Private Microsuction Ear Wax Removal in Enfield EN1 - How to Book an Appointment & Find a Clinic

Guide Refreshed: 06:01, 26 Dec 2025

Our Enfield microsuction clinic is on the first floor of Willow House Surgery, situated at the corner of Orchard Way and Willow Road. There is complimentary on-street parking for up to one hour, and a marked disabled bay directly outside the premises, with step-free access to the clinic provided by a wheelchair lift for visitors who need it.

Private Microsuction Ear Wax Removal in Enfield EN1 - How to Book an Appointment & Find a Clinic

How to book and what to expect

Booking a private microsuction session in Enfield is simple, and most people value the clarity and speed of the process. Microsuction uses a magnified view and gentle suction to remove cerumen safely, and our Willow Road clinic offers dedicated appointments, often within the same week when availability allows. You can book online or by phone, pick a time that suits you and tell us about any mobility issues or clinical concerns such as recent ear surgery or ongoing tinnitus. Payment and consent are usually handled during booking or on arrival, and clinicians will screen for contraindications like a perforated eardrum or active infection. Choosing private care frequently shortens the route to symptom relief for impacted wax, with a typical single visit covering assessment, the microsuction procedure, and personalised aftercare guidance to reduce future recurrence.

Essential practical details

Opening times differ across the week, and evening appointments may be available for those who work. Please bring any hearing aids, photographic ID, and a list of medications (especially anticoagulants) so clinicians can assess bleeding risk. If wax is hard or long-standing, the clinician may suggest softening drops for a few days before microsuction to ease discomfort and shorten the procedure. We recommend arriving 10 to 15 minutes early to complete paperwork and to allow staff to prepare disabled parking or the wheelchair lift if needed. The clinic complies with strict infection control, using single-use or sterilised instruments to keep patients safe and reassured.

Tip for your first visit

If this is your first appointment, wear comfortable clothing and avoid cotton buds beforehand as they can worsen impaction. If you tend to get wax build-up regularly, ask reception about routine maintenance bookings or a recall service. Bringing someone with you can be useful if you feel anxious, since the procedure is brief but requires you to sit still for accurate visual removal.

Accessibility information

The Enfield clinic has step-free access and a wheelchair lift; please tell staff when booking if you need assistance so the team can reserve the parking space and prepare the room in advance. Staff training includes support for patients with limited mobility and sensory requirements.

Ear Wax Removal Enfield EN1 Map, Location and Directions

We are located at First Floor, 285 Willow Road, Enfield EN1 3AZ. For turn-by-turn guidance, enter the postcode into Google Maps, or follow local signs to Willow House Surgery from Enfield Town. The clinic sits on a main road with nearby bus stops and a pedestrian route from Orchard Way, so it is convenient for public transport users. If you are driving, be aware of short-stay on-street parking limits near the clinic and allow extra time to find a space. For those using mobility aids, the building offers level access to the ground entrance and a lift to the first-floor microsuction room. Local landmarks such as the large Tesco and the Willow Road bus stop can help you find us easily.

Directions by transport mode

By car, approach via the A10 or A406 and follow signs for Enfield Town before heading to Willow Road; entering the postcode into your satnav will usually bring you close to the parking options. If travelling by bus, check services that stop on Willow Road or nearby. Train passengers can alight at Enfield Town station and walk about 8 to 12 minutes depending on pace. For taxis and ride-hailing, give the full address and advise drivers the drop-off is at the main entrance; most drivers know the area well. Allow extra time for traffic, weather delays and locating any disabled bays you may need.

Access for disabled visitors

The facility has level access at the ground floor and offers a wheelchair lift to the first-floor clinic room.

Parking Near the Enfield Microsuction Clinic

Parking availability around the clinic varies by time of day, but there are practical options nearby. Short-stay on-street parking can be found on Willow Road and neighbouring streets, and several marked disabled bays sit close to the main entrance for blue badge holders. Many patients report finding spaces within a five to ten minute walk outside peak times, though busy shopping periods can make this harder. If you need a guaranteed bay, call ahead and the clinic will try to reserve a disabled space when possible or advise the best times to travel. For longer visits or combined appointments such as a hearing assessment plus wax removal, consider nearby car parks that allow longer stays so you do not worry about one-hour limits.

• Motorcycle and scooter riders should check local rules and choose secure parking; bring a helmet lock and remember valuables left in vehicles remain your responsibility.
• If you hold a blue badge, tell reception in advance so staff can arrange a reserved disabled bay or point you to the nearest accessible drop-off at the main door.
• Consider public transport or a short taxi if you are unfamiliar with local parking, especially during busy market or shopping periods in Enfield Town.
• Check local signage for restrictions and one-hour limits so you can plan to park legally, and allow extra time to avoid being late for your appointment.
• For afternoon or evening slots, it is often easier to find an on-street space, but confirm with the clinic if you need an allocated bay to prevent delays.

Ear Wax Removal Enfield EN1 Map, Location and Directions

You can get directions to our Microsuction Enfield location using Google Maps, just enter your start point and follow the route provided.

Probably one of the most highly rated ear wax removal services in Enfield, but you do not need to take our word for it, here are some of our five star reviews:

Disabled Access and Facilities at Willow Road

Accessibility features at the clinic

The clinic provides a number of accessibility provisions for patients with mobility or sensory needs. There is level access at the main entrance and a wheelchair lift to the first-floor area where microsuction takes place. Designated disabled bays are close to the door, and staff can help with transfers or escorting patients from the car to the clinic room on request. The treatment room has space for a wheelchair and an adjustable chair for those who prefer extra support during the procedure. Hearing First staff are trained to assist people with hearing loss, offering clear verbal explanations and written or visual instructions where helpful. If you need further support such as a chaperone or translated materials, mention this when booking so reception can prepare appropriate consent forms and aftercare leaflets.

How to request help

When booking, tell us about any mobility requirements and the clinic will confirm disabled bay availability and lift access to ensure a smooth arrival. If you use mobility aids such as a rollator or powered wheelchair, inform staff so they can prepare space in the microsuction room and arrange assistance with moving. For patients with sight impairment, larger print aftercare sheets or verbal explanations can be provided after the procedure. The clinic also supports people with dementia or cognitive needs, offering longer appointment times and a calm environment to reduce anxiety during assessment and wax removal.

Note about stepped entrances

Although most entry routes are step-free, a few neighbouring entrances have steps; check with reception for the recommended access point to avoid unnecessary barriers. In rare cases where the lift is out of service, staff will arrange an alternative ground floor appointment or reschedule to suit your needs.

Contacting the clinic before you arrive

Call the clinic prior to travelling to confirm parking and accessibility arrangements; staff can note your requirements on the appointment so the team is ready to assist when you arrive, which helps shorten waiting times and improve the overall experience.

Appointment Booking

Because demand is high, private ear wax removal is available by appointment only. You can book an ear microsuction appointment in Enfield here, or use the booking button below:

Appointment Booking: How to Reserve Your Microsuction Slot

Step-by-step booking process

Most people book microsuction online via the clinic website or by phoning reception, with the web system usually the quickest way to secure a preferred time. During booking you will be asked for contact details, brief medical history such as anticoagulant use, and whether you need disabled access or an interpreter. Sessions typically last 20 to 30 minutes, including assessment and treatment, though allow an extra 10 minutes for arrival and paperwork. Payment options are shown at booking or on arrival; many clinics take card, contactless or online payments. If impacted wax is hard, staff may advise several days of ear drops beforehand to reduce the need for repeat visits. After booking, you will receive confirmation by email or SMS with location details and any pre-appointment instructions to help the visit run smoothly.

1. Receive confirmation and pre-appointment guidance by email or text, including directions, parking notes and any ear drop instructions to optimise the first visit.
2. Choose an appointment slot online or call reception, giving your full name, contact number and reason for attendance so the clinic can allocate the correct appointment length and clinician expertise.
3. If you need to cancel or reschedule, contact the clinic promptly so your slot can be offered to another patient; clinics usually have a cancellation policy but aim to be accommodating.
4. Attend the clinic with ID and any hearing aids or GP letters that may affect clinical decisions, and allow time on arrival for paperwork and any escorting if mobility support is required.
5. Disclose relevant medical history, particularly prior ear surgery, a perforated eardrum or ongoing infections, so the clinician can plan a safe assessment and determine whether pre-appointment drops are needed.

More Information

You can read additional information about ear wax removal in Enfield with Hearing First here.

What Happens During Your Microsuction Appointment

The microsuction visit begins with a clinical inspection, using an otoscope or microscope to check the ear canal and confirm wax impaction. If an infection or perforation is suspected, microsuction may be contra-indicated and the clinician will recommend alternative treatment or referral. When appropriate, a fine suction probe is introduced under magnified vision to remove wax in small pieces, which gives precise control and minimises contact with the tympanic membrane. Most people find the procedure comfortable, experiencing only minor sensations as material is extracted. If necessary, a brief hearing screen or tympanometry can be done during the same appointment to assess hearing impact or middle ear status. Afterwards, the clinician will explain findings and provide personalised aftercare advice, including whether maintenance drops are recommended, water precautions and when to return if symptoms continue.

• After removal, the clinician reinspects the canal and eardrum to confirm clearance, explains any findings verbally and supplies written aftercare tailored to your needs.
• The clinician removes wax under direct vision using a thin suction probe, working incrementally to avoid pressure on the eardrum and to preserve the ear canal skin.
• Initial inspection is performed with a binocular microscope or a high-magnification otoscope to assess how much wax is present, its consistency and the position relative to the eardrum, as well as any signs of infection or damage.
• If microsuction is suitable, the clinician will make you comfortable, describe each step and ask you to remain still while signalling if you experience discomfort.
• Most appointments finish with guidance to help prevent recurrence, such as occasional maintenance checks, avoiding cotton bud use and advice on when to seek urgent care for pain, discharge or sudden hearing change.

21 Somewhat Quirky Facts About Enfield

1. The Drowned Voices of Salmon’s Brook
   
   After heavy rain, locals say Salmon’s Brook can sound like distant crying or wailing, and folklore imagines it as the voices of people lost to past floods.
2. The Thing in the Allotments
   
   Gardening enthusiasts near Turkey Street have reported seeing an animal-like figure moving between sheds at night, sometimes described as upright with glowing eyes, although no photographic proof has surfaced.
3. The Phantom Bells Heard in Ponders End
   
   Residents close to Ponders End say they sometimes hear faint bell ringing in the fog, despite there being no active bell towers nearby, often accompanied by a sudden chill.
4. The Phantom Dog of Southgate Roams at Midnight
   
   In the 1990s, eyewitnesses reported sightings of a large black hound with glowing eyes in Southgate, tied to older folklore where phantom dogs are seen as omens.
5. There’s a “Cursed” Tree in Hilly Fields
   
   One twisted oak in Hilly Fields has a reputation for odd effects: dogs avoiding it and local teenagers reporting dizziness when standing beneath its branches after dark.
6. Face Seen in the Mirror at Forty Hall
   
   Visitors sometimes claim to glimpse an unfamiliar face behind their reflection in the grand hallway mirror at Forty Hall, described by some as an elderly woman with dark eyes.
7. The Haunting of The King’s Head Pub
   
   Dating back to the 1500s, this historic pub is rumoured to host a spirit called “The Grey Man,” with staff reporting cold spots and moving bottles on occasion.
8. Enfield Island Village Was Built Over a Gunpowder Storage Area
   
   Some local residents link odd nocturnal sounds and uneasy feelings to the site’s history of storing munitions, and occasionally report strange smells or vibrations.
9. The Lost Bell That Rings at Midnight
   
   Local legend tells of a church bell stolen centuries ago whose faint chime is still sometimes heard around midnight, particularly on full moon nights.
10. Strange Lights Have Been Spotted Over Enfield Chase
    
    People have observed pulsating lights above the ancient woodland of Enfield Chase, described as hovering briefly before disappearing, attracting UFO enthusiasts.
11. The Whispering Wall of Ridge Avenue
    
    A low stone wall on Ridge Avenue is said to whisper when you lay your hand on it, and some teenagers claim the faint voices even say their names.
12. Sealed Tunnel Under St Andrew’s Allegedly Leads to Nowhere
    
    Folklore mentions a bricked-up medieval passage beneath St Andrew’s Church, supposedly linked to Forty Hall, and stories say those who entered never returned.
13. There’s a Bricked-Up Window That “Weeps”
    
    On a Georgian home in Bush Hill Park, a sealed window is claimed to leak water even in dry weather, a mystery locals attribute to past tragedy in that room.
14. Ghostly Children Seen Playing in Town Park
    
    Walkers report hearing the laughter and footsteps of children in Enfield Town Park long after closing time, with security staff sometimes confirming unexplained noises.
15. The Enfield Poltergeist Was Britain’s Most Famous Haunting
    
    In the late 1970s a Green Street council house became notorious for paranormal events, with furniture moving and strange voices emerging, inspiring the film The Conjuring 2 decades later.
16. Strange Animal Bones Found After Heavy Rain
    
    Following a flood in Albany Park, several sets of animal bones with curious carvings were unearthed and quietly removed, without any definitive explanation given.
17. The “Disappearing Bus” of Chase Side
    
    On several occasions people have claimed to board a night bus on Chase Side which then vanished when they turned to look; no scheduled services were logged at those times.
18. River Lee Has a Drowned Lady Legend
    
    Locals tell of a woman in white gliding above the River Lee in the early hours, disappearing when approached and leaving only ripples on the water.
19. Enfield’s Oldest Cemetery Is Said to “Whisper” at Dusk
    
    While peaceful by day, Lavender Hill Cemetery attracts stories of murmured voices and unseen footsteps after dark.
20. The Witch Trial That Was Forgotten
    
    Historians discovered a reference to an undocumented witch trial near Forty Hill in the 1640s; the accused woman vanished and is rumoured to haunt the area during storms.
21. Without A Doubt The Best Ear Wax Removal In Enfield
    
    You can find expert ear wax removal in Enfield at Hearing First, who work from Willow House Surgery near the large Tesco. Book an appointment with Hearing First for microsuction in Enfield!

Microsuction Versus Ear Syringing

Microsuction and ear syringing are distinct methods for clearing ear wax, with clinical opinion increasingly favouring microsuction for its precision and safety. Syringing, or irrigation, relies on water pressure to flush the canal and can sometimes push wax deeper or cause discomfort and, in rare cases, perforation. Microsuction is carried out under magnified vision using gentle suction, offering more control and making it suitable for ears with perforations or grommets. For those with prior ear surgery, chronic ear conditions or repeat impactions, microsuction is often the preferred choice because clinicians can target the obstructing material while continuously monitoring the canal and tympanic membrane. As many GP surgeries no longer provide syringing, patients seeking prompt, specialist care often choose private microsuction to avoid long NHS waits and gain faster symptom relief.

Clinical advantages of microsuction

Microsuction allows removal of wax with minimal disruption to the ear canal skin and avoids introducing water, which can trap bacteria or cause temporary hearing changes. The method enables immediate inspection of the eardrum after clearance and is better suited to fragile or unusually shaped ear canals. Patients worried about tinnitus or partial hearing loss due to wax can get diagnostic clarity and potential improvement in a single visit. Appointments are typically brief and complication rates are low when certified clinicians use modern suction equipment and magnification.

Parking

There is complimentary on-site parking available.

Patient Reviews and Reputation

Our Enfield microsuction service consistently receives positive feedback, with many patients praising efficient booking, clear communication and clinicians’ expertise. Five-star comments often mention minimal discomfort during microsuction, fast relief from blocked ears, and staff who explain aftercare in plain language. Reviews frequently highlight the convenient Willow Road location and the clinic’s accessibility, which reassures older patients and those with mobility restrictions. A reputation for reliable, safe procedures helps build trust: many patients choose regular maintenance visits rather than attempting home remedies that risk worsening impaction. Transparent pricing, visible infection control and friendly reception staff also feature often in positive testimonials, reflecting a patient experience that blends clinical skill with practical, welcoming care.

• Your assessment of reputation should include checking several independent reviews and confirming clinician accreditation to ensure staff are trained and insured for microsuction services.
• Speed of service is frequently praised by those who needed same-week relief from ear blockage, highlighting the advantage of private microsuction over long NHS waiting lists when urgent treatment is needed.
• Repeat patients note consistent results and fewer recurrences after following recommended maintenance, such as occasional checks rather than using cotton buds or home irrigation.
• Many reviewers highlight the clinician’s explanations, saying being shown the ear canal during inspection reduced their anxiety and made aftercare easier to follow.
• Accessibility and straightforward directions to the Willow Road clinic are often mentioned as helpful, particularly by visitors from neighbouring towns who value easy parking or short walks from bus stops.

Microsuction vs. Ear Syringing

Many people across North West London find that GP surgeries no longer offer ear syringing. This change is partly due to funding constraints, and partly because syringing is less safe than microsuction. Possible complications of syringing include ear infection, hearing loss, tinnitus, eardrum perforation and further impaction, since water pressure can push wax harder against the tympanic membrane. No wonder people are moving away from walk-in syringing and seeking microsuction services instead. Unfortunately, the surge in demand means NHS microsuction waits can now be two to three months in some areas.

You do not have to wait months for microsuction. Consider a private appointment, it may be more affordable than you expect. Simply visit our booking page and you could have your wax cleared within days.

Nearby Clinics and Alternative Locations

If you are travelling into EN1, there are other private microsuction providers within easy distance who may offer alternative times or locations. Areas such as Finchley, Loughton and Potters Bar host experienced clinicians and some practices specialise in complex cases, including patients with prior perforation or middle ear surgery. Many clinics publish online booking calendars, patient guides and pricing, making comparisons straightforward. If our Enfield clinic is fully booked, consider neighbouring clinics for availability; think about travel time, public transport links and whether disabled parking or step-free access is required. Some patients prefer to stay close to home, while others will travel further for evening or weekend appointments. Always check accreditations and recent reviews before choosing another provider.

• Potters Bar clinics can be a good choice for patients driving from Hertfordshire, offering convenient parking and flexible appointment lengths for combined hearing tests and wax removal.
• When selecting an alternative clinic, confirm clinician credentials, infection control practices and whether they can match the mobility or sensory provisions you expect at the Enfield location.
• Loughton microsuction services often provide rapid-access appointments for local residents and can be useful when Enfield slots are full, especially for those travelling from Essex or east London.
• Finchley clinics frequently list evening appointments and accept complex otology referrals, which can suit people with previous ear surgery or unusual canal anatomy.
• Factor in distance, transport links and overall journey time when choosing a clinic, as travelling long distances for a short microsuction session may be inconvenient for some patients.

Disabled Parking

There are several disabled parking bays opposite the main entrance.

Costs, Private Fees and NHS Waiting Times

Understanding pricing and value

Private microsuction prices vary between clinics and usually reflect clinician experience, equipment quality and overheads. Many providers list a single-visit price that covers assessment, microsuction and written aftercare, with extra tests such as audiometry charged separately. Compared with NHS services, private clinics often provide faster appointments, evening availability and one-visit solutions, which many patients find good value when factoring in time saved and quicker symptom relief. If you have private medical insurance, check whether the policy covers ear microsuction under minor procedures or outpatient ENT care. Always confirm the total expected cost at booking to avoid surprises and ask whether follow-ups are included or incur additional charges. Clinicians aim to be upfront about fees and any likely extra interventions if something unexpected is found during the examination.

Although NHS microsuction may be available in some areas, waiting lists are often lengthy and referral criteria can limit access to those with significant hearing loss or recurrent infections. For urgent symptoms such as severe pain, bleeding or sudden hearing loss, seek immediate medical advice rather than waiting for a routine microsuction appointment. Private clinics can sometimes accommodate urgent bookings, but clinical triage will determine whether microsuction is appropriate on the day.

Video: What Happens In Your Ear Wax Removal Enfield Appointment

Travel Options and Public Transport to Enfield EN1

Enfield is well connected to North London and parts of Hertfordshire by bus and rail, so the clinic is accessible if you prefer not to drive. Several bus routes stop on or near Willow Road and Enfield Town rail station is a short walk away. When planning public transport journeys, check live updates and aim to arrive at least 10 minutes before your appointment to allow for delays. Taxis and ride-hailing services can drop you at the main entrance if mobility is an issue; confirm the full postal address with the driver to ensure an accurate drop-off. If you are travelling further afield, consider pre-booking a taxi for the return trip, particularly if you are concerned about hearing changes or face longer walks after treatment.

Suggested routes and timing

From Enfield Town station the walk is generally under 15 minutes along well-lit pavements; plan extra time in winter when daylight is limited. Bus users should check timetables for Willow Road stops and allow for variable traffic at peak times. If using ring-and-ride or community transport, confirm the drop-off point with the clinic so drivers know the correct entrance and whether the wheelchair lift is required. For return journeys, factor in possible temporary hearing changes and choose a nearby drop-off when using taxis or demand-responsive transport.

Book your microsuction ear wax removal appointment today, and say goodbye to the discomfort of ear wax.

Our Enfield microsuction clinic also supports patients from Chase Side, Grange Park, Botany Bay, Broxbourne, Chingford, Potters Bar, Ponder’s End, Enfield Wash, Freezy Water, Bullsmore, Brimsdown, Chingford Mount, Buckhurst Hill, Hale End, Waltham Cross, Waltham Abbey, Goff’s Oak, Cuffley, World’s End, South Woodford, Chigwell, Oakwood, Osidge, Chingford Hatch, Highams Park, Cockfosters, Hoddesdon, Nazeing, Epping, Epping Upland, Walthamstow, Cheshunt, Bury Green, Upper Walthamstow, Woodford, Grange Hill, Chigwell Row, Debden, Loughton, High Beech, Theydon Bois, Wanstead, Redbridge, Edmonton and Aldersbrook.

Aftercare, Prevention and Ear Care Advice

Aftercare following microsuction focuses on protecting the ear canal and reducing the chance of future wax impaction. Clinicians commonly advise keeping the ear dry for a short period if the canal was irritated, and to avoid cotton buds or similar objects which can push wax deeper and damage the skin. Use recommended softening drops only as directed and arrange maintenance checks if you are prone to recurrent build-up. For hearing aid users, clean earmoulds regularly and combine device checks with ear examinations to ensure optimal performance. People who frequently accumulate wax may be offered a personalised maintenance plan with appointments every few months, tailored to lifestyle, skin type and ear anatomy. If you notice pain, discharge, continuing hearing loss or a new tinnitus after the procedure, contact the clinic promptly so the clinician can reassess and arrange treatment or referral if necessary.

• If you swim often, use clinician-recommended ear plugs to keep water out and reduce the risk of external ear infections after recent canal irritation.
• Schedule periodic reviews if you tend to re-develop wax, and follow the clinic’s recall plan if one is offered to keep canals clear and hearing optimal.
• Use softening ear drops only according to instructions, typically for a few days before an appointment if wax is hard, and stop immediately if irritation or an allergic reaction occurs; consult your GP if unsure.
• Avoid inserting cotton buds or other objects into the ear canal, as these can damage the canal and push wax further in, increasing the chance of impaction and repeat procedures.
• Clean hearing aids and earmoulds regularly with manufacturer-approved wipes to prevent contamination of the ear canal and maintain the device’s acoustic performance.

Nearby Clinics

Here are some other clinics close to our Enfield location:

• Finchley: Private Microsuction Ear Wax Removal In Finchley North London
• Loughton: Private Ear Wax Removal In Loughton
• Welwyn Garden City: Private Ear Wax Removal Welwyn Garden City

Frequently Asked Questions About Ear Wax Removal in Enfield

Common questions include whether microsuction hurts, how long results last, and whether the procedure is suitable for ears with grommets or a perforation. Microsuction is generally quick and causes minimal discomfort for most people; clinicians will stop immediately if significant pain occurs and suggest alternatives. Results vary by person, but many report instant improvement in hearing and reduced aural fullness; natural wax production continues and some people need repeat maintenance appointments. In cases of grommets or known perforation, microsuction is often safer than water-based irrigation, though the clinician will take extra precautions and may modify the technique or refer to ENT if required. For severe or sudden symptoms such as acute pain, bleeding or sudden hearing loss, seek urgent medical attention rather than waiting for a routine appointment. Always declare recent ear procedures, current infections or anticoagulant use when booking so the clinic can triage correctly and ensure safety.

• Can I have microsuction with a perforated eardrum or grommet? Microsuction is usually safer than water-based irrigation in these situations, but the clinician must examine the ear first and may adopt a modified approach or arrange ENT referral if needed.
• Is microsuction painful? Most patients experience only mild pressure or brief discomfort; the clinician proceeds slowly and will stop if you indicate undue pain.
• How quickly will I hear normally again? Many notice immediate improvement within minutes of wax removal, though any residual muffling can continue to settle over the next few days.
• What should I do if I have ongoing tinnitus after wax removal? Mention tinnitus when booking and bring any previous audiology reports; the clinician may carry out a quick hearing screen and advise further investigation or ENT referral if appropriate.
• How often should I have maintenance? Frequency depends on individual wax production; some people need checks every few months while others only require occasional appointments once a year or less.