Psoriasis

What is psoriasis?

Psoriasis is a common condition that occurs when skin cells are generated more quickly than usual, which is understood to be related to an immune response in the body. This can lead to the development of thick, scaly patches of skin that may appear redder than the surrounding skin. These patches can appear on areas such as the scalp, fingers or toes, nails, and arms. It can also affect other areas, such as the legs and the groin area. This condition can cause discomfort and self-consciousness. Seeking a professional consultation can be an important step in understanding your skin and discussing the options that may be available to you.

At Shellharbour Skin, we offer comprehensive consultations to discuss various approaches for managing psoriasis, with options suited to the individual. We conduct private consultations with each person to ensure we understand their concerns and can explore suitable management strategies.

Causes & symptoms

Psoriasis is a condition where skin cells reproduce more rapidly than usual, which can lead to the formation of thickened, scaly, and sometimes itchy patches on the skin. These may appear on areas such as the scalp, fingers or toes, nails, arms, and legs.

Although the symptoms of psoriasis can vary between individuals, the following are commonly observed:

• Small, scaling spots (often seen in children)
• Scaly, dandruff-like patches
• Red, grey, or white rashes
• Cracked or dry skin that may bleed
• Itching or soreness

Several factors may influence the onset or exacerbation of psoriasis, including:

• Genetic predisposition
• Injuries, cuts, burns, or infections
• Cold or dry weather conditions
• Smoking or alcohol consumption
• Certain medications

Psoriasis consultation at Shellharbour Skin

A correct diagnosis and understanding of your psoriasis type are important steps before discussing potential management options.

During your consultation, your clinician will review your medical history, overall health, and any contributing factors to help determine which approaches may be suitable for discussion.

There are several types of psoriasis that may present differently:

• Plaque psoriasis: The most common type, presenting as white, scaly skin on areas such as the knees, elbows, scalp, or lower back.
• Inverse psoriasis: Characterised by red, shiny patches of skin in areas such as the armpits, groin, and under the breasts.
• Guttate psoriasis: Typically appears as small red dots and is often seen in teenagers and young adults.
• Pustular psoriasis: A rarer and more severe type, producing red, scaly skin over larger regions of the body.

Your clinician will assess your presentation, explore possible contributing factors, and discuss appropriate next steps.

Dr Barney Gordon will guide this discussion based on your health, preferences, and overall skin goals, ensuring the information provided supports informed decision-making and aligns with best-practice care.

Your Management Plan Discussion

Following your consultation, your clinician will discuss options that may be appropriate to include in a psoriasis management plan. This may involve in-clinic modalities or supportive skincare approaches, depending on your individual circumstances.

Dermalux Tri-Wave LED

During your consultation, your clinician may discuss how this technology uses specific wavelengths of light on the skin, what you can expect during a session, and its potential role within a broader skin-management discussion.

Topical Medication

Prescription-only topical medications can only be prescribed by a registered medical practitioner. These may be discussed if clinically appropriate. Your clinician will provide balanced information about their intended use, precautions, and possible considerations.

Skincare Regimen

Your clinician may also discuss a skincare routine designed to support and maintain your skin’s condition. This may include professionally recommended cleansers, moisturisers, or barrier-supportive formulations selected according to your presentation and skin sensitivity.

Ongoing Management and Aftercare

Psoriasis often requires ongoing review and consistency. Each person’s experience is unique, and your clinician will focus on developing a long-term strategy that supports your skin health and comfort.

An important part of your consultation may include identifying potential triggers such as certain activities, products, or environmental factors and discussing strategies to help manage them as part of your overall plan.

Your clinician may also discuss professionally recommended skincare options designed to support the skin’s barrier and hydration. These may include:

• Barrier-protective ingredients such as ceramides or prebiotics, which help maintain skin integrity.
• Hydrating agents like hyaluronic acid and glycerin, which assist with moisture retention.
  Soothing ingredients such as niacinamide or panthenol, which can help calm dryness and irritation.
• Antioxidants and vitamins (for example, Vitamin E or Vitamin B5) to help support overall skin function.

Each product or ingredient will be reviewed in terms of its intended purpose, suitability, and safety for your skin type and presentation.

If you are experiencing symptoms associated with psoriasis, you can book a consultation at Shellharbour Skin to discuss your individual concerns and explore appropriate management options