Call OGAM on 03 9826 5107 03 9826 5107
+ 740 Chapel St, South Yarra, 3141
 
Call OGAM on 03 9826 5107 03 9826 5107 + 740 Chapel St, South Yarra, 3141

In addition to General Practice, Allied Health, Cosmetic Medicine, and Skin Therapy, OGAM offers a professional medical service in Skin Medicine. We aim to address all skin concerns under the one roof and embrace the concept of a skin institute. In Skin Medicine, we collect the services which you would typically expect of a ‘skin clinic’ and most of these attract a Medicare rebate.

During a typical skin consultation, we assess your history, examine your skin, perform a dermatoscopic examination under high magnification, take any swabs or skin scrapings for laboratory microbiology or histology assessment, and we may refer you for blood tests as appropriate. Biopsy of skin lesions may be required to aid in diagnosis prior to definitive treatment. Treatment options are outlined for each skin problem type.

Skin Medicine services address the following conditions:

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Acne

We treat active acne, acne prevention, and acne scarring.

Treatment options include:

  • Prescriptive options including topical cleansers, topical antibiotics, topical retinoids, oral antibiotics, and oral contraceptive pill in females.
  • Other skincare options such as acne specific cleansers, oil reduction serums, drawing masks among others
  • Microdermabrasion
  • Face and body peels such as the D-Tox peel, Lactic acid peel, Timeless retinoid peel, and the Deep Sea peel
  • Cutera Limelight IPL treatment– this form of light based therapy is specific for acne and kills the bacteria deeper in the skin. We keep prices to a minimum so as it is affordable and accessible to you. We go through an initial active acne treatment regime, and once under control, less frequent maintenance treatments
  • Photodynamic therapy – this treatment is reserved for more severe acne, and utilizes the application of ALA which is then activated with IPL
  • Skin needling therapy– this treatment incorporates a pen needle device that has multiple fine needles that are rolled over the skin repetitively to break up scar tissue and stimulate new collagen and elastin production, thus reducing visible scars
  • Fractionated CO2 Laser Resurfacing – this option is available to resurface the skin in scarred areas and is a very effective treatment option, generally only requiring one treatment
  • Dermal filler injections and subcision for scarred, sunken skin areas
  • PRP plasma skin therapy

Phone 9826 5107 and book a consultation to address your needs and concerns

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Rosacea

OGAM has a very effective array of treatment options for our patients who suffer from Rosacea, which typically presents with redness of the nose / cheeks / and chin areas, and may involve pimples at times. Left untreated, it can lead to significant scarring and skin irregularity.

Treatment options include:

  • Prescriptive products such as topical antibiotics, oral antibiotics and novel new topical treatments addressing redness reduction
  • Non-prescriptive skincare options include vitamin c powder, enzyme mask amongst others
  • Laser Genesis – this is a Yag laser based treatment option which involves a series of treatments to address the skin redness, large pores, and skin scarring. We believe this to be the most effective treatment in the management of the ‘redness’ of rosacea
  • Cutera Limelight IPL treatment of active pustular rosacea to eliminate the bacteria deeper in the skin
  • Fractionated CO2 Laser Resurfacing – this option is available to resurface the skin in scarred areas and is a very effective treatment option, generally only requiring one treatment

Ph 98265107 and book a consultation to address your needs and concerns

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Scarring

Scarring can be of great concern to our patients. Scarring may result from acne, rosacea, trauma, surgical, and may include keloid scarring.

Treatment options include:

  • Microdermabrasion
  • Skin Peels
  • Skin pen needling – this treatment incorporates a pen needle device that has multiple fine needles that are rolled over the skin repetitively to break up scar tissue and stimulate new collagen and elastin production, thus reducing visible scars
  • Dermal filler injections – we utilize various dermal fillers to fill out scars and stimulate collagen and elastin production underneath the scar to ‘fill out’ or ‘push up’ the scarred skin. This can be incorporated with needle subcision
  • Corticosteroid injection – this is a treatment option that can help reduce keloid scarring, but is most effective when utilized at the stage of keloid formation rather than at a later date
  • Laser Genesis – this is a YAG laser based treatment option which can be effective in addressing more superficial scarring of the skin and we use this treatment in the management of red stretch marks
  • Fractionated CO2 Laser Resurfacing – this option is available to resurface the skin in scarred areas and is a very effective treatment option, generally only requiring one treatment
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Lumps and Bumps

This encompasses many patient concerns presenting for medical treatment options. This term includes cysts, lipomas, fibroma’s, skin tags and warts amongst other skin concerns.

Treatment options include:

  • Surgical excision under local anaesthetic
  • Post excision suturing
  • Tying or snip excision of skin tags
  • Cryotherapy with liquid nitrogen
  • Diathermy cautery
  • Laser treatment of warts

All specimens excised will undergo laboratory histology assessment.

All these services attract a Medicare rebate.

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Pigmentation

Pigmentation may be due to many causes such as sun damage, hormonal such as pregnancy or contraceptive pill, post acne, post trauma etc.

Treatment options include:

  • Prescriptive products such as topical retinoids, and skin lightening products such as arbutinin, kojic acid, hydroquinone amongst others
  • Non-prescriptive skincare products including agents such as bearberry, liquorice, hydroxyacids, tyrostat amongst others
  • Facial peel treatment options include Lactic acid peel, Glycolic acid peel, Jessner peel, and Retinoid peel
  • Cutera Limelight Photofacial is a very effective medical grade IPL treatment which we utilize frequently, giving great results. The light breaks up the pigment which is then excreted by the body internally and also external shedding off the surface skin
  • Cutera Pearl Erbium Resurfacing Laser also eliminates pigment from the skin and is a great option if the skin is both pigmented and wrinkled
  • Fractionated CO2 Resurfacing Laser is an option for deeper resurfacing, particularly for more aged skin
  • Skin needling therapy in combination with pigment reduction serum therapy
  • Combinations of treatments such as a peel and IPL at each treatment session may be utilized to maximize results
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Vascular

Vascular concerns may include haemangionas, “cherry spots”, Campbell de Morgan spots, telangiectasia, facial and leg veins, amongst others.

Treatment options involve:

  • Cutera Vascular YAG laser giving fantastic results without great expense, (See the Vascular Laser section)
  • Pressurised stockings are available for purchase at OGAM
  • Leg varicose veins generally require referral to a vascular specialist which we can arrange for you
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Pre-Cancerous Skin Lesions

Pre-cancerous skin lesions are common in Australia and occur mainly on sun exposed areas such as the face / neck / chest / and arms but may occur elsewhere.

They generally present as crusted raised skin lesions which can be itchy. Left untreated, they can develop into skin cancers at a later stage.

Treatment options:

  • Prescriptive options include topical diclofenac, ALA cream, ingenol gel, imiquimod, retinoids amongst others
  • Non prescriptive products can play a role such as anti-oxidant serums and hydroxy acid lotions
  • Cryotherapy – treatment with liquid nitrogen
  • Photodynamic therapy – incorporates application of ALA solution and this is then activated with IPL
  • Superficial radiation therapy – this is another very effective treatment option with a great cosmetic result and is organised externally for you through our radiation oncology specialist
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Skin Cancer Screening & Treatment

Skin cancer is common in Australia, with a prevalence greater than anywhere else in the world. Hence the need for caution and regular skin checks are recommended as a way of preventing skin cancer complications.

Cancer screening services currently involve:

  • Consultation and history taking
  • Skin examination including dermatoscopic examination at high magnification
  • Biopsy of any lesions which appear suspicious
  • Excision of highly suspicious lesions or lesions confirmed as being cancerous on biopsy
  • Biopsies and excisions are carried out under local anaesthesia, with suturing post-excision
  • All specimens biopsied or excised are sent to the laboratory for histological assessment
  • A follow-up consultation occurs approx 1 week after the biopsy or excision
  • Annual skin reviews are recommended
  • OGAM is also serviced by Dr Chris Miller’s Spotcheck service. This includes photographic capturing, body mapping, and comparison surveillance, in addition to the services above such as cryotherapy, diathermy, biopsy, and excision
  • Melanomas will be managed through a tertiary level skin cancer centre
  • Prescriptive products may be utilized such as topical diclofenac, ALA cream, ingenol gel, or imiquimod for pre-cancerous lesions or some basal cell cancers
  • Photodynamic therapy incorporating ALA and activation with IPL is utilized for generalized facial keratoses (pre-cancerous)
  • Superficial radiation therapy may be recommended for facial skin cancer lesions to attain the best cosmetic result that may not be available with surgical excision, if the lesion is in a sensitive area and relatively large in size

All these services attract a Medicare rebate

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Laser treatment of Nail Fungal Infections

OGAM Medical have invested in GenesisPlus, a YAG laser based treatment from Cutera, which is FDA approved as a safe and effective treatment of toenail fungal infection.

Nail fungus is a common condition estimated to affect up to 10% of the population worldwide. It can cause nails to become yellow or discoloured. As the infection advances, the nail can become brittle and separate from the nail bed.

During a genesis-plus treatment, the laser beam is passed repetitively over the infected nails and surrounding skin. The laser light is absorbed by the pigment in the fungi, and this heat kills or damages the fungal organism.

Number of treatments can be as little as one, but more commonly two, and occasionally more if the nail is very thickened with severe infection. The treatment is comfortable, with a sense of heat in the nail. It is important to remove all nail polish and decorations the day before the procedure. The treatment is relatively inexpensive.

A significant benefit of this treatment is the avoidance of the need for oral medications which have to be taken for three to six months and which can have significant side-effects.

To book a consultation or treatment, please phone 98265107 and book an appointment with Olivia, our dermal clinician.

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Laser Treatment of Warts

OGAM provide the service of Yag laser treatment of warts. This newly recognised and approved treatment modality for the treatment of warts is successful, affordable, and with minimal discomfort.

The YAG laser targets the vascular component of the wart and thereby cuts off the blood supply to the wart, which then dies. The desired end point of the treatment is a slight ashen colour occurring immediately after the administration of the laser pulse.

Within 24 hours after the treatment, the wart usually has a black or crusty appearance, and the treated tissue usually sloughs within 1-4 weeks.

More than 1 treatment may be necessary (4-6 weeks apart).

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Laser Treatment of Morton's Neuroma

OGAM provides the Laser Genesis Plus laser treatment option to relieve the symptoms of Morton’s Neuroma, a painful and often chronic condition with limited options for pain management.

During the treatment, approximately 400 laser pulses are administered from above the foot, and under the foot, in the affected area. The treatment generates heat, which can lead to a slight discomfort.

Mild redness and mild swelling may occur in the treated area, and this is a normal reaction. The number of treatments required may vary from 6 to 10, and can be performed weekly or twice per week depending on severity.

While some patients have reported improvement and relief after 1 treatment, most will typically begin to feel relief after 2 to 3 treatments.

It is recommended that patients avoid tight shoes, high heels, running and high impact aerobics during their treatment regimen.