Inside Aesthetics

Episode 181 hosts Professor Sebastian Cotofana, Associate Professor of Anatomy at the Mayo Clinic, USA. Professor Cotofana is the world's best well-known anatomist for facial aesthetics, a prolific researcher and has published well over 100 peer reviewed articles and book chapters.   We discuss: Sebastian's background and training What a typical day looks like for him  Who does his research and how he coordinates this The hierarchy of authorship on academic papers We then do something different for this episode and drill down into the details of four of his recent and best known clinical papers. We discuss for each paper: - What the paper is about and why it was done? - What were the methods and the main outcomes? What is the learning point and relevance to injectors? Paper 1: ‘To click or not to click – The importance of understanding the layers of the forehead when injecting neuromodulators – A clinical, prospective, interventional, split-face study’ (30 November 2020) https://doi.org/10.1111/jocd.13875  Paper 2: 'The Bidirectional Movement of the Frontalis Muscle: Introducing the Line of Convergence and Its Potential Clinical Relevance' (May 2020) DOI: 10.1097/PRS.0000000000006756   Paper 3: 'Facial Soft Tissue Repositioning With Neuromodulators: Lessons Learned From Facial Biomechanics' (April 2022) DOI: 10.1093/asj/sjac090 Paper 4: 'Quantitative Analysis of the Lifting Effect of Facial Soft-Tissue Filler Injections' (May 2021) DOI: 10.1097/PRS.0000000000007857     SUPPORT THE PODCAST: If you enjoy listening to IA every week and would like to help support the podcast in a small way, we have a simple donation option: 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: - Access to five main IA Whatsapp groups (General, Injectables, Skin & Devices, Business & Regenerative Aesthetics)  + three country specific groups (Australia, USA and UK) - Weekly IA Injectable Hints & Tips (Patient assessments, injecting videos & other injectable education) - NEW! Weekly Instagram Hints & Tips (Optimise your profile, content planning, how to use Instagram features, etc) - IA Business Hints & Tips (Videos of business hints and experiences) - IA Business Insights (Zoom recordings of David doing business coaching with our IA Patrons) - IA Zoom sessions (Bimonthly Zoom sessions focussing on injectable & business topics) - Access to our IA Library (Clinical papers, books & other resources) - Re-watch 8 x IA Webinars (Recorded in the pandemic with global experts)   IA Patrons can also access: Business mentoring opportunities with David (additional cost, limited slots) Shadowing opportunities in clinic with Dr Jake (additional cost, limited slots)   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 Sebastian on Instagram

Episode 180 hosts Kylie Duncan, a Registered Nurse based in Orange (rural New South Wales), Australia.   Kylie joins us in the 8th Chapter of our 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. Kylie was incredibly kind to join us at the very last minute and this was recorded completely unplanned! We explore: How and why Kylie became an injector Insights into the rural Australian injectable market Reflecting the rural attitude to aesthetics vs the cities  Her journey from leaving surgical nursing to working as an injector The challenges of setting up a clinic in a rural area What her typical patient demographic is The particular challenge of finding trained staff in rural areas, as well as keeping them  Her five year plan What has been her most valuable aesthetics course or conference? Every episode 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?   SUPPORT THE PODCAST: If you enjoy listening to IA every week and would like to help support the podcast in a small way, we have a simple donation option: 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: - Access to five main IA Whatsapp groups (General, Injectables, Skin & Devices, Business & Regenerative Aesthetics)  + three country specific groups (Australia, USA and UK) - Weekly IA Injectable Hints & Tips (Patient assessments, injecting videos & other injectable education) - NEW! Weekly Instagram Hints & Tips (Optimise your profile, content planning, how to use Instagram features, etc) - IA Business Hints & Tips (Videos of business hints and experiences) - IA Business Insights (Zoom recordings of David doing business coaching with our IA Patrons) - IA Zoom sessions (Bimonthly Zoom sessions focussing on injectable & business topics) - Access to our IA Library (Clinical papers, books & other resources) - Re-watch 8 x IA Webinars (Recorded in the pandemic with global experts)   IA Patrons can also access: Business mentoring opportunities with David (additional cost, limited slots) Shadowing opportunities in clinic with Dr Jake (additional cost, limited slots)   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

George Kypreos is the Managing Director of Dermocosmetica, an Australian distributor of aesthetic products, while Dr. Cara McDonald is a leading dermatologist and KOL for Profhilo. They dive into the launch of Profhilo, a groundbreaking bio-remodelling filler. Topics include how it differs from traditional fillers, its unique production methods, and the best techniques for injections. They also cover managing patient expectations, the significance of skin quality, and how Profhilo integrates into an injector's portfolio, backed by six years of European experience.

Episode 178 hosts Natasha Keeping, an Independent Nurse Prescriber based in Nantwich, UK. Natasha was an NHS nurse for over 20 years with experience in Emergency Care, Sexual health and Primary Care. But like many other health professionals that we've hosted on IA, she has re-defined her career and has been a part-time cosmetic injector for almost a year. 'The Business of Injecting' episodes host injectors to discuss all aspects of their business. We analyse their struggles and challenges, difficult decisions, friction points that aren't yet solved, financial concerns, staffing, hiring, firing and other relevant topics for aesthetic business owners. In Chapter 2 of 'The Business of Injecting' episodes, we focus on the challenges that a new injector like Natasha faces.  We discuss: - Her motivations for becoming a cosmetic injector - The mental hurdle of leaving clinical practice and the NHS - The feelings of fear and overwhelm when starting a new business - The concept of a business plan - Choosing where set up her clinic and the pro's and con's of the choices she made - What sort of patients she attracts - What services she offers and why she chose these - The concept of needing a mentor - Who can help new injectors and the role of networking: working with pharma reps, KOL’s, other colleagues, training courses and other informal support forums - How new injectors should price themselves and the temptations of discounting to get bookings - Marketing and what strategies Natasha has tried so far   - How to measure success in the first year of injecting - The concept of brand building  - Hiring help:  Admin staff, social media 'experts', marketing, accountancy, legal support & financial planning   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 177 hosts Dr Jake & David, your co-hosts of Inside Aesthetics.  In this episode Dr Jake & David introduce their new series of episodes, 'The Business of Injecting'. We'll be stepping away from the nitty gritty of injecting technique to instead focus on the business side of things. In future episodes of 'The Business of Injecting', we'll host injectors to discuss all sorts of aspects of their business model. We'll analyse their struggles and challenges, difficult decisions that need to be made, the friction points that aren't yet solved, financial concerns, staffing, hiring, firing and all the other issues that crop up when working in or owning an injectables clinic. We'll also celebratrate some of the success stories of the barriers that injectors have overcome and showcase learning points that can be put into action by other injectors. In this introductory episode we use Dr Jake's beginnings as an injectors to illustrate some of the issues that these episodes will discuss including: - Why he became an injector and the motivations that drove him - The clinics that he has worked in and thoughts on what makes an ideal clinic - The dynamic of working for yourself vs working in an established practice - The challenges that come with working in a busy clinic - The concept of creating a culture in a clinic environment - What happens when you lose respect from your staff as a clinic owner - The basics of understanding your income vs expenditure - What makes a successful injector and whether becoming a well known injector matters or not 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 176 hosts Dr Stephania Roberts (Phlebologist & Cosmetic Physician from Melbourne, Australia) & Dr Niamh Corduff (Plastic Surgeon from Geelong, Australia) In this mini series 'The Tox Talks', we feature expert injectors who have significant experience in using botulinum toxin. 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 our of toxins. In chapter 8 we discuss the poorly understood topic of toxin resistance. In what was one of our most engaging podcasts to date, our expert guests debated the topic and we covered: What we mean by ‘resistance’? Whether there's a difference between being resistant and being a ‘non-responder’?  What’s a primary non-responder vs secondary non-responder?  The incidence of toxin resistance - and the difficulty in quoting this rate  The main steps in how Botox (Allergan brand) is manufactured and why this is relevant to the topic How this differs from the manufacture of Xeomin (Merz brand) Accessory proteins and their role in the body's immune response Neutralising antibodies vs non-neutralising antibodies Does a higher dose create a higher risk of resistance If so, what do we mean by ‘high’ dose?   The role of dose frequency and risk of resistance    What steps an injector should go through to review a patient complaining that their toxin 'didn't work' How to explain a less than satisfactory toxin outcome to to a patient Should you swap your patient to a different brand of toxin if you don't see results? The phenomenon of post-lockdown 'failed' toxin treatments globally - was this real or just perceived? What tests can you do for a true primary non-responder and whether these are practical in an every day injectors clinic SUPPORT THE PODCAST: If you enjoy listening to IA every week and would like to help support the podcast in a small way, we have a simple donation option: Buy us a coffee PATREON: Did you know that we have an online injectable education and business mentoring service called IA Patreon? Get access to the following benefits: - Access to five main IA Whatsapp groups (General, Injectables, Skin & Devices, Business & Regenerative Aesthetics)  + three country specific groups (Australia, USA and UK) - Weekly IA Injectable Hints & Tips (Patient assessments, injecting videos & other injectable education) - NEW! Weekly Instagram Hints & Tips (Optimise your profile, content planning, how to use Instagram features, etc) - IA Business Hints & Tips (Videos of business hints and experiences) - IA Business Insights (Zoom recordings of David doing business coaching with our IA Patrons) - IA Zoom sessions (Bimonthly Zoom sessions focussing on injectable & business topics) - Access to our IA Library (Clinical papers, books & other resources) - Re-watch 8 x IA Webinars (Recorded in the pandemic with global experts) Our subscribers can also access: Business mentoring opportunities with David (additional cost, limited slots) Shadowing opportunities in clinic with Dr Jake (additional cost, limited slots)   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 175 hosts Dr Leonie Schelke (Dermatologist, Amsterdam, Holland), Dr Stella Desyatnikova (Facial Plastic Surgeon, Seattle, USA) & Stuart Turner (Managing Director of Real Time Ultrasound Machines, Australia)  Leonie was one the earliest pioneers in using ultrasound for facial aesthetic treatments. She co-founded the globally-renowed complications centre at Erasmus University in Rotterdam where she and her colleagues manage national & international referrals. She also co-founded 'Cutaneous Facial Ultrasound' in 2019, a world-renowned course that teaches injectors the skill to use and interpret facial ultrasounds. .  Stella is a leading facial plastic surgeon and taught herself facial ultrasound independantly in the USA. She has incorporated this fully into her surgical and injectable consultations and is considered one of the leading experts of the technique in the world. Stuart's background in physiotherapy taught him the foundations of musculoskeletal ultrasound long before it was being used in aesthetics. He's now the Managing Director of Real Time Ultrasound Machines who distribute and support injectors to use Vinno ultrasound devices across Australia.  We discuss: - The history of facial ultrasound & how our guests first started using it - What ultrasound is exactly - The basics of what an ultrasound image shows - What ‘resolution’ means and why this is important when considering buying a device - What a 'standard position' is - The concept of 'vascular mapping' and using colour duplex - How ultrasound can be used to inject more accurately - The criticisms of ultrasound and why there are those who don't incorporate it into their practice   - Evidence of filler 'backflow'    - The role for injecting toxins under ultrasound  - The significant advantages of using ultrasound when managing complications including dissolving filler lumps & treating vascular occlusions - The confusing range of devices available and the difference between 'high end' devices and hand held ones. - How Real Time Ultrasound Machines can support injectors  Dr Jake will be hosting the first Cutaneous Facial Ultrasound course in Australia on August 10th! Dr Peter Velthuis will lead the training and will be assisted by his colleague Dr Tatjana Water (both from Holland) For more info and to book the course, click here  For IA listeners, you can save an extra $520 by using the discount code ‘IAXCutaneous’ on checking out This podcast was sponsored by Real Time Ultrasound Machines. To save 10% of any Vinno device, get hands on & in clinic support, head to www.insideaesthetics.com/ultrasound and fill out your details    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 174 hosts Dr Jake & David, your co-hosts of Inside Aesthetics.  We start by discussing the economic strain we're experiencing globally and try to predict how hyper-inflation and rising interest rates might affect injectors and clinics. We then explore Dr Jake's key takeaways from his European trip to his ultrasound and injecting course, IMCAS, Science of Aging & the Beauty Through Science conferences including: - Ultrasound in facial aesthetics - New toxins - New fillers with new crosslinking technology - Allergan's new hybrid injectable, 'HarmonyCa' - Fat dissolving, the forgotten treatment! In the second half of the podcast we explore the phenomenon of tribalism and polarisation within aesthetics. After an aesthetic injectors story on Instagram went viral amongst the aesthetic community last week, we explore why emotions run so high and try to make some sense of it all.   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 173 hosts Dr Ben Talei from Beverley Hills, USA.   Dr Talei is a globally-renowned Facial Plastic Surgeon. He specialises in face lifts, rhinoplasties, peri-ocular surgery and in particular, has become world-famous for his own modified approach to the surgical lip lift.  The lip lift is a surgical treatment that has come back into vogue after first being invented in 1973 - but it never took off due to the unpredictable outcomes and unacceptable facial scarring. Dr Talei has revolutionised this type of surgery and trains surgeons in his technique. Being an injector as well as a surgeon, Dr Talei offers unique insight into the limitations of lip fillers and when surgery should be considered.  We discuss:  - Dr Talei's practice - How and why he learnt to inject as a facial plastic surgeon - Basic lip anatomy - The common peri-oral signs of aging - Racial differences in the peri-oral layers - What lip fillers Dr Talei prefers to use - Dr Talei's thoughts on lip filler migration - Hyaluronidase and the implications of using filler dissolving near the SMAS - Dr Talei's own theory that the SMAS ages  -  The history of the surgical lip lift and why it wasn't originally very popular - How he modified the technique to improve the outcomes to become a world leader in the technique - What happens on the day of a surgical lip lift - What the recovery is like - How to minimise facial scarring after a lip lift     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 Dr Talei on Instagram    

Episode 172 hosts Dr Jake & David, your co-hosts of Inside Aesthetics.  With Dr Jake being away in Europe for a few weeks, we thought we'd do something a bit different. In this episode we first discuss some big news regarding our studio and David’s businesses. We then find out where Dr Jake is going and why. We then take a break from our usual injecting topics to discuss a serious issue that seems be plaguing injectors, clinics and businesses all over the world - the weird world of Instagram hacking.  Imagine this scenario - you're an injector who's painstakingly built up your Instagram account to several thousand followers. You have real, engaged and loyal patients who stay in touch with your business via your Instagram profile. You're posting regularly, the likes are growing, you're making connections and networking with other similar businesses, your profits have grown post-COVID and life is good.  Then one day, out of nowhere, you notice that you've been logged out of your Instagram account. When you try to re-log back in, you get an error message telling you that you've violated Instagrams terms and conditions. You have no idea what has happened, you're completely cut off from your business and there's absolutely nothing that you can do about it. We cover: - How & why injectors run their businesses predominantly via Instagram  - The global problem of hacking and the various ways it might manifest  - Two listeners real life stories who have been affected by Instagram hackers - Dr Jake’s own experience of a malicious attack on his Instagram account  - What the hackers want from your account - The knock on effect to your followers after your Instagram account has been hacked - The (lack of) customer service in a company as big as Meta - Strategies to secure your Instagram account and prevent being hacked - Simple ideas to future-proof your business   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