Cosmetic Medicine Procedures

Cosmetic Medicine Procedures Information

The ACCSM 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, Kingston Dr. Leung, Bernard FACCSM (Med) 02 6239 6388    Website
  ACT, Kingston Dr. Leung, Jennifer FACCSM (Med) 02 6239 6388    Website
  NSW, Lane Cove Dr. Alavi, Nastaran FACCSM (Surg) 02 9420 5577
  NSW, Strathfield Dr. An, Huy Quoc FACCSM (Med) 02 9764 6686
  NSW, Cabramatta Dr. An, Huy Quoc FACCSM (Med) 02 9725 6614
  NSW, Wollongong Dr. Ansari, Masood FACCSM (Surg) 02 4254 5311    Website
  NSW, Newcastle Dr. Ansari, Masood FACCSM (Surg) 02 4925 6135    Website
  NSW, Crows Nest Dr. Ansari, Masood FACCSM (Surg) 02 9817 7585    Website
  NSW, Woollahra Dr. Bezic, Ron FACCSM (Surg) 02 9386 5222
  NSW, Double Bay Dr. Blaj, Adina FACCSM (Med) 1300 142 536    Website
  NSW, Campbelltown Dr. Calfas, George FACCSM (Med) 02 9399 6444    Website
  NSW, Randwick Dr. Calfas, George FACCSM (Med) 02 9399 6444    Website
  NSW, Castle Hill Dr. Feiner, Ronald FACCSM (Med) 02 9894 1180    Website
  NSW, Bondi Junction Dr. Feldman, Joni FACCSM (Med) 0412 027 730    Website
  NSW, Crows Nest Dr. Heckenberg, Meaghan FACCSM (Med) 02 9906 1555    Website
  NSW, Double Bay Dr. Hkeik, Joseph FACCSM (Med) 1300 142 536    Website
  NSW, North Parramatta Dr. Hkeik, Joseph FACCSM (Med) 1300 142 536    Website
  NSW, Darlinghurst Dr. Hkeik, Joseph FACCSM (Med) 1300 142 536    Website
  NSW, Double Bay Dr. Hodgkinson, Darryl FACCSM (Surg) 02 9362 7400    Website
  NSW, Breakfast Point Dr. Jackson, Eugene FACCSM (Surg) 0423 424 004    Website
  NSW, Edgecliff Dr. Karlburger, Cosima FACCSM (Med) 02 9362 1728    Website
  NSW, Chatswood Dr. Kim, Peter FACCSM (Surg) 02 9411 4880    Website
  NSW, Double Bay Dr. Knudsen, Russell FACCSM (Med) 02 9363 9308
  NSW, Sydney Dr. Kubitskiy, Alexander FACCSM (Surg)     Website
  NSW, Sydney Dr. Lanzer, Daniel FACCSM (Surg) 1800 444 333     Website
  NSW, North Parramatta / Mosman Dr. Lim, Soo-Keat FACCSM (Med) 02 9890 2300, 02 9904 9900    Website
  NSW, Chatswood Dr. Lowe, Stephen FACCSM (Med) 02 9904 7279    Website
  NSW, Woollahra Dr. Lyon, William FACCSM (Surg) 02 9386 5222    Website
  NSW, North Sydney Dr. Madirazza, John FACCSM (Med) 0477220069    Website
  NSW, Mosman Dr. Nair, Sarojini FACCSM (Med) 02 9904 9900    Website
  NSW, Sydney Dr. Narayanasamy, Kishen FACCSM (Surg)     Website
  NSW, Woollahra Dr. Nasser, Alia FACCSM (Med) 9363 2224    Website
  NSW, Sydney Dr. Ong, David FACCSM (Surg)     Website
  NSW, Burwood Dr. Phang, Wei Kwong (Anthony) FACCSM (Med) 0466096883    Website
  NSW, Hurstville Dr. Phang, Wei Kwong (Anthony) FACCSM (Med) 0466096883    Website
  NSW, Sydney Dr. Prochazka, Tony FACCSM (Med) 1300 666 946    Website
  NSW, Campbelltown Dr. Prochazka, Tony FACCSM (Med) 1300 666 946    Website
  NSW, Newcastle Dr. Rastogi, Anoop FACCSM (Surg) 02 4929 7911    Website
  NSW, Double Bay Dr. Rastogi, Anoop FACCSM (Surg) 02 9362 1426
  NSW, Sydney Dr. Sivathasan, Niroshan FACCSM (Surg) 1300 329 953    Website
  NSW, Wollongong Dr. Sivathasan, Niroshan FACCSM (Surg) 1300 329 953    Website
  NSW, Sydney Dr. Sivathasan, Niroshan FACCSM (Med) 130 329 953    Website
  NSW, Wollongong Dr. Sivathasan, Niroshan FACCSM (Med) 1300 329 953    Website
  NSW, Coogee Dr. Ting, Jack FACCSM (Surg) 02 9665 3247
  NSW, Waratah Dr. Tran, Peter FACCSM (Surg) 02 9598 0280    Website
  NSW, Sydney Dr. Valente, Pedro FACCSM (Surg) 1300 378 336    Website
  NSW, Newcastle Dr. Verma, Sanjay FACCSM (Surg) 02 4001 0511    Website
  NSW, Sydney Dr. Wetton, Lara FACCSM (Surg) 02 9267 3322    Website
  NSW, Sydney Dr. Woo, Mark FACCSM (Med) 0403 183 808
  NSW, Korarah Dr. Xu, Zhen FACCSM (Med) 02 9587 3700    Website
  NSW, Double Bay Dr. Ying, Charlotte Wing FACCSM (Surg) 02 9192 1600    Website
  NSW, Broadway Dr. Ying, Charlotte Wing FACCSM (Surg) 02 9366 2423    Website
  NSW, Parramatta Dr. Ying, Charlotte Wing FACCSM (Surg) 02 9366 2423    Website
  NSW, Double Bay Dr. Zacharia, Michael FACCSM (Surg) 1300 784 064    Website
  NSW, Kogarah Dr. Zurek, Longin FACCSM (Surg) 02 9553 6237
  NT, Parap Dr. Kushelew, Irene FACCSM (Med) 0403 090 501    Website
  QLD, Toowoomba Dr. Bradford, Julie FACCSM (Med) 07 4639 1250    Website
  QLD, Windsor Dr. Chen, James FACCSM (Med) 07 3857 6188
  QLD, Southport Dr. Chinsee, Ian FACCSM (Surg) 1300 8813 88    Website
  QLD, Toowong Dr. Dingley, Mary FACCSM (Med) 07 3870 0111    Website
  QLD, Greenslopes Dr. Djordjevic, Ranka FACCSM (Med) 07 3870 5654    Website
  QLD, Spring Hill Dr. Djordjevic, Ranka FACCSM (Med) 07 3870 5654    Website
  QLD, Taringa Dr. Djordjevic, Ranka FACCSM (Med) 07 3870 5654    Website
  QLD, Southport Dr. Flynn, John FACCSM (Surg) 1300 88 1388    Website
  QLD, Nundah Dr. Hills, Russell FACCSM (Surg) 07 3720 8788    Website
  QLD, Auchenflower Dr. Hills, Russell FACCSM (Surg) 07 3720 8788    Website
  QLD, Eatons Hill Dr. Kay, Ansulette FACCSM (Med)     Website
  QLD, Chermside Dr. Khalili, Shadi FACCSM (Med) 07 3350 5447    Website
  QLD, Brisbane Dr. Konrat, Georgina FACCSM (Surg) 07 3391 5710
  QLD, Grange Dr. Sadeghi, Shahram FACCSM (Med) 07 3352 5852    Website
  QLD, Spring Hill Dr. Szalay, Michael FACCSM (Med) 07 3839 7222
  QLD, Bundaberg / Bargara Dr. Tanious, Tony FACCSM (Med) 07 4191 5417    Website
  QLD, Gold Coast Dr. Vu, Kimson FACCSM (Surg) 07 5588 4777    Website
  QLD, Fortitude Valley Dr. Williams, Linda FACCSM (Med) 07 3852 3211    Website
  SA, Kent Town Dr. Chok, Robin FACCSM (Surg) 08 7225 8810    Website
  SA, North Adelaide Dr. Kerry, George FACCSM (Med) 08 8367 0111
  SA, Unley Dr. Kushelew, Irene FACCSM (Med) 0403 090 501    Website
  SA, Norwood Dr. Marzola, Mario FACCSM (Med) 08 8333 0333    Website
  SA, Adelaide Dr. Narayanasamy, Kishen FACCSM (Surg)     Website
  SA, Stepney Dr. Perez Ledesma, Carlos Andres FACCSM (Med) 08 7079 6796    Website
  SA, Gawler East Dr. Qazi, Umair FACCSM (Med) 0401236185
  VIC, St Kilda Dr. Attalla, Mark FACCSM (Surg) 03 8822 3472    Website
  VIC, Templestowe Dr. Attalla, Mark FACCSM (Surg) 03 8822 3472    Website
  VIC, Frankston Mr Brown, Timothy FACCSM (Surg) 03 8768 5000    Website
  VIC, Berwick Mr Brown, Timothy FACCSM (Surg) 03 8768 5000    Website
  VIC, Docklands Dr. Ching, Martin FACCSM (Surg) 1300 654 456
  VIC, Geelong Dr. Ching, Martin FACCSM (Surg) 1300 654 456
  VIC, South Yarra Dr. Feldman, Joni FACCSM (Med) 03 9824 2500    Website
  VIC, Dandenong Dr. Ganegoda, Danushi FACCSM (Med) 03 9791 5344    Website
  VIC, Malvern East Dr. Granot, Ashley FACCSM (Med) 03 9569 3511    Website
  VIC, St Fitzroy North Dr. Hogan, Lucinda FACCSM (Surg) 1800 665 324    Website
  VIC, Essendon Dr. Hogan, Lucinda FACCSM (Surg) 03 9088 5000    Website
  VIC, Malvern East Dr. Ku, Gordon FACCSM (Med) 1300 852 050    Website
  VIC, Malvern / Glen Waverly Dr. Lanzer, Daniel FACCSM (Surg) 1800 444 333     Website
  VIC, Williamstown Dr. Malhi, Harsimran FACCSM (Med) 03 7007 8811    Website
  VIC, Waverley Dr. Narayanasamy, Kishen FACCSM (Surg)     Website
  VIC, Springvale Dr. Nguyen, Dennis FACCSM (Med) 03 9546 3453
  VIC, Ascot Vale Dr. Obaidi, Hudaifa FACCSM (Surg) 03 9078 2184     Website
  VIC, Kew Dr. Obaidi, Hudaifa FACCSM (Surg) 03 9851 8900    Website
  VIC, East Oakleigh Dr. Ong, Amanda FACCSM (Med) 03 9544 2852    Website
  VIC, Melbourne Dr. Paraskevas, Peter FACCSM (Med) 03 9662 1863    Website
  VIC, Sandringham Dr. Rachinskaya, Maria FACCSM (Med) 03 9816 8847
  VIC, Armadale Dr. Rich, Michael FACCSM (Surg) 03 9500 1110
  VIC, Williamstown Dr. Sandhu, Hardeep FACCSM (Med) 03 7007 8811    Website
  VIC, Melbourne Dr. Sivathasan, Niroshan FACCSM (Surg) 1300 329 953    Website
  VIC, Melbourne Dr. Sivathasan, Niroshan FACCSM (Med) 1300 329 953    Website
  VIC, Malvern East Dr. Topchian, David FACCSM (Surg) 1800 745 536
  VIC, Springvale Dr. Vu, Kimson FACCSM (Surg) 03 9548 2626    Website
  VIC, Melbourne Dr. Xu, Michael FACCSM (Surg) 03 9690 0900    Website
  WA, Subiaco Dr. Elfis, Katina FACCSM (Med) 08 9388 8121
  WA, Subiaco Dr. Eranki, Vivek FACCSM (Med) +61 8 6119 9170    Website
  WA, East Perth Dr. Feldman, Joni FACCSM (Med) 08 9218 8488    Website
  WA, Broome, Newman, Kununurra Dr. Kushelew, Irene FACCSM (Med) 0403 090 501    Website
  WA, Perth Dr. Lanzer, Daniel FACCSM (Surg) 1800 444 333     Website
  WA, Nedlands Dr. Murray, Glenn FACCSM (Med) 08 9389 9099    Website
  WA, Applecross Dr. Rajput, Vikram FACCSM (Med) 08 9364 6444    Website
  WA, Perth Dr. Sivathasan, Niroshan FACCSM (Surg) 1300 329 953    Website
  WA, Perth Dr. Sivathasan, Niroshan FACCSM (Med) 1300 329 953    Website
  WA, East Perth Dr. Tan, Kee Lee FACCSM (Med) 08 9225 4728    Website
  WA, Joondalup Dr. Xaftellis, Argie FACCSM (Med) 08 9301 4244

Doctors performing this procedure: Cosmetic Medicine outside of Australia

  Location Name Contact
  Hong Kong, Hong Kong Dr. Fung, Ho Wang FACCSM (Med) 852 2385 2666
  Hong Kong, Kowloon Dr. So, Siu-Yung FACCSM (Med) 852 2601 9605
  Malaysia, Malaysia Dr. San, Chen Sung FACCSM (Med) 682 412866
  New Zealand, New Plymouth Dr. Allen, Matthew FACCSM (Med) 06 769 9280    Website
  New Zealand, Wellington Dr. Poczwa, Henryk FACCSM (Med) 64 939 1353