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Dr. Mariano Busso: “Listen to your patients.”

Trial period. Before stamping your name on a new product or procedure, take your time to learn about it and experiment with it. The trust of our patients is all we have, and we can never lose it. Listen to your patients. Follow social media to know what patients are looking for and adapt, quickly. Different […]

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Trial period. Before stamping your name on a new product or procedure, take your time to learn about it and experiment with it. The trust of our patients is all we have, and we can never lose it.

Listen to your patients. Follow social media to know what patients are looking for and adapt, quickly. Different groups have different priorities, Baby boomers are fading but are still here, Gen X have major cosmetic needs, Millennials are concerned about looking good in their social media posts and Gen Z are coming out of acne and their sequelae.


As a part of our series about “Five Things You Need To Know To Succeed In The Modern Beauty Industry”, I had the pleasure of interviewing Dr. Mariano Busso.

With over the past 20 years of experience, Acclaimed dermatologist Dr. Mariano Busso Is known as a leader in the world of cosmetic dermatology and injectables. Called on by the top pharmaceutical companies to consult on product development, protocols and technologies, Dr. Busso has become one of the most recognized experts in the industry based in Miami, Florida and Beverly Hills, California specializing in non-surgical, minimally invasive therapies that rejuvenate skin, restore youthful appearance, reduce fat, and boost confidence without scalpels and sutures.


Thank you so much for doing this with us! Before we dive in, our readers would love to learn a bit more about you. Can you tell us a story about what brought you to this specific career path?

The cosmetic field chose me more than the other way around. I was highly involved in AIDS research, co-discovering one of the drugs used for AIDS treatment, Rescriptor, drug assays and PCR tests. I had a large AIDS based dermatology practice when I graduated, and I was treating serious medical issues. Once protease inhibitors were introduced, AIDS turned from a lethal disease into a chronic condition so my patients that were expecting to die now were going to have a long life. AIDS treatments at that time produced major facial fat loss and deformity to the point that patients carried the disease on their faces. So, patients that were now going to live a long life became concerned about their cosmetic appearance. So, my practice that was fully medical turned cosmetic overnight.

Can you share the most interesting story that happened to you since you began your career?

I was asked to give a talk in a meeting where 200 of the most influential cosmetic doctors were invited. I was given only 5 minutes to speak whereas other speakers were given 30 or 60 minutes. So I began my talk by saying: “I was told in research that when you have strong data, a five minute presentation is enough. When your data is not so strong, 30 minutes will do it. But when you have no data, 60 minutes will not be enough”. So I gave a 3 minute presentation where I introduced the technique to inject Radiesse in hands, the technique to introduce lidocaine into Radiesse and the ability to change physical properties of a filler and the Busso hand scale to measure hand volume. I earned a standing ovation from that tough crowd and those techniques caused a revolution in the cosmetic field.

Are you able to identify a “tipping point” in your career when you started to see success? Did you start doing anything different? Are there takeaways or lessons that others can learn from that?

My definition of success is based on contributions in the medical field. Although I made multiple contributions, it was my method of introducing lidocaine in Radiesse and the ability to change physical properties in fillers that gained the most recognition. The President of the Academy of Dermatology named me one of the most influential cosmetic doctors and I was asked to participate in writing the guidelines for the use of fillers for the FDA.

Being creative and challenging current concepts is what I enjoy the most. Loving what you do and finding that area in your field that excites you are key.

None of us are able to achieve success without some help along the way. Is there a particular person to whom you are grateful who helped get you to where you are? Can you share a story about that?

I was lucky that I had a mentor, a successful researcher and dermatologist, Dr Lionel Resnik. We spent hours and hours having academic discussions and certainly shaped my mind and views. Even today, 33 years later, we still have those discussions and I know that he is as proud of my accomplishments as I am grateful for his guidance. Coming from a successful physician, by sharing with me that the secret of his success was hard work, he empowered me to become successful.

Ok super. Let’s now shift to the main part of our discussion. The global beauty industry today has grown to more than a half a trillion dollar business. Can you tell us about the innovations that you are bringing to the industry? How do you think that will help people?

The cosmetic medical market has expanded to the point that companies can financially justify making major R&D investments. In a field that used to have a major breakthrough every five years now is yearly. The focus of my research over the past years has been the field of thread lifting. One of the unspoken causes of facial aging is gravity. Unspoken because besides surgery, there are no products that reverse the effects of gravity. Thread lifting represents an alternative to surgery for repositioning facial structures affected by gravity. I developed a unique method and threads for this purpose, the BussoLyft. Awaiting publication, this technique is being taught with great acceptance in the medical community.

Can you share 3 things that most excite you about the modern beauty industry?

The 3 things that most excite me about the modern beauty industry currently are:

Widespread Public interest. It is exciting and inspiring to work in a field that most people are interested in.

Innovation. With advancements to our field happening every year, we are constantly breaking boundaries and I can’t think of anything more exciting.

Very fulfilling. As opposed to most fields in Medicine, patients are happy to see us and be in our office. Patients see us are their allied that will help them navigate through the different cosmetic choices and are eager to start the journey.

Can you share 3 things that most concern you about the industry? If you had the ability to implement 3 ways to improve the industry, what would you suggest?

I’d have to say that the 3 things I’m most concerned about within the Beauty Industry are:

Lack of standardization. The field needs standards. Today, each doctor has a different approach to cosmetics yielding different outcomes. The best outcome should become the gold standard approach.

Lack of peer review. Too much information is being disseminated without proper peer review or evidence. In the long run, this can discredit our field.

Safety vs Efficacy. Still many patients are making decisions based on outcomes whereas safety should always be the most important consideration.

You are an expert about beauty. Can you share a few ideas that anyone can use “to feel beautiful”?

When someone is having a cosmetic emergency and needs to look fabulous asap, we recommend our “Red Carpet Preparation”. It consists of an at home exfoliation followed by a CO2 mask. It will eliminate most wrinkles, give a glow that people will comment and will last for at least one week.

Here is the main question for our discussion. Based on your experience and success, Can you please share “Five Things You Need To Know To Succeed In The Modern Beauty Industry”. Please share a story or an example, for each.

Be curious. Most innovation that affects our field is being introduced from different areas and countries. It is important to stay aware of what’s happening. I find myself constantly reading and researching. It’s the only way to stay at the top of your field.

Follow the scientific method. In order to discern between so much information and select fact from fad, evidence-based recommendations are vital.

Trial period. Before stamping your name on a new product or procedure, take your time to learn about it and experiment with it. The trust of our patients is all we have, and we can never lose it.

Do not be afraid to fail. We learn when it hurts so mistakes and side effects are incredible learning opportunities and signs that something needs to be changed.

Listen to your patients. Follow social media to know what patients are looking for and adapt, quickly. Different groups have different priorities, Baby boomers are fading but are still here, Gen X have major cosmetic needs, Millennials are concerned about looking good in their social media posts and Gen Z are coming out of acne and their sequelae.

You are a person of great influence. If you could inspire a movement that would bring the most amount of good to the most amount of people, what would that be? You never know what your idea can trigger. 🙂

Sometimes we need to reestablish the balance between our inner and outer beauty images. However, it is our inner beauty what differentiates us, we are all beautiful. I wished that message was louder.

Can you please give us your favorite “Life Lesson Quote”? Can you share how that was relevant to you in your life?

Failure is the first step of success. Moving forward and making corrections along the way will take you closer to your goals rather than inactivity or waiting for the perfect execution

How can our readers follow you online?

You can reach me through my website: https://www.drbusso.com/ there you will find information about my flagship facility in Miami, Florida as well as my newest project, My Beverly Hills, California clinic that has recently opened and is enjoying tremendous success.

I would also encourage you to join me on Instagram! https://www.instagram.com/drbusso/ I proudly share before and after images of my clients and answer questions.

Thank you so much for joining us. This was very inspirational.

It was my absolute pleasure. Thank you.


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