Most of us get some sort of skin condition or concern over the course of our lives, and some of us have more serious conditions that we are not sure how to treat, so we often just leave them. We wanted to find out a little more about the why’s and how’s behind our skin and the treatment options, especially considering today’s expansive cosmetic market.

North Coast Medispa - you are in safe handsPSH: Why do some people get acne and others don’t, and is there a solution for everyone?

North Coast Medispa: The exact cause of acne is not yet known and so it’s still unclear as to why some people are more prone than others. It is a condition that affects up to 85% of the population at some stage, regardless of age, gender or race.

Generally speaking, it appears to be a hormonally triggered condition, which causes an overproduction of the oil glands. Genetics also seem to play a large role – if your parents had acne, there’s a good chance that you will as well. Diet, medications and some environmental components also believed to have an impact on acne.

There is no single solution suitable for those suffering from acne. In many cases, we find that a simple but consistent skin care routine with high quality products makes the biggest difference, particularly when the acne cycle has just started and the condition is quite mild.

The skin care routine should include scientifically proven ingredients including salicylic acid, benzoyl peroxide and nicotinamide and lipid hydroxy acids.

Moderate and severe cases typically require regular in-clinic treatments such as chemical peels and LED Phototherapy and often prescription medications to achieve the best outcome.

PSH: Does food and diet play a part in people’s skin conditions and conditioning?

North Coast Medispa: While there are still on-going studies to determine the exact effects of diet on skin conditions, it is commonly accepted that a well balanced diet is essential for general health and therefore the health of the skin.

There are studies to suggest that a low GI diet may assist with the management of acne but more conclusive research is yet to be published.

For people suffering from rosacea, some external factors may contribute including: spicy foods, and alcohol commonly trigger the characteristic red flushing of the skin.

PSH: Can you give us an easy to understand comparison of the differences in the different skin discolouration/conditions such as Rosacea, Pigmentation and Melasma? Do they each need different treatments, and what are they?

North Coast Medispa: Rosacea is a chronic skin condition that is characterised by a red flushing of the face, sometimes pimple-like red bumps, visible blood vessels and even dry eyes. The severity and combination of symptoms varies between individuals and there is no conclusive evidence suggesting what causes the onset. This condition is quite easily managed but treatment is focused on the symptoms, as there is no cure for Rosacea itself.

Treatment options include IPL or laser treatments, vaso-constricting topical creams and oral medications and a gentle skin care routine.

Pigmentation occurs due to UV damage of the skin, which stimulates melanin production and results in discolouration, sun spots, freckles etc.

Treatment of pigmentation typically involves a series of chemical peels and laser or IPL sessions. Where suitable, prescription skin-lightening creams are added in combination with a quality skin care routine to produce the best possible results.

Of course, sun protection – prevention of UV damage – is the best approach, so SPF50+ sunscreen should be worn daily.

Melasma is a hormone-induced pigmentation concern, often resulting in brown discolouration of the face. It is treated in the same manner as standard pigmentation, often with the addition of oral medications being prescribed to address the hormone imbalance.

North Coast Medispa cosmetic dermatology

PSH: Can you tell us the science behind exactly how anti-wrinkle injections work to reduce or remove wrinkles, and are they completely safe?

North Coast Medispa: Anti-wrinkle injections involve the injection of a prescription product directly into the wrinkle-causing muscles in order to weaken them. This medication is designed to effectively disable transmission of messages between the brain and the targeted muscles.

This means that when your brain is telling you to frown, the muscles typically engaged in this process stay relaxed, preventing wrinkles from forming.

When administered by appropriately trained and experienced practitioners, this treatment is very safe.

PSH: How do anti-wrinkle injections work to solve the issue of excess sweating?

North Coast Medispa: The same technique and product is used as with treating wrinkles but instead we prevent the sweat-glands from activating, effectively stopping the sweating.

As a dermatology clinic, we are approved to offer Medicare rebates on the treatment of Axillary Hyperhidrosis (excessive underarm sweating) with this method. This means significantly reduced out-of-pocket expense for what can be a life-changing procedure.

PSH: What is the best treatment for scarring from a plastic surgery procedure?

North Coast Medispa: Treatment of scarring depends on the individual circumstances as well as the type and location of the scar. As with most skin treatments, a multi-modality approach often produces the best results.

For surgical scars, a series of skin needling or fractional laser treatments can effectively break up the damaged (scar) tissue and stimulate healthy, fresh skin cell growth.

Re-excising the scar and re-suturing with more precision can be an option in some cases and subcision, which involves separating the scar tissue from the surrounding skin, can be used for indented scars.

Raised, thickened scars can be treated with direct cortisone injections, which will soften and flatten the scar.

In some cases, dermal fillers are used to fill scars.

North Coast Medispa are the premier location for all things skin and dermatology on the Far North Coast of NSW. If you’d like more information on what treatments they offer email us at or visit their website at


Trish is a plastic surgery blogger. She is passionate about wellbeing, health and beauty, and doesn't mind a little bit of 'help' from the amazing cosmetic and beauty procedures that are available today. Trish spends her days talking to women and men who are looking for suggestions and advice on procedures that are available to them. Cutting through the sales pitch and hype, a down-to-earth response on general information is what you will get.

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