Inside Aesthetics

Episode 83 hosts Dr Izolda Heydenrych (Dermatologist from Cape Town, South Africa) Izolda is also a globally-renowned aesthetic educator with a particular interest in patient safety, the art of the consultation, trust and empathy. We explore the injector-patient relationship, the foundations of building trust in the medical consultation and the role of empathy. This is a fascinating discussion that gets to the core of how the best injectors build chemistry and rapport with their patients. 0:00 Introduction 1:03 Meet Dr Izolda Heydenrych 3:19 Background and Career Path 5:16 Choosing Dermatology 9:44 Nuclear Medicine Explained 11:56 Move Into Aesthetic Medicine 14:01 Aesthetic Market in South Africa 16:30 Patient Demographics and Diversity 18:16 Cultural Differences in Beauty 23:53 Passion for Education and Safety 27:02 Early Challenges in Aesthetic Training 30:22 Discovering Trust and Empathy 33:44 Science of Trust and Oxytocin 37:39 Tone of Voice and Communication 41:39 Importance of Listening to Patients 45:36 Consultation Skills and Open Questions 48:05 Commercialization of Aesthetics 51:43 Building Long Term Patient Trust 57:32 Handling Difficult Consultations 1:01:04 Explaining Anatomy to Patients 1:03:30 Confidence in Treatment Planning 1:07:48 Managing Patient Fears and Barriers 1:16:00 Social Media and Beauty Pressure 1:19:56 Body Dysmorphic Disorder Awareness 1:22:22 Managing Unhappy Patients 1:25:07 Rebuilding Trust After Issues 1:30:37 Training Staff for Patient Experience 1:33:59 Rapport Versus Trust 1:36:53 Communication During COVID 1:39:25 Role of Environment and Sensory Cues 1:42:10 Empathy in Clinical Practice 1:44:30 Science of Oxytocin and Healing 1:48:40 Human Connection and Resilience 1:53:30 Recognizing Patient Emotional Needs 1:55:45 Self Empathy for Practitioners 2:03:05 Simple Consultation Skills 2:05:40 Identifying Patient Motivations 2:10:55 Managing Referrals and Complications 2:13:30 Professional Boundaries and Responsibility 2:18:00 Final Advice for Practitioners 2:20:15 Wrap Up and Closing ALL IA LINKS & CONTACT INFORMATION

Episode 82 hosts Dr Sachin Shridharani (Plastic Surgeon from Manhattan, New York) Sachin is also a leading cosmetic injector who's research interests have allowed him to develop his own novel techniques. In this episode we explore Belkyra (branded as Kybella in the USA) - a fat dissolving injectable product. Belkyra is licensed for treating the double chin but we discuss the 'off label' areas that can be treated, the best candidates for the treatment, the rare pitfalls and more! 0:00 Introduction 1:03 MeetDr Sachin Shridharani 3:19 Practice and Clinic Background 5:16 Starting a Practice in Manhattan 9:44 Growth After COVID Lockdowns 11:56 Surge in Surgical Demand 14:01 Patient Behavior and Spending Trends 16:30 Financial Stability and Treatment Decisions 18:16 Training and Career Path 23:53 Building Luxurgery Practice 27:02 Research and Clinical Trials 30:22 New Devices and Injectables Pipeline 33:44 Focus on Fat Dissolving Treatments 37:39 What Is Kybella and How It Works 41:39 Development and FDA Approval History 45:36 Early Adoption and Learning Curve 48:05 Managing Patient Expectations 51:43 Treatment Timeline and Patience 57:32 Treatment Process Explained 1:01:04 Safety and Tissue Effects 1:03:30 Injection Technique and Grid Use 1:07:48 Adoption Challenges and Cost Concerns 1:12:19 Controlling Fat Reduction Outcomes 1:16:00 Treating Laterally and Jawline Contouring 1:19:56 Nerve Injury Risk and Recovery 1:22:22 CoolSculpting Versus Kybella 1:25:07 Choosing the Right Treatment Method 1:27:43 Skin Tightening and Inflammatory Response 1:30:37 Pain Management and Local Anesthetic 1:33:59 Improving Patient Experience 1:36:53 Injection Techniques and Cannula Use 1:39:25 Off Label Treatment Areas 1:42:10 Common Treatment Sites Beyond Chin 1:44:30 Areas That Respond Best to Treatment 1:48:40 Safety Considerations by Body Area 1:53:30 Differences From Older Fat Dissolving Products 1:55:45 Managing Complications and Adverse Events 2:00:30 Injection Errors and Prevention 2:03:05 Handling Serious Complications 2:05:40 Clinical Responsibility and Training 2:10:55 Final Advice for Practitioners 2:13:30 Best Practice and Risk Management 2:18:00 Industry Perspective and Future Use 2:20:15 Wrap Up and Closing ALL IA LINKS & CONTACT INFORMATION

Episode 81 hosts Dr Michael Zacharia (ENT & Facial Plastic Surgeon from Sydney Australia) He also dual trained as a Facial Plastic Surgeon and is a highly skilled cosmetic injector. We discuss his unique skill set before delving into some of the trickier areas of cosmetic rejuvenatation including the nose, the neck, the 'fox eye' lift and some of the transgender procedures he offers. 0:00 Introduction 3:03 Meet Dr Michael Zacharia 6:19 COVID Impact and Virtual Consults 9:28 Rise of Telehealth in Surgery 12:33 Using Imaging and Patient Photos 23:53 Choosing ENT and Facial Plastics 27:02 Early Rhinoplasty Experience 33:44 Global Aesthetic Trends 37:39 Public Speaking and Education 41:39 Injecting Experience and Techniques 45:36 Full Face Treatment Philosophy 54:57 Longevity of Nose Fillers 59:12 Product Choices for Rhinoplasty 1:01:37 Broad Scope of Facial Procedures 1:05:18 Holistic Facial Assessment Approach 1:12:19 Importance of Neck Rejuvenation 1:16:00 Skin Quality and Aging Factors 1:19:56 Pre and Post Surgery Skin Treatments 1:22:22 Preventative Aesthetic Care 1:25:07 Sun Protection and Skin Health 1:27:43 Introduction to ZAC Lift 1:30:37 J-Plasma and Skin Tightening 1:33:59 Recovery and Patient Selection 1:36:53 Threads and Their Limitations 1:39:25 Non Surgical Fat Reduction History 1:42:10 Nefertiti Lift and Neck Botox 1:44:30 Muscle Anatomy and Jawline Lift 1:48:40 Fox Eye and Ponytail Lift Trends 1:55:45 Facial Feminization Overview 2:00:30 Surgical Techniques for Gender Transition 2:05:40 Post Operative Support and Follow Up 2:10:55 Demand for Transgender Procedures 2:18:00 Importance of Compassionate Care 2:20:15 Wrap Up and Closing ALL IA LINKS & CONTACT INFORMATION

Episode 80 hosts Associate Professor Greg Goodman (Dermatologist from Melbourne, Australia) Greg has been at the forefront of injectables since the very beginning. As a result of his experience, he's become known as a globally-renowned expert in the complications of injectables. We explore the early days of injectable medicine, how Professor Goodman rose to prominence and then go on a deep dive into some of the feared complications of injectables. 0:00 Introduction 1:03 Meet Professor Greg Goodman 3:19 Early Career and Dermatology Background 5:16 Discovering Cosmetic Dermatology 9:44 Training in Dermabrasion and Peels 11:56 Early Adoption of Liposuction and Lasers 14:01 Academic and Clinical Roles 16:30 Interest in Acne Scarring Research 18:16 Building Expertise in Complications 23:53 Evolution of Filler Safety Awareness 27:02 Changes in Injection Techniques Over Time 30:22 Early Botox Use in Australia 33:44 Collagen Fillers History and Limitations 37:39 Development of Modern Fillers 41:39 Rise of Complication Education 45:36 Becoming a Global Complication Authority 48:05 Industry Growth and Market Expansion 51:43 Concerns About Filler Commoditization 57:32 Need for Standardized Training 1:01:04 Importance of Aesthetic Assessment Skills 1:03:30 Facial Shape and Beauty Principles 1:07:48 Risks of Overfilling and Poor Technique 1:12:19 Introduction to Injection Complications 1:16:00 Managing Bruising and Swelling 1:19:56 Cannula Versus Needle Techniques 1:22:22 Role of Lasers in Treating Bruising 1:25:07 Arnica and Supportive Treatments 1:27:43 Ultrasound in Complication Management 1:30:37 Understanding Vascular Occlusion 1:33:59 Causes of Vessel Blockage 1:36:53 Recognizing Early Warning Signs 1:39:25 Incidence and Frequency of Occlusions 1:42:10 Importance of Rapid Treatment 1:44:30 Hyaluronidase Emergency Protocol 1:48:40 Patient Communication During Complications 1:53:30 Using Anatomy to Guide Treatment 1:55:45 Hyaluronidase Safety and Tissue Effects 2:00:30 Tear Trough Filler Longevity 2:03:05 Introduction to Delayed Onset Nodules 2:05:40 Inflammation and Infection Theory 2:10:55 Filler Degradation and Immune Response 2:13:30 Managing Nodule Complications 2:18:00 Clinical Insights and Prevention 2:20:15 Wrap Up and Closing ALL IA LINKS & CONTACT INFORMATION

Episode 79 hosts Grazina Fechner (Media Expert from Sydney, Australia) We drill down into developing a rapport with our patients and learn that excellent communication is the key to the elusive 'X factor' that some injectors just seem to have. 0:00 Introduction 1:03 Meet Grazina Fechner 3:19 Communication in Clinical Practice 5:16 Personalizing Patient Interactions 9:44 Importance of First Impressions 11:56 Phone Communication and Patient Trust 14:01 Reading Patient Behavior and Body Language 16:30 Managing Nervous or Excited Patients 18:16 Communication Breakdowns With Technology 23:53 Using Confident Language With Patients 27:02 Offering Options and Setting Expectations 30:22 Managing Budget and Treatment Goals 33:44 Educating Patients on Treatment Outcomes 37:39 Setting Aftercare Expectations 41:39 Rule of Three Communication Method 45:36 Demonstrating Treatment Safety and Education 48:05 Understanding Different Patient Types 51:43 Planning Treatments Around Life Events 57:32 Structuring the Consultation Process 1:01:04 Building Rapport and Patient Trust 1:07:48 Importance of Patient Experience 1:12:19 Learning Communication Skills 1:19:56 Happiness and Workplace Culture 1:22:22 Motivation and Career Transitions 1:25:07 Finding Purpose in Work 1:30:37 Mystery Shopping Clinics 1:33:59 Improving Patient Experience Systems 1:36:53 Competitive Advantage Through Staff 1:39:25 Managing Difficult Patients 1:42:10 When to Decline Treatment Requests 1:44:30 Handling Complaints and Control Behaviors 1:48:40 Managing Team Conflict 1:53:30 Building Open Communication Culture 1:55:45 Situation Behavior Impact Framework 2:00:30 Early Conflict Resolution 2:03:05 Setting Team Expectations 2:05:40 Leadership and Clinic Culture 2:10:55 Maintaining Positive Work Environments 2:13:30 Business Philosophy and Values 2:18:00 Final Advice and Reflections 2:20:15 Wrap Up and Contact Details ALL IA LINKS & CONTACT INFORMATION

Episode 78 hosts Dr Sabrina Fabi (Cosmetic dermatologist from California, USA) Sabrina is a leading authority on the use of biostimulator fillers - a class of injectables that stimulate the body's own collagen production. We discuss Dr Fabi's approach to these types of procedures, what collagen is and why we loss it. We then explore the various strategies using biostimulator fillers to improve both facial and body aesthetics. 0:00 Introduction 1:03 Meet Dr Sabrina Fabi 3:19 Dermatology Background and Career Path 5:16 Why She Chose Cosmetic Dermatology 9:44 Building a Cosmetic Focused Practice 11:56 Role of Lasers and Injectables 14:01 Treating Multiple Aging Factors 16:30 Most Used Devices in Practice 18:16 IPL and Photodamage Management 23:53 Ultherapy and Skin Laxity 27:02 Advanced CO2 Resurfacing Protocols 30:22 Skin Versus Injectables Mindset 33:44 Rise of Biostimulators in Practice 37:39 Early Use of Sculptra on the Body 41:39 Treating Chest and Body Skin Aging 45:36 Transitioning Biostimulators to the Face 48:05 Overfilled Look and Skin Retraction 51:43 Sculptra Reputation and Technique Evolution 57:32 Collagen and Elastin Aging Basics 1:01:04 Lifestyle Factors That Break Down Collagen 1:03:30 Periocular Skin and Aging Changes 1:07:48 Botox Effects on Thin Skin Areas 1:12:19 Safety Considerations Around the Eye 1:16:00 What Biostimulators Are and How They Work 1:19:56 Differences Between PLLA and CaHA 1:22:22 Orthopedic Origins of Biostimulators 1:25:07 Explaining Treatment Timelines to Patients 1:27:43 Building Patient Trust and Expectations 1:30:37 Describing the Biostimulator Glow 1:33:59 Menopause and Rapid Collagen Loss 1:36:53 Body Treatment Areas and Mapping 1:39:25 Typical Dosing and Treatment Planning 1:42:10 Who Is a Good Candidate 1:44:30 Managing Expectations Versus Surgery 1:48:40 PRP Versus Biostimulator Response 1:53:30 Neck and Hand Treatment Limitations 1:55:45 Radiesse Use in Neck and Hands 2:00:30 Dilution Techniques and Safety Updates 2:03:05 Nodule Risk and Complication Rates 2:05:40 Blindness Risk and Safety Perspective 2:10:55 Non Surgical Buttock Treatment Goals 2:13:30 Volume Versus Toning Concept 2:18:00 Treating Hip Dips and Age Related Changes 2:20:15 Cellulite Treatments and Final Wrap Up ALL IA LINKS & CONTACT INFORMATION

Episode 77 hosts Dr Neil Neimark (Functional medicine doctor from California, USA) Since becoming a doctor, Dr Neimark has worked using a holistic approach that aims to harness the bodies own capacity to heal itself. He is one of America's most experienced doctors in using stem cells. This is a pioneering new treatment modality that has shown great promise in healing a variety of common issues that are traditionally treated pharmacologically, surgically or cannot be helped conventionally. 0:00 Introduction 1:03 Meet Dr Neil Neimark 3:19 Background in Preventive and Functional Medicine 5:16 Frustration With Symptom Based Healthcare 9:44 What Is Functional Medicine 11:56 Systems Approach to Disease 14:01 Moving Into Stem Cell Therapy 16:30 IV Therapy and Regenerative Medicine 18:16 Anti Inflammatory and Healing Mechanisms 23:53 Early Stem Cell Patient Cases 27:02 Treating Pain and Inflammation 30:22 Liposuction and Stem Cell Harvesting 33:44 How Stem Cells Are Cultured 37:39 Autologous vs Umbilical Stem Cells 41:39 Regulatory Differences and Access 45:36 Cost and Treatment Protocols 48:05 Longevity of Results and Boosters 51:43 Treating Arthritis and Joint Conditions 57:32 Autoimmune Disease Applications 1:01:04 Stroke and Brain Injury Potential 1:03:30 Blood Vessel Growth and Healing 1:07:48 IV vs Local Injection Decisions 1:12:19 Evidence and Clinical Outcomes 1:16:00 Success Rates and Limitations 1:19:56 Cost Considerations and Patient Expectations 1:22:22 Avoiding Unethical Providers 1:25:07 Common Treatment Indications 1:27:43 PRP and Regenerative Add On Therapies 1:30:37 Risks and Safety Considerations 1:33:59 Cosmetic and Wound Healing Uses 1:36:53 Future Applications and Organ Regeneration 1:39:25 Preventing Amputation and Vascular Disease 1:42:10 Insurance and Healthcare Economics 1:44:30 Availability in Different Countries 1:48:40 Stem Cells in Skincare Discussion 1:53:30 Realistic Expectations and Evidence 1:55:45 Contact Details and Closing Remarks ALL IA LINKS & CONTACT INFORMATION

Episode 76 hosts Dr Davin Lim (Cosmetic Dermatologist from Brisbane, Australia) We'll explore one of Davin's favourite topics - the confusing and sometimes deliberately misleading world of skincare! In a market that promises consumers so much, we'll explore what's available, what's actually in skincare products and what you should use that really works. 0:00 Introduction 1:03 Meet Dr Davin Lim 3:19 COVID Impact on Aesthetic Demand 5:16 Zoom Effect on Cosmetic Treatments 9:44 Rise in Cosmetic vs Medical Treatments 11:56 Why Aesthetics Grew During Lockdowns 14:01 Skincare Myths and Market Saturation 16:30 What Happens in a Dermatology Consult 18:16 Identifying Skin Problems Quickly 23:53 Overuse of Skincare Products 27:02 Irritant Dermatitis From Too Many Products 30:22 Cheap vs Expensive Skincare Reality 33:44 Active Ingredients That Actually Work 37:39 Internal Health and Skin Conditions 41:39 Diet Links to Acne and Rosacea 45:36 Makeup and Acne Cycle Explained 48:05 Genetics vs Lifestyle in Skin Disease 51:43 Why Skin Is Poorly Understood 57:32 Skincare Marketing and False Claims 1:01:04 Cheap vs Luxury Moisturizer Comparison 1:03:30 What Is an Active Ingredient 1:07:48 Vitamin A and Retinoids Explained 1:12:19 Retinol Side Effects and Tolerance 1:16:00 Retinol vs Retinoid Differences 1:19:56 Vitamin B Benefits for Sensitive Skin 1:22:22 Vitamin C Uses and Limitations 1:25:07 Stability and Storage of Vitamin C 1:27:43 Botanicals and Natural Skincare Trends 1:30:37 Treating Pigmentation and Melasma 1:33:59 Azelaic and Kojic Acid Uses 1:36:53 Skincare After Laser Treatments 1:39:25 Vitamin E and Antioxidants 1:42:10 Simplifying Skincare Routines 1:44:30 Moisturizer Myths and When to Use It 1:48:40 Dry vs Dehydrated Skin Explained 1:53:30 Choosing the Right Moisturizer 1:55:45 Sunscreen Basics and SPF Meaning 2:00:30 UVA vs UVB Protection 2:03:05 How to Apply Sunscreen Properly 2:05:40 Daily Skincare Routine Simplified 2:10:55 Cleansers and Exfoliation Guidance 2:13:30 Common Skincare Mistakes 2:18:00 Essential Skincare Products List 2:20:15 Wrap Up and Closing ALL IA LINKS & CONTACT INFORMATION

Episode 75 hosts Dr Ben Jansen (GP from Brisbane, Australia) Cannabis has been used in traditional medicine for thousands of years, but only recently has it become approved in Australia under the TGA. Cannabis is now being used with incredible success where other more commonly known medicines have failed. It's now approved for over 52 conditions and is particularly used in pain management. 0:00 Introduction 1:03 Dr Ben Jansen 3:19 History of Medical Cannabis 5:16 Why Cannabis Became Illegal 9:44 Stigma and Public Perception 11:56 Entering the Medical Cannabis Field 14:01 Changes in Australian Legislation 16:30 Educating Doctors and Patients 18:16 Understanding Drug Scheduling 23:53 Safety Compared With Other Medications 27:02 Early Clinical Experiences 30:22 What Is Medical Cannabis 33:44 CBD vs THC Explained 37:39 How Cannabis Is Manufactured 41:39 Methods of Administration 45:36 Dosing and Titration Principles 48:05 Side Effects and Safety Profile 51:43 Mental Health and Schizophrenia Risk 57:32 Common Medical Indications 1:01:04 Chronic Pain and Neuropathic Conditions 1:03:30 Cancer and Palliative Care Uses 1:07:48 Anxiety and Sleep Applications 1:12:19 Patient Selection and Assessment 1:16:00 Driving and Legal Considerations 1:19:56 How Long Cannabis Stays in the Body 1:22:22 Athlete Use and Drug Testing 1:25:07 Brain Health and Neuroprotection 1:27:43 CBD Mechanism of Action 1:30:37 Endocannabinoid System Explained 1:33:59 Inhaled vs Oral Effects 1:36:53 Onset Time and Duration Differences 1:39:25 Dosing Methods and Practical Tips 1:42:10 Sleep and Insomnia Treatment 1:44:30 Who Can Prescribe Cannabis 1:48:40 Pharmacy Dispensing Process 1:53:30 Cost of Medical Cannabis 1:55:45 Conditions Treated With Cannabis 2:00:30 Risks of Opioid Medications 2:03:05 Legal Status Across Australia 2:05:40 Future of Medical Cannabis 2:10:55 Parkinson's Disease Applications 2:13:30 Dementia and Cognitive Conditions 2:18:00 Microdosing and Emerging Research 2:20:15 Final Thoughts and Wrap Up ALL IA LINKS & CONTACT INFORMATION

Episode 74 hosts Rana Kennelly (Registered Nurse from Chicago, USA) Rana is based in Chicago, USA and has established herself as a leading aesthetic nurse specialist. She's become one of America's most respected injectable educators and is a trainer for Allergan Aesthetics and Galderma. Rana gives us unique a perspective into the US injectable market, consultations, training and more! 0:00 Introduction 1:03 Meet Rana Kennelly 3:19 Journey From New Zealand to Chicago 5:16 Early Nursing and Midwifery Career 9:44 Discovering Aesthetic Medicine 11:56 Evolution of Training in Aesthetics 14:01 Changes in Industry Education 16:30 Aesthetic Trends in the United States 18:16 Cultural Differences in Patient Behavior 23:53 Social Media and Transparency in Treatments 27:02 Setting Patient Expectations and Consent 30:22 Communication Across Cultures 33:44 Nurse Licensing in the United States 37:39 Differences Between State Regulations 41:39 Training Standards and Work Culture 45:36 Work Life Balance in Healthcare 48:05 Building Trust Through Consultation 51:43 Handling Unrealistic Patient Requests 57:32 Saying No to the Wrong Patient 1:01:04 Structuring a Consultation Effectively 1:03:30 Using Before and After Photos 1:07:48 Communicating Treatment Outcomes 1:12:19 Tailoring Consultations to Personality Types 1:16:00 Communication Skills and Patient Rapport 1:19:56 Training for Multiple Brands 1:22:22 Managing Product Bias and Conflicts 1:25:07 Role of Advisory Boards 1:27:43 Types of Injector Training Programs 1:30:37 Importance of Professional Community 1:33:59 Learning From Complications 1:36:53 Transition to Online Education 1:39:25 Facial Assessment and Treatment Planning 1:42:10 Outer vs Inner Beauty Framework 1:44:30 Restoring Structural Support First 1:48:40 Tools for Explaining Facial Aging 1:53:30 Using Measurements and Ratios 1:55:45 Full Face Treatment Philosophy 2:00:30 Microtox and Skin Quality Treatments 2:03:05 Managing Lower Face Balance 2:05:40 Tear Trough Treatment Challenges 2:10:55 Regenerative Treatments and Skin Support 2:13:30 Ultrasound and Imaging in Aesthetics 2:18:00 Managing Complications and Difficult Patients 2:20:15 Final Advice and Wrap Up ALL IA LINKS & CONTACT INFORMATION