Inside Aesthetics

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Latest Episodes:

Ep 267 Compliance & Digital Solutions in 2024 - Fresh Clinics | Dr John Delaney & Dr John Holbrook Aug 29, 2024

Show notes

Episode 267 hosts Dr John Delaney & Dr John Holbrook, the founders of Fresh Clinics.

In this episode we discuss:

Who Fresh Clinics are and how they successfully disrupted the Australian injecting market
Their thoughts about the new Australian regulations and what it means for injectors
The software that Fresh Clinics created to allow for seamless and legally-compliant remote prescribing
Their future plans to launch a Fresh CRM software for complete clinic management
Fresh's expansion to Texas, USA and how American injectors attitudes differ

00:00 Introduction 02:16 Meet Dr John Delaney & Dr John Holbrook, the founders of Fresh Clinics 03:59 What Fresh Clinics Does 07:20 Why Tech and Doctor Oversight 10:25 Australia Regulation Shakeup 14:31 TGA Ads and Euphemisms 18:08 Tasmania Doctor Onsite Debate 23:45 Industry Infighting and Complaints 26:31 Regulators and Influence Explained 32:19 Do Regulators Understand Injectables 36:16 Patient Education vs Ad Rules 37:05 Media Fear and Fillers 38:18 Nurse Networks and Training 39:38 Regulation Workarounds 40:42 Why Texas and Why Now 42:01 US Risk Appetite Shock 46:22 Texas Growth and Product Fit 48:11 Compliance Tech Advantage 52:20 Med Spa Scope Creep 54:00 EMR Launch and Beta 01:01:10 End to End Clinic Suite 01:03:25 Analytics and Benchmarking 01:08:19 Privacy and Cybersecurity 01:10:59 Data for Business Decisions 01:12:35 AI For Business Decisions 01:13:39 Market Maturity And Data 01:14:56 AI Notes And Efficiency 01:18:24 LLM Analytics And Marketing 01:20:48 Outcomes And Upsell Insights 01:22:23 Pricing And Business Model 01:25:13 Conference And Giveaway 01:28:06 Criticism And Market Impact 01:33:58 Training New Injectors 01:36:05 Doctor Network And Governance 01:41:16 Regulatory Nuance And Compliance 01:42:32 Wrap Up And Where To Follow

***COMPETITION NEWS***

In partnership with Fresh Clinics, anyone who purchases a ticket to their 'Fresh Life Conference' (being held in Byron Bay, Oct 29-31 2024), Fresh Clinics will randomly draw 10 winners for an annual subscription to our Patreon. (and if you're already signed up, you'll get an extra year!)

Follow Fresh Clinics on Instagram for the announcement of the winners by September 6th!

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Ep 266 The Injector Diaries (Chapter 22) | Dr Rebecka Gardell Aug 22, 2024

Show notes

Episode 266 hosts Dr Rebecka Gardell (Medical Doctor based in Stockholm, Sweden)

Rebecka joins us in the 22nd 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 04:35 Meet Dr Rebecka Gardell 05:11 From GP to Clinic Owner 13:38 Advertising Rules in Australia 17:01 Teaching Injection Ethics 22:57 Educating Patients Pre Consult 31:10 Mentors Cannula and Role Models 35:20 Peripheral Filler Philosophy 36:35 Masculine Rejuvenation Strategy 38:53 Choosing Stiff Fillers 39:59 Ethnicity and Beauty Ideals 41:22 Adapting to Patient Goals 46:48 Next Skills to Master 56:29 Building a Kind Clinic Team 01:03:27 Threads and Patient Selection 01:05:57 Risky Areas and Ultrasound 01:09:36 Ideal Sculptra Candidates 01:10:15 Injection Areas and Dilution 01:11:18 Why Choose Sculptra 01:12:14 Ultrasound in Practice 01:15:32 Toxin Brands and Mixing 01:18:05 Building a Scalable Clinic 01:24:43 Instagram Growth Tips 01:32:23 Listener Q and Wrap Up

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Ep 265 Part 1 Facial Ageing & the Plastic Surgeons's Perspective on Biostimulators | Dr Ben Talei Aug 15, 2024

Show notes

Episode 265 hosts Dr Ben Talei (Plastic Surgeon based in Los Angeles, USA)

In Part 1 (free for listeners on any podcast app), we cover:

Ben's background (previously on episode 173) both as a surgeon but also how he learnt to inject
Facial aging and what happens to the different layers
The impact of our teeth and orthodontic techniques on facial aesthetics
What collagen and elastin are
Ben's views on 'collagen stimulation' and why he feels it's disingenuously marketed
His approach to face lift surgery and how this has changed over time
His attitude to the role of injectables

00:00 Introduction 05:57 Meet Dr Ben Talei 06:57 Ben's Background and Practice 08:54 Modern Facelift Techniques 11:39 Hollywood Beauty Culture 15:05 Celebrity Surgery Commentary 16:51 How Faces Age 21:36 Setting Realistic Expectations 22:06 Surgeon vs Injector Biases 25:59 Orthodontics and Facial Structure 26:59 Bite And Jaw Shifts 27:35 Behavioral Face Training 28:40 Mewing Reality Check 30:15 Perioral Beauty Framework 30:52 Collagen Beyond The Hype 32:11 Macro Versus Micro Collagen 36:37 Facelift Consult Skin Strategy 40:24 Deep Plane Facelift Method 43:57 Fat Grafting By Palpation 46:05 Ligaments And Decussation Zones 48:59 Injector Origin Story 51:42 Part Two Teaser And Wrap

In 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 Ben sees in surgical cases after bio-stimulators have been used
Histology results vs macro-changes that can be seen in surger
'Filler fatigue'
His thoughts about how Sculptra should be used vs how injectors market it
His thoughts about how calcium hydroxyapatite fillers should be used vs how injectors market these
Why he firmly believes that bio-stimulatory products are problematic in facial surgery
Why Ben believes that the dermis should be treated by other means instead of bio-stimulators
Ben's attitude to social media and teaching patients through this channel
Permanent fillers and Ben's caution about ever using these

00:00 Introduction 02:32 Legal Letters Controversy 03:42 Biostimulators Misused 05:04 Sculptra Proper Use 09:13 Collagen Quality Risks 14:24 Calcium Products Overview 16:14 Hyperdilution Critique 21:33 How to Use Calcium Safely 24:19 Neck Use and New HA 26:18 PRP For Skin Remodeling 27:48 PRP Maintenance Versus Heat 28:41 New Dermal Injectables 30:04 Sculptra Versus CaHA 31:22 Avoiding Regeneration Hype 33:21 Teaching Safe Filler Use 36:05 Social Media Misinformation 40:26 Permanent Fillers Risks 43:20 Tracking Injectables Records 46:45 Counterfeit Toxin Crackdown 48:41 Final Takeaways And Wrap

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Ep 264 What's Trending in Aesthetics? (Chapter 4) | Dr Jake Sloane & David Segal Aug 08, 2024

Show notes

Episode 264 showcases our hosts Dr Jake Sloane & David Segal.

In our 'What's trending in Aesthetics?' mini-series we cover topics that have been popular with injectors on social media or in the news. We'll cover controversies, big stories and themes that have got our industry talking.

In Chapter 4 we cover:

The collapse and fall out of the large UK chain clinic called 'Sk:n' (since this story broke, there has been a major new update and we'll attempt to cover this in a future episode!)
The growing problem of injectors educating patients via social media
The drop in sales of hyaluronic acid filler around the globe
The impact on medical professionals when they are reported to the medical regulator - including a shocking report that 16 of these have committed suicide in the last 6 years.

00:00 Introduction 00:31 Update on Skin UK 01:34 Travel and Industry Events 02:25 New Profhilo Structura 04:38 New Profhilo Protocols 06:31 Upcoming Allergan Trips 08:00 Patreon Community Updates 10:41 IA Offers and Guest Calls 12:54 Trends Episode Kickoff 13:10 Skin Group Collapse 17:22 Private Equity Explained 27:45 Prepaid Treatments Risk 34:08 Social Media Misinformation 36:31 Financial Pressure Dilemmas 36:58 Consult With Anxious Patient 37:54 Instagram Sensationalism Effects 39:31 Misinformation and Unqualified Training 40:03 Ultrasound MRI Filler Confusion 41:51 Setting Boundaries With Patients 44:56 Pre Screening and Fair Pricing 46:48 Why Filler Demand Is Falling 50:48 New Tools and Patient Expectations 53:29 Injector Ergonomics and Injuries 57:36 Packaging Treatments to Replace Filler 59:43 AHPRA Complaints Crackdown 01:03:08 Anonymous Reports and Malice 01:06:51 Stress Impact and Indemnity Advice 01:09:24 Regulating the Regulator 01:11:47 Upcoming Episodes and Farewell

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Ep 263 The Tox Talks (Chapter 8): Nuceiva/Jeuveau/Prabotulinumtoxin | Dr David Eccleston Aug 01, 2024

Show notes

Episode 263 hosts Dr David Eccleston (Cosmetic Physician based in Birmingham, UK)

David joins us for chapter 8 of our mini-series 'The Tox Talks'. In these 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 8 we learn about one of the newest toxin brands called Nuceiva (Prabotulinum Toxin Type A). Manufactured by Evolus and also known as Jeuveau in the USA, Nuceiva will formally launch in Australia this week.

00:00 Introduction 03:25 Dr David Eccleston 04:04 Early Botox Days 07:38 Couture Toxins Approach 09:34 Training and UK Regulation 14:32 KOLs and Conflicts 18:00 Longer Lasting Toxin Debate 20:20 Toxin Science and Spread 27:18 Everly Company Backstory 32:37 Freeze vs Vacuum Drying 38:51 Packaging and Reconstitution 41:17 Preserved Saline Myths 45:07 Comparing Toxins and Consent 48:11 Consent and Disclosure 50:08 Placebo and Brand Bias 50:42 Switching to New Toxin 53:58 Technique and Dosing Nuance 58:33 Dilution and Equipment 01:02:10 Marketing and Regulation 01:03:24 Commercial Pricing Reality 01:10:29 Clinical Trials and Millennials 01:15:58 Resistance and Case Studies 01:21:26 Aftercare and Pregnancy 01:25:44 Future of Toxins 01:33:12 Conference and Wrap Up

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Ep 262 The Business Of Injecting (Chapter 15) | Dr Nestor Demosthenous Jul 25, 2024

Show notes

Episode 262 hosts Dr Nestor Demosthenous (Cosmetic Physician based in Edinburgh, Scotland)

Nestor joins us in the 15th 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 Introdution 03:28 Meet Dr Nestor Demosthenous 04:48 From Orthopedics To Aesthetics 06:33 Early Training And Mentors 08:31 First Clinic And Business Plan 11:22 Early Adopter Challenges 15:24 Scotland Aesthetics Laws 18:11 Building Edinburgh Clinic Brand 21:16 Natural Results Philosophy 24:14 Marketing And PR Strategy 30:21 London Clinics And Growth 33:49 Hiring Staff And Systems 38:00 Skin Services And Devices 42:08 Moving To A Forever Clinic 44:59 Renovation Team And Delays 47:01 Project Manager Red Flags 48:20 Why Renovations Blow Budgets 50:21 Quantity Surveyors And Tenders 53:44 Hidden Building Surprises 55:00 Exit Strategy And Planning 57:10 Clinic Scale And Team Growth 01:00:11 Regenerative Services Roadmap 01:06:56 Designing The Patient Journey 01:12:18 Skincare Sales And Metrics 01:16:46 Staff Retention And Culture 01:22:48 Marketing SEO And TikTok 01:25:30 CRM Automation For Retention 01:28:03 Training Plans And Wrap Up

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Ep 261 Masterclass Series (Chapter 1): Injectable Treatments for the Neck & Body | Dr Ligia Colucci Jul 04, 2024

Show notes

Episode 261 hosts Dr Ligia Colucci (Dermatologist based in Belo Horizonte, Brazil)

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

In chapter one we explore the use of injectable products for off label indications including:

the neck
the decolletage
the buttocks
the abdomen
the external labia in female patients

Depending on the indication and desired result, we discuss the roles of Sculptra (Galderma), Radiesse (Merz Aesthetics), Elleva (Rennova) and Profhilo (IBSA).

00:00 Introduction 03:04 Meet Dr Ligia Colucci 04:20 How Ligia Found the Show 07:08 Ligia's Background and Practice 08:55 Consults and Body Upsells 11:30 Neck Aging and Roadblocks 14:28 Surgery vs Non Surgical 17:27 Off Label and Regulations 19:45 Assessing Body Skin 23:39 Neck Concerns and Options 28:24 Biostimulators Dilution 31:05 Cannula Technique Details 33:59 Results and Neck Lines 36:41 Pinch Test and Retention 40:39 Ethics and Selling Debate 44:28 Pricing Confidence Consults 46:55 Pricing Without Fear 48:27 Choosing The Right Patients 49:30 Wild History Of Body Fillers 51:11 Macrolane Rise And Fall 54:10 Breast Injections No Go 55:29 Non Surgical BBL Basics 56:38 Cellulite Release Techniques 01:00:53 Brazilian PLLA Products 01:07:49 BBL Planning And Maintenance 01:13:19 Abdomen And Stretch Marks 01:17:09 Labia Rejuvenation Explained 01:23:05 Profhilo And Hand Rejuvenation 01:25:44 Nutrition And Collagen Support 01:28:31 Underdosing Botox Advice 01:30:07 Wrap Up And Where To Follow

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Ep 260 Epigenetics for Beginners | Hannah Went Jun 27, 2024

Show notes

Episode 260 hosts Hannah Went (Scientist and the founder of TruDiagnostics based in Kentucky, USA)

TruDiagnostic is a leading health data company and laboratory that specializes in epigenetic testing and research.

In this episode we explore the concept of epigenetics, it's role in aging and how we can test it to predict our future health - but also the future of our aesthetics.

00:00 Introduction 05:57 Introducing Hannah Went 11:15 Epigenetics Explained Simply 13:34 Why Epigenetics Matters Now 15:36 True Diagnostic and Bio Age 17:46 Choosing a Reliable Test 21:06 Common Aging Accelerators 22:51 Epigenetics Meets Aesthetics 27:21 Future In Clinic Skin Testing 29:25 Consultation Trust and Revenue 32:22 Lifestyle vs In Clinic Results 34:45 Trust and Consent 35:25 Choosing the Right Patients 38:00 Avoiding Desperate Marketing 38:50 How the Test Works 40:57 Turning Results Into Advice 43:02 Sleep as a Wake Up Call 45:24 Differentiating in a Saturated Market 51:07 Test Options and Reports 54:35 Methylation Explained 56:21 Supplements Evidence and NAD Debate 59:20 Reversing Aging and Future Risks 01:02:20 Five Year Tech Forecast 01:03:55 Education Resources and Offer 01:07:06 Wrap Up and Next Steps

CHECK OUT OUR SPECIAL IA OFFERS:

As mentioned in this podcast:

Create an account with TruDiagnostic and supply their TruAge testing kits for your patients in your clinic
Or order a TruAge kit to test your own biological aging and risk of diseases (apply the code IA12 in the check out to save 12% off the total)

Click here to browse all of our latest partner discounts & offers

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Ep 259 What's Trending in Aesthetics? (Chapter 3) | Dr Jake Sloane & David Segal Jun 20, 2024

Show notes

Episode 259 showcases our hosts Dr Jake Sloane & David Segal

In Chapter 3 we cover:

Facial Overfilled Syndrome
Ozempic Face
Mewing
Face Yoga

00:00 Introduction 00:48 NSS Conference Plans 02:18 Allergan Event Hologram Talk 05:23 Patreon And Community Plug 07:26 Today's Trend Topics 09:45 What Is Facial Overfill 11:42 Why It Happened 14:51 Fixing It With Better Consults 19:47 Treatment Planning Beyond Filler 26:13 Managing Overfilled Patients 31:02 Dissolving Filler Minefield 33:23 Tribunal Complaint Fallout 35:00 Consent Forms For Remedial Work 36:46 When To Say No 37:20 Success Story Tear Trough 38:26 Pricing Remedial Dissolving 40:27 Ozempic Face Explained 44:52 Preventing Weight Loss Hollowing 47:58 Mewing Basics And Origins 51:04 Palate Expansion And Breathing 53:41 Diet Theory And Facial Growth 57:21 Gua Sha And Face Yoga Skepticism 01:01:11 Ultrasound Guided Toxin Teaser 01:02:54 Wrap Up And Next Steps

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Ep 258 The Injector Diaries (Chapter 21) | Dr Karim Sayed Jun 13, 2024

Show notes

Episode 258 hosts Dr Karim Sayed (Cosmetic Physician based in Oslo, Norway)

Karim joins us in the 21st Chapter of our series called 'The Injector Diaries'. These episodes feature in depth conversations, stories and experiences from injectors around the globe.

00:00 Introduction 00:31 Injector Diaries Returns 01:25 Patreon and WhatsApp Community 02:48 Meet Dr Karim Sayed 05:04 Drumming to Medicine Journey 08:08 Finding Aesthetics and Training 16:48 Drumming Skills in Injecting 18:14 Toxin Technique and Nonresponders 20:54 Day to Day Work and Nomi Clinic 26:51 Nomi Launch Media Storm 33:17 Is All PR Good 34:30 Handling Public Criticism 37:08 Patients Support and Pressure 40:36 Media Crisis War Stories 43:34 Fixing Injector Standards 48:39 Politics and Regulation Reality 53:47 Before and After Bans 59:56 Norwegian Patient Aesthetic 01:03:35 Regenerative Trend and Research 01:09:45 Future of Toxins 01:10:20 Future of Toxins 01:12:15 Dose and Dilution Control 01:15:03 Mastering the Basics 01:18:55 Social Media Pressure 01:20:28 Subspecialization Trends 01:23:57 Dilution and Tools 01:26:57 Favorite Filler Pick 01:28:51 Vascular Occlusion Stories 01:32:13 Ultrasound in Practice 01:35:11 Goals and Wrap Up

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