Inside Aesthetics

Episode 233 hosts Dr Alexander Rivkin (ENT surgeon based in California, USA) For years injectors have argued bitterly about the pros and cons of theoretical safety manoeuvres performed when injecting fillers. These techniques include aspiration, small or larger movements of the needle tip or even aspiration and moving combined. We explore the rationale proposed for these procedures and try to understand the merits and limitations of what they might offers us. 00:00 Introduction 01:35 Meet Dr Alexander Rivkin 02:34 From ENT to Aesthetics 04:55 Early Days and Marketing 08:05 Learning to Inject 10:16 Complications and Risk 13:31 Safety Versus Efficacy 16:50 Needle Motion Paper Debate 20:10 Critiquing the Model 27:33 Aspiration Explained 35:02 Bolus Versus Moving Technique 44:54 Teaching Safety to Beginners 47:05 Why Aspiration Feels Safer 47:25 Training Risks and False Confidence 48:15 Patient Comfort and Needle Motion 48:55 Legal Standards and Expert Battles 50:07 What Moving the Needle Means 52:11 Vasospasm and Early Ischemia 56:59 Ultrasound Promise and Pushback 64:15 Dissolving Filler and Integration Myth 67:48 Evidence Gaps and Practical Rules 71:11 Nose Occlusions and Management Steps 76:28 Why Keep Doing Nose Jobs 80:00 Origin of Nonsurgical Rhinoplasty 82:01 Wrap Up and Resources ALL IA LINKS & CONTACT INFORMATION

Episode 232 hosts Dr Pouria Moradi (Plastic Surgeon & Reconstructive Surgeon based in Sydney, Australia) Pouria recently published his first book entitled 'Normal - A Plastic Surgeon's letter to his daughter about body image'. He first got the idea for the book as he watched his seven year old daughter participating in a swimming carnival. She seemed so proud of herself and completely unaware of how she looked in her cute swimming costume. But it dawned on him juggling his role as a father and Plastic Surgeon - how long would this innocence would last? Might she soon start asking questions about her body? And if so, what should a father who offers cosmetic surgery every day to other women say? This is a deep conversation about body image, parenting, ethics and ultimately, we try to understand what is 'normal'? 00:00 Introduction 01:03 Sunday Catch Up 01:26 Meet Dr Pouria Moradi 02:46 Why He Wrote Normal 06:25 Kids and Body Image 09:25 Defining Normal in Surgery 10:39 Parenting and Social Media 12:08 Talking Cosmetic Work at Home 14:35 Reading the Letter 19:11 Ethics and Saying No 25:00 Otoplasty and Medicare Rules 28:56 Book Structure and Resources 31:45 Screening Patients and Red Flags 34:18 Dopamine and Going Bigger 36:37 Reconstructive Roots vs Cosmetic 39:23 Where Surgeons Draw the Line 40:17 Setting Realistic Results 42:08 Aligning Expectations 44:24 3D Imaging Pitfalls 46:06 Depression and BDD 47:57 Social Media Dysphoria 52:59 Surgeon Bias and Referrals 55:43 Patients Versus Clients 61:28 How to Say No 63:24 Transgender Care Basics 67:50 Defending Cosmetic Surgery 71:48 New Cosmetic Guidelines 79:09 Book and Wrap Up ALL IA LINKS & CONTACT INFORMATION

Episode 231 hosts Ian Carroll (Founder and Managing Director of EnVogue Skin) & Jahan Kalantar (Criminal Lawyer & the principal of 'Executive Law Group') We discuss the consequences surrounding the alleged actions of a new aesthetic distributor based in Australia. 00:00 Introduction 01:46 Meet our Guests: Ian Carroll & Jahan Kalantar 03:25 Rumors of Unapproved Filler 05:42 How TGA Approval Works 07:38 Risks for Injectors and Clinics 11:31 Legal and Insurance Fallout 17:23 Due Diligence Using ARTG 19:58 Alleged Fake TGA Documents 22:54 What Happens Next 25:30 How This Could Happen 29:56 Bigger Industry Lessons 33:11 Personal Use Import Rules 34:11 Special Access Pathways 36:56 Dodgy DMs and Grey Market 38:07 Counterfeit Risks in Familiar Brands 39:55 Industry Reputation and Regulation 43:36 Verification Tech and QR Codes 45:27 Long Term Complications and Support 47:24 Clinic Crisis Response Playbook 50:29 Legal Triage and Potential Offences 53:39 Market Size and Consumer Danger 55:31 Reporting Suppliers and Staying Cautious 57:32 Key Takeaways and Wrap Up ALL IA LINKS & CONTACT INFORMATION

Episode 230 hosts Dr John Joseph (Plastic Surgeon from California, USA) In this mini series 'The Tox Talks', we feature expert injectors who have significant experience in using botulinum toxins. These episodes explore our guests experiences using particular brands, the evolution of their injecting techniques and we get special insights into the subtle nuances of getting the best out of toxins. In chapter 7 John shares his experiences as a lead clinical study investigator and tells us why he believes we've been doing toxins wrong for the past 35 years. We dangle the possibilities of longer lasting results, less complications, increased patient satisfaction, more time and how to revolutionise the world of toxin treatments. 00:00 Introduction 01:04 Miami Conference Teaser 02:02 Meet Dr John Joseph 02:20 Early Botox Adoption 07:51 Building a Botox Practice 09:00 Why 2.5 mL Became Standard 11:15 Inside Clinical Trials 15:55 On Label vs Off Label 19:20 Eureka on Dose Duration 23:44 Galderma Study and Bias 28:41 How Longer Duration Works 32:28 Measuring Duration and FDA 40:22 Why He Pushed the Science 45:32 Allergan Plateau Findings 46:56 Why Duration Plateaus 47:51 Trial Design and Patient Expectations 50:28 Safety and Field of Effect 52:54 Concentrate to Extend Duration 56:34 Cold Versus Old Data 61:50 90 Units in the Lip 66:06 AccuTox Syringe Prototype 72:04 Running Multiple Dilutions 77:11 Pricing and Practice Economics 81:29 Which Toxin to Stock 83:22 Future Adoption and Consumer Pull 84:54 Resistance and Type E Antidote 90:43 Wrap Up and Next Steps ALL IA LINKS & CONTACT INFORMATION

Episode 229 hosts Julie Bass Kaplan (Nurse Practitioner based in California, USA) Julie joins us in the 16th 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 01:03 Catching Up With Julie 02:15 Shoe Closet Studio 03:53 Julie Origin Story 07:55 Starting a Business 11:25 Finding Your Voice 18:12 Handling Trolls Online 22:16 Early Injecting Days 24:47 First Vascular Occlusion 31:15 Recovery and Lessons 33:28 Practice Changed Forever 34:58 Cannula Discovery 36:25 Can Cannulas Occlude 37:52 Ultrasound Changes Everything 39:00 Spasm vs Occlusion 44:04 Quiet Zone Doppler 45:48 Life as an Educator 50:59 Purpose and Beauty 57:14 Regenerative Medicine Buzz 59:51 Mentors and Pioneers 63:56 Training with Pharma 66:13 Teaching Without Constant Travel 67:16 Inside Advanced Injector Training 68:59 When Trainees Are Ready 71:36 Why Weekend Courses Fail 74:29 Hiring and Training Philosophy 78:19 Mistakes and No Degree Shaming 81:52 Trainer Pay Inequality 88:35 What Patreon Is and Safety 93:00 Rapid Fire Favorites 95:43 Workshops That Shaped Her 97:03 Wrap Up and Where to Follow ALL IA LINKS & CONTACT INFORMATION

Episode 228 hosts Jamie Yerales (Registered Nurse based in Terrigal, Australia) Jamie first trained as a Beauty Therapist before graduating as a Registered Nurse in 2012. She worked a cosmetic injector in a number of clinics in Sydney before deciding to build her own clinic, 'The Cosmetic Couture'. In 'The Business of Injecting' episodes we host injectors 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 01:03 Singapore Cadaver Lab Lessons 03:08 Meet Jamie Yerales 04:25 Jamie's Path to Injecting 06:51 From Subcontractor to Owner 09:18 Central Coast Clinic Rebrand 11:53 Marketing and SEO Reality 15:35 Why Open Cosmetic Couture 17:40 Funding the Fit Out 28:42 Clinic Design and Patient Flow 32:44 Consultation Psychology 37:24 Scaling With Assistants 40:28 Choosing Profitable Devices 43:41 Skin Devices Boost Results 44:10 Body Devices And Costs 45:38 Marketing Body Treatments 47:42 True Cost And Opportunity 49:49 Finance Versus Buy Outright 51:50 Learn Business Basics 55:22 Managing Staff And Culture 57:36 Keeping Injectors Long Term 63:23 Trends Versus Timeless 70:30 Pricing Botox And Filler 74:12 Becoming A Tox Expert 79:09 Next Stage Business Growth 86:34 Final Advice And Wrap Up ALL IA LINKS & CONTACT INFORMATION

Episode 227 hosts Dr Sunny Dhesi (General Practitioner based in Rutland, UK) In this episode we cover one of the most commonly asked questions amongst injectors - what clinical software system is 'best' for injectors? Having already covered this topic from a software developers perspective (episode 221), we go on a deep dive to better understand the injectors mindset when considering investing in aesthetic software. 00:00 Introduction 01:04 Meet Dr Sunny Dhesi 03:00 Sonny Background and Career 05:59 Why CRM Matters 10:56 Choosing CRM the Wrong Way 14:08 CRM Traps and Switching Pain 22:00 Patient Journey Mapping 27:05 Plan for Success Mindset 29:58 Why Switch Software 31:53 CRM Promises vs Reality 32:52 Due Diligence and References 36:32 Moving to Pabau 2 40:01 Regulation and Compliance Needs 42:14 Engaging Vendors and Fear 46:07 What Backend Really Means 52:39 CRM Marketing and Newsletters 59:04 Wrap Up and Next Episode 60:56 Final Thanks and Links ALL IA LINKS & CONTACT INFORMATION

Episode 226 hosts Nicola Lowrey (Physician Assistant based in California, USA) Nicola joins us in the 15th 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 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 Podcast Intro and Disclaimer 01:35 Meet Nicola Lowrey 03:31 What Is a Physician Assistant 07:21 PA Scope and Supervision 08:53 First Botox Party Origins 12:18 Early Training and Wild West 16:00 Complications and Real Learning 18:49 Training Standards and Confidence 28:10 Pharma Training Debate 31:55 When Trainers Say No 33:07 Insurance and Certification Question 33:26 Certificates Mean Nothing 34:03 Need Independent Assessors 34:35 Mentors And Role Models 38:06 Costa Rica Course Origin 43:55 Ultrasound Training Plug 45:40 Full Face Restoration Style 47:30 Overfilled Syndrome Screening 53:05 Assessment Top Down Method 56:25 Lift Versus Reposition Debate 62:16 Integrity Builds Waitlists 67:16 Avoiding Trend Treatments 71:08 Trap Tox Gone Wrong 72:40 Off Label Injection Risks 73:55 Becoming an Allergan Trainer 77:20 Anatomy Sunday and Social Growth 81:45 Balancing Clinic and Travel 85:36 Scaling a Team Mindset 88:17 Treatments She Avoids Threads 90:37 Long Lasting Toxins Debate 93:59 Quick Fire Injector Favorites 96:53 Future of Regenerative Aesthetics 99:25 Wrap Up and Where to Follow ALL IA LINKS & CONTACT INFORMATION

Episode 225 hosts Fiona Tuck (Nutritional Medicine Practitioner, Cosmetic Chemist & Skin Expert based in Sydney, Australia) (Previously also featured on episodes 2, 36 & 65) In this weeks podcast we drill down into the poorly understood topics of supplements and ingestable collagen. 00:00 Introduction 02:19 Meet Fiona Tuck 03:57 Why Lifestyle Gets Ignored 08:19 VitaSol Philosophy Food First 12:07 Soil Nutrients and Food Choices 16:59 Whole Food vs Vitamin Pills 19:28 Supplements Risks and Overdosing 23:08 Integrative Skin Health Approach 32:35 Collagen Evidence and Results 36:30 How Ingested Collagen Works 38:44 How Collagen Peptides Work 41:44 Polyphenols and UV Defense 42:14 Pairing With Injectables 43:44 Quality and Dosage Matters 47:07 How to Take It Daily 48:23 Nutrients and Contraindications 53:19 Marine vs Bovine Collagen 56:18 Pricing and Clinic Offers 59:01 When Results Show Up 64:30 Beyond Skin Joint and Muscle 67:04 Wrap Up and Next Treatments 71:46 Final Sign Off and Links SPECIAL OFFER! If you would like to buy any of the Vita-Sol supplement range, get 10% off the range (excluding the teas) by using the code IA10 - Click here to browse & purchase Vita-Sol If you are a clinic and would like to stock Vita-Sol, order an initial supply of 25 products and get 5 free (worth $350). Contact Vita-Sol here (and don't forget to include that you heard about the offer in this podcast Check out all of our current partnership offers here ALL IA LINKS & CONTACT INFORMATION

Episode 224 hosts Dr Felix Li (Cosmetic Physician based in Singapore) This is the sixth chapter of our miniseries, 'The Beauty Of The World'. (Please also listen to episodes 102, 107, 109, 113 & 118 for our other episodes and regions of the world) In these episodes we host globally-renowned key opinion leaders to discuss their own regions beauty standards, aesthetic trends and the injectable market in their part of the world. We'll aim to understand what people find attractive, what influences this and celebrate the similarities and amazing differences amongst peoples faces and skin tones. Felix is a trainer for Allergan Aesthetics across the Asia-Pacific region. We explore the beauty ideals of Singapore and some of the other influencial Asian countries. We discuss how injectors in Asia might approach their patients and how local culture affects what is seen as beautiful. We also discuss a fundamental question posed by our Beauty Of The World mini series - are we as injectors guilty of stereotyping and assuming what beauty ideals would be suitable for our patients? 00:00 Introduction 04:08 Meet Dr Felix Li 05:09 Training Path Into Aesthetics 10:57 Defining Asian Patient Types 13:26 Small Face Slimming Ideals 15:21 Media Trends and K Pop 19:41 China Influencers and Red Book 24:03 China Hospital Sales Model 27:29 Natural Look Over Done 30:49 Korea Surgery Competitiveness 34:02 Common Requests and Approach 36:02 Jawline Contour Goals 36:37 Asian vs Western Aesthetics 38:34 Male Face Tradeoffs 39:28 Assessing Patient Priorities 46:27 Lateral Support Strategy 49:27 Natural Looking Results 50:38 Asian Anatomy Nuances 51:53 Nose Augmentation Risks 57:15 Forehead Trends and Balance 59:24 Lower Face Filler Volumes 61:31 Toxin Approach and Dosing 66:24 Masseter and Lower Face Toxin 71:46 Skin Ideals in Asia 73:05 Even Tone Over Fairness 75:15 Clinic Lasers and Devices 77:02 Skin Boosters and Exosomes 78:42 Reducing PIH Laser Risk 81:48 Rejuran vs Profhilo 85:22 Toxins and Product Costs 89:22 Singapore Market and Growth 92:17 Practice Challenges and Future 95:25 Final Thanks and Patreon ALL IA LINKS & CONTACT INFORMATION