Welcome to your skin assessment

This assessment allows dermatologist Dr Chris Jalilian to evaluate your skin for treatment with tretinoin.



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 tretinoin cream.

This process allows for Dr. Jalilian to prescribe tretinoin using an appropriate strength (dose) escalation program to avoid side effects and to allow for appropriate final strengths to be used based on your skin history, goals and skin type.

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

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 12 months.  

The process of issuing a prescription may take up to 3-4 business days.



Fees

The cost of this process is $119.

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 tretinoin cream. 


Alternatively, you may wish to arrange a consultation with a dermatologist at Melbourne Skin & Dermatology.  The fee for a face-to-face consultation with a dermatologist is $305.  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 will apply if a script is to be sent to an external pharmacy.



A little about tretinoin

Evidence based scientifically established benefits of tretinoin

Tretinoin is a medicated cream which has multiple significant and beneficial effects on the skin.  These include;

- increased collagen and elastin formation leading to more elastic and firm skin

- improvement of the general texture of the skin 

- decrease in pigmentation and improvement in uneven skin tone

- improvement in acne, rosacea and keratosis pilaris

- improvement in the appearance of scars


Side effects of tretinoin cream

Tretinoin can cause dry and irritated skin when used incorrectly or when used at high strengths from the get-go.  

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 sunburn which can lead to skin cancer development.

Tretinoin must not be used in those that are pregnant, seeking to become pregnant or breastfeeding.


Personalised and Compounded

If deemed appropriate, you will receive a prescription that allows Skin Plus Compounding Pharmacy to 'make from scratch' your prescription cream.  This approach allows for your tretinoin prescription to be 'tailor-made' to your skin characteristics.


At times, the strength of the tretinoin cream prescribed will be such that it is not available commercially as a pre-made cream in a tube.  This is particularly the case when tretinoin is used for improvement in scarring, texture, feel and pigmentation of the skin, where strengths up to 0.1% of tretinoin are used. Whilst tretinoin at strengths of 0.025% and 0.05% may help with fine wrinkles of the face, strengths of 0.1% are seen to better improve the overall texture and feel of the skin as well as maximise the reduction in uneven skin tone and pigmentation.  Tretinoin at a strength of 0.1% is also more commonly to improve the appearance of various forms of scarring and stretch marks.


Tretinoin is commercially available in Australia in strengths of 0.025% and 0.05% in a standard cream base and can be obtained as a standard prescription.  Other strengths of tretinon, including 0.1% are available overseas.  Tretinon 0.1% cream is no longer available commercially in Australia and must be compounded (made from scratch).


Tretinoin cream is indicated in Australia as adjunctive treatment of dry photoaged skin and related conditions as well as for acne.  Its use for all other indications (reasons) is considered off-label - ie not TGA approved for other reasons.


Tretinoin can cause dryness, irritation, redness and peeling of the skin without first allowing your skin to adjust to tretinoin.  One way to mitigate these side effects is to use tretinoin every few days initially and then gradually increase the frequency of use over 1-2 months.  Most patients find it difficult to remember to apply their cream on certain days and hence prefer to have tretinoin compounded in a 'titrating' manner.  This means that you would start on a very low strength first with the strength being increased every few weeks to months.  When tretinoin is used in this manner, side effects of redness, peeling, irritation and dryness are prevented, or at least markedly reduced.

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Please be specific and provide the name of the staff member if possible.

Let's Get Started!







Please describe your current 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.





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


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