Inside Aesthetics

Episode 237 hosts Dr Saras Sundrum (Cosmetic Physician, Sydney), Ashlee Middleton (National Sales Manager - Lumenis ANZ) and Jessica Sluga (National Clinical Educator - Lumenis ANZ).

We discuss TriLift, a novel device made by Lumenis. According to Lumenis, Trilift can give 'a facelift-like result with no injections or surgery'.  TriLift includes three modaliites of treatment: dynamic muscle stimulation, radiofrequency for skin rejuvenation and radiofrequency microneedling for skin texture improvement and resurfacing.

Our three guests give us their own insights on the device. We discuss it's clinical indications, the technology built into it and some important commercial aspects when buying a new device. Dr Saras shares her own journey of buying TriLift, her real life patient feedback and how she has succesfully integrated it into her practice.

This podcast was sponsored by Lumenis ANZ

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Episode 236 hosts Dr Stephen Lowe (Cosmetic Physician based in Sydney, Australia)

Stephen has been in the aesthetics field for over 13 years and is a global KOL for Merz Aesthetics. He has been using Ultherapy since 2017 and is a leading practitioner in how to best use it.

We discuss what Ultherapy is, the technology involved and how this relates to treating specific signs of facial ageing. We specifically drill down into collagen loss, aging of the SMAS layer and how these structures impact on facial aesthetics.

We learn from Stephen about what patients make the best candidates for Ultherapy, contrast it with alternative modalities and treatments, discuss what the treatment journey looks like, downtime and the rare risk of complications.

This podcast was produced in partnership with Merz Aesthetics

The non-invasive Ultherapy® procedure is indicated for dermatological sculpting and lifting of the dermis on the upper face, lower face, neck, and décolletage though the deposition of micro-focused ultrasound energy. Ultherapy® should not be used on persons with open wounds, lesions, severe or cystic acne, or implants in the treated area. THIS PRODUCT IS NOT AVAILABLE FOR PURCHASE BY THE GENERAL PUBLIC. Always read the label and consult your Healthcare Professional for more information. This medical device must be administered by Healthcare Professional or trained personnel, under the supervision of a physician. If you are a Healthcare Professional, please review the Ultherapy® Instructions for Use before administering treatment, available from https://www.merzaustralia.com.au/products/

Copyright © 2023. Merz Australia Pty Ltd. All rights reserved. Ultherapy® is a registered trademark of Ulthera, Inc. Merz Aesthetics® and the Merz Aesthetics® logo are registered trademarks of Merz Pharma GmbH & Co. KGaA. For more information about how Merz handles personal data, please see Merz General Data Protection information notice at https://www.merz.com/fin/

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Episode 236 hosts Dr Stephen Lowe, a Cosmetic Physician from Sydney, Australia. Stephen has been in the aesthetics field for over 13 years and is a global KOL for Merz Aesthetics. He has been using Ultherapy since 2017 and is a leading practitioner in how to best use it.

We discuss what Ultherapy is, the technology involved and how this relates to treating specific signs of facial ageing. We specifically drill down into collagen loss, aging of the SMAS layer and how these structures impact on facial aesthetics. 

We learn from Stephen about what patients make the best candidates for Ultherapy, contrast it with alternative modalities and treatments, discuss what the treatment journey looks like, downtime and the rare risk of complications.

This podcast was produced in partnership with Merz Aesthetics 

The non-invasive Ultherapy® procedure is indicated for dermatological sculpting and lifting of the dermis on the upper face, lower face, neck, and décolletage though the deposition of micro-focused ultrasound energy. Ultherapy® should not be used on persons with open wounds, lesions, severe or cystic acne, or implants in the treated area. THIS PRODUCT IS NOT AVAILABLE FOR PURCHASE BY THE GENERAL PUBLIC. Always read the label and consult your Healthcare Professional for more information. This medical device must be administered by Healthcare Professional or trained personnel, under the supervision of a physician. If you are a Healthcare Professional, please review the Ultherapy® Instructions for Use before administering treatment, available from https://www.merzaustralia.com.au/products/

Copyright © 2023. Merz Australia Pty Ltd. All rights reserved. Ultherapy® is a registered trademark of Ulthera, Inc. Merz Aesthetics® and the Merz Aesthetics® logo are registered trademarks of Merz Pharma GmbH & Co. KGaA. For more information about how Merz handles personal data, please see Merz General Data Protection information notice at https://www.merz.com/fin/

PATREON:

Join our Patreon for on demand injectable and business education in addition to global networking opportunities with other injectors

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Click here to browse our latest partner offers!

CONTACT INFORMATION:

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Find out more about Ultherapy 

Episode 235 hosts Kian Moini (Entrepreneur and the owner of 'Q-Tox' based in Sydney, Australia)

We hosted Kian way back in episode 143, almost two years ago to the day prior to his clinic opening. We re-visit what his goals were for his clinic and learn how he has navigated the challenges of the competitive Sydney aesthetic market. We learn about what worked, what needed tweaking and get an insight into how understanding your CRM data can drive your overall strategy.

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.

00:00 Introduction 02:46 Meet our Guest Kian Moini 06:19 Data Driven Clinic Decisions 11:08 Defining Premium Mid Tier Model 13:45 Mall Clinics and Market Positioning 16:29 Launch Lessons and Walk In Growth 21:07 Improving Injectors With Metrics 23:13 Playing to Injector Strengths 28:25 Surviving the Scary Weeks 32:32 Why Numbers Matter in Tough Times 35:06 Gross Profit Over Revenue 37:11 Zero Based Budgeting 38:09 Why Costs Get Ignored 39:52 Marketing Is The Product 42:09 Know Your Margins Fast 43:16 Boom Times Won't Last 44:53 Small Clinics Win 50:16 Fitout Spend Strategy 51:36 Build Lessons And Layout 55:48 Staffing Without A Manager 60:29 Hiring Receptionists 61:55 Building The Injector Team 64:30 Rebooking And Ethical Sales 68:22 Educator Not Salesperson 68:49 Slow Down For Quality 69:44 Rapport And Patient Experience 70:33 Chain Clinic Menu Mentality 75:17 Pricing Strategy And Margins 79:28 Raising Prices Without Backlash 83:32 Negotiating Suppliers And Stock 86:31 Testing New Toxins And Technique 91:30 Marketing Mix And Acquisition Cost 92:51 Choosing The Right CRM 95:08 Opening A Second Clinic 98:22 When Is Enough 100:04 Final Wrap And Where To Follow

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Episode 235 hosts Kian Moini, an entrepreneur and the owner of 'Q-Tox' based in Sydney, Australia. 

We hosted Kian way back in episode 143, almost two years ago to the day prior to his clinic opening. We re-visit what his goals were for his clinic and learn how he has navigated the challenges of the competitive Sydney aesthetic market. We learn about what worked, what needed tweaking and get an insight into how understanding your CRM data can drive your overall strategy.

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.

PATREON:

Join our Patreon for on demand injectable and business education in addition to global networking opportunities with other injectors

SUPPORT THE PODCAST:

Click here if you enjoy listening to IA every week and would like to contribute to supporting the podcast

CHECK OUT OUR SPECIAL OFFERS:

Click here to browse our latest partner offers!

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 234 hosts Julie Bass Kaplan (Nurse Practitioner based in California, USA)

This is the 3rd chapter in our mini-series called 'Disasters & Solutions'. Here we look at some of the unusual, difficult or outright disasterous outcomes for patients caused by injectables. We speak to the injectors who managed the 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 3 we discuss a case concerning a patient who was treated with chin filler. They immediately developed a significant and rare vascular occlusion that affected one side of their tongue. We hear about what was done to salvage the situation and drill down into some fundamental learning points for all injectors.

00:00 Introduction 01:01 Disasters Series Returns 02:48 Case Background Chin Filler 06:04 Consent and Risk Talk 09:04 Technique and Ultrasound Error 18:47 Training Lessons on Ultrasound 20:45 Harlequin Tongue Recognition 23:06 Emergency Protocol and Drills 27:19 Patient Support and Timeline 32:07 Hyaluronidase Dosing and Stock 39:44 Adjuncts Hyperbaric and EO2 43:51 Next Steps Patient and Injector 44:49 Turning Complication Into Paper 46:38 Injector Growth And Confidence 48:20 Patient Care And Communication 58:01 Undiagnosed Occlusions Debate 62:29 Median Canal Anatomy Explained 66:22 Fishing For Red Technique 72:10 VO Mechanisms And Risk Factors 73:38 Emergency Kit And Training 76:37 Refunds Apologies And Support 80:05 Medicolegal Protocols And Notes 85:16 Wrap Up And Where To Learn

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Episode 234 hosts Julie Bass Kaplan, a Nurse Practitioner from California, USA. Better known as Jubilant Julie, she has been injecting since 1999 and is one of the world's most experienced aesthetic injectors.

This is the 3rd chapter in our mini-series called 'Disasters & Solutions'. Here we look at some of the unusual, difficult or outright disasterous outcomes for patients caused by injectables. We speak to the injectors who managed the 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 3 we discuss a case concerning a patient who was treated with chin filler. They immediately developed a significant and rare vascular occlusion that affected one side of their tongue. We hear about what was done to salvage the situation and drill down into some fundamental learning points for all injectors. 

JOIN OUR PATREON:

Join our Patreon for on demand injectable and business education in addition to global networking with other injectors

SUPPORT THE PODCAST:

Click here if you enjoy listening to IA every week and would like to contribute to supporting the podcast

CHECK OUT OUR SPECIAL DISCOUNTS & OFFERS:

Click here to browse our latest partner offers!

CONTACT INFORMATION:

Contact IA and other important links

Subscribe to IA on Apple Podcasts

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Follow Dr Jake on Instagram 

Follow David on Instagram

Follow Julie on Instagram

Episode 233 hosts Dr Alexander Rivkin (ENT surgeon based in California, USA)

For years injectors have argued bitterly about the pros and cons of theoretical safety manoeuvres performed when injecting fillers. These techniques include aspiration, small or larger movements of the needle tip or even aspiration and moving combined.

We explore the rationale proposed for these procedures and try to understand the merits and limitations of what they might offers us.

00:00 Introduction 01:35 Meet Dr Alexander Rivkin 02:34 From ENT to Aesthetics 04:55 Early Days and Marketing 08:05 Learning to Inject 10:16 Complications and Risk 13:31 Safety Versus Efficacy 16:50 Needle Motion Paper Debate 20:10 Critiquing the Model 27:33 Aspiration Explained 35:02 Bolus Versus Moving Technique 44:54 Teaching Safety to Beginners 47:05 Why Aspiration Feels Safer 47:25 Training Risks and False Confidence 48:15 Patient Comfort and Needle Motion 48:55 Legal Standards and Expert Battles 50:07 What Moving the Needle Means 52:11 Vasospasm and Early Ischemia 56:59 Ultrasound Promise and Pushback 64:15 Dissolving Filler and Integration Myth 67:48 Evidence Gaps and Practical Rules 71:11 Nose Occlusions and Management Steps 76:28 Why Keep Doing Nose Jobs 80:00 Origin of Nonsurgical Rhinoplasty 82:01 Wrap Up and Resources

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Episode 233 hosts Dr Alexander Rivkin, an ENT surgeon from California, USA. 

For years injectors have argued bitterly about the pros and cons of theoretical safety manoeuvres performed when injecting fillers. These techniques include aspiration, small or larger movements of the needle tip or even aspiration and moving combined. 

We explore the rationale proposed for these procedures and try to understand the merits and limitations of what they might offers us. 

PATREON:

Join our Patreon for on demand injectable and business education in addition to global networking opportunities with other injectors

SUPPORT THE PODCAST:

Click here if you enjoy listening to IA every week and would like to contribute to supporting the podcast

CHECK OUT OUR SPECIAL OFFERS:

Click here to browse our latest partner offers!

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 232 hosts Dr Pouria Moradi (Plastic Surgeon & Reconstructive Surgeon based in Sydney, Australia)

Pouria recently published his first book entitled 'Normal - A Plastic Surgeon's letter to his daughter about body image'. He first got the idea for the book as he watched his seven year old daughter participating in a swimming carnival. She seemed so proud of herself and completely unaware of how she looked in her cute swimming costume.

But it dawned on him juggling his role as a father and Plastic Surgeon - how long would this innocence would last? Might she soon start asking questions about her body? And if so, what should a father who offers cosmetic surgery every day to other women say?

This is a deep conversation about body image, parenting, ethics and ultimately, we try to understand what is 'normal'?

00:00 Introduction 01:03 Sunday Catch Up 01:26 Meet Dr Pouria Moradi 02:46 Why He Wrote Normal 06:25 Kids and Body Image 09:25 Defining Normal in Surgery 10:39 Parenting and Social Media 12:08 Talking Cosmetic Work at Home 14:35 Reading the Letter 19:11 Ethics and Saying No 25:00 Otoplasty and Medicare Rules 28:56 Book Structure and Resources 31:45 Screening Patients and Red Flags 34:18 Dopamine and Going Bigger 36:37 Reconstructive Roots vs Cosmetic 39:23 Where Surgeons Draw the Line 40:17 Setting Realistic Results 42:08 Aligning Expectations 44:24 3D Imaging Pitfalls 46:06 Depression and BDD 47:57 Social Media Dysphoria 52:59 Surgeon Bias and Referrals 55:43 Patients Versus Clients 61:28 How to Say No 63:24 Transgender Care Basics 67:50 Defending Cosmetic Surgery 71:48 New Cosmetic Guidelines 79:09 Book and Wrap Up

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