Kelo-cote® is a patented silicone scar gel that has been clinically proven to reduce the redness, hardness, elevation, itch and pain associated with scars. It has also demonstrated efficacy in preventing hypertrophic and keloid scar development after surgery,  trauma, or burns. The patented formula is supported by extensive peer reviewed evidence.

Kelo-cote® gel dries to a waterproof, gas permeable membrane that acts like an extra layer of skin. It helps to soften, flatten and smooth the scar while maintaining the moisture balance and elasticity of the adjacent skin. It has also been shown to reduce the discoloration and itching associated with scars. It is ideal for use on children and sensitive skin.

Kelo-cote® UV is the only 100% silicone scar treatment with SPF-30 providing UVA/UVB protection.  

How does Kelo-cote® work?

Kelo-cote® works in the same way as silicone gel sheets. Its unique formulation ensures that an ultra thin layer of silicone binds to the top layer of the skin (stratum corneum) forming a durable membrane. This ultra thin waterproof sheet increases the hydration of the stratum corneum but also allows the skin underneath to breathe. The thinner the layer, the more durable the material will be and the better the breathability.

Because Kelo-cote® binds to the stratum corneum, the contact time of the silicone gel is maximized. Kelo-cote® has no such reports of maceration, pruritus or localized infection issues, while conventional silicone sheets do.

Kelo-cote® rapidly dries to form a custom fitted silicone sheet (this silicone gel sheet layer is gas permeable, flexible and waterproof). It forms a protective barrier against chemical, physical and microbial invasion of the scar site while assisting with hydration. This creates an environment that allows the scar to mature through normalized collagen synthesis cycles, and improves the physiological and cosmetic appearance of the scar.

where to buy

For the convenience of our patients Kelo-cote® is available for purchase from our rooms. The most popular products (depicted above right) are Kelo-cote® UV 6g for $40.22 and Kelo-cote® 6g for $38.24 (RRP). 

Stratamark® is the first and only medical product with clinically proven efficacy and safety for both prevention and treatment of stretch marks. Stratamark® was specifically developed for treatment and prevention of all types of stretch marks, including from pregnancy, adolescent growth spurts, weight gain, and bodybuilding.

Stratamark® is easily applied to all areas of the skin and is easy to spread over large surface areas, making it ideal for use on the buttocks, abdomen, thighs, breasts and back. When used as directed, Stratamark® dries to form a invisible sheet, a protective layer that is gas permeable and waterproof which hydrates and protects your stretch marks, allowing the skin to normalize the collagen synthesis cycle.

Benefits of Stratamark®

• Stratamark® is a unique gel formulation with clinically proven efficacy, specifically designed for the prevention and treatment of all types of stretch marks.
• Prevents stretch marks from forming
• Softens and flattens stretch marks
• Reduces redness and discoloration associated with stretch marks
• Relieves the itching and discomfort of stretch marks
• Stratamark® is applied in a very thin layer to the relevant areas.
• Highly efficient: Stratamark® gel is a unique formulation that requires substantially less product per application than typical moisturizing creams or cosmetic preparations.
• Easy application to all areas of the skin, including exposed and sensitive areas
• Can be covered by undergarments, sunscreens or cosmetics
• Stratamark® dries to form a thin, flexible and protective gel sheet that is gas permeable and waterproof.
• Hydrates and protects the skin
• Stratamark® is transparent and odorless. It does not contain alcohol, fragrances or parabens.
• Suitable for pregnant women, breastfeeding mothers, children and people with sensitive skin

Stratamark® can be purchased from our rooms and retails at $46 for a 20g tube and $80 for a 50g tube.

If you would like to access treatment for stretch marks please contact our reception on (03) 9427 9596 to arrange a consultation with one of our practice nurses to have your scars assessed and to discuss the treatment options. A nurse consultation costs $45 and the consultation cost is redeemable with the purchase of skin treatments or products.

Picato® gel (Ingenol Mebutate) is a topical medication that is used to treat sunspots (also called "actinic keratoses" or "solar keratoses"). It differs from other topical creams such as Aldara® (imiquimod) and Efudix® (fluorouracil) because it only requires daily application for two or three days to achieve its effect, rather than for 3-8 weeks. 

About Picato®

Picato® is available only with a doctor's prescription and comes in two different strengths (0.05% and 0.015%), the choice of which is made by your doctor based on the area of the body that is being treated. You can expect a reduction in sunspots of around 80-85% in the areas treated after the course of treatment. Treatment on the face or scalp is generally for three days, whereas treatment on the limbs or trunk is for two days. The medication costs around $140 to purchase at a pharmacy or chemist and is not listed on the Pharmaceutical Benefits Scheme.

Picato® is a medication that is developed and produced in Australia. In 1997 Australian scientists isolated a group of compounds from the Euphorbia peplus plant. The active ingredient in Picato® is ingenol mebutate, which is produced in Australia. Queensland and New South Wales are the only places in the world where the plant is grown for commercial use. 

How does it work?

Picato® works by killing rapidly growing cells. It is a cytotoxic medication. 

Can Picato® be used to treat skin cancers?

At this time Picato® is licensed only for the treatment of sunspots, not skin cancers. Clinical trials are underway investigating the treatment of early skin cancers with Picato®, but at this time Dr Jill Tomlinson does not recommend the use of Picato® gel for the treatment of skin cancers. 

Instructions

Picato® should be kept in the fridge, out of the reach of children. Once the treatment course has finished please discard any left over gel. 

Apply Picato® only to the areas advised by your doctor. 

When treating the face or scalp apply Picato® gel 0.015% once a day for three consecutive days. 

When treating the trunk or limbs apply Picato® gel 0.05% once a day for two consecutive days.

Apply Picato® gel with a fingertip and spread evenly over the treatment area, allowing 15 minutes for it to dry. The application should cover a  5cm x 5cm area and the visible sunspot or sunspots. After application wash your hands with soap and water immediately (unless you are treating your hands, in which case only wash the fingertip that was used for applying the gel.

Apply only to dry skin, so do not apply immediately before or immediately after taking a shower. Avoid touching or washing the treated area for six hours after application. Do not apply Picato® gel less than two hours before you go to bed. Do not cover the treated area with bandaids, bandages or other dressings. Do not get Picato® gel in your eyes. If you do get gel in your eyes, wash your eyes with large volumes of water and seek medical attention. 

During treament, protect yourself from sunlight and ultra violet radiation through the use of hats, clothing and sun-avoidance behaviour. Do not use sunscreen on the area of treatment during treatment. After treatment has ended you can (and should) use sunscreen on the treated area whenever it is exposed to the sun. 

Side effects of Picato® gel

It is expected that you will have a skin reaction during treatment with Picato® gel. These reactions include skin redness, skin flaking, blister formation, swelling, pain, itching and skin irritation. You may also experience a headache. 

Skin reactions are temporary. They start within one day of treatment and can continue worsening for one week after the application of Picato® gel stops. Healing of the skin is usually complete at around two weeks after treatment. If you have ongoing problems or concerns please contact your doctor. 

More severe side effects can include skin ulceration and weeping, and swelling of the eyelids. If you think the treatment site has become secondarily infected (which is associated with more severe pain, redness and discharge) please contact your doctor so that you can be reviewed and your doctor can provide advice on further treatment. 

 How do I know if Picato® gel is right for me?

Please see your doctor to discuss if Picato® gel is right for you. Picato® gel is only available with a doctor's prescription, so you will need to see a doctor to access this treatment. 

What are the alternatives?

Alternative options for the treatment of sunspots include Aldara® cream (imiquimod), Efudix® cream (fluorouracil), Solaraze® gel (diclofenac) and cryotherapy. Information written by Dr Jill Tomlinson about these treatments is available in the weblinks provided; further information is available at the NPS MedicineWise website. To discuss the pros and cons of each treatment, and which one is best for you, please arrange an appointment by calling (03) 9427 9596.  

 Our Dermapen Cryo™ allows the removal of unsightly skin lesions with a treatment that is delivered in a matter of seconds. The device uses a very precise jet of highly compressed liquefied nitrous oxide (N2O) to destroy benign lesions, such as warts, skin tags, and age spots. The Cryo™ freezes the lesion’s intercellular fluid, forming ice crystals, which subsequently rupture the cell membrane, destroying the cell. The Dermapen Cryo™ can treat anything from extremely superficial sun spots, to lesions up to 5 mm in depth.

The high precision applicator tips allow for a very targeted treatment, ensuring that only the lesion is being treated, and not the healthy tissue around it. This helps to greatly reduce the risk of post-treatment hypo-pigmentation, and makes the Dermapen Cryo™ safe for all areas of the face and body, even near the eyes.

For detailed information regarding cryotherapy please refer to the following links:

• Cryotherapy: British Association of Dermatologists Patient Information Leaflet
• Cutaneous Cryosurgery - Zimmerman EE, Crawford P, Am Fam Physician. 2012 Dec 15;86(12):1118-1124

Dermapen Cryo™ FAQ’s

Q: How safe is cryotherapy?

A:Cryotherapy is a relatively low-risk procedure. The Dermapen Cyro™ delivers N2O directly to the lesion, and not the healthy surrounding tissue.

Q: How long are Dermapen Cryo™ treatments?

A:The penetration rate of freezing with the Dermapen Cryo™ is approximately 1mm per 5 seconds, with a maximum freezing depth of 3 to 6 mm depending on the used applicator. The duration of the treatment time will depend on the surface area and the thickness of the tissue being treated. Depending on the thickness of the lesion your application time will range from 1 to 30 seconds. 

Q: Is the treatment painful?

A:There will be a pain sensation similar to a ballpoint pen being pushed onto the skin when the nitrous oxide reaches the bottom of the lesion. There might be a little residual stinging for a few minutes after treatment. Occasionally a blister might form and persist for a few hours.

Q: Will there be a follow up session?

A: A follow up visit is scheduled after 2 to 8 weeks to confirm that all problem tissue has disappeared or if a follow up treatment is necessary.

Q: What if I have darker skin?

A: Repeated short freezing cycles of 3 to 6 seconds at two-week intervals are recommended if you have a darker skin type, to reduce the risk of surrounding hypo-pigmentation or hyper-pigmentation.

Q: Are there any side effects?

A: Dermapen Cryo™ treatments are relatively low risk. There are a few side effects that may occur as a result of treatment, including:

• Pigmentary changes (hypo-pigmentation and hyper-pigmentation)
• Nerve damage (particularly in areas where nerves lie close to the surface of the skin, on fingers, wrist, area behind the ear)
• Shards of frozen ice (minor shards of frozen ice may blow out, that will thaw on contact with healthy skin)
• Hair follicle damage and permanent alopecia (especially when treating lesions on sites with coarse terminal hair)

Any concerns should be discussed with your doctor. 

Q: How much will the treatment cost?

A: The cost of treatment will depend on the number and the size of the lesion(s). To schedule an appointment with Dr Jill Tomlinson for a combined assessment and treatment please call us on (03) 9427 9596.

 

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Cleansers

UltraCleanse

• a rinse-off foaming gel cleanser (120mL)
• ideal for all skin types.
• designed to gently remove surface pollution, cell debris and makeup without over exfoliating or stripping the skin of natural oils.
• recommended to gently remove daily oil and build up, water resistant mineral make-up and non-waterproof mascara
• contains pure ingredients and is free of sodium laureth sulphate, parabens, artificial fragrance and artificial colours
• key ingredients: Cocamidopropyl Betaine (natural coconut-dervied cleansing ingredient), Vitamin E (antioxidant), NaPCA, essential oils (bergamot, neroli, mandarin)
• Cleansers should also be balanced to work in synergy with the acid mantle of the skin. A cleanser is only in contact with the skin for less than a minute. Hence, it is not necessary to incorporate active ingredients or AHA's in cleansers.
• Use AM and PM prior to applying active serums. UltraCleanse gel is a concentrate so use only a pea-sized amount with a small quantity of water. Massage gently and rinse.

BioCleanse

• specifically designed for fragile, dry or highly sensitive skin types.
• gentle low foaming milk formula, free of SLS, parabens and artificial fragrance (120mL)
• Designed to gently remove surface pollution, cell debris and makeup without over exfoliating or stripping the skin of natural oils.
• contains gentle ingredients free of sodium laureth sulphate, parabens, artificial fragrance and artificial colours.
• The subtle rose geranium fragrance is derived from pure essential oils and will not irritate sensitive skin.
• Use AM and PM prior to applying active ingredients. Apply sparingly with a small quantity of water. Massage gently and rinse.

Pore Refining Tonic

EvaPor-8

• helps to combat the appearance of enlarged pores and excessive oil production (100mL)
• a tonic (not a toner) that is a gentle alternative to alcohol based toners that can strip the skin of its natural oils and acid mantle resulting in dryness and irritation
• use after cleansing to help sooth problematic, oily skin whilst restoring an even luminosity, refined texture and purity
• helps to control oily skin prone to unflattering afternoon 'grease shine'

Moisturisers

Uberzinc

• suitable for all skin types and skin conditions
• physical block offering broad spectrum UVA/B protection
• zinc oxide is a natural anti-inflammatory - excellent morning and night for acne and inflamed skin
• zinc oxide inhibits collagen degrading enzyme
• key ingredients: 21% zinc oxide, pure green tea, vitamin E

 

Reclaim

• hematitie increases fibroblast activity by combining with L-ascorbic acid
• exopolysaccharide reduces fine lines in 20 minutes and for up to 8 hours
• key ingredients: Trylagen^TM tripeptide complex, hematite, niacinamide, squalene, sea buckthorn oil, rosehip oil, hyaluronic acid, marine exopolysaccharied concentrate

Hydrolock

• contains rich, natural moisturisers
• contains the anti-ageing and repair ingredient Phycosaccharide A1 to promote the regeneration of youthful epidermal tissue
• key ingredients: Phycosaccharide A1 (hydrolysed algin), lecithin, squalene (oil derived), lanolin

Restore

• for rosacea and sensitive skin
• recommended as a hydrating moisturiser morning and night for chronic inflammatory conditions (including eczema, rosacea, dermatitis, acne and psoriasis)
• a natural hydrator for dry/stressed skin
• recommended for use following the initial inflammatory phase following clinical treatments
• key ingredients: 100% pure olive squalene, sea buckthorn oil, lavender essential oil

Hydrogel

• suitable for oily skin and skin subjected to high humidity
• high levels of pure hyaluronic acid which increases hydration without adding excess oil
• recommended to activate Pure C crystals
• key ingredients: hyaluronic acid, Kakadu plum, sodium PCA, lemongrass oil

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Physical Exfoliant (Mineral Scrub)

• mineral microderm scrub
• recommended for acne, blackheads and congested skin
• formulated to gently and effectively remove surface dead skin build up and comedones (blackheads and whiteheads)
• key ingredients: medical grade fine aluminium oxide crystals (mineral crystals for surface exfoliation)

Home Serum Infusion Device

• The Rejuvaderm Home Roller is specifically designed to increase cosmeceutical absorption 40 minutes more effectively by gently penetrating the outer skin layer with fine 0.25mm biocompatible polymeric needles
• the fine channels created by the roller allow for penetration of active ingredients

Body Lotions and Sprays

Uberzinc Body

• daily protective hand and body moisturiser
• hydration for all body areas exposed to UV light
• reduces inflammation
• replenishes Vitamin D levels
• key ingredients: zinc oxide 21%, vitamin D3, pure green tea extract

 

B-Juvenate

• cosmeceutical body lotion
• contains 9% niacinamide in a highly penetrating natural base to increase natural hydration levels of the skin and minimise visible sun damage
• active ingredient: niacinamide

BAcne

• specifically formulated for body acne, blemishes and blackheads
• unique spray formulation synergistically created to target those stubborn acne-prone areas of the body and help clear blockages and inflammation that can result in infection and scarring
• key ingredients: salicylic acid, lactic acid, witch hazel extract, aloe vera concentrate, lemongrass and lavender essential oil, hyaluronic acid

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Clinical Treatments and Home Recovery

Occlusiderm

• occlusive dressing with purified castor bean oil and antimicrobial lavender
• recommended following skin trauma/ ablation/ fractional laser/ skin needling
• a natural and safer alternative to petroleum jelly
• key ingredients: castor bean oil, lavender essential oil, phyoxyllin

Recover Balm

Recommended for conditions including:

• burns
• excessively dry skin
• inflamed skin
• minor irritations
• irritated skin

All oils used are non-comedogenic and suitable for acneic skin. For use following clinical treatments including:

• microdermabrasion
• IPL and laser
• fractional laser procedures
• skin needling including DermaPen
• chemical peels

Key ingredients: shea butter, macadamia oil, caster bean oil, rosehip oil, calendula oil, manuka oil, sea buckthorn oil, lavender essential oil and jojoba oil

Masks

Masquerase

• powerful anti-ageing treatment mask 
• contains a propriety blend of marine and botanical actives designed to address environmental free radical damage, fine lines, dehydration and irritation
• key ingredients: phycosaccharide (marine derived), manuka honey, niacinamide, oat beta glucan, bisabolol, allantoin, hyaluronic acid, collodial oatmeal, canadian willowherb, shea butter, calendula oil

Detox Antiox Mask

• deep cleansing and purification treatment for skin exhibiting toxic build up
• contains fine mineral microcrystals to remove toxins, refine pores, and address skin congestion and blemishes
• added niacinamide component increases hydration levels, regulates oil production, reduces the appearance of UV damage and boosts skin immunity
• key ingredients: zeolite mineral, niacinamide, green tea extract

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