Inside Aesthetics

Episode 82 hosts Dr Sachin Shridharani, a leading plastic surgeon based in Manhattan, New York. Dr Shridharani is also a leading cosmetic injector who's research interests have allowed him to develop his own novel techniques.

In this episode we explore Belkyra (branded as Kybella in the USA) - a fat dissolving injectable product. Belkyra is licensed for treating the double chin but we discuss the 'off label' areas that can be treated, the best candidates for the treatment, the rare pitfalls and more!

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Episode 81 hosts Dr Michael Zacharia (ENT & Facial Plastic Surgeon from Sydney Australia)

He also dual trained as a Facial Plastic Surgeon and is a highly skilled cosmetic injector.

We discuss his unique skill set before delving into some of the trickier areas of cosmetic rejuvenatation including the nose, the neck, the 'fox eye' lift and some of the transgender procedures he offers.

0:00 Introduction 3:03 Meet Dr Michael Zacharia 6:19 COVID Impact and Virtual Consults 9:28 Rise of Telehealth in Surgery 12:33 Using Imaging and Patient Photos 23:53 Choosing ENT and Facial Plastics 27:02 Early Rhinoplasty Experience 33:44 Global Aesthetic Trends 37:39 Public Speaking and Education 41:39 Injecting Experience and Techniques 45:36 Full Face Treatment Philosophy 54:57 Longevity of Nose Fillers 59:12 Product Choices for Rhinoplasty 1:01:37 Broad Scope of Facial Procedures 1:05:18 Holistic Facial Assessment Approach 1:12:19 Importance of Neck Rejuvenation 1:16:00 Skin Quality and Aging Factors 1:19:56 Pre and Post Surgery Skin Treatments 1:22:22 Preventative Aesthetic Care 1:25:07 Sun Protection and Skin Health 1:27:43 Introduction to ZAC Lift 1:30:37 J-Plasma and Skin Tightening 1:33:59 Recovery and Patient Selection 1:36:53 Threads and Their Limitations 1:39:25 Non Surgical Fat Reduction History 1:42:10 Nefertiti Lift and Neck Botox 1:44:30 Muscle Anatomy and Jawline Lift 1:48:40 Fox Eye and Ponytail Lift Trends 1:55:45 Facial Feminization Overview 2:00:30 Surgical Techniques for Gender Transition 2:05:40 Post Operative Support and Follow Up 2:10:55 Demand for Transgender Procedures 2:18:00 Importance of Compassionate Care 2:20:15 Wrap Up and Closing

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Episode 81 hosts Dr Michael Zacharia, one of Australia's leading Ear, Nose & Throat surgeons. He also dual trained as a Facial Plastic Surgeon and is a highly skilled cosmetic injector.

We discuss his unique skill set before delving into some of the trickier areas of cosmetic rejuvenatation including the nose, the neck, the 'fox eye' lift and some of the transgender procedures he offers.

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Episode 80 hosts Associate Professor Greg Goodman (Dermatologist from Melbourne, Australia)

Greg has been at the forefront of injectables since the very beginning. As a result of his experience, he's become known as a globally-renowned expert in the complications of injectables.

We explore the early days of injectable medicine, how Professor Goodman rose to prominence and then go on a deep dive into some of the feared complications of injectables.

0:00 Introduction 1:03 Meet Professor Greg Goodman 3:19 Early Career and Dermatology Background 5:16 Discovering Cosmetic Dermatology 9:44 Training in Dermabrasion and Peels 11:56 Early Adoption of Liposuction and Lasers 14:01 Academic and Clinical Roles 16:30 Interest in Acne Scarring Research 18:16 Building Expertise in Complications 23:53 Evolution of Filler Safety Awareness 27:02 Changes in Injection Techniques Over Time 30:22 Early Botox Use in Australia 33:44 Collagen Fillers History and Limitations 37:39 Development of Modern Fillers 41:39 Rise of Complication Education 45:36 Becoming a Global Complication Authority 48:05 Industry Growth and Market Expansion 51:43 Concerns About Filler Commoditization 57:32 Need for Standardized Training 1:01:04 Importance of Aesthetic Assessment Skills 1:03:30 Facial Shape and Beauty Principles 1:07:48 Risks of Overfilling and Poor Technique 1:12:19 Introduction to Injection Complications 1:16:00 Managing Bruising and Swelling 1:19:56 Cannula Versus Needle Techniques 1:22:22 Role of Lasers in Treating Bruising 1:25:07 Arnica and Supportive Treatments 1:27:43 Ultrasound in Complication Management 1:30:37 Understanding Vascular Occlusion 1:33:59 Causes of Vessel Blockage 1:36:53 Recognizing Early Warning Signs 1:39:25 Incidence and Frequency of Occlusions 1:42:10 Importance of Rapid Treatment 1:44:30 Hyaluronidase Emergency Protocol 1:48:40 Patient Communication During Complications 1:53:30 Using Anatomy to Guide Treatment 1:55:45 Hyaluronidase Safety and Tissue Effects 2:00:30 Tear Trough Filler Longevity 2:03:05 Introduction to Delayed Onset Nodules 2:05:40 Inflammation and Infection Theory 2:10:55 Filler Degradation and Immune Response 2:13:30 Managing Nodule Complications 2:18:00 Clinical Insights and Prevention 2:20:15 Wrap Up and Closing

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Episode 80 hosts Associate Professor Greg Goodman, a leading dermatologist from Melbourne.

Greg has been at the forefront of injectables since the very beginning. As a result of his experience, he's become known as a globally-renowned expert in the complications of injectables.

We explore the early days of injectable medicine, how Professor Goodman rose to prominence and then go on a deep dive into some of the feared complications of injectables.

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Episode 79 hosts Grazina Fechner (Media Expert from Sydney, Australia)

We drill down into developing a rapport with our patients and learn that excellent communication is the key to the elusive 'X factor' that some injectors just seem to have.

0:00 Introduction 1:03 Meet Grazina Fechner 3:19 Communication in Clinical Practice 5:16 Personalizing Patient Interactions 9:44 Importance of First Impressions 11:56 Phone Communication and Patient Trust 14:01 Reading Patient Behavior and Body Language 16:30 Managing Nervous or Excited Patients 18:16 Communication Breakdowns With Technology 23:53 Using Confident Language With Patients 27:02 Offering Options and Setting Expectations 30:22 Managing Budget and Treatment Goals 33:44 Educating Patients on Treatment Outcomes 37:39 Setting Aftercare Expectations 41:39 Rule of Three Communication Method 45:36 Demonstrating Treatment Safety and Education 48:05 Understanding Different Patient Types 51:43 Planning Treatments Around Life Events 57:32 Structuring the Consultation Process 1:01:04 Building Rapport and Patient Trust 1:07:48 Importance of Patient Experience 1:12:19 Learning Communication Skills 1:19:56 Happiness and Workplace Culture 1:22:22 Motivation and Career Transitions 1:25:07 Finding Purpose in Work 1:30:37 Mystery Shopping Clinics 1:33:59 Improving Patient Experience Systems 1:36:53 Competitive Advantage Through Staff 1:39:25 Managing Difficult Patients 1:42:10 When to Decline Treatment Requests 1:44:30 Handling Complaints and Control Behaviors 1:48:40 Managing Team Conflict 1:53:30 Building Open Communication Culture 1:55:45 Situation Behavior Impact Framework 2:00:30 Early Conflict Resolution 2:03:05 Setting Team Expectations 2:05:40 Leadership and Clinic Culture 2:10:55 Maintaining Positive Work Environments 2:13:30 Business Philosophy and Values 2:18:00 Final Advice and Reflections 2:20:15 Wrap Up and Contact Details

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Episode 79 hosts Grazina Fechner for her second episode on the podcast. More affectionately known as 'Griz', she's a trained media expert and regular on Channel 7's 'The Morning Show', giving her quirky assessments on communication and interactions between people.

We drill down into developing a rapport with our patients and learn that excellent communication is the key to the elusive 'X factor' that some injectors just seem to have.

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Episode 78 hosts Dr Sabrina Fabi (Cosmetic dermatologist from California, USA)

Sabrina is a leading authority on the use of biostimulator fillers - a class of injectables that stimulate the body's own collagen production.

We discuss Dr Fabi's approach to these types of procedures, what collagen is and why we loss it. We then explore the various strategies using biostimulator fillers to improve both facial and body aesthetics.

0:00 Introduction 1:03 Meet Dr Sabrina Fabi 3:19 Dermatology Background and Career Path 5:16 Why She Chose Cosmetic Dermatology 9:44 Building a Cosmetic Focused Practice 11:56 Role of Lasers and Injectables 14:01 Treating Multiple Aging Factors 16:30 Most Used Devices in Practice 18:16 IPL and Photodamage Management 23:53 Ultherapy and Skin Laxity 27:02 Advanced CO2 Resurfacing Protocols 30:22 Skin Versus Injectables Mindset 33:44 Rise of Biostimulators in Practice 37:39 Early Use of Sculptra on the Body 41:39 Treating Chest and Body Skin Aging 45:36 Transitioning Biostimulators to the Face 48:05 Overfilled Look and Skin Retraction 51:43 Sculptra Reputation and Technique Evolution 57:32 Collagen and Elastin Aging Basics 1:01:04 Lifestyle Factors That Break Down Collagen 1:03:30 Periocular Skin and Aging Changes 1:07:48 Botox Effects on Thin Skin Areas 1:12:19 Safety Considerations Around the Eye 1:16:00 What Biostimulators Are and How They Work 1:19:56 Differences Between PLLA and CaHA 1:22:22 Orthopedic Origins of Biostimulators 1:25:07 Explaining Treatment Timelines to Patients 1:27:43 Building Patient Trust and Expectations 1:30:37 Describing the Biostimulator Glow 1:33:59 Menopause and Rapid Collagen Loss 1:36:53 Body Treatment Areas and Mapping 1:39:25 Typical Dosing and Treatment Planning 1:42:10 Who Is a Good Candidate 1:44:30 Managing Expectations Versus Surgery 1:48:40 PRP Versus Biostimulator Response 1:53:30 Neck and Hand Treatment Limitations 1:55:45 Radiesse Use in Neck and Hands 2:00:30 Dilution Techniques and Safety Updates 2:03:05 Nodule Risk and Complication Rates 2:05:40 Blindness Risk and Safety Perspective 2:10:55 Non Surgical Buttock Treatment Goals 2:13:30 Volume Versus Toning Concept 2:18:00 Treating Hip Dips and Age Related Changes 2:20:15 Cellulite Treatments and Final Wrap Up

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Episode 78 hosts Dr Sabrina Fabi, a world-renowned cosmetic dermatologist based in California, USA. Dr Fabi is a leading authority on the use of biostimulator fillers - a class of injectables that stimulate the body's own collagen production.

We discuss Dr Fabi's approach to these types of procedures, what collagen is and why we loss it. We then explore the various strategies using biostimulator fillers to improve both facial and body aesthetics.

Show your support for IA via Patreon

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Contact Dr Jake & David 

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Episode 77 hosts Dr Neil Neimark (Functional medicine doctor from California, USA)

Since becoming a doctor, Dr Neimark has worked using a holistic approach that aims to harness the bodies own capacity to heal itself.

He is one of America's most experienced doctors in using stem cells. This is a pioneering new treatment modality that has shown great promise in healing a variety of common issues that are traditionally treated pharmacologically, surgically or cannot be helped conventionally.

0:00 Introduction 1:03 Meet Dr Neil Neimark 3:19 Background in Preventive and Functional Medicine 5:16 Frustration With Symptom Based Healthcare 9:44 What Is Functional Medicine 11:56 Systems Approach to Disease 14:01 Moving Into Stem Cell Therapy 16:30 IV Therapy and Regenerative Medicine 18:16 Anti Inflammatory and Healing Mechanisms 23:53 Early Stem Cell Patient Cases 27:02 Treating Pain and Inflammation 30:22 Liposuction and Stem Cell Harvesting 33:44 How Stem Cells Are Cultured 37:39 Autologous vs Umbilical Stem Cells 41:39 Regulatory Differences and Access 45:36 Cost and Treatment Protocols 48:05 Longevity of Results and Boosters 51:43 Treating Arthritis and Joint Conditions 57:32 Autoimmune Disease Applications 1:01:04 Stroke and Brain Injury Potential 1:03:30 Blood Vessel Growth and Healing 1:07:48 IV vs Local Injection Decisions 1:12:19 Evidence and Clinical Outcomes 1:16:00 Success Rates and Limitations 1:19:56 Cost Considerations and Patient Expectations 1:22:22 Avoiding Unethical Providers 1:25:07 Common Treatment Indications 1:27:43 PRP and Regenerative Add On Therapies 1:30:37 Risks and Safety Considerations 1:33:59 Cosmetic and Wound Healing Uses 1:36:53 Future Applications and Organ Regeneration 1:39:25 Preventing Amputation and Vascular Disease 1:42:10 Insurance and Healthcare Economics 1:44:30 Availability in Different Countries 1:48:40 Stem Cells in Skincare Discussion 1:53:30 Realistic Expectations and Evidence 1:55:45 Contact Details and Closing Remarks

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