Inside Aesthetics

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Latest Episodes:

Ep 177 The Business of Injecting (Chapter 1) | Dr Jake Sloane & David Segal Jul 28, 2022

Show notes

Episode 177 showcases our hosts Dr Jake Sloane & David Segal

In this episode Dr Jake & David introduce their new series of episodes, 'The Business of Injecting'. We'll be stepping away from the nitty gritty of injecting technique to instead focus on the business side of things.

In future episodes of 'The Business of Injecting', we'll host injectors to discuss all sorts of aspects of their business model. We'll analyse their struggles and challenges, difficult decisions that need to be made, the friction points that aren't yet solved, financial concerns, staffing, hiring, firing and all the other issues that crop up when working in or owning an injectables clinic.

We'll also celebratrate some of the success stories of the barriers that injectors have overcome and showcase learning points that can be put into action by other injectors.

00:00 Introduction 01:03 Why Business Conversations Matter in Aesthetics 04:55 From Surgery to Injecting Career Path 10:59 First Training Courses and Early Mistakes 18:27 Choosing Where to Start Your Injecting Career 26:25 Chain Clinics Versus Independent Practice Models 33:29 Importance of Mentorship and Learning From Others 41:37 Planning Your Career and Exit Strategy Early 48:53 Understanding Income, Risk and Financial Stability 52:09 Building Confidence to Leave Traditional Medicine 61:45 Working in Teams and Supporting Clinic Staff 68:49 Managing Difficult Employees and Protecting Culture 76:38 Budgeting, Costs and Setting Your Prices Properly 80:09 Patient Experience Versus Clinical Skill Alone 86:34 Finding Your Ideal Patient and Brand Identity 90:43 Long Term Career Planning and Business Sustainability

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Ep 176 The Tox Talks (Chapter 3): Toxin resistance | Dr Stefania Roberts & Dr Niamh Corduff Jul 21, 2022

Show notes

Episode 176 hosts Dr Stephania Roberts (Phlebologist & Cosmetic Physician from Melbourne, Australia) & Dr Niamh Corduff (Plastic Surgeon from Geelong, Australia)

In this mini series 'The Tox Talks', we feature expert injectors who have significant experience in using botulinum toxin. 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 our of toxins.

In chapter 8 we discuss the poorly understood topic of toxin resistance. In what was one of our most engaging podcasts to date, our expert guests debated the topic and we covered:

What we mean by 'resistance'?
Whether there's a difference between being resistant and being a 'non-responder'?
What's a primary non-responder vs secondary non-responder?
The incidence of toxin resistance - and the difficulty in quoting this rate
The main steps in how Botox (Allergan brand) is manufactured and why this is relevant to the topic
How this differs from the manufacture of Xeomin (Merz brand)
Accessory proteins and their role in the body's immune response
Neutralising antibodies vs non-neutralising antibodies
Does a higher dose create a higher risk of resistance
If so, what do we mean by 'high' dose?
The role of dose frequency and risk of resistance
What steps an injector should go through to review a patient complaining that their toxin 'didn't work'
How to explain a less than satisfactory toxin outcome to to a patient
Should you swap your patient to a different brand of toxin if you don't see results?
The phenomenon of post-lockdown 'failed' toxin treatments globally - was this real or just perceived?
What tests can you do for a true primary non-responder and whether these are practical in an every day injectors clinic

00:00 Introduction 01:03 Meet our Guests: Dr Stefania Roberts & Dr Niamh Corduff 04:55 What Toxin Resistance Actually Means 10:59 Primary Versus Secondary Non Responders 18:27 How Common Resistance Really Is 26:25 Role of Antibodies and Immune Response 33:29 Differences Between Toxin Formulations 41:37 Protein Load and Why It Matters 48:53 Dose, Frequency and Long Term Risk Factors 52:09 High Dose Treatments and Therapeutic Use 61:45 Real World Incidence in Clinical Practice 68:49 Managing Patients When Toxin Seems to Fail 76:38 Importance of Technique, Records and Follow Up 80:09 Patient Expectations and Communication 86:34 Preventing Resistance Through Smart Treatment Planning 90:43 Key Takeaways for Safe Long Term Toxin Use

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Ep 175 The Basics of Facial Ultrasound For Injectors | Dr Leonie Schelke, Dr Stella Desyatnikova & Stuart Turner Jul 14, 2022

Show notes

Episode 175 hosts Dr Leonie Schelke (Dermatologist, Amsterdam, Holland), Dr Stella Desyatnikova (Facial Plastic Surgeon, Seattle, USA) & Stuart Turner (Managing Director of Real Time Ultrasound Machines, Australia)

Leonie was one the earliest pioneers in using ultrasound for facial aesthetic treatments. She co-founded the globally-renowed complications centre at Erasmus University in Rotterdam where she and her colleagues manage national & international referrals. She also co-founded 'Cutaneous Facial Ultrasound' in 2019, a world-renowned course that teaches injectors the skill to use and interpret facial ultrasounds. .

Stella is a leading facial plastic surgeon and taught herself facial ultrasound independantly in the USA. She has incorporated this fully into her surgical and injectable consultations and is considered one of the leading experts of the technique in the world.

Stuart's background in physiotherapy taught him the foundations of musculoskeletal ultrasound long before it was being used in aesthetics. He's now the Managing Director of Real Time Ultrasound Machines who distribute and support injectors to use Vinno ultrasound devices across Australia.

00:00 Introduction 01:03 Meet our Guests: Dr Leonie Schelke, Dr Stella Desyatnikova & Stuart Turner 04:55 Early Experiences With Filler Complications 10:59 How Ultrasound Entered Aesthetic Practice 18:27 Understanding What Ultrasound Actually Shows 26:25 Learning to Read Images and Recognize Anatomy 33:29 Why Ultrasound Improves Injection Safety 41:37 Common Resistance to New Technology 48:53 Real World Uses Including Vascular Mapping 52:09 Using Ultrasound for Complication Management 61:45 Diagnosing Lumps, Inflammation and Filler Placement 68:49 Targeted Hyaluronidase and Lower Dosing 76:38 How Ultrasound Changes Treatment Planning 80:09 Patient Reassurance and Communication Benefits 86:34 Will Ultrasound Become Standard Practice 90:43 Final Thoughts on Safety and Future Adoption

This podcast was sponsored by Real Time Ultrasound Machines.

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Ep 174 News from Europe & Making Sense of Aesthetic Tribalism | Dr Jake Sloane & David Segal Jul 07, 2022

Show notes

Episode 174 showcases our hosts Dr Jake Sloane & David Segal

We start by discussing the economic strain we're experiencing globally and try to predict how hyper-inflation and rising interest rates might affect injectors and clinics.

We then explore Dr Jake's key takeaways from his European trip to his ultrasound and injecting course, IMCAS, Science of Aging & the Beauty Through Science conferences including:

- Ultrasound in facial aesthetics

- New toxins

- New fillers with new crosslinking technology

- Allergan's new hybrid injectable, 'HarmonyCa'

- Fat dissolving, the forgotten treatment!

In the second half of the podcast we explore the phenomenon of tribalism and polarisation within aesthetics. After an aesthetic injectors story on Instagram went viral amongst the aesthetic community last week, we explore why emotions run so high and try to make some sense of it all.

00:00 Introduction 01:03 Workforce Shortages and Rising Costs 04:55 Interest Rates and Economic Pressures on Clinics 10:59 How Consumer Spending May Change in Aesthetics 18:27 Chain Clinics Versus Boutique Practices 26:25 Key Learnings From the International Conference 33:29 Why Ultrasound Is Becoming More Important 41:37 Managing Complications With Better Imaging 48:53 New Anti Aging Research and Future Treatments 52:09 Emerging Hybrid Fillers and Skin Quality Solutions 61:45 New Toxins and Changing Product Landscape 68:49 Why Fat Dissolving Treatments Are Losing Attention 76:38 Social Media Influence and Industry Misinformation 80:09 Tribalism Between Brands and Training Groups 86:34 Importance of Open Discussion and Critical Thinking 90:43 Final Reflections on the Future of Aesthetic Medicine

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Ep 173 When Lip Fillers Aren't Enough - Peri-Oral Aging & the Surgical Lip Lift | Dr Ben Talei Jun 30, 2022

Show notes

Episode 173 hosts Dr Ben Talei (Plastic Surgen based in Beverley Hills, USA)

Ben specialises in face lifts, rhinoplasties, peri-ocular surgery and in particular, has become world-famous for his own modified approach to the surgical lip lift.

The lip lift is a surgical treatment that has come back into vogue after first being invented in 1973 - but it never took off due to the unpredictable outcomes and unacceptable facial scarring. Dr Talei has revolutionised this type of surgery and trains surgeons in his technique. Being an injector as well as a surgeon, Dr Talei offers unique insight into the limitations of lip fillers and when surgery should be considered.

00:00 Introduction 01:03 Meet Dr Ben Talei 04:55 From Reconstruction to Cosmetic Surgery 10:59 Why Surgeons Should Learn Injectables 18:27 Understanding Lip Aging and Volume Loss 26:25 How Overfilling Changes Lip Anatomy 33:29 When Filler Is No Longer Enough 41:37 Assessing Tooth Show and Lip Length 48:53 Choosing Between Filler and Lip Lift 52:09 Common Mistakes With Lip Treatments 61:45 History and Evolution of the Lip Lift Procedure 68:49 What Happens During a Lip Lift Surgery 76:38 Recovery Timeline and Healing Expectations 80:09 Risks, Complications and Managing Scars 86:34 Treating Younger Patients and Overfilled Lips 90:43 Final Advice on Realistic Lip Rejuvenation

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Ep 172 The Growing Problem with Instagram & Hacked Accounts | Dr Jake Sloane & David Segal Jun 24, 2022

Show notes

Episode 172 showcases our hosts Dr Jake Sloane & David Segal

With Dr Jake being away in Europe for a few weeks, we thought we'd do something a bit different.

In this episode we first discuss some big news regarding our studio and David's businesses. We then find out where Dr Jake is going and why.

We then take a break from our usual injecting topics to discuss a serious issue that seems be plaguing injectors, clinics and businesses all over the world - the weird world of Instagram hacking.

Imagine this scenario - you're an injector who's painstakingly built up your Instagram account to several thousand followers. You have real, engaged and loyal patients who stay in touch with your business via your Instagram profile.

You're posting regularly, the likes are growing, you're making connections and networking with other similar businesses, your profits have grown post-COVID and life is good.

Then one day, out of nowhere, you notice that you've been logged out of your Instagram account. When you try to re-log back in, you get an error message telling you that you've violated Instagrams terms and conditions. You have no idea what has happened, you're completely cut off from your business and there's absolutely nothing that you can do about it.

00:00 Introduction 01:03 Renovations and Life Outside the Clinic 04:55 Selling a Business and Major Career Changes 10:59 Why Owners Step Away From Established Clinics 18:27 Industry Changes and Economic Uncertainty 26:25 Preparing for International Conferences 33:29 Learning Ultrasound and New Clinical Skills 41:37 Why Ultrasound May Become Standard Practice 48:53 Choosing Equipment and Training Pathways 52:09 Balancing Innovation With Patient Safety 61:45 Social Media Risks for Clinics and Practitioners 68:49 Real Stories of Instagram Account Hacking 76:38 Business Impact of Losing Social Media Access 80:09 Essential Security Steps to Protect Your Account 86:34 Backup Strategies and Communication With Patients 90:43 Final Advice on Protecting Your Business Online

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Ep 171 The Origins of Soft Tissue Filler Adverse Events - Part 2 | Dr Tom Decates Jun 17, 2022

Show notes

Episode 171 hosts Dr Tom Decates (Cosmetic Physician based in Amsterdam, Holland)

In the second half of this two part episode (please listen to episode 170 first!), we continue our discussion on the topic of filler complications.

Tom works at the Erasmus University Hopsital where he and his colleagues run the only filler complications centre in the world. He has undertaken formal research in the field and completed his PhD in 2021 entitled, 'The origin of soft tissue filler adverse events'.

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Ep 170 Part 1 The Origins of Soft Tissue Filler Adverse Events | Dr Tom Decates May 26, 2022

Show notes

Episode 170 hosts Dr Tom Decates (Cosmetic Physicial based in Amsterdam, Holland)

Tom is a Cosmetic Physician who also specialises in cosmetic complications. He works at the Erasmus University Hopsital where he and his colleagues offer the only filler complications centre in the world.

He has undertaken formal research in the field and completed his PhD in 2021 entitled, 'The origin of soft tissue filler adverse events'.

Part 1 (this episode) is available to listen to on all of your favourite podcast apps.
Part 2 will be available exclusively on our new app called IA Community launching in May (Click here to join our waitlist)

00:00 Introduction 01:03 Meet Dr Tom Decates 04:55 Types of Serious Filler Complications Explained 10:59 Why Managing Expectations Is Critical 18:27 How the Immune System Responds to Filler 26:25 Early Versus Delayed Inflammatory Reactions 33:29 Understanding Lumps, Nodules and Infections 41:37 Role of Bacteria and Biofilm Formation 48:53 Importance of Proper Skin Cleaning and Hygiene 52:09 Dental Health and Hidden Infection Risks 61:45 Psychological Impact of Complications on Patients 68:49 Supporting Patients Through Adverse Events 76:38 COVID Vaccines and Filler Reactions Explained 80:09 Genetic Predisposition and DNA Risk Testing 86:34 Why Smaller Volumes May Reduce Risk 90:43 Key Safety Lessons and Preparing for Part Two

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Ep 169 The Tox Talks (Chapter 2): Alluzience/Liquid Abobotulinum | Dr Christoph Martschin May 19, 2022

Show notes

Episode 169 hosts Dr Christoph Martschin (Dermatologist based in Lisbon, Portugal)

Christophe has been a Galderma KOL since 2011. As a global speaker and trainer, he has a wealth of knowledge when it comes to Galderma's portfolio and research projects.

In this mini series 'The Tox Talks', 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 2 we focus on a newly launched brand called 'Alluzience', (Abobotulinum toxin A), a novel toxin developed by Galderma that is the world's first liquid toxin.

00:00 Introduction 01:03 Dr Christoph Martschin 04:55 Why Liquid Toxin Was Developed 10:59 How Alluzience Differs From Traditional Toxins 18:27 Faster Onset and Longer Duration Explained 26:25 Patient Demand for Convenience and Flexibility 33:29 Practical Benefits of Pre Diluted Toxin 41:37 Reducing Human Error and Improving Consistency 48:53 Sustainability and Reduced Clinical Waste 52:09 Managing Patient Expectations With Longer Duration 61:45 Pricing, Profitability and Clinic Workflow 68:49 Comfort During Injection and Treatment Experience 76:38 When to Use Different Toxin Options 80:09 Consultation Approach and Treatment Planning 86:34 Safety Profile and Real World Performance 90:43 Future of Neuromodulators and New Product Innovation

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Ep 168 The Injector Diaries (Chapter 7) | Dr Sarah Hart May 12, 2022

Show notes

Episode 168 hosts Dr Sarah Hart (Cosmetic physician from Auckland, New Zealand)

Sarah joins us in the 7th Chapter of our mini-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'll showcase every level 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 businesses and aim to learn from and inspire our injector listeners.

00:00 Introduction 01:03 Meet Dr Sarah Hart 04:55 From Psychiatry to Cosmetic Medicine 10:59 Discovering the Mind Body Connection 18:27 Early Days of Botox and Industry Growth 26:25 Why Teaching and Sharing Knowledge Matters 33:29 Overcoming Stigma Around Cosmetic Treatments 41:37 Learning to Say No to Patients 48:53 Building Trust Through Honest Consultations 52:09 Using Photos to Educate and Manage Expectations 61:45 Perception Drift and Recognizing Over Treatment 68:49 Balancing Patient Requests With Professional Judgment 76:38 Training Standards and Professional Development 80:09 Working With Nurses and Team Based Care 86:34 Career Longevity and Avoiding Burnout 90:43 Final Advice for New Injectors and Industry Growth

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