Inside Aesthetics

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Latest Episodes:

Ep 117 The Future of Medical Education – Virtual Reality, Augmented Reality & AI | Professor Shafi Ahmed Apr 15, 2021

Show notes

Episode 117 hosts Professor Shafi Ahmed (Colorectal surgeon based in the UK)

But outside of his day job, Professor Ahmed has a much more extensive role in health care provision, being one of the top 20 global influencers in digital health and innovation. He advises the UK government on the 'Long-Term Plan' for health care and was awarded the Future NHS Award by members of Parliament. He is also the civilian advisor for the British Armed Forces in General Surgery.

He has helped design and implement surgical education programmes in over 20 countries including conflict zones. Recently he was commissioned by the Abu Dhabi government to help digitalise and innovate their health care system for the future.

Professor Ahmed has the unique accolade of being the world's most watched surgeon, having streamed live operations using 'Google Glass', 'SnapChat Spectacles' and live on British national television. These events allowed tens of thousands of students to learn across the world live and simultaneously. He was also the first surgeon to operate using 'Microsoft Hololens', collaborating on a live case with the avatars of colleague surgeons who were actually based in different continents.

If that wasn't enough, Professor Ahmed co-founded Medical Realities, a virtual reality medical education company. Here he is pioneering ways of teaching the surgeons of the future including the use of haptic feedback gloves – with implications for how the practical skills of medical professionals are learnt including aesthetic doctors and injectors.

00:00 Introduction 01:04 Meet Professor Shafi Ahmed 03:25 Career Shift From Surgery to Innovation 07:03 Why Doctors Need to Reinvent Themselves 10:59 The Spark That Led to Medical Technology Work 13:31 First Live Surgery Stream Using Wearable Tech 18:27 Scaling Medical Education Globally 21:18 Using Virtual Reality to Train Surgeons 26:25 Social Media and Democratizing Medical Learning 30:08 Bringing Global Experts Into the Operating Room 33:29 Resistance to Innovation in Medicine 36:15 Managing Risk While Pushing New Ideas 40:13 Applying VR and AR to Aesthetic Training 42:46 Remote Mentoring and Managing Complications 47:06 Learning From Global Healthcare Systems 52:09 Thinking Exponentially in Medicine and Business 01:01:45 Limited Resources and Smarter Healthcare Delivery 01:08:49 Building Medical Realities and VR Education Platforms 01:16:38 Understanding VR, AR and Mixed Reality 01:20:09 AI in Healthcare and the Future of Diagnosis 01:24:30 Lessons From the Pandemic and Rapid Innovation 01:28:55 Adoption Challenges and Change Management 01:32:40 Future of Healthcare Technology and Final Wrap Up

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Ep 116 Where Marketing & Science Collide - How Skincare Is Advertised & the Reality Behind It | Dr Michelle Wong Apr 08, 2021

Show notes

Episode 118 hosts Dr Michelle Wong, better known by her online persona, 'Lab Muffin'.

We explore why skin care is so poorly understood before diving into some of the most commonly asked questions about skincare and product marketing. We cover sun cream, what a basic skincare regime looks like and get a simple guide to the important vitamins for cosmetic skin care.

00:00 Introduction 01:04 Meet Michelle (Lab Muffin) and Her Background 03:25 From Chemistry PhD to Skincare Education 07:03 Starting a Blog and Building a Science-Based Platform 10:59 Rise of Social Media and Myth Busting Content 13:31 Handling Misinformation and Online Criticism 18:27 Why Skincare Is So Confusing for Consumers 21:18 Cosmetics vs Drugs and Evidence Standards 26:25 Common Skincare Myths and Marketing Claims 30:08 Natural vs Synthetic and Clean Beauty Debate 33:29 Sunscreen Myths and How It Really Works 36:15 Chemical vs Physical Sunscreens Explained 40:13 Safety Concerns and Hormone Disruption Fears 42:46 Understanding Toxicity and Dose 47:06 Core Skincare Basics Everyone Needs 52:09 Cleanser Science and Skin Barrier Health 01:01:45 Why More Products Don't Always Mean Better Results 01:08:49 Price vs Effectiveness in Skincare 01:16:38 Medical Grade vs Over The Counter Products 01:20:09 How to Test and Track Skincare Results 01:24:30 Evidence Based Ingredients That Actually Work 01:28:55 Vitamin A, Vitamin C and Niacinamide Explained 01:32:40 Acne Management and When to See a Doctor 01:36:10 Overdoing Skincare and Irritation Risks 01:39:25 Simple Routine for Beginners and Final Takeaways

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Ep 115 Wellness, Mindfulness & How These Concepts Can Be Integrated into an Aesthetic Practice | Dr. Tapan Patel Apr 01, 2021

Show notes

Episode 115 hosts Dr Tapan Patel (Cosmetic physician based in London, UK) Tapan specialises in all aspects of non-surgical aesthetic procedures and is a global KOL for Allergan Aesthetics.

A year ago to the day of our recording, Tapan was diagnosed with COVID-19. The aftermath of this and his recovery led him on a personal journey to re-discover his health and wellness but also something even bigger. Not only did he get into the shape of his life but he then incorporated these new perspectives into aesthetic consultations with his patients.

We ultimately pose some deeper questions about cosmetic medicine including: Have we only scratched the surface of our patients potential? Can wellness and aesthetics be combined into a new speciality known as lifestyle medicine?

00:00 Introduction 01:04 Meet Dr Tapan Patel and Background in Aesthetics 03:25 Life During Lockdowns and Changing Perspectives 07:03 Why Aesthetics Should Be More Medical and Holistic 10:59 Missed Opportunities in Treating Lifestyle Issues 13:31 Moving From Transactional Treatments to Whole Patient Care 18:27 Personal Experience With Severe COVID Illness 21:18 Recovery, Reflection and Psychological Impact 26:25 Gaining Weight and Losing Control During Lockdown 30:08 The Moment That Triggered Lifestyle Change 33:29 Shifting From Short Term Goals to Longevity Thinking 36:15 First Steps to Improving Health and Daily Routine 40:13 Why Walking and Step Counts Became the Game Changer 42:46 Tracking Progress With Technology and Accountability 47:06 Small Habit Changes That Create Big Results 52:09 Why Fad Diets Fail and Sustainable Habits Win 01:01:45 Identity Change and Long Term Behavior Change 01:08:49 Daily Routine, Discipline and Early Morning Habits 01:16:38 Mindfulness, Stress and Mental Clarity 01:20:09 Why Healthcare Professionals Often Neglect Their Own Health 01:24:30 Barriers to Healthy Living for Patients and Families 01:28:55 Practical Advice for Lifestyle Change in Real Life 01:32:40 Integrating Wellness Into Aesthetic Practice and Final Takeaways

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Ep 114 Advertising & Social Media Guidelines for the Australian Aesthetic Market | Ruanne Brell Mar 25, 2021

Show notes

Episode 114 hosts Ruanne Brell (Avant Senior Medico-legal Solicitor from Sydney, Australia)

In her previous two podcasts (Episodes 51 and 66) we focused on the patient and the medical professionals perspectives. We covered how cosmetic consultations should be approached and more importantly, what to do when things don't go as planned.

In today's episode we focus specifically on the legal implications of advertising cosmetic and injectable treatments in Australia. In an age where social media forms the bulk of many clinics marketing, we assess how this should be carried out in a compliant way and how to avoid being reported or penalised.

00:00 Introduction 01:04 Meet Ruanne Brell 03:25 Why Advertising Rules Matter in Aesthetic Medicine 07:03 Understanding ARPRA and Its Role in Protecting the Public 10:59 What Counts as Advertising in Healthcare 13:31 Common Advertising Mistakes Clinics Make 18:27 Misleading Claims and Consumer Protection Laws 21:18 Protected Titles and Incorrect Qualifications 26:25 Social Media as Advertising and Your Responsibility 30:08 Before and After Photos and Compliance Standards 33:29 Photo Editing and Misleading Results Risks 36:15 Ethical Marketing and Managing Patient Expectations 40:13 Responsibility When Using Marketing Agencies 42:46 How Regulators Find Non Compliant Advertising 47:06 Complaints Process and Initial Warning Letters 52:09 Financial Penalties and Enforcement Risks 01:01:45 Testimonials Rules and What You Can and Cannot Share 01:08:49 Discounts, Promotions and Inducement Risks 01:16:38 Major Updates in the New Advertising Guidelines 01:20:09 How to Audit Your Website and Social Media 01:24:30 When to Seek Legal or Professional Advice 01:28:55 Practical Tips to Stay Compliant and Reduce Risk 01:32:40 Final Advice and Key Takeaways

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Ep 113 The Beauty of the World (Chapter 4): Brazil & South America | Dr Andre Braz Mar 18, 2021

Show notes

Episode 113 hosts Dr Andre Braz (Dermatologist from Rio De Janerio, Brazil)

This is the fourth chapter of our miniseries, 'The Beauty Of The World'. (Please also listen to episodes 102, 107, 109, 113, 118, 224 and 321 for our other episodes and regions of the world)

In these episodes we host globally-renowned key opinion leaders to discuss their own regions beauty standards, aesthetic trends and the injectable market in their part of the world. We'll aim to understand what people find attractive, what influences this and celebrate the similarities and amazing differences amongst peoples faces and skin tones.

We explore the beauty ideals of Brazil, world-famous for it's glamour and aesthetic confidence. But what's less commonly appreciated is that Brazil is also the world's most mixed race nation. So we go on a deep dive to understand what 500 years of the fusing of cultures and races translates into.

We discuss how injectors might approach multi-racial patients and get to the heart of one the core themes of the Beauty Of The World mini series - should we put less emphasis on race when we treat our patients and more people's cultural and environmental identity?

00:00 Introduction 00:35 Meet Dr Andre Braz 06:00 Andre's Career Journey 10:40 Anatomy Training Breakthrough 12:15 Working With Major Brands 17:50 What Makes Brazil Brazilian 24:20 Miscegenation And Beauty Ideals 33:10 AB Face Method Explained 39:50 Brazil's Top Procedures 44:25 Youth Trends And Male Aesthetics 46:50 Male Aesthetics Boom 48:00 Influencers Shape Beauty 49:25 Natural vs Overdone 52:20 Trend Procedures Backlash 55:45 South America Differences 59:05 Afro Brazilian Concerns 01:06:35 What Men Request 01:13:10 Training and Standards 01:20:15 How Much Filler 01:29:45 Brazil Clinic Trends 01:30:40 Toxin Brands Breakdown 01:34:30 Filler Brands And Costs 01:38:10 Biostimulators And Armonica 01:46:00 Injection Technique Deep Dive 01:49:10 Threads And Fat Dissolvers 01:56:10 Clinic Challenges And Team 02:03:10 Wrap Up

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Ep 112 The Business of Aesthetics & a New Startup Company to Help Clinics & Injectors Connect | Kian Moini Mar 11, 2021

Show notes

Episode 112 hosts Kian Moini (Founder of 'Cosmetic Recruitment' from Sydney, Australia)

Kian is the son of Babak Moini, the founder of Laser Clinics Australia and follows in his fathers footsteps in aiming to modernise and improve the Australian injectable industry.

Kian went straight into the corporate world from high school, getting an invaluable grounding in the workings of private equity, mergers & acquisitions, business strategy and management consultancy.

We get an insight into the current state of the business side of cosmetic clinics. We first discuss Kian's unique background and education in the cosmetic landscape and how it has evolved - starting with his father's own creation 'Laser Clinics Australia'.

We look at the projected growth of the industry and break down some financial jargon to explain the trends and consequences for clinics to become acquired either through private equity or be listed publicly.

Lastly we explore Kian's new start up company, 'Cosmetic Recruitment' that aims to solve the age old problem of clinics not having the right injector when they need them. Cosmetic Recruitment connects clinics with skilled injectors on a short or longer-term basis on an agreed commission structure.

00:00 Introduction 01:04 Meet Kian Moini 03:25 Growing Up Around Laser Clinics Australia 07:03 Choosing Business Over University 10:59 Early Lessons From Running Failing Cafes 13:31 Turning Around a Hospitality Business 18:27 What Private Equity Actually Is 21:18 How Investors Grow and Scale Clinic Chains 26:25 Why Systems and Processes Increase Business Value 30:08 The Difference Between Income and Exit Value 33:29 Why Founder Led Clinics Can Be Hard to Sell 36:15 Separating Yourself From the Business 40:13 Building a Team and Reducing Risk 42:46 Keeping Staff and Sharing Incentives 47:06 Diversifying Revenue and Services 52:09 Why Time Is Your Most Valuable Asset 01:01:45 The Rise of Solo Injector Clinics 01:08:49 Workforce Shortages and Growing Demand 01:16:38 New Business Models and Flexible Staffing 01:20:09 Launching a Cosmetic Recruitment Startup 01:24:30 How Temporary Injectors Support Clinics 01:28:55 Future Trends in the Aesthetic Workforce 01:32:40 Final Business Lessons and Wrap Up

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Ep 111 The Evidence for How & Why We Inject? | Dr Lee Walker Mar 04, 2021

Show notes

Episode 111 hosts Dr Lee Walker (Cosmetic injector from Liverpool in the UK)

Lee previously worked as a Dental Surgeon before dedicating his time to facial aesthetics. He is a hugely respected global key opinion leader for Teoxane and has taught in over 30 countries.

In this role, Lee heads and helps design the Teoxane educational programme in addition to mentoring injectors in several key markets. Lee is best known for his easy to understand approach to cosmetic education and his knowledge of facial anatomy.

We discuss a wide range of topics concerning the evidence (or lack of) for how we as injectors practice. We start with one of the key issues surrounding the specialty, namely who exactly should be allowed to inject and how should injectors train to demonstrate a level of competence?

We then tackle some of the myths, dogma and assumptions of the injectable world including:

- Was there really a global toxin-failure phenomenon post-lockdown?

- One of the biggest controversies in injectables, the concept of 'aspiration'. Is it a useful test and if not, what should we be doing?

- Are cannulas really safer than needles? What does 'safe' even mean?

- Facial swelling post-COVID 19 vaccinations. Is this a new worrying concern or simply media-hype and a known issue?

-Filler associated blindness and what should we do about it?

- And much more!

00:00 Introduction 04:00 Meet Dr Lee Walker 06:40 Life as Teoxane KOL 08:25 Dentists in Aesthetics 10:45 Early Training Horror Story 14:25 Fixing Aesthetic Education 23:40 Choosing Injectors Online 26:50 Non Medical Injectors Debate 32:20 Complications Data Reality 36:35 Post COVID Toxin Myths 38:40 Why Toxin Seems Weak 39:55 Lockdown Stress Effects 41:55 Skill Fade Myth 43:40 True Resistance Reality 48:25 Pregnancy IVF Caution 52:30 Antibiotics Interaction 53:55 Aspiration Debate Begins 58:30 Evidence Against Aspiration 01:06:00 Teaching Versus Practice 01:09:05 Cannulas Risk Talk 01:12:30 Anatomy Over Safety Claims 01:13:50 Delayed Onset Nodules Explained 01:16:25 Why Nodules Happen 01:18:40 Treating Nodules Today 01:20:30 Vaccines and Filler Swelling 01:27:15 Blindness Risk Basics 01:30:10 Emergency Response Options 01:31:30 Rethinking Retrobulbar Hyal 01:38:45 Teoxane Education Philosophy 01:41:45 Mentorship for KOLs 01:44:50 Listener Q and A Rapid Fire 01:48:10 Wrap Up and Contact Info

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Ep 110 The Picosure Laser for Pigmentation & Tattoo Removal | Dr Michelle Rodrigues, Mike Driver & Kylie Rowe Feb 25, 2021

Show notes

Episode 110 hosts Dr Michelle Rodrigues (Specialist dermatologist), Kylie Rowe (Corporate Account Manager for Cynosure) & Mike Driver, a laser therapist specialising in tattoo removal. (All from Melbourne, Australia)

Michelle is globally renowned for her expertise in treating pigmentation and treating skin conditions in those with skin of colour.

Mike started his laser business 11 years ago in Brisbane and now has five clinics nationally. He is one of the countries most experienced laser tattoo removalists having performed well over 100,000 treatments.

We break the podcast into two distinct sections to discuss some of the key uses of Cynosure's 'Picosure' laser - so called because it was the first laser technology to deliver energy to the skin in a picosecond (a trillionth of a second!)

First Michele explains the common causes of pigmentation, her consultation technique and strategies for approaching treatment with the Picosure.

In the second half, Mike tells us about his journey into tattoo removal, what is involved and why the Picosure is his first choice laser device.

00:00 Introduction 01:04 Meet Our Guests: Dr Michelle Rodrigues, Mike Driver & Kylie Rowe 03:25 What Pigmentation Really Means 07:03 Common Causes of Pigmentation and Risk Factors 10:59 Why Diagnosis Comes Before Treatment 13:31 Sun Exposure, Hormones and Genetics Explained 18:27 Treatment Options From Topicals to Lasers 21:18 When to Use Energy Based Devices 26:25 Choosing the Right Laser for Different Pigment Types 30:08 Risks of Treating Moles and Misdiagnosis 33:29 Patient Consultation and Assessment Process 36:15 Building a Stepwise Treatment Plan 40:13 Managing Expectations and Treatment Timelines 42:46 Treating Darker Skin Types Safely 47:06 Topical Therapies and Maintenance Strategies 52:09 Training and Safety When Introducing New Devices 01:01:45 Cost Considerations and Clinic Investment 01:08:49 Tattoo Removal Technology and How It Works 01:16:38 Factors That Affect Tattoo Removal Success 01:20:09 Treatment Sessions, Healing and Aftercare 01:24:30 Realistic Timelines for Tattoo Clearance 01:28:55 Future Trends in Laser and Tattoo Removal 01:32:40 Final Advice for Patients and Practitioners

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Ep 109 The Beauty Of The World (Chapter 3): Sweden & European patients | Dr Iman Nurlin Feb 23, 2021

Show notes

Episode 109 hosts Dr Iman Nurlin (Cosmetic Physician from Örebro, Sweden)

This is the third chapter of our miniseries, 'The Beauty Of The World'. (Please also listen to episodes 102, 107, 113, 118, 224 and 321 for our other episodes and regions of the world)

Iman is a leading cosmetic physician who emigrated to Sweden over 30 years ago from Ethiopia and we explore the beauty ideals and influences on Scandanavian aesthetics. We also ponder two broader and more difficult to define questions; what do the terms 'European' and 'caucasian' actually mean?

00:00 Introduction 01:04 Meet Dr Iman Nurlin 05:59 From Anesthesiology to Starting an Aesthetic Clinic 10:56 Demographics of Patients in Sweden 18:27 Cultural Diversity and Immigration in Scandinavian Clinics 26:25 How Social Media Shapes Modern Beauty Standards 33:29 Defining Beauty Across Cultures and Ethnicities 41:37 Natural Aesthetics Versus Trend Driven Treatments 48:53 The Problem of Overtreatment and Responsibility of Injectors 52:09 Lip Trends, Facial Balance and Proportion 59:04 Masculine Versus Feminine Facial Features 01:07:16 Male Aesthetic Treatments and Growing Demand 01:14:29 Differences in Aging Across Skin Types and Regions 01:21:52 Size and Growth of the Swedish Aesthetic Market 01:28:35 Regulation Challenges and Who Can Perform Injectables 01:37:03 Training Standards and Education Pathways 01:44:12 Threads, Devices and Treatment Trends 01:51:20 Building a Clinic From Scratch and Early Struggles 01:58:10 Marketing, Networking and Growing a Patient Base 02:03:45 Lessons on Persistence, Reputation and Long Term Success 02:07:30 Final Advice for New Clinic Owners and Wrap Up

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Ep 108 EMSCULPT Neo: HIFEM Technology + RF Energy for Body Contouring | Dr Suneel Chilukuri, Dr Frank Lin & Gareth Pepper Feb 18, 2021

Show notes

Episode 108 hosts Dr Suneel Chilukuri (Cosmetic Physician from Texas, USA), Dr Frank Lin (Plastic Surgeon from Melbourne, Australia) & Gareth Pepper (Sales Director of BTL Aesthetics Australia).

In a first for the podcast, we've divided this episode into two halves with two key opinion leaders. Dr Chilukuri first reminds us what EMSCULPT is (see Episode 33 for a detailed recap!), how HIFEM technology works and we learn about the technical aspects and clinical trials. We get an American-perspective on body contouring and then discuss EMSCULPT NEO, the newest device from BLT Aesthetics.

In the second half of the podcast, we get an Australian perspective and learn why a leading plastic surgeon has embraced EMSCULPT technology in his clinics. We also explore the clinical as well as business reasons why EMSCULPT has been so popular worldwide.

As a very special offer, if you contact BTL Aesthetics on +61435769639, you can discuss trading in your existing, non-BLT body contouring device

00:00 Introduction 01:04 Meet Our Guests: Dr Suneel Chilukuri, Dr Frank Lin & Gareth Pepper 05:59 Transition From Surgical to Technology Driven Practice 10:56 Evolution of Body Contouring Devices 18:27 What Emsculpt Technology Does and How It Works 26:25 Muscle Building Versus Fat Reduction Explained 33:29 Clinical Study Results and Real World Outcomes 41:37 Functional Benefits Including Core Strength and Rehab 48:53 Differences Between Emsculpt and Other Fat Reduction Devices 52:09 Treatment Experience, Safety and Patient Tolerance 59:04 Ideal Candidates and Realistic Expectations 01:07:16 Integrating Body Contouring Into an Aesthetic Clinic 01:14:29 Patient Selection and When to Decline Treatment 01:21:52 Business Considerations Before Buying a Device 01:28:35 Calculating ROI and Building Patient Demand 01:37:03 Importance of Before and After Documentation 01:44:12 Part B Introduction With Australian Clinical Perspective 01:51:20 Using Devices Alongside Surgery and Post Operative Care 01:58:10 Expanding Patient Options With Non Surgical Treatments 02:03:45 Market Trends and Growing Demand for Body Treatments 02:07:30 Final Thoughts and Wrap Up

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