Chew The Fatpad

One of aesthetic patients' most common presenting complaints is that someone said they looked angry or sad or irritated when they're actually feeling happy! There are 10 locations in the face that are the culprit of this mismatch in appearance vs emotions. In this week's Aesthetics Mastery Show Dr Tim uses 2 of his own patients as case studies to outline the injection points Clinici...

What would you do if your patient started losing their sight right there on your treatment bed? Filler blindness is every injector's worst nightmare, so it's important we prepare ahead of time to avoid panic in the moment. In this week's Aesthetics Mastery Show, Dr Tim examines your options and asks is retrobulbar hyaluronidase injection the right cause of action? What about peribul...

Older lips are harder to treat. In this week's show, Dr Tim addresses the differing psychological, aesthetic and anatomical approach you should take with your older lip and upper lip line patients. He shows us how to avoid the Homer Simpson look older patients dread, and explains the process of glycation that can lead injectors to choose the wrong lip treatment. Dr Tim also shares his preferr...

Are vertical lip injection techniques like tenting more or less likely to cause a vascular occlusion than horizontal lip techniques? The industry is split and there is evidence to support both perspectives. In this week's Aesthetics Mastery Show Dr Tim talks lip anatomy, and shares his mental model of how the two lip injection techniques are more or less likely to occlude the artery. Do you l...

In last week's show Dr Tim shared his mental model of whether vertical or horizontal lip injections are more likely to cause a vascular occlusion. He referred to a paper that has been cited as evidence that vertical techniques such as tenting are more risky. In this week's show Dr Tim looks in more detail at this paper to assess if it does indeed provide evidence that injectors should av...

If your patient develops a red nose after you've treated with dermal filler to lift their nose tip, there's a danger you've caused a pressure necrosis which must be treated. In this week's Aesthetics Mastery show Dr Tim explains the science behind this not uncommon complication, how to spot patients who should not be treated in the first place due to the risk, and how to diagno...

Dr Tim has seen a number of atypical vascular occlusion cases recently following dermal filler injections that were very stressful for the injectors because they didn’t present in a textbook way. So he thought it would be useful to dedicate this week's Aesthetics Mastery Show the 8 different mechanisms by which vascular injury after dermal filler can cause necrosis. Are you familiar with them...

When should you use filler in the forehead vs toxin? What's the vital anatomy you need to know in order to avoid complications? Should you use needle or cannula? And what type of filler is best in the forehead? In today's Aesthetic Mastery Show Dr Tim focuses on forehead anatomy, treatment indications, complications, product choice, and more. Let us know in the comments if it helps. Usef...

Negative comments on Aesthetic Clinicians' social media before and after pictures is becoming more common place, and there's a real danger that the fear of haters will stop injectors promoting themselves online. In this week's Aesthetics Mastery Show Dr Tim and Miranda share some of the critical comments they've received on this very YouTube channel, and dig into: how we can re...

Chin augmentation is often thought of as a relatively safe procedure. But Dr Tim has recently seen three serious vascular occlusions following chin augmentation, so in this week's show he gives us an chin anatomy refresher, and also outlines 5 steps to stay safe during chin augmentation. Dr Tim shares whether he uses needle or cannula for chins, and also explains the more complex reversal pro...

A patient recently presented to a colleague in severe pain following a non-surgical rhinoplasty abroad. The thing is, capillary refill was normal! On deeper inspection she found a disturbing necrotic wound that Dr Tim believes could have easily been prevented with some simple measures that he outlines today's Aesthetics Mastery Show. Let us know in the comments you're biggest take away f...

There's been a recent trend on social media of injectors demonstrating 'dissolving' hyaluronic acid filler using saline. But would this actually work under the skin, and should clinicians consider adding saline to their reversal toolkit? In this week's Aesthetics Mastery Show, Dr Tim answers these questions by experimenting with some blue spaghetti and a handheld blender! He al...

One of the most asked questions we get asked is, 'What injection depth should I be at?' So, in this week's Aesthetics Mastery Show Dr Tim dives into the 4 factors that affect how you make your decision about needle depth; how to tell when you are at the right depth; and the pros, cons and risks of injecting in each layer. Here's the '13 Risky Areas' free download we r...

Managing patients' expectations recently came up in a poll as the number one thing aesthetic practitioners' struggled with. Whether it be patients complaining that their partners can't see a difference after asking for a subtle look, or asking for Angelina Jolie lips, it can sometimes feel as if the weight of expectations will drown injectors. In this week's Aesthetics Mastery...

Most Aesthetic Clinicians offer Botox 'follow up' or 'review' appointments. But, should we be doing them as a matter of course; what causes them in the first place; and how should we tackle the dreaded 'Spock brow' or - every injector's worst nightmare - an underwhelmed patient?! In this week's Aesthetics Mastery Show, Dr Tim dives into Botox tweaks. Let us...

What are the ingredients to make a really fantastic injector? This week Dr Tim reveals how he's often asked for his top tips that help set him and other top injectors like him apart from the crowd.  Watch and listen to Tim set out the battles that need to be won on your journey to mastery! Tim covers:  (1) The identity crisis - when starting out in medical aesthetics, we have to work out &apo...

It's easy to get caught up in the pursuit of injection technique mastery, and conquering anatomy and the aesthetic rules, then forget that there is a higher 'God' of aesthetics …the patient's psycho-social wellbeing. In this week's Aesthetics Mastery show, Dr Tim argues for a hierarchy of intervention justifications, and suggests that those clinicians who get everything al...

In April 2021 Professor Sebastian Cotofana published an important new paper exploring an alternative botulinum toxin injection pattern for glabella treatments, with the goal of avoiding medial brow ptoses. In this week's Aesthetics Mastery Show, Dr Tim explores the potential pros and cons of the new 3-point technique, including the alternative angle of entry, and asks whether injectors should...

What can we learn from celebrity filler disasters? In this week's Aesthetics Mastery Show, we dive into celebrity cosmetic disasters, and reveal how clinicians can use these cases to become a better injector and communicator.  Your patients are bound to ask you whether Zac Efron, Demi Moore and Uma Thurman have had work. Dr Tim shareS his views and also explains how best to discuss over-treat...

In November 2020, Dr Marina Landau published an article in the Journal of American Academy of Dermatology describing an unnerving newly identified complication: morphea-like lesions following Botox injections. In this week's Aesthetics Mastery Show, Dr Tim explores what can only be described as a 'dent' effect in patients' foreheads; unpacks the likely cause; and explains the p...

Hashtags can be triggering. Most injectors don't have a marketing background, so the language of Instagram can feel alien and confusing. What are hashtags? Why should injectors be using them? Where's the best place to put them? How many should we use? And which ones should we use? Thankfully Dr Tim's wife, Miranda, is an expert on marketing for aesthetic clinicians. In this week&apo...

Last week a picture was leaked of Khloe Kardashian in a bikini looking beautiful, but...shock horror, normal! Her PR team quickly scrambled to retract the picture, but it was too late, and the internet of 'normal' women had turned against Khloe, crying 'Fake!' Khloe replied that she was the victim of society's unrealistic expectations, but many accused her of augmenting th...

Marketing can be a scary place for injectors, and as a result we sometimes end up coming across as wooden out of fear! Dr Tim's wife, Miranda, is an expert on marketing for aesthetic clinicians. In this week's Aesthetics Mastery Show she explains how we can lean into a more informal style of marketing using Instagram Reels, whilst also making the most of the algorithm gold rush currently...

In this week's Aesthetics Mastery show, Dr Tim reveals the results of his global research survey in which he asked 1,503 aesthetic clinicians if they had suffered a reaction to their dermal filler following the Covid-19 vaccine. The results are very interesting, especially in regards to whether the AstraZeneca, Pfizer or Moderna vaccines caused the highest number of reactions, and whether par...

The problem of over-treatment at the hands of aesthetic injectors runs deeper than just the aesthetic impact. In this week's Aesthetic Mastery Show, Dr Tim digs into some important questions such as: is over-treatment subjective and should it just be the patient's prerogative what they have done to their face? He also addresses the case of reality TV star, Molly-Mae Hague, who had an ext...