Regenerative medicine is one of the most used phrases in aesthetics right now, but the meaning often gets lost somewhere between marketing, social media and genuine clinical science. We sit down with Dr Philippe Hamida-Pisal, Medical Director at PHP Health First and PHP Aesthetic in London, to separate what’s real from what’s wishful thinking and to talk about how longevity medicine is reshaping the day-to-day decisions inside a modern clinic.
We start with the fundamentals of a holistic, 360 degree approach to ageing: why “looking younger” is rarely just about wrinkles, and why inflammation, stress, nutrition, sleep and exercise show up in the treatment room even when a patient books something simple like Botox or fillers. Philippe explains why the first consultation matters so much, how patient trust is built, and why results often improve when patients understand the cause of their condition rather than chasing quick fixes.
From there we get specific about regenerative aesthetics, including exosomes, polynucleotides and stem cell related concepts, plus the uncomfortable truth that the evidence base and standardisation are still catching up with demand. We also dig into the practical ethics of injectables in the UK: sourcing, traceability, cold chain, legality, and why transparency protects both patients and practitioners. Along the way we discuss “healthy ageing” versus “anti-ageing”, biological versus chronological age, and where the next five to ten years of aesthetic medicine is heading as the trend shifts back towards natural results and skin quality.
If you care about regenerative medicine, longevity, aesthetic medicine, and running an ethical private clinic, subscribe, share the episode with a colleague, and leave a review that tells us what topic you want us to tackle next.
Guest Biography
Dr Philippe Hamida-Pisal is the Owner and Director of PHP Health First and PHP Aesthetic, a Harley Street-based practice specialising in aesthetic medicine, dermatology, wellness, and private medical care.
With clinics across multiple countries, Philippe has developed a distinctive 360-degree approach to patient care that integrates aesthetics, lifestyle medicine, nutrition, and longevity principles. His philosophy centres on addressing the root causes of aging rather than simply treating visible symptoms.
A regular international speaker and trainer, Philippe recently presented on the topic "Regenerative Medicine: Myth or Reality?", exploring the opportunities and limitations of regenerative therapies in modern aesthetic practice.
- Website: https://www.phpaesthetic.com
- LinkedIn: https://www.linkedin.com/in/philippe-hamida-pisal-58047022/
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Dr Andrew Greenland (00:00):
Hello and welcome to Voices in Health and
Women's.
This is the public month wherewe speak with healthcare
leaders, practice owners, andinnovators about the realities
of modern healthcare.
On this show we explore boththe clinical and business side
of healthcare, covering patientcare, practice growth, industry
trends, leadership, and thechallenges facing independent
healthcare providers today.
Today's episode tackles a topicof generating significant
(00:22):
interest across healthcare,longevity, and aesthetic
medicine.
Regenerative medicine.
Is it genuine innovation,industry hype, or how the
future, or the future of how weapproach aging?
Joining me today is Dr.
Philippe Hamida-Pisal, aminimum director of PHP Health
First and PHP Aesthetic, basedon London's Humble Street.
Philippe has built a practicethat combines aesthetic
(00:43):
medicine, dermatology, wellness,and private medical care with a
philosophy centred onaddressing the root causes of
aging rather than simplytreating visible symptoms.
His approach integrateslifestyle, nutrition, stress
management, and preventablehealth alongside traditional
aesthetic treatments, giving hima unique perspective on the
growing connection betweenaesthetics, longevity, and
regenerative medicine.
(01:04):
So, with that, Philip, I'd loveto welcome you to the show and
thank you so much for joining metoday.
Dr Philippe Hamida-Pisal (01:09):
Thank you, Andrew, for the nice uh
introduction.
So, and thank you for theinvitation because the longevity
is part of um it's been part inmy in my practice for quite a
while.
And uh with uh your uh podcast,I think it will be very
interesting to develop uh morein depth about how we can
(01:31):
implement the longevity in ourpractice on a daily basis,
really.
Dr Andrew Greenland (01:35):
For sure, and I'm really looking forward
to this conversation.
But before we dive intoregenerative medicine, would you
mind just telling us a littlebit about yourself, your journey
into medicine, and what led youto create PHP Health first?
Dr Philippe Hamida-Pisal (01:47):
So, what uh so I'm a French uh
doctor, obviously.
I'm based now in in London, butmy major clinic is in London,
but I have uh two other clinicsabroad.
So I set up the PHP.
Uh PHP is my initials, but alsois uh uh private healthcare
providers, so uh professionalhealthcare providers, apologize,
(02:11):
but it was about you knowdermatology first, and then we
we we change, not change 100%,but we expand to the aesthetic
side, not because we wanted todo it, it's because our patient
asks us to provide someaesthetic treatment.
Obviously, we do we provideother treatments such as uh
(02:33):
nutrition, wellness.
In fact, it's more the conceptof 360 degrees, it's a we do
more on a holistic approach.
It's not only you know lookinggood from outside, but also it's
looking good from inside.
And this is for us, it's ourphilosophy, is when we call the
(02:54):
French touch, but the Frenchtouch is not only the way we
look, it's also feeling goodinside because we know that
there is impact uh from insideto outside, and vice versa.
So our approach is reallyholistic, is a full 360-degree
approach in our clinics.
Dr Andrew Greenland (03:12):
Amazing.
And you know, on that point,one thing that really stood out
um from our previousconversation was your belief
that aesthetic medicineshouldn't simply focus on the
visible signs of aging.
And you talked about addressinginflammation and stress and
nutrition and lifestyle andother underlying factors.
So, how do you describe therelationship between aesthetics,
wellness, and longevity?
Dr Philippe Hamida-Pisal (03:32):
So this is very interesting
questions because when patientscome for uh aesthetic treatment,
they ask, for example, um, oh,I want you to get rid of my
wrinkles, but I want to lookyounger.
So, in fact, the two questions,aesthetic and longevity, they
ask at the same time.
So this is where there is, itcan be separated, but they can
(03:57):
be a bit combined.
It's like if we take, uh takeanother example.
If we took, if we take exactlytwo exactly twins, uh sisters or
brothers, we put in differentsettings, one on the stress and
the other one uh with the normalsituations.
If they have the same skinissue, example, acne, we will
(04:22):
notice that one treatment isgoing to work on one, but the
same treatment is not going towork on the other one.
So while we do uh dermatologyclinic, our questions is why is
it not working?
What is not working?
What why why this cream uh uhwhat cream you use, what what
(04:44):
are the uh your your routine andso on?
But our question is not why thetreatment is not working.
So really we need to lookdeeper why on two patients why
one treatment is working reallywell, but the identical
treatment for the identicalcondition is not working at all.
(05:04):
So it's allow us to push deeperand not just to change a
treatment.
Oh, this one is not working,that one will work because we
know that if we don't uh searchdeeper, sorry, I reap myself, so
the treatment is not going towork.
So we need to to deep uh todeep uh more information to
(05:24):
understand what is theunderlying condition for the
medication or the topical creamnot to work.
Dr Andrew Greenland (05:33):
Got it.
So when somebody comes inrequesting um Botox or fillers,
how often do you find the realissue involves broader health
factors from your yourexperience?
Dr Philippe Hamida-Pisal (05:44):
So this is uh this is an uh this is
so you we need to uh to realizethat uh with experience we're
getting more uh it's easier totalk about everything, first of
all.
When you have returningpatients, it's as well uh
easier.
Uh so when you have a returningpatient, and they said to you,
(06:05):
they say to me, Oh, you know, mybotox or my feeler doesn't uh
last as long.
So it's where we need to startto ask the question.
You know, the the consultation,the most important.
Uh I remember when I was in thehospital in France, my mentor
used to say to me, Philippe, thefirst uh the first consultation
(06:26):
is the most important.
If you if your consultation isnot doesn't last one hour, your
patient is not going to listento you.
So you have to be very focusedon the first consultation.
And the first consultation,it's all about lifestyle as
well, because you cannot uh justto talk about oh, I've got some
wrinkles, or I've got some deeplines, or I've got XYZ.
(06:48):
We need to ask the lifestyle,the food habit, do they
exercise, uh, any history.
Uh, there is a the the themedical questionnaire needs to
be very uh wide, very deep, andnot just, you know what, um you
have wrinkles, I'm going totarget your wrinkles.
We need to push it for them torealize that yes, there is so
(07:11):
much we can do, but we do 10% byinjecting, for example, butium
toxin, but 90% is from thepatient's side.
So are we correct?
But it's a quick fix, in fact.
The rest is come from the hand.
Dr Andrew Greenland (07:28):
I don't know how long you've had the
interest in wellness andlongevity, but was there a
particular point when you kindof really latched onto this and
realized the leverage that youcould have by incorporating this
into your practice?
Was there some like a patientepisode or particular thing that
triggered you?
Because I guess you may nothave been doing this all through
your medical career.
I'm just interested at whatpoint this became you know
really, really pertinent to you.
Dr Philippe Hamida-Pisal (07:50):
So these uh these longevity uh it's
really I'm going to to be it'smore uh recent.
When I say recent, it's a yearor two years.
Since I had uh two models, Ideal a lot with uh models, and
when my treatment treatmentroutine did work really well on
(08:10):
one uh models, and the sametreatment for the same condition
did not work at all.
So it's starting to query okay,what else could I offer to the
models which the treatment didnot work to help her to
understand the condition?
(08:32):
The other thing as well, theother point, it's I had a very
good friend who suffered frompsoriasis, and one day uh the
the treatment, no treatment wereworking, and so on.
And one day I sat with her, Isat for two hours, and I
explained to her the etiology ofthe psoriasis.
And I told her if sheunderstands the etiology of the
(08:54):
psoriasis, is already 50% of thetreatment.
Because if you don't have anunderstanding, so you just have
to believe, and you know, weknow that uh we're losing
patience, so patience uh assuch.
So we want to they want atreatment and but they want an
effect straight away.
It doesn't work like that.
It has to be, first of all, uhtrust relation with the
(09:17):
practitioner, but also uhunderstanding of the step by
step because we're never goingto offer, you know, it has to be
step by step to see if thepatient follows, because if the
patient doesn't follow, there'sno point.
I'm wasting my time, they'rewasting their time, so there is
no point to go further.
Dr Andrew Greenland (09:37):
Thank you.
So do you mind just uh tellingus a little bit about your
practice as it stands, PHP, andwhat does a typical I guess
there's no such thing astypical, but what does a typical
patient journey look like andhow might that differ from a
conventional aesthetic practice?
Dr Philippe Hamida-Pisal (09:54):
So um, first of all, we have French
practice, and now we have FrenchKorean practice because I have
a Korean doctor um uh joiningus, so it's all about the again
as well the holistic approach.
So what um I wouldn't saydifferentiate uh make a
difference because at the end ofthe day we provide the same
(10:17):
service, we have the same typeof patient coming to a clinic,
but we allow, we uh we're ablenot allow, we're able to go
deeper in our uh consultationsto push further.
This is because we establishfor a long time, so we're not
worry about asking some it mightbe some strange questions, but
(10:43):
some normal questions that we doin the NHS, you know, do you
smoke, do you uh do youexercise, is some questions that
in aesthetic practice clinicssometimes we don't we forget to
ask.
But it's it's very important ifwe want to have a treatment to
last longer, it's very importantto understand what they're
(11:04):
doing because if we explain tothem that what we're doing,
instead of having an example, uhBotox every three months, if
they listen to them, if theygive us all the information, uh
Botox every three uh three timesa year, sorry.
So they might need the Botoxonly twice a year, so it's going
(11:25):
to be a saving.
The Botox might uh bothiumtoxin might last longer.
The same for the filler, thesame for exosome.
We're going to have a betterresponse with exosome, stem
cell, and uh polynucleotide.
We know that is a trend rightnow.
So it's how we approach thepatient to let them know that
Botox fillers are quick fix, butwe can make we can we can make
(11:50):
the treatment last longer aslong as we can push the uh
consultation further and to tryto help them to understand what
they could do to uh to get abetter outcome, really.
Dr Andrew Greenland (12:07):
Thank you.
And has patient awarenesschanged over the last few years
in respect of this more holisticapproach?
Or are you somebody that'shaving to kind of you know
educate them on the value of it?
Dr Philippe Hamida-Pisal (12:18):
So definitely the patient awareness
it's uh it's it's higher nowbecause of the internet, they're
all linked on the internet,they start to look at it, but
indirectly, like I was saying toyou before, they without
realizing, they ask us two uhtwo in one questions.
I I go back to a question I didmention previously.
(12:40):
Can you deal with my ring coal?
But I want to look younger.
And in fact, you know, uh whenwe're using the the word
anti-aging is a misleadingbecause we cannot stop aging and
we should not use theanti-aging.
I use anti-aging, but we shouldwe should not use because we
can't stop aging process, but wecan help uh uh the most
(13:04):
appropriate wording should bethe pro-aging or age gracefully,
but not anti-aging because it'simpossible.
So, to answer to your question,yes, patients are more aware,
some definitely because they dothe research, but some they're
aware, but they ask withoutrealizing.
Dr Andrew Greenland (13:25):
Thank you.
So I know you um recently spokeat an international congress on
the topic of regenerativemedicine, myth or reality.
So let's start with the obviousquestion.
What exactly is regenerativemedicine?
Dr Philippe Hamida-Pisal (13:37):
This okay.
Well, to understand theregenerative uh medicines or
regenerative aesthetic, we needto look at the definitions.
So it's what we store an organwhich is deficient, okay?
So this is a properregenerative.
Uh, we have to be very carefulbecause the the the line between
(14:01):
medication and aesthetic ormedical device is very narrow.
So what we can say, what wecan't say.
So when we uh we announce thatuh the regenerative aesthetic
medicines will restore an organ,we restore the skin useful,
they restore XYZ, it's a bit ofuh again misleading because it's
(14:25):
not we're not talking aboutmedications, it goes towards,
but is not is got hasn't got astraight action as a
regenerative.
It's it is the reality.
So, yes, I did I was uh aspeaker on that congress, and it
was about is it a myth or is itis it a hyper myth, really?
Dr Andrew Greenland (14:47):
So it's obviously become a very popular
term.
It sounds like it might bebeing overused, it sounds like
there's misconceptions from boththe practitioner side and the
patient side, from the patientside of things.
Um, is that your take on it?
Dr Philippe Hamida- (15:01):
Definitely, definitely.
The problem is okay, in fact,we don't have influence on
patients.
Who's got more influence isinfluencers.
Social media is bombarding withinformation.
So if uh a celebrity ismentioning that they had you
know XYZ treatment, everyonewants to have the treatment
(15:24):
because they think that's uhthat, but if we tell them, oh
you know, I would wait a littlebit to have exosome, uh take an
example, because we don't haveenough data and we don't have
enough information, and the thestudy did not really
standardize.
So then they said, Oh, youknow, he's he doesn't know what
(15:45):
he's talking about.
So we have to provide thetreatment, but with honesty,
because we don't have enough uhinformation about uh is the the
the outcome is going to becopied, copy and paste on the
all the patients, which we don'thave right now.
Polynucleotide exosomes are toonew, are too new treatment.
(16:07):
We don't have enoughinformation like butium toxin,
which uh it's uh for more than40-50 years.
So those when there is a newtreatment, we have to we are
working on eggs becausesometimes you know we can
realize there is some sideeffect or you know, uh adverse
event that initially they werenot announced, and more we treat
(16:29):
patients, more there is someadverse event.
Dr Andrew Greenland (16:33):
So, what aspects of uh regenerative
medicine genuinely excite you assomebody in the field?
What really excites you?
Dr Philippe Hamida-Pisal (16:41):
So, regarding regenerative uh
medicines, uh regenerative orlongevity medicines, it's more
about you know um the commit thethe investment to the patient
to uh to help to reach a goodresult.
I explain.
(17:02):
Um it's for them, it's to um touh to realize that the
treatment that we provide is nota one-off treatment.
I did mention to you before,it's do we have this two-way uh
collaboration patientpractitioner.
(17:24):
What we do represents 10%, 90%is going to be done by the
patient.
And what uh uh what is for methe excitement is not really an
excitement, but enjoyment, iswhen the patient comes back and
they said, you know, I followyour recommendation, and it's
(17:44):
true.
I feel my skin far morehydrated, I feel my skin much
glowy, I feel my skin moreradiant, and in fact, everyone
notice.
And in fact, we know that askin which is in a better
condition, more hydrated, and soon, any treatment we're going
to provide, they're going tolast longer.
Studies show it.
(18:05):
So it's when the patient comesback and said, You were right,
doctor.
Dr Andrew Greenland (18:11):
And on the other side of the coin, which
aspects of regenerative medicineare concerning to you?
And where should practitionersbe cautious about it?
Dr Philippe Hamida-Pisal (18:22):
So the problem is uh regarding the
regenerative medicines, it'sknowing the source, very
important, because we have toknow the source of what we are
injecting into a patient's face.
This is the most important.
You're talking aboutregenerative medicines,
regenerative medicines we aretalking about exosome, and you
(18:44):
know that exosome, there ismultiple you know, exosomes, the
source is human exosome, and weknow in the UK, France, it's
illegal to use those uh humanexosomes.
Animal exosome is illegal, justsynthetic.
So very important to know thesource, to get all the
information about the stabilityof the products because we need
(19:06):
to to to the company providingthe products, they need to be
honest about where the productscome from, the source, the
traceability, the cold chain.
You know, uh uh uh uh stemcell, there is a cold chain
somewhere.
So, why do they not respect thecold chain?
So it gives us a bit of redflag.
(19:28):
Should we uh trust them or nottrust them?
Dr Andrew Greenland (19:32):
Thank you.
Um, you mentioned earlier onthat the uh anti-aging is not
particularly helpful.
So, what does healthy agingactually mean if if that's a
better turn of phrase?
Dr Philippe Hamida-Pis (19:43):
Healthy, healthy aging, healthy aging,
sorry, it's someone who'slooking really good for the age,
first of all, and also theyaccept they embrace the age, uh,
and they have a properlifestyle, really.
Uh proper lifestyle, so they'renot they don't want to do too
(20:06):
many treatments, and they'rehappy the way they look, and
they're not always chasing upthe useful look, useful look,
which doesn't represent thereality really.
Dr Andrew Greenland (20:18):
And do you talk often to your patients
about biological age versuschronological age, and what's
your take on that kind ofcomparison?
Dr Philippe Hamida-Pisal (20:26):
Yes, well, actually, one of my
sister-in-law, she's uh 57, andshe's uh the the biological age
is 37, so she was really reallyuh impressed uh by the um by the
by the the result.
She gained 20 years, and uh umin fact, so is it going to is it
(20:51):
really really reflecting on thereality?
But there is a psychologicalpart who make the person very uh
very uh pleased, so positivemind, uh um uh exceptional, you
know, um uh really positiveabout this, and it's sort of you
(21:16):
know, I carry on like thatbecause I've got uh um a
positive effect on what I'mdoing is doing really well.
It does work, so I should carryon doing it, doing it because
it seems to be very effective.
Dr Andrew Greenland (21:30):
Thank you.
So I'm guessing that these kindof conversations that you have
with patients obviously requirea lot of trust.
Patients come in looking for atreatment, but on end up having
a much broader discussion abouthealth and aging.
What tends to be thebreakthrough moment when
patients begin thinkingdifferently about all of this?
Dr Philippe Hamida-Pisal (21:47):
If they're in a rush, the financial
position as well.
Financial position is a bit ofuh uh bit uh is not a no no.
I think you know when we'restarting to promote uh skin
health in uh in a clinic, we'restarting to s uh to plant the
(22:09):
seeds.
So every time someone wascoming for bottom toxin or
filler, we always used to Ialways used to say to them, you
know, is a quick fix.
Maybe think about investinginto your skin a different way.
So you plant the seed and itstarts to grow.
And when they come back andsaid, Oh Philippe, you didn't
(22:30):
mention something about ummesotherapy or something else.
Can we talk about the deeper?
So you know it's it's no point.
Someone, you know, when apatient comes for a proper idea
about the treatment, so it'svery difficult, but you just
plant the seed and inform them.
And when they come back, theymake their mind, they're
(22:51):
starting to look at it at thetreatment, and they ask you, oh,
can you send me on WhatsApp orwhat it's about?
And they start to read, tolook, and it's interesting.
They said, Oh, it's really whatI want, actually.
And then they come when theycome back, they said, Oh, can
you can you give me some moreinformation?
How does it work?
What is the cost, obviously?
Uh, how can you help me?
So, this is how it works: planting the seeds. (23:11):
undefined
Dr Andrew Greenland (23:17):
Thank you.
Now, during our earlierconversation, you shared a
really valuable piece of advicefrom one of your mentors.
One foot in ethics, one foot inbusiness.
I think that was a reallyincredibly powerful um phrase.
What does that mean to you?
Could you just talk to ourlisteners about what that means
to you and how you embody that?
Dr Philippe Hamida-Pisal (23:35):
At the end of the day, we uh we are a
clinic, okay?
We are a clinic, uh, we havesome overhead, I have some
stuff, I have to pay them.
So I have some charges, I have,you know, we're a business,
okay?
We're a clinic, we're we're aprivate business, we're not NHS.
So we have some overhead.
So we but we have we need tohave an ethic because this is
(23:57):
medicines, so we shouldn't uh uhuh this is uh a medical act
we're doing, first of all.
But uh we uh so it's why wehave a bit of ethic.
I did mention to you aboutexosome, it's a very good
example.
We need to know where theproducts are coming from.
(24:19):
For us, the sources is veryimportant, and you know, uh
being CQC uh accredited, we needto keep a source of where we're
getting our products from.
So it's very important becausewe have to be honest towards our
patients.
I cannot uh I cannot uh injectan exosome, a human exosome, and
(24:39):
telling my patient, you knowwhat, this is uh this is um uh
synthetic exosome is a trust.
So business and ethic.
And every time I open a newboxes, I open in front of my
patients, it's where the ethicis.
At least they know that it'sfresh, it's new, hasn't been
(25:02):
used.
It was in the fridge, so I'veopened everything is done
accordingly, so nothing can comeback to me and say, Oh, yes,
but I didn't see Dr.
Philip opening in front of me,so maybe some it was uh
out-of-date products, so and werecord the batch number, the
expired, everything is ethical.
It's a medic, it's a medicalact.
Dr Andrew Greenland (25:24):
Got it, and frivolo a little bit further
onto the the business side ofthings because you just brought
that one up.
Um, and you are running abusiness at the end of the day.
What from a businessperspective is working
particularly well for you at themoment?
Um what is uh doing from thepoint of view of your clinic
(25:45):
being a business, what are youparticularly proud of?
What's working really well froma business angle?
Dr Philippe Hamida-Pisal (25:50):
I'm not going to answer to your
question directly.
It's I'm going to say to you toyou, I love my job.
And because I love my job, Itransmit this love to my
patient, and they can feel thatbecause I love it, uh, they
appreciate the the fact that I'mnot here just to make profit,
(26:12):
I'm here to help them.
So I didn't answer to thequestion directly, but
indirectly is an answer.
Dr Andrew Greenland (26:20):
Okay, no, thank you.
And on the other side of thecoin, what are some of the
challenges and the bottlenecksof running the business that you
mentioned?
And you know, patient-facingwork is not always
straightforward, and then themere act of running a business,
a clinic, having staff allpresent challenges in their own
way.
What are the things which aremost impactful to you?
Dr Philippe Hamida-Pisal (26:38):
Um the legislative legislation in the
UK, the this legislation is abit of um um is a shame because
I remember many years ago UK wasthe reference who could not
could any uh do any static uhtreatment.
(26:59):
Howadays is a bit, but it seemsthat the legislation is
changing.
So but today is a bit ofanybody can do everything.
The regulation is a bit of a uha bit of a nightmare.
So really it's um it's uh thisis a challenge we've we're
facing.
The challenge because I'm I'mtalking about this because uh
(27:21):
when we have uh we have to dealwith the treatment who's been
done by a non-uh medicalqualified practitioner, we have
really we have a duty to treat,but you know as much as me, is
the last one to touch a patientwho is responsible.
So where do we where do we fit?
(27:43):
We treat, we correct, sorry, orwe don't.
So should we we refer?
So it's a very you know, thechallenges are more about uh
this is not about uh uhcompetition because the
competition is always healthy,uh but unlawful competition
(28:05):
about beautician, yes, is uh isnot great in this country.
Uh and also regarding um thatwhat I didn't mention before.
Dr Andrew Greenland (28:16):
And I guess as a business owner, you wear
lots of hats, most businessowners do.
What are the time drains foryou as a business owner?
What are the things that pullyou away from the things that
you love doing more than others?
Dr Philippe Hamida-Pisal (28:35):
I like to I like to train, to teach,
sorry.
I like to train and teach.
This is my my um my favorite.
Uh so I like to share myknowledge.
When I go abroad, uh I go todifferent countries to to train
doctors in different aesthetictreatments.
So for me is a passion.
Uh so obviously when I'm in thewhen I'm abroad teaching, I
(28:58):
miss my patient because I'vebeen knowing some patients for
17 years.
So it's a bit of you know, uhsort of family.
Um uh what I miss, uh my familyand my friends, they're always
around.
I go quite often to France.
Uh it's a bit of um, I don'tmiss anything because um this is
(29:22):
for me going to work is not allI have to go to work, it's more
about a uh, I said to you, apassion, uh a passion.
Um, but uh yes, we would liketo have more to to uh to more
time to sometimes to speak topatient and so on, but there is
a bit sometimes a bit of um abacklog, and uh we're always
(29:45):
behind and so on.
Sometimes we're behind.
So it's a the time is it's notelastic.
This is a the problem.
But otherwise, no.
I don't there is no regret inuh in my in my life, work and uh
and um hobbies.
I don't miss anything really.
Dr Andrew Greenland (30:06):
Thank you.
So looking ahead to the nextfive or ten years, where do you
think aesthetic medicine isheading from what you can see in
the space?
Dr Philippe Hamida-Pisal (30:17):
So in the next five, ten years, I
think even five years really isall about going to be uh
regenerative medicines becauseit's all going to be just
filling the line, it's justgoing to be more about
understanding the aging processand how we can uh uh reduce or
diminish the aging sign.
(30:39):
So this is, I think the future,amendment, that is going to be
the future, is going to be theclinic who catches the train at
the right times and not clinicsaid, you know what, I'm just
going to do Botox fillers, I'mhappy.
Well, you're happy today, butuh next year is going to be a
different story.
So regenerative medicines,definitely.
There is you knew a few yearsago we always we always used to,
(31:04):
everyone used to likeeverywhere, in even in Europe,
Middle East, uh, South America,big, big lips, big cheek, uh,
big, big, big everywhere.
And the the trend is going backto uh backwards.
So now is everything isnatural.
Well, today the trend, well,today the request is not a
trend, the today the request isall about skin quality, and I
(31:26):
think uh patients are more awareabout the importance of the
skin.
Listen, what is the point togive big lips or big cheek to
someone who's got a skin full ofacne?
There is no logical in that.
There is no logical in that.
So obviously, there is a sortof body dysmophia somewhere
because you try to fill to fillthe lines, to stop, you know, to
(31:49):
fill the gap, because you seeyour face with uh acne, which
doesn't please you, so in a wayyou replace by putting some more
volume, and in fact, is the thethe five-10 years is all going
to be regenerative medicines,but real regenerative medicines.
Dr Andrew Greenland (32:10):
Do you have any sense?
Dr Philippe Hamida-Pisal (32:11):
Sorry, sorry, slowing the aging
process.
Dr Andrew Greenland (32:16):
Do you have any sense of what happened
might happen to life expectancy?
Dr Philippe Hamida-Pisal (32:20):
Um life expectancy is going to it
only can rise if lifestyle ischanging, you know, exercise,
food habits, uh stopping sugarintake, because we know that
sugar is an addiction.
I'm a sweet tooth, so I lovesugar, but I try to refrain.
(32:41):
So lifestyle is only going toincrease if someone wants to
help themselves.
You cannot spoon feed someonewho doesn't want to eat.
Dr Andrew Greenland (32:55):
And what about you personally?
What's um what's on the cardsto you in the next six to twelve
months?
Do you have any plans or goalsfor the practice over the next
year or so?
Dr Philippe Hamida-Pisal (33:04):
So uh the 12 months is going to be
opening another clinic abroad,and uh I have the I have the
hope that uh the wish that thetwo clinic would one is going to
go soon ahead and the other oneis going to be uh is on the
(33:25):
pipeline.
It will be I will be focused onthe second one as well.
PHP branded.
Dr Andrew Greenland (33:33):
Got it.
With that, Philippe, I'd love tothank you so much for joining
me today.
It's been a really fascinatingconversation.
Thank you.
I think one of the biggesttakeaways for me is being this
you know, this whole thing thatthe future of aesthetics is far
less about treating visiblesymptoms, far more about
understanding the biology ofaging itself, which is something
I really embody in my work infunctional medicine.
So thank you for sharing yourinsights, your experience and
your perspective on redemptivemedicine, longevity, and the
(33:56):
future of healthcare.
It's been a habit, pleasurehaving you on the show.
Thank you so much.
Dr Philippe Hamida-Pisal (34:00):
Thank you, Andrew.
Thank you very much for theinvitation.
Hello and welcome to Voices in Health and
Women's.
This is the public month wherewe speak with healthcare
leaders, practice owners, andinnovators about the realities
of modern healthcare.
On this show we explore boththe clinical and business side
of healthcare, covering patientcare, practice growth, industry
trends, leadership, and thechallenges facing independent
healthcare providers today.
Today's episode tackles a topicof generating significant
(00:22):
interest across healthcare,longevity, and aesthetic
medicine.
Regenerative medicine.
Is it genuine innovation,industry hype, or how the
future, or the future of how weapproach aging?
Joining me today is Dr.
Philippe Hamida-Pisal, aminimum director of PHP Health
First and PHP Aesthetic, basedon London's Humble Street.
Philippe has built a practicethat combines aesthetic
(00:43):
medicine, dermatology, wellness,and private medical care with a
philosophy centred onaddressing the root causes of
aging rather than simplytreating visible symptoms.
His approach integrateslifestyle, nutrition, stress
management, and preventablehealth alongside traditional
aesthetic treatments, giving hima unique perspective on the
growing connection betweenaesthetics, longevity, and
regenerative medicine.
(01:04):
So, with that, Philip, I'd loveto welcome you to the show and
thank you so much for joining metoday.
Dr Philippe Hamida-Pisal (01:09):
Thank you, Andrew, for the nice uh
introduction.
So, and thank you for theinvitation because the longevity
is part of um it's been part inmy in my practice for quite a
while.
And uh with uh your uh podcast,I think it will be very
interesting to develop uh morein depth about how we can
(01:31):
implement the longevity in ourpractice on a daily basis,
really.
Dr Andrew Greenland (01:35):
For sure, and I'm really looking forward
to this conversation.
But before we dive intoregenerative medicine, would you
mind just telling us a littlebit about yourself, your journey
into medicine, and what led youto create PHP Health first?
Dr Philippe Hamida-Pisal (01:47):
So, what uh so I'm a French uh
doctor, obviously.
I'm based now in in London, butmy major clinic is in London,
but I have uh two other clinicsabroad.
So I set up the PHP.
Uh PHP is my initials, but alsois uh uh private healthcare
providers, so uh professionalhealthcare providers, apologize,
(02:11):
but it was about you knowdermatology first, and then we
we we change, not change 100%,but we expand to the aesthetic
side, not because we wanted todo it, it's because our patient
asks us to provide someaesthetic treatment.
Obviously, we do we provideother treatments such as uh
(02:33):
nutrition, wellness.
In fact, it's more the conceptof 360 degrees, it's a we do
more on a holistic approach.
It's not only you know lookinggood from outside, but also it's
looking good from inside.
And this is for us, it's ourphilosophy, is when we call the
(02:54):
French touch, but the Frenchtouch is not only the way we
look, it's also feeling goodinside because we know that
there is impact uh from insideto outside, and vice versa.
So our approach is reallyholistic, is a full 360-degree
approach in our clinics.
Dr Andrew Greenland (03:12):
Amazing.
And you know, on that point,one thing that really stood out
um from our previousconversation was your belief
that aesthetic medicineshouldn't simply focus on the
visible signs of aging.
And you talked about addressinginflammation and stress and
nutrition and lifestyle andother underlying factors.
So, how do you describe therelationship between aesthetics,
wellness, and longevity?
Dr Philippe Hamida-Pisal (03:32):
So this is very interesting
questions because when patientscome for uh aesthetic treatment,
they ask, for example, um, oh,I want you to get rid of my
wrinkles, but I want to lookyounger.
So, in fact, the two questions,aesthetic and longevity, they
ask at the same time.
So this is where there is, itcan be separated, but they can
(03:57):
be a bit combined.
It's like if we take, uh takeanother example.
If we took, if we take exactlytwo exactly twins, uh sisters or
brothers, we put in differentsettings, one on the stress and
the other one uh with the normalsituations.
If they have the same skinissue, example, acne, we will
(04:22):
notice that one treatment isgoing to work on one, but the
same treatment is not going towork on the other one.
So while we do uh dermatologyclinic, our questions is why is
it not working?
What is not working?
What why why this cream uh uhwhat cream you use, what what
(04:44):
are the uh your your routine andso on?
But our question is not why thetreatment is not working.
So really we need to lookdeeper why on two patients why
one treatment is working reallywell, but the identical
treatment for the identicalcondition is not working at all.
(05:04):
So it's allow us to push deeperand not just to change a
treatment.
Oh, this one is not working,that one will work because we
know that if we don't uh searchdeeper, sorry, I reap myself, so
the treatment is not going towork.
So we need to to deep uh todeep uh more information to
(05:24):
understand what is theunderlying condition for the
medication or the topical creamnot to work.
Dr Andrew Greenland (05:33):
Got it.
So when somebody comes inrequesting um Botox or fillers,
how often do you find the realissue involves broader health
factors from your yourexperience?
Dr Philippe Hamida-Pisal (05:44):
So this is uh this is an uh this is
so you we need to uh to realizethat uh with experience we're
getting more uh it's easier totalk about everything, first of
all.
When you have returningpatients, it's as well uh
easier.
Uh so when you have a returningpatient, and they said to you,
(06:05):
they say to me, Oh, you know, mybotox or my feeler doesn't uh
last as long.
So it's where we need to startto ask the question.
You know, the the consultation,the most important.
Uh I remember when I was in thehospital in France, my mentor
used to say to me, Philippe, thefirst uh the first consultation
(06:26):
is the most important.
If you if your consultation isnot doesn't last one hour, your
patient is not going to listento you.
So you have to be very focusedon the first consultation.
And the first consultation,it's all about lifestyle as
well, because you cannot uh justto talk about oh, I've got some
wrinkles, or I've got some deeplines, or I've got XYZ.
(06:48):
We need to ask the lifestyle,the food habit, do they
exercise, uh, any history.
Uh, there is a the the themedical questionnaire needs to
be very uh wide, very deep, andnot just, you know what, um you
have wrinkles, I'm going totarget your wrinkles.
We need to push it for them torealize that yes, there is so
(07:11):
much we can do, but we do 10% byinjecting, for example, butium
toxin, but 90% is from thepatient's side.
So are we correct?
But it's a quick fix, in fact.
The rest is come from the hand.
Dr Andrew Greenland (07:28):
I don't know how long you've had the
interest in wellness andlongevity, but was there a
particular point when you kindof really latched onto this and
realized the leverage that youcould have by incorporating this
into your practice?
Was there some like a patientepisode or particular thing that
triggered you?
Because I guess you may nothave been doing this all through
your medical career.
I'm just interested at whatpoint this became you know
really, really pertinent to you.
Dr Philippe Hamida-Pisal (07:50):
So these uh these longevity uh it's
really I'm going to to be it'smore uh recent.
When I say recent, it's a yearor two years.
Since I had uh two models, Ideal a lot with uh models, and
when my treatment treatmentroutine did work really well on
(08:10):
one uh models, and the sametreatment for the same condition
did not work at all.
So it's starting to query okay,what else could I offer to the
models which the treatment didnot work to help her to
understand the condition?
(08:32):
The other thing as well, theother point, it's I had a very
good friend who suffered frompsoriasis, and one day uh the
the treatment, no treatment wereworking, and so on.
And one day I sat with her, Isat for two hours, and I
explained to her the etiology ofthe psoriasis.
And I told her if sheunderstands the etiology of the
(08:54):
psoriasis, is already 50% of thetreatment.
Because if you don't have anunderstanding, so you just have
to believe, and you know, weknow that uh we're losing
patience, so patience uh assuch.
So we want to they want atreatment and but they want an
effect straight away.
It doesn't work like that.
It has to be, first of all, uhtrust relation with the
(09:17):
practitioner, but also uhunderstanding of the step by
step because we're never goingto offer, you know, it has to be
step by step to see if thepatient follows, because if the
patient doesn't follow, there'sno point.
I'm wasting my time, they'rewasting their time, so there is
no point to go further.
Dr Andrew Greenland (09:37):
Thank you.
So do you mind just uh tellingus a little bit about your
practice as it stands, PHP, andwhat does a typical I guess
there's no such thing astypical, but what does a typical
patient journey look like andhow might that differ from a
conventional aesthetic practice?
Dr Philippe Hamida-Pisal (09:54):
So um, first of all, we have French
practice, and now we have FrenchKorean practice because I have
a Korean doctor um uh joiningus, so it's all about the again
as well the holistic approach.
So what um I wouldn't saydifferentiate uh make a
difference because at the end ofthe day we provide the same
(10:17):
service, we have the same typeof patient coming to a clinic,
but we allow, we uh we're ablenot allow, we're able to go
deeper in our uh consultationsto push further.
This is because we establishfor a long time, so we're not
worry about asking some it mightbe some strange questions, but
(10:43):
some normal questions that we doin the NHS, you know, do you
smoke, do you uh do youexercise, is some questions that
in aesthetic practice clinicssometimes we don't we forget to
ask.
But it's it's very important ifwe want to have a treatment to
last longer, it's very importantto understand what they're
(11:04):
doing because if we explain tothem that what we're doing,
instead of having an example, uhBotox every three months, if
they listen to them, if theygive us all the information, uh
Botox every three uh three timesa year, sorry.
So they might need the Botoxonly twice a year, so it's going
(11:25):
to be a saving.
The Botox might uh bothiumtoxin might last longer.
The same for the filler, thesame for exosome.
We're going to have a betterresponse with exosome, stem
cell, and uh polynucleotide.
We know that is a trend rightnow.
So it's how we approach thepatient to let them know that
Botox fillers are quick fix, butwe can make we can we can make
(11:50):
the treatment last longer aslong as we can push the uh
consultation further and to tryto help them to understand what
they could do to uh to get abetter outcome, really.
Dr Andrew Greenland (12:07):
Thank you.
And has patient awarenesschanged over the last few years
in respect of this more holisticapproach?
Or are you somebody that'shaving to kind of you know
educate them on the value of it?
Dr Philippe Hamida-Pisal (12:18):
So definitely the patient awareness
it's uh it's it's higher nowbecause of the internet, they're
all linked on the internet,they start to look at it, but
indirectly, like I was saying toyou before, they without
realizing, they ask us two uhtwo in one questions.
I I go back to a question I didmention previously.
(12:40):
Can you deal with my ring coal?
But I want to look younger.
And in fact, you know, uh whenwe're using the the word
anti-aging is a misleadingbecause we cannot stop aging and
we should not use theanti-aging.
I use anti-aging, but we shouldwe should not use because we
can't stop aging process, but wecan help uh uh the most
(13:04):
appropriate wording should bethe pro-aging or age gracefully,
but not anti-aging because it'simpossible.
So, to answer to your question,yes, patients are more aware,
some definitely because they dothe research, but some they're
aware, but they ask withoutrealizing.
Dr Andrew Greenland (13:25):
Thank you.
So I know you um recently spokeat an international congress on
the topic of regenerativemedicine, myth or reality.
So let's start with the obviousquestion.
What exactly is regenerativemedicine?
Dr Philippe Hamida-Pisal (13:37):
This okay.
Well, to understand theregenerative uh medicines or
regenerative aesthetic, we needto look at the definitions.
So it's what we store an organwhich is deficient, okay?
So this is a properregenerative.
Uh, we have to be very carefulbecause the the the line between
(14:01):
medication and aesthetic ormedical device is very narrow.
So what we can say, what wecan't say.
So when we uh we announce thatuh the regenerative aesthetic
medicines will restore an organ,we restore the skin useful,
they restore XYZ, it's a bit ofuh again misleading because it's
(14:25):
not we're not talking aboutmedications, it goes towards,
but is not is got hasn't got astraight action as a
regenerative.
It's it is the reality.
So, yes, I did I was uh aspeaker on that congress, and it
was about is it a myth or is itis it a hyper myth, really?
Dr Andrew Greenland (14:47):
So it's obviously become a very popular
term.
It sounds like it might bebeing overused, it sounds like
there's misconceptions from boththe practitioner side and the
patient side, from the patientside of things.
Um, is that your take on it?
Dr Philippe Hamida- (15:01):
Definitely, definitely.
The problem is okay, in fact,we don't have influence on
patients.
Who's got more influence isinfluencers.
Social media is bombarding withinformation.
So if uh a celebrity ismentioning that they had you
know XYZ treatment, everyonewants to have the treatment
(15:24):
because they think that's uhthat, but if we tell them, oh
you know, I would wait a littlebit to have exosome, uh take an
example, because we don't haveenough data and we don't have
enough information, and the thestudy did not really
standardize.
So then they said, Oh, youknow, he's he doesn't know what
(15:45):
he's talking about.
So we have to provide thetreatment, but with honesty,
because we don't have enough uhinformation about uh is the the
the outcome is going to becopied, copy and paste on the
all the patients, which we don'thave right now.
Polynucleotide exosomes are toonew, are too new treatment.
(16:07):
We don't have enoughinformation like butium toxin,
which uh it's uh for more than40-50 years.
So those when there is a newtreatment, we have to we are
working on eggs becausesometimes you know we can
realize there is some sideeffect or you know, uh adverse
event that initially they werenot announced, and more we treat
(16:29):
patients, more there is someadverse event.
Dr Andrew Greenland (16:33):
So, what aspects of uh regenerative
medicine genuinely excite you assomebody in the field?
What really excites you?
Dr Philippe Hamida-Pisal (16:41):
So, regarding regenerative uh
medicines, uh regenerative orlongevity medicines, it's more
about you know um the commit thethe investment to the patient
to uh to help to reach a goodresult.
I explain.
(17:02):
Um it's for them, it's to um touh to realize that the
treatment that we provide is nota one-off treatment.
I did mention to you before,it's do we have this two-way uh
collaboration patientpractitioner.
(17:24):
What we do represents 10%, 90%is going to be done by the
patient.
And what uh uh what is for methe excitement is not really an
excitement, but enjoyment, iswhen the patient comes back and
they said, you know, I followyour recommendation, and it's
(17:44):
true.
I feel my skin far morehydrated, I feel my skin much
glowy, I feel my skin moreradiant, and in fact, everyone
notice.
And in fact, we know that askin which is in a better
condition, more hydrated, and soon, any treatment we're going
to provide, they're going tolast longer.
Studies show it.
(18:05):
So it's when the patient comesback and said, You were right,
doctor.
Dr Andrew Greenland (18:11):
And on the other side of the coin, which
aspects of regenerative medicineare concerning to you?
And where should practitionersbe cautious about it?
Dr Philippe Hamida-Pisal (18:22):
So the problem is uh regarding the
regenerative medicines, it'sknowing the source, very
important, because we have toknow the source of what we are
injecting into a patient's face.
This is the most important.
You're talking aboutregenerative medicines,
regenerative medicines we aretalking about exosome, and you
(18:44):
know that exosome, there ismultiple you know, exosomes, the
source is human exosome, and weknow in the UK, France, it's
illegal to use those uh humanexosomes.
Animal exosome is illegal, justsynthetic.
So very important to know thesource, to get all the
information about the stabilityof the products because we need
(19:06):
to to to the company providingthe products, they need to be
honest about where the productscome from, the source, the
traceability, the cold chain.
You know, uh uh uh uh stemcell, there is a cold chain
somewhere.
So, why do they not respect thecold chain?
So it gives us a bit of redflag.
(19:28):
Should we uh trust them or nottrust them?
Dr Andrew Greenland (19:32):
Thank you.
Um, you mentioned earlier onthat the uh anti-aging is not
particularly helpful.
So, what does healthy agingactually mean if if that's a
better turn of phrase?
Dr Philippe Hamida-Pis (19:43):
Healthy, healthy aging, healthy aging,
sorry, it's someone who'slooking really good for the age,
first of all, and also theyaccept they embrace the age, uh,
and they have a properlifestyle, really.
Uh proper lifestyle, so they'renot they don't want to do too
(20:06):
many treatments, and they'rehappy the way they look, and
they're not always chasing upthe useful look, useful look,
which doesn't represent thereality really.
Dr Andrew Greenland (20:18):
And do you talk often to your patients
about biological age versuschronological age, and what's
your take on that kind ofcomparison?
Dr Philippe Hamida-Pisal (20:26):
Yes, well, actually, one of my
sister-in-law, she's uh 57, andshe's uh the the biological age
is 37, so she was really reallyuh impressed uh by the um by the
by the the result.
She gained 20 years, and uh umin fact, so is it going to is it
(20:51):
really really reflecting on thereality?
But there is a psychologicalpart who make the person very uh
very uh pleased, so positivemind, uh um uh exceptional, you
know, um uh really positiveabout this, and it's sort of you
(21:16):
know, I carry on like thatbecause I've got uh um a
positive effect on what I'mdoing is doing really well.
It does work, so I should carryon doing it, doing it because
it seems to be very effective.
Dr Andrew Greenland (21:30):
Thank you.
So I'm guessing that these kindof conversations that you have
with patients obviously requirea lot of trust.
Patients come in looking for atreatment, but on end up having
a much broader discussion abouthealth and aging.
What tends to be thebreakthrough moment when
patients begin thinkingdifferently about all of this?
Dr Philippe Hamida-Pisal (21:47):
If they're in a rush, the financial
position as well.
Financial position is a bit ofuh uh bit uh is not a no no.
I think you know when we'restarting to promote uh skin
health in uh in a clinic, we'restarting to s uh to plant the
(22:09):
seeds.
So every time someone wascoming for bottom toxin or
filler, we always used to Ialways used to say to them, you
know, is a quick fix.
Maybe think about investinginto your skin a different way.
So you plant the seed and itstarts to grow.
And when they come back andsaid, Oh Philippe, you didn't
(22:30):
mention something about ummesotherapy or something else.
Can we talk about the deeper?
So you know it's it's no point.
Someone, you know, when apatient comes for a proper idea
about the treatment, so it'svery difficult, but you just
plant the seed and inform them.
And when they come back, theymake their mind, they're
(22:51):
starting to look at it at thetreatment, and they ask you, oh,
can you send me on WhatsApp orwhat it's about?
And they start to read, tolook, and it's interesting.
They said, Oh, it's really whatI want, actually.
And then they come when theycome back, they said, Oh, can
you can you give me some moreinformation?
How does it work?
What is the cost, obviously?
Uh, how can you help me?
So, this is how it works: planting the seeds. (23:11):
undefined
Dr Andrew Greenland (23:17):
Thank you.
Now, during our earlierconversation, you shared a
really valuable piece of advicefrom one of your mentors.
One foot in ethics, one foot inbusiness.
I think that was a reallyincredibly powerful um phrase.
What does that mean to you?
Could you just talk to ourlisteners about what that means
to you and how you embody that?
Dr Philippe Hamida-Pisal (23:35):
At the end of the day, we uh we are a
clinic, okay?
We are a clinic, uh, we havesome overhead, I have some
stuff, I have to pay them.
So I have some charges, I have,you know, we're a business,
okay?
We're a clinic, we're we're aprivate business, we're not NHS.
So we have some overhead.
So we but we have we need tohave an ethic because this is
(23:57):
medicines, so we shouldn't uh uhuh this is uh a medical act
we're doing, first of all.
But uh we uh so it's why wehave a bit of ethic.
I did mention to you aboutexosome, it's a very good
example.
We need to know where theproducts are coming from.
(24:19):
For us, the sources is veryimportant, and you know, uh
being CQC uh accredited, we needto keep a source of where we're
getting our products from.
So it's very important becausewe have to be honest towards our
patients.
I cannot uh I cannot uh injectan exosome, a human exosome, and
(24:39):
telling my patient, you knowwhat, this is uh this is um uh
synthetic exosome is a trust.
So business and ethic.
And every time I open a newboxes, I open in front of my
patients, it's where the ethicis.
At least they know that it'sfresh, it's new, hasn't been
(25:02):
used.
It was in the fridge, so I'veopened everything is done
accordingly, so nothing can comeback to me and say, Oh, yes,
but I didn't see Dr.
Philip opening in front of me,so maybe some it was uh
out-of-date products, so and werecord the batch number, the
expired, everything is ethical.
It's a medic, it's a medicalact.
Dr Andrew Greenland (25:24):
Got it, and frivolo a little bit further
onto the the business side ofthings because you just brought
that one up.
Um, and you are running abusiness at the end of the day.
What from a businessperspective is working
particularly well for you at themoment?
Um what is uh doing from thepoint of view of your clinic
(25:45):
being a business, what are youparticularly proud of?
What's working really well froma business angle?
Dr Philippe Hamida-Pisal (25:50):
I'm not going to answer to your
question directly.
It's I'm going to say to you toyou, I love my job.
And because I love my job, Itransmit this love to my
patient, and they can feel thatbecause I love it, uh, they
appreciate the the fact that I'mnot here just to make profit,
(26:12):
I'm here to help them.
So I didn't answer to thequestion directly, but
indirectly is an answer.
Dr Andrew Greenland (26:20):
Okay, no, thank you.
And on the other side of thecoin, what are some of the
challenges and the bottlenecksof running the business that you
mentioned?
And you know, patient-facingwork is not always
straightforward, and then themere act of running a business,
a clinic, having staff allpresent challenges in their own
way.
What are the things which aremost impactful to you?
Dr Philippe Hamida-Pisal (26:38):
Um the legislative legislation in the
UK, the this legislation is abit of um um is a shame because
I remember many years ago UK wasthe reference who could not
could any uh do any static uhtreatment.
(26:59):
Howadays is a bit, but it seemsthat the legislation is
changing.
So but today is a bit ofanybody can do everything.
The regulation is a bit of a uha bit of a nightmare.
So really it's um it's uh thisis a challenge we've we're
facing.
The challenge because I'm I'mtalking about this because uh
(27:21):
when we have uh we have to dealwith the treatment who's been
done by a non-uh medicalqualified practitioner, we have
really we have a duty to treat,but you know as much as me, is
the last one to touch a patientwho is responsible.
So where do we where do we fit?
(27:43):
We treat, we correct, sorry, orwe don't.
So should we we refer?
So it's a very you know, thechallenges are more about uh
this is not about uh uhcompetition because the
competition is always healthy,uh but unlawful competition
(28:05):
about beautician, yes, is uh isnot great in this country.
Uh and also regarding um thatwhat I didn't mention before.
Dr Andrew Greenland (28:16):
And I guess as a business owner, you wear
lots of hats, most businessowners do.
What are the time drains foryou as a business owner?
What are the things that pullyou away from the things that
you love doing more than others?
Dr Philippe Hamida-Pisal (28:35):
I like to I like to train, to teach,
sorry.
I like to train and teach.
This is my my um my favorite.
Uh so I like to share myknowledge.
When I go abroad, uh I go todifferent countries to to train
doctors in different aesthetictreatments.
So for me is a passion.
Uh so obviously when I'm in thewhen I'm abroad teaching, I
(28:58):
miss my patient because I'vebeen knowing some patients for
17 years.
So it's a bit of you know, uhsort of family.
Um uh what I miss, uh my familyand my friends, they're always
around.
I go quite often to France.
Uh it's a bit of um, I don'tmiss anything because um this is
(29:22):
for me going to work is not allI have to go to work, it's more
about a uh, I said to you, apassion, uh a passion.
Um, but uh yes, we would liketo have more to to uh to more
time to sometimes to speak topatient and so on, but there is
a bit sometimes a bit of um abacklog, and uh we're always
(29:45):
behind and so on.
Sometimes we're behind.
So it's a the time is it's notelastic.
This is a the problem.
But otherwise, no.
I don't there is no regret inuh in my in my life, work and uh
and um hobbies.
I don't miss anything really.
Dr Andrew Greenland (30:06):
Thank you.
So looking ahead to the nextfive or ten years, where do you
think aesthetic medicine isheading from what you can see in
the space?
Dr Philippe Hamida-Pisal (30:17):
So in the next five, ten years, I
think even five years really isall about going to be uh
regenerative medicines becauseit's all going to be just
filling the line, it's justgoing to be more about
understanding the aging processand how we can uh uh reduce or
diminish the aging sign.
(30:39):
So this is, I think the future,amendment, that is going to be
the future, is going to be theclinic who catches the train at
the right times and not clinicsaid, you know what, I'm just
going to do Botox fillers, I'mhappy.
Well, you're happy today, butuh next year is going to be a
different story.
So regenerative medicines,definitely.
There is you knew a few yearsago we always we always used to,
(31:04):
everyone used to likeeverywhere, in even in Europe,
Middle East, uh, South America,big, big lips, big cheek, uh,
big, big, big everywhere.
And the the trend is going backto uh backwards.
So now is everything isnatural.
Well, today the trend, well,today the request is not a
trend, the today the request isall about skin quality, and I
(31:26):
think uh patients are more awareabout the importance of the
skin.
Listen, what is the point togive big lips or big cheek to
someone who's got a skin full ofacne?
There is no logical in that.
There is no logical in that.
So obviously, there is a sortof body dysmophia somewhere
because you try to fill to fillthe lines, to stop, you know, to
(31:49):
fill the gap, because you seeyour face with uh acne, which
doesn't please you, so in a wayyou replace by putting some more
volume, and in fact, is the thethe five-10 years is all going
to be regenerative medicines,but real regenerative medicines.
Dr Andrew Greenland (32:10):
Do you have any sense?
Dr Philippe Hamida-Pisal (32:11):
Sorry, sorry, slowing the aging
process.
Dr Andrew Greenland (32:16):
Do you have any sense of what happened
might happen to life expectancy?
Dr Philippe Hamida-Pisal (32:20):
Um life expectancy is going to it
only can rise if lifestyle ischanging, you know, exercise,
food habits, uh stopping sugarintake, because we know that
sugar is an addiction.
I'm a sweet tooth, so I lovesugar, but I try to refrain.
(32:41):
So lifestyle is only going toincrease if someone wants to
help themselves.
You cannot spoon feed someonewho doesn't want to eat.
Dr Andrew Greenland (32:55):
And what about you personally?
What's um what's on the cardsto you in the next six to twelve
months?
Do you have any plans or goalsfor the practice over the next
year or so?
Dr Philippe Hamida-Pisal (33:04):
So uh the 12 months is going to be
opening another clinic abroad,and uh I have the I have the
hope that uh the wish that thetwo clinic would one is going to
go soon ahead and the other oneis going to be uh is on the
(33:25):
pipeline.
It will be I will be focused onthe second one as well.
PHP branded.
Dr Andrew Greenland (33:33):
Got it.
With that, Philippe, I'd love tothank you so much for joining
me today.
It's been a really fascinatingconversation.
Thank you.
I think one of the biggesttakeaways for me is being this
you know, this whole thing thatthe future of aesthetics is far
less about treating visiblesymptoms, far more about
understanding the biology ofaging itself, which is something
I really embody in my work infunctional medicine.
So thank you for sharing yourinsights, your experience and
your perspective on redemptivemedicine, longevity, and the
(33:56):
future of healthcare.
It's been a habit, pleasurehaving you on the show.
Thank you so much.
Dr Philippe Hamida-Pisal (34:00):
Thank you, Andrew.
Thank you very much for theinvitation.
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