Cosmetic Medicine by Dr Eddie Roos

Cosmetic Medicine 

Dr Eddie Roos

DR EDDIE ROOS 

Dr Eddie Roos 

BMedSci, MBChB, FRACGP, FACRRM, FACAM, FCPSA, FACCSM, FAICD 

Medical Director, Cosmetic Elegance Clinic

DR EDDIE ROOS 

ABOUT 

DR ROOS 

PROFESSIONAL CREDENTIALS 

• Founder and Medical Director, 

Cosmetic Elegance Clinic 

• Immediate Past President & 

Fellow, Australasian College of 

Aesthetic Medicine 

• Fellow, Australasian College 

of Cosmetic Surgery, Faculty 

of Medicine 

• Fellow, Cosmetic Physicians College 

of Australasia 

• Full Member, Cosmetic Physicians 

Society of Australasia 

• Member, Australasian College of 

Phlebology 

• Founding Member, Skin 

Cancer Society of Australia 

and New Zealand 

• Member, Skin Cancer College 

of Australasia 

• Fellow, Australian Institute of 

Company Directors 

Dr Eddie Roos received a Bachelor of Medical Science degree in 1984 and 

a Bachelor of Medicine and Surgery in 1988. He worked in South Africa 

for 10 years before moving to Australia in 1998. He began practising 

cosmetic medicine in 2001 and in 2004 founded Cosmetic Elegance Clinic in 

Toowoomba, Queensland. 

Quality of service and offering patients the latest in cosmetic medicine is the 

most important priority for Dr Roos and his staff at Cosmetic Elegance Clinic. 

Dr Roos has extensive experience and expertise in cosmetic medicine, with 

a particular interest in light-based therapies to treat a variety of anti-ageing 

skin concerns. Enhancing the natural beauty of patients using non-surgical 

procedures is his mission. 

He also has a special interest in skin cancer treatment. With more than 25 

years diagnosing and treating skin cancer, and his expertise gained in cosmetic 

medicine over 13 years, Dr Roos has changed the lives of many people in 

Toowoomba and the Downs. 

‘Cosmetic Elegance Clinic is the realisation of a long-held dream I have 

had. I have always had a keen interest in skin cancer medicine and cosmetic 

medical procedures,’ says Dr Roos. ‘Originally I worked in general practice – in 

South Africa and then Bowen, Goondiwindi and Withcott in Queensland. As 

the cosmetic medicine industry became more accessible I invested in a beauty 

salon in Toowoomba from which I offered cosmetic medicine treatments. I 

soon realised the synergy that could occur by combining a medical skin 

practice with a beauty salon: medical treatments with the best cosmetic 

outcome in mind. It was a new concept at the time but I truly believed patients 

would benefit from a more holistic approach to skin care. With a dream and 

a business plan, Cosmetic Elegance Clinic was born.’ 

COSMETIC CLINIC 

• Wrinkle-reduction Injections 

• Dermal Filler Injections 

• Non-surgical Facelifts 

• Pigmentation & Acne 

Treatments 

• Vampire Facials 

• Total Facial Rejuvenation 

• Dermastamp 

• Acne & Acne Scarring Treatments 

• Dermasound Facials 

• Cosmetic Mole Removal 

• Cosmetic Tattooing 

• Hair Reduction 

• Liposonix Body Contouring 

• Facial & Leg Vein Treatments 

• All Beauty Treatments 

• Skin Care Prescriptions 

LASER CLINIC 

• Laser Hair Removal 

• Fraxel Laser Resurfacing 

• Laser & IPL Photorejuvenation 

• Laser Tattoo Removal 

• Laser Scar & Pigmentation 

Treatment 

• Laser Vaginal Rejuvenation 

• Laser Treatment for 

Sun-damaged Skin 

SKIN CANCER CLINIC 

• Skin Cancer Checks, Diagnosis 

& Treatment 

• Photodynamic Therapy 

• Laser Treatment of Sunspots 

• Skin Cancer Surgery in Clinic 

DR EDDIE ROOS WWW.COSMETICELEGANCE.COM.AU // 3

DR EDDIE ROOS 

YOUR CONSULTATION 

WHEN CONSIDERING COSMETIC 

ENHANCEMENT, DR EDDIE ROOS EXPLAINS 

A GOOD CONSULTATION CAN MAKE ALL THE 

DIFFERENCE WHEN IT COMES TO RESULTS. 

4 // DR EDDIE ROOS WWW.COSMETICELEGANCE.COM.AU

DR EDDIE ROOS 

‘Unless you 

develop a good 

rapport with 

your doctor 

you won’t feel 

comfortable 

enough to talk 

honestly about 

what you want’ 

A 

consultation is much more than simply an obligatory step before a 

procedure. Before any cosmetic procedure, the consultation provides 

you with an ideal opportunity to learn more about the procedure you’ve 

chosen to have, and to tell your doctor what you hope to achieve. Whether 

you’re having a minor aesthetic tweak or a more major change, you will also be 

able to learn whether the results you are looking for are achievable, given your 

own personal circumstances. 

During the consultation, good communication is imperative. Unless you are 

able to develop an easy rapport with your doctor, you won’t feel comfortable 

enough to honestly express your concerns. 

Whereas some patients may know with great precision what they want to change, 

others may not be able to pinpoint their dissatisfaction. The consultation therefore 

provides an ideal opportunity to ask questions of your doctor, whilst learning more 

about the related risks and complications associated with your procedure. 

It’s important to take the opportunity to ask a number of questions of your 

doctor during the consultation. Also, take the time to find out how long the recovery 

period will last, what you will need to do to prepare for your procedure, and what 

you can expect to look like immediately after. The answers to these questions will 

help reinforce whether or not you want to continue with the treatment. 

It’s just as important for the doctor to use the consultation to find out more 

about you. Often, doctors will turn down patients if they feel they are not suitable 

candidates. This may be because the patient is not ready psychologically – they 

might be pursuing aesthetic enhancements for the wrong reasons, or have 

unrealistic expectations as to what a procedure can achieve. The doctor will 

therefore ask pertinent questions about your expectations, goals and reasons for 

wanting to change. 

Your doctor will also relay the type of anaesthesia to be used, the risks, 

limitations and costs involved, and will outline the steps you will need to take 

both leading up to and after major procedures. 

Lab testing or a medical evaluation may be required in order to establish your 

level of health and fitness, and alterations to any existing medication plan may 

be recommended. Aspirin and other blood thinning drugs, for example, should 

not be taken in the lead up to a procedure, if possible. If you’re a smoker you will 

be advised to stop well in advance of major procedures due to the increase in 

surgical and anaesthetic complications caused by smoking tobacco. 

Expect your doctor to take photographs of you during the consultation. This 

is an important part of tracking the changes that are made post-procedure. The 

doctor will also use them to put together a procedural plan, tailored to your 

appearance and personal circumstances. 

Along with the physical aspect of preparing for a treatment, it’s also important 

you are mentally prepared for the change that will take place in your appearance. 

Not only are there physical complications associated with procedures but there 

can also be psychological reactions. 

By making the most of your time with the doctor before your procedure, 

you will be well prepared and in the best position to enjoy the outcome of your 

aesthetic changes. 


COSMETIC MEDICINE 

COSMETIC 

MEDICINE 



The desire to refresh the face through subtle 

rejuvenation has made non-surgical cosmetic 

procedures a popular part of today’s beauty arsenal, 

reflecting a preference for less invasive procedures 

with shorter downtime and a ‘less is more’ attitude. 

Cosmetic medicine can improve some of the most common signs of ageing 

such as facial lines and wrinkles; a gaunt and hollowed appearance; 

sun-damaged skin; acne and acne scars; a dull and uneven complexion; 

and sagging facial structures. 

Whether by using wrinkle injections, fillers, medical-grade peels or advanced 

light therapies, the array of choices available can treat just about any appearancerelated 

concern. Maintenance is the key and earlier, less-invasive procedures can 

actually delay the effects of ageing on the face, sometimes even negating the 

need for more invasive procedures. 

It is important, however, for prospective patients to thoroughly understand 

the procedure (or combination of procedures) they wish to undergo. A skilled 

and accredited cosmetic doctor will help guide each patient through the myriad 

of options, select the most appropriate course of action for the patient’s specific 

concerns and ultimately achieve the best possible, natural-looking results for 

the individual. 

Any cosmetic enhancement should be chosen for the right reasons and not in 

the impossible pursuit of perfection. Non-surgical cosmetic enhancement offers 

patients with realistic expectations the chance to look younger and rejuvenated, 

no matter what their age. 



THE 

AGEING 

FACE 

Facial hollows and gauntness due to loss of volume, shrinkage of the bone 

structures, loss of collagen and elasticity and the effects of gravity are all 

manifestations of the ageing face. While some of the skin-related factors can 

be reined in with healthy lifestyle choices and a good skincare regime, many of 

the characteristics of ageing are a matter of genetics. 

INTRINSIC & EXTRINSIC AGEING 

Cutaneous ageing is caused by two distinct processes – intrinsic and extrinsic 

factors. Intrinsic, or chronological ageing, is the inevitable genetically determined 

process that naturally occurs. Intrinsic ageing is determined by each person’s 

genetic clock and is affected by the degenerative effects of free radicals and the 

body’s inability to perfectly repair their damage. 

Over time, cells, tissues and vital organs deteriorate. These internal changes 

to the muscle, fat and bones are not as visible as the signs of ageing on the 

external organ – the skin. Skin shows the wear and tear of extrinsic ageing, 

which is environmentally induced and manifests in age-associated skin changes 

including thinning, laxity, fragility and wrinkles. In addition, sun-exposure leads to 

pigmentation, premature wrinkling, spider veins and photoageing. 

Intrinsic ageing is a continuous process that usually begins in the mid-20s but 

may not become evident for decades. At this time collagen production slows and 

elastin loses its ‘spring’. Dead skin cells do not shed as quickly and turnover of 

new skin cells decreases. 

The apparent signs of intrinsic ageing include the loss and descent of underlying 

fat leading to hollowed cheeks and eye sockets, as well as loss of fi rmness and 

sagging skin as the bones shrink away from the skin due to bone loss. 

Genes control how quickly the normal ageing process unfolds. At a cellular 

level, ageing is thought to be related to the shortening of telomeres (the terminal 

portions of chromosomes) with each cell cycle, resulting in cell-cycle arrest or 

apoptosis once a critical length is reached. 

The preventable environmental factors that magnify intrinsic ageing, often 

act together with the normal ageing process to prematurely age skin. Most 

premature ageing is caused by sun exposure, though others are repetitive facial 

expressions, gravity, sleeping positions and smoking. 

Lines and creases form over major and minor joints as a result of skin 

contractions that lie perpendicular to the underlying muscular vector force. 

However, relaxed skin tension lines (RSTL) are formed during relaxation and are 

created by the natural tension on the skin from the underlying structures. 



STRUCTURAL CHANGES 

Shrinking of facial bones also plays a role in ageing the face. Evidently, facial 

bones remodel their three-dimensional shape with age, showing the most 

pronounced difference measured in the T-zone. In women, the area between the 

brows and top of the nose (the glabellar angle) is shown to decrease as the area 

under the rim of the eyebrows retreats, resulting in sagging brows and deflated 

eyelid skin. In men, the glabellar angle decreases and the area supporting the 

cheeks (maxillary angle) is also shown to decrease. 

Additionally, the malar fat pad, which is responsible for cheek fullness, slides 

down and forward, pushing against the nasolabial fold and making the maxillary 

angle appear more pronounced. Bones can also recede in the pyriform angle 

(the opening of the nose), causing the appearance of an elongated nose and a 

drooping nasal tip. 

‘Extrinsic factors 

often act 

together with 

the normal 

ageing process 

to prematurely 

age skin’ 

LOSS OF VOLUME 

Facial ageing is reflective of dynamic and cumulative effects of time on the skin, 

soft tissues and deep structural components of the face. It is a complex synergy of 

skin textural changes and loss of facial volume. Many of the facial manifestations 

of ageing combine the effects of gravity, progressive bone resorption, decrease 

in tissue elasticity and redistribution of subcutaneous fullness. 

With age, facial fat descends and causes the shape of the face to change. 

The youthful face is typified by full, well-supported fat, and surrounding ligaments 

serve to fixate this volume of fat to underlying structure. Together with the 

volumetric fullness of the upper cheek region are well-defined contours such as 

a smooth S-shaped curve (commonly called the Ogee curve) of the cheeks when 

seen from an oblique angle and a clean neck/chin angle and jaw line. It is this 

pairing of both fullness and facial definition that accounts for the more tapered 

appearance of the youthful face. 

As this ligament support reduces, facial fat volumetrically comes forward and 

descends in the cheek, producing a squarer facial contour with less distinction 

between upper cheek volume and mid-facial fat. This lowering of the facial fat 

means that over time the face appears vertically longer than young faces. 

Facial fat also deflates with age and this is most apparent in regions with a 

high density of retaining ligaments, which are typically volumetrically full in youth 

(malar, preparotid, lateral and infraorbital rim, and lateral chin). Along with facial 

deflation comes a laxity in soft tissue caused by diminished support. 

RADIAL EXPRESSION 

Facial ageing is not all vertical – the soft tissue that occurs along specific areas 

of the mid-face also undergoes radial expansion. The skin and underlying 

subcutaneous fat are densely attached to the deep facial fascia by retinacular 

fibres that weave in the skin, subcutaneous fat, superficial and deep fascia 

and muscle. 

For example, over time facial expressions cause the skin along the nasolabial 

line to disrupt the subcutaneous fat, disengaging these attachments and 

developing lines of differentiation on the face. This forces the skin and fat 

alongside the nasolabial fold to expand radially and fall out from the skeleton, 

explaining some of the nasolabial fold prominence in the ageing face. 

Radial expansion lateral to the marionette lines extending from the corners 

of the mouth downwards also accounts for some of the jowling that becomes 

apparent with age. 



FACIAL 

REJUVENATION 

A COMBINATION APPROACH 

Anti-wrinkle injections can smooth the lines and wrinkles that develop on the 

face over time, resulting in a more youthful-looking appearance. However, 

as natural fat dissipates with age, often a face cannot be fully rejuvenated 

without restoring volume loss in the cheeks and other areas of the face. 

Where facial volume has been depleted with age, augmenting techniques 

such as dermal fi llers and fat transfer can be used in combination with antiwrinkle 

injections to achieve an overall, non-surgical facial rejuvenation. 

A number of different fi llers are available, all of which vary in their longevity, 

composition and viscosity. Depending on their individual circumstances, patients 

may benefi t from superfi cial fi llers used to tighten the skin, in combination with 

deeper, longer-lasting fi llers designed to tackle deeper issues and reshape and 

remodel the face. 

Complementary procedures such as anti-wrinkle injections to tackle fi ne lines 

and laser skin treatments to improve the tone and texture of the skin can be 

administered at the same time, or as part of a program spread over several 

weeks, in order to fully refresh a patient’s appearance. 

It is important that the methods used to refresh and restore youth to the 

face are tailored to each patient. The key to non-surgical facial rejuvenation is 

a thorough consultation, during which our cosmetic doctor, Dr Roos, can 

explain what can be achieved and decide upon the optimal treatment plan for 

each patient. 



‘It is important 

that the methods 

used to refresh 

and restore youth 

to the face are 

tailored to each 

patient’ 

WRINKLE 

INJECTIONS 

T 

he appearance of deep frown lines and wrinkles can result in a prematurely 

aged appearance. Wrinkle injections are a popular facial rejuvenation 

treatment and are an effective non-invasive treatment for reducing lines and 

revitalising the appearance. 

Wrinkle injections contain a protein produced by the bacterium Clostridium 

botulinum. It is a muscle relaxant that is commonly used for cosmetic facial 

enhancement, particularly to treat crow’s feet around the eyes, the frown lines 

between the eyebrows (glabellar lines) and the worry lines across the forehead. 

The treatment works by blocking nerve stimulation to wrinkle-causing 

muscles, which prevents the muscle from contracting and signifi cantly reduces 

wrinkles and fi ne lines and can also help prevent the formation of new ones. 

A few tiny injections are administered just under the skin, reducing nerve 

stimulation to the targeted muscles. The procedure usually takes about 10 

minutes but this can vary depending on the number of areas being treated. 

Because men tend to have larger and stronger muscles, they often require more 

injections to achieve satisfactory results. 

Generally, no anaesthetic is required. The needles are very fi ne and only a small 

volume of the product is needed, so the procedure is typically only associated 

with mild discomfort. If the patient is particularly concerned, the practitioner can 

numb the skin over the area before administering the injection. 

After treatment for lines on the forehead, ultimately patients are physically 

unable to frown. Over the fi rst few days, the muscles gradually relax, and it often 

takes three to six days for results to become visible. The effects gradually wear 

off, so in order to maintain results repeat injections are necessary every three to 

fi ve months. 

Common side effects are generally restricted to minor temporary redness 

or bruising at the injection site. There is a very slight risk that it can cause a 

temporary weakness in nearby muscles, which may result in a slight drooping of 

an eyelid or eyebrow which may last from one to six weeks. Occasionally patients 

may experience a slight headache or nausea. 

Wrinkle treatments are not recommended for women who are pregnant or 

breast feeding. All patients are advised to avoid the use aspirin, anti-infl ammatory 

drugs or blood-thinning agents, unless they are medically required, for two weeks 

prior to treatment to minimise bruising. 

With careful placement, a more youthful appearance can be achieved while 

maintaining natural expression and character. 



FILLERS 

Used to restore lost volume and smooth lines, fi llers are an increasingly 

popular way to rejuvenate the face. They are gel-like substances injected 

into different areas of the face to smooth lines, wrinkles and deeper folds. 

Fillers are also used to restore volume to the face where tissue has degenerated 

with age or where lipoatrophy (fat loss caused by disease) has caused the cheeks 

to collapse. They can also be used to fi ll in pockmarks and acne scars and to 

contour or reshape facial features, adding volume to lips and cheeks and to 

defi ne noses and jawlines. 

There are a multitude of different fi llers on the market, ranging in longevity, 

composition and viscosity, depending on the individual patient’s needs. Fillers 

can be used in conjunction with anti-wrinkle injections for a cumulative and 

complementary result. 

The vast majority of contemporary fi llers available are formulated with a 

humectant that occurs naturally in the human body throughout connective, 

epithelial and neural tissues and is particularly abundant in the dermis. These 

types of fi llers are biocompatible and biodegradable, and range in longevity, 

composition and viscosity. 

The humectant used in modern-day fi llers can attract up to 1,000 times its 

weight in water and is one of the main agents in maintaining hydration and a 

fresh, youthful appearance, as well a major component of tissue repair. 

COMPOSITION & LONGEVITY 

Filling superfi cial fi ne lines and moderate facial wrinkles, and for treating those 

with fi ne skin, calls for fi llers with lighter textures. Greater volumes of these fi ner 

fi llers may also be injected into the mid or deep dermis for subtle contouring of 

larger areas of the face such as the lips, cheeks and chin. Treatments can last 

around nine months, depending on the patient. 



‘Fillers are used to 

restore volume to 

the face where tissue 

has degenerated 

with age’ 

Where a stronger and longer-lasting result is required, practitioners may opt 

for medium volume fillers. These are intended for deeper injection to restore lost 

volume in areas like cheeks, under-eye hollows, nasolabial (nose to lip) folds and 

marionette lines (drooping mouth corners). They are also used to correct deeper 

facial wrinkles and folds and augment the lips. Results last for at around six 

months to a year, again depending on the patient. 

More robust and longer lasting fillers are used to revolumise larger areas such 

as the cheeks and mid-face, or fill out facial depressions, deep contours and 

hollows. Results can last around 12 months or more in some patients, and do 

not tend to migrate from the injection site. 

BIOSTIMULATORS 

Some volume injectables stimulate the patient’s skin to produce more of its 

own collagen and elastin over a period of weeks or months, to gradually restore 

more youthful and pleasing facial contours. They stimulate the fibroblasts (the 

key cells in connective tissue that produce collagen) to fill wrinkles and sunken 

areas as well as help tighten the skin. 

The amount injected at each session and the number of treatments 

required varies for each patient depending on volume loss and specific concerns. 

Results are subtle and progressive over a number of months and can last 

around two to three years. It is also designed to improve the skin’s overall texture 

and luminosity. 

Some ‘bio-stimulating’ injectables have a two-fold effect: on injection it 

immediately restores volume in addition to stimulating the growth of new 

collagen (neocollagenesis) over time. It is not suitable for the lips. Results 

generally last 12 to 18 months. 

Filler Uses 

Fillers are most often used for correcting wrinkles and furrows, 

restoring volume to hollows and for facial sculpting. 

Common uses include: 

• Filling facial hollows and troughs produced by the ageing 

process or depressed injury, surgical or acne scars; 

• Lifting the outer eyebrows and creating higher, more youthful 

cheekbones; 

• Adding volume and definition to the lips. 

How long the correction lasts depends on the individual and 

where the filler is injected. Although three to six months was the 

original expectation, many experienced injectors have found that 

corrections in the order of six to 12 months are not uncommon. 

A treatment takes about 20 to 45 minutes depending on what 

needs to be done and the correction is seen immediately. 

Following treatment, patients may experience some mild puffiness 

around the injected treated area(s) but this usually settles within 48 

hours. Lips may be swollen for the first two to three days before they 

settle to their ideal volume. 





SKIN REVISION 

TECHNIQUES 

PEELS 

Peels are solutions applied to the surface of the skin to strip away the outermost 

layers, revealing the fresh new skin beneath. Used to treat a variety of skin 

conditions, peels can improve problems from dryness or skin dullness to acne, 

rosacea and pigmentation. 

Ingredients range from naturally occurring chemicals and herbal extracts 

to synthetic chemicals, and their effects range from mildly brightening to 

aggressive resurfacing. Depending on the strength, peels can be administered 

by dermatologists, cosmetic practitioners and skincare professionals, and are 

recommended as a course of treatments. 

Natural peels 

Alpha hydroxy acid (AHA) peels are the mildest option, available in salon 

treatments and can be used on most skin types. They use lactic, fruit or glycolic 

acids to treat dryness and improve skin texture. Beta hydroxy acid (BHA) 

peels use salicylic acid to speed the skin cell shedding process and improve 

blemished skin. 

Chemical peels 

Chemical peels are higher strength solutions that use different grades of acid 

to strip the skin of dead skin cells and promote the production of collagen and 

elastin in the skin. These chemicals – ranging from alpha hydroxy and salicylic 

acids to trichloroacetic acid and phenol – also vary in their depth of penetration, 

causing them to directly target specifi c concerns. Typically, the stronger the 

strength of the peel the deeper the penetration and the more severe the posttreatment 

side effects. 

The treatments typically cause stinging during application and various degrees 

of fl aking after treatment, from fi ne fl aking to sheeting, as the new layers of skin 

start to form. Chemical peels can be quite aggressive, so skin analysis during 

consultation is required to fi nd out which peel is most suitable, and whether any 

allergic reactions will occur. 

Dryness, redness and peeling can be expected for up to a week after most 

peels, which feels similar to sunburn. It is imperative the peeling skin is not picked 

at or rubbed as it may cause scarring. Makeup may be worn to cover this, 

depending on the consultant’s instructions. Using an unscented moisturiser can 

help relieve the tight sensation of treated skin, and a mild topical steroid cream 

or ointment can be used to soothe temporary swelling or redness. Sunscreen 

should be worn at all times while outside. 

The appearance of acne scarring can be improved with the use of fi llers; 

chemical peels, which remove the top layer of skin; microhydrabrasion, which 

‘polishes’ the skin; and laser, light-based and radiofrequency treatments, all of 

which heat the dermis and promote the formation of new skin. 



‘Skin needling 

can improve the 

appearance of 

wrinkles, scars, 

stretch marks 

and skin texture’ 

SKIN NEEDLING WITH DERMASTAMP 

Skin needling is a treatment used to improve the appearance of wrinkles, 

scars, stretch marks and skin texture by creating tiny punctures in the skin to 

stimulate the skin’s natural healing response. It is usually performed using a roller 

embedded with very fine needles that make multiple pinpoint puncture wounds 

in the dermis, stimulating the production of new collagen and elastin. 

The latest evolution in skin needling is the Dermastamp, a vibrational ‘stamping’ 

device that uses oscillating micro needles to further increase skin stimulation and 

takes standard skin needling to a new level. 

The dermal damage created leaves the epidermis primarily intact, 

so the healing period is rapid and there is no risk of permanent 

structural damage, sun sensitivity, skin colour loss or hyper-pigmentation. Local 

anaesthetic cream is applied before the procedure and most patients are able to 

tolerate any discomfort. 

After treatment, the skin is red and swollen for around one to two days, with 

a light graze-like scabbing effect forming over the treated area on day two of 

recovery. Most patients are able to return to work and normal activities within 48 

hours of treatment. 

Multiple treatments are usually necessary to achieve significant improvement 

in the appearance and depth of lines and scars. Treatment effects are cumulative 

and can be seen six to eight weeks after the initial treatment. In comparison to 

the prolonged recovery time required by laser resurfacing and chemical peels, 

the short recovery period makes skin needling an effective alternative method for 

improving lines and scars. 

Skin needling can also be used to help other products containing active 

ingredients to be delivered to cells in the dermal layer of the skin. As well as this, 

it is suitable to treat sensitive areas such as the neck, backs of the hands and 

under the eyes, and can be safely carried out on all skin types and colours. 

MICROHYDRABRASION/MICRODERMABRASION 

Microhydrabrasion is a gentle facial cleansing method, decongesting and 

clearing debris from below the skin’s surface while simultaneously nourishing the 

skin for a more beautiful and fresh-looking complexion. This advanced treatment 

uses a diamond tip to exfoliate the skin and vacuumed water to cleanse away 

the debris. The dual action stimulates the skin, encouraging better circulation in 

the area treated and improving skin health. 

Microdermabrasion removes the outer layer of the stratum corneum 

(outermost layer of the skin) to aid the skin’s natural process of sloughing off 

dead skin cells, improving the appearance of fine lines, sun damage and scars, 

and creates a more even tone and texture on the skin. 

There are a number of different types of microdermabrasion. Generally the 

procedure is carried out via jets that blast fine particles onto the face to dislodge 

hardened skin cells, although a wand can also be used on the skin’s surface to 

create the same effect. Crystal dermabrasion works by blasting the skin with 

microscopic crystal particles; diamond microdermabrasion uses a diamond 

head to lightly abrade the skin’s surface; and organic microdermabrasion uses 

medical-grade baking soda or milled grains that are gentler than crystals and 

more suitable for sensitive skins. A handpiece is used to vacuum up the stripping 

agent and skin particles during and after treatment. 



The treatment is generally well tolerated and can be compared to a more 

intense exfoliation. After treatment, the skin can feel hot and appear slightly 

red but this usually settles over a few hours. It’s generally recommended that 

a course of six treatments is carried out to improve problems such as age 

spots, but it can also be effective to treat blocked pores and blemishes with two 

to three treatments. 

SCLEROTHERAPY 

Sclerotherapy offers an effective, less invasive alternative to diathermy and laser 

treatments to improve the appearance of broken capillaries and spider veins that 

occur as a result of ageing. 

The treatment involves injecting the unwanted blood vessels with a sclerosing 

solution (saline solution which induces the hardening of tissue) that causes the 

target capillary to shrink and eventually dissolve as the body naturally absorbs 

the vein. This process occurs over a number of weeks. 

Sclerotherapy is typically preferred to laser for eliminating large spider veins 

(telangiectasiae) as well as smaller varicose leg veins. Unlike a laser, the sclerosing 

solution additionally closes the ‘feeder’ veins under the skin that cause the spider 

vein to form, making any recurrence of the spider veins in the treated area less 

likely. Having said this, sometimes a single blood vessel may have to be injected 

more than once, some weeks or months apart, depending on its size. A number 

of vessels can be injected in any one-treatment session. 

While sclerotherapy is a relatively simple treatment, injecting the veins requires 

a high degree of skill and accuracy. Because of this, it is important to seek 

treatment from a properly qualified practitioner. 

PLATELET RICH PLASMA (PRP) THERAPY 

Platelet Rich Plasma (PRP) gained significant traction in the world of aesthetic 

medicine when celebrity Kim Kardashian posted a photo on social media during 

a PRP, or ‘vampire facial’, treatment. But shock value and popular trends aside, 

autologous PRP signifies an innovative and seemingly endlessly applicable 

rejuvenation therapy. 

It uses a concentration of platelets, from the patient’s own blood, to promote 

healing in both hard and soft tissues. With a history of use in orthopaedics, 

sports medicine, wound healing, neurosurgery, dentistry and ophthalmology, its 

introduction into cosmetic enhancement was inevitable. 

The treatment involves sampling the patient’s own blood, centrifuging the 

sample to concentrate the platelets and growth factors in a small volume of 

plasma, and reinjecting the concentrated product into the treatment area. 

PRP is touted to assist in rejuvenating the complexion, reducing the 

appearance of fine lines and wrinkles, evening skin texture and brightening skin 

tone. It does this by triggering the skin’s own regenerative mechanisms and 

inducing the proliferation of fibroblasts, osteoblasts and endothelial cells. 

PRP can be used as a standalone procedure to treat specific concerns – for 

example, wrinkles, scarring and dark circles under the eyes – or in conjunction 

with other modalities to optimise results and reduce scarring following surgery. 

In fuelling the dermis with growth factors and stimulating the cell renewal 

process, PRP can be injected around the eyes, across the cheeks, mid-face and 

forehead, and along the jaw line and décolletage. 



ACNE 

TREATMENT 

Most people experience acne in varying degrees at some point in their 

life. There are a number of factors that contribute to the development 

of acne, the most common are genetic, hormonal, environmental and 

dietary factors. Not all acne is the same and not all skin is the same, so there is 

no one treatment that will work for everyone. 

Cosmetic Elegance Clinic tailors treatments to suit each individual based on the 

type of acne, age group and lifestyle. We have a holistic approach to the treatment 

of acne that includes looking at diet, skin care regimen and treatment. We look 

at the whole person and are especially conscious of the psychological effect 

acne has on young lives. Our treatment plans feature the very latest in scientifi c 

technology including: Dermasound facial treatments, microdermabrasion, IPL 

light therapy, copper bromide laser treatment, medication and dietary advice. 

ALL ABOUT ACNE 

Acne typically affects areas of skin where there is an over-production of sebum 

(oil). Pustules and papules develop as a result of blockages in follicles caused by 

sebum and dead skin cells. This is often compounded by bacterium, which leads 

to infl ammation and can result in scarring. 



Acne is often erroneously addressed with over-washing and incorrect topical 

applications that irritate the skin. The relationship we have with our skin is 

something we all have to work at, but through constant care and good habits 

over the long term, beautiful clear skin can be more than just a dream. 

TREATING ACTIVE ACNE 

There are three components to clearing acne: 

• the treatment performed by your consultant, 

• the prescription of skin care given to you, and 

• compliance with your home skin care routine and dietary advice, which will be 

given by your skin care consultant. 

Over-the-counter and prescription acne treatments work to speed up skin cell 

turnover, slough dead skin calls, reduce oil production, fight bacterial infection, 

limit inflammation and ultimately improve the appearance of acne. Medications 

may be applied to the skin (topical) or ingested (oral). Side effects such as 

stinging, burning or redness may occur, and results may not be seen for up to 

eight weeks. 

Moderate to severe acne is sometimes treated with antibiotic medication in 

order to reduce bacteria and fight infection. Women may also see an improvement 

in acne after taking oral contraceptives. 

Laser and other light-based therapies are often used to treat acne and acne 

scarring. Light therapy targets the bacteria that cause acne inflammation whilst 

also improving skin texture and lessening the appearance of acne scarring. 

Similarly, laser treatment works by damaging the sebaceous glands, lessening 

the amount of oil they produce. Certain cosmetic procedures including chemical 

peels and microdermabrasion are considered effective acne management when 

used in combination with other treatments. 

To get the best out of your treatment, you will need to commit to the program 

recommended by your Skin Care Consultant, and realise that its success will be 

based on a good partnership between the both of you. Please also understand 

that treatment of this condition can change over the course of time, but will most 

likely be an ongoing process which needs to become a way of life for you. 

We recommend the Glymed Plus range of medical grade skin care products 

which has received many esteemed awards in the field of professional skin care. 

We can confirm that Glymed Plus products deliver results for even the most 

challenging and problematic skin conditions. 

Cosmetic Elegance Clinic has a high success rate in treating acne and it 

is always a pleasure to see the self-esteem and confidence of our clients 

being restored. 

ACNE SCARRING 

Cosmetic Elegance Clinic offers the latest in laser skin rejuvenation using fractional 

laser resurfacing to improve the texture and tone of your skin whilst reducing the 

appearance of acne scars and fine lines. Fractionated laser resurfacing is the 

latest in laser technology to rejuvenate skin. 

We offer both ablative and non-ablative fractionated laser resurfacing to 

treat acne scarring, facial rejuvenation and pigmentation. Having both these 

technologies means that we can offer you treatments with longer or virtually no 

downtime to achieve the best results for your skin. 





SKIN CANCER 

MANAGEMENT 

Don’t take risks with skin cancer! Research shows that skin cancer is the 

most common cancer in Australia and the one most people will develop 

in their lifetime. 

As with many other cancers, screening can be the fi rst line of defence against 

skin cancer, identifying abnormal skin tissue before a person has any symptoms. 

Regular exams of the skin by both the individual and their doctor increase the 

chances of detecting skin cancer early on, therefore providing an improved 

chance of survival. 

Most melanomas can be seen by the naked eye, typically growing on the 

surface of the skin before spreading to the dermis. Therefore, self-checking skin 

each month can help identify changes to be reported to the doctor. 

When skin is identifi ed as abnormal, a biopsy may be performed. The 

doctor will remove as much of the suspicious tissue as possible with a local 

excision. The tissue will then be inspected beneath a microscope to check for 

cancerous cells. 

Surgery may be used in the management of skin cancers. Once the cancer 

has been surgically excised, pathological examination will determine whether all 

cancerous cells have been removed. If the skin cancer is large, the neighbouring 

skin may be moved to cover the wound, reducing the scarring and providing a 

better tone and colour match than a skin graft. 

Other techniques may be adopted to manage pre-cancerous conditions 

such as actinic keratoses, or non-melanoma skin cancers such as basal cell 

carninomas. Cryotherapy, for example, can be used to freeze tumour cells. Most 

commonly used for the treatment of actinic keratoses, a cryogen is applied to 

the growths in order to freeze them. The growths then form a dry crust that 

falls off within three weeks. Basal cell carcinomas may also be treated with 

electrosurgery. Once the top of the lesion has been removed, the underlying cells 

and bleeding points are cauterised with an electrocautery needle. A curette is 

then used to remove the base of the lesion. Photodynamic therapy is also often 

used to treat large area actinic keratosis lesions or non-melanoma skin cancers 

such as basal cell carcinomas. 

Cosmetic Elegance Clinic has an independent Skin Cancer Clinic which offers 

comprehensive, state of the art services. These include skin cancer imaging 

and mole scanning, photodynamic therapy (PDT), laser and IPL treatment, 

cryotherapy and surgical excision. 



WHAT HAPPENS DURING A SKIN 

CANCER CHECK AT COSMETIC 

ELEGANCE CLINIC? 

• Dr Roos will check your body for any lesions of concern using a 

Dermatoscope – a precision high-resolution optical device with 

polarized lens system and LED lighting to allow the doctor to see 

the lesion magnified clearly with accurate colour portrayal. 

• If there are any lesions that need monitoring these will be captured 

on our MoleMax system (digital imaging) for later referral. 

• Any recommended treatment will be discussed at this time and 

relative appointments made. 

• Treatment may vary from cryotherapy, laser/IPL treatment and 

photodynamic therapy to biopsies and complete excisions. Most 

treatments are performed in-house by Dr Roos. 

• All specimens are sent to QML or Sullivan & Nicollades for 

histopathology. 

• In all instances, we aim for the best possible cosmetic outcome. 

• Education on sun safe practise is crucial and is given to all patients. 

CONTRIBUTING FACTORS 

Australians have the highest incidence of Skin Cancer in the world. In the 

northern regions we live with solar UV radiation all year round yet many people 

are complacent or neglectful in protecting their skin from the sun. Prolonged 

exposure to UV radiation in sunlight can affect anyone regardless of their skin 

type – even darker skin tones are at risk of skin cancer. If early detection is not 

made then skin cancer can spread to other parts of the body. 

Several factors contribute to an increased risk of you developing skin cancer: 

• Sun exposure during childhood, especially without sunscreen 

• Involvement in outdoor activities, including an outdoors career, suntanning, 

outdoor sports and leisure activities. 

• Outdoor activity between the hours of 10am and 2pm, as the solar UV 

radiation is more intense at this time 

• A fair complexion, blue or green eyes and freckles, and skin which tans poorly 

and burns easily 

• A previous incidence of skin cancer or keratosis 

• A family history of skin cancer 

• Proximity to the equator—Queensland has a higher rate of diagnosed skin 

cancers than southern states. 

22 // COSMETIC SURGERY & MEDICINE WWW.ACCS.ORG.AU


COSMETIC 

MOLE REMOVAL 

‘In a lot of 

cases moles are 

removed for 

cosmetic reasons 

when the patient 

simply dislikes 

their appearance’ 

The health of your skin is our number one priority. It is the foundation 

of your appearance now and in the future. In addition to the diagnosis 

and treatment of skin cancer, Dr Eddie Roos has a special interest in 

cosmetic mole removal. 

Moles may be removed because they are suspicious of skin cancer, but 

in a lot of cases moles are removed for cosmetic reasons when the patient 

simply dislikes their appearance. 

Moles are skin growths made up of melanocytes (pigment-producing 

cells) which have grown in clusters rather than being dispersed throughout 

your skin. The heavy pigmentation in these cells causes moles to be brown or 

black in colour. Some people are born with moles, while other moles appear 

later in life, with sun exposure a signifi cant factor in their development. 

Moles can appear anywhere on your skin, with the majority forming in the 

fi rst 20 years of your life. Some moles are pre-cancerous or cancerous, but 

the majority are benign. A new mole appearing after 40 is more suspicious, 

and the older you are the more suspicious a new mole is. 

It’s important to check your moles regularly for any changes using the 

SCAN method – look for a spot or mole that is Sore, Changing, Abnormal, 

or New. Together with sun protection, early detection is your best defence 

against skin cancer. 

The Cosmetic Elegance Clinic provides an array of methods, using the 

most advanced technology and proven techniques, for removing moles 

and skin lesions. There various methods of removal, and the techniques 

employed, depend on numerous factors including the type and size of 

the mole. 

Dr Roos offers surgical removal, cryotherapy, laser ablation and 

photodynamic therapy of skin lesions, depending on the individual case. 

The high demand for cosmetic mole removal makes this treatment 

a constant and important part of the practice. Anything that is surgically 

removed from your skin will be sent to pathology so that a thorough and 

proper diagnosis can be made. 

COSMETIC SURGERY & MEDICINE WWW.ACCS.ORG.AU // 23


LIGHT 

THERAPY 



The healing power of light has been recognised and used for thousands of 

years, dating back to the Ancient Greeks and Romans. Over the millennia, 

our understanding and use of light-based therapies have continually evolved 

to optimise results, reduce downtime and treat a wide range of skin conditions 

and ageing concerns. 

For cosmetic indications, light-based treatments can be broadly categorised 

as intense pulsed light therapy, photodynamic therapy and laser therapies. 

INTENSE PULSED LIGHT THERAPY 

Intense pulsed light (IPL) in cosmetic therapy uses light wavelengths that safely 

target either melanin or haemoglobin in the skin. It can be used to permanently 

reduce unwanted hair growth, fade brown spots and cauterise enlarged or 

broken capillaries and port wine stain birthmarks. Some treatments have been 

developed specifically to treat rosacea. 

Unlike lasers, IPL devices produce a broad spectrum of light in a range of 

wavelengths. The emitted light is further adjustable through the use of filters, 

allowing any skin colour to be treated. The range of light is typically between 

500-1500nm, depending on the machine and filter used. This versatility allows 

the characteristics of the light energy to be adjusted according to each patient’s 

skin type, specific condition and location of the area to be treated. 

In terms of safety, the two types are similar, but with both IPL and laser 

facial rejuvenation treatments the practitioner and patient each need to use eye 

protection, and treatment needs to occur in a controlled area where people 

cannot wander in and be exposed to the light. 

While lasers and IPL treat many of the same conditions, IPL is a single 

technology for a multitude of applications – from unsightly veins and birthmarks 

to ageing and sun-damaged skin, unwanted hair and rosacea. 

During the procedure pulses of intense light are fired at the skin through 

varying filters which isolate specific wavelengths of light. Various targets (such 

as haemoglobin in the blood to remove vascular lesions, or melanin to treat 

hyperpigmentation) are preferentially absorbed, heated and selectively destroyed 

by certain light wavelengths (called selective photothermolysis) without damaging 

surrounding tissues. 

IPL treatment cannot typically address extensive sun damage and skin 

discolourations but it can reduce surfaced capillaries and brown spots, as 

well as help revitalise and even out the overall complexion. Typically four to six 

treatments are required for optimal results. 

The usual downtime with IPL modalities is minimal to none, depending on the 

intensity of treatment, however full recovery can take around two weeks in some 

cases. Immediately after IPL a slight burning sensation can occur for a few hours 

but there is generally little discomfort. 

Temporary discolouration can occur for around three to four days after the 

procedure and this skin will flake off slowly. Short-term side effects include 

reddening of the skin (erythema), temporary bruising and oedema. Reactions 

such as scabbing and blistering are possible though rare. It is important to 

protect skin from UV light with daily sunscreen application. 



WHICH LASER 

AND WHY? 

Most resurfacing lasers work by 

removing microscopic quantities of 

skin and stimulating the production 

of new collagen. Non-ablative lasers 

use wavelengths which do not burn 

away skin and are suitable for the 

treatment of melasma, scarring, fine 

lines and wrinkles and typically do 

not require any downtime. 

The most common ablative 

lasers include carbon dioxide (CO 2 

) 

and Erbium:YAG lasers. These 

use a process where the upper 

layers of aged or damaged skin are 

vaporised by the controlled laser. 

More recently, laser is applied using 

fractionated technology. 

It is this damage that stimulates 

the healing and restructuring of 

the skin, resulting in a more even 

complexion and a significant 

reduction in lines and wrinkles. 

Carbon dioxide lasers can 

dramatically reduce wrinkles but 

downtime and side effects such as 

redness and peeling are extended, 

usually taking many weeks to heal. 

Erbium lasers have a great accuracy 

with fewer side effects but cannot 

treat deep wrinkles as successfully. 

PHOTODYNAMIC THERAPY 

Photodynamic therapy uses a chemical reaction activated by light energy to 

selectively destroy specific tissues and can be used to treat sunspots, certain 

types of skin cancer, rosacea, acne and sun-damaged skin. A photosensitising 

medication is applied topically on the skin and a narrow band of light (red or blue 

light) is administered to cause a moderately deep exfoliation and target damaged 

tissue and sebaceous glands. 

When skin is exposed to a light source of an appropriate wavelength, its 

photosensitiser molecules are activated to produce oxygen intermediates 

that destroy the targeted cells. Recovery time is around two weeks after each 

treatment and usually one to three sessions are required. 

LASER THERAPY 

Laser is an acronym for Light Amplification for the Stimulated Emission of 

Radiation. Laser light is different to normal light for many reasons: it travels in a 

synchronised fashion; retains its intensity over a long distance; is monochromatic 

(of the same wavelength or colour) and can be pulsed. 

Laser therapies work by targeting tissue and can be used for a number of 

treatments, including pigmentation, scarring, unwanted hair, spider veins, sundamaged 

skin, wrinkle reduction and overall complexion rejuvenation. 

The principle behind lasers is light absorption. The same as a black car will 

be hotter than a white car because it absorbs more wavelengths of light, certain 

target tissues will absorb certain wavelengths of light more effectively. As the 

laser light is monochromatic the target tissue will take on maximum absorption 

while the surrounding tissues won’t. This allows the target to be isolated and 

treated. In other words, the laser emits a single frequency of light with all the 

light waves going in the same direction, allowing the target tissue to absorb the 

maximum amount of heat. 

The target tissue is all-important when treating skin problems with a laser. 

For pigmentation it is melanin; for spider veins and other vascular conditions it 

is haemoglobin (blood); and for wrinkles it is water. Each of these target tissues 

absorbs a different wavelength of light, meaning a different laser is needed for 

each specific problem. 

Recent advances in laser technology mean that laser skin resurfacing, once 

reserved for the treatment of severe conditions such as acne scarring due to the 

extensive downtime involved, has become an effective option for many people 

seeking reduction of lines and wrinkles and uneven skin colour, tone and texture. 



WHAT IS A 

TARGET TISSUE? 

Different wavelengths allow delivery 

of energy to different structures. 

These structures are target tissues 

known as chromophores and for 

cutaneous laser therapy these 

are: haemoglobin (blood both 

oxygenated and de-oxygenated), 

water, melanin (pigment in hair and 

brown spots) and ink (tattoos). 

As each chromophore absorbs 

different wavelengths of light, 

different lasers are used for different 

treatments. The treatments usually 

fall into four categories: 

1. Resurfacing the skin, minimising 

wrinkles and scars (chromophore 

is water) 

2. Vascular lesions such as 

spider veins (chromophore is 

haemoglobin) 

3. Pigmented lesions such as 

brown spots and unwanted hair 

(chromophore is melanin) 

4. Tattoos (chromophore is protein). 

FRACTIONAL LASER THERAPY 

The advent of fractionated laser, where microscopic columns of skin are treated 

while surrounding skin is left intact, has made it possible to achieve results 

comparable to traditional laser resurfacing with fewer side effects and profoundly 

less downtime. 

Fractional skin resurfacing can utilise both non-ablative and ablative lasers 

– the breakthrough difference of this technology is the fractionated delivery 

system of light. Fractional laser technologies break up light beams to allow 

columns of untreated tissue to activate healing mechanisms beneath the skin’s 

surface, treating skin conditions ranging from scars and birthmarks to wrinkles. 

These lasers work by creating microscopic thermal injuries that trigger 

collagen production, stimulating cell renewal and plumping out the tissues. In 

other words, the laser works by creating tiny holes, or ‘dots’, in the skin’s surface, 

penetrating deep into the dermis which triggers the body’s natural healing 

responses. It leaves the skin around each dot intact, enabling the surrounding 

tissue to heal these microscopic thermal injuries by stimulating the production 

of new collagen. 

The anti-ageing benefits of fractional laser technology include improving 

evenness of skin tone and texture, reducing pore size and the appearance of 

lines and wrinkles, and helping to reverse the effects of sun damage. A more mild 

treatment may take several sessions, while one procedure is usually sufficient for 

a more aggressive treatment. 

Because laser treatments use heat, a mild to moderate burning sensation 

is experienced during treatment and slight swelling, redness and bronzing 

afterwards. This can be covered with makeup and normally subsides after a few 

days, however full healing can take several weeks, depending on the intensity of 

treatment and the areas targeted. 

Results of light-based therapies vary, depending on the technique and 

experience of the practitioner and the individual patient. Patients should always 

ask their practitioner how new the laser or IPL machine is. Recent models are 

far superior to earlier ones in terms of achieving predictable and precise results. 

PORTRAIT PLASMA TREATMENT 

While not a form of light therapy, Portrait Plasma is also a highly effective 

skin rejuvenation and resurfacing treatment. Instead of using laser, light or 

radiofrequency energy, Portrait Plasma uses energised nitrogen gas to improve 

skin tone, minimise lines and wrinkles and boost the production of collagen to 

improve skin laxity and overall texture. 

The Portrait Plasma treatment involves a computer-controlled hand piece 

delivering the nitrogen plasma energy onto the skin to cause a controlled thermal 

injury. This “thermal zone” does not damage or disrupt the surface of the skin – in 

fact, the stratum corneum remains intact and acts as a biological dressing after 

treatment so that no bandages or dressings are typically required after treatment 

– and results in the emergence of “new” skin. 

The Portrait Plasma has been shown to alter structures below the surface of 

the skin, inducing continuing regeneration of skin cells. Working below the surface 

of the skin, the treatment creates the right conditions and natural growth factors 

for generating new skin and creating new collagen for cumulative improvement 

in wrinkles and skin tone, texture and discolouration, as well as diminishing pore 

size and acne scarring. 

The non-invasive treatment usually takes about 30 to 40 minutes, with 

a downtime of around five to 10 days. Importantly, collagen remodelling can 

continue up to a year after treatment, offering long-lasting and natural-looking 

rejuvenation results. 



FRAXEL SKIN 

REJUVENATION 

A 

decade ago, the Fraxel laser system pioneered the use of fractional laser 

technology in skin rejuvenation. Since then, more than 800,000 patients 

have been treated around the world with Fraxel to address cosmetic and 

anti-ageing concerns. 

Fraxel is a system designed to improve skin tone, texture, elasticity and overall 

skin health. It is suitable for reducing the appearance of wrinkles, acne scarring 

on the face and back, and pigmentation such as melasma and sun spots on 

the face, décolletage, neck and hands. Fraxel can also dramatically improve the 

texture, colour and smoothness of the skin. 

Fraxel uses cutting-edge technology to deliver results in a simple, though very 

effective fashion. It uses laser light to penetrate the top skin layers and cause 

micro columns of thermal damage to the dermis. This triggers the body’s healing 

response and stimulates the production of new collagen at the treatment site. 

The ‘fractionated’ effect means only a fraction of the skin is treated, as there 

are areas of healthy, untouched tissue between each column of damage. 



‘Dr Eddie Roos 

has been using 

fractionated laser 

for six years at 

Cosmetic Elegance 

Clinic and believes 

Fraxel delivers a 

wide range of skin 

treatment options’ 

The Fraxel system has a good safety profile, which is partly due to the fact that 

the majority of the skin is left untreated. 

Fraxel treatment can be tailored to the individual patient, according to their 

concerns and current skin condition. There are two main wavelengths for Fraxel 

laser: 1550nm and 1927nm. Dr Eddie Roos has been using fractionated laser at 

Cosmetic Elegance Clinic for five years, and believes Fraxel delivers a wide range 

of skin treatment options. ‘The 1550nm wavelength is used for rejuvenation and 

scar remodelling. It penetrates deep into the dermis to achieve really significant 

results,’ he explains. ‘The 1927nm wavelength does not penetrate as deeply, 

and is used to treat pigment in the skin. It is ideal for improving sun-damaged 

skin that we see in Queensland and, indeed, the rest of Australia.’ 

Typically, a full-face treatment will take around one hour and topical anaesthetic 

cream will be applied to make the patient as comfortable as possible. The number 

of treatments required varies between patients, and is dependant on their skin 

condition and what they are aiming to achieve. 

WHAT HAPPENS DURING FRAXEL TREATMENT? 

During treatment the laser is rolled across the area to be treated several times. 

Depending on the size and complexity of the treatment area, the actual procedure 

can take anywhere between 20 minutes and an hour. For best results, a series 

of treatments is usually recommended – typically one to two treatments for 

pigmentation and three to five for acne scarring and wrinkles. 

The Fraxel system has an inbuilt cooling system to help keep the skin’s 

surface cool and comfortable during treatment. This allows higher levels of heat 

energy to be delivered deep into the skin’s layers, without compromising the 

upper epidermis. 

‘The Fraxel system delivers an even treatment combined with cold air blown 

onto the skin, making the procedure tolerable to patients,’ Dr Roos explains. 

‘The effect of laser treatments on the skin will vary from person to person,’ he 

continues. ‘The body’s response to fractionated trauma is explained in detail to 

patients before they go ahead, and we do emphasise that rejuvenation results 

will continue to improve for months following treatment – as the new collagen 

is created.’ 

Some redness and swelling should be expected post-procedure, particularly 

with the 1927nm laser. There are several phases the skin will go through following 

treatment with Fraxel. Straight after treatment the skin feels like it has mild 

sunburn and may be red and a little swollen for the next two to three days, but 

this can be covered using a quality mineral makeup. After this time, the damaged 

skin will bronze and eventually flake and exfoliate off, revealing the fresh new 

rejuvenated skin underneath. 

The results of Fraxel treatment start to appear as the skin exfoliates, but 

continue to improve for the three to six months following the procedure. During 

this time, the new collagen synthesised in response to treatment is building and 

regenerating in the skin. As this occurs, the complexion becomes firmer and 

more resilient, with improved contours and texture. 

‘We are seeing fantastic results using Fraxel laser, particularly for acne scarring, 

pigmentation and overall facial rejuvenation, resulting in smoother, fresher, more 

radiant skin,’ says Dr Roos. ‘Patients are often amazed at their results.’ 



PERMANENT 

HAIR REDUCTION 

The permanent hair reduction market in Australia has boomed over the past 

decade with a variety of light-based technologies offering safe and effective 

solutions to excess and unwanted hair. Laser/IPL treatments can eliminate 

unwanted hair from all over the body and face with a series of relatively easy 

treatments. Most laser and IPL technology is best suited to pigmented hair. 

Permanent hair reduction, when performed by a fully trained operator, offers 

both men and women several benefi ts compared with other hair removal options 

such as shaving and waxing. Clients generally notice the hair grows back less 

quickly and also fi ner with the added bonus that there are rarely spots, ingrown 

hairs or itchiness. 

Before considering permanent hair reduction, consumers need to be aware 

that lasers and IPL machines are medical equipment. First and foremost, clients 

considering hair removal should visit a qualifi ed and skilled operator who knows 

what they are doing to avoid unnecessary complications. 

LASER 

Laser light is different to normal light for many reasons: it travels in a synchronised 

fashion; retains its intensity over a long distance; is monochromatic (of the same 

wavelength or colour); and can be pulsed. 

The principle behind lasers is light absorption by targets that selectively absorb 

pulses of radiation. Selective absorption means hair follicles are destroyed but 

the skin is left undamaged. The same as a black car will be hotter than a white 

car because it absorbs more wavelengths of light, certain target tissues will 

absorb certain wavelengths of light more effectively. In the case of hair removal, 

the target is the pigment, or melanin, in the hair follicle that colours the hair. 

Effectiveness is limited if there is no pigment – for example light blonde, 

white or grey hair. Second, in the telogen growth phase, the hair bulbs are unpigmented 

and therefore do not absorb light. The early anagen phase is the best 

stage to maximise responsiveness to laser and light treatment. Two or three 

days before treatment you need to either shave or use hair removal cream over 

the area to be treated. No sun, solarium or fake tan should be used two weeks 

before your treatment or superfi cial burning or pigmentation may occur. 

Laser hair removal has been described as being similar to a small rubber 



‘Laser and IPL 

treatments 

can eliminate 

unwanted hair 

from all over 

the body 

and face’ 

band being flicked against your skin and any discomfort is typically soothed by 

the cooling device used simultaneously to take the heat out of the skin. Efficacy 

depends on the area being treated and can be influenced by sex, age and 

hormones. However, studies show an average hair loss of approximately 80 

percent after six to eight treatments, conducted six to eight weeks apart. 

Treatments are spaced to take into account the hair growth cycle: Anagen 

(active growth phase); Catagen (transitional period); and Telogen (resting phase). 

There is variation in the duration of anagen and telogen phases in different 

body sites. There is also seasonal variation, which means in summer there’s a 

higher rate of growth and slower growth during winter. 

Different lasers The Ruby laser (694nm), Alexandrite laser (755nm), Diode 

laser (810nm), Nd:YAG laser (1064nm) as well as IPL have been commonly used 

for hair removal. The Ruby and Alexandrite lasers are recommended for hair 

removal in patients with Fitzpatrick fairer skin types of 1 to 3. 

The Diode laser can be used in the range of Fitzpatrick skin types (1 to 5) – from 

fair with red hair to very dark skin. The long-pulsed Nd:YAG laser, functioning at 

a wavelength of 1064nm, can be used on all skin types and is the safest device 

for hair removal in very dark-skinned patients due to its long wavelength and the 

reduced risks of hypo-pigmentation. 

INTENSE PULSED LIGHT (IPL) 

This non-laser technology uses light wavelengths that safely target either melanin 

or haemoglobin in the skin. While it was developed for skin concerns, a side 

effect of the treatment recognised and harnessed is the reduction of hair growth. 

IPL sources have been used primarily for hair removal in patients with 

Fitzpatrick skin type 1 to 4 and light hairs (blonde, grey and white) tend only 

to be treatable if they are coarse in nature. Unlike lasers, IPL devices produce 

a broad spectrum of light in a range of wavelengths. This versatility allows the 

characteristics of the light energy to be adjusted according to each patient’s skin 

type, specific condition and location of the condition. 

During the procedure, pulses of intense light are fired at the skin through 

varying filters, which isolate specific wavelengths of light. Similarly to laser, the 

pigment is targeted and preferentially absorbed, heated and selectively destroyed 

by certain light wavelengths without damaging surrounding tissues. 

A minimum of four to six treatments are likely to be required to see results and 

ongoing treatment is recommended. Darker skin colour and lighter coloured hair 

will require more treatments, as there is less melanin in the hair roots and the 

machine cannot be operated at full capacity. 

The usual downtime with IPL modalities is minimal to none. Straight after IPL a 

slight burning sensation can occur for a few hours. Temporary discolouration can 

occur for around three to four days after the procedure and will flake off slowly. 

Short-term side effects include reddening of the skin (erythema), temporary 

bruising and oedema (swelling). Reactions such as scabbing and blistering 

are possible though rare. It’s important to protect skin from UV light with daily 

sunscreen application. 

ELECTROLYSIS 

Cosmetic Elegance Clinic also offers electrolysis treatment for blonde, white or 

grey hairs. The treatment uses galvanic current and thermolysis to destroy the 

hair follicle. During treatment, a probe is inserted into each individual hair follicle 

to be removed. 



TATTOO 

REMOVAL 

Removing tattoos just got faster and easier. Cosmetic Elegance Clinic 

has acquired the latest tattoo removal laser from the USA, the PicoSure 

picosecond laser. This is the world’s most advanced technology for 

tattoo removal, and the only PicoSure laser in Toowoomba. 

The new PicoSure laser is the fi rst and only picosecond laser for tattoo 

removal and is set to become the new standard in clearing tattoos. ‘As 

the number of people with tattoos has increased, so too has the need for 

improved tattoo removal methods,’ says Dr Roos. 

‘PicoSure targets unwanted ink more effectively than older methods, 

successfully removing diffi cult ink colours, such as blues and greens, with 

fewer treatments and a faster clearance rate.’ 

PicoSure signifi es an unprecedented innovation in laser technology. 

It delivers ultra-short pulse bursts of energy to the skin, causing a 



‘The PicoSure 

laser is set to 

become the 

new standard in 

tattoo removal’ 

photomechanical reaction for improved clearance over fewer treatments. The 

pulse length is a trillionth of a second – called a picosecond. This pulse is 100 

times shorter than that used in previous technology and causes a different, more 

effective, reaction in the skin. 

The ultra-short pulses create an intense photomechanical wave that 

‘shatters’ the ink, breaking the ink down into tiny dust-like particles which 

are then easily eliminated from the body. This is different from previous tattoo 

removal technology, which uses photothermal effects to deliver heat to the 

ink and surrounding tissues. This ‘heating’ could damage skin and result in 

scarring, whereas with PicoSure the pulse width is so short, there is less risk of 

injury and damage to the skin. 

Alongside a reduced risk of burning, PicoSure is touted to shift those colours 

that have been traditionally difficult to remove, such as blues and greens. 

Treatment with PicoSure often requires some form of topical anaesthetic and 

typically several treatments, eight weeks apart, are recommended to achieve 

optimum results. Most tattoos can be cleared in five to 10 treatments, as 

opposed to between 10 and 20 treatments with other lasers. 

As with any laser treatment, there is some post-procedure downtime involved. 

Redness, swelling and scabbing can occur directly after treatment. Scarring 

is still a possibility, however, because PicoSure uses a shorter wavelength 

and incurs fewer treatments, the risk of scarring is considerably reduced 

compared with prior lasers. Tattoo pigment will typically take several weeks to 

fade after treatment. 

People seek tattoo removal for a number of reasons, from career changes 

to new romantic relationships. PicoSure signifies new hope for those who have 

given up on tattoo removal in the past and can be a life-changing procedure. 

AT A GLANCE 

What is PicoSure? 

PicoSure is the first picosecond aesthetic laser specifically designed to treat 

tattoos. It delivers ultra-short pulse bursts of energy to the skin in trillionths of a 

second, making it 100 times shorter than traditional tattoo removal lasers. 

How does it work? 

PicoSure creates an intense photo-mechanical impact to shatter the target ink 

with fewer treatments and less fluence. 

How does it compare? 

Traditional Q-switched nanosecond lasers typically rely on photothermal action 

to deliver heat to the pigment and surrounding tissue and generally produce a 

small fraction of the power generated by a picosecond laser. 

PicoSure uses the patented PressureWave technology to shatter the smallest 

of ink particles, clearing even stubborn blue and green inks, as well as previously 

recalcitrant tattoos that failed to clear. 



NON-SURGICAL 

BODY CONTOURING 

People come in all shapes and sizes. We tend to 

inherit our body shape (the fat bits and the skinny 

bits) and it’s hard to change – even when we are 

at our ideal weight. 

Those troubled by exercise-resistant pockets of fat 

now have the option of sculpting their body without 

the need for surgery. Spot reduction for body shaping 

around your waistline, thighs, arms and buttocks is now 

possible with Liposonix. 

Liposonix is the latest innovation in fat reduction, 

designed to help people trim down their stubborn fat 

deposits. It is a non-surgical, non-invasive fat reduction 

treatment that uses high-intensity focused ultrasound 

energy (HIFU) to permanently destroy fat cells. 



‘Liposonix is a 

non-surgical 

treatment to 

permanently 

destroy fat cells’ 

Specifically, the ultrasound energy destroys subcutaneous adipose tissue 

by generating enough energy to permanently kill the fat cells. The hand held 

Liposonix “treatment head” focuses energy at a specific depth beneath the skin, 

causing a rapid rise in temperature in a localised area, allowing control over 

precisely where the energy is delivered for a truly customised treatment. 

Above a temperature of 56 degrees Centigrade, irreversible cell death occurs 

and the targeted fat cells are therefore permanently destroyed. Because the 

energy is focused, none of the surrounding skin, tissue or organs are harmed 

by the energy. 

Liposonix can be used to target fat cells on the stomach area and thighs – 

areas that frequently collect fat despite regular exercise and healthy living. Results 

can be seen after just one treatment, but it usually takes eight to 12 weeks for full 

results to show. Most people typically lose a few centimetres or equivalent to one 

dress size after just one treatment. 

At the beginning of the treatment session, the practitioner will mark the area 

to be treated into a grid, to depict the sites on the skin on which the Liposonix 

hand piece will be applied. An abdomen is typically divided into between eight 

and 10 treatment sites. 

Once treatment begins, the hand piece is held in place over each site for a 

minute, before moving onto the next site. This is repeated four times. A complete 

treatment will therefore typically take one hour. 

The treatment is relatively quick, and there is typically only mild discomfort 

which can be alleviated with minimal pain relief. Some bruising and swelling 

may be expected immediately after the treatment, which recedes over the next 

few days. 

Because Liposonix penetrates 1.3 cm below the skin, patients need to have 

an inch of fat in order to benefit from the treatment. The ideal patient is around 

their target weight, in good shape and exercises regularly but still has some areas 

of excess fat that don’t respond to diet and exercise. It is not suitable for those 

looking for extreme body contouring; it designed to permanently destroy the fat 

cells in isolated areas such as the abdomen and flanks. 

Following treatment with Liposonix, the destroyed fat cells are processed by 

the liver and excreted naturally. Because this is a slow process, taking place over 

the course of several weeks, studies have shown that no strain is placed on 

the liver. 

With a healthy diet and exercise regime, the results achieved with a single 

Liposonix treatment can often be maintained without need for further treatment. 

No fat reduction treatment should be used as an excuse to indulge in poor eating 

– with over indulgence, the weight will simply creep back on elsewhere. 

The treatment is performed at Cosmetic Elegance Clinic under the supervision 

of Dr Roos or RN Vicki Piets. There’s no downtime afterwards so you can even 

go straight back to work if you wish. 

Liposonix is a convenient, non-surgical option for body contouring that can 

reduce stubborn areas of fat in just one treatment. For those who have reached 

their ideal weight, the treatment option offers a suitable means to refine their 

curves, and fully enjoy the body they’ve worked so hard for. 



NON-SURGICAL 

VAGINAL 

REJUVENATION 

MONALISA TOUCH IS A NEW WAY TO 

RESTORE VAGINAL TISSUE – WITHOUT SURGERY 

The continuing developments in laser technology have seen major 

advancements in skin enhancement, body contouring and now gynaecology 

and vaginal rejuvenation and tightening. 

MonaLisa Touch is a new non-surgical way to treat vaginal atrophy – a condition 

that causes symptoms including incontinence, poor lubrication, itching, dryness 

and pain during intercourse. MonaLisa Touch can also be used for aesthetic 

purposes, to counter the effects of ageing and achieve a rejuvenating effect by 

restoring vaginal tissue. 



‘Patients can 

rediscover the 

confidence 

to live the 

lifestyle they 

choose, free 

from vaginal 

discomfort’ 

‘In the past, laser procedures for gynaecology were largely reserved for 

invasive surgical procedures,’ says Dr Roos. MonaLisa Touch treatment has 

transformed the application of this technology to create a procedure that is 

minimally invasive and available to almost all women. 

The MonaLisa Touch treatment helps patients suffering from symptoms 

such as vaginal itchiness and burning, dryness and loss of lubrication, urinary 

incontinence and urinary urgency, painful intercourse, vulval and vaginal 

pain, and laxity or looseness – these are all common conditions resulting from 

vaginal atrophy. Additionally, MonaLisa Touch can be used aesthetically for 

vaginal rejuvenation. 

‘MonaLisa Touch is the first solution designed to naturally counteract the 

effects of hypotrophy of the vaginal mucosa,’ explains Dr Roos. ‘By stimulating 

the regeneration of new vaginal tissue, MonaLisa Touch restores your body’s 

natural balance and function.’ 

The versatility of MonaLisa Touch stems from the technology it uses to 

improve the genital mucosa and restore proper function in the treatment 

area. Using fractionated CO 2 

laser light, the MonaLisa Touch probe – which is 

inserted into the vagina – delivers thermal energy into the deeper layers of the 

vaginal tissue. 

This kick-starts the body’s natural processes to increase blood flow and 

stimulate the formation of collagen, which improves the integrity and elasticity 

of the genital mucosa. This can be effective in alleviating vaginal pain in those 

patients experiencing gynaecological problems or vaginal atrophy, or in simply 

tightening the vaginal walls for a rejuvenating effect. It creates more hydrated and 

healthy cells which help to increase vascularisation, hydration and acidity, which 

are important components of vaginal health. 

MonaLisa Touch delivers the thermal heating at specific depths in the tissue 

to achieve an optimum, targeted result. Also, the fractionated effect means there 

are areas of untouched tissue left between laser columns. This healthy tissue 

helps promote healing and reduces downtime after treatment. For most patients, 

it can be performed as a “lunchtime” procedure; it is non-invasive and requires 

no anaesthesia. 

‘Put simply, MonaLisa Touch stimulates natural regeneration using laser 

therapy,’ says Dr Roos. ‘Patients can rediscover the confidence to live the lifestyle 

they choose, free from vaginal discomfort and pain, and is sought by a significant 

number of patients of many different ages. 

Often a series of treatments is recommended to achieve the best results, but 

most patients notice a significant improvement after the first procedure. 

The likelihood of post-treatment complications following a MonaLisa Touch 

treatment is minimal. There may be some mild discomfort for 12 to 24 hours after 

the procedure, but typically most patients experience no side effects. 

Whether you’re looking to relieve the symptoms of vaginal atrophy, or seeking 

a rejuvenating effect, MonaLisa Touch offers an effective solution, backed by 

clinical research and a history of success in a gynaecological setting. 

‘Almost all of my patients notice a significant improvement following the 

MonaLisa Touch procedure – it’s a simple light-based solution to help you feel 

like you again,’ Dr Roos concludes. 



PREPARATION 

& RECOVERY 

PROPER PREPARATION IS KEY TO 

OPTIMAL OUTCOMES AND HAPPY 

PATIENTS, SAYS DR EDDIE ROOS. 

The decision to undergo a cosmetic surgery or cosmetic enhancement 

procedure should not be taken lightly. You should be well informed about 

the possible outcomes, potential risks as well as the actual procedure. 

The decision is always yours, and it should not be made in a rush. At 

consultation, your doctor will be able to discuss the benefits and risks and the 

likely outcome. You can eliminate much of the anxiety associated with any 

procedure by learning the basics of the process beforehand and preparing for 

what lies ahead. 

One of the most important decisions when electing to undergo a cosmetic 

treatment is your choice of doctor. The combination of training, experience and 

judgment the doctor brings to your case strongly affects the outcome of your 

procedure. You should also feel comfortable enough with your doctor to openly 

express your concerns and treatment goals. 

PREPARATION 

To prepare for your procedure, your doctor will schedule an in-depth planning 

session. During this consultation, the treatment, the type of anaesthesia (if any) 

to be used, the risks and limitations, costs involved, required medications, 

your expectations and goals, as well as the steps to take prior will be discussed 

at length. 

Your doctor will also need to know your medical history to plan the best 

treatment and achieve optimal outcomes. Fully disclose any health problems you 

may have had as some may interfere with surgery, anaesthesia and aftercare. 

Prior to your treatment you may be asked to undergo a medical evaluation. 

Your doctor may also make adjustments to the medications you may be taking 



and advise you to stop taking all forms of aspirin, as well as any medication or 

vitamins which could increase the risk of blood clotting. 

Preparing for any cosmetic procedure isn’t just physical. You must also be 

mentally and emotionally prepared for the changes that are about to take place. 

GETTING READY 

FOR YOUR 

PROCEDURE 

Being well prepared will in turn 

make your recovery faster, easier 

and with less risk of complications. 

• Avoid using medications 

containing aspirin or any antiinflammatory 

agents. Aspirin 

reduces the ability of your blood 

to clot and could increase your 

tendency to bleed during the 

recovery period. 

• Do not smoke for at least 

two weeks before and after 

as this increases the risks of 

complications and inhibits 

wound recovery. 

• If you are having a general 

anaesthetic, choose a support 

person (a close friend or family 

member) who can drive you to 

and from the procedure and be 

with you the first 24 to 72 hours 

afterwards. 

• Fill prescriptions for your 

painkillers and antibiotics if 

required before your treatment 

and prepare icepacks to reduce 

any swelling or bruising. 

RECOVERY 

Recovery will depend on the technique and whether anaesthetic is administered, 

as well as the extent of the procedure and the individual patient. 

The specific length of recovery is dependent on factors such as your age, 

lifestyle, activity level as well as the number and type of procedures you have 

had performed. 

RISKS & COMPLICATIONS 

Every surgical or medical procedure involves a certain amount of risk. Cosmetic 

procedures have a good safety profile but despite the highest standards of 

practice, complications can still occur. The most effective way to minimise the 

risks involved is to undergo a thorough physical examination with your doctor 

and follow instructions to the letter. 

Although complications are rare, they can include infection, nerve damage, 

blood clotting, fluid loss and negative reactions to anaesthesia. Bruising may be 

common with facial treatments such as fillers or anti-wrinkle injections. 

Cosmetic Elegance Clinic has a sound post-procedure complications 

management protocol. 

SOME QUESTIONS TO ASK YOURSELF 

• Why do you want to have a particular procedure? 

• How do you feel about your body image now? 

• Is anyone prompting you to have the treatment? 

• Do you suffer from an emotional or psychological disorder? 

• Did you recently experience a stressful event eg. divorce or loss of a loved one? 

• Are you a perfectionist, and do you find minor flaws with many parts of your 

body and with your life? 

• Would you be prepared to handle a complication if something goes wrong? 

ARE YOU A GOOD CANDIDATE? 

The most important decision you will make when considering cosmetic 

treatments is whether the treatment, with its inherent risks and complications as 

well as its benefits, is the right thing for you. 

Once you have weighed it up and decided to proceed, the key to a successful 

outcome is having realistic expectations and understanding the procedure’s 

limitations for your individual case. It is also important to follow the post-treatment 

plan prescribed by the doctor or consultant. 

The psychology behind the decision to proceed is one of the most important 

aspects of the procedure. A good candidate is mentally and physically stable 

and understands the reality of what can be achieved. 


BEFORE & AFTER PHOTOS 

COSMETIC INJECTABLES 

GALLERY 

BEFORE 

AFTER Botox and filler treatment 

BEFORE 

AFTER filler treatment 

BEFORE 

AFTER filler treatment

GALLERY 

COSMETIC INJECTABLES 

BEFORE 


BEFORE 


BEFORE 

AFTER filler treatment

PIGMENTATION 

& VASCULAR LESIONS 

GALLERY 

BEFORE 

AFTER laser treatment 

BEFORE 


BEFORE 

AFTER laser treatment

GALLERY 

PIGMENTATION 

& VASCULAR LESIONS 

BEFORE 


BEFORE 

AFTER Fraxel treatment 

BEFORE 

AFTER Fraxel treatment

ACNE TREATMENT 

GALLERY 

BEFORE 

AFTER combination acne treatment 

BEFORE 

AFTER combination acne treatment

GALLERY 

ACNE SCARRING 

BEFORE 


BEFORE 


SCAR TREATMENT 

GALLERY 

BEFORE 


BEFORE 


BEFORE 


GALLERY 


BEFORE 


BEFORE 


BEFORE 



GALLERY 

BEFORE 


BEFORE 


GALLERY XXX XXX 

TATTOO REMOVAL 

BEFORE 

AFTER laser tattoo treatment 

BEFORE 


COSMETIC SURGERY & MEDICINE WWW.ACCS.ORG.AU // 49

TATTOO REMOVAL 

GALLERY 

BEFORE 


BEFORE 

AFTER laser tattoo treatment



Medical Director 


07 4638 2700 

www.cosmeticelegance.com.au



Medical Director 


Suite 102, Medici Medical Centre 

15 Scott Street 

Toowoomba East, QLD 

07 4638 2700 

www.cosmeticelegance.com.au

Cosmetic Medicine by Dr Eddie Roos

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