BBL By Sciton with Dr David Kosenko

Loving this new episode – another fun and learning episode – so grab a cuppa and press play! Today we are joined by Dr David Kosensko, who talks to us about one of his favourite treatments, BBL by Sciton.

In this podcast, we’ll learn about how BBL works, the difference between BBL and BBL HERO, difference between IPL and BBL, how BBL treats pigmentation and other skin concerns!

Dr. David Kosenko, is the owner of Impress Cosmetic Medicine in Victoria. He’s also the director of Ti-Tree Family Doctors, and he’s the Vice President of the Cosmetic Physicians College of Australia.

Excited to listen to this episode? Well we were pretty excited to share this with everyone. Tap the link in bio!

Transcript

Trish
Hello, listeners. It’s Trish Hammond here again, and I’m from the Aesthetics Uncensored Podcast and today I’ll be speaking with Dr. David Kosenko, who is the owner of Impress Cosmetic Medicine in Victoria. He’s also the director of Ti-Tree Family Doctors, which is also in Victoria and he’s the Vice President of the Cosmetic Physicians College of Australia and today we will be talking about Sction’s BBL so welcome Dr. Kosenko.

Dr Kosenko
Hi Trish lovely to speak to you again.

Trish
Nice to speak to you too. I always love talking to you so today I’m excited to learn more about the BBL and how wonderful it is in your clinic. Sorry. So first of all, how long Oh, tell us a bit about you. I know we’ve spoken on this podcast a couple of times before but I love the fact that you love what you do, what I mean? Like you live, breathe and sleep aesthetics, cosmetic medicine and all that sort of thing. So first of all, why did you head down that path when you were starting your career as a doctor?

Dr Kosenko
So I guess I evolved into cosmetic and aesthetic medicine, I graduated in 1987 but I only started doing aesthetics in about 2007. Having done quite a few different sorts of things in the past areas of special interest but it came out of necessity I guess in general practice and that I was seeing a lot of people with common skin conditions and I realised that in general practice it wasn’t managed particularly well and a lot of general practitioners didn’t know a lot about dermatology and more so aesthetic medicine and waiting times simply for people to get into see dermatologist was getting longer and longer and longer. So decided to learn a little bit more and one thing led to another you know started with looking at cosmeceutical products to help improve the skin and one of the first conditions I was looking to try and improve was rosacea and evolved into using injectables, both wrinkle relaxers and dermal fillers and over the last few years, practices evolved really into having a lot more energy based devices and the focus of a lot of our treatments comes down now to skin quality and skin appearance. So it’s been a journey along the way and I’m still learning, still evolving what we do and the things we offer and enjoying it immensely. It’s a great source of pleasure, very satisfying work.

Trish
Yeah, I think it’s great when you’ve got a job where you just make people feel better about themselves. Like there’s a lot to be said for that, because not all, medical is like that, hey,

Dr Kosenko
Yeah, for sure. It’s really nice to see people who want to come and see you, looking for advice and assistance with particular concerns, and then being able to deliver, obviously, can’t always do that. And sometimes you need to refer to or tell people that you can’t correct a particular problem but a lot of the time, people don’t really know what can be achieved and they can look for advice. Really.

Trish
Yeah, that’s true, you may think you know what you need but you really only know what you want, you don’t own the outcome. So what you need is you need people such as yourself to sort of say, okay with this, if this is actually the outcome, what you want, this could be what you actually need, because I’ve seen it time and time again, where people will think, oh, I need to go and have laser to fix this when it’s probably not really it’s probably where they need to have broadband light or IPL or whatever to fix something with I think it’s a hardcore laser. So you do need to align yourself with a clinic that can help you to achieve those outcomes so tell us with the Sciton BBL, tell us a bit about it, I know that you’ve had it in your clinic for a few years. I know it’s a bit of a workhorse for you and you use it all the time so why BBL or like, what is broadband light? Because I know, like I’ve heard of intense pulse light that I kind of semi understand but BBL is kind of like a new terminology so can you explain that to us a bit?

Dr Kosenko
Sure. BBL, or broadband light is a form of intense pulsed light or IPL. It’s a proprietary technology that’s owned by Sciton from the United States and I guess the important thing is to differentiate IPL and BBL from lasers. So a laser is a uniform wavelength of light whereas broadband light or IPL is produced by a flash lamp, which is a whole range of wavelengths, which are then passed through a filter. So the basic technologies different between the two but I find that people that come to see me will often use the word laser for all forms of light energy treatment and that’s not entirely correct, or it’s not correct. So broadband light is, I guess, a form of IPL and like I said, it’s technology that’s owned by Sciton.

Trish
Okay, because I know you’ve had it for five years and this podcast comes off the back of you because you’ve been obviously treating Tegan Martin and she loved the treatment so much that she wanted to talk about it. So it’s not like, what I’m trying to say is it’s something that you kind of need to do on a regular basis. If you’re getting age spots, you might want to get them removed and then like two years down the track, you might think, Oh, well, there’s a bit of pigment here, I can do it again or you might have a facial vein, or just for ageing skin really as well, am I right? Like it’s a tremor that you can have quite often is what I’m trying to get across.

Dr Kosenko
You can, if you wanted to. You could have a BBL treatment on a monthly basis so you can really have it very often. It depends on what you’re aiming for. I guess I’ll just backtrack a little bit. I guess, our practice over the years was very slow to introduce energy based devices because we want to have a really good understanding of the sort of treatments people were looking for and with the people that come to see me, they had concerns such as pigmentation or redness or skin quality or lines and wrinkles and one thing in common with the majority of them was that none of them wanted to have a treatment that any significant downtime. By downtime, I’d really mean more than one day at most so they really wanted to be able to have access to treatments that were effective that they could have that day and preferably, no one would know they’d had a treatment afterwards and so the sort of treatments we’ve decided to offer our practice really fall into that mold a lot so BBL works really well in that area, because we can do the majority of our BBL treatments, and people will leave that, they can leave at three o’clock and go out to dinner at five o’clock and no one knows they’ve had a treatment. The one exception is if you’re treating pigmentation, if people have a lot of pigmentation, it does darkened up initially after a treatment and that can take up to a week, to a week to 10 days, I guess to shed, but it’s quite easy to cover with appropriate makeup. So that’s the one area where we do have some downtime with the BBL treatments, but forgotten what the question was now Trish, still went off on my own little tangent.

Trish
I guess it was about the fact that you can do lots of different things with it and the fact that you can have it done regularly, because like, I know, for example, my girlfriend’s had it done and a year or so down the track. She’s like, Oh, I want a bit of a refresh. I’m gonna go and have some more BBL, because she’s like another little mark, you’re in there and she’s like, another baby or not. And that made me just think, ah, so it’s something that you can actually have done regularly.

Dr Kosenko
For sure. Thank you for reminding me, so the other thing I want to talk to you about BBL is that you can divide it into corrective treatments and maintenance treatments. So corrective treatments might be because someone’s got rosacea and they get a lot of flushing in their face so they’ve got facial veins and blood vessels, small ones that they see and they’d like to improve the appearance of all. They’ve got some loose skin in the neck, and they’d like to have it tightened and you can do a skin type treatment with BBL or as I’ve mentioned previously, they’ve got some pigmentation that they want to improve so they’re corrective treatments. But the other thing that really attracted me to Sciton’s BBL is the concept of the Forever Young program, which is really a maintenance program and Patrick Bitter in the USA, did some studies and published the findings in 2012. He studied through Stanford University, and they were able to show that with regular broadband light treatments, they were able to trigger some genetic changes and that was very exciting. It’s a bit complicated, I guess, to try and explain in detail but in a nutshell, the way I explained to people is that the broadband light can actually turn on some of the genes associated with skin repair, which we often see a lot in youth, young people and children has skin that repairs beautifully, that tend to get turned off as people get older and so that may be why people may heal more slowly as they get older and broadband light and can help to reverse this. So whilst I’ve only been using BBL for, say three years, three or four years, and I don’t have the long term results to show out of the states, they’ve got some amazing pictures where people’s skin looks better 10 or 12 years down the track than it did at the start. There’s less sun damage, there’s less pigmentation, there’s less redness, the skin glows. It’s got that luminescence and that youthful look to it so that was a very exciting prospect with Sciton’s BBL and to be honest, that’s what most of the people that come to see me and have BBL design they want to do. Initially they’ll come in for a corrective treatment and we’ll talk about the Forever Young program. They say they see the improvement in their skin and their soul. They just want to keep going with it.

Trish
Yeah, well, look, I see photos all the time where someone has a photo done now, and then they compare it to a photo from 10 years ago and it blows my mind because you would think it would go the opposite way but it’s true, the skin looks clearer. It looks some lighter, smoother, all those things so, I know what you’re saying is 100% true, because I’ve actually seen it with my own eyes.

Dr Kosenko
And I guess the thing that is becoming more appealing is it doesn’t involve any drugs, medications, injections, putting anything on or in your body other than life and I think a lot of people are finding that very appealing that they can improve their long term appearance by using something like light which is perceived as being something very natural as opposed to other things and so I think there’s a bit of movement towards that sort of treatment people are really enthused by that.

Trish
Yeah, I agree with you 100% and so with the Sciton joule BBL it’s kind of like there’s also the, this is coming from a non professional way of saying this, but it’s kind of connected up with the kind of makes up the BBL and the laser together. We can do other treatments as well, hey. If someone wanted a laser treatment, is that right? So like the joule is the platform? And then correct me if I’m in the wrong place and then you’ve got the BBL and you’ve got the Nd YAG laser. That’s the two different kinds of elements that that can do.

Dr Kosenko
Correct. So the joule is a platform device and with our joule platform we can do, we don’t do hair removal, but we could, you can also treat acne using BBL technology. I mentioned skin type before which is a skin tightening process using BBL technology and we decided to get the Nd YAG laser, which is a vascular laser in our hands primarily for vessels that are a little bit resistant to BBL so something if there’s a vessel it’s a bit deep in the skin, then the Nd YAG laser may be better so it just complements what we do with BBL. But to be honest, I don’t use it that often, especially in comparison to the amount of work we deal with the BBL. The BBL seems to cover most things for us.

Trish
Yeah. So with the BBL, like we’ll run through the treatments that you can do but what about skin types? Because I’ve always stayed away from IPLs, because I remember one at one stage, I was told that I shouldn’t have it because my skin is too dark because I’m a Fitzpatrick IV but then I’ve also been told or no, in the right hands, you absolutely can have it done. So do you have a range of like, can you treat all skins with it? Or would you be certain darker skins that you perhaps wouldn’t use it for?

Dr Kosenko
Then I guess the simple answer is yes, you can. What I’ll say is you can treat most skin types. I will regularly treat up to skin type four or five so that would be your dark Mediterranean, Middle Eastern Indian, even Asian skin types and I think it’s really how well it works and how likely you are to get complications really depends on how you do it and the expertise of the person using the device because you can injure people with BBL if you don’t know what you’re doing. But just try, I think it would have been only two days ago that I had a lady with a Malaysian background, who had some crackling over her face and we’ve been treating it for about two years with BBL and she’s had no complications. And we have no problems treating her skin, but we do prep her skin beforehand for two weeks and make sure that she’s not doing anything that we don’t want her to do in that lead up time. Do the treatment with a specific protocol for that skin type and then keep her using topical treatments afterwards to ensure that she doesn’t get any rebound pigmentation, for example, or any problems but you can treat a huge range of skin types easily, skin type one to five, which leaves really just the darkest skinned people out of the equation and the only reason I’d say I don’t do those because I don’t those sort of people don’t come to see me so it’s not been something that I’ve been challenged by in the past.

Trish
And like where it says it’s for control conditions like ageing skin, like, how does that work? I mean, how can probing treat the aging skin? Like what does it do? Does it make it tighter? Or is it instant? Or does it take a couple of weeks to take effect or how does that actually work just for like ageing skin?

Dr Kosenko
I’m pretty sure you’re asking so many fantastic questions. I love it.

Trish
So also I’m thinking to myself, I’m being really selfish.

Dr Kosenko
Okay, so if we think about a baby, this skin has a beautiful glow to it, the colouring is uniform. There’s no blotchiness, there’s no pigmentation, there’s no redness. Sure, there are no wrinkles, but sometimes there are lines that people try to get rid of in the cosmetic industry like the lines down from the side of the nose, the nasolabial lines. Some babies have nasolabial lines, but we wouldn’t ever say that the baby looked old because of them. Then if I get you to imagine all the skin so you know someone that’s in their 50s, let’s say, the skin has lost a lot of that youthful glow, it doesn’t reflect like the same way. There is perhaps some redness or red blotches here or there, there’s often brown pigmentation and sunspots. Obviously, there’s more lines and wrinkles but what we found is that by treating those 50 year olds with that skin, and I call a dischromic, the colouring is not even at all and you lose that youthful reflectance of life by using something like BBL and getting rid of the redness, getting rid of the pigmentation, and making the tone, while uniform, and getting the skin to reflect like better and the pore size smaller, you just get this more youthful appearance because I think there’s a lot more to picking whether someone’s old or not then just lines and wrinkles, which is traditionally I guess what people may have thought about when you thought about wrinkle injections or dermal fillers. It’s often about skin quality, colour of your hair or things like that, clothes, the way you wear your clothes, wear your makeup and those sorts of things. So there’s a lot of other things that go into it and BBL just improves the quality of your skin and so you see, you can get some skin tightening, it’s not the best device to do that necessarily. You have to pick your patient carefully and make sure they understand what you’re trying to achieve. It’s not going to give you the same result as a facelift or some other treatments, perhaps, but there are certainly some skin tightening qualities you can get from it.

Trish
So basically, it’s improving the condition of the skin, which is where the ageing comes back. Because you’re right, like it’s not necessarily loose skin. Sometimes it’s just crappy skin that makes you look older but looks dull. Yeah, but when it’s got that smooth, like you said that reflective look, I love that look, you know that really shiny, healthy glowy kind of look.

Dr Kosenko
Yep, absolutely and one of the reasons I really love BBL is that you asked about how many treatments you need. In my hands, in my experience, I think you get about a 70% improvement after one treatment and then it builds on after that. So you get a good bang for your buck, you can really see the improvement in the skin after one treatment and that’s what people love about it and that’s why they keep coming back because they can see the improvement they can feel the improvement people will often comment, you know what one of the common things that I see with women who sell come in, and they’ll have some redness and pigmentation. They say to me after a treatment, the thing I love the most is that I can leave the house without putting any makeup on, I don’t need to have a concealer or foundation because my skin looks so much better. They can obviously if they want to, but they don’t have to and I really love that especially when they’re going into their 40s 50s and older.

Trish
That makes a lot of sense and so it also treats rosacea. So how does that work? Like is that like a routine treatment that you would do?

Dr Kosenko
It is, we do a lot of rosacea treatments out, the first thing when someone says is that we don’t cure rosacea. Okay, so you can’t cure rosacea, it is a skin condition. But a lot of the problems that you get with rosacea is due to inflammation within the skin and that can lead to redness that can lead to spots on the skin that look very much like acne or pimples and it can also lead to just generalized redness and so people may flash or blush a lot because of they’ve had some alcohol, some spicy food or they’ve exercised or they get hot. And that sort of flushing and blushing can be so severe that people ask them about it when they’re in social settings and it can be quite embarrassing. And so they’re the aspects of the rosacea that we can treat with be real, we can reduce that redness, we can reduce that likelihood of flashing, so we begin to get back to turning the skin back to a more uniform color that looks more luminescent and it’s not just red. And along with that, you can also get rid of quite a lot of those inflammatory nodules that were those little acne type spots as a result so whilst we can’t cure rosacea, and this is one of those situations where I recommend that people will have ongoing follow up treatments, we can certainly make it a lot better and much easier to live with, as long as people want to keep taking care of their skin and are happy to keep having the treatments.

Trish
Yeah, right and good I’ve been blown away by that sort of thing, because like, I’ve known a lot of people who had rosacea and then you just think, oh, because I heard ages ago has nothing to do about it, you just got to live with it and it’s not true, like, that’s actually quite mind blowing is like, No, it’s not true, you can actually help it.

Dr Kosenko
And this comes back to the comment I made earlier, Trish. Rosacea is the reason I got into aesthetics in the first place. That was the thing that’s very poorly understood in general practice, or it was 15 years ago, and was not managed very well. And like you say, people get told, well, it’s rosacea, there’s nothing you can do about it. And that’s not right, you can do a lot for rosacea and it can make the difference between someone having the confidence to go out and not worry about what their skin looks like, or the other extreme where they don’t want to go out because they’re embarrassed about how they look.

Trish
Totally, and we were talking about pigment before and I guess I know it’s different to age spots, but I guess I know, to me, it’s similar to dark spots. When you’re treating pigment, you were saying that you may have a couple of days where it comes out darker, because you’re actually kind of attacking that pigment and that kind of breaks down over those five to five or so days and then just disappears? Sure. Well, how do you make sure that the skin underneath is in handy? Make sure it’s all uneven color when you’re treating it for pigment? Or do you just say that a bad question just now?

Dr Kosenko
I reckon that’s a good question Trish, you’re gonna make me think about this one. So the way BBL works for pigmentation, again, I like to try and simplify things. The broadband light, the wavelength of light that we use, is attracted to or focused upon the pigment and the pigment in the skin, whether it’s sunspots, or freckles, or whatever it is, is produced by melanin, which is the thing that makes us skin tan so the broad band light will fracture the pigment into smaller particles, which then allows the immune system white cells to come and gobble it up and take it away. But it also means that as the skin grows and the top layers of skin, a shed, it sheds off the top as well. So it’s preferentially drawn to the darker pigment, then than the pale skin around. So if I do broadband light to someone who has pale skin with no pigmentation, you’re not going to deep pigment their skin and it’s not going to look abnormal and similarly, if I treat someone with pale background with freckles and spots on it, we’ll do a multi pass sort of technique where we do a base treatment to all of the skin. And then we’ll target the specific pigment spots with extra broadband light pulses, to try and preferentially get rid of those as well. And that’s where technique and knowledge of how to use the device comes into it. I mean, we will use multiple passes with relatively low intensity. We don’t need to use any topical local anesthetic, we’ve never had anyone not be able to tolerate the treatment and the secret in many ways is being able to get enough energy into the skin without sort of giving it one last with one shot. And that’s when you can risk things like burns and adverse or other adverse outcomes so it all comes down to technique in many ways, but you can do it without too many different problems. You can get rid of the spots without affecting the background skin. I guess that’s the answer to your question?

Trish
Yeah. And I guess like you said before you continuously learning, hey, so the more you use it, I guess you might think oh, I’ve just learned something new today as well, because of someone’s particular skin type. I guess that’s how it works.

Dr Kosenko
And I was fortunate enough to be taught and mentored by Patrick Bitter in the United States who sort of nicknamed the godfather of BBL. yeah. Amazing! And I had this really steep learning curve and a real shortcut and insight into some of these techniques and it takes time to do it. It’s not necessarily the quickest way to use the device or the equipment, but you without a doubt get the best results. Without the risk of complications or there is always a risk but with minimal risk of complications.

Trish
And you know, with the BBL HERO because like I’ve been watching videos, I’ve seen it when it first got released, all that sort of thing and I always thought that there was once again, no solution for the, I’ll just use an example of the decolletage for one of a better word or sorry if that is the right word, from the neck down to where your boobs are. Say for example, if you’re a woman, that’s the decolletage and they’re minor and I’ve always had friends saying, Oh, we’re gonna do about my neck. And it’s like, yeah, now you just need good skincare but that’s not actually true, because I’ve actually been blown away by the before and after results that I’ve seen of a BBL treatment on that chest area and it only takes minutes. Like it’s not you don’t have to go in there and spend hours it’s just like it’s just a treatment you go in a couple of minutes and like I think the video that I watched it was like, the whole body was done in like just a matter of minutes.

Dr Kosenko
So there’s two parts to this question. So remind me if I get off track again, Trish. We’ll talk about BBL for the body first and then we’ll talk about BBL HERO. So BBL, one of the great things about BBL, again another thing. Another aspect of the technology that attracted me to the Sciton device was that you can use it basically anywhere on the body and we will routinely treat the backs of the hands, the forearms, the neck, decolletage, really wherever you’ve got sun damage. You can use BBL now with the traditional BBL, I treat all of those areas and we get great results. So there is no reason why someone with a Sciton joule or Sciton BBL device can’t treat those areas. BBL HERO is the latest evolution of BBL and it’s really a high energy rapid output device. The handpiece looks the same, but it will fire much more rapidly and I mentioned to you a moment ago that we use a multiple pass technique where we have lower settings and makes it very tolerable if we don’t use local anesthetic, I guess HERO takes it the next step where each individual pulse is lower still but it’s the pulses occur much much more rapidly. And so that’s what gives people the ability to do it at speed so because you’re having very rapid output you can basically sweep it over a large area like the chest or forearm or whichever area tracing and you get many pulses down in a shorter period of time. So yes BBL can treat any part of the body, traditional BBL can do it and BBL HERO can do it And BBL HERO I guess is the latest evolution and it’s very exciting technology.

Trish
Totally I love the fact that you can treat because I’ve watched it in action, I’ve just been blown away it’s just like you pretty much just passed all over the body and it’s done like you know the just good like goes through the whole body and the fact that there’s no striping or stamping because I’ve seen those results where people have done IPL and end up with striping or stamping. I’ve seen some horrific results of that so that doesn’t happen and the fact that it’s comfortable as well like you know not jumping off your seat and correctly dying thing oh god I’m never gonna have that done again. The fact that it’s comfortable for the patient and also the fact that there’s no downtime, I love that.

Dr Kosenko
Yep, stamping and striping in my opinion shouldn’t occur. I believe that’s operated independently. Look, whether you’re using a stamping technique and by that I mean we put the BBL handpiece in one spot and fire it and then you move it and put another spot and fire it or whether you use a motion technique where you’re getting continuous pulses of light you should be able to get equivalent outcomes. So I think I believe that it comes down again to having incorrect settings initially. Striping can be avoided by having a little bit of overlap between each shot and if your settings are not too high, you can easily overlap 10 or 20% of the previous pulse without causing any complications or side effects and then if you do multiple passes, say, imagine one pass on the face, you go vertically, another one, you go horizontally, you’re going to cover all the skin so there’s no skin untreated. So you shouldn’t get striping but it’s where people try to do it more quickly with higher settings and they’re trying to be very, very careful not to get any overlap, where you can get that sort of outcome. I mean, we look to get overlap, we want to make sure when we use BBL that we cover the entire skin surface, because you get a better result. But like I said, that traditionally, it’s taken longer to do that, because you need to try many, many more pulses. If I treat a full face, I might do up to four or 500 pulses on a face and with HERO, it can be double that so when you think about it in those terms, it’s not that surprising that we can get great results without getting those sort of side effects or complications.

Trish
Yeah. And you know, I guess I probably should point out that the fact that the HERO, the BBL HERO actually stands for the HERO stands for High Energy Rapid Output. So it’s basically kind of like IPL on steroids, I guess, quicker and whatnot.

Dr Kosenko
But the big difference between HERO and standard BBL is it’s a motion technique and that’s been evolving with the Sciton’s platform for a while. So the first technologies used a motion technique with a hair removal and also skin tight. So the traditional joule platforms for the last few years have all had that ability to do that. Rapid Output pulses and motion technique for those two purposes. HERO brings it out now to traditional BBL as well. So you’re using that same motion technique that we’ve used for other things, but we’re also using it for redness and or you can use it for innocent pigmentation now.

Trish
And you know, I mean, apart from the fact that I could talk to you all day, I learned so much when I speak to you, I want to ask you about the age thing because like in my mind, Tegan is really young and like, there’s no like she’s to an age, minimum age and a maximum luckily, is there an age bracket that you can do the BBL on? From what I can say not really? And if so, can you expand on that for us a little bit?

Dr Kosenko
Sure. So there’s more of a younger age, then an upper age limit, if you know what I mean. So people who are young and have what we call flawless skin, who don’t have any pigmentation don’t have any redness, the skin glows beautifully and they don’t need to wear makeup. Whilst something like Forever Young is great at maintaining that appearance in the longer term, they’re not going to get that initial Wow, from the first treatment, because you’re not correcting something. A lot of people, men and women that are treated will be 40s, 50s and 60s and a lot of them have spent quite a lot of time in the sun and so there’s a lot that you want to correct. And with those people, you get a real wow factor after a couple one or two treatments, and they can see the improvement they’ve got and then they want to continue with that. And as far as upper age goes, I think you know the oldest lady off treat with BBL and be in her early 80s because it still works for them. It doesn’t rely on stimulating collagen production. As much as some of the other treatments do, you’re actually targeting different things. You’re targeting the blood vessels and the pigmentation so you can still get great results, even in the older age groups.

Trish
Yeah, that’s true, because I’ve seen so many people that they could actually really benefit from this because the thing is, I think it’s a real preventative as well. And if that’s the right word, but preventative because once you’ve got rid of that age spot or that spot or whatever, like you don’t know that but that could turn into something if you don’t actually get rid of it. Or am I right? I’m presuming.

Dr Kosenko
True. That’s true. But the other thing I guess it’s really important to highlight to your listeners is that if someone has some pigmentation, whether it’s on their face or their chest or their hands or their arms or wherever it is, it’s really important to make sure that it’s not a skin cancer particular pigmented skin cancer like a melanoma in the first place, because BBL will take them out of that and it can delay the diagnosis. As doctors we rely on pigmentation patterns, often to diagnose melanoma if someone’s trained with a laser or a BBL device, right pill or whatever it is, and removing that pigmentation makes initial diagnosis really difficult, and sometimes impossible. So if someone has pigmentation that they would like to improve or get rid of, it’s really important to have the skin checked for skin cancers and that’s where my general practice work comes in really handy because I do a lot of skin cancer work in general practice, I do skin checks on a daily basis and so I’m very comfortable in assessing people’s skin. But if you’re seeing someone who does not do that, for your BBL, it’s really important to have a skin check first, because the last thing you want to do is delay the diagnosis of something like melanoma that could be an absolute tragedy.

Trish
Yeah. Yeah, I totally agree. 100% and that’s what, that’s one of the other things I love about this, as well as the fact that it’s some, you just don’t know, what could be under there. I mean, this is a way of just making sure that you play your skin clear and clean on time and look great at the results. I’ve seen the luminosity of the skin once you’ve had the BBL HERO. BBL treatments are just like, it’s actually quite mind blowing and you’re right. It’s without having to have injectables on it, you can do all that stuff as well but it’s just about skin condition, which is some, its number one priority, I think, is to make sure the skin looks and feels great and in great condition.

Dr Kosenko
Absolutely, if people are interested in having a look at before and afters, they can go to our Instagram page, which is impress_skin and we’ve got a collection of before and afters for redness and pigmentation that people can have a look at and the only photos I put up with people that I treat personally, and it’s just, it’s not quite random collection, I guess, you do have to ask people for their permission to be able to use their images and things like that. But they’re very typical of the sort of results we get so sometimes people can be a little bit I guess suspicious of some of the things I see advertised on the web or in the media or whatever. But if they’re interested to see typical results, they’re more than welcome to have a look at our Instagram page.

Trish
Interesting. Well, thank you so much for that and it’s true, there’s so many before and after amazing shots of BBL especially and the ones that impressed me, those decolletage ones, they’re just mind blowing really like woaah,

Dr Kosenko
With women, the face is actually often protected because you wear mineral sunscreens and makeup and there is an SPF factor in a lot of those things but they often forget to protect their chest, back, so the hands, legs below the knees, they’re all the areas that I tend to see a lot of some damage during my skin checks and also in my cosmetic practice as well and we can improve those areas, we can treat them.

Trish
Yeah, you don’t have to put up with it. Don’t put up with it if you don’t have to. Awesome. Well, I gotta say thank you so much for joining us today and taking the time because I know you’re really busy and I really, really appreciate the fact that you take time out of your day to share this so that we can share it with our listeners as well. So I really appreciate that.

Dr Kosenko
You’re very welcome and I’m glad that you asked me to talk about BBL. It’s one of my favourite treatments. We do a lot of BBL treatments and once people have it, they love it. They keep coming back to have it because you know the results they get are great. And personally, I’m sold on BBL and I love providing the treatments and people or come and see me love having them done.

Trish
Yeah, well it works. It’s quick. It’s easy and there’s no downtime on it. It’s a no brainer.

Dr Kosenko
Absolutely.

Trish
Awesome. Well, thank you so much for joining us today.

Dr Kosenko
You’re very welcome and thank you very much for asking me and it’s lovely to talk to you again Trish.

Trish
My pleasure and listeners look if you do want to check out the work that Dr. Kosenko does you can go to his website which is impresscosmeticmedicine.com.au and from there you can actually go his Facebook or his Instagram but otherwise, yeah, just just put the hashtag in and you’ll find a heap of stuff on BBL by Sciton so thank you so much for joining us today Dr. Kosenko.

Dr Kosenko
Thanks again Trish.

Trish
Have a great day.

Dr Kosenko
You too.

Trish
Bye. Bye bye

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Well, like all good quickies it's time to dust off and get back to our day jobs! If you liked the podcast please rate us because we need the validation for our fragile hearts. If you have a story to share or have a burning question you would like us to cover please slide into our DM’s on Instagram at @transformingbodiespodcast. Stay positive, keep your boobs and chins high until we chat again xoxo Trish