Answers to commonly asked Questions about Reverse Time

Emma: Hi there, I was just wondering if you could tell me, at Reverse Time what it is that you do differently? So if I came to see you, what treatments would you offer – what makes you different to other places if I wanted to be treated? Because so many places now offer Botox, fillers,  so why should I come to you?

Aarti: A really good question, and it’s something that is often really hard to explain, because of the way people sell “treatments”.

All the time I get this thing about “I want this treatment, or that treatment”. Now that is where the difference is. You don’t go to a surgeon or a doctor, and say “I want an appendicectomy” you go there saying “my tummy hurts” and then the surgeon asks you “where does it hurt, and how long has it been hurting” and then you point to the right side of your tummy, and then that’s called sign elicitation. The surgeon checks you up, and finds out that there’s a high chance that you’ve got inflammation of the appendix, and then plan to go for the appendicectomy.

But what’s happened in this whole industry is upside-down. For most people, just because they’ve got hold of the treatment first, that is then everything they know. Like, when you got only one hammer, and everything around you looks like a nail.  So people go for the treatment, and when there’s something that does it better.

Like they say “oh I want some Sculptra” But then hey – do you really have a deficiency of collagen?  So because that’s what it’s going to trigger for you (collagen production). “Oh but I’ve got lines on my face, I want Sculptra!?” No it’s not going to work for fine lines.

The concept of the Reverse Time way of treatment is treat the person’s problem or condition. So treating you, so for example – if you come into my clinic and say “oh I want to have all these things done in a mini facelift done” I would say first of all like “You look absolutely stunning and you really don’t need it (a facelift)” that’s the first thing.

But then you point out certain patchy areas next, when you take your makeup off and then you show me all that pigmentation, then I examine you and ask you “So what are these little scars?” and you say “oh that’s my acne”; “mmm, so wha, are you still having acne; and in your 30s?” and you said “yeah” and I go “oh so you’ve got acne. The acne goes, and it leaves little dark patches. And that’s what we call post inflammatory pigmentation.

So what we will be treating is the problem that is causing the acne, and that will protect your skin from getting worse, and that will make sure that you take care of the skin. And we also remove the colouring that’s happened.

So we do three things: 1 – diagnose and then 2 – protect from further damage happening, and 3 – treat what’s happened so far.

So everything any medical aesthetic clinic should do, is basically to promote the health of your skin; protect what’s already there, maintain it and make sure you don’t damage it further.

There’s loads of education involved, so that’s why I get people to come in for a consultation.

Aarti: People have asked me – what is the big deal about regulation. I will discuss this in this video, because it is quite important. This is why there is a difference between whether you go and have it done in a salon by a beauty therapist, who is trained to  do these treatments.

You don’t know the difference until things go wrong, because when something happens, and the person who treated you is regulated by somebody higher up; so if it’s a nurse was regulated by the nursing register, or a midwife, or a doctor was regulated by the General Medical Council; the regulators will totally come at us with pitchforks and torches if we harm a patient.

Our pin numbers are very important to us, so we will do anything to protect our patient.

Believe me there are no clients in these treatments. When a doctor sees a patient, the person is a patient!  I would treat them as a patient. I am a GP, and I would not offer private services to a patient who is an NHS patient under my care.

Now that is part of the GMC ethics. There are new regulations for cosmetic treatment from the GMC; it is regulated believe it or not.

Tthere are so many things we have to do, like any other medical treatment and we have to remain on that register. And that is the standard of care you get from a doctor, who’s trained to do this, and who is actually proven that they are doing this to a high standard over a period of time.  Not someone who has taken two days of training! The GMC discourages doctors from carrying out independent treatment unless they have logged ten accounts of that treatment, supervised by someone who’s experienced in it. This is just the same as doing a hernia operation. We used to get it signed off during hospital training.

Similarly, we have to get these procedures signed off now before we do them. So none of your 48-hour trainings and doing it.

So having said that, then there’s medical insurance. Insurers insist that we act within our own competence,  which means don’t do anything that the insurer hasn’t checked out, and confirmed that you can do it. However, insurance cannot replace regulation, simply because insurance kicks in only after the fact. Regulation on the other hand, aims to foster a mindset of keeping patients safe from harm.  So no testing things on patients. No trying out something saying “oh the patient wants it, le