May 15, 2024 • 39 mins
Ever been captivated by the allure of flawless skin and the transformative power of dermatological treatments? Join us as we sit down with Kara Richardson of Premier Dermatology, whose 19-year tenure in the medical field is nothing short of a masterclass in dedication and expertise. Together, we dissect her fascinating journey to becoming a Physician Assistant in the elite field of dermatology. Kara's candid reflections on her early career milestones and the pivotal moments that guided her path will stir an appreciation for the meticulous art of skin care.
Dive headfirst into the enlightening world of Botox and fillers, where Kara dispels myths and unveils the artistry behind facial enhancements that defy time's relentless march. Discover the graceful balance between restoring volume and maintaining natural expression, and why a strategic approach can revolutionize your view on aging. If you're contemplating aesthetic interventions or simply intrigued by the science behind it, this episode is your personal consultation with one of the field's most seasoned pros.
But it's not all about aesthetics; it's also about life-saving vigilance. As we navigate the significance of skin care and cancer prevention, we're reminded of the transformative impact of routine skin checks and the importance of catching melanoma before it spreads. Kara and I also celebrate the educational outreach of Premier Dermatology and the empowering advice available through Dr. Missy Clifton's "All Things Skin" podcast. So lean in, listen, and let this episode be your guide to embracing a life of gratitude, inspiration, and impeccable skin care.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Kasie Yokley (00:00):
Hey everybody, welcome back to the 3W Podcast,
home of the who, what when,Northwest Arkansas.
I have my dear friend KaraRichardson here with me today.
Hey, kara, thank you for havingme.
Kara is with PremierDermatology, I would say in
Bentonville, but Bentonville,Bella Vista, fayetteville, all
the places.
So she's here with me and I'mgonna put her on the spot really
(00:21):
quickly.
So just get with me on this one, kara.
How'd we meet?
I can't really, I know justkidding, just kidding.
Kara can't tell you how we metbecause it's HIPAA and I didn't
even think about that because Ihave, like, these lists of
questions to try and be overlyprepared.
And she was like I can't talkabout that.
And I was like, oh well, why?
Oh well, because of HIPAA.
(00:41):
And I'm like, oh, I didn'tthink about that.
So that leads me to sayeverything is super, super safe
at Premier Dermatology.
Like they know everybody intown, they know all the deep,
dirty secrets, but yet they'renot spilling it.
That's right, like I would wantto right.
I'm like, oh you, you've seensome things yes okay, so we met
(01:03):
at Premiere because you are mypoker.
Kara Richardson (01:08):
Yes, we, and you are one of my patients and
it has been so fun.
Kasie Yokley (01:12):
It's been a long time.
I don't know how many yearsit's been.
Oh, I don't know exactly.
Kara Richardson (01:16):
I've been at Premiere 19 years, okay, but I
met you before you had a baby,so my baby's eight.
So, yes, probably 10.
Probably it's a lot.
10 plus 19 years is a long timeat one place.
Uh, it's an amazing place.
Kasie Yokley (01:30):
That's all I can tell kudos to you because
there's so much hippity hopthese days, and then the past
five to ten years there has beena lot, definitely, so that's
awesome.
Kara Richardson (01:38):
So you were in the original location I was in
the original basically came onin the first two years of
Premier Like off 28, right, isthat the right?
Yes, off 28.
Okay, yes, and Dr Phillips andI actually worked together prior
to Premier.
Oh, I didn't know that.
Yes, so I did a part-time jobin college at another
(01:58):
dermatology office that shejoined, originally for a short
stint, and actually we workedthere together and I worked kind
of like a nursing aide, um, andgot to work with her.
And then I went off to PAschool and my mother-in-law
actually came in and saw her andtold her I had graduated and
she said, oh, she should give mea call and I did.
And 19 years later, here I am.
Kasie Yokley (02:20):
Yesterday, yes, okay, well, pa school.
So that means you're supersmart.
Well, that's very sweet.
Kara Richardson (02:25):
It does, it does.
Kasie Yokley (02:26):
I've worked very hard for it yes, I would say
that that's, that's absolutely.
It's not without not tons andtons and tons of work.
And I only know that, um, Idon't know this little girl.
I babysat in tulsa 100 yearsago.
She went on to become a PA.
She's now the godmother of my14 year old tomorrow.
So like I watched her grow anddevelop and at one point she was
(02:50):
like I was like hey, get in thefront seat.
She was an eight-year-old andshe was like I can't sit in the
front seat.
Eight-year-olds can't sit inthe front seat of air so I was
like oh, I am, we are not.
The same is what I quicklylearned.
And then she went on to becomea PA in Oahu and I'm like I
watched all this time and studyand I'm like wow, yeah.
Kara Richardson (03:12):
So PA school, um, I kind of lucked into it.
That's what I always say.
I really did just looks into PA.
You can't.
I did because PA schools backthen didn't really exist in
Arkansas.
Uh well, they didn't exist.
Harding came on very quickly,but I went to PA school in
Springfield Missouri yes,springfield Missouri.
And the reason I went was mysister-in-law actually worked
(03:34):
with a PA and she was like haveyou ever heard of them?
I said no, I was at a juniorcollege, wasn't sure where my
biology degree was going to leadme.
Were we on the nursing track?
Not really, just kind of thescience track Probably?
Originally had a short stint ofthinking I might go to medical
school and then quickly sat inclass with other people and
thought not going to medicalschool.
(03:55):
Why Were they not your people?
No, they were so much smarterthan us Next level, next level,
for sure, but you told us thatyou're not sure, but that's it.
And so I just honestly knewthat probably wasn't something I
was going to truly commit to.
And so I was considering goingback to nursing school to do
nurse practitioner and thenheard about PAs and started
(04:16):
looking at it and with all mywork experience at the
dermatology office, I really hadkind of all the things in place
to apply and so I did and,lucky enough, because it's
highly competitive.
Oh, today it is way morecompetitive.
When I was going it was.
I mean it was competitive, butnot to the.
I mean it's ranked in the top10 careers, yes, every year now,
(04:38):
yeah, and so for that reasonmakes it very competitive.
So I feel very fortunate that Iwas led in that path 19 years
ago and and dermatology yearsago for what I have heard.
Kasie Yokley (04:50):
Oh, in the pay, yes, and you're just like.
Oh, I just started, though Ijust like happened to get laid
in the PA and I'm at adermatologist office.
So, yay me, yeah, I really did.
Kara Richardson (05:03):
I and I I tell darsh glifton all the time I'm
just thankful to be a part ofyour world, because it is so
hard to get into dermatology sohard.
Yes, so, to have started thereand really have grown as a pa.
There has been an amazingjourney and experience and
because dermatology is a wholenother level.
Kasie Yokley (05:22):
Like, I don't think poking my face you could
paralyze me, I would assume aneyeball to fall out, but I'm
like you're going.
But yes, we're taking it veryfar into the skin, right, it's
very.
I mean, I feel like you'regoing to my brain, but that's
just because I'm overly dramatic, right?
Kara Richardson (05:45):
I mean your pay tolerance.
We would.
It was clearly low.
I mean I wouldn't say it's onthe high.
Kasie Yokley (05:50):
Right, no, you and multiple people.
But also I do feel like I'mreal tough, but I'm a giant baby
when I come to you.
But I mean you all are goingbarely into the skin.
I mean I know y'all have fancylevel names for your layers and
whatnot and I'm like that takesextreme artistic precision we
take it very seriously.
Kara Richardson (06:10):
Yes, we want every face is is very different
and you want that treatment tobe customized to that base and
you know the results that we'relooking for.
So you, yeah, we've had, I'vehad lots and lots and lots of
practice over these years, lotsand lots of trainings.
Um, just to speak to that, asinjectors at premier, we have 65
years of experience.
(06:31):
That's bananas, I know we'venot bananas.
Yes, so you won't hear that inin many places, and for sure not
northwest star.
No, but yeah, so I work with anamazing team.
I mean Dr Clifton leads thatteam, but those around us, I
mean we work together so well.
Kasie Yokley (06:48):
There's like no turnover.
Yeah, even if a coach comesagainst me out of the waiting
room.
It's always the super cuteJordan.
Yes, thank you.
With the adorable blonde hair,she's just the best thing.
Oh, she's the best, yes, andI'm like, oh, she's like how are
you doing?
I blonde hair, she's just thebest thing, best.
Yes, and I'm like, oh, she'slike, how are you doing?
Kara Richardson (07:07):
I'm like ready, let's go fill me up.
But yeah, so I think that's thekey is, you know, as we're a
family, um, and, like I said, ateam that really works well
together and we want the patientto feel like the entire team is
part of their care and cautiousand cautious and don't just
fill people up to fill them up,because I walk in and I'm oh, I
think we need to do this andyou're like, but we don't.
(07:27):
Yes, I'm real good at tellingpeople no If I don't agree with
what they think they need done,if I think it's too much or I
feel like it's not going to givethe results that we want.
And that's what you want inyour injector.
You want to trust them 100 andI appreciate you trusting me I
do.
Kasie Yokley (07:46):
I trust you with everything I would send every
human I know well.
Kara Richardson (07:50):
I tell people all the time the best compliment
is when I get that friendshipreferral or that one-on-one that
, that that means everything,absolutely, because that's
that's what we're aimed for.
You know ad permit is to is tomake people feel like you know
they're the most important thingat that moment and that we're
taking the best care.
That's absolutely true.
Kasie Yokley (08:10):
So I feel like I'm your only patient when I walk
in there.
Good, we're doing our job.
What's the weirdest thingyou've ever seen?
Oh, I don't know.
You see lots of weird things.
Kara Richardson (08:21):
No, dermatology kind of, is that?
I mean there's a lot of strangethings, you know, between the
rashes and what everybody seeson TV on Double Popper.
I mean you can imagine Lastweek what did you see?
So I don't do as much medicalanymore.
So I am mainly on the cosmeticside I would say 95% at this
(08:43):
point where I am truly just indoing injectables, kind of like
Van Gogh.
I don't know, I wish I was likeVan Gogh, but I love what I do.
I mean I really do.
And yeah, when you're injectingsomeone, you know every face is
new and I always say that's whatkeeps it exciting, is you know,
every face is a new face.
It's a new campus, yes, and soI just want that to be the best
(09:07):
face that it can be for them.
I want them to feel like theylook less tired, rested,
brighter, whatever it is,because none of us want to age.
No, I mean no, I totally fake.
Oh, 100%, instead of just oneage.
No, I mean no, I totally fakeoh 100.
We jubble cook, that you know.
Happy, maybe in the hospital,but the bojocks is coming in.
Kasie Yokley (09:26):
I'm still gonna work the band.
So that is the saddest partabout walking into rear is I
feel like a what do I?
A sharp, sharp, sharp pain I'mlike just make me not like a
Sharpay walking out.
Y'all look like China dolls andI look like a Sharpay walking
out.
Kara Richardson (09:50):
And I, you know that's it's.
Those sprinkles are just not,they're not anybody's favorite
thing, so but yeah, we, we wanteverybody to just get that that
refresh look.
Kasie Yokley (09:56):
Well, let's talk about that Like inject, okay, so
I butchered it on my, my notespage like injections and
treatments and trends, andfillers versus toxins, am I?
Yes, that's correct.
Is that correct?
Yes, okay, so to your sharppoint.
Uh, I can't hear you just addsome letters so to the sharp a
(10:17):
point.
Kara Richardson (10:18):
Okay, that's where your botox and that's up
here.
Kasie Yokley (10:21):
It's all over it can be all over really at this
point.
Kara Richardson (10:24):
Um, because the rumor was, I feel like 100
years ago it was like no, can'tgo below here because you're
gonna be paralyzed and that'sthe thing is that there's always
the on label version, which isis what the brands can really
speak to, and then there's theoff label version, which is
where we use, you know, fillersor toxins in places that maybe
the FDA approval doesn'taccurately include.
(10:46):
But yeah, so now I feel like weare using Botox really from the
forehead all the way down tothe neck.
Stop, people, put Botox intheir neck.
Kasie Yokley (10:55):
Oh, I have a ton of Botox in my neck Till I take
this.
You have Botox in your neck,Did you just say that?
Yes?
Kara Richardson (11:02):
because I was not blessed with a very long
neck.
It's a very short neck, okay.
And so one thing that Botoxjust a little kind of side note
is that it can actually helplengthen that neck Because as we
age and the world of technologyand phones in front of us and
us looking down all the time,okay, those little platysmal
(11:22):
bands and they're really notlittle but platysmal bands can
kind of get shorter and shorter,and so when we relax some of
that, we allow a littlelengthening.
It's called the nephrotityeffect, and so you put Botox
along that jawline and you get aslight lift.
It can also help to minimizethe look of them.
Sometimes you'll see thesesharp bands.
Kasie Yokley (11:42):
Yes, on those women as they age.
Kara Richardson (11:44):
Whatever those words were yes and so, because
of the fat loss and the thing inthe skin, sometimes those bands
get more pronounced.
So botox can be a great waykind of minimize the look of
those.
So botox, we talk a lot aboutexpression lines like frown
lines, crow's feet or smilelines.
Those things are well takencare of with Botox.
(12:07):
The smile lines is that outhere or right here?
Right here, I say smile linesaround your eyes.
We can help also lift the browwith gauze.
Your Botox is really working onmovement, so so you're going to
reduce some movement, to lessensome lines.
Okay, when we talk about fillers, what we're trying to do is
(12:30):
give back the cushion or thesupport.
Okay, because you really, as weage, lose a lot of that cushion
and support, whether it's infat loss or bone loss.
Um, we can't talk about bonerecession.
So our, unfortunately, our, ourskull kind of shrinks a little
bit.
It does, it does our bone getsthinner and so with that
(12:50):
separate from like anosteoporosis type, yes, very
separate, very just naturalaging, oh and so, as that
happens, you start to see moreshadows, more hollowing around
the eyes.
Sometimes what we see theseshadows have in these around our
mouth and where we feel like wehave those folds and what many
people refer to as marionettelines, which is on the lower
(13:13):
part of the face, oh okay, whichI guess looks sad.
So less shadows and more lightreflection give us a brighter,
more useful look.
Kasie Yokley (13:22):
But you must have some like amazing fillers.
No, that's yes, that is whatfillers these days, because you
have not filled me, yes, inforever.
So even though I've asked, forit.
Kara Richardson (13:30):
You're like you don't.
A lot of times you get a littleremodeling with those fillers,
meaning you place that fillerunderneath the skin and your
body will actually kind of buildback around it in some ways and
create some support that maybeit didn't have before.
So even as the filler may beabsorbed over you know a time of
sometimes you know six months,sometimes a year then your body
(13:53):
has built back itself in placeof it slightly.
Now eventually you'll need itagain.
I think today's world offillers is that we don't tend to
treat the same area every time.
That's not you used to.
We may come in and we wouldjust treat, oh would that be
like that?
Kasie Yokley (14:11):
um, what's the movie with the lips and goldie
haunt, first wife, first wivesclubs?
Kara Richardson (14:15):
bring them up, fill them up.
Yes, you're just doing the samething over and over again.
Today's world of fillers.
We are really looking at theface and giving support back
where it's needed, whether thatbe cheeks, whether that be
jawline chins.
I mean johns and chins arereally a focus right now.
We want more of a chin.
We want, we want to make surethat we keep the projection of
(14:36):
the chin and, yes, more of thechin.
You poked me down here, but Idon't know there's some botox
there too.
This down in the lower face,you get a couple things
happening back to the bone, kindof recessing.
That chin recesses over timeand so when we lose that, you
lose the sculpting that you haveon that jawline and in photos
(15:00):
and the world of photos are soprominent right now that I mean
people just don't like how theylook.
They're still the first daylike, oh, I see my double chin
or I see my jowls and thosethings.
The jowl the jowl is your,basically a little fat potter if
it kind of sits on either sideof the chin that you we start to
(15:21):
see due to some shifting in fatpads also as we, oh, those
things move, yeah, so there's,um, there's a lot going on in
our faces as we age and so, asan injector, what we're trying
to do is put things back inplace or in um support that can
create a more useful look.
(15:42):
So jawlines are a big dealbecause you really can create a
a useful look by just givingback that structure.
So I think cheeks you know wetalk at the ending there's all
these celebrities we've watchedover the years.
I mean, there's all thesecelebrities we've watched over
the years morph into somethingthat we maybe don't like the
(16:03):
look of Right.
And people always ask me well,what filler?
You know, it's probably acombination of filler and maybe
some plastic surgery and maybesome plastic implants who knows?
But they're not a natural lookRight.
Main thing I tell my patientsis I want you to look like you.
I don't want to change yourthing, who you are.
(16:24):
We want to just lessen thingsthat bother you, and that is not
only just fillers andneurotoxins.
Kasie Yokley (16:35):
It's also in resurfacing.
Oh yeah, You've sold me a bunchof things to put on my face.
Kara Richardson (16:38):
Your skin care is key.
I mean, you may not have a lineand you may not have a shadow,
but if you have a bunch of agespots or sun spots or an even
tone to your skin, you're stillnot going to be happy with it,
right?
So that's another thing atPremier that we love is we have
all the things that you need,all the things To address those
things, whether that's in, youknow, some blazers, yes, or at
(17:02):
home skincare, um, and then youknow even big lasers that you
know for a lot of people, ifthey're starting later, you know
, people are young people now,are are in this game early, oh
right, because they're tickedoff, yes, and they want to.
They're starting botox in their20s.
Well, you know, is that good?
It is good, okay.
(17:23):
It is absolutely preventative,okay, but there's never too late
, is what I tell people.
Like, if you haven't started,it's the things that I do that
can, that can definitely improve, and you know that's something
that you know there's not a setstandard.
You shouldn't start Botox at 25.
That's not the answer, gotcha.
(17:43):
You should start when you'restarting to see etched lines or
changes where you're feelinglike you have a heavier brow
than you used to.
Kasie Yokley (17:52):
Oh, is that?
Does that just happen toeverybody?
It does.
Kara Richardson (17:55):
Oh, okay, yeah, everybody gets it.
It's.
You know, nobody is not agingOkay, fair.
So everybody gets it.
You know, nobody is not aging,okay, fair.
So you know, our lifestyledefinitely plays a part in it.
How much sun you've had, howmuch you know, your day-to-day
diet, exercise, those things aregoing to play into it.
But everybody's aging some.
(18:16):
So we just want to slow thatdown and do that in the best way
.
So for a lot of people, it'sBotox early on, just to prevent
some 11s that they may see intheir family.
Oh, 11s, that's hilarious.
So, but yeah, so I think everyjourney is different, okay, and
(18:38):
everybody starts at a differentstate.
Kasie Yokley (18:41):
I do love that and y'all don't judge, no, no,
because I'm a sun lover.
I know I mean we're gonna spenda real sense very painful, but
I just want to be as transparentand honest as possible.
But I'm wearing the sunscreen,but I also and like y'all can go
sit over there in the standsI'm gonna go sit in the sun
because i'm'm like A I'm coldand B I just love.
(19:03):
But you're wearing yoursunscreen, I am wearing my
sunscreen and that's key.
Yeah, and I take a hat with meon vacation.
Kara Richardson (19:11):
And we want people to live as dermatologists
.
We don't expect you to yeah,you never say me, yeah, never.
Kasie Yokley (19:22):
But we expect you to.
You never say me yeah, never.
But we do want you to do yourskin checks.
Yes, so which may?
This will air in may, eventhough we're recording early,
sorry, everybody cats out thebag.
Um, may is what?
How did what's the proper termskin candy, or where?
This month?
Okay, yes, yes.
And so I feel like y'all havedone free skin checkups every
may, so we haven't passed um.
Kara Richardson (19:39):
We're a little busy right now to where we can't
offer those as as often as we'dlike to.
But schedule with your normalschedule, with your normal
appointment, whether that's, andthen just yearly, that's right,
that's the key and I will throwmyself under the bus.
Kasie Yokley (19:53):
I just did my first one a year ago and and it
was fine, yes, and I think weremoved something because I
wanted it removed.
I was, take that off, it servesno purpose, yeah.
And then I didn't thinkanything of it.
And then so you called me likea week or two later you're like,
oh, it's fine.
I was like didn't think itwasn't and it did, but we called
anyway, didn't even dawn on methat we were checking it, but
(20:16):
you all went through the extrasteps that never even occurred
to me.
I'm like like I'm where I'msupposed to be, I'm with the
right people, that's right.
Kara Richardson (20:24):
And a skin check is easy.
I mean, I know it's scary to alot of people.
Nobody likes the idea of havingto come into any clinic and,
you know, get in a gown, it'sgoing to save lives.
It is and it's.
We're looking at eachindividual lesion and we are not
looking at you know people, no,your whole body.
We're looking at your wholebody, but just, yes, in terms of
(20:44):
your skin, yes, so we want youto feel comfortable.
Um, the process is is prettysimple.
You basically check in, getyour history on your, on your
son, you know exposure, your,your family skin cancer history,
um, and then we put you in agown and we go you know little
areas at a gown and we go, youknow little areas at a time and
look at lesions and analyze themand decide if there's anything
(21:06):
worrisome.
If so, can be removed usuallythat day.
And we have a dermatopathologistin office who is a
board-certified, trainedpathologist in just skin.
So she is looking at thoseladies in house and she's in
house dr battle.
She's amazing, yes, and that'son our dermatology side.
(21:28):
I mean I.
Is she so busy?
Oh, yes, yeah, how.
But yeah, our dermatology sideis just as amazing as our
aesthetic side because we have,you know, board certified,
double board certifieddermatologist at oh, I love the
other side of the, yes, and then, like I said,
dermatopathologist in the house,along that, a pathologist,
(21:51):
along with two low surgeons ifwe have.
Oh, this thing is really a bigdeal.
Yes, I mean.
So those are.
It's a specialized procedurefor skin cancer where we can
remove small pieces of time,have them looked at immediately
and decided.
More tissue needs to be removed,so like all under anesthetic,
like right there, yes, and thegreat thing about the procedures
(22:15):
that we typically do in theoffice all are done on under
just a local anesthesia, justmeaning a little shot of numbing
medicine when it comes to thosedermatology procedures.
So now, on the aesthetic side,we also have all the things to
make you comfortable, thingsthey've made it people
comfortable.
If people are, um, are, fearfulof any procedure, we, um, we
(22:35):
always try to make peoplecomfortable, which you do, we
try real hard.
Kasie Yokley (22:38):
Oh, they'll give me a dill block.
Yeah, to do my lips?
Absolutely, we don't like to doit, but I, because you want it
to be more natural.
But right, yeah, it's like yousaid.
Kara Richardson (22:47):
You're like, just as better, but I will do it
and it will still be perfectand, and that's the thing, yeah,
if we just do what's best forthe patient, yeah, and so I
think it's all it's all good.
And I mean lips.
Kasie Yokley (22:59):
Yeah, your lips look great too because, thanks
to you, they're essentially yourlips.
I give you all the credit forall the lips.
Well, I appreciate.
So, yeah, okay.
So we talked about skin checks.
Those are good.
Okay, let's talk about becauseof skin cancer awareness month
and we have had a coupleprominent people pass away in
(23:20):
northwest Arkansas in the pastfew years from skin cancer and
those.
I mean and I do believe I couldbe making this up, I don't
think I am that my grandmotherhad something removed and had
skin was treated for it.
I mean it is dangerous, itdoesn't.
Yeah, and I'm from generationand I'm older than you of like
(23:42):
the tanning beds.
I laid in that tanning bed,let's go, yeah, and I had your
little heart.
Oh, yeah, all your things, yes,and so I'm like it does make me
fearful and you have checked meand I have.
We have watched this one molefor 100 years, but it's like it
may just be, I don't know, likean ant, but you know you've got
(24:03):
to take out.
Kara Richardson (24:04):
That's exactly so.
You have your skin cancers.
You know there's differenttypes and not to get into the
specifics of the types but someare very surface-based and so
they grow pretty much on yourupper side of your skin.
But your melanomas, which isthe more fearful skin cancer, is
one that can go deep and sojust like Like deep down, or
deep, deep down and spread, okay, and so we want to catch those
(24:29):
skin cancers at their earliest.
It seems wildly to pass awayFrom something that's just on
the surface.
Yes, so you know.
What I want people to know isthat if you've got this spot and
it just keeps catching yourattention, like you just keep
looking at it, or you getstopped by people and they say,
have you had that looked at?
Get it looked at.
I mean, it's so easy to take aspot off and have it tested.
(24:53):
There is no reason for it tojust let something grow.
Because the thing aboutmelanoma many times it's not
painful, it's not sore, butthat's so wild.
Yeah, I mean it's.
You know they don't always justput big flashing lights next to
them saying I'm a skin care.
Yes, so we.
That's what skin checks do.
Is they give us that yearlylook over.
(25:16):
That can hopefully findsomething new or something
changing very early on, right.
Kasie Yokley (25:23):
I do love them.
It was I was fearful of my skincheck, even though it's not
painful.
Kara Richardson (25:28):
Yeah, everybody's fearful of it, and
that's I just want people toknow.
If that's what's holding youback is just the fear of the
visit itself, don't be, we willdo our best to you know, keep
comfortable and and be as modestas we need to be, all those
things because we can do alittle section at a time it's
easy.
Kasie Yokley (25:48):
It took less than five minutes.
Not to say that you weren'tlike thoroughly checking.
Kara Richardson (25:52):
You were, yes, but I'm like it didn't take very
long at all for me and I thinkyou know that we have some, some
great testimonies even on ourour website and things, things
that talk from or speaking frompeople who have had skin cancer
and just how important it is.
So if you need just somereassurance or you know kind of
(26:14):
what that looks like, go to ourwebsite, premieredermnet, and
you can look at all those thingsalong with you, before and
afters and months.
Yeah, everything, absolutelyit's a great resource.
Kasie Yokley (26:23):
It is a good resource.
Yes, okay, open house, okay,yes, seven house.
Open house happens in aprilhappened.
Yes, because it's coming out inmay.
So I apologize, but talk aboutthe success of those.
I feel like the first one wasin bettenville.
Kara Richardson (26:38):
Yeah, oh, for sure it was on 28th Street.
I'll never forget it.
Okay One, I feel like it wasvery nerve-wracking.
Where did it come from?
Where did the idea come from?
Missy Clifton All the greatideas at Premier Dermatology
come from Missy Clifton, so, butshe had this vision of a way to
(27:04):
for it to be a customerappreciation day along with an
informational just.
I love the I mean bomb on.
Yes, it gave him the ability tolearn about everything that
premiere offers.
Um, and just learn aboutprocedures and get ideas without
feeling that pressure of comingin for a visit right, because
then you feel like you're like,oh, I gotta cave and do it.
Kasie Yokley (27:20):
Yeah, exactly and we don't know if you could watch
somebody get injected rightthere in the waiting room or in
a because?
Yes, speak to that.
Kara Richardson (27:30):
Yes, I said basically no, it's that's.
That's the the neat thing aboutum, that day one.
We're very excited about it.
I, you know, we want people toknow that it's a day that we
love.
The vibe is amazing.
Yes, we love getting to justtalk to our patients and their
friends, if they bring them, andlet them know what options they
(27:52):
have and really have the repsthere from different companies.
Which is a wild part too, likethis person is selling this
machine, but they are wayknowledgeable in it and so
they're in there talking aboutthe procedure absolutely, and
and we all of our team soknowledgeable, and it's a way
for you to get all of yourinformation.
(28:14):
I mean, and you know, downtimeto what to expect to cost all
those things, and that's part ofthe customer appreciation.
It's a day where we discountour aesthetic procedures for the
patient and allow them to takepart in those discounts rather
than having to wait on a specialto come or, oh, you know,
(28:34):
everybody has that opportunityto you know, take in, gain from
the discounts that day.
So I always say it's giftcarding yourself your next
procedure.
Oh, I like that.
So, yeah, you're just basicallyputting money on your account
and as you use that money, youreceive those discounts that
were offered that day.
Okay, but more than anything,it's fun.
(28:54):
We have food, we have drinks,we have, like I said, all the
knowledge, some hands-ontreatments happening that day.
Yeah, dmos, yeah, dmos for sure, and so I think it's just a
great fun day for all of us.
Kasie Yokley (29:08):
It is a good day.
Is it a long day?
It is a long day, yeah, but inthe best way.
Kara Richardson (29:12):
In the best way , I always joke.
I mean I tend to look up andit's 3 o'clock and I've not, you
know, been to the restaurant oreaten anything, but I don't
even feel like tired or workthat spot is good.
So this one, uh the one thattakes place in april, is in uh,
fayetteville and so we have, we,um, you still have one a year,
this having two years, reallynice.
So fayetteville is our springopen house and then bentonville
(29:34):
is our fall open house.
Both are wonderful events, um,it's, it's just a day to really
gather up your friends and andcome just enjoy so how many
years?
Kasie Yokley (29:45):
so, if you've been a premier for 19 years, is the
open house 19, it's 20 years old.
Kara Richardson (29:50):
Well, the house I think is 19, because I think
there's one year we didn't butit's I mean, uh, yeah, it's a
crazy and you all still found away to be creative, pivot and do
it during COVID.
Kasie Yokley (30:02):
Yes.
Kara Richardson (30:03):
Right, you still did it.
Yes, all virtual Uh-huh, andthat's Sarah Fast and Emily A
Wallens get all the credit.
She's one of my favorites, Iknow they get all the credit in
that.
Kasie Yokley (30:10):
And y'all are from the same hometown.
We are from the same hometown.
You suddenly have like travelwell, we do.
Kara Richardson (30:17):
We have coming groups, yes, where they from.
I know our people, yes, uh, butno, it's uh.
They put such a good eventtogether, they.
There are giveaways that areamazing.
I think the last one wassomething like thirty thousand
dollars worth of giveaways.
So, and you know, they justthey make it so seamless and and
(30:41):
fun for everyone, so includingus, so I appreciate them so much
it's the and the giveaway islike a pay it forward.
Kasie Yokley (30:47):
It's not just to like win.
Kara Richardson (30:49):
Yeah, I feel like you're truly paying it
forward yeah, somebody's getting, somebody's gonna get that
treatment that maybe they didn'texactly have funds for or
didn't have this.
You know we're going to spendit on themselves, right, and so
that's amazing.
Kasie Yokley (31:01):
And so, with all the treatments that you do, all
the injections, all the fillers,what is the latest trend?
Kara Richardson (31:08):
oh for sure.
Right now, I would say thelatest trend is jawline oh, what
we were talking yes, I thinkthat is um, really focusing on
your, what you can do for thatjawline, what how it can improve
the neck by improving thejawline.
You know, I think we're justthat's the, that's, that's the.
I think some of that is thetrend of how long fillers have
(31:29):
been around.
You know we we've started out,like I said, just trading these,
um, you know, nasolabial foldsand marionettes, where we're
just filling them up.
Then it moved to more cheeksand and, and you know we started
giving that support and I thinkyou're starting to see, as
those things have been held andpeople have kept those results,
(31:52):
we're now focused on where doesthe jawline fit in and how much
does it improve the overallappearance of the face.
Kasie Yokley (31:58):
Never have.
I thought that my jaw is thenext trend, I know, but it's a
deal.
That's crazy.
Okay, I do have one lastquestion, kind of it, just
popped into my head Do you alltreat migraines with Botox?
Does that happen in your office?
Kara Richardson (32:14):
So we can treat them.
I would not say we treat themthe same way if you go to the
neurologist and have them treatit.
I do have patients that theirmigraines are improved by the
Botox that we do.
Kasie Yokley (32:27):
Okay.
So I'm a migraine sufferer, yes, and, having gone to you for
years, when I finally got into aneurologist, I was like hey,
can you just write me a scriptfor some more Botox?
I'm already getting it.
I know what it feels like.
Let's do this.
And he was like slow your rollif you're already getting it.
That's clearly not for you.
(32:48):
Let's pivot to this injectioninstead.
Instead and it's fine, he's um,I'm I'm very few migraines and
now I have 30.
Uh, meredith hanks over atmercy hospital, who I absolutely
love, who gave us all mymigraines.
Kara Richardson (33:04):
Yes, but um, talk to me about that situation
in your office so there's acouple of ways that it sometimes
, with our injections that we'redoing cosmetically, can help
definitely these brown lines.
There's a lot of tension that'sheld when we're right, so we
are still so that base.
Kasie Yokley (33:22):
So okay, typically in my hand y'all it go, but I
have no idea.
Kara Richardson (33:26):
Yeah, so in migraine true migraine
injections they're they're goingto treat those frown lines, but
then the rest of their botox isgoing to be focused around the,
the scalp itself, okay, um the,even the base of the neck,
sometimes into um around theshoulders areas.
Those are the things thatthey're going to treat, that we
(33:46):
don't necessarily now I have, soa few that I do specifically
treat certain places because weknow their tension from their
migraines is sort of terrific,like down here, yes, so okay, um
, the difference is, is reallyinsurance coverage?
You're, you know, in adermatology office we're not
going to be able to getinsurance coverage for migraine
Botox, but we definitely canhelp it.
(34:08):
The other place that I do do alot of Botox for tension and a
lot of grinding are the teeth.
So I treat a lot of the mastermuscle, which is your muscle
that is a best for grinding andholding that clenching in the
mouth, and so I a lot of people,their migraines or headaches, I
(34:33):
should say, can come from thosetoo.
They wake up in the morning andthey can feel that tension
because they've been grindingovernight, not to mention the
wear and tear on their teeth forsure from that.
So a lot of times we're helpingit out, but by relaxing or
minimizing the strength of thatmuscle, okay, and over time can
eventually create an atrophy ora thinning of that muscle and
(34:56):
kind of change the habits I mean.
Oh, so people, you know we allhave some tension and we we hold
stress in different ways and sosometimes helping those muscles
relax can really help theoverall where is the craziest
place you've placed botox?
Kasie Yokley (35:11):
do you have like a crazy story?
Kara Richardson (35:13):
I'd say the one that people probably haven't
heard of or probably seen muchof is you can place botox on the
upper eyelid, right along thelash line no kidding, yes, and
you can get a slight lift in thelid.
So if you have somewhat of whatmost people would call a lazy
eye, oh, you can correct that byactually placing a little bit
(35:37):
of botox and relaxing that, thatmuscle.
Kasie Yokley (35:39):
So that's kind of a cool spot that is do you learn
that in school or do you justlearn those things over time
training?
Kara Richardson (35:47):
we do a lot of training, okay, as a group.
Um, go to a lot of meetings, um, where you've got you know the,
the, the real gurus, right asyou would call them okay,
leading those meetings andreally learning.
And really, dr Clifton's one ofthose gurus.
She's speaking at many of theseevents and so she may go and
(36:07):
then she may bring us back theknowledge to do something
different.
But yes, it is an evolvingindustry that is so fun to be a
part of.
Kasie Yokley (36:16):
Every day is a new day.
Every day is a new day, wow.
Kara Richardson (36:19):
Yeah.
Kasie Yokley (36:19):
So it's really cool.
Do you love getting brand newpatients in?
Love it?
Okay, I love it Versus.
Not that you don't love yourreturn, no.
All I say is we are bestfriends.
Yes, but like a new, fresh face.
Kara Richardson (36:42):
I well, and I, you know I, I love the new,
fresh face.
Just because you, there's suchan energy of excitement and of
starting kind of the journey anddoing it all um, and so that's
why I think open house is so fun.
There's a lot of new, do youever?
had a new people like post, soyou'll be in the thick of it
right now when this airs rightof new people yes and it's, but
they just you know it's nice toto be able to just talk through
their concerns and and reallyget to make them feel better
(37:04):
about.
Kasie Yokley (37:04):
That's how I started.
This is all coming back to me.
I went to an open house.
Is this how it all started?
Okay, yes, and I ended up in aroom with missy and she's like
you need 28, whatever that meant, and of course I couldn't get
into her and they're like we'regonna put you a carrot.
I was like, okay, great, theyokay great.
They hadn't met you.
It's all nearly back to me.
There's the, there's the.
Who cares about the hippo?
Yes, I got you.
(37:25):
That's how I got you my houseis so great.
Kara Richardson (37:28):
But yes, it's, it's fun and you know, open
house, it's the consults youknow, all complimentary, so and
our.
So we want people, if they justwant to come in and talk, feel
comfortable, make an appointmentand sit down with the provider
and kind of just weigh youroptions.
You know, I think that's whatpeople need, and I have people
who sit to my chair and theydon't want to do any more than
(37:51):
just up their skincare gang, andthat's great, Totally fine too.
I've been in it to see you forthat.
Yeah, it does not all have tobe injections.
There's a place for everyoneand we just want to help them
through it.
Kasie Yokley (38:05):
Well, I love you all and I'm so appreciative that
I was diagnosed with the 28,whatever, that is, units and I
got put with you and now youcan't get rid of me and I'm very
thankful to everyone I get ridof.
No, you can't, it's not anoption.
So my goal is to die likeBarbie.
That's right what I told you,minus the blonde hair.
(38:26):
I end this, michael, and no,you're my person and you, I'm
happy to be.
I am like a complete freakazoid.
I have lots of weird things andI'm like, oh my gosh, oh my
gosh.
But you call me Good and justwalk me through all of it and
I'm like, hey, I think we needto fill it up.
And you're like but we don't,yes, so I settle, because I'm
(38:48):
like fake, fake, fake, which isso bad, but I know it's not, you
know, it's not, it's you know,thank you you.
It so everybody should come topremiere and find their person.
I might share care with you.
That's highly debatable, Idon't know, but I love you.
Thank you for coming in.
Premiere is amazing 19 yearsit's really 20, but you've been
(39:12):
there, yes I've been there 19,so wild, yes, but thank you for
having me.
Kara Richardson (39:16):
And also, just um, one of the things too a
podcast, dr podcast, dr Cliftonhas got All Things Skin, if you
look it up, and there's somegreat information on those
podcasts too.
Kasie Yokley (39:26):
Aesthetically and for dermatology, oh yes, and
it's both sides, so both sidesof the office are fantastic.
So, yes, go listen to Missy'spodcast.
All Things Skin and Kara.
Again, thank you so much.
I appreciate you a ton, thankyou, and thank you so much.
I appreciate you a ton, thankyou, and just thank you for
joining us today.
I appreciate you and we arealways trying to inspire a
(39:48):
culture of giving.
Thank you.
Hey everybody, welcome back to the 3W Podcast,
home of the who, what when,Northwest Arkansas.
I have my dear friend KaraRichardson here with me today.
Hey, kara, thank you for havingme.
Kara is with PremierDermatology, I would say in
Bentonville, but Bentonville,Bella Vista, fayetteville, all
the places.
So she's here with me and I'mgonna put her on the spot really
(00:21):
quickly.
So just get with me on this one, kara.
How'd we meet?
I can't really, I know justkidding, just kidding.
Kara can't tell you how we metbecause it's HIPAA and I didn't
even think about that because Ihave, like, these lists of
questions to try and be overlyprepared.
And she was like I can't talkabout that.
And I was like, oh well, why?
Oh well, because of HIPAA.
(00:41):
And I'm like, oh, I didn'tthink about that.
So that leads me to sayeverything is super, super safe
at Premier Dermatology.
Like they know everybody intown, they know all the deep,
dirty secrets, but yet they'renot spilling it.
That's right, like I would wantto right.
I'm like, oh you, you've seensome things yes okay, so we met
(01:03):
at Premiere because you are mypoker.
Kara Richardson (01:08):
Yes, we, and you are one of my patients and
it has been so fun.
Kasie Yokley (01:12):
It's been a long time.
I don't know how many yearsit's been.
Oh, I don't know exactly.
Kara Richardson (01:16):
I've been at Premiere 19 years, okay, but I
met you before you had a baby,so my baby's eight.
So, yes, probably 10.
Probably it's a lot.
10 plus 19 years is a long timeat one place.
Uh, it's an amazing place.
Kasie Yokley (01:30):
That's all I can tell kudos to you because
there's so much hippity hopthese days, and then the past
five to ten years there has beena lot, definitely, so that's
awesome.
Kara Richardson (01:38):
So you were in the original location I was in
the original basically came onin the first two years of
Premier Like off 28, right, isthat the right?
Yes, off 28.
Okay, yes, and Dr Phillips andI actually worked together prior
to Premier.
Oh, I didn't know that.
Yes, so I did a part-time jobin college at another
(01:58):
dermatology office that shejoined, originally for a short
stint, and actually we workedthere together and I worked kind
of like a nursing aide, um, andgot to work with her.
And then I went off to PAschool and my mother-in-law
actually came in and saw her andtold her I had graduated and
she said, oh, she should give mea call and I did.
And 19 years later, here I am.
Kasie Yokley (02:20):
Yesterday, yes, okay, well, pa school.
So that means you're supersmart.
Well, that's very sweet.
Kara Richardson (02:25):
It does, it does.
Kasie Yokley (02:26):
I've worked very hard for it yes, I would say
that that's, that's absolutely.
It's not without not tons andtons and tons of work.
And I only know that, um, Idon't know this little girl.
I babysat in tulsa 100 yearsago.
She went on to become a PA.
She's now the godmother of my14 year old tomorrow.
So like I watched her grow anddevelop and at one point she was
(02:50):
like I was like hey, get in thefront seat.
She was an eight-year-old andshe was like I can't sit in the
front seat.
Eight-year-olds can't sit inthe front seat of air so I was
like oh, I am, we are not.
The same is what I quicklylearned.
And then she went on to becomea PA in Oahu and I'm like I
watched all this time and studyand I'm like wow, yeah.
Kara Richardson (03:12):
So PA school, um, I kind of lucked into it.
That's what I always say.
I really did just looks into PA.
You can't.
I did because PA schools backthen didn't really exist in
Arkansas.
Uh well, they didn't exist.
Harding came on very quickly,but I went to PA school in
Springfield Missouri yes,springfield Missouri.
And the reason I went was mysister-in-law actually worked
(03:34):
with a PA and she was like haveyou ever heard of them?
I said no, I was at a juniorcollege, wasn't sure where my
biology degree was going to leadme.
Were we on the nursing track?
Not really, just kind of thescience track Probably?
Originally had a short stint ofthinking I might go to medical
school and then quickly sat inclass with other people and
thought not going to medicalschool.
(03:55):
Why Were they not your people?
No, they were so much smarterthan us Next level, next level,
for sure, but you told us thatyou're not sure, but that's it.
And so I just honestly knewthat probably wasn't something I
was going to truly commit to.
And so I was considering goingback to nursing school to do
nurse practitioner and thenheard about PAs and started
(04:16):
looking at it and with all mywork experience at the
dermatology office, I really hadkind of all the things in place
to apply and so I did and,lucky enough, because it's
highly competitive.
Oh, today it is way morecompetitive.
When I was going it was.
I mean it was competitive, butnot to the.
I mean it's ranked in the top10 careers, yes, every year now,
(04:38):
yeah, and so for that reasonmakes it very competitive.
So I feel very fortunate that Iwas led in that path 19 years
ago and and dermatology yearsago for what I have heard.
Kasie Yokley (04:50):
Oh, in the pay, yes, and you're just like.
Oh, I just started, though Ijust like happened to get laid
in the PA and I'm at adermatologist office.
So, yay me, yeah, I really did.
Kara Richardson (05:03):
I and I I tell darsh glifton all the time I'm
just thankful to be a part ofyour world, because it is so
hard to get into dermatology sohard.
Yes, so, to have started thereand really have grown as a pa.
There has been an amazingjourney and experience and
because dermatology is a wholenother level.
Kasie Yokley (05:22):
Like, I don't think poking my face you could
paralyze me, I would assume aneyeball to fall out, but I'm
like you're going.
But yes, we're taking it veryfar into the skin, right, it's
very.
I mean, I feel like you'regoing to my brain, but that's
just because I'm overly dramatic, right?
Kara Richardson (05:45):
I mean your pay tolerance.
We would.
It was clearly low.
I mean I wouldn't say it's onthe high.
Kasie Yokley (05:50):
Right, no, you and multiple people.
But also I do feel like I'mreal tough, but I'm a giant baby
when I come to you.
But I mean you all are goingbarely into the skin.
I mean I know y'all have fancylevel names for your layers and
whatnot and I'm like that takesextreme artistic precision we
take it very seriously.
Kara Richardson (06:10):
Yes, we want every face is is very different
and you want that treatment tobe customized to that base and
you know the results that we'relooking for.
So you, yeah, we've had, I'vehad lots and lots and lots of
practice over these years, lotsand lots of trainings.
Um, just to speak to that, asinjectors at premier, we have 65
years of experience.
(06:31):
That's bananas, I know we'venot bananas.
Yes, so you won't hear that inin many places, and for sure not
northwest star.
No, but yeah, so I work with anamazing team.
I mean Dr Clifton leads thatteam, but those around us, I
mean we work together so well.
Kasie Yokley (06:48):
There's like no turnover.
Yeah, even if a coach comesagainst me out of the waiting
room.
It's always the super cuteJordan.
Yes, thank you.
With the adorable blonde hair,she's just the best thing.
Oh, she's the best, yes, andI'm like, oh, she's like how are
you doing?
I blonde hair, she's just thebest thing, best.
Yes, and I'm like, oh, she'slike, how are you doing?
Kara Richardson (07:07):
I'm like ready, let's go fill me up.
But yeah, so I think that's thekey is, you know, as we're a
family, um, and, like I said, ateam that really works well
together and we want the patientto feel like the entire team is
part of their care and cautiousand cautious and don't just
fill people up to fill them up,because I walk in and I'm oh, I
think we need to do this andyou're like, but we don't.
(07:27):
Yes, I'm real good at tellingpeople no If I don't agree with
what they think they need done,if I think it's too much or I
feel like it's not going to givethe results that we want.
And that's what you want inyour injector.
You want to trust them 100 andI appreciate you trusting me I
do.
Kasie Yokley (07:46):
I trust you with everything I would send every
human I know well.
Kara Richardson (07:50):
I tell people all the time the best compliment
is when I get that friendshipreferral or that one-on-one that
, that that means everything,absolutely, because that's
that's what we're aimed for.
You know ad permit is to is tomake people feel like you know
they're the most important thingat that moment and that we're
taking the best care.
That's absolutely true.
Kasie Yokley (08:10):
So I feel like I'm your only patient when I walk
in there.
Good, we're doing our job.
What's the weirdest thingyou've ever seen?
Oh, I don't know.
You see lots of weird things.
Kara Richardson (08:21):
No, dermatology kind of, is that?
I mean there's a lot of strangethings, you know, between the
rashes and what everybody seeson TV on Double Popper.
I mean you can imagine Lastweek what did you see?
So I don't do as much medicalanymore.
So I am mainly on the cosmeticside I would say 95% at this
(08:43):
point where I am truly just indoing injectables, kind of like
Van Gogh.
I don't know, I wish I was likeVan Gogh, but I love what I do.
I mean I really do.
And yeah, when you're injectingsomeone, you know every face is
new and I always say that's whatkeeps it exciting, is you know,
every face is a new face.
It's a new campus, yes, and soI just want that to be the best
(09:07):
face that it can be for them.
I want them to feel like theylook less tired, rested,
brighter, whatever it is,because none of us want to age.
No, I mean no, I totally fake.
Oh, 100%, instead of just oneage.
No, I mean no, I totally fakeoh 100.
We jubble cook, that you know.
Happy, maybe in the hospital,but the bojocks is coming in.
Kasie Yokley (09:26):
I'm still gonna work the band.
So that is the saddest partabout walking into rear is I
feel like a what do I?
A sharp, sharp, sharp pain I'mlike just make me not like a
Sharpay walking out.
Y'all look like China dolls andI look like a Sharpay walking
out.
Kara Richardson (09:50):
And I, you know that's it's.
Those sprinkles are just not,they're not anybody's favorite
thing, so but yeah, we, we wanteverybody to just get that that
refresh look.
Kasie Yokley (09:56):
Well, let's talk about that Like inject, okay, so
I butchered it on my, my notespage like injections and
treatments and trends, andfillers versus toxins, am I?
Yes, that's correct.
Is that correct?
Yes, okay, so to your sharppoint.
Uh, I can't hear you just addsome letters so to the sharp a
(10:17):
point.
Kara Richardson (10:18):
Okay, that's where your botox and that's up
here.
Kasie Yokley (10:21):
It's all over it can be all over really at this
point.
Kara Richardson (10:24):
Um, because the rumor was, I feel like 100
years ago it was like no, can'tgo below here because you're
gonna be paralyzed and that'sthe thing is that there's always
the on label version, which isis what the brands can really
speak to, and then there's theoff label version, which is
where we use, you know, fillersor toxins in places that maybe
the FDA approval doesn'taccurately include.
(10:46):
But yeah, so now I feel like weare using Botox really from the
forehead all the way down tothe neck.
Stop, people, put Botox intheir neck.
Kasie Yokley (10:55):
Oh, I have a ton of Botox in my neck Till I take
this.
You have Botox in your neck,Did you just say that?
Yes?
Kara Richardson (11:02):
because I was not blessed with a very long
neck.
It's a very short neck, okay.
And so one thing that Botoxjust a little kind of side note
is that it can actually helplengthen that neck Because as we
age and the world of technologyand phones in front of us and
us looking down all the time,okay, those little platysmal
(11:22):
bands and they're really notlittle but platysmal bands can
kind of get shorter and shorter,and so when we relax some of
that, we allow a littlelengthening.
It's called the nephrotityeffect, and so you put Botox
along that jawline and you get aslight lift.
It can also help to minimizethe look of them.
Sometimes you'll see thesesharp bands.
Kasie Yokley (11:42):
Yes, on those women as they age.
Kara Richardson (11:44):
Whatever those words were yes and so, because
of the fat loss and the thing inthe skin, sometimes those bands
get more pronounced.
So botox can be a great waykind of minimize the look of
those.
So botox, we talk a lot aboutexpression lines like frown
lines, crow's feet or smilelines.
Those things are well takencare of with Botox.
(12:07):
The smile lines is that outhere or right here?
Right here, I say smile linesaround your eyes.
We can help also lift the browwith gauze.
Your Botox is really working onmovement, so so you're going to
reduce some movement, to lessensome lines.
Okay, when we talk about fillers, what we're trying to do is
(12:30):
give back the cushion or thesupport.
Okay, because you really, as weage, lose a lot of that cushion
and support, whether it's infat loss or bone loss.
Um, we can't talk about bonerecession.
So our, unfortunately, our, ourskull kind of shrinks a little
bit.
It does, it does our bone getsthinner and so with that
(12:50):
separate from like anosteoporosis type, yes, very
separate, very just naturalaging, oh and so, as that
happens, you start to see moreshadows, more hollowing around
the eyes.
Sometimes what we see theseshadows have in these around our
mouth and where we feel like wehave those folds and what many
people refer to as marionettelines, which is on the lower
(13:13):
part of the face, oh okay, whichI guess looks sad.
So less shadows and more lightreflection give us a brighter,
more useful look.
Kasie Yokley (13:22):
But you must have some like amazing fillers.
No, that's yes, that is whatfillers these days, because you
have not filled me, yes, inforever.
So even though I've asked, forit.
Kara Richardson (13:30):
You're like you don't.
A lot of times you get a littleremodeling with those fillers,
meaning you place that fillerunderneath the skin and your
body will actually kind of buildback around it in some ways and
create some support that maybeit didn't have before.
So even as the filler may beabsorbed over you know a time of
sometimes you know six months,sometimes a year then your body
(13:53):
has built back itself in placeof it slightly.
Now eventually you'll need itagain.
I think today's world offillers is that we don't tend to
treat the same area every time.
That's not you used to.
We may come in and we wouldjust treat, oh would that be
like that?
Kasie Yokley (14:11):
um, what's the movie with the lips and goldie
haunt, first wife, first wivesclubs?
Kara Richardson (14:15):
bring them up, fill them up.
Yes, you're just doing the samething over and over again.
Today's world of fillers.
We are really looking at theface and giving support back
where it's needed, whether thatbe cheeks, whether that be
jawline chins.
I mean johns and chins arereally a focus right now.
We want more of a chin.
We want, we want to make surethat we keep the projection of
(14:36):
the chin and, yes, more of thechin.
You poked me down here, but Idon't know there's some botox
there too.
This down in the lower face,you get a couple things
happening back to the bone, kindof recessing.
That chin recesses over timeand so when we lose that, you
lose the sculpting that you haveon that jawline and in photos
(15:00):
and the world of photos are soprominent right now that I mean
people just don't like how theylook.
They're still the first daylike, oh, I see my double chin
or I see my jowls and thosethings.
The jowl the jowl is your,basically a little fat potter if
it kind of sits on either sideof the chin that you we start to
(15:21):
see due to some shifting in fatpads also as we, oh, those
things move, yeah, so there's,um, there's a lot going on in
our faces as we age and so, asan injector, what we're trying
to do is put things back inplace or in um support that can
create a more useful look.
(15:42):
So jawlines are a big dealbecause you really can create a
a useful look by just givingback that structure.
So I think cheeks you know wetalk at the ending there's all
these celebrities we've watchedover the years.
I mean, there's all thesecelebrities we've watched over
the years morph into somethingthat we maybe don't like the
(16:03):
look of Right.
And people always ask me well,what filler?
You know, it's probably acombination of filler and maybe
some plastic surgery and maybesome plastic implants who knows?
But they're not a natural lookRight.
Main thing I tell my patientsis I want you to look like you.
I don't want to change yourthing, who you are.
(16:24):
We want to just lessen thingsthat bother you, and that is not
only just fillers andneurotoxins.
Kasie Yokley (16:35):
It's also in resurfacing.
Oh yeah, You've sold me a bunchof things to put on my face.
Kara Richardson (16:38):
Your skin care is key.
I mean, you may not have a lineand you may not have a shadow,
but if you have a bunch of agespots or sun spots or an even
tone to your skin, you're stillnot going to be happy with it,
right?
So that's another thing atPremier that we love is we have
all the things that you need,all the things To address those
things, whether that's in, youknow, some blazers, yes, or at
(17:02):
home skincare, um, and then youknow even big lasers that you
know for a lot of people, ifthey're starting later, you know
, people are young people now,are are in this game early, oh
right, because they're tickedoff, yes, and they want to.
They're starting botox in their20s.
Well, you know, is that good?
It is good, okay.
(17:23):
It is absolutely preventative,okay, but there's never too late
, is what I tell people.
Like, if you haven't started,it's the things that I do that
can, that can definitely improve, and you know that's something
that you know there's not a setstandard.
You shouldn't start Botox at 25.
That's not the answer, gotcha.
(17:43):
You should start when you'restarting to see etched lines or
changes where you're feelinglike you have a heavier brow
than you used to.
Kasie Yokley (17:52):
Oh, is that?
Does that just happen toeverybody?
It does.
Kara Richardson (17:55):
Oh, okay, yeah, everybody gets it.
It's.
You know, nobody is not agingOkay, fair.
So everybody gets it.
You know, nobody is not aging,okay, fair.
So you know, our lifestyledefinitely plays a part in it.
How much sun you've had, howmuch you know, your day-to-day
diet, exercise, those things aregoing to play into it.
But everybody's aging some.
(18:16):
So we just want to slow thatdown and do that in the best way
.
So for a lot of people, it'sBotox early on, just to prevent
some 11s that they may see intheir family.
Oh, 11s, that's hilarious.
So, but yeah, so I think everyjourney is different, okay, and
(18:38):
everybody starts at a differentstate.
Kasie Yokley (18:41):
I do love that and y'all don't judge, no, no,
because I'm a sun lover.
I know I mean we're gonna spenda real sense very painful, but
I just want to be as transparentand honest as possible.
But I'm wearing the sunscreen,but I also and like y'all can go
sit over there in the standsI'm gonna go sit in the sun
because i'm'm like A I'm coldand B I just love.
(19:03):
But you're wearing yoursunscreen, I am wearing my
sunscreen and that's key.
Yeah, and I take a hat with meon vacation.
Kara Richardson (19:11):
And we want people to live as dermatologists
.
We don't expect you to yeah,you never say me, yeah, never.
Kasie Yokley (19:22):
But we expect you to.
You never say me yeah, never.
But we do want you to do yourskin checks.
Yes, so which may?
This will air in may, eventhough we're recording early,
sorry, everybody cats out thebag.
Um, may is what?
How did what's the proper termskin candy, or where?
This month?
Okay, yes, yes.
And so I feel like y'all havedone free skin checkups every
may, so we haven't passed um.
Kara Richardson (19:39):
We're a little busy right now to where we can't
offer those as as often as we'dlike to.
But schedule with your normalschedule, with your normal
appointment, whether that's, andthen just yearly, that's right,
that's the key and I will throwmyself under the bus.
Kasie Yokley (19:53):
I just did my first one a year ago and and it
was fine, yes, and I think weremoved something because I
wanted it removed.
I was, take that off, it servesno purpose, yeah.
And then I didn't thinkanything of it.
And then so you called me likea week or two later you're like,
oh, it's fine.
I was like didn't think itwasn't and it did, but we called
anyway, didn't even dawn on methat we were checking it, but
(20:16):
you all went through the extrasteps that never even occurred
to me.
I'm like like I'm where I'msupposed to be, I'm with the
right people, that's right.
Kara Richardson (20:24):
And a skin check is easy.
I mean, I know it's scary to alot of people.
Nobody likes the idea of havingto come into any clinic and,
you know, get in a gown, it'sgoing to save lives.
It is and it's.
We're looking at eachindividual lesion and we are not
looking at you know people, no,your whole body.
We're looking at your wholebody, but just, yes, in terms of
(20:44):
your skin, yes, so we want youto feel comfortable.
Um, the process is is prettysimple.
You basically check in, getyour history on your, on your
son, you know exposure, your,your family skin cancer history,
um, and then we put you in agown and we go you know little
areas at a gown and we go, youknow little areas at a time and
look at lesions and analyze themand decide if there's anything
(21:06):
worrisome.
If so, can be removed usuallythat day.
And we have a dermatopathologistin office who is a
board-certified, trainedpathologist in just skin.
So she is looking at thoseladies in house and she's in
house dr battle.
She's amazing, yes, and that'son our dermatology side.
(21:28):
I mean I.
Is she so busy?
Oh, yes, yeah, how.
But yeah, our dermatology sideis just as amazing as our
aesthetic side because we have,you know, board certified,
double board certifieddermatologist at oh, I love the
other side of the, yes, and then, like I said,
dermatopathologist in the house,along that, a pathologist,
(21:51):
along with two low surgeons ifwe have.
Oh, this thing is really a bigdeal.
Yes, I mean.
So those are.
It's a specialized procedurefor skin cancer where we can
remove small pieces of time,have them looked at immediately
and decided.
More tissue needs to be removed,so like all under anesthetic,
like right there, yes, and thegreat thing about the procedures
(22:15):
that we typically do in theoffice all are done on under
just a local anesthesia, justmeaning a little shot of numbing
medicine when it comes to thosedermatology procedures.
So now, on the aesthetic side,we also have all the things to
make you comfortable, thingsthey've made it people
comfortable.
If people are, um, are, fearfulof any procedure, we, um, we
(22:35):
always try to make peoplecomfortable, which you do, we
try real hard.
Kasie Yokley (22:38):
Oh, they'll give me a dill block.
Yeah, to do my lips?
Absolutely, we don't like to doit, but I, because you want it
to be more natural.
But right, yeah, it's like yousaid.
Kara Richardson (22:47):
You're like, just as better, but I will do it
and it will still be perfectand, and that's the thing, yeah,
if we just do what's best forthe patient, yeah, and so I
think it's all it's all good.
And I mean lips.
Kasie Yokley (22:59):
Yeah, your lips look great too because, thanks
to you, they're essentially yourlips.
I give you all the credit forall the lips.
Well, I appreciate.
So, yeah, okay.
So we talked about skin checks.
Those are good.
Okay, let's talk about becauseof skin cancer awareness month
and we have had a coupleprominent people pass away in
(23:20):
northwest Arkansas in the pastfew years from skin cancer and
those.
I mean and I do believe I couldbe making this up, I don't
think I am that my grandmotherhad something removed and had
skin was treated for it.
I mean it is dangerous, itdoesn't.
Yeah, and I'm from generationand I'm older than you of like
(23:42):
the tanning beds.
I laid in that tanning bed,let's go, yeah, and I had your
little heart.
Oh, yeah, all your things, yes,and so I'm like it does make me
fearful and you have checked meand I have.
We have watched this one molefor 100 years, but it's like it
may just be, I don't know, likean ant, but you know you've got
(24:03):
to take out.
Kara Richardson (24:04):
That's exactly so.
You have your skin cancers.
You know there's differenttypes and not to get into the
specifics of the types but someare very surface-based and so
they grow pretty much on yourupper side of your skin.
But your melanomas, which isthe more fearful skin cancer, is
one that can go deep and sojust like Like deep down, or
deep, deep down and spread, okay, and so we want to catch those
(24:29):
skin cancers at their earliest.
It seems wildly to pass awayFrom something that's just on
the surface.
Yes, so you know.
What I want people to know isthat if you've got this spot and
it just keeps catching yourattention, like you just keep
looking at it, or you getstopped by people and they say,
have you had that looked at?
Get it looked at.
I mean, it's so easy to take aspot off and have it tested.
(24:53):
There is no reason for it tojust let something grow.
Because the thing aboutmelanoma many times it's not
painful, it's not sore, butthat's so wild.
Yeah, I mean it's.
You know they don't always justput big flashing lights next to
them saying I'm a skin care.
Yes, so we.
That's what skin checks do.
Is they give us that yearlylook over.
(25:16):
That can hopefully findsomething new or something
changing very early on, right.
Kasie Yokley (25:23):
I do love them.
It was I was fearful of my skincheck, even though it's not
painful.
Kara Richardson (25:28):
Yeah, everybody's fearful of it, and
that's I just want people toknow.
If that's what's holding youback is just the fear of the
visit itself, don't be, we willdo our best to you know, keep
comfortable and and be as modestas we need to be, all those
things because we can do alittle section at a time it's
easy.
Kasie Yokley (25:48):
It took less than five minutes.
Not to say that you weren'tlike thoroughly checking.
Kara Richardson (25:52):
You were, yes, but I'm like it didn't take very
long at all for me and I thinkyou know that we have some, some
great testimonies even on ourour website and things, things
that talk from or speaking frompeople who have had skin cancer
and just how important it is.
So if you need just somereassurance or you know kind of
(26:14):
what that looks like, go to ourwebsite, premieredermnet, and
you can look at all those thingsalong with you, before and
afters and months.
Yeah, everything, absolutelyit's a great resource.
Kasie Yokley (26:23):
It is a good resource.
Yes, okay, open house, okay,yes, seven house.
Open house happens in aprilhappened.
Yes, because it's coming out inmay.
So I apologize, but talk aboutthe success of those.
I feel like the first one wasin bettenville.
Kara Richardson (26:38):
Yeah, oh, for sure it was on 28th Street.
I'll never forget it.
Okay One, I feel like it wasvery nerve-wracking.
Where did it come from?
Where did the idea come from?
Missy Clifton All the greatideas at Premier Dermatology
come from Missy Clifton, so, butshe had this vision of a way to
(27:04):
for it to be a customerappreciation day along with an
informational just.
I love the I mean bomb on.
Yes, it gave him the ability tolearn about everything that
premiere offers.
Um, and just learn aboutprocedures and get ideas without
feeling that pressure of comingin for a visit right, because
then you feel like you're like,oh, I gotta cave and do it.
Kasie Yokley (27:20):
Yeah, exactly and we don't know if you could watch
somebody get injected rightthere in the waiting room or in
a because?
Yes, speak to that.
Kara Richardson (27:30):
Yes, I said basically no, it's that's.
That's the the neat thing aboutum, that day one.
We're very excited about it.
I, you know, we want people toknow that it's a day that we
love.
The vibe is amazing.
Yes, we love getting to justtalk to our patients and their
friends, if they bring them, andlet them know what options they
(27:52):
have and really have the repsthere from different companies.
Which is a wild part too, likethis person is selling this
machine, but they are wayknowledgeable in it and so
they're in there talking aboutthe procedure absolutely, and
and we all of our team soknowledgeable, and it's a way
for you to get all of yourinformation.
(28:14):
I mean, and you know, downtimeto what to expect to cost all
those things, and that's part ofthe customer appreciation.
It's a day where we discountour aesthetic procedures for the
patient and allow them to takepart in those discounts rather
than having to wait on a specialto come or, oh, you know,
(28:34):
everybody has that opportunityto you know, take in, gain from
the discounts that day.
So I always say it's giftcarding yourself your next
procedure.
Oh, I like that.
So, yeah, you're just basicallyputting money on your account
and as you use that money, youreceive those discounts that
were offered that day.
Okay, but more than anything,it's fun.
(28:54):
We have food, we have drinks,we have, like I said, all the
knowledge, some hands-ontreatments happening that day.
Yeah, dmos, yeah, dmos for sure, and so I think it's just a
great fun day for all of us.
Kasie Yokley (29:08):
It is a good day.
Is it a long day?
It is a long day, yeah, but inthe best way.
Kara Richardson (29:12):
In the best way , I always joke.
I mean I tend to look up andit's 3 o'clock and I've not, you
know, been to the restaurant oreaten anything, but I don't
even feel like tired or workthat spot is good.
So this one, uh the one thattakes place in april, is in uh,
fayetteville and so we have, we,um, you still have one a year,
this having two years, reallynice.
So fayetteville is our springopen house and then bentonville
(29:34):
is our fall open house.
Both are wonderful events, um,it's, it's just a day to really
gather up your friends and andcome just enjoy so how many
years?
Kasie Yokley (29:45):
so, if you've been a premier for 19 years, is the
open house 19, it's 20 years old.
Kara Richardson (29:50):
Well, the house I think is 19, because I think
there's one year we didn't butit's I mean, uh, yeah, it's a
crazy and you all still found away to be creative, pivot and do
it during COVID.
Kasie Yokley (30:02):
Yes.
Kara Richardson (30:03):
Right, you still did it.
Yes, all virtual Uh-huh, andthat's Sarah Fast and Emily A
Wallens get all the credit.
She's one of my favorites, Iknow they get all the credit in
that.
Kasie Yokley (30:10):
And y'all are from the same hometown.
We are from the same hometown.
You suddenly have like travelwell, we do.
Kara Richardson (30:17):
We have coming groups, yes, where they from.
I know our people, yes, uh, butno, it's uh.
They put such a good eventtogether, they.
There are giveaways that areamazing.
I think the last one wassomething like thirty thousand
dollars worth of giveaways.
So, and you know, they justthey make it so seamless and and
(30:41):
fun for everyone, so includingus, so I appreciate them so much
it's the and the giveaway islike a pay it forward.
Kasie Yokley (30:47):
It's not just to like win.
Kara Richardson (30:49):
Yeah, I feel like you're truly paying it
forward yeah, somebody's getting, somebody's gonna get that
treatment that maybe they didn'texactly have funds for or
didn't have this.
You know we're going to spendit on themselves, right, and so
that's amazing.
Kasie Yokley (31:01):
And so, with all the treatments that you do, all
the injections, all the fillers,what is the latest trend?
Kara Richardson (31:08):
oh for sure.
Right now, I would say thelatest trend is jawline oh, what
we were talking yes, I thinkthat is um, really focusing on
your, what you can do for thatjawline, what how it can improve
the neck by improving thejawline.
You know, I think we're justthat's the, that's, that's the.
I think some of that is thetrend of how long fillers have
(31:29):
been around.
You know we we've started out,like I said, just trading these,
um, you know, nasolabial foldsand marionettes, where we're
just filling them up.
Then it moved to more cheeksand and, and you know we started
giving that support and I thinkyou're starting to see, as
those things have been held andpeople have kept those results,
(31:52):
we're now focused on where doesthe jawline fit in and how much
does it improve the overallappearance of the face.
Kasie Yokley (31:58):
Never have.
I thought that my jaw is thenext trend, I know, but it's a
deal.
That's crazy.
Okay, I do have one lastquestion, kind of it, just
popped into my head Do you alltreat migraines with Botox?
Does that happen in your office?
Kara Richardson (32:14):
So we can treat them.
I would not say we treat themthe same way if you go to the
neurologist and have them treatit.
I do have patients that theirmigraines are improved by the
Botox that we do.
Kasie Yokley (32:27):
Okay.
So I'm a migraine sufferer, yes, and, having gone to you for
years, when I finally got into aneurologist, I was like hey,
can you just write me a scriptfor some more Botox?
I'm already getting it.
I know what it feels like.
Let's do this.
And he was like slow your rollif you're already getting it.
That's clearly not for you.
(32:48):
Let's pivot to this injectioninstead.
Instead and it's fine, he's um,I'm I'm very few migraines and
now I have 30.
Uh, meredith hanks over atmercy hospital, who I absolutely
love, who gave us all mymigraines.
Kara Richardson (33:04):
Yes, but um, talk to me about that situation
in your office so there's acouple of ways that it sometimes
, with our injections that we'redoing cosmetically, can help
definitely these brown lines.
There's a lot of tension that'sheld when we're right, so we
are still so that base.
Kasie Yokley (33:22):
So okay, typically in my hand y'all it go, but I
have no idea.
Kara Richardson (33:26):
Yeah, so in migraine true migraine
injections they're they're goingto treat those frown lines, but
then the rest of their botox isgoing to be focused around the,
the scalp itself, okay, um the,even the base of the neck,
sometimes into um around theshoulders areas.
Those are the things thatthey're going to treat, that we
(33:46):
don't necessarily now I have, soa few that I do specifically
treat certain places because weknow their tension from their
migraines is sort of terrific,like down here, yes, so okay, um
, the difference is, is reallyinsurance coverage?
You're, you know, in adermatology office we're not
going to be able to getinsurance coverage for migraine
Botox, but we definitely canhelp it.
(34:08):
The other place that I do do alot of Botox for tension and a
lot of grinding are the teeth.
So I treat a lot of the mastermuscle, which is your muscle
that is a best for grinding andholding that clenching in the
mouth, and so I a lot of people,their migraines or headaches, I
(34:33):
should say, can come from thosetoo.
They wake up in the morning andthey can feel that tension
because they've been grindingovernight, not to mention the
wear and tear on their teeth forsure from that.
So a lot of times we're helpingit out, but by relaxing or
minimizing the strength of thatmuscle, okay, and over time can
eventually create an atrophy ora thinning of that muscle and
(34:56):
kind of change the habits I mean.
Oh, so people, you know we allhave some tension and we we hold
stress in different ways and sosometimes helping those muscles
relax can really help theoverall where is the craziest
place you've placed botox?
Kasie Yokley (35:11):
do you have like a crazy story?
Kara Richardson (35:13):
I'd say the one that people probably haven't
heard of or probably seen muchof is you can place botox on the
upper eyelid, right along thelash line no kidding, yes, and
you can get a slight lift in thelid.
So if you have somewhat of whatmost people would call a lazy
eye, oh, you can correct that byactually placing a little bit
(35:37):
of botox and relaxing that, thatmuscle.
Kasie Yokley (35:39):
So that's kind of a cool spot that is do you learn
that in school or do you justlearn those things over time
training?
Kara Richardson (35:47):
we do a lot of training, okay, as a group.
Um, go to a lot of meetings, um, where you've got you know the,
the, the real gurus, right asyou would call them okay,
leading those meetings andreally learning.
And really, dr Clifton's one ofthose gurus.
She's speaking at many of theseevents and so she may go and
(36:07):
then she may bring us back theknowledge to do something
different.
But yes, it is an evolvingindustry that is so fun to be a
part of.
Kasie Yokley (36:16):
Every day is a new day.
Every day is a new day, wow.
Kara Richardson (36:19):
Yeah.
Kasie Yokley (36:19):
So it's really cool.
Do you love getting brand newpatients in?
Love it?
Okay, I love it Versus.
Not that you don't love yourreturn, no.
All I say is we are bestfriends.
Yes, but like a new, fresh face.
Kara Richardson (36:42):
I well, and I, you know I, I love the new,
fresh face.
Just because you, there's suchan energy of excitement and of
starting kind of the journey anddoing it all um, and so that's
why I think open house is so fun.
There's a lot of new, do youever?
had a new people like post, soyou'll be in the thick of it
right now when this airs rightof new people yes and it's, but
they just you know it's nice toto be able to just talk through
their concerns and and reallyget to make them feel better
(37:04):
about.
Kasie Yokley (37:04):
That's how I started.
This is all coming back to me.
I went to an open house.
Is this how it all started?
Okay, yes, and I ended up in aroom with missy and she's like
you need 28, whatever that meant, and of course I couldn't get
into her and they're like we'regonna put you a carrot.
I was like, okay, great, theyokay great.
They hadn't met you.
It's all nearly back to me.
There's the, there's the.
Who cares about the hippo?
Yes, I got you.
(37:25):
That's how I got you my houseis so great.
Kara Richardson (37:28):
But yes, it's, it's fun and you know, open
house, it's the consults youknow, all complimentary, so and
our.
So we want people, if they justwant to come in and talk, feel
comfortable, make an appointmentand sit down with the provider
and kind of just weigh youroptions.
You know, I think that's whatpeople need, and I have people
who sit to my chair and theydon't want to do any more than
(37:51):
just up their skincare gang, andthat's great, Totally fine too.
I've been in it to see you forthat.
Yeah, it does not all have tobe injections.
There's a place for everyoneand we just want to help them
through it.
Kasie Yokley (38:05):
Well, I love you all and I'm so appreciative that
I was diagnosed with the 28,whatever, that is, units and I
got put with you and now youcan't get rid of me and I'm very
thankful to everyone I get ridof.
No, you can't, it's not anoption.
So my goal is to die likeBarbie.
That's right what I told you,minus the blonde hair.
(38:26):
I end this, michael, and no,you're my person and you, I'm
happy to be.
I am like a complete freakazoid.
I have lots of weird things andI'm like, oh my gosh, oh my
gosh.
But you call me Good and justwalk me through all of it and
I'm like, hey, I think we needto fill it up.
And you're like but we don't,yes, so I settle, because I'm
(38:48):
like fake, fake, fake, which isso bad, but I know it's not, you
know, it's not, it's you know,thank you you.
It so everybody should come topremiere and find their person.
I might share care with you.
That's highly debatable, Idon't know, but I love you.
Thank you for coming in.
Premiere is amazing 19 yearsit's really 20, but you've been
(39:12):
there, yes I've been there 19,so wild, yes, but thank you for
having me.
Kara Richardson (39:16):
And also, just um, one of the things too a
podcast, dr podcast, dr Cliftonhas got All Things Skin, if you
look it up, and there's somegreat information on those
podcasts too.
Kasie Yokley (39:26):
Aesthetically and for dermatology, oh yes, and
it's both sides, so both sidesof the office are fantastic.
So, yes, go listen to Missy'spodcast.
All Things Skin and Kara.
Again, thank you so much.
I appreciate you a ton, thankyou, and thank you so much.
I appreciate you a ton, thankyou, and just thank you for
joining us today.
I appreciate you and we arealways trying to inspire a
(39:48):
culture of giving.
Thank you.
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