00:00 My MISSION to help humans live happy healthy lives.
01:19 What is the science of ageing?
02:23 Chronological vs biological age. Why they AREN'T the same
04:58 What causes us to age FASTER?
12:06 How can we REVERSE our biological age? 

In this episode, we explore the science of longevity and how it integrates with aesthetics to help patients live healthier, more vibrant lives. With the global shift toward wellness, it’s more important than ever for aesthetic practitioners to incorporate longevity-focused strategies into their practices—and I’m here to guide you through it.

In this episode we dive deep into how and why ageing is the gradual accumulation of damage at the cellular level and what we can do about it to help patients look and feel amazing both inside and out. 

From the role of hormones and cellular health to the surprising power of lifestyle changes like diet, exercise, and sleep, we explore how these factors can impact biological age—and what that means for living longer, healthier lives.

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

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In this episode, I sit down with Sham Al Zahibi, a Middle Eastern Aesthetic Clinic Owner and Cambridge Cellular Scientist, who defied prejudice and shattered stereotypes as the daughter of celebrity singer Assala. Sham has built a thriving clinic empire in Egypt and Qatar, establishing herself as a longevity scientist, entrepreneur, and business leader. You'll discover how she succeeded in the competitive aesthetics industry despite doubters, why surrounding yourself with the right team is crucial to avoiding workplace toxicity, and why chasing profit could be the very thing holding you back— (and what you SHOULD be focusing on instead)

If you want to learn more from experts like Sham about how to build a thriving aesthetics and wellness clinic, sign up for my Profinity Membership where you’ll gain access to live sessions featuring top longevity experts, scientists, and doctors from around the world: https://longevity.drtimpearce.com/longevity-waitlist

If you want to elevate your your injection skills with in-depth injection tutorials, business advice, and exclusive events with myself & my team, sign up for my ProInjector Membership: https://offers.drtimpearce.com/proinjector-waitlist-page

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The best patients, those you can establish enduring trust and relationships with, are the ones who appreciate being informed. They want to know that you've got their back, especially in case of any complications. They value your expertise and see you as a reliable partner in their aesthetic journey.

On the flip side, providing vague information about potential side effects can make you appear unprepared. And if a complication arises, the patient's initial reaction often goes something like, "I wasn't properly informed that this could happen."

I know lots of injectors are anxious telling patients about side effects because it may increase their worry, but in fact, when they’re informed correctly, usually the opposite happens.

That's why I've teamed up with Nurse Chelsea, who's a strong advocate for patient education. Together, we'll dive deeper into this subject, equipping you with the tools to confidently build relationships and discuss potential side effects in a way that's far from intimidating.

Follow Nurse Chelsea on Instagram here: https://www.instagram.com/thewildflowerinjector

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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 Nefertiti lift.

He examines why particularly upsetting side effects from Botox are more common in these areas, and shares what aesthetic clinicians can do to avoid the worst happening.

Here is the beautiful muscles anatomy poster Dr Tim designed especially for aesthetic clinicians: https://drtimpearce.com/product/top-3-posters-bundle/

Here is the Deep Fat pads Aesthetics Mastery Show Dr Tim mentioned: https://www.youtube.com/watch?v=mJlAA4gpjvc


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Podcast: https://open.spotify.com/show/20kUIxU...

Sign up to Dr Tim's free webinar about how to free yourself from complications anxiety: https://www.aestheticcomplications.com/live-training

#dermalfiller #medicalaesthetics #aesthetics

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

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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 paint-by-number injection techniques; the anatomy you need to know in order to avoid eyelid ptoses; how to get procerus toxin doses right; key tips if you struggle to locate muscles in the first place; and the answer to the crucial question of whether you can treat the frontalis without also injecting the corrugator.

Dr Tim even shares a little-known tip to improve rhinoplasty results and longevity...using Botox.

Let us know in the comments if you enjoyed this jam-packed episode, and don't forget to grab the incredibly helpful free download Dr Tim mentioned in the show: 26 Essential Injection Patterns For Botulinum Toxin - https://drtimpearce.com/resources/26-essential-injection-patterns-for-botulinum-toxin/

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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 hyaluronidase.

In this episode of the Aesthetics Mastery Show, Dr Tim answers these questions and so much more about the diagnosis and treatment of delayed onset nodules.

Here's Dr Tim's article about delayed onset nodules that you can download for free: https://drtimpearce.com/resources/delayed-onset-nodules/. 

Here are Tim's other social media channels:
Facebook: https://www.facebook.com/drtimpearce
Instagram: https://www.instagram.com/drtimpearce/
Website: https://drtimpearce.com/

Sign up to Dr Tim's free webinar about how to free yourself from complications anxiety: https://www.aestheticcomplications.com/live-training

#dermalfiller #medicalaesthetics #aesthetics

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

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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://drtimpearce.com/artistic-anatomy-poster-collection/

You can find the deep fat pads show here: https://youtu.be/mJlAA4gpjvc
Here is the superficial fat pads show: https://youtu.be/BIqFaTqWJJw

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Website: https://drtimpearce.com/
Podcast: https://open.spotify.com/show/20kUIxU...

Sign up to Dr Tim's free webinar about how to free yourself from complications anxiety: https://www.aestheticcomplications.co...

#dermalfiller #medicalaesthetics #aesthetics

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

Follow Dr Tim on Youtube here: https://www.youtube.com/@drtimpearce

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, including how to predict the number of mls of dermal filler you will need in certain areas.

You can grab Dr Tim's beautiful and detailed deep fat pads poster here: https://drtimpearce.com/artistic-anatomy-poster-collection/


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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 beautiful and detailed superficial fat pads and ligaments poster here: https://drtimpearce.com/artistic-anatomy-poster-collection/


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Instagram: https://www.instagram.com/drtimpearce/
Website: https://drtimpearce.com/
Podcast: https://open.spotify.com/show/20kUIxU...

Sign up to Dr Tim's free webinar about how to free yourself from complications anxiety: https://www.aestheticcomplications.co...

#dermalfiller #medicalaesthetics #aesthetics

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

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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 results.

#dermalfiller #medicalaesthetics #aesthetics

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

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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 would recommend.

Indeed, before you even get to that stage, you first have to diagnose allergy to hyaluronidase which, as Dr Tim explains, is not as simple as doing an intradermal test.

As discussed in the show, you can download Dr Tim's illustrated, step by step elective and emergency reversal protocols here: https://drtimpearce.com/resources/free-filler-reversal-protocol/

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

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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 show, you can download Dr Tim's illustrated, step by step elective and emergency reversal protocols here: https://drtimpearce.com/resources/fre...

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Podcast: https://open.spotify.com/show/20kUIxU...

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

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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 tackling these areas.

We also dig into male cheek treatments; how to avoid feminising; why you must not give men luscious, full cheeks; and how to explain to the patient that you won't be feminising his cheeks.

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

Follow Dr Tim on Youtube here: https://www.youtube.com/@drtimpearce

Fox, eye, pixie nose, butterfly lips – these trendy treatments have certainly sparked some ethical debates among us medical injectors. But why is that? When Dr. Alex contacted me about this topic, I instantly knew it was podcast-worthy material.

Seeing these potentially risky trends racking up thousands of likes on Instagram and TikTok can leave us feeling uneasy. It's natural to wonder if patients genuinely desire these alterations. Are we missing something here?

Personally, I've always believed in timeless beauty that stands the test of time. But what's driving patients to chase after these procedures? I reckon Instagram trends like these showcase a sense of power, pushing the boundaries of what fillers can do.  As we are aware social media rewards the extreme, but does this translate to real life too? 

In this episode, Dr. Alex and I dive deep into the risks of these extreme treatments, dissecting the motivations behind them. We also address a crucial point: why the results you see on Instagram aren't necessarily what you'll get in the long run.

Cultural influences play a major role too. We'll discuss how aesthetic ideals differ across cultures and how these trends can be impacted by cultural norms.

It's a thought-provoking conversation that touches on some controversial and much-needed topics, I know you’re going to love this one. 

Follow Dr Alex Nguyen here:  https://www.instagram.com/doctoralexnguyen

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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://www.instagram.com/drtimpearce/

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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 - and what can we as clinicians do to improve the variables we do have control over?

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Website: https://drtimpearce.com/
Podcast: https://open.spotify.com/show/20kUIxU...

Sign up to Dr Tim's free webinar about how to free yourself from complications anxiety: https://drtimcomplications.com/webinar

#dermalfiller #medicalaesthetics #aesthetics

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

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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 half of the show, we dive into the different 'mental models' of lip anatomy that help us draw these conclusions about why lip filler migration is happening in the first place.

Let us know in the comments if this show helps you defend the borders!

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Website: https://drtimpearce.com/
Podcast: https://open.spotify.com/show/20kUIxU9rlO3amH8KhXnsy?si=n9Mn_rRlSBWC3KaNulYYnw

Sign up to Dr Tim's free webinar about how to free yourself from complications anxiety: https://drtimcomplications.com/webinar 

#dermalfiller #medicalaesthetics #aesthetics

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

Follow Dr Tim on Youtube here: https://www.youtube.com/@drtimpearce

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 - and what can we as clinicians do to improve the variables we do have control over?

Facebook: https://www.facebook.com/drtimpearce1
Instagram: https://www.instagram.com/drtimpearce/
Website: https://drtimpearce.com/
Podcast: https://open.spotify.com/show/20kUIxU9rlO3amH8KhXnsy?si=n9Mn_rRlSBWC3KaNulYYnw

Sign up to Dr Tim's free webinar about how to free yourself from complications anxiety: https://drtimcomplications.com/webinar 

#dermalfiller #medicalaesthetics #aesthetics

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

Follow Dr Tim on Youtube here: https://www.youtube.com/@drtimpearce

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 out of creating lips your patients love, and make you the expert in their eyes.

Make sure you grab the Lip Design Blueprint download Dr Tim created especially to accompany this show: https://drtimpearce.com/resources/lip...

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Instagram: https://www.instagram.com/drtimpearce/
Website: https://drtimpearce.com/
Podcast: https://open.spotify.com/show/20kUIxU...

Sign up to Dr Tim's free webinar about how to free yourself from complications anxiety: https://drtimcomplications.com/webinar

#dermalfiller #medicalaesthetics #aesthetics

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

Follow Dr Tim on Youtube here: https://www.youtube.com/@drtimpearce

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 your patients so that they leave your clinic with the relationship intact.

Make sure you grab the download Dr Tim created especially to accompany this show:
https://drtimpearce.com/resources/bruising-checklist-16-tips-to-prevent-minimise-bruises-from-injectables-2/

And here is Miranda's 'Medical Aesthetic Mindset Warriors' closed Facebook that we mentioned in the show. It's an oasis of positivity, inspiration and uplifting vibes for aesthetic clinicians to emotionally refuel, get motivated, and most importantly challenge our mindset in the areas of business that hold us back: https://www.facebook.com/groups/mindsetaesthetics

Facebook: https://www.facebook.com/drtimpearce1
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Website: https://drtimpearce.com/
Podcast: https://open.spotify.com/show/20kUIxU9rlO3amH8KhXnsy?si=n9Mn_rRlSBWC3KaNulYYnw

Sign up to Dr Tim's free webinar about how to free yourself from complications anxiety: https://drtimcomplications.com/webinar 

#dermalfiller #medicalaesthetics #aesthetics

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

Follow Dr Tim on Youtube here: https://www.youtube.com/@drtimpearce

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 quickly, plus fast-track your learning process.

...Oh and you'll get some serious respect from your colleagues for laying the question out in a way that shows your advanced diagnostic skills.

You can grab a one-page summary of the 7-step complication diagnostic process here: https://drtimpearce.com/resources/diagnosing-complications-7-steps-to-get-great-complications-advice-fast/

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Podcast: https://open.spotify.com/episode/22Ll8s6uz8GK9thjIcsJ79?si=0BNmsZQUQHa5tlrHuj4SXA

Signup to Dr Tim's free webinar about how to free yourself from complications anxiety: https://drtimcomplications.com/webinar 

#dermalfiller #medicalaesthetics #aesthetics

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

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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.com/resources/the-13-injection-areas-that-carry-extra-risks-cheat-sheet/

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Website: https://drtimpearce.com/
Podcast: https://open.spotify.com/episode/22Ll8s6uz8GK9thjIcsJ79?si=0BNmsZQUQHa5tlrHuj4SXA

Signup to Dr Tim's free webinar about how to free yourself from complications anxiety: https://drtimcomplications.com/webinar 

#dermalfiller #medicalaesthetics #aesthetics

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

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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 can do to avoid hitting them.

You can grab a very helpful free facial vessel map of the 5 extra risky areas here: https://drtimpearce.com/resources/the-13-injection-areas-that-carry-extra-risks-cheat-sheet/

As discussed in today's show, in 2019 I decided to put to bed the perennial debate about whether aspirating is really necessary. I tested aspiration times across 8 different types of filler, including Juvederm and Revolax, using 4 different needles/cannula...and best of all, I used my own arm! You can download my results here: https://drtimpearce.com/resources/aspirating-experiment/

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Website: https://drtimpearce.com/
Podcast: https://open.spotify.com/show/20kUIxU...

Signup to Dr Tim's free webinar about how to free yourself from complications anxiety: https://drtimcomplications.com/webinar

#dermalfiller #medicalaesthetics #aesthetics

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

Follow Dr Tim on Youtube here: https://www.youtube.com/@drtimpearce

In this week's episode of the Aesthetics Mastery Show, we dive deep (literally!) to explore the 6 most dangerous facial areas in which you must NOT inject deep, or risk occluding blood vessels with very serious consequences.

Dr Tim guides us through important anatomy such as the supraorbital notch and mandibular groove, and explains why they are so dangerous and what you can do to avoid hitting them like the plague.

You can grab a very helpful free facial vessel map of the 6 extra risky areas here:
https://drtimpearce.com/resources/the-13-injection-areas-that-carry-extra-risks-cheat-sheet/

Facebook: https://www.facebook.com/drtimpearce1
Instagram: https://www.instagram.com/drtimpearce/
Website: https://drtimpearce.com/
Podcast: https://open.spotify.com/show/20kUIxU9rlO3amH8KhXnsy?si=uFCJofX9RLWT8sYiOmI0Kg

Signup to Dr Tim's free webinar about how to free yourself from complications anxiety: https://drtimcomplications.com/webinar 

#dermalfiller #medicalaesthetics #aesthetics

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

Follow Dr Tim on Youtube here: https://www.youtube.com/@drtimpearce

This topic has long been overdue for discussion, and when Nurse KB entered my podcast competition, both my team and I were aware that his chosen topic would be a compelling one. In this episode, I have a conversation with Nurse KB about the prevailing stereotypes surrounding aesthetic treatments. Despite the increasing intensity of the push towards body positivity and inclusivity in 2023, why do patients still experience concerns about being judged for opting for injectables?

Rather than desiring a completely transformed appearance, many patients simply wish to regain their own familiar look. During our discussion, we explore the importance of effectively communicating this message to patients and society at large. We emphasize that opting for injectables does not mean adopting the infamous "duck lips" or a frozen botox face. When performed correctly, it can lead to renewed self-confidence and subtle adjustments that help patients feel more like themselves again.

If your patients express worry about being judged by their peers for getting aesthetic treatments, if they’re worried about ending up with ‘duck lips’ or feel getting injectables will make them ‘vain’ then this episode will help you to understand how to educate your patients on why and how we can achieve subtle, unnoticeable results. 

Follow Nurse KB on Instagram here: https://www.instagram.com/bacharbeauty/
Follow Nurse KB on Tiktok here: https://www.tiktok.com/@bachar.beauty

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

Follow Dr Tim on Youtube here: https://www.youtube.com/@drtimpearce

You might be surprised by the anatomical topic of this week's episode of the Aesthetics Mastery Show, because...you might not even know it exists!

The zygomaticofacial artery is a branch of the lacrimal branch of the ophthalmic artery, and enters the face through the zygomaticofacial foramen.

It is very often left out of text books altogether, but it's important you know about it so you can avoid complications when treating the lateral lid/cheek junction.

In this episode, Dr Tim shows us how to locate the zygomaticofacial artery; how to avoid hitting and occluding it; and the real reason you weren't taught about it in the first place!

Signup to Dr Tim's free webinar about how to free yourself from complications anxiety: https://drtimcomplications.com/webinar 

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Vascular occlusions are every aesthetic clinician's worst nightmare, so we are rightly on high alert to can act quickly if one should occur. The problem comes when our ability to diagnose a vascular occlusion is hampered by the presence of the much more common haematoma.

We don't want to be undertaking necessary hyaluronidase filler reversals, but haematomas can cause delayed capillary refill themselves, making it tough to distinguish them apart from VOs, especially when the clock is ticking and the pressure is on

In this episode of the Aesthetics Mastery Show, Dr Tim dives into this topic and unpicks the various diagnostic factors at your finger tips to help you to distinguish between vascular occlusions and haematomas.

You can grab Dr Tim's free emergency and elective reversal protocols here: https://drtimpearce.com/resources/free-filler-reversal-protocol/

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In this week's episode of the Aesthetics Mastery Show, Dr Tim zooms up on a vital 'hinge' anatomical feature: the piriform fossa, AKA nasolabial fold, AKA 'Ristow’s space'.

We discuss:

✅ Why it's important clinicians understand this area
✅ The vital nearby anatomy including the facial artery and its branches, and the infraorbital artery
✅ Why we even bother with nasolabial fold treatments
✅ Injection technique choices including cannula vs needle, needle depth, and volume
✅ Complications possible in the piriform fossa, including a particularly nasty case study.

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Signup to Dr Tim's free webinar about how to free yourself from complications anxiety: https://drtimcomplications.com/webinar

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In this week's episode of the Aesthetics Mastery Show, we examine WHY the most severe aesthetics complications occur.

Because Dr Tim is known as a complications expert, clinicians from all around the world send him case studies, and he has observed that severe complications have one thing in common:

A series of small decision points where the wrong path was chosen multiple times by the clinician stack upon each other and lead to disaster.

We reference elements of a real-life necrosis case following non-surgical rhinoplasty and unpick the decision points that led to the worst happening, including:

- Why you should fight the human instinct to reassure yourself all will be OK.
- Why you must take control if a VO patient is trying to avoid their partner finding out.
- Why a good capillary refill video is so vital.
- Why you shouldn't rely on pain as an indicator of vascular occlusion.

You can download Dr Tim's emergency and elective reversal protocols here: https://drtimpearce.com/courses/botulinum-toxin-complications/

Here are Dr Tim's Complications Mastery courses:
https://drtimpearce.com/courses/dermal-filler-complications/
https://drtimpearce.com/courses/dermal-filler-complications/

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Signup to Dr Tim's free webinar about how to free yourself from complications anxiety: https://drtimcomplications.com/webinar 

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In this week's episode of the Aesthetics Mastery Show, we tackle an issue that cuts straight to the heart of the 'medical aesthetics' industry: are we ACTUALLY medical?

The answer you give not only affects your professional identity and philosophy, but also whether or not you can open your clinic following Covid-19; what tax you pay; and most importantly how you treat your patients.

Dr Tim and Miranda dive into this important debate, and explain:

- How aesthetic clinicians can demonstrate they are medical not cosmetic.
- What are the patient comments to look out for in your consultation that prove you are undertaking a medical, not cosmetic procedure.
- How to ask the right questions in order to improve your patients' well being, and maybe even change their lives!

Watch out for the story Dr Tim tells of the patient for whom the relics of her former cocaine habit were holding her back, until Dr Tim was able to help with a non-surgical rhinoplasty. Powerful stuff.

Download our free resources pack to help you screen for your patients' well being during your medical consultation:
https://drtimpearce.com/resources-pack-tools-for-medical-consultations/

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Signup to Dr Tim's free webinar about how to free yourself from complications anxiety: https://drtimcomplications.com/webinar 

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In this week's episode of the Aesthetics Mastery Show, we tackle autoimmunine diseases such as rheumatoid arthritis, Crohn's disease, myasthenia gravis and lupas, and ask if they are contraindications for dermal filler.

Dr Tim dives into the circumstances in which it IS safe to treat people with autoimmunine diseases with filler, and explains how clinicians can make the clinical judgement whether or not to go ahead.

After all, there are countless diseases and drugs your patients could present with a history of, meaning that it's almost impossible to rote learn all the permutations.

The only answer is to apply a formula, and you can download Dr Tim's free 'Is It Safe To Treat? 5 Step Cheat Sheet' here: https://drtimpearce.com/is-it-safe-to-treat-2

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Podcast: https://www.buzzsprout.com/737156
Signup: https://drtimcomplications.com/webinar

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In Dr Tim's recent webinar with Dr Mobin Master (link below), we spoke about the unfortunate tear trough complication after injectors place filler into the orbit instead of the pre zygomatic space.

The effects of this problem can be nasty, long lasting, and very hard to reverse, so prevention is key. So, we decided to dedicate a whole Aesthetics Mastery Show to explaining the vital anatomy behind this problem, and the injection technique you need to avoid injecting within the orbit.

Pay careful attention as Dr Tim uses 'Bruce' the anatomy skull, to give you a detailed tear trough anatomy tutorial.

You can catch his full interview with Dr Master, complete with his scan evidence, here: https://www.youtube.com/watch?v=l7XT-Ph4LxY&t=2059s

Here's our YouTube show where we discussed tear trough complications: https://www.youtube.com/watch?v=BETj2iuStrU&t=71s

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Signup: https://drtimcomplications.com/webinar

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Dr Tim gets asked all the time "How many vials of hyaluronidase do I actually need for my emergency kit, to reverse a vascular occlusion safely?" so we've dedicated this Aesthetics Mastery Show to answering that question once and for all.

We dig into the science behind hyaluronidase reversals; why different clinicians have competing views on the number of vials you need; how many it took Tim to reverse his own lip occlusion; how to know when you've used enough; and how you can access emergency stock in UK (except Scotland) if you're not a doctor or dentist.

If you haven't already, you MUST download Tim's emergency filler reversal protocol here: https://drtimpearce.com/resources/fre...

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Podcast: https://www.buzzsprout.com/737156
Signup: https://drtimcomplications.com/webinar

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In this week's episode, Dr Tim goes deep on dermal filler injection techniques - one of the most asked about aspects of aesthetics.

We all want to minimise filler complications and create beautiful results with our needle, right? But sometimes this magic touch seems to evades us, and we walk away from treatments frustrated and lacking confidence.

In this episode Dr Tim perfectly lays out the injection-technique principles you need to know in order to excel with the syringe. He tackles: the perfect angles, depths, and position needed to minimise risk and maximise the aesthetic outcome, as well as the secret behind his smooth aspirating method, and how to stabilise your body to deliver confident injections every time.

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Podcast: https://www.buzzsprout.com/737156
Signup: https://drtimcomplications.com/webinar

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I’ve been so looking forward to sharing this conversation I had with Dr. Felix Bertram. He’s an extraordinary aesthetics business owner and entrepreneur, and a 'shark' on Switzerland's Shark Tank. Dr. Felix shares his insights on empowering individuals in the aesthetics industry to start their own businesses and get comfortable with risk-taking, to develop a business mindset. 

We also touch on leadership as Felix tells me that being a good leader in aesthetics comes down to owning and learning from your mistakes, empowering and trusting employees, streamlining processes and choosing to work with the right people…it’s not just about ‘sympathy and vibes’ as Felix puts it, it's about fostering an environment in which employees feel empowered, happy and goal orientated to achieve success. 

If you’re wanting to start your own business in aesthetics, make the move from healthcare, or are an experienced aesthetics business owner looking to scale, then this conversation is going to help you decide on the steps you need to take to achieve your goals. 

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Follow The Swiss Aesthetic Institute: https://www.instagram.com/swiss_aesthetic_institute/

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In this week's episode of The Aesthetics Mastery Show, we tackle the thorny topic of body dysmorphia. With the industry being rocked this week when 22 year old Andrea Emilova Ivanova from Bulgaria, apparently quadrupled the size of her lips using 25ml of filler, we ask:

⏹ Does this lady have body dysmorphia?
⏹ Should you get involved with giving fashionably (or otherwise) big lips
⏹ Should you impose your beauty values on your patients?
⏹ Was the practitioner who treated Andrea a bad person?
⏹ Ethically, are medical professionals any different to tattoo artists?
⏹ How to reject a patient wanting big lips
⏹ And how to spot dysmorphia in your patients

Dr Tim has prepared a special one page dysmorphia checklist to accompany this episode. You can grab it free here: https://drtimpearce.com/body-dysmorphia-vs-modification-checklist/

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We explored a super interesting question in this week’s episode of The Aesthetics Mastery Show: do great injectors have to be good at art? This came about because Dr Tim has been getting into sculpting during lockdown, and was surprised to find a great number of benefits for his aesthetic skills. We dug into:

•Why you are not superficial for trying to make yourself and your patients    more beautiful
•Why being a bad injector is actually a good thing…on one condition!
•The unexpectedly close relationship between art and anatomy
•Dr Tim explains why focal points are central to your aesthetic success

Do you fear complications like an occlusion or necrosis? Click the link below to sign up to our free webinar on how you can get over your complications anxiety!
https://bit.ly/2Pxts18

Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/

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In this week’s Aesthetics Mastery Show, we discuss all-things Botox patterns, including:

•Whether or not we should follow the licenced Botox doses
•Dr Tim’s preferred forehead Botox injection pattern
•How to plan your Botox treatments...using marbles!
•What Dr Tim learnt when he got a brow ptosis from a very low Botox dose
•How Dr Tim marks up his Botox treatments
•How to tackle Botox for large and small foreheads
•The simple way to reduce your Botox follow up rate
•Why freezing someone’s forehead can reduce their trustworthiness!
•How one of the worst Botox side effects comes from bunny lines treatment

Dr Tim has created a beautifully illustrated guide: ‘The 26 Essential Botox Patterns’. Download it here: https://drtimelearning.com/emergency-protocols

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In this week’s Aesthetics Mastery Show, we dive deep into the topic of lumps in lips, and explore how can you tell the difference between post-procedural swelling, allergy, infection and delayed-onset nodules. 

Dr Tim reveals when we should massage, reverse, and treat with steroids and/or anti-biotics.

You can download more super useful lumps in resources here: https://drtimpearce.com/resources/lumps-in-lips-videos/

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In this week’s Aesthetics Mastery Show, we dive deep into the topic of tear trough complications, particularly the pesky oedema which is very upsetting for patients and practitioners alike.

• Dr Tim explains why tear trough complications are so common;
• Debates whether post-tear trough oedema is worse with needle or cannula;
• Shares his preferred tear trough filler brand;
• Explains how to diagnose the five most common tear trough complications;
• Clarifies when it is appropriate to just watch and wait;
• Shows us how to massage away tear trough oedema;
• And describes how to treat a delayed-onset tear trough reaction.

Click this link to download Dr Tim’s free ‘Tear trough Oedema Protocol’ download:
https://drtimcomplications.com/oedema...

We also tackle the topic on everyone’s lips at the moment - how is Borris? The UK’s Prime Minister, Borris Johnson, was admitted to intensive care on Tuesday night, and we all wish him a speedy recovery. The questions still remain, though: were we lied to about his condition; was he following social distancing guidelines strictly enough, and is he a bad patient? We go in!

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Podcast: https://www.buzzsprout.com/737156
Signup: https://drtimcomplications.com/webinar

#dermalfiller #medicalaesthetics #coronavirus

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In this week's Aesthetics Mastery Show, we tackle the most controversial topic for healthcare practitioners at the moment - PPE (personal protective equipment). Are we being asked to go into battle without any armour?

We discuss: whether or not the level of PPE supplied to NHS workers is adequate; which masks are needed under which circumstances; and what the difference is between the virus being airborne, and 'droplet spread'.

Also in this week's episode, we address the severe anxiety many clinicians feel about being exposed to the virus and the possible implications for their family. Dr Tim shares his own past struggle with anxiety and gives practical insights into how you can stop the anxiety tape in your head from playing on repeat.

Do you fear complications like an occlusion or necrosis? Click the link below to sign up to our free webinar on how you can get over your complications anxiety!
https://bit.ly/2Pxts18

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Website: https://drtimpearce.com/
Podcast: https://www.buzzsprout.com/737156
Signup: https://drtimcomplications.com/webinar

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In this episode of the Aesthetics Mastery show, Tim shared some surprisingly positive perspectives about the outlook for your aesthetics business after the Covid-19 crisis....particularly for those of us who take certain actions now.

We also dived into the needle vs cannula debate. Dr Tim shared his personal preference for cannula or needle when injecting the lips and cheeks, and revealed the surprising truth behind why occlusions caused by cannulas can have much worse consequences for patients than those caused by a needle. Thankfully Dr Tim gave his injection technique tips for how to avoid this worst case scenario happening to your patients.

We hope the show brings you some positivity during this worrying time.

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In episode 3 of the Aesthetics Mastery Show, we answer the question on everyone's lips about crazily cheap filler prices - "How the HELL are they charging THAT?!" 

Dr Tim reveals the 3 ways your competition are cutting corners to gain an advantage, some of which are undoubtedly putting patients at risk.

In part two of the show, we dive into the dreaded coronavirus - what is the real threat, what should we do about it, and how will it affect our aesthetics business?

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In this episode, we dived into weird and wonderful aesthetic side effects.

For example, have you ever had a patient tell you an alien’s coming out of their forehead?! Dr Tim has. Watch the show to hear what was actually going on. Dr Tim also shares his experience of Botox patients getting white spots after going to the gym. He explains the clinical cause.

In part two of the show, we tackle the thorny topic of no-needle filler/hyaluron pen lip augmentation device. Is it safe? Does it provide the same results as a needle? And, what should healthcare professionals do if nearby non-medical competitors are pitching it as the be-all-end-all?

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In this episode of the Aesthetics Mastery Show our hosts, Dr Tim Pearce & Miranda Pearce discuss all things occlusions & social media.

Do you know how long you have got before a vascular occlusion turns into impending necrosis? Dr Tim & Miranda take a deep dive into the science & skills you can use to help reduce the time between injection and diagnosis of an occlusion.

They also discuss how the cruel words of online trolls & fake news contributed the death of the much loved Television & Radio presenter Caroline Flack. Also, how aesthetic clinicians can win the battle against online trolls who attack their business.

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He’s one of the greatest aesthetic injectors in Canada, but how did he get here and what drives him to succeed? Dan Julien NP, also known as Danesthetics has a large Youtube following and social media presence, a thriving clinic in Ottawa and one of the most interesting minds I’ve come across when it comes to achieving dreams and goals. In this conversation I get inside the mind of Dan. How did he not only become one of Canada’s best injectors as he strives to become the ‘face’ of aesthetics in Canada, but at the same time become an incredible squash player and business owner. Dan tells me it comes down to setting transformational goals, holding yourself accountable, staying disciplined and applying this mindset to multiple areas of life. It’s a fascinating conversation that will definitely get you questioning your goals in life, whether you’re going to achieve them and if not…what you need to be doing instead. 

Follow Dan on Instagram here: https://www.instagram.com/danestheticsmedical/

Follow Dan on Youtube here: https://www.youtube.com/@danestheticsmedical

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In this episode, Miranda talks to Paula talks about what it was like to experience a complication first-hand and how she is successful in her own business! 

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In this episode of the Podcast Miranda talks to Katie Plowes about how she uses social media to successfully marketing her own business in the already competitive Aesthetics Industry.

Enjoy this episode? Follow us and enjoy new episodes when we upload them! 

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In this episode, Dr Tim explains the crucial pieces of information you need to know about each lip technique.

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