Inside Aesthetics Ep 270 Part 1 What's Trending in Aesthetics (Chapter 6): - Filler Dissolving & Post-Hyaluronidase Syndrome | Dr Daniel Ezra
Episode 270 hosts Professor Daniel Ezra (Oculoplastic Surgeon based in London, UK)
Daniel is a leading eye surgeon at the world famous Moorfields Hospital. He's also part of an incredibly busy private clinic where consultants of various specialities work in a multidisciplinary team. There he leads a dedicated filler dissolving service and his team see up to 10 elective referrals a day to help patients with filler complications.
In our 'What's trending in Aesthetics?' episodes we cover topics that have got injectors talking on social media or been in the news. We'll cover controversies, big stories and themes that affect our speciality.
In Chapter 6 Part 1 (free for listeners on any podcast app) we discuss:
- Podcast news
- Daniel's background
- The basic science of hyaluronic acid fillers
- The behavoir of hyaluronic acid fillers in the tissues
- How long fillers last
00:00 Introduction 00:31 Meet Dr Daniel Ezra 01:33 Podcast News and Patreon 02:02 Travel and Patreon Updates 03:59 Episode Roadmap Part One Two 04:50 Daniel's Background 08:04 Learning to Inject 10:27 Hyaluronic Acid Basics 12:34 Cross Linking and Properties 14:32 Preferred Fillers and Volume 16:07 Dissolving and Cross Linking 17:30 Partner Masterclass Ad 18:48 Injector Training Gaps 19:34 Regulation And Accreditation 20:31 Filler Myths And Cumulative Dosing 21:34 Conference Bias And Pharma Influence 23:16 Why Aesthetics Lacks Research 23:40 Key Opinion Leader Constraints 26:27 Evidence Hierarchy And Bias 29:10 Social Media And Industry Maturity 30:38 Filler Downturn And Dissolving Clinics 32:24 Patient Anxiety And Misinformation 34:18 Dissolving Reluctance And Transparency 36:09 Study Summary And PHS Findings 39:16 Wrap Up And Part Two Tease 40:19 Follow And Support The Show
In Chapter 6 Part 2 (Now available inside our new app, IA Community, ahead of our official launch this May. Click here to join our waitlist), we discuss:
- What the purpose of an MRI scan for an aesthetic patient is
- What the options are once a scan is done
- Filler integration - does it actually occur?
- Fller migration
- Filler 'growth' over time - what exactly is happening?
- Patient psychology when it comes to filler complications & filler dissolving
- Post-hyaluronidase syndrome
- Filler dissolving techniques
00:00 Introduction 00:31 Part Two Setup 01:05 Common Eye Filler Issues 04:27 Late Swelling Triggers 07:05 Inflammation Cancer Concerns 13:18 Lymphatic Block Debate 15:31 Safer Tear Trough Technique 21:44 When MRI Helps 29:16 Filler Volume On Scans 31:19 Filler Expansion Ratios 32:36 Clinic Intake Workflow 34:49 Consent and Legal Risk 36:45 Psych Screening and BDD 40:38 Community and Peer Support 41:28 Hyaluronidase Dosing Methods 44:45 Fibrosis and Encapsulated Lumps 47:32 Follow Up and Identity Shift 50:00 Post Hyaluronidase Syndrome 56:26 Media Hype and Safety 58:40 Future of Fillers 01:00:11 Wrap Up and Sign Off