Dr Tim gets sent a lot of vascular occlusions to assist with, and he noticed a trend of their severity worsening in 2021. In this week's Aesthetics Mastery Show he shares 6 ways you can reduce your risk of VOs becoming necrotic in 2022. Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/ Follow Dr Tim on Youtube here: https://www.youtube.com/@drtimpearce...
Jan 07, 2022•11 min•Ep. 91
As a New Year treat we've compiled all the most popular clips about injection techniques from this year's Aesthetics Mastery Shows. Dr Tim tackles: Botox injection patterns, injection technique principles, a new alternative Botox pattern, vertical lip techniques, and how to inject the piriform fossa safely. Let us know if the comments if you enjoyed this year's shows 🙌 Useful links: If you struggle with worry over causing complications, you would benefit from Dr Tim's live webinar about how to ...
Jan 05, 2022•19 min•Ep. 90
As a Christmas treat we've compiled all the most popular clips about complications from this year's Aesthetics Mastery Shows. Dr Tim tackles: morphea-like lesions from Botox; advanced Botox complications; the five most dangerous arteries you must avoid; the perils of chin augmentation; and where in the face you should NOT inject deep. Let us know if the comments if you enjoyed this year's shows 🙌 Useful links: If you struggle with worry over causing complications, you would benefit from Dr Tim'...
Jan 05, 2022•20 min•Ep. 89
With more and more cheap practitioners flooding the aesthetics market, it can be easy to get disheartened and ask yourself 'How am I supposed to compete?!' In this week's Aesthetics Mastery Show, Dr Tim explains why he thinks Aesthetic Clinicians should NOT have to compete on price, and uncovers 3 important mistakes aesthetic business owners make when setting their prices. Let us know if the comments if the show helped. If you struggle with worry over causing complications, you would benefit fro...
Dec 17, 2021•7 min•Ep. 88
Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/ Follow Dr Tim on Youtube here: https://www.youtube.com/@drtimpearce
Dec 13, 2021•30 min•Ep. 87
Are the aesthetic anatomy text books wrong? Dr Tim recently released a video explaining that the deep arteries of the forehead are reassuringly superficial at the point we like to inject. Renowned surgeon and anatomist Dr Patricia Oyole then sent him a terrifying image of the EXACT opposite scenario! So, what do we do when what we 'know' is wrong? In this week's Aesthetics Mastery Show Dr Tim interviews Dr Oyole about how we can inject safely in spite of anatomical anomalies. They discuss compre...
Dec 06, 2021•37 min•Ep. 86
In today's Aesthetics Mastery Show Dr Tim assesses the relative safety of needles vs cannulas in dermal filler treatments, referencing a paper from March 2021 by Dr Murad Alam et al entitled 'Rates of Vascular Occlusion Associated With Using Needles vs Cannulas for Filler Injection'. Dr Tim explains that, whilst cannulas cause fewer vascular occlusions than needles, the severity of the ones they do cause tend to be worse, so he suggests 6 simple steps aesthetic clinicians can use to reduce the r...
Nov 29, 2021•10 min•Ep. 85
Injectors who don't believe in aspirating often cite false positives, but Dr Tim believes it's more nuanced than that. In 2019 his colleague was injecting his wife's temples live on Facebook when she got a flashback! Then this week Dr Tim found Miranda's temporal artery in a very interesting place using ultrasound. In this week's Aesthetics Mastery Show Dr Tim examines the arguments about aspirating and answers the question, does ultrasound provide evidence once and for all? Let us know in the c...
Nov 15, 2021•7 min•Ep. 83
More and more Aesthetic Clinicians are adding an ultrasound device to their toolkit. In this week's Aesthetics Mastery show Dr Tim considers the reasons you might choose to invest in ultrasound, and weighs the benefits up against its inevitable impact on profitability. Dr Tim examines to what extent ultrasound is likely to build up your knowledge of anomalous anatomy; prevent vascular occlusions; help manage complications including differentiating between haematomas and VOs; as well as diagnosin...
Nov 05, 2021•13 min•Ep. 82
In the second part of Dr Tim's insightful interview with world renowned injector, Julie Horne RN, the discussion turns to business. Julie shares the inspiring story behind what first inspired her to enter aesthetics, and gives new injectors some critical advice about building your business in the early years. We also hear Julie's thoughts on lip filler migration, and she shares two ways you might avoid causing it in your patients. Let us know in the comments if you found this interview inspiring...
Oct 29, 2021•21 min•Ep. 81
On 19 October 2021 Dr Tim interviewed one of the world's foremost lip experts, Julie Horne RN. Over 2,000 injectors turned up live to witness their discussion of the vertical fencing technique. The resulting interview was something very special, so we had to share it with you too. In part 1 of this 2 part special, Tim and Julie discuss: 💉 Why we should use vertical injections 💉 The importance of patient selection for successful results 💉 Anatomy and exactly where and how Julie injects 💉 What...
Oct 22, 2021•29 min•Ep. 80
The location of the superior and inferior labial arteries is obviously very important if you're going to avoid causing a vascular occlusion. But, lip anatomy studies seem to contradict each other about the arteries' most common position. Dr Tim was thinking about this issue whilst making his lunch this week (as you do!) and a cherry tomato seed inspired him to film an analogy for this week's Aesthetics Mastery Show which should help reveal the truth about this vital lip anatomy. Let us know in t...
Oct 15, 2021•10 min•Ep. 79
The moment when your patient asks for a treatment that you don't think will look natural can be a real heart-sink one. Multiple conflicting feelings flood in - you don't want to upset them, but you also don't want your reputation or indeed their psychosocial health damaged by a trout pout! One of the most commonly asked questions on the injector forums is: 'How do I politely refuse treatment without upsetting the patient and ending up with a 1 start review?' In this week's Aesthetics Mastery Sho...
Oct 08, 2021•13 min•Ep. 78
Three of the most important factors that impact treatment outcome are depth, position and angle of entry. If you want to get these right, you must become a precision injector. In fact, the best aesthetic practitioners are like deadly snipers - only their fingers move! In this week's Aesthetics Mastery Show Dr Tim explains how to stabilize the rest of your body, as well as how to calm your mind in order to get into flow. Dr Tim also examines the anatomy of the lips, frontalis and orbicularis ocul...
Oct 01, 2021•14 min•Ep. 77
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 Clinicians should consider to improve their patients' 'aura'. Let us know in the comments if you found this interesting. F...
Sep 24, 2021•10 min•Ep. 76
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 peribulbar block? Or is it best to leave well alone? Let us know in the comments if you find his analysis useful. If you s...
Sep 17, 2021•14 min•Ep. 75
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 preferred injection techniques and brand of filler for older patients' lips and upper lip lines. Here is Dr Tim'...
Sep 10, 2021•19 min•Ep. 74
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 avoid vertical techniques. Let us know in the comments if you find it useful. Here's the study Dr Tim talks abou...
Sep 06, 2021•15 min•Ep. 73
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 largely use vertical or horizontal injections? Here are links to the clinicians Tim mentioned: Dr Harris: ...
Sep 06, 2021•14 min•Ep. 72
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 diagnose and treat if it does occur. Here's the septum complication video Tim referenced: https://youtu.be/cXZ6GJHl--w More us...
Aug 13, 2021•12 min•Ep. 71
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 all? Here's the 13 risky areas to inject download: https://drtimpearce.com/resources/the-13-injection-ar...
Jul 30, 2021•24 min•Ep. 70
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. Useful links: Sign up to Dr Tim's free webinar about how to free yourself from complications anxiety: https://www....
Jul 23, 2021•14 min
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 reply constructively; when is the right time to block/delete; and how to still show up in your marketing despite the hater...
Jul 16, 2021•29 min•Ep. 68
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 process that the clinicians had to go through following their submental artery vascular occlusions. Here's t...
Jul 09, 2021•17 min•Ep. 67
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 from the show. Useful links: Sign up to Dr Tim's free webinar about how to free yourself from complications anx...
Jul 07, 2021•15 min•Ep. 66
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 also tackles common queries about filler reversal, including: what actually is hyaluronidase; how do the the various brand...
Jun 30, 2021•19 min•Ep. 65
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 referred to: https://drtimpearce.com/resources/the-13-injection-areas-that-carry-extra-risks-cheat-sheet/ Here's the ligaments epis...
Jun 18, 2021•18 min•Ep. 64
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 Show Dr Tim unpacks the topic of managing patients' expectations. He outlines exactly what injectors should ask and say ...
Jun 11, 2021•20 min•Ep. 63
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 know in the comments if this helped. Here is Dr Tim's 26 Essential Botulinum Toxin Injection Patterns free download: https://drtimpearce.com...
Jun 04, 2021•21 min•Ep. 62
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 'Who or what am I now?' - you're used to being a hardcore medical nurse or doctor but how does working in aesth...
May 28, 2021•17 min•Ep. 61
