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Assessment and management

Skin lesion assessment and management.

An appointment for the spot you’ve been wondering about. A registered nurse assesses benign skin lesions — seborrhoeic keratosis is the most common — and manages the ones that suit cosmetic management. $250. We don’t diagnose: anything uncertain, and anything that could be more than cosmetic, is referred to a GP first.

In clinic · Registered nurse–led · Springvale, Victoria

The lesion

What is a seborrhoeic keratosis?

A seborrhoeic keratosis is a common, benign skin growth that appears with age. It tends to look raised and waxy — often described as “stuck on” — with a rough, dry or scaly surface, in shades of brown, grey or black. They appear most often on the face, chest, shoulders, back and scalp, and often in numbers.

That describes the category. It doesn’t describe the spot on your skin — no page can. Whether what you’re seeing fits the description is exactly what the assessment is for, and if there’s any doubt, the answer is a GP referral, not a guess.

The appointment

What happens at the appointment?

Assessment, then a decision, then — only where it suits — management. The decision can go two ways, and both are the appointment working.

01 Assessment

A careful visual and physical examination of the lesion by a registered nurse — what it presents as, in descriptive terms. Not a diagnosis.

02 The decision

Either the lesion presents as benign and suits cosmetic management, or it doesn’t. Anything uncertain or suspicious goes to a GP for review before anything else happens.

03 Management, where it suits

A brief electrical pulse is applied to the spot. Treated spots darken and stay tender for up to two weeks, then lift away. Usually one to two sessions, with a review after the second.

The details

What does it cost?

$250, published. Where management goes ahead, it’s usually one to two sessions, spaced four to six weeks apart, with a review after the second. Risks — darkening of the treated area and bruising among them — are talked through before anything is treated. [TALIHA: appointment length, and whether $250 is per session or covers assessment plus first management]

Price
$250
Sessions
Usually 1–2
Spacing
4–6 weeks
Settling
Up to 2 weeks
The line
If the nurse judges the risk of pigmentation change too high for your skin, the treatment doesn’t go ahead — and you’ll get the reason, not a workaround.
Straight answers

What won’t we do?

With lesions, the limits are the service. Written down:

  • We don’t diagnose. Naming a lesion medically is a doctor’s work, and this clinic doesn’t do it.
  • We don’t treat doubt. A lesion that’s uncertain in any way is referred to a GP before cosmetic management is even discussed.
  • We don’t work around a referral. If a GP should see it first, that’s the next step — you’ll be told plainly, and nothing is treated in the meantime.
  • We don’t proceed past risk. Where the assessment finds the chance of pigmentation change or bruising too high for your skin, the answer is no.

If you’ve noticed a spot changing, the right first appointment may be your GP — and if that’s our read, we’ll say so.

Aftercare

What happens after treatment?

Treated spots darken and stay tender for up to two weeks. Then they lift away. The darkening is expected — it’s how the treatment runs its course, not a complication.

You’ll leave knowing what to expect for your skin specifically, and where a second session is planned, it comes with a review. [TALIHA: specific care instructions for treated spots — what to do and what to avoid while they settle]

Order and timing

One spot, or the wider read?

A lesion appointment can stand alone — one spot, one question, one plain answer. It can also sit inside a wider skin plan, where the same discipline covers everything else your skin is doing.

If you’re already wondering about more than one thing, the $150, ninety-minute consultation is the wider read — and it ends with a written plan you keep.

How a skin plan works

Questions

Asked about skin lesions.

Answered the way they would be answered in the room — including the ones with uncomfortable answers.

How do you remove a seborrhoeic keratosis at home?

You do not, and this is the most searched question on the subject. The reasons are specific rather than cautious: the thing being removed has not been identified by anyone qualified, home removal frequently leaves a worse mark than what was there, and if it turns out to have been something that needed looking at, it has now been destroyed instead of examined. A GP is the correct first stop.

Why do I need to see a doctor first?

Because identifying what a spot is belongs to a doctor and not to a skin clinic. Glow does not diagnose. Several harmless things and a few things that are not harmless can look alike to anyone who is not qualified to tell them apart, and the cost of being wrong falls entirely on you. We would rather lose the appointment than be the reason something was looked at late.

What does the assessment actually cover?

A careful look at what is there, what it is doing, and whether it belongs with a doctor first — and a straight answer about whether anything we offer is appropriate. It does not include identifying what a lesion is. Sometimes the entire outcome is a referral, and that is a legitimate result rather than a wasted appointment.

What if a spot has changed?

Then it goes to a doctor, and it goes now rather than after an appointment here. Anything that has changed in size, shape, colour, or that bleeds, itches or does not heal, needs someone qualified to identify it. That is not a delaying tactic and it is not negotiable on the day.

If it is harmless, can it still be removed?

Often, once a doctor has confirmed what it is. Wanting something gone because it catches on clothing or because you dislike it is a perfectly reasonable reason. The order is what matters: identification first, then the conversation about removal.

One appointment. A plain answer.

Assessment and management of benign skin lesions with a registered nurse in Springvale — $250. If a GP should see it first, you’ll be told plainly. That’s part of the service.

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