Fill Me In: An Aesthetics Podcast
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.
Fill Me In: An Aesthetics Podcast
Filler Fear and the Truth About Aesthetic Treatments | Episode 35
Welcome back to another episode of Fill Me In! In this episode, Jon and Nicole dive deep into the world of fillers, addressing the growing concerns of filler fear and fearmongering perpetuated by social media. They discuss the impact of celebrity influence on patient perceptions, the importance of finding a trustworthy provider, and the necessity of a comprehensive approach to facial aesthetics.
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***DISCLAIMER***
The content of this episode of Fill Me In: An Aesthetics Podcast is intended for educational and informational purposes only and does not constitute medical advice. The hosts, guests, and producers of this podcast do not endorse or recommend the off-label use of any medical product without proper clinical training, patient assessment, and full informed consent. Listeners are strongly advised to consult with their healthcare providers and adhere to all applicable laws and regulatory guidelines. We expressly disclaim any and all liability for any outcomes related to the use or misuse of the information presented in this episode.
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.
Fill Me In is hosted by Jonathan LeSuer, MSN, NP-C and Nicole Bauer, MSN, APRN, FNP-BC.
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Producer of Fill Me In: Joseph Ginexi
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Welcome back to another episode of the Fill Me In Podcast. I'm Ejector John.
And I'm aesthetic nurse Nicole.
And we are gonna be talking about. Filler and fearmongering and filler fear. I mean, uh,
yeah,
this, we could talk probably for hours about this. Oh yeah. Days probably.
I think
all of us are dealing with this right now.
I feel like social media is such an amazing tool for patients coming in, but I also. Ugh. It almost gives them inaccurate information and then we have to like talk people off a ledge. It's a lot, right? It's a lot.
It's a lot. And I do think a lot of these like, you know, what did this celebrity have done?
What did this person do? Videos? Like, at the end of the day, I do feel like they might scare people away a little bit. Mm-hmm. Because you're seeing these people that look like Love Island. A lot of people are doing those love island videos, you know, like, oh, why does this girl look 40 when she's really. 25 and we're kind of pointing it out, and then people are like, okay, well you said she has cheek filler and she, you said she has too much chin filler.
Like, why am I gonna come in and do that? You know? Mm-hmm. So I don't think people realize they're kind of creating fear when they're creating those videos.
They are. Uh,
yeah. I, I feel like, I also think
that they don't look, I mean.
They don't look, I
don't think, they don't look 40. They just look bad. No.
Yeah. Like,
you know what I mean? I personally, they look puffy. They look puffy, they look puffy, they look overfilled. They're going to someone that's saying yes, yes, yes, exactly.
Yessing them to death, but also. They're probably drinking every day on that show. Like so they're puppy, they're
inflamed.
There's a lot of things that lifestyle is also a huge component to that.
You know? Extrinsic,
intrinsic factors. Mm-hmm. Yes. Yep,
yep, yep. I
get that.
Yeah.
I mean, there's a lot of people backtracking. Did you see, oh my God, Aubrey Day.
Yeah. She, yes. Yep. Much.
She looks so much better now. So much now. Much, so much
better.
We need to pull her picture up. Yeah. And we'll show it, because there's a before and after of her.
Mm-hmm. I mean, we've all seen it from Dan Kain, like she was so pretty. I thought she was like the prettiest one. She was like my fave. She wasn't like the best singer. She's best Love you, Audrey O Day. Love you. Love you, love you. But. I, you were the best dancer, in my opinion. You're the prettiest, like the eyes went to you, but oh my God, the plastic surgery, it just got too much.
But she was saying, I think in an interview that she, she goes, there are so many plastic surgeons and people out in LA or wherever that just give free shit.
Oh yeah. Yep.
Like, they'll be like, Hey, come in. And, you know, we'll, for her to post it. Yes. Mm-hmm. Yeah. So she's like, oh, this is great. She's like, this is where I live.
This is normal. And then after a while she's like, I was hearing people like talk negatively about my lips and whatever doing this. And I'm like, what? No, like what's good? And all of a sudden she like dissolved it. She's like, wait. Oh my God.
Yep. Like, look at me. That looks so much better now. Yeah. Yep.
That's what I was gonna say. I was like, before you said something, I'm like, what was the, what was my train of thought? Um, having an injector that's not afraid to tell you no. Like a lot of times people do get upset, you know, like. If, if they want lip filler and we turn them away, but we have your best interest in mind, trust us.
You know? Do you think like two years down the line you're gonna thank us?
Oh God. Yeah. Do you think that providers, sometimes when they have someone who is a celebrity, do they, do you think they, they just don't want them to be mad at them?
Mm-hmm. So they just say,
yeah, sure, we can do it, because they want them to keep coming back.
Mm-hmm. And that
could be a possibility too. Absolutely. But I think. I will
say I have a few celebrity patients. Sure. Yeah. Can't share who they are. Yeah. But, um, when the, the one that actually came to me most recently was like, oh my God, you know, you're the only person that's ever told me. Like, let's just do half.
Let's just do this little bit here. Like she was telling me how much she hates having like a frozen forehead. They're on tv, you know? Mm-hmm.
Like
she was telling me how much she hates that, and I'm like, okay, let's just treat a little bit to the glabella then. Yeah. And then you'll have movement, you'll have a little wiggle, like, but they're not told these things and they're just like, oh, you know what?
This person's got money. Let's do 10 syringes and 70 units. And Yeah. But it's, it's definitely about, you know, the full face consult and really finding out what they want. And with someone that's on TV and needs to animate, cannot have. A look that's completely frozen, you know, a
hundred percent. And these celebrities are people.
Like mm-hmm.
They're, they have souls, like Yep. You know what I mean? Like, so, and, and they're under a magnifying glass all the time. So I feel like anytime I have anybody that has any form of clout or just whatever, I'm, I'm like diligent. Oh yeah. Just to make sure that, oh my God, that's my name. Like, I wanna make sure that.
They're being told, oh my God, they look so good. They're not aging. What are you doing? Yeah. That's what you want.
Yeah, absolutely. You know, my big thing too is like, 'cause people are always like, oh my God, why don't you post these people? I'm like, 'cause they're people. And like, at the end of the day, I don't need them for clout for myself.
You know? Like I, if, if it were me, I would wanna go in there and be treated exactly the same. So I don't even like, I'm not even like, Hey, oh my God. You know, like I treat them just like a regular patient.
And they're people at the end of the day. Mm-hmm. Exactly. And I not gonna be like,
can I place your face all over my Instagram?
Right.
Oh my gosh. Um, I think that's my biggest peeve, or is people that will post, oh, I'm a celebrity injector. It's like, okay, you're injecting people. Yeah. Like they're people, they have souls, they have feelings like, you know, I don't know, like. If you genuinely care about your patients and like you care about that relationship with them, you won't just go and do that.
Right. In my opinion. Right. You know what I mean? That shouldn't matter to you.
Yep. Again, it's, it's, uh, social media I feel like plays such a large role in our Oh yeah. Field, and I think that's why. It's kind of taking it more seriously and more medically. Yeah. If you, if you don't think that way True. It makes you, it's so true.
Makes you a little bit of a,
yeah.
A not a better provider, but mm-hmm. You just, you know, you wanna treat everybody the same.
Yeah. And I think, um, to talk about. Fear mongering and filler filler fear, because that's huge. Yes. I, I can't even describe, you know, to you guys that are listening, and I'm sure you guys will agree, like the amount of people that come in and you're doing a facial assessment on them, you're looking at them and they need.
They need volume.
Mm-hmm. Right? Yep.
They need volume in certain areas to achieve a certain look or to achieve harmony.
Mm-hmm.
Right. But they're so scared because of the videos that they've seen on TikTok or Instagram celebrities. They're friends. A lot of it is like, oh my God, my friend, she goes somewhere.
Oh yes. Oh, I just cannot look like her. Like, I love her, but I just can't look like her. Yep.
And they like pull up the picture of the, they do.
And then you're hoping, oh my God, I hope it's not me. I hope it's not me. Yeah. Like, you know, or hope I,
I hope I don't know this person. I hope we, yeah, yeah.
Right. Um, but I think it's just talking them, I think it's just really educating them.
Mm-hmm. I feel like lately, Nicole, I feel like we're really having to educate people. We will not make you look fake. Yes. Yep. Like if, if we are correcting a volume loss or volume deficit, or finding a, uh, an area of asymmetry, a disharmony mm-hmm. We're just trying to harmonize that area. We're not trying to make it, we're not trying to give volume to an area that doesn't need it.
Right. Right. And I think too, you know, treating, like you said, harmonizing, like treating the face as a whole is so important. Yes. I wanna try and find this picture. It's from me from like six years ago.
Mm-hmm.
When I was treating just my lips.
Oh my gosh.
And I'll find it and I'll send it to Joey so we can put it in here.
But it's just funny to look at because it's, I didn't treat any of the rest of my face and I just had these big fish lips and like these crazy laugh lines, like, you crack me off. I, I needed to harm, I needed chin, I needed the laugh lines. Sure. You know, I needed the support around the lips to do that. And it's just, it's so funny.
So I'll make sure Joey can put it in here.
Well, what does, um, and Erica say, they always say like, lip framing. Right. Like the framing the lips. Mm-hmm.
Like
looking outside of just the lip. Like sometimes people come in and their chin's sitting before their lip. Right. If you add fillers to the lip, it's gonna stick out more.
It might look more darkish. It'll. Not look right, so, right.
Yep.
Um, and like I said,
some patients might get upset from us saying no, or saying, listen, you need to do chin before we can do this. Mm-hmm. But again, it's, it's, we have your best interest and, but also some,
and, and I don't think I feel this all the time.
Mm-hmm. But I think I see it sometimes on social media, like mm-hmm. You know. Just providers giving out misinformation, like mm-hmm. Oh, I hate when someone went in for something and then the provider is brought up another issue. Right. And it gave them a construct. No, no, no, no, no. We're not giving anyone a construct.
Mm-hmm. That's not the goal. We're, we're. Being honest providers. Right. And not just giving in and saying, yep, we'll do your lips. Even though they might need their chin or their cheek or their pi formm done right before actually doing their lips.
And it's not like you're gonna point out like, oh, well, you know, you have a giant nose and Right.
You're like, yeah, you're pointing out things that are. Are much, they're treatable. Yeah. It's not like you're gonna point out something that you can't treat or that's this like crazy insecurity. Mm-hmm. You're not gonna create this new insecurity. They probably, but how many
times have you had someone come in and like, they've had a recession and we're talking about it and or they're saying like, I'm really, I'm really self-conscious about my nose and you're doing a facial assessment and.
You look from the side and their nose is sticking out, but their lips are inward and their chin's inward. Mm-hmm. And then once you treat the lips and the chin and bring it forward, their nose looks smaller because things are more,
everything's in harmonized. Yep. Exactly. Yep. Yep.
I, I feel like a lot of my sometimes mental exhaustion comes from, I think talking to people, like talking people off a ledge that mm-hmm.
Filler won't make them look fake Right. When it's done. Right. Um. There was a time where we, where I think people just failed to fill for sure. Or they chase lines instead of like disharmony, you know? Right.
Yes. Yep. Mm-hmm. Or like me just filling your lips and not
sure, oh my God, you crack me up
and not filling the rest.
Mm-hmm. I also think too, it kind of lands on the provider too, if you're kind of letting the patient decide
mm-hmm. And
letting them control the scenario.
Yeah.
It can happen as well. Mm-hmm. So I think a lot of time it's about having kind of control in the room. In control of the consult.
So true.
So this patient wanted her lips done and I very gently brought up that, you know, if we did her lips mm-hmm.
It would throw the rest of her face outta proportion because she was very recessed in the chin. Mm-hmm. So, so let me see if we can even. Oh wow. We did the chin. We did the chin. And then I also did her lips for her. But imagine if we had just treated
right,
the lip, how much more recess this would've looked, you know, once we treated the chin.
Look at that.
Wait, that's incredible,
right? Beautiful,
right?
So
that's insane.
But if we treated just the lips, she would've looked so much more. God brought in that area. My
God, you feminize her entire face.
Exactly. Yep. Looks really good. Mm-hmm. And I think too, it's about the delivery. Mm-hmm. Like how you were saying, people on Instagram are saying, you know, that we'd make this.
And then well, it gives them a complex
also, the minute you say cheek filler, wait, I don't want my face to look wide. Mm-hmm.
Or don't look like a chipmunk.
Right. Or don't wanna look like a chipmunk.
Mm-hmm.
You will not, it'll contour, it'll slim. Mm-hmm. It'll, it'll give more of a heart shaped appearance.
Right. Well,
and I think too, right, women don't realize that like. We, our cheeks should be a little further out than our jawline for sure. And if they're not, it's giving you a more square appearance, which is giving you a more masculine appearance.
Right.
So we do need to give a little bit more width here on people that are mm-hmm.
Matching, you know? Yeah. Or bring down the masseter to give that
Yep.
More heart shaped look.
Yep. A hundred percent. Yeah.
But that's why like at my practice, we offer the exhibit face, which is five syringes. Mm-hmm. And it's kind of wherever, wherever you need it, you know? And sometimes I'll even do on, on women over like 45, 50.
We may even do two.
Mm-hmm. So they
may even have a total of 10 syringes at the end, you know?
Yeah. So it
really just depends on the person, but it can still look. Very, very natural. Let me see if I, I can find, oh my
God, yeah. We have, at my office, we have the mini facial balancing, which is five syringes, and then full facial balancing, which is seven.
Oh, I love that. So you have like a,
well, two little options.
Yeah. A deluxe.
Oh yeah, I, yeah. Yep.
A deluxe one. Wait, I'm gonna see. All right. I have two more that I'll, I'll make sure Joey puts them on the screen so they're a little bigger, but like.
Oh, I mean, this is
what full face filler can do, you know?
That's
incredible. Look,
and she still looks.
Her nasal folds looks softer. Right. Because she did her cheeks. Oh my God. They look so her under eye. We did the chin to
right
everything,
and we did the chin to balance the jawline. Like everything just looks so much better. Picked up. That's a
great example of lights and shadows too.
Like
the areas of shadows. Mm-hmm. Are
areas that where she needs volume. Yeah. Yes. That's amazing. That is.
That's actually a great point. Like I think a lot of times people are like, oh, well how do you know where to place it? Like when you're training new injectors and stuff? Yeah. Like it's really like looking for those lights and shadows.
You know where, where you have that dark area and you want light to bounce off of it, we need to put volume there. Yeah. So that everything looks more lifted. Yeah. And then this is just one more.
Oh my God. Wow. It's so
much more rested.
So nice. And her marionette region looks so much better. So much softer, right?
Yep. Mm-hmm. But so that's what. I mean, some of these are 10 plus syringes,
right?
So you just have to really know that's people find a provider you trust and one syringe
is one. Mm-hmm. Is the size of one blueberry. Yeah. Right. Five syringes is the size of a ketchup packet. Mm-hmm. So like I always tell people, especially with lip filler, like.
Like one syringe, like if you have good lips
mm-hmm.
To begin with, you need a full syringe. You do. Right? Like, or you know, more than half syringe, like doing a half syringe for someone who has already good lips. Like it's gonna be a drop. Like it's just, they're just gonna look more hydrated.
Mm-hmm.
A little bit more full, but.
People that have really thin lips and like a small mouth. Those people we might need to do a half on and like slowly you and stretch their lip. It
Yeah. In the patient's mind, they're like, well, I have small lips, so I need more. Like, no, actually it's the opposite.
Yeah. That's what we used to, used to say.
Yes. Oh yes. But not, oh, not anymore.
Not anymore. The times have changed. We've learned. Oh my
gosh. Yeah. Mm-hmm.
But no, I think, uh, a lot of it is like to this kind of. Buzz behind bio regenerative and all of that, which is incredible. Mm-hmm. And all has, its its space in, in this field. But I think filler is something that we'll never be able to go without because there's always gonna be volume that needs replacing.
Yeah. You can't just rely just on bio regenerative. I'm sorry. You can't, I mean, the only time that I'll say. That I'm starting out with bio regenerative. So people that just need sculpture to start out, people that need some PDGF, right? It's those people that really are thin faced, they have lax skin.
Mm-hmm.
And
we really need to stimulate collagen to firm and tighten up that skin to handle filler placement. Right. Because there's some people that right away that, in my opinion, I just, I wouldn't just start doing filler on because their skin can't handle it.
Right.
Um, and some people don't want the downtime of a CO2 laser or an Erbium laser microneedling, and they just want the injectables.
But of course that comes with money. Mm-hmm. And there's a price with that and people also sometimes don't understand that. But, um, yeah.
Did you notice that I dissolved my lips?
I did, but can I be honest though, like. You look great. Like I didn't, it didn't change a whole lot.
No. I'll, um, I'll send Joey pictures.
It was just, um, I think too,
from being pregnant. No, they look really good. I think they just
really like sw like I didn't dissolve all of it. I I
You kept within, you just did above and below. Mm-hmm. Yeah, I, exactly. Yep. They look really good.
Thank you. I'm gonna do a little bit, I'm gonna do like a little bit of Ella.
Beautiful. Of course. Yeah. Just to
kind of like, you know, give 'em a little something.
Mm-hmm. They're gonna look so good. Oh God, not too much.
It's funny, I said like, I think during pregnancy I just got used to seeing. Myself. Aging.
Yeah. Oh my God, you cracked me up.
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But that's another thing. Mm-hmm. That I wanna touch base on too, is Botox units.
Mm-hmm.
Like if you feel like you're not getting the result you were, or it's just not as strong, like I feel like you need to go up in units. Sometimes patients are like, oh, well, geez, 60 is a lot, like 60 is not a lot. Like I put mm-hmm.
I think it was like 75 units this, and I hadn't done it in over a year. You know. Wait, left.
Oh yeah.
Finally.
Do you feel so good?
I feel so good.
Wait. No double bubble.
No. So we didn't treat my lower portion, so like. It's softer.
It's softer. Yep. But
it's like still there. It looks great, but I, I prefer that because I do, I look crazy.
No, it looks when I take it away. Oh my God, you look so good. Thank
you. Do
you feel like back to life?
I do. I really do. I really do.
I'm dead. And you have the PDGF microneedling glow. Yes. Yep. Um, but no, I, I really do agree with all of that. Like what you said. I think that sometimes we're quick to change to a different neurotoxin sometimes, right?
Yep. But I think we first should try more units first. Mm-hmm. To see because it is true. Yeah. Like as we get older, we, I think sometimes we need an increased dose. Mm-hmm. And I think people
don't wanna hear it, but
No, it's, you know, you might need
that 20 extra units. Like I have, I think it's like 24 units alone in my forehead.
Yes. I have 20. 26 or 28. Mm-hmm. Just 'cause I have a fricking ginormous forehead and like
that is not counting our glabella guys like Right. If you count the glabella in that, it'd be 46, you know, like
Yeah. I'm actually right around where you are because I do eleven's, forehead crows. I think I'm at around 74.
Mm-hmm. Um, but back to really quick, I know we're jumping, but the bio, the bio regenerative.
Mm-hmm.
Not just relying on that. Yeah. Like I, I brought on, brought in that patient that has that thinner face, the loose skin, right. That needs that. Mm-hmm. Their skin primed first before we introduce filler. Um, there are patients, obviously so many that we jump right into doing filler right.
But there are times where personally I like to incorporate. The sculpture with it or PDGF, like, because maybe they might not be an under eye filler candidate. So we can do a P or P or PDGF. Right,
right, right.
Um, to thicken that crep skin and to help the under eye hollows in the dark circles. Absolutely.
Um, sculptor can sometimes. Do things that filler can't, which is firm and tighten the skin a little bit more. Mm-hmm. Um, I know there is some neogenesis that happens when we do filler. Right, right. Which is like a controlled trauma. I know like Leslie Fletcher's touched on that and I do agree with that, but, um, I think sculpture globally when it's done on the face, the temples, it is a beautiful treatment when you're doing it in conjunction with filler.
Yeah. And I do think that's just makes the injectables
look better.
Right. It's a nice perk. It's a nice perk of the filler having that little bit of that collagen induction, but it's not gonna be anywhere near what that sculpture is gonna do or PGF is gonna do. You know?
Yeah. It's just gonna make your filler look better.
Mm-hmm. And I feel like it, it just a, to the longevity of your, your goals Absolutely. Too, don't you think?
Absolutely. Because it's like skin health.
Same.
Same thing with the at home regimen. You know, you should, you should be using medical grade skincare with everything. Yeah. To help you know, and
everybody's treatment is different.
Amen. What your friend gets is not what you are gonna get. Mm-hmm. Mm-hmm. You might get six syringes of HA filler, right. And 40 units of Botox and some PDGF. Your friend might get two rounds of sculpture first, some PDGF, and then we might recommend RF microneedling. Right. It just really depends on you. You know, your face and mm-hmm.
The facial shape and your goals and where you're at.
Right. Not everybody's the same and, and yeah. It depends on how much volume you've lost too. If I have a lot of like moms and daughters come in together, you know?
Yeah, yeah.
And they have very different treatments.
Mm-hmm. I know there's some people that come in and they're like, oh my God.
Like my friend just came in and they got. You did like a facial balancing on them. I want that too. And then, you know, I'll go over with them and be like, oh, I didn't really think of the chin, my chin. Mm-hmm. And I'm like, yes. Like it, you know, and this is where she's like, but you did my friend's cheeks and like, you know, like the jaw, like back through here and that's what I want.
And I'm like, no, I know that's what you want, but. That's not what you need. Right. What you need is this, and this is why, and I just put your trust in me. Then we do it and they're like, oh, oh shit, that looks really good. You're
right.
Right. You know, and that's, but that's where I think our aesthetic eye comes in.
Mm-hmm. You know? A hundred percent. Yep. It's so important.
Yeah. And especially too, I don't think, uh, I don't think patients realize how much filler it, like you were saying, it's size of blueberry or like a mm-hmm. Ketchup packet. Like how much filler does take, especially with the, the picture of the chin that I showed.
Oh. Like, that's just, that's just three syringes. Right. Right here in the chin, you know? Oh my God. So it, it really depends, like if you were to come with your friend and your friend has a chin like mine. Yeah. Like, you know, she's only gonna need the syringe to her lips, where you're gonna need the three to your chin plus the one to your lips.
Yeah. You know? So it's really just based, it's based off your anatomy, your bone structure, and your volume loss.
Wait, I wanna show this picture.
Yeah.
This
incredible.
Okay. And then this
incredible, and I mean, just. Also look at the difference in how her muscles are sitting.
Yes,
like you can tell by just giving that support to the chin, how much you've actually supported her muscles too.
Look how much more relaxed her her mouth is.
Right.
Like I think a lot of the time people go straight for that, uh, neurotoxin to the mm-hmm. To the, uh, mentalis. Mm-hmm. When in reality the muscle actually does need some support behind it too. Mm-hmm. Mm-hmm. And if you, you might be able to get away with just doing filler, which is gonna last them much longer and be easier for them to maintain.
So she was really nervous. Mm-hmm. So we started with one syringe to the chin. And this was a year and a half ago, maybe two years ago. Then she just came back and she goes, I, I, you're right. You know, obviously I need more. It looks so good. It, it looks, you know better, but I do think I need more. I go, you're a hundred percent right.
I was like, you know, I really think we need to do two. And I was like, we need to do a little bit to the tip, but then also that pregel surface maybe a little bit to the, uh, marionette region too. We ended up doing three more. Wow. In that visit. So she has a total of four. Yep. For that outcome. Mm-hmm. You know, and she looks natural, right?
Like she just gets told, oh my God, you look so good. Like, right.
And she's young. So like, even though you might be in your twenties, it is possible that you may need these multiple
syringe treatments. But I like, but she came to me at 21 or 22, and we did the one. I was like, let's let your face mature a little bit.
And then she saw like 23, 24. Mm-hmm. So I was like, all right, let's just do a little bit more. And it was perfect. And it's a perfect example of that. Her, like you said, her muscle needed that. Mm-hmm. Like, it's almost like her mentalis is like, Ugh, there's that support. Thank you. I'm not compensating anymore.
Exactly. Yep. Yes. And causing that
dimpling chin.
Right. But like, I think a lot of providers think like, oh, they have a orange peeled chin, or I see dimpling, they need Botox. They need bot not filler. Mm-hmm. Like, no, they, they do need the filler to support it, but I do like
myo modulates.
Yes. Yep. I do like how you said, like, um, you did, she was nervous, so you did the one and you had her come back.
Mm-hmm. Mm-hmm. Like, I feel like a lot of times some of these providers are like, well, this is my recommendation. If you're not gonna do it, then I can't be a provider for you. Right. Yeah. Right. Like, it's a little too harsh. And at the end of the day, you do have to remember these are people's faces and they may not be comfortable jumping right in.
So what, it's so true. What's the harm in doing one if they say there's no result? It's in your note. You've told them they need the four, like let's do more. Mm-hmm.
Yeah. But
I think there's no harm in being like, all right, listen, let's do one. Let it heal. You see how you like it and you come back, you know?
Yeah. Because I think a lot of the time it is just kind of listening and being a little empathetic and understanding where they're coming from too.
You are totally right and couldn't agree more. And there's also if,
if it is, if it is a price thing, there's so many things now, you know, Alipay and Cherry, cherry CareCredit and
mm-hmm.
I
think even Aesthetic Records just came out with one of their own Oh, did
they?
Yeah. Yep. So there's so many options.
Some people have like the Affirm. Affirm, whatever firm. Yeah. We,
we have a Affirm through our app. That's right. Yep.
Yep. Cool.
Yeah, love. So there's, there's so many options, but I think it's important to be like a, an empathetic provider and, and think of, put yourself in their shoes.
Oh yes. I think it's so, I, I get so like. Gideon, like I just love it. There's just so many different treatments out there now. Mm-hmm. And I think some people go, I don't know what's right for what's right for me.
Yep. And I
think a lot of patients get nervous 'cause they follow a lot of injectors and Right.
And they're like, oh my God, is that right for me? Like, I don't know. And And then they have to like try to find an injector that they trust. Exactly. Which is the hard part. To get the good. Yeah. It is the hard part. Yep. To like find an injector that's good for them and that'll give them.
You also want an injector that's staying up with the times because Oh
yes.
Everything.
If I stayed the injector I was eight years ago, yeah. I would have no patience.
A hundred percent. A hundred percent. You
know, you wanna make sure your injectors going to conferences and you know, doing webinars mm-hmm. And things of that nature, because there's always better techniques. There's always something to learn.
Yeah. There is a place for filler. Mm-hmm. We lose volume as we get older. We lose bone, we lose fat pads. Right. But there's also a huge place for biosim, like P-D-G-F-S, Sculptra, um, hyper dilute radi. Right. Um, if I'm missing any, I don't know. Um, but, but if, yeah,
and if you stick to just the bio simulators, you're gonna have.
Result, but it's not gonna be anything like mm-hmm. What your result could be if you had filler. Like look at the pictures that me and John just, you know, put on the screen. Yeah. Like, it's just, it's not possible to do alone with bios stem. Right.
Because you're losing also collagen and elastin in the skin.
Mm-hmm. So we need that bios stem, whether if you're not someone who wants advanced skin treatments, right. Like, are, if microneedling mo, you know, Moxy, bbl l mm-hmm. Like anything like that. Um, resurfacing lasers. We're gonna have to lean more towards those biosim injectables, right? Like S Sculptra Hyper Radio Acid, and PDGF to help.
Mm-hmm. You know, combat that collagen loss and firm and tighten the skin.
Right. And then use that filler for that bone loss, fat loss. Right. The loose, you know, looser ligaments.
Yeah. And
help, help kind of give them support again.
Yep. A hundred percent. Yeah. So there's a place for
everything.
I, I think we should both.
Tell people what we've had done.
Oh, absolutely. Do you wanna go first or do you want me to go first?
Ladies first.
Okay. Okay. Lemme take my glasses off. Okay. All right. Well, obviously Botox, that's a given. Okay, great.
Um,
I have also had under eye filler, uh, mostly like right here. Uh, not like directly, not like cannula directly underneath.
I've done all the needle on bone. Yep. Um, and then recently. Most recently put PDGF there too. Um, I have very small amount of cheek filler on this side in my mid cheek right side.
Mm-hmm.
These babies are natural.
Oh, nice.
But I had to support. Mm-hmm. Because you can see I have this one. It's from an acne, acne scar.
I have like a break here. I have, dare I say, a shit ton of valore.
Mm-hmm.
I mean, probably, probably four to five syringes of valore in my laugh lines.
Shut up
over. Many years
over. Yeah. But, right. Um, it's okay. Over how many years?
Probably five or six now.
Great.
Yeah. Wow. Um, because, and that picture that I had, I'll had Joey put in the beginning of just my lips.
You'll see why I needed that. And that's why I get so annoyed when people say, don't treat the, the nasal labial fold.
Oh, it's so needed.
It's so needed. And you won't look at times, not everybody. Right, right. But someone like me needed it. So you'll see that. Sure. Um, I have, uh, Voluma. To my chin. Mm-hmm. I posted a picture on my Instagram actually of how it was like a little flatter, uh, and it was a little shorter on this side, so we rounded that out.
Uh, did some skin Vive actually to here to support that. And then I have a little bit back at the, um, okay. Ancon angle there.
So how many syringes do you think you have? Oh God. I've had total over the course of years.
Well, if I have four or five here,
yeah.
Oh, obviously I've, I've had lip filler too.
Yeah, that's
like eight, I would say like nine for this whole eye cheek situation.
Like, like nine total. Like one there with everything. I get that I had nine. Mm-hmm. And then chin at least two to three. Mm-hmm.
And
back here I split, uh, Vox. So one, so like 12, probably 12 to 13.
Over the course of like eight years years, and that's counting years. That's
not counting my skin Vive treatments either.
Okay. Yeah.
Yeah. So my skin Vive is for like, I do it throughout my entire cheek area. I have a lot of um mm-hmm. Acne, pock marks and stuff. And it really helps smooth that out. Mm-hmm.
And you've had microneedling,
microneedling, um. I'm gonna be doing once summer's over the Moxie BBL L. Mm-hmm. Amazing. So that's on my list for this year.
Mm-hmm. Yeah. Micro kneeling is my, it's always been my go-to. I do that three, three treatments every year and now I'm adding in PDGF. Yay.
I love it.
I think that's everything. Mm-hmm.
I love it. Your
turn.
Oh boy. Okay. We'll have to show like a before pictures of us, like Oh yeah. Before we had anything. Mm-hmm.
Because then people can like see us now. Yeah. Um, okay. I've had temple filler, I've had undereye filler, I've had cheek filler, both anterior and lateral zy. I've had piriform filler, I had lip filler, which I then dissolved. So I have nothing in here now. Um, I've, you had, you have great
natural lips too. Oh,
thank you.
Which I'll get to why I think I have better lips in a minute.
Okay.
Um, I've had PDGF under eye. I've had PDGF in my scalp. I've had. Skin pen microneedling. I've had radio frequency microneedling. I think my favorite personally, I love skin pen microneedling, but I, my favorite's RF microneedling. I love it.
The glow it gives me, it really helps to firm and tighten the skin. Really good. Really well, I think
we'll get into this in a minute, but I think the device really matters for that too.
I think so too. Mm-hmm. I think so too. We have Pixel eight, um, through Aurora Aesthetics. I love it. Um, and I'm not knocking any other brand, but.
Love our, I just love Pixel eight.
Um, I won't name it, but I've had other brands and I absolutely think it destroyed my skin.
Oh man. Okay. It
may have been user error.
Who knows. Let me, let
me be fair. It may have been user error. Sure,
sure.
Go on. My
gosh. No, you're fine. Um, I actually did have a moxy done, um, before, oh, IPL, a lot of IPL.
Mm-hmm. For rosacea and for hyperpigmentation. Um, 'cause I have for rosacea,
soft wave.
Yes, I have. I've had soft wave. Wow. I had lot things done. I know your list better
than you.
Okay. And then last but not least, I've had my teeth done. I've had, I have veneers, and I really think it made a difference with my mouth.
I think that. My lips look the way that they do. Ah, yes.
Mm-hmm. Because
it pushed my, it just filled a void. Yeah. That was missing and gave more structure to my mouth. Absolutely. So it was greatly needed because I had a small mouth, I had small teeth, I grinded them down. So, um, I think that made a huge impact on my facial lower face harmonization.
Absolutely. Yeah. I forgot to mention I do my nostrils. When I do bot Botox. Oh,
yeah, yeah, yeah.
Because like right now they're, oh, Botox though, they're pretty even right now. Mm-hmm. But this one naturally is always much smaller, so I have to bring this one in to match that one.
I love that. Wow. And I do really perfectionist over there.
Yeah. I had been before pregnancy, treating my plasm bands like once a year. Yeah. With like, with like a pretty heavy amount. Uh, I just haven't done that again yet. Okay. Getting to it
slowly
but surely.
How many switches? Okay, so I've, this is the total I've had. I've had 1, 2, 3, 4. 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, probably around 15 ish syringes.
Yep. Yep.
Over six years. Mm-hmm. I would say, and obviously full face Botox. Right. You know, since I was 25.
That's another thing. So like the first time you do it, you might have to come back in like six to nine months, maybe a year. Yeah. But I'm telling you, once you do these treatments two to three times, like the filler, I mean it Yeah.
It it does, it adds up.
It,
it tends to build on itself. Yeah. And you maybe able to go three or four years without having to do the treatment again. Mm-hmm.
Yeah. This is, for me, 15 syringes over six, seven years. Right. And. I have not had any filler in two years.
Yep.
See any facial filler. So, and you looked
perfect
and the only thing that I've had is PDGF under eye, and that was in January.
Oh, I, my skin Vive. Oh yes. I've had skin. Vive. I forget the skin. Vive. Yep.
Yep.
Oh, I love that skin. Vive with PDGF mixed together.
Oh. Mm-hmm.
Love.
Game changer. I need to come up to you for, I wanna do the pixel.
Oh, you should. It's, it's amazing.
RF microneedling. I wanna do that with you. Yeah.
Yeah. That'd be great.
I love it. It's awesome. Yeah. And it's, it's not as painful as other modalities. Mm-hmm. Um, less chances of like, you know, reverse hyperpigmentation or post-inflammatory hyperpigmentation. Um, yeah, it's great.
Love it.
Mm-hmm. But this was fun.
So fun.
I love it. Okay. We could
talk all day about this topic. I know.
I
love it. Love it, love it, love it.
Um,
but if you guys have any questions about this topic, please like, comment. We will get back to everybody. We love the comments. We love to hear your thoughts. And thank you guys for tuning in.
Yeah. Thanks guys.
Yeah. Till next time.
Bye.