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Built from clinical practice, backed by science.

This protocol was developed and observed inside in.pelle atelier, a science-led skin and wellness clinic in Concord NSW. It was not assembled from existing literature. The sequencing emerged from clinical problem-solving: a specific patient population, a specific set of risks, and a commitment to outcomes that are both effective and safe.

The framework was presented as a keynote at SKINCON26 and submitted to the Australian Society of Dermal Clinicians. It represents close to a decade of academic study applied to a real clinical challenge.

Founder and Director, in.pelle (The House of Skin and Wellness), Concord, 2137, NSW

Developer, cutis. clinical skincare line

Facilitator, Australasian College of Health and Wellness

Educated at Tertiary level across General Science(Microbiology and Human Physiology), Applied Health Science (Clinical Aesthetics) and Cosmetic Chemistry

Currently completing Master of Nursing

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A protocol you can put into practice

This is a full clinical framework written by a practising dermal clinician. Not a general guide. Not a summary. A sequenced, evidence-grounded protocol designed for practitioners who work with higher phototype patients and need a rationale they can stand behind.

  • Barrier Optimisation, Active Acne Clearance, and Dermal Rehabilitation. Each phase explained with rationale, modality selection logic, and sequencing principles specific to Fitzpatrick Type IV-VI skin.

  • Why PicoSure at 1064nm and 785nm. Why mandelic acid in the barrier phase. Why TCA at 5% not higher. The clinical reasoning behind every choice, not just the what.

  • The PIH risk profile, therapeutic window constraints, and how to stack modalities without triggering complications in this phototype. Built from first principles.

  • Documented outcomes across both patients: baseline grading across Pillsbury, GAGS and IGA scales, phase-by-phase progression, safety profile, and patient-reported results.

  • Fifteen supporting references with PubMed and DOI citations, so the framework is something you can discuss with confidence in a clinical setting.

  • This protocol was the subject of a keynote presentation at SKINCON26 and submitted to the Australian Society of Dermal Clinicians. It has been reviewed in an academic conference setting.

Written for clinicians, not patients

This is a clinical education document. It assumes working knowledge of dermal practice, modality principles, and phototype-specific risk. It is not suitable for patient use.

Dermal clinicians and therapists

Practising clinicians who want a structured, evidence-informed framework for managing complex acne in higher phototype patients and need a sequencing rationale they can apply in practice.

Cosmetic nurses and doctors

Medical practitioners expanding into multi-modality skin management who need phototype-specific protocol logic grounded in clinical evidence, not adapted from standard guidelines.

Aesthetic educators and clinic directors

Educators looking for a documented, case-based framework to teach sequencing principles to their teams, or clinic directors reviewing protocols for higher phototype patients.

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Get The Protocol

The PDF guide is a complete clinical document. It contains the full protocol rationale, phase-by-phase breakdown, modality selection logic, case study documentation, and evidence base.

Immediate download on purchase. Formatted for clinical reference and printable for desk use.

  • Full three-phase clinical protocol

  • Modality and ingredient rationale

  • Fitzpatrick IV safety framework

  • Two-patient case study with documented outcomes

  • Acne grading across Pillsbury, GAGS and IGA scales

  • 15 supporting references with full citations

1:1 Zoom Training

The protocol document gives you the framework. A one-on-one session gives you the clinical reasoning behind it, including how to adapt it to your specific patient presentations, device access, and practice setting.

Sessions are held via Zoom. In-clinic training at in.pelle atelier in Concord NSW is also available upon request. Limited availability each month.

60 minutes with Sarah Stedman-Yosufi

Full protocol walkthrough and case discussion

Adaptation to your clinic context and device access

Open Q&A, bring your specific patient presentations

In-clinic training at in.pelle atelier available upon request

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