Lisa's Book Club Galantines Beauty Panel Edition

For Galantines Day this year Lisa sat down with an amazing panel of beauty specialists. She talked all about skin care, botox, makeup and then opened the questions to the audience.  

Episode Transcript

Speaker 1 (00:04):
Hey, Welcome to Lisa's Book Club, a podcast where I
interview best selling authors from the New England area, pulling
back the curtain on what it's really like being a
best selling author. They're guilty pleasures, latest projects, and so
much more. Hey, coming up, we sat down with a
plastic surgeon, a dermatologist, and two nurse practitioners and we

(00:25):
talked about beauty. We talked about how to keep your
skin looking great and so many other fun topics. I'd
like to introduce our esteemed panel this evening. We have
Danny Wagner just to my left. She's the founder of
DW Beauty. She's got over twenty years experience. I've known
Danny for all of those twenty years, which is dating us, right,

(00:49):
But she's won multiple awards Boston Magazine, a lore in Style,
and she's done the makeup for Anna Win Tour, Emmy,
Emily Duschanel, Caroline Kenned, Matt Damon.

Speaker 2 (01:01):
What did You do to Him? Powder? And Carrie Washington.
So that's very cool.

Speaker 1 (01:10):
Doctor Ruth Tiddaldy, I've also known for over twenty years.
She actually set me up with my husband and was
a long time you know, contributor to the show for
the last twenty years. So doctor Tiddaldi is the founding
partner of Dermatology Partners in Wellesley, chief medical officer and
founding partner of Regimen Pro.

Speaker 2 (01:32):
And she's one of the founding members.

Speaker 1 (01:34):
Of a YouTube show called The Gist Show and they
are about to film five more episodes in Nashville next week,
so I encourage everyone.

Speaker 2 (01:43):
To check that out on YouTube. It's fun.

Speaker 1 (01:46):
Next, we've got the Dynamic Duo. We have Lindsay Galuley
and Alison Daily. They've been friends since they were five
years old, which I love. They are the co owners
of Medical Aesthetics m A and they have locations in Milton,
Hingham and Easton, so a lot of you know places

(02:07):
where maybe some of you guys live. They're both family
nurse practitioners and they offer the latest and the best
technologies out there, and they want to make their clients
feel their best at any stage of life, which is
the most important thing, right And last, Bana Lost, We've
got doctor Sean Doherty who is from Dedham, Massachusetts.

Speaker 2 (02:29):
He's local, he loves Boston. He's a board.

Speaker 1 (02:32):
Certified plastic surgeon in Boston. His office is right on
Newberry Street. He performs esthetic plastic surgery and operates on
all areas of the body for both men and women,
and Doctor Doherty has been named Boston Magazine Top Doctor
for the last eight years. So thank you all. All right,

(02:55):
so we all read this, right? How many read it?
Be honest, I'm not. This isn't like one of those
book clubs. That's good, that's great. I thought it was
a quick read. I thought it was very interesting. I
didn't really know much about the Glossier brand before this, right,
I mean maybe some of you did, but I really didn't.
So I thought it was a really interesting read about

(03:17):
female CEOs and what it took for her to make
this happen, and the genius behind it. I want to
start with some stats. The beauty business. This year may
Well will make at least five hundred billion dollars globally.
It's expected to grow to eight hundred billion dollars by

(03:38):
the end of the decade. The US spends the most
on beauty, which not surprised, right. Six out of the
twelve women on the Forbes list of self made Women
are partially in the beauty business, which I thought was
interesting too, And that came right from the book. So

(03:59):
Emily Weiss's beauty blog In the Gloss or Into the Gloss,
and subsequently Glossier define the trends that are now the
norm on social media, chiefly the concept of get ready
with me, which you see all over TikTok. Now you
see the women putting their makeup on talking to you
about whatever they're talking to you about. So that was

(04:20):
really the trend that started when Glossier kind of you
hit the scene. So she really kind of took that
to the next level and really created a lot of
influencer marketing because of it, and a whole economy because
of it. I want to read a quote from Glossy
for all of you to sort of set the stage,

(04:42):
and this was Emily Weiss speaking to the author all
the weird hang ups people have about beauty, the double
standards of beauty, how beauty can start conversations, how beauty
can break down walls, how beauty is something that every
single person everywhere in the world at some point. It's
really foundational to who we are and how we relate

(05:05):
to each other.

Speaker 2 (05:07):
I found that to be very interesting.

Speaker 1 (05:09):
So Glossier was born as the no makeup makeup aesthetic
for millennials and gen Zers and everyone else too. And
I have a question for the audience here, how many
people have said to a makeup artist, whether at the
makeup counter at Macy's or at the makeup counter at Sephora,
or with your personal makeup artist, I want to look

(05:32):
like I don't have any makeup on, right, that's all
of us, right, So the magic is in that, and
the magic was really that's what Glossier was basically based on,
was this no makeup, makeup look. So I want to
start with Danny Wagner because I want to talk about
makeup first, and that's your forte So influencers like Alex Earl.

(05:58):
I don't know if you've ever seen Alex Earl. And
we have a really powerful local influencer named Mikayla who knows.

Speaker 2 (06:04):
Mickayla follows. Mikayla.

Speaker 1 (06:06):
Yeah, she lives in Quinsy. She kind of hit it
big during the pandemic. She makes like two hundred thousand
dollars a month, like really at least, So all of
the videos that we see on TikTok on Instagram, you
know the videos of the stick, if you've seen those

(06:30):
videos recently, the contouring sticks. It comes in a three
pack and you see the you know, twenty something girl
putting like, you know, different shades on and then blending
and blending and then she just looks perfect.

Speaker 2 (06:43):
Right, How easy is that to do?

Speaker 3 (06:48):
What?

Speaker 4 (06:48):
Like?

Speaker 2 (06:49):
Is that real? Danny?

Speaker 4 (06:51):
Person?

Speaker 2 (06:52):
Is her mic on? Tony? Oh here amazing?

Speaker 1 (06:56):
Sorry you guys with your MIC's make sure you okay?

Speaker 2 (07:01):
Sorry about that? How easy is that? How real is that?
How like?

Speaker 5 (07:06):
I personally think it's all, you know, a little bit
of a crystal ball, you know, it's I think that
it really depends on the person, like what's going to
work for you the whole you know, five sticks of
cream is a little bit of overload. I think maybe
two sticks of cream would be amazing. But you know,
they put it on a model who has perfectly glass skin,

(07:30):
has absolutely nothing on, they blend it on, it looks perfect,
and you want it and you're sold. So I don't
think it's very attainable. But for some reason, unfortunately it works.
And I see a lot of clients come in they
have all these things in their bag and they're like,
I bought all these things, but I don't know what
to do with them. So there's definitely like a gap

(07:50):
there of you know, learning the technique, so it's not
super attainable.

Speaker 1 (07:54):
Who is the one celebrity or influencer that someone will
walk in with a photograph and say, this is what
I want to look like?

Speaker 6 (08:03):
Uh, depends on the age of the client. You know.

Speaker 5 (08:06):
The younger client is really very interested in Hailey Bieber
and Selena Gomez.

Speaker 2 (08:13):
Who both have beauty brands.

Speaker 6 (08:14):
Yep, very smart beauty brands.

Speaker 5 (08:17):
I think now I'm getting a lot of Victoria Beckham,
Gwyneth Paltrow, those types of influencers, which those are the
types of women that influence me as well.

Speaker 1 (08:28):
But when you look at them, like do you how
do you say are you? Are you honest with them
and say, well we can try that right, Like.

Speaker 5 (08:38):
Yeah, absolutely, I mean I think it's about there, But
I think it's about I try to focus on the
essence of what that you know, what is inspiring to
them about it, you know, like what they're trying to
achieve from that influencer, you know, I mean the younger influencers.
I mean, Alex Earl and Michayla are so different. Kayla,

(09:00):
I think has become more of a character and people
are looking to see what she's trying, what new product,
and she is extremely talented, but she's not somebody that
I would be influenced by, or I don't even know
anyone that's influenced by her. Alex is really you know,
I think people are so attracted to her lifestyle, you know,
and what she looks like.

Speaker 1 (09:21):
So and that was the Glossier kind of lifestyle brand
absolutely Emily was selling. Yeah, what is the biggest trend
in makeup right now?

Speaker 5 (09:35):
I personally try not to focus too much on the trends,
but I am seeing a big trend come.

Speaker 6 (09:41):
Back that I had hoped was never going to come back.

Speaker 5 (09:46):
But I am seeing a lot of powder under the
eye and heavy contouring.

Speaker 6 (09:51):
And layers and layers and layers.

Speaker 5 (09:54):
Of makeup and what we used to call back in
the day. We used to call it baking with a
trying powder and you know, just really putting it and
piling it under the eye. And then after all that
they'll call it natural, which really bothers me.

Speaker 6 (10:12):
But that's a.

Speaker 5 (10:13):
Trend I'm seeing come back fast and furiously, and.

Speaker 6 (10:17):
It just doesn't look great in person.

Speaker 5 (10:19):
I mean, I'm very much to each their own, like
you know there's that's why beauty is for everyone. But
I don't think those are very attainable looks.

Speaker 1 (10:29):
Well, it seems like it's probably regional too, Like New England.
We're a little bit more conservative up here, right, Yes,
more natural, So baking is pretty much the trend to
avoid as well.

Speaker 5 (10:44):
Definitely, yes. I mean I tell every one of my
clients that powder is your enemy. It's my enemy, it's
yours as well, especially under the eye.

Speaker 2 (10:54):
Right. Well, you said that the Kardashians first started out.

Speaker 6 (10:56):
They did with that look, right, and then they phased
out of it.

Speaker 5 (10:59):
And I thought the contour. I mean I love a
soft contour, don't get me wrong, But the heavy contour
and really changing the shape of someone's face, I've never
loved that particular trend. So yes, I would say the
baking is a trend I would stay away from.

Speaker 1 (11:16):
Okay, since you're in the makeup business, and we were
reading Glossy and they were talking about the boy brow,
you know, gel and some of the other go to
products that are just tried and true products. What are
three things that we should all have in our makeup bag,
like have to have?

Speaker 6 (11:38):
I think it varies per person. I think three.

Speaker 5 (11:41):
Products is a little tricky, but I do. I am
a huge fan of a tinted browjel. I think that
was Glossier's star product. It was one of the only
products that I felt was a genius product for me.
I couldn't leave the house without mascara, a little creamy concealer,
and maybe some bronzer.

Speaker 6 (12:00):
But you know the other. Yeah, well you said only three.

Speaker 2 (12:05):
Okay, you're right, all right?

Speaker 6 (12:08):
Four would be lip bum, all.

Speaker 2 (12:10):
Right, four?

Speaker 4 (12:11):
Okay.

Speaker 2 (12:12):
Celebrity makeup brands, yes, all right.

Speaker 1 (12:15):
So we mentioned Hailey Bieber, she has rowed, Selena Gomes
is Rare Rihanna Fentique, which is huge, huge, Kylie, Kylie Jenner,
and then Goop Gwyneth Paltrow.

Speaker 2 (12:26):
Right, so.

Speaker 1 (12:29):
Which ones do you what's your favorite? And which one
is sort of not worth it?

Speaker 5 (12:39):
I we haven't tried Goop's makeup. Actually, I have not
tried Hailey Bieber's. I haven't heard good things about it.
I have purchased a lot of Rare Beauty by Selena.
I think the ingredients.

Speaker 6 (12:52):
Are really great, the quality is really great.

Speaker 5 (12:54):
I found myself purchasing a lot of that for the
young women in my life, you know, because of course
I'm giving makeup.

Speaker 2 (13:01):
For Christmas presents, right, that's what they expect.

Speaker 5 (13:03):
So you know all of my nieces, I bought them
all Selena Gomez, and I thought it. I feel like
it's a great starter brand for young girls. So I
would say that's probably my favorite.

Speaker 1 (13:15):
We were talking about Charlotte Tillsbury off, you know, I
would say, off the air, but yeah, on the side
of the stage, and you said, watch out for ingredients,
watch out for what they're putting in their products, And
I never look. I don't know about you guys. I
never look at the makeup ingredients. I don't.

Speaker 2 (13:32):
I don't know why, but you're saying you should.

Speaker 1 (13:35):
Yeah.

Speaker 5 (13:36):
I mean I think especially now where brands are being
driven by women who are looking for better quality products.
I mean when I started many years ago, there wasn't
an option for a clean product. I mean, you know,
the few people that would ask me, you know, do
you have a clean blush that you could recommend? The
answer was no. But now the answer is yes. There's

(13:58):
parabin free, there's fragrance free. There's a lot of really
beautiful products out there that are being driven by a
more sophisticated consumer.

Speaker 1 (14:07):
So yeah, last question for Danny. You know when you
go to Sephora or Altera wherever you shop, and you
buy the same thing over and over again, or they
give you the sample thing and then you have a makeup.

Speaker 2 (14:21):
I have a drawer filled with all this stuff.

Speaker 1 (14:24):
Stuff I've never opened, duplicates, you know, the stuff I
thought I was going to use because I was in
my glitter phase, you know, like all that kind of stuff,
and it just sits there. And Danny and I were talking,
We're like, what can we do with that stuff? Unopened
makeup that's not expired, And we had some thoughts.

Speaker 6 (14:44):
Right, Yes, I believe that dress for success.

Speaker 5 (14:46):
And also Women's Lunch Place, which is right over on Newberry,
they do at times accept toiletries, makeup that's unopened, not expired.

Speaker 6 (14:58):
And in good condition.

Speaker 5 (15:00):
They do take those things because they are trying to
get a lot of women back into the workforce and
they need those and they need it.

Speaker 6 (15:06):
Yeah.

Speaker 1 (15:06):
Yeah, So that's if you guys have makeup that's you know,
sitting around unopen. I know I have a ton of it. Uh,
let's donate it. Let's do something good for people. That
was great, So we'll come back around, all right, So
the obvious thing is if you don't have a good foundation,
the makeup's not going to really help you much anyway.

Speaker 2 (15:28):
Right. So we're talking skin with doctor Ruth Todaldy.

Speaker 1 (15:32):
So you have to turn it on. Let's just flip
the thing up here, I'm gonna do it.

Speaker 2 (15:36):
I think it's on. I think it's okay, just flip
it up. Is it on? Yep?

Speaker 1 (15:40):
It's on?

Speaker 6 (15:40):
Yeah?

Speaker 2 (15:41):
Right, So skin health.

Speaker 4 (15:43):
Skin health, I mean, say no more. I was so
worried you were going to say Goop. I was so worried.

Speaker 1 (15:50):
We were so worried that she was going to said
she liked Goopy, she liked Goop the best because dermatologists
and I hope plastic surgeons do not like Goop.

Speaker 4 (15:59):
You guys like Goop?

Speaker 2 (16:01):
Okay, why don't we like Goop?

Speaker 4 (16:04):
Because she doesn't know anything because she sells all these
products and she doesn't know anything, and so how will
you learn anything. You can't learn anything if you're just
using these products thinking that you most of the time.
It's the association. I want to look like her. I
want to be like her. I want to feel like her.

(16:25):
I want to be rich like her. I want to
do everything and that's really not the way it goes.
That's why I love the book so much because I
think it really honestly conveyed the point that when you
go to us, any of us, whether it's for makeup
or injectibles or surgery. I mean I just said to Sean,

(16:45):
why do women have tummy tucks? I mean, they just
look awful naked. I mean, don't they care about what
they're going to look like naked? No, they don't. They
care about what they're going to look like in clothing.

Speaker 2 (16:56):
That was just an aside.

Speaker 4 (16:57):
But it's about how you feel. So if I can
just get people to feel good about what they're doing
that's healthy and makes their skin. I mean, I'm looking
at Danny's beautiful makeup, I only.

Speaker 2 (17:13):
Have sunscreen on.

Speaker 4 (17:14):
And I know you never wear making I never wear makeup.
I should wear makeup, but I don't wear makeup but
at my age, and you will probably affirm this makeup
makes me look older, because especially powder, because all it
does is accentuate my lines. And so when a woman
comes in or man comes into my office with heavy
lipstick and really long false eyelashes, I just go up

(17:39):
against the wall. I cringe but I go up against
the wall and I put my shoulders back, and I said,
you should spend less time on your eyelashes and more
time on your posture.

Speaker 2 (17:49):
Because it's true, true, those.

Speaker 4 (17:51):
Eyelashes look terrible, don't they They look terrible.

Speaker 2 (17:55):
Well I'm wearing, I'm wearing. I like yours. Still good.
I'll give a shout out to lash the more they're great.

Speaker 4 (18:03):
Well, they can look good. They can look good just
like they're breast and look good if they're not too organical,
like spiders.

Speaker 2 (18:12):
On your eyes. Exactly.

Speaker 1 (18:13):
Yeah, it looks awful. I don't know who does that,
but yeh Offul.

Speaker 4 (18:16):
But it's not just about the underlying the palette for
the makeup. It's also about your health. So you don't
want to end up with skin cancer, you don't want
to depress your immunity, you don't want to do all
the things that photo damage does to your skin. So
your skin is really a window into your health, not
just your skin health.

Speaker 1 (18:35):
So Ruth, since I've known her, has said, you got
to start with sunblock leaves. You got to put the
sunblock on and then everything else. I'm like, even in
the middle of the winter when it's like raining. She goes, yes,
put the sun block on. Why well, let's talk about
a couple of things. First of all, yes, you have
to wear sunblock. But you have to wear sunblock because
even in the dead of winter, you get UVA through

(18:59):
windshield glass.

Speaker 2 (19:00):
So you have to remember.

Speaker 4 (19:00):
I'm going to teach you just a little bit of science,
which is that we go outside and the way our
skin ages is divided into two buckets. The first is
photo damage, which is from the sun, and the second
is everything else. The second is infrared light and visible
light and cell phone and your computer and your microwave

(19:21):
and pollution and all that vaping smoke that's out there.
We can control a little bit of both for sunscreen,
we control a lot of both for the photo damage.
So UVB is what you know about. UVB is what
makes you red and tan, and you know when you're
too red, and you know when you're too tan.

Speaker 2 (19:41):
Some of us like to be too tan. Yeah, I know,
makes me feel good. I know that, I know.

Speaker 4 (19:53):
But UVA is insidious. UVA is a longer wavelength. It
goes through winchell glass. It's just a present in December
as it is in June, and you don't know you're
getting it. So when the patient comes into my office,
I put the picture of the truck driver up, which
I'm sure Sean knows, and the left side of his
face with no protection for forty years driving a truck

(20:15):
just looks god awful. So that picture is supposed to
go home with you. That picture is supposed to make
you feel like, I don't want to look like that,
and I Am not going to look like that. So
sun protection is so important. It's pigmentation, it's lies in
lines and wrinkles, it's blood vessels, it's the thick or
thinness of your skin. It's just everything. And then we

(20:37):
didn't even mention skin cancer, and so then you have
to get all cut up and scarred up by having
that removed. So it's everything right, and you've seen the
worst of the worst. So young girls in the audience
wear your some block and not just in your makeup,
and not just in your make start early, not good enough,
and you have to reapply it, reapply it, and that
does more for you than just about anything. I'm I'm

(21:00):
junkie for product, I am a skincare junkie. But if
I'm not putting my sunscreen on over and over, and
I'm in my office and they still put my sunscreen
on three or four times a day.

Speaker 1 (21:12):
So, as a skincare junkie, what are the most important
things that we should all be using?

Speaker 4 (21:18):
Okay, you're ready sunscreen? Sunscreen is one, two, three, four,
and five, right, because you're gonna put it on four
five times day. And then we could talk about mineral
versus physical and we could talk about organic versus inorganic. Interestingly,
the inorganic products are the mineral products, and the organic
products are the the chemical products. Kind of not what

(21:42):
you would think, not intuitive, right, So I tend to
like mineral products in the United States. If I was
in Europe, there are some chemicals that are fine. But
that's just so that's numbers one through five, and reapply it,
reapply it, reapply it. And now there's some beautiful elegant
I thought we were going to talk about that, but
there are some absolutely go that's what I have on
right now. So sunscreen is my makeup. Number two. Can

(22:06):
you guess.

Speaker 2 (22:09):
Retinoids?

Speaker 4 (22:10):
Retinoids, So it's basically, if anyone knows me, I've been
putting people on Tretonoen, which is retinee since nineteen eighty seven,
nineteen eighty six, and retinoids. So now we have retinol
which you can buy over the counter, which is not prescription,
and we have tretonoen or the retinoids out which there

(22:33):
are a few, and retinol in your nutrogena product or
laroche pose is converted to tretonoen in your skin, so
it's milder, it doesn't irritate you as much, and it's
easier to use. A lot of people start to use
retine or thretonoen and they go, I can't use it.

Speaker 2 (22:49):
I can't use it.

Speaker 4 (22:50):
They walk into my office, I can't use it. Of
course you can use it, you just didn't have somebody
explain to you how to use it.

Speaker 2 (22:55):
So what does it do?

Speaker 4 (22:56):
It reversed thinning of your skin, It evens your pigmentation,
It stimulates collagen and elastin. It does just about everything.

Speaker 2 (23:03):
So that's one.

Speaker 4 (23:04):
The only time you don't use it is when you're pregnant,
and even though it wouldn't do anything to you, but
you still don't use it when you're pregnant. And number
three is an antioxidant. So I said that those two buckets,
one was photodamaged, the other was oxidative stress and that
comes from a cigarette smoke and pollution and ozone and
your microwave and your cell phone and everything else. So
you need. The most potent is vitamin C. But I

(23:25):
have feelings about vitamin C. I don't know if you
want me to go into that, I won't go into that.
Everybody knows about the skin sceutical product. But VC is
a CBS and VC is great and it's twenty nine dollars,
so it's a wonderful product. That's number three. Number four
is DNA repair enzymes. This is kind of new and
you're going to start to hear about. Do you remember

(23:47):
from biology the double helix and the purines paired with
the perimidines, and if they mispaired, you had what was
called a dimer and that leads to everything that leads
to most importantly in this audience, it leads to to
photo damage, sun damage, but it also leads to skin cancer.
So we now have they won the Nobel Prize, but

(24:08):
people don't talk about them. We have products. They have
DNA repair enzymes. There are three major ones and they
basically reverse those dimers. It's spectacular. And the fifth are
peptides or growth factors or exosomes, which you'll be hearing
a lot about those. Those are the five five categories.
If you use a peptide or a growth factor or

(24:28):
an exosome and you don't put it on first, you're
throwing your money away because it's a huge molecule. It's
a peptide, it's large, and it doesn't travel into your skin,
probably at all. Anyhow, I still use one, but don't
put it on over things.

Speaker 1 (24:43):
Okay, I want to shift gears a little bit and
talk about something that we were talking about a couple
of weeks ago. The drunk elephant tweens going into Sephora.
They've been watching this on tip talk and they're putting
retinol on their faces. What's causing this? Where are the

(25:08):
parents in here? I don't know where the parents are.
Never five parents are.

Speaker 4 (25:11):
But I also raised four kids, and I don't think
I always knew where they were either.

Speaker 2 (25:16):
Yeah, so you know that.

Speaker 4 (25:18):
So, yeah, my kids used to walk out of the
bathroom with holes in their face because they wouldn't ask
me to remove a komodome and a blackhead.

Speaker 2 (25:25):
They would go do it on each other.

Speaker 4 (25:27):
Yeah, but that whole motivation. Right now, what's going on
with tweens? I mean we just talked about it in
the audience, right, I mean they are Sophora, they are
running the whole industry, and they basically I just posted.
It wasn't a tween, it was a It was a
patient of mine in her forties who basically said, well,

(25:49):
I learned it on TikTok, right, So that's where they
learn everything, right, And I keep saying over and over, well,
I don't think doctor TikTok or doctor Goul went to
medical school, but it's possible.

Speaker 2 (26:01):
It's possible. So all of us, all.

Speaker 4 (26:05):
Of us here are educated enough on stage that we
can teach our patients so much more than what's going on,
but we are. Shawn's pretty good with social media. I'm
not that good with social media, but I think that
that's where we have to go if we're going to
educate young people. And I love the mother who said,

(26:26):
I'm going to take you to the dermatologists, and if
I see you buying products for TikTok after you go
to the dermatologists. The problem is so many dermatologists don't
do what I do. They don't care enough. They think
it's a waste of time. They think they're going to
educate their patients and they're just going to go to
school anyhow, So why.

Speaker 2 (26:43):
Did I talk about it?

Speaker 4 (26:44):
Because you have to educate your patients.

Speaker 2 (26:46):
You do. Good point.

Speaker 1 (26:48):
All right, thank you, doctor ZADELDI all right, now I'd
love to ask Lindsay and Alison some questions. They've got
three locations, Like I said before, Easton, hang Out, and Milton.
What I love about your office, i'll call it an
office your spa is that you're in communities, and I

(27:11):
think that that's a big thing.

Speaker 2 (27:13):
I think that people.

Speaker 1 (27:15):
Feel like they can walk in and they can have
a great experience and they can feel and look better,
and you're like a trusted person in the community.

Speaker 2 (27:27):
Right wouldn't you say that?

Speaker 7 (27:28):
I would?

Speaker 8 (27:29):
I would.

Speaker 9 (27:29):
I think our flagship was in Easton, where both Lindsay
and I were living, so it was it was amazing
because we started small and we would be the same
person that this on the soccer field with our children
or grocery shopping or at a school fundraiser, and then
you just built that sense of trust with our community

(27:50):
and it's been really incredible to kind of watch it
grow and see people trust us with, you know, advice
on skincare for themselves, their parents, their children.

Speaker 2 (28:02):
It's been really wonderful.

Speaker 1 (28:04):
So you guys brought a Morpheus system with you, and
I want to talk about that because you actually donated
that treatment to the Raffle. And I was actually with
a friend today who has a lot of acne scarring
and she was saying, Oh, I want to try this
new thing called Morpheus, and I said, Oh, that's what

(28:26):
That's what I'm talking about tonight. So can you give
people in the audience an idea of what that is,
what it does, and you know how it can help.

Speaker 3 (28:37):
So technically, it's a micro need link type machine that
delivers radio frequency. So there's two types of injury to
the skin. It's thermal and mechanical. By delivering these injuries,
we're then putting the body in an atmosphere we need
to heal, so we're building collagen and elastin and re

(29:00):
modeling the skin. The radio frequency is great for tightening.
It goes a little bit deeper than say if you
use just a regular micro needling pen without the radio frequency,
So it gives us a more potential to tighten and
lift the face. They call it a non surgical facelift.
I don't think that's quite the case, but right, it

(29:24):
also depends it has to be done with the right
expectations on the right patient, with good education, and I
think it's been great for our patients as maybe an
annual maintenance building collagen exfoliation, and it is pretty good

(29:46):
for repairing skin scar tissue, but.

Speaker 2 (29:48):
It's also for the whole body, right it is.

Speaker 9 (29:53):
So Morpheus eight is called morphius eight because there are
different tips that go down to eight millimeters, and so
when you're on the face or the neck, you're probably
never going deeper than four. But when you're trying to
deal with body skin tightening, whether it's abdomen. There's a
lot of pickleball players in the world now and so
they like their upper thighs kind of addressed. So we're

(30:15):
seeing in the public just that people come in and
you guys know that the upper thigh we have so
many upper thigh tight Does it work?

Speaker 2 (30:25):
It does?

Speaker 9 (30:25):
Yeah?

Speaker 2 (30:26):
How many treatments?

Speaker 9 (30:27):
So typically we recommend three free separated by about four
to six weeks. But it's a really wonderful non surgical option.
And again, like Lindsay said, we have to be very
clear about expectations.

Speaker 2 (30:40):
That's what we do. We are not surgeons. We are
knowing when.

Speaker 9 (30:45):
Is appropriate to refer to our colleagues and knowing who's
appropriate to be treated in the office. That's really the
best opportunity for success for our patients. So honesty is key.
But yes, with consistency and the right patient, it's a
really wonderful, wonderful tool with minimal downtime. So that's usually
what's attractive about it.

Speaker 2 (31:06):
Is what procedure.

Speaker 1 (31:08):
I was talking to you guys a few weeks ago,
and maybe you can't answer this, but what procedure just
isn't worth the money these days because there are so
many of them out there, and be honest, you may
even offer it.

Speaker 3 (31:23):
So in owning a MEDSPA, you're attacked daily by salespeople
trying to sell us machines left and right that costs
more than our cars, and it takes a lot of time, effort, thought,
money research to decide what are we gonna buy, what
are we gonna offer our patients. We only take on

(31:44):
what works, proven results, the services, treatments and machines that
we've decided to have at our spas definitely produce great results.
But like I was saying before with the Morpheus, it's
all about knowing expectations, Like, as long as we can
deliver the results that meet the patient's expectations that are

(32:06):
also realistic, is the key to success. If a patient
needs a surgical facelift, we say that you know, your
first top choice for best results will be to go
see the plastic surgeon, check out a facelifte. You know,
see two or three different doctors. We usually say, get
a few different consults, and then see how you feel.

(32:28):
If you don't want to go to the surgical route,
come back to us, and we offer just about everything else.

Speaker 1 (32:33):
So it's really about building trust, and I think each
one of you really kind of touched on that and
sort of looking at who's coming in, looking at what
their issues are. If they come in with a picture
of a celebrity that you know they're never going to
that's just not They're never going to look like that,
how do you approach that?

Speaker 2 (32:52):
How do you say, like, well, I don't know, maybe
we should try something else.

Speaker 3 (32:55):
So we actually have more patients who bring in pictures
of celebrities they do not want to look like I
don't want to mention those celebrity means.

Speaker 2 (33:05):
I think we all know.

Speaker 1 (33:06):
We'll give us one fun Oh to God, yeah yeah
that person, or like, can we talk about that? How
did that happen? How could a medical professional do that
to someone?

Speaker 2 (33:26):
It happens. It happens every day.

Speaker 3 (33:29):
I mean every day.

Speaker 2 (33:30):
We see it all the time. And you talked about trust.

Speaker 4 (33:34):
Most of our patients come in with so their expectations
are so high that their reality they have really kind
of shifted their reality. It's called perception drift, and they
don't know what they look like anymore.

Speaker 2 (33:48):
I mean, it's very much like it's body dysmorphic disorder.

Speaker 9 (33:51):
Yeah.

Speaker 4 (33:51):
Yeah, But can I just answer that question too, when
you said what doesn't work? I won't say that because
I am very opinionated, as you probably can already tell,
but I will I do think with the exception of
what Sean does, so surgery's out of the picture, right,
what doesn't work? I just want to say what does?
What always works? Sunscreen and botas okay, simple, keep it simple, yep,

(34:20):
all right.

Speaker 3 (34:21):
Yeah, But I'd also like to say, as far as
patients coming into our office, we're afraid to look like Madonna.
It's not even possible. We can't physically potentially even make
that happen. It would cost so much, right they got
it would cost so much money to put that much

(34:42):
filler or something in someone's face.

Speaker 9 (34:45):
So I agree, and I think about I mean, if
I had to put a percentage, maybe ninety nine percent
of the people we see say exactly what you had said, Danny, Like,
I don't want to look like I've had anything done,
you know, I just really want to look like me.

Speaker 2 (34:58):
But that's our goal too.

Speaker 9 (35:00):
Our goal is also to make you feel like you
are the best version of who you are, you know,
more confident, more you know, botox and sunscreen, to really
just feel like you are yourself. It's not to change
your appearance. We just you know, help you enhance it,
help you feel more confident, help you take care of

(35:20):
your skin.

Speaker 2 (35:22):
Do you guys see a lot of men coming in.

Speaker 9 (35:25):
I wish we saw more. You know, we're all going
to look so good, you know, So we do, we do,
We definitely do. And I think the younger generation a
lot more so, you know, definitely coming in. And it's
it's really wonderful because they're they're coming in for maintenance,

(35:46):
for early you know, consultations for questions about where they
should go, where their skincare should should be taken.

Speaker 3 (35:53):
So, yeah, we're seeing a lot of men for IV therapy.
I think that's definitely. Yeah, recovering more aren't common. We
also offer hair restoration with plasma injections. It's pretty good treatment,
very safe effective. How long does that take the treatment

(36:13):
itself for.

Speaker 2 (36:14):
No, just how many, how many treatments and.

Speaker 3 (36:17):
How they say we start with one a month for
three months, and we see how they do over the
course of maybe six months. And it's a very subjective opinion.
You know, most patients know if they're getting results or not.
I would say probably ninety percent of the men and
women I've treated with PRP injections to the scalp come

(36:37):
back every time. Over a decade, I've had the same
patients come back and they just know when they need it,
they need a touch up where they need another series.
But it does work, you know, it's not it's also
not a surgical procedure, and it doesn't work for everybody
but the right candidate.

Speaker 1 (36:56):
Yes, consistently, I think it's pretty good good, yeah, all right,
doctor Sean, Yes, I don't think it's a little clip.

Speaker 2 (37:10):
Yeah you're on.

Speaker 1 (37:12):
Yeah, so you are totally You're I mean, you do injectibles,
but your main business is surgery, And I'd say.

Speaker 10 (37:21):
I'm a half and half type of guy.

Speaker 7 (37:23):
I do a lot of non surgical stuff, so injectables,
facial procedures.

Speaker 10 (37:27):
And surgery.

Speaker 1 (37:30):
When we were sort of talking about this, I asked
him what was the most asked for procedure and what's
the answer.

Speaker 7 (37:37):
Well, non surgical would be botox, but surgical is breast augmentation.

Speaker 2 (37:41):
By far, so a boom job.

Speaker 1 (37:44):
Okay, what celebrity photo comes into your office the most?

Speaker 7 (37:52):
So Boston is a pretty conservative place, so luckily more
conservative photos come into my office.

Speaker 10 (38:00):
I've seen it all.

Speaker 7 (38:01):
I would say my core group of surgical patients, forty
to fifty year old females will come in. Kate Hudson,
I think in terms of breast. She I'm not her doctor,
so I don't know what she's had done, but I
think she's enhanced, has a natural bus line that is
not her breast.

Speaker 10 (38:22):
Don't enter the room before her.

Speaker 7 (38:24):
She looks good kind of in anything, and that's kind.

Speaker 2 (38:27):
Of And she's had a couple of kids.

Speaker 7 (38:30):
Did win the genetic lottery though, so she started off
pretty well. But that type of subtle just looking good
in your body, that's kind of the look that I
think that group of people ask for the younger patients.

Speaker 10 (38:44):
That's kind of across the board.

Speaker 2 (38:46):
You have to say. Yeah.

Speaker 7 (38:48):
So, actually we were just talking last week. Young girl
came in wanted a very subtle breast augmentation.

Speaker 10 (38:56):
I was like, okay, well, what's your version of subtle?

Speaker 7 (38:58):
So we're doing the whole thing and then I'll come
the phone with the pictures and I've seen it all
on people's phones, but the first picture that came up
was Megan Fox, and I said, well, you know, great,
we definitely have a different version of what is subtle
because she I would not say she's a subtle person,
nor is her figure, but that, you know, is more

(39:22):
on the side of a younger patient.

Speaker 2 (39:24):
So how do you deal with that? How do you
sort of talk them out of that?

Speaker 7 (39:28):
So I feel like I don't like to talk people
out of things because I don't think I have to
project my aesthetic on any patient. I don't think any
of us do that, but kind of understand what their
aesthetic is and kind of help them get to that
in a nice.

Speaker 10 (39:41):
Safe way.

Speaker 7 (39:42):
And I think when you talk to people, listen to them,
go to the mirror measure, do things kind of with
data and a sizing system, and kind of do it
sort of objectively. People say, oh, well, maybe I don't
need a five hundred ccm plan, and I actually like
a two hundred and fifty cc implant, which then comes

(40:04):
into the but on TikTok, the person that I like
has a four hundred cc implant, so that's what I want.
And then I have the version of conversation with them
that everyone here has talked about, of kind of saying, okay,
let's talk about being the best version of you as
opposed to somebody else.

Speaker 1 (40:20):
Have you had a lot of botched situations walk into
your office?

Speaker 7 (40:26):
I think for all of us on this panel, like
that word bosch is a huge trigger word because we
don't want to create that, but we don't want to
accuse other people of doing things right. But I think
people that have probably made poor choices, both surgery and injectables,
and most of them have luckily gone to a place

(40:47):
that we can bring them back from.

Speaker 10 (40:49):
But there are some surgical things.

Speaker 7 (40:51):
That I are just very challenging to fix. And I
think a lot of them are rest procedures where people
have gone too big and that's hard to come back from.
And liposuction. Back in the day when their everyone was
doing laser LiPo and asking for that, I think a
lot of people had injury to their tissue, to their

(41:12):
skin that is actually really hard to come back from.

Speaker 1 (41:15):
Wow, but you said that liposuction is still the gold
standard in terms.

Speaker 7 (41:20):
Of body contouring without a doubt done correct, It can
be done very safely and appropriately. But just like everyone
on this panel is saying, expectations are absolutely necessary with
anything any kind of surgical relationship that you enter with
the physician. Because say someone amazingly lost one hundred, one

(41:41):
hundred and fifty pounds and they come in and want
liposuction to just kind of finish things off. I really
suspect they're really probably bothered by loose skin. And I
hope a take on message here is that liposuction doesn't
treat loose skin. What treats loose skin is cutting it.
And if you're not ready to have a surgical procedure that,

(42:01):
like Dartrich Adaldi nicely talked about, why would anyone want
an abdominal pasty. If you're not ready for that, that's
perfectly fine. But don't go seek a procedure to achieve
something that you can't have, right. And I think that's
why you want to kind of surround yourself by medical
professionals that are not going to sell you something, not
fill a quota, you know, not create packages and things

(42:23):
to incentivize you, but just sort.

Speaker 10 (42:24):
Of deliver you the truth and help you get to that.

Speaker 1 (42:27):
I think that's a really good point. You're very active
on social media. I love watching your thank you videos.

Speaker 7 (42:36):
I hope I have at least three hundred new subscribers tonight.

Speaker 1 (42:39):
Can you give your give your Instagram?

Speaker 7 (42:42):
Yes, oh St Dorty, MD. You can go to my
website Shonderherty, MD and get to it.

Speaker 2 (42:48):
Yeah, it's great. He really he really lays it all out.

Speaker 1 (42:53):
One of the things that I saw recently was a
procedure called threading, and you know, for women that are
in their forties fifties, you start to see a little
bit of you know, facial kind of just minimal set lacks,
whatever you call it. And it seemed like that was
a procedure that you recommend for that type of thing.

Speaker 2 (43:16):
Is that safe? How long does it last?

Speaker 7 (43:19):
So you're talking about the thread lift, and it's actually
a fairly controversial, I think procedure. Probably it would be
interesting to see what everyone on the on the panel
thinks about it. But it is a non permanent, not
moderately invasive procedure where threads are placed underneath the skin,
and the threads are made out of suture material and

(43:42):
it's the same super material that I use in the
operating room, so we know that patients do well with it.

Speaker 10 (43:46):
So they're non permanent and they're.

Speaker 7 (43:48):
Barbed so just like a barbed wire fence that has
kind of little spikes on it, and the threads have
a direction, so they are placed kind of along the
direction underneath the skin and then are pulled back, so
the small barbs pull on the underlayer of your skin
and then seal into place. Now that sounds amazing, right,
everybody wants to sign up for that, But there's a.

Speaker 10 (44:10):
Limit to that.

Speaker 7 (44:11):
First of all, I can't pull someone's face back so
far and leave them with gathered skin here, because that's
not really going to do anything well for you. And
that's what a facelift is. And the thread can only
kind of do so much, and it's nice when the right.

Speaker 10 (44:25):
Person does that procedure for the right reason.

Speaker 7 (44:28):
The thread actually, just like threads, if anyone's had surgery before,
the sutre material probably starts dissolving around three to four months,
and that's actually when the threads probably start breaking down.
But the effect, the stimulation everything that we talked about,
kind of the injury that's underneath the skin that stimulates
tissue probably stays around for another good couple of months.
So people can expect maybe ten to twelve months from

(44:51):
a good result from a thread procedure. And I use
pdo threads if that's anything that people are asking about them.

Speaker 1 (45:00):
You mentioned that Kim Kardashian is a big fan of threading.
You would never know it by looking at her exactly.

Speaker 7 (45:09):
She is who she is because she was born beautiful,
she had so it's fantastic genes and just has a
lot of options to her. And so for someone who
starts out amazing, a thread procedure is going to make
them just a little.

Speaker 10 (45:22):
Bit more amazing. So that's quite successful.

Speaker 7 (45:25):
But it's a nice thing for someone to kind of
trial a moderate procedure to do something to their face.
That's a little bit more than say amorpheus. That is
excellent procedure that stimulate tissue, but it has a little
bit more oomph to it, and it's noncommittal because there's
not an incision. You're not going to the operating room,
there's not anesthesia, but you really need to have a

(45:45):
nice talk with the person who's doing that.

Speaker 1 (45:48):
Right, So all of you, I think on this panel
are like psychologists to some degree, right at a certain
point with some of your clients, with some of your
patients and trying to get them to where they want
to be and like you said, be the best person
they can be.

Speaker 2 (46:09):
So I don't know.

Speaker 1 (46:10):
If you guys want to elaborate.

Speaker 10 (46:12):
On that a little bit.

Speaker 7 (46:13):
I mean, just since I'm still here for everyone brings pictures.
Everyone wants to kind of be that TikTok influencer. And
I think I like how social media exists because people
are so much more knowledgeable now, and I like to
think of that as a good thing. People ask such
elevated questions, such sort of thoughtful things that come in

(46:33):
and are very intelligent and sort of the process that
they research things, and I love that. I think sometimes
you're gone down the wrong path. And when someone shows
you a photo that this is what they want, like
the snatched neck and they're twenty four years old, you
just I have to kind of press the pause button
and say, Okay, these pictures are great, but they should

(46:54):
be inspiration, not imitation. And I think that's kind of
the take home message for social media. Be inspired, but
you're not imitating because you're yet.

Speaker 4 (47:08):
I would say that psychology is probably ninety percent of
what we do, because I agree with Sean that miposection
is the gold standard. My thermage is in my basement.
My radio frequency is a killer painful. I have one
that isn't. But if I have to look at my

(47:28):
photos and I have to compare my before and afters
for eight out of ten people, it's very hard to
see the difference. And if you're not going to be
really honest with your patients and you're not going to
really tell them what works and what doesn't work, good luck.
I mean, I think that if you're basically just feeding
in to their psychology of dissatisfaction, you have to teach

(47:52):
them how to be more satisfied with what they have,
with the fact that they are aging. I was just
saying to Sean, I hate fifty two year olds. Okay,
that's my least favorite age. So if you're fifty two,
don't come to say And the truth of the matter is,
it's because at fifty two you still feel like you're
twenty five. But guess what, you're the person looking in

(48:14):
the mirror like this all the time. And you can
put a thread in Leonard and I learned to do
threads together Sean's boss, and honestly, honestly, honestly put a
little bit of botox in and take care of your
skin and do some peals that really change the texture
of your skin and you just feel better. So I

(48:36):
think a lot of it has to be real, real,
down to earth honesty.

Speaker 7 (48:41):
So I mean, I agree with that, but I think
people are still allowed to ask to do procedures and
try to do something safe but to have a change,
and I think us elevating that'd be is what we
want to do. But I think people are still allowed
to do things and from these non evasive procedures, which

(49:01):
were all clear about expectations. I think the more things
you do, the more you get.

Speaker 10 (49:07):
Now. I don't love.

Speaker 7 (49:07):
Doing tons of things but a thread procedure is great
when you take care of your skin and you use
botox consistently in appropriately placed filler, and you can get
a lot of mileage out of that. But that is
could be costly, and it's a time that it's done
in series. But yes, you're not going to do a
facelift out of that, but you can get some.

Speaker 10 (49:27):
Mileage out of that.

Speaker 1 (49:29):
I think the point you made right before we were
talking about this about the role of social media and
educating all of your clients and patients, and how I agree.
I think getting information is great. I also think that
that there's a lot of misinformation out there, and I
think that you guys probably have to do a lot
of unraveling and a lot.

Speaker 2 (49:51):
Of re educating.

Speaker 1 (49:52):
And I feel like sometimes people come in and they said, well,
I saw this, this is my friend, I follow her.
She told me this is good. They have no idea
that she's getting paid to tell them that this is good.
And how hard is that to unravel that preconceived notion
when they walk into your space. Who wants to just
start because I'm sure it's top.

Speaker 3 (50:13):
Multiple appointments, maybe hours, But I think often I see
this happening with patients who come in and they see
it before and after of a lip treatment. But we
know very clearly that's not from one half syringe of Abella.
This is probably months or a year of the patient

(50:33):
going in for a couple syringes, maybe a little bit
of a tweak here and there, or maybe you're dissolved.
There's there is definitely space missing when you see a
lot of before and after afters on social media. Another
big one is under eye or tiartrov filler. Patients come

(50:54):
in and they say, look at this, it's amazing this
before and after and I don't know if I've any
ever seen anyone have a long lasting good result from that,
So it's it is very hard to then convince them that,
you know, that's not the safest procedure for you.

Speaker 7 (51:10):
You know, and we sell we take care patients, We
provide services. We don't sell commodities. I mean, we sell
beauty products, but our procedures are not commodities.

Speaker 10 (51:21):
So you can't buy a pair of breasts off the shelf.
I tell peop about that.

Speaker 7 (51:25):
You know, we're enhancing your best to make them the
best version of them. And it's the same thing for
the face and so educating people to say, let's, you know,
make the best version of you. You're not buying someone
else's body. And I think that's what I would, and
that's professionals, that's what we need to do, and I
think all of us do do that.

Speaker 4 (51:43):
And you know, just like you and I were talking
about before, I mean, you have to really have the
confidence after years of practice to say to someone no,
that's really not what you should be doing, and they
can go somewhere else. That's fine, but you have to
also feel I mean, my fast just growing population or
believe it or not, seventy eighty and ninety year old

(52:04):
women who I adore because every single thing in there
that you do for them is a step up and
they feel great and they still feel great. So forget
about the fifty two. I like the thirty two, and
I like the forty two, and I like the sixty two, and.

Speaker 2 (52:20):
I know we can't forget about the fifty two.

Speaker 10 (52:22):
Or if you're fifty two, come to me.

Speaker 1 (52:24):
Yeah, all right, just getting I want to ask you guys,
this is sort of not you specifically your your business,
but it has to do with skin. This huge trend
of the hot, cold plunge. All right, is it good

(52:44):
for you? What are we talking about here?

Speaker 2 (52:47):
What are there benefits to it?

Speaker 1 (52:49):
That the hot you know, going from the infrared sana
into the cold plunge back and forth.

Speaker 4 (52:55):
It's probably more dangerous than it is beneficial. So a
cute heat can cause all kinds of vasodilitation. We see
it in our offices all day long, where people have
a vasovagal response because they dilate. Their vagus nerve fires
and they dilate and they don't profuse their brain and
they get light headed and they faint.

Speaker 10 (53:13):
That's when they pass out.

Speaker 2 (53:14):
When yeah, and on and.

Speaker 4 (53:18):
Just as often if you do that ice plunge, you
there is something called cold urticaria. There is something called vasospasm.
There are things that happen in your body that you
don't necessarily know about that this could trigger, and so
they're dangerous. Okay, So I think that you have to
be very careful about how you treat those.

Speaker 7 (53:39):
But I think the basic the point of that is
to sort of decrease inflammation. I think everyone can kind
of understand that that decreasing the inflammatory process that maybe
because of a sports injury or a surgical injury and
so bringing the temperature down is therapeutic, and I think
that's the basis of it. So I do think it
can be helpful when done correctly. Getting in a hot

(54:02):
room with gross you know, benches and stuff.

Speaker 10 (54:06):
I don't understand.

Speaker 1 (54:09):
Problems, you know, one fungus. So I think we're gonna
take some questions, Winnie.

Speaker 2 (54:17):
All right, So.

Speaker 1 (54:20):
I thought that this was a really interesting discussion about it.

Speaker 2 (54:24):
We covered a lot of topics.

Speaker 1 (54:25):
Do you guys have any specific questions for some of us?

Speaker 8 (54:29):
Okay, over there, hold on coming, okay, coming on, Sorry,
all right, here we go.

Speaker 6 (54:40):
What's your name, Susan?

Speaker 2 (54:43):
What do you think of spray chans?

Speaker 11 (54:47):
Is that dangerous because we can't be in the sun
so we want a little color.

Speaker 4 (54:52):
They're a lot better than tans that I'll start the conversation.

Speaker 2 (54:56):
I agree.

Speaker 9 (54:57):
I agree, there's so much better than an actual tan
baking in the sun. And there are so many products
out there, as you were referring earlier to organic, mineral based,
and so I think, understand what's going on your skin,
understand the technician who is doing your procedure.

Speaker 2 (55:14):
And really just be knowledgeable about that. But I think
it's a really wonderful alternative.

Speaker 9 (55:19):
To baking or to going to God forbid any you know,
actual uv like beds, So it's a really great option.

Speaker 2 (55:27):
And make sure you check the color out because so many.

Speaker 4 (55:30):
Of them are very orange, and you really want to
make sure that number one, you're exfoliated before because the
keratin in your skin will light up more so and
it will look awful. So make sure that the dead
skin is removed, and also make sure that the color
blends with your natural color.

Speaker 7 (55:47):
And then don't do it right before you have surgery,
huge waste of time.

Speaker 1 (55:52):
Is there a favorite product that you guys have? Is
there a favorite brand?

Speaker 9 (55:57):
The solio we really like at our spot, So I
have some information for you.

Speaker 2 (56:02):
Yeah, hear me.

Speaker 8 (56:06):
We have joy here and she's a general question for
the group.

Speaker 12 (56:11):
Oh okay fifty four So sorry Ruth generation X. What
can we do about the dark circles? Because is the
makeup makes it look worse and the older I get,
the deeper they are. I've had them my whole life.
But is it a surgical thing, like what do you do?
Because I know what's like broken capillaries or something At
this point.

Speaker 4 (56:30):
Most of the time vascular. It also can and so
it has to do with the venus supply and how
the vessels are dilated and the skin is getting thinner.
So what we often do, and I know that we
do a lot of injectibles there, it is probably the
most difficult place on the body to inject, and I
urge you to be incredibly careful, not just because it's

(56:51):
also it's also very dangerous and you can also have
retinal artery occlusion and blindness, which has happened to colleagues
of mine on the table.

Speaker 2 (57:00):
But the fact of the.

Speaker 4 (57:01):
Matter is this product of the products move and so
you have to be incredibly careful with how much you're injecting.
And all that's doing is basically elevating the skin a
little bit, covering the vessel a little bit.

Speaker 2 (57:12):
So yes, do I.

Speaker 4 (57:13):
Do it, Yes, again very carefully and to only a
select few people. But I think using a retinal and
believe it or not, to try to thicken the skin
is very important. Also using products with growth factors and peptides,
and wearing sunglasses and wearing.

Speaker 8 (57:32):
Say yeah, if we learn anything today, guys, it's sunscreen.
What what do you recommend for sunscreen? Since we're on
a sunscreen topic.

Speaker 2 (57:43):
I don't know how go ahead.

Speaker 9 (57:46):
I love the Elastin products. I really love their hydratint.
It has a little bit of a tint in there
and I use that every single day.

Speaker 2 (57:55):
I have it on today.

Speaker 9 (57:56):
I think that it helps me because it's part of
my makeup routine essentially, so it's that non makeup makeup
to go back.

Speaker 2 (58:04):
To our book.

Speaker 9 (58:05):
But yeah, so I like the Elastin products SPF thirty six,
But there's wonderful products out there.

Speaker 4 (58:13):
So Alastin has twenty percent sinc. And that's wonderful, and
Alastin's a great product. I would also tell you to
look for any of the products over the counter that
have twenty percent sinc. Because that's the only thing that
will adequately protect you against EVA. There's a product you
can get called Pipette that I use on my grandchildren
and my whole body because I think it's great. I
also would tell you to look at something by Isdin

(58:34):
called Araphotona actinica. It's a mouthful, but it has that
famous wonderful enzyme that I the three enzyme is talking about,
which are DNA repair enzymes.

Speaker 2 (58:43):
So it actually reverses the.

Speaker 4 (58:45):
Tendency of patients to develop precancerous lesions as well as
comes in a tinted and an untinted version. A tinted
sunscreen is always going to protect you more than an
untinted ferris oxide is the ingredient, the act of ingredient,
and if you're using a tinted product, you will not
develop uneven pigmentation nearly as quickly.

Speaker 2 (59:07):
Ruth, what's like a good over the counter one? You
can get at your local pharmacy.

Speaker 4 (59:11):
You can get the mineral laroche pose, the laroche pose milk,
you can get nutrigena, all mineral. You can get pipette
that you have to order, but it's still inexpensive and
those are probably userine makes one that's great. Just read

(59:34):
the labels, look for all mineral and look for twenty
percent sinc.

Speaker 2 (59:37):
That's really all you have to do.

Speaker 8 (59:39):
Okay, So we have a question for doctor Sean from
Sherry Hi.

Speaker 13 (59:45):
I had a question about a breast reduction. Do you
have a lot of patients coming back regretting that they
had a breast reduction and if so, is there like
a waiting time or would you actually enhance the boobs again?

Speaker 10 (59:57):
Put implants in me and they had their reduction.

Speaker 7 (01:00:01):
Yes, well, a breast reduction is probably one of the
breast procedures that I do that has the highest patient satisfaction.
I think that is it's both it's a mental, physical,
amazing transformation for a patient, and that's from someone who
truly has macromast which are the symptoms of the large breasts,

(01:00:21):
which are numerous. But if someone does that, say earlier
in their life then which is appropriate, and then go
through changes, whether it's weight loss, children, breastfeeding, whatnot, and
then they feel that their breasts are say deflated, which
is common, then I don't think it's inappropriate to say,
all right, well now I'm going to put an implant

(01:00:43):
in and kind of redo the lift.

Speaker 10 (01:00:45):
That is very appropriate.

Speaker 7 (01:00:47):
I think that's a little early. It's not about me
making someone do that. I think that that was a
big transformation for them to have done a year ago
and then to go through something again. I think that's
a lot And I would talk to that patient about
kind of living with their body, kind of seeing where

(01:01:09):
they're at, going through sort of changes.

Speaker 10 (01:01:11):
Maybe doing things that they can do weight.

Speaker 7 (01:01:13):
Loss can help kind of change things before they go
back into the operating room.

Speaker 10 (01:01:18):
It can be done.

Speaker 14 (01:01:19):
But Hi Anissa with Big Sis Del Lisa, thank you
so much for hosting this evening and not canceling it,
just rescheduling it for the snowstorm.

Speaker 2 (01:01:33):
We all had yesterday.

Speaker 14 (01:01:36):
This has been wonderful of the entire group of panelists,
I've learned so much in my fifty years on this earth.
I wonder if it's been recorded and all of these
fantastic tips, especially like what are the three things, the
five things, the must do's or stay away froms I
hope that they'll be posted so we can all see it.

Speaker 2 (01:01:56):
It actually will, right Tony.

Speaker 1 (01:01:58):
We are streaming live right now Facebook, so hi everybody,
but yes, it will be available on the Kiss One
Away website. When do you think, Tony tomorrow so you
can get all the great tips and all the names
and everything right there for you.

Speaker 2 (01:02:15):
I actually had a follow up, do your.

Speaker 8 (01:02:17):
Book, okayah, I have Jennifer over here.

Speaker 2 (01:02:19):
Okay, Hi.

Speaker 15 (01:02:21):
I'm sure most of you watch the Super Bowl over
the weekend and maybe noticed Reba McIntyre, who's sixty eight
years old and looks like she's about forty. So I
was wondering what you think she may have had done
to make her look so fantastic.

Speaker 2 (01:02:38):
I agree with you. She looked beautiful. Sean, come on
give us the day.

Speaker 7 (01:02:48):
I love getting on your show and being asked this
exact right. So, I mean it's you're putting everyone in
a tough spot because there's absolutely no way we know
what these people have done.

Speaker 10 (01:03:00):
And Reaber McIntyre has always.

Speaker 7 (01:03:01):
Been a beautiful woman, and so I think she will
always be a beautiful woman.

Speaker 10 (01:03:05):
She's quite fit.

Speaker 7 (01:03:07):
I don't know what was under those clothes. I'm sure
there's probably some type of skin spanks something. I think
that plays a role in a lot of people's lives.

Speaker 10 (01:03:20):
I don't know.

Speaker 7 (01:03:21):
I don't see her as overweight. I see her as
curvy in a great way, and I think that so
perhaps she has done something to her breast. I'm not sure,
but I just think she takes care of herself and
is it a good place. And I think that's what
we see in what we admire in her.

Speaker 8 (01:03:43):
How would your name? Hi?

Speaker 2 (01:03:45):
I mean, I'm sixty.

Speaker 11 (01:03:46):
Three, can you You were talking about the dock circles
under your eyes?

Speaker 2 (01:03:50):
What about bags? Gucci bags under your eyes?

Speaker 3 (01:03:57):
Yeah, typically also over a certain age, maybe say fifty
or potentially in your forties an under eye bleffroplasty. It's
a procedure surgery that would be the number one choice
for that, So I often refer my patients to get
a consult. Sometimes insurance may cover the upper eyelid for

(01:04:20):
a bleufroplasty, it doesn't ever cover the under eye, but
it's not too pricey compared to adding up all of
the non surgical options. And we always tell this to
our patients initially to go for that. I see patients
all the time coming back after those surgeries, and I
think they look great, quick and easy.

Speaker 7 (01:04:43):
It's a day procedure, and I don't know if it's
a quick, easy procedure. I think the under eye surgery
is pretty challenging. But I think we talked about dark circles.
Genetics play a huge role in that, and I think
we know if we have dark circles, and I think
people probably will always need some type of concealer or
something always in their life. But because of your midface anatomy,

(01:05:06):
the bony structure, you're kind of prone to that shadowing
if you have that sort of tear trough that line
there and then to get to your point and the
bags there and they're all kind of interconnected. We all
have fat underneath our eye, and as we age, it
starts pushing through, which we call we say herniating through.
And the skin that covers that is one of the
thinnest skins of our body, is exposed to us on

(01:05:29):
all the time and moves thousands of times a day,
so it really kind of fails us. And if that
is the skin that is in front of the muscle,
which is really what is causing the dark circle, that's
failing us. And then that puffiness of that fat, which
is inevitable in life, is going to start stretching that
you're not going to do a whole lot unless you

(01:05:49):
do something surgical. So decreasing the inflammatory things in your
life can help that. But if you're doing this and
you're expecting an injection to do that, you really should
reassaesss and really kind of talk to people who are
giving you good advice. And I would I actually don't
do a lot of surgery underneath the eye because I
think it is complicated. I really think you owe it

(01:06:13):
to yourself to go to someone who.

Speaker 10 (01:06:14):
Really just does that surgery. So I often refer people.

Speaker 7 (01:06:18):
To oculo plastic surgeons who are eye surgeons who are
trained to plastic surgery, and that is what they do,
and I think that's a good first step.

Speaker 4 (01:06:28):
And also remember that a blufferoplasty, which is eyelid surgery,
and as you know, it can be just the lower
or the upper, just the upper or both truly will
change the shape of your eye. As you age your orbit,
the bony structure that holds the globe of the eye
is enlarging, and so it's very normal to have some

(01:06:48):
depression in the tear trough and bags, as Sean was saying,
can happen because most of the time it's genetic, but
it can often also happen because you've gained or lost
a lot of weight and you have photo damage and
so sometimes just a little bit of filler lateral to
that can disguise it a bit. Sometimes doing CO two laser,

(01:07:10):
which is an ablative process, can actually make it a
little bit better. It's something that we do a lot
in our office and people have pretty good results. It's
never completely reparative, and you have to realize that. But
I would also say, just as breast reduction is the
most positively received production procedure in patients, I would say

(01:07:31):
that eyelid surgery is really often in my office, the
most regretted procedure, and I think that it changes the
shape of the eye so drastically for some people that
you just have to be very careful about who does
it and what your expectations are.

Speaker 7 (01:07:49):
And I think people are very obsessed with this hooting
kind of the fullness that's here, and very centered on that,
and I think they end up getting upper blephroplasty skin removed,
which in some cases is the right thing to do,
but we're supposed to have that. Look at your kids
and younger people. They have fullness, there is youthful and
lack of that is actually quite aging, and I think
it can make people's eyes look quite skeletal. So Nancy Pelosi,

(01:08:13):
I think, is an example of that, and an example
of someone I said, I wasn't gonna do this, But
an example of someone whose eye surgery completely transformed their
face is Kenny Rogers. I mean, everybody sort of saw that,
and I think President Biden also his eyes are so
small now because of that surgery. And lastly, I'm sorry,

(01:08:33):
I'll get off of this, but most of the problem
that people have is actually descent of their brow and
so their eyebrows are descending now. That happens with age,
and when you lift your eyebrows up, you say, oh,
that's great, that's what I want. That's actually not surgery
in your upper eyelid. That's a brow lift, which is
a significant surgical procedure, or botox which you inject here
and helps open up your I will step away.

Speaker 8 (01:08:56):
We have shryl over here.

Speaker 6 (01:09:00):
I'm seventy two. No, I'm kidding.

Speaker 11 (01:09:03):
There's nothing wrong with being seventy two, but I didn't
want to admit to fifty two.

Speaker 4 (01:09:07):
I'm also seventy two.

Speaker 11 (01:09:10):
I just had a general question about two things that
I feel like is trending.

Speaker 6 (01:09:15):
One is serums. I feel like there's tons of serums
out there.

Speaker 11 (01:09:18):
So any opinion on serums, and also hydro facials, if
you can comment.

Speaker 9 (01:09:23):
On that, I'll comment on the hydrofacials. I'm not sure
if you do them in your practice. So we do
opera hydrofacials at all of our locations.

Speaker 6 (01:09:33):
And you know, it's.

Speaker 2 (01:09:34):
Called a medical grade facial.

Speaker 9 (01:09:37):
I don't know if anyone's had one, but it's not
a traditional facial. It actually involves a machine and so
when they call it mechanical.

Speaker 2 (01:09:45):
It has a wand that has what.

Speaker 9 (01:09:47):
They call vortex fusion, so it's essentially a machine that's
gently kind of extracting you know, dead skin cells, imperfections
and purities in the skin, while it's also hydrated a
series of kind of antioxidants and there's there's a step
wise approach to the hydrofacial into your skin, so you

(01:10:09):
leave with that kind of glow. That hydrofacial glow is
kind of why it got that name. Throughout the hydrofacial
what I do like about it is the ability to
tailor to the person. There are different boosters that they
call it that might work on someone's skin based on
what their concerns are, if it's pigment or if it's

(01:10:30):
you know, uh, fine lines and wrinkles. And there's nothing
permanent about it. There's no down time with it unless
you tend to get a little red or reactive.

Speaker 2 (01:10:40):
But that goes away quite quickly.

Speaker 9 (01:10:43):
And it's it's just a really nice kind of treat
for someone to be honest with you, and it's it's
a nice option.

Speaker 2 (01:10:51):
It's great if.

Speaker 4 (01:10:52):
You're going to a party, yeah, because your facials are wonderful. Yeah, great,
there there is great But what was your question about cerums.

Speaker 2 (01:11:04):
Serum?

Speaker 4 (01:11:04):
So serums are the most misinterpreted treatments in the world
because all that serum describes is the texture of the product.
It's in a slightly liquid form, and that's what's called
a serum. Has nothing to do with the ingredient. The
most common thing we all hear, so what do you
do for skincare? Well, I use a serum. So it

(01:11:27):
doesn't mean anything, so you might like it. It has
to do with how light or how heavy, how you're
putting your products on, how you're layering them, what order
they go in, and other than the growth factor which
I told you, or the peptide that has to go first.
Usually we all follow a similar rule, which is the
lightest goes first up to the heaviest. So it would

(01:11:49):
be serum, which is more liquid, and then it would
be lotion, and then it would be cream, and then
it would be something that is more exclusive like ann ointment.
So serum is just a misinterpreted word.

Speaker 2 (01:12:07):
Thank you both. So this was awesome.

Speaker 1 (01:12:09):
So thanks to Danny, doctor Ruth, Alison Lindsey and doctor Seawan.
I really really appreciate all of you being here. I
think it was really great. We should do it again, right, Hey,
Dave Wedge, he's a Boston author. He wrote Boston Strong
that was turned into the Mark Wahlberg movie. He has
a new book out about the boxer Marvin Hegler, so

(01:12:31):
that's coming up and we can't wait to meet him.