Inside Aesthetics

Episode 360 hosts Rachel Jarrell ('Ms Glowtox', Board-Certified Nurse Practitioner, co-founder of The Facial Refinery, USA)

Rachel joins us in the 34th 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 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 aim to inspire our injector listeners.

00:00 Welcome and Guest Intro 01:20 Meet Rachel Jarrell 02:49 Early Aesthetics Inspiration 05:56 Nursing Path and Forensics 07:25 Why Clinical Foundation Matters 10:51 Breaking Into Aesthetics 12:19 First Injecting Training Reality 15:30 Designing Better Training 17:34 Starting Her Own Practice 20:55 Employee Value and Business Mindset 27:10 Injection Philosophy and Ethics 30:15 Education Content and DIY Risks 35:09 Consultations vs Online Advice 36:45 Nuance vs AI Advice 37:37 Growing an Instagram 38:35 Viral Reel Breakthrough 41:16 Followers vs Real Patients 43:48 Burnout and Boundaries 45:45 Content Under Regulations 48:51 Biostims and Product Picks 51:28 Debunking TikTok Trends 55:25 Ethics and Industry Standards 57:34 Rapid Fire Favorites 01:01:05 Best Anatomy Resources 01:02:28 Using AI in Practice 01:05:21 Next Guest Question 01:06:28 Wrap Up and Thanks

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Episode 359 showcases our hosts Dr Jake Sloane & David Segal.

In our 'What's trending in Aesthetics?' episodes we discuss popular topics doing the rounds on social media, issues being debated in injector forums or items showcased on the news. We'll cover controversies, big stories and themes that have got injectors and our industry talking.

In Chapter 18 we delve into four main topics:

1. A new Australian study putting data behind the value of a proper patient consultation.
2. The emerging research on GLP-1 agonists and their effect on facial fat and skin structure.
3. The rise of 'treatment regret' - from filler dissolving to BBL and breast implant reversals, as the industry swings back toward more natural results.
4. The practice of 'backfilling' or 'decanting' filler into smaller syringes, and the legal and safety risks injectors may not be considering.

00:00 Introduction 01:34 Four Trending Topics 02:52 Consultation Study And Key Findings 08:40 What Makes An Effective Consultation 11:13 Patient Psychology And Rapport 16:21 Full Face Assessment 19:29 GLP-1 Face Study Explained 24:06 Managing GLP-1 Patients 27:33 Fillers Vs Biostimulators 30:32 The Rise Of Buyer's Regret 32:48 Natural Results And Filler Perception 36:05 Social Media And Treatment Risks 38:08 Decanting And Backfilling Debate 40:18 Sterility, Ethics And Insurance 48:29 Wrap Up & Outro

LINKS FROM THIS EPISODE:

• Consultation study
• GLP 1 study
• David Segal website

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Episode 358 hosts Dr Rob Weiss (GP from Melbourne, Australia)

In this episode we explore the trending but highly controversial topic of peptides.

We discuss the background to these products, the growing demand from the general public and address the significant dangers of black-market peptides.

Our guest explains how he educated himself about this niche speciality and his thoughts about why no significant studies or evidence exists for most commonly used peptides.

We learn about his approach to using peptides in patients with musculoskeletal injuries and his clear distinction between this approach vs people using peptides for self-prescribed 'looksmaxing' and within the 'gym bro' culture.

00:00 Introduction 00:41 Peptides Episode Overview 02:06 IA Community App Updates 03:47 Meet Our Special Guest, Dr Robert Weiss 05:41 What Peptides Are 10:50 Why Peptides Went Mainstream 17:46 Evidence and Prescribing 22:59 GLP-1 Breakthroughs 28:41 Clinical Uses and Protocols 33:06 Safety and Misuse 34:55 Retatrutide Explained 37:20 Safety vs Hype 38:59 Black Market Risks 40:58 Compounding and Quality Standards 44:58 Biohacking and Peptide Trends 47:04 Regulation and Oversight 52:11 GHK-Cu and Skin Rejuvenation 58:27 The Future of Peptides 01:02:05 Evidence vs Anecdotes 01:06:09 Learning Resources 01:07:07 Wrap Up and Outro

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Episode 357 showcases our hosts Dr Jake Sloane & David Segal

In our 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 13 we review where we're at in the toxin market and what the implications are of having more choice. In Australia we've quickly moved from only three traditional choices (Botox, Dysport,and Xeomin) to seven (adding Letybo, Nuceiva, Relfydess, and Daxxify). This has resulted in clinical and commercial complexity for clinics and we delve into this new problem.

Patient demand, marketing pressures and questionable business choices have led some injectors to stock multiple brands - but maybe at the expense of reducing mastery, inconsistent results, poorer patient satisfaction and less profitability. We outline the common issues encountered when introducing new toxin brands whilst covering the business angles including inventory management, buying power, pricing, and communicating change with patients.

00:00 Introduction 00:41 Seven Toxins Overview 01:58 IA Community App Update 03:30 The Evolution Of Neurotoxins 05:01 Patient Demand And Choice 07:12 Comparing Seven Toxin Brands 11:13 Regulation And Off Label Use 13:54 Do Brand Differences Matter? 18:57 Stocking One Vs Multiple Brands 23:58 Switching Between Toxins 26:15 Preparing Patients For A Switch 31:09 Pricing, Bias And Value 32:52 Dose And Dilution Basics 35:39 Hyper Concentrated Treatments 38:06 Injection Technique And Anatomy 39:10 Business And Stock Management 44:02 Inventory And Cashflow Tips 48:52 Key Takeaways And Wrap Up

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Episode 356 hosts Angela Winters (Registered Nurse from Mudgee, Australia)

In this podcast we learn how aesthetic clinics in Australia are partnering with Fresh Clinics to introduce new services for their patients - weight loss, menopause and hair loss consultations under the 'Fresh Health' model. This episode builds on what we learnt in episode 353 with Dr John Delaney (Co-Founder of Fresh Clinics) and why Fresh Health was launched.

Angela first shares her own weight-loss journey before we learn about how hybrid nurse & prescriber consultations work in practice. We discuss the typical in clinic approach for these services and cover some of the key steps including screening tools, blood testing, prescriptions, follow-ups and patient education.

00:00 Welcome 01:03 IA Community App 02:49 Meet our Special Guest: Angela Winters 04:57 Regional Clinic Realities 06:44 Business Trends In 2026 08:32 Wellness As A Growth Strategy 11:22 Rising Demand For Perimenopause Care 12:26 Angela's Weight Loss Journey 19:13 Nutrition And Protein During Weight Loss 24:48 Hybrid Healthcare Models 28:20 Telehealth Best Practices 31:11 Weight Loss Program Workflow 34:54 Aesthetic Changes During Weight Loss 38:24 Menopause Care And Patient Trust 42:22 Hormones, Mood And Relationships 47:36 Building A Sustainable Business Model 50:46 Pricing And Patient Retention 54:59 Advice For Clinics Getting Started 58:22 The Future Of Preventative Healthcare 59:42 Wrap Up

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Episode 355 hosts Dr Manav Bawa (Cosmetic Physician from London, UK) & Yogeetha Bawa (Practice Manager & Business Consultant from London, UK)

In 'The Business of Injecting' 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 aesthetic business owners.

In Chapter 23 we discuss how Manav and Yogeetha built a thriving aesthetics business from the ground up. We explore their transition from medicine and corporate careers into founding an aesthetic clinic, expansion to a second location, and the key lessons they learned. Our guests share their practical insights into the challenges they faced and balancing business success with a busy family life.

00:00 Introduction 02:03 Meet Our Special Guests: Dr Manav And Yogeeta Bawa 03:53 From Corporate Careers To Aesthetics 11:27 Building Thyme Clinic 13:25 Branding And Rebranding 17:05 Growing After COVID 21:39 Marketing And Business Growth 28:07 Scaling Multiple Clinics 32:45 Hiring And Maintaining Quality 37:02 ROI And Smarter Business Decisions 41:12 Key Revenue Drivers 45:04 Expanding To A Second Clinic 47:00 Leadership And Exit Planning 48:56 Biggest Business Mistakes 54:41 Marketing Investment Strategy 57:07 Balancing Parenthood And Business 01:04:35 Rapid Fire Questions 01:09:39 Final Thanks And Wrap Up

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Episode 354 hosts Terri Ross (Aesthetic Consultant & Business Advisor, USA)

In this episode, we welcome Terri Ross (founder of Terri Ross Consulting) for her insights into how clinics can improve their profitability, patient retention, and operational efficiency. We explore common business mistakes, the importance of strong consultation and sales frameworks, financial literacy for clinic owners, and how practices can differentiate themselves in an increasingly competitive market. Terri also shares practical advice on treatment planning, team performance, and creating sustainable growth in aesthetics.

00:00 Introduction 01:36 Meet our Special Guest: Terri Ross 03:03 Consulting Services Explained 04:00 Common Practice Pitfalls 06:17 Sales Vs Education Mindset 10:53 Consultation Psychology 14:42 Industry Shifts And The Wellness Boom 17:51 Standing Out Through Safety And Trust 19:54 Gen Z Trends And Looksmaxing 22:20 Pricing And Profitability 23:20 Private Equity And Exit Strategies 24:50 Fixing Practice Finances And Reporting 29:16 How Consulting Engagements Work 31:49 Patient Retention Through Better Consultations 34:42 Full Face Treatment Planning 40:42 Early Practice Mistakes To Avoid 42:31 Wrap Up And Listener Callouts

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Episode 353 hosts Dr John Delaney (Co-founder of Fresh Clinics)

In this episode we explore the introduction of a new model of services for Australian aesthetic clinics called 'Fresh Health' - and its potential to reshape the landscape of aesthetics and primary care medicine.

Fresh Clinics already support injectors with technology to ensure compliance, training and higher standards. But Fresh Health is their next evolution that allows cosmetic clinics to offer additional medical services including for weight loss, menopause and hair loss consultations. This model is referred to as 'hybrid healthcare', blending in-person nurse-led consultations with telehealth specialists.

We discuss why Fresh Health was launched and how it will help improve holistic patient care - whilst reinforcing the business success of existing clinics.

00:00 Welcome and Guest Intro 00:32 What Fresh Clinics Does 01:29 Disrupting the Industry 04:01 Aesthetics Market in 2026 06:43 Trends Tox Filler Biostims 08:39 Why Fresh Health Started 11:08 Business Support Beyond Clinical 13:19 Fresh Health Explained 14:17 Hybrid Care and Patient Trust 25:23 Medicine 3.0 Optimization 29:33 HRT History and Misconceptions 32:38 How Hybrid Care Works 33:29 Nurse Telehealth Workflow 35:25 Wellness Meets Aesthetics 36:39 Whole Body Consultation Shift 38:22 Hybrid Care vs Online Only 40:12 Criticism and Governance 43:01 Peptides and Black Market Risks 46:44 Pricing and Subscriptions 49:51 Clinic Economics and Retention 51:54 Access and Rural Impact 54:50 Future Services Roadmap 57:30 Joining Fresh Network 01:00:11 Fresh Summit Wrap Up

Links:

Fresh Clinics (Australia)

Fresh Clinics (USA)

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Episode 352 hosts Dr Tania Romano (Head of Medical & Education for SkinCeuticals & skinbetter science ANZ)

In this episode we go on a deep dive into what actually works when it comes to skincare - whilst debunking what might just be good marketing. Tania cuts through an oversaturated market to explain why ingredient quality, concentration and pH matter far more than what some labels usually advertise.

She then makes the evidence-based case for the some of the active ingredients that patient should consider using daily: Vitamin C and retinoids Our conversation demystifies antioxidants and free radicals, the science behind both CE Ferulic Vitamin Serum (made by SkinCeuticals) & Alto Defense Serum (made by Skinbetter Science), and why using a combination of ingredients and antioxidants trumps using Vitamin C on its own.

Tania then explains the retinoid ladder and how retinoids drive collagen synthesis at the cellular level. She sheds light on why Alpharet (made by Skinbetter Science) wasn't available for several years in Australia and how to best use this product.

We reframe the patient consult to improve patient compliance with home skincare and finally - David admits he uses beef tallow!

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00:00 Introduction 01:20 Meet our Special Guest: Tania Romano 04:27 Skincare Market Overload 06:10 Cosmeceutical Vs Cosmetic 08:00 Vitamin C Formulation Secrets 09:26 Kids And TikTok Skincare 10:31 Education Vs Marketing 16:58 Top Three Evidence Based Actives 20:23 The Role Of Antioxidants 27:11 How To Use Vitamin C Correctly 32:02 Sunscreen And Skin Aging 35:14 Alpharet Returns To Australia 38:35 Understanding Retinoids 42:09 How Retinoids Build Collagen 44:35 How To Use Alpharet 46:02 Skincare As A Long Term Routine 48:00 How To Tell If A Brand's Science Is Real 49:28 Choosing Science Backed Brands 50:52 Conference Wrap And Outro

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Episode 351 hosts Sara Lavis (Registered Nurse from Perth, Australia)

In this episode we discuss how to best integrate skin treatments and devices into your aesthetic clinic or medispa - with a focus on NanoFractional RF technology by Venus.

Our conversation highlights some of the key tools to patient conversion when it comes to skin treatments - including a systematic consultation and having tools to examine skin quality objectively. Sara outlines the modalities she uses in her clinic and explains how and why she chose these devices. She then shares her insights about NanoFractional Radiofrequency using the Venus Versa Pro platform. We discuss the indications for it, ideal patient selection, the procedure and expectations. We also cover the concept of 'stacking' treatments with RF including polynucleotides, exosomes, PRP and insulin.

*]:pointer-events-auto R6Vx5W_threadScrollVars scroll-mb-[calc(var(--scroll-root-safe-area-inset-bottom,0px)+var(--thread-response-height))] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto" data-turn-id= "request-69c4e055-cf80-8321-bb5b-e7abe90214a6-1" data-turn-id-container= "request-69c4e055-cf80-8321-bb5b-e7abe90214a6-1" data-testid= "conversation-turn-492" data-scroll-anchor="false" data-turn= "assistant">

00:00 Introduction 01:39 Meet our Special Guest: Sara Lavis 05:42 Holistic Skin Shift 07:00 Learning Skin Confidence 09:46 Clinic Team And Workflow 10:49 Skin Assessment Tools 12:46 Non Pushy Skin Conversations 15:46 Devices In The Clinic 17:16 Choosing The Right Device 19:36 RF Basics And Candidates 23:32 Venus Versa Heads Explained 25:34 Multimodality Business Logic 28:16 RF Treatment Journey 31:03 Surface RF Explained 31:25 Ablation Vs Coagulation 32:13 RF Vs CO2 Downtime 33:03 Stacking Polynucleotides 34:16 All Skin Types Safety 35:02 Under Eye Skin Prep 36:06 PRP Exosomes And Insulin 38:02 Pores Texture And Resurfacing 39:06 Pigment Protocols And Melasma 41:44 Overtreatment Scope And Referrals 44:24 Consumables Pricing And Timing 47:34 Vendor Support And Upgrades 50:35 Clinic Future And Acne Bridge 53:30 Why Stacking Works 55:55 Wrap Up

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