Inside Aesthetics

Episode 183 hosts Dan Julien (Nurse Practitioner from Ottowa, Canada) Dan joins us in the 9th 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'll 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 businesses and aim to learn from and inspire our injector listeners. 00:00 Introduction 00:45 Meet Dan Julien 02:35 Nurse Practitioner Explained 03:45 From Infectious Disease To Aesthetics 09:15 Training And Certification Gaps 13:00 Ottawa Market And Growth 16:30 Mentors And Evidence Versus Showmanship 22:35 Starting A Clinic From Scratch 28:50 Social Media Strategy And Mindset 32:20 Sports Psychology For Confidence 40:30 Client First Ethics 41:25 Calipers And Consults 45:05 Avoid Cookie Cutter Faces 49:30 Dissolving And Rebuilding 56:45 Ultrasound In Practice 01:00:10 Slow Down Scheduling 01:07:05 Choosing Social Platforms 01:10:55 TikTok Feel And Authenticity 01:13:45 Platform Roles And Skincare 01:16:05 Skincare Content Strategy 01:17:25 Followers to Bookings 01:19:30 Playful vs Professional 01:21:35 Confidence on Camera 01:29:10 Investing in Education 01:31:05 Quickfire Product Picks 01:40:15 Clinic Tools and Technique 01:41:50 Biggest Business Mistake 01:44:30 Best Course and Wrap Up ALL IA LINKS & CONTACT INFORMATION

Episode 182 hosts Dr Simone Doriean (Cosmetic Physician from Melbourne, Australia) Simone is one of Australia's leading aesthetic physicians with over 18 years of aesthetic practice. She is an KOL for Galderma and shares her knowledge, facial assessment expertise and techniques at local and international meetings. In Chapter 3 of 'The Business of Injecting' episodes, we focus on the unique challenges that a very experienced injector might face - including some of the aspects of their business that they may have never properly addressed or understood. 00:00 Introduction 01:03 Meet Dr Simone Doriean 04:55 Discovering Aesthetic Medicine and Mentorship 10:59 Transitioning From Employee to Clinic Owner 18:27 Starting a Solo Practice Slowly and Safely 26:25 Building a Patient Base Through Word of Mouth 33:29 Managing Expectations About Growth Timelines 41:37 Keeping Overheads Low in the Early Years 48:53 Setting Boundaries With Patients and Communication 52:09 Moving From Paper to Digital Systems 61:45 Common Business Mistakes and Lessons Learned 68:49 Importance of Accountants, Lawyers and Advisors 76:38 Structuring Your Business and Protecting Assets 80:09 Planning for Succession and Future Exit 86:34 Legacy, Mentorship and Long Term Vision 90:43 Final Advice for Sustainable Clinic Growth ALL IA LINKS & CONTACT INFORMATION

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 ALL IA LINKS & CONTACT INFORMATION

Episode 180 hosts Kylie Duncan (Registered Nurse based in South Wales, Australia) Kylie joins us in the 8th 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'll showcase every level 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 businesses and aim to learn from and inspire our injector listeners. 00:00 Introduction 01:03 Meet Kylie Duncan 04:55 Moving From Hospital to Aesthetic Injecting 10:59 Relocating to Regional Australia and Seeing Opportunity 18:27 Starting a Clinic During the COVID Pandemic 26:25 Financial Risk and Personal Loans to Launch 33:29 Building a Team and Creating Clinic Culture 41:37 Challenges of Running a Business in a Small Town 48:53 Word of Mouth Marketing and Community Reputation 52:09 Competing With Chain Clinics Without Discounting 61:45 Managing Staffing, Training and Retention 68:49 Lessons Learned From Early Business Mistakes 76:38 Importance of Mentorship and Industry Support 80:09 Growth Plans and Expanding Into Other Regional Areas 86:34 Balancing Clinical Work With Business Responsibilities 90:43 Final Advice for New Clinic Owners ALL IA LINKS & CONTACT INFORMATION

George Kypreos is the Managing Director of Dermocosmetica, an Australian distributor of aesthetic products, while Dr. Cara McDonald is a leading dermatologist and KOL for Profhilo. They dive into the launch of Profhilo, a groundbreaking bio-remodelling filler. Topics include how it differs from traditional fillers, its unique production methods, and the best techniques for injections. They also cover managing patient expectations, the significance of skin quality, and how Profhilo integrates into an injector's portfolio, backed by six years of European experience.

Episode 178 hosts Natasha Keeping (Independent Nurse Prescriber based in Nantwich, UK) Natasha was an NHS nurse for over 20 years with experience in Emergency Care, Sexual health and Primary Care. But like many other health professionals that we've hosted on IA, she has re-defined her career and has been a part-time cosmetic injector for almost a year. 'The Business of Injecting' episodes host injectors to discuss all aspects of their business. We analyse their struggles and challenges, difficult decisions, friction points that aren't yet solved, financial concerns, staffing, hiring, firing and other relevant topics for aesthetic business owners. In Chapter 2 of 'The Business of Injecting' episodes, we focus on the challenges that a new injector like Natasha faces. ALL IA LINKS & CONTACT INFORMATION

Episode 177 showcases our hosts Dr Jake Sloane & David Segal In this episode Dr Jake & David introduce their new series of episodes, 'The Business of Injecting'. We'll be stepping away from the nitty gritty of injecting technique to instead focus on the business side of things. In future episodes of 'The Business of Injecting', we'll host injectors to discuss all sorts of aspects of their business model. We'll analyse their struggles and challenges, difficult decisions that need to be made, the friction points that aren't yet solved, financial concerns, staffing, hiring, firing and all the other issues that crop up when working in or owning an injectables clinic. We'll also celebratrate some of the success stories of the barriers that injectors have overcome and showcase learning points that can be put into action by other injectors. 00:00 Introduction 01:03 Why Business Conversations Matter in Aesthetics 04:55 From Surgery to Injecting Career Path 10:59 First Training Courses and Early Mistakes 18:27 Choosing Where to Start Your Injecting Career 26:25 Chain Clinics Versus Independent Practice Models 33:29 Importance of Mentorship and Learning From Others 41:37 Planning Your Career and Exit Strategy Early 48:53 Understanding Income, Risk and Financial Stability 52:09 Building Confidence to Leave Traditional Medicine 61:45 Working in Teams and Supporting Clinic Staff 68:49 Managing Difficult Employees and Protecting Culture 76:38 Budgeting, Costs and Setting Your Prices Properly 80:09 Patient Experience Versus Clinical Skill Alone 86:34 Finding Your Ideal Patient and Brand Identity 90:43 Long Term Career Planning and Business Sustainability ALL IA LINKS & CONTACT INFORMATION

Episode 176 hosts Dr Stephania Roberts (Phlebologist & Cosmetic Physician from Melbourne, Australia) & Dr Niamh Corduff (Plastic Surgeon from Geelong, Australia) In this mini series 'The Tox Talks', we feature expert injectors who have significant experience in using botulinum toxin. 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 our of toxins. In chapter 8 we discuss the poorly understood topic of toxin resistance. In what was one of our most engaging podcasts to date, our expert guests debated the topic and we covered: What we mean by 'resistance'? Whether there's a difference between being resistant and being a 'non-responder'? What's a primary non-responder vs secondary non-responder? The incidence of toxin resistance - and the difficulty in quoting this rate The main steps in how Botox (Allergan brand) is manufactured and why this is relevant to the topic How this differs from the manufacture of Xeomin (Merz brand) Accessory proteins and their role in the body's immune response Neutralising antibodies vs non-neutralising antibodies Does a higher dose create a higher risk of resistance If so, what do we mean by 'high' dose? The role of dose frequency and risk of resistance What steps an injector should go through to review a patient complaining that their toxin 'didn't work' How to explain a less than satisfactory toxin outcome to to a patient Should you swap your patient to a different brand of toxin if you don't see results? The phenomenon of post-lockdown 'failed' toxin treatments globally - was this real or just perceived? What tests can you do for a true primary non-responder and whether these are practical in an every day injectors clinic 00:00 Introduction 01:03 Meet our Guests: Dr Stefania Roberts & Dr Niamh Corduff 04:55 What Toxin Resistance Actually Means 10:59 Primary Versus Secondary Non Responders 18:27 How Common Resistance Really Is 26:25 Role of Antibodies and Immune Response 33:29 Differences Between Toxin Formulations 41:37 Protein Load and Why It Matters 48:53 Dose, Frequency and Long Term Risk Factors 52:09 High Dose Treatments and Therapeutic Use 61:45 Real World Incidence in Clinical Practice 68:49 Managing Patients When Toxin Seems to Fail 76:38 Importance of Technique, Records and Follow Up 80:09 Patient Expectations and Communication 86:34 Preventing Resistance Through Smart Treatment Planning 90:43 Key Takeaways for Safe Long Term Toxin Use ALL IA LINKS & CONTACT INFORMATION

Episode 175 hosts Dr Leonie Schelke (Dermatologist, Amsterdam, Holland), Dr Stella Desyatnikova (Facial Plastic Surgeon, Seattle, USA) & Stuart Turner (Managing Director of Real Time Ultrasound Machines, Australia) Leonie was one the earliest pioneers in using ultrasound for facial aesthetic treatments. She co-founded the globally-renowed complications centre at Erasmus University in Rotterdam where she and her colleagues manage national & international referrals. She also co-founded 'Cutaneous Facial Ultrasound' in 2019, a world-renowned course that teaches injectors the skill to use and interpret facial ultrasounds. . Stella is a leading facial plastic surgeon and taught herself facial ultrasound independantly in the USA. She has incorporated this fully into her surgical and injectable consultations and is considered one of the leading experts of the technique in the world. Stuart's background in physiotherapy taught him the foundations of musculoskeletal ultrasound long before it was being used in aesthetics. He's now the Managing Director of Real Time Ultrasound Machines who distribute and support injectors to use Vinno ultrasound devices across Australia. 00:00 Introduction 01:03 Meet our Guests: Dr Leonie Schelke, Dr Stella Desyatnikova & Stuart Turner 04:55 Early Experiences With Filler Complications 10:59 How Ultrasound Entered Aesthetic Practice 18:27 Understanding What Ultrasound Actually Shows 26:25 Learning to Read Images and Recognize Anatomy 33:29 Why Ultrasound Improves Injection Safety 41:37 Common Resistance to New Technology 48:53 Real World Uses Including Vascular Mapping 52:09 Using Ultrasound for Complication Management 61:45 Diagnosing Lumps, Inflammation and Filler Placement 68:49 Targeted Hyaluronidase and Lower Dosing 76:38 How Ultrasound Changes Treatment Planning 80:09 Patient Reassurance and Communication Benefits 86:34 Will Ultrasound Become Standard Practice 90:43 Final Thoughts on Safety and Future Adoption This podcast was sponsored by Real Time Ultrasound Machines. ALL IA LINKS & CONTACT INFORMATION

Episode 174 showcases our hosts Dr Jake Sloane & David Segal We start by discussing the economic strain we're experiencing globally and try to predict how hyper-inflation and rising interest rates might affect injectors and clinics. We then explore Dr Jake's key takeaways from his European trip to his ultrasound and injecting course, IMCAS, Science of Aging & the Beauty Through Science conferences including: - Ultrasound in facial aesthetics - New toxins - New fillers with new crosslinking technology - Allergan's new hybrid injectable, 'HarmonyCa' - Fat dissolving, the forgotten treatment! In the second half of the podcast we explore the phenomenon of tribalism and polarisation within aesthetics. After an aesthetic injectors story on Instagram went viral amongst the aesthetic community last week, we explore why emotions run so high and try to make some sense of it all. 00:00 Introduction 01:03 Workforce Shortages and Rising Costs 04:55 Interest Rates and Economic Pressures on Clinics 10:59 How Consumer Spending May Change in Aesthetics 18:27 Chain Clinics Versus Boutique Practices 26:25 Key Learnings From the International Conference 33:29 Why Ultrasound Is Becoming More Important 41:37 Managing Complications With Better Imaging 48:53 New Anti Aging Research and Future Treatments 52:09 Emerging Hybrid Fillers and Skin Quality Solutions 61:45 New Toxins and Changing Product Landscape 68:49 Why Fat Dissolving Treatments Are Losing Attention 76:38 Social Media Influence and Industry Misinformation 80:09 Tribalism Between Brands and Training Groups 86:34 Importance of Open Discussion and Critical Thinking 90:43 Final Reflections on the Future of Aesthetic Medicine ALL IA LINKS & CONTACT INFORMATION