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Dermatology · skin, hair and nails

If a mole is changing, it doesn't matter whether it hurts.

Skin problems are the ones people put off, because they look small and they rarely hurt. Most turn out to be nothing. The way to keep it that way is to have the changing one looked at while it is still small enough to be boring.

What to look for, and when to stop waiting
Asymmetry and border — One half unlike the other, or an edge that is ragged rather than clean
Colour and diameter — More than one colour in the same spot, or something noticeably bigger than the others on you
Evolving — the important one — Any change in size, shape, colour or feel over weeks or months. Change is the sign that matters most
The odd one out — A spot that simply looks different from all your others is worth showing somebody, whatever the checklist says
A sore that will not heal — Something that scabs, bleeds, heals a little and comes back in the same place for more than a month
Who actually decides — Not a website and not an app. Examination with a dermatoscope, and where needed a biopsy, is what answers the question
Nothing on this list is a diagnosis, and most of what people bring us is harmless. Photographing something and waiting six months to see what happens is the one approach with no upside.
Sun, plainly
Sunscreen is a floor, not a licence — It lets you be outside more safely. It does not turn a long midday walk into a free one
Almost everyone applies too little — Roughly a teaspoon for the face and neck alone, and again every couple of hours if you are out in it
Shade and cloth beat cream — A hat, a sleeve and the shady side of the street outperform any bottle, and they never wear off
There is no safe tan — A tan is the skin responding to damage. Sunbeds are worse than the sun, not a controlled version of it
Cloudy days still count — Ultraviolet comes through cloud and reflects off water, sand and snow
Darker skin needs this too — Skin cancer is less common in darker skin and is often found later — check palms, soles, nails and the inside of the mouth, which are the places it is missed

Appointments

Consultation

$120 · 20 minutes
  • One problem looked at properly
  • Examination with a dermatoscope
  • A written plan and a letter to your doctor
  • Prescription where it is needed
Book a consultation

Full skin check

$180 · 30 minutes
  • Head to toe, including scalp and between toes
  • Anything of note photographed and measured
  • Recorded so next year's check is a comparison
  • Recommended yearly if you have many moles
Book a skin check

Minor procedure

$250 · from
  • Biopsy or removal under local anaesthetic
  • Sample sent to a laboratory, always
  • Results discussed in person, not by text
  • Quoted before the day, never on it
Ask about a procedure
Put your own fees here, and say whether the laboratory charge is included — an unexpected pathology invoice a fortnight later is the commonest complaint in private dermatology.
Medical work and cosmetic work are kept apart
We will not sell you cosmetic treatment for a medical problem — If the thing on your face needs treating rather than concealing, that is the appointment you get offered
Or the other way round — Wanting something for how it looks is a perfectly good reason, and it does not need dressing up as a medical need to be taken seriously
Injectables — Prescribed and given by qualified clinicians on these premises. Ask anybody, anywhere, who is actually holding the needle
Nothing here is permanent — Any treatment for an ongoing condition works while you do it. If a clinic promises a permanent fix for a chronic problem, ask what happens when you stop
Patch testing — Before anything is put on sensitive or reactive skin. It costs a fortnight and saves the occasional disaster
No before-and-after gallery — Because lighting, angle and makeup decide those photographs, and a page selling you on someone else's face is not evidence about yours

What treatment usually asks of you

Eight to twelve weeks

Most acne treatment needs that long before it can be judged. Stopping at week three is the single commonest reason it 'didn't work'.

Not chocolate, not dirt

Acne is not caused by being unclean or by what you ate on Friday. Scrubbing harder makes it angrier, not cleaner.

Treat early for scarring

Scarring is far easier to prevent than to treat, which is the real reason not to wait it out for a year.

Moisturiser, in quantity

Eczema care is mostly emollient, used far more generously and far more often than most people are told.

Steroid creams

Used as prescribed and reviewed, they are safe and effective. Fear of them, unmanaged, causes more harm than the creams do.

Bring your bag of products

Everything you have tried, including the ones from the internet. Half of dermatology is finding out what is already going on the skin.

Book an appointment

If you answered that something is new and changing quickly, or that it bleeds and will not heal, ring rather than wait for an email reply. Those two go to the front of the diary.

The clinic

The clinic

12 Linden Walk, Northgate

Monday
08:30 – 18:00
Tuesday
08:30 – 18:00
Wednesday
08:30 – 18:00
Thursday
08:30 – 19:30
Friday
08:30 – 16:00
Saturday
09:00 – 13:00
Sunday
Closed
Put your clinicians' specialist register and numbers here and link it. In a field where a great deal of treatment is offered by people without medical training, being checkable is the whole argument.
© Skin Health Dermatology — examined, explained, referred where it matters

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