Inside Aesthetics

Episode 173 hosts Dr Ben Talei (Plastic Surgen based in Beverley Hills, USA) Ben specialises in face lifts, rhinoplasties, peri-ocular surgery and in particular, has become world-famous for his own modified approach to the surgical lip lift. The lip lift is a surgical treatment that has come back into vogue after first being invented in 1973 - but it never took off due to the unpredictable outcomes and unacceptable facial scarring. Dr Talei has revolutionised this type of surgery and trains surgeons in his technique. Being an injector as well as a surgeon, Dr Talei offers unique insight into the limitations of lip fillers and when surgery should be considered. 00:00 Introduction 01:03 Meet Dr Ben Talei 04:55 From Reconstruction to Cosmetic Surgery 10:59 Why Surgeons Should Learn Injectables 18:27 Understanding Lip Aging and Volume Loss 26:25 How Overfilling Changes Lip Anatomy 33:29 When Filler Is No Longer Enough 41:37 Assessing Tooth Show and Lip Length 48:53 Choosing Between Filler and Lip Lift 52:09 Common Mistakes With Lip Treatments 61:45 History and Evolution of the Lip Lift Procedure 68:49 What Happens During a Lip Lift Surgery 76:38 Recovery Timeline and Healing Expectations 80:09 Risks, Complications and Managing Scars 86:34 Treating Younger Patients and Overfilled Lips 90:43 Final Advice on Realistic Lip Rejuvenation ALL IA LINKS & CONTACT INFORMATION

Episode 172 showcases our hosts Dr Jake Sloane & David Segal With Dr Jake being away in Europe for a few weeks, we thought we'd do something a bit different. In this episode we first discuss some big news regarding our studio and David's businesses. We then find out where Dr Jake is going and why. We then take a break from our usual injecting topics to discuss a serious issue that seems be plaguing injectors, clinics and businesses all over the world - the weird world of Instagram hacking. Imagine this scenario - you're an injector who's painstakingly built up your Instagram account to several thousand followers. You have real, engaged and loyal patients who stay in touch with your business via your Instagram profile. You're posting regularly, the likes are growing, you're making connections and networking with other similar businesses, your profits have grown post-COVID and life is good. Then one day, out of nowhere, you notice that you've been logged out of your Instagram account. When you try to re-log back in, you get an error message telling you that you've violated Instagrams terms and conditions. You have no idea what has happened, you're completely cut off from your business and there's absolutely nothing that you can do about it. 00:00 Introduction 01:03 Renovations and Life Outside the Clinic 04:55 Selling a Business and Major Career Changes 10:59 Why Owners Step Away From Established Clinics 18:27 Industry Changes and Economic Uncertainty 26:25 Preparing for International Conferences 33:29 Learning Ultrasound and New Clinical Skills 41:37 Why Ultrasound May Become Standard Practice 48:53 Choosing Equipment and Training Pathways 52:09 Balancing Innovation With Patient Safety 61:45 Social Media Risks for Clinics and Practitioners 68:49 Real Stories of Instagram Account Hacking 76:38 Business Impact of Losing Social Media Access 80:09 Essential Security Steps to Protect Your Account 86:34 Backup Strategies and Communication With Patients 90:43 Final Advice on Protecting Your Business Online ALL IA LINKS & CONTACT INFORMATION

Episode 171 hosts Dr Tom Decates (Cosmetic Physician based in Amsterdam, Holland) In the second half of this two part episode (please listen to episode 170 first!), we continue our discussion on the topic of filler complications. Tom works at the Erasmus University Hopsital where he and his colleagues run the only filler complications centre in the world. He has undertaken formal research in the field and completed his PhD in 2021 entitled, 'The origin of soft tissue filler adverse events'. 00:00 Introduction 01:03 Renovations and Life Outside the Clinic 04:55 Selling a Business and Major Career Changes 10:59 Why Owners Step Away From Established Clinics 18:27 Industry Changes and Economic Uncertainty 26:25 Preparing for International Conferences 33:29 Learning Ultrasound and New Clinical Skills 41:37 Why Ultrasound May Become Standard Practice 48:53 Choosing Equipment and Training Pathways 52:09 Balancing Innovation With Patient Safety 61:45 Social Media Risks for Clinics and Practitioners 68:49 Real Stories of Instagram Account Hacking 76:38 Business Impact of Losing Social Media Access 80:09 Essential Security Steps to Protect Your Account 86:34 Backup Strategies and Communication With Patients 90:43 Final Advice on Protecting Your Business Online ALL IA LINKS & CONTACT INFORMATION

Episode 170 hosts Dr Tom Decates (Cosmetic Physicial based in Amsterdam, Holland) Tom is a Cosmetic Physician who also specialises in cosmetic complications. He works at the Erasmus University Hopsital where he and his colleagues offer the only filler complications centre in the world. He has undertaken formal research in the field and completed his PhD in 2021 entitled, 'The origin of soft tissue filler adverse events'. Part 1 (this episode) is available to listen to on all of your favourite podcast apps. Part 2 will be available exclusively on our new app called IA Community launching in May (Click here to join our waitlist) 00:00 Introduction 01:03 Meet Dr Tom Decates 04:55 Types of Serious Filler Complications Explained 10:59 Why Managing Expectations Is Critical 18:27 How the Immune System Responds to Filler 26:25 Early Versus Delayed Inflammatory Reactions 33:29 Understanding Lumps, Nodules and Infections 41:37 Role of Bacteria and Biofilm Formation 48:53 Importance of Proper Skin Cleaning and Hygiene 52:09 Dental Health and Hidden Infection Risks 61:45 Psychological Impact of Complications on Patients 68:49 Supporting Patients Through Adverse Events 76:38 COVID Vaccines and Filler Reactions Explained 80:09 Genetic Predisposition and DNA Risk Testing 86:34 Why Smaller Volumes May Reduce Risk 90:43 Key Safety Lessons and Preparing for Part Two ALL IA LINKS & CONTACT INFORMATION

Episode 169 hosts Dr Christoph Martschin (Dermatologist based in Lisbon, Portugal) Christophe has been a Galderma KOL since 2011. As a global speaker and trainer, he has a wealth of knowledge when it comes to Galderma's portfolio and research projects. 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 2 we focus on a newly launched brand called 'Alluzience', (Abobotulinum toxin A), a novel toxin developed by Galderma that is the world's first liquid toxin. 00:00 Introduction 01:03 Dr Christoph Martschin 04:55 Why Liquid Toxin Was Developed 10:59 How Alluzience Differs From Traditional Toxins 18:27 Faster Onset and Longer Duration Explained 26:25 Patient Demand for Convenience and Flexibility 33:29 Practical Benefits of Pre Diluted Toxin 41:37 Reducing Human Error and Improving Consistency 48:53 Sustainability and Reduced Clinical Waste 52:09 Managing Patient Expectations With Longer Duration 61:45 Pricing, Profitability and Clinic Workflow 68:49 Comfort During Injection and Treatment Experience 76:38 When to Use Different Toxin Options 80:09 Consultation Approach and Treatment Planning 86:34 Safety Profile and Real World Performance 90:43 Future of Neuromodulators and New Product Innovation ALL IA LINKS & CONTACT INFORMATION

Episode 168 hosts Dr Sarah Hart (Cosmetic physician from Auckland, New Zealand) Sarah joins us in the 7th Chapter of our mini-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 Dr Sarah Hart 04:55 From Psychiatry to Cosmetic Medicine 10:59 Discovering the Mind Body Connection 18:27 Early Days of Botox and Industry Growth 26:25 Why Teaching and Sharing Knowledge Matters 33:29 Overcoming Stigma Around Cosmetic Treatments 41:37 Learning to Say No to Patients 48:53 Building Trust Through Honest Consultations 52:09 Using Photos to Educate and Manage Expectations 61:45 Perception Drift and Recognizing Over Treatment 68:49 Balancing Patient Requests With Professional Judgment 76:38 Training Standards and Professional Development 80:09 Working With Nurses and Team Based Care 86:34 Career Longevity and Avoiding Burnout 90:43 Final Advice for New Injectors and Industry Growth ALL IA LINKS & CONTACT INFORMATION

Episode 167 hosts Dr Steven Harris (Cosmetic Physician based in London) & Julie Horne (Registered Nurse and Global Speaker based in Johannesberg, South Africa). In this mini-series called 'Treatments & Regions Uncovered', we drill down into how to approach specific areas of the face, what techniques can be used and what our guests have changed over time as they've mastered their techniques. Dr Jake also give his own insights into how he treats these areas too. In the 3rd chapter of the series we explore lip fillers and peri-oral treatments. Dr Harris and Julie Horne are both globally known for their contrasting styles when it comes to the lip region and we get a better understanding of how each of them approach this area of the face. We'll also explore the patient perspective and get an understanding of their needs and complaints, as well as discussing any alternative treatment options that might be considered. 00:00 Introduction 00:45 Meet our Guests: Dr Steven Harris & Julie Horne 01:55 Julie And Steven Backgrounds 03:55 Different Aesthetic Philosophies 05:20 What Patients Want 10:50 Male Lips Approach 17:00 Easing Male Patient Anxiety 22:15 Perioral Concerns Assessment 27:35 Teeth Bite Asymmetry Factors 35:40 Instagram Photos And Context 40:30 Who Not To Treat 43:30 Dissolving Policy 45:50 Consultation Red Flags 49:05 Assessment Framework 50:50 Technique Name Change 51:55 Julie Method 55:20 Product Selection Guide 59:50 Steven Cubicle Approach 01:07:40 Russian Lips Debate 01:13:50 Dissolving Aftermath 01:16:40 Hyaluronidase Methods 01:18:45 Ultrasound in Practice 01:21:25 Occlusion Risk Talk 01:27:00 Ultrasound Reality Check 01:28:05 When Lips Need Surgery 01:30:35 Philtral Columns Debate 01:33:05 Gummy Smiles and Lip Flips 01:37:40 Lip Photos and Gloss 01:40:45 Accordion Lines Strategy 01:44:20 Listener Q and A Rapid Fire 01:51:55 Migration and Overfilling Risks 01:54:55 Teaching Plans and Wrap Up ALL IA LINKS & CONTACT INFORMATION

Episode 166 hosts Dr Cara Mcdonald (Dermatologist based in Melbourne, Australia) Cara is a leading dermatologist who specialises in managing skin cancer, rosacea, acne & cosmetic injectables. She's an international speaker for Allergan Aesthetics and an ambassador for La Roche Posay. Over the last four years, she's conducted a survey on injectable patients that focusses on an very important question - why do patients like their injector and what drives their decision to stay with them or not? 00:00 Introduction 01:03 Dr Cara McDonald 04:55 Why Study the Patient Experience in Aesthetics 10:59 Designing the Survey and Research Process 18:27 What Drives Patient Satisfaction With Injectables 26:25 Trust Versus Results in Patient Loyalty 33:29 Functional Versus Technical Quality Explained 41:37 Building Rapport Through Communication and Time 48:53 Why Cost Is Not the Main Decision Factor 52:09 Recognizing Red Flag Patients and Expectations 61:45 Understanding Body Image and Self Perception 68:49 Managing Perfectionism and Unrealistic Goals 76:38 How to Say No and Protect Patient Outcomes 80:09 Consultation Framework for Safer Decision Making 86:34 Long Term Relationships and Patient Retention 90:43 Final Thoughts on Trust and Patient Experience ALL IA LINKS & CONTACT INFORMATION

Episode 165 hosts Anusha Dahan (Nurse practitioner based in Los Angeles, USA) Anusha joins us in the 6th Chapter of our mini-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 Anusha Dahan 04:55 Discovering Botox and Early Injecting Days 10:59 Learning Aesthetics Without Formal Training 18:27 Building a Clinic From Scratch 26:25 Marketing the Early Practice and Finding Patients 33:29 Transition From Anti Aging to Beautification 41:37 Consultation Skills and Facial Assessment Approach 48:53 Staging Treatments Over Multiple Visits 52:09 Pricing Strategy and Attracting the Right Patients 61:45 Saying No to Patients and Setting Boundaries 68:49 Handling Complaints and Online Reviews 76:38 Social Media, Branding and Patient Selection 80:09 Staffing, Delegation and Workflow Systems 86:34 Finding the Ideal Schedule and Work Life Balance 90:43 Final Lessons for Long Term Success in Aesthetics ALL IA LINKS & CONTACT INFORMATION

Episode 164 hosts Dr Cormac Convery (GP & Cosmetic Physician based in Ayrshire, Scotland) In this new mini-series called 'Disasters & Solutions', we'll be looking at some of the unusual, difficult or outright disasterous outcomes for patients caused by injectables. We'll speak to the injectors who managed a difficult case and go through what happened, step by step. We'll learn about what might have been done to prevent the problem and what injectors can do in their own practice to be safer practitioners. In Chapter 1, we discuss a case concerning a patient who was treated and injured by a non-medical injector with a likely imported and unregulated botulinum toxin. As the story unfolds, we learn she was one of at least nine similarly injured patients by the same injector. 00:00 Introduction 01:03 Meet Dr Cormac Convery 04:55 Founding CMAC and the Role of Complication Networks 10:59 Why Prevention Matters as Much as Treatment 18:27 Case Introduction Severe Reaction After Toxin Injection 26:25 When Multiple Patients Present With the Same Problem 33:29 Suspected Counterfeit or Unregulated Products 41:37 Why Testing and Biopsy Are Critical for Diagnosis 48:53 Understanding Granulomas and Foreign Body Reactions 52:09 Treatment Strategy Using Intralesional Steroids 61:45 Managing Patient Anxiety During Long Recovery 68:49 Restoring Contour With Laser and Filler 76:38 Who Pays for Complication Care and Legal Risks 80:09 The Problem With Unregulated Injectors 86:34 Why Complications Often Go Unreported 90:43 Lessons for Safer Practice and Patient Protection ALL IA LINKS & CONTACT INFORMATION