Welcome back to Fill Me In: An Aesthetics Podcast! In this episode, hosts Jon LeSuer and Nicole Bauer welcome back 20-year aesthetic medicine veteran and Allergan National Trainer, Dr. Matt Pinto, owner of Vive Aesthetics and Wellness. With decades of clinical experience, Dr. Pinto gives an unfiltered look at where the industry is heading as we look toward 2027. We break down the clinical pendulum swinging back toward multi-syringe dermal filler treatments, the game-changing arrival of the fast-acting Serotype E neurotoxin (Boey / EB-001), and advanced protocols for the hardest areas to treat on the face and neck (including Skinvive, hyperdilute Radiesse, and topical/injectable PDGF). Plus, the trio gets brutally honest about the business and financial hurdles of practice expansions, SBA loans, and standardized clinical photography. In this episode, we dive into: Is Filler Back? Why the anti-filler pendulum is shifting back toward undetectable, multi-syringe full facial balancing.The New Toxin Era (Serotype E / Boey): What injectors need to know about rapid-onset, 28-day neurotoxins and handling toxin resistance.Mastering the Neck & Forehead: Managing high-risk forehead treatments, using PDGF for brow lifting/lines, and combining hyperdilute Radiesse with Skinvive.Dilution & Dosing Philosophy: The real math behind Botox vs. Dysport conversions and the dangers of 1:1 neurotoxin reconstitution.Clinical Photography & 3D Imaging: Breaking down the AURA 3D camera, RxPhoto, and iPad setups for consistent patient before-and-afters.The Reality of Practice Build-Outs: Construction delays, commercial bank loans, and the hidden costs of scaling an aesthetic practice. Connect with Dr. Matt Pinto & Vive Aesthetics: Website: https://vivecenter.com/ Vive’s Instagram: https://www.instagram.com/vivecenter/?hl=en Dr. Pinto’s Instagram: https://www.instagram.com/drmatthewpinto/?hl=en 🚨 DISCLAIMER 🚨 The content of this episode of Fill Me In: An Aesthetics Podcast is intended strictly for educational, informational, and entertainment purposes and does not constitute medical, legal, or professional advice. The views expressed by the hosts and guests are their personal clinical opinions and experiences, not formalized practice protocols. For Patients & General Listeners: This content is not a substitute for professional medical assessment, diagnosis, or treatment. Always consult a qualified, licensed healthcare provider regarding any aesthetic procedure or medical condition. For Licensed Healthcare Professionals: Discussion of clinical techniques, anatomical approaches, products, or off-label uses is provided for dialogue and idea-sharing only and does not constitute clinical training, credentialing, or instruction. Practicing clinicians are solely responsible for exercising their own independent clinical judgment, adhering to their jurisdictional scope of practice, securing proper informed consent, and verifying manufacturer guidelines. Limitation of Liability: The hosts, guests, and producers expressly disclaim any and all liability, loss, or risk—direct, indirect, or consequential—incurred as a result of the use, application, or misuse of any information, technique, or product discussed herein. Any practitioner who adopts or adapts techniques mentioned does so at their own risk. Follow Fill Me In on Instagram! https://www.instagram.com/thefillmeinpod/ Follow Nicole on Instagram: https://www.instagram.com/aestheticnursenicole/ Nicole's Patreon: https://www.patreon.com/aestheticnursenicole?utm_source=search Exhibit Medical Aesthetics website: https://exhibitmedicalaesthetics.com/ Follow Jon on Instagram: https://www.instagram.com/injectorjon/ Jon's Patreon: https://www.patreon.com/Injectorjon?utm_source=search Tox and Pout Aesthetics website: https://toxandpout.com/ Producer of Fill Me In: Joey Ginexi #AestheticMedicine #MedicalAesthetics #Biostimulators #DermalFillers #InjectorTips #HyaluronicAcid #FillMeInPodcast #AestheticNurse Join Moxie! Moxie combines clinical-grade software with expert-led strategy and hands-on support so you can scale your aesthetic practice without compromising clinical standards, patient care, or business ambitions. Go to joinmoxie.com/fillmein to book a complimentary strategy session with the Moxie team today!