Inside Aesthetics

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Latest Episodes:

Ep 87 The Role of Dento-facial Aesthetics & How We Can Help Facial Injury Patients with Injectables | Mr John Blythe Oct 15, 2020

Show notes

Episode 87 hosts Mr John Blythe (Maxillofacial surgeon from the UK)

John specialises in treating patients with congenital conditions and trauma injuries of the face. He's one of very few maxillofacial surgeons in the world who also uses injectables to improve the quality of his patients lives. We find out more about his specialty is before going deep into the art of dento-facial aesthetics. We also explore whether injectable treatments should be seen as a medical speciality in it's own right.

0:00 Introduction 1:04 Meet John Blythe 3:19 What Is Maxillofacial Surgery 5:16 Training Path and Career Journey 9:44 Transition Into Aesthetic Medicine 11:56 First Exposure to Injectables 14:01 Speaking and Education Experiences 16:30 Role in Trauma and Reconstruction 18:16 Typical Work Week Explained 23:53 Facial Trauma Cases and Challenges 27:02 Psychological Impact of Facial Injuries 30:22 Value of Aesthetic Treatments 33:44 Public Perception of Aesthetics 37:39 Social Media and Beauty Standards 41:39 Ethical Responsibility in Aesthetics 45:36 Artistic Approach to Injectables 48:05 Developing Injection Philosophy 51:43 Combining Surgery and Injectables 57:32 Multidisciplinary Treatment Planning 1:01:04 When to Choose Surgery vs Injectables 1:03:30 Assessing Facial Structure 1:07:48 Dental and Skeletal Red Flags 1:12:19 Importance of Occlusion and Bite 1:16:00 Facial Assessment Principles 1:19:56 Chin Augmentation Options 1:22:22 Implants vs Fillers 1:25:07 Implant Procedure Overview 1:27:43 Risks and Complications of Implants 1:30:37 Role of Dentists in Aesthetics 1:33:59 Collaboration Between Providers 1:36:53 Dentofacial Makeover Concept 1:39:25 Future of Aesthetic Medicine 1:42:10 Managing Facial Paralysis 1:44:30 Combining Surgery and Toxin 1:48:40 Myomodulation Debate 1:53:30 Research and Evidence Challenges 1:55:45 Final Thoughts and Contact Details

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Ep 86 The Current Injectable Trends in Australia | Benny Boucoiran & Laura Naughton Oct 09, 2020

Show notes

Episode 86 hosts Benny Boucoiran and Laura Naughton (Cosmetic Nurses from Sydney, Australia)

Cosmos have established themselves as Australia's leading cosmetic clinic for body contouring but also offer a range of non-surgical procedures.

Our conversation with Benny and Laura summarises the current injectable trends sought out in Australia. We also get some insight into the dynamics of working in a nationwide-leading brand.

0:00 Introduction 1:03 Meet Benny Boucoiran & Laura Naughton 3:19 Moving to Australia and Nursing Backgrounds 5:16 Transition Into Cosmetic Nursing 9:44 Early Training and Mentorship at Cosmos 11:56 Growth of the Clinic Over the Years 14:01 Expanding Services and Team Culture 16:30 Building Client Relationships and Loyalty 18:16 Taking Over the Injectables Department 23:53 Gaining Confidence and Experience 27:02 Importance of Ongoing Learning 30:22 Managing Complications and Support Systems 33:44 Non Surgical Treatments Offered 37:39 Plasma Pen Risks and Patient Selection 41:39 Expanding Clinics Across Australia 45:36 Training and Technology Adoption 48:05 Changing Treatment Trends in Aesthetics 51:43 Rise of Preventative Botox and Filler Demand 57:32 PDO Threads Experience and Considerations 1:01:04 Collagen Stimulators and Product Choices 1:03:30 Choosing Between Sculptra and Ellansé 1:07:48 Hyaluronic Acid Filler Preferences 1:12:19 Volux Experiences and Longevity Discussion 1:16:00 Long Term Filler Effects and Migration 1:19:56 Role of Imaging and Ultrasound 1:22:22 Allergic Reactions and Dissolving Filler 1:25:07 Impact of Social Media on Patient Expectations 1:27:43 Importance of Patient Education 1:30:37 Consultation Process and Communication 1:33:59 Building Trust and Treatment Planning 1:36:53 Using Photos in Consultations 1:39:25 Ethical Marketing and Photography Standards 1:42:10 Treating the Neck and Combination Therapies 1:44:30 Male Patient Trends in Aesthetics 1:48:40 Non Surgical Rhinoplasty Considerations 1:53:30 Managing Vascular Occlusion Risks 1:55:45 Advice for New and Aspiring Injectors 2:00:30 Value of Mentorship and Continuous Learning 2:03:05 Final Thoughts and Wrap Up

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Ep 85 Advanced Cosmeceuticals | Nick Dubinin Oct 01, 2020

Show notes

Episode 85 hosts Nick Dubinin (Medical Device Business Development Manager from Brisbane, Australia)

Nick has worked in the industry for over 15 years and has a wealth of experience in the aesthetic market.

We discuss how the post-lock down market has been from a medical sales perspective before exploring three unique products; Calecim Professional (a skin care range powered by stem cells), Plasmage (a fractional plasma system) and Antera 3D (a skin analysis camera)

0:00 Introduction 1:03 Meet Nick Dubinin and Advanced Cosmeceuticals 3:19 Company Overview and Product Portfolio 5:16 Background in Medical Device and Aesthetic Sales 9:44 Post Lockdown Demand and Industry Growth 11:56 Surge in Device Sales After Restrictions 14:01 Consumer Spending Shifts and Treatment Demand 16:30 Government Incentives and Equipment Purchases 18:16 Instant Asset Write Off Explained 23:53 Industry Resilience During Economic Stress 27:02 Trends in Device Technology and Treatments 30:22 Market Differences Across Australian States 33:44 Using Downtime for Training and Planning 37:39 Passion for Aesthetic Technology and Outcomes 41:39 Importance of Skincare in Practice

45:36 Introduction to Calecim Skincare 48:05 Stem Cell Protein Technology Explained 51:43 Product Range and Clinical Uses 57:32 Post Procedure Healing and Recovery 1:01:04 Pricing and Market Positioning 1:03:30 Contraindications and Skin Suitability 1:07:48 Use in Hair Restoration Treatments 1:12:19 Acne, Skin Purging and Expectations 1:16:00 Post Laser Recovery Support 1:19:56 Improvements in Healing Time

1:22:22 Introduction to Plasmage Technology 1:25:07 How Fractional Plasma Works 1:27:43 Indications and Treatment Areas 1:30:37 Non Surgical Blepharoplasty and Tightening 1:33:59 Patient Selection and Safety 1:36:53 Downtime and Treatment Results 1:39:25 Treating Skin Laxity After Pregnancy 1:42:10 Comparison With RF Microneedling 1:44:30 Risks of Pigmentation and Scarring 1:48:40 Treating Acne Scars 1:53:30 Device Cost and Maintenance 1:55:45 Treatment Time and Skill Requirements

2:00:30 Introduction to Antera 3D Imaging 2:03:05 How 2D and 3D Skin Analysis Works 2:05:40 Tracking Progress and Skin Changes 2:10:55 Using Imaging for Patient Education 2:13:30 Accuracy and Clinical Applications 2:18:00 Business Value of Skin Analysis 2:20:15 Final Thoughts and Wrap Up

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Ep 84 How to Create Beautiful Unique Faces | Anita East Sep 25, 2020

Show notes

Episode 84 hosts Anita East (NP from Brisbane, Australia)

Anita has a unique background, first graduating in nursing before also training as an actor, starring in both TV and film roles. Now an NP, Anita specialises in non-surgical treatments.

We learn what an NP is, how Anita got into cosmetic medicine before exploring the title of her new book, 'Beautiful Unique Faces' - discussing the unique and sometimes serious issues that interplay between injectors and their patients.

0:00 Introduction and Guest Overview 1:04 Meet Anita East 3:19 Background in Nursing and Acting 5:16 Move Into Cosmetic Injectables 9:44 Early Training and Mentorship 11:56 Importance of Hands On Experience 14:01 Building a Cosmetic Practice 16:30 Delegating Skin Treatments 18:16 Integrating Skin and Injectables 23:53 Role of a Nurse Practitioner Explained 27:02 Training Requirements and Scope 30:22 Prescribing Rights and Responsibilities 33:44 Nursing Levels and Supervision Rules 37:39 Why Pursue Nurse Practitioner Training 41:39 Working With a Support Network 45:36 Advice for Nurses Considering NP Path 48:05 Philosophy of Natural Aesthetic Results 51:43 Identifying Unique Facial Features 57:32 Treating What Detracts From Beauty 1:01:04 Educating Patients on Expectations 1:03:30 Social Media Influence on Beauty Trends 1:07:48 Unrealistic Standards and Over Treatment 1:12:19 Consultation Techniques and Communication 1:16:00 Using Mirrors Instead of Photos 1:19:56 Avoiding Cookie Cutter Treatments 1:22:22 Balancing Facial Harmony 1:25:07 Burnout and Near Fatal Health Scare 1:27:43 Pressure From Patient Demands 1:30:37 Decision to Write a Book 1:33:59 Protecting Future Generations 1:36:53 Social Media and Self Image 1:39:25 Injectables and Emotional Wellbeing 1:42:10 When Treatments Become a Coping Tool 1:44:30 Saying No to Patients 1:48:40 Ethical Responsibilities in Practice 1:53:30 Fear of Missing Out After Lockdowns 1:55:45 Marketing Pressure in Aesthetics 2:00:30 Advice for New Injectors 2:03:05 Importance of Ethics and Responsibility 2:05:40 Understanding Patient Psychology 2:10:55 Treating the Whole Person 2:13:30 Building Confidence Through Education 2:18:00 Where to Find the Book 2:20:15 Final Thoughts and Wrap Up

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Ep 83 Trust & Empathy in Injectable Consultations | Dr Izolda Heydenrych Sep 17, 2020

Show notes

Episode 83 hosts Dr Izolda Heydenrych (Dermatologist from Cape Town, South Africa)

Izolda is also a globally-renowned aesthetic educator with a particular interest in patient safety, the art of the consultation, trust and empathy.

We explore the injector-patient relationship, the foundations of building trust in the medical consultation and the role of empathy. This is a fascinating discussion that gets to the core of how the best injectors build chemistry and rapport with their patients.

0:00 Introduction 1:03 Meet Dr Izolda Heydenrych 3:19 Background and Career Path 5:16 Choosing Dermatology 9:44 Nuclear Medicine Explained 11:56 Move Into Aesthetic Medicine 14:01 Aesthetic Market in South Africa 16:30 Patient Demographics and Diversity 18:16 Cultural Differences in Beauty 23:53 Passion for Education and Safety 27:02 Early Challenges in Aesthetic Training 30:22 Discovering Trust and Empathy 33:44 Science of Trust and Oxytocin 37:39 Tone of Voice and Communication 41:39 Importance of Listening to Patients 45:36 Consultation Skills and Open Questions 48:05 Commercialization of Aesthetics 51:43 Building Long Term Patient Trust 57:32 Handling Difficult Consultations 1:01:04 Explaining Anatomy to Patients 1:03:30 Confidence in Treatment Planning 1:07:48 Managing Patient Fears and Barriers 1:16:00 Social Media and Beauty Pressure 1:19:56 Body Dysmorphic Disorder Awareness 1:22:22 Managing Unhappy Patients 1:25:07 Rebuilding Trust After Issues 1:30:37 Training Staff for Patient Experience 1:33:59 Rapport Versus Trust 1:36:53 Communication During COVID 1:39:25 Role of Environment and Sensory Cues 1:42:10 Empathy in Clinical Practice 1:44:30 Science of Oxytocin and Healing 1:48:40 Human Connection and Resilience 1:53:30 Recognizing Patient Emotional Needs 1:55:45 Self Empathy for Practitioners 2:03:05 Simple Consultation Skills 2:05:40 Identifying Patient Motivations 2:10:55 Managing Referrals and Complications 2:13:30 Professional Boundaries and Responsibility 2:18:00 Final Advice for Practitioners 2:20:15 Wrap Up and Closing

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Ep 82 Kybella/Belkyra & Everything About Fat Dissolving Injections | Dr Sachin Shridharani Sep 10, 2020

Show notes

Episode 82 hosts Dr Sachin Shridharani (Plastic Surgeon from Manhattan, New York)

Sachin is also a leading cosmetic injector who's research interests have allowed him to develop his own novel techniques.

In this episode we explore Belkyra (branded as Kybella in the USA) - a fat dissolving injectable product. Belkyra is licensed for treating the double chin but we discuss the 'off label' areas that can be treated, the best candidates for the treatment, the rare pitfalls and more!

0:00 Introduction 1:03 MeetDr Sachin Shridharani 3:19 Practice and Clinic Background 5:16 Starting a Practice in Manhattan 9:44 Growth After COVID Lockdowns 11:56 Surge in Surgical Demand 14:01 Patient Behavior and Spending Trends 16:30 Financial Stability and Treatment Decisions 18:16 Training and Career Path 23:53 Building Luxurgery Practice 27:02 Research and Clinical Trials 30:22 New Devices and Injectables Pipeline 33:44 Focus on Fat Dissolving Treatments 37:39 What Is Kybella and How It Works 41:39 Development and FDA Approval History 45:36 Early Adoption and Learning Curve 48:05 Managing Patient Expectations 51:43 Treatment Timeline and Patience 57:32 Treatment Process Explained 1:01:04 Safety and Tissue Effects 1:03:30 Injection Technique and Grid Use 1:07:48 Adoption Challenges and Cost Concerns 1:12:19 Controlling Fat Reduction Outcomes 1:16:00 Treating Laterally and Jawline Contouring 1:19:56 Nerve Injury Risk and Recovery 1:22:22 CoolSculpting Versus Kybella 1:25:07 Choosing the Right Treatment Method 1:27:43 Skin Tightening and Inflammatory Response 1:30:37 Pain Management and Local Anesthetic 1:33:59 Improving Patient Experience 1:36:53 Injection Techniques and Cannula Use 1:39:25 Off Label Treatment Areas 1:42:10 Common Treatment Sites Beyond Chin 1:44:30 Areas That Respond Best to Treatment 1:48:40 Safety Considerations by Body Area 1:53:30 Differences From Older Fat Dissolving Products 1:55:45 Managing Complications and Adverse Events 2:00:30 Injection Errors and Prevention 2:03:05 Handling Serious Complications 2:05:40 Clinical Responsibility and Training 2:10:55 Final Advice for Practitioners 2:13:30 Best Practice and Risk Management 2:18:00 Industry Perspective and Future Use 2:20:15 Wrap Up and Closing

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Ep 81 The Art of Blending Surgery with Injectables | Dr Michael Zacharia Sep 03, 2020

Show notes

Episode 81 hosts Dr Michael Zacharia (ENT & Facial Plastic Surgeon from Sydney Australia)

He also dual trained as a Facial Plastic Surgeon and is a highly skilled cosmetic injector.

We discuss his unique skill set before delving into some of the trickier areas of cosmetic rejuvenatation including the nose, the neck, the 'fox eye' lift and some of the transgender procedures he offers.

0:00 Introduction 3:03 Meet Dr Michael Zacharia 6:19 COVID Impact and Virtual Consults 9:28 Rise of Telehealth in Surgery 12:33 Using Imaging and Patient Photos 23:53 Choosing ENT and Facial Plastics 27:02 Early Rhinoplasty Experience 33:44 Global Aesthetic Trends 37:39 Public Speaking and Education 41:39 Injecting Experience and Techniques 45:36 Full Face Treatment Philosophy 54:57 Longevity of Nose Fillers 59:12 Product Choices for Rhinoplasty 1:01:37 Broad Scope of Facial Procedures 1:05:18 Holistic Facial Assessment Approach 1:12:19 Importance of Neck Rejuvenation 1:16:00 Skin Quality and Aging Factors 1:19:56 Pre and Post Surgery Skin Treatments 1:22:22 Preventative Aesthetic Care 1:25:07 Sun Protection and Skin Health 1:27:43 Introduction to ZAC Lift 1:30:37 J-Plasma and Skin Tightening 1:33:59 Recovery and Patient Selection 1:36:53 Threads and Their Limitations 1:39:25 Non Surgical Fat Reduction History 1:42:10 Nefertiti Lift and Neck Botox 1:44:30 Muscle Anatomy and Jawline Lift 1:48:40 Fox Eye and Ponytail Lift Trends 1:55:45 Facial Feminization Overview 2:00:30 Surgical Techniques for Gender Transition 2:05:40 Post Operative Support and Follow Up 2:10:55 Demand for Transgender Procedures 2:18:00 Importance of Compassionate Care 2:20:15 Wrap Up and Closing

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Ep 80 Injectable Complications | Greg Goodman Aug 27, 2020

Show notes

Episode 80 hosts Associate Professor Greg Goodman (Dermatologist from Melbourne, Australia)

Greg has been at the forefront of injectables since the very beginning. As a result of his experience, he's become known as a globally-renowned expert in the complications of injectables.

We explore the early days of injectable medicine, how Professor Goodman rose to prominence and then go on a deep dive into some of the feared complications of injectables.

0:00 Introduction 1:03 Meet Professor Greg Goodman 3:19 Early Career and Dermatology Background 5:16 Discovering Cosmetic Dermatology 9:44 Training in Dermabrasion and Peels 11:56 Early Adoption of Liposuction and Lasers 14:01 Academic and Clinical Roles 16:30 Interest in Acne Scarring Research 18:16 Building Expertise in Complications 23:53 Evolution of Filler Safety Awareness 27:02 Changes in Injection Techniques Over Time 30:22 Early Botox Use in Australia 33:44 Collagen Fillers History and Limitations 37:39 Development of Modern Fillers 41:39 Rise of Complication Education 45:36 Becoming a Global Complication Authority 48:05 Industry Growth and Market Expansion 51:43 Concerns About Filler Commoditization 57:32 Need for Standardized Training 1:01:04 Importance of Aesthetic Assessment Skills 1:03:30 Facial Shape and Beauty Principles 1:07:48 Risks of Overfilling and Poor Technique 1:12:19 Introduction to Injection Complications 1:16:00 Managing Bruising and Swelling 1:19:56 Cannula Versus Needle Techniques 1:22:22 Role of Lasers in Treating Bruising 1:25:07 Arnica and Supportive Treatments 1:27:43 Ultrasound in Complication Management 1:30:37 Understanding Vascular Occlusion 1:33:59 Causes of Vessel Blockage 1:36:53 Recognizing Early Warning Signs 1:39:25 Incidence and Frequency of Occlusions 1:42:10 Importance of Rapid Treatment 1:44:30 Hyaluronidase Emergency Protocol 1:48:40 Patient Communication During Complications 1:53:30 Using Anatomy to Guide Treatment 1:55:45 Hyaluronidase Safety and Tissue Effects 2:00:30 Tear Trough Filler Longevity 2:03:05 Introduction to Delayed Onset Nodules 2:05:40 Inflammation and Infection Theory 2:10:55 Filler Degradation and Immune Response 2:13:30 Managing Nodule Complications 2:18:00 Clinical Insights and Prevention 2:20:15 Wrap Up and Closing

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Ep 79 The Art of Communicating with Our Patients | Grazina Fechner Aug 20, 2020

Show notes

Episode 79 hosts Grazina Fechner (Media Expert from Sydney, Australia)

We drill down into developing a rapport with our patients and learn that excellent communication is the key to the elusive 'X factor' that some injectors just seem to have.

0:00 Introduction 1:03 Meet Grazina Fechner 3:19 Communication in Clinical Practice 5:16 Personalizing Patient Interactions 9:44 Importance of First Impressions 11:56 Phone Communication and Patient Trust 14:01 Reading Patient Behavior and Body Language 16:30 Managing Nervous or Excited Patients 18:16 Communication Breakdowns With Technology 23:53 Using Confident Language With Patients 27:02 Offering Options and Setting Expectations 30:22 Managing Budget and Treatment Goals 33:44 Educating Patients on Treatment Outcomes 37:39 Setting Aftercare Expectations 41:39 Rule of Three Communication Method 45:36 Demonstrating Treatment Safety and Education 48:05 Understanding Different Patient Types 51:43 Planning Treatments Around Life Events 57:32 Structuring the Consultation Process 1:01:04 Building Rapport and Patient Trust 1:07:48 Importance of Patient Experience 1:12:19 Learning Communication Skills 1:19:56 Happiness and Workplace Culture 1:22:22 Motivation and Career Transitions 1:25:07 Finding Purpose in Work 1:30:37 Mystery Shopping Clinics 1:33:59 Improving Patient Experience Systems 1:36:53 Competitive Advantage Through Staff 1:39:25 Managing Difficult Patients 1:42:10 When to Decline Treatment Requests 1:44:30 Handling Complaints and Control Behaviors 1:48:40 Managing Team Conflict 1:53:30 Building Open Communication Culture 1:55:45 Situation Behavior Impact Framework 2:00:30 Early Conflict Resolution 2:03:05 Setting Team Expectations 2:05:40 Leadership and Clinic Culture 2:10:55 Maintaining Positive Work Environments 2:13:30 Business Philosophy and Values 2:18:00 Final Advice and Reflections 2:20:15 Wrap Up and Contact Details

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Ep 78 Biostimulator Fillers | Dr Sabrina Fabi Aug 13, 2020

Show notes

Episode 78 hosts Dr Sabrina Fabi (Cosmetic dermatologist from California, USA)

Sabrina is a leading authority on the use of biostimulator fillers - a class of injectables that stimulate the body's own collagen production.

We discuss Dr Fabi's approach to these types of procedures, what collagen is and why we loss it. We then explore the various strategies using biostimulator fillers to improve both facial and body aesthetics.

0:00 Introduction 1:03 Meet Dr Sabrina Fabi 3:19 Dermatology Background and Career Path 5:16 Why She Chose Cosmetic Dermatology 9:44 Building a Cosmetic Focused Practice 11:56 Role of Lasers and Injectables 14:01 Treating Multiple Aging Factors 16:30 Most Used Devices in Practice 18:16 IPL and Photodamage Management 23:53 Ultherapy and Skin Laxity 27:02 Advanced CO2 Resurfacing Protocols 30:22 Skin Versus Injectables Mindset 33:44 Rise of Biostimulators in Practice 37:39 Early Use of Sculptra on the Body 41:39 Treating Chest and Body Skin Aging 45:36 Transitioning Biostimulators to the Face 48:05 Overfilled Look and Skin Retraction 51:43 Sculptra Reputation and Technique Evolution 57:32 Collagen and Elastin Aging Basics 1:01:04 Lifestyle Factors That Break Down Collagen 1:03:30 Periocular Skin and Aging Changes 1:07:48 Botox Effects on Thin Skin Areas 1:12:19 Safety Considerations Around the Eye 1:16:00 What Biostimulators Are and How They Work 1:19:56 Differences Between PLLA and CaHA 1:22:22 Orthopedic Origins of Biostimulators 1:25:07 Explaining Treatment Timelines to Patients 1:27:43 Building Patient Trust and Expectations 1:30:37 Describing the Biostimulator Glow 1:33:59 Menopause and Rapid Collagen Loss 1:36:53 Body Treatment Areas and Mapping 1:39:25 Typical Dosing and Treatment Planning 1:42:10 Who Is a Good Candidate 1:44:30 Managing Expectations Versus Surgery 1:48:40 PRP Versus Biostimulator Response 1:53:30 Neck and Hand Treatment Limitations 1:55:45 Radiesse Use in Neck and Hands 2:00:30 Dilution Techniques and Safety Updates 2:03:05 Nodule Risk and Complication Rates 2:05:40 Blindness Risk and Safety Perspective 2:10:55 Non Surgical Buttock Treatment Goals 2:13:30 Volume Versus Toning Concept 2:18:00 Treating Hip Dips and Age Related Changes 2:20:15 Cellulite Treatments and Final Wrap Up

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