The most attractive looking aging men and women in the world look natural and fresh faced.

The Skin Nurse: Nicola O'Byrne Clinical Nurse Specialist and Dermatology Nurse Prescriber (MSC, RGN, CNS)

Skincare is my enduring passion

That passion inspires me to deliver a Gold Standard of care to my patients. My ongoing education in dermatology and cosmeceuticals, allows me to offer reliable and trustworthy treatment and product recommendations. I listen to and understand the needs of each and every one of my patients so that together, we achieve their desired outcomes.

Over the years, it has been my privilege to witness the enhanced confidence of my patients as they look and feel better. Invariably, they leave my practice refreshed and rejuvenated.

Transformation on your terms

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Acne on Body

What is Acne?

For anyone who has suffered form acne you know that it can really get you down. Adult acne can be so frustrating. In my experience the key is to be able feel you are in control over the acne as opposed to the acne over you.

How do you this?

You develop a management plan. You learn about best practice and how best to treat the acne depending on what stage it is at. You then have the choice to treat it with topical creams/peels and the best home care daily routines for you skin. If the skin is not clearing up you have the choice to attend a Doctor for a prescription to start a tablet. 

The tablets that are normally prescribed are usually either an antibiotic, Dianette (which is also used as a contraceptive pill), and the last resort Roacctuane. Depending on what is acceptable to the individual the choice is theirs. For example, a few spots may not bother someone but for another person this may not be acceptable.

I have found in my experience that clients I meet don’t have all the knowledge so they don’t feel in control. Knowledge and a good understanding is key.

Acne vulgaris is a very common skin condition that usually starts in teenagers. Although adult acne is equally a common condition. It can be mild. “Problem skin” can be characterised by blackheads, whiteheads, pus-filled spots and oily or dry skin. The acne bacterium (propionobacterium acnes) can multiply in those prone to acne. This triggers inflammation and the formation of red pus-filled spots. For the majority it tends to resolve in the late teens or twenties but for some patients acne can persist for many years. How can acne be treated?

Acne Treatments fall into several categories:

  • Topical treatments that are applied directly to the skin- these are very effective if used correctly for mild to moderate acne.
  • Oral antibiotics (tablets that are taken by mouth)
  • Oral contraceptive pill (female patients only)
  • Roaccutane (by prescription and consultation for suitability)

Other treatments include chemical peels. These are extremely effective for mild to moderate acne but may require several treatments over a period of time. Don’t underestimate the difference a really good home care product can make if used properly. It should be treated as a good tool kit and you educate yourself what each tool does for example cream to hydrate the skin , cream to turn the oil down if required). Once you have your tool kit to suit you skin exactly, then if a new problem in the skin occurs in the skin, for example new foundation, increased stress levels you will be able to pin point what the trigger is.

Post-acne scarring: Chemical peeling to reduce post-acne scarring are established techniques requiring the skill of an experienced physician. These would be required for moderate to severe acne scarring. Also a treatment using a tiny needle that places Hyaluronic just under the skin can really improve the appearance of scarring. Hyaluronic is a sugar matrix that naturally occurs in the skin, it plumps an line or depression out very naturally. If under a magnifying glass broken blood vessels can be seen due to trauma where the spot was, IPL (like laser) treatment can be very effective to make the scar look less obvious.

There are different types of acne – some acnes are hereditary, and clients will have to learn to live with “problem skin”. But if they learn how to manage it probably they can avoid letting it get out of control and will know when to changed their management plan. I spend a lot of time with my clients teaching them and helping them develop a management plan that they are comfortable with.

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