Dr Shobhna Singh on Potenza

Our latest exciting episode to look forward to here on the Aesthetics Uncensored Podcast is Dr Shobhna Singh, the director of the Nitai Medical and Cosmetic Clinic, as she chats to Trish & Nic about Cynosure’s Potenza.
We talk about the device, the way it works, the technology, the potential issues, how to manage patients, and the importance of before, during and after care is.
Dr Shobhna has developed an intense passion for, and extensive expertise in dermatology and skin cancer medicine, pharmacology, and the proponent factors associated with skin care treatment and anti-ageing methods. She has a wealth of experience when it comes to medical devices and provides a detailed perspective about the progression of RF.
Click on the link in bio to find the Aesthetics Uncensored podcast on Apple, Google and Spotify ūüíõ Also available on all other podcast channels.

Dr Shobhna Singh on Potenza

Trish

Hello listeners and welcome to today’s episode of Aesthetics uncensored and today myself and Nicole will be joining Dr. Singh. Now she’s the director of the Nitai Medical and Cosmetic Clinic and they’re based in Glenroy, Victoria. And today we’ll be talking about the Potenza, which is one of Cynosure‚Äôs devices so it’s all about rejuvenation and there’s some amazing things that this device does. So we are going to talk to her about it today. So welcome, everybody.

Dr Singh

Thank you. Thanks for having us here and Nicole and appreciate it breaks the monotony a little bit during lockdown. So I’m actually really appreciative that you’ve let me come on and share my experience with Potenza.

Trish

We’re stoked to have you, we’re absolutely delighted to have you on up. But we’ve been watching a few videos. When you find out about a new device, like when something you kind of purchase, either you start watching it, and then you fall into the rabbit hole and just go on and on and on. And we’ve been really excited to chat with you today. So thank you so much.¬†

Dr Singh

Thank you.

Nicole

Sorry, Dr. Singh, you are very experienced, because my physician having been around for 30 years but like Trish said earlier, you’d look so young, it’s hard to believe not being a startup business, what made you decide to invest in a Potenza device? I assume you have a lot of devices, because you have a lot of treatment offerings on your fabulous website.

Dr Singh

And so I’ve done some needling pretty much right from the start so the needling goes back a long, long way. So if you look at the history of it, it started with the coaches in certain cultures that are doing acupuncture, etc. But even back in the early 1900s, there were people, there was a German dermatologist who was actually using a roller device, believe it or not, to treat scarring, and he was seeing some success. And then, a few other things happened after that so ‘ve had quite a few devices in the meantime, and I guess I keep looking at upgrading, and being able to provide better results and therefore a better service to the patients.

Trish

No, I love that. I love it when someone says keeping up to date, because it’s true, like a lot of you may go that probably a lot of people around that they just buy something, they just keep it forever. But it’s really good to actually, you got to keep up with the not the Jones‚Äôs, but¬† you’ve got to keep up with everything so that you’re giving your patient the ultimate treatment that they can get for. The ultimate outcome that they can get for a treatment that they want so I admire you for that. That’s awesome.

Dr Singh

Thanks. Yeah, no, it’s been really good, actually. And I don’t know if I can actually share photos. I should have asked that before but I’ve got some really amazing before and after photos and results that you actually didn’t think were achievable. I mean, if you had asked me five years ago, I would have just shrugged my shoulders and said, No, that’s not possible, I’ve already got something else to treat that but if you can do things more effectively, with virtually no downtime, and treat a wide range of conditions with the one device, I think it’s affordable for everybody. I don’t know about you but when I was growing up, I thought of any sort of facial treatments, but then it was just surgery that was a long, long time ago and it was only for the rich and famous. You hear about all the Hollywood people, etc., but now we have this with all this technology, we actually have it available for all of us so anybody can get it done, really. That goes with your website, doesn’t your company, anybody can do this.

Nicole  

So true. Um, I find it really interesting that people are becoming more and more aware of the impacts of having products, different types of filler products, for instance over a long period of time, and are now looking for more options to improve their skin as opposed to really quick fix of some injectables. When do you see the Potenza as a competing against injectables? or complementing? or as a instead of?

Dr Singh

Probably all three, so you get different groups of patients coming in. So some people come in, they’re just interested in fillers and anti wrinkle injections, and they really don’t want to hear about anything else. And then there’s others who are just interested in skin, they just want their cause fixed, etc. But there could be losing a lot of volume, which obviously, skin needling instruments replace, and then you get other patients that come in that are happy to do a combination of both. And I think the combination is what actually gets us the best result because we’re ageing from the bone to the fatty layers, the muscle and the skin as well. We’re not just ageing in one modality so you’ve got to really think the patients who do the best are the ones that do a combination of everything. And it doesn’t mean you got to break the bank. You got to just spend all your money just to get your face done, but if you do things, we make a plan, we do things slowly and that way, they get a good result, but they haven’t wasted. They might all spend all their money that way, you do it in a gradual process and make a plan for them. So that’s where the consultation is really important having the right set of tools to help you as physicians, so we have the right products, you have really good dermal fillers, you have the right ensuring co injection, combine that with the skin treatments, so that would be skincare products, and then combining that with the in clinic treatment, like the Potenza, there’s so many different options. But that’s what makes it so rewarding, because you’ve actually made a difference. It’s a more wholesome approach. It’s not just sticking needles with it, I don’t understand, when people just do Botox was very anti wrinkle, or just to dermal fillers, I think, you know, then you run the risk of possibly causing to have other complications, where there’s excess filler, or people start to look fake, etc. And so I think there has to be a limit for everything, rather than just using one too.

Trish 

And such as so, what is the Potenza got like? I noticed this, but this is from someone who’s not a professional. I’m a professional consumer, I call myself a professional consumer, so I can only understand it from the average person’s not quite, so what actually is the Potenza, like, what does it do?

Dr Singh

So the Potenza is a radio frequency device with microneedling. So back in the day, there was the you might have, you might remember the derma rollers that we used to use. And that was a take home device where people could actually do it at home or do it in a clinic. And it was designed to make like, I guess what is called micro traumas or controlled injury can actually stimulate collagen. But the problem with dermal roller, is they were painful, but they also didn’t go deep enough, I think to actually make a difference. And then they will evolve to the derma pen, which was a stamping device, again, not going deep enough and not really delivering optimum results, in my opinion. And even in terms of clinical papers, there’s not a lot of information out there clinical studies actually supporting that, in terms of making a significant difference. And then along came, the technology was then combined with radio frequency with the microneedling, so you have a whole lot of little needles, which caused the trauma, and the body responds to it, because there’s been an injury, there’s been a controlled injury and that releases products such as fibroblasts such as etc, which will actually produce more collagen and therefore repair skin and help with a whole range of conditions, which we can discuss in a minute. The problem with that technology, so this was probably about 10 years ago, was that it was more painful and it also caused a bit of trauma to the skin where patients have bleeding and the downtown was a bit more. And then, since then there’s been more progress where the technology has been improved even more where we have insulated needles, and we have the radiofrequency helps with the actual calculations, we don’t get much bleeding and the downtime is amazing, like we might get just a couple of hours of downtime in patients. I’ve had this procedure done myself and we did it late one night on a Monday night Tuesday, when I could still work. I came back in and I looked relatively normal like nobody could tell that I had anything done so just having a quick turn around with effective results is pretty amazing, I think.

Trish 

And I’ve noticed that, like it seems like the news that all major parts of the body, is that right?

Dr Singh

Yes, definitely. So you could use it, probably the most popular areas, the face and the neck, so usually I combine them. I don’t separate them now, whereas previously, we only focused on the face. But nowadays, what I do is I just tell patients to do both, do your face and your neck because there’s no point having a great face and then a withered looking neck. So nowadays, I just tell them to do both, but you can also do it on your abdomen. We’ve seen really really good results in the abdomen where there’s laxity after childbirth, for example, you will actually touch the skin and you can combine that with prior life policies. You can combine that with the scrimshaw for example, which is muscle building. So that’s all part of the body contouring and it not only helps with the laxity but it can actually help with the stretch marks as well. If someone hasn’t had surgery done, abdominoplasty will help with the scar as well. So the possibilities are actually quite amazing and we actually see results where I’m actually surprised as well to see such nice results, provided you use the right settings, and you use it on the right patient as well.

Trish 

Yeah. And so, so because it’s called, like, it’s it’s full mode, or something, what’s that about? So,

Dr Singh 

So what they’ve done, I’m not aware of any other device available yet. In this, that’s got the four modes, it’s got one megahertz or two megahertz, which is the actual frequency of the machine and it’s also got bipolar and monopolar. So the monopolar means you can go a lot deeper and therefore get more skin tightening, and clinically relevant. Tightening, we can actually see it in photos. This is not just a chit chat, this is actually we can see it in photos, and we can actually demonstrate it in clinical photographs, which is quite amazing and it’s because sometimes it’s frustrating if you do a treatment, and you can actually show patients, on photographs, this is what happened. So if you can actually show them look at your photos, this is before and after, it’s very rewarding and also it makes the patient feel like they’ve spent, it’s worthwhile. That the money was put in the right place and then the bipolar is a bit more superficial and with the bipolar we can create an amazing range of conditions. We can actually treat acne scarring, just normal traumatic scars, we can also treat pore size so you reduce pores, which is again, a very difficult thing to do, I think, and this is one of the devices, this one and plus I had the device which is been superseded now with the Potenza, but that will help to reduce the actual size of the pores, you get through reduction in fine lines. And even in much older patients with a lot of photo damage, you can actually see a reduction in the fine lines and sometimes even cost lines as well, and you get a lift so we can elevate the eyelid ptosis. As we know, as we get older, this tends to get a bit droopy so it helps with the lifting here, we’ve seen charging or lifting of the cheekbones, not the bugs but the actual soft tissue structure, reduction of the nodes, labial folds improvement in the gels. And again, like I said, I’ve got photos that I can share with your audience, which actually shows these differences and very quickly. That’s what I find quite surprising as well.

Trish 

Is this like a one off treatment? Because when you say very quickly, a million questions here, when you say quickly how long is there and is this a one off treatment?

Dr Singh 

So again, it would depend on the patient. So say, if you came in you would probably just need to do one treatment because you look quite good. I mean you look pretty good. So you just maybe do one or two per year just for maintenance but then we get people with quite severe acne scarring, for example there’s one that we’re treating we started her treatments before lockdown and also will continue once we go back to work, but the acne scarring needs a lot more effort so they may need three or four sessions. And then you know, it really just depends on what we’re treating so we just tell them like the treatments according to the patient, that we’re looking after because not everybody’s the same. So it’s not a cookie cutter approach. But what I found is that, because in the old days, we used to use lasers for acne scarring, and with the laser, there was a lot more downtime, there was swelling so if we were planning a treatment for acne scarring patient, we would actually ask them to take a week off every month. And you know that that’s a big ask, for anybody, I think getting the result would take many, many treatments and also a lot more expensive but with these sort of machines like the Potenza radio frequency and microneedling and with the different modes, the four modes that we talked about, actually get quicker results and the patient can go back to work the next day, which is remarkable. So they save on sick leave, they save on money, they save money because they’re not having to do as many treatments as well. And just not going through that trauma, the downtime because I think just being out for four or five days with swelling and redness is quite traumatic and and also with the lasers, which we’d have to worry about people like me with dark skinned would have to make sure that we practice in properly make sure they look after their skin after the treatment as well. But with these, this is colourblind, as I say so it means that I can really treat anybody with any sort of skin color and I can do at anytime in years, I can treat in summer, treat in autumn, and I can train in winter, which is good because it’s winter all the time. And so that’s a huge advantage.

Trish 

Yeah, I’m looking at some of the acne photos and they blow me away. Like, I’m really surprised. I wasn’t expecting to see that and based on that, because I know that young, let’s say become teenagers like or even 18, 19, 20, whatever, it’s really hard to get them to stick with a treatment that’s gonna do the same thing every day. But is there an age like, say, if someone was 13, 14? with acne? Would you treat someone that age as well?

Dr Singh  

Probably not with Potenza but we do treat them. So normally, the combination, I love combination approach, I don’t think I need to, I mean, even diabetes, use a combination of diet and exercise and possibly medication, you’re not going to just see the patient one thing and go home. And that would be the same with really young teenagers that you’d look at, look at their diet, look at the lifestyle, because diet does impact on acne, you may reconsider any sort of medication, whether it’s antibiotics, etc. And the other thing is to look at how they actually care for their skin, and actually teach them, educate them on how to use certain products to actually help them with that. But I probably wouldn’t jump in and do Potenza in such a young patient and probably unnecessary, I think the first thing is to get in and get it under control, so that they can avoid having to do expensive treatments later on.

Trish 

Yeah, and I guess, with the ones that are a little bit older, that could actually be done and it seems how many times they would come so they could actually kind of clear up their acne within a period of months.

Dr Singh 

Yes, definitely. Yes. It’s very possible. I mean, with the technology we have now with the Potenza aside, with the products that we have, and we have antibiotics, which emerge around for years, but if you combine them, you will say, I mean, acne has such a huge psychological impact on people. They need to be treated, you can’t, once they’re scarring, it’s an emergency, you got to fix it can’t let them go. And I don’t think anybody should suffer from it in this day and age, it’s different to when we were kids, the kind of, we were just told you grow out of it. Don’t worry about it, but it’s different now.

Trish 

Yeah. Before Nic takes I have one other question. And so because it’s the first skin tightening and for revitalizing the skin, but also for things like acne, so are the two different ? Like the Potenza has a couple of hand pieces. Is that right? Or an adjustable hand piece?¬†

Dr Singh 

It’s got one hand piece, but it’s got different needles. So one of I said, just to go back one step, it’s not just the acne and the skin tightening you also get when treating melasma where people get hormonal pigmentation, particularly women with skin of colour does tend to get melasma there’s also sun damage. People who live in Byron Bay get their fair share of sun, and they tend to get the pigmentation of the sun. But now I’m sure you see that when you walk in going for your walk century, you see people like that all the time. So it helps with that, and it will help with rosacea. Rosacea affects two to 3% of the population where they get a lot of redness they just get a lot of redness, so and that’s worse if they drink alcohol, or if they walk into a room with a warm room, or if they’re a bit stressed, etc. So you see that sort of redness, it’s very common and on a normal day, you might get two or three patients a day just with rosacea. And this, this will help and you see a difference after one session where you see a reduction in the redness and you see a reduction in the broken capillaries so they kind of get this little fine broken technologies, you’ll help with that there is a condition called acne rosacea, where if you leave it untreated, this start getting acne like lesions, which is not actually acne, it’s it’s just a result of the radiation as well. So I know when I first graduated a long, long time ago, we didn’t have many troops to give people doxycycline and that’s all we have. And then we had rosettes and now we’ve got machines as well to help you know in the old days we had the laser to reduce the broken capillaries but now with the Potenz we’re seeing quite a big difference as well. So the technology, the right treatments in a microneedling and and I have very sensitive skin these rosacea patients so to actually help these people without traumatising the skin even more and actually making the skin stronger, it actually repairs the skin by producing all the fiberglass to produce all the good stuff. It actually will strengthen up their skin.

Trish 

Sorry, I’ll let you go Nicole. One of that pain wise because that’s one thing that I always worry about is I think I’ve got a high pain tolerance. But what do you do? Like does it hurt a lot? And what do you do for pain control for the patient?

Dr Singh  

Yeah, so what we do is we apply BLT, which is a prescription strength, topical anesthetic, and we get it compounded. And she comes from Queensland and we have the patient sit where there was some foot quite a thick layer, and we have we occluded with some plastic surgery, we just use plain old glare drug and we included that in an hour so patients are very, very comfortable so that preparation part of it is really important. And we tell patients, you got to make sure you don’t give us enough time so we can deliver good treatment because if patients are comfortable, you can’t do a good job. So we plan the treatment and we do the anesthetic, topical anesthetic absolutely fine. Patients are very comfortable and I guess the real test is whether they come back and do another treatment and patients do come back to have another treatment as they’re happy with the way it was managed. They’re happy with the results, they can actually see it, especially when it’s face and neck. I think that makes a big difference as well.

Trish 

Yeah, that’s true. Because what I find is you have a treatment and you kind of like your flare up or whatever, and then it goes down and then you’re like, Oh, yeah. Okay, I’m glad it’s gone down and you can’t get about it. And then like two or three, so three, four weeks I mean, I look really good and then you remember you’ve had to treat well, that’s my process.

Dr Singh   

Yes, yes. And I think we have a very good photography system so we try to take fairly consistent photos, no makeup, no glitter, nothing, no makeup and so you can actually see the difference in the photos. And I wish I could share the photos with you because it’s, that’s the proof in the pudding, isn’t it, like just seeing those differences. And I think because you’re kind of working, I mean, like I love anti wrinkle, and I love derma fillers, I mean, that’s 90% of my work but when you combine it with something like this, you feel like you’re doing something a lot more wholesome and long lasting. Any kind of compliments, and just like bread and butter, it’s always better together. Thank you.

Trish 

I really agree. That’s a great analogy. We should be meeting any of those things that are currently running to everyone else, it just makes you fat.

Nicole 

I wanted to ask if you’re creating a trauma or a channel, so to speak in the skin. Can you also utilize that opportunity to infuse I guess, if you will, or have the product delivered deeper to the lower layers?

Dr Singh     

Yeah, so that’s the biggest thing with Potenza. So it’s got different types of needles. So it’s got insulated needles, which means that we can actually treat all skin types without actually causing any sort of damage to the epidermis, which is a superficial layer of the skin. And it’s got semi insulated needles next to the target so that means you can actually treat at different levels of the dermis and get a more effective treatment. And you don’t have to do a double pass, you can just do one person get, go through multiple layers and then the there’s another tip, which would have should have talked about learning to read acne, but it actually will help to you can actually piece lesions and coagulate all the stuff that’s in there, it’s pretty yucky, but it can actually help with active acne lesions with that as well. But what we’re talking about is the fusion chip, which is probably my favourite. I think I choose through those ones and they are actually quite remarkable where you can actually deliver products which will help to enhance results so that might be growth factors. And so the growth factors are big now and you can actually get it in a sterile file and so that reduces the risk of any infection or adverse effects or you can infuse PRP or you can also infuse skinboosters. So lauric acid based and I’ve tried that as well, and again, the results just blow me away. And the advantage of that fusion tip so it’s different to injecting or using a roller or some other device because it’s very even so there was a video of this where they used ink and then they use agar to actually injected and it was very even an exactly at the depth so you can adjust the depth depending on what part of the body or the face you’re treating. So some areas are a bit thicker than others, for example, so you can actually infuse it very evenly. So you’re getting a very consistent result and all of those things I’ve talked about, like the PRP and growth factors, will help to stimulate collagen. So suddenly, you’re getting the mechanical trauma from the needles, and then you’re getting the radio frequency, which is the thermal stimulation, and then you’re getting the growth factors as well. So that’s like a triple worries???????????. Beautiful, yes.¬†

Nicole 

That’s why I really want to have a treatment, Trish.¬†

Dr Singh

Are you sure that there are people in the new set? Are you new to this as well? So I think there are quite a few people who will be more than happy to treat you. 

Nicole

Yeah. And what about around the eyes? 

Dr Singh

Yeah, so you can treat just on the orbital rim. So you can’t go obviously, you don’t want to go in but certainly in the orbital rim, we can still feel the bone and you just reduce the so you can adjust the setting. So you just drop it down to about point five millimeters because the skin is so thin, but certainly with the tricks, you can go a little bit deeper to be able to infuse the product. So like I said, most of the treatments that we do are done with infusion and I think that just enhances the results even more.

Nicole

Absolutely. And if you were around to give advice to somebody who is just entering the industry, or maybe new to the industry and considering starting their own business, why would you recommend for them to get the Potenza there’s so many devices on the market? I don’t know how doctors choose clinics or not.

Dr Singh

I think the best thing is to look at all the different options. I like to pretend it’s kind of like the Goshen machine at the moment because I can I can any basically anybody that comes into my clinic will benefit from it, whether the aging, or whether they’ve got acne scarring, whether they was just tightening, pore size reduction, or pigmentation, and the pigmentation could be hormonal, or it could be from sun damage. I don’t know anybody that doesn’t have pigmentation, everybody’s got pigmentation issues. If you live in Australia, you’re gonna have pigmentation issues. And then the other thing is a refresher as well and that pretty much covers a whole cohort of patients. There’s no one that walks in that has perfect skin. Everybody could do with a little bit of treatment, I think and that’s combined with good products, because you want to sustain results as well. So if we tell the patient you can’t take me home with you, you probably wouldn’t want to anyway, but you can come in here and have good treatment, but then you can take products and use that at home. And that’s like doing mini treatments so they’re cosmeceuticals. They’re based on science and design to give you a result and that will enhance the results of the Potenza that you’re doing here.

Nicole 

Oh, sorry. You have absolutely beautiful skin. Have you heard of cancer treatment? 

Dr Singh  

Yeah, yeah, definitely. I’ve had, I think I know where I’m going to go like 10 ring lights.

Trish

Like when you said you’d been working for a little bit of maths and I’m like, isn’t thinking quite a bit? I think it’s about getting the right practitioner offering the right treatments using the right device, device and combination therapies like as far as the patient goes, that’s kind of what you go look for. Do you find that people are coming in nowadays and starting to ask for a treatment by the name of the device?

Dr Singh  

Yes. Been socially like we, because I don’t know if you heard like last night, kind of really well, time but Kim Kardashian went on and said that she’s having this time, we’ve had quite a few people coming in and actually asking for Potenza I was like, no, sorry, gonna wait till after lockdown is like, Oh, you know, they just want to get stuff done now. But yeah, definitely. Before the Potenza we had the Vivace, and I don’t know how to hear about it. There must be a lot of Instagram and other types of social media work that goes on, but they do ask for certain treatments. And so they won’t come in asking for radio frequency, they’ll come in asking for Potenza, vivace or whatever. I mean, obviously, there were older machines before that and so I think there’s a lot of confusion amongst the consumers as well because they think every skin needling is the same but it’s not. It’s not like just doing a derma pen treatment or doing some of the older devices, like I’ve actually gotten rid of all my old devices, because they weren’t third one main thing was they were too painful, like patients just couldn’t tell them and we couldn’t numb them, like we can with the Potenza that the pain factor is really important.¬†

I mean, I tried some of the old devices, right, jumped off the bed, because I couldn’t tolerate it. So the progress is with pain management as well. Having machines that are not painful is really, really important. I think because they’re confused, that everything is the same. We’re doing what we did 15 years ago, and things have progressed like in any industry, whether it’s hair, general medicine or surgery, everything’s changed so much there. So you got to keep up with the technology so then part of the concentration was to educate. Now this is not the same as what you had done 15 years ago with your roller, with your stamping etc. This is totally different and I think the biggest thing is to try to actually combine it. So one, you have the radio frequency with the needling, so that’s like a double trauma. So the more trauma you can cause in a controlled way, the better the results. And that’s why it’s so important to have the growth factors have the radio frequency and the needling as well in combination. And that’s without traumatizing the patient too much, and they can recover and go back to work.

Nicole 

Do you remember when Kim Kardashian had the Vampire Facial? Today, I had scars all over my head, and I had to put sunscreen on so I couldn’t go outside. It was just terrible. And now I have the Potenza so we’ve all got to go.

Dr Singh  

Yeah, actually, that was horrible. You have to get a Potenza along with the big lips and the big whatever.

Trish 

What she’s seen is true. Like amazing.¬†

Dr Singh   

Yeah, at least this is something that’s sensible. And that’s good. Like, I don’t agree with the big lips and the big everything, you know, I actually don’t even follow her. This just sort of happened to come up on our feet. But this is one good thing that she’s done. I think of the skin, like repairing the skin or improving the skin. And I mean, I think she’s probably somebody that because she’s saying on that video that she’s about pigmentation etc. I can’t see any pigmentation on her skin but I guess it’s about maintenance, as well. So you don’t wait till you have a problem. You start acting now so that’s what I say everybody can benefit from it’s not just people with active problems. You can use it as a prevention as well.

Trish 

Yeah. And just to run through some of those treatments that ‘s because I just love that you can buy one device and then do a batch of treatments. That’s what you know. I mean, I don’t have a plenty but if I had things, that’s what I would be shopping for so I can treat things.¬†

Can it treat stretch marks? You mentioned after surgery stars and things like that.

Dr Singh   

Yeah, so you get a lot of women with the abdominal plastic scars or if they’ve had breast work done, they can end up with scarring there. And even infusing them with work growth factors helps. They probably only need two or three treatments. It’s not like they’re going to be coming here for a year or two. Humans will get the results that they want.

Trish 

Yeah, wow and things like the paws, any irregularities and the skin pigmentation and stuff like that. And that would include areas like you know the face, the neck, and will give you much anywhere on the body, hey.

Dr Singh 

I get it. I get a lot of people asking for their dec to be done as well so we do the face, neck and decolletage. So I think the most popular treatments are face and neck, some people will add in the deck. And then a lot of the post surgery patients once the scars are treated or the stretch marks treated, but also patients with laxity in their skin. So a lot of women after childbirth will have laxity. So you see that sort of crappiness and if that’s what I do like for the abdomen because abdomens are really important, you know you’ve got to make sure it looks good. So if someone has a bit of stubborn fat, you can use a lot or other technologies that are available to help just reduce the fat that you may not be able to get rid of with diet and especially post menopause. And the other thing is to strengthen up the muscles so it takes a lot of work to build up your abs so you can exercise till the cows come home but the toning that you get with the sort of decode the electromagnetic devices and you might have had or camps called, we’ve got the StimSure so that’s equivalent to doing up to 900 setups in one session. So it kind of just gives you a bit of a boost, it sounds like we’re using science to your advantage. So it doesn’t mean you stop exercising or eating well, it is just kind of just a little bit of a helping hand, I guess. And then to treat this skin, you can use something like Potenza to actually tighten it up and reduce the stretch marks. Well, stretch marks are very common, especially in patients with all your ducks in. I think every Indian woman that’s ever had a kid has stretch marks, straightaway. So some cultures are more prone to it than others, unfortunately.

Trish 

Yeah, I’ve the same heritage, same thing as well, like we will I do anyway, I was gonna ask you, oh, something? Oh, no, it’s gone. It was what you started talking about, oh, I need to ask, but I can’t remember it was Nicole, you keep talking about it. But come back, because it was a really good question.

Dr Singh

With the face, you’re talking about the different indications, like I said, the fine lines, laxity, cost loans, even I found that’s improved and in all the different conditions that we treat, from acne, to acne, scarring, pigmentation, and when I say pigmentation, and promote all different types of pigmentation, and then rosacea, I mean, they’re really the four things that that make up a cosmetic clinic. I mean, they’re the sort of patients we’re seeing. And you can treat all of them with the Potenza. But obviously, you can combine them with other things, they might use dermal fillers, you might use a bit of anti wrinkle. And then for rosacea patients, in acne patients, you might get some medication and skincare, but it all comes together beautifully. And I think it’s kind of a must for any and I don’t think you can just focus. Okay, a lot of people get hung up on fillers and Botox, but you got to understand the skin, you gotta understand why we’re ageing, why we have these conditions and how we can actually help them, there is a concept of skin health and then skin age so it’s not just making someone have bright cheeks or great lips, you’re going to make their skin look young as well. And that comes from diet, exercise, but also what we recommend, as cosmetic physicians, a great dermatologist, that they’re doing great work. And they’re the ones that are actually discovering all this, amazing technology and working on their research. And I’m sure, if we have another conversation in five years, without a Potenza anymore, we’ve got this other, which is absolutely fantastic. It’s amazing, like, I think we’re very lucky to be living in this age where we can do so much to help people.

Trish  

That’s true, I remember where it was a segfault. And there’s two things I want to actually mention. So, and I think when people do have treatments like this, for example, anything to make themselves feel better, like, I know, myself, for example, I looked at myself this morning, and I was actually talking to my daughter on the phone and I’ve got a mirror here, which is sorry, a laptop and just got a ring light, which is great, they look fine. And then I’ve got a little, which is really dangerous, I put this little mirror like this right next to it and I just kind of like because it’s just kind of turned around, I was talking to my daughter, and I was like, Oh my god, like and I was actually really stressed out about the fact that my necks like wobbly at the moment and I know for a fact that once I hit a treatment, the way it makes me feel just you know better about myself just kind of changes everything. I know that sounds really stupid but it’s not vanity, it’s just the truth of myself. But whenever I feel better about the way I look, it changes everything about my whole life and the way I deal with people, the way I feel about myself, the way I interact. But even with them what you’re talking about when people are doing things like, for fat and stuff like that, even something like that could be a precursor to like a healthier way of living because you’re not going to spend money and on your body and then go and live that you may binge it here and there, but you’re not going to talk it generally.

Dr Singh

I‚Äôve seen that sometimes people will come in for one treatment, they might just come in for a fat freezing treatment, for example and they start to see the strategies and results but it’s a bit of a catalyst or a stimulus to to actually do more. So they’ll tell me they’ve stopped eating chips or they’ve stopped drinking and just by doing that they’ve actually seen the amount of last five or six kilos and then they start going to the gym. And you know, I think it’s and that’s probably really one of the most satisfying things about this job. Luckily, I actually see people doing positive things and the same with the face, they might do a little bit of filler or a little bit of anti wrinkle in and suddenly, the stylish book more makeup on the taking care of the body more, they start going to the gym, they buy nicer clothes, their self confidence improves and I think, especially for female doctors, I think to be able to give that empowerment because most of our patients are between 40 and 60, I would say, and just to help to empower them, because they just a little bit makes such a big difference. And they go out stronger, emotionally more confident because most of us are working longer. I mean, my grandmother never worked, she died when she was 60 and she was just a housewife or not, I should say just but she was a housewife for practically all her life. But here I am at 52 still working, I probably still work for another 20 years, that’s just because I love my job. But also that’s just how things have evolved and so you kind of need to look at the patch, but also feel good about what you’re doing as well. So a lot of people will vilify the industry or it’s all fake, it’s all stupid. But I see the difference in the women that are coming in, and they’ve been through all this rubbish, the whole life they’re brought up kids that might have had a difficult marriage, or the financial issues or whatever, like people go through so much in their life. And I hear all the stories, because people will open up and tell me everything and to empower them and make them stronger is actually very, very satisfying and you develop such a strong relationship with your patients, because you’ve made such a massive difference. It’s almost like the pillar of support to make a difference and without having gone to the knife necessarily.¬†

Nicole

I could see myself coming in and telling you my life story. 

Dr Singh

I am a good listener actually. 

Nicole

She’s very calm, very empathetic.

Trish

And as soon as you tell people how old you are that tip Ben sold. But I wanted to just ask you another question, or make mention of something quick.¬† And one of the things that I know so now we talk about injectables, like your Botox and fillers, all that sort of thing. But the most dramatic difference that I ever had done in my face was actually radio frequency was when I was for these hear what they call it the nasolabial fold, you’re always going to get that careful, because sometimes I can think of somewhere and radio frequency and in that section there, and I thought that I would need filler so I think I need filler. But I had that done and that would be a solid 10 years ago, never touched it arrogant and it’s never come back. Like obviously there was some it needed. I don’t know, I needed to have everything bogged down in it or whatever for that to work. But that was like, no matter what others had done, like where your frequency is so underrated.

Dr Singh  

And yeah, the machine, if you look at what we pay for lasers, what we used to pay was enormous or specific in enormous cost. So now to be able to have a machine where you don’t have to invest a lot of capital and also, that’s why I think it’s so great for a startup clinic because it’s more affordable than lasers where I was unfortunate enough to buy a whole heap of lasers that are huge cost, huge. I mean, at that time, that’s all we had available. But to be able to have something that’s a lot cheaper, but still probably more effective, I think, more effective devices and less downtime, much less. In fact, I would say no downtime. You know the technology just blows me away. If you think about the progress and that’s just in the last 10 or 15 years.

Trish

Potentially today and go to work tomorrow. no swelling?

Dr Singh  

Initially, you’ll see a bit of redness after the treatment straight after we get a little bit of swelling and redness. But the aftercare is important. So the pre care during the treatment, but the aftercare is really important. So we give you things to actually come down redness very quickly. Like I said, when I had mine done, we finished around seven o’clock that night because we were doing some training. I was better at work nine and 12 the next morning, looking as normal as I can’t, there was no redness. Nobody could tell that I’ve actually had a treatment done, right.

Trish

Yeah, amazing.

Dr Singh 

And then that’s a consistent story. I don’t know where they’re in Sydney.¬† Actually, I have to ask Cynosure, though, I think they’ve got a few clinics that have caught it.¬†

Trish

The Gold Coast

Dr Singh 

One in the Gold Coast or in Melbourne could have done treatments.

Trish 

This is pretty good for you. So I was thinking that I should say, can you tell us a little bit about, sorry, I probably hogged everything here in the collagen really excited? Why? So how can you find Cynosure to deal with this company?

Dr Singh

They are really good, I’m very fortunate, because I’ve got Christian here in Melbourne so he’s basically just a phone call away. And I’ve got a lot of devices and I’ve always had the support that I’ve needed. And I guess, at a professional level, now, not only do I get good machines that give me results, but also I get the opportunity to talk to people like yourself, which helps me a lot, not only for my clinic, but also just being able to discuss treatments and talk to other people who are like minded and excited about the technologies. And so yeah, it’s been a really good experience, I have been working with them for probably about three or four years now. And like I said, before, the Potenza and Vivace before and I had one of the machines, it’s a radio frequency device to actually remove lumps, those skin tags and separate keratosis and things like I’ve had that for about 15 years. And that’s been amazing machine, you might have heard of that as well. But you know, to be able to take little things off without any trauma. So the radio frequency allows coagulation, so you can actually take things off without cutting people out and therefore no scarring. So then that’s one of their devices as well. So I’ve used a number of the machines, and I guess, I’ve had good results, and I’ve had a booth, got quite a lot of machines, and I’ve bought machines before and I’ve had to learn the hard way that I bought something that’s probably not going to be used in my clinic much at all. So that’s really, that’s heartbreaking, when you because all of us work very hard for you for money and then if you invest a lot of money in something that’s interesting, or a very expensive coffee table, it’s very, very heartbreaking. So far I’ve been very happy with with machines that I end this service as well, I think, when you’re in the industry for a long time, the relationships are really important as well, that you can work with somebody who understands the practice, doesn’t try to sell you something that’s not going to be a fit. I’ve had that happen to me as well, when I was first starting up. We didn’t have a lot of capital, we didn’t have a lot of, I guess, the base and the patient base and people were trying to sell me very, very expensive machines, not actually understanding the practice. Whereas I think when you’re in that role, you better it’s the same as what I do with patients, if I know something is not going to be right for them financially, emotionally, etc, you don’t even entertain the idea because I don’t think it’s fair. So that’s the same with I think, from the industry point of view, they didn’t really understand the doctor, they would understand the clinic, they’re gonna understand what sort of financial commitments so they don’t go under the last thing you have to do is sell a machine because it’s so exciting everything and you buy a machine, and then it’s not going to work for you. And you end up in this huge ditch, and have no way to pay for it.

Trish 

Yeah. And I think it’s really important to have that support, that marketing support, that way of them helping you to show what you do out there as well to the wide world. And I think that’s one thing that’s good about compliance and assurance,¬† they do provide that.

Dr Singh

When we’re not in lockdown, we do regular workshops, as well.¬†

Trish 

So we’re gonna do that, but like it, can you tell us a little bit about what, like the extra training, like what I’m trying to get at is like some people sell a device and there you go, there’s your device, go for it. Can you talk a little bit that this is not?

Dr Singh 

100% so we get a lot of support, and I probably get more support than I should. So they’re actually really, really good to me. And so what we’ve done over the last few years is we’ve had regular workshops, it’s been a bit disrupted with all the lockdowns, but we have a group we might be an evening or might be a Saturday morning, we had a group of GPs coming in maybe 20 to 25 doctors, and also their support staff. So we also get nurses and you might get demo clinicians etc. coming in and they we showed we showcase the treatment on the night. We go through all the theory side of it, explaining how just similar to what we did earlier in this talk, and we talk about the device, the way it works, the technology, the potential issues, how do you manage the patient’s data? Before care is important during the treatment, it’s important, but also the after care.¬† And we talk a little bit about just having aesthetic practice and how to make it successful as well. And then we may showcase a treatment, it might just be a mini treatment, and then afterwards, they step back, and they may have some questions, etc. But along with that comes dinner and not too much alcohol, maybe a little bit to understand what we are trying to say. And then, this happens at least two or three times a year. But we’ve also had conferences, when we used to have conferences or remember what they are, it’s up to somewhere and have the conference. And then we have presentations as well. And I was fortunate enough to be chosen for their technologies and actually talk to one stage about some of their products. And we also had a Vogue event that was a lot of fun. I must say I was a bit nervous before that. But that was generous that was more geared to the public. So you know, other basically consumers and we, again, went through in a more simplified fashion, the actual technology and showed them the before and afters and Cynosure had demos the patient, the consumer could come in and try the treatment as well. So just having that exposure, I think as a doctor as well is really important. So and you’re also giving something back not only to the company, but also to other doctors as well in giving them the opportunity to learn and progress as well. Yeah, so their opportunity for me, some people may not want that. But I actually love doing that, because I think it kind of gets you out of the clinic, doing some fun things and meeting your colleagues and you know, just other industry professionals as well.

Trish 

I always recommend teaching and sharing is learning as well. Like, you get so much more back than what you put out.

Dr Singh  

I know what it means is you got to learn your stuff pretty well as I talk about it, if you don’t know, you know what it is? So you’re trying to get up your game a little bit.

Trish 

All gonna say that. Thank you so much like I like to ask Nicole, is there anything that we haven’t covered that you wanted to ask?

Nicole

I would like to ask Dr. Singh, what is the first thing you’re going to do at the end of lockdown?

Dr Singh  

Oh, my God, I don’t even know. I only take it day by day. Because otherwise, because we’re in Melbourne, or were you in New South Wales or anything?¬†

Nicole

Like I’m in the middle of COVID country. Yes, in Sydney.

Dr Singh  

Really? Yeah. So with us, it’s been kind of, another week, another week, another weekend rule, this is a second year as well. So it’s actually really quite difficult. Andjust try and focus on positive things, try and exercise, try to eat well, trying to value what we have, rather than what we don’t have. And I think once we go back, I’m going to appreciate my job a lot more. Because I do really miss patients and the interactions when at the moment, I might see three or four skin cancer patients a day, whereas all the cosmetic ones just have to wait. You really miss that interaction with humans and I missed the conferences and all the professional gatherings we used to have as well. You just kind of feel like you’re getting dumber and dumber as the day is going. Just less and less stimulation. I don’t know what I’m going to do. I don’t I don’t really, I don’t know. Because you know, the problem with Melbourne is they’ll say we’re free and a week later we’re locked down again. Currently celebrating unless.

Trish 

Honestly, there’s lineups for people to buy houses.

Dr Singh    

There were 40,000 Victorians that went to Queensland last year, this probably more now, but that’s the latest numbers I’ve seen. And I think people in Melbourne just stick around but the weather’s bad and then the atmosphere is not very good. And it’s gone from the you used to be the most livable city and I think it’s the most unbelievable then a total turnaround. Yeah.

Nicole

Thank you so much. I really have appreciated all your insights today. It’s been a big deal.¬†

Dr Singh   

Thank you. Thanks for having me. Appreciate it.

Trish

Pleasure. So just before you go give us a quick plug for your business. It’s Nitai cosmetic clinic?

Dr Singh 

Nitai medical and cosmetic center.

Trish 

Nitai medical and cosmetic center and where are you based in Victoria?

Dr Singh 

So in Glenroy.

Trish 

Glenroy. Awesome.

Dr Singh 

It’s near the airport. Thinking just got a plane over here.¬†

Trish 

Thank you so much for joining us today. 

Dr Singh

Thank you. Thank you. I really appreciate your time and really, grateful to be involved, really.

Nicole

You definitely share your photos too. 

Dr Singh

Oh, yeah. How do I do that? through the app?

Trish

Yeah.

Dr Singh

Okay, I’ll do that. Yeah, I think you’ll really enjoy looking at the photos. Yeah. All right.¬†

Trish

Thank you for joining us. 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