Nurse Maddy and the O-Shot

Today we got up close and personal with Nurse Maddy about the O-Shot. Maddy is Co-Owner and Founder of SM Aesthetic Lab, which is based in Crows Nest in Sydney.

Trish and Nurse Maddy chatted about the O-Shot, the P-Shot, and a whole bunch more. Growing in popularity and awareness, intimate injectables seem to be on the rise. Find out how the treatments are done, the preparation, the post-procedure care, and what they can do! You might just be surprised….. Or not!

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Follow her on IG: @madeline_firkins111 @sm_aestheticlab @maddy.cosmeticnurse

Transcript

Trish
Hello listeners. It’s Trish Hammond here from the Aesthetics Uncensored podcast, and today I’ve got the delightful Maddy Firkins. Now Maddy is an RN, she’s a Co Owner and Founder of SM Aesthetic Lab, which is based in Crows Nest in Sydney and Maddy’s been a registered nurse for or she’s been in the medical aesthetics industry for over 12 years. She’s an RN, Cosmetic Nurse and also a clinical trainer for over other injectors. So welcome, Maddy.

Maddy
Hi.

Trish
Hello, how are you this morning?

Maddy
Good, thank you.

Trish
Excellent. Well, I’m really excited to talk to this one but before we even start, tell us how you got started in your career as an RN, because you started as a dermal therapist, didn’t you?

Maddy
Yeah, so I started as a beauty therapist and did all the laser and skin treatments. And yeah, one of the doctors I worked with just convinced me to go into nursing so I could offer my patients a little bit more. And yeah, then got straight into cosmetics and injectables and all of that.

Trish
That’s so good because I reckon having gone through as a beauty therapist, it’s almost like you’ve gone to a trade school before you become a nurse. So I think you’ve actually got a little bit of a one up as well because you kind of started like you learn the basic, basic, basic, and then develop and build on that so I think it’s a bonus.

Maddy
It definitely helps because I was obviously around a lot of other injectors and watched a lot. I learned a lot before I even became an RN so I had that little bit of a head start.

Trish
Yes, yes, that’s true. You’re a mum of two girls so how do you juggle work and home?

Maddy
With a lot of help from other people.

Trish
Yeah, yep. That’s so true. Because it’s virtually impossible to be able to live on your own. Yeah. Running a business and having kids especially when they’re so young. Yeah, it is not an easy feat.

Maddy
No, no, it definitely is exhausting but I love it so it wouldn’t change anything.

Trish
Yeah, fantastic. What else because we’re going to talk about injectables, the different types of injectables, not wanting to particularly focus on like intimate injectables. But first of all, like with injectables, can you give us like a little bit of a rundown of like, because people think Botox, they think filler and we’re thinking face but can you give us just like a bit of a rundown of what you can use, what we can use like, what Botox is good for, like I mean, when I say that, I mean like an example is, I like to have it done in my jaw because I grind my teeth, but can we kind of just run through the body of where you know, or when you’re performing treatments for people with Botox and fillers? We can start from the top of the head if you want.

Maddy
Yeah. Well, I guess with Botox, there are a lot of areas and you can use that for reducing the muscle contraction. So in the face, we use it for wrinkles, we use it for grinding your teeth, like you said, and then use it for, say sweating on the body so hands speech under arms to help with hyperhidrosis. I mean, some people use Botox as well in the scrotum to help relax the muscle better. So probably that’s one of the things about that.

Trish
Oh sorry, I need to know more about that, so is that I know that sounds about it was that kind of to tighten it all up? or?

Maddy
Well, it relaxes the muscles. So it’s for, if people have quite a tight muscle in that area, it can be a bit uncomfortable but it does help to smooth that the skin as well by relaxing the muscle.

Trish
So when you say smooth out the skin, smooth out the wrinkles.

Maddy
Yeah, I mean, I’ve not personally ever seen it or done with the male doctors who do that but yeah, supposedly it smoothes the skin out a little bit.

Trish
Really, I kind of want to know more about that. I’ve never heard of this before.

Maddy
We don’t generally take before and after photos of that one, though.

Trish
I’ll let you take it before and after because I think people, there’d be a lot of guys out there who probably wouldn’t even know that this is something they could have done. They’d probably love to have it done if they knew that they’d probably like to think oh, I don’t know what they think because I haven’t done that.

Maddy
For patients that have pain from the tightness so it’s more that they relax the muscle for the pain side of things but yeah, that’s probably all the areas I know that we use Botox.

Trish
Yeah, right and because a lot of people think with Botox, a lot of people think I want to get Botox so it fills out my forehead or whatever, but it’s not about the filling, it’s that the Botox is about relaxing the muscles.

Maddy
Yeah, exactly. So I mean, if someone wants to feel an area, we use a dermal filler, which is going to add volume and plump the area up so we use that for deeper lines on the face lines that are not formed from the muscle contraction, whereas Botox is just purely relaxing the muscle.

Trish
Yeah, right because we’ll come back to it all anyway, because kind of just wanted to run and run through all the different things that you do, because I know you do, hey. So if someone’s rejuvenation, so you’ve got the option of Botox and dermal fillers, like can you tell us a bit about them and like how they work and where people haven’t done, we haven’t done.

Maddy
So dermal fillers add volume, so they’re a gel that’s attracting water to the area to pump the area up. So a lot of people have, as we age, we lose a lot of fat in different fat compartments on the face so we’ll replace the fat that we’ve lost to lift the cheeks back up or to fill the temples to fill the hollows under the eyes or you can also use it just to give structure. So giving structure to the jaw, to the cheeks, increasing the volume of the lips, but you can also use it on the body as well so in the hands, a lot of people do dermal filler in the hands as we start to get a thin crepey skin on our hands. We use it in the labia as well to feel the labia to make it more plump so there’s a few different areas that you can use filler on the body as well.

Trish
You’re right and with the labia one, so that’s just like you just put the filler in there to make them a bit, look not saggier?

Maddy
Yeah, pretty much and it sounds strange but as you age, you do lose the fat in the labia majora as well which makes it a bit more wrinkly and deflated I guess so. A lot of patients will come in after children or just as they’re getting older and they’re starting to notice changes and they just want to pretty it up a little bit so we do one of the female doctors, she does the labia filler.

Trish
Yeah, right. Okay, okay and before we go into talk about the O-Shot I was gonna ask you, so the other rejuvenation things that you do at SM Aesthetic Lab in Crows Nest, so you do your first one, are you doing non surgical fat reduction injections? Yes. Is that like for the double chin? Is that what you mean?

Maddy
Yeah, so generally, we use that in the double chin area. You know, some people will use it for the bra or backside, any small pockets of fat. We do have a surgeon that we work closely with if we need patients to have more large areas of liposuction, but the fat dissolving injections are good fit just small stubborn pockets of fat so generally the segmental fat under the double chin.

Trish
Yeah. Okay and then other things for rejuvenation is threads, you do lots of threads.

Maddy
We do a lot of threads, we’ve got a few different types of threads so depending on what they’re wanting to achieve.

Trish
So like, when you say do a lot of threads, or like, what are the threads good focus, I’ve actually had a little thread treatment on now about six months ago, and I loved it like because I had a bad for treatment a few years ago, and it freaked me out and just kind of like gave me I thought oh my god, I could never do that again but then I had a good one. Yeah, different threads, so can you tell us a little bit about the different types of threads and what they’re for.

Maddy
So you’ve got, you’ve got lifting threads, which have little barbs on them that are placed under the skin and those little barbs that on the thread grab onto the fat and they lift the tissue up so there are different brands. So there’s PDO threads, which will dissolve a little bit faster over about nine months and results will last about 12 to 18 months. So people that have been nervous, they don’t want anything too long lasting, they generally go for those PDO lifting threads and then we’ve got the APTOS threads, which are they last a bit longer, so they take about 18 months to dissolve so they’re a bit longer lasting. Patients generally, who have had threads before, want to get the best longevity out of it and so they’re lifting threads as well. But then you’ve also got the PDO mono threads which are very short, fine threads with no bots. So when we place those under the skin that’s just stimulating collagen and elastin and it gives more of a tightening effect rather than a lifting effect so great for crepey skin, great for thin skin, someone who maybe isn’t suitable for the lifting threads because their tissue is a bit too thin. We want to work on stimulating the collagen all over for them.

Trish
Right, so you wouldn’t go walking into a clinic saying I want lifting threads to give me some lift or whatever. Because I really gotta kind of walk in there and sort of say, Okay, this is what I want to achieve, which is the best for me because like, obviously, as you get older, you do have that thinner crepey skin, so that wouldn’t be suitable for you so you have to kind of align yourself with someone and say, this is what I want to achieve, what can you offer me?

Maddy
Yeah, exactly. You need to listen to the expert’s opinion on what’s the best option for you, even myself. When I think about what treatment I want, I kind of ask someone else because you’re a bit judgmental of yourself. You need a second person’s opinion.

Trish
Yeah, that’s so true. So because like myself, I can’t have Botox in my forehead because I don’t know what it is but my forehead just drops. So yeah, I stay away from Botox, my forehead, but I do love that lift of the brows or just a brow lift. So with those, like short threads that you’re talking because I’m having had them done around there. Yeah, they wouldn’t work around they would they?

Maddy
They look, they place the short threads through the forehead and above the brow to stimulate a bit of collagen and when you do get that collagen stimulation, you’ll get a little bit of tightening, but I wouldn’t sell it to a patient as a brow lift. If they wanted to lift their brows, I would use the barbed threads to really lift the tissue up.

Trish
Do they hurt?

Maddy
I mean, everything has a little bit of discomfort when it comes to beauty but we use anesthetic so they do some local anesthetic first, that’s the most uncomfortable part because local anesthetic does have a little bit of a sting to it but after that you don’t feel anything, you’re numb and now we just feel us pushing and prodding around.

Trish
Okay, because I have seen them. I’ve seen some remarkable results from threads but then I’ve seen the straight after, like, where they have it done and like I know it settles and all that. But how long, like you wouldn’t have this done as a day thing and then go back to work, would you or would you?

Maddy
No, I would generally recommend my patients take at least three days where they just hide at home, because for the first three days, you’ve got swelling, and if you’ve got bruising, it can look a little bit distorted for those first three days, after that it generally settles in. But we would say don’t have any major events for about two to three weeks because it does take about two to three weeks to really settle in if you did have any little puckering or anything like that, that you didn’t want people to see. But by day three, they can generally put some makeup on and wear their hair out to cover up anything if they need to and go back to work.

Trish
Yeah, yep, that’s good to know because you think, you see those really short threads you think are just gonna have threads so there’s threads and these threads. Hey, there’s the the hardcore, just the collagen threads.

Maddy
Yeah, yeah, exactly. But the collagen threads, they get amazing results and you can get amazing lifting and tightening with them. Just depends on how many threads so I’ve got some friends that go, I don’t like them, they don’t work, but they only place a couple of threads in so with the small ones you do need quite a lot compared to the larger lifting threads.

Trish
Yeah, yep. I was gonna ask you about one more thing, so lately, like people talking about skin boosters? Yeah. Can you tell us just before we go into the good stuff? Don’t get me wrong, but can you tell us about skin boosters like what they are like they’re their little mini just you tell us what they are?

Maddy
I was trying to explain skinboosters like a really fine dermal filler that was placed superficially in the skin. So instead of adding volume, it’s just adding hydration and nourishment. So it’s still a hyaluronic acid filler as such, but it’s not crosslinked so it means that it’s not going to last as long as say your cheek filler which can last you know 12 To 18 months. So your skin booster is putting that hydration in the skin but it’s also got your antioxidants and vitamins and when it was in there to help stimulate collagen and give your skin that brightening and that glow. Okay, amazing for anyone with thin crepey skin or anyone who just feels a bit dull and they just want that pick me up and brightness.

Trish
Me all the time.

Maddy
Everyone needs it.

Trish
And with a skin booster treatment like how often can you have or how often well can you have it done?

Maddy
I mean you could have it done monthly so we generally get someone to come in once a month for three treatments. So once you’ve had your three treatments, that’s sort of your full effect and then you might just come back once every 6, 9, 12 months and just have a one off treatment after that. Okay. Yeah, whenever you need that bit of a boost again.

Trish
And with that one is that like little injections or jabs everywhere, or what’s the process?

Maddy
Vary, it can be injected either by hand, which is just lots of little injections every couple of millimeters or some clinics will use an injecting gun. So the gun has about eight needles on the tip, and it injects a larger area at a time so it’s a bit quicker. I do find that you get more bruising from that so I prefer to do it by hand for my patients and have a bit more control of where I want to focus on and how much I want to inject in different areas. So there’s two different ways, but it’s just very, very shallow injections and lots of them.

Trish
That sounds really good. That’s something I’ve never done and I’ve always read about it, but I kind of yeah really knew what it was because I thought it’s just like vitamins being infused in your skin but it’s got, like, little like it’s called, what’s the term in there?

Maddy
So it’s hyaluronic acid. So it’s like the dermal fillers are the ones I use that also have your vitamins and minerals mixed into that hyaluronic acid.

Trish
Nice. Yeah, that sounds good.

Maddy
It’s great for the eyes, that fine crepey skin and dark circles, that sort of thing.

Trish
And can you just do that sort of thing? Like, are there any contraindications to that? Like, say, when you’re pregnant and breastfeeding, Botox is the same for skin booster, or is that different?

Maddy
Fortunately, it’s the same. In breastfeeding, you can’t have much but it’s just all the same contraindications as your normal dermal fillers and you wouldn’t do it on a patient with acne, for instance. Oh, because that could spread it. Yeah, just the risk of infection and just you don’t want to inject through any of it.

Trish
Yeah. fair enough. And going back to that when you’re pregnant everyone that’s pregnant, it’s beautiful. Anyway, I don’t need that because I was asked that question.

Maddy
Yeah, I mean, when you’re pregnant, you don’t normally need much fillers. You’re nice and plump. Exactly. Yeah. Unfortunately, you have to stick to more than just your basic facials and microdermabrasion are the two most common treatments we do on pregnant women.

Trish
Yeah, yep. You know what, I’m going back to that you don’t need it because you probably like it. I’ve put on about 10 kilos and my face actually looks quite good at the moment. I want to lose weight so I’m going to need some pretty soon because I believe I lose in kilos, I’m going to be like, okay.

Maddy
When we lose weight, we always lose it from our face first unfortunately and it isn’t in our favor.

Trish
Now, tell us about the O-Shot and the P-Shot. Why don’t you guys do them in your clinic? What do they stand for? So O-Shot, what are they actually? What does P-Shot stand for?

Maddy
I actually don’t know if that’s just the name across the borders.

Trish
I thought it was the paint shop.

Maddy
I mean, I was gonna say that but I, I assume sorry, those shots like the orgasm shot and that was I think that that was the first one that was invented. I guess they started with the O shot and then went on to do it for the males as well for the P shot so yeah, penis shot, maybe?

Trish
I reckon that’s what these are?

Maddy
Let’s go with that.

Trish
Let’s start with the P-Shot. Okay, because the O-Shot is really exciting to me so what happens in a P-Shot?

Maddy
So with the P-Shot, it’s using PRP, so Platelet Rich Plasma, so we take the patient’s blood, we spin it in a centrifuge to separate the plasma and platelet rich plasma. We then re-inject that into the penis, so it’s a couple of injections, three injection points on each side of the penis and what it’s doing is when you inject that high potency of platelet rich plasma into an area it stimulates all the cells in that area so it’s stimulating more vascularisation to the area and helps with the nerve sensitivity. So for males it’s designed for erectile dysfunction so if they can get an erection but they can’t hold that erection throughout then that’s when the P- Shot is beneficial.

Trish
Okay because now that of course I’m talking to you so I’m looking at what it says here that the P-Shot the most popular form is called the Priapus Shot so maybe that’s what the P.

Maddy
That’s probably what the P-Shot and not the penis, guys.

Trish
If you got a problem with erectile dysfunction,

Maddy
Yes,

Trish
This can help?

Maddy
Yeah, so this is that’s the main reason that people have the P Shot is for erectile dysfunction. I don’t personally perform the procedure, we’ve got the doctors here who perform it.

Trish
How are you really quick to say that, Maddy?

Maddy
I have patients say, Oh, I don’t mind if you do it. I mean, no no no.

Trish
Another thing that is got down here as well is some that can help with penis enhancement? Um, like, what actually is that?

Maddy
I wouldn’t say that it does. I mean, I know that some clinics would say it helps with, say the tissue in general. So think of PRP, when we do that in the face, it stimulates collagen and elastin, it smooths the skin out, you get that plumping effect you get the skin looks brighter. So theoretically, yes, it could help with the appearance of the skin on the penis, but we’re not injecting it into the skin when we do the P Shot. We’re injecting it into the muscle so any improvement visually would be very minimal.

Trish
Yeah, right. Yes, so like, this is going to be exactly the question, so the muscle is deep, because like you can get penis fillers, like you can get things that fill up the penis that would be injected under the skin?

Maddy
Yes, correct so that would be more improving the visual size and smoothing the skin on the penis, whereas the P Shot is injected into the muscle.

Trish
Yeah, right. So it goes deeper?

Maddy
Yes. Yeah, it goes much deeper.

Trish
I wonder how much that hurts.

Maddy
I’ve been told it’s not painful. We do apply a numbing cream so the numbing cream numbs quite well, and then the injection. They do feel a small pinch but a little bit of pressure but it’s not painful.

Trish
Yeah. Yeah. I have to ask this question. So I wish Nicole was here. That I could just ask her the question that you but when you go to put the numbing cream on, do they do it themselves?

Maddy
Yes, they do it themselves.

Trish
That’s good.

Maddy
Sorry, what was that?

Trish
I was just saying, Excuse me, I’ll just have to put some numbing cream on it for you. Yeah, I mean, if people want you to do it. I love it. I love it. So tell me about what, it’s so funny because I had absolutely no idea or I’ve heard about it, but I had absolutely no idea what the P Shot was until you actually just said then that it was PRP. I was like, Ah, really? So obviously, the O Shot is PRP as well.

Maddy
Exactly. Yeah.

Trish
Tell us something about the O Shot because I’ve heard remarkable things about that. It’s I don’t know if it’s something that I don’t know,

Maddy
It is an amazing treatment and people always go oh, how do I know your friend needs it? Everyone needs it. Everyone should come and have it so it just pretty much heightens your sensitivity. So even if you’re completely fine in terms of having an orgasm, it’s going to heighten that, it’s going to increase how easy it is for you to orgasm and how many times you can orgasm so there’s not many women I know that would say that they don’t want that.

Trish
So is there an age limit? Like, obviously, as you’re like, I’m 58 or I’m nearly 58 and of course, I’m not as, what’s the word? I don’t want it as much as I might have when I was younger. Am I too old?

Maddy
Not too old, definitely. I mean, there are different reasons, we do that O Shot as well so we can do it in a younger patient who has always found it difficult to achieve an orgasm. So that’s quite a popular client base, I guess is that the younger patients, then post pregnancy people can have a bit of a reduction in sensitivity. So after childbirth, so a lot of patients post children will come in for the procedure and then also post menopausal because when you go through menopause and your hormones change, you can get a lot of dryness in the vagina as well so that makes it more painful to have sex so then you just don’t want to and you also do lose the sensitivity in the area as you age. So during the short on more of a menopausal woman, we’re going to help to stimulate that lubrication but we’re also going to increase the sensitivity in the clitoris g spot.

Trish
And so because it says that it helps to increase sexual desire, how can?

Maddy
How can you do that? Might be a bit of a placebo effect, I’m not sure but it increases the sensitivity there though so if it’s going to feel better, you’ll it’s going to increase your desire, it’s going to increase your want to have that.

Trish
I so want it now. The only thing that puts me off is like, just like, if I could go under and have it done and wake up. Yes, but like, can you like, I know, there’s probably gonna be too much information but yeah, what the hell? How do they find out?

Maddy
So, look, for a patient, I haven’t done myself because I was like, I need to know what it feels like for the patient to be on the bed and once we’ve applied the numbing cream, you almost it just feels like you’ve gone to have a pap smear. You’re still uncomfortable sitting there with someone in that area, but you’re numb, so you don’t feel much after the numbing. We also do a nerve block in the clinic here, not everyone does that when they do the O Shot, but I would definitely recommend it. So once we do the nerve block, the nerve block feels like a 2 out of 10 and discomfort.

Trish
Where does the nerve block go?

Maddy
It goes just close to the clitoris and it blocks the nerve that supplies the clitoris so it numbs the area completely.

Trish
We’d want to know that the person that’s doing it really knows what they’re doing.

Maddy
Yeah, exactly. I mean, you wouldn’t want someone who’s not done the proper training.

Trish
Yeah, just give this a try. Can you be my model?

Maddy
I mean, there’s lots of my friends like, Oh, if you ever need someone to practice with?

Trish
Yeah, yeah. All right. Like, is it a long trip? Like, was it something you had done regularly? Or is it just a one off? Or is it a long treatment?

Maddy
I’ll go through I mean, but similar to the patient, so we take your blood, we spin the blood, we’d get the platelet rich plasma again, while we’re doing that, we apply a numbing cream on the clitoris, and on the G spot internally. So then once we come back with the plasma, we remove all the numbing cream, we do a small injection of anesthetic to numb the clitoris, that takes a minute. And then once we’ve done that, we will inject into the clitoris and into the G spot. So all up once we’ve taken the blood, and that’s all done, the actual procedure itself takes about five minutes. After that the results, I mean, slowly kicking over the next four weeks. For full effect, they say that it takes three months, but the majority of my patients have a full effect within four weeks. And then in terms of longevity, everyone’s a bit different because for instance, if we’re treating a menopausal woman, we’re not fixing those hormones that they’re not producing anymore so then they might find that they need the treatment a little bit more regularly than someone who’s younger. But generally about 12 months, 18 months is when people will come in for another treatment and also depending where the patient starts. So if the patient is having orgasms, but just wanting to increase it, then they just have one treatment. But if it’s a patient who finds it extremely difficult or says that they’ve never had an orgasm, they might need two or three treatments to get that full benefit. And then menopausal women, if we’re wanting to increase the lubrication in the vagina, we may we inject slightly differently, and we would need probably two to three sessions to get the best outcome for them.

Trish
Okay, so you’d probably do the first one and then when would you have the next one? Did you say?

Maddy
Four weeks, so we review at the four week mark and that’s when we decide if they need another treatment.

Trish
And with the review, is that like just a chat?

Maddy
Yeah, a lot of the time because if I think that they’ll need a second treatment, we’ll just book them a second treatment, and they can come into the clinic. But if we just want to have a quick phone call, I’ll just look them in for a phone review. Four weeks later, give them a quick phone call to find out what percentage of increase that had, how their results are going and if they’re wanting more results than we just put them in the following week.

Trish
Okay. And this would after you’ve had it done, I mean, surely it’s going to be a little bit sore, hey,

Maddy
It is, it kind of feels like a UTI. So when the numbing starts to wear off, you just get a little bit of a stinging sensation because the plasma can have that little bit of a stinging sensation and that probably lasts a couple of hours but you wouldn’t feel back to normal until the next day. So we do tell people it’s the a three day recovery in terms of no sex, no saunas and spas and swimming, that sort of thing for three days.

Trish
No sex for three days?

Maddy
No sex for three days.

Trish
I’m looking for how to manage that? Oh, I was just joking. LOL

Maddy
I know it’s hard.

Trish
Look I’m thinking because sometimes people can have allergies and stuff, but this is your own, your own blood, your own plasma, is there any or are there any contraindications or anyone that shouldn’t have it done?

Maddy
So if someone has a very low platelet count, because the results are dependent on your blood, most patients get a great result. But there are a few patients that say, it didn’t work, or I didn’t really see a result. So I always ask patients, have they ever been told that they’ve got a low platelet count, or if we’re concerned that you can go and get your blood test to check their platelet levels to make sure that they’re going to have a high enough platelet count to get them results. There’s also other little things that we tell them to do before the treatment so avoiding a high fat diet, avoiding alcohol the night before, and avoiding too much caffeine on the morning of the treatment, just to make sure that the platelets are as active as they can be, and that you get the best result.

Trish
Okay, so if I didn’t know that I might have low platelets, you can’t work that out from taking the plasma?

Maddy
No. So that needs to be a blood test. Yeah. So the same as when you go to the GP and they check your platelet count and your cholesterol or whatever they’re checking. Yeah, generally, people would know if they’ve got a low platelet count.

Trish
Yep. And I guess if you don’t, it’s probably worth having a blood test before and just making sure that?

Maddy
Yeah, it’s a lot of money to spend on a treatment and it’s always good just to check prior to make sure that you’re, but it’s rare for someone to have a low platelet count to the point that they weren’t going to result.

Trish
Yeah. You’re saying like, so you have a treatment, and then you come back a month later? And even that takes three months to kind of, for the full effect. Is that right?

Maddy
Yeah. So three months before effect, but within just because of the full effect of the collagens’ stimulation and everything. But within four weeks, you can see if you’ve got a result or not, you probably haven’t.

Trish
You see, or you can know yourself?

Maddy
You can feel yourself if you’re not, not surely see,

Trish
Okay. I wasn’t sure.

Maddy
I mean, visually so for women who have that dryness, we do inject kind of the entrance of the vagina as well to stimulate collagen and elastin and thicken the tissue so you can definitely see that, if that’s what we’re aiming to treat. So some women, when they have sex, they get little kind of tears on the entrance to the vagina because the tissue is quite thin and visually, you can see that so some patients, you can visually see the results.

Trish
Yeah, right and do you find that what I think, I don’t know if I’m right here, but I think it’d be a harder thing to get people informed because it’s like, yeah, I guess it’s like going to the guy. No, not many people, women are chosen. But is it one of those things that once they’ve done it that first time? They’re more like, like, is it that people do really? Is what I’m trying to get at?

Maddy
Yeah, I mean, because it’s the unknown so when you’ve not had it done, you’re scared and you go, Oh, I don’t know. Is it gonna hurt? Is it going to be uncomfortable? But once they’ve had the treatment, once they know what it feels like, once they’ve met me or met the nurse or the doctor during their treatment, they feel a bit more comfortable after that. We also did an Insta Live and recorded my marketing manager having her treatment done. She didn’t see anything bad. You just see her face or my face talking through while I do her treatment. And I think that actually got us a lot of patients who were not sure whether they wanted to have it done once they saw how comfortable she was during the treatment and they realized that it wasn’t painful.

Trish
Yeah, right. No, I didn’t see that after that. Is it on your Insta?

Maddy
It’s on my Insta, yep. So does it on my Insta live page there?

Trish
Yeah, right. I need to have a look at that. You know what I’ll be doing when I get off this. So I’ve got so it can improve sexual desire and your libido as well?

Maddy
Yeah, yeah. Sorry. From the studies that they did over in America, which is where it was first invented, that’s what they found results. Where increasing orgasms, but also increasing your sexual desire your libido just increasing, overall your want to have sex.

Trish
Who’s gonna say no to that? Really?

Maddy
Exactly.

Trish
It’s to get you back in there and have the courage to get it done. If that’s what you want to do. Yeah, it’s the courage to kind of get to the end, I guess, feeling comfortable, or wherever you’re going for them to make you feel comfortable.

Maddy
Yeah, yeah. And I think it’s with the patients that we see for the O Shot. It’s all about word of mouth. Your people might see it on our Instagram or on our website, but if they haven’t heard from a friend who’s had it done, then it’s not the treatment people kind of come in for that we have one person comes in, they bring their best friend, they bring their mum, we have had quite a couple of mothers-daughters come and have the treatment done.

Trish
Yeah, right. Yeah, I can’t imagine doing that with my daughter.
So since I’m with them with the O Shot, yes, this is something that you kind of like, it works for you and you commit to decide like, this is really good. I like the way it makes me feel. I like the fact that I feel, I feel sexual desire, and I desire someone sexually more than I had before and I want to do it. Is this something that you don’t want and the next time you do it, it kind of builds on top of what’s there? And like, is it like you build up your holiday leave? And then you take, does it build on top of each other? Or does it sort of, if you have it done, and then it disappears after a certain amount of time?

Maddy
It does build, if it’s done close together. So for instance, if you had a treatment and waited five years and have it done again, the results from the first one’s pretty much gone right by that factory mark, if you had a treatment, 12 months later, you have it done again, if the results from the first treatment are still slightly there, then you’re going to get an even better result from your second treatment or especially some patients will have it done and then they wait six months, and they go you know what, I’m just gonna do it again, and see if I get more improvement and you can increase the improvement after each treatment. If there is an increase to be had, if that makes sense so get it ending on the results that you get.

Trish
So if I was to come in and have a treatment, how long would it take from yay to nay like from the time I walk in the door because you’ve got to do the numbing, or take the blood first and so how long am I in the clinic for?

Maddy
45 minutes in the clinic. We always do it quickly even if with a pre consultant, we do another consultation on the day, take the blood, numb, do the treatment, go through all the things until the end. So from the moment you walk in the door to the moment you leave would be 45 minutes.

Trish
That’s okay. That’s not gonna do anything for 45 minutes well, almost anything 45 minutes?

Maddy
Yeah. Yeah, so it doesn’t take too long.

Trish
I want to ask one question. Like I heard somewhere that it can help with urinary incontinence. Is that true? Or is that just like a yeah right?

Maddy
Yeah, it can. Again, it’s not something that I would promote itself for urinary incontinence. It definitely has a slight improvement for that but there are other treatments that are better. So you know, if someone is suffering from urinary incontinence, I would probably refer them for, like a laser or a radio frequency tightening treatment for the vagina versus the P Shot alone The O shot is great in combination with those other treatments for urinary incontinence, but I wouldn’t say that it’s going to cure your your urinary incontinence just from the shot. Yeah. You would get a slight improvement though.

Trish
Okay, and do you find that this is growing in popularity, like more people come in and have it done?

Maddy
Yeah, definitely. I mean, I’ve been performing the O Shot for about five years now and when I first started, it was occasionally you’d have a nice shot here or there. Whereas now I’d say there’s a couple every week that I do and it’s just becoming more well known, I guess, and people are talking about it a little bit more. Yeah, with friends.

Trish
And is there a particular age like it or would it be really unusual for someone else to come and get it done? Obviously, it’d be the best for sure.

Maddy
Yeah, no, not at all. I mean, the probably the most common age I’d say is someone in their 40s. Probably in their 40s would be the most common age kind of after pregnancy, and then you start to see those signs of aging.

Trish
But when you want it more anyway, and I people say like when you’re a teenager, something that broke in my 40s was like, crazy times.

Maddy
Looking forward to my 40s. For all ages, I mean, I probably anywhere from 25 is probably the youngest that I’ve treated up to 65 so it’s really not anything to do with the age of the patient. We just may need extra treatments for someone who’s more mature, they might need that second treatment or that third treatment.

Trish
Yeah. Do you find that some, like, is this that something was someone come and have it done once they’re not come back, or you find that those people that are coming to have it done are coming back? Because it had the results.

Maddy
Yeah, I think most of them came back. I’ve had some patients who have seen other treatments like Botox and fillers, and it has been maybe two years since their first O Shot, and they just say, well, the results are still there so I’m not needing to top up.

Trish
So maybe it’s just that and some of that could also be placebo as well. Hey, like, once you start, I don’t know,

Maddy
I think sometimes it is that placebo effect as well, making the patients feel that they can or feel more confident and comfortable and then from then on, they just continue that in their sex life.

Trish
Yeah. That sounds great. So when was the last time you had Maddy?

Maddy
Six months ago.

Trish
So would you hold off for another six months? Or?

Maddy
Yeah, yeah. Okay. I had my first one, probably two years ago. So I waited 18 months before my second and I saw the results slowly wearing off after the 12 month mark. But at 18 months, this definitely was still some improvement. I probably didn’t like it, didn’t really need to have it done again but I just thought I may as well.

Trish
Oh, my God as you would if you had a tummy ache. I’d be like, what am I doing today? It’d be something every day.

Maddy
Monday, I shot the next. Exactly.

Trish
Oh, that’s awesome Maddy. That’s been so interesting because I didn’t know that actually. Isn’t that really stupid? I’d heard of it and I just made a presumption to do what I thought it was and it’s probably to be too embarrassed to even say this. But I actually thought it’s where you just put filler in the clitoris? No, not in the clitoris, don’t you know what I thought to be honest.

Maddy
People do put filler in there so it’s not too silly to think that.

Trish
Okay, what’s that called?

Maddy
I don’t know, it’s just like a G Spot enhancement so they inject the dermal filler internally there. It’s extremely high risk so think about all the complications you can have from filler. Would you really want to risk that there and it is a highly vascularised area. So we don’t do that at all in the clinic. It’s not something that we would ever ever offer, but not silly for you to think that that’s what it was because it is at.

Trish
All that’s good but it’s not my arena, alright, awesome. Thanks, Maddy. Look, before you go, tell us what’s been what you’re making that’s been the most popular or the most accepted treatment that you guys do? Like what’s your number one treatment that you do for patients?

Maddy
I guess it’s just yeah, Botox and filler. I don’t know which one would be more, I guess it depends on the demographic. Some of the older patients, etc. Botox is more than filler when they’ve not had filler before. It’s a bit kind of nerve wracking, and people feel more comfortable to have Botox so Botox is probably the most, maybe probably the most common would be Botox and then you go into the dermal fillers, but that is the era.

Trish
Do you guys have an average patient demographic age, or?

Maddy
Yeah, so foot X clinic, it’s in Crows Nest, which is the North shore. There are a lot of North shore mums so kind of the 35 to 55 age bracket would be the most like our demographic here but then you get the 18 year old girls coming into the mix and I think they all know someone in their 80s 90s wanting a bit of fill up.

Trish
Going on, I was gonna say, so how old is your youngest patient? How old is your oldest patient?

Maddy
I got a feeling she was about 91.

Trish
And I love her.

Maddy
She wanted some Botox done. She didn’t look it. She looked like she was like late 60s, early 70s so I was shocked when I saw her age.

Trish
Yeah, right. You know, she might have written an error on her desk to start doing that. 10 years old as people think, wow, you look so good for your age.

Maddy
Many people lie about their age and go up.

Trish
That’s been awesome, Maddie. What a great way to start my week talking about and we’ll talk about what you do for a start because you’re amazing. Like I think you’re a bit of a legend in this industry because like you’re so young, and you do so much already to start up a great clinic which has only been going a year.

Maddy
Yeah, just over a year was a year at the start of November.

Trish
I came to the opening day and it’s a beautiful clinic there’s no doubt about it and I love the fact that you guys have crossed all your T’s and dotted your eyes because it took you ages to actually finally get in there.

Maddy
Yeah. First lockdown delayed us and second lockdown decided to hit in our first year. Hopefully it won’t happen again.

Trish
Yep, yep, exactly. Thank you so much for joining us today man. It’s been so interesting.

Maddy
Yeah, it was great to talk to you too.

Trish
So tell us we want to find out about you, tell us about your social media handles and how to find what we’re you know where to find you online?

Maddy
Yeah, so if I mean if you want to have a look at the website to see all the different treatments we perform there’s a lot of information on all of them there which is www.smaestheticlab.com.au , Instagram is sm_aesthetic lab or if you wanted to contact me in mind, it’s Maddy.cosmetic nurse.

Trish
Awesome and easy to remember. It’s just s m sexy mama. Awesome. Thanks so much for joining us today, Maddy. I’ll let you get back to your patients.

Maddy
Thank you, you too. Bye!

Trish
Have a great day, my love, 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