Latest / The Dr. Randi Show / The Signature Filler Technique Behind Her Icon Status — Dr. Doris Day
Transcript
- 0:03The views expressed in this podcast are for informational
- 0:06purposes only and do not constitute medical advice.
- 0:09This episode of the Doctor Randy Show is proudly sponsored by New
- 0:13Beauty, the ultimate authority in beauty and aesthetics.
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- 0:28Beauty. Now let's get into the episode.
- 0:31Hello everyone, and welcome to the Doctor Randy show.
- 0:35We are thrilled to have Doctor Doris Day, world renowned
- 0:38dermatologist on the show today. And Doctor Doris Day is the
- 0:43founder of Doctor Doris Day, MD. We're thrilled to have her here.
- 0:47She has been featured on the Today Show, Good Morning
- 0:50America, The Doctor Oz Show and so much more.
- 0:54So today she's going to share with us the technology and
- 0:57innovation that has LED her to her practice and her techniques,
- 1:01and she's going to share all of that with us and more.
- 1:04So, Doctor Dave, if you don't mind, share a little bit about
- 1:07your background with us before we get started.
- 1:10Thank you so much for having me. I come from a family of
- 1:13physicians and my dad was the old school, old time physician
- 1:18who studied all of the medicine in a very holistic way.
- 1:21So even though he was trained in western medicine, he really
- 1:24understood and always told me growing up that we should all
- 1:28die young at an old age. He also really cared about
- 1:32appearance and overall health and taught me so much about how
- 1:36much food effects our health, how much exercise effects our
- 1:39health. And he looked even at skin care
- 1:41and products and supplements. So I had I always looked at
- 1:45myself as his youngest apprentice.
- 1:47And one of the biggest disappointments that I think he
- 1:51had in me was when I graduated college and I did my pre Med
- 1:55before I went to medical school, I went to journalism school to
- 1:59be a medical reporter. And he always said this is the
- 2:01biggest mistake of your life. You're never going to be a
- 2:03doctor. And he was really concerned that
- 2:05I would give up my dream of becoming a physician.
- 2:08But actually, that part of my career was probably one of the
- 2:13most helpful because it helped me understand that when you
- 2:17interview people, when you learn about what drives them and makes
- 2:20them come into your office and what's motivating them to make
- 2:23the changes in their life, you can impact them in a way that's
- 2:27very different than you learn in medical school and that you
- 2:30learn through just basic structure, function and devices
- 2:33and treatments of the skin. So I put it all together as
- 2:37understanding that patients come in and they have their why.
- 2:40Why are you here? Why now and what can I do for
- 2:44you that's going to have an impact?
- 2:46And it's not just simply that I'm going to do something for
- 2:49them that will change their appearance or affect their
- 2:52appearance, but I want them to not just look better, but to be
- 2:55better. And to do that, you have to
- 2:57bring in what goes beyond the surface and impact them in a
- 3:01very holistic and complete way. And those relationships build
- 3:06and they last and they are very meaningful and they're very
- 3:09rewarding to me as a physician as well.
- 3:12I love that doctor day because it shows that you care more
- 3:16about what's beyond the surface, what's going to keep that glow
- 3:20going. Because as we've found all of
- 3:24the cosmetic treatments in the world, all of the makeup in the
- 3:27world, if we don't take care of ourselves on the inside, it
- 3:30shows on the outside. And you have that natural glow
- 3:33about you. So it's evident that you take
- 3:34care of yourself. And then when you do, it's
- 3:37easier to spread that to your patients, share it with your
- 3:40patients. When you walk the talk, right
- 3:43and you live that, you probably eat right, you probably
- 3:46exercise, you take care of yourself, and it's much easier
- 3:48for you to share that with them. And so how do you think that you
- 3:52get that messaging across to them and make it make a
- 3:54difference versus them just coming in for a quick fix?
- 3:57How do you approach that differently than other
- 4:00physicians? I start with understanding that
- 4:03we all have beauty and my job is to help them see their beauty
- 4:07and then help enhance and celebrate it.
- 4:10So when they come in and they look in the mirror and they
- 4:12start to criticize, I dial it back and I say, but what do we
- 4:16love about your looks? What do you love about yourself?
- 4:18What's your hero feature? And we start to look at, is it
- 4:21your eye color, the shape of your eyes, the way your hair
- 4:23frames your face? Is it your jawline, your bone
- 4:25structure? And everybody starts to see
- 4:28things that they like about themselves, not what they don't
- 4:30like. And then we say, OK, these are
- 4:33your hero features. And some things that they
- 4:35complain about that they don't like.
- 4:36I show them how that makes them uniquely beautiful.
- 4:39It's not a detractor of their beauty, but it's actually an
- 4:43enhancement of their beauty and it's what people love about
- 4:45them. And then we talk about the areas
- 4:48that are either needing a little bit of support to enhance those
- 4:52features or areas that we can address to make a change.
- 4:56And then the other thing that I think really helps is that if
- 5:00you listen to patients when they come in, what they choose to
- 5:03tell you tells you so much about them.
- 5:06And a lot of times I'm just simply a mirror.
- 5:09And what I do is I reflect back what they tell me, but in a more
- 5:13positive and comfortable way so that they feel comfortable with
- 5:17me. It builds trust and they get
- 5:20that I'm listening to them and I can help them and be their best
- 5:24cheerleader. So I have to be able to take
- 5:27care of them them, keep them safe, help them age beautifully
- 5:31and truly gracefully, not helplessly.
- 5:33And then be their cheerleader and give them permission to go
- 5:37after the things in their life that they want to achieve.
- 5:41Whether it's a relationship or an event or if it's a job
- 5:44interview or a date or whatever it is that they're sharing with
- 5:47me. I'm there to give them that
- 5:49support and encouragement to go for those things and to feel
- 5:53really good about it so that they already feel like they've
- 5:55achieved it even before they left my office.
- 5:59So I'm smiling because I think, you know, what I'm hearing is
- 6:05what we all dream of from our doctors, right?
- 6:08And I think that because you've obviously set yourself apart
- 6:12from so many, but this is 1% of the population, right?
- 6:16We hear what's happening in the world of medical insurance and
- 6:20having to see 60 patients a day. And so that level of care
- 6:24becomes unavailable anymore. But you really have a different
- 6:29touch and a different way of approaching the patient care.
- 6:33And I'm smiling because hearing that gives us hope that there
- 6:36are doctors that still really care and really want to take
- 6:41that patient care to the next level.
- 6:43And it's wonderful hear you say that and so great that our
- 6:46listeners and our viewers are here to experience that.
- 6:49So one of the things that I'd love to talk to you about
- 6:53because I've, I heard you talk about it a little bit and I know
- 6:57there's been a lot of press about it.
- 6:59You do have a specific technique.
- 7:01You know, our show talks about a lot of technology and innovation
- 7:05and you have a technique that you use with filler, which I
- 7:08think is amazing. I think that until the age where
- 7:12we do wind up finally going and having surgery, I think that
- 7:16filler does fill the gap for us and, and has a great place for
- 7:21us. And I'd love to talk to you
- 7:23about that technique that you use.
- 7:25My filler technique has evolved over 20 years because I was
- 7:30lucky enough to have started my practice before we had any
- 7:34hyaluronic acid fillers. We just basically had animal
- 7:37based collagen that we have to do skin testing for and then
- 7:40repeat the testing and they would erase lines for a few
- 7:43months at best. And that was what we had.
- 7:45That evolved to a more human form of collagen that we didn't
- 7:48have to pre test for. But again, it was just for a few
- 7:51months and it was really just filling in lines mostly around
- 7:54the mouth and the nasalabial folds, these lines here.
- 7:57So once wrestling came to the market, I got to be one of the
- 8:01investigators for the clinical trials for that.
- 8:04So I got to see one how it works and also to use it even before
- 8:09it came to market and to watch how it aged over time.
- 8:13And one of the things that I learned about fillers as new
- 8:15ones trickled in is that fillers have very specific properties
- 8:19and you need to understand the properties of each and every
- 8:23filler, where it best, how to inject it, which plane of the
- 8:27skin and even whether to use a needle or a cannula.
- 8:31Some things you need less of and some things you need more of.
- 8:34And all of those factors together.
- 8:36As we understood both the filler properties when you first put
- 8:40them in, once they settle in and then how they break down over
- 8:44time and learning that fillers don't break down when the study
- 8:47ends. Sometimes they last for months
- 8:49to years longer. And then the other thing that we
- 8:53learned about over the next decades as we did more and more
- 8:57of the non invasive or non surgical approaches is that
- 9:01facial anatomy is very different when you're looking at it non
- 9:05surgically versus surgically. So surgeons are looking to what
- 9:09they have to cut, to redrape. We look at it as how to create
- 9:13balance and optical lifts if not actual lifts.
- 9:18And what I've learned is that you don't chase lines, you
- 9:21understand them. So, for example, somebody who
- 9:25has upper lip lines, if you study how they move and talk,
- 9:29look at their teeth, look at the jaw anatomy.
- 9:32Almost all women who have a lot of upper lip lines have a little
- 9:36protrusion of the upper teeth over the lower teeth.
- 9:39And the lower lip has lost volume and the chin has receded.
- 9:43The jawline shrinks and recedes. And so the loss of volume in the
- 9:47chin and the lower lip and the relative protrusion of the upper
- 9:51teeth, every time they close their mouth, they pucker just a
- 9:54little bit, which makes upper lip lines.
- 9:56Now if you chase those lines, and if you do it even worse with
- 9:59a filler that's too stiff, now you've added bulk and weight to
- 10:03the upper lip, so it makes it longer and stiffer and it looks
- 10:07very unnatural. But if you take a softer filler
- 10:11and go underneath to give support, then you use a
- 10:14different one to add a little bit of volume back to the lower
- 10:17lip and you rebalance the chin. Now you've helped the whole area
- 10:22look more youthful. They look authentically
- 10:25themselves. You've supported that movement,
- 10:27and you've taken away the lines without adding weight or bulk or
- 10:32volume. And they look so much better.
- 10:34But it's much easier to just fill a line than it is to
- 10:38research and understand and study it and say, where is this
- 10:41line coming from? Same thing with marionette
- 10:44lines. You can fill the line, but
- 10:46you'll look like you haven't had a line filled, and sometimes
- 10:49even like a chipmunk. But what I've learned is that
- 10:51line is like a pleat, and the pleat is from underneath the
- 10:55chin at the bottom of the pleat. And when I support there, half
- 10:59of the line goes away without putting any filler in the line.
- 11:03And then I just blend that zone. So it comes from having done
- 11:07treatments, seeing what I get when I do the treatment, and
- 11:11understanding what fillers can and cannot do.
- 11:13When you put a filler in the cheek, one is it's going to last
- 11:16a lot longer than filler in the lower face. 2 is if you go
- 11:20higher, you might make it narrower.
- 11:21If you go lower, you're going to make it wider.
- 11:23And if you put it a little bit into the temple, you can get a
- 11:26bit of a sneaky lift. So everything I've said takes a
- 11:29lot more filler than just filling a line, and it's
- 11:32injecting a lot more places than just filling a line.
- 11:36So you're using more product, but you never see the product.
- 11:39The person looks better, they look more authentic, more
- 11:42natural, but they don't look like they've had filler.
- 11:46My job is to be invisible, and my job for you is to make you
- 11:50look better. And that's such a perfect way to
- 11:53describe it. I agree with you.
- 11:55I think that the job of the injector is to make us look like
- 11:59we don't have filler. But I'm sure that you have seen
- 12:02some trends over the last few years where people really love
- 12:05to overdo it and they go in asking for that look.
- 12:09So that brings me to a question because I'm a person who doesn't
- 12:14like to look like I have filler, even though maybe it takes 6
- 12:17syringes, right? But at the same time, I want to
- 12:20look like I'm not filled up. But what do you say to a new
- 12:26patient that comes in that says I want 2 syringes in my lips,
- 12:31right? And I want another four in my
- 12:34cheeks and you know what that's going to look like and you know
- 12:37the technique. So what do you say to that
- 12:39patient that wants that super exaggerated look?
- 12:42How do you talk to them? Well, I've been very lucky and I
- 12:45think my social media has helped me a lot in this regard in that
- 12:49I don't have patience, whoever asked for that because that's
- 12:53not the audience that I attract. My referrals, I don't advertise.
- 12:57My referrals come from patients and patient referrals and word
- 13:01of mouth and my social media. And anybody who hears me talk
- 13:05will know that's not the look that I do.
- 13:07And I think people who really want that much are not even
- 13:11necessarily going to physicians. A lot of times they're just
- 13:14going to an injector who tells them that's what they can do and
- 13:17that looks good and people lose perception of what they're
- 13:21getting done. A lot of patients that I have
- 13:23that are overfilled, they don't necessarily see it themselves.
- 13:27It's a friend or someone else who tells them.
- 13:29And it's really not until I help rebalance and recalibrate their
- 13:35face that they start to see the difference.
- 13:37I have someone recently I saw who had really massive jaws, so
- 13:41overgrown masseters, plus filler and very big cheeks.
- 13:45And she's a beautiful woman. But it was, and then her temples
- 13:49were hollowed. So somebody just, she kept
- 13:51saying, I want to lift. Someone just kept putting it
- 13:53there. And then I saw her back and her
- 13:55friend was with her and said, Oh my God, I'm so happy that you're
- 13:59rebalancing because she looks like herself again.
- 14:01And she looks so beautiful and she is so beautiful.
- 14:04There's a lot of people, there's so many of us who are not in the
- 14:08same office. I have colleagues that I talk
- 14:09with all over the world, whether it's by Zoom calls or at
- 14:13meetings that we see each other. And I'm so impressed and happy
- 14:17and relieved in many ways. And I feel validated that so
- 14:20many of us are on this same path.
- 14:22We talk and we're like, yes, I do that too.
- 14:24We all are saying that we're learning the same lessons even
- 14:28though we're not together. So I think that this is a trend
- 14:32of physicians who do a lot of and who understand aesthetics
- 14:35and who understand and study aging and continue to have great
- 14:39respect for both the products and our patients to not fall
- 14:45into that trap of doing what the patient asks for.
- 14:48And the way I see it is that if a patient comes in and they ask
- 14:52me for something, they're not telling me what they want me to
- 14:55do. So if someone says I don't like
- 14:57my nasalabial fold, they're not saying fill it.
- 15:00They're saying that's what they're seeing.
- 15:02But if I explain to them that it's from the volume loss of the
- 15:05side of the face, and if I can rebalance here and then use a
- 15:08device to improve the collagen and then use skin care or a
- 15:11laser to help improve their overall skin quality, that's
- 15:15going to look better, more balanced and more In Sync with
- 15:19their face. Then I'll get them to where they
- 15:21want to go. But how do they know to ask me
- 15:24for those things? So just because a patient says I
- 15:27see this and this bothers me, it doesn't mean that's what I have
- 15:31to inject into or affect directly right away necessarily,
- 15:36but I do need to make it look better ultimately.
- 15:39And, and I do agree with you that sometimes we don't see what
- 15:43we look like. We look in a mirror, but
- 15:45sometimes we're not really seeing what the rest of the
- 15:47world is seeing. I remember a time in my life
- 15:50where I was overfilled, right? And I remember sitting at my
- 15:54kitchen counter talking to my mom.
- 15:56She's on the other side of the counter and we're just talking.
- 15:59And she just said to me, you have too much filler in your
- 16:02face. And, and you just gasp, right?
- 16:04And and she was right because there's a period I look back and
- 16:09I look at photos and I had like big chipmunk cheeks and it was
- 16:13like coming up under my eyes and I would smile and I would have
- 16:17it was very small. But in that moment, you don't
- 16:19even. Really see it, right?
- 16:21You don't see it. You need someone else to tell
- 16:23you, and you need a trusted physician to be able to do a
- 16:26proper assessment and guide you. And fillers alone, There's no
- 16:30one thing alone that's going to do everything.
- 16:32Fillers can't do everything. Neuromodulators can't do
- 16:35everything. That's why we also have devices.
- 16:37Some people need laser resurfacing, some people need
- 16:40skin tightening and lifting, some people need surgery.
- 16:44Everybody needs skin care and most people need diet and
- 16:48exercise advice. So there's so many layers to
- 16:51what we need to do to help people and go in that right
- 16:54direction. Sure.
- 16:56So on that topic of other technologies, so in conjunction
- 17:02with what you're doing with filler, which is turning heads,
- 17:05it's making a difference. What are your favorite
- 17:08technologies that you use in your clinic?
- 17:12For skin care, I've really adapted a lot in terms of
- 17:16exosomes and good quality moisturizers, hydrators,
- 17:20retinol. I'm going away more from
- 17:22prescription retinols to more over the counter or
- 17:25cosmoseutical versions of it because I think too much of A
- 17:29retinoic acid, the active form on older skin can thin and
- 17:33breakdown the collagen layers, so I mix it up a little bit.
- 17:37But I think a good skin care routine is really important.
- 17:41I do think laser resurfacing is critical.
- 17:43I love my Ultra Pulse Alpha for the face that helps with the
- 17:47vertical lines, the distress skin that comes really just from
- 17:51too much sun and too much repetitive motion that fillers
- 17:54are not going to address That. And the M Jewel, which is the
- 17:58Moxie BBL, it's broadband light for the neck and chest is a
- 18:02miracle product. It's crazy.
- 18:04I did it for mine and then I bought it because I was like it
- 18:06cleared up my chest in just a few visits and it stayed good.
- 18:09And I and it's so gentle on that area.
- 18:12So I can do CO2 on the neck and chest, but the Moxie BBL is so
- 18:16much gentler and it's just such a smart device because the tip
- 18:19stays cool. And a lot of the other IPL
- 18:22devices are broadband like devices.
- 18:23The tip doesn't stay cool the whole time that you do it.
- 18:26So it's fast, but it's super easy.
- 18:29So it's just such a great device and I research everything before
- 18:31I buy it and I pay for everything I have.
- 18:33And then my other favorite one that I do for myself every six
- 18:36months, and I love it for my patients who are young, who
- 18:39think they need Botox, but they really need preventative is soft
- 18:42wave. And what I love about soft Wave
- 18:45is that it has its synchronous parallel layers of ultrasound
- 18:49energy and it doesn't cause micro scarring, doesn't cause
- 18:53fat loss under the skin. It really does stimulate and
- 18:57improve skin quality. So when you're young, in your
- 18:5930s, you do it once a year just to help keep that collagen
- 19:03building because you've already done some destruction because
- 19:05everybody goes outdoors and they get too much sun and don't use
- 19:07enough sunscreen and they drink and they stress and they do all
- 19:10things that 20 and 30 year olds do.
- 19:12But when you started at that age when you can still build really
- 19:15good collagen, you're doing a lot to get yourself on that up
- 19:19ramp. So as you start, it's like
- 19:21bicycling downhill. You go faster so that as you hit
- 19:23that hill and you're going uphill, you have some momentum.
- 19:26So it's giving you that momentum to go into that aging process
- 19:30better and more useful. And then in your 40s and 50s and
- 19:33up, I like it twice a year for two to three or four times
- 19:37depending on where you're at, and then once every 10 or 11
- 19:40months. And it really helps skin
- 19:42quality. And I'm so pleased.
- 19:44And I was a little surprised in the beginning, but now it's just
- 19:47normal that people come back and they go, this really works.
- 19:51I haven't done anything that does for me what this does.
- 19:53And they see an improvement in their skin quality.
- 19:56Even people I've tried to talk out of it because I think they
- 19:58need surgery or they're older and I don't think it's going to
- 20:00do enough. They're happy too, but it
- 20:03doesn't replace neuromodulators and it doesn't replace fillers.
- 20:06So someone who thinks they can just do that one thing and get
- 20:09everything out of it, it's not the case.
- 20:12If you're going to do one thing, do skin care and wear mascara,
- 20:15make your eyes look bigger, and have your skin look good and
- 20:19hydrated. Those are the two things to
- 20:21start with. They don't cost a lot of money
- 20:22necessarily. You can get great drugstore
- 20:24products. If you're going to build on it,
- 20:26then you can add some neuromodulators if you have that
- 20:29animated movement that's starting to leave a line at rest
- 20:34if you're losing some volume. Generally you can very slowly
- 20:38start little by little, adding a little bit of filler, but it
- 20:41assimilate, let it settle, come back and do a little bit more
- 20:45and build on it, but very slowly and very little.
- 20:48And everybody's different, left and right side of the face are
- 20:51different. You need to be assessed properly
- 20:54so that you can create a plan and envision.
- 20:57And one thing we do here is for every single patient, we make a
- 21:00calendar. So when they come in, we talk
- 21:03through, we have an assessment and then my medical assistant
- 21:07will write out a calendar. So it sounds like a lot of words
- 21:10and a lot of stuff in one visit, but when you look in the
- 21:12calendar, it's a visit every few months and it's one thing at a
- 21:16time and it's not a lot and it's much more manageable.
- 21:19So we can say, Oh yeah, you need devices and you need laser
- 21:22resurfacing and you need Neuromodulator, need some
- 21:25filler. And that sounds like a lot, but
- 21:27the filler could be every six months to a year and less often
- 21:30when you're optimized. Neuromodulator is every three to
- 21:33five months, depending on which one we do.
- 21:35The soft wave is twice a year and then once a year after that.
- 21:38So it's that you're visiting every so often and every time
- 21:42you get something a little different and it's not a lot at
- 21:45once at any time, and it never adds up to a facelift.
- 21:49And you don't have to wait to fall apart to have everything re
- 21:53draped. And if you've already had a
- 21:55facelift, this helps maintain it so you'll never need another one
- 21:59or it'll delay it a lot. Yeah, it's interesting.
- 22:02I think that there is a myth out there that once you have a
- 22:05facelift, you're done, right? And you don't have to go in and
- 22:09have your filler and worry about having the treatments.
- 22:12But that's not true. There's maintenance on the
- 22:14facelift, right? Because gravity keeps coming for
- 22:17everyone, right? So well.
- 22:19Also skin quality. If you have bad skin quality and
- 22:22paper thin skin, then a facelift will make you look less saggy,
- 22:27but not more youthful and not necessarily prettier.
- 22:30You have to improve skin quality and that's what soft wave and
- 22:33the devices and even fillers can do.
- 22:35And unless you get fat transfer, a facelift doesn't really add
- 22:39back volume. It can reposition in someone who
- 22:41has volume. But if you're very thin, a
- 22:43facelift can make you look older because now you're a little bit
- 22:46more skeletonized looking. And then we just can't forget
- 22:49the neck. The neck is an area that I
- 22:51really focus on as well and it's such a difficult area to treat.
- 22:54But now we're doing lasers and fillers in the neck as well and
- 22:57certainly neuromodulators there now.
- 22:59I think Botox just got FDA approved there.
- 23:01So we have unlabeled lots of products and things we can do
- 23:05for the neck as well. Yeah, the neck is a scary area.
- 23:09It's like the first thing that you notice, and I don't even
- 23:11think we notice it looking in the mirror.
- 23:13You know what happens? You see a picture of your photo
- 23:17of yourself or yes on and you're like, wait, is that my neck?
- 23:21I know. That's why I tell all my young
- 23:24patients neck before the face and always go in an upward
- 23:28direction. So you get the bottom of your
- 23:29neck because that's the part the sun hits first and your chin
- 23:32protects right under, so you want to go below that.
- 23:34But yeah, it's all about the neck protecting the neck from
- 23:37sun. It should never see the light of
- 23:39day. And it's just not something when
- 23:41we slide their sunscreen on, we just happen to hit the face and
- 23:44we don't think about it until someday somebody shows you a
- 23:47picture at a funny angle and you're like.
- 23:49I know. It's great to see that we're
- 23:52developing different care for that area.
- 23:55I think that is necessary. I think the under eyes and the
- 23:58neck are the 1st that we notice. So what would you say to if
- 24:02somebody comes into your office for the first time and maybe
- 24:06they're between 35 and 40 years old and they're visiting you for
- 24:10the first time, they've really just done basic skin care, but
- 24:14they're starting to notice the signs of aging.
- 24:17And what would be your first recommendation to them?
- 24:21Well, I have a conversation to watch how they naturally
- 24:25animate, and when you talk to somebody, there's a few
- 24:28different ways that we move. One is your resting face is
- 24:32actually an animation in and of itself because you're using
- 24:35muscles to hold your face in that resting position, and you
- 24:38can tell a lot about which side is stronger.
- 24:41Most of us have one side of the face stronger than the other.
- 24:44So I can already start to see slight differences in the brow
- 24:47positioning, the eye shape, which side of the mouth is
- 24:51stronger, which nasal labial fold is a little bit deeper, and
- 24:54usually it's deeper on the stronger side of the face that
- 24:57moves more. So I'll start to notice just
- 24:59their facial posture and body posture at rest just from
- 25:03walking in the room. Then when they start to
- 25:05naturally animate, that's also very important because if
- 25:09somebody naturally animates and they're always raising their
- 25:11brow to naturally animate, then I can see that already their
- 25:15brow is getting weaker or their lids are getting heavier.
- 25:18And we're going to have to do more than if they don't
- 25:20naturally animate their brow. Because once you want to start
- 25:23looking alert, some people talk like this to show that they're
- 25:26alert. I've learned to lift my ears
- 25:28instead. So I don't do that, but I try to
- 25:30teach them how to do that if that's the case.
- 25:33And then I look at them as I ask them to animate on command.
- 25:37That's the least important because you can naturally
- 25:40animate and be very asymmetric. But when you animate on command,
- 25:44when someone says raise your brows, most people can raise
- 25:47their brows evenly. So you can miss a weakness of a
- 25:50brow. And oftentimes people will come
- 25:53in and they said, Yep, I had Botox and I had a brow group and
- 25:56I'll know exactly which side it was without asking them to
- 25:59animate on command, just by watching them talk because I can
- 26:02see side moves naturally in their natural animation more
- 26:07rather than on command. And I know to do the Botox or
- 26:10neuromodulator different. So some people can be 3040506070
- 26:14and they just don't need a neuromodulator, they just don't
- 26:16need it. And that's great.
- 26:17Not everybody needs it. And I don't think prevention
- 26:20means you do it before you have a problem at all, meaning that
- 26:24you're not moving pathologically in those ways.
- 26:26If you're not naturally furrowing your brows and the
- 26:29line resting a little bit, then you don't need it.
- 26:31And I don't think you should do something someone doesn't need.
- 26:33And preventative doesn't mean that everyone should do the
- 26:36exact same thing. So sometimes we'll have a
- 26:39conversation around what preventative means and what they
- 26:43could do. But normally in that age range,
- 26:46it's a time when Neuromodulator does come in as an initial
- 26:50thought because most people are starting to over animate and
- 26:53having a line linger a little bit even after they're done
- 26:57animating. And then I think we are
- 26:59preventing because we can turn that back around and we always
- 27:02talk about what products they're using at home.
- 27:05And then I'm either build on that or I make other
- 27:07recommendations depending on what their skin quality looks
- 27:10like. A lot of this goes with skin
- 27:12tone. Someone lighter generally by
- 27:14that age already has accumulated some sun damage.
- 27:17Someone with a darker skin tone might not have that issue.
- 27:20So we can talk about things like clear and brilliant.
- 27:22We could talk even about things like soft wave every so often if
- 27:26I'm seeing some deficiency or asymmetry that's a little bit
- 27:30off. We can talk about a little bit
- 27:31of filler if they have like some people naturally have a very
- 27:35thin, fine upper lip that doesn't balance their lower lip.
- 27:38And you can slowly add a little bit of volume just to put it
- 27:41into balance without making it look like it's a duck lip or
- 27:44overfilled lip. So it's looking at their overall
- 27:47balance, listening to what they tell me are their concerns and
- 27:52helping to guide them in that way.
- 27:53And sometimes just simply reassuring them and tell telling
- 27:56them they just don't need anything yet.
- 27:58Let's talk about good skin care, some good supplements and call
- 28:02it a day and make plans for the future.
- 28:04That's great that you give them the options.
- 28:07I think having a physician listen really give you options
- 28:11and not just come in with here's 7 syringes and here's what we're
- 28:15going to do. I think that there's a trend in
- 28:18some places where they're doing that, but it really does sound
- 28:21like you're talking about giving them their options, talking
- 28:24about the different care and really balancing sentencing it
- 28:27all out with skin care, which I think has become elevated so
- 28:31much in the last even 5 to 6 years with all of the actives
- 28:36that are out there now. I do the cycling of the actives,
- 28:40right? I'm using different products
- 28:41each night instead of the same thing every day, which I think
- 28:44really doesn't help us as much when you know what I think.
- 28:48So what is your thought on the skin cycling?
- 28:51I think some products should be cycled and some you just keep
- 28:55using because they're just always good.
- 28:56And I'm working on a novel molecule.
- 28:59I helped Co found a new company and we should have the product
- 29:02out early in Q4 of this year in a few offices around the city.
- 29:06It'll be only through doctors, but if you look at all the
- 29:09things we see on the surface, the changes in the skin, whether
- 29:12it's wrinkles or brown spots or broken blood vessels or
- 29:15blotchiness or sagging and collagen loss, all of those go
- 29:19around what we call the hallmarks of aging.
- 29:21And we address that now with all the things that we've been
- 29:24talking about, whether it's skin care or devices.
- 29:27But there are master regulators of those hallmarks, and those
- 29:30master regulators become dysfunctional with age, which is
- 29:34why age accelerates overtime. And a lot of what I'm doing is
- 29:38trying to understand how to use those master regulators to
- 29:41affect the underlying hallmarks of aging from below so that you
- 29:46can affect all the hallmarks at once.
- 29:48And then all these other things we do are going to work so much
- 29:50better and have longevity to them.
- 29:53So there is a lot of really interesting research we're
- 29:55working right now at the basic science level in the lab and
- 29:59we're just starting our final testing on skin.
- 30:02And Zoe Dralos is doing these studies for us and she's
- 30:05amazing. So we have the product and we're
- 30:07now up to the phase of human testing, but we've done testing
- 30:11on absorption, we've done testing on sensitivity of the
- 30:15skin, a whole bunch of other things.
- 30:16And it'll be both over the counter and prescription for
- 30:19skin and for hair. And the hair data is incredible.
- 30:22So I'm really excited about what this can do.
- 30:24I love that it's a novel molecule and that the category
- 30:28molecule has a long history and a lot of science behind it, but
- 30:32it hasn't been in skin yet. And getting it to skin has been
- 30:36a huge amount of work, many millions of dollars of research
- 30:40on the basic science side. But now we are ready to bring it
- 30:44to both over the counter and then eventually prescription.
- 30:46Prescription takes a few more years because it's a different
- 30:49level of testing and there's 2 slightly different molecules
- 30:52we're using one for over the counter, one for prescription.
- 30:55But it's super, super exciting. And again, it's taking it to
- 30:59another level. My goal is always to make a
- 31:02difference, not just to do the same things over and over, but
- 31:04to see what the needs are and why what we're doing isn't
- 31:08helping enough, what's driving it.
- 31:10So it's the same idea of not just seeing a wrinkle and
- 31:13filling the wrinkle, not just seeing a hallmark of aging and
- 31:15saying, OK, I can erase that and then it's going to go out and
- 31:18happen again. But to say what's driving that
- 31:21and how do I affect that so that I can actually have a longer
- 31:24term impact, not just an appearance, but an overall
- 31:28health as well. I'm so excited for you that you
- 31:31have that you are inventing your own skin care.
- 31:35You know, you're inventing molecules and you're really
- 31:38dipping into the signs of things.
- 31:40I can't. I'd like to say I'm inventing
- 31:42it, but I'm working with people who have who are investing it.
- 31:47But thank you for a lot of credit.
- 31:48I really can't take it. I can't.
- 31:50Wait to try it myself. And we'll.
- 31:52Have it soon. I hope that that once the
- 31:55product is released, I get to try it.
- 31:58And of course, we'll have you back on the show to and talk
- 32:00about it and showcase it. Which brings me to our closing.
- 32:04And usually I love to talk about what do you see for the future
- 32:09of aesthetics and what do you see?
- 32:12Look at what has changed for us in the last five years and where
- 32:15do you see the next five years taking us?
- 32:18Well, I think the future is so bright, especially now.
- 32:22A lot of what I talk about is menopause and perimenopause and
- 32:25helping women understand the value of things like hormone
- 32:29replacement. But so much of the conversation
- 32:31that we've just never had, it's all been like, you see this, do
- 32:35this, fix this next, and now it's not that.
- 32:38Now we understand that we're medical doctors, we're having an
- 32:41impact on our patient that goes so far beyond what it did 2345
- 32:47years ago. My injection technique has
- 32:50changed, the way I speak to my patients has evolved and my
- 32:53level of communication and information that I share with my
- 32:57patients about their health and their options of what they can
- 32:59do. My collaboration with functional
- 33:01medicine doctors, GYN's, internists, to help my patients
- 33:05on every single level of their health and well-being is so much
- 33:09greater than it was. And I understand that the skin
- 33:13doesn't just reflect your health and your well-being deeper, it
- 33:17actually affects it. So when you help the skin look
- 33:21better and be healthier, you're helping your internal organs and
- 33:24even your brain get younger as well and healthier.
- 33:28And your mindset is so important.
- 33:31So the conversations I have, the way that I direct my patients
- 33:34and help them see their beauty, celebrate, enhance it, take
- 33:38charge of it and take charge of their overall health.
- 33:41That for me is I think what is evolving and what's going to
- 33:45continue to grow. And we're going to have more and
- 33:48more tools, whether it's wearable devices, other
- 33:51opportunities, apps, so many things that are coming down the
- 33:54pipeline. AI is huge in what it can do to
- 33:56help us help our patients look better as well.
- 33:59We don't even know. I don't even think it's going to
- 34:02be in the next 5 years. I think in the next one year,
- 34:04just with AI alone, we're going to be able to do so much more to
- 34:08help our patients achieve their own best health and their own
- 34:11best appearance and well-being and their best self.
- 34:15Embracing AI is so wonderful to hear.
- 34:18I feel like there's a break in the generations where some are
- 34:22just ignoring it and pretending it's not happening, but I'd love
- 34:26to hear that you're embracing it, because I do.
- 34:28Think. Going to change everything for
- 34:31us. It's going to change not only
- 34:32the assessments of our skin, the possibilities of what we can
- 34:35look like if we do this or we do that.
- 34:38I think that we're just scratching the surface.
- 34:40So I think that's a perfect way to wrap things up.
- 34:43And thank you so much for joining us today, Doctor Day.
- 34:47And just for the listeners out there and the viewers.
- 34:50So you are still accepting new patients, Doctor Day.
- 34:53OK, that's great. And they can find you on your
- 34:56website and your social media, which is amazing and filled with
- 35:00lots of information and before and after.
- 35:02So I think you'll have many people reaching out about that.
- 35:05Is there anything else that you'd like to share with us
- 35:07before we close? No, thank you so much for having
- 35:10me. This is so much fun.
- 35:11It went by so fast. Yes, absolutely.
- 35:13We can't wait to have you back. I can't wait to hear all about
- 35:16your new product. So please put us on the list
- 35:19when you're getting ready to launch for sure or to have you
- 35:22back on again, OK? Thank you for sure.
- 35:25Thanks so much for joining us today.
- 35:28Doctor Randy Boyett holds a PhD and is a recognized leader in
- 35:31the aesthetics and medical industry.
- 35:33She is not a licensed medical doctor.
- 35:36All commentary and product recommendations are based on
- 35:39industry expertise and are provided for informational
- 35:42purposes only.