Dr David Kosenko talks UltracelQ+ by Cynosure

Hot off the press is today’s episode of the Aesthetics Uncensored Podcast, Dr David Kosenko from Impress Cosmetic Medicine as he introduces the latest technology from Cynosure which is the ULTRAcel Q+, a next generation HIFU technology which treats fine lines and wrinkles, tightens skin and removes stubborn fat cells.
Dr David Kosenko is a founding member and the Vice President of the Cosmetic Physicians College of Australasia, a member of the Medical Advisory Committee to Beleura Private Hospital and a clinical supervisor for the Eastern Victorian General Practice Training Program.
He graduated with an MBBS from Monash University and attained his Fellowship of the Royal Australian College of General Practitioners before becoming a Director of Ti-Tree Family Doctors, which has been awarded General Practice of the Year.
For more info about UltracelQ+ contact @cynosureaustralia
#Cynosure #CynosureAustralia #BeSureItsCynosure #BeautifulEnergy #ULTRAcelQPlus #ULTRAcelTreatment #ConsistentResults #LaserTreatment #SkinTightening #SkinFirming #BodySculpting #BodyContouring #FatReduction #RevolutionaryLaser #SkinRejuvenation #AntiAgeing #aestheticsuncensored #anybodiaesthetics #anybodiindustry #YourBodyYourRules #LovingYourselfIsAMust

 

Transcript

Trish
Hello, listeners. It’s Trish Hammond and Nicole Montgomery coming to you straight from our very first episode of anybody unsaid, uncensored. Whoa, get that right how you call. Hey, Trish. How exciting is this episode. Very exciting. You sound shy. Anyway, let’s do this. So we’re really, really excited. So for our very first episode, today, we are joined by the amazing Dr. David Kosenko. Now, I don’t think he is the owner of Impress Cosmetic Medicine, which has been going for more than 10 years. He’s also the Vice President of the Cosmetic Physicians College of Australia. And today we’re going to be talking about a new technology that is introduced into his clinic. Now he actually introduced this in 2020, which was the COVID year, which was not a great time to introduce technology into a clinic. But now in 2021. It’s going gangbusters. It’s called ULTRAcel and it’s by Cynosure and today we’re going to get the rundown about it. So welcome Dr. Kosenko.

Dr Kosenko
Hi, Trish. Hi, Nicole. How are you? So lovely to have you both invite me to speak with you, especially being the first podcast.

Trish
I know you’ve just burst our cherry. Awesome. So welcome. Welcome here today. And thank you so much for taking the time. So I’ll start with the first question then Nicole’s got the next one ready for you. So first of all tell us what is ULTRAcel?

Dr Kosenko
So ULTRAcel is a device that was introduced into Australia by Cynosure. It’s a form of high intensity focused ultrasound, or HIFU, as most people know it, and it’s got a few differences compared to traditional HIFU. It’s targeting this particular device, targets two things; targets skin tightening, and also, supposedly some SMAS muscle tightening. But also the thing that attracted me to it was its ability to target localised areas of fat and fat pockets like double chins and areas like that to help improve people’s appearance.

Trish
Okay, awesome. And, and so ULTRAcel is basically a non surgical treatment using a device. And it’s for, like tightening, smoothing, as well as smoothing, like does that do fine lines? Or is it just for skin lifting really?

Dr Kosenko
Now we’ve been using it for fine lines and wrinkles, particularly around the crow’s feet area and the forehead. So around the eyes, I’ve used it in the lower face as well around the jowls and jawline. So it does a little bit of everything.

Trish
Amazing. Go on Nicole, I know you’re dying to ask something.
Nicole
Yes, yes. No, I’m dying to ask because there are all the different HIFU devices on the market that concern me. And that is that one of the benefits of having a little bit of extra weight is that plumpness tends to fill your face out. It was cool, wasn’t it? I’m sorry. There’s so many. So they’re all running through my mind. ULTRAcel Q+, when it is heating and bulk heating, does that affect because you mentioned double chin? Does that affect the fatty tissue, I guess on your face that actually helps defy gravity and hold you up?

Does that make sense?

Dr Kosenko
That’s a really, really good question. And it’s something that I’ve been talking to people about whether using HIFU and the ULTRAcel Q+ or broadband life or radio frequency devices or any energy based device, in fact, and that is that you really need to develop a level of expertise to understand what you’re doing, what tissues are you targeting and what results you aiming to achieve. So there’s no doubt that if you mean, I’ve seen a few patients that have come to see me having had even radiofrequency treatment with fatty tissue loss from the face and it’s made them look more gored. And you can certainly get the same sort of outcome with high intensity focused ultrasound, but the trick is to really know what you’re targeting and where to treat and where to apply the energy. And if you do that, I think you can avoid those sorts of adverse outcomes.

Nicole
Yeah, that’s so important. You’re so you’re so right. It’s such an art isn’t it? And does it affect you if you have fillers?

Dr Kosenko
I do treat people that have fillers as well. I don’t think that it will directly have an impact on the filler You hating the tissue to, you know, the mid 60 degrees celsius that will the target tissue to about that level. So that shouldn’t really have any major impact on fillers. But I guess if you’re changing the tissue around the filler it can alter the appearance of the field area, if you know what I mean. So again, it’s a matter of having a good relationship with the patient that you’re treating, having a clear plan in mind as to what you’re trying to achieve and what the outcomes you want to achieve. And then going about it in a systematic way. Really?

Trish
That’s so true. So because the ULTRAcel Q+is new on the market, can you tell us like, how does this differ to other HIFU treatments that are out because because I’ll just give you an example that there’s a beauty clinic around the corner, from where I live, it’s a run by a beauty therapist who does nails, and she’s got a HIFU machine. And she’s doing HIFU treatments. And personally, that actually scares the shit out of me. Right or wrong, I don’t know, it just kind of frightens me a little bit. And like, what would make that device different to like theULTRAcel Q+?

Dr Kosenko
The thing that attracted me to the ULTRAcel Q+ is to get a little bit technical view. So I do apologise about that. Traditional high intensity focused ultrasound fires little shots of ultrasound waves, which are focused on a particular depth under the surface of the skin, that depth is selected by the cartridge use. And it’ll put a row of little micro thermal injuries along that depth. And that’s common, as far as I know, to all ultra high intensity focused ultrasound machines. The thing that’s unique about the ULTRAcel Q+, it has a second series of cartridges, which allows you to do something called bulk heating, which is what Nicole mentioned a little bit earlier. And so rather than laying down a series of dots at the desired depth, it creates a larger, more uniform area of thermal injury. And the idea behind that, in particular, is to target those pockets of fat, because if you get both heating in an area of fat that you don’t lie, for example, a double chin, you can make significant differences to the amount of fatty tissue that’s there. So to me, that was the primary difference between the two, between the ULTRAcel Q+ and other devices. I guess the other thing is that the support that I get from Cynosure is very good. They are always very interested in their devices and follow up and education and getting people to use them. And I think that’s very important. I think there’s a lot of energy based devices, which you know, you can get on the market, which are less expensive. Some of them are imported directly from overseas. Unfortunately, in a place like Victoria, and many other states, literally anyone can buy an IPL or radio frequency machine, even a laser or a HIFU. And start using it, you know this, you know, in some cases, there’s literally nothing that will stop anyone from using it. And because you’re creating these areas of injury under the skin, it is possible to cause damage. With a high intensity focused ultrasound Nicole mentioned, you know, loss of fat from areas we don’t want to lose it. But you might also hit nerves you can get a neuro….., which is where the nerve end sensation is altered as a result of targeting the wrong area as well. So it is a concern for me, when people who don’t understand medicine or who don’t have medical training start using these devices, they’re often marketed as being safe. And whilst the likelihood of getting a complication is very low through seeing someone that knows what they’re doing, it’s not impossible to cause some nasty outcomes with any of these energy based devices. So I think that’s a problem that’s across the board with energy based devices, something that the CPCA is lobbying to have regulated a little bit more. There’s been a few stories in the media about people that have been badly injured as a result of energy based devices. So you know, I hope that answers the question. There’s sort of two elements to the question you asked me but I hope that answers both of them for you.

Trish
You know, that definitely answers and you’re absolutely right. Because both Nicole and I like we come across these people every day that have actually had a bad experience because they haven’t actually, you know, done the research and and had the appropriate treatment from an appropriate qualified practitioner, so Well, yeah, you’re so you’re so right in what you say, there as well. Like, that’s just so true. And I was gonna ask one more question before Nicole jumps in. I was gonna ask you. So you mentioned before, because we had a little bit of conversation before, you mentioned before about doing the arms in particular. So other obviously, you can treat other parts of the body, as well with reducing fat and doing a bit of skin tightening as well. So can you just run through which other parts of the body you can do and what results you’ve had with patients?

Dr Kosenko
Sure. So the ULTRAcel Q+ is a handheld device. So the area that you’re treating at any time is quite small, it’s, it’s, you know, maybe 25 millimetres long, and you’re laying down lots and lots of little lights. So it’s not the same as a body contouring device where you may wrap someone’s waistline with a device that treats the whole waist at a time. So I look at it really being very useful to treat pockets of areas and the sort of pockets we’ve been treating have mentioned double chins. We have treated the area under the upper arms, there’s an area to the front of the chest called the bra balls that we’ve treated as well. You can treat areas around the waistline, I wouldn’t suggest using it to treat the whole waistline. But certainly if there’s a little bit of a pot, or there’s, there’s some excessive tissue around the sides of the hips, you can certainly target those. And there’s also some novel areas like in Asia, there’s a demand, for example, for tightening the skin around the knees so that you don’t have creases over your knees when your legs are straight. And you’re standing there with a lady standing with a skirt on, for example. So it can even treat areas like that, too.

Trish
I was gonna ask you about the knees you got in before me because that’s like that you wouldn’t believe the amount of people that want to get the skin tightened around the knees. Because as you get older, it’s one of those things, it’s your hands. And I think it’s if you’ve got nice legs, and you want to show them, it’s the knees that kind of bunch up just above the knees. Not that I mean, some people don’t care, but some people aren’t really, really upset with them.

Dr Kosenko
Sure. And we can certainly treat that area with the ULTRAcel Q+.

Nicole
Funny Trish, you’re gonna get your arms and knees done.

Trish
I’m gonna get everything done Nicole. I’m gonna get everything done. That’s all good.

Dr Kosenko
I was gonna say it’s funny, because some people come in, and you might start with one area and you start talking and they ask what else can I do? And you tell them what it can do? And they sort of say, well, can you do my whole body? Is it?

Trish
Exactly, exactly. So tell me, is this a one off treatment? Or like what’s the protocol to actually have the best result for a patient? Whether it be, you know, body or face? Or is it different?

Dr Kosenko
Okay, so I think, again, there’s probably two components to the answer to this question. The first is, I mentioned that you target different layers of tissue, and it might be for both heating, or it might be to use the dark pattern, which has traditionally been used for tightening. So I think the first part is that you need to take the time to do the treatment thoroughly. And it’s best if you lay the treatments. So you do say bulk heating, fat dissolving if you like type treatment at a particular level. And then I’ll do a skin tightening treatment over the top because let’s face it, if you get rid of some fat, you don’t want to have loose skin overlying and so it’s good to treat both at once. So there’s that aspect during the procedure, you need to have enough different cartridges to be able to cater for those sort of needs. So you need to understand that gets the democratic demographic of the people come to see and what sort of treatments they’re looking forward to that comes they want to have and make sure you have the appropriate cartridges to be able to deliver those results. The second part of the answer is that because HIFU doesn’t involve injecting any fillers, it doesn’t involve any drugs or anything foreign being applied to the body. You’re really relying on either the body to stick to being stimulated to produce its own collagen in the fall, you know in the way of skin tightening for example, and to heal from those little thermal injuries that I was talking about before. All you need is time for the fat that’s been released from the fat cells to be removed. By the body. And that takes time. Initially, I started doing treatments at four week intervals. And when I’d see people back in four weeks in an hour, we’d be a bit disappointed about the results and not sure how it was going. And I think the reason for that is because it’s just too soon, because the results from one treatment can go for two, three, or even four months after that treatment. So you continue to see improvement over a prolonged period of time. And so I’ve stretched out treatments to between six and eight weeks. And even after one treatment, we’re starting to see good results of that six to eight week mark, which is nice, because when you do the treatment, you know, you are always interested to see how the outcomes are going to be when you get the person back to review. And for the next treatments it is really nice to be able to demonstrate that there has been an improvement. And then that provides an incentive to keep on doing the treatments to keep on working in that area. Because you can see you get results. So, you know, if I create a double chin area, I’m going to tell people that generally we want to do probably around three treatments, but it could be more, you know, it depends on the endpoint they’re looking for. And if we spread them two months apart, the third treatment is going to be at the four month mark. And then we’ll review them at the six month mark. So the results put people in a rush. You know, there’s other options that are probably better like surgery, or liposuction. But if people don’t want that, and they don’t mind having a slow improvement or gradual improvement, this is certainly a great option for them.

Nicole
That is some, that is amazing. David isn’t your preferred treatment for the double chin, there’s so many options available to you?

Dr Kosenko
There are and I’ve looked at so many over the years, we’ve been very slow to buy devices at our practice. And we’ve wanted to make sure that what we buy is what people will want. So we’re a non surgical practice, we don’t offer any surgical treatments at all. And after discussions with people, they sort of want that holy grail, they don’t want to have any pain, they don’t want to have any downtime, and they want to have great results. And that always makes it really challenging to find that device to buy. But you know, what we’ve tried to do is to find, you know, with, we talked about ULTRAcel Q+, it doesn’t hurt. So that’s the first advantage over many of the other treatments.

Nicole
Absolutely.

Dr Kosenko
But if I say two out of 10 pain, I mean, I treated the lady yesterday, and she had no sensation of treatment at all at the time. Which can be concerning because people expect that when you do something like this, they’re going to feel it.

Nicole
Yes, I had a Kybella and I couldn’t do the subsequent treatments because it was far too painful.

Dr Kosenko
This is totally painless.
The second or the next day or the following day, you may have a slight feeling that it’s a bit bruised, if you push on the area and that’s about the worst of it, you get no swelling. Most people get no skin reaction. Although I have seen some people get a little bit of a redness or hive-like reaction to the treatment, which can be itchy for a few hours.

Trish
Now get keys to that you can go home and explain to your husband I just had this treatment

Dr Kosenko
Nobruising. And you know, it’s an inexpensive treatment compared to the others. We’ve tried to structure it so that I can do three treatments for the price that some clinics charge for one belcarra treatment. So for us, it ticked all the boxes and it’s not a hard sell on that basis especially when people see some of the results that we’ve been able to achieve so far.

Nicole
That’s fantastic that it’s more accessible because even some of the treatments that do just the weight loss, you know, the fat freezing or liposuction and it’s quite expensive to then be left with saggy skin.

Trish
So tell me as well does it is it just like I said like around three treatments and how long? How long does the treatment take to do?

Dr Kosenko
I like personally to spend a lot of time with people I do all my treatments in person and we use it to discuss a whole heap of other areas and other aspects of you know including skincare and Whether they want to use a dermal filler, or what are the concerns I may have the actual treatment itself, by the time I take high quality photos, and after I’ve taken care of the high quality photos and taken full history and things isn’t that long, it’s probably 20 to 30 minutes, depending on on how many shots we fire. And, you know, depending on whether people would like the treatment to come up above the jaw line, or just to stay below the jaw line, so we try to customise it for individuals, but I guess the actual treatment itself takes somewhere between 20 and 30 minutes at my practice,

Trish
But like per area, like if you were doing the face for like 20 minutes, if you’re doing the arms is that we mean that per area roughly.

Dr Kosenko
It depends on how many shots. So if you’re doing a larger area, like under the arms, it can take longer, because you find more shots. So you manually move the device across the skin, you know, one to one and a half millimetres at a time. And so if you think about how big an area treating is actually quite a lot of shots that you’re doing. And then you may do several passes, and you may use several cartridges. So you may go over the same area three or four times. So, you know, doing the underarms and the barbell, you know, takes 30 minutes plus, if you’re doing you could probably do a full face treatment and probably a double chin in about 30 minutes as well.

Trish
Oh, yay. So if we were doing my aunt, we’d need like about a million shots. Is that right?

Dr Kosenko
Not quite a million, but because the area takes more? Of course, of course.

Trish
Of course, of course.
Nicole, what were you gonna ask?

Nicole
Well, I just think it’s so wonderful. He has such a holistic practice, it sounds like you’re really looking after your patients in more ways than one not just that aesthetic concerns, but obviously, you know, their medical concerns, their skincare, their I suppose their skin concern checks, everything in anything that someone has concerns, you must have some really amazing conversations and patients in your clinic.

Dr Kosenko
That’s one of the things I really like about my practice. And that is, you know, I work and do lots of skin checks and do skin cancer medicine. I will look after people with acne and rosacea and melasma and a whole heap of concerns that they may have, you know, medical concerns. And it’s interesting, the practice has evolved a lot more over the years so we’ve moved in some ways away from neurotoxins, and dermal fillers and more towards improving skin quality and appearance. A lot of the ladies are treated or see over 40. They certainly don’t want to look down but they want to look better. And we’ve realised with quite a lot of before and after photos that we do and when we talk to our patients about the outcomes, that just improving the skin the way it appears, you know, getting at a more even colour getting luminescence back in the skin. And perhaps getting rid of some sagging, or areas that have lines and wrinkles makes such a big difference. And you don’t necessarily need to use those injectables that we have traditionally to achieve that. So it’s interesting that the practice has evolved. And it certainly is a very holistic view of how to look after your skin and you know, we treat all skin damaged areas including the decolletage and the backs of their hands and try to get all of those sort of telltale areas looking much better too.

Trish
I meant to ask this question wrong. But with the all-so-cute, I know it’s kind of not the next generation but it’s the newer model of the HIFU because the traditional HIFU. Let’s be honest, it freakin’ hurts. I’ve had it done. And like to the point where I’m actually like, no, sorry, you need to stop because I can’t do this anymore. So for me the pain factor is amazing. The fact that it doesn’t hurt, but also, how does it work with people? If people have Botox like, if you’re someone who has regular Botox, and then you say, Okay, well, I want to go and have some, you know, ULTRAcel Q+. So how would you do it? Like, would you do it? Like, is there a timeframe in between that you have to wait or you know, how does that work?

Dr Kosenko
I’ll probably try not to do the treatments on the same day. And if someone has had a neurotoxin, I would like to see That effect before we do a treatment with the ultra cell cue plus. But other than that, there’s no problem. And in fact, if you think about it, you’re really treating two different things. Because the neurotoxins going to treat lines that you see they’re associated with facial expression, you know, smile lines and frown lines and things like that. Whereas the ULTRAcel Q+ is going to treat those aesthetic lines, those lines that develop around the corners of the eyes, or in the forehead, or in the area between the eyebrows that are there all time. So they’re very complimentary in many ways.

Trish
That makes a lot of sense. I was reading somewhere yesterday that it has to do with a cartridge that helps, you know, make the lifting of this mass area a bit more visible with the ULTRAcel Q+, does that make sense to you? Did I read the right thing? Am I making any sense? Cause if it’s the case, can you explain that to us?

Dr Kosenko
Sure, certainly from a theoretical point of view, I’m always a pretty conservative sort of person. And I don’t like making claims that I can’t substantiate, you know, sort of, I’d much rather, under promise and over deliver. And I’m always concerned when you talk about the concept of lifting from a non surgical perspective, because I think often what we’re creating is a bit of an illusion, you know, through contouring, and filling and light and shade, and those sorts of things. With the ULTRAcell, though, because there’s such a selection of cartridges targeting different depths, what they’re saying is that you can target that mass low to get those micro thermal injuries occurring at that level. And that if you can get new collagen formation, a little bit of tissue shrinkage in that area, then you get a tightening effect, which produces a lift. The theory sounds fine. I wanted to do some more treatments, and to be able to see the results myself before I, you know, go around trumpeting that this is a brilliant device to do that. Because traditionally, if you got a lift from that layer, you are really talking surgical treatments, people sometimes talk about using various different threads to do that thread lifts to do that sort of thing. But if you think about those, they’re all physically lifting that area, what we’re trying to do with the ULTRAcel Q+ is different, and it is a bit unique. I’ve seen some good results from overseas that people have achieved. And I’m trying to do that. I’ve got a few people that we’re working on to see how it goes. It’ll have to wait and see. So, you know, I like to put up my before and after photos and people that agreed to it on social media. So it’ll be a matter of waiting and seeing what sort of results we get that we can sort of throw at people. Yeah, because the theory is good. The theory is good,

Trish
Which sounded just too good to be true. So I was like, I need to ask you about this today. Because there’s that just, you know, you read so much stuff online. It’s like how do you differentiate the truth from the stuff that’s not so true.

Dr Kosenko
I think it’s also a matter of managing expectations. You know, it comes back to that what I said earlier on in, in my practice is non surgical. And if you have someone that comes in, and they sort of grabbed the sides of their neck, and they pull up and they say, you know, I want this result, or they pull up in front of their ears and they lift their jowls and everything up by 10 millimetres or 15 millimetres, I think that you’re really going to need to to go down the surgical path to get those sorts of results. If that’s your expectation, I will recommend people talk to a surgeon about having treatment to achieve those results. I think if people again are not in a hurry, they don’t want surgery. You know, a lot of people don’t want pain, they don’t want downtime. They don’t want other people to see that they’ve had a treatment that will look different. Then using something like ULTRAcel Q+ certainly can lead to improvement but it’s not the same degree of surgical treatment and they have to be patient. So I think it’s often a matter of managing expectations and some of the stuff that you can Read, I guess in the press can sometimes lead to those sorts of unrealistic expectations. And that’s part of the consultation process that I go through with everyone that I see. You know, I really want to understand what they’re looking to try and achieve. And then I have to try and figure out whether I can help with that or whether they’re better off seeing someone else.

Trish
Yep. Awesome. Do you have any other questions, Nicole?

Nicole
I guess I wanted to ask David if he has tried the ULTRAcel Q+ on himself.

Dr Kosenko
Question, why, in general terms, I have tried all the treatments that are available in their practice. So I’ll start by saying that. But then I have to say that I often do my own before and after photos and often put them up on social media. And I try not to complicate outcomes. So far, I’m trying one particular thing. I won’t complicate the outcome photos by doing a different treatment at the same time. Because if you know what I mean, not sure what the improvements do to. So I’ve tried a couple of other treatments in the last 12 months, and unfortunately, haven’t had a chance to have an ULTRAcel Q+ treatment myself. So in answering the question, No, I haven’t. But I will. And it’s just a matter of picking the right time when I’m not sort of doing something else.

Trish
Yeah, but it’s like the mechanic doesn’t fix his car. It’s the same thing, isn’t it? Like you never have time to do stuff on yourself. Because you’re too busy doing other people.

Dr Kosenko
I think it’s also really important for, for me, as a doctor to be able to say, Look, I’ve experienced this, this is what it feels like this is the after effects I had, you know, it’s this is how much discomfort you may have, or whatever, you know, it just says that extra dimension when you’re explaining to someone, what what expectations they can have for the outcome and any downtime or whatever it might be if you’ve had the treatment itself. So I very much believe in having all the treatments myself. So I know what it’s like, we only got the ULTRAcel Q+ immediately before the second wave lockdown last year in Victoria. So the clinic was closed for three months. And so we didn’t get a lot of use from the device at that time. And you know, that’s really thrown a spanner in the works with regards to me having treatments too. But thankfully, Victoria is now COVID-free. And like the rest of Australia, which is fantastic. And we’re doing a lot more treatments, and hopefully very soon I’ll be able to have a treatment too.

Nicole
That’s fantastic. I was also going to ask, we didn’t mention plume, are you doing treatments in your clinic again, that may have plume? And are you still wearing full PPA for all your treatments? Or now that we’re COVID-free? That’s not an issue?

Trish
Can we tell what plume is? Because I haven’t just discovered what that was? But can we explain what that is? as well.

Dr Kosenko
Sure, look, I guess in the most simplistic way, plume is a gas or an aerosol that arises from applying energy to the skin. And so if someone’s had hair removal, they’ll be aware that you you have that smell of success, they say which is the hair being treated, or for you to smell it, there are particles in the air, and certain energy devices produced plume and probably lasers, the the typical example of that. But certain RF or radio frequency technologies also can produce plumes. And it’s become recognised that that can be an occupational health risk to the person operating the device, as well as the person having the treatment. And so there’s a lot more I guess emphasis on safety from the perspective of using a plume extractor in the clinic so that you basically get rid of those noxious gases or toxic acids. Most of the treatments I do do not produce plume. So that’s not a major problem for me and HIFU because it’s heating underneath the skin, you’re not actually treating the top of the skin in any way that doesn’t produce plume. So that’s I guess the answer to part one of the question, yes, part two. So last year, you know, during the height of having COVID in Victoria, the Department of Health mandated that we wear surgical masks and we had eye protection in the form of goggles, even over glasses. You obviously had to try and keep physical distance as much as you could. We also incorporate a few other things we’ve just gotten into the habit now of when we go to work, we’ll get changed into work clothes, scrubs, essentially, and then change when we come home. They’re laundered after, you know, every session that we do, I still wear a mask all the time. And I think people are just a lot more comfortable. If they don’t feel me breathing all over, you know, you do have to get up close and personal zero a lot of these treatments. And I think that the expectation these days is that someone’s not going to breathe on them. Obviously, we wear gloves when we do treatments. I’m not using goggles anymore, although obviously for certain treatments, we have to protect your eyes from light, for example laser, you do wear goggles. I did go through a phase where I was wearing N95 or P2 masks for treatments. But I think because we don’t have COVID spreading through the community and because we’re starting to get an immunisation programme up and running. I’m just using a surgical mask at the moment. And obviously, if you train someone’s face, then they’re going to have to take the mask off, generally to be able to treat areas, you know, anywhere from cheek to jaw line area. It’ll be interesting to see how all this evolves in the next six to 12 months. I’m trying to figure out how it’s going to evolve?

Trish
Well, I think we all are for sure.

Nicole
Yes. Congratulations to you, David, you. And all the other Victorians have been incredibly resilient to get through the last year. And I think it’s so heartwarming to hear that things are going well now.

Dr Kosenko
It is going very well for us, we’re very heavily booked, which is great. And, you know, last year was really hard. But you didn’t have a choice. You know, the government said, these businesses have to close, you can’t operate and you didn’t have a choice. That’s what you had to do. We took the time and opportunity to try and look at what we were doing, what devices we had and try and improve things so that when we did reopen, we could do it, you know, sort of hit the ground running, so to speak. So it was a tough year. But I think we’re over the worst of it, hopefully. And yeah, hopefully things just continue to improve. And, you know, sometimes you don’t have a choice when it comes to things like resilience, it’s sort of to swim or sink.

Nicole
Tell me Have you been on a holiday yet with your wife, you will mentally go away for a weekend. And then of course, that got postponed on top of everything else from the previous year.

Dr Konsenko
Last year, I think we had to cancel four trips. And so just before Christmas, we took a pump thinking everything was okay. Nothing has happened in Australia for a little while. We’ve booked to go to Port Douglas, which is actually this coming weekend. That’ll be our first trip into the state since March last year. And then obviously, in the last few months there has been a little outbreak here and there. So it’s been hard to get excited about things because you sort of half expect things to close down again. But we’re only sort of three or four days away now. So I’m starting to get a bit excited about it again.

Nicole
Fantastic. Yay.
Well, congratulations. You still aren’t too. Yeah, we’ve survived each other. Now we get on really, really well.

Trish
Okay. Awesome. That’s been so interesting. I’m really excited by the ultracell and Q plus, I love the fact that it doesn’t hurt because as I said, I have had the experience where it absolutely kills you. I love the fact that you can do other parts of the body because obviously, you know that that wasn’t that hasn’t the case or not that it’s been promoted in that way. So I think that’s great. I’m looking forward to having a bit of my arms as usual and see how I go.

Dr Kosenko
For sure. And it’s one of the aspects of the ULTRAcel that’s surprised me to some extent, but I’m also very happy with that and that is that. You know you have some people that say Look, do whatever you have to do to get the results. I don’t care if the needles or whatever it is, you know, I’ll put up with it. And then Some people that come along and say, Look, I don’t like pain, I don’t want it to hurt. And this truly is the technology and advice and a treatment modality that we can offer people that we can honestly say, look, there’s not going to be any significant pain. Most people are barely aware of the sensation. I mean, obviously, if you are over the bone or somewhere where you don’t want to be and you fire it, people certainly will feel it. And that’s where it comes back to knowing how to use the device and which areas to target. So you know, it’s actually doing things and you also know it’s doing things because you see the results. But yeah, to be able to say to people is no downtime, no one’s going to know you’ve had a treatment doesn’t hurt. And it’s not overly expensive and sort of, you know, ticks all those boxes, that I didn’t think you’d sort of be able to get a device that can do all those sorts of things and get the results that we do.

Trish
Fantastic. Anything else, Nicole, that we needed to cover? like David did something that we haven’t asked you that you think you’d like to share? When we talk a lot?

Dr Kosenko
Yeah. I like the way it just flows, you know, goes from question to question, I think we’ve covered most of the things. ULTRAcel Q+, all I can say is, you know, I haven’t had experience with the older high intensity focused ultrasound machines. This is the first device we get, and all I can say. So I’m very happy with the results that we’re getting. And then people are also very happy with the results that they’re getting too. So I think whilst I can compare to some of the other devices that have been around, you know, I’m not unhappy because of what I see that we can do.

Trish
Fantastic. Do you want to close it out, Nicole?

Nicole
No, you did the introduction to the good bits.

Trish
Well, I’m going to say thank you so much for joining us today. Dr. Kosenko. It’s been an absolute delight. It’s been a real joy having you as our numero uno, because, you know, we love you, we think you’re amazing. And you do some great things for the industry. And you know, you’re always out there. So it’s always really good to see you. So, you know, we really value what you have to say and share with us, so thank you so much for your time today.

Dr Kosenko
Thank you very much for inviting me. I didn’t know I was going to be number one. But I’ll wear that honour with a lot of pride. It’s always a pleasure talking to both of you. I think that what you do for the aesthetic industry in general is very important work. You get the word out there you always put forward very balanced viewpoints. And I’ve always got time to talk to both of you.

Trish
Thank you so much.

Nicole
Thank you.

Trish
Thanks Nicole and I’ll see you in a couple of days. And one day to be exact.

Nicole
Great trip, David. Thank you very much.

Dr Kosenko
Thanks.

Trish & Nicole
Okay, ciao. Bye.

To find out more about UltracelQ+ get in touch with Cynosure, and to get in touch with Dr David Kosenko from Impress Clinic, you can do so here.

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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