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.

10/04/2026

In case it’s not obvious I do all my own reels, posts videos etc inclg edits.

That said… for someone who works in medical aesthetics & especially my FFA, I’m terribly uneasy with the whole push that is “anti aging”, fear of aging and wanting to look forever 25 or 35.

I worry for women my age who often hyperfocus on photos & rush into surgery. I worry about women who pursue expensive treatments only to suffer side effects. And I worry that we often fail to see the line when we are too close to see it.

At the same time I believe very much in the medical principle of harm minimisation.

Banning a practice makes it less safe. The need or desire doesn’t go away it simply becomes harder to measure & often risks safety.

So. My approach to medical aesthetics and my FFA is the same as my approach to all medicine. Because it is medicine.

We begin with a consultation to determine
-if I can help you
-if you have the mindset to do the work
- if you have the ability including the budget
- if we are a fit.

If any of these is a no I say no. Or not yet.

The bar for entirely optional procedures is and should be much higher than for medical disease.

If it’s a yes we discuss next steps & your willingness to fulfil your end of the bargain.

I’m simple & I choose to work with people who like simplicity, clarity and directness.

A patient in her late 50s who recently had facial plastic surgery asked me, when she booked it, whether she should tell ...
06/04/2026

A patient in her late 50s who recently had facial plastic surgery asked me, when she booked it, whether she should tell people she’d had a facelift.

My reply to her is what I say to all of you who are my ie my FFA patients which is a full throated yes.

Why? Because shame & stigma due in light. And enough of us need to be brave enough to be the first to say - I sought help to age in a way that aligns with how I see myself; it took time, money and commitment & I’m not afraid to say so.

Because if you’re not brave, how can you expect others to be?

People will judge us regardless. Let them. If your why, and the stigma is important enough for you to help undo, then we must do the uncomfortable things.

This is a hill I will die on.

Also, everything here re facial plastic surgery i do for my FFA patients; it’s why I was among the first to invest in standardised lighting by long before it was a thing.

I still take my own patient photos.

I don’t need to sell because the photos do that for me.

Good work as we age is far more than ad hoc work that we defer to when it’s convenient, after travel and other fun stuff (referring to discretionary spending obviously).

If it’s a priority you’ll find a way. If it’s not, you’ll commit to the alternatives which will never be as good.

I said what I said.
-

06/04/2026

Not a paid ad, but I was gifted these two pairs of compression socks by

Like many HCPs I’m on my feet all day e’ryday at work & in recent years my legs get so sore and tired I can’t sleep at night (I don’t have varicose veins that are visible).

So when they offered me this I said “why not?”

The socks feel like a firm hug (12-15mmHg) & I think my legs are aching less at the end of the day?

The cute prints help, and my kids (education student, nursing student & Maccas employees) have been asking for pairs of their own after trying mine on!

06/04/2026

Not a paid ad, but I was gifted these two pairs of compression socks by

In recent years my legs *ache* at the end of the day. They impact my sleep & my muscles are so so sore.

So when Dr Woof offered to gift me two pairs of these compression socks (12-15mmHg) in exchange for an honest review I said yes.

As you can see, there’s no way for *me* to make socks look sexy… much like healthcare workers.

Like socks, we just… are. Providing support, much like furniture.

All that being said, I do think there’s an improvement, and my kids (Education student, Nursing student & Maccas employees) are all clamouring for some pairs of their own…

06/04/2026

Medical drugs and treatments are not a menu offering at a cafe.

It helps if you have some idea what treatments you’d like but equally social media lies often means people bring unattainable goals to the consult which are not suitable to their specific concern, their skin type or their mindset.

So. I encourage anyone who asks:
- begin with a consultation
- bring your concerns
- if you’ve looked online bring those questions “Will this work for me?” So I know the direction we are heading.

What’s less helpful is asking about a list of treatment options that may not address your concerns +/- be suitable for you.

We only have so much time in our consult together. I want you to maximise it so you walk out with clarity and real options to consider, not a checklist of unsuitable options that I’d not recommend and why.

06/04/2026

This is an unpopular opinion…until things don’t go to plan & my patients debrief with me after the fact.

I’m a pedant & the teaching, at least in OBGYN, was that if we don’t do enough numbers on a particular surgery, we should consider if we should be doing it vs referring to someone else who does.

I’ve taken that training of a decade into my work now. I genuinely believe the expertise comes from volume + reps.

Medicine is moving all the time & what we did 5 years ago may not apply anymore.

If you’re my patient and you ask for something I don’t do that I think would benefit you, I’d refer you to the best person I know for this.

Including for procedural work that I no longer do enough of to give you best possible results, allowing for biology.

Any doctor worth their specialist qualifications will tell you how quickly we can deskill (maternity leave, time off for other reasons…) Yes muscle memory is a thing after thousands of reps and basic principles remain the same.

At the same time, most procedures should be treated as essentially irreversible, not “if we don’t like it we can just XYZ”.

So for me, if you’re my patient and you ask me that’s the advice I’ll give you. Get consults, check a few people out and choose people who only or mainly do the thing you want done for best results.

I don’t do any body work.

I do only my my FFA on the aging and genetically challenged younger face. That’s my jam. It’s what I obsess over in my “nice to have”, elective facial work short of surgery.

Excellence in procedural requires exclusion of other stuff & focus and years of discipline and reps. That doesn’t come from doing something a few times a year.

So yeah. I said what I said.

02/04/2026

I always say “Don’t make decisions in the short term that end up costing you longterm.”

Learning to do nothing when panic, fear and scarcity hits, is a skill. As is committing to longterm goals during failure, setbacks and boredom.

In all of life, not just medical aesthetics.

We have interesting times ahead when it comes to discretionary, fun spending…

01/04/2026

All social media is a form of marketing.

If we work in areas like health we need to be careful because we are bound by a code of conduct that can’t be overlooked for likes and comments.

When we forget these codes, it forces regulatory bodies to try and make us remember - often poorly- of our obligation. Because it risks real harm to patients.

That’s why we have lots of rules around using marketing psychology; around “money back schemes” around “guarantees”.

Medical care and procedures aren’t meant to be gamed for quick sales. They’re not meant to be impulse purchases & just because it worked for your sister doesn’t mean it’ll work for you.

You’re paying for a service not a guaranteed outcome , even if the doctor did their job perfectly & you followed the instructions to a tee.

That’s why we have consent & we do our best to inform you of all reasonable risks, side effects and outcomes. And acknowledge something unknown may occur.

We can’t remove risk completely for you to help you jump.

That’s why a lot of HCPs are boring while the influencers, including medfluencers are fun & zany.

01/04/2026

I say this weekly these days.

Contentment with aging well is an inside job.

By all means, if there are aspects amenable to treatment or even surgery, I’ll be the first to encourage you to consider it if that’s important to you.

But the Dr/clinician who says yes to every request, likely doesn’t know the difference or is looking after themselves first.

I work in aesthetics so by default I work with (mostly) women who want to age proactively & are looking for a longterm relationship & plan to this end.

Unfortunately it also attracts people who’ve fallen prey to social media, influencers and marketing; all the very antithesis of good medical care.

We buy into it because of the fear of aging when aging is unavoidable.

So if we work together on your face, your own I have strict rules inclg screening for 🚩 & saying no if I don’t think we’re a fit.

This isn’t retail and I won’t participate in contributing to your harm, psychological or otherwise.

And yes, I’m still mulling facial plastic surgery but from a healthier place.

01/04/2026

This reel brought tears to my eyes.

Growing up ethnic was its own special hell; especially if you’re female, or darker skinned. Or hairy.

This plays out in the strangest ways as adults, in life, to this day.

It brings some of you to see someone like me based on hot emotions stirred by past memories, not actual decisions.

The longer I work in aesthetics the more I want to safeguard you and me. Especially if your reasons are based in fear, shame and even unachievable goals.

There is often so much underneath the want that has never been explored, some of it can and does cause real harm.

So when I say no, it’s not to harm, it’s usually to protect us both.

Credit .here

31/03/2026

I love that I’ve work outside of medical aesthetics & my FFA (much as I love it) to keep me grounded.

If all we are exposed to are one type of content, it’s easy to focus on that to the detriment of everything else in life including realistic ways to age, which is not the same as forever 25, or 35.

So just as I encourage my patients to find one clinic & dr/clinician with their faces longterm (needn’t be me if we don’t vibe), it helps me to remind myself when I’m doing other types of medical care that there’s so much more to life than chasing unattainable outward beauty.

And that it’s a very fine line between wanting to look our best at every age & stage, and being afraid of ageing, looking our age or wanting to look forever 18/25/35.

Seems unreal coming from a doctor who embraces medical aesthetics but I stand by every word.

Medical aesthetics done well, should bring you joy and let you focus on the rest of your life between maintenance appointments. It’s not meant to push towards unattainable goals & more anxiety or distress.

31/03/2026

I posted earlier about informed consent & how I suspect, most of us don’t *really* have any way to truly know what our patients understand of the process.

Until something unexpected (minor or not) occurs.

Then. We find out who we are actually dealing with.

It’s a problem in a way that doesn’t exist when there’s illness; cancer; bad things. We take risks because we want bad things to be gone.

With entirely optional stuff? I’m not sure that we really understand. Or want to think about things not going to plan.

Until they don’t… why am I thinking about it? Because I’m contemplating surgery & the risks; downtime even if all goes to plan & planning my next steps if things go wrong because I’m wired like that.

And I’m realising most people aren’t wired like that.

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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