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Latest Episodes:

Ep 157 The Injector Diaries (Chapter 4) | Dr Martina Lavery Feb 10, 2022

Show notes

Episode 157 hosts Dr Martina Lavery (Dental surgeon & facial aesthetic injector based in Sydney, Australia)

Martina joins us in the 4th 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 00:45 Meet Dr Martina Lavery 02:55 Martina Background Dentistry 07:10 Dentistry Competition Ethics 16:10 Trust Education Consent 26:10 Choosing Ethical Dentist 31:25 Why She Started Injecting 36:00 Training Evidence Wild West 39:25 Aesthetics Meets Function 39:45 Credentials Versus Skill 40:55 Masters And Board Battle 42:25 Dentists Scope In Injectables 44:40 Art Training And Mentors 49:25 Protocols Versus Intuition 55:40 Stigma And Anonymous Complaints 01:00:00 Fixing The Complaint System 01:03:00 Dental To Aesthetic Consult Flow 01:07:20 Oral Bacteria And Filler Risk 01:11:25 Photography Vectra And Ultrasound 01:15:55 Managing Difficult Patients 01:17:35 Dysmorphia and Red Flags 01:19:30 Social Media Reality Shift 01:22:30 COVID Stress and Bruxism 01:23:40 Instagram Reels Strategy 01:28:10 Marketing Attribution Puzzle 01:29:20 New Clinic Expansion Plans 01:32:35 Designing a Calmer Clinic 01:36:05 Quickfire Injector Toolkit 01:41:40 Lessons Community Competition 01:44:05 Wrap Up and Where to Find

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Ep 156 Teeth Grinding & Clenching (Bruxism) – What Injectors Need to Know About Treating These Conditions | Professor Bob Khanna Feb 03, 2022

Show notes

Episode 156 hosts Professor Bob Khanna (Dental surgeon and expert facial aesthetic educator from Reading based in the UK)

Professor Khanna was the world's first recognised dentist to offer injectables and since 1996, he's been a leading thought leader in the field. He's continually evolved his own novel techniques and modalities to treat the face holistically.

He is also a global-thought leader in the diagnosis and management of teeth grinding and clenching problems, also known as 'bruxism'.

Injectors very commonly treat the masseters for both aesthetic and teeth grinding and so we ask the question - should they be doing this and what problems might they inadvertently create without a thorough examination?

We discuss: - What bruxism is and how grinding differs from clenching?

- Why these issues occur?

- The role of posture in preventing parafunctional habits

- The problem with soft dental plates that are commonly made by dentists to protect the teeth

- How bruxism contributes to 'TMJ' (jaw joint) disorders

- The forces that are generated between the teeth when grinding

- What happens in bruxism exactly and what are the consequences of it?

- How dentists identify bruxers: key bullet points when examining the face and mouth

- Why most dentists aren't experts in treating and assessing bruxism symptoms

- What injectors should ask and do when assessing their patients

- The anatomy of the muscles of mastication, as well as some of the accessory muscles involved in bruxism

- The role of botulinum toxin to treat the muscles of mastication

- the risks of overtreating the masseters: physiological and aesthetic

- how to approach the masseter

- How to approach the temporalis

- how to approach the lateral and medial ptyergoids

- how to decide if these muscles are impacted or need treating in bruxism?

- how injectors can work alongside dentists in managing bruxism symptoms

00:00 Introduction 01:03 Meet Professor Bob Khanna 04:55 Early Adoption of Botox in Dentistry 10:59 Why Anatomy Knowledge Matters in Aesthetic Practice 18:27 Understanding Bruxism and Teeth Clenching 26:25 Functional Versus Cosmetic Masseter Treatment 33:29 Risks of Treating Muscles Without Addressing Occlusion 41:37 Signs and Symptoms of Grinding and Jaw Dysfunction 48:53 Comprehensive Assessment and Diagnosis Approach 52:09 Role of Dentists and Multidisciplinary Collaboration 61:45 Why Soft Splints Often Fail Long Term 68:49 Using Toxin to Reduce Muscle Spasm Safely 76:38 Treatment Planning Beyond Aesthetic Slimming 80:09 Managing Patient Expectations and Long Term Care 86:34 Key Lessons for Safe Masseter and Bruxism Treatment

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Ep 155 What Aesthetic Treatments Have We Both Had Done & Why? | Dr Jake Sloane & David Segal Jan 27, 2022

Show notes

Episode 155 showcases our hosts Dr Jake Sloane & David Segal

They first summarise their Christmas break (or lack of it!) and the new challenges that they faced when reopening their clinics in 2022. They share their plans for IA this year including:

- Continuing IA's new and extremely popular mini series, 'The Injector Diaries' & 'Treatments and Regions Uncovered'

- Two new mini series starting soon called 'Disasters & Solutions' & 'The Tox Talks'

Dr Jake and David then get into the main topic of this episode - an in depth discussion about what aesthetic treatments they've both had including:

- what skin care and products they use

- Botulinum Toxin treatments: when they both started having Botox, what areas were treated and why

- fillers (including both hyaluronic acid fillers and biostimulators): what areas of the face they have had treated and why

- fat dissolving injections: Dr Jake's experience with Belkyra

- cosmetic surgery: David talks about a procedure he had a few years ago

00:00 Introduction 01:04 COVID Disruptions and Clinic Challenges 10:59 Podcast Plans and New Series for 2022 18:27 Future Topics and Industry Trends 26:25 Why Learning From Mistakes Matters 33:29 Treatments and Regions Series Explained 41:37 Body and Skin Treatments Beyond the Face 48:53 Industry Growth and New Technologies 52:09 Transition to Personal Treatment Stories 61:45 Skin Care Routines and Sun Protection Basics 68:49 First Experiences With Botox and Early Treatments 76:38 Male Aesthetic Preferences and Natural Movement 80:09 Volume Loss, Aging and Role of Fillers 86:34 Honest Reflections on Treatments and Expectations 90:43 Final Thoughts on Aging Well and Looking Natural

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Ep 154 Treatments & Regions Uncovered: The Chin & Jawline | Dr Steven Weiner & Dr Jake Sloane Jan 13, 2022

Show notes

Episode 154 hosts Dr Steven Weiner (Facial plastic surgeon based in Florida, USA)

In 2005 Dr Weiner 'laid down his scalpel' and has since become one of the world's leading injectors and an expert in non-surgical treatments. He's one of Galderma's global KOL's and is also a leading thought leader in the emerging sub-speciality of using ultrasound in injectables.

In these episodes called 'Treatments & Regions Uncovered', we drill down into how to approach specific areas of the face, what techniques can be used and what our guests have changed over time as they mastered their techniques. We'll also explore the patient perspective and get an understanding of their needs and complaints, as well as discussing any alternative treatment options that might be considered. We also discuss the anatomy and facial ageing signs of the area to better understand what's happening before going on a deep dive to find out:

- how our guests do it

- what products and tools they prefer and why

- what approaches they use and why

- what we can learn from their experiences and the complications that they've encountered

As an extra twist to these episodes, our co-hosts Dr Jake and David take on slightly different roles! David will act as our main host and give his own 'patient' perspectives whilst Dr Jake will join the week's guest as a second expert injector to share his own insights, tips and tricks.

In the 2nd chapter of 'Treatments and regions uncovered' we'll be exploring the chin and jawline areas, the boundaries of the lower face and key facial signs of sexual dimorphism.

We cover:

- Some of the anatomical terms used to describe the area

- What patients typically complain of when considering chin and jawline treatments

- What factors have an influence in chin and jawline definition

- Sexual dimorphism in chin and jawlines and whether we should follow the 'aesthetic rules' concerning these

- What treatment modalities can be used to improve the chin, jawline and also the neck

- What do 'bad' lower face filler treatments look like?

- The role of toxins in the chin and the masseters

- The interesting concept of 'mewing' and how this may impact on our facial aesthetics

- Needle vs cannula techniques when approaching the chin and jawline fillers

00:00 Introduction 03:10 Jawline Trend Setup 04:00 Meet our Special Guest: Dr Steven Weiner 07:00 Why He Quit Surgery 11:00 Jawline Assessment Basics 16:00 Ratios Rules And Diversity 22:20 Neck And Fat Reduction Tools 26:10 Patient Complaints And Goals 29:15 Neck Treatments Strategy 33:15 Chin Jaw Anatomy Terms 36:25 Bad Jawline Filler Pitfalls 38:05 Why Humans Have Chins 38:45 Why We Have Chins 39:55 Hormones And Jawlines 42:45 Teeth Extraction Effects 49:35 Mewing Explained 53:50 Assessment And Injection Plan 54:15 Cannula Planes And Ports 57:30 Product Selection Choices 01:05:55 Chin Toxin Technique 01:09:30 Volumes And Staging 01:13:50 Complications And Ultrasound 01:18:00 Managing Occlusion Anxiety 01:19:35 Ultrasound Guided Hyalase 01:20:50 Oxygen Patch Adjunct 01:22:50 Trust After Complications 01:26:10 Spotting Early Occlusion 01:29:50 Anatomy Variations on Ultrasound 01:33:55 Jawline Q&A Techniques 01:39:55 Aging Jawline Advice 01:42:40 Future Treatments Microcoring 01:46:30 Masseter Botox Slimming 01:50:20 Wrap Up and Next Panel

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Ep 153 The Story of Fillers | Per Winlof Dec 23, 2021

Show notes

Episode 153 hosts Per Winlof (Chief Design Expert of Galderma based in Uppsala, Sweden)

Per leads Galderma's global R&D and is responsible for all of their filler portfolio from the past, the present and into the future.

Back in 1990 Per was a microbiology student at university in Uppsala. To help supplement his income, he applied for a job at a very small biotech company founded by Dr Bengt Ågerup called 'Q-Med'. Although fillers were already available (as collagen-based products), Per and his team developed a completely new way of manufacturing fillers made out of a sugar-molecule using bacteria. They launched the world's first sugar-based dermal filler in 1996.

This new product completely revolutionised the world of facial aesthetics. To this day, approximately 95% of dermal fillers are based on this original technology. Q-Med were acquired by Galderma in 2010 and this podcast celebrates the 25th birthday of the world's first modern filler.

We explore:

- Per's background and why he applied for a job at Q-Med?

- Who started Q-Med and why?

- Who developed the original technology of sugar-based fillers and why they were invented in the first place?

- How the idea of facial fillers was conceived?

- The key differences between collagen fillers (available in the early 1990's) and the newer sugar-based fillers

- How sugar-based fillers are made in the lab?

- The advantages of fillers that don't contain animal products

- Why fillers come in a 1ml syringe?

- What cross-linking is?

- The beginnings of the science of filler rheology: how and why the properties of fillers can differ?

- Filler integration vs tissue integration

- Whether fillers dissolve or not?

- The key safety feature of sugar-based fillers: reversibility and the use of dissolving agents

- Whether Per gave us any clues about what's coming in the future?

00:00 Introduction 01:03 Meet Our Guest Per Winlof 04:55 Early Days of Filler Development in the 1990s 10:59 Why Bacterial Sources Replaced Animal Derived Materials 18:27 How Hyaluronic Acid Fillers Are Manufactured 26:25 What Cross Linking Means and Why It Matters 33:29 Building a Portfolio of Different Filler Types 41:37 Scaling Production and Growing Global Demand 48:53 What Happens to Filler After Injection 52:09 Understanding Integration Versus Degradation 61:45 Why Longevity Differs Between Patients 68:49 Rheology, Lift and Tissue Movement Explained 76:38 Safety, Reversibility and Role of Hyaluronidase 80:09 Importance of Training and Anatomical Knowledge 86:34 Future Directions and Innovation in Filler Technology

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Ep 152 The Injector Diaries (Chapter 3) | Madilyn Wolens Dec 16, 2021

Show notes

Episode 152 hosts Madilyn Wolens (Registered Nurse based in Brisbane, Australia)

Better known as 'The Functional Nurse' and Founder of 'The Functional Skin Studio', Madilyn joins us in our 3rd Chapter of 'The Injector Diaries' - an in depth conversations, stories and experiences from injectors around the globe. In this mini-series, each injector brings their own unique take on things and we'll showcase every level of injector, from newbies to masters and from all walks of life. 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.

Madilyn suffered with poor skin as a teenager and was inspired to work within the aesthetic space to help others with similar issues. But her experience of conventional treatments sparked an interest in a more holistic approach to skin care and she now leads a team including a naturopath, holistic facialist in addition to offering injectables herself.

00:00 Introduction 01:03 Meet Madilyn Wolens 04:55 Personal Skin Struggles and Career Motivation 10:59 Transition From Beauty Therapy to Injecting 18:27 Learning to Inject and Early Confidence Challenges 26:25 Importance of Mentorship and Supportive Clinics 33:29 Managing Difficult Patients and Setting Boundaries 41:37 Recognizing Red Flags and Saying No to Treatment 48:53 Building a Personal Brand and Patient Trust 52:09 Starting a Clinic and Early Business Lessons 61:45 Burnout, Anxiety and Finding Work Life Balance 68:49 Integrative Medicine and Treating Root Causes 76:38 Combining Injectables With Holistic Patient Care 80:09 Growing a Team and Delegating Responsibilities 86:34 Advice for New Injectors and Business Owners

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Ep 151 A Review of 2021 & Our Plans for IA in 2022 | Dr Jake Sloane & David Segal Dec 09, 2021

Show notes

Episode 151 hosts Dr Jake & David (Co-hosts and co-founders of the podcast) We summarise 2021 that was yet again ravaged by COVID and lockdowns. Dr Jake & David share some insights into just how disruptive the effects of the lockdown have been for the podcast. They reflect back on their last episode together (Episode 141) where they made predictions about what the Australian injectable and aesthetics industry would look like post-lockdown. Specific discussion points include: - Some insights into why things have been so hectic behind the scenes recently

00:00 Introduction 01:03 Why There Is No Guest This Week 04:55 Staffing Shortages Across Clinics 10:59 Rising Costs, Wages and Business Pressure 18:27 Managing Patient Demand and Long Wait Times 26:25 Handling Patient Expectations and Complaints 33:29 Burnout, Retention and Staff Wellbeing 41:37 Post Lockdown Demand and Business Recovery 48:53 Should Clinics Raise Prices During High Demand 52:09 Training Standards and Pathways for New Injectors 61:45 Need for Better Education and Industry Regulation 68:49 Upcoming Podcast Guests and New Series Plans 76:38 Video Content and Expanding the Podcast Platform 80:09 Reflections on the Year and Lessons Learned 86:34 Looking Ahead to the Future of Aesthetic Practice

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Ep 150 Research & Development in Aesthetics | Dr Stephanie Manson-Brown Dec 02, 2021

Show notes

Episode 150 hosts Dr Stephanie Manson-Brown (Plastic surgeon and an experienced leader in the biotech and pharmaceutical industry) Dr Manson-Brown is Head of Clinical Development and Vice President of Research and Development at Allergan Aesthetics, an AbbVie company. She and her team are responsible for global clinical trial development strategy for the aesthetics portfolio covering pharmaceuticals and devices. Stephanie also is the co-founder of the 'Science of Aging' platform, being born out of a desire to bring the latest developments from the field of aging science to the aesthetics arena and explore how these discoveries could potentially translate to aesthetic medicine.

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Ep 149 Treatments & Regions Uncovered: The Tear Trough | Dr Gavin Chan & Dr Jake Sloane Nov 27, 2021

Show notes

Episode 149 hosts Dr Gavin Chan (Cosmetic physician based in Melbourne, Australia)

Gavin has worked in the field for over 16 years and he also hosts an extremely successful YouTube channel (under his clinics name 'Victorian Cosmetic Institute) where he explores injectables topics, controversies and more.

In this new series of episodes called 'Treatments & Regions Uncovered', we'll be drilling down into how injectors approach specific areas of the face, what techniques they use and what they've changed over time as they mastered the technique. We'll explore the patient perspective and get an understanding of their needs and complaints, as well as discussing any alternative treatment options that might be considered.

00:00 Introduction 04:55 Why Tear Trough Treatment Became So Popular 10:59 Understanding What a True Tear Trough Is 18:27 Common Causes Including Genetics and Aging 26:25 Why Patients Often Misdiagnose Their Concern 33:29 Challenges With Patient Expectations and Perfectionism 41:37 Complications Including Puffiness and Tyndall Effect 48:53 Why Some Results Look Good Initially but Change Over Time 52:09 Real Case That Led to Stopping Tear Trough Treatments 61:45 Importance of Anatomy and Ligament Structure 68:49 Alternative Approaches Including Mid Face Support 76:38 When Surgery May Be a Better Option Than Filler 80:09 Managing Dissolving, Refilling and Long Term Outcomes 86:34 Key Lessons on Patient Selection and Saying No

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Ep 148 Integrating Skin Care with Injectables | Dr Danae Lim & Nicky Lurie Nov 22, 2021

Show notes

Episode 148 hosts Dr Danae Lim (Cosmetic Physician) & Nicky Lurie (Skin therapist) who both work at Shape Clinic, Sydney.

During this episode, we discuss how the expertise of skin care intersects with injectables. Whilst some injectors have extensive knowledge in the field of skin anatomy and cosmetic ingredients, the majority aren't trained in this important speciality.

We cover:

- How skin care & injectables go hand in hand

- How poor skin quality affects the outcomes of injectable

- How practitioners might integrate skin care into their practice

- What the limitations of injectables are and where can skin treatments can optimise patients overall aesthetic outcomes

- Why traditionally has there been such a disconnect between skin therapists and injectors?

- What are the most common skin concerns that are poorly treated with injectables?

- Why patients find the skin such a mystery? How can we educate people better?

- How to discuss sun protection with injectable patients

- The art of working as a team to maximise your patients goals

00:00 Introduction 01:04 Meet Dr Danae Lim & Nicky Lurie 04:55 Why Skin and Injectables Must Work Together 10:59 Building a Team Based Approach to Patient Care 18:27 Common Skincare Mistakes and Product Overload 26:25 Education Over Selling in Aesthetic Practice 33:29 Why Injectables Cannot Fix Skin Quality Alone 41:37 Matching the Right Treatment to the Right Problem 48:53 Managing Aging Skin and Setting Realistic Expectations 52:09 When to Refer for Surgery Versus Skin Treatments 61:45 Importance of Sun Protection and Prevention 68:49 Treatment Planning for Severely Sun Damaged Skin 76:38 Preparing Skin Before Surgery for Better Outcomes 80:09 Role of LED Therapy and Post Treatment Recovery 86:34 Key Lessons on Holistic Care and Patient Trust

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