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  • Non-Surgical Symposium June 3-5 Gold Coast

    Introducing two ASDC Members presenting at the NSS Conference The Non-Surgical Symposium is a collaborative event between the Australasian Society of Aesthetic Plastic Surgeons (ASAPS) and the Australasian Society of Cosmetic Dermatologists (ASCD). The event is open to all medical practitioners, nurses, dermal clinicians, and practice staff in the aesthetic medicine industry. The NSS is held between June 3-5 on the Gold Coast. This year the event is a hybrid and you have the opportunity to attend in person or virtually. Dermal Clinicians and Therapists this year have another reason to attend. This year we have at least two Dermal Clinicians up on the presenter podium. As evidence-based allied health professionals presenting is an important aspect of clinical practice and presenting at these events is a great opportunity. This year the ASDC awarded funding as part of the research and education grant for the successful applications of an abstract for presentation in person on the Gold Coast. The expression of interest for abstract submission was open to all Dermal Clinicians and Therapists however the research and education fund is only available to ASDC members. Throughout the history of the Australian Society of Dermal Clinicians, we have always had strong ties with the Australasian Society of Aesthetic Plastic Surgeons. Twenty-three years ago several ASAPS members were among the group that established the first Bachelor's Degree level qualification in dermal science and therapy. They lobbied for this qualification to up-skill their practice staff performing skin and non-surgical cosmetic therapies with the emergence of advanced technologies. The ASDC has an affiliate agreement with ASCD and focuses on creating opportunities for collaboration, particularly in ongoing education and research. The Non-Surgical Symposium has traditionally been a great opportunity to come together to learn from and network with medical, nursing, and allied health professionals within the aesthetic medicine sector. Dermal Clinicians are speaking at this year's conference If you would like to attend the Non-Surgical Symposium, there is still time. Members should go to the member portal for information on how to attend and the link to register as an ASDC member. Recognition, referral, reward, revenue and retention in the management of pigmentation - A regional dermal clinician's perspective Whitney Gunn , BHSc (Dermal Science) Disclosures Owner of Do You Even Skin & Consultant Dermal Clinician Full Member of the Australian Society of Dermal Clinicians, research and education grant funding was provided to assist with travel expenses for this presentation by the Australian Society of Dermal Clinicians. Purpose – The early identification and management of sun damage and suspicious lesions in rural areas are challenging due to access to medical professionals and cost. Presented in this case study is a value-based health model integrating the skills and knowledge of Dermal Clinicians to improve client outcomes. Introduction – On the south coast of NSW, hyperpigmentation is prevalent due to the coastal location and the outdoor lifestyle. Therefore, sun, hormone, and inflammatory induced hyper-pigment as well as suspicious pigment, are regularly identified. In regional communities, wait times and price points of seeking medical advice can hinder the likelihood of early recognition and positive treatment outcomes. However, utilising dermal clinicians in the early recognition and management will lead to ongoing revenue within a value-based care model. As tertiary qualified skin professionals, Dermal Clinicians have the knowledge to differentiate the different types of hyper pigment and to refer appropriately. Method – A case study and model of valued-based health care demonstrating how integrating a Dermal Clinician along with medical practitioners in a community in regional NSW improves patient satisfaction and outcomes. Results – Dermal Clinicians and their knowledge and skills are a valuable resource as an emerging health workforce to assist with skin health. Utilising these tertiary qualified skin professionals within an allied health practice brings excellent reward and patient retention in long-term skin health management. This, in turn, leads to more significant revenue for the business. Skin tightening in an integrated model of care in a plastic surgery setting: An intervention ladder-based approach Sofia Ververakis, BHSc (Dermal Science) Disclosures Dermal Clinician employed with Re. Plastic Surgery. Full Member of the Australian Society of Dermal Clinicians, research and education grant funding was provided to assist with travel expenses for this presentation by the Australian Society of Dermal Clinicians. Purpose – This review will explore the scope of the Dermal Clinician and investigate evidence-based clinical interventions and outcomes for skin tightening when working in an integrated,multi-disciplinary, plastic surgery setting. Introduction- The clinical scope of the Dermal Clinician, although clearly defined and accredited, holds some ambiguity in multi-disciplinary practice. As AHPA-affiliated allied-health professionals, dermal clinicians are trained to provide clinical care in multi-disciplinary settings, both collaboratively and autonomously. With skin health at the centre of their work, the dermal clinician holds specialised knowledge in the assessment, prevention, and management of various skin conditions, both clinical and cosmetic. The multidisciplinary clinical approach of the dermal clinician follows a patient-centred and value-based care model, focused on wholistic patient management and improved patient outcomes. In the management of skin laxity, the scope of the dermal clinician allows for the use of non-surgical and minimally invasive interventions. Practice is evidence-based, and intervention selection is supported by clinical reasoning and medical intervention tools. The purpose of this review is to explore the scope and applicability of the Dermal Clinician when addressing a patient with concerns of skin laxity. Method - A search was conducted on both PubMed and Cochrane library to source viable, current, and high-level evidence relevant to the research topic and evaluated themes. A search strategy was formulated and reviewed. Search terms used were “non-invasive” and “skin tightening”, or “neocollagenesis” or “facial rejuvenation.” Evidence considered was exclusive to Meta-analyses, Systematic Reviews and Randomised-controlled Trials as each is of Level I or II standards (NHMRC), presenting as the gold standard for assessing evidence as clinical practitioners. Results were collated and reviewed, providing a strong and reliable body of evidence. Results -A total of 31 studies were found, each outlining non-invasive interventions, effective in the treatment of skin laxity and collagen degradation. Each of the proposed modalities works through varying mechanisms of action but ultimately result in changes to the structure of the dermis and epidermis. Results show improvements in skin tightness and overall texture and support the concept of combination therapy, exploring how the use of multiple modalities can yield superior results when addressing patients with concerns of skin laxity. The academic literature provides evidence and support for treatment programs designed and utilised by the dermal clinician in both independent and multi-disciplinary settings. Conclusion - The scope of the dermal clinician is such that they are of the skillset, knowledge, and ability to improve the effects of skin laxity successfully and independently. By taking a patient-centred approach and utilising clinical reasoning as well as assessment and intervention tools, the dermal clinician provides a standard of expertise and care that is of value to the integrated plastic surgery practice. There is still time to register As an ASDC member log into your portal to use the ASDC registration link

  • What does a Dermal Clinician or therapist get paid? A snippet of the ASDC guidance document.

    With a national award rate existing for Beauty Therapists, but not for Dermal Clinicians, this is a question asked constantly throughout the Beauty and Aesthetics industry. The Australian Society of Dermal Clinicians often receive queries from Dermal Clinicians, Dermal Therapists, employer groups and those thinking of entering into the profession particularly around the questions "What will I/should I get paid?" After extensive research and legal counsel, ASDC can now provide some much-needed clarity on this topic. To do so, we have put together an extensive guidance article, which includes information regarding the issues or considerations that may be involved in the determination of what 'a fair wage' is to inform workplace negotiations and discussions. There is a lot to consider when it comes to establishing a Dermal Therapist or Clinician’s salary, and the full guidance article covers a lengthy discussion of award/s members may be covered by as well as the implications that employment setting, and job description or duties can have when determining whether you will be paid under a particular award. Also provided in the piece is information about the industry average according to ASDC commissioned industry research and how this compares to other allied and health professions. As the peak professional body representing Dermal Clinicians and Therapists, the ASDC aim to provide general guidance and information regarding industry pay rates based on previous data collected - in addition to expertly-curated content that will benefit our members. Therefore, this pay guidance in its entirety will be reserved for our ASDC financial members (including student members). If you aren’t already a member, we highly encourage you to join us in order to receive this type of tailored information in addition to other amazing benefits such as career opportunities, exclusive connections with peers, and discounted education and industry events. If you’d like a sneak peak of the pay guidance piece, here is a snapshot of the average pay rates we’ve uncovered: Industry Average Pay Rates for the Dermal Therapy Sector In 2017, the average pay rate for those working in the dermal therapy sector was $33-35 per hour. There was variance based on the clinical setting with those in medical settings being paid a higher rate than those working in beauty settings. The study had 82 respondents, 61.33% with a bachelor degree and 13.33% with an advanced diploma in Dermal Therapy. The remaining percentage either had no formal qualification, had trained overseas or identified as having a qualification other than dermal therapy-specific qualifications such as nurses working in the dermal therapy sector. Other findings reported in this survey of industry pay rates included: · Increased years of experience resulted in higher rates of pay. It was reported that those with several years of experience were able to earn up to $45 per hour in some work settings. · Postgraduate study also related to a higher average pay rate. · At the time this research was carried out, respondents reported that pay increases were expected in the next 12 months but didn't necessarily occur on an annual basis. The ASDC aim to update this information with another survey over the next twelve months and will provide this information when available on the member portal via the ASDC website. This is of course only one tiny piece of the puzzle. Other considerations include how your Dermal Clinicians affect your insurance costs (they could lower your rates), can you use their knowledge in order to facilitate educational programs and events in your business, the overall quality of patient care they provide, and how they may be operating within the scopes of practice of multiple professions to bring you added value as an employee. If you are an ASDC member, you can access the full guidance article through your member portal. You can find out more about becoming a member at www.dermalclinicians.com.au

  • Unraveling the mysteries of the lymphatic system.

    For many decades the lymphatic system was the forgotten circulatory system. Currently the study of Lymphology is experiencing its Renaissance. More has been learned about the lymphatic system in the last 5-15 years than in the 100 years before. With advances in lymphatic imaging, DNA assays, inflammatory and molecular markers we begin to unravel and understand this complex and amazing system. Emerging evidence demonstrates the vital role the lymphatic system has to play in our health and the onset of disease including obesity, arteriosclerosis, autoimmune diseases, problems with wound healing and cancer. Following is a snap shot from our full scientific review... head over to our blog for the full article. Starling's & Fick's Law: Theories Revisited Starling's Law and Fick's Law modelled the movement of fluid and solutes between cardiovascular capillaries and the interstitium based on hydrostatic and oncotic pressure gradients. Past Understanding: 8 litres of fluid filtration occurred at the capillary bed over a 24 hour period approximately 90% reabsorbed into the venous network (Tortora, 2014). 10% picked up by initial lymphatic vessels. Present Understanding Recent research indicates all interstitial fluid (100%) under normal conditions that leaves the cardiovascular system at the capillary bed is returned through the lymphatic system (Adamczyk et al, 2016). Approximately 40% of the fluid within lymphatic vessels (Lymphatic load) is returned to the venous circulation through veins connected to lymph nodes (Cooper et al, 2016; Huxley & Scallan, 2011; Keast et al, 2014). New understanding into forces effecting contractile function. Lymphangions are the intrinisic (active) pump inside lymphatic vessels. These are small muscular units found within larger collecting lymphatic vessels The lymphatic system also relies on pressure gradients within the blind ended initial lymphatic vessels, which draw fluid into them like straws. The negative pressure within these vessels aids in movement of fluid deeper into the network of larger vessels. Once reaching the collecting vessels positive pressure is created by lymphangions with their synchronised peristaltic contractions. The pulse rate of the lymphatic system is about 5-8 beats per minute with a systolic pressure of 3-5 mmHg and diastolic pressure of 0-1mmHg (Chikly, 2017). This makes the pumping of the lymphatics undetectable to feel or observe without imaging techniques. As seen in the video below using tracer dyes and near infrared light provide real time insight into how this system performs in health and disease. This video below demonstrates the bolus of lymphatic fluid as it moves from one lymphangion unit to the next within deeper collecting vessels. Emerging Evidence Animal studies have established that lymphangion muscular structure is unique as it has properties of both smooth and striated muscle. This unique combination allows for lymphangions to have similar alterations in contractile activity and tone as vascular smooth muscle with stimulus such as pressure changes, vasoactive substances, mechanical and neuro-modulatory factors. However the striated muscle allow for rapid changes in contractile force and pace in response to pressure on the walls of lymphatic vessels created by changes in fluid load (Chakraborty et al, 2015). Lymphangions can alter the frequency or strength of contractions. Lymphangions alter their function in response to how quickly their muscular segments are filling with fluid as well as how much fluid there is inside the vessel or in the interstitium. This is detected by pressure or stretch exerted on the muscular walls (Chakraborty et al, 2015; Huxley & Scallan, 2011; Gashev et al, 2010). Acute Inflammation, Chronic Inflammation and Oedema: What's the connection? The Lymphatic system exhibits great plasticity to remodel itself. Evidence reports on the important role the lymphatic system has in resolving acute inflammation through activation of lymphatic vessels. This process is mediated by the interplay between many chemical mediators as well as mechanical stresses. These forces influence lymphatic vessel hyper permeability, hyperplasia, lymphangiogenesis, involution and remodelling. Nitric Oxide (NO), VEGF-A along with VEGFR-3, VEGF-C and VEGF-D are some of the cytokines that mediate this process. Along with mechanical stresses on the tissue caused by the fluid itself. (Goldman, et al, 2007; Huggenberger et al, 2011; Adamczyk et al, 2016). Emerging Evidence Immediately after injury there is a temporary lymphatic insufficiency caused by lymphangion reflux (inefficient filling and emptying) which appears to be mediated by NO. Interestingly for the first 4 hours these effects are systemic. This is hypothesised to facilitate immune functions ensuring that pathogens do not move beyond the regional lymphatics and lymph nodes. Decreased contractile activity local to the injury is observed for up to 3 days with normal function returning by 7 days post injury. These studies did note that there are anatomical variations in these responses and that these observations should be investigated in more depth. Increased density of lymphatic vascular networks through lympangiogenesis and hyperplasia are not observed during the first 7 days, however the vessels in the area are dilated, and hyper permeable. This points to theories that acute inflammation that resolves after 7-10 days is mostly facilitated by vascular repair and remodelling of existing lymphatic architecture as well as return of normal contractile function (Lachance et al, 2013; Aldrich & Sevick-Muraca, 2013). Chronic inflammation and oedema is a self perpetuating cycle that can occur if acute inflammation and oedema fail to resolve. The effects of a lymphatic system under stress can also have systemic effects impacting on other organs and tissues. This has been observed in links between lymphatic dysfunction and chronic inflammatory skin conditions as well as inflammatory bowel disease, rheumatoid arthritis, obesity, and asthma (Huggenberger & Detmar, 2011; Varricchi et al, 2015). Fluid with high protein content and pro-inflammatory cell and chemical content will result in continued oncotic pull of fluid to the area. Over time the development of fibrosis (scarring) can also trap fluid within the area. Lymphatic vessel contractile function is further affected by the presence of pro-inflammatory cells and mediators resulting in decreased effectiveness or cessation of lymphangion pumping altogether (Chakraborty et al, 2015) TGF-B which is known to cause tissue fibrosis during chronic inflammation also exhibits inhibitory effects on Lymphatic endothelial cells and inhibits lymphangiogenesis. Lymphatic vasculature that is produced is hyper permeable, disorganised and incompetent (Clavin et al, 2008; Varricci, et al, 2015). Dysfunctional and incompetent lymphatic system also has negative effects on immunity. including increased risk of infections, development of chronic diseases including arteriosclerosis, inflammatory bowel diseases and cancer (Adamczyk et al, 2016; Yuan et al, 2019; Lund et al, 2016) Lymphatic Dysfunction: Plumbing problem or inflammatory condition? Up until recently conditions that result in oedema have been managed as primarily problems of poor plumbing. Clinically this has translated to using techniques such as MLD and compression to move fluid out of the affected area. Whilst these will remain to be two of the four pillars of managing chronic oedema along with skin management and physical activity, new targets for therapy are emerging. The main focus is now on the interplay in inflammatory cells and mediators in lymphatic dysfunction. Investigation continues into their effects on lymphatic vascular regeneration, remodelling, contractile function as well as tissue fibrosis and how all of these contribute to chronic oedema formation. Potential targets for therapy include Lymphatic endothelial cell specific markers including VEGFR-3, VEGF-C and D, Lieukotriene B4 as well as genes that may predispose individuals to lymphatic dysfunction. Multiple trials have been conducted using NSAIDS including Ketoprofen as well as T-cell immunosuppressive drugs (Tacrolimus). These studies reported positive effects in the management of lymphatic dysfunction. However continued research is undergoing in this field in order to understand the possible clinical applications of these findings (Liao & von der Weid, 2014; Dietrich et al, 2014; Jiang et al, 2018; Lund et al, 2016; Tian et al, 2017; Rockson et al, 2018; Gardenier et al, 2017). Implications: Research to Clinical Practice Most of the research reported in this review is obtained from animal studies. It is therefore important to follow findings that emerge in the following years and translation to human models. Current understanding in how lymphatics pump, the effects of chronic inflammation within skin, as well as conditions that may affect the ability to resolve inflammation and oedema are important to the Dermal Clinician/Therapist. This is to optimise managing inflammation, wound repair and oedema to prevent complications in the future. Translation of science to practice will be important through developing more clinical and case studies. As Dermal Clinicians we will need to evaluate questions such as: When is the best time to implement manual lymphatic drainage (MLD) after an injury? In what situations is it better practice to use compression? Are their topical formulations or modalities that can aid in lymphatic regeneration and function? In the next blog the ASDC Education team will provide insight into how oedema can be assessed and managed, informed by current best practice and the latest evidence. Want to keep up with the latest research? Access the Medline (Ebscohost) Database (free) as a benefit of your ASDC membership. The ASDC access puts 1300 Journals at your finger tips with FULL TEXT available! Not a member yet? What's stopping you? We now have both annual and monthly subscription options. JOIN NOW! References Adamczyk. L., Gordon. K., Kholova. I., Meijer-Jorna. L., Telinius. N., Gallagher. P., van der Wal. A. & Baandrup. U. (2016). Lymph vessels: The forgotten second circulation in health and disease. Virchows Archiv, 469, 3-17 Aldrich. M., & Sevick-Muraca. (2013). Cytokines are systemic effectors of lymphatic function in acute inflammation. Cytokine. 64. 362-369 Clavin. N., Avraham. T., Fernandez. J., Dahuvoy. S., Soares. A., Chundhry. A. & Mehara. B. (2008). TGF-B is a negative regulator of lymphatic regeneration during wound repair. American Journal of Physiology-Heart Circulation Physiology. 295, H2113-H2127 Chakraborty. S., Davis. M. & Muthuchamy. M. (2015). Emerging trends in the pathophysiology of lymphatic contractile function. Seminars in Cell Development and Biology. 38, 55-66 Chikly. B. (2017). Silent Waves: Theory and Practice of Lymph Drainage Therapy 3rd Edition. The Chikly Health Institute Cooper. L., Heppell. J., Clough. G., Ganapathisubramani. B. & Roose. T. (2016). An image-based model of fluid flow through lymph nodes. Bulletin of Mathemadical Biology. 78, 52-71 Doi 10.1007/s11538-015-0128-y Dietrich. L., Seidel. C & Detmar. M. (2014). Lymphatic vessels: new targets for the treatment of inflammatory diseases. Angiogenesis. 17(2), 359-371 Gardenier. J., Kataru. R., Hespe. G., Savetsky. I., Torrisi. J., Nores. G., Jowhar. D., Nitti. M., Schofield. R., Carlow. D. & Mehara. B. (2017). Topical tacrolimus for the treatment of secondary lymphedema. Nature Communications. 8:14345 Doi: 10.1038/ncomms14345 Gashev. A., Nagai. T. & Bridenbaugh. E. (2010). Indocyanine green and lymphatic imaging: current problems. Lymphatic Research and Biology. 8(2). 127-130 Heart Foundation. (2017). Where our funds go. Retrieved from https://www.heartfoundation.org.au/about-us/what-we-do/where-our-funds-go Goldman. J., Conley. K., Raehl. A., Bodny. D., Pytowski. B., Swartz. M., Ruthkowski. J., Jaroch. D., & Ongstad. E. (2007). Regulation of lymphatic capillary regeneration by interstitial flow in skin. American Journal of Physiology-Heart Circulation Physiology. 292- H2176-H2183 Huggenberger. R., & Detmar. M. (2011). The cutaneous vascular system in chronic skin inflammation. Journal of Investigative Dermatology Symposium Proceedings. 15, 24-32 Huggenberger. R., Siddiqui. S., Brander. D., Ullmann. S., Zimmermann. K., Antsiferova. M., Werner. S., Akitalo. K., & Detmar. M. (2011). An important role of lymphatic vessel activation in limiting acute inflammation. Blood. 117(17), 4667-4678 Huxley. V. & Scallan. J. (2011). Lymphatic fluid: Exchange mechanisms and regulation. Journal of Physiology. 589, 2935-2943 Jian. X., Nicolls. M., Tian. W., Rockson. S (2018). Lymphatic dysfunction, leukotrienes and lymphoedema. Annual Review of Physiology. 80(4), 4.1-4.21 Keast. D., Despartis. M., Allen. J. & Brassard. A. (2014). Chronic Oedema/Lymphoedema: under-recognised and under-treated. International Wound Journal. Doi:10.1111/wj.12224 Lachance. P., Hazen. A. & Sevick-Muraca. E. (2013). Lymphatic vascular response to acute inflammation. PLoS ONE 8(9), e76078 Doi 10.1371/journal.pone.0076078 Liao. S. & von der Weid. P. (2014). Inflammation-induced lymphangiogenesis and lymphatic dysfunction. Angiogenesis. 17(2). 325-334 Lund. A., Medler. T., Leachman. S. & Coussens. L. (2016). Lymphatic vessels, inflammation and immunity in skin cancer. Cancer Discovery. 6(1), 22-35 Lymphoedema Action Alliance (2018). EQUITABLE ACCESS TO QUALITY LYMPHOEDEMA SERVICES IN NSW. retrieved from https://www.actionalliance.org.au/about-us National Institute of Health. (2018). Estimates of Funding for Various Research, Condition, and Disease Categories (RCDC). retrieved from https://report.nih.gov/categorical_spending.aspx Negrini. D. & Moriondo. A. (2011). Lymphatic anatomy and biomechanics. Journal of Physiology. 589, 2927-2934 Rockson. S., Tian. W., Jiang. X., Kuznetsova. T., Haddad. F., Zampell. J., Mehara. B., Sampson. J., Roche. L., Kim. J., Nicolls. M. (2018). Pilot studies demonstrate the potential benefits of antiinflammatory therapy in human lymphoedema. Journal of Clinical Investigation Insight. 3(20). e123775 Doi: 10.1172/jci.insight.123775 Tian. W., Rockslon. S., Jiang. X., Kim. J., Begaye. A., Shuffle. E., Tu. A., Cribb. M., Nepiyushchikh. Z., Feroze. A., Zamanian. R., Dhillon. G., Voelkel. N., Peters-Golden. M., Kitajewski. J., Dixon. B., Nicolls. M. (2017). Leukotriene B4 antagonism ameliorates experimental lymphoedema. Science Translational Medicine. 9, eaal3920 Doi: 10.1126/scitranslmed.aal3920 Tortora. G. & Derickson. B. (2014). Principles of Anatomy and Physiology 14th Ed Wiley. Varricchi. G., Loffredo. S., Genovese. A., & Marone. G. (2015). Angiogenesis and lymphangiogenesis in inflammatory skin disorders. Journal of the American Academy of Dermatology. 73(1), 144-153 Villeco. J. (2012). Edema: A silent but important factor. Journal of Hand Therapy. 25, 153-162 Yuan. Y., Arucci. V., Levy. S. & Archen. M. (2019). Modulation of immunity by lymphatic dysfunction and lymphoedema. Frontiers in Immunology. 10(76), Doi 10.3389/fimmu.2019.00076

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  • Skin Health Education and Management | Australian Society of Dermal Clinicians

    The Australian Society of Dermal Clinicians Who we are The Australian Society of Dermal Clinicians (ASDC) are a not-for-profit professional association for Dermal Clinicians, Dermal Therapists and industry associates. The ASDC is a collaborative professional community of practitioners, educators, researchers and industry representatives. As a professional body the ASDC advocate on behalf of our members, industry representatives, and consumers in maintaining standards of safety and ethical practice. Our members have expertise in skin health, integrity as well as a special interest in the support and clinical management of those that experience skin conditions, disorders and disease. The ASDC encourages research and evidence based, best practice that is patient centred in order to empower those with skin concerns and improve their overall health and well-being. Learn More Our Purpose The board, advisory committees and members of the Australian Society of Dermal Clinicians are leading practitioners, educators, industry members as well as students and consumers. They wok together with a common focus to support and guide the profession with an aim to ensure standards and safety in the provision of skin health services. Support Increasing recognition and awareness of the profession within government, health, allied health and aesthetic forums. Advocacy Advocating on behalf of our members, industry representatives and consumers to ensure standards of safety and ethical practice. Education Providing ongoing professional education and guidance regarding formal and informal pathways for education. Connection A collaborative community connecting clinicians, educators, researchers and our industry partners. JOIN US What the benefits of Membership? Join a rapidly growing and dynamic professional community made up of clinicians, educators, researchers and industry affiliates. Read More FIND A CLINICIAN What is a Dermal Clinician? Dermal Clinicians are allied health professionals with an AQF 7 Bachelor of Health Science. They have expertise in assessing and managing the skin in health and disease Read More MEET THE BOARD Governance of the ASDC The Australian Society of Dermal Clinicians Board members are all dedicated Dermal Clinicians with expertise in clinical practice, education and research. Read More

  • What does a Dermal Clinician do? | The ASDC

    Do you have a skin concern? The skin is very important for health and wellbeing. It is our first line of defence against the outside world. Everyone should have the opportunity to feel comfortable in their skin. We can provide education and management strategies if you are experiencing skin problems. ​ Dermal Clinicians work with a broad range of people with skin health related matters. Dermal Clinicians first and foremost work with our clients to assist with skin health and feeling confident living in their skin. We work with people across the lifespan from childhood to advancing years and have expertise in managing the skin in health, damage or disease in all demographics of the Australian population. Find a Dermal Clinician What to ask before committing to skin therapies Choosing a professional to work with you is an important decision. There are many professionals working in the skin therapy sector with varied qualifications and related scope of practice. To help you to find out if a professional is a good fit for your needs you can ask some key questions to make sure your skin is in good hands before committing to any skin therapy. Find out more Out of gallery ​ What does a Dermal Clinician do? When you you are under the care of a Dermal Clinician a wholistic approach is undertaken. This involves a thorough consultation investigating the impact of medical conditions, medications and lifestyle factors known to impact on skin health as well as a detailed skin health assessment. ​ Management strategies will include patient education but may also use topical therapies, or clinical treatments as singular strategies or in combination. Dermal Clinicians work inter professionally and if a skin problem requires input from other health and allied health professionals for optimal outcomes your Dermal Clinician will also discuss relevant referrals. ​ ​ Dermal Clinicians work with people from all demographics and can be consulted about skin changes that are due to underlying medical conditions as well as side effects of medical treatment. What can a Dermal Clinician assist with? Some of the groups below are examples that we commonly work with that may experience problems with their skin health and/or concerns with skin appearance. ​ Common dermatological conditions (acne, rosacea, eczema, psoriasis, pigmentation changes, sun damage) Ageing Pre and post operative clients Diabetics Cancer and survivorship Transgender and gender diverse communities Lipoedema Lymphoedema Polycystic ovarian syndrome Peripheral vascular disorders such as arterial and venous insufficiency Mobility impaired Chronic inflammatory disorders ​ Some of the skin changes you may seek the advice of a Dermal Clinician about include: ​ Acne and blemishes Flushing, persistent redness Visible blood vessels on the face or body Non healing skin wounds and lesions Scars and stretch marks dry, itching and thickened skin Sun damage and changes in the skin with ageing Uneven pigment, brown spots Excessive or unwanted hair growth Swelling, aching or tiredness of feet or legs localised fat deposits Micro-pigmentation (cosmetic or reconstructive tattooing) Tattoo removal Out of gallery Back

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Forum Posts (61)

  • Medical Skin Clinic - Bass Coast

    Experienced Dermal Therapist - $32-$42 p/h Bass Coast Skin Doctors is a rapidly growing Skin Cancer and Cosmetic Medicine Clinic located in Wonthaggi on the pristine Bass Coast just 90 minutes’ drive from Melbourne CBD. We are a Doctor-led clinic with our medical director being a Cosmetic Physician and Skin Cancer Doctor with over 10 years’ experience. We employ a number of Doctors and Nurses and are looking for an experienced Dermal Therapist to work alongside our dedicated team of health professionals in a boutique, state-of-the-art clinic. About us: · A state-of-the-art boutique clinic with high-end fixtures and industry-leading equipment · Doctor-led clinic; Work alongside our medical director and nursing staff. Enjoy learning and contributing to a centre-of-excellence for Skin Cancer and Cosmetic Medicine · We are a small team of professionals and pride ourselves on our positive work culture based around mutual respect, team work and the pursuit of excellence in customer service and delivery of healthcare · A dedicated and friendly administration team to support our clinical staff · Modern medical software and full IT support · A dedicated marketing team About the Role: · Cosmetic consultations, skin assessments and treatment plans · Sales of cosmetic procedures and medical grade skin care · Provide leadership and education to fellow clinical staff · Answering email and phone enquires (cosmetic) · Performing Cosmetic procedures: o AHA and other superficial chemical peels o Light Emitting Diode (LED) o Microneedling o Monopolor radiofrequency (Pelleve) o Intense Pulse Light (IPL); Cutera Limelight · Review of cosmetic patients post procedure and provision of care as required (under direction of the medical team as needed) About you: · Friendly and outgoing · Able to work as part of a team · Strong communication skills · Able to work independently · Outstanding customer service and healthcare · Ability to sell products and services · Keen to learn and teach · Holds a Bachelor qualification in Dermal Therapy · Ability to work in Australia · Familiarity with the some/all of the above procedures · Basic computer skills If you would like to be part of a dedicated, professional team that values your input please forward your CV to heidi@basscoastskindoctors.com.au or call Heidi on 0424 001 810 for more information.

  • Flawless Rejuvenation

    Flawless rejuvenation is seeking a Dermal Clinician, please see more details in the seek advert. https://www.seek.com.au/job/56856271

  • SYDNEY Dermal Clinician Wanted

    We are a thriving boutique cosmetic medical clinic looking for an experienced dermal clinician to join our expanding business in Woolloomooloo. An amazing opportunity for the right person to work closely with our team of cosmetic nurses and doctors providing treatments to our active and growing client basis. This position will offer a great work life balance, happy fun working environment, ready and waiting client basis along with all the training and education one could need. Ideal candidate A practitioner who holds a degree in dermal science or alike with some experience. Someone who prioritises patient care, is diligent, communicative, a team player who has a strong desire to learn. The position We are looking to hire someone who is comfortable offering skin consultations to our clients and skilled enough to provide a highly personalised skincare routine and treatment plan. An ideal candidate would have completed their laser safety course and have experience with machine based treatments. Currently the bulk of our medical clients also have laser facials with our Q switch laser; we also have: Vascular laser Pigment laser Co2 fractional laser RF resurfacing Laser RF HIFU (ultrasound) Coolsculpt fat-freeze Chemical peels Dermapen You’ll receive training in clinic on our machines and have the opportunity to be trained by some of Australia's biggest cosmetic medical companies. Please email jessworkmarque@gmail.com with your resume

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