Filler Dysmorphia, Adverse Reactions to Botox, Estrogen Cream Superiority and All the Beauty Hacks with Daniela Ezratty, NP

Filler Dysmorphia, Adverse Reactions to Botox, Estrogen Cream Superiority and All the Beauty Hacks with Daniela Ezratty, NP

Released Wednesday, 2nd October 2024
Good episode? Give it some love!
Filler Dysmorphia, Adverse Reactions to Botox, Estrogen Cream Superiority and All the Beauty Hacks with Daniela Ezratty, NP

Filler Dysmorphia, Adverse Reactions to Botox, Estrogen Cream Superiority and All the Beauty Hacks with Daniela Ezratty, NP

Filler Dysmorphia, Adverse Reactions to Botox, Estrogen Cream Superiority and All the Beauty Hacks with Daniela Ezratty, NP

Filler Dysmorphia, Adverse Reactions to Botox, Estrogen Cream Superiority and All the Beauty Hacks with Daniela Ezratty, NP

Wednesday, 2nd October 2024
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0:01

The following podcast is a dear media

0:03

production. In

0:06

a world of ever-changing wellness trends and information,

0:08

what does it mean to truly be

0:11

well? I'm Arielle Lorry and

0:13

I'm going to explore this with you.

0:16

I am bringing you candid conversations that will

0:18

equip you with everything you need to live

0:20

your best life and look good doing it.

0:22

Think of well as your go-to resource for

0:25

all of the latest in wellness and me

0:27

as your internet bestie. Well, let's

0:29

get into it. Hi

0:32

everybody. Welcome to the show. I

0:34

have such a fun, light, great

0:38

episode for you guys today

0:40

because I am talking to

0:42

my friend Daniela Esrati. So

0:44

she is a nurse practitioner. She worked

0:47

in critical care for many, many years

0:49

before opening her own

0:51

wellness and aesthetics practice, EIA Aesthetics

0:53

in Atlanta, Georgia. You may have

0:56

caught our other part to this

0:58

interview back in August where she

1:00

turned the tables on me and

1:02

interviewed me. This

1:04

is kind of similar. I'm interviewing

1:07

her, but it's very conversational, just

1:09

very real talk about things like

1:11

aesthetics and wellness, mostly aesthetics, if

1:14

I'm being honest. So

1:16

in this episode, we talk a little bit

1:18

about ozempic and ozempic fatigue and off-label uses

1:20

from ozempic. That's in the beginning. If you

1:23

don't care about that, don't worry. It's only

1:25

the first few minutes. And then we get

1:27

into the aesthetics and the beauty of it

1:29

all. So we talk about peptides. We talk

1:32

about this war on filler. Filler

1:34

has gotten a really bad rap

1:36

and it doesn't necessarily deserve it.

1:38

We also talk about filler dysmorphia.

1:41

We talk about our skincare non-negotiables,

1:43

free beauty hacks that everybody can

1:45

do, skincare tips. We

1:47

talk face tape. We talk estrogen

1:50

cream, topical estrogen cream, which you

1:52

guys were very interested in when

1:55

I talked about it with Wendy

1:57

Zomner last fall. We also talk

1:59

hydration myths. they're

4:00

done with it. They lost their weight, they wanna

4:02

eat, not normal again, but they

4:04

want to not be on a medication. They wanna

4:06

go back to the way that they were eating.

4:08

And you can see some of that rebound in

4:10

Hollywood. You can see a little bit of those

4:12

five to 10 pounds that have come back on

4:14

a lot of those celebrities. And then there are

4:16

some people who were just absolutely

4:18

so happy that their life has changed. They

4:21

have no side effects, they're dosed

4:24

correctly, and they feel great. I

4:27

think the thing about it is it really

4:30

matters who you go to, how you're

4:33

dosed, and that's the experience that can

4:35

differ from person to person and can

4:37

make people have a really bad

4:40

interaction with it

4:43

or really good interaction. And

4:45

I think another great thing that came from

4:47

it is it really got us as women

4:49

talking about protein and muscle

4:52

building. And it really started that

4:54

conversation, which I think now has

4:56

become so important. So sometimes the

4:59

drawback or the muscle loss that

5:01

can sometimes happen with ozempic in

5:04

the wrong hands has really opened

5:06

this conversation about protein and women.

5:08

I'm always happy to talk

5:10

about that conversation, protein, but

5:12

I had a doctor on

5:15

the podcast recently and she was talking about

5:17

how a lot of the bad PR around

5:19

ozempic was really human

5:21

error and not

5:24

attributed to the medication itself. But like you

5:26

were saying, it's a dosing thing. That's where

5:28

the gastroparesis comes in. That's where the ozempic

5:30

face maybe comes in when people are rapidly

5:32

losing so much weight and they're not eating

5:35

in the correct way to maintain that muscle

5:37

mass, they're not working out. All of that,

5:39

and that comes down to really the provider

5:41

and not so much the peptide itself. And

5:43

then she was also saying, which

5:45

I found interesting, I don't know your thoughts on

5:47

this, that perhaps the bad

5:49

PR was coming

5:52

from a lot of the other

5:54

companies and industries that were losing

5:56

money as a result of people

5:59

losing weight. So what do

6:01

you think about that? I love

6:03

that episode. She was amazing. She's

6:05

a chiropractic naturopathic and she was

6:07

talking about using it for anti-inflammatory

6:09

and it really works in microdosing

6:11

for inflammation. And that's something

6:13

that a lot of people don't know, but I

6:15

love it for that and she does too. Yes,

6:18

so here's the thing. And then we can move

6:20

on because I'm sure people have

6:22

ozmpic fatigue from us. But the

6:25

fact that you can go on a website,

6:27

answer some questions, never speak

6:30

to a human provider, doctor, nurse

6:32

practitioner, and then they send you

6:34

a weight loss medication and there's

6:36

no follow-up. Of course there's

6:38

gonna be disaster. They're getting too

6:40

high of doses. They may not need it

6:42

in the first place. They may not be

6:44

truthful about what their medical history is and

6:46

that's where the disaster happens. We've had

6:48

over 380 patients come through our program. We've

6:53

not had a single complication. I

6:56

have and run a different program.

6:58

It's not for everybody. I use

7:00

the lowest dose. We

7:02

never go up unless someone stalls

7:04

in their weight for over two

7:06

weeks. They have to see me

7:08

once a month for check-in. That

7:10

means how are you doing? Are

7:13

you eating your protein? Is your relationship

7:15

with food changing for the better? And

7:18

I'm also looking for cues because

7:20

losing weight can be not

7:23

addictive, but it can definitely become, it

7:27

can definitely change your relationship with food

7:29

and your own body. And so I'm

7:31

always looking for those cues of, are

7:33

we still having a good relationship with

7:35

our body and food? Are we still

7:37

seeing ourselves as others see us? Or

7:39

are there warning signs that maybe

7:42

we've taken this too far and it's time to

7:44

peel back? So it's usually

7:46

like everything else, never the drug's

7:48

fault. It's the provider and the

7:50

oversight. When it comes to this

7:52

conspiracy theory about sick

7:55

care in the United States, I like

7:57

to think that most people, have

8:00

everyone's good intentions. And we are,

8:02

and we talked about this on

8:04

our last podcast, is that the

8:06

American Society of Medicine doesn't do

8:08

a good job of taking care and

8:10

keeping people well. We're really good

8:12

at sick care. Now, is

8:15

someone sitting behind a desk going, we have

8:17

to keep everybody sick? I don't think so,

8:19

and I really hope not. Is

8:22

big pharma and big food, do

8:24

they make and manufacture foods that aren't great

8:26

for us? They do. Do they put additives

8:29

in them that get

8:31

us more addicted to food? They do.

8:33

But I hope, and I don't think

8:35

that anybody that's a

8:38

good human wants to see anybody ill.

8:40

But there is industry in everything that

8:42

we do. Yeah, and

8:44

you have a unique perspective on this

8:47

because you were essentially working in sick

8:49

care for so long, and that's something

8:51

that we talked about on the last

8:53

podcast. But I remember you saying that

8:55

you wanted to go from helping people

8:57

die well to helping people live well.

9:00

So what are some of

9:02

those foundational things that you

9:04

recommend everybody do to live

9:06

well? You know what,

9:08

that again has evolved and changed. And

9:11

last time I was here, this shows again how

9:13

much has changed. Last time when I was here,

9:15

we had peptides that we were using a ton

9:17

of, and I really thought that peptides were gonna

9:19

be the next frontier in keeping people well. And

9:22

the FDA decided in November to

9:24

take most of our peptides from

9:26

us. And there's

9:28

all different theories about why

9:30

that happened. And peptides, they're

9:33

very safe. They're building blocks

9:35

of amino acids. They're in

9:38

our body naturally occurring. So no one

9:40

knows exactly why that happened. But any

9:42

ethical provider is not prescribing

9:45

certain ones. So if you were to ask me

9:47

this question last year, I would tell you that

9:49

peptides are a big piece of the equation. But

9:51

we had to pivot and figure out, okay, well,

9:53

we don't really have all of those anymore. What

9:55

are the other things that we can do? So

9:58

you can get as... Simple

10:00

as walking outside,

10:02

grounding your feet, eating

10:06

like our grandparents told us to,

10:08

whole foods, whole fruits and vegetables,

10:10

staying away from processed things, right?

10:12

Very, very simple. To getting a

10:14

little bit more complex like doing

10:17

NAD, since we don't have the

10:19

peptides, NAD is a wonderful anti-aging

10:21

tool. It's not for

10:23

everybody, it's a time commitment, it's expensive. So

10:26

we have to look and meet the

10:28

person where they are. Are they wanting

10:31

to take someone who's really, really, really

10:33

healthy, doing all the things, eating healthy

10:35

food, non-processed food, getting five minutes of

10:38

sunlight in the morning, grounding their feet

10:40

and then taking it to the next

10:42

step, doing NAD, doing infrared sauna, doing

10:45

dry brushing, all of those things. That's

10:48

great for that person, but it may

10:50

be as simple as just going into

10:52

somebody's pantry and taking out the

10:54

cornflakes and reminding them

10:56

to eat yogurt or eggs for

10:59

breakfast, things that are from the

11:01

ground, from the earth. So I

11:04

think wellness and those pillars need

11:06

to meet the person where they are, so it

11:09

becomes more of a lifestyle than a quick fad.

11:12

And you see people now doing, I

11:14

mean, all kinds of things, they're doing

11:16

stem cell transplants and all of these

11:18

things that are just, I mean, they're

11:20

like from another planet. I think for

11:23

most of us, eating well,

11:25

staying away from processed foods,

11:27

not smoking, drinking alcohol on

11:29

rare occasions, doing some

11:31

sort of self-care because we're in

11:34

such a grind in our

11:36

society. Our phones are inundated

11:38

with all kinds of media.

11:40

Some of it's good. Right now we're

11:42

in an election cycle. People are very

11:44

heightened. It's not all good. So I

11:46

think doing self-care, trying to bring the

11:48

inflammation and the cortisol down. And

11:51

then finding a provider that you

11:54

can kind of walk through

11:56

life with that's going to listen to you.

11:58

And unfortunately, most of the time, Most of

12:00

those people like myself are going to be out

12:02

of pocket paid. Your PCP

12:04

or your regular OBGYN is

12:07

unlikely going to be able to help guide

12:09

you as you age to

12:11

do all of the things. They just don't

12:13

have the time. So I think that if

12:16

you're going to spend some money, it may

12:18

be on a person who's going to keep

12:20

closed tabs on you. You could have a

12:22

relationship with that can do some lab testing

12:24

that's going to be very significant that can

12:26

catch things early, treat them early. And

12:29

that's going to kind of follow you through

12:31

the aging process. You

12:36

guys know that my morning matcha is my

12:38

absolute favorite part of the day. I

12:41

have the recipe on my Instagram and

12:43

my TikTok, but I'll tell you guys

12:45

how I make it because it could

12:47

not be simpler. So the night before

12:49

I drink it, I add some malc

12:52

almond milk and my matcha

12:54

and a little bit of maple syrup to

12:56

a blender. I blend it up. I put

12:58

it in the fridge. I let it sit

13:00

overnight and it becomes so creamy and delicious.

13:02

The perfect amount of sweetness. It's so good.

13:05

And when it comes to the

13:07

strength, it all comes down to

13:10

the milk that you use. So

13:12

I love malc. It's a premium

13:14

plant-based milk made with simple, high

13:16

quality ingredients. It's incredibly delicious, perfect

13:18

consistency, but it has no fillers,

13:21

no gums, no seed oils, no

13:23

artificial flavors or other additives commonly

13:25

found in plant-based milks. Now

13:28

they also have malc creamers. It's

13:30

a clean and creamy addition to

13:32

your morning routine. So these are

13:34

dairy-free. They're made again without any

13:37

gums, oils, artificial whiteners, other not

13:39

so natural flavors. They're

13:41

just made with clean organic ingredients and

13:43

they're sweetened with low glycemic coconut

13:45

sugar. So the malc

13:48

creamers are available in vanilla almond,

13:50

caramel almond, and lightly sweetened oat.

13:53

I'm very into doing this like

13:55

kind of cold foam matcha now.

13:57

So I'll have my matcha in the morning. I'll

14:00

pour it into a bowl. glass and then I'll

14:02

froth a little bit of the vanilla almond or

14:04

the caramel almond, really into the vanilla right now.

14:06

And I'll add that to the top of my

14:08

matcha so it's like that cold foam kind of

14:10

flavor. It's chef's kiss so good.

14:12

You can now find MULK creamers at

14:14

Sprouts, Air One, and select Whole Foods.

14:17

And you can also use MULK's store

14:19

locator to find MULK creamers at a

14:21

store near you. I'm

14:25

sure that we have all heard

14:27

about the importance of taking our

14:30

omega fatty acids. However, a lot

14:32

of omega-3 fish oil supplements go

14:35

bad before they even leave the bottle,

14:37

resulting in supplements that don't improve your

14:39

health. This is why I opt for

14:41

fatty 15 because fatty

14:43

15 naturally protects against damaging

14:46

oxidation both in the bottle

14:48

and in your body. So

14:51

C15 is the first essential fatty acid to

14:53

be discovered in 90 years. This is what

14:56

is in fatty 15. Studies

14:58

have confirmed that it's three times

15:00

better, broader, and safer than omega-3.

15:03

And a new study has come out about

15:05

the first new nutritional deficiency in 75 years

15:08

called cellular fragility syndrome. This is

15:11

caused by a lack of the

15:13

essential fatty acid C15. And as

15:16

many as one in three

15:18

people worldwide may have low

15:20

C15 levels and cellular fragility

15:22

syndrome, which can accelerate aging-related

15:24

breakdown and impair metabolic,

15:26

liver, and heart health. So

15:28

C15 works by

15:30

strengthening ourselves, improving our mitochondrial function,

15:33

and protecting us against damaging free

15:35

radicals. And the result

15:37

is better long-term metabolic, liver, and heart

15:40

health. I have definitely noticed a plumpness

15:42

to my skin that I did not

15:44

have before I started taking fatty 15.

15:48

And I recently got a DM last

15:50

week and somebody asked me if I've

15:52

noticed that it's like having baby filler.

15:54

And that is definitely how I would describe

15:56

the change that I noticed in my skin.

15:59

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16:01

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16:03

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16:10

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16:13

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16:15

at checkout. Again, that's fatty15.com/blonde

16:17

with the code BLOND. I

16:21

am just as into body skincare as

16:24

I am face skincare. And when it

16:26

comes to the skin on my

16:28

body, I'm really cognizant about the ingredients

16:31

that I'm using because our

16:33

skin is our largest organ. And

16:35

when you are putting products on

16:37

the skin on your body, you

16:39

are covering a lot of real

16:41

estate. And I want to be

16:44

sure that what I'm using is

16:46

clean and good for me, which

16:48

is why I love Osea. So

16:50

they have this body wash. It's

16:52

the Andaria algae body wash. And

16:54

it is so amazing. It infuses

16:56

your shower with the healing power

16:58

of the sea. It's formulated with

17:01

nourishing, nutrient-rich Andaria seaweed, glycerin, and

17:03

an oil blend. So it basically

17:05

provides a gentler, plant-based cleansing experience

17:07

and an all-natural scent that will

17:09

not give you a headache. I'm

17:11

very sensitive to scented things. It's

17:13

also pH balanced. It has a

17:15

super hydrating formula that doesn't strip

17:18

your skin. So it leaves it

17:20

feeling soft and renewed. It has

17:22

this gel-like texture that I love

17:24

and it works into this really

17:26

beautiful, rich lather. And the scent

17:28

is just the best. It's very

17:30

uplifting. It's very citrusy. It's the

17:32

same iconic scent as the best-selling

17:35

Andaria algae body oil, which I've

17:37

been using for years. I put

17:39

it on my skin when it's

17:41

still a little bit damp from

17:43

my bath or my shower. And

17:45

my skin is so glowy and

17:47

hydrated. It has uplifting notes of

17:49

grapefruit, lime, and cypress blended with

17:52

sweet notes of mango mandarin. It's

17:54

basically the scent of summer all

17:56

year round. And it's just a

17:58

gentler cleansing experience than traditional body

18:00

washes because the ingredients help to

18:02

support the skin's moisture barrier and

18:04

it cleanses without stripping. So

18:07

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18:32

A big part of your practice, of course, is

18:35

the external as well, aesthetics. So

18:37

I'm sure everybody listening is like,

18:39

okay, I do these foundational things,

18:42

but what do I do to stay

18:44

looking good? I mean, those trends change

18:46

so quickly. I feel like we were

18:48

just talking about like the war on

18:50

filler. There's always something,

18:53

some product, new and hot

18:55

coming down the pipeline. So

18:57

what is your philosophy when

18:59

it comes to maintaining on

19:02

the outside? I could talk all

19:04

day about this. So my philosophy is,

19:07

I feel like it gets said too

19:09

much, natural, natural, natural. Everyone

19:12

wants to look natural for the most part, but what does

19:14

that mean? And it can

19:16

mean something different for everybody. Like

19:18

natural to me means

19:21

refined, polished, really

19:23

soft. And so I think if you

19:25

look at our Instagram or you look

19:27

at my, if you know my patients,

19:29

they all look like themselves, but a

19:32

very softer version. So I like to

19:35

round out the hard edges. And that means

19:37

like, if you've got a deep set edge

19:39

line, a little bit of Botox goes a

19:41

very long way. I know,

19:44

I know. Shutting a tear. I know.

19:47

And you know, right. And it's filler again, it's like the

19:49

osm because it's not the filler's fault. And

19:52

we were about to have this conversation yesterday and

19:55

Arielle and I, we saw a car accident happen and

19:57

then this woman got out of her car. And

20:00

it was crazy. First of

20:02

all, this woman, we were

20:04

sitting outside creation, eating lunch,

20:07

and this woman laid on

20:09

her horn and then cut

20:12

around this car, this older lady, swiped

20:15

her car, went up on the curb, and

20:17

then just turned, she was- Was

20:19

bananas. Filled with rage. And now I think I

20:21

know why. Wait. Because you can tell them. So

20:23

we were just like, there wasn't even a lane,

20:25

and she just made her own lane, and she

20:28

gets out of the car, and we

20:30

were like, oh, well, she

20:33

didn't need an airbag because she had those lips. If

20:36

you think that we're being mean or exaggerating,

20:38

we're not. No. It was like- It

20:40

was bananas. It looked like

20:42

a blow up doll. Right. Out

20:45

and up, and very hard.

20:47

And hard. I was like, maybe she just

20:49

got them dissolved because it was so exaggerated.

20:53

I've never seen anything like that, to be totally honest.

20:55

To be totally honest. And so I guess

20:58

when you see things like that, that's where

21:00

the average person comes in, and they're so

21:02

terrified. They're like, oh my God. Because you

21:05

see that, and you think that that's the norm.

21:07

But that's the abnormal. That

21:09

should never happen. What

21:11

I tell my patients is, just because

21:13

you can, doesn't mean you should. And

21:16

so there's not a lot of regulations on who

21:18

can and can't do ascetic procedures. Yes, you have

21:20

to have a medical license. Yes, you have to

21:23

be a nurse practitioner or a PA. But

21:25

they don't ask you, like, how did you

21:27

train? Where did you train? And for

21:30

me, I feel like it's

21:32

my job to be the most qualified,

21:34

the most trained. And while I

21:36

need to stay up on

21:39

things, I never jump on trends. And

21:42

so I see filler as

21:44

a beautiful tool, and

21:46

it should enhance you, and it shouldn't take

21:49

away. And nobody should know that you've had

21:51

it unless you want them to. If

21:54

you leave my office and someone goes, whoa,

21:56

you got your cheeks done, then I didn't

21:58

do my job correctly. And I

22:01

think that's the difference is you've got to take the

22:03

time and explain to your patients. This is

22:05

going to be expensive. And hopefully

22:08

nobody noticed. They think, oh, you

22:10

got new makeup or you look

22:12

rested or oh, wow, did you

22:14

lose weight? Filler should make you look

22:17

like you lost weight, not gained weight. And

22:20

so I think having those conversations and telling people

22:22

it's going to be expensive, but

22:24

no one's going to know. And that's the way

22:26

you want it. And I think that sometimes providers

22:29

that aren't as educated or don't have the

22:31

time to spend, they put in a bunch

22:33

because they want their patient to see it,

22:35

not recognizing that that's just not going to

22:38

serve them in the long run. Filler

22:40

done right is safe and

22:43

it can be a beautiful tool

22:45

to help with either

22:47

augmenting or preserving. And I like

22:50

to look at aesthetics two ways,

22:52

preservation or augmentation.

22:56

And you approach those in two different

22:58

ways. What about, I don't

23:00

know what type of scan this is, but

23:02

I don't know all over my Instagram or

23:05

maybe MRI or something thermal where it's

23:07

showing where the filler is even after

23:09

years. And you hear from plastic surgeons

23:11

who are like, oh, I did

23:14

a facelift and there was all this filler.

23:16

So we do know that it

23:19

doesn't necessarily go away

23:21

like we were once told it

23:23

did. Right. You navigate that.

23:26

Yes. And so just this week,

23:28

someone came into my office for lips and

23:31

she came in and I walked into the

23:33

room and I'd never seen her before. And

23:35

I immediately could go one, two, I knew

23:37

exactly what she had done, right? Which already

23:39

is not our aesthetic or my aesthetic. She

23:41

had big volume of cheeks. She had that

23:43

long hanging lip with a lot of filler

23:45

in it, you know? And I said to

23:47

her, no, you didn't. Pre-lip lift?

23:50

Yes, because I was trying to

23:53

change the shape of the lip and

23:55

shorten the filter with filler. I

23:57

mean, it was bad. It wasn't that bad. Really

23:59

bad. I'll throw up a picture. It

24:01

was really bad. So

24:05

right you have never taken a bad photo ever

24:08

So I sat down with her and I said I

24:10

know this is why you're not here But

24:12

I cannot put filler anywhere in your face.

24:15

I need to actually remove it So

24:17

those conversations are never fun for the patient

24:19

to have because they think they're going to

24:21

come in She obviously saw herself in the

24:24

mirror and thought that she needed more lip

24:26

filler and here I am She's ever

24:28

met before and I'm telling her no and I

24:30

need to take out what you have because it's not placed

24:32

appropriately Or it's just been there too long. So

24:35

I think that like Normalizing those conversations

24:37

is a good place to start. We

24:39

know that filler does last longer There's

24:42

so many different fillers on the market

24:44

some last longer than others some are

24:46

more cross-linked It also depends on how

24:49

it's placed where you place it there's

24:52

that MRI scan is There's

24:55

two different camps for some people that find it

24:57

to be very helpful and there's some who are

24:59

saying it's completely It

25:02

doesn't represent What's really

25:04

happening under the skin and I think

25:07

he had good intentions of it and

25:09

this is my problem with

25:12

all of the noise on social media is

25:16

it's causing a lot of decision paralysis

25:18

for women and You're

25:20

seeing mostly plastic surgeons

25:24

There's one guy who's in the

25:26

West Coast and he's actually a dermatologist But

25:28

it's doing surgery and he's one

25:31

of the bigger louder voices about

25:33

it and they're only talking about

25:36

complications during surgery if you've

25:38

had filler or Sculpture

25:42

and While I think those are

25:44

important conversations to have as a

25:47

society and as colleagues It's

25:49

not fair to have that conversation

25:52

about surgical complications and only talk

25:54

about it if you've had filler

25:57

or Sculpture surgical complications

25:59

can happen regardless of

26:02

filler or sculpture. And

26:04

they're known. You can have

26:06

an incisional complication. You can have nerve

26:08

damage. You can have unsightly

26:11

scars. You can have

26:13

infection. You know, fat transfers are

26:15

wonderful, but they're not benign. You

26:18

can get fat necrosis. And

26:20

when you get fat necrosis, it can be

26:23

devastating. So- Is

26:26

that like when someone gets a

26:28

cyst? They can have a cyst

26:30

or the fat can die and

26:32

causes a local infection that then

26:34

causes a massive inflammatory response. You

26:36

get an indentation where that was

26:38

and you get hyperpigmentation. And

26:42

you can have a risk with filler as

26:44

well, but you can't talk about all

26:47

these complications and not have the

26:49

full conversation with people. And I

26:51

think that's my problem is let's

26:54

talk about complications from anything we

26:56

do, but it cannot

26:58

be, you cannot blame sculpture and filler

27:00

for your surgical complications and not go

27:02

back, like we said, to basics, which

27:05

is what we know that you can

27:07

have incisional complications. I had a surgical

27:09

complication that was not in an area

27:13

that I have anything in my face. And

27:16

it's just a known thing. I had

27:18

an incisional complication. It

27:20

took months to fix. Another

27:23

surgery, right? Another surgery, lots

27:26

and lots of steroid injections. And

27:28

listen, I take responsibility, right?

27:30

I had informed consent. I

27:33

was well aware of the complications,

27:35

but it had absolutely nothing

27:37

to do and not in an area where I

27:39

have even Botox. So

27:42

I think what happens is when

27:44

you start scaring people on social media about

27:46

if you get sculpture, you're never gonna be

27:48

able to get a facelift or if you

27:50

do, you're gonna have nerve damage. That's

27:53

not fair because then women don't know what to do.

27:56

And then they're terrified. And so they're

27:59

waiting. It's kind of like I always

28:01

use the analogies of like eggs are good eggs

28:03

are bad Remember like we would like eat half

28:05

an egg not the egg yolk only ate the

28:07

egg white now. We're back to eating eggs It's

28:10

like the same thing. It's like, okay, but then

28:12

what do you want women to do not to

28:14

do anything? Not everybody wants surgery

28:16

at any point in their life Not

28:19

everybody can afford surgery and

28:21

not every surgeon is talented Unfortunately,

28:24

you know like my husband's a

28:26

physician. He probably could have

28:28

become a plastic surgeon You don't

28:30

take a test on whether or not you're a

28:32

good artist to be a plastic surgeon. John can't

28:34

even see colors And

28:37

like he I mean like I wouldn't trust

28:39

him to do Botox in like a simple

28:41

area in my face and like but he

28:44

could Have legitimately become a plastic surgeon So

28:46

just because you do the training doesn't mean

28:48

that you're an artist So it goes back

28:50

to just because you can doesn't know he's

28:52

listening to this to you. Of course he

28:54

is Of

28:56

course, he is sorry John not a shout-out

28:59

he wanted no Even

29:02

like he'll do my PRP. I'm like, that's too deep that

29:04

you're hitting my phone God

29:08

Yeah, so like, you know, that's the thing and

29:10

and I think that what's happened is 10

29:13

years ago. There were no medspas. You

29:15

had to go to your dermatologist or plastic surgeon

29:18

to get your injectables and cosmetic

29:21

surgery or plastic surgery wasn't

29:24

It wasn't as common as it is now and

29:26

now they realize they can charge an

29:30

Extraordinarily amount of money for plastic

29:32

surgery, so they don't need to

29:34

be sitting behind a bed doing injectables They

29:37

can take that Friday off and go on their boat or

29:39

do whatever they want to do So

29:41

they're not doing injectables anymore

29:46

Sounded personal There's

29:50

a few people that that could apply to I

29:54

was thinking of a different person Everyone's

29:57

like what they're delulah So

30:00

because they're not doing them anymore and they

30:03

want to have the surgical business, this

30:05

is the angle that they're taking on social media is

30:08

surgery is the only answer. Billers

30:11

don't help you, they make things worse, they

30:13

make you look puffy, they make you look

30:15

old, sculpture is awful,

30:17

all of the things. And so I

30:19

think when you peel back the onion

30:21

and you see who is making those

30:23

statements and why they're making them, it'll

30:26

make a little bit more sense. And

30:28

the interesting thing is my office, we

30:30

get so tired of hearing about it

30:32

in the fear mongering, we called some

30:34

of these plastic surgeons office and they

30:36

actually offer filler, sculpture and threads in

30:38

their office. They have somebody else doing

30:40

it. So, you

30:43

know, it's- Consider the source. Consider

30:45

the source. And like, if there really

30:47

are things they're seeing during surgery, then let's

30:50

talk about it as colleagues

30:52

because I want to do

30:54

everything to set my patients up for success

30:56

in the future. I would never do something

30:58

that I thought was gonna cause them issues

31:00

down the road. And if I need to

31:02

rethink how I do things and let's talk

31:05

about it as a group, let's

31:07

not scare people on Instagram that if they

31:09

get one syringe of filler, they're gonna look

31:11

like that girl who had the car accident

31:13

yesterday. They're just not. And like, it's so

31:15

funny because like in my office, I see

31:17

everybody back in four weeks after we do

31:19

filler, everybody, unless they fly in to see

31:21

me, but then I'll see them virtually, but

31:23

we see everybody back. And when

31:26

they walk in, we're all at the front desk, going, oh

31:28

my God, you look amazing. Like you look so good. And

31:31

they really do. And

31:33

I think that that's the take home

31:35

message that find somebody who you like

31:37

the way their aesthetic looks. All

31:40

these before and afters on Instagram that

31:42

are wild, you don't want to see

31:44

that provider. The before and afters should

31:46

be subtle. They should not be something

31:48

that you're like, whoa, because that's not

31:51

gonna look good in real life. Find

31:53

a provider who has an aesthetic that you

31:55

like, work with them, small

31:58

baby steps over. give

32:00

you nice, good, long-lasting results.

32:03

But you have to be committed to do

32:06

all the things. You

32:08

can put a ton of filler in

32:10

your face. If you have bad skin, you're

32:12

still gonna look old. You

32:15

can have tons and tons of wrinkles

32:17

and want filler and it just doesn't look

32:20

right. So you get to a place where

32:22

you're over 30 and

32:25

you can't just do lip filler. You

32:27

need to be doing all the modalities.

32:29

You need to be doing skin. You

32:32

need to be thinking about lasers, maybe

32:34

a microneedling. You need to be sleeping,

32:36

eating well, maintaining your weight, all

32:38

of the things. And so it's

32:41

expensive and I get it, right? And it's

32:43

my job to make a year plan for

32:45

somebody and say, this is what a year

32:47

looks like. I need a year to get

32:49

you to where you wanna be. You don't

32:51

have to get all the syringes of filler

32:54

today, but I think that you need chin

32:56

and lips. And it's not my

32:59

job to turn people away if

33:01

I'm not gonna do them harm, if

33:03

they don't have the pocketbook to do it in

33:05

one day. Because I think that it's

33:08

my job because I know that I do

33:10

a good, safe job to meet

33:12

them where they are opposed to going, you

33:14

need to go somewhere that you can afford

33:16

and not meet. Now, if I'm

33:18

not gonna do harm and they came in for lip

33:20

filler, I think they need

33:22

added chin. We'll have that conversation. We'll put

33:24

it in the plan. If I can

33:26

safely do their lip filler that they're not gonna look

33:28

crazy, I'll do it. And then usually

33:31

the trust begins to build. You

33:34

build that relationship. You start

33:36

doing small tweaks over time.

33:39

And then you get a beautiful, natural,

33:41

long lasting result. And most of my

33:43

patients that see me are

33:45

on maintenance and they're

33:48

coming in every three months for Botox.

33:50

They do one or two skin treatments

33:52

a year. They're doing their at-home skin

33:54

routine, which is so important. They've adopted

33:56

some of the supplements that I think

33:58

are non-negotiable. with thion vitamin C, which

34:01

you know, they're staying out

34:03

of the sun, they're doing their best

34:05

to rest when they can, and they

34:07

look amazing. And most of them

34:09

have some sort of filler or sculpture in

34:11

their face if needed. And

34:14

when the time comes, and I

34:16

can no longer serve them with

34:18

my non-surgical devices or tools,

34:21

that's when we have the conversation

34:23

about surgery. And again, that is

34:25

a personal choice. Not everybody

34:27

wants to have surgery. There are people who

34:29

are adamantly against it. And

34:31

I still need to care for them

34:33

and support them and find creative things

34:35

to help them. And I think that

34:38

it's narrow-minded, and I think that it's

34:40

kind of short-sighted to be like, well, filler can't

34:42

help anybody. I can blend

34:44

filler to make it smooth in different areas.

34:46

There's all these things that we can do.

34:49

So I want people to kind of put that

34:51

noise behind and just find some way that you

34:54

trust. I

34:57

know that you guys are probably as interested

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Hey y'all, it's Ken Yurick here from the Demar Blonde

37:29

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37:32

that I probably shouldn't be giving. But hey, who's stopping

37:34

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37:36

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37:38

to talk about dating, friendships, and everyday life as

37:40

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It's drying out my eyes. I feel like it's drying

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tolerate being in there for that long. So

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your session. I definitely do. at

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40:57

your point about having to take care of your

40:59

skin and things like that. I mean, I always

41:01

say your skin is your canvas. And I remember

41:04

last year, especially when I was doing a lot

41:06

of skincare videos and everybody was like, it's Botox.

41:08

You can only get glass skin from Botox. And

41:10

I'm like, my skin is better now than it

41:13

was last year when I was frozen with Botox.

41:15

And I have none of that. And

41:17

you know, you see people who

41:19

get surgery, however old they are,

41:22

50, 40s, 50s, 60s, 70s, and they

41:24

get a facelift and they get all the things

41:26

and their skin isn't good. And they just look

41:28

like a 70 year old

41:31

who had surgery. Correct. So if

41:33

people are listening and they're like, maybe

41:36

not wanting to do anything or they

41:38

just want to know how to take

41:40

care of their skin to have that

41:42

best canvas, what are your non-negotiables? This

41:45

is a good one. And it's so funny that, so Madison

41:48

and I, Madison worked with me, we went

41:50

for belagic facials yesterday. So I'm not huge

41:52

into like hydro facials and a lot of

41:54

extractions, but the French facials, they don't do

41:57

that. You know, I mean, they, I'm obsessed

41:59

with the remark. If I could have that

42:01

in my house, I would like never leave my

42:03

home. I'd be doing it all day long. You feel like you're

42:05

getting electrocuted. You do feel like you're getting electrocuted. It tastes like

42:07

you're licking pennies or something.

42:10

But it's amazing. And result

42:12

is just amazing. So, but it's funny

42:15

because Madison said that when she came out,

42:17

her esthetician said, oh, you need

42:19

to drink more water. Your skin

42:21

is dry. And I said,

42:23

oh, because that's something people are always gonna be like,

42:25

you need to drink more. Okay, guys, your skin on

42:27

the outside, it's dead. So let me explain

42:30

why water will help your skin look

42:35

more plump. So we have blood

42:37

vessels underneath the skin. And

42:40

so when you drink water, it plumps

42:42

your blood vessels in your hands, everywhere

42:44

in your feet, in your face, everywhere.

42:46

But it doesn't get to the, it

42:49

does not hydrate the outside of your

42:51

skin. It can make you look more

42:53

plump because those blood vessels are

42:55

bouncier. So I wanna start

42:57

with saying that like, if you don't drink

43:00

a ton of water, don't beat yourself up.

43:02

It's not gonna make your skin hydrate. So

43:04

can I just say my boyfriend has the

43:06

best skin, so bouncy and so much like

43:08

collagen and elasticity. And every day I'm like,

43:11

did you drink water today? No. Right.

43:14

I'm like, what? Right.

43:16

Exactly. And what

43:18

man has a nine step skincare regime?

43:20

None. But that's different because men, they

43:23

age differently than we do. So we lose a lot of

43:25

bone. And so when we lose

43:27

bone, things start to shift. We also, our

43:29

skin is very sensitive to estrogen. And as

43:31

we age, we lose estrogen and our skin

43:33

becomes very dry. Do you like topical estrogen?

43:35

I was just gonna tell. I was gonna,

43:38

I wasn't sure if we were gonna get

43:40

to like, what my like top favorite new

43:42

things are. Yeah. Topical estrogen.

43:44

And it's honestly not new. I

43:46

saw a dermatologist years ago in

43:48

New York. I mean, I'm talking like 25 years ago. And

43:52

she was talking about it then. So it's

43:54

primrin. It's very, you know, very

43:56

simple to get a prescription for. Most insurances will pay

43:58

for it. don't coat it as

44:00

using it for your face. You just use it,

44:02

you know. You prescribe it? Yeah, I use it.

44:05

Yes, after that. I have a California

44:07

license, it's legal, so I won't write you for it.

44:10

I'm obsessed with it. So I think it

44:12

makes a big difference. Again, anything

44:15

with skincare, that's not a laser,

44:18

you have to give it three to six

44:20

months. That's the problem is people put on

44:22

their stuff and they're like, I don't look

44:24

any different. Well, you're not going to. It

44:26

takes a minute. We didn't get

44:28

to where we are overnight. We're

44:30

not going to reverse change or

44:32

optimize things overnight. Obsessed

44:35

with estrogen skincare cream. I

44:37

think that everyone can benefit.

44:40

You're not going to topically absorb

44:42

that amount to change anything within

44:44

your body hormonally. So

44:46

I think it's great. I think

44:49

exfoliation is so underrated and

44:51

so important. So I think

44:53

everybody should be doing some

44:55

sort of exfoliation. You've

44:58

got to renew that skin. You want

45:00

to get rid of those dead skin

45:02

cells. Everyone looks great when they're

45:04

glowing. So that can be a physical like

45:06

with a grain or it can be chemical

45:09

with one of the acids. I like to

45:11

use the acids because my skin is sensitive.

45:13

The grains, they're better now. They're not like

45:15

the apricot from like St. Ives. You know,

45:17

there's very small ones that are safe for

45:20

the skin. So I think everyone

45:22

should do some sort of exfoliation. Everybody

45:24

needs sunscreen. I know it's so

45:27

boring, but that's a pillar. Photo

45:29

aging is a real thing. Sun

45:31

spots are a real thing. And I tell

45:33

all my young patients, prevention

45:36

is always cheaper than correction.

45:38

I mean, you know. Yeah.

45:42

I always say my one regret in

45:44

life is my addiction to tanning and

45:46

tanning beds when I was younger. I

45:49

mean, thank God for lasers, but they're

45:51

so expensive. They're so expensive and it's

45:53

not a one and done. No. That's

45:56

the thing. It's like a yearly maintenance thing. Yes. I

45:59

always talk like they're like, oh. I'm like, one and done

46:01

is not gonna do it. And then, you know, a

46:03

lot of these like lower level like IPLs, they

46:05

don't really even work. So

46:07

sun damage is a real thing and

46:09

it's expensive to undo. So exfoliation, sunscreen,

46:11

a really good moisturizer. And I think

46:14

people get very confused and they're gonna

46:16

laugh, they hear me talk about in

46:18

the office all the times. There's different

46:20

particle sizes and people

46:22

love the way a thick moisturizer

46:25

feels. They obsessed with it, like

46:27

the Lameres or Nivias or things

46:29

of that nature. But those don't

46:32

penetrate the skin. They're not

46:34

gonna give you deep hydration. So

46:37

those are what I call like a

46:39

barrier cream. You can put that on

46:41

the end before you go to bed

46:43

to kind of lock everything in, but

46:45

you need a serum type smaller molecule

46:47

moisturizer to really absorb into the skin.

46:50

And then go hog wild if you

46:52

wanna put something thick on top to

46:54

feel good. But I always say

46:56

like those are your things that prevent wind

46:58

burn and tossing and turning at night from

47:00

maybe scraping your face, but like it's not

47:02

gonna give you that deep hydration. And

47:05

then the other thing that's simple and it's completely

47:07

free is sleeping on your back.

47:11

I know, I know you can't do it. I'm

47:13

the worst. I know. I'm the worst, but I

47:15

just tape my face now. That's like a big

47:17

thing. I have to say. You're

47:19

obsessed. I am obsessed. I tried

47:21

a lot of the different ones. I tried the

47:24

Frownies, it was awful. It was like paper mache

47:26

on my face. It's so hard to get off

47:28

in the morning. It's so uncomfortable. Sorry Frownies. I

47:30

didn't like it. I know a lot of people

47:32

do. It smells. I just, I was like, this

47:35

is not good. And

47:37

I'm like sacrificing skincare for

47:39

this past on my face. And

47:43

then I tried, I don't know, I tried

47:45

all of them. And then I found this

47:48

Japanese face tape from Natural Face

47:50

Bible, I think is her name. Yes. I

47:53

just learned about her like last week. I mean, I

47:55

have to say it is legit. I

47:58

mean, does it stop me from having. movement? No. But

48:00

I notice I don't have any static lines

48:03

to begin with because I did Botox for

48:05

so long. Right. Praise God. But I do

48:07

notice I sometimes wake up, whether it's from

48:09

sleeping on my face or on my side,

48:11

things move and squish. And I know that,

48:14

you know, people say that we move our

48:16

faces in our sleep without noticing

48:18

it. And so I just do

48:21

my forehead and like I wake up and

48:23

it's so smooth. You look amazing.

48:25

Last night I did my chest. You're gonna put

48:27

me out of business. You're like, I don't need

48:29

her Botox. Just gonna put some tape on. I

48:32

mean, it's totally different, right? It's totally different. It's

48:34

not preventing movement. There's nothing like Botox as of

48:36

right now that inhibits

48:38

the muscle from moving. But

48:40

I think it is a good option, especially

48:42

if people are like pregnant and they don't

48:44

want to have those lines forming. Because I

48:46

noticed that really, it's just in the morning

48:49

when I see like little kind of creases

48:51

and they kind of disappear over the day.

48:53

But when I use the tape, they don't.

48:55

And I think something that I know Donna

48:57

Omari, sadly passed away, but

48:59

she would do face tape. And she

49:01

talked about, you know, the circulation and

49:03

yeah, maybe it's legit or

49:05

not. But when you're talking about hydration and

49:07

you know, the blood vessels, I don't know

49:09

if you're taping something there. Her philosophy,

49:12

I think, was that it like drew blood

49:14

to the surface. So it helped with plumping.

49:16

Okay. You're like, Oh, I mean, I

49:18

have to, let me get back to you on

49:21

that. But I think it's a great option because

49:23

like sometimes people have like, you know, really hooded

49:25

eyes and I tell them like, Oh, I can't

49:27

Botox your forehead exactly how you want it. Cause

49:29

you're going to feel really heavy. That's a great

49:32

option for somebody who maybe Botox in the forehead

49:34

isn't a great idea for anymore. But yeah, I

49:36

think all of that stuff is great. And sleeping

49:38

on your back is hard. Like I, my poor

49:41

husband, he must look at me and be like,

49:43

she was like a Frankenstein tonight.

49:45

Like I have the eye mask, which

49:47

I now don't know how I got

49:49

to be my age and didn't know.

49:51

Like a silk one. Yeah. Same game

49:53

changer. Literally. Like I'm almost angry that

49:55

I didn't know about it before. It's

49:58

like my sleep. Sleep

50:00

has changed. So like I'm on my back,

50:02

right? I have all the skincare on. Now

50:04

I'm sleeping in this Biodance mask, which is

50:06

like $5 on Amazon. It's

50:09

a collagen mask and I swear. Oh

50:11

yeah, I love that. They're amazing,

50:13

but it's way, it's like I have a hockey

50:15

mask on. Then I have my black, silk

50:17

mask. And

50:21

I'm like this, I'm not gonna move it. It's

50:23

what I do. And I think it does

50:25

help. I mean, for sure. Patients that sleep

50:27

on their side, they come in, they've got

50:30

a line there. You can get lines on

50:32

your chest too. So that's a free thing

50:34

that everybody can kind of do. Like find

50:36

some pillows, do the things, prop yourself up.

50:38

I don't know if it's only because what

50:41

I went through in the past year

50:43

where now I feel like social media,

50:45

whether it's TikTok, Instagram, they're feeding me

50:47

this content about more natural approaches to

50:49

things. But it does seem like there

50:52

is this movement, I think, away

50:56

from obviously the unnatural, completely

50:58

frozen look, the overfilled. But

51:01

also I think people are being a little

51:03

more skeptical and a little more cognizant about

51:05

the things that they are both

51:07

putting into their body, using on

51:09

their skin topically. So

51:11

I think that we're seeing a lot more of

51:14

these kind of quote unquote hacks, whether

51:16

it's the silk eye mask, the bio

51:18

dance thing, the collagen mask, the face

51:20

tape. And I think it's interesting

51:23

to hear from you because you do the

51:25

other things as well, but you can do

51:27

all of it. It can all work in

51:29

concert. Yes, I wanna do all of it.

51:32

Like if I'm like, I'm gonna get

51:34

that tape tonight. I have so

51:36

many roles I'll give them to you. You'll love it.

51:38

I'm just gonna be like, what now? And that's what

51:40

I was saying is that like, you

51:43

can't think that you're gonna walk into my office, get

51:45

10 units of Botox

51:48

and walk out and look like Kim Kardashian.

51:50

You're not going to. I

51:52

do all the things and

51:54

you have to do, as you age,

51:56

you're gonna have to do more and

51:58

more. If you want. to

52:01

retain some of that youthful stuff. I

52:03

take all the supplements, I do all

52:05

of the skin care, I sleep in the eye masks,

52:07

I do all the things. And so I think that

52:10

that's good. And I think that being aware of

52:12

what we're putting into our bodies is important. I think

52:15

it's super important. I think whether that's going back to

52:17

more whole foods or deciding that you're like, I had

52:19

a patient the other day that told me that she

52:21

was going to get Botox every month.

52:24

And I was like, I rarely

52:27

ever, I pride myself

52:29

on never telling a patient

52:31

that they've had something done wrong or the

52:33

technique. I try

52:35

to just say, well, I just do it differently.

52:37

But in that sense, that's actually wrong. That's

52:41

not how you practice. You don't get Botox every

52:43

month. And going

52:45

through that with you, I don't wanna get emotional,

52:47

but going through that with you, it

52:50

changed the way that I think

52:52

about things. And I remember

52:54

being here kind of

52:57

right when it happened. And I was

52:59

thinking about that this morning. I remember vividly being in

53:01

Montauk, being on the phone

53:03

with you and the neurologist. And I remember

53:05

getting off the phone and being so angry

53:09

because listen, I'm well aware of the gas

53:11

volume that happens in medicine. It happened to

53:13

me. I hear it in my office.

53:17

But to think that it's still going on is

53:20

upsetting. And I know

53:22

everyone knows what all went on, but I

53:24

had a real front seat to it. And

53:26

it's something that I do for a living.

53:29

And this

53:31

is where we have to get

53:33

away from only looking at studies

53:36

and saying, well, there's no studies that show

53:38

that that happens. That's not what happened to

53:41

you. And it did

53:44

happen to you. And I know

53:46

you so well, and I watched

53:49

it, and I lived with you going

53:51

through it. It doesn't matter if there

53:53

are studies. And the fact that

53:55

nobody said to you, I don't know.

53:59

They all came up. with these things, right? We

54:01

went through all these things instead of

54:03

saying, I don't really know, you know

54:06

what it sounds like. The

54:08

most logical thing is what you're telling

54:10

me, the timing of when it happened,

54:12

how you feel. I don't

54:16

have a study to prove that, but I

54:18

see you as a person, and I see

54:20

you and I hear you, and it coincides

54:22

to when you were treated. And listen,

54:26

we don't know exactly why that happened, right?

54:28

And then all this stuff has come out

54:30

about counterfeit Botox. So

54:33

who knows, right? I

54:36

take trust in that

54:38

the shipment that comes to my office

54:40

from the company that I buy it

54:42

from, which I only buy from the

54:45

company themselves that makes Botox or Sportj Voe,

54:47

I reconstitute my product myself

54:49

in my office. But

54:52

not every office runs that way. So you know,

54:54

you never know, but the fact that nobody

54:56

said to you, I don't know,

54:58

instead of making up all of

55:00

these things, right? And

55:03

I think that you're a real lesson in

55:05

everybody's body responds differently. And just

55:07

because something you were able to

55:10

do for so many years, doesn't

55:12

mean that you may or may

55:14

not have a reaction. I've had

55:16

tons of cosmetic surgery. I happened

55:19

to have a complication this last

55:21

time. It can happen. And

55:23

I think that we need to really open

55:27

our eyes as providers and really

55:30

listen. And I

55:33

remember feeling so helpless at

55:35

the time and being like, this is what

55:37

you do for a living, why can't you

55:39

help her? But I remember being the only

55:41

thing I could offer you was support and

55:43

love and not try to make

55:45

up what I thought it was. And I

55:47

don't know if I

55:49

did a good job in that time. But

55:52

I remember just

55:54

I remember thinking, God, you know, I do this all

55:57

day. Am I am I doing the right thing, you

55:59

know, for a living? for my patients, but

56:01

I definitely have conversations with them now that

56:03

I didn't have thanks to you. And

56:06

I think informed consent is

56:08

so important. And I heard you talking

56:10

on your last solo about like feeling

56:12

guilty about you had done this to

56:15

yourself. And I think as women, we

56:17

do that, whether it's breast implants or

56:19

the, you know, the complication that

56:21

I had, or, you know, if you get

56:24

a bad outcome from your Botox and your

56:26

browser flat, we do tend to blame ourselves.

56:29

There's nothing wrong with wanting

56:31

to enhance yourself or preserve

56:33

yourself. And I think we

56:35

need to support each other

56:37

when complications happen and normalize

56:39

them and say, okay,

56:42

if your brows have dropped, it's Botox. It's gonna wear

56:44

off in three months, or you're gonna be okay. If

56:47

you happen to get breast implant illness disease,

56:49

it's not your fault. It's okay. We're

56:52

now having conversations. And thank God there's

56:54

great doctors like Dr. Cohen who took

56:56

care of you who said, we don't

56:58

know exactly, but let's see how things

57:00

go. Let's see how you feel. Yeah,

57:02

he was like, let's remove one variable

57:05

so that we can get to the root of

57:07

what is actually happening. Exactly. And I

57:09

think that that's what we need to do

57:11

is support each other as women and just

57:14

as people when we have complications and

57:17

take that guilt away from people.

57:19

And I think that it's just what we do. We're like,

57:21

oh, should I just left things alone? And a lot of

57:23

spouses will tell their wives, oh, she's, why did you do

57:25

that? You know, and you shouldn't

57:28

play with fire. There is

57:30

a time when I'll tell my patients, like you look so

57:32

good. The only thing that can happen is

57:34

a complication. That one millimeter that I can

57:37

get you more filler isn't worth it, right?

57:39

That's what Ben says too. He's like, I

57:41

can only make it worse. Right.

57:44

And I think that's where we're having these conversations,

57:46

that's where these conversations are going with a little

57:48

bit more awareness, a little bit more natural of

57:51

like, you know what? Sometimes good is good enough.

57:54

And I think that's where the value into

57:56

picking your team is that they're going to

57:58

say, you know what? Sometimes good

58:00

is good enough. And the only thing that could

58:03

happen is a complication. So let's let it be.

58:06

Well, thank you for that. Maybe we'll get

58:08

into some of that a little bit more

58:10

on the episode we're about to record, which

58:12

is you interviewing me. But

58:15

yeah, you did have a front row seat to

58:17

that. And not to get

58:19

too much into it, because I know we're

58:21

almost out of time, but you were really

58:23

the only support that I had. And I

58:25

mean, I went to like 10 different doctors

58:27

and it was so traumatic. I remember being

58:29

at that neurologist when you were on the

58:31

phone and you were like, should we check

58:33

the lot number? Like no

58:37

physician, except for you really

58:39

acknowledged that it could have been that when it was

58:41

like the day that I got

58:43

injections and the next day is when

58:45

it started. Like, hello, Occam's razor. Right,

58:47

right. But that's a conversation for a

58:50

different time, but yeah. And as far

58:52

as the complications go, I think that

58:54

there's a lot of shaming ourselves and

58:57

then judging other women. So I think

58:59

that a note to end on is

59:01

also just stop judging each other because

59:03

I just did a

59:05

video on TikTok recently about like, oh, what

59:08

are we doing? That's not Botox. And everyone's

59:10

like aging gracefully. And I'm like, what is

59:12

even graceful aging? And it's only coming from

59:14

women, you know? And judgment

59:17

and to your point, like we can

59:19

want to preserve, we can want to

59:21

maintain whatever one person chooses to do.

59:24

It doesn't have to be what you

59:26

choose to do, but like, let's all

59:28

allow some space for everybody to

59:31

be on their own journey with that. Yes,

59:33

and it's so funny that a lot of

59:35

it comes from women. And last time I

59:37

was here, I was in Air One and

59:39

Kristen Caballari was there with her new hot,

59:41

19 year old boyfriend. And I

59:43

was like, oh, I mean,

59:45

I was so happy for her. I was

59:47

like- She got so dragged. And all of

59:49

the comments were from women. They were like,

59:52

what about your kids? I'm like, what about

59:54

her kid? Like, I remember seeing her. The

59:56

only thing I thought was like, damn. Like,

59:58

it's all right. It's

1:00:00

always women. It's always women. So all

1:00:02

the vitriol, all the hate, everything, it's

1:00:04

from women. And that comes from doing

1:00:07

what I do. And I see that comes from

1:00:09

a deep place of insecurity, right? And

1:00:12

sometimes people wanting to have the courage to do

1:00:14

what you and I might do and talk about,

1:00:16

but they don't have it. And so a lot

1:00:18

of that comes from fear, a lot

1:00:21

of that comes from jealousy, a

1:00:23

lot of that comes from anger

1:00:25

within of not being who they

1:00:28

authentically want to be. Maybe

1:00:30

their husband doesn't agree with it and they don't have the strength

1:00:32

to say, hey, I'm going to do it anyways. So

1:00:35

happy women don't do that. And

1:00:38

so that I'm going to say, and

1:00:40

I cannot wait for the interview on

1:00:42

the Patreon. And I just want everyone

1:00:44

listening to know that if

1:00:47

you listen to this podcast and the Patreon,

1:00:49

what you're getting is

1:00:52

truly Ariel's life. I'll

1:00:54

listen to an episode and I

1:00:56

may have had the information a month before, but I'm like,

1:00:59

oh, I know it all. You guys get

1:01:02

the real deal and I don't know that there's a

1:01:04

lot of people like that, but what

1:01:06

you see is what you get and

1:01:08

you really do share your life. You

1:01:10

really do. And it's truly honest. Thank

1:01:12

you. You might leave out a name

1:01:14

here or there, but the story is

1:01:16

there. Yeah. I know

1:01:19

you're thinking. I

1:01:21

know exactly what you're referring to. Well, thank you.

1:01:23

Yes. Everybody can find

1:01:25

my Patreon on my Instagram pages. I

1:01:27

think there's links. And where can everybody

1:01:29

find you? I am

1:01:32

in Atlanta, Georgia in the heart

1:01:34

of Virginia Highlands. I own Esrati

1:01:36

Integrative Aesthetics and I am Daniella

1:01:39

Esrati Aesthetics on Instagram. And

1:01:41

we'll link everything below. Thanks so much.

1:01:43

Thanks so much. I

1:01:46

hope you enjoyed that episode. If you liked

1:01:48

the episode and if you liked the

1:01:50

show in general, please take a second

1:01:53

to rate, review and subscribe. It goes

1:01:55

such a long way in supporting the

1:01:57

show. Follow the show over

1:01:59

on Instagram. at well.pod. You can

1:02:01

also follow my personal Instagram at

1:02:03

ariellelory. I'm always sharing great clips

1:02:06

from the episodes and we also

1:02:08

have full episodes on YouTube as

1:02:10

well if you want to watch

1:02:13

in entirety. Thanks for listening. Please

1:02:23

note that this episode may contain paid

1:02:25

endorsements and advertisements for products and services.

1:02:27

Individuals on the show may have a

1:02:30

direct or indirect financial interest in products

1:02:32

or services referred to in this episode.

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