Skin Consultation
Welcome from Dr Cosima Karlburger
BA, B(Med)Sc, MBBS, FFMACCS | Cosmetic Physician | Founder, Dr Cosima Medispa
You’ve been referred to us by one of our trusted professional partners, and we’re pleased to welcome you.
I trained in medicine at UNSW and spent several years across medical and surgical environments before founding Dr Cosima Medispa in Bondi Junction in 2008. My approach is clinically grounded and genuinely personalised, working with each patient to understand the factors influencing their skin before recommending any treatment pathway.
Every new patient begins with a Comprehensive Skin Consultation. This appointment allows me to carefully assess your skin, understand your concerns, and develop a treatment plan tailored to your goals and lifestyle.
Your consultation combines clinical expertise with advanced skin imaging, so you can see and understand your skin in greater detail.

A Detailed Assessment Of Your Skin
Your consultation is designed to be thoughtful, thorough, and informative.
During the appointment, Dr Cosima may explore:
• your skin history and current concerns
• lifestyle and environmental factors that influence skin health
• previous treatments or skincare products
• detailed visual assessment of your skin
• discussion of possible treatment pathways where appropriate
This process allows Dr Cosima to build a clear understanding of your skin before recommending any treatment approach.
Advanced Skin Imaging And Analysis

As part of your consultation, we capture a series of clinical photographs and skin analysis images using advanced imaging technology.
These images allow us to observe different aspects of skin health, including:
• pigmentation patterns
• redness and vascular changes
• texture and pore structure
• fine lines and wrinkles
• sun-related skin changes
The imaging system uses specialised lighting modes to reveal details that are not always visible to the naked eye.
This deeper view helps guide treatment planning and provides a useful reference point when monitoring changes in your skin over time.
Seeing Your Skin In Greater Detail

During the consultation, Dr Cosima reviews your images with you using an iPad display.
This allows you to see your skin more closely and understand the factors influencing its condition.
Together you can explore areas such as:
• uneven skin tone
• areas of sun exposure
• changes in skin texture
• early signs of skin ageing
Many patients find this visual discussion helpful in understanding their skin.
Your Personalised Skin Plan
Following your assessment and imaging review, Dr Cosima will guide you through a personalised approach designed around your skin.
This may include discussion of:
• treatment options where appropriate
• recommended timing and sequencing of treatments
• skincare that may support your skin health
• realistic expectations and ongoing maintenance
The goal is always to create a thoughtful, personalised plan rather than a one-size-fits-all approach.
Access Your Skin Images Anytime

Your consultation images and skin analysis results are securely stored in your patient portal. This allows you to:
• review your images at any time
• track changes in your skin over time
• revisit your personalised treatment plan
Many patients appreciate having a visual record of their skin journey.
Begin With Understanding Your Skin
Every patient’s skin is different.
Beginning with a Comprehensive Skin Consultation allows Dr Cosima to assess your skin carefully and recommend options tailored to your goals.
This appointment provides the foundation for decisions that support healthy, confident skin.
Already A Patient?
Existing patients can view their treatment plans, images and recommendations through the Patient Portal.
Do I need to know which treatment I want before booking?
No. Many patients book a consultation when they are unsure which treatments may be appropriate. The consultation allows Dr Cosima to assess your skin and guide you through options that may support your skin goals.
