Sciton STAX For The Treatment of Various Skin Conditions With Dr Robyn Siperstein

Trish

Hello listeners. It’s Trish Hammond here from the Transforming bodies podcast. And today, I’m joined with Dr Robyn Sip, who is a dermatologist based in Florida USA and she’s speaking at a couple of sessions at the Non Surgical Symposium up on the Gold Coast this weekend so we’re gonna have a bit of a chat with her about going out of the business and what she loves doing and why she loves doing what she does. So welcome Dr Sip.

Dr Sip

Thank you so much for having me here.

Trish

Lovely. Thank you for taking the time. So tell me, first of all, what made you become a Dermatologist? Like, why pick Derma as your specialty?

Dr Sip

Great question. I always love Math and Science and I think my family history of melanoma really started to steer me in the direction. I actually first started out as a surgeon. And then I realised quickly through exploring different fields in dermatology that my love and passion for art was a perfect combination to do cosmetic dermatology and that my cravings of artwork on the weekends and at night were actually satisfied in the office by sculpting my patient’s faces in kind of a metaphorical way through different injectables and devices. I also just realised that I could just make my patients happy every day, and it was a wonderful feeling when I kind of ventured out into doing purely cosmetic dermatology.

Trish

Yeah, fantastic. And how long did you actually bench it into the cosmetic side? Because you have to learn dermatology before you can learn cosmetic dermatology on top of it. Is that right?

Dr Sip

That is. So in the States, we do four years of medical school, and then we do a four year residency in dermatology. And then after that, you kind of can either take fellowships or explore other areas. I, at the time, was specialising and had a fellowship. I took a test, the Mohs Society, and started doing Mohs Surgery. But soon after that I loved working with my hands, but I realised that I also loved doing cosmetics through artwork with my patients, and so that became a passion and I would say it was doing Surgical Dermatology for a few years before actually one of my patients kind of pushed me into the cosmetic area. I was doing a surgery on her. I’d removed a melanoma and she asked me to do some Botox. And I said at the time, this was fifteen plus years ago, that there were other people in the practice that I was working for at the time that did that, that I was just purely, surgical. And she said you did this huge crazy surgery that was so complicated. I think you can handle a little Botox. I really trust you. I feel comfortable with you as my doctor. I would like you to do it. So she pushed me into doing it and she came back in two weeks and she was ecstatic. And she said, you know, you’ve boosted my self esteem. I feel great. I went out and got this job that I was too afraid to get and the power of making people feel good in changing their lives, it was kind of what I call the lollipop moment. I don’t know if you’ve heard about that, but it was my AHA moment where I realised that this is what I wanted to do for the rest of my life. It just makes people happy, makes people feel good about how they look, and that started me on my journey and so I’ve been doing cosmetic dermatology probably for about ten years now and then solely for about just the last eight years.

Trish

Fantastic. And I reckon one of the best things about being a dermatologist, especially a cosmetic dermatologist, is you’re always gonna look good. 

Dr Sip

Well, it’s kinda like the shoemaker, whoever whoever had good shoes. So yes. I don’t quite make time for myself, but I definitely do for others. On occasion, we have late nights at the office and we’ll exchange services so we have some fun there, but yeah.
Usually, I forget. 

Trish

Yeah. Fantastic. And tell me, so when did you actually start on your Sciton training? Because I know that you love your devices and it sounds like you’ve got quite a few, so when did you start your Sciton journey?

Dr Sip

So when I first opened my own practice, I wanted to have the best patient care and to do that, you need state of the art equipment. So I literally went out and asked every device company to come into my office and I wanted to try it out on my own staff, on myself, see what it felt like, see the results and know that I was getting the best equipment. And I had gone through about six different companies, and I actually had never heard of Sciton at that time. And one of the last companies said, okay, are you getting ready to make your decision? And I said, yeah, I think, I may call a few other people. I’m not a hundred percent sure, and he’s like, well, let me give you some words of advice. If you’re thinking about the Sciton, they are like the Bentley of cars, and my company is more like the Toyota. And he said, you can get from a to b just fine with both, and mine’s much less expensive. And I said, okay, not knowing. I never heard of Sciton, but after he left, I’m like, I wanna try out the Bentley of cars. So I immediately called up and had my Sciton rep come over to show me what it was all about and I was just floored. This was, you know, back ten, fifteen years ago and the technology has just surpassed all the other companies. I remember specifically for the IPL machine that the other companies had, they would like to cut out circles and paper, like, and do, like, our projects to get, like, the right shapes and sizes for the things. And I’m, like, I’m gonna do this when I’m charging, like, really expensive pricing. I’m gonna be doing this in the room. This is gonna take me too long. And then, you know, having to transfer the different heads for each filter, it was just way too much work knowing my patients who are like, oh, I have spot hero and then a red spot there and then a brown spot and I could imagine myself having to switch out these heads. So when Sciton came in and showed me these filters that easily pop in and out and these beautiful gold adapters that go on that they’re magnetic, it just blew me away and then seeing the results, I thought I would need, like, five different lasers to achieve the versatility of what the BBL was able to do and so I was sold on my journey. And the really funny thing is that the Rep who first made me aware of Sciton came back a few years later working for a completely different company. And he looked around, and I told him the story that I had actually never heard of Sciton until he told me. And he said, man, I should have been a rep because I would have earned that whole commission. So he was like, he felt responsible for my moving on to Sciton, but I quickly fell in love. And I have to say, you know, every time I went to buy a new laser, it made no sense to me to buy the same one. I kept going out to all the other companies and seeing what else do you guys have? What else is there? And I keep coming back to Sciton, and I’m buying two or three or four of the same things for a reason. You know, they work, they’re versatile, I get great results, minimal side effects, technology is great. The people are great and I’ve just been very happy. I still have the machines from fifteen years ago that I bought still working in my practice today, which is a huge testament to Sciton. I know if I would’ve gone with the Toyota of lasers that wouldn’t have been the case.

Trish

So how many Sciton devices do you have? Oh, I think what was your first one?

Dr Sip

So I bought a BBL with an Erbium Contour and Profractional, kind of like the Joule at the time, the platform, and it has served me very very well. I can treat almost all conditions that I thought I was gonna need, you know, a PDL for words. I thought I was gonna need an Alexandrite. I thought I was gonna need, you know, like, five different others, but with one BBL and the different filters, I’ve been able to treat everything that I want to from reds, browns, anti ageing, acne, hair removal on later skin. And I’ve actually been doing a lot of research recently on other things that you can use for so after I inject and I have Purpura, we all get bruises from injections. We treat that with the BBL and it got me thinking because I have a lot of older population in my area, and they have what’s called Senile Purpura, where their arms get very thin and they get bruised and so I did a little pilot study with the help of Sciton to show that actually it can treat that condition as well, thick in the skin and then I started to go into more and more things, like, now my research is on skin cancers, that there are certain tumour suppressor genes that I BBL seems to up regulate to help protect us from skin cancer, so it’ve been very exciting kind of full circle coming back to what I started with. And I love research and inventing new things but that BBL has definitely taken me very far with that one. I always recommend it when people come to me, and they’re first starting out in practice. If they can only buy one, then I recommend the BBL for sure. Then the second one was the Contour and the ProFractional because my population is a little more elderly. It’s been very helpful to not only get rid of the reds and browns, but also resurface the skin, so get rid of the wrinkles. So the combination has been really great, and why I love Sciton’s devices, and I tried all the resurfacing devices out there, is that it’s tuneable. So for a younger patient, I can do a very light, Nano Peel – very quick, doesn’t hurt in and out, low downtime and I can kind of totally tune it to going a little deeper at twenty, thirty, forty microns to then the deeper ones with the serious wrinkles so I really can treat all ages because of the tunability of that laser. 

Trish

Do you know that it’s so interesting because of what you mentioned about the BBL? My husband is an engineer, so he was breeding all sorts and he’s very keen to get into the BBL. And he was like, I reckon this could be really good for people that have skin cancers, you know, like — 

Dr Sip 

Oh, so he agreed with me.

Trish

He totally agreed with me. I don’t have a laser, but hey, it just makes a lot of sense. Could you go, you know, get them very top and it just makes sense. 

Dr Sip

Yeah. So we use both. We also use the ProFractional that has been shown already in studies to help with precancerous actinic keratosis. So we’re going down and we’re kinda punching out all the bad skin cells, and the body’s kinda healing with nice new fresh skin, and so it can take away a lot of the sun skin damage. But it’s amazing that with the BBL and a lot of that work was done by Dr Bitter and Dr Chang and others, showing that it can non invasively change the expression of RNA which regulates proteins in our body and normally, we have proteins in our body that fight skin cancers but as we age kind of the expression of them goes down and so that’s where my new area of focus is is to see the BBL increasing these kind of like, genes that are on the lookout for any bad things, and they go and they treat it. So one condition called XP or is an unfortunate condition in dermatology where people don’t have any protection against damage from the UV. So, normally, we go out in the sun, and a lot of people don’t know this but every time we go out in the sun, it damages our DNA. But we innately have genes and proteins that go and fix it. So the whole thought is that BBL can up regulate those proteins that go and fix the condition, it’s called the XP gene. It’s lacking in people with this disorder and so they’re not able to fix it. So they go out in the sun and every time they go out in the sun, they usually grow cancer. So to me, this is a great field to be able to try to help people and the technology is so amazing and there’s just so much we don’t know, so it’s very exciting for me.

 

Trish

Yeah. I love that you’re not just a practitioner, you’re like a researcher as well, and which also makes you very innovative because the only way that people learn is that all things get better is by people trying things out. I don’t know. It sounds like that’s exactly what you love doing.

Dr Sip

Yes. I love thinking outside the box.

Trish

Perfect. I could talk to you all day, but I wanna ask you one last question. You do a lot of STAX treatments. Can you tell us a little bit about STAX? Because I’m all for it. I’m just drunk at it at the moment.

Dr Sip

So, you know, up until now, you know, the more downtime, the more results you get. So, there’s been a big change to people wanting a lot of no downtime treatments and kind of maintaining and correcting that way. And, you know, a lot of people don’t have time, the big downtime for the full resurfacing. They can’t take a week off of work. They can’t afford that time away from family and so by combining multiple non invasive treatments it gets us closer and closer to that optimal treatment with not a lot of downtime, but great results. So one of my favourites is combining a BBL HERO with MOXI and the reason they’re so great together is the BBL really attacks reds and browns and colours, the four hundred to the eight hundred range, whereas the MOXI is completely different. It’s a bullion laser, 1927 and that does not see all those colours, but what it does is it’s attracted to water and so it causes a little bit of resurfacing under the skin. But the best part about it is that it is under the skin and it keeps the top layer completely intact so it’s very different from full laser resurfacing. This is a non-ablative resurfacing and because that top layer of skin is intact, it allows us to put on makeup and go to work the next day. And no one really knows what’s going on underneath, but we put in a lot of heat and over the next few days, you don’t see it that much, but you can kind of feel what we call men’s, which is micro epidermal necrotic debris kind of come up, and you can feel that exploitation and you can really feel the results that you’re getting and I call it like a polishing. So, you know, I’m getting rid of the reds and browns and then I’m resurfacing in a polish with a MOXI and the combination together has just been a win win in my practice because people are going to work the next day with makeup, it’s not ablative, but yet we’re treating the colours we’re treating the skin texture, and we’re kinda getting everything done in the least amount of risk of side effects or in the least amount of downtime.

Trish

And it’s so interesting because I’m a great believer of like one plus one equals three when you’re doing the combination treatments, and I’m I’ve just had it my first BBL ever because they thought my skin was too dark and I had it combined with HALO and I have never had such amazing skin.

 

Dr Sip

You are glowing. But yes, there is a synergy between all of the treatments for sure, and I see that myself. I agree completely.

Trish

I love that. Well, look, thank you so much for taking the time today. I really appreciate it.

Dr Sip

My pleasure. 

Trish

Lovely. Listen. So if you do wanna find out a little bit more about Dr Sip, you can Google her, send me an email or DM us on our podcast page, and I’ll put you in touch and you can check her out. Thank you so much.

Dr Sip

Thanks again.

 

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