Fall/Winter Skin Treatments | Episode 16

This week on Fill Me In, Jon and Nicole dive into repairing the skin damage done by those long days in the summer sun, and what treatments are best for the fall and winter seasons. 

On Fill Me In: An Aesthetics Podcast, Jon LeSuer NP-C and Nicole Bauer FNP-BC dive deep in the world of aesthetics. As aesthetic nurse practitioners with their own medical practices, Jon and Nicole fill you in on everything in their field.

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https://toxandpout.com/


Jonathan LeSuer, MSN, NP-C 

Jonathan LeSuer graduated from Le Moyne College with his Bachelor’s in Nursing in 2014 and a Family Nurse Practitioner degree in 2017. He began his career at St. Joseph’s Hospital as a Registered Nurse on a cardiac medical-surgical unit. He transitioned to the Nurse Practitioner role in 2017, working for Hospitalist Medicine, where he became the coordinator for the team’s Physician Assistants and Nurse Practitioners. In 2020, he started his career as an Aesthetic injector and quickly found out that this was his passion. On March 15th, 2022, he opened Tox & Pout Aesthetics. He is now a Master trained injector & National trainer for Allergan Aesthetics, offering Botox, Dysport, Hyaluronic acid fillers, Kybella, SkinViVe skin booster, and Sculptra. Jonathan is known for his empathy, profound bedside manner, and outgoing/warm personality. He has a deep love for aesthetics, and his patients’ confidence is his main priority. 


Nicole Bauer, MSN, APRN, FNP-BC. 
Family Nurse Practitioner 

Nicole graduated with her Associates in Applied Sciences and began her journey as a registered nurse 10 years ago in 2014. She worked hard to combine her love for beauty with her passion for caring and healing others, attending aesthetics school while working as a hospital night nurse. After graduating as a licensed aesthetician, Nicole left the hospital where she had been for 3.5 years and began working as a registered nurse for a plastic surgeon. An experience of over 6 years that would leave her with so much knowledge and respect for the aesthetic world. It was during those 6 years that she pursued her Master’s Degree and obtained her license as a Family Nurse Practitioner, leading the way for where she is now; owning a state of the art medical aesthetic practice and being a national Allergan Trainer. Nicole takes pride in treating her patients holistically, focusing on facial balancing and enhancing one’s natural beauty. She believes education stands as the cornerstone of aesthetics and is why she is dedicated to both training others while always focusing on expanding her own knowledge as well.  


Producer of Fill Me In: Joseph Ginexi

Transcript

  All right, welcome back guys to the filming and podcast where we dive deep into the world of aesthetics. I am Injector John and I'm Aesthetic Nurse Nicole. And thanks for joining us today. I would say this evening because we're filming this evening, but yeah, so we talked about last episode a lot about.

like skin treatments, right?  Yeah. So  I, we were going to kind of step into, because, because it's fall winter time, a lot of people do their more advanced skin treatments this time of year. Um, just because a lot of people don't like being in the sun, um, when they're getting their microneedling skin, reciprocating lasers, things like that.

Um, so we were going to kind of discuss like skin treatments to, um, consider this time of year to really kind of repair the sun damage that happened over, um, the summertime. So, um, Nicole, you just got the, is it the Cyton laser? Yes. Yes. So we just got the Cyton Moxie BBL. We are loving it. Absolutely loving it.

But yeah, it's a, it's a perfect time of year. You know, we really want to make sure that you protect your skin and you don't have a suntan and things like that. So this is definitely the time that everyone prefers to do these treatments. A hundred percent. And your Cyton laser, right? It's a BBL Moxie. So it's BBL, right?

Broadband light. Is that what it stands for? And that targets hyperpigmentation, sun damage, the brown spots. And then your moxie is treating basically, it's like a skin resurfacing treatment, right? Exactly. And moxie can still do pigment, but definitely your BBL is going to be more targeted towards the pigment where your moxie is going to be more of that non ablative kind of resurfacing of the tissue.

Love. Yeah. Yeah. At my practice we have, you have BBL, we have IPL, intense pulse light. I mean, it's, that's been around for years. Very, very similar. technology. Um, and then I have erbium skin resurfacing, which is kind of like the niece of the co2 skin resurfacing lasers, but it's, that's, that's by far an ablative laser.

So you have a little bit more downtime, um, with that. Um, but. I just got, um, RE Essence PDGF, which stands for platelet derived growth factor. And poor Nicole, like all of our allergan friends had to hear me talk about it because I just had it done and I'm obsessed with it. And you know, I, This is like, you know, medicines, aesthetic medicines ever changing.

And we, we talk about Botox filler all day, every day, but regenerative medicine, which in the previous episode, um, well, the one that's coming out very soon with Olivia, she touched on all of that with us, which was huge. But one thing I think, no, did we talk about PDGF with her? I think we did. I'm pretty sure.

Yes. Yeah. Yeah. Cause she was starting it and I think she's now kind of a spokesperson for them as well, which is really cool. Um, but. PDGF basically takes the place of PRP or PRF, um, if people don't know what PRP or PRF is, um, that's platelet rich plasma or platelet rich fibrin, right, Nicole? Yes. Um, and basically with that, we draw your blood, we use a centrifuge, spin it down, and then we take that little yellow substance, um, which is your own stem cells growth factor, and we utilize that either after a microneedling treatment, during, or even on top of, um, compromised skin after like an ablative laser.

Um, but so PDGF actually takes the place of PRP and PRF. It's not drawn from your blood. Um, it comes with hyaluronic acid, um, this hyaluronic acid liquid, and there's already pre drawn platelet derived growth factor. You mix the two together, um, and then you apply it either during like a skin pen microneedling treatment, and you can microneedle it and you can actually utilize it.

Instead of your glide gel for the skin pen, which is really cool. I mean, you can use, it doesn't really matter. I know for my RF microneedling, I applied it afterwards and you're supposed to leave it on for about six hours.  What I've noticed and what the technology does is it helps us speed up the recovery time,  um, afterwards, um, increases your collagen production.

It actually has a thousand to 3000. times more growth factor than regular PRP and PRF alone. So wow. Pretty awesome. Yeah. Yeah. No. And your skin, it did. It looks incredible. Oh my God. Is this light showing it? It is, it is, it is. I can't. Oh my God. I do always like to throw in definitely check your own state's laws because with microneedling and all that you could put it topically after but it's just that you want to make sure you're following your state regulations and everything with what you're using to microneedle so just keep that in mind as well but yes incredible product I'm so excited to see because the results you're getting are incredible so it's really good something something I might have to dabble in well and so many people want to get these advanced skin treatments done But they hate the downtime and if we can give them a product like this to put on topically afterwards, that can kind of cut down on that downtime so that way they can go back to regular life.

It's pretty amazing. Yeah, no, it's huge. And I think too, like some people would love to get these treatments done, but they're not big fans of getting their blood, their blood drawn, you know, people, people can get Botox or fillers, but the second we tell them we have to draw their blood, they're like, Whoa, wait a minute. 

So having an alternative to that, I think is huge It completely bypasses it.  Yeah. Um, the big thing with, um, people getting IPLs or BBLs, I know like people that are coming in, they're probably wondering, okay, like they come back from a trip, they think they can just get it done. You have to make sure your skin is not burnt.

You cannot already have a deep tan. If you have a deep tan, you have to wait until you're less pale. Um, and also self tanner. Transcribed No, no, no. Self Tanner. And how is it for like two weeks or something? Yes. Yeah. So that's a big one. I think people think because it's a fake tan that it's okay. But BBL and IPL are looking for pigment in the skin.

So even if you have fake pigment on the skin, it can burn, it's going to get too hot and it can burn because it's targeting too much of that, which is not true. With moxie, it is technically a little bit more safe for all different types of skin types, um, and colors of Fitzpatrick's because it's targeting water in the skin rather than pigment.

Uh, so it's not going to get too hot on someone that's a little bit of a darker complexion than someone that's a little lighter. So our people that have melasma or things of that nature, we do like to opt for something like moxie over BBL. Uh, there's just so many options. a couple different options and that's why we got both because you know, everybody, everybody needs something. 

No, it's great. And I know at my practice we have erbium skin resurfacing and that's very, very similar. You can do that on most Fitzpatrick skin types. Um, but it's definitely for IPL, BBL, it's those like Fitzpatrick four and above that we have to be kind of careful with some, some Fitzpatrick fours we can do, but you know, it's a very close follow up with them just to make sure.

Um, that they don't have any, um, burning or any kind of reverse like inflammatory post inflammatory hyperpigmentation and things like that for them. Yep. Yeah. We're very lucky because the, we just got the newest technology. So we got the BBL heroic. So it uses technology to kind of like.  Check your speed and your pulses and make sure you have overlaps so you're not actually picking up and having to stamp.

You're just gliding along the skin and the machine is doing it for you. So it's, it's almost impossible to burn somebody.  It's incredible technology. Yeah, I feel like we're finally getting to the era in this day and age where people can get a skin treatment done and they can go out in public, go to Wegmans, go wherever. 

And yeah, people might go, Oh my God. Oh my God. Look at their face. But they're kind of like, what did you get done? Like, right. Cause you know, they're going to look good in a week or two. Yep. And you still, you still look glow. Even though you're red, you're still glowing.  Yeah, exactly. Yeah. Yeah. Yeah. So I feel like all of these treatments are becoming way more normalized in our culture.

I feel like before it was like, Oh my God, I have to lock myself in my house for a week now. No go about your life. Like, of course, like, Me and you, Nicole, I mean, I would get a CO2 ablative laser and go out the next. I mean, it doesn't matter to me. Um, I went to an event once after the ZO three set peel. I mean, I was peeling like a, like a snake, like it was actually, it's probably inappropriate for me to be in public.

And I just, I went to the event. I was like, I don't care. It's fine. Yeah. Who cares? Your face is literally snowing. Yeah, exactly. In like sheets, literal sheets. One of my patients actually reached out to me. We did a tox booster peel using the VIPL, then we did her Botox right after it. And she messaged  me on day four and you usually peel from days like three to day five.

And she messaged me and she was like, There is literal dead skin just falling onto my keyboard like this is, this is insane, but she goes, but I'm in love with it.  We like to call it jerky over here called the cold jerky. I can't. Ew.  What? What do you call it? Jerky. It's jerky.  I think people listening are not going to get jerky after this.

I don't know.  We've turned them off.  Jerky. What is the call?  You're like, Oh, so the cold jerky.  I can't, oh my God. Do you guys do you guys do ZL peels? Don't you? Yes. Yeah. So Zio, we have the three steps. So Zio has a. Peel above the three step, but it's more, um, you have to do it in a control setting with like an MD.

So that one's very, very strong. The three step is still strong. It's the one that you really peel from. It's like seven to 10 days. And then we have kind of similar to your like revitalized peel. Um, like it's called our glow and go. So it's not as much downtime. You may, maybe a little bit of flaking, but it's more of like to give you that instant glow.

Okay. Yeah, we have, um, by repeal, which is more of that. No peel, peel. Like you talk about how you could do it. Okay. Very, very minimal, like people usually don't have any downtime, um, if anything, maybe a little flakiness for two days. Um, and then our VIPL, which is a medium strength peel, and it kind of targets, you know, acne, acne, scarring, pigmentation, texture, you know, you name it.

Hey guys, just popping in. If you're enjoying our podcast, please subscribe and don't forget to follow us on Instagram injector, John and aesthetic nurse Nicole,  Nicole and I were just at the MD codes could ever lab. So MD codes is basically. It's in, um, well, it was hosted in California, but, uh, Dr. Mauricio DeMaio, he is from Brazil, right, Nicole?

And, um, he, it's, it's, it's a whole new way of thinking in aesthetics. Basically like medicalizes what we do. And, um, Tells us the why behind the injection, um, which is really, really great. He's come up with like a, it's almost like, like a mathematical equation on how to treat each patient in a way that we can all start to get on the same page so we can get away from this pillow face look and having injectors treating the wrong areas.

So it was, that was, I mean, it was great to hear. It was amazing. Um, but. Nicole and I both shared a hotel room and  she didn't get in until later that night and I'm like being the old man that I was. I was in bed with my retainers then and I was like, honey, it's 10 o'clock. Like, don't know if I'm going to be up for you.

She got in at 10. She's like, wait up for me. Wait, wait, don't fall asleep. And I'm like, why? Like, why? But I'm like, okay, I'll try. So  all of a sudden she comes in, it's at 1030 and she throws something on me. And it goes, Oh, I got you PJs. I go, wait, what, what did you get me? And I look and it says gunkle on it. 

And this girl,  she's been a little edgy the past month. She's been saying no more, which I'm so proud of. Proud of you. Thank you. Thank you. But  after a while, I'm like, wait, this behavior is not leaving. This is like.  It's getting, it's only getting worse.  So I texted her literally that day. Did I not that morning?

Yeah. Like a couple of hours before I was like, I go, bitch, are you pregnant? And she goes, no, no. But we're taking a pregnancy test later in the room. I'm like, great. Wow.  Gives me a shirt that says gungle on it. And she's three months, three months.  Three months. I cannot believe you're three months pregnant.

I know it's crazy. It's crazy.  I'm like, are you going to do something about the lines in your forehead? Like, are they? No, we have to look at them. No, I'm kidding. I'm kidding. No, seriously. I'm not even kidding you. My own husband was like, I've never seen you with expression, like these kind of lines. I don't know you like this.

Well, and guys, she also, uh, grub hubbed. Um, Wendy's to the hotel room at 10 30. Like she comes up, she had chicken tenders. I think, uh, would you have a hamburger? What else did you have? And fries, fries. Yeah. And a root beer and a root beer.  If you know, Nicole,  listen, she likes to eat, but  this behavior is not normal.

It's not normal. That is not normal.  She's Miss Peruvian fitness over here. Like she does not eat fast food like that. So I'm like, wow, there's a lot going on.  But it makes so sense and I can finally breathe because I'm like, there's a reason behind this. Although it's, it's so funny because I feel like you're, you always text me.

You're like, dude, you're just so edgy. Like what's, something's up with you. I'm like, nothing's up with me. And then I go, I gotta stop. I gotta stop complaining to John. No, I love it. I was like, oh, this is so great.  You're so optimistic all the time, which I am too, but like, oh my God.  I was trying to, I was waiting to tell you in persons, but it was so hard to keep it a secret.

All of us from the Fill Me In podcast are so happy for you, Nicole. Thank you. Thank you. And tell them what you're having. It's a boy. Yay. Yes. It's a boy. I love it. Oh, my God. Have you guys excited? Have you guys like thought of names yet? Or it's so funny. My husband's like, I feel like you're just making these names up.

Like, there's no way that's a name.  We are on totally different sides when it comes to names. So that that should be interesting. Oh, my God. So you have a few in mind. Yeah. Yeah. Okay. Beautiful. We've got a few that we've like Yeah. You know, that we can agree on and we'll, we'll keep looking. We have six months, so.

Yeah. You have a while. You have a while. Yeah. Yeah. We'll keep looking. Yeah. Now, so  I have to know. So are you gonna be looking for a house in the meantime? Yeah, yeah, we're definitely. Okay. We're hoping in the new year.  Okay. Okay. Yeah. Yeah. So fun. So much. So much is happening. So much. So much. Yeah. Yeah. And it's just so funny because I feel like I've always been, it's not that I never wanted kids, but I've always just been so business focused and like, you know, career focused and this year I turned 31 and everything changed and I'm like, wow, never thought I'd be here.

It's exciting. I'm  I'm loving it. Well, people always say, cause they asked me the same thing in the office. They're like, are you and Corey going to have kids? I'm like, yeah, 100%. We're just,  I just feel like we're not nowhere near yet where I want to be. And, um, but you know, and they all tell me the same thing.

They're like, there's no perfect time.  Yeah. And I'm like, I know this is true, right? But you also don't want to rush it. You know, I feel like there's definitely like you're building that entire practice. If you guys don't know, John and Corey are building a beautiful practice that will hopefully be open next year, right?

Um, so Jane, two years, so January,  yeah, two years. So like, I feel like once you get closer to that, maybe that's what we're thinking. I think once we, and I actually think, um, if interest rates continue to go down a little bit, I think we're going to, Probably build our home. Hopefully. So we were God, we, we both look at each other.

We're like, there is no way we will get divorced if we build a new practice and build a new home and the same time, but I think it might, we might be okay. Like we're working with an architect firm, which has really been helpful. Um, and we have a lot of people in our corner helping us with that. So I think honestly, we might be able to do it a little bit sooner than we thought, which would be great.

Yeah. Which is so exciting. And if we can't, I really don't want to be 40. And start having kids. I, I, yeah. Like, you know, they, they all say like, it gets harder, you know, no, it's so true. Yeah.  That was my husband. He was like, come on. I'm not getting any younger over here.  Whatever God has in store for me, I guess.

That's right. That's right. No, but I feel like there comes a point where you feel stable in what you've created and you have a good patient base. And, uh, you know, at home, I feel like we're starting to have like a little bit more downtime. So I'm like, okay. Now's the time. Yeah. I love it. I love it. Love it. 

Yeah. So it was so fun because I got to tell all my other injector buddies while we were out there in California. Yeah.  Yeah. She makes me take it. You made me take a picture of you and Chrissy and Veronica. Yeah. And I go, okay. On the count of three, Nicole's pregnant. They're like, ah. And I'm like, what? They were so. 

So confused, so confused.  And that morning guys, she is putting her scrubs on and she looks at me and she's like, do you think I can get away with like tucking it in or like leaving it untucked? I'm like, Ooh, honey, untucked. Like, yeah, you've got to leave it untucked. Could you just have that you, and I didn't notice that you have this little, little, Um, if you look hard enough, it's there,  you're so tall and slender that like you're going to just be all belly.

Yeah. Yeah. Well, and that's the thing too. I feel like everyone's so used to me being so slender that they'll pick up on it. But it was funny too. Cause Veronica was like, I was wondering why your shirt wasn't tucked in. I'm  like, yeah, that's why I love it. Oh,  crazy, crazy. We're so happy for you. Oh, thank you.

Thank you. It only took her three times guys. And she. Is it TMI? Can I like say,  you can share it. She goes, she goes, I spent three months and I go,  that was that train the trainer in San Diego. She goes, yep, yep. That's when it was. I'm like, okay, great.  That's why, that's why we brought Kevin. My God. It was his birthday.

Remember the whole, right? It wasn't his birthday. Yeah. Yeah. Oh my God. It's too funny. We were ovulating. 

Yeah. Exciting times. So I'm so happy. I can't, I can't wait to announce. I'm going to announce on Instagram like two days before this goes out. So I just can't wait for everyone to, it's starting to become like a job hiding it.  No, it is. Cause you're like, it's what you're wearing and all the things. Yeah.

Yeah.  So exciting. Um, okay. We kind of branched away there, but I had to talk about it. No, I love it. We couldn't hide it anymore. I love it. It was actually funny on, uh, when I did the elevate program, we did similar how to you guys in, uh, California, a bunch of the trainers went to dinner. They always do kind of like a welcome dinner.

Um, and before I did the elevate program two weeks ago with Allergan, I injected on stage and the night before we had a dinner with the faculty and I ordered a mocktail and I was trying to be so discreet about it. I didn't tell anyone it was a mocktail. It was on the menu and I was just like, Oh yeah, I'll have the Hampton spritz.

It comes out in this giant cup with like a wooden. straw and everyone's like, wow, what is that? That looks delicious. I'm going to get that as my next drink. Wait, did they, did they find out? Yeah, no, I didn't tell them that I told them the next day, but oh my God, I got, I got caught with my mocktail. Oh my God.

That's great. Anyone that knows me, I never turned down a good drink. So right then and there, right then and there, they were like, that's weird. Well, you're lucky because if we went out, I'd be like, it would have been like lights, lights. I've been like,  something's up. I would have waited until you and I were together, but I would have been like, bitch, are you pregnant?

Just tell me right now. Oh my God.  So this, okay, just this time of year, December, I mean, holiday time right around the corner. Are you, Oh my God. This is like such a, it's like, this is like the fun. It's crazy. It's crazy. I mean the holiday bustle, but like in the office, everyone they're like that week. Hi, I need to get in this week.

I need to get in this week. My Botox, my filler. We're like, Oh my God. Like we told you to pre book. Yeah. This is, this is why we say pre book. I know we joke about it here. Like it's fun, but we're like, okay. November's hit. Lunches are gone. We all know we're going to be working through lunch. Our hair, everyone.

Oh yeah, we look insane. I look insane to begin with. Oh my god, my hair is brittle. It's falling out. I think I have more grey hairs to my beard. I, my skin looks dry as hell. F  what else?  I don't even know. I'm just trying. Sometimes I forget to put deodorant on. Like, I, I just, you're struggling to survive, but yeah.

Oh my God. And then the week of December, like week of Christmas hits and you're like, Oh,  like you can breathe. We're almost there. I'm like one brain cell left. No, but we, um, We always say like people will look at our calendar and they'll find like a 15 minute Botox slot and they'll book it, but they're really doing like a full face.

It's like five syringes. And you're like, you're just trying to like, you're never going to say no, of course. So you're trying to balance the day and make sure everyone's happy. And it's like, Oh my God, the next patient you're like telling your medical system, put numbing cream on their face. We never do this.

Do it anyway. Yep. Yep. I did this for 20 minutes. Listen, like we need to like, Oh my gosh, there's something else. Go wipe them off, lay them back, offer them a coffee, do something. Oh my God, yeah, yeah. I, and I try my best if I know that I'm really behind, I try to call my patients that are coming up and tell them, you know, if you want to stop for lunch or if you want to stop for coffee, like take your time coming in cause I am running behind. 

Yes, but it is. It's tough. And it's like, again, this is something that we can't rush. You know, these are people's faces. It's a medical procedure. Like we want to give everyone that one on one time and it's, you can't rush it because things can happen. And like, when you're in our chair, I mean, I know Nicole, you're the same way.

It's the patient's number one. Like I, I always tell my patients, thank you so much for being patient, you know, if they're ever waiting more than 15 minutes and I try not to even have them wait that long. Right. Right. But when you're in my chair, I gave you my all. So, yeah, you know, that's, that's what we say, but, um,  there are so many people that are also like trying to get in last minute for how they're getting holiday pictures. 

And they're like, I have a holiday picture in a week and I need to be frozen. My face is frozen. I'm like, in a week. Yeah. Yeah. Yeah. Yeah. What do you want me to do? It's not even going to kick in. It's not going to be fully kicked in, but okay. Like, you know, normally, you know, and for those listening, if you're, okay, if we have people that just got engaged, congrats, or you're just like, you have events coming up, it's really, really good to get your Botox done.

And filler at least four weeks before. And the reason why is we want to make sure that we give it two weeks to settle. And if we need to do a touch up or something, we have the time to do it before your event. Um, also in pictures, sometimes you're, you just look better at that four to six week mark, because sometimes when you're like two,  like, not like  when it fully kicks in, you're like, hi, like she's here.

Yeah.  Um, And then usually by week four, week six, it's settled just a little bit. So where like, it doesn't feel as tight, like when you're smiling and things like that. So it feels more natural. Yeah. Yeah. Sometimes that two weeks you're like, whoa. And you might not even like look super crazy, but you just, you feel it. 

Yeah. So definitely better to give it that four to six weeks for sure. And that allows us time to tweak to like, God forbid in two weeks, if you have one brow that's still lifting. Oh my God. We can take care of it, you know? And I know we did an episode about this before, but I've had, I actually had one of my patients, she, I did her, she's been my patient for four years. 

I mean,  is this so great? I, she's never had or required a touch up from me. Okay. That's great. But she told me this time around, she's like, oh my God, I'm so scared today. I'm like, what are you scared about? And she's like, well, oh my God, let me show you a picture. My brow was, it was something funny. And she showed me and it just so how it settled one brow.

Was still lifting a little bit more and I'm like, Oh my God. No, no, no, no, no. That's normal. Like that just needed a touch up of like one or two units, but that brow would have settled immediately. She's like, right. Oh my God. Like, I wish I knew that. Yeah. She's like, I'm so dumb. And like, here I am thinking, Oh my God, am I not doing a good job educating?

But like,  you know, I think sometimes, yeah. And they get overwhelmed and they, they do. Yeah. And then they don't know what to, if they should reach out. And especially if they've been doing it for years, because we, we tell all our new patients, like, let me know if something goes wrong, you know, let me know if something needs tweaking, but on a, on a return patient that's been coming for years, we don't always say that, you know, right.

And I always say like, give it two weeks. If you need to touch up or anything, give the office a call, you know, then we can get you in, you know, you know, and usually, and now my. Front desk will always actually call our patients at the two week mark just to make sure that they're happy. Um, and that kind of, because some people don't want to tell you if something's wrong or they might need to touch up.

So taking that kind of worry out of their hands helps a lot. Exactly. Yeah. I was looking for a picture because the same thing happened to me. So obviously, okay. We have. Grace, our nurse injector. And of course, when you're, when you're newer, it's, it's hard to build the clientele and people  are a little bit weary to go to a new injector.

And I always explain like, you know, we've trained her exactly the way that we inject, you know, especially with Botox, you're in great hands. And, um, I was going on vacation and I treated one of my own patients that I've been seeing her for probably six years. I did her Botox. She was going on vacation  and I'm on vacation and they sent me, my manager, Tara sends me.

A screenshot of this email. I've been treating this patient for six years. Her Botox. I don't even know what happened. She looked wild, but so she came in and Melissa and Grace saw her. They treated her. It was, it healed fine. But my point is that even me doing it eight plus years,  that stuff still happens.

And I've been seeing that patient for six years. I did her treatment. Exactly the way I always do. And for some reason this time that happened and like, I was thinking, maybe serious complication. Exactly. There's an easy fix. Yeah. It's an easy fix and it's not even necessarily our fault. It can just be how the Botox settled.

Like it's just, I was, I was wondering if I hit a vein or something and the Botox just settled. Kind of evaporated into the vein and it just didn't kick it all in that spot, but you're right. It's an easy fix within a couple of days. She was back to normal, but to the patients, of course, it's alarming because you're like, Oh my God, am I going to be stuck like this?

Like, right. Right. So I was like, it could happen to any of us. It can. Oh, so normal, such an easy fix. Um, and that's why we have to make our patients feel so, so comfortable. Like, and Nicole, you're the same way. Like our patients are our family. Like, that's why I'm like, girl, yeah. Just shoot, shoot a text to the phone, like work phone with a picture.

We'll get you right in for a touch up if needed. Or if you have any questions, there's no dumb question. Exactly. And that, like, I was in Mexico and they sent me that and I was like, immediately I'm like, Melissa, you need to see her. Like, she is one of my diehard patients. Like get her in today. Yeah.  Yeah.

We'll do anything for our patients. Yeah. Yeah. Um, but yes. So yes, if you're getting married, make sure you get your Botox at least four to six weeks before your wedding. Um, or any major event, like ideally even like pictures, like family pictures, just get it done. That way if you need a tweak or an adjustment, we could do it before.

Um,  but yes, yes, yes, yes. Yeah. Cause those things happen. They can. Yeah. They do. Um, with the holidays coming up and skincare and all that, I feel like a lot of questions that I get are actually kind of patients are smarter now they're doing their own research. And I feel like a lot of my patients want like things that are going to help anti aging and prevent aging.

And a lot of them are asking about ways that they could boost their collagen. Um, and it's funny because. I think as patients, we don't realize a lot of, a lot of what we do anyway is still boosting the collagen. So even when we're doing Botox and stuff, all those little kind of pokes of the needles and things of that are kind of creating a little bit of uptick in your collagen, but especially The moxie BBL,  uh, the IPL, the erbium, yours is called these, these things will definitely increase your collagen and, and help kind of tighten the skin and give that overall more youthful appearance to it.

Uh, but I feel like that's definitely a question I get a lot. And I'm sure too, like with the PDGF, is that something, you know, with the growth factors and Yeah. You definitely see in the research that the collagen is, is increasing. So much. I mean, it's a thousand to 3000 times more potent than PRF and PRP, which that's incredible.

I mean, it's almost taking the place of doing PRF and PRP. You know what I'm saying? So it's really cool. And obviously there's no FDA approvals yet for it to be injected. under the skin or anything like that. So like Nicole said before, it's really important to make sure that you're going to a provider that is, um, uh, going per the FDA indications.

And right now we can use it topically, um, uncompromised skin, like after microneedling or blade of laser moxie, uh, you name it. Um, or you can microneedle it into it. And what's really cool about that technology Is that so it's mixed with  hyaluronic acid and obviously the PDGF is placed over the compromised skin.

Those little micro channels that were made from the microneedling. Obviously, that's how the PDGF gets entered into the deeper parts of the skin, but it's delivered. By the hyaluronic acid, actually, as it's absorbed in the skin, it kind of brings it into the skin. Does that make sense? Interesting. Yes. Yes.

It's a really cool technology. And what I thought was really cool about it is that it's actually not only, only increasing collagen production, but rebuilding, um, blood vessel walls underneath the skin. Um, so it's really helping to almost revascularize your skin tissue, making it look more just healthy.

It was originally actually made to treat diabetic foot ulcers.  Wow. Yeah. And they were using it like an orthopedics as well for bone fractures. They actually, um, placed it right on the fractured bone and they obviously found that it was healing quicker than just doing nothing at all. Um, and then obviously it made its way into aesthetics.

And it's just, it's just, it's probably, I just know it's going to take the world by storm, but it's a polypeptide. We all know that those, you know, like the PDR and all these things are going to be kind of the way of the future. Um, and I just think these kinds of treatments, doing them in conjunction with, um, Botox and appropriately placed filler in the face is just going to keeping, keep you looking as youthful and natural as possible. 

Yeah, that's what we were talking about earlier. Like how amazing Lindsay Lohan looks like, Oh,  can we, can we please like show a picture of Lindsay? Because there's this picture like a before and what she looks like now. Yeah. I mean, it's incredible. I mean, I know we all know that she had a little bit of a tough time.

Around what, in the early two, like 2007, 2012, like around that time. Um, but now, I mean, even when she was starting to make her comeback, she kind of look, looked a little overfilled or like just like a little bloated. Yeah. Puffy bloated look. And all of a sudden over the past like year and a half, I mean, I don't know if she had micro dissolving done of her filler, um, or she might've lost a little weight too, could have been that as well.

Yeah. Yeah. Um, but it doesn't look like too much surgery. It just looks like she might've dissolved some filler. And places, you know, appropriately in some areas. And I think she's doing a lot of skin rejuvenation with like, you know, that micro needling BBL moxie, things like that. Yeah. Which I think is huge.

Um, and another component of the BBL that we have is called skin tight.  So it actually works to heat up the deeper layers of the skin. So it's great for like the looser areas of the neck and things like that. And it also boosts collagen, which is a, another great. It reminds me of InMode's Forma. Okay. A little bit, I think.

Yep, they do. I don't have that device. I know our friend Amanda Injects. Yes. Down in she has form. Um, and a few of my other friends have form, but um, yeah, it's like, kind of like minimal downtime, right? Mm-Hmm, . They're just kind of pink and then just Yeah, exactly. Yeah. But the skin tight, there's like barely any downtime.

Yeah. Yep. And you can see, you can see the tightening right away. It's actually incredible. You probably could call it like the red carpet facial. Yeah. Yep. So they sometimes call that, yeah, it could maybe two days before an event. Yeah. And we say like, if you could do six to even 10 treatments, it's obviously you're going to have even better results.

Uh, but immediately after, yeah, if you did it like the day before an event, you'd be nice and snatched and tight. The next time I come to Jersey, I might have to have that done. Yeah, absolutely. We're loving it. I'm a little pissed that you're not going to be there for my training. I know guys, I, guys, I have to go to Jersey to do an act two.

To do one or two Allergan trainings and Miss Nicole is not going to be there. She's going to be in New York City. It's fine. From the man that tells me I need to say no more. He's like, yeah, I'll get on a flight and come do some trainings.  Because I feel bad.  I felt bad.  And I looked at Corey. No, it's good.

Yeah. Literally Corey and I just were having, oh my God. It's just like, you know, like we're currently. You know, going through a rebranding of our business. And that's something I want to touch base on just a little bit too. You know, we've been in business now for two and a half years. I mean, I love my logo talks about aesthetics.

It's got a cute little like pink lip on it. Um, but one thing I, you know, we're seeing more men get treatments done, which is just so great. Right. And I think we're going to obviously continue to see that as,  as these treatments get more normalized in our culture and stuff, but, you know, I wanted to rebrand because I felt like our logo looked a little too feminine and I just wanted to make it more neutral.

So that way it appealed, you know, more to men as well. Um, I also think it's important as there's some businesses that, you know, they continue to evolve, evolve, evolve. And they're continuing to stay busy, right? And get new patients in and it's great, great, great. But then there's some, you know, practices that, you know, blow up, but then they start to kind of go down and then they're wondering, wait, why aren't I as busy?

But yeah, because you have to do like a self reflection and you have to not just, just be like, oh, we're busy, we don't have to do anything. No, you have to keep things exciting. You have to keep things changing. People love to see that and it's also, Like science changes, like, oh yeah, like the world changes and we have to change with it.

Um, and if people don't see that, they're going to notice it and it will make them less apt to like come in. 100 percent agree. Yes. Yeah. And that's why I feel like all the courses we do in the classes and the conferences are so important because if we don't stay, if we don't stay, At the top of, of our field, how are we going to know, you know, all the new things and make sure that we're integrating them to the practice so that our patients get the best results that they can get.

Because like you said, science is always changing. We're always finding new things, right? And there's, I mean, this field is blowing up. I mean, there are new injectors, you know, coming in left and right, which is incredible, but because there are, I mean, it's like tripling quadrupling over the next couple of years, but because of that.

You know, there's going to be some injectors and some practitioners that aren't that great, which I hate saying  you have to stay well averse, and you have to educate yourself and set yourself apart because  I don't know, like you said, it's just, yeah, yeah, that's the problem. There's no. So we're not considered like a full on specialty yet.

So there's no kind of criteria that we need to follow to become a practitioner in this field. So, and not everyone like me and Melissa have a very strict, you know, training protocol and an amount of models and, and weeks and months that Grace had to be, you know, she did. She had a silicone head before she ever touched anyone.

Like  not everywhere does that. Some places will just kind of bring you on, give you a weekend course, and then you're right to seeing patients, you know? So you just, and everyone starts somewhere. I'm not saying that it's a bad thing. It's just that you do want whoever you're seeing to have had that. Kind of build up and make sure they've done a certain amount of models and a certain amount of treatments before they're, before they're treating you, you know,  a hundred percent.

Yeah. So, but back to what I was kind of, um, starting, I just wanted to make that point because as  more people are going to flood this field, which is great. There's that, there's that opportunity for you to set yourself apart.  better. And we need more people that do that. Um,  anyway, but I was literally just having a conversation with my husband and he's just like, okay, you're doing all these trainings.

You're going, you know, for conferences, you're, you know, you're, you're rebranding, you know, we're growing, it's the holiday time. You know, Corey actually just started his job as a family doctor in September. So he's getting accustomed to that. And Like, and then all of a sudden, you know, I'm getting, I literally had a conversation with Nicole.

I'm like, I'm not doing any more trainings through the year. Like, I, I need to like, relax, like anytime I have, I need to like meditate  and have some self care. And then the minute I get a text from, you know, a BDM, I'm like, I'm like, what do you think? Are you okay with it? He's like, yeah, that's fine. I I'm, I'm working.

So go ahead and do okay, great. Okay, bye. All right. I'm in. I'll do it. Bye. Bye. But, but no, I, with, with these trainings, I mean,  we genuinely love doing it. Like me and Nicole love it because it makes us better providers because we, it keeps us up to date on the latest techniques, safe techniques, and making sure that we're doing a good job as well.

And because we have to teach other people  how to be competent providers and give the best  care to their patients. So it's, we love it. Yeah. Yeah. No. And it's, it's fun to see, like you meet so many people and I feel like that's so important to like as an injector, having a community that you can kind of throw things back and forth with, like making connections is such a big part of what we do.

Huge. And you can tell within seconds, like when we're going to a training and things like that, whether or not a provider is passionate about this field, um, you know, and that's  people aren't going to succeed if they're not passionate about it. Yeah. Yeah. You know, I think, yeah, I think that like a lot of people think they're going to get into this field and it money's just going to start falling in their lap and  if you're not passionate about it, those patients aren't going to be there.

And if those patients aren't there, the overhead on this stuff is  insane. If you own your own practice.  Okay, just just so you know, like you will be constantly on the go, like you're there's never downtime. It's just and you have to be okay with it. But like, I'll be honest, like, if you're okay with that, if you're okay with being busy having a list of tasks you're doing all the time, then it's okay.

Good. Do it. You're meant for it. And it's the best thing that I will say. And I think Nicole will say the same thing. It's the best thing we ever did was going out on our own and opening up our own practice. 100%. Yeah.  All right, guys. Well, thank you so much for tuning into this week's episode of the Fill Me In podcast.

We hope you enjoyed it.  Happy holidays. Happy holidays, guys. Congrats, Nicole, on being a mom. Thank you. Oh my god, it's crazy. Insane. I love it. Boy mom.  Yes, boy mom. All right. And then you can follow us on Instagram. I'm Injector John. And aesthetic nurse, Nicole, and we'll see you next time. Bye guys. Love you guys.