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October 30, 2023 59 mins

Dr. Sobel joins Bethenny with the latest dermatology tips including what products to use and how to use them! Plus, what medical spas are doing wrong, how to be the best version of you and Bethenny shares an experience that went horribly wrong for her.

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Episode Transcript

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Speaker 1 (00:11):
Doctor Howard Sobel is a top rated cosmetic dermatologist in
New York. In fact, he happens to be my dermatologist.
We talk about everything from what you should be doing
for your daily skincare routine to insight on popular cosmetic procedures.
Doctor Sobol also has his own line of skincare that
you can find at doctor Sobel skinrx dot com or
Sophora dot com. This is just be influenced with doctor

(00:33):
Howard Sobel. Let's get into it. So Howard is a dermatologist,
a high profile dermatologist in New York City that has
a lot of celebrity clients. I you know, you don't
get enough credit for the fact that a lot of
people do this now and you didn't invent it. And

(00:55):
I'm not saying you're the only person that did it,
but it definitely wasn't a common thing for dermaty is
to inject botox into a jaw to alleviate that mass
muscle building up and also the tension from grinding. And
I know this because a lot of people now when
I talk about my teeth grinding try to suggest that
to me and I'm like, Hi, we invented that.

Speaker 2 (01:16):
When you inject the mass of muscle here, this muscle,
this muscle actually actual fees me like you don't use
it very much, a muscle atrophye. When it actual fees,
it has the effect of helping TMJ because why it
is TMJ. It's grinding your teeth and increasing that muscle
where it's painful.

Speaker 3 (01:35):
The muscle is always in contraction.

Speaker 1 (01:38):
To be built up.

Speaker 3 (01:40):
It continues you.

Speaker 2 (01:41):
Build up because people don't even realize it, and that's
sleep they're grinding. And that's why a lot of people
dent this get people, you know, bite plates so they
don't grind. But this side effect you know a lot
of times in dermatology, and we'll talk about it. The
side effect of things is how things were discovered. So
by doing botox in the muscle in this area around

(02:02):
the jaw line, okay, it decreases the muscle, build up
the tension in the jaw line, and it gives you
a more heart shaped face.

Speaker 3 (02:10):
And that's what you want.

Speaker 2 (02:11):
A female wants a heart shaped face, a male wants
a square loft drawer.

Speaker 1 (02:17):
Interesting, that's interesting, Well do you The funny thing is
that mine for years I had been told by dentists
for years to get a nightguard, which doesn't totally by
the way. Sometimes you use it almost like a passive buyer,
and that becomes like the new thing that you're biting on.
If you're really like a professional like me, it becomes

(02:40):
like it becomes like a chew toy, like a chew
toy for a dog, like you're teeting. It's I'm really bad,
but I've been doing it my whole life, and even
young dentists were telling me to get a nightguard, and
I just ignored it. And you do a lot of damage.
But what I realized was that you're building it up
like a bicep curl. Like people thought that I had
a different face after I did that with you. But
it's not something you do just the first day. It's

(03:02):
something that you have to do in small increments a
because it's a gradual thing. But B you don't want
to like dissolve your entire jaw, where then it's like
you don't have a jaw.

Speaker 2 (03:12):
Well, you have to be very very careful on this
because and I've learned the lesson once or twice as well.

Speaker 3 (03:16):
But I see people come to me all the time.

Speaker 2 (03:19):
If someone's very exciting, please get rid of the TMJ,
do whatever I want. I want that perfect joy line.
And you do too much, and you do too much,
and you answer fee that set of muscle okay, too much.
What happens you have difficulty biting down and food, and
also your smile maybe crooked.

Speaker 3 (03:40):
You can wind up with a smile like this.

Speaker 2 (03:43):
I can see that, and I've seen that before, and
it's very hard and you have to hit the other
side and balance it out.

Speaker 3 (03:49):
So what you'd rather not do is have that problem.
Just do a little out of time and then have
them come back in a month, do it again.

Speaker 2 (03:57):
And just slowly decrease the muscle contraction so you don't
have you don't get too much. That's the last thing
in the world. You want someone to come back. My
TMJ is better.

Speaker 3 (04:07):
But look at my smile, doctor, and I can true
food and I'm jeweling, So you don't want.

Speaker 1 (04:12):
That, right, Well, all right, So you've been a dermatologist
for how many years in that space in there?

Speaker 3 (04:18):
Thirty five years? Thirty five? Is that dating me? Yeah,
I guess that's.

Speaker 1 (04:21):
Dating thirty five years. That's dating you. That's thirty five years.
And were you like, how long did it take you
to become a hot shot, like really like the.

Speaker 2 (04:32):
Guy you know shot hot shots then with different hot shots.
Now it's interesting, you know sometimes when you're a little older,
you become antiquated. Everything now is the Internet, it's TikTok,
it's it's you know, Instagram.

Speaker 3 (04:47):
You know.

Speaker 2 (04:47):
When I started practice, I always had a cosmetic practice.
But yet I always saw patients for their medical problems,
their germ medical problems, because you can't just do botox
of pills or lifel and someone and then they come
in for a rash and you say, I can't see it,
go to someone else. So I always saw both, and
I still do. There was a time that I saw patients.

Speaker 3 (05:09):
I saw manage care as well as just paying patients
without manage care. Now we don't see manage care anymore
for the last ten years. But how did you build it?
I built it by going out and word of mouth.
That's how I built the practice.

Speaker 2 (05:23):
I mean, Bethany Frankoin, Bethany Franco would say, oh, guy, way,
I met to his doctor and look what he did,
and he helped me.

Speaker 3 (05:29):
And then you'd meet someone else, and that's how I did.

Speaker 2 (05:32):
I went to dinner and so I sitting next to
me started talking to me, and you know, I was
much younger than and you know you just you talked
a lot. Okay, you didn't have a real place, there
was no way of spreading the word.

Speaker 3 (05:46):
People didn't really take ads.

Speaker 2 (05:47):
Then now you see big what big hospitals take an
AD on cancer and reduction and all the different heart
valve treatments and everything else.

Speaker 3 (05:57):
It's become a different world. It's a world of not
mouth to mouth.

Speaker 2 (06:02):
It's mouth to mouth through TikTok, through internet, and no
one knows who better than you.

Speaker 1 (06:09):
Well, a lot of people know it better. But I'm
in that world, and I feel like I used to
be more. First of all, you're a doctor's you're in
the office all day. You don't have a non traditional business.
You can't screw around at home all day figuring out
how to master this. So I feel like it's something
that you feel like you have to outsource, not unlike
outsourcing having a brand, And it's not something you can
spend all day on. And you must feel like you're

(06:31):
you've made a lot, you've been successful, and you've made
a lot of money, but you're in the office all
day seeing patients, So you don't have time to build
a brand and a business where the really big, big
parro Cone and you know Dennis Gross and that money
is and so I want to know, a how do
you manage? Does it feel exasperating like you're missing out

(06:53):
over here? You're not big enough on Instagram or TikTok
and Paracne did that and Dennis Gross did that, and
you've had a lot and he is Howard is very
good skincare. He has very good products. And he has
like a glycolic peel that is thirty percent that actually
really does burn. You feel the tangle, but not in
a way where it is damaging. You have a thirty
percent vitamin ccerum. The packaging is very sort of medical

(07:17):
meat support, which I do like because it's trustworthy. But
you know, be Cosmetics is the land of bullshit, and
you're not spending all your time on building this brand
because you're still running your business and that is a
hard area to land, And so how do you balance that?

Speaker 2 (07:35):
And well, you know, I think I did spend a
lot of time way back in nineteen ninety two, and
that goes way back, you know, DDF, I know a
lot of the people are listening now know what that is.
That brand was Doctor's Dermatology FORMU that I started. At
that time. There were no ingredients in products I think, okay,
even the big companies clean.

Speaker 1 (07:55):
Were what ingredients?

Speaker 3 (07:57):
There were no active ingredients. We actually put that on
the map.

Speaker 2 (08:01):
And when we put that on the map of ninety two,
we wound up going to one hundred and two skews
way too much a product linectually.

Speaker 3 (08:08):
Probably only have twenty.

Speaker 2 (08:09):
But we we every time something came out, we made
it better.

Speaker 1 (08:14):
I did that too with pash Minas.

Speaker 2 (08:16):
You get excited, you get excited, but that's not necessarily
the best thing financially for a business.

Speaker 3 (08:22):
Now, we eventually sold it. We almost sold it.

Speaker 2 (08:24):
Was supposed to be sold to Loreal and said they
bought skin Cceutical and then P and G bought us,
and P and J kind of fell on sort of
bad times in a way. They sold off a lot
of their products and we wound up being sold to
someone else. So I wound up deciding that I you know,
we didn't really get a do on DDF on because
everyone copied us. We were you know, no one, there

(08:47):
was no one.

Speaker 1 (08:47):
They peaked too early, but you didn't make the rust.
I remember talking to you, and you were torturing yourself.
You're a scorpio, so I get that you were torturing yourself.
You were very passionate about two roads to go in business,
so you don't have to say who they were. You
can say that's your choice, but this is for people
listening who are business people. There were two roads. One

(09:08):
you went P and G, which is the bigger partner
that seemed like the shiny objects, and you also had
somebody involved in the deal with you, so you felt
like if you didn't do it, you weren't being a
good partner to the person that came that you were with.
But like you were going in as Beyonce, you were
staying with Destiny's child with a deal for P ANDNG

(09:28):
that you didn't think was as good as the other
deal to go more on your own and have more
freedom and creativity and be able to innovate and do
it that way. And your gut was you wanted to
go be Beyonce, but because of other reasons, you went
with P and G, and you felt that that was
a big mistake and then you missed the mark. So
to explain that mistake because PG, P.

Speaker 3 (09:49):
And G is a machine.

Speaker 2 (09:50):
And you look at their market cap at the time,
it was two hundred and fifty billion dollars, and you
look at the market cap of say, the other one
was Cody, the market cap was like five billion. Okay,
But what you don't realize I realized now is that
most of that five billion was all prestige. Out of

(10:10):
the two hundred and fifty market cap of P and G,
that it was about fifteen million that was prestige, you know, skincare,
A lot of the other stuff was you went.

Speaker 1 (10:22):
With a smaller partner.

Speaker 3 (10:23):
I went with the smaller partner. No, I went with
the bigger part of the PNG. No, the P and G.

Speaker 2 (10:28):
But they were a machine. But that machine, you know,
broke down to a certain extent. They seem to be
back now.

Speaker 3 (10:34):
PNG.

Speaker 2 (10:35):
By that time they sold off thirteen billion. Imagine that
thirteen billion of their skincare and shampoos and all their
luxury items. And then because PNG was constantly changing with time,
different CEOs, and now finally they've reached the point where
they seem to have reached the point where they know
what they're doing now.

Speaker 3 (10:55):
From that standpoint, of luxury. Remember now they're a big
consumer company. Now they're a big consumer company.

Speaker 4 (11:06):
It's Jojo Siua, host of the new podcast Jojo Sewa.

Speaker 1 (11:10):
Now.

Speaker 4 (11:11):
It's time to get real, up close and personal. We're
gonna be talking to you like I'm writing in a journal.
You're gonna get all of the tea and all of
the scoop. I'm also gonna be talking to my friends,
the people I admire, to people that are drending right now.
So you're gonna get like Jojo Seawa now and like, now,
what's going on in the world. It's gonna be great,
and I really hope you like it. You can listen

(11:31):
to Jojo Sewa Now on the iHeartRadio app, Apple Podcasts,
or wherever you listen to podcasts.

Speaker 1 (11:45):
First of all, you have no idea. You have to
really try to get a sense of where that company is.
And they're never gonna really tell you. I sold Skinny
Girl to a company that I did not know. I
know now was gobbling up brands because they wanted to
swell themselves up to get up by Sun Turrey for
a multi billion dollar deal. I wouldn't have known that,
so I thought I was so special and they came

(12:06):
in and they wanted to buy us and Pinnacle Vodka
and all that. Now, if Skinny Girl was today with
the numbers we were doing, we would be we would
have sold for a billion dollars. Literally, it was, it was,
it was, we sold almost a million cases.

Speaker 3 (12:19):
That's because the multiples are so much higher now.

Speaker 1 (12:22):
But also it was trend It's now more trending to
do celebrity stuff. I was too early, too like I'm
not complaining, and it put me on the map. But
I didn't know that they would just want to like
grab that brand then pay no attention to it, and
that happens a lot with the bigger partner. The best
partners I've ever had are the small, not only the
small partners, because I have really good partnership at iHeart.

(12:44):
The partnerships that genuinely and you have to trust and
have some faith or go with your gut, are going
to let you kind of be you if they wanted
to buy you or be in business with you, They're
going to be nimble and like Bob and Weave iHeart,
I could be like tomorrow, I were going on a
spaceship and it's going to cost as much and you're uncomfortable,
but I'm telling you it'll be the best trip we

(13:04):
ever take. Tomorrow. They would pull the spaceship up. And
that was what you know. It was like with my
individual partner in Skinny Girl. I would say to him,
you shrink wrab a car by tomorrow for filming and
says Skinny Girl, and he would do it because he
trusted me. But bigger companies can't make those kind of
fast moves. iHeart is an exception.

Speaker 3 (13:25):
I could simplify very easy.

Speaker 2 (13:26):
What I did is I went with the bigger company,
the larger cap company company. I thought I could build
it to a billion very quickly. And the other company
and Cody, Okay, it was all about me. They all
want it was.

Speaker 3 (13:38):
Everything was about about me.

Speaker 2 (13:41):
The name was about me, and they wanted to me
do everything in the events, P and G. I was
a founder, Okay, I wasn't really they didn't have to
incorporate me incorporating when they wanted to, you know.

Speaker 3 (13:53):
So that was the difference.

Speaker 2 (13:54):
And yeah, in retrospect, I would love to have gone
because you know, Cody was very cool. You know there
you know they're they're out of Europe and they're just
a cool company. And that doesn't mean P and G
is not, but P and G is a little more
consumer and they're.

Speaker 1 (14:09):
One was parties at that time, and one was more
like going to like you know, Maysie like it was
a bigger and you were a big fish. You were
a small fish in a big pot. So you you
fucked up, and we've all I've fucked up many times.
So you fucked up, and you have the products that
are as good, if not better than what they were.
So what are you going to do now?

Speaker 3 (14:28):
Well?

Speaker 2 (14:29):
I felt that, you know, we missed the boat only goes.
Everyone copied does and something. There are a lot of
people are copy that's got bored for billions of dollars,
literally billion dollars. I believe a couple of them six
hundred million dollars. I can name them all, I won't,
but they copied what we had. So I need to
decide to I needed to get back in the game.
So I actually developed the patent on on a vehicle.

(14:51):
You know, it's all about you know, you can name
all these ingredients. If they don't get into the skin,
what's the use of it? You put it on your skin?
The monky is too big, it doesn't get in. So
I developed a patent on a vehicle that any ingredient
in a cream that you put it in, like if
you put in retinol, you put it in, absorbs into
the skin, stays in the skin, longer, becomes time release,

(15:14):
and decreases any irritancy. And that's why we have very
high concentrations of retinol that no one else could have
because of my patented formula. So we went we got
back and Sephara approached me and they asked me to
fill a white space.

Speaker 3 (15:29):
And this was sort of the white space.

Speaker 2 (15:31):
So we got into Saphara and we're in a whole
bunch of different places, and you know, this is all
much more competitive market than when I was there at
ninety two.

Speaker 1 (15:40):
I say, I got it, Did I get it? I'm
going back in with wine to a category I created,
right because I created celebrity cocktail space, and I'm going
I'm back in with wine, like you're going back into
something that you were at the beginning of. But that's
a touching story. No one cares about it.

Speaker 3 (15:56):
No, you know, I mean the past. It's all about
the president. Okay, that's what it is.

Speaker 2 (16:00):
And talking about the president and making you know, making
inroad is having great products. But I also find out
because I've seen a lot of lousy products out there
with commercials and everything else. And I don't believe a
word they say that, you know, instant miracles. You know,
in twenty four hours, the skin is filled in the athlete,
scars are gone, the wrinkles are gone.

Speaker 3 (16:20):
I don't believe it.

Speaker 2 (16:21):
And there but there are people that do believe it,
and people are making a.

Speaker 3 (16:26):
Lot of money.

Speaker 2 (16:27):
So it becomes who has more money? Okay, as long
as you're not doing any harm to the patient with
the product. It becomes about sort of who has more money?

Speaker 3 (16:35):
Really?

Speaker 1 (16:35):
Who can marketing? No, one hundred percent. There's a you know,
and some of them are good brands, but it's about
the way it's making a person feel. There's a brand
I'm thinking of called Drunk Elephant. Everyone was obsessed and
it looks like it's very nice products. There are some eye.

Speaker 3 (16:50):
But there's stories behind that. You know, they're very wealthy
family behind.

Speaker 1 (16:54):
That, you know elephant.

Speaker 2 (16:55):
Oh yeah, yeah, a huge family. Yeah, I mean yeah,
I don't I know. I think they're they're an oil family.
I'm not sure I could I.

Speaker 1 (17:04):
Didn't know that that's a good piece of it. Okay,
what about theology, because I think they have good products,
some some good products.

Speaker 2 (17:10):
A lot of these companies have been lucky enough or
smart enough to to, you know, get some of the
investment guys that want to get into the market. No
different than we'll talk about what's happening in the world
of dermatology. Okay, all investment guys now, I said, investment
companies are buying up individual practice group practices. I predict

(17:34):
in ten years you will not see a single practitioner
in New York or even around the country.

Speaker 3 (17:39):
Pretty much.

Speaker 1 (17:40):
It's like a brand new practice.

Speaker 3 (17:42):
Everything's been brought up.

Speaker 2 (17:43):
People you have approached me, they approach my friends, and
they want to buy. Very often they don't want to
buy individual individual bracts, although I've been approached a lot
of times. They want to buy like a group of
five doctors, and then they want they're gonna buy another group,
and they're gonna buy several groups and ten different groups,

(18:04):
you know, so they have fifty different doctors in maybe
ten different places. And then they'll take that and turn
around and sell to some big conglomerates that wants to
control them all and grow them even more and advertise.

Speaker 3 (18:16):
As you get.

Speaker 1 (18:16):
But why can't you do one of those deals and
you go around the country and make sure that each
one is up to part. It's like a franchise. Make
sure that you're making sure that the quality is good
in the franchise. I think, actually think that's a good idea.

Speaker 3 (18:27):
No, it's a great idea. It's all about dollars, okay.

Speaker 2 (18:29):
I mean, these guys come in, have huge dollars behind them,
but their goal is that their goal is to be
the first one in and then get out and have
a bigger guy buy them, and then who knows where
they go from there, And that's where it's coming. I'm
amazed that you'll see it. You'll see all these little
places opening, like shops that you know, it's not.

Speaker 1 (18:51):
Almost like adjacent to medical spa like skinny spa or
like you see them in the city. You see that
on the second floor, these brands that you're starting to
not realize you're seeing it. But it's these different and
quote unquote med spots are doing botoks are doing all
this stuff. I agree with you, it happens to where
they really aren't that many dentists. I've seen like these
like chain teeth cleaning places that also will do your dentistry.

(19:13):
And one of them really messed me up. One of
them in New York City screwed me up bad.

Speaker 3 (19:17):
Well.

Speaker 2 (19:17):
I have patient the other day. She came in, she
had one eye clothes and I said, what did you do?
And I always did a botox in the past while
I was in the area and I hurt my knee,
and why I was there Athopeda doctor he saw I
do botox now and he gave her boatox and she
her eyes closed.

Speaker 3 (19:35):
It's called tosis and she and so people are doing
that now.

Speaker 1 (19:40):
I had. I had a dentist, which is adjacent do
the botox and the jaw because he's seen what you
were talking about. But still like a dentist's not their
first thing that they're doing botox all day.

Speaker 2 (19:53):
No, you know, all the plastic surgeons jumped in and
they have nurses in their offices. PA's in their office
is you know, they have a lot of people assisting that.
You know, even in my office. You know, after a
certain period of time, the nurses, you know, and pas
want to do it themselves. They don't want to assist
anymore so that that whole world is changing. And what

(20:14):
happens is they wind up going somewhere and getting bought
up by some big company that's just had a whole
bunch of pas and nurses working at a very at
a much discounted price. You know, we've maintained, hopefully maintained,
you know, our practice because you know we there's quality
here and you get something under one roof. But like

(20:35):
I don't let someone out without doing a medical check
on them, making sure they don't have a melanoma or
a skin cancer.

Speaker 3 (20:41):
You know.

Speaker 2 (20:41):
Then we then we go from head to toe, thinning hair, varicos, veins,
you know, muscle loss, building up to cheeks, getting rid
of fine lines and wrinkles, getting rid of pigmentation. Okay,
we're coming.

Speaker 3 (20:54):
I'm covering skin ca I'm covering and I can tell
you some new lasers. Well if we have time.

Speaker 2 (20:59):
He ye, we just got in the last two weeks
to believe it or not, and they're exciting things happening
all the time. Some of the lases, you gotta be careful,
you know, another laser comes out every other week, and
you got to pick and choose because a lot of
them are the same.

Speaker 1 (21:13):
What is all this stuff and what do we really
need in your opinion? Okay, So I've heard of there's, there's,
and people buy these. Serrum serum is the most overused.
Like everybody has a serum and they all do something different.
So vitamin C serum, vitamin B serum, glycolic serum, retinal, NYA,

(21:33):
sin peptides, matrick soul, like, let's be I know it's
different for everybody. But I've been doing this a long
time now. We're looking at all this stuff and I'm
still confused. So can you collagen? Can you try to
help me understand what is for what? So? Like then
there are ones that say like for brightness and reduces discoloration,

(21:54):
and I think those are also vitamin C. I'm a
woman in the drug store, so I have been told
a long time ago, and I stick by it that
I would do vitamin cerum and see serum in the morning,
and if you want like either a glycoc or retinal
or something peeling at that or if you're dehydrated, put
this on, Like tell me about this functional.

Speaker 3 (22:15):
You're coming to my office. What am I going to get? Okay,
that's what you're asking.

Speaker 1 (22:18):
Okay, what does a person do during the drugs? So
they want to try this year they heard about nice.

Speaker 3 (22:22):
Okay, we'll tell you that. Then everyone should use a retinal. Okay.
Retinal is tried and true.

Speaker 2 (22:29):
It's the only real product that has been held up
truly to decrease fine lines and wrinkles and so many,
so many studies, thousands of touch studies. So a retinal
and answer question is what concentration? We have a high concentration,
but longs you use a retinal at night?

Speaker 3 (22:47):
And question is should use a retinal every day? Okay?

Speaker 2 (22:51):
I think retinal is a great product. I think you
start out every other day. But I like to intersperse
it with nica sin in mine. A lot of people
have not heard cinema nine cinemi is B three. It
helps keep water, that's the thing.

Speaker 1 (23:04):
So if it's a BAT three sermony.

Speaker 2 (23:06):
B three cerami and n exact same thing. Okay, Okay,
so I alternated. Because retinoal increases collagen production, it increases
elastin production, It helps tighten the skin.

Speaker 3 (23:20):
Okay.

Speaker 2 (23:21):
It also helps blood float to the skin as well,
so you get that rosy glow. Then the nine Cinemi helps,
you know, the barrier of our skin, water gets out,
pollutants get in. As we get older, it becomes like
cottage cheese. The B three A Nice Cinemi actually actually

(23:43):
repairs that barrier, so it always sows up the little holes.
Water stays in and the pollutants things don't get out,
and you get more of a plumper skin. It also
helps with core size as well. Okay, if nothing else
does it other than that, I think Nice Cinemi. So
I have someone alternate that now because we have high

(24:06):
concentration today, just a specific maybe for soble skin, I
use it with biohyaluronic acid.

Speaker 3 (24:14):
Biohaluronic acid, as you.

Speaker 2 (24:16):
Know, is one of the best moisturizeres A skin is
made up of hyaluronic acid.

Speaker 3 (24:22):
It helps keep water in the skin. As you get old,
skin becomes less plump and it becomes sunken in. So
I haven't put the retinal on by a cinemion.

Speaker 2 (24:35):
Assume be hieronic on and then Nice Cinemi and then biohyaluronic.

Speaker 1 (24:41):
Alternate days, all right, So the knights of the retinal
are the hyaluronic and the knights that are off for
the nice cinnamond.

Speaker 3 (24:48):
No, the retinal nice cinamie, it's retinal biohyaluronic right after
next day.

Speaker 1 (24:54):
Okay, bio hyaluronic. Is that the same thing as hyaluronic.

Speaker 2 (24:58):
Yeah, it's the same thing as hieron that's our name,
but we use in ours is highluron which is a
small molecule of the hieronic acid, so it actually gets
into the skin.

Speaker 1 (25:10):
Yet the night of the retinal is the hyaluronic you said, yes,
you're using biohyaluronic both nights, and then the other night
is the n cinamide in the hyaluronic And what about
the day? Do you agree with the vitamin C serum
in the days?

Speaker 2 (25:25):
Totally viamin C that builds collagen, one of the best
buildings of collagen and also which helps fine lines and
wrinkles and lasting production. And the key to it it
actually decreases pigmentation.

Speaker 3 (25:38):
It helps with brightness of the skin.

Speaker 1 (25:51):
Okay, So what about now when you have a product,
it's like the pads that are glycolic toning pads are
exfoliating pads. Those pads I use those a couple of
times a week during the day and they seem to
like clean the skin also, and they're not too harsh
and then moisturize after with SPF and some of them
are stronger and you could use those at night and

(26:12):
using those not with retina. They're instead of correct or
an alternate.

Speaker 3 (26:17):
Well, you alternate, you're not using it with it, you're alternating,
of course.

Speaker 1 (26:20):
But why would you choose the retinal and not those pads?
Why would one choose one or the other?

Speaker 2 (26:25):
Well, glycolic acid Okay, as we age, our skin cells
stick together amost like a glue like substance. Okay, So
the glycolic acid actually unglues those dead skin cells. So
those dead skin cells that are sitting on top of
the skin making your skin look yellow and rough. Yes,
and as you age it doesn't you don't slough off

(26:45):
those skin cells as readilarly. So the glycolic acid breaks
up the glue in between the cells, and when you
wash your face, it's slopped off.

Speaker 1 (26:54):
It's exploding. Yeah, I didn't know that retinol didn't explode you.
I didn't know that. I thought, well.

Speaker 2 (27:00):
Does does that as well? But over a period of time,
like holic acid works a little quicker to unglue, those
those those uh glue like substance between.

Speaker 1 (27:10):
The cells, so you can combined and then and then
a scrub is like another version of doing that on
your own. It's like manual scrub is.

Speaker 3 (27:17):
A physical version of that.

Speaker 1 (27:18):
Right, that's what I'm saying. A wash cloth is an exfoliant.
I think exfoliator, well, absolutely depends how rough it is, right, okay,
But but.

Speaker 3 (27:26):
There's no The confusion here is you keep hearing.

Speaker 2 (27:30):
Collagen uh increasing, collagen increasing and lasting decreasing fine lines
and wrinkles. A lot of these products work in conjunction
with each other. And your question is a great question,
But there is other than maybe the retinal. There is
no one product that should be used by itself.

Speaker 3 (27:47):
I think. No.

Speaker 1 (27:48):
I agree that, Yeah, I agree, but not but but.

Speaker 2 (27:53):
The worst thing in my office in terms of patients
coming in, they think more is better. That doesn't mean
you take a retinal, then you put it like how
it on top of it, and then you put a
nice sit on top. But people do that, they think
more is.

Speaker 3 (28:07):
Better, you know, and it's not okay, it's I agree.

Speaker 1 (28:12):
I think that it's like cooking and you have to
and you have to know or eating. You have to
know your body. So if I'm an Aspen, I'm not
going to start doing a ton of like drying exfoliators
because I know that my skin's already tightening because it's
freezing out and it's so dry. So that's a place
where you might do like a warm washcloth to exfoliate
a little bit and then absorb the products by layering,

(28:32):
like a serum or a face oil, and then a
moisturizer would be go easy. If you're in Florida and
your face is sweating at night, you might do a
scrub because you've had SPF on and sweat. Like, people
have to start thinking the way that they think about
how they're eating or what their body wants. People treat
their skin like it's either a one size fits all
or they just tell me what to do and every
day I'm doing that and people don't know, like my

(28:54):
face needs a moisturizing mask or my face needs a
detox masks. Like you got to kind of get in
tune with your own face.

Speaker 2 (29:00):
Well, the average person, you know a lot because you're
doing a lot with skincare all the time, but the
average person can't go to the drugs are necessarily and
do it right. I mean they should talk to the
dermatologists and get a program and stick to that program. Okay,
because if they go to the drugstore and buy something,
some of them will be right, some of them won't
be right, and they'll get a whole mixture of things
that may count to the other. So I think it's

(29:22):
important to get a real program and just stick to it.
Very easy to need their and just just let them
write on a piece of paper what do you do
at night? What you do in the day, what do
you do when you're in the sun. And also remember
i'm buying to see because you're on redin all you
have to use a sunblox. Some block always goes last,
by the way, that's the last thing you put on.

Speaker 3 (29:41):
So you should know.

Speaker 1 (29:42):
Oh good question. So what about There's an SPF thirty moisturizer.
There's an SPF thirty skin tint like a foundation. There's
an SPF thirty serum. There's a glowy serum SPF so,
and there's a powder that has SPF. So my feeling
is how are you going? And then there's a spray
to put on the top. It's a setting spray because

(30:04):
then later in the day you could touch it up.
How do you really believe people should be doing their SPF.

Speaker 2 (30:11):
I mean that's obviously individual. I mean nothing. You don't
need more than thirty thirty blocks. You know, the sun
rays by ninety seven percent. If you get a fifty,
it's ninety eight. If you go all the way to
almost one hundred percent, get what's the difference, ninety seven
versus ninety eight, ninety eight ninety nine. So that's all

(30:31):
you need is a thirty because when you start getting
past the thirty, it's not it's cosmetically elegant. It's very
hard to get a fifty or a sixty. So just
use a thirty. If the key is how often you
apply it, you've got to apply it in the sun.
People don't realize that. And SPF was the guidelines were
by putting it on every two hours if you're in

(30:54):
the sun, and that will give you an SPF of thirty.

Speaker 3 (30:57):
If you put it on and.

Speaker 2 (30:58):
You wait five six hours, no longer an SPF for
thirty anymore.

Speaker 1 (31:02):
What about mineral sunscreen? People alwauld say, oh, but it's
not mineral, so it doesn't counter. It's not what it
is that I like.

Speaker 3 (31:07):
Mineral as well because it's you know, it's as opposed
to chemical. Some people have reactions to chemical sunscreens. They
don't apps quickly when you put it on. It takes
about half hour to work.

Speaker 2 (31:19):
The mineral or physical sunscreen they work instantly, and that's
and that's why people like that and less chance of
irritation or allergic reaction.

Speaker 1 (31:31):
Wow, I'm learning. This is good. Okay, great, So let's
go into like things that I've heard about, and then
you'll tell me things I haven't heard about. Okay, you've
told me that the string. Let's go through like procedures
that I just hear about in the in the in
the ether. So what hydro facial bullshit or not bullshit?

Speaker 3 (31:48):
No, not at all.

Speaker 2 (31:49):
Hydrofacial actually gets rid of this sebum and oil that's
in the skin when in the sebations plant and that
subations plan gets caught up with bacteria with seeb them,
which is oil and debris dead skin cells.

Speaker 3 (32:07):
And that's what causes is it, that's what comes us.

Speaker 1 (32:10):
I think I've had them, and I think it's kind
of bs like if you have underneath stuff, it needs
to be like like gotten excavated. I feel I feel
like that's a SHEI shehi bullshit facial to me, Well.

Speaker 2 (32:22):
What we do here very often we do actually a
real poor cleansa cleaning with the facialist and then a
hydro facial, or you can do it the other way around.
You do a hydrofacial solution everything and then she does
a real facial in terms of getting out some of
the see.

Speaker 3 (32:38):
Them and the pus and everything else. That's clauge. Your
boys komy domes blackheads, so you.

Speaker 1 (32:44):
Can do those little bumps that like teens get. Okay,
all right, I'll sput the difference with you on that.
I'm not I'm a more hardcore facial person than that.

Speaker 3 (32:52):
What about so do them both together?

Speaker 1 (32:55):
Okay? What about? Where are you on microdermabrasion?

Speaker 2 (33:00):
You know, Michael der Vers is almost a thing in
the past. Okay, I mean you know, your date, yourself.
I don't think it's done that much anymore because.

Speaker 1 (33:08):
We see I love it. I still think it's great.

Speaker 3 (33:11):
I think I know because it's simple, it's easy, and but.

Speaker 1 (33:13):
We have affective but we have these.

Speaker 3 (33:16):
Incredible you know, newer better lasers now that work better
than micro deva rasion. Yeah, Michael der is a great
good you know, buff puff. You know, it gets gets
rid of the dead skin cells really quickly. You're refreshed
and you glow for you know, for a couple of days.
I'm not We have it here.

Speaker 2 (33:34):
We do it, but not as often because those people
that want it, you know, will get sometimes a clear
and brilliant there.

Speaker 1 (33:41):
I think micro is better than a clear and brilliant.
I've had them both. I really do better than a
chemical peel like a quick count I think. I think
the actual slothing and buffing I think is more effective
to get the ship off the top of the surface.
What I really think doing this for like thirty years,
all of it.

Speaker 3 (33:56):
Yeah.

Speaker 2 (33:57):
It also depends on skin type. You know, there are
sense of skin types that cannot do a.

Speaker 3 (34:02):
Michael Darren Braide.

Speaker 1 (34:03):
Okay, they get too.

Speaker 2 (34:04):
Read irritated, they have broken blood vessels. The blood vessels
get broken and don't listen.

Speaker 3 (34:09):
We do it here.

Speaker 2 (34:10):
Okay, I'm doing it for twenty years, but I just
have I think I have so many other things now
that are I hate to say better but working conjunction
better than just a Michael Darrel Brade.

Speaker 1 (34:24):
Okay, so the clear and brilliant, let's go through. We're
gonna go after the plastic surgery. The clear and brilliant.
From my perspective, if you get like a CO two
peel or a fraxle, it's like you're down for seven days.
You look like a monster. Your face is peeling off,
and my personal feeling, which doesn't mean it's right, is
that your skin is such baby. After that, if you

(34:45):
even walk near the window, the brown spots fly in
faster and it scares me. Versus like CO two, which
is like a slow and low like you do it,
and if you do a couple in a row, you're
getting not the same effect, but it's not as harsh,
and I think that's better.

Speaker 2 (35:03):
What do you think, Well, that's interesting, you said, because
CO two in general is a much more aggressive peel.

Speaker 3 (35:10):
Or a laser.

Speaker 2 (35:11):
Okay, we just bought a laser last week called the
Helix laser, which I'm really excited about because what it
does is it actually takes over for the fractal and
takes over for the CO two. You could actually, if
most people want fractionally want for pigmentation, get rid of
pigmentation precancers. Okay, people want CO two want, like if

(35:33):
they want a deep one, but real deep lines for
acne scars for.

Speaker 3 (35:40):
Pigmentation.

Speaker 2 (35:41):
Yes, so but with this laser does which is really
exciting me. And we haven't done a huge amount yet
because you only got it last week and I've done
about six people already that are thrilled. Is it combines
CO two and it finds non a blade of laser
fractional layer there, So you're combining actually two modalities together.

(36:05):
So if you want to tone it, I actually tune
it down very low where you want to get rid
of the wrinkles and the pigmentation, and and you don't
want a lot of downtime because it doesn't heat up.
The spot size is smaller and the spread is smaller,
so it actually lets you heal quicker than a normal
CO two.

Speaker 3 (36:25):
But you have the not a bladeer laser that down
not a blader means get peel from it. Okay, you
don't get any scamy. It's just a heat and that
heat heats down the dermis Okay, an axle conjunction with
the CO two, So you don't get the downtime you
would get from a normal CO two, but more of

(36:45):
the effect that.

Speaker 2 (36:47):
Then you would ever get with a CO two the
old co twos so and more zero downtime.

Speaker 1 (36:53):
Sometimes you need three days.

Speaker 2 (36:55):
This is no such thing as aero top. Time someone
tells you downtime, run away because you're not getting result.

Speaker 1 (37:01):
That's right.

Speaker 2 (37:01):
I'm talking about three, three to five, you know days,
and I'm gonna do that.

Speaker 3 (37:06):
You can do, you can do.

Speaker 2 (37:07):
You have also been dialed down to just a cool
peel and a coop pill.

Speaker 1 (37:11):
Just that's what I heard about. Tell me about a
cool pillo. That was my next question.

Speaker 2 (37:14):
Well, we had a cool pill and we actually got
rid of cool bill for this lays the heel goes.
It's the coop pills is incorporated into this lass. Okay,
it's cool.

Speaker 1 (37:24):
So that okay, a cool piel okaytail.

Speaker 3 (37:27):
Would be equivalent of coopio would be a quivalent of
your buff puff. Okay.

Speaker 2 (37:32):
Just cleaning up the skin, getting rid of dead skin
on the cell on top of the skin, and you
have a minimum of redness overnight okay, and no downtime.

Speaker 3 (37:42):
Yeah, then you dial that same laser up. You go
deeper as deep as.

Speaker 2 (37:48):
You want, but the added a blade of makes it
heats up the skin and you've got the synergistic effect.
I know, it's very hard to comprehend just talking to you.

Speaker 4 (37:59):
You do it.

Speaker 1 (38:00):
No, you're doing a decent job. You're saying, they compliment
each other and we didn't have not as extreme.

Speaker 2 (38:08):
It's it's to give that person extreme results without extreme
down time.

Speaker 1 (38:15):
Okay, and what about like some places just have the
chemical peel where they put something over your skin. It's
almost like a chemical solution and it's in. It feels tingly,
but it's not crazy like what I mean.

Speaker 3 (38:27):
It's mostly glycolic acid that you know that you know
years ago we use phenol, but no glycolic acid.

Speaker 2 (38:33):
It's a nice, little, you know, feel good thing. I
think we have all these other things in our our
mentor that we could.

Speaker 3 (38:40):
We could.

Speaker 2 (38:41):
We don't need it. I guess we don't need a peel.
People come in and they say, I only want a peel.
I'm used to appeal, please give me a TCA tri Clark.
You see the acid peel. They go in, they get out,
It takes ten minutes. Their faces slops off the dead
skinned skin cells for probably two to three.

Speaker 3 (38:57):
Days, and they very fresh.

Speaker 2 (38:59):
I feel like I have other things I can offer them,
but then they insist they want to appeel so far,
so be it.

Speaker 3 (39:05):
We give to them peel.

Speaker 1 (39:17):
Okay, now let's get into filler. Because so I've done
botox with you years ago, we did filler one time.
I forgot what it was called wrestling, And I've had
people like make up all these stories that you can verify,
and you're allowed. I'm giving you the permission to say
that I have not been a filler person. I'm not
saying it's good or bad, but a lot of people,

(39:39):
and a lot of plastic surgeons really don't think it's
a great solution, Like that filler is not great, that
most plastic surgeons don't want to alienate their dermatologists because
they're referring business back and forth. But that I've heard
of don't think filler is a great solution by overall.

Speaker 3 (39:57):
Well, it really depends what you're trying to you know.

Speaker 2 (40:00):
Uh, if you look at your face and you've lost
the volume in your face and your face is sunking
in and you're not lucky enough to have high cheek
bones like you do a really great drawer line, Okay,
putting a filler in and raising the cheek area and
give it a more defined area. At the same time,
when you do that, you lift and you get rid
of as of labial nose line here from the nose

(40:23):
to the mouth, that gets deeper. It gets deeper because
what happens, your cheek has descended, and if you lift
that up with a little filler, Yeah, all of a
sudden you get rid of that line and you've given
someone a cheek bone where now they can put makeup
on and and have a defined area where the plastic
surgeons are against it.

Speaker 3 (40:44):
If you have skin that's loose and hanging, okay, especially
on the neck, if Phil is not going to do
very much.

Speaker 1 (40:52):
Okay, So that I understand, that's a good good You're good, Howard.
This is good, very very educate. Yes, I understand. And
you're saying, like, the thing that I find is that
people get people say things like that about the filler.
But it's like, yeah, you know what, aging sucks too.
But here we are like, you're not you're not a magician.
You're saying, I'm going to help you solve some concave

(41:12):
issues in your face. This is what I have. A
plasti surgeon has other shit. And then still you guys
are a magicians, and I've and I don't. I want
to support women, so I really want to say this
in a constructive way. When and just like that came out,
that show that the follow up for Sex and the City,
the women's faces looked like it's okay to get get

(41:33):
work and get filler or whatever. It looked like either
bad work or desperation. And I think it kind of aged,
Like looking aged can often be better than looking strange
and fucked up like paul A. Man notices it more
than when public that her face is fucked up, like
he doesn't know what he's even saying or what it
could be, but he just will say not meaning he

(41:55):
he you know, as a mother who's you know, you know,
an older woman and she hasn't had play surgery, so
you know, he's no problem with age. He will just
look at someone and say like, what is that? And
I'll be like, I think it's you know, either bad
or too much or not balanced. And it's being said
about the Morning Show.

Speaker 2 (42:12):
Well, when you have a facelift, okay, you you've pull
the skin as taught as you want, but if you
don't have the fat underneath or the collegen or last
underneath the skin to hold that up, You're going to
look gaunt. You're gonna look like you got caught in
a wind tunnel. So after you have a facelift, you
very often need philip.

Speaker 3 (42:33):
That fill.

Speaker 2 (42:34):
It could be hyaluronic acid, wrestling juveiter, it could be
even fat. Okay, there's a lot of other fills. There's
something called sculpture that also that builds collagen. There's so
many different things. But the key to what you're asking
here is you have to just be a better version
of yourself. You can't try to bring your face back.
You know, when you're fifty and used to be on

(42:55):
TV at thirty, you're not going to bring it back
to thirty.

Speaker 3 (42:58):
And if you try to bring it back to already,
you're going to look like a cabbage patch doll.

Speaker 1 (43:02):
But how do these doctors do this? They must be
expensive doctors. These women are rich, really rich.

Speaker 3 (43:07):
So how does someone doctors? Will?

Speaker 2 (43:09):
You know, patients want it and they give it to them,
and sometimes very hard to say to somebody, and they're
very you know, I mean it's very very very hard.

Speaker 3 (43:19):
But someone insists on I want more, I want more,
I want to look like my friend.

Speaker 2 (43:23):
I said, well, your friend looks a little freaky, you know,
and then the friend gets a little anoyed. But you
got to be carefully fantom and people.

Speaker 3 (43:30):
You don't want people to want.

Speaker 2 (43:31):
You don't even want to walk into a restaurant and
say you want someone to say, wow, she looks really great.
You don't want someone to say, oh, my god, look
all the work she had done.

Speaker 1 (43:41):
Advertisements for you. So it's fucked up, like whoever did
the work on these shows that people are criticizing. It's
not a great indicator. So what do you do?

Speaker 3 (43:50):
You say no, no, you say no, But they're gonna
go to someone else. You know that what do you want?

Speaker 2 (43:55):
You try to talk it somewhere in between what you
want and what they want and trying to meet in
the middle. And you're not going to give them that
so called cabbage patch look that that we all hate.
You know that that sometimes they puts so much fill
in their eyes closed, you know, and they look lumpy
and bumpy in certain lights, and one side is higher
than the other side because it's hard to make it symmetrical.

Speaker 3 (44:17):
I mean this there less is more, and you do
it in small incorams. That's what I believe in.

Speaker 1 (44:24):
And what about the lips, like so we want that
people are getting. There's a young influenza. She's twenty something,
and she was very honest about like putting filler in
the lips. Is that filla that's lasting forever? Isn't there
one that's like forever?

Speaker 3 (44:36):
I know?

Speaker 2 (44:36):
I have the love controversial probaby. I love silicon. I
think it's one of the few areas Micro Michael dropments
of silicone that uh that a pure grade silicone, you know,
medical grade silicone. You don't have any reaction to those.
And you put small little dropists along the boarderline and

(44:56):
one in two treatments.

Speaker 3 (44:58):
It's done.

Speaker 1 (44:59):
I sat and you never come back.

Speaker 3 (45:01):
No.

Speaker 2 (45:02):
I did her lips, but also she had a nose done,
and she had two little dimples and her nose here
and here you've seen that sucked in.

Speaker 3 (45:09):
Look here I put a drop of silicon. It literally
took two minutes and two minutes and al sudden she
didn't have to have a noose repair again.

Speaker 1 (45:17):
She hated that that's like your jaw move. I haven't
heard that before. That's a move.

Speaker 3 (45:22):
Well, because people are afraid of silicone because it's permit,
which means you've got to do a really good job.
Because it's permanent. Is good because it's permanent. Permit's bad
because it's permanent, because.

Speaker 1 (45:33):
You get it out. You're saying, that's Lisa Rinna lips.
When she did her lips, she did silicon because it was.

Speaker 3 (45:38):
Only what she did. I don't know what she did,
but that.

Speaker 1 (45:40):
Would be a lot of meaning. So she had to
keep keeping them the way that she did it, that
she had to.

Speaker 3 (45:44):
Do it every four and five months if she to
keep it up.

Speaker 1 (45:47):
Wow and wow and can you it's a really subtle difference.
The silicon. I would like some juicues.

Speaker 3 (45:52):
No, with the silicon, you just do.

Speaker 2 (45:54):
I can tell you so many your friends that I've done,
and it's ten years ago, and it's held that usually
need one or.

Speaker 3 (46:00):
Two depends on you have good lips, so you need
you need Maybe I have good lips, Okay, I'm looking
for now.

Speaker 1 (46:05):
Your little lips look good, so I don't need it.

Speaker 3 (46:07):
I don't know what you did to it. Maybe maybe
you uh.

Speaker 1 (46:10):
I didn't know I had. I would like the silicon
in the lips.

Speaker 3 (46:13):
Have nice shaped lips? Yeah, you have great lips, but
with almost no lips skinny skinny scale of those, I
may have to do four or five treatments on, but
we do it slowly so they never walk in and say,
oh my god, what did you do to me? Okay,
that doesn't happen because I never give them that much.

Speaker 2 (46:30):
When you do the ones that are absorbed, you do
you can't give them a lot, and it goes down
in a couple of days, out of it and disappears
in three or four months, and they hate it.

Speaker 3 (46:40):
You could actually dissolve.

Speaker 1 (46:42):
Okay, So so you also do light but which we'll
get into in one second and then I'll let you
go soon. But the other thing is I heard that
I thought that. I never knew that BBL was a
Brazilian butt lift. I just someone. I didn't know that
that's what that stood for. But that looks like something
you just go in somewhere they inject something in your ass,
will come out and you look braziliant. But it's very
dangerous and.

Speaker 2 (47:01):
Serious, very dangerous, and most guys are not doing that.
Most physicians are not doing Brazilian butt lifts. It's it's
it's a dangerous procedure. There are some people maybe in
great hands, they do it well, but that's not something
I'm ever going to recommend to somebody.

Speaker 3 (47:16):
I think it. There's been too many, there's been you know,
actually reported debts with that for it.

Speaker 1 (47:21):
I didn't know. That sounds to me like just like
going to get your boobs done. I heard. It's not
like that. It's very serious.

Speaker 3 (47:27):
It's totally not that. And a lot of people who
did it before are not doing it now.

Speaker 1 (47:31):
Wow, And you think that, like that's the Kardashians. The
butts are definitely like Brazilian butt lifts. What else would
there be.

Speaker 3 (47:38):
Well, I don't know what else it could possibly be.

Speaker 2 (47:41):
You know, putting sculpture in and keep you have to
keep putting it in at me six months and and
building up that way. There are ways of building up
a buttops besides that. But so I talked to me
to tell you what they actually had.

Speaker 1 (47:53):
But obviously something you have to do.

Speaker 3 (47:55):
Something's either being doing continuously or.

Speaker 1 (47:57):
It stayed okay, And have you noticed it different? So
I heard an article that the food supply in this country,
it's ozempic, is affecting what's going on at supermarkets. So
people are purchasing thirty percent less food. It makes sense.
I would have never thought of this, but like thirty
percent less food because of ozempic. Now I'm seeing these housewives,

(48:19):
not some I'm seeing housewives former housewives. They don't even
look like themselves. They're almost like little children. Like I'm thin,
and I know that, but I've always been thin, so
it sort of like works on me, like I'm either
a couple of pounds heavier, a couple of pence thinner.
I don't know if it's just my eye seeing it,
or if it's actually strange and unnatural like previously somewhat
thin people, or maybe they were like, you know, a

(48:42):
size that was totally reasonable and not overweight, and now
they look like they're like young children. It looks bizarre
to me, and I don't I don't. I want to
know if that's affecting you. And like light bull and plastic.

Speaker 2 (48:55):
They look them they look them emaciated okay that's the word, okay,
And and they don't look like themselves. But sometimes they're
thin in the body and they look going through the face.
So when they come in I kind of fix their
face up, meaning I give them a little I plump
up their skin and give a little definition around the
jaw line, because all of a sudden everything starts.

Speaker 3 (49:16):
To hang, you know.

Speaker 1 (49:17):
It's you know, oh yeah, yeah, I.

Speaker 2 (49:20):
Mean you start losing the structure that your skin hangs on,
and skin becomes very very loose, and really it just hangs.

Speaker 1 (49:29):
It's drastic. If your body's been in the same body
for fifty years and then you decide to like have
drastic twenty five pounds weight loss, there's going to be
something that's so true.

Speaker 3 (49:38):
You know, most people.

Speaker 2 (49:40):
In earlier years, like you know, forties, fifty sixties, it's
the neck that goes okay, And I think I once
told you about. I'm excited about a new procedure we
just have now. It's called my elevate. It's a very
simple procedure. You ever see the bands on your neck here?

Speaker 3 (49:56):
Yeah, you I have. You've got to get done, and
you have little so it's a little suture that he
goes across, comes across here, and it cuts the bands
and the bands go up and bands go down, and
you go around with.

Speaker 2 (50:09):
The suture underneath the skin. You tie the skin tight. Yeah,
of course, it's beautiful. It's an hour procedure. So instead
of getting cut your neck, you know, whole neck here
and get cut here and to pull your neck back
and and that's you know, it's a major surgery. This
is a local anesthesia. This is a suture that cuts
the skin. It's a brochure, but it's my elevate my

(50:32):
elevate a little piece of tape here for three days
and it gets rid of the bands and it tightens
the skin underneath.

Speaker 3 (50:40):
It doesn't do anything for the drawer line. It's the
skin underneath your neck.

Speaker 2 (50:44):
And what you do is I do it with light
bul suction. So I will do that in a light
ol suction. The drawing mine as well, and any fat
in the neck. And you do that combination together. And
we sometimes will do that with vavashi, which is a
lake he said, tightens the skin as well.

Speaker 3 (51:01):
You do all three the same time and you get
a tight net.

Speaker 2 (51:05):
And basically it's surgery, but it's it's on the local anesthesia.

Speaker 1 (51:10):
It's called okay. And then and you guys do I
did m skulp, But you have to stick to it.
I did it once or twice. I'm like, it squeezes
your stomach and it squeezes you, but it's like it's
doing the push ups for you.

Speaker 3 (51:22):
It's you know, it's you know, it's an easy way
out of going to the gym, but it's also gets
you going. Once you see some results, you go to
the gym. Because I know, when I don't go to
the gym, I don't go to the gym. When I
start going to the gym, I don't want to miss
the gym.

Speaker 1 (51:37):
Yeah, yeah, just gives you.

Speaker 3 (51:38):
A jump start, excuse me, a jump start.

Speaker 1 (51:40):
Okay, and then I don't go. But that thing, yeah,
I've been on that thing, but it's it's it's literally
a pain in the ass.

Speaker 3 (51:47):
Well.

Speaker 1 (51:48):
And then last, but probably not least, the strings. I
know that you're against those strings that make people like
look cold and weird.

Speaker 3 (51:56):
I've never been a thrigg guy, you know, taking those
sings and throwing it across the cheek line or jaw line,
and they don't last. They have a tenny none of
the last about three four months. That's it. Because if
you notice, when the people put the string in, they
also give you phillip.

Speaker 2 (52:15):
Very rarely does someone do string without doing filler. And
it's really the filler that does most of the job.
The string is like a little addedive thing.

Speaker 3 (52:23):
And and I've seen too many people where they have
the string and the string, you know, tendency to poke
out over a period of time. It looks like it
comes to pokes out like a splinter. How do you
get it?

Speaker 2 (52:36):
It depends how it's put in, of course not it
doesn't happen to everybody, but I've seen enough people where
that happens. Or if someone goes like this with the
hand and the strings across here, the string pops.

Speaker 3 (52:47):
Okay, so you know the string even though it hears
uh as you go like this, it's easy to pop.

Speaker 1 (52:56):
You get it in?

Speaker 3 (52:58):
How they get it? Get it in out?

Speaker 1 (53:00):
How do you get the string in and out? What
it's like.

Speaker 3 (53:03):
It's just a little opening with a little oak anesthesia.

Speaker 2 (53:06):
And you stick the string and you you're threaded through
the through the area you want to go. And then
and then you push down and it has a locking mechanism. Okay,
and then you pull on it.

Speaker 3 (53:18):
And it tightens the skin. It tightens it because it
locks in underneath your skin.

Speaker 1 (53:24):
So when do you study bob wire.

Speaker 3 (53:27):
It goes like bobed wire. It goes underneath the skin
and locks in, but it can it could break. But
more importantly, I find that it just doesn't last that long.
We do it. It pushes me to do it. I'll
do it, but I also do with filler, and I'll
do with all the other things I like to do
with some of the lasers and the tightening. Not just
thread alone, but the one thing I do thread alone

(53:50):
is the one I just said. The my elevate is
also a thread, but it's it's a polyastic braided thread
that lasts indefinite. There's no reaction to it. It's underneath
the skin and so.

Speaker 1 (54:01):
Many years things that just you don't have to do again.
Like you like you want to do silicon properly so
you don't have to do it. I like that. I
agree with that. I don't want to go in. I don't.
I got my hair cut and colored for the first time,
like with intention in five years. Like to go to
somebody and be like, hi, somebody, what are we going
to do today? Like it's just been drive by trims

(54:22):
or coloring it myself. It was a disaster. So I'm
I like to rather go do something and it's gonna
last for a really long time. How do you have
time to study all this science when you're working in
the office.

Speaker 2 (54:35):
I mean, I mean, obviously there's weekends and that's my
time on Mondays. My time Mondays is put together all
the different you know, lasers that come out, different procedures
that come out, and go through the journals and just
making sure that that I'm up to date.

Speaker 3 (54:50):
You know. It's it's easy in this world and things
are moving so fast, especially technology wise, that you've got
to be up on it, Okay, you know, I.

Speaker 1 (54:58):
Will say I always say that to people. You're like, listen,
you play basketball, you got a cool sun whatever. You
go out and you're out about town or all the
cool restaurants. You're like a skin dork.

Speaker 3 (55:08):
You really are.

Speaker 1 (55:08):
You go to those conferences, those like boring medical conferences
and learn all that stuff, like I do think, and
you're not into all the gimmicks, which I do like
some gimmicks because you've got to be into some gimmicks
and you got to you can't be like, you know,
have a simple you know, what's it called placard on
the door. But I feel like you're based in science
and you do study a lot.

Speaker 2 (55:28):
Well, you know, I think we've been ahead of the game,
like liposuction. I was one of the first guys in
nineteen eight hinty eighty five to do liposuction. You know,
we have an accredit operating room, so it's safe, and
you know, of course, the skincare line was one of
the first. And I think pretty much every lazer that
comes out, we get it right at the beginning. That's

(55:50):
good and bad because when you get a laser in
the beginning, you're also testing it out.

Speaker 3 (55:54):
Even though you'll be tested out, but you're testing out
in your own hands. Yeah, until you become familiar.

Speaker 2 (55:59):
And then when you become familiar, that same laser works
so much better for you later on because you have
learned how to use it. Okay, it's like getting into
a car.

Speaker 1 (56:10):
Okay, So well, I think you're great. I've always liked you.
I met you years ago, and I'm out in the
city all the time. But when I am and ken,
you're the only like dermatologist that I have. You know,
that's like a unless it's like can someone come over
to the house and uh do the botox for the jaw,
which I don't always love. I think you're you're You're good.

(56:32):
I think it's not easy to stay ahead of it.
I think you're doing a good job, and I think
your products are really really good. And I have to
say that my daughter was I don't want to talk
about her that much with this, but she was experiencing
some skin issues, as an girl her age does. And
it was right before back to school, and like she
was had been in camp and had like this terrible

(56:53):
thing happened from this dirty room and I was apoplectic.
And it was two days before school and I called Howard.
He was home in his house in the Hampton's and
I'm like, we have to come over. He was his
son was there. I was like, this is like, we
have to come over. And you were like wearing normal clothes.
I had this like toolkit that I literally bought myself
at a drug store. And you really helped her out.

(57:16):
And she really likes you, and you know your good dad,
and she liked coming in and like being like, well, no,
I want to go to doctor Solby. I have his products,
and she's got your closin in the friege and so
like she's so nice, is my kid.

Speaker 3 (57:28):
She's a good girl. You know.

Speaker 2 (57:28):
I wanted to mention because you and I talked about
it with COVID and a lot of people. Thirty percent
of people that have COVID have been having hair loss
problems and over a real long period of time. And
the only real answer for that was no real answer
to hair loss was was you know doing PRP when
you take the blood from someone's vein and then you

(57:51):
spin it down, you get the plasmah and the plasma
has a growth factors. That was so painful when I
did it on my own scalp several times, it was
very painful, and it works. It slows down the hair loss,
it increases the diameter.

Speaker 3 (58:02):
Of the hair.

Speaker 2 (58:03):
When you get regrowth, it's questionable, but somebody that came
out about six months ago.

Speaker 3 (58:09):
We have the first machine. It's called Altlet head t
ED and the what it does is it actually you
get the growth factors from the company that you order
me automatically get from your plasma. You put it on
the scalp and by ultrasound it delivers the product into
the scalp, into the hair filecle and you're getting the
same results that you see with p r P, which

(58:31):
means decrease hair loss, increasing the diameter of the hair.
And we also what we also do is give you
a topical as well, different topical.

Speaker 1 (58:41):
For female definitely women. I have hair. I love that,
and we'll talk.

Speaker 3 (58:46):
About women than men because women have a tendency just to.

Speaker 2 (58:50):
Thin out in the front. And then the light shines
on the head. You can see the scalp.

Speaker 1 (58:56):
Right here.

Speaker 3 (58:57):
Yeah, so it it looks full.

Speaker 2 (59:01):
But also his hand lost nones and it doesn't hurt.

Speaker 1 (59:06):
All right, I'm into that. And another time we'll talk
about like what your perceived other reactions to the vaccine
not getting it, Like not that you're being political, but
I have seen a lot of different stuff in my
own life and looked online and this was amazing. Uh.
I don't know that I have your retinol. I need
to get it now that you were.

Speaker 3 (59:27):
Selling yea col coal, just send it to you.

Speaker 1 (59:30):
Awesome, this was really good, like really great. Oh, where
can they get your products? That's what I want to know.
Where can they get your own that.

Speaker 3 (59:36):
They can order from my office? Or dot com would
probably be the easiest.

Speaker 1 (59:43):
So for a dot com they love for perfect Okay, yeah, yeah, fantastic,
talk to you later

Speaker 3 (59:49):
Okay, bye bye,
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Bethenny Frankel

Bethenny Frankel

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