Inside Aesthetics

Episode 252 hosts Dr Isabella (Izzy) Sillar (Cosmetic Physician based in Melbourne, Australia) Izzy is a unique injector who describes herself as a 'translator'. Instead of only working on her patients superficial concerns, she works with patients who are open to a holistic and 360 degree approach. This means that in addition to facial aesthetics, she explores their mental health, nutrition, sleep, exercise, libido, hormonal status and other important parameters of wellbeing. We explore Izzy's pathway into this way of working, her approach and the importance of working with other allied professionals to fully optimise our patients health. 00:00 Introduction 02:54 Meet Dr Isabella Sillar 07:34 Training Path and Mentors 10:50 Why Regenerative Faced Pushback 17:20 Functional vs Regenerative Defined 18:24 How to Train and Where to Start 24:34 Redefining Aesthetic Practice 31:32 Holistic Consult Workflow 36:53 In House Testing and Patient Buy In 42:02 Cleaning Up Aesthetics 43:08 Biological Age Explained 45:26 When DNA Testing Helps 46:43 Biohacking Versus Basics 50:42 Microplastics And Modern Stress 53:49 Lifespan Versus Healthspan 56:04 Aesthetics As Education Hub 59:52 Coordinating Complex Care 01:02:17 Supplements Done Safely 01:08:33 Collagen And Food First 01:11:32 Training And Clinic Systems 01:14:56 Courses Offer And Wrap Up 01:15:48 Future Of Integrative Aesthetics 01:18:29 Final Thanks And Next Steps To explore the courses mentioned in this podcast please head to this link ALL IA LINKS & CONTACT INFORMATION

Episode 251 hosts Pene Timberlake (Nurse Practioner based in Freshwater, Australia) Pene was one of our very first guests on IA (Episodes 3, 26 and 43) and is one of the country's most experienced nurse injectors. We first learn about her progression from being a Registered Nurse to a Nurse Practitioner (NP). We get an understanding about what this qualification entails and why this was so challenging. We also learn about why the door for nurses wanting to become aesthetic NP's is now effectively closed. In her first appearance on the podcast over five years ago, we re-visit the question of what makes a good cosmetic injector. With the landscape and regulations having changed so much in Australia, we explore the deeper issue of whether the bar has simply been set too low to become an injector? We ponder whether the changes that have been made were actually very necessary and what else needs to be done to create a recognised 'injecting' speciality. ALL IA LINKS & CONTACT INFORMATION

Dr. Jake Sloane and David Segal discuss the fallout of Australian regulatory changes impacting injectors, focusing on advertising restrictions and the need for a return to the medical model. They ponder if this shift is necessary amidst pushback from the injector community. The conversation reflects on the impact of regulations on pricing, services, and marketing strategies in the aesthetics industry.

Episode 249 hosts Jessica Maggs (Nurse Practitioner & Board Member of the Cosmetic Nurses Association, Melbourne, Australia) & Dr David Kosenko (General Practitioner & President of the Cosmetic Physicians College of Australasia, Perth, Australia) The regulations for injectors and cosmetic clinics are rapidly evolving in Australia - so fast in fact that some of the topics discussed in this episode have already been surpassed by new guidelines released on March 7th 2024. So we will tackle the changing regulations in two (or more!) parts. In Part 1 we explaining the background to why these changes are happening. We get the views of two of the main colleges who represent the vast majority of injectors - registered nurses, nurse practitioners and cosmetic physicians. 00:00 Introduction 00:31 Two Part Episode Update 00:49 Patreon Business and Injector Tips 02:50 Why Regulations Matter Now 03:58 Meet our guests: Jessica Maggs & Dr David Kosenko 05:46 What CPCA and CNA Do 13:44 AHPRA and TGA Explained 18:08 Timeline of Recent Rule Changes 23:08 Advertising Terms Controversy 26:49 Does This Improve Safety 33:49 Data Politics and Enforcement 39:57 Can Colleges Influence Regulators 43:49 Regulators Misunderstand the Work 45:44 Regulators Misunderstand Aesthetics 48:06 Cosmetic Medicine Stigma 50:22 Nurse Practitioner Barriers 52:44 Need For Formal Training 53:40 Two Day Course Myth 57:27 Who Trains The Trainers 58:29 Advertising And Before Afters 01:06:34 Prerequisites And Mentorship 01:13:03 Prescribing Loopholes 01:17:58 Scripting Companies Debate 01:23:19 What Happens Next 01:26:43 Aesthetic Alliance Plan 01:29:47 Final Call To Unite ALL IA LINKS & CONTACT INFORMATION

Episode 248 showcases our hosts Dr Jake Sloane & David Segal. In this weeks discussion David and Jake recap on their respective recent trips to Melbourne (ASCD Conference) & Bangkok (MD Codes JAPAC Tour). David shares what he spoke about as a guest speaker and discusses some insights into some of the talks he most enjoyed - including the longevity of HA fillers and the growing popularity of biostimulatory treatments. Jake explains what he did in the cadaver lab in Thailand and then explain his upcoming trip details to New Zealand (clinical teaching & a talk on delayed onset nodules), London (ACE Conference & judging at the Aesthetic Awards), France (touring the Allergan filler production facility), Monaco (AMWC conference) and Dubai (rest!). Our hosts explain how and why business topics will forma mainstay of the podcast. They also explain their idea for a new series of future episodes that will focus on aesthetic trends that are currently being debated and showcased on social media. We invite our listeners (you!) to apply as guests for these episodes and discuss whatever topic you feel passionate about - whether you're for or against it. 00:00 Introduction 01:16 ASCD Melbourne recap 02:59 Retention vs new clients 05:27 Advertising under new rules 07:06 Why business matters now 09:27 IA partners and community 10:56 Filler shift and concerns 14:18 Biostimulators and CaHA 16:06 Trends miniseries invite 19:14 Patreon guest requirement 20:43 Jake travel and training 24:39 ACE Conference Plans 25:45 Aesthetic Awards Judging 26:58 Clinical Photo Standards 30:42 Photography for Safety 33:23 Travel to Monaco 36:14 Dubai Downtime 37:00 Golden Ticket Giveaway 40:11 Patreon Clinical Content 44:05 Break Schedule Wrap ALL IA LINKS & CONTACT INFORMATION

Episode 247 hosts April Harrison (Physician Assistant based in Texas, USA) April joins us in the 19th Chapter of our 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 showcase every level of type 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 aim to inspire our injector listeners. 00:00 Introduction 00:32 Injector Diaries Setup 01:13 Patreon Updates and Community 02:28 Meet our guest April Harrison 03:01 Seasonality and Work Culture 05:27 April's PA Path into Aesthetics 11:58 Houston Market and Aesthetic Trends 16:56 Family Life and Work Balance 21:32 Mentors and Arthur Swift Influence 24:54 Designing Better Injector Training 31:02 Follow Ups and Patient Reviews 33:06 Full Face Planning and Consult Process 36:26 Consults Before Treatment 37:56 Social Media Pre Education 39:24 Regulation Versus Marketing 40:48 Raising Standards In Injectables 41:51 Cringe Content And Professionalism 45:02 Celebrity Filler Speculation 47:13 Trends And Conservative Practice 48:51 Restorative Beauty Education 50:25 Going Solo After 18 Years 54:31 Patients Follow And Revenue Impact 56:45 Keeping Superstar Staff 59:33 Respect For Non Doctor Injectors 01:02:15 Future Plans And Boundaries 01:05:29 Treatments On And Off Menu 01:07:22 Business Ops And Numbers 01:09:11 Outsource Operations 01:09:41 Product Cupboard Picks 01:10:51 Pricing And Rep Relationships 01:12:12 Why Start Patreon 01:13:47 Patreon Safety And Value 01:18:28 Growing Patreon And Shadowing 01:22:39 Vascular Occlusion Stories 01:25:16 Ultrasound Setup And Learning 01:28:43 Rapid Fire And Wrap Up ALL IA LINKS & CONTACT INFORMATION

Episode 246 hosts Ian Sanderson (President of AnteAGE®) & Dr Steven Liew (Plastic Surgeon based in Sydney, Australia). AnteAGE® are regenerative skincare company based in California, USA. Their mission is to provide powerful regenerative anti-aging products through evidence-based technologies. They have pioneered the use of human bone marrow stem cell technology both for aesthetic and dermatological uses, utilising exosomes and growth factors respectively. In this episode we go on a deep dive to try to understand the proposed mechanisms of these novel products. We differentiate between what exosomes are vs growth factors, how they are used in clinic vs at home and what the likely outcomes might be for our patients. This episode was supported by AnteAGE 00:00 Introduction 00:37 Regenerative Medicine Returns 01:08 Podcast Competition Update 01:55 Partner Offer Clinical Imaging 03:20 Partner Offer PHILM 04:14 Patreon and Clinic Content 05:16 Meet our Guests: Ian Sanderson & Dr Steven Liew 06:23 Antioch Origin Story 07:56 Steven Li on Regeneration 09:25 Defining Regenerative Medicine 12:54 Stem Cells Ethics and Signals 16:15 Cytokines and Growth Factors 101 18:53 Why Bone Marrow Stem Cells 22:43 What Are Exosomes 27:26 Sourcing and Safety Testing 30:32 Human vs Plant Animal Exosomes 32:40 Clinical Uses and Treatment Menu 38:12 Patient Concerns and Adoption 40:08 Safety and Adoption Proof 41:47 What Exosomes Really Do 45:22 Aesthetic Results and Glow 48:52 Protocols and Product Stack 52:17 Injectables and Regulations 56:55 Stability and Skin Delivery 01:00:11 Clinic Workflow and Mixing 01:03:58 Evidence and White Papers 01:05:21 Pricing Margins and PRP 01:10:20 Hair Loss and Future Tech 01:11:54 Marketing Within Guidelines 01:16:10 Wrap Up and Special Offer *****APPLY FOR OUR IA COMPETITION***** Click here to read our Instagram post for details of the prize and how to apply! ALL IA LINKS & CONTACT INFORMATION

Episode 245 hosts Dr Felix Bertram (Dermatologist and Business Entrepreneur based in Zurich, Switzerland) Felix is a returning guest to the podcast (previously on episode 198) and in addition to his clinical expertise he is an incredibly successful businessman with numerous other revenue streams. As a result of his business acumen and investments, he is also a judge on the Swiss TV show 'Die Höhle der Löwen' (similar to Shark Tank in Australia or Dragon's Den in the UK). In this episode we explore the current business challenges that clinics are facing and get some insights into the European perspective. We discuss how clinics who are strugging can re-invigorate their strategies and gain momentum into 2024. We also pose a deeper question that needs to be understood for long-term success - 'Do injectors really understand their 'why'? 00:00 Introduction 00:32 Special Guest: Dr Felix Bertram 01:26 Patreon Updates and Clinic Walkthroughs 04:08 Partner Offers and Sponsor Perks 04:49 Industry Reset and Europe Outlook 09:03 Inflation and Consumer Psychology 11:06 Investors and Clinic Consolidation 15:58 Chains vs Clinicians Career Pathways 19:24 2023 Slowdown and Profit Squeeze 27:16 Retention Tactics and Patient Experience 31:00 Team Culture Hiring and STAR Method 34:27 Building a High Performance Team 35:52 Hiring for Team Fit 36:35 Cafe Interviews to Reveal Character 37:44 Probation and Early Red Flags 38:56 Receptionist Influencer Dilemma 40:43 Team Culture and Fast Firing 42:18 Leadership Boundaries and Distance 46:14 Termination Rules and Paper Trails 47:56 Tattoo Shock Hiring Stories 49:43 Inner Circle Golden Ticket Giveaway 55:22 Adapting in Tough Times 56:42 Back to First Principles 58:26 Finding Your Why 01:00:51 Passion Versus Glamour Motives 01:03:31 Patient Journey Differentiation 01:04:42 Inner Circle Why Breakthroughs 01:07:20 Making Routine Work Meaningful 01:09:35 Permission to Lead and Build 01:12:06 One Percent Better Daily 01:12:31 Clinic Challenges Breakdown 01:14:34 Subscription Revenue Models 01:15:45 Outcome Based Branding 01:17:38 Consultation For Value 01:20:33 Regulation And Market Timing 01:22:18 Cut Costs And Retain 01:26:09 Device Purchases Business Case 01:27:47 Negotiate Supplier Terms 01:30:48 Social Media Strategy 01:33:35 Know Your Ideal Patient 01:37:04 Final Takeaways And Wrap *****IA COMPETITION ANNOUNCEMENT***** In this episode we announce IA's BIGGEST EVER competition! We've partnered with Felix to give one injector the trip of a lifetime! Listen to find out what the prize is and then head to our Instagram (from 07:20am AEDT) where we reveal how to apply. Good luck!!! ALL IA LINKS & CONTACT INFORMATION

Episode 244 hosts Dr Caroline Taylor-Walker (Cosmetic Physician based in Torquay, Australia) In 'The Business of Injecting' episodes we host injectors and clinic owners to discuss all aspects of the business side of their clinic. We analyse their financial struggles and challenges, difficult decisions, friction points, staffing, hiring, firing and other topics relevant for aesthetic business owners. 00:00 Introduction 03:31 Meet our guest Dr Caroline Taylor-Walker 03:40 Moving to Torquay 05:59 From Plastics to Aesthetics 09:52 Training Restrictions 19:08 Starting Ministry of Skin 22:19 Bootstrapping the Clinic 26:16 Expanding Services 30:25 Patients vs Clients 32:20 Aesthetics vs Skin Checks 33:08 Front Desk Friction 34:12 Economy Slowing Demand 36:23 Handling Budget Patients 37:35 Quick Fix Growth Ideas 39:29 Know Your Numbers 43:50 Low Cost Treatment Mix 45:27 Quality Control Systems 49:52 Staff Motivation Debate 52:34 Leadership Weekly Cadence 56:52 Manager vs Owner Roles 01:01:26 Define Dream Patient 01:03:45 Holistic Menopause Journey 01:05:40 Incentives and Referrals 01:06:54 CRM Tracking Options 01:09:49 Complimentary Cross Offers 01:11:12 Low Cost Skin Add Ons 01:13:37 Scaling Team and Cashflow 01:17:02 Exit Strategy Planning 01:20:56 Life After Selling 01:24:24 TGA Rules Debate 01:33:54 Advice for New Clinics 01:35:02 Wrap Up and Next Steps ALL IA LINKS & CONTACT INFORMATION

Episode 243 hosts Cassandra Smith (Dermal Clinician & Aesthetic Business Coach based in Canberra, Australia) Cassandra is a returning guest (previously on episodes 5, 24, 29, 60 & 191) and was David's business partner for over a decade. She originally trained as a Beautician before qualifiying as Dermal Clinician. Cassandra and David then became the co-owners of three laser, skin and injectable clinics that they ran successfully for over a decade before selling in 2022. In this episode we explore how to maximise retail opportunities in an aesthetic clinic. With the boom of the Christmas rush now gone, we discuss strategies and ideas for quieter times. 00:00 Introduction 00:31 Special Guest: Cassandra Smith 02:20 Why Q1 Gets Quiet 07:16 Fertilizer Season Strategy 10:06 Fixing Friction Points 10:56 Client Feedback Done Right 16:01 Audit Your Business Data 19:31 Community Over Competition 22:31 Skincare as a Revenue Stream 23:59 Bake Retail Into Protocols 30:05 Learn Skincare Basics 33:56 Medical Grade Skincare Explained 35:39 Choose Products for Your Demographic 38:48 Retail Profit Impact 42:09 Handling I Already Have Products 42:38 Skincare Roleplay Consult 43:47 Switching Bad Products 45:45 Educate Without Shame 46:17 Calm Confidence Cash 48:23 Training Teams To Sell 51:27 Embed Retail In Protocols 53:26 Clinic Merchandising Layout 56:04 Space Psychology And Flow 59:08 Sales Without Discounts 01:02:01 Digital Retail Strategy 01:06:15 Memberships And Referrals 01:09:31 Inventory And Stock Control 01:17:31 Tiny Tweaks Big Results 01:21:16 Wrap Up And Next Steps ALL IA LINKS & CONTACT INFORMATION