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
Ultrasound Innovation, Biostimulator Stacking, and Combatting Counterfeit Products w/ Julie Bass Kaplan FNP-BC
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Fill Me In: An Aesthetics Podcast | Ep. 55
Welcome back to another unfiltered, laugh-out-loud episode of Fill Me In, live from Modern Beauty Con! In this episode, hosts Jon and Nicole sit down with the legendary Julie Kaplan—a 27-year industry pioneer, master clinical anatomy educator, and the genius creator behind the famous "Head and Breakfast" cadaver workshops.
Julie brings her unmatched clinical expertise, tackling the most urgent conversations shifting the aesthetic medicine landscape today. We pull back the curtain on the alarming rise of black-market counterfeit products on social media and outline exactly how patients can spot red flags before stepping into a medical spa.
Julie shares her signature clinical pearls on advanced regenerative aesthetics, breaking down her precise depth strategies for injecting Sculptra and Hyperdilute Radiesse to avoid the platysma muscle and prevent nodules. You'll learn her exact protocol for managing difficult nodules with 5-FU, how she safely stacks Skinvive via cannula, and why the future of aesthetic medicine relies on 3D ultrasound anatomy visualization on stage and in the clinic.
Beyond the syringes, Julie drops massive practice management gold on how to hire exclusively to your core values, the art of building genuine patient lifetime value through emotional connection, and why staying authentic to yourself is the ultimate key to professional longevity.
Connect with Julie Bass Kaplan:
Instagram: https://www.instagram.com/jubilant.julie/
Head and Breakfast Cadaver Experience: https://www.instagram.com/jubilant.head.and.breakfast/
Website: https://jubilantjulie.com/
🚨**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 use of any medical product, procedure, or treatment 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.
Follow Fill Me In on Instagram!
https://www.instagram.com/thefillmeinpod/
Follow Nicole on Instagram:
https://www.instagram.com/aestheticnursenicole/
Nicole's Patreon:
https://www.patreon.com/aestheticnursenicole?utm_source=search
Exhibit Medical Aesthetics website:
https://exhibitmedicalaesthetics.com/
Follow Jon on Instagram:
https://www.instagram.com/injectorjon/
Jon's Patreon:
https://www.patreon.com/Injectorjon?utm_source=search
Tox and Pout Aesthetics website:
https://toxandpout.com/
Producer of Fill Me In: Joey Ginexi
Join Moxie!
Moxie combines clinical-grade software with expert-led strategy and hands-on support so you can scale your aesthetic practice without compromising clinical standards, patient care, or business ambitions.
Go to joinmoxie.com/fillmein to book a complimentary strategy session with the Moxie team today!
[00:00:00] Jon: Welcome back to another episode of the Filming In podcast at Modern Beauty Con. Oh. And we have a special guest today, Julie Kaplan.
[00:00:07] Julie Kaplan: Hey.
[00:00:09] Jon: Hi. Thanks for [00:00:10] coming.
[00:00:10] Julie Kaplan: Oh my gosh, you roped me in, I had no choice.
[00:00:12] Jon: I know. You have been- You were supposed to be here
[00:00:14] Nicole: at
[00:00:14] Jon: 3:00.
[00:00:15] Julie Kaplan: Yeah. And I was on time. She was. For once in my life.
[00:00:19] Jon: Oh my gosh. I actually,
[00:00:19] Julie Kaplan: I [00:00:20] actually, 'cause we found her in the elevator- Yeah ... and I questioned if you were gonna show up.
[00:00:23] Jon: Oh,
[00:00:24] Julie Kaplan: no. I love you
[00:00:25] Jon: guys. Of course. It makes me feel better that you are sometimes not on time, 'cause I'm never on time.
[00:00:29] Julie Kaplan: It's [00:00:30] called time blindness, and it's really common- It is ... in, uh, with ADD people.
[00:00:34] Jon: Yeah.
[00:00:34] Julie Kaplan: You just gotta embrace it, and you need your person.
[00:00:37] Jon: I know.
[00:00:37] Julie Kaplan: But I- She's my
[00:00:38] Jon: person.
[00:00:38] Julie Kaplan: Yes. I self-policed. I [00:00:40] was here. You were here. I'm so proud of myself.
[00:00:42] Jon: I am your dawn police.
[00:00:43] Nicole: Yes. Yeah.
[00:00:44] Julie Kaplan: That's my job. Hey.
[00:00:45] Jon: Ah. Um, okay. So you obviously have been in aesthetics for how [00:00:50] long?
[00:00:50] Julie Kaplan: Since 1999. Oh my gosh. So 27 years.
[00:00:53] Jon: Insane. I know. You've obviously seen it change a lot over the years.
[00:00:57] Julie Kaplan: Yeah. Yeah. Of course.
[00:00:58] Jon: Um, where [00:01:00] do you see it going?
[00:01:02] Julie Kaplan: Well, I'm an optimist- Yeah ... so I see it going in a very professional direction. Mm-hmm. I [00:01:10] see in the future a lot more, uh, a lot... Like, a university-type setting- Mm-hmm ... where people go, get really good, true certifications- Mm-hmm
not [00:01:20] weekend courses. Mm-hmm. Uh, I see exciting new developments in technology. Ultrasound we have now, and I think that's gonna be commonplace [00:01:30] and not just a few of us doing it. Mm-hmm. Mm-hmm. And I also think there's gonna be inventions like ult- ultrasound, uh, cannulas or something that you can see from the inside.
That would be [00:01:40] amazing. Right? Like-
[00:01:40] Jon: Almost like a
[00:01:41] Julie Kaplan: colonoscopy ... see from the in- Yes. Right. Yeah.
[00:01:43] Jon: Endoscopy. Sorry.
[00:01:44] Julie Kaplan: I know. Can you imagine, though? Seriously. Yeah. Yes. Visualization- Yes ... from the inside. Yes. Yep. A- [00:01:50] And, you know, with the AI- Mm-hmm ... and the tech that's- Mm-hmm ... that's out there now, I, I can just see that it's gonna be...
It's like- I just hope we don't get replaced by AI. Yeah. I, I hope- Because there's [00:02:00] nothing like a human- Yes ... um, connection and-
[00:02:02] Jon: Nothing like it ...
[00:02:02] Julie Kaplan: and artistry. Yeah. You know?
[00:02:04] Jon: I think especially that would be amazing if they had that. Like, ult... Would you say cannula? Like [00:02:10] a- Yeah ... a video camera?
[00:02:11] Nicole: Yeah. Camera in. If there's a
[00:02:12] Jon: vascular occlusion or if there's something going on, to actually, like, locate where- Yeah
visualize it. Like
[00:02:17] Julie Kaplan: IR, yeah.
[00:02:18] Jon: Yeah.
[00:02:19] Julie Kaplan: Yeah.
[00:02:19] Jon: IR-guided. [00:02:20]
[00:02:20] Nicole: Uh-huh. Oh, that's so cool. Uh-huh.
[00:02:21] Jon: Yeah. Love that. When you
[00:02:21] Julie Kaplan: think about it.
[00:02:22] Jon: Yeah.
[00:02:23] Julie Kaplan: Yeah.
[00:02:23] Jon: It's good.
[00:02:23] Julie Kaplan: But I, I do have an optimistic view.
[00:02:25] Jon: Mm-hmm.
[00:02:26] Julie Kaplan: And I believe, I hope, that there'll be less [00:02:30] do-it-yourself people out there, less availability for counterfeit products. Mm-hmm. Uh, it's literally hurting and killing people- Mm-hmm
right now.
[00:02:38] Jon: Yeah.
[00:02:39] Julie Kaplan: Uh, and it's [00:02:40] swept under the rug, but- Yeah ... people don't understand that if you order something like Botox- Mm-hmm ... on the internet- Mm-hmm ... that you don't know what you're getting. Right. Uh, there's cases where [00:02:50] people bought it and turned it in to be studied, and it's like, uh, deer piss. Oh,
[00:02:55] Jon: my God.
I
[00:02:56] Julie Kaplan: just... Oh, God. Just the craziest thing. Oh, one, one [00:03:00] person, uh, a- analyzed, and it was snake venom. Oh,
[00:03:04] Nicole: my God.
[00:03:05] Julie Kaplan: And s- yeah, so you do not know what you're getting. Oh, my gosh. Wow. And you also don't know, even if it is a [00:03:10] neuromodulator, it could be 100... It could be 100 units. It could be- Yeah ... a million units. Yeah.
And you don't know, and those are the people that wind up on ventilators- Mm-hmm ... you know, that they had a million units because [00:03:20] it was made in some basement somewhere. Yeah.
[00:03:22] Jon: Well, there's people now on TikTok self-administering their own Botox and getting- Yeah ... it on the black market. It's like a thing now.
[00:03:28] Julie Kaplan: Yeah. It, it's [00:03:30] been a thing since at least- Oh, has it? ... 2018.
[00:03:33] Jon: Okay.
[00:03:33] Julie Kaplan: Yeah, and it's sad. Um, maybe even longer. I was aware of it in 2018, and it's not gotten [00:03:40] any better.
[00:03:41] Nicole: What advice would you give, like, new patients? What's red flags? What should they look out for to avoid, you know, counterfeit products and things like [00:03:50] that when they're looking for a provider?
[00:03:53] Julie Kaplan: First of all, research them and make sure that they... Because you could do a nurse lookup, you could do a physician lookup. Mm-hmm. Like, [00:04:00] look and see if they're, you know, if they're on deferment, if they even have an active license. Mm-hmm. Uh, definitely check their licenses online. It's easy. You just go to the [00:04:10] nursing board or the, uh, medical board- Mm-hmm
of that state, and, uh, look them up. And then secondly, watch them online. Watch, you know, what, what does their face look [00:04:20] like? Do you want your face to look like their face as far as natural versus, you know- Yes. If you want an unnatural look, you'll probably wanna go to a injector who has [00:04:30] an unnatural look, right?
Yes. If you want a natural look, go to an injector who has a natural look. Yeah. Uh, ask to see the vials, ask to see the packages. Mm-hmm. And, um, [00:04:40] l- and a lot of them, you could research what that vial should look like- Yeah ... before you even step in. Yeah. And if it looks even slightly different, take a picture of the vial and say, "Hey, can I [00:04:50] come back another time?
I, I'm not ready today." Mm-hmm. And if they urge you to do it right now or never, this is sale, whatever, to try to pressure you, run. [00:05:00] Yes. Uh, if they don't have before and afters- Mm-hmm ... uh, that are legit- Yes ... and not doctored and not, you know, um, Photoshopped- Yeah ... run. Yeah. [00:05:10] Uh, if... And then ask around. Ask your friends, too.
But if they're salesy, if they're not connecting with you, or if they're just treating you like a number-
[00:05:19] Jon: Yep. Mm-hmm ...
[00:05:19] Julie Kaplan: [00:05:20] get out.
[00:05:20] Jon: Oh.
[00:05:21] Julie Kaplan: Yeah.
[00:05:21] Jon: 100%. How do you incorporate biostimulators into hyaluronic acid fillers in your treatment plans for your [00:05:30] patients? Like, um, obviously Biostim has gotten very popular, and some people are scared of getting filler.
They don't wanna look fake, so they're [00:05:40] coming in, asking, "No, I want Sculptra. I don't want any filler." And in my practice, I'm very honest with them, you know, Biostim is not gonna do what filler can do- Yeah ... in certain circumstances. [00:05:50] So from you, like, how do you handle that situation?
[00:05:54] Julie Kaplan: You, you really have to do a, a thorough assessment of what they're asking for- Yeah
what their needs [00:06:00] are, and then e- educate them on the- Mm-hmm ... aging process, right? Mm-hmm. So for example, if somebody's my age and they walk in, they've never had anything, uh, they're absolutely gonna need, [00:06:10] uh, deep fat replacement, uh, you know, from the bone. And I'll just push on their cheek and show them a mirror- Mm-hmm
and say, "See how we lose that?" Mm-hmm. It's [00:06:20] just like when you lose weight, you lose your boobs first- Oh, yeah ... and then you lose your stomach. Mm-hmm. Well, our boobs of our face, the one that we really want, is that deep layer. The deep layer, yeah. That deep [00:06:30] fat. And when you push down here, you'll see it fill up, right?
Mm-hmm. That's what you need right now. And biostimulators are not gonna help you with [00:06:40] that fat pad right now. But if, if you wanna start your journey today, we're gonna start with that.
[00:06:46] Nicole: Mm-hmm.
[00:06:46] Julie Kaplan: And then I s- I incorporate their skin, too. And in the [00:06:50] questionnaire, I have a sushi menu of w- what are your concerns, and they check the boxes.
Check, check. And then I, on there also is, "What do you use for your skin?" Mm-hmm. And [00:07:00] if there's no sunscreen listed, I'll have a real hard talk with them.
[00:07:03] Jon: Yeah.
[00:07:04] Julie Kaplan: But, but I think Sculptra, uh, and hyperdilute Radiesse are [00:07:10] always talked about in my practice because, and laser- Mm ... and light and microneedling, RF microneedling.
Yeah. All these are- Regenerative. Yeah. And it helps get this, the [00:07:20] conversation started with the sushi menu for sure- Does ... because the sushi menu, like, reminds them. Right.
[00:07:25] Nicole: Like, "Oh, that's as
[00:07:26] Jon: well."
[00:07:26] Julie Kaplan: Yeah. Like, "Oh, my gosh- Yeah. Yeah ... I didn't realize- Yeah ... hollow temples was a thing." [00:07:30] Mm-hmm. But the, "I have that," you know.
They, they'll forget. Or submental fat or- Yeah. So anyway, uh, I, I think that bringing in skin quality is part of it. Just, and I [00:07:40] use analogies a lot with my patients. Like, I'll say, "You know, you buy a new car. Are you gonna let it oxidize out in the sun?" You know? Oh, that's good. Your beautiful paint job [00:07:50] that you drove off in, you gotta take care of the paint- Mm-hmm
as well as the engine. You know, you just don't.
[00:07:56] Jon: Yeah.
[00:07:57] Julie Kaplan: You, you just don't wanna treat your skin badly.
[00:07:59] Jon: Mm-hmm.
[00:07:59] Julie Kaplan: And [00:08:00] also, I'm having to talk people off the vape a lot lately.
[00:08:02] Jon: Oh, my-
[00:08:03] Julie Kaplan: What the heck?
[00:08:04] Jon: I know.
[00:08:05] Julie Kaplan: Like, okay, wait, wait. Oh, my. So many people. Didn't my generation realize that s- that nicotine [00:08:10] makes your skin look like crap?
[00:08:11] Jon: I know. It
[00:08:12] Julie Kaplan: does. Didn't my generation prove that to you? Yeah.
[00:08:13] Jon: Um-
[00:08:14] Nicole: Yeah. Like, why are we vaping?
[00:08:15] Julie Kaplan: Like, what? What, you think nicotine's different because it's coming- I know ... out of a puff of- Because it's [00:08:20] strawberry.
[00:08:20] Jon: I know ...
[00:08:20] Julie Kaplan: yeah, because of puff of cotton candy?
[00:08:22] Nicole: Yeah.
[00:08:22] Jon: Well, and it cracks me up-
[00:08:23] Julie Kaplan: Like- ...
[00:08:23] Jon: you know, when they come in for, you know, a little lip filler, and they're, you know, they bring their vape with them.
And I'm like, "You [00:08:30] can't use that for a week." They're like, "What?" And I'm like, "Uh, I know."
[00:08:34] Julie Kaplan: Like, how little. I know. And it, and it really does increase the chances of an adverse event- Sure ... [00:08:40] because their vessels shrink. You know? I mean-
[00:08:42] Jon: Oh, yeah, because- ... a
[00:08:43] Julie Kaplan: plus side, it vaso- vasoconstricts, nicotine does. So on the plus side, uh, they don't bruise as much.
Mm-hmm. [00:08:50] But on the negative side, they vasospasm more. And, and those-
[00:08:54] Jon: Okay. And that can mimic, like, a va- Yeah ... vascular occlusion. One
[00:08:57] Julie Kaplan: of the worst- It can be scary ... yeah, one of the worst adverse events [00:09:00] I ever had, uh, was a tiny little thread of filler in a wrinkle, and all calamity broke loose. And it was a tiny, tiny amount, like [00:09:10] 0.01.
Oh, my God. And calamity broke out because she was a smoker, and she vasospasmed. And it was just crazy. [00:09:20] That's good to know. Tiny amount. So I really talk to them a lot about, about lifestyle stuff, too. Or, you know, people with redness and [00:09:30] puffiness, drinking.
[00:09:31] Jon: Inflammatory.
[00:09:32] Julie Kaplan: Yeah, they're drinking too much.
They're drinking every single night. Um, so I mean, we have to really have an honest conversation about health, overall health. And, [00:09:40] uh, gut health, just like today, we heard a great talk- Yeah ... didn't we? Jenna did- So
[00:09:43] Jon: good ...
[00:09:44] Julie Kaplan: Jenna did a great job talking about- Yeah ... seeing the, our patients as a whole- Mm-hmm ... and not just, [00:09:50] not just their, their skin.
[00:09:51] Jon: Oh, yeah.
[00:09:51] Julie Kaplan: Or their fat.
[00:09:52] Jon: Yes.
[00:09:52] Julie Kaplan: Or their bones. Yeah.
[00:09:53] Nicole: Starts from within.
[00:09:54] Julie Kaplan: Yeah. Yeah. Yeah. So I love that. I, I don't know, I think that's another future of aesthetic medicine- Oh, huge ... is [00:10:00] I think the best of the best are gonna know how to read lab work and just see, solve the mystery
[00:10:07] Jon: of what's happening, you know?
It's all about the intrinsic factors as well. And, uh, and that's- Yeah ... that was [00:10:10] my next question where I was gonna lead to, was what do you think sets apart- practices in general. Like, good ones from ones that are struggling because, [00:10:20] you know, we go out and we do trainings and we see, and they always ask.
They're like, "John, how do you convert a Botox or a lip patient over to full facial balancing?" Or, you know, "I just can't get 'em to do [00:10:30] it. You know, they just want Bio Stim." And I, and I, I tell them, "It's really important to connect with your patients." Mm-hmm. You know? I think it's- That's it ... once you, once you connect with them-
[00:10:38] Julie Kaplan: That's the end of the story.
[00:10:39] Jon: That's the end of the [00:10:40] story. You know? And you have to, like, I like- Yeah ... to tie an emotion to the treatment and figure out why they're there. And like you said, give 'em a mirror and visualize it. And a lot of times they don't wanna look at a mirror. Yeah. [00:10:50] Um, but it's a vulnerable moment. But it's nice to have them, you know, visualize or picture what we're seeing.
[00:10:56] Julie Kaplan: Mm-hmm.
[00:10:57] Jon: Um, and it helps them to understand our treatment plan for [00:11:00] them.
[00:11:00] Julie Kaplan: Yeah. And you're building a friendship too. Yes. You're building trust.
[00:11:04] Jon: Mm-hmm.
[00:11:04] Julie Kaplan: And I think that is what the best practices- Mm ... have, is warm, fuzzy, [00:11:10] uh, team.
[00:11:10] Jon: Yeah.
[00:11:11] Julie Kaplan: From the person that, that welcomes them in the office, the person answers the phone- The front
[00:11:15] Jon: desk
[00:11:16] Julie Kaplan: everything. So important. Right? Mm-hmm. They're giving them, you [00:11:20] know- Mm ... uh, just having that coaching. Like, when you answer the phone, smile 'cause they'll hear your smile. Mm-hmm. Um, care about each and every person who's talking [00:11:30] to you. Mm-hmm. And, and don't be too busy-
[00:11:32] Jon: Yes ...
[00:11:32] Julie Kaplan: to answer any questions. And really invite them to come in.
Yeah. Invite them to, uh, come into the [00:11:40] lobby, uh, have a nice, a nice lovely cup of coffee or tea. Right. Yeah. And let's talk. 'Cause you don't wanna be on the phone all day with one person, but- Right ... invite 'em to come- And you can, you can be- ... and come [00:11:50] and say, "You know what? We, we just made some warm biscuits today.
Why don't you come on in?" Yeah. "Come on in and- "Have
[00:11:55] Nicole: one" ...
[00:11:56] Julie Kaplan: I, I wanna show you, I wanna show you-" Right. Sure "... uh, some pictures of what we [00:12:00] have." Yeah. Yeah.
[00:12:01] Nicole: And I want
[00:12:01] Julie Kaplan: you to meet our team.
[00:12:02] Nicole: Yes, exactly. Meet everybody. I love that you said the smile when you talk on the phone. We call it smile and dial.
[00:12:07] Julie Kaplan: Oh, cute. Like,
[00:12:08] Nicole: always have a smile on your face 'cause it, you can- [00:12:10] Yeah
like, you can hear it over the phone. Yeah. You know? And it's, you're right, it's so important.
[00:12:13] Julie Kaplan: It's the little things.
[00:12:13] Nicole: And a lot of the time that's, like, the patient's first impression of your practice, is the phone call.
[00:12:17] Julie Kaplan: Yeah.
[00:12:18] Nicole: So it's so important.
[00:12:19] Julie Kaplan: Yeah. And hire [00:12:20] people that fit your- Mm-hmm ... um, entire value system and your t- your ethics.
Yes. Um, have your vision and value and your mission- Mm-hmm ... have it out [00:12:30] there that for- Yeah ... for your patients to see, everybody to see.
[00:12:32] Nicole: Absolutely.
[00:12:33] Julie Kaplan: Uh, yeah. I spent, like, a week getting mine down and, and putting it on a board- Mm-hmm ... uh, for our new [00:12:40] practice, and revising it. And I made an acronym, uh, that incorporated our logo.
And it's just- Oh, I love
[00:12:45] Nicole: that ...
[00:12:46] Julie Kaplan: it's kinda fun. But I wanna hire to my values- Yes.
[00:12:49] Nicole: Right ...
[00:12:49] Julie Kaplan: [00:12:50] and my ethics. Yeah. I want the patients to know that every single person in my practice vibes the same way. Yeah. Shares
[00:12:57] Nicole: the
[00:12:57] Julie Kaplan: same values. We're all vibing on the same
[00:12:58] Nicole: level.
[00:12:58] Julie Kaplan: Yes.
[00:12:59] Nicole: Yeah.
[00:12:59] Julie Kaplan: Yeah.
[00:12:59] Nicole: That's [00:13:00] something- Yeah ... I feel like we've learned too.
We've been in practice almost three years now, and it's like, you can teach a skill, but you really can't teach someone how to be a good person or, you know? Yeah. Like, a lot of the time that attitude is, is already [00:13:10] there, and it's hard to, to change that.
[00:13:11] Julie Kaplan: Yeah. Yeah. Yeah. It's fun.
[00:13:14] Jon: Um, okay. You're speaking at Modern Beauty Con.
[00:13:17] Julie Kaplan: Yeah.
[00:13:18] Jon: Yeah. What are you speaking [00:13:20] on?
[00:13:20] Julie Kaplan: Uh, well, there's a panel. We're gonna talk about, uh, the trials and tribulations of an amazing me- uh, medication. Amazing product called [00:13:30] PDGF.
[00:13:30] Jon: Oh, gr- oh. You
[00:13:31] Julie Kaplan: ever heard of it?
[00:13:31] Jon: That thing?
[00:13:32] Julie Kaplan: Yeah.
[00:13:32] Jon: Oh.
[00:13:33] Julie Kaplan: You- Not heard ... have you ever heard of this? Surely you- surely, surely- [00:13:40]
[00:13:40] Jon: Oh.
[00:13:41] Julie Kaplan: I know.
Well, it's illegal, you know? Unless you're under a rock, right? Exactly. Unless you're under a rock. Yeah. Well, you know, I'm an outlaw. Half Cherokee and [00:13:50] Choctaw. Ah. My baby, she's a Chippewa-wa. She's a one of a kind. Okay. No, I'll- I'll stop, I promise. I
[00:13:58] Jon: promise. No. Well, Julie- Give me a [00:14:00] mic- Julie, you're bad ... I wanna sing,
[00:14:00] Julie Kaplan: baby.
I wanna sing.
[00:14:01] Jon: You're bad. It's illegal to inject.
[00:14:03] Julie Kaplan: Ew. That's what they say. But is it true? It's illegal. Do you get your legal advice from injectors? [00:14:10] Blink, blink. Blink,
[00:14:12] Jon: blink.
[00:14:12] Julie Kaplan: Blink, blink.
[00:14:13] Jon: I know.
[00:14:14] Julie Kaplan: What the hell?
[00:14:15] Jon: I know. It's just-
[00:14:17] Julie Kaplan: Hi, I have an MD. I, hi, I have a [00:14:20] NP, and I'm gonna tell you what's legal and what's not.
Okay. Okay, Sarah No. What? Ra-
[00:14:29] Jon: yeah, [00:14:30] it's Rachel.
[00:14:30] Julie Kaplan: Yeah. Whatever.
[00:14:32] Jon: Ugh, I know.
[00:14:33] Julie Kaplan: Anyway. No, get your legal advice. Get your ducks in a row. Yes. Standard of care- Ask your- ... protocols ... yeah, ask your- Consents ... state board. Yep. [00:14:40] T- a- ask your malpractice. Yep. Be like, "Will you cover blah, blah, blah, blah, blah?" Mm-hmm. Um, do your research on the product.
Mm-hmm. Uh, 'cause this is not [00:14:50] gonna be the very first amazing new product on- No ... the market, right? And this isn't even new. This has been nearly 30 years of- Right ... lots of [00:15:00] science, lots of research, being injected into the human body. It's not new, and it's the exact same medicine that's going into the mouth- Mm-hmm
which is- [00:15:10] It's got four FDA approvals ... hello, part of the face. Yes. Uh, it's been-
[00:15:14] Jon: Part of our blood.
[00:15:15] Julie Kaplan: Yeah, part of our blood. It's very... You know, the research is right there all [00:15:20] in one spot in one website.
[00:15:22] Jon: Well, we were talking to- It's crazy ... Leslie earlier, and, um, we were saying how PDGF really feels like it filled a void [00:15:30] in the aesthetic space.
You know what I'm saying? Yeah. Like-
[00:15:32] Julie Kaplan: Yeah ...
[00:15:33] Jon: you know, areas that we might... Or if a candidate's n- or a patient's not a candidate for a certain treatment- Yeah ... [00:15:40] right? PDGF is a good alternative. Um-
[00:15:42] Julie Kaplan: Well, yeah. I mean, think about some of the most, uh, dangerous areas- Mm-hmm ... that we treat. I mean-
[00:15:48] Jon: Mm-hmm ...
[00:15:48] Julie Kaplan: if the patient [00:15:50] doesn't wanna risk blindness- Sure
and let's be real, P- even PRF, PRP, there's been cases of blindness. Yeah. There's been a lot- cases, [00:16:00] several cases of necrosis. And
[00:16:01] Jon: that's not
[00:16:02] Julie Kaplan: FDA approved. It's not... Yeah, and it's not FDA approved.
[00:16:05] Jon: Exosomes aren't either.
[00:16:06] Julie Kaplan: I know.
[00:16:07] Jon: Or
[00:16:07] Julie Kaplan: PDRN. You know, that's the thing- Or
[00:16:08] Jon: GLP-1s.
[00:16:09] Julie Kaplan: [00:16:10] Or PDRN. I'm talking about them. I mean- Um, I mean, you could go on and on and on.
But why the, why has this one medicine gotten so much- Yeah ... attention even though it's so well-studied? This is so odd. Uh, [00:16:20] it's because i- it's a threat. I know. Because it actually does something.
[00:16:24] Jon: Yeah.
[00:16:24] Julie Kaplan: You know? I mean, I studied it for a whole solid year. Ev- I read [00:16:30] everything that was- Mm-hmm ... out there on it.
Mm-hmm. And I have dyslexia, so that took me a long time. Oh,
[00:16:33] Jon: my God.
[00:16:35] Julie Kaplan: But I did, right? And my very first patient that I ever [00:16:40] treated, uh, was my own son. So injectable-wise anyway Sure Um, so that is how much I believe in it. Mm-hmm. And then I had a, [00:16:50] a, you know, I did his hair. Mm-hmm. I did his scalp because he was- On rail
his hair was so unhealthy. He was under stress in school- Mm-hmm ... losing his hair. Mm-hmm. And it [00:17:00] turned his self-esteem around. He's just, he was like, "Mom," he came to me just, you know, like eight days later after I f- we first did it. Eight days later. Well, [00:17:10] at first I did it topically after a Tixel treatment. Mm.
And he goes, "Mom, look, there's new growth. Like, look at this." And he had tears in his eyes. He was just like, "Mom, this [00:17:20] really works." Mm-hmm. And I said, "Well, if it worked this good topically, do you want me to try to inject it? I've never injected it- Mm-hmm ... but I have studied it for a year." Right. And there's lots of [00:17:30] studies on it.
And I showed him all the thing 'cause he's, he's gonna be a nurse. He's in nursing school. Yeah. I know. And so he read on it and studied it, and he's like, "Yeah, Mom, let's [00:17:40] do it." 'Cause I said, "I'm gonna do it to my hair 'cause- Mm-hmm ... I- I'm losing hair, just menopause."
[00:17:46] Jon: Oh, yeah.
[00:17:46] Julie Kaplan: And he goes, "Yeah, I wanna do it." And so the second [00:17:50] treatment we did was injectable.
Mm-hmm. Um, and it really, it really gave him a lot of confidence. So I- That's
[00:17:57] Jon: amazing ...
[00:17:58] Julie Kaplan: that's when I started saying, "I wanna [00:18:00] study this." So I started talking to, um, colleagues that are als- were also studying it, and we were gonna have a, you know, a nice, a d- [00:18:10] uh, like three different groups where we're gonna be doing different studies on different areas.
Fun. Yeah. Uh, so i- the future is, is great in, in s- aesthetic medicine. It is. And there are current [00:18:20] studies right now going on.
[00:18:21] Jon: Oh, yeah. So besides the panel that you're doing,
[00:18:25] Julie Kaplan: um- Oh, then I'm doing a live, uh, injection, uh, hyper dilute Radiesse- Ooh ... [00:18:30] mixed with PDGF-
[00:18:31] Jon: Okay. I'm coming to that ...
[00:18:32] Julie Kaplan: on the neck. Yeah. Is that at
[00:18:33] Jon: 2:00?
[00:18:34] Julie Kaplan: On the neck.
[00:18:34] Jon: 1:00 or 2:00?
[00:18:35] Julie Kaplan: It's in the afternoon.
[00:18:36] Jon: Yeah, it's in the afternoon. I- It's one of the last ones
[00:18:38] Julie Kaplan: Yeah. I, I have time blindness, [00:18:40] remember? It's fine. I'll be there. I'll be there.
[00:18:41] Jon: Sure. I'll be there too. She's like, "I'll show
[00:18:42] Nicole: up, but I don't know what time it is."
[00:18:43] Jon: Yeah. It's
[00:18:43] Julie Kaplan: in the afternoon.
[00:18:44] Jon: Now, have you had any issues with nodules with hyper dilute Radiesse?
[00:18:49] Julie Kaplan: Uh, [00:18:50] nope.
[00:18:50] Jon: And do you use needle or cannula?
[00:18:51] Julie Kaplan: Cannula.
[00:18:52] Jon: Y- okay. Yeah. I love it. And I've never used it. She's used it a little bit. I'm just bringing hyper dilute Radiesse on- Oh, really? ... to my office, and I'm gonna get [00:19:00] a training and- Oh ... and do that. I, I do Sculptra, mostly Sculptra, but-
[00:19:04] Julie Kaplan: Yeah
[00:19:06] Jon: Yeah, it, it's okay. Like, there's- I like
[00:19:07] Julie Kaplan: Sculptra too.
I, I
[00:19:09] Jon: do.
[00:19:09] Julie Kaplan: I like to [00:19:10] mix it up. I like to do, uh, a treatment package of three. Yeah. They get a special price, and then I do one hyperdilute Radiesse, then I go to Sculptra- Ooh ... [00:19:20] for treatment number two. Okay. And then treatment number three is patient's choice.
[00:19:24] Nicole: Oh, I love
[00:19:25] Jon: that. Depending on what they-
[00:19:26] Julie Kaplan: Yep. What did you like better?
What did you feel- Oh, I like that ... like gave you the [00:19:30] more- Okay ... um, bang for your buck? Which one? 'Cause you, it's your choice.
[00:19:34] Jon: Mm.
[00:19:35] Julie Kaplan: And I do the same thing with Tixel and, um, RF microneedling too. Okay. I [00:19:40] let them choose. I'll do one Tixel, one RF microneedling- Mm ... or sometimes stack them.
[00:19:45] Jon: Okay.
[00:19:45] Julie Kaplan: And then the third treatment, they get to decide.
[00:19:47] Jon: That's great.
[00:19:48] Julie Kaplan: Mm-hmm.
[00:19:49] Jon: Wow.
[00:19:49] Julie Kaplan: [00:19:50] Yeah.
[00:19:50] Jon: I love that.
[00:19:51] Julie Kaplan: Cool.
[00:19:51] Jon: Well, good. That's good to know. Now, if you were to run into any issues, like with a nodule from hyperdilute Radiesse or anything, w- I mean, I've heard of saline that you could use. Could you [00:20:00] use five, a few, a few?
[00:20:02] Julie Kaplan: Um, if it's, like, a hard calcified or really, really tough- Okay
uh, encapsulated nodule, yes- Got it ... I would. Mm-hmm. Uh, but I [00:20:10] haven't come... I've come across that in the lower face with Sculptra. Sure. But honestly, I think it was, uh, injector error. Um, I think- Maybe in
[00:20:17] Jon: the muscle maybe or something?
[00:20:18] Julie Kaplan: Yes. Yeah. You know, [00:20:20] that's- W- this is years ago, and this is when I started in, uh, dissecting cadavers.
And I realized that, I mean, this is so many years ago, [00:20:30] but it was Sculptra in the lower face. Uh, the patient didn't even come to me to tell me about it. She went to see a plastic surgeon, and he goes, "Oh, we have to remove that. You, we have to g- do some surgery to [00:20:40] get that out." And then she came to see me for a second opinion, and I go, "No, I just need to put some 5-FU in there," and it'll, and it went away right under my fingers in the chair.
Mm. It [00:20:50] was gone. Wow. So I mean, Sculptra nodules don't scare me.
[00:20:53] Jon: Yeah.
[00:20:53] Julie Kaplan: But what I learned from that, she goes, "Well, it was my fault. I didn't massage." Mm-hmm. But honestly, I [00:21:00] l- I... It was before I had ultrasound even. Mm-hmm. But honestly, I think, you know, looking back in the lens of time, we were w- and we still do, [00:21:10] some of people still do, injecting too deeply.
Yes. And we're injecting into the muscle. And, and if, you know, I showed that a- at the cadaver workshop yesterday, but I show it on every cadaver workshop. [00:21:20] If you, if you tent up your cannula or your needle and it does not look like a matchstick, you're too deep.
[00:21:25] Jon: You're too deep.
[00:21:26] Julie Kaplan: It needs to look like a matchstick.
Wow. I mean, and right, you should feel [00:21:30] the, the, the rough part of the dermis, uh, on top of your cannula.
[00:21:34] Jon: Makes sense. Y-
[00:21:34] Julie Kaplan: yeah. And then you're gonna get that, that DWAT, that dense white adipose [00:21:40] t- tissue there. Yeah. So pretty. And then you're gonna stimulate estrogen. You know, you look at the research that's coming out now about, about putting in that layer.
It's beautiful. Gorgeous. And [00:21:50] I think that's where Sculptra and hyperdilute Radiesse shine. Yeah.
[00:21:53] Jon: No, and I love Sculptra. I do. I think it's more for neck and décolleté, where I've done it- Yeah ... and I, I really wanna get into [00:22:00] hyperdilute Radiesse with that.
[00:22:01] Julie Kaplan: Yeah. I also
[00:22:01] Jon: wanna try Skinvive-
[00:22:03] Julie Kaplan: Mm-hmm ...
[00:22:04] Jon: in
[00:22:04] Julie Kaplan: the neck.
Yeah. I've done
[00:22:05] Jon: it a bunch. I've d- not-
[00:22:06] Julie Kaplan: Especially when they have the, the deep necklace lines [00:22:10] and the deep- Yes ... yeah. It's so pretty. You can thread it. I love it. Mm. But, um, again, it's all about the depth. You wanna get into the skin with the Skinvive, and you wanna get under the [00:22:20] skin with the hyperdilute Radiesse, but do not go in the platysma.
[00:22:23] Nicole: Right.
[00:22:23] Julie Kaplan: That's when you're gonna have the nodules. Yes. Okay? So the- Exactly ... again, it, it looks like almost, in the neck it's so thin, [00:22:30] it almost looks like a toothpick layer rather than a matchstick. So, um, if the patient... Watch their face, if they go like that, that's platysma- Yeah ... 'cause platysma's uncomfortable.
[00:22:40] So watch their face. Do
[00:22:40] Jon: you, do you use the, um, four millimeter needl- needles in the neck or do you do cannula?
[00:22:46] Julie Kaplan: Um, I, you know, I'm so weird, but I like those little [00:22:50] invisible 33 gauge needles.
[00:22:51] Jon: Okay.
[00:22:52] Julie Kaplan: Uh, in the NovaClicks. Oh, the NovaClick.
[00:22:54] Jon: Yeah. Yeah, yeah, yeah.
[00:22:55] Julie Kaplan: So I, I just, I suck it up in a NovaClick and use that little needle.
Okay. And then, and [00:23:00] I, I d- I put it on free mode so it's not clicking.
[00:23:02] Jon: Got it.
[00:23:02] Julie Kaplan: Just little free mode, and it, it just slides in and out. And you're just sliding. And that needle doesn't dull.
[00:23:06] Jon: Okay.
[00:23:07] Julie Kaplan: Oh my God. But I'm just kind of a [00:23:10] princess, I guess. No. I just have to have my special needle.
[00:23:12] Jon: Listen. I know. But I don't want a cheap- And you're not doing blubs in the neck- I
[00:23:15] Julie Kaplan: don't want a
[00:23:15] Jon: cheap needle
to confirm. You're doing
[00:23:17] Julie Kaplan: more- I'm not doing blubs, I'm doing threads. You're
[00:23:18] Jon: doing threads.
[00:23:19] Julie Kaplan: Blubs. I don't like the [00:23:20] blubs. I don't like the blubs- Yeah ... because it, it makes their skin look like cobblestones.
[00:23:23] Jon: Yeah.
[00:23:24] Julie Kaplan: Also, in the fa- Like, it does, right? It does. Like you're in Europe and you're walking down the street.
I know. That's what their skin looks [00:23:30] like when you do blubs. I, in my opinion. Yeah.
[00:23:32] Jon: No, I agree. It's-
[00:23:33] Julie Kaplan: Um, I... Yeah. And it's hard to get out of the dermis if it- Yeah ... looks bad because it's such a tight space. Sure. So, [00:23:40] um, in the face, I really like to put it in the, uh, oh, under the skin in the DY, over the DY. I really like that matched- Cannula?
Yes. Yeah, using it like a [00:23:50] filler. It's SkinVive. Yes. Yeah. Yep, yep. Well, no, I'm still just... It's just so pretty, right? Yeah. Underneath the skin. But let's be real, that's probably where most people are putting their boluses anyway. Mm. Sure. [00:24:00] Because they're, they're- Yes ... they're more than two millimeters deep.
[00:24:02] Jon: I'm doing it s- I'm doing such minute, small aliquots. Like, remember when we were trained on it? Mm-hmm. It was like .05 per [00:24:10] injection. No. Too much. No,
[00:24:10] Julie Kaplan: not a good idea. Yeah. It'll
[00:24:11] Jon: look
[00:24:12] Julie Kaplan: like cobblestone. I'm doing like .
[00:24:12] Jon: 02. Yeah. Like .01.
[00:24:13] Julie Kaplan: And you know, and, and how many times do you see, uh, the little branches of the [00:24:20] transverse facial artery- Oh my-
getting right under the skin, right? Yes. So I don't think that boluses are a good idea. Yep.
[00:24:25] Nicole: It, it happened to me. In that transverse. I, I hit the transverse with- Yeah ... I, I'm guessing it was the transverse, with SkinVive. [00:24:30] And we were able to clear it with just a couple days massage and heat and aspirin. Yeah.
But yeah, it was like, ooh. Yeah.
[00:24:35] Julie Kaplan: Mm-hmm.
[00:24:36] Jon: It's almost like a vasospasm or compression. It, it wakes you up.
[00:24:38] Nicole: Yeah. And
[00:24:38] Jon: you do the patient's cheeks?
[00:24:39] Nicole: I did, [00:24:40] I, yeah, I did Voluma first, and then I went over it with SkinVive. Yeah. And when I finished the SkinVive and went to the other side, and I looked back, it was all, like, mottled through here, and I was like...
Yeah. And she works for me, thank God, so I was able to see her every day and, like- Oh, good. You know, I wasn't worried about follow-up. It probably was spasm. [00:24:50] Yeah. You know?
[00:24:52] Julie Kaplan: Um, but- Uh, I don't get spasm with a cannula, so-
[00:24:57] Nicole: Right, right.
[00:24:57] Julie Kaplan: I'm like, "Okay." And I think [00:25:00] the spasm happens because a little tiny bit gets in the vessel and the vessel shuts down.
Mm-hmm. And if they're, if they use nicotine, to go back to what we said earlier-
[00:25:08] Nicole: Right. Yep. Yep.
[00:25:09] Julie Kaplan: Lights out. [00:25:10] Yep. Okay. Be the worst. Model city. Model city. I
[00:25:12] Jon: love
[00:25:12] Julie Kaplan: it. Um-
[00:25:13] Nicole: Now that we're on this topic- Yes ... a, a very popular thing right now too, I feel like, is ultrasound, and I think it's a good thing that it's gaining some [00:25:20] popularity.
Yeah. Finally. How do you use that in your practice?
[00:25:22] Julie Kaplan: Every day.
[00:25:23] Nicole: Every day?
[00:25:24] Julie Kaplan: Yeah. Um, well, you know, I teach full time. Yes, yeah. I, I don't have a clinic. The- it's so nice. But [00:25:30] now I'm teaching because I'm training somebody for a new clinic that we just opened in- Amazing ... Ashland, Oregon. Yeah. So I'm teaching a new team- Amazing
and they're with me, and I'm injecting [00:25:40] more. But, um, it is vital, uh, like, I'm teaching them ultrasound now from the get-go. Yes. Uh, because I think it's, it's the future, it's [00:25:50] vital, but it also helps them understand anatomy, 'cause how often do you get to see a muscle move in real life, right, as you... So they're gonna understand muscles better, they're gonna understand the [00:26:00] variation in blood vessels.
They're gonna understand that, hey, it's more, more likely to see a- an extra hole in their head- Yes. Right ... than to not [00:26:10] see an extra hole- Right ... in their head. Great. 'Cause we all have extra holes in our head. Mm-hmm.
[00:26:13] Nicole: Um- Everyone's anatomy is different.
[00:26:14] Julie Kaplan: Yeah.
[00:26:15] Nicole: And you're right- Yeah. It's so good ... because in the past you would have to go to a cadaver lab, or a few of them- Yeah
to see variations of that, where now you [00:26:20] can- Yeah ... look at it in ultrasound. You don't, yeah. That's so true. You
[00:26:21] Julie Kaplan: don't need
[00:26:22] Jon: to slice open- It was really cool at AMSPA when you did the live injection on stage and that patient had, like, an accessory foramen- Yeah ... in the anterior medial cheek. That was- [00:26:30] Wasn't
[00:26:30] Julie Kaplan: that neat?
[00:26:30] Jon: It was really cool.
[00:26:31] Julie Kaplan: That was fun. That-
[00:26:31] Jon: And I love that you showed it. Yeah. Like, you're like, "I don't know if you can see it," and you could. Oh, good. Good.
[00:26:36] Julie Kaplan: Um,
[00:26:36] Jon: it was, that was cool. Yeah.
[00:26:38] Julie Kaplan: Yeah. You were fun to have in the [00:26:40] audience. I loved it. You, it's so fun. You're so fun to tease. I love it.
[00:26:44] Jon: I
[00:26:44] Julie Kaplan: totally, I totally name dropped him and teased him.
Oh, yeah. I'm
[00:26:46] Jon: like, "Huh?" Because he wasn't paying attention. Nope. Oh, my God.
[00:26:48] Julie Kaplan: It was my [00:26:50] ADD.
[00:26:50] Jon: It was my ADD. Oh, no. I know. Earth to Jonathan. Jonathan.
[00:26:55] Julie Kaplan: I know, are you okay? It was so funny. Oh, God. It was so fun. Um- But no, that was fun, [00:27:00] and it's... But yeah. Yes. And I was so grateful 'cause I didn't have any lidocaine with that, being my normal techniques.
[00:27:05] Jon: Yeah.
[00:27:05] Julie Kaplan: Uh, but she was, she was fine. Oh, she was a great patient. She was so good.
[00:27:09] Jon: Um, [00:27:10] so you have your head and neck breakfast.
[00:27:12] Julie Kaplan: Head and breakfast. Head
[00:27:13] Jon: and break...
[00:27:14] Julie Kaplan: You want me to add neck? Oh.
[00:27:17] Jon: Anyway. Um. But, um, your head and breakfast. [00:27:20]
[00:27:20] Julie Kaplan: Yes.
[00:27:20] Jon: How long have you done it for?
[00:27:22] Julie Kaplan: Five years. Oh, my God. We're celebrating five years in May.
Happy cheers
[00:27:25] Jon: every five years.
[00:27:26] Julie Kaplan: Five years. Yeah. It's, it went quickly.
[00:27:29] Nicole: Yeah, the school bus and everything, right?
[00:27:29] Julie Kaplan: [00:27:30] Yeah. Everybody on. Skull Bus. Yeah. Oh, I love it. It's a Skull Bus. Can you explain- 'Cause I believe head is enough.
[00:27:36] Jon: I love it so much. Can you explain, like, what people would [00:27:40] expect if they signed up for your Head and Breakfast?
[00:27:42] Julie Kaplan: Yeah.
[00:27:45] Jon: Yeah. I'm never gonna-
[00:27:46] Julie Kaplan: It's only... Well, first of all, expect to fall in love with, [00:27:50] uh, 12 other people.
[00:27:51] Jon: Yeah.
[00:27:51] Julie Kaplan: Because li- limiting it to 12 people is so intimate and so real. Um, and there's [00:28:00] six heads.
[00:28:01] Jon: Mm-hmm.
[00:28:01] Julie Kaplan: Uh, 12 people, so it's a very, um... It's, it's just so nice to have two people per cephalus, you know- Mm-hmm
two people per donor. [00:28:10] Um, and then I'm gonna feed everybody. I'm going to, uh, not clothe them. Well, sometimes I do give 'em some clothes, sometimes. Hey,
[00:28:17] Jon: you know?
[00:28:17] Julie Kaplan: That's been known to happen. Uh, but [00:28:20] I'm gonna feed everybody and house everybody. Mm-hmm. And we have two, uh, Airbnbs that we rent out. Oh,
[00:28:24] Jon: that's great.
[00:28:25] Julie Kaplan: And so they stay at our Airbnbs. Mm-hmm. And so six people stay in one Airbnb, six people stay in [00:28:30] the other. Um, and they're gonna, they're make, they're gonna make friends. They don't have to share a bed, but sometimes they share a room. Uh, and then we go out to dinner [00:28:40] together, and we also bring 'em up to our house and cook 'em dinner one night- So nice
and, and breakfast and another ni- morning. I
[00:28:46] Jon: love that.
[00:28:46] Julie Kaplan: Uh, they get to meet our dog, who's this [00:28:50] gigantic Rhodesian Ridgeback, who's 185 pounds. Oh. Oh my gosh. Um, and he's- Huge ... he's, he's on the spectrum. But he's very lovely. But if [00:29:00] you don't pet him in the right place, he'll shake his ear like, "Ew, gross." Oh my God.
[00:29:03] Jon: Ew.
[00:29:05] Julie Kaplan: But he's such a big Scooby-Doo. He's
[00:29:07] Jon: so
[00:29:07] Julie Kaplan: cute. He's so cute. Yeah. Uh, [00:29:10] um, and then, uh, yeah. And then so we do two days- Yes ... of cadaver and d- and in going through all of the injection techniques that I've- Mm ... that I [00:29:20] teach. Um, and then everybody gets to dissect themselves and- It's amazing ... not themselves, but
[00:29:25] Jon: Yes.
[00:29:26] Julie Kaplan: Yeah. Do it themselves. Yeah. Do other donors.
[00:29:29] Jon: That's some Hannibal Lecter [00:29:30] stuff
[00:29:30] Julie Kaplan: going on. Oh my God, no. Uh- ... and then on s- and then the final day, I do live injections in the studio- It's amazing ... on anybody from the workshop that wants [00:29:40] to be injected. Mm-hmm. Yeah. Do
[00:29:41] Jon: you do like, um, you know, like in the cadavers, like for Alligator and things like that, like do they, do you put dye in the- Yeah.
Is
[00:29:47] Julie Kaplan: that, that's something you do? Dye in the, in the- Okay ... syringe, [00:29:50] yeah. Very cool. Yeah. And also I do, um, colored tap water in a, you know, in a syringe to imitate where their, their toxin's gonna go.
[00:29:58] Jon: Sure.
[00:29:58] Julie Kaplan: And you just make that a different color. Oh,
[00:29:59] Jon: that's [00:30:00] great.
[00:30:00] Julie Kaplan: Yeah. So you do everything. I don't know why everybody doesn't do that.
Yeah, you're right. That's
[00:30:02] Jon: amazing.
[00:30:02] Julie Kaplan: Yeah.
[00:30:03] Jon: Very good. '
[00:30:03] Julie Kaplan: Cause that's how I, I developed that 30-unit chin tox, right? Like- I would have never put [00:30:10] 30 units in a chin if I didn't practice on 20 cadavers first- Listen. Right,
[00:30:13] Jon: right,
[00:30:13] Julie Kaplan: right ... and made sure, like, there's no colored DLI. There's no... Okay, okay, okay- Sure ... I can do this.
Okay. So I was my first patient with [00:30:20] 30 units of tox, and I'm like, "Oh, my God, I love it." And it lasted five months- It's amazing ... instead of, like, two weeks. So I was like, "Okay, I'm doing this to somebody else." Yeah. Yeah. That's amazing. But most of [00:30:30] the time it works out. Sometimes people have a variant of anatomy and it, they get a little bit crooked DLI.
Yes. I mean, sometimes.
[00:30:36] Jon: Yeah.
[00:30:36] Julie Kaplan: You never know.
[00:30:37] Jon: Hey, you just don't know.
[00:30:38] Julie Kaplan: But most of the [00:30:40] time it's, it's good.
[00:30:41] Jon: Yeah. So most of the time it's good. Dose equals duration.
[00:30:43] Julie Kaplan: I just, I just, uh, talked to a friend who I injected just a couple weeks ago. Uh, I [00:30:50] won't name drop her, but she goes, "Julie, I, I, uh, I'm having a little trouble with my speech.
It's a little slurry." I'm like, "Oh, . Why you? Why [00:31:00] you?" Yeah, right? And of course, she's a beautiful, famous injector. I'm like, "Ah."
[00:31:05] Jon: Oh my God.
[00:31:06] Julie Kaplan: Oh my God.
[00:31:07] Jon: Well, one of my good friends went [00:31:10] to AMSPA with us from my area.
[00:31:12] Nicole: Oh, yes.
[00:31:13] Jon: Short. Okay. Yeah. I won't name drop her either, but she's hilarious. She does 20 to 30 units in her [00:31:20] mentalis- Mm-hmm
and always just a little-
[00:31:23] Julie Kaplan: Did she learn it from me or not learn it from me? I
[00:31:25] Jon: don't know. I don't know, but it's-
[00:31:27] Julie Kaplan: We'll talk a- Let us follow up on that ... we'll talk after this.
[00:31:29] Jon: Oh my [00:31:30] God, it's- '
[00:31:30] Julie Kaplan: Cause I wanna know if she's, if she's grabbing her DLIs. 'Cause there's, it is- She, she is.
[00:31:34] Jon: She is. It is, yeah. And-
[00:31:36] Julie Kaplan: Okay ...
[00:31:37] Jon: it, it always happens.
Like, she's done it every time [00:31:40] trying to perfect it, and every time it happens.
[00:31:42] Julie Kaplan: Do you know her dilution and do you know if it's the three-step process that I teach? I, I think
[00:31:45] Jon: it's one to one.
[00:31:46] Julie Kaplan: Okay, that's good. Yep. And do you know if it's, [00:31:50] uh, a neuromodulator that has a bigger field of effect?
[00:31:53] Jon: Daxify.
[00:31:55] Julie Kaplan: Oh. Huh.
[00:31:56] Jon: Yeah.
[00:31:57] Julie Kaplan: That should be not a huge- Tighter ... field of effect. [00:32:00] I
[00:32:00] Jon: know. I don't know.
[00:32:01] Julie Kaplan: Maybe she should go down to a half just to be safe, and then I wanna know if she's doing my three-step, uh, technique or not. I
[00:32:07] Jon: know. I
[00:32:08] Julie Kaplan: know. 'Cause if she is, I wanna see her [00:32:10] do it, and I wanna- Right ... see... Yeah.
[00:32:12] Jon: Yes. '
[00:32:13] Julie Kaplan: Cause I don't wanna go out there with, "Julie taught me how to do this."
Oh, yeah. Hi. [00:32:20] Oh. Walking billboard. Oh, yeah.
[00:32:22] Jon: She is definitely not going around telling people that.
[00:32:23] Julie Kaplan: Okay.
[00:32:24] Jon: So I don't think she learned it from you.
[00:32:25] Julie Kaplan: But even if she's not- Yes ... and even if she didn't- Yes ... I would love to see what she's doing- Yeah ... and, and [00:32:30] maybe- Help her figure it out ... maybe offer some advice, even though I don't get it right 100% of the time either, as evidenced by.
Yeah. It happens. Yeah.
[00:32:38] Jon: Oh. Um, [00:32:40] okay. Last- We're not
[00:32:40] Julie Kaplan: perfect ...
[00:32:41] Jon: last question.
[00:32:41] Julie Kaplan: But we just try to be b- better. Yes.
[00:32:44] Jon: What's your favorite part about Modern Beauty Con?
[00:32:47] Julie Kaplan: You.
[00:32:47] Jon: Oh. You're our favorite part too.
[00:32:49] Julie Kaplan: [00:32:50] Yeah, because I wanna come here and get filled up.
[00:32:52] Jon: I know.
[00:32:52] Julie Kaplan: Not, not just filled in. I wanna be filled up. It's
[00:32:57] Jon: the Fill Me Up Podcast.
[00:32:58] Julie Kaplan: Fill me up. [00:33:00] Fill me in. Fill me up. Fill me in first, and fill me up. Fill me in and then fill me
[00:33:03] Jon: up.
[00:33:03] Julie Kaplan: Yeah. No, I'm just teasing. No, seriously, the, the best thing I love about it is the people. People. Um- [00:33:10] Uh, the thing I love, the, the reason I'm a, a, like a conference-aholic is the people. Yeah. 'Cause seriously, and I don't think there's [00:33:20] any better way to, um, go through this life- Yeah
it, than, than connecting with others. And when you're around wonderful people, 'cause don't [00:33:30] come to aesthetic conferences, don't come to Head & Breakfast either. Never had one . We just did our 64th group.
[00:33:38] Jon: Oh. Wow, you guys- It's amazing.
[00:33:39] Julie Kaplan: Wow. [00:33:40] 64. Not one single- That's amazing ... . Wow. So I think it's your vibe, right? So you attract- You attract your tribe.
Yeah. I know it sounds so cliche, but look around. [00:33:50] It's true. Yeah. Like, there's Jenna right there. I know. She's such a... And we're nerds. We're nerds with hearts.
[00:33:56] Jon: I know.
[00:33:56] Julie Kaplan: That's a good T-shirt. That is a great T-shirt. Nerds with hearts. Nerds with hearts. See, I'm gonna [00:34:00] forget about it in five minutes, so- Well,
[00:34:01] Jon: no, you're not
we gotta
[00:34:02] Julie Kaplan: write it. Write it. No,
[00:34:03] Jon: nerds with
[00:34:03] Julie Kaplan: hearts. We are, though. We're nerds with hearts. And, um, I think that's my favorite thing. Yeah. And, and Modern Meeting Hunt is [00:34:10] in Boston where my son lives. Yeah. Aw. Tomorrow I get to go to dinner with that sweet person. I love that. I know, I know. Damn. And my other son's in Philly, so Subio, um, [00:34:20] hello.
Yeah. I'm ready again. Uh, but I, I say yes wherever my boys are. I love it. Wherever they are, I will come because- That's great ... more sugar. I know. You know, those [00:34:30] boys, mm. They're wonderful men, right? Mm-hmm. And my daughter lives in Ashland with me, so I, I have that- Nice ... cup is already full.
[00:34:37] Jon: So you have three kids.
[00:34:38] Julie Kaplan: Yeah. Oh my gosh. I do. [00:34:40] Are
[00:34:40] Jon: you
[00:34:40] Julie Kaplan: a grandma? And two steps. Yes, I am a grandma. That's awesome. Actually Bubby. They call me Bubby. They
[00:34:45] Jon: call you Bubby.
[00:34:46] Julie Kaplan: Yeah. Yiddish for grandma. Yeah. I love that.
[00:34:49] Jon: [00:34:50] Yeah. Bubby. Love that.
[00:34:50] Julie Kaplan: I love it. I have, I have, uh, three, and in July I'll have four. I know. Oh my God. I
[00:34:57] Jon: know. I've heard there's no greater love than- There's-
your grandkids. Mm. Like, you love your [00:35:00] kids- Yeah ... but there's like- I do.
[00:35:02] Julie Kaplan: I think it's, they're the same. I love them all the same. You love them all the same. Yeah. Got it. I can't, I can't say le- I love my kids less than my- Yeah ... 'cause I [00:35:10] don't. Yeah. I love them the same.
[00:35:11] Jon: Aw. I know.
[00:35:11] Julie Kaplan: I know. You've met my children, at least one of them.
[00:35:14] Jon: I think one of them I did.
[00:35:15] Julie Kaplan: Yeah.
[00:35:16] Jon: I think your
[00:35:16] Julie Kaplan: son. My baby. Right? Yes. You met my baby, who's like 6'3", 6'4". Oh, my [00:35:20] God. He's so
[00:35:20] Jon: tall. Yes.
[00:35:20] Julie Kaplan: I know. Yeah. How-
[00:35:22] Jon: Thank gosh.
[00:35:23] Julie Kaplan: I love him. Yeah. He's the one that's gonna be a nurse.
[00:35:26] Jon: Yes.
[00:35:26] Julie Kaplan: Mm-hmm.
[00:35:26] Jon: He's gonna be a good nurse.
[00:35:28] Julie Kaplan: I think so, too.
[00:35:29] Jon: Yeah. '
[00:35:29] Julie Kaplan: Cause he [00:35:30] has smarts and heart.
[00:35:31] Jon: Yeah, he does.
[00:35:32] Julie Kaplan: Mm-hmm.
[00:35:33] Jon: Do you have any feedback for us? Mm. Just, like, on, you know us. I mean, I don't know.
[00:35:37] Julie Kaplan: I know. Uh, don't ever change. That's my- Aw ... [00:35:40] my request. Always. Yep.
[00:35:40] Jon: Okay.
[00:35:41] Julie Kaplan: Like, always be yourself, and don't let, don't let people, don't let people push you into some little mold- Yeah ... where [00:35:50] you feel like you need to be. Um, you don't need industry to be fabulous, so d- I don't know.
I see a lot of people going, "Oh, I- all [00:36:00] I want is to be a trainer. All I want is this, all I want is that." Well, just find your place in the world without [00:36:10] bending to other people's expectations. That's
[00:36:11] Jon: so true.
[00:36:12] Julie Kaplan: You know? Because at the end of the day, what really matters is connections with your patients- Oh, 100%
connections with your team, colleagues [00:36:20] that you see around you, and, um, just don't change.
[00:36:24] Jon: Yeah.
[00:36:25] Julie Kaplan: You know?
[00:36:25] Jon: I love that.
[00:36:26] Julie Kaplan: Unless you need to, and then we'll have a talk. Mm-hmm. Yeah.
[00:36:28] Jon: Every time I talk to her, [00:36:30] I just wanna start crying. I
[00:36:31] Julie Kaplan: know,
[00:36:31] Nicole: she's
[00:36:31] Julie Kaplan: the best. Aw. Ah. You're amazing. Listen to Bubby.
[00:36:34] Jon: I know. Yeah. And I'll go to the Head and Neck Breakfast.
[00:36:39] Julie Kaplan: Ah. [00:36:40]
[00:36:40] Jon: And I'll bring the Fill Me Up Podcast. Now I have
[00:36:41] Julie Kaplan: to get a whole new logo, 'cause now it has to be Head and Neck Breakfast.
[00:36:46] Jon: I know, we need
[00:36:46] Julie Kaplan: a new- Head and neck My logo doesn't have a [00:36:50] neck, John. Oh, my God. What am I gonna do about that? Ah. Oh, I love you. Take one. I love you both. I know. I'll
[00:36:55] Jon: plant some corn.
[00:36:56] Julie Kaplan: Yeah. All right. Aw. Thank
[00:36:58] Jon: you so much.
[00:36:58] Julie Kaplan: Thanks for having me. Yes. Oh [00:37:00] my gosh, it was fun.
[00:37:01] Jon: Oh my God,
[00:37:02] Julie Kaplan: so much fun. Thanks for the laughs. I got a good ab workout.
[00:37:03] Jon: Yes.
[00:37:04] Julie Kaplan: I needed
[00:37:04] Jon: it. Till next time, from the Fill Me Up Podcast.
[00:37:07] Julie Kaplan: Fill me in. And
[00:37:07] Jon: then fill me in after.
[00:37:08] Julie Kaplan: Fill me up. [00:37:10]
[00:37:10] Jon: Fill it up,
[00:37:10] Julie Kaplan: baby.