Inside Aesthetics

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Latest Episodes:

Ep 277 The Alma Academy, Thailand 2024 | Dr Jake Sloane, David Segal & Alma Lasers Nov 07, 2024

Show notes

Episode 277 showcases our hosts Dr Jake Sloane, David Segal and no less than eight special guests!

In this weeks podcast we do something a bit different, documenting IA's recent trip to the Alma Academy in Pattaya, Thailand. Alma are a leading energy-based device company and invited Dr Jake & David to join their globally-renowned educational event.

Here they spoke to a number of Alma's key staff and global KOL's and we share short clips of our conversations with:

Lior Dayan (Alma President & CEO)
Tal Burgan Rosen (Alma Chief Marketing & Strategy Officer)
Dr Dean Berman (Alma Chief Medical Officer of Alma)
Francesa Ham (Vice President of Marketing North America(
Spencer Detter (Vice President of Sales North America)
Professor Ofir Artzi (Dermatologist, Israel)
Dr John Sullivan (Dermatologist, Australia)
Dr Josh Wall (Cosmetic Physician, Australia)

NB Exclusive for our Patreon subscribers we've also published a special extended version of this episode with an extra 30 minutes of these conversations - so check this out if you want to listen to the full and unedited version of this podcast.

00:30 Recap of Recent Events and Conferences 01:40 Overview of Alma Academy 06:25 Insights from Lior Dayan 13:17 Insights from Tal Bergan Rosen 19:45 Insights from Dr. Dean Berman 29:26 Insights with Francesa Ham & Spencer Detter 38:44 Expanding Clinical Practices with Alma 39:16 Current Trends in Skincare and Energy-Based Devices 39:58 Medical Weight Loss and Aesthetic Practices 41:37 Alma Academy in the USA 42:44 Networking and Learning at Alma Academy 46:18 Exciting Events at Alma Academy 48:36 Day Two at Alma Academy 50:14 Insights from Professor Ofir Artzi 01:09:58 Insights from Dr. John Sullivan 01:15:51 Device Realignment and Educational Support 01:16:53 Marketing Strategies for Aesthetic Practices 01:17:21 Social Media Challenges and Solutions 01:18:45 Advancements in Skin Rejuvenation 01:20:58 Laser-Assisted Drug Delivery 01:22:53 Sculptra and Combination Treatments 01:25:08 Insights from Dr. Josh Wall 01:29:52 Marketing and Business Strategies 01:36:50 Implementing Skin Treatments in Clinics 01:45:08 Conference Takeaways and Final Thoughts

This podcast was sponsored by Alma. Dr Jake & David want to thank their entire team for their support of IA.

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Ep 276 The Injector Diaries (Chapter 24) |Mike Clague Oct 31, 2024

Show notes

Episode 276 hosts Mike Clague (Aesthetic Nurse based in Melbourne, Australia)

Mike joins us in the 24th chapter of our series called 'The Injector Diaries'. These episodes feature in depth conversations, stories and experiences from injectors around the globe.

Each injector brings their own unique take on things and we showcase every level of type of injector, from newbies to masters. We'll explore how and why they chose to inject, why they favour using certain products, look under the hoods of their clinics and aim to inspire our injector listeners.

00:00 Introduction and Mike's Background 00:56 Reconnecting After Years 01:25 Early Career and Industry Insights 02:44 Journey with Allergan 04:40 Transition to Aesthetic Nursing 07:50 Mentorship and Training 10:44 Challenges in the Aesthetic Industry 17:52 Regulations and Industry Evolution 22:45 Future of Aesthetic Training 44:37 The Dunning-Kruger Effect 44:58 Clinic Services and Personal Preferences 45:24 Corporate Values and Product Selection 46:12 Consultation Process and Treatment Plans 47:39 Needling and Insulin for Skin Treatment 49:48 Biostimulators 54:39 Filler Brands and Preferences 01:02:07 Future of Aesthetic Treatments 01:10:50 Business Advice for Aesthetic Practitioners 01:14:30 Managing Ischemic Events and Ultrasound Use 01:18:40 Final Thoughts and Reflections

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Ep 275 Part 1 Masterclass Series (Chapter 3): The Science of Bio-Remodelling & Profhilo | Dr Beatriz Molina Oct 24, 2024

Show notes

Episode 275 Part 1 hosts Dr Beatriz Molina (Cosmetic Physician based in Somerset, UK)

Beatriz is a globally-renowned speaker and KOL for Profhilo (by IBSA). She has lectured all over the world and was one of the first practitioners to ever use Profhilo. She has a particular interest in bio-remodelling and works closely with IBSA to research how Profhilo and their new product Structura best work.

Beatriz join us in Chapter 3 of our 'Masterclass series' of episodes. Here we host global experts with significant experience to teach us about fillers, bio-stimulators, bio-remodellers, polynucleotides, exosomes and other products. (For toxin insights, check out our other mini-series, 'The Tox Talks')

In Chapter 3 Part 1 (free for listeners on any podcast app):

00:34 Masterclass Series: Bio-remodeling 00:45 Intro to Dr. Beatriz Molina 01:34 Dr. Molina's Journey into Aesthetics 07:21 The Science Behind Profilo 08:41 Understanding IBSA and Profilo 11:55 Profilo's Unique Properties 18:06 Mode of Action and Collagen Stimulation 19:55 Understanding Regenerative Medicine 21:22 The Shift in Aesthetic Treatments 23:03 Bio-remodeling and Its Mechanisms 25:43 Profilo's Impact on Skin Quality 34:59 Combining Treatments for Optimal Results 40:53 Profilo vs. Traditional Skin Boosters 43:05 Conclusion and Teaser for Chapter 3 Part 2

In Chapter 3 Part 2 (Now available inside our new app, IA Community, ahead of our official launch this May. Click here to join our waitlist), we discuss:

01:17 Consultation Techniques for Profhilo and Setting Expectations 04:55 Profilo Treatment Protocols and Patient Selection 07:15 Collagen Banking and Preventative Measures 14:34 Profilo Application Techniques 24:10 Off-Label Uses and Advanced Techniques 31:36 Forehead and Temple Treatments 36:01 Neck Treatment Techniques 43:14 Decolletage and Chest Treatments 46:33 Hand Rejuvenation 49:03 Risks and Complications 53:02 New Product Insights: Structura 59:02 Conclusion

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Ep 274 Emepelle: Skincare for Menopausal Skin | Dr Simone Bamford & George Kypreos Oct 17, 2024

Show notes

Episode 274 hosts Dr Simone Bamford (General Practitioner based in Melbourne, Australia) & George Kypreos (Managing Director of Dermocosmetica based in Melbourne, Australia).

In this podcast we focus on the impact of the menopause on women. We then discuss a novel skin care range called Emepelle - the world's only skin care designed specifically for menopausal skin. Using MEP technology, Emepelle targets the root cause of oestrogen-deficient skin non-hormonally.

00:00 Introduction 00:59 Our Guests 04:46 Understanding Menopause 07:47 Menopause and Skin Changes 11:31 Hormonal and Topical Treatments 15:38 Introducing Emepelle 24:16 MEP Technology Explained 28:07 Combining Treatments for Best Results 31:01 Managing Menopausal Skin Irritation 32:59 Consultation Techniques and Technology 34:48 Educating Patients on Skin Care 37:43 Menopause and Aesthetic Treatments 40:25 Integrative Health & Hormone Replacement 41:31 Product Recommendations and Usage 42:57 Collagen Banking and Younger Patients 44:13 Vaginal Creams for Facial Use 46:31 Lifestyle Factors and Skin Health 48:23 Collagen Supplements and Clinic Offerings 49:07 Costs and Clinic Integration 56:24 Conclusion and Resources

This podcast was sponsored by Dermocosmetica

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Ep 273 The Injector Diaries (Chapter 23) | Dr Michele Vanzaghi Oct 10, 2024

Show notes

Episode 273 hosts Dr Michele Vanzhagi (Cosmetic Doctor based in Cape Town, South Africa)

Michele joins us in the 23rd chapter of our series called 'The Injector Diaries'. These episodes feature in depth conversations, stories and experiences from injectors around the globe.

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Ep 272 The Business of Injecting (Chapter 16) | Dani Gardner & Hayley Phillips Oct 03, 2024

Show notes

Episode 272 hosts Dani Gardner & Hayley Phillips, Registered Nurses & the founders of Luum Aesthetics (Perth, Australia)

Dani and Hayley join us in the 16th Chapter of our series called 'The Business of Injecting'. In these episodes we host injectors and clinic owners to discuss all aspects of the business side of their clinic. We analyse their financial struggles and challenges, difficult decisions, friction points, staffing, hiring, firing and other topics relevant for achieving aesthetic business success.

00:00 Introduction 01:21 Thailand Trip and Alma 01:59 Patreon Offers and Legal Partner 04:07 Special Guests: Dani Gardner & Hayley Phillips 04:58 Dani and Hayley Backgrounds 06:47 Why Start Luum Together 08:38 Experience Before Owning 13:16 Planning Roles and Support 15:21 Admin Team and Systems 16:26 Funding Fitout and Launch 20:25 Pricing Budgets and Positioning 23:00 Boutique Skin First Model 24:18 Hiring a Great Therapist 25:58 Skin Revenue and Education 31:20 Imaging Tools and IA Offer 32:29 Business Mentoring Rejig 33:47 Choosing Devices Strategically 35:47 Avoiding Dusty Devices 36:20 Device Targets and Break Even 37:19 Secondhand Laser Pitfalls 38:18 Recertification Fee Explained 40:05 Insurance and Negotiation 41:37 Body Contouring Reality Check 44:18 Regenerative Womens Health Plans 46:08 Scaling Up Space and Team 47:04 Onboarding New Injectors 49:47 Products Stock and Inventory 52:53 Marketing SEO and Partnerships 58:08 Mistakes Complaints and Fixes 01:01:39 Contingency Planning for Lulls 01:04:11 Coaching Burnout and Exit 01:08:25 COGS Pricing and Margins 01:12:39 Final Wrap and Clinic Name

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Ep 271 The Tox Talks (Chapter 9): A New On-Label Indication for Botox – Masseter Muscle Prominence | Dr Felix Li & Dr Stefania Roberts Sep 26, 2024

Show notes

Episode 271 hosts Dr Felix Li (Cosmetic Doctor based in Singapore) and Dr Stefania Roberts (Phlebologist & Cosmetic Doctor based in Melbourne, Australia)

In 'The Tox Talks' episodes we feature expert injectors who have significant experience in using botulinum toxins. These episodes explore our guests experiences using particular brands, the evolution of their injecting techniques and we get special insights into the subtle nuances of getting the best out of toxins.

In chapter 9 we discuss a new on label indication for Botox (by Allergan Aesthetics, an Abbvie Company) - Masseter Muscle Prominence (MMP). This was recently approved in China at an event in Shanghai and it's the first and only toxin brand to be approved for this particular indication.

We discuss:

What MMP is
The difference between on VS off label indications
Why having a standardised technique is so important
What patients want when it comes to MMP
Asian vs caucasian beauty ideals and beauty standards
The on label dose for MMP
The technique to treat MMP
Masseter anatomy
The role of ultrasound in assessing the masseter
Risks and precautions when it comes to treating MMP

00:00 Introduction 00:42 Podcast Updates and Patreon 02:05 Topic MMP Botox Label 02:37 Meet the Guests: Dr Felix Li & Dr Stefania Roberts 04:57 China Launch and Ultrasound 07:25 Why Seek Approval 09:10 Masseter Basics and Aesthetics 13:15 On Label vs Off Label 16:42 Culture and Face Ideals 18:56 How Botox Changes Function 24:07 Consulting and Patient Requests 27:54 Alternatives and Surgery Risks 31:18 Study Dosing and Duration 32:54 Real World Dosing Strategy 36:40 Dose by Age and Ethnicity 39:41 Finding the Right Units 40:35 Training and On Label Protocol 42:30 Needle Depth and Anatomy Errors 47:56 Paradoxical Bulging Explained 54:06 Counseling Risks and Avoiding Risu 01:03:30 Three Point Injection Mapping 01:05:30 Preventing Jowls and Parotid Mixups 01:09:29 Pricing and Maintenance Strategy 01:13:23 Resistance and Closing Thoughts

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Ep 270 Part 1 What's Trending in Aesthetics (Chapter 6): - Filler Dissolving & Post-Hyaluronidase Syndrome | Dr Daniel Ezra Sep 19, 2024

Show notes

Episode 270 hosts Professor Daniel Ezra (Oculoplastic Surgeon based in London, UK)

Daniel is a leading eye surgeon at the world famous Moorfields Hospital. He's also part of an incredibly busy private clinic where consultants of various specialities work in a multidisciplinary team. There he leads a dedicated filler dissolving service and his team see up to 10 elective referrals a day to help patients with filler complications.

In our 'What's trending in Aesthetics?' episodes we cover topics that have got injectors talking on social media or been in the news. We'll cover controversies, big stories and themes that affect our speciality.

In Chapter 6 Part 1 (free for listeners on any podcast app) we discuss:

Podcast news
Daniel's background
The basic science of hyaluronic acid fillers
The behavoir of hyaluronic acid fillers in the tissues
How long fillers last

00:00 Introduction 00:31 Meet Dr Daniel Ezra 01:33 Podcast News and Patreon 02:02 Travel and Patreon Updates 03:59 Episode Roadmap Part One Two 04:50 Daniel's Background 08:04 Learning to Inject 10:27 Hyaluronic Acid Basics 12:34 Cross Linking and Properties 14:32 Preferred Fillers and Volume 16:07 Dissolving and Cross Linking 17:30 Partner Masterclass Ad 18:48 Injector Training Gaps 19:34 Regulation And Accreditation 20:31 Filler Myths And Cumulative Dosing 21:34 Conference Bias And Pharma Influence 23:16 Why Aesthetics Lacks Research 23:40 Key Opinion Leader Constraints 26:27 Evidence Hierarchy And Bias 29:10 Social Media And Industry Maturity 30:38 Filler Downturn And Dissolving Clinics 32:24 Patient Anxiety And Misinformation 34:18 Dissolving Reluctance And Transparency 36:09 Study Summary And PHS Findings 39:16 Wrap Up And Part Two Tease 40:19 Follow And Support The Show

In Chapter 6 Part 2 (Now available inside our new app, IA Community, ahead of our official launch this May. Click here to join our waitlist), we discuss:

What the purpose of an MRI scan for an aesthetic patient is
What the options are once a scan is done
Filler integration - does it actually occur?
Fller migration
Filler 'growth' over time - what exactly is happening?
Patient psychology when it comes to filler complications & filler dissolving
Post-hyaluronidase syndrome
Filler dissolving techniques

00:00 Introduction 00:31 Part Two Setup 01:05 Common Eye Filler Issues 04:27 Late Swelling Triggers 07:05 Inflammation Cancer Concerns 13:18 Lymphatic Block Debate 15:31 Safer Tear Trough Technique 21:44 When MRI Helps 29:16 Filler Volume On Scans 31:19 Filler Expansion Ratios 32:36 Clinic Intake Workflow 34:49 Consent and Legal Risk 36:45 Psych Screening and BDD 40:38 Community and Peer Support 41:28 Hyaluronidase Dosing Methods 44:45 Fibrosis and Encapsulated Lumps 47:32 Follow Up and Identity Shift 50:00 Post Hyaluronidase Syndrome 56:26 Media Hype and Safety 58:40 Future of Fillers 01:00:11 Wrap Up and Sign Off

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Ep 269 Part 1 Masterclass Series (Chapter 2): Regenerative Aesthetics & Radiesse | Dr Kate Goldie Sep 12, 2024

Show notes

Episode 269 Part 1 hosts Dr Kate Goldie (Cosmetic Physician based in London, UK)

Kate is a globally-renowned speaker and KOL for Merz Aesthetics. She has lectured in over 75 countries and is a thought leader in aesthetics. She has a particular interest in regenerative medicine and is leading research into how to best use Radiesse (by Merz Aesthetics).

In our 'Masterclass Series' we host global experts with significant experience to teach us about fillers, bio-stimulators, bio-remodellers, polynucleotides, exosomes and other products. (For toxin insights, check out our other mini-series, 'The Tox Talks')

In Chapter 2 Part 1 (free and available on any podcast app) we discuss:

What regenerative aesthetics means to injectors
How and why our skin ages
The role of fibroblasts
How structure defines function in skin aging
The role of collagen and elastin
Pre-juvenation
An introduction to calcium hydroxyapatite

00:00 Introduction 02:24 Two Part Episodes Patreon 03:04 Meet Dr Kate Goldie 05:07 Regenerative Aesthetics Mission 07:38 Masterclass Focus CaHA Radiesse 09:00 Behind the Scenes Exosome Research 15:17 Future of Regenerative Medicine AI 19:07 Sponsor Break Vida Soul 20:49 Reality Check Biostimulators 21:53 Three Pillars of Regenerative Aesthetics 23:37 Back to Basics Skin Aging 26:19 Why Skin Ages 27:42 Bowl of Soup Model 30:11 Homeostasis Breakdown 31:40 Lifestyle Stress Effects 34:22 Sponsor Offer Break 35:17 Fibroblasts and Mechanotransduction 37:30 Collagen Balance Windows 40:18 When Collagen Declines 44:01 Radiesse Explained 50:11 Off Label Innovation 52:28 Wrap Up and Subscribe

In Chaper 2 Part 2 (Now available inside our new app, IA Community, ahead of our official launch this May. Click here to join our waitlist), we discuss:

Calcium hydroxyapatite as a material
What Radiesse is
How Sculptra differs to Radiesse
The concept of hyperdiluted Radiesse and how to do it
The difference between different hyperdilution ratios
Protocols to treat the face, the neck and body
Combination treatments with Radiesse and other injectables

00:00 Introduction 00:30 Radiesse Basics and Goals 01:06 Bone Lining Microdroplets 03:23 Dilution Effects and Planes 07:20 How to Mix Radiesse 09:05 Butterfly Technique and Four Ds 13:06 Comparing Radiesse vs Sculptra 15:42 Choosing the Right Tool 19:44 Treatment Rhythm and Scheduling 21:17 Younger Patients and Prevention 23:01 Consults and Setting Expectations 25:23 Youthful Skin Not Weird 26:03 Younger Versus Beautiful 27:56 Art Science Tissue Remodeling 30:05 Neck Treatment Deep Dive 32:11 Neck Dosing Zones Technique 35:20 Avoid Over Dilution Lumps 38:43 Who Needs Surgery Instead 39:29 Profilo Versus Radiesse 40:48 Body Areas Dilution Strategy 42:50 Nodules Safety Management 46:00 Future Regenerative Aesthetics 48:25 Wrap Up Resources Plug

ALL IA LINKS & CONTACT INFORMATION

Ep 268 Part 1 What's Trending in Aesthetics (Chapter 5) | Dr Steven Weiner Sep 05, 2024

Show notes

Episode 268 hosts Dr Steven Weiner (Facial Plastic Surgeon based in Florida, USA)

Back on July 11th, Steve and another previous IA guest April Harrison did an Instagram Live together where they discussed their thoughts and aproach to botulinum toxin resistance in their own patients - including a very novel (and controversial!) approach to using hyaluronidase to 'cure' it.

In Chapter 5 Part 1 (free for listeners on any podcast app), we explore:

Botulinum toxin resistance
Theories around what happens with the immune system to cause toxin resistance
The issue of 'pseudo-resistance'
How to approach suspected toxin resistance in patients

00:00 Introduction 00:31 Catching Up and Weekly Updates 01:22 Clinic Busyness and Market Trends 02:16 Biostimulators and Sculptra Talk 03:56 Patreon Split Episodes Update 05:21 Meet Dr Steven Weiner 09:24 Origins of Toxin Resistance Live 10:03 What Is Toxin Resistance 13:43 Antibodies and Protein Load Debate 15:45 Vaccines Illness and Injecting 18:27 Does Xeomin Reduce Resistance 20:39 Brand Hopping Myth 21:22 Pseudo Resistance Explained 22:12 Testing Limits and Hype 24:16 Toxin B Option 25:20 Injector Error Deep Dive 27:15 Frontalis Depth Nuances 30:31 Frequency Drives Resistance 31:31 Dilution and Longevity Debate 36:24 Ultrasound Guided Toxin 41:56 Saline Reconstitution Myths 43:42 How Rare Is Resistance 44:53 COVID Vaccine and Fibrosis Theories 47:33 Part Two Preview and Patreon

In Chapter 5 Part 2 (Now available inside our new app, IA Community, ahead of our official launch this May. Click here to join our waitlist), we discuss:

The background to why they looked at using hyaluronidase for toxin resistance
April's toxin resistance case
Steve's theories about how hyaluronidase might work

00:00 Introduction 01:08 Immune System Damping Ideas 04:21 Practical Limits and Ethics 07:51 Hyaluronidase Paper Insight 11:51 Hyaluronidase Products Explained 13:23 Fraxel Surprise and Efficiency 16:18 Mechanism and Diffusion Risks 19:13 April Case Breakthrough 22:55 Protocol and Dilution Strategy 27:04 Is Resistance Actually Rare 28:05 When Tox Stops Working 28:47 Washout Period Reality 29:37 Antibody Data Surprises 31:43 User Error And Referrals 32:50 Dose Variability In Vials 34:58 Stock Theft Business Risk 37:36 Touchups And Timing Rules 41:14 Dose Adjustment Language 43:38 Zinc Supplement Myth 44:59 Off Label And Insurance 50:15 Wrap Up And Outro

ALL IA LINKS & CONTACT INFORMATION

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