The specialist dermatologists at Terrace Dermatology can offer patient's the highest quality medical and cosmetic services in skin treatment, including treatment for:

Skin cancer | Acne | Eczema | Rosacea | Psoriasis | Dermatitis

Skin cancer

Queensland has the highest rate of skin cancer in the world. More than 430,000 Australians are treated a year for skin cancers. Of these, over 10,500 new cases of melanoma are diagnosed. Each year there are around 1600 deaths from melanoma and non-melanoma skin cancer.[1]

The qualified specialist dermatologists at Terrace Dermatology can provide thorough skin checks for patients. Our dermatologists have undertaken extensive training in order to easily identify suspect moles or lesions, confirm if they are benign or malignant, and provide patients with the appropriate treatment, including:

Cryotherapy procedure

Cryotherapy refers to a relatively inexpensive, safe and reliable treatment in which surface skin lesions (BCCs and SCCs) are frozen using liquid nitrogen (temperature –196C).

Our dermatologists use a spray gun to apply liquid nitrogen to the skin lesion for a variable time, depending on the desired diameter and depth of freeze. The treatment is repeated in some cases, once thawing has completed. This is known as a ‘double freeze-thaw’’ and is usually reserved for skin cancers or resistant viral warts.

PDT procedure

Photodynamic therapy (PDT) is a non-surgical treatment, provided by a dermatologist, for skin cancer’s including solar keratoses on the face and scalp, and superficial basal cell carcinoma (BCC). BCC is the most common form of skin cancer. Conventional treatment of BCC involves surgical excision, cryogenic treatment with liquid nitrogen, or chemotherapy. Unlike chemotherapy for cancer, PDT treatment can be localised.

PDT utilises photosensitising agents, oxygen and light, to create a photochemical reaction that selectively destroys cancer cells.

PDT treatment would involve the following steps.

  • A light-activated cream is applied to the area, commonly known as Metvix.
  • The patient then waits approximately three hours for this cream to be thoroughly absorbed into the cells.
  • The doctor will then place the area to be treated under a bright red light, commonly known as Illumination. The light exposure can last just a few minutes, or possibly up to 20 minutes for more severe cases.

The doctor will then place the area to be treated under a bright red light, commonly known as Illumination. The light exposure can last just a few minutes, or possibly up to 20 minutes for more severe cases. Due to the non-invasive and selective nature of the treatment, the potential for scarring and side effects are minimised, however some pain & redness of the area may occur. Within a few days, the exposed skin and BCC will scab over and flake away.

For more information, click here or visit http://www.treatskincancer.com

The term excision refers to removal of a skin lesion by completely cutting it out. A common reason why skin lesions are excised is to fully remove skin cancers such as BCCS, SCCs or melanoma. If the cancer is not cut out it may spread to the surrounding skin and to other parts of the body.

It is normal for an excision to result in some sort of scar, however our dermatologists will try to excise the lesion in a way that will keep the scar to a minimum. Some people may have an abnormal response to skin healing and these people may get larger scars than usual. Scars can also be treated post-surgery with Laser to minimise their appearance on the skin.

Stitches (sutures) and a dressing will be applied after the excision and a registered nurse will provide patients with instructions on wound care.

Don’t leave it too late – book your skin cancer check[2] now!

Acne

Acne is the most common of skin diseases, affecting 85% of Australians aged 15-24 years old.[3] For some people acne is a serious problem and can contribute to low self esteem and even depression.

Acne occurs when the oil glands (pores) in the skin become blocked. Hormones make the oil glands produce more oil (sebum) and if the pores are blocked, a build-up occurs and you’ve got acne. Acne usually affects the face, neck, chest, shoulders and upper back because they have the highest number of oil glands. Also, acne can be hereditary.

Specialist dermatologists at Terrace Dermatology can perform an individualised assessment of the acne problem and provide appropriate treatment, including the prescription of oral isotretinoin as well as ultrasonic cleaning to remove blackheads, microdermabrasion to remove dead skin, and light therapies such as IPL or ClearLight.

Acne scarring can also be helped with laser resurfacing.

Acne

Eczema

Eczema is a recurring, non-infectious, inflammatory skin condition affecting 1 in 3 Australasians[4] at some stage throughout their lives, but most commonly in early childhood (between 2 months – 6 years of age). The condition is hereditary.

Symptoms can include red, dry, itchy and scaly skin. Severe cases, may weep, bleed and crust over causing the sufferer much discomfort. Sometimes the skin may become infected.

Eczema should be properly diagnosed by seeing one of the specialist dermatologists at Terrace Dermatologists, who will then usually prescribe treatments to help reduce inflammation and itchiness.

Rosacea

Rosacea is a red facial rash that most often affects those aged 30 to 60, especially those with fair skin.[5]

The actual cause of rosacea is unknown, but can be attributed to overactive facial blood vessels and inflammation, including genetic, environmental, vascular, inflammatory factors, or possibly a hair follicle mite. Rosacea may also be aggravated by facial creams or oils, and especially by topical steroids.

Rosacea should be properly diagnosed by seeing one of the specialist dermatologists at Terrace Dermatologists, who may then prescribe antibiotic medication or topical cream. Rosacea can also be treated with IPL or Laser.

Rosacea

Psoriasis

Psoriasis is a common, chronic, scaly rash that affects about 2% of the population[6], usually appearing first in the late teens or to people in their 50s.

Psoriasis can be hereditary and is also influenced by many environmental factors. It is not contagious and is not due to an allergy.

Psoriasis should be properly diagnosed by seeing one of the specialist dermatologists at Terrace Dermatologists, who will usually prescribe a variety of treatments. One of these, for example, is Phototherapy (narrowband ultraviolet therapy).

Dermatitis

Dermatitis affects about 1 in every 5 people at some time in their lives.[7] It is a broad term that can include the following skin conditions/symptoms:

Dermatitis should be properly diagnosed by seeing one of the specialist dermatologists at Terrace Dermatologists, who may prescribe various treatments or suggest a series of allergen patch testing to determine any external factors irritating the skin.

Cosmetic dermatology services

An extended range of cosmetic services are available through our partner clinic The Skin Lab, which is run by Dr Heather Jenkins, a GP and cosmetic physician who has worked closely with dermatologists at Terrace Dermatology since 2002.

The Skin Lab services include:

Please visit www.theskinlab.com.au and Dr Heather Jenkins for more information.

Our Doctors

Dr Godfrey Wagner, Principal Dermatologist
MBBS (QLD), MRCP (UK), FACD

Dr Godfrey Wagner

Dr Wagner is the principal dermatologist at Terrace Dermatology; and a visiting dermatologist at Access Specialist Clinic in Belmont, Greenslopes Private Hospital, Gympie Private Hospital and Mater Hospital in Mackay. Dr Wagner graduated with an MBBS from the University of Queensland, travelled and worked extensively in England, obtaining the MRCP (UK). Returning to Australia, Dr Wagner completed the Fellowship of the Australian College of Dermatologists. His professional interests include skin cancer therapy, dermatology service provision to remote and rural areas, and teaching dermatology at all levels including continuing professional development. Dr Wagner is a Director of the Queensland Institute of Dermatology and a board member of the Queensland Skin and Cancer Foundation.

Dr Rowland Noakes, Consultant Dermatologist
MBBS, Dip RACOG, Grad Dip BioTech, RACGP, FACD

Dr Rowland Noakes

Dr Noakes is a consultant dermatologist at Terrace Dermatology; and a visiting dermatologist at Access Specialist Clinic in Belmont, Greenslopes Private Hospital, Gympie Private Hospital, Mater Hospital in Mackay, and Rockhampton Mater Hospital. Dr Noakes graduated with an MBBS from the University of Queensland in 1980. Through working many years as a GP and extensive post graduate studies both in Australia and abroad, Dr Noakes has gained vast knowledge in many areas of medicine. Dr Noakes joined the team at Terrace Dermatology after completing the Fellowship of the Australasian College of Dermatologists. He is interested in the treatment and prevention of all diseases of the skin, hair and nails. Dr Noakes has recently achieved accreditation to provide injectable treatments for Hyperhidrosis, and also has the expertise to carry out melanocyte transplantation procedures for vitiligo patients.

Our Nurses

Terrace Dermatology has a team of Registered Nurses available to answer any of your queries both pre and post-treatment. You can email any queries to nurse@terracedermatology.com.au

Footnotes