Welcome to Wheaton Hall Skin Clinic where we have a special interest in skin disease/dermatology in general practice.
Dr Helen Kilrane has spent time working in the dermatology department of Our Lady of Lourdes Hospital.
Dr Sylvia McKenna has received advanced training in the use of a specialised skin microscope (dermoscope) to detect early skin cancer, and also performs minor surgery to remove or help diagnose skin lesions where appropriate.
Our skin clinic services include a full skin check, Roaccutane acne treatment, and removal of skin lesions using cryotherapy or minor surgery.
Complex cases or melanoma are referred to the hospital.
Our skin clinic accepts referrals from other GPs and other practices.
Our Full Skin Check includes
Personalised skin questionnaire
History and full body skin examination
Dermoscopy: A microscope is applied to the skin to see deeper structures not seen with the naked eye. This can pick up early skin cancer and reassure where benign. It’s simple and painless for the patient.
Clinical Photography: Photos of suspicious moles under microscope can be taken for comparison
Skin education: How to examine, changes to look out for and how to protect against cancercan
Costs of Full Skin Check: €100
€55 for medical card holders
Cost of dermoscopy for a single lesion within a consultation:
€30 in addition to usual consultation fee (€85 total),
€20 for medical card holders
Roaccutane Clinic (for Acne)
Roaccutane, otherwise known as Isotretinoin, is a very effective medication for the treatment of Acne. It is a retinoid and derived from Vitamin A.
Roaccutane can only be prescribed under strict criteria, either by a Dermatologist or a GP with special qualifications and experience.
Here, at Wheaton Hall Medical Centre, we are delighted that Dr. Helen Kilrane is able to offer this service to our patients.
Roaccutane is generally only prescribed for people with Severe Acne, or if their Acne has not improved with 2 or more other prescribed courses of Antibiotics.
It works by:
- Reducing amount of sebum produced on the skin
- Helps prevent follicles being clogged
- Reduces the amount of bacteria on skin
- Reduces swelling and redness around spots
Common side effects include:
- Inflammation, dryness and cracking of lips and nostrils
- Temporary flare of Acne in first 7-10 days of treatment
- Muscle joints, aches
- Dry eyes
- Skin becomes more likely to burn in the sun
It needs close observation with regular blood tests, as it can potentially affect the liver function and cholesterol.
Girls and Ladies require to be on hormonal contraception as Roaccutane can cause serious defects to an unborn baby. Pregnancy tests are required before starting and monthly while on treatment.
There have been reports of people experiencing mood changes while taking Roaccutane. There’s no evidence that these changes were the result of medication.
However, mood questions and questionnaires are used routinely, as precaution only. Many patients feel their mood improves as their Acne improves as they feel better about their appearance.
Private patients: €150 initial visit, €100 subsequent visit
Medical Card holders: €80 per visit
If you have Severe Acne or Acne that has failed to respond to two courses of antibiotics, please call our surgery today to book a Roaccutane Consultation with Dr. Helen Kilrane.
People who are not patients of the practice can be referred by their own GP to Dr. Helen Kilrane for consideration of this treatment.
At our skin clinic we can also assess and treat a wide range of skin, hair and nail problems to include:
- skin infections
- warts and verrucae
- “lumps and bumps” on the skin
- hair, nail and scalp problems
If you have a skin complaint, we recommend that you discuss your concerns with your doctor.
Minor Surgery, Cryotherapy
Many simple lumps, bumps and moles on the skin, or ingrowing toenails can be adequately dealt with at a general practice skin clinic without referral to a hospital. If you have any such concerns, please ask your doctor whether it would be appropriate to treat here, or would onward referral be more appropriate. This decision can only be made on an individual basis following discussion between your doctor and yourself.
The practice has for some years used liquid nitrogen for “freezing” other skin problems such as warts and skin tags. Modern equipment allows us to do this more efficiently. We have a special cryotherapy clinic to deal with these problems.
Some (but not all) cryotherapy and minor surgical procedures may be covered under both the Medical Card Scheme or by the leading medical insurers (VHI, Laya, Irish Life).