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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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After

EMILY'S BRIGHTER SKIN

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After

What Causes An Uneven Skin Tone?

The #1 reason for uneven skintone in Australia and New Zealand is sun exposure. Damage caused by the sun’s UV rays results in spots of brown pigment appearing on the face and body skin. When you’re younger, these are called freckles and they’re considered cute.

As we age, and with continued sun exposure, hyperpigmentation becomes more extensive and is often accompanied by other signs of sun damage (called ‘photodamage’) such as rough, dry, deeply wrinkled, saggy skin with uneven texture, depigmented white spots called ‘guttate hypomelanosis’ and broken vessels.

The technical name for this is ‘photoaging’. The flat dark brown spots are often called ‘sunspots’ or ‘liver spots’ (although they have nothing to do with your liver!).

Sun exposure also causes post-inflammatory hyperpigmentation (the dark spots left after acne and breakouts) to darken and persist in the skin.

Because of Australia and New Zealand’s high UV exposure, pigmentation and uneven skin tone are among the most common concerns people seek support for through Qr8 MediSkin.

How Does Hyperpigmentation Develop?

Everyone’s unique skin, hair and eye colour is a result of melanin. In skin, melanin is made of two substances produced by specialised cells in the skin called melanocytes. Melanin functions to protect skin by absorbing and dissipating UV radiation, thereby preventing free radical formation and damage to the cells and proteins within our skin. Melanin is essentially our natural sunscreen – in lighter skin tones, melanin provides a natural SPF of 3.4 (see why you need sun protection?).

Melanocytes are found in the deepest layer of the epidermis. They synthesise and package melanin inside the cell using an enzyme called tyrosinase and transfer the melanin-containing package (called a ‘melanosome’) to neighbouring skin cells with their long finger-like extensions. These is how melanin is distributed throughout all layers of the epidermis, and why the pigment appears as random spots on the skin’s surface.

When melanocytes are exposed to UV, they upregulate the enzymes involved in melanin synthesis and transfer more melanosomes to more skin cells. UV also damages melanocyte DNA, resulting in increased melanin synthesis. The skin cells themselves also respond to UV radiation by taking up more melanosomes, and producing inflammatory chemicals.

All of this results in hyperpigmentation and the uneven skintone you see in the mirror.

Other Causes Of Uneven Skintone

Uneven skin tone can also be caused by conditions such as melasma or post-inflammatory hyperpigmentation (PIH) – the dark marks that can appear after acne heals. During your consultation, our doctors can assess your pigmentation pattern and discuss which options may be appropriate for you, including prescription skincare where clinically suitable.

Uneven Skin Tone Can Change How Skin Looks (Even Without Wrinkles)

Research suggests that uneven skin tone can influence how old someone appears, even when factors like wrinkles and skin laxity are held constant. In other words, pigmentation and uneven tone can make skin look less even and less ‘fresh’, independent of lines or sagging.

That’s why supporting a more even-looking skin tone is a common goal for many people.

What’s The Best Treatment Cream For Hyperpigmentation In Australia & New Zealand?

When it comes to fading hyperpigmentation, most people immediately start searching for the best cream for pigmentation removal. But the best product for hyperpigmentation (and the foundation of any pigmentation treatment) is sunscreen!

Our Skincare Support Team knows which are the best sunscreens in Australia and New Zealand (and why!). We help you choose one that will work for you, and teach you how to use it correctly to prevent further sun damage, to ensure you get, and keep, the even skintone you’re looking for. HERE’S some general advice.

Read more about the UV index and why it’s an important tool for managing sun protection HERE.

Do I still need sun protection if I have a darker skintone?

The melanin in black skin gives it a natural SPF closer to 13, so the darker your skin, the better your protection against photoaging.

But there’s a downside – more melanin predisposes darker skin to hyperpigmentation from breakouts, injury and irritation/inflammation. And melasma is more common in these skin types.

So it’s a myth that darker skin types don’t need to wear sunscreen or use sun protection. Everyone needs protection from the sun’s UV rays!

YOUR PERSONALISED SKIN PLAN IN FOUR SIMPLE STEPS

01

Detailed
Questionnaire & Photos

Tell us about your health and the challenges you’re having with your skin. Snap 3 photos of your skin following our simple instructions HERE

 

02

Online Consult

Schedule a Secure Video Consultation with one of our Aussie and New Zealand Doctors to diagnose your skin. Consults available 7 days a week, 7am-9pm.

03

Receive Treatment

If you’re suitable for treatment, your very own custom treatment will be made-to-order just for you, and shipped within a week.

04

Expert Support

Receive your personal skincare routine and recommendations from our experienced nurses, get access to our exclusive Support Hub and evidence-based resources and virtual events, join in live discussions, and receive ongoing personal support via email or video call during each 3-month treatment cycle.

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

Do I need a Vitamin C serum
to manage pigmentation?

Vitamin C (L-ascorbic acid) is a great antioxidant and can be a useful addition to your morning routine,  alongside sunscreen, to help protect skin from daily UV and environmental stress.

However, when it comes to pigmentation and dark marks, Vitamin C is generally not strong enough on its own to make a meaningful difference, particularly for stubborn or recurring pigmentation.

Read more about Vitamin C’s antioxidant function HERE.

Do I need to spend a lot of money on skincare to support a hyperpigmentation treatment product?

Click HERE to read what our founder, PhD scientist Dr Michele Squire, told Mamamia Australia about expensive skincare (hint: expensive skincare often contains long lists of ingredients at tiny concentrations just to justify their high price. The best cleanser, moisturiser and serum is often the least expensive!)

Jess
#Pigmentation
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Sally
#Pigmentation
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Helen
#Melasma #Pigmentation
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Sophia
#Acne
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Kylie
#Melasma
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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

What conditions can QR8 treat?

We can assess and support a range of skin and hair concerns, including:

  • Skin ageing concerns and sun-related skin changes (fine lines, uneven tone, enlarged pores)
  • Acne
  • Post-inflammatory hyperpigmentation (PIH)
  • Melasma
  • Texture and congestion concerns
  • Rosacea
  • Perioral dermatitis
  • Hair thinning and hair loss
  • Perimenopausal and menopausal skin concerns (breakouts, uneven tone, sun-related changes, dryness)

Prescription treatment is provided only when clinically appropriate following a medical consultation. If your doctor believes you would be better supported with in-person care, you may be referred to a dermatologist, GP, or another suitable health professional.

How much does it cost?

Each 3-month plan is designed to feel effortless, with transparent pricing, home delivery, and clinical support throughout your care.

A video consultation with one of our registered doctors to assess your suitability is AUD $55.

If prescription treatment is clinically appropriate, the one-off cost of AUD $280 (3 months) includes:

  • 50 g customised treatment cream (sufficient for once-daily use for 3 months), prepared to your doctor’s specifications using carefully selected, evidence-based ingredients
    Many patients can address multiple concerns in one cream. In some cases, two formulations may be recommended. Your doctor will discuss options with you during your consultation.
  • Your personalised Skin Plan, with educational guidance and supporting skincare recommendations
  • Australia Post Express delivery
  • Ongoing clinical support via email or video throughout your treatment cycle
  • A dermatology nurse video consult to answer your questions and refine your routine
  • Access to the Qr8 Support Hub, including patient resources and live discussions
  • Virtual masterclasses
  • Patient-only perks, including occasional offers and gifts

Medicare and private health rebates are not currently available for this service. Depending on your level of cover, you may be able to claim the medication component through your private health fund. We can provide a receipt upon request.

Can I claim on private health insurance?

You may be able to claim the medication component of your treatment through private health Extras, depending on your fund and level of cover. We can provide a pharmacy receipt on request.

Medicare and private health rebates do not currently apply to the consultation or support components of our service.

What about shipping?

Once payment is received, we’ll confirm and process your order within 24 business hours. Your treatment is then compounded and shipped via express delivery.

Please allow 3–5 business days for preparation before dispatch.

Do I have to subscribe?

You stay in control as we’re not a subscription service. Treatment, if prescribed, is only dispensed after a real-time medical review, and you’ll never be charged without your consent.

Every three months, we’ll remind you to book a progress consult. You decide if and when your next treatment is dispensed, and we’ll handle the delivery logistics.

How do I pay?

After your video consult, if treatment is clinically appropriate, your doctor will email your recommended plan and a quote.

If you’d like to proceed, log in via the link and pay within 30 days. Orders are processed within 24 business hours of payment clearing.

We accept Visa, Mastercard, Afterpay, and direct debit.

Meet our Founder

Dr Michele Squire

PhD, BSc (Hons), BBus

Dr Michele Squire, PhD scientist and former healthcare executive and Registered Nurse, recognised the crucial synergy between medicine, science and skincare in treating chronic skin concerns. In 2019, she established Qr8 (pronounced ‘curate’), a ground-breaking venture aimed at offering video telehealth-delivered medical consultations and uncomplicated skincare guidance rooted in scientific evidence. By promoting evidence-based medicine and combining it with the kind of expert support known to significantly improve treatment outcomes for patients, Qr8 empowers patients to make informed decisions about their skin and get results.

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Meet our Clinical 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 Caroline Do

MBBS AHPRA Registration Number:MED0002235164

Dr Caroline finds the most rewarding part of her practice is the relationships she builds with patients who trust her with their ongoing care. She loves seeing familiar faces return, knowing they value the results they’re achieving together. She believes in creating a shared plan of action that’s honest, realistic, and guided by her patients’ goals while always prioritising medical safety.

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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 Danielle ten Brink

MD BMedSci AHPRA Registration Number:MED0002308228

I enjoy truly listening to a patient’s concerns and creating a relaxing environment where they feel heard and valued. My kind & approachable nature allows me to build strong relationships and trust, while my eagerness to help and offer support ensures each patient receives personalized and compassionate care tailored to their needs.

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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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YOUR PERSONALISED PLAN

STARTS HERE

Take the next step toward understanding your skin and your options with doctor-led care, online.