What kind of dermatologist am I? What do I do?
I am a procedural dermatologist, namely my interest & my work is based around injectables (dermal fillers, muscle relaxants), lasers, energy devices, surgical procedures & deep complex chemical peels.
The majority of my dermatology work is treating severe acne scars, surgical & burn scars, resistant rosacea, rhinophyma, facial-neck liposuction, birthmarks, significant sun damage, hyperhidrosis & pigmentation disorders.
The other hat I wear is a cosmetic dermatologist, namely I employ injectables, laser, energy devices, peels, & surgery to treat wrinkles, age related concerns, & laxity.
I do not practice medical dermatology, namely I do not treat acne, rashes, hair disorders. These are performed by my colleagues & nurses. For skin care advice, my nurses & dermal therapist will go through a suitable routine based upon your skin type & concerns.
What sets us apart?
Our values of clinical excellence & ethics: My team of clinicians share the same values of professionalism in achieving the best & safest possible outcomes without the BS of sales & conversions. This means we will always find the best possible treatments without the upsell.
Experience & training: Our nurses have been trained in the art & science of aesthetic & laser dermatology for over 5 years. Cutis has a structured approach to training with weekly upskilling of therapists & nurses. The clinical team is integral to providing safe & effective outcomes to our patients. If you look throughout this website, I frequently make reference to the word ‘patients’, and not customers or clients. I believe this old fashioned clinical approach is a reflection upon our ethics & care that is universal- from simple chemical peels to complex resurfacing lasers.
Shared aesthetic outcomes: Every team member of Cutis Clinic shares the same vision of aesthetics, namely natural balanced results. We incorporate skin care, lasers, devices, threads, & injectables to give the best outcomes possible.
Equipment & research: Cutis has the latest equipment on the market. We are constantly acquiring new devices, averaging a turnover of 5 new devices every year. Davin is also a key opinion leader, principal researcher & advisor for numerous device companies, as well as injectables. Our commitment to teaching, research & development ensures we are ahead of the field.
What is the go with referrals need?
If you reside in Australia, you will require a referral to claim Medicare where appropriate. This is a legal requirement for a Medicare claim.
A referral is not required if you see me for cosmetic concerns including injectables (dermal fillers, muscle relaxants), wrinkles or liposuction procedures.
*Cases including acne-surgical-traumatic scars, birthmarks, red veins, rosacea, sun damage, rhinophyma, syringomas, are classed as medical. In the majority of cases there is a Medicare rebate, however this is based upon the diagnosis & the actual treatment.
Is my consultation private?
Yes. My consultations are conducted with a traditional approach, mamely I take the history & perform the examination in a private setting.
I understand there is a trend amongst most cosmetic dermatologists to get a history from you via a third party, namely an assistant or two present in the room. This process is efficient, but does not convey the information that I require, hence in the majority of cases my approach is traditional. I make up time through the information provided on this website, & on my social media accounts.
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What is the cost for a consultation?
An initial consultation cost $250. A partial Medicare rebate applies if you have a referral. A referral is not required for aesthetic consults. Reception can guide you through the referral process.
Any additional procedures will incur a charge. The cost depends on the procedure itself. As a rule, simple procedures such as injections, pigment or vascular lasers can be conducted on the day. More complex procedures that require sedation require an operating theatre booking & time slot.
How much time is allocated for a consultation & what is the process?
A typical consultation takes 20 – 30 minutes. This includes documentation, examination, diagnosis & a treatment plan. My consults are old fashioned, namely I take the history & perform the examination.
I provide a treatment plan however for simple cases including melasma & management of pigmentation, my nurses may take over your case. I make it a point to give the appropriate time, based upon the complexity of the presentation.
Do I do online consultations?
No. Online consultations are best for medical problems. I prefer the accuracy of real time consultations. A physical examination is best before any procedural work, this includes acne scars, skin rejuvenation & pigmentation disorders.
Can treatment be done on the same day?
In some cases, yes. It really comes down to the diagnosis & the complexity of the treatment. For example, I can treat rosacea on the same day, as well as perform most injectables including dermal fillers & muscle relaxants.
I require a theater booking for most cases of acne scarring (surgical). I also require sedation for most of my laser-surgical cases.
Am I on time?
For the most part, yes. I normally build catch up gaps in my consultation list to ensure that I am on time. Several caveats as to why I occasionally run late. Most commonly-
- If someone before you runs late this has a flow on effect. Say if 3 people in the afternoon list run 8 minutes late each, the last patient on this list may need to wait 25 minutes longer. Catch up gaps can reduce, but not eliminate this.
- Complex cases. I give adequate time for a good history & examination pertaining to each patient. Simple cases may take 5 minutes, complex cases may take 30 minutes.
- I also have a consultation list following a procedure list. This keeps me fresh for procedures (which is the majority of my work). Occasionally I may require more time for an operation. An example I may run overtime because I have to control an arterial bleed, or because a patient requires more sutures.
Why is it important to choose a physician who matches your personality?
Let’s face it, there are many different types of personalities, ranging from normal (most of my patients), to borderline, narcissistic & even psychopathic – manipulative traits (minority). I also need to factor my personality traits.
I am– focused on problem solving, focused on solutions for difficult problems, not solutions for difficult patients. I will provide a treatment plan without the BS, nor the upsell.
I am not– a hand holder, I listen to solve problems & to provide excellent outcomes, but counselling is not one of my strengths. If I elect not to perform a procedure, it is because I believe that it would not benefit you.
I do not have the skill sets for the management of body dysmorphic disorders & will refer to other professionals who can effectively treat this complex condition.
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