Inside Aesthetics

Episode 162 hosts Gillian Murray, a prescribing pharmacist, clinical researcher and pharmacist injector from 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? 

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 Gillian on Instagram

Lori joins us in the 5th 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 Lori Robertson 04:55 From ICU Nursing to Aesthetic Medicine 10:59 Discovering Aesthetics and Early Training Challenges 18:27 Why Continuous Education Matters in Injecting 26:25 Becoming a Trainer and Teaching Safe Techniques 33:29 The Problem With Short Courses and Limited Experience 41:37 Building a Comprehensive Training Program 48:53 Hands On Mentorship and Time on Tissue 52:09 When New Injectors Are Ready to Practice 61:45 The Importance of Patient Selection and Ethics 68:49 Managing Expectations and Avoiding Overtreatment 76:38 Why Saying No Builds Trust and Reputation 80:09 Balancing Business Growth With Patient Safety 86:34 Mentorship, Community and Ongoing Learning 90:43 Final Advice for Safe and Sustainable Practice

ALL IA LINKS & CONTACT INFORMATION

Lori joins us in the 5th 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:

- What a family nurse praactitioner is

- Where and how she first learnt to inject 

- How she first become a trainer for Galderma

- Her role as a trainer for Galderma and MINT (threads)

- Co-founding and co-running her own injecting school called 'The Aesthetic Immersion  

- Mentorship in injecting 

- Lori's thoughts on how we train injectors and their transition from newbies to comptent injectors 

- Her scope of treatments and what she doesn't do? 

- What she loves about lifting threads and which patients make the best thread candidate

- Why she doesn't really like using monothreads 

- Her experience of using Sculptra and where it's mst effective

- Her first impressions of a completely new injectable product called 'Renuva' that helps stimulate fat cells

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?!

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 Lori on Instagram

Episode 160 hosts Jahan Kalantar (Criminal Lawyer based in Sydney, Australia)

Jahan also has an incredibly popular TikTok account where he provides entertaining and concise explanations about legal concepts.

Having discussed some of the legal principles that injectors need to be aware of in previous episodes (episodes 51, 66 & 114), we now explore things from a prosecuting solicitor's perspective.

Disclaimer: The information in this podcast is general in nature should not be taken as legal advice. Governing laws between countries, states and cities can vary greatly. You should seek your own independent advice before making decisions of a legal nature.

We explore:

- Jahan's career to date and how he became interested in the law of cosmetic medicine

- Why he changed from working as a barrister to working as a solicitor

- The reasons why patients usually sue cosmetic practitioners

- What constitutes a 'bad' outcome?

- Why poor communication is usually at the root of medicolegal complaints

- What exactly happen and what the main steps when a patient sues

- What exactly is 'informed consent' from a legal perspective?

- Consent forms and how to use them properly

- How and why can patients can still successfully take legal action, despite signing these forms which communicate the possible risks/complications associated with both surgical and non-surgical treatments?

- The crucial importance of excellent note taking and the perils of not doing them at the time of the treatments

- Why you should take clinical photography seriously

- The legal implications of registered nurses using remote prescribing doctors

- Terminating difficult consultations before they become a bigger problem

- Responsible and professional behavior - how solicitors can use your social media to build a case against you

00:00 Introduction 01:03 Meet Jahan Kalantar 04:55 Understanding Medical Negligence and Litigation 10:59 Why Patients Decide to Sue Practitioners 18:27 Communication Breakdowns and Expectation Management 26:25 Real Case Example Poor Outcome and Escalation 33:29 The Importance of Professional Boundaries With Patients 41:37 Responding to Complaints and Handling Conflict Early 48:53 Saying Sorry Without Admitting Legal Liability 52:09 The Legal Process From Complaint to Settlement 61:45 Why Detailed Clinical Notes Are Critical Protection 68:49 Documentation Mistakes That Create Legal Risk 76:38 Photography, Consent and Medical Records Standards 80:09 Identifying High Risk Patients and Red Flags 86:34 Protecting Your Practice With Systems and Protocols 90:43 Final Advice for Reducing Legal Risk in Aesthetics

ALL IA LINKS & CONTACT INFORMATION

Episode 160 hosts Jahan Kalantar from Sydney, Australia.

Originally qualifiying as a barrister,  Jahan is a Criminal Lawyer and the principal of 'Executive Legal', a law firm that specializes in criminal and medicolegal law. 

Jahan also has an incredibly popular Tik Tok account where he provides entertaining and concise explanations about legal concepts. 

Having discussed some of the legal principles that injectors need to be aware of in previous episodes (episodes 51, 66 & 114), we now explore things from a prosecuting solicitor's perspective.

Disclaimer: The information in this podcast is general in nature should not be taken as legal advice. Governing laws between countries, states and cities can vary greatly. You should seek your own independent advice before making decisions of a legal nature.  

We explore: 

- Jahan's career to date and how he became interested in the law of cosmetic medicine

- Why he changed from working as a barrister to working as a solicitor

- The reasons why patients usually sue cosmetic practitioners

- What constitutes a 'bad' outcome?  

- Why poor communication is usually at the root of medicolegal complaints

- What exactly happen and what the main steps when a patient sues

- What exactly is 'informed consent' from a legal perspective? 

- Consent forms and how to use them properly

- How and why can patients can still successfully take legal action, despite signing these forms which communicate the possible risks/complications associated with both surgical and non-surgical treatments? 

- The crucial importance of excellent note taking and the perils of not doing them at the time of the treatments

- Why you should take clinical photography seriously

- The legal implications of registered nurses  using remote prescribing doctors

- Terminating difficult consultations before they become a bigger problem

- Responsible and professional behavior - how solicitors can use your social media to build a case against you 

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:

 www.stanwith.me/jahankalantarofficial

Episode 159 hosts Sia Hendry (Skin & laser therapist) & Tiarnna Smith (Clinical Application Specialist for Alma Lasers) from Sydney, Australia

Sia has been at the forefront of skin and laser treatments in Australia for over 15 years and is the owner of 'You by Sia' in Bondi Junction. Sia was one of the first clinics in Australia to offer laser hair removal and has seen first hand how the technology has changed over time.

Tiarnna's background is in medical engineering and she is one of Alma's clinical specialists. In this role she supports Alma's customers in all aspects of training and education when using their devices.

In this episode we focus on laser hair removal - the most popular cosmetic treatment performed in Australia today. We first reflect on how this came to be and contrast it to other countries where laser hair removal is often less available and far less affordable.

We then compare and contrast older laser hair removal technology with Alma's newest device the 'Soprano Titanium'.

We cover:

• How laser hair removal actually works?
• We re-cap on the basic physics of lasers & wavelengths including 755nm, 810nm & 1064nm
• Sia's early experience with older laser hair removal technology and the disadvantages it had
• Why older technology created significant pain and how the Soprano Titanium has improved on this
• How painful treatments can lead to poorer compliance (particularly in the male demographic) and a less efficient business model
• The use of separate skin cooling devices in traditional laser hair removal vs how the Soprano Titanium cools the skin from within the handpiece
• Why regardless of the laser used, you will always need multiple treatments to achieve permanent hair reduction
• Reducing the risk of serious adverse events when using laser hair removal devices - how automated settings have reduced human error
• Treating skin of colour – how the Soprano Titanium device has solved one of the most significant limitations of older laser hair removal technology
• Whether we can also treat patients with fake tan or sun tanned skin with the Soprano Titanium?
• Hair colour limitations - can we now treat blond and red hair?
• Medications - what patients need to tell their therapist before having laser hair removal
• How upgrading technology has improved Sia's business, revenue and staff satisfaction
• Alma's services including supporting clinics to trade in their older laser hair removal device

00:00 Introduction 01:04 Meet our Guests: Sia Hendry & Tiarnna Smith 04:55 Early Challenges in Laser Hair Removal 10:59 How Laser Hair Removal Technology Has Evolved 18:27 Safety Risks and Common Treatment Complications 26:25 How New Technology Improves Comfort and Efficiency 33:29 Understanding Pain Reduction and Cooling Systems 41:37 Treating Tanned and Darker Skin Types Safely 48:53 Blonde, Red and Difficult Hair Types Explained 52:09 Managing Contraindications and Patient Selection 61:45 Permanent Hair Reduction and Maintenance Treatments 68:49 Training Staff and Adopting New Technology 76:38 Business Benefits Faster Treatments and Higher Capacity 80:09 Cost Savings Without Consumables and Maintenance 86:34 Adverse Events, Safety Protocols and Risk Reduction 90:43 Final Advice for Clinics Considering New Devices

This episode was brought to you in partnership with Alma Lasers

ALL IA LINKS & CONTACT INFORMATION

Episode 159 hosts Sia Hendry (Skin & laser therapist) & Tiarnna Smith (Clinical Application Specialist for Alma Lasers) from Sydney, Australia.

Sia has been at the forefront of skin and laser treatments in Australia for over 15 years and is the owner of 'You by Sia' in Bondi Junction. Sia was one of the first clinics in Australia to offer laser hair removal and has seen first hand how the technology has changed over time.   

Tiarnna's background is in medical engineering and she is one of Alma's clinical specialists. In this role she supports Alma's customers in all aspects of training and education when using their devices.

In this episode we focus on laser hair removal - the most popular cosmetic treatment performed in Australia today. We first reflect on how this came to be and contrast it to other countries where laser hair removal is often less available and far less affordable.

We then compare and contrast older laser hair removal technology with Alma's newest device the 'Soprano Titanium'.

We cover: 

• How laser hair removal actually works?
• We re-cap on the basic physics of lasers & wavelengths including 755nm, 810nm & 1064nm 
• Sia's early experience with older laser hair removal technology and the disadvantages it had
• Why older technology created significant pain and how the Soprano Titanium has improved on this
• How painful treatments can lead to poorer compliance (particularly in the male demographic) and a less efficient business model
• The use of separate skin cooling devices in traditional laser hair removal vs how the Soprano Titanium cools the skin from within the handpiece 
• Why regardless of the laser used, you will always need multiple treatments to achieve permanent hair reduction
• Reducing the risk of serious adverse events when using laser hair removal devices - how automated settings have reduced human error
• Treating skin of colour – how the Soprano Titanium device has solved one of the most significant limitations of older laser hair removal technology
• Whether we can also treat patients with fake tan or sun tanned skin with the Soprano Titanium?
• Hair colour limitations - can we now treat blond and red hair?
• Medications - what patients need to tell their therapist before having laser hair removal  
• How upgrading technology has improved Sia's business, revenue and staff satisfaction
• Alma's services including supporting clinics to trade in their older laser hair removal device

This episode was brought to you in partnership with Alma Lasers

SUPPORT THE PODCAST:

- If you enjoy listening to IA every week and would like to help support the podcast, we have two simple donation options: I Love IA! & Buy us a coffee! 

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

Follow Sia on Instagram: www.instagram.com/youbysia

Follow Alma Lasers Australia on Instagram: www.instragram.com/almalasersau

Follow Alma Lasers International on Instagram: www.instagram.com/almalasersinternational

Episode 158 hosts Dr Niamh Corduff (Plastic Surgeon & Merz KOL based in Geelong, Australia)

In this new 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 1 we focus on the brand known as Xeomin or Boucouture (Incobotulinum toxin A) distributed by Merz Aesthetics.

00:00 Introduction 01:03 Meet Dr Niamh Corduff 04:55 Early Adoption of Toxin in Clinical Practice 10:59 Why Non Surgical Treatments Expanded So Quickly 18:27 Learning Injection Technique Beyond Textbook Anatomy 26:25 The Art Versus Science of Aesthetic Injecting 33:29 Training Challenges and the Need for Better Standards 41:37 Understanding Different Toxin Brands and Manufacturing 48:53 Technique Adjustments Between Products 52:09 Precision, Spread and Injection Strategy 61:45 Longevity, Dosing and Patient Expectations 68:49 Risk of Resistance With Long Term High Dose Use 76:38 Storage, Stability and Practical Clinic Considerations 80:09 Choosing the Right Product for the Right Patient 86:34 Key Lessons for Safe and Effective Toxin Practice

This is a non-sponsored episode and does not replace training in any way. Our guest speaks from her own experiences and we do not promote or endorse any brand of product.

ALL IA LINKS & CONTACT INFORMATION

Episode 158 hosts Dr Niamh Corduff, a plastic surgeon based in Geelong, Australia. Dr Corduff also consults as a global trainer and a Key Opinion Leader for Merz Aesthetics.

In this new 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 1 we focus on the brand known as Xeomin/Boucouture (Incobotulinum toxin A) distributed by Merz Aesthetics.

This is a non-sponsored episode and does not replace training in any way. Our guest speaks from her own experiences and we do not promote or endorse any brand of product. 

We explore:

- Dr Corduff's background as a plastic surgeon and why she turned to non-surgical treatments

- Her role as a KOL for Merz Aesthetics 

- Her insights into how the use of toxins has changed over the years

- What changes she's seen in her capacity as a trainer when teaching injectors to use toxins

- Xeomin: What it is, what it looks like and how it's manufactured

- Why Xeomin is called Boucouture in some countries

- How Xeomin is reconstituted including her preferred diluent and the volume 

- What differentiates Xeomin from other brands of botulinum toxin including it's lack of accessory proteins

- Does this really help avoid the development of autoantibodies and the chances of toxin resistance? 

- Does Xeomin work in patients who had developed toxin resistance to other brands?

- How long Xeomin results last on average

- We find out whether there's a special technique when injecting Xeomin

- We ask if Dr Corduff only uses Xeomin or whether there's a place for other toxins in her practice

- What needles/syringes she likes using and why? 

- Insights into how she consults with toxin patients

- A novel trick she uses to significantly reduce the risk of bruising

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 157 hosts Dr Martina Lavery (Dental surgeon & facial aesthetic injector based in Sydney, Australia)

Martina joins us in the 4th 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 00:45 Meet Dr Martina Lavery 02:55 Martina Background Dentistry 07:10 Dentistry Competition Ethics 16:10 Trust Education Consent 26:10 Choosing Ethical Dentist 31:25 Why She Started Injecting 36:00 Training Evidence Wild West 39:25 Aesthetics Meets Function 39:45 Credentials Versus Skill 40:55 Masters And Board Battle 42:25 Dentists Scope In Injectables 44:40 Art Training And Mentors 49:25 Protocols Versus Intuition 55:40 Stigma And Anonymous Complaints 01:00:00 Fixing The Complaint System 01:03:00 Dental To Aesthetic Consult Flow 01:07:20 Oral Bacteria And Filler Risk 01:11:25 Photography Vectra And Ultrasound 01:15:55 Managing Difficult Patients 01:17:35 Dysmorphia and Red Flags 01:19:30 Social Media Reality Shift 01:22:30 COVID Stress and Bruxism 01:23:40 Instagram Reels Strategy 01:28:10 Marketing Attribution Puzzle 01:29:20 New Clinic Expansion Plans 01:32:35 Designing a Calmer Clinic 01:36:05 Quickfire Injector Toolkit 01:41:40 Lessons Community Competition 01:44:05 Wrap Up and Where to Find

ALL IA LINKS & CONTACT INFORMATION