Latest / The Dr. Randi Show / The Expert Behind the Evolution of Modern Aesthetics — Dr. Michael Gold

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The Expert Behind the Evolution of Modern Aesthetics — Dr. Michael Gold · The Dr. Randi Show

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The views expressed in this podcast are for informational
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purposes only and do not constitute medical advice.
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This episode of the Doctor Randy Show is proudly sponsored by New
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Beauty, the ultimate authority in beauty and aesthetics.
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ahead of the trends and discover what's next in beauty.
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Now let's get into the episode. Hello everyone, this is the
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Doctor Randy. Show your inside look at the
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treatments, trends and technologies shaping beauty,
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aesthetics and medicine. Excited to introduce our guest
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today. He is one of the most respected
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names in cosmetic dermatology, he's the visionary behind his
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own world renowned laser and Research Center, and he's a
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global leader shaping the future of aesthetics.
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Please welcome Doctor Michael Gold.
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I like that intro. I'm not sure it's all true, but
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I'll take it. Well, it's not true.
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I did my research. So we're very excited to have
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you here today. And I've had the pleasure of
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meeting you just very briefly in Nashville.
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So it's an honor to have you on the show.
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And in my research, I found so much about you that I didn't
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know in the past. So excited to bring that to our
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listeners and viewers. So if it's OK with you, I'll
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just jump right in. Sounds good.
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Go ahead. Ready to go?
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All right, so Dr. Gold, you are recognized worldwide as one of
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the leading voices in lasers and cosmetic dermatology.
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You've built a clinic, a Research Center in Nashville,
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the doctors everywhere look to for guidance.
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What do you see as the most meaningful role that you hold in
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the aesthetics industry today? Thanks for that.
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I think when I think about what I do today, number one is
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patient care. It's actually and especially in
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the aesthetic arena and in the surgery arena that I live in,
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simple as better you and I live in a world where we hear all
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these crazy treatment options and people doing 8000 things to
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people. I've been doing this for 36
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years. So I think I've become much more
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conservative, but I've also become much more astute at
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trying to do the right thing and not just jumping for every tool
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I have. I have a lot of tools in my
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toolbox. And so I try to be really
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careful in how I approach what somebody asked me to do.
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And that means I asked them what bothers them instead of me
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walking in and going, hey, you need this, this and this.
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I've been around that enough in my career that I think it's
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important for us to take a step back and say to the patient or
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client, hey, tell me what bothers you, right?
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Because something may bother me and it may not be one bit of
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concern to that person. And so I don't want to change
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that feature or I don't want to affect that part of that person.
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So I think again, from a patient point of view, I've become much
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more interested in simple things that I know work and simple
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obviously involve devices and how I combine things together to
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try to give the best result as fast as I can.
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But fast isn't always the goal. It's an improvement over time in
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some cases, especially with some score work and other things that
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I do. I think my role here has changed
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over the years as well. I love to teach and I think that
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has become something that if you asked me 30 years ago, I would
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have said no way. But because of some of the
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things that I've done in dermatology and aesthetics, I've
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had the pleasure of traveling and teaching all over the world.
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But again, that wasn't part of the plan.
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It's become part of my life now. We deal with WhatsApp and that
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connects me to 3/4 of the world, and then I deal with WeChat and
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live my other Chinese world. And that has been a joy and
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pleasure. And we host students here.
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I call them students. Some of them are medical
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students, some of them are residents and fellows, but yet
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some of them have been in practice 20 years.
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And they come here to learn from all over the world.
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And we welcome them to come. And if I can give anybody an
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inkling of what I do, then I've done my homework.
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And so that's part of what I do. I can hear all the passion in
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what you do, and this doesn't sound like there's something
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that you decided overnight. Everything just happened
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organically and it's nice that you're sharing your knowledge
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with the world. Well, again, I think we are
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teachers, right? And that's what we're supposed
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to do. I think a lot of us forget that
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and they just, again, nothing wrong with it.
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They just put dollar signs in front of everything they do.
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I don't do that anymore and I always tell people, I live in
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Nashville. I take care of the rich of the
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rich and the poor of the poor. I don't really care anymore.
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I want to help everybody that I can help and work within budgets
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that they have. So I think that we just need to
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go back to what we were trained to do.
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I'm a dermatologist, right, first and foremost, so I still
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do rashes and skin cancers and things like that.
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The aesthetics is part of it, and I love the aesthetic arena
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and I try to play in that arena without going into the crazy
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side of what you and I both know exist out there.
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Well, it sounds like you do a very customized approach and I
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love that you're afraid to go back to basics.
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I like that so. And I'm not afraid to say no
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either, right? I think that's a learned trait
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over time. You get to a certain point in
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your career and somebody wants 10th vial or flip filler in two
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weeks. I'm not the one that's going to
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do that. Well, we're definitely hearing
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more of that and seeing more of that natural trend come back.
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So glad to see it. Glad to hear it.
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So the way I met you in Nashville was at your conference
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called Scale. So O founded Scale.
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This is one of the top aesthetic conferences in the world.
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I really enjoyed myself fair. It was great to meet you and
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your team. How has that platform shaped
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really? What treatments and technologies
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are gaining credibility in today's industry?
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Yeah. So I run scale, which is a
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meeting I run with Doctor Brian Beisman, who's a phenomenal
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ocoplastic surgeon here in Nashville.
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We're next year will be 21 years that we put this together.
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And one of the things we decided when we put this meeting
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together on both the aesthetic side and the medical derm side
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was we were going to shoot for the top Docs to teach.
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We wanted the people that publish.
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We wanted the people that did all the research to be the
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speakers, but we also insisted that they're accessible, Right.
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Again, everybody in this aesthetic space has an ego.
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And yeah, I do and you do, and I hope mine is in check at this
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point in my career. But I think we bring people who
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will not only give the top lectures that I think in the
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whole space, but they're out there talking to the attendees,
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they're mingling with the industry.
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We've taken a meeting that started with 20 people.
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And I think we had two or three companies give us a little bit
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of money to rent A room somewhere to, you know, 15-16
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hundred people this year and probably 18 or 1900 next year,
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150 vendors. We have the best anatomy course
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in the United States. We do ultrasound teaching with
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that. We do live lasers.
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We have live injectables where we do live injections.
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Each one of the faculty is sort of handpicked.
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And not only are the stalwarts of the industry, but we're also
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bringing in the new blood. So we've, we go to enough
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meetings where we recognize who the next stars are going to be.
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And we tried to bring them into our fold, if you will, to be
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able to get up on podium and not be afraid of being on a podium
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with me or Doctor Beisman or some of the other gurus that you
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know. And that's important.
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So again, it's the give back, right?
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We're not just your typical local meeting anymore.
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And we pride ourselves in putting the best show forward.
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It was a phenomenal time and you're right, I couldn't believe
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how many people I got to meet when I was there.
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So congratulations. Thank you.
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Yeah, that's been fun. Well, I'd love to dive into your
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expertise for listeners and viewers that really want to have
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their finger on the pulse of what is hot right now and what's
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gaining momentum. So if you had Dr. Gold to name
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one treatment in 2025 that consistently is delivering WOW
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results for patients, what would that be and why?
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Tough question. I always tell when I give
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lectures on, especially on toxins and things like that,
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without botulinum toxin, we wouldn't be sitting here, OK.
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And I think we have to pay homage to that part of what
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we've done and where we've been. So I think a lot of what we do
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still revolves around botulinum toxin.
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I think you're going to see some newer toxins come out, right?
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That's exciting. That's the pulse that's coming.
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The US is primed to have its first liquid toxin, and that is
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already available. Last time I checked, it was 17
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countries and probably more by now.
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But we were involved in all the US clinical trials for that, and
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it's a fascinating concept. Do you have to mix your toxins?
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Are you the whatever percent you want it to be that says I want
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2.45 milliliters per vial? Or do you just want to go to the
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refrigerator, pull out the vial and pull out what how much you
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need? And that liquid toxin is gluten
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free, vegan and all that other stuff, right?
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That has a play that 20 years ago I wouldn't have dreamed of,
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but I think that's going to be an interesting play.
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And then eventually in the next few years, we're going to have a
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very short acting toxin, right? So a toxin that works within 12
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hours and last three or four weeks.
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So somebody who's still in this day and age may be a little
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nervous. It's a nice little thing to be
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able to have for them. So I think toxins still play a
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major role in what we do. I do think injectables have had
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a change of heart over the years, mainly because people are
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just used too much of them. We loved injecting and I started
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in the collagen days and moved all the way up to what we have
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now. People need to understand these
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are still occupying space even though they're moldable and
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they're easy to inject. In most cases, we still have to
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worry about potential adverse events, but they're safe and
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they work and if you use the right amounts, I think you're
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fine. I just see people just, again,
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whether it's not understanding anatomy or not understanding
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what they're doing, they're just trying to put so much filler
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into places that we're seeing in some cases, some problems down
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the line, lumps and bumps and maybe granulomas if not right.
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But we do have this world of what we call the biostimulatory
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fillers and we're getting to the point now we're understanding
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the gene expressions that's going on underneath the skin.
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So are we being anti-inflammatory or pro
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inflammatory to create collagen? Are we creating adipose tissue
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because of that bio stimulatory pathway?
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So that's exciting and I think you'll see as we go into the end
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of this year, we will see some exciting new data on how the bio
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stimulatory products can play a role.
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So I think that's a great line. And then we get into devices,
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right And my wheelhouse is devices.
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So I started with intense pulse light 30 years ago and people
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thought we were the group of us that did that work sort of
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coming from a different planet. And IP LS have been around now
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for 30 years and so they are better than ever before.
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They are safer than ever before. They are more user friendly than
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ever before, but yet they still can have problems.
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And so IP LS, you know, are the most commonly used devices now
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because they're easy to use if you know the technology.
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But having said that, there's a company that it's all done by AI
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now, right? You just move your hand and we
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had fast, that's great. But now we have we can go over
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curved surfaces and the AI lets us do that seamlessly on one of
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the machines. Again, I was in China and a few
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weeks ago we were introduced to a new cut off filter, which is
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funny because it was a 755 nanometer cut off filter.
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And I actually did that work 30 years ago for hair removal, a
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few little changes in the computer software and so forth.
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Now we have something that's being promoted as an anti aging
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or for prejuvenation photo rejuvenation, but it takes one
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or two treatments and you're done.
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We're seeing revolutionary changes in that technology.
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We're seeing revolutionary changes in how we resurface the
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skin, right? Do we need to use a fractional
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CO2 or a fractional erbium laser instead of being a hybrid where
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there's two lasers, there's now three and one that just cut has
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come out. And then there is other non
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ablative and ablative fractional lasers that are just
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revolutionized how we deliver that energy to the skin.
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So every time something comes out it's safer and more user
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friendly. So we've got the new fiber laser
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for resurfacing, the cold laser. And is that the best thing out
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there? My patients love it.
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Without naming names, these are the technologies that people are
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asking for. So what's your favorite?
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What's your Hero of the Year? I think in the IPL world the
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Luminous Stellar M22 is great. I think the Cyton BBL Heroic is
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great and I think the Eclairo Ultra Clear and now they have a
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new Orlox is pretty spectacular and what it can do.
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Now having said that, I have 5060 devices, so I like a lots
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of them, but I do a lot of scar work.
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So when I'm doing scar work, hypertrophic scars and kilo, I
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use the ultra pulse. It's now called the Ultra Pulse
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Alpha. That is the deepest penetrating
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fractional CO2 on the market. And now I use something called
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the ADVA TX by Avalite, which is a diode 589 laser.
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I don't need to replace dye kits and all this other stuff and I
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think it gives me great results. So these are what I do every
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day. Sure, sure.
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So you have a few favorites, so that's good.
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I do have a few favorites and again, it varies amongst the
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companies because I work with a lot of these companies.
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But what I look at when I judge a machine is A, what have I done
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with it and B, what research have I done with it?
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But if I haven't done it, who else has done it?
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I will tell you that the soft wave device, the ultrasound soft
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wave device, again, another device that gets turned on every
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day and doesn't get shut off. And then there's the air laced
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Neo, which I think I had the first device in the early 2000s
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and it still goes all day long here.
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So again, for acne, for different things, I have a
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myriad of devices and my staff sort of read my mind and what
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I'm thinking before I even think about it.
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Sure. Well, that's impressive, how
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many devices you have. So let's talk about regenerative
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aesthetics. It's everywhere now.
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It's what everybody's talking about, what everybody wants to
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hear about, exosomes, growth factors, you name it.
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There's a large amount of conversation about this.
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Which are you most confident in today and which you still needs
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a lot more proof? I think they all need a lot
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more. So the regenerative space is the
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wild, Wild West. So the first thing I tell people
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when they asked me which they should be looking at or somebody
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came up to them and they have the best product known to man,
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asked to see their data in published papers, most can't.
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Most will tell you we have studies, we're doing studies.
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I've heard that same line for five years from most of these
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companies. There are very few companies in
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the exosome space that have clinical data.
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There are a couple, right? If you want a topical solution,
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Rion makes topicals, but they're platelet derived growth factors
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and they are added with other things.
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So I think exosomes are part of the regenerative space and we
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still have so much more to learn.
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So in the US, nobody can inject exosomes.
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It is not a drug if you inject exosomes.
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And there are people probably listening to your show that
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inject exosomes. Please stop.
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The FDA is out there looking for people.
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They're looking for companies that tell people it's OK they
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are topical cosmetics and that's where they need to be used.
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You can use something like juvesonic or micro needling like
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silferm or something to drive them into the skin.
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That's all fine but you need not inject.
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It's also interesting we have plant derived exosomes and we
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have human derived exosomes. Is 1 better than the other?
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Are plants similar to the exosomes?
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So outside the US in most places human derive is not allowed just
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because of the countries and the cultures, you can't have human
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derived products. So most of the companies
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internationally are now all in on the plant based exosomes.
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And what we need the study and we need to be shown is that at
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the molecular level, they're still influencing the same
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interleukins and growth factors that work in the wound healing
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cascade that the human based derived exosomes do.
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Some of the companies have done that stuff and some of the
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companies haven't. So again, if you're out there
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listening, make sure you see data, not just we have studies,
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not just that we're the best thing since white bread.
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It may not be the right fit without data because I'm
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data-driven. So on the skin care side,
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curious your thoughts on this. The consumers are standing in
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front of a very crowded shelf, right?
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And I'm curious your thoughts on which ingredient category has
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real science behind it and which are mostly marketing?
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I think a lot of it's marketing, but I also think same as I think
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in the regenerative space, any company that I am involved with
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has to have published data and it's interesting, published data
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can come many different ways. There are third party, what we
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call clearing houses in dermatology that when you
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mention certain names, we discarded because unfortunately
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98% of what they give you the company back is positive data.
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And that's not always correct in the real world.
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And IT, it doesn't take two hours to get 20 patients into a
19:59
study. It takes a month or so, right?
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You have to screen the right patients.
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And if you want moderate to severe wrinkles or mild to
20:07
moderate photo damage or brown spots or whatever, if somebody
20:12
doesn't fit that criteria and you just throw them into the
20:15
study because they got some brown spots on their skin, it
20:18
makes us nervous. So.
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Over the years, some of these companies have gotten pretty
20:23
much discredited, but companies still use them because they can
20:26
put out that data really quick. You know, I do clinical trials
20:30
all the time. I do FDA clinical trials on the
20:33
medical side. I've been audited more times
20:36
than somebody wants to be audited by the FDA and there's a
20:39
bad number called a 483 and we've never had it because the
20:42
data is, the data is the data, and that's how it comes out.
20:46
So when you look at the actives that are really hot, obviously,
20:51
yeah, retinoids are going to be around forever, right?
20:55
And whether they're prescription like the tretinoins or the
20:58
retinaldehydes or the retinols or the retinols, and now we're
21:01
seeing conjugated double formulations of all these
21:05
things. So I think Skin Better has done
21:08
a great job with their Alpharet product.
21:10
Hydrantity just came out with a new Retina Zone product, which
21:15
is a exosome encapsulating the retinoid for delivery system.
21:20
So it's a synthetic exosome that sort of helps the retinoid get
21:23
in. But that's actually interesting
21:25
because it's also got hyaluronic acid in there, which is still a
21:29
hot ingredient, and the hyaluronic acid in that product
21:33
sort of hydrates the skin. At the same time.
21:36
We don't have the retinoid dermatitis or the retinoid
21:39
irritation that is sort of common still.
21:42
So I think retinoids are really important things.
21:45
Elastin with their tetrahexal peptides have done an amazing
21:49
job on the clinical research side.
21:51
So I think kudos to them for doing all their work.
21:55
We go back into the neo cutus world, the skin medical world.
21:59
These are good companies that have done their homework over
22:02
the last couple years for some and 2025 years for others to
22:06
show that the products are still useful.
22:10
There's something we call hypochlorous acid, which again,
22:14
Hydridity makes one, but other companies make their
22:17
hypochlorous acids. It's a magic medicine or magic
22:22
product. It kills on contact like 99.9%
22:26
of almost anything. So if you're doing fillers or
22:29
you're doing procedures, you can spray this stuff right on the
22:32
field you're working on and it sterilizes to some degree what
22:38
you're doing. It keeps the field clean.
22:40
I think it's just a great thing that we do when we're doing
22:43
procedures. But I also think it's a great
22:45
take home product because again, it reduces the inflammatory
22:48
response. It on the medical side, it
22:50
actually reduces itch and there's benefits to this stuff.
22:54
So hypochlorous acid is one of the hero products still out
22:57
there? So on a hot topic, everybody
23:01
that comes on the show, we've been talking a little bit about
23:03
the GLP 1 revolution, right? And everything that's happened
23:06
in weight loss medication like semaglutides, tirzepatides, So
23:11
obviously it's changing people's bodies, but it's also changing
23:15
people's faces. And there are side effects to
23:19
the skin, to the face. I'm curious what your thoughts
23:22
are on the facial volume loss, the skin laxity.
23:26
What are you seeing? What's your expert advice for
23:30
the patients that listen to this show?
23:32
And what are your thoughts as we move forward?
23:34
Because it's only just getting bigger and bigger, the number of
23:38
people taking these medications. So before COVID, I became a type
23:45
2 diabetic unbeknownst to me, and that was when the first drug
23:49
was available. So I went to my internist and
23:55
he's conservative, but he's also real particular.
23:59
And I said, OK, I'm ready for whatever shot you want to give
24:01
me. And he said, Nope, I want you to
24:03
lose weight. It was interesting because my
24:05
A1C was in the thirteens normal 6 and my wife's was like 6.5.
24:12
So he called us both in and said what are you guys doing?
24:16
We're like, well we watched the British Baking show, we're
24:19
cooking, we love to eat whatever we want.
24:23
And he said first find a new hobby and TV watching and then
24:27
he said I want you both to diet and I'll see you in six months.
24:30
And so we cut out everything sugar in our diet, everything
24:34
that white bread, white pasta, everything changed.
24:38
And in six months I lost 60 lbs and my A1C went from 13 point
24:44
something to 5.8. All right, the world opened up
24:49
and my travel schedule got busy. All this other eating out and
24:53
whatever, my A1C went from 5.8 to 7.
24:57
And he said now it's time. Which one do you want?
25:01
So I've been on Manjiro for a year and a half, which is going
25:05
to answer your question in a minute.
25:07
And my A1C is 5.8. I lost the 10 lbs that I gained
25:11
from the 60 that I lost. The good part of that is buying
25:15
clothes is always fun. My wife and I both had to get a
25:18
whole new wardrobe. She's down to her wedding weight
25:21
and we've been married 45 years and that's pretty awesome.
25:25
So over the past couple years I've given a lot of lectures on
25:30
GLP ones and their effect on, first of all, on medical
25:34
dermatology. It's huge.
25:36
People that have psoriasis or hidradenitis, they're getting
25:39
better faster if they're on GLP ones, if they're obese or and a
25:43
lot of them are heavy. But on the aesthetic side
25:48
especially, we talked about lack skin and loose skin and saggy
25:52
skin in the abdomen and things like that.
25:54
That's a problem. You need to start early and you
25:57
need to be using skin tightening devices and so forth.
26:00
But you may need plastic surgery.
26:02
And I'm, I'm not opposed to that.
26:04
I think the face is different. So again, I go back to me, I
26:08
lost 60 lbs. I have these little hollow
26:11
depressions in my cheeks. I show this on podium when I
26:15
talk to people, when I give lectures on GLP ones.
26:19
And I tell people don't automatically assume that you
26:22
need to fill that face. Because after I'm 66 years old
26:26
and I think the last time I saw hollow cheeks in myself was when
26:29
I was like 10 because I was a big boy.
26:33
And so for me, it's personal. I'd love looking at the mirror
26:37
and seeing a little this way instead of just the out, you
26:42
know, this, this looks good. So don't assume when you're
26:46
looking at the patient on AGLP one that again, they may come in
26:50
because they want that filled great.
26:52
Talk to them, be gentle, put a little bit of filler in.
26:56
Don't overfill all that good stuff.
26:59
You can tighten down here with whatever.
27:01
If you want to use fillers, you can use radius or whatever or
27:05
wrestle and lift. There's some great fillers
27:07
contouring for that kind of stuff.
27:10
But talk to the patients about does it really bother them?
27:14
I will tell you, for guys it doesn't right now.
27:18
Again, there are a few that it does obviously, but for the
27:22
majority of the guys that I talked to that have done this
27:24
weight loss thing, they don't want to get treated in their
27:27
face. So I think it's more personal
27:30
than people think. Again, it's just my opinion and
27:33
if you need something, I think the way to look at it is can I
27:38
use fillers? All right, again, minimal
27:40
amounts to do what you want to do do I do things like
27:44
ultrasound skin tightening if you have lost here, right, This
27:48
is a big area in the neck. I mean, I can tighten that.
27:52
That's simple. And if you have to come back to
27:55
a couple times a year or three or four times a year, most
27:58
people won't mind. And so I think we can help our
28:01
patients dramatically without looking them look weird.
28:05
You're thin, you're thin, you're thin, and all of a sudden you
28:07
come like Santa Claus because somebody put all this filler in
28:11
you. So I just think you got to be
28:13
careful. But for me, it's been like, I'm
28:15
thrilled with what they've done for me.
28:18
Doctor Gold, you are lecturing globally, you are teaching
28:23
globally. One of the questions that comes
28:26
up often is what do you think is that is happening
28:30
internationally right now that's going to influence what's
28:33
happening here in the US pretty soon in the field of aesthetics?
28:37
I think we have underestimated how much knowledge we've gotten
28:43
from the AIPAC region. They're amazing docs and I'm not
28:47
saying they're not everywhere, right, but the AIPAC community
28:50
that we deal with, again, my world was to go over there and
28:54
teach them a lot about what I do.
28:57
They're so far advanced now. I'm giving a couple talks coming
29:00
up in the next few weeks and I made every one of the Asian docs
29:04
give me their slide decks and some of them are in Chinese and
29:09
some of have Thai. And I just leave their language
29:11
in there because it's not about me.
29:13
I want to show what they did. And then in English, I write
29:16
photos courtesy of whoever, because I want the world to see
29:21
what they've done, whether it's in devices.
29:24
And obviously if you go to Korea and their skin Care World and
29:28
what they're doing, and some of it's really real.
29:31
And so I think that's great all over the world, whether it's
29:33
Europe, Middle East or whatever. They're amazing docs out there,
29:38
right? And unfortunately, we live in a
29:43
bubble. Now, having said that, if
29:46
somebody comes out with something, we want to make sure
29:49
it works here in the US All right?
29:52
That's a must. There's been some nightmares
29:55
over the years because people found something in South America
29:59
and they brought the cocktail to the United States and started
30:02
injecting it. And then we had necrosis
30:04
everywhere it was being injected.
30:06
We don't want that. But we live in this bubble that
30:11
says if it's not done here or founded here, it doesn't work.
30:18
And again, know our space, right?
30:21
The laser industry is Israel, it's Boston, it's California,
30:29
it's South American Brazil, it's Korea, it's China.
30:35
That's where they're made. And and it doesn't mean one's
30:38
worse or better than the other. They're great devices.
30:42
So I think we have to look at the world and say, what do you
30:48
got? Bring it on.
30:51
Show me what's different and what's better.
30:53
Not that I want to pick on car makers here, but I will tell
30:57
you, being in China and getting in the Chinese automobiles made
31:02
me envious that I wanted one, right?
31:05
That's not going to happen for a while.
31:07
But we're the prize for all these companies. the US is the
31:13
prize. They all want to come here
31:15
because we're the most expensive.
31:17
Whatever reason they won't want to be here, but at the same
31:21
time, we can't underestimate what they bring to the table.
31:25
And I think maybe that's why I spend all this time traveling
31:30
because I'm lecturing and telling them what I know.
31:33
But at the same time, I'm trying to figure out what's new over
31:35
there or wherever it is that I want to learn more about and try
31:39
to get it here at some point. If we can bring it to the US,
31:42
well, it's. Wonderful that you get to see
31:46
all this international is going on as.
31:50
I tell people I'm pretty lucky. I'm humbled.
31:53
I take none of it for granted. One of the things I tell
31:56
residents and when I give lectures in dermatology to
32:00
residents and fellows or whatever, I tell them to kiss
32:03
the ground every day you walk on earth because everybody wants to
32:06
be you and, and we're very fortunate.
32:10
Again, I'm a dermatologist so I don't take it for granted.
32:14
It is one of the hardest specialties to get in, but it
32:17
has allowed me to do everything in medicine that I hope to.
32:20
I don't take any of it for granted anymore.
32:23
Yeah, it doesn't sound like you do.
32:25
It sounds like you enjoy every facet of it.
32:28
So as we start to wrap up, if you had to highlight an area of
32:33
research, because we know you do a lot of research that excites
32:36
you most for the future, whether it's devices, injectables,
32:41
regenerative science, what would it be for you for 2026?
32:46
I do think IP LS are on the cusp of reinventing themselves, and I
32:51
think the companies know this and they're all working to make
32:54
things simpler, easier, better and safer.
32:59
And IP LS can do so much. So IP LS excite me to no end.
33:03
We didn't talk about silicone and silicone gel and silicone
33:06
gel sheets. I was the first one to bring to
33:08
dermatology a long, long, long time ago, and now every company
33:13
makes a scar product that has silicone.
33:15
If you would have told me that 20 years ago, I would have
33:17
laughed. So every time, everywhere I go
33:19
now, people want to know what's the latest in silicone.
33:22
But I have silicones now. Strat Pharma mix silicone
33:25
products that I can put on immediately after lasers.
33:29
It'll help the wounds heal faster and then prevent
33:31
scarring. I have one I can put on
33:34
immediately after I suture A wound.
33:36
I've never had that before. So again, we evolve, right?
33:40
I love seeing when people just aren't satisfied with the status
33:44
quo and we can work together with our colleagues to make
33:48
things even better. Well, before we do formally wrap
33:53
up, is there anything else? And you've been.
33:55
You've shared so much wisdom with us, and I'm sure the
33:59
listeners would love everything. I just want to give kudos to you
34:03
again. We just met a little while ago,
34:05
but we've known you for a long time.
34:07
We do a lot of calls that you're the star of, and it's been a joy
34:12
to listen to you and learn from you.
34:15
I think we pick up things from all of us when we're out and
34:19
about doing our thing. Well, thank you.
34:23
That means a lot. So thank you for sharing all of
34:25
your wisdom. And is there anything else that
34:27
you'd like to share with the audience before we wrap up?
34:30
This next scale is May 13th, the 17th, 2026 here.
34:37
It's scale musiccity.com. OK.
34:40
Excellent, Excellent. Well, thank you again for
34:43
joining us. Today, my pleasure.
34:45
Absolute pleasure and everybody, thank you for joining the Doctor
34:50
Randy show, where the future of beauty and medicine doesn't just
34:54
happen, it starts here. So until next time.
34:58
Doctor Randy Boyett holds a PhD and is a recognized leader in
35:01
the aesthetics and medical industry.
35:03
She is not a licensed medical doctor.
35:06
All commentary and product recommendations are based on
35:09
industry expertise and are provided for informational
35:12
purposes only.