Treatment Of Acne - Psoriasis & Skin Clinic - Gosford, Central Coast 

Acne vulgaris is one of the most common skin conditions, affecting teens and adults alike. The Australian Journal of General Practice states a prevalence of 93.3% in people aged 16–18 years in Australia. Other international studies have shown a prevalence of 85% in people aged 12–24 years, and 64% and 43% in those aged 20–29 years and 30–39 years, respectively. Acne can be considered a chronic disease.

It is now understood to be a complex inflammatory disease involving hormones, genetics, and lifestyle choices. Research now shows there is a gut-skin-axis that links your gut bacteria influencing inflammation in your skin which may contribute to acne.

    • Increase gut permeability.

    • Hormonal imbalances.

    • Systemic inflammation increases.

    • Sebum production and keratinisation become disrupted.

    • Familial tendency.

    • Hormonal changes - (puberty, menstrual cycles, pregnancy) that increase oil production and skin cell growth.

    • Acne bacteria.

    • mTORC1 activation - This cell-signalling pathway, stimulated by hormones and certain foods which increases sebum and skin cell build-up.

    • Inflammatory response - Bacterial by-products activate the immune system, releasing inflammatory chemicals that may worsen acne.

    • Dietary choices, stress, some makeup, over washing or harsh scrubbing of the face may be implicated.

    • Comedonal acne: blackheads & whiteheads

    • Inflammatory acne: red bumps and pustules

    • Nodulocystic acne: deep, painful cysts

    • Acne Conglobata: severe, interconnected nodules

    • Hidradenitis Suppurativa (Acne Inversa): painful boils in areas such as the armpits or groin, part of the follicular occlusion spectrum

    • Prevents scarring and long-term skin damage

    • Reduces inflammation and breakouts

    • Supports confidence and mental wellbeing

    • Helps restore healthy skin function

    • Targets multiple pathways (oil production, bacteria, inflammation, mTORC1 activity)

Take Control of your Acne

Treating acne requires a comprehensive approach that addresses primary and secondary triggers both internally and externally.  

My approach is straightforward, offering an incremental holistic approach that is customised for the personalised treatment of your skin condition 

My approach is based on Prof. Tirant’s method, which has been used by practitioners around Australia and Europe for a number of years, achieving very significant treatment success rates.

I have further developed on this method, to   

1. Address the triggers which activate and exacerbate episodes (diet, hormonal, stress and lifestyle-related)   

2. Treat the symptoms with topical application to relieve physical symptoms from Professor Michael Tirants' range 

3. Support the body internally with targeted natural-based “Practitioner Only” medicines 

4. Establish long-term solutions to help patients manage their conditions

My Method

  • Using differential diagnosis techniques, I assess your skin's condition

    • I identify the primary triggers that initiated your condition. 

    • I also attempt to identify all the secondary triggers that exacerbate your condition. 

    • These may be present in your environment or related to your lifestyle and / or your diet. 

    • I develop a customised treatment plan to bring your skin condition symptoms under control. 

    • There are usually a number of variants in an individual's skin conditions.  

    • As a result, I can have vastly different treatment plans for people suffering from the same condition. 

    • I treat your symptoms and address your triggers to help you work towards a long term remission of your skin complaint. 

  • I develop a maintenance program to support you in achieving long term remission, if required.

How to engage

Initial Consultation

In person or Telehealth

    • Up to 45-minutes inclusive of admin & medication preparation.

    • I will develop a customised treatment plan and walk you through it.

    • I will prepare and supply you with medications and topicals as per your treatment plan.

  • $ 155

    *Private billing only - no Medicare applicable

    **Medicines and topical applications are additional to the consultation fee.

Review Consultation

In-person or Telehealth

    • Up to 30-minutes inclusive of admin & medication preparation.

    • I will review the results of your treatment since the prior visit.

    • I will tweak or switch your medications and topicals depending on the milestones achieved.

    • If required, I will supply you with replacement medications and topicals.

  • $ 55

    *Private billing only - no Medicare applicable

    **Medicines and topical applications are additional to the consultation fee.

    Note: From 1st June 2025, the cost of the review consultation will be $ 65

Medications & Topicals

Accessible by patients only

  • Your treatment plan is valid for upto 6-months and determines what you can order for replenishment.

    If your symptoms have changed, please arrange for a review consultation.  

  • The cost will vary depending on your order.  

    You can pick up your order from the clinic (no additional fee)

    or

    arrange for delivery to your home ($15.00 delivery costs are applicable)