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With the introduction of a new class of injectable diabetes drug that hit Australia in 2022, used off label for weight loss, the term “ozempic face” has really taken off in recent months. The drug, which is injected weekly, is approved for the treatment of certain types of diabetes and is a game changer in terms of regulating appetite and resulting in rapid and sustained weight loss with continued use, which leads to improved diabetes control. No wonder then, that when there is rapid weight loss well in excess of the safe limit of 1kg/week, a lot can happen. As the saying goes, after 40, you choose between your face and your body, but you can’t have both. As a general rule, I typically advise my regular patients against rapid, drastic weight loss/change, without a proper discussion first around the pros & cons - on their bodies & the biomechanics of weight loss as well as on their skin & face. Rapid weight loss, at any age, leads to a dramatic loss of skin elasticity that often cannot be entirely corrected, often requiring surgery for function as well as aesthetics. When pts ask me as part of treatment planning, my advice is always to undergo it as slowly as possible, aiming for a longterm, lifestyle change, rather than as a fad and to do it under supervision & to recognise that beyond a point, they WILL sacrifice the face for the body - they get to decide which based on their priorities. As with any rapid weight loss methods such as lap band and gastric sleeve surgery and now this class of injectable drugs, the body is placed under immense stress, which results in several physiological mechanisms to protect itself during “starvation”, and it is important patients understand this. Common changes include but are not limited to : loss of fat in desired and undesired parts of the body, including the face. hair loss as a response to the stress of rapid weight loss which may be temporary or permanent loss of elasticity (ie spring) in the skin, leading to sagging since volume from skin quality and underlying fat is the main factor that contributes to a youthful appearance , fat loss results in a gaunt appearance, which can be very ageing Depending on the amount of weight lost and baseline skin quality as well as the patient’s age at time of the weight loss, they may suffer from enough sag that surgery may be their best option. Even so, volume replacement via fat transfer is likely to be needed during surgery. If they’re younger, and not planning excessive, rapid weight loss, I suggest a plan we can follow to keep the worst of the effects at bay, even if they’re planning on eventually having surgery once their weight has stabilised and they’ve maintained it for 6-12 months, which is usually recommended prior to surgery. The treatment plan would usually encompass multiple treatment options in stages as they begin to lose weight, and include addressing lines and wrinkles that may become more pronounced, as well as replacement of volume loss in the face and neck, with different types of fillers, for rapid replacement as well as for stimulation of your own collagen for slower volume and skin quality replacement. Lastly, they may need measures to address hair loss, both maintaining what is left and helping regrowth of lost hair due to the weight loss, which may be temporary or permanent. As always, with adequate planning and collaboration, it is possible to support patients as they shed the weight with minimal effect, provided they’re motivated to keep showing up and budgeting appropriately. Having said that, weight loss, if rapid, is not something to be taken lightly or entered into on a whim & requires planning to help patients navigate it well.
It has been some time but every now and again I get asked if I offer 0.5ml lip filler. Equally, I get asked occasionally why I don’t offer 0.5ml lip filler as an option for touchups. It’s a great question, so I thought I’d take the time to explain, rather than 1:1 as the occasion arises. 0.5ml filler is an option in many if not most, chain clinics, especially for lip filler, which is among the most commonly sought out injectables among young people seeking enhancement rather than rejuvenation. Young people also have smaller budgets so it makes sense that they’d seek what they consider to be better value for their money by pursuing options they can downsize. And yet…. Anytime I’ve given in on the spur of the moment, I’ve regretted my decision & lost money saying yes and risked feeling resentment towards the person asking, which is not my preferred method for dealing with tricky conversations especially around money and boundaries. My personal feelings & business health aside, I’ve some solid reasons why I don’t offer 1/2 syringe options, ever. you’re paying for a service that includes my assessment, opinion & treatment. The syringe and how much of it I use is irrelevant to your stated and our agreed-to goal for what you wish to achieve. I rarely agree to do touchups if I don’t feel you will need a decent amount of filler, usually > 0.5ml when you buy a meal you pay for the whole thing even if you only eat half of it, so why do we expect a 1/2 syringe option when the syringe comes in 1ml size? once opened, that syringe can’t be stored so if I don’t use it, it’s wasted assuming I do it, it’s twice as long with two people, and more consumables including numbing cream on two people for the same price as 1 syringe. legally that syringe is yours and yours only. I know many clinics will split a syringe between two friends on the same day but technically it’s not legal to do that. On the occasion I’ve done it, I’ve felt annoyed for feeling pressured to do it on the spot. I dislike people “ordering” aesthetic treatments as if off a menu including number of units or mls.It’s not how I work and it doesn’t work for my business. limiting me to your budget also limits what I’m able to achieve clinically. On the few occasions I’ve done this, patients have invariably come back for more because the dose (eg anti wrinkle) was inadequate to do the job or was barely visible (eg filler) once swelling settled. the dose I suggest we use, is the bare minimum to achieve the desired result/ outcome - this is a basic, sound medical principle, and dropping that dose to suit your budget often means you’ll get less than ideal results or need retreatment sooner. I work in 3D and often need to use 0.6-0.8ml of a syringe on lips to achieve good results front, side and in aiming for symmetry, even for touchups. In saying all that, there are many people who do offer 1/2ml syringes. I’m just not one of them. At Skin Essentials, I am all about as much transparency and healthy boundaries as possible and I like to think that patients who choose to see us understand and accept this. If they don’t then they should not be seeing me and I encourage them to go elsewhere. We value safety and following rules more than a quick sale, any day.
I recently did a live on Instagram with Clinical Psychologist Dr Toni Pikoos, in which we discussed the intersection of medical aesthetics and psychology as I have been reflecting on the type of patients who are less likely to have success with aesthetic treatments. As a doctor, I cannot overestimate the importance of the initial consultation in assessing patient concerns, their understanding of what is possible as well as their expectations of how aesthetic treatments will help them, whether they are willing to stick to the suggested timeframe and budget for the best possible outcomes. As such we simply will not engage with anyone who refuses to begin with an initial consultation or believes they can simply order a treatment as there is a chance they may be wrong, and feel they’ve wasted their time in attending the appointment. Perhaps especially because non-surgical treatments are largely elective from a medical point of view, I believe that practitioners have an ethical responsibility to select patients carefully, including screening for certain red flags and having protocols in place before treatment even begins. Related to this, it is imperative to look out for signs of body dysmorphic disorder (BDD) during the initial consultation and early stages of treatment as this is a contraindication to aesthetic treatment. The mental health of patients and the responsibility to protect the vulnerable ultimately lies with us so we have a duty of care to assess this before we inject or to press pause if we recognise it after starting if we can’t educate our patients. Social media contributes to the disconnect between what is physically possible and what is best left to photoshop and filters, and marketing by big companies further encourages this by disguising medical treatments as just beauty - “lunchtime procedures” etc only serves to perpetuate this myth, so at Skin Essentials we go to some lengths to screen all new patients for potential red flags, but read on to see why this is harder than it seems. 3 key examples we encounter regularly enough: 1. Unrealistic expectations Often as early as during the consultation, but more commonly during the early treatment stages, it may begin to become apparent that the patient has expectations of aesthetic treatments that are unrealistic - for example, they may expect to be frozen with anti wrinkle treatments and to stay that way for the whole 3 months. or they may expect that 1ml of filler will replace typical volume loss in a 40 year old face, which might need on average, 4-6mls. others may come in with stories of having had treatment elsewhere with impossibly low doses which lasted unreasonably long periods of time. At this stage, if it becomes apparent, I try and explore this expectation with them, how likely it is, and whether I can reasonably help them, including suggesting I may not be the right person for them if I am unlikely to be able to meet their expectations with respect to price, dose (and related to this, cost) or timeframe. 2. Budget vs true cost mismatch By the time we see people at Skin Essentials, most people have been dissatisfied with the ageing process for some time, usually months to years, and are keen to begin to do something about it. Unfortunately due to social media, as well as well meaning friends and a general sense of secrecy around the true cost of aesthetic treatments they may severely underestimate the cost in terms of timeframe, frequency of treatments initially and the budget realistically needed to effect significant change in the areas that trouble them, which are usually also multi-factorial: skin lines, wrinkles and sundamage volume loss with hollowing of the face and sagging around the lower face sun damage pigmentation redness/sensitivity etc There is no one treatment that will treat all these various concerns; treatment options are usually best combined, and undertaken over multiple sessions over months to begin to see changes. For this reason, I commonly tell patients it is like orthodontic treatment - if it’s going to cost $10,000 and they only have a budget of $2500, they may be better off not beginning as they won’t achieve desired results. Equally, it is better to start and keep going than to wait because the ageing process will not. 3. Requesting to look like celebrities Rarely, patients will present with pictures of celebrities they wish to look like eg JLo, one of the Kardashians or specific attributes - big juicy lips, a non surgical butt lift for example - and it is then up to the practitioner to explain why it may not be a reasonable goal even if they have the money for it, due to limitations of anatomy. So when this occurs, how do we deal with it at Skin Essentials? 1. Consultation The fact is, there is never such a thing as “just some anti wrinkle treatment for X or Y” or “just some lip filler”. It does not matter how simple the prospective patient thinks the issue is, as a medical practitioner it is my responsibility and duty of care to assess each person, including a detailed medical history, assessment if appropriate and their expectations before we proceed to treatment, if it is appropriate to do so. We don’t do treatments made to order. At Skin Essentials, you are emailed an intake form as soon as you have booked an appointment and it is in your best interests to fill this out as soon as feasible so we have a clear idea of your concerns as well as what is likely to be the problem. In truth, the consultation begins well before you walk through the door and we have a fairly good idea of what we will see and suggest when we finally meet you. 2. Education We aim to maximise our time in clinic addressing your concerns, educating you on what they mean, and what, if any, the options to help improve them are; additionally, we discuss
Patient safety is a pet peeve of ours here at Skin Essentials. In as much as is possible, we pride ourselves on doing everything we can, from the time you book a consultation to the day of your planned treatment to aftercare and followup, to work in a way that is ethical and safe while keeping you informed every step of the way. So it is surprising to regularly see media articles about cosmetic cowboys as well as the sleight of hand that frequently shows up on social media feeds as medical aesthetics but which is largely clever marketing and gimmmickry to lure unsuspecting patients into procedures. So how is a patient to know and what are some red flags to watch out for to help yourself stay safe? Read on to find out our thoughts! 1. Your provider should state their credentials and qualifications clearly. In Australia, only AHPRA registered healthcare workers (HCWs) are cleared with appropriate training, to inject for medical aesthetics - medical doctors, nurses and dentists. Dermal technicians can additionally, undertake some skin therapies that are within the scope of their practice. As doctor is not a protected term, you will find some people including naturopaths among others using the term “doctor” in their title, while not being a medical practitioner, which is a protected title. Equally, not all doctors are of equal standing - a dermatologist (FAAD) is not the same as a plastic surgeon (FRACS, Plastics) and not the same as someone like me an FRACGP. All three specialities are additional training years in respective fields, with scopes of practice, so it is important to understand these, versus doctors who have the base degree (MBBS, or MD or BMed) or a dentist (BDS) or a registered nurse (BN) to know who is treating you and their likely skillset and qualifications. 2. You should have a good idea of their years of experience in aesthetics and any prior medical experience. In Australia, anyone can look up their AHPRA registered provider using the AHPRA website to check their provider’s qualifications, whether they are specialists as well as whether they are of good standing to practice in the community and how long they’ve been working for. Someone who has qualified in 2016 is not the same as someone who qualified in 2001 and has been working all this time. Likewise, someone who has the base MBBS degree since 2016 is not the same as someone who has the MBBS, FRACGP title for example. Speciality training programs involve extra years of a structured training program, as well as multi-part examinations they must pass to qualify for fellowship which ultimately serve to benefit patients. 3. They never promise or guarantee an outcome No one can ever guarantee you won’t bruise, or only need a single treatment or even an outcome. The face is the most mobile part of our body and we rely on it to communicate our thoughts, mood and so much more. As such, none of us is completely symmetrical and it is impossible to guarantee an outcome no matter how diligent the provider, so be wary of anyone who over promises. Equally, unforeseen patient factors may be at play in consultation that may mean the procedure needs to be abandoned partway and either revisited at a later date or referred as is appropriate. When this happens, it is important to understand what the options are including around payment and your obligation for equipment and your doctor’s time. 4. They seek clarity with you regarding your wishes to allow your photos to be used to show other patients or on social media, and any conditions attached to these, in writing. It is a direct violation of your rights as a patient to have photos or information disseminated without your consent. Being a highly visual industry, your doctor may ask for your consent to share photos with patients in clinic, or even on social media. If you say yes, they should clarify with you the extent of your consent, preferably in writing so there is no miscommunication. 5. They use machines and products that are TGA registered. This is a big one. Terms such as “low level laser” and “medical grade” and even “standard dose” are in and of themselves, meaningless. What you are seeking to know ultimately is, whether your provider uses machines and products that have passed safety requirements ie are TGA registered (and therefore more expensive to buy, own and to maintain, raising cost of treatment) and not bought off back alleys or overseas or via eBay. 6. You know what is done and what products are used At Skin Essentials, we aim to minimise paper wastage and email itemised receipts to you after each consultation and treatment with the name of the product that was used as well as the dose used if appropriate and cost included any discounts applied so you are in the know, and can also use this information with any other care providers you see in future. Equally, our initial comprehensive consultation plan is usually a written treatment plan emailed to you for your records of what was discussed including consent to share photos and for you to share with any other care provider. We aim to be as upfront and transparent as possible to minimise misunderstanding barring unanticipated patient factors. 7. They will refuse to treat at “injectables parties” and the like We have all, at one time or another been asked if we’d treat at these parties. The problem with this is manifold. Injectables parties and medical procedures do not mix: guests may be drinking alcohol and may not be able to properly consent in the event of an adverse outcome alcohol is generally avoided at least 24 hours prior to injecatables in gatherings, we cannot guarantee privacy for patients, who may not want their medical history disclosed to friends. in the event of an adverse outcome, a home or party venue is not suitable to manage unlike
Perhaps the biggest way to understand that medical aesthetics isn’t the same as hair, nails and beauty, is the fact that in order for us to carry out any procedures on you, it is a legal requirement to consent you for the procedure prior. While many, if not most people rush to sign the form at the very bottom and may not even properly read it, trusting their technician or doctor, it is in your best interest to not rush this, and to take your time and understand what you are signing up to and for. In my experience, a lack of attention and proper informed consent can lead to potential misunderstandings when something goes wrong. Think of consent forms as your opportunity to understand what you are saying yes to, and that you understand the risks and side effects - common and rare- as well as what is expected of you - eg a series of treatments in a given timeframe - as well as what you can expect from your doctor in terms of aftercare and followup routinely as well as in the event of a problem. Many clinics that offer complimentary consultations rely on the quick and cursory consultation that relies on a very brief process before waving a form under your nose to sign before treatment. They largely rely on a high conversion rate on the day (commonly boasting >95%) to generate revenue. This model does not work for me and feels inherently dishonest to me. Perhaps due to my background as a surgical trainee, I’m aware that consent is important and more than just cursory and often, a cooling off period is needed or a pause if a patient is uncertain, or more scared/ nervous than excited. So what should a consent form cover to give you peace of mind of an ethical provider? 1. You should understand the risks realistically before signing the form. At Skin Essentials, we email all forms out at the time of booking so patients have plenty of time to read, process and look into any potential risks before signing if they are comfortable. On occasion, patients may hold off signing if they have further questions till they are back in for the treatment. Doing this ensures we allow patients enough time to read through the information without feeling rushed into signing. 2. The consent form should outline common and rare risks and side effects of the procedure and note that these are general, and your experience may nonetheless vary. No two faces are the same, nor are two faces going to have the same anatomy and potential for complications. Equally, common side effects, while common, may be different for each person. So your consent form should give you some idea of what to expect from best case to worst case scenario so you can proceed with as much information as possible. 3. You should understand the costs, whether results can ever be guaranteed and the importance of the aftercare process or timeframe if appropriate and relevant. Costs should be outlined for you, and you should understand what you will pay, your payment options as well as when payment is due as well as a reasonable estimate of any extra you may need to factor in for more, since aesthetics is an inexact science with no guarantees of outcomes. 4. You should be able to access the form to read over well before your planned procedure ideally. Ideally, you should have access to the consent form well ahead of your planned procedure so you can read it in your own time, mull risks and side effects as well as downtime and sign with as much knowledge as you can reasonably be expected to have, without any pressure to go ahead. 5. The form may clarify what will happen if you need more treatment, and costs if applicable. Due to medical aesthetics being an inexact science, many consent forms will often say things like “we cannot guarantee outcomes, only treatment” as well as costs if you were to end up needing more product than originally budgeted for/ estimated so you understand who’s liable for the cost. Equally, many will state cleary their policy with regards to refunds due to change of mind/ dissatisfaction with outcome etcetera. You should satisfy yourself that you understand all of these before proceeding. 6. You should have access to a copy of your signed consent. Lastly, ideally, you should have a copy of your signed consent for your own records in the event of any dispute so you can see exactly what you signed consent to. Remember, medical aesthetics, unlike beauty, involves machines and procedures that frequently either break skin or go beneath the skin and carry rare but real risks so take your time, ensure you understand the risks and side effects including downtime and costs, to avoid misunderstandings. Anything else you’d add that you think should be included before signing a consent form?
In the last decade or more, fillers have become increasingly popular for noninvasive rejuvenation of the face, with a subsequent increasing number of adverse effects reported with rise in their use in the scientific literature. The most serious complications of fillers include vascular complications (VO) and blindness. But how common is the most catastrophic side effect of all, blindness in one or both eyes, and who is most at risk? With increased education and posts on social media of the side effects of medical aesthetics, especially fillers, comes necessary and healthy apprehension among patients, who should rightly be apprehensive. Medical aesthetics, often presented by marketing as “just beauty” is anything but, and carries rare but serious risk as well as significant limitations, so it is absolutely important patients are aware of these. To better educate patients, it is imperative that your clinician keeps up to date with the latest data and protocols, so in this blog post, I went over 3 main articles looking to answer 3 main questions: How common is blindness from fillers? Are there areas of the face most at risk and if so, what are they? If someone chooses to have filler, what are some green flags when choosing a provider? The 3 articles I used are listed below. A summary of their findings follows: between 1905 and 2015 98 cases of blindness were reported globally the bulk of these were within 2010 - 2015 in 2014 alone, more than 5.5 million filler treatments were reported globally between 2015 and 2019, a further 48 cases of blindness/ vision loss were reported due to fillers virtually every anatomic location where filler is Injected on the face is at risk for blindness the commonest sites are: glabella nose nasolabial fold forehead note all these structures are midline ie located in the middle of the face, almost in a straight line, where circulation is most vulnerable to blockage. of the fillers that caused vision loss: fat transfer was most common culprit at 47.9% (and not dissolvable) HA fillers accounted for 23.5% collagen, for 8.2% PLLA, a biostimulatory filler, for 3.1% Cahydroxyapatite, another biostimulatory filler, for 2.0% the last article referenced here is a case study of filler into the glabella(frown area), the highest risk area of all to inject due to its close location to two major arteries, the supratrochlear and supraorbital arteries. The conclusions reached by the articles: rising demand for fillers won’t be going anywhere anytime soon moving to full face rejuvenation also means that larger volumes of filler (or fat) are needed to achieve desired results (even if you are open to face/neck lift, the only solution to volume replacement is with fat or filler) concern that non expert injectors are injecting fillers without adequate understanding of facial anatomy, increasing risk of complications while the outcome can be devastating, in experienced hands the risk is still very very low. conversely, when vision loss does occur, outcomes are almost unequivocally poor with no clear protocol or evidence base for their management. the highest risk areas for vision loss again: glabella (frown lines) nose nasolabial folds (smile lines) forehead So what are some mitigating factors you can use to stay safe if you decide to undergo full face rejuvenation with fillers? check your clinician’s qualifications check their protocols in the event of any complications - anaphylaxis, vascular occlusion, followup and vision loss check they have backup plans in place in the event of a disaster If the idea scares you too much, it is perfectly reasonable not to have any fillers at all as long as you understand that volume replacement is not possible without fat or fillers. After all, none of these treatments is medically necessary and you should never feel pressured to proceed if you are undecided, nor should you ever pressure your clinician into a treatment they do not feel is best for you. At Skin Essentials, Dr Joshi does not inject the glabella at all, and will only undertake highest risk areas such as forehead, nose and nasolabial folds in patients she has known for some time, and when it will make a significant difference to their outcome AND they understand the risks. These are not areas to undertake at a first consultation nor without a standing relationship. We take your safety, and our own, very very seriously. Did you know of these high risk areas? Sources: 1. Dermatol Surg 2015 Oct;41(10):1097-117. doi: 10.1097/DSS.0000000000000486. Avoiding and Treating Blindness From Fillers: A Review of the World . Literature 2. Aesthet Surg J 2019 May 16;39(6):662-674. doi: 10.1093/asj/sjz053. (Update on Avoiding and Treating Blindness From Fillers: A Recent Review of the World Literature) 3. https://doi.org/10.1016/j.ajoc.2022.101407 Ophthalmic artery occlusion after glabellar hyaluronic acid filler injection
Not everyone wants to have injectables. The vast majority of people who contact us at Skin Essentials are afraid of injectables. They usually come in frightened of having lips or anything, that looks too obviously fake. They come in armed with pictures on Instagram of what they do NOT want to look like- big pouts, pillow faces, fake high cheekbones and more. One patient said to me, “they look stunning in selfies but I have to wonder, with the almost cartoon-like faces, what do they look like when they talk and move their faces.” And that’s it exactly. None of the people I see, wants to look like that. They don’t want people to know they’ve had “work done” or “what work”. And some simply haven’t the budget for injectables but still want to age well. So what options are there? I like to think of beautiful skin as a blank canvas for all kind of enhancements, from the barest of makeup, to injectables, if that’s your thing. So let’s go from the basics to the slightly more involved for those who are wary of injectables. 1. Personalised skincare regimen Not all skins are equal in the way they behave and react to chemicals placed on their surfaces. Knowledge is power and as much as automated systems can be to help you decide what skincare type or brand to use, the best way to do it is to enlist the help of someone who can sit with you and work out your own personalised regimen based on you, your lifestyle, your needs as well as your likelihood of compliance ie how likely are you to use the skin plan if it’s 5 steps vs 2 steps? 2. Medical Skin Peels These are simply great, in sets of 3-6 peels, for rejuvenating skin, removing the most superficial layer of skin allowing healthier skin underneath to come through. Over time, combined with step 1 above (home care) you’ll notice your skin feels smoother, more even toned and lustrous. Makeup if you wear it, will go on smoother and you’ll receive compliments on your skin. What’s not to love about that? Peels start at $120/session and may be booked with our therapist or Dr Joshi herself. 3. Medical Skin Needling This is a 2-in-1 treatment- controlled micro trauma to the skin, ie controlled irritation and trauma, just enough to stress the skin out, without causing lasting damage, to stimulate new collagen and elastin production of your own, over time. We add in a cocktail of serums while the channels are open, to help them penetrate deeper. Results again, are, over 3-6 monthly sessions, smoother, firmer skin, tighter pores and skin that feels wonderful. Fantastic for all skin types, even those with melasma and hyperpigmentation, with adequate care taken. Price $350/session 4. AquaGold AKA Mesotherapy with a cocktail of options This is a new treatment option of a cocktail of treatments, inserted just under the skin surface, to cause micro trauma similar to the skin needling, but with added benefits of a. Small dose of antiwrinkle treatment to tighten pores, b. Filler to help plump skin surface c. A mix of serums and a. And b. Above. Prices start from $600/session every 3 months. 5. SkinBoosters For ultimate hydration that’s long lasting year round, it’s hard to go past this treatment. We’ve posted on it here (link) and here (link) We recommend, for best results, an initial treatment of 3 sessions 2-3 weeks apart, 3mls each session ($700, normally $900) and then twice a year to maintain, 3mls ($900). Makeup will go on smoother, skin won’t feel as dry in winter, and look smooth, even and rejuvenated in summer. Win-win-win 6. BBL for skin rejuvenation For women who do NOT suffer from melasma/hyperpigmentation, this treatment is a win-win. The treatment itself has no downtime, and involves a test patch at the initial consult, to ensure no adverse effects before booking you in. We suggest 3 treatments a month apart for best results- smoother, plumper skin over time. Full face treatment from $349/session (also possible for hands and neck and décolletage) 7. Laser for skin rejuvenation Similar to BBL above in its collagen inducing properties but suitable for all skin types, laser toning involves no downtime, and we recommend minimum 3 sessions a month apart initially. 8. Facials incorporating enzyme peels For those with sensitive skin, or prior to an event, this is the perfect option to have amazing skin as the enzymes slough away surface skin and reveal glowing skin underneath. 9. Hydrodermabrasion New in our offering, hydrodermabrasion is a gentler way to offer hydrodermabrasion with infusion of peptides and other serums to help you not only rejuvenate your skin but also help cleanse pores, help with acne and more. Prices from $140/session Confused? Book a consult with Dr Joshi and let her guide your choices with a personalised treatment plan that works with your lifestyle and budget. Finally, remember that any of these are in addition to, and AFTER Sunscreen twice a day, SPF 30-50 under makeup if you wear it, and on top of your skincare. Sun hat during the peak hours of the day (approximately 9-4) Sunglasses Long sleeved clothing NO smoking (or QUIT if you are) Enough water and sleep A healthy diet with lots of fruits and veggies Want to know more? Get in touch, make an appointment and let’s set up a treatment plan for you with Dr Joshi. Book Now
At Skin Essentials, we focus on a holistic treatment plan, with the aim being a long term relationship between you and our team of practitioners. As such, we encourage appointments so that adequate time is allocated to discuss your concerns, expectations and whether we can meet them in the allocated budget. At present, it is our policy that all new patients have an initial consultation with Dr Joshi. This can be booked online or on the phone. Prior to this appointment, we send you an email asking for information on you and your general health as well as your skin concerns, if any and what you’re hoping to achieve. It is in your best interest to fill this form out in detail prior to your appointment so we can set up a file for you, ready to go on the day of your appointment. During your consultation, Dr Joshi will be assessing your face and skin in real time, including your skin concerns. She will also be analysing your skin quality, while asking for a detailed medical history. Following this, she will conduct a skin analysis, including using equipment if needed, to assess for sun damage and (early) skin cancers, which will inform her advice to you and modify the treatment plan. At this point, if all is well, she will suggest one or several things, based on your concerns and needs: a skincare routine which can be basic, or more complicated, with prescription medication if needed Any preparation needed prior to any suggested procedures and when to book for review/treatment next Any procedure that MAY be undertaken that very day, at additional cost, if you are ready to go ahead A review date and further treatment as needed A written treatment plan for further treatment and a timeline and cost We focus very much on the assumption that like holistic lifestyle changes, the road to your best skin ever is one that will take time, effort and regular appointments as well as budget, and not usually something attained in a single consult or two. Skin, especially neglected skin, takes time. At Skin Essentials, we believe very much in patient autonomy and do not want anyone to feel pressured or rushed into something they may regret, especially when it is all entirely elective, non medically necessary and involves significant sums of money. We want you to be certain, and confident in our ability, not only during the procedure, but in the aftercare and ability to contact us for reassurance as needed. Hope to see you in clinic soon to plan your best skin ever for years to come! Want to know more? Get in touch, make an appointment and let’s set up a treatment plan for you with Dr Joshi. Book Now
Monday: | CLOSED |
Tuesday: | By arrangement |
Wednesday: | 08:00 - 16:00 |
Thursday: | 08:00 - 16:00 |
Friday: | 08:00- 16:00 |
Saturday: | 09:00 – 13:00 (1/month) |
Skin Essentials will reopen the week beginning 11th October 2021.
Per NSW government regulations, only double vaccinated patients will be served when we reopen and we will be checking vaccination certificates for all patients upon booking. This requirement may change as of December 1st, and we will advise you accordingly.
Please email us (contact@skinessentials.com.au) or text us (0413174654) your vaccination certificate as soon after booking as you can. We will not be able to see anyone for treatments or confirm appointments without this.
In the interest of full disclosure, transparency and patient safety, all patient facing staff will be fully vaccinated by the time of reopening. Please read our reopening FAQ for more information.