Inside Aesthetics

Episode 153 hosts Per Winlof (Chief Design Expert of Galderma based in Uppsala, Sweden) Per leads Galderma's global R&D and is responsible for all of their filler portfolio from the past, the present and into the future. Back in 1990 Per was a microbiology student at university in Uppsala. To help supplement his income, he applied for a job at a very small biotech company founded by Dr Bengt Ågerup called 'Q-Med'. Although fillers were already available (as collagen-based products), Per and his team developed a completely new way of manufacturing fillers made out of a sugar-molecule using bacteria. They launched the world's first sugar-based dermal filler in 1996. This new product completely revolutionised the world of facial aesthetics. To this day, approximately 95% of dermal fillers are based on this original technology. Q-Med were acquired by Galderma in 2010 and this podcast celebrates the 25th birthday of the world's first modern filler. We explore: - Per's background and why he applied for a job at Q-Med? - Who started Q-Med and why? - Who developed the original technology of sugar-based fillers and why they were invented in the first place? - How the idea of facial fillers was conceived? - The key differences between collagen fillers (available in the early 1990's) and the newer sugar-based fillers - How sugar-based fillers are made in the lab? - The advantages of fillers that don't contain animal products - Why fillers come in a 1ml syringe? - What cross-linking is? - The beginnings of the science of filler rheology: how and why the properties of fillers can differ? - Filler integration vs tissue integration - Whether fillers dissolve or not? - The key safety feature of sugar-based fillers: reversibility and the use of dissolving agents - Whether Per gave us any clues about what's coming in the future? 00:00 Introduction 01:03 Meet Our Guest Per Winlof 04:55 Early Days of Filler Development in the 1990s 10:59 Why Bacterial Sources Replaced Animal Derived Materials 18:27 How Hyaluronic Acid Fillers Are Manufactured 26:25 What Cross Linking Means and Why It Matters 33:29 Building a Portfolio of Different Filler Types 41:37 Scaling Production and Growing Global Demand 48:53 What Happens to Filler After Injection 52:09 Understanding Integration Versus Degradation 61:45 Why Longevity Differs Between Patients 68:49 Rheology, Lift and Tissue Movement Explained 76:38 Safety, Reversibility and Role of Hyaluronidase 80:09 Importance of Training and Anatomical Knowledge 86:34 Future Directions and Innovation in Filler Technology ALL IA LINKS & CONTACT INFORMATION

Episode 152 hosts Madilyn Wolens (Registered Nurse based in Brisbane, Australia) Better known as 'The Functional Nurse' and Founder of 'The Functional Skin Studio', Madilyn joins us in our 3rd Chapter of 'The Injector Diaries' - an in depth conversations, stories and experiences from injectors around the globe. In this mini-series, each injector brings their own unique take on things and we'll showcase every level of injector, from newbies to masters and from all walks of life. 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. Madilyn suffered with poor skin as a teenager and was inspired to work within the aesthetic space to help others with similar issues. But her experience of conventional treatments sparked an interest in a more holistic approach to skin care and she now leads a team including a naturopath, holistic facialist in addition to offering injectables herself. 00:00 Introduction 01:03 Meet Madilyn Wolens 04:55 Personal Skin Struggles and Career Motivation 10:59 Transition From Beauty Therapy to Injecting 18:27 Learning to Inject and Early Confidence Challenges 26:25 Importance of Mentorship and Supportive Clinics 33:29 Managing Difficult Patients and Setting Boundaries 41:37 Recognizing Red Flags and Saying No to Treatment 48:53 Building a Personal Brand and Patient Trust 52:09 Starting a Clinic and Early Business Lessons 61:45 Burnout, Anxiety and Finding Work Life Balance 68:49 Integrative Medicine and Treating Root Causes 76:38 Combining Injectables With Holistic Patient Care 80:09 Growing a Team and Delegating Responsibilities 86:34 Advice for New Injectors and Business Owners ALL IA LINKS & CONTACT INFORMATION

Episode 151 hosts Dr Jake & David (Co-hosts and co-founders of the podcast) We summarise 2021 that was yet again ravaged by COVID and lockdowns. Dr Jake & David share some insights into just how disruptive the effects of the lockdown have been for the podcast. They reflect back on their last episode together (Episode 141) where they made predictions about what the Australian injectable and aesthetics industry would look like post-lockdown. Specific discussion points include: - Some insights into why things have been so hectic behind the scenes recently 00:00 Introduction 01:03 Why There Is No Guest This Week 04:55 Staffing Shortages Across Clinics 10:59 Rising Costs, Wages and Business Pressure 18:27 Managing Patient Demand and Long Wait Times 26:25 Handling Patient Expectations and Complaints 33:29 Burnout, Retention and Staff Wellbeing 41:37 Post Lockdown Demand and Business Recovery 48:53 Should Clinics Raise Prices During High Demand 52:09 Training Standards and Pathways for New Injectors 61:45 Need for Better Education and Industry Regulation 68:49 Upcoming Podcast Guests and New Series Plans 76:38 Video Content and Expanding the Podcast Platform 80:09 Reflections on the Year and Lessons Learned 86:34 Looking Ahead to the Future of Aesthetic Practice ALL IA LINKS & CONTACT INFORMATION

Episode 150 hosts Dr Stephanie Manson-Brown (Plastic surgeon and an experienced leader in the biotech and pharmaceutical industry) Dr Manson-Brown is Head of Clinical Development and Vice President of Research and Development at Allergan Aesthetics, an AbbVie company. She and her team are responsible for global clinical trial development strategy for the aesthetics portfolio covering pharmaceuticals and devices. Stephanie also is the co-founder of the 'Science of Aging' platform, being born out of a desire to bring the latest developments from the field of aging science to the aesthetics arena and explore how these discoveries could potentially translate to aesthetic medicine. ALL IA LINKS & CONTACT INFORMATION

Episode 149 hosts Dr Gavin Chan (Cosmetic physician based in Melbourne, Australia) Gavin has worked in the field for over 16 years and he also hosts an extremely successful YouTube channel (under his clinics name 'Victorian Cosmetic Institute) where he explores injectables topics, controversies and more. In this new series of episodes called 'Treatments & Regions Uncovered', we'll be drilling down into how injectors approach specific areas of the face, what techniques they use and what they've changed over time as they mastered the technique. We'll 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 04:55 Why Tear Trough Treatment Became So Popular 10:59 Understanding What a True Tear Trough Is 18:27 Common Causes Including Genetics and Aging 26:25 Why Patients Often Misdiagnose Their Concern 33:29 Challenges With Patient Expectations and Perfectionism 41:37 Complications Including Puffiness and Tyndall Effect 48:53 Why Some Results Look Good Initially but Change Over Time 52:09 Real Case That Led to Stopping Tear Trough Treatments 61:45 Importance of Anatomy and Ligament Structure 68:49 Alternative Approaches Including Mid Face Support 76:38 When Surgery May Be a Better Option Than Filler 80:09 Managing Dissolving, Refilling and Long Term Outcomes 86:34 Key Lessons on Patient Selection and Saying No ALL IA LINKS & CONTACT INFORMATION

Episode 148 hosts Dr Danae Lim (Cosmetic Physician) & Nicky Lurie (Skin therapist) who both work at Shape Clinic, Sydney. During this episode, we discuss how the expertise of skin care intersects with injectables. Whilst some injectors have extensive knowledge in the field of skin anatomy and cosmetic ingredients, the majority aren't trained in this important speciality. We cover: - How skin care & injectables go hand in hand - How poor skin quality affects the outcomes of injectable - How practitioners might integrate skin care into their practice - What the limitations of injectables are and where can skin treatments can optimise patients overall aesthetic outcomes - Why traditionally has there been such a disconnect between skin therapists and injectors? - What are the most common skin concerns that are poorly treated with injectables? - Why patients find the skin such a mystery? How can we educate people better? - How to discuss sun protection with injectable patients - The art of working as a team to maximise your patients goals 00:00 Introduction 01:04 Meet Dr Danae Lim & Nicky Lurie 04:55 Why Skin and Injectables Must Work Together 10:59 Building a Team Based Approach to Patient Care 18:27 Common Skincare Mistakes and Product Overload 26:25 Education Over Selling in Aesthetic Practice 33:29 Why Injectables Cannot Fix Skin Quality Alone 41:37 Matching the Right Treatment to the Right Problem 48:53 Managing Aging Skin and Setting Realistic Expectations 52:09 When to Refer for Surgery Versus Skin Treatments 61:45 Importance of Sun Protection and Prevention 68:49 Treatment Planning for Severely Sun Damaged Skin 76:38 Preparing Skin Before Surgery for Better Outcomes 80:09 Role of LED Therapy and Post Treatment Recovery 86:34 Key Lessons on Holistic Care and Patient Trust ALL IA LINKS & CONTACT INFORMATION

Episode 147 hosts Dr Tim Brown (Plastic Surgeon based in Melbourne) and Dr Niro Sivathasan (Cosmetic Surgeon based in Sydney) We invited these two surgeons from different backgrounds to discuss the current crisis in the Australian cosmetic surgery industry. For some context to this podcast, it's currently legal for any doctor who holds a medical license to practice and perform cosmetic surgery - regardless of their medical expertise or experience. This unusual loophole can be exploited because there is no formal pathway for any doctor to train in cosmetic procedures. For many years, there's been an uncomfortable and sometimes volatile relationship between plastic surgeons and other doctors who practice cosmetic surgery - who are collectively known under the umbrella term 'cosmetic surgeons'. This label covers a wide spectrum of doctors, all the way from first year graduates with no formal training through to highly respected and experienced cosmetic surgeons with 25+ years experience. Just a fortnight ago, a national TV programme called 'Four Corners' re-ignited this debate with alleged unsafe and poor standards from a prominent and well known cosmetic surgeon. This is the crux of the issue that plastic surgeons and the public have increasingly voiced. 00:00 Introduction 01:04 Meet Our Guests: Dr Tim Brown & Dr Niro Sivathasan 05:42 Plastic vs Cosmetic Surgery Explained 11:31 Why Training Standards Are Being Debated 17:23 Lack of Regulation and Defined Competency 22:54 Media Coverage and Public Perception Risks 25:30 Examples of Clinic and Safety Concerns 29:56 Role of Regulators and Enforcement Challenges 33:11 Financial Incentives and Industry Tensions 36:56 How Patients Can Assess Surgeon Credentials 38:07 Social Media Marketing and Ethical Boundaries 39:55 Why Communication Failures Lead to Complaints 43:36 Importance of Consultation and Patient Selection 45:27 Saying No and Managing Expectations 47:24 Pathways Toward Better Standards and Collaboration 50:29 Final Reflections on Patient Safety and Industry Unity ALL IA LINKS & CONTACT INFORMATION

Episode 146 hosts Dr Rosalia Luketina (Plastic Surgeon based in Zurich, Switzerland) Rosalia works at SkinMed clinic where she and a team of plastic surgeons and dermatologists work together to treat their patients holistically. Rosalia is one of a minority of plastic surgeons around the world who juggles her time equally between operating and injecting. Rosalia joins us in the 2nd 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 Rosalia Luketina 04:55 Early Exposure to Complications in Aesthetic Medicine 10:59 First Training Experiences and Learning to Inject 18:27 Challenges With Access to Structured Training 26:25 Differences in Regulations Across Countries 33:29 Combining Surgery and Injectables in Daily Practice 41:37 Managing Complications and Building Clinical Confidence 48:53 Importance of Patient Communication and Follow Up 52:09 Using Biostimulators and Expanding Treatment Options 61:45 Setting Realistic Expectations and Saying No to Patients 68:49 Building a Premium Clinic and Patient Experience 76:38 Marketing Through Reputation and Word of Mouth 80:09 Social Media Responsibility and Professionalism 86:34 Future of Training, Regulation and Patient Education ALL IA LINKS & CONTACT INFORMATION

Episode 145 hosts Caitlin King (Registered Nurse based in Melbourne, Australia) Caitlin has background in acute and perioperative nursing. She completed a Bachelor of Nursing, Post Graduate degree and is currently completing a Masters Degree in Nursing. She continues to works part-time in the operating theatre of one of Sydney's largest hospitals whilst also injecting part-time under the business name, 'Plump Me'. Caitlin joins us in our 1st Chapter of a new mini-series called 'The Injector Diaries'. These episodes will 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 Why the New Mini Series Was Created 04:55 Meet Caitlin King 10:59 Discovering Aesthetic Injecting Through Hospital Work 18:27 Transition From Hospital Nursing to Chain Clinic Role 26:25 What Working in a Chain Clinic Is Really Like 33:29 Benefits of High Volume Experience for New Injectors 41:37 Training Pathways and Ongoing Education Requirements 48:53 Importance of Mentorship and Learning From Conferences 52:09 Building a Personal Brand and Using Social Media 61:45 Consultation Skills and Understanding Patient Motivation 68:49 Managing Difficult Conversations and Saying No to Treatment 76:38 Dealing With Price Shopping and Building Patient Loyalty 80:09 Why Follow Up Reviews Improve Outcomes and Trust 86:34 Lessons for New Injectors Starting Their Careers ALL IA LINKS & CONTACT INFORMATION

Episode 144 hosts Dr Shobhan Manoharan (Internationally-renowned cosmetic and laser dermatologist based in Brisbane, Australia) He specialises in the use of energy based devices for both medical and cosmetic dermatology. Dr. Manoharan is a key opinion leader for Solta Medical, a brand of Bausch health. Solta's impressive technology portfolio includes Fraxel, Thermage, Clear + Brilliant, Isolaz, liposonix and VASERlipo. After getting to know Dr Manohran we first define what we mean by skin quality and more interestingly, what our patients perceptions of their skin are. 00:00 Introduction 01:03 Meet Dr Shobhan Manoharan 04:55 Growth of Laser and Energy Based Dermatology 10:59 Understanding Skin Health and Aging Changes 18:27 Why Skin Quality Matters Beyond Injectables 26:25 Common Mistakes Patients Make With Skin Care 33:29 Introduction to Laser Technology and Categories 41:37 Difference Between Ablative and Fractionated Lasers 48:53 What Fraxel Is and How It Works 52:09 Indications Including Pigmentation, Aging and Scarring 61:45 Treatment Process, Downtime and Recovery Expectations 68:49 Combining Fraxel With Other Treatments and Injectables 76:38 When Injectors Should Refer Patients for Laser Therapy 80:09 Managing Patient Expectations and Treatment Planning 86:34 Pricing, Training and Key Takeaways for Practitioners This episode was supported by Solta Medical, the company behind Fraxel: the original fractionated laser ALL IA LINKS & CONTACT INFORMATION