REAL EXAMPLES (NO FILTERS)

Helen
# Melasma #Pigmentation
Before
After
Ava
#Pigmentation
Before
After
Sally
#Pigmentation
Before
After
Kylie
#Melasma
Before
After

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

Before
After

EMILY'S BRIGHTER SKIN

Before
After

What Causes Uneven Skin Tone & Pigmentation?

Uneven skin tone describes differences in colour or pigmentation across the skin. There are many possible causes.

In Australia, cumulative sun exposure is an important contributor. Ultraviolet radiation and visible light stimulate pigment production and, over time, can contribute to freckles, sun spots and more widespread uneven pigmentation.

Dark marks can also remain after acne, irritation or other inflammation. This is called post-inflammatory hyperpigmentation (PIH) and can be particularly persistent in darker skin tones.

Melasma is different again. It is a specific chronic pigmentation condition rather than simply another name for hyperpigmentation.

Your skin type, medical history, hormones, previous skincare and sun exposure can all be relevant.

That’s why we start with an assessment rather than assuming every brown spot needs the same approach.

How Does Hyperpigmentation Develop?

Melanin is the pigment responsible for much of the natural colour of our skin, hair and eyes. It is produced by specialised cells called melanocytes.

Melanin itself isn’t the problem. It has an important protective role in the skin.

Hyperpigmentation develops when increased pigment is produced or distributed within the skin. Sun exposure is an important stimulus, but inflammation, hormones and injury can also influence pigment production.

The pigmentation you see can therefore have very different origins.

Why Can Pigmentation Be More Persistent In Darker Skin Tones?

Skin with more melanin can be more prone to developing post-inflammatory hyperpigmentation (PIH) – dark marks that remain after inflammation or injury to the skin.

Acne, irritation, eczema and even some cosmetic procedures can trigger pigmentation, and these marks can be more noticeable and persistent in darker skin tones.

This matters when deciding what to put on your skin, and when considering procedures such as peels, laser or light-based treatments. More aggressive doesn’t necessarily mean better, particularly if an approach creates inflammation that leaves further pigmentation behind.

Your skin tone and tendency to pigment are important parts of your Qr8 assessment and ongoing care.

And yes, every skin tone still needs daily sun protection under Australian UV.

WHAT YOUR PATIENT CAN EXPECT

01

Detailed
Questionnaire & Photos

Your patient completes a detailed health questionnaire and provides photographs of their skin or hair before their appointment.

 

 

02

Meet A Qr8
Doctor

Your patient meets with an Australian-registered Qr8 doctor by secure video consultation.

Their doctor reviews their history, photographs and concerns, discusses appropriate management options and coordinates their ongoing skin or hair treatment.

If requested, we can keep you, as their primary care GP, updated on their progress.

03

Treatment Plan

If treatment is clinically appropriate, your patient’s Qr8 doctor develops an individual management plan based on their condition, medical history and treatment goals.

Care may include prescribed treatment, supporting skincare or haircare, lifestyle and trigger management, and ongoing clinical review.

Patients are typically reviewed every three months initially, with treatment adjusted as needed. Once stable, they can transition to a 12-month treatment plan.

04

Care Between
Appointments

Your patient has access to the Qr8 nursing team between medical reviews for treatment guidance, education and ongoing support.

Our experienced dermatology nurses can also provide independent guidance on in-clinic treatment options where relevant. Qr8 does not provide these procedures.

Where in-person assessment, investigation, procedural treatment or specialist dermatology care is needed, we will recommend appropriate escalation or referral.

Jess
#Pigmentation
Before
After
Sally
#Pigmentation
Before
After
Helen
#Melasma #Pigmentation
Before
After
Sophia
#Acne
Before
After
Kylie
#Melasma
Before
After
Annie
#Pigmentation
Before
After
Sarah
#Pigmentation
Before
After
Angela
#Pigmentation
Before
After
Ava
#Pigmentation
Before
After
Belinda
#Pigmentation #Texture
Before
After

Questions About QR8?

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.

Read More

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.

Read More

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.

Read More

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.

Read More
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.

Read More

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.

Read More

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.

Read More

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.

Read More

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!

Read More

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.

Read More