Latest / The Dr. Randi Show / From Vogue to Regenerative Medicine: The New Science of Skin — Dr. Julie Russak
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.
- 0:16Whether you're looking for the latest innovations, expert
- 0:19insights or trusted recommendations, New Beauty is
- 0:22your go to source. Visit newbeauty.com to stay
- 0:25ahead of the trends and discover what's next in beauty.
- 0:28Now let's get into the episode. Hello everyone, and welcome to
- 0:32the Doctor Randy Show, where we talk about innovation, the
- 0:36people, and the ideas that are shaping the future of aesthetics
- 0:40and medicine. Our guest today has been a super
- 0:44doctor. She has been featured in Vogue
- 0:46and the New York Times, and she is one of Manhattan's most in
- 0:50demand dermatologists and running one of the busiest
- 0:54dermatology practices in the city.
- 0:56Please welcome Doctor Julie Rusak.
- 1:00Thank you so much. Thank you so much for having me
- 1:02here. I appreciate it.
- 1:03And I'm pretty excited about talking about what I'm
- 1:05passionate about skin innovation.
- 1:08Excellent Doctor Rusak, we're so excited to have you on the show
- 1:11today and in researching you I was blown away by all that
- 1:15you've accomplished and all that you've done in the industry and
- 1:17you are the go to. So you have built a reputation
- 1:21as one of the leading voices in aesthetics.
- 1:24What do you think has been the driving force behind that
- 1:27success? I think the driving force is
- 1:30really science, science that is behind and everything that we're
- 1:33discovering and understanding how our skin ages with the rest
- 1:38of the body and being able now to maybe not fully repair it,
- 1:43but definitely have an intervention.
- 1:46Yes, well, the science is everything, right?
- 1:48Because otherwise. It's best.
- 1:49Marketing. So with everything that you have
- 1:52accomplished, what excites you the most about where aesthetics
- 1:56is heading right now? Aesthetics is heading in a great
- 2:00direction right now. Regeneration is really the
- 2:03keyword right now in medicine overall, and aesthetics is
- 2:07really gaining ground fast with that.
- 2:09We can see when we are regenerating our skin is on the
- 2:13outside, so it gives us right away kind of up to date
- 2:16understanding of what is happening in our body.
- 2:19And there's more and more things that we're discovering that help
- 2:22us to do that. Doctor, when you think about
- 2:26innovation, what breakthrough do you think is really changing the
- 2:31game right now in our industry? Being able to repair rather than
- 2:36just mask signs of aging So in the past we used a lot of
- 2:39different tools, but we were really masking the signs of
- 2:42aging. Right now we are really starting
- 2:44to use science, molecular science, intercellular science
- 2:48to change how our skin aging. And when we say aging, we're not
- 2:52talking any more about lines or wrinkles, we're talking about
- 2:55intercellular aging. So using really understanding,
- 2:59scientific understanding of that, using molecules that help
- 3:03us to tap into stem cells, the most primordial cells in our
- 3:07body, and use them to regenerate all the organs, including the
- 3:11skin, is what's driving the regenerative medicine and
- 3:13regenerative aesthetic medicine. That's the.
- 3:16Future, right, Regenerative for our aesthetics, for our bodies,
- 3:21everything. I think in the next 5 to 10
- 3:23years, everything is going to be that shift where we're not going
- 3:26backwards. I agree.
- 3:29One of the questions I wanted to ask you because I'm originally
- 3:32from New York and New York is yes, that's where we get our get
- 3:37up and go right. So New York is one of the most
- 3:41competitive markets in the world.
- 3:44How do you build loyalty when patients have so many endless
- 3:48choices in New York? Oh, you're absolutely right.
- 3:51The choices are endless. But I think that building the
- 3:54report and understanding with your patients, majority of my
- 3:57patients has been with me for many, many years.
- 4:00We grow together, we age together, but we also understand
- 4:04what this aging is meaning to us at every different stage in our
- 4:07lives. And again, at this point in our
- 4:09life, a lot of my patients are where I am.
- 4:12We're a little bit older, we're definitely a little bit wiser.
- 4:15And we understand that aging is not really the bad things.
- 4:19We understand that aging means that we are gaining.
- 4:22We're gaining in our lifespan and the value that comes with it
- 4:26is indispensable. But the lifespan in the health
- 4:29span is what we are really starting to understand.
- 4:31So a lot of my patients, we share the same view, but it's
- 4:34not only about the lifespan, it's about the health span and
- 4:37helping them to age healthy and to live a healthy life is.
- 4:42I feel like that's where we gain that understanding and we are on
- 4:45the same page with a lot of my patients and that's where the
- 4:47loyalty comes from. It sounds like you're very easy
- 4:50to talk to your patients probably love that bedside
- 4:54manner and that you're into innovation.
- 4:57I'm sure one of the things that you've probably seen in our
- 5:01industry is that some dermatologists or any doctor,
- 5:06right, any sector of the medical industry, some are really stuck
- 5:09in their ways, right? And then some are very forward
- 5:13thinking. And I think in aesthetics and in
- 5:15dermatology, that is where we need the most forward thinking,
- 5:19right? Because that's where we need the
- 5:21most results. So Speaking of innovation, I
- 5:25recently heard that you brought in one of the latest
- 5:28technologies in skin care, Definage, which is rooted in a
- 5:33new type of peptide, which I'd love you to talk about because
- 5:36I'm probably not the expert in it, but I'd love to dive into
- 5:39this with you. Can you tell us about this new
- 5:42peptide and the results that you are seeing with your patients?
- 5:46So I've actually had Deafenosh in my practice for a good number
- 5:50of years and we pair it together with all the regenerative
- 5:53procedures that we do. So Deafenosh is rooted in
- 5:56understanding that there is a defense in molecule that allows
- 5:59us to activate cells, primordial cells that hasn't been really
- 6:04used for the regeneration of the skin.
- 6:06So it's great for skin that is already showing signs of aging,
- 6:12that skin that we've tried in the past to use the retinols and
- 6:15antioxidant, everything else to repair itself.
- 6:19And we're always stepping into the same cells, regenerating
- 6:21regenerated defensive molecules allow us to actually activate
- 6:25cells that has not been used in the past, our reserve, so to
- 6:28speak, cells that are at the bottom and bring them to the
- 6:32surface of the skin. And therefore, those healthy
- 6:35cells then can act harder for us and make everything else on the
- 6:39surface look better. But that look is really not
- 6:42just, as I said, that kind of like the superficial look.
- 6:44It's really repairing and using the healthy younger cells that
- 6:48we're activating with defense in molecules.
- 6:51It's so interesting and it's such a new twist because we are
- 6:55really hearing so much about vitamin C, retinol, growth
- 7:00factors. How does this really differ from
- 7:03that? Well, it's definitely very
- 7:06different, but not necessarily one versus the other.
- 7:10In order to really create a healthy skin, you kind of need
- 7:13to have everything. It's the same thing as eating.
- 7:16You can't eat the same one healthy food, right?
- 7:18You need the whole rainbow of all your vegetables.
- 7:21And that's how I look for skin care.
- 7:23So being able to tap into those primordial cells, then give your
- 7:27skin the antioxidants that you need, then also use a retinol to
- 7:31help repair all together. It works very, very
- 7:35synergistically. But there's a lot of patients
- 7:37also, they cannot use one versus the other, right?
- 7:40You know, for some of the patients is a little bit too
- 7:41harsh. Vitamin C, sometimes vitamin C
- 7:44is too irritating for the patients.
- 7:47Definos uses defensive molecules that work in a completely
- 7:50different pathways. They're peptides.
- 7:52There's no acids that are involved.
- 7:54There's no irritants that involved.
- 7:55So patients, even with very sensitive skin, patients with a
- 7:59barrier that is broken down, rosacea, acne, they can all use
- 8:02it. That's phenomenal because I'm
- 8:06constantly hearing stories of people who are too sensitive to
- 8:09vitamin C on retinol. And I think every one of us is
- 8:14guilty of overusing these products, right.
- 8:16So we've gotten into a stage sometimes where we're like, this
- 8:20is great. Maybe I'll just put more and
- 8:22more. And I don't think anybody alive
- 8:25has not woken up one day and been like, what did I do to my
- 8:29skin? And like, you know, too much
- 8:30irritation And then when we're trying to exfoliate because
- 8:34there's. And it makes it so much worse.
- 8:36Yes, so much so it's great to know that there is an option
- 8:40that can still reengineer yourselves without that
- 8:43irritation. So that sounds like that's where
- 8:46Definage comes in. So one of the things that I was
- 8:49reading about is that, well, let's face it, Doctor Rusack,
- 8:54the first areas that show the signs of aging are neck and the
- 9:00under eyes, right? And I have been trying the
- 9:04Definage products and they're quite phenomenal.
- 9:07Blown away. I've been very dedicated to
- 9:09using the neck and the eye product.
- 9:12And I think the real test of skin care is the eye and the
- 9:16neck. And how does Definage approach
- 9:18those areas, if you could talk about that a little bit?
- 9:21So you're absolutely correct, the skin around the eyes will
- 9:24start and we'll go top the bottom.
- 9:25The skin around the eyes is the thinnest skin on our whole body.
- 9:29It doesn't have any oil glands, but we put it through the most
- 9:32wear and tear. The amount of times that we
- 9:34blink then we smile. We constantly put that skin
- 9:37under stress. They're really starting to pay
- 9:39attention early to the skin and helping it to regenerate and
- 9:43repair. Because it's so thin, there's
- 9:46not a lot of areas for us to exfoliate, so exfoliants don't
- 9:49work under the eyes. There are not oil glands, so
- 9:51there's not much we can do on that skin but protect and repair
- 9:55and bring the cells that are at the bottom.
- 9:58That can then generate a little bit more college and a little
- 10:00bit more elastin that's around the eyes.
- 10:03Neck is a different problem. Neck is probably one of the
- 10:06toughest skin because neck is good until it's not and then
- 10:09there's not much we can do. It doesn't have a lot of support
- 10:12structures. There's no fat cells, there's
- 10:14not a lot of dermal cells that can repair it.
- 10:17It also put under a lot of stress because we constantly use
- 10:22it. We turn, we twist, and now you
- 10:24have to add the cell phones to it.
- 10:25We're all on our phones looking down.
- 10:28So we're all developing the tech neck.
- 10:30We see it in younger and younger patients.
- 10:32The really understanding what is the problem with the necks, that
- 10:36the skin is so different and being able again to use
- 10:39molecules that create newer health, the cells and bring them
- 10:42to the surface, that's what defenses are about.
- 10:46Yes, my neck, whenever I am on a Zoom.
- 10:49I'm sure you do the same thing. We pick ourselves apart.
- 10:53I remember, yes, we do. When COVID hit and we all, you
- 10:57know, resorted to Zoom for every meeting, I remember seeing my
- 11:00neck and being like what, what, Whose neck is that?
- 11:03So, you know, I think that having something that really
- 11:06helps the neck, I have already started to see an improvement
- 11:10with the neck cream. I'm a big fan.
- 11:12I'm going to bring it out and this is the packaging.
- 11:15Packaging is beautiful. I love how the pump, we don't
- 11:19have to stick our fingers in there.
- 11:20It's a great. Very important, Very important.
- 11:22And I'm sure your patients are loving this as well.
- 11:26And I'd love to talk a little more about the eye product
- 11:30because one of the things that I like to talk about when I'm
- 11:34talking about eye products is dark circles, puffiness.
- 11:38And this product, not only is it fantastic, but the applicator,
- 11:42unbelievable, right? You know, it's cooling.
- 11:45I mean, even right now my whole room is 1 temperature and this
- 11:49is like 20° colder and makes the application so much easier.
- 11:53And we're not sticking our fingers into the jar and then
- 11:56sticking them on her face. So does this product, in your
- 11:59opinion, address the puffiness and dark circles as well?
- 12:04So puffiness and dark circles under the eyes, it's a very
- 12:07multifactorial problem. It's not one or the other.
- 12:11If there was only one course of puffiness and darkness, we would
- 12:13fix it by now, right? So it's a very multifactorial
- 12:16problem and therefore overall just regenerating the skin,
- 12:21getting it a little bit thicker, creating a little bit more
- 12:23collagen, creating a little bit more of the strength in it.
- 12:26It addresses all of the above and that's why it really does
- 12:30help with all of the above. Great.
- 12:33And also with the eye cream as well as the neck cream.
- 12:37The neck cream is called the six week neck cream.
- 12:40Why is it called that? Well, it takes time for your
- 12:44body to produce collagen and elastin.
- 12:46It takes time for your cells to regenerate themselves.
- 12:49But the studies have really shown that patients are starting
- 12:52to see the results in six weeks. That's why they call it like
- 12:55that. Doesn't stop in six weeks,
- 12:57Absolutely not. But it's great even at six weeks
- 12:59to start seeing the results. And that encourages a lot of my
- 13:02patients to stick with it and continue because we know neck is
- 13:05difficult. There was always a lot of
- 13:07different creams on the market, but the problem is that none of
- 13:10them actually worked as well before.
- 13:13Great. So your patients are seeing the
- 13:15results and they're seeing it fast and.
- 13:18Therefore, they're continuing to use a product.
- 13:21So we get the efficacy from the compliance.
- 13:24Right. And that's kind of like going to
- 13:26the gym, right? Once we start results, then we
- 13:28go back to the gym until you start seeing the results, it's
- 13:31hard to get up and go. And one of the things that you
- 13:35mentioned that I really liked was that it's never just one
- 13:39ingredient in our skin care that we have to rotate our products.
- 13:44And I'm a big fan of skin cycling.
- 13:48So I use many different products and all week long that I feel
- 13:52like each one of them plays a role.
- 13:54But I can't layer on 10 products a night, right?
- 13:57So tell me your thoughts about that mixed in with Definage.
- 14:01What do you recommend? I really do believe in cycling.
- 14:06We cycle a lot of different products.
- 14:08One is depending on the seasons of the year, but we in my
- 14:12practice mostly cycle depending on the procedures that patients
- 14:15do in the office. When we do by stimulatory
- 14:19injections, we stimulate production of collagen and
- 14:22elastin. So we pair it very often with
- 14:24Definos to really see that synergistic effect.
- 14:28The same thing sometimes with the lasers, especially with
- 14:30radio frequency microneedling. Radio frequency microneedling
- 14:33and Definos is the perfect, perfect combo.
- 14:36You deliver it a little bit better, even deeper under the
- 14:39skin, so you get more of the results.
- 14:41But also with radio frequency microneedling, we do the same
- 14:44energy wise but with the same stimulation that now we have the
- 14:47defense in molecules helping us to achieve.
- 14:50So a lot of my patients use it in between their procedures to
- 14:54achieve kind of additional value to the procedures that they do
- 14:57in the practice. Wow.
- 14:58So it's really like a booster. It's helping boost the results
- 15:02of the treatments. It's very synergistic product
- 15:05that goes well with all the energy and all the other
- 15:08procedures that we do in the office.
- 15:10Excellent, excellent. What age do you recommend?
- 15:14Is this? Is definage a line for
- 15:17prevention or is it really a line for just correction?
- 15:22What age would you recommend for people to start using definage?
- 15:26I always say that prevention works much better than
- 15:28correction, though. Prevention, studying it early,
- 15:31understanding that for all of us, we understand the
- 15:34pathophysiology, we know that the skin around the eyes is
- 15:37going to show the first signs of aging.
- 15:39So why not prevent it? Because we know that it's
- 15:41happening. And the same thing with the neck
- 15:43for a very long time. We as women and men too, we pay
- 15:47attention a little bit more to our face, but the neck is only
- 15:50when we already see the signs of aging.
- 15:52So I always encourage my patients to start early and
- 15:55prevent in those signs so then we don't have to repair them.
- 15:59But at the same time, once you're already kind of starting
- 16:02to see that there is more laxity and there's a little bit less
- 16:05relaxing and collagen in your neck, you can definitely start
- 16:08it also. Absolutely.
- 16:11I think that getting people to stick with it and see the
- 16:15results. And one thing I wanted to
- 16:18mention that you don't see very often is that in my studies of
- 16:24definage that there were 30 clinical studies, right, which
- 16:29that's very rare for skin care brand.
- 16:31And I think that speaks volumes, especially to you as a
- 16:36physician. I'm sure that makes you feel
- 16:38more comfortable with the product and recommending.
- 16:41And have you seen, well, obviously you've had it in your
- 16:45practice for a long time. What are the real world
- 16:48transformations that you're seeing?
- 16:49What are your patients telling you and coming back in and
- 16:52reporting? Well, the defenses, if you
- 16:55really look at the research and go back and what actually
- 16:59brought it into my practice, what it was used for and how it
- 17:03was discovered. It was discovered for wound
- 17:05healing. So we understand what it does to
- 17:08our cells. And then it only was translated
- 17:11into more of an aesthetic product.
- 17:13So it falls originally a clinical product and therefore
- 17:16we have a huge scientific back into that.
- 17:18And that's very rare for the aesthetic brand.
- 17:21My patients bring it back and they report that their skin is
- 17:25feeling healthier. That's the most important
- 17:27things. Healthy skin looks beautiful.
- 17:29So it's not just about that. They see less lines or less
- 17:32wrinkles. They are reporting their skin is
- 17:34looking healthier and hence they see all the aesthetic results
- 17:38also. But it's not just for the face.
- 17:40As you mentioned, we use it on the neck, but you can also use
- 17:43it on your whole body. Because the same problems that
- 17:46we're seeing on the face, on the neck, we also start seeing on
- 17:49the body, upper arms, thighs, a lot of other areas that we are
- 17:54now starting to pay attention to that we were not paying as much
- 17:57attention. That's great areas for the
- 18:00defenses also. Yes.
- 18:01I think as we age we start to see some funny areas and we're
- 18:05like, how did that happen? Like our elbows, right?
- 18:08Exactly. Exactly.
- 18:10Upper arm Yes you suddenly catch a little funny view in the
- 18:14mirror sometime you're like where did that come from so it's
- 18:17great to know that we. It's great to see in your 20s
- 18:20nobody ever cared about their elbows, but give it a couple
- 18:24more years and then you really start understanding what the
- 18:27elbows really mean, right? And you know what's funny is we
- 18:30never see our own elbows. I had I had a very aha moment
- 18:35once I was getting my hair done in the salon and the hairdresser
- 18:39said, turn around, let me take a picture of the back of your
- 18:43hair. She had curled it and
- 18:44highlighted it. And she took a picture with my
- 18:47phone. And then I looked at my back,
- 18:50right. So she took a picture from the
- 18:52back of me and then I saw the picture and that was the first
- 18:55time I saw my elbows and I gasped, right.
- 18:59So you don't really see these things until you do and then?
- 19:03You do and then they can Unsee it.
- 19:05Oh yes, then you can Unsee it. I was like, why is nobody making
- 19:08laser treatments for my elbows? But I know there are treatments
- 19:11out there but. Absolutely.
- 19:12We treat elbows all the time. Yes, yes.
- 19:15So now I'm worried about my elbows, but that's.
- 19:18Well, you can use definition. You can put it on your elbows
- 19:20too. Yes, I'm going to start doing
- 19:22that. I'm going to take my neck cream
- 19:23and put it on my elbows. Well, it will work.
- 19:26Doctor Rusaka, one of the things I wanted to bring up is that
- 19:30obviously you are a recognized authority by your patients or
- 19:34patients see the results and the industry has noticed as well.
- 19:39You have been recognized by New Beauty as a top Dr. since 2014.
- 19:45So congratulations. Thank you is the sponsor of our
- 19:49podcast and they do such a phenomenal job of being the
- 19:53beauty icon of this industry. And I wanted to ask you, what
- 19:58has that recognition meant to you and how do you feel that it
- 20:01has impacted your practice? New Beauty has been very
- 20:06supportive of our practice for a very long time.
- 20:09My practice evolves through time, as science evolves, as
- 20:13understanding of the aesthetic evolves, and it hasn't been
- 20:16always easy and very straightforward.
- 20:19I started regenerative aesthetic practice very, very early.
- 20:22Where talking to patients about drawing blood and talking to
- 20:26patients about diet was most of the time that was a little bit
- 20:29of a surprise. Look, you're a dermatologist.
- 20:31Why? You're talking to me about my
- 20:32gut health and my diet. And your beauty has been very,
- 20:35very supportive of all the progress that we've been seeing
- 20:39inside and trying to translate into our practices from the
- 20:42very, very, very beginning. So it means a lot to me.
- 20:45That's fantastic and it's great to know that they are supporting
- 20:49you even if when you were doing things that others were not
- 20:51doing and they say you've been ahead of the curve on
- 20:54regenerative medicine. Do you think that clinics that
- 20:59are not embracing this are going to be left behind if they're not
- 21:02prepared? I don't want to say such a
- 21:04strong statement, but I do think that at this point we are really
- 21:07understanding that you cannot treat the skin and you cannot
- 21:09expect natural healthy results that we are expecting from
- 21:13regenerative medicine right now. If you don't understand
- 21:16regenerative medicine, if you don't practice regenerative
- 21:19medicine, it is just your organ. You cannot expect that you can
- 21:23treat the organ without understanding how the rest of
- 21:25the body kind of plays a role in it.
- 21:28Sure. Well, on that note, what do you
- 21:31think or see on a regular basis that is one treatment or trend
- 21:37in your expertise that you think might be overhyped at the
- 21:41moment? Oh, that's a good 11 overhyped
- 21:451. I don't know.
- 21:48I don't know about 1, overhyped 1, because I strongly believe
- 21:51that there's not one thing that fits everybody.
- 21:55It's very individualized, but at the same time, it's really a
- 21:58multitude of stimulation that we're doing right now.
- 22:02You go to the gym and you can't expect that you're going to be
- 22:05training just for your biceps, but the rest of your body is
- 22:07going to look great, right? So it's really multiple
- 22:10modalities using energy devices by stimulatory molecules.
- 22:13We're going into the era of stem cells and exosomes.
- 22:17So it's really a combination of a lot of different things,
- 22:20different injectable peptides, different topical peptides,
- 22:23deliveries of different mechanisms, but it really gives
- 22:25us results. I don't think that it's just one
- 22:28thing that is overhyped. I think that maybe overusing one
- 22:31things is 1 things. But other than that, I think
- 22:34that you have to really be familiar with a lot of different
- 22:37modalities and use them all together.
- 22:43OK, great answer. Great answer.
- 22:46Because some come in very opinionated on that, right.
- 22:49So if you had a patient and you had to tell them they could only
- 22:54use three products for the rest of their life, how would you
- 22:57prioritize those three products? By a stimulatory molecule.
- 23:02By a stimulatory molecule and then some form of microbiome
- 23:08support and stimulation. OK, great answer.
- 23:11And that's not the usual answer. So that's definitely progressive
- 23:15and I think that it's what we need to hear.
- 23:17So I love that. Appreciated.
- 23:20And you are recognized not only just for results, Doctor Rusak,
- 23:25but also for being a thought leader.
- 23:28How do you see your role in shaping where aesthetics is
- 23:32going next? Education, education of
- 23:36patients, but also education of our peers.
- 23:39Dermatology for a very long time was very transactional field
- 23:42where patients wake up in the morning.
- 23:45They decided that they need to see a dermatologist, whether it
- 23:47was for Botox or for fillers, because that's what patients
- 23:49think about in those terms. And they would come, they would
- 23:52have the injection, they would expect the results right away,
- 23:56instant gratification, and then they disappear for a very long
- 23:59time. It's starting to change and it
- 24:02needs to change even more. Really understanding that
- 24:05achieving good results requires maybe not as much, but requires
- 24:10not just instant gratifications, but understanding of what
- 24:14regeneration really means, that it's investing in yourself
- 24:17early. It's investing into the results
- 24:19that might not show up when you are leaving the practice, but
- 24:22that will be much more of a long term results.
- 24:26Sure. Well, I think that makes great
- 24:29sense. And I think that you being at
- 24:31the forefront and using your voice to talk about these things
- 24:34will really help shape the industry.
- 24:36So what you're doing is really helping the entire industry.
- 24:39Thank you. If you could design the next
- 24:43innovation in skin care, what problem do you think we still
- 24:46need to solve that we have not solved yet?
- 24:49I think one of the biggest problems that we are trying to
- 24:53move away from is really overuse of things, overuse of topical
- 24:59products. We talked a little bit about it.
- 25:01We think that if a little bit is good, then more is better and
- 25:04it's definitely not the case. But also I think that really
- 25:08understanding that healthy it means beautiful.
- 25:12And we are starting to see that that it's not the artificial
- 25:15from the outside beauty that is going to give us long term
- 25:18results and really educating patients, but educating media
- 25:22education providers who deliver those results.
- 25:26That it's not about overdone. Look, it's not about overdone
- 25:30lips that we have to move away into really creating beautiful,
- 25:34healthy individual faces and not the same standard for everybody.
- 25:40I completely agree. I think you're spot on there.
- 25:43And I think that we need to focus more on feeling beautiful
- 25:46and then we wind up looking beautiful, right?
- 25:48Absolutely. Feeling beautiful, feeling
- 25:51healthy, and that's translating to us looking beautiful.
- 25:54That's great, and you've been practicing for many years at the
- 25:58absolute highest level. What is something that you know
- 26:03now that you wish that you knew earlier in your career that you
- 26:07feel like you could have made a difference earlier?
- 26:09Would it be the regenerative factor?
- 26:11It's absolutely the regenerative factor.
- 26:14I wish that in my 20s I knew about everything that I know
- 26:17right now and focused on healthy living.
- 26:21We'll see inside and everything that we right now know that is
- 26:23good for us, that in the past we have thought about it.
- 26:26It's kind of like what just people just think about it.
- 26:29It's really health and mind and inside that then translates on
- 26:32the outside. Yes, I think that I agree.
- 26:36If I knew some of the things about skin in my 20s and 30s
- 26:39that I know now, I probably would have done things a little
- 26:42bit differently, done the prejuvenation, the, you know,
- 26:45some of the things that even the preventative Botox, right, that
- 26:49was just the last few years where people really started
- 26:51doing that to prevent in certain areas.
- 26:54You know, I have a few wrinkles that will never go away because
- 26:57I didn't prevent them. I'm treating them right.
- 27:00So. So we do.
- 27:02We do our. Best younger generation is
- 27:03really understanding right now. They're doing a little bit and
- 27:06as you said, that preventing, but we didn't know in the past
- 27:10we used Botox to treat something.
- 27:11Right now we use Botox completely differently.
- 27:14We use Botox to prevent things. We understand that having
- 27:16movement in your forehead is really not what's going to show
- 27:20your age. It's having certain look, a
- 27:24certain perception that is making you older.
- 27:26And we're using everything that we have in our toolbox, so to
- 27:30speak, very differently now. Yes, yes, we definitely are.
- 27:34I probably started in skin care many, many years ago where, you
- 27:38know, we were just doing moisturization.
- 27:39There were no actives, right? So it's a pretty big change.
- 27:43So I wanted to wrap things up, but your voice is so strong and
- 27:48so compelling, and I wanted to give you one more chance to just
- 27:52really talk to the patient that is listening.
- 27:56That feels overwhelmed by all of the options out there, right?
- 28:01With skin care and how to treat and how to do.
- 28:03And some people just throw their hands in the air and they just
- 28:06do nothing, right because they're not sure how to start.
- 28:09What is your best advice for cutting through the noise for
- 28:13our listeners, for our viewers, and choosing what really works
- 28:17and what's the best way to get started on that?
- 28:19Well, focus what is healthy for your body.
- 28:21Focus on that, not on all the trendy things, not on all the
- 28:25latest that you're reading, anywhere that is hyped up, but
- 28:29think about it, what is healthy for your body and that will help
- 28:33you to move through all that process for skin care.
- 28:36It doesn't have to be complicated.
- 28:37It has to be smart, right? In the mornings, you want to
- 28:40protect your skin. You want to protect your skin
- 28:43from the environmental damage. You want to protect yourself
- 28:46skin from the UV radiation, so you focus on that.
- 28:49You focus on antioxidants, you focus on SPF.
- 28:52At night is when our skin regenerates.
- 28:54You want to focus on peptides and retinols that help your skin
- 28:58to regenerate. Again, not complicated and it
- 29:01doesn't have to be 10 different steps.
- 29:04And then think about it, What is your skin regenerating, what
- 29:06it's doing? It's producing collagen,
- 29:08elastin, and healthy molecules. So you need to have good healthy
- 29:12building blocks for it. I talk a lot to my patients
- 29:15about their diet. I talk to my patients about
- 29:17their gut microbiome because it's not necessarily just what
- 29:20you eat. It's also what you absorb, how
- 29:23your body processes, all of that.
- 29:25That is also very, very important.
- 29:27And then how you utilize it. So exercise is very important.
- 29:31Your overall health, your overall mind is is also very,
- 29:34very important. So focus on that.
- 29:37We know what is good for us. It's sticking to that.
- 29:39That is not always easy and we don't always comply, but if you
- 29:44start really be a little bit more mindful of that, then
- 29:47you'll reach the results. That's an amazing answer and I
- 29:51couldn't agree more. So thank you so much, Doctor
- 29:55Rusack, for being here today. It's been a pleasure having you
- 29:58on the show. I can't wait to see the future
- 30:00of what you bring to the table. I'd love for you to come back on
- 30:03the show early. My pleasure.
- 30:06What you're up to and what's going on in your practice, and
- 30:09also what's happening with Definaj.
- 30:11It sounds like they're on the cutting edge of what's
- 30:13happening. Absolutely.
- 30:14Well, thank you so much for having me.
- 30:16It's been such a pleasure. And thank you for allowing me to
- 30:18talk about what I'm passionate about and science and skin and
- 30:22everything else that needs to be done for us to look healthy and
- 30:25beautiful. Thank you.
- 30:27All right, Doctor Rusack, have a wonderful day and thanks
- 30:29everybody for joining the show. Thank you.
- 30:33Doctor Randy Boyett holds a PhD and is a recognized leader in
- 30:36the aesthetics and medical industry.
- 30:39She is not a licensed medical doctor.
- 30:41All commentary and product recommendations are based on
- 30:44industry expertise and are provided for informational
- 30:47purposes only.