZO Hydra Mask
Other ZO Hydra massage gel and mask ingredients make this ideal for dry, dehydrated or weak skin.
ZO Brightening Mask
A ZO Brightening mask and a brightening massage cream make this ideal for sun-damaged skin with age spots and pigmentation.
ZO Complexion Clearing Masque
Containing eucalyptus and kaolin for antiseptic and detoxifying benefits.
At Cheshire Lasers, our Level 4 Laser Technician and aestheticians perform the ZO Stimulator and Restorative Peels and offer ZO Skincare advice.
We recommend you book a skin consultation and analysis before booking your treatment so they can determine the most appropriate peel for your skin. Book a Skin Assessment Consultation
Cysteamine cream is a skin-lightening agent used to treat hyperpigmentation disorders such as age spots, melasma, and post-inflammatory hyperpigmentation. Dermatologists have recommended it for several years since it became available in the UK.
Cyspera Cysteamine Cream was the first brand available in 2019, and it became popular due to published evidence supporting its effectiveness. A few years later, it was discontinued and replaced by Cyspera Intensive, which has also been discontinued in the UK.
What is the difference between DermaQuest Cysteamine Serum and Cream, Cyspera and Cysteamine HSA
The original Cyspera contained 5% Cysteamine cream and came in a 50g tube. Cyspera Intensive, contained 7% Cysteamine cream with added ingredients such as AHAs to enhance pigmentation reduction, Isobionic-Amide, which is an anti-inflammatory B3 derivative and other ingredients to mask the smell slightly because the ingredients could not be combined in the tube it comes in a 30ml dual pump. This product has been discontinued in the UK. These were both mask treatments which needed to be washed off after 15 minutes.
Senté Cysteamine HSA Pigment & Tone Corrector contains 5% Cysteamine Cream in a 50ml tube. It also contains B3 niacinamide and HSA, which in combination improve skin tone by treating pigmentation and reducing redness or inflammation. Senté Cysteamine HSA Pigment & Tone Corrector should be applied like a mask on the problem area and washed off after 15minutes.
DermaQuest MelaQuest Cysteamine Serum and DermaQuest MelaQuest Cream with Cysteamine also contain antioxidants- Glutathione and Ginko Biloba to reduce inflammation and skin sensitivity, a tyrosine inhibitor – Kojic Acid to help reduce pigmentation and Snow Algae, which improves the skin’s collagen and cellular defence.
DermaQuest MelaQuest Cysteamine Serum contains 4% Cysteamine, which is shown to be as effective as prescription 4% hydroquinone and DermaQuest MelaQuest Cream with Cysteamine contains 3% Cysteamine. Both of these products can be left on the skin, which makes your daily routine easier. They still have an aroma, but this is masked by some of the other ingredients. For best results, Dermaquest advises you to use the serum and then the cream twice daily.
Some people may try the serum first on its own and add on the cream if they would like to enhance the results.
Skin Sensitivity with the Different Cysteamine Creams
Cysteamine is known to cause irritation for some users, which is why the latest versions include ingredients to counteract it.
Sante, however, uses its HSA compound to provide a soothing repair base for the Cysteamine cream, making it more suitable for sensitive and red skin.
Dermaquest uses glutathione and Ginkgo biloba to reduce inflammation and skin sensitivity,
How to use the different Cysteamine Creams
For all products: If you have never used it, begin with a patch test. Then, apply every other day to the treatment area and increase to everyday use as tolerated.
For Cyspera and Senté products:
Do not wash the skin before application.
If it is necessary to wash, you must wait for one hour before applying Cyspera and 20 minutes before applying Senté Cysteamine HSA Pigment & Tone Corrector
Apply a thin layer on the pigmented skin you wish to treat
Leave on for 15 minutes
Remove by washing the area with a gentle face cleanser.
Gently pat your face dry and apply a gentle moisturiser and SPF if in the day
Do not leave on for more than 15 minutes.
Intensive phase: Once per day for up to 16 weeks.
Maintenance phase: Twice-weekly, once per day, indefinitely.
Use a high SPF sunblock to prevent activating the pigmentation.
For best results, you need to make sure you are consistent and apply products daily.
How does Cysteamine work?
As the name implies, the cream contains cysteamine, a metabolite of L-cysteine and a natural cellular component. L-cysteamine inhibits melanin production in the skin in several ways, which is why it is so effective.
It works as an Antioxidant and inhibits the Tyrosinase enzyme, reducing melanin precursors and therefore decreasing pigment production.
A randomised, double-blind, placebo-controlled clinical trial confirmed the efficacy of cysteamine cream in treating epidermal melasma.
Pigmentation usually reduces after six weeks of consistent use. It takes 8 to 16 weeks of regular use to achieve optimal results
Contraindications to use:
Cysteamine cream should not be used if you are pregnant or breastfeeding.
Can I use Cysteamine in the summer?
You can use this treatment any time of year, regardless of sunlight intensity; it is not a photosensitiser.
I have a dark skin tone; can I still use it?
Yes, it is suitable for all skin types and skin tones.
What are the side effects and risks?
Local side effects at the site of application may include:
Temporary heating up or burning sensation and redness
More persistent irritation and dryness, which you can treat with an emollient.
This reaction may happen during the first few days of application and are generally mild with the newer products.
If you experience sustained redness, irritation, or dry skin, stop using Cysteamine and hydrate the area with your basic hydration cream. You can try to resume gradual application once your skin has recovered.
If you have not used Cysteamine Cream before and want to purchase it, you are welcome to arrange a consultation to discuss how to use it and add it to your routine.
Dr Teri Johnson discusses the wide range of treatments for the lips and the area around the mouth at Cheshire Lasers. The treatments involve the use of Dermal Fillers, Botox, Polynucleotides as well as other rejuvenation treatments to achieve the following goals:
Lip Enhancement
Lip Rejuvenation/ Restoration
Lip Hydration
Lip Line Treatments
Lip Flip
Lip Enhancement
A lip enhancement treatment plumps the lips, replaces lost volume and improves lip hydration. Dermal Fillers are the best treatment for this.
The following specialists provide Lip enhancement with Dermal Fillers at Cheshire Lasers:
Cheshire Lasers offers many treatments for lip rejuvenation. Dermal Fillers are also successful for this treatment; a soft subtle dermal filler around the lip area recreates a youthful appearance, adds back hydration, and can significantly reduce fine lines.
Lip Rejuvenation with Dermal Filler is available at Cheshire Lasers with the following specialists:
Not everyone wants fuller lips. A small amount of a soft, hydrating filler placed within the lip improves moisture and texture and softens the fine lines on the lip itself, without changing its shape or size. It is often the right choice for lips that have become dry, flat or finely lined with age.
Lip hydration is provided by all four of the practitioners listed above, using a soft hyaluronic acid filler chosen to suit your lips.
Before and After Lip Rejuvenation
Images provided by Dr Teri Johnson
The following images are provided by Dr Kathryn Hazlehurst.
Botox Treatments
Botox can be used around the mouth to offer two types of results:
Smoker’s Line Reduction
Botulinum Toxin relaxes the muscles that purse the lips. By reducing the repeated contractions, the fine lines caused by the movement reduce for about 8 to 10 weeks.
This treatment takes knowledge and skill, as too much muscle relaxation can lead to weakness of the mouth muscles.
The Lip Flip
The Lip Flip is when Botox injections around the mouth muscle at certain points relax the lip muscle and ‘flips’ the lip out to make it appear fuller, plumper and much more visible.
HArmonyCa is a dual-effect Hybrid Injectable. It contains two active ingredients, calcium hydroxyapatite (CaHA) and hyaluronic acid (HA). These two components are in well-known dermal fillers and have both been in use for over two decades.
It also contains lidocaine, an anaesthetic, to reduce the discomfort of treatment.
How do HA and CaHA work?
Hyaluronic acid has a volumising, lifting and hydration effect. The results are immediate and can last anything from 3 to 18 months.
Calcium hydroxyapatite has an excellent collagen stimulation effect which causes skin firming and tightening. Over time the particles stimulate the production of a collagen network in the skin, creating a tightening and lifting effect that can last 1-3 years.
Which areas can HArmonyCa treat?
HArmonyCa works best under the surface of the skin where collagen stimulation is needed. It cannot be injected around the eyes, lips or mouth.
What makes HArmonyCa different from other Biostimulators?
Biostimulators work differently, and the results and longevity vary from person to person. What makes HArmonyCa even more different is that it is the first one to combine a biostimulator with hyaluronic acid.
HArmonyCa Aftercare
You should avoid strenuous activity and exposure to sunlight and tanning lamps or extreme weather conditions for 24 hours post-treatment in order to reduce redness, swelling and irritation.
Massage the area morning and night for seven days to reduce the incidence of nodules.
If nodules (small lumps and bumps under the skin) appear, you should massage the treated area, and if they do not go in a day or two, please contact us for an urgent review.
Redness, swelling, itching, discomfort and tenderness are common after treatment and usually settle within 24–48 hours.
ALWAYS PROMPTLY report the following to us:
Any adverse event which doesn’t resolve within the typical time frame
Any adverse event which worsens,
Any other adverse event
Less common adverse effects include:
bruising
prolonged swelling
fluid under the skin
longer lasting nodules
extrusion (misshaping due to force)
Rare side effects include:
infection
induration (hardening)
skin pigmentation,
inflammatory reaction
allergic reaction
migration
persistent nodules (small bumps)
granulomas (small area of inflammation)
necrosis (cell death)
blindness
Who Performs HArmonyCa Treatments at Cheshire Lasers?
The Following specialists performs HArmonyCa treatments at Cheshire Lasers.
The pHformula Skin Resurfacing systems are a range of treatments that target the needs of all skin types. Their actions are between that of a cosmeceutical and a medical prescription treatment.
How does pHformula Skin Resurfacing work?
It works by stimulating the production of collagen and new skin cells to deliver fresher, healthier-looking skin while preserving the integrity of your skin’s epidermis.
What is different about pHformula?
pHformula has taken skin resurfacing even further and has a unique mechanism of action based on over three decades of combined scientific, medical and skin health knowledge and experience.
A conventional peeluses high concentrations of acids, which cause tissue damage, inflammation, and plenty of peeling.
pHformula delivers skin resurfacing treatments with no downtime, no peeling and no impact on social interactions.
The pHformula philosophy is about the ‘outside in’ and ‘inside out’ approach.
The choice of pHformula resurfacing treatments include:
M.E.L.A Skin Resurfacing targets pigmentation and uneven skin tone. It uses the same appointment as our other resurfacing treatments, with the strength chosen for your skin.
All the above treatments include a combination of different active skin resurfacing serums and a choice of masks to suit your skin condition.
Is pHformula Resurfacing Uncomfortable?
Skin resurfacing does not cause pain whilst having treatment. However, when the active ingredients are applied, your skin may feel hot or itchy and a little uncomfortable. This sensation is normal and does not usually last longer than a few minutes. If you notice pain or become very uncomfortable, it is important that you tell your therapist, who will remove the treatment immediately.
How Many Treatments Will I Need?
The number of treatments needed will depend on your skin concern and the outcome you want to achieve.
A course of between 3 and 6 treatments is typical to achieve the best results.
Our aesthetician will be able to advise you following your consultation and first treatment, which includes a skin sensitivity test.
Will I Need a Consultation First?
You can book either a skin assessment consultation, or an assessment with a treatment in the same appointment. Both are with our aestheticians at Cheshire Lasers in Middlewich.
A skin assessment consultation, £25, which we take off the cost of your treatment. We assess and discuss your skin and go over all the options.