How Does Tattoo Removal Work?

Laser Tattoo Removal Simplified: The Tattoo Removal Process

If you have a tattoo you no longer want on your body, you may think you’re stuck with it. Don’t be deceived by other removal methods that market themselves as effective but leave individuals with scars, loss of pigmentation, or nothing more than a slightly lighter-coloured tattoo.


With experienced talent and cutting-edge lasers you can achieve total tattoo reduction on nearly every tattoo colour and size. Want to know more? Here are the most frequently asked questions about tattoo removal.


Those who have tried over-the-counter removal creams or other non-laser methods may be skeptical about whether tattoo removal actually works or not. There are two methods of tattoo removal: pushing the ink up and through the skin’s surface, which is the method used by creams as well as salt and saline methods, and breaking up the ink into tiny particles without breaking the skin so the body can safely absorb the ink. The first method is rarely very effective and cannot fully remove a tattoo. However, with the right lasers in the hands of experienced technicians, the second method has proven very effective in removing both old and newer tattoos.


Yes, it is possible to completely remove a tattoo if the right laser or combination of lasers is used. We use lasers to break up different colors of ink into tiny particles that are then safely passed out of your body through the lymphatic system. This has proven to be a safe and effective way to remove tattoos, and we find that we can completely remove the majority of tattoos our clients come in with. While other methods can help lighten tattoos and make them easier to cover up with new tattoos, lasers are the only method that can completely remove a tattoo.


Tattoos are difficult to remove because of the immense variation in how they are applied as well as each individual’s unique skin tone and texture. For a tattoo to be permanent, ink needs to be inserted deep into the dermis and the ink particles need to be large enough that they can’t naturally be flushed from the body’s system. This means that an innovative technology such as lasers must be used to break up these particles before they can safely be absorbed. Further complicating the matter, the colors of ink used respond differently to various wavelengths of lasers.


It depends on the size, colour, age, and location of your tattoo. Typically, six to twelve treatments spaced six to eight weeks apart is the average number of sessions required to fully remove a tattoo. When you have your initial consultation we will evaluate your tattoo for colour, age, ink depth, and other considerations and give you an estimate of how many sessions we believe it will take for full removal. We can then offer a package based on the appraisal.


Actually, it’s the opposite. The older the tattoo, the more it has faded, and the more ink has already been absorbed by the body. The body has also had more time to attack the foreign particles so those particles have become weak over time. This means that it could only take a few sessions to remove a tattoo that’s ten years old, while it would take twice as many to remove the same tattoo if it was only a year old.


Regrets happen, and we often see clients come in looking to remove a tattoo they just got done. We always tell people that a tattoo cannot be removed with a laser until it has completely healed, which usually takes six to eight weeks. During this time, it’s vital to take care of your tattoo so that it heals smoothly and can be more easily targeted with our lasers. New tattoos are more difficult to remove than older ones as the ink has not had any time to fade, and full removal may take more sessions.  In addition, if a tattoo does not heal properly, it could cause scarring and this makes the process of tattoo removal even more complicated.


There are many factors involved in the number of treatments needed to remove a tattoo, including depth of ink, colours used, tattoo age, and tattoo size. It’s rare for any tattoo to be successfully removed with just one treatment, even if it is small.


Yellow, pink, white, and certain shades of green and blue are usually the hardest colors to remove. However, with the right type of laser set at the correct wavelength, we’ve found there is usually no color we can’t remove in a handful of sessions.


There is a lot of variety here, but we usually find the easiest tattoos to remove are primarily black, at least ten years old, and relatively small. In addition, tattoos on upper parts of the body such as the upper arms, chest, and shoulders are typically easier to remove than those on the legs, hands, or wrists.


Small tattoos are generally easier to remove due simply to the less amount of skin they cover. However, even small tattoos can be tricky if they have resistant colors, are located on certain parts of the body, or if you have a certain skin tone or type.


The larger the tattoo, generally the more sessions it takes to remove. Just like small tattoos, though, a number of other factors play into the number of treatments needed to fully remove every size of tattoo.


After each laser tattoo removal treatment session, it will be difficult to immediately see results because the skin on and around your tattoo will likely be red and swollen and will then may develop blisters as it heals. You may also see hypo- or hyperpigmentation in the tattoo area. All of this is normal and fades with time. Once this has healed, you should see a lighter tattoo after your first treatment, and it should get lighter with each subsequent treatment until the tattoo is completely gone.

Educating yourself about the laser tattoo removal process and what you can expect for your unique removal situation will help you prepare for treatment and the subsequent results. No matter what type of tattoo you have, our team can develop a laser treatment plan that will almost always provide full removal.

How much does Tattoo removal cost in Perth?

Laser Tattoo Removal with our Q switched laser is priced at $150 per 15 minute session or can be purchased as a package based on the number of recommended sessions.

  • 1 x 15m Session $150
  • 5 x 15m Sessions $700
  • 10 x 15m Sessions $1,200

Total removal cost is determined by varying factors including the age of the tattoo, location, size and number of treatments required. Contact SKYN® today to book an obligation free consultation.


Laser Tattoo Removal Before and After

Everything To Know About Cosmetic Treatments For Men

Non surgical aesthetic treatments are not a taboo these days. More people are open to the idea of getting cosmetic tweaks to fix the tiny imperfections that have bothered them for so long.

Moreover, aesthetic treatments are no longer aggressively invasive like going ‘under the knife’ but instead, there are injections that get the job done quickly and more effectively.

However, any aesthetic treatments are going to alter your body both temporarily or permanently, and will be visible to the people around you. Hence, it’s best to do a lot of research on what kind of treatment would be the best for you and the best doctor to get it done from.

Dr. Bharti Magoo gets a lot of male patients and says, “These days, men are frequently utilizing these procedures to reverse their signs of aging.”

“The beauty of these procedures is that they help to tackle the skin damage caused by aging without using any invasive treatments,” she adds.

Further, she talks about the various cosmetic procedures that men opt for, to become the best version of themselves.


Wrinkle Relaxers

Wrinkle Relaxers are a powerful non-invasive treatment. “Treatments can effectively and more so, visibly reduce the signs of aging,” says Dr. Magoo. An injection is used to relax the tensed facial muscles that cause wrinkles, fine lines, and crows’ feet. Wrinkle Relaxers, under medical supervision and when administered correctly, yield a perfect result. Wrinkle Relaxers are also used to reduce armpit sweating.

Wrinkle Relaxers / from $130 per area



Microdermabrasion is one such procedure in which the dermatologist will remove the outermost layer of the skin using a small tool. The new layer of skin, which is exposed, is fresh and more textured. This helps in improving the overall look by addressing the fine lines, wrinkles, scars, age spots, stretch marks and signs of aging skin. Exfoliating dead skin cells is a procedure that triggers cellular renewal: replacing the outer layer of skin for a fresh, healthier and more vibrant looking layer of skin.

Microdermabrasion / from $130 per area


Chemical Peel Treatment

Chemical Peel treatments involve controlled scaling of different layers of skin. “An effective procedure, chemical peeling tackles fine wrinkles, hyperpigmentation, acne scars, uneven skin, inflammatory acne, and reduction of open pores head on,” says Dr. Magoo. This procedure helps in regenerating healthy, youthful and glowing skin.

Chemical peels / from $130 each


PRP Treatment

Platelet Rich Plasma (PRP) is a bio-active stimulator. This procedure is used to stimulate collagen production and by extension cellular renewal. It helps in revitalising the skin complexion and improving overall skin texture and tone. PRP facials utilise the skin’s natural wound healing properties to reverse aging-related damage and can alos be used to stimulate hair growth.

PRP Treatment / from $990 for face (1 area)


Dermal Fillers

Fillers are another popular treatment option for men who want to diminish the signs of aging and rejuvenate their appearance. Fillers help to lift and plump areas of the face that have sunken-in due to aging and sun damage. This provides men with a younger and healthier look.

Dermal Fillers / from $750 per ml


Laser Skin Resurfacing

Erbium Laser skin resurfacing is a more aggressive treatment that is used to treat skin conditions associated with aging, unhealthy lifestyle and sun damage. This helps to restore your skin closer to its natural state by blending its natural colours. Apart from these cosmetic procedures, it is essential to follow a healthy lifestyle to retain a younger looking skin.

Erbium Laser Skin Resurfacing / from $350

Ready to get started?

For a no out-of-pocket expenses consultation, or to book in for a treatment, call SKYN 08 9389 9022 or request an appointment online.

How to eliminate your double chin without surgery

Reclaim masculinity.

A strong bone structure and chiselled jawline has long been associated as one of the main defining characteristics of a masculine face. A strong face can make the ladies swoon and intimidate other men.

Not everyone, however, was blessed with the jawline of a Greek god. Some of us have the dreaded double chin or no chin definition at all.  A bloated face or ‘no neck’, can hide your masculine features. This isn’t something you need to live with. Men can now achieve perfectly defined jawlines with CHIN UP™ double chin reduction without having to go under the knife.

The Facts

Firstly, what causes a double chin? A double chin refers to submental fat, which is the excess fat located under the chin. This can be caused by weight gain, ageing or can simply boil down to genetics.

How does CHIN UP™ work?

CHIN UP™ Works by injecting the area with deoxycholicolic acid (found naturally in the body) to destroy submental fat. Once the fat cells have been destroyed they cannot store fat again – so once you have achieved the look that you want, it is unlikely that you will need more treatment.

Why get CHIN UP™?

Why would you want to remove this naturally occurring feature? Men seek to remove this area of fat for a number of reasons that go beyond the cosmetic benefits. The masculine jawline is often associated with success, so men in competitive industries can feel like they have more of an edge when they look the part, feeling much more confidence. Some men have also reported the discomfort they have with the extra fat, having to tuck the skin that lies between the collar and the chin or feeling choked by their ties.  


The benefits of CHIN UP™ are that clients don’t have to go under the knife for the same results, which can be more than intimidating. This treatment also has less downtime, swelling and bruising in comparison to liposuction. Clients can expect swelling for a few days however, it shouldn’t interrupt normal activity. Men that have undergone this treatment have reported that people have noticed, although simply assumed they lost weight and have complimented their new appearance.

Ready to get started?

For a no out-of-pocket expenses consultation, or to book in for a treatment, call SKYN 08 9389 9022 or request an appointment online.

Here’s What You Need to Know About Platelet-Rich Plasma Treatment for Hair Loss

By now you’re probably familiar with, or at least have heard of the “vampire facial,” a skin treatment that essentially uses your own blood to help facilitate a glowing, youthful complexion. What you probably haven’t heard of is that there’s a similar treatment for hair loss, and yes, it requires your blood, too.

It’s called platelet-rich plasma, a.k.a. PRP, says Joshua Zeichner, the director of cosmetic and clinical research in dermatology at Mount Sinai Hospital in New York City. Here’s how it works: “Our blood is made of two main components, red blood cells, and plasma,” he says. “The plasma contains white blood cells and platelets, which are rich in growth factors.”

Growth factors, in a sense, play the role of messengers, signalling skin cells to function. In fact, they’ve been used in medicine to treat a range of health issues, including arthritis, signs of aging, etc. The good news for anyone with thinning hair, says Zeichner, is that growth factors can “help stimulate the activity of the hair follicles and promote new hair growth.”

The use of PRP is “a great treatment option for hair loss because it has a number of scientifically based articles showing its efficacy increasing hair count, hair thickness, and the growth phase of the hair cycle,” says Neil Sadick, dermatologist in New York City and the director of the Sadick Research Group for understanding and treating hair loss. He adds the treatment has been gaining popularity around the world within the last few years.

The process.

As with most procedures, there is a careful process involved in using PRP for hair regrowth, beginning with a standard blood draw from the patient’s arm. Next, Zeichner says, “the tube of blood is put into a machine called a centrifuge, which spins the blood tube to separate out the red blood cells from the plasma. The plasma, rich in platelets, is then injected directly into the scalp at the level of the hair follicles.”

The process is meticulous — with injections beginning across the scalp, approximately at every half inch over the area of thinning hair — but typically, the entire procedure takes less than a half hour.

Risks involved.

It might sound scary (blood draws and needles?!), but for the most part, there’s no real risk associated with PRP. “Most patients get injections without any numbing, as there is minimal discomfort,” says Zeichner. “However, cool air or ice packs may be used to minimize pain.” In the event there is any discomfort, Tylenol after the procedure is also recommended. Bruising can occur but usually resolves within a week or two.

Minimal downtime, if any, is needed, while Zeichner adds, “I personally recommend a warm shower, as the hot temperature will enhance blood flow and circulation throughout the scalp,” he says. This means going a day (or two) without your typical hair maintenance (coloring, processing, blow-drying, etc.).

Who it works for.

Anyone experiencing hair loss is essentially a good candidate for PRP treatments, but those with early hair loss tend to respond best.

The results.

For best results, consistency is key. Treatments are typically performed monthly, and then every three to six months thereafter, depending on the client’s response and results. Anticipated results can usually be seen within two to three months.

PRP treatments aren’t necessarily an easy or quick fix, but they are a medically and scientifically backed option if you are looking for hair-loss solutions.


PRP treatments for hair loss at $990 per treatments.

Ready to get started?

For a no out-of-pocket expenses consultation, or to book in for a treatment, call SKYN 08 9389 9022 or request an appointment online.


The ageing effects of your digital devices

What you should know about the effects of HEV Light (high energy visible light)

We all know the dangers of UV light from the sun, but what about the blue glow from your smartphone? Studies have revealed HEV light could be doing you more damage than you bargained for.

What is HEV?

High energy visible light, (HEV) also known as “blue light” refers to the higher-frequency, shorter wavelengths of light in the violet-blue band in the visible spectrum. Most of your exposure to HEV will come from daylight. Blue light is also present in man-made lighting such as fluorescent lighting and LEDs. This means your smartphone, laptop, tablet, computer and even your TV.


The ageing effects of HEV exposure

The levels of HEV present in electronic devices is lower than daylight, however, they still emit significant levels and long exposure time mixed with proximity to the screen of your device, heightens the possible long-term effects. There has been significant research into the damaging effects HEV exposure contributes to your eye health and sleep patterns. Now, there’s been a convincing body of evidence to suggest that exposure to HEV can also contribute to the development of fine lines, wrinkles and pigment changes.

So although HEV light can’t burn us, or cause redness like UV light, studies suggest it goes deeper than that hitting elastin, collagen, and hyaluronic acid supplies. This means in simpler terms, everything that keeps your skin looking young.


As with everything, prevention is key. Blocking HEV light has been sighted as important as blocking UV light and UVB, so looking for skincare or sunscreen products that include HEV blockers can be your first step towards saving your skin. 


Luckily SKYN® has you covered with our range of ZO® skin health products that include HEV Blockers. Products such as the Oclipse® Sunscreen + Primer SPF 30, is included in our ZO® skincare programs. The multi-use sunscreen not only smooths the skin and minimises the appearance of lines and wrinkles, it also protects skin from UVA/UVB, HEV light, and IR-A (infrared rays).


What to do if it’s too late?

If your skin has already suffered the effects of HEV light, there are a few treatments that can reverse the effects.


Carbon Spectra Peel

Melasma and pigmentation respond particularly well to this treatment, and the added benefits of this peel are also age prevention. The Spectra Peel works by laser energy breaking up pigment, that is then carried away by your body. The laser energy is attracted to the carbon mask, then heats the skin causing it to contract while at the same time stimulating the building of collagen.

The best part of the Spectra Peel? It is fast, effective, painless and has NO downtime. Making it perfect for busy men on the go.

Wrinkle Relaxers

If your skin has aged badly there is a sure fix for fine lines. Wrinkle Relaxers. Wrinkle Relaxers block the signal from your brain to your muscles that make expression lines. These injections are commonly used for frown lines, crows feet, smile lines and forehead lines. The results are subtle, of course, the area will no longer have wrinkles, however,  it does not change the appearance of your face or make you look frozen. You simply look younger and more refreshed.

To reduce the effects that technology is having on your skin, step away from the laptop if you can, invest in a good HEV blocking skin cream and consider the damage HEVL could be doing to you.

Book a complimentary consultation with SKYN for MEN® today to discuss how you can reverse the signs of damaged skin.

Ready to get started?

For a no out-of-pocket expenses consultation, or to book in for a treatment, call SKYN 08 9389 9022 or request an appointment online.

The Ex-NFL player that isn’t afraid of cosmetic procedures

The pro athlete tackling ageing head-on.

Ex-NFL Star, Deion Sanders has opened up about using wrinkle relaxers to tackle ageing. In an attempt to de-stigmatise the use of cosmetic procedures, Sanders has become a spokesperson for ‘bro-tox’.


Hitting the milestone age of 50, Sanders wasn’t shy to embark on an anti-ageing journey and vocalise it. “I am open about everything. I don’t do things in the dark… That is how I live.” he shared with Entertainment Tonight. The pro-athlete hopes to open up the discussion and let men know cosmetic procedures aren’t just for women.


After undergoing the procedure, he has extensively reported that he has a new lease on life. Unafraid to bend gender barriers, Sanders has used the procedure to erase frown lines and crow’s feet. He has chosen to be an advocate for male cosmetic procedures to help others to unapologetically take charge of their appearance.


Abandon stereotypes and book a complimentary consultation with SKYN® today.

Ready to get started?

For a no out-of-pocket expenses consultation, or to book in for a treatment, call SKYN 08 9389 9022 or request an appointment online.

Image/Article source:

Research shows you’ve been applying sunscreen wrong

Have you been sloppy with your slip, slop, slap?

In a recent article in the International Journal of Cosmetic Science, they discovered the average person is unaware of the adequate amount of sunscreen needed to effectively protect yourself from the sun’s UV rays.


A higher SPF sunscreen can throw the average consumer off and give them the impression that they are using an appropriate amount when most of us are not.


The study asked a group of volunteers, aged 18-45 to demonstrate how they would usually apply sunscreen to avoid the burn from the sun. UV photographs were then taken before and after, to evaluate coverage. The findings discovered that the usual sunscreen application leaves 11% of the body not covered at all. Leaving the average person very vulnerable to sunburn.


These concerning stats are bad news for your skin. Not only does exposure to the sun increase your risk of skin cancer, it also contributes to poor quality of your skin and accelerates the ageing process. The damage the sun is doing to your skin may not be obvious immediately, but prolonged exposure destructs the elastin and collagen in your skin; meaning saggy skin, lines and wrinkles later in life (and earlier than it needs to be). Sun damage can also cause pigmentation, freckles, sallowness and impact its ability to heal.


If your skin’s already fallen victim to the sun, fortunately, ZO® Skin Health can rescue and repair damaged skin. ZO® Skin Health and ZO® Medical skincare ranges were created by world-renowned dermatologist Zein E. Obagi, MD. At SKYN® we offer three different ZO® skin care anti-ageing programs. Depending on the level of damage to your skin, they can help minimise the appearance of hyperpigmentation and age spots.


Still not convinced the sun’s doing you any harm? At SKYN® we can assess the skin by using a ‘Woods Lamp’, which is basically a UV light that can expose the severity and areas of skin damage, unseen to the naked eye.


Always remember to read the back of your sunscreen, reapply and even wear it in winter to avoid damaging your skin and accelerating the ageing process.


Ready to get started?

For a no out-of-pocket expenses consultation, or to book in for a treatment, call SKYN 08 9389 9022 or request an appointment online.

Studies Reveal How Modern Men are Tackling Ageing

Long days at work, wild nights at the pub and weekends watching the footy – it’s no wonder you can’t find the time to fit an anti-ageing routine into your schedule.

With an ever increasing pressure to keep on top of your appearance and the lifestyle constraint barriers of busy men, how is the modern man maintaining a youthful edge?

According to data from The American Society for Aesthetic Plastic Surgery, in the past 20 years there’s been an increase in men investing in cosmetic solutions. The gender stigma that surrounds looking your best has evidently disappeared and with an increase in the options and advancements of non surgical cosmetic solutions, it’s clear to see why these numbers have risen.

Young man in suit in car

 It makes sense that non-surgical aesthetic treatments are the perfect fit for men who want a subtle refresh and don’t have time to mess about.

The research shows ‘Bro-tox’ or wrinkle relaxers has continued in popularity, keeping a firm position as the number one most popular procedure for men since 1999. Other injectables are also popular with dermal fillers second and collagen stimulation third.

IPL, Laser and chemical peels are popular Facial Rejuvenation treatments and fat reduction is another popular nonsurgical procedure for men.

With advancements in cosmetic techniques, more men are choosing these solutions to tackle ageing. Reasons range from a self confidence booster, enhancing relationships or keeping a competitive edge in the workforce.

SKYN for MEN® has an extensive selection of options for modern men, whether it’s injectables you’re after, or cutting edge skin treatments. Book a complimentary consultation today.

Maintain your youth and keep on top of your game!

Ready to get started?

For a no out-of-pocket expenses consultation, or to book in for a treatment, call SKYN 08 9389 9022 or request an appointment online.

How to Blast Away Love Handles

So you’ve been putting in the hard yards at the gym, but you still can’t move stubborn flab.

SKYN for MEN® is here to give you the 101 on how Lipodissolve works with your gym routine to blast away those love handles permanently. It can certainly be irritating, but thankfully there is a non surgical answer to target and reduce extra fat.

What is Stubborn Fat?

Love handles, back flab or a paunch… it’s not the way you are training that makes these areas stick around. Some areas of the body are more prone to stubborn fat that is resistant to diet and exercise. This is because stubborn fat is actually physiologically different, it receives less blood flow and is more insulin sensitive.


What is Lipodissolve/Fat Lypolysis?

Lypodissolve is a non surgical injection therapy. It’s suitable for clients seeking a minimally invasive alternative for Liposuction, that wish to target small areas. It can also be used on the neck or to smooth out lumps or bumps.

How does Lipodissolve/Lypolysis work?

PPC (Phosphatidylcholine – a liquid lecithin product produced from soybeans) injections are placed into the superficial to mid layer of subcutaneous fat. PPC causes fat cell walls to burst and then eliminated, released and metabolized by the body.

Does it actually work?

Lypodissolve has proven effective in the treatment of small and stubborn fat removal. It only takes 15-30 minutes and clients can generally return to normal activity within 48 hours, making it highly suitable to fit in with your workout routine.

The number of treatments depends on your body’s individual response to the treatment, generally, 2-4 treatments at 6-8 week intervals are ideal. Results are not immediate but are evident after 10 weeks. If you would like multiple areas treated, we recommend treating one area at a time. Many patients have confirmed that the slower rate of change they experience is positive as they are not confronted with the psychological effects of abrupt change in their physical appearance.

Who is suitable for Lipodissolve?

Clients thinking of Fat Lypolysis for stubborn fat areas need to be aware that it is not a weight loss strategy, it’s simply to reduce areas that are resistant to diet and exercise.

Lipolysis is NOT suitable for:

  • those allergic to B group vitamins or soy beans
  • diabetics
  • those on warfarin
  • those with poor liver function
  • certain auto-immune diseases such as dermatomyositis scleroderma,SLE


How can I get started?

Read more about this treatment here or book a consultation with our Doctors today to determine the cost and number of areas you wish to be treated.

Ready to get started?

For a no out-of-pocket expenses consultation, or to book in for a treatment, call SKYN 08 9389 9022 or request an appointment online.

Who is qualified to inject fillers and wrinkle treatments?

Schedule 4 substances (for example, Botulinum toxin) are prescription only medicines. This is the ASPS official statement about their administration by nurses.


1. Introduction
Botulinum Toxin is commonly prescribed by doctors for the purpose of cosmetic treatments.
It may be lawfully administered by either the doctor, or a nurse acting under the supervision
and instruction of a doctor, and in accordance with a written order provided by the doctor.

2. The Role of Nurse Injectors
Adequately qualified and properly supervised nurse injectors can provide a valuable and
appropriate service to patients undergoing cosmetic treatments provided proper procedures
are in place to ensure the required standard of care is met.

Supervising doctors must be satisfied that the nurse has adequate qualifications, training and
expertise for the duties performed. Whilst it may be the nurse who administers the
Botulinum Toxin, the doctor remains responsible for ensuring the treatment is provided safely
and appropriately.

The doctor should be immediately contactable in order to respond to a nurse or patient’s
concern in a timely manner.

3. Regulatory Requirements for Schedule 4 Substances
Botulinum Toxin is a Schedule 4 substance. The precise legal requirements for the possession,
use, storage and disposal of Schedule 4 substances vary between States and Territories. It is
the responsibility of the prescribing doctors to be aware of the legal requirements in their
jurisdiction and ensure they are complied with.

4. Premises for Injection
Botulinum Toxin should only be administered in an appropriate setting with adequate
equipment and protocols in place. The premises must be properly equipped to deal with
anaesthetic toxicity effects and potentially life threatening anaphylactic reactions. The premises
must provide facilities and procedures for all healthcare workers to adhere to infection
control principles, including safe injection practices and aseptic technique for the preparation
and administration of all injectable medications.

5. Initial Consultation
The doctor’s initial consultation with a patient considering Botulinum Toxin treatment should
include a proper clinical history and examination, as well as a complete discussion of the
realistic potential benefits, side effects and possible complications.

The treating doctor should always be satisfied of the indication for the proposed treatment,
the patient’s medical suitability for Botulinum Toxin and that full and informed consent has
been obtained.

Remote consultations (i.e. via telephone or ‘Skype’) are not recommended, and may, in the
opinion of the Australian Society of Plastic Surgeons, unnecessarily hamper the doctor’s ability
to undertake a proper patient assessment.

6. Written Instruction for Administration
The doctor must provide written instructions for the administration of Botulinum Toxin for
the patient including directions on the dose, treatment frequency and area. These instructions
may remain valid for a period of up to 12 months. A nurse must never administer Botulinum
Toxin without a valid order from a doctor.

7. Review of Treatment Plan by Doctor
The patient and/or administration instructions should be reviewed by the doctor as necessary,
including if:
I. There is a material change in the patient’s general medical condition; or
II. The patient wishes to see the doctor for any reason whatsoever; or
III. The nurse is concerned or unclear about the written instructions for any reason; or
IV. An unexpected side effect, complication or result of treatment has occurred.
V. In such cases, the doctor should personally review the patient to determine whether
the treatment plan remains appropriate, and no further treatment should be given
until this review has taken place.

A recent NSW HCCC media release about a nurse suspended, by the NSW Civil and Administrative Tribunal, for professional misconduct for administering cosmetic injections without a prescription and without medical supervision. (12 June 2014) can be read below:

The Health Care Complaints Commission prosecuted Ms Rosalie Piper, a registered nurse before the NSW Civil & Administrative Tribunal.  The Commission alleged unsatisfactory professional conduct and professional misconduct regarding her conduct in providing Botox and other cosmetic injections to patients without a prescription and without appropriate medical supervision between 2009 and 2011.

The evidence established that  Ms Piper entered into an arrangement with a medical practitioner whereby the medical practitioner ordered supplies of Botox and dermal fillers which Ms Piper administered to patients at the medical practitioner’s surgery. Ms Piper also administered the injections to patients at a day spa.

Ms Piper admitted the conduct the subject of the complaint and that she was guilty of unsatisfactory professional conduct and professional misconduct


On 12 June 2014 the Tribunal’s decision was published. The Tribunal found unsatisfactory professional conduct and professional misconduct and imposed a reprimand, a three month suspension and conditions on Ms Piper’s registration.

Further Information

The full decision is available at Caselaw NSW

For further information, contact the Executive Officer of the Health Care Complaints Commission, on 9219 7444 or send an email to

The information in this media release is correct at the time of publication. Orders may change; for example, conditions may no longer apply. For current information regarding the status of a registered health practitioner, including any conditions that currently apply, please check the National Register at


Ready to get started?

For a no out-of-pocket expenses consultation, or to book in for a treatment, call SKYN 08 9389 9022 or request an appointment online.