Inside Aesthetics

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 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.

We 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 why

- What we can learn from their experiences and the complications that they've encountered

We specifically cover:

- The anatomy of the lips and the perioral region 

- The impact of the bony platform and dentition on the lips: what should injectors know? 

- What female patients want when they request lip and peri-oral treatments

- Sexual dimorphism and the male lip patient: what do men want from a lip filler? 

- The lip filler consultation: what questions should injectors be asking?  

- Who shouldn't we treat for lips fillers with respect to age, previous treatments and the issue of overfilling  

- Managing patients who've been elsewhere and want 'a bit more': the art of educating patient, saying no and when dissolving may be appropriate

- A deep dive into our guests methods of treating the lips: The Non-Surgical Lip Lift (NSLL) & Julie Horne Lips 

- Some finer details of lip treatments:

What should we do for patients with a long, flat philtrum? 

How & when should we treat the philtral columns?

How and when should we treat the oral commissures?

- Lip filler downtime and aftercare: what to say and do for patients about swelling, bruising and 'lumps'? 

- The dangers of lip fillers including vascular occlusions and how to reduce this risk

- What fillers should injectors use in the lips and what rheological factors might influence their choice? 

- Are cannulas ever appropriate for a lip filler?

- Lip flips: what is this technique and how do you do it? 

- Peri-oral lines: what are they and what's the best way of approaching them 

- Gummy smiles: how to treat them and should we treat them?  

- Accordion lines: what are they and what do we do about them? 

 

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 guests:

Follow Dr Steven Harris on Instagram

Follow Julie Horne on Instagram

Episode 166 hosts Dr Cara Mcdonald (Dermatologist 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?

00:00 Introduction 01:03 Dr Cara McDonald 04:55 Why Study the Patient Experience in Aesthetics 10:59 Designing the Survey and Research Process 18:27 What Drives Patient Satisfaction With Injectables 26:25 Trust Versus Results in Patient Loyalty 33:29 Functional Versus Technical Quality Explained 41:37 Building Rapport Through Communication and Time 48:53 Why Cost Is Not the Main Decision Factor 52:09 Recognizing Red Flag Patients and Expectations 61:45 Understanding Body Image and Self Perception 68:49 Managing Perfectionism and Unrealistic Goals 76:38 How to Say No and Protect Patient Outcomes 80:09 Consultation Framework for Safer Decision Making 86:34 Long Term Relationships and Patient Retention 90:43 Final Thoughts on Trust and Patient Experience

ALL IA LINKS & CONTACT INFORMATION

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 felt like they had one specific feature that needed 'fixing'? 

- What proportion of patients wanted to slow down aging but still look natural? 

- What proportion of patients love the 'done' look? 

- Whether patients are truly happy to invest in the best quality treatments & results 

- What proportion of patient aren't happy with their appearance, even after treatments? 

- A formula for calculating how much trust you can gain from your patients 

- A suggested model for how consultations might be done by injectors

 

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 Cara on Instagram

 

Episode 165 hosts Anusha Dahan (Nurse practitioner based in 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.

00:00 Introduction 01:03 Meet Anusha Dahan 04:55 Discovering Botox and Early Injecting Days 10:59 Learning Aesthetics Without Formal Training 18:27 Building a Clinic From Scratch 26:25 Marketing the Early Practice and Finding Patients 33:29 Transition From Anti Aging to Beautification 41:37 Consultation Skills and Facial Assessment Approach 48:53 Staging Treatments Over Multiple Visits 52:09 Pricing Strategy and Attracting the Right Patients 61:45 Saying No to Patients and Setting Boundaries 68:49 Handling Complaints and Online Reviews 76:38 Social Media, Branding and Patient Selection 80:09 Staffing, Delegation and Workflow Systems 86:34 Finding the Ideal Schedule and Work Life Balance 90:43 Final Lessons for Long Term Success in Aesthetics

ALL IA LINKS & CONTACT INFORMATION

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 this?

- The ethical dilemma that injectors face when their own children question their beauty and ask for treatment

- What Anusha think of injectables trends like Fox eyes & Russian lips

- Her business model and the highs and lows along the way

- What an average day looks like for Anusha and how she manages this

- The struggles of being a solo injector and trying to 'do it all'

- What she's learnt as a result of this and what she now outsources

- The scope of her treatments and what she doesn't do

- How Anusha approaches her consultations

- How she runs her social media and her Instagram account

- Where Anusha see's herself in 5-10 years time, as well as the the industry 

- Her views on ultrasound in injecting 

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: yes or no?!

 

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 Anusha on Instagram

Episode 164 hosts Dr Cormac Convery (GP & Cosmetic Physician based in Ayrshire, Scotland)

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 of at least nine similarly injured patients by the same injector.

00:00 Introduction 01:03 Meet Dr Cormac Convery 04:55 Founding CMAC and the Role of Complication Networks 10:59 Why Prevention Matters as Much as Treatment 18:27 Case Introduction Severe Reaction After Toxin Injection 26:25 When Multiple Patients Present With the Same Problem 33:29 Suspected Counterfeit or Unregulated Products 41:37 Why Testing and Biopsy Are Critical for Diagnosis 48:53 Understanding Granulomas and Foreign Body Reactions 52:09 Treatment Strategy Using Intralesional Steroids 61:45 Managing Patient Anxiety During Long Recovery 68:49 Restoring Contour With Laser and Filler 76:38 Who Pays for Complication Care and Legal Risks 80:09 The Problem With Unregulated Injectors 86:34 Why Complications Often Go Unreported 90:43 Lessons for Safer Practice and Patient Protection

ALL IA LINKS & CONTACT INFORMATION

Episode 164 hosts Dr Cormac Convery, a GP & Cosmetic Physician based in Ayrshire, Scotland.

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 of at least nine similarly injured patients by the same injector.

IA PATREON:

Did you know that we have an online injectable education and business mentoring service called IA Patreon? 

CONTACT INFORMATION:

Subscribe to IA on Apple Podcasts

Subscribe to IA on Spotify

Other IA links:

Follow IA on Instagram

Visit the IA website 

Contact IA

Apply to be a guest on IA

Dr Jake Sloane:

Follow Dr Jake on Instagram 

David Segal:

Follow David on Instagram

 

Episode 163 showcases our hosts Dr Jake Sloane & David Segal

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'

00:00 Introduction 04:55 Why Regulation in Aesthetics Is Increasing 10:59 Understanding Your Legal and Professional Responsibilities 18:27 Common Compliance Risks in Everyday Practice 26:25 Importance of Accurate Clinical Notes and Documentation 33:29 When Audits Happen and What Inspectors Look For 41:37 Managing Stock, Drug Books and Inventory Control 48:53 Safe Storage, Fridge Monitoring and Expiry Checks 52:09 Handling Adverse Events and Patient Complaints 61:45 Why Clear Protocols Protect Clinics and Staff 68:49 Training Teams and Setting Operational Standards 76:38 Preventing Errors With Communication and Systems 80:09 Lessons From Real Clinic Incidents and Mistakes 86:34 Building a Culture of Safety and Accountability 90:43 Key Takeaways for Running a Compliant Clinic

ALL IA LINKS & CONTACT INFORMATION

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 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 162 hosts Gillian Murray (Prescribing pharmacist, clinical researcher and pharmacist injector based in 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 difference between natural and filler hyaluronic acid is
• What crosslinking is and what BDDE is
• The circumstances where we need to dissolve HA
• What hyaluronidase is
• How hyalase differs from hylanex
• On label uses of hyaluronidase vs off label uses
• The history of using hyalonidase to dissolve fillers
• What the incidence of allergic reactions is when using hyaluronidase
• Whether we should do patch testing with hyaluronidase or not
• Protocols for using hyalase - both emergency and elective
• The concept of 'dissolving clinics' and patients requesting their fillers to be removed
• The use of ultrasound guided hyaluronidase injections - is it the gold standard?

00:00 Introduction 01:03 Meet Gillian Murray 04:55 Role of CMAC and Managing Complications 10:59 What Hyaluronidase Is and How It Works 18:27 When and Why We Use Filler Dissolving 26:25 History of Hyaluronidase in Medicine 33:29 Different Brands and Purity of Hyaluronidase 41:37 Emergency Protocols for Vascular Occlusion 48:53 Pain, Swelling and Patient Reactions Explained 52:09 Allergy Risk, Bee Stings and Skin Testing Debate 61:45 Does Hyaluronidase Affect Natural Tissue 68:49 Risks of Overusing Dissolving Treatments 76:38 Elective Dissolving and Patient Expectations 80:09 Why Good Injecting Reduces the Need to Dissolve 86:34 Common Complications Seen in Practice 90:43 Final Safety Lessons for Responsible Use

ALL IA LINKS & CONTACT INFORMATION