Dr. Gina on Ocean Cosmetics

Looking for a summer glow up? Looking for treatments that are making buzz this summer season? We hope you enjoy this podcast, complete with kiddie interruptions as Nic & Trish juggle family life.
Dr. Gina Messiha (Cosmetic Doctor) MB BS FRACGP is the Co- Principal and Director of Ocean Village Medical Centre and Ocean Cosmetics. She is very focused at maintaining her own knowledge, staying up to date with the latest studies, treatments and technologies so she is able to give her patients the best possible results.
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Transcript- Dr Gina on Ocean Cosmetics

 

Nic

Hello and welcome to Aesthetics Uncensored and today’s episode is with Dr. Gina from Ocean Cosmetics. Ocean Cosmetics is based in North Perth in Wembley Downs and offers a wide range of skin and body solutions, with treatments ranging from relaxing treatments to the latest cutting edge technologies and for non-invasive procedures, including anti-wrinkle relaxations fillers, resurfacing, laser hair removal, urinary incontinence, vaginal rejuvenation and I would say a holistic and bespoke approach to women’s health and esthetics and of course, men, and Dr. Gina has everything and anything in her toolbox but of course it’s her skill and knowledge that sets her apart. Welcome, Dr. Gina and Trish. 

Dr Gina

Hi, Nicole.

Trish 

Welcome Dr. Gina. This is exciting because you’re like, your clinic is absolutely like a one stop shop like whatever your issue is you can come to see you at your clinic. I love that.

Dr Gina

Thanks Trish. Lovely to see you guys. We’ve been a little bit isolated in WA, so lovely to see all the faces from the eastern states.

Nic

We have missed you. And we hope that your border opens one day eventually.

Dr Gina 

I hope so. I hope so.

Trish 

I heard someone last week went to Perth for some training.

Nic

She’s squatting in the background. Trish is recently a grandma, a glamma, I’m saying a Noona. So she is currently visiting her daughter and her beautiful newborn and then of course has her little little cheerleader in the background.

Dr Gina 

Very lucky. Very lucky. I can’t wait to be a glamma as well. I’ve got a 28 and 25 year old who, yeah, are still at home.

Trish 

Tell him to hurry up although you look like you’re 28 yourself, Gina. Goodness me.

Nic

Yeah, so we’re all more multitasking with the kids and work and everything. How are you going in WA?

Dr Gina 

With me well, very well and thriving, but again, we miss travel when we miss the conferences, but at the end of the day, we’re really busy going to get busy practice and we haven’t had a dull moment. People are still seeking the anti ageing treatments and the skin treatments and as you probably know, Nicole I work six days a week where an unfortunate percent of my consulting time is still in general practice. So I’m still heavily involved in my GP practice with a special interest as you probably know, in women’s health and mental health. So we have been so busy with that but interestingly enough, despite what’s happening in the world, the cosmetic practice is still very busy and ongoing really well.

Nic

Yeah, I think it’s so fantastic that you combine and can treat everything for somebody, not just you know, a one off aesthetic treatment but their health as a whole. Gina, we, Trish and I know you quite well from seeing you as a KOL for many companies, every new technology that comes out, you’re educating us on what’s the latest and how you can help your patients. Tell us, how did you become the entrepreneur and mother and lady and in medicine that you are today?

Dr Gina  

I mean, basically, I did medicine and I graduated in 1991 and for people who don’t know probably my background, I’m from Egypt and I graduated in 1991 and I took Obstetric and Gynecology training as my career which I spent about six years back home doing that, I moved to Western Australia in 1996 and because of many many things like as you said, we all wives and moms and doctors, I decided to take General Practice as as basically my speciality in medicine and I did GP training, which I managed to get the fellowship in 2005 and I spend a full time general practice from 2005 until 2007. And then, interestingly enough, I had stumbled basically, of course, an opportunity which I still sort of like very privileged to be able to work with, at the time Elite, and still a very leading clinic in WA in lasers and cosmetics. And I thought they have to be balanced between general practice and something else. And you see lots of GPs now, we’re actually doing, they’re doing skin cancer, doing women’s health, assisting surgeons, and cosmetic medicine and lasers was an opportunity, which I took, and I worked with this clinic under two leading dermatologists in WA for two years. And it’s just, that’s how basically, I developed that passion towards all energy based devices, all anti ageing, and all skin treatments, and I opened my clinic in 2010 and we go in, two clinics, they seem to some extent independent of each other so we have an Ocean Village Medical Center with non working full time GPs, and we do have Ocean Cosmetics with German therapists, nurses, and myself and Dr. Jessica Wang so this is basically  we are up to.

Trish  

You know, one thing I noticed, I think, with you Dr Gina is that I love that you’re always really open to number one finding out about the latest and greatest technologies, but you always want to make sure that your clinic is leading edge by having all of those latest technologies and loving them and using them and in fact being a key opinion leader for the company for them and that’s one thing that I believe that you’re a standout for in this industry.

Dr Gina  

Inspiration I like you know, I don’t adjust the like have in like the economy, energy base devices junkies, and I think lots of lips in different company probably know my weak points, but I do believe sincerely to deliver the best results, you have to combine different technologies and some technologies used even it’s all the technology like your Fraxel laser 1927. That’s actually my eldest baby and still one of my favourite resurfacing procedures but you have to actually sort of keep up with the latest technology whether it’s the HIFU technology, whether it’s a body treatment or a vaginal treatment or incontinence treatment or a microneedling radio frequency. So yeah, once you read the papers and then publish papers behind it, the technology I’m always happy to adopt new technology in our clinic and it’s quite interesting, because we find that we actually leading, we have been leading the the trend in WA, and I don’t get shy and I don’t get intimidated by my close colleagues, even if they are just like a few kilometers away to come to the clinic. Try this new technology and adopt it as well. I do believe that we are a place for all of us, this is a healthy competition, if that makes any sense.

Nic

Absolutely, does and Gina, I think for a long time, and probably our older population is testament to this. A lot of women have suffered in silence with conditions, as simple as urinary incontinence to more complex prolapses. And for many, many, many years, whereas now, women’s health and vaginal health is becoming more commonly spoken about and understood. What exactly comes under that umbrella of women’s women’s health and is it aesthetic? Is it medicine or is it a combination of the two?

Dr Gina

It’s a very interesting question, Nicole, because I do believe we are a little bit behind here for many years if you go and all my colleagues know what IMCAS stands for which is one of the most beautiful International Congress. There is actually a date that has been for years dedicated to panels and days and sessions about Obstetric Gynecology. I like to call it functional gynecology, if that makes any sense, or functional sexual health because it’s not just about aesthetics it’s about function as well. So it’s not about the look, it’s about women who think or just the like who put up with some symptoms thinking it’s part of childbirth, and it’s a part of getting older. So things like pro vagina, painful sex and vagina relaxation syndrome, which is like you could call it labial relaxed vagina after childbirth and think, Oh, I have to put up with this and if it’s not surgery, there’s nothing else that can be offered. No, that is a spectrum and that’s how I actually talked to my patients. I talked to my patient in a way that GP had, and told them basically what conventional medicine can offer them. But there are actually other options today, which he can help you out with and I think I leave it up to them what to basically be, we might combine both, again, combination is always great. So, for example, after we do Thermiva, which is a radio frequency vaginal tightening and rejuvenation, I might put them on topical estrogen, they are good candidates so they can maintain the results. And I don’t see them as often seen as the insula, and that combined the insula for pelvic floor tightening with a physio program so they can actually continue and interestingly enough Emsella now is been well recognised and have FDA so in microbiology, federal government, it has federal government allowance and being recognised by Incontinence Australia. So I also urge conventional GPs and specialists to come on board and understand what’s how this technology works, rather than just label it that it is acidic and that it doesn’t have evidence and it doesn’t have any evidence behind it. Because you see, IMCAS who is involved in this area, our gynecologist, our aesthetic medicine doctors, as well. So it’s not an area of cosmetic medicine only.

Trish   

You know, it’s so true because I use example my daughter’s just had a baby and it’s all about just having the baby but then the after treatment you like she can actually go to her same gynecologist and ask for after treatment so or even to know that there’s something available meaning she knows because we talk about it, but otherwise, there is no way so it is the aesthetic doctors that are genuinely to uptake in the uptake of that at the moment. So hopefully that will filter through so that mums can get help with some having had babies and know that there’s things that they can, that they don’t need to put up with unnecessary things.

Dr Gina 

Absolutely. Absolutely. Trish

Nic

I was leaving you the window feeder. If you wanted to ask a question. I didn’t want to cut you off Trish but Gina, you have something called the Skin Solution Gym.

Dr Gina

Yeah, it’s something we sort of like adapted and created at the beginning of the practice and it’s still growing. It’s sort of like, I mean, we all know to get good results when it comes to fitness and exercise you have to commit I mean, you can’t just come for a chemical PE law like obviously have the same procedure and then think that okay, that is it you need to commit to concrete even especially when you start your journey in anti ageing and good skin. So we actually chose a few of the modalities, basic modalities, which we offer here and we put it in the skin solution gym and basically after a thorough consultation with the dermal therapists or with the doctor or with our nurses, we choose which combination we sort of like a will benefit you and get you to achieve your targets. It could be anything from just a simple chemical peels and hydration to clear and brilliant and some chemical peels to some skin tightening and chemical peels or the combination of a needling and chemical peels, so it doesn’t involve any of our other fancy, sort of latest procedures, it just informed with the basic. And I think that’s always a good start for patients or clients who commit to three months with us to see the results. And we tend to give them the complimentary pill with whatever modality we choose for them. And it’s very, very popular, because when you heal every two to three weeks, they tend to see, there is also by the end of the three months, and then we’ll be assessed and see what they need and how often they need it. And it is a journey, as the anti ageing is a journey. It’s not just the like an ad hoc treatment, you have it and then you go for it, and so,

Trish   

And people don’t know sometimes where to start, like, especially someone who’s just getting into aesthetics, like I had my first job when I was 44. But because it wasn’t that rampant I guess around there or I didn’t know I was oblivious to it anyway, but people are starting much younger but then they don’t even know sometimes where to start. So it’s like I want to look better, I don’t know what I want because I don’t know what I need but I know that I want to maintain a youthful look throughout my life and whether you’re 25 or 45 you still feel like that so it’s a good introduction and getting like not hard core kind of entry I guess as well.

Dr Gina 

Yeah, and you know Trish I think it also being trained by dermatologists. I always say to my patients before you start your injectable journey and spend the money on that, it says skin skin skin. So you look after your skin with basic homecare and basic professional programs, you will actually get the benefit of this 100% and yeah, that’s your starting point. And once you actually establish that, then you can go to the muscle relaxers and the injectables and the dermal fillers. I’m a trainer for Galderma nurses and so injectables for us is like our bread and butter but definitely skin for me in my consultation does consist.

Nic

Gina, I’m going to come back to your medical background and how you obviously intertwine with each other, the medicine and the aesthetics. You mentioned prior to starting that you also do mental health within your GP practice, how would you treat or deal with or recommend for a patient who is maybe between that 16 and 24 age group who self harms and comes to you for treatment of that scarring?

Dr Gina 

So that’s a very interesting point. Because yes, I come across that quite a bit, not a lot but a bit. I think it depends on Nicole, am I their regular doctor, or they come to see me purely for cosmetic treatments? I think if they come in purely for cosmetic treatments, it’s probably almost in remission from the deliberate self harm and it’s usually old scars rather than fresh scars. But if I’m waiting get ahead for as both as the primary care provider and they asked me about the deliberate self harm scars by I have to make sure that they are stable and in remission by various means whether it be feeling them to psychologist and helping them with this before I actually started treating the spas and I say something very simple to them. There’s no point in spending money on treating the flesh scars and they still have ongoing behavior and use scars coming up. So I sort of almost put that kind of day like we need to stop that to start looking at these cars. It’s very hard and it’s heartbreaking but it’s out there.

Nic

It’s so prevalent. And it is really sad because it’s something that some people can’t hide.

Dr Gina

Yeah, absolutely. And it’s more complicated than just what we say. So whether there is an underlying personality disorder without sometimes if it is also underlying and of course anxiety depression they sometimes it is in association with eating disorders. It’s far much more complex than what we say.

Nic  

On a happier note, what is your fandangle exciting buzz treatment for this summer that everybody wants to have?

Dr Gina

Ah look, I think it’s summertime and that’s why we created that Ocean Cosmetics. Now, the festival glow. I think my clients who know me really well, we don’t have fluffy facials here, all our facials have to involve some energy based device. So this summer season, the energy based devices we use in the facials are the ones which involve no downtime. So ULTRAcel Q+ is by far the very popular, it’s a HIFU technology and it’s definitely a winner at Ocean at the moment. We use it in conjunction with bio stimulators. We use it inside a facial, so it’s like how would you say that the potential of this sort of treatment is endless. If you know how to operate it, of course, we also use the EndyMed radio frequency as part of our facials and we also use just the standard facials. So we do things which should give you a bit of tightening and a bit of lifting and a bit of long term results with the glow of the facial as well. So that’s definitely buzzing at the moment for the festival season and the other thing which tends to be buzzing at this time of the year is body treatments and I think I’m proud to be the first clinic to have the Emsculpt neo, which should combine with radio frequency and HIFU technology, HIFEM technology together. So rather than putting a patient on muscle toning, and then book them another session for radio frequency for some fat reduction in certain area, this technology combines simultaneously delivers the muscle toning and energy frequency together in half an hour to basically help in certain areas with up to 30% of fat reduction and muscle toning. So that’s also very, very popular at the moment in Nicole.

Nic   

We need that,Trish. The ULTRAcel Q+ and the Emsculpt neo. 

Trish  

Got it everything. Well, I can actually have it for me, I can’t have the Emsculpt because I’ve got plates in my back. Oh, yes, yes, I can’t have it. So I have to stay fat, sorry.

Nic  

That can come back to that holistic health and good nutrition, exercise and diet.

Dr Gina

Absolutely, Nicole, and I think that consultation, that’s why consultation is very important and one of the other interests of doing general practice is actually weight management. So if I can help my patient lose weight by prescribing certain medication to help them out in this journey. And again, put that caveat at the end of that look when you reach your target weight, then we can address at that time, a certain area for body contouring so it is beautiful to combine general practice actually and aesthetic medicine together.

Trish  

I think that’s so true because it gives you a not solid foundation, but it kind of I mean, I guess everyone has the same medical training but although that’s probably not true, it gives you a little bit more guts, if that makes sense. It gives you a little bit more and like with that just going back to that white thing. So do you do that online? Um, being self like, is that something that you would do on Zoom? Or you have to come in and see you?

Dr Gina

Unfortunately, no, I mean, with COVID we allowed our GPs to do telehealth, but you have to be an existing patient of the practice. Otherwise, we can’t, unfortunately no, yeah.

Nic 

What’s the future for you? You’re obviously teaching with the college. You’ve got your two practices, where do you see the future? Have some of your clinics going and aesthetics as a whole?

Dr Gina

Look, I do believe in training. So I hope that all being like a mentor. So I hope that I will continue to have the opportunity to do training sessions with Galderma, BBL and Cynosure. I love these sorts of things, even if I don’t get paid for that so that’s a passion. I will continue to contribute to the training program of the CPCA for new cosmetic physicians who would like to come on board. I would like to continue that as well, as I’m getting older and I just also hope that we maybe expand Ocean Cosmetics. Because as you know, as I’m a hoarder, and energy based device junkie, that place is getting very crowded with lots of machines so if we can split them out, that would be awesome but we’ll just see how it goes for 2022.

Nic

For people who don’t know, can you explain what the CPCA is, and its role within the industry?

Dr Gina

So CPCA is the Cosmetic Physician College of Australasia and basically it’s the body which regulates our industry. So I’m so proud to be a fellow of that college. We do have training programs for doctors who are interested. And as you know Nicole,  the industry has to be regulated. And if it’s not regulated, like it’s not safe, it’s as simple as for consumers and for clients. So for consumers and clients, you have to make sure that your practitioner belongs to a body. And this body basically has to ensure that your practitioner is up to date with everything from safety to latest technology and everything. We annually have to complete, like CBD points and things like that, to ensure that the level is up there.

Nic

You did touch on it briefly before when you said if you know how to use the ULTRAcel Q+. So I guess sometimes you can have all of these wonderful devices or tools at your disposal. Especially like the TCA peels and things but if you don’t know how to use them, I would assume that you could do quite a lot of damage or not get the best result from that.

Dr Gina

Absolutely and also how to manage your complications. I was actually talking to my son, he’s a doctor, he’s just got and seeing what’s the difference between like this doctor and this doctor and why there is a little bit sometimes for value your service like it’s not just about holding the needle and injecting. We probably all can inject with very very similar skills about when things goes wrong, how are you able to manage it or not probably will take that platform to talk about the AMET which is, it’s a move towards it safety in especially in injectables, and later on will be for blazer and it’s led by our leading doctor, Professor Greg Goodman, and Dr. Steven Liew. And another ocular surgeon and Dr. Kate Morlet Brown, who is a Western Australian Maxillofacial doctor. So again, I’m proud to be the local WA field expert. So if there are members for people, which I encourage all cosmetic practitioners, nurses, doctors to join that AMET which stands for Aesthetic Medical Emergency Team, if a complication would arise, we are there for them with certain guidelines. It was lovely, a few months ago that I was there was there was a complication I had to face at 8pm on a Wednesday I was able to actually access Professor Greg Goodman and say, look, you know it, shall we do this and this and this and he sort of like support me in the process so safety is really important. It’s not just about that acquisition of the technology and being able to justify being licensed to inject muscle relaxers and dermal fillers. It’s about managing complications because guess what complications do happen, even with the best hands.

Nic

That’s so amazing. They’ve got that network of people to rely on.

Trish  

Dr. Gina, can you give us the website for AMET?

Dr Gina

Yeah, definitely. I can forward that to you, Trish. It’s something again, like, I think every single practitioner should join. Because the guidelines, the latest guidelines by Professor Goodman, are there for treating vision loss, ischemic events, delayed inflammatory reactions, and how to reconstitute the highlights and then that’s all on the website and then they have a local expert field to help them in the process, if just referring to the guidelines is not enough. 

Trish  

Yeah, that’d be great. I found it. It’s aestheticmet.com. Okay. So it’s a support line as well.

Dr Gina

Absolutely, absolutely. 

Trish  

Okay. You know what, I love that idea.

Dr Gina 

Complications do happen again, with the best hand and the best feeling is you’ve got someone you know what to do, it’s going to be okay. The vascular events that happen, the delayed inflammatory reaction do happen. But to have someone there to say I’m doing this, you know, am I going to be okay? It is actually so valuable.

Nic

Now, Gina, sorry, Trish. I just saw this. When you said vascular event, I thought oh, my goodness. What about people who have the O-Shot? Can you end up with a vascular event from having an injection in your nether regions? Oh, even that happened?

Dr Gina 

I think it does. I think if you’ve got to do it with things like PRP it’s very unlikely that would happen. But if they’re gonna put some dermal fillers there. Yeah, yeah, definitely. Again, in IMCAS, there is a whole session about complications which could occur from injectables and threads. And we’re not very advanced here, but you wouldn’t believe what actually happens overseas. Like, again, Bob said, Simone said dermal fillers are getting injected inside the vagina and in the vulva area as well and definitely complications could occur, like the causes and so on. 

Nic 

I think there’s a lot of women who just have sex as a chore.

Dr Gina 

Yes, yeah.

Nic 

Yeah, and don’t actually know that there are treatments available for Trish. I was just kidding.

Trish  

Oh, that was supposed to be a secret, you told everyone but that would definitely not be me just saying.

Dr Gina 

Yeah, I mean, definitely, we do have clients who you can take that off the recording, but I do have clients who are escorts and working ladies, and they come for the vaginal treatments. Yeah.

Trish  

It is a part of your anatomy that you need to keep healthy because I can remember growing up my grandmother and my mother, in fact, always having problems down, quiet down there. And so I’m always really vigilant about keeping my vaginal health. It’s not something that you know, it’s a bit confrontational, but I think it’s important that women and mothers need to teach their daughters as well that it’s important to have you got to look after your vagina you’ve only got one.

Dr Gina  

Yes, true.

Trish 

Well, that’s been really interesting. I’ve also really enjoyed listening because I’ve kind of heard about AMET on the grapevine but because I’m not a practitioner, it’s not something that I knew but as a consumer knowing that you’re having treatments with someone who does have access to an emergency. If an emergency happens, they’ve got access to someone that they can speak to that actually works because we all know that an emergency in an emergency center in a hospital is different to an emergency in an aesthetic thing where something happens with the lip saw or what it or surgery even whatever. Yeah.

Dr Gina

And we, as I said, you know, we’re not immune, if anything, my sort of rule of thumb but the more experienced you are, the more sort of risk procedures you’re going to take and the probability of something going wrong could be slightly higher.

Nic  

Uhm Gina oh my goodness, you’ve given us so much information about, obviously, ULTRAcel Q+, Cynosure and BBL and the Emsella and Emsculpt Neo. Yes. Emsculpt Neo. So if we have if someone in WA was listening, how would they best be able to get in contact with you?

Dr Gina

I think the best thing is just a look at our website. Where all the contact details the phone number we have actually, we use Podium for live chat. I can’t help myself actually answering some of the questions that come on the podium, they will end up with us so someone else because sometimes we get a good question. I say where are you? And they will say on Monday, but I don’t care. I just love interacting and giving good clinical answers to people who just inquire about different things.

Trish

I love them. Yeah. Yeah.

Dr Gina

The other one Nicole would like to mention is the BBL HERO that’s actually a heel in our clinic. Okay. So that’s a broadband light and that actually delivered 1000s of shots in seconds. So you pretty much can do photorejuvenation for the whole arm in literally two minutes.

Nic 

So is that Sciton?

Dr Gina

That’s Sciton. Yeah, BBL.

Trish

I sort of thing done on, I think it was some I think, it was three minutes or something to do the whole body because it’s amazing. Yeah, that’s amazing.

Dr Gina  

Yeah. And again, we were the first clinic to have it and so it’s so great that you can actually, especially here in Perth, some damage is out there very hard with the standard video, the stamping one to treat the back or arms or legs about you can feed the whole leg in about five minutes.

Trish

Yeah, and I was talking to someone on the weekend because I went to a presentation on the weekend in Sydney. And like people, actually my girlfriend, she was like, Oh, I’ve got all these little barnacles on my leg and there’s so many different options out there. You can go and get them burnt off and all that but seriously, why wouldn’t you just go and have a baby? I just said that they get the whole thing done at once in three minutes.

Dr Gina 

Absolutely. Absolutely. Yeah.

Nic 

It’s amazing, and Gina, we did an NLP podcast recently. Is there anybody that you aspire to or idolise in this industry or overseas?

Dr Gina 

A lot. There’s a list, Nicole. So definitely Sabrina Fabi. So she’s a Cosmetic Dermatologist from California. She’s one of my heroes. And, of course, all of you know, lots of our local guys are Professor Goodman, Steven Liew, many many very well respected Cosmetic Physicians and cosmetic girls.

Trish

Dr. Gina let is the list of them.

Nic 

Well, I hope that we see you at a conference next year. The Non Surgical Symposium’s 10th anniversary, or we’ve also obviously got Greg Goodman’s conference is first off the list. Yeah. In Melbourne, in February and then CosmediCon so a lot is happening next year. I do hope that you can come over.

Dr Gina 

I’m fully bags and I’m ready once my pulley is down and we’ll open the borders. 

Nic 

So sorry but thank you so much for speaking with you. 

Dr Gina 

Thank you so much for having me.

Nic 

And nice to see your happy filings, your smiling face again, even though it is on zoom but yeah, thanks. 

Dr Gina 

Thanks, Trish. Thanks, Nicole. 

Nic and Trish

Thanks, Gina. 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