Inside Aesthetics Ep 80 Injectable Complications | Greg Goodman
Episode 80 hosts Associate Professor Greg Goodman (Dermatologist from Melbourne, Australia)
Greg has been at the forefront of injectables since the very beginning. As a result of his experience, he's become known as a globally-renowned expert in the complications of injectables.
We explore the early days of injectable medicine, how Professor Goodman rose to prominence and then go on a deep dive into some of the feared complications of injectables.
0:00 Introduction 1:03 Meet Professor Greg Goodman 3:19 Early Career and Dermatology Background 5:16 Discovering Cosmetic Dermatology 9:44 Training in Dermabrasion and Peels 11:56 Early Adoption of Liposuction and Lasers 14:01 Academic and Clinical Roles 16:30 Interest in Acne Scarring Research 18:16 Building Expertise in Complications 23:53 Evolution of Filler Safety Awareness 27:02 Changes in Injection Techniques Over Time 30:22 Early Botox Use in Australia 33:44 Collagen Fillers History and Limitations 37:39 Development of Modern Fillers 41:39 Rise of Complication Education 45:36 Becoming a Global Complication Authority 48:05 Industry Growth and Market Expansion 51:43 Concerns About Filler Commoditization 57:32 Need for Standardized Training 1:01:04 Importance of Aesthetic Assessment Skills 1:03:30 Facial Shape and Beauty Principles 1:07:48 Risks of Overfilling and Poor Technique 1:12:19 Introduction to Injection Complications 1:16:00 Managing Bruising and Swelling 1:19:56 Cannula Versus Needle Techniques 1:22:22 Role of Lasers in Treating Bruising 1:25:07 Arnica and Supportive Treatments 1:27:43 Ultrasound in Complication Management 1:30:37 Understanding Vascular Occlusion 1:33:59 Causes of Vessel Blockage 1:36:53 Recognizing Early Warning Signs 1:39:25 Incidence and Frequency of Occlusions 1:42:10 Importance of Rapid Treatment 1:44:30 Hyaluronidase Emergency Protocol 1:48:40 Patient Communication During Complications 1:53:30 Using Anatomy to Guide Treatment 1:55:45 Hyaluronidase Safety and Tissue Effects 2:00:30 Tear Trough Filler Longevity 2:03:05 Introduction to Delayed Onset Nodules 2:05:40 Inflammation and Infection Theory 2:10:55 Filler Degradation and Immune Response 2:13:30 Managing Nodule Complications 2:18:00 Clinical Insights and Prevention 2:20:15 Wrap Up and Closing