Treatment

At Dermatology Junction, we are committed to providing personalised care that addresses your unique dermatological needs. Our compassionate team is dedicated to enhancing the health of your skin covering a spectrum of treatments, that encompass medical skin concerns, surgical procedures, and aesthetic treatments.

Hyperhidrosis Injection

Hyperhidrosis injections are a medical treatment used to manage excessive sweating, a condition known as hyperhidrosis. Hyperhidrosis injections typically involve the use of a neuromodulator, such as Botulinum toxin, which is injected into specific areas of the body experiencing excessive sweat production.

The neuromodulator works by temporarily blocking the nerve signals responsible for stimulating the sweat glands. By doing so, it reduces sweat production in the treated area. This treatment is particularly effective for focal hyperhidrosis, which refers to excessive sweating in specific regions like the underarms, palms, or soles of the feet.

Step-by-step:

Our qualified professional will clean and mark the treatment areas.
Several tiny injections of the neuromodulator will be delivered just beneath the skin’s surface.
Pressure will be applied to control pin point bleeding.
The process is usually well-tolerated and relatively quick, lasting about 15 to 30 minutes.

Cryotherapy

Cryotherapy is a dermatological treatment technique that involves the use of extremely cold temperatures to target and treat various skin conditions. The procedure is typically performed using liquid nitrogen or other cryogens that freeze and destroy the targeted tissue.

During cryotherapy, the dermatologist applies the cryogen directly to the affected area using a special applicator. The extreme cold causes the water within the cells to freeze, leading to the formation of ice crystals. These ice crystals disrupt the structure of the targeted cells, ultimately causing them to die off.

The procedure is generally quick, and patients may experience some discomfort during the freezing process and a stinging or burning sensation afterward. Mild redness and swelling may occur in the treated area, but these typically subside within a few days.

Daylight PDT

Daylight Photodynamic therapy (PDT) is a proven and supported treatment offered for sun damage, specifically solar keratoses, and certain shallow skin cancers like Bowen’s Disease and superficial BCCs. The number of treatments needed varies depending on each individual case, typically ranging from one to two sessions. During the procedure, a cream is applied to your skin and then activated by exposure to daylight.

Step-by-step:

Chemical sunscreen application for exposed areas, including treatment area. This will protect your skin from the ultraviolet light rays but will not block the daylight.
Preparation of treating lesions and application of Metvix activation cream
30-minute wait after Metvix application
Aftercare kit will be provided.
Two hours of daylight exposure for the treatment area. This activates the Metvix, which then begins to destroy the abnormal cells.
Removal of Metvix cream with water and gentle cleanser

What to expect?

After undergoing PDT, you might experience swelling, especially around the eyes and mouth, which can last for 2 to 3 days. Redness, swelling, blisters and pustules are common but typically subside within 1-2 weeks, with the peak discomfort usually by day 4. If you have a public-facing job, you may want to take 1 to 2 weeks off, though some people feel comfortable returning to work after 5 days. You can generally apply makeup 1 to 2 days after PDT.

Red Light PDT

Metvix (Methyl aminolevulinate) PDT is a light sensitive cream used to treat certain non-melanoma skin cancers and pre-cancerous lesions. It is non-invasive and utilises a red light source with a specific wavelength that is placed over the affected area. When the light is applied, the photosensitising agents react to the skin cancers and/or pre-cancerous lesions to destroy these cells.

The Metvix cream is highly selective for cancerous and pre-cancerous cells. This means scarring is minimised and healthy tissue surrounding the lesions is not affected

Step-by-step:

Before the Metvix cream is applied, the lesion will be prepared by removing scales and crusts and roughening the skin’s surface. This preparation helps the cream to be absorbed.
Metvix cream is applied to the affected areas and covered with a dressing for 3 hours - During this time patients are free to leave the practice, however they should ensure that the lesion is not exposed to very cold or hot temperatures or direct sunlight
After 3 hours, the dressing and cream are gently removed with saline. The treated areas will be exposed to red-light via a suitable lamp.
Generally 2 treatments one week apart is required

What to expect?

The most frequently reported side effects are painful and burning skin sensation typically beginning, during or soon after red-light exposure. These symptoms are usually mild or moderate in nature and should resolve on the day of treatment.

Patients may also experience local discomfort around the treated area during and after light exposure including skin burning, warm sensation, prickling and tingling skin or stinging sensation, swelling, pain itching of skin and redness.

Sometimes crusting, ulceration, weeping or discharge, blistering, peeling, bleeding skin, skin infection, changes to the colour of the skin or headache may also occur.

UV Phototherapy

UV Phototherapy utilises UVA or Narrowband UVB to treat skin conditions such as psoriasis, eczema, dermatitis, vitiligo and other, less common skin diseases. It entails the use of wavelengths of UV which is the major ultraviolet constituent of natural sunlight.

UV light particularly UVB can help skin conditions that are caused by an overreaction of the immune system by suppressing the immune system’s inflammatory response in the skin. It can also slow down the rapid growth of skin cells which is characteristic of psoriasis.

What is involved in this treatment?

The treatments are given at a minimum of 2 times per week and involve standing in a light cabinet which gives out a measured and controlled dose of narrowband UVB or UVA. Each time the patient receives a treatment the amount of UV is increased, thus the length of time they spend in the machine also increases.

What are the side effects of this treatment?

The most common side effect is sunburn. Patients must also tell the nurse whether they have been burned or even if you developed any redness following the last treatment.
Patients will become tanned with treatment.

It is very important that patients limit sun exposure during the period they are being treated.

It is quite common for the skin to get red and occasionally painful after treatment. Rarely blisters can occur. If the skin becomes red, often the rash will clear faster and fewer treatments will be necessary.
The rash may rarely worsen with this treatment. This can result from a burn with treatment or unpredictable photosensitivity.
There is theoretically increased risk of skin cancer. Studies on patients have not shown any definite evidence of this, and short-term treatments should not seem to entail any significant hazard.

Biopsy

A biopsy is a quick and simple procedure used to determine the nature of a specific spot, lesion or rash on the skin. It involves taking a small skin sample in our consultants' procedure room.

After injecting a small amount of local anaesthetic into the skin, a small instrument is used to extract a core specimen (varying from 2-8mm). Typically, only one suture is needed to prevent scarring. Once the biopsy is done, the specimen is sent to specialist pathologists for examination and diagnosis. The results are electronically transmitted to your dermatologist, and based on the findings, further treatment will be determined.

A dressing will be applied to your wound following surgery and you will be given post operative instructions on how to take care of your specific wound. The suture will be removed after 1 to 2 weeks, depending on the biopsied area.

Curettage and Cautery

Curettage and cautery (C&C) is commonly used to treat non-melanoma skin cancers, such as some basal cell carcinomas (BCCs), small squamous cell carcinomas (SCCs), and areas of SCC in situ (Bowen’s disease).

The Curette is an instrument used to “scrape” away skin cancer tissues without affecting normal tissue. The Cautery aspect of the procedure helps seal off bleeding and ensures the complete removal of any residual abnormal cells. These techniques work together to precisely address skin cancer and protect surrounding healthy tissue for the best possible outcomes.

Step-by-step:

Local anaesthetic injected into treating lesions to numb the area.
A surgical tooll (dermal curette) is used to scrape away the lesion.
The wound area is cauterised to effectively remove any residual abnormal cells, stop the bleeding and close the wound.
A simple dressing will be applied.

Excision

Simple Excision: A straightforward procedure involving the removal of your skin cancer or lesion. Sutures are put in to bring the skin back together. Performed with local anesthesia, resulting in a straight scar aligned with the skin tension direction. Scar size depends on the lesion's dimensions, typically being 3 or 4 times the width of the lesion. The number of sutures required is determined by the lesion's location and size. Commonly conducted in our procedure rooms.

Complex Excision: Sometimes, a more complicated surgery needs a "flap" for repair. A "flap" means moving tissue from a close area to fill the empty space where tissue is missing. This is needed when the edges of the wound are too far apart to join. The flap helps the wound heal faster and makes the reconstruction look better. In some cases, a skin graft may be needed to fix bigger surgical defects. Skin is taken from another part of the body and used to replace missing tissue. Both procedures are done with local anesthesia in our procedure rooms at Dermatology Junction or at a Plastic Surgeon’s procedure room, depending on the size and the area.

Aftercare for Surgical Excision: After the surgery, we will cover your wound with a dressing and explain how to look after it. Different procedures may have different wound care instructions. If you have any worries, please call our rooms and talk to our skilled nurses at 02 8540 9130

Anti-Wrinkle Injection

Anti-wrinkle injections are designed to target specific facial muscles, reducing their activity and addressing the creasing of skin caused by facial expression contractions.

These injections are effective in preventing the formation of expression lines that may develop over time due to continuous muscle contraction. The commonly treated areas include the frown lines, forehead wrinkles, and the delicate skin around the eyes.

Furthermore, by skillfully adjusting the dynamics and interactions between facial muscles, we can also achieve aesthetic improvements. For instance, elevating the mouth corners can be achieved by reducing the downward pull of the depressor anguli oris muscle, while lifting the brows can be achieved by reducing the downward pull of the orbicularis oculi muscle.

At Dermatology Junction, we offer a diverse selection of Anti-Wrinkle Injections that cater to various needs, including:

Crow's Feet
Frown Lines
Forehead Line
Non-surgical Brow Lifting
Downturned Lips
Lip Flip
Gummy Smile
Masseter/Jawline slimming
Nose Scrunch Lines
Excessive Sweating/Hyperhidrosis
Teeth grinding/clenching

Step-by-step:

Consultation: to determine injection points and required volume
Facial Photography: Photodocuments to capture different facial expressions, are taken before each treatment and during follow-up appointments.
Thorough Face Cleaning: Before treatment begins, we prioritize careful face cleaning using antiseptic to remove makeup and skin pathogens, creating a clean canvas for the procedure.
Assessment and Marking: The muscle movements in the targeted area(s) are carefully assessed, and injection points are marked to ensure precise placement of the anti-wrinkle injections. These markings may also be documented for future reference.
Precise Injection: Our expert practitioners administer the anti-wrinkle injections using a fine needle and syringe to those marked areas.
Post-Treatment Cleansing: After the injections, the skin is cleansed again with antiseptic to remove any blood or markings, leaving the treated area clean and ready for recovery.

IPL

IPL (Intense Pulsed Light) is a non-invasive cosmetic procedure that uses pulses of light to treat various skin conditions, such as sun damage, acne scars, rosacea, age spots, and spider veins. IPL can also improve skin texture, tone, and elasticity, as well as reduce unwanted hair growth.

At Dermatology Junction, we offer customised IPL treatments for different skin types and concerns. Our experienced and qualified nurses will assess your skin condition and recommend the best IPL treatment plan for you. IPL treatments are safe, effective, and have minimal downtime. You can expect to see visible results after a few sessions, depending on your individual needs and goals. To learn more about IPL treatments or to book a consultation, please contact us today.

Step-by-step:

Consultation: The first step is to consult with our experienced nurse to determine if IPL is suitable for your skin type and any concerns you may have. The professional will assess your skin and recommend a treatment plan.
Preparation: Your skin will be thoroughly cleaned. A dark eyeshield will be given to protect your eyes. Cold gel is applied to treating areas to lubricate your skin and to enhance soothing effects.
During treatment: a handheld device is passed across the skin’s surface delivering pulses of broad-spectrum light to the deep layers of the skin. The procedure takes approximately 30-45 minutes.

Microneedling

SkinPen microneedling is a minimally invasive treatment that uses an TGA approved medical device with small needles to create tiny channels in the skin.

This process is designed to stimulate the skin's natural healing response and accelerate collagen production, which can improve the appearance of fine lines, wrinkles, acne scars, pigmentation and other skin concerns.

Step-by-step:

Consultation: The first step is to consult with a trained SkinPen professional to determine if the treatment is suitable for your skin type and any concerns you may have. The professional will assess your skin and recommend a treatment plan.
Preparation: The skin is thoroughly cleansed, and a numbing cream is applied to the treatment area to minimize any discomfort during the procedure.
Treatment: The SkinPen device is moved over the treatment area, creating tiny microchannels in the skin. This medical-graded device uses a disposable cartridge containing tiny, sterile needles that penetrate the skin vertically. The needles oscillate rapidly, creating microscopic punctures that stimulate the skin's natural healing process.
Post-treatment care: After the SkinPen treatment, the treated area may be red and slightly swollen. It is essential to follow up with prescribed skincare, avoid direct sunlight and wear a broad-spectrum sunscreen of SPF 30 or higher to protect the treated area. Makeup should not be applied for at least 24 hours after the treatment.
Follow-up treatments: The number of treatments required varies depending on the skin concern and the individual's skin type. However, typically, a series of three to six treatments spaced four to six weeks apart is recommended for optimal results.

TCA CROSS

TCA CROSS stands for Trichloroacetic Acid Chemical Reconstruction of Skin Scars. It is a type of chemical peeling method used to improve the appearance of scars, particularly acne scars. The acid is precisely applied to the scarred area to stimulate collagen production and promote skin cell regeneration. The goal of TCA CROSS is to fill in depressed scars and create a smoother skin texture. It is a minimally invasive procedure that requires multiple sessions for optimal results, and should only be performed by a licensed and experienced professional.

Step-by-step:

Consultation: A consultation with a licensed professional is needed to determine if the treatment is suitable for you. Photos will be taken for records. The treatment is very well tolerated and does not require topical anaesthesia.
Skin preparation: The skin is cleansed and prepped to ensure that it is free of any makeup, oil, or dirt that could interfere with the effectiveness of the TCA.
TCA application: A small amount of TCA is applied to the scarred area using a fine-tipped brush. The TCA is carefully placed only within the boundaries of the scar and not on the surrounding healthy skin.

Aftercare:

The treated area may appear white and scabby for a few days after the procedure. The dermatologist will provide aftercare instructions, including moisturizing the area and avoiding sun exposure.

The number of treatments needed varies depending on the severity of the scars and the patient's individual response to the treatment. Typically, a series of 3-6 treatments, spaced several weeks apart, is needed for optimal results. It is essential to follow the aftercare instructions provided by the dermatologist to avoid complications and ensure proper healing.

For an optimal result, we recommend combination modalities to follow up with after TCA treatment, which includes:

SkinPen needling
Peels.
Appropriate skincare routines.

Chemical Peels

Chemical peels are a type of non-invasive skin treatment used to improve the appearance of the skin. During a chemical peel, a solution of one or more chemicals is applied to the skin, causing the outermost layer to peel off and reveal newer, smoother skin underneath.

There are several types of chemical peels offered, including glycolic, mandelic and citric acid peels, and the strength of the chemical solution used will depend on the severity of the skin condition being treated.

Superficial peels use mild acids, such as low concentration glycolic Acid,, to exfoliate the outermost layer of the skin. They are generally used to treat fine lines, mild acne, and uneven skin texture.

Medium peels use stronger acids, such as salicylic acid, higher concentration glycolic Acid or trichloroacetic acid (TCA), to penetrate deeper into the skin and treat more severe skin conditions, such as deeper wrinkles, acne scarring, and sun damage.

Deep peels use the strongest acids to penetrate the deepest layers of the skin and address the most severe skin conditions, such as deep wrinkles, scars, and precancerous growths.

Ask us about our Aspect Power Peel specifically to address UV damage from a blend of Kojic Acid, Mandelic Acid, Glycolic Acid, Salicylic Acid, Retinol and Emblica.

The benefits of chemical peels include improved skin texture and tone, reduced appearance of fine lines and wrinkles, and diminished acne scarring and dark spots. However, chemical peels should only be performed by a licensed and experienced skincare professional, as they can cause skin damage and complications if not used properly. Aftercare instructions, such as avoiding sun exposure and using a good quality sunscreen, are crucial for optimal results and safe healing.

Step-by-step:

Consultation: A consultation is needed prior to treatment to determine skin concerns and suitability.
Skin preparation: The skin is thoroughly cleansed to remove any makeup, oil, or dirt.
Application of the chemical solution: A chemical solution, such as glycolic acid, is applied to the skin using a brush. The strength of the solution used will depend on the type of peel and the severity of the skin condition being treated.
Timing: The solution is left on the skin for a set period of time, determined by the type and strength of the peel. During this time, patients may experience a warm, tingling sensation or mild discomfort.
Neutralisation: After the desired time, a neutralising solution is applied to the skin to stop the action of the chemical solution.
Post-treatment care: The skin may be red and sensitive after a chemical peel, so it's important to follow the aftercare instructions provided by your nurse. These may include avoiding sun exposure, using a gentle moisturiser, and avoiding any harsh or abrasive products.

Fractional
CO2 Laser

Fractional CO₂ laser treatment is a cutting-edge skin resurfacing procedure designed to enhance skin texture, tone, and overall appearance. Unlike traditional fully ablative CO₂ lasers that remove the entire outer skin layer, fractional CO₂ lasers create precise microthermal zones, leaving surrounding tissue intact. This innovative approach accelerates healing, minimises downtime, and significantly reduces the risk of complications such as hyperpigmentation and scarring. By stimulating natural collagen production, this treatment effectively restores firmness, smoothness, and a youthful glow.

At Dermatology Junction, we utilise the Fraxis Duo, an advanced system that seamlessly integrates CO₂ fractional laser technology with radiofrequency microneedling, to target a wide range of aesthetic concerns. Our Fraxis Duo fractional

CO₂ laser treatment is ideal for addressing:

Uneven skin tone and texture
Fine lines and wrinkles
Unwanted lesions and pigmentation
Acne scars and surgical scars
Skin laxity and loss of firmness
Enlarged pores and rough skin
Stretch marks and textural irregularities
Dull complexion and skin lightening

Step-by-step:

1. Consultation: The first step is to consult with our experienced nurse to determine if fractional CO2 laser is suitable for your skin type and any concerns you may have. They will assess your skin and recommend a treatment plan.

2. Preparation: *Please note that darker skin types may require 2 week skin-prep with tyrosinase inhibitor prior to treatments*

Your skin will be thoroughly cleansed to remove impurities. To maximise comfort, a topical numbing cream will be applied before the procedure for treatments with more severe conditions.

3. Treatment: Using the Fraxis Duo with appropriate settings, fractional CO₂ laser is meticulously applied to the targeted areas. The laser energy creates micro-injuries in a fractional pattern, triggering collagen production while preserving the surrounding tissue for quicker healing and enhanced skin renewal.

4. Post-Treatment Soothing & Aftercare Guidance: A soothing cream and cool air will be applied to calm the skin and minimise redness. Our experienced cosmetic nurses will provide detailed aftercare instructions, including sun protection, hydration, and suitable skincare products to support your recovery.

Recovery & Results: What to Expect

Minimal Downtime: Expect mild redness and swelling, typically resolving within a few days, followed by gentle peeling as new skin regenerates.
Progressive Improvement: Initial results appear within weeks, with continued enhancement over 2-3 months as collagen production strengthens.
Optimal Outcomes: Depending on your skin condition, we may recommend a series of 1-3 sessions, spaced 4-6 weeks apart, for maximum rejuvenation.

RF Needling

RF (radiofrequency) microneedling is an effective treatment that stimulates collagen production, tightens skin, and improves overall texture. By combining microneedling with precisely controlled RF energy, this procedure penetrates deep into the dermis, enhancing skin remodelling with minimal downtime. It is an excellent solution for tightening, firming, scar reduction, and overall skin revitalisation.

At Dermatology Junction, we utilise the Secret RF, a state-of-art system. The Secret RF treatment is a gold standard RF treatment and is clinically proven as safe, effective and can be used on all skin types with minimal to no downtime.

Our Secret RF microneedling treatment is ideal for addressing:

Fine lines and wrinkles
Skin laxity and sagging
Acne scars and surgical scars
Enlarged pores
Skin tone and texture
Stretch marks
Skin tightening for a firmer, lifted appearance
Reduction of hyperhidrosis - underarm sweat

Step-by-step:

1. Consultation: Your journey begins with an in-depth consultation with our dermatology experts. We assess your skin concerns and goals to create a customised treatment plan tailored to your needs.

2. Preparation: Your skin will be thoroughly cleansed to remove impurities. To maximise comfort, a topical numbing cream will be applied before the procedure.

3. Treatment: Prior to your treatment, your clinician will choose an appropriate type of single-use sterile pin head that is suitable to your skin type and skin concern. With Secret RF, ultrafine microneedles deliver controlled RF energy into the deeper layers of the skin. This stimulates collagen production and tightens tissue while minimising damage to the outer skin layer, promoting faster healing.

4. Post-Treatment care & Aftercare Guidance: A hydrating soothing cream may be applied to soothe the skin and reduce redness. Our experienced clinicians will provide detailed aftercare instructions, including skin barrier protection, sun protection, and recommended skincare products.

Recovery & Results: What to Expect

Minimal Downtime: Mild redness and swelling may occur, typically resolving within 24-48 hours. Most patients can resume normal activities within a day.
Gradual, Long-Lasting Improvements: Initial results appear within a few weeks, with ongoing enhancement over 2-3 months as collagen production increases.
Customised Treatment Plans: Depending on your skin condition, we may recommend 3-5 sessions spaced 4-6 weeks apart for optimal results.

Lesion Removal

Safe & Effective Removal of Skin Lesions

In addition to skin rejuvenation, our fractional CO₂ laser is a highly effective tool for the precise removal of unwanted skin lesions. This minimally invasive treatment safely targets and removes a variety of benign skin growths with minimal scarring and downtime.

Treatable lesions:

Skin tags
Moles (benign, non-cancerous)
Seborrhoeic keratoses
Milia
Syringomas
Other unwanted benign lesions

Step-by-step:

1. Consultation: Our dermatology specialists will conduct a thorough assessment to ensure the lesion is suitable for laser removal. We discuss treatment options and expected outcomes.

2. Preparation: The treatment area is cleansed and disinfected. Local or topical anaesthetic may be applied to ensure comfort during the procedure.

3. Treatment: Using the precision of our CO₂ laser, we gently vaporise the lesion layer by layer without damaging surrounding skin. This ensures a controlled and effective removal process with minimal scarring.

4. Post-Treatment Care & Recovery Guidance: After treatment, a protective dressing or antibacterial ointment may be applied. Our professionals will provide detailed aftercare instructions to promote optimal healing and prevent infection.