Welcome to your skin assessment

This assessment allows dermatologist Dr Chris Jalilian to assess your skin for suitability for treatment with hydroquinone.

Here's a little about Dr Jalilian...

Dr Chris Jalilian | Dermatologist

Dr Jalilian is an Australian trained consultant dermatologist and a Fellow of the Australasian College of Dermatologists (FACD). Dr Jalilian completed his undergraduate and graduate degrees thanks to several national and international scholarship programmes. Prior to completing his medical degree at the Australian National University, he obtained a degree in Biomedical Science at Monash University and received first class honours for his research in Biochemistry and Molecular Biology. He undertook subsequent training in medicine, specialising in dermatology at various hospitals and clinics including The Alfred Hospital and the associated Victorian Melanoma Service, Monash Medical Centre, St Vincent’s hospital, Peter MacCallum Cancer Centre and the Skin and Cancer Foundation Victoria.

During his training, Dr Jalilian was published in national and international peer-reviewed journals including the esteemed British Journal of Dermatology. He has been a prize winner at an Australian Scientific Meeting and has presented at an international level at the World Congress of Dermoscopy.

Dr Jalilian is drawn toward the medical, surgical and cosmetic diversity of dermatology. He enjoys the unique opportunity his speciality provides to positively impact his patients’ quality of life, whether through early detection and treatment of skin cancer or managing functionally and cosmetically disfiguring skin conditions using the latest technology and medical advancements.

In addition to his private practice, Dr Jalilian serves as a consultant dermatologist at Monash Medical Centre, Clayton and at the Skin Health Institute, where he consults in the melanoma follow up clinic.

Dr Jalilian acts as clinical advisor for his wife’s pharmacy, Skin Plus Compounding Pharmacy.

Terms of use

This assessment allows a dermatologist to assess your skin for suitability for treatment with hydroquinone cream. You will be prompted to book a follow-up telephone consultation with Dr Jalilian at the end of this form.

It is up to the doctors discretion to decide if it is appropriate to issue you with a prescription for hydroquinone.

If a prescription is offered, it is up to the doctors discretion to decide on the duration of treatment provided on the prescription, although this is usually for a 12 month period.

Hydroquinone preparations are sometimes mixed with tretinoin and hydrocortisone. Tretinoin can cause dry and irritated skin when used incorrectly.

Tretinoin can make your skin more sensitive to the harmful effects of the sun.

Strict protection from UV rays emitted by the sun is essential during treatment to decrease your risk of skin cancer development.

Hydroquinone preparations must not be used if you can become pregnant, are pregnant or breastfeeding.

Fees

The cost of this process is $149.

You will be prompted to make payment at the end of this process.

This fee does not include the fee for Skin Plus Compounding Pharmacy to provide the dispensed hydroquinone cream.

Alternatively, you may wish to arrange a standard consultation with a dermatologist at Melbourne Skin & Dermatology. Please call 03 8595 4288 should you wish to arrange this. No rebates from Medicare are available for cosmetic consultations.

If it is deemed unsuitable for the doctor to issue you with a prescription, you will receive a full refund of your payment.

Please note that you may request to have your script sent to you or to an alternative compounding pharmacy, other than Skin Plus Compounding Pharmacy. A nominal administration fee may apply if a script is to be sent to an external pharmacy.

I agree to the terms & fees *

A little about hydroquinone

Hydroquinone is primarily used in dermatology to lighten areas of darkened skin such as seen in melasma and post-inflammatory pigmentation. It works by decreasing the production and increasing the breakdown of melanin pigments in the skin. This in turn helps to lighten the darkened skin areas and achieve a more even skin tone. In some cases, hydroquinone may be used alongside other treatments such as topical retinoids (ie tretinoin) and cortisones. It can be used in conjunction with chemical peels and lasers to enhance skin lightening effects.

It is important to use hydroquinone cautiously and under professional guidance. This is because misuse or overuse can lead to a condition called ochronosis, a bluish-black discoloration of the skin. To minimise this risk, hydroquinone should not be used longer than a 3 month period without a break. Treatment can resume for another 3 month period after a 2-3 month break. It is essential to apply it only to the affected areas and avoid contact with the eyes, nose, mouth, or open wounds. It is important to avoid sun-exposure and to apply a tinted sunscreen while using hydroquinone to avoid worsening of your condition.

Hydroquinone may cause harm to an unborn baby or breastfeeding infant. It must not be used in the setting of pregnancy, pregnancy planning or breastfeeding.

Please enter your age *

Are you pregnant? *

YesNo

How far along are you in your pregnancy? *

Are you breastfeeding? *

YesNo

Are you planning a pregnancy in the next 12 months? *

YesNo

Are you an existing patient of Melbourne Skin & Dermatology? *

YesNo

Who provided you with the link to this form? *Please be specific and provide the name of the staff member if possible.

Let's Get Started!

Please elaborate *

Are you currently having any laser treatments, chemical peels or other skin treatments? *

YesNo

Have you ever had any problems with skincare creams before? *

YesNo

Please elaborate *

Have you ever had any problems with any cosmetic treatments before? *

YesNo

Please elaborate *

Are you currently using hydroquinone, tretinoin or any Vitamin A / Retinoid creams? *

YesNo

Have you ever used hydroquinone, tretinoin or Vitamin A / Retinoid creams? *

YesNo

Please elaborate ensuring you provide as much detail as possible, including product and brand names, generic names, strength of treatment and duration of use. *

When was the last time you applied this cream? *

Are you currently experiencing or have you previously experienced any problematic dryness, peeling or skin irritation with the use of a Vitamin A/Retinol product? *

YesNo

Please describe your current skincare regimen

AM *

PM *

Other *

Is there anything specific that you would like to add to your skincare regimen? *

Let's now learn a little about your skin.

Skin colour and sun reactivity

Please tell us which one of the categories you fall into.

Skin characteristics

Please tell us which one of the categories you fall into regarding your skin type and sensitivity.

Normal Skin

Oily Skin

Dry Skin

Combination Skin

Do you have sensitive skin? *

Do you flush or blush easily? *

Have you ever had eczema or dermatitis? *

Great job! We're getting there!

Time to take some photos!

Tips for taking good photos:

1. Have someone else take photos for you if possible.

2. Take photos in bright lighting, facing a window or outside under daylight if possible.

3. Keep your phone straight and steady, not on an angle or whilst you are moving.

4. Make sure you get your entire head in the photos, not just one area of your face.

5. Make sure that there are no shadows in the photo.

6, Double check that your photos are in focus before moving on

Please take a front-on photo of your face *

Browse

Please take a photo of the right side of your face *

Browse

Please take a photo of the left side of your face *

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Please list any medications you take *

Please list any medical problems you may have *

Please list any allergies *

Is there anything else you would like to tell us about you, your skin or your health? *

YesNo

Please tell us more *

I confirm that all the information I have provided is true and accurate *

Please Confirm Your Details

I understand that hydroquinone must not be used in pregnancy *

I have read and understood the privacy policy *

I provide consent to be contacted by phone, SMS or e-mail. *

Please make payment *

Phone Consultation Booking *

Select a date and time for a short phone consultation and assessment. Please note the doctor occasionally runs late and sometimes early. Please ensure you are available for a period of 30 minutes before and after the appointment time.