Beyond the Hype: Why Expertise Matters More Than Equipment in Aesthetic Dermatology

In today’s digital age, it’s easy to be swayed by flashy advertisements, trending treatments, or the allure of the latest skincare gadget. However, as someone who has dedicated over two decades to the field of dermatology, I can assure you: it’s not about the machine or the molecule—it’s about the expertise behind it.

Consider this: a chisel in Picasso’s hands creates a masterpiece; the same tool in untrained hands might damage the canvas. Similarly, the most advanced laser or injectable can yield vastly different results depending on who administers it. Aesthetic dermatology isn’t just about tools; it’s about the artistry and judgment of the practitioner.

Take something that appears simple—like a hollow under the eyes. Many might assume it’s just a matter of injecting a filler and being done with it. But in reality, it’s far more complex. That under-eye area involves the skin texture and thickness, pigment variations, structural changes like loss of deep fat pockets, and even anatomical differences such as maxillary retrusion often seen in Asian faces. In someone with a deep-set eye, poorly placed filler can make the eye look even more recessed or smaller. It’s not just about which filler or how many ml—it’s about understanding the face three-dimensionally, ethnically, and dynamically. How does the filler behave over time? Will it stay put or migrate? What plane is it being injected into? These decisions can only be made with a trained eye, deep anatomical knowledge, and long-term experience. This is why even a “simple” filler injection is not simple at all.

Your skin is a living, evolving organ. What works for one person might not work for another. An experienced dermatologist doesn’t just treat the skin—they understand its history, anticipate its future, and tailor interventions accordingly. It’s this depth of understanding that ensures treatments enhance your natural beauty rather than mask it.

Continuity of care is paramount. Jumping from one clinic to another in search of quick fixes can lead to inconsistent results and potential complications. A trusted dermatologist will chart a long-term plan, considering how your skin will age and ensuring that interventions today won’t compromise your appearance tomorrow. The goal is to age gracefully, with treatments that leave you looking refreshed, not “done.”

So, before being enticed by the latest trend or discount, I urge you to research the practitioner. Look into their qualifications, experience, and patient testimonials. Remember, your skin deserves more than a quick fix—it deserves expert care.

1) Identify your skin type, concerns, and goals:

Before you entrust yourself in the hands of a specialist, it is also helpful for you to identify your own skin goals, your skin type, or any other insecurities that you might want to tweak for that special day! This will help your doctor to understand your expectations and vision for yourself while adding their expert opinion and guidance towards your target.

2) Find the absolute BEST in the biz:

The pressure to not have an oops moment on your big day can be huge, and especially if you’re relying on injectables, or that little lip correction job to enhance your face and features.   we always stress the importance of not looking for a bargain when it comes to invasive treatments. In fact, it is necessary to go out of your way to find the best person to do the job. Dr. Shetty always says that when it comes to aesthetic interventions with your face, going to the closest doctor or the one who gives you the best deal is the worst mistake. In fact, you should be certain of the fact that your aesthetic sense and vision, resonates with that of your doctor’s. This is something that you can observe by not just looking at their past work, but at everything that is an extension of your doctor’s personality. Their face, their dressing sense, the aesthetics of the clinic, all are subtle indicators of a broader aesthetic feel. So do your RnD and make sure you lock in on someone who is on the same page as you when it comes to what look you want to achieve.

3) Time is of the essence:

4-6 months in hand before D-day is an ideal window for you. This is necessary in order to give enough time to your skin to respond to the plan laid out by your skin expert. Dr. Shetty asserts “Overall health will eventually show up as great skin, and I always make it a point to first work on the skin barrier health, so that it is well suited to maximise the effects of the other treatments. For the outcome to be its absolute best, adequate time is vital.” Treatments such as laser hair removals, peels, etc., all require multiple sessions to really make the change you want to see. More invasive procedures like fillers or botox might also result in mild bruising or redness, and therefore you need enough time to deal with the possible temporary side-effects of them.
Having said that, Dr. Shetty who is known for her flawless injectable skills has even worked on brides at the last moment, and she can proudly say that in her 22 year career, she has never had to adjust or un-do her own work.
At Ra Skin and Aesthetics, we assure you that you will not have that oops moment.

Although in person consultations are always the best option, online consultations too can be done during this period. Dr. Rashmi Shetty has dealt with numerous brides from abroad via online sessions, and finally worked her last magic touch on them just a month before their wedding. So don’t hesitate to book your online sessions with your doctor even if you cannot commit to the ideal timeline in person.

4) Go the extra mile:

This is a landmark day in your life, and probably your most photographed day ever, so be open to experimenting with medium-depth invasive treatments / chemical peels that your consulting skin expert might suggest. Some treatments such as Profhilo can really transform the texture and hydration of your skin. No amount of make-up can completely hide poor skin texture, and therefore these are investments worth considering for that extra wow factor. Needles aren’t always a bad thing, and can go a long way in giving you a natural glow as you walk down the aisle.

5) Nothing works like discipline:

Once you have committed to the routine chalked out specially for you, stick to your regime with full devotion. Remember, your skin doctor can only produce the magic if you are their magic wand!

5) Nothing works like discipline:

As a believer in the philosophy of inner beauty radiates outwards, don’t forget to take care of your lifestyle. When the clock counts down to your wedding day, there’s surely a million reasons to stress out, but for your skin to be it’s best, it will need you to be more mindful about your water intake, stress, sleep, and nutrition. So keep in mind that supporting your whole body with some serious TLC is bound to reflect on your face.

And that’s all folks, it really is this simple. Time and discipline are your best bridesmaids when it comes to wedding prep with your skin.
For all our international brides, you can reach out to us at +91 9833055678 and book your online consultation with Dr. Rashmi Shetty.

Don’t forget that your skincare honeymoon does not have to end with the beginning of your married life! The post marriage hectic parties, dinners, frequent make up changes, and those few glasses of alcohol too can all take a toll on your skin. Your beauty goal should not just be one for the main day of your life, but one for a lifetime! Dr. Shetty always advocates the necessity of long term and all rounded wellness, so make so make sure that you try to stick to a good skincare system even post your bridal days. Healthy skin is always in!

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Each article is written by Aastha Kottary after detailed discussions and notes from Dr. Shetty

Dr. Rashmi Shetty
Cosmetic Dermatologist,
Mumbai | Hyderabad

Dr. Rashmi Shetty is a celebrity dermatologist, industry pioneer, author , globally invited teaching faculty and a leading expert in aesthetic medicine having over 20 years of experience in aesthetic and clinical dermatology. She is the Founder and chief dermatologist at Ra Skin and Aesthetics in Mumbai and Hyderabad. She is named the best Dermatologist by Vogue 2020 and is the first Indian doctor on the International Advisory board of the Anti-Ageing World Congress, FACE London, ICAD Asia, and honorary faculty at UCL .

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You can also call on 09833055236 to book an appointment

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