30/04/2026
I want to tell you about Scott.
He came to see me on 29 July 2025 at 8am as an urgent same-day case. His face was severely inflamed and infected following a dermatologist-prescribed treatment that had caused significant skin breakdown.
Multiple open lesions, purulent discharge, considerable swelling. He was in pain and he was distressed.
He was also booked to fly to Bali the next morning.
Before I did anything else I reviewed his full medical history. A list of current medications that needed to be carefully considered before I prescribed anything. This is the part of aesthetic care that most clinics cannot provide — a prescribing practitioner who can hold the whole medical picture and make safe, informed decisions on the spot.
We treated his skin with HydroPeptide Honey Trizyme and Dermalux LED therapy — Blue wavelength for antimicrobial action and Near Infrared for healing and inflammation reduction. I prescribed systemic antibiotics, antivirals and anti-inflammatories. We established a homecare protocol specifically for tropical travel conditions.
Here is the point I really want to make.
The medication alone would not have cleared his skin enough to travel safely the next day. The advanced facial treatment alone would not have been sufficient either. It was the combination of both — integrated clinical skin treatment and NP prescribing — delivered in the same appointment by the same clinician, that made the difference.
Without same-day access to that level of advanced facial treatment alongside the medical management, Scott would not have been in any condition to board a plane the following morning. The treatment and the prescription worked together. That is not something you can replicate by seeing an aesthetics practitioner and a prescriber separately, or by managing it remotely.
At 5pm the same day I reviewed him again. He was visibly improving and systemically well. I cleared him to travel.
The next morning he sent me a selfie from the airport departure lounge. His skin was already dramatically calmer than it had been 24 hours earlier.
Three weeks after that first photo, Scott sat in my clinic for his two week review. His skin was clear, calm and fully healed.
I am sharing this case as my fourth and final entry in the PBS 2026 Client Transformation Journeys Competition. The winner is announced at the Gala Dinner in Sydney on Sunday 3 May — and tomorrow I fly down to be there.
This case means a great deal to me. Not because of the competition. Because it represents exactly what I believe aesthetic care can and should be — clinically led, medically informed, and capable of genuinely changing someone's situation when it matters most.
If you know someone who has been told their skin is too complex or too damaged to treat, please share this post. It is almost never too late and almost never too complicated. It just needs the right clinician.
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