The Prager Clinic

Training should give you more than a certificate. It should give you experience.🎓

With 25 years of experience in aesthetic medicine, Dr Prager’s training focuses on the practical knowledge and clinical experience that can make a real difference in practice.

The training covers consultation, treatment planning and practical injecting, giving practitioners the opportunity to observe and learn within a real clinical environment.

Rather than focusing on knowledge that practitioners should already have, the emphasis is on sharing the experience gained from treating patients over many years.📚

Invest in training that puts clinical experience at the centre.

Hyaluronic acid is still one of the best things we have.

Hyaluronic acid has been used extensively for facial volume, but there is a common assumption that it simply disappears after a certain amount of time.

That may not always be the case.

In some patients, hyaluronic acid can remain in the tissues for much longer than expected and can still be visible on MRI.

But that doesn’t make hyaluronic acid a bad treatment.

When used appropriately, it remains one of the safest, most practical and effective materials available for restoring facial volume.

The problem comes when it is abused, excessive amounts are used, or it is used without proper understanding of the patient and their needs.

The material matters. But how it is used matters just as much.

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Why isn’t Sculptra used here?

Sculptra has become increasingly popular as a biostimulator, but popularity doesn’t automatically make a treatment the right choice.

The principle behind Sculptra is to stimulate collagen formation by introducing a material into the skin that triggers a tissue response around it.

But when considering any injectable treatment, the important questions go beyond how well it is marketed.

How predictable are the results?
What happens to the material over time?
And what happens if something goes wrong?

A treatment being widely promoted today doesn’t mean it is new or that it is necessarily the best option.

Experience means remembering what came before the trend.

Radiesse: what do we actually know about its long-term safety?

Radiesse is often discussed as a modern aesthetic treatment, but questions around its long-term behaviour and the availability of controlled data deserve more attention.

The key issue is simple: how much do we really know about what happens to the product over time?

When looking at the available studies, follow-up periods can be relatively limited. That raises an important question when a material is described as semi-permanent.

Calcium hydroxylapatite has a long history of use across medicine, including dentistry, orthopaedics and ENT. But its use in aesthetic medicine raises a different set of questions.

In aesthetics, it is important to look beyond how a treatment is marketed and ask:

What is the evidence? How long has it been studied? And what happens years later?

Long-term data matters — particularly when we are putting materials into the face.

Have we really discovered something new? Or are we just repeating the past?

Aesthetic medicine has a long history, and some of the treatments being heavily promoted today have actually been around for decades.

The important question isn’t simply whether something is trending again. It’s whether the treatment has genuinely demonstrated its value, safety and consistency over time.

When treatments that were previously found to have limitations are repackaged as the “next big thing”, it can be easy to forget why they disappeared in the first place.

As the aesthetics industry continues to grow rapidly, experience matters.

Not every new trend is a new breakthrough and sometimes, knowing what didn’t work is just as valuable as knowing what does.

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