Inside Aesthetics

Episode 157 hosts Dr Martina Lavery, a 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.

We discuss:

- Martina's background and why she became a dentist

- Her motivations for training in cosmetic injectables 

- Her battle with AHPRA and the dental board due the ongoing anonymous complaints regarding dentists who inject 

- Why she did a Masters in Facial Aesthetics and what this has taught her

- Her current practice and scope of work

- How she's able to convert dental patients to aesthetic patients  

- Approaching a consultation from a dentists perspective

- Dealing with 'difficult' patients and why she thrives on this

- Her approach to Instagram and why she does it

We also ask every Injector Diaries guest:

- What's your favourite toxin and why

- What's your favourite filler and why

- What's your go-to cannula make and size?

- Aspiration, yes or no?

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Episode 156 hosts Professor Bob Khanna (Dental surgeon and expert facial aesthetic educator from Reading based in the UK)

Professor Khanna was the world's first recognised dentist to offer injectables and since 1996, he's been a leading thought leader in the field. He's continually evolved his own novel techniques and modalities to treat the face holistically.

He is also a global-thought leader in the diagnosis and management of teeth grinding and clenching problems, also known as 'bruxism'.

Injectors very commonly treat the masseters for both aesthetic and teeth grinding and so we ask the question - should they be doing this and what problems might they inadvertently create without a thorough examination?

We discuss: - What bruxism is and how grinding differs from clenching?

- Why these issues occur?

- The role of posture in preventing parafunctional habits

- The problem with soft dental plates that are commonly made by dentists to protect the teeth

- How bruxism contributes to 'TMJ' (jaw joint) disorders

- The forces that are generated between the teeth when grinding

- What happens in bruxism exactly and what are the consequences of it?

- How dentists identify bruxers: key bullet points when examining the face and mouth

- Why most dentists aren't experts in treating and assessing bruxism symptoms

- What injectors should ask and do when assessing their patients

- The anatomy of the muscles of mastication, as well as some of the accessory muscles involved in bruxism

- The role of botulinum toxin to treat the muscles of mastication

- the risks of overtreating the masseters: physiological and aesthetic

- how to approach the masseter

- How to approach the temporalis

- how to approach the lateral and medial ptyergoids

- how to decide if these muscles are impacted or need treating in bruxism?

- how injectors can work alongside dentists in managing bruxism symptoms

00:00 Introduction 01:03 Meet Professor Bob Khanna 04:55 Early Adoption of Botox in Dentistry 10:59 Why Anatomy Knowledge Matters in Aesthetic Practice 18:27 Understanding Bruxism and Teeth Clenching 26:25 Functional Versus Cosmetic Masseter Treatment 33:29 Risks of Treating Muscles Without Addressing Occlusion 41:37 Signs and Symptoms of Grinding and Jaw Dysfunction 48:53 Comprehensive Assessment and Diagnosis Approach 52:09 Role of Dentists and Multidisciplinary Collaboration 61:45 Why Soft Splints Often Fail Long Term 68:49 Using Toxin to Reduce Muscle Spasm Safely 76:38 Treatment Planning Beyond Aesthetic Slimming 80:09 Managing Patient Expectations and Long Term Care 86:34 Key Lessons for Safe Masseter and Bruxism Treatment

ALL IA LINKS & CONTACT INFORMATION

Episode 156 hosts Professor Bob Khanna, a dental surgeon and expert facial aesthetic educator from Reading in the UK.

Professor Khanna was the world's first recognised dentist to offer injectables and since 1996, he's been a leading thought leader in the field. He's continually evolved his own novel techniques and modalities to treat the face holistically. 

He is also a global-thought leader in the diagnosis and management of teeth grinding and clenching problems, also known as 'bruxism'. 

Injectors very commonly treat the masseters for both aesthetic and teeth grinding and so we ask the question - should they be doing this and what problems might they inadvertently create without a thorough examination?

We discuss: - What bruxism is and how grinding differs from clenching? 

- Why these issues occur? 

- The role of posture in preventing parafunctional habits

- The problem with soft dental plates that are commonly made by dentists to protect the teeth

- How bruxism contributes to 'TMJ' (jaw joint) disorders

- The forces that are generated between the teeth when grinding

- What happens in bruxism exactly and what are the consequences of it? 

- How dentists identify bruxers: key bullet points when examining the face and mouth   

- Why most dentists aren't experts in treating and assessing bruxism symptoms

- What injectors should ask and do when assessing their patients

- The anatomy of the muscles of mastication, as well as some of the accessory muscles involved in bruxism

- The role of botulinum toxin to treat the muscles of mastication

- the risks of overtreating the masseters: physiological and aesthetic

- how to approach the masseter

- How to approach the temporalis

- how to approach the lateral and medial ptyergoids

- how to decide if these muscles are impacted or need treating in bruxism?

- how injectors can work alongside dentists in managing bruxism symptoms

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 Bob on Instagram

Episode 155 showcases our hosts Dr Jake Sloane & David Segal

They first summarise their Christmas break (or lack of it!) and the new challenges that they faced when reopening their clinics in 2022. They share their plans for IA this year including:

- Continuing IA's new and extremely popular mini series, 'The Injector Diaries' & 'Treatments and Regions Uncovered'

- Two new mini series starting soon called 'Disasters & Solutions' & 'The Tox Talks'

Dr Jake and David then get into the main topic of this episode - an in depth discussion about what aesthetic treatments they've both had including:

- what skin care and products they use

- Botulinum Toxin treatments: when they both started having Botox, what areas were treated and why

- fillers (including both hyaluronic acid fillers and biostimulators): what areas of the face they have had treated and why

- fat dissolving injections: Dr Jake's experience with Belkyra

- cosmetic surgery: David talks about a procedure he had a few years ago

00:00 Introduction 01:04 COVID Disruptions and Clinic Challenges 10:59 Podcast Plans and New Series for 2022 18:27 Future Topics and Industry Trends 26:25 Why Learning From Mistakes Matters 33:29 Treatments and Regions Series Explained 41:37 Body and Skin Treatments Beyond the Face 48:53 Industry Growth and New Technologies 52:09 Transition to Personal Treatment Stories 61:45 Skin Care Routines and Sun Protection Basics 68:49 First Experiences With Botox and Early Treatments 76:38 Male Aesthetic Preferences and Natural Movement 80:09 Volume Loss, Aging and Role of Fillers 86:34 Honest Reflections on Treatments and Expectations 90:43 Final Thoughts on Aging Well and Looking Natural

ALL IA LINKS & CONTACT INFORMATION

Episode 155 hosts Dr Jake and David, your co-hosts.

They first summarise their Christmas break (or lack of it!) and the new challenges that they faced when reopening their clinics in 2022.  They share their plans for IA this year including:

- Continuing IA's new and extremely popular mini series, 'The Injector Diaries' & 'Treatments and Regions Uncovered'

- Two new mini series starting soon called 'Disasters & Solutions' & 'The Tox Talks'

Dr Jake and David then get into the main topic of this episode - an in depth discussion about what aesthetic treatments they've both had including:

- what skin care and products they use

- Botulinum Toxin treatments: when they both started having Botox, what areas were treated and why

- fillers (including both hyaluronic acid fillers and biostimulators): what areas of the face they have had treated and why

- fat dissolving injections: Dr Jake's experience with Belkyra

- cosmetic surgery: David talks about a procedure he had a few years ago

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 154 hosts Dr Steven Weiner (Facial plastic surgeon based in Florida, USA)

In 2005 Dr Weiner 'laid down his scalpel' and has since become one of the world's leading injectors and an expert in non-surgical treatments. He's one of Galderma's global KOL's and is also a leading thought leader in the emerging sub-speciality of using ultrasound in injectables.

In these episodes 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 mastered their techniques. 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 also 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

As an extra twist to these episodes, our co-hosts Dr Jake and David take on slightly different roles! David will act as our main host and give his own 'patient' perspectives whilst Dr Jake will join the week's guest as a second expert injector to share his own insights, tips and tricks.

In the 2nd chapter of 'Treatments and regions uncovered' we'll be exploring the chin and jawline areas, the boundaries of the lower face and key facial signs of sexual dimorphism.

We cover:

- Some of the anatomical terms used to describe the area

- What patients typically complain of when considering chin and jawline treatments

- What factors have an influence in chin and jawline definition

- Sexual dimorphism in chin and jawlines and whether we should follow the 'aesthetic rules' concerning these

- What treatment modalities can be used to improve the chin, jawline and also the neck

- What do 'bad' lower face filler treatments look like?

- The role of toxins in the chin and the masseters

- The interesting concept of 'mewing' and how this may impact on our facial aesthetics

- Needle vs cannula techniques when approaching the chin and jawline fillers

00:00 Introduction 03:10 Jawline Trend Setup 04:00 Meet our Special Guest: Dr Steven Weiner 07:00 Why He Quit Surgery 11:00 Jawline Assessment Basics 16:00 Ratios Rules And Diversity 22:20 Neck And Fat Reduction Tools 26:10 Patient Complaints And Goals 29:15 Neck Treatments Strategy 33:15 Chin Jaw Anatomy Terms 36:25 Bad Jawline Filler Pitfalls 38:05 Why Humans Have Chins 38:45 Why We Have Chins 39:55 Hormones And Jawlines 42:45 Teeth Extraction Effects 49:35 Mewing Explained 53:50 Assessment And Injection Plan 54:15 Cannula Planes And Ports 57:30 Product Selection Choices 01:05:55 Chin Toxin Technique 01:09:30 Volumes And Staging 01:13:50 Complications And Ultrasound 01:18:00 Managing Occlusion Anxiety 01:19:35 Ultrasound Guided Hyalase 01:20:50 Oxygen Patch Adjunct 01:22:50 Trust After Complications 01:26:10 Spotting Early Occlusion 01:29:50 Anatomy Variations on Ultrasound 01:33:55 Jawline Q&A Techniques 01:39:55 Aging Jawline Advice 01:42:40 Future Treatments Microcoring 01:46:30 Masseter Botox Slimming 01:50:20 Wrap Up and Next Panel

ALL IA LINKS & CONTACT INFORMATION

Episode 154 hosts Dr Steven Weiner, a facial plastic surgeon based in Florida, USA.

In 2005 Dr Weiner 'laid down his scalpel' and has since become one of the world's leading injectors and an expert in non-surgical treatments. He's one of Galderma's global KOL's and is also a leading thought leader in the emerging sub-speciality of using ultrasound in injectables. 

In these episodes 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 mastered their techniques. 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 also 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

As an extra twist to these episodes, our co-hosts Dr Jake and David take on slightly different roles! David will act as our main host and give his own 'patient' perspectives whilst Dr Jake will join the week's guest as a second expert injector to share his own insights, tips and tricks.

In the 2nd chapter of 'Treatments and regions uncovered' we'll be exploring the chin and jawline areas, the boundaries of the lower face and key facial signs of sexual dimorphism.

We cover:

- Some of the anatomical terms used to describe the area

- What patients typically complain of when considering chin and jawline treatments

- What factors have an influence in chin and jawline definition

- Sexual dimorphism in chin and jawlines and whether we should follow the 'aesthetic rules' concerning these

- What treatment modalities can be used to improve the chin, jawline and also the neck

- What do 'bad' lower face filler treatments look like?

- The role of toxins in the chin and the masseters

- The interesting concept of 'mewing' and how this may impact on our facial aesthetics 

- Needle vs cannula techniques when approaching the chin and jawline fillers

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 Steve on Instagram

Episode 153 hosts Per Winlof (Chief Design Expert of Galderma based in Uppsala, Sweden)

Per leads Galderma's global R&D and is responsible for all of their filler portfolio from the past, the present and into the future.

Back in 1990 Per was a microbiology student at university in Uppsala. To help supplement his income, he applied for a job at a very small biotech company founded by Dr Bengt Ågerup called 'Q-Med'. Although fillers were already available (as collagen-based products), Per and his team developed a completely new way of manufacturing fillers made out of a sugar-molecule using bacteria. They launched the world's first sugar-based dermal filler in 1996.

This new product completely revolutionised the world of facial aesthetics. To this day, approximately 95% of dermal fillers are based on this original technology. Q-Med were acquired by Galderma in 2010 and this podcast celebrates the 25th birthday of the world's first modern filler.

We explore:

- Per's background and why he applied for a job at Q-Med?

- Who started Q-Med and why?

- Who developed the original technology of sugar-based fillers and why they were invented in the first place?

- How the idea of facial fillers was conceived?

- The key differences between collagen fillers (available in the early 1990's) and the newer sugar-based fillers

- How sugar-based fillers are made in the lab?

- The advantages of fillers that don't contain animal products

- Why fillers come in a 1ml syringe?

- What cross-linking is?

- The beginnings of the science of filler rheology: how and why the properties of fillers can differ?

- Filler integration vs tissue integration

- Whether fillers dissolve or not?

- The key safety feature of sugar-based fillers: reversibility and the use of dissolving agents

- Whether Per gave us any clues about what's coming in the future?

00:00 Introduction 01:03 Meet Our Guest Per Winlof 04:55 Early Days of Filler Development in the 1990s 10:59 Why Bacterial Sources Replaced Animal Derived Materials 18:27 How Hyaluronic Acid Fillers Are Manufactured 26:25 What Cross Linking Means and Why It Matters 33:29 Building a Portfolio of Different Filler Types 41:37 Scaling Production and Growing Global Demand 48:53 What Happens to Filler After Injection 52:09 Understanding Integration Versus Degradation 61:45 Why Longevity Differs Between Patients 68:49 Rheology, Lift and Tissue Movement Explained 76:38 Safety, Reversibility and Role of Hyaluronidase 80:09 Importance of Training and Anatomical Knowledge 86:34 Future Directions and Innovation in Filler Technology

ALL IA LINKS & CONTACT INFORMATION

Episode 153 hosts Per Winlof, Chief Design Expert of Galderma based in Uppsala, Sweden. Per leads Galderma's global R&D and is responsible for all of their filler portfolio from the past, the present and into the future.

Back in 1990 Per was a microbiology student at university in Uppsala. To help supplement his income, he applied for a job at a very small biotech company founded by Dr Bengt Ågerup called 'Q-Med'. Although fillers were already available (as collagen-based products), Per and his team developed a completely new way of manufacturing fillers made out of a sugar-molecule using bacteria. They launched the world's first sugar-based dermal filler in 1996.

This new product completely revolutionised the world of facial aesthetics. To this day, approximately 95% of dermal fillers are based on this original technology. Q-Med were acquired by Galderma in 2010 and this podcast celebrates the 25th birthday of the world's first modern filler. 

We explore:

- Per's background and why he applied for a job at Q-Med?

- Who started Q-Med and why?

- Who developed the original technology of sugar-based fillers and why they were invented in the first place?

- How the idea of facial fillers was conceived?

- The key differences between collagen fillers (available in the early 1990's) and the newer sugar-based fillers

- How sugar-based fillers are made in the lab?

- The advantages of fillers that don't contain animal products

- Why fillers come in a 1ml syringe?

- What cross-linking is?

- The beginnings of the science of filler rheology: how and why the properties of fillers can differ?

- Filler integration vs tissue integration

- Whether fillers dissolve or not?

- The key safety feature of sugar-based fillers: reversibility and the use of dissolving agents

- Whether Per gave us any clues about what's coming in the future?

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 152 hosts Madilyn Wolens (Registered Nurse based in Brisbane, Australia)

Better known as 'The Functional Nurse' and Founder of 'The Functional Skin Studio', Madilyn joins us in our 3rd Chapter of 'The Injector Diaries' - an in depth conversations, stories and experiences from injectors around the globe. In this mini-series, each injector brings their own unique take on things and we'll showcase every level of injector, from newbies to masters and from all walks of life. 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.

Madilyn suffered with poor skin as a teenager and was inspired to work within the aesthetic space to help others with similar issues. But her experience of conventional treatments sparked an interest in a more holistic approach to skin care and she now leads a team including a naturopath, holistic facialist in addition to offering injectables herself.

00:00 Introduction 01:03 Meet Madilyn Wolens 04:55 Personal Skin Struggles and Career Motivation 10:59 Transition From Beauty Therapy to Injecting 18:27 Learning to Inject and Early Confidence Challenges 26:25 Importance of Mentorship and Supportive Clinics 33:29 Managing Difficult Patients and Setting Boundaries 41:37 Recognizing Red Flags and Saying No to Treatment 48:53 Building a Personal Brand and Patient Trust 52:09 Starting a Clinic and Early Business Lessons 61:45 Burnout, Anxiety and Finding Work Life Balance 68:49 Integrative Medicine and Treating Root Causes 76:38 Combining Injectables With Holistic Patient Care 80:09 Growing a Team and Delegating Responsibilities 86:34 Advice for New Injectors and Business Owners

ALL IA LINKS & CONTACT INFORMATION