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03/Jul/2026

Supporting Independence After 65: Practical Steps for Older Adults

Maintaining independence in older adults is not necessarily about doing everything without help. It is about preserving choice, confidence and the ability to take part in the activities that matter to you.

That might mean preparing your own meals, seeing friends, managing medications or continuing to live safely at home. When these activities become more difficult, understanding why is the first step towards finding suitable support.

For people with several overlapping health concerns, a comprehensive geriatric assessment with Dr Amit Gupta can help explore the medical and functional issues affecting daily life.

Recognising Changes in Everyday Activities

Changes in independence can be gradual. A person may start avoiding shopping, leave household tasks unfinished or rely more heavily on family members without discussing what has changed.

Consider speaking with a GP when there is:

Increasing difficulty preparing meals, shopping or managing personal care.
Trouble keeping track of medications, appointments or familiar tasks.
Reduced mobility, repeated stumbles or reluctance to leave home.
Unexplained weight loss, social withdrawal or increasing reliance on carers.

These changes do not point to one particular diagnosis. They are reasons to look more closely at the person’s health, circumstances and support needs.

Address the Reason a Task Has Become Difficult

The most useful support depends on what is causing the difficulty.

Someone avoiding the shops because of poor balance may need a different approach from someone who is forgetting what to buy. Similarly, difficulty preparing meals might relate to pain, fatigue, low mood or changes in memory.

Try to identify specific examples rather than describing someone as simply “not coping”. This gives their GP a clearer starting point.

Mobility and Confidence

Feeling unsteady or worrying about another fall can affect everyday activities. A medical review can help identify contributing factors and whether physiotherapy, an appropriate exercise program or other support may be useful.

Read more about falls prevention for older adults.

Memory and Organisation

Missed appointments, repeated medication mistakes or difficulty following familiar routines may warrant further investigation.

Our guide to memory concerns and cognitive assessment explains what to discuss with a doctor.

Mood and Social Connection

Withdrawal from hobbies or social activities may reflect more than reduced mobility. Low mood, anxiety or loss of confidence may also be contributing.

Learn about mood changes in older adults and when to seek help.

What Practical Support Might Help?

Depending on the assessment, recommendations may include reviewing medications, arranging allied health input, considering mobility aids or home safety changes, or discussing assistance with meals, transport and household tasks.

Support should be matched to the person’s needs and preferences. A useful starting question is: “What would you most like to keep doing, and what is getting in the way?”

A geriatrician can help assess complex medical and functional concerns and work with the GP and other professionals involved in care.

How Families and Carers Can Help

Start by asking what the person has noticed and what help they would welcome. Offer to attend a GP appointment or write down examples together.

Be specific about changes, such as difficulty getting out of a chair or forgetting an evening medication. Try to keep the person involved in discussions rather than making decisions around them.

It is also worth discussing whether existing family or carer support is becoming difficult to sustain.

Where a 75+ Health Assessment Fits

For eligible adults aged 75 and over, a GP health assessment provides an opportunity to review physical health, medications, daily activities, memory, mood and available support.

This is different from a specialist geriatric assessment. Your GP can advise on eligibility and whether concerns identified during the assessment warrant further investigation or referral.

You can book a GP appointment at South Steyne Medical Centre to discuss changes in independence or ask about a 75+ health assessment.

Frequently Asked Questions

Does accepting help mean losing independence?

Not necessarily. Appropriate support can help someone continue activities they value. The aim is to address difficulties while keeping the person’s preferences central to care planning.

Does seeing a geriatrician mean moving into residential aged care?

No. A geriatric assessment considers a person’s health, function and support needs. It does not automatically mean that their living arrangements need to change.

For specialist appointment enquiries, contact South Steyne Medical Centre about seeing Dr Amit Gupta.

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03/Jul/2026

Mood Changes, Depression and Anxiety in Older Adults

Persistent low mood, anxiety or loss of interest should not be dismissed as an unavoidable part of getting older.

Changes in health, bereavement, loneliness or reduced independence can affect emotional wellbeing. However, depression and anxiety in older adults deserve assessment and support, just as they do at any other age.

Some people describe feeling sad or worried. Others may first notice poor sleep, low energy, irritability or less interest in seeing family and friends.

Signs Worth Discussing With a GP

Changes that may warrant a medical review include:

Persistent sadness, worry, irritability or feelings of hopelessness.
Withdrawal from activities, relationships or usual routines.
Changes in sleep, appetite, energy or motivation.
Difficulty concentrating, reduced confidence or neglect of self-care.

These symptoms can have several causes. Their presence does not establish a diagnosis, but they should be discussed with a GP when they persist, worsen or affect daily life.

Seek help sooner if symptoms are severe or there are concerns about safety.

Why a Broader Assessment Can Be Important

Mood symptoms may occur alongside physical illness, pain, medication changes or difficulties with sleep and mobility. Grief and social isolation may also play a part.

A GP can explore when the changes began, how they affect daily life and whether medical or social factors need attention.

When mood concerns occur alongside complex medical needs, memory changes or reduced function, specialist assessment with Dr Amit Gupta may help bring these issues together.

Not every mood concern requires a geriatrician. Depending on the circumstances, care may involve the GP, a psychologist, a psychiatrist or other services.

Mood and Memory Can Affect Each Other

Depression and anxiety can affect concentration and memory. At the same time, worrying about changes in thinking or everyday abilities can affect mood.

This can make it difficult for patients and families to understand what is happening. Assessment considers the pattern of symptoms rather than assuming that memory changes are caused by either depression or dementia.

How Can Assessment Guide Support?

The next steps depend on the individual’s symptoms, health conditions and preferences.

Recommendations may include addressing physical health problems, reviewing medications, psychological support, practical help at home or services that support social connection. Further specialist review may be appropriate in some circumstances.

The aim is to understand the contributing factors and develop a suitable plan, rather than assuming there is one explanation or one treatment for everyone.

Where mood changes are affecting everyday activities, our article on supporting independence after 65 may also be helpful.

Supporting Someone You Are Concerned About

Choose a quiet moment to ask how they have been feeling. Mention specific changes you have noticed without making assumptions about the cause.

You might offer to help arrange an appointment, attend with their agreement or write down concerns beforehand. Listening without dismissing symptoms as “just ageing” can be an important first step.

When Urgent Help Is Needed

If someone is in immediate danger or at immediate risk of harming themselves, call 000.

For crisis support, contact Lifeline on 13 11 14. Thoughts of suicide or self-harm require prompt professional help rather than waiting for a routine specialist appointment.

Arranging a Review

Speak with your usual GP or book a GP appointment at South Steyne Medical Centre.

Your GP can assess your concerns and discuss whether specialist input would be helpful. With a referral, you can contact reception to enquire about an appointment with Dr Gupta.

Frequently Asked Questions

Can depression affect someone who does not describe feeling sad?

Yes. Some older adults primarily report physical symptoms, poor sleep, reduced energy or loss of interest. A GP can help assess what these changes may mean.

Will treatment always involve medication?

Not necessarily. Treatment depends on the assessment and may involve psychological, medical, practical or social support. Your treating clinician can discuss appropriate options with you.

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03/Jul/2026

Falls Prevention for Older Adults in Manly

A fall does not have to cause an injury to be worth discussing with a doctor. Repeated stumbles, near-falls or increasing unsteadiness can also indicate that a review is needed.

Falls prevention focuses on understanding what is contributing to the problem and identifying ways to reduce risk. Even when someone feels well after a fall, a GP review is important.

For older adults with recurrent falls or overlapping health concerns, Dr Amit Gupta provides specialist geriatric assessment in Manly.

After a severe fall, seek emergency care or call 000. Do not wait for a routine falls-prevention appointment.

When Should You Ask About Falls Assessment?

Speak with your GP following a fall or when you notice changes such as:

Repeated stumbles, near-falls or difficulty keeping your balance.
Dizziness or light-headedness when standing or walking.
Difficulty rising from a chair or moving around safely.
Avoiding activities because of a fear of falling.

An assessment can be useful even when you are unsure why a fall happened. Your GP can investigate initial concerns and advise whether specialist review is appropriate.

Why Falls May Have More Than One Cause

Falls can involve a combination of health and environmental factors.

Reduced strength, balance difficulties, vision problems or painful joints may affect movement. Some medications can contribute to drowsiness, dizziness or unsteadiness. Hazards such as poor lighting, loose rugs or unsuitable footwear can add to the risk.

Memory and thinking changes may also affect how someone moves around or responds to their surroundings. When these concerns occur together, cognitive assessment may form part of the broader review.

What Happens During a Falls Assessment?

The clinician will usually ask about what happened before, during and after the fall, whether there have been previous falls, and any associated symptoms.

Assessment may include reviewing medical conditions and medications, examining walking and balance, and considering daily activities and the home environment.

Before your appointment, it can help to record where the fall happened, what you were doing, whether you felt dizzy or unwell, and whether there had been a recent illness or medication change.

This information can help identify patterns that are not obvious from a single incident.

How Can a Geriatrician Help?

Dr Gupta can assess falls within the context of an older person’s overall health, particularly when there are several possible contributing factors.

Recommendations may include further medical investigation, medication review, physiotherapy or other allied health input, suitable strength and balance activities, or consideration of mobility aids and home safety changes.

Any exercise program or equipment should be appropriate for the individual. Do not stop or change prescribed medication without discussing it with your treating clinician.

Rebuilding Confidence After a Fall

A fall can leave someone worried about walking, going out or being alone. Avoiding activity can then make it harder to maintain strength and confidence.

Discuss these concerns with your GP rather than trying to manage them alone. The goal is to find a suitable approach to activity and support, not simply to restrict movement.

Read more about maintaining independence after 65.

Arranging Falls Assessment in Manly

Speak with your usual GP or book a GP appointment at South Steyne Medical Centre. Your GP can assess the situation and arrange a referral where specialist input is appropriate.

Already have a referral? Contact reception about an appointment with Dr Amit Gupta.

Frequently Asked Questions

Should I tell my doctor about a fall if I was not injured?

Yes. A fall may reveal a health, medication or mobility issue that needs attention, even when there is no obvious injury.

Can assessment guarantee that I will not fall again?

No. Assessment can help identify contributing factors and guide measures to reduce risk, but it cannot eliminate every possibility of a future fall.

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03/Jul/2026

Memory Concerns in Older Adults: When to Consider a Cognitive Assessment

Occasionally forgetting a name or misplacing something is different from memory changes that disrupt everyday life.

When someone repeatedly misses medications, becomes lost in familiar places or struggles with tasks they previously managed, it is worth speaking with a GP. Assessment can help clarify what is happening without assuming that every memory concern means dementia.

For older adults requiring specialist review, Dr Amit Gupta provides cognitive assessments as part of his geriatric medicine practice in Manly.

Sudden Confusion Needs Urgent Attention

Confusion or a marked change in thinking or behaviour developing over hours or days should not be treated as routine forgetfulness.

It may indicate delirium or another acute medical problem. Seek emergency assessment: call 000 or attend an emergency department. Do not wait for a routine cognitive assessment appointment.

Which Memory Changes Should Be Assessed?

For gradual or ongoing changes, concerns to discuss with a GP include:

Repeating questions or forgetting recent conversations more often.
Missing medications, appointments or important everyday tasks.
Difficulty following conversations, planning or managing familiar activities.
Becoming lost in familiar surroundings or showing changes in judgement.

The effect on daily life matters, as does the pattern over time. Family members or carers may notice changes that the person has not recognised themselves.

What Is a Cognitive Assessment?

A cognitive assessment looks at memory and other thinking abilities, such as attention, language, orientation and problem-solving.

It is not simply a pass-or-fail memory test. The clinician considers test findings alongside the person’s medical history, medications, mood, daily functioning and the changes reported by the patient or others.

Depending on the findings, further examinations, blood tests, imaging or follow-up may be recommended. A single cognitive screening result does not, by itself, establish a diagnosis of dementia.

Memory Changes Are Not Always Caused by Dementia

Memory difficulties may relate to several factors, including mood symptoms, sleep problems, medications or other medical conditions.

Depression and anxiety can affect concentration and recall, which is one reason a broader assessment can be useful. You can read more about mood changes, depression and anxiety in older adults.

The purpose of assessment is to investigate possible causes and decide what further care or support is appropriate—not to assume a diagnosis before the review.

Preparing for a Cognitive Assessment

Write down specific examples of the changes you have noticed. Include when they began, whether they are becoming more frequent and how they affect everyday activities.

Bring an up-to-date medication list and any relevant medical information available to you. Mention recent illnesses, hospital admissions or medication changes.

With the person’s agreement, a family member or carer who knows them well may attend and help describe changes over time. Tell the clinic about hearing, vision, language or other communication needs when booking.

What Happens After Assessment?

The next steps depend on the findings. Recommendations may include additional investigations, treatment of contributing health problems, practical support or follow-up to monitor change.

Where memory concerns affect cooking, medication management or other activities, assessment can also inform discussions about safety and supporting independence at home.

Some people need more than one appointment or further testing before the cause of their symptoms becomes clearer.

Cognitive Assessment in Manly

Speak with your usual GP about memory concerns and whether specialist referral would be helpful. You can also book a GP appointment at South Steyne Medical Centre.

Dr Gupta accepts referrals from GPs at SSMC and from external GPs. With a referral, contact reception to enquire about a cognitive assessment appointment.

Important Scope of Practice Note

Dr Gupta provides medical cognitive assessments for older adults. He does not provide financial capacity decision-making assessments or assessments relating to wills.

A medical assessment of memory concerns should not be booked as a substitute for these services. Speak with your GP about an appropriate referral if a financial capacity or wills-related assessment is required.

Frequently Asked Questions

Does being referred for a cognitive assessment mean I have dementia?

No. The referral is an opportunity to investigate concerns. Memory and thinking changes can have different causes, and assessment helps determine the next steps.

Should I wait until memory difficulties become severe?

No. Discuss persistent or concerning changes with your GP, particularly when they affect daily activities or safety. Sudden confusion requires urgent care rather than a routine appointment.

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03/Jul/2026

When Should an Older Adult See a Geriatrician?

There is no need to see a geriatrician simply because you have reached a particular birthday. The more useful question is whether your health needs would benefit from specialist review.

A geriatrician focuses on the health of older adults, particularly when medical conditions, medications, memory, mobility and daily function interact. Your GP can help decide whether this type of assessment would add to your current care.

Start With What Has Changed

Rather than trying to decide which specialist you need, begin by describing the changes you have noticed.

Are everyday activities becoming harder? Have there been repeated falls? Are you concerned about memory, medication effects or a combination of problems?

Specific examples can help your GP assess the situation and decide whether investigations, treatment or referral are appropriate.

Reasons to Discuss a Geriatrician Referral

Memory Changes Are Affecting Everyday Life

Repeatedly forgetting medications, becoming lost in familiar places or struggling with previously manageable tasks are reasons to seek medical advice.

Learn more about when to consider a cognitive assessment.

Falls or Unsteadiness Are Becoming a Concern

A fall, repeated stumbles or increasing difficulty walking may warrant a review. Specialist input can be helpful when several health factors could be contributing.

Read about falls assessment and prevention for older adults.

Managing at Home Is Becoming More Difficult

Increasing difficulty with meals, personal care, shopping or medications may indicate a need to review both health and support arrangements.

Our guide to supporting independence after 65 explains what to discuss.

Mood Concerns Overlap With Other Health Problems

Low mood or anxiety occurring alongside memory changes, frailty or complex medical needs may benefit from a broader assessment.

Learn more about depression and anxiety in older adults.

Medical Conditions and Medications Are Becoming Difficult to Coordinate

A GP may suggest geriatrician review when several conditions interact, medication-related problems are suspected or there is uncertainty about the best approach to ongoing care.

This is not determined by the number of diagnoses or medicines alone. The important consideration is how they affect the person’s health and function.

Should You See Your GP or a Geriatrician First?

For non-urgent concerns, your GP is usually the starting point. They can assess symptoms, review your medical history, arrange initial investigations and discuss suitable referral options.

A geriatrician does not replace your GP. Specialist assessment is intended to complement the ongoing care you already receive.

Some concerns can be managed through general practice or another service without a geriatrician referral.

How to Prepare for the GP Discussion

Write down your main concerns, when they started and a few examples of their effect on daily life. Include recent falls, hospital visits, changes in medications or difficulties managing at home.

You might ask:

Would specialist geriatric assessment be helpful in my situation?
Are there investigations or treatments we should consider first?
What information should accompany a referral?

A family member or carer may attend with your agreement.

Do Not Wait for a Routine Referral in an Emergency

A sudden change in thinking or behaviour may indicate an acute medical problem. New, sudden confusion requires emergency assessment rather than waiting for a specialist appointment. Call 000 or attend an emergency department.

Seeing Dr Amit Gupta in Manly

Dr Amit Gupta consults at South Steyne Medical Centre and accepts referrals from GPs within the practice and from external GPs.

Visit our main page for information about Dr Amit Gupta, geriatrician in Manly, including his areas of practice, appointment preparation and referral enquiries.

To discuss whether a referral is appropriate, speak with your usual GP or book a GP appointment at South Steyne Medical Centre.

Already have a referral? Contact reception to enquire about an appointment.

Frequently Asked Questions

Do I need to wait until I am 75?

No. Dr Gupta provides geriatric assessments for adults aged 65 and over where specialist review is appropriate. A GP 75+ health assessment is a separate service with its own eligibility requirements.

Do I need several health problems before a referral is worthwhile?

Not necessarily. One significant concern may justify specialist input, while several stable conditions may continue to be managed by your GP. The decision depends on your circumstances.

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03/Jul/2026

Geriatrician in Manly – Dr Amit Gupta

Dr Amit Gupta is a specialist geriatrician in Manly, consulting at South Steyne Medical Centre. He provides comprehensive geriatric assessments for adults aged 65 and over, including people experiencing memory concerns, falls, mood changes, reduced independence or complex medical needs.

Geriatric medicine brings these concerns together. Rather than considering each symptom separately, an assessment looks at how a person’s health, medications, mobility, thinking and support needs affect their everyday life.

To enquire about an appointment, contact South Steyne Medical Centre. Referrals are accepted from GPs at SSMC and from external GPs.

About Dr Amit Gupta

BMedSc, MBBS (Hons), FRACP

Dr Gupta graduated from the University of New South Wales and completed physician training across Concord, Westmead and Nepean Hospitals before specialising in geriatric medicine.

His areas of practice include comprehensive geriatric assessment, cognitive concerns, mood disorders in later life, falls prevention and general medical issues affecting older adults. You can also find his details on our specialist doctors page.

Comprehensive Geriatric Assessments in Manly

A comprehensive geriatric assessment is a detailed review of an older person’s health and function. It can be helpful when several concerns overlap, when day-to-day activities become more difficult or when a GP recommends a broader specialist review.

Depending on your needs, an assessment may consider:

Medical conditions, medications and possible medication-related problems.
Memory, thinking, mood and emotional wellbeing.
Falls, mobility, balance and physical function.
Daily activities, living arrangements and existing support.
Your priorities, treatment preferences and ongoing care needs.

Recommendations may include further investigations, changes to medical management, referrals to other health professionals or additional support. The assessment is intended to inform care planning alongside your regular GP.

What Can Dr Gupta Help With?

Memory and Cognitive Concerns

Changes in memory, attention, judgement or the ability to manage familiar tasks may need assessment. Dr Gupta provides cognitive assessments for older adults to investigate these concerns and guide further management.

Learn more about memory concerns and cognitive assessment in Manly.

Falls and Mobility Changes

Falls, repeated stumbles, increasing unsteadiness or a loss of confidence when walking can have several contributing causes. Assessment may consider medical conditions, medications, balance, mobility and other factors affecting safety.

Read about falls prevention and assessment for older adults.

Mood Changes in Later Life

Low mood, anxiety or withdrawal can occur alongside physical illness, memory concerns or changes in independence. Dr Gupta can assess mood concerns within the context of an older person’s broader medical and functional needs.

Our article on depression, anxiety and mood changes in older adults explains when to seek help.

Frailty, Complex Health Needs and Reduced Independence

Managing several medical conditions or medications can become more difficult over time. A specialist review may help clarify how these issues interact and what support could assist with everyday activities.

Find out more about supporting independence after 65.

When Is a Geriatrician Referral Appropriate?

Your GP may recommend specialist assessment when health concerns are becoming more complex, symptoms remain unexplained or changes are affecting safety and daily function.

Not every older adult needs a geriatrician. The decision depends on individual needs rather than age alone.

For a practical guide to discussing this with your GP, read when an older adult should see a geriatrician.

Preparing for Your Appointment

Before your appointment, think about the main concerns you would like to discuss and what you hope to understand better.

It can be helpful to bring your referral, an up-to-date medication list, relevant test results or hospital discharge information, and notes about recent changes. A family member or carer who knows you well may also be helpful, with your agreement.

Let reception know about any mobility, communication or other access needs when arranging your appointment.

Residential Aged Care Enquiries

For older adults living in residential aged care, please contact reception to discuss whether a nursing home visit can be arranged. Availability, location and clinical suitability need to be confirmed before booking.

Referrals and Appointments

Dr Gupta accepts referrals from GPs consulting at South Steyne Medical Centre and from GPs elsewhere in the community.

Please arrange a valid referral before your specialist appointment. Reception can advise on the booking process, how to provide your referral, current fees and appointment availability.

Already have a referral? Contact reception to enquire about an appointment with Dr Amit Gupta.

Need to discuss a referral first? Speak with your usual GP or book a GP appointment at South Steyne Medical Centre.

Our Manly Location

Dr Gupta consults at South Steyne Medical Centre, 15 South Steyne, Manly NSW 2095, welcoming patients from Manly and the wider Northern Beaches.

For appointment enquiries, call (02) 7209 2920 or visit our contact page.

Frequently Asked Questions

Do I need to be an existing SSMC patient?

No. Dr Gupta accepts referrals from external GPs as well as GPs consulting at South Steyne Medical Centre.

Will a geriatrician replace my regular GP?

No. Specialist geriatric care complements your usual GP care. Your GP remains an important part of managing your ongoing health.

Does Dr Gupta provide financial capacity or wills assessments?

No. Dr Gupta does not provide financial capacity decision-making assessments or assessments relating to wills. Please speak with your GP about a suitable referral pathway if these assessments are required.

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02/Jul/2026

Keloid Scar Treatment in Manly

If you are looking for keloid scar treatment in Manly, South Steyne Medical Centre offers assessment and treatment options with Dr Mohammad Khalesi.

Keloid scars are raised, thickened scars that can continue to grow beyond the original area of injury. They may be itchy, tender, uncomfortable or cosmetically concerning. Some people develop keloid scars after acne, piercings, surgery, burns, cuts or even minor skin injuries.

Dr Mohammad Khalesi is a GP with a special interest in skin cancer medicine and advanced skin procedures. At South Steyne Medical Centre in Manly, he can assess raised scars and keloid scars and discuss whether treatment, monitoring or referral is the most appropriate next step.

What Is a Keloid Scar?

A keloid scar is an overgrowth of scar tissue. Unlike a standard scar, a keloid can extend beyond the original wound and may become raised, firm, shiny or darker than the surrounding skin.

Keloid scars can occur anywhere on the body, but they are more common on areas such as:

Chest
Shoulders
Upper back
Earlobes
Jawline
Neck
Arms

Some keloids are small and stable, while others can grow over time or become uncomfortable.

What Causes Keloid Scars?

Keloid scars form when the body produces too much collagen during the healing process. They can occur after even minor skin trauma.

Common triggers may include:

Acne
Ear or body piercings
Surgical procedures
Burns
Cuts or grazes
Insect bites
Skin infections
Vaccination sites
Previous skin procedures

Some people are more prone to keloid scarring because of their skin type, family history or previous history of raised scars.

When Should You Have a Keloid Scar Assessed?

You may wish to book an appointment if a scar is becoming raised, itchy, painful, growing or causing cosmetic concern.

A keloid scar should be assessed if it:

Is increasing in size
Is painful, itchy or tender
Is becoming darker or more raised
Is affecting movement or comfort
Has developed after surgery, acne or piercing
Is cosmetically concerning
Has returned after previous treatment
Is difficult to distinguish from another skin lesion

A proper assessment can help confirm whether the scar is a keloid, hypertrophic scar or another type of skin change.

Keloid Scar Assessment at South Steyne Medical Centre

During an appointment, Dr Khalesi will assess the scar and discuss how it developed, how long it has been present and whether it has changed.

The assessment may include:

Reviewing the original injury or trigger
Checking the size, location and appearance of the scar
Asking about pain, itch or tenderness
Discussing previous treatments
Considering your history of keloid scarring
Discussing realistic treatment expectations
Considering referral if specialist management is needed

Keloid scars can be difficult to treat and may recur, so it is important to have a clear discussion about likely outcomes.

Keloid Scar Treatment Options in Manly

Treatment depends on the size, location, symptoms and history of the scar. Not every keloid needs treatment, particularly if it is small, stable and not causing symptoms.

Where clinically appropriate, treatment options may include:

Monitoring and reassurance
Scar care advice
Silicone gel or silicone dressings
Steroid injection treatment
Management of itch or irritation
Discussion of recurrence risk
Referral to a dermatologist or plastic surgeon where needed

The aim of treatment may be to flatten the scar, reduce symptoms, improve comfort or reduce cosmetic concern. Complete removal or disappearance of a keloid is not always possible.

Steroid Injections for Keloid Scars

Steroid injections are commonly used to help reduce thickened or raised scar tissue. They may help flatten some keloid scars and reduce symptoms such as itching or tenderness.

Treatment usually requires careful assessment and may involve more than one session. Results vary depending on the scar, how long it has been present, its location and individual healing factors.

Dr Khalesi can assess whether steroid injection treatment may be suitable for your scar.

Can Keloid Scars Be Removed?

Surgical removal of keloid scars is not always recommended because keloids can recur, and sometimes they can return larger than before. In some cases, excision may be considered as part of a specialist treatment plan, but this depends on the scar and patient factors.

For many patients, the goal is not simply to cut the scar out, but to manage symptoms, reduce thickness and minimise recurrence risk.

Dr Khalesi can discuss whether treatment at South Steyne Medical Centre is appropriate or whether referral is recommended.

Why Realistic Expectations Matter

Keloid scars can be persistent. Treatment may improve the appearance or symptoms of a scar, but results vary and recurrence can occur.

Before recommending treatment, Dr Khalesi will explain:

What the treatment is intended to achieve
Whether multiple treatments may be needed
The risk of recurrence
Possible side effects
Whether specialist referral is appropriate
How to care for the scar between treatments

This helps patients make informed decisions about their care.

About Dr Mohammad Khalesi

Dr Mohammad Khalesi is a GP consulting at South Steyne Medical Centre with a special interest in skin cancer medicine and advanced skin procedures.

He has completed a PhD in Skin Cancer Medicine and has experience in the assessment and procedural management of selected skin concerns, including keloid scars, skin cancers, moles, cysts, lipomas and other lumps and bumps.

You can read more about Dr Mohammad Khalesi here:
[Insert link to Dr Mohammad Khalesi’s SSMC profile]

Book Keloid Scar Treatment in Manly

If you have a raised, thickened or uncomfortable scar, you can book an appointment with Dr Mohammad Khalesi at South Steyne Medical Centre in Manly.

Book online via HotDoc.

For general enquiries or if you would prefer to contact the practice directly.

You can also learn more about related services here.

Frequently Asked Questions

What is the best keyword for this page?

The best patient-focused keyword is keloid scar treatment Manly. Patients are more likely to search for treatment than for the more clinical phrase “keloid scar assessment”.

What is a keloid scar?

A keloid scar is a raised, thickened scar that can grow beyond the original area of injury. It may be itchy, tender, firm or cosmetically concerning.

Can Dr Khalesi treat keloid scars at South Steyne Medical Centre?

Dr Khalesi can assess keloid scars and discuss suitable treatment options. Some scars may be managed at South Steyne Medical Centre, while others may require specialist referral.

Do keloid scars go away by themselves?

Keloid scars usually do not disappear on their own. Some may become less active over time, but raised scar tissue often persists without treatment.

What treatments are available for keloid scars?

Treatment options may include scar care advice, silicone products, steroid injections, symptom management or referral to a dermatologist or plastic surgeon.

Are steroid injections used for keloid scars?

Steroid injections may be used for selected keloid scars to help reduce thickness, itch or tenderness. Dr Khalesi can advise whether this is suitable.

Can a keloid scar be cut out?

Surgical removal is not always recommended because keloids can recur. In some cases, specialist management may be appropriate.

Will treatment completely remove the keloid?

Not always. Treatment may improve symptoms or flatten the scar, but complete removal cannot be guaranteed and recurrence can occur.

Why do some people get keloid scars?

Some people are more prone to keloids because of genetics, skin type, previous scarring history or how their body heals after skin injury.

Can I book directly with Dr Mohammad Khalesi?

Yes. Patients can book with Dr Khalesi through HotDoc or contact South Steyne Medical Centre directly for assistance.

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02/Jul/2026

Lipoma Removal in Manly

If you are looking for lipoma removal in Manly, South Steyne Medical Centre offers assessment and procedural care with Dr Mohammad Khalesi.

Lipomas are common soft tissue lumps that usually sit under the skin. They are often soft or rubbery to touch and may grow slowly over time. Many lipomas are harmless, but they can become uncomfortable, noticeable, irritating or cosmetically concerning.

Dr Mohammad Khalesi is a GP with a special interest in skin cancer medicine and advanced skin procedures. At South Steyne Medical Centre in Manly, he can assess soft tissue lumps and discuss whether monitoring, imaging, removal or referral is the most appropriate next step.

What Is a Lipoma?

A lipoma is a benign growth of fatty tissue beneath the skin. Lipomas can occur in many areas of the body, including the shoulders, back, arms, neck, chest, abdomen and thighs.

Common features of a lipoma may include:

A soft or rubbery lump under the skin
A lump that moves slightly when pressed
Slow growth over time
Usually painless, although some can become uncomfortable
A rounded or oval shape
A lump that may be more noticeable with movement or clothing

Although lipomas are usually benign, it is still important to have any new or changing lump assessed by a doctor.

When Should You Have a Lipoma Checked?

You should book an appointment if you have a lump that is new, growing, painful, firm, fixed in place, changing quickly or causing concern.

A lump should be assessed if it:

Is increasing in size
Becomes painful or tender
Feels hard or fixed
Changes shape
Is larger than expected
Causes discomfort with clothing or movement
Is cosmetically concerning
Has appeared suddenly
Does not feel like a typical lipoma

Not every soft tissue lump is a lipoma. Other possibilities may include cysts, enlarged lymph nodes, abscesses, skin cancers or other soft tissue lesions.

Lipoma Assessment at South Steyne Medical Centre

During an appointment, Dr Khalesi will examine the lump and discuss your symptoms, how long it has been present and whether it has changed.

The assessment may include:

Checking the size and location of the lump
Assessing whether it feels soft, firm, mobile or fixed
Asking about pain, growth or irritation
Reviewing your medical history
Considering whether imaging is needed
Discussing whether removal is appropriate
Considering referral if the lump is large, deep or complex

Some lipomas can be removed in a general practice setting. Others may require imaging or specialist surgical management.

Lipoma Removal in Manly

Where clinically appropriate, Dr Khalesi can remove suitable lipomas at South Steyne Medical Centre.

Lipoma removal is usually performed under local anaesthetic. The procedure generally involves making an incision over the lump, carefully removing the lipoma and closing the wound with sutures if required.

The exact approach depends on the size, depth and location of the lipoma.

Why Might Someone Choose Lipoma Removal?

Many lipomas do not need to be removed. However, removal may be considered if the lipoma is:

Painful or uncomfortable
Growing over time
Irritated by clothing or movement
Cosmetically concerning
In an awkward or sensitive location
Causing uncertainty about the diagnosis
Affecting daily activities

Dr Khalesi will discuss the benefits, risks and alternatives before recommending removal.

Can All Lipomas Be Removed in General Practice?

No. Some lipomas are better managed by a specialist, particularly if they are large, deep, rapidly growing, painful, fixed or located near important structures.

Dr Khalesi may recommend imaging or referral if the lump is not typical or if removal in a general practice setting is not suitable.

The priority is always safe and appropriate care.

Will Lipoma Removal Leave a Scar?

Any procedure that cuts the skin can leave a scar. The size and appearance of the scar depends on the size and location of the lipoma, the incision required, wound closure, healing process and individual skin type.

Before the procedure, Dr Khalesi will explain what to expect, including scarring, wound care and follow-up.

About Dr Mohammad Khalesi

Dr Mohammad Khalesi is a GP consulting at South Steyne Medical Centre with a special interest in skin cancer medicine and advanced skin procedures.

He has completed a PhD in Skin Cancer Medicine and has experience in the assessment and procedural management of selected skin lesions, including lipomas, cysts, moles, skin cancers and other lumps and bumps.

You can read more about Dr Mohammad Khalesi here:
[Insert link to Dr Mohammad Khalesi’s SSMC profile]

Book Lipoma Removal in Manly

If you have a soft tissue lump or suspected lipoma you would like assessed, you can book an appointment with Dr Mohammad Khalesi at South Steyne Medical Centre in Manly.

Book online via HotDoc.

For general enquiries or if you would prefer to contact the practice directly.

You can also learn more about related services here.

Frequently Asked Questions

What is the best keyword for this page?

The best patient-focused keyword is lipoma removal Manly. Patients are likely to search this when they have a soft lump and want to know whether it can be assessed or removed locally.

Can Dr Khalesi remove lipomas at South Steyne Medical Centre?

Dr Khalesi can assess and remove suitable lipomas where clinically appropriate. Some lipomas may require imaging or referral depending on size, depth, location or complexity.

Does every lipoma need to be removed?

No. Many lipomas are harmless and do not need removal unless they are painful, growing, uncomfortable, cosmetically concerning or uncertain in diagnosis.

How do I know if my lump is a lipoma?

A doctor can assess the lump based on its feel, location, size and history. Sometimes imaging may be needed to confirm the diagnosis.

Is lipoma removal painful?

Lipoma removal is usually performed under local anaesthetic, so the area should be numb during the procedure. Some discomfort may occur after the anaesthetic wears off.

Will lipoma removal leave a scar?

Yes, any surgical removal can leave a scar. The size and appearance of the scar depends on the lipoma, location, procedure and individual healing.

Can a lipoma come back after removal?

Lipomas can recur, although this is not always common. Recurrence may depend on whether the lipoma can be completely removed and individual factors.

When should a lump be checked urgently?

A lump should be assessed promptly if it is growing quickly, painful, hard, fixed in place, changing shape or associated with other concerning symptoms.

Can I remove a lipoma myself?

No. Attempting to remove or drain a lump yourself can cause infection, bleeding, scarring and other complications. It should be assessed by a doctor.

Can I book directly with Dr Mohammad Khalesi?

Yes. Patients can book with Dr Khalesi through HotDoc or contact South Steyne Medical Centre directly for assistance.

admin

02/Jul/2026

Cyst Removal in Manly

If you are looking for cyst removal in Manly, South Steyne Medical Centre offers local assessment and procedural care with Dr Mohammad Khalesi.

Skin cysts are common and often appear as small lumps under the skin. Many cysts are harmless, but they can become uncomfortable, inflamed, infected, irritated or cosmetically concerning. Some cysts may also slowly increase in size over time.

Dr Mohammad Khalesi is a GP with a special interest in skin cancer medicine and advanced skin procedures. At South Steyne Medical Centre in Manly, he can assess skin cysts and discuss whether removal, monitoring, treatment of inflammation or referral is the most appropriate next step.

What Is a Skin Cyst?

A skin cyst is a closed sac under the skin that may contain fluid, keratin or other material. Cysts can occur on many areas of the body, including the face, scalp, neck, back, chest and shoulders.

Common features of a cyst may include:

A rounded lump under the skin
A smooth or firm texture
Slow growth over time
Tenderness if inflamed
Redness or swelling if infected
Discharge if the cyst opens or ruptures
Irritation from clothing, shaving or pressure

Not every lump is a cyst, so proper medical assessment is important before deciding on treatment.

When Should You Have a Cyst Checked?

You should consider booking an appointment if a lump or cyst is new, growing, painful, inflamed, recurrent or causing concern.

A cyst should be assessed if it:

Becomes painful or tender
Turns red, swollen or warm
Starts leaking or discharging
Increases in size
Keeps coming back
Is in a visible or sensitive area
Is being irritated by clothing or shaving
Does not feel like a typical cyst
Has changed quickly

Some cysts may be safely monitored. Others may require treatment, removal or referral.

Cyst Removal at South Steyne Medical Centre

Dr Khalesi provides assessment and removal of suitable skin cysts at South Steyne Medical Centre in Manly.

Before recommending cyst removal, he will assess the lump, its location, size, symptoms and whether there are signs of inflammation or infection. If a cyst is actively infected or very inflamed, it may be better to treat the infection or inflammation first before planning removal.

Where removal is appropriate, cyst removal is usually performed under local anaesthetic. The aim is generally to remove the cyst and cyst wall where possible, as this may reduce the chance of recurrence.

What Happens During Cyst Removal?

If cyst removal is recommended, Dr Khalesi will explain the procedure, expected healing time, scarring risk and any follow-up required.

The procedure may involve:

Cleaning and preparing the skin
Numbing the area with local anaesthetic
Making a small incision over or near the cyst
Removing the cyst and cyst wall where possible
Closing the wound with sutures if required
Applying a dressing
Providing wound care instructions
Arranging follow-up or suture removal if needed

The exact approach depends on the size, location and nature of the cyst.

Can a Cyst Come Back After Removal?

Yes, cysts can sometimes recur after removal. Recurrence is more likely if the cyst wall cannot be completely removed, or if the cyst has ruptured or been inflamed.

Dr Khalesi will discuss this risk with you before the procedure. If a cyst is complex, recurrent, very large or located in a difficult area, referral may be recommended.

Cyst Removal on the Face, Scalp and Neck

Cysts on the face, scalp and neck can be particularly bothersome because they may be visible, uncomfortable or difficult to ignore.

Procedures in these areas require careful planning because cosmetic outcomes, wound healing and nearby structures need to be considered. Dr Khalesi will assess whether removal can be performed safely at South Steyne Medical Centre or whether referral to a specialist is more appropriate.

Is Every Lump a Cyst?

No. While cysts are common, not every lump under the skin is a cyst. Other possibilities may include lipomas, enlarged lymph nodes, abscesses, skin cancers or other soft tissue lesions.

This is why assessment is important before removal. Dr Khalesi will examine the lump and discuss whether further investigation, imaging, removal or referral is needed.

About Dr Mohammad Khalesi

Dr Mohammad Khalesi is a GP consulting at South Steyne Medical Centre with a special interest in skin cancer medicine and advanced skin procedures.

He has completed a PhD in Skin Cancer Medicine and has experience in the assessment and procedural management of selected skin lesions, including cysts, moles, skin cancers and other lumps and bumps.

You can read more about Dr Mohammad Khalesi here:
[Insert link to Dr Mohammad Khalesi’s SSMC profile]

Book Cyst Removal in Manly

If you have a cyst or lump you would like assessed, you can book an appointment with Dr Mohammad Khalesi at South Steyne Medical Centre in Manly.

Book online via HotDoc.

For general enquiries or if you would prefer to contact the practice directly.

You can also learn more about related services here.

Frequently Asked Questions

What is the best keyword for this page?

The best patient-focused keyword is cyst removal Manly. Patients are likely to search for this phrase when they have a cyst and want to know whether it can be removed locally.

Can Dr Khalesi remove cysts at South Steyne Medical Centre?

Dr Khalesi can assess and remove suitable skin cysts where clinically appropriate. Some cysts may require referral depending on their size, location, complexity or whether they are infected.

Does a cyst need to be removed?

Not always. Some cysts can be safely monitored if they are small, not painful and not causing concern. Removal may be considered if the cyst is painful, recurrent, growing, inflamed or bothersome.

Can an infected cyst be removed straight away?

Sometimes an infected or inflamed cyst needs treatment first before removal is planned. Dr Khalesi will assess the cyst and advise the safest approach.

Is cyst removal painful?

Cyst removal is usually performed under local anaesthetic, so the area should be numb during the procedure. Some discomfort may occur after the anaesthetic wears off.

Will cyst removal leave a scar?

Any procedure that cuts the skin can leave a scar. The size and appearance of the scar depends on the cyst, location, removal technique, healing process and individual skin type.

Can a cyst come back after removal?

Yes, cysts can recur, particularly if the cyst wall cannot be fully removed or if the cyst has previously ruptured or become inflamed.

How long does healing take after cyst removal?

Healing time varies depending on the size and location of the cyst and whether sutures are required. You will be given wound care instructions after the procedure.

Should I squeeze or drain a cyst myself?

No. Squeezing or attempting to drain a cyst can increase the risk of infection, inflammation and scarring. It is better to have the cyst assessed by a doctor.

Can I book directly with Dr Mohammad Khalesi?

Yes. Patients can book with Dr Khalesi through HotDoc or contact South Steyne Medical Centre directly for assistance.

admin

02/Jul/2026

Facial Skin Lesion Removal in Manly

If you are concerned about a mole, lump, cyst, skin cancer or other mark on your face, South Steyne Medical Centre offers facial skin lesion removal in Manly with Dr Mohammad Khalesi.

Skin concerns on the face can be stressful. Patients are often worried about whether the lesion is serious, whether it needs to be removed, and what the area will look like afterwards. Because the face is highly visible, any procedure needs careful assessment and planning.

Dr Mohammad Khalesi is a GP with a special interest in skin cancer medicine and advanced skin procedures. He has completed a PhD in Skin Cancer Medicine and has experience in the assessment, prevention and surgical management of skin cancers, moles and selected skin lesions.

At South Steyne Medical Centre in Manly, Dr Khalesi can assess facial skin lesions and discuss whether removal, monitoring, biopsy or referral is the most appropriate next step.

What Is a Facial Skin Lesion?

A facial skin lesion is a general term for a mark, lump, mole, cyst, spot or growth on the face. Some facial lesions are harmless, while others may require closer assessment or removal.

Common facial skin concerns may include:

Moles
Suspicious skin lesions
Skin cancers
Cysts
Raised spots or lumps
Non-healing sores
Crusting or bleeding lesions
Sun-damaged areas
Lesions that are irritated by shaving, glasses or clothing

Not every facial lesion needs to be removed. The first step is a proper medical assessment.

Facial Skin Lesion Assessment at South Steyne Medical Centre

During an appointment, Dr Khalesi will assess the lesion and consider its appearance, history and any changes over time.

This may include:

Asking when the lesion first appeared
Checking whether it has changed in size, shape or colour
Assessing whether it bleeds, crusts, itches or becomes painful
Considering your skin type and sun exposure history
Reviewing any personal or family history of skin cancer
Discussing whether removal, biopsy, monitoring or referral is appropriate

For lesions that may be suspicious, pathology testing may be recommended if removal or biopsy is performed.

Facial Mole Removal in Manly

Many patients seek assessment for facial moles because they are changing, irritated, difficult to monitor or cosmetically concerning.

Dr Khalesi can assess facial moles and advise whether removal is clinically appropriate. If removal is recommended, he will explain the procedure, scarring risk, expected healing time and whether the mole should be sent to pathology.

Facial mole removal requires careful planning because the face is a cosmetically sensitive area. In some cases, removal can be performed at South Steyne Medical Centre. In other cases, referral to a dermatologist or plastic surgeon may be the safest option.

Facial Skin Cancer Removal in Manly

The face is one of the most common areas for sun-related skin damage and skin cancer, particularly in people who have spent many years outdoors.

Facial skin cancers or suspicious lesions should be assessed promptly, especially if they are growing, bleeding, crusting, changing or not healing.

Where clinically appropriate, Dr Khalesi can perform removal of suitable facial skin cancers or suspicious lesions. The tissue is usually sent to pathology to confirm the diagnosis and guide any further management.

Some facial skin cancers may require specialist referral, particularly if they are large, complex, recurrent or located in a high-risk area.

Why Facial Skin Procedures Need Careful Planning

Procedures on the face require particular care because even small changes can affect appearance, comfort and function.

When assessing a facial skin lesion, Dr Khalesi considers:

The size and location of the lesion
Whether the lesion may be suspicious
Whether pathology testing is needed
The likely wound closure method
Skin tension and healing
Scarring risk
Cosmetic outcome
Whether specialist referral is appropriate

The priority is always safe, clinically appropriate care.

Will Facial Skin Lesion Removal Leave a Scar?

Any procedure that cuts the skin can leave a scar. The size and appearance of the scar depends on the lesion, its location, the removal technique, wound closure, healing process and individual skin type.

Before any procedure, Dr Khalesi will discuss what to expect, including scarring, wound care and follow-up. For some lesions, referral may be recommended if the location or complexity means specialist care is more appropriate.

About Dr Mohammad Khalesi

Dr Mohammad Khalesi is a GP consulting at South Steyne Medical Centre with a special interest in skin cancer medicine and advanced skin procedures.

He has completed a PhD in Skin Cancer Medicine and has been featured as an expert on SBS News Podcast and 7NEWS TV discussing ultraviolet radiation, sunscreen and skin cancer prevention.

You can read more about Dr Mohammad Khalesi here:
[Insert link to Dr Mohammad Khalesi’s SSMC profile]

Book Facial Skin Lesion Removal in Manly

If you are concerned about a mole, lump, cyst, skin cancer or other facial skin lesion, you can book an appointment with Dr Mohammad Khalesi at South Steyne Medical Centre.

Book online via HotDoc.

For general enquiries or if you would prefer to contact the practice directly.

You can also learn more about related services here.

Frequently Asked Questions

What is the best keyword instead of facial skin procedures?

A better patient-focused keyword is facial skin lesion removal Manly. Patients are more likely to search for help with a mole, skin cancer, cyst, lump or lesion on their face than for the broader phrase “facial skin procedures”.

Can Dr Khalesi remove moles from the face?

Dr Khalesi can assess facial moles and remove suitable lesions where clinically appropriate. Some facial moles may require referral depending on their features, location or complexity.

Can facial skin cancers be removed at South Steyne Medical Centre?

Some facial skin cancers or suspicious lesions may be suitable for removal at South Steyne Medical Centre. More complex lesions may require referral to a dermatologist, plastic surgeon or other specialist.

Should I worry about a non-healing spot on my face?

A non-healing spot, especially one that bleeds, crusts, grows or keeps returning, should be assessed by a doctor. It may be harmless, but it can also be a sign of skin cancer.

Will facial lesion removal leave a visible scar?

Any skin procedure can leave a scar. Dr Khalesi will discuss scarring, wound care and expected healing before the procedure. The face often heals well, but results vary between patients.

Is facial skin lesion removal painful?

Procedures are usually performed under local anaesthetic, so the area should be numb during the procedure. Some discomfort may occur after the anaesthetic wears off.

Will the lesion be sent to pathology?

If a lesion is suspicious or removed for clinical reasons, it is usually sent to pathology. This helps confirm the diagnosis and guide further care.

Can I have a facial lesion removed for cosmetic reasons?

Some facial lesions may be removed because they are irritated, bothersome or cosmetically concerning. Dr Khalesi will assess the lesion first and discuss whether removal is appropriate.

How long does healing take after facial lesion removal?

Healing time depends on the size and location of the lesion and the type of procedure performed. You will be given wound care instructions and advised when to return for follow-up if needed.

Can I book directly with Dr Mohammad Khalesi?

Yes. Patients can book with Dr Khalesi through HotDoc or contact South Steyne Medical Centre directly for assistance.

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