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
Aging Gracefully: Treating 50 & Older Aesthetic Patients | Episode 43
Welcome back to Fill Me In! We're kicking off the holidays in our Christmas PJs for a special episode requested by one of Nicole's amazing patients.
Jon and Nicole dive deep into the world of aesthetics for clients 50 and older. We discuss the unique challenges and considerations when treating aged tissue, volume loss, and skin laxity that comes with environmental exposure and hormonal changes.
Whether you're an injector or a patient, we cover:
➡️Why the consultation is different for this demographic.
➡️The importance of honesty and empathy in setting realistic expectations.
➡️Why treating the skin integrity first is non-negotiable (lasers, biostimulators, microneedling).
➡️Avoiding common pitfalls, like injecting neurotoxins too low.
➡️Crucial health screenings: dental work and vaccines.
Plus, Jon's candid thoughts on new trends and misinformation in the industry!
***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.
Fill Me In is hosted by Jonathan LeSuer, MSN, NP-C and Nicole Bauer, MSN, APRN, FNP-BC.
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https://www.instagram.com/aestheticnursenicole/
Nicole's Patreon:
https://www.patreon.com/aestheticnursenicole?utm_source=search
Exhibit Medical Aesthetics website:
https://exhibitmedicalaesthetics.com/
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https://www.instagram.com/injectorjon/
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Tox and Pout Aesthetics website:
https://toxandpout.com/
Join Moxie!
Is the business side of your Med Spa overwhelming? Moxie is the all-in-one growth system built to help you scale without the stress. Get software, marketing, compliance tools, and expert coaching all in one place. Fill Me In listeners get $500 off their launch fee!
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Producer of Fill Me In: Joey Ginexi
#FillMeInPod #AestheticInjector #50PlusAesthetics #AgingGracefully #MatureSkinCare #CosmeticInjections #AestheticNurse #InjectorLife #FacialBalancing #Biostimulators #Sculptra #DermalFillers #BotoxTips #MedSpaLife #AestheticEducation #CosmeticSurgery #SkinLaxity #ConsultationTips #AestheticBusiness
Welcome back guys to another episode of the Ian Podcast. I'm injector John,
and I'm aesthetic nurse Nicole.
And this is where we dive deeper into the world of aesthetics. And we have a great topic today. But first, we have a different setting. Today we are in our beds,
that we are nice and cozy. Nice
and cozy.
Nicole's got our blanket on. We have our Christmas PJs on What's on your PJs.
Um, well it's the skims pj, so I've got some like reindeer and so cute sweater, I guess patterns
I love. And I have Christmas trees on mine, so adorable. I was gonna get the skims, but I waited too long and they weren't gonna get here inside.
It's fine. So I ordered, I overnighted ever. J Scrubs. I love ever j they're like this, like off silk brand, but they last forever and I love them.
Do you ever J Pajamas
ever? J yeah.
You said ever. J Scrubs. Well. Ever J come out with some scrubs.
Come out with some scrubs. Ever. J they are pajamas.
Pajamas,
yes.
Pajamas. Like the new Jerseyans say. And we also have our little festive mugs here. Yes. Yes. Do we do a little? Cheers? Cheers. Cheers. My God, I don't even know what number episode, this is Nicole.
I don't either. I still have to do that for the new year. We'll have to, we'll have to get a number on. Uh, we've
been doing this for almost a year and a half.
It's crazy. So crazy. Time flies.
And I think we're gonna be coming out with merch in the new year, right?
Yes. Yep.
Yeah. So that will be really exciting.
Yeah. And we can't thank everybody that listens like enough, like mm-hmm. I think when we first started this and we were like, oh, maybe three people will listen.
Yeah.
Now we have like 3000 listeners and that's incredible.
We do, and they keep growing and I. I think we started this really humbly, but also we, we like full sended it. I, we did, we did. We got Nicole the first episode. You traveled all the way from Jersey.
Mm-hmm.
Came all with Joey, our editor. With our producer.
Yeah. Literally. And I mean, we got all of our road caster stuff. I mean, we spent Buco money on all this and. Here we are.
Here we are. We don't do
anything lightly.
No. If we're gonna do it, we do it, that's for sure.
Yes. Um, so what are we gonna talk about today, Nicole? Alright, so
this is actually a request from one of my amazing patients.
Yeah. She wanted us to talk about how we treat like 50 and older, a little differently than we would treat, you know, maybe 40 and younger. Yeah. Um, you know, she was saying, obviously we had a lot of patients that listen, uh, but we also have a lot of injectors that listen and a lot of injectors nowadays are younger.
So, you know, they, they know how to kind of treat the younger population because it's what we do on ourselves.
Mm-hmm.
Um, and I think learning how to treat older, more aged tissue comes with time and comes with a lot of training. And so she was like, you know, I think it'd be great if you did an episode on 50 and up and treatments that work best for them, not just for patients, but for injectors too.
Well, and I feel like for so long it was like such a stigma to get. Aesthetic treatment's done. Mm-hmm. Or even plastic surgery. And I feel like finally that generation of the fifties, sixties, seventies are finally like, wait, is it too late for me to come in? Right. No, it's never too late. Exactly. Yep. Um, start with a initial consultation and we can come up with a treatment plan, but obviously I think this is where if you are in your fifties, 60 seventies, you've obviously endured so much environmental.
Exposures. Like whether it's sun pollution. Mm-hmm. Right. Whether it's your type of diet you've had. Right. Right. Your skin takes a toll. Smoking, your perimenopausal, your postmenopausal. Mm-hmm. Estrogen plays a huge role in collagen production, so you have that as well. Yeah. Smoking.
Yeah. 'cause I know my parents always say it.
They're like, when we were young, like. Cigarettes were just the thing to do. Like they were the thing to, like, no one knew they were bad, you know? So, and, and
now everyone is vaping, which, mm-hmm.
Mm-hmm.
The younger
generation's gonna be vaping, but I know,
I know freaking high schoolers are doing vaping. Yep.
Now it's like insane. It's terrible. But yeah. So I think when you're in your fifties and sixties. In seventies and you're listening or tuning in or you're an e injector. I think it's really important during the consultation, you have to be real with them. Mm-hmm. Like the minute you're walking in, you're obviously assessing their skin laxity, you're assessing their volume loss.
Right. What environmental exposure have they had? And you have to set the tone. Like if they are more of a facelift neck lift candidate mm-hmm. You have to start there. Right. Obviously, gage, like are they willing to spend thousands of dollars on aesthetic treatments? You know? To get maybe two to three years down the road to get to their goal, or are they okay with just looking like up to 50% better?
Right, right. Yeah. Then, then we can do more of those aesthetic treatments. Absolutely. But if they're willing to get the surgery, honey, I'm all about sending them to plastic surgery. Mm-hmm. Right, right.
Yep. And it's like you said about being honest and knowing when you walk in the door that their fat pads underneath the skin are gonna be different, their skin is gonna be different.
Right. It's definitely gonna be a little bit thinner and more lax because of mm-hmm. Just the aging process overall. And again, if they have not done anything before, you are gonna have to start. Kind of more on maybe skin integrity side. Mm-hmm. So more skincare procedures or lasers or microneedling, things of that nature to try to thicken the skin.
Uh, and then, you know, your Botox and things like that. But definitely you have to treat the skin differently, and especially because there's not as much fat underneath it.
Yeah. I think I'll, I'll kind of. Tell how I normally handle these, you know, these situations when people come in my door, and then maybe you can, Nicole.
Yeah. Because I'm, I feel like our consulta, everyone's consultations are different. Is a little different. Yep. Um, but how I do it is, and first of all. A lot of these patients that are 50 plus that are coming in, they're nervous. Mm-hmm. Right? So it takes a lot for them to even get into your chair, and once they're there, they don't wanna look in the mirror and they're mul.
It takes a lot to get vulnerable. So I think really establishing that emotional connection with your patient is so important. Find out why they're there. Mm-hmm. Do they have kids? Are they married? What do they do for a living? What do they, what hobbies do they like to do? Right. If you start there, that kind of just like brings you down and gets them more on your level and they're less scared, right?
Mm-hmm. So I think it's really, and you really can't teach empathy. I think empathy is really hard to teach. I think you can teach anyone to inject, but I think when it comes down to empathy, it's really hard to do. So if you're someone who really doesn't have a lot of empathy, fake it till you make it.
Because truthfully, that's gonna be your ticket to being success Connect. Successful to connect. Yes. Yeah. You have to connect. So, yep. For me, it's doing that, number one. Mm-hmm. And then, and that's honestly the first five to 10 minutes of the consultation. Yep. And then after that I go into, okay, here's the mirror.
What areas on your face, if you could wave a magic wand, what areas could you fix or improve or what bothers you? And so I go through it and I'm literally watching them. Anime, smile. I'm looking literally from their hairline all the way down to their clavicle, right? Mm-hmm. I'm doing, I, I'm looking at their forehead, I'm looking at their temples, I'm looking at their under eye.
I'm looking at their neck laxity. I'm looking at everything. Do they have jaws? Do they don't have jaws? Do they have a more prominent chin? Do they have a more recession? So like it all stems from that. We, I think as injectors are really good observers. Mm-hmm. Like you have to be a good observer.
Absolutely. And you have to listen. And then once the, you get everything out, you can kind of formulate a treatment plan. And I think right away too, you could read the energy in the room and say, okay, I'm gonna stop you right there. Are you open to plastic surgery? Mm-hmm. And if they're like, oh yeah. I'm like, okay.
You know, then let's talk about your skin laxity, right? Because that if it's too severe, I can't fix that with injectables, RF, microneedling, soft wave CO2, that nothing's gonna touch that you need. Mm-hmm. You need a. Nip and tuck, right? Yes. Yes. First, right? And then after they get that, they can come back to you because they're gonna have to continue that skin health.
Absolutely. And they're gonna have to do the CO2, the Ian skin resurfacing laser, the microneedling, the sculpture, bio stimulation, right? And you wanna make sure too, in this age bracket that their skin is going to, is healthy and gonna support. Yes, the hyaluronic acid filler that you put in, if you just, if you have someone coming in with tons of sun damage and you just start going in with filler a lot of times because their skin's so lax, it's just not going to settle and integrate well.
Yep, absolutely. And I think that's a huge part for like injectors that are listening. Sure. You know. You might do what you would do on maybe like a 35 or 40-year-old on maybe someone that's 55 or 60 and be like, oh, why doesn't, why doesn't it look the same? Why didn't it come out as good? It is because that skin quality, unfortunately, is really starting to decline.
Sure. So you really have to, again, like you said, the biostimulators or the lasers, the, the microneedling, things of that nature to try to really boost the tissue so that it can handle that filler a little bit better.
Yeah. I so agree. Um. I'm trying to think what else. I, I always, I mean, honestly, Nicole, I, you were so gracious to give me her your consultation tool.
Yes. Which is really cool. It's, it's a sheet of paper and it kind of has, you know, the logo on it, it has a little face in the corner so you can map out Botox and then it has basically the treatments you recommend with pricing. And it also at the bottom, it shows like skincare regimen, like and pm and the products, which is really great.
And on the back of it is pre and post care, which is really great. Mm-hmm. Like tips to minimize bruising, swelling, so. Since incorporating that, Nicole, I really like it has really helped. And so don't
you feel like you sell more skincare with that? Oh,
sell more skincare, but also they, they book things. Yes.
Yes. Yep.
They, they go home, they talk to their loved one, they talk it over with their friends and, but then they have that reference and then they call mm-hmm. And they know right away what to book. Yep.
That's great and what the cost was and all that. Yeah. Yeah. Available on my Patreon, everyone. Oh,
good.
Yes. Everybody follow Nicole's Patreon? Follow my Patreon. I need to do better, Nicole. Oh, the best. Nicole's doing better. I need to get better. But yes, go her Patreon and purchase that because it is literally amazing. Nicole's so great. And the patients, the
patients appreciate it so much, right? Because it's like they really
do.
You're in the room and when you're explaining things to them, it's so much to understand. And you know, they, for us it's so easy to understand 'cause we've been doing this for how many years. Mm-hmm. Like, and I think sometimes injectors too, forget that like for us it's like so simple, but the patient has never heard any of these terms before.
They don't know what's going on underneath their skin. They have no clue. So you're talking to them and it's just like. What's that meme where it's like all the,
yeah, the
plus signs and the, you know, the math, math equations above their heads. So just writing it all out for them and actually saying like, this is the order in which I think you should do it too, is it just simplifies everything so much for them.
Yeah. And a lot of times if you're reading the room and you find out they're just nervous. Always start with the neurotoxin. Yes. I like to start, I like to say, let, let's start dating with Botox. Like let's do your Botox. I love that. Bring you back into I, right. Like start dating. Yep. And honestly, a lot of people like travel from outta town or do whatever.
Mm-hmm. So sometimes if they can't do an in-person follow up, I always do a virtual. Yeah. It's a FaceTime. And then you know, you just reassess to make sure your dose is right. Your placement was right. If they trust you after that. It's, I mean, you've paved the red carpet, right? Mm-hmm. Like, then they're gonna be like, okay, let's go to the facial balancing.
Let's go to bio stimulation. Mm-hmm. You know? Um, and yeah, I think that's how you earn the trust.
Absolutely. Absolutely. How do you
normally do your consultations?
So I don't talk too much at the beginning, like you.
Okay. Yeah, no, I
still obviously build a relationship, but like mm-hmm. I am be, I think because I am so, and you're the same way, but we're so booked, like I save my conversation points for like, while injecting.
Mm-hmm. Um, I also don't deal with a ton of newer clients anymore. Mm-hmm. So obviously if it's a new person that I don't know, I do spend a little bit of time and like, and, and learn them and, and what brought them in and what, what they do for a living and their family and, you know. I really focus on that.
But when, when I'm go, go, go, it's like, all right, so what do we wanna do today? Are we doing the same thing? Are we switching it up?
Hey guys, just popping in. If you're enjoying, fill me in. We would absolutely love it if you could leave a review wherever you're listening. You can also follow Fill Mein on Instagram at the fill in pod.
And don't forget to follow us on Instagram and Patreon at injector. John Anesthetic nurse Nicole. Thanks so much for listening.
One question that I do always make sure to ask in, in any consultation, whether they're someone that's coming back or a new patient, is they, well, they're on the schedule for Botox, right?
And you go in and you, you do the whole Botox assessment. And then before I walk outta the room, I go, okay. That's great. Was there anything else that you wanted to talk about or discuss or like any concerns? Like even with your last treatment, and I telling you 99% of the time they're like, actually
when I, I'm literally like.
Yep. Like, you going like
this because literally a year
Oh, you're like already up. And then you're like, okay, I'm gonna sit back down.
I, I'm telling you, I, about a year and a half ago, I started incorporating that. Yep. Because you just don't want it to be mundane. Right. You don't want them coming in every three to four months.
That's the same thing. Getting the same exact thing. Same exact words. Literally. Just stop for a minute and go while you're here. Is there any other questions you have about aesthetic treatments, issues, concerns? Like you said like at least 80% of people will bring something up.
Yep. And it's like, yeah.
Guarantee you're about to do another five to 10 minute consult. Yes. Which is fine. Yes. And of course I always tell people too, 'cause it's like they almost seem like they don't wanna ask or they wait till like you're done with the treatment and then they ask and they'll be like, oh, that would've been like an easy four units.
Like, do you want me to just go grab it? Like I could do that. Like, so I just think.
Do you know what patients also want? And I think we're very afraid to do it. But they want to hear what they need.
Yes. Yes. They,
they really expect. Mm-hmm. I started to change my language a little bit. Mm-hmm. Because I would, I didn't wanna sound forceful.
Right. I didn't wanna give them a construct, but there is a way you can say something and it's in the delivery. Yeah. It's in the delivery. But just to put it in their mind, like while they're doing their crow's feet, if you're. Over here and you're seeing a hollow temple. Mm-hmm. Saying like, Hey, listen, I'm over here.
I'm, I'm assessing your temple. It's a little bit hollow. Yeah. You would actually do really well with a little bit of temple, um, restoration using ha filler. It would help to kind of support the brow and it would help to harmonize the upper face a little bit and be like, oh, did you hear those
words that John just used?
Assessing and restoration. Like it's, it's the way that you vocabulary bring up to them. Exactly. And the words that vocabulary you use, because if you're just like, oh, your temple's hollow, you, you probably could use a little filler there. Like, it, it, the delivery is so different.
Mm-hmm. It doesn't
come off as like.
Something that you're nitpicking. Yep. It comes off something more of like an assessment, a diagnosis, when you use the right words.
Yep. It's literally kind of decoding it. I would say a little bit. Yes. Like diagnosing them, right? Mm-hmm. With volume loss, you need some restoration or structure or contour or lift or definition, right?
And I'm
assessing, this is what I'm seeing, you know, I'm assessing, not like, not just kind of mm-hmm. Picking out little things everywhere. Yeah. It's in the delivery for sure.
Yeah. It a hundred percent is. Um, so, okay, so you obviously, okay. Keep going with what you were saying. Yes. Okay.
So I get kind of a little bit to the point.
Yes. Yeah. I say
I save my conversation for while I'm treating them just because it's what works best for me. Mm-hmm. Um, but Okay. So especially if they've never been there before, if they're doing like a full face consult. Mm-hmm. Same thing I'm looking from. Forehead all the way down to the clavicle like you, because the neck, especially nowadays, is a major concern for a lot of people.
So I don't like to skip that. Um, I like to start, so especially if you're a newer injector or just any injector listening, like I feel like you should definitely, before going into the room, have some kind of plan in your head about how you're going to discuss what you think they need. And I think if you're able to look at pictures before.
You walk in the room. I think that's really good too. 'cause I think if you can come up with a plan of what they might need and then also a way to deliver that plan, it just comes out better. It does. Instead of being in the room and trying to like, think of it on your feet, you know? Um, so I always like to start with the skin.
Mm-hmm. Like skin quality, especially if I have someone 50 plus. Um, and explaining to them, 'cause again. They just think that they have lines. They don't know why those lines are there. And just explaining to them how not only are we losing collagen, elastin, but over time our fat pads underneath our skin where me and you might have fat pads that are sitting Yes.
Nice and full through here. They're not only thinning, but now they're starting to fall. Right, right. And the ligaments are also, all the ligaments in the face are also starting to get a little bit more lax. Mm-hmm.
And everything
is starting to drop.
Mm-hmm. And
when I kind of explain that to people and show them I have these little books.
They're actually from Allergan. Mm-hmm. They probably happen too. I do. But it shows, it shows each fat pad underneath the skin. And it's so funny when you show people like that, they have the young side and the mm-hmm. The older side. And when you show 'em, they're like, oh. 'cause they can see exactly what's happening on their face with those fat pads on, on the picture.
They're like, that is why I have the, the laugh line and the jowl. And so it's kind of like that, like light bulb moment for them. Um, and then I kind of go into explaining like, you know, we have to. One firm, the skin, and I like to call it firming because I feel like when you call it tightening, people expect the, the two finger lift.
Mm-hmm. They expect that face lift. So I, I like to say like, you know, your RF microneedling, your microneedling, your lasers, they're gonna firm the tissue, but they're not gonna, they're not gonna tighten or pull the tissue, but we wanna firm the tissue so that when I go in with. Something like a filler, it's, it's held better.
So whether that's with something like microneedling, laser or something of that nature, or if it's with a bio stimulator, we're firming the tissue so we can better hold the product.
Yep.
Um, and then, so that's that your top layer and then going in with the filler is kind of explaining to them, we have to.
Kind of replace the volume that you've lost in those fat pads. Mm-hmm. So I showed them the fat pad, and I, I explained to them if we're placing volume in these areas, it's actually helping, helping to reposition those fat pads. Mm-hmm. And once we reposition them, the hollowing looks better, the shadows look better.
We want light bouncing off the skin. You know, and that's, that's kind of what we're aiming for. Um. So, yeah, explain that. And then I
loved how you broke that down. Mm-hmm. Like you broke down, like the anatomy, like Right. Yes. Like what does, what are, what are the anatomical cha changes? Changes that are happening Yeah.
As we're aging. Yeah. I think that's so important to kind of break that down.
Yeah. And I think 'cause it, they don't really understand why it's happening. So once you explain it, then you're no longer selling. You're mm-hmm. You're, you're sharing with them. You're educating how to fix it. Exactly. You're sharing with them like, I'm not just here to be like, you need 12 syringes.
Right. I'm here to tell you like, this is my assessment and I'm diagnosing you and, and prescribing you actually. Yep. This amount of ha filler, this treatment
regimen.
Right. Exactly. That's going to work for you. Exactly.
Yeah. A hundred percent. I think breaking down, breaking down the anatomical changes that happen as we age mm-hmm.
And connecting with your patients using empathy. Mm-hmm. Um, and meeting them halfway. Really, really, it. It really cost ends up. I mean, cost is always there, but it becomes less of a worry. Mm-hmm. And less of a concern because if they just trust you. Right. It it, they're gonna end up spending the money on it.
Mm-hmm. Because they trust that you will. Not make them look not like them. Right. And make them look fake. Right. I still think that there's a lot of misinformation out there. I know we talked about that with Dr. Pinto. Mm-hmm. In our latest episode, which was so, so wonderful. I love him. Um, and. I feel like a lot of people, it's funny, like I had this conversation with someone recently and I said, really?
Like you really think that there's that much misinformation still out there? 'cause I feel like for a while it was like, fillers make you look fake, blah, blah, blah, blah, blah. Mm-hmm. There was all this, this whole issue, but I really feel like the pendulum is starting to swing more and I think it's getting better, but I still think that there's some.
Injectors and specifically businesses that are like, why I just can't get people to, you know, commit to a full face rejuvenation. Yeah. Like they just wanna do Botox or they wanna do a laser, or they wanna just do bio stimulation. And I'm here to tell you, like if you're someone listening in who's just using sculpture and you're thinking you're gonna get a filler outcome, you're not.
Yeah. Like sculpture up will do. Wonders for the skin. It'll help firm the skin, make it look more youthful, more glowy, but it will, will not replace volume like filler won't.
Right? Yeah.
And this is coming from a non-biased person, like, this is just us, right? Like, you know, just talking. And at least, and this is my personal opinion, like, yeah, you can't treat a recessed chin with s Sculptra.
You need filler. You can't retreat a recessed jawline with S Sculptra. Mm-hmm. Like, will it help too? Connect those collagen fibers and regrow them and help to keep it tight. Yes. But it won't,
it won't do what it Yeah. Fillers can do. It's not a replacement for fill. Exactly. It's not gonna hide the shadows.
It might firm slightly. Yeah. But it's not gonna, it's not gonna do what filler can do.
Yeah. Right. Yeah. I mean,
yeah. You have to use 'em together. Yeah.
Yeah. It's so true. Um. But yeah, no. And
in terms of the misinformation online, 'cause I like that episode that we did with Dr. Pinto was so incredible and like I was just scrolling through Instagram like I think it was yesterday and something popped up and it's like, I don't even know if some people, oh, it was a NAD video I saw on TikTok.
Mm-hmm. And it was a lady speaking on MNAD and like how you shouldn't do it. And to me, I was like, I feel like you can't speak on these things until you do your own research. Mm-hmm. Of both sides. Right. Pros and cons. And you've looked at. 10 to 15 different research articles and, and truly understand the information.
'cause she clearly looked at one article and like made her decision right then and there. Or someone told her something and made her decision right then there. And the, the video that she made is like, it's so not the truth. And like to me, I'm like, she doesn't even know she's spreading misinformation.
But also these people sometimes are just out there for the clout and they're out there for the controversy.
And here's the thing, if you're, if you don't feel comfortable offering a treatment. Don't offer it. Mm-hmm. Don't do it. Yeah. Okay. Period. You know the people that are out there doing it. Yeah. They should definitely be the most informed on what they're doing. Right? Absolutely. They should have their consents, their protocols.
Mm-hmm. They should be well aversed, right? Mm-hmm. And trained and don't ever do anything half-assed, right? Mm-hmm. Never, always do things with full intention, but, but. If you just, and this is in regards, and, and I'll just say it like the whole PDGF, you know, bullshit. Mm-hmm. You know, is, is if you do not feel comfortable doing it, do not offer it.
Mm-hmm. You know what I mean? Yep. And you know, it is what it is. No. That and,
and still you could tell me and John still have a lot to say about that, but it is just crazy to me because there's people that are injecting the salmon, DNA and the Prine. Oh. And, and they're injecting that into the tissue and no one's up in arms about that.
And it just, it's shocking to me. I
mean, salmon. Okay. Polynucleotides, P-D-R-N-P-R-P. Mm-hmm. Um. Uh, compounded GLP ones are all illegal.
I got 'em going now, guys and not
DA approved. Uh, okay. And I hate even saying the word illegal, but they're not f FDA approved mm-hmm. To do. And people are out there doing it left and right.
Right. But then PDGF was put in the limelight and it's like, really? But why are we talking about all these people about the other things? Right. That when Tirzepatide and Semaglutide were taken off the shortage list, they were still doing compounded versions of it. Right. But can I tell you something? I would never be the one to go Te Rat on.
Those people or telling those people. Mm-hmm. Because truthfully, I think Tirzepatide and Semaglutide are the most amazing medications for people that have been life changing for people. And I they, and they have, have their purpose and their place in the in, in wellness. Right. And I would never do that, but it's just that whole.
Debacle in debate was mm-hmm. Very controversial and it wasn't delivered well. And I really think that if you do not wanna offer a service in your office, don't do it. Mm-hmm. It's as simple as that. Or if you don't feel comfortable doing it, don't do it. And take your time to
do the research on it. Exactly.
Exactly. But I think, I think that it goes both ways, right? Like mm-hmm. If you're gonna, if you're gonna be spreading information, you should be fully informed.
Fully informed. Yeah,
exactly. And I just feel like, I saw that video and I was just like. I feel like people don't even know they're spreading misinformation.
Yeah. They think they're spreading knowledge and truth and it is scary and crazy.
And, and for and, and people that are tuning in that aren't injectors, that aren't whatever, you know, and you guys are patients, click on that person's name, go to their website. Mm-hmm. Do your research. Do they even offer that?
Mm-hmm. Do they even, you know what I mean? Like have they even done it before? Right. Right. Because if they haven't offered it before and they're giving this. This opinion on it.
Mm-hmm. They're
going based on anecdotal data that they're seeing right. From other people, and they're just collecting it.
They're doing a meta analysis of what they're seeing on social media or on TikTok, and they're putting their own opinion out there, and they've never actually done their own research and offered it to their patients. Mm-hmm. You know, I, we all know very good, educated. Colleagues of ours that do some of these things, and they do a really good job managing these patients, right?
Yes. Yeah. And they're, and they're all okay. Mm-hmm. You know, and so I just don't knock these things right, until you've done the research on it.
Right? Yep. Yep. But yeah, I was like, oh, all right, I'm done. Sometimes I had to, I
had to get the rant out. No, I'm
sorry. I started it.
It's okay. Oh my God. Ay, you know, it's just, it's just so sad because
this No, it is, it is aesthetic.
And that's what I'm saying. Yeah.
Mm-hmm. The aesthetic profession is ever evolving. Yep.
And
like, I just feel like the 2025, it's like we had this hard time, like mm-hmm. Evolving and moving forward. Yeah. And I feel like, yeah. We're always gonna be moving forward, right? Yeah. Filler will always be here.
Biostimulators will always be here, but there's gonna be things that. Change over time, and we can't just get content with the old way of doing things. People, things are gonna continue to change. It's like with techniques, like we inject lips differently, right? We inject products in d in in the lips now that we in different areas, right?
In different area, you know, it's just Yep. Things change.
Yep. And that's why we attend conferences and everything, right. To stay at the top of Yes. And offer our, offer our patients the best too. Yes. That's the thing too, is you never wanna, and I I am like a perfect example of this, right? Mm-hmm. Like I, I've always done filler, I've always done Botox.
They've been like my top thing. And, um, ever since bringing Gab on, you know, we offer Biostimulators now we offer Dify, we offer other things, like same here. And it's, it's so important to not just stay stagnant because mm-hmm Everything changes. And it's not just about staying with the times. Mm-hmm. It's about offering.
The best products and the best results for your patients.
Right. We want the best for our patients. And you know, and to everyone listening, like me and Nicole, I mean, in our practices, we try every single product before we offer it. Mm-hmm. It, we try it on our staff. It's
in here
literally, but like not just us, our staff has to try it.
You know, we have some patients that are willing to try it first, and then we follow up. We assess the longevity of those products. Mm-hmm. If they came out well, if they integrated well or whatever. And if it does, then, then we offer it.
Right. You know what I mean?
Like we do our own research and our own trials before we offer anything to our patients because we want, number one, the best outcomes for our patients.
We want best safety for our patients and Yeah.
Yeah. Anywho. We'll, we'll get back to the
mic drop.
I can't, oh my gosh. Oh, but we'll get back to the 50 and up now. Sorry, everyone. Oh, the 50
and up back. Back to our actual topic. Hey everyone, it's Jonathan, also known as Injector, John.
And I'm Nicole or Acidic News. Nicole, if you follow me online,
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Love you guys.
Oh my gosh. Oh my God.
So go ahead. So would you say, okay, so like say someone. Tell me the difference here. If someone 20 to 40 came in and wanted their under eyes treated versus someone 50 to 70 that wanted their under eyes treated.
That's a great question. Someone in their forties and fifties, you really have to assess for under eye bags, you have to assess for, you know, assess their lymphatics.
You have to assess their skin laxity. Mm-hmm. Um, so as you get older, your skin gets more lax under the eye. I mean, I don't know how many. I think the under eye skin is the thinnest layer of skin, right? Mm-hmm. On the, on the body.
And in the most medial aspect of your eye, there's actually no fat. So there's like nothing to hide.
There's nothing to hide anything. Nothing. Yeah. So think
about it like all the sun damage or whatever we've endured, our under eyes go through it the most, especially if you're not putting SBF on. So, um, fifties, sixties, for sure. I'm assessing their skin laxity, and if there's too much puffiness or bags or laxity, I am recommending a skin pinch or mm-hmm.
A blepharoplasty to them. Like a consultation. Yeah. Whether it's an upper and a lower bluff, uh, or if it's. Uh, uh, aesthetic treatments. It, it's geared towards more tightening that skin. Mm-hmm. Whether it's Erbium skin resurfacing laser, which I offer, some people offer CO2 laser. Um, also, uh, mxi is a good option I know for people.
Mm-hmm. Um, uh, bio stimulation with certain treatments. Sorry. PDGF is one of them. Mm-hmm. That I use. PRP. Um, if you don't wanna use PDGF is great. PRF, um, people are doing, oh, what's the other one? Easy gel. PRF Easy gel. Oh, easy gel. Yes. Yeah. Um, that's another good option, but I know. Mm-hmm. With PFI don't use PF Easy gel, but I know if they have bags, I don't think it's, they might not be the best.
Yeah. 'cause it's technically best candidates kind of
like, almost like a filler. Yeah. So I think PP is usually the best. Yeah.
Right. So that's but
definitely no filler for those people, right? Yes. No filler for those
patients. So like, if you're more in your thirties. Like twenties, thirties, maybe early forties, like whatever.
Mm-hmm. And you have healthy skin under the eye. Um, I could maybe, depending on, yeah, if you're an under eye filler candidate, do ha filler there. Something something. But I'm usually geared more towards P-R-P-P-R-F or PDGF to the under eye.
Or some kind of, like you said, laser or laser or verium. Yes. Yeah.
Um, and I think a good point too, speaking on that, like definitely usually no filler for those people. One, the, the, the skin is thinner too. Yeah. Like, and then they might have the, the bags changed, so the fat repositions under the eye. Uh, but the other thing would be you have to be careful because lymphatics slow to begin with, right?
Yeah. So I think for injectors that are newer or younger, it might not deal with. Older patients, often you have to be careful with Botox too low in, in the eye.
Mm-hmm. Uh,
because you can actually slow the lymphatic system there. Mm-hmm. And they can end up looking puffier or baggier.
Mm-hmm. And they
have to unfortunately wait for it to wear off.
Because if you think of like the oculis oculi muscle, it every time you blink or like make a movement, it, it almost acts as like a pump. And it's helping flow that fluid out of there. And if you take that away and if you go all the way under the eye, oh gosh, some people get so puffy. It's
so true. Yeah, I The frontal too, usually.
Usually I'm just starting at that. Yep. I would say outer third of the brow. Mm-hmm. And I'm stopping at about like the drawing a line from that lateral canthus over. That's exactly
what I do. Yep.
Yeah. And I'm not touching anything down here.
Yeah. And that's actually how I treat myself, because even young people sometimes have issues and I'm one of them.
So I stop right at that. Yeah. Right at that last line. And
then there's people like me that talks the shit out of my eyes. Yeah. And they're fine lately. And I'm okay. I might look dead at that two week mark, but. I will forgive the dead and oh my God, dead luck. And I with, yes. With that three to four week mark.
I'm good. Loosens up a
little. Exactly. Yeah.
And then, um, the frontal, oh, and what do we do? What do we do for people that do, because Okay. Here's a good one. Yeah. Because especially as we get older, you said the lymphatics. Mm-hmm. Um, for injectors listening or tuning in or patients, if you, after you treat right, and you do a full like you're doing.
Uh, glabella, frontalis, crow's feet. Mm-hmm. Say if you have someone that's feeling puffy, what, and they're not, and they're not like too puffy under the eye, Nicole, but they're puffy with the eyelids, what is something that you could tell them to start taking?
Like a Zyrtec?
Yeah. Zyrtec. Mm-hmm. Claritin. You could take Zyrtec twice a day.
You could do a Benadryl at night, because honestly, me sometimes too at that two to three week mark, like when I'm fully frozen, right? 'cause, because I'm. Having issues with clearing my lymphatics. I'll take Zyrtec. Yeah. Just to get me through those, those two weeks, couple of, yep. Mm-hmm. And then after that I'm good because then yeah, help it clear up a little bit.
Then start a little bit of movement.
Yeah. And I think 50 and up two, and I don't wanna say under dose the forehead, but you really have to assess people that have a little bit of hooding. Yeah. For a lack of lid space. And if they have a lot of lines on the forehead. Obviously over the past years, they've been compensating for the fact Oh yeah.
That they have those lids and that's why they have the forehead lines because they spend all day lifting the forehead and the, the lids outta the way. So if you were to put 20 units and come very close to their brow, they're gonna be so dropped and so heavy. So true. They're gonna hate you. So I usually actually like those people to Spock and then come back to me at two weeks and I, I tone it down.
Mm-hmm. Um, because I always tell 'em, I'm like, I'd rather lift you too much than drop you because I can't do anything once I drop you. So true. So you have to be very careful. So that's like 50 and plus, 50 and up. You have to be careful around the eyes and you have to be careful in the frontals.
Yeah.
Some, some people prefer to just treat the glabella and around the eyes to try to get as much opening as they they can.
Another thing, 50 plus. Mm-hmm. I will say they get sick a little bit more. Mm-hmm. So, and I think. The, that age group too. This is where autoimmune diseases can sometimes come about. Mm-hmm. So just make sure that you're properly screening, doing your, your health screens, your good faith exams, your medical history forms.
Always once a year. Yeah. Like if, if it's been a year, redo the medical history form. Ask them yes. If they've been on any new medications, any new di. Diagnoses. Um, my poor patients,
I do it every time they come in.
Yes. And my medical assistant does the same thing. Like she'll ask them and let me know if there's a change.
But if you're not doing that, I think every once a year doing that, at least once a year is good. Yes. Yep. Um, because like as they get older. They people get more vaccines they're getting Yeah. Now, COVID vaccine flu vaccine, right? Flu vaccine, pneumococcal vaccine. Mm-hmm. Um, they're getting all those shingles, shingles, vaccine.
Oh my god. See another one. Yep. So you really have to make sure, and you don't wanna do any filler within two weeks of getting a vaccine. Mm-hmm. So just make sure of that. The huge thing too. They get more dental work as we get older. More root canals. Implants. Implants, yeah. So just really make sure you're screening them, um, for dental work as well around filler appointments.
You know,
and the reason we say that, so dental specifically is there's so much bacteria in our mouths and like it's bacteria that's not. So much found on our face. So you just wanna be careful because when someone gets dental work done, it releases that bacteria. Yeah. And it can linger. So then if you're putting filler in and entering that bacteria into the skin, you can have a major issue.
Um, and then the flu vaccine and any other vaccines is because it's lab attenuated, right? Yes. And it, it causes a response within the body. And sometimes the body can, can view fillers and things, um, as foreign bodies. Mm-hmm. So then. Your body kind of sends cells and attacks the filler and that's why people swell on and off when they're sick and things like that.
Mm-hmm. So that's why we have to space those two. Yeah. I just like to give, I like to give the why.
Yeah. Um, one other thing that I wanted to add, I think this is really important. Mm-hmm. There's so many injectors now that are going. Right from nursing school. Right. From NP and PA school. Right into aesthetics.
Yeah. Which is a great thing. It's very exciting, right? Like aesthetics is blowing up. Mm-hmm. But I think it's so important that if you are doing that, make sure that you have a foundational. Understanding of basic anatomy. Yep. Complications, um, and how to handle them. You need to take a course before you even open up your practice or go into it.
Because like for instance, me, my background is a hospitalist. Mm-hmm. So I worked in a hospital for 10 years, five of them as an NP with. Hospitalist medicine. So I saw all patients in the step down unit and then med surg. So I managed them, you know, chronic comorbidities, I saw everything. Mm-hmm. Right. So I had that foundational aspect going into aesthetic medicine.
So I'm able to really, like if someone's coming in, say you do a treatment on them. Like for instance, I just had my patient that came in and I did temple filler on her, and she. Had issues on one side with, I thought, initially the filler settling. Mm-hmm. We ended up dissolving the filler on that side. She had some lock jaw issues.
She also had TMJ disorder. She was a clincher and a grinder. Mm-hmm. Um, after the filler was fully dissolved, she still had this swelling that was persistent on this side. Um, she went for a CAT scan, um, of her face, and it showed no soft tissue swelling. No abscess, no fluid collection. Which is amazing. Yeah.
But no soft tissue swelling, which means there was no inflammation. Right. But it showed that there was a possible dental artifact mm-hmm. On the CT imaging. So I ended, so she was discharged from the ER without any medications at all. Yeah. And, and a lot of these ER physicians or practitioners don't know how to handle.
Right. Our our stuff, our our stuff. Yeah. So I made sure she, you know, she had my personal number. She texted me, she was great. She updated me on everything. Um, I FaceTimed her and I ended up calling in Augmentin and a short course of steroids. And I saw her for a follow up three days later, and her swelling was completely down.
She was able to open up her mouth more. Mm-hmm. And potentially I was treating for a prophylactic dental infection, because that's another thing. You just have to have the whereabouts of like.
Critical thinking. Yeah, critical
thinking. Yeah. And if you don't have that foundation mm-hmm. Like whether it's med surg or a family practice before you go into aesthetics, it can really, it really can affect you.
Hinder you. Yeah. And hinder you. Yeah. Absolutely.
Yep.
Yeah. Mm-hmm. Am I right? I don't know. No.
Ab Absolutely. 'cause I just feel like, although yes, it's aesthetics, there's so much more that goes into it. Yeah. And I, I think that gets missed with our field a lot. Like it isn't just us putting jelly in someone's face like this is.
Very important stuff, very medicine like you have to know like, okay, if I put this here and this happens, what else could be going on?
Yes.
And how to diagnose and how to treat and ask them if they're
on blood thinners, especially 15 over. Yes. It's huge. I mean, Xarelto, Eliquis, aspirin, Pradaxa, uh, and you do
not wanna make the call to stop that.
Like you would never Yeah, you would never do that. But it's just, they are gonna, they're gonna be much more prone to bruising. They are. And you do sometimes wanna have it just ran past their, whoever, whoever. You know, maintaining their, their dose on that. It's funny, Nicole,
because my, my office manager, she literally, it was this past Saturday.
At the end of the day, she's like, oh, before you go I got, I have this sticky note. This person called, they're scheduled for you for filler. They're on a blood thinner. She can, can she get this done? And I was like, well, what are they on the blood thinner for? And she didn't know. So I just had like a meeting about, yeah.
With my front, just making sure, like if they're on a blood thinner, ask them what it is. Mm-hmm. What are, what are they on it for? How, how long ago did they start it? You know what I mean? Right. Yeah. Um, because that's really important because this is a new event.
Right? Right. If they just had a stent
placed like a cardiovascular stent and they're on Plavix, we're, we gotta push your filler.
Like
Yeah. Like, don't worry about filler. Okay. Not, yeah.
I'm not causing you to have another heart attack. You know what I'm saying? Um, and sometimes I think, you know, they, we have to get approval. They have to get approval from their cardiologist or whoever. I do like
a lot of my patients to get approvals from Yeah.
Whoever, whoever has them. I was, whether it's. Cardiology or like maybe they had a stroke and it's neurology or like whoever it might be. I do like them to just run it past them because Yeah, at the end of the day, like we don't wanna be doing things if it's gonna be aggravating your diagnosis a hundred percent.
So it's just good to just get a little approval.
Yeah.
And never stop your blood thinner for us.
Oh my god. Don't want. Oh my gosh. Um, okay, so it's holiday time. Mm-hmm. Um, you just had your Christmas party.
I sure did. Yeah. Was it so fun? Oh my God, we had the best time ever. It was just like the most, like I explain it, like girlhood, right?
Mm-hmm. Like it's 18 women and like we just literally like get to show each other how much we appreciate each other and gift each other things. And just spent, John, we were together for five hours at that restaurant. I mean, that's
so nice. Like
five hours and it didn't even feel like it, you know? And
for those of you guys that don't know, I mean, Nicole.
Has grown exponentially. Like she has gone from, I don't know, four or five people working at her office to now. 16. Yep. In as little as three years coming up. Three years.
Coming up. Three years. Not even three years. And you,
I mean, that's absolutely insane. So yeah, it's crazy. And yeah, I just think it's amazing.
And you have this sisterhood along. No, thank you. And you have your, you know, your team meetings, your check-ins and Yes. Oh yes. We're
very, uh, involved. Yeah. Yeah. No,
it's good. Yeah, it's good. Everyone needs to feel heard and Exactly. And I think that's, um, I. Something I wanna stem on from that too is mm-hmm.
You know, I think a lot of us that are business owners are approached from private equity a lot. Yes. Private equity is a huge thing now, right? Yes. Mm-hmm. And I think it's like, I'm always like flattered, right? When you know when they wanna reach out. But I truly, for me, will never sell to private equity.
Yeah. Same. You know, just because. I want my name on the door. Mm-hmm. It's, you know, our brand. It's, I, it's, you know, our money, it's our revenue. I don't want, uh, an investor. Yeah. I don't want anything like that. And I want things done our way and especially,
you know, then they come in and your patients aren't treated the same.
Exactly. Yeah. And
your patients and your staff. I don't want my staff ever feeling like a number. I want them to all feel heard. I want everybody to get along. Yep, yep. Which is, which is hysterical because sometimes they're like, John, like not everybody can get along. And I'm like, well, too fricking bad, you know?
No. I say
to them, you get along while you're here.
Yeah. Yeah. You'd be civil. Okay.
It is possible.
I know. Uh, but anyway, no, there,
there are some weeks though where I'm like, Hmm, no.
Oh my gosh. Well, it's, Hey, it's a good problem to have, you know?
Yeah.
It's a good problem to have, but
growing is good. The growing pains.
The growing pains, it, it is, it makes us better people, better bosses, better, you know, providers and mm-hmm. Yeah. I wouldn't, I wouldn't trade it for anything.
No. And I say we, we were for so long, like. Population. I, I have, I have a couple older patients, but my population was typical, like thirties, some, some early forties.
Mm-hmm. But we had a, a med spa close in our area.
Mm-hmm. And,
um, they definitely had older clientele and we have like such a large, like 65 to like 75 now. Because we've gained like a lot of their, can I tell you those are my
favorite patients.
They're the best. They're the best. They're the best. And they're like, so they're, they really are just like so happy with everything because they, they really aren't like expecting the world, you know?
They're not like, I feel like sometimes the 40 year olds are like, well, why can't you just do this? And like, they, they understand like, okay, I know I have laxity, I know I have collagen loss. Like I just want some of these lines smooth. And like they are, they are, they're just the best clients.
They really are.
And they just want, they want to come in, they wanna get their Botox, they wanna get a little filler. Mm-hmm. Maybe a little s Sculptra or a laser too. They're happy with just looking better. Yep. You know, and it's just, it's the best. It is. Um, another thing I wanna add on here is mm-hmm. Moxie. Yes. I wanna talk about Moxie a little bit.
Yeah. Mm-hmm. Because if you're still listening, 41 minutes into this podcast, sorry
everyone,
you've made it, we're finally here.
But I wanna, you're towards the end. You're towards the end. We're
almost there guys. But I wanna highlight Moxie because Moxie is really changing the game first, the aesthetic profession.
It's really, and John is
talking about a, um. A company, not the Moxie laser. This is, we're transitioning kind of here is something different. Yes. Not a, not
a laser. Yes. Yes. Join Moxie. You can join. Follow them on Instagram. Yes. They're absolutely wonderful. The company as a whole is just awesome, but basically they do two things.
I wanna talk about their scale. Society, if you are an injector. Guys, this is free. Just join the Scale Society. If you go to my Instagram injector, John hit My Link Tree in my bio. You can see Join Scale Society. Click that it's free, you'll get accepted and you'll be notified of in real life events, in real life trainings.
Um, there's shopping involved, which is really fun. At these, there's gonna be panels. We're gonna be at. Every single conference for the most part next year. And it's basically for people that really wanna level up in this profession and are passionate about what they do. And me, Erica Berry, uh, Olivia Salmon, David Weir, I think Alison McAllister, Dr.
Sadat. I know there's many more. I think there's a few more I'm missing. Libby, who's the queen of marketing, right? Mm-hmm. Um, there's, and there's a few more that I'm missing, but it's. A bunch of us are gonna be kind of your resource and we're not gonna gate, gate keep. Mm-hmm. Any of our secrets from you guys, whether it's for the business side of things, the marketing side of things, and then also injectables and aesthetics and, um, definitely joinm, join Moxie Scale Society.
It's the best thing ever. And you can also network and collaborate with people. Mm-hmm. Like some of their shopping events are so much freaking fun. Um, and yeah, it's just awesome,
like you said earlier, right? Like, if you're gonna do something, make sure you do it. Like all the way.
Yes.
Because especially opening your own practice, like you cannot do it alone.
Oh. And with all the different regulations and codes and like you need, you need help. And like knowing people that have been through it and done it like is incredible. And that's what that scale society is for.
It is. And the people that are, have joined the scale society, right? These are all people that wanna stay up to date on everything.
And whether it's, you know, regulation rules, compliance, or just in general, you want just a shoulder. To cry on or mm-hmm. Shoulder to put your head on just for a minute, just to kind of talk about something, but also what Moxie does too, if you are someone who's listening in and you own a practice and you have established practice, you're growing and you're like, oh, it's just so overwhelming.
Moxie, you can get a free consultation with them. You can also, it's in the link free in my bio. You click that you can get a join a call with them and they can review your practice. And if you guys are a good fit, um, they can actually help. Hugely on the marketing side of things, the accounting side of things.
And then also, um, for like products, whether it's filler, neurotoxins and things like that, they give you the support that you're kind of looking for. So that way you can be the provider that you wanna be in the treatment room. Mm-hmm. Right. Um, so I think that's huge. And it's not just established practices.
They help, um, they also help you launch your own med spa as well.
I think that's huge too, because that's something like the accounting and all that backend stuff is something that I didn't realize we needed until we were like a year and a half in and we're like. We do is see 25 patients a day. I don't have time to do all this.
That, and like then you're struggling to hire people and like, no, it's impossible. Especially with your
schedule. Like you need a good accountant. Yeah. And like if you are right now doing your own bookkeeping for your business mm-hmm. And it's getting too much. Number one, get an accountant. Yes, please have your accountant do it.
But if you're actually interested in, in seeing what Moxie has to offer, they do bookkeeping for you.
I mean,
it's amazing, incredible. They have people that do it. So anyway, super cool company. Look into them. Join Moxie's, their Instagram handle, join their scale society. It's a link tree in my bio. Um, you will not regret it.
Love it.
Yeah. But this was a fun one.
I know. This is cute. I feel like, uh. Is there anything else we wanna say?
I know, right? Merry Christmas, everybody. Happy holidays, happy Hanukkah.
Yeah. And like, uh, always leave comments, right? Yeah. Even on our Instagram or on our YouTube, wherever you might be listening.
Mm-hmm. I think you can comment on certain podcast apps, but like, we love the. The suggestions, like, today's episode was from one of my patients. Right. You guys tell us what you wanna hear and we'd love to talk about it, you know? Mm-hmm. And obviously, I know we probably could go on and on. Mm-hmm. We don't get too in depth, but it's fun to, to at least spring some knowledge out there.
Yeah. Oh my god. Can you see this? Oh, please. Look at this skin ity that's starting in my neck. This has happened over the past year. I know. Me too.
Mm-hmm.
Look, when I go like this, it's like you can see the difference.
It's depressing. Nicole. I I know. I absolutely cannot.
We're on our way. Listen, I wear my sunblock.
Okay.
I do too. But look at this. Look at that.
Oh my God. Get on the soft wave.
It's fine. I actually had guys, I actually had Norovirus last week and I lost like 10 pounds, which Jonathan does not need to lose 10 pounds. Um. But it's definitely affected my skin laxity. 'cause
you need a little bit of that fat back.
Need some of that fat back. Yeah.
Give another layer to the skin.
Yes.
Oh my God. All right, well thanks for listening guys. Yes. Thanks for tuning and happy holidays. Merry Christmas. Happy Hanukkah.
Happy holidays and thanks for tuning in to another episode of the Film and Pod. We are forever grateful for you guys, and until next time,
bye.