Inside Aesthetics

Episode 171 hosts Dr Tom Decates from Amsterdam, Holland.   In the second half of this two part episode (please listen to episode 170 first!), we continue our discussion on the topic of filler complications.  Dr Decates is a Cosmetic Physician who specialises in cosmetic complications. He works at the Erasmus University Hopsital where he and his colleagues run the only filler complications centre in the world. He has undertaken formal research in the field and completed his PhD in 2021 entitled, 'The origin of soft tissue filler adverse events'.  We cover: - classifying lumps that patients present with - what symptoms patients complain of when they have a lump - The term ‘delayed onset nodule’ - How Dr Decates examines and investigates a lump when assessing a patient referred with a complication - The role of ultrasound when diagnosing what a filler lump is - the use of hyalase under ultrasound guidance - whether new fillers on the market can be trusted - how the experience of an injector influences how likely an adverse event will occur   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 Tom on Instagram  

Episode 170 hosts Dr Tom Decates from Amsterdam, Holland.   Dr Decates is a Cosmetic Physician who also specialises in cosmetic complications. He works at the Erasmus University Hopsital where he and his colleagues offer the only filler complications centre in the world. He has undertaken formal research in the field and completed his PhD in 2021 entitled, 'The origin of soft tissue filler adverse events'.  In part one of a two part episode (out next week), we discuss:  - Dr Decates background - Insights into how the filler complications centre started and how it's funded - What is the immune system's normal response to fillers when they injected? - Is it possible for a filler to be non-immunogenic? - What do we mean by ‘filler integration’? - What happens when fillers are broken down and do the small molecular weight chains of filler create an inflammatory process? - What type of patients are not medically suitable for fillers?  - Can we treat patients with autoimmune disease? - Whether oral hygiene or a recent dentist appointment matters when considering injecting a patient with fillers? - COVID vaccines & filler reactions: What was the outcome of this and did we see more filler complications?    - How to clean a patients face before a filler treatment - Bacteria and the formation of biofilm: what is it?   - The issue with swabbing wounds and abscesses: why are they often reported as 'sterile' and where are the bacteria?   - The genetic link and HLA: why a small sub-group of the population are prone to filler reactions  - A new cheek swab that promises to identify such patients and help avoid up to 85% of immune-related complications     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 Tom on Instagram    

Episode 169 hosts Dr Christoph Martschin, a Dermatologist based in Lisbon, Portugal.  Christophe has been a Galderma KOL since 2011. As a global speaker and trainer, he has a wealth of knowledge when it comes to Galderma's portfolio and research projects.  In this 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 2 we focus on a newly launched brand called 'Alluzience', (Abobotulinum toxin A), a novel toxin developed by Galderma that is the world's first liquid toxin. We explore: - Dr Martschin's background as a Dermatologist and what his day to day practice looks like - His role as a KOL for Galderma - His insights into how the use of toxins has changed over the years - The science behind the Alluzience - Is it simply liquid abobotulinum toxin (Dysport)? - Why does the market need a liquid toxin? - Does it have the same characteristics as Dysport? - What does Alluzience look like and how does it come prepared? - What differentiates Alluzience from other brands of botulinum toxin  - How long Alluzience lasts on average - How Alluzience is injected on label  - We find out how Christophe sees a future for clinic stocking a portfolio of different toxins to tailor treatments - What needles and syringes he likes using and why - What his toxin consultation consists of - and more! 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 168 hosts Dr Sarah Hart, a cosmetic physician from Auckland, New Zealand. Sarah joins us in the 7th 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: How and why Sarah became an injector Insights into the New Zealand injectable market Reflecting the New Zealand attitude to aesthetics vs Australia The New Zealand Society of Cosmetic Medicine and what their role is exactly? Sarah's style of injecting and philosophy – where she learnt her techniques, approach and her aesthetic ‘eye’.  Her views on the trend for looking 'hyper-augmented' What's ‘right and wrong’ for injectors and should we always obey the beauty standards that we are taught? Her role as a KOL for Allergan and how it started  Being selected as a global mentee under Mauricio De Maio – what was the purpose of the programme and how did it improve Sarah as an injector The dynamic of working within someone else's clinic How having a PA helps her be a better injector  Where Sarah see's the industry going within the next 5-10 years Her views on ultrasound in aesthetics?  Her new clinic plans   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: we discuss Sarah's co-authorship of a new a controversial paper on the topic 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 Sarah on Instagram

Episode 167 hosts Dr Steven Harris & Julie Horne. Dr Harris is a leading cosmetic physician based in London, UK. (We previously hosted Dr Harris in Episode 122) He has an international reputation for his approach to injecting. He strongly believes in treating the face holistically and by fully respecting the patient’s anatomy and it's proportions. Julie is a Registered Nurse and a global speaker based in Johannesberg, South Africa (We previously showcased her background in Episode 119) She is best known for her lip filler treatments and lip filler training where she showcases her own ‘Julie Horne Lips’ technique.  In this mini-series 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've mastered their techniques. Dr Jake also give his own insights into how he treats these areas too. In the 3rd chapter of the series we explore lip fillers and peri-oral treatments. Dr Harris and Julie Horne are both globally known for their contrasting styles when it comes to the lip region and we get a better understanding of how each of them approach this area of the face. 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 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 We specifically cover: - The anatomy of the lips and the perioral region  - The impact of the bony platform and dentition on the lips: what should injectors know?  - What female patients want when they request lip and peri-oral treatments - Sexual dimorphism and the male lip patient: what do men want from a lip filler?  - The lip filler consultation: what questions should injectors be asking?   - Who shouldn't we treat for lips fillers with respect to age, previous treatments and the issue of overfilling   - Managing patients who’ve been elsewhere and want ‘a bit more’: the art of educating patient, saying no and when dissolving may be appropriate - A deep dive into our guests methods of treating the lips: The Non-Surgical Lip Lift (NSLL) & Julie Horne Lips  - Some finer details of lip treatments: What should we do for patients with a long, flat philtrum?  How & when should we treat the philtral columns? How and when should we treat the oral commissures? - Lip filler downtime and aftercare: what to say and do for patients about swelling, bruising and ‘lumps’?  - The dangers of lip fillers including vascular occlusions and how to reduce this risk - What fillers should injectors use in the lips and what rheological factors might influence their choice?  - Are cannulas ever appropriate for a lip filler? - Lip flips: what is this technique and how do you do it?  - Peri-oral lines: what are they and what’s the best way of approaching them  - Gummy smiles: how to treat them and should we treat them?   - Accordion lines: what are they and what do we do about them?    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 guests: Follow Dr Steven Harris on Instagram Follow Julie Horne on Instagram

Episode 166 hosts Dr Cara Mcdonald based in Melbourne, Australia. Cara is a leading dermatologist who specialises in managing skin cancer, rosacea, acne & cosmetic injectables. She's an international speaker for Allergan Aesthetics and an ambassador for La Roche Posay. Over the last four years, she's conducted a survey on injectable patients that focusses on an very important question - why do patients like their injector and what drives their decision to stay with them or not? We explore: - How the topic and the study came about  - What the challenges were of doing a study during the pandemic  - How the study was designed and how it was organised?  - What the main objectives of the study were  - The key questions in the survey and how the data was captured  - The breakdown of the data  - How any assumptions and biases were managed  - What the primary reason was why patients returned to their injector?  - What’s most important for patients to feel comfortable with an injector?  - What percent of patients felt like they had one specific feature that needed ‘fixing’?  - What proportion of patients wanted to slow down aging but still look natural?  - What proportion of patients love the ‘done’ look?  - Whether patients are truly happy to invest in the best quality treatments & results  - What proportion of patient aren’t happy with their appearance, even after treatments?  - A formula for calculating how much trust you can gain from your patients  - A suggested model for how consultations might be done by injectors   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 Cara on Instagram  

Episode 165 hosts Anusha Dahan, a nurse practitioner from Los Angeles, USA.    Anusha joins us in the 6th 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: - How we came across Anusha's work  - Her your career before injecting - How and why she became an injector  - To date she's never trained other injector, we explore why and get some info on why this might be changing for a one off event - How COVID changed her business  - What Anusha's style of injecting and philosophy is - The art of 'natural' looking results - how exactly do you go about designing this? - The ethical dilemma that injectors face when their own children question their beauty and ask for treatment - What Anusha think of injectables trends like Fox eyes & Russian lips - Her business model and the highs and lows along the way - What an average day looks like for Anusha and how she manages this - The struggles of being a solo injector and trying to 'do it all' - What she's learnt as a result of this and what she now outsources - The scope of her treatments and what she doesn't do - How Anusha approaches her consultations - How she runs her social media and her Instagram account - Where Anusha see's herself in 5-10 years time, as well as the the industry  - Her views on ultrasound in injecting  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?!   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 Anusha on Instagram

Episode 164 hosts Dr Cormac Convery, a GP & Cosmetic Physician based in Ayrshire, Scotland. Cormac previously sat on the expert panel for the Aesthetic Complications Expert (ACE) group and is now the Vice Chair of CMAC (Complication in Medical Aesthetics Collaborative). Dr Cormac Convery was also previously an honorary lecturer in Aesthetic Medicine at Queen Mary University, London.  In this new mini-series called ‘Disasters & Solutions’, we’ll be looking at some of the unusual, difficult or outright disasterous outcomes for patients caused by injectables. We’ll speak to the injectors who managed a difficult case and go through what happened, step by step. We’ll learn about what might have been done to prevent the problem and what injectors can do in their own practice to be safer practitioners.     In Chapter 1, we discuss a case concerning a patient who was treated and injured by a non-medical injector with a likely imported and unregulated botulinum toxin. As the story unfolds, we learn she was one of at least nine similarly injured patients by the same injector.   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 Cormac on Instagram

Episode 163 hosts Dr Jake Sloane & David Segal, your co-hosts of Inside Aesthetics. On the back of our discussion with Jahan Kalantar (episode 160), we look at the numerous compliance issues within injectable clinics from an injector and business owners perspective.  We discuss: - The background to why compliance and regulations in Australia are so topical - Who makes the rules - Clinical notes for injectors  - Stock checks and receiving stock in clinic - What to do when stock goes missing or is damaged - Drug storage and fridge requirements - The role of clinical audits in injectable clinic - Room cleanliness - The dynamic of sharing rooms between multiple injectors - The problem with compounded drugs - The issue with friends and family in the injecting room - The role of ‘Secret Shoppers’    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 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