Home' Clinical Aesthetics : CA issue 4 Contents COLLABORATION
Dr Irene Kushelew is one of
Australia’s leading practitioners
in the non-surgical arena and
industry educator who runs
clinics in Darwin and Adelaide.
She is also the Vice President
of the Australasian College of
When a patient comes to me
seeking a non-surgical treatment
to, let’s say, improve a sagging
neck and jowling, if I feel they
would benefit more from surgery
I will refer them to one of the network of plastic and cosmetic
surgeons I collaborate with.
I won’t allow a patient to effectively waste their money and be
doomed to disappointment by performing a treatment that will
reap very little real result for them. Yes, I miss out in the short
term but in the longterm I know that patient will likely come
back for other treatments – and possibly refer others - because
they trust my integrity, that I genuinely care for their wellbeing
and that they get the best possible results.
I also work in very close collaboration in Darwin with a skin
clinic located in the same building as my practice.
I have referred many of my patients there over the years to
prepare their skin for my treatments, to accelerate healing after
procedures and to maintain and enhance results.
In turn, this clinic refers many patients to me. To nurture this
relationship, I have made a point of minimising in my practice
any crossover with the treatments they offer. DRKUSHELEW.COM
Dr Joseph Hkiek is a prominent
cosmetic physician and industry
educator, proprietor of Sydney’s All
Saints Skin Clinics in Darlinghurst,
Parramatta and the new deluxe
medispa in Double Bay.
At All Saints we focus on giving
patients the best results available
today relating to their skin and
wellbeing and, from my experience,
it is wit h combining multiple
technologies we can achieve that.
However, at times we refer them to other clinics if we feel a
different technology will give them a much better result.
I work closely with many professionals across the spectrum
of the industry, from fellow cosmetic physicians to cosmetic
and plastic surgeons; from dermal therapists to beauty
therapists, leading makeup artists and hairdressers. Their skills
complement beautifully what we do in our practice.
In turn, we get many patient referrals from other specialists.
We see these relationships in a harmonious way. For
instance, a skin therapist might refer a patient to us for their
laser treatment and we will send the patient back to them for all
other skin treatments that they provide, eg. peels.
Equally we might refer a patient to a plastic surgeon when we
feel that surgery is the best solution.
Cross-referral does not hinder business as long as there’s
an understanding and agreement among professionals about a
program that is focused on giving the patient the best result.
Dr Cath Porter is a leading cosmetic
physician and industry educator,
working with the Total Face Group
clinic in Sydney’s Ultimo. She is also
a spokesperson for the Cosmetic
Physicians College of Australasia.
I work within a full service clinic,
so there is a lot of interaction
among dermal therapists, RNs and
doctors - we all have our own little
However, we do not offer surgical procedures and so when
I believe a patient will benefit from that, I have a cross referral
network of plastic and cosmetic surgeons.
As well, I refer to integrative/wellness GPs to improve patients’
overall nutritional and gut health. An anti-inflammatory-style
diet certainly contributes to healthy skin, which makes our
treatments look better.
Also, patients often will mention other health concerns to me
in passing and I like to think that I can point them in the right
direction to optimise their wellbeing overall.
I believe in an holistic approach to cosmetic enhancement,
and this can mean using multiple modalities and/or cross-
referrals to treat a patient’s concern. Let’s use a saggy neck as
a case in point: I find the energy-based devices such as RF (we
have Pelleve) and ultrasound (Ulthera) are effective for minor
to moderate elasticity changes, and they are a great preventative
measure in a person of good health. Smokers can forget it!
However, treating the neck area is where we often need
to refer to our surgical colleagues, especially where there is
significant loss of elasticity.
When it comes to eye rejuvenation, apart from the non-
surgical modalities I employ, I will often cross -refer to brow
specialists. Brow shape is so important when considering eye
rejuvenation to create maximal beauty.
I believe this holistic approach shows that you are not only
concerned about the medical procedure but giving the patient
the opportunity to maximise their beauty.
It gives them confidence that you are taking their whole
aesthetic appearance into account. And surrounding yourself
with a good cosmetic network can only help business.
CLINICAL AESTHETICS | 9
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