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Skincare Secrets: Beyond Botox · All About The Joy

• 0:00
  Carmen Lezeth: Hey everyone, welcome to All About the Joy.
• 0:07
  Carmen Lezeth: I'm so glad to have everyone here.
• 0:09
  Carmen Lezeth: Cynthia no laughing, but I'm glad that you're here today.
• 0:12
  Carmen Lezeth: Mario is in the house and maybe we'll see Ama a little bit later.
• 0:16
  Carmen Lezeth: Thank you, and Rick Costa, as always, so glad you're here.
• 0:19
  Carmen Lezeth: We have my friend Nilou here.
• 0:21
  Carmen Lezeth: Hi, and I'm going to try again to say your name.
• 0:24
  Carmen Lezeth: It's Rustam G.
• 0:26
  Carmen Lezeth: Right, nilou Rustam.
• 0:26
  Carmen Lezeth: Hi, and I'm going to try again to say your name.
• 0:26
  Carmen Lezeth: It's Rustom G, right, nilou, rustom G.
• 0:28
  Carmen Lezeth: Yep, that's it.
• 0:29
  Carmen Lezeth: And, as I said a little bit earlier to you, I can't believe I didn't know your last name up until this moment.
• 0:35
  Carmen Lezeth: But you actually do all my Botox and I'm sorry I'm repeating that again.
• 0:40
  Carmen Lezeth: We're not supposed to call it Botox, it's I always mess up.
• 0:43
  Carmen Lezeth: Anti wrinkle what is it Like?
• 0:45
  Nilu Rustomji: wrinkle relaxer treatment yeah, it's like a broad term for all the different types of wrinkle relaxers that are on the market.
• 0:53
  Carmen Lezeth: That are on the market.
• 0:54
  Carmen Lezeth: So, instead of saying Botox, which is like saying Coca-Cola, instead of like Pepsi for people who don't know, because most of our audience, I don't think, is really big on I'm sure Rick's audience huge on Botox, but you do a lot of skincare and the reason why you and I connect so well and it's you know, one of the reasons why I want to tell people how I have guests on the show, how I meet them is I actually went to a place where you used to work, um, and I had a person that I would work with and she would do my stuff, but then she went on vacation.
• 1:29
  Carmen Lezeth: I met you and that was the end.
• 1:31
  Carmen Lezeth: You just have a whole different approach to skincare.
• 1:37
  Carmen Lezeth: That I love, um.
• 1:39
  Carmen Lezeth: I love your website.
• 1:40
  Carmen Lezeth: Oh, let me promote your website now and I'll put it at the bottom for everyone to look at.
• 1:44
  Carmen Lezeth: But it's your skin coach, nilucom, and that's N I L Ucom Um.
• 1:51
  Carmen Lezeth: But why don't you tell us a little bit how you got into doing skincare?
• 1:57
  Nilu Rustomji: Yeah, so of course.
• 1:58
  Nilu Rustomji: So I um didn't think I would be in this role at all.
• 2:01
  Nilu Rustomji: Um, growing up, my parents are like immigrant Indian people and they have no idea what Botox or any of this is.
• 2:07
  Nilu Rustomji: But I studied psychology in undergrad and went on to PA school where I was doing different rotations, and landed a rotation in dermatology and, kind of you know, fell in love with it.
• 2:20
  Nilu Rustomji: I really liked the procedural, hands-on aspect and being able to relate with patients, spend more one-on-one time with them in like a more intimate setting.
• 2:30
  Nilu Rustomji: So I actually ended up doing medical, surgical and cosmetic dermatology for a few years in Santa Barbara before coming back to LA and focusing just on cosmetic injectables and skincare just on cosmetic injectables and skincare.
• 2:49
  Carmen Lezeth: So there's a huge psychological aspect to how you do skincare, as opposed to the idea that you know cause I've always.
• 2:54
  Carmen Lezeth: We can talk about this later.
• 2:56
  Carmen Lezeth: I think other people have questions.
• 2:57
  Carmen Lezeth: But whenever I tell people I've had Botox done, like whenever they say, oh my God, your skin looks so good, I'm like done like.
• 3:05
  Carmen Lezeth: Whenever they say, oh my God, your skin looks so good, I'm like, yeah, it's Botox or whatever.
• 3:07
  Carmen Lezeth: Because when you notice Botox or when you notice it, that's when it's badly done.
• 3:11
  Carmen Lezeth: But most people who get it done you would never, no one would ever know I'd had it done.
• 3:16
  Carmen Lezeth: No one.
• 3:18
  Nilu Rustomji: Exactly, you always think about the people that you see out on the street or in Hollywood and like, oh my gosh, they look terrifying, they do Botox or they do too much.
• 3:26
  Nilu Rustomji: But yeah, exactly, you don't think about all the people that are walking around that you wouldn't otherwise think twice about.
• 3:32
  Nilu Rustomji: That do have work done.
• 3:33
  Nilu Rustomji: But it goes to show that it can be done very naturally, very elegantly.
• 3:40
  Nilu Rustomji: My whole approach is I don't like cookie cutter approaches.
• 3:45
  Nilu Rustomji: I think that we're all unique and beautiful in our own ways and we all come from different backgrounds, and so I just really try to highlight that and like each patient's unique anatomy and what.
• 3:56
  Nilu Rustomji: What are their goals Like, what are their concerns?
• 3:58
  Nilu Rustomji: Like someone that's an actor, doesn't need to have no movement at all, versus somebody that might want to have, you know that has like really deep lines or wrinkles, you know.
• 4:06
  Nilu Rustomji: So you have to always cater to the patient, ask about their lifestyle, ask what they're doing at home.
• 4:14
  Carmen Lezeth: Mario, would you ever get a ton?
• 4:17
  Maurio Dawson: My wife wouldn't let me.
• 4:19
  Maurio Dawson: And also I have questions because for me, like for most people, for most listeners and viewers, they know that I have kidney transplant, so I'm immunocompromised, so there are certain things that I cannot do, like I always wanted to get a tattoo but I can't do it.
• 4:35
  Maurio Dawson: So I always my wife is, you know always wondered what that looks like for someone like me.
• 4:43
  Maurio Dawson: Could I ever do something like that, even though, cause I've had a major weight loss I've lost like 130 pounds so far.
• 4:50
  Maurio Dawson: So now I have a lot of wrinkles and cause a lot of loose skin in my face.
• 4:55
  Maurio Dawson: So that's something I always have a question about if I can do that or not.
• 5:00
  Nilu Rustomji: Of course.
• 5:00
  Nilu Rustomji: No, that's very valid and and that actually is a good thing to bring thing to bring up, because a lot of people might think that, oh, it's Botox, whatever, it's nothing.
• 5:09
  Nilu Rustomji: But it is still a medical procedure and, to your point, it's really important for us to screen patients for these things.
• 5:16
  Nilu Rustomji: But I always defer to your, you know, rheumatologist, your PCP, your regular physician, to get clearance.
• 5:23
  Nilu Rustomji: But in your case I'm not providing medical advice but if they which they probably would, because it's a very not like, it's pretty non invasive.
• 5:31
  Nilu Rustomji: And we do treat a lot of immunocompromised patients.
• 5:36
  Nilu Rustomji: In fact, you know patients that are undergoing chemotherapy or, you know, have cancer, like sometimes they come in just to feel good and they are oncologists.
• 5:45
  Nilu Rustomji: You know, tell them like, go get whatever you need done to feel better, to feel happier.
• 5:51
  Nilu Rustomji: So, yeah, we do treat patients with you know that are have immunosuppression or immunocompromised, but we always will.
• 5:59
  Nilu Rustomji: Yeah, I just recommend getting clearance from a physician.
• 6:03
  Maurio Dawson: Yeah, see, that's a question a lot of people wouldn't know.
• 6:06
  Nilu Rustomji: Yeah, no, that's a fabulous question, yeah.
• 6:08
  Maurio Dawson: And a lot of these Thank you, I did my homework today.
• 6:13
  Carmen Lezeth: You earned your salary, Mario.
• 6:16
  Nilu Rustomji: Thank you.
• 6:18
  Cynthia Ruiz Lopez: I've also heard of people using it to get rid of migraines Exactly.
• 6:24
  Nilu Rustomji: Yeah, yeah, yeah.
• 6:25
  Nilu Rustomji: So that, thank you.
• 6:25
  Nilu Rustomji: Yeah.
• 6:26
  Nilu Rustomji: So I was going to say a lot of these medicines that are you know now, aesthetic treatments were first indicated for medical use, so migraines, nerve disorders like movement disorders, urinary incontinence, excessive sweating.
• 6:42
  Maurio Dawson: I didn't know that, yeah.
• 6:45
  Nilu Rustomji: Yeah, I did not know yeah, yeah, I was today years old.
• 6:48
  Maurio Dawson: How about?
• 6:48
  Carmen Lezeth: that now you did extra homework more homework let me just write rick, do you have any questions?
• 7:03
  Rick Costa: you're falling behind on the homework I was just wondering, like the difference between all the technology we have now compared to like 25 years ago, is it like really really different or pretty much the same?
• 7:19
  Nilu Rustomji: that's a good question.
• 7:19
  Nilu Rustomji: I mean a little bit of both.
• 7:21
  Nilu Rustomji: Um, you, knowox, I think, first got its aesthetic indication, at least in like 1989.
• 7:28
  Nilu Rustomji: Um, but these again medications have been studied for like decades now.
• 7:33
  Nilu Rustomji: At this point, um, I would say, newer formulations of, let's say, like Botox or certain fillers are still being developed.
• 7:40
  Nilu Rustomji: Um, I would say, more importantly, we're learning, as practitioners or healthcare providers, how to do it more properly.
• 7:45
  Nilu Rustomji: We're learning, as practitioners or healthcare providers, how to do it more properly.
• 7:47
  Nilu Rustomji: We're learning a lot more about facial anatomy, about you know which plane to inject in without going into too much detail.
• 7:55
  Nilu Rustomji: So it's really actually about, I think, like finessing our expertise which makes it so.
• 8:01
  Nilu Rustomji: It's we're constantly learning, which is so cool and so.
• 8:04
  Nilu Rustomji: So, yes, there's always new products like coming out or in the pipeline, but a lot of these have been very well studied for a long time and are pretty safe for use.
• 8:15
  Carmen Lezeth: I think one of the things I found interesting that you do that I didn't have done before.
• 8:21
  Carmen Lezeth: So I used to go to a man who's a surgeon have done before.
• 8:24
  Carmen Lezeth: So I used to go to a man who's a surgeon but he does plastic surgery whatever.
• 8:35
  Maurio Dawson: And I went.
• 8:36
  Maurio Dawson: Why is Mario laughing?
• 8:36
  Carmen Lezeth: Because we're talking about derm and I keep looking at my wrinkles in my forehead.
• 8:40
  Carmen Lezeth: Baby, you're beautiful.
• 8:42
  Carmen Lezeth: I just found a very prominent place, because the way I ended up learning about Botox was I had this friend who I met getting my nails done.
• 8:52
  Carmen Lezeth: This woman, she was next to me getting her nails done.
• 8:55
  Carmen Lezeth: I was having a conversation.
• 8:56
  Carmen Lezeth: She interjected and we started talking afterwards and then we went out to dinner and we became friends and a year into our friendship we were having dinner and I was like, oh, I really really have to get something done.
• 9:08
  Carmen Lezeth: You know, like you kid around with your friend, you're like, oh, I got to get something done here.
• 9:12
  Carmen Lezeth: And she was like, oh, no, what you need is like some Botox here and here.
• 9:16
  Carmen Lezeth: And I was like I was like laughing Cause I was like, yeah, girl, whatever, cause I knew nothing about it.
• 9:23
  Carmen Lezeth: And she's like, no, for real.
• 9:25
  Carmen Lezeth: If you ever want to go with me, you know I've had everything done and I'm like what it had her nose done when she was 18.
• 9:37
  Carmen Lezeth: She'd had her boobs done, she'd had a facelift, and I'm telling you here's how naive I was.
• 9:40
  Carmen Lezeth: I honestly can tell you before that day, if someone had told me that they had had all this stuff done, I'd be like.
• 9:47
  Carmen Lezeth: I can't be friends with her because I had a judgment about it.
• 9:50
  Carmen Lezeth: Yeah, yeah.
• 9:51
  Carmen Lezeth: And here I was hanging out with this woman for over a year, having dinner once a month like we'd always get together.
• 9:56
  Carmen Lezeth: You know what I mean?
• 9:56
  Carmen Lezeth: We went to yoga class.
• 9:57
  Carmen Lezeth: I wanted to shoot myself because I hate yoga.
• 10:00
  Carmen Lezeth: She tried to get me into yoga class or whatever, but she was a good friend.
• 10:04
  Carmen Lezeth: And when I realized all the work she had done and how beautiful I would have never guessed I would have it never dawned on me.
• 10:11
  Carmen Lezeth: So I went with her.
• 10:13
  Carmen Lezeth: I went to a very I know you would know I think we've already talked about this, but I know you would know who it is a surgeon or whatever.
• 10:19
  Carmen Lezeth: And when I went in there, he was, I mean, I left there.
• 10:27
  Carmen Lezeth: I went in thinking, okay, well, yeah, maybe I could get.
• 10:29
  Carmen Lezeth: I left that visit being like so broken, like I was ugly.
• 10:32
  Carmen Lezeth: I needed everything done.
• 10:34
  Carmen Lezeth: You need filler here, you need this there, you need all this stuff.
• 10:39
  Carmen Lezeth: And he obviously didn't take any psychology classes?
• 10:41
  Cynthia Ruiz Lopez: He obviously didn't take any psychology classes.
• 10:42
  Rick Costa: No, right, exactly, I don't want to do that.
• 10:47
  Nilu Rustomji: A lot of male surgeons they, yeah, I mean, and look, here's the thing.
• 10:51
  Carmen Lezeth: He's very prominent, he's worked on a lot of Hollywood celebrities and I know Nilo, you know who it is, but it's just, I think he just knows.
• 10:58
  Carmen Lezeth: Like he was just cut into the chase Like here's all the stuff you can get done.
• 11:02
  Carmen Lezeth: It'll cost like $28,000 and whatever.
• 11:04
  Carmen Lezeth: You know what I mean.
• 11:05
  Carmen Lezeth: Like, well, he didn't say that.
• 11:12
  Carmen Lezeth: He sent me to the next room, which was the whole budgeting person who can set you up with a credit card and the payment plan, and I remember being like, yeah, I mean, I felt I have never had bad self-esteem.
• 11:20
  Carmen Lezeth: But the difference with you and where I met you is it's is it all women there?
• 11:26
  Carmen Lezeth: It was all women at one point.
• 11:28
  Carmen Lezeth: It's all women, and that was the first thing I noticed and it's just a whole different nurturing thing.
• 11:34
  Carmen Lezeth: And then you were just, you know, I think you said to me wow, you have such great skin.
• 11:46
  Carmen Lezeth: And I was like I think it's that nurturing aspect.
• 11:50
  Carmen Lezeth: There is a difference between and this is not to be judgmental of men in this field, but there is a difference between women helping other women through this, because I think I'm not saying all women, but you're more about how you go about it.
• 12:08
  Carmen Lezeth: Like you use different things on different parts of my face.
• 12:12
  Carmen Lezeth: Yes, for the injectables, where that never happened before, it was just all botox, yeah, yeah, and you explained it to me.
• 12:19
  Carmen Lezeth: You were like for this area, we're going to use this and for here, so I get botox, just so.
• 12:24
  Carmen Lezeth: People who because I don't think anyone in this room besides well, rick, you get a lot of it done I can tell we're almost in there frozen.
• 12:34
  Maurio Dawson: We listen and we don't judge.
• 12:39
  Carmen Lezeth: So everyone knows, I don't mind sharing.
• 12:40
  Carmen Lezeth: So I have a line that goes here.
• 12:42
  Carmen Lezeth: Right, it's a pretty deep one that goes through here.
• 12:45
  Carmen Lezeth: That bothers me.
• 12:46
  Carmen Lezeth: You can't see it now because she thinks yeah, no, no, no, nilu does it, nilu does.
• 12:52
  Carmen Lezeth: But there is a line here that I have that you can't see now so you're saying you look like a vulcan without nilo nilu that's, that's right.
• 13:04
  Carmen Lezeth: I look horrible without her, but it's called the 11s, right?
• 13:08
  Carmen Lezeth: Yes, yeah, but why do I only have one line?
• 13:11
  Carmen Lezeth: It's weird, it's not weird?
• 13:14
  Nilu Rustomji: This is what it is.
• 13:15
  Nilu Rustomji: I have one line Just to get to a little muscle.
• 13:17
  Nilu Rustomji: So sometimes actually and that's again we're all very unique.
• 13:20
  Nilu Rustomji: Somebody's muscle here can be distributing in various different ways, so the line there might look different than your neighbor's line.
• 13:29
  Carmen Lezeth: So we put a lot here and then I get this area here done, whatever that's called.
• 13:34
  Carmen Lezeth: What's the outside eyes?
• 13:36
  Carmen Lezeth: The crow's feet.
• 13:37
  Carmen Lezeth: I don't like that term.
• 13:39
  Carmen Lezeth: I think we need to change that.
• 13:41
  Carmen Lezeth: It sounds nasty crows feet.
• 13:44
  Carmen Lezeth: We need to call it a mouse, like I don't know song, whatever like kitten whispers or something would you prefer talons would you prefer talons?
• 13:58
  Carmen Lezeth: I don't even know what talons are.
• 14:01
  Carmen Lezeth: I'm so sorry bigger claws.
• 14:04
  Carmen Lezeth: I'm gonna say we can be more positive about right away.
• 14:06
  Carmen Lezeth: And I get those done and I get, uh, the forehead done, but you do it lightly so I can still move my eyebrows.
• 14:14
  Carmen Lezeth: So I don't have that thing where you can't move your eyebrows yeah, or you're too heavy.
• 14:18
  Nilu Rustomji: We don't want that.
• 14:19
  Nilu Rustomji: What's too heavy?
• 14:20
  Nilu Rustomji: Oh, when it's like you feel like that yeah, your brows are way down, your lids are yeah, yeah.
• 14:25
  Carmen Lezeth: Yeah Well, you're nice and lifted and awake, yes, yes, but what else do you enjoy about doing the work that you do?
• 14:38
  Nilu Rustomji: What, what don't I love?
• 14:40
  Nilu Rustomji: No, I think you actually kind of mentioned it a little bit earlier Mostly women, you know, mostly female patients.
• 14:47
  Nilu Rustomji: We do definitely have a good number of male patients coming in, but I just love and I'm so inspired by my female patients, our hustlers, their moms.
• 14:59
  Nilu Rustomji: They have 10 different roles and they, you know, for me, it's my opportunity as a healthcare provider to take care of them and for them to like get in that chair just like go of everything, relax and like take care of themselves.
• 15:14
  Nilu Rustomji: And I feel like you know, as women we're oftentimes in a nurturing role or whatever, but but now like, at least in our, our generations, of where we're full-time employees a lot of the times as well, and so being able to navigate all those things, being a mom, being, you know, working full time, whatever it is, we might not often give ourselves grace or time to like take care of ourselves, and so being able to provide that for patients is really rewarding, yeah, and I learned a lot.
• 15:42
  Nilu Rustomji: I learned so much from my patients.
• 15:44
  Nilu Rustomji: I learned a lot from you, Carmen.
• 15:46
  Carmen Lezeth: We had a great conversation last time.
• 15:47
  Carmen Lezeth: That was just too funny, I mean.
• 15:49
  Carmen Lezeth: I couldn't believe.
• 15:49
  Carmen Lezeth: I was so excited to, I was nervous about asking you to come on the show and then when you were like yeah, I was like, oh, my god, really it was so random.
• 16:01
  Carmen Lezeth: Um well, cynthia, do you guys?
• 16:04
  Carmen Lezeth: Do you guys have any other questions?
• 16:05
  Carmen Lezeth: I don't want to dominate, but you know, jump in, I will have the conversation by myself with her and you guys just be out there.
• 16:10
  Carmen Lezeth: I don't want to know.
• 16:11
  Carmen Lezeth: No, uh-oh, what just happened?
• 16:15
  Carmen Lezeth: I got to find him.
• 16:19
  Carmen Lezeth: What just happened, mario?
• 16:24
  Carmen Lezeth: What happened?
• 16:26
  Carmen Lezeth: I got to move you over.
• 16:27
  Maurio Dawson: I was just sitting here minding my Black business and it happened.
• 16:32
  Carmen Lezeth: That's a good segue.
• 16:33
  Carmen Lezeth: Is there a difference when it comes to different ethnicities, colors of skin tone, when you do some of these procedures?
• 16:42
  Carmen Lezeth: Because I want to be clear, I have no idea what's happening.
• 16:47
  Carmen Lezeth: I don't know what he's doing.
• 16:49
  Carmen Lezeth: I don't know either.
• 16:50
  Carmen Lezeth: I'm just sitting here's doing?
• 16:52
  Maurio Dawson: I don't know either.
• 16:52
  Maurio Dawson: I'm just sitting here.
• 16:54
  Maurio Dawson: I swear I'm not touching nothing.
• 16:56
  Maurio Dawson: Look, I turned the TV off.
• 16:58
  Maurio Dawson: Make sure the internet's off.
• 17:00
  Maurio Dawson: Look, nobody else is here.
• 17:02
  Maurio Dawson: I don't know.
• 17:07
  Carmen Lezeth: Sorry, Again, it's our first week, but let's go back to that question, Like is there a difference between different ethnicities when it comes to all the different types of skincare you do?
• 17:21
  Carmen Lezeth: Because I want to be really clear.
• 17:22
  Carmen Lezeth: You don't just do a wrinkle relaxing oh my God, why can't I think of what it is?
• 17:28
  Carmen Lezeth: What is it?
• 17:29
  Carmen Lezeth: Wrinkle relaxer treatment?
• 17:30
  Carmen Lezeth: I can't say that I love that term.
• 17:33
  Carmen Lezeth: I'm tripping over my own, Um.
• 17:37
  Carmen Lezeth: But Botox, it's not the only thing you do.
• 17:39
  Carmen Lezeth: You do a lot of other things.
• 17:40
  Carmen Lezeth: That's on your website as well.
• 17:41
  Carmen Lezeth: And again, I want to do a shout out to your website one more time.
• 17:44
  Carmen Lezeth: Your skin coach, Nilu N I L Ucom, Um.
• 17:49
  Carmen Lezeth: But yeah, let's, I I'd love to know that.
• 17:52
  Carmen Lezeth: Like, what is the?
• 17:54
  Nilu Rustomji: differences or are there any differences?
• 17:55
  Nilu Rustomji: Yeah, great question.
• 17:56
  Nilu Rustomji: I would say a really common one that we have to consider is things like lasers, microneedling, chemical peels Usually a procedure, especially that involves heat like lasers.
• 18:09
  Nilu Rustomji: I can't do a lot of lasers because I might pigment, so I might hyperpigment or hypopigment, so like I can get darker, lighter spots after certain treatments because we have more melanin in our skin.
• 18:22
  Nilu Rustomji: So certain procedures not that we can't do all lasers you know there are lasers that are safe for like all skin types across the board, but there are some that you want to just be more cognizant of and certain peels, like if they're like really high depth peels that are getting deep into the skin layers, we'd have to be a little more careful of as well.
• 18:43
  Carmen Lezeth: In terms of injectables, you know, like Botox or filler, you know we do that for all you should explain what filler is, because I don't even think you guys know what filler is, do you?
• 18:54
  Maurio Dawson: Yes, I'm very astute.
• 18:58
  Carmen Lezeth: Thank you very much.
• 18:59
  Carmen Lezeth: Maybe for Cynthia and Rick or for our podcast listeners.
• 19:02
  Carmen Lezeth: Maybe they don't know what filler is no, I'm just joking.
• 19:06
  Cynthia Ruiz Lopez: I'm just joking.
• 19:07
  Cynthia Ruiz Lopez: I know I love you.
• 19:08
  Nilu Rustomji: So filler it's commonly called dermal filler and most dermal fillers are composed of what we call hyaluronic acid.
• 19:16
  Nilu Rustomji: Hyaluronic acid is a component that's naturally in our skin already.
• 19:19
  Nilu Rustomji: It's what draws water and moisture into the skin and hydrates it.
• 19:24
  Nilu Rustomji: So, basically, what you know these chemists have done essentially have created synthetic hyaluronic acid gel, and that's what is in a filler and what it does is.
• 19:34
  Nilu Rustomji: You know, when we inject it let's say really commonly in the lips, you know the gel kind of plumps up the lips.
• 19:41
  Nilu Rustomji: It hydrates the lips, yeah, but sometimes that looks so bad If it's done, badly Shout out to Kylie Jenner.
• 19:49
  Carmen Lezeth: You don't know that can be a client.
• 19:51
  Carmen Lezeth: Shout out to Kylie Jenner You're so mean, you don't know that can be a client.
• 19:58
  Cynthia Ruiz Lopez: You're just giving a shout out to Kylie Jenner.
• 20:01
  Maurio Dawson: Just a pleasant shout out.
• 20:03
  Cynthia Ruiz Lopez: I actually have a question about the hyaluronic.
• 20:06
  Cynthia Ruiz Lopez: So of course we've seen commercials about hyaluronic acid creams and serums and things like that.
• 20:12
  Cynthia Ruiz Lopez: Do those work just as well as the injections?
• 20:18
  Nilu Rustomji: Not for the same purpose?
• 20:19
  Nilu Rustomji: That's a great question.
• 20:20
  Nilu Rustomji: So topically, so in like skincare, like lotions and moisturizers hyaluronic acid in it is beautiful, it can really help again seal like moisture into the skin.
• 20:30
  Nilu Rustomji: So if you have dry skin, if you have eczema, it's great for that, but it's not filling areas of volume loss.
• 20:38
  Nilu Rustomji: So for instance, mario, you were saying like you lost some weight recently.
• 20:41
  Nilu Rustomji: So a lot of patients you know that even on like Ozempic or any of those like weight loss medications, they've also noticed a lot of like volume loss in their face.
• 20:51
  Nilu Rustomji: Because that you know that goes down over time.
• 20:54
  Nilu Rustomji: We lose bone mass, all those our skin starts to sag or whatever.
• 20:59
  Nilu Rustomji: So filler can actually help when it's injected to refill areas that we've lost volume.
• 21:06
  Nilu Rustomji: So topically it's not going to go in deep enough to replace that volume because it's deeper areas in the face that are losing volume.
• 21:14
  Carmen Lezeth: Some people get it like um, they get it here at the laugh lines Um, right, um, I had filler done once by that man and uh, and they I'm sorry.
• 21:26
  Nilu Rustomji: Cause I did the one who will not be named.
• 21:28
  Nilu Rustomji: I'm sorry, cause I did the one who will not be named.
• 21:32
  Carmen Lezeth: He does huge celebrities, by the way, but um they they put in filler here.
• 21:42
  Nilu Rustomji: Uh, why do they do that?
• 21:43
  Nilu Rustomji: You're not really doing that as much anymore.
• 21:45
  Nilu Rustomji: Um, like in the under eyes.
• 21:46
  Carmen Lezeth: Yeah, they did an under eyes and then it was stuck here and, by the way, that doesn't really go away for like a year.
• 21:55
  Carmen Lezeth: I went back in and he was trying to whatever they were doing, trying to take it out, but it really stays for a while yeah, they can be stubborn.
• 22:03
  Nilu Rustomji: It can take some sessions of dissolving.
• 22:05
  Nilu Rustomji: We don't.
• 22:05
  Nilu Rustomji: You know we do under eye filler still, yes, here and there, but again.
• 22:10
  Nilu Rustomji: So actually goes back to one of those things that, like as injectors or surgeons, we've learned now you know filler might not, is not usually the best uh treatment for that area.
• 22:20
  Nilu Rustomji: It's such a thin air like the skin is so thin there.
• 22:23
  Nilu Rustomji: It's very delicate.
• 22:23
  Nilu Rustomji: It's our eye muscles around that area.
• 22:26
  Nilu Rustomji: It's constantly like blinking and contracting.
• 22:27
  Nilu Rustomji: So why would you put a gel there that you know takes in water and moisture and plumps the area you don't want to get plump here?
• 22:35
  Nilu Rustomji: You don't look like you have big under eye bags.
• 22:39
  Carmen Lezeth: I had a thing right here, and here's the thing you have never said to me.
• 22:42
  Carmen Lezeth: This is the other thing I like about you.
• 22:44
  Carmen Lezeth: I've never walked into your office and you've been like Ooh, you know what, carmen, I think it's time for you to try.
• 22:49
  Carmen Lezeth: Blah, blah, blah, blah, blah.
• 22:50
  Carmen Lezeth: You know like, if anything, you kind of dissuade me from doing things, cause I'll be like okay, no, but seriously, you're good, it's all good, you know, but I think that's a really good thing because you're being very honest and you're not going to overdo it.
• 23:08
  Carmen Lezeth: You know like, as we were talking about some celebrities last, like two sessions ago, whatever, in our, in our private lounge, or I think it was a Friday night thing this obsession with, like, pamela Anderson not wearing makeup and you know, everyone is so like, oh, my God, she's so beautiful and she's so awesome and rah, rah.
• 23:27
  Carmen Lezeth: And yeah, I'm all happy for her, but she's had a lot of work done, so it's very different than a woman of her age and I believe she's in her 50s now.
• 23:38
  Carmen Lezeth: Right, I feel like she might be a little older of a particular age
• 23:41
  Carmen Lezeth: she's a woman of a particular age.
• 23:42
  Carmen Lezeth: Thank you, mario.
• 23:43
  Carmen Lezeth: But and so the idea of us being all excited about someone who's going quote, unquote, natural, because they're not wearing makeup really irks me, which is why I talk about what I do.
• 23:58
  Carmen Lezeth: But go ahead, I'm sorry, sorry to cut you off.
• 24:01
  Nilu Rustomji: But yeah, no, that's like a pet peeve of mine when they're like, oh, I've never done injectables or I've never done Botox, cause they'll name.
• 24:06
  Nilu Rustomji: I think this is my theory.
• 24:08
  Nilu Rustomji: Certain celebrities will name the brand.
• 24:11
  Nilu Rustomji: Then they could be like, well, I don't get botox, but secretly they actually get disport or different brain, you know right, or whoever.
• 24:18
  Nilu Rustomji: You know other young adults that are like looking up to these celebrities, thinking like, oh my gosh, they have perfect skin or they have a perfect lips or perfect base, and like they're all natural, like you know, it's just like you just teach their own.
• 24:31
  Nilu Rustomji: But for me I'm like, oh, you're just making other people feel bad by not being honest.
• 24:35
  Nilu Rustomji: Yeah, yeah.
• 24:37
  Carmen Lezeth: I mean, and you use this port here, right?
• 24:41
  Carmen Lezeth: I forget what it is, but you know.
• 24:43
  Carmen Lezeth: I believe so, yeah so like if I were to say something like, let's say, I was being interviewed, I'd be like oh yeah, no, I don't use what's a third one I've never used Because.
• 24:58
  Nilu Rustomji: I use Botox and Dysport.
• 24:58
  Nilu Rustomji: There must be another one.
• 24:59
  Nilu Rustomji: So that's what you're saying.
• 24:59
  Nilu Rustomji: People are lying and saying that's my.
• 25:00
  Nilu Rustomji: I wonder that sometimes, yeah, like, who is it Like?
• 25:02
  Nilu Rustomji: Oh my gosh.
• 25:03
  Carmen Lezeth: That's how they're getting away with it.
• 25:04
  Carmen Lezeth: They're saying they don't drink Coca-Cola, but they're over there drinking Pepsi.
• 25:08
  Nilu Rustomji: That's my theory there is no way, like this celebrity has not done any, like she's using olive oil Okay.
• 25:21
  Cynthia Ruiz Lopez: The lies the lies.
• 25:23
  Carmen Lezeth: Well, that's when it's crazy too.
• 25:24
  Carmen Lezeth: And here's the thing Now that I do it and I've been doing it for years now and I get it I can tell, I can just tell, I can pinpoint it's like gay radar or something you can just tell that somebody has.
• 25:44
  Carmen Lezeth: I really have bad gay radar.
• 25:46
  Carmen Lezeth: By the way, my friend Richard used to be able to be like I'd be like, oh, that man is fine, I'm going to give him my number and he'd be like, yeah, you're gay, don't even bother.
• 25:58
  Carmen Lezeth: I want my number but go ahead, but can't you tell?
• 26:03
  Carmen Lezeth: I mean you're a professional so you can tell when people have had stuff done.
• 26:07
  Nilu Rustomji: Yeah, yeah, usually I mean on on TV.
• 26:09
  Nilu Rustomji: Sometimes I, sometimes I can't focus on like whatever these reality television shows and stuff, because I'm so focused on their face.
• 26:17
  Nilu Rustomji: I'm like, oh my God, they look terrible.
• 26:21
  Carmen Lezeth: Okay, wait, wait.
• 26:21
  Carmen Lezeth: Do you sometimes look at people and be like wow, they really do need some work.
• 26:27
  Nilu Rustomji: No, usually it's the opposite.
• 26:28
  Nilu Rustomji: It's like you've done too much, oh okay.
• 26:31
  Nilu Rustomji: Or like I'm still moving.
• 26:33
  Nilu Rustomji: I okay moving, I'm like, ah no, that looks weird I do.
• 26:39
  Maurio Dawson: I do have a question do you work with people who have, like, uh, surgery scars like keloids or things like that, and helping them reduce those scars?
• 26:49
  Nilu Rustomji: yeah, so good question yeah, so I did that a lot in my old dermatology clinic where I was doing more like medical surgical dermatology.
• 26:57
  Nilu Rustomji: We would sometimes remove even big keloids like on the ears surgically.
• 27:02
  Nilu Rustomji: A lot of times we can inject it with Kenalog, which is like a steroid.
• 27:08
  Maurio Dawson: Can you?
• 27:08
  Carmen Lezeth: just tell me what that is.
• 27:10
  Carmen Lezeth: I don't even know what you're talking about, Mario.
• 27:12
  Carmen Lezeth: For example, keloids are raised scars.
• 27:13
  Maurio Dawson: Can you just tell me what that is.
• 27:14
  Maurio Dawson: I don't even know what you're talking about.
• 27:15
  Maurio Dawson: Mario, for example, keloids are raised scars on your body.
• 27:19
  Maurio Dawson: So, for example, this is a keloid.
• 27:22
  Maurio Dawson: Do you see that?
• 27:24
  Carmen Lezeth: Yeah.
• 27:25
  Maurio Dawson: Okay, that's a keloid, so it's a raised scar off the body that you can actually see, and then there are ways to reduce the size of the scar.
• 27:36
  Maurio Dawson: So I was wondering if she worked with people with stuff like that.
• 27:40
  Nilu Rustomji: Okay, yeah, and a lot of dermatology or aesthetic practitioners will, and yeah, so you can typically inject it with the steroids.
• 27:48
  Nilu Rustomji: It's different than Botox or filler, but we've actually found uh, there's evidence that, like even for women, like who's recently had a C-section, or if you have a recent injury or surgery, doing Botox around the line of injury, um, can actually help prevent like scarring or maybe maybe even keloid scarring.
• 28:09
  Nilu Rustomji: Keloid scarring is like kind of a next level type of scar, but but we have have found that because it I have to read more into like the research behind it, but it I think helps basically relax the muscle fibers around that scar so it doesn't contract as unevenly and like it's not as misaligned, um, so it is actually kind of a cool like botox can be used for so many things.
• 28:30
  Maurio Dawson: It's quite fascinating okay, cool, I've done my homework, rick you seem.
• 28:38
  Carmen Lezeth: What are you?
• 28:39
  Carmen Lezeth: Okay?
• 28:40
  Carmen Lezeth: Wait, I want to make sure it's okay.
• 28:41
  Carmen Lezeth: Very talkative I'm so confused.
• 28:46
  Rick Costa: Oh yeah, so talkative.
• 28:48
  Rick Costa: All this, this is all new.
• 28:50
  Rick Costa: I'm absorbing it all.
• 28:51
  Rick Costa: Okay, I did have a.
• 28:53
  Rick Costa: Okay, I did have a funny question maybe funny, maybe not funny but do you ever get anybody come to you and be like I want to look like this?
• 29:03
  Nilu Rustomji: and you're like, baby, I'm not god, oh, my gosh, yeah, it doesn't happen a lot, but it does happen and it is a little bit of a pet peeve of mine as well, because I'm like, yeah, first of all, that's a filter, so that's not even a real person, right, right.
• 29:16
  Nilu Rustomji: Sometimes it's like you know they're using a filter or pictures of somebody that has a completely different anatomy or features.
• 29:23
  Nilu Rustomji: And again, it doesn't happen a lot Usually.
• 29:25
  Nilu Rustomji: For me it's more so, just like setting realistic expectations of what we can achieve with injectables alone.
• 29:32
  Nilu Rustomji: I mean, granted, I'm not a plastic surgeon, so maybe they can do it, you know, alter the appearance a bit more.
• 29:39
  Nilu Rustomji: But but also, you know, we have to the psychology that comes in is, you know, we kind of mentally have to screen for patients that might have body dysmorphic disorder or something else going on, where you know they may not ever be happy with whatever cosmetic treatment they get, and that's a different type of thing?
• 30:05
  Nilu Rustomji: Not a lot, at least not where I work.
• 30:07
  Nilu Rustomji: I'm in Santa Monica, where most of our patients are very like.
• 30:10
  Nilu Rustomji: I want it natural.
• 30:12
  Nilu Rustomji: I just want to age, gracefully, you know, carmen.
• 30:18
  Carmen Lezeth: You guys do screen, like so.
• 30:20
  Carmen Lezeth: So the way it happens is you have to fill out all this paperwork and it's on an iPad thing or whatever, but you have to fill out all this stuff and you have to.
• 30:28
  Carmen Lezeth: They take pictures every time you come in I.
• 30:31
  Carmen Lezeth: Why do you guys take pictures every time?
• 30:34
  Nilu Rustomji: I know sometimes it's, you know, patients may think it's a little excessive, but it's kind of like our, it's like a tool for us, you know.
• 30:42
  Nilu Rustomji: So we can see the progress, which is really nice.
• 30:45
  Nilu Rustomji: But also, if there are a lot of times patients like don't notice certain things until everything else looks better, and then they're like but now I have this, and then we look at the photos and we're like, oh, but you always had that and you're just noticing it more.
• 30:57
  Carmen Lezeth: Oh, right Right.
• 30:58
  Nilu Rustomji: Okay, nice for patients too.
• 31:00
  Nilu Rustomji: They're like oh okay, okay, I see it now.
• 31:02
  Carmen Lezeth: So yeah, but I'm just saying it's a pretty intensive thing and I feel like you guys take a lot of time.
• 31:07
  Carmen Lezeth: Well, you take a lot of time to talk to people to get a feel for if they're crazy or not.
• 31:13
  Carmen Lezeth: I don't know.
• 31:13
  Carmen Lezeth: It's just my feeling, I'm just saying with me, because it just felt like you took so much.
• 31:18
  Carmen Lezeth: I'm like, this girl ain't got no other appointments.
• 31:23
  Nilu Rustomji: Meanwhile, my staff is like bringing the light.
• 31:28
  Carmen Lezeth: They're like go girl.
• 31:29
  Carmen Lezeth: No, this thing is very thorough, and I think that might also be the difference between again, this is just my experience, and I've been having botox on, I think, for maybe a good 10 years now, maybe 10 years and I have to say in my experience, um, there's a difference between going to men and going to women.
• 31:48
  Carmen Lezeth: If you're a woman, for me it was, you know what I mean, or it has been um, but there were also what they call um botox bars.
• 31:59
  Carmen Lezeth: Is that the right terminology?
• 32:01
  Carmen Lezeth: Do you know what I'm talking about?
• 32:03
  Carmen Lezeth: there's so many like so, where you go to like somebody's house or they come in like a truck no, like on montana here in santa monica, where just it's like you walk in and they're just like off the street.
• 32:13
  Carmen Lezeth: Yeah, you should never go to those places.
• 32:15
  Carmen Lezeth: You should always go to a licensed person.
• 32:18
  Carmen Lezeth: I mean, why don't you tell us what you should do?
• 32:20
  Carmen Lezeth: Neelu, I don't know.
• 32:21
  Carmen Lezeth: I mean you can get Botox at your nail salon.
• 32:24
  Carmen Lezeth: You can get it.
• 32:25
  Carmen Lezeth: I would never do that.
• 32:27
  Carmen Lezeth: You can get it.
• 32:28
  Carmen Lezeth: Seriously, you never noticed that you go into a nail salon and they're like can we do Botox and waxing?
• 32:32
  Carmen Lezeth: I'm like I would never do either one of those things.
• 32:37
  Rick Costa: Number two please cocktail and fill in my hair.
• 32:41
  Nilu Rustomji: Doing it at the fast food restaurants.
• 32:43
  Carmen Lezeth: now too, tell people who might be interested in their first time what they might want to look for or stay away from what they might want to look for or stay away from.
• 32:56
  Nilu Rustomji: Yeah, yeah, I mean yeah, do your research right so you know who's the provider that you're going to, where, where.
• 33:02
  Nilu Rustomji: Where do they go to school?
• 33:02
  Nilu Rustomji: Where do they get licensed?
• 33:03
  Nilu Rustomji: What kind of training do they do?
• 33:04
  Nilu Rustomji: What do they do on a daily basis?
• 33:05
  Nilu Rustomji: You know, not to say you can't do lasers and other things, but for us, like you know, I specialize just in injectables, which I really like.
• 33:12
  Nilu Rustomji: So I'm not a jack of all trades, I'm really specializing in this one thing.
• 33:17
  Nilu Rustomji: So I just think patients really like that and feel more comfortable with it.
• 33:20
  Nilu Rustomji: Reviews, referrals, those are all the best.
• 33:25
  Nilu Rustomji: Yeah, yeah, I think referrals are great because then you know, okay, like my best friend or my cousin or whoever has seen them, they trust them.
• 33:34
  Nilu Rustomji: But really you know you want to go to a licensed medical professional, which in, at least in California I'm not sure about the East Coast states, but usually it has it has to be an RN, so in registered nurse, nurse practitioner, pa, physician assistant, which is what I am or an MD medical professional like a doctor.
• 33:54
  Carmen Lezeth: Right and look that's not to say that places that people go.
• 33:57
  Carmen Lezeth: And it is here on Montana, on Santa Monica, where I went once and I was like okay, I'm never doing that again, like because I was so afraid, I felt so uncomfortable.
• 34:05
  Carmen Lezeth: They were nice and it was fine, right?
• 34:08
  Nilu Rustomji: So, yeah, it's not to say that they aren't, you know, professional and don't do a great job.
• 34:13
  Nilu Rustomji: They might.
• 34:14
  Nilu Rustomji: So I don't know if there's a certain place you're mentioning, but, like, because that's the other thing, these med spas are opening up very quickly, yes, and across the world, you know, and I've been hearing like in London people don't have to be licensed at all, like medicine I believe's in.
• 34:30
  Nilu Rustomji: Then that's where it gets really scary, because then where are they getting these medications from?
• 34:35
  Nilu Rustomji: Where are they getting their?
• 34:37
  Nilu Rustomji: Where are they getting their botox?
• 34:38
  Nilu Rustomji: That's where it gets really scary, because there are, you know, fake botox companies out there that distribute them.
• 34:44
  Carmen Lezeth: And that's her dog she told us, yes, no, so we can let her dog bark in the back.
• 34:53
  Cynthia Ruiz Lopez: I have a question what are, like the most common side effects to like the not the fillers, but the injections, Botox, all things like that and are there any long-term effects that can happen?
• 35:08
  Nilu Rustomji: Beauty in Beauty I know I always joke the biggest side effect is you get addicted.
• 35:21
  Nilu Rustomji: So with any medical procedure there's always certain risks, benefits, side effects.
• 35:27
  Nilu Rustomji: So most common risk not really a side effect most common risk is risk of bruising or swelling at the injection site.
• 35:31
  Nilu Rustomji: Usually it's pretty minimal, goes away in a few days.
• 35:35
  Nilu Rustomji: With Botox you can put makeup on like within 10 or 15 minutes.
• 35:39
  Nilu Rustomji: Sometimes patients might get a dull headache the next day or two.
• 35:43
  Nilu Rustomji: Doesn't usually happen with each treatment, but sometimes your first treatment or two you can get a dull headache, usually just because there's so many pokes can get a dull headache, usually just because there's so many pokes.
• 35:57
  Nilu Rustomji: What else Scary stuff that you might see online is where you get what we call ptosis or droopy eyelid.
• 36:00
  Nilu Rustomji: That's very rare.
• 36:01
  Nilu Rustomji: It sucks.
• 36:02
  Nilu Rustomji: It can happen to anybody, any practitioner, at any time, unfortunately.
• 36:05
  Nilu Rustomji: But again, it's very rare and we usually do things to try to avoid that With Botox and these type do things to try to avoid that.
• 36:14
  Nilu Rustomji: With Botox and this type of dysport and all these different wrinkle relaxer treatments, most of what we do is not permanent, which is nice.
• 36:18
  Nilu Rustomji: So if you ever get a horrible side effect of like a droopy eyelid, um, it will resolve within you know a few weeks, Like two to three months, right Is?
• 36:32
  Carmen Lezeth: I kind of see you every three months or so.
• 36:34
  Carmen Lezeth: I seem to, but that's not always the case.
• 36:38
  Carmen Lezeth: Because this is the other thing you have to understand when you go to certain people, and I don't know why this happens you go to certain people and you pay even the same amount of money, but then it doesn't last as long.
• 36:49
  Carmen Lezeth: What's that about?
• 36:50
  Carmen Lezeth: And then sometimes you pay the same amount of money and then your office is calling me like Carmen, are you coming in next week?
• 36:56
  Carmen Lezeth: I'm like I'm still fine.
• 36:59
  Carmen Lezeth: You know, what's that about why?
• 37:02
  Nilu Rustomji: is that so different?
• 37:03
  Nilu Rustomji: There can be so many variables.
• 37:05
  Nilu Rustomji: I mean a common one that people assume is like oh, they're over diluting their product or whatever, which at this point I don't think is very common.
• 37:14
  Nilu Rustomji: I mean hopefully not so.
• 37:17
  Nilu Rustomji: Botox, dysport, these all come as like a dry powder form, so we all have to dilute it.
• 37:22
  Nilu Rustomji: We have to mix it up into a liquid solution to inject it.
• 37:26
  Nilu Rustomji: But maybe some cheaper places will over dilute it so they get more product to be able to inject in patients and that's where their results might not be as strong.
• 37:36
  Nilu Rustomji: Again, I hope that places aren't really doing that anymore.
• 37:40
  Nilu Rustomji: It's not good practice, but like a patient's metabolism.
• 37:43
  Nilu Rustomji: If you're young, you work out a lot, yeah, you go to yoga, hot saunas, you're sweating a lot.
• 37:49
  Nilu Rustomji: Sometimes you might just like metabolize it very quickly.
• 37:51
  Nilu Rustomji: A lot of times it's the dose.
• 37:53
  Nilu Rustomji: You just need a higher dose.
• 37:54
  Nilu Rustomji: You know a lot of young clients or patients come in for like baby Botox.
• 37:58
  Nilu Rustomji: So it's like taking a half a Tylenol versus a full Tylenol.
• 38:02
  Nilu Rustomji: You know, if you take a half a Tylenol you might not get the maximum effects, or it might.
• 38:06
  Nilu Rustomji: You know, the effects might not last as long because you're not doing a full dosage of what they recommend.
• 38:12
  Carmen Lezeth: Wait, wait, wait.
• 38:13
  Carmen Lezeth: How young are people that you just said baby, I just freaked out.
• 38:20
  Carmen Lezeth: But how young do you see?
• 38:21
  Carmen Lezeth: They're an age you will not see, I mean.
• 38:26
  Nilu Rustomji: I don't usually.
• 38:27
  Nilu Rustomji: I don't usually feel comfortable with treating patients that are like under 21.
• 38:31
  Nilu Rustomji: I think you know cause.
• 38:33
  Nilu Rustomji: Well, fda, I think for all of these treatments are FDA approved for 21 and up.
• 38:39
  Nilu Rustomji: Um, I've had very rare cases where, like, the parent wanted the patient to be treated, which is also kind of weird to me, but um or uncomfortable, but so I will have, like, parents, sign consent, you know oh, and you'll have to do it yeah yeah, they do, I mean yeah yeah, have you ever not done it?
• 39:04
  Carmen Lezeth: because you disagree with doing it for someone?
• 39:09
  Nilu Rustomji: Yeah, yeah, if it's, if I think it's going to be unsafe for them, uh, if I think that, you know, or if they have a history of being unhappy with treatments, um, you know certain red flags like that Cause, then at the end of the day, no one's winning right Patients.
• 39:23
  Nilu Rustomji: I'm happy, I'm unhappy If the results aren't going to look good, if it's unsafe, like those are, you know, it's not, it's not worth it at that point.
• 39:31
  Nilu Rustomji: Um, but to answer your question, I would say, like the what we call baby Botox for most patients, they're coming in for that, maybe like in their early to mid twenties early to mid twenties.
• 39:53
  Carmen Lezeth: Yeah, I don't think I ever even thought about Botox until I hit my forties.
• 39:55
  Carmen Lezeth: I didn't even well, it never even dawned on me.
• 39:56
  Carmen Lezeth: I had such an attitude about it First of all because I was always thinking about bad Botox.
• 40:00
  Carmen Lezeth: That's what people don't understand.
• 40:01
  Carmen Lezeth: When you're looking at Botox, or you're looking at someone and you don't like the way they look although you should keep that shit to yourself but if you don't like what, you're looking at someone and you don't like the way they look although you should keep that shit to yourself but if you don't like, what you're noticing is someone who's maybe gotten it overdone or has done too much, or um, is there an ethical like?
• 40:19
  Carmen Lezeth: Why do I mean?
• 40:20
  Carmen Lezeth: Of course there is, but why do surgeons and doctors go overboard?
• 40:25
  Carmen Lezeth: I mean, do you ever make do, do a mistake and be like maybe that was too much to give her?
• 40:30
  Carmen Lezeth: I'm not going to give her that much again, or something?
• 40:32
  Carmen Lezeth: Um, I'm, I'm asking you when you fucked up online.
• 40:42
  Maurio Dawson: I'm trying to mess up her reviews now.
• 40:44
  Maurio Dawson: Keep her five stars on Yelp okay.
• 40:51
  Nilu Rustomji: No, no, but you know what I mean, I think, for me, I'm like, if there's ever anything like, tell me, come see me, I will fix it for you, because, like, no one's perfect, especially if, like you know, it's a new patient to me.
• 41:04
  Nilu Rustomji: Everyone's anatomy is so different.
• 41:05
  Nilu Rustomji: So that's why I'm like, just come see me, harass me.
• 41:07
  Nilu Rustomji: I need to know so I can help you, cause, yeah, I'm not perfect, I don't, you know, I don't ease it necessarily every time, but but I think less is more and I think, carmen, obviously you, I think, agree with that and that's why we get along so well.
• 41:21
  Nilu Rustomji: I know, yeah, I don't know these surgeons, I mean and there's so many great surgeons out there, obviously so, but I think these ones, and like that we see with the Hollywood celebrities and stuff, I don't know, I don't know if it's like, if it's money, if it's, maybe they just feel uncomfortable saying no to these high client, you know, high paying clients, I don't know.
• 41:43
  Carmen Lezeth: It's just weird, because sometimes you see the lip thing and I'm like, no, seriously, you think that's working.
• 41:48
  Carmen Lezeth: Like who did that to you?
• 41:50
  Carmen Lezeth: Like the lip thing bothered you when you're walking around and you're like it's too much.
• 42:02
  Cynthia Ruiz Lopez: It looks painful.
• 42:03
  Rick Costa: There's like a Christian woman that's pretty famous in the christian realm and she definitely had lips done and I can't even look at her now.
• 42:11
  Carmen Lezeth: So I'm like it's distracting.
• 42:15
  Rick Costa: Yeah, I can't look at her yeah tell me what she looks like, right is anybody like and how do you find out?
• 42:24
  Rick Costa: Is anybody like allergic?
• 42:27
  Nilu Rustomji: good question.
• 42:27
  Nilu Rustomji: So that's something that we screen for as well, um, typically not with the actual product, um, but we do screen for allergies to uh, the enzyme that can dissolve filler.
• 42:40
  Nilu Rustomji: There's sometimes cross reactions with like feasting allergies, um, but botox did you say feasting allergies?
• 42:48
  Rick Costa: yeah, like bees oh that's the allergy I seem to have the eating did you like a prick on, like a unnoticed part of the body or something to?
• 43:08
  Nilu Rustomji: test.
• 43:08
  Nilu Rustomji: Yeah, I have, I have done that.
• 43:10
  Nilu Rustomji: Um, I don't.
• 43:11
  Nilu Rustomji: It's very rare I have to do that, but yes, we can do that.
• 43:13
  Nilu Rustomji: Or I'll send them to an allergist because if they have, like, if I'm really actually worried they may have an allergy, I'm like I'm not well equipped.
• 43:20
  Nilu Rustomji: We have epi pens and benadryl, but if you're gonna have a really bad episode, I want you to go to go to a psychologist, so they're better equipped to handle that.
• 43:27
  Carmen Lezeth: But also like I.
• 43:28
  Carmen Lezeth: I mean, I have an EpiPen and I have the medical bracelet, you know, because I have I'm allergic to penicillin and shellfish and when you walk in the office they do an entire health thing and they ask for your doctor's name.
• 43:41
  Carmen Lezeth: They ask it's such a, it's annoying.
• 43:44
  Carmen Lezeth: You know what I mean, because I'm like I was just getting Botox.
• 43:49
  Carmen Lezeth: Yeah, that's why you do it is so that you have all that information and then when you meet with the person the first time, they go through it and have that conversation.
• 43:58
  Carmen Lezeth: Yeah, and I guess you guys just put that in the file, cause I met you after that.
• 44:02
  Carmen Lezeth: I met you after I'd already started going to your office.
• 44:05
  Nilu Rustomji: So um, yeah, if there's like, uh, something very pertinent and impatience medical history that I need to see or be reminded every time, I will like write it all up in their chart I don't want to forget this.
• 44:17
  Maurio Dawson: I have another question.
• 44:18
  Maurio Dawson: Um, for those people who are afraid of getting Botox because they don't like needles per se, okay, is there another technique or product they can use to help with skin tightening?
• 44:34
  Nilu Rustomji: Yes, and actually those patients are some of my favorites.
• 44:36
  Nilu Rustomji: They're so cute and then cause they work it up.
• 44:40
  Nilu Rustomji: Usually they work it up in their head and then like and then I start and they're like, oh, that was it.
• 44:44
  Nilu Rustomji: So yeah, and I have really close friends that are still terrified of blood draws will pass out every time, but they are fine now with Botox.
• 44:53
  Nilu Rustomji: But yeah, so let's say you know, patient's not qualified for Botox for whatever reason, which is very rare or they don't want to do it and they just want more natural ways to take care of their skin.
• 45:05
  Nilu Rustomji: I'm a huge advocate for, like topical retinol.
• 45:09
  Nilu Rustomji: Retinol is great for the skin.
• 45:12
  Nilu Rustomji: It's, you know, helps to produce collagen.
• 45:15
  Nilu Rustomji: It helps smooth fine lines and wrinkles, scarring pigmentation.
• 45:19
  Nilu Rustomji: Long-term use it can actually help prevent skin cancers, which is really great.
• 45:23
  Nilu Rustomji: A lot of people don't know about that, so that's like the cheapest, easiest thing that you could do at home.
• 45:28
  Nilu Rustomji: You can either get it prescribed or if you go to, let's say, like a med spa or something they will usually sell like a medical grade version.
• 45:39
  Carmen Lezeth: There's also over the counter versions of it, but it is weaker, right.
• 45:40
  Carmen Lezeth: I mean, it's a weaker version, the over the counter.
• 45:43
  Nilu Rustomji: Well, yeah, it depends, right.
• 45:46
  Nilu Rustomji: So it's, it might be weaker than a prescription one, but also I'm not a huge fan always of the over the counter ones, because the technology is not that great and it might be more irritating.
• 45:56
  Nilu Rustomji: So a lot of patients are like, oh, I tried, you know, over the counter rental, and I was so dry and red and flaky and I just, I know, and I'm like, oh, we just got to get you on the right one, like there's there's better ones out there that are formulated to be more gentle, soothing, released in the right layer of the skin.
• 46:13
  Nilu Rustomji: So it's, it's tolerated better.
• 46:17
  Carmen Lezeth: But the needles you do.
• 46:18
  Carmen Lezeth: I mean, cynthia, I know you hate needles and I am not a fan of needles, like especially cause I get blood work done because of my thyroid situation, but like regularly, which is annoying me.
• 46:29
  Carmen Lezeth: But when you do the needle, it's like I mean we're chit-chatting, blah, blah, blah.
• 46:35
  Carmen Lezeth: You're like boom, boom and I'm like am I done?
• 46:37
  Carmen Lezeth: You're like, you're done.
• 46:41
  Nilu Rustomji: Like needles are really thin that you use too.
• 46:42
  Nilu Rustomji: Yeah, very, they're like little insulin syringes.
• 46:44
  Nilu Rustomji: They're very tiny.
• 46:45
  Nilu Rustomji: Yeah, very, they're like little insulin syringes are very tiny usually I'll be tapping you to like help distract you.
• 46:50
  Carmen Lezeth: You have a little squeezy ball.
• 46:51
  Carmen Lezeth: I'll be like squeezing the ball or whatever, and then I'm like I don't squeeze the ball no more, you know we're usually chit-chatting, we're having fun in there, so you know weird.
• 47:01
  Carmen Lezeth: I know it's, you're very good at it.
• 47:03
  Carmen Lezeth: I mean I, I know you know that, like I've said that to you, but you're but it's the most comfortable I've ever been.
• 47:08
  Carmen Lezeth: I enjoy going to see you because I always feel good when I leave too.
• 47:12
  Carmen Lezeth: So it's not just the work that you're doing and this is just my experience, but you can tell me what the correct thing is.
• 47:20
  Carmen Lezeth: But when you get Botox done, it takes a few days for it to actually kick in.
• 47:24
  Carmen Lezeth: So it's not like you get it done and all of a sudden you're, like you know, wrinkle free.
• 47:31
  Carmen Lezeth: It takes time, but when I go and see you I feel like so relieved because I feel like I had some self care.
• 47:38
  Nilu Rustomji: Yes, a thousand percent, and I almost see it as like acupuncture because it's little needles.
• 47:43
  Nilu Rustomji: So, cynthia, you were asking about like migraines before.
• 47:46
  Nilu Rustomji: So we, we don't.
• 47:48
  Nilu Rustomji: You know it's technically medical treatment with migraines, but sometimes I'll do little areas for patients.
• 47:53
  Nilu Rustomji: If they need it for tension release, so like for grinding people grind a lot at night and the temples with grinding and like migraines and, yeah, sometimes they say they feel like immediate relief.
• 48:04
  Nilu Rustomji: So I do think that there's something to be said about that, about just like the needle relief.
• 48:11
  Carmen Lezeth: I've tried it in different places too, like cause we were trying to see if we could cause I'm starting to get like little jowls here anyways.
• 48:18
  Carmen Lezeth: And so instead of you know, I, I never want to have surgery again.
• 48:22
  Carmen Lezeth: Knock on wood.
• 48:23
  Carmen Lezeth: Like after having my hip surgery, I never want to have surgery again.
• 48:26
  Carmen Lezeth: But we tried it there and I was like okay, it didn't really do anything so, and there was no pressure like oh, you have to try it again or you have to do it this way or whatever.
• 48:34
  Carmen Lezeth: It was like okay, it didn't work, it's fine, you know what I mean?
• 48:36
  Carmen Lezeth: It didn't work for me, but the needle didn't hurt here either, I think that's just the technique you use or something I don't know what about what?
• 48:45
  Cynthia Ruiz Lopez: I'm sorry, cynthia um, my question is um, so once you start it and you know you're going for a few months here and there, do you have to continue, or can you just stop at any time and not do it ever again?
• 49:00
  Cynthia Ruiz Lopez: Or is it something that you always have to keep doing?
• 49:03
  Carmen Lezeth: no, you have to do it all the time.
• 49:16
  Nilu Rustomji: Yes, yeah, yeah, absolutely you can stop.
• 49:17
  Nilu Rustomji: And yeah.
• 49:17
  Nilu Rustomji: So patients often ask like, well, if I stop, are my wrinkles going to be worse?
• 49:19
  Nilu Rustomji: No, you know.
• 49:20
  Nilu Rustomji: So you can stop at any time.
• 49:22
  Nilu Rustomji: You just go back to you know your baseline.
• 49:24
  Nilu Rustomji: But, like you know, if you've been doing Botox for five, 10 years and then you you stop, you know you also age during that time you might have like a little more sun damage or you know things like that.
• 49:34
  Nilu Rustomji: But you know, if you're consistently doing it, you are sorry, you are preventing it lines from forming and getting deeper as well.
• 49:42
  Nilu Rustomji: So that's why a lot of people see it as like preventative Botox.
• 49:46
  Nilu Rustomji: Um, because you're preventing deep creases and lines from forming over time.
• 49:51
  Nilu Rustomji: Um, so even if you decide to do, you know, stop one day your skin's probably still going to look better than it would have had you not done it.
• 49:58
  Cynthia Ruiz Lopez: Right.
• 49:58
  Nilu Rustomji: And actually, you know, I think too, like if you're investing all this money to get injectable treatments, you're probably investing in self, like skincare too, at home, or using sunscreen or using retinol.
• 50:09
  Nilu Rustomji: You're probably doing other things without even really knowing it.
• 50:12
  Nilu Rustomji: That's also helping, but it but it's it's.
• 50:14
  Carmen Lezeth: it's like getting your hair done, in a way Like you don't have to get your hair done, but you choose to do it when you want to.
• 50:21
  Carmen Lezeth: And like I'm not on some regular schedule, I just know when I can see the line here.
• 50:25
  Carmen Lezeth: That's when I go in.
• 50:27
  Carmen Lezeth: You know what I mean.
• 50:30
  Carmen Lezeth: Like when I start to see that whenever, like I'm smiling or something, and the line comes here, I'm like and making the phone call.
• 50:36
  Nilu Rustomji: Yeah, time to make the phone call hey, this is what you look like actually.
• 50:39
  Nilu Rustomji: You know like oh yeah, I forgot that that's what it.
• 50:42
  Carmen Lezeth: Yeah, you, you, yeah, and I and I do have a very deep line here because I'm in my fifties, like it's natural to have that, you know.
• 50:55
  Carmen Lezeth: But what I love is that I did it for myself, not for anybody else, and I think that's the other part of it too is that you're not doing it, oh, for a boyfriend or whatever, and I want to look young.
• 51:00
  Carmen Lezeth: It's like no, I just I don't like that crease Cause it.
• 51:04
  Carmen Lezeth: It makes like it breaks up my face.
• 51:06
  Carmen Lezeth: To me it does.
• 51:06
  Carmen Lezeth: I don't like that crease because it makes like it breaks up my face To me it does.
• 51:09
  Carmen Lezeth: I don't like it, I don't mind.
• 51:10
  Carmen Lezeth: Like someone had someone I know exactly who was surgeon we talked about earlier.
• 51:14
  Carmen Lezeth: It's like we could really do some work on those laugh lines and I was like OK, first of all, laugh like that's natural to me.
• 51:23
  Carmen Lezeth: I don't want no offense.
• 51:25
  Carmen Lezeth: I love Angela Bassett.
• 51:27
  Carmen Lezeth: Cynthia, you know the show's on tonight, right?
• 51:29
  Carmen Lezeth: I love Angela Bassett with all my heart, but I hate the filler.
• 51:35
  Carmen Lezeth: When people put filler here and I know she's had it, you can see it.
• 51:40
  Maurio Dawson: Are you coming for the queen of Wakanda?
• 51:42
  Maurio Dawson: Are you coming for the queen of Wakanda?
• 51:45
  Maurio Dawson: Are you coming for the queen of Wakanda?
• 51:47
  Carmen Lezeth: I feel comfortable with the queen from Wakanda because she would admit it too.
• 51:53
  Maurio Dawson: Don't do Tina Turner okay.
• 51:58
  Carmen Lezeth: You don't know what I'm saying.
• 51:59
  Carmen Lezeth: It's the obvious person.
• 52:01
  Carmen Lezeth: I just don't like the, but someone had told me that I should get that because I have laugh lines and I'm like I'm not doing laugh line filler.
• 52:09
  Nilu Rustomji: You're a happy person.
• 52:10
  Nilu Rustomji: You have smile lines.
• 52:13
  Nilu Rustomji: I couldn't even imagine it.
• 52:14
  Nilu Rustomji: And then, yeah, if you overdo that, people start to look like apes.
• 52:19
  Nilu Rustomji: Actually, babies have teardrops.
• 52:26
  Nilu Rustomji: You know it's natural to have.
• 52:28
  Carmen Lezeth: Yeah I like the naturally look.
• 52:31
  Maurio Dawson: I like the natural look I do have one question what about does botox help with tendinitis?
• 52:40
  Nilu Rustomji: tendinitis, or like oh tendinitis yes, oh, interesting.
• 52:46
  Maurio Dawson: What was the question?
• 52:46
  Maurio Dawson: I'm sorry I have.
• 52:48
  Maurio Dawson: I'm sorry tinnitus.
• 52:50
  Nilu Rustomji: I'm sorry that's why I was wondering if you were okay, like so the ringing in the ears yes that was a great.
• 52:57
  Nilu Rustomji: That's a great.
• 52:58
  Nilu Rustomji: Not that, not that I know of, but I wouldn't be shocked if it did.
• 53:03
  Nilu Rustomji: No, not that I know of.
• 53:04
  Nilu Rustomji: But again, sometimes I find out botox helps with certain things and I'm shocked.
• 53:09
  Nilu Rustomji: I'm like what?
• 53:09
  Nilu Rustomji: Like I recently read um, my mom was having like, not her, it was like her achilles, but the muscle underneath, like the sole of her foot, and they do botox for that to like help with the with the pain yeah
• 53:23
  Maurio Dawson: I have plantar fasciitis, and they do it yeah, thank you thank.
• 53:26
  Maurio Dawson: Thank you.
• 53:26
  Nilu Rustomji: Yep, yep.
• 53:28
  Nilu Rustomji: So yeah, not that I, not that I know of, but that would be cool, interesting.
• 53:32
  Nilu Rustomji: Maybe you're onto something Mario.
• 53:35
  Carmen Lezeth: What are some basic skincare tips you would tell us to do that have nothing to do with Botox or injectables or whatever?
• 53:43
  Carmen Lezeth: What are some ideas that we can do to have great skin as we age?
• 53:49
  Nilu Rustomji: Retinol.
• 53:50
  Nilu Rustomji: Again, it's a great one.
• 53:51
  Nilu Rustomji: Most patients can use it.
• 53:53
  Nilu Rustomji: Obviously, talk to your provider.
• 53:54
  Nilu Rustomji: There's some exceptions, like if you have eczema or rosacea.
• 53:57
  Nilu Rustomji: Maybe you'd have to use gentler forms, but retinol is the easiest best thing you could do.
• 54:01
  Nilu Rustomji: Sunscreen mineral-based sunscreen.
• 54:04
  Nilu Rustomji: So sunscreen that has zinc or titanium in it is best the over-the-counter ones with like chemical ingredients like oxybenzone.
• 54:13
  Nilu Rustomji: Those aren't as good.
• 54:14
  Nilu Rustomji: Vitamin C Vitamin C is great for collagen.
• 54:18
  Nilu Rustomji: Sun protection.
• 54:19
  Nilu Rustomji: Helps with pigmentation.
• 54:21
  Nilu Rustomji: Anti-aging.
• 54:22
  Nilu Rustomji: Wash your face.
• 54:25
  Nilu Rustomji: A lot of people don't even do that, really.
• 54:29
  Nilu Rustomji: Yeah, I feel like sorry, sorry, what do you?
• 54:33
  Carmen Lezeth: mean people don't wash it, there are people there are people that don't do it I wash my face in the morning and at night.
• 54:40
  Nilu Rustomji: I'm sorry yeah, or they'll only wash, you know, once, once in the day, I don't know.
• 54:44
  Nilu Rustomji: No, I well, because at night you do sweat, you know once in the day, I don't know.
• 54:46
  Carmen Lezeth: No, I well, because at night you do sweat.
• 54:49
  Carmen Lezeth: You know what I mean.
• 54:49
  Carmen Lezeth: You do have a little, well, I do.
• 54:51
  Carmen Lezeth: I don't know what you guys are doing at night.
• 54:54
  Maurio Dawson: She's like I don't know what you're doing at night, but I don't sweat.
• 54:58
  Carmen Lezeth: No, but I'm just saying like I, and so of course, at night I take off whatever makeup I may have on, but also just like a cleanse, you know just.
• 55:06
  Nilu Rustomji: I double cleanse, not not always, but I wear makeup or tits.
• 55:10
  Nilu Rustomji: It's sunscreen.
• 55:10
  Nilu Rustomji: I'll double cleanse, for sure.
• 55:12
  Carmen Lezeth: Yeah, I don't get the People really don't wash their face.
• 55:15
  Carmen Lezeth: You know, I was shocked to hear that people don't wash their feet.
• 55:18
  Carmen Lezeth: I was shocked by that, so I don't know why I'm the water run down their feet.
• 55:23
  Carmen Lezeth: I'm like what?
• 55:24
  Carmen Lezeth: Oh no, when they're in the shower they just assume, because they're showering, that the water will get to their feet.
• 55:35
  Carmen Lezeth: And I'm like, okay, and that cannot.
• 55:38
  Carmen Lezeth: And now I'm glad I shared it with all of you because it cannot get out of my head now.
• 55:46
  Rick Costa: Okay, something I learned because of some karma, I think said, was because I had this misconception that you don't go there, walk out of the office and you already have instantaneous results.
• 55:54
  Rick Costa: It actually takes a little bit of time, right.
• 55:57
  Nilu Rustomji: For the re-correlaxer treatments?
• 55:59
  Nilu Rustomji: Yes, so like Botox, dysphora, those types of treatments, it takes a few days to a couple weeks, so usually we say 10 to 14 days.
• 56:06
  Maurio Dawson: So it would say 10 to 14 days.
• 56:07
  Maurio Dawson: Yeah, it takes 10, 14 days for it to really show a full effect.
• 56:12
  Carmen Lezeth: Yeah.
• 56:14
  Rick Costa: Really I didn't know that.
• 56:19
  Carmen Lezeth: Yeah, so that's why, when I start to see the line, I know it's going to get much deeper.
• 56:23
  Carmen Lezeth: So that's when I make my appointment, cause it'll be a couple of weeks before it goes away.
• 56:28
  Carmen Lezeth: Like it, you can't see it now and it's not because of me, it's because I've had it done.
• 56:32
  Carmen Lezeth: Yeah, there is no like, even if I try to do it, you can't do it because that will keep doing it.
• 56:37
  Carmen Lezeth: But I remember somebody I think it was you or maybe it was one of other counterparts.
• 56:54
  Carmen Lezeth: I was like every time I do like when I scrunch my eyes, they're like then stop scrunching your eyes together.
• 56:57
  Carmen Lezeth: Like I do this and you're like, don't move your arm that way.
• 56:59
  Carmen Lezeth: But yeah, but it takes a like.
• 57:01
  Carmen Lezeth: For me, it's usually like I almost immediately see it here, though, like within three or four days.
• 57:07
  Cynthia Ruiz Lopez: Is that?
• 57:07
  Carmen Lezeth: normal.
• 57:08
  Carmen Lezeth: I guess it's a thinner skin or something, I don't know.
• 57:11
  Carmen Lezeth: But yeah, it's usually like a little bit before you see it fully take effect.
• 57:15
  Carmen Lezeth: Yeah, and you end up with this.
• 57:20
  Cynthia Ruiz Lopez: Well, I have to say that, like I've definitely seen this wrinkle relaxer in a whole new light, because I you know I was I was always against it.
• 57:31
  Cynthia Ruiz Lopez: I hate needles, but the way you describe it and everything it actually it opens people's eyes and minds to the to the whole idea of it, and it's not just for wrinkles, like you said.
• 57:42
  Cynthia Ruiz Lopez: You know people have excessive sweating and things like that are different, different issues that it works are you gonna get it done now, cynthia.
• 57:51
  Carmen Lezeth: I don't know, maybe that's gonna get you for your birthday.
• 57:55
  Carmen Lezeth: It's gonna be all smashed.
• 58:02
  Carmen Lezeth: I'm so glad you came on.
• 58:07
  Nilu Rustomji: Thank you so much thank you for having me.
• 58:09
  Carmen Lezeth: This is wonderful no, I just feel like, first of all, I'm so glad we met, I'm so glad we've become friends and I know I'm your client, but I just really appreciate you coming on and I hope you'll come on again.
• 58:20
  Carmen Lezeth: Send my client.
• 58:24
  Carmen Lezeth: But if people want to reach out you, if they have questions or they'd like to meet with you, even if they're not here in Santa Monica or in California, they can go to your website at your skin coach, nilucom.
• 58:34
  Carmen Lezeth: They can ask you a question or whatever and maybe you might be able to refer them or give them some more advice or information.
• 58:41
  Carmen Lezeth: Of course, if you're in Santa Monica or in California, please, please, please, go and visit Nilu.
• 58:46
  Carmen Lezeth: She is amazing.
• 58:48
  Carmen Lezeth: I just sang in all right there.
• 58:52
  Carmen Lezeth: But, yeah, thank you so much for coming on.
• 58:56
  Carmen Lezeth: And Rick Costa, thank you for being here.
• 58:59
  Carmen Lezeth: Mario, we miss Alma, but we love that she's listening.
• 59:03
  Carmen Lezeth: She's listening, and Cynthia, as always, and everyone.
• 59:10
  Carmen Lezeth: Thank you again.
• 59:11
  Carmen Lezeth: Neelu, thank you again and everyone.
• 59:12
  Carmen Lezeth: Remember, at the end of the day, it really is all about the joy.
• 59:18
  Cynthia Ruiz Lopez: All about the joy.
• 59:18
  Carmen Lezeth: Bye guys, Bye everyone, Bye, Bye.
• 59:21
  Carmen Lezeth: Thanks for stopping by.
• 59:24
  Carmen Lezeth: All About the Joy.
• 59:25
  Carmen Lezeth: Be better and stay beautiful folks.
• 59:27
  Carmen Lezeth: Have a sweet day.