Inside Aesthetics Ep 181 How New Anatomical Concepts Can Help Improve Your Injecting | Professor Sebastian Cotofana
Episode 181 hosts Professor Sebastian Cotofana (Associate Professor of Anatomy at the Mayo Clinic, USA)
Sebastian is the world's best well-known anatomist for facial aesthetics, a prolific researcher and has published well over 100 peer reviewed articles and book chapters.
We discuss:
- Sebastian's background and training
- What a typical day looks like for him
- Who does his research and how he coordinates this
- The hierarchy of authorship on academic papers
We then do something different for this episode and drill down into the details of four of his recent and best known clinical papers. We discuss for each paper:
- What the paper is about and why it was done?
- What were the methods and the main outcomes?
- What is the learning point and relevance to injectors?
Paper 1: 'To click or not to click – The importance of understanding the layers of the forehead when injecting neuromodulators – A clinical, prospective, interventional, split-face study' (30 November 2020)
https://doi.org/10.1111/jocd.13875
Paper 2: 'The Bidirectional Movement of the Frontalis Muscle: Introducing the Line of Convergence and Its Potential Clinical Relevance' (May 2020)
DOI: 10.1097/PRS.0000000000006756
Paper 3: 'Facial Soft Tissue Repositioning With Neuromodulators: Lessons Learned From Facial Biomechanics' (April 2022)
DOI: 10.1093/asj/sjac090
Paper 4: 'Quantitative Analysis of the Lifting Effect of Facial Soft-Tissue Filler Injections' (May 2021)
DOI: 10.1097/PRS.0000000000007857
00:00 Introduction 01:03 Meet Professor Sebastian Cotofana 04:55 Balancing Research, Teaching and Clinical Work 10:59 From Trauma Surgery to Facial Anatomy Research 18:27 How Research Questions Start in Real Practice 26:25 Understanding First and Last Author Roles 33:29 Why Many Studies Are Not Industry Funded 41:37 Click or Not to Click Study on Injection Depth 48:53 Deep Versus Superficial Toxin Results Explained 52:09 Line of Convergence and Forehead Movement Patterns 61:45 Using Toxin to Rebalance Facial Muscles 68:49 Facial Biomechanics and Midface Repositioning 76:38 How Small Changes Create Visible Results 80:09 Debating Science and Managing Social Media Criticism 86:34 Importance of Critical Thinking in Aesthetic Medicine 90:43 Final Thoughts on Research and Patient Outcomes