Skincare Secrets: Beyond Botox

Our guest, Nilu Rustomji, brings a unique perspective to the conversation of Botox, wrinkle relaxers and all things skincare, having studied psychology before entering the medical field. This background illuminates her holistic approach to facial aesthetics—treating not just the physical appearance but understanding the emotional journey of each patient. Through candid discussion, we unpack common misconceptions about injectables and reveal surprising medical applications most people don't know about. From treating migraines to helping with excessive sweating, these treatments have therapeutic benefits far beyond cosmetic enhancement.

The episode takes a turn when we examine the ethics of aesthetic medicine. Nilu shares her process for screening patients, including watching for body dysmorphic disorder signs, and Carmen contrasts her nurturing approach,  with some practitioners who may make clients feel "broken" to sell more services. We also explore important considerations for special populations, such as those who are immunocompromised, and practical advice for listeners of all backgrounds—from simple skincare routines to understanding what questions to ask before getting treatments.

Whether you're curious about trying cosmetic treatments or simply want to improve your skincare knowledge, this conversation offers valuable insights free from judgment. Visit yourskincoachNilu.com to learn more about the services Nilu offers and to discover personalized skincare approaches that celebrate your unique beauty.

Thank you for stopping by. Please visit our website: All About The Joy and add, like and share. You can also support us by shopping at our STORE - We'd appreciate that greatly. Also, if you want to find us anywhere on social media, please check out the link in bio page.

Music By Geovane Bruno, Moments, 3481
Editing by Team A-J
Host, Carmen Lezeth


DISCLAIMER: As always, please do your own research and understand that the opinions in this podcast and livestream are meant for entertainment purposes only. States and other areas may have different rules and regulations governing certain aspects discussed in this podcast. Nothing in our podcast or livestream is meant to be medical or legal advice. Please use common sense, and when in doubt, ask a professional for advice, assistance, help and guidance.

Episode Transcript

Carmen Lezeth (00:00):
Hey everyone, welcome to All About the Joy.
I'm so glad to have everyonehere.
Cynthia no laughing, but I'mglad that you're here today.
Mario is in the house and maybewe'll see Ama a little bit
later.
Thank you, and Rick Costa, asalways, so glad you're here.
We have my friend Nilou here.

(00:21):
Hi, and I'm going to try againto say your name.
It's Rustam G.
Right, nilou Rustam.
Hi, and I'm going to try againto say your name.
It's Rustom G, right, nilou,rustom G.
Yep, that's it.
And, as I said a little bitearlier to you, I can't believe
I didn't know your last name upuntil this moment.
But you actually do all myBotox and I'm sorry I'm
repeating that again.
We're not supposed to call itBotox, it's I always mess up.

(00:43):
Anti wrinkle what is it Like?

Nilu Rustomji (00:45):
wrinkle relaxer treatment yeah, it's like a
broad term for all the differenttypes of wrinkle relaxers that
are on the market.

Carmen Lezeth (00:53):
That are on the market.
So, instead of saying Botox,which is like saying Coca-Cola,
instead of like Pepsi for peoplewho don't know, because most of
our audience, I don't think, isreally big on I'm sure Rick's
audience huge on Botox, but youdo a lot of skincare and the
reason why you and I connect sowell and it's you know, one of

(01:17):
the reasons why I want to tellpeople how I have guests on the
show, how I meet them is Iactually went to a place where
you used to work, um, and I hada person that I would work with
and she would do my stuff, butthen she went on vacation.
I met you and that was the end.
You just have a whole differentapproach to skincare.
That I love, um.

(01:39):
I love your website.
Oh, let me promote your websitenow and I'll put it at the
bottom for everyone to look at.
But it's your skin coach,nilucom, and that's N I L Ucom
Um.
But why don't you tell us alittle bit how you got into
doing skincare?

Nilu Rustomji (01:57):
Yeah, so of course.
So I um didn't think I would bein this role at all.
Um, growing up, my parents arelike immigrant Indian people and
they have no idea what Botox orany of this is.
But I studied psychology inundergrad and went on to PA
school where I was doingdifferent rotations, and landed
a rotation in dermatology and,kind of you know, fell in love

(02:20):
with it.
I really liked the procedural,hands-on aspect and being able
to relate with patients, spendmore one-on-one time with them
in like a more intimate setting.
So I actually ended up doingmedical, surgical and cosmetic
dermatology for a few years inSanta Barbara before coming back
to LA and focusing just oncosmetic injectables and

(02:42):
skincare just on cosmeticinjectables and skincare.

Carmen Lezeth (02:49):
So there's a huge psychological aspect to how you
do skincare, as opposed to theidea that you know cause I've
always.
We can talk about this later.
I think other people havequestions.
But whenever I tell people I'vehad Botox done, like whenever
they say, oh my God, your skinlooks so good, I'm like done
like.
Whenever they say, oh my God,your skin looks so good, I'm
like, yeah, it's Botox orwhatever.
Because when you notice Botoxor when you notice it, that's

(03:10):
when it's badly done.
But most people who get it doneyou would never, no one would
ever know I'd had it done.
No one.

Nilu Rustomji (03:18):
Exactly, you always think about the people
that you see out on the streetor in Hollywood and like, oh my
gosh, they look terrifying, theydo Botox or they do too much.
But yeah, exactly, you don'tthink about all the people that
are walking around that youwouldn't otherwise think twice
about.
That do have work done.
But it goes to show that it canbe done very naturally, very

(03:40):
elegantly.
My whole approach is I don'tlike cookie cutter approaches.
I think that we're all uniqueand beautiful in our own ways
and we all come from differentbackgrounds, and so I just
really try to highlight that andlike each patient's unique
anatomy and what.
What are their goals Like, whatare their concerns?
Like someone that's an actor,doesn't need to have no movement

(04:02):
at all, versus somebody thatmight want to have, you know
that has like really deep linesor wrinkles, you know.
So you have to always cater tothe patient, ask about their
lifestyle, ask what they'redoing at home.

Carmen Lezeth (04:14):
Mario, would you ever get a ton?

Maurio Dawson (04:17):
My wife wouldn't let me.
And also I have questionsbecause for me, like for most
people, for most listeners andviewers, they know that I have
kidney transplant, so I'mimmunocompromised, so there are
certain things that I cannot do,like I always wanted to get a
tattoo but I can't do it.
So I always my wife is, youknow always wondered what that

(04:42):
looks like for someone like me.
Could I ever do something likethat, even though, cause I've
had a major weight loss I'velost like 130 pounds so far.
So now I have a lot of wrinklesand cause a lot of loose skin
in my face.
So that's something I alwayshave a question about if I can
do that or not.

Nilu Rustomji (05:00):
Of course.
No, that's very valid and andthat actually is a good thing to
bring thing to bring up,because a lot of people might
think that, oh, it's Botox,whatever, it's nothing.
But it is still a medicalprocedure and, to your point,
it's really important for us toscreen patients for these things
.
But I always defer to your, youknow, rheumatologist, your PCP,

(05:21):
your regular physician, to getclearance.
But in your case I'm notproviding medical advice but if
they which they probably would,because it's a very not like,
it's pretty non invasive.
And we do treat a lot ofimmunocompromised patients.
In fact, you know patients thatare undergoing chemotherapy or,
you know, have cancer, likesometimes they come in just to

(05:44):
feel good and they areoncologists.
You know, tell them like, goget whatever you need done to
feel better, to feel happier.
So, yeah, we do treat patientswith you know that are have
immunosuppression orimmunocompromised, but we always
will.
Yeah, I just recommend gettingclearance from a physician.

Maurio Dawson (06:03):
Yeah, see, that's a question a lot of people
wouldn't know.

Nilu Rustomji (06:06):
Yeah, no, that's a fabulous question, yeah.

Maurio Dawson (06:08):
And a lot of these Thank you, I did my
homework today.

Carmen Lezeth (06:13):
You earned your salary, Mario.

Nilu Rustomji (06:16):
Thank you.

Cynthia Ruiz Lopez (06:18):
I've also heard of people using it to get
rid of migraines Exactly.

Nilu Rustomji (06:24):
Yeah, yeah, yeah.
So that, thank you.
Yeah.
So I was going to say a lot ofthese medicines that are you
know now, aesthetic treatmentswere first indicated for medical
use, so migraines, nervedisorders like movement
disorders, urinary incontinence,excessive sweating.

Maurio Dawson (06:42):
I didn't know that, yeah.

Nilu Rustomji (06:45):
Yeah, I did not know yeah, yeah, I was today
years old.

Maurio Dawson (06:48):
How about?

Carmen Lezeth (06:48):
that now you did extra homework more homework let
me just write rick, do you haveany questions?

Rick Costa (07:03):
you're falling behind on the homework I was
just wondering, like thedifference between all the
technology we have now comparedto like 25 years ago, is it like
really really different orpretty much the same?

Nilu Rustomji (07:19):
that's a good question.
I mean a little bit of both.
Um, you, knowox, I think, firstgot its aesthetic indication,
at least in like 1989.
Um, but these again medicationshave been studied for like
decades now.
At this point, um, I would say,newer formulations of, let's
say, like Botox or certainfillers are still being

(07:39):
developed.
Um, I would say, moreimportantly, we're learning, as
practitioners or healthcareproviders, how to do it more
properly.
We're learning, aspractitioners or healthcare
providers, how to do it moreproperly.
We're learning a lot more aboutfacial anatomy, about you know
which plane to inject in withoutgoing into too much detail.
So it's really actually about,I think, like finessing our
expertise which makes it so.

(08:01):
It's we're constantly learning,which is so cool and so.
So, yes, there's always newproducts like coming out or in
the pipeline, but a lot of thesehave been very well studied for
a long time and are pretty safefor use.

Carmen Lezeth (08:15):
I think one of the things I found interesting
that you do that I didn't havedone before.
So I used to go to a man who'sa surgeon have done before.
So I used to go to a man who'sa surgeon but he does plastic
surgery whatever.

Maurio Dawson (08:35):
And I went.
Why is Mario laughing?

Carmen Lezeth (08:36):
Because we're talking about derm and I keep
looking at my wrinkles in myforehead.
Baby, you're beautiful.
I just found a very prominentplace, because the way I ended
up learning about Botox was Ihad this friend who I met
getting my nails done.
This woman, she was next to megetting her nails done.
I was having a conversation.

(08:56):
She interjected and we startedtalking afterwards and then we
went out to dinner and we becamefriends and a year into our
friendship we were having dinnerand I was like, oh, I really
really have to get somethingdone.
You know, like you kid aroundwith your friend, you're like,
oh, I got to get something donehere.
And she was like, oh, no, whatyou need is like some Botox here
and here.
And I was like I was likelaughing Cause I was like, yeah,

(09:20):
girl, whatever, cause I knewnothing about it.
And she's like, no, for real.
If you ever want to go with me,you know I've had everything
done and I'm like what it hadher nose done when she was 18.
She'd had her boobs done, she'dhad a facelift, and I'm telling
you here's how naive I was.
I honestly can tell you beforethat day, if someone had told me

(09:46):
that they had had all thisstuff done, I'd be like.
I can't be friends with herbecause I had a judgment about
it.
Yeah, yeah.
And here I was hanging out withthis woman for over a year,
having dinner once a month likewe'd always get together.
You know what I mean?
We went to yoga class.
I wanted to shoot myselfbecause I hate yoga.
She tried to get me into yogaclass or whatever, but she was a
good friend.
And when I realized all thework she had done and how

(10:08):
beautiful I would have neverguessed I would have it never
dawned on me.
So I went with her.
I went to a very I know youwould know I think we've already
talked about this, but I knowyou would know who it is a
surgeon or whatever.
And when I went in there, hewas, I mean, I left there.
I went in thinking, okay, well,yeah, maybe I could get.

(10:29):
I left that visit being like sobroken, like I was ugly.
I needed everything done.
You need filler here, you needthis there, you need all this
stuff.
And he obviously didn't takeany psychology classes?

Cynthia Ruiz Lopez (10:41):
He obviously didn't take any
psychology classes.

Rick Costa (10:42):
No, right, exactly, I don't want to do that.

Nilu Rustomji (10:47):
A lot of male surgeons they, yeah, I mean, and
look, here's the thing.

Carmen Lezeth (10:51):
He's very prominent, he's worked on a lot
of Hollywood celebrities and Iknow Nilo, you know who it is,
but it's just, I think he justknows.
Like he was just cut into thechase Like here's all the stuff
you can get done.
It'll cost like $28,000 andwhatever.
You know what I mean.
Like, well, he didn't say that.

(11:12):
He sent me to the next room,which was the whole budgeting
person who can set you up with acredit card and the payment
plan, and I remember being like,yeah, I mean, I felt I have
never had bad self-esteem.
But the difference with you andwhere I met you is it's is it
all women there?
It was all women at one point.
It's all women, and that wasthe first thing I noticed and
it's just a whole differentnurturing thing.

(11:34):
And then you were just, youknow, I think you said to me wow
, you have such great skin.
And I was like I think it'sthat nurturing aspect.
There is a difference betweenand this is not to be judgmental
of men in this field, but thereis a difference between women

(12:04):
helping other women through this, because I think I'm not saying
all women, but you're moreabout how you go about it.
Like you use different thingson different parts of my face.
Yes, for the injectables, wherethat never happened before, it
was just all botox, yeah, yeah,and you explained it to me.
You were like for this area,we're going to use this and for
here, so I get botox, just so.

(12:24):
People who because I don'tthink anyone in this room
besides well, rick, you get alot of it done I can tell we're
almost in there frozen.

Maurio Dawson (12:34):
We listen and we don't judge.

Carmen Lezeth (12:39):
So everyone knows , I don't mind sharing.
So I have a line that goes here.
Right, it's a pretty deep onethat goes through here.
That bothers me.
You can't see it now becauseshe thinks yeah, no, no, no,
nilu does it, nilu does.
But there is a line here that Ihave that you can't see now so

(12:59):
you're saying you look like avulcan without nilo nilu that's,
that's right.
I look horrible without her,but it's called the 11s, right?
Yes, yeah, but why do I onlyhave one line?
It's weird, it's not weird?

Nilu Rustomji (13:14):
This is what it is.
I have one line Just to get toa little muscle.
So sometimes actually andthat's again we're all very
unique.
Somebody's muscle here can bedistributing in various
different ways, so the linethere might look different than
your neighbor's line.

Carmen Lezeth (13:29):
So we put a lot here and then I get this area
here done, whatever that'scalled.
What's the outside eyes?
The crow's feet.
I don't like that term.
I think we need to change that.
It sounds nasty crows feet.
We need to call it a mouse,like I don't know song, whatever

(13:49):
like kitten whispers orsomething would you prefer
talons would you prefer talons?
I don't even know what talonsare.
I'm so sorry bigger claws.
I'm gonna say we can be morepositive about right away.
And I get those done and I get,uh, the forehead done, but you

(14:11):
do it lightly so I can stillmove my eyebrows.
So I don't have that thingwhere you can't move your
eyebrows yeah, or you're tooheavy.

Nilu Rustomji (14:18):
We don't want that.
What's too heavy?
Oh, when it's like you feellike that yeah, your brows are
way down, your lids are yeah,yeah.

Carmen Lezeth (14:25):
Yeah Well, you're nice and lifted and awake, yes,
yes, but what else do you enjoyabout doing the work that you
do?

Nilu Rustomji (14:38):
What, what don't I love?
No, I think you actually kind ofmentioned it a little bit
earlier Mostly women, you know,mostly female patients.
We do definitely have a goodnumber of male patients coming
in, but I just love and I'm soinspired by my female patients,
our hustlers, their moms.

(14:59):
They have 10 different rolesand they, you know, for me, it's
my opportunity as a healthcareprovider to take care of them
and for them to like get in thatchair just like go of
everything, relax and like takecare of themselves.
And I feel like you know, aswomen we're oftentimes in a
nurturing role or whatever, butbut now like, at least in our,

(15:21):
our generations, of where we'refull-time employees a lot of the
times as well, and so beingable to navigate all those
things, being a mom, being, youknow, working full time,
whatever it is, we might notoften give ourselves grace or
time to like take care ofourselves, and so being able to
provide that for patients isreally rewarding, yeah, and I

(15:42):
learned a lot.
I learned so much from mypatients.
I learned a lot from you,Carmen.

Carmen Lezeth (15:46):
We had a great conversation last time.
That was just too funny, I mean.
I couldn't believe.
I was so excited to, I wasnervous about asking you to come
on the show and then when youwere like yeah, I was like, oh,
my god, really it was so random.
Um well, cynthia, do you guys?
Do you guys have any otherquestions?
I don't want to dominate, butyou know, jump in, I will have

(16:08):
the conversation by myself withher and you guys just be out
there.
I don't want to know.
No, uh-oh, what just happened?
I got to find him.
What just happened, mario?
What happened?
I got to move you over.

Maurio Dawson (16:27):
I was just sitting here minding my Black
business and it happened.

Carmen Lezeth (16:32):
That's a good segue.
Is there a difference when itcomes to different ethnicities,
colors of skin tone, when you dosome of these procedures?
Because I want to be clear, Ihave no idea what's happening.
I don't know what he's doing.
I don't know either.
I'm just sitting here's doing?

Maurio Dawson (16:52):
I don't know either.
I'm just sitting here.
I swear I'm not touchingnothing.
Look, I turned the TV off.
Make sure the internet's off.
Look, nobody else is here.
I don't know.

Carmen Lezeth (17:07):
Sorry, Again, it's our first week, but let's
go back to that question, Likeis there a difference between
different ethnicities when itcomes to all the different types
of skincare you do?
Because I want to be reallyclear.
You don't just do a wrinklerelaxing oh my God, why can't I

(17:27):
think of what it is?
What is it?
Wrinkle relaxer treatment?
I can't say that I love thatterm.
I'm tripping over my own, Um.
But Botox, it's not the onlything you do.
You do a lot of other things.
That's on your website as well.
And again, I want to do a shoutout to your website one more
time.
Your skin coach, Nilu N I LUcom, Um.

(17:49):
But yeah, let's, I I'd love toknow that.
Like, what is the?

Nilu Rustomji (17:54):
differences or are there any differences?
Yeah, great question.
I would say a really common onethat we have to consider is
things like lasers,microneedling, chemical peels
Usually a procedure, especiallythat involves heat like lasers.
I can't do a lot of lasersbecause I might pigment, so I
might hyperpigment orhypopigment, so like I can get

(18:16):
darker, lighter spots aftercertain treatments because we
have more melanin in our skin.
So certain procedures not thatwe can't do all lasers you know
there are lasers that are safefor like all skin types across
the board, but there are somethat you want to just be more
cognizant of and certain peels,like if they're like really high

(18:37):
depth peels that are gettingdeep into the skin layers, we'd
have to be a little more carefulof as well.

Carmen Lezeth (18:43):
In terms of injectables, you know, like
Botox or filler, you know we dothat for all you should explain
what filler is, because I don'teven think you guys know what
filler is, do you?

Maurio Dawson (18:54):
Yes, I'm very astute.

Carmen Lezeth (18:58):
Thank you very much.
Maybe for Cynthia and Rick orfor our podcast listeners.
Maybe they don't know whatfiller is no, I'm just joking.

Cynthia Ruiz Lopez (19:06):
I'm just joking.
I know I love you.

Nilu Rustomji (19:08):
So filler it's commonly called dermal filler
and most dermal fillers arecomposed of what we call
hyaluronic acid.
Hyaluronic acid is a componentthat's naturally in our skin
already.
It's what draws water andmoisture into the skin and
hydrates it.
So, basically, what you knowthese chemists have done
essentially have createdsynthetic hyaluronic acid gel,

(19:31):
and that's what is in a fillerand what it does is.
You know, when we inject itlet's say really commonly in the
lips, you know the gel kind ofplumps up the lips.
It hydrates the lips, yeah, butsometimes that looks so bad If
it's done, badly Shout out toKylie Jenner.

Carmen Lezeth (19:49):
You don't know that can be a client.
Shout out to Kylie JennerYou're so mean, you don't know
that can be a client.

Cynthia Ruiz Lopez (19:58):
You're just giving a shout out to Kylie
Jenner.

Maurio Dawson (20:01):
Just a pleasant shout out.

Cynthia Ruiz Lopez (20:03):
I actually have a question about the
hyaluronic.
So of course we've seencommercials about hyaluronic
acid creams and serums andthings like that.
Do those work just as well asthe injections?

Nilu Rustomji (20:18):
Not for the same purpose?
That's a great question.
So topically, so in likeskincare, like lotions and
moisturizers hyaluronic acid init is beautiful, it can really
help again seal like moistureinto the skin.
So if you have dry skin, if youhave eczema, it's great for
that, but it's not filling areasof volume loss.
So for instance, mario, youwere saying like you lost some

(20:40):
weight recently.
So a lot of patients you knowthat even on like Ozempic or any
of those like weight lossmedications, they've also
noticed a lot of like volumeloss in their face.
Because that you know that goesdown over time.
We lose bone mass, all thoseour skin starts to sag or
whatever.
So filler can actually helpwhen it's injected to refill

(21:04):
areas that we've lost volume.
So topically it's not going togo in deep enough to replace
that volume because it's deeperareas in the face that are
losing volume.

Carmen Lezeth (21:14):
Some people get it like um, they get it here at
the laugh lines Um, right, um, Ihad filler done once by that
man and uh, and they I'm sorry.

Nilu Rustomji (21:26):
Cause I did the one who will not be named.
I'm sorry, cause I did the onewho will not be named.

Carmen Lezeth (21:32):
He does huge celebrities, by the way, but um
they they put in filler here.

Nilu Rustomji (21:42):
Uh, why do they do that?
You're not really doing that asmuch anymore.
Um, like in the under eyes.

Carmen Lezeth (21:46):
Yeah, they did an under eyes and then it was
stuck here and, by the way, thatdoesn't really go away for like
a year.
I went back in and he wastrying to whatever they were
doing, trying to take it out,but it really stays for a while
yeah, they can be stubborn.

Nilu Rustomji (22:03):
It can take some sessions of dissolving.
We don't.
You know we do under eye fillerstill, yes, here and there, but
again.
So actually goes back to one ofthose things that, like as
injectors or surgeons, we'velearned now you know filler
might not, is not usually thebest uh treatment for that area.
It's such a thin air like theskin is so thin there.
It's very delicate.

(22:23):
It's our eye muscles aroundthat area.
It's constantly like blinkingand contracting.
So why would you put a gelthere that you know takes in
water and moisture and plumpsthe area you don't want to get
plump here?
You don't look like you havebig under eye bags.

Carmen Lezeth (22:39):
I had a thing right here, and here's the thing
you have never said to me.
This is the other thing I likeabout you.
I've never walked into youroffice and you've been like Ooh,
you know what, carmen, I thinkit's time for you to try.
Blah, blah, blah, blah, blah.
You know like, if anything, youkind of dissuade me from doing
things, cause I'll be like okay,no, but seriously, you're good,

(23:05):
it's all good, you know, but Ithink that's a really good thing
because you're being veryhonest and you're not going to
overdo it.
You know like, as we weretalking about some celebrities
last, like two sessions ago,whatever, in our, in our private
lounge, or I think it was aFriday night thing this
obsession with, like, pamelaAnderson not wearing makeup and
you know, everyone is so like,oh, my God, she's so beautiful

(23:25):
and she's so awesome and rah,rah.
And yeah, I'm all happy for her, but she's had a lot of work
done, so it's very differentthan a woman of her age and I
believe she's in her 50s now.
Right, I feel like she might bea little older of a particular
ageshe's a woman of a particular
age.
Thank you, mario.
But and so the idea of us beingall excited about someone who's

(23:50):
going quote, unquote, natural,because they're not wearing
makeup really irks me, which iswhy I talk about what I do.
But go ahead, I'm sorry, sorryto cut you off.

Nilu Rustomji (24:01):
But yeah, no, that's like a pet peeve of mine
when they're like, oh, I'venever done injectables or I've
never done Botox, cause they'llname.
I think this is my theory.
Certain celebrities will namethe brand.
Then they could be like, well,I don't get botox, but secretly
they actually get disport ordifferent brain, you know right,
or whoever.
You know other young adultsthat are like looking up to
these celebrities, thinking like, oh my gosh, they have perfect

(24:24):
skin or they have a perfect lipsor perfect base, and like
they're all natural, like youknow, it's just like you just
teach their own.
But for me I'm like, oh, you'rejust making other people feel
bad by not being honest.
Yeah, yeah.

Carmen Lezeth (24:37):
I mean, and you use this port here, right?
I forget what it is, but youknow.
I believe so, yeah so like if Iwere to say something like,
let's say, I was beinginterviewed, I'd be like oh yeah
, no, I don't use what's a thirdone I've never used Because.

Nilu Rustomji (24:58):
I use Botox and Dysport.
There must be another one.
So that's what you're saying.
People are lying and sayingthat's my.
I wonder that sometimes, yeah,like, who is it Like?
Oh my gosh.

Carmen Lezeth (25:03):
That's how they're getting away with it.
They're saying they don't drinkCoca-Cola, but they're over
there drinking Pepsi.

Nilu Rustomji (25:08):
That's my theory there is no way, like this
celebrity has not done any, likeshe's using olive oil Okay.

Cynthia Ruiz Lopez (25:21):
The lies the lies.

Carmen Lezeth (25:23):
Well, that's when it's crazy too.
And here's the thing Now that Ido it and I've been doing it
for years now and I get it I cantell, I can just tell, I can
pinpoint it's like gay radar orsomething you can just tell that

(25:43):
somebody has.
I really have bad gay radar.
By the way, my friend Richardused to be able to be like I'd
be like, oh, that man is fine,I'm going to give him my number
and he'd be like, yeah, you'regay, don't even bother.
I want my number but go ahead,but can't you tell?
I mean you're a professional soyou can tell when people have

(26:06):
had stuff done.

Nilu Rustomji (26:07):
Yeah, yeah, usually I mean on on TV.
Sometimes I, sometimes I can'tfocus on like whatever these
reality television shows andstuff, because I'm so focused on
their face.
I'm like, oh my God, they lookterrible.

Carmen Lezeth (26:21):
Okay, wait, wait.
Do you sometimes look at peopleand be like wow, they really do
need some work.

Nilu Rustomji (26:27):
No, usually it's the opposite.
It's like you've done too much,oh okay.
Or like I'm still moving.
I okay moving, I'm like, ah no,that looks weird I do.

Maurio Dawson (26:39):
I do have a question do you work with people
who have, like, uh, surgeryscars like keloids or things
like that, and helping themreduce those scars?

Nilu Rustomji (26:49):
yeah, so good question yeah, so I did that a
lot in my old dermatology clinicwhere I was doing more like
medical surgical dermatology.
We would sometimes remove evenbig keloids like on the ears
surgically.
A lot of times we can inject itwith Kenalog, which is like a
steroid.

Maurio Dawson (27:08):
Can you?

Carmen Lezeth (27:08):
just tell me what that is.
I don't even know what you'retalking about, Mario.
For example, keloids are raisedscars.

Maurio Dawson (27:13):
Can you just tell me what that is.
I don't even know what you'retalking about.
Mario, for example, keloids areraised scars on your body.
So, for example, this is akeloid.
Do you see that?

Carmen Lezeth (27:24):
Yeah.

Maurio Dawson (27:25):
Okay, that's a keloid, so it's a raised scar
off the body that you canactually see, and then there are
ways to reduce the size of thescar.
So I was wondering if sheworked with people with stuff
like that.

Nilu Rustomji (27:40):
Okay, yeah, and a lot of dermatology or aesthetic
practitioners will, and yeah,so you can typically inject it
with the steroids.
It's different than Botox orfiller, but we've actually found
uh, there's evidence that, likeeven for women, like who's
recently had a C-section, or ifyou have a recent injury or

(28:00):
surgery, doing Botox around theline of injury, um, can actually
help prevent like scarring ormaybe maybe even keloid scarring
.
Keloid scarring is like kind ofa next level type of scar, but
but we have have found thatbecause it I have to read more
into like the research behind it, but it I think helps basically
relax the muscle fibers aroundthat scar so it doesn't contract

(28:22):
as unevenly and like it's notas misaligned, um, so it is
actually kind of a cool likebotox can be used for so many
things.

Maurio Dawson (28:30):
It's quite fascinating okay, cool, I've
done my homework, rick you seem.

Carmen Lezeth (28:38):
What are you?
Okay?
Wait, I want to make sure it'sokay.
Very talkative I'm so confused.

Rick Costa (28:46):
Oh yeah, so talkative.
All this, this is all new.
I'm absorbing it all.
Okay, I did have a.
Okay, I did have a funnyquestion maybe funny, maybe not
funny but do you ever getanybody come to you and be like
I want to look like this?

Nilu Rustomji (29:03):
and you're like, baby, I'm not god, oh, my gosh,
yeah, it doesn't happen a lot,but it does happen and it is a
little bit of a pet peeve ofmine as well, because I'm like,
yeah, first of all, that's afilter, so that's not even a
real person, right, right.
Sometimes it's like you knowthey're using a filter or
pictures of somebody that has acompletely different anatomy or
features.

(29:23):
And again, it doesn't happen alot Usually.
For me it's more so, just likesetting realistic expectations
of what we can achieve withinjectables alone.
I mean, granted, I'm not aplastic surgeon, so maybe they
can do it, you know, alter theappearance a bit more.
But but also, you know, we haveto the psychology that comes in

(29:45):
is, you know, we kind ofmentally have to screen for
patients that might have bodydysmorphic disorder or something
else going on, where you knowthey may not ever be happy with
whatever cosmetic treatment theyget, and that's a different
type of thing?

(30:05):
Not a lot, at least not where Iwork.
I'm in Santa Monica, where mostof our patients are very like.
I want it natural.
I just want to age, gracefully,you know, carmen.

Carmen Lezeth (30:18):
You guys do screen, like so.
So the way it happens is youhave to fill out all this
paperwork and it's on an iPadthing or whatever, but you have
to fill out all this stuff andyou have to.
They take pictures every timeyou come in I.
Why do you guys take picturesevery time?

Nilu Rustomji (30:34):
I know sometimes it's, you know, patients may
think it's a little excessive,but it's kind of like our, it's
like a tool for us, you know.
So we can see the progress,which is really nice.
But also, if there are a lot oftimes patients like don't
notice certain things untileverything else looks better,
and then they're like but now Ihave this, and then we look at
the photos and we're like, oh,but you always had that and

(30:55):
you're just noticing it more.

Carmen Lezeth (30:57):
Oh, right Right.

Nilu Rustomji (30:58):
Okay, nice for patients too.
They're like oh okay, okay, Isee it now.

Carmen Lezeth (31:02):
So yeah, but I'm just saying it's a pretty
intensive thing and I feel likeyou guys take a lot of time.
Well, you take a lot of time totalk to people to get a feel
for if they're crazy or not.
I don't know.
It's just my feeling, I'm justsaying with me, because it just
felt like you took so much.
I'm like, this girl ain't gotno other appointments.

Nilu Rustomji (31:23):
Meanwhile, my staff is like bringing the light
.

Carmen Lezeth (31:28):
They're like go girl.
No, this thing is very thorough, and I think that might also be
the difference between again,this is just my experience, and
I've been having botox on, Ithink, for maybe a good 10 years
now, maybe 10 years and I haveto say in my experience, um,
there's a difference betweengoing to men and going to women.

(31:48):
If you're a woman, for me itwas, you know what I mean, or it
has been um, but there werealso what they call um botox
bars.
Is that the right terminology?
Do you know what I'm talkingabout?
there's so many like so, whereyou go to like somebody's house
or they come in like a truck no,like on montana here in santa

(32:09):
monica, where just it's like youwalk in and they're just like
off the street.
Yeah, you should never go tothose places.
You should always go to alicensed person.
I mean, why don't you tell uswhat you should do?
Neelu, I don't know.
I mean you can get Botox atyour nail salon.
You can get it.
I would never do that.
You can get it.
Seriously, you never noticedthat you go into a nail salon

(32:30):
and they're like can we do Botoxand waxing?
I'm like I would never doeither one of those things.

Rick Costa (32:37):
Number two please cocktail and fill in my hair.

Nilu Rustomji (32:41):
Doing it at the fast food restaurants.

Carmen Lezeth (32:43):
now too, tell people who might be interested
in their first time what theymight want to look for or stay
away from what they might wantto look for or stay away from.

Nilu Rustomji (32:56):
Yeah, yeah, I mean yeah, do your research
right so you know who's theprovider that you're going to,
where, where.
Where do they go to school?
Where do they get licensed?
What kind of training do theydo?
What do they do on a dailybasis?
You know, not to say you can'tdo lasers and other things, but
for us, like you know, Ispecialize just in injectables,
which I really like.
So I'm not a jack of all trades, I'm really specializing in

(33:16):
this one thing.
So I just think patients reallylike that and feel more
comfortable with it.
Reviews, referrals, those areall the best.
Yeah, yeah, I think referralsare great because then you know,
okay, like my best friend or mycousin or whoever has seen them
, they trust them.
But really you know you want togo to a licensed medical
professional, which in, at leastin California I'm not sure

(33:40):
about the East Coast states, butusually it has it has to be an
RN, so in registered nurse,nurse practitioner, pa,
physician assistant, which iswhat I am or an MD medical
professional like a doctor.

Carmen Lezeth (33:54):
Right and look that's not to say that places
that people go.
And it is here on Montana, onSanta Monica, where I went once
and I was like okay, I'm neverdoing that again, like because I
was so afraid, I felt souncomfortable.
They were nice and it was fine,right?

Nilu Rustomji (34:08):
So, yeah, it's not to say that they aren't, you
know, professional and don't doa great job.
They might.
So I don't know if there's acertain place you're mentioning,
but, like, because that's theother thing, these med spas are
opening up very quickly, yes,and across the world, you know,
and I've been hearing like inLondon people don't have to be
licensed at all, like medicine Ibelieve's in.

(34:30):
Then that's where it getsreally scary, because then where
are they getting thesemedications from?
Where are they getting their?
Where are they getting theirbotox?
That's where it gets reallyscary, because there are, you
know, fake botox companies outthere that distribute them.

Carmen Lezeth (34:44):
And that's her dog she told us, yes, no, so we
can let her dog bark in the back.

Cynthia Ruiz Lopez (34:53):
I have a question what are, like the most
common side effects to like thenot the fillers, but the
injections, Botox, all thingslike that and are there any
long-term effects that canhappen?

Nilu Rustomji (35:08):
Beauty in Beauty I know I always joke the biggest
side effect is you get addicted.
So with any medical procedurethere's always certain risks,
benefits, side effects.
So most common risk not reallya side effect most common risk

(35:28):
is risk of bruising or swellingat the injection site.
Usually it's pretty minimal,goes away in a few days.
With Botox you can put makeupon like within 10 or 15 minutes.
Sometimes patients might get adull headache the next day or
two.
Doesn't usually happen witheach treatment, but sometimes
your first treatment or two youcan get a dull headache, usually
just because there's so manypokes can get a dull headache,

(35:56):
usually just because there's somany pokes.
What else Scary stuff that youmight see online is where you
get what we call ptosis ordroopy eyelid.
That's very rare.
It sucks.
It can happen to anybody, anypractitioner, at any time,
unfortunately.
But again, it's very rare andwe usually do things to try to
avoid that With Botox and thesetype do things to try to avoid
that.
With Botox and this type ofdysport and all these different
wrinkle relaxer treatments, mostof what we do is not permanent,

(36:17):
which is nice.
So if you ever get a horribleside effect of like a droopy
eyelid, um, it will resolvewithin you know a few weeks,
Like two to three months, rightIs?

Carmen Lezeth (36:32):
I kind of see you every three months or so.
I seem to, but that's notalways the case.
Because this is the other thingyou have to understand when you
go to certain people, and Idon't know why this happens you
go to certain people and you payeven the same amount of money,
but then it doesn't last as long.
What's that about?
And then sometimes you pay thesame amount of money and then

(36:54):
your office is calling me likeCarmen, are you coming in next
week?
I'm like I'm still fine.
You know, what's that about why?

Nilu Rustomji (37:02):
is that so different?
There can be so many variables.
I mean a common one that peopleassume is like oh, they're over
diluting their product orwhatever, which at this point I
don't think is very common.
I mean hopefully not so.
Botox, dysport, these all comeas like a dry powder form, so we
all have to dilute it.

(37:22):
We have to mix it up into aliquid solution to inject it.
But maybe some cheaper placeswill over dilute it so they get
more product to be able toinject in patients and that's
where their results might not beas strong.
Again, I hope that placesaren't really doing that anymore
.
It's not good practice, but likea patient's metabolism.

(37:43):
If you're young, you work out alot, yeah, you go to yoga, hot
saunas, you're sweating a lot.
Sometimes you might just likemetabolize it very quickly.
A lot of times it's the dose.
You just need a higher dose.
You know a lot of young clientsor patients come in for like
baby Botox.
So it's like taking a half aTylenol versus a full Tylenol.
You know, if you take a half aTylenol you might not get the

(38:04):
maximum effects, or it might.
You know, the effects might notlast as long because you're not
doing a full dosage of whatthey recommend.

Carmen Lezeth (38:12):
Wait, wait, wait.
How young are people that youjust said baby, I just freaked
out.
But how young do you see?
They're an age you will not see, I mean.

Nilu Rustomji (38:26):
I don't usually.
I don't usually feelcomfortable with treating
patients that are like under 21.
I think you know cause.
Well, fda, I think for all ofthese treatments are FDA
approved for 21 and up.
Um, I've had very rare caseswhere, like, the parent wanted
the patient to be treated, whichis also kind of weird to me,

(38:49):
but um or uncomfortable, but soI will have, like, parents, sign
consent, you know oh, andyou'll have to do it yeah yeah,
they do, I mean yeah yeah, haveyou ever not done it?

Carmen Lezeth (39:04):
because you disagree with doing it for
someone?

Nilu Rustomji (39:09):
Yeah, yeah, if it's, if I think it's going to
be unsafe for them, uh, if Ithink that, you know, or if they
have a history of being unhappywith treatments, um, you know
certain red flags like thatCause, then at the end of the
day, no one's winning rightPatients.
I'm happy, I'm unhappy If theresults aren't going to look
good, if it's unsafe, like thoseare, you know, it's not, it's

(39:30):
not worth it at that point.
Um, but to answer your question, I would say, like the what we
call baby Botox for mostpatients, they're coming in for
that, maybe like in their earlyto mid twenties early to mid

(39:53):
twenties.

Carmen Lezeth (39:53):
Yeah, I don't think I ever even thought about
Botox until I hit my forties.
I didn't even well, it nevereven dawned on me.
I had such an attitude about itFirst of all because I was
always thinking about bad Botox.
That's what people don'tunderstand.
When you're looking at Botox,or you're looking at someone and
you don't like the way theylook although you should keep
that shit to yourself but if youdon't like what, you're looking
at someone and you don't likethe way they look although you
should keep that shit toyourself but if you don't like,
what you're noticing is someonewho's maybe gotten it overdone

(40:14):
or has done too much, or um, isthere an ethical like?
Why do I mean?
Of course there is, but why dosurgeons and doctors go
overboard?
I mean, do you ever make do, doa mistake and be like maybe
that was too much to give her?
I'm not going to give her thatmuch again, or something?
Um, I'm, I'm asking you whenyou fucked up online.

Maurio Dawson (40:42):
I'm trying to mess up her reviews now.
Keep her five stars on Yelpokay.

Nilu Rustomji (40:51):
No, no, but you know what I mean, I think, for
me, I'm like, if there's everanything like, tell me, come see
me, I will fix it for you,because, like, no one's perfect,
especially if, like you know,it's a new patient to me.
Everyone's anatomy is sodifferent.
So that's why I'm like, justcome see me, harass me.
I need to know so I can helpyou, cause, yeah, I'm not
perfect, I don't, you know, Idon't ease it necessarily every

(41:13):
time, but but I think less ismore and I think, carmen,
obviously you, I think, agreewith that and that's why we get
along so well.
I know, yeah, I don't knowthese surgeons, I mean and
there's so many great surgeonsout there, obviously so, but I
think these ones, and like thatwe see with the Hollywood
celebrities and stuff, I don'tknow, I don't know if it's like,

(41:33):
if it's money, if it's, maybethey just feel uncomfortable
saying no to these high client,you know, high paying clients, I
don't know.

Carmen Lezeth (41:43):
It's just weird, because sometimes you see the
lip thing and I'm like, no,seriously, you think that's
working.
Like who did that to you?
Like the lip thing bothered youwhen you're walking around and
you're like it's too much.

Cynthia Ruiz Lopez (42:02):
It looks painful.

Rick Costa (42:03):
There's like a Christian woman that's pretty
famous in the christian realmand she definitely had lips done
and I can't even look at hernow.

Carmen Lezeth (42:11):
So I'm like it's distracting.

Rick Costa (42:15):
Yeah, I can't look at her yeah tell me what she
looks like, right is anybodylike and how do you find out?
Is anybody like allergic?

Nilu Rustomji (42:27):
good question.
So that's something that wescreen for as well, um,
typically not with the actualproduct, um, but we do screen
for allergies to uh, the enzymethat can dissolve filler.
There's sometimes crossreactions with like feasting
allergies, um, but botox did yousay feasting allergies?

Rick Costa (42:48):
yeah, like bees oh that's the allergy I seem to
have the eating did you like aprick on, like a unnoticed part
of the body or something to?

Nilu Rustomji (43:08):
test.
Yeah, I have, I have done that.
Um, I don't.
It's very rare I have to dothat, but yes, we can do that.
Or I'll send them to anallergist because if they have,
like, if I'm really actuallyworried they may have an allergy
, I'm like I'm not well equipped.
We have epi pens and benadryl,but if you're gonna have a
really bad episode, I want youto go to go to a psychologist,
so they're better equipped tohandle that.

Carmen Lezeth (43:27):
But also like I.
I mean, I have an EpiPen and Ihave the medical bracelet, you
know, because I have I'mallergic to penicillin and
shellfish and when you walk inthe office they do an entire
health thing and they ask foryour doctor's name.
They ask it's such a, it'sannoying.
You know what I mean, becauseI'm like I was just getting

(43:49):
Botox.
Yeah, that's why you do it isso that you have all that
information and then when youmeet with the person the first
time, they go through it andhave that conversation.
Yeah, and I guess you guys justput that in the file, cause I
met you after that.
I met you after I'd alreadystarted going to your office.

Nilu Rustomji (44:05):
So um, yeah, if there's like, uh, something very
pertinent and impatiencemedical history that I need to
see or be reminded every time, Iwill like write it all up in
their chart I don't want toforget this.

Maurio Dawson (44:17):
I have another question.
Um, for those people who areafraid of getting Botox because
they don't like needles per se,okay, is there another technique
or product they can use to helpwith skin tightening?

Nilu Rustomji (44:34):
Yes, and actually those patients are some of my
favorites.
They're so cute and then causethey work it up.
Usually they work it up intheir head and then like and
then I start and they're like,oh, that was it.
So yeah, and I have reallyclose friends that are still
terrified of blood draws willpass out every time, but they
are fine now with Botox.
But yeah, so let's say you know, patient's not qualified for

(45:00):
Botox for whatever reason, whichis very rare or they don't want
to do it and they just wantmore natural ways to take care
of their skin.
I'm a huge advocate for, liketopical retinol.
Retinol is great for the skin.
It's, you know, helps to producecollagen.
It helps smooth fine lines andwrinkles, scarring pigmentation.
Long-term use it can actuallyhelp prevent skin cancers, which

(45:22):
is really great.
A lot of people don't knowabout that, so that's like the
cheapest, easiest thing that youcould do at home.
You can either get itprescribed or if you go to,
let's say, like a med spa orsomething they will usually sell
like a medical grade version.

Carmen Lezeth (45:39):
There's also over the counter versions of it, but
it is weaker, right.
I mean, it's a weaker version,the over the counter.

Nilu Rustomji (45:43):
Well, yeah, it depends, right.
So it's, it might be weakerthan a prescription one, but
also I'm not a huge fan alwaysof the over the counter ones,
because the technology is notthat great and it might be more
irritating.
So a lot of patients are like,oh, I tried, you know, over the
counter rental, and I was so dryand red and flaky and I just, I
know, and I'm like, oh, we justgot to get you on the right one

(46:05):
, like there's there's betterones out there that are
formulated to be more gentle,soothing, released in the right
layer of the skin.
So it's, it's tolerated better.

Carmen Lezeth (46:17):
But the needles you do.
I mean, cynthia, I know youhate needles and I am not a fan
of needles, like especiallycause I get blood work done
because of my thyroid situation,but like regularly, which is
annoying me.
But when you do the needle,it's like I mean we're
chit-chatting, blah, blah, blah.
You're like boom, boom and I'mlike am I done?

(46:37):
You're like, you're done.

Nilu Rustomji (46:41):
Like needles are really thin that you use too.
Yeah, very, they're like littleinsulin syringes.
They're very tiny.
Yeah, very, they're like littleinsulin syringes are very tiny
usually I'll be tapping you tolike help distract you.

Carmen Lezeth (46:50):
You have a little squeezy ball.
I'll be like squeezing the ballor whatever, and then I'm like
I don't squeeze the ball no more, you know we're usually
chit-chatting, we're having funin there, so you know weird.
I know it's, you're very good atit.
I mean I, I know you know that,like I've said that to you, but
you're but it's the mostcomfortable I've ever been.
I enjoy going to see youbecause I always feel good when

(47:12):
I leave too.
So it's not just the work thatyou're doing and this is just my
experience, but you can tell mewhat the correct thing is.
But when you get Botox done, ittakes a few days for it to
actually kick in.
So it's not like you get itdone and all of a sudden you're,
like you know, wrinkle free.
It takes time, but when I goand see you I feel like so

(47:34):
relieved because I feel like Ihad some self care.

Nilu Rustomji (47:38):
Yes, a thousand percent, and I almost see it as
like acupuncture because it'slittle needles.
So, cynthia, you were askingabout like migraines before.
So we, we don't.
You know it's technicallymedical treatment with migraines
, but sometimes I'll do littleareas for patients.
If they need it for tensionrelease, so like for grinding
people grind a lot at night andthe temples with grinding and

(48:00):
like migraines and, yeah,sometimes they say they feel
like immediate relief.
So I do think that there'ssomething to be said about that,
about just like the needlerelief.

Carmen Lezeth (48:11):
I've tried it in different places too, like cause
we were trying to see if wecould cause I'm starting to get
like little jowls here anyways.
And so instead of you know, I,I never want to have surgery
again.
Knock on wood.
Like after having my hipsurgery, I never want to have
surgery again.
But we tried it there and I waslike okay, it didn't really do
anything so, and there was nopressure like oh, you have to

(48:32):
try it again or you have to doit this way or whatever.
It was like okay, it didn'twork, it's fine, you know what I
mean?
It didn't work for me, but theneedle didn't hurt here either,
I think that's just thetechnique you use or something I
don't know what about what?

Cynthia Ruiz Lopez (48:45):
I'm sorry, cynthia um, my question is um,
so once you start it and youknow you're going for a few
months here and there, do youhave to continue, or can you
just stop at any time and not doit ever again?
Or is it something that youalways have to keep doing?

Carmen Lezeth (49:03):
no, you have to do it all the time.

Nilu Rustomji (49:16):
Yes, yeah, yeah, absolutely you can stop.
And yeah.
So patients often ask like,well, if I stop, are my wrinkles
going to be worse?
No, you know.
So you can stop at any time.
You just go back to you knowyour baseline.
But, like you know, if you'vebeen doing Botox for five, 10
years and then you you stop, youknow you also age during that
time you might have like alittle more sun damage or you
know things like that.
But you know, if you'reconsistently doing it, you are

(49:38):
sorry, you are preventing itlines from forming and getting
deeper as well.
So that's why a lot of peoplesee it as like preventative
Botox.
Um, because you're preventingdeep creases and lines from
forming over time.
Um, so even if you decide to do, you know, stop one day your
skin's probably still going tolook better than it would have
had you not done it.

Cynthia Ruiz Lopez (49:58):
Right.

Nilu Rustomji (49:58):
And actually, you know, I think too, like if
you're investing all this moneyto get injectable treatments,
you're probably investing inself, like skincare too, at home
, or using sunscreen or usingretinol.
You're probably doing otherthings without even really
knowing it.
That's also helping, but it butit's it's.

Carmen Lezeth (50:14):
it's like getting your hair done, in a way Like
you don't have to get your hairdone, but you choose to do it
when you want to.
And like I'm not on someregular schedule, I just know
when I can see the line here.
That's when I go in.
You know what I mean.
Like when I start to see thatwhenever, like I'm smiling or
something, and the line comeshere, I'm like and making the

(50:36):
phone call.

Nilu Rustomji (50:36):
Yeah, time to make the phone call hey, this is
what you look like actually.
You know like oh yeah, I forgotthat that's what it.

Carmen Lezeth (50:42):
Yeah, you, you, yeah, and I and I do have a very
deep line here because I'm inmy fifties, like it's natural to
have that, you know.
But what I love is that I didit for myself, not for anybody
else, and I think that's theother part of it too is that
you're not doing it, oh, for aboyfriend or whatever, and I
want to look young.
It's like no, I just I don'tlike that crease Cause it.

(51:04):
It makes like it breaks up myface.
To me it does.
I don't like that creasebecause it makes like it breaks
up my face To me it does.
I don't like it, I don't mind.
Like someone had someone I knowexactly who was surgeon we
talked about earlier.
It's like we could really dosome work on those laugh lines
and I was like OK, first of all,laugh like that's natural to me
.
I don't want no offense.

(51:25):
I love Angela Bassett.
Cynthia, you know the show's ontonight, right?
I love Angela Bassett with allmy heart, but I hate the filler.
When people put filler here andI know she's had it, you can
see it.

Maurio Dawson (51:40):
Are you coming for the queen of Wakanda?
Are you coming for the queen ofWakanda?
Are you coming for the queen ofWakanda?

Carmen Lezeth (51:47):
I feel comfortable with the queen from
Wakanda because she would admitit too.

Maurio Dawson (51:53):
Don't do Tina Turner okay.

Carmen Lezeth (51:58):
You don't know what I'm saying.
It's the obvious person.
I just don't like the, butsomeone had told me that I
should get that because I havelaugh lines and I'm like I'm not
doing laugh line filler.

Nilu Rustomji (52:09):
You're a happy person.
You have smile lines.
I couldn't even imagine it.
And then, yeah, if you overdothat, people start to look like
apes.
Actually, babies have teardrops.
You know it's natural to have.

Carmen Lezeth (52:28):
Yeah I like the naturally look.

Maurio Dawson (52:31):
I like the natural look I do have one
question what about does botoxhelp with tendinitis?

Nilu Rustomji (52:40):
tendinitis, or like oh tendinitis yes, oh,
interesting.

Maurio Dawson (52:46):
What was the question?
I'm sorry I have.
I'm sorry tinnitus.

Nilu Rustomji (52:50):
I'm sorry that's why I was wondering if you were
okay, like so the ringing in theears yes that was a great.
That's a great.
Not that, not that I know of,but I wouldn't be shocked if it
did.
No, not that I know of.
But again, sometimes I find outbotox helps with certain things
and I'm shocked.
I'm like what?
Like I recently read um, my momwas having like, not her, it

(53:15):
was like her achilles, but themuscle underneath, like the sole
of her foot, and they do botoxfor that to like help with the
with the pain yeah

Maurio Dawson (53:23):
I have plantar fasciitis, and they do it yeah,
thank you thank.
Thank you.

Nilu Rustomji (53:26):
Yep, yep.
So yeah, not that I, not that Iknow of, but that would be cool
, interesting.
Maybe you're onto somethingMario.

Carmen Lezeth (53:35):
What are some basic skincare tips you would
tell us to do that have nothingto do with Botox or injectables
or whatever?
What are some ideas that we cando to have great skin as we age
?

Nilu Rustomji (53:49):
Retinol.
Again, it's a great one.
Most patients can use it.
Obviously, talk to yourprovider.
There's some exceptions, likeif you have eczema or rosacea.
Maybe you'd have to use gentlerforms, but retinol is the
easiest best thing you could do.
Sunscreen mineral-basedsunscreen.
So sunscreen that has zinc ortitanium in it is best the

(54:10):
over-the-counter ones with likechemical ingredients like
oxybenzone.
Those aren't as good.
Vitamin C Vitamin C is greatfor collagen.
Sun protection.
Helps with pigmentation.
Anti-aging.
Wash your face.
A lot of people don't even dothat, really.
Yeah, I feel like sorry, sorry,what do you?

Carmen Lezeth (54:33):
mean people don't wash it, there are people there
are people that don't do it Iwash my face in the morning and
at night.

Nilu Rustomji (54:40):
I'm sorry yeah, or they'll only wash, you know,
once, once in the day, I don'tknow.
No, I well, because at nightyou do sweat, you know once in
the day, I don't know.

Carmen Lezeth (54:46):
No, I well, because at night you do sweat.
You know what I mean.
You do have a little, well, Ido.
I don't know what you guys aredoing at night.

Maurio Dawson (54:54):
She's like I don't know what you're doing at
night, but I don't sweat.

Carmen Lezeth (54:58):
No, but I'm just saying like I, and so of course,
at night I take off whatevermakeup I may have on, but also
just like a cleanse, you knowjust.

Nilu Rustomji (55:06):
I double cleanse, not not always, but I wear
makeup or tits.
It's sunscreen.
I'll double cleanse, for sure.

Carmen Lezeth (55:12):
Yeah, I don't get the People really don't wash
their face.
You know, I was shocked to hearthat people don't wash their
feet.
I was shocked by that, so Idon't know why I'm the water run
down their feet.
I'm like what?
Oh no, when they're in theshower they just assume, because

(55:32):
they're showering, that thewater will get to their feet.
And I'm like, okay, and thatcannot.
And now I'm glad I shared itwith all of you because it
cannot get out of my head now.

Rick Costa (55:46):
Okay, something I learned because of some karma, I
think said, was because I hadthis misconception that you
don't go there, walk out of theoffice and you already have
instantaneous results.
It actually takes a little bitof time, right.

Nilu Rustomji (55:57):
For the re-correlaxer treatments?
Yes, so like Botox, dysphora,those types of treatments, it
takes a few days to a coupleweeks, so usually we say 10 to
14 days.

Maurio Dawson (56:06):
So it would say 10 to 14 days.
Yeah, it takes 10, 14 days forit to really show a full effect.

Carmen Lezeth (56:12):
Yeah.

Rick Costa (56:14):
Really I didn't know that.

Carmen Lezeth (56:19):
Yeah, so that's why, when I start to see the
line, I know it's going to getmuch deeper.
So that's when I make myappointment, cause it'll be a
couple of weeks before it goesaway.
Like it, you can't see it nowand it's not because of me, it's
because I've had it done.
Yeah, there is no like, even ifI try to do it, you can't do it
because that will keep doing it.
But I remember somebody I thinkit was you or maybe it was one

(56:53):
of other counterparts.
I was like every time I do likewhen I scrunch my eyes, they're
like then stop scrunching youreyes together.
Like I do this and you're like,don't move your arm that way.
But yeah, but it takes a like.
For me, it's usually like Ialmost immediately see it here,
though, like within three orfour days.

Cynthia Ruiz Lopez (57:07):
Is that?

Carmen Lezeth (57:07):
normal.
I guess it's a thinner skin orsomething, I don't know.
But yeah, it's usually like alittle bit before you see it
fully take effect.
Yeah, and you end up with this.

Cynthia Ruiz Lopez (57:20):
Well, I have to say that, like I've
definitely seen this wrinklerelaxer in a whole new light,
because I you know I was I wasalways against it.
I hate needles, but the way youdescribe it and everything it
actually it opens people's eyesand minds to the to the whole
idea of it, and it's not justfor wrinkles, like you said.

(57:42):
You know people have excessivesweating and things like that
are different, different issuesthat it works are you gonna get
it done now, cynthia.

Carmen Lezeth (57:51):
I don't know, maybe that's gonna get you for
your birthday.
It's gonna be all smashed.
I'm so glad you came on.

Nilu Rustomji (58:07):
Thank you so much thank you for having me.

Carmen Lezeth (58:09):
This is wonderful no, I just feel like, first of
all, I'm so glad we met, I'm soglad we've become friends and I
know I'm your client, but I justreally appreciate you coming on
and I hope you'll come on again.
Send my client.
But if people want to reach outyou, if they have questions or
they'd like to meet with you,even if they're not here in

(58:30):
Santa Monica or in California,they can go to your website at
your skin coach, nilucom.
They can ask you a question orwhatever and maybe you might be
able to refer them or give themsome more advice or information.
Of course, if you're in SantaMonica or in California, please,
please, please, go and visitNilu.
She is amazing.
I just sang in all right there.

(58:52):
But, yeah, thank you so muchfor coming on.
And Rick Costa, thank you forbeing here.
Mario, we miss Alma, but welove that she's listening.
She's listening, and Cynthia,as always, and everyone.
Thank you again.
Neelu, thank you again andeveryone.

(59:12):
Remember, at the end of the day, it really is all about the joy
.

Cynthia Ruiz Lopez (59:18):
All about the joy.

Carmen Lezeth (59:18):
Bye guys, Bye everyone, Bye, Bye.
Thanks for stopping by.
All About the Joy.
Be better and stay beautifulfolks.
Have a sweet day.