MEDICAL SERVICES

We treat all skin, hair and nail conditions. Examples of common conditions that we treat include acne, psoriasis, eczema, hair loss (alopecia), sun spots and skin cancers. A combination of modalities is often employed to treat skin conditions effectively.

 

UVB PHOTOTHERAPY (whole body and localised hand/foot)
This can be used to treat a number of disorders, in particular eczema, psoriasis and vitiligo.

CRYOTHERAPY
Cryotherapy with liquid nitrogen is often used to remove benign skin lesions simply and effectively.

PATCH TESTING
Patch testing is used to elucidate the causative allergen in allergic contact dermatitis. We utilise the Australian Baseline Series and can access specialised workplace series such as hairdressing and woodwork allergens.

MEDICAL BOTOX
Botox injections are a novel approach to treat hyperhidrosis (excessive sweating) and painful jaw clenching with very good results and minimal discomfort.

The cost of Botox injections for severe, primary axillary hyperhidrosis is now subsidised by the PBS and Medicare when performed by a dermatologist. Patients must be over the age of 12 and have not responded/or been intolerant to topical aluminum chloride (e.g. Driclor). Injections are usually well tolerated however a topical anaesthetic can be applied 1 hour prior to reduce any discomfort. It takes 7-10 days to notice a reduction in sweating and the results usually last for 3-6 months.

INTRALESIONAL STEROID INJECTIONS
Used to treat various conditions, in particular alopecia areata and keloid scarring.

TELEHEALTH
We are pleased to offer video consultations for patients living outside metropolitan Adelaide, or in nursing homes, for whom attending face-to-face consultations can be difficult.

FEES FOR ABOVE: Bay Dermatology is a private provider of Dermatology services. As a private provider we charge a gap fee for our services above what Medicare reimburses. You need a referral from your GP to be entitled to a Medicare rebate. Gap fees charged by Bay Dermatology are needed to provide quality Dermatology services. Unfortunately private health insurance does not cover the cost of outpatient consultations or procedures. Full payment on the day is required and payments may be made by Cash, Cheque, EFTPOS, Mastercard or Visa. 

PLEASE NOTE: If you cannot attend your appointment, please inform us at least 24 hours prior to your appointment, otherwise you may be charged a late cancellation fee of $80. If you miss your appointment (without notifying us) you may be charged a non-attendance fee of $120.

SURGICAL SERVICES

Most malignant skin cancers and some benign skin lesions such as cysts and moles need to be treated with surgical excision. Minor procedures, such as skin biopsies, are performed at Bay Dermatology but most skin cancer excisions are performed at Glenelg Day Surgery (300m away). Glenelg Day Surgery is a newly renovated accredited Day Surgery. We do not charge a gap for privately insured patients having skin cancers excised at Glenelg Day Surgery, although in some cases your health fund may charge an excess which is payable on the day of surgery.

COSMETIC SERVICES

ANTI WRINKLE INJECTIONS (BOTOX/DYSPORT)

HOW THE PROCEDURE WORKS: The delicate muscles underlying the skin contract to produce facial movements such as frowning. Repeated contraction of these muscles results in expression lines or ‘dynamic wrinkles’. Muscle relaxant injections work by weakening the tiny muscles very precisely thereby diminishing excessive movement and expression lines. Performed correctly, facial expression should appear natural. Injections can be used in many areas of the face and neck.

WHAT THE PROCEDURE INVOLVES: The treatment is simple and quick (approximately 15 minutes). Small amounts of the muscle relaxant are injected with a very fine needle into the treatment area. Discomfort is usually minimal and is minimised by the use of ice or topical anaesthetic cream. There may be a very small amount of bleeding or bruising at the injection site however most people can return to work immediately after the procedure. If you take fish oil or glucosamine, please stop these 10 days prior to the procedure to minimise the risk of bleeding.

WHAT MUSCLE RELAXING INJECTIONS CAN TREAT:

  • Frown lines between the eyebrows
  • Forehead lines
  • Crow’s feet
  • Lines underneath the eyes
  • Excessive muscle roll underneath the eyes
  • Bunny lines on the sides of the nose
  • A drooping nose
  • Gummy smile
  • Excessive squareness of the face in association with large muscles at the angle of the jaw
  • Upper lip wrinkles
  • Downturned mouth
  • Popply chin
  • Poor jaw line definition
  • Vertical neck bands

NON COSMETIC USES FOR MUSCLE RELAXING INJECTIONS: 

  • Excessive sweating
  • Migraines
  • Teeth clenching and grinding

TREATMENT COST: The cost of treatment is based on the amount of product used. Dysport costs $7/unit if <60 units are used and $6/unit if >60 units are used. All patients are followed up at 2 weeks to ensure adequate response. There is no charge for this. Occasionally 2-6 “top up” units are required at the follow up appointment and are charged as above.
Typical prices – frown lines $245, forehead lines $210, crows $250, lip lines $100. However these prices may vary depending on the exact number of units needed. If you have any questions, please do not hesitate to contact our staff.

DERMAL FILLERS

The fillers used at Bay Dermatology are composed of hyaluronic acid, a substance found naturally in our skin and joints. Hyaluronic acid is hydrophilic, meaning that it attracts water and is used to restore volume loss in the skin. There are several different products available with varying consistencies. The exact product used depends on the area to be treated and the desired outcome. When used correctly by an experienced injector who has detailed knowledge of facial anatomy, it is safe and results are natural.

DERMAL FILLER INJECTIONS ARE USED TO:

  • Improve the appearance of scars (including acne scars).
  • Enhance lip size and shape.
  • Sculpt cheeks.
  • Enhance the chin and profile.
  • Correct nasolabial folds and marionettes lines.
  • Enhance nose shape.
  • Enhance facial shape.
  • Restore volume to the temples, brow and forehead giving the upper face and eye area a lift.
  • Restore volume under the eyes in the tear trough area helping to improve the appearance of dark circles, fine lines, volume loss and wrinkles.

WHAT THE PROCEDURE INVOLVES: The treatment is simple and quick, taking approximately 30 minutes. Small amounts of hyaluronic acid are injected with a very fine needle or cannula into the treatment area. Discomfort is minimised by the use of ice, topical anaesthetic cream and/or nerve blocks. Depending on the area to be treated, there may be some bruising at the injection site however most people can return to work immediately after the procedure. If you take fish oil or glucosamine, please stop these 10 days prior to the procedure to minimise the risk of bruising.

After the procedure, the treated area feels numb and slightly swollen. It can be tender to touch. This tenderness usually resolves within 24 hours and can be minimised with paracetamol. The numbness returns to normal within 4 hours. If you are treating your lips, please be careful with hot drinks for 4 hours after the procedure because of risk of scalding. The swelling usually resolves within 2 days. Swelling associated with lip injections may take longer to subside. Unless directed to do so, do not massage the affected area for 1-2 days following the procedure. Due to the risk of bruising and swelling, we advise treatment at least two weeks prior to any major event.

TREATMENT COST: The cost of treatment is based on the amount of product used. Fillers cost $700 per syringe (1ml). Subsequent syringes on the same day are charged at $650/syringe. All patients are followed up at 2-4 weeks to ensure adequate response. There is no charge for this.

If you have any questions, please do not hesitate to contact our staff.

MICRONEEDLING (DERMAPEN)

Microneedling therapy is a very simple procedure that uses a hand-controlled device with tiny, shallow needles to puncture the outer layer of skin to create a controlled skin injury. This damage to the skin stimulates the production of new collagen and elastin.

Microneedling is used to rejuvenate the skin by filling in fine lines, resulting in an overall improvement in the texture and tightness. It can also be used to reduce the appearance of scars and stretch marks. The natural growth of collagen will not happen instantly; it takes place over weeks and months. This treatment is not designed to be an ‘instant fix’, but is intended to improve the appearance of your skin in the long term. It is ideal for mild photodamaged skin and superficial atrophic scars. For more severely photo-aged skin or deeper scars, ablative laser is the preferred treatment modality. At the present time we do not perform laser treatments at Bay Dermatology but can recommend other dermatologists who do.

One microneedling session generally takes 20 minutes. Anaesthesia is provided with ice, topical anaesthetic or local anaesthetic nerve blocks. Straight after the procedure, the skin appears red – similar to a mild sunburn. The skin returns to normal in a couple of days. The number of treatments required varies, but is typically between 4 and 8. Each treatment is spaced 4 to 6 weeks apart.

TREATMENT COST: The cost of microneedling per treatment is $300 for a full face and $200 for partial face and small scars.

LASER TREATMENT: EXCEL® V+ BY CUTERA®

The excel V+ is the latest generation of high-powered, precise, dual-wavelength lasers, and Bay Dermatology is excited to be the first practice in South Australia to offer this advanced laser therapy. The groundbreaking excel V+ by Cutera® is considered the gold standard in treatment of vascular (red) lesions on the face and body. It removes visible veins and redness and improves the appearance of scars and vascular birthmarks. In addition to the treatment of vascular lesions, Excel V+ can be used to treat pigmentation and over time can improve fine lines and wrinkles thereby improving uneven skin tone.

WHAT MAKES THE EXCEL V+ BETTER THAN OTHER VASCULAR LASERS?

The excel V+ is the first laser to feature a micro-pulsed energy delivery system that’s so precise and powerful that it can treat deep lesions without affecting your surrounding, healthy skin.

The excel V+ utilises CoolView™ sapphire technology which has been demonstrated to reduce the discomfort associated with traditional vascular laser treatments and eliminates the need for numbing gel which can decrease efficacy of the laser. Excel V+ has a 16mm spot size which means that treatments are up to 5X faster than traditional vascular lasers.

WHY DOES THE EXCEL V+ FEATURE TWO DIFFERENT WAVELENGTHS?

The excel V+ lets us choose from two clinically proven wavelengths — micro-pulsed 532 nm and 1064 nm — so that we can treat both superficial and deep lesions, veins, and wrinkles. We adjust the wavelength depending on the type of lesion we are treating. Cutera’s unique truPulse technology guarantees consistent, reliable outcomes.

WHAT DOES EXCEL V+ TREAT?

Excel V+ is used to improve the appearance of:

  • Rosacea
  • Diffuse redness
  • Sunspots
  • Spider veins on the legs (telangiectasias)
  • Cherry angiomas
  • Fine lines and wrinkles
  • Enlarged pores
  • Bruises
  • Freckles
  • Mild-to-moderate acne
  • Scars
  • Birthmarks such as port wine stains

IS THERE ANY DOWN TIME?

You should expect mild redness and swelling following the treatment that can last up to a few days. Any pigmented lesions will darken over the next week or so and then flake off.

ARE THERE ANY RISKS?

Scarring, hypo- or hyper-pigmentation and infection are all potential risks but are extremely rare.

TREATMENT COST: Some lesions may resolve following a single laser treatment however 2-3 treatments are usually required, spaced 4-6 weeks apart, for maximal results. The cost depends on the area of skin to be treated. Treatment of the full face is $350. Treatment of the face and neck is $450.

REBATES: All red lesions on the face and neck visible from 3 metres attract a Medicare rebate of $133.70 if you have a valid referral from your GP.

LASER TREATMENT: LASER GENESIS AND GREEN GENESIS BY CUTERA®

Cutera’s laser Genesis (1064nm) and green genesis (532nm) are becoming two of the most popular skin rejuvenation laser treatments internationally. The treatment has no down time and there is very little pain. It stimulates collagen and elastin production in the dermis and reduces microvasculature and mild pigmentation over time. Over the course of 6-8 treatments, patients can expect an improvement in fine lines, wrinkles, pore size, redness and mild pigmentation.

Some refer to this treatment as the “the Hollywood facial” and it is often used before red carpet events.

TREATMENT COST: Laser genesis and green genesis can be used anywhere on the body. The price is $350 per treatment. A treatment course of 6 treatments is $2000.

SEE IT IN ACTION: Elle Macpherson is a big fan – here is a short video of her having the treatment!

BEFORE & AFTER: LASER TREATMENT

BEFORE & AFTER: SKIN BOOSTERS

BEFORE & AFTER: RESTYLANE FULL FACE

BEFORE & AFTER: RESTYLANE LIPS