Trish: Good morning everyone, it’s Trish here again. Today we’re talking with cosmetic nurse injector from Face Plus Medi Spa, which is based in Bondi Junction, and we’re talking to JC there, who is the clinical person there.

So good morning, JC, how are you?

JC: Good morning Trish, very well, thank you.

Trish: Lovely. Thank you so much for joining us.

JC: No worries, pleasure.

Trish: So today we’re just gonna have a bit of a chat about basically skin repair before injectables and the fact that you know, your skin is probably the most important thing when it comes to looking your best, before you do anything else. So I know that Face Plus Medi Spa has some great things on offer.

But tell us a little bit about why skin care is so important before you do anything else?

JC: I mean, when you mention the injectables like Anti-wrinkle injections and fillers, they’re great, great, great treatments. Again, they have to be targeted to the right patients.

But the difference between injectables like Anti-wrinkle injections or muscle relaxants, dermal fillers and skin care, skin care the skin cells, can repair, can nourish the skin.

So when you talk about skin care, there are two levels. Just like day to day ongoing treatments at home with your home care range, also you can associate with that some treatments, and I’m talking about treatments could be a simple enzyme peel, could be a facial, it could be like more severe peel to resurface the skin.

We’re talking about laser treatments, and then we can talk about some injection treatment like PRP, which is plasma rich plasma to repair the skin. So all of that starts, are of concern, are more important, because you’re going to kind of … I’m not going to say you’re never going to stop the ageing progress. But you’re going to slow down, or sometime repair and wind back the clock.

Trish: I come across a lot of people that they haven’t looked after their skin and all of a sudden they hit 35 or 40 or 45 and they’re like, oh my god, what am I gonna do, how can I start to look after my skin? So can you suggest any treatments that you would suggest to someone who over time they’ve neglected their skin and just want to start, just want to get themselves to a place where they can start looking after their skin.

JC: The first things are to see where they’re at, and what age range they are.

So if you haven’t got damaged skin, they’ve just been looking after themselves and didn’t go in the sun or smoke, you just want to nourish the skin. So you would start first of all with a skincare analysis so you can… concentration, and they may use some existing products, you might be happy with them, we don’t want to change it.

But we might just want to do skincare gap analysis, so if they have any concerns and obviously their existing routine doesn’t address it, then we can see what we can add or change, okay?

But it depends, you could use vitamin C to firm the skin, to produce collagen. Vitamin A helps with inflammation and some oily skin. But again, less is more. Simple, simple, simple.

So I believe when you’re in your twenties, you should really cleanse your skin, and moisturiser, not even an anti-aging, but just a moisturiser, and a sunscreen. That’s important…

If you have any concerns, like acne, or oily skin, then you can see what can you add into that three step routine, by adding a facial treatment. You may have some special cleanser to clean the pores, some anti inflammatory peptides just to settle the skin. There’s different options.

Now once you’re past thirty, thirty five, you’re going to start to lose collagen production. I firmly believe in using peptides, get familiar with peptides.

Trish: And you can get them in the skincare?

JC: These days most skincare range will include peptides in their range. Now peptides are very specific, could be peptides to stimulate collagen, could be peptides to inhibit cells to produce too much pigmentation to manage, or some peptides to settle inflammation of the skin. There’s many, many, many different peptides.

Trish: Okay so basically from what I can gather the most important thing, the first step is to come in and get a skin care analysis to work out exactly what you need at whatever point you’re at.

JC: Well I would say if you come in because you have a concern, the skin is the first thing.

Listen I used to work a long time ago for the company, and I used to be training to be a sales rep, so I growing up didn’t know anything about the skin myself, I was kind of a … And it was all about Anti-wrinkle injections and Anti-wrinkle injections, and when you realise the skin how it works, if you really looked after your skin, I mean of course you may need some muscle relaxants, but it’s not all about relaxing and freezing your face.

Facial expressions are really important, and you have to have healthier skin. Then any other treatment will look much better. And you won’t need to do as much, as well.

Trish: That’s true. So you need to have the base, before you do anything, the base needs to be good.

JC: Yeah. True. I mean. Most people these days look after their skin, so now when they want Anti-wrinkle injections, it’s okay. They want some muscle relaxants. And if it’s suitable for them, without freezing their face, we give them.

There’s a time and a place for any treatment, I guess.

Trish: Of course, of course.

So say, at what stage normally, coz I get asked this all the time, I was going to get a coffee at my local coffee shop yesterday, and a girl that I know there, she said ‘oh, I wanted to talk to you because I’m thinking of getting some Anti-wrinkle injections, do you think I should start now?’ And she was 35, and she actually looks fantastic, she’s got great skin. But there was a little crease in her forehead bothering her. So what would you say to someone, when do you think someone would be ready for fillers, or muscle relaxants, Anti-wrinkle injections, that sort of thing?

JC: That’s a very …

Trish: Yeah, before it happens or after?

JC: Well, well, okay, so let’s talk about what’s happening these days. What I see is a lot of young patients in their 20s coming for Anti-wrinkle injections, and I’m sorry to say but they shouldn’t. I mean they can, and it’s perfectly safe and they’re adults, they can have it.

But it’s … they don’t need it yet. Unless they really, really have a big frown line, and even if they have very health skin, then [inaudible 00:07:39] they need collagen, then we might talk about prevention.

But I can hear too often, young girls in their early 20s, and they want you to do Anti-wrinkle injections prevention, and I’ll just stop and say, oh well, let’s talk about it. Let’s talk about what are you doing in terms of prevention? Because muscle relaxants might prevent, or will prevent lines to appear from the muscle contraction if the muscle is strong, but if you don’t have a strong muscle and if you don’t look after your skin, Anti-wrinkle injections is not a prevention.

You know you may have some young girls, they go in the sun, they’re smoking, well the prevention is to apply sunscreen and to reduce the smoking or stop smoking, because that’s what’s gonna damage your skin.

So of course the Anti-wrinkle injections or muscle relaxant will work, one day in your early 20s if you keep going in the sun and not looking after their skin, but when they’re going to turn 30, they’re going to say ‘oh, it doesn’t work anymore’ or ‘is this worth trying the product on?’, or ‘my body is used to it’. It’s not such a thing; the muscle relaxant will always always always work, will always relax the muscle. But what’s happening is their skin is getting more thinner, much thinner, not as strong, less collagen.

And of course the skin is going to collapse faster.

So yes we can, in their 20s they can have Anti-wrinkle injections. But I think the main prevention there is looking after your skin in your 20s.

Now when you talk about your friend at the age of mid 30s, I agree, from the age of 30 we produce less collagen, so the collagen is like the scaffolding in your skin, so if you have a muscle creasing your skin, imagine the skin being a piece of paper, if you’re going to crease it over and over and over again, you’re going to have a permanent line.

So if you stop that action of creasing, your skin will spring back.

And we know everybody cycle, every 28 days we have a new skin. So if you relax the muscle for 3-4 months, your skin is going to spring back and the line is going to reduce.

But again, past your 30s, mid 30s, again, that’s when we need to talk about, let’s look at what stage your skin is at. Is it really healthy, is it damaged, is it, what is the condition of the skin?

And it might be, maybe Anti-wrinkle injections might not be so much the answer, or will be the answer, but we need to really associate with the muscle relaxants, some skin care or skin treatment.

So an example, somebody has really strong forehead lines, which is always the lines in the forehead caused by the muscle lifting the eyebrows. Now if they have never looked after their skin, and they want to do Anti-wrinkle injections for prevention, it may be too late in terms of prevention there, because the skin is damaged.

So if you want to relax the muscle, maybe freeze them to have some result. And we don’t want to freeze these people’s facial expressions, they’re really, really, really important. It’s the way you communicate with others.

So when you talk about prevention for your friend, depends what her skin looks like. If she’s been looking after her skin and her skin is as good as you say, well yes, maybe Anti-wrinkle injections will be a good preventative treatment to stop the skin to be further stressed. And then you look at, less is more, so maybe for her the muscle relaxant will be a good treatment, and you look at how her skin is responding. If the line has softened, fine, Anti-wrinkle injections is the answer. But if it’s not, if she should still have a line and she’s finding that the outcome won’t be as lasting as normal. Well maybe we should look at strengthening the skin then.

Trish: Okay, alright.

JC: But it’s a discussion you have with a patient during the consultation.

Trish: Of course, of course.

As a practitioner, how important is it to be careful not to overfill or over inject someone’s face. How do you balance between getting the look a patient wants but still retaining that facial expression?

JC: When you talk and mention overfill people, have you seen some?

Trish: Well I was actually watching Married at First Sight I think yesterday it was, and I was looking at Sarah thinking, why does she look different, has she been crying or something? And I think what it was was she must have just had another lot of treatments and she was really really puffy, and that’s all it was, I thought it was just a little bit too puffy.

JC: Yeah I find some people when they know they’re going to be on television, they going to have a big top up and be perfect, but it’s actually not perfect.

I have a feeling it’s not a good look.

I’m not going to bad mouth about fillers and Anti-wrinkle injections because, or fillers and muscle relaxants, because that’s my main treatment that we give, but again. You have to really choose your patients. When you see people are overfilled, it’s because you know if you add volume to the face, you’re going to pick up the tissues, alright? So you’re adding volume.

So as we age, lots of things happen in your face. You may have some, and it depends on your lifestyle as well. But your skin may start to lose some elasticity so it’s going to descend, your ligaments are getting loose as well so your midface, cheeks are going to drop. Past 50s and especially menopause, you’re going to have some form of… you’re going to lose some fat pads in your face, and in particularly in front of your ears, and all the tissues are going to go forward and down.

So, we know that we can, as a simple treatment, we know we can lift and pick up the tissue, tissues we can volume with fillers. Alright? But again, we need to assess the patient. Has the patient lost volume? Has the patient have existing volume?

So if the patient has existing volume from naturally or other ways, or from produce treatment, and they still have droopy skin or jowl, are they a good candidate to add more volume? No, because they’re going to start overly done.

So then, and also if somebody has volume, I’m not going to add volume with filler for the sake of lifting the skin, because they’re going to look overkill.

In that case, no, the filler is not an answer. So there are different options in terms of skin tightening. Also some injections to stimulate collagen, like Sculptura, which is a particular injection, which is more to really replenish the loss of bone. All of these could actually stimulate collagen. You may tighten the skin without giving too much volume.

You could do a… as well, pick up the tissues without giving too much volume. It’s all about assessing the patient, how do they look, do they need volume? And sometimes you can combine all of it, all of the treatments. PRP is also good, a good option. So PRP, we draw your blood in the tube, we spin the tube in a centrifuge, we separate your plasma, which will have your platelets in it, and we dispose of the red cells blood, the haemoglobin, we reinfect the plasma and the platelets into your skin.

Trish: So that’s like the vampire facelift that Kim Kardashian made famous.

JC: So yeah, but they want a bit of a buzz and they look like, so very bloody and off putting, so when we talk about that, it’s a brand, it’s marketing. But look, to use the medical term in terms of platelet rich plasma, you have different levels of treatments and corrections. The most common one we do is we spin the blood and once the blood is done, the plasma looks like a gold serum, so we draw the plasma into a syringe, we inject it with very tiny… to get, you know, into the skin, and it’s like injecting Anti-wrinkle injections, so it’s no different. It’s not red, it’s just a little golden serum, re injected into the tissues.

But you can also combine this treatment with some skin needling, which is a dermal treatment, and that will create some haemophilia on your skin, which is microblading.

Trish: So you guys offer PRP in your clinic, what other things do you offer?

JC: In terms of skin or?

Trish: Yeah. Everything, I know you’ve got laser genesis, which is for skin rejuvenation.

JC: That’s right, so it’s going to stimulate collagen, it’s going to reduce your pores, soften your redness and also can address some pigmentation as well.

We have limelight which is for the pigmentation. We do… it’s pretty amazing. We do this kind of herbal peel, and there are different levels. So the first entry, it’s called flake or peel. What we use in this peeler, we use this combination of herbs to rub onto your skin, and it’s going to deliver some nutrients, but also it’s going to, it depends on the strength of the peel we’re going to do, it’s going to flake off or going to peel off. But it’s really really tough on your skin, it can even go under your eyes. It’s pretty amazing. It’s only using herbs, not even chemicals.

Trish: Okay. Alright. And you do dermapen as well?

JC: Derma-pen, so we can do derma-pen on its own, or, we can combine the dermal-pen at the same time we do PRP. And that’s what the Kardashian call vampire lift.

Trish: Okay.

JC: That’s really good, because you’re going to, as an injector going to deliver the platelets with an injection in a deep dermis, with a dermal pen we’re going to stimulate collagen synthesis with drilling little pricks in the skin. But we’re also going to drizzle plasma into the epidermis so that’s going to introduce into your epidermis, so by doing the dermal pen with the PRP at the same time, we’re going to address really the upper layer of the skin, the epidermis, and deep dermis, to firm the skin. So it’s really a good combination.

Trish: Uh, alright. I know that you also do something completely different, which is the IV infusions, can you tell us a little bit about that?

JC: Yes, well. Again, it’s done mainly at the beach clinic, the Bondi Beach.

I mean again, the patient will come for a consultation, and they’re going to assess what do they need?

Like, what is their, are they run down? They could be jet lagged, they could be feeling sick. And you then that cocktail of different vitamins, could be magnesium, could be vitamin D, could be vitamin C, and then… So that goes straight into your bloodstream, and it’s going to be like a booster. So it’s really, it’s like a boost, really really good.

Trish: Okay, so if you’re feeling little bit kind of run down.

JC: And in the other clinics, we don’t do the infusions, but we can still do some intramuscular vitamin B, or B12 shot, and that’s usually like a 15 minutes appointment.

Trish: Like the vitamin b12, I have them quite regularly myself, so just as a bit of a pick me up.

JC: Exactly. Again, if you feel a bit coming down with something, it can be a nice one to do and it’s pretty quick. You can sit down for the IV and I think it lasts maybe, depends what you have done, half an hour or 45 minutes.

Trish: Of course yeah.

JC: But when they do the IV they can also combine with some ovulux or some laser therapy as well.

Trish: So you might as well have a double treatment at once. I love the LED. So one last question, I know that you guys have won some awards, so what is it that sets you apart from other clinics?

JC: I guess we’ve set up the clinic but also, we work together, so we have a holistic approach. When I talked about the injectables, we’re not gonna just give you what you think you should have, there’s a discussion, a treatment plan, so, and this is for injectables but it is also for when you come for a facial or buy skincare, you’re going to have a consultation with the beauty therapy artist, and you’re going to have a consultation with the nurse. And we do assess the areas of concern, we lay down, work with the patient’s treatment plan, which could be injectables or treatments with skin care.

And we’re going to work around the budget, set up a treatment time frame as well, it’s not about having everything at the same time, let’s say less is more. What we’re going to do today is prepare for the future. At the end of the day, anything we’re going to do is a step forward, we do step by step because you’re anxious and don’t want to spend too much money, whatever we do is going to work, and it’s going to work towards the next step.

Or you can have the whole thing. We work together. Injectables, because they’re not going to be happy, or they’re going to look fake, so we refer them to the skin specialist, and vice versa.

So that’s the way we work.

Trish: Oh fantastic, so if anybody wants to come and see you, they can just go onto the website, which is www.faceplus.com.au.

JC: That’s right, or ring the rooms. And then they will have, everyone has a consultation, we take the time for the consultation, it’s not like it’s 50 minutes. When you look at the treatments, they don’t last long. I will spend myself, we have maybe half an hour consultations. Because people are scared, maybe they’ve had some treatment before, you really want to communicate. So at the end of the day, they’re going to make an informed decision, and it’s not too laid on a menu and they’re going to have to choose one of the different treatments, and then maybe if they pick the wrong one that’s their fault. No no, we’re going to talk about different options and the patient and the physician will agree on the solution together. So really it’s a kind of contract.

It’s like a contract, so really it’s very important to spend the time on the consultation and develop the trust. I mean, I have a lot of patients who are really really scared, and because I have a lot of word of mouth, so all of the patients I’ve seen, new patients are referred by existing patients of mine, and all of my patients are really really subtle, they don’t want to be looking like… or anything, so I’m targeting this market of people that would never have these kind of treatments, and they say oh go and see JC because he will look after you, you’re not going to look like a freak.

But the fear usually is the fear of the pain, is it safe, am I going to look all natural? So that’s the main three fears.

Trish: That’s so true. Is it going to hurt?

JC: Is it going to hurt? We use the numbing cream and ice packs and ice blocks, but also there’s the gentle touch when you inject as well. Taking the time, I work with my patient with their breathing, I do a lot of yoga, we try breathing, that helps as well. And get them comfortable. And once they’ve understood and gained the trust and know the potential outcome of the treatment, they’re more relaxed.

Trish: Yeah that’s so true, nobody wants to be in pain.

JC: Well true.

Trish: Beauty is pain. Thank you so much JC, that’s been really helpful, to get a little bit of a snapshot into what you guys do down there.

JC: Okay, my pleasure, if you have any other questions just send me an email.

Trish: Yeah, awesome, awesome. So ladies and guys, if you’re around the Bondi area in Sydney, looking for a treatment that’s something a little bit extra, just definitely have a look at Face Plus Medi Spa, they’ve got a wonderful new clinic in Bondi Junction, do lots of non surgical treatments, and if you can’t find them, just drop us an email to info@plasticsurgeryhelp.com.au.

Thanks so much JC, we’ll talk to you again!

JC: Thank you Trish.

Trish: Bye bye.

Trish

Trish is a plastic surgery blogger. She is passionate about wellbeing, health and beauty, and doesn't mind a little bit of 'help' from the amazing cosmetic and beauty procedures that are available today. Trish spends her days talking to women and men who are looking for suggestions and advice on procedures that are available to them. Cutting through the sales pitch and hype, a down-to-earth response on general information is what you will get.

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