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Author: Dr Jo Turner

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The Do’s and Don’ts for a Healthy Skin Microbiome

What is your skin Microbiome?

The skin microbiome is all the micro-organisms that live on your skin.  These organisms include bacteria, fungi and mites. It is essential not to consider micro-organisms as good or bad. What changes skin health appears to be an imbalance or dysbiosis of the micro-organisms present. So P. Acnes (the bacteria associated with acne) is present on everyone’s skin. Inflammation in the skin allows changes which see P. Acnes bacteria increase in acne lesions. The process of this is not fully understood. However, what is known is most micro-organisms living on your skin are beneficial to skin health and that when an imbalance in the organisms occur, skin disease can develop.

So what we do know Skin Micro-organisms:

  • The micro-organisms protect against bacteria which would cause harm to our skin
  • Support of our skin immune system
  • Help maintain skin health & beauty


Eczema, rosacea, acne, allergies and the skin’s ageing process are all linked to imbalances in the skin microbiome and impaired barrier function.

What determines your skin Microbiome?

Everyone’s Microbiome is as individual as their DNA. The skin microbiome is constantly changing depending on your

  • Age & gender
  • where you live & environment the environment,
  • lifestyle, diet, exercise, pets
  • what products you put on your skin and cleansing
  • inflammation which can be caused by stress, sun exposure, excess sugar, alcohol or cigarette smoke.

 Which microbiota lives in your skin?

Over 250 different types of micro-organisms live on your skin.

Bacteria are the most common with over 1000 different bacteria species present on your skin. Three types, Staphylococcus, Corynebacterium and Propionibacterium, account for more than 60% of the bacterial present.


Our micro-organisms living with diversity & harmony is essential.

As stated previously, most microbes on your skin are not good or bad, but part of a diverse community living in harmony with our cells. Our skin cells provide nutrients for the micro-organism, and in return, they help protect our skin barrier.

Diversity is essential, helping protect against an imbalance of a species protects against skin disease. To find examples of this, if we look at bacteria, fungus and mites that can live on everyone’s skin without causing harm. Staphylococcus aureus (S. aureus), Propionibacterium acnes (P. acnes), the fungus Malassezia globose (M. globose) or the Demodex mites are all part of the healthy microflora on our skin.

 An imbalance of these microbes underlies common skin diseases.

Staphylococcus aureus – eczema,

Propionibacterium acnes– acne

Malassezia globose – dandruff

Demodex mites – rosacea


  • Some S. aureus strains produce toxins and cell-binding proteins that inactivate antibodies. (that protect the skin)So, although they S. aureus live without causing problems when they are part of a diverse microbiome when a dysbiosis develops, S. aureus causes atopic dermatitis in some individuals.
  • Propionibacterium acnes live in the oil-rich region of everyone’s skin. Internal factors allow P. acnes to overgrow. It is the dysbiosis that explains why acne develops in some people by not everyone.
  • The fungus responsible for dandruff, Malassezia globose, is found on everyone’s scalp. Yet is it only in some environments and in some people that dysbiosis develops and dandruff develops.
  • Demodex mites likewise are present in everyone’s hair shaft. However, in some individuals, external triggers cause overgrowth with up to 6 times the average amount and subsequent inflammation in rosacea.

The cause of each of these skin diseases is complex and not understood clearly. However, one thing is that a diverse microbiome living in harmony prevents and helps settle these and other skin woes. The future of skincare is about avoiding factors that interfere with this balance and adding products to take care of your skin Microbiome.

 How to care for your skin’s Microbiome

Protect your skin barrier from damage – the DO’S & DONT’S. Though little is known as to how to protect microflora balance, there is early evidence for the use of some products on the skin and taken orally do contribute to skin health.  Central to this are measures that maintain a healthy skin barrier!

DO’s – For Healthy Skin Microbiome

  1. Use skincare that promotes healthy skin barrier examples include Niacinamide & Ceramides. Barrier repair moisturisers that contain a 1:1:1 ratio of fatty acids, ceramides, and cholesterol is the optimum choice for repairing an impaired skin barrier.
  2. Products that protect and support microflora have anti-inflammatory, calming soothing – NIACINAMIDE. SELENIUM containing THERMAL SPRING WATER – thermal spring water contains minerals which help microbiota that live on your skin. SELENIUM scavenges free radicals and has anti-inflammatory properties.
  3. Eat a healthy diet as a healthy gut microbiome affects the health of your skin Microbiome. A healthy gut microbiome is vital in preventing and treating many skin conditions and in reflecting radiant skin health. Eat fermented foods that contain prebiotics, eat probiotics with insoluble fibre and complex carbohydrates.
  4. Protect from UV and blue light damage. We are all aware of the damaging effects of UV radiation. Not only can it cause DNA damage, but it also sets up inflammation in the skin that can trigger rosacea flare. More recently, the role of blue light from sunlight, digital devices (tablets, phones) and indoor lighting in setting up inflammation has been elucidated.  Wear sunscreen and use sun protection as well as measures to protect against blue light stress.

DONT’S – For Healthy Skin Microbiome

The most common skin problems we see is from damage to skin barrier caused by over-cleansing, over-exfoliating, scrubbing or using incorrect skin products.  Interrupting the skin barrier causes an imbalance in microflora and can result in outbreaks of acne, eczema and rosacea.  Likewise, poor diet choices affect your Microbiome.

  1. Don’t use mechanical face scrubs, don’t over-cleanse, do not cleanse with soap
  2. Don’t eat excess sugar, simple carbohydrates, processed foods. Avoid excess alcohol.

The latest trend is formulating skincare with prebiotics, probiotics and postbiotics to control dysbiosis. Is this effective and is this promising future for skincare or just a fad. It is too early to know. But yes, using measures that have shown to protect and promote a diverse microbiome living in harmony with your skin is essential for skin health.


For advise on skin care that helps protect your skin barrier and microbiome why not book online for a free skin analysis or call us on 33505447.

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We deliver the best Extraction Facial in Brisbane | We challenge any clinic!

We take pride in our extraction facials and believe we deliver the best extraction facial in Brisbane! Yes, that is a challenge.

These are the steps in our extraction facial.

Cleanse  – We double cleanse: For the first cleanse – we start with milk or gel cleanser (suitable to your skin type) to clean the skin of makeup and oil. With the second cleanse – we use an AHA/BHA cleanser to clear the skin of dead skin cells.

[caption id="attachment_12650" align="aligncenter" width="768"] Double Cleanse – first cleanse with milk or gel cleanser, second cleanse with BHA, AHA cleanser.[/caption]

Exfoliate & Soften – we open the pores with a BHA solution and apply desincrustation solution to soften the plug inside the pore. To help the skin to soften we use hot towels, which  helps to prevent trauma to the skin

[caption id="attachment_12654" align="aligncenter" width="768"] Apply desincrustation Gel[/caption]

Extractions – we have a choice of over 15 different extraction tools to remove comedones appropriately. We offer 30 – 45-minute treatments. If you require longer than 45 minutes, we advise splitting this into more sessions. You will need extractions monthly to 6 weekly to keep your skin clear.

Settling your skin afterwards – we apply anti-inflammatory and soothing 10% niacinamide – Proparia Skin Defence Serum. There is also an optional add-on LED Therapy to reduce inflammation.

Adjunct treatments We provide other pore treatments with lasers; Carbon laser facials and Pico laser treatment or Chemical peels; such as Salicylic acid or Jessner peel and skin needling. Our therapists provide advice on additional therapies that can help settle your concerns.

Skincare as aftercare We have excellent affordable skincare to help keep your pores clearer for longer, e.g. The Ordinary Glycolic Toner and Salicylic Mask or Dermaenergy Solve & Dissolve will all keep your skin clearer for longer.

[caption id="attachment_12652" align="aligncenter" width="768"] LED as add on after extraction facial.[/caption]

What is an extraction facial?

An extraction facial describes the process of clearing the skin pore. Skin pore blockages include blackheads (open comedones), whiteheads (closed comedones) or sebum from enlarged pores. Appropriately performed, an extraction facial can last 4-6 weeks before it must be repeated. The addition of laser therapy especially helps if enlarged pores are the main concern.

What can be achieved with an extraction facial?

Extraction facials are part of a month to 6 weekly skincare routine to keep your skin healthy. They provide a temporary solution to pore dysfunction. Generally, if you are concerned with enlarged pores or blackheads, you will need to factor in regular treatments. For more dramatic results, it is advised to add laser treatments to reduce pore size.

What Lasers reduce pore size?

  • For fair skin types: rf microneedling, fractional lasers such as CO2 or Fraxel are safe and effective treatments.
  • For darker & Asian skin types: pico lasers such as Picosure or picocare are safe lasers.
  • Rf microneedling is safe for all skin types.

What is the downtime after an extraction facial?

The downtime from a facial extraction ranges from hours up to a week. The factors that determine this is the difficulty of the extraction. We use desincrustation liquid and heat to open pores before extraction. However, problematic milia or blackhead extraction will cause some surface injury, which will need to heal. With open pores, generally, any redness will settle overnight what this means for you? Plan to get your extraction facial performed at least seven days before any significant event.


For the best extraction facial in Brisbane call us on 3350 5447 or book online with one of our therapists.

Coolsculpting vs Emsculpt

Coolsculpting and Emsculpt are both non-invasive body contouring devices. But that is where the similarity ends. Coolsculpting is used to reduce pockets of unwanted fat.   Whereas, Emsculpt is primarily designed to build or sculpt muscle. So think defined abs or butt lift. However, Emsculpt does also have some localised fat reducing properties.

CoolSculpting vs Emsculpt technology? 

Coolsculpting and Emsculpt have a similar aim, i.e. body sculpting. However, the mode of action is very different. Coolsculpting uses cryolipolysis or fat freezing for spot reduction of fat resistant to diet and exercise. In contrast, Emsculpt uses high intensity focused electromagnetic (HIFEM) technology to induce 10 – 20,0000 muscle contractions in one session. It is like doing intense workout and provides muscle sculpting. It can help with fat reducing as long as you maintain a low sugar diet while getting treatment. So once available sugar is used it will turn to fat burning.

Coolsculpting uses a handpiece to suck fat into a cup, where it is taken to a low temperature. The aim to induce fat cell death for permanent reduction of fat. The released fat is then eliminated from your body.

Emsculpt, on the other hand, delivers HIFEM via a handpiece, strapped over the muscle you wish to condition. Tne focused magnetic stimulation causes rapid, repeated muscle contraction. Think of thousands of sit-ups in a single 30-minute session.

CoolSculpting vs Emsculpt discomfort level 

Both Coolsculpting and Emsculpting cause some discomfort during the treatment. The Emsculpt is much less with an initial period of unease as your muscles get used to the intensity of contractions. Coolsculpting causes pain at the start and end of the treatment. Firstly when the fat is initially sucked into the cup, it can feel like an intense pulling. Once the temperature is lowered; however, the area is numb, and there is no discomfort experienced. Secondly, when the Coolsculpting handpiece is removed, and the fat popsicle is massaged, there can be a more intense pain as the blood returns to the area and warms up.

Length of Treatment CoolSculpting vs Emsculpt 

Coolsculpting and Emsculpt have very different treatment recommendations. Coolsculpting takes an hour to treat an area, whereas Emsculpt is a 30-minute treatment. With Coolscupting, the procedure is repeated at 8 -12 weeks for further reduction of fat. Optimally most people require 2-3 treatments for reduction. Whereas the Emsculpt is recommended as a minimum of 4 performed every three days for optimal results. So with the Emsculpt, you are best to make sure you have dedicated time set aside over a fortnight for optimal results.

CoolSculpting vs Emsculpt body sculpting results 

Although both Coolsculpting and Emsculpt are body contouring treatments, Coolsculpting focuses on spot fat reduction and Emsculpt focuses on muscle toning, with some little fat reducing benefits. Coolsculpting claims to produce a permanent reduction in fat in the treated area (because the freezing induces apoptosis). In contrast, the Emsculpt results need to be repeated once every 12 weeks to 6 months. If you are wanting to treat yourself, combining Coolsculpting and Emsculpt treatments should give superior results for abs. Firstly reducing the fat with Coolsculpting, then building definition with the Emsculpt.

What areas can be treated Coolsculpting vs Emsculpt

Both can be used in multiple body areas. Emsculpt is primarily used for ab sculpting and non-surgical butt lift. However, it can also be used for the top of thighs, arms or calves. Whereas coolsculpting can be used for the tummy, chin, arms, bra fat, love handles, inner & outer thighs, knees, banana roll, back fat, i.e. most areas of the body which have unwanted fat.

Alternatives to CoolSculpting or Emsculpt for body sculpting? 

There are several non-invasive, as well as liposuction that can be used as alternatives for body sculpting. Some of these have entirely different technology to them, whereas some other options act via the same process. Firstly the other options to Coolsculpting and Emsculpt that uses various methods, including fat heating technologies such as Vanquish and Trusculpt (which use radiofrequency) Warmsculpting with Sculpsure, ultrasound or physical removal such as liposuction. Fat-dissolving injections can also be used to reduce chin fat and can be used off label across many body areas.

Alternatives to Coolsculpting that use fat freezing include Clattuu and Cooltech. Both are established and provide consistent results.

Alternatives to Emsculpt include Telslaformer. Teslaformer uses focused magnetic stimulation to induce muscle contraction. Originally it was introduced as a device for medical purpose and found full acceptance for the rehabilitation of muscle. It is used to treat various muscular pains, as well as stress incontinence. (The Emsculpt also has a device to treat incontinence). However, in the aesthetic market, Tesla provides muscle building for body sculpting.


CoolSculpting vs Emsculpt for cellulite?

Neither cool sculpting or Emsculpt are indicated for cellulite, though both may have some side benefits to help reduce the fat, increase blood supply and provide some side benefit of skin tightening. For cellulite treatment, you are best to look toward Cellulaze or fat reducing injections such as Lipodissolve.

CoolSculpting vs Emsculpt side effects?

While both Coolsculpting and Emsculpt are,non-invasive both have possible side effects.

CoolSculpting side effects include pain, bruising, sensitivity or numbness, lumpiness in treated areas. There is also the risk of over-response, which can result in local divots (as the fat is reduced too much in one area). The flip side is the possibility of paradoxical hyperplasia (PAH). Where, instead of fat reducing in the treated area, it increases.

Emsculpt can also give muscular pain in the treated area. (like you have completed a good workout).

The ideal candidate for CoolSculpting vs Emsculpt? 

The ideal candidate for both cool sculpting and Emsculpt is someone who has BMI 25 or less if you have a higher BMI then treatments like liposuction or BTL Vanquish provide superior treatment.

Cooltech vs FMS Sculpting

We have chosen the alternative technologies for fat freezing and magnetic muscle stimulation because we can deliver these at an affordable price on the market.

We use Cooltech for fat freezing and FMS Sculpting with Teslaformer for magnetic stimulation of muscle contractions.

Our full offering for body sculpting and tightening include Cooltech fat freezing, Tesla former, Vanquish radiofrequency, Lipodissolve, laser for stretch mark treatment & Lipodissolve  injections for cellulite. Skin tightening with radiofrequency.


Call us on 3350 5447, email us or book online a free body consultation with our therapists to find out which body treatment will help with your body goals.


RF Microneedling vs Skin Needling for Acne Scar & Skin Texture Concerns

Skin needling is a popular treatment for skin rejuvenation. The newest skin needling technique combines radiofrequency (rf) with microneedling, boosting this treatment to a whole new level.

Traditional Skin Needling

Traditional skin needling uses a microneedling pen or dermaroller to stimulate collagen remodelling. It has been used for nearly two decades to reduce acne scars, fine lines and wrinkles and other skin woes. More recently, it has been combined with PRP (platelet-rich plasma) or mesotherapy, as the microchannels created with needling allow deeper penetration of growth factors and nutrients.

RF Microneedling

RF or radiofrequency energy combined with skin needling takes this treatment to the next level. First, the microneedles are inserted into the skin (after substantial numbing). Secondly, radiofrequency energy is delivered into the dermis. The whole process is very controlled, so the rf energy is given to the skin at a level where it can have maximal therapeutic benefit. The result: more dramatic results.

[caption id="attachment_12004" align="aligncenter" width="600"] CO2 vs RF Microneedling Energy Penetration[/caption]

Who Can Have RF Microneedling?

RF Microneedling is appropriate for all skin types and can be combined with a CO2 laser. It is used to:

  • Reduce fine lines & wrinkles
  • Reduce acne and other scars
  • Tighten skin
  • Smooth and refresh irregular skin texture


The Benefits of RF Microneedling

Throughout 3-4 treatments, you expect a significant improvement in skin quality.

  • You can expect similar benefits to ablative, fractional CO2 laser treatment with less downtime.
  • It can be used on darker skin types.
  • Healing occurs quickly and can be used in combination with other advanced skin rejuvenation treatments.

RF Microneedling with Fraxsis Duo

We chose Secret Rf as it came with Fraxsis CO2 laser. The first platform to combine RF microneedling with a fractional CO2 laser.

We still perform skin needling as a superficial rejuvenation treatment. Yet, for specific skin concerns, such as acne scars, stretch marks, self-harm scars, fine lines and wrinkles, the advantage of rf microneedling stands out. The first step is to come in for a free assessment with our laser therapists.  To find out more about skin needling Brisbane or any of our laser treatments call 33505447

Hydroquinone | Skin Bleaching & Whitening Cream for Hyperpigmentation

Skin lightening and skin whitening both refer to treatments designed for skin pigmentation removal. There is a range of skin whitening treatments, which include laser, IPL & chemical peels used for hyperpigmentation treatment. Skin bleaching is a term that refers specifically to a whitening cream. Hydroquinone cream remains the gold standard for skin bleaching. However, there are other skin lightening creams. These include prescription treatments Vitamin A and over the counter natural alternatives such as kojic acid and niacinamide. I will run through the mode of action of hydroquinone cream and other skin bleaching creams, as well as a brief overview of additional skin whitening and skin lightening therapies.

How do Skin Bleaching Creams Work?

The basis of skin bleaching is that the whitening cream must either prevent new pigment forming in the skin or act to remove existing hyperpigmentation. There are several different skin whitening creams which operate in different ways. Most often combinations of these are used. However, the ultimate skin whitening cream is sun protection and SPF 50+

Skin Lightening Creams that Decrease Pigment Formation. 

Hydroquinone cream remains the gold standard for skin bleaching and is often used in combination with chemical peels to maximise skin whitening. Hydroquinone cream works by blocking proteins (enzymes) in the skin responsible for melanin production. The two essential proteins are tyrosinase and peroxidase. Other whitening creams act to normalise cell activity or to reduce free radicals in the skin responsible for melanin production. However, most of the skin bleaching creams work by inhibiting these two enzymes. This cream remains a mainstay in melasma treatment.

Skin bleaching by blocking the enzymes that produce pigment.

There are a series of reactions that lead to hyperpigmentation in the skin. Two essential enzymes information of melanin pigment include tyrosinase and peroxidase. Whitening cream that blocks the action of these enzymes decreases hyperpigmentation. 

Prescription hydroquinone cream works by blocking the enzyme tyrosinase. 

  • It not only decreases the amount of pigment produced in the skin but also helps breakdown existing melanin.
  • Hydroquinone cream is dose-dependent and available in a low dose over the counter. However, treatment of hydroquinone 4 per cent and above are recommended.
  • The side effects are also dose-dependent, so our Doctors prescribe combinations of creams to minimise side effects.
  • The Main side of hydroquinone 4 % is mild inflammation to the skin
  • confetti-like hypopigmentation can occur with the use of hydroquinone cream
  • ochronosis which is very rare but results when hydroquinone cream is used continuously (usually for many years). It appears as a bluish discolouration of the skin but can progress with discoloured papules.

For this reason, it is suggested that hydroquinone should never be used long term, and should never be used for greater than three months in any one instance.

Naturally derived whitening creams working through tyrosinase system.

  • Arbutin is derived from leaves of different berries such as cranberry etc. It works to decrease tyrosinase effect.
  • Kojic Acid is produced by fungi or bacteria. It acts by decreasing the amount of tyrosinase available to produce melanin. 

Skin Lightening Creams that Remove Existing Pigmentation.

Vitamin A has its skin whitening action by increasing cell turnover and removing existing pigmentation. Similarly, chemical peels, IPL and lasers exert their skin bleaching effect by removing existing pigmentation. It is common to combine whitening creams with therapies such as peels and IPL because they act in different ways to lighten skin pigment.

Whitening creams that decrease free radicals. 

There is a group of skin lightening creams that act by decreasing inflammation. They primarily serve to reduce free radicals. Why does this have a skin whitening effect? Many forms of hyperpigmentation such as melasma and post-inflammatory hyperpigmentation result from skin inflammation, so act as skin lighteners. 

  • Azelaic acid is known for its inhibition  of melanin production
  • SymWhite 377 or phenyl ethel resorcinol is an anti-oxidant that reduces inflammation and melanin production.
  • Vitamin C is an antioxidant that acts in multiple ways to decrease pigment production and prevent it from being deposited in the skin. Vitamin C can be irritating.
  • Niacinamide is non-irritating, anti-inflammatory. Anti-Inflammatory and decreases the deposition of pigmentation.

Vitamin A  acts as a whitening cream by normalising cell activity.  

Vitamin A topicals such as retinoic acid act by normalising melanin cell activity and decreasing the melanin production. 

Prescription Vitamin A creams remain the gold standard ( though over the counter retinol also have an impact). For skin bleaching, vitamin A is often combined in a hydroquinone cream. 

SPF 50+ – The Ultimate Skin Whitening Cream

Any skin bleaching regimen should include sun protection. Using hydroquinone cream or whitening creams will have a minimal impact unless the skin is protected from the sun. This is important before, during and after skin whitening treatments.

Chemical Peels for Skin Bleaching

  • applying chemical peels to the skin is another cornerstone of pigmentation treatment.

There is a range of peels available, but any that increase surface exfoliation and add in the breakdown of pigment will work. Our favourites include Jessner peel, TCA Peel and vitamin A as these are more potent and potentially work faster. Although any alpha & beta hydroxy acids increase surface peeling these have more potent effects.

Underarm Whitening

There are areas of the body that require more care for skin bleaching. There include underarm, between legs and under the breast. Hyperpigmentation develops in these areas from friction. Regular whitening creams are too harsh, and skin whitening with a laser, IPL or chemical peels are not indicated. Special skin lightening creams are available on prescription.

Call Us Today On 3350 5447 For A FREE Consultation to Discuss Skin Lightening.

Email Us With Any Queries.

Reduce Pore Size | Minimise clogged or enlarged pores on nose and face.

How to reduce pore size? Laser therapy, microneedling, extraction facials, skincare and peels are all useful to minimise pores.  Most treatments are temporary and require routine maintenance.  However, some provide longer-term results. These treatments can be divided into three categories.

  1. Laser and microneedling to achieve a longer-term reduction in skin pore size.
  2. Temporary: Treatments that minimise enlarged pores by keeping them clear of sebum. These include extraction facials, chemical peels and microdermabrasion. These require regular scheduling.
  3.  Skincare such as prescription vitamin A and BHA provide an excellent start to reduce pore size. Once again, skincare requires daily use.
  1. Laser Resurfacing & Other Treatments to Reduce Pore Size

Several lasers are effective in reducing pore size. Fraxel, fractional CO2, ablative erbium and even laser genesis work depending on the depth and skin colour and type. Carbon laser facials using Q switch or Pico laser can be added as part of ongoing treatment to reduce pore size. Radiofrequency microneedling is the best overall technology for pore shrinking results, although combining treatments give the best approach.

  • In people with darker skin colour, Pico lasers or radiofrequency such as rf microneedling are safer choices.
  • Correct application of skin needling can reduce pore size.
  • For deeper skin pores, TCA peels or TCA cross is indicated
  1. Therapies Designed to Clear Clogged Pores

There are a couple of therapy treatments that assist in minimising pores.

  • Chemical peels especially salicylic acid or Jessner peels help clear pore contents.
  • Extraction facials are used to not only clear blackheads & milia, but can also assist in clearing clogged pores.
  • Microdermabrasion uses suction to vacuum out pore contents.

As all of these therapies simply clear the sebum, this will reaccumulate, so routine maintenance is required.

  1. Skincare to Minimise Pores

Excellent products to help reduce pore size are prescription Vitamin A cream, Vitamin B (niacinamide) and over the counter BHA (Salicylic Acid).

  • Vitamin A works in several ways to help shrink or reduce pore size. Firstly, it helps slow oil production, and secondly, it helps stabilise the cell turn over—both of these helps to clear clogged pores.
  • Salicylic Acid or BHA 2% is an oil-soluble chemical exfoliant. BHA penetrates the oil in the oil glands, helping exfoliate the pores on nose and face and improve the cosmetic appearance and minimise pore size.
  • The action of niacinamide is not clearly known.

How Long Does Skin Care Reduce Pore Size?

Daily application is required; results are a cumulative, and long-term reduction in pore size can be expected. However, these will both need to be applied daily to minimise pore size.

Call 07 33505447 For A Free Assessment or Email any Queries.

What Causes Enlarged Pores?

Acne, enlarged pores, blackheads and whiteheads are all caused by problems with skin pore function and are mainly genetic.  Men and women both get enlarged pores, but there is a higher occurrence in men. The underlying predisposition to clogged pores is the amount of oil produced in your skin and susceptibility to the oil gland becoming obstructed.

Enlarged pores are caused by overproduction of oil and skin cells inside the pore. The pores become clogged with accumulated sebum and dead cells and slowly enlarge. So, treatments to minimise pores should address both of these.

Microdermabrasion For Acne | Clear Skin with Microdermabrasion Facial

A microdermabrasion facial can help settle mild acne for clean and bright skin and complexion. It works like a deep cleansing (sucking out and mildly abrading pore obstruction) to resolve pimples, whiteheads and blackheads. The layer of skin that is removed in very fine and consists of dead skin cells that have been adding to pore obstruction and acne, so the surface is not damaged in the process.

Microdermabrasion for Acne

A series of microdermabrasion facial treatments are required, spaced one to four weeks apart. (Depending on the severity of the congestion.) After each session, you will notice a gradual clearing of obstruction and settling of acne.

A study on the use of Microdermabrasion for Acne by the Ohio Medical Centre concluded that 96% of patients were pleased with their Microdermabrasion results and would recommend it to others. According to this study: “medical microdermabrasion has ‘satisfactory to excellent results’ on acne; microdermabrasion can be ‘effectively used’ to fight mild forms of acne.”

How Does Microdermabrasion for Acne Work?

Microdermabrasion for acne treatment works purely on physical abrasion and clearing of pore obstruction. When combined with other modalities such as extractions and peels the effectiveness of a microdermabrasion facial is multiplied.

What Is Involved in a Microdermabrasion Facial?

Similar to other facial treatments, a microdermabrasion facial starts with double cleansing and can be combined with peeling agents to help unblock comedones. It is not painful but may leave the skin slightly reddened. Microdermabrasion can also be combined with extraction facials if blackheads and whiteheads are predominant.

We offer a range of acne treatments, including Kleresca acne treatment for the treatment of moderate to severe and cystic acne.

We offer a free assessment with our dermal therapists for you to discuss your concerns and treatment options.

Call Us On 3350 5447 For A Free Consultation.

Email Us With Any Queries.

Skincare For Cystic Acne

Many people seek a more natural approach to settling cystic nodular acne. Skincare alone, will not settle cystic acne. Neither will dietary changes, nor taking supplements nor essential oils. However, there are more natural alternatives to oral vitamin A and antibiotics to treat moderate to severe, cystic acne. An entirely new blue light activated gel – Kleresca acne treatment.

Skincare for Cystic Acne, however, is essential and mostly the same for all grades of acne. Why? Because the underlying cause of acne is the same and the difference with cystic acne is only the severity and depth. No skin care can penetrate deep enough to impact on the cystic nodular components. So the idea is once the cystic acne is settled with Kleresca to provide skin care to prevent inflammation and acne formation.

Overview of Skincare for Cystic Acne

1.Use an exfoliant, and we do not mean a scrub which can be harsh and irritating. We mean the cosmetic acid exfoliants like AHA’s and BHA’s.
2. Use vitamins A, B & C in skin care. The Anti-oxidant, anti-inflammatory benefits of these three skincare essentials. Vitamin A & C also stimulate collagen to assist in skin repair and help prevent scarring.
3. Use sunscreen to help reduce inflammation and prevent scarring.

Skin care for Cystic Acne: Details

1. Exfoliate – to unblock pore obstruction and to encourage skin cell turnover. BHA is the best exfoliant because it is oil soluble and penetrates into the pore to help exfoliate at the site of obstruction. Combinations with AHA especially lactic acid can be useful. Avoid physical scrubs as they can be too harsh.

2. Vitamin A, B & C are core ingredients to help clear and prevent acne.

Vitamin A can come in the form of over the counter retinol or prescription retinoids. They have been shown to decrease cell turnover, helping unblock the obstructed oil glands, to reduce inflammation and may help normalise cellular activity. Prescription vitamin A remains the essential ingredient in skincare for cystic acne. It has the added benefit of assisting healthy collagen growth in repairing the injury from nodular acne, helping reduce acne scarring.

Vitamin B in the form of niacinamide has anti-inflammatory properties that make it useful for all skin types but especially for helping settle inflamed acne.

Vitamin C has antioxidant; anti-inflammatory properties so helps settle acne. Like Vitamin A it has the added benefit of assisting new collagen formation and repair to reduce acne scarring.

The critical thing with skincare for cystic acne is the active ingredients that have been shown to benefit. So seeking out skincare that has the correct percentage, is affordable. We offer some in the clinic. For very detailed information on skin that is prone to acne and the best skincare choices, Dr Lesley Bauman provides in-depth skin typing and ingredients according to your skin type.

A Few Skincare tips for Cystic Acne

Tea Tree Oil

Tea tree oil can help fight cystic acne by applying a drop or two to affected areas. It is well tolerated on the skin and not only helps reduce P. Acnes bacteria but may also be anti-inflammatory.

Avoid Excess Sun Exposure

Although small doses of the sun may have beneficial effects of killing P. Acne, sun exposure creates free radicals and inflammation in the skin. Sun exposure can worsen post-inflammatory pigmentation and acne scarring. Use a sunscreen containing Zinc daily as well as hats and avoid the harsh direct sun in peak sun periods.

2. Ice It

As a temporary measure, which painful cysts are bugging you, apply ice cubes directly for several seconds to help reduce inflammation. The cooling effects of ice can provide welcome, temporary symptomatic relief.

Summary of a More Natural approach To Cystic Acne

Skin care for cystic acne alone, will not settle this painful condition. If you want a more natural approach to settling moderate to severe and cystic acne, there is a bright shining light in Kleresca. A new acne treatment approach using biophotonics (fancy word for fluorescent pulsating light treatment)

Kleresca was recently introduced to Australia as a medical device with impressive results in helping settle all acne, but especially more severe acne of cystic nodular type. With this new treatment, it may be possible to treat up to 90% of acne without antibiotics and oral vitamin A.,

It requires a course of 12 treatments At $200 per treatment or $2000 for a package of 12. We do provide payment plan options to assist you in affordably obtaining the therapy.

Call us on 3350 5447 to book a free assessment with our therapists or email any queries.

Can Reducing Inflammation Clear Your Pimples?

Pimple treatment has traditionally used antibiotics in higher doses and for long periods in an attempt to kill skin bacteria. However, the role of inflammation underlying acne and the importance of settling this in treating and preventing acne is a new field of study. A new biophotonic gel, Kleresca, activated by light, works to reduce skin inflammation and is emerging as a promising alternative to traditional antibiotic and oral vitamin A.

Acne is the most common skin condition which causes significant distress both during the active phases and after pimples settle with post-inflammatory hyperpigmentation and acne scarring.

Acne lesions form when hair follicles become clogged with oil and dead skin cells. This is a perfect environment for overgrowth of bacteria, with Propionibacterium acnes (P. acnes) being the most common pimple-causing bacteria. It was once believed that pimples and cystic acne were a direct result of inflammation from bacterial infections.

Inflammation Causes Pimples.

Inflammation is the central cause of pimples and cystic acne. And this inflammation is seen in the skin even before a pimple develops. Clogged pores develop inflammation as the sebum is rich in enzymes called matrix metalloproteinases (MMP’s) The bacterial infection then adds further inflammation to form a pimple.

Genetic factors, hormones, stress and high glycemic load foods such as sugar and processed (white) carbs bring on zits because they increase oil production and skin cell turnover and leads to sebum-rich blockage in the pores and an environment for P. acnes to blossom.

Treating inflammation not only helps acne settle but can also help prevent it from developing. It is, in fact, the anti-inflammatory effects of certain antibiotics and not its anti-bacterial effects that are of most benefit in settling acne and preventing acne scarring. Some common antibiotics inhibit the overactivity of the matrix metalloproteinases. So pimple treatment needs to focus on settling inflammation.

The Role of MMP’S Pimple Formation and Inflammation?

Matrix metalloproteinases are enzymes that keep the skin healthy by breaking down old and dying skin structures and building new ones. But when they are overactive they cause damage to the oil gland and cellular matrix (collagen-hyaluronic acid-elastin) with the formation of cystic acne and subsequent acne scarring.

As well as the antibiotics, vitamin A (retinoids) may also act by inhibiting the MMP’s.

Will Acne Settle If The Inflammation is Calmed?

Being able to settle the inflammation will settle the acne and help prevent it.
So what is wrong with the current medical approach? It is not addressing the principal cause – the inflammation. Both conventional higher dose, prolonged antibiotics and retinoids have side effects. Oral retinoids may increase the risk of autoimmune diseases, and antibiotics disrupted gut health and contributed to antibiotic-resistant bacteria. Perhaps it is time to rethink pimple treatment.

Kleresca – A New Pimple Treatment.

An alternative pimple treatment without antibiotics or oral retinoids is Kleresca.
Kleresca acne treatment decreases inflammation, normalise cellular activity and address P Acne infection. Kleresca is an entirely new light-based treatment for acne. It is called a biophotonic treatment. Unlike old light-based treatments for acne (which addressed bacteria with blue light, and inflammation with red light therapy), Kleresca involves the application of gel to the acne affected area. The gel, when activated by light, turning the light into a pulsating fluorescent light, that not only kills the bacteria but penetrates deeper into the dermis to reduce inflammation, normalise cell activity and stimulate healthy skin rejuvenation. (reducing acne scar formation.)

It is a more natural alternative for treatment of cystic acne and moderates to severe acne. And because it helps stimulate new collagen and skin rejuvenation it is not only a acne treatment, it also treats acne scarring.



1. Suh DH, Kwon HH. What’s new in the physiopathology of acne. BJD 2015 Jan 24. doi: 10.1111/bjd.13634. [Epub ahead of print]
2. Thielitz, A. & Gollnick, H. Topical retinoids in acne vulgaris: update on efficacy and safety. Am. J. Clin. Dermatol. 9, 369–81 (2008)
3. Antoniou, C. & et al. (in press) A multicenter, randomized, split-face clinical trial evaluating the efficacy and safety of chromophore gel-assisted blue light photo-therapy for the treatment of acne. International Journal of Dermatology.

redirectedDouble Chin Treatment With Cryo-Lipolysis

Double Chin is an accumlation of fat beneath the jaw. (Also known as submental fat accumlation). New treatments on the market to treat this concern include cryo-lipolysis and injections.

1. Cryo-lipolysis For Double Chin.

Cryo-lipolysis uses a machine to freeze the area of unwanted fat.
One or sometimes two treatments are required to reduce under chin fat.
Cryo-lipolysis for double chin at SkinRevision costs 630 per treatment.

Call 3350 5447 To Book A Free Assessment

2. Injection Into The Double Chin.

A new injection called Kybella is designed to treat submental fat. This is not available in Australia currently.

  • The area double chin area is injected directly
  • Two to three treatments may be required

What Causes a Double Chin?

  • Most common contributing factors are aging or genetics.
  • Weight gain and hormone imbalances both contribute to double chin.

Who Is Suitable For Treatment With Cryo-lipolysis

If you are bothered by fat under the chin, you may be suitable for treatment. If you have concerns with submental fat:

  • It makes you look older or heavier
  • You don’t want to have surgery
  • You eat well and exercise, but submental fullness persists

What To Expect When Treating The Chin

  • A cold gel covered cloth is placed over the double chin.
  • The small hand piece is placed under the chin and vacuum is applied.
  • You will feel tightness and cold as the vacuum sucks the submental fat
  • This disappears some minutes after the treatment is initiated.

How Does Cryo-lipolysis Work?

Cryo-lipolysis is a treatment that freezes unwanted fat.

Is The Treatment Painful?

There is some discomfort during and after the treatment.

  • You can return to work immediately.

After the treatment, there can be redness, bruising tenderness or pain, funny sensations to the skin such as pins and needles.

What Areas Can Be Treated?

As well as the chin, abdomen, hips, thighs, abductors, flanks, knees, arms and buttocks can be treated.

How many treatments will I need?
1-3 sessions in the same area every 6-8 weeks. When you have your free assessment the Doctor/ Nurse will be able to tell you how many treatments are required.

How Long Is The Treatment?

It is recommended to proceed during 70 minutes for each treatment.

When Will The Results Be Visible?

This varies with individuals but we recommend 3 months to assess the outcome.
We recommend drinking plenty of water minimum 2 litres

Maintaining Results

We recommend following a healthy low sugar/ carb diet and normal exercising to maintain results.

Who Would Not Be Suitable

Contra-indications to treatment include:

  • Recent surgery to the area.
  • Current infection.
  • Medical condition I the neck area.
  • You have trouble swallowing.
  • Bleeding disorder.
  • You react to cold.
  • You are pregnant or breast feeding.
Call on 3350 5447 to Book a FREE Assessment  
* DISCLAIMER: Results may vary from person to person.