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.

20/11/2025

Nearly 27% of medical complaints cases are the result of communication failures between doctors and patients.

I’ve had my share of “I could’ve done that better.” moments in 2025 when I’ve upset patients without intending to.

Equally I’ve seen patients who are angry and upset at other HCPs for what they saw as substandard care when it possibly was not.

Whether for , or another issue, I tend to:
- gather as much information as I can (clinics can be fairly disinterested I’ve found)
- encourage the patient to return to their original Dr/clinic first even if only to understand if they crossed wires
- gather any relevant information for the next doctor eg drugs; incomplete cancer excision drawings to help themselves
- allow for the possibility that when we feel attacked, shamed, judged or panicked, the brain STOPS LISTENING.

It’s not a good time to make permanent decisions that may not serve us.

Continuity of care matters.

And the relationship between you and your doctor is a two way street. We rely on you telling us when we mess up so we can do better, much as we hope we can expect you to hold up your end of the bargain.

Love this article featuring because she speaks the truth as far as her criteria for finding someone good goes. - medica...
19/11/2025

Love this article featuring because she speaks the truth as far as her criteria for finding someone good goes.

- medical background
- serious specialist training
- serious hands on experience
- aesthetic eye
- kindness
- good under pressure
- respected by peers

Set high standards for yourself based in science & every other speciality of medicine. It’s never retail.

The path to ageing proactively begins with a solid, well thought out plan, executed well & then pursued with consistency without losing sight of the big picture.

The boring stuff that works.

I will have allllll the time in the world for you if we encounter an unexpected situation. I PROMISE. At the same time… ...
19/11/2025

I will have allllll the time in the world for you if we encounter an unexpected situation. I PROMISE.

At the same time… I do not offer concierge services. Especially for non urgent issues.

In 2025 one of my biggest challenges was the expectation that I’m available outside of appointments, even days to weeks later or on social media DM for non urgent matters.

I upset people when I clarified that this wasn’t ok.

It was my fault.

I’m approachable, friendly.
I genuinely care. It’s not an act.

At the same time… this does not mean that I do not have an obligation to myself, my family & to my patients to be at my best.

Which means I cannot be on 24/7.

Covid blurred all the boundaries especially around Telehealth.

The vast majority of medical consultations are still not suitable for telemedicine especially if they need touch, examination and more than two people talking.

So going into 2026 I’m practising my spiel enthusiastically.

19/11/2025

I read an article this am that said upto 60% of doctors are burntout. That we want to care but administrative burden & the expectation to act like machines means we risk losing the very essence of why we went into medicine- empathy.

I’ve posted in the past about angry, hostile patients because I said no- to a script, a document filled out a certain way; a drug.

I’ve been threatened & called names, and mocked.

Covid changed the way we practice medicine and see our doctors.

I think people seem to forget that we are human, have lives outside of our jobs and need downtime to be attentive when we are in front of you.

I also think some people treat us like vending machines, or as a colleague says, “drug dealers”.

And when we, with all the years of assessing, diagnosing and training still succumb to pressure to prescribe a drug we know isn’t in the patient’s best interest- for fear of a bad review, a complaint or worse- what hope do our colleagues who want to prescribe have?

These are some of the questions I ponder when I hear yet again from a patient about how “GPs suck” before I remind them that I too, am a specialist GP.

19/11/2025

All drugs:
- have a range for safe use
- as doctors we start you on a dose based on what we think you need to get your symptoms under control fastest, with the least amount of side effects and risk.
- if it’s for a temporary issue eg an infection it’s for the shortest period of time possible.
- if for chronic conditions including many it’s often for long periods of time.

The dose we arrive at:
- is based on trial and error & clinical judgement
- based on results we can measure
- based on side effects, if any
- based on whether you’re using it as intended

None of this is a “simple” decision. But it can seem that way to you.

As we head into summer two of the commonest issues I’m fielding:
- should I stop my to avoid sunburn? (No get better with your sun protection)
- should I use my retinoid only 2-3 times a week? (No the goal is to use it daily for best results)
- can we go up in dose so I get faster results? (You may not tolerate it, may risk sunburn & may risk more side effects so that you are unable to use it daily)

As I also say : caring for your skin is a longterm commitment so what’s the rush? The (lower) dose you can tolerate daily is better than the (higher) dose you can only use 2-3 times a week to avoid side effects.

As always, be guided in consultation with your doctor.

18/11/2025

I’ll say it before anyone else does- yes chatGPT, Claude and similar are accessible all the time.

Yes they can sound really caring.

Yes doctors on the other hand, are hard to see; expensive, and oftentimes you may walk out with a “no” to what you thought you wanted.

With the declining Medicare rebate, there are real time and financial pressures both ways to keep business viable while giving you the time you need.

So chatGPT and similar can feel like a great alternative.

I have so many thoughts on this & am grateful to have been invited to present on this Saturday amongst a panel.

Do you use AI? Does your Doctor?

I don’t know where this article was penned but I agree 💯. One of the biggest challenges in 2025 is around - what is yo...
16/11/2025

I don’t know where this article was penned but I agree 💯.

One of the biggest challenges in 2025 is around - what is your reality, often developed over years if not decades, & what’s needed to halt, reverse and improve some of it.

There is no magic cure or fix.

You’ll still look your age, but likely a better version of that age compared to someone who’s done nothing or done things haphazardly.

Equally it disappoints me greatly to say to someone that their best option at this stage, may be surgery. The causes may be multiple:
- they’ve had episodic care as and when they felt the need; went with a friend, or for an occasion. Over time (years) those treatments added up to a final result that is discordant & sometimes, not reversible.
- other times they’ve not had adequate guidance, just someone saying yes who may or may not themselves know nor understand what caring for your face longterm might look like.
- lastly, they’re women who’ve done nothing, out of fear of looking fake, who’ve arrived here and discovered she’s lost who she used to look like. And it matters to her.

In all cases it’s never a quick consult. There are many issues to unpack inclg medical history that may impact results; mental health history that may mean we have a plan in place when anxiety strikes. And more.

And for a handful each year, it’s a no because:
- what you want is surgical
- what you want is out of your budget for the work needed
- what you want is unrealistic
- what you want is going to be difficult if you’re not used to following through on your commitments.

These are all conversations we cover if needed at the initial consultation.

is discretionary care so for me, the bar to say yes is higher, not lower. It’s a form of coaching so you can age in a way that helps you for years to come inclg around common side effects and .

For my patients we cover all this and more.

It all begins with understanding if what you want is possible at all. The longer you leave it, the harder it gets to achieve tremendous results.

I’ve made my peace in after a decade in two main ways: - I rarely do beautification only esp in very young women/peopl...
15/11/2025

I’ve made my peace in after a decade in two main ways:
- I rarely do beautification only esp in very young women/people. To me, the world is hard enough for young people to feed into their insecurities if there’s nothing clinical to correct.
- the vast majority of my patients have actual medical conditions to correct/fix including my patients by the time they make an appointment. Or I say no (come back in a few years) or I say no (your concern needs surgery, I can’t get you results you’ll love).

Medicine is under fire. It used to be associated with trust, with ethics and with care.

All that can seem much harder with a crumbling system, burnout among healthcare workers & in some areas of medicine, very few guardrails to protect patients which can lead to predatory practices.

I sleep better at night knowing I’m not contributing to that while working in this speciality. Because to leave in some ways, is to say I’ve given up on the idea of making this speciality better for all of us.

That’s why my FFA is never preventive. There has to be enough to correct and restore that’s not “surgery only”.

15/11/2025

Prevention is my passion.

Ideally before disease begins- but that’s not when doctors meet most of you.

And most humans aren’t good at changing the habits that got us to where we are now unhappy & uncomfortable because of the effort required to make & then maintain the new habits.

So most of us will not change- at all or enough. And disease will progress.

At the tertiary prevention stage, if it’s severe or complex enough we may refer to a non GP specialist depending on the issue. Eg a dermatologist, a gynaecologist etc

By this stage there’s less likelihood of getting results as though you’d never had anything (or minimally) wrong.

That’s why when influencers preach that we don’t talk about prevention- we do. But most humans won’t change until it’s painful especially if it takes effort vs the promise of supplements.

15/11/2025

So secondary prevention in simple terms - catching early disease; and then halting it, reversing it if possible & helping you avoid it continuing to worsen or come back.

Success is in the establishment of habits that allow this.

15/11/2025

What is ?

As an O&G trainee for a decade & now a specialist GP, I’ve always been into whole person care & into preventing disease by planning longterm BEFORE it occurs.

Sadly a crumbling health system & fragmentation of care means most people no longer have a regular doctor & mostly see healthcare as fires to put out when they occur… or when disease strikes.

Great examples of primary prevention with skin : . A simple 2-3 step routine.

With health in general? Antenatal care. Exercise; not smoking; eating well; minimal alcohol; vaccines; screening tests based on age and work are some common examples.

Prevention is more cost effective than cure; always.

15/11/2025

The million dollar question…

As with the human face, while there are no guarantees- because lifestyle choices impact this a lot- there may be clues.

So we look to these clues to help us plan. And to predict so we are less likely to end up with unexpected results.

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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