The Science Behind Skin Remodelling

Biological remodelling refers to medical approaches that aim to support the skin’s underlying structural framework. Over time, changes in collagen and elastin activity, combined with repetitive movement and environmental exposure, can lead to variations in skin quality, texture and structural support.
At PCM, we provide doctor-led consultations to assess skin quality, facial anatomy and individual concerns. Where clinically appropriate, we may discuss options designed to support tissue and dermal framework in a manner consistent with your facial proportions and goals.
Our focus is on safe, evidence-informed care tailored to you.

Understanding Structural Skin Change

Skin structure naturally evolves due to concerns commonly discussed in consultation, which include:

Influencing Factors

  • Age-related changes in collagen and elastin
  • Genetic and environmental influences
  • Repeated muscle movement
  • Intrinsic tissue characteristics
  • Overall health and lifestyle

Common Concerns

  • Reduced skin firmness
  • Changes in skin texture
  • Loss of structural support
  • Appearance of fine lines or laxity
These features are normal and common and do not necessarily indicate disease. Not all skin changes require treatment.

Achieving Your Aesthetic Goals

Following your consultation and treatment, results are guided by a personalised plan designed around your individual features and clinical objectives.
You can expect gradual, natural-looking improvements, with ongoing support and follow-up to monitor progress and ensure outcomes remain aligned with your goals.
Our team provides ongoing follow-up and clinical support to monitor your progress, make any necessary adjustments, and ensure your results continue to align with the goals discussed during your consultation.

Consultation & Individualised Assessment

A consultation with a PCM doctor is required before any treatment is considered. There are no exceptions to this process.

01

Assess skin quality and structural characteristics

02

Evaluate facial anatomy, balance and movement

03

Discuss your concerns, goals and expectations

04

Review medical history and contraindications

05

Evaluate facial anatomy, balance and movement

06

Explain potential risks,limitations and variability in outcomes

07

Provide written and verbal information to support informed consent

If treatment is not appropriate, your doctor will advise against proceeding.

Treatment Considerations

In some patients, medically supervised procedures may support dermal structural cues, underlying tissue framework and collagen-associated activity.
Treatment decisions are individualised and based on
  • Anatomical assessment
  • Skin quality and thickness
  • Underlying support structures
  • Overall health and expectations
  • Previous treatments or interventions
No specific outcome can be guaranteed. Individual responses vary. Some patients may benefit from combined or alternative approaches.

Areas Commonly Assessed

Biological remodelling consultations may include the following regions, with treatment priorities determined on an individual basis:

Face

Neck

Chest

Other areas where skin structure and tissue support are clinically relevant

Potential Risks and Considerations

All medical procedures carry risk. Possible side effects may include:
  • Redness, swelling or tenderness
  • Lumps or irregularity
  • Mild discomfort at the treatment site
Less common but more serious risks can include:
  • Infection
  • Persistent changes in skin sensitivity
  • Tissue reaction requiring intervention
  • Rare complications requiring urgent medical assessment
Full risk information will be discussed during consultation.

Important Information

  • Individual results vary.
  • No specific outcome can be guaranteed.
  • A consultation is required to determine suitability.
  • Not all patients are appropriate candidates for treatment.
  • Choosing not to proceed is always an acceptable option.

Suitability & Psychological Assessment

Medical practitioners are required to assess suitability, including screening for unrealistic expectations, body image concerns or underlying psychological conditions that may affect decision-making. PCM may decline to recommend treatment where it is not in your best clinical interest.

Patients Under 18

PCM does not provide services to patients under the age of 18. Cosmetic procedures involving prescription-only medicines are generally not appropriate for patients under 18 for cosmetic purposes. PCM complies with all relevant state and national regulations.

Approach to Natural Outcomes

Our approach prioritises:
  • Anatomical understanding
  • Conservative planning
  • Facial harmony
  • Respect for individuality
We aim to support natural tissue quality rather than alter identity. Subtle improvement within a medical framework is our guiding principle.

Cosmetic Medicine Education & Training Resources

A series of training workshops and educational resources brought to you by our renowned founder Dr. Stephen Crimston.

COMING SOON!

Aftercare & Follow-up

01

Written aftercare instructions

02

Information about expected post-procedure changes

03

Clear guidance on when to contact the clinic or seek urgent review

04

Access to appropriate follow-up care

If unexpected symptoms arise, prompt medical review may be required.

How to Book

All care at PCM begins with a medical consultation. To arrange a consultation, please either book in online or contact the clinic directly.

Please note that booking a consultation does not commit you to any treatment. Your doctor will discuss all options, including no treatment, during your appointment.

Frequently Asked Questions

The following information is provided for general educational purposes only. It does not constitute medical advice. Please consult a qualified medical practitioner to discuss your individual circumstances.
What is biological remodelling?
Biological remodelling describes medical approaches that aim to support the skin's underlying structural framework, including factors related to collagen and tissue support. Whether this type of approach is clinically appropriate for you is determined through individual medical assessment.
Do I need a consultation before any treatment is considered?
Yes. A face-to-face consultation with a registered medical practitioner is required before any treatment can be discussed or planned. There are no exceptions to this requirement.
What happens during a consultation?
Your doctor will assess your skin quality, structural characteristics and facial anatomy; review your medical history and any contraindications; explain relevant options in plain language; and discuss risks, limitations and alternatives, including no treatment. You are encouraged to ask questions at any point.
What are the potential risks?
All medical procedures carry risk. Commonly reported effects may include redness, swelling, tenderness or mild discomfort. Less common risks can include infection, tissue reaction or persistent sensitivity changes. Rare but more serious complications may also occur. Full risk information is discussed during consultation.
Can you guarantee results?
No. Individual outcomes vary depending on anatomy, skin quality, health status and other clinical factors. No specific result can be guaranteed. Your doctor will discuss realistic expectations based on your individual assessment.
Am I a suitable candidate?
Suitability is determined through individual clinical assessment. Not all patients will be appropriate candidates. Your doctor may decline to recommend treatment where it is not in your best clinical interest.
Is this service available to patients under 18?
No. PCM does not provide services to patients under the age of 18.
What aftercare is provided?
You will receive written aftercare information, guidance on expected post-procedure changes, instructions on when to seek urgent review, and access to appropriate follow-up care.
What if I decide not to proceed?
You are under no obligation to proceed at any point. Choosing not to proceed is always a valid and supported option.

Contact Us Today

Our Locations

Ella Bache, Gladesville

225-227 Victoria Rd, Shop 15, Glades Centre, Gladesville NSW 2111

Ella Bache, Springwood

130 Macquarie Rd, Springwood NSW 2777

Ella Bache, Glenbrook​

22B Park Street, Glenbrook NSW 2733​

Ella Bache, Lindfield

6 Moore Ave, Lindfield NSW 2070

Contact Form