Cosmetic Medicine

Cosmetic Medicine

The ACCS has as Fellows, doctors of many disciplines, and not all practice surgery. The Faculty of Medicine represents these doctors who have trained specifically, and are recognised fully, in the field of Cosmetic Medicine.

Acne Management

Acne is a very common skin condition, affecting over 85% of 15-24 year olds. It can persist well past early adulthood, especially in females. It varies from mild acne, with some clogging of pores, through to inflammatory acne with reddened lesions and pustules, through to cystic acne with large, painful lesions which may lead to scarring.

Acne management will vary with the condition`s severity. Over-the-counter topical skin care products may suffice for some, however prescription topical creams or oral medications may be required for more severe acne. Low glycaemic index diets also help some sufferers. Microdermabrasion, blue or other light therapies, laser treatments or photodynamic therapy may be appropriate in other cases.

Combinations of therapies may also be required for increased efficacy.

Should acne scarring occur, other treatments such as lasers or dermal filler injections may be required.

Chemical Peels

Various chemicals or combinations may be applied to the skin with the aim of producing a smoother, more evenly-textured skin.

Peels vary in depth. With superficial peels, just the external already-dead cells shed more quickly producing a mild flakiness for a few days. Medium-depth and deep peels produce a wound which heals over a period of a week or so with greater smoothing effect on deeper lesions such as wrinkles and scars.

Potential Problems

Temporary/permanent discolouration or texture change, scarring, infection.

Dermatological Surgery

Various skin lesions may require excision for medical or cosmetic reasons. Most skin cancers must be surgically removed to ensure they do not continue to grow and/or spread. Microscopic examination of the excised specimen by a pathologist affords reassurance that skin cancers have been completely removed.

Potential Problems

All excisions will produce scarring. This can often be minimised by appropriate placement but can never be avoided. Infection.

Excessive Sweating

Localised excessive sweating (usually of the armpits, hands or feet) may be treated with injections which temporarily reduce the stimulation for sweating in these areas. Multiple small injections are placed within the skin of the affected areas, usually taking effect in a few days and lasting, on average, 7-8 months.

Potential Problems

Bruising. Temporary weakness of nearby muscles. Insufficient effect.

Facial Rejuvenation

Facial Rejuvenation can improve sagging facial skin, jowls and loose neck skin by removing excess fat, tightening muscles, redraping skin. Most often done on men and women over 40.

Fat Transfer

A small amount of fat may be harvested from a body area such as the thighs, abdomen or buttocks, purified and injected into areas of the face where volume is required, such as hollow cheeks. As only a proportion of this transferred fat `takes`, a relatively large amount is injected producing an over-correction which then subsides. The amount removed from the donor site is usually too small to affect the overall contour unless a definitive liposuction is performed.

Potential Problems

Bruising, swelling. Unpredictable results. Lumpiness. Variation of effect with weight change.

Hair Transplant

Hair loss affects many males and a smaller proportion of women. Medications may help some, especially in the early stages of hair loss, however for some, surgical measures may be necessary. This involves moving hair-bearing scalp into non-hair-bearing areas either as a large flap or as tiny grafts containing a few follicles.

Potential Problems

Infection. Scarring. Inadequate coverage. Further hair loss.

Injectable Dermal Fillers

Various substances may be used to plump up lines and wrinkles, define and/or produce more fullness for lips or reduce hollows produced by ageing, weight loss, genetic predisposition or some medical conditions.

Different products may be employed, with varying durations of action. Some products fill instantly, others stimulate the body to thicken its own tissues over time.

Potential Problems

Varies with product and site treated. Temporary swelling and bruising. Infection. Lumpiness. Allergy. Scarring (rarely).

Laser & other light based cutaneous treatments

There are many different types of lasers and light sources which produce varying effects on the skin. Lasers are light beams of specific wavelengths that produce specific effects. Intense pulsed light (IPL) is a broad band of wavelengths which achieves somewhat more general effects on the skin.

Microdermabrasion

Controlled abrasion of the skin's surface combined with suction which `vacuum cleans` the pores and stimulates circulation, produces a smoother skin and reduces clogging. Often a series of procedures is required to produce a sustained benefit.

Microdermabrasion is useful for improving acne and other conditions where a build-up of dead skin cells has occurred. It also aids the absorption of medications including topical local anaesthetic prior to other procedures, and in photodynamic therapy.

Potential Problems

Temporary redness, superficial abrasions and bruising. Increased pigmentation.

Non-Surgical Skin Tightening

Infrared light, radiofrequency current or a combination of these may be used to cause a gradual contraction of the skin of the face or certain areas of the body. Depending on the process used, one or a series of treatments may be required.

Potential Problems

Rarely painful with current methods. Inadequate effect.

Scar Treatment

Scars may occur due to accidental trauma, surgery, certain infections or severe acne. Scars may be fine or wide, raised or depressed and may be highly-coloured or white.

Various treatments may be employed to reduce the appearance of scars. These include injections to raise or flatten them, laser treatments to improve colour or blend scars into the surrounding skin or some scars may be excised and resutured to give the tissues another opportunity to heal in better circumstances.

Sclerotherapy

Spider veins and varicose veins of the legs are quite common especially amongst women. Although some large varicose veins may require surgical intervention, many leg veins may be treated with injections. Often a series of treatments is required with support stockings being worn after each session. The injected solution causes a gradual closing-down of the abnormal veins.

Potential Problems

Leg pain. Inflammation of veins. Deep vein thrombosis. Skin pigmentation overlying veins. Ulceration leading to scarring. New growth of clusters of vessels.

Skin Care

The right skin care will vary from one person to another. Various over-the-counter and prescription products can be used to treat various skin conditions or to improve a "normal" skin and help protect skins from environmental damage. Individualised medical advice is often the best way to obtain the right skin care.

Potential Problems

Transient flare-ups of skin problems. Allergy to certain skin care ingredients.

Wrinkle Treatment

Many wrinkles are due to the action of the muscles of facial expression. Some of these muscles may be relaxed to produce a smoother, less-stressed appearance. The most-frequently treated areas are the frown (between the eyebrows), the crows' feet and the horizontal forehead lines.

Injections are made into very specific sites to produce the appropriate muscle, and therefore wrinkle, relaxation. The effect takes a few days to begin and is temporary, but may last longer with repeated procedures.

Potential Problems

Bruising. Headache. Non-targeted muscle relaxation (temporary).

Doctors performing this procedure: Cosmetic Medicine in Australia

  Location Name Contact
  ACT, Manuka Dr. Leung, Bernard FFMACCS 02 6255 8988    Website
  NSW, Lane Cove Dr. Alavi, Nastaran FACCS 02 9420 5577    Website
  NSW, Cabramatta Dr. An, Huy Quoc FFMACCS 02 9725 6614
  NSW, Cabramatta Dr. An, Huy Quoc FFMACCS 02 9725 6614
  NSW, Woollahra Dr. Bezic, Ron FACCS 02 9386 5222
  NSW, Liverpool Dr. Bright, Ralph FFMACCS 02 9824 3044
  NSW, Randwick Dr. Calfas, George FFMACCS 02 9399 6444    Website
  NSW, Randwick Dr. Calfas, George FFMACCS 02 9399 6444    Website
  NSW, Castle Hill Dr. Feiner, Ronald FFMACCS 02 9894 1180    Website
  NSW, Bondi Junction Dr. Feldman, Joni FFMACCS 0412 027 730    Website
  NSW, Port Macquarie Dr. Fleming, Daniel FACCS 1800 682 220
  NSW, Crows Nest Dr. Heckenberg, Meaghan FFMACCS 02 9906 1555    Website
  NSW, Darlinghurst Dr. Hkeik, Joseph FFMACCS 02 9890 9977
  NSW, Darlinghurst Dr. Hkeik, Joseph FFMACCS 02 9890 9977
  NSW, Double Bay Dr. Hodgkinson, Darryl FACCS 02 9362 7400
  NSW, Sydney Dr. Kim, Minju FFMACCS 02 8084 1216    Website
  NSW, Chatswood Dr. Kim, Peter FACCS 02 9411 4880    Website
  NSW, Double Bay Dr. Knudsen, Russell FFMACCS 02 9363 9308
  NSW, Hurstville Dr. Kumar, Bobby FACCS 1300 676 003    Website
  NSW, Hurstville Dr. Kumar, Bobby FACCS 1300 676 003    Website
  NSW, Lakemba Dr. Le, Andrew FFMACCS 02 9759 1244
  NSW, North Parramatta / Neutral Bay Dr. Lim, Soo-Keat FFMACCS 02 9890 2300, 02 9904 9900
  NSW, Paddington Dr. Livingstone, Elizabeth FACCS 02 9328 5822
  NSW, Woollahra Dr. Lyon, William FACCS 02 9386 5222    Website
  NSW, North Sydney Dr. Madirazza, John FFMACCS 0477220069    Website
  NSW, Sydney City Dr. Mayson, George FACCS 02 9267 3322 / 1300 050 140    Website
  NSW, Bondi Junction Dr. Moore, Colin FACCS 0414 251 234    Website
  NSW, Mosman / Surry Hills / Kogarah Dr. Nair, Sarojini FFMACCS 02 9310 4100
  NSW, Miranda Dr. Nair, Suri FFMACCS 02 9526 8600
  NSW, Campbelltown Dr. Prochazka, Tony FFMACCS 1300 666 946    Website
  NSW, Campbelltown Dr. Prochazka, Tony FFMACCS 1300 666 946    Website
  NSW, Double Bay Dr. Rastogi, Anoop FACCS 02 9362 1426
  NSW, Double Bay Dr. Rastogi, Anoop FACCS 02 9362 1426
  NSW, Surry Hills Dr. Roberts-Szudzinski, Andrew (semi retired) FACCS 02 9357 7333
  NSW, Matraville Dr. Schwartz, Jerry FACCS 02 8347 4488
  NSW, Coogee Dr. Ting, Jack FACCS 02 9665 3247
  NSW, Dr. Valente, Pedro FACCS
  NSW, Sydney Dr. Woo, Mark FFMACCS 0403 183 808
  NSW, Korarah Dr. Xu, Zhen FFMACCS 02 9587 3700    Website
  NSW, Chatswood Dr. Ying, Charlotte Wing FACCS 1300 770 660    Website
  NSW, Double Bay Dr. Zacharia, Michael FACCS 1300 784 064    Website
  NSW, Kogarah Dr. Zurek, Longin FACCS 02 9553 6237
  SA, Unley Dr. Kushelew, Irene FFMACCS 0403 090 501    Website
  QLD, Sandstone Point Dr. Allen, Matthew FFMACCS dr.matthewallen@gmail.com    Website
  QLD, Minyama, Gympie Dr. Bambit, Jayne FACCS 07 5452 5222
  QLD, Toowoomba Dr. Bradford, Julie FFMACCS 07 4639 1250    Website
  QLD, Windsor Dr. Chen, James FFMACCS 07 3857 6188
  QLD, Southport Dr. Chinsee, Ian FACCS 1300 8813 88    Website
  QLD, Toowong Dr. Dingley, Mary FFMACCS 07 3870 0111    Website
  QLD, Taringa Dr. Djordjevic, Ranka FFMACCS 07 3870 5654    Website
  QLD, Taringa Dr. Djordjevic, Ranka FFMACCS 07 3870 5654    Website
  QLD, Taringa Dr. Djordjevic, Ranka FFMACCS 07 3870 5654    Website
  NSW, Port Macquarie Dr. Fleming, Daniel FACCS 1800 682 220
  QLD, Southport Dr. Flynn, John FACCS 1300 88 1388    Website
  QLD, Fortitude Valley Dr. Gaulton, Catherine FFMACCS 07 38540500    Website
  QLD, Auchenflower Dr. Hills, Russell FACCS 07 3720 8788    Website
  QLD, Auchenflower Dr. Hills, Russell FACCS 07 3720 8788    Website
  QLD, Brisbane Dr. Konrat, Georgina FACCS 07 3391 5710
  NSW, Sydney City Dr. Mayson, George FACCS 02 9267 3322 / 1300 050 140    Website
  QLD, Toowoomba Dr. Roos, Eduard FFMACCS 07 4638 2700    Website
  QLD, Grange Dr. Sadeghi, Shahram FFMACCS 07 3352 5852    Website
  QLD, Spring Hill Dr. Szalay, Michael FFMACCS 07 3839 7222
  VIC, Springvale Dr. Vu, Kimson FACCS 03 9548 2626    Website
  VIC, Springvale Dr. Vu, Kimson FACCS 03 9548 2626    Website
  QLD, Fortitude Valley Dr. Williams, Linda FFMACCS 07 3852 3211    Website
  QLD, Brendale Dr. Wong, Chi-Hong FACCS 07 3889 9120
  SA, Kent Town Dr. Chok, Robin FACCS 08 7225 8810    Website
  SA, Parkside Dr. Higgs, Michael FACCS 08 8357 0300
  SA, North Adelaide Dr. Kerry, George FFMACCS 08 8367 0111
  SA, Unley Dr. Kushelew, Irene FFMACCS 0403 090 501    Website
  SA, Norwood Dr. Marzola, Mario FFMACCS 08 8333 0333
  VIC, Chelsea Heights Dr. Attalla, Mark FACCS 03 9771 7177    Website
  QLD, Minyama, Gympie Dr. Bambit, Jayne FACCS 07 5452 5222
  VIC, Geelong Dr. Ching, Martin FACCS 03 5222 4694
  NSW, Bondi Junction Dr. Feldman, Joni FFMACCS 0412 027 730    Website
  VIC, Malvern East Dr. Granot, Ashley FFMACCS 03 9569 3511    Website
  VIC, Malvern / Glen Waverly Dr. Lanzer, Daniel FACCS 03 9826 6644, 03 9561 9100
  NSW, Sydney City Dr. Mayson, George FACCS 02 9267 3322 / 1300 050 140    Website
  VIC, Springvale Dr. Nguyen, Dennis FFMACCS 03 9546 3453
  VIC, Kew Dr. Obaidi, Hudaifa FACCS 03 9851 8900    Website
  VIC, Kew Dr. Obaidi, Hudaifa FACCS 03 9851 8900    Website
  VIC, Box HIll Dr. Paraskevas, Peter FFMACCS 03 9898 4466
  VIC, Armadale Dr. Rich, Michael FACCS 03 9500 1110
  VIC, Essendon Dr. Spano, Paul FFMACCS 03 9326 0700    Website
  VIC, Armadale Dr. Topchian, David FACCS 1800 745 536
  VIC, Springvale Dr. Vu, Kimson FACCS 03 9548 2626    Website
  VIC, Point Cook. VIC 3030 Dr. Xu, Michael FACCS 0402 984 786 / 03 8383 6888    Website
  VIC, Point Cook. VIC 3030 Dr. Xu, Michael FACCS 0402 984 786 / 03 8383 6888    Website
  VIC, Point Cook. VIC 3030 Dr. Xu, Michael FACCS 0402 984 786 / 03 8383 6888    Website
  WA, Subiaco Dr. Elfis, Katina FFMACCS 08 9388 8121
  NSW, Bondi Junction Dr. Feldman, Joni FFMACCS 0412 027 730    Website
  SA, Unley Dr. Kushelew, Irene FFMACCS 0403 090 501    Website
  WA, Nedlands Dr. Murray, Glenn FFMACCS 08 9389 9099
  WA, O'Connor Dr. Tan, Kee Lee FFMACCS 08 9225 4728    Website
  WA, Joondalup Dr. Xaftellis, Argie FFMACCS 08 9301 4244

Doctors performing this procedure: Cosmetic Medicine outside of Australia

  Location Name Contact
  Hong Kong, Hong Kong Dr. Fung, Ho Wang FFMACCS 852 2385 2666
  Hong Kong, Queen's Road Central Dr. Hui, Edward FACCS (852) 2851 4888    Website
  Hong Kong, Hong Kong Dr. Leung, Tsz Tung FFMACCS 852 3188 9728
  Hong Kong, Pedder Clinic Central Dr. Ng, Raymond FACCS (852) 2868 9333
  Hong Kong, Hong Kong Dr. Sham, Leo Wing Hang FFMACCS 852 2311 2838
  Hong Kong, Kowloon Dr. So, Siu-Yung FFMACCS 852 2601 9605
  Hong Kong, Hong Kong Dr. To, Chun Fung FACCS 852 2380 5519
  Malaysia, Malaysia Dr. San, Chen Sung FFMACCS 682 412866
  New Zealand, Whangarei Dr. Chapman-Smith, Peter FFMACCS 64 9 438 6767
  New Zealand, Christchurch Dr. Little, Ian FFMACCS 03 343 6365
  New Zealand, Wellington Dr. Poczwa, Henryk FFMACCS 64 939 1353
  Singapore, Dr. Ng, Donald FFMACCS 6562350880
  Spain, Vigo Dr. Robledo, Hilario 34 986 485213