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 aligned stand to gain job satisfaction, business success, and the ultimate prize: truly impacting their patients' lives. Drop u...
May 21, 2021•32 min•Ep. 60
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 abandon the licenced doses altogether? Here is a link to Professor Cotofana's paper: Respecting upper fa...
May 14, 2021•16 min
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-treatment with your patients so they are reassured about treatment, and your skills. Useful links: Facebook: ht...
May 07, 2021•27 min•Ep. 58
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 practical steps practitioners can take to avoid causing the side effect in the first place. Here are the articles Dr Tim ...
May 04, 2021•15 min•Ep. 57
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's Aesthetics Mastery Show she answers all the above questions about hashtags, so that you can use them to attract more...
Apr 23, 2021•49 min•Ep. 55
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 those with her massive influence. Who is 'right' in this situation, and should we as aesthetic clinicians be striving to show o...
Apr 14, 2021•14 min•Ep. 55
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 being enjoyed by Reels. If you've considered having a go with Reels, but don't know where to start, watch Mir...
Apr 06, 2021•19 min•Ep. 54
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 participants' chosen filler brand had an impact. Dr Tim also shares some useful data about the effect of pre...
Mar 26, 2021•27 min•Ep. 53
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 extreme jawline from dermal filler in 2019, and has since had it dissolved. Dr Tim explains why he believes treat...
Mar 19, 2021•25 min•Ep. 52
Following last week's Aesthetics Mastery Show in which Dr Tim summarised the case of Julie Bass Kaplan FNP-BC who suffered a necrotic injury after she was treated with Radiesse, today we tackle the lessons to be taken from this important case. Dr Tim analyses the various risk factors present, including the choice of a non-reversible filler; the injection site; the size of the bolus; the length of the needle; and the training environment in which the injections were carried out. We examine the st...
Mar 15, 2021•24 min•Ep. 51
In 2010 Julie Bass Kaplan, an experienced nurse injector from California, was herself treated with Radiesse in the mid face during a training session. Julie suffered an infraorbital artery vascular occlusion, and went on to experience all the stages of necrosis. When a clinician shares their own personal experience of a complication, as Julie did so graciously in this case, it is a true gift to the rest of the medical aesthetics community, because we get to learn from very well documented images...
Mar 15, 2021•15 min•Ep. 50
Advanced Botox treatments in the lower face can be transformative for your patients but are also much more likely to cause side effects than upper-face toxin. As Dr Tim explains in this week's Aesthetics Mastery Show, the reason is that lower third muscle anatomy is much more complex. As well as a very helpful anatomy tutorial, Dr Tim also puts the spotlight on four advanced Botox treatments in particular: masseter reduction; downturned mouth; gummy smile; and platysmal bands, also known as Nefe...
Feb 15, 2021•21 min•Ep. 47
Botulinum toxin treatments in the upper face are a real 'bread and butter' treatment in most aesthetic clinicians' practice, but are you familiar enough with the anatomy to avoid side effects, whilst also maximising product efficiency? In this week's Aesthetics Mastery Show, Dr Tim takes us on an anatomical tour of the key muscles injected for upper-third Botox treatments, including the frontalis, corrugator, depressor supercilii, procerus, and orbicularis oculi. He shares why you should avoid p...
Feb 05, 2021•19 min•Ep. 45
Delayed onset nodules following dermal filler treatment - also known as lesions, or simply just lumps - can strike fear into the hearts of aesthetic clinicians because they are far from easy to diagnose and manage. Firstly, you have to diagnose whether the lesions are just post-procedural, then whether they are inflammatory or non-inflammatory, then whether they're bacterial or not. Should you watch and wait, and/or treat with antibiotics, steroids, and/or reverse the filler altogether with hyal...
Jan 29, 2021•21 min•Ep. 45
In this week's Aesthetics Mastery show, Dr Tim explains why 80% of the ageing we see is due to the relationship between the ligaments and the fat pads, and how we can restore the impact using dermal fillers. He gives us an anatomy lesson on the ligaments' function and location, and fascinatingly demonstrates using magnets and balloons the mechanical process behind why cheek filler lifts the jowls. You can grab Dr Tim's beautiful and detailed ligaments and fat pads poster here: https://drtimpearc...
Dec 18, 2020•12 min•Ep. 41
In this week's Aesthetics Mastery Show, we dive deep into facial anatomy to explore one of the most important facial structures for aesthetic clinicians, particularly in regards to injecting dermal filler: the deep fat pads. Dr Tim gives us a detailed anatomy lesson on the upper, middle and lower third deep fat pads, including how to decide when to inject deep vs superficial fat pads. We also discuss how to use the deep fat pads to build trust in the consultation and treatment design stages, inc...
Dec 11, 2020•11 min•Ep. 40
Dr Tim returns to teach us about an anatomical feature that is central to successful aesthetic treatments because of their impact on the shape of the face; the harmony between structures; and its proportions. In this week's Aesthetics Mastery Show, we tackle the superficial fat pads. We discuss fat pad depletion with age; the vital impact that fat pads have on the consultation process and educating our patients; and how we should use them to design injectable treatments. You can grab Dr Tim's be...
Dec 04, 2020•10 min•Ep. 39
For the next four episodes of the Aesthetics Mastery Show we have a special treat - some never-seen-before footage of a sold-out conference we hosted last year, Dr Tim Live. The event was designed to walk delegates through what it's like to undertake a whole-face 14ml treatment from start to finish. In the first of four excerpts, Dr Tim marks up his model, Lindsay, and shares his '5 Q Algorithm' - the 5 questions you must ask yourself before you inject safely, and in order to produce beautiful r...
Nov 06, 2020•11 min•Ep. 35
It's the stuff of nightmares - you get a vascular occlusion, test your patient and find out that they're allergic to hyaluronidase! As we discuss in this week's Aesthetic Mastery Show, you now have a very difficult decision to make. Do you proceed with the hyaluronidase reversal and risk anaphylaxis, or do you stand by and wait for the inevitable skin necrosis? Some clinicians have developed a high-risk workaround strategy for this eventuality, but Dr Tim explains why it is not something he woul...
Oct 30, 2020•13 min•Ep. 34
Vascular occlusion is every clinician's worst nightmare. But are you familiar with the differences between arterial and venous occlusion? In this week's Aesthetics Mastery Show, Dr Tim dives into how to avoid, diagnose and treat venous occlusion, including discussing the probability that dermal filler could cause a pulmonary embolism, or even blindness due to a venous thrombosis. Let us know in the comments in you've ever experienced a venous occlusion from dermal filler. As discussed in the sho...
Oct 26, 2020•12 min•Ep. 33
Inexperienced practitioners sometimes chase the nasolabial folds, and patients can end up looking odd if their cheek volume loss is not also addressed. Having said that, there is still a place for this important 'hinge treatment' as part of a holistic approach. In this week's Aesthetic Mastery Show, Dr Tim discusses whether or not we should treat cheeks if the patient complains about their nasolabial folds; how to decide when it's appropriate; and the difference between men and women when tackli...
Oct 15, 2020•12 min•Ep. 31
It's one of the questions every aesthetic clinician dreads: "How much for 1ml?" As we discuss in this week's Aesthetics Mastery Show, the reason this question stings is because it feels like you're being reduced to a commodity, instead of the complex and valuable clinician you know you are. Dr Tim explains that patients do absolutely care about more than just cost, and guides aesthetic practitioners to understand how you can better communicate your worth. Follow Dr Tim on Instagram here: https:/...
Oct 08, 2020•32 min•Ep. 30
We surveyed 1,856 clinicians in 33 countries and found that 73% had seen a rise in the number of patients complaining that their toxin has not lasted well post-Covid lockdown. On the aesthetics forums, clinicians have been speculating about dodgy batches; stronger muscles post-lockdown; and even if Covid itself has had a part to play in poor toxin longevity. In this week's Aesthetics Mastery Show, we dig into the important question: what factors really impact toxin longevity - Covid or no Covid ...
Oct 01, 2020•23 min•Ep. 28
Lip filler migration is such a disheartening problem for any clinician worth their salt. You inject your patient's lips perfectly on the day, and then watch as your beautiful creations morph into a new shape over time as the filler crosses the vermillion border. In the second half of this week's Aesthetics Mastery Show, Dr Tim gives us practical tips to prevent lip filler migration, for example, tweaked injection technique (2mm makes all the difference!), and product choice. And in the first hal...
Sep 24, 2020•21 min•Ep. 29
We surveyed 1,856 clinicians in 33 countries and found that 73% had seen a rise in the number of patients complaining that their toxin has not lasted well post-Covid lockdown. On the aesthetics forums, clinicians have been speculating about dodgy batches; stronger muscles post-lockdown; and even if Covid itself has had a part to play in poor toxin longevity. In this week's Aesthetics Mastery Show, we dig into the important question: what factors really impact toxin longevity - Covid or no Covid ...
Sep 17, 2020•23 min•Ep. 28
It’s so easy to see colleagues using the latest trendy lip technique and believe it is the answer to all your lip problems. The truth is that one technique does not fit all patient, or even one lip! The real secret to lip mastery is building a combination treatment around the individual patient. As Dr Tim explains in this week's episode of the Aesthetics Mastery Show, this process should happen in 4 sequential stages. If you follow Dr Tim's 4 step lip design blueprint, you take the guess-work ou...
Sep 11, 2020•17 min•Ep. 27
Although we all accept that causing a bruise from dermal filler or Botox injections is high on the list of possible side effects, it's still a heart-sink moment when you're merrily injecting away and you suddenly spot a shiner appearing. In today's Aesthetics Mastery Show, Dr Tim shares 16 simple steps you can take to prevent bruises occurring in the first place, as well as how to minimise their size once the worst has already happened. We also discuss how to explain bruising and aftercare to yo...
Sep 04, 2020•15 min•Ep. 26
What is the best way to diagnose a complication? As we discover in this week's Aesthetics Mastery show, there is a 7-step process that will not only equip you to better diagnose complications independently but also enable you to ask great questions on clinical forums when you need additional help. Dr Tim explains that, when you implement this 7-step process, you will be able to present a short but impactful case to colleagues on aesthetic Facebook groups that will get you the advice you need qui...
Aug 27, 2020•19 min•Ep. 25
In the final episode of our three-part facial danger points series, we tackle a hidden complication risk - pressure from filler resulting in a lack of blood supply to the skin, and ultimately necrosis. Dr Tim explains why this little-known dermal filler complication occurs, which three 'tight' areas of the face are particularly vulnerable, and what you can do to quickly diagnose and treat. You can grab a very helpful free facial vessel map of the three extra risky areas here: https://drtimpearce...
Aug 20, 2020•11 min•Ep. 24
In this week's episode of the Aesthetics Mastery Show we continue our look at the riskiest areas of the face to inject, this time diving into the 5 arteries that run parallel to where your needle or cannula goes, thus increasing the likelihood and severity of vascular occlusion. Dr Tim examines arteries such as the superior and inferior labial arteries, near lip injections, and the dorsal nasal artery, near non-surgical rhinoplasty injections, and explains why they are so dangerous and what you ...
Aug 13, 2020•14 min•Ep. 23
