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REAL EXAMPLES (NO FILTERS)

Helen
# Melasma #Pigmentation
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Ava
#Pigmentation
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Sally
#Pigmentation
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Kylie
#Melasma
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YOU’RE NOT ALONE

Dark spots, freckles or post-inflammatory hyperpigmentation (the dark spots left behind after a skin trauma heals) can be frustrating. For many people, an uneven skin tone affects more than just their skin, impacting confidence at work, socially, and day to day.

You may feel overwhelmed by conflicting advice: what products to use (or avoid), and what actually helps long term.

And you may be tired of spending money on products, Vitamin C serums, treatments or supplements that promise a lot, but don’t deliver the results you were hoping for.

Qr8 MediSkin is a doctor-led, nurse-supported telehealth service for the medical assessment of uneven skin tone and related concerns. Where clinically appropriate, your care may include a personalised prescription option, with clear guidance and ongoing clinical support.

Skincare for an uneven skintone can feel complicated. We aim to make it feel clearer.

Before (from your questionnaire and photos) AND during your consultation, your doctor will:

  • review your skin, medical and medication history
  • help you understand the causes of an uneven skin tone, talk through treatment options and what may be appropriate for you
  • prescribe topical treatment only when suitable
  • adjust your plan over time based on response and tolerance

You’ll also have access to our dermatology nurses for:

  • guidance on how to use your plan confidently
  • education on managing your skin day-to-day and long-term maintenance
  • supporting skincare recommendations, including an evidence-based sunscreen guidance, all tailored to your skin
  • follow-up support throughout your treatment cycle

ANNA'S SKIN JOURNEY

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EMILY'S BRIGHTER SKIN

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After

What is Perioral Dermatitis?

Perioral dermatitis is an inflammatory skin condition that causes clusters of small bumps, often with dry, irritated or sensitive skin around the mouth.

Despite its name, it can also affect the skin around the nose and eyes. When these areas are involved, periorificial dermatitis is the more accurate medical term. Both names are commonly used for the condition.

It can look surprisingly similar to acne, rosacea, eczema or contact dermatitis, but these conditions are managed differently. Unlike acne, blackheads and whiteheads are not typical of perioral dermatitis.

The skin may feel dry, tight, itchy, sensitive or burning, and the area immediately next to the lips is often relatively unaffected. The rash can also be recurrent or persistent.

If you have a recurring rash around your mouth, nose or eyes, you don’t need to work out what it is before booking. Your Qr8 doctor can assess your photographs, medical and skin history and speak with you during your video consultation.

What Causes Perioral Dermatitis, And Why Does It Keep Coming Back?

There isn’t one established cause of perioral dermatitis. For many people, several factors may be contributing at the same time.

Skincare and cosmetics, toothpaste and other irritants, some medications, hormonal changes including pregnancy, allergies or an atopic tendency, and environmental factors such as sun exposure, heat and wind can all be relevant. Long term use of steroid creams – as well as inhaled or nasal steroid medications – are particularly well-recognised associations.

This can also help explain why perioral dermatitis may settle and then flare again. If contributing factors are still present, addressing the visible rash alone may not address everything that is affecting the skin.

This is where ongoing nursing support matters. Your Qr8 nurse helps you work through your skincare, cleansing, sunscreen, medications and potential everyday triggers to identify what may be relevant to your skin, and what may need to change.

Why “Brightening” Skincare Can Only Do So Much

The skincare aisle is full of products promising brighter, more even skin. But pigmentation isn’t simply a cosmetic problem that can always be solved by adding another serum.

Some skincare can support the management of uneven skin tone. But what it can realistically achieve depends on what is causing the pigmentation in the first place.

At Qr8, we help you understand what your skincare is actually doing, what has a useful role, and what you may be spending money on unnecessarily.

When Should I Consider An In-Clinic Procedure?

Laser, IPL, peels and other procedures can have a role in some types of pigmentation, but they aren’t appropriate for every pigmentary concern or every skin tone.

Choosing the wrong procedure can also aggravate pigmentation in susceptible skin.

Qr8 doesn’t perform cosmetic procedures. That means our nursing team can help you understand whether an in-clinic option may be worth considering and what questions to ask – without having a procedure to sell you.

How Is Perioral Dermatitis Managed?

There isn’t one approach that suits everyone with perioral dermatitis.

Management starts with confirming the diagnosis, then looking at the factors that may be aggravating your skin. That can mean simplifying skincare, reducing unnecessary irritation and reviewing relevant medications, products and everyday exposures.

For some people, medical treatment may also be appropriate. Your doctor will discuss this with you based on your skin, health history and individual circumstances.

But managing perioral dermatitis doesn’t stop at the appointment.

Your Qr8 nurse helps you put the plan into practice – working through skincare, cleansing, sunscreen and potential triggers, answering questions as your skin changes, and helping you avoid the cycle of continually adding new products when something isn’t settling.

The aim is not simply to calm the current flare, but to help you understand how to manage your skin over time.

What If My Perioral Dermatitis Keeps Coming Back?

Perioral dermatitis can settle and then return, particularly when the factors contributing to it haven’t been identified or are difficult to avoid.

That’s why Qr8 care goes beyond managing the current flare.

Your doctor assesses what’s happening medically. Then your nursing team helps you work through the things that happen in everyday life – skincare, cleansing, sunscreen, toothpaste, medications, allergies, hormonal changes and other potential triggers – and understand which may actually be relevant to you.

If your skin changes or flares again, you don’t have to start from scratch. Your nurse already knows your skin and can help you work out what has changed and what to do next.

That ongoing support is an important part of managing a condition that can recur.

YOUR PERIORAL DERMATITIS CARE IN THREE SIMPLE STEPS

01

Detailed
Questionnaire & Photos

Complete a detailed health questionnaire and send us photographs of your skin or hair.

This gives your clinical team important information before you meet.

 

 

02

Meet Your Doctor

See an Australian registered doctor by private video consultation.

They’ll review your history and photographs, assess your concerns and talk with you about what may be appropriate.

Consults available 7 days a week, 7am-9pm.

03

Your Perioral Dermatitis Plan

If treatment is clinically appropriate, your doctor will discuss suitable options with you.

Your nurse will provide a detailed Skin Plan with the supporting skincare and daily routine if you decide to proceed.

04

Care Between Appointments

This is where your nurses come in.

They help you with your skincare or haircare routine, answer questions and keep up with how things are going.

Email us. Call us. Book a video call.

You don’t have to save every question for your next doctor’s appointment.

INGREDIENTS THAT CAN BE USED IN OUR UNEVEN SKIN TONE PLANS

If prescription treatment is appropriate for you, your doctor may prescribe a personalised topical formulation using one or more evidence-based ingredients, selected for your skin type and goals.

Not every ingredient, or every strength, is right for every person. Your doctor will explain what’s suitable for you and why.

Ingredients that may be included in your plan includes:

Hydroquinone
Potassium Azeloyl Diglycinate
Prescription Retinoids
Tranexamic Acid
Azelaic Acid
Niacinamide
Resveratrol
Kojic Acid
Hydrocortisone

Why Isn’t My Pigmentation Improving?

If you’ve tried vitamin C, “brightening” skincare, peels or other treatments without getting the change you expected, the problem may not be that you haven’t found the right product yet.

Different types of pigmentation behave differently. Melasma, sun-related pigmentation and post-inflammatory hyperpigmentation can look similar, but what helps one may not be appropriate for another.

Ongoing UV exposure, inflammation and irritation can also work against what you’re trying to achieve.

Sometimes the most useful next step isn’t another product. It’s working out what type of pigmentation you have, what may be driving it, and what’s actually worth doing about it.

Can Laser or IPL Make Pigmentation Worse?

Yes, in some people and some types of pigmentation.

Laser, IPL, peels and other in-clinic procedures can have a role in managing pigmentation, but the right option depends on the type of pigmentation you have, your skin tone and how your skin responds to inflammation.

Some procedures can aggravate pigmentation rather than improve it, particularly when the underlying pigmentary condition hasn’t been correctly identified first.

Qr8 doesn’t perform cosmetic procedures, so we don’t have a procedure to sell you. We provide independent advice so you understand whether an in-clinic treatment may have a useful role for your skin, and what to consider before you invest in one.

Jess
#Pigmentation
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Sally
#Pigmentation
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After
Helen
#Melasma #Pigmentation
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After
Sophia
#Acne
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Kylie
#Melasma
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After
Annie
#Pigmentation
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Sarah
#Pigmentation
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Angela
#Pigmentation
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Ava
#Pigmentation
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Belinda
#Pigmentation #Texture
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Your Biggest
Questions Answered

Can Qr8 help if I'm not sure if I have perioral dermatitis?

Yes. You don’t need to diagnose yourself before booking.

Perioral dermatitis can look like acne, rosacea, eczema, contact dermatitis or simply irritated skin. Your Qr8 doctor reviews your photographs, medical and skin history and speaks with you during a video consultation to assess what may be happening.

If your skin needs examination, investigation or care in person, your doctor will tell you and recommend the appropriate next step.

The first step isn’t finding another product. It’s establishing what you’re actually dealing with.

What should I do if my perioral dermatitis isn't getting better?

If a rash around your mouth, nose or eyes isn’t settling, the first question is whether it is actually perioral dermatitis.

Acne, rosacea, contact dermatitis and other facial skin conditions can look similar, and persistent perioral dermatitis can also have several contributing factors.

Repeatedly changing skincare, removing foods, switching toothpaste or adding another product can make it increasingly difficult to work out what is actually relevant.

This is where Qr8 can help. Your doctor assesses the medical picture, while your nursing team works through the practical detail with you – your skincare, cleansing, sunscreen, medications, hormonal factors, allergies and everyday exposures.

And because that nursing support continues between appointments, you have somewhere to go when something changes or your skin isn’t responding as expected.

You don’t need to work it all out before you book.

Can toothpaste or skincare trigger perioral dermatitis?

They can be relevant for some people, but there isn’t one universal trigger.

Toothpaste and oral-care products, cosmetics, sunscreens and irritating skincare are just some of the factors associated with perioral dermatitis.

That doesn’t mean you should throw everything away.

Your Qr8 nurse reviews what you actually use – from cleanser and moisturiser to sunscreen, makeup and toothpaste – and helps you work out what may be worth changing and what can stay.

Can hormones, HRT or pregnancy affect perioral dermatitis?

Hormonal changes may play a role for some people. Perioral dermatitis has been observed in association with pregnancy, oral contraceptive use, premenstrual hormonal changes and perimenopause.

Pregnancy also changes what medical care may be appropriate, so it’s important that your doctor knows if you are pregnant, breastfeeding or planning a pregnancy.

Your care should take the whole medical picture into account, not just the rash you can see.

How long does perioral dermatitis take to go away?

There isn’t one timeline for everyone.

Perioral dermatitis can improve gradually over weeks or months, and the course can depend on factors such as how long it has been present, what may be aggravating the skin and whether the diagnosis is correct.

This is one reason Qr8 care doesn’t end with the initial appointment. Your nursing team stays involved while your skin changes, helping with your routine, questions and potential contributing factors between doctor reviews.

How is Qr8 different from seeing my GP or a dermatologist for perioral dermatitis?

Qr8 is designed specifically around ongoing medical care for skin.

You’ll see a registered doctor for your medical assessment and reviews, with a dermatology nursing team involved between appointments.

Perioral dermatitis is commonly mistaken for other facial rashes, particularly in general practice and pharmacy settings. It can resemble acne, eczema or irritated skin, and steroid creams may initially make it appear better – only for the rash to return, sometimes more severely, when they are stopped.

Qr8 doctors receive additional training in the skin conditions we care for, including recognising and managing perioral dermatitis.

The other major difference is what happens after the appointment. Your nurses help with the practical factors that can make perioral dermatitis difficult to manage – skincare, cleansing, sunscreen, potential triggers and questions that arise as your skin changes.

If something isn’t settling as expected, you don’t have to wait until your next doctor appointment. Your nursing team can help you work through what’s happening and involve your doctor when needed.

How much does Qr8 perioral dermatitis care cost?

Your initial video consultation with one of our registered doctors is $55.

Following your consultation, your doctor will email a personalised treatment plan, where clinically appropriate, with all relevant costs clearly outlined before you choose to proceed.

Treatment fees vary according to your prescribed care and include clinical support throughout your treatment. We accept Visa, Mastercard, Afterpay and direct debit.

In accordance with Australian requirements, individual prescription medicine pricing is not displayed publicly.

We are a private billing service. Medicare rebates are not available. Depending on your cover, you may be able to claim eligible medication costs through your private health insurer. Receipts are available on request.

Meet our Founder

Dr Michele Squire

PhD, BSc (Hons), BBus

Dr Michele Squire is a PhD scientist, former healthcare executive and Registered Nurse.

She founded Qr8 in 2019 because caring for skin and hair takes more than an appointment.

It takes medical expertise, good skincare and people paying attention to what happens over time.

Qr8 was built to bring those things together.

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Meet our Team

Dr Anastasia Boulais

FRNZCUC, MBBS(Syd), BMedSc, DipPath AHPRA Registration Number:MED0001674307

Dr Anastasia understands that everyone’s experience in their own body is unique. Wherever a patient is on their journey towards getting to know and take care of their hair and skin health, she meets them with empathy and support. Outside of work, she enjoys staying active, including going to the gym, hiking, travelling, and spending time in nature.

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Dr Bec Shackle

MMed (InternalMedicine), MBBS, BN AHPRA Registration Number:MED0002669912

Dr Bec loves making a real difference in her patients’ lives. An LGBTQ+ ally with experience in trans-affirming care, she enjoys creating a welcoming and inclusive space for all. Outside of work, she enjoys cooking, gardening, and spending time in nature with her partner and dogs.

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Dr Sheila Manmathan

BSc, MBBS, MRCGP, FRACGP AHPRA Registration Number:MED0001762480

Dr Sheila is compassionate and collaborative, and passionate about empowering patients to understand and feel in control of their health. With a focus on education, collaboration, and open communication, she creates a supportive environment where patients can make informed decisions at every stage of their health journey.

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Dr Mali Tayebi

Dr Mali Tayebi

MD, FRACGP AHPRA Registration Number:MED0002200412

Dr Mali graduated with a Doctor of Medicine in 2014 from the Semnan University of Medical Sciences, Iran, prior to becoming a Fellow of the Royal Australian College of General Practitioners (FRACGP) with a special interest in dermatology, skin cancer medicine, and aesthetic medicine. She strongly believes that every patient deserves to feel heard and understood. Dr Mali’s approach focuses on listening carefully, understanding each person’s goals, and developing an individualised treatment plan that combines the best available evidence, combined with compassionate care.

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Dr Sarah Newby

MD AHPRA Registration Number:MED0002066429

Dr Sarah has a warm and empathetic approach to her practice and listens deeply to ensure that she can work with patients to get to the root of the problem and arrive at an effective solution together. She finds being trusted with her patient’s stories and seeing how simple changes can make a world of difference to be the most rewarding part of her practice.

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Dr Yeshika Naidoo

LLB, MBBS, DIPCH, MPH, MCLIN, EPI, FRACGP AHPRA Registration Number:MED0000962959

Dr Yeshika focuses on what the patient is trying to achieve and adapts their treatment according to their individual lifestyles. She loves to see long-term and returning patients who are happy with their results, and she finds this to be the most rewarding part of her practice.

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Dr Jeremy Chou

MChD, FRACGP AHPRA Registration Number:MED0002066673

Dr Jeremy is holistic, thorough, and willing to take the necessary time and care to ensure his patients are empowered to take charge of their health. He specifically enjoys seeing patients enjoy positive results and become empowered to make better decisions for their skin and wellbeing.

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Nurse Kristen Meiklejohn

RN AHPRA Registration Number:NMW0001612708

With over 11 years of dermatology experience, Kristen is a cornerstone of the Qr8 MediSkin Skincare Support Team. Whether you’re navigating new treatments or fine-tuning your daily routine, she’s here to offer expert guidance, tailored recommendations, and genuine care. Think of her as your personal skincare guardian angel – she’s always ready to help you feel confident in your skin!

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Pharmacist Matthew Belgrove

BPharm AHPRA Registration Number:PHA0000982524

I have been a pharmacist for 14 years, owned and worked in a variety of Pharmacies including NCC for the last 10 years. When not working, I enjoy spending time with my wife, 4 kids & dog and also swim, bike and running. I find compounding pharmacy a rewarding profession because of NCC’s ability to customise medicine for any type of patient. I often find ourselves solving challenges which standard medicine couldn’t and the gratitude from Patients is very humbling.

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READY TO UNDERSTAND YOUR PERIORAL DERMATITIS?

Start with a conversation about what’s causing the changes you can see in your skin, and what may be appropriate for you.

Online appointments with Australian-registered doctors, with nursing support between appointments.