Inside Aesthetics

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

Episode 163 hosts Dr Jake Sloane & David Segal, your co-hosts of Inside Aesthetics. On the back of our discussion with Jahan Kalantar (episode 160), we look at the numerous compliance issues within injectable clinics from an injector and business owners perspective.  We discuss: - The background to why compliance and regulations in Australia are so topical - Who makes the rules - Clinical notes for injectors  - Stock checks and receiving stock in clinic - What to do when stock goes missing or is damaged - Drug storage and fridge requirements - The role of clinical audits in injectable clinic - Room cleanliness - The dynamic of sharing rooms between multiple injectors - The problem with compounded drugs - The issue with friends and family in the injecting room - The role of ‘Secret Shoppers’    IA PATREON: Did you know that we have an online injectable education and business mentoring service called IA Patreon? Get access to the following benefits (depending on your tier): - Access to four IA Whatsapp gro

Episode 162 hosts Gillian Murray, a prescribing pharmacist, clinical researcher and pharmacist injector from London, UK Gillian has over 16 years experience working within the National Health Service and is the directorate pharmacist. In this role she consults on pharmacy education strategies at a local as well as national level. She is a senior lecturer in clinical pharmacokinetics at Kings College University.  Passionate about using medicines safely, Gillian set up ‘Medicine in Aesthetics’ to support aesthetic practitioners. She is also the Secretary for Complication in Medical Aesthetics Collaborative (CMAC). Gillian has a particular interest in hypersensitivity reactions, filler gel chemistry, rheology and is currently undertaking post-graduate research in this field. We explore: How we came across Gillian's work Her background as a pharmacist and what a prescribing pharmacist is The dynamic of being a pharmacist injector in the UK What hyaluronic acid is and what it looks like structurally  What the di

Episode 161 hosts Lori Robertson, a family nurse practitioner from California, USA Lori joins us in the 5th 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: - What a family nurse praactitioner is - Where and how she first learnt to inject  - How she first become a trainer for Galderma - Her role as a trainer for Galderma and MINT (threads) - Co-founding and co-running her own injecting school called ‘The Aesthetic Immersion   - Mentorship in injecting  - Lori's thoughts on how we train injectors and their transition from newbies to comptent injectors  -

Episode 160 hosts Jahan Kalantar from Sydney, Australia. Originally qualifiying as a barrister,  Jahan is a Criminal Lawyer and the principal of 'Executive Legal', a law firm that specializes in criminal and medicolegal law.  Jahan also has an incredibly popular Tik Tok account where he provides entertaining and concise explanations about legal concepts.  Having discussed some of the legal principles that injectors need to be aware of in previous episodes (episodes 51, 66 & 114), we now explore things from a prosecuting solicitor's perspective. Disclaimer: The information in this podcast is general in nature should not be taken as legal advice. Governing laws between countries, states and cities can vary greatly. You should seek your own independent advice before making decisions of a legal nature.   We explore:  - Jahan's career to date and how he became interested in the law of cosmetic medicine - Why he changed from working as a barrister to working as a solicitor - The reasons why patients usually s

Episode 159 hosts Sia Hendry (Skin & laser therapist) & Tiarnna Smith (Clinical Application Specialist for Alma Lasers) from Sydney, Australia. Sia has been at the forefront of skin and laser treatments in Australia for over 15 years and is the owner of 'You by Sia' in Bondi Junction. Sia was one of the first clinics in Australia to offer laser hair removal and has seen first hand how the technology has changed over time.    Tiarnna's background is in medical engineering and she is one of Alma's clinical specialists. In this role she supports Alma's customers in all aspects of training and education when using their devices. In this episode we focus on laser hair removal - the most popular cosmetic treatment performed in Australia today. We first reflect on how this came to be and contrast it to other countries where laser hair removal is often less available and far less affordable. We then compare and contrast older laser hair removal technology with Alma's newest device the 'Soprano Titanium'. We c

Episode 158 hosts Dr Niamh Corduff, a plastic surgeon based in Geelong, Australia. Dr Corduff also consults as a global trainer and a Key Opinion Leader for Merz Aesthetics. In this new 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 1 we focus on the brand known as Xeomin/Boucouture (Incobotulinum toxin A) distributed by Merz Aesthetics. This is a non-sponsored episode and does not replace training in any way. Our guest speaks from her own experiences and we do not promote or endorse any brand of product.  We explore: - Dr Corduff's background as a plastic surgeon and why she turned to non-surgical treatments - Her role as a KOL for Merz Aesthetics  - Her insights into how the use of toxins has changed over the years - What changes

Episode 157 hosts Dr Martina Lavery, a 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. We discuss: - Martina's background and why she became a dentist - Her motivations for training in cosmetic injectables  - Her battle with AHPRA and the dental board due the ongoing anonymous complaints regarding dentists who inject  - Why she did a Masters in Facial Aesthetics and what this has taught her - Her current practice and scope of work - How she's able to convert dental patients to aest

Episode 156 hosts Professor Bob Khanna, a dental surgeon and expert facial aesthetic educator from Reading 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 -

Episode 155 hosts Dr Jake and David, your co-hosts. 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   IA PATREON: Did you k

Episode 154 hosts Dr Steven Weiner, a 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 w

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 a

Episode 152 hosts Madilyn Wolens, a 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 injecta