Inside Aesthetics

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 (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 ALL IA LINKS & CONTACT INFORMATION

Episode 177 hosts Dr Jake & David 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 ALL IA LINKS & CONTACT INFORMATION

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 ALL IA LINKS & CONTACT INFORMATION

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 ALL IA LINKS & CONTACT INFORMATION

Episode 174 hosts Dr Jake & David 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. ALL IA LINKS & CONTACT INFORMATION

Episode 173 hosts Dr Ben Talei (Plastic Surgen based in Beverley Hills, USA) Ben 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 ALL IA LINKS & CONTACT INFORMATION

Episode 172 hosts Dr Jake & David 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 ALL IA LINKS & CONTACT INFORMATION

Episode 171 hosts Dr Tom Decates (Cosmetic Physician based in 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. Tom 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 ALL IA LINKS & CONTACT INFORMATION

Episode 170 hosts Dr Tom Decates (Cosmetic Physicial based in Amsterdam, Holland) Tom 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 ALL IA LINKS & CONTACT INFORMATION