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Dermatology

General Dermatology

Eczema Information Sheet

Eczema is a general term used to describe a dry, red, scaly inflammatory skin condition that has several causes. It is interchangeable with the term dermatitis. The most common type of eczema is atopic eczema which most commonly presents in children. Other types of eczema may be caused by external triggers such as allergic contact […]

Sclerotherapy – face

RATIONALE: Dilated blood vessels (“spider veins” or telangiectasia) may be treated with injections of sclerosing solutions e.g. polidocanol. These irritate the inner lining of the blood vessel and cause it to close over. Other treatments for broken blood vessels include laser and intense pulsed light. RESULTS & POSTOPERATIVE CARE: One treatment produces 40–50% improvement in […]

Sclerotherapy – leg

RATIONALE: Dilated blood vessels (“spider veins” or telangiectasia) may be treated with injections of sclerosing solutions e.g. polidocanol. These irritate the inner lining of the blood vessel and cause it to close over. Lasers may also be used but are not yet as effective as sclerotherapy on the legs. RESULTS & POSTOPERATIVE CARE: One treatment […]

TCA CROSS

TCA CROSS is the Chemical reconstruction of skin scars (CROSS), using Trichloroacetic acid (TCA). It is used to elevate atrophic or depressed scars and is usually used together with other scar treatments, including surgery, IPL, lasers and radiofrequency. Common causes of these atrophic scars are acne and chickenpox. BEFORE THE PROCEDURE: Please wear sunscreen every […]

Treatment of Rhinophyma

INTRODUCTION: Rhinophyma is a type of acne rosacea in which there is a slow increase in the size of the end of the nose. This is often associated with redness and there may be recurrent pustular lesions. The cause is unknown and contrary to popular opinion, the enlarging red nose has nothing to do with […]


Laser

Fractionated Radiofrequency

Fractionated radiofrequency (RF) treatment is the use of RF energy in a grid-like pattern to heat the deeper layers of the skin with minimal changes in the overlying skin. This leads to collagen remodeling with improvement in scarring and skin contour. Fractionated radiofrequency (RF) is used to treat acne scarring and is most effective for […]

Halo

Halo treatment uses two lasers to rejuvenate both superficial and deeper layers of the skin. There is immediate improvement in the skin surface with deeper collagen remodeling over the following 3 months. This improves the signs of skin ageing, including pigmentation, redness, fine lines, texture, pore size & laxity. Halo may also be used in […]

Intense Pulsed Light Therapy

INTENSE PULSED LIGHT THERAPY (IPL): Intense Pulsed Light is used to selectively remove and treat a number of conditions including broken blood vessels (telangiectasia), redness, freckling and excess hair. Broken blood vessels and redness may be a consequence of medical conditions including acne rosacea but are also a common consequence of sun exposure, ageing, temperature […]

Laser Scar Revision

Lasers are able to smooth out irregularities in scars, grafts and flaps with a similar effect to ‘sanding’ the surface. As with sanding, there is usually improvement rather than complete resolution of irregularities. The surrounding skin is also lightly lasered to restore a smoother contour and even colour to the facial skin. THE PROCEDURE: Your […]

Laser Treatment for Benign Facial Tumours

Lasers are able to accurately destroy small benign facial tumours. After removing the lesions, I usually also lightly laser the surrounding skin to restore a smoother contour and even colour to the facial skin. A biopsy may be necessary to confirm the type of tumour prior to laser treatment. THE PROCEDURE: Your face is photographed […]

Laser Treatment for Sun Damaged Lips

Lasers are the best treatment for moderately to severely sun-damaged lips. They enable accurate destruction of the abnormal surface layers of the lip. Other less effective treatments for sun damage include creams (Efudix and Aldara) and photodynamic therapy (PDT). Correction of these precancerous changes in the surface layers of the lip may prevent the development […]

Phototherapy Treatment

WHAT IS PHOTOTHERAPY? Phototherapy is when artificial ultraviolet light is used to treat various skin conditions such as psoriasis, eczema etc. Treatment is given in a large walk in cabinet (body treatment) UV rays. UV RAYS? Rays from the sun are called ultraviolet or UV rays. UVA rays have a long wavelength that penetrates deep […]

Profractional Laser Therapy

Profractional Laser Therapy is a new technology in which many tiny channels are created in the skin, similar to a lawn corer. This process stimulates the body’s natural healing processes with increased collagen production. This improves the appearance of surgical, acne and traumatic scars as well as fine wrinkles, freckles, sun damaged and ageing skin. […]

Pulsed Dye Laser Therapy

The pulsed dye laser is effective at treating port wine stains, redness and small broken blood vessels (telangiectasia). Port wine stains are a type of birthmark while redness and telangiectasia are usually the consequence of genes, sunlight and acne rosacea. THE PROCEDURE: The area will be photographed and your eyes shielded before the treatment. The […]

Vascular Laser Treatment

ND-YAG VASCULAR LASER: The Nd-YAG laser is used to treat dilated small blood vessels (telangiectasia) and diffuse redness. Deeper and larger red and purple vascular lesions may also be treated, including lip venous lakes and birthmarks such as port wine stains, venous malformations and haemangiomas. The laser heats and destroys blood vessels with minimal damage […]


Skin Cancer Surgery

Excision and Delayed Repair

INTRODUCTION: We most commonly use this technique to treat Lentigo Maligna but also use it for a number of other rare types of skin cancer. Lentigo Maligna (or Hutchinson’s Freckle) is an early form of melanoma and is a slow growing, blotchy brown patch found on the sun-damaged skin of the head and neck. Lentigo […]

Excisional Surgery

BEFORE SURGERY: Please inform us if you take medications which increase bleeding e.g. Aspirin, Clopidogrel (Plavix, Iscover) or Warfarin as we may need to stop them or reduce dosage prior to surgery. Anti-inflammatory medications (e.g. Nurofen) increase bleeding, so please stop 3 days before surgery. Please take paracetamol and codeine preparations if you require pain […]

Shave & Electrosurgery Treatment

SHAVE & ELECTROSURGERY For some thin, superficial skin cancers, shaving and electrosurgery (“cautery”) represents a quick and effective method of treatment. The area to be treated is marked preoperatively and an earthing pad is attached to your hand. The local anaesthetic is injected, the skin cancer is carefully shaved off and the area is treated […]

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