Episode 268 · What's trending

What's Trending in Aesthetics? (Chapter 5): Toxin resistance with Dr Steven Weiner (Part 1)

With Dr Steven Weiner, Facial Plastic Surgeon, Florida, USAHosts Dr Jake Sloane and David Segal

About this episode

In What's Trending in Aesthetics? we discuss the topics doing the rounds on social media, in injector forums and in the news: the controversies, big stories and themes getting our industry talking.

In Chapter 5, Florida facial plastic surgeon Dr Steven Weiner joins us after an Instagram Live with April Harrison that got injectors talking, in which they shared their approach to botulinum toxin resistance, including a novel and controversial use of hyaluronidase.

In Part 1 we cover what toxin resistance is, theories about the immune response, antibodies and protein load, whether Xeomin reduces resistance, the brand-hopping myth, pseudo-resistance, toxin B, injector error and frontalis depth, how frequency and dilution affect results, ultrasound-guided toxin and how rare true resistance is.

Part 2, including the hyaluronidase approach and treatment protocols, is available exclusively in IA Community.

What you'll learn

  • What botulinum toxin resistance is
  • The theories behind antibody formation
  • How to tell true resistance from pseudo-resistance
  • How injector error affects results
  • Whether brand switching or Xeomin helps
  • How rare true resistance is

Topics

  • What's trending
  • Botulinum toxin
  • Toxin resistance
  • Antibodies
  • Ultrasound
  • USA

Full transcript

The full transcript for this episode is coming soon.