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.

23/05/2026

If you seek help from someone qualified to do so in this area, as opposed to an online service (because convenience, cost and sometimes because you don’t actually qualify based on your weight) or worryingly, gym bros, it may seem like it’s NBD. Until it is.
- I am seeing patients coming in telling me they’ve accessed these and other drugs at the gym; no physician involved.
- these are often people at healthy weight wanting to lose 3-5kg.
- they often add in other non TGA regulated peptides that promise anti aging.
- there’s little to no discussion of baseline imaging to measure muscle and bone mass.
- there’s no discussion of eating patterns that may be unhealthy & verging on disorders.
- there’s no guidance on dosing (& I see these complications)
- there’s no counselling that these are in conjunction with longterm lifestyle dietary & exercise changes
- no mention that most people who discontinue the meds will regain the weight within 1 year.

Quick fixes never actually fix the “root cause” which is often a mix of choices that haven’t served you but which are familiar and comfortable (& sometimes genetic ) and then other health challenges.

The solution is so much more than a script which risks harm if you don’t have a trusted and competent physician caring for you.

22/05/2026

Most physicians (& probably HCPs) I know suck at talking money.

Early on when I was setting up my clinic & on my own a colleague told me it was “just wrong” to talk money to patients, much less to charge them on the eftpos. She couldn’t tell me why.

Over the years other doctors have similarly said they hate it; it feels salesy.

I see it as a learnt skill that one must do well if one is to be successful- unless you want staff undermining your fees at the front desk (used to happen far too often)

It’s not shameful to be paid for a skill & a service you provide that helps someone.

It’s not shameful to be able to pay your own bills & pay your staff more than minimum wage.

One of my colleagues, when I refer (dr) colleagues to her reminds me to remind them “I don’t bulk bill anyone.”

It’s a standard she has and a boundary. It’s clear and it’s self respect.

Better that than some vague agreement that’s unclear & before you know it you’ve spent double what you’d possibly been told.

The longer I do this the more I respect the people who can do this well & clearly.

Private practice isn’t a charity.

21/05/2026

I was today years old when I learned that retinoids may give smooth skin, while taking away your ability to wear foundation.

WUT…

So of course I had to go down this rabbit hole to discover why on behalf of some patients who are impacted by this. Smooth, glowing skin bareface… but horror show with foundation.

So. Here’s what I’ve learnt as a non makeup wearer in case it’s relevant to you too.

20/05/2026

There’s a reason some people look naturally refreshed and others look… done.

It comes down to some key words: consistency; distress tolerance; curiosity during setbacks instead of fear, despair or quitting.

The people who ultimately succeed look at setbacks as messages into their own psyche & as opportunities to improve on the path to the outcomes they want. Without losing enthusiasm.

The ones who fell away, were inconsistent tended to see it as an option; nice to have if convenient.

Over time, the results are not the same.

My FFA®️ is for the former group. Everyone else tends to simply fall away.

The best results aren’t obvious. They’re barely noticeable unless you know.

20/05/2026

This is the conversation we don’t talk about enough in aesthetics; when to stop chasing non-surgical results.

By the time someone comes to see me she’s often -exhausted most other options;
-tried various treatments that didn’t work;

She tells me nothing worked. She’s given up but clearly not because she’s here.

Sometimes by this time the best option is surgery.

Maybe if she’d chosen differently- begun earlier; chosen a different clinician, it may have been different.

That’s the thing with human biology- waiting often means by the time you decide you’re “ready” it may be too late or cost you significantly more than if you’d begun at the first sign.

Lower face and neck laxity in the absence of adequate and effective treatment from a younger age, inevitably leads to surgery & then maintenance.

With any medical endeavour, there are three parties at play: - your physician/clinician and their skillset - you, the pa...
17/05/2026

With any medical endeavour, there are three parties at play:
- your physician/clinician and their skillset
- you, the patient & your willingness to do the work when you say you will.
- your anatomy & biology.

Your anatomy/biology will always be the bottleneck no matter how perfect the other two factors are.

It’s also your mind & outlook that will help you succeed or guarantee failure.

In chronic medical conditions- skin, weight loss, aging- we don’t talk about this nearly enough while social media deceives us all with promises & now AI.

Unrealistic expectations sets us both up for failure & disappointment.

Let’s start with a consultation to address your concerns; whether they can be addressed & what is involved.

Ultimately your success depends on you following through when it’s easier to delay, defer and quit.

16/05/2026

The role of your physician is not just to address what brought you in today but hopefully, when there’s longterm implications of the work you’re considering - procedural or surgical- to anticipate what else might need correcting as a result of the procedure & talking to you about it so there are no unexpected surprises barring complications.

The truth none of us likes to hear is that aging, in & of itself, brings about changes that can impact our ability to carry on the way we’ve always done. They’re often due to years or decades of choices or circumstances we never even considered until it adds up to a big enough change that we decide we want to do something about it.

Except.

What you see is often just the tip of the iceberg:
- non surgical medical aesthetics & skin health
- surgery
- medically assisted weight loss
- menopause & more

It’s your clinician’s job if they do it well, to assess what bothers you AND to suggest what else you may need for a good outcome and why, if you’ve considered that.

That’s part of informed consent.

In clinic I aim to do this for my patients, non surgical and even if I’m referring for surgery. It gets you thinking not just about today or 6 mths from now but 6 years and longer. To protect your investment.

Your body is not amenable to overnight shipping. Your body & face is limited by :- genetics - lifestyle factors - whethe...
14/05/2026

Your body is not amenable to overnight shipping.

Your body & face is limited by :
- genetics
- lifestyle factors
- whether you are prepared to do the work
- if you’ve learnt to sit with setbacks, work through disappointments & to keep going.

Ultimately these are the predictors to success or (another) failure in your journey to health & aging on your terms.

I’m here to guide you if we work together AND I’m no magician. I don’t sell magic fixes based on grift and hype.

I offer a longterm collaborative approach to the solutions you say are important, if you are as invested as I am.

Medicine. Without the hype.

13/05/2026

Image from FreePik & is AI generated stock image.

One of the biggest unspoken challenges of aging is that it’s visible to all of us; like weight.

And that people feel free to comment on it unsolicited.

Age bias also means that we perceive an older looking person as less attractive (& possibly competent) than a younger, less attractive and less competent person.

Yet some of us fixate on looking young(er) at all cost to our own detriment; sometimes without insight if we aren’t challenged.

As physicians and clinicians I think it’s so crucial we don’t over promise even if we do outstanding work (such as the surgeon’s work 👆🏾) because people hold on to promises we don’t always make.

I prefer words such as looking rested; competent; vibrant; capable over “younger”.

After all youth is also when we were often, least competent & capable.

Life is full of tradeoffs and while I support women who want to age looking the way they feel it’s so important if I’m your physician, that we do so in a way that serves the longterm goals of who you want to BE & not just how you want to LOOK in order to feel worthy.

13/05/2026

The best kind of content is the ones where I say the same thing several times in any given week = content!

In this case, what is a skin biopsy?
Why would I consider one?
When would we do one?
What might it involve?

Not always for skin cancer; sometimes for weird looking skin growths, colour changes that can’t be explained by Dermoscopy or standard treatments= biopsy too!

12/05/2026

If I hear one more time “Oh I don’t want to be frozen so I only go once a year “ “Oh I want to be natural so I only go when…”

Frozen, if we work together, is not the goal. Unless I mess up. Which happens occasionally & my patients give me …ahem… feedback.

The way we speak of injectables is like it’s an on-off switch.
Like you have only one of two options:
- age the way nature intends OR
- look fake, frozen and expressionless.

As though you must choose only one of two with no in between.

Or maybe you’ve just never gone to someone whose goal was to help you look like the best version of you but like you had no help. Whose own face reflects their own aesthetic and what they aspire to for you if you dare to commit.

Who knows.

Between people who order treatments like they’re a retail sale (“how much?”) and people who rail against the patriarchy & how we are all conditioned (it’s true, we are) is the in-between.

I serve the people in that in-between.
- who want to like what they see without looking like mutton dressed as lamb
- who want a consultation to see if I’ll listen to their concerns & address them while holding them to a standard too.
- for whom this is a priority not just an option
- who are in it for the long haul much like health, fitness and aging on their terms.

These are my people.

Address

Suite 9, 42 Bigge Street Liverpool
Sydney, NSW
2170

Opening Hours

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

Website

Alerts

Be the first to know and let us send you an email when Dr Imaan Joshi posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Dr Imaan Joshi:

Shortcuts

Featured

Share