The Contraindication

Elly Makinson

In medical aesthetics, it’s easy to feel like you’re guessing - what actually works, what’s changing, and what no one’s saying out loud. The Contraindication brings you the conversations most people keep behind closed doors. Real insight into the business, marketing, and culture of the UK aesthetics industry - without the fluff, and without the filter. Whether you’re trying to grow, stand out, or simply keep up, this is where you get clarity.

  1. 1d ago

    Marketing Monday: AI and The Aesthetic Clinic - The Consent Problem (Part 4/6)

    Is a signed form in the waiting room really enough to protect your aesthetic clinic when something goes wrong? In this episode of The Contraindication, I dive into the hidden consent problem that nobody in medical aesthetics is talking about. Moving beyond basic compliance, I share why traditional consent processes fail to meet Montgomery standards and how artificial intelligence can build a robust, legally defensible audit trail for your clinic. What You’ll Discover - The Montgomery Standard Reality: Why a signature on a tablet or a generic form handed over in the waiting room fails to meet the legal definition of informed consent. - AI as a Compliance Tool: How AI scribes and personalised pre-consultation documents can capture the individualised risks, alternatives, and specific conversations required for a defensible record. - Building a Provable Audit Trail: What the upcoming UK regulatory changes mean for your clinic and how to ensure your post-treatment notes, batch numbers, and records are fully watertight. In a regulatory environment moving rapidly towards mandatory licensing, provability is everything. Building a system that documents your processes automatically isn't just about saving time - it is about protecting your practice before a complaint ever happens. If you need more support or want to dive deeper into your clinic's specific needs, you can book a Power Hour with Elly at theaestheticsmarketer.co.uk. The Contraindication is produced by Urban Podcasts.

  2. Jun 28

    Wish Skin Health UK X The Contraindication

    This is the first ever guested episode of The Contraindication and a quick note before we get into it: I have no commercial relationship with either guest or with Wish Skin Health UK. The aesthetics industry is saturated with brands promising the world, yet so many practitioners are left feeling completely exhausted when it comes to actually clearing acne long-term. In this episode, I am joined by Hannah Nelson, UK distributor of Wish Skin Health UK and clinic owner of HN Skin Solutions in Carlisle, and Hannah Marshall, practitioner and Wish brand ambassador at NuWave Clinic. Together they get into why the UK has been so bad at actually clearing acne, not managing it, actually clearing it, and what a properly structured approach looks like in practice. What You’ll Discover - Why so many UK practitioners hit an acne plateau and why it’s not a skill gap, it’s a protocol gap - The IGF-1 and insulin connection: how blood sugar spikes drive androgen production and keep acne cycling - Why certain treatments are still being sold to acne clients - and why they’ll never clear the condition - The 80/20 rule in acne treatment: why homecare drives more of the result than anything done in clinic - How to have the honest conversation about the acne journey timeline, including telling clients it will get worse before it gets better - What “treating it 360” actually means: gut–skin axis, diet triggers, cortisol, and why a client eating “really healthily” might be making their acne worse - The commercial case for acne specialisation, including the price point argument for a younger demographic - Why the Wish education framework requires a 190-question exam with a 90% pass mark before a practitioner can stock the brand What really struck me during this conversation is just how much emotional weight acne clients carry by the time they finally walk through a clinic door. They aren't just looking for a quick fix; they are often completely exhausted, having been passed from pillar to post through the medical system. Hearing the passion from both Hannah's about finally having the tools to look a client in the eye and genuinely say, "I can fix this," is exactly what this industry needs more of. If you’ve ever felt stuck trying to get an acne client over the finish line, or if you're just curious about what it takes to truly specialise in this space, this episode is worth a listen. It might just change how you approach your most difficult cases. Find Wish Skin Health UK on Instagram: @wishskinhealthuk Find HN Skin Solutions (Hannah Nelson’s clinic) on Instagram: @hnskincsolutions Find NuWave Clinic (Hannah Marshall) on Instagram: @newwave_clinic More practical marketing for aesthetics practitioners at theaestheticsmarketer.co.uk The Contraindication is produced by Urban Podcasts. Learn more at theaestheticsmarketer.co.uk and on Instagram. The Contraindication is produced by Urban Podcasts.

Ratings & Reviews

4.8
out of 5
20 Ratings

About

In medical aesthetics, it’s easy to feel like you’re guessing - what actually works, what’s changing, and what no one’s saying out loud. The Contraindication brings you the conversations most people keep behind closed doors. Real insight into the business, marketing, and culture of the UK aesthetics industry - without the fluff, and without the filter. Whether you’re trying to grow, stand out, or simply keep up, this is where you get clarity.

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