Dr. Amanda Holden welcomes Leslie Fletcher, NP, an internationally respected injector, educator, and founder of InjectAbility Institute, to Holding Time Back for a masterclass on responsibility, psychology, and long term excellence in aesthetics. With more than two decades in the field, Leslie has trained thousands of providers and helped define modern injector education through patented techniques and rigorous clinical standards.

At the center of the conversation is a theme often overlooked in aesthetic medicine: psychology. Leslie explains that injectors are entrusted with patients’ faces, identities, and confidence, and that technical skill alone is not enough. True mastery requires understanding patient goals, emotional drivers, and when to pause rather than proceed. She emphasizes that consultation time, standardized photography, and follow up visits are not inefficiencies but essential tools for better outcomes and safer care.

The discussion moves through the stages of injector growth, from early years focused on artistry and facial design, to intermediate stages where confidence can outpace caution, and into advanced practice where research, innovation, and mentorship become responsibilities rather than options. Leslie shares why studying before and after photos is one of the most underused learning tools in the industry and why complication training deserves far more attention than it currently receives.

Beyond technique, Leslie addresses the impact of social media and misbranding, cautioning against turning medical practice into lifestyle performance. She encourages injectors to build trust through education, humility, and consistency rather than visibility alone. As the industry continues to evolve, she believes the future belongs to providers who invest in learning that elevates both patient care and professional standards.

The episode closes with Leslie’s vision for the legacy she hopes to leave: an industry that values psychology, time, and integrity as much as results, and practitioners who never stop refining both their skills and their judgment.