Latest / The Dr. Randi Show / Laser Lift: The Precision Pairing of Laser and Injectables That Delivers — Dr. Mai Kaga

Transcript

Laser Lift: The Precision Pairing of Laser and Injectables That Delivers — Dr. Mai Kaga · The Dr. Randi Show

0:03
The views expressed in this podcast are for informational
0:06
purposes only and do not constitute medical advice.
0:10
This episode of the Doctor Randy Show is proudly sponsored by New
0:14
Beauty, the ultimate authority in beauty and aesthetics.
0:17
Whether you're looking for the latest innovations, expert
0:20
insights, or trusted recommendations, New Beauty is
0:24
your go to source. Visit newbeauty.com to stay
0:27
ahead of the trends and discover what's next in beauty.
0:30
Now let's get into the episode. Hello everyone, and welcome back
0:35
to the Doctor Randy show. I'm your host, Doctor Randy
0:38
Boyette, and we're talking about aesthetics, beauty, and the
0:42
questions people are asking right now.
0:45
She is the force behind a signature approach called laser
0:49
lift. Her work is defined by taste,
0:52
precision, and results that hold up in real life.
0:55
And today she's breaking down what's working and what truly
0:59
matters in aesthetics right now. Please welcome, Doctor May Kaga.
1:05
Thank you. Thank you so much.
1:07
Welcome to the show, Very excited to have you on the show
1:10
today. I have been doing some research,
1:12
watching your social media. It's so impressive and you have
1:16
built a clinic that has grown on results and reputation.
1:21
And when you look at what you've created, if you don't mind me
1:24
jumping right in, what feels the most meaningful to you?
1:27
I think when we get a patient that comes in and holds up the
1:31
mirror after something we've done and they tell us, wow, I
1:35
look and feel like myself again. That is, we've met our goal not
1:41
to make them look like a different version, not to
1:43
necessarily change, but to rewind and just instill what
1:46
they recognize in themselves as beautiful.
1:49
That's probably the most fulfilling outcome that I could
1:52
ever hope for, and that's what we built our entire brand
1:55
around. Amazing.
1:57
I mean, you can tell that your passion comes through when
2:00
you're talking about your patience.
2:02
So when people talk about your work, I notice that they often
2:07
mention how natural and cohesive the results look.
2:11
What are you paying attention to that you really think helps you
2:15
get outcomes like that? I think what it really comes
2:19
down to is instead of that cookie cutter, almost trendy
2:22
thing that we see where we're measuring what a cheekbone
2:25
should be or we're measuring the exact profile that's ideal.
2:30
Instead of that, I really sit my patients down and I first and
2:33
foremost ask them, what is it that you'd like to see?
2:37
And a lot of times it's something as simple as I just
2:39
feel like I'm getting old. Oftentimes it's not that they
2:43
want to change, but it's more that they just want to feel more
2:46
like themselves. Whether it's a mom who just had
2:48
a couple of kids or, you know, a guy who's freshly divorced and
2:52
wants to get back out there. There's lots of different
2:55
reasons that people sit down and say this is the time I'm going
2:57
to come and spend some money on myself.
3:00
I think what we really look for is keeping people in tune with
3:04
looking like themselves. So we don't have patients really
3:07
bring us inspo photos, but we do have patients show us their
3:10
wedding photos and they show us their high school photos.
3:13
And retaining that value of their own inner beauty and then
3:17
enhancing it and putting the icing on the cake is really what
3:20
I look for with every patient. I think that's groundbreaking.
3:24
It's funny that you say that because when I look at my
3:26
pictures from college or they flash up on our social media,
3:30
you know, you're like, oh, remember when my chin used to
3:33
look like that or whatnot? And that's really what we want
3:35
to restore. You're not looking for a new
3:37
chin. We're looking for that old chin
3:39
that we used to have, right? I think that's a great point.
3:42
And oftentimes, we really don't draw a line for our patients
3:45
when it comes to restoration versus augmentation, meaning,
3:49
let's say you do want to change that chin.
3:51
There's no judgement. But oftentimes when we start at
3:54
the point of restoration, it instills that confidence in the
3:57
patient that, yeah, my features are beautiful.
3:59
I don't need to necessarily change everything.
4:02
Maybe I just start by feeling more like myself.
4:04
And that confidence, it trickles down.
4:06
It trickles into word of mouth. It trickles into our branding
4:09
and our social media. And it's just one more positive
4:12
out there in the field of aesthetics at the end of the
4:14
day. So it's something I'm very proud
4:15
of. Well, something that I know that
4:18
you're involved in, that you have really spearheaded is laser
4:22
lift. And this is your technique.
4:26
Your clinic is known for the laser lift approach and I think
4:31
that our audience would love to hear about it.
4:33
I was really fascinated talking to you about it last week at a
4:37
high level. Tell us what is laser lift and
4:42
why did you feel that it was important to kind of create this
4:45
new technique? I often counsel my patients that
4:48
even if you get the best facelift or you have an
4:51
unlimited filler and Botox budget, if you are not making
4:55
your skin look youthful, you are not going to look youthful.
4:58
So implementing lasers into a very popular regimen of Botox
5:02
and fillers has given us that cherry on the top outcome that
5:06
we just couldn't achieve before this kind of partnership.
5:10
So we often will recommend a once a year heavy duty
5:13
resurfacing laser just to give your skin that youthful quality
5:17
back, makes everything look bouncy and young again.
5:20
And then we use filler to supplement to kind of recontour
5:23
and shape the face. And with those two kind of marry
5:26
together, we've reached some really gorgeous outcomes.
5:30
Exceptional and I've seen the before and afters, so it
5:33
definitely works. And when you are planning a
5:38
laser lift, how do you decide what to address first?
5:43
Skin quality, contour, overall balance?
5:46
How do you make that decision? We often times will just leave
5:48
it up to the patient's social schedule.
5:50
Anytime we're going to do any resurfacing, there's going to be
5:53
a little bit of downtime. It's typically about five to
5:55
seven days. So we usually tell our patients
5:58
if we can let that laser do the heavy lifting, do that laser
6:02
first. Sometimes you can't necessarily
6:04
find 5 to 7 days so fast. So then we'll do the filler
6:08
first. So we oftentimes will just leave
6:09
it up to the flexibility of a patient's social schedule.
6:13
And I have an important question, and I get asked this
6:15
question a lot. And sometimes, you know, I feel
6:17
like the answer changes sometimes.
6:19
How important is the sequencing when you're combining lasers and
6:24
injectables? And I've heard kind of the gamut
6:27
of answers on this, right? How does that affect the final
6:29
results? Some people say you have to wait
6:32
in between that kind of thing. So I'm curious your take on
6:35
this. I will always say your
6:38
youthfulness of your skin is the foundation of how young you
6:41
look. So when we can do lasers first,
6:44
I will always promote that as the slightly better path.
6:48
But as long as you have a provider, a doctor, an injector,
6:51
whoever it is that is working on you that is retaining in their
6:54
mind that the laser is going to do some of this work, we can do
6:57
filler first, right? But we have to be more
6:59
conservative in our approach. We're not trying to fix
7:01
everything with filler because we know that laser is going to
7:04
come in and address some skin laxity.
7:06
We know that laser is going to come in and address some global
7:08
wrinkles. So as long as we know we're
7:10
going to be more conservative because the laser is going to
7:13
help us, we have great outcomes in either direction.
7:16
But we do need to keep that at the forefront of the plan if we
7:19
reverse the direction. So if you have some filler in
7:22
there and then you use a laser, it's not going to disintegrate
7:25
the filler. Absolutely not.
7:26
So a lot of this has to do with the laser physics of your
7:29
settings. It has to do with the device
7:30
you're choosing. So most of it, it's going to be
7:33
iatrogenic, right? It's up to us to make sure that
7:36
we're doing a safe and good treatment.
7:38
So when we have a patient come in and they have filler already,
7:41
that filler should be safe, but that's in the hands of your
7:43
provider. Got it.
7:45
They have to understand where the filler is and then where to
7:48
go from there. That's perfect advice for our
7:50
audience. And that's a question that a lot
7:52
of people talk about, right? Like I just had filler.
7:54
Is it OK to get laser? You said that this approach
7:59
works across a wide range of ages.
8:02
What allows laser lift to be customized so effectively from
8:07
patient to patient? So sometimes we get 18 year
8:10
olds, 20 year olds that come in and they have acne scarring.
8:14
And if anyone has dealt with acne in the past, it's one of
8:17
the most traumatizing skin conditions or journeys you can
8:20
go on. Because even after your acne has
8:23
hopefully cleared, you're left with a lot of marks.
8:26
And it is not so easy to cover up with makeup.
8:28
And a lot of people, they want to go makeup for you.
8:30
We're in an era of clean girl makeup.
8:32
So when we can resurface that skin in a 20 year old, we're
8:36
really doing a huge, huge boost to that patient's comp evidence.
8:40
And when it comes to our younger patients, we're not necessarily
8:42
restoring volume, but that's really where balancing our
8:46
features is much more popular, such as building a jawline or
8:49
giving a chin or recontouring the lift of a cheek.
8:52
And then in our older patients, our oldest patient for our laser
8:55
lift just turned 80 and her results were phenomenal.
8:58
We resurfaced her skin more for wrinkling and sun damage and
9:02
aging reasons. And then her filler was used for
9:04
volume restoration. So really, across all of those
9:07
decades, there's a good, good reason to be doing these
9:10
treatments for most patients. Well, I think telling us about
9:14
laser lift is phenomenal. I think that our listeners will
9:18
want to know more. So thank you for sharing that
9:20
with us. I'd love to dive in a little bit
9:23
more about what your patients are asking for.
9:26
What are the most requested treatments right now?
9:28
What are patients seeking the most?
9:31
I would say a lot of it has to do now with this makeup free
9:33
revolution. So by far our most common
9:36
request is how to how to treat past sun damage.
9:39
So we have a BBL laser, which stands for broadband light.
9:43
It's very popular. It's a, it's a version of IPL,
9:46
which is a broader umbrella, but it will essentially treat all of
9:49
that pigmentation and sun damage that a lot of us built up from
9:52
tanning beds or just going on vacation or soccer games with
9:55
our kids. But I would say sun damage is
9:57
probably a very far reaching issue.
10:00
You're right, everybody wants that perfect skin without having
10:03
to wear a lot of makeup. And which treatments are
10:05
delivering, would you say, the quickest, most noticeable
10:09
results for patients right now? And why do you think those are
10:12
resonating so strongly? You know, I would say
10:15
injectables will always be that very quick satisfaction.
10:19
You get your Botox done. And Botox itself has come such a
10:22
long way now. We see it kick in the very next
10:25
day with a lot of new toxins that are out now, filler itself.
10:29
As far as dermal fillers, our patients hold the mirror that
10:31
day. The changes there, it's instant
10:33
gratification. So I would say injectables are
10:36
really that tried and true bread and butter of most practices.
10:39
That's the best feeling. There's nothing better when
10:42
after I get mine done and I'm in the car on the way home, I'm
10:46
staring at myself in the mirror and you're just like, wow, look
10:49
at that. That wrinkle is gone and
10:51
everything is all nice and plump and firm.
10:53
It's the best feeling. You're right.
10:55
It's instant gratification. Are there any treatments that
10:59
patients don't really ask for by name, but once they experience
11:03
them, you know treatments outside of injectables, right,
11:07
that become repeat favorites for them?
11:10
I would say resurfacing lasers are something that people don't
11:13
necessarily know that they need to ask for.
11:16
And that's probably one of the most fulfilling as far as
11:19
patient outcomes and their kind of gratitude and thankfulness
11:23
when they see the results. Because resurfacing is kind of a
11:25
scary topic. If you think about those classic
11:28
CO2 lasers and on our favorite shows, people are really wrecked
11:32
for like weeks at a time. That's kind of the old
11:35
resurfacing laser. But technology has come such a
11:37
long way. We can tell you 5 days of
11:39
downtime and we're giving you fresh new skin for a year.
11:42
So I would say resurfacing is one of the most highly
11:45
recommended things by me that patients don't ask.
11:47
For that's funny because the first time I had ACO 2, I didn't
11:51
even ask for it. And I think that people are
11:53
often confused about CO2 and what it does and who it's for.
11:56
So I think when it comes from the clinician that it really
12:01
makes the difference and we're like, oh, you can make me look
12:03
younger with that. It's not just going to take out
12:05
acne scarring and whatnot. I think it's a huge
12:08
differentiator when you're recommending it.
12:10
Also, what treatments are patients choosing specifically
12:15
because they fit into real life? What's minimal downtime, quick
12:20
recovery, but still having a meaningful result?
12:23
I think Botox really fits that category probably most
12:26
immensely. Botox is one of those things
12:28
that even our celebrities that deny doing everything, we'll
12:31
admit they've done Botox. It's very socially acceptable.
12:34
Now patients get younger and younger when they're using Botox
12:37
for that preventative baby Botox look, masseter Botox is very
12:41
popular for just TMJ issues. So I think Botox is something
12:45
that has a lot of far reach. When we have our new brides,
12:49
even in their 20s, they'll do underarm Botox just to stop
12:52
sweating. We have our soft ball players,
12:54
they do hand Botox, so it has so much utility behind that.
12:58
Classic old wrinkles for the forehead.
13:00
Botox for everything. Let's talk about filler for a
13:05
minute and the dissolving of filler.
13:08
That's been a hot conversation that I'm seeing.
13:11
People are talking about. They're talking about it on
13:13
social media. Dissolving filler used to feel
13:16
kind of like a last resort. But lately I'm seeing, you know,
13:22
more clinicians talk about this also that it's become kind of a
13:25
smart first step in certain cases instead of adding more.
13:29
And what are your thoughts on that?
13:31
I would say for. My new patients, I dissolve
13:34
probably once a day, if not more.
13:38
So I think dissolving has become something that's less scary.
13:41
I think when somebody comes in and I say, hey, that's not quite
13:44
the right density for that feature or very oftentimes we'll
13:47
get new patients and they'll say, well, I got filler, but I
13:49
feel more swollen. I didn't get the contour I was
13:52
looking for. And I'll kind of explain why
13:54
that happened. There's several factors that go
13:56
into making filler look impeccable, making it look
13:59
natural, giving you a lift or a contour or sculpt, and it's not
14:03
just the right provider. I would say that's probably the
14:06
biggest factor, just anatomically placing that
14:09
filler. But there's also good filler and
14:11
bad filler out there. So I would say my patients that
14:14
embrace dissolving, I sometimes have to do a hard line and say I
14:17
will not be doing a treatment unless we dissolve.
14:20
Thankfully, my reputation is at the point where people come to
14:22
me for that natural outcome, so they kind of know they're going
14:25
to dissolve going in, but it's not scary.
14:27
It takes 20 seconds. You get to do your filler a week
14:30
later that's really just a part of the plan instead of something
14:34
scary that's an obstacle. And then?
14:36
In your clinic, at what point do the non surgical options
14:43
stopping the right answer and how do you know it's time to say
14:47
you might want to consider surgery.
14:50
I think it's. Really part of our
14:51
responsibility as the provider to be very upfront if we see
14:55
something that is out of the realm of us giving you a happy
14:58
experience. So if I see somebody come in and
15:00
I say, hey, I really think your best option is surgery.
15:03
And here's some great referrals of surgeons I love in the area.
15:06
It then becomes meeting the patient where they're at.
15:09
So often times if a patient is coming to me, somebody who's
15:12
known for non surgical intervention, they've thought
15:14
about that surgery and it's not for them.
15:17
And oftentimes that's not a financial decision, that's a
15:20
social decision. They don't want the surgery,
15:22
they don't want unnecessary anesthesia or just really a
15:25
surgery that they could do without as far as risks versus
15:28
benefits. So oftentimes when a patient is
15:31
coming to me, they've already made that decision, but I would
15:33
really put that under my responsibility to have that
15:36
discussion to point out the things that surgery might be the
15:39
better option. Oftentimes that's the eye area
15:41
of concern. And I say, listen, a blef is
15:43
really the gold standard here, but you tell me where you're at
15:46
and I'll give you the best advice based on what you'd like
15:49
to do. That's also the most impactful,
15:51
I think, surgery of all on the face.
15:54
When people have their eyes done, it's almost unbelievable
15:57
to see like how, you know, they're different, the way they
15:59
look immediately. It's such an impact.
16:02
And I think a lot of people try to do all kinds of things to
16:05
circumvent that, but there's nothing that can replace that
16:08
surgery. One other question, as patients
16:11
become more mindful of spending and their budgets, what
16:16
treatment do you find have the best return on investment with
16:21
visible results? This has become a hot topic,
16:24
right? Because everybody wants to know
16:26
that they can have an aesthetic treatment within their reach,
16:30
but when they don't have unlimited resources, what do you
16:32
recommend I would say. If you're looking at the payoff,
16:36
1 syringe of fillers the size of a blueberry, 5 syringes of
16:39
filler is a packet of ketchup. So if you're looking for a full
16:42
face rejuvenation, you're in the thousands of dollars, we can
16:46
resurface your face for about 1/4 of that price.
16:49
So I will always tell my patients, lasers is such an
16:52
investment. It's going to treat past damage.
16:55
It's going to prevent future damage.
16:57
So I'm a big, big proponent of laser for skin health.
17:00
You're right. Filler is an investment.
17:02
It's a lot and it's a lot of upkeep.
17:04
It doesn't make a difference for someone who wants to maintain
17:08
results without overdoing it, and you have that niche of
17:13
getting that natural result and you've done great with it.
17:17
How often do you typically recommend that patients come in
17:22
over the course of a year to maintain the natural look?
17:25
I would say our. Minimum and a lot of patients
17:27
they fly to us for just this once a year visit is once a
17:30
year. Your laser, your heavy duty
17:32
lifting laser, that's a once a year treatment.
17:35
Your filler should definitely be lasting you a year.
17:38
So once a year is really that spot that we don't want you to
17:41
miss that appointment, but we have some great maintenance
17:43
things that we can do in between a little bit of Botox.
17:46
Unfortunately, that only lasts about three to four months.
17:49
Things like little resurfacing lasers or little touch ups with
17:52
the BBL after an Aruba vacation or a couple of soccer games with
17:55
your kids. So the maintenance should always
17:58
be extra, but that foundation is usually about once a year.
18:02
What? Role do you think skin
18:04
rejuvenation treatments like peels and facials, how does that
18:09
play into your clinic today and who are they best for?
18:13
I think when it. Comes to predictability,
18:15
reliability, laser physics will always hold a higher standard
18:19
for me than chemical peels. We'll never be able to predict
18:23
exactly where that peel is going, the depth of the dermis.
18:26
But when it comes to the lasers, the physics is phenomenal.
18:29
The technology and how far we've come is just irrefutable.
18:32
So we have a closet full of peels, but if you've looked at
18:35
my social media, we never recommend them.
18:37
So I will always pick rejuvenating with a laser over
18:40
appeal for most of my patients. And I do, I have seen that trend
18:44
that the peels are kind of going the wayside right now.
18:47
It was very hot a few years back, yeah.
18:50
And a lot of times for that significant downtime of a good
18:52
peel, we can resurface your whole face with less downtime.
18:56
So I think you just can't combat where technology is going when
18:59
it comes to lasers. Absolutely.
19:02
You also offer, just to switch gears for a minute, concierge
19:06
Wellness services like IV therapy NAD how do these
19:12
treatments support your aesthetic practice and aesthetic
19:17
results in which patients tend to benefit the most from them
19:21
sometimes? It's just a matter of making
19:24
sure our patients feel very happy with when they come in.
19:27
So we love to have an atmosphere where patients leave and they're
19:29
like, wow, I feel like I just got a break from life.
19:32
And sometimes an IV helps with that, or AB12 vitamin shot or a
19:36
little bit of NAD. So adding supplements that give
19:39
you that instant feel good factor, whether it be hydration
19:43
or a little energy boost, I think it goes very well hand in
19:45
hand with any aesthetic practice with the.
19:48
Rise of weight loss medications because that really has impacted
19:52
our entire industry, right? What body contouring treatments
19:56
are you finding most effective for addressing the changes that
20:00
patients are seeing and what do you think with those treatments?
20:04
What makes the biggest difference?
20:06
I think it. Lends to maybe a larger issue or
20:09
question as far as rapid weight loss and whether we allow it to
20:12
happen because a lot of these issues are not necessarily tied
20:16
to a GLP one. They're tying to a broader issue
20:20
of rapid weight loss. If we cut calories doing, you
20:24
know, going keto or vegan or Mediterranean diet, anytime we
20:27
have rapid weight loss, we are going to come towards all these
20:31
things that we now call Ozempic face or very specific issues
20:34
tied to GLP ones. If we focus on the broader issue
20:37
of slowing everything down and doing it in a healthy way, we
20:41
really don't run into those issues at our practice.
20:43
And we offer lots of compounded versions of GLP ones to help our
20:46
patients reach their goal weights.
20:48
But we don't have Ozempic base in our office.
20:50
We don't really have any of these rampant issues and it's
20:53
because we really choose to do things in a very healthy,
20:56
correct way. So we don't do, you know, rapid
20:59
weight loss here. And if you eliminate rapid
21:02
weight loss, you really eliminate a lot of the issues
21:04
that are tied to what we call Ozempic face and things like
21:07
that. So you're.
21:08
Not seeing like the skin laxity or in people needing skin
21:12
tightening on their body as much we don't.
21:14
Because that really is with any rapid weight loss.
21:16
For example, you know, we saw people doing gastric bypass and
21:20
sleeves and we have the same issues we're encountering now
21:23
from these GLP one shots. But these issues are not new.
21:26
They've always been around with rapid weight loss.
21:28
We've just kind of made them more prevalent because GLP ones
21:31
are so much more accessible than a gastric sleeve stage.
21:35
I think you're right that the slow and steady pace of the
21:38
weight loss really impacts the aesthetic component of what's
21:43
going on with the GLP ones, right?
21:46
Sure. I think that's great advice for
21:48
our audience on a couple of last hot topics.
21:52
Celebrity faces shape a lot of expectations right now, right?
21:57
How do you think those images help or hurt the way the
22:01
patients understand what's realistic in aesthetics?
22:05
I think that there's always going to be a responsibility to
22:08
anybody that's in the public eye, including us just on social
22:11
media. But it's we make a point once a
22:14
week to comment on something having to do with pop culture
22:17
and celebrities because I think it really furthers your stance
22:22
on what you stand for. So when we comment on a patient
22:25
that's gone the wrong direction and has end up looking nothing
22:28
like themselves, is that the responsibility of the patient or
22:31
does that fall on us as the provider for letting it happen?
22:35
So we love to educate our patients and kind of take a very
22:38
strong stand that this is our fault.
22:40
This is the community of aesthetics that has allowed this
22:43
to happen. But it's never too late to turn
22:45
that back. And we've actually gotten a huge
22:47
following just from that stance alone of patients that are like,
22:50
wow, I love that somebody out there that recognizes that this
22:54
went in the wrong way and you're helping everything go back in
22:56
the right way. So that's one of our favorite
22:58
topics to talk about. I think that's a wonderful
23:02
answer for people to hear and a great topic to talk about.
23:06
And I think another hot topic that I wanted to ask you about
23:10
because you are into the natural results and you also have so
23:14
many different modalities at your clinic.
23:16
If someone is looking for an instant glow up, right, they
23:20
have an event coming up, whether it's a wedding reunion and
23:24
they're only a couple weeks out. What treatments do you recommend
23:28
in this case? Because this is very hot right
23:30
now on social media for people to talk about that.
23:32
I will. Always go with the BBL clear
23:34
silk. It gives you this instant
23:36
healthy glow. No downtime.
23:39
Our brides always do this the week of their wedding.
23:41
We have something called our red carpet laser facial which
23:44
includes those things. It just kind of tempers down.
23:47
Redness, inflammation, makes that skin feel vibrant again
23:50
same day. It's just a great treatment.
23:53
I'll do it almost every month, but especially if I have an
23:55
event coming up. Oh wow.
23:57
And is that something that lasts or it has to be, you know, you
24:01
have to come and has. Cumulative events.
24:03
So I would say once you're happy with your skin, you could easily
24:06
maintain it by doing it three times a year, for example.
24:09
But it also has this great impulse where you do it and the
24:12
next day you're like, oh, I'm glowing.
24:14
It's just that glass skin that everybody strives for.
24:16
I want to try. That now.
24:19
So Doctor, I would like to just ask you as you look ahead at
24:24
where aesthetics is headed as we start to wrap things up, what is
24:28
one thing that you think is on the horizon or maybe even two
24:32
things for aesthetics that generally excites you?
24:34
Where do you see the future of aesthetics going?
24:37
I would say. The more and more that we see
24:39
celebrities maintaining their own beauty and their own unique
24:42
features, the rest of the population tends to follow.
24:45
So I love this changing trend that more is not more,
24:49
maintaining your own features. Not everybody looking the same.
24:52
So I love that change. I love having contributed to
24:55
that change, and I plan to keep propelling it.
24:58
Love that, love it. Thank you for joining us today
25:02
and if you don't mind, we'd love to take you into our speed round
25:05
if you have a few more minutes. Absolutely.
25:07
OK as. An expert in our industry, we'd
25:10
love to ask your opinion on several different topics and
25:14
kind of in a rapid fire way. Is that OK with you?
25:16
Sure. All right, let's kick it off.
25:19
Preventative Botox. Yes or no?
25:21
Yes. Very full.
25:23
Lips still in or fading out very much.
25:27
So out bio. Stimulators over traditional HA
25:31
fillers? Yes or no?
25:33
That's like a hard It depends on the patient.
25:36
I can't give a. Yes or no for?
25:37
That that's a great area for me. Exosomes ready for prime time or
25:42
still too early I would say. Exosomes have some good results
25:46
that I've seen. PRP still worth offering or past
25:50
its peak? Always worth offering RF.
25:53
Micro needling still a must have or starting to feel dated it's.
25:58
Falling to #5 on my list of must haves.
26:01
Ultrasound skin tightening, real results or inconsistent
26:05
outcomes? Definitely inconsistent for the
26:08
moment body. Contouring devices still
26:12
effective or clearly declining? Definitely.
26:15
Declining muscle. Building body devices.
26:18
Real results are mostly marketing I think we see.
26:21
Great results. Anytime you're going to tone a
26:23
muscle, that muscle's going to tone.
26:24
So if it works, it works. But we do often counsel
26:27
patients. You got to get rid of the fat
26:29
first if you want to see the muscle come out.
26:31
What do they? Say A6 pack is made in the
26:33
kitchen right not in the gym yeah you got to you got to
26:36
uncover it retinol non negotiable or overrated non
26:40
negotiable vitamin C in skin care daily essential or
26:45
overhyped I like. Antioxidants, but vitamin C is
26:48
not my favorite one. Do you think it's too much of an
26:51
active? I think that it.
26:52
Often irritates a lot of people, especially my young clientele
26:56
will break out very easily with vitamin CS, but the good news is
26:59
we have a whole range of great antioxidants that do the same
27:01
job without that downside growth.
27:04
Factors in skin care real impact or mostly buzz I've seen?
27:08
Some great impact with hair serums to be specific.
27:11
Medical. Grade skin care truly different
27:13
or just better marketing? Truly different.
27:17
Skin. Tightening without surgery,
27:19
realistic expectations or oversold a bit.
27:23
I think it's a. Conversation to be had with
27:24
every patient individually. We see some great results with
27:27
our lasers, but at some point you have to know when to refer
27:30
that patient out. Is there an age range that you
27:33
see where it becomes more common to have that surgery
27:37
conversation like the facelift conversation I think at?
27:40
This point, it really is such a personal thing whether people
27:43
are open to surgery or not. I have not seen it related to
27:47
age to be honest. It's more just based on the
27:49
person's lifestyle and what they're open to mentally micro.
27:53
Dosing GLP ones, do you think it's for almost everyone?
27:57
Good trend, bad trend? What do you think?
27:59
I think it's a. Good trend.
28:00
I think anytime we can lend some health and value, whether it be
28:04
lowering someone's cholesterol, increasing their value of life,
28:07
giving them more activity, as long as things are done
28:10
correctly and we pay attention to what we're doing and we keep
28:13
that oath of do no harm, we have some great tools in our arsenal.
28:17
Peptides. In skin care, in or out right
28:20
now? In injecting trends driven by
28:23
social media. Helpful or harmful?
28:26
Always harmful. Almost always harmful.
28:29
Yes, here through filler. Still part of your toolkit, or
28:34
rarely recommended right now a big.
28:37
Decline. I would say a non.
28:39
Surgical jawline contouring effective or overrated?
28:43
Absolutely. Effective filler for.
28:46
Hollowing in the temples. Smart correction or unnecessary
28:50
risk? Super.
28:51
Smart correction does wonders for people that need it,
28:54
definitely. Something that people don't
28:56
notice until they have it filled in falls under.
28:59
The category of not knowing to ask for a neck.
29:01
Tightening without surgery. Effective or overrated?
29:05
Yeah, we see. Great results with Halo.
29:06
Works very nicely Chin. Dimpling treated with
29:09
neurotoxin. Effective or unnecessary?
29:12
Love it. Masks that.
29:14
Are slimming, you mentioned that before and that's kind of a hot
29:17
topic that people are talking about.
29:19
Do you find it effective or overdone?
29:21
I. Think it's most important to
29:23
counsel that if we take away bulk here, we might add some
29:26
contour here. So again, everything is that
29:28
forefront of consultation to make sure that it's fitting what
29:32
your patient is looking for. Neurotoxin for visible neck
29:37
bands. Effective or not, I would say
29:40
it. Depends what your outcome is.
29:41
If you really just want to get to that neck band on zoom you
29:44
don't like the way it looks, yes we can get rid of it.
29:46
But does it give you that trendy Nefertiti lift?
29:48
Not really lower. Face lifting with devices
29:52
instead of surgery. Can you see meaningful
29:55
improvement or limited results? We see.
29:58
Great. Improvements in jowls when it
30:00
comes to doing resurfacing laser.
30:01
So I think there's definitely space for that.
30:04
Well, that. Is our speed round and thank you
30:06
for being such an amazing guest and thank you for spending time
30:10
with us today. Are there any topics or anything
30:12
else that you'd like to talk to the audience about?
30:14
No, you've done. Such a wonderful job.
30:16
Thank you for having me. Thank you for.
30:18
Joining us, we'd love to hear how you're doing and anything
30:21
that's new and hot coming up. So I'm sure we'll stay in touch.
30:24
And to our viewers and listeners, thank you for
30:26
spending time with us today. We'll be back next week on the
30:29
Doctor Randy Show. Doctor Randy.
30:32
Boyett holds a PhD and is a recognized leader in the
30:35
aesthetics and medical industry. She is not a licensed medical
30:38
doctor. All commentary and product
30:41
recommendations are based on industry expertise and are
30:44
provided for informational purposes only.