Nurse Practitioner-led cosmetic medicine. Individual treatment plans, conservative technique, and one practitioner from assessment through to aftercare.
Nurse Practitioner14 years clinicalAHPRA registeredCosmetic Nurses AssociationPrescriber, Juv'aeClinical governance committee, Juv'aePsychology of Clinical Aesthetics, ACHW
Nurse Practitioner14 years clinicalAHPRA registeredCosmetic Nurses AssociationPrescriber, Juv'aeClinical governance committee, Juv'aePsychology of Clinical Aesthetics, ACHW
Where to start
Start with what you have noticed.
Most people arrive describing a change they have seen rather than a treatment they want, which is the right way round. Working out which of these is the answer — or whether none of them is — is what the assessment is for.
Lines that started as expression and now stay put when the face is at rest, and the separate, slower loss of support beneath them as bone, fat pads and connective tissue change. Most people have some of both. Working out which is doing more, and where, is what the assessment is for.
Lips change with age in shape and support, not only volume — the border softens, the upper lip lengthens, less of the lip shows. And not every concern is age-related: naturally fine lips, asymmetry and lines that lipstick bleeds into are just as common reasons to ask.
Flat, tired-looking skin, fine crepiness around the eyes and neck, and a general loss of bounce that topical skincare has stopped shifting. Addressed at the level of the skin itself, without changing the shape of the face.
Acne scarring, uneven texture, enlarged-looking pores and stretch marks — the things you can feel as much as see. Addressed by prompting the skin's own repair response.
Bruxism presents well beyond the jaw — morning tightness, tension headaches, tooth wear, disturbed sleep — and sustained clenching also changes the shape of the lower face.
Softening along the jawline and cheeks, crepey texture on the neck and décolletage, and a general loss of firmness across the whole face at once — which is why it responds poorly to skincare alone. Addressed with courses that build change over months rather than days.
Brighter, more even skin for people who don't want needling, peeling or visible downtime. Addressed with a topical in-clinic treatment that is massaged into the skin with no break in the skin barrier at any point.
No treatment proceeds on the day of assessment without a clear understanding of what it involves.
Your appointment begins with a full facial assessment and a review of your medical history, current medications and previous treatments.
01
Assessment
A full facial assessment and medical history — structure, movement, skin condition and what you have had done before.
02
Options and limits
Which options may be appropriate, what each involves, the associated risks and possible side effects, and the realistic limits of what can be achieved for your face.
03
A course, not an appointment
Most treatments here are performed as a course over weeks or months. You will know the expected timeframe before you commit to any of it.
04
Written aftercare
Provided at every appointment, so you know how to protect the result and what is normal in the days afterwards.
Why some treatment fees are discussed at consultation.
Australian advertising rules do not permit cosmetic clinics to publish price information for services that may involve prescription-only medicines. Fees are discussed at consultation once Mia has assessed your suitability, treatment area and individual plan.
The practitioner
"The objective is a rested, balanced and proportionate appearance consistent with your own features."
Mia Thomas is a Nurse Practitioner with over fourteen years' experience in Sydney's busiest hospitals. She moved into cosmetic medicine alongside leading plastic and reconstructive surgeons, and now practises from a single treatment room in Woollahra.
Mia Thomas · Nurse Practitioner · AHPRA NMW0001682987
Book an appointment if you know you want to be assessed. Book a free fifteen-minute call if you are still deciding — no obligation, and no treatment is arranged before you have been seen.