Inside Aesthetics

Episode 183 hosts Dan Julien, a Nurse Practitioner from Ottowa, Canada. Dan joins us in the 9th 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'll 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 businesses and aim to learn from and inspire our injector listeners. We discuss:  Dan's background and how he became an injector How he trained and who his inspirations were The problem of proving competence when training as an injector What the injectables market of Canada is like His injecting philosophy and the dynamic of art vs science His thoughts on dissolving other injectors work and 'starting again’ Using phi dimensions and calipers to assess a patient Aesthetic ultrasound and where it f

Episode 182 hosts Dr Simone Doriean, a Cosmetic Physician from Melbourne, Australia. Simone is one of Australia’s leading aesthetic physicians with over 18 years of aesthetic practice. She is an KOL for Galderma and shares her knowledge, facial assessment expertise and techniques at local and international meetings.  In Chapter 3 of 'The Business of Injecting' episodes, we focus on the unique challenges that a very experienced injector might face - including some of the aspects of their business that they may have never properly addressed or understood.  We discuss: - Where she first began injecting and why - Transitioning from working for someone else to your own clinic and the pros and cons of this - The benefits of converting to paperless clinic and automating bookings - The advantages of employing a virtual PA - Recognising and acting on not having the right business structure set up (and the tax implications of this) - What happens when an injector wants to stop injecting - Exit strategies: Debating the

Episode 181 hosts Professor Sebastian Cotofana, Associate Professor of Anatomy at the Mayo Clinic, USA. Professor Cotofana is the world's best well-known anatomist for facial aesthetics, a prolific researcher and has published well over 100 peer reviewed articles and book chapters.   We discuss: Sebastian's background and training What a typical day looks like for him  Who does his research and how he coordinates this The hierarchy of authorship on academic papers We then do something different for this episode and drill down into the details of four of his recent and best known clinical papers. We discuss for each paper: - What the paper is about and why it was done? - What were the methods and the main outcomes? What is the learning point and relevance to injectors? Paper 1: ‘To click or not to click – The importance of understanding the layers of the forehead when injecting neuromodulators – A clinical, prospective, interventional, split-face study’ (30 November 2020) https://doi.org/10.1111/jocd.13

Episode 180 hosts Kylie Duncan, a Registered Nurse based in Orange (rural New South Wales), Australia.   Kylie joins us in the 8th 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'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. Kylie was incredibly kind to join us at the very last minute and this was recorded completely unplanned! We explore: How and why Kylie became an injector Insights into the rural Australian injectable market Reflecting the rural attitude to aesthetics vs the cities  Her journey from leaving surgical nursing to working as an injector The challenges of setting up a clinic in a rural area What her typical patie

Episode 179 hosts George Kypreos (Managing Director of Dermocosmetica) and Dr Cara McDonald (Dermatologist), both based in Melbourne, Australia. In this episode we showcase the long anticipated Australian launch of Profhilo, a new 'bio-remodelling' filler made by IBSA. We discuss: - George's background and his company, Dermocosmetica - We welcome back Dr Cara McDonald (previously on episodes 89 & 166) as one of Australia's new KOL's for Profhilo - The lengthy approval process of a new filler in Australia - Who are IBSA? - A recap on skin aging and how the key changes that we see - What 'bio-remodelling' means and how this differs from 'skin booster' fillers - How Profhilo differs from all the other hyaluronic acid fillers on the market: it's unusual method of production and crosslinking - Why this is important when it comes to rheology - What comes in a box of Profhilo? - What types of patient are ideal for Profhilo - How Profhilo is injected and what the 'BAP' technique is - What areas of the face and bo

Episode 178 hosts Natasha Keeping, an Independent Nurse Prescriber based in Nantwich, UK. Natasha was an NHS nurse for over 20 years with experience in Emergency Care, Sexual health and Primary Care. But like many other health professionals that we've hosted on IA, she has re-defined her career and has been a part-time cosmetic injector for almost a year. 'The Business of Injecting' episodes host injectors to discuss all aspects of their business. We analyse their struggles and challenges, difficult decisions, friction points that aren't yet solved, financial concerns, staffing, hiring, firing and other relevant topics for aesthetic business owners. In Chapter 2 of 'The Business of Injecting' episodes, we focus on the challenges that a new injector like Natasha faces.  We discuss: - Her motivations for becoming a cosmetic injector - The mental hurdle of leaving clinical practice and the NHS - The feelings of fear and overwhelm when starting a new business - The concept of a business plan - Choosing where set

Episode 177 hosts Dr Jake & David, your co-hosts of Inside Aesthetics.  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. In this introductory episode we use Dr Jake's beginnings as an injectors to illustrate some of the issues that these episodes will discuss including: - Why he

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 top

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

Episode 174 hosts Dr Jake & David, your co-hosts of Inside Aesthetics.  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.   IA PATREON: Did you know that we have an online injectable education and business mentoring service called IA Patreon? Ge

Episode 173 hosts Dr Ben Talei from Beverley Hills, USA.   Dr Talei is a globally-renowned Facial Plastic Surgeon. He 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.  We discuss:  - Dr Talei's practice - How and why he learnt to inject as a facial plastic surgeon - Basic lip anatomy - The common peri-oral signs of aging - Racial differences in the peri-oral layers - What lip fillers Dr Talei prefers to use - Dr Talei's thoughts on lip filler migration - Hyaluronidase and the imp

Episode 172 hosts Dr Jake & David, your co-hosts of Inside Aesthetics.  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

Episode 171 hosts Dr Tom Decates from 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.  Dr Decates is a Cosmetic Physician who specialises in cosmetic complications. He 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'.  We cover: - classifying lumps that patients present with - what symptoms patients complain of when they have a lump - The term ‘delayed onset nodule’ - How Dr Decates examines and investigates a lump when assessing a patient referred with a complication - The role of ultrasound when diagnosing what a filler lump is - the use of hyalase under ultrasound guidance - whether new fillers on the market can be trusted - how the experience of an injector influences how likel

Episode 170 hosts Dr Tom Decates from Amsterdam, Holland.   Dr Decates 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'.  In part one of a two part episode (out next week), we discuss:  - Dr Decates background - Insights into how the filler complications centre started and how it's funded - What is the immune system's normal response to fillers when they injected? - Is it possible for a filler to be non-immunogenic? - What do we mean by ‘filler integration’? - What happens when fillers are broken down and do the small molecular weight chains of filler create an inflammatory process? - What type of patients are not medically suitable for fillers?  - Can we treat patients with autoimmune disease? - Whether oral hygiene or a rec

Episode 169 hosts Dr Christoph Martschin, a 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. We explore: - Dr Martschin's background as a Dermatologist and what his day to day practice looks like - His role as a KOL for Galderma - His insights into how the use of toxins has changed over the years - The science behind the Alluzience - Is it simply liquid abobotuli

Episode 168 hosts Dr Sarah Hart, a 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. In this episode, we explore: How and why Sarah became an injector Insights into the New Zealand injectable market Reflecting the New Zealand attitude to aesthetics vs Australia The New Zealand Society of Cosmetic Medicine and what their role is exactly? Sarah's style of injecting and philosophy – where she learnt her techniques, approach and her aesthetic ‘eye’.  Her views on the trend for looking 'hyper-augmented' What's

Episode 167 hosts Dr Steven Harris & Julie Horne. Dr Harris is a leading cosmetic physician based in London, UK. (We previously hosted Dr Harris in Episode 122) He has an international reputation for his approach to injecting. He strongly believes in treating the face holistically and by fully respecting the patient’s anatomy and it's proportions. Julie is a Registered Nurse and a global speaker based in Johannesberg, South Africa (We previously showcased her background in Episode 119) She is best known for her lip filler treatments and lip filler training where she showcases her own ‘Julie Horne Lips’ technique.  In this mini-series 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've mastered their techniques. Dr Jake also give his own insights into how he treats these areas too. In the 3rd chapter of the series we explore lip fillers and peri-oral treatments. Dr Harri

Episode 166 hosts Dr Cara Mcdonald based in Melbourne, Australia. Cara is a leading dermatologist who specialises in managing skin cancer, rosacea, acne & cosmetic injectables. She's an international speaker for Allergan Aesthetics and an ambassador for La Roche Posay. Over the last four years, she's conducted a survey on injectable patients that focusses on an very important question - why do patients like their injector and what drives their decision to stay with them or not? We explore: - How the topic and the study came about  - What the challenges were of doing a study during the pandemic  - How the study was designed and how it was organised?  - What the main objectives of the study were  - The key questions in the survey and how the data was captured  - The breakdown of the data  - How any assumptions and biases were managed  - What the primary reason was why patients returned to their injector?  - What’s most important for patients to feel comfortable with an injector?  - What percent of patients

Episode 165 hosts Anusha Dahan, a nurse practitioner from Los Angeles, USA.    Anusha joins us in the 6th 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. In this episode, we explore: - How we came across Anusha's work  - Her your career before injecting - How and why she became an injector  - To date she's never trained other injector, we explore why and get some info on why this might be changing for a one off event - How COVID changed her business  - What Anusha's style of injecting and philosophy is - The art of 'natural' looking results - how exactly do you go about designing

Episode 164 hosts Dr Cormac Convery, a GP & Cosmetic Physician based in Ayrshire, Scotland. Cormac previously sat on the expert panel for the Aesthetic Complications Expert (ACE) group and is now the Vice Chair of CMAC (Complication in Medical Aesthetics Collaborative). Dr Cormac Convery was also previously an honorary lecturer in Aesthetic Medicine at Queen Mary University, London.  In this new mini-series called ‘Disasters & Solutions’, we’ll be looking at some of the unusual, difficult or outright disasterous outcomes for patients caused by injectables. We’ll speak to the injectors who managed a difficult case and go through what happened, step by step. We’ll learn about what might have been done to prevent the problem and what injectors can do in their own practice to be safer practitioners.     In Chapter 1, we discuss a case concerning a patient who was treated and injured by a non-medical injector with a likely imported and unregulated botulinum toxin. As the story unfolds, we learn she was one