Inside Aesthetics

Episode 123 is a swapcast! This week the roles are reversed as our hosts Dr Jake & David become the guests on the hugely popular US podcast 'Through Thick & Skin'. Hosted by Erin Jensen (Aesthetic Physicians Assistant) and her sister Megan Pattison (Experience Expert), the Through Thick and Skin podcast has similar synergy and goals to Inside Aesthetics. Erin and Megan showcase real, non-bs, safe and effective injectable treatments and tips on how to improve your skin. We discuss the birth of Inside Aesthetics and a little bit more about Dr Jake & David's back stories. We then contrast the fascinating differences between the medical aesthetic landscapes of Australia vs USA. We share our learnings and experiences on what COVID has taught us, how the industry has bounced back and where we are headed now - plus a few things that never change wherever you treat paying patients including high expectations, identifying red flag patients, how and when to say no and more! 00:00 Introduction 05:59 Starting the Inside Aesthetics Podcast Journey 10:56 Building the Podcast and Finding Early Guests 18:27 Partnership Dynamics and Complementary Skill Sets 26:25 Doctors Versus Business Owners in Clinic Success 33:29 Importance of Hiring the Right Team 41:37 Role of Social Media in Clinic Growth 48:53 What Defines a Med Spa Versus Cosmetic Clinic 52:09 Most Popular Treatments and Patient Demand 59:04 Post COVID Boom in Aesthetic Treatments 01:07:16 Why Patients Value Aesthetic Care Beyond Vanity 01:14:29 Global Trends and Differences in Aesthetic Practice 01:21:52 Managing Patient Expectations and Saying No 01:28:35 Training, Education and Industry Development 01:37:03 Future Podcast Ideas and Industry Topics ALL IA LINKS & CONTACT INFORMATION

Episode 122 hosts Dr Steven Harris (Cosmetic Physician based in London, UK) Steven has an international reputation for his approach to injecting. He strongly believes in treating the face holistically by respecting the anatomy and it's proportions. This is something that he has championed for many years and continues to advocate through his social media channels and to his patients. This episode's main theme discusses fillers and the growing phenomenon of the over-treatment of patients. We discuss how and why this is happening, who's fault it is and what the implications are. We debate how techniques like 'tenting' that he feels may lead to the issue of filler 'migration', the truth about filler longevity and Dr Harris' approach to dealing with poor filler results - including his 'Dissolving clinic' and how he uses hyalase. To balance the argument, we also explore what the role of the injector really is and dig deep into what their duties are - are they artists, free to express their patients choices or should they only treat people how they see fit and according to their own aesthetic principles? 00:00 Introduction 01:04 Meet Dr Steven Harris 05:59 Transition From GP to Full Time Aesthetic Practice 10:56 Training Standards and Regulation Concerns 18:27 Rise of Dissolving Clinics and Patient Demand 26:25 Risks and Emotional Impact of Poor Filler Results 33:29 Who Is Responsible for Complications in Aesthetics 41:37 Importance of Artistry and Natural Facial Proportions 48:53 Understanding Tenting Technique and Associated Risks 52:09 Why Filler Can Last Longer Than Expected 59:04 Filler Spread Versus Migration Explained 01:07:16 Educating Patients and Managing Expectations 01:14:29 Role of Social Media in Driving Aesthetic Trends 01:21:52 Knowing Limits of Non Surgical Treatments 01:28:35 Safety First Approach and Saying No to Patients 01:37:03 Final Thoughts on Technique, Ethics and Patient Care ALL IA LINKS & CONTACT INFORMATION

Episode 121 hosts Dr Patrick Treacy (Cosmetic Physician from Dublin, Ireland) We explore Patrick's unusual start to his medical career and his experiences in the early years as a doctor. After suffering a potentially life-ending needle stick injury in hospital, he travelled the world, worked in several remote locations before moving back to Ireland where the facial aesthetic industry hadn't yet started. Patrick quickly pioneered some the very first injectable treatments including using both biostimulator and polyacrylamide fillers for facial lipodystrophy in HIV-patients. He was also the first doctor known to try something that we now take for granted as injectors - the use of hyaluronidase to dissolve HA fillers. We get a fascinating perspective on how things have changed in facial aesthetics over 30 years before discussing Patrick's most famous patient - The King of Pop, Michael Jackson. 00:00 Introduction 01:04 Meet Dr Patrick Treacy 05:59 Discovering Aesthetic Medicine in the Early Days 10:56 Early Use of Botox and Dermal Fillers 18:27 Treating HIV Lipodystrophy and Complex Cases 26:25 Risks of Permanent Fillers and Lessons Learned 33:29 Pioneering the Use of Hyaluronidase for Complications 41:37 Managing Vascular Occlusions and Emergency Treatments 48:53 Role of Innovation Versus Evidence in Aesthetic Medicine 52:09 Business Growth and Building International Clinics 59:04 Financial Challenges During the Recession 01:07:16 Treating High Profile Patients and Professional Responsibility 01:14:29 Regulation Challenges in the UK and Ireland 01:21:52 Training Standards and Industry Accountability 01:28:35 Commercialization of Aesthetic Clinics and Pricing Models 01:37:03 Book Release and Final Thoughts on Patient Safety ALL IA LINKS & CONTACT INFORMATION

Episode 120 hosts Dr Jean Carruthers (Opthalmologist from Vancouver, Canada) In the late 1980's working as an opthalmologist, Dr Carruthers and her husband Dr Alistair Carruthers (a dermatologist) pioneered how botulinum toxin can be used specifically for cosmetic purposes - now the most common cosmetic procedure in the world. Jean is globally-recognised for her expertise in research and has authored more than 300 peer reviewed scientific publications, 70 book chapters and 9 textbooks. She's given thousands of presentations on cosmetic treatments and continues to lecture on the world stage as a keynote speaker. We first discuss how she learnt to use botulinum toxin and the day she deliberately treated the first patient in the world for frown line treatment - her receptionist Cathy Swann. We learn how her peers initially dismissed the idea of injectable cosmetic treatments and yet over time, how Jean and Alistair designed the first trials and worked with Allergan to brand the treatment as 'Botox'. We explore how the current protocols (known as prescribing information) were designed and learn how Dr Carruthers still does things to this day. We also look into the future of toxins to discuss longer and shorter acting products, the issue of toxin resistance, which brands she favours and much, much more! 00:00 Introduction 01:04 Meet Dr Jean Carruthers 05:59 Discovering Botulinum Toxin for Medical Use 10:56 First Cosmetic Treatments and Early Patient Reactions 18:27 Publishing the First Study and Industry Skepticism 26:25 Early Dosing, Dilution and Injection Techniques 33:29 Building Evidence and Gaining Clinical Acceptance 41:37 Safety, Regulation and Importance of Trusted Products 48:53 Growth of the Aesthetic Industry and Changing Stigma 52:09 Emotional Impact of Treatments and Patient Confidence 59:04 Development of Cosmetic Botox and Commercial Adoption 01:07:16 Expanding Treatment Areas Beyond the Glabella 01:14:29 Lessons From Complications and Technique Refinement 01:21:52 New Toxin Innovations and Longer Lasting Products 01:28:35 Training Standards and Who Should Be Injecting 01:37:03 Future of Neuromodulators and Final Thoughts ALL IA LINKS & CONTACT INFORMATION

Episode 119 hosts Julie Horne (Registered nurse injector based inCape Town, South Africa) Originally from Sweden, Julie is a registered nurse and cared for cardio-thoracic patients for many years before turning her attention to aesthetics. In 2017 she exploded onto the world's injecting scene with her 'Julie Horne Lips' technique, showcasing her expertise in lip fillers. As a result of her exquisite work and attention to detail, Julie is a KOL for Galderma and has become a highly sought after speaker and educator. She is the co-owner of the Swiss Aesthetic Institute and founder of the Julie Horne Academy where she trains doctors and nurses to attend her internationally acclaimed 'Lip Masterclass'. We first discuss Julie's personal motivations and route into injecting before going on a seriously deep dive into lip fillers. We explore male vs female treatments, the consultation and assessment, techniques including 'tenting' and 'lollipops', needle vs cannula, tricky lips, the issue of filler migration and much, much more! 00:00 Introduction 01:04 Meet Julie Horne 05:59 Early Interest in Facial Aesthetics and Personal Lip Journey 10:56 Nursing Background and Transition Into Aesthetic Medicine 18:27 Building the Julie Horne Lips Brand 26:25 Training Path and Becoming a Global Educator 33:29 Role as a Key Opinion Leader and Teaching Philosophy 41:37 Why Lips Are a Gateway Treatment 48:53 Consultation Process and When to Say No 52:09 Assessing Patients, Symmetry and Natural Results 59:04 Vertical Injection Technique Explained 01:07:16 Debate Around Migration and Injection Safety 01:14:29 Trends Like Russian Lips and Threads 01:21:52 Cannula vs Needle and Aspiration Decisions 01:28:35 Causes of Overfilled Lips and Industry Responsibility 01:37:03 Dissolving Filler and Managing Complications 01:44:12 Advice for New Injectors and Career Development 01:51:20 Future Plans, Training and Final Wrap Up ALL IA LINKS & CONTACT INFORMATION

Episode 118 hosts Dr Michelle Wong aka Lab Muffin' (Cosmetic Chemist based in Sydney, Australia) This is the fifth chapter of our miniseries, 'The Beauty 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. Pegah is a globally-renowned injector and acts as a Global key opinion leader for Allergan Aesthetics. Being of Persian-descent but being born and trained in Germany, she has a unique insight into the patient mindset and beauty ideals of the region. In a region dominated by religious conservatism, we explore the interesting paradox where some of the most glamorous and groomed patients in the world live. We get an understanding of the beauty standards of Middle Eastern patients and explore what motivates and influences patient requests. We also look at how this inter-plays with the dominant demographic group, ex-pats. As always in this series, we then look at the specific treatments available, pricing and contrast this to other global markets. 00:00 Introduction 01:04 Meet Dr Pegah Dehdari 05:59 Moving From Germany to Dubai and Cultural Adjustment 10:56 Differences in Consultation Style Across Cultures 18:27 Working With Diverse Patient Populations in Dubai 26:25 How Beauty Standards Differ Across Middle Eastern Countries 33:29 Changing Trends From Exaggerated to Natural Results 41:37 Social Media Influence and Global Beauty Convergence 48:53 Managing Patient Expectations and Saying No to Overtreatment 52:09 Growth of Male Aesthetic Treatments in the Middle East 59:04 Typical Male Treatments and Masculinization Goals 01:07:16 Regulation of Injectables and Who Can Practice 01:14:29 Training Standards and Certification Pathways 01:21:52 Safety Oversight and Clinic Regulation in Dubai 01:28:35 Pricing Variation and Market Differences Across Regions 01:37:03 Popular Treatments, Devices and Combination Therapies 01:44:12 Threads, PRP and Evolving Treatment Preferences 01:51:20 Future Trends in Aesthetics and Final Wrap Up ALL IA LINKS & CONTACT INFORMATION

Episode 117 hosts Professor Shafi Ahmed (Colorectal surgeon based in the UK) But outside of his day job, Professor Ahmed has a much more extensive role in health care provision, being one of the top 20 global influencers in digital health and innovation. He advises the UK government on the 'Long-Term Plan' for health care and was awarded the Future NHS Award by members of Parliament. He is also the civilian advisor for the British Armed Forces in General Surgery. He has helped design and implement surgical education programmes in over 20 countries including conflict zones. Recently he was commissioned by the Abu Dhabi government to help digitalise and innovate their health care system for the future. Professor Ahmed has the unique accolade of being the world's most watched surgeon, having streamed live operations using 'Google Glass', 'SnapChat Spectacles' and live on British national television. These events allowed tens of thousands of students to learn across the world live and simultaneously. He was also the first surgeon to operate using 'Microsoft Hololens', collaborating on a live case with the avatars of colleague surgeons who were actually based in different continents. If that wasn't enough, Professor Ahmed co-founded Medical Realities, a virtual reality medical education company. Here he is pioneering ways of teaching the surgeons of the future including the use of haptic feedback gloves – with implications for how the practical skills of medical professionals are learnt including aesthetic doctors and injectors. 00:00 Introduction 01:04 Meet Professor Shafi Ahmed 03:25 Career Shift From Surgery to Innovation 07:03 Why Doctors Need to Reinvent Themselves 10:59 The Spark That Led to Medical Technology Work 13:31 First Live Surgery Stream Using Wearable Tech 18:27 Scaling Medical Education Globally 21:18 Using Virtual Reality to Train Surgeons 26:25 Social Media and Democratizing Medical Learning 30:08 Bringing Global Experts Into the Operating Room 33:29 Resistance to Innovation in Medicine 36:15 Managing Risk While Pushing New Ideas 40:13 Applying VR and AR to Aesthetic Training 42:46 Remote Mentoring and Managing Complications 47:06 Learning From Global Healthcare Systems 52:09 Thinking Exponentially in Medicine and Business 01:01:45 Limited Resources and Smarter Healthcare Delivery 01:08:49 Building Medical Realities and VR Education Platforms 01:16:38 Understanding VR, AR and Mixed Reality 01:20:09 AI in Healthcare and the Future of Diagnosis 01:24:30 Lessons From the Pandemic and Rapid Innovation 01:28:55 Adoption Challenges and Change Management 01:32:40 Future of Healthcare Technology and Final Wrap Up ALL IA LINKS & CONTACT INFORMATION

Episode 118 hosts Dr Michelle Wong, better known by her online persona, 'Lab Muffin'. We explore why skin care is so poorly understood before diving into some of the most commonly asked questions about skincare and product marketing. We cover sun cream, what a basic skincare regime looks like and get a simple guide to the important vitamins for cosmetic skin care. 00:00 Introduction 01:04 Meet Michelle (Lab Muffin) and Her Background 03:25 From Chemistry PhD to Skincare Education 07:03 Starting a Blog and Building a Science-Based Platform 10:59 Rise of Social Media and Myth Busting Content 13:31 Handling Misinformation and Online Criticism 18:27 Why Skincare Is So Confusing for Consumers 21:18 Cosmetics vs Drugs and Evidence Standards 26:25 Common Skincare Myths and Marketing Claims 30:08 Natural vs Synthetic and Clean Beauty Debate 33:29 Sunscreen Myths and How It Really Works 36:15 Chemical vs Physical Sunscreens Explained 40:13 Safety Concerns and Hormone Disruption Fears 42:46 Understanding Toxicity and Dose 47:06 Core Skincare Basics Everyone Needs 52:09 Cleanser Science and Skin Barrier Health 01:01:45 Why More Products Don't Always Mean Better Results 01:08:49 Price vs Effectiveness in Skincare 01:16:38 Medical Grade vs Over The Counter Products 01:20:09 How to Test and Track Skincare Results 01:24:30 Evidence Based Ingredients That Actually Work 01:28:55 Vitamin A, Vitamin C and Niacinamide Explained 01:32:40 Acne Management and When to See a Doctor 01:36:10 Overdoing Skincare and Irritation Risks 01:39:25 Simple Routine for Beginners and Final Takeaways ALL IA LINKS & CONTACT INFORMATION

Episode 115 hosts Dr Tapan Patel (Cosmetic physician based in London, UK) Tapan specialises in all aspects of non-surgical aesthetic procedures and is a global KOL for Allergan Aesthetics. A year ago to the day of our recording, Tapan was diagnosed with COVID-19. The aftermath of this and his recovery led him on a personal journey to re-discover his health and wellness but also something even bigger. Not only did he get into the shape of his life but he then incorporated these new perspectives into aesthetic consultations with his patients. We ultimately pose some deeper questions about cosmetic medicine including: Have we only scratched the surface of our patients potential? Can wellness and aesthetics be combined into a new speciality known as lifestyle medicine? 00:00 Introduction 01:04 Meet Dr Tapan Patel and Background in Aesthetics 03:25 Life During Lockdowns and Changing Perspectives 07:03 Why Aesthetics Should Be More Medical and Holistic 10:59 Missed Opportunities in Treating Lifestyle Issues 13:31 Moving From Transactional Treatments to Whole Patient Care 18:27 Personal Experience With Severe COVID Illness 21:18 Recovery, Reflection and Psychological Impact 26:25 Gaining Weight and Losing Control During Lockdown 30:08 The Moment That Triggered Lifestyle Change 33:29 Shifting From Short Term Goals to Longevity Thinking 36:15 First Steps to Improving Health and Daily Routine 40:13 Why Walking and Step Counts Became the Game Changer 42:46 Tracking Progress With Technology and Accountability 47:06 Small Habit Changes That Create Big Results 52:09 Why Fad Diets Fail and Sustainable Habits Win 01:01:45 Identity Change and Long Term Behavior Change 01:08:49 Daily Routine, Discipline and Early Morning Habits 01:16:38 Mindfulness, Stress and Mental Clarity 01:20:09 Why Healthcare Professionals Often Neglect Their Own Health 01:24:30 Barriers to Healthy Living for Patients and Families 01:28:55 Practical Advice for Lifestyle Change in Real Life 01:32:40 Integrating Wellness Into Aesthetic Practice and Final Takeaways ALL IA LINKS & CONTACT INFORMATION

Episode 114 hosts Ruanne Brell (Avant Senior Medico-legal Solicitor from Sydney, Australia) In her previous two podcasts (Episodes 51 and 66) we focused on the patient and the medical professionals perspectives. We covered how cosmetic consultations should be approached and more importantly, what to do when things don't go as planned. In today's episode we focus specifically on the legal implications of advertising cosmetic and injectable treatments in Australia. In an age where social media forms the bulk of many clinics marketing, we assess how this should be carried out in a compliant way and how to avoid being reported or penalised. 00:00 Introduction 01:04 Meet Ruanne Brell 03:25 Why Advertising Rules Matter in Aesthetic Medicine 07:03 Understanding ARPRA and Its Role in Protecting the Public 10:59 What Counts as Advertising in Healthcare 13:31 Common Advertising Mistakes Clinics Make 18:27 Misleading Claims and Consumer Protection Laws 21:18 Protected Titles and Incorrect Qualifications 26:25 Social Media as Advertising and Your Responsibility 30:08 Before and After Photos and Compliance Standards 33:29 Photo Editing and Misleading Results Risks 36:15 Ethical Marketing and Managing Patient Expectations 40:13 Responsibility When Using Marketing Agencies 42:46 How Regulators Find Non Compliant Advertising 47:06 Complaints Process and Initial Warning Letters 52:09 Financial Penalties and Enforcement Risks 01:01:45 Testimonials Rules and What You Can and Cannot Share 01:08:49 Discounts, Promotions and Inducement Risks 01:16:38 Major Updates in the New Advertising Guidelines 01:20:09 How to Audit Your Website and Social Media 01:24:30 When to Seek Legal or Professional Advice 01:28:55 Practical Tips to Stay Compliant and Reduce Risk 01:32:40 Final Advice and Key Takeaways ALL IA LINKS & CONTACT INFORMATION