Dr Imaan Joshi

Dr Imaan Joshi Procedural specialist GP; Full Face Aesthetics + skin disorders + skin cancer surgery. Sydney Subtle and Sensible Rejuvenation to enhance your natural beauty.

19/10/2025

I talk a lot about & with good reason.

Filters aren’t reality. Ditto photoshop and AI.

The older we get, with or without work, the more important good lighting is.

When we get work, there’s also a portion of us who’ll discover a tendency to hyperfocus on every minor flaw and detail that likely existed before but which REALLY BUGS US NOW.

We talk about as many of these as possible and… I still have these conversations with you in clinic because is real, as is insecurity due to unattainable standards that are not real.

So. Know yourself and curate your social media diet & your own ability to tolerate uncertainty. Your mental health matters.

Most of my lessons for 2025 have been relational. Most of them, especially the disappointing ones, have been lessons for...
18/10/2025

Most of my lessons for 2025 have been relational.

Most of them, especially the disappointing ones, have been lessons for me - around speaking up more, not less & being clearer.

I don’t like open loops:
- incomplete FFA
- people who contact us & then don’t reply promptly especially out of hours.
- incomplete results

As a solo practice owner, I try to be clear that if you book my time I expect you’ll show up barring emergency.

If that doesn’t happen we have a conversation- in 2025 some people haven’t liked this.

Because I spend a lot of time incorporating therapy principles - formally and informally- I’m comfortable having challenging conversations but not everyone is.

But someone else’s reaction doesn’t mean I was wrong to raise my concerns or to ask for better.

16/10/2025

Anxiety and mental health struggles have been on the rise since Covid and due to ongoing misinformation & disinformation on social media + distrust of doctors and other healthcare professionals it seems to be at a peak.

Every week we have conversations in clinic around the use of safe, common medications & why they may be appropriate for your health concern.

When it’s a patient who trusts me it’s easier to challenge their anxiety with their consent.

Much harder when it’s someone new to me, even if occasionally referred by a patient.

I’m very much a longterm thinker and planner. I’ll give up a lot of comfort now to be where I want to be 2, 5, 10 years trim now.

It’s a learnt skill - delayed gratification & learning to trust yourself.

Especially if you’ve been raised with the sense that the world is a dangerous place & people are out to judge or harm you.

If you see me we work on that as long as you’re willing to keep showing up & to communicate.

15/10/2025

It’s the million dollar question especially when you can bounce around from clinic to clinic & order what you want.

I say no often. It’s not the big deal people seem to make it out to be… but it is if you expect someone to say yes.

Anxiety adds a layer of difficulty to this relationship especially if you’re not a one clinic and clinician type of person.

You do you.

Me? I’m a longterm kinda doctor and I like working with people who are the same. That’s where the trust is built that buffers us through unexpected setbacks and challenges & may even help with your anxiety.

So much of medicine is repetition over time- years- that becomes a rhythm of doing that’s uniquely yours. That’s why eve...
12/10/2025

So much of medicine is repetition over time- years- that becomes a rhythm of doing that’s uniquely yours.

That’s why every experienced doctor leaves a mark of their work & no two people will do it exactly the same way.

That’s why I’ve encouraged people I see to keep looking till they find their doctor.

I love to challenge you, hold you to high standards & help you become better in the process of our work together.

I also love to simplify concepts so they make sense & so you can trust yourself over time.

It’s nice when someone can see it.

12/10/2025

It’s a rising trend the last few years & we are having more discussions in clinic around this.

I’m happiest taking on women for my in their late 30s and early 40s who’ve been told no by plastic surgeons because I agree they’re not surgery worthy yet as do they.

Because by the time you want surgery, no non surgical procedure will come close if a surgeon says yes. That’s a road paved with regret.

AT THE SAME TIME… I love to work with faces where it’s a no or a “not yet” because :
- these people are serious
- they’re committed to ageing proactively
- they’re willing to do what it takes AND
- with continued work we can often get them to such a good place surgery becomes truly optional or something to consider in their 60s rather than now.

That is the power of a well designed plan with the one clinic and Dr/clinician. It’s far too easy to lose sight of the longterm big picture when you jump around or chase fads and trends over what will maintain your face till it is time for surgery if that’s your choice.

People start with good intentions & then fall prey to perception drift & end up where surgery or dissolving becomes the only option.

Safeguard your face like it matters. Choose someone who can be real with you in the moment it matters.

PS here’s a pic of me and my wobbly chin…

12/10/2025

Why do we do this?

Genuine question.

If there’s anything about the patriarchy I take issue with, it’s pitting women against each other. For telling us that one woman’s success means less for me, or for you.

I take far more issue with that than I do whether she chooses to dress a certain way, dye her hair, or do whatever she wants to her face and body.

If she can afford to do it & letting you do you- let her.

I hear stories weekly of how much of an impact our work makes to someone’s confidence & career progression.

Let her. You do you and let her do her. It’s a tough world.

11/10/2025

The initial portion has no sound.

TLDR; you can choose yourself too.

There’s nothing inherently special about denying yourself to be seen as a good woman. We don’t expect it of men the way we do women.

Many of us expect it from each other in a way we’d never expect from a man.

Take up space.
Ask for what you want.
Be ok with saying no.
Spend on what brings you joy if you can afford it.

The average Australian woman lives to be 87. It’s ok to want to do nice things for you too especially if the people in your life don’t prioritise it.

Life is too short to have regret.

Effective communication & mutual respect is a non negotiable for me in every aspect of life. There are many others but t...
08/10/2025

Effective communication & mutual respect is a non negotiable for me in every aspect of life.

There are many others but this is a good one.

When someone lets you know their expectations or where you crossed a line, it’s usually an attempt to stay in relationship with you.

I take it to heart when you don’t do that but I have high standards of me for you & vice versa.

So on the tail of the disappointing encounter last week the weekend was rough.

We all make mistakes. To me the mark of character & integrity even if I’d lost my cool on the weekend (I didn’t) is to apologise; to ask how to make it right; to attempt repair after the rupture if the relationship is important.

That’s how we show each other that we care. It’s more than just a transaction.

The good that came out of it? I saw the gap in our system that I needed to rectify going forward.

Win-win.

But mostly, repair after rupture is a skill & an important one that we can all be better at.

And never assume intent- ask if you’re unsure so you avoid saying something you’ll regret.

When you ASSUME as the saying goes… with thanks to that patient. You know who you are.

It took me a long time to understand that most people who seem to have disproportionate reactions to someone else’s beha...
07/10/2025

It took me a long time to understand that most people who seem to have disproportionate reactions to someone else’s behaviour, are often reacting to some other situation from the past.

It still hurts. It can instil fear & ruin relationships just the same, especially without an attempt to repair.

It’s a kindness to let people know when they’ve overstepped a boundary especially if they are unaware.

They may react explosively; or with hostility.
They may invalidate your feelings or mock your request.
Occasionally, they may call me a b*tch.

All of which can be very distressing AND lets me know that speaking up was the right thing to do.

There’s that saying- that therapists see the people in therapy because of the people who need therapy but won’t get it.

I’ve had several disappointing encounters in 2025 around boundaries that have left me questioning my competence, my worth, my care & whether I should continue.

As always I’m reminded (because of my psych training) that I can only continue to ask for what I need & people are allowed to say no, even if they do so in ways that may hurt.

Letting go of the people who don’t prefer me allows the people who do prefer me, to enter my world and to stay.

One of my all time favourite things to do with patients is to help them develop trust in themselves & their body’s abili...
05/10/2025

One of my all time favourite things to do with patients is to help them develop trust in themselves & their body’s ability to heal; one consult, one minor side effect or illness at a time when time is the only way.

Whether that’s waiting for a viral infection to get better without antibiotics.
Or a scar post excision to fade to silver (12 months)
Or a new medication to have its intended effect (days to weeks)

Anxiety has spiralled since COVID.
While Telehealth can be useful for rapid assessment of “urgent” vs “non urgent “ it’s useless at assessing visual cues & other information required in person to determine safety.
Fragmentation of care also means there’s a lack of communication which impacts patient safety.

So I find myself regularly saying “it’s likely a coincidence.” “Let’s think about this logically.” “You look/sound ok so let’s give it some time.”

Waiting can be hard; harder then jumping in to do something that may feel like temporary relief but make things worse.

It’s a vital skill I think we can all benefit from (myself first and foremost) so we learn to rely on ourselves, with guidance & trust the process.

Self esteem is an inside job. Except… It wasn’t until I began that I realised how much we all carry with us that we do...
04/10/2025

Self esteem is an inside job. Except…

It wasn’t until I began that I realised how much we all carry with us that we don’t vocalise about what having work done means to us.

The longer I do this the more careful I am about saying yes. About starting and about continuing once I see signs that suggest someone isn’t coping.

2025 has broken me because of this.

Like all humans I’ve become overwhelmed by the cases that didn’t go well- through communication I could’ve done better, or through not seeing the signs of anxiety sooner- such that it led to my questioning if I should be doing this.

Entrusting your skin and face to another & trusting them not to make you look too different is tricky because it relies on communication & trust and safety.

And…. When there’s unrecognised anxiety or unrealistic expectations or disappointment it can lead to distress.

So. I’m reflecting a lot more & speaking up a lot more on what I need to see in order to say yes (because we all say yes, yes, yes…until there’s a setback) & what you may expect during the process inclg :
- hyper, unhealthy focus on the process
- fretting about common side effects
- anxiety about correlations that may not be causation
- lights, shadows & wanting glass skin.

It’s a huge responsibility that far too many of us - clinicians and patients- take too lightly.

Address

Suite 9, 42 Bigge Street Liverpool
Sydney, NSW
2170

Opening Hours

Wednesday 10am - 5pm
Thursday 10am - 5pm
Friday 9am - 3pm
Saturday 9am - 1pm

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