CONFIDENTIAL

Caress Flow — Investment Brief

For Dr Gemma Lewis MRCS MRCGP · Clinical Director, DoctoriumGP Derby

Strong opportunity — act now
Zero Caress Flow competition in the East Midlands. First-mover window open.
No Caress Flow clinic within 55 miles of Derby. ~130,000 women aged 40–64 in the catchment. Two warm patient referrals from Lawmed arriving Monday 11th May. 12-week free trial with 15 consumables agreed. Training confirmed with Ellie Edwards (Lawmed) on 11th May. The only decision left is whether to rent or buy after the trial.

What is Caress Flow?

The treatment

A 15-minute, two-phase treatment delivered via single-use disposable cannula. Phase 1 (10 mins): high-concentration molecular oxygen reactivates microcirculation and promotes tissue regeneration. Phase 2 (5 mins): low molecular weight hyaluronic acid (vaginal-specific formulation) restores hydration and elasticity.

No heat. No laser. No RF energy. No ablation. All natural substances. No anaesthetic. No downtime. No restrictions post-treatment.

Conditions treated

Vulvo-vaginal atrophy (GSM)85% improvement
Urinary incontinence81% reduction
Recurrent candidiasis94% absence at 3mo
Lichen sclerosis83% improvement
Vestibulitis79% improvement
Post-cancer patients (tamoxifen)Only safe option

The Deal

Trial Length
12 wks
Free — no upfront cost
Free Consumables
15
3 patients × 5 treatments
Training Date
11 May
Ellie attending in person
After Trial
£450/mo
Rent + £45/treatment consumable

Market Context

👩
~130,000 target women
Ages 40–64 within 1-hour drive of Derby
🏥
Zero local competition
No Caress Flow within 55 miles. Nearest: Lymm, Cheshire
📈
22% CAGR market
UK vaginal rejuvenation: £38m (2023) → £153m (2030)
🎗️
Cancer survivor niche
Only safe option for tamoxifen/AI patients — CO2 laser contraindicated
📬
2 warm patients ready
Stoke + Leicester — Lawmed-referred, arriving 11th May
💊
40–54% of post-meno women
Have GSM symptoms. Only 25% currently receiving any treatment

Device Comparison

How Caress Flow compares to MonaLisa Touch, EmFemme 360 — and how all three fit DoctoriumGP's portfolio

Important context for DoctoriumGP: You already own and operate the BTL EmFemme 360. Caress Flow is not a replacement — it is a complementary treatment targeting overlapping but distinct indications. Together, they give DoctoriumGP the most comprehensive intimate wellness offering in the region. Caress Flow treats conditions EmFemme 360 cannot (candidiasis, lichen, HPV) and vice versa (EmFemme 360 is stronger for laxity/tightening). Offer both; let Gemma's clinical assessment guide which is appropriate.

Head-to-Head

BTL EmFemme 360
BTL Aesthetics · Czech Republic · DoctoriumGP already owns
YOU HAVE THIS
Technology
360° Radiofrequency (RF)
Machine cost
Already purchased
Per-treatment cost
Minimal (no consumable)
Patient course price
£1,550 (course of 3)
Per session price
~£517
Sessions
3 × sessions
Session duration
30 minutes
Anaesthetic
None needed
Pain level
Mild warmth
Downtime
None
Post-sex restriction
~1 week advised
Conditions
Laxity, incontinence, dryness, sensation
Post-cancer safe
Caution advised
Evidence depth
Moderate (mostly manufacturer)
UK clinics
50+ established
MonaLisa Touch
DEKA · Florence, Italy · Distributed by Cynosure
£25–30k machine
Technology
Fractional CO2 laser
Machine cost
£25,000–£30,000 new
Per-treatment cost
Consumable tips ~£50–80
Patient course price
£1,720–£2,200 (3 sessions)
Sessions
3 × 6 weeks apart
Session duration
20–30 minutes
Anaesthetic
Yes — topical/local
Pain level
Moderate discomfort
Downtime
2–5 days restricted
Post-sex restriction
5–7 days per session
Conditions
Atrophy, dryness, mild incontinence
Post-cancer safe
Often contraindicated
Evidence depth
Strongest (16+ RCTs)
UK clinics
100s — well established

Strategic Summary

Caress Flow vs MonaLisa Touch

MonaLisa Touch is the gold standard for evidence but costs £25–30k upfront and requires a trained laser operator, anaesthetic, and 5+ days downtime per session. Patients actively choosing between them will favour Caress Flow for convenience. At £1,000 (course of 5) vs £1,720–£2,200 (course of 3), it is dramatically cheaper — and patients get more sessions. The breast cancer survivor cohort cannot use laser at all — Caress Flow owns this group entirely.

Caress Flow + EmFemme 360 Together

These two devices are complementary, not competing. EmFemme 360 is strongest for laxity and tightening (RF thermal remodelling) at £1,550 for a course of 3. Caress Flow is strongest for dryness, infection, and conditions where energy devices are inappropriate (e.g. lichen sclerosus, HPV) at £1,000 for a course of 5. A patient with post-menopausal dryness + mild laxity might benefit from both — a combined package of ~£2,350–2,550 positions DoctoriumGP as a one-stop intimate wellness clinic. No competitor locally offers both modalities.

UK Clinics & Pricing

All known Caress Flow UK providers, plus local competitor treatment pricing

Caress Flow — All UK Clinics (10 confirmed, May 2026)

ClinicLocationPer SessionCourse (×5)Distance from DerbyNotes
Vie AestheticsHolborn, London£250£1,000~130 milesFlagship UK clinic
Vie AestheticsHarley Street, London£250£1,000~130 miles
Vie AestheticsRayleigh, Essex£250£1,000~130 miles
CMA ClinicFulham Road, London~£250~£1,000~130 milesPricing assumed
Talking LongevityDidsbury, ManchesterPOAPOA~55 milesNearest competitor
Talking LongevityLymm, CheshirePOAPOA~55 miles
Talking LongevityLeigh, Greater ManchesterPOAPOA~65 miles
Talking LongevityFulham Road, LondonPOAPOA~130 miles
Ejoli ClinicBeverley, East YorkshirePOAPOA~80 miles
Wiltshire Women's Health HubSwindon, Wiltshire£199 (ANP)
£249 (consultant)
POA~110 milesBudget end
DoctoriumGP ← YOUDerby, DE1£150 intro → £275£750 intro → £1,000 (×5)LocalOnly Midlands clinic

DoctoriumGP will be the 11th UK clinic and the only one in the East or West Midlands, Derbyshire, Nottinghamshire, Leicestershire, Staffordshire or South Yorkshire.

Local Competitor Treatments — Derby Catchment (within ~50 miles)

ClinicLocationTreatmentPer SessionCourse PriceDist. from Derby
DoctoriumGPDerby DE1BTL EmFemme 360 (RF)~£517£1,550 (×3)Local
DoctoriumGPDerby DE1BTL EmsellaTBC*TBC*Local
New U Incontinence ClinicNottingham NG16BTL Emsella ×6~£200£1,200~14 miles
Lipo SculptNottinghamFemiWand HIFU£359–£399N/A~14 miles
Healand ClinicLeicester LE1O-Shot / PRP£599Single session~30 miles
MUMS ClinicSolihull B91BTL Emsella ×6£60£360 — outlier~35 miles
ThermiVa Care UK @ MUMSSolihull B91ThermiVa RF ×3POA~£2,350~35 miles
Harley Skin & LaserStoke-on-TrentUltra Femme 360 ×4£1,000–£1,200~35 miles
Eve ClinicsLeamington SpaMonaLisa Touch CO2 ×3£625£1,650~38 miles
The Women's Health ClinicBirmingham B15Nu-V CO2 laser ×3 (nurse)£400£1,200~40 miles
The Women's Health ClinicBirmingham B15Nu-V CO2 laser ×3 (doctor)£600£1,800~40 miles
VIVO Body StudioBirminghamFemiWand HIFU£149N/A~40 miles

* DoctoriumGP Emsella pricing not publicly listed. Confirm in Pabau and add here. EmFemme 360 pricing confirmed from Pabau: £1,550 course of 3 (Dr Gemma Lewis, 30 min). Green rows = DoctoriumGP own treatments.

Pricing strategy (agreed by Gemma & Ade): Launch at £150/session during the 12-week trial to generate buzz and fill early slots. Patients booking a course of 5 get a reduced block rate (~£750). After the trial, move to £275/session (£1,000 course of 5) as the standard price. This undercuts every London Caress Flow clinic and is dramatically cheaper than MonaLisa Touch (£1,720–£2,200 for only 3 sessions). Being the only Caress Flow provider in the Midlands means DoctoriumGP sets the regional benchmark — and the intro price creates urgency to book early.

ROI & Break-Even

Two-phase pricing agreed: £150/session during 12-week trial → £275/session standard. ROI shown at standard rate (£275). Trial phase will be lower revenue but fills the pipeline.

⚡ The headline number: you need just 2 treatments per month to cover the machine cost
2
treatments/month to cover £450 rent
£230
gross margin per treatment at £275 (after £45 consumable)
Day 1
profitable from the first paying patient

Realistic Scenario — 5 Treatments/Week (at standard £275)

Annual Treatments
260
5 × 52 weeks
Annual Revenue
£71,500
260 × £275
Annual Net (Rent)
£54,400
After consumables + £450/mo rent
Monthly Net
£4,533
From month 4 at standard pricing

Interactive Calculator

Adjust the variables
Default = standard pricing (post-trial). Use £150 to model trial phase revenue.
5tx/wk
£275
£45/tx
Annual Revenue
gross
Year 1 Net Profit
after all costs
Break-even
3-Year Total
inc. top-up returns

Scenario Comparison — Standard Pricing (£275/treatment, from month 4)

UtilisationTx/yrRevenueConsumablesNet (Rent £450/mo)Net (Lease £300/mo)Break-even
Minimal (2/wk)104£28,600£4,680£18,520£20,320Immediate
Realistic (5/wk) ← planning basis260£71,500£11,700£54,400£56,200Immediate
Stretch (8/wk)416£114,400£18,720£90,280£92,080Immediate
Ade says unlikely (10/wk)520£143,000£23,400£113,800£115,600Immediate

Trial phase (first 12 weeks at £150): same volume, revenue ~55% of above. Still profitable — consumable-only cost is covered by treatment 1. Use the calculator above with £150 to model trial revenue exactly.

3-Year Projection (Realistic — 5 tx/week)

Rent model. Year 2 includes top-up sessions from Year 1 patients (+£14,300). Year 3 compounds further (+£28,600 from Yr1+Yr2 returning). Consumables £45/treatment throughout.

Patient Volume Needed

To cover rent (£450/mo)
2
treatments per month — absurdly easy
To earn £50k/year net
~11
treatments per week (about 2 new patients)
Realistic 5/wk = new patients
1/wk
One new patient starting a course each week

Go-to-Market Strategy

Lead with the symptom. Close with the solution. No one searches "Caress Flow" — they search "vaginal dryness".

Search volume reality: "Vaginal dryness" — 4,000–6,000 UK searches/month. "Vaginal rejuvenation" — 1,000–2,000/month. "Caress Flow" — near zero. Market with symptom language: vaginal dryness, intimate dryness, bladder leakage, pelvic floor. Never lead with device names or clinical terms like "GSM".

Marketing Assets — Already Available from Lawmed

Social media templates
Google Drive link shared by Ellie: drive.google.com/drive/u/1/folders/1Q2KdnrGYt2IRFsUw5IJQgTz1ITERz0Un
Patient leaflets
Being posted to 4 Woburn House, Vernon Gate, Derby DE1 1UL
Derby added to Lawmed clinic locations
Ellie adding today — patients searching for local Caress Flow will find DoctoriumGP immediately
Instagram collab video — Gemma to record
Dr Gemma introduces Caress Flow at DoctoriumGP. Posted as collab across @Caressflowuk_Lawmed + @its_about_time_me. Arrange before/after 11th May.
Meta ads support
Lawmed run targeted Meta ads for clinics who take a machine. Discuss activating this once trial is underway.

Top Keywords to Target

High-volume symptom terms

vaginal dryness (4–6k/mo)
urinary incontinence (5–8k/mo)
vaginal dryness menopause (1.5–2.5k)
vaginal dryness treatment (800–1.5k)

Commercial intent terms

pelvic floor treatment (1–2k/mo)
vaginal rejuvenation (1–2k/mo)
bladder leakage treatment (800–1.5k)
ThermiVa / Votiva (300–600/mo)

Decision & Actions

Everything agreed, confirmed, or still outstanding

🟢
Recommended approach
Rent at £450/month after the 12-week trial. Profitable from day one.
Outright purchase (£13,500) is better long-term but requires capital we don't currently have. Rent is profitable from the second patient ever treated (two treatments covers the monthly fee). If by month 3 we're running at 5+ treatments/week, revisit purchase. For now: rent is correct.

Status of All Key Items

Training date — 11th May confirmed ✓
Ellie attending in person. Both Leicester and Stoke patients have been referred — both want to know the cost before committing. Ellie sharing contact details for Gemma to call both before the day. Ellie staying locally Sunday night.
12-week trial with 15 free consumables — agreed
3 patients × 5 treatments at zero consumable cost. Loan agreement being prepared by Lawmed.
Geographic exclusivity — agreed for trial period ✓
Ellie confirmed (7 May): exclusivity formalised for the 3-month trial. Review after trial based on usage and commitment. Continued exclusivity requires a separate post-trial agreement. Company director Len CC'd. To be written into loan agreement before signing.
Insurance documentation — received ✓
MHRA technical specs and Caress Flow patient consent form attached by Ellie (7 May). Forward to insurer now. No practitioner has had issues — most have it added to existing policy at no extra cost as a non-invasive Class II medical device.
!
Pricing structure — agreed by Gemma & Ade ✓
Trial period (12 weeks): £150/session. Patients booking a course of 5 get a reduced block rate (~£750). Goal: generate buzz, fill slots, build case studies. Standard pricing from month 4: £275/session, £1,000 course of 5. Gemma's suggestion; Ade agreed 6 May 2026.
!
Gemma to call both patients before 11th May ⚡
Ellie sharing contact details for both Leicester and Stoke patients. Gemma to call both to discuss symptoms and agree protocols before the day. Both patients want pricing confirmed before they commit — see below.
!
Loan agreement — arriving before end of week ⚡
Ellie confirmed 7 May: will send before end of week, amended to include trial exclusivity. Len (company director) CC'd. Review carefully before signing — ensure exclusivity geography is written in as agreed (Derbyshire, Nottinghamshire, Leicestershire, Staffordshire).
Instagram collab video — record with Gemma
Dr Gemma introduces Caress Flow to DoctoriumGP. Post as collab with @Caressflowuk_Lawmed and @its_about_time_me. Aim to have live by 11th May or the week after.
EmFemme 360 pricing — confirmed ✓
£1,550 course of 3 sessions (Dr Gemma Lewis, 30 min each). ~£517/session. Updated in device comparison and competitor table.
Post-trial exclusivity agreement — to be drawn up after 3 months
Ellie and Len committed to continuing exclusivity after the trial but require a separate formal agreement. Raise this proactively at the 3-month review — don't let it drift. Suggest: ongoing exclusivity tied to minimum monthly treatment volume (e.g. 10 tx/mo).
ACTION REQUIRED — REPLY TO ELLIE
Both patients need a price before they'll commit. Draft reply ready — approve or amend
Ellie has confirmed both the Leicester and Stoke patients want to know the cost before agreeing. Based on the pricing agreed between Gemma and Ade (7 May), the suggested reply is below. The trial intro rate is £150/session with a request for a testimonial — this gets both patients committed, generates launch content, and is in line with what Ellie said other clinics do. Send this reply to Ellie and she'll pass it on to both patients.
TO: ellie@lawmed.co.uk (Len CC'd)  ·  FROM: ade.whetton@phwltd.com  ·  SUBJECT: RE: Caress Flow — Training Day Prep

Hi Ellie,

Thanks for such a thorough response — really helpful, and great to have Len across it too.

The exclusivity arrangement sounds very fair and we're happy to proceed on that basis. Looking forward to seeing the loan agreement before the end of the week.

Regarding pricing for the two patients — we'd like to offer both ladies our introductory trial rate of £150 per session. As they'll be among our very first Caress Flow patients, we'd ask in return that they consent to sharing their experience as a case study and testimonial for our marketing, should they be happy with their results. That feels like a fair exchange for both sides.

Please do pass their contact details across to us and Gemma will give them both a call before the 11th.

See you on Monday.

Best,
Ade Whetton
Managing Director, DoctoriumGP

✓ Happy to send — let Ade know
✎ Want changes — WhatsApp Ade
✗ Hold off — WhatsApp Ade