Inside Aesthetics

Episode 7 hosts Dr Shab Mireskandari (Psychologist from Sydney, Australia)

Shab has a special interest intreating patients suffering from Body Dysmorphic Disorder (BDD). We explore what happens when people obsess over how they look or a particular feature of their body - particularly when no-one else can see the issue.

This is a growing concern in the cosmetic industry and yet medical practitioners aren't usually trained to recognise the symptoms of BDD. When should cosmetic doctors say no to treating someone and what happens next?

0:00 Introduction 1:03 Meet Dr Shab Mireskandari 3:19 Psychology Background and Research Journey 5:16 Difference Between Psychologist and Psychiatrist 9:44 Training Path and Clinical Experience 11:56 Research in Cancer and Health Psychology 14:01 Entering Plastic Surgery Psychology 16:30 Understanding Body Dysmorphic Disorder 18:16 Diagnostic Criteria and Common Misconceptions 23:53 Spectrum of Body Image Concerns 27:02 Causes of Body Image Distress 30:22 Identifying Suitable Surgery Candidates 33:44 Recognizing Severe Psychological Distress 37:39 Referral Process to Psychologists 41:39 Patient Reactions to Being Declined Surgery 45:36 When Patients Seek Surgery Elsewhere 48:05 Long Term Therapy for BDD 51:43 Just Because You Can Doesn't Mean You Should 57:32 Psychological Risk Factors Before Surgery 1:01:04 Role of Trauma and Personal History 1:03:30 Detecting Hidden Motivations for Surgery 1:07:48 Importance of Consultation Skills 1:12:19 Business Pressures and Ethical Decisions 1:16:00 Benefits of Psychological Screening 1:19:56 Real Cases of Unsuitable Surgery Outcomes 1:22:22 Confidentiality and Doctor Communication 1:25:07 Social Media and Body Image Pressure 1:27:43 Selfies and Modern Appearance Anxiety 1:30:37 Cosmetic Procedures as Self Care 1:33:59 When Treatments Become Unhealthy 1:36:53 Cultural and Social Influences on Surgery 1:39:25 Personal Story About Rhinoplasty Decision 1:42:10 Age, Maturity and Surgical Decisions 1:44:30 Influence of Social Media on Young Patients 1:48:40 Recommended Age Considerations for Surgery 1:53:30 Psychological Preparation Before Surgery 1:55:45 Supporting Patients During Recovery 2:00:30 Importance of Realistic Expectations 2:03:05 Psychological Support for Major Body Changes 2:05:40 Screening Questions for Surgical Patients 2:10:55 Red Flags in Non Surgical Treatments 2:13:30 Managing Patient Expectations in Injectables 2:18:00 Educating Consumers and Seeking Second Opinions 2:20:15 Revision Surgery and Psychological Impact 2:23:40 Industry Improvements and Future Recommendations 2:26:10 Contact Details and Final Wrap Up

ALL IA LINKS AND CONTACT INFORMATION

Episode 7 hosts Dr Shab Mireskandari, a psychologist based in Sydney, Australia.

Shab has a special interest intreating patients suffering from Body Dysmorphic Disorder (BDD). We explore what happens when people obsess over how they look or a particular feature of their body - particularly when no-one else can see the issue. 

This is a growing concern in the cosmetic industry and yet medical practitioners aren't usually trained to recognise the symptoms of BDD. When should cosmetic doctors say no to treating someone and what happens next?

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 6 hosts Dr Niro Sivathasan (Cosmetic Surgeon from Sydney, Australia)

We discuss his training and his background into cosmetic surgery, how he came to specialise in penile augmentation surgery, non-surgical penile enhancement methods and the current cosmetic regulatory landscape in Australia.

0:00 Introduction 1:03 Meet Dr Niro Sivathasan 3:19 Surgical Training and Move to Australia 5:16 Developing a Niche in Cosmetic Surgery 9:44 Cultural Differences in Cosmetic Surgery Demand 11:56 Psychology and Patient Maturity in Surgery 14:01 Importance of Patient Assessment 16:30 Recognizing Underlying Psychological Issues 18:16 Referral to Psychological Support 23:53 Overview of Penile Augmentation Surgery 27:02 Common Patient Motivations 30:22 Functional vs Cosmetic Considerations 33:44 Understanding Normal Anatomy and Measurements 37:39 Techniques for Increasing Length 41:39 Surgical Recovery and Patient Compliance 45:36 Risks and Functional Considerations 48:05 Overview of Girth Enhancement Options 51:43 Non Surgical Filler Approaches 57:32 Surgical Grafting Techniques 1:01:04 Complications and Surgical Risks 1:03:30 Typical Treatment Volumes and Expectations 1:07:48 Cost Considerations and Longevity 1:12:19 Choosing Surgical vs Non Surgical Options 1:16:00 Sensation and Psychological Outcomes 1:19:56 Misleading Treatments and PRP Claims 1:22:22 Post Treatment Activity Guidelines 1:25:07 Introduction to Body Contouring 1:27:43 Surgical vs Non Surgical Fat Reduction 1:30:37 Risks of Cryolipolysis 1:33:59 Managing Complications From Fat Freezing 1:36:53 Popularity and Safety of Liposuction 1:39:25 Consent and Risk Communication 1:42:10 Patient Satisfaction and Expectations 1:44:30 Techniques and Technology in Liposuction 1:48:40 Role of Non Surgical Body Contouring 1:53:30 Future of Non Surgical vs Surgical Treatments 1:55:45 Clinic Ownership and Medical Oversight 2:00:30 Comparing Device Effectiveness 2:03:05 Introduction to Non Surgical Facial Treatments 2:05:40 Training in Injectables and Aesthetic Medicine 2:10:55 Understanding Thread Lift Technology 2:13:30 Ideal Candidates for Thread Treatments 2:18:00 Combining Threads With Other Treatments 2:20:15 Aging Process and Volume Loss 2:23:40 Range of Non Surgical Treatment Options 2:26:10 Global Training and Industry Collaboration 2:28:45 Practice Locations and Contact Details

ALL IA LINKS AND CONTACT INFORMATION

Episode 6 hosts Dr Niro Sivathasan, a cosmetic surgeon from Sydney, Australia. Niro is also  the medical director of Ignite Medispa in Wollongong, Australia.

We discuss:

-his training and his background into cosmetic surgery

-how he came to specialise in penile augmentation surgery

-non-surgical penile enhancement methods

- the current cosmetic regulatory landscape in Australia

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:

Episode 5 hosts Cassandra Smith (Dermal Clinician from Canberra, Australia)

Cassandra has over 14 years in the skin and beauty industry and between educating therapists & key note speaking, she co-owns and runs two busy laser, skin and injectable clinics.

We discuss the difference between beauty and dermal therapists, explore some basic skin treatments performed in a typical Australian clinic and get a masterclass in the most commonly performed treatment in Australia, laser hair removal.

ALL IA LINKS & CONTACT INFORMATION

Episode 5 hosts Cassandra Smith, a Dermal Clinician from Canberra, Australia.

Cassandra has over 14 years in the skin and beauty industry and between educating therapists & key note speaking, she co-owns and runs two busy laser, skin and injectable clinics.

We discuss the difference between beauty and dermal therapists, explore skin treatments performed in the clinic setting and get a masterclass in the most commonly performed treatment in Australia, laser hair removal.

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 4 hosts Dr Shahram Shahidi (ENT Surgeon from Sydney, Australia)

Shahram's primary interest and area of expertise is rhinoplasty surgery and he is one of Australia's most respected nose surgeons.

In this episode we discuss the reasons people seek nose surgery, what happens during the consultation, the surgery, the recovery process and what happens when patient expectations aren't realistic.

0:00 Introduction 1:03 Meet Dr Shahram Shahidi 3:19 Journey Into Medicine and Personal Motivation 5:16 Choosing Surgery as a Career 9:44 Surgical Training Pathway Explained 11:56 Transition From General Surgery to ENT 14:01 Reasons for Subspecialization 16:30 Differences Between General and Specialist Surgeons 18:16 Training Experience in the UK 23:53 Public vs Private Practice Experience 27:02 Choosing ENT Over Plastic Surgery 30:22 Scope of ENT and Head and Neck Surgery 33:44 Subspecialties Within ENT 37:39 Fellowship in Facial Plastic Surgery 41:39 Developing a Focus on Rhinoplasty 45:36 Overview of Facial Plastic Surgery Procedures 48:05 Otoplasty and Treating Protruding Ears 51:43 Consent and Decision Making in Children 57:32 Role of Psychologists in Cosmetic Surgery 1:01:04 Identifying Mismatch Between Expectations and Outcomes 1:03:30 Ethics and Treating Patients Like Family 1:07:48 Transitioning Into Business Ownership 1:12:19 Importance of Experience in Patient Selection 1:16:00 Common ENT and Rhinoplasty Presentations 1:19:56 Functional vs Cosmetic Rhinoplasty 1:22:22 Causes of Nasal Obstruction 1:25:07 Measuring Nasal Function 1:27:43 Facial Proportions and Aesthetic Balance 1:30:37 Role of Non Surgical Treatments 1:33:59 Referral From Non Surgical to Surgical Options 1:36:53 Computer Simulation in Treatment Planning 1:39:25 Risks of Non Surgical Rhinoplasty 1:42:10 Vascular Occlusion and Serious Complications 1:44:30 Surgical Risks and Informed Consent 1:48:40 Psychology of Elective Surgery Decisions 1:53:30 Consultation and Assessment Process 1:55:45 Preoperative Instructions and Medication Considerations 2:00:30 Day of Surgery Overview 2:03:05 Rhinoplasty Procedure Steps 2:05:40 Recovery Timeline and First Week Expectations 2:10:55 Psychological Challenges During Recovery 2:13:30 Long Term Healing and Final Results Timeline 2:18:00 Revision Rhinoplasty and Surgical Complexity 2:20:15 Risks of Overseas Surgery 2:23:40 Patient Compliance and Postoperative Care 2:26:10 Open vs Closed Rhinoplasty Techniques 2:28:45 Modern Trends in Rhinoplasty 2:31:10 Structural Support and Long Term Results 2:33:40 Limitations of Surgical Perfection 2:36:05 Choosing the Right Surgeon 2:38:30 Cost of Rhinoplasty 2:40:55 Social Media Influence on Cosmetic Surgery 2:43:20 Selfie Culture and Patient Expectations 2:45:45 Final Advice for Prospective Patients

ALL IA LINKS AND CONTACT INFORMATION

Episode 4 hosts Dr Shahram Shahidi, a Specialist Surgeon in Ear, Nose & Throat as well as Head and Neck surgery from Sydney, Australia.

Shahram's primary interest and area of expertise is rhinoplasty surgery and he is one of Australia's most respected nose surgeons.

In this episode we discuss the reasons people seek nose surgery, what happens during the consultation, the surgery, the recovery process and what happens when patient expectations aren't realistic. 

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 3 hosts Pene Timberlake (Registered Nurse from Sydney, Australia)

Pene is one of Australia's most experienced cosmetic nurse specialists and education managers in the industry. She has over 15 years' experience throughout Australia, New Zealand and the UK, working in several specialist roles including as a clinical trainer, a nurse injector and heading medical affairs.

In this episode we discuss Pene's nursing background, how she got into the cosmetic industry, cosmetic injectable training, education and more.

0:00 Introduction 1:03 Meet Pene Timberlake 3:19 Early Nursing Career and Move to the UK 5:16 Transition From Emergency Nursing to Cosmetics 9:44 First Role in the Cosmetic Industry 11:56 Training and Mentorship in Injectables 14:01 Shift From Hospital to Commercial Practice 16:30 Importance of Patient Experience in Aesthetics 18:16 Challenges of Selling Services in Healthcare 23:53 Differences Between Hospital and Cosmetic Practice 27:02 Building Patient Relationships and Retention 30:22 Importance of Hospital Experience Before Aesthetics 33:44 Developing Clinical Intuition and Safety Awareness 37:39 Early Injectable Treatments and Industry Simplicity 41:39 Promotion to Clinic Manager Role 45:36 Learning Business and Commercial Skills 48:05 Artistry and Creativity in Cosmetic Medicine 51:43 Patient Satisfaction and Psychology of Choice 57:32 Technical Skill vs Personal Connection 1:01:04 Personality Traits of Successful Injectors 1:03:30 Differences Between UK and Australian Markets 1:07:48 Growth of Cosmetic Industry in Australia 1:12:19 Commercialization and Clinic Expansion 1:16:00 Regulation and Professional Accountability 1:19:56 Importance of Ongoing Education and Mentorship 1:22:22 Role at Allergan as Business Development Manager 1:25:07 Supporting Clinics With Business and Clinical Skills 1:27:43 Lack of Standardized Training Pathways 1:30:37 Transition to Clinical Specialist and Trainer 1:33:59 Assessing Competency in Advanced Procedures 1:36:53 Teaching Techniques and Managing Expectations 1:39:25 Returning to Clinical Injecting Practice 1:42:10 Importance of Anatomy and Consultation Skills 1:44:30 Differences Between Doctor and Nurse Injectors 1:48:40 Future Direction of the Cosmetic Industry 1:53:30 Rise of Holistic Health and Skin Focus 1:55:45 Transition Into Laser and Device Technology 2:00:30 Role at Candela and Education Leadership 2:03:05 Treating Skin Conditions With Technology 2:05:40 Picosecond Laser Technology Explained 2:10:55 Managing Patient Expectations With Skin Treatments 2:13:30 Prevention vs Correction in Skin Aging 2:18:00 Role of Devices in Delaying Surgery 2:20:15 Importance of Referral and Collaborative Care 2:23:40 Advice for Nurses Entering the Industry 2:26:10 Importance of Mentorship and Gradual Skill Development 2:28:45 Learning to Say No and Prioritize Patient Safety 2:31:10 Building Credibility Through Honest Practice 2:33:40 Passion, Motivation and Long Term Success 2:36:05 Realistic Expectations About Career in Aesthetics

ALL IA LINKS & CONTACT INFORMATION

Episode 3 hosts Pene Timberlake, a Registered Nurse from Sydney, Australia.

Pene is one of Australia's most experienced cosmetic nurse specialists and education managers in the industry. She has over 15 years' experience throughout Australia, New Zealand and the UK, working in several specialist roles including as a clinical trainer, a nurse injector and heading medical affairs.

In this episode we discuss Pene's nursing background, how she got into the cosmetic industry, cosmetic injectable training, education and more.

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