Latest / The Dr. Randi Show / Beyond the Hype: Inside the Treatments Changing Aesthetics — Dr. Kay Durairaj

Transcript

Beyond the Hype: Inside the Treatments Changing Aesthetics — Dr. Kay Durairaj · The Dr. Randi Show

0:03
The views expressed in this podcast are for informational
0:06
purposes only and do not constitute medical advice.
0:09
This episode of the Doctor Randy Show is proudly sponsored by New
0:13
Beauty, the ultimate authority in beauty and aesthetics.
0:16
Whether you're looking for the latest innovations, expert
0:19
insights or trusted recommendations, New Beauty is
0:22
your go to source. Visit newbeauty.com to stay
0:25
ahead of the trends and discover what's next in beauty.
0:28
Now let's get into the episode. Hello, everyone, and welcome to
0:32
the Doctor Randy Show where we talk beauty, innovation and
0:36
everything shaping the future of aesthetics.
0:38
Today we have a very special guest.
0:41
She is the powerhouse in modern aesthetics, a surgeon, an
0:45
educator, and an innovator shaping the future of the
0:48
industry. She has built a platform that
0:50
empowers injectors and inspires patients around the world.
0:54
And she's leading the conversation on what's next in
0:58
beauty. Please welcome Doctor K Deray
1:00
Raj. Thank you, Randy, it's such a
1:03
joy to chat with you. Thanks for being inviting me and
1:06
I'm excited to talk about what's new in aesthetics.
1:09
Absolutely. Well, we've been working
1:11
together on a couple of projects, so it's my pleasure to
1:13
have you on the show today. And I know our listeners and
1:16
viewers. As you know, you're a social
1:18
media sensation, so we're excited to fill them in on what
1:21
you've got going on. So Doctor K, you have built an
1:24
influence in a space that never stops evolving.
1:28
What do you think was the catalyst that made you see the
1:32
aesthetics is something to redefine rather than just
1:36
practice? I think I, in my own head, feel
1:40
that aesthetics is so important for every person and every
1:44
woman's confidence and that I wanted to teach my audience, my
1:48
daughters and the women around me that self-care is important.
1:52
Maintenance is necessary. If you want to preserve this,
1:55
the money maker, your face, your confidence, your self esteem for
1:58
the years to come, you have to put in some maintenance.
2:01
Like you can't drive your Ferrari for 80 years and not
2:04
take it for service. So that was kind of my initial
2:07
impetus is to teach people that the things we do for our face
2:11
and care and maintenance of beauty is much more than that.
2:14
It's all about confidence and self esteem and self identity.
2:18
Absolutely. And that is so important, right.
2:20
Our confidence comes from the inside and then what comes from
2:23
the outside is the second-half. So you have built real
2:27
visibility in an industry that's very crowded.
2:30
There's voices everywhere, everybody's giving their
2:33
opinion. What do you think people connect
2:37
with and respond with most about your work?
2:40
I think without a doubt I have to be so credible when I give
2:44
advice. It has to be so legitimate, time
2:46
tested, true and scientifically validated because I want my
2:51
patients and my listeners out there, everyone to trust and to
2:54
understand that when I see some new flashy thing hit the market,
2:57
I will be interested. I will do the research.
3:00
I will vet this product for you. And I will only recommend things
3:03
that I do for my own family, my own mom, or my own sister.
3:06
And that is really when there's science, evidence based
3:09
medicine. I think bringing that dose of
3:12
reality to what I'm doing is what appeals to people out there
3:16
that are listening, that want to find a truth in an uncertain
3:18
world, whether it's a lot of Wild West out there.
3:21
I want patients to feel so comfortable and I want to be
3:25
very relatable and approachable, but I also want to be very
3:28
scientific so that they know that this is valid.
3:31
And you've trained, as I understand, injectors across the
3:34
country, across the world, from hands on courses to advanced
3:39
training programs, You know, and you are really trying to, as I
3:43
understand, elevate the industry standards when you're teaching
3:47
injectors. What is it that you're
3:50
emphasizing right now that wasn't even a part of the
3:54
conversation five years ago? I'm teaching bio regenerative
3:58
therapies and understanding scientific.
4:01
I think the highest, newest tech things that we're doing are at
4:04
the level of the molecule. So it's molecular biology for
4:07
beauty, and I'm really excited to be teaching that new sector
4:11
of longevity medicine by regenerative therapy, peptides
4:15
and kind of the science that hasn't really fully been fleshed
4:18
out yet, but it's already entering our clinics and it's
4:21
already very much an interest to patients.
4:23
So to me, that's the biggest, brightest thing that's growing
4:26
right now. And with that comes so much
4:29
building background, vocabulary to teach patients, to teach
4:32
injectors also around the world. This, the background of the
4:34
science, it's very important. And when I first joined on
4:37
social media, I realized that there was a vacuum of
4:40
information out there that nowadays companies are teaching,
4:44
they're doing anatomy courses, they're doing injection courses.
4:47
But when I first started, when you first started, there was no
4:50
one teaching anything. It was us learning the hard way.
4:53
It was kind of more secrecy in the plastic surgery industry is
4:56
known for people being secretive of protecting their techniques.
5:00
And I really wanted to just level the playing field and make
5:02
this a better experience for everyone because I was getting
5:06
so many questions on my Instagram about what needle,
5:09
what depth, what technique. So that kind of led me to feel
5:13
that there was this big knowledge gap that needed to be
5:15
filled. Well, you're definitely filling
5:17
it. And how many classes would you
5:19
say you're teaching a year? Oh my gosh.
5:22
Well, I lecture at so many of the big conferences, so all the
5:24
AMWC conferences and the Informa conferences and probably at a
5:28
meeting every two weeks, which is a lot, so.
5:31
Wow, that's a lot of. We have our we also have our
5:33
online platform for injectors. It's called modern aesthetic
5:36
theory and artistry and that has like 30 different modules.
5:40
You can access it from anywhere around the world as long as
5:43
you're a healthcare professional.
5:44
And then you can learn everything from beginner Botox
5:47
to very advanced like my Tinkerbell tip lift or off label
5:51
use of products that companies can really only teach on label.
5:55
So it's kind of great to be able to teach everything I do that's
5:58
off label. Because you're teaching that I
6:00
know that you have your finger on the pulse of everything new.
6:03
Is there a device or injectable that you believe is truly
6:07
reshaping what's possible right now, like real evolution?
6:11
I do, yeah. I think that the newest, the
6:14
best treatments coming are yet to be released.
6:17
But I'm working with a company called Rapalogix and we're
6:19
developing A topical rapamycin, which is a cream.
6:23
Rapamycin, as you know, is a oral tablet which when taken has
6:27
shown up to 30% lifespan and longevity enhancement for
6:32
animals, fruit flies or rats and mice.
6:35
And it's also speculated to increase human lifespan by up to
6:39
30%. But when we use this as a cream
6:41
topically, it can anti age fibroblasts from like a 50 year
6:45
old kind of fat out of shape senescent fibroblasts.
6:49
It reshapes them into a thin 23 year old looking spindle active
6:54
fibroblasts. So we're able to like reverse
6:57
the senescence of cells and get them producing collagen at their
7:00
old levels that is going to be next level new.
7:03
Wow. Well that sounds great.
7:06
And because you're the experts, I know that the listeners are
7:09
interested. What treatments, looking ahead,
7:13
do you think are positioned to define the next wave of
7:16
aesthetics? Well, I think the college and
7:18
bio stimulators were just at the beginning of learning what we
7:20
can do with them because I've been using them in my practice,
7:23
not only for mid face lift and rejuvenation, like the new skin
7:28
quality that you get when you turn on these fire blasts to
7:30
wake up. It's incredible.
7:31
It's also a great product for preventing of GLP facial fat
7:35
wasting and Ozempic face. So using the collagen
7:39
biostimulators, I think we're just kind of beginning the
7:42
journey of what can they actually do.
7:44
And then when they're used in conjunction with mixing with
7:47
hyaluronic or priming the skin ahead of time with nutrients and
7:51
peptides and polynucleotides, we can actually really double and
7:56
triple collagen levels when you actually feed the fiberglass.
8:00
What are you seeing that patients are coming in and
8:04
requesting now? Like what is the hottest thing
8:07
that you know that you weren't maybe hearing a year ago, but
8:10
now is the shift of what people are asking for?
8:13
Well, definitely some of the new molecular techniques, so like
8:15
salmon sperm treatments. We've heard of the salmon sperm
8:18
facial. It sounds so trendy.
8:20
And Kim K set that trend on fire.
8:23
Thank you, Kim. But I think that the real beauty
8:25
of that is these are DNA nucleotides.
8:27
These are building blocks that repair damage and help every
8:31
fine line and wrinkle on your face that has a senescent
8:34
fiberglass in there and some DNA damage going on is going to get
8:38
re infused with life. And so I think that is super
8:42
popular. Everybody's asking for salmon
8:44
DNA treatments. We're doing it before laser,
8:48
we're doing it in conjunction with procedures.
8:50
So for example, same day as your collagen stimulator and then
8:54
we're doing that after treatments to speed healing,
8:56
like for example after your facelift a week later.
8:59
Let's infuse some polynucleotides that and I would
9:01
say the growth factors like platelet derived growth factor
9:05
products that are now human recombinant DNA technology where
9:08
you don't need to draw PRP and spin it down and worry that you
9:12
have enough active components. You can actually get area
9:15
essence or platelet derived growth factor which can be used
9:19
as a direct infusion, a message to the cells to wake up and grow
9:22
and do their function better. Well, one trend we're definitely
9:27
seeing is that the natural look is coming back, right?
9:32
For a while, everything was overemphasized and a little
9:35
bigger and puffier than maybe should have been for a minute.
9:38
How do you balance that when somebody comes in and they want
9:42
to look refreshed without looking like they've had
9:45
anything done? How do you strike that balance
9:47
at your office? Well, I'm a fan of re evaluating
9:51
where they have their product placed and when necessary, I
9:54
will just do the hard work of dissolving bad work and starting
9:57
fresh. Often people need to hear that.
10:00
They're also kind of relieved to hear that.
10:02
So we do a lot of that adjusting.
10:04
I think the most important thing I like to do is look at the
10:06
faces and upper third, middle, third, lower 3rd and kind of
10:09
assess where the volume defects are occurring.
10:12
I love to treat with collagen simulators lateral in the face,
10:15
so lateral to the line of ligaments and that gives
10:18
vertical vector upwards, kind of like a nice beautiful tightening
10:23
effect to the mid face and the lower face.
10:25
So I'm a fan of using those collagen simulators to improve
10:28
facial ligament tightening. And of course, things like lip
10:32
filler are still super popular. I don't want to demonize any
10:36
filler. All filler is good filler.
10:38
I do great filler work. And I think we have to reteach
10:41
the industry that filler is a great product when used
10:43
judiciously and small amounts and carefully placed.
10:47
And we have to talk patients down.
10:49
So we're still using plenty of hyaluronic gel fillers.
10:51
But most of my practices probably evolved towards more
10:54
collagen stimulators. And then of course, the summer
10:58
the blepharoplasty had a big resurgence.
11:00
I did a lot, a lot of upper blephs and I think that teaching
11:04
patients too, like sometimes when there's too much skin and
11:07
there's laxity, we just do need to trim and tighten.
11:10
So it's the combination of those kind of approaches is leading to
11:13
very natural beauty. One of the things you know what
11:16
I'm asking about that I saw that you're known for is really
11:20
stacking treatments, combining maybe energy based devices with
11:24
injectables. What is your favorite
11:27
combination right now? My favorite combo is priming the
11:31
skin prior to collagen stimulators that will prime with
11:34
polynucleotide treatment, maybe even exosomes, and then doing
11:39
the collagen stimulator treatment.
11:40
Then once all the fibroblasts are recruited into this area,
11:44
thinking about four weeks later doing a skin tightening
11:46
treatment as well with micro needling radio frequency or a
11:51
laser. And one of my favorite things to
11:52
do is a very light CO2 laser. So I think that really takes
11:56
away top two or three damaged layers of sun damaged skin and
12:01
allows fresh skin to come back. So I'm stacking those kind of
12:04
treatments. So things are evolving, right?
12:07
And I do think that that natural look has definitely come back.
12:10
I think that's a good thing for the industry.
12:13
Yes, thank goodness. I mean, the industry's taking a
12:15
bit of a hit. And like many companies talk to
12:18
us as if like, no, everything's fine, it's all normal.
12:21
But like in the real world and in the war zone of the Med spa
12:25
and the injector office, like there's definitely a change in
12:29
consumer sentiment. Everyone's holding back a
12:32
little. I think there's a little
12:33
recession coming. And then we need to help people
12:36
get over filler fear and recognize that good filler work
12:39
just looks great. Sometimes you can't wait for
12:42
collagen to grow. So I tell people if they're
12:44
willing to wait 60 days, 90 days for collagen to grow, then to do
12:49
the long term collagen banking that one, that that is really
12:52
important. But if you want results that
12:54
look good for this Christmas, let's do something fast.
12:57
Absolutely. And I'm sure you have this
13:00
happen in your clinic where somebody comes in and they want
13:04
something done, but they're afraid of the frozen look, like
13:07
they have the fear of being frozen.
13:09
And how do you address that with them?
13:11
I don't ever overdo it with toxin, I'm always like very
13:15
light handed with that. So I often use the newer
13:18
versions of the toxins, but each toxin has its own personality
13:22
and characteristics of just kind of really machine learned in my
13:26
head over time, which talks and gives which look and then I can
13:29
match that to the right lady. And I think that there's a lot
13:33
of TikTok science going on, things that people have heard on
13:36
TikTok or they're afraid of this or afraid of that.
13:38
So I'm sure that creeps in the treatment rooms, right?
13:41
It definitely does. That's the interesting thing
13:43
that often social media drives what we do in the office, and we
13:47
have to be careful to rein that in and teach people like what's
13:50
true and what's not true. I think some of the education
13:54
that people are picking up on social media is great and then
13:57
some of it is taking us in the wrong direction.
14:00
Exactly. And I do a lot of social media
14:02
in our office. We are really great at
14:04
marketing. We have the social media team in
14:06
the house and that's actually a fun part of the day because I
14:09
get to educate and entertain a little bit of both.
14:13
You have to do entertainment, right.
14:15
We have to keep people engaged and I think you want to always
14:18
be relevant and it's important to stay up with what's trending.
14:22
So in your opinion, is there an overlooked or underrated
14:27
procedure that really does deliver consistent real results,
14:31
but it's not really getting the attention that it deserves right
14:33
now? I am all for micro needling.
14:36
I think 3 to 4 sessions boosts your collagen production 400%.
14:42
Patients love it. There's minimal downtime and for
14:45
people that are a little bit fearful about surgery or they're
14:48
fearful about Bastimulator or maybe they don't want to get
14:51
filler right now, this is such a great treatment because you feel
14:54
slightly pampered and getting next level molecular ingredients
14:57
needled in and you get that lovely skin quality glow.
15:01
So it's all good. So I think that's a terrific
15:04
treatment. The other thing I really love is
15:06
my hyperdilute midface radius technique and that's multi
15:10
layer, some injecting on periosteum within the facial fat
15:14
pads and in the deep dermis, sometimes even in the
15:17
superficial dermis and getting kind of like a global effect of
15:21
lifting, tightening and brightening and that has been
15:24
game changing. I've been doing that for the
15:26
whole last year and we just published an article in
15:29
Aesthetic Surgery Journal Open Access.
15:31
Everybody can read it, the technique, and it's just a new
15:34
way of treating the face. It's really definitely not paint
15:38
by numbers. It's very creative.
15:40
You really have to analyze where facial fat loss has occurred,
15:43
from aging or from GLPS, and you can use this technique for both.
15:47
So it sounds like you really are on the cutting edge of, you
15:51
know, not just settling into the treatments that you're
15:54
comfortable with, You're pushing the envelope and going to the
15:57
next level, making sure your patients have exactly what's new
16:00
and what's hot. So how do you decide which
16:04
treatments to try? With all of the new technologies
16:08
and buzzwords that are surfacing constantly?
16:11
How do you filter really what's worth exploring versus what's
16:15
just marketing? I think it's really important to
16:18
do science based, evidence based results.
16:21
So that's my #1 criteria in dealing with any company.
16:24
I will ask them first, can I read your white papers?
16:26
Can I see what's the ingredient profile and where are your
16:29
clinical studies? And I think that's the most
16:32
important thing for me. Wouldn't.
16:33
You say yes, absolutely, like you're saying that credibility
16:37
behind you, right. So how do you think that you're
16:40
staying relevant through it all, making sure that you're, whether
16:44
it's your social media, whether it's your training, is it a lot
16:47
of work to keep up with everything that's happening in
16:50
the industry? It's a lot of work.
16:52
I would say I do 2 to 3 hours of reading a day because I want to
16:58
try all the new things. I want to prescribe peptides for
17:01
my patient. I want to be on a peptide
17:02
myself. I want to learn about rapamycin
17:04
and M Tor of the cell. But all of this requires so much
17:08
research and that you can't really trust anybody out there
17:11
on Instagram that's Hawking their knowledge base unless they
17:14
have degrees, Graduate School and credibility behind that.
17:17
So, so I'm just like, I'm a person who reads the original
17:21
literature and I want all of us to be that person because too
17:25
many injectors out there are learning off of the gram and off
17:29
of TikTok and I, we can't have that.
17:31
And I also think that this industry's been damaged a little
17:35
by people saying things on their huge platform like, oh, you
17:39
can't do a college and simulator and go ahead and have a
17:41
facelift. If you ever want to have a
17:42
facelift, don't do college and simulator.
17:44
I think that this is trash talk and needs to be like supported
17:48
by some evidence. If you're going to talk like
17:49
that before you shut down a whole industry, please show me
17:53
the evidence. I think you're right.
17:55
I think that there's a lot of misinformation floating around.
17:59
What do you think is the biggest misconception or what do you
18:03
hear patients bringing into the treatment room about injectables
18:07
or results that you're still shocked that they're saying?
18:09
I mean, people still think that they can have a whole facelift
18:13
with one syringe, so. Yes, I.
18:15
Think that's a big misconception, like the products
18:18
are expensive, but just even though it's expensive, you need
18:21
to budget volume per area per square centimeters of treatment
18:27
zone. And so like I would like to
18:30
educate patients better on like what's really required to give a
18:34
place that has deflation and fat changes and volume loss.
18:38
You often have to use 5 or 6 syringes spread out over time,
18:42
not all at once, not like the old days.
18:44
I completely agree with you. I think that misconception about
18:47
how much filler is in a syringe is quite shocking.
18:50
In my doctor's office they have a picture on the wall with the
18:54
spoons. Showing us.
18:56
How much is actually in a syringe of filler?
18:58
We think it's like so much, but it's this tiny, tiny amount and.
19:02
Very little. Yeah, I have.
19:04
I agree with you, I'm always have a minimum of probably 6
19:09
syringes in my face but I don't think I have a puffy face.
19:12
It's just this is what it requires.
19:14
And unfortunately, like, as the years creep up on us, the number
19:18
of syringes increases. But I also agree with what you
19:21
said about, you know, moving slowly because sometimes I'll go
19:25
have three or four and then let that settle in for a couple of
19:29
weeks before you go and get the rest done to kind of see how
19:32
that all balances out, right? That's so true.
19:35
People are so rushed, especially here in LA.
19:37
Like they want to come in and get everything all at once and
19:40
done. And like, that's not efficiency,
19:42
that's like rushing it. We need to really personalize
19:45
and customize and give products time to equilibrate and settle
19:49
in. And like I never heard anybody
19:51
say like just do a really fast job and do 10 things to my hair
19:54
all at once. Like, no, you're going to take
19:56
your time and do the steps your hairdresser recommends.
19:59
But for some reason in the face, they're all like.
20:02
Just hook up the kid. I got a rush.
20:04
I got to do like and I got to get in.
20:05
I got it out. No like faces take time.
20:08
Please let me take the right amount of time on your face.
20:10
I also think the secret to having it look natural is
20:15
spacing it out. Like I go quarterly, right?
20:18
Some people want to just go once a year.
20:20
Maybe they're thinking they don't have time, But if you fill
20:23
it up so much that you know you don't have to worry about it for
20:26
a year, then for that first few months you're going to look
20:29
puffy. So I go quarterly and get a
20:32
little little adjustment and then it always looks more
20:35
natural. See, that's great.
20:37
I need to up level. I'm just doing like, I don't
20:39
know, I get too busy by the end of the day.
20:40
I like I don't want any needles in my face.
20:42
I'm going home. But I still do it like twice a
20:44
year. But as you get older, you need
20:46
to do more. You need to do like the in
20:49
between, some micro needling in between, a little bit of peel.
20:52
Definitely an energy device here and there.
20:55
I think there's so many ways to support the beauty that you want
20:58
to project. And it's also OK to not do
21:00
anything to your face. And I also want to teach my
21:03
clients to not be so perfectionistic about their
21:07
beauty and so obsessed and to allow little facial, not a flaw,
21:12
but a facial characteristic to show through because that's what
21:16
makes us very special. And as we have patients aging,
21:20
longevity is all about teaching resilience and love for who you
21:25
are and who you've become. And our industry needs to teach
21:28
more of that versus like women need to look good.
21:30
We have enough pressure. I love that.
21:32
That's a great way to think about it.
21:34
So Doctor K, thank you for sharing your expertise with us.
21:37
When you look ahead, what excites you the most about where
21:41
aesthetics is headed? Not just in treatments, but in
21:44
how people experience beauty, which is what you were just
21:47
really talking about. Oh, I'm so excited about the
21:50
integrative approach to aesthetics where we spend so
21:54
much time with our patients, like we become their counselor,
21:57
their love, their confidence boosting coach.
22:01
And I also want to take that time to look at like, OK, what's
22:03
really going on? Why are you really tired?
22:05
Should we do blood work? Let's optimize your health
22:08
status. Let's give you nutrients and
22:10
minerals and vitamins where you're deficient.
22:12
Let's check your hormones. So we want to be that one stop
22:16
shop where patients can count on us to give good medical care and
22:19
look at your labs and teach you and replenish you.
22:22
Like get you an IV drip, get you a peptide treatment, get you
22:25
some hormones, maybe microdose some GLPS for you and control
22:30
your inflammation, and then simultaneously where you're
22:33
collagen deficient or your facial fat is deflating.
22:36
I am doing like all AI analysis and 3D scans for faces and
22:41
really assessing and studying your facial aging patterns.
22:44
And we've been doing this for the last 10 years, but
22:46
especially in the last couple years now using AI for 3D facial
22:50
scanning for looking at skin quality characteristics.
22:53
And then really recording like with good data metrics like
22:57
what's changing about you and where do we need to keep up?
23:01
And the next generation of this is even more.
23:03
It's going to be a drawing blood work to look at your DNA
23:05
methylation patterns, like where are your genes prematurely
23:08
aging? What work should we do on your
23:11
GI tract to fix that or on your collagen deficiency to fix that?
23:15
I think we have the ability to bring that molecular science and
23:20
lifespan extension, longevity type treatments to all of our
23:23
patients and most important to ourselves first because we need
23:26
it for ourselves. Yes, we do.
23:28
Well, Doctor K, if you don't mind joining us for a speed
23:32
round, I know that your expertise will be great here.
23:35
What I'd like to do is run a bunch of items, pass you on a
23:39
one to 10. You tell me your thoughts on how
23:42
great they are. Now I'll run by a bunch of
23:44
treatments and just your opinion will be very valuable to our
23:48
audience. OK, all right, here we go.
23:52
Bio simulators. Oh, 10 out of 10?
23:57
I'm a fan. Threads.
23:59
Sorry, I'm going to give it a one.
24:01
That one. We like threads, but only when
24:04
they're anchored and sutured and nodded, and they won't last
24:07
long. Preventative Neurotoxin.
24:10
I think 10 out of 10, this is a concept that works.
24:13
Lip flips. I'm a fan of the lip flip, but I
24:16
would say I would give that like an 8 out of 10.
24:18
I would say 2 out of 10. People can't tolerate those.
24:21
There's not enough lip muscle strength.
24:24
Under eye filler. I'm still a huge fan of under
24:27
eye filler when placed precisely under the muscle.
24:30
I would say this isn't A9. Non surgical nose contouring.
24:35
I'm biased here. That's a 10 out of 10.
24:37
I have a beautiful Tinkerbell tip lift which rivals my
24:41
surgical rhinoplasty results. Wow.
24:44
I wish I was. There to try that jawline
24:46
contouring. That's also a 10 out of 10.
24:49
We can have some very beautiful results with reshaping the
24:52
goneal angle and lengthening and projecting.
24:55
Good. It's a good one.
24:57
Chin augmentation with filler. I would say it's a nine out of
25:01
10. It's very close to what we can
25:03
achieve with the chin implant. The only downside being it has
25:07
to be repeated every couple years.
25:08
But it's a great way to try out the chin implant idea.
25:12
Fat dissolving injections. Yeah.
25:15
Well, so deoxycholic acid has been in my practice game
25:19
changing. We use it all the time.
25:21
That's very injector dependent. So I'd say it's like a might
25:25
give it like an 8 out of 10 because it does swell for a
25:28
couple weeks. But I can say with definitive
25:31
certainty, when injected correctly, it's a great way to
25:33
slightly slim the gels, the segmental fat, the body fat
25:37
works really well. Gummy smile.
25:40
Neurotoxin. Yeah, that's a 10 out of 10.
25:43
That's a great one. And people don't even realize
25:45
it's an option when they have too much pink gum showing in
25:49
their smile and they have to do a very controlled smile.
25:51
It's very liberating for those people to get a tiny dose of
25:54
toxin. They no longer have to be
25:56
inhibited. Masseter slimming with their
25:58
neurotoxins. I'm a fan, but I'm going to give
26:02
it like a 7 out of 10. It's something that I think if
26:05
you're a clenching, grinding person that has hypertrophic
26:09
overcrow masseters, you will really benefit.
26:11
For the vast majority of women, when we slim the masseters too
26:15
much, we get bone density change of the mandible and for
26:18
postmenopausal women, it's not really recoverable.
26:21
To rebuild that bone density, you need the master muscle
26:24
forces to maintain bone and the mandible.
26:27
And I also want to thank long term for my patients, not just
26:30
short term beauty. So maybe we'll do that once a
26:33
year. We'll definitely need to do some
26:35
jawline definition if we shrink the masseters too much.
26:38
Hair restoration injections. Love, I love that.
26:42
So that's also a like a nine out of 10.
26:44
It's not successful for everybody, but for the people
26:47
who do it 4 to 6 sessions, regardless of which type of
26:52
product you're using, whether it's PRP or polynucleotide or
26:55
exosomes, almost everyone can get some benefit from hair
26:58
injections. Radiofrequency with the micro
27:00
needling. I'm a fan of radiofrequency
27:04
without needles. With needles, I think you have
27:06
to have superior techniques so that you don't thin the dermal
27:09
fat or use too high of an energy because I think there is a
27:13
danger in trying the dermis and cooking the home of the
27:16
fiberglass because we want to tighten.
27:18
On the other hand, like radio frequency doesn't really tighten
27:21
that much. So I'm very middle of the road
27:24
on that. So maybe like A5 at a time?
27:26
Cellulite treatments. Wow, these are hard questions.
27:30
So Cellulite is very challenging when you get the right treatment
27:34
and the right person and you've chosen well whether it's
27:37
dissolving enzymes or cutting devices or laser type devices
27:42
that the results can be amazing. I would just say that it's
27:45
difficult to predict for people. So maybe that's like a 7 out of
27:49
10. In office light therapy facials.
27:54
10 out of 10 there is red light is going to be the nutrition of
27:57
your fibroblast and your mitochondria and it's really a
28:02
lovely treatment proven to grow more collagen better for blood
28:06
flow. And what about at home?
28:08
Red light therapy masks. I'm more cautious about the
28:11
device and the manufacturer because there have been many
28:14
case reports of people using the red lights that burn or irritate
28:17
the skin. So you have to be super careful.
28:19
But there are some really great brands out there with home
28:22
devices. Cryofacials.
28:25
It's interesting, but I'm not really a fan.
28:27
I want to do a treatment, then I'm going to see some really
28:30
next level results. So I think there are better ways
28:32
to achieve that stimulation than cryofacial.
28:35
Retinol. Retinol is a 10 out of 10.
28:38
We love retinol, our number one proven ingredient to improve
28:42
collagen production. Fine lines, wrinkles, there will
28:46
be some new research coming that talks about is retinol actually
28:49
always good? And is too much retinol gonna
28:52
exhaust your fibroblasts? And I think that we will find
28:55
that answer to be true. And so we may have adjustments
28:58
and kind of a paradigm shift in our thinking coming about how
29:02
retinol impacts aging of the skin.
29:06
What about hyaluronic acid serums?
29:08
Those are 10 out of 10. We must have those.
29:11
Yeah, every day, twice a day for me.
29:13
Peptide skin care. 10 out of 10 peptides are very powerful
29:17
molecules that send cellular signals to reverse age and anti
29:21
age Brighton light and tighten. We have many wonderful peptides
29:26
out there. Growth Factor.
29:27
Skin care. I think there's so much science
29:30
that has to be vetted on those, and that depends on the batch,
29:34
consistency of what's in it, the content of what the growth
29:37
factor is. So that one has potential to be
29:39
a 10 out of 10, but there's still a lot of research to be
29:42
done. Chemical exfoliants.
29:45
I think like glycolic peels or any kind of peels, when done in
29:48
a controlled setting with an expert doing them, are wonderful
29:52
for the skin. Skin cycling.
29:55
Yes, I would say 10 out of 10. That's it.
29:59
That's the end of the questions. You did an amazing job so.
30:02
That was very comprehensive. There's.
30:04
A lot of great information and Doctor K, we can't thank you
30:08
enough for joining us today and sharing all this wealth of
30:11
information. We hope that you'll come back
30:14
next year and share with us what's hot at your office.
30:17
I look forward to it. There's so many more new things
30:20
coming well. Anything else that you want to
30:23
share with our audience before we sign off?
30:25
That's it. If they can find me on my
30:27
Instagram, it's Beauty by Doctor KDRKAY and our website is the
30:32
same Beauty by Doctor k.com. And don't forget to check out
30:35
our Modern Aesthetic Theory and Artistry courses for injectors.
30:40
Great. Well, that's it for today's
30:42
episode of The Doctor Randy Show, where big ideas meet real
30:46
impact. Doctor Randy Boyett holds a PhD
30:49
and is a recognized leader in the aesthetics and medical
30:52
industry. She is not a licensed medical
30:54
doctor. All commentary and product
30:57
recommendations are based on industry expertise and are
31:00
provided for informational purposes only.