Inside Aesthetics

Episode 168 hosts Dr Sarah Hart (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 ALL IA LINKS & CONTACT INFORMATION

Episode 167 hosts Dr Steven Harris (Cosmetic Physician based in London) & Julie Horne (Registered Nurse and Global Speaker based in Johannesberg, South Africa). 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? ALL IA LINKS & CONTACT INFORMATION

Episode 166 hosts Dr Cara Mcdonald (Dermatologist 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 ALL IA LINKS & CONTACT INFORMATION

Episode 165 hosts Anusha Dahan (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?! ALL IA LINKS & CONTACT INFORMATION

Episode 164 hosts Dr Cormac Convery (GP & Cosmetic Physician based in Ayrshire, Scotland) 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. ALL IA LINKS & CONTACT INFORMATION

Episode 163 hosts Dr Jake Sloane & David Segal 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' ALL IA LINKS & CONTACT INFORMATION

Episode 162 hosts Gillian Murray (Prescribing pharmacist, clinical researcher and pharmacist injector based in 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? ALL IA LINKS & CONTACT INFORMATION

Episode 161 hosts Lori Robertson (Family nurse practitioner based in California, USA) Lori joins us in the 5th 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: - What a family nurse praactitioner is - Where and how she first learnt to inject - How she first become a trainer for Galderma - Her role as a trainer for Galderma and MINT (threads) - Co-founding and co-running her own injecting school called 'The Aesthetic Immersion - Mentorship in injecting - Lori's thoughts on how we train injectors and their transition from newbies to comptent injectors - Her scope of treatments and what she doesn't do? - What she loves about lifting threads and which patients make the best thread candidate - Why she doesn't really like using monothreads - Her experience of using Sculptra and where it's mst effective - Her first impressions of a completely new injectable product called 'Renuva' that helps stimulate fat cells 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?! ALL IA LINKS & CONTACT INFORMATION

Episode 160 hosts Jahan Kalantar (Criminal Lawyer based in Sydney, Australia) Jahan also has an incredibly popular TikTok account where he provides entertaining and concise explanations about legal concepts. Having discussed some of the legal principles that injectors need to be aware of in previous episodes (episodes 51, 66 & 114), we now explore things from a prosecuting solicitor's perspective. Disclaimer: The information in this podcast is general in nature should not be taken as legal advice. Governing laws between countries, states and cities can vary greatly. You should seek your own independent advice before making decisions of a legal nature. We explore: - Jahan's career to date and how he became interested in the law of cosmetic medicine - Why he changed from working as a barrister to working as a solicitor - The reasons why patients usually sue cosmetic practitioners - What constitutes a 'bad' outcome? - Why poor communication is usually at the root of medicolegal complaints - What exactly happen and what the main steps when a patient sues - What exactly is 'informed consent' from a legal perspective? - Consent forms and how to use them properly - How and why can patients can still successfully take legal action, despite signing these forms which communicate the possible risks/complications associated with both surgical and non-surgical treatments? - The crucial importance of excellent note taking and the perils of not doing them at the time of the treatments - Why you should take clinical photography seriously - The legal implications of registered nurses using remote prescribing doctors - Terminating difficult consultations before they become a bigger problem - Responsible and professional behavior - how solicitors can use your social media to build a case against you ALL IA LINKS & CONTACT INFORMATION

Episode 159 hosts Sia Hendry (Skin & laser therapist) & Tiarnna Smith (Clinical Application Specialist for Alma Lasers) from Sydney, Australia Sia has been at the forefront of skin and laser treatments in Australia for over 15 years and is the owner of 'You by Sia' in Bondi Junction. Sia was one of the first clinics in Australia to offer laser hair removal and has seen first hand how the technology has changed over time. Tiarnna's background is in medical engineering and she is one of Alma's clinical specialists. In this role she supports Alma's customers in all aspects of training and education when using their devices. In this episode we focus on laser hair removal - the most popular cosmetic treatment performed in Australia today. We first reflect on how this came to be and contrast it to other countries where laser hair removal is often less available and far less affordable. We then compare and contrast older laser hair removal technology with Alma's newest device the 'Soprano Titanium'. We cover: How laser hair removal actually works? We re-cap on the basic physics of lasers & wavelengths including 755nm, 810nm & 1064nm Sia's early experience with older laser hair removal technology and the disadvantages it had Why older technology created significant pain and how the Soprano Titanium has improved on this How painful treatments can lead to poorer compliance (particularly in the male demographic) and a less efficient business model The use of separate skin cooling devices in traditional laser hair removal vs how the Soprano Titanium cools the skin from within the handpiece Why regardless of the laser used, you will always need multiple treatments to achieve permanent hair reduction Reducing the risk of serious adverse events when using laser hair removal devices - how automated settings have reduced human error Treating skin of colour – how the Soprano Titanium device has solved one of the most significant limitations of older laser hair removal technology Whether we can also treat patients with fake tan or sun tanned skin with the Soprano Titanium? Hair colour limitations - can we now treat blond and red hair? Medications - what patients need to tell their therapist before having laser hair removal How upgrading technology has improved Sia's business, revenue and staff satisfaction Alma's services including supporting clinics to trade in their older laser hair removal device This episode was brought to you in partnership with Alma Lasers ALL IA LINKS & CONTACT INFORMATION