In this conversation, Dr. Kate Dee speaks with Dr. Corey Goldberg, a plastic surgeon, about the complications arising from MedSpa procedures, particularly focusing on Botox and fillers. They discuss various cases from the emergency room, highlighting the risks associated with these cosmetic treatments, including infections and the dangers of permanent fillers. The conversation emphasizes the importance of patient safety and the need for qualified practitioners in the aesthetic field. In this conversation, Dr. Cory Goldberg and Dr. Kate Dee discuss the complexities and risks associated with cosmetic procedures, particularly focusing on the dangers of unregulated practices and the evolution of beauty standards. They explore the implications of vascular complications from aesthetic treatments, the importance of a holistic approach to cosmetic procedures, and the need for accountability in the industry. The discussion also highlights the significance of healthy living and recovery in achieving optimal results from cosmetic interventions.

Check out the Medspa Mayhem website for

• More about Dr. Dee

• Upcoming appearances

• Links to buy the book on Bookshop, B&N, Amazon

• Press and Podcast info

Glow Medispa in Seattle, WA

Connect with Dr. Goldberg:

IG: @drcorygoldbergmd

www.BeautySpan.com

www.GliSODin.org

Takeaways

• Botox and fillers can cause infections and granulomas if not administered properly.

• Permanent fillers carry significant risks and should be approached with caution.

• Liquid silicone injections can lead to migration and severe complications over time.

• The importance of using legitimate products in aesthetic treatments cannot be overstated.

• Aesthetic practitioners must be prepared to handle complications effectively. The risks of unregulated cosmetic procedures can lead to severe complications.

• Vascular occlusion is a serious risk in aesthetic treatments.

• Beauty standards are evolving, often influenced by social media and filters.

• There is a growing trend of over-treatment in the cosmetic industry.

• Education and awareness are crucial for patients seeking cosmetic procedures.

• Maintaining a balanced diet can significantly impact recovery and results.

Chapters

00:00 Introduction

01:05 Meet Dr. Corey Goldberg

01:50 Complications from MedSpa Procedures

02:15 Botox Gone Wrong

11:34 Filler Complications

13:52 The Dangers of Permanent Fillers

22:32 Silicone Injections: A Cautionary Tale

24:34 Silicone Injections and Their Complications

25:28 The Dangers of Vascular Compromise

29:02 Unregulated Med Spas and Patient Risks

32:51 The Shift in Beauty Standards

41:55 Approach to Cosmetic Procedures

45:20 Personal Secrets for Health and Beauty

47:03 Conclusion and Final Thoughts

In this conversation, Dr. Kate Dee speaks with Dr. Rohan Bissoondath about the concept of longevity and how to enhance health span. They discuss the importance of understanding aging, the role of biomarkers, comprehensive health assessments, and the challenges of motivating lifestyle changes. Dr. Bissoondath emphasizes the significance of nutrition, movement, and the future of healthcare through remote monitoring. They explore the high costs associated with end-of-life care, the significance of consuming whole foods, and the role of GLP-1 medications in improving health outcomes. The discussion also emphasizes the connection between mental and physical health, the impact of sleep hygiene, and the necessity of taking personal responsibility for one's health.

Check out the Medspa Mayhem website for

• More about Dr. Dee

• Upcoming appearances

• Links to buy the book on Bookshop, B&N, Amazon

• Press and Podcast info

Glow Medispa in Seattle, WA

Purchase Medspa Mayhem on Amazon

Connect with Dr. Rohan Bissoondath at Preventous Health

Takeaways

• The medical community has increased lifespan but not necessarily health span.

• Aging can be slowed down, but not reversed.

• Nutrition should be personalized and based on individual patterns.

• Movement and functional health are crucial for longevity.

• Real food, such as whole foods, is essential for health.

• Education about nutrition should start early in life.

• GLP-1 medications show promise in improving metabolic health.

• Mental and physical health are interconnected and influence each other.

• Sleep hygiene is crucial for overall well-being.

• Foundational health habits should be prioritized over fads.

Chapters

00:00 Taking Ownership of Your Health

01:32 Meet Dr. Rohan Basundath

02:34 The Concept of Longevity

03:26 Understanding Biological Age

04:17 Components of a Longevity Program

08:34 The Role of Nutrition and Movement

18:39 Precision Medicine and Individualized Care

21:48 The Cost of Prolonging Life

22:26 Healthy Living: Food and Exercise

24:13 Healthcare Spending and Longevity

25:47 The Obesity and Diabetes Epidemic

27:39 The Role of GLP-1 Agonists

29:57 Mental and Physical Health Connection

32:43 The Impact of Technology on Sleep

37:14 Practical Advice for Healthy Aging

In this episode, Dr. Kate Dee interviews Dr. Naomi Bush, a specialist in menopause medicine, about the complexities of menopause and hormone therapy. They discuss the historical context and impact of the 2002 Women's Health Initiative study on hormone therapy practices, as well as newer revelations that have reshaped care for menopausal women. The conversation includes the importance of personalized treatment plans, the distinction between bioidentical and synthetic hormones, and specific therapies for symptoms like low libido and vaginal dryness. Additionally, the episode addresses controversial treatments like pellet therapy and stresses the need for better education and healthcare support for women navigating menopause.

Check out the Medspa Mayhem website for

• More about Dr. Dee

• Upcoming appearances

• Links to buy the book on Bookshop, B&N, Amazon

• Press and Podcast info

Glow Medispa in Seattle, WA

Purchase Medspa Mayhem on Amazon

Find Dr. Naomi Busch at Seattle Menopause Medicine

Takeaways

• Menopause care has been historically neglected in medicine.

• The Women's Health Initiative study led to a significant decline in hormone therapy usage.

• Many doctors are now more open to prescribing hormone therapy after understanding the WHI study's limitations.

• Initial consultations for menopause care should include a thorough symptom checklist.

• Perimenopausal women can benefit from various treatment options, including hormonal and non-hormonal therapies.

• Bioidentical hormones are chemically identical to those produced by the body, but their marketing can be misleading.

• Testosterone therapy is primarily approved for low libido in women.

• IUDs can be a good option for women who cannot tolerate progesterone.

• Vaginal estrogen can significantly improve symptoms of dryness and pain during intercourse.

• Healthcare disparities in menopause treatment need to be addressed to ensure all women have access to necessary care.
  
  

Chapters

00:00 Introduction

00:21 Meet Dr. Naomi Bush

00:51 Journey into Menopause Medicine

02:44 The 2002 Women's Health Initiative Study

08:18 Impact of the Study on Hormone Therapy

09:24 Consultation and Treatment Options

16:20 Understanding Bioidentical Hormones

20:58 Testosterone in Menopause Treatment

21:57 Navigating Testosterone Therapy

24:23 Understanding Pellet Therapy

26:04 Exploring IUDs and Progesterone Options

29:10 Addressing Vaginal Dryness and Pain

34:42 Challenges in Hormone Therapy Access

39:59 Concluding Thoughts and Future Topics

In this insightful episode of MedSpa Mayhem, Dr. Kate Dee collaborates with Lindsay Holder, an experienced esthetician and CEO of Lepree Beauty, to delve into the multidimensional world of skincare and aesthetics. The conversation covers the importance of finding reputable estheticians, individualized consultations, the impact of diet and lifestyle on skin health, and the advantages of medical-grade skincare products. They also highlight the dangers of seeking unlicensed beauty services and provide practical advice on safe and ethical practices in the beauty industry. Key discussion points include personalized care, professional licensing, thoughtful dietary considerations, and maintaining a trusted relationship with your esthetician.

Check out the Medspa Mayhem website for

• More about Dr. Dee

• Upcoming appearances

• Links to buy the book on Bookshop, B&N, Amazon

• Press and Podcast info

Glow Medispa in Seattle, WA

Purchase Medspa Mayhem on Amazon

Lindsey Holder website

Check out Lapree Beauty

Listen to the Interview with Dr. Dee on Lindsey’s podcast, Spa Skin and Beauty

Takeaways

• Finding a good esthetician often starts with referrals.

• Personalized consultations are crucial for effective skincare.

• Diet plays a significant role in skin health.

• Building a relationship with your esthetician is important. Choose an esthetician that aligns with your lifestyle.

• Be cautious of deep discounts and promotions.

• Inflammation is a major factor in skin issues.

• Consistency and patience are key in skincare treatments. Many spas pressure providers to upsell products.

• Lepre Beauty offers online skincare tutorials and community support.

• Education is a key component in aesthetic practices.

• Microblading requires a skilled artist for the best results.

• Regulations vary by state, impacting aesthetic practices.

• Avoid unregulated services in home settings for safety.

• Shortcuts in aesthetics can lead to unsafe practices.

Chapters

00:00 Introduction

01:05 Meet Lindsay Holder: Esthetician and CEO

02:08 Finding the Right Esthetician

03:44 The Importance of Personalized Consultations

08:32 Diet and Skin Health

09:17 Personal Stories of Skin Challenges

10:46 The Role of Inflammation in Skin Health

13:42 Sun Protection and Tanning Tips

19:09 Medical Grade Skincare Products

22:17 The High Cost of Medical Grade Facials

22:57 The Truth About Groupon Deals for Botox

23:49 The Importance of Happy Estheticians

24:19 Avoiding Product Push During Facials

25:38 Introducing LaPree Beauty

29:55 Microblading and State Regulations

32:43 The Art of Aesthetics

36:03 Choosing the Right Esthetician

39:18 Regulations and Safety in Aesthetics

42:31 Conclusion and Final Thoughts

In this conversation, Dr. Kate Dee speaks with Haley Sullivan, a registered nurse who shares her harrowing experience with vascular occlusion following cosmetic filler injections. Haley recounts her initial excitement about getting lip fillers, the complications that arose, and the challenges she faced in seeking appropriate medical help. The discussion highlights the importance of informed consent, the responsibilities of medical professionals, and the lessons learned from this experience. Haley emphasizes the need for caution in cosmetic procedures and advocates for better patient education and safety measures in the industry.

Check out the Medspa Mayhem website for

• More about Dr. Dee

• Upcoming appearances

• Links to buy the book on Bookshop, B&N, Amazon

• Press and Podcast info

Glow Medispa in Seattle, WA

Purchase Medspa Mayhem on Amazon

Takeaways

• Vascular Occlusion initially looked like severe bruising and was very painful
• Recognizing the signs of vascular occlusion was crucial.
• Informed consent is critical for all medical procedures
• Immediate treatment with filler dissolving enzyme is important to prevent permanent scarring
• Research and choose providers carefully

Chapters

00:00 A Shocking Medical Emergency

01:22 Introducing Haley Sullivan

02:32 The Fateful Day

05:35 Immediate Aftermath

11:16 Seeking Help

15:42 Treatment and Recovery

16:15 The Chief Resident's Consequences

17:24 Reflecting on the Experience

20:46 Informed Consent and Medical Ethics

26:09 Final Thoughts and Advice

In this episode of MedSpa Mayhem, the conversation explores the phenomenon of teeth grinding and clenching, also known as bruxism, and its growing prevalence since the COVID-19 pandemic. Dr. Dee is joined by endodontics specialist Rachelle Cohen, DMD, who discusses the significant dental issues arising from bruxism, such as cracked teeth and infections. The episode delves into the potential causes behind this dental stress, including the durability of older silver fillings, stress, and the side effects of common antidepressants. They also evaluate various treatments, focusing on night guards and the increasingly accepted use of Botox to mitigate the grinding force, reduce muscle size, and potentially train individuals to stop grinding altogether, which could save both money and dental damage in the long term.

Check out the Medspa Mayhem website for

• More about Dr. Dee

• Upcoming appearances

• Links to buy the book on Bookshop, B&N, Amazon

• Press and Podcast info

Glow Medispa in Seattle, WA

Purchase Medspa Mayhem on Amazon

Dr. Rachelle Cohen at West Seattle Endodontics

Takeaways

• Teeth grinding and clenching is very common, especially after the COVID pandemic

• Teeth grinding, left untreated, can lead to cracked teeth, infection and even hospitalization

• Treatments for cracked teeth and implants can be very expensive

• Botox and Dysport are effective treatments for bruxism, and can lessen or even stop grinding entirely

• Wearing a night guard is highly recommended to protect teeth from damage

Chapters

00:00 Introduction to Teeth Grinding Issues

01:09 Meet Rachelle Cohen: Endodontics Specialist

01:56 Understanding Bruxism and Its Impact

02:08 COVID-19 and the Surge in Cracked Teeth

02:54 The Role of Stress and Fillings in Teeth Damage

05:15 Identifying Teeth Grinding Symptoms

10:09 Night Guards: First Line of Defense

11:41 Botox as a Treatment for Teeth Grinding

17:15 Cost Considerations and Effectiveness

21:35 Conclusion and Final Thoughts

In this episode, host Dr. Kate Dee discusses the complex world of medical aesthetics with Alex Tiersch, founder and CEO of the American Medical Spa Association (AMSPA). They delve into the importance of safety and compliance in the med spa industry, the challenges of unregulated and unsafe practices, and the need for better enforcement and education. Alex shares his journey from healthcare law to founding AMSPA and emphasizes the critical role of self-regulation and industry standards in ensuring patient safety. Together, they explore the future of the med spa industry, the importance of customer service, and the potential for accreditation and self-governance to elevate standards of practice.

Check out the Medspa Mayhem website for

• More about Dr. Dee

• Upcoming appearances

• Links to buy the book on Bookshop, B&N, Amazon

• Press and Podcast info

Glow Medispa in Seattle, WA

Purchase Medspa Mayhem on Amazon

Check out the AmSpa website

Takeaways

• AMSPA was founded to address compliance in the med spa industry.

• Education is crucial for med spa owners to ensure compliance.

• There is a lack of enforcement of existing laws in the industry.

• IV bars pose significant safety risks to patients.

• Compliance is essential for the sustainability of med spas.

• AMSPA's membership includes a diverse range of professionals.

• Training programs must prioritize safety and compliance.

• Public awareness is key to ensuring safe practices in med spas.

Chapters

00:00 Introduction and Safety Concerns in MedSpas

01:07 Meet Alex Tiersch: Founder of AMSPA

01:58 The Birth of AMSPA

03:50 AMSPA's Mission and Services

06:00 Legal Compliance in MedSpas

09:03 Challenges and Enforcement in the Industry

16:07 The Role of AMSPA in Education and Compliance

22:07 Understanding the Business Model

23:13 Challenges in Traditional Practices

24:07 Clinical Training and Partnerships

25:59 The Importance of Proper Training

28:28 Regulation and Compliance Issues

30:21 Future Goals for AMSPA

32:46 Addressing Non-Compliant Med Spas

36:18 The Need for Accreditation

40:34 Final Thoughts and Advice

In this conversation, Dr. Kate Dee and Dr. Christopher Rex discuss various aspects of acne management, emphasizing the importance of a solid skincare regimen before considering medical treatments. They explore conservative management techniques, the role of diet, advanced treatments, and the challenges of treating recalcitrant acne cases. The discussion also touches on the use of steroid injections and the significance of patient education in achieving compliance with treatment plans.

Check out the Medspa Mayhem website for

• More about Dr. Dee

• Upcoming appearances

• Links to buy the book on Bookshop, B&N, Amazon

• Press and Podcast info

Glow Medispa in Seattle, WA

Purchase Medspa Mayhem on Amazon

Find Dr. Christopher Rex at Peak Dermatology, facebook and instagram

Takeaways

• Many patients have not been offered basic skincare recommendations for acne.

• Compliance with treatment is crucial for acne management.

• Adult onset acne is increasingly common and often untreated.

• A good skincare regimen can sometimes eliminate the need for other treatments

• Basics of acne treatment include skin care, antibiotics, retinoids, and hormone treatment

• Accutane is a valid treatment but should be considered after basic care.

• Skincare products can contain acne-causing ingredients.

• Steroid injections can be effective but carry risks of skin atrophy.

Chapters

00:00 Introduction to MedSpa Mayhem

01:11 Meet Dr. Christopher Rex

01:41 Basics of Acne Management

06:04 Advanced Acne Treatments

10:49 Exploring Retinoids and Antibiotics

17:01 Chemical Peels and Skincare Products

18:32 Dealing with Recalcitrant Acne

21:27 Special Cases and Final Thoughts

34:44 Conclusion and Farewell