Inside Aesthetics

Episode 272 hosts Dani Gardner & Hayley Phillips, Registered Nurses & the founders of Luum Aesthetics (Perth, Australia)

Dani and Hayley join us in the 16th Chapter of our series called 'The Business of Injecting'. In these episodes we host injectors and clinic owners to discuss all aspects of the business side of their clinic. We analyse their financial struggles and challenges, difficult decisions, friction points, staffing, hiring, firing and other topics relevant for achieving aesthetic business success.

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CONTACT US

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Episode 271 hosts Dr Felix Li (Cosmetic Doctor based in Singapore) and Dr Stefania Roberts (Phlebologist & Cosmetic Doctor based in Melbourne, Australia)

In 'The Tox Talks' episodes 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 9 we discuss a new on label indication for Botox (by Allergan Aesthetics, an Abbvie Company) - Masseter Muscle Prominence (MMP). This was recently approved in China at an event in Shanghai and it's the first and only toxin brand to be approved for this particular indication.

We discuss:

• What MMP is
• The difference between on VS off label indications
• Why having a standardised technique is so important
• What patients want when it comes to MMP
• Asian vs caucasian beauty ideals and beauty standards
• The on label dose for MMP
• The technique to treat MMP
• Masseter anatomy
• The role of ultrasound in assessing the masseter
• Risks and precautions when it comes to treating MMP

00:00 Introduction 00:42 Podcast Updates and Patreon 02:05 Topic MMP Botox Label 02:37 Meet the Guests: Dr Felix Li & Dr Stefania Roberts 04:57 China Launch and Ultrasound 07:25 Why Seek Approval 09:10 Masseter Basics and Aesthetics 13:15 On Label vs Off Label 16:42 Culture and Face Ideals 18:56 How Botox Changes Function 24:07 Consulting and Patient Requests 27:54 Alternatives and Surgery Risks 31:18 Study Dosing and Duration 32:54 Real World Dosing Strategy 36:40 Dose by Age and Ethnicity 39:41 Finding the Right Units 40:35 Training and On Label Protocol 42:30 Needle Depth and Anatomy Errors 47:56 Paradoxical Bulging Explained 54:06 Counseling Risks and Avoiding Risu 01:03:30 Three Point Injection Mapping 01:05:30 Preventing Jowls and Parotid Mixups 01:09:29 Pricing and Maintenance Strategy 01:13:23 Resistance and Closing Thoughts

ALL IA LINKS & CONTACT INFORMATION

Episode 271 hosts Dr Felix Li (Cosmetic Doctor from Singapore) and Dr Stefania Roberts (Phlebologist & Cosmetic Doctor from Melbourne, Australia)

In 'The Tox Talks' episodes 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 9 we discuss a new on label indication for Botox (by Allergan Aesthetics, an Abbvie Company) - Masseter Muscle Prominence (MMP). This was recently approved in China at an event in Shanghai and it's the first and only toxin brand to be approved for this particular indication.

We discuss:

• What MMP is
• The difference between on VS off label indications
• Why having a standardised technique is so important
• What patients want when it  comes to MMP
• Asian vs caucasian beauty ideals and beauty standards
• The on label dose for MMP
• The technique to treat MMP
• Masseter anatomy
• The role of ultrasound in assessing the masseter
• Risks and precautions when it comes to treating MMP

JOIN OUR PATREON FOR EXCLUSIVE SUBSCRIBER-ONLY PODCASTS, WEEKLY EDUCATIONAL CONTENT & JOIN OUR WHATSAPP COMMUNITY

Once you've joined Patreon, here's a guide on how to set things up in Patreon to access the subscriber-only episodes

CLICK HERE TO BROWSE OUR IA OFFERS FOR DISCOUNTS & SPECIALS

Save money, get special listener promotions and more!

CLICK HERE IF YOU'RE A BRAND OR COMPANY & WANT TO WORK WITH US

Contact us if you'd like to:

• Discuss a sponsored podcast idea
• Maybe you'd like to set up an IA Offer (a special discount for our listeners)
• Reward and gift your most loyal & valued customers with an annual subscription to our Patreon

CLICK HERE TO APPLY TO BE A GUEST ON OUR PODCAST

• Do you have a great story for an 'Injector Diaries' episode?
• Would you like to share your business model and strategies on a 'Business of Injecting' episode?
• Do you have exceptional experience with toxins and want to do a 'Tox Talks' episode?
• Are you a leading expert using fillers, polynucleotides, exosomes or other injectbale products and want to contribute to our 'Masterclass Series' series?
• Has something especially got your attention on social media that's worth delving into on a 'What's trending in aesthetics? episode?

CONTACT US

Subscribe to IA on Apple Podcasts

Subscribe to IA on Spotify

Follow Dr Jake on Instagram 

Follow David on Instagram

Episode 270 hosts Professor Daniel Ezra (Oculoplastic Surgeon based in London, UK)

Daniel is a leading eye surgeon at the world famous Moorfields Hospital. He's also part of an incredibly busy private clinic where consultants of various specialities work in a multidisciplinary team. There he leads a dedicated filler dissolving service and his team see up to 10 elective referrals a day to help patients with filler complications.

In our 'What's trending in Aesthetics?' episodes we cover topics that have got injectors talking on social media or been in the news. We'll cover controversies, big stories and themes that affect our speciality.

In Chapter 6 Part 1 (free for listeners on any podcast app) we discuss:

• Podcast news
• Daniel's background
• The basic science of hyaluronic acid fillers
• The behavoir of hyaluronic acid fillers in the tissues
• How long fillers last

00:00 Introduction 00:31 Meet Dr Daniel Ezra 01:33 Podcast News and Patreon 02:02 Travel and Patreon Updates 03:59 Episode Roadmap Part One Two 04:50 Daniel's Background 08:04 Learning to Inject 10:27 Hyaluronic Acid Basics 12:34 Cross Linking and Properties 14:32 Preferred Fillers and Volume 16:07 Dissolving and Cross Linking 17:30 Partner Masterclass Ad 18:48 Injector Training Gaps 19:34 Regulation And Accreditation 20:31 Filler Myths And Cumulative Dosing 21:34 Conference Bias And Pharma Influence 23:16 Why Aesthetics Lacks Research 23:40 Key Opinion Leader Constraints 26:27 Evidence Hierarchy And Bias 29:10 Social Media And Industry Maturity 30:38 Filler Downturn And Dissolving Clinics 32:24 Patient Anxiety And Misinformation 34:18 Dissolving Reluctance And Transparency 36:09 Study Summary And PHS Findings 39:16 Wrap Up And Part Two Tease 40:19 Follow And Support The Show

In Chapter 6 Part 2 (Now available inside our new app, IA Community, ahead of our official launch this May. Click here to join our waitlist), we discuss:

• What the purpose of an MRI scan for an aesthetic patient is
• What the options are once a scan is done
• Filler integration - does it actually occur?
• Fller migration
• Filler 'growth' over time - what exactly is happening?
• Patient psychology when it comes to filler complications & filler dissolving
• Post-hyaluronidase syndrome
• Filler dissolving techniques

00:00 Introduction 00:31 Part Two Setup 01:05 Common Eye Filler Issues 04:27 Late Swelling Triggers 07:05 Inflammation Cancer Concerns 13:18 Lymphatic Block Debate 15:31 Safer Tear Trough Technique 21:44 When MRI Helps 29:16 Filler Volume On Scans 31:19 Filler Expansion Ratios 32:36 Clinic Intake Workflow 34:49 Consent and Legal Risk 36:45 Psych Screening and BDD 40:38 Community and Peer Support 41:28 Hyaluronidase Dosing Methods 44:45 Fibrosis and Encapsulated Lumps 47:32 Follow Up and Identity Shift 50:00 Post Hyaluronidase Syndrome 56:26 Media Hype and Safety 58:40 Future of Fillers 01:00:11 Wrap Up and Sign Off

ALL IA LINKS & CONTACT INFORMATION

Episode 270 hosts Professor Daniel Ezra, an Oculoplastic Surgeon from London, UK. 

Daniel is a leading eye surgeon at the world famous Moorfields Hospital. He's also part of an incredibly busy private clinic where consultants of various specialities work in a multidisciplinary team. There he leads a dedicated filler dissolving service and his team see up to 10 elective referrals a day to help patients with filler complications.

In our 'What's trending in Aesthetics?' episodes we cover topics that have got injectors talking on social media or been in the news. We'll cover controversies, big stories and themes that affect our speciality.

In Chapter 6 Part 1 (free for listeners on any podcast app) we discuss:

• Podcast news
• Daniel's background
• The basic science of hyaluronic acid fillers
• The behavoir of hyaluronic acid fillers in the tissues
• How long fillers last

In Chapter 6 Part 2 (exclusive for subscribers to our Patreon) we cover:

• What the purpose of an MRI scan for an aesthetic patient is
• What the options are once a scan is done
• Filler integration - does it actually occur?
• Fller migration
• Filler 'growth' over time - what exactly is happening?
• Patient psychology when it comes to filler complications & filler dissolving
• Post-hyaluronidase syndrome
• Filler dissolving techniques

LISTEN TO PART 2 BY SUBSCRIBING TO OUR PATREON

Starting from episode 265 you'll notice that a proportion of our episodes are now divided into two parts:

• Part 1 is free & available on any podcast app
• Part 2 is exclusive for subscribers to our Patreon and these episodes are only available on Spotify for now

Once you've joined Patreon, here's a guide on how to set things up in Patreon to access the subscriber-only episodes

CLICK HERE TO BROWSE OUR IA OFFERS FOR DISCOUNTS & SPECIALS

CLICK HERE IF YOU'RE A BRAND OR COMPANY & WANT TO WORK WITH US

Contact us if you'd like to:

• Discuss a sponsored podcast idea
• Maybe you'd like to set up an IA Offer (a special discount for our listeners)
• Reward and gift your most loyal & valued customers with an annual subscription to our Patreon

CLICK HERE TO APPLY TO BE A GUEST ON OUR PODCAST

CONTACT US

Subscribe to IA on Apple Podcasts

Subscribe to IA on Spotify

Follow Dr Jake on Instagram 

Follow David on Instagram

Episode 269 Part 1 hosts Dr Kate Goldie (Cosmetic Physician based in London, UK)

Kate is a globally-renowned speaker and KOL for Merz Aesthetics. She has lectured in over 75 countries and is a thought leader in aesthetics. She has a particular interest in regenerative medicine and is leading research into how to best use Radiesse (by Merz Aesthetics).

In our 'Masterclass Series' we host global experts with significant experience to teach us about fillers, bio-stimulators, bio-remodellers, polynucleotides, exosomes and other products. (For toxin insights, check out our other mini-series, 'The Tox Talks')

In Chapter 2 Part 1 (free and available on any podcast app) we discuss:

• What regenerative aesthetics means to injectors
• How and why our skin ages
• The role of fibroblasts
• How structure defines function in skin aging
• The role of collagen and elastin
• Pre-juvenation
• An introduction to calcium hydroxyapatite

00:00 Introduction 02:24 Two Part Episodes Patreon 03:04 Meet Dr Kate Goldie 05:07 Regenerative Aesthetics Mission 07:38 Masterclass Focus CaHA Radiesse 09:00 Behind the Scenes Exosome Research 15:17 Future of Regenerative Medicine AI 19:07 Sponsor Break Vida Soul 20:49 Reality Check Biostimulators 21:53 Three Pillars of Regenerative Aesthetics 23:37 Back to Basics Skin Aging 26:19 Why Skin Ages 27:42 Bowl of Soup Model 30:11 Homeostasis Breakdown 31:40 Lifestyle Stress Effects 34:22 Sponsor Offer Break 35:17 Fibroblasts and Mechanotransduction 37:30 Collagen Balance Windows 40:18 When Collagen Declines 44:01 Radiesse Explained 50:11 Off Label Innovation 52:28 Wrap Up and Subscribe

In Chaper 2 Part 2 (Now available inside our new app, IA Community, ahead of our official launch this May. Click here to join our waitlist), we discuss:

• Calcium hydroxyapatite as a material
• What Radiesse is
• How Sculptra differs to Radiesse
• The concept of hyperdiluted Radiesse and how to do it
• The difference between different hyperdilution ratios
• Protocols to treat the face, the neck and body
• Combination treatments with Radiesse and other injectables

00:00 Introduction 00:30 Radiesse Basics and Goals 01:06 Bone Lining Microdroplets 03:23 Dilution Effects and Planes 07:20 How to Mix Radiesse 09:05 Butterfly Technique and Four Ds 13:06 Comparing Radiesse vs Sculptra 15:42 Choosing the Right Tool 19:44 Treatment Rhythm and Scheduling 21:17 Younger Patients and Prevention 23:01 Consults and Setting Expectations 25:23 Youthful Skin Not Weird 26:03 Younger Versus Beautiful 27:56 Art Science Tissue Remodeling 30:05 Neck Treatment Deep Dive 32:11 Neck Dosing Zones Technique 35:20 Avoid Over Dilution Lumps 38:43 Who Needs Surgery Instead 39:29 Profilo Versus Radiesse 40:48 Body Areas Dilution Strategy 42:50 Nodules Safety Management 46:00 Future Regenerative Aesthetics 48:25 Wrap Up Resources Plug

ALL IA LINKS & CONTACT INFORMATION

Episode 269 hosts Dr Kate Goldie, a Cosmetic Physician from London, UK.

Kate is a globally-renowned speaker and KOL for Merz Aesthetics. She has lectured in over 75 countries and is a thought leader in aesthetics. She has a particular interest in regenerative medicine and is leading research into how to best use Radiesse (by Merz Aesthetics). 

In our 'Masterclass Series' we host global experts with significant experience to teach us about fillers, bio-stimulators, bio-remodellers, polynucleotides, exosomes and other products. (For toxin insights, check out our other mini-series, 'The Tox Talks')

In Chapter 2 - Part 1 (free and available on any podcast app) we discuss:

• What regenerative aesthetics means to injectors
• How and why our skin ages
• The role of fibroblasts
• How structure defines function in skin aging
• The role of collagen and elastin
• Pre-juvenation
• An introduction to calcium hydroxyapatite

In Chaper 2 - Part 2 (exclusive for subscribers to our Patreon) we explore:

• Calcium hydroxyapatite as a material 
• What Radiesse is
• How Sculptra differs to Radiesse
• The concept of hyperdiluted Radiesse and how to do it
• The difference between different hyperdilution ratios
• Protocols to treat the face, the neck and body
• Combination treatments with Radiesse and other injectables

LISTEN TO PART 2 NOW BY SUBSCRIBING TO OUR PATREON

Starting from Episode 265 selected future episodes will be divided into two parts:

• Part 1 will be free & available on any podcast app
• Part 2 will be exclusive for subscribers to our Patreon and these episodes are only available on Spotify for now

CLICK HERE TO BROWSE OUR IA OFFERS FOR DISCOUNTS & SPECIALS

• Take advantage of our Vita Sol offer - save 10% of any order
• Take advantage of our Bacteriostatic water offer - buy 10 vials of bacteriostatic (preserved) saline and get 5 free = save another 10% off!

CLICK HERE IF YOU'RE A BRAND OR COMPANY & WANT TO WORK WITH IA

Contact us if you'd like to:

• Discuss a sponsored podcast idea
• Maybe you'd like to set up an IA Offer (a special discount for our listeners)
• Reward and gift your most loyal & valued customers with an annual subscription to our Patreon

CLICK HERE TO APPLY TO BE A GUEST ON IA

• Do you have a great story for an 'Injector Diaries' episode?
• Would you like to share your business model and strategies on a 'Business of Injecting' episode?
• Do you have exceptional experience with toxins and want to do a 'Tox Talks' episode?
• Are you a leading expert using fillers, polynucleotides, exosomes or other injectbale products and want to contribute to our 'Masterclass Series' series?
• Has something especially got your attention on social media that's worth delving into on a 'What's trending in aesthetics? episode?

CONTACT INFORMATION: 

Contact IA and other important links

Subscribe to IA on Apple Podcasts

Subscribe to IA on Spotify

Follow Dr Jake on Instagram 

Follow David on Instagram

Episode 268 hosts Dr Steven Weiner (Facial Plastic Surgeon based in Florida, USA)

Back on July 11th, Steve and another previous IA guest April Harrison did an Instagram Live together where they discussed their thoughts and aproach to botulinum toxin resistance in their own patients - including a very novel (and controversial!) approach to using hyaluronidase to 'cure' it.

In our 'What's trending in Aesthetics?' episodes we cover topics that have got injectors talking on social media or been in the news. We'll cover controversies, big stories and themes that affect our speciality.

In Chapter 5 Part 1 (free for listeners on any podcast app), we explore:

• Botulinum toxin resistance
• Theories around what happens with the immune system to cause toxin resistance
• The issue of 'pseudo-resistance'
• How to approach suspected toxin resistance in patients

00:00 Introduction 00:31 Catching Up and Weekly Updates 01:22 Clinic Busyness and Market Trends 02:16 Biostimulators and Sculptra Talk 03:56 Patreon Split Episodes Update 05:21 Meet Dr Steven Weiner 09:24 Origins of Toxin Resistance Live 10:03 What Is Toxin Resistance 13:43 Antibodies and Protein Load Debate 15:45 Vaccines Illness and Injecting 18:27 Does Xeomin Reduce Resistance 20:39 Brand Hopping Myth 21:22 Pseudo Resistance Explained 22:12 Testing Limits and Hype 24:16 Toxin B Option 25:20 Injector Error Deep Dive 27:15 Frontalis Depth Nuances 30:31 Frequency Drives Resistance 31:31 Dilution and Longevity Debate 36:24 Ultrasound Guided Toxin 41:56 Saline Reconstitution Myths 43:42 How Rare Is Resistance 44:53 COVID Vaccine and Fibrosis Theories 47:33 Part Two Preview and Patreon

In Chapter 5 Part 2 (Now available inside our new app, IA Community, ahead of our official launch this May. Click here to join our waitlist), we discuss:

• The background to why they looked at using hyaluronidase for toxin resistance
• April's toxin resistance case
• Steve's theories about how hyaluronidase might work

00:00 Introduction 01:08 Immune System Damping Ideas 04:21 Practical Limits and Ethics 07:51 Hyaluronidase Paper Insight 11:51 Hyaluronidase Products Explained 13:23 Fraxel Surprise and Efficiency 16:18 Mechanism and Diffusion Risks 19:13 April Case Breakthrough 22:55 Protocol and Dilution Strategy 27:04 Is Resistance Actually Rare 28:05 When Tox Stops Working 28:47 Washout Period Reality 29:37 Antibody Data Surprises 31:43 User Error And Referrals 32:50 Dose Variability In Vials 34:58 Stock Theft Business Risk 37:36 Touchups And Timing Rules 41:14 Dose Adjustment Language 43:38 Zinc Supplement Myth 44:59 Off Label And Insurance 50:15 Wrap Up And Outro

ALL IA LINKS & CONTACT INFORMATION

Episode 268 hosts Dr Steven Weiner, a Facial Plastic Surgeon from Florida, USA. 

Back on July 11th, Steve and another previous IA guest April Harrison did an Instagram Live together where they discussed their thoughts and aproach to botulinum toxin resistance in their own patients - including a very novel (and controversial!) approach to using hyaluronidase to 'cure' it.

In our 'What's trending in Aesthetics?' episodes we cover topics that have got injectors talking on social media or been in the news. We'll cover controversies, big stories and themes that affect our speciality.

In Chapter 5 Part 1 (free for listeners on any podcast app), we explore:

• Botulinum toxin resistance
• Theories around what happens with the immune system to cause toxin resistance
• The issue of 'pseudo-resistance'
• How to approach suspected toxin resistance in patients 

In Chapter 5 Part 2 (exclusive for subscribers to our Patreon and only available on Spotify) we cover:

• The background to why they looked at using hyaluronidase for toxin resistance
• April's toxin resistance case
• Steve's theories about how hyaluronidase might work

LISTEN TO PART 2 BY SUBSCRIBING TO OUR PATREON

Starting from episode 265 you'll notice that a proportion of our episodes are now divided into two parts:

• Part 1 is free & available on any podcast app
• Part 2 is exclusive for subscribers to our Patreon and these episodes are only available on Spotify for now

Once you've joined Patreon, here's a guide on how to set things up in Patreon to access the subscriber-only episodes

CLICK HERE TO BROWSE OUR IA OFFERS FOR DISCOUNTS & SPECIALS

• Save money, access special promotions and more!

CLICK HERE IF YOU'RE A BRAND OR COMPANY & WANT TO WORK WITH IA

Contact us if you'd like to:

• Discuss a sponsored podcast idea
• Maybe you'd like to set up an IA Offer (a special discount for our listeners)
• Reward and gift your most loyal & valued customers with an annual subscription to our Patreon

CLICK HERE TO APPLY TO BE A GUEST ON IA

• Do you have a great story for an 'Injector Diaries' episode?
• Would you like to share your business model and strategies on a 'Business of Injecting' episode?
• Do you have exceptional experience with toxins and want to do a 'Tox Talks' episode?
• Are you a leading expert using fillers, polynucleotides, exosomes or other injectbale products and want to contribute to our 'Masterclass Series' series?
• Has something especially got your attention on social media that's worth delving into on a 'What's trending in aesthetics? episode?

CONTACT INFORMATION: 

Contact IA and other important links

Subscribe to IA on Apple Podcasts

Subscribe to IA on Spotify

Follow Dr Jake on Instagram 

Follow David on Instagram

Episode 267 hosts Dr John Delaney & Dr John Holbrook, the founders of Fresh Clinics.

In this episode we discuss:

• Who Fresh Clinics are and how they successfully disrupted the Australian injecting market
• Their thoughts about the new Australian regulations and what it means for injectors
• The software that Fresh Clinics created to allow for seamless and legally-compliant remote prescribing
• Their future plans to launch a Fresh CRM software for complete clinic management
• Fresh's expansion to Texas, USA and how American injectors attitudes differ

00:00 Introduction 02:16 Meet Dr John Delaney & Dr John Holbrook, the founders of Fresh Clinics 03:59 What Fresh Clinics Does 07:20 Why Tech and Doctor Oversight 10:25 Australia Regulation Shakeup 14:31 TGA Ads and Euphemisms 18:08 Tasmania Doctor Onsite Debate 23:45 Industry Infighting and Complaints 26:31 Regulators and Influence Explained 32:19 Do Regulators Understand Injectables 36:16 Patient Education vs Ad Rules 37:05 Media Fear and Fillers 38:18 Nurse Networks and Training 39:38 Regulation Workarounds 40:42 Why Texas and Why Now 42:01 US Risk Appetite Shock 46:22 Texas Growth and Product Fit 48:11 Compliance Tech Advantage 52:20 Med Spa Scope Creep 54:00 EMR Launch and Beta 01:01:10 End to End Clinic Suite 01:03:25 Analytics and Benchmarking 01:08:19 Privacy and Cybersecurity 01:10:59 Data for Business Decisions 01:12:35 AI For Business Decisions 01:13:39 Market Maturity And Data 01:14:56 AI Notes And Efficiency 01:18:24 LLM Analytics And Marketing 01:20:48 Outcomes And Upsell Insights 01:22:23 Pricing And Business Model 01:25:13 Conference And Giveaway 01:28:06 Criticism And Market Impact 01:33:58 Training New Injectors 01:36:05 Doctor Network And Governance 01:41:16 Regulatory Nuance And Compliance 01:42:32 Wrap Up And Where To Follow

***COMPETITION NEWS***

In partnership with Fresh Clinics, anyone who purchases a ticket to their 'Fresh Life Conference' (being held in Byron Bay, Oct 29-31 2024), Fresh Clinics will randomly draw 10 winners for an annual subscription to our Patreon. (and if you're already signed up, you'll get an extra year!)

Follow Fresh Clinics on Instagram for the announcement of the winners by September 6th!

ALL IA LINKS & CONTACT INFORMATION