General
Dermatology
CONDITIONS AND treatments

Mole variation
What to look out for:
– Irregular, notched or scalloped borders.
– More than one colour or shade, including irregular shades of browns, blues, reds, whites and blacks.
– A mole that has a diameter larger than 6mm, or is enlarging.
– Any mole that is changing in appearance, whether colour, size or shape.- Oozing, crusting, ulceration or bleeding.

Mole screening
Melanomas also derived from melanocytes, but in the case of melanoma, these cells are cancerous. They have potential for spreading both locally, and systemically (metastases). Melanomas can occur in adults of all ages, but thankfully, these days, tumours are detected early and the cure rate is high.

Dermoscopy

Melanocytic naevi
Elliptical excision or shave removal are two commonly used techniques to surgically remove moles. Both methods allow for histological analysis of the naevi to ensure that the melanocytes are benign.

Moles and melanoma
If your doctor has referred you to one of our dermatologists for an assessment of a suspicious mole, please discuss this with our staff when making an appointment. If you are unsure about your moles, and would like a mole screening, we can assess and discuss appropriate management, and any follow up. A referral is not required.

Seborrhoeic keratoses

Skin tags
Café au lait macules
Common, coffee-coloured flat macules on the skin. Many children have one or two of these lesions, which is within normal limits, but if your child has six or more, an association with other genetic syndromes should be assessed and followed up with a dermatologist. Treatment method is Q-switched pigment lasers, which is effective in fading or completely removing café au lait macules.

Keloid scarring
There are a range of approaches for the treatment of keloid scarring, including:
- vitamin E and other natural oils
- silicone gel or patches
- corticosteroid injections (may need to be repeated)
- pulsed dye laser or intense pulsed light systems
- surgical excision (may risk forming larger keloid)
- superficial X-ray treatment soon after surgery.

Photodynamic therapy

Eczema or dermatitis
Allergies to contact agents (nickel, fragrances, preservatives), certain foods, allergens and even forms of ultraviolet light are important to diagnose, but these are not common. Non-allergic factors (irritants) are, however, very common and need to be addressed in all patients with dermatitis. Common irritants to the skin include skin dryness, soaps/detergents, friction/scratching, solvents and industrial fluids.
We tailor your eczema management plan according to the cause(s), severity and personal preferences. Treatment approaches include topical agents (moisturisers, topical anti-inflammatory creams), antibiotics, phototherapy and systemic treatments (tablets), with the latter considered in more severe cases.

Psoriasis

Phototherapy

Excessive sweating
In many cases of hyperhidrosis, the cause is unknown. However, certain medical conditions (e.g. thyroid disease, diabetes, medications) can cause excessive sweating. It is important for your doctor to assess for these conditions with appropriate investigations if necessary.
Topical treatment methods include:
Chemist products – aluminium hexachloride is an effective anti-perspirant, in an unfragranced form.
Prescription products – compounded agents containing an agent helps to block the nerve endings.
Botulinum toxin injections – injecting the affected areas can considerably reduce sweating and is very effective.
Iontopheresisis gentle electrotherapy – a low electrical current that interferes with the sweat glands just below the outer layer of the skin. It is particularly effective with excessive sweating of the hands or feet). Please discuss this option with your dermatologist.
Medication – its use is limited by the adverse effects related to blocking the sympathetic nerves that drives sweating, such as blurred vision, dry mouth, constipation, dizziness and palpitations. A low dose of oral medication can complement topical and other therapies with excellent results.
Surgery – endoscopic thoracic sympathectomy is the most common form of surgery, where a specific nerve ending is cut, clamped or cauterised via endoscope. Although effective, there is a risk of compensatory sweating at other non-treated sites. Other more serious side effects are uncommon.

Hair loss
Hair loss is a distressing condition for sufferers, with many different causes. Fortunately, most cases of hair loss resolve, either with appropriate treatment, or spontaneously.
Alopecia Areata (AA)
Alopecia Areara is an autoimmune disease. Blood cells called lymphocytes (which normally fight infection) swarm around hair follicles, causing the hair shafts to fall out prematurely. Fortunately, they do not destroy or scar the hair follicle, and in many cases, hair growth returns. Treatment methods include topical therapies, intralesional injections, topical immunotherapies and oral medications.
Telogen Effluvium (T.E.)
Telogen effluvium is a scalp disorder characterised by the thinning or shedding of hair resulting from premature entry of hair in the telogen phase. Common triggers include illness (surgery, infection, fever, trauma), childbirth, severe emotional stress, weight loss (significant), new medications. The trigger can precede the period of hair shedding by two to three months and the increased rate of hair shedding can sometimes last quite a few months. The term ‘Chronic telogen effluvium’ is used in some cases, indicating increased hair shedding for an extended period, without obvious triggers. Neither acute nor chronic forms of telogen effluvium cause baldness. In the majority of cases, hair growth completely returns to its previous state.
Androgenetic alopecia
Both men and women can suffer from gradual thinning of their scalp hair with age. The speed at which the thinning occurs varies. In males, a genetically determined sensitivity to the effect of a hormone called dihydrotestosterone (DHT) is thought to be the cause of premature thinning in affected individuals. DHT is an enzyme that can cause the gradual miniaturisation of hair follicules. Researchers have shown that 5-alpha reductase is an enzyme that regulates production of DHT. The effect of this enzyme can be blocked by oral medications.

Melasma
One of the most common treatments for melasma is sun protection. This means wearing sunscreen every day and reapplying it regularly. Dermatologists also recommend wearing a wide-brimmed hat when you are outside, as sunscreen alone may not give you the protection needed. Our intense pulsed light (IPL) therapy and Q-switched duolite laser are both suitable to treat pigmentation.

Rosacea and facial capillaries
Tips for preventing or managing rosacea
- Minimise exposure to hot or spicy foods and alcohol.
- Minimise hot showers/baths and warm rooms.
- Avoid or minimise any other individual factors that make you flush.
- Minimise thick oil-based face creams and make-up, opt water-based make-up.
- Wear hats and apply oil free sunscreen to protect your face from the sun.

Vascular birth marks
Cherry angiomas, or Campbell de Morgan spots, are common, harmless spots. Often bright red in colour, but can also be shades of blue to black, these spots can develop anywhere on the body, most commonly on the torso. The cause is unknown, but we do know that there can be a genetic basis to them, and they tend to be more common with increasing age.
Spider qngiomas (or telangiectasia) are similar to angiomas, but have a larger central vessel at the skin surface, with ‘spider’ capillaries feeding off to the sides of the central vessel. They are also harmless, but larger numbers can be seen with pregnancy and liver disease.
Treatment methods include electrocautery and laser or intense pulse light treatment.

Acne
Camberwell Dermatology Centre uses a number of treatments for acne, tailored to your skin type and its severity. It is important to treat acne early on as it can have a significant impact on an individual’s self-esteem, in particular in the teenage years.
Scarring
Acne can cause scarring, which can improve with time, but for some acne scars can be lasting. It is important to find effective treatments for acne early on, reducing the risk of scarring.
Hypertrophic acne scarring and cysts can improve with intralesional injections, while atrophic scars are amenable to minor surgical techniques to improve the textural defect. Resurfacing lasers can improve the overall texture created by acne scarring.
Newer fractional technology has reduced the downtime of laser acne scarring treatments. Your dermatologist will offer you advice on the best treatment for any scarring.

Skin cancer
It is a good idea to talk to your doctor and dermatologist about your level of risk and for advice on early detection. It is important that you are familiar with the look of your skin, so you pick up any changes that might suggest a skin cancer. Look for:
- any crusty, non-healing sores
- small lumps that are red, pale or pearly in colour
- new spots, freckles or any moles changing in colour, thickness or shape over a period of weeks to months (especially those dark brown to black, red or blue-black in colour).
Australia has one of the highest rates of skin cancer in the world, with the majority of skin cancers caused by exposure to UV radiation in sunlight.
Source: Cancer Council Australia
Contact us
Location
71 Mayston Street
Hawthorn East
Victoria 3123
Hours
Monday-Friday
8am–4:30pm
Saturday–Sunday
Closed
Contact
Tel: 03 9811 6500 Fax: 03 9811 6565
Email: camberwell.dermatology@gmail.com
Cosmetic Clinic: 0494 331 271
Cosmetic Clinic Email: cosmetic.camberwellskin@gmail.com