Dr Eshini Perera - Dermatologist

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Dr Eshini Perera - Dermatologist Dermatologist

11/10/2026

Flaky, red patches around your nose, eyebrows or scalp? It might not be dry skin.

One possibility is seborrhoeic dermatitis, a common inflammatory skin condition associated with an inflammatory response to Malassezia yeast, which naturally lives on our skin.

It commonly affects areas where oil glands are more active, including the scalp, eyebrows, sides of the nose and around the smile lines.

Dermatologist tips:
• Ketoconazole shampoo can help manage scalp seborrhoeic dermatitis when used as directed.
• Use a gentle cleanser and a fragrance-free moisturiser to support your skin barrier.
• Avoid harsh scrubs and excessive exfoliation, which can worsen irritation.
• If symptoms persist, keep returning or affect your face significantly, see a dermatologist for an appropriate treatment plan.

The key is treating the underlying inflammation rather than assuming every flaky patch needs more moisture.

Have you experienced persistent flaking around your nose, eyebrows or scalp? Let me know in the comments below.

Education only. Not personal medical advice.

09/10/2026

Getting bumps, rough texture or “strawberry legs” after shaving? Your razor might not be the only culprit.

The right skincare ingredients can help smooth your skin, reduce follicular build-up and support your skin barrier.

Dermatologist tips:

• Lactic acid gently exfoliates dead skin cells while helping hydrate the skin and improve rough texture.

• Salicylic acid can pe*****te oil within the follicles, helping clear build-up that contributes to clogged pores and some ingrown hairs.

• Ceramide moisturisers help support and repair the skin barrier, especially when your skin feels dry or irritated after shaving.

• Avoid applying exfoliating acids immediately after shaving if your skin is irritated, as this can cause further stinging or redness.

• Moisturise consistently and use sunscreen on exposed legs to help protect your skin.

Smoother legs aren't just about how you shave. Your skincare routine matters, too.

Have you tried these ingredients before? Let me know in the comments below. 👇

Education only. Not personal medical advice.

07/10/2026

Do you find yourself pulling out your hair when you're stressed, watching TV or distracted, sometimes without even realising you're doing it?

This could be trichotillomania, a condition where the urge to pull out hair becomes repetitive and difficult to control.

Some people experience a build-up of tension before pulling, followed by a sense of relief afterwards. Over time, this can lead to noticeable hair loss and distress.

Dermatologist tips:
• Try to notice when and where the urge to pull happens.
• Identify common triggers, such as stress, boredom or watching TV.
• Habit reversal training can help you recognise the urge and replace the behaviour with a different action.
• Cognitive behavioural therapy can also be an important part of treatment.
• If you're experiencing ongoing hair pulling or hair loss, speak with a GP, psychologist or dermatologist for personalised support.

Trichotillomania isn't simply a bad habit. It's a recognised condition, and treatment can help people regain control.

Know someone who might relate to this? Send this to them.

Education only. Not personal medical advice.

06/10/2026

Why does one side of your face sometimes look more aged than the other? ☀️

One possible reason is long-term sun exposure — especially if you regularly sit beside a window.

UVA can pe*****te through glass, and cumulative UV exposure can contribute to collagen breakdown, fine lines, wrinkles and uneven pigmentation over time. It’s a reminder that everyday exposure matters, even when you're indoors.

Dermatologist tips:
• Apply a broad-spectrum SPF 50+ every morning, not just when you're heading to the beach.
• Reapply sunscreen when you're spending prolonged periods outdoors or in direct sun.
• If you sit next to a sunny window for hours each day, consider using blinds or UV-protective window film.
• Don't forget commonly missed areas such as the ears, neck and hands.

You may not notice the effects of daily UV exposure immediately, but those small habits can add up over the years.

Has sunscreen become a daily part of your routine? Let me know in the comments below. 👇

Education only. Not personal medical advice.

04/10/2026

If your dark circles aren't improving, you might be treating the wrong problem.

Under-eye darkness can have several different causes, including pigmentation, thin skin that makes blood vessels more visible, hollowness that creates a structural shadow, or inflammation.

Dermatologist tips:
• If pigmentation is the main cause, targeted skincare and daily sunscreen can help improve the appearance and prevent it from becoming more noticeable.
• If thin skin is making blood vessels more visible, skincare may have limited results.
• If hollowness is creating a shadow, no eye cream can fill a structural deficit. That's an anatomy issue, not simply a skincare issue.
• Depending on the cause, professional treatments such as lasers or other procedures may help.

The key is identifying what's actually causing your dark circles before choosing a treatment.

What do you use for under-eye darkness? Let me know in the comments below. 👇

Education only. Not personal medical advice.

30/09/2026

Blackheads or sebaceous filaments? Here’s how to tell the difference 👇

If you’ve been squeezing the tiny grey or yellow dots on your nose, this one is for you. Most of the time, these aren’t blackheads at all. They’re sebaceous filaments, and they’re a completely normal part of your skin.

Sebaceous filaments are thin, hair‑like channels that carry sebum (your skin’s natural oil) up to the surface. They tend to show up on the nose, chin and forehead, where oil glands are more active. Unlike blackheads, which are clogged pores that turn dark from oxidation, sebaceous filaments are usually lighter in colour, evenly spread and refill within days.

Why you shouldn’t squeeze them:

✨ They come straight back, because they’re meant to be there
✨ Squeezing can stretch pores and make them look larger
✨ It can cause redness, irritation, broken capillaries and even scarring

What actually helps:

✅ Salicylic acid (BHA) gets into the pore to dissolve excess oil

✅ Retinol supports cell turnover to keep pores looking clearer and smaller

✅ Gentle, consistent skincare beats harsh scrubs and pore strips every time

Not sure if it’s sebaceous filaments, blackheads or acne? A dermatologist can assess your skin and build a routine that suits you.

📌 Save this for the next time you’re tempted to squeeze
💬 Did you think these were blackheads? Tell me below
📍 Dr. Eshini Perera, FACD Dermatologist, Melbourne

28/09/2026

Your teen’s skincare could be damaging their skin 🚨

Retinol, exfoliating acids and strong actives are made for adult skin. On young, sensitive skin they can strip the skin barrier and cause redness, stinging, dryness and even more breakouts. As a Melbourne dermatologist, I see this in clinic all the time thanks to viral “10 step” routines on TikTok.

The good news? Teen skin only needs three steps 👇

🌸 SENSITIVE SKIN ROUTINE
1️⃣ Gentle cleanser: Cerave hydrating by cleanser
2️⃣ Moisturiser: CeraVe Moisturising Cream
3️⃣ Sunscreen every morning:

✨ ACNE PRONE SKIN ROUTINE
1️⃣ Gentle cleanser: CeraVe Foaming Facial Cleanser
2️⃣ Lightweight, oil free moisturiser: CeraVe PM Facial Moisturising Lotion
3️⃣ Sunscreen

That’s it. No toners, no serums, no acids needed.

💡 Tips for parents
Look for products labelled fragrance free and non comedogenic, cleanse morning and night, and never skip sunscreen, especially in Australia. If breakouts are painful, persistent or leaving marks, it’s time to see a dermatologist rather than adding more products.

📌 Save this for your next pharmacy run and send it to a parent who needs it!

💬 Does your teen use retinol or acids? Tell me in the comments.

Dr. Eshini Perera, FACD Dermatologist, Richmond, Melbourne
📍 Book via eshderm.com.au

28/09/2026

Stop squeezing your nose. Those dots probably aren’t blackheads 🛑

Those tiny grey dots on your nose are most likely sebaceous filaments. They line your pores and carry oil to the surface of your skin, so everyone has them, and they’re meant to be there.

Squeezing won’t get rid of them. They refill within days, and all that pressure can stretch your pores, leave redness and even cause scarring.

The dermatologist approach:
🧴 Salicylic acid to clear out excess oil inside the pore
🧴 Retinol to keep pores looking smaller and more refined
🙅‍♀️ Skip the pore strips, harsh scrubs and squeezing

Blackheads are different. They’re clogged pores that darken when exposed to air, and they can be a sign of acne. If you’re unsure which one you have, a skin check with a dermatologist is the easiest way to find out.

📌 Save this and send it to someone who squeezes their nose in the mirror
➕ Follow for more honest skincare advice from a Melbourne dermatologist

oilyskin

27/09/2026

Acne, rosacea, melasma and milia all have different causes, and a heavy balm won’t treat any of them. For acne and milia, rich occlusive products can actually make things worse. The good news? There are proper treatments that work.

Save this for the next time someone tells you tallow cured their skin 😅 and tell me in the comments what you’d add to the list 👇

Address

296 Bridge Road
Melbourne, VIC
3121

Telephone

+61390501195

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