Melbourne Hand Surgery 


We recommend that adults and children over 12 wear face masks when attending our clinic, but no longer provide masks to patients and carers. Videoconsultations are conducted via telehealth at our dedicated virtual clinic. We are experiencing high demand for appointments hence require that all patients provide a referral prior to booking an appointment so that we can identify and manage urgent and emergency conditions in a timely manner, and so that our surgeons can assess your suitability for a telehealth appointment and identify any further information or tests that might be required before your consultation. If our surgeons assess that your condition (especially recent injuries) is best managed with hand therapy rather than surgery we may recommend that you see a qualified hand therapist (physiotherapist or occupational therapist) rather than schedule an appointment with our surgeons. Dr Tomlinson does not offer consultations and surgical services where a Medicare Rebatable Item Code does not apply; this includes injections for palmar hyperhidrosis. 

Skin cancer prevention

sunsmartbeachBeing outdoors in summer is a great part of life in Australia but it's also the reason Australians have extremely high rates of sun damage and skin cancer. To protect your skin use the Sunsmart UV Alert Guide to look up daily UV levels and sun protection recommendations. It's a great way to plan your activities and sun protection to maximise your skin safety. You can look up the UV Alerts from this website, or download an application to your smartphone.

To maximise your skin safety follow this Australian Cancer Council advice:

  • minimise sun exposure when the SunSmart UV Alert is >3
  • minimise sun exposure between 10am and 3pm when UV levels reach their peak
  • seek shade
  • wear a hat that covers the head, neck and ears
  • wear sun protective clothing
  • wear close-fitting sunglasses
  • and wear an SPF30+ sunscreen

If you've ever doubted the effectiveness of sunscreen, the video below is an amazing demonstration of how you look to the sun with and without sunscreen. Please take the time to watch it - and keep watching until the sunscreen goes on!

sunburn image posted on twitter yfrog dot com nz3flucj 150x200

When you're applying sunscreen be sure to ask someone for assistance if there are exposed areas of your skin that you cannot reach - otherwise you may find yourself in pain with sunburn like this man pictured on the left. Ouch! Sunburn increases your risk of melanoma, squamous cell carcinoma and basal cell carcinoma, as well as ageing your skin prematurely - so if you can't find someone to help you apply sunscreen then keep your shirt on!

The Sunsmart UV alert guide can also be found at the Sunsmart website.

Skin Checks


The Australian Cancer Council recommends that all adults, particularly those aged 40 and over, should:

  • become familiar with their skin
  • check all areas of their skin, including skin not normally exposed to the sun
  • look for changes in shape, colour or size, or a new spot – if you notice anything unusual, see your doctor straight away
  • seek assistance from others to check difficult to see areas, such as their back.

beachsunsmarttentandhatYou should have your skin checked at least once a year; if you are at high risk of skin cancer then checking your skin at least every 3 months is wise. This Body Map, a mirror and the Sunsmart 5 steps for skin self-examination are very useful tools to help you perform a skin self-examination. Many people find that doing a skin check with a close friend or family member makes it easier to see difficult areas (like behind your ears, and on your back).

To help you know what you are looking for Sunsmart has produced a 2 page PDF guide to skin cancers, warning signs and harmless spots that can be viewed here: How to check for skin cancers.

If you have any concerns about your skin always seek assistance from a qualified health professional. Where there is doubt or uncertainty about a skin lesion a biopsy is a reliable method of determining what treatment you need.





Sun exposure that doesn't result in sun burn can still cause damage to skin cells and increase your risk of developing skin cancer. Evidence suggests that regular exposure to UV radiation year after year can also lead to skin cancer.
Source: Cancer Council Australia

Tanning is a sign that you have been exposed to enough UV radiation (from the sun or solarium) to damage your skin. This will eventually cause loss of elasticity (wrinkles), sagging, yellowish discolouration and even brown patches to appear on your skin. Worst of all, it increases your risk of skin cancer.
Source: Cancer Council Australia

A tan will offer limited protection from sunburn, but usually no more than SPF4, depending on your skin type. It does not protect from DNA damage, which can lead to skin cancer.
Source: Cancer Council Australia


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