Latest / In My Hometown / Is 40 Too Old for Botox? Aging Skin & What's Worth It | With Dr. T

Transcript

Is 40 Too Old for Botox? Aging Skin & What's Worth It | With Dr. T · In My Hometown

• 0:01
  SPEAKER_00: Hi, everybody.
• 0:02
  SPEAKER_00: Skincare after 40.
• 0:04
  SPEAKER_00: What's actually worth it?
• 0:05
  SPEAKER_00: What should we be doing?
• 0:07
  SPEAKER_00: What shouldn't we be doing?
• 0:08
  SPEAKER_00: Today I'm joined by Dr.
• 0:10
  SPEAKER_00: T.
• 0:10
  SPEAKER_00: She is a board certified uh aesthetician.
• 0:14
  SPEAKER_00: She is an OBGYN and she owns her own med spa.
• 0:18
  SPEAKER_00: And she is here to answer all of our questions.
• 0:21
  SPEAKER_00: Hi.
• 0:21
  SPEAKER_01: Hi, how are you?
• 0:22
  SPEAKER_00: Great.
• 0:23
  SPEAKER_00: How are you doing?
• 0:23
  SPEAKER_00: I'm great.
• 0:24
  SPEAKER_00: So tell the biggest topic, I think, in my social circle is Botox.
• 0:29
  SPEAKER_00: Yes.
• 0:31
  SPEAKER_00: That's probably around this after 40 age.
• 0:34
  SPEAKER_00: What let's talk, let's talk about Botox.
• 0:37
  SPEAKER_00: Okay, great.
• 0:38
  SPEAKER_00: Is it too are you too old after 40 to be doing it, or is that the right time to do it?
• 0:45
  SPEAKER_00: What is the best um time to do it?
• 0:48
  SPEAKER_00: This is such a good question and such a common question that I get.
• 0:51
  SPEAKER_01: Um, I think that there's not really a magic number when you should be starting Botox.
• 0:56
  SPEAKER_01: I think that it really depends on what is um important to you, what bothers you.
• 1:01
  SPEAKER_01: Um sometimes genetics plays a role.
• 1:04
  SPEAKER_01: Some people start Botox a lot earlier.
• 1:06
  SPEAKER_01: Um we start seeing those etched-in lines and um even at rest we're starting to see lines.
• 1:12
  SPEAKER_01: I would say that's definitely when we should be starting it.
• 1:15
  SPEAKER_01: But sometimes we can start it even a little bit sooner than that.
• 1:18
  SPEAKER_01: Um, and it can actually be a little bit preventative too, because when we do Botox, we are causing the muscle to stop moving, right?
• 1:27
  SPEAKER_01: So the lines are created by constant muscle movement.
• 1:31
  SPEAKER_01: And when we do Botox a little bit earlier, it actually prevents those etched-in lines.
• 1:36
  SPEAKER_01: So I think that there's not really a one size fits all on when to start it, but it's never too late.
• 1:42
  SPEAKER_01: And I would say there it can be a little bit too early, like I'm not doing it on my 20-year-old.
• 1:47
  SPEAKER_01: Okay.
• 1:47
  SPEAKER_01: But um I would say once you're in your like 30s and um above, um, I would definitely consider it.
• 1:53
  SPEAKER_00: Because I'm not gonna lie, I thought that, you know, as I was hearing this, that people start saying it, you have to do it earlier.
• 2:00
  SPEAKER_00: And I'm seeing these 30-year-olds on TikTok do it, that it sounded like a scam to me in the sense that to start people so early on it.
• 2:07
  SPEAKER_00: But I do understand what you're saying, that if it's sort of they your lines start to set in, it just seems to me that it seems pretty invasive for something that's preventative.
• 2:17
  SPEAKER_00: But um, let's talk a little bit about the invasive aspect of it.
• 2:21
  SPEAKER_00: It seems with to me that an injection is so scary.
• 2:25
  SPEAKER_01: Yeah.
• 2:25
  SPEAKER_00: Yeah.
• 2:26
  SPEAKER_01: I think it's scary for a lot of people.
• 2:27
  SPEAKER_01: And to be quite honest with you, I have a little bit of needle phobia as well.
• 2:31
  SPEAKER_01: So I'm not the greatest patient, but I do uh find all my injectables to be worth it.
• 2:37
  SPEAKER_01: Um, you know, there's ways to make you comfortable and minimize the pain and bruising and all that, but um, you know, it is a very quick um small poke and it almost feels like a mosquito bite.
• 2:49
  SPEAKER_01: So um, you know, I think again, it depends on your goals.
• 2:53
  SPEAKER_01: Botox is not for everybody, but it is very safe.
• 2:56
  SPEAKER_01: It has been studied for many decades.
• 2:59
  SPEAKER_01: Um, and the doses that we use are not, you know, it's called tox, but it's not toxic.
• 3:05
  SPEAKER_01: And so I think that's really important to know that we have so much data and so many years of studies on Botox to make to make sure that it's very safe for our patients.
• 3:15
  SPEAKER_00: Yeah, I guess I didn't realize that.
• 3:17
  SPEAKER_00: Um, but that does, I mean, it does sound better.
• 3:20
  SPEAKER_00: I I think a lot of people get it that don't admit it.
• 3:25
  SPEAKER_00: Yes.
• 3:26
  SPEAKER_00: Okay, yes.
• 3:27
  SPEAKER_01: Yes, it's one of those things that um, and you know, I I respect everybody's decision on on what they want to gatekeep, but I think you would be surprised at how many of your friends are already getting it.
• 3:38
  SPEAKER_00: Right.
• 3:38
  SPEAKER_00: I'll see a friend and be like, God, she looks amazing.
• 3:41
  SPEAKER_00: She must be getting a lot of sleep.
• 3:42
  SPEAKER_00: What's her secret?
• 3:43
  SPEAKER_00: And what's your secret, right?
• 3:44
  SPEAKER_00: Although I I do think a lot of uh my friends admit it, but I think some of I some of them I'm still questioning.
• 3:50
  SPEAKER_00: Yeah.
• 3:50
  SPEAKER_00: Um, does it hurt?
• 3:53
  SPEAKER_01: Um, I would say it feels like a little mosquito bite.
• 3:55
  SPEAKER_01: So it's it's a quick little um poke.
• 3:58
  SPEAKER_01: And of course, we're doing multiple pokes, but for the most part, it's very comfortable.
• 4:02
  SPEAKER_01: Um, there is ways to make it even more comfortable.
• 4:05
  SPEAKER_01: We have numbing cream, um, I have little like balls that you can squeeze during the procedure, and it's fairly quick.
• 4:12
  SPEAKER_01: I mean, I can get patients usually in and out in about 20 minutes.
• 4:15
  SPEAKER_00: Yeah.
• 4:15
  SPEAKER_00: I mean, you I've seen um a while ago, I haven't seen these recently, but like these Botox parties, and women are sort of going to have a cocktail with their friends at someone's house, and then they're going and sitting down having these injections.
• 4:27
  SPEAKER_00: I haven't been to one of these, but what do you think about that?
• 4:30
  SPEAKER_00: And not just not even interviewing the person who's doing it.
• 4:34
  SPEAKER_00: You you I I love that you you differentiate yourself, it seems.
• 4:38
  SPEAKER_00: You talk a lot about your background as being a um a physician, right?
• 4:43
  SPEAKER_00: And wanting to understand their medical history.
• 4:46
  SPEAKER_00: How important do you think that, you know, is?
• 4:49
  SPEAKER_01: Yeah, I think it's super important.
• 4:51
  SPEAKER_01: And um, you know, taking a thorough medical history is this is a medical procedure at the end of the day.
• 4:58
  SPEAKER_01: You know, I think people tend to downplay it and make it feel like it's no big deal.
• 5:03
  SPEAKER_01: But at the end of the day, there are side effects, there are potential complications and risks to all of the procedures that we do.
• 5:10
  SPEAKER_01: And um, doing a full medical history on a patient is really important before we do this.
• 5:15
  SPEAKER_01: That doesn't mean that we won't do parties.
• 5:17
  SPEAKER_01: I mean, I I do like a book club that I go to, but I ask them all these questions.
• 5:22
  SPEAKER_01: I have them fill out all the forms, and we go through all these potential risks before I do it.
• 5:27
  SPEAKER_00: Okay.
• 5:27
  SPEAKER_00: Talk to me a little bit about the difference between Botox and fillers.
• 5:32
  SPEAKER_00: Sure.
• 5:32
  SPEAKER_00: Okay.
• 5:32
  SPEAKER_00: Yeah.
• 5:33
  SPEAKER_01: So this is because I'm confused.
• 5:35
  SPEAKER_00: Okay.
• 5:35
  SPEAKER_01: This is a very common question.
• 5:37
  SPEAKER_01: Um, so Botox is meant to, what it does is it paralyzes the muscle.
• 5:41
  SPEAKER_01: So we're stopping movement from happening, um, which prevents those lines and wrinkles and all of that and and improves the uh appearance of those.
• 5:51
  SPEAKER_01: Whereas filler is meant to replace volume and it replaces um volume loss as well as helps contour and define.
• 6:00
  SPEAKER_01: Okay.
• 6:00
  SPEAKER_01: So think of it more so like if we are losing volume in our temples and our cheeks, jawline to help kind of define the jawline.
• 6:08
  SPEAKER_01: If we're starting to get um deepened nasiolabial folds or like chin shadowing, it can just help kind of smooth out folds nasalabial folds.
• 6:15
  SPEAKER_01: Oh, yeah.
• 6:16
  SPEAKER_01: The folds are somewhere else.
• 6:18
  SPEAKER_01: Okay.
• 6:18
  SPEAKER_01: Yes.
• 6:19
  SPEAKER_01: Okay, sorry.
• 6:19
  SPEAKER_01: Um, but there are uses for Botox down there too.
• 6:22
  SPEAKER_01: That could be a whole other episode.
• 6:23
  SPEAKER_01: But do you do those?
• 6:24
  SPEAKER_01: I don't.
• 6:25
  SPEAKER_01: You don't, but people but there are people do, yeah.
• 6:27
  SPEAKER_01: And we can actually use it for like overactive bladder um and those kinds of things.
• 6:30
  SPEAKER_00: That's what is like a v rejuvenation?
• 6:32
  SPEAKER_00: Is that what a vaginal regeneration is?
• 6:34
  SPEAKER_01: Um that's a little bit different, yeah.
• 6:36
  SPEAKER_01: All right, go on.
• 6:38
  SPEAKER_01: Another time, another time.
• 6:39
  SPEAKER_01: Another topic, yeah.
• 6:40
  SPEAKER_01: Okay.
• 6:41
  SPEAKER_01: Um, and so filler is great.
• 6:43
  SPEAKER_01: It, you know, whereas Botox lasts most people about three to four months, so it's temporary.
• 6:48
  SPEAKER_01: It does wear off, and you kind of have to maintain that um if that's your goal, is to is to be consistent about it.
• 6:54
  SPEAKER_01: Whereas filler, um, you know, we obviously can do lip filler and things like that as well, and it usually lasts a little bit longer.
• 7:00
  SPEAKER_01: I would say for lips, most people get about six to twelve months.
• 7:03
  SPEAKER_01: And in other spaces like cheeks and um chin and jawline, um, usually 12 to 18 months.
• 7:10
  SPEAKER_00: Okay.
• 7:10
  SPEAKER_00: One of my girls was obsessed for a little while with getting lip filler, and I just kept saying, go use the plumpers.
• 7:17
  SPEAKER_00: Like just, I mean, I I just when is is there it does seem there's a trend away from the lip fillers right now or reducing?
• 7:24
  SPEAKER_00: Is that true or not?
• 7:26
  SPEAKER_01: Um, no, so I think that people are scared about lip filler because they don't want those big duck lips, right?
• 7:31
  SPEAKER_01: And I think that it's really important to find an injector who has the same aesthetic as you.
• 7:37
  SPEAKER_01: Because for me, if somebody is wanting that, that's not really what my goal is.
• 7:42
  SPEAKER_01: And so it might be better to find somebody who wants to do lips like that.
• 7:47
  SPEAKER_01: But for me, I really focus on natural results.
• 7:50
  SPEAKER_01: And most of my patients walk out and nobody looks at them and says, Oh, you got lip filler.
• 7:56
  SPEAKER_01: I mean, of course they're gonna be a little swollen and bruised and all that, but um I think it's really important to kind of figure out what your goals are and not freak out about those like overfilled um duck lips that they're they're not really in right now.
• 8:11
  SPEAKER_00: Right, like the Hailey Bieber look or something.
• 8:14
  SPEAKER_00: So do women come in with pictures?
• 8:18
  SPEAKER_00: They do sometimes, yes.
• 8:19
  SPEAKER_01: And sometimes they'll come in and like say, I really like this picture of lips on your Instagram and I want something like that.
• 8:26
  SPEAKER_01: And I think it's that's I love that because I I can kind of understand what your goals are, but it's also important to understand everybody has different lip anatomy, and so your lips are not gonna look like your friend's lips, but the goal is to make them look hydrated, healthy, and like they were when they were when you were a little bit younger, because as we age, our lips start to evert in, and so we show less of our lips, and that you know, that can be really bothersome for people.
• 8:51
  SPEAKER_00: Right, right.
• 8:51
  SPEAKER_00: I I was just as you were talking about I was thinking we share a um hair stylist, Amanda, and I'm constantly bringing in pictures of these celebrities with these hair, hair color that I want.
• 9:03
  SPEAKER_00: And she's I could just imagine what she's thinking every time I show her.
• 9:06
  SPEAKER_00: Like, this is you are far from this person, but you are trying to get this color, but I still do it.
• 9:11
  SPEAKER_00: Right.
• 9:12
  SPEAKER_00: It's not gonna look like that on you, but we'll we'll do something else.
• 9:15
  SPEAKER_00: Exactly, exactly.
• 9:16
  SPEAKER_00: I could just imagine it happens.
• 9:17
  SPEAKER_00: So, and then have you ever said no to someone and about some procedure?
• 9:24
  SPEAKER_01: Absolutely.
• 9:25
  SPEAKER_01: I think this is um one of the things that I will, you know, kind of die on a hill about is if you're not due for your lip filler, just because it's been a year, I'm not gonna just fill your lips because too much filler looks it just looks fake, right?
• 9:42
  SPEAKER_01: And so that's not what we're really going for.
• 9:44
  SPEAKER_01: We want to age naturally, we want to age gracefully, we want to look our best, not we we don't want to look fake, right?
• 9:51
  SPEAKER_01: So if you're not due for filler, just because it's time to do your filler, I'm not gonna just put syringes in somebody that's not due.
• 9:58
  SPEAKER_01: Similarly, with Botox, I'll have patients who are like, oh, you know, I don't want to do everything today because I want to do it in like a month, but can we just do this today?
• 10:07
  SPEAKER_01: And I really caution people about treating to complete with their Botox because there is a small risk for resistance to Botox.
• 10:15
  SPEAKER_01: And unfortunately, that happens when people kind of piecemeal their treatments.
• 10:21
  SPEAKER_01: Um and they'll come in for, you know, crows' feet one month and then want to do their 11s the next time and their forehead the next time.
• 10:29
  SPEAKER_01: And then everything A, everything's gonna be off schedule, and B, you are putting yourself at risk for resistance.
• 10:34
  SPEAKER_01: And unfortunately, once you're resistant to Botox, you're not you're not ever gonna come back from that.
• 10:39
  SPEAKER_01: Wow.
• 10:41
  SPEAKER_00: So meaning that sometimes just it won't won't work.
• 10:44
  SPEAKER_00: It won't work, yeah.
• 10:45
  SPEAKER_00: And that is because you're not doing it maybe in the right sequencing or the right.
• 10:48
  SPEAKER_01: Well, it's because you're constantly exposing your body to that um toxin, and then your body becomes resistant to it.
• 10:56
  SPEAKER_00: Just like with an antibiotic.
• 10:57
  SPEAKER_00: Exactly.
• 10:58
  SPEAKER_00: Okay, wow.
• 10:59
  SPEAKER_00: I am really learning a lot today.
• 11:01
  SPEAKER_00: What what do you say to well, what do you say to me?
• 11:05
  SPEAKER_00: I'm a very big um topical cream person.
• 11:08
  SPEAKER_00: So I have, I have not, um, I have anxiety, so I wouldn't, I I get really scared about doing anything that would be like um an injection.
• 11:16
  SPEAKER_00: Okay.
• 11:16
  SPEAKER_00: So I go and buy La Mer.
• 11:18
  SPEAKER_00: I'm doing Road Road right now, is like I'm obsessed with and all these.
• 11:22
  SPEAKER_00: What do you think is um, what do you think about that the skincare like topicals versus these types of procedures?
• 11:29
  SPEAKER_00: I mean, and I know that you do procedures, so you're gonna say they're the best.
• 11:33
  SPEAKER_00: Right.
• 11:33
  SPEAKER_01: Well, they're you know, they're the best if if it's the right thing for you.
• 11:37
  SPEAKER_01: You know, I think everybody's different and it really depends on your goals.
• 11:41
  SPEAKER_01: Um, I personally am a big believer in medical-grade skincare, though.
• 11:45
  SPEAKER_01: I started doing that about four or five years ago.
• 11:49
  SPEAKER_01: Um, and I feel like it has changed my skin completely.
• 11:53
  SPEAKER_01: Um, and the reason why it's worth the money is because medical grade skincare works at the cellular level.
• 12:01
  SPEAKER_01: So it's making changes at the cellular level.
• 12:04
  SPEAKER_01: The products that we buy kind of over the counter at Nordstrom or, you know, um uh, you know Sephora.
• 12:11
  SPEAKER_01: Sephora, yeah.
• 12:13
  SPEAKER_01: Um they're they're great products, nothing against them, but they're not they're not changing your skin.
• 12:19
  SPEAKER_01: They're kind of just glazing over and making things look a little bit better, but they're not actually improving your skin quality.
• 12:26
  SPEAKER_01: Um, and so there's a couple of products that I would say everybody should have in their regimen.
• 12:31
  SPEAKER_01: And you don't wait, let me write well, let's write this down.
• 12:33
  SPEAKER_01: Yeah, okay.
• 12:34
  SPEAKER_01: You don't have to get crazy with it.
• 12:35
  SPEAKER_01: You don't need 20 different things, and and really consistency is key with this.
• 12:40
  SPEAKER_01: You want to find a few things and um and and really be consistent with it.
• 12:45
  SPEAKER_01: So the first one is vitamin C, and I think everybody should use that.
• 12:49
  SPEAKER_01: It protects our skin from free radical damage and like all the pollutants and things that we're exposing ourselves to in in in our daily lives.
• 12:57
  SPEAKER_01: Um, retinol, and that is um going to accelerate skin uh cell turnover so that it actually um prevents aging and helps collagen production and and all that.
• 13:09
  SPEAKER_01: Um and then daily SPF um every day, 365 days a year.
• 13:14
  SPEAKER_01: Um, it prevents against UVA and UVB damage.
• 13:18
  SPEAKER_01: Um, and then moisturizer, especially in the winter, because our skin obviously gets dry with the heat on everywhere.
• 13:24
  SPEAKER_01: Right.
• 13:24
  SPEAKER_00: Though those are really good.
• 13:25
  SPEAKER_00: I I try to do all of those.
• 13:28
  SPEAKER_00: Um the vitamin C I take.
• 13:30
  SPEAKER_00: Tell me a little bit about the difference between maybe ingesting some of those, like so collagen.
• 13:36
  SPEAKER_00: I'm also doing this, um, I forgot what it's called, vital proteins.
• 13:40
  SPEAKER_00: Yes.
• 13:40
  SPEAKER_00: Okay, I just had in my coffee this morning.
• 13:42
  SPEAKER_00: What about that?
• 13:42
  SPEAKER_00: Just take it like ingesting it versus putting it on top of your skin.
• 13:46
  SPEAKER_01: Yeah, so I think it's good to take them orally.
• 13:49
  SPEAKER_01: Um, but for the goals of actually improving like right at the cellular level in your skin, um, I don't think they're gonna make as much of a difference.
• 13:59
  SPEAKER_01: And part of it is because they are digested through our gut, right?
• 14:02
  SPEAKER_01: So a lot of that is broken down and it's not going to achieve the same results that we are wanting with our topical and our injectables.
• 14:11
  SPEAKER_00: Yes.
• 14:12
  SPEAKER_00: Okay.
• 14:12
  SPEAKER_00: Do you think that we are getting away from what real 40 and 50 year olds should look like?
• 14:19
  SPEAKER_00: Oh, this is a great question.
• 14:22
  SPEAKER_01: You know, I think as we know more and are exposed to more, I think that we are redefining what a 40 and 50 year old look like, and I don't think that's a bad thing.
• 14:33
  SPEAKER_00: Yeah.
• 14:34
  SPEAKER_01: You know, I think uh someone had put up like a golden girls post uh recently and said that they were like in their 40s, which kind of blows my mind because our our we've done so much better, I think, by taking care of ourselves and we're living longer and um we're having kids later too, you know.
• 14:53
  SPEAKER_01: And so um, you know, my kids are six and four, so actually just turned five, almost turning seven.
• 15:00
  SPEAKER_01: And so, and I'm 44 years old, which is kind of uh, you know, I had them much later in life, and I think that we're living longer and taking better care of ourselves.
• 15:10
  SPEAKER_01: So why not?
• 15:11
  SPEAKER_00: I agree, and I love that answer, just the rede redefining.
• 15:15
  SPEAKER_00: And I also I'm obsessed, um, and I post those a lot of sort of the different um someone at 56, Jennifer Lopez at 56, and then like Ru McClanahan at 56 on the Golden Girls or something.
• 15:28
  SPEAKER_00: Yeah.
• 15:28
  SPEAKER_00: And just what how different it is.
• 15:30
  SPEAKER_00: I mean, certainly we're all wearing our hair very different, I think, than 20, 30 years ago.
• 15:36
  SPEAKER_00: But I think as you said, it's about taking care of yourself.
• 15:38
  SPEAKER_00: So I want to ask, um, since you are a so you you started as an OBGYN.
• 15:44
  SPEAKER_00: Yes.
• 15:44
  SPEAKER_00: Is that right?
• 15:45
  SPEAKER_00: Okay.
• 15:45
  SPEAKER_00: And so let's let's talk a little bit about that um, why you moved into this area.
• 15:52
  SPEAKER_01: Yeah.
• 15:52
  SPEAKER_00: Yeah.
• 15:53
  SPEAKER_01: So um, really good question.
• 15:55
  SPEAKER_01: I I am an OBGYN, a board certified um OBGYN and I still practice.
• 16:01
  SPEAKER_01: Um you know, when I was a resident and in training and all that, one of my favorite parts of, you know, doing a C-section or doing a surgery, I loved all of it, but my favorite part was kind of at the end where you could take a breath and like close their skin.
• 16:16
  SPEAKER_01: And I would always ask if I could do the skin closure and make it look really pretty and and do all the things because I knew that when patients came back and saw us, what they remember and see is not not just how you took care of them, but like how their incision looks, right?
• 16:30
  SPEAKER_01: Is sometimes it was an unwanted C-section, sometimes it was kind of a last resort, and it can be sometimes traumatic for these patients to recover from, but you know, they'll say, My incision looks great, you know.
• 16:43
  SPEAKER_01: And so it just felt really good to like give patients at least that little bit of confidence after.
• 16:48
  SPEAKER_01: Um, and then about eight years ago, I started doing Botox in my practice.
• 16:53
  SPEAKER_01: You know, I was already taking care of women um every day, and this kind of just seemed like a natural transition.
• 16:58
  SPEAKER_01: I love procedures, I love using my hands.
• 17:01
  SPEAKER_01: Um, then took a filler course in um in downtown Chicago and just became really, really excited and interested in it and being able to kind of balance what I do as an OBGYN with this part of it.
• 17:16
  SPEAKER_01: It kind of all just goes together, you know, taking care of the woman as a whole, making sure that she feels confident um in every phase of life.
• 17:24
  SPEAKER_00: Right, that she feels good, that she is healthy, and that she looks good.
• 17:28
  SPEAKER_00: I love that.
• 17:29
  SPEAKER_00: So October is um breast cancer awareness month.
• 17:32
  SPEAKER_00: And given that you are an OBGYN um and focused on females, I'd love to talk a little bit about that.
• 17:39
  SPEAKER_00: Um it's scary to me right now, I read that uh younger women, women under 40, are uh it's on the riast cancer's on the rise.
• 17:50
  SPEAKER_00: Why is that?
• 17:51
  SPEAKER_01: Yeah, I mean, I'm not entirely sure that we know what is causing those earlier um breast cancer diagnoses, but I think it's really important to talk to your doctor, whether it's your primary care or your OBGYN, and go over your family health history, um, risk factors, and um self-breast exams are really important.
• 18:13
  SPEAKER_01: You know, one of my friends always says, check your tatas.
• 18:16
  SPEAKER_01: Like every month you should be doing that on your own.
• 18:19
  SPEAKER_01: And if you feel something, you don't wait until your next annual exam.
• 18:23
  SPEAKER_01: You make an appointment, you get, you know, you get checked, you get screened early if you need to be.
• 18:28
  SPEAKER_01: And I think it's just really um a reminder to all of us to take care of our health.
• 18:33
  SPEAKER_01: And a lot of times that's hard for women because we're taking care of everybody else.
• 18:38
  SPEAKER_00: Definitely.
• 18:39
  SPEAKER_00: I have um on occasion, and I hate to admit this, but had to sort of push my mammogram or do some things, you know, based on a conference or something that was going on um at school, which I don't have to worry about anymore.
• 18:51
  SPEAKER_00: My girls have both left the nest, but that's another story um that I talk about um ad nauseum on the show.
• 18:58
  SPEAKER_00: Um, but I hear you, I think, you know, focusing on yourself a little bit.
• 19:01
  SPEAKER_00: I also know um a lot of women have dense breasts, and I have been called back a couple times and just had that absolute sheer panic and have started to do like another level type deal, not an MRI yet, but ultrasound.
• 19:16
  SPEAKER_00: Yes, an ultrasound.
• 19:17
  SPEAKER_01: Yeah, and I think that that is something that we need to talk about a little bit more and bring awareness to is that it is very common for women to have dense breasts.
• 19:26
  SPEAKER_01: And I certainly understand getting called back for that diagnostic mammogram or breast ultrasound can be so, so scary.
• 19:33
  SPEAKER_01: Um, but I think what I want to make sure that everybody knows is it is very common to have dense breasts, and this is just an added screening tool that we have to just make sure that we're not missing anything.
• 19:46
  SPEAKER_01: And so, yes, it's important to get it done, but also don't panic.
• 19:51
  SPEAKER_00: Yeah.
• 19:52
  SPEAKER_00: I read recently that um Amanda Pete, she had been diagnosed with breast cancer.
• 19:56
  SPEAKER_00: I think it was Amanda Pete.
• 19:58
  SPEAKER_00: Um, and she had said that a symptom that she had not really heard about before, but was one of the reasons that she went to get checked is this her skin texture change.
• 20:07
  SPEAKER_01: Yeah.
• 20:08
  SPEAKER_00: Yeah.
• 20:08
  SPEAKER_00: Interesting to me.
• 20:09
  SPEAKER_01: Yeah.
• 20:10
  SPEAKER_01: Any skin texture change, any new um lumps or bumps, any new pain, um, any discharge that you're having or any dimpling in your breast can and can be a sign that something's not right.
• 20:23
  SPEAKER_00: Okay.
• 20:23
  SPEAKER_01: All right.
• 20:24
  SPEAKER_00: Well, that's good.
• 20:24
  SPEAKER_00: I would love to take a turn and just do like a speed round sort of and get your thoughts on throughout some treatments and trends, and you tell me like what you think about them.
• 20:32
  SPEAKER_00: Okay, worth it, skip it, depends.
• 20:35
  SPEAKER_00: Um, okay.
• 20:36
  SPEAKER_00: Well, we talked about preventative Botox, but um, what do you think at 25?
• 20:40
  SPEAKER_01: You were uh I think that might be a little bit too early.
• 20:43
  SPEAKER_01: I'll do I'll I definitely have some patients who come in for like a lip flip or a lip filler at that age, but I I usually tell them let's just focus on skin health and and overall just taking good care of yourself.
• 20:54
  SPEAKER_01: Um, you know, you don't want to do too much at that age.
• 20:58
  SPEAKER_01: Right.
• 20:58
  SPEAKER_01: Okay.
• 20:59
  SPEAKER_01: Um$300 face cream.
• 21:02
  SPEAKER_01: It depends.
• 21:04
  unknown: Good.
• 21:04
  SPEAKER_01: I'm glad it's like a really good medical grade skincare.
• 21:08
  SPEAKER_01: Um, I do have a couple products that cost, you know, in that 200, 250 range, but those are like they're like the Rolls-Royce of products and they really do make a difference.
• 21:20
  SPEAKER_01: And you're not using, you know, five pumps of it, you're using one pump and it's gonna last you three or four months.
• 21:26
  SPEAKER_01: So I think in certain situations it can be worth it.
• 21:29
  SPEAKER_00: Okay.
• 21:29
  SPEAKER_00: If you have to choose skincare in the morning or skincare at night, and you have to choose one or the other.
• 21:34
  SPEAKER_01: What's uh skincare at night.
• 21:36
  SPEAKER_00: At night.
• 21:37
  SPEAKER_00: Oh, wow, okay.
• 21:38
  SPEAKER_00: Except for your SPF.
• 21:39
  SPEAKER_00: Okay, because I I go to sleep, don't don't judge me.
• 21:44
  SPEAKER_00: I go to sleep with all my makeup on it.
• 21:45
  SPEAKER_00: No, I know, I'm so tired.
• 21:48
  SPEAKER_00: I know.
• 21:49
  SPEAKER_01: Or lay maybe lazy.
• 21:52
  SPEAKER_01: I don't know.
• 21:53
  SPEAKER_01: Okay, see we so promise me that you will start.
• 21:57
  SPEAKER_00: My daughter's getting on me so much about my eyelashes.
• 22:00
  SPEAKER_00: Yeah.
• 22:00
  SPEAKER_00: Because I'm losing eyelashes recently.
• 22:02
  SPEAKER_01: It's really bad for your pores to sleep with your makeup on.
• 22:05
  SPEAKER_01: You gotta wash your face, cleanse it.
• 22:08
  SPEAKER_01: And there's like these um clean skin club towels.
• 22:12
  SPEAKER_01: They're like little towelets.
• 22:14
  SPEAKER_01: They're so great.
• 22:16
  SPEAKER_01: And then um you can just use those, wipe all your makeup off with your cleanser, and then um do your nighttime skincare.
• 22:23
  SPEAKER_00: Yeah, you're like really just like disgusted with me that I said that.
• 22:27
  SPEAKER_01: I'm not disgusted, but I hear it often and it hurts my heart a little.
• 22:32
  SPEAKER_00: Sure.
• 22:32
  SPEAKER_00: I think it's just um the whole idea of the routine.
• 22:35
  SPEAKER_00: I just can't do it at night.
• 22:36
  SPEAKER_00: But I'm gonna I try and sometimes I try, but I I'm gonna try harder.
• 22:39
  SPEAKER_00: Okay.
• 22:40
  SPEAKER_01: You can break it down to like a two-minute routine.
• 22:43
  SPEAKER_01: Yeah.
• 22:43
  SPEAKER_01: You know, cleanse, do your retinol, your vitamin C, and like a moisturizer and be done.
• 22:48
  SPEAKER_01: You know, don't make it complicated.
• 22:50
  SPEAKER_00: Okay.
• 22:50
  SPEAKER_00: All right.
• 22:51
  SPEAKER_00: I'm gonna try it, I'll tell you.
• 22:52
  SPEAKER_00: Collagen supplements.
• 22:54
  SPEAKER_01: I don't think they hurt.
• 22:55
  SPEAKER_01: Um, you know, and I think that they can have a lot of benefits besides just improving your skin.
• 23:00
  SPEAKER_01: So I think they're worth it.
• 23:01
  SPEAKER_00: Okay.
• 23:02
  SPEAKER_00: Uh lip filler.
• 23:03
  SPEAKER_01: I think lip filler is great.
• 23:05
  SPEAKER_00: Okay.
• 23:06
  SPEAKER_00: Lip flip, you mentioned already.
• 23:07
  SPEAKER_00: What's the difference between a lip filler and lip flip?
• 23:09
  SPEAKER_01: Yeah, so lip flip is done with Botox, and it is just a few units right above the top lip line to just show a little bit more lip by relaxing this upper muscle.
• 23:19
  SPEAKER_01: And um, it's great.
• 23:21
  SPEAKER_01: It it looks beautiful, but um, people always complain they can't drink out of straws after they get it done.
• 23:26
  SPEAKER_01: Um, and it only lasts about six to eight weeks, just because we talk a lot, we move that muscle a lot.
• 23:31
  SPEAKER_01: And so I would say the rest of your Botox is gonna last a lot longer than this.
• 23:35
  SPEAKER_01: So it's great to try if if you're scared about lip filler, but I think ultimately you're gonna get better, longer lasting results with lip filler.
• 23:44
  SPEAKER_00: Okay.
• 23:44
  SPEAKER_00: Um Botox for um uh sweating and Botox for also um stress.
• 23:51
  SPEAKER_01: Botox for sweating works great.
• 23:53
  SPEAKER_01: Um, I have a lot of patients that do that, and I think um Botox for like migraines, TMJ, and um we do it in the trap for like um shoulder pain, it works great.
• 24:05
  SPEAKER_01: I think it's totally worth it.
• 24:07
  SPEAKER_01: It's probably one of the favorite, my favorite places to get Botox.
• 24:10
  SPEAKER_00: Okay.
• 24:10
  SPEAKER_00: My TMJ I had when I was in high school and college, and it had gone away, and now I'm 54 and it's back.
• 24:17
  SPEAKER_01: Oh, yeah.
• 24:18
  SPEAKER_01: Yeah, so I always say, you know, make sure that you've had like a recent dental visit and just get everything checked out in your mouth.
• 24:25
  SPEAKER_01: And if everything is fine, we can definitely assess your masseter muscles because sometimes what happens is this muscle is working so hard and it gets high hypertrophied and it actually makes your um jawline look wider.
• 24:38
  SPEAKER_01: Uh and so we can do a little bit of Botox there to relax that muscle, and people find it to be um really a game changer.
• 24:45
  SPEAKER_00: Okay, we're learning so much.
• 24:46
  SPEAKER_00: All right, sculpt draw after 50.
• 24:48
  SPEAKER_00: So I've heard a lot about sculpt draw.
• 24:50
  SPEAKER_01: Yeah, it is it is amazing.
• 24:52
  SPEAKER_01: It is a 401k of your collagen for your face, and um it it is gradual, so you really have to be patient with it.
• 25:01
  SPEAKER_01: It takes about four to six months to see the maximum effects, but then it lasts about two years.
• 25:06
  SPEAKER_01: And it can help with, you know, especially our, you know, everybody's on GLPs now.
• 25:12
  SPEAKER_01: Um, so we're seeing a lot of that um volume loss and collagen loss in our face, and everything's starting to sag and the skin gets really crepey and loose.
• 25:21
  SPEAKER_01: So collagen is great for that, and sculptor works amazing.
• 25:25
  SPEAKER_00: Yeah.
• 25:25
  SPEAKER_00: I I've heard a bunch of times like you have to, as you get older, you have to choose between your face and your body.
• 25:31
  SPEAKER_00: Do you ascribe to that?
• 25:33
  SPEAKER_01: Okay, so I would just say as we age, but I do think that when we lose weight, it is one of the biggest things.
• 25:38
  SPEAKER_01: Like people are so happy with the way their body looks, and then their face has aged 10 years because they've lost all this volume.
• 25:44
  SPEAKER_01: And sometimes like having a little bit of fat in our face looks good, right?
• 25:47
  SPEAKER_01: Right.
• 25:47
  SPEAKER_01: But we don't want fat other places, exactly, but we can't choose.
• 25:51
  SPEAKER_01: I know.
• 25:51
  SPEAKER_01: And so sculpture and a little bit of filler, like as you're on that weight loss journey, can really help replace some of that volume and collagen loss, and that way you're not aging in your face rapidly, like then you're happy with you know everything.
• 26:05
  SPEAKER_00: Right.
• 26:05
  SPEAKER_00: Because you were saying I've I've um I watched a video of yours that talked about the people call osempic face, but it's really just you're losing weight rapidly.
• 26:13
  SPEAKER_00: Yeah, it's not from the GLP, but it's from the results of the GLP.
• 26:17
  SPEAKER_00: Exactly.
• 26:18
  SPEAKER_00: Yeah.
• 26:18
  SPEAKER_00: Okay, that's interesting.
• 26:19
  SPEAKER_00: Okay.
• 26:19
  SPEAKER_00: Microneedling.
• 26:21
  SPEAKER_00: Worth it.
• 26:22
  SPEAKER_00: Okay.
• 26:23
  SPEAKER_01: So I would say everybody should be getting that pen in your head thing, or no?
• 26:28
  SPEAKER_01: Well, on her on your face.
• 26:29
  SPEAKER_01: You can't do it on your hair for like um hair restoration, but most commonly we do it on the face, neck, declete.
• 26:36
  SPEAKER_01: Um, it works so great.
• 26:38
  SPEAKER_01: And it it really boosts your collagen.
• 26:40
  SPEAKER_01: Everybody should really do that.
• 26:41
  SPEAKER_01: Um, I recommend doing a th series of three, and doing that in a series can actually boost your collagen production by 400%.
• 26:48
  SPEAKER_00: Okay.
• 26:49
  SPEAKER_01: So I think what does something like that cost?
• 26:51
  SPEAKER_01: So microneedling session on its own is$400 generally, and um, there's a lot of things that you can add to it, like growth factors, PRP, um, PDRN.
• 27:02
  SPEAKER_01: So sometimes that makes it a little bit more expensive, but it does boost the results and decrease your downtime and and and help a little bit with it.
• 27:09
  SPEAKER_00: And the microneedling, is it is it again injection injection?
• 27:13
  SPEAKER_01: It's a pen, so it's like um it goes kind of glides over your face, but we do numb for that.
• 27:18
  SPEAKER_00: Okay, do you numb your numb the face?
• 27:20
  SPEAKER_00: Oh my god, okay.
• 27:21
  SPEAKER_00: Uh retinol.
• 27:23
  SPEAKER_01: Retinol is worth it.
• 27:24
  SPEAKER_00: Okay.
• 27:24
  SPEAKER_01: Yeah.
• 27:25
  SPEAKER_01: So that is the one of the biggest anti-aging things that we can do um every day.
• 27:30
  SPEAKER_01: And I recommend that for sure at night, and not when you're gonna be in, you know, exposed to sun because you don't want to use retinol and then go out in the sun.
• 27:38
  SPEAKER_00: Okay, yeah, you were saying that was one of like the four top things you would do.
• 27:42
  SPEAKER_00: What how would you do it with um a specific like what a retinol um cream?
• 27:47
  SPEAKER_01: Yes.
• 27:48
  SPEAKER_01: Okay, yeah, yeah.
• 27:48
  SPEAKER_01: So I would do that at night before bedtime with your skincare.
• 27:51
  SPEAKER_00: Um, okay, and then at home red light masks.
• 27:54
  SPEAKER_00: I was at my friend's for the weekend um a couple over the summer, and she I I by I walked by her room and she was wearing this giant mask.
• 28:01
  SPEAKER_00: What do you think about those?
• 28:03
  SPEAKER_01: I love them.
• 28:03
  SPEAKER_01: I think that, you know, they're not gonna replace everything else, but they do help a little bit.
• 28:09
  SPEAKER_01: And I, you know, you want to make sure that you're using a good mask.
• 28:12
  SPEAKER_01: You don't want to just buy one off Amazon, but I think that they are great.
• 28:16
  SPEAKER_01: And I what I love about it is it's 10 minutes for me to do nothing and really focus on, you know, some people like to meditate when they're doing it or just kind of relax.
• 28:27
  SPEAKER_01: And I like it that it gets me off my screens for 10 minutes.
• 28:30
  SPEAKER_00: Okay.
• 28:30
  SPEAKER_00: And what about the taping?
• 28:32
  SPEAKER_00: I was thinking of maybe taping my like my face at night.
• 28:36
  SPEAKER_00: Yeah.
• 28:37
  SPEAKER_00: So I don't have my like wrinkle here.
• 28:39
  SPEAKER_01: You think that would help?
• 28:40
  SPEAKER_01: I don't think so.
• 28:41
  SPEAKER_01: Some scotch tape, you don't think would work?
• 28:46
  SPEAKER_00: So okay, so that's a don't.
• 28:48
  SPEAKER_01: What I would say no.
• 28:49
  SPEAKER_01: Okay.
• 28:50
  SPEAKER_00: What are the don't waste your time?
• 28:51
  SPEAKER_01: What are the other don'ts?
• 28:52
  SPEAKER_01: Like the, yeah.
• 28:54
  SPEAKER_01: Um don't, you know, obviously smoking and things like that can um, you know, uh age you much faster than you should.
• 29:01
  SPEAKER_01: But um, hmm, what else should we not be doing?
• 29:05
  SPEAKER_00: I mean, I think you said don't uh sequence things like just for cost or for how or be based on what you think it should be, like work with someone.
• 29:14
  SPEAKER_01: Yeah.
• 29:14
  SPEAKER_00: Um but yeah, yeah.
• 29:16
  SPEAKER_01: And also don't overdo.
• 29:17
  SPEAKER_01: Don't overdo, but also, you know, don't compare what you are getting to your friends' treatments because everybody has different anatomy and different needs.
• 29:25
  SPEAKER_01: And so it's not gonna be like a one size fits all.
• 29:28
  SPEAKER_01: And um, you know, don't do anything you're not comfortable with.
• 29:32
  SPEAKER_00: Um how about another hot take?
• 29:34
  SPEAKER_00: Don't gatekeep.
• 29:35
  SPEAKER_01: Yeah, tell your friends what you're doing.
• 29:38
  SPEAKER_01: Yeah.
• 29:38
  SPEAKER_01: Okay.
• 29:38
  SPEAKER_01: I'm big on that.
• 29:40
  SPEAKER_01: Yeah, everybody, you know, wants to do their own thing.
• 29:42
  SPEAKER_01: And I I totally respect that.
• 29:43
  SPEAKER_01: Obviously, my patients like, you know, when I ask them if I can post, and they're like, no, I don't want anybody to know that I'm doing this.
• 29:49
  SPEAKER_01: And I totally get that, but um, I'm happy to tell you everything that I've had done.
• 29:54
  SPEAKER_01: It's not a secret.
• 29:55
  SPEAKER_00: So one of my friends, she loves to tell me when I say that she looks good.
• 29:59
  SPEAKER_00: She's like, it's just Vaseline.
• 30:01
  SPEAKER_00: And I'm like, oh, okay, Vaseline.
• 30:03
  SPEAKER_00: Great.
• 30:03
  unknown: All right.
• 30:04
  SPEAKER_00: Well, Dr.
• 30:04
  SPEAKER_00: T, I had so much fun with you today.
• 30:06
  SPEAKER_00: Thanks so much for coming by.
• 30:08
  SPEAKER_00: Thank you for having me.
• 30:09
  SPEAKER_00: Yeah, and we'll have you back because I'm sure there's so much that we didn't talk about.
• 30:13
  SPEAKER_00: And thanks for coming and being on in my hometown.
• 30:17
  SPEAKER_00: Subscribe and let us know what you thought of this episode.