Midlife Facelift Options | What Really Happens to Your Face After 50 - WTF Just Happened?

SPEAKER_01: This is What the F Just Happened.

SPEAKER_02: The podcast that proves life is messy, midlife is so wild, and laughter is definitely non-negotiable.

SPEAKER_00: So grab a cocktail or a mocktail or your favorite emotionally supportive snack, and let's get into it.

SPEAKER_01: Hello everyone. Welcome back to What the F Just Happened. Today's title is What the F Just Happened to Our Face. We are so excited to have Amy Melcher on today as our guest. She is a nurse practitioner, advanced injector, educator, and the proud owner of Medical Rejuvenation, which is a boutique aesthetic practice just outside of Portland. So Amy and her husband Scott built medical rejuvenation into a natural results-driven practice focused on helping you look just like you. You're fresher, smoother, and slightly less scary than when you are up at night scrolling away on Instagram.

SPEAKER_01: So we'll go through it, but they offer all the normal stuff: neuromodulators, phillos, biostimulators, IPL, laser, all the good things. And Amy will dive deep into it. So Amy also has a powerful story that we're gonna save for another episode because she is an amazing, incredible woman who has risen through the ashes and has just gone through so much incredible stuff and has just will show us you can age gracefully and also become a complete superpower. So for full transparency, I, Hillary, this is Hillary, I did not decide to age gracefully, although I do have neuromodulators in my forehead.

SPEAKER_01: I chose the facelift express lane. So as we know, I had a facelift two months ago. Seda over here is aging like a Mediterranean goddess, just gracefully, with also some neuromodulators. I think that means like I really love the sun, and Amy's going to tell me stay out of the sun. Exactly. So between the three of us, we've got all of the angles covered. So, Amy, introduce yourself, take it away.

SPEAKER_04: Hi. Okay, so I am Amy Melchior, and you're right. So Scott and I created medical rejuvenation back in 2018, and it has been a crash course, high speed race to the current day. Right now, Sunday, when you caught me working on charts as we speak. So I'm really excited to share everything that we've learned, all the questions that so many people have that we have people ask the same questions because we all have the same things. We're all looking in the mirror, seeing ourselves age, you know, unhappy about certain things.

SPEAKER_04: And so it'll be really fun to go through and kind of give some advice and straighten out um some misconceptions, maybe about what graceful aging means, about what injections mean, and just share, share whatever I can share in however much time you'll give me about how we can help each other. Girlfriends helping girlfriends.

SPEAKER_01: I think girlfriends helping girlfriends, especially. And I love that like your I love the last name, like your cure in our faces. Yes. So I think I think it might be fun to kind of like go decade by decade and just kind of because I think we've got less, you know, we've got people everywhere from 20s, 30s, 40s, 50s, 60s, above us. So maybe we just can do a deep dive by decade and just kind of run through some of our questions.

SPEAKER_04: I think that would be awesome.

SPEAKER_01: Yeah. Okay. So the first thing I'm gonna ask, and I was talking to my adorable niece, um, who is late 20s. One of her things was what matters most for long-term aging when you are in your early, mid, late 20s.

SPEAKER_04: I I I I hate to say this, but it's it's sunscreen. I hate to say it because it's so simple and everyone's gonna roll their eyes because we want something more glamorous. And I have staff members who are 20, and I have lots of clients who are 20 and they're in their 20s, and they love neuromodulators. I and I appreciate that you said that, right? Because we have six now FDA brands, but for probably the ease of conversation, saying Botox, people understand what that is, um, versus wrinkle relaxers.

SPEAKER_04: But 20s, you look you can look great with with talks, but we're talking about prevention and you and and can I say this like you don't need it in your 20s? That's unpopular. Yeah, say that that's so unpopular.

SPEAKER_01: That's okay. Yes, no, that's up, but that's so great. Okay, so I want to ask real quickly before we talk about the the things that like right you you're not gonna do or you don't need to do yet. But okay, so sunscreen obviously not created equal. Right. So what are the is it that we have to have, let's say, zinc in our sunscreens? Does that mean that when I put it on, I'm gonna look totally white and pasty and walking around? Like, is there one that you recommend?

SPEAKER_04: So we love a lastin, but I'll tell you in 2025, there are 150, may it be million sunscreens out there. And you know, we just went to the dermatology conference in Las Vegas this past summer to go over all the least recommendations. And if you really want a pure sunscreen, get ready to sit down for a two-hour lecture because there are so many com like chemicals and compounds in sunscreen that even to myself and I really do care, uh it's too much. It's like I'm I'm tuned out, I'm out, I'm not gonna go to another they're like, you have to go to other countries, you really can't find it in America.

SPEAKER_04: I'm done. I'm not doing that.

SPEAKER_02: Sorry, you know, and all the rates about like Korean skincare. And then I went to Greece and it was like I looked up to see what I should get in Greece before I came home. It kept it.

SPEAKER_04: And even there, you have to be careful. So, you know, our skin is a barrier and it's a barrier to chemicals too. So for me, in the 1980s, 1990s, medical-grade skincare was very important. We're actually phasing out of that time, even though that's not a popular business thing to say, we do have high quality skincare that you can buy over the counter, that you don't need to spend your money. And I think in today's world where we all want to do laser and microneedling and neural modulators and filler and eventually facelifts, we have to be careful where we put our money and make sure that we're spending our money where it needs to go.

SPEAKER_04: And I don't think that expensive skincare is the most important. That being said, I love Elasta and I feel like it's a great medical grade company, but their products are extremely expensive. And in fact, right now I'm I'm trialing out what Beauty Society has because their skincare has a lot of all of the basis. When and I can go through that if you want, but the basic things you need for skincare. And I'm like, hmm, is this something that's a little more um, a little bit less expensive? You can get it easier, and only because it was the a well-known Nicole Wagner, she's a well-known makeup artist, beauty influencer, who reached out to me and said, It seems like this company has a lot of what you talk about.

SPEAKER_04: Give it a try. So there's a lot out there. I'm just saying we don't have to just go to a dermatologist anymore or the med spot and spend$400 on skincare or sunscreen. But sunscreen is some of the things.

SPEAKER_01: So if someone wants to go, yeah, okay. So we go, let's say someone's just going to like your local synodana's. So go Neutrogena. Okay, so go get Neutrogena across the line. Like the entire line is okay, and La Roche. Right. So you love it.

SPEAKER_04: Yeah, they're really they're really good, have great ratings. Um, and you don't have to have zinc. I would say if you put on a sunscreen and you don't get color in your skin, it works. You know, people will say you have to reapply every two hours. We got on the boat in the hot sun. I'll be honest, I put on once, and I don't get burned. So I think we have to separate from setting these high expectations that you have to do, you have to buy a$300 sunscreen, you have to reapply it every hour, you have to wear this hat.

SPEAKER_04: You should never go out in the sun. Yeah, maybe, maybe if you want to live that way. But what we try to look at is like, what's realistic? And and there's a lot of sunscreens you can you can just throw in your backpack and throw on, and you're gonna be just fine. So that that's the reality.

SPEAKER_01: So I'm 20, I'm in my 20s, daily skincare. I can go to the grocery store, get a great line like Georgina, use it every day, main thing, put sunscreen on every single time before I'm leaving the house. If I am in the sun, right, maybe I'm more I recognize putting on more. What I you had mentioned toxic. Yes, or don't when it's so what are we not doing when we're in our 20s or we're gonna do it?

SPEAKER_04: You don't need to do it. So I would say it's like getting your hair highlighted. 20 year olds don't need to do that. And again, we're talking about what we need. You can do it. I mean, 20-year-olds can do all the things. They can do the nails, the lashes, hair extensions, hair highlighting, botox, filler. You can do it. I'm just saying for aging, that's what I'm talking about.

SPEAKER_01: For aging, you don't need to do it. So for preventative aging, you don't need to do it. Okay, so preventative aging, it's not going to like make the wrinkles stay away longer, is what I always say. Okay, okay.

SPEAKER_02: That's true, yeah, that's interesting. Because I mean, uh, Hillary and I both have girls all in their 20s. And I think, you know, my oldest, um, you know, when we talk about, you know, she's like, what about my, you know, we talk about wrinkles, or it's like, I I was actually doing Botox like in my 20s, and I'm 48 now. And that was just I wanted a smooth, frozen. Right. It looked like I liked your looks, absolutely. But you're saying like it's not going to prevent whatever is on the horizon unless you're truly taking care of the face you already have.

SPEAKER_04: Yeah. And I'll and just to jump forward, and not that, you know, I'm I'm I'm the only example, but you know, being a Caucasian with light skin, never taking care of my skin, I didn't start till I was 45. And I had done lasers, sunscreen, I had static lines, and within two years it was all gone. So, and again, I I'm not saying I'm the only example. And I do think once we get in our mid-30s, it's good to start thinking about it. But our skin is very resilient. And when we're in our 20s, we're still, boy, we're still creating new skin cells.

SPEAKER_04: We're, you know, shedding the old skin cells. We've got all the things going for us still.

SPEAKER_01: So um yeah, I would I And it let's say it doesn't prevent, let's say, aging when you're older, but does there, is there any, and I don't know because I'm not obviously this isn't my world, but is there any reason like negatively that you don't want to stop early? Is it start early? Is it like does so the hurt you later on of having that like for let's say for 30, 40 years? Let's say if you start in your own. Right.

SPEAKER_04: So we there's a lot of conversation right now about building up resistance, and it's uncommon. And we don't we don't know. We're seeing it here and there, but we do know that we have some neuromodules without protein on it. Zeomen is one of them that you can actually use for someone who has developed resistance. The other neuromodules do have proteins on them that we know the body can recognize and build a resistance. We have not seen it much. Now, we've only had Botox out for gosh, less than 40 years.

SPEAKER_04: Really? And I would say, Hillary, when you and I first met, you know, really probably 50% of people were still having to go to a plastic surgeon or uh, you know, a dermatologist. You know, that was like 10 years ago. And that's that's been a big change to today's date.

SPEAKER_01: That's a big such a big change. Okay, so recap the 20s, great, great daily regimen. Does not have to be expensive. Absolutely use your sunscreen. Don't have to start right. You can choose to if you want to, but you don't have to start for aesthetics or like preventing long-term. Anything because I just want to say, I think that's a myth out there too.

SPEAKER_02: Uh kind of floating around is like the earlier you start, the less you're going to have in those big 11 lines later that are going to cause wrinkles if you're preventing them from occurring. Uh, that's what I feel like is all over the internet. Is like the earlier you start, the the more you'll prevent those bigger, deeper lines from coming. Like, is that right? And that's a great thing to say for business.

SPEAKER_04: And and I should say that for my business, right? Because that will bring in the the the fear that I'll have to spend more, that I'll be stuck with lines, that everyone else is doing it, that I'm gonna miss out, is what is really good for business. And and where we stand unique at Metal Bridge of Nation is we're very honest. I mean, if you want, hey, if you're a millionaire, please come see me. I'll I'll tell you how to sell it. I will, I'll I'll take all your money, but and I'll I'll show you great things to do, you know.

SPEAKER_04: But I'm gonna be honest with someone and say, you just don't need to do this right now. I'm I'm happy to, you know, let's do laser, let's do microneedling, or or just gosh, you're just gorgeous. Like, you know, I don't know, go travel to your up with your money. I come back and see me in 10 years.

SPEAKER_01: I go. Okay, I love that. Okay, so now moving into the right now, what are some changes like physiologically in your 30s with your skin? Yes, and what happened?

SPEAKER_04: So we start to see some of that aging in the 30s. And here's the tricky part it everything plays a role ethnicity, health, gender, um, well, nutrition, I guess would would coincide with health, you know, exercise, how much blood flow we have. Um, you know, I mean, there's just there's so many things. Our stress level in 30s, we're getting, you know, usually having a partner, maybe having children, maybe working long hours, developing our career, and not sleeping, eating on the run, high, high stress levels, which, you know, a trendy thing I'm hearing a lot that I I'll try not to get into, but is adrenal fatigue.

SPEAKER_04: And it's like, oh no, I have adrenal fatigue, and I won't even get into that. But of course, hello. Like that's uh those are buzzwords, those are buzzwords right now. And and I don't like that because okay, if you don't have adrenal fatigue, then leave your partner, leave your kids, go to an island, stop working, and live on that. I mean, that's right. I mean, it just gets I don't know, it just bothers me. So uh we all have yeah, of course we have adrenal fatigue, but in the 30s, that's when all these things are colliding together.

SPEAKER_04: And so yeah, we're starting to see age. We're not that spunky 24-year-old going out to the club at night and we had three hours to get ready and we didn't do anything all day, right? Exactly. So of course we feel like we don't look as good and we don't feel as good. And you know, so you you can start seeing some of those lines start to come in. But here's here's I'll give you something that everybody can do and something you can do. And I tell my people this all the time when I'm preparing them for their first treatment and what to expect.

SPEAKER_04: Look at yourself in the mirror with literally no expression, just dead. Your just most expressionless face. And if you have lines in your face, or at the end of the day, you're rubbing concealer or sunscreen or lotion out of lines in your face, it's time for neuromodulation. It's time for Botox. Those are your static lines. Okay. But you know, babies, teenagers, college kids, 20-year-olds, thirty, even 30-year-olds, they can make whatever expression they want. The second they're done making that expression, their face just boom, back to that resting face.

SPEAKER_04: There's no lines. If you have that, you don't need it yet. Though when you start having those lines, you have two to three years, in my opinion, where you can start using some talks. You know, you don't have to do it the second. But that's that resting face. What does your resting face look like? And if you're 70 and you have lines all over your face, maybe something other than Botox is a better investment because Okay, you know, yeah.

SPEAKER_01: And and in this, and in the 30s, can you sort of stick with, let's say Neutrogena's working for you, you can afford it. Can you stick with the same skincare? Is there at any point in the 30s that you have to step up to a more expensive line, adding retinol in? Like what does that look like?

SPEAKER_04: Yeah, I yes, exactly. So this is where you want to start thinking about okay, I that skin cell turnover, yeah, I'm not shedding as much. So I'm I'm starting to have some skin cells that are staying on my face that should be gone. That's gonna start giving me that dull, you know, just like I put moisturizer on my face. It doesn't feel like it's soaking in. So now we're gonna start thinking about how do I exfoliate? And it's not by scrubbing my face down and feeling like that's like that's good, right?

SPEAKER_04: That that breaks down the that the moisture barrier. We know that now. So we're looking at like a glycolic acid, something that has glycolic acid in it, you know, tretinoid or retinol, which you just referred to, is another buzzword. And this is very tricky because you'll hear it on TikTok, which a lot of our TikTok influencers are in their 20s, right? Let's be honest. Um, you'll hear from a dermatologist, oh sure, out of retinol, out of tret, here, oh here, let me start your prescription. The problem is, is that is I mean, it's vitamin A, it's extremely drying to our skin.

SPEAKER_04: And it can be very helpful, but there's two things that you have to use with it every single day. And this is what I see missing all the time. And people come in, their skin's dry, dehydrated. I'm injecting them. It's like a pop going through the skin, and then the poor skin is dying for hydration. So you have to have something that exfoliates gently. So, for example, a glycolic and lactic acid lotion that you put on every morning. And so you have this light dose acid that's little by little, I like to refer to it as little Pac-Mans that are eating away the dead skin.

SPEAKER_04: So at night you're putting on that cream, and then in the morning you're putting on something to eat that away, right? And then you also like run me through. Yeah, go ahead, go ahead. What are we doing?

SPEAKER_01: Oh, what I was gonna say is um when you're done with that, can you run us also through like step by step what that means? Yeah, like you wash your face and then like like tell me the depth, like morning and night.

SPEAKER_04: Right, and it can be somewhat simple. I don't want to say it's two things, but if you want to use activist, so vitamin A would be an active, you put it on at night, and it truly is a little bit, right? We're not pumping into our hand. It's a little bit, and you're putting that on, and then you're putting lotion on top, and then in the morning, you're washing your face and you're putting on what is gonna exfoliate. What died through the night, you know, and let's put something on that will now take eat that away.

SPEAKER_04: So think about your acids as little Pac-Men, and they go and they're just eating whatever is dead. It's it sounds glorious, doesn't it? It's like, yes, it's just little things eating the dead skin on my face. I love that. And then you're putting a hydrator on top of that because that skin has to be hydrated. And even people with oily skin, that's a trick. People will be like, I have oily skin, I don't need lotion. Well, you just don't need something heavy. I mean, I'm putting like butter on my face, right?

SPEAKER_04: But people with oily skin, but they need something light, you know? So finding that lotion, and that's where you get the trifecta of a vitamin A that's either, you know, a trenoid or a retinol. So the tretinoid's a little bit stronger, and it's something to exfoliate, and it's not scrubbing the face at all. We don't ever want to scrub our face, and something to hydrate. So those are your three, your three steps. And if you happen to have sunscreen in your lotion, bada bing, bada boom, like perfect, you're done.

SPEAKER_04: And that really can be it.

SPEAKER_01: Okay, and can you get those products out like a drugstore? Yeah, or something. Or is that stuff you can get by prescription?

SPEAKER_04: No, so now this is what's so great. It used to be you could only use tretnoid cream and that had to come through a prescription, still through a prescription. But every, I mean, every product has retinols in them. Now, I will tell you, I can't endorse just every product because skincare is a billion-dollar industry. And a lot of times you'll have an investor come and open a company and hire beautiful models and get beautiful packaging because us women love the beautiful packaging, right? And then the product is junk.

SPEAKER_04: And we don't know. And we just see that we we open up the sparkly box with a bow, and it's you know, they have they paid some influencer on Instagram or TikTok to, you know, talk about how great this product is. And and little do we know this influencer isn't even using it. These influencers, they have so many products. I mean, I am not an influencer and I get set products, like I don't even use all the products that I use. Uh so you know, don't kid yourself that these people are using all of these products all the time.

SPEAKER_04: Of course. And yeah, and so you know, go to, I think Reddit is a great place to go to if you're looking for something that you just want to you want an unbiased opinion on.

SPEAKER_02: Okay, so it sounds like an interesting is there like a is there a maybe a top two brand that you would suggest to us in terms of getting into your 30s? Is it like color science? Is it Zio? Right. Is it still something from La Roche like from the drugstore? Maybe give our audience like two brands that they can get. I I I see I like to get a lot of different things from different brands, but it would be nice to just buy one. Right. Like I know.

SPEAKER_04: Where's that's Theo? And that was Theo. Zio, so Zio was Zen Obaji, and I don't think a lot of people know this, but Obaji was the first medical-grade skincare company in the 80s. And it was, it is to this day amazing. I love Obaji. And I'll tell you guys something though, and I probably shouldn't, but I think they're going to sell out because we just had like all yes. I mean, they widespread uh laid off so many employees last year. And when that happened, I knew they were going down. Uh but but obhogy, it is such a great line.

SPEAKER_04: I mean, it has the cleansers, it has the retinol, it has the glypolygon lactic acid, it has the sunscreen, it has vitamin C. Like literally to this day, if you know the OGs and skincare, they did the Obaji new derm line and they have beautiful skin. These are my, these are my 60-year-old, 50 and 60 year olds that started when it came out and they did it. And their skin is beautiful. So then then Obaji is just Obaji, a little bit bougier and a little bit pricier. Okay. And that's what we carry and we love it.

SPEAKER_04: I'm just telling you that people don't have to. But if you wanted, you know, I'm trialing beauty science right now, or I think it's beauty society, because it's an over-the-counter with every single thing that Obaji has in it. And I've I've been using it for six weeks. I love it. I I'm not gonna talk about it to my clients or on my Instagram until I finish a couple months of it. And I really want to watch my skin on it. Um, and but that would be your like right now, if you said, Can you, can you, what one name comes to mind where I could get all things at one company?

SPEAKER_04: And their prices seem to be reasonable. Again, I want to see kind of how long it lasts, so I can really say this is how much it's gonna cost you. But I love it that they have vitamin C, they have the glycolic and lactic acid. And let me tell you why that's important, because a lot of people will use an acid that's too strong for their skin. We all know a salacidic acid, right? We're teenagers, right? And here's the problem though, is that a lot of products still have it in it. So if you're looking for an exfoliating product, I would want your listeners to go to the active ingredients or use Chat GPT or whatever search engine they use and say, what are the active ingredients in this exfoliator?

SPEAKER_04: And if it's salicytic acid and you're over the age of 40, you should not use it. It's too drying to the skin. Oh, okay. Because you're starting, yeah, you're starting to lose. We're starting to lose and we, I already have, we're starting to lose estrogen. And so our skin is thinning out and it's getting dry. So we want to stay away from that salacytic acid. If you're in your 20s and 30s, sure, go ahead. But we have to stick to just an exfoliator, which is glycolic, and a hydrator, which is lactic.

SPEAKER_04: Lactic acid actually hydrates our skin. So that would be the thing. Just go online and just search. What are the active ingredients? You know, a product. Yeah.

SPEAKER_01: Keep it simple. It doesn't have to be expensive. What about for women in their 20s and 30s? I'm gonna group them together really quickly, who are having any type of consistent breakouts where maybe they've got a little bit as teenagers, it hasn't gotten better, or maybe it's gotten worse. Yeah, right. Adult action, like it's actually gotten worse. What should those people be doing? Let's say if they can't afford to go onto like some type of a line that's that's right, right? Or they want to speak holistic and they're not taking any type of medication.

SPEAKER_01: Do you have anything you should you could recommend for those women?

SPEAKER_04: You know, probably I would still say a tretinoid or a retinol, and retinol you can do over the counter. Yeah. But you know, if you have, if you just actually tretinoid, which is more expensive, if you have a dermatologist, that's it's it's actually quite cheap with a prescription. But to make things simple, if you use the retinol, it will dry up some of those oils. I think the trick is even if you have oily skin, if you're not exfoliating, those dead skin skin cells will still clog floor, clogged tongue twister.

SPEAKER_04: So, but you're right, because if you're needing accutane, I mean, my goodness, you could go on doxycycline. I do that for some people where I'll just say, let's just go on an antibiotic, clear this up. Because, you know, we get we get acne again when we start changing in our 40s and 50s, a lot of jawline acne. Yeah.

SPEAKER_01: So it gave me very crazy. And there's women with PTM, right? The polycystic brace syndrome, that's I think pretty common. Right. And that can lead to some that's a whole of that. But we'll definitely we will definitely follow up with you. I'm definitely interested. We'll do like maybe you know a month and a half or two months from now, we'll do a quick follow-up on what you're thinking about the product. Yeah, it's called what's it's viewed societies.

SPEAKER_04: Yeah, and it's one that I would, I'll be honest with you, I would never have looked at because I think it's it's one of those kind of older, gosh, not to talk about like I don't I don't want anything that is oh you you you have to buy this much to get this. You know what I'm talking about, you know, or you could you have to find a salesperson. It's like, oh gosh, I don't have time for this. The only reason why I was going to look at this is this woman, Nicole Wagner, who I highly respect and has been in the industry for so long, said Amy, I think you need to check this out.

SPEAKER_04: I did six months myself. It's really incredible. Tell me what you think about it.

SPEAKER_01: Oh, so yeah, I'll let you know. Yeah, yeah, I love that because it's everything, right? You always think, oh, it's more expensive, it's better. It's not like true.

SPEAKER_04: Right.

SPEAKER_01: Okay, so now we're gonna talk about the 40s. Yeah. Granted, granted, I mean I am well past that decade, but in your 40s, your like hormonal changes start, right? Structural. So what again talk to me about skincare? Talk to me about now I'm coming to you and saying, Oh, now I've got L's. Now I'm resting my face and it's got lines at stake.

SPEAKER_02: So talk to me about what and also like the society uh talk about like a facelift in your 40s, which is like a very new thing that's being talked about. Right. And I'm 48, and Hill just had her facelift, and I'm like, okay, well, why wouldn't I want to get that done right now? Like, look, you know, why wouldn't I want to enjoy that for the next 25, 30 years, you know? So and kind of like, yeah, what is it? There is a stigma clearly still in society, not in maybe if you're in the beauty world like you are, or if we follow TikTokers, or we follow Instagram, or we follow uh, you know, our Dr. Nyak every day.

SPEAKER_02: Yeah. Yes, oh my gosh, I'm like, oh, I love you, Dr. Nyak, but I would literally have to go on like uh OnlyFans for the next two years to have a facelift. Uh-huh. I think we've all considered it. Um you also hear like, you know, don't do too many fillers because if you do want a facelift, you don't want to come in looking like having all this garbage under your skin to do the right slip. So like I'm 48, so talk to me about entering your 40s and then getting towards the 50s and like what can I do because I don't know that I'm quite mentally ready to be a facelift.

SPEAKER_02: Okay. Yeah. Yes.

SPEAKER_04: Yeah, the 40s are tough. I the 40s are hard on us women because we feel haggard and we look haggard, honestly. Yes. You know, it's like it's just a truth. I we're just let's be honest. I mean, it's just like we're now we're deep into probably parenting, we're deep into our career, we're deep into freaking running from morning to night, existing on caffeine. We're not drinking our half gallon of water, we're barely working out. We're you know, it's like it's just yeah, we're just dying. We're just like, how like can I survive?

SPEAKER_04: Can I survive? And can I live with my husband or like am I gonna get divorced? Should I leave? Can I say that's another podcast? It is a hard time. We just we just did that one divorce in my 40s, right? It's a hard decade on women. And you know, and financially finances are somewhat tight because you're putting all your money into the kids, and I there's just a lot going on. Um, let me address topic by topic. So the first thing you said were, well, or the first thing you said was facelifts. We're hearing a lot of things about, oh, you should get your facelift done now.

SPEAKER_04: You want to enjoy it for a couple of decades. Again, I'm gonna say the same thing about talks in your 20s. I don't think you need it, except for special situations. You know, Hillary lost a lot of weight, maybe had genetic, more heavy of uh tissue around the neck uh and the jawline. That's that's very genetic. Usually you can look at your parent and say, oh, this is just I could lose another 50 pounds. I will still have this extra skin and a weight around my. So I'm there are there are certain situations where it's very appropriate.

SPEAKER_04: Um, for the most part, I don't think that people need it. I've seen a lot of women have facelifts in their 40s and spend a lot of money, and the result is minimal. I think, I think, again, this is not a popular opinion. I think it's a little more driven by the industry. And what I'll say is that anybody who shames anybody for having surgery, what I would like to say to them is turn the lights on because there are so many plastic surgeons and none of them are looking for work. Okay. So if you think people are not getting surgery, stop being, you know, like educate your like look around, try to make a consult and see how long you have to wait for even a consult.

SPEAKER_04: So we're all getting surgery. Okay, let's just like all accept it. Um, we might not all be able to afford it, but um, many people are getting surgery. No, no one, no plastic surgeon is starving these days. And and I think part of that is because it it's more and more accepted, and they're a lot of them are are really encouraging. Well, you know, you know, you might not heal up as well. And gosh, you know, it might not look as good if you wait. And boy, you're sure healthier to heal in your 40s than you are in your 50s.

SPEAKER_04: And I would like to say to that, well, really, that's interesting because we do open heart surgery on 70 and 80 and 90 year olds, and they heal up just fine. So uh why can't we get a facelift? True, right? Yeah, and you you know that world well because you came from that cardiac world cardiology for many years and ER for many years. So, you know, really, and again, if you want to, you can, but just understand when you cross a surgical line, you can't go back. You are making a permanent change. Okay.

SPEAKER_04: And that can be okay, right? I mean, I'm very open about my surgeries. I've had two breast lifts, I've had implants, implant removal, I've had liposuction, I've had, you know, blethoplasty, I've had invisaline, I've had lasers, I've had Botox, filler, sculptures, biostimulators. I mean, my God, like what is natural in me? No one knows, you know. Um, but like your personality is natural. My personality is natural. That's what it is. You know what I mean? So it's like, I I'm not, I anyone can do anything they want.

SPEAKER_04: Um, but to say that you have to do it younger for a better result, from from my perspective and what I've seen, that's not true.

SPEAKER_01: Okay, love it. So, what should what should people be doing who are exhausted, haggard, tired, they wake up, they don't like the way they look anymore, and just feel like they need a little bit of a glow up or a refresh.

SPEAKER_04: And that and and that goes to the filler because it's like, oh, you don't want to do too much filler. And I won't even go into that because I'm not a surgeon and I go to many conferences and there's like the debate about filler, too much filler, this that. And of course there's always a line where there's too much, we all know what that looks like. Um, but the best thing you can do in your 40s, oh my God, if you can, if you can scrape together$150 to$200 a month, and I know I don't want to act like that's not nothing, and that is definitely something.

SPEAKER_04: Sure. But if you can can't, and this is gonna sound very anti-health, but if you can cancel your Pilates membership or cancel your orange theory and take that, just work I work out in your gym. I work out in my garage or in your garage, you know, like get some dumbbells, you know, like stream a f a$15 a month exercise, right? That you'll get a great workout and take that money instead. You'll have$2,400 a year and spread that between Botox and a syringe to a filler, and you will feel like a million bucks.

SPEAKER_04: You know? Okay. It's amazing. I mean, when you get to your 40s and Botox or neuromodulars, however you want to say it, it is a game changer. It's a game changer, okay, right? Because everything's kind of heavy in the line, be like, why are you in such a bad mood? I'm not in a bad mood. What what's wrong with my face? Like what like I'm thinking. I don't know. I'm thinking there's nothing wrong.

SPEAKER_02: And I feel like what I really like love now with all the advancements in talks is um just like the different places you can put it to kind of give like the neckline. All the there's a lot of advancements, which I feel like people don't know about unless they go to somebody who's super reputable who knows who can tell, like this will lift your jawline, this will lift your lips. I mean, I don't love a lip flip because I can't pick out of a straw technology filler, but um, there's so many advancements now from 20 years ago, which I think are so important.

SPEAKER_02: Like what what would you say some of the top three things, the three areas um to make somebody in their you know mid to late 40s feel rejuvenated? Is it that? It's that jaw like along the jawline, is it those latisma bands? What is that?

SPEAKER_04: Yeah, so the the placizbo bands that you're referring to, really in the 40s. Oh yeah, that's okay. That doesn't really start to maybe late 40s, but that would absolutely not be my number one. So when you're when you're talking to someone, what are you looking at when you're talking to them?

SPEAKER_01: Um, you mean like their face? Just like their eyes, their forehead.

SPEAKER_04: And like let's say someone has like a gorgeous necklace on, right? You're talking, you're at a dinner party, you might steal a glance, right? You might be like, oh, that necklace is really pretty. But then you're gonna go right back up to their eyes. Right? Because it kind of is weird. If you're like, oh god, I could want to look at this, but it's like, oh, I don't want to be too obvious about it. Right. Right. Same. So I always say, in between the eyes, number one, if you if you have to fit your kids like ramen noodles, you know, one night a week, 52 weeks a year, take that money and like just do the 20 units in between your eyebrows three times a year.

SPEAKER_04: I mean, that's not that much. And the kids would love that. They they would actually love it. They'd be like, yes, it's ramen. Everyone loves it. You can cook it and throw more eggs in there with some protein, you know? Yes, okay. So in between the eyebrows. See, that's where 20 units right there. And I you know, I love you saying this is my sister, Becky. So she's epidemiologist, PhD, very natural, never done anything, despite me having this business. Just came out this. This is ongoing as we speak.

SPEAKER_04: Just came out this Thanksgiving and said, Do you, you know, maybe we can do like, oh, we can give me a little bit. So I and but she wanted light. She wanted light. So I literally only did 26 units on her face, and we're watching it day by day as we go. And and she already has static lines. So this is gonna be a great show of like when you are in your young 40s, because she's eight years younger than I am. I'm gonna be 52 next month. So, you know, she's eight years younger, and she's got the static lines.

SPEAKER_04: Two years ago, we started her on the skincare because she's like, uh, I know I said I don't like anything aesthetic, but uh, can you give me some advice? And so we put her on all the things we already talked about, right? Those few basic things, and she loved it and she's been very consistent. Now she's like, Oh, I think I need a little bit more. I'm like, well, you know, so we're watching that. So I would say in between the eyes and a sprinkle on the forehead. You don't have to be frozen because the forehead is everything that lifts.

SPEAKER_04: We all love to be lifted and open, and we're starting to feel some laxity in our eyelids, right? So a lift is great. You freeze the forehead, you might get more heaviness in your eyelids. So just a sprinkle on the forehead. And when I mean sprinkle, I mean eight to twelve units. And then just on the corners of the mouth. So when you frown, when a little kid is pouting and they have that little upside-down smile and they're like, huh, that little pouty face. You can actually put your your first finger there and you can feel on either corner of your mouth when you pout, it's a very strong band.

SPEAKER_04: Yep, that's our DAR depressor anguli oris muscle, and it's very strong. And you'll find that people will activate that muscle when they're pursing their lips, when they're thinking, reading, talking, unhappy, and to the point that you can be contracting that muscle hundreds of times a day. And then over time, that's just pulling down, pulling down, pulling down. And the amount of neuromodulator you use there is tiny. I mean, I do two to four units on each side. So let's let's cut it in half. Let's say we did three and three.

SPEAKER_04: So you've got six units, and that will dramatically change your lower face because what that fights against is your smile. You can't smile and pout at the same time. So it allows your smile muscles just to get a little bit stronger, just micro increments of strength little by little, and it will actually strengthen and resist that downward pull as the years go on. So those would be three areas I would do. And you could do that. Let's say we did 20 in between the front because you have five different muscles that converge there.

SPEAKER_04: So you actually do need to go a little bit higher dosing. Five there, or 20 units there. So then let's say we did, oh, let's say 10, 10 on the forehead, that's 30. And then you did three and three. That's six. 36 units three to four times a year. Game changer. Absolutely. We'll change her face.

SPEAKER_01: What's the approximate? Okay, so let's say I come in and we do that sort of let's say 40-ish units, just let's just for simply math. What is that? And I know your area might be different than somebody else's, but what kind of what's an average? Like you're spending, let's say, every 40 years. Yeah, so it'd be around$500.

SPEAKER_04: So if if someone was on a really tight budget, I would stretch it and I would say, let's just do that three times a year. You'll have, you know, maybe 60% of your movement back, no big deal. But just be very consistent. If you're gonna do it only three times a year, then be very consistent. And then you'll have, okay, let's say you can get like one syringe, but one syringe, and it sounds like, oh gosh, poor me, like, oh, friends getting four syringes, you know, and I get one. But, you know, one syringe every single year in 10 years is 10 syringes.

SPEAKER_04: And what we know now is that filler lasts much longer than what we initially thought, and the benefits go far beyond even that initial contour to just hydrate the tissues. So you do that treatment three times a year, one syringe. Again, I'm not pretending that that does that's not a lot of money because to many, many people that would be a big sacrifice. But I would say look at your memberships, you know, and the gym membership is a big one. We we have so many amazing streaming workout programs for so cheap.

SPEAKER_04: That's where is it? I think it's an easy way to find some extra money, and you'll have better results. You will have better results for your fans.

SPEAKER_01: I mean, it's even it's even as simple as I think of my three girls who I adore. But I mean, honestly, it's like don't do a Domino's pizza or an U.S. or a restaurant or don't go to get a coffee. There are many things you can do to save, you know, just every single day if you save five dollars or cut something out that you're gonna spend money on that you're not thinking about, like, oh, it's just five dollars, but you could easily parlay that into you know actively putting it away so you can actually do something like that.

SPEAKER_01: We all waste so much the tightest above or still all we've weight. Yeah. Okay, so now we need to hit the 50s, which is a decade obviously. You're younger than I am, I am now 56. So um, I so okay, you're in your 50s now. Things are now kids are probably high school age, yeah, maybe older. Or college, yeah. Because I'm now what my girls are now all in college, right? You're in college. So now you've got like obviously larger expenses they're in college or at the trade schools or whatever they're doing, or they're maybe still living at home.

SPEAKER_01: But what's realistic? What should we be doing in our fifties?

SPEAKER_02: And I want to say too, like, I want you to touch on your blessed and I want you to touch the difference between upper and lower, and what I from a lot of my girlfriends in their 50s are should I get filler under my eyes? Right. What does that look like? Yeah, you know, so like um under eye filler can be, you know, I just touch on like the myths or the not myths about that because I hear if you get it done a couple times, it's great, and then it kind of doesn't work.

SPEAKER_01: So and I want to ask a real quick question to fill this in is I had tear tross done. I want to say two years ago, and I honestly felt like it was the biggest waste of money I ever did. Oh, because I don't think I is I didn't see, I mean, it didn't maybe it was softened it for a minute if you know what they use opinion, what product or how double like one minute I mean she's a highly she's really good and she runs an amazing business and she's very also similar to you, has an incredible background in person SSR.

SPEAKER_01: Yes. I mean, so she I'm sure she has the highest best level. But my girlfriend and I did it, it was like one of those Black Friday Bobos where we got like one by one get one. I don't think that I think it looked really great for I mean, it doesn't look any different now. I'm just I'm I just didn't notice a long term, and I'm not sure how I guess maybe ask sort of speak to that is beyond your question is when you do something like that, because it was a little bit more expensive. What is realistic and how long does that or should that last?

SPEAKER_01: And what should that really do that area? Well, and how much filler should you actually keep doing over your eyes?

SPEAKER_04: The the so let's start with the 50s, because the 50s is where we have people talk about this, right? 50s, that's when I had my bletherplasty. And that's where you know we we felt haggard when we were 30 and 40s, but when we were 50, we actually are, you know, we're like God, I was so free back then. And now I'm you know, it's because age spots come out, right? Yeah, we have static lines that are heavier. Now, you know, we've we've potentially put on some weight. We were going through, we're in perimenopause.

SPEAKER_04: We're actually feeling old. Our skin quality is dry. We have browns and reds coming up on our skin. Maybe we're wearing glasses now, like I am, because now we can't see anything. Yes, we are. And it's like, oh my God, like what's you know, like what's happening, right? And and part of that is is volume loss in the wrong area. So we're putting on weight in our hips and our belly, our boobs are sagging, and yet, and our face is kind of sagging, but then we're getting like the soft jaw line. It's all happening.

SPEAKER_04: And so we think, you know, on a on a dark night that we're we're drinking too much wine. Oh my God, you know what? I bet if I just went and got filler, it would correct all these problems. Like I I probably don't need a facelift, but I bet if I I could just go to the medical, I could make an appointment, and I bet you filler would just like make this all go away. Mm-hmm. Yep, that's what we think. And and you know, it's like, oh, don't we wish and the problem is it's that I I love filler. Filler is a synthetic fat, essentially.

SPEAKER_04: But we have so many things, other, so many other things that play with our face. And one of the big things is that our ligaments are stretching too. And we have a really dominant ligament around our eyes called the orbital retaining ligament, and it goes from our tear duct and wraps around the outside of our eye. In fact, mine was always really prominent. I can look back when I was younger and be like, oh gosh, yeah, that was there from the very beginning. When you smile, it tightens. And that's why even if you have hollows under your eye, when you're looking at that, that really stoic face we talked about looking in the mirror, looking at yourself, the second you smile just a little bit, it just it kind of goes away, right?

SPEAKER_04: And that orbital retaining ligament separates where you know you have like really the lower eyelid. It's not even the tear trough. We we all have these ideas of what things are, but you have your lower eyelid to this little tear trough area to the area under that ligament. That's a really fun word to say, it's called the souf, and it's a subavicularis oculi fat pad. And that souf starts to flatten, the ligaments start to stretch down, and we get this like pulling down. Then we also have all this nice fat that was tucked up around our eyeball when we were younger starts to lose grip.

SPEAKER_04: And as it loses grip and starts to push out, we get this out pouching. I I always think of it as like the Bill Clinton eyes, right? These these big pads under the eyes. Right. Those big yes, and it's what you're saying. You look full. And so it's like, what's going on? What's happening? Then on top under all that is our sinuses. And then we have allergies, and we're not sleeping, and we're we're drinking dirty martinis at night or getting faux with our kids or extra with rituals, and I don't know about you, but I'm sorry, I'm like, I'm not giving up salt.

SPEAKER_04: Like I'll be in full kidney failure and I'll be like, well, I'm just gonna go out with a bowl of phot. So I don't know what to say, you know. Um, so all these things that like, yeah, it's like we're absorbing water, and what does filler do? Filler holds on to water. So now we're like, huh, how am I going to put this product, you know, beneath the area of my eyes where I've got a sagging ligament and I've got a deflated souf and I'm eating salt and I'm not drinking or I'm not drinking enough water and I'm drinking wine and I'm not sleeping good because I'm impairing menopause and my hormones and my skin's dry.

SPEAKER_04: And that's why filler is so challenging in this area because it's not necessarily the filler's fault. It's the area that it that we're trying to insert this product. And so, you know, imagine you have a hammock that a brand new hammock is just tightened and it's all tied with ropes that are fresh and clean. And now this hammock, you know, got tied to a tree and the family moved away. And 50 years later, another family moved in and found this hammock that'd been sitting outside winter after winter, spring after spring.

SPEAKER_04: Right. And they're like, oh, this looks like a great hammock, let's go jump in it. And the thing just like collapsed and like disintegrates. You know, right? That's that that's that's the analogy of our ligament that's that we're expecting to hold this filler and then have water attached to that to make it heavier. And our ligament's like poof, it's just gone. It's 50 years old. You know, it's like, I'm no, I can't, right? It's lived, it's like it is, it's a great analogy. So I know I do filler and people, I've done it myself and dissolved it and tried again.

SPEAKER_04: And I have I have myself put filler in and dissolved it more than I want to even admit. Um, and you know, of course, we have PRP and PRF, and people say, Oh, you can do easy gel, and there's a million different things. Bottom line, this is the truth for all the listeners, for you guys for the listeners. I've been I've done thousands of tear trail filler. Here's here's where it sits. HA filler works better than any of that nonsense out there. Better don't ever pay money to get your own blood put right back in your skin.

SPEAKER_04: And this is a crime. You know, it's like you're taking wait, you're taking PRP, PRF, easy gel.

SPEAKER_03: PRP, PRF.

SPEAKER_04: Right? PRP. So yeah, what is that, what does that stand for like platelet, platelet rich plasma. So it's okay, so right. So we're we're basically is a complete waste of money because we're and I and here's and I'll tell you more about this, but it was never developed for volume. I I challenge you to show me one research article that talks about PRP, PRF as a volumizer. It heals, okay, because we know that if I if I go in the kitchen and I cut my arm right now, it's gonna be healed in two weeks. I'm not gonna put any fancy serum on it from Paris.

SPEAKER_04: I'm not gonna do anything, it's just gonna heal, right? Right, right. So it heals. We know this. We don't need scientists to tell us this. We our our bodies have been healing ourselves since the beginning of time, right? So sure. It was studied to like, let's take it our body, we're doing surgery, we're we're doing you know, spinal surgery. We're my kids, my girls, when they had their wisdom tooth removed, they did the PRP, got a clot, put it in the hole, it helps it heal up. You don't get to right socket and those types of things.

SPEAKER_04: Well, then aesthetics, we were like, well, if you're using it, I want to use it. But we don't need anything for healing, let's just use it for filler. And I don't know who was the first person to come up with it. People have spent thousands, hundreds of thousands, millions of dollars, it's a big whole waste of money. And I try to do different kinds of studies. If I draw your blood and then I spin it and I take the plasma and I inject it into your face, it's gonna be gone within two days because your body's gonna absorb, right?

SPEAKER_04: Yeah, that makes sense. Yeah, our bodies know how to do this. I could actually even take 20 cc's of water and I could inject it all over your face and it would be gone within two days. Like our our bodies absorb right away, right? It's that's normal. So now, so filler will always, always be the one and only. Now, whether you put it in straight or you, you know, I'll you know, I'll break it down a little bit, I'll dilute it so it's not so strong. I use a really light one. That's why I was curious what brand they use for you, because all fillers are not created equal.

SPEAKER_04: But a little bit of filler and undercorrecting is the way to go. So it yes, it takes some patience. But what we do is we start with one syringe, we break down those AJ molecules with a little bit of saline, because HA is like pizza dough. You roll it out, comes back in, throw it up in the air, lands on the kitchen table, comes back in. It's meant to do that, right? Because we don't want filler, we'll talk about this later. We don't want it migrating. That's another hot word. So filler is meant to be sticky.

SPEAKER_04: So imagine if you had filler on the table, it'd be like pizza dough. You'd roll it, you'd spread it, you'd push it down with your thumbs, it'd come back together because that's what that's what you want it to do. Well, when you put it under your eye, where you have ligaments and circular muscles, your aubicularis is squeezed. And you have your zygomatic, your smile ligaments are attaching under your eye and they're lifting constantly, and your fat calves are moving around and you're doing all these things.

SPEAKER_04: That sticky filler can kind of collect together and then it can absorb some water from maybe your cocktails, maybe from crying all night, maybe from your dinner, and it grows and it gets bigger. Okay. And now you start to look like you have puffiness under your eyes. And that's where the term or oh, you can do it once, twice, or three times, but then four times you've gone overboard. I would challenge that. It you have to be very careful. You have to go very slow, and you have to have an injector that's gonna be very honest with you to say this is not gonna be a perfect correction in this first visit.

SPEAKER_04: We're gonna do a half and a half. We're gonna see you back in two months. Is your body holding it? Is that hammock holding it? Does that hammock still have enough strength to hold whatever you do in your everyday life? That little bit of water that got attracted to those molecules. And if you have some more room, by all means, we'll we'll put a tiny bit more in. Here's the reward. The reward is that tear chop filler lasts years. Because nobody wants to go through this process for six months. I mean, come on.

SPEAKER_01: And the idea then is it sort of flattens out kind of that hollowness. Is that what I'm supposed to do?

SPEAKER_04: Yeah, so imagine filler's a gel and you have this void, right? And so you're gonna put a little bit in there and you're gonna, with everyday movements and smiling, and talking and squeezing and drinking and eating, everything that happens in your body, you're gonna see what happens to that filler. It's gonna kind of spread out, and then it's gonna, you know, a little bit of lymph fluid's gonna be attracted to it, and then it's gonna kind of get squished around by the muscles and facial movements.

SPEAKER_04: And if it looks great, done. Stop. Like under correct, it's okay to have some lines under our eyes. Sure, right? That's okay. Yes, it's true, right?

SPEAKER_01: And and yes, our faces are our warriors of the colour.

SPEAKER_04: Yeah, and so that's why for me personally, a lot of a lot of injectors who are well seasoned will add in a little bit of saline to kind of break apart those HA molecules so they're not as sticky. Because what can happen with straight filler is with all the smiling, talking movements, it kind of sticks together and you can almost see a line. In fact, you can get there's a term called tendling where that line of filler will reflect outside light as a blue hue. And so if you look up tindling, you'll see it.

SPEAKER_04: It's it's filler that reflects outside light through the skin. Wow. And people say, gosh, why do why do I I now I look like I have worse bags under my eyes? So I wouldn't say filler's a no under eyes. It's a it's a only with a well-seasoned injector who goes very slow. And no, you're right, Hilary. It's expensive. I mean, we charge 900 a syringe. And you know, and especially if you're gonna see a very little improvement from it. So, you know, you need to go in saying, Do I, is this am I willing to spend$2,000 for this improvement?

SPEAKER_04: Right now, it might last a couple of years, or should I mean I don't know, maybe I go to it cosmetics and I buy a$15 concealer and I tap on a little bit of concealer and call it a day.

SPEAKER_01: And if I let's say did want to do that, the one question I asked the injector, let's say who's very experienced and has been doing it a long time and is honest with me, I asked for an H A. Is that what was like? Oh, germal filler is all hyaluronic acid. Okay, okay. It's all hyaluronic acid. Uh you said not created equal. So is there something specific I'd be asking of which one they're using?

SPEAKER_04: You know, it's so hard because it's you know what? Google your injector and look at their reviews. That's it. You shouldn't have to go to your injector and say, Well, you know, what's the percentage of HA in this filler? What studies have you done on the you know what I mean? Because I don't do that when I take my car in or my, you know, it's like sure you the bottom line is you trust your injector. And like for you, Hillary, you trust you didn't see that much of a difference, but it wasn't worse, which tells me it was a good injector.

SPEAKER_01: No, it's true. And I also didn't ask the question of like this is gonna take me to where and when do I come back? Right, right. I thought it was part of a wallet done, and maybe in my case, it was uh it was just the the start of like fixing the ear.

SPEAKER_04: But I will say there are many expert injectors who are not they they hate the Tiro Trough. They there's so many complications that come from it. They're not gonna say no, but they'll just do something so light. And I have seen that it's so light that you barely can tell a difference.

SPEAKER_01: Yeah, I really could.

SPEAKER_02: I mean, I imagine that's a very uh scary, you know, very.

SPEAKER_01: I know she's very, I mean, she's very well educated, she's been done a long time.

SPEAKER_02: She's also very um, what would be conservative?

SPEAKER_01: Like not honest. She is she's so conservative and she's so honest, but I it could have been on me to say what what is my expectation of looking. I mean, she obviously done me, yeah, but more of when would this like how long would this last and maybe just what's the next step?

SPEAKER_02: Amazing now. But if you're bothered, like maybe she when you go back to the case, yeah, exactly. Perfect.

SPEAKER_01: Yeah, she's very honest. It's just I don't think I realized. I think I thought it was like, oh, I'm done, right? Like it's fixed for a long, long way. Yeah. And it was probably maybe six months. So maybe that was just more of, and this is again, this is education, right? Is get as much education as you can. I love yeah, okay. So this is where I'm about to be. Let's talk about the 60s, because I'm four years away from that. And granted, I just had a facelift, so mine's a little bit different. But what in there are our 60s and let's say beyond 70s, what are the things that we should be doing?

SPEAKER_04: So I wanna I want to blend into the 60s by finishing out the the 50s because this is where we need to be honest with ourselves and decide how much money we're willing to put into it. Because where in where I talk to my clients, you know, we're we're beyond the one syringe of filler ear. Now, if that's all you can afford, by all means, still do that. That will still be very nice in your face over the years because that hyaluronic acid does attract lymph fluid. And just a real quick circle back HAs are not quite created equal because they have tiny molecules and large molecules.

SPEAKER_04: So we can leave that for later. But that's that's the difference. So really big molecules that are cross-linked tightly hold in lots and lots and lots of fluid. So your volumas, right? Um, your rustlin lifts, those are meant for cheeks, jawline, not for tear troughs. Okay, for example. Okay. And also just, and I want to say really quick, we won't get into it right now. We can talk about this later. I do take that PRP or PRF and I mix it with filler. So that's a really, really big thing I'm known for in the areas.

SPEAKER_04: I don't want people to think, wait a second, she just said it was a waste of money. So we can again talk about that later. But you take the healing factors of our serum and you blend it with filler and you get a beautiful product.

SPEAKER_01: But we'll we'll later pretty much. I will definitely do we'll do a dive on that later. But maybe like later we'll do the morpheus and stuff. There's so much. I would we literally have to talk about ours.

SPEAKER_04: But yeah, so if I would the yes, all that stuff. Oh, morpheus. So much. Yeah. So the 50s are tough because now we have to drop down to the jawline because now our skin has hold, right? It's like it's holding on for dear life and it's like losing grip. And so it's all coming down, and it's like jowls, and you know, maybe our people are starting to see our mom's neck coming through. Or your dad. I don't absolutely blame my father. Or the dad, what's up? Let's not blame the women for everything. So, and and how and this is where we really see filler gone wrong, right?

SPEAKER_04: Our housewives, what's going on? Yeah, you know, Madonna, Demi Moore, like what is happening? And that's because they they're like, I have to do something dramatic. And we're all just trying to figure out what looks best. And so the people that go to med spas, they're like, here's my credit card, I don't even care. Just, you know, 10 syringes. I don't care. Just bring her, bring her back, you know? Lift my neck crazy.

SPEAKER_03: Like, crank.

SPEAKER_04: Bring her back. We gotta, we gotta roll that rope backwards, right? Just like get the whole team on board. The problem is that filler has weight and pulls in water. So this is where I think posterity, like 75% of injectors go wrong. You can't just put a molecular synthetic product in the face that attracts lymph fluid and think that things are gonna go up, right? Like that's not gravity. Like, tell me one thing that you put some weight in and it just magically goes up. Up it goes down. Well, I would be like on the ceiling if that was true.

SPEAKER_01: Right? We wish, I think we do I put a lot of weight into my body and it definitely all goes down. Something does not go up. Like, but we want it to.

SPEAKER_04: Right? And and we listen to these advertising that filler's gonna lift your cheeks, it's gonna lift, but it's it's gel. I want everyone who's listening right now to go get some hair gel and put it in their hand and then turn their hand upside down and see how much of that gel falls off their hand. Okay. Okay. It it does not lift. We're not sewing. That is the surgeon's job, right? So there we each have our lanes to be in. We're not, I'm not, I don't sew anything into anyone's face. I inject it. So here's the trick, though, and I I feel like I figured it out and I love it, is you take that filler and you inject it deep on the bone, under the muscle, which is the tightest thing in our face.

SPEAKER_04: Our skin is no longer tight. So if you're now injecting those fat pads, you better be doing a tiny little bit because otherwise you're gonna end up with having to have a lot because a little is not gonna be things. So you're gonna fill it up, fill it up, fill it up. And then that lymph load is gonna come in and it's just gonna get bigger and bigger and bigger. And then you go to smile and your eyes are closing and the whole face is out of balance, and you either look like an alien or you're or just a round orange.

SPEAKER_04: Is that what the pillow is that called pillow? Yeah, because it is. It's just they're just injecting and then they're like, Oh my gosh, you need a jawline. Okay, well, let's let's do your jaw, let's do your chin, let's do your temples, and all that soft tissue. That the reason why the person came in is because that soft tissue is falling. Now they're putting weight in it and and they're putting a product that's pulling in water that's gonna make it drop even more. So then they get more done, right?

SPEAKER_04: This is why I had a breast lift done because I you think I want a breast lift done and my nipples cut out. No. But the but the doctor took my shirt off and he's like, oh dear God, like, you know, like unless unless we put an implant that size like Z, because I mean at some point you can put so much in that you'll stretch the tissue, right? But like I I had so much extra skin, and it's just like, oh, you know, unfortunately. We had to like lift it back up again. And this happened to me again last year.

SPEAKER_04: I thought, well, I've already had a lift, like surely 20 years later, I can get it taken out and put one in. And she was like, Oh, that's unfortunate. No, you've you've had you've had 20 years of of skin, you know, stretching and aging, and great. Yes, we we yes have to cut more off, I'm afraid to say. So um, yeah, so what we do is we put the filler, if you put the filler on the bone, we actually put on the bone. So our muscles, and and uh if you ever want to, you know, really entertain yourself at night, get your get your bowl of fa and then go to YouTube and go to a cadaver, uh aesthetics cadaver course and just watch them pull back the layers of skin.

SPEAKER_04: And you can see like the layers of fat. Those layer by layer we we pull back, you know, and you and then you get to the muscle and you're like, oh, oh, okay, okay, that muscle's looking good. That muscle looks tight. I that's great. So then that's why you had a deep plane facelift because they work with the muscle, not just with the skin. Yeah. Yeah. If you put the filler under the muscle, okay, now you can get now you can get some attention. Now you can get some actual hold. And I like to build that along the jawline.

SPEAKER_04: I like to think of the jawline as like the frame. So if I go to if I go to IKEA and I get this big frame and a canvas picture, I put the frame together, put the canvas, wrap it around, use my little, you know, use all those tiny little things that you tuck into the frame to make it tight. Sure. Well, you know, the kids come by, it falls off, it breaks once or twice, three times. I can keep putting that frame back up on the wall, right? But that that broken frame, now the canvas is like has a wrinkle in it.

SPEAKER_04: And now it's got two wrinkles. Yes. Now it's got three wrinkles in it. Well, that's our bone because our our fat pads are shrinking, but remember our bone is breaking down too, right? If you look at an eight-year-old versus a 30-year-old, right, they have big hollow eyes, they have no more lips with everything sucked into their mouth, they have no jawline. So not only does that filler stimulate collagen and bone growth on the actual bone, but it mimics bone. So now you have a more uh enforced frame, if you will, to wrap that skin around, right?

SPEAKER_04: Because I tell people this like, understand, I'm not cutting anything off. We both understand this, right? There's no cutting, there's no suturing. You want to do that, go to the plastic surgeon and then come back and see me. So if I'm not cutting or suturing, what do I do with skin that's hanging off my face? Right?

SPEAKER_01: The only thing So, what specifically should then someone ask if they're going to, let's say, an injector who's not you, if they don't live in Oregon, right around the Portland area, what are they specifically asking when they're trying to fix that area? And make sure that it's injected onto the page.

SPEAKER_04: Yeah, I mean, I guess that would be something you could ask because that that's a you know, Velux, which is an Allergan or Abby pharmaceuticals product, was was approved for jawline, I think in 23 or 24. Big, big molecule hyaluronic acid filler. I would never touch that in a million years. I'd never put it in my face. Why am I putting a big molecule that's gonna pull in tons of lymph fluid to my lower face? Why don't we need it? Now it might look good for three months, but little by little, it's gonna come in.

SPEAKER_04: And what do you do in six to nine months, a year when it's fully integrated in your tissues? And all of a sudden you're like, why do I have no angle? Why is why is everything round? Why is everything soft on my jawline? Well, that was the$2,000 of filter that you paid to get put in your lower face.

SPEAKER_01: Good education.

SPEAKER_04: So we used to ask really like how they're doing it. Yeah, so I would, I mean, I think here's where it's it's good to see pictures. And you know, we all love to see the 20, 30 year olds. I mean, they're gorgeous, right? Their jawline's beautiful. But, you know, show me, I really, you know, show me the people, show me people you're injecting. Like, I need to see if I'm a 50 year old and I'm going to get injected, I want to see the 50-year-old before and afters, right? Like, show me the people you're injecting.

SPEAKER_04: And then I guess if you, you know, you, you know, listening to this part, you could say, Oh, I remember that injector saying I shouldn't put something gooey in my face. Gosh, maybe I should ask them what they use. I mean, that gets really tricky. I don't expect people to remember name brands and all those things. Right.

SPEAKER_01: So what we use, yeah. If someone asked you, so we know if someone asked you like specifically, and then I wanted to AI it, would you be comfortable with me doing, oh, like like what is your procedure? And then looking up, let's say, on chat, which should be my best guess on chat should be.

SPEAKER_04: And this is where chat's going, though, because remember, chat is is just a search engine, really, at this time, and chat's gonna pull that Velux is approved for jawline. So you have to be a little tricky. So, I mean, the one thing I will say, so RADS, there's only one filler on the market that's not hyaluronic acid filler. And this is probably getting way deeper than you guys ever expected to go, but just in just to give a little tip, is RAD S is calcium hydroxyapetite. It's identical to what our body makes.

SPEAKER_04: In fact, this was interesting. It's Scott got a shoulder injury, went and had an X-ray done, and the provider came and said, Oh my gosh, you have um, you have calcium hydroxyapetite uh uh sitting around your tendons. Um, and this is gonna cause a lot of pain and inflammation, it'll eventually go away. It's actually a product that's made to strengthen an injury, but this is also a product that they've made in the lab that has no hyaluronic acid. There's no gooeyness, there's no pull-in of water, there's nothing.

SPEAKER_04: It's literally little calcium beads, and that's what I use to inject on the bone. So I'm actually strengthening. You actually can see on CAS can it's white. Um that's what I use to inject on bone because I want to strengthen the bone, I want to create structure, and I want to create a more uh it is it's almost in it's strengthening their own bone, but it's creating like almost a synthetic jawline in a sense, right? Because their bone's still there, but I'm just creating it to be stronger with a product versus putting in something that's like putty that's gonna be soft.

SPEAKER_04: Yeah, okay. So I guess if you're just gonna take one thing away, I would just say look for an injector that uses radius. If they use radius, they're they're a well-versed injector. It's a it's a more difficult product to use. Uh, you really have to know how how to use it. But when you know how to use it, it's it's um it's an amazing product. I use it every single day. So that might be one thing that to look for. That is so good to know. I'm loving that.

SPEAKER_02: Okay, good. Um this is ah, I'm like so excited. I feel like we need 10 more episodes. I know, we do. We'll definitely have to close out with some of like the core uh fast answer, like off the cuff questions of what you put in the bottom there.

SPEAKER_01: Okay, so there are, and this is actually kind of like a little bit of our younger people, is okay, um, is Morpheus 8 worth the hype or not?

SPEAKER_04: Morpheus, yeah, that is a loaded question. You know, we uh at medical regeneration, our charge for Morpheus is$500, and most every place you go is$1,200 to$1,400. It's not$1,200 to$1,400, no. Is it a good microneedling radio frequency? Yes. You have to know how to use it, and it shouldn't be used in people who have thinning skin, or if you're gonna use it, it should be with no heat. That's it's that would be like another episode, but start with my start with your microneedling, just plain microneedling if while you're doing your own records.

SPEAKER_04: Yeah.

SPEAKER_01: So for example, 56, have my face lift. I think my face looks great. I do have some like like right above my lip, I would say. And it might just probably be my pigmentation, it's my it's my skin blotchiness from all my years of the sun. But I've got some pigmentation stuff. I did have that. I had filler put in years ago. Would like a microneedling help that area with pigments. No, no, microneedling doesn't do anything to pigmentation. No. You're okay.

SPEAKER_04: Well, so what is like what is microneedling for that does? So microneedling is damaging is damaging the tissue, so your body will rebuild it back. It's like going to the gym for your face.

SPEAKER_01: Oh yeah. Okay, I gotcha. So for pigmentation like me, what was something that I suppose like my skin like? Yeah, intends pulse like IPL. It's a great one.

SPEAKER_04: Okay. So that's that is not overwritten. Oh, I'm obsessed with IPL. It's you it's so good. I love it. I love it so much. It's a dramatic.

SPEAKER_02: Okay, I love that. How about CO2? Between IPL, CO2, maybe they're different. What what's um is CO2 something that is only done in like med like medical offices, or is that something you would so CO2 was is the hottest laser.

SPEAKER_04: It was the original one. So just on, you know, a scale, it's like, you know, it's like um, you know, going deep diving into the ocean where IPL is sparkling, right? Um it used to be, oh, let's burn off your face and then it will all come back beautiful. And we don't we don't need to do that anymore. We've realized, oh, wait, okay, that opens up people for infection. You actually have to take a week off of of work. Um, you have to do salt soaks, you're you can scar your face, you can actually create like, you know, hypotigmentation, especially for people darker, like that.

SPEAKER_04: You can still do it, but it's not necessary. The the hard thing is is there's so many things. There's there's moxie, there's halo, there's IPL, there's BBL, there's oh gosh, fraxal. I mean fraxal, non-fraxal, ablative, non-ablative. There's so many different things. I would say, and this is where people get lost in the weeds, start with IPL. It's your least expensive. It does dramatic things. I'll be in in wide transparency. I'm gonna tell you guys, I just did halo uh two weeks ago on my face and neck, right?

SPEAKER_04: This is the this is$3,500. And then I went the next day I went to work and did IPL on my chest and back that would cost somebody, I mean we're reasonably priced. So yeah, maybe someone will charge you a lot more for IPL, but we charge$400, right? So$400 and my back. And stay tuned, you know. I mean, I I think I like how my face looks, I like how my chest looks. We're talking difference of$2,000. Um, yeah, the halo goes deeper, but let's remember again, go back to that YouTube late night watching someone peel back layers of a dead person's face.

SPEAKER_04: Uh, the skin is very thin. So while I use the analogy of snorkeling and deep sea diving, it's really like a raindrop on a ground that um you can touch it with your finger, but you put a little bit of pressure and you're already on the the concrete ground. Yeah, I mean, this skin is very thin. So before you throw thousands, and even with halo, I was talking to the dermatologist who did the halo for me. You know, they still recommend it once a year. Okay. So, you know, let's just let's just go with that.

SPEAKER_04: So I I recommend start with IPL. There's so we're all our budgets are all tight, you know. Start with I you'll you'll get from the the bang for your buck is huge with IPL. I love lasers. You know, if you want to pay for them, do them for me for free. I'll line up and do them all. Sure.

SPEAKER_01: Um, that actually brings my next question, which is I think I'm glad you said that. It also, I mean, being a woman is expensive, and then this stuff is expensive. So what are for people, right, is people who budgets are tight, all of us have tight budgets. If you can't come in and let's say you don't have the cash, let's say I know you would we could put money away, we can save for it. But what are some ways to pay for this if you don't want to say put on a credit card? I know there's a couple of options that are available to women.

SPEAKER_04: So cherry is a really popular one for aesthetics. It's uh what was the other one that everyone knew about? Care credit, I think. So care credit we didn't do because there's a lot of really sneaky fees in there, and you'll see credit care credit a lot of places, but you have to read, like have an attorney read the fine print. The reason why we we end up going with cherry, we really resisted it for a while because we thought, gosh, we don't want anyone to get in a bad financial situation coming to us.

SPEAKER_03: Sure.

SPEAKER_04: And then we decided to go with uh our plan, and everyone's plan is different, but our plan is we pay for all the fees for the first six months. So we tell people listen, you want to come and do something, we're only gonna support you and encourage you to take out what you can pay off in six months. And I know that's a little micromanaging our people, but I I don't want someone to be paying for Botox two years later, right?

SPEAKER_01: Right? Like that's gross. You're right. Yeah, it's like the after pay. It's like door dads. We get door dabs now and you literally.

SPEAKER_01: I am not I love that you do that because you're being respectful of money and you're also helping them manage it because people can be like, I don't care. I'm just gonna pay for the next three years.

SPEAKER_04: And it's all gone. And the treatment's all gone by that. And then and now I'm associated, I have this negative association because even though they're paying cherry, they're thinking about me two years from now, you know? So I tell them, hey, hey guys, listen, I'm gonna pay for six months for your fees. I'll do it for you. If you want to do something with us, do it. That's fine. You know, our profit margin is a little bit less, that's fine. But please don't don't take out more than they can. I'm not gonna not allow them to, but I'm like, don't take it out for more than six months.

SPEAKER_04: And then I tell people, as soon as you sign up, link your link your um debit card to it because no one wants to miss a payment, because that's where these companies get you, and they will get you and they don't feel bad for you, and they don't care what's going on in your life, you will pay. So they get such an automatic payment, and then by the time you come in for your next few minutes, it's paid for, and you only had to pay for it once a month, and that makes it way more manageable.

SPEAKER_01: So it makes it more manageable. I love that. Okay, my last question, and we are definitely gonna do lots of follow-up episodes with you. If you could remove one product from every woman's bathroom cabinets, what would that be?

SPEAKER_04: Okay, I've thought about this a lot because we all have so many uh products that are like a waste. And I'm gonna I wanted to clarify a little bit, like, do you mean by that, do you mean like this it's not worth it because you spent too much money on it, like a hyaluronic acid serum that was$450? Or like what or like it was or it's hurtful.

SPEAKER_01: Or like we just need to all, for example, if you went into my okay, so I my band went down the drain the other day. So Sean has to go and like the P trap and get me, which is fine, it's still hurt wedding bags? Yeah, like by picking off the other night, it just happened to be a perfect slide down into the thing. So it's sitting in the P trap. And I said to him, hey, we're gonna block my sink off because we have to get all the crap that is under my sink out so he can get in there to open the drain app.

SPEAKER_01: I have, so this is sort of my question, that's where it came from. I probably just need to stop buying shit. Yeah, like I have so much. If you went in there and you're like, I probably have like five different eye things, yeah, right? I have four I can put on at night. So like as a like an under eye break? Yeah, exactly.

SPEAKER_04: Yeah, so that's what I wanted to say. Like I wouldn't want to throw anything away. What I would say is like we're wasting money on too many things, right? Like, for example, like the little like stickers we put under our eyes, do they really do anything? We feel fancy, but they probably don't do anything. I I'm with you, Hillary. I would say just let's stop. Let's all stop by I don't want anyone to throw anything they bought, but I'm gonna I'm gonna leave it on a better note. What's something I liked your question?

SPEAKER_04: What's the what's a what's a life hack that I can buy for a couple bucks? Because under 40, that's tough. Like, can you buy like a good like holoclactic acid? It's like, oh, I don't know if you can't under 40. But you know what? You know what's a good life hack, you guys? It's a couple bucks. That's so good. It's freaking aquapore. I want every like everyone can go to the store and buy a thing of aquaphore. It's a couple bucks. Put it on your lips every night before you go to bed and under your eyes and around your eyes.

SPEAKER_04: It's the cheapest hydrator. And if you're over the age of 40 or 50 and you're you're not on estrogen yet, please everyone get on estrogen who's over the age of 50 and progesterone. We can talk about that later and even testosterone. Oh, love your life. But take a look at that aqua for and put it all over your face and your neck and your chest a little bit. I know it's sicky, but it's cheap. And if you right now, you know, you're trying to think about how do I spend my money the best. I really want to do Botox, then freaking use aquapore and on your lips every single night, every single night.

SPEAKER_04: Because our lips, our poor lips at the age of 50, if we haven't gotten any filler.

SPEAKER_01: Yeah. I know. So and is that true for all skin types, whether let's say you're prone to like breaking out any aqua.

SPEAKER_04: If you're if you're let's say over the age of 50, if you're on the age of 50, your skin's probably look at it in the magnifying mirror and you're probably like, no, I mean like the people who are leaves the 30s. People in the 20s and 30s really need aquaphore on their lips. I mean, I know they can just go home. I mean, come on, you know, just leave the tricks, leave the aquifer for us more, you know, wise women, please. Yeah.

SPEAKER_01: I love that. Well, thank you for A, thank you for dropping in. We are going to start. We'll we'll definitely we'll have lots of more episodes to talk about and do deep dives in, especially your story on one of them. Okay. But thank you for joining us. Thank you for all your amazing information and knowledge and background. Absolutely. I mean, yeah, I'm just we love you. We're so thankful for your you are so knowledgeable. I learned so much. I know, it's amazing. And everyone go by a little before, and if nothing else, all can make our lips glossy more moist.

SPEAKER_01: More sadness, glossier. No, wake up, right?

SPEAKER_04: Titan. No, thank you. Thank you so much. Yes, thank you. I love you know, I love a good girlfriend chat. And I think, you know, we're not holding anything back. We're not, we're we're endorsing everyone. Everyone gets to do whatever they want to do these days, and let's let's share the the life hacks, let's stop voicing money on things that we don't need.

SPEAKER_02: Like, yes, yes, like just give it to us. Cheap, expensive. We can't afford it yet. You're gonna have to save for that. Yes, but right now here's your two dollar. Oh, yeah, right. That's why you're saving.

SPEAKER_01: Love it. Yes, absolutely. I love it. All right, ladies. Okay, well, next love you all, everyone out there, and we will chat soon. Thank you so much. Bye.

Midlife Facelift Options | What Really Happens to Your Face After 50

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