Episode 16

Beyond the Needle

Published on: 4th December, 2023

Join host Erika Audrey on this illuminating episode of Clover Club as she engages in a dynamic conversation with special guest Mike Kelleher, the brilliant mind behind Revolution Aesthetics in Decatur, Georgia. Delve into the intricacies of transforming a passion for aesthetics into a successful small business.

Explore the art and science behind popular treatments like Botox, Sculptra, Endolift and PDO threads as Mike shares insights into their transformative impact. Uncover the challenges and victories of establishing a business in the aesthetics realm, and gain valuable perspectives on striking the right balance between looking your best at any age.

In the Q&A segment, Mike addresses listener queries, providing an inside look into the world where beauty and business converge. Here's to the artful journey of transformation!

Shop Hawkins & Clover here

Check out Mike's practice here

Transcript
Speaker:

welcome to Clover club, everyone.

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This is your host, Erica.

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And I am.

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Elated to be sitting

here with my guest today.

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Mike Keller.

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Of did I pronounce that?

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Did I say that weird?

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I feel like I slipped.

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Sung it.

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No, it sounded great.

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Okay.

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Thank you.

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Um, I'm going to do it again now.

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You keep doing it.

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Mike Keller her.

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Revolution.

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Aesthetics.

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Botox injectables.

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Decatur.

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Yep.

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Hi.

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Hello.

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Welcome welcome.

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For having me.

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Thank you so much for taking

the time out of your schedule.

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I know how busy you are.

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No.

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My pleasure.

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We'll see, we'll see.

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, so Mike, there's so much that

I want to cover with you today.

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That I'm very excited about, but I thought

we could start with maybe just like a,

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a CliffsNotes of who you are and how

you got to be the injectable whisperer.

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Oh, wow.

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Not by choice.

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Oh, truthfully.

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, so I began in medicine in 2003.

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I came to Emory university and

I've been here since, , I did

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not start in the aesthetic world.

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Okay.

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I got into it by accident.

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I was working in a dermatology practice

with a solo dermatologist and our

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patients were going to elsewhere.

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For Botox and filler.

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They were seeing us for, we had a med spa.

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And they were seeing us for lasers.

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And aesthetic services

other than Botox and filler.

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Okay.

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And I thought just purely from a business

standpoint, That didn't make sense.

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Missed opportunity missed opportunity.

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And also, I also felt that

nobody could take care of our

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patients better than we could.

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So I decided at that point in

time to try my hand at it and I

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felt well, if I enjoyed it and

I did well at it, I would do it.

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If not, I just wouldn't do it at,

I continue with doing what I was

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doing fair and, um, I thoroughly

enjoyed it and I seem to do.

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Okay at it.

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Okay.

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Then.

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I slowly.

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I turned a, my medical dermatology

practice into an injectable practice.

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It kind of just went from there.

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Wow.

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, w what's that learning curve like.

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Well, Yeah.

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I was always a procedure oriented person.

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I was doing involved with surgery and

all those, uh, all the other aspects

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of, you know, Different aspects of

medicine or you give the surgical

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aspect and the medical aspect.

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And I always had my foot.

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In each one of those pools.

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Okay.

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So.

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You know, for me, it wasn't that big of a

jump from, from what I was doing already.

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And at that time, it wasn't as the

subspecialty of cosmetic or aesthetic

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medicine wasn't really developed.

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Okay.

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It was kind of a wild west.

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And this is, you said early two thousands.

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Uh, yeah, at least.

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So that must've been, yeah, quite no.

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Well, this was when I

got into doing this was.

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Maybe 10 years ago.

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1112 years ago, somewhere around there.

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I lose track of time.

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Yeah, it's all a blur.

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Somewhere around there, but it was, you

know, it was still kind of the wild west.

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It is still a young sub-specialty

and it was a very young subset

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really at that point in time.

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So there wasn't a lot of

the really wasn't a lot of

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evidence-based medicine behind it.

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It was kind of, it was kind of let me

show you how to do this, and then you

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just kind of do it because this is

the way I was taught by somebody else.

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Okay.

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And so most of the studies that

were developed were just the

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studies that were put in with the.

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Products that were being.

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sold.

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So, uh, there was a lot of leeway.

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I think is probably the proper.

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I just like lit up when he said that.

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Uh, you know, kind of

figure it out on your own.

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Yeah.

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Type which doesn't hold as true today,

although it does, unfortunately.

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, but we're lucky enough today to have

a lot of evidence-based medicine

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behind and people doing studies and

it's really found its foothold in

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medicine as a true sub-specialty.

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Yeah, for the most part, I think.

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Uh, so yeah, you know, at that point in

time, it was, I was lucky enough to have

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trained with some, , Very wonderful.

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And, Very studied practitioners, , who

had been doing it for a long time

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at very good mentors at the time.

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It never would have happened

that way ever again.

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I was just, it was right time.

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Right place.

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I love that.

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And it kind of took off from there.

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That's amazing.

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How long was there in between you starting

that and you starting your own practice.

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That was a good.

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Probably a good six or seven

years, I would imagine.

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Okay.

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So I never planned on going on my own.

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Oh, really?

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No, that was not, I never considered

myself and, you know, any sort of

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entrepreneur or never wanted to develop.

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To go out on my own eye.

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That happened just by accident.

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Can we delve into that a little more.

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, cause I think it's really interesting.

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I think there's a lot of

entrepreneurs who are like, I'm not

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an entrepreneur, but I just had this

calling or it just sort of like.

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I w I had this circumstance

where the reaction was, I'm

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going to do this on my own.

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, Do you like it?

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Like, tell us, tell us the story now,

once I've done it, I could never go back.

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Yeah.

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During the, maybe the other way.

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You guys don't work with people.

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Uh, But yeah, no.

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Uh, at the time , I had

left a large practice and.

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I was contractually.

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I couldn't practice in the

city of Atlanta for awhile.

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Did due to contractual obligations.

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Which was fine.

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So at that point in time, , I was

Purely training for about four or

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five different aesthetic companies.

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Okay.

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And so I spent the time traveling

around the country, working in training

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and, you know, little did I know at

that time I was training to open a

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practice because you know, I'm a very,

I'm very curious and inquisitive.

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So when I go to other practices, not only

would I do the training that I would,

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but I would see how they ran things.

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What worked with them, talk to everybody

and try to pick their minds and

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their brains about what was going on.

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And then when it came time With

my non-compete was coming up.

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I.

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Quickly realized that I hate.

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Couldn't go back to work in.

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Uh, under, under another person's.

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You know, roof.

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Yeah.

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It was nothing against anybody else.

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I just, I had my, I had developed my

own vision and the way that I wanted

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to do things, I saw things differently.

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I didn't see a place.

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Where I fit.

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And what I wanted to do fit, not

that my way was better or worse

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than any other person's way.

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It was just different.

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And I thought there was a niche that

I fit into that that just didn't exist.

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And there you are creating it.

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There you go.

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And then it happened.

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And I, you know, I think

I had said this before.

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I was just ignorant enough.

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I knew just.

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Enough to get it going, but not

what it really took to do it.

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Well, it's funny you say that , the

episode that we have coming out next

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week is with another small business

owner, and it's a very raw candid

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conversation of like the behind the

scenes parts of running a business.

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That a lot of people don't

really share publicly.

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Right.

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, because you don't want

to sound ungrateful.

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You don't want to sound like a complainer

and you don't want to sound like you don't

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have it figured out, but at the end of the

day, Part of entrepreneurship, which I.

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I assume you would agree with

is figuring it out as you go.

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And there's, there's no handbook

because each business is unique, right?

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And you don't know, you're fucking

something up until you get a letter

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or a call or an email, or some sort.

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If it's brought to your attention,

you know, and then you're like, oh,

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well, I'll get right on top of that.

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No.

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No, you're you're right.

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Again, I would just, I knew what I knew,

but I didn't know what I didn't know.

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And that was the reason why,

you know, I kind of that.

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Yeah, I don't, I don't know.

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You know, it wasn't, I guess, I didn't

think when I started, I was like, . I

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know what I can do from a medical

standpoint, what I'm doing there, the

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business will just kind of fall along.

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I know what I needed to do.

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And when I started, I started very small,

you know, I, I worked, I rented a little

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nine by 11 room out of a preexisting spa.

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And worked out of there until I built up.

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And I, you know, I was lucky enough

to have a lot of patients who,

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who still wanted to see me from

the years that I had been doing

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it in Atlanta and around Atlanta.

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That's awesome.

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Yeah, so that was good.

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So I had that to fall back on

and the other good thing was.

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And I think a lot of

entrepreneurs will tell you this.

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W I had, I had other.

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Sources of income.

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No, that wasn't my only thing.

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So when I first started out, I was seeing

patients maybe one or two days a week.

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And then I was training

for a couple of companies.

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And then when everything started

getting rolling, that's when I

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consolidate it and I was like, wow.

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I have to do now.

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I have to sit down.

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And make a decision.

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Yeah, this has legs.

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This.

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Am I going to do this?

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Commit to this and.

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Or am I going to kind of fiddle

around and muck around and not,

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and that's when I just sat down.

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I was like, well, I'm going

to have to commit to this.

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Because I want to.

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And then at that point, there was no, turn

it back because failure was not an option.

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Oh, We were going to

succeed and that was it.

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So I didn't even, it never even occurred

to me that it would not be successful.

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I love that.

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I think you need a healthy dose of.

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Ego, not in the negative way.

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But just enough to keep you

being like, I will not fail.

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, cause if you don't,

it's real easy to fail.

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Yeah.

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Yeah, I just, but that's it.

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I don't.

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Yeah.

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I don't know that.

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Ego, I guess, in a sense,

but not kind of like so much.

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It wasn't that at all?

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It was like, I there's no

other option like this.

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Right.

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This is the only thing I can do.

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Yeah.

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This is the only option

I have available to me.

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It's either this or nothing, then

it's not going to be nothing.

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So it's going to be this.

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And that's it.

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Did that feel kind of crystal clear when

you got to that point of things or did

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it take a lot of hemming and hawing?

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No once I'm set my mind to it,

then that was, that was it.

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And you know, it really.

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Everything kind of came together.

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When I set foot in the

location that I have indicator.

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Now, the minute I walked in

there, I could fully visualize

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everything, how I wanted it to be.

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It just made sense.

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And I could see it.

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And then right then and there, it

just, everything came together.

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I was like, well, this is, this is what

I was meant to do at this point in time.

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I love hearing stories like that

because the same applies to me.

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I looked at so many spaces when

I was opening my own business.

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And when I walked in the front door

of where we're sitting right now, I

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had this overwhelming feeling of like,

oh, this is the one, like, this is it.

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And our spaces are , kind of

similar in the fact they're kind

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of lofty and funky and cool.

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And it's not just this.

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New construction for white walls.

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Like.

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You and I are too cool for that.

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But I didn't want it like that.

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That would go against

everything that I stood for.

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You know, I like the

floors were marked up.

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I liked that.

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Exposed brick and the sunlight.

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And it was just, you know, It spoke to

me when I walked in and I just knew it at

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that point in time, I feel the same way.

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And Mike and I both have our

business littered with guitars also.

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That's what makes it comfy?

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It makes it comfy.

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Yeah, I can't imagine a

space without a guitar.

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I know it's just weird.

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, So Mike, this is not a question I

was prepared to ask you, but I'm

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sitting here just staring at Mike and

I'm like, damn, your skin is glowy.

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Well, it's like, but you look, you

look like you've got nothing done,

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but obviously given what you do.

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This is pure.

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I, I am willing to share.

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Of course I have no secrets

when it comes to my skin.

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What do I do?

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I do Botox.

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Okay.

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Do you do what you're set?

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Can you do.

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I have other people do it for me.

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Okay.

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I tell them what to do with though.

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Okay.

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That's like me in here.

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Dick about it.

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Uh, and then , I use the skincare that

I, , use at the practice, which is what.

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SkinMedica brand skincare is what I use.

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Yeah.

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And, , I only use, I only.

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For me, I recommend one line.

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It's the line that I use.

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And I figured if I'm gonna, if I'm

gonna use it, then that's what I

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would recommend for my patients.

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Yeah, absolutely.

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Yeah.

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So that's basically it.

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I'm just going to let it go.

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I'll do.

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I don't do things to myself.

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Really, I just, I'm not that person.

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I don't, I.

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I'd rather, I will put appeal on

myself occasionally from time to time.

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Okay.

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That's it.

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Wow.

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Yeah.

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Thank you.

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I'm really it's maybe it's just because

of the way the pop screen is hitting camp.

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Like your face moves so nicely

when you talk should be natural.

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Yeah.

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It's supernatural.

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Well, and that's why.

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Okay.

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Well, I just need to share like

a little backstory of how I

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even found myself in Mike's.

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Um, Talented hands.

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, so I probably waited a little

too long to start getting Botox.

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Um, and I was kind of, my friends will

laugh listening to this episode because

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I was a little self-righteous about

not doing it for a little too long.

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And now when I've got friends

of clients who are like, when

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should I start getting Botox?

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My answer is one to three years before

you start wondering if you need it.

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, cause that's definitely how it was for me.

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So the first place that I went

came very highly recommended.

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And it was a horrible experience.

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The first time I went, this lady

hard sold me on thousands of

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dollars worth of a crazy shit.

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, she ran late.

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, but I was like, okay.

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I, uh, like she seems

like she's got a plan.

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I'm not a professional.

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I'm ready to invest in my.

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Healthy aging, like, okay.

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So I drop a bunch of money and the next

time I see her, she has no idea what we

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did last time, who I am, what plan we had.

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And one of the things she had

had me do was sculpture, which.

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She had discussed needs two

or three treatments.

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So I was thinking.

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She's going to kind of lead the way on

when I'm doing this again, type of thing.

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She had no idea.

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, and that really annoyed me.

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And in hindsight, finding out

more details about Sculptra, which

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were not fully relate to me, I'm

pissed that that is in my face.

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, so not a great experience.

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And so then from there, I

hopped to another place that was

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recommended to me by a friend

and this place I would get there.

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The guy would come in like

30 minutes after, like he was

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literally not even in the building.

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And then he wanted tips.

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So I feel like anybody who wears

like fucking scrubs to work.

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Should it be getting tips.

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That's a point of contention as well.

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Okay.

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I figured like later on, I want

to get into like etiquette stuff,

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but that's a huge one for me.

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I was like, this feels like a

red flag and I went to him twice.

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The first time I went, it

was like 300 ish dollars.

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And so the second time I

went back and it was good.

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, Other than the fact that I was

like, do I have to tip you?

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, I do a gratuity free business

here for over a decade.

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I've never accepted a tip under

this roof and it's been just fine.

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I truly believe in just

charging what you're worth.

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, so I went back to that same guy and I

said, Hey, like last time was great.

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, I trust you.

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Like just whatever you

think my faith needs.

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And he was like, okay girl, I got you.

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, I go to checkout it's 900 plus

dollars and I was like, what the fuck?

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, you know, It's total sticker shock,

no conversation about I'm going to

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just like douse you in fucking Botox.

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, and then I was like, never again.

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And that is when I talked to Mandy

and Mandy sent me to you, Mike.

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And then, , as soon as I met you, I was

like, oh, this is my injectable home

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because you are like a normal person

who acts like a fucking professional.

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And, uh, I've been happy ever since.

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Well, thank you.

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Thank you and my face moves and I'm

sending you all my friends and clients.

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Yes.

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Thank you.

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I appreciate that.

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Yeah, there's a lot.

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Yeah.

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But then what what's the story

that you have is not atypical.

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I and that sadly.

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You know, that's the one that's.

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And this is again, I'm not

bashing anybody at all.

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At all, it's just, , it's

a weird business.

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And the weird thing about this business

is that you have medical providers.

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We're not trained to take money.

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From people.

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Right.

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Yeah.

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The business side of things.

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Exactly.

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Right.

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Yeah.

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Uh, medical people are horrible business

people, but in medical school or whatever

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nursing school, you don't have a class

on how to talk to a patient about a.

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, financial transaction because

everything's done under insurance.

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Yeah.

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So that's a hard conversation for

a lot of medical providers to have.

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And I, when I first started out, I

had one of my medical assistants.

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She was the one who

talked about everything.

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Or, you know, I would

recommend the treatment.

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Like you would any medical treatment and

then she would kind of be the closer.

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Is what they're called.

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And this is a common, this is a common

thing, especially in surgical practices.

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Plastic surgical practices

where everything's cash based.

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Yeah.

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So it's a tough discussion

to have, and I think.

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A lot of providers just aren't

comfortable having that conversation.

429

:

So what ends up happening is the patient

sits down and they're like, I don't know.

430

:

Just whatever you think.

431

:

, and then you go to check out and you're

stuck with a huge bill and you're like,

432

:

man, that was not quite what I, yeah.

433

:

I mean, you know, to a certain

extent what, whatever you think.

434

:

Yeah.

435

:

, so that's a discussion that

has to be had with a patient.

436

:

And it's just tough for a lot

of medical providers because

437

:

they don't know how to have it.

438

:

I agree with that.

439

:

And I think that that arches over.

440

:

Really all service industries.

441

:

I mean, I know.

442

:

I'm not in this anymore, but I used to

do a lot of education in my industry.

443

:

And I would always force people

to have , kind of like role play

444

:

conversations of how to talk about the

finances of doing hair, because I'm

445

:

not going to give you a $500 service

that you don't know you're getting.

446

:

And then have, you know what I mean?

447

:

Like the point is to have everybody

comfortable and feel good.

448

:

I never want somebody at the

counter to have sticker shock

449

:

or to be like, oh my God.

450

:

And cause you know what they're

gonna do, they're gonna leave.

451

:

And they're going to text their

friends and be like, holy shit.

452

:

And they're going to smile to.

453

:

At your face and then they're never

going to come back and it's just, you

454

:

gotta be a confident professional.

455

:

Believe in why you charge what you

charge and what it is and the value

456

:

in that and let your customer decide.

457

:

But I do think it's, if you don't

practice that muscle, it can be

458

:

intimidating and it can be scary.

459

:

And I get it.

460

:

But you got to do it right.

461

:

Uh, discussion.

462

:

I have, , commonly with

medical providers at practices.

463

:

Is it.

464

:

This is the thing that

they have struggled with.

465

:

So the way I've always felt

about it as this, I, I've never

466

:

tried to sell a patient anything.

467

:

It's not selling.

468

:

I came.

469

:

Medical provider and I'm prescribing

treatment regimen for them.

470

:

And this is, this is what it's going to

take to get you to this point in time.

471

:

And this is what this is, unfortunately.

472

:

The cost of it.

473

:

Right.

474

:

So, if we're going to get to

this place, whatever that place

475

:

is going to be, this is what it

could possibly take to get there.

476

:

And it doesn't have to happen

in a day and in nor should it.

477

:

You know, most of this is staged out over.

478

:

Uh, over a period of time,

whatever that recommendation is.

479

:

But it's not me selling you and I

don't want to sell you anything.

480

:

I don't care.

481

:

Right.

482

:

You're asking my professional

medical opinion on something.

483

:

This is it.

484

:

This is what it takes to get there.

485

:

And that's it.

486

:

And we'll have that discussion

and that's the way it should be.

487

:

I totally agree.

488

:

Well, and I love that the first

time I met Mike, I was like, I

489

:

just don't want sticker shock.

490

:

Like I that's of one of

the first things I suppose.

491

:

I actually, I actually remember this guy.

492

:

I'm just like, tell me

how much it's going to be.

493

:

And let's make sure that

I either can afford it.

494

:

Or, you know, if we need to

pivot or edit or whatever.

495

:

It's so simple.

496

:

And even I saw you semi recently and

I was like, do I need temple filler?

497

:

And you just like laughed.

498

:

And you're like, no.

499

:

Like, I appreciate that.

500

:

You're not like, Hey,

if you'll pay for it.

501

:

Absolutely.

502

:

Right.

503

:

Yeah.

504

:

I mean, that's the.

505

:

Do no harm.

506

:

Yeah.

507

:

Still applies.

508

:

This is a medical sub-specialty.

509

:

This is medicine still.

510

:

Yeah.

511

:

As many there's a lot of people don't

feel that way, but, but it is medicine.

512

:

So I look at it that way also.

513

:

And I, I have a client who I

absolutely adore who I sent your way.

514

:

She's probably listening

to this right now.

515

:

, The first time she got Botox,

she got it from her dentist

516

:

and I was like, yeah, girl.

517

:

Like I didn't give it.

518

:

Do administer Botox.

519

:

Well, I would argue this one.

520

:

Wasn't , uh, she was hilarious

and I was like, please go to Mike.

521

:

Who is that?

522

:

And I watched people to go to their

dermatologist for injectables and I

523

:

would venture to say, Just based on

my observations with all of my clients

524

:

and staff, it really takes somebody

who's doing injectables all day

525

:

every day to truly get the art of it.

526

:

If it's just a subtraction

of your, practice.

527

:

I can tell a difference in the quality.

528

:

Yeah.

529

:

This is, this was the turning

point for me when I first started

530

:

doing this, I was still in the

dermatology practice and I was doing.

531

:

Injectables a couple of days a week

and then still doing dermatologic

532

:

surgery and whatever on the side.

533

:

And I went and I did a training.

534

:

With, uh, I was fortunate

enough to do this was in the.

535

:

Uh, the product.

536

:

Juvederm Voluma first came out.

537

:

So, whatever timeframe that was,

but there's a very well-known

538

:

Brazilian plastic surgeon.

539

:

Who's known all over the world.

540

:

He was, he was giving this

quote-unquote masterclass that day.

541

:

And I was circumstances happened

where I got to go in that

542

:

bay and trained under his eye.

543

:

Cool.

544

:

Yeah.

545

:

, And at the end of the day, it was me.

546

:

I had no business be in there, believe me.

547

:

Cause there was a lot of very

accomplished plastic surgeons

548

:

from Atlanta who were there.

549

:

And , he looked out at us, we had

spent eight or 10 hours with this guy.

550

:

And, , he looked at everybody and he

said, you know, how, how many are you?

551

:

How many of you here are injecting?

552

:

Just doing cosmetic

injectables, full time.

553

:

And nobody raised their hand.

554

:

Oh, interesting.

555

:

And he looked and he's like, why

are you here wasting my time?

556

:

And it really, that hit me hard.

557

:

And I, and I kind of

didn't think about it.

558

:

And that's the way that cosmetic

injectables are looked at.

559

:

It's something we do on the side.

560

:

It's a good money.

561

:

Earner.

562

:

People want it.

563

:

So we'll just do it.

564

:

And that's when I realized I was

like, God, you know, , if I'm

565

:

going to be good at this, I need

to commit to doing this full time.

566

:

And then I started thinking about it.

567

:

It made more sense.

568

:

I'm not going to go to my

cardiologist to get my.

569

:

Toenails taken care of.

570

:

You know, I love it.

571

:

That's where your mind.

572

:

probably not had enough

or too much coffee.

573

:

One of the two.

574

:

Um, but you know where

I'm going with this.

575

:

For me.

576

:

It was like, if I go to be the best

that I can possibly be at this, I

577

:

need to commit to this full time.

578

:

I'm not saying anything other than for

me, that's the way that it had to be,

579

:

because that's just the way that I am.

580

:

Yeah.

581

:

, and so at that point in time, that that

was where it turned the corner for me.

582

:

I was like, that's it, this

is all I'm going to do.

583

:

And I'm going to try to do this

the best that I possibly can.

584

:

I'm going to learn

everything I can about this.

585

:

And this is what I'm

going to do with that.

586

:

That was that it was that.

587

:

Moment.

588

:

It was just like, oh man.

589

:

Yeah, he's absolutely right.

590

:

I love a strike of clarity like

that, that really just kind of

591

:

solidifies something to you're already

doing, you know, punch, you know?

592

:

Yeah.

593

:

It was w it was much needed.

594

:

Absolutely.

595

:

And I'm curious if anybody else in that

room with you had a similar reaction,

596

:

or if they were just like, eh, No.

597

:

I know the.

598

:

I still have no, all of them.

599

:

Okay.

600

:

They're all doing their thing.

601

:

Okay.

602

:

That's so interesting.

603

:

, I was so young and

impressionable at the time.

604

:

Yeah.

605

:

I'm so glad that you were in restaurant.

606

:

Because my forehead has

benefited from your.

607

:

Thank you.

608

:

But

609

:

seriously, it's so true.

610

:

, so Mike,

611

:

Is there anything that you

wish people knew about?

612

:

, Preparing for an injectables appointment.

613

:

What to wear any little

detail where you're like, oh,

614

:

I wish more people realized X.

615

:

Don't wear makeup.

616

:

Okay.

617

:

There's probably a number.

618

:

As, as a good.

619

:

It's a good rule of thumb.

620

:

Other than

621

:

anything other than Botox that

you're scheduled to come in for?

622

:

I would, I would, Botox is easy.

623

:

You can wear all the makeup.

624

:

You.

625

:

And we'll wipe that off.

626

:

That's fine.

627

:

But anything else is, cause you

know, boat, , makeups dirty.

628

:

Yeah, that's true.

629

:

Yeah.

630

:

They use that brush over and over again

and it collects all kinds of stuff.

631

:

So.

632

:

Anything that we can do.

633

:

Of course we'll clean you up and all that,

but it's also, it's nice not to have a ton

634

:

of makeup on for most of these procedures.

635

:

Yeah.

636

:

I try to advise my patients.

637

:

They just don't look at social

media and follow people.

638

:

And multiple times I've sat

down in my chair and I'm like,

639

:

I just saw this tick talk.

640

:

And I'm curious if I

need blah, blah, blah.

641

:

And you're like, oh God.

642

:

Yeah.

643

:

Yeah.

644

:

I have a theory.

645

:

And I wonder if this resonates with you.

646

:

So, uh, obviously as people who

work with the public, , they're

647

:

exposed to, uh, all of these.

648

:

Tick talks and Instagram influencers

and things like that in our industry.

649

:

And this is my theory.

650

:

I am a busy professional.

651

:

I booked my appointments

a year in advance.

652

:

You can't get an appointment with me.

653

:

I don't have time to put together

a fucking reel on new Bali

654

:

OSH techniques, for example.

655

:

So what I wonder is if the rise of

social media is giving a platform to

656

:

unbusy professionals that can create the

illusion that they're busy, successful

657

:

professionals, well, people like you

and I are busy, like actually working.

658

:

But then people are getting

bad information and it's kind

659

:

of like diluting our industry.

660

:

Does that make sense?

661

:

No, it makes sense.

662

:

I just don't know, because I don't

really know any of these people.

663

:

I go to like influencers.

664

:

Yeah.

665

:

I got to, you know, I got to meetings

in just because of who I'm, some of the

666

:

companies, you know, the big company.

667

:

I'm a big company I'm associated with.

668

:

So we do these big annual medians

and everybody shows up there and.

669

:

, I typically don't know who the, who

anybody is just cause I, I don't care.

670

:

Lovely.

671

:

I mean, that's not nothing against them.

672

:

I mean, I have to find it.

673

:

I don't care.

674

:

So I hope that makes you cool.

675

:

All the way.

676

:

Out of touch maybe.

677

:

Um, but, uh, I don't know from, I.

678

:

I was thinking, you know, it's funny.

679

:

Cause I was thinking

about this the other day.

680

:

I don't know if it's the need to, just

to have this validation that drives

681

:

it, or if they're just not busy in.

682

:

Enough, but a lot of people

do create a lot of content.

683

:

Huh?

684

:

Yeah.

685

:

But I'm like, where do

you have the time for it?

686

:

If you're actually busy.

687

:

Yeah, that's a good point.

688

:

I don't have time for anything.

689

:

Correct.

690

:

Like, I am busy from the second I walk

in the door for the second I leave.

691

:

Right.

692

:

Uh, it's a commitment.

693

:

Maybe they have a whole team.

694

:

They probably have a whole team of media,

people who do all this things for them.

695

:

Maybe, maybe some of them,

some of them, for sure.

696

:

Yeah.

697

:

Not at all.

698

:

Yeah.

699

:

I don't.

700

:

But, yeah, I don't know

what it takes, so I guess.

701

:

What's the threshold.

702

:

Is there a certain number that

puts you in that category of

703

:

being like super ultra influencer?

704

:

, that's a great question.

705

:

I think anything over 10,000 followers.

706

:

Yeah.

707

:

, like, I know like if I want to

start monetizing this podcast,

708

:

they want to see like a thousand

downloads on average per episode.

709

:

Okay.

710

:

Which is simultaneously

a lot and not a lot.

711

:

Right.

712

:

So I think that if you're talking

about like a, a skin or hairdresser

713

:

influencer, anything over 10,000, like

you're, you got some traction there,

714

:

unless it's just bots that you've

purchased or something like that.

715

:

But yeah, that's also a whole thing.

716

:

And I've heard about that too.

717

:

You know, I don't know.

718

:

I.

719

:

It's never been an, I think early on I had

people contact me who were like, Hey look.

720

:

If you do such and such for this.

721

:

, you know, like an agent or something,

contact me if you do this for

722

:

my client, like, we'll send you.

723

:

People and we'll put you out there.

724

:

And I kind of looked at her

and I was like, I don't really

725

:

like nothing against you.

726

:

I don't really want the people that are.

727

:

Associated with you.

728

:

Like that's not my people.

729

:

The people who I want as patients.

730

:

It's not that they're bad.

731

:

It's just, that's not

kind of where I'm at.

732

:

Yeah.

733

:

That's not what I do.

734

:

Yeah.

735

:

That's not your probably

we're not compatible.

736

:

In a professional relationship.

737

:

Um, so yeah, I don't know how that works.

738

:

Really.

739

:

Yeah.

740

:

It's super interesting.

741

:

One thing I'll do, whether it's

like a product line I'm considering

742

:

bringing on or people I'm considering

working with or whatever is I'll go

743

:

to their social media, of course.

744

:

But if they have a big number of

followers, I go right down to their posts

745

:

and I'm like, what's your engagement?

746

:

Like, how many people are actually

liking and commenting on these posts?

747

:

Um, because like I suck at social

media, like both of all of my

748

:

accounts have not huge followers.

749

:

But the followers I have are real

clients who are engaged, who are

750

:

spending money and that's what matters.

751

:

So I think there's this rise of

like the micro influencer where

752

:

it's like, they actually have.

753

:

An audience that engages.

754

:

Cause it doesn't matter if you have

a hundred thousand followers, if

755

:

they're not liking commenting or

participating in your brand, you know?

756

:

Right.

757

:

, but it gives the illusion that,

that person's pretty cool.

758

:

Well, Well, as long as

it makes them feel good.

759

:

Hello.

760

:

I don't know.

761

:

Don't care.

762

:

I don't know.

763

:

And that's that.

764

:

I was told I had to do it.

765

:

And it's.

766

:

We put things out on it and it's

very minimalistic and it's kind of

767

:

like, here's a new thing we're doing.

768

:

Like, here's the results

you get from something.

769

:

Yeah, just because I run everything,

you know, in the webpage and I just

770

:

don't have time to put that stuff.

771

:

A lot of before and after type thing.

772

:

So it's just, it's a very

quick and easy like hair.

773

:

This is.

774

:

You know, this is something we

did today with a new procedure,

775

:

and this is what it looks like.

776

:

Yeah.

777

:

Here you go.

778

:

Well, Mike, that's a good segue.

779

:

Are there any new procedures

or offerings that.

780

:

You are doing that.

781

:

You're super excited about.

782

:

Yes.

783

:

, so earlier this year I brought

on a device called endo lift.

784

:

I was hoping you had mentioned that.

785

:

Yeah.

786

:

So it's the only one in

the state of Georgia.

787

:

It was a matter of fact.

788

:

No big deal.

789

:

No.

790

:

It's a great procedure.

791

:

It's been, it's a, it's a laser.

792

:

A non ablative laser that's been

quite popular in Europe for about,

793

:

it's got a good 16 or 17 years

of literature and data behind it.

794

:

So it's not an LMU.

795

:

New procedure is Europe like the hotspot?

796

:

, do they get all the cool stuff first?

797

:

And then it trickles down.

798

:

Typically originates.

799

:

And, , so this is interesting.

800

:

I was having a discussion

with a patient the other day.

801

:

Cause we have, we do have a new, there's

a new injectable product out now, too.

802

:

Okay.

803

:

Through the company

Allegan called skin Vive.

804

:

And we can talk about that.

805

:

Okay.

806

:

Um, but I, the common misconception is

that everything goes over there first

807

:

because it's easier to get approved.

808

:

Okay.

809

:

It's quite a bit harder.

810

:

Exactly.

811

:

Okay.

812

:

So it's way harder to get things approved

over in the EU before it is over here.

813

:

Standards.

814

:

Exactly.

815

:

Way higher standards.

816

:

So by the time we get most of these

products, they have a good seven, eight.

817

:

Nine years of data and use behind them

before we even get our hands on them.

818

:

So when they come through our

FDA, a lot of these injectables.

819

:

Specifically have a year of

data that are put into them.

820

:

And then we get them released to us.

821

:

And then we screw it up for awhile

because we don't listen to anybody.

822

:

Cause we think we know everything.

823

:

And then it goes into play, but yeah.

824

:

So typically these products

are in the EU and South Korea.

825

:

As a big place.

826

:

Cause that's one of

the, largest consumers of.

827

:

nOn-surgical cosmetics.

828

:

The world.

829

:

Yeah.

830

:

So we get those.

831

:

, so I, Brought endo lift

on earlier this year.

832

:

And of course, before I bring any new

procedure on, I do quite a bit of research

833

:

and data seeking and talking to people.

834

:

Who've done it for awhile.

835

:

And.

836

:

So I brought in to lift

on due to the fact.

837

:

That I could do things with that, that

I can't do with any other devices.

838

:

So with endo lift, it is a, it's a laser.

839

:

That's on a tiny little fiber

optic cable that ranges anywhere

840

:

in size from 300 to 400 microns

in width, which is three to four.

841

:

Freedom in English.

842

:

So.

843

:

Uh, one piece of paper.

844

:

Because there's a hundred microns.

845

:

Oh, okay.

846

:

And width.

847

:

Okay.

848

:

So three to four pieces of paper.

849

:

And it's a tiny little fiber optic cable.

850

:

And we can do a couple things.

851

:

Whether we can tighten tissue

with it, I can do pure lipolysis

852

:

or fat burning with it.

853

:

So it opens up a lot of avenues.

854

:

That I couldn't address previously.

855

:

Okay.

856

:

So now, you know, if we need

to burn a double chin out, I no

857

:

longer nothing against Kybella.

858

:

I just, I can do it in 30 minutes and

an afternoon at a fraction of the cost

859

:

without the downtime and be done with it.

860

:

That's huge.

861

:

And are the results permanent?

862

:

Well, nothing's permanent.

863

:

That's probably good that we don't really

want permanence to see in our life.

864

:

Do we.

865

:

I don't think so.

866

:

I'd like to permanently

win the lottery through.

867

:

Every year.

868

:

Yeah.

869

:

No.

870

:

You know, for our sake today,

once the fat is gone, it.

871

:

This is not necessarily true,

but it's gone for the most part.

872

:

Hopefully we'll continue to

age and your skin will continue

873

:

to get more lax over time.

874

:

So that may have to be repeated,

but hopefully in the meantime,

875

:

we're doing other things in order

to keep your skin intact and.

876

:

Yeah.

877

:

Up in shape.

878

:

So if somebody does this for their

chin, for example, , is it something

879

:

where maybe is it like an every five

to 10 years they'll want to come back

880

:

and do a touch-up or it just sort of

depends on what we're seeing in Europe.

881

:

It's about every three to

four years and that can, and.

882

:

That can change based upon the patient.

883

:

Yup.

884

:

That's so interesting.

885

:

Yeah.

886

:

Where else.

887

:

Can you use it?

888

:

I brought it on to, I brought it

specifically into practice for

889

:

under the chin double chin jowl.

890

:

Jabil's and eye bags.

891

:

Ooh, because those are the areas

that are the toughest to treat.

892

:

I look, nothing's going

to replace surgery.

893

:

It's just not.

894

:

Like diet surgery.

895

:

Yeah.

896

:

It's for patients who we can

rectify it without surgery.

897

:

They're not surgical candidates.

898

:

For any number of reasons

they don't want surgery.

899

:

They're just not quite there yet.

900

:

Yeah.

901

:

, whatever the reason may be.

902

:

So it's something that we can do.

903

:

Either.

904

:

Solely on its own.

905

:

Sometimes we'll do these

procedures in lieu of surgical

906

:

putting off surgery for a while.

907

:

If need be.

908

:

, So it could be a nice adjunct therapy.

909

:

But I would never tell anybody that.

910

:

You know, and for a lot of.

911

:

If they were wanting surgery, then,

then we need to refer to surgery.

912

:

Okay.

913

:

Yeah.

914

:

And do you have a plastic

surgeons that you work with and

915

:

that you refer your patients to?

916

:

And we work with the cosmetic surgeon

that I do have a two or three plastic

917

:

surgeons that I will refer out to.

918

:

Okay.

919

:

Quite trust.

920

:

Absolutely and believe me election.

921

:

If somebody comes in and they.

922

:

I think there are surgical, then they,

that I will refer to them to surgery.

923

:

That's nice.

924

:

Well, Well, I think it's

incumbent upon me to.

925

:

You know, from a moral and

ethical obligation in order to get

926

:

patients in the right channel and

to get, do what's best for them.

927

:

It doesn't benefit me.

928

:

If we're doing something.

929

:

You're not happy.

930

:

I'm probably not going to be happy

because I'm not ever really happy.

931

:

Just

932

:

believe it.

933

:

I am going to be the harshest critic

of everything that's done in my office.

934

:

Um, Which is unfortunate.

935

:

Um, Nobody around me, but, , For patients.

936

:

Yeah.

937

:

No, it's it's good, but

we, patients need to be.

938

:

We need to take care

of do the right thing.

939

:

It's all.

940

:

As long as they're doing the

right thing, then, then everything

941

:

else will fall into place.

942

:

Well, I certainly agree with that.

943

:

, I have noticed a rise

of people getting chin.

944

:

Lipo.

945

:

So if full-blown lipo is like a 10 out

of 10, cause obviously that's surgery.

946

:

Um, where would endo left

fit on that spectrum?

947

:

If somebody was wanting

to treat that same area?

948

:

Depends upon the presentation.

949

:

So if I, if it's a typic, if it's

a younger patient who has a little

950

:

bit of a fat pad underneath there

that would have quote unquote ban a

951

:

Kybella patient previously, right.

952

:

We can take care of that

in 35, 40 minutes for.

953

:

You know, again, a fraction of the cost.

954

:

For what Kybella would take.

955

:

They might have a couple of days of

soreness, maybe a little bit of numbness

956

:

in the area, just from the inflammation.

957

:

It can take.

958

:

Yeah, three, four months to see

the final result within that's

959

:

just the way the body heals.

960

:

Sure.

961

:

But.

962

:

I've got nothing against

Kybella, but again, The.

963

:

You know, the issue with Kybella and what

patients sometimes have run into is that.

964

:

But I found over years cause I w worked

with Kybella when it first hit the

965

:

market, before it was called Kybella.

966

:

And the issue with Ty

Bella always was that what?

967

:

It's expensive.

968

:

Aha.

969

:

So it's, you know, it's.

970

:

It's not only expensive for the patient.

971

:

It's not cheap for the provider.

972

:

I'm going to let you in, you know,

one of the dirty little secret in.

973

:

And this is just the return on investment

is not high for a provider with Kybella.

974

:

Okay.

975

:

We don't make a lot of money off Kybella.

976

:

Interesting.

977

:

That's not why I don't recommend doing it.

978

:

I just have a better way to do it now.

979

:

Right.

980

:

But even previously, I tend to

refer patients out to another

981

:

procedure, whether it be full-blown

lipo or something like face tight.

982

:

Iraqi tight or something else that

just because the investment that

983

:

they would've put in, you know,

they would have, it typically takes.

984

:

Uh, two to four treatments

in order to see something.

985

:

And then it's very subjective.

986

:

Right.

987

:

Is the patient happy with it?

988

:

Right.

989

:

And that's, I mean,

are they, I don't know.

990

:

Are you going to, but they have to

be done six to eight weeks apart.

991

:

So are you willing to have two to

four treatments spaced six to eight

992

:

weeks apart at about somewhere between

a thousand to $1,500 a treatment?

993

:

Damn.

994

:

So now you're into it like five grand.

995

:

Yeah.

996

:

And then you could literally just.

997

:

Just go right down and get it done in an

hour and be done with it for six grand.

998

:

Yeah, that's always my feeling about it.

999

:

I think that's incumbent upon me

doing non-surgical procedures.

:

00:36:46,821 --> 00:36:47,661

I have to weigh.

:

00:36:48,141 --> 00:36:51,111

The not only at risk benefit,

but I have to weigh the.

:

00:36:51,501 --> 00:36:53,721

I not trying to manage your checkbook.

:

00:36:53,811 --> 00:36:54,201

Right.

:

00:36:54,321 --> 00:36:57,141

But I also have to look at the financial

consideration if we're going to do some

:

00:36:57,171 --> 00:37:01,341

that thing from a non-surgical standpoint,

and it's going to cost that much.

:

00:37:01,341 --> 00:37:05,481

It's up to me to say, look, I think

you need to go and think about a

:

00:37:05,481 --> 00:37:07,371

more permanent solution to this.

:

00:37:07,401 --> 00:37:08,721

If it's going to cost that much already.

:

00:37:08,721 --> 00:37:11,051

Cause once I started pricing

you into the surgical realm.

:

00:37:11,181 --> 00:37:12,651

We need to investigate that.

:

00:37:12,951 --> 00:37:14,751

Whether you decide to go that

route, I'm going to leave that

:

00:37:14,751 --> 00:37:17,361

up to you, but you need as much

information as you possibly can.

:

00:37:17,691 --> 00:37:21,231

I really, or you make before you make an

informed, cause you can't make an informed

:

00:37:21,231 --> 00:37:25,161

decision on this, unless you go with,

unless you go and talk to people, right.

:

00:37:25,581 --> 00:37:30,741

I think a lot of people hear the word

surgery and like a barrier pops up.

:

00:37:31,121 --> 00:37:34,031

, but I think people would be surprised

how many people are walking around

:

00:37:34,061 --> 00:37:39,791

with all sorts of surgical procedures

and how kind of easy it is these days.

:

00:37:40,451 --> 00:37:44,284

Like, you know, this is kind of

my talking point is we don't know,

:

00:37:44,284 --> 00:37:45,544

unless you go talk to somebody.

:

00:37:45,634 --> 00:37:45,994

Sure sure.

:

00:37:46,534 --> 00:37:49,054

Going and sitting down and

talking to the surgeon or whoever

:

00:37:49,054 --> 00:37:49,954

you're going to talk to you.

:

00:37:50,554 --> 00:37:52,474

You don't know what it involves and.

:

00:37:52,714 --> 00:37:54,904

Just because you go in and sit in

the office and talk to somebody that

:

00:37:54,904 --> 00:37:57,634

doesn't mean that you are, they're

going to, you're not going to drug you

:

00:37:57,664 --> 00:38:01,114

and pull you back and, you know, Just

perform surgery on you without you

:

00:38:01,114 --> 00:38:02,644

knowing it, at least now you might know.

:

00:38:02,734 --> 00:38:05,554

And then if you decide, well, that's

not quite for me, then it's not for you.

:

00:38:05,584 --> 00:38:05,974

Yeah.

:

00:38:05,974 --> 00:38:08,494

But then you're making an informed and

educated and then there's just some

:

00:38:08,494 --> 00:38:12,514

patients I see, like, Hey, I got, we

cannot do this from a non-surgical stable.

:

00:38:12,514 --> 00:38:14,134

Like you, this is surgery.

:

00:38:14,164 --> 00:38:18,484

What you want, what your expectations

are, surgical expectations.

:

00:38:18,484 --> 00:38:19,354

I can't do that.

:

00:38:19,564 --> 00:38:20,824

Like we cannot do that.

:

00:38:20,824 --> 00:38:23,074

So this is the way I think you

need to go save your money.

:

00:38:23,524 --> 00:38:25,114

Don't blow your money with anybody.

:

00:38:25,264 --> 00:38:27,094

Like not me, not with anybody else.

:

00:38:27,154 --> 00:38:27,604

Right.

:

00:38:27,694 --> 00:38:31,264

Cause unfortunately, If I have that

discussion, some people are going to

:

00:38:31,264 --> 00:38:34,474

go find somebody else and somebody

will do what you want to have done.

:

00:38:34,654 --> 00:38:35,464

Somebody will do it.

:

00:38:35,944 --> 00:38:37,294

Yeah, that's the scary part.

:

00:38:37,954 --> 00:38:38,944

Let me ask you this.

:

00:38:39,034 --> 00:38:42,004

So I'm in my mid thirties and a.

:

00:38:42,514 --> 00:38:43,474

Obviously.

:

00:38:43,924 --> 00:38:45,034

Um, AGA two.

:

00:38:47,344 --> 00:38:48,484

Mike's prematurely gray.

:

00:38:50,434 --> 00:38:52,264

You have the same natural

hair color is my best friend.

:

00:38:52,264 --> 00:38:54,004

And she's also thinking

my hair is turning black.

:

00:38:54,034 --> 00:38:54,304

Again.

:

00:38:54,304 --> 00:38:54,754

It's weird.

:

00:38:54,784 --> 00:38:55,804

I don't know what's going on.

:

00:38:56,254 --> 00:38:56,674

Is it really?

:

00:38:56,764 --> 00:38:57,274

Yeah.

:

00:38:57,334 --> 00:38:58,684

We are all over.

:

00:38:58,684 --> 00:39:00,124

It's just getting blacker.

:

00:39:00,184 --> 00:39:01,084

I don't know what's happening.

:

00:39:01,204 --> 00:39:01,984

Interesting.

:

00:39:02,044 --> 00:39:02,074

Yeah.

:

00:39:02,314 --> 00:39:04,024

We need to do some

investigation into this.

:

00:39:04,054 --> 00:39:06,274

You have very curious,

well, it looks great.

:

00:39:07,654 --> 00:39:10,714

Um, I find myself personally.

:

00:39:11,854 --> 00:39:15,514

Like trying to mentally strike

this balance of what should I

:

00:39:15,514 --> 00:39:18,274

be doing realistically now to a.

:

00:39:19,414 --> 00:39:21,964

It's not like I don't want to

age, but of course I want to stay

:

00:39:21,994 --> 00:39:23,524

looking good as long as possible.

:

00:39:23,824 --> 00:39:27,814

, and what should I hold off

and kind of leave like these

:

00:39:27,814 --> 00:39:28,984

bigger things down the road.

:

00:39:29,014 --> 00:39:32,224

So I guess with something like endo

left, for example, If somebody in

:

00:39:32,224 --> 00:39:36,274

their thirties is like, oh, I'm

noticing like, I've got I bags.

:

00:39:36,304 --> 00:39:38,044

You mentioned for example, that

you can treat it with that.

:

00:39:38,414 --> 00:39:42,854

Is it something where it would be

who've them to get endo lift earlier?

:

00:39:43,184 --> 00:39:45,764

Would that stave off needing like.

:

00:39:46,364 --> 00:39:47,894

I surgery or is it.

:

00:39:48,224 --> 00:39:49,664

Like, I feel like I'm rambling.

:

00:39:49,904 --> 00:39:51,194

I'm poorly formed.

:

00:39:51,554 --> 00:39:52,274

Taking this all in.

:

00:39:52,274 --> 00:39:54,224

And I know in his chair, Yeah.

:

00:39:56,114 --> 00:39:56,354

Yes.

:

00:39:56,564 --> 00:39:57,044

I do know.

:

00:39:57,734 --> 00:39:59,384

Uh, the answer is.

:

00:39:59,924 --> 00:40:00,524

Yes.

:

00:40:00,524 --> 00:40:01,394

And I don't know.

:

00:40:01,964 --> 00:40:02,294

Okay.

:

00:40:03,764 --> 00:40:04,694

What's the next question.

:

00:40:05,624 --> 00:40:07,664

So, yes, the answer is.

:

00:40:08,354 --> 00:40:10,064

Um, Yes.

:

00:40:10,094 --> 00:40:10,934

If you're.

:

00:40:11,141 --> 00:40:13,331

If you're younger and you.

:

00:40:14,051 --> 00:40:15,581

More tissue Alasta city.

:

00:40:16,121 --> 00:40:21,281

You have thicker tissue, you're going to

respond better to a nonsurgical procedure.

:

00:40:21,431 --> 00:40:21,881

Okay.

:

00:40:21,944 --> 00:40:25,604

once we get more, more mature,

our skin starts that then you

:

00:40:25,604 --> 00:40:26,774

don't have that deeper structure.

:

00:40:26,774 --> 00:40:28,904

You don't have tissue

elasticy you gets a harder.

:

00:40:29,324 --> 00:40:30,884

From a non-surgical standpoint.

:

00:40:31,574 --> 00:40:34,214

to rectify some of these issues

that people present with.

:

00:40:34,304 --> 00:40:34,724

Okay.

:

00:40:35,144 --> 00:40:36,014

Is there, sorry to cut you off.

:

00:40:36,104 --> 00:40:39,284

Is there like an average age where,

what you're referring to right

:

00:40:39,284 --> 00:40:41,294

now, generally, like when you see.

:

00:40:41,924 --> 00:40:42,974

And it is funny.

:

00:40:43,304 --> 00:40:46,034

No, this is a question like

how old is too old for this?

:

00:40:46,034 --> 00:40:46,394

How young?

:

00:40:46,514 --> 00:40:48,254

Well, of course there's a too young.

:

00:40:48,704 --> 00:40:52,274

Yeah, there's a too young age

for, for all sorts of things.

:

00:40:52,874 --> 00:40:53,024

Yeah.

:

00:40:53,294 --> 00:40:54,884

You know, first statics of course.

:

00:40:55,094 --> 00:40:58,454

, and, and those ages are

put on PR products, right?

:

00:40:58,454 --> 00:41:01,814

So, so the FDA, even there's a certain

age requirement for a lot of these

:

00:41:01,814 --> 00:41:03,374

products to be administered on patients.

:

00:41:03,374 --> 00:41:04,154

So that's fine.

:

00:41:04,784 --> 00:41:07,904

I don't know that I don't

really look at age as a.

:

00:41:08,144 --> 00:41:09,914

As a, as the determining factor.

:

00:41:10,154 --> 00:41:13,454

It just depends on what the patient

presents with and how they present

:

00:41:13,454 --> 00:41:15,824

in my office and what they have.

:

00:41:16,034 --> 00:41:17,624

You know, what I would

do, we have to work with.

:

00:41:18,104 --> 00:41:21,314

What's gonna work best and what,

what can we do to make the most

:

00:41:21,314 --> 00:41:23,024

impact and get the best result?

:

00:41:23,494 --> 00:41:24,004

, safely.

:

00:41:24,184 --> 00:41:24,604

Yeah.

:

00:41:24,814 --> 00:41:27,664

And we're both of us are

going to be happy with it.

:

00:41:27,964 --> 00:41:31,354

And that's kind of where the

determining factor really is.

:

00:41:31,984 --> 00:41:33,244

Do we need younger age?

:

00:41:33,244 --> 00:41:35,014

Is that necessarily going to

mean that you're not going to

:

00:41:35,014 --> 00:41:36,184

need anything later in life?

:

00:41:36,244 --> 00:41:37,054

May, maybe.

:

00:41:38,014 --> 00:41:40,984

No, maybe if it's dressed younger,

but I don't, you know, You've got all

:

00:41:40,984 --> 00:41:44,224

these other factors that come into play

in environmental factors, genetics.

:

00:41:44,494 --> 00:41:48,154

Who knows what's going to happen between

now and five years from now or tomorrow?

:

00:41:48,274 --> 00:41:48,634

Yeah.

:

00:41:49,564 --> 00:41:51,724

So to a certain, to a certain extent.

:

00:41:51,724 --> 00:41:52,324

Yes.

:

00:41:52,744 --> 00:41:55,054

But, but then that's where

the, I don't know, comes in.

:

00:41:55,414 --> 00:41:56,194

We would think.

:

00:41:56,794 --> 00:42:00,064

We do know, and people laugh

at this, but yes, of course.

:

00:42:00,454 --> 00:42:02,614

There's something to prophylactic Botox.

:

00:42:03,424 --> 00:42:03,754

Right.

:

00:42:03,784 --> 00:42:04,924

There's something to that.

:

00:42:05,044 --> 00:42:05,344

I.

:

00:42:05,344 --> 00:42:08,254

When you're preventing the tissue

from folding over time and time

:

00:42:08,254 --> 00:42:11,194

again, and you're getting in a

little bit of muscle atrophy.

:

00:42:11,194 --> 00:42:13,624

Of course, you're not going to

have as deep lines down the road.

:

00:42:13,774 --> 00:42:16,954

If, if you're 40 and you start

again at 30, then if you started

:

00:42:16,954 --> 00:42:19,024

getting into 39 and 40, right.

:

00:42:19,864 --> 00:42:22,774

And there's also some other things

with tissue remodeling with Botox

:

00:42:22,774 --> 00:42:24,154

that we just don't quite understand.

:

00:42:24,154 --> 00:42:25,204

So when you see.

:

00:42:25,654 --> 00:42:30,034

That's why typically what I like

to see with Botox is not absence

:

00:42:30,034 --> 00:42:32,644

of lines, but you tend to see

the tissue just looks healthier.

:

00:42:32,764 --> 00:42:33,124

Yeah.

:

00:42:33,154 --> 00:42:35,464

It's better that people

don't talk about that enough.

:

00:42:35,644 --> 00:42:37,234

That post Botox glow.

:

00:42:37,264 --> 00:42:37,924

Exactly right.

:

00:42:38,644 --> 00:42:38,854

Yeah.

:

00:42:38,854 --> 00:42:42,064

There's something with the tissue

that happens that we don't, we're

:

00:42:42,094 --> 00:42:43,354

not quite sure where that happens.

:

00:42:43,444 --> 00:42:43,594

Um,

:

00:42:45,124 --> 00:42:45,334

no.

:

00:42:45,604 --> 00:42:47,464

Well, there's so much that happens.

:

00:42:48,994 --> 00:42:52,654

But there's something to good that,

and so yes, that lends itself to there.

:

00:42:52,654 --> 00:42:54,784

There is something to be said about.

:

00:42:54,917 --> 00:42:57,647

Staving off some of the effects

of agent agents, not bad.

:

00:42:58,127 --> 00:43:02,567

They, you know, if you're not

aging, Then you're not living right.

:

00:43:02,957 --> 00:43:04,607

I think aging is the better alternative.

:

00:43:04,757 --> 00:43:04,787

I.

:

00:43:04,817 --> 00:43:06,257

I agree, and there's

nothing wrong with Asia.

:

00:43:06,317 --> 00:43:08,837

I'm perfectly happy being I'm 52.

:

00:43:09,527 --> 00:43:09,947

How old am I?

:

00:43:10,937 --> 00:43:12,287

I'll be 52 next month.

:

00:43:12,467 --> 00:43:12,797

Yeah.

:

00:43:13,127 --> 00:43:13,847

You offered that up?

:

00:43:13,847 --> 00:43:15,467

Cause I was curious, but

I wasn't going to ask you.

:

00:43:16,877 --> 00:43:18,617

And 11 months, right.

:

00:43:18,707 --> 00:43:20,087

Happy early birthday, Mike.

:

00:43:22,307 --> 00:43:25,217

I believe me, I'm so happy

to have lived this log.

:

00:43:25,337 --> 00:43:26,117

Up in.

:

00:43:26,537 --> 00:43:30,287

And I think this is, this is true

of the majority of my patients.

:

00:43:30,857 --> 00:43:32,987

But there's no problem with aging.

:

00:43:33,557 --> 00:43:35,117

And I don't want to look younger.

:

00:43:35,267 --> 00:43:36,167

Really right.

:

00:43:36,407 --> 00:43:36,737

Right.

:

00:43:36,857 --> 00:43:39,377

You just want to look the best that you

can at this point in time in your life.

:

00:43:39,647 --> 00:43:43,997

You don't want to look different or weird

or younger, just as good as we can now.

:

00:43:44,327 --> 00:43:45,437

Refresh that's it.

:

00:43:45,527 --> 00:43:48,677

And that's, that's, that's all

that's most of my patients.

:

00:43:48,707 --> 00:43:48,917

Yeah.

:

00:43:49,097 --> 00:43:49,877

I think that's wonderful.

:

00:43:49,877 --> 00:43:52,757

And it's like, you don't want people

to be like, oh my God, you get

:

00:43:52,757 --> 00:43:54,257

great filler or you get great Botox.

:

00:43:54,287 --> 00:43:55,907

You want them to be like, you look great.

:

00:43:55,967 --> 00:43:57,527

Do you get anything done?

:

00:43:58,307 --> 00:44:01,757

I kind of have jokingly say this a

lot of like, you know, If anybody

:

00:44:01,757 --> 00:44:04,427

walks up to you and says, Hey,

your Botox or filler looks great.

:

00:44:04,427 --> 00:44:04,487

Just.

:

00:44:04,607 --> 00:44:06,947

And then take my card, like rip

it up and throw it in the trash

:

00:44:06,977 --> 00:44:08,297

because I did do no favors.

:

00:44:08,417 --> 00:44:10,007

It should not ever be noticed.

:

00:44:10,037 --> 00:44:10,637

Yes.

:

00:44:10,757 --> 00:44:11,507

A hundred percent.

:

00:44:11,597 --> 00:44:11,687

Right.

:

00:44:11,937 --> 00:44:14,457

, I think the only time it should be noticed

as if somebody knows you really well

:

00:44:14,457 --> 00:44:15,777

and they can tell a difference in their.

:

00:44:15,807 --> 00:44:18,177

I just like, uh, bitch,

those brow lines look really.

:

00:44:18,327 --> 00:44:18,507

Yeah.

:

00:44:19,347 --> 00:44:20,307

What the hell happened?

:

00:44:20,667 --> 00:44:21,207

You don't have that.

:

00:44:21,327 --> 00:44:21,477

Yeah.

:

00:44:21,837 --> 00:44:22,647

Exactly.

:

00:44:22,767 --> 00:44:24,267

That's what it should

all look very natural.

:

00:44:24,657 --> 00:44:26,907

Yes, I that's my that's my approach.

:

00:44:26,907 --> 00:44:28,107

And always has been, yeah.

:

00:44:28,257 --> 00:44:31,137

I know some people have a different

aesthetic that they want for themselves,

:

00:44:31,137 --> 00:44:34,827

but generally speaking, most people,

and this is what I've built my

:

00:44:34,827 --> 00:44:37,257

business on is natural results.

:

00:44:37,287 --> 00:44:40,977

I want you to look your most

beautiful and best based on your

:

00:44:40,977 --> 00:44:45,207

natural coloring, your natural hair

texture, because that's realistic.

:

00:44:45,237 --> 00:44:48,627

And it's not that I can't give you

hot pink hair, blue hair, crazy stuff.

:

00:44:48,657 --> 00:44:48,867

Right.

:

00:44:49,047 --> 00:44:50,937

But most people don't want that.

:

00:44:50,967 --> 00:44:53,247

They just want to look out

and I don't wait for that.

:

00:44:53,547 --> 00:44:57,387

And, you know, and I think the other thing

too, is the patients are my billboard.

:

00:44:57,807 --> 00:44:58,017

Right.

:

00:44:58,467 --> 00:45:02,517

You know, if I'm just, if I just

punt, you know, put a ton of filler in

:

00:45:02,517 --> 00:45:04,917

your lips and you walk around looking

crazy, of course, people are going

:

00:45:04,947 --> 00:45:06,117

to be like, Ooh, who does your lips?

:

00:45:06,537 --> 00:45:08,877

But I don't want my name

coming out of your mouth.

:

00:45:09,147 --> 00:45:09,987

If that's your thing.

:

00:45:09,987 --> 00:45:10,527

That's good.

:

00:45:10,557 --> 00:45:13,197

I can send you to somebody

who will do that for you.

:

00:45:13,467 --> 00:45:16,977

People who specialize in making

your lips big and that's fine.

:

00:45:17,327 --> 00:45:19,637

, that's just not, that's not

what you're, that's not me.

:

00:45:19,727 --> 00:45:20,057

Yeah.

:

00:45:20,117 --> 00:45:20,777

And that's a great thing.

:

00:45:20,967 --> 00:45:22,527

, that just reminded me of a funny story.

:

00:45:22,627 --> 00:45:26,677

, when I was 16, I got my

very first salon job.

:

00:45:27,037 --> 00:45:32,227

At van Michael and one of the master Silas

there had this client who wanted a mullet

:

00:45:32,557 --> 00:45:34,357

and he was like, listen, here's the deal.

:

00:45:34,927 --> 00:45:40,057

I will give you the most technically sound

, well executed mullet that I can give you,

:

00:45:40,237 --> 00:45:43,357

but you cannot tell anybody that I did it.

:

00:45:43,387 --> 00:45:47,137

And she had to like agree before he

would cut her hair, which I respected.

:

00:45:47,417 --> 00:45:51,227

, cause sometimes people ask for stuff

and you're just like, Like I CA I can't.

:

00:45:51,287 --> 00:45:52,217

I just get out.

:

00:45:52,367 --> 00:45:52,547

Yeah.

:

00:45:52,847 --> 00:45:54,617

Sometimes you just got to say no.

:

00:45:54,707 --> 00:45:55,097

Yeah.

:

00:45:55,157 --> 00:45:57,677

And like you said earlier, there's

somebody else who will do it for them.

:

00:45:57,737 --> 00:45:59,087

But he will do whatever you want.

:

00:45:59,597 --> 00:46:00,917

You can find somebody in Atlanta.

:

00:46:01,097 --> 00:46:02,117

Did them, whatever it now.

:

00:46:02,567 --> 00:46:03,677

Especially in Atlanta.

:

00:46:03,857 --> 00:46:04,487

You can have.

:

00:46:06,437 --> 00:46:07,667

Just go right down the street.

:

00:46:07,967 --> 00:46:08,177

Sure.

:

00:46:08,177 --> 00:46:09,137

There's somebody who will do it.

:

00:46:09,377 --> 00:46:09,917

Exactly.

:

00:46:09,917 --> 00:46:09,947

Yeah.

:

00:46:10,277 --> 00:46:10,847

That's fine.

:

00:46:11,357 --> 00:46:11,927

Good for them.

:

00:46:12,017 --> 00:46:12,347

Yeah.

:

00:46:12,377 --> 00:46:13,637

Good for them, but not good for us.

:

00:46:13,887 --> 00:46:15,957

, so Mike, I had some.

:

00:46:16,037 --> 00:46:18,257

Questions submitted for you.

:

00:46:18,317 --> 00:46:19,877

Would you like to do a little Q and a.

:

00:46:20,507 --> 00:46:20,927

Yes.

:

00:46:20,987 --> 00:46:21,287

Okay.

:

00:46:21,317 --> 00:46:21,797

Perfect.

:

00:46:21,857 --> 00:46:22,757

I was hoping you'd say that.

:

00:46:22,787 --> 00:46:23,087

Yes.

:

00:46:24,467 --> 00:46:26,387

Let's let's tackle some questions.

:

00:46:26,387 --> 00:46:27,317

Okie dokie.

:

00:46:27,497 --> 00:46:28,667

Question number one.

:

00:46:29,267 --> 00:46:31,007

Why can't you work out after Botox?

:

00:46:31,184 --> 00:46:31,754

You can.

:

00:46:32,084 --> 00:46:32,384

Oh.

:

00:46:33,254 --> 00:46:34,724

Uh, I wasn't prepared for that.

:

00:46:35,234 --> 00:46:35,744

So this.

:

00:46:36,584 --> 00:46:37,604

Oh, look.

:

00:46:38,174 --> 00:46:42,244

Here's the deal, , in medicine, there's,

there's a lot of cover your ass medicine.

:

00:46:42,754 --> 00:46:42,964

Right.

:

00:46:43,324 --> 00:46:44,704

There's a lot of CYA in medicine.

:

00:46:44,781 --> 00:46:49,251

I think what happened was people

weren't quite sure the mechanism

:

00:46:49,251 --> 00:46:51,471

really aesthetically of what Botox did.

:

00:46:51,921 --> 00:46:55,131

So there was a lot of hearsay, you

know, don't do this for 24 hours.

:

00:46:55,131 --> 00:46:55,971

Don't do that.

:

00:46:56,001 --> 00:46:56,661

Do this.

:

00:46:56,661 --> 00:46:57,471

Don't do that.

:

00:46:57,951 --> 00:47:04,251

And then when Botox got its indication

for the horizontal forehead lines, they

:

00:47:04,251 --> 00:47:05,811

looked a little bit deeper into this.

:

00:47:05,931 --> 00:47:06,261

Okay.

:

00:47:06,831 --> 00:47:09,531

And a lot of us back in the

day, we're kind of like that.

:

00:47:09,621 --> 00:47:10,491

Does it make sense?

:

00:47:10,491 --> 00:47:13,101

Because the way Botox works,

it shouldn't make a difference

:

00:47:13,101 --> 00:47:14,751

whether you work out or not really.

:

00:47:15,051 --> 00:47:15,801

, and it's true.

:

00:47:16,341 --> 00:47:16,671

Okay.

:

00:47:16,701 --> 00:47:21,237

So the mechanism of action from a

pharmacologic standpoint is such that

:

00:47:21,237 --> 00:47:24,057

you can't really, you can't hurt Botox.

:

00:47:24,147 --> 00:47:24,657

Okay.

:

00:47:24,687 --> 00:47:27,537

So it's boundary reversibly

to the receptor immediately.

:

00:47:27,567 --> 00:47:29,217

So once it's bound, it's there.

:

00:47:29,997 --> 00:47:31,317

So I will tell my.

:

00:47:31,707 --> 00:47:34,707

I mean, one of my mentors who was

what, in the studies, he tells his

:

00:47:34,707 --> 00:47:37,167

patients, they can go do whatever they

want after they inject Botox to you.

:

00:47:37,197 --> 00:47:37,797

Ain't going to hurt it.

:

00:47:38,037 --> 00:47:38,697

Oh, interesting.

:

00:47:38,757 --> 00:47:42,387

I tend to recommend about an hour

or two, just because we just stuck

:

00:47:42,387 --> 00:47:43,467

a bunch of needles in your face.

:

00:47:43,467 --> 00:47:44,847

I think it's fine for you to take.

:

00:47:45,537 --> 00:47:46,467

A couple hours off.

:

00:47:46,497 --> 00:47:46,917

Sure.

:

00:47:47,157 --> 00:47:50,307

But you're not going to hurt it,

but a lot of it was so we could

:

00:47:50,307 --> 00:47:51,777

blame the patient for ruin it.

:

00:47:52,047 --> 00:47:52,617

Interesting.

:

00:47:52,677 --> 00:47:53,157

Okay.

:

00:47:53,427 --> 00:47:53,967

So I know.

:

00:47:55,047 --> 00:47:56,547

Sometimes people say don't work out.

:

00:47:56,547 --> 00:47:59,247

Sometimes it's like, don't

lay down for six hours.

:

00:47:59,247 --> 00:48:01,197

I don't massage the area.

:

00:48:01,377 --> 00:48:02,247

It's not going to do anything.

:

00:48:02,337 --> 00:48:04,257

Would massage, even massaging wouldn't.

:

00:48:04,444 --> 00:48:05,464

There's no reason to.

:

00:48:05,631 --> 00:48:06,471

To massager for it.

:

00:48:06,501 --> 00:48:06,741

Yeah.

:

00:48:06,801 --> 00:48:07,221

Okay.

:

00:48:07,461 --> 00:48:11,301

But theoretically, and from, from,

I mean, not even theoretically

:

00:48:11,301 --> 00:48:13,761

from a science standpoint, it

shouldn't make a difference.

:

00:48:13,791 --> 00:48:14,211

Okay.

:

00:48:14,601 --> 00:48:18,531

I feel like for 24 hours after I get

Botox, I'm so gentle with my forehead.

:

00:48:18,741 --> 00:48:21,351

And I like almost sleep

like elevated, like a fan.

:

00:48:22,221 --> 00:48:25,431

You're not going to, I mean, you're,

if you feel like that, that's fine.

:

00:48:25,461 --> 00:48:28,431

But again, I tell my patients take

two hours, then you can do, I mean,

:

00:48:28,431 --> 00:48:30,021

this is my exact spiel, two hours.

:

00:48:30,051 --> 00:48:31,281

You can go and do whatever you want.

:

00:48:31,281 --> 00:48:31,941

I don't care.

:

00:48:32,541 --> 00:48:33,681

And to do what it's going to do.

:

00:48:34,221 --> 00:48:34,731

Perfect.

:

00:48:34,911 --> 00:48:35,241

That's it.

:

00:48:35,421 --> 00:48:35,781

Alright.

:

00:48:35,841 --> 00:48:36,711

Well, you heard it here first.

:

00:48:36,801 --> 00:48:38,661

You can work out after two hours.

:

00:48:39,321 --> 00:48:39,771

Botox.

:

00:48:40,281 --> 00:48:41,001

This is my other.

:

00:48:41,271 --> 00:48:43,791

But tuck should be the

easiest thing you do all day.

:

00:48:44,451 --> 00:48:45,411

It's easy.

:

00:48:45,411 --> 00:48:46,011

You do it.

:

00:48:46,011 --> 00:48:47,961

And then just walk on and

go out about your business.

:

00:48:48,231 --> 00:48:50,451

And just let the magic

happen and magic happens.

:

00:48:50,451 --> 00:48:50,511

That's.

:

00:48:51,111 --> 00:48:51,441

Sure.

:

00:48:51,471 --> 00:48:52,071

Is magic.

:

00:48:52,281 --> 00:48:52,731

Okay.

:

00:48:52,761 --> 00:48:53,211

Thank you.

:

00:48:53,901 --> 00:48:54,351

Thank you.

:

00:48:54,621 --> 00:48:55,521

Next question.

:

00:48:56,421 --> 00:49:03,321

Ah, what are your thoughts on the new

injectables that last six plus months?

:

00:49:03,377 --> 00:49:06,197

Do we have a specific there's

a lot of there's we're talking

:

00:49:06,197 --> 00:49:07,277

about dermal fillers now.

:

00:49:07,847 --> 00:49:08,117

Perfect.

:

00:49:08,387 --> 00:49:09,377

Or are we talking about.

:

00:49:10,067 --> 00:49:11,927

Talking about that Botox alternative.

:

00:49:11,957 --> 00:49:12,917

Oh, that lasts longer.

:

00:49:12,977 --> 00:49:13,337

Yeah.

:

00:49:13,547 --> 00:49:14,657

Well, okay.

:

00:49:16,457 --> 00:49:17,357

Knowing who asked this?

:

00:49:17,357 --> 00:49:18,257

I think that's.

:

00:49:18,977 --> 00:49:20,687

So that's the refinance.

:

00:49:20,807 --> 00:49:21,497

Yeah.

:

00:49:21,647 --> 00:49:21,917

Yeah.

:

00:49:22,007 --> 00:49:25,197

So, I guess here's the

real deal on this product.

:

00:49:25,797 --> 00:49:27,897

And this is in, this is

in the product insert.

:

00:49:27,897 --> 00:49:31,587

So every product that gets any medication

has a product insert that has the

:

00:49:31,587 --> 00:49:33,117

study, is that we're in it, correct?

:

00:49:33,147 --> 00:49:34,467

That has to be that.

:

00:49:34,857 --> 00:49:37,347

Legally that has to be

put into the product.

:

00:49:37,647 --> 00:49:38,037

That's good.

:

00:49:39,057 --> 00:49:42,387

There is not one place in the

study that was ever done that,

:

00:49:42,387 --> 00:49:43,587

that product last six months.

:

00:49:44,127 --> 00:49:44,697

Oh shit.

:

00:49:44,937 --> 00:49:46,467

It doesn't last six months.

:

00:49:46,557 --> 00:49:47,907

So, this is just great marketing.

:

00:49:48,447 --> 00:49:49,347

Great marketing.

:

00:49:49,347 --> 00:49:53,487

And if I'm not mistaken, I don't know

this for a fact, but my understanding is.

:

00:49:53,997 --> 00:49:56,187

Is that they are currently in.

:

00:49:56,727 --> 00:50:01,287

A litigation due to the

marketing that says six months.

:

00:50:01,527 --> 00:50:04,437

That's my, that is my understanding

is that they, there is.

:

00:50:05,037 --> 00:50:07,407

A couple of the companies that

brought suit against them for

:

00:50:07,407 --> 00:50:10,347

their claims that last six months,

because it does not last six months.

:

00:50:10,617 --> 00:50:11,037

Okay.

:

00:50:11,097 --> 00:50:13,197

, it lasts about four.

:

00:50:13,197 --> 00:50:16,437

And I can't remember the percentage

of patients who were still satisfied

:

00:50:16,437 --> 00:50:19,317

at four months, but here's the other

thing with that product as well.

:

00:50:19,557 --> 00:50:22,347

It's doubled the dose

of what you would get.

:

00:50:22,347 --> 00:50:24,267

So they've been doing

studies of Botox too.

:

00:50:24,267 --> 00:50:27,627

If you double the dose of Botox,

you'll get it'll last longer.

:

00:50:27,987 --> 00:50:29,877

Well, I mean, of course.

:

00:50:30,267 --> 00:50:30,867

To last long.

:

00:50:30,897 --> 00:50:31,137

Yeah.

:

00:50:31,467 --> 00:50:35,217

You'll be frozen for a, for, for a while

long, or you won't have any movement,

:

00:50:35,217 --> 00:50:37,587

but it will last longer if you double

the dose and they've been working

:

00:50:37,587 --> 00:50:38,637

on this for a while, they'd have.

:

00:50:39,117 --> 00:50:40,467

And they've published some stuff on it.

:

00:50:40,977 --> 00:50:43,147

But they're not seeking

a longer approval for it.

:

00:50:43,507 --> 00:50:44,407

So revenge, it was.

:

00:50:44,587 --> 00:50:45,967

A much higher dose.

:

00:50:46,567 --> 00:50:47,017

Right.

:

00:50:47,147 --> 00:50:48,347

, so it's more costly.

:

00:50:48,677 --> 00:50:51,977

For about four, four and a half

months, I think it's somewhere rather.

:

00:50:51,977 --> 00:50:53,957

I can't remember what it was,

but again, it tapers off like

:

00:50:53,957 --> 00:50:55,307

every other neuromodulator does.

:

00:50:55,607 --> 00:50:55,967

Okay.

:

00:50:56,387 --> 00:51:00,857

Uh, so that's the real, so I, I never,

I didn't bring it on into my practice.

:

00:51:01,967 --> 00:51:03,407

And the reason is because of that.

:

00:51:03,797 --> 00:51:04,937

You know, one.

:

00:51:05,537 --> 00:51:08,687

It doesn't last six months, two, I

would end up charging people near

:

00:51:08,687 --> 00:51:11,087

double what I charged them for Botox.

:

00:51:11,687 --> 00:51:14,357

For a month, maybe more.

:

00:51:14,597 --> 00:51:17,507

Yeah, just, it didn't seem,

it didn't S it doesn't.

:

00:51:18,167 --> 00:51:19,727

It doesn't make much

of a difference to me.

:

00:51:20,297 --> 00:51:24,137

So, or in my patients too, you know,

cause I, I tend to talk to my patients

:

00:51:24,137 --> 00:51:25,487

about all of these things, you know?

:

00:51:25,487 --> 00:51:26,687

Like what do you feel about this?

:

00:51:26,687 --> 00:51:27,227

Because they're.

:

00:51:28,157 --> 00:51:30,017

That's why treat right.

:

00:51:30,077 --> 00:51:33,137

I think they have a say in what,

what we do at the practice.

:

00:51:33,137 --> 00:51:35,387

I mean, everywhere we work

together in this, it's not

:

00:51:35,387 --> 00:51:36,947

just me dictating what happens.

:

00:51:37,007 --> 00:51:37,487

Yeah.

:

00:51:37,637 --> 00:51:38,537

So that's that.

:

00:51:38,807 --> 00:51:41,567

And it just, it didn't nothing against,

I don't think it's a bad product.

:

00:51:41,597 --> 00:51:43,217

It just, it doesn't last six months.

:

00:51:43,517 --> 00:51:44,657

That's just it.

:

00:51:44,687 --> 00:51:45,827

And that's not me saying it.

:

00:51:45,917 --> 00:51:46,937

That's not my opinion.

:

00:51:46,937 --> 00:51:47,597

That's a fact.

:

00:51:47,657 --> 00:51:48,047

Yeah.

:

00:51:48,497 --> 00:51:51,557

I have a very good friend who

got it done at her dermatologist.

:

00:51:51,557 --> 00:51:52,607

And she's now a client of yours.

:

00:51:52,857 --> 00:51:54,147

, she got that done.

:

00:51:54,357 --> 00:51:57,477

Ah, it may have been earlier

this year and it was basically

:

00:51:57,477 --> 00:51:59,457

like, oh, my dermatologist told

me they've got this new thing.

:

00:51:59,457 --> 00:52:00,477

And last for six months, I got it.

:

00:52:00,837 --> 00:52:02,367

But she was like, damn,

that was expensive.

:

00:52:02,607 --> 00:52:05,127

And like you said, it absolutely

did not last for six months.

:

00:52:05,517 --> 00:52:06,327

Like what the hell?

:

00:52:06,807 --> 00:52:10,287

And I don't, I don't think it's, I don't

think providers are misrepresenting it.

:

00:52:10,287 --> 00:52:11,907

I just they're getting told something.

:

00:52:12,057 --> 00:52:15,267

And I think that's where the

investigation stops sometimes

:

00:52:15,297 --> 00:52:18,237

because people get busy and that's

like, I'm not defending anybody.

:

00:52:18,237 --> 00:52:20,277

It's just, that's the way

the world works sometimes.

:

00:52:20,397 --> 00:52:20,787

Yeah.

:

00:52:20,817 --> 00:52:25,047

But the patients who I've seen,

who have had it at other practices,

:

00:52:25,257 --> 00:52:27,477

that's, that's, that's the rub, right?

:

00:52:27,567 --> 00:52:28,257

You're paid.

:

00:52:29,157 --> 00:52:33,237

Twice as much as you would, and you're not

getting what you thought you were getting.

:

00:52:33,567 --> 00:52:35,667

You're going to like 10% more,

but kind of like you said, I'd

:

00:52:35,667 --> 00:52:40,017

rather have see you every three

months for like a feather touch.

:

00:52:40,047 --> 00:52:41,637

That keeps me just looking right.

:

00:52:42,177 --> 00:52:43,317

And we ice queen.

:

00:52:43,407 --> 00:52:46,287

Yeah, we can double the dose of

Botox and make you completely frozen.

:

00:52:46,467 --> 00:52:47,577

For five months.

:

00:52:48,027 --> 00:52:50,877

We could do that, but that's not,

my patients don't want that either.

:

00:52:51,207 --> 00:52:51,807

None of my patients.

:

00:52:52,017 --> 00:52:52,587

You bet.

:

00:52:52,767 --> 00:52:55,857

I mean, my patients in general,

we there's, there's some sacrifice

:

00:52:55,857 --> 00:52:56,607

that has to be made here.

:

00:52:56,607 --> 00:52:56,967

Do you want to.

:

00:52:57,597 --> 00:52:58,947

Do you want natural motion?

:

00:52:58,947 --> 00:52:59,997

Do you want some motion?

:

00:53:00,387 --> 00:53:01,677

And do you want to look natural?

:

00:53:01,977 --> 00:53:05,607

Or do you want to just have no

facial expression for the complete

:

00:53:05,607 --> 00:53:08,457

three months that it's FDA approved

for, which is the, which is the

:

00:53:08,457 --> 00:53:11,337

same for the other neuromodulators

on the market besides this one.

:

00:53:11,487 --> 00:53:11,817

Right.

:

00:53:11,877 --> 00:53:12,267

Interesting.

:

00:53:12,537 --> 00:53:15,987

So that's, that's, there's gotta

be some give and take care a

:

00:53:16,017 --> 00:53:18,957

little bit dependent about what you

want the aesthetic result to be.

:

00:53:19,197 --> 00:53:19,707

That makes sense.

:

00:53:20,127 --> 00:53:20,247

Right.

:

00:53:20,357 --> 00:53:23,687

, this is not the next question, but

to piggyback off of this, what is the

:

00:53:23,687 --> 00:53:25,877

difference between Botox and Dysport?

:

00:53:25,967 --> 00:53:26,297

I was.

:

00:53:26,507 --> 00:53:29,297

I'm glad you're saying it, because this

is something that comes up frequently.

:

00:53:29,477 --> 00:53:34,097

But there's so approved right

now in the U S market is five.

:

00:53:34,457 --> 00:53:35,717

Neuromodulators right.

:

00:53:35,717 --> 00:53:39,737

Botox was the original one and that's

been out the longest and that has.

:

00:53:40,697 --> 00:53:41,927

That has three.

:

00:53:42,407 --> 00:53:43,697

Three FDA indications.

:

00:53:43,877 --> 00:53:44,177

Okay.

:

00:53:44,207 --> 00:53:44,417

Okay.

:

00:53:44,417 --> 00:53:48,797

That are approved by the FDA crow's

feet, the 11 lines in the forehead lines.

:

00:53:49,337 --> 00:53:50,147

The VIP's.

:

00:53:50,207 --> 00:53:50,447

Yup.

:

00:53:51,347 --> 00:53:53,297

Then you have Dysport,

which was the next one.

:

00:53:53,297 --> 00:53:55,787

And that came quite a bit later,

but that's been out longer than

:

00:53:55,787 --> 00:53:56,987

some of the other ones on you have.

:

00:53:57,027 --> 00:53:57,567

, Xeomin.

:

00:53:59,187 --> 00:53:59,967

and now revenge.

:

00:54:00,131 --> 00:54:04,391

They're all the same Ciro type of

botulinum, toxin, botulinum, toxin, right.

:

00:54:04,481 --> 00:54:04,751

Okay.

:

00:54:04,901 --> 00:54:08,591

So they're all serotype a and that's

used there's seven different stereotypes.

:

00:54:08,681 --> 00:54:11,201

I'm not mistaken a through G there

probably isn't another one now.

:

00:54:11,951 --> 00:54:15,101

Because, , Th that's used because

it's the most virulent strain.

:

00:54:15,791 --> 00:54:16,121

Okay.

:

00:54:16,211 --> 00:54:18,191

So if we're going to do it,

let's get the most toxic.

:

00:54:19,151 --> 00:54:19,421

Correct.

:

00:54:20,501 --> 00:54:23,921

And so the difference between all of

them, it's it's, their molecular structure

:

00:54:23,921 --> 00:54:27,071

is slightly different, but they, all,

the mechanism of action is the same.

:

00:54:27,341 --> 00:54:29,891

So the molecular weight is a little

bit different between all of them.

:

00:54:29,951 --> 00:54:33,671

They're a little bit different in

the way that the molecule itself.

:

00:54:33,777 --> 00:54:35,067

What people frequently.

:

00:54:35,127 --> 00:54:38,367

Hear is that people will respond

to one and not the other.

:

00:54:39,597 --> 00:54:40,917

And just so people get switched.

:

00:54:40,947 --> 00:54:43,947

Like I didn't really respond to Botox

and they switched me to Dysport or

:

00:54:43,947 --> 00:54:45,387

whatever, and that worked better.

:

00:54:45,597 --> 00:54:46,107

Okay.

:

00:54:46,497 --> 00:54:49,197

That's that's physiologically impossible.

:

00:54:49,347 --> 00:54:51,237

Oh, interesting because

they're all the same.

:

00:54:51,537 --> 00:54:52,227

And I was like, huh?

:

00:54:52,587 --> 00:54:53,907

They're all the same serotype.

:

00:54:54,237 --> 00:54:54,477

Okay.

:

00:54:54,657 --> 00:54:56,007

So the body responds to them.

:

00:54:56,007 --> 00:54:56,907

Exactly the same.

:

00:54:57,087 --> 00:54:57,537

Okay.

:

00:54:57,597 --> 00:55:02,397

What frequently happens is that when

somebody gets changed, To something

:

00:55:02,397 --> 00:55:04,107

else, the dose gets increased.

:

00:55:04,947 --> 00:55:05,367

Okay.

:

00:55:05,517 --> 00:55:07,017

And the doses are not equivalent.

:

00:55:07,047 --> 00:55:10,017

One unit of Botox does not

equal one unit of Dysport does

:

00:55:10,017 --> 00:55:11,307

not equal one unit to see them.

:

00:55:11,307 --> 00:55:12,267

And so on far.

:

00:55:12,357 --> 00:55:14,457

You know, down the road, they're

just, they're not equivalent.

:

00:55:14,877 --> 00:55:17,037

And so there's a discrepancy

in the equivalency and

:

00:55:17,037 --> 00:55:18,057

they're measured differently.

:

00:55:18,177 --> 00:55:18,597

Okay.

:

00:55:19,377 --> 00:55:22,197

So you can think of a unit as a

milligram, like, you know, like

:

00:55:22,197 --> 00:55:23,307

1 million or a RAs or whatever.

:

00:55:23,397 --> 00:55:26,097

That's kind of, it's the same

unit, but the dosing is different

:

00:55:26,187 --> 00:55:27,777

based upon the neuromodulator.

:

00:55:27,957 --> 00:55:28,227

So.

:

00:55:28,617 --> 00:55:28,827

Okay.

:

00:55:29,457 --> 00:55:30,957

So that's what ends up happening.

:

00:55:31,167 --> 00:55:31,647

Gotcha.

:

00:55:31,707 --> 00:55:32,967

I can't respond to one.

:

00:55:33,267 --> 00:55:34,437

And not respond to the other.

:

00:55:34,527 --> 00:55:34,737

Okay.

:

00:55:34,797 --> 00:55:35,877

That's really where that boils down.

:

00:55:36,237 --> 00:55:38,637

It becomes just becomes a.

:

00:55:39,447 --> 00:55:41,997

Uh, uh, something that

somebody is comfortable with.

:

00:55:42,477 --> 00:55:42,777

Right.

:

00:55:43,017 --> 00:55:44,337

I prefer Botox.

:

00:55:44,337 --> 00:55:45,567

I've used all the other ones.

:

00:55:45,837 --> 00:55:48,867

And I've never truthfully, I

don't think I've ever seen.

:

00:55:49,047 --> 00:55:51,627

I've ever had a patient pay for

any of the other ones in all the

:

00:55:51,657 --> 00:55:52,707

years that I've been practicing.

:

00:55:53,007 --> 00:55:53,877

Oh, that says a lot.

:

00:55:54,027 --> 00:55:56,487

I use Botox, I use it on myself.

:

00:55:56,727 --> 00:55:59,037

, and I use Botox because I find it too.

:

00:55:59,157 --> 00:56:02,397

And I'm not, I don't think they're

bad products in the, the other ones.

:

00:56:02,427 --> 00:56:03,867

I just I'm the most comfortable.

:

00:56:03,867 --> 00:56:04,317

I see.

:

00:56:04,857 --> 00:56:09,147

Repeatable reproducible results

with Botox every single time it's

:

00:56:09,147 --> 00:56:10,977

got the most study data behind it.

:

00:56:11,577 --> 00:56:13,797

It just, it works the

best for me in my hands.

:

00:56:14,067 --> 00:56:14,487

Yeah.

:

00:56:15,147 --> 00:56:17,067

The other thing I like about Botox.

:

00:56:17,307 --> 00:56:19,317

I'm not tooting the company's horn.

:

00:56:19,347 --> 00:56:20,817

This is just true fact.

:

00:56:21,267 --> 00:56:23,277

It's the only product that's made.

:

00:56:23,697 --> 00:56:25,287

By the company that distributes it.

:

00:56:25,857 --> 00:56:26,787

Oh, okay.

:

00:56:27,057 --> 00:56:28,227

That's really interesting to know.

:

00:56:28,287 --> 00:56:28,497

Yeah.

:

00:56:28,527 --> 00:56:32,217

So it's made in the same lab

in Ireland that has been made

:

00:56:32,307 --> 00:56:34,287

since the inception of Botox.

:

00:56:34,347 --> 00:56:34,767

Wow.

:

00:56:34,797 --> 00:56:35,097

Right.

:

00:56:35,817 --> 00:56:39,927

And it came out in the nineties.,

for medical purposes, it's been

:

00:56:39,927 --> 00:56:43,827

out longer than that because it

has 12 medical indications as well.

:

00:56:44,247 --> 00:56:44,547

Right.

:

00:56:44,947 --> 00:56:48,387

, so it's been made by the same company,

Allegan and it's distributed by

:

00:56:48,387 --> 00:56:51,567

Allegan where the other products

are made by a third party lab.

:

00:56:51,657 --> 00:56:54,507

And then the company that

distributes them, slaps their name

:

00:56:54,507 --> 00:56:55,707

on it and then distributes it.

:

00:56:55,917 --> 00:56:56,127

Okay.

:

00:56:56,157 --> 00:56:57,357

Is that a big deal to a lot of people?

:

00:56:57,387 --> 00:56:57,897

No, it's not.

:

00:56:57,897 --> 00:57:01,227

I'm not saying those labs are bad, but

I like that everything is controlled

:

00:57:01,227 --> 00:57:04,587

by that company and everything

is under lock and key with them.

:

00:57:04,807 --> 00:57:06,067

, that makes a difference to me.

:

00:57:06,247 --> 00:57:09,337

I think that a lot of people would like

that if they knew it, I told the company,

:

00:57:09,337 --> 00:57:10,477

they should probably talk about that more.

:

00:57:10,537 --> 00:57:10,687

Yeah.

:

00:57:10,837 --> 00:57:11,167

What do I do?

:

00:57:11,407 --> 00:57:11,887

Interesting.

:

00:57:11,977 --> 00:57:12,517

I think so.

:

00:57:12,907 --> 00:57:13,777

I'm glad you shared that.

:

00:57:13,957 --> 00:57:14,257

Thank you.

:

00:57:14,317 --> 00:57:14,827

Good to know.

:

00:57:15,187 --> 00:57:15,307

Yeah.

:

00:57:15,337 --> 00:57:15,517

All right.

:

00:57:15,517 --> 00:57:15,847

Cool.

:

00:57:15,907 --> 00:57:17,197

Anything else on Botox or Dysport?

:

00:57:18,127 --> 00:57:18,367

No.

:

00:57:18,367 --> 00:57:20,017

I mean, it's, sometimes it's

just a preference thing.

:

00:57:20,017 --> 00:57:23,917

I think for a lot of people, I just,

for me, it just it's, I, it just,

:

00:57:23,947 --> 00:57:25,267

I just like it, it works better.

:

00:57:25,297 --> 00:57:26,557

There's more things I like about it.

:

00:57:26,557 --> 00:57:28,087

It's got more study data behind it.

:

00:57:28,297 --> 00:57:29,017

That's it.

:

00:57:29,107 --> 00:57:31,327

At FDA, if you're into FDA

approval is the only one that's

:

00:57:31,327 --> 00:57:32,617

FDA approved for all those areas.

:

00:57:32,857 --> 00:57:34,537

And the other ones are not interesting.

:

00:57:34,957 --> 00:57:35,137

Yeah.

:

00:57:35,437 --> 00:57:35,767

Okay.

:

00:57:37,007 --> 00:57:37,577

, all right.

:

00:57:37,997 --> 00:57:38,987

Next up.

:

00:57:40,547 --> 00:57:42,857

Ah, I'm very excited about this question.

:

00:57:44,417 --> 00:57:47,537

Does having Sculptra make

it more difficult to have

:

00:57:47,537 --> 00:57:48,977

a facelift down the road.

:

00:57:49,397 --> 00:57:49,967

Possibly.

:

00:57:50,237 --> 00:57:51,347

Ooh, tell us everything.

:

00:57:51,497 --> 00:57:53,777

So Sculptra is.

:

00:57:55,067 --> 00:57:55,847

Sculpture is it.

:

00:57:55,937 --> 00:57:56,777

Is it true?

:

00:57:57,137 --> 00:57:57,947

Dermal filler.

:

00:57:58,397 --> 00:58:01,397

I think when you look at dermal

fillers, they have this blanket

:

00:58:01,427 --> 00:58:02,657

name that's given to them.

:

00:58:02,657 --> 00:58:06,197

But I, I th I don't look at

them all in that, in that light.

:

00:58:07,097 --> 00:58:09,947

You know, you have the non

hyleronic acid fillers.

:

00:58:09,947 --> 00:58:10,907

What's culture is one.

:

00:58:11,177 --> 00:58:13,697

And then you have the hyaluronic

acid, you know, hyaluronic acid is

:

00:58:13,697 --> 00:58:14,897

a sugar that's made by our body.

:

00:58:14,897 --> 00:58:16,787

It's responsible for tissue hydration.

:

00:58:16,787 --> 00:58:18,017

Elasticy blah, blah, blah.

:

00:58:18,557 --> 00:58:20,777

And those are your

Juvederms and your Russell.

:

00:58:20,807 --> 00:58:22,157

Lynn's and whatever else.

:

00:58:22,367 --> 00:58:23,177

It's off the market now.

:

00:58:24,287 --> 00:58:27,227

And then you have sculpture, which

is a non hyaluronic acid it's

:

00:58:27,227 --> 00:58:31,007

commonly referred to as a nowadays

they call it a bio stimulator.

:

00:58:31,307 --> 00:58:32,657

Okay, whatever that means.

:

00:58:33,367 --> 00:58:37,537

, And it's something called

polylactic acid, which is a.

:

00:58:38,557 --> 00:58:39,487

For lack of a better word.

:

00:58:39,787 --> 00:58:41,947

It's it's plastic microplastics.

:

00:58:42,307 --> 00:58:43,327

Plastics in your face?

:

00:58:43,327 --> 00:58:43,537

Yes.

:

00:58:43,597 --> 00:58:43,957

Correct.

:

00:58:44,287 --> 00:58:45,037

In sugar water.

:

00:58:45,337 --> 00:58:45,787

Ooh.

:

00:58:45,967 --> 00:58:48,007

So that's how you distributed.

:

00:58:48,127 --> 00:58:48,307

Right.

:

00:58:48,967 --> 00:58:55,387

So it's interesting because what's

the, and now look, sculpture is

:

00:58:55,387 --> 00:58:57,217

FDA approved for HIV wasting.

:

00:58:57,217 --> 00:58:58,237

So it is a true filler.

:

00:58:58,237 --> 00:58:59,587

It's a space occupier.

:

00:58:59,677 --> 00:59:00,097

Okay.

:

00:59:00,097 --> 00:59:04,207

It really, if you're going to

fill space, Sculptures a good way.

:

00:59:04,237 --> 00:59:06,697

And that's why it was FDA

approved for HIV wasting.

:

00:59:06,697 --> 00:59:07,777

I don't know that we see that much.

:

00:59:08,467 --> 00:59:09,397

HIV wasting.

:

00:59:09,427 --> 00:59:13,297

So that's, you know, back in the

day, when, when really when HIV

:

00:59:13,297 --> 00:59:16,447

was a very hard to control and

we didn't have the antivirals.

:

00:59:16,837 --> 00:59:18,847

On the inner retrovirals

on the market that we have.

:

00:59:19,447 --> 00:59:22,327

We weren't able to, to, to

care for people as well.

:

00:59:22,777 --> 00:59:23,467

HIV right.

:

00:59:24,457 --> 00:59:28,057

Then you would get this, this, um, you

would get this light bulb atrophy, so they

:

00:59:28,057 --> 00:59:29,917

would lose a lot of fat in their face.

:

00:59:30,007 --> 00:59:31,207

They have this very gaunt.

:

00:59:31,477 --> 00:59:32,197

Presentation.

:

00:59:32,497 --> 00:59:33,007

Okay.

:

00:59:33,307 --> 00:59:33,637

Which was.

:

00:59:33,937 --> 00:59:36,967

And it's just it's part as

part of the disease process.

:

00:59:37,237 --> 00:59:37,537

Deanna.

:

00:59:37,537 --> 00:59:44,407

So a sculptor was approved to help rectify

that, to help with the gauntness to.

:

00:59:45,217 --> 00:59:47,857

Yeah, so it works fantastic

for space occupying.

:

00:59:48,007 --> 00:59:48,487

Okay.

:

00:59:48,877 --> 00:59:50,017

And that's what it was approved for.

:

00:59:51,277 --> 00:59:54,277

From an FDA standpoint and then

obviously dermal filler, you

:

00:59:54,277 --> 00:59:56,977

know, the kind of the claim as it

stimulates all this college and you

:

00:59:56,977 --> 00:59:58,597

can fill up space, blah, blah, blah.

:

00:59:58,657 --> 01:00:02,647

Well, You know, part of the thing with

Sculptra is it does cause a lot of

:

01:00:02,647 --> 01:00:05,107

fibrosis in the tissue I E kind of close.

:

01:00:05,617 --> 01:00:09,837

Not unlike scar tissue, but there's

a very well credentialed, very

:

01:00:09,837 --> 01:00:11,637

well-respected plastic surgeon.

:

01:00:12,237 --> 01:00:12,927

But the name of Dr.

:

01:00:12,927 --> 01:00:16,407

Michael Nyack Hoover recently

put a bunch of stuff out.

:

01:00:16,507 --> 01:00:18,277

, I have some stuff was sent

to me on social media.

:

01:00:18,847 --> 01:00:21,057

But , they started looking into this

more, cause it hasn't really been

:

01:00:21,057 --> 01:00:24,447

looked in and he's a facial plastic

surgeon and he started kind of

:

01:00:25,107 --> 01:00:28,527

looking at people's faces who had at

sculpture and some of these other bio.

:

01:00:28,557 --> 01:00:30,897

Quote unquote, non hyleronic acid or what.

:

01:00:30,927 --> 01:00:34,167

Don't quote, but nine holler, Konica

radius falls into this category as well.

:

01:00:34,287 --> 01:00:34,617

Okay.

:

01:00:34,617 --> 01:00:38,907

Um, That they are noticing a

significant amount of scar tissue.

:

01:00:39,627 --> 01:00:44,577

In, in the face that is making it harder

to open the face and reposition it

:

01:00:44,577 --> 01:00:46,317

properly when they're redraping face.

:

01:00:47,847 --> 01:00:50,937

You know, I guess the question and

nobody really knows the answer to this.

:

01:00:50,967 --> 01:00:53,067

Is it just, is it everybody

who's getting in sculpture?

:

01:00:53,157 --> 01:00:54,207

Is it a certain amount?

:

01:00:54,257 --> 01:00:55,937

Is it the way that it's administered?

:

01:00:56,087 --> 01:00:58,127

So there's a lot of variables

that go into play here.

:

01:00:58,127 --> 01:00:58,517

So I think.

:

01:00:58,817 --> 01:01:01,877

To broad stroke it and say that

just because you've had sculpture,

:

01:01:01,877 --> 01:01:03,887

you're going to have issues

with it, I think is incorrect.

:

01:01:04,097 --> 01:01:04,397

Okay.

:

01:01:04,637 --> 01:01:07,397

The zeros are more investigation

that has to be gone into this.

:

01:01:07,937 --> 01:01:09,167

I think that's true of everything.

:

01:01:09,167 --> 01:01:10,397

This is a young subspecialty.

:

01:01:10,397 --> 01:01:11,927

We don't know a lot of stuff.

:

01:01:12,467 --> 01:01:13,097

That's happening.

:

01:01:13,257 --> 01:01:16,347

So, is there a possibility that it

could make it there's that possibility?

:

01:01:17,157 --> 01:01:20,967

Because we do see, they are seeing

some things happen, but again,

:

01:01:20,967 --> 01:01:22,377

there's a lot that goes into this.

:

01:01:22,407 --> 01:01:26,277

It's, you know, it's a product that has to

be mixed and it's mixed in different ways.

:

01:01:26,277 --> 01:01:27,567

So is it the way that it's mixed?

:

01:01:28,287 --> 01:01:29,367

So there's a lot that goes in there.

:

01:01:29,367 --> 01:01:31,977

So possibly, but I don't know.

:

01:01:32,067 --> 01:01:32,697

The jury is out.

:

01:01:33,687 --> 01:01:37,227

From the professionals that I've

talked with, it seems like Sculptra

:

01:01:37,287 --> 01:01:41,787

is not really the darling child

that they had hoped it would be.

:

01:01:42,717 --> 01:01:43,017

Yeah.

:

01:01:43,017 --> 01:01:44,997

I mean, there's providers

that love sculpture.

:

01:01:45,447 --> 01:01:49,977

And we'll put it in everywhere and

do everything about, I used to use,

:

01:01:50,067 --> 01:01:51,597

I used to use sculpture in the past.

:

01:01:51,597 --> 01:01:53,757

I don't use it at this point in

time in my practice because I

:

01:01:53,787 --> 01:01:55,077

just, I don't have the need for it.

:

01:01:55,557 --> 01:01:55,977

Right now.

:

01:01:56,337 --> 01:01:59,607

When I used it, it was mostly

for body work for helping.

:

01:01:59,697 --> 01:02:01,467

To rejuvenate the tissue mostly.

:

01:02:01,707 --> 01:02:02,157

Okay.

:

01:02:02,367 --> 01:02:04,587

And the decklet Taj or something

you could put in there and try

:

01:02:04,587 --> 01:02:07,377

to build up the college in and

make this tissue look better.

:

01:02:08,157 --> 01:02:11,447

But , I never really injected it in

the face much cause I just don't see

:

01:02:11,447 --> 01:02:12,797

those patients who needed that much.

:

01:02:12,827 --> 01:02:13,667

Volumization.

:

01:02:14,027 --> 01:02:16,787

Who was I a big believer that you

would just, all of a sudden tighten

:

01:02:16,787 --> 01:02:20,777

somebody's face up and give them this

kind of, you know, this neocollagenesis

:

01:02:20,777 --> 01:02:21,767

that would change their life.

:

01:02:22,067 --> 01:02:22,547

It's not.

:

01:02:23,147 --> 01:02:26,147

You know, it's a time-consuming

product for the patient.

:

01:02:26,387 --> 01:02:26,597

Yeah.

:

01:02:26,657 --> 01:02:28,307

It's not a one and done type treatment.

:

01:02:28,337 --> 01:02:28,367

Yeah.

:

01:02:28,607 --> 01:02:31,427

And you get it and then you come back

in a month and then you get it again.

:

01:02:31,427 --> 01:02:33,977

And then you come back in three,

five months and you get it again.

:

01:02:33,977 --> 01:02:36,917

And this, this process of

building up, you look full right?

:

01:02:36,917 --> 01:02:39,707

When you get it, because you have

to mix it with a bunch of volumes.

:

01:02:39,707 --> 01:02:42,407

So right when you put it in, people

are like, oh my God, I look fantastic.

:

01:02:42,527 --> 01:02:44,537

That's all the volume

that you've had to inject.

:

01:02:44,537 --> 01:02:47,447

Of course, if I just put eight

CCS of saline in your face.

:

01:02:47,657 --> 01:02:48,347

Don't look great.

:

01:02:48,497 --> 01:02:48,887

Yeah.

:

01:02:49,337 --> 01:02:50,297

And you're going to be gone.

:

01:02:50,987 --> 01:02:51,257

Right.

:

01:02:51,707 --> 01:02:52,697

If that two days.

:

01:02:53,147 --> 01:02:55,937

So that's part of the that's part of,

that's why I don't, when people show

:

01:02:55,937 --> 01:02:58,697

me before and after, like, look at this

sculpture, it was done right after.

:

01:02:59,357 --> 01:03:00,797

It's not going to look like that today.

:

01:03:01,697 --> 01:03:03,707

Trickery cause I'd be careful of that.

:

01:03:04,037 --> 01:03:05,387

So it takes some time for that.

:

01:03:05,417 --> 01:03:05,717

And.

:

01:03:05,754 --> 01:03:06,654

I prefer.

:

01:03:06,744 --> 01:03:08,124

Products that I can get rid of.

:

01:03:08,364 --> 01:03:09,084

I love that.

:

01:03:09,144 --> 01:03:09,474

Right.

:

01:03:09,834 --> 01:03:16,524

Um, and you know, Now we have hyaluronic

acid products that last a long time now.

:

01:03:16,704 --> 01:03:19,794

Up to two years more than

that for some of the new ones.

:

01:03:20,304 --> 01:03:25,644

Um, So, if you're looking for length

of time, then that's great because we

:

01:03:25,644 --> 01:03:28,104

have, we have products that can do that.

:

01:03:28,194 --> 01:03:31,314

And there's a lot that hyaluronic

acid products offer, I think.

:

01:03:31,464 --> 01:03:31,764

Yeah.

:

01:03:32,663 --> 01:03:36,144

That, that other, that other, those

other types of products don't I want

:

01:03:36,144 --> 01:03:38,904

something that I can, if we have to

get rid of a product for any number

:

01:03:38,904 --> 01:03:40,163

of reasons, whether it be emergent.

:

01:03:40,824 --> 01:03:42,654

Or it just doesn't look right.

:

01:03:42,654 --> 01:03:46,134

And that whatever we can make that

product go away, you cannot make

:

01:03:46,134 --> 01:03:47,364

a product like sculptor coat way.

:

01:03:47,394 --> 01:03:48,534

You're just, you have to wait it out.

:

01:03:50,364 --> 01:03:50,874

All right.

:

01:03:51,144 --> 01:03:52,224

Who good to know.

:

01:03:52,884 --> 01:03:53,694

Good to know.

:

01:03:54,354 --> 01:03:56,034

, Oh, I, I like this next question.

:

01:03:56,964 --> 01:03:58,284

I'm on a tight budget.

:

01:03:58,381 --> 01:04:00,361

What makes the most impact?

:

01:04:00,931 --> 01:04:01,681

Probably Botox.

:

01:04:02,161 --> 01:04:03,001

That's what I would've said.

:

01:04:03,001 --> 01:04:03,151

Yeah.

:

01:04:03,211 --> 01:04:06,841

As a non-professional no,

you'd get, uh, you get a lot of

:

01:04:06,841 --> 01:04:08,161

bang for your buck with Botox.

:

01:04:08,281 --> 01:04:08,851

So good.

:

01:04:10,651 --> 01:04:11,341

I'm not going to lie.

:

01:04:11,761 --> 01:04:12,451

In medicine.

:

01:04:12,481 --> 01:04:13,591

There's very few things.

:

01:04:13,591 --> 01:04:17,581

I think that really, that

really do what they're billed.

:

01:04:18,761 --> 01:04:20,471

, and Botox is absolutely one of those.

:

01:04:20,591 --> 01:04:20,891

Yeah.

:

01:04:21,071 --> 01:04:22,181

Checks so many boxes.

:

01:04:22,991 --> 01:04:25,031

You get tissue rejuvenation

with it, right?

:

01:04:25,061 --> 01:04:28,601

You get the opening, the eyes, you

get that refresh quality to the skin.

:

01:04:28,601 --> 01:04:30,101

But I mean, you just get so much with it.

:

01:04:30,101 --> 01:04:32,981

It's just, when I see a patient in

consultation where you're trying to.

:

01:04:33,071 --> 01:04:35,081

That's it, that's almost

always where we start.

:

01:04:35,411 --> 01:04:38,231

Like, if you're not doing that

level, let's get that onboard.

:

01:04:38,261 --> 01:04:40,541

And let's start with that

because we'll see, I.

:

01:04:40,631 --> 01:04:41,921

There's an immediate impact.

:

01:04:41,951 --> 01:04:43,001

No, nothing's immediate.

:

01:04:43,031 --> 01:04:43,301

I don't.

:

01:04:43,361 --> 01:04:45,641

I mean, yeah, there is some immediacy

with it, but it gets better.

:

01:04:45,971 --> 01:04:48,791

It takes a couple of weeks for it

to really kick in and do its thing.

:

01:04:48,821 --> 01:04:52,091

Yeah, it doesn't last forever, but you

don't really want it to last forever.

:

01:04:52,361 --> 01:04:52,541

Yeah.

:

01:04:52,541 --> 01:04:54,041

And you squeeze three, three

and a half months out of it.

:

01:04:54,041 --> 01:04:54,671

That's fantastic.

:

01:04:54,701 --> 01:04:55,391

That's the way it should be.

:

01:04:55,601 --> 01:04:55,811

Yeah.

:

01:04:55,911 --> 01:04:58,101

, but yes, that's, I

would agree with you on.

:

01:04:58,371 --> 01:04:58,731

Okay.

:

01:04:58,821 --> 01:04:59,781

Team of Botox.

:

01:04:59,901 --> 01:05:00,741

You heard it here first.

:

01:05:01,911 --> 01:05:03,441

Maybe the company will

send us some checks.

:

01:05:03,621 --> 01:05:04,221

Oh my gosh.

:

01:05:04,221 --> 01:05:04,701

That'd be great.

:

01:05:06,271 --> 01:05:08,761

Ah, this is another good question.

:

01:05:09,121 --> 01:05:12,151

What is the best option for hooded eyes?

:

01:05:12,811 --> 01:05:13,291

Surgery.

:

01:05:13,681 --> 01:05:13,771

Okay.

:

01:05:15,961 --> 01:05:16,801

Uh, bless FMI.

:

01:05:16,831 --> 01:05:17,521

Is that what it's called?

:

01:05:17,881 --> 01:05:18,661

Blepharoplasty.

:

01:05:18,691 --> 01:05:18,871

Yeah.

:

01:05:19,081 --> 01:05:20,371

Blepharoplasty for her.

:

01:05:20,461 --> 01:05:21,841

I live hooding is.

:

01:05:22,471 --> 01:05:25,321

If you're going to rectify

it and be done with it, then.

:

01:05:25,711 --> 01:05:27,361

Uh, blepharoplasty is the way to go.

:

01:05:27,451 --> 01:05:27,661

Okay.

:

01:05:27,661 --> 01:05:29,701

That's not where you're wanting to go.

:

01:05:29,774 --> 01:05:31,484

Botox would I see a patient?

:

01:05:31,874 --> 01:05:33,284

Um, Botox will be.

:

01:05:33,824 --> 01:05:35,534

That'll be our first line of treatment.

:

01:05:35,624 --> 01:05:38,534

Cause we can, if we can get some

brow elevation, then that will

:

01:05:38,534 --> 01:05:40,514

help with the eyelids a little bit.

:

01:05:41,264 --> 01:05:42,584

Except for me that

makes such a difference.

:

01:05:43,094 --> 01:05:44,324

But it's you can tell.

:

01:05:44,413 --> 01:05:44,684

Yep.

:

01:05:45,014 --> 01:05:46,844

And when people have issues with heavy.

:

01:05:47,534 --> 01:05:48,044

Eyelids.

:

01:05:48,074 --> 01:05:50,354

That's just the area that was

injected and that has to be

:

01:05:50,354 --> 01:05:51,524

skipped sometimes at patients.

:

01:05:51,554 --> 01:05:55,154

So that's just anatomy and that,

that the injector should be able to

:

01:05:55,154 --> 01:05:56,714

identify that and work with you on that.

:

01:05:56,894 --> 01:05:57,284

Okay.

:

01:05:58,004 --> 01:06:00,163

So Botox is always a great start.

:

01:06:00,284 --> 01:06:01,514

No, there are things that we can do.

:

01:06:01,544 --> 01:06:03,163

There are lasers we can do to tighten.

:

01:06:03,434 --> 01:06:07,904

Lids that work quite biasly and to lift,

we can use in the upper lid to tighten

:

01:06:07,904 --> 01:06:09,374

the upper lid and give some brow lip.

:

01:06:09,764 --> 01:06:11,324

So those are non-surgical options.

:

01:06:11,714 --> 01:06:13,634

Those are probably the

best non-surgical options.

:

01:06:13,754 --> 01:06:13,934

Okay.

:

01:06:13,964 --> 01:06:16,994

Really, if it gets down to it

and a patient has really hooded,

:

01:06:16,994 --> 01:06:18,734

it's just, it's gotta be surgery.

:

01:06:18,884 --> 01:06:19,244

Okay.

:

01:06:19,334 --> 01:06:20,564

It's got to be surgery

and there's some great.

:

01:06:20,594 --> 01:06:21,824

Eyelid surgeons in Atlanta.

:

01:06:21,824 --> 01:06:25,004

So you're very lucky to have some of

these people here who do a fantastic job.

:

01:06:25,034 --> 01:06:26,234

The downtime is minimal.

:

01:06:27,254 --> 01:06:29,114

And I, I mean, I think you

can get away with surgery.

:

01:06:29,114 --> 01:06:32,474

I might, I don't know off, but I mean,

you can probably get a blepharoplasty

:

01:06:32,474 --> 01:06:34,544

for somewhere between four and $7,000.

:

01:06:34,544 --> 01:06:35,114

I would imagine.

:

01:06:35,324 --> 01:06:35,864

Oh, interesting.

:

01:06:36,584 --> 01:06:38,804

Um, well, and I know if it's

bad enough that it impacts your

:

01:06:38,804 --> 01:06:40,034

vision insurance might cover it.

:

01:06:40,454 --> 01:06:41,294

I get insurance coverage.

:

01:06:41,834 --> 01:06:44,474

The benefits of delaying thing,

call your internist tomorrow.

:

01:06:44,594 --> 01:06:45,284

And he set up that.

:

01:06:45,404 --> 01:06:45,854

Yeah.

:

01:06:46,154 --> 01:06:47,324

I'm just having trouble seeing.

:

01:06:47,654 --> 01:06:48,134

Yeah, I think a.

:

01:06:49,904 --> 01:06:50,594

Exactly.

:

01:06:50,864 --> 01:06:51,344

What color,

:

01:06:54,824 --> 01:06:55,663

you know, what would help.

:

01:06:57,524 --> 01:06:58,034

Please.

:

01:06:59,474 --> 01:07:00,434

Just write me the referral.

:

01:07:01,004 --> 01:07:01,694

I love it.

:

01:07:01,994 --> 01:07:02,504

So funny.

:

01:07:03,554 --> 01:07:03,734

Okay.

:

01:07:03,764 --> 01:07:05,114

I've got one more question for you, Mike.

:

01:07:05,294 --> 01:07:05,864

Sure.

:

01:07:06,081 --> 01:07:08,031

What is the difference in training?

:

01:07:08,074 --> 01:07:10,774

Between being an injector

and being an aesthetician.

:

01:07:10,874 --> 01:07:11,384

So.

:

01:07:11,521 --> 01:07:13,051

In the state of Georgia.

:

01:07:13,471 --> 01:07:14,851

If you're going to inject.

:

01:07:15,361 --> 01:07:17,671

Botox filler any of these sort of things.

:

01:07:17,671 --> 01:07:21,511

You have to have a, you have to

be a registered nurse or a higher

:

01:07:21,571 --> 01:07:24,001

medical designation, so, okay.

:

01:07:24,421 --> 01:07:28,111

RN P a N P D O M D a.

:

01:07:28,441 --> 01:07:30,421

D D L did I say D oh yeah.

:

01:07:30,751 --> 01:07:33,301

Uh, Dennis, I'm not sure

what their designation.

:

01:07:33,421 --> 01:07:35,611

I forget dentist that

:

01:07:37,141 --> 01:07:37,771

I know offense.

:

01:07:37,831 --> 01:07:38,071

Dive.

:

01:07:38,071 --> 01:07:38,941

And it was a great dentist.

:

01:07:40,051 --> 01:07:43,171

Yeah, so that that's the

requirement in the state of Georgia.

:

01:07:43,351 --> 01:07:44,101

Okay, so nasty.

:

01:07:45,841 --> 01:07:48,451

As a provider who's trained

in aesthetic services.

:

01:07:48,991 --> 01:07:51,181

Lasers to a certain depth, right?

:

01:07:51,181 --> 01:07:55,711

So estheticians there's laws that,

that are, that are in place that

:

01:07:55,801 --> 01:07:57,271

estheticians that's who you're.

:

01:07:57,781 --> 01:07:57,871

No.

:

01:07:57,871 --> 01:08:01,291

That's your most laser services

in the state of Georgia

:

01:08:01,351 --> 01:08:02,521

performed by estheticians.

:

01:08:02,521 --> 01:08:05,491

That's where you're getting your

light lasers from and your pills

:

01:08:05,491 --> 01:08:07,471

and your facials and your Durham.

:

01:08:07,771 --> 01:08:08,371

Planning and near.

:

01:08:09,211 --> 01:08:10,021

Microneedling.

:

01:08:10,021 --> 01:08:11,461

And then all of that sort of thing.

:

01:08:11,491 --> 01:08:15,271

And there's a certain depth that they're

allowed to perform laser procedures

:

01:08:15,271 --> 01:08:19,171

to, and then anything deeper than

that has to be undertaken by an MDPA.

:

01:08:19,591 --> 01:08:20,011

Okay.

:

01:08:20,131 --> 01:08:21,241

And B type of thing.

:

01:08:21,270 --> 01:08:22,680

So that's where the cutoff is.

:

01:08:22,890 --> 01:08:24,871

So your aesthetician.

:

01:08:25,350 --> 01:08:27,451

Your run of the mill, like spot petition.

:

01:08:27,600 --> 01:08:31,501

I can't like get certified to do

Botox or injectables or any, no.

:

01:08:31,591 --> 01:08:35,671

Not unless they go back to school and

the state of Georgia at this time.

:

01:08:36,390 --> 01:08:40,651

And at the least at the least

have our registered nurse.

:

01:08:40,831 --> 01:08:41,251

Okay.

:

01:08:41,491 --> 01:08:42,151

That's good to know.

:

01:08:42,541 --> 01:08:45,421

And there's some other walls

that are, I'm not as up on those.

:

01:08:45,511 --> 01:08:46,981

I don't need to be any more.

:

01:08:47,731 --> 01:08:51,151

The laws requiring anybody other

than, than what I'm doing in my group.

:

01:08:51,571 --> 01:08:52,591

, But, yeah.

:

01:08:52,591 --> 01:08:55,051

And they're so fluid between states too.

:

01:08:55,051 --> 01:08:56,191

It's it's bizarre.

:

01:08:57,691 --> 01:09:00,091

Because there are some states where

institutions can inject Botox,

:

01:09:00,451 --> 01:09:01,470

just not in the state of Georgia.

:

01:09:01,741 --> 01:09:02,220

Okay.

:

01:09:02,281 --> 01:09:05,611

And there's some other requirements

too, for our ends and PAs and NPS.

:

01:09:06,661 --> 01:09:06,841

Yeah.

:

01:09:07,081 --> 01:09:07,411

Okay.

:

01:09:07,531 --> 01:09:10,951

That's that's the, that's

the basic interesting.

:

01:09:10,981 --> 01:09:11,611

Yes.

:

01:09:11,731 --> 01:09:14,761

So yes, if you're getting an

injectable, it needs to be by

:

01:09:14,761 --> 01:09:16,470

somebody with a couple of initials.

:

01:09:16,861 --> 01:09:17,310

Yes.

:

01:09:17,520 --> 01:09:18,031

After their name.

:

01:09:18,301 --> 01:09:19,621

The letters after that name.

:

01:09:20,191 --> 01:09:20,761

I love that.

:

01:09:21,211 --> 01:09:25,111

, Well, Mike, is there anything else that

we haven't discussed that you would

:

01:09:25,111 --> 01:09:29,970

like to share with our audience or just.

:

01:09:30,751 --> 01:09:31,261

Anything.

:

01:09:31,321 --> 01:09:31,831

I don't know.

:

01:09:31,831 --> 01:09:32,401

What do you think?

:

01:09:32,401 --> 01:09:33,631

Is there anything that we didn't cover?

:

01:09:34,591 --> 01:09:36,031

Um, Injectable side.

:

01:09:36,060 --> 01:09:36,541

What else?

:

01:09:36,981 --> 01:09:38,301

Um, threads.

:

01:09:38,331 --> 01:09:39,951

I heard you guys talking

about PDO threads.

:

01:09:40,611 --> 01:09:41,961

Oh, let's talk about those.

:

01:09:44,091 --> 01:09:44,541

Yes.

:

01:09:44,571 --> 01:09:45,560

Let's talk about threats.

:

01:09:45,591 --> 01:09:45,651

Yeah.

:

01:09:45,651 --> 01:09:45,921

Yeah.

:

01:09:46,161 --> 01:09:47,121

Threads are interesting.

:

01:09:47,251 --> 01:09:48,691

I was doing them for a long time.

:

01:09:48,841 --> 01:09:51,720

I, I might've been one of the

first people in Georgia to.

:

01:09:52,350 --> 01:09:53,220

Atlanta for sure.

:

01:09:53,251 --> 01:09:54,571

There might've been one

other guy doing them.

:

01:09:54,571 --> 01:09:55,861

When I came on board doing them.

:

01:09:56,341 --> 01:09:58,171

, I don't do them as much as I used to.

:

01:09:58,321 --> 01:09:58,561

Okay.

:

01:09:58,591 --> 01:09:59,731

And really at all.

:

01:10:00,061 --> 01:10:03,481

, that's not because they're bad,

but I think the, the, the, the,

:

01:10:03,481 --> 01:10:07,831

the unfortunate part of, of PDO

threads and PDO threads are suture.

:

01:10:08,017 --> 01:10:10,477

The way it's designed is to

go into the face and provide a

:

01:10:10,477 --> 01:10:12,547

temporary repositioning of tissue.

:

01:10:12,967 --> 01:10:13,297

Right.

:

01:10:13,807 --> 01:10:14,647

It's a PD.

:

01:10:14,737 --> 01:10:19,267

Oh, was the name given to a preexisting

suture that we use in surgery called PDs.

:

01:10:19,357 --> 01:10:19,807

Okay.

:

01:10:20,017 --> 01:10:22,117

Polytech, polytechs, not suture.

:

01:10:22,237 --> 01:10:22,597

Right.

:

01:10:22,627 --> 01:10:22,807

Okay.

:

01:10:22,957 --> 01:10:27,817

And that suture has been FDA approved on

the market for about 30 or 40 years for

:

01:10:27,817 --> 01:10:29,737

tissue re approximation all over the body.

:

01:10:29,887 --> 01:10:30,217

Okay.

:

01:10:30,277 --> 01:10:32,707

So it's not some weird

thing that was done in this.

:

01:10:32,797 --> 01:10:36,877

These procedures have been around for

God since the fifties or whatever it is.

:

01:10:39,247 --> 01:10:43,927

, But I think the thing with the thing

that happened with PDO threads and

:

01:10:43,927 --> 01:10:46,927

what I saw happening with PDO threads,

while I don't do them as much anymore.

:

01:10:47,797 --> 01:10:50,017

Is that people had a lot

of bad outcomes with it.

:

01:10:50,287 --> 01:10:53,947

And that unfortunately, that

gets pushed off onto the product.

:

01:10:54,607 --> 01:10:54,877

Right.

:

01:10:55,237 --> 01:10:57,007

It doesn't get pushed off

into the providers a lot.

:

01:10:57,007 --> 01:10:58,687

It gets pushed that

while that product sucks.

:

01:10:58,807 --> 01:10:59,137

Yeah.

:

01:10:59,137 --> 01:11:00,487

And it's not the product.

:

01:11:00,487 --> 01:11:04,237

It's the product lasts as long as

a lot of providers say it doesn't.

:

01:11:04,267 --> 01:11:04,657

Nope.

:

01:11:04,807 --> 01:11:05,287

It doesn't.

:

01:11:05,677 --> 01:11:06,157

I'm going to think.

:

01:11:06,157 --> 01:11:09,157

If you get a year out of a PDL lift,

you're doing really, really good.

:

01:11:09,187 --> 01:11:10,447

Really, really good.

:

01:11:11,297 --> 01:11:15,497

And the problem now is as the

product has gotten more aggressive.

:

01:11:15,977 --> 01:11:17,567

That patients just have more downtime.

:

01:11:17,567 --> 01:11:18,557

And that's what I saw with it.

:

01:11:18,617 --> 01:11:22,277

We were getting more tissue

repositioning the lift and the, the,

:

01:11:22,277 --> 01:11:24,077

the final result was looking better.

:

01:11:24,137 --> 01:11:28,337

But man, in order to get there, you had

to make people, they were not happy.

:

01:11:28,577 --> 01:11:29,057

Interesting.

:

01:11:29,087 --> 01:11:31,757

They looked weird because they

had to pull them back so tight.

:

01:11:31,907 --> 01:11:33,227

Like over-exaggerate things right.

:

01:11:33,527 --> 01:11:37,997

And that was one of the few procedures

where I had to overextend them to the

:

01:11:37,997 --> 01:11:41,027

point where they looked bizarre walking

out of the office in order to get

:

01:11:41,027 --> 01:11:43,997

the final result, because the tissue

is elastic and it relaxes, right?

:

01:11:43,997 --> 01:11:44,297

Yeah.

:

01:11:44,567 --> 01:11:45,047

So you, you.

:

01:11:45,407 --> 01:11:46,997

You have to overprocess them.

:

01:11:47,297 --> 01:11:47,537

Okay.

:

01:11:47,537 --> 01:11:48,587

I don't like to deal.

:

01:11:48,977 --> 01:11:51,887

And then they were sore for a couple

of weeks and they just look goofy.

:

01:11:52,367 --> 01:11:53,357

And I didn't like it.

:

01:11:53,717 --> 01:11:55,367

Again, nothing against the product.

:

01:11:55,367 --> 01:11:59,597

It was just in my hands over the years, I

just became less and less happy with it.

:

01:11:59,957 --> 01:12:00,797

Is there a place for it?

:

01:12:00,857 --> 01:12:01,847

There is a place for it.

:

01:12:01,907 --> 01:12:02,147

Yeah.

:

01:12:02,717 --> 01:12:04,997

Is it a go-to is it

gonna replace anything?

:

01:12:05,147 --> 01:12:05,627

No.

:

01:12:06,437 --> 01:12:08,297

But that's another reason why I brought.

:

01:12:09,377 --> 01:12:12,107

Not to harp on this, but that's another

reason why I brought end-all left on

:

01:12:12,107 --> 01:12:15,137

because I was like, okay, look what

we were doing, trying to reposition

:

01:12:15,137 --> 01:12:16,607

fat pads and tightened tissue.

:

01:12:16,637 --> 01:12:17,867

That's what I was doing with.

:

01:12:17,964 --> 01:12:19,524

PDO PDs.

:

01:12:19,834 --> 01:12:21,664

, well, now we can do that at a more.

:

01:12:22,443 --> 01:12:23,943

At a more permanent, we can do it.

:

01:12:24,004 --> 01:12:25,474

We can get to the real.

:

01:12:25,834 --> 01:12:29,254

The real issue, as opposed to just

trying to alleviate the symptom of the

:

01:12:29,254 --> 01:12:32,464

disease process, we can get right to the

disease process itself, as opposed to

:

01:12:32,464 --> 01:12:34,084

just masking it for a period of time.

:

01:12:34,354 --> 01:12:34,894

I like that.

:

01:12:34,954 --> 01:12:36,214

So PDO.

:

01:12:36,424 --> 01:12:39,544

I mean when, when I started doing it,

there was nobody was doing it around.

:

01:12:39,574 --> 01:12:42,724

There was, I mean, I was the first company

on the market was called Nova thread.

:

01:12:42,784 --> 01:12:43,324

I was.

:

01:12:43,624 --> 01:12:46,834

There's four or five of us in the

country, like training and doing it.

:

01:12:46,924 --> 01:12:48,394

It was nobody to talk to about it.

:

01:12:48,394 --> 01:12:50,374

We were just kind of out

there doing our thing.

:

01:12:50,904 --> 01:12:53,394

, some very well-respected plastic

surgeons were on board with it.

:

01:12:53,484 --> 01:12:54,114

It was fine.

:

01:12:54,834 --> 01:12:55,164

But.

:

01:12:55,914 --> 01:12:58,764

You know, like anything, once it

gets out and more people start doing

:

01:12:58,764 --> 01:12:59,664

it, more people start doing it.

:

01:12:59,664 --> 01:13:01,824

Of course, you're going to run

into complications with it.

:

01:13:01,824 --> 01:13:03,084

That's just with anything.

:

01:13:03,504 --> 01:13:05,754

So, you know, I don't, I

don't give it a bad name.

:

01:13:05,754 --> 01:13:06,834

I think it's got a place.

:

01:13:07,344 --> 01:13:10,224

It's just, I don't do

it as much as I used to.

:

01:13:10,314 --> 01:13:14,634

, just because I became less and less

happy with the results of her time.

:

01:13:15,324 --> 01:13:18,294

And I know we have other things

and I think I just, I look at.

:

01:13:18,834 --> 01:13:21,204

Addressing problems a little bit

differently and we should evolve.

:

01:13:21,384 --> 01:13:23,154

I think if you're not evolving,

then what's the point.

:

01:13:23,754 --> 01:13:24,744

Completely agree with that.

:

01:13:24,744 --> 01:13:28,734

And of course, if you can do something

more efficiently, why wouldn't you.

:

01:13:28,914 --> 01:13:31,524

Now on safer and less downtime

was always a good thing.

:

01:13:32,634 --> 01:13:33,324

Absolutely.

:

01:13:33,804 --> 01:13:34,224

Okay.

:

01:13:34,624 --> 01:13:38,824

, ah, I hope what people take

away from this is that.

:

01:13:39,244 --> 01:13:42,304

I think one big thing when you're

dipping your toes into this world

:

01:13:42,304 --> 01:13:44,434

is that it can be so overwhelming.

:

01:13:44,734 --> 01:13:47,994

And if you're listening to Atlanta,

just go see Mike and I'll link all

:

01:13:47,994 --> 01:13:48,894

of your stuff in our show notes.

:

01:13:48,924 --> 01:13:49,284

Of course.

:

01:13:49,524 --> 01:13:53,574

But if you're listening elsewhere,

You know, Do your research,

:

01:13:53,604 --> 01:13:55,704

talk to people and know that.

:

01:13:55,824 --> 01:13:59,754

Uh, this is what I wish somebody had

told me if something feels off or not.

:

01:13:59,754 --> 01:14:00,234

Right.

:

01:14:00,564 --> 01:14:01,494

Go somewhere else.

:

01:14:01,854 --> 01:14:04,434

Like you shouldn't be uncomfortable

when you're talking about

:

01:14:04,644 --> 01:14:05,693

things that are expensive.

:

01:14:05,964 --> 01:14:08,364

And things that are potentially

permanent in your face.

:

01:14:08,814 --> 01:14:10,554

So I appreciate my cabin.

:

01:14:10,554 --> 01:14:13,854

Somebody like you, who

is so knowledgeable and.

:

01:14:14,124 --> 01:14:15,564

Trustworthy and.

:

01:14:15,924 --> 01:14:16,764

Yeah, I agree too.

:

01:14:16,824 --> 01:14:21,054

If I, you know, and I tell patients

this all the time, like I have no, no

:

01:14:21,054 --> 01:14:24,024

provider should have any issue with you

going to get a second, third, fourth

:

01:14:24,024 --> 01:14:25,943

opinion, get as many opinions as you need.

:

01:14:25,943 --> 01:14:27,414

I don't care what it's for.

:

01:14:27,834 --> 01:14:31,824

Just feel comfortable and have a nice

open dialogue about where you're going

:

01:14:31,824 --> 01:14:33,264

with this and what you should be doing.

:

01:14:33,264 --> 01:14:37,554

And if it feels uncomfortable, Do it,

but you need to have a nice open dialogue

:

01:14:37,584 --> 01:14:38,964

with your provider about these things.

:

01:14:38,964 --> 01:14:39,804

No matter what it is.

:

01:14:39,954 --> 01:14:40,943

I totally agree with that.

:

01:14:41,034 --> 01:14:41,334

Me too.

:

01:14:41,424 --> 01:14:41,994

I totally agree.

:

01:14:42,664 --> 01:14:43,294

, Okay, cool.

:

01:14:43,443 --> 01:14:45,094

That was all the questions

that I had written down.

:

01:14:45,094 --> 01:14:46,054

Is there anything else?

:

01:14:46,084 --> 01:14:46,234

No.

:

01:14:46,234 --> 01:14:47,554

No, I think we covered it all.

:

01:14:47,974 --> 01:14:49,084

You can always come back and do it again.

:

01:14:49,084 --> 01:14:50,134

If we need to, this is true.

:

01:14:50,134 --> 01:14:51,394

There will always be new technologies.

:

01:14:51,424 --> 01:14:52,204

That's exactly right.

:

01:14:52,384 --> 01:14:52,834

I love it.

:

01:14:52,984 --> 01:14:53,254

Okay,

:

01:14:53,254 --> 01:14:56,374

, thank you so much, everyone for

listening to today's episode, I

:

01:14:56,374 --> 01:15:01,084

hope you learned so much about

aging gracefully and all things.

:

01:15:01,384 --> 01:15:03,544

You know, injectables with our lovely mic.

:

01:15:03,964 --> 01:15:04,954

, as always.

:

01:15:05,101 --> 01:15:09,721

Listeners get 10% off@hawkinsandclover.com

with promo code Clover club,

:

01:15:09,751 --> 01:15:14,101

all caps and fun things like

the QA before today's episode.

:

01:15:14,101 --> 01:15:15,361

Go down on our Instagram.

:

01:15:15,361 --> 01:15:19,711

So if you don't already, please give

us a follow at Clover club, pod and

:

01:15:19,711 --> 01:15:21,181

Mike, where can everybody find you?

:

01:15:21,841 --> 01:15:25,651

The website is revolution by mka.com.

:

01:15:26,431 --> 01:15:29,761

And the Instagram has revolution Decatur.

:

01:15:30,331 --> 01:15:32,281

I will link both of

those in our show notes.

:

01:15:33,301 --> 01:15:34,561

He's like, I think that's my Instagram.

:

01:15:35,581 --> 01:15:37,231

Too busy to be on Instagram, really?

:

01:15:37,231 --> 01:15:39,421

I mean, I love it.

:

01:15:39,871 --> 01:15:41,071

Well, Mike, thank you again.

:

01:15:41,071 --> 01:15:42,031

So, so much for your time.

:

01:15:42,031 --> 01:15:43,201

I truly appreciate it.

:

01:15:43,201 --> 01:15:45,361

I think this is going

to be a great episode.

:

01:15:45,421 --> 01:15:45,481

Thank.

:

01:15:45,481 --> 01:15:46,291

Thank you for having me.

:

01:15:46,681 --> 01:15:47,521

Did lots of questions.

:

01:15:47,551 --> 01:15:47,851

Thank you.

:

01:15:48,111 --> 01:15:49,701

, well, I'll, I'll see you next time.

:

01:15:49,701 --> 01:15:52,581

I need something shot up in my

forehead, Mike, and if you're

:

01:15:52,581 --> 01:15:54,351

listening, I will hear you next week.

:

01:15:54,421 --> 01:15:54,991

Thanks everyone.

:

01:15:55,051 --> 01:15:56,131

We'll talk to you next time.

:

01:15:58,951 --> 01:15:59,461

Yay.

:

01:15:59,461 --> 01:15:59,701

Yeah.

:

01:15:59,851 --> 01:16:00,241

Good.

:

01:16:00,301 --> 01:16:01,051

How do we do good.

:

01:16:01,141 --> 01:16:02,401

Oh, So good.

:

01:16:02,491 --> 01:16:03,001

That was fun.

:

01:16:03,031 --> 01:16:03,391

Thank you.

:

01:16:03,721 --> 01:16:04,261

Oh, my gosh.

:

01:16:04,291 --> 01:16:04,981

Thank you.

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About the Podcast

Clover Club
Curious conversations and stories intended to make you laugh and learn.
As a shop owner and hair stylist with an impressive number of stamps on her passport, Erika Audrey has heard or experienced it all. And she's ready to share. These real life conversations and stories will make you laugh, cry, and gasp- sometimes in the same episode! Join Erika Audrey straight from Atlanta gift shop Hawkins & Clover. Welcome to Clover Club.

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About your host

Profile picture for Erika Audrey

Erika Audrey

Erika Audrey, a luminous presence hailing from the vibrant city of Atlanta, Georgia, is not your ordinary hairstylist and boutique owner. With a zest for life that's as contagious as her laughter, Erika is poised to take the podcasting world by storm as she embarks on her latest venture.

Launching her debut podcast is a natural extension of Erika's multifaceted personality. With an uncanny ability to seamlessly weave humor into her conversations, Erika's laughter-inducing anecdotes and razor-sharp wit are bound to captivate listeners. Her intelligence shines through as she tackles a diverse range of topics, proving that beneath the laughter lies substance and insight.