Inside Aesthetics

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 try to re-log back in, you get an error message telling you that you've violated Instagrams terms and conditions. You have no idea what has happened, you're completely cut off from your business and there's absolutely nothing that you can do about it.

We cover:

- How & why injectors run their businesses predominantly via Instagram 

- The global problem of hacking and the various ways it might manifest 

- Two listeners real life stories who have been affected by Instagram hackers

- Dr Jake's own experience of a malicious attack on his Instagram account 

- What the hackers want from your account

- The knock on effect to your followers after your Instagram account has been hacked

- The (lack of) customer service in a company as big as Meta

- Strategies to secure your Instagram account and prevent being hacked

- Simple ideas to future-proof your business

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 groups (General, Injectables, Business & Regenerative Aesthetics) 

- Access to our IA Injectable Live sessions (Injectable Zoom sessions led by Dr Jake)

- Access to weekly IA Hints & Tips (Videos, insights & other injectable education)

- Access to our IA Business Hints & Tips (Videos of business hints and experiences)

- Access to IA Business Insights (Zoom recordings of David doing business coaching with our IA Patrons)

- Access to our growing IA Library of clinical papers, books and resources

- Access to eight IA Webinars

- Business mentoring opportunities with David (30 minutes free for Platinum tier Patrons)

- Shadowing opportunities in clinic with Dr Jake (additional cost)

CONTACT INFORMATION:

Subscribe to IA on Apple Podcasts

Subscribe to IA on Spotify

Other IA links:

Follow IA on Instagram

Sign up as an IA Patron

Visit the IA website 

Contact IA

Apply to be a guest on IA

Dr Jake Sloane:

Follow Dr Jake on Instagram 

Dr Jake's website

David Segal:

Follow David on Instagram

Episode 171 hosts Dr Tom Decates (Cosmetic Physician based in 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.

Tom 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'.

00:00 Introduction 01:03 Renovations and Life Outside the Clinic 04:55 Selling a Business and Major Career Changes 10:59 Why Owners Step Away From Established Clinics 18:27 Industry Changes and Economic Uncertainty 26:25 Preparing for International Conferences 33:29 Learning Ultrasound and New Clinical Skills 41:37 Why Ultrasound May Become Standard Practice 48:53 Choosing Equipment and Training Pathways 52:09 Balancing Innovation With Patient Safety 61:45 Social Media Risks for Clinics and Practitioners 68:49 Real Stories of Instagram Account Hacking 76:38 Business Impact of Losing Social Media Access 80:09 Essential Security Steps to Protect Your Account 86:34 Backup Strategies and Communication With Patients 90:43 Final Advice on Protecting Your Business Online

ALL IA LINKS & CONTACT INFORMATION

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 likely an adverse event will occur

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 groups (General, Injectables, Business & Regenerative Aesthetics) 

- Access to our IA Injectable Live sessions (Injectable Zoom sessions led by Dr Jake)

- Access to weekly IA Hints & Tips (Videos, insights & other injectable education)

- Access to our IA Business Hints & Tips (Videos of business hints and experiences)

- Access to IA Business Insights (Zoom recordings of David doing business coaching with our IA Patrons)

- Access to our growing IA Library of clinical papers, books and resources

- Access to eight IA Webinars

- Business mentoring opportunities with David (30 minutes free for Platinum tier Patrons)

- Shadowing opportunities in clinic with Dr Jake (additional cost)

CONTACT INFORMATION:

Subscribe to IA on Apple Podcasts

Subscribe to IA on Spotify

Other IA links:

Follow IA on Instagram

Sign up as an IA Patron

Visit the IA website 

Contact IA

Apply to be a guest on IA

Dr Jake Sloane:

Follow Dr Jake on Instagram 

Dr Jake's website

David Segal:

Follow David on Instagram

Our guest:

Follow Tom on Instagram

Episode 170 hosts Dr Tom Decates (Cosmetic Physicial based in Amsterdam, Holland)

Tom 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'.

• Part 1 (this episode) is available to listen to on all of your favourite podcast apps.
• Part 2 will be available exclusively on our new app called IA Community launching in May (Click here to join our waitlist)

00:00 Introduction 01:03 Meet Dr Tom Decates 04:55 Types of Serious Filler Complications Explained 10:59 Why Managing Expectations Is Critical 18:27 How the Immune System Responds to Filler 26:25 Early Versus Delayed Inflammatory Reactions 33:29 Understanding Lumps, Nodules and Infections 41:37 Role of Bacteria and Biofilm Formation 48:53 Importance of Proper Skin Cleaning and Hygiene 52:09 Dental Health and Hidden Infection Risks 61:45 Psychological Impact of Complications on Patients 68:49 Supporting Patients Through Adverse Events 76:38 COVID Vaccines and Filler Reactions Explained 80:09 Genetic Predisposition and DNA Risk Testing 86:34 Why Smaller Volumes May Reduce Risk 90:43 Key Safety Lessons and Preparing for Part Two

ALL IA LINKS & CONTACT INFORMATION

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 recent dentist appointment matters when considering injecting a patient with fillers?

- COVID vaccines & filler reactions: What was the outcome of this and did we see more filler complications?  

 - How to clean a patients face before a filler treatment

- Bacteria and the formation of biofilm: what is it?  

- The issue with swabbing wounds and abscesses: why are they often reported as 'sterile' and where are the bacteria?  

- The genetic link and HLA: why a small sub-group of the population are prone to filler reactions 

- A new cheek swab that promises to identify such patients and help avoid up to 85% of immune-related complications

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 groups (General, Injectables, Business & Regenerative Aesthetics) 

- Access to our IA Injectable Live sessions (Injectable Zoom sessions led by Dr Jake)

- Access to weekly IA Hints & Tips (Videos, insights & other injectable education)

- Access to our IA Business Hints & Tips (Videos of business hints and experiences)

- Access to IA Business Insights (Zoom recordings of David doing business coaching with our IA Patrons)

- Access to our growing IA Library of clinical papers, books and resources

- Access to eight IA Webinars

- Business mentoring opportunities with David (30 minutes free for Platinum tier Patrons)

- Shadowing opportunities in clinic with Dr Jake (additional cost)

CONTACT INFORMATION:

Subscribe to IA on Apple Podcasts

Subscribe to IA on Spotify

Other IA links:

Follow IA on Instagram

Sign up as an IA Patron

Visit the IA website 

Contact IA

Apply to be a guest on IA

Dr Jake Sloane:

Follow Dr Jake on Instagram 

Dr Jake's website

David Segal:

Follow David on Instagram

Our guest:

Follow Tom on Instagram

Episode 169 hosts Dr Christoph Martschin (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.

00:00 Introduction 01:03 Dr Christoph Martschin 04:55 Why Liquid Toxin Was Developed 10:59 How Alluzience Differs From Traditional Toxins 18:27 Faster Onset and Longer Duration Explained 26:25 Patient Demand for Convenience and Flexibility 33:29 Practical Benefits of Pre Diluted Toxin 41:37 Reducing Human Error and Improving Consistency 48:53 Sustainability and Reduced Clinical Waste 52:09 Managing Patient Expectations With Longer Duration 61:45 Pricing, Profitability and Clinic Workflow 68:49 Comfort During Injection and Treatment Experience 76:38 When to Use Different Toxin Options 80:09 Consultation Approach and Treatment Planning 86:34 Safety Profile and Real World Performance 90:43 Future of Neuromodulators and New Product Innovation

ALL IA LINKS & CONTACT INFORMATION

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 abobotulinum toxin (Dysport)?

- Why does the market need a liquid toxin?

- Does it have the same characteristics as Dysport?

- What does Alluzience look like and how does it come prepared?

- What differentiates Alluzience from other brands of botulinum toxin 

- How long Alluzience lasts on average

- How Alluzience is injected on label 

- We find out how Christophe sees a future for clinic stocking a portfolio of different toxins to tailor treatments

- What needles and syringes he likes using and why

- What his toxin consultation consists of

- and more!

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 groups (General, Injectables, Business & Regenerative Aesthetics) 

- Access to our IA Injectable Live sessions (Injectable Zoom sessions led by Dr Jake)

- Access to weekly IA Hints & Tips (Videos, insights & other injectable education)

- Access to our IA Business Hints & Tips (Videos of business hints and experiences)

- Access to IA Business Insights (Zoom recordings of David doing business coaching with our IA Patrons)

- Access to our growing IA Library of clinical papers, books and resources

- Access to eight IA Webinars

- Business mentoring opportunities with David (30 minutes free for Platinum tier Patrons)

- Shadowing opportunities in clinic with Dr Jake (additional cost)

CONTACT INFORMATION:

Subscribe to IA on Apple Podcasts

Subscribe to IA on Spotify

Other IA links:

Follow IA on Instagram

Sign up as an IA Patron

Visit the IA website 

Contact IA

Apply to be a guest on IA

Dr Jake Sloane:

Follow Dr Jake on Instagram 

Dr Jake's website

David Segal:

Follow David on Instagram

Episode 168 hosts Dr Sarah Hart (Cosmetic physician from Auckland, New Zealand)

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.

00:00 Introduction 01:03 Meet Dr Sarah Hart 04:55 From Psychiatry to Cosmetic Medicine 10:59 Discovering the Mind Body Connection 18:27 Early Days of Botox and Industry Growth 26:25 Why Teaching and Sharing Knowledge Matters 33:29 Overcoming Stigma Around Cosmetic Treatments 41:37 Learning to Say No to Patients 48:53 Building Trust Through Honest Consultations 52:09 Using Photos to Educate and Manage Expectations 61:45 Perception Drift and Recognizing Over Treatment 68:49 Balancing Patient Requests With Professional Judgment 76:38 Training Standards and Professional Development 80:09 Working With Nurses and Team Based Care 86:34 Career Longevity and Avoiding Burnout 90:43 Final Advice for New Injectors and Industry Growth

ALL IA LINKS & CONTACT INFORMATION

Episode 168 hosts Dr Sarah Hart, a cosmetic physician from Auckland, New Zealand.

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 'right and wrong' for injectors and should we always obey the beauty standards that we are taught?
• Her role as a KOL for Allergan and how it started 
• Being selected as a global mentee under Mauricio De Maio – what was the purpose of the programme and how did it improve Sarah as an injector
• The dynamic of working within someone else's clinic
• How having a PA helps her be a better injector 
• Where Sarah see's the industry going within the next 5-10 years
• Her views on ultrasound in aesthetics? 
• Her new clinic plans  

Every week we also ask our Injector Diaries guest:

- What their favourite toxin is and why

- What their favourite filler is and why

- What their go-to cannula make and size is?

- Aspiration: we discuss Sarah's co-authorship of a new a controversial paper on the topic

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

Our guest:

Follow Sarah on Instagram

Episode 167 hosts Dr Steven Harris (Cosmetic Physician based in London) & Julie Horne (Registered Nurse and Global Speaker based in Johannesberg, South Africa).

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 Harris and Julie Horne are both globally known for their contrasting styles when it comes to the lip region and we get a better understanding of how each of them approach this area of the face.

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.

00:00 Introduction 00:45 Meet our Guests: Dr Steven Harris & Julie Horne 01:55 Julie And Steven Backgrounds 03:55 Different Aesthetic Philosophies 05:20 What Patients Want 10:50 Male Lips Approach 17:00 Easing Male Patient Anxiety 22:15 Perioral Concerns Assessment 27:35 Teeth Bite Asymmetry Factors 35:40 Instagram Photos And Context 40:30 Who Not To Treat 43:30 Dissolving Policy 45:50 Consultation Red Flags 49:05 Assessment Framework 50:50 Technique Name Change 51:55 Julie Method 55:20 Product Selection Guide 59:50 Steven Cubicle Approach 01:07:40 Russian Lips Debate 01:13:50 Dissolving Aftermath 01:16:40 Hyaluronidase Methods 01:18:45 Ultrasound in Practice 01:21:25 Occlusion Risk Talk 01:27:00 Ultrasound Reality Check 01:28:05 When Lips Need Surgery 01:30:35 Philtral Columns Debate 01:33:05 Gummy Smiles and Lip Flips 01:37:40 Lip Photos and Gloss 01:40:45 Accordion Lines Strategy 01:44:20 Listener Q and A Rapid Fire 01:51:55 Migration and Overfilling Risks 01:54:55 Teaching Plans and Wrap Up

ALL IA LINKS & CONTACT INFORMATION